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samuelmale/followup.xml

Created March 15, 2019 10:22
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followup.xml
<?xml version="1.0" encoding="UTF-8"?>
<PurcForm><Xform><xf:xforms xmlns:xf="http://www.w3.org/2002/xforms" xmlns:jr="http://openrosa.org/javarosa" xmlns:xs="http://www.w3.org/2001/XMLSchema" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"><parsererror xmlns="http://www.w3.org/1999/xhtml" style="display: block; white-space: pre; border: 2px solid #c77; padding: 0 1em 0 1em; margin: 1em; background-color: #fdd; color: black"><h3>This page contains the following errors:</h3><div style="font-family:monospace;font-size:12px">error on line 4 at column 116: xmlns:openmrs: 'formentry.infopath_server_url cannot be empty/moduleServlet/formentry/forms/schema/17-1' is not a valid URI
</div><h3>Below is a rendering of the page up to the first error.</h3></parsererror>
<xf:model id="openmrs_model">
<xf:instance id="openmrs_model_instance">
<form xmlns:openmrs="formentry.infopath_server_url cannot be empty/moduleServlet/formentry/forms/schema/17-1" xmlns:xd="http://schemas.microsoft.com/office/infopath/2003" id="17" name="Followup form" uuid="a48fd740-c187-4fe9-8306-420850e78561" version="1.1">
<header>
<enterer/>
<date_entered/>
<session/>
<uid/>
</header>
<patient>
<patient.birthdate openmrs_attribute="birthdate" openmrs_table="patient"/>
<patient.family_name openmrs_attribute="family_name" openmrs_table="patient_name"/>
<patient.given_name openmrs_attribute="given_name" openmrs_table="patient_name"/>
<patient.medical_record_number openmrs_attribute="identifier" openmrs_table="patient_identifier"/>
<patient.middle_name openmrs_attribute="middle_name" openmrs_table="patient_name"/>
<patient.patient_id openmrs_attribute="patient_id" openmrs_table="patient"/>
<patient.sex openmrs_attribute="gender" openmrs_table="patient"/>
<consent openmrs_attribute="value" openmrs_table="person_attribute"/>
<patient_relative>
<patient_relative.person/>
<patient_relative.relationship/>
</patient_relative>
</patient>
<encounter>
<encounter.encounter_datetime openmrs_attribute="encounter_datetime" openmrs_table="encounter" xsi:nil="true">'now()'</encounter.encounter_datetime>
<encounter.location_id openmrs_attribute="location_id" openmrs_table="encounter" xsi:nil="true">1</encounter.location_id>
<encounter.provider_id openmrs_attribute="provider_id" openmrs_table="encounter" provider_id_type="PROVIDER.ID" xsi:nil="true">3</encounter.provider_id>
</encounter>
<obs openmrs_concept="3^ANEMIA^99DCT" openmrs_datatype="ZZ">
<consent. multiple="0" openmrs_concept="161301^CONSENT.^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</consent.>
<telno openmrs_concept="161303^TELNO^99DCT" openmrs_datatype="NM">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</telno>
<partner_status multiple="0" openmrs_concept="161304^PARTNER_STATUS^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</partner_status>
<pregnant multiple="0" openmrs_concept="161307^PREGNANT^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</pregnant>
<edd_number openmrs_concept="161308^EDD_NUMBER^99DCT" openmrs_datatype="DT">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</edd_number>
<anc_number openmrs_concept="161309^ANC_NUMBER^99DCT" openmrs_datatype="ST">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</anc_number>
<fam_planning multiple="1" openmrs_concept="161311^FAM_PLANNING^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<none openmrs_concept="1107^NONE^99DCT">false</none>
<pills openmrs_concept="161249^Pills^99DCT">false</pills>
<depo_injection openmrs_concept="161252^Depo injection^99DCT">false</depo_injection>
<implants openmrs_concept="161251^Implants^99DCT">false</implants>
<intrauterine_device openmrs_concept="5275^INTRAUTERINE DEVICE^99DCT">false</intrauterine_device>
<surgical_sterilization_status openmrs_concept="1388^SURGICAL STERILIZATION STATUS^99DCT">false</surgical_sterilization_status>
<condoms openmrs_concept="190^CONDOMS^99DCT">false</condoms>
<trad_slash_withdrawl openmrs_concept="161254^Trad/Withdrawl^99DCT">false</trad_slash_withdrawl>
<xforms_value xsi:nil="true"/></fam_planning>
<on_art openmrs_attribute="" openmrs_table=""/>
<pill_box multiple="0" openmrs_concept="161314^PILL_BOX^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</pill_box>
<pills_rem openmrs_concept="161316^PILLS_REM^99DCT" openmrs_datatype="NM">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</pills_rem>
<missed multiple="0" openmrs_concept="161320^How often did the patient missed ART drugs in the previous 4 weeks^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</missed>
<miss_holiday multiple="0" openmrs_concept="161322^Ever miss more than one dose of ART in a row?^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</miss_holiday>
<miss_2day multiple="0" openmrs_concept="161331^Missed doses of ART^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</miss_2day>
<poor_adh_reas multiple="1" openmrs_concept="161328^Reason for any missed doses^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<toxicity openmrs_concept="161894^Toxicity^99DCT">false</toxicity>
<shares_medications_with_others openmrs_concept="160583^Shares medications with others^99DCT">false</shares_medications_with_others>
<forgot openmrs_concept="161895^Forgot^99DCT">false</forgot>
<felt_better_and_stopped_taking_medication openmrs_concept="160586^Felt better and stopped taking medication^99DCT">false</felt_better_and_stopped_taking_medication>
<felt_too_ill_to_take_medication openmrs_concept="160585^Felt too ill to take medication^99DCT">false</felt_too_ill_to_take_medication>
<concerned_about_privacy_slash_stigma openmrs_concept="160589^Concerned about privacy/stigma^99DCT">false</concerned_about_privacy_slash_stigma>
<lost_or_ran_out_of_medication openmrs_concept="160584^Lost or ran out of medication^99DCT">false</lost_or_ran_out_of_medication>
<delivery_slash_travel_problems openmrs_concept="161892^Delivery/travel problems^99DCT">false</delivery_slash_travel_problems>
<inability_to_pay openmrs_concept="161893^Inability to pay^99DCT">false</inability_to_pay>
<depression openmrs_concept="119537^Depression^99DCT">false</depression>
<alcohol_arv openmrs_concept="161896^Alcohol ARV^99DCT">false</alcohol_arv>
<other_non-coded openmrs_concept="5622^OTHER NON-CODED^99DCT">false</other_non-coded>
<pharmacy_drug_stock_out openmrs_concept="161472^Pharmacy drug stock out^99DCT">false</pharmacy_drug_stock_out>
<xforms_value xsi:nil="true"/></poor_adh_reas>
<other_pooradh openmrs_concept="161333^OTHER_POORADH^99DCT" openmrs_datatype="ST">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</other_pooradh>
<chew_tobacco multiple="0" openmrs_concept="161335^CHEW_TOBACCO^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</chew_tobacco>
<smoke_cig multiple="0" openmrs_concept="161337^SMOKE_CIG^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</smoke_cig>
<avg-cig openmrs_concept="161339^AVG-CIG^99DCT" openmrs_datatype="NM">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</avg-cig>
<alcohol multiple="0" openmrs_concept="161344^ALCOHOL^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</alcohol>
<alcohol_amt openmrs_concept="161348^ALCOHOL_AMT^99DCT" openmrs_datatype="NM">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</alcohol_amt>
<ocular_comp multiple="0" openmrs_concept="161350^OCULAR_COMP^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</ocular_comp>
<ent_comp multiple="0" openmrs_concept="161358^ENT_COMP^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</ent_comp>
<resp_comp multiple="0" openmrs_concept="161359^RESP_COMP^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</resp_comp>
<cv_comp multiple="0" openmrs_concept="161363^CV_COMP^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</cv_comp>
<gi_liver_comp multiple="0" openmrs_concept="161365^GI_LIVER_COMP^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</gi_liver_comp>
<gu_comp multiple="0" openmrs_concept="161368^GU_COMP^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</gu_comp>
<std_comp multiple="0" openmrs_concept="161369^STD_COMP^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</std_comp>
<neuro_comp multiple="0" openmrs_concept="161371^NEURO_COMP^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</neuro_comp>
<joint_bone_comp multiple="0" openmrs_concept="161373^JOINT_BONE_COMP^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</joint_bone_comp>
<skin_comp multiple="0" openmrs_concept="161374^SKIN_COMP^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</skin_comp>
<tb_system_sx multiple="1" openmrs_concept="161377^TB_SYSTEM_SX^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<none openmrs_concept="1107^NONE^99DCT">false</none>
<fatigue openmrs_concept="140501^Fatigue^99DCT">false</fatigue>
<night_sweats openmrs_concept="133027^NIGHT SWEATS^99DCT">false</night_sweats>
<fever_gt_1moth openmrs_concept="161264^Fever&gt;1moth^99DCT">false</fever_gt_1moth>
<cough openmrs_concept="143264^Cough^99DCT">false</cough>
<haemoptysis openmrs_concept="161265^Haemoptysis^99DCT">false</haemoptysis>
<weight_loss openmrs_concept="832^Weight loss^99DCT">false</weight_loss>
<xforms_value xsi:nil="true"/></tb_system_sx>
<notes openmrs_concept="161379^Current complaints^99DCT" openmrs_datatype="ST">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</notes>
<fn_status multiple="0" openmrs_concept="161380^FN_STATUS^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</fn_status>
<colouration multiple="0" openmrs_concept="161362^COLOURATION^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</colouration>
<dehydration. multiple="0" openmrs_concept="161364^DEHYDRATION.^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</dehydration.>
<dehyd_note openmrs_concept="161367^DEHYD_NOTE^99DCT" openmrs_datatype="ST">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</dehyd_note>
<nutrition multiple="0" openmrs_concept="161370^NUTRITION^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</nutrition>
<nutritional_suppl multiple="0" openmrs_concept="161372^NUTRITIONAL_SUPPL^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</nutritional_suppl>
<systemic multiple="0" openmrs_concept="161376^SYSTEMIC^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</systemic>
<syst_note openmrs_concept="161381^SYST_NOTE^99DCT" openmrs_datatype="ST">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</syst_note>
<palp_lymph multiple="0" openmrs_concept="161389^PALP_LYMPH^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</palp_lymph>
<palp_lymph_loc openmrs_concept="161386^PALP_LYMPH_LOC^99DCT" openmrs_datatype="ST">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</palp_lymph_loc>
<ocular multiple="0" openmrs_concept="161392^OCULAR^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</ocular>
<ocular_note openmrs_concept="161395^OCULAR_NOTE^99DCT" openmrs_datatype="ST">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</ocular_note>
<ent multiple="0" openmrs_concept="161399^ENT^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</ent>
<ent_note openmrs_concept="161401^ENT_NOTE^99DCT" openmrs_datatype="ST">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</ent_note>
<resp multiple="0" openmrs_concept="161383^RESP^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</resp>
<resp_note openmrs_concept="161385^RESP_NOTE^99DCT" openmrs_datatype="ST">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</resp_note>
<cv multiple="0" openmrs_concept="161387^CV^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</cv>
<cv_note openmrs_concept="161388^CV_NOTE^99DCT" openmrs_datatype="ST">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</cv_note>
<gi_liver multiple="0" openmrs_concept="161391^GI_LIVER^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</gi_liver>
<gi_liver_note openmrs_concept="161393^GI_LIVER_NOTE^99DCT" openmrs_datatype="ST">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</gi_liver_note>
<gu_std multiple="0" openmrs_concept="161396^GU_STD^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</gu_std>
<gu_std_note openmrs_concept="161397^GU_STD_NOTE^99DCT" openmrs_datatype="ST">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</gu_std_note>
<neuro multiple="0" openmrs_concept="161398^NEURO^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</neuro>
<neuro_note openmrs_concept="161400^NEURO_NOTE^99DCT" openmrs_datatype="ST">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</neuro_note>
<joint_bone multiple="0" openmrs_concept="161403^JOINT_BONE^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</joint_bone>
<joint_bone_note openmrs_concept="161404^JOINT_BONE_NOTE^99DCT" openmrs_datatype="ST">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</joint_bone_note>
<skin multiple="0" openmrs_concept="161405^SKIN^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</skin>
<skin_note openmrs_concept="161412^SKIN_NOTE^99DCT" openmrs_datatype="ST">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</skin_note>
<icd_dx1 openmrs_concept="161413^ICD_DX1^99DCT" openmrs_datatype="ST">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</icd_dx1>
<icd_dx2 openmrs_concept="161338^ICD_DX2^99DCT" openmrs_datatype="ST">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</icd_dx2>
<icd_dx3 openmrs_concept="161340^ICD_DX3^99DCT" openmrs_datatype="ST">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</icd_dx3>
<icd_dx4 openmrs_concept="161341^ICD_DX4^99DCT" openmrs_datatype="ST">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</icd_dx4>
<icd_dx5 openmrs_concept="161343^ICD_DX5^99DCT" openmrs_datatype="ST">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</icd_dx5>
<icd_dx6 openmrs_concept="161346^ICD_DX6^99DCT" openmrs_datatype="ST">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</icd_dx6>
<tb_screen_dx multiple="1" openmrs_concept="161351^TB_SCREEN_DX^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<negative openmrs_concept="664^NEGATIVE^99DCT">false</negative>
<suspect_of_pulmonary_tb openmrs_concept="161279^Suspect of pulmonary TB^99DCT">false</suspect_of_pulmonary_tb>
<sputum_sample_positive openmrs_concept="161291^Sputum sample positive^99DCT">false</sputum_sample_positive>
<sputum_sample_negative openmrs_concept="161292^Sputum sample negative^99DCT">false</sputum_sample_negative>
<chest_x-ray_suggestive_of_tb openmrs_concept="161294^Chest X-ray suggestive of TB^99DCT">false</chest_x-ray_suggestive_of_tb>
<chest_x-ray_not_suggestive_of_tb openmrs_concept="161295^Chest X-ray not suggestive of TB^99DCT">false</chest_x-ray_not_suggestive_of_tb>
<on_treatment openmrs_concept="161829^on treatment^99DCT">false</on_treatment>
<xpert_from_other_material_positive openmrs_concept="161947^Xpert from other material positive^99DCT">false</xpert_from_other_material_positive>
<suspect_of_extrapulmonary_tb openmrs_concept="161953^Suspect of extrapulmonary TB^99DCT">false</suspect_of_extrapulmonary_tb>
<xforms_value xsi:nil="true"/></tb_screen_dx>
<iris multiple="0" openmrs_concept="161355^IRIS^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</iris>
<iris_icd openmrs_concept="161360^IRIS_ICD^99DCT" openmrs_datatype="NM">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</iris_icd>
<whostage_change multiple="0" openmrs_concept="161366^WHOSTAGE_CHANGE^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</whostage_change>
<whostage multiple="0" openmrs_concept="161375^WHOSTAGE^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</whostage>
<whostage_icd1 openmrs_concept="161378^WHOSTAGE_ICD1^99DCT" openmrs_datatype="ST">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</whostage_icd1>
<whostage_icd2 openmrs_concept="161382^WHOSTAGE_ICD2^99DCT" openmrs_datatype="ST">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</whostage_icd2>
<whostage_icd3 openmrs_concept="161384^WHOSTAGE_ICD3^99DCT" openmrs_datatype="ST">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</whostage_icd3>
<hosp_adm multiple="0" openmrs_concept="161390^HOSP_ADM^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</hosp_adm>
<hosp_date1 openmrs_concept="161394^HOSP_DATE1^99DCT" openmrs_datatype="DT">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</hosp_date1>
<hosp_ind1 openmrs_concept="161402^HOSP_IND1^99DCT" openmrs_datatype="ST">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</hosp_ind1>
<hosp_date2 openmrs_concept="161408^HOSP_DATE2^99DCT" openmrs_datatype="DT">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</hosp_date2>
<hosp_ind2 openmrs_concept="161410^HOSP_IND2^99DCT" openmrs_datatype="ST">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</hosp_ind2>
<hosp_date3 openmrs_concept="161406^HOSP_DATE3^99DCT" openmrs_datatype="DT">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</hosp_date3>
<hosp_ind3 openmrs_concept="161407^HOSP_IND3^99DCT" openmrs_datatype="ST">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</hosp_ind3>
<txt_failure multiple="1" openmrs_concept="161409^TXT_FAILURE^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<no openmrs_concept="1066^NO^99DCT">false</no>
<clinical openmrs_concept="161297^Clinical^99DCT">false</clinical>
<immunological openmrs_concept="161298^Immunological^99DCT">false</immunological>
<virologic_failure openmrs_concept="160569^Virologic failure^99DCT">false</virologic_failure>
<xforms_value xsi:nil="true"/></txt_failure>
<other_tox_spec openmrs_concept="161336^OTHER_TOX_SPEC^99DCT" openmrs_datatype="ST">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</other_tox_spec>
<suspected_drug multiple="1" openmrs_concept="161352^SUSPECTED_DRUG^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<unknown openmrs_concept="1067^UNKNOWN^99DCT">false</unknown>
<_3tc openmrs_concept="161075^3TC^99DCT">false</_3tc>
<abc openmrs_concept="161086^ABC^99DCT">false</abc>
<atv openmrs_concept="161088^ATV^99DCT">false</atv>
<ctx openmrs_concept="161209^CTX^99DCT">false</ctx>
<d4t openmrs_concept="161090^d4T^99DCT">false</d4t>
<ddl openmrs_concept="161091^ddl^99DCT">false</ddl>
<efv openmrs_concept="161093^EFV^99DCT">false</efv>
<ftc openmrs_concept="161095^FTC^99DCT">false</ftc>
<nvp openmrs_concept="161130^NVP^99DCT">false</nvp>
<lpv_slash_r openmrs_concept="161097^LPV/r^99DCT">false</lpv_slash_r>
<sqv_slash_r openmrs_concept="161099^SQV/r^99DCT">false</sqv_slash_r>
<tdf openmrs_concept="161100^TDF^99DCT">false</tdf>
<zdfazt openmrs_concept="161104^ZDF(AZT)^99DCT">false</zdfazt>
<xforms_value xsi:nil="true"/></suspected_drug>
<plan openmrs_concept="161353^Plan Notes^99DCT" openmrs_datatype="ST">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</plan>
<any_drugs multiple="0" openmrs_concept="161354^ANY_DRUGS^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</any_drugs>
<any_tests multiple="0" openmrs_concept="161094^ANY_TESTS^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</any_tests>
<pt_dest multiple="0" openmrs_concept="161357^PT_DEST^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</pt_dest>
<refer_to multiple="1" openmrs_concept="161342^REFER_TO^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<prevention_of_maternal_to_child_transmission_program openmrs_concept="160538^Prevention of maternal to child transmission program^99DCT">false</prevention_of_maternal_to_child_transmission_program>
<hbc openmrs_concept="161039^HBC^99DCT">false</hbc>
<plhiv_group openmrs_concept="161020^PLHIV group^99DCT">false</plhiv_group>
<orphane_and_vulnerable_children_group openmrs_concept="161216^Orphane and vulnerable children group^99DCT">false</orphane_and_vulnerable_children_group>
<medical_specialty openmrs_concept="161218^Medical specialty^99DCT">false</medical_specialty>
<legal openmrs_concept="161220^legal^99DCT">false</legal>
<tb_clinic openmrs_concept="161228^TB clinic^99DCT">false</tb_clinic>
<fp_services openmrs_concept="161223^FP services^99DCT">false</fp_services>
<other_non-coded openmrs_concept="5622^OTHER NON-CODED^99DCT">false</other_non-coded>
<nutritional_support. openmrs_concept="161222^Nutritional support.^99DCT">false</nutritional_support.>
<st._francis_hospital openmrs_concept="161948^St. Francis Hospital^99DCT">false</st._francis_hospital>
<muhimbili openmrs_concept="161949^Muhimbili^99DCT">false</muhimbili>
<ocean_road_cancer_institute openmrs_concept="161950^Ocean Road Cancer Institute^99DCT">false</ocean_road_cancer_institute>
<xforms_value xsi:nil="true"/></refer_to>
<other_ref openmrs_concept="161345^OTHER_REF^99DCT" openmrs_datatype="ST">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</other_ref>
<next_visit openmrs_concept="161347^NEXT_VISIT^99DCT" openmrs_datatype="DT">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</next_visit>
<clin_no openmrs_concept="161349^CLIN_NO^99DCT" openmrs_datatype="NM">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</clin_no>
<dss_no openmrs_concept="161456^DSS_NO^99DCT" openmrs_datatype="ST">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</dss_no>
<art_pres multiple="0" openmrs_concept="161312^ART_PRES^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</art_pres>
<pmtct_press multiple="0" openmrs_concept="161506^PMTCT_PRESS^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</pmtct_press>
<hosp_loc multiple="0" openmrs_concept="161536^HOSP_LOC^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</hosp_loc>
<any_art_tox multiple="0" openmrs_concept="161508^ANY_ART_TOX^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</any_art_tox>
<next_time multiple="1" openmrs_concept="161520^NEXT_TIME^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<cd4. openmrs_concept="161516^CD4.^99DCT">false</cd4.>
<p24. openmrs_concept="161517^P24.^99DCT">false</p24.>
<viral_load. openmrs_concept="161518^Viral load.^99DCT">false</viral_load.>
<safety_lab openmrs_concept="161519^Safety lab^99DCT">false</safety_lab>
<other_non-coded openmrs_concept="5622^OTHER NON-CODED^99DCT">false</other_non-coded>
<none openmrs_concept="1107^NONE^99DCT">false</none>
<xforms_value xsi:nil="true"/></next_time>
<next_time_oth openmrs_concept="161521^NEXT_TIME_OTH^99DCT" openmrs_datatype="ST">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</next_time_oth>
<arv_status_disch multiple="0" openmrs_concept="161302^ART Status at Discharge^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</arv_status_disch>
<no_art_reason multiple="0" openmrs_concept="161305^Reason ARTs were not started^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</no_art_reason>
<art_start_reason multiple="1" openmrs_concept="161261^Reason why ARTs were started^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<adult_cd4_lt_350 openmrs_concept="161231^ADULT CD4&lt;350^99DCT">false</adult_cd4_lt_350>
<infant_under_24_months openmrs_concept="161236^Infant under 24 months^99DCT">false</infant_under_24_months>
<children_gt_eq_5_years_cd4_lt_350_percent openmrs_concept="161237^Children&gt;=5 years CD4&lt;350%^99DCT">false</children_gt_eq_5_years_cd4_lt_350_percent>
<pregnant_woman_for_pmtctplus openmrs_concept="161238^Pregnant woman for PMTCT(PLUS)^99DCT">false</pregnant_woman_for_pmtctplus>
<other_non-coded openmrs_concept="5622^OTHER NON-CODED^99DCT">false</other_non-coded>
<adult_who_stage_iii-iv openmrs_concept="161845^Adult WHO Stage III-IV^99DCT">false</adult_who_stage_iii-iv>
<children_who_stage_iii-iv openmrs_concept="161846^Children WHO Stage III-IV^99DCT">false</children_who_stage_iii-iv>
<children_between_24-59_months_cd4_lt_750 openmrs_concept="161847^Children between 24-59 months CD4&lt;750^99DCT">false</children_between_24-59_months_cd4_lt_750>
<children_between_24-59_months_cd4_lt_25_percent openmrs_concept="161848^Children between 24-59 months CD4&lt;25%^99DCT">false</children_between_24-59_months_cd4_lt_25_percent>
<child_lt_18_months_with_severe_hiv_diseasepresumptive_hiv_diagnosis openmrs_concept="162293^Child &lt; 18 months with severe HIV disease(Presumptive HIV diagnosis)^99DCT">false</child_lt_18_months_with_severe_hiv_diseasepresumptive_hiv_diagnosis>
<confirmed_hiv_positive openmrs_concept="162294^Confirmed HIV positive^99DCT">false</confirmed_hiv_positive>
<xforms_value xsi:nil="true"/></art_start_reason>
<arv_stop_change_reason multiple="0" openmrs_concept="161269^Reason why ARTs were stopped or changed^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</arv_stop_change_reason>
<arv_stop_change_reason_oth openmrs_concept="161273^Other reason why ARTs were stopped or changed^99DCT" openmrs_datatype="ST">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</arv_stop_change_reason_oth>
<any_tb_system_sx multiple="0" openmrs_concept="161533^ANY_TB_SYSTEM_SX^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</any_tb_system_sx>
<any_txt_failure multiple="0" openmrs_concept="161534^ANY_TXT_FAILURE^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</any_txt_failure>
<any_suspect_drug multiple="0" openmrs_concept="161535^ANY_SUSPECT_DRUG^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</any_suspect_drug>
<hosp_loc_1 multiple="0" openmrs_concept="161536^HOSP_LOC^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<clinical_examination/><value xsi:nil="true"/>
<value/><any_complaints/></hosp_loc_1>
<art_tox_type multiple="1" openmrs_concept="161315^ART_TOX_TYPE^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<cns openmrs_concept="161509^CNS^99DCT">false</cns>
<polyneuropathy openmrs_concept="113971^Polyneuropathy^99DCT">false</polyneuropathy>
<anemia openmrs_concept="3^ANEMIA^99DCT">false</anemia>
<gastrointestinal openmrs_concept="161511^Gastrointestinal^99DCT">false</gastrointestinal>
<hepatic openmrs_concept="161512^Hepatic^99DCT">false</hepatic>
<cutaneous openmrs_concept="161513^Cutaneous^99DCT">false</cutaneous>
<diabetes. openmrs_concept="161514^Diabetes.^99DCT">false</diabetes.>
<dyslipidemia. openmrs_concept="141623^Dyslipidemia.^99DCT">false</dyslipidemia.>
<cardiovascular openmrs_concept="161515^Cardiovascular^99DCT">false</cardiovascular>
<other_non-coded openmrs_concept="5622^OTHER NON-CODED^99DCT">false</other_non-coded>
<renal. openmrs_concept="161510^Renal.^99DCT">false</renal.>
<unknown openmrs_concept="1067^UNKNOWN^99DCT">false</unknown>
<lypodystrophia openmrs_concept="161897^Lypodystrophia^99DCT">false</lypodystrophia>
<xforms_value xsi:nil="true"/></art_tox_type>
<art_pres_1 multiple="0" openmrs_concept="161312^ART_PRES^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</art_pres_1>
<birth_last_visit multiple="0" openmrs_concept="161942^BIRTH_LAST_VISIT^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</birth_last_visit>
<date_child_birth openmrs_concept="161943^DATE_CHILD_BIRTH^99DCT" openmrs_datatype="DT">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</date_child_birth>
<paed_nacpno openmrs_concept="162270^PAED_NACPNO^99DCT" openmrs_datatype="ST">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</paed_nacpno>
<alcohol_daily multiple="0" openmrs_concept="161945^ALCOHOL_DAILY^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</alcohol_daily>
<alcohol_weekly multiple="0" openmrs_concept="161944^ALCOHOL_WEEKLY^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</alcohol_weekly>
<alcohol_npw openmrs_concept="162271^ALCOHOL_NPW^99DCT" openmrs_datatype="NM">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</alcohol_npw>
<diagnosis openmrs_concept="162272^DIAGNOSIS^99DCT" openmrs_datatype="ST">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</diagnosis>
<alcohol_type multiple="1" openmrs_concept="161464^ALCOHOL_TYPE^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<beer openmrs_concept="161462^Beer^99DCT">false</beer>
<liquor openmrs_concept="161463^Liquor^99DCT">false</liquor>
<other_non-coded openmrs_concept="5622^OTHER NON-CODED^99DCT">false</other_non-coded>
<xforms_value xsi:nil="true"/></alcohol_type>
<ipt_status multiple="0" openmrs_concept="162280^IPT status^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</ipt_status>
<noipt_why multiple="1" openmrs_concept="162289^NoIPT_Why^99DCT" openmrs_datatype="CWE">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<current_slash_past_history_of_hepatitis openmrs_concept="162281^Current/past history of hepatitis^99DCT">false</current_slash_past_history_of_hepatitis>
<history_of_tb_treatment_in_the_past_2_years openmrs_concept="162282^History of TB treatment in the past 2 years^99DCT">false</history_of_tb_treatment_in_the_past_2_years>
<non-adherence_to_long_term_treatment openmrs_concept="162283^Non-adherence to long term treatment^99DCT">false</non-adherence_to_long_term_treatment>
<alcohol_abuse_regular_and_heavy_consumption openmrs_concept="162284^Alcohol abuse (regular and heavy consumption)^99DCT">false</alcohol_abuse_regular_and_heavy_consumption>
<medical_contraindication_to_inh openmrs_concept="162285^Medical contraindication to INH^99DCT">false</medical_contraindication_to_inh>
<symptoms_of_peripheral_neuropathy openmrs_concept="162286^Symptoms of peripheral neuropathy^99DCT">false</symptoms_of_peripheral_neuropathy>
<completed openmrs_concept="1267^COMPLETED^99DCT">false</completed>
<other_non-coded openmrs_concept="5622^OTHER NON-CODED^99DCT">false</other_non-coded>
<patient_refused openmrs_concept="162295^Patient refused^99DCT">false</patient_refused>
<xforms_value xsi:nil="true"/></noipt_why>
<ipt_completed_date openmrs_concept="162290^IPT_completed_date^99DCT" openmrs_datatype="DT">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"/>
</ipt_completed_date>
<othernoipt_specify openmrs_concept="162288^OtherNoIPT_specify^99DCT" openmrs_datatype="ST">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</othernoipt_specify>
</obs>
<obs><text/></obs></form>
</xf:instance>
<xf:bind id="patient.birthdate" jr:preload="patient" jr:preloadParams="birthDate" locked="true()" nodeset="/form/patient/patient.birthdate" type="xsd:date"/>
<xf:bind id="patient.family_name" jr:preload="patient" jr:preloadParams="familyName" locked="true()" nodeset="/form/patient/patient.family_name" type="xsd:string"/>
<xf:bind id="patient.given_name" jr:preload="patient" jr:preloadParams="givenName" locked="true()" nodeset="/form/patient/patient.given_name" type="xsd:string"/>
<xf:bind id="patient.medical_record_number" jr:preload="patient" jr:preloadParams="patientIdentifier" locked="true()" nodeset="/form/patient/patient.medical_record_number" required="true()" type="xsd:string"/>
<xf:bind id="patient.middle_name" jr:preload="patient" jr:preloadParams="middleName" locked="true()" nodeset="/form/patient/patient.middle_name" type="xsd:string"/>
<xf:bind id="patient.patient_id" jr:preload="patient" jr:preloadParams="patientId" locked="true()" nodeset="/form/patient/patient.patient_id" readonly="true()" required="true()" type="xsd:int" visible="false()"/>
<xf:bind id="patient.sex" jr:preload="patient" jr:preloadParams="sex" locked="true()" nodeset="/form/patient/patient.sex" required="true()" type="xsd:string"/>
<xf:bind constraint=". &lt;= today()" id="encounter.encounter_datetime" message="Encounter date cannot be after today" nodeset="/form/encounter/encounter.encounter_datetime" required="true()" type="xsd:dateTime"/><xf:bind id="encounter.location_id" nodeset="/form/encounter/encounter.location_id" readonly="true()" type="xsd:string" visible="false()"/><xf:bind id="encounter.provider_id" nodeset="/form/encounter/encounter.provider_id" readonly="true()" type="xsd:string" visible="false()"/><xf:bind id="consent." nodeset="/form/obs/consent./value" type="xsd:string"/><xf:bind constraint="length(.) &lt;= 10" id="telno" message="Data out of range, please check" nodeset="/form/obs/telno/value" type="xsd:decimal"/><xf:bind id="partner_status" nodeset="/form/obs/partner_status/value" required="true()" type="xsd:string"/><xf:bind action="enable" id="pregnant" nodeset="/form/obs/pregnant/value" relevant="/form/patient/patient.sex = 'F'" type="xsd:string" required="true()"/><xf:bind action="enable" id="edd_number" nodeset="/form/obs/edd_number/value" relevant="/form/obs/pregnant/value = '1065^YES^99DCT'" type="xsd:date" required="false()"/><xf:bind action="enable" constraint="length(.) &lt;= 10" id="anc_number" message="The length of the entered data is more than the required, please check." nodeset="/form/obs/anc_number/value" relevant="/form/obs/pregnant/value = '1065^YES^99DCT'" type="xsd:string" required="false()"/><xf:bind action="enable" id="pill_box" nodeset="/form/obs/pill_box/value" relevant="/form/obs/art_pres/value != '1107^NONE^99DCT'" type="xsd:string" required="true()"/><xf:bind action="enable" constraint=". &gt;= 0 and . &lt;= 200" id="pills_rem" message="Data out of range, please check" nodeset="/form/obs/pills_rem/value" relevant="/form/obs/pill_box/value = '1065^YES^99DCT'" type="xsd:decimal" required="true()"/><xf:bind action="enable" id="missed" nodeset="/form/obs/missed/value" relevant="/form/obs/art_pres/value != '1107^NONE^99DCT'" type="xsd:string" required="true()"/><xf:bind action="enable" id="miss_holiday" nodeset="/form/obs/miss_holiday/value" relevant="/form/obs/missed/value != '1090^NEVER^99DCT' and /form/obs/art_pres/value != '1107^NONE^99DCT'" type="xsd:string" required="true()"/><xf:bind action="enable" id="miss_2day" nodeset="/form/obs/miss_2day/value" relevant="/form/obs/missed/value != '1090^NEVER^99DCT' and /form/obs/art_pres/value != '1107^NONE^99DCT'" type="xsd:string" required="true()"/><xf:bind action="enable" constraint="length(.) &lt;= 100" id="other_pooradh" message="The length of the entered data is more than the required, please check." nodeset="/form/obs/other_pooradh/value" relevant="obs/poor_adh_reas/xforms_value contains(., 'other_non-coded')" type="xsd:string" required="true()"/><xf:bind id="chew_tobacco" nodeset="/form/obs/chew_tobacco/value" required="true()" type="xsd:string"/><xf:bind id="smoke_cig" nodeset="/form/obs/smoke_cig/value" required="true()" type="xsd:string"/><xf:bind action="enable" constraint=". &gt;= 0 and . &lt;= 100" id="avg-cig" message="Data out of range" nodeset="/form/obs/avg-cig/value" relevant="/form/obs/smoke_cig/value = '1065^YES^99DCT'" type="xsd:decimal" required="true()"/><xf:bind id="alcohol" nodeset="/form/obs/alcohol/value" required="true()" type="xsd:string"/><xf:bind action="enable" constraint=". &gt;= 0 and . &lt;= 30" id="alcohol_amt" message="Data out of range" nodeset="/form/obs/alcohol_amt/value" relevant="/form/obs/alcohol_daily/value = '1065^YES^99DCT'" type="xsd:int" required="true()"/><xf:bind id="ent_comp" nodeset="/form/obs/ent_comp/value" type="xsd:string" relevant="/form/obs/any_complaints/value = '1065^YES^99DCT'" action="enable" required="true()"/><xf:bind id="resp_comp" nodeset="/form/obs/resp_comp/value" type="xsd:string" relevant="/form/obs/any_complaints/value = '1065^YES^99DCT'" action="enable" required="true()"/><xf:bind id="cv_comp" nodeset="/form/obs/cv_comp/value" type="xsd:string"/><xf:bind id="gi_liver_comp" nodeset="/form/obs/gi_liver_comp/value" type="xsd:string" relevant="/form/obs/any_complaints/value = '1065^YES^99DCT'" action="enable" required="true()"/><xf:bind id="gu_comp" nodeset="/form/obs/gu_comp/value" type="xsd:string" relevant="/form/obs/any_complaints/value = '1065^YES^99DCT'" action="enable" required="true()"/><xf:bind id="std_comp" nodeset="/form/obs/std_comp/value" required="true()" type="xsd:string"/><xf:bind id="neuro_comp" nodeset="/form/obs/neuro_comp/value" type="xsd:string" relevant="/form/obs/any_complaints/value = '1065^YES^99DCT'" action="enable" required="true()"/><xf:bind id="joint_bone_comp" nodeset="/form/obs/joint_bone_comp/value" type="xsd:string" relevant="/form/obs/any_complaints/value = '1065^YES^99DCT'" action="enable" required="true()"/><xf:bind id="skin_comp" nodeset="/form/obs/skin_comp/value" required="true()" type="xsd:string"/><xf:bind constraint="length(.) &lt;= 1500" id="notes" message="The length of the entered data is more than the required, please check." nodeset="/form/obs/notes/value" type="xsd:string" relevant="/form/obs/any_complaints/value = '1065^YES^99DCT'" action="enable" required="true()"/><xf:bind id="fn_status" nodeset="/form/obs/fn_status/value" type="xsd:string" relevant="/form/clinical_examination = 'yes'" action="enable" required="true()"/><xf:bind id="colouration" nodeset="/form/obs/colouration/value" type="xsd:string" relevant="/form/clinical_examination = 'yes'" action="enable" required="true()"/><xf:bind id="dehydration." nodeset="/form/obs/dehydration./value" type="xsd:string" relevant="/form/clinical_examination = 'yes'" action="enable" required="true()"/><xf:bind action="enable" constraint="length(.) &lt;= 100" id="dehyd_note" message="The length of the entered data is more than the required, please check." nodeset="/form/obs/dehyd_note/value" relevant="/form/obs/dehydration./value = '1065^YES^99DCT'" type="xsd:string" required="true()"/><xf:bind id="nutrition" nodeset="/form/obs/nutrition/value" type="xsd:string" relevant="/form/clinical_examination = 'yes'" action="enable" required="true()"/><xf:bind action="enable" id="nutritional_suppl" nodeset="/form/obs/nutritional_suppl/value" relevant="/form/obs/nutrition/value != '161272^Not malnourished^99DCT' and /form/obs/nutrition/value != ''" type="xsd:string" required="true()"/><xf:bind id="systemic" nodeset="/form/obs/systemic/value" type="xsd:string" relevant="/form/clinical_examination = 'yes'" action="enable" required="true()"/><xf:bind action="enable" constraint="length(.) &lt;= 100" id="syst_note" message="The length of the entered data is more than the required, please check." nodeset="/form/obs/syst_note/value" relevant="/form/obs/systemic/value = '1065^YES^99DCT'" type="xsd:string" required="true()"/><xf:bind id="palp_lymph" nodeset="/form/obs/palp_lymph/value" type="xsd:string" relevant="/form/clinical_examination = 'yes'" action="enable" required="true()"/><xf:bind action="enable" constraint="length(.) &lt;= 100" id="palp_lymph_loc" message="The length of the entered data is more than the required, please check." nodeset="/form/obs/palp_lymph_loc/value" relevant="/form/obs/palp_lymph/value = '1065^YES^99DCT'" type="xsd:string" required="true()"/><xf:bind id="ocular" nodeset="/form/obs/ocular/value" type="xsd:string" relevant="/form/clinical_examination = 'yes'" action="enable" required="true()"/><xf:bind action="enable" constraint="length(.) &lt;= 100" id="ocular_note" message="The length of the entered data is more than the required, please check." nodeset="/form/obs/ocular_note/value" relevant="/form/obs/ocular/value = '1116^ABNORMAL^99DCT'" type="xsd:string" required="true()"/><xf:bind id="ent" nodeset="/form/obs/ent/value" type="xsd:string" relevant="/form/clinical_examination = 'yes'" action="enable" required="true()"/><xf:bind action="enable" constraint="length(.) &lt;= 100" id="ent_note" message="The length of the entered data is more than the required, please check." nodeset="/form/obs/ent_note/value" relevant="/form/obs/ent/value = '1116^ABNORMAL^99DCT'" type="xsd:string" required="true()"/><xf:bind id="resp" nodeset="/form/obs/resp/value" type="xsd:string" relevant="/form/clinical_examination = 'yes'" action="enable" required="true()"/><xf:bind action="enable" constraint="length(.) &lt;= 100" id="resp_note" message="The length of the entered data is more than the required, please check." nodeset="/form/obs/resp_note/value" relevant="/form/obs/resp/value = '1116^ABNORMAL^99DCT'" type="xsd:string" required="true()"/><xf:bind id="cv" nodeset="/form/obs/cv/value" type="xsd:string" relevant="/form/clinical_examination = 'yes'" action="enable" required="true()"/><xf:bind action="enable" constraint="length(.) &lt;= 100" id="cv_note" message="The length of the field is more than the required, please check" nodeset="/form/obs/cv_note/value" relevant="/form/obs/cv/value = '1116^ABNORMAL^99DCT'" type="xsd:string" required="true()"/><xf:bind id="gi_liver" nodeset="/form/obs/gi_liver/value" type="xsd:string" relevant="/form/clinical_examination = 'yes'" action="enable" required="true()"/><xf:bind action="enable" constraint="length(.) &lt;= 100" id="gi_liver_note" message="The length of the entered data is more than the required, please check." nodeset="/form/obs/gi_liver_note/value" relevant="/form/obs/gi_liver/value = '1116^ABNORMAL^99DCT'" type="xsd:string" required="true()"/><xf:bind id="gu_std" nodeset="/form/obs/gu_std/value" type="xsd:string" relevant="/form/clinical_examination = 'yes'" action="enable" required="true()"/><xf:bind action="enable" constraint="length(.) &lt;= 100" id="gu_std_note" message="The length of the entered data is more than the required, please check." nodeset="/form/obs/gu_std_note/value" relevant="/form/obs/gu_std/value = '1116^ABNORMAL^99DCT'" type="xsd:string" required="true()"/><xf:bind id="neuro" nodeset="/form/obs/neuro/value" type="xsd:string" relevant="/form/clinical_examination = 'yes'" action="enable" required="true()"/><xf:bind action="enable" constraint="length(.) &lt;= 100" id="neuro_note" message="The length of the entered data is more than the required, please check." nodeset="/form/obs/neuro_note/value" relevant="/form/obs/neuro/value = '1116^ABNORMAL^99DCT'" type="xsd:string" required="true()"/><xf:bind id="joint_bone" nodeset="/form/obs/joint_bone/value" type="xsd:string" relevant="/form/clinical_examination = 'yes'" action="enable" required="true()"/><xf:bind action="enable" constraint="length(.) &lt;= 100" id="joint_bone_note" message="The length of the field is more than the required, please check" nodeset="/form/obs/joint_bone_note/value" relevant="/form/obs/joint_bone/value = '1116^ABNORMAL^99DCT'" type="xsd:string" required="true()"/><xf:bind id="skin" nodeset="/form/obs/skin/value" type="xsd:string" relevant="/form/clinical_examination = 'yes'" action="enable" required="true()"/><xf:bind action="enable" constraint="length(.) &lt;= 100" id="skin_note" message="The length of the entered data is more than the required, please check." nodeset="/form/obs/skin_note/value" relevant="/form/obs/skin/value = '1116^ABNORMAL^99DCT'" type="xsd:string" required="true()"/><xf:bind constraint="length(.) &lt;= 6" id="icd_dx1" message="The length of the entered data is more than the required, please check." nodeset="/form/obs/icd_dx1/value" required="true()" type="xsd:string"/><xf:bind action="enable" constraint="length(.) &lt;= 6" id="icd_dx2" message="The length of the entered data is more than the required, please check." nodeset="/form/obs/icd_dx2/value" relevant="/form/obs/icd_dx1/value != ''" type="xsd:string" required="false()"/><xf:bind action="enable" constraint="length(.) &lt;= 6" id="icd_dx3" message="The length of the entered data is more than the required, please check." nodeset="/form/obs/icd_dx3/value" relevant="/form/obs/icd_dx2/value != ''" type="xsd:string" required="false()"/><xf:bind action="enable" constraint="length(.) &lt;= 6" id="icd_dx4" message="" nodeset="/form/obs/icd_dx4/value" relevant="/form/obs/icd_dx3/value != ''" type="xsd:string" required="false()"/><xf:bind action="enable" constraint="length(.) &lt;= 6" id="icd_dx5" message="" nodeset="/form/obs/icd_dx5/value" relevant="/form/obs/icd_dx4/value != ''" type="xsd:string" required="false()"/><xf:bind action="enable" constraint="length(.) &lt;= 6" id="icd_dx6" message="" nodeset="/form/obs/icd_dx6/value" relevant="/form/obs/icd_dx5/value != ''" type="xsd:string" required="false()"/><xf:bind id="iris" nodeset="/form/obs/iris/value" required="true()" type="xsd:string"/><xf:bind action="enable" constraint=". &gt;= 1 and . &lt;= 6" id="iris_icd" message="Data out of range, please check" nodeset="/form/obs/iris_icd/value" relevant="/form/obs/iris/value != '1066^NO^99DCT' and /form/obs/iris/value != '' and /form/obs/iris/value != '1175^NOT APPLICABLE^99DCT'" type="xsd:decimal" required="true()"/><xf:bind id="whostage_change" nodeset="/form/obs/whostage_change/value" required="true()" type="xsd:string"/><xf:bind action="enable" id="whostage" nodeset="/form/obs/whostage/value" relevant="/form/obs/whostage_change/value = '1065^YES^99DCT'" type="xsd:string" required="true()"/><xf:bind action="enable" constraint="length(.) &lt;= 6" id="whostage_icd1" message="The length of the entered data is more than the required, please check." nodeset="/form/obs/whostage_icd1/value" relevant="/form/obs/whostage_change/value = '1065^YES^99DCT'" type="xsd:string" required="true()"/><xf:bind action="enable" constraint="length(.) &lt;= 6" id="whostage_icd2" message="The length of the entered data is more than the required, please check." nodeset="/form/obs/whostage_icd2/value" relevant="/form/obs/whostage_icd1/value != ''" type="xsd:string" required="false()"/><xf:bind action="enable" constraint="length(.) &lt;= 6" id="whostage_icd3" message="" nodeset="/form/obs/whostage_icd3/value" relevant="/form/obs/whostage_icd2/value != ''" type="xsd:string" required="false()"/><xf:bind id="hosp_adm" nodeset="/form/obs/hosp_adm/value" required="true()" type="xsd:string"/><xf:bind action="enable" constraint=". &lt;= today()" id="hosp_date1" message="This date is not allowed to be in the future" nodeset="/form/obs/hosp_date1/value" relevant="/form/obs/hosp_loc/value != ''" type="xsd:date" required="false()"/><xf:bind action="enable" constraint="length(.) &lt;= 6" id="hosp_ind1" message="The length of the entered data is more than the required, please check." nodeset="/form/obs/hosp_ind1/value" relevant="/form/obs/hosp_loc/value != ''" type="xsd:string" required="false()"/><xf:bind action="enable" constraint=". &lt;= today()" id="hosp_date2" message="This date is not allowed to be in the future" nodeset="/form/obs/hosp_date2/value" relevant="/form/obs/hosp_date1/value != ''" type="xsd:date" required="false()"/><xf:bind action="enable" constraint="length(.) &lt;= 6" id="hosp_ind2" message="The length of the entered data is more than the required, please check." nodeset="/form/obs/hosp_ind2/value" relevant="/form/obs/hosp_date1/value != ''" type="xsd:string" required="false()"/><xf:bind action="enable" constraint=". &lt;= today()" id="hosp_date3" message="This date is not allowed to be in the future" nodeset="/form/obs/hosp_date3/value" relevant="/form/obs/hosp_date2/value != ''" type="xsd:date" required="false()"/><xf:bind action="enable" constraint="length(.) &lt;= 6" id="hosp_ind3" message="The length of the entered data is more than the required, please check." nodeset="/form/obs/hosp_ind3/value" relevant="/form/obs/hosp_date2/value != ''" type="xsd:string" required="false()"/><xf:bind action="enable" constraint="length(.) &lt;= 100" id="other_tox_spec" message="The length of the entered data is more than the required, please check." nodeset="/form/obs/other_tox_spec/value" relevant="obs/art_tox_type/xforms_value contains(., 'other_non-coded')" type="xsd:string" required="true()"/><xf:bind constraint="length(.) &lt;= 1500" id="plan" message="The length of the entered data is more than the required, please check." nodeset="/form/obs/plan/value" required="true()" type="xsd:string"/><xf:bind id="any_drugs" nodeset="/form/obs/any_drugs/value" readonly="true()" type="xsd:string" visible="false()"/><xf:bind id="any_tests" nodeset="/form/obs/any_tests/value" type="xsd:string" visible="false()"/><xf:bind id="pt_dest" nodeset="/form/obs/pt_dest/value" required="true()" type="xsd:string"/><xf:bind action="enable" constraint="length(.) &lt;= 50" id="other_ref" message="The length of the entered data is more than the required, please check." nodeset="/form/obs/other_ref/value" relevant="obs/refer_to/xforms_value contains(., 'other_non-coded')" type="xsd:string" required="true()"/><xf:bind id="next_visit" nodeset="/form/obs/next_visit/value" required="true()" type="xsd:date"/><xf:bind constraint=". &lt;= 10 and . &gt;= 0" id="clin_no" message="Data out of range, please check." nodeset="/form/obs/clin_no/value" readonly="true()" type="xsd:decimal" visible="false()"/><xf:bind id="dss_no" nodeset="/form/obs/dss_no/value" type="xsd:string" visible="false()"/><xf:bind action="enable" id="pmtct_press" nodeset="/form/obs/pmtct_press/value" relevant="/form/obs/art_pres/value = '161503^PMTCT^99DCT'" type="xsd:string" required="true()"/><xf:bind action="enable" id="hosp_loc" nodeset="/form/obs/hosp_loc/value" relevant="/form/obs/hosp_adm/value = '1065^YES^99DCT'" type="xsd:string" required="true()"/><xf:bind action="enable" id="any_art_tox" nodeset="/form/obs/any_art_tox/value" relevant="/form/obs/art_pres/value != '1107^NONE^99DCT'" type="xsd:string" required="true()"/><xf:bind action="enable" id="next_time_oth" nodeset="/form/obs/next_time_oth/value" relevant="obs/next_time/xforms_value contains(., 'other_non-coded')" type="xsd:string" required="true()"/><xf:bind id="arv_status_disch" nodeset="/form/obs/arv_status_disch/value" required="true()" type="xsd:string"/><xf:bind action="enable" id="no_art_reason" nodeset="/form/obs/no_art_reason/value" relevant="/form/obs/arv_status_disch/value = '161137^No ART^99DCT'" type="xsd:string" required="true()"/><xf:bind action="enable" id="arv_stop_change_reason_oth" nodeset="/form/obs/arv_stop_change_reason_oth/value" relevant="/form/obs/arv_stop_change_reason/value = '5622^OTHER NON-CODED^99DCT'" type="xsd:string" required="true()"/><xf:bind id="any_tb_system_sx" nodeset="/form/obs/any_tb_system_sx/value" type="xsd:string" relevant="/form/obs/any_complaints/value = '1065^YES^99DCT'" action="enable" required="true()"/><xf:bind action="enable" id="any_txt_failure" nodeset="/form/obs/any_txt_failure/value" relevant="/form/obs/art_pres/value != '1107^NONE^99DCT'" type="xsd:string" required="true()"/><xf:bind action="enable" id="any_suspect_drug" nodeset="/form/obs/any_suspect_drug/value" relevant="/form/obs/any_art_tox/value = '1065^YES^99DCT'" type="xsd:string" required="true()"/><xf:bind id="ocular_comp" nodeset="/form/obs/ocular_comp/value" required="true()" type="xsd:string"/><xf:bind id="clinical_examination" nodeset="/form/clinical_examination" type="xsd:string" required="true()"/><xf:bind id="hosp_loc_1" nodeset="/form/obs/hosp_loc_1/value" type="xsd:string" visible="false()"/><xf:bind id="consent" locked="true()" nodeset="/form/patient/consent" readonly="true()" type="xsd:string" visible="false()"/>
<xf:bind id="on_art" locked="true()" nodeset="/form/obs/on_art" readonly="true()" type="xsd:string" visible="false()"/><xf:bind action="enable" id="art_tox_type" nodeset="/form/obs/art_tox_type/xforms_value" relevant="/form/obs/any_art_tox/value = '1065^YES^99DCT'" type="xsd:string" required="true()"/><xf:bind id="tb_screen_dx" nodeset="/form/obs/tb_screen_dx/xforms_value" required="true()" type="xsd:string"/><xf:bind action="enable" id="poor_adh_reas" nodeset="/form/obs/poor_adh_reas/xforms_value" relevant="/form/obs/missed/value != '1090^NEVER^99DCT' and /form/obs/art_pres/value != '1107^NONE^99DCT'" type="xsd:string" required="true()"/><xf:bind action="enable" id="tb_system_sx" nodeset="/form/obs/tb_system_sx/xforms_value" relevant="/form/obs/any_tb_system_sx/value = '1065^YES^99DCT'" type="xsd:string" required="true()"/><xf:bind action="enable" id="suspected_drug" nodeset="/form/obs/suspected_drug/xforms_value" relevant="/form/obs/any_suspect_drug/value = '1065^YES^99DCT'" type="xsd:string" required="true()"/><xf:bind action="enable" id="refer_to" nodeset="/form/obs/refer_to/xforms_value" relevant="/form/obs/pt_dest/value != ''" type="xsd:string" required="false()"/><xf:bind id="next_time" nodeset="/form/obs/next_time/xforms_value" required="true()" type="xsd:string"/><xf:bind action="enable" id="txt_failure" nodeset="/form/obs/txt_failure/xforms_value" relevant="/form/obs/any_txt_failure/value = '1065^YES^99DCT'" type="xsd:string" required="true()"/><xf:bind id="art_pres" nodeset="/form/obs/art_pres/value" required="true()" type="xsd:string"/><xf:bind action="enable" id="arv_stop_change_reason" nodeset="/form/obs/arv_stop_change_reason/value" relevant="/form/obs/arv_status_disch/value = '161123^stop^99DCT' or /form/obs/arv_status_disch/value = '161135^change^99DCT'" type="xsd:string" required="true()"/><xf:bind action="enable" id="fam_planning" nodeset="/form/obs/fam_planning/xforms_value" relevant="/form/obs/pregnant/value = '1066^NO^99DCT'" type="xsd:string" required="true()"/>
<xf:bind action="enable" id="art_start_reason" nodeset="/form/obs/art_start_reason/xforms_value" relevant="/form/obs/arv_status_disch/value = '161120^start^99DCT'" type="xsd:string" required="true()"/>
<xf:bind action="enable" id="birth_last_visit" nodeset="/form/obs/birth_last_visit/value" relevant="/form/obs/pregnant/value = '1066^NO^99DCT'" type="xsd:string" required="true()"/><xf:bind action="enable" id="date_child_birth" nodeset="/form/obs/date_child_birth/value" relevant="/form/obs/birth_last_visit/value = '1065^YES^99DCT'" type="xsd:date" required="true()"/><xf:bind action="enable" id="paed_nacpno" nodeset="/form/obs/paed_nacpno/value" relevant="/form/obs/birth_last_visit/value = '1065^YES^99DCT'" type="xsd:string" required="true()"/><xf:bind action="enable" id="alcohol_daily" nodeset="/form/obs/alcohol_daily/value" relevant="/form/obs/alcohol/value = '1065^YES^99DCT'" type="xsd:string" required="true()"/><xf:bind action="enable" id="alcohol_weekly" nodeset="/form/obs/alcohol_weekly/value" relevant="/form/obs/alcohol_daily/value = '1066^NO^99DCT'" type="xsd:string" required="true()"/><xf:bind action="enable" id="alcohol_npw" nodeset="/form/obs/alcohol_npw/value" relevant="/form/obs/alcohol_weekly/value = '1065^YES^99DCT'" type="xsd:decimal" required="true()"/><xf:bind id="art_pres_1" nodeset="/form/obs/art_pres_1/value" type="xsd:string"/>
<xf:bind action="enable" id="alcohol_type" nodeset="/form/obs/alcohol_type/xforms_value" relevant="/form/obs/alcohol/value = '1065^YES^99DCT'" type="xsd:string" required="true()"/><xf:bind id="diagnosis" nodeset="/form/obs/diagnosis/value" type="xsd:string"/>
<xf:bind action="enable" id="ipt_status" nodeset="/form/obs/ipt_status/value" relevant="obs/tb_screen_dx/xforms_value not(contains(., 'on_treatment'))" type="xsd:string" required="true()"/>
<xf:bind action="enable" id="ipt_completed_date" nodeset="/form/obs/ipt_completed_date/value" relevant="obs/noipt_why/xforms_value contains(., 'completed')" type="xsd:date" required="true()"/><xf:bind action="enable" id="othernoipt_specify" nodeset="/form/obs/othernoipt_specify/value" relevant="obs/noipt_why/xforms_value contains(., 'other_non-coded')" type="xsd:string" required="true()"/><xf:bind action="enable" id="noipt_why" nodeset="/form/obs/noipt_why/xforms_value" relevant="/form/obs/ipt_status/value = '1066^NO^99DCT'" type="xsd:string" required="true()"/>
<xf:bind id="patient_relative" nodeset="/form/patient/patient_relative"/>
<xf:bind id="patient_relative.person" nodeset="/form/patient/patient_relative/patient_relative.person" type="xsd:string"/>
<xf:bind id="patient_relative.relationship" nodeset="/form/patient/patient_relative/patient_relative.relationship" type="xsd:string"/>
<xf:bind id="any_complaints" nodeset="/form/obs/any_complaints/value" type="xsd:string" required="true()"/></xf:model>
<xf:group id="1">
<xf:label>Page1</xf:label>
<xf:input bind="patient.birthdate">
<xf:label>Date of birth</xf:label>
</xf:input>
<xf:input bind="patient.family_name">
<xf:label>Last name</xf:label>
</xf:input>
<xf:input bind="patient.given_name">
<xf:label>First name</xf:label>
</xf:input>
<xf:input bind="patient.medical_record_number">
<xf:label>NACP number</xf:label>
</xf:input>
<xf:input bind="patient.middle_name">
<xf:label>Middle name</xf:label>
</xf:input>
<xf:input bind="patient.patient_id">
<xf:label>Patient Id</xf:label>
</xf:input>
<xf:input bind="patient.sex">
<xf:label>Sex</xf:label>
</xf:input>
<xf:input bind="encounter.encounter_datetime">
<xf:label>Visit Date</xf:label>
</xf:input><xf:select1 bind="encounter.location_id">
<xf:label>LOCATION ID</xf:label>
<xf:item id="1">
<xf:label>Unknown Location [1]</xf:label>
<xf:value>1</xf:value>
</xf:item>
</xf:select1><xf:select1 bind="encounter.provider_id">
<xf:label>PROVIDER ID</xf:label>
<xf:item id="19">
<xf:label>Ngisi Peter Masawa [125-5]</xf:label>
<xf:value>19</xf:value>
</xf:item>
<xf:item id="20">
<xf:label>Anna Eichenberger [129-7]</xf:label>
<xf:value>20</xf:value>
</xf:item>
<xf:item id="22">
<xf:label>Phamarcy CDCI [132-1]</xf:label>
<xf:value>22</xf:value>
</xf:item>
<xf:item id="23">
<xf:label>Pharmacy one Stop [133-9]</xf:label>
<xf:value>23</xf:value>
</xf:item>
<xf:item id="25">
<xf:label>Omary Ngome Rajab [137-0]</xf:label>
<xf:value>25</xf:value>
</xf:item>
<xf:item id="1"><xf:label>Claudio Zaugg [12]</xf:label><xf:value>1</xf:value></xf:item><xf:item id="2"><xf:label>Lucas Gervas Shayo [13]</xf:label><xf:value>2</xf:value></xf:item><xf:item id="4"><xf:label>Agata Correia Agata [3]</xf:label><xf:value>4</xf:value></xf:item><xf:item id="5"><xf:label>Maja Weisser</xf:label><xf:value>5</xf:value></xf:item><xf:item id="6"><xf:label>Herry Robert Mapesi</xf:label><xf:value>6</xf:value></xf:item><xf:item id="7"><xf:label>George Rocky Sikalengo</xf:label><xf:value>7</xf:value></xf:item><xf:item id="8"><xf:label>ANDREW KATENDE</xf:label><xf:value>8</xf:value></xf:item><xf:item id="9"><xf:label>Robert Christopher Ndege</xf:label><xf:value>9</xf:value></xf:item><xf:item id="10"><xf:label>Getrud Joseph Mollel</xf:label><xf:value>10</xf:value></xf:item><xf:item id="11"><xf:label>Ezekiel Luoga</xf:label><xf:value>11</xf:value></xf:item><xf:item id="12"><xf:label>Lilian Moshi</xf:label><xf:value>12</xf:value></xf:item><xf:item id="13"><xf:label>Vanesa Anton Vazquez</xf:label><xf:value>13</xf:value></xf:item><xf:item id="14"><xf:label>Rahel Bircher</xf:label><xf:value>14</xf:value></xf:item><xf:item id="15"><xf:label>Gidion Fue</xf:label><xf:value>15</xf:value></xf:item><xf:item id="16"><xf:label>Athuman Mtandanguo</xf:label><xf:value>16</xf:value></xf:item><xf:item id="17"><xf:label>Specioza Hwaya</xf:label><xf:value>17</xf:value></xf:item><xf:item id="18"><xf:label>Armon Arpagaus</xf:label><xf:value>18</xf:value></xf:item><xf:item id="21"><xf:label>Felister Godson Kiwelu</xf:label><xf:value>21</xf:value></xf:item><xf:item id="24"><xf:label>Linn Jarte</xf:label><xf:value>24</xf:value></xf:item><xf:item id="3"><xf:label>Herry Robert Mapesi [14]</xf:label><xf:value>3</xf:value></xf:item><xf:item id="31"><xf:label>Lukag shayog gervass [31]</xf:label><xf:value>31</xf:value></xf:item><xf:item id="55"><xf:label>Migration User March2013 [55]</xf:label><xf:value>55</xf:value></xf:item><xf:item id="72"><xf:label>Stefan Peter Erb [72]</xf:label><xf:value>72</xf:value></xf:item><xf:item id="62"><xf:label>Selerine John Myeya [62]</xf:label><xf:value>62</xf:value></xf:item><xf:item id="100"><xf:label>Maja Weisser [100]</xf:label><xf:value>100</xf:value></xf:item><xf:item id="90"><xf:label>Julius Mkumbo [90]</xf:label><xf:value>90</xf:value></xf:item><xf:item id="75"><xf:label>Herry Robert Mapesi [75]</xf:label><xf:value>75</xf:value></xf:item><xf:item id="80"><xf:label>George Rocky Sikalengo [80]</xf:label><xf:value>80</xf:value></xf:item><xf:item id="96"><xf:label>ANDREW KATENDE [96]</xf:label><xf:value>96</xf:value></xf:item><xf:item id="113"><xf:label>Getrud Joseph Mollel [113]</xf:label><xf:value>113</xf:value></xf:item><xf:item id="111"><xf:label>Robert Christopher Ndege [111]</xf:label><xf:value>111</xf:value></xf:item><xf:item id="117"><xf:label>Lilian Moshi [117]</xf:label><xf:value>117</xf:value></xf:item><xf:item id="105"><xf:label>Ezekiel Luoga [105]</xf:label><xf:value>105</xf:value></xf:item><xf:item id="124"><xf:label>Vaileth Brown Nyahenza [124]</xf:label><xf:value>124</xf:value></xf:item><xf:item id="50"><xf:label>Sanula Nahota [50]</xf:label><xf:value>50</xf:value></xf:item><xf:item id="130"><xf:label>Felister Godson Kiwelu [130]</xf:label><xf:value>130</xf:value></xf:item><xf:item id="128"><xf:label>Armon Arpagaus [128]</xf:label><xf:value>128</xf:value></xf:item><xf:item id="129"><xf:label>Anna Eichenberger [129]</xf:label><xf:value>129</xf:value></xf:item><xf:item id="32"><xf:label>Gidion Fue [32]</xf:label><xf:value>32</xf:value></xf:item><xf:item id="68"><xf:label>Dolores Mpundunga [68]</xf:label><xf:value>68</xf:value></xf:item><xf:item id="30"><xf:label>Specioza Hwaya [30]</xf:label><xf:value>30</xf:value></xf:item><xf:item id="37"><xf:label>Mengi Mkulila [37]</xf:label><xf:value>37</xf:value></xf:item><xf:item id="106"><xf:label>Sharifa Nakapala [106]</xf:label><xf:value>106</xf:value></xf:item><xf:item id="36"><xf:label>Agatha Ngulukila [36]</xf:label><xf:value>36</xf:value></xf:item><xf:item id="48"><xf:label>Yassin Kisunga [48]</xf:label><xf:value>48</xf:value></xf:item><xf:item id="125"><xf:label>Ngisi Peter Masawa [125]</xf:label><xf:value>125</xf:value></xf:item><xf:item id="35"><xf:label>Ascholer Asantiel [35]</xf:label><xf:value>35</xf:value></xf:item><xf:item id="64"><xf:label>Brayson Kasuga [64]</xf:label><xf:value>64</xf:value></xf:item><xf:item id="134"><xf:label>Linn Jarte [134]</xf:label><xf:value>134</xf:value></xf:item><xf:item id="135"><xf:label>Sauli John Epimack [135]</xf:label><xf:value>135</xf:value></xf:item><xf:item id="51"><xf:label>Germana Mono [51]</xf:label><xf:value>51</xf:value></xf:item><xf:item id="137"><xf:label>Omary Ngome Rajab [137]</xf:label><xf:value>137</xf:value></xf:item><xf:item id="139"><xf:label>Laura Gimenez Letona [139]</xf:label><xf:value>139</xf:value></xf:item><xf:item id="140"><xf:label>Herieth wilson ismael [140]</xf:label><xf:value>140</xf:value></xf:item><xf:item id="141"><xf:label>PHILIP SCHMASSMANN [141]</xf:label><xf:value>141</xf:value></xf:item></xf:select1><xf:select1 bind="consent.">
<xf:label>Consent</xf:label>
<xf:hint>Informed consent signed-A question on KIULARCO HIV_MRS follow_up form</xf:hint>
<xf:item concept_id="161301" id="161256^Yes,given today^99DCT">
<xf:label>Yes,given today</xf:label>
<xf:value>161256^Yes,given today^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161301" id="161262^No, do not ask again^99DCT">
<xf:label>No, do not ask again</xf:label>
<xf:value>161262^No, do not ask again^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161301" id="161260^No, but ask again^99DCT">
<xf:label>No, but ask again</xf:label>
<xf:value>161260^No, but ask again^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161301" id="161258^Yes, given today and agree to use of data since base line^99DCT">
<xf:label>Yes, given today and agree to use of data since base line</xf:label>
<xf:value>161258^Yes, given today and agree to use of data since base line^99DCT</xf:value>
</xf:item>
</xf:select1><xf:input bind="telno">
<xf:label>Telephone number</xf:label>
<xf:hint>Telephone number</xf:hint>
</xf:input><xf:select1 bind="partner_status">
<xf:label>HIV status of a partner</xf:label>
<xf:hint>HIV status of a partner</xf:hint>
<xf:item concept_id="161304" id="1175^NOT APPLICABLE^99DCT">
<xf:label>NOT APPLICABLE</xf:label>
<xf:value>1175^NOT APPLICABLE^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161304" id="138571^HIV Positive^99DCT">
<xf:label>HIV Positive</xf:label>
<xf:value>138571^HIV Positive^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161304" id="664^NEGATIVE^99DCT">
<xf:label>NEGATIVE</xf:label>
<xf:value>664^NEGATIVE^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161304" id="1402^HIV STATUS UNKNOWN, NEVER TESTED^99DCT">
<xf:label>HIV STATUS UNKNOWN, NEVER TESTED</xf:label>
<xf:value>1402^HIV STATUS UNKNOWN, NEVER TESTED^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161304" id="1067^UNKNOWN^99DCT">
<xf:label>UNKNOWN</xf:label>
<xf:value>1067^UNKNOWN^99DCT</xf:value>
</xf:item>
</xf:select1><xf:select1 bind="pregnant">
<xf:label>Pregnant</xf:label>
<xf:hint>pregnant-a question on KIULARCO HIV_MRS follow-up form</xf:hint>
<xf:item concept_id="161307" id="1066^NO^99DCT">
<xf:label>NO</xf:label>
<xf:value>1066^NO^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161307" id="1065^YES^99DCT">
<xf:label>YES</xf:label>
<xf:value>1065^YES^99DCT</xf:value>
</xf:item>
</xf:select1><xf:input bind="edd_number">
<xf:label>EDD number</xf:label>
<xf:hint>EDD number-A question KIULARCO HIV_MRS follow_up form</xf:hint>
</xf:input><xf:input bind="anc_number">
<xf:label>ANC number</xf:label>
<xf:hint>ANC number-A question KIULARCO HIV_MRS follow_up form</xf:hint>
</xf:input><xf:select1 bind="pill_box">
<xf:label>Was pill box returned?</xf:label>
<xf:hint>Was pill box returned?-A question on KIULARCO HIV_MRS follow_up form</xf:hint>
<xf:item concept_id="161314" id="1066^NO^99DCT">
<xf:label>NO</xf:label>
<xf:value>1066^NO^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161314" id="1065^YES^99DCT">
<xf:label>YES</xf:label>
<xf:value>1065^YES^99DCT</xf:value>
</xf:item>
</xf:select1><xf:input bind="pills_rem">
<xf:label>Number of ARV pills remaining</xf:label>
<xf:hint>Number of ARV doses remaining-A question on KIULARCO HIV_MRS follow_up form</xf:hint>
</xf:input><xf:select1 bind="missed">
<xf:label>How often did the patient miss a does of ARV drugs in the previous 4 weeks</xf:label>
<xf:hint>How often did the patient miss a does of ARV drugs in the previous 4 weeks-A question on KIULARCO HIV_MRS follow_up form</xf:hint>
<xf:item concept_id="161320" id="1090^NEVER^99DCT">
<xf:label>NEVER</xf:label>
<xf:value>1090^NEVER^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161320" id="161196^once a month^99DCT">
<xf:label>once a month</xf:label>
<xf:value>161196^once a month^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161320" id="161198^once overy 2 weeks^99DCT">
<xf:label>once overy 2 weeks</xf:label>
<xf:value>161198^once overy 2 weeks^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161320" id="161199^Once a week^99DCT">
<xf:label>Once a week</xf:label>
<xf:value>161199^Once a week^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161320" id="161201^Daily^99DCT">
<xf:label>Daily</xf:label>
<xf:value>161201^Daily^99DCT</xf:value>
</xf:item>
</xf:select1><xf:select1 bind="miss_holiday">
<xf:label>Ever miss more than one dose of ARV in a row</xf:label>
<xf:hint>Ever miss more than one dose of ARV in a row-A question on KIULARCO HIV_MRS follow_up form</xf:hint>
<xf:item concept_id="161322" id="1066^NO^99DCT">
<xf:label>NO</xf:label>
<xf:value>1066^NO^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161322" id="1065^YES^99DCT">
<xf:label>YES</xf:label>
<xf:value>1065^YES^99DCT</xf:value>
</xf:item>
</xf:select1><xf:select1 bind="miss_2day">
<xf:label>Missed ≥ 2 doses of ART</xf:label>
<xf:hint>Missed&gt;doses of ART-A question on KIULARCO HIV_MRS follow_up form</xf:hint>
<xf:item concept_id="161331" id="1066^NO^99DCT">
<xf:label>NO</xf:label>
<xf:value>1066^NO^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161331" id="1065^YES^99DCT">
<xf:label>YES</xf:label>
<xf:value>1065^YES^99DCT</xf:value>
</xf:item>
</xf:select1><xf:input bind="other_pooradh">
<xf:label>Specify other reason for missed doses</xf:label>
<xf:hint>Specify other reason for missed dosesA question on KIULARCO HIV_MRS follow_up form</xf:hint>
</xf:input><xf:select1 bind="chew_tobacco">
<xf:label>Chew tobacco</xf:label>
<xf:hint>Chew tobacco-A question on KIULARCO HIV_MRS follow_up form</xf:hint>
<xf:item concept_id="161335" id="1066^NO^99DCT">
<xf:label>NO</xf:label>
<xf:value>1066^NO^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161335" id="1065^YES^99DCT">
<xf:label>YES</xf:label>
<xf:value>1065^YES^99DCT</xf:value>
</xf:item>
</xf:select1><xf:select1 bind="smoke_cig">
<xf:label>Smoking</xf:label>
<xf:hint>Smoking-A question on KIULARCO HIV_MRS follow_up form</xf:hint>
<xf:item concept_id="161337" id="1066^NO^99DCT">
<xf:label>NO</xf:label>
<xf:value>1066^NO^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161337" id="1065^YES^99DCT">
<xf:label>YES</xf:label>
<xf:value>1065^YES^99DCT</xf:value>
</xf:item>
</xf:select1><xf:input bind="avg-cig">
<xf:label>Avarage number of cigarettes smoked per day</xf:label>
<xf:hint>Avarage number of cigarettes smoked per day-A question on KIULARCO HIV_MRS follow_up form</xf:hint>
</xf:input><xf:select1 bind="alcohol">
<xf:label>Currently consume alcohol</xf:label>
<xf:hint>Currently consume alcohol-A question on KIULARCO HIV_MRS follow_up form</xf:hint>
<xf:item concept_id="161344" id="1066^NO^99DCT">
<xf:label>NO</xf:label>
<xf:value>1066^NO^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161344" id="1065^YES^99DCT">
<xf:label>YES</xf:label>
<xf:value>1065^YES^99DCT</xf:value>
</xf:item>
</xf:select1><xf:input bind="alcohol_amt">
<xf:label>Number of standard drinks per day</xf:label>
<xf:hint>Number of standard drinks per day-A question on KIULARCO HIV_MRS follow_up form</xf:hint>
</xf:input><xf:select1 bind="ent_comp">
<xf:label>Current complaints, Ear,Nose,Throat</xf:label>
<xf:hint>Question on KIULARCO HIV_MRS followup form:Current complaints, Ear,Nose,Throat</xf:hint>
<xf:item concept_id="161358" id="1066^NO^99DCT">
<xf:label>NO</xf:label>
<xf:value>1066^NO^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161358" id="1065^YES^99DCT">
<xf:label>YES</xf:label>
<xf:value>1065^YES^99DCT</xf:value>
</xf:item>
</xf:select1><xf:select1 bind="resp_comp">
<xf:label>Current complaints:Respiratory</xf:label>
<xf:hint>Question on KIULARCO HIV_MRS followup form:Current complaints:Respiratory</xf:hint>
<xf:item concept_id="161359" id="1066^NO^99DCT">
<xf:label>NO</xf:label>
<xf:value>1066^NO^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161359" id="1065^YES^99DCT">
<xf:label>YES</xf:label>
<xf:value>1065^YES^99DCT</xf:value>
</xf:item>
</xf:select1><xf:select1 bind="cv_comp">
<xf:label>Current complaints:Cardiovascular</xf:label>
<xf:hint>Question on KIULARCO HIV_MRS followup form:Current complaints:Cardiovascular</xf:hint>
<xf:item concept_id="161363" id="1066^NO^99DCT">
<xf:label>NO</xf:label>
<xf:value>1066^NO^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161363" id="1065^YES^99DCT">
<xf:label>YES</xf:label>
<xf:value>1065^YES^99DCT</xf:value>
</xf:item>
</xf:select1><xf:select1 bind="gi_liver_comp">
<xf:label>Current complaints:Gastrointestinal/Liver</xf:label>
<xf:hint>Question on KIULARCO HIV_MRS followup form:Current complaints:Gastrointestinal/Liver</xf:hint>
<xf:item concept_id="161365" id="1066^NO^99DCT">
<xf:label>NO</xf:label>
<xf:value>1066^NO^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161365" id="1065^YES^99DCT">
<xf:label>YES</xf:label>
<xf:value>1065^YES^99DCT</xf:value>
</xf:item>
</xf:select1><xf:select1 bind="gu_comp">
<xf:label>Current complaints:Genitourinary</xf:label>
<xf:hint>Question on KIULARCO HIV_MRS followup form:Current complaints:Genitourinary</xf:hint>
<xf:item concept_id="161368" id="1066^NO^99DCT">
<xf:label>NO</xf:label>
<xf:value>1066^NO^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161368" id="1065^YES^99DCT">
<xf:label>YES</xf:label>
<xf:value>1065^YES^99DCT</xf:value>
</xf:item>
</xf:select1><xf:select1 bind="std_comp">
<xf:label>Current complaints:Sexually transmitted diseaase</xf:label>
<xf:hint>Question on KIULARCO HIV_MRS followup form:Current complaints:Sexually transmitted diseaase</xf:hint>
<xf:item concept_id="161369" id="1066^NO^99DCT">
<xf:label>NO</xf:label>
<xf:value>1066^NO^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161369" id="1065^YES^99DCT">
<xf:label>YES</xf:label>
<xf:value>1065^YES^99DCT</xf:value>
</xf:item>
</xf:select1><xf:select1 bind="neuro_comp">
<xf:label>Current complaints:Neurologic</xf:label>
<xf:hint>Question on KIULARCO HIV_MRS followup form:Current complaints:Neurologic</xf:hint>
<xf:item concept_id="161371" id="1066^NO^99DCT">
<xf:label>NO</xf:label>
<xf:value>1066^NO^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161371" id="1065^YES^99DCT">
<xf:label>YES</xf:label>
<xf:value>1065^YES^99DCT</xf:value>
</xf:item>
</xf:select1><xf:select1 bind="joint_bone_comp">
<xf:label>Current complaints:Joints/Bones</xf:label>
<xf:hint>Question on KIULARCO HIV_MRS followup form:Current complaints:Joints/Bones</xf:hint>
<xf:item concept_id="161373" id="1066^NO^99DCT">
<xf:label>NO</xf:label>
<xf:value>1066^NO^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161373" id="1065^YES^99DCT">
<xf:label>YES</xf:label>
<xf:value>1065^YES^99DCT</xf:value>
</xf:item>
</xf:select1><xf:select1 bind="skin_comp">
<xf:label>Skin</xf:label>
<xf:hint>Question on KIULARCO HIV_MRS followup form:Current complaints:Skin</xf:hint>
<xf:item concept_id="161374" id="1066^NO^99DCT">
<xf:label>NO</xf:label>
<xf:value>1066^NO^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161374" id="1065^YES^99DCT">
<xf:label>YES</xf:label>
<xf:value>1065^YES^99DCT</xf:value>
</xf:item>
</xf:select1><xf:input bind="notes">
<xf:label>NOTES</xf:label>
<xf:hint>Question on KIULARCO HIV_MRS followup form:Current complaints:Additional notes on actual complaints</xf:hint>
</xf:input><xf:select1 bind="fn_status">
<xf:label>Functional status</xf:label>
<xf:hint>Question on KIULARCO HIV_MRS followup form:Functional status</xf:hint>
<xf:item concept_id="161380" id="161268^Working^99DCT">
<xf:label>Working</xf:label>
<xf:value>161268^Working^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161380" id="160026^Patient ambulatory^99DCT">
<xf:label>Patient ambulatory</xf:label>
<xf:value>160026^Patient ambulatory^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161380" id="161270^Bedridden^99DCT">
<xf:label>Bedridden</xf:label>
<xf:value>161270^Bedridden^99DCT</xf:value>
</xf:item>
</xf:select1><xf:select1 bind="colouration">
<xf:label>Colouration</xf:label>
<xf:hint>Colouration-A question on KIULARCO HIV_MRS follow_up form</xf:hint>
<xf:item concept_id="161362" id="1115^NORMAL^99DCT">
<xf:label>NORMAL</xf:label>
<xf:value>1115^NORMAL^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161362" id="5245^PALLOR^99DCT">
<xf:label>PALLOR</xf:label>
<xf:value>5245^PALLOR^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161362" id="5192^ICTERIC SCLERA^99DCT">
<xf:label>ICTERIC SCLERA</xf:label>
<xf:value>5192^ICTERIC SCLERA^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161362" id="161361^Cyanotic^99DCT">
<xf:label>Cyanotic</xf:label>
<xf:value>161361^Cyanotic^99DCT</xf:value>
</xf:item>
</xf:select1><xf:select1 bind="dehydration.">
<xf:label>Signs of dehydration</xf:label>
<xf:hint>Signs of dehydration-A question on KIULARCO HIV_MRS follow_up form</xf:hint>
<xf:item concept_id="161364" id="1065^YES^99DCT">
<xf:label>YES</xf:label>
<xf:value>1065^YES^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161364" id="1066^NO^99DCT">
<xf:label>NO</xf:label>
<xf:value>1066^NO^99DCT</xf:value>
</xf:item>
</xf:select1><xf:input bind="dehyd_note">
<xf:label>Notes on dehydration</xf:label>
<xf:hint>Notes on dehydration-A question on KIULARCO HIV_MRS follow_up form</xf:hint>
</xf:input><xf:select1 bind="nutrition">
<xf:label>Nutritional Status</xf:label>
<xf:hint>Nutritional Status-A question on KIULARCO HIV_MRS follow_up form</xf:hint>
<xf:item concept_id="161370" id="161272^Not malnourished^99DCT">
<xf:label>Not malnourished</xf:label>
<xf:value>161272^Not malnourished^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161370" id="161274^Moderately malnourished^99DCT">
<xf:label>Moderately malnourished</xf:label>
<xf:value>161274^Moderately malnourished^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161370" id="161276^Severely malnourished^99DCT">
<xf:label>Severely malnourished</xf:label>
<xf:value>161276^Severely malnourished^99DCT</xf:value>
</xf:item>
</xf:select1><xf:select1 bind="nutritional_suppl">
<xf:label>Nutritional supplementary</xf:label>
<xf:hint>Nutritional supplementary-A question on KIULARCO HIV_MRS follow_up form</xf:hint>
<xf:item concept_id="161372" id="161277^Therapeutic food^99DCT">
<xf:label>Therapeutic food</xf:label>
<xf:value>161277^Therapeutic food^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161372" id="161278^Supplimental food^99DCT">
<xf:label>Supplimental food</xf:label>
<xf:value>161278^Supplimental food^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161372" id="161507^No supplement^99DCT">
<xf:label>No supplement</xf:label>
<xf:value>161507^No supplement^99DCT</xf:value>
</xf:item>
</xf:select1><xf:select1 bind="systemic">
<xf:label>SYSTEMIC (i.e., fever, fatigue, weight loss)</xf:label>
<xf:hint>SYSTEMIC (i.e., fever, fatigue, weight loss)-A question on KIULARCO HIV_MRS follow_up form</xf:hint>
<xf:item concept_id="161376" id="1066^NO^99DCT">
<xf:label>NO</xf:label>
<xf:value>1066^NO^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161376" id="1065^YES^99DCT">
<xf:label>YES</xf:label>
<xf:value>1065^YES^99DCT</xf:value>
</xf:item>
</xf:select1><xf:input bind="syst_note">
<xf:label>Note on systemic findings</xf:label>
<xf:hint>Note on systemic findings-A question on KIULARCO HIV_MRS follow_up form</xf:hint>
</xf:input><xf:select1 bind="palp_lymph">
<xf:label>Palpable lymph nodes</xf:label>
<xf:hint>Palpable lymph nodes-A question on KIULARCO HIV_MRS follow_up form</xf:hint>
<xf:item concept_id="161389" id="1066^NO^99DCT">
<xf:label>NO</xf:label>
<xf:value>1066^NO^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161389" id="1065^YES^99DCT">
<xf:label>YES</xf:label>
<xf:value>1065^YES^99DCT</xf:value>
</xf:item>
</xf:select1><xf:input bind="palp_lymph_loc">
<xf:label>Location of palpable lymph nodes</xf:label>
<xf:hint>Location of palpable lymph nodes-A question on KIULARCO HIV_MRS follow_up form</xf:hint>
</xf:input><xf:select1 bind="ocular">
<xf:label>Ocular</xf:label>
<xf:hint>Ocular-A question on KIULARCO HIV_MRS follow_up form</xf:hint>
<xf:item concept_id="161392" id="1115^NORMAL^99DCT">
<xf:label>NORMAL</xf:label>
<xf:value>1115^NORMAL^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161392" id="1116^ABNORMAL^99DCT">
<xf:label>ABNORMAL</xf:label>
<xf:value>1116^ABNORMAL^99DCT</xf:value>
</xf:item>
</xf:select1><xf:input bind="ocular_note">
<xf:label>Notes on ocular findings</xf:label>
<xf:hint>Notes on ocular findings-A question on KIULARCO HIV_MRS follow_up form</xf:hint>
</xf:input><xf:select1 bind="ent">
<xf:label>Ear/ nose,/throat</xf:label>
<xf:hint>Ear, nose, throat-A question on KIULARCO HIV_MRS follow_up form</xf:hint>
<xf:item concept_id="161399" id="1115^NORMAL^99DCT">
<xf:label>NORMAL</xf:label>
<xf:value>1115^NORMAL^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161399" id="1116^ABNORMAL^99DCT">
<xf:label>ABNORMAL</xf:label>
<xf:value>1116^ABNORMAL^99DCT</xf:value>
</xf:item>
</xf:select1><xf:input bind="ent_note">
<xf:label>Notes on ENT findings</xf:label>
<xf:hint>Notes on ENT findings</xf:hint>
</xf:input><xf:select1 bind="resp">
<xf:label>Respiratory</xf:label>
<xf:hint>Question on KIULARCO HIV_MRS followup form:Respiratory</xf:hint>
<xf:item concept_id="161383" id="1115^NORMAL^99DCT">
<xf:label>NORMAL</xf:label>
<xf:value>1115^NORMAL^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161383" id="1116^ABNORMAL^99DCT">
<xf:label>ABNORMAL</xf:label>
<xf:value>1116^ABNORMAL^99DCT</xf:value>
</xf:item>
</xf:select1><xf:input bind="resp_note">
<xf:label>Notes on respiratory findings</xf:label>
<xf:hint>Question on KIULARCO HIV_MRS followup form:Notes on respiratory findings</xf:hint>
</xf:input><xf:select1 bind="cv">
<xf:label>Cardiovascular</xf:label>
<xf:hint>Question on KIULARCO HIV_MRS followup form:Cardiovascular</xf:hint>
<xf:item concept_id="161387" id="1115^NORMAL^99DCT">
<xf:label>NORMAL</xf:label>
<xf:value>1115^NORMAL^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161387" id="1116^ABNORMAL^99DCT">
<xf:label>ABNORMAL</xf:label>
<xf:value>1116^ABNORMAL^99DCT</xf:value>
</xf:item>
</xf:select1><xf:input bind="cv_note">
<xf:label>Notes on cardiovascular findings</xf:label>
<xf:hint>Question on KIULARCO HIV_MRS followup form:Notes on cardiovascular findings</xf:hint>
</xf:input><xf:select1 bind="gi_liver">
<xf:label>Gastrointestinal(including oral cavity) or liver</xf:label>
<xf:hint>Question on KIULARCO HIV_MRS followup form:Gastrointestinal(including oral cavity) or liver</xf:hint>
<xf:item concept_id="161391" id="1115^NORMAL^99DCT">
<xf:label>NORMAL</xf:label>
<xf:value>1115^NORMAL^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161391" id="1116^ABNORMAL^99DCT">
<xf:label>ABNORMAL</xf:label>
<xf:value>1116^ABNORMAL^99DCT</xf:value>
</xf:item>
</xf:select1><xf:input bind="gi_liver_note">
<xf:label>Notes of GI/Liver findings</xf:label>
<xf:hint>Question on KIULARCO HIV_MRS followup form:Notes of GI/Liver findings</xf:hint>
</xf:input><xf:select1 bind="gu_std">
<xf:label>Genitourinary(including STDs)</xf:label>
<xf:hint>Question on KIULARCO HIV_MRS followup form:Genitourinary(including STDs)</xf:hint>
<xf:item concept_id="161396" id="1115^NORMAL^99DCT">
<xf:label>NORMAL</xf:label>
<xf:value>1115^NORMAL^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161396" id="1116^ABNORMAL^99DCT">
<xf:label>ABNORMAL</xf:label>
<xf:value>1116^ABNORMAL^99DCT</xf:value>
</xf:item>
</xf:select1><xf:input bind="gu_std_note">
<xf:label>Notes on GU/STD findings</xf:label>
<xf:hint>Question on KIULARCO HIV_MRS followup form:Notes on GU/STD findings</xf:hint>
</xf:input><xf:select1 bind="neuro">
<xf:label>Neurological</xf:label>
<xf:hint>Question on KIULARCO HIV_MRS followup form:Neurological</xf:hint>
<xf:item concept_id="161398" id="1115^NORMAL^99DCT">
<xf:label>NORMAL</xf:label>
<xf:value>1115^NORMAL^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161398" id="1116^ABNORMAL^99DCT">
<xf:label>ABNORMAL</xf:label>
<xf:value>1116^ABNORMAL^99DCT</xf:value>
</xf:item>
</xf:select1><xf:input bind="neuro_note">
<xf:label>Notes on neurological findings</xf:label>
<xf:hint>Question on KIULARCO HIV_MRS followup form:Notes on neurological findings</xf:hint>
</xf:input><xf:select1 bind="joint_bone">
<xf:label>Joints/Bones</xf:label>
<xf:hint>Question on KIULARCO HIV_MRS followup form:Joints/Bones</xf:hint>
<xf:item concept_id="161403" id="1115^NORMAL^99DCT">
<xf:label>NORMAL</xf:label>
<xf:value>1115^NORMAL^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161403" id="1116^ABNORMAL^99DCT">
<xf:label>ABNORMAL</xf:label>
<xf:value>1116^ABNORMAL^99DCT</xf:value>
</xf:item>
</xf:select1><xf:input bind="joint_bone_note">
<xf:label>Notes on joint/bones notes.</xf:label>
<xf:hint>Question on KIULARCO HIV_MRS followup form:Notes on joint/bones notes.</xf:hint>
</xf:input><xf:select1 bind="skin">
<xf:label>Skin</xf:label>
<xf:hint>Question on KIULARCO HIV_MRS followup form:Skin</xf:hint>
<xf:item concept_id="161405" id="1115^NORMAL^99DCT">
<xf:label>NORMAL</xf:label>
<xf:value>1115^NORMAL^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161405" id="1116^ABNORMAL^99DCT">
<xf:label>ABNORMAL</xf:label>
<xf:value>1116^ABNORMAL^99DCT</xf:value>
</xf:item>
</xf:select1><xf:input bind="skin_note">
<xf:label>Notes on skin findings</xf:label>
<xf:hint>A question on KIULARCO HIV_MRS follow_up form: Notes on skin findings</xf:hint>
</xf:input><xf:input bind="icd_dx1">
<xf:label>ICD10 for 1st diagnosis during visit</xf:label>
<xf:hint>A question on KIULARCO HIV_MRS follow_up form: ICD10 for 1st diagnosis during visit</xf:hint>
</xf:input><xf:input bind="icd_dx2">
<xf:label>ICD10 for 2nd diagnosis during visit</xf:label>
<xf:hint>ICD10 for 2nd diagnosis during visit-A question on KIULARCO HIV_MRS follow_up</xf:hint>
</xf:input><xf:input bind="icd_dx3">
<xf:label>ICD10 for 3rd diagnosis during visit</xf:label>
<xf:hint>ICD10 for 3rd diagnosis during visit-A question on KIULARCO HIV_MRS follow_up</xf:hint>
</xf:input><xf:input bind="icd_dx4">
<xf:label>ICD10 for 4th diagnosis during visit</xf:label>
<xf:hint>ICD10 for 4th diagnosis during visit-A question on KIULARCO HIV_MRS follow_up</xf:hint>
</xf:input><xf:input bind="icd_dx5">
<xf:label>ICD10 for 5th diagnosis during visit</xf:label>
<xf:hint>ICD10 for 5th diagnosis during visit-A question on KIULARCO HIV_MRS follow_up</xf:hint>
</xf:input><xf:input bind="icd_dx6">
<xf:label>ICD10 for 6th diagnosis during visit</xf:label>
<xf:hint>ICD10 for 6th diagnosis during visit-A question on KIULARCO HIV_MRS follow_up</xf:hint>
</xf:input><xf:select1 bind="iris">
<xf:label>Iris diagnosis</xf:label>
<xf:hint>Iris diagnosis-A question on KIULARCO HIV_MRS follow_up</xf:hint>
<xf:item concept_id="161355" id="1066^NO^99DCT">
<xf:label>NO</xf:label>
<xf:value>1066^NO^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161355" id="161282^Probable^99DCT">
<xf:label>Probable</xf:label>
<xf:value>161282^Probable^99DCT</xf:value>
</xf:item><xf:item concept_id="161355" id="161283^Definite^99DCT">
<xf:label>Definite</xf:label>
<xf:value>161283^Definite^99DCT</xf:value>
</xf:item><xf:item concept_id="161355" id="1175^NOT APPLICABLE^99DCT">
<xf:label>NOT APPLICABLE</xf:label>
<xf:value>1175^NOT APPLICABLE^99DCT</xf:value>
</xf:item>
<xf:item id="161279^Suspected^99DCT"><xf:label>Suspected</xf:label><xf:value>161279^Suspected^99DCT</xf:value></xf:item></xf:select1><xf:input bind="iris_icd">
<xf:label>IRIS associated with which diagnosis listed above(select only one)</xf:label>
<xf:hint>IRIS associated with which diagnosis listed above(select only one)-A question on KIULARCO HIV_MRS follow_up</xf:hint>
</xf:input><xf:select1 bind="whostage_change">
<xf:label>Change in WHO stage since has last visit</xf:label>
<xf:item concept_id="161366" id="1066^NO^99DCT">
<xf:label>NO</xf:label>
<xf:value>1066^NO^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161366" id="1065^YES^99DCT">
<xf:label>YES</xf:label>
<xf:value>1065^YES^99DCT</xf:value>
</xf:item>
</xf:select1><xf:select1 bind="whostage">
<xf:label>Who stage</xf:label>
<xf:item concept_id="161375" id="161284^Stage1^99DCT">
<xf:label>Stage1</xf:label>
<xf:value>161284^Stage1^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161375" id="161287^Stage 2^99DCT">
<xf:label>Stage 2</xf:label>
<xf:value>161287^Stage 2^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161375" id="161288^Stage 3^99DCT">
<xf:label>Stage 3</xf:label>
<xf:value>161288^Stage 3^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161375" id="161290^stage 4^99DCT">
<xf:label>stage 4</xf:label>
<xf:value>161290^stage 4^99DCT</xf:value>
</xf:item>
</xf:select1><xf:input bind="whostage_icd1">
<xf:label>If WHO Stage has changed since last visit,reason 1 for change</xf:label>
</xf:input><xf:input bind="whostage_icd2">
<xf:label>If WHO Stage has changed since last visit,reason 2 for changev</xf:label>
</xf:input><xf:input bind="whostage_icd3">
<xf:label>If WHO Stage has changed since last visit,reason 3 for change</xf:label>
</xf:input><xf:select1 bind="hosp_adm">
<xf:label>Hospital admission since last visit</xf:label>
<xf:hint>Hospital admission since last visit-A question on KIULARCO HIV_MRS follow_up</xf:hint>
<xf:item concept_id="161390" id="1066^NO^99DCT">
<xf:label>NO</xf:label>
<xf:value>1066^NO^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161390" id="1065^YES^99DCT">
<xf:label>YES</xf:label>
<xf:value>1065^YES^99DCT</xf:value>
</xf:item>
</xf:select1><xf:input bind="hosp_date1">
<xf:label>Date of 1st admission</xf:label>
<xf:hint>Date of 1st admission-A question on KIULARCO HIV_MRS follow_up</xf:hint>
</xf:input><xf:input bind="hosp_ind1">
<xf:label>ICD10 code for 1st admission</xf:label>
<xf:hint>ICD10 code for 1st admission-A question on KIULARCO HIV_MRS follow_up</xf:hint>
</xf:input><xf:input bind="hosp_date2">
<xf:label>Date of 2nd admission</xf:label>
<xf:hint>Date of 2nd admission-A question on KIULARCO HIV_MRS follow_up</xf:hint>
</xf:input><xf:input bind="hosp_ind2">
<xf:label>ICD10 code for 2nd admission</xf:label>
<xf:hint>ICD10 code for 2nd admission-A question on KIULARCO HIV_MRS follow_up form</xf:hint>
</xf:input><xf:input bind="hosp_date3">
<xf:label>Date of 3rd admission</xf:label>
<xf:hint>Date of 3rd admission-A question on KIULARCO HIV_MRS follow_up form</xf:hint>
</xf:input><xf:input bind="hosp_ind3">
<xf:label>ICD10 code for 3rd admission</xf:label>
<xf:hint>ICD10 code for 3rd admission-A question on KIULARCO HIV_MRS follow_up form</xf:hint>
</xf:input><xf:input bind="other_tox_spec">
<xf:label>Describe other toxicity</xf:label>
<xf:hint>Describe other toxicity</xf:hint>
</xf:input><xf:input bind="plan">
<xf:label>Plan notes</xf:label>
<xf:hint>Question on KIULARCO HIV_MRS followup form:Plan notes</xf:hint>
</xf:input><xf:select1 bind="any_drugs">
<xf:label>Any drugs prescribed (including ARV,prophylaxis,or treatment)</xf:label>
<xf:hint>Question on KIULARCO HIV_MRS followup form:Any drugs prescribed (including ARV,prophylaxis,or treatment)</xf:hint>
<xf:item concept_id="161354" id="1066^NO^99DCT">
<xf:label>NO</xf:label>
<xf:value>1066^NO^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161354" id="1065^YES^99DCT">
<xf:label>YES</xf:label>
<xf:value>1065^YES^99DCT</xf:value>
</xf:item>
</xf:select1><xf:select1 bind="any_tests">
<xf:label>Any tests ordered</xf:label>
<xf:hint>Any tests ordered-A question on KIULARCO HIV_MRS test-order form</xf:hint>
<xf:item concept_id="161094" id="1066^NO^99DCT">
<xf:label>NO</xf:label>
<xf:value>1066^NO^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161094" id="1065^YES^99DCT">
<xf:label>YES</xf:label>
<xf:value>1065^YES^99DCT</xf:value>
</xf:item>
</xf:select1><xf:select1 bind="pt_dest">
<xf:label>PT_DEST</xf:label>
<xf:hint>Question on KIULARCO HIV_MRS followup form:Destination of patient</xf:hint>
<xf:item concept_id="161357" id="1536^HOME^99DCT">
<xf:label>HOME</xf:label>
<xf:value>1536^HOME^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161357" id="161210^Admitted^99DCT">
<xf:label>Admitted</xf:label>
<xf:value>161210^Admitted^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161357" id="161212^Reffered^99DCT">
<xf:label>Reffered</xf:label>
<xf:value>161212^Reffered^99DCT</xf:value>
</xf:item>
</xf:select1><xf:input bind="other_ref">
<xf:label>OTHER_REF</xf:label>
</xf:input><xf:input bind="next_visit">
<xf:label>Date of next visit</xf:label>
<xf:hint>Question on KIULARCO HIV_MRS followup form:Date of next visit</xf:hint>
</xf:input><xf:input bind="clin_no">
<xf:label>Number of clinician</xf:label>
<xf:hint>Question on KIULARCO HIV_MRS followup form:Number of clinician</xf:hint>
</xf:input><xf:input bind="dss_no">
<xf:label>DSS_NO</xf:label>
</xf:input><xf:select1 bind="pmtct_press">
<xf:label>PMTCT_PRESS</xf:label>
<xf:item concept_id="161506" id="621^AZT^99DCT">
<xf:label>AZT</xf:label>
<xf:value>621^AZT^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161506" id="161130^NVP^99DCT">
<xf:label>NVP</xf:label>
<xf:value>161130^NVP^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161506" id="5622^OTHER NON-CODED^99DCT">
<xf:label>OTHER NON-CODED</xf:label>
<xf:value>5622^OTHER NON-CODED^99DCT</xf:value>
</xf:item>
</xf:select1><xf:select1 bind="hosp_loc">
<xf:label>HOSP_LOC</xf:label>
<xf:hint>Location of hospital</xf:hint>
<xf:item concept_id="161536" id="5622^OTHER NON-CODED^99DCT">
<xf:label>OTHER NON-CODED</xf:label>
<xf:value>5622^OTHER NON-CODED^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161536" id="161537^SFDH^99DCT">
<xf:label>SFDH</xf:label>
<xf:value>161537^SFDH^99DCT</xf:value>
</xf:item>
</xf:select1><xf:select1 bind="any_art_tox">
<xf:label>ANY_ART_TOX</xf:label>
<xf:item concept_id="161508" id="1066^NO^99DCT">
<xf:label>NO</xf:label>
<xf:value>1066^NO^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161508" id="1065^YES^99DCT">
<xf:label>YES</xf:label>
<xf:value>1065^YES^99DCT</xf:value>
</xf:item>
</xf:select1><xf:input bind="next_time_oth">
<xf:label>NEXT_TIME_OTH</xf:label>
</xf:input><xf:select1 bind="arv_status_disch">
<xf:label>ARV Status at Discharge</xf:label>
<xf:hint>ARV Status at discharge</xf:hint>
<xf:item concept_id="161302" id="161137^No ART^99DCT">
<xf:label>No ART</xf:label>
<xf:value>161137^No ART^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161302" id="161120^start^99DCT">
<xf:label>start</xf:label>
<xf:value>161120^start^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161302" id="159835^Continue^99DCT">
<xf:label>Continue</xf:label>
<xf:value>159835^Continue^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161302" id="161135^change^99DCT">
<xf:label>change</xf:label>
<xf:value>161135^change^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161302" id="161123^stop^99DCT">
<xf:label>stop</xf:label>
<xf:value>161123^stop^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161302" id="161124^restart^99DCT">
<xf:label>restart</xf:label>
<xf:value>161124^restart^99DCT</xf:value>
</xf:item>
</xf:select1><xf:select1 bind="no_art_reason">
<xf:label>Reason ARVs were not started</xf:label>
<xf:hint>Reason ART were not started</xf:hint>
<xf:item concept_id="161305" id="161203^Does not fullfil creteria^99DCT">
<xf:label>Does not fullfil creteria</xf:label>
<xf:value>161203^Does not fullfil creteria^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161305" id="161205^Fulfills criteria but counselling ongoing^99DCT">
<xf:label>Fulfills criteria but counselling ongoing</xf:label>
<xf:value>161205^Fulfills criteria but counselling ongoing^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161305" id="161207^Fulfills criteria but no ARVs available^99DCT">
<xf:label>Fulfills criteria but no ARVs available</xf:label>
<xf:value>161207^Fulfills criteria but no ARVs available^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161305" id="161240^Fulfills criteria but is not willing^99DCT">
<xf:label>Fulfills criteria but is not willing</xf:label>
<xf:value>161240^Fulfills criteria but is not willing^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161305" id="161241^Fulfills creteria but is TB tx^99DCT">
<xf:label>Fulfills creteria but is TB tx</xf:label>
<xf:value>161241^Fulfills creteria but is TB tx^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161305" id="161243^Fulfills creteria but not has OI and is too sick to start^99DCT">
<xf:label>Fulfills creteria but not has OI and is too sick to start</xf:label>
<xf:value>161243^Fulfills creteria but not has OI and is too sick to start^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161305" id="161244^Fulfills creteria but other reasons^99DCT">
<xf:label>Fulfills creteria but other reasons</xf:label>
<xf:value>161244^Fulfills creteria but other reasons^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161305" id="161522^Fullfills criteria but awaits lab results^99DCT">
<xf:label>Fullfills criteria but awaits lab results</xf:label>
<xf:value>161522^Fullfills criteria but awaits lab results^99DCT</xf:value>
</xf:item>
</xf:select1><xf:input bind="arv_stop_change_reason_oth">
<xf:label>Other reason why ARVs were stopped or changed</xf:label>
<xf:hint>Other reason why ARVs were stopped or changed-A question on KIULARCO HIV_MRS drug_order form</xf:hint>
</xf:input><xf:select1 bind="any_tb_system_sx">
<xf:label>ANY_TB_SYSTEM_SX</xf:label>
<xf:hint>Any signs and symptoms of TB/ systemic illness</xf:hint>
<xf:item concept_id="161533" id="1066^NO^99DCT">
<xf:label>NO</xf:label>
<xf:value>1066^NO^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161533" id="1065^YES^99DCT">
<xf:label>YES</xf:label>
<xf:value>1065^YES^99DCT</xf:value>
</xf:item>
</xf:select1><xf:select1 bind="any_txt_failure">
<xf:label>ANY_TXT_FAILURE</xf:label>
<xf:item concept_id="161534" id="1066^NO^99DCT">
<xf:label>NO</xf:label>
<xf:value>1066^NO^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161534" id="1065^YES^99DCT">
<xf:label>YES</xf:label>
<xf:value>1065^YES^99DCT</xf:value>
</xf:item>
</xf:select1><xf:select1 bind="any_suspect_drug">
<xf:label>ANY_SUSPECT_DRUG</xf:label>
<xf:hint>Any suspected drug</xf:hint>
<xf:item concept_id="161535" id="1066^NO^99DCT">
<xf:label>NO</xf:label>
<xf:value>1066^NO^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161535" id="1065^YES^99DCT">
<xf:label>YES</xf:label>
<xf:value>1065^YES^99DCT</xf:value>
</xf:item>
</xf:select1><xf:select1 bind="ocular_comp">
<xf:label>Current complaints:Ocular</xf:label>
<xf:hint>Current complaints: Ocular-A question on KIULARCO HIV_MRS follow_up form</xf:hint>
<xf:item concept_id="161350" id="1066^NO^99DCT">
<xf:label>NO</xf:label>
<xf:value>1066^NO^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161350" id="1065^YES^99DCT">
<xf:label>YES</xf:label>
<xf:value>1065^YES^99DCT</xf:value>
</xf:item>
</xf:select1><xf:select1 bind="clinical_examination"><xf:label>Clinical Examination</xf:label><xf:item id="no"><xf:label>No</xf:label><xf:value>no</xf:value></xf:item><xf:item id="yes"><xf:label>Yes</xf:label><xf:value>yes</xf:value></xf:item></xf:select1><xf:select1 bind="hosp_loc_1">
<xf:label>HOSP_LOC</xf:label>
<xf:hint>Location of hospital</xf:hint>
<xf:item concept_id="161536" id="5622^OTHER NON-CODED^99DCT">
<xf:label>OTHER NON-CODED</xf:label>
<xf:value>5622^OTHER NON-CODED^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161536" id="161537^SFDH^99DCT">
<xf:label>SFDH</xf:label>
<xf:value>161537^SFDH^99DCT</xf:value>
</xf:item>
</xf:select1><xf:input bind="consent">
<xf:label>CONSENT</xf:label>
</xf:input>
<xf:input bind="on_art">
<xf:label>ON ART</xf:label>
</xf:input><xf:select bind="art_tox_type">
<xf:label>ART_TOX_TYPE</xf:label>
<xf:hint>Suspected ARV toxicity:CNS</xf:hint>
<xf:item concept_id="161315" id="cns">
<xf:label>CNS</xf:label>
<xf:value>cns</xf:value>
</xf:item>
<xf:item concept_id="161315" id="polyneuropathy">
<xf:label>Polyneuropathy</xf:label>
<xf:value>polyneuropathy</xf:value>
</xf:item>
<xf:item concept_id="161315" id="anemia">
<xf:label>ANEMIA</xf:label>
<xf:value>anemia</xf:value>
</xf:item>
<xf:item concept_id="161315" id="gastrointestinal">
<xf:label>Gastrointestinal</xf:label>
<xf:value>gastrointestinal</xf:value>
</xf:item>
<xf:item concept_id="161315" id="hepatic">
<xf:label>Hepatic</xf:label>
<xf:value>hepatic</xf:value>
</xf:item>
<xf:item concept_id="161315" id="cutaneous">
<xf:label>Cutaneous</xf:label>
<xf:value>cutaneous</xf:value>
</xf:item>
<xf:item concept_id="161315" id="diabetes.">
<xf:label>Diabetes.</xf:label>
<xf:value>diabetes.</xf:value>
</xf:item>
<xf:item concept_id="161315" id="dyslipidemia.">
<xf:label>Dyslipidemia.</xf:label>
<xf:value>dyslipidemia.</xf:value>
</xf:item>
<xf:item concept_id="161315" id="cardiovascular">
<xf:label>Cardiovascular</xf:label>
<xf:value>cardiovascular</xf:value>
</xf:item>
<xf:item concept_id="161315" id="other_non-coded">
<xf:label>OTHER NON-CODED</xf:label>
<xf:value>other_non-coded</xf:value>
</xf:item>
<xf:item concept_id="161315" id="renal.">
<xf:label>Renal.</xf:label>
<xf:value>renal.</xf:value>
</xf:item>
<xf:item concept_id="161315" id="unknown">
<xf:label>Unknown</xf:label>
<xf:value>unknown</xf:value>
</xf:item>
<xf:item concept_id="161315" id="lypodystrophia">
<xf:label>Lypodystrophia</xf:label>
<xf:value>lypodystrophia</xf:value>
</xf:item>
</xf:select><xf:select bind="tb_screen_dx">
<xf:label>TB_SCREEN_DX</xf:label>
<xf:hint>TB screening and diagnosis-A question on KIULARCO HIV_MRS follow_up</xf:hint>
<xf:item concept_id="161351" id="negative">
<xf:label>No signs and symptoms for TB</xf:label>
<xf:value>negative</xf:value>
</xf:item>
<xf:item concept_id="161351" id="sputum_sample_positive">
<xf:label>Sputum sample positive</xf:label>
<xf:value>sputum_sample_positive</xf:value>
</xf:item><xf:item concept_id="161351" id="sputum_sample_negative">
<xf:label>Sputum sample negative</xf:label>
<xf:value>sputum_sample_negative</xf:value>
</xf:item><xf:item concept_id="161351" id="chest_x-ray_suggestive_of_tb">
<xf:label>Chest X-ray suggestive of TB</xf:label>
<xf:value>chest_x-ray_suggestive_of_tb</xf:value>
</xf:item><xf:item concept_id="161351" id="chest_x-ray_not_suggestive_of_tb">
<xf:label>Chest X-ray not suggestive of TB</xf:label>
<xf:value>chest_x-ray_not_suggestive_of_tb</xf:value>
</xf:item><xf:item concept_id="161351" id="on_treatment">
<xf:label>on treatment</xf:label>
<xf:value>on_treatment</xf:value>
</xf:item><xf:item concept_id="161351" id="xpert_from_other_material_positive">
<xf:label>Xpert from other material positive</xf:label>
<xf:value>xpert_from_other_material_positive</xf:value>
</xf:item><xf:item concept_id="161351" id="suspect_of_extrapulmonary_tb">
<xf:label>Suspect of extrapulmonary TB</xf:label>
<xf:value>suspect_of_extrapulmonary_tb</xf:value>
</xf:item><xf:item concept_id="161351" id="suspect_of_pulmonary_tb">
<xf:label>Suspect of pulmonary TB</xf:label>
<xf:value>suspect_of_pulmonary_tb</xf:value>
</xf:item>
</xf:select><xf:select bind="poor_adh_reas">
<xf:label>Reason for any missed doses</xf:label>
<xf:hint>Reason for any missed doses (select all that apply)-A question on KIULARCO HIV_MRS follow_up form</xf:hint>
<xf:item concept_id="161328" id="shares_medications_with_others">
<xf:label>Shares medications with others</xf:label>
<xf:value>shares_medications_with_others</xf:value>
</xf:item><xf:item concept_id="161328" id="felt_better_and_stopped_taking_medication">
<xf:label>Felt better and stopped taking medication</xf:label>
<xf:value>felt_better_and_stopped_taking_medication</xf:value>
</xf:item><xf:item concept_id="161328" id="felt_too_ill_to_take_medication">
<xf:label>Felt too ill to take medication</xf:label>
<xf:value>felt_too_ill_to_take_medication</xf:value>
</xf:item><xf:item concept_id="161328" id="concerned_about_privacy_slash_stigma">
<xf:label>Concerned about privacy/stigma</xf:label>
<xf:value>concerned_about_privacy_slash_stigma</xf:value>
</xf:item><xf:item concept_id="161328" id="lost_or_ran_out_of_medication">
<xf:label>Lost or ran out of medication</xf:label>
<xf:value>lost_or_ran_out_of_medication</xf:value>
</xf:item><xf:item concept_id="161328" id="depression">
<xf:label>Depression</xf:label>
<xf:value>depression</xf:value>
</xf:item><xf:item concept_id="161328" id="other_non-coded">
<xf:label>OTHER NON-CODED</xf:label>
<xf:value>other_non-coded</xf:value>
</xf:item><xf:item concept_id="161328" id="toxicity">
<xf:label>Toxicity</xf:label>
<xf:value>toxicity</xf:value>
</xf:item>
<xf:item concept_id="161328" id="forgot">
<xf:label>Forgot</xf:label>
<xf:value>forgot</xf:value>
</xf:item>
<xf:item concept_id="161328" id="delivery_slash_travel_problems">
<xf:label>Delivery/travel problems</xf:label>
<xf:value>delivery_slash_travel_problems</xf:value>
</xf:item>
<xf:item concept_id="161328" id="inability_to_pay">
<xf:label>Inability to pay</xf:label>
<xf:value>inability_to_pay</xf:value>
</xf:item>
<xf:item concept_id="161328" id="alcohol_arv">
<xf:label>Alcohol ARV</xf:label>
<xf:value>alcohol_arv</xf:value>
</xf:item>
<xf:item concept_id="161328" id="pharmacy_drug_stock_out">
<xf:label>Pharmacy drug stock out</xf:label>
<xf:value>pharmacy_drug_stock_out</xf:value>
</xf:item>
<xf:item id="reason_for_poor_treatment_adherence"><xf:label>Reason for poor treatment adherence</xf:label><xf:value>reason_for_poor_treatment_adherence</xf:value></xf:item><xf:item id="forgot_to_take_medication"><xf:label>Forgot to take medication</xf:label><xf:value>forgot_to_take_medication</xf:value></xf:item><xf:item id="medications_unavailable"><xf:label>Medications unavailable</xf:label><xf:value>medications_unavailable</xf:value></xf:item><xf:item id="cannot_afford_treatment"><xf:label>CANNOT AFFORD TREATMENT</xf:label><xf:value>cannot_afford_treatment</xf:value></xf:item><xf:item id="alcohol_abuse"><xf:label>Alcohol Abuse</xf:label><xf:value>alcohol_abuse</xf:value></xf:item><xf:item id="transport_problems"><xf:label>TRANSPORT PROBLEMS</xf:label><xf:value>transport_problems</xf:value></xf:item></xf:select><xf:select bind="tb_system_sx">
<xf:label>TB_SYSTEM_SX</xf:label>
<xf:hint>Question on KIULARCO HIV_MRS followup form:Signs and symptoms of Tuberculosis/systemic illness</xf:hint>
<xf:item concept_id="161377" id="none">
<xf:label>NONE</xf:label>
<xf:value>none</xf:value>
</xf:item>
<xf:item concept_id="161377" id="fatigue">
<xf:label>Fatigue</xf:label>
<xf:value>fatigue</xf:value>
</xf:item>
<xf:item concept_id="161377" id="night_sweats">
<xf:label>NIGHT SWEATS</xf:label>
<xf:value>night_sweats</xf:value>
</xf:item>
<xf:item concept_id="161377" id="fever_gt_1moth">
<xf:label>Fever&gt;1moth</xf:label>
<xf:value>fever_gt_1moth</xf:value>
</xf:item>
<xf:item concept_id="161377" id="cough">
<xf:label>Cough</xf:label>
<xf:value>cough</xf:value>
</xf:item>
<xf:item concept_id="161377" id="haemoptysis">
<xf:label>Haemoptysis</xf:label>
<xf:value>haemoptysis</xf:value>
</xf:item>
<xf:item concept_id="161377" id="weight_loss">
<xf:label>Weight loss</xf:label>
<xf:value>weight_loss</xf:value>
</xf:item>
</xf:select><xf:select bind="suspected_drug">
<xf:label>SUSPECTED_DRUG</xf:label>
<xf:hint>Question on KIULARCO HIV_MRS followup form:Suspected ARV drug causing the toxicity</xf:hint>
<xf:item concept_id="161352" id="unknown">
<xf:label>UNKNOWN</xf:label>
<xf:value>unknown</xf:value>
</xf:item>
<xf:item concept_id="161352" id="_3tc">
<xf:label>3TC</xf:label>
<xf:value>_3tc</xf:value>
</xf:item>
<xf:item concept_id="161352" id="abc">
<xf:label>ABC</xf:label>
<xf:value>abc</xf:value>
</xf:item>
<xf:item concept_id="161352" id="atv">
<xf:label>ATV</xf:label>
<xf:value>atv</xf:value>
</xf:item>
<xf:item concept_id="161352" id="ctx">
<xf:label>CTX</xf:label>
<xf:value>ctx</xf:value>
</xf:item>
<xf:item concept_id="161352" id="d4t">
<xf:label>d4T</xf:label>
<xf:value>d4t</xf:value>
</xf:item>
<xf:item concept_id="161352" id="ddl">
<xf:label>ddl</xf:label>
<xf:value>ddl</xf:value>
</xf:item>
<xf:item concept_id="161352" id="efv">
<xf:label>EFV</xf:label>
<xf:value>efv</xf:value>
</xf:item>
<xf:item concept_id="161352" id="ftc">
<xf:label>FTC</xf:label>
<xf:value>ftc</xf:value>
</xf:item>
<xf:item concept_id="161352" id="nvp">
<xf:label>NVP</xf:label>
<xf:value>nvp</xf:value>
</xf:item>
<xf:item concept_id="161352" id="lpv_slash_r">
<xf:label>LPV/r</xf:label>
<xf:value>lpv_slash_r</xf:value>
</xf:item>
<xf:item concept_id="161352" id="sqv_slash_r">
<xf:label>SQV/r</xf:label>
<xf:value>sqv_slash_r</xf:value>
</xf:item>
<xf:item concept_id="161352" id="tdf">
<xf:label>TDF</xf:label>
<xf:value>tdf</xf:value>
</xf:item>
<xf:item concept_id="161352" id="zdfazt">
<xf:label>ZDF(AZT)</xf:label>
<xf:value>zdfazt</xf:value>
</xf:item>
</xf:select><xf:select bind="refer_to">
<xf:label>REFER_TO</xf:label>
<xf:hint>Question on KIULARCO HIV_MRS follow_up form: reffered to</xf:hint>
<xf:item concept_id="161342" id="prevention_of_maternal_to_child_transmission_program">
<xf:label>Prevention of maternal to child transmission program</xf:label>
<xf:value>prevention_of_maternal_to_child_transmission_program</xf:value>
</xf:item>
<xf:item concept_id="161342" id="hbc">
<xf:label>HBC</xf:label>
<xf:value>hbc</xf:value>
</xf:item>
<xf:item concept_id="161342" id="plhiv_group">
<xf:label>PLHIV group</xf:label>
<xf:value>plhiv_group</xf:value>
</xf:item>
<xf:item concept_id="161342" id="orphane_and_vulnerable_children_group">
<xf:label>Orphane and vulnerable children group</xf:label>
<xf:value>orphane_and_vulnerable_children_group</xf:value>
</xf:item>
<xf:item concept_id="161342" id="medical_specialty">
<xf:label>Medical specialty</xf:label>
<xf:value>medical_specialty</xf:value>
</xf:item>
<xf:item concept_id="161342" id="legal">
<xf:label>legal</xf:label>
<xf:value>legal</xf:value>
</xf:item>
<xf:item concept_id="161342" id="tb_clinic">
<xf:label>TB clinic</xf:label>
<xf:value>tb_clinic</xf:value>
</xf:item>
<xf:item concept_id="161342" id="fp_services">
<xf:label>FP services</xf:label>
<xf:value>fp_services</xf:value>
</xf:item>
<xf:item concept_id="161342" id="nutritional_support.">
<xf:label>Nutritional support.</xf:label>
<xf:value>nutritional_support.</xf:value>
</xf:item><xf:item concept_id="161342" id="other_non-coded">
<xf:label>OTHER NON-CODED</xf:label>
<xf:value>other_non-coded</xf:value>
</xf:item>
<xf:item concept_id="161342" id="st._francis_hospital">
<xf:label>St. Francis Hospital</xf:label>
<xf:value>st._francis_hospital</xf:value>
</xf:item>
<xf:item concept_id="161342" id="muhimbili">
<xf:label>Muhimbili</xf:label>
<xf:value>muhimbili</xf:value>
</xf:item>
<xf:item concept_id="161342" id="ocean_road_cancer_institute">
<xf:label>Ocean Road Cancer Institute</xf:label>
<xf:value>ocean_road_cancer_institute</xf:value>
</xf:item>
</xf:select><xf:select bind="next_time">
<xf:label>NEXT_TIME</xf:label>
<xf:item concept_id="161520" id="cd4.">
<xf:label>CD4.</xf:label>
<xf:value>cd4.</xf:value>
</xf:item>
<xf:item concept_id="161520" id="p24.">
<xf:label>P24.</xf:label>
<xf:value>p24.</xf:value>
</xf:item>
<xf:item concept_id="161520" id="viral_load.">
<xf:label>Viral load.</xf:label>
<xf:value>viral_load.</xf:value>
</xf:item>
<xf:item concept_id="161520" id="safety_lab">
<xf:label>Safety lab</xf:label>
<xf:value>safety_lab</xf:value>
</xf:item>
<xf:item concept_id="161520" id="other_non-coded">
<xf:label>OTHER NON-CODED</xf:label>
<xf:value>other_non-coded</xf:value>
</xf:item>
<xf:item concept_id="161520" id="none">
<xf:label>NONE</xf:label>
<xf:value>none</xf:value>
</xf:item>
</xf:select><xf:select bind="txt_failure">
<xf:label>TXT_FAILURE</xf:label>
<xf:hint>Suspected treatment failure-A question on KIULARCO HIV_MRS follow_up form</xf:hint>
<xf:item concept_id="161409" id="no">
<xf:label>NO</xf:label>
<xf:value>no</xf:value>
</xf:item>
<xf:item concept_id="161409" id="clinical">
<xf:label>Clinical</xf:label>
<xf:value>clinical</xf:value>
</xf:item>
<xf:item concept_id="161409" id="immunological">
<xf:label>Immunological</xf:label>
<xf:value>immunological</xf:value>
</xf:item>
<xf:item concept_id="161409" id="virologic_failure">
<xf:label>Virologic failure</xf:label>
<xf:value>virologic_failure</xf:value>
</xf:item>
</xf:select><xf:select1 bind="art_pres">
<xf:label>ART_PRES</xf:label>
<xf:item concept_id="161312" id="1107^NONE^99DCT">
<xf:label>NONE</xf:label>
<xf:value>1107^NONE^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="161503^PMTCT^99DCT">
<xf:label>PMTCT</xf:label>
<xf:value>161503^PMTCT^99DCT</xf:value>
</xf:item><xf:item concept_id="161312" id="161151^1a(30)=d4T(30)+3TC+NVP^99DCT">
<xf:label>1a(30)=d4T(30)+3TC+NVP</xf:label>
<xf:value>161151^1a(30)=d4T(30)+3TC+NVP^99DCT</xf:value>
</xf:item><xf:item concept_id="161312" id="161153^1a(30)L=d4T(30)+3TC+NVP^99DCT">
<xf:label>1a(30)L=d4T(30)+3TC+NVP</xf:label>
<xf:value>161153^1a(30)L=d4T(30)+3TC+NVP^99DCT</xf:value>
</xf:item><xf:item concept_id="161312" id="161163^1d(30)=d4T(30)+3TC+EFV^99DCT">
<xf:label>1d(30)=d4T(30)+3TC+EFV</xf:label>
<xf:value>161163^1d(30)=d4T(30)+3TC+EFV^99DCT</xf:value>
</xf:item><xf:item concept_id="161312" id="161178^2a=ABC+ddl+LPV/r^99DCT">
<xf:label>2a=ABC+ddl+LPV/r</xf:label>
<xf:value>161178^2a=ABC+ddl+LPV/r^99DCT</xf:value>
</xf:item><xf:item concept_id="161312" id="161180^2b=ABC+ddl+SQV/r^99DCT">
<xf:label>2b=ABC+ddl+SQV/r</xf:label>
<xf:value>161180^2b=ABC+ddl+SQV/r^99DCT</xf:value>
</xf:item><xf:item concept_id="161312" id="161182^2d=ABC+ddl+ATV/r^99DCT">
<xf:label>2d=ABC+ddl+ATV/r</xf:label>
<xf:value>161182^2d=ABC+ddl+ATV/r^99DCT</xf:value>
</xf:item><xf:item concept_id="161312" id="161148^1a=d4T+3TC+NVP^99DCT">
<xf:label>1a=d4T+3TC+NVP</xf:label>
<xf:value>161148^1a=d4T+3TC+NVP^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="161159^1d=d4T+3TC+EFV^99DCT">
<xf:label>1d=d4T+3TC+EFV</xf:label>
<xf:value>161159^1d=d4T+3TC+EFV^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="161164^1e=TDF+FTC+EFV^99DCT">
<xf:label>1e=TDF+FTC+EFV</xf:label>
<xf:value>161164^1e=TDF+FTC+EFV^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="161168^1f=TDF+FTC+NVP^99DCT">
<xf:label>1f=TDF+FTC+NVP</xf:label>
<xf:value>161168^1f=TDF+FTC+NVP^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="161170^1g=TDF+3TC+EFV^99DCT">
<xf:label>1g=TDF+3TC+EFV</xf:label>
<xf:value>161170^1g=TDF+3TC+EFV^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="161171^1h=TDF+3TC+NVP^99DCT">
<xf:label>1h=TDF+3TC+NVP</xf:label>
<xf:value>161171^1h=TDF+3TC+NVP^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="161185^2e=TDF+3TC+LPV/r^99DCT">
<xf:label>2e=TDF+3TC+LPV/r</xf:label>
<xf:value>161185^2e=TDF+3TC+LPV/r^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="161187^2f=TDF+FTC+LPV/r^99DCT">
<xf:label>2f=TDF+FTC+LPV/r</xf:label>
<xf:value>161187^2f=TDF+FTC+LPV/r^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="161190^2g=ABC+3TC+LPV/r^99DCT">
<xf:label>2g=ABC+3TC+LPV/r</xf:label>
<xf:value>161190^2g=ABC+3TC+LPV/r^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="161155^1b=AZT+3TC+NVP^99DCT">
<xf:label>1b=AZT+3TC+NVP</xf:label>
<xf:value>161155^1b=AZT+3TC+NVP^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="161156^1c=AZT+3TC+EFV^99DCT">
<xf:label>1c=AZT+3TC+EFV</xf:label>
<xf:value>161156^1c=AZT+3TC+EFV^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="161176^1x=Other1stline^99DCT">
<xf:label>1x=Other1stline</xf:label>
<xf:value>161176^1x=Other1stline^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="161195^2x=Other2ndline^99DCT">
<xf:label>2x=Other2ndline</xf:label>
<xf:value>161195^2x=Other2ndline^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="161504^PEP^99DCT">
<xf:label>PEP</xf:label>
<xf:value>161504^PEP^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="161931^ABC, 3TC, LPV/r 1n-P^99DCT">
<xf:label>ABC, 3TC, LPV/r 1n-P</xf:label>
<xf:value>161931^ABC, 3TC, LPV/r 1n-P^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="161920^1k-A ABC, 3TC, EFV 1k-P^99DCT">
<xf:label>1k-A ABC, 3TC, EFV 1k-P</xf:label>
<xf:value>161920^1k-A ABC, 3TC, EFV 1k-P^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="161921^1m-A ABC, 3TC, NVP 1m-P^99DCT">
<xf:label>1m-A ABC, 3TC, NVP 1m-P</xf:label>
<xf:value>161921^1m-A ABC, 3TC, NVP 1m-P^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="161922^2h-A TDF, FTC, ATV/r^99DCT">
<xf:label>2h-A TDF, FTC, ATV/r</xf:label>
<xf:value>161922^2h-A TDF, FTC, ATV/r^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="161923^2s-A AZT, 3TC, ATV/r^99DCT">
<xf:label>2s-A AZT, 3TC, ATV/r</xf:label>
<xf:value>161923^2s-A AZT, 3TC, ATV/r^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="161924^2k-A ABC, 3TC, ATV/r^99DCT">
<xf:label>2k-A ABC, 3TC, ATV/r</xf:label>
<xf:value>161924^2k-A ABC, 3TC, ATV/r^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="161925^2m-A TDF, 3TC, ATV/r^99DCT">
<xf:label>2m-A TDF, 3TC, ATV/r</xf:label>
<xf:value>161925^2m-A TDF, 3TC, ATV/r^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="161926^2n-A AZT, 3TC, LPV/r 2n-P^99DCT">
<xf:label>2n-A AZT, 3TC, LPV/r 2n-P</xf:label>
<xf:value>161926^2n-A AZT, 3TC, LPV/r 2n-P^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="161927^AZT, 3TC, EFV 2t-P^99DCT">
<xf:label>AZT, 3TC, EFV 2t-P</xf:label>
<xf:value>161927^AZT, 3TC, EFV 2t-P^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="161928^5a AZT^99DCT">
<xf:label>5a AZT</xf:label>
<xf:value>161928^5a AZT^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="161929^5b AZT, 3TC, NVP^99DCT">
<xf:label>5b AZT, 3TC, NVP</xf:label>
<xf:value>161929^5b AZT, 3TC, NVP^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="161930^5c AZT, 3TC^99DCT">
<xf:label>5c AZT, 3TC</xf:label>
<xf:value>161930^5c AZT, 3TC^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="162056^DTG+ATV/r+ETV^99DCT">
<xf:label>DTG+ATV/r+ETV</xf:label>
<xf:value>162056^DTG+ATV/r+ETV^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="162057^DTG+ETV+3TC^99DCT">
<xf:label>DTG+ETV+3TC</xf:label>
<xf:value>162057^DTG+ETV+3TC^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="162058^DTG+ETV+FTC^99DCT">
<xf:label>DTG+ETV+FTC</xf:label>
<xf:value>162058^DTG+ETV+FTC^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="162059^DTG+DRV/r+ETV^99DCT">
<xf:label>DTG+DRV/r+ETV</xf:label>
<xf:value>162059^DTG+DRV/r+ETV^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="162060^RAL+DRV/r+ETV^99DCT">
<xf:label>RAL+DRV/r+ETV</xf:label>
<xf:value>162060^RAL+DRV/r+ETV^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="162061^RAL+ATV/r+ETV^99DCT">
<xf:label>RAL+ATV/r+ETV</xf:label>
<xf:value>162061^RAL+ATV/r+ETV^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="162062^DRV/r+ABC+3TC^99DCT">
<xf:label>DRV/r+ABC+3TC</xf:label>
<xf:value>162062^DRV/r+ABC+3TC^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="162063^DRV/r+ABC/3TC^99DCT">
<xf:label>DRV/r+ABC/3TC</xf:label>
<xf:value>162063^DRV/r+ABC/3TC^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="162064^DRV/r+AZT+3TC^99DCT">
<xf:label>DRV/r+AZT+3TC</xf:label>
<xf:value>162064^DRV/r+AZT+3TC^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="162065^DRV+RTV+ABC+3TC^99DCT">
<xf:label>DRV+RTV+ABC+3TC</xf:label>
<xf:value>162065^DRV+RTV+ABC+3TC^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="162066^DRV+RTV+AZT+3TC^99DCT">
<xf:label>DRV+RTV+AZT+3TC</xf:label>
<xf:value>162066^DRV+RTV+AZT+3TC^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="162067^DTG+DRV/r+1-2NRTI^99DCT">
<xf:label>DTG+DRV/r+1-2NRTI</xf:label>
<xf:value>162067^DTG+DRV/r+1-2NRTI^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="162278^DTG+DRV/r^99DCT">
<xf:label>DTG+DRV/r</xf:label>
<xf:value>162278^DTG+DRV/r^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="162069^RAL+DRV/r+1-2NRTI^99DCT">
<xf:label>RAL+DRV/r+1-2NRTI</xf:label>
<xf:value>162069^RAL+DRV/r+1-2NRTI^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="162279^RAL+DRV/r^99DCT">
<xf:label>RAL+DRV/r</xf:label>
<xf:value>162279^RAL+DRV/r^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="162071^DTG+ABC+3TC^99DCT">
<xf:label>DTG+ABC+3TC</xf:label>
<xf:value>162071^DTG+ABC+3TC^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="162072^DTG+AZT+3TC^99DCT">
<xf:label>DTG+AZT+3TC</xf:label>
<xf:value>162072^DTG+AZT+3TC^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="162073^RAL+ABC+3TC^99DCT">
<xf:label>RAL+ABC+3TC</xf:label>
<xf:value>162073^RAL+ABC+3TC^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="162074^RAL+AZT+3TC^99DCT">
<xf:label>RAL+AZT+3TC</xf:label>
<xf:value>162074^RAL+AZT+3TC^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="162135^3x=Other3rdline^99DCT">
<xf:label>3x=Other3rdline</xf:label>
<xf:value>162135^3x=Other3rdline^99DCT</xf:value>
</xf:item>
</xf:select1><xf:select1 bind="arv_stop_change_reason">
<xf:label>Reason why ARTs were stopped or changed</xf:label>
<xf:hint>Reason why ARTs were stopped or changed</xf:hint>
<xf:item concept_id="161269" id="161524^start TB treatment^99DCT">
<xf:label>start TB treatment</xf:label>
<xf:value>161524^start TB treatment^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161269" id="161525^Adverse drug reaction to ART^99DCT">
<xf:label>Adverse drug reaction to ART</xf:label>
<xf:value>161525^Adverse drug reaction to ART^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161269" id="161526^Treatment failure^99DCT">
<xf:label>Treatment failure</xf:label>
<xf:value>161526^Treatment failure^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161269" id="161527^Non-compliance to treatment^99DCT">
<xf:label>Non-compliance to treatment</xf:label>
<xf:value>161527^Non-compliance to treatment^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161269" id="161528^Patient decision^99DCT">
<xf:label>Patient decision</xf:label>
<xf:value>161528^Patient decision^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161269" id="161266^Pregnancy^99DCT">
<xf:label>Pregnancy</xf:label>
<xf:value>161266^Pregnancy^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161269" id="1754^Medications unavailable^99DCT">
<xf:label>Medications unavailable</xf:label>
<xf:value>1754^Medications unavailable^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161269" id="161529^End of PMTCT^99DCT">
<xf:label>End of PMTCT</xf:label>
<xf:value>161529^End of PMTCT^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161269" id="5622^OTHER NON-CODED^99DCT">
<xf:label>OTHER NON-CODED</xf:label>
<xf:value>5622^OTHER NON-CODED^99DCT</xf:value>
</xf:item>
</xf:select1><xf:select bind="fam_planning">
<xf:label>FAM_PLANNING</xf:label>
<xf:hint>What family planning are you using?-A question KIULARCO HIV_MRS follow_up form</xf:hint>
<xf:item concept_id="161311" id="none">
<xf:label>NONE</xf:label>
<xf:value>none</xf:value>
</xf:item>
<xf:item concept_id="161311" id="pills">
<xf:label>Pills</xf:label>
<xf:value>pills</xf:value>
</xf:item>
<xf:item concept_id="161311" id="depo_injection">
<xf:label>Depo injection</xf:label>
<xf:value>depo_injection</xf:value>
</xf:item>
<xf:item concept_id="161311" id="implants">
<xf:label>Implants</xf:label>
<xf:value>implants</xf:value>
</xf:item>
<xf:item concept_id="161311" id="intrauterine_device">
<xf:label>INTRAUTERINE DEVICE</xf:label>
<xf:value>intrauterine_device</xf:value>
</xf:item>
<xf:item concept_id="161311" id="surgical_sterilization_status">
<xf:label>SURGICAL STERILIZATION STATUS</xf:label>
<xf:value>surgical_sterilization_status</xf:value>
</xf:item>
<xf:item concept_id="161311" id="condoms">
<xf:label>CONDOMS</xf:label>
<xf:value>condoms</xf:value>
</xf:item>
<xf:item concept_id="161311" id="trad_slash_withdrawl">
<xf:label>Trad/Withdrawl</xf:label>
<xf:value>trad_slash_withdrawl</xf:value>
</xf:item>
</xf:select>
<xf:select bind="art_start_reason">
<xf:label>Reason why ARTs were started</xf:label>
<xf:hint>Reason why ARVs were started-A question on KIULARCO HIV_MRS drug_order form</xf:hint>
<xf:item concept_id="161261" id="adult_cd4_lt_350">
<xf:label>ADULT CD4&lt;350</xf:label>
<xf:value>adult_cd4_lt_350</xf:value>
</xf:item>
<xf:item concept_id="161261" id="infant_under_24_months">
<xf:label>Infant under 24 months</xf:label>
<xf:value>infant_under_24_months</xf:value>
</xf:item>
<xf:item concept_id="161261" id="children_gt_eq_5_years_cd4_lt_350_percent">
<xf:label>Children&gt;=5 years CD4&lt;350%</xf:label>
<xf:value>children_gt_eq_5_years_cd4_lt_350_percent</xf:value>
</xf:item>
<xf:item concept_id="161261" id="pregnant_woman_for_pmtctplus">
<xf:label>Pregnant woman for PMTCT(PLUS)</xf:label>
<xf:value>pregnant_woman_for_pmtctplus</xf:value>
</xf:item>
<xf:item concept_id="161261" id="other_non-coded">
<xf:label>OTHER NON-CODED</xf:label>
<xf:value>other_non-coded</xf:value>
</xf:item>
<xf:item concept_id="161261" id="adult_who_stage_iii-iv">
<xf:label>Adult WHO Stage III-IV</xf:label>
<xf:value>adult_who_stage_iii-iv</xf:value>
</xf:item>
<xf:item concept_id="161261" id="children_who_stage_iii-iv">
<xf:label>Children WHO Stage III-IV</xf:label>
<xf:value>children_who_stage_iii-iv</xf:value>
</xf:item>
<xf:item concept_id="161261" id="children_between_24-59_months_cd4_lt_750">
<xf:label>Children between 24-59 months CD4&lt;750</xf:label>
<xf:value>children_between_24-59_months_cd4_lt_750</xf:value>
</xf:item>
<xf:item concept_id="161261" id="children_between_24-59_months_cd4_lt_25_percent">
<xf:label>Children between 24-59 months CD4&lt;25%</xf:label>
<xf:value>children_between_24-59_months_cd4_lt_25_percent</xf:value>
</xf:item>
<xf:item concept_id="161261" id="child_lt_18_months_with_severe_hiv_diseasepresumptive_hiv_diagnosis">
<xf:label>Child &lt; 18 months with severe HIV disease(Presumptive HIV diagnosis)</xf:label>
<xf:value>child_lt_18_months_with_severe_hiv_diseasepresumptive_hiv_diagnosis</xf:value>
</xf:item>
<xf:item concept_id="161261" id="confirmed_hiv_positive">
<xf:label>Confirmed HIV positive</xf:label>
<xf:value>confirmed_hiv_positive</xf:value>
</xf:item>
</xf:select>
<xf:select1 bind="birth_last_visit">
<xf:label>BIRTH_LAST_VISIT</xf:label>
<xf:hint>Did you give birth to a child since your last clinical visit?</xf:hint>
<xf:item concept_id="161942" id="1066^NO^99DCT">
<xf:label>NO</xf:label>
<xf:value>1066^NO^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161942" id="1065^YES^99DCT">
<xf:label>YES</xf:label>
<xf:value>1065^YES^99DCT</xf:value>
</xf:item>
</xf:select1><xf:input bind="date_child_birth">
<xf:label>DATE_CHILD_BIRTH</xf:label>
<xf:hint>Date of birth of child</xf:hint>
</xf:input><xf:input bind="paed_nacpno">
<xf:label>PAED_NACPNO</xf:label>
<xf:hint>PAEDS/NACP number</xf:hint>
</xf:input><xf:select1 bind="alcohol_daily">
<xf:label>ALCOHOL_DAILY</xf:label>
<xf:hint>Daily alcohol consumption-A question on KIULARCO HIV_MRS follow_up form</xf:hint>
<xf:item concept_id="161945" id="1066^NO^99DCT">
<xf:label>NO</xf:label>
<xf:value>1066^NO^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161945" id="1065^YES^99DCT">
<xf:label>YES</xf:label>
<xf:value>1065^YES^99DCT</xf:value>
</xf:item>
</xf:select1><xf:select1 bind="alcohol_weekly">
<xf:label>ALCOHOL_WEEKLY</xf:label>
<xf:hint>Weekly alcohol consumption-A question on KIULARCO HIV_MRS follow_up form</xf:hint>
<xf:item concept_id="161944" id="1066^NO^99DCT">
<xf:label>NO</xf:label>
<xf:value>1066^NO^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161944" id="1065^YES^99DCT">
<xf:label>YES</xf:label>
<xf:value>1065^YES^99DCT</xf:value>
</xf:item>
</xf:select1><xf:input bind="alcohol_npw">
<xf:label>ALCOHOL_NPW</xf:label>
<xf:hint>Number of standard drinks per week</xf:hint>
</xf:input><xf:select1 bind="art_pres_1">
<xf:label>ART_PRES</xf:label>
<xf:hint>ARV at presentation-A question on KIULARCO HIV_MRS follow_up form</xf:hint>
<xf:item concept_id="161312" id="1107^NONE^99DCT">
<xf:label>NONE</xf:label>
<xf:value>1107^NONE^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="161148^1a=d4T+3TC+NVP^99DCT">
<xf:label>1a=d4T+3TC+NVP</xf:label>
<xf:value>161148^1a=d4T+3TC+NVP^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="161151^1a(30)=d4T(30)+3TC+NVP^99DCT">
<xf:label>1a(30)=d4T(30)+3TC+NVP</xf:label>
<xf:value>161151^1a(30)=d4T(30)+3TC+NVP^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="161153^1a(30)L=d4T(30)+3TC+NVP^99DCT">
<xf:label>1a(30)L=d4T(30)+3TC+NVP</xf:label>
<xf:value>161153^1a(30)L=d4T(30)+3TC+NVP^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="161159^1d=d4T+3TC+EFV^99DCT">
<xf:label>1d=d4T+3TC+EFV</xf:label>
<xf:value>161159^1d=d4T+3TC+EFV^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="161163^1d(30)=d4T(30)+3TC+EFV^99DCT">
<xf:label>1d(30)=d4T(30)+3TC+EFV</xf:label>
<xf:value>161163^1d(30)=d4T(30)+3TC+EFV^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="161164^1e=TDF+FTC+EFV^99DCT">
<xf:label>1e=TDF+FTC+EFV</xf:label>
<xf:value>161164^1e=TDF+FTC+EFV^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="161168^1f=TDF+FTC+NVP^99DCT">
<xf:label>1f=TDF+FTC+NVP</xf:label>
<xf:value>161168^1f=TDF+FTC+NVP^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="161170^1g=TDF+3TC+EFV^99DCT">
<xf:label>1g=TDF+3TC+EFV</xf:label>
<xf:value>161170^1g=TDF+3TC+EFV^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="161171^1h=TDF+3TC+NVP^99DCT">
<xf:label>1h=TDF+3TC+NVP</xf:label>
<xf:value>161171^1h=TDF+3TC+NVP^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="161178^2a=ABC+ddl+LPV/r^99DCT">
<xf:label>2a=ABC+ddl+LPV/r</xf:label>
<xf:value>161178^2a=ABC+ddl+LPV/r^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="161180^2b=ABC+ddl+SQV/r^99DCT">
<xf:label>2b=ABC+ddl+SQV/r</xf:label>
<xf:value>161180^2b=ABC+ddl+SQV/r^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="161182^2d=ABC+ddl+ATV/r^99DCT">
<xf:label>2d=ABC+ddl+ATV/r</xf:label>
<xf:value>161182^2d=ABC+ddl+ATV/r^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="161185^2e=TDF+3TC+LPV/r^99DCT">
<xf:label>2e=TDF+3TC+LPV/r</xf:label>
<xf:value>161185^2e=TDF+3TC+LPV/r^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="161187^2f=TDF+FTC+LPV/r^99DCT">
<xf:label>2f=TDF+FTC+LPV/r</xf:label>
<xf:value>161187^2f=TDF+FTC+LPV/r^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="161190^2g=ABC+3TC+LPV/r^99DCT">
<xf:label>2g=ABC+3TC+LPV/r</xf:label>
<xf:value>161190^2g=ABC+3TC+LPV/r^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="161503^PMTCT^99DCT">
<xf:label>PMTCT</xf:label>
<xf:value>161503^PMTCT^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="161155^1b=AZT+3TC+NVP^99DCT">
<xf:label>1b=AZT+3TC+NVP</xf:label>
<xf:value>161155^1b=AZT+3TC+NVP^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="161156^1c=AZT+3TC+EFV^99DCT">
<xf:label>1c=AZT+3TC+EFV</xf:label>
<xf:value>161156^1c=AZT+3TC+EFV^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="161176^1x=Other1stline^99DCT">
<xf:label>1x=Other1stline</xf:label>
<xf:value>161176^1x=Other1stline^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="161195^2x=Other2ndline^99DCT">
<xf:label>2x=Other2ndline</xf:label>
<xf:value>161195^2x=Other2ndline^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="161504^PEP^99DCT">
<xf:label>PEP</xf:label>
<xf:value>161504^PEP^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="161931^ABC, 3TC, LPV/r 1n-P^99DCT">
<xf:label>ABC, 3TC, LPV/r 1n-P</xf:label>
<xf:value>161931^ABC, 3TC, LPV/r 1n-P^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="161920^1k-A ABC, 3TC, EFV 1k-P^99DCT">
<xf:label>1k-A ABC, 3TC, EFV 1k-P</xf:label>
<xf:value>161920^1k-A ABC, 3TC, EFV 1k-P^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="161921^1m-A ABC, 3TC, NVP 1m-P^99DCT">
<xf:label>1m-A ABC, 3TC, NVP 1m-P</xf:label>
<xf:value>161921^1m-A ABC, 3TC, NVP 1m-P^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="161922^2h-A TDF, FTC, ATV/r^99DCT">
<xf:label>2h-A TDF, FTC, ATV/r</xf:label>
<xf:value>161922^2h-A TDF, FTC, ATV/r^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="161923^2s-A AZT, 3TC, ATV/r^99DCT">
<xf:label>2s-A AZT, 3TC, ATV/r</xf:label>
<xf:value>161923^2s-A AZT, 3TC, ATV/r^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="161924^2k-A ABC, 3TC, ATV/r^99DCT">
<xf:label>2k-A ABC, 3TC, ATV/r</xf:label>
<xf:value>161924^2k-A ABC, 3TC, ATV/r^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="161925^2m-A TDF, 3TC, ATV/r^99DCT">
<xf:label>2m-A TDF, 3TC, ATV/r</xf:label>
<xf:value>161925^2m-A TDF, 3TC, ATV/r^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="161926^2n-A AZT, 3TC, LPV/r 2n-P^99DCT">
<xf:label>2n-A AZT, 3TC, LPV/r 2n-P</xf:label>
<xf:value>161926^2n-A AZT, 3TC, LPV/r 2n-P^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="161927^AZT, 3TC, EFV 2t-P^99DCT">
<xf:label>AZT, 3TC, EFV 2t-P</xf:label>
<xf:value>161927^AZT, 3TC, EFV 2t-P^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="161928^5a AZT^99DCT">
<xf:label>5a AZT</xf:label>
<xf:value>161928^5a AZT^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="161929^5b AZT, 3TC, NVP^99DCT">
<xf:label>5b AZT, 3TC, NVP</xf:label>
<xf:value>161929^5b AZT, 3TC, NVP^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="161930^5c AZT, 3TC^99DCT">
<xf:label>5c AZT, 3TC</xf:label>
<xf:value>161930^5c AZT, 3TC^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="162056^DTG+ATV/r+ETV^99DCT">
<xf:label>DTG+ATV/r+ETV</xf:label>
<xf:value>162056^DTG+ATV/r+ETV^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="162057^DTG+ETV+3TC^99DCT">
<xf:label>DTG+ETV+3TC</xf:label>
<xf:value>162057^DTG+ETV+3TC^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="162058^DTG+ETV+FTC^99DCT">
<xf:label>DTG+ETV+FTC</xf:label>
<xf:value>162058^DTG+ETV+FTC^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="162059^DTG+DRV/r+ETV^99DCT">
<xf:label>DTG+DRV/r+ETV</xf:label>
<xf:value>162059^DTG+DRV/r+ETV^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="162060^RAL+DRV/r+ETV^99DCT">
<xf:label>RAL+DRV/r+ETV</xf:label>
<xf:value>162060^RAL+DRV/r+ETV^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="162061^RAL+ATV/r+ETV^99DCT">
<xf:label>RAL+ATV/r+ETV</xf:label>
<xf:value>162061^RAL+ATV/r+ETV^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="162062^DRV/r+ABC+3TC^99DCT">
<xf:label>DRV/r+ABC+3TC</xf:label>
<xf:value>162062^DRV/r+ABC+3TC^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="162063^DRV/r+ABC/3TC^99DCT">
<xf:label>DRV/r+ABC/3TC</xf:label>
<xf:value>162063^DRV/r+ABC/3TC^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="162064^DRV/r+AZT+3TC^99DCT">
<xf:label>DRV/r+AZT+3TC</xf:label>
<xf:value>162064^DRV/r+AZT+3TC^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="162065^DRV+RTV+ABC+3TC^99DCT">
<xf:label>DRV+RTV+ABC+3TC</xf:label>
<xf:value>162065^DRV+RTV+ABC+3TC^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="162066^DRV+RTV+AZT+3TC^99DCT">
<xf:label>DRV+RTV+AZT+3TC</xf:label>
<xf:value>162066^DRV+RTV+AZT+3TC^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="162067^DTG+DRV/r+1-2NRTI^99DCT">
<xf:label>DTG+DRV/r+1-2NRTI</xf:label>
<xf:value>162067^DTG+DRV/r+1-2NRTI^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="162278^DTG+DRV/r^99DCT">
<xf:label>DTG+DRV/r</xf:label>
<xf:value>162278^DTG+DRV/r^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="162069^RAL+DRV/r+1-2NRTI^99DCT">
<xf:label>RAL+DRV/r+1-2NRTI</xf:label>
<xf:value>162069^RAL+DRV/r+1-2NRTI^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="162279^RAL+DRV/r^99DCT">
<xf:label>RAL+DRV/r</xf:label>
<xf:value>162279^RAL+DRV/r^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="162071^DTG+ABC+3TC^99DCT">
<xf:label>DTG+ABC+3TC</xf:label>
<xf:value>162071^DTG+ABC+3TC^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="162072^DTG+AZT+3TC^99DCT">
<xf:label>DTG+AZT+3TC</xf:label>
<xf:value>162072^DTG+AZT+3TC^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="162073^RAL+ABC+3TC^99DCT">
<xf:label>RAL+ABC+3TC</xf:label>
<xf:value>162073^RAL+ABC+3TC^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="162074^RAL+AZT+3TC^99DCT">
<xf:label>RAL+AZT+3TC</xf:label>
<xf:value>162074^RAL+AZT+3TC^99DCT</xf:value>
</xf:item>
<xf:item concept_id="161312" id="162135^3x=Other3rdline^99DCT">
<xf:label>3x=Other3rdline</xf:label>
<xf:value>162135^3x=Other3rdline^99DCT</xf:value>
</xf:item>
</xf:select1>
<xf:select bind="alcohol_type">
<xf:label>ALCOHOL_TYPE</xf:label>
<xf:hint>A question on KIULARCO HIV_MRS baseline form: alcohol type taken this patient.</xf:hint>
<xf:item concept_id="161464" id="beer">
<xf:label>Beer</xf:label>
<xf:value>beer</xf:value>
</xf:item>
<xf:item concept_id="161464" id="liquor">
<xf:label>Liquor</xf:label>
<xf:value>liquor</xf:value>
</xf:item>
<xf:item concept_id="161464" id="other_non-coded">
<xf:label>OTHER NON-CODED</xf:label>
<xf:value>other_non-coded</xf:value>
</xf:item>
</xf:select><xf:input bind="diagnosis">
<xf:label>DIAGNOSIS</xf:label>
<xf:hint>List of problems for a patient visit</xf:hint>
</xf:input>
<xf:select1 bind="ipt_status">
<xf:label>IPT_STATUS</xf:label>
<xf:hint>IPT?</xf:hint>
<xf:item concept_id="162280" id="1065^YES^99DCT">
<xf:label>YES</xf:label>
<xf:value>1065^YES^99DCT</xf:value>
</xf:item>
<xf:item concept_id="162280" id="1066^NO^99DCT">
<xf:label>NO</xf:label>
<xf:value>1066^NO^99DCT</xf:value>
</xf:item>
<xf:item concept_id="162280" id="159835^Continue^99DCT">
<xf:label>Continue</xf:label>
<xf:value>159835^Continue^99DCT</xf:value>
</xf:item>
</xf:select1>
<xf:input bind="ipt_completed_date">
<xf:label>IPT_completed_date</xf:label>
<xf:hint>Date when IPT was completed.</xf:hint>
</xf:input><xf:input bind="othernoipt_specify">
<xf:label>OtherNoIPT_specify</xf:label>
</xf:input><xf:select bind="noipt_why">
<xf:label>NoIPT_Why</xf:label>
<xf:hint>If no IPT why?</xf:hint>
<xf:item concept_id="162289" id="current_slash_past_history_of_hepatitis">
<xf:label>Current/past history of hepatitis</xf:label>
<xf:value>current_slash_past_history_of_hepatitis</xf:value>
</xf:item>
<xf:item concept_id="162289" id="history_of_tb_treatment_in_the_past_2_years">
<xf:label>History of TB treatment in the past 2 years</xf:label>
<xf:value>history_of_tb_treatment_in_the_past_2_years</xf:value>
</xf:item>
<xf:item concept_id="162289" id="non-adherence_to_long_term_treatment">
<xf:label>Non-adherence to long term treatment</xf:label>
<xf:value>non-adherence_to_long_term_treatment</xf:value>
</xf:item>
<xf:item concept_id="162289" id="alcohol_abuse_regular_and_heavy_consumption">
<xf:label>Alcohol abuse (regular and heavy consumption)</xf:label>
<xf:value>alcohol_abuse_regular_and_heavy_consumption</xf:value>
</xf:item>
<xf:item concept_id="162289" id="medical_contraindication_to_inh">
<xf:label>Medical contraindication to INH</xf:label>
<xf:value>medical_contraindication_to_inh</xf:value>
</xf:item>
<xf:item concept_id="162289" id="symptoms_of_peripheral_neuropathy">
<xf:label>Symptoms of peripheral neuropathy</xf:label>
<xf:value>symptoms_of_peripheral_neuropathy</xf:value>
</xf:item>
<xf:item concept_id="162289" id="completed">
<xf:label>COMPLETED</xf:label>
<xf:value>completed</xf:value>
</xf:item>
<xf:item concept_id="162289" id="other_non-coded">
<xf:label>OTHER NON-CODED</xf:label>
<xf:value>other_non-coded</xf:value>
</xf:item>
<xf:item concept_id="162289" id="patient_refused">
<xf:label>Patient refused</xf:label>
<xf:value>patient_refused</xf:value>
</xf:item>
</xf:select>
<xf:group id="patient/patient_relative">
<xf:label>RELATIONSHIPS</xf:label>
<xf:hint>Relationships that this patient has.</xf:hint>
<xf:repeat bind="patient_relative">
<xf:input bind="patient_relative.person">
<xf:label>RELATIVE</xf:label>
</xf:input>
<xf:select1 bind="patient_relative.relationship">
<xf:item id="1A">
<xf:label>is Doctor [1]</xf:label>
<xf:value>1A</xf:value>
</xf:item>
<xf:item id="1B">
<xf:label>is Patient [1]</xf:label>
<xf:value>1B</xf:value>
</xf:item>
<xf:item id="2A">
<xf:label>is Sibling [2]</xf:label>
<xf:value>2A</xf:value>
</xf:item>
<xf:item id="3A">
<xf:label>is Parent [3]</xf:label>
<xf:value>3A</xf:value>
</xf:item>
<xf:item id="3B">
<xf:label>is Child [3]</xf:label>
<xf:value>3B</xf:value>
</xf:item>
<xf:item id="4A">
<xf:label>is Aunt/Uncle [4]</xf:label>
<xf:value>4A</xf:value>
</xf:item>
<xf:item id="4B">
<xf:label>is Niece/Nephew [4]</xf:label>
<xf:value>4B</xf:value>
</xf:item>
<xf:label>RELATIONSHIP</xf:label>
</xf:select1>
</xf:repeat>
</xf:group>
<xf:select1 bind="any_complaints"><xf:label>Any Complaints</xf:label><xf:item id="1066^NO^99DCT"><xf:label>No</xf:label><xf:value>1066^NO^99DCT</xf:value></xf:item><xf:item id="1065^YES^99DCT"><xf:label>Yes</xf:label><xf:value>1065^YES^99DCT</xf:value></xf:item></xf:select1></xf:group>
</xf:xforms></Xform><Layout><Form id="17"><Page Text="Page1" fontWeight="normal" fontSize="12px" fontFamily="Verdana, 'Lucida Grande', 'Trebuchet MS', Arial, Sans-Serif" Binding="Page1" Width="1000px" Height="2514px" backgroundColor=""><Item WidgetType="Label" Text="Follow up form" HelpText="Label" Binding="LEFT48pxTOP56px" Left="48px" Top="30px" TabIndex="0" fontWeight="bold" fontSize="20px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif" borderStyle="solid" borderWidth="1px" textAlign="center"/><Item WidgetType="TextBox" HelpText="NACP number" Binding="patient/patient.medical_record_number" Left="693px" Top="40px" Width="236px" Height="25px" TabIndex="114" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="NACP number" HelpText="NACP number" Binding="patient/patient.medical_record_number" Left="574px" Top="40px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="GroupBox" Binding="LEFT48pxTOP120px" Left="48px" Top="120px" Width="880px" Height="150px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif" borderStyle="solid"><Item WidgetType="Label" Text="PATIENT INFORMATION" HelpText="Header Label" Binding="LEFT48pxTOP120px" Left="0px" Top="0px" Width="100%" Height="20px" TabIndex="0" color="white" fontWeight="bold" fontSize="16px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif" backgroundColor="rgb(26, 172, 155)" textAlign="center" HeaderLabel="true"/><Item WidgetType="Label" Text="Sex" HelpText="Sex" Binding="patient/patient.sex" Left="10px" Top="90px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="TextBox" HelpText="Sex" Binding="patient/patient.sex" Left="10px" Top="110px" Width="218px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Date of birth" HelpText="Date of birth" Binding="patient/patient.birthdate" Left="250px" Top="90px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="DatePicker" HelpText="Date of birth" Binding="patient/patient.birthdate" Left="250px" Top="110px" Width="251px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="TextBox" HelpText="Last name" Binding="patient/patient.family_name" Left="650px" Top="50px" Width="223px" Height="26px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Last name" HelpText="Last name" Binding="patient/patient.family_name" Left="650px" Top="27px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="TextBox" HelpText="Middle name" Binding="patient/patient.middle_name" Left="281px" Top="49px" Width="333px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Middle name" HelpText="Middle name" Binding="patient/patient.middle_name" Left="280px" Top="30px" Height="15px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="First name" HelpText="First name" Binding="patient/patient.given_name" Left="8px" Top="28px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="TextBox" HelpText="First name" Binding="patient/patient.given_name" Left="8px" Top="49px" Width="251px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/></Item><Item WidgetType="Label" Text="Visit date" HelpText="Visit Date" Binding="encounter/encounter.encounter_datetime" Left="576px" Top="76px" Height="0px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="DateTimeWidget" Binding="encounter/encounter.encounter_datetime" Left="692px" Top="80px" Width="238px" Height="26px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="GroupBox" Binding="LEFT48pxTOP290px" Left="48px" Top="281px" Width="880px" Height="1399px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif" borderStyle="solid"><Item WidgetType="Label" Text="HIV INFORMATION" HelpText="Header Label" Binding="LEFT48pxTOP290px" Left="0px" Top="0px" Width="100%" Height="20px" TabIndex="0" color="white" fontWeight="bold" fontSize="16px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif" backgroundColor="rgb(26, 172, 155)" textAlign="center" HeaderLabel="true"/><Item WidgetType="Label" HelpText="Label" Binding="LEFT0pxTOP170px" Left="0px" Top="66px" Width="880px" Height="2px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif" backgroundColor="black"/><Item WidgetType="Label" Text="HIV status of current partner" HelpText="HIV status of a partner" Binding="obs/partner_status/value" Left="9px" Top="40px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" HelpText="Label" Binding="LEFT0pxTOP755px" Left="0px" Top="821px" Width="880px" Height="0px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif" backgroundColor="black"/><Item WidgetType="Label" HelpText="Label" Binding="LEFT0pxTOP716px" Left="0px" Top="824px" Width="880px" Height="0px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif" backgroundColor="black"/><Item WidgetType="RadioButton" Text="AZT" HelpText="AZT" Binding="621^AZT^99DCT" ParentBinding="obs/pmtct_press/value" Left="712px" Top="382px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="NVP" HelpText="NVP" Binding="161130^NVP^99DCT" ParentBinding="obs/pmtct_press/value" Left="713px" Top="418px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Other" HelpText="OTHER NON-CODED" Binding="5622^OTHER NON-CODED^99DCT" ParentBinding="obs/pmtct_press/value" Left="717px" Top="450px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="If PMTCT, specify" HelpText="PMTCT_PRESS" Binding="obs/pmtct_press/value" Left="680px" Top="337px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" HelpText="Label" Binding="LEFT0pxTOP280px" Left="0px" Top="312px" Width="880px" Height="2px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif" backgroundColor="black"/><Item WidgetType="Label" Text="What family planning are you using? (select all that apply)" HelpText="What family planning are you using?-A question KIULARCO HIV_MRS follow_up form" Binding="obs/fam_planning/xforms_value" Left="14px" Top="213px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="CheckBox" Text="None" HelpText="NONE" Binding="none" ParentBinding="obs/fam_planning/xforms_value" Left="430px" Top="211px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="CheckBox" Text="Pills" HelpText="Pills" Binding="pills" ParentBinding="obs/fam_planning/xforms_value" Left="430px" Top="247px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="CheckBox" Text="Depo Injection" HelpText="Depo injection" Binding="depo_injection" ParentBinding="obs/fam_planning/xforms_value" Left="430px" Top="282px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="CheckBox" Text="Sterilization" HelpText="SURGICAL STERILIZATION STATUS" Binding="surgical_sterilization_status" ParentBinding="obs/fam_planning/xforms_value" Left="577px" Top="282px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="CheckBox" Text="IUD" HelpText="INTRAUTERINE DEVICE" Binding="intrauterine_device" ParentBinding="obs/fam_planning/xforms_value" Left="577px" Top="247px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="CheckBox" Text="Implants" HelpText="Implants" Binding="implants" ParentBinding="obs/fam_planning/xforms_value" Left="577px" Top="211px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="CheckBox" Text="Condoms" HelpText="CONDOMS" Binding="condoms" ParentBinding="obs/fam_planning/xforms_value" Left="730px" Top="211px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="CheckBox" Text="Trad/Withdrawl" HelpText="Trad/Withdrawl" Binding="trad_slash_withdrawl" ParentBinding="obs/fam_planning/xforms_value" Left="730px" Top="247px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" HelpText="Label" Binding="LEFT0pxTOP170px" Left="0px" Top="203px" Width="880px" Height="2px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif" backgroundColor="black"/><Item WidgetType="Label" Text="Date of birth of child" HelpText="Date of birth of child" Binding="obs/date_child_birth/value" Left="19px" Top="167px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="PAEDS/NACP number" HelpText="PAEDS/NACP number" Binding="obs/paed_nacpno/value" Left="434px" Top="172px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="No" HelpText="NO" Binding="1066^NO^99DCT" ParentBinding="obs/pregnant/value" Left="78px" Top="75px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Yes" HelpText="YES" Binding="1065^YES^99DCT" ParentBinding="obs/pregnant/value" Left="130px" Top="75px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="ANC number" HelpText="ANC number-A question KIULARCO HIV_MRS follow_up form" Binding="obs/anc_number/value" Left="449px" Top="109px" Height="1px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="DatePicker" HelpText="EDD number-A question KIULARCO HIV_MRS follow_up form" Binding="obs/edd_number/value" Left="207px" Top="103px" Width="169px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="TextBox" HelpText="ANC number-A question KIULARCO HIV_MRS follow_up form" Binding="obs/anc_number/value" Left="567px" Top="100px" Width="222px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="No" HelpText="NO" Binding="1066^NO^99DCT" ParentBinding="obs/birth_last_visit/value" Left="426px" Top="138px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Yes" HelpText="YES" Binding="1065^YES^99DCT" ParentBinding="obs/birth_last_visit/value" Left="500px" Top="139px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Expected date of delivery" HelpText="EDD number-A question KIULARCO HIV_MRS follow_up form" Binding="obs/edd_number/value" Left="13px" Top="110px" Height="0px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Pregnant" HelpText="pregnant-a question on KIULARCO HIV_MRS follow-up form" Binding="obs/pregnant/value" Left="14px" Top="76px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Did you give birth to a child since your last clinical visit?" HelpText="Did you give birth to a child since your last clinical visit?" Binding="obs/birth_last_visit/value" Left="20px" Top="140px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="DatePicker" HelpText="Date of birth of child" Binding="obs/date_child_birth/value" Left="206px" Top="169px" Width="171px" Height="25px" TabIndex="109" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="TextBox" HelpText="PAEDS/NACP number" Binding="obs/paed_nacpno/value" Left="597px" Top="169px" Width="227px" Height="25px" TabIndex="111" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Specify other reason for missed doses" HelpText="Specify other reason for missed dosesA question on KIULARCO HIV_MRS follow_up form" Binding="obs/other_pooradh/value" Left="29px" Top="1322px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="TextArea" HelpText="Specify other reason for missed dosesA question on KIULARCO HIV_MRS follow_up form" Binding="obs/other_pooradh/value" Left="364px" Top="1317px" Width="477px" Height="71px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="CheckBox" Text="Lost or ran out of medication" HelpText="Lost or ran out of medication" Binding="lost_or_ran_out_of_medication" ParentBinding="obs/poor_adh_reas/xforms_value" Left="644px" Top="1090px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="CheckBox" Text="Inability to pay" HelpText="Inability to pay" Binding="cannot_afford_treatment" ParentBinding="obs/poor_adh_reas/xforms_value" Left="644px" Top="1120px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="CheckBox" Text="Alcohol " HelpText="Alcohol Abuse" Binding="alcohol_abuse" ParentBinding="obs/poor_adh_reas/xforms_value" Left="644px" Top="1150px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="CheckBox" Text="Depression" HelpText="Depression" Binding="depression" ParentBinding="obs/poor_adh_reas/xforms_value" Left="645px" Top="1180px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="CheckBox" Text="Shares medications with others" HelpText="Shares medications with others" Binding="shares_medications_with_others" ParentBinding="obs/poor_adh_reas/xforms_value" Left="392px" Top="1120px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="CheckBox" Text="Forgot" HelpText="Forgot to take medication" Binding="forgot_to_take_medication" ParentBinding="obs/poor_adh_reas/xforms_value" Left="392px" Top="1150px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="CheckBox" Text="Toxicity" HelpText="Toxicity" Binding="reason_for_poor_treatment_adherence" ParentBinding="obs/poor_adh_reas/xforms_value" Left="392px" Top="1092px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="CheckBox" Text="Felt better" HelpText="Felt better and stopped taking medication" Binding="felt_better_and_stopped_taking_medication" ParentBinding="obs/poor_adh_reas/xforms_value" Left="392px" Top="1180px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="CheckBox" Text="Too ill " HelpText="Felt too ill to take medication" Binding="felt_too_ill_to_take_medication" ParentBinding="obs/poor_adh_reas/xforms_value" Left="392px" Top="1210px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="CheckBox" Text="Delivery/travel problems" HelpText="Delivery/travel problems" Binding="transport_problems" ParentBinding="obs/poor_adh_reas/xforms_value" Left="644px" Top="1210px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="CheckBox" Text="Other" HelpText="OTHER NON-CODED" Binding="other_non-coded" ParentBinding="obs/poor_adh_reas/xforms_value" Left="644px" Top="1240px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="CheckBox" Text="Stigma" HelpText="Concerned about privacy/stigma" Binding="concerned_about_privacy_slash_stigma" ParentBinding="obs/poor_adh_reas/xforms_value" Left="392px" Top="1240px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="CheckBox" Text="Pharmacy drug stock out" HelpText="Pharmacy drug stock out" Binding="medications_unavailable" ParentBinding="obs/poor_adh_reas/xforms_value" Left="392px" Top="1270px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Reason for any missed doses (select all that apply)" HelpText="Reason for any missed doses (select all that apply)-A question on KIULARCO HIV_MRS follow_up form" Binding="obs/poor_adh_reas/xforms_value" Left="21px" Top="1090px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Yes" HelpText="YES" Binding="1065^YES^99DCT" ParentBinding="obs/miss_2day/value" Left="388px" Top="1042px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="No" HelpText="NO" Binding="1066^NO^99DCT" ParentBinding="obs/miss_2day/value" Left="339px" Top="1043px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Missed ≥ 2 doses of ART" HelpText="Missed&gt;doses of ART-A question on KIULARCO HIV_MRS follow_up form" Binding="obs/miss_2day/value" Left="23px" Top="1045px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Yes" HelpText="YES" Binding="1065^YES^99DCT" ParentBinding="obs/miss_holiday/value" Left="390px" Top="999px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Ever miss more than one dose of ARV in a row" HelpText="Ever miss more than one dose of ARV in a row-A question on KIULARCO HIV_MRS follow_up form" Binding="obs/miss_holiday/value" Left="23px" Top="999px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="No" HelpText="NO" Binding="1066^NO^99DCT" ParentBinding="obs/miss_holiday/value" Left="340px" Top="999px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="How often did the patient miss a does of ARV drugs in the previous 4 weeks" HelpText="How often did the patient miss a does of ARV drugs in the previous 4 weeks-A question on KIULARCO HIV_MRS follow_up form" Binding="obs/missed/value" Left="25px" Top="934px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Daily" HelpText="Daily" Binding="161201^Daily^99DCT" ParentBinding="obs/missed/value" Left="759px" Top="956px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Never" HelpText="NEVER" Binding="1090^NEVER^99DCT" ParentBinding="obs/missed/value" Left="254px" Top="953px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Once a month" HelpText="once a month" Binding="161196^once a month^99DCT" ParentBinding="obs/missed/value" Left="341px" Top="955px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Once overy 2 weeks" HelpText="once overy 2 weeks" Binding="161198^once overy 2 weeks^99DCT" ParentBinding="obs/missed/value" Left="474px" Top="954px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Once a week" HelpText="Once a week" Binding="161199^Once a week^99DCT" ParentBinding="obs/missed/value" Left="641px" Top="954px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="TextBox" HelpText="Number of ARV doses remaining-A question on KIULARCO HIV_MRS follow_up form" Binding="obs/pills_rem/value" Left="681px" Top="887px" Width="164px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Yes" HelpText="YES" Binding="1065^YES^99DCT" ParentBinding="obs/pill_box/value" Left="268px" Top="890px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="No" HelpText="NO" Binding="1066^NO^99DCT" ParentBinding="obs/pill_box/value" Left="206px" Top="888px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Number of days of ART remaining remaining" HelpText="Number of ARV doses remaining-A question on KIULARCO HIV_MRS follow_up form" Binding="obs/pills_rem/value" Left="368px" Top="893px" Width="300px" Height="0px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Was pill box returned?" HelpText="Was pill box returned?-A question on KIULARCO HIV_MRS follow_up form" Binding="obs/pill_box/value" Left="24px" Top="883px" Height="23px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" HelpText="Label" Binding="LEFT0pxTOP986px" Left="0px" Top="1300px" Width="880px" Height="2px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif" backgroundColor="black"/><Item WidgetType="Label" HelpText="Label" Binding="LEFT0pxTOP794px" Left="0px" Top="1074px" Width="880px" Height="2px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif" backgroundColor="black"/><Item WidgetType="Label" HelpText="Label" Binding="LEFT0pxTOP716px" Left="0px" Top="1028px" Width="880px" Height="2px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif" backgroundColor="black"/><Item WidgetType="Label" HelpText="Label" Binding="LEFT0pxTOP716px" Left="0px" Top="982px" Width="880px" Height="2px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif" backgroundColor="black"/><Item WidgetType="Label" HelpText="Label" Binding="LEFT0pxTOP658px" Left="0px" Top="924px" Width="880px" Height="2px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif" backgroundColor="black"/><Item WidgetType="Label" HelpText="Label" Binding="LEFT0pxTOP614px" Left="0px" Top="872px" Width="880px" Height="2px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif" backgroundColor="black"/><Item WidgetType="RadioButton" Text="Unknown" HelpText="UNKNOWN" Binding="1067^UNKNOWN^99DCT" ParentBinding="obs/partner_status/value" Left="640px" Top="40px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="NA" HelpText="NOT APPLICABLE" Binding="1175^NOT APPLICABLE^99DCT" ParentBinding="obs/partner_status/value" Left="245px" Top="41px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Positive" HelpText="HIV Positive" Binding="138571^HIV Positive^99DCT" ParentBinding="obs/partner_status/value" Left="320px" Top="41px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Negative" HelpText="NEGATIVE" Binding="664^NEGATIVE^99DCT" ParentBinding="obs/partner_status/value" Left="428px" Top="41px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Not tested" HelpText="HIV STATUS UNKNOWN, NEVER TESTED" Binding="1402^HIV STATUS UNKNOWN, NEVER TESTED^99DCT" ParentBinding="obs/partner_status/value" Left="528px" Top="41px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="ART at presentation" HelpText="ART_PRES" Binding="obs/art_pres/value" Left="8px" Top="324px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="NONE" HelpText="NONE" Binding="1107^NONE^99DCT" ParentBinding="obs/art_pres/value" Left="251px" Top="325px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="PMTCT" HelpText="PMTCT" Binding="161503^PMTCT^99DCT" ParentBinding="obs/art_pres/value" Left="251px" Top="350px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="1g=TDF+3TC+EFV" HelpText="1g=TDF+3TC+EFV" Binding="161170^1g=TDF+3TC+EFV^99DCT" ParentBinding="obs/art_pres/value" Left="252px" Top="393px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="1b=AZT+3TC+NVP" HelpText="1b=AZT+3TC+NVP" Binding="161155^1b=AZT+3TC+NVP^99DCT" ParentBinding="obs/art_pres/value" Left="251px" Top="416px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="PEP" HelpText="PEP" Binding="161504^PEP^99DCT" ParentBinding="obs/art_pres/value" Left="252px" Top="372px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="ABC, 3TC, LPV/r 1n-P" HelpText="ABC, 3TC, LPV/r 1n-P" Binding="161931^ABC, 3TC, LPV/r 1n-P^99DCT" ParentBinding="obs/art_pres/value" Left="252px" Top="438px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="1c=AZT+3TC+EFV" HelpText="1c=AZT+3TC+EFV" Binding="161156^1c=AZT+3TC+EFV^99DCT" ParentBinding="obs/art_pres/value" Left="253px" Top="462px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="1e=TDF+FTC+EFV" HelpText="1e=TDF+FTC+EFV" Binding="161164^1e=TDF+FTC+EFV^99DCT" ParentBinding="obs/art_pres/value" Left="253px" Top="486px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="1f=TDF+FTC+NVP" HelpText="1f=TDF+FTC+NVP" Binding="161168^1f=TDF+FTC+NVP^99DCT" ParentBinding="obs/art_pres/value" Left="253px" Top="509px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="1k-A ABC, 3TC, EFV 1k-P" HelpText="1k-A ABC, 3TC, EFV 1k-P" Binding="161920^1k-A ABC, 3TC, EFV 1k-P^99DCT" ParentBinding="obs/art_pres/value" Left="254px" Top="531px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="1m-A ABC, 3TC, NVP 1m-P" HelpText="1m-A ABC, 3TC, NVP 1m-P" Binding="161921^1m-A ABC, 3TC, NVP 1m-P^99DCT" ParentBinding="obs/art_pres/value" Left="254px" Top="553px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="2h-A TDF, FTC, ATV/r" HelpText="2h-A TDF, FTC, ATV/r" Binding="161922^2h-A TDF, FTC, ATV/r^99DCT" ParentBinding="obs/art_pres/value" Left="254px" Top="622px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="2f=TDF+FTC+LPV/r" HelpText="2f=TDF+FTC+LPV/r" Binding="161187^2f=TDF+FTC+LPV/r^99DCT" ParentBinding="obs/art_pres/value" Left="254px" Top="598px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="1x=Other1stline" HelpText="1x=Other1stline" Binding="161176^1x=Other1stline^99DCT" ParentBinding="obs/art_pres/value" Left="254px" Top="575px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="2s-A AZT, 3TC, ATV/r" HelpText="2s-A AZT, 3TC, ATV/r" Binding="161923^2s-A AZT, 3TC, ATV/r^99DCT" ParentBinding="obs/art_pres/value" Left="254px" Top="645px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="2e=TDF+3TC+LPV/r" HelpText="2e=TDF+3TC+LPV/r" Binding="161185^2e=TDF+3TC+LPV/r^99DCT" ParentBinding="obs/art_pres/value" Left="255px" Top="690px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="2k-A ABC, 3TC, ATV/r" HelpText="2k-A ABC, 3TC, ATV/r" Binding="161924^2k-A ABC, 3TC, ATV/r^99DCT" ParentBinding="obs/art_pres/value" Left="255px" Top="711px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="2m-A TDF, 3TC, ATV/r" HelpText="2m-A TDF, 3TC, ATV/r" Binding="161925^2m-A TDF, 3TC, ATV/r^99DCT" ParentBinding="obs/art_pres/value" Left="254px" Top="734px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="2n-A AZT, 3TC, LPV/r 2n-P" HelpText="2n-A AZT, 3TC, LPV/r 2n-P" Binding="161926^2n-A AZT, 3TC, LPV/r 2n-P^99DCT" ParentBinding="obs/art_pres/value" Left="254px" Top="755px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="AZT, 3TC, EFV 2t-P" HelpText="AZT, 3TC, EFV 2t-P" Binding="161927^AZT, 3TC, EFV 2t-P^99DCT" ParentBinding="obs/art_pres/value" Left="255px" Top="776px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="5a AZT" HelpText="5a AZT" Binding="161928^5a AZT^99DCT" ParentBinding="obs/art_pres/value" Left="255px" Top="797px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="5b AZT, 3TC, NVP" HelpText="5b AZT, 3TC, NVP" Binding="161929^5b AZT, 3TC, NVP^99DCT" ParentBinding="obs/art_pres/value" Left="256px" Top="819px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="5c AZT, 3TC" HelpText="5c AZT, 3TC" Binding="161930^5c AZT, 3TC^99DCT" ParentBinding="obs/art_pres/value" Left="256px" Top="841px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="2g=ABC+3TC+LPV/r" HelpText="2g=ABC+3TC+LPV/r" Binding="161190^2g=ABC+3TC+LPV/r^99DCT" ParentBinding="obs/art_pres/value" Left="253px" Top="667px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="2x=Other2ndline" HelpText="2x=Other2ndline" Binding="161195^2x=Other2ndline^99DCT" ParentBinding="obs/art_pres/value" Left="500px" Top="326px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="DTG+ATV/r+ETV" HelpText="DTG+ATV/r+ETV" Binding="162056^DTG+ATV/r+ETV^99DCT" ParentBinding="obs/art_pres/value" Left="500px" Top="350px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="DTG+ETV+3TC" HelpText="DTG+ETV+3TC" Binding="162057^DTG+ETV+3TC^99DCT" ParentBinding="obs/art_pres/value" Left="501px" Top="373px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="DTG+ETV+FTC" HelpText="DTG+ETV+FTC" Binding="162058^DTG+ETV+FTC^99DCT" ParentBinding="obs/art_pres/value" Left="501px" Top="398px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="DTG+DRV/r+ETV" HelpText="DTG+DRV/r+ETV" Binding="162059^DTG+DRV/r+ETV^99DCT" ParentBinding="obs/art_pres/value" Left="501px" Top="422px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="RAL+DRV/r+ETV" HelpText="RAL+DRV/r+ETV" Binding="162060^RAL+DRV/r+ETV^99DCT" ParentBinding="obs/art_pres/value" Left="501px" Top="447px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="RAL+ATV/r+ETV" HelpText="RAL+ATV/r+ETV" Binding="162061^RAL+ATV/r+ETV^99DCT" ParentBinding="obs/art_pres/value" Left="503px" Top="471px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="DRV/r+ABC+3TC" HelpText="DRV/r+ABC+3TC" Binding="162062^DRV/r+ABC+3TC^99DCT" ParentBinding="obs/art_pres/value" Left="502px" Top="495px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="DRV/r+ABC/3TC" HelpText="DRV/r+ABC/3TC" Binding="162063^DRV/r+ABC/3TC^99DCT" ParentBinding="obs/art_pres/value" Left="503px" Top="521px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="DRV/r+AZT+3TC" HelpText="DRV/r+AZT+3TC" Binding="162064^DRV/r+AZT+3TC^99DCT" ParentBinding="obs/art_pres/value" Left="504px" Top="547px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="DRV+RTV+ABC+3TC" HelpText="DRV+RTV+ABC+3TC" Binding="162065^DRV+RTV+ABC+3TC^99DCT" ParentBinding="obs/art_pres/value" Left="504px" Top="570px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="DRV+RTV+AZT+3TC" HelpText="DRV+RTV+AZT+3TC" Binding="162066^DRV+RTV+AZT+3TC^99DCT" ParentBinding="obs/art_pres/value" Left="503px" Top="598px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="DTG+DRV/r+1-2NRTI" HelpText="DTG+DRV/r+1-2NRTI" Binding="162067^DTG+DRV/r+1-2NRTI^99DCT" ParentBinding="obs/art_pres/value" Left="503px" Top="625px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="DTG+DRV/r" HelpText="DTG+DRV/r" Binding="162278^DTG+DRV/r^99DCT" ParentBinding="obs/art_pres/value" Left="503px" Top="652px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="RAL+DRV/r+1-2NRTI" HelpText="RAL+DRV/r+1-2NRTI" Binding="162069^RAL+DRV/r+1-2NRTI^99DCT" ParentBinding="obs/art_pres/value" Left="502px" Top="679px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="RAL+DRV/r" HelpText="RAL+DRV/r" Binding="162279^RAL+DRV/r^99DCT" ParentBinding="obs/art_pres/value" Left="502px" Top="706px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="DTG+ABC+3TC" HelpText="DTG+ABC+3TC" Binding="162071^DTG+ABC+3TC^99DCT" ParentBinding="obs/art_pres/value" Left="502px" Top="732px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="DTG+AZT+3TC" HelpText="DTG+AZT+3TC" Binding="162072^DTG+AZT+3TC^99DCT" ParentBinding="obs/art_pres/value" Left="502px" Top="758px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="RAL+ABC+3TC" HelpText="RAL+ABC+3TC" Binding="162073^RAL+ABC+3TC^99DCT" ParentBinding="obs/art_pres/value" Left="503px" Top="785px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="RAL+AZT+3TC" HelpText="RAL+AZT+3TC" Binding="162074^RAL+AZT+3TC^99DCT" ParentBinding="obs/art_pres/value" Left="502px" Top="810px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="3x=Other3rdline" HelpText="3x=Other3rdline" Binding="162135^3x=Other3rdline^99DCT" ParentBinding="obs/art_pres/value" Left="504px" Top="834px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="1a(30)L=d4T(30)+3TC+NVP" HelpText="1a(30)L=d4T(30)+3TC+NVP" Binding="161153^1a(30)L=d4T(30)+3TC+NVP^99DCT" ParentBinding="obs/art_pres/value" Left="10px" Top="731px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="1d=d4T+3TC+EFV" HelpText="1d=d4T+3TC+EFV" Binding="161159^1d=d4T+3TC+EFV^99DCT" ParentBinding="obs/art_pres/value" Left="10px" Top="750px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="1d(30)=d4T(30)+3TC+EFV" HelpText="1d(30)=d4T(30)+3TC+EFV" Binding="161163^1d(30)=d4T(30)+3TC+EFV^99DCT" ParentBinding="obs/art_pres/value" Left="9px" Top="770px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="1h=TDF+3TC+NVP" HelpText="1h=TDF+3TC+NVP" Binding="161171^1h=TDF+3TC+NVP^99DCT" ParentBinding="obs/art_pres/value" Left="10px" Top="786px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="2a=ABC+ddl+LPV/r" HelpText="2a=ABC+ddl+LPV/r" Binding="161178^2a=ABC+ddl+LPV/r^99DCT" ParentBinding="obs/art_pres/value" Left="10px" Top="803px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="2b=ABC+ddl+SQV/r" HelpText="2b=ABC+ddl+SQV/r" Binding="161180^2b=ABC+ddl+SQV/r^99DCT" 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fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/></Item><Item WidgetType="GroupBox" Binding="LEFT48pxTOP1410px" Left="47px" Top="1691px" Width="880px" Height="240px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif" borderStyle="solid"><Item WidgetType="Label" Text="TOXIC HABITS AND ALLERGIES" HelpText="Header Label" Binding="LEFT48pxTOP1410px" Left="0px" Top="0px" Width="100%" Height="20px" TabIndex="0" color="white" fontWeight="bold" fontSize="16px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif" backgroundColor="rgb(26, 172, 155)" textAlign="center" HeaderLabel="true"/><Item WidgetType="RadioButton" Text="Yes" HelpText="YES" Binding="1065^YES^99DCT" ParentBinding="obs/chew_tobacco/value" Left="240px" Top="34px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Average number of cigarettes smoked per day" HelpText="Avarage number of cigarettes smoked per day-A question on KIULARCO HIV_MRS follow_up form" Binding="obs/avg-cig/value" Left="359px" Top="70px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="No" HelpText="NO" Binding="1066^NO^99DCT" ParentBinding="obs/chew_tobacco/value" Left="190px" Top="34px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="No" HelpText="NO" Binding="1066^NO^99DCT" ParentBinding="obs/smoke_cig/value" Left="190px" Top="71px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Yes" HelpText="YES" Binding="1065^YES^99DCT" ParentBinding="obs/alcohol/value" Left="241px" Top="118px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="No" HelpText="NO" Binding="1066^NO^99DCT" ParentBinding="obs/alcohol/value" Left="191px" Top="118px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" HelpText="Label" Binding="LEFT0pxTOP986px" Left="0px" Top="103px" Width="880px" Height="2px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif" backgroundColor="black"/><Item WidgetType="RadioButton" Text="Yes" HelpText="YES" Binding="1065^YES^99DCT" ParentBinding="obs/alcohol_daily/value" Left="284px" Top="161px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="No" HelpText="NO" Binding="1066^NO^99DCT" ParentBinding="obs/alcohol_daily/value" Left="209px" Top="161px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Yes" HelpText="YES" Binding="1065^YES^99DCT" ParentBinding="obs/alcohol_weekly/value" Left="283px" Top="204px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="No" HelpText="NO" Binding="1066^NO^99DCT" ParentBinding="obs/alcohol_weekly/value" Left="208px" Top="203px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Number of standard drinks per week" HelpText="Number of standard drinks per week" Binding="obs/alcohol_npw/value" Left="408px" Top="202px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Number of standard drinks per day" HelpText="Number of standard drinks per day-A question on KIULARCO HIV_MRS follow_up form" Binding="obs/alcohol_amt/value" Left="408px" Top="160px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="TextBox" HelpText="Number of standard drinks per day-A question on KIULARCO HIV_MRS follow_up form" Binding="obs/alcohol_amt/value" Left="686px" Top="161px" Width="169px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Daily alcohol consumption" HelpText="Daily alcohol consumption-A question on KIULARCO HIV_MRS follow_up form" Binding="obs/alcohol_daily/value" Left="12px" Top="160px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Weekly alcohol consumption" HelpText="Weekly alcohol consumption-A question on KIULARCO HIV_MRS follow_up form" Binding="obs/alcohol_weekly/value" Left="13px" Top="202px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="TextBox" HelpText="Number of standard drinks per week" Binding="obs/alcohol_npw/value" Left="685px" Top="201px" Width="168px" Height="25px" TabIndex="26" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="CheckBox" Text="Liquor" HelpText="Liquor" Binding="liquor" ParentBinding="obs/alcohol_type/xforms_value" Left="699px" Top="118px" TabIndex="25" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="CheckBox" Text="Other" HelpText="OTHER NON-CODED" Binding="other_non-coded" ParentBinding="obs/alcohol_type/xforms_value" Left="780px" Top="118px" TabIndex="26" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Type of alcohol" HelpText="A question on KIULARCO HIV_MRS baseline form: alcohol type taken this patient." Binding="obs/alcohol_type/xforms_value" Left="407px" Top="119px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="CheckBox" Text="Beer" HelpText="Beer" Binding="beer" ParentBinding="obs/alcohol_type/xforms_value" Left="633px" Top="117px" TabIndex="24" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Currently consume alcohol" HelpText="Currently consume alcohol-A question on KIULARCO HIV_MRS follow_up form" Binding="obs/alcohol/value" Left="11px" Top="118px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Yes" HelpText="YES" Binding="1065^YES^99DCT" ParentBinding="obs/smoke_cig/value" Left="242px" Top="70px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="TextBox" HelpText="Avarage number of cigarettes smoked per day-A question on KIULARCO HIV_MRS follow_up form" Binding="obs/avg-cig/value" Left="683px" Top="70px" Width="166px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Smoking" HelpText="Smoking-A question on KIULARCO HIV_MRS follow_up form" Binding="obs/smoke_cig/value" Left="9px" Top="73px" Height="14px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Chew tobacco" HelpText="Chew tobacco-A question on KIULARCO HIV_MRS follow_up form" Binding="obs/chew_tobacco/value" Left="9px" Top="32px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/></Item><Item WidgetType="GroupBox" Binding="LEFT48pxTOP1601px-null" Left="46px" Top="1938px" Width="880px" Height="190px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif" borderStyle="solid" borderColor="rgb(26, 172, 155)"><Item WidgetType="Label" Text="HOSPITALIZATIONS" HelpText="Header Label" Binding="LEFT48pxTOP1601px-null" Left="0px" Top="0px" Width="100%" Height="20px" TabIndex="0" color="white" fontWeight="bold" fontSize="16px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif" backgroundColor="rgb(26, 172, 155)" textAlign="center" HeaderLabel="true"/><Item WidgetType="Label" Text="Date of 2nd admission" HelpText="Date of 2nd admission-A question on KIULARCO HIV_MRS follow_up" Binding="obs/hosp_date2/value" Left="11px" Top="111px" Height="1px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Date of 3rd admission" HelpText="Date of 3rd admission-A question on KIULARCO HIV_MRS follow_up form" Binding="obs/hosp_date3/value" Left="11px" Top="151px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="ICD10 code for 2nd admission" HelpText="ICD10 code for 2nd admission-A question on KIULARCO HIV_MRS follow_up form" Binding="obs/hosp_ind2/value" Left="509px" Top="109px" Height="2px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="ICD10 code for 3rd admission" HelpText="ICD10 code for 3rd admission-A question on KIULARCO HIV_MRS follow_up form" Binding="obs/hosp_ind3/value" Left="509px" Top="149px" Height="13px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="TextBox" HelpText="ICD10 code for 3rd admission-A question on KIULARCO HIV_MRS follow_up form" Binding="obs/hosp_ind3/value" Left="721px" Top="149px" Width="133px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="TextBox" HelpText="ICD10 code for 2nd admission-A question on KIULARCO HIV_MRS follow_up form" Binding="obs/hosp_ind2/value" Left="720px" Top="109px" Width="133px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="TextBox" HelpText="ICD10 code for 1st admission-A question on KIULARCO HIV_MRS follow_up" Binding="obs/hosp_ind1/value" Left="720px" Top="69px" Width="133px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="DatePicker" HelpText="Date of 1st admission-A question on KIULARCO HIV_MRS follow_up" Binding="obs/hosp_date1/value" Left="201px" Top="71px" Width="200px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="DatePicker" HelpText="Date of 2nd admission-A question on KIULARCO HIV_MRS follow_up" Binding="obs/hosp_date2/value" Left="201px" Top="111px" Width="200px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="DatePicker" HelpText="Date of 3rd admission-A question on KIULARCO HIV_MRS follow_up form" Binding="obs/hosp_date3/value" Left="201px" Top="151px" Width="200px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Yes" HelpText="YES" Binding="1065^YES^99DCT" ParentBinding="obs/hosp_adm/value" Left="291px" Top="35px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Other" HelpText="OTHER NON-CODED" Binding="5622^OTHER NON-CODED^99DCT" ParentBinding="obs/hosp_loc/value" Left="670px" Top="35px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" HelpText="Label" Binding="LEFT0pxTOP986px" Left="0px" Top="59px" Width="880px" Height="2px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif" backgroundColor="black"/><Item WidgetType="RadioButton" Text="No" HelpText="NO" Binding="1066^NO^99DCT" ParentBinding="obs/hosp_adm/value" Left="243px" Top="35px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Date of 1st admission" HelpText="Date of 1st admission-A question on KIULARCO HIV_MRS follow_up" Binding="obs/hosp_date1/value" Left="11px" Top="71px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="ICD10 code for 1st admission" HelpText="ICD10 code for 1st admission-A question on KIULARCO HIV_MRS follow_up" Binding="obs/hosp_ind1/value" Left="507px" Top="69px" Height="3px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="SFRH" HelpText="SFDH" Binding="161537^SFDH^99DCT" ParentBinding="obs/hosp_loc/value" Left="590px" Top="35px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Hospital admission since last visit" HelpText="Hospital admission since last visit-A question on KIULARCO HIV_MRS follow_up" Binding="obs/hosp_adm/value" Left="10px" Top="35px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Location of hospitalization" HelpText="Location of hospital" Binding="obs/hosp_loc/value" Left="403px" Top="35px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/></Item><Item WidgetType="Label" Text="Go to the Top of the Page, and click on Page 2" HelpText="Label" Binding="LEFT248pxTOP1345px" Left="407px" Top="2143px" TabIndex="0" fontWeight="bold" fontSize="20px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/></Page><Page Text="Page2" fontWeight="normal" fontSize="12px" fontFamily="Verdana, 'Lucida Grande', 'Trebuchet MS', Arial, Sans-Serif" Binding="Page2" Width="1000px" Height="2400px" backgroundColor=""><Item WidgetType="Label" HelpText="Label" Binding="LEFT0pxTOP285px" Left="118px" Top="556px" Width="880px" Height="0px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif" backgroundColor="black"/><Item WidgetType="Label" Text="Go to the Top of the Page, and click on Page 3" HelpText="Label" Binding="LEFT184pxTOP2078px" Left="405px" Top="2151px" TabIndex="0" fontWeight="bold" fontSize="20px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="GroupBox" Binding="LEFT48pxTOP510px" Left="48px" Top="652px" Width="880px" Height="1563px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif" borderStyle="solid"><Item WidgetType="Label" Text="PHYSICAL EXAM" HelpText="Header Label" Binding="LEFT48pxTOP510px" Left="0px" Top="0px" Width="100%" Height="20px" TabIndex="0" color="white" fontWeight="bold" fontSize="16px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif" backgroundColor="rgb(26, 172, 155)" textAlign="center" HeaderLabel="true"/><Item WidgetType="Label" HelpText="Label" Binding="LEFT0pxTOP50px" Left="0px" Top="50px" Width="880px" Height="2px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif" backgroundColor="black"/><Item WidgetType="Label" HelpText="Label" Binding="LEFT0pxTOP90px" Left="0px" Top="90px" Width="880px" Height="2px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif" backgroundColor="black"/><Item WidgetType="RadioButton" Text="Cyanotic" HelpText="Cyanotic" Binding="161361^Cyanotic^99DCT" 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fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="ICD10 for 6th diagnosis" HelpText="ICD10 for 6th diagnosis during visit-A question on KIULARCO HIV_MRS follow_up" Binding="obs/icd_dx6/value" Left="426px" Top="110px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="ICD10 for 5th diagnosis" HelpText="ICD10 for 5th diagnosis during visit-A question on KIULARCO HIV_MRS follow_up" Binding="obs/icd_dx5/value" Left="12px" Top="110px" Height="2px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="CheckBox" Text="Clinical" HelpText="Clinical" Binding="clinical" ParentBinding="obs/txt_failure/xforms_value" Left="364px" Top="528px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="CheckBox" Text="Immunological" HelpText="Immunological" Binding="immunological" ParentBinding="obs/txt_failure/xforms_value" Left="445px" Top="529px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="CheckBox" Text="Virologic failure" HelpText="Virologic failure" Binding="virologic_failure" ParentBinding="obs/txt_failure/xforms_value" Left="582px" Top="529px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" HelpText="Label" Binding="LEFT0pxTOP455px" Left="0px" Top="480px" Width="880px" Height="2px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif" backgroundColor="black"/><Item WidgetType="Label" HelpText="Label" Binding="LEFT0pxTOP275px" Left="0px" Top="315px" Width="880px" Height="3px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif" backgroundColor="black"/><Item WidgetType="Label" Text="Reason 1 for WHO status change (ICD10)" HelpText="If WHO Stage has changed since last visit,reason 1 for change" Binding="obs/whostage_icd1/value" Left="11px" Top="372px" Height="1px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Reason 2 for WHO status change (ICD10)" HelpText="If WHO Stage has changed since last visit,reason 2 for changev" Binding="obs/whostage_icd2/value" Left="10px" Top="406px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="TextBox" HelpText="If WHO Stage has changed since last visit,reason 2 for changev" Binding="obs/whostage_icd2/value" Left="346px" Top="404px" Width="340px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Reason 3 for WHO status change (ICD10)" HelpText="If WHO Stage has changed since last visit,reason 3 for change" Binding="obs/whostage_icd3/value" Left="10px" Top="449px" Height="1px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="TextBox" HelpText="If WHO Stage has changed since last visit,reason 3 for change" Binding="obs/whostage_icd3/value" Left="346px" Top="442px" Width="340px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Not applicable" HelpText="NOT APPLICABLE" Binding="1175^NOT APPLICABLE^99DCT" ParentBinding="obs/iris/value" Left="119px" Top="253px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="No" HelpText="NO" Binding="1066^NO^99DCT" ParentBinding="obs/iris/value" Left="254px" Top="252px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" HelpText="Label" Binding="LEFT0pxTOP200px" Left="0px" Top="241px" Width="880px" Height="2px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif" backgroundColor="black"/><Item WidgetType="CheckBox" Text="On treatment" HelpText="on treatment" Binding="on_treatment" ParentBinding="obs/tb_screen_dx/xforms_value" Left="431px" Top="142px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="CheckBox" Text="No signs and symptoms for TB" HelpText="NEGATIVE" Binding="negative" ParentBinding="obs/tb_screen_dx/xforms_value" Left="634px" Top="143px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="CheckBox" Text="Sputum sample positive" HelpText="Sputum sample positive" Binding="sputum_sample_positive" ParentBinding="obs/tb_screen_dx/xforms_value" Left="662px" Top="175px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="CheckBox" Text="Sputum sample negative" HelpText="Sputum sample negative" Binding="sputum_sample_negative" ParentBinding="obs/tb_screen_dx/xforms_value" Left="3px" Top="209px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="CheckBox" Text="Chest X-ray suggestive of TB" HelpText="Chest X-ray suggestive of TB" Binding="chest_x-ray_suggestive_of_tb" ParentBinding="obs/tb_screen_dx/xforms_value" Left="433px" Top="210px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="CheckBox" Text="Chest X-ray not suggestive of TB" HelpText="Chest X-ray not suggestive of TB" Binding="chest_x-ray_not_suggestive_of_tb" ParentBinding="obs/tb_screen_dx/xforms_value" Left="648px" Top="210px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="ICD10 for 1st diagnosis " HelpText="A question on KIULARCO HIV_MRS follow_up form: ICD10 for 1st diagnosis during visit" Binding="obs/icd_dx1/value" Left="12px" Top="30px" Height="0px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="ICD10 for 2nd diagnosis" HelpText="ICD10 for 2nd diagnosis during visit-A question on KIULARCO HIV_MRS follow_up" Binding="obs/icd_dx2/value" Left="421px" Top="30px" Height="7px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="ICD10 for 3rd diagnosis " HelpText="ICD10 for 3rd diagnosis during visit-A question on KIULARCO HIV_MRS follow_up" Binding="obs/icd_dx3/value" Left="12px" Top="70px" Height="0px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="CheckBox" Text="Suspect of extrapulmonary TB" HelpText="Suspect of extrapulmonary TB" Binding="suspect_of_extrapulmonary_tb" ParentBinding="obs/tb_screen_dx/xforms_value" Left="432px" Top="174px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="CheckBox" Text="Xpert from other material positive" HelpText="Xpert from other material positive" Binding="xpert_from_other_material_positive" ParentBinding="obs/tb_screen_dx/xforms_value" Left="191px" Top="210px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="CheckBox" Text="Suspect of pulmonary TB" HelpText="Suspect of pulmonary TB" Binding="suspect_of_pulmonary_tb" ParentBinding="obs/tb_screen_dx/xforms_value" Left="226px" Top="174px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="TextBox" HelpText="ICD10 for 4th diagnosis during visit-A question on KIULARCO HIV_MRS follow_up" Binding="obs/icd_dx4/value" Left="602px" Top="70px" Width="198px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="TextBox" HelpText="ICD10 for 2nd diagnosis during visit-A question on KIULARCO HIV_MRS follow_up" Binding="obs/icd_dx2/value" Left="602px" Top="30px" Width="197px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="TextBox" HelpText="ICD10 for 3rd diagnosis during visit-A question on KIULARCO HIV_MRS follow_up" Binding="obs/icd_dx3/value" Left="200px" Top="70px" Width="197px" Height="27px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="TextBox" HelpText="ICD10 for 5th diagnosis during visit-A question on KIULARCO HIV_MRS follow_up" Binding="obs/icd_dx5/value" Left="200px" Top="110px" Width="197px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="TextBox" HelpText="ICD10 for 6th diagnosis during visit-A question on KIULARCO HIV_MRS follow_up" Binding="obs/icd_dx6/value" Left="602px" Top="110px" Width="200px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="TB screening and diagnosis(Select all that apply)" HelpText="TB screening and diagnosis-A question on KIULARCO HIV_MRS follow_up" Binding="obs/tb_screen_dx/xforms_value" Left="7px" Top="143px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="TextBox" HelpText="IRIS associated with which diagnosis listed above(select only one)-A question on KIULARCO HIV_MRS follow_up" Binding="obs/iris_icd/value" Left="739px" Top="282px" Width="89px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Stage1" HelpText="Stage1" Binding="161284^Stage1^99DCT" ParentBinding="obs/whostage/value" Left="492px" Top="325px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Stage 2" HelpText="Stage 2" Binding="161287^Stage 2^99DCT" ParentBinding="obs/whostage/value" Left="571px" Top="325px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Stage 3" HelpText="Stage 3" Binding="161288^Stage 3^99DCT" ParentBinding="obs/whostage/value" Left="660px" Top="324px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Stage 4" HelpText="stage 4" Binding="161290^stage 4^99DCT" ParentBinding="obs/whostage/value" Left="750px" Top="323px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="WHO stage" HelpText="Who stage" Binding="obs/whostage/value" Left="405px" Top="332px" Height="6px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Yes" HelpText="YES" Binding="1065^YES^99DCT" ParentBinding="obs/whostage_change/value" Left="320px" Top="327px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="No" HelpText="NO" Binding="1066^NO^99DCT" ParentBinding="obs/whostage_change/value" Left="265px" Top="326px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Change in WHO stage since last visit" HelpText="Change in WHO stage since has last visit" Binding="obs/whostage_change/value" Left="8px" Top="325px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="TextBox" HelpText="If WHO Stage has changed since last visit,reason 1 for change" Binding="obs/whostage_icd1/value" Left="344px" Top="367px" Width="340px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Yes" HelpText="YES" Binding="1065^YES^99DCT" ParentBinding="obs/any_txt_failure/value" Left="299px" Top="491px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="No" HelpText="NO" Binding="1066^NO^99DCT" ParentBinding="obs/any_txt_failure/value" Left="244px" Top="492px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Any suspected treatment failure?" HelpText="ANY_TXT_FAILURE" Binding="obs/any_txt_failure/value" Left="13px" Top="492px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Suspected treatment failure (select all that apply)" HelpText="Suspected treatment failure-A question on KIULARCO HIV_MRS follow_up form" Binding="obs/txt_failure/xforms_value" Left="11px" Top="528px" Height="2px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="IRIS diagnosis" HelpText="Iris diagnosis-A question on KIULARCO HIV_MRS follow_up" Binding="obs/iris/value" Left="5px" Top="253px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Probable" HelpText="Probable" Binding="161282^Probable^99DCT" ParentBinding="obs/iris/value" Left="430px" Top="251px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="IRIS associated with which diagnosis listed above(select only one and enter its number as 1,2,3,4,5 or 6)" HelpText="IRIS associated with which diagnosis listed above(select only one)-A question on KIULARCO HIV_MRS follow_up" Binding="obs/iris_icd/value" Left="6px" Top="281px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="TextBox" HelpText="A question on KIULARCO HIV_MRS follow_up form: ICD10 for 1st diagnosis during visit" Binding="obs/icd_dx1/value" Left="200px" Top="30px" Width="197px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Definite" HelpText="Definite" Binding="161283^Definite^99DCT" ParentBinding="obs/iris/value" Left="526px" Top="249px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Suspected" HelpText="Suspected" Binding="161279^Suspected^99DCT" ParentBinding="obs/iris/value" Left="321px" Top="252px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/></Item><Item WidgetType="GroupBox" Binding="LEFT48pxTOP593px-null" Left="48px" Top="593px" Width="880px" Height="544px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif" borderStyle="solid" borderColor="rgb(26, 172, 155)"><Item WidgetType="Label" Text="SUSPECTED ART TOXICITY" HelpText="Header Label" Binding="LEFT48pxTOP593px-null" Left="0px" Top="0px" Width="100%" Height="20px" TabIndex="0" color="white" fontWeight="bold" fontSize="16px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif" backgroundColor="rgb(26, 172, 155)" textAlign="center" HeaderLabel="true"/><Item WidgetType="RadioButton" Text="Yes" HelpText="YES" Binding="1065^YES^99DCT" ParentBinding="obs/any_art_tox/value" Left="300px" Top="32px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="No" HelpText="NO" Binding="1066^NO^99DCT" ParentBinding="obs/any_art_tox/value" Left="218px" Top="32px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="CheckBox" Text="Polyneuropathy" HelpText="Polyneuropathy" Binding="polyneuropathy" ParentBinding="obs/art_tox_type/xforms_value" Left="380px" Top="100px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="CheckBox" Text="Renal" HelpText="Renal." Binding="renal." ParentBinding="obs/art_tox_type/xforms_value" Left="380px" Top="130px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="CheckBox" Text="Anaemia" HelpText="ANEMIA" Binding="anemia" ParentBinding="obs/art_tox_type/xforms_value" Left="380px" Top="160px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="CheckBox" Text="Other" HelpText="OTHER NON-CODED" Binding="other_non-coded" ParentBinding="obs/art_tox_type/xforms_value" Left="380px" Top="190px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="CheckBox" Text="CNS" HelpText="CNS" Binding="cns" ParentBinding="obs/art_tox_type/xforms_value" Left="380px" Top="70px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="CheckBox" Text="Gastrointestinal" HelpText="Gastrointestinal" Binding="gastrointestinal" ParentBinding="obs/art_tox_type/xforms_value" Left="543px" Top="71px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="CheckBox" Text="Hepatic" HelpText="Hepatic" Binding="hepatic" ParentBinding="obs/art_tox_type/xforms_value" Left="543px" Top="100px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="CheckBox" Text="Cutaneous" HelpText="Cutaneous" Binding="cutaneous" ParentBinding="obs/art_tox_type/xforms_value" Left="543px" Top="130px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="CheckBox" Text="Diabetes" HelpText="Diabetes." Binding="diabetes." ParentBinding="obs/art_tox_type/xforms_value" Left="543px" Top="160px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="CheckBox" Text="Dyslipidemia" HelpText="Dyslipidemia." Binding="dyslipidemia." 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ParentBinding="obs/next_time/xforms_value" Left="525px" Top="237px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="CheckBox" Text="Safety lab" HelpText="Safety lab" Binding="safety_lab" ParentBinding="obs/next_time/xforms_value" Left="642px" Top="236px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="CheckBox" Text="Other" HelpText="OTHER NON-CODED" Binding="other_non-coded" ParentBinding="obs/next_time/xforms_value" Left="748px" Top="239px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="To do next time (select all that apply)" HelpText="NEXT_TIME" Binding="obs/next_time/xforms_value" Left="15px" Top="236px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida 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ParentBinding="obs/arv_status_disch/value" Left="633px" Top="360px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Stop" HelpText="stop" Binding="161123^stop^99DCT" ParentBinding="obs/arv_status_disch/value" Left="565px" Top="360px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Change" HelpText="change" Binding="161135^change^99DCT" ParentBinding="obs/arv_status_disch/value" Left="481px" Top="360px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Continue" HelpText="Continue" Binding="159835^Continue^99DCT" ParentBinding="obs/arv_status_disch/value" Left="369px" Top="363px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Start" HelpText="start" Binding="161120^start^99DCT" ParentBinding="obs/arv_status_disch/value" Left="290px" Top="360px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="No ART" HelpText="No ART" Binding="161137^No ART^99DCT" ParentBinding="obs/arv_status_disch/value" Left="204px" Top="360px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="ART Status at Discharge" HelpText="ARV Status at discharge" Binding="obs/arv_status_disch/value" Left="15px" Top="362px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" HelpText="Label" Binding="LEFT0pxTOP455px" Left="0px" Top="391px" Width="880px" Height="2px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif" backgroundColor="black"/><Item WidgetType="RadioButton" Text="Fulfills criteria but counselling ongoing" HelpText="Fulfills criteria but counselling ongoing" Binding="161205^Fulfills criteria but counselling ongoing^99DCT" ParentBinding="obs/no_art_reason/value" Left="225px" Top="447px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Does not fullfil criteria" HelpText="Does not fullfil creteria" Binding="161203^Does not fullfil creteria^99DCT" ParentBinding="obs/no_art_reason/value" Left="225px" Top="417px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Fulfills criteria but no ARTs available" HelpText="Fulfills 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fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Fulfills criteria but other reasons" HelpText="Fulfills creteria but other reasons" Binding="161244^Fulfills creteria but other reasons^99DCT" ParentBinding="obs/no_art_reason/value" Left="517px" Top="509px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Fulfills criteria but awaits lab results" HelpText="Fullfills criteria but awaits lab results" Binding="161522^Fullfills criteria but awaits lab results^99DCT" ParentBinding="obs/no_art_reason/value" Left="516px" Top="449px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Fulfills criteria but is on TB tx" HelpText="Fulfills creteria but is TB tx" Binding="161241^Fulfills creteria but is TB tx^99DCT" ParentBinding="obs/no_art_reason/value" Left="514px" Top="419px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Reason ART was not started" HelpText="Reason ART were not started" Binding="obs/no_art_reason/value" Left="13px" Top="398px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" HelpText="Label" Binding="LEFT0pxTOP455px" Left="0px" Top="535px" Width="880px" Height="2px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif" backgroundColor="black"/><Item WidgetType="Label" Text="Reason why ART was started" HelpText="Reason why ARVs were started-A question on KIULARCO HIV_MRS drug_order form" Binding="obs/art_start_reason/xforms_value" Left="15px" Top="550px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" HelpText="Label" Binding="LEFT0pxTOP455px" Left="0px" Top="691px" Width="880px" Height="2px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif" backgroundColor="black"/><Item WidgetType="RadioButton" Text="Start TB treatment" HelpText="start TB treatment" Binding="161524^start TB treatment^99DCT" ParentBinding="obs/arv_stop_change_reason/value" Left="327px" Top="698px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Adverse drug reaction to ART" HelpText="Adverse drug reaction to ART" Binding="161525^Adverse drug reaction to ART^99DCT" ParentBinding="obs/arv_stop_change_reason/value" Left="327px" Top="728px" TabIndex="0" fontSize="12px" 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xpath="xforms/group[@id='1']/input[@bind='patient.middle_name']/label" value="Middle name"/><text xpath="xforms/group[@id='1']/input[@bind='patient.patient_id']/label" value="Patient Id"/><text xpath="xforms/group[@id='1']/input[@bind='patient.sex']/label" value="Sex"/><text xpath="xforms/group[@id='1']/input[@bind='encounter.encounter_datetime']/label" value="Visit Date"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.location_id']/label" value="LOCATION ID"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.location_id']/item[@id='1']/label" value="Unknown Location [1]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/label" value="PROVIDER ID"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='19']/label" value="Ngisi Peter Masawa [125-5]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='20']/label" value="Anna Eichenberger [129-7]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='22']/label" value="Phamarcy CDCI [132-1]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='23']/label" value="Pharmacy one Stop [133-9]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='25']/label" value="Omary Ngome Rajab [137-0]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='1']/label" value="Claudio Zaugg [12]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='2']/label" value="Lucas Gervas Shayo [13]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='4']/label" value="Agata Correia Agata [3]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='5']/label" value="Maja Weisser"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='6']/label" value="Herry Robert Mapesi"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='7']/label" value="George Rocky Sikalengo"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='8']/label" value="ANDREW KATENDE"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='9']/label" value="Robert Christopher Ndege"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='10']/label" value="Getrud Joseph Mollel"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='11']/label" value="Ezekiel Luoga"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='12']/label" value="Lilian Moshi"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='13']/label" value="Vanesa Anton Vazquez"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='14']/label" value="Rahel Bircher"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='15']/label" value="Gidion Fue"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='16']/label" value="Athuman Mtandanguo"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='17']/label" value="Specioza Hwaya"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='18']/label" value="Armon Arpagaus"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='21']/label" value="Felister Godson Kiwelu"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='24']/label" value="Linn Jarte"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='3']/label" value="Herry Robert Mapesi [14]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='31']/label" value="Lukag shayog gervass [31]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='55']/label" value="Migration User March2013 [55]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='72']/label" value="Stefan Peter Erb [72]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='62']/label" value="Selerine John Myeya [62]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='100']/label" value="Maja Weisser [100]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='90']/label" value="Julius Mkumbo [90]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='75']/label" value="Herry Robert Mapesi [75]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='80']/label" value="George Rocky Sikalengo [80]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='96']/label" value="ANDREW KATENDE [96]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='113']/label" value="Getrud Joseph Mollel [113]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='111']/label" value="Robert Christopher Ndege [111]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='117']/label" value="Lilian Moshi [117]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='105']/label" value="Ezekiel Luoga [105]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='124']/label" value="Vaileth Brown Nyahenza [124]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='50']/label" value="Sanula Nahota [50]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='130']/label" value="Felister Godson Kiwelu [130]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='128']/label" value="Armon Arpagaus [128]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='129']/label" value="Anna Eichenberger [129]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='32']/label" value="Gidion Fue [32]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='68']/label" value="Dolores Mpundunga [68]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='30']/label" value="Specioza Hwaya [30]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='37']/label" value="Mengi Mkulila [37]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='106']/label" value="Sharifa Nakapala [106]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='36']/label" value="Agatha Ngulukila [36]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='48']/label" value="Yassin Kisunga [48]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='125']/label" value="Ngisi Peter Masawa [125]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='35']/label" value="Ascholer Asantiel [35]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='64']/label" value="Brayson Kasuga [64]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='134']/label" value="Linn Jarte [134]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='135']/label" value="Sauli John Epimack [135]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='51']/label" value="Germana Mono [51]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='137']/label" value="Omary Ngome Rajab [137]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='139']/label" value="Laura Gimenez Letona [139]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='140']/label" value="Herieth wilson ismael [140]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='141']/label" value="PHILIP SCHMASSMANN [141]"/><text xpath="xforms/group[@id='1']/select1[@bind='consent.']/label" value="Consent"/><text xpath="xforms/group[@id='1']/select1[@bind='consent.']/hint" value="Informed consent signed-A question on KIULARCO HIV_MRS follow_up form"/><text xpath="xforms/group[@id='1']/select1[@bind='consent.']/item[@id='161256^Yes,given today^99DCT']/label" value="Yes,given today"/><text xpath="xforms/group[@id='1']/select1[@bind='consent.']/item[@id='161262^No, do not ask again^99DCT']/label" value="No, do not ask again"/><text xpath="xforms/group[@id='1']/select1[@bind='consent.']/item[@id='161260^No, but ask again^99DCT']/label" value="No, but ask again"/><text xpath="xforms/group[@id='1']/select1[@bind='consent.']/item[@id='161258^Yes, given today and agree to use of data since base line^99DCT']/label" value="Yes, given today and agree to use of data since base line"/><text xpath="xforms/group[@id='1']/input[@bind='telno']/label" value="Telephone number"/><text xpath="xforms/group[@id='1']/input[@bind='telno']/hint" value="Telephone number"/><text xpath="xforms/group[@id='1']/select1[@bind='partner_status']/label" value="HIV status of a partner"/><text xpath="xforms/group[@id='1']/select1[@bind='partner_status']/hint" value="HIV status of a partner"/><text xpath="xforms/group[@id='1']/select1[@bind='partner_status']/item[@id='1175^NOT APPLICABLE^99DCT']/label" value="NOT APPLICABLE"/><text xpath="xforms/group[@id='1']/select1[@bind='partner_status']/item[@id='138571^HIV Positive^99DCT']/label" value="HIV Positive"/><text xpath="xforms/group[@id='1']/select1[@bind='partner_status']/item[@id='664^NEGATIVE^99DCT']/label" value="NEGATIVE"/><text xpath="xforms/group[@id='1']/select1[@bind='partner_status']/item[@id='1402^HIV STATUS UNKNOWN, NEVER TESTED^99DCT']/label" value="HIV STATUS UNKNOWN, NEVER TESTED"/><text xpath="xforms/group[@id='1']/select1[@bind='partner_status']/item[@id='1067^UNKNOWN^99DCT']/label" value="UNKNOWN"/><text xpath="xforms/group[@id='1']/select1[@bind='pregnant']/label" value="Pregnant"/><text xpath="xforms/group[@id='1']/select1[@bind='pregnant']/hint" value="pregnant-a question on KIULARCO HIV_MRS follow-up form"/><text xpath="xforms/group[@id='1']/select1[@bind='pregnant']/item[@id='1066^NO^99DCT']/label" value="NO"/><text xpath="xforms/group[@id='1']/select1[@bind='pregnant']/item[@id='1065^YES^99DCT']/label" value="YES"/><text xpath="xforms/group[@id='1']/input[@bind='edd_number']/label" value="EDD number"/><text xpath="xforms/group[@id='1']/input[@bind='edd_number']/hint" value="EDD number-A question KIULARCO HIV_MRS follow_up form"/><text xpath="xforms/group[@id='1']/input[@bind='anc_number']/label" value="ANC number"/><text xpath="xforms/group[@id='1']/input[@bind='anc_number']/hint" value="ANC number-A question KIULARCO HIV_MRS follow_up form"/><text xpath="xforms/group[@id='1']/select1[@bind='pill_box']/label" value="Was pill box returned?"/><text xpath="xforms/group[@id='1']/select1[@bind='pill_box']/hint" value="Was pill box returned?-A question on KIULARCO HIV_MRS follow_up form"/><text xpath="xforms/group[@id='1']/select1[@bind='pill_box']/item[@id='1066^NO^99DCT']/label" value="NO"/><text xpath="xforms/group[@id='1']/select1[@bind='pill_box']/item[@id='1065^YES^99DCT']/label" value="YES"/><text xpath="xforms/group[@id='1']/input[@bind='pills_rem']/label" value="Number of ARV pills remaining"/><text xpath="xforms/group[@id='1']/input[@bind='pills_rem']/hint" value="Number of ARV doses remaining-A question on KIULARCO HIV_MRS follow_up form"/><text xpath="xforms/group[@id='1']/select1[@bind='missed']/label" value="How often did the patient miss a does of ARV drugs in the previous 4 weeks"/><text xpath="xforms/group[@id='1']/select1[@bind='missed']/hint" value="How often did the patient miss a does of ARV drugs in the previous 4 weeks-A question on KIULARCO HIV_MRS follow_up form"/><text xpath="xforms/group[@id='1']/select1[@bind='missed']/item[@id='1090^NEVER^99DCT']/label" value="NEVER"/><text xpath="xforms/group[@id='1']/select1[@bind='missed']/item[@id='161196^once a month^99DCT']/label" value="once a month"/><text xpath="xforms/group[@id='1']/select1[@bind='missed']/item[@id='161198^once overy 2 weeks^99DCT']/label" value="once overy 2 weeks"/><text xpath="xforms/group[@id='1']/select1[@bind='missed']/item[@id='161199^Once a week^99DCT']/label" value="Once a week"/><text xpath="xforms/group[@id='1']/select1[@bind='missed']/item[@id='161201^Daily^99DCT']/label" value="Daily"/><text xpath="xforms/group[@id='1']/select1[@bind='miss_holiday']/label" value="Ever miss more than one dose of ARV in a row"/><text xpath="xforms/group[@id='1']/select1[@bind='miss_holiday']/hint" value="Ever miss more than one dose of ARV in a row-A question on KIULARCO HIV_MRS follow_up form"/><text xpath="xforms/group[@id='1']/select1[@bind='miss_holiday']/item[@id='1066^NO^99DCT']/label" value="NO"/><text xpath="xforms/group[@id='1']/select1[@bind='miss_holiday']/item[@id='1065^YES^99DCT']/label" value="YES"/><text xpath="xforms/group[@id='1']/select1[@bind='miss_2day']/label" value="Missed ≥ 2 doses of ART"/><text xpath="xforms/group[@id='1']/select1[@bind='miss_2day']/hint" value="Missed&gt;doses of ART-A question on KIULARCO HIV_MRS follow_up form"/><text xpath="xforms/group[@id='1']/select1[@bind='miss_2day']/item[@id='1066^NO^99DCT']/label" value="NO"/><text xpath="xforms/group[@id='1']/select1[@bind='miss_2day']/item[@id='1065^YES^99DCT']/label" value="YES"/><text xpath="xforms/group[@id='1']/input[@bind='other_pooradh']/label" value="Specify other reason for missed doses"/><text xpath="xforms/group[@id='1']/input[@bind='other_pooradh']/hint" value="Specify other reason for missed dosesA question on KIULARCO HIV_MRS follow_up form"/><text xpath="xforms/group[@id='1']/select1[@bind='chew_tobacco']/label" value="Chew tobacco"/><text xpath="xforms/group[@id='1']/select1[@bind='chew_tobacco']/hint" value="Chew tobacco-A question on KIULARCO HIV_MRS follow_up form"/><text xpath="xforms/group[@id='1']/select1[@bind='chew_tobacco']/item[@id='1066^NO^99DCT']/label" value="NO"/><text xpath="xforms/group[@id='1']/select1[@bind='chew_tobacco']/item[@id='1065^YES^99DCT']/label" value="YES"/><text xpath="xforms/group[@id='1']/select1[@bind='smoke_cig']/label" value="Smoking"/><text xpath="xforms/group[@id='1']/select1[@bind='smoke_cig']/hint" value="Smoking-A question on KIULARCO HIV_MRS follow_up form"/><text xpath="xforms/group[@id='1']/select1[@bind='smoke_cig']/item[@id='1066^NO^99DCT']/label" value="NO"/><text xpath="xforms/group[@id='1']/select1[@bind='smoke_cig']/item[@id='1065^YES^99DCT']/label" value="YES"/><text xpath="xforms/group[@id='1']/input[@bind='avg-cig']/label" value="Avarage number of cigarettes smoked per day"/><text xpath="xforms/group[@id='1']/input[@bind='avg-cig']/hint" value="Avarage number of cigarettes smoked per day-A question on KIULARCO HIV_MRS follow_up form"/><text xpath="xforms/group[@id='1']/select1[@bind='alcohol']/label" value="Currently consume alcohol"/><text xpath="xforms/group[@id='1']/select1[@bind='alcohol']/hint" value="Currently consume alcohol-A question on KIULARCO HIV_MRS follow_up form"/><text xpath="xforms/group[@id='1']/select1[@bind='alcohol']/item[@id='1066^NO^99DCT']/label" value="NO"/><text xpath="xforms/group[@id='1']/select1[@bind='alcohol']/item[@id='1065^YES^99DCT']/label" value="YES"/><text xpath="xforms/group[@id='1']/input[@bind='alcohol_amt']/label" value="Number of standard drinks per day"/><text xpath="xforms/group[@id='1']/input[@bind='alcohol_amt']/hint" value="Number of standard drinks per day-A question on KIULARCO HIV_MRS follow_up form"/><text xpath="xforms/group[@id='1']/select1[@bind='ent_comp']/label" value="Current complaints, Ear,Nose,Throat"/><text xpath="xforms/group[@id='1']/select1[@bind='ent_comp']/hint" value="Question on KIULARCO HIV_MRS followup form:Current complaints, Ear,Nose,Throat"/><text xpath="xforms/group[@id='1']/select1[@bind='ent_comp']/item[@id='1066^NO^99DCT']/label" value="NO"/><text xpath="xforms/group[@id='1']/select1[@bind='ent_comp']/item[@id='1065^YES^99DCT']/label" value="YES"/><text xpath="xforms/group[@id='1']/select1[@bind='resp_comp']/label" value="Current complaints:Respiratory"/><text xpath="xforms/group[@id='1']/select1[@bind='resp_comp']/hint" value="Question on KIULARCO HIV_MRS followup form:Current complaints:Respiratory"/><text xpath="xforms/group[@id='1']/select1[@bind='resp_comp']/item[@id='1066^NO^99DCT']/label" value="NO"/><text xpath="xforms/group[@id='1']/select1[@bind='resp_comp']/item[@id='1065^YES^99DCT']/label" value="YES"/><text xpath="xforms/group[@id='1']/select1[@bind='cv_comp']/label" value="Current complaints:Cardiovascular"/><text xpath="xforms/group[@id='1']/select1[@bind='cv_comp']/hint" value="Question on KIULARCO HIV_MRS followup form:Current complaints:Cardiovascular"/><text xpath="xforms/group[@id='1']/select1[@bind='cv_comp']/item[@id='1066^NO^99DCT']/label" value="NO"/><text xpath="xforms/group[@id='1']/select1[@bind='cv_comp']/item[@id='1065^YES^99DCT']/label" value="YES"/><text xpath="xforms/group[@id='1']/select1[@bind='gi_liver_comp']/label" value="Current complaints:Gastrointestinal/Liver"/><text xpath="xforms/group[@id='1']/select1[@bind='gi_liver_comp']/hint" value="Question on KIULARCO HIV_MRS followup form:Current complaints:Gastrointestinal/Liver"/><text xpath="xforms/group[@id='1']/select1[@bind='gi_liver_comp']/item[@id='1066^NO^99DCT']/label" value="NO"/><text xpath="xforms/group[@id='1']/select1[@bind='gi_liver_comp']/item[@id='1065^YES^99DCT']/label" value="YES"/><text xpath="xforms/group[@id='1']/select1[@bind='gu_comp']/label" value="Current complaints:Genitourinary"/><text xpath="xforms/group[@id='1']/select1[@bind='gu_comp']/hint" value="Question on KIULARCO HIV_MRS followup form:Current complaints:Genitourinary"/><text xpath="xforms/group[@id='1']/select1[@bind='gu_comp']/item[@id='1066^NO^99DCT']/label" value="NO"/><text xpath="xforms/group[@id='1']/select1[@bind='gu_comp']/item[@id='1065^YES^99DCT']/label" value="YES"/><text xpath="xforms/group[@id='1']/select1[@bind='std_comp']/label" value="Current complaints:Sexually transmitted diseaase"/><text xpath="xforms/group[@id='1']/select1[@bind='std_comp']/hint" value="Question on KIULARCO HIV_MRS followup form:Current complaints:Sexually transmitted diseaase"/><text xpath="xforms/group[@id='1']/select1[@bind='std_comp']/item[@id='1066^NO^99DCT']/label" value="NO"/><text xpath="xforms/group[@id='1']/select1[@bind='std_comp']/item[@id='1065^YES^99DCT']/label" value="YES"/><text xpath="xforms/group[@id='1']/select1[@bind='neuro_comp']/label" value="Current complaints:Neurologic"/><text xpath="xforms/group[@id='1']/select1[@bind='neuro_comp']/hint" value="Question on KIULARCO HIV_MRS followup form:Current complaints:Neurologic"/><text xpath="xforms/group[@id='1']/select1[@bind='neuro_comp']/item[@id='1066^NO^99DCT']/label" value="NO"/><text xpath="xforms/group[@id='1']/select1[@bind='neuro_comp']/item[@id='1065^YES^99DCT']/label" value="YES"/><text xpath="xforms/group[@id='1']/select1[@bind='joint_bone_comp']/label" value="Current complaints:Joints/Bones"/><text xpath="xforms/group[@id='1']/select1[@bind='joint_bone_comp']/hint" value="Question on KIULARCO HIV_MRS followup form:Current complaints:Joints/Bones"/><text xpath="xforms/group[@id='1']/select1[@bind='joint_bone_comp']/item[@id='1066^NO^99DCT']/label" value="NO"/><text xpath="xforms/group[@id='1']/select1[@bind='joint_bone_comp']/item[@id='1065^YES^99DCT']/label" value="YES"/><text xpath="xforms/group[@id='1']/select1[@bind='skin_comp']/label" value="Skin"/><text xpath="xforms/group[@id='1']/select1[@bind='skin_comp']/hint" value="Question on KIULARCO HIV_MRS followup form:Current complaints:Skin"/><text xpath="xforms/group[@id='1']/select1[@bind='skin_comp']/item[@id='1066^NO^99DCT']/label" value="NO"/><text xpath="xforms/group[@id='1']/select1[@bind='skin_comp']/item[@id='1065^YES^99DCT']/label" value="YES"/><text xpath="xforms/group[@id='1']/input[@bind='notes']/label" value="NOTES"/><text xpath="xforms/group[@id='1']/input[@bind='notes']/hint" value="Question on KIULARCO HIV_MRS followup form:Current complaints:Additional notes on actual complaints"/><text xpath="xforms/group[@id='1']/select1[@bind='fn_status']/label" value="Functional status"/><text xpath="xforms/group[@id='1']/select1[@bind='fn_status']/hint" value="Question on KIULARCO HIV_MRS followup form:Functional status"/><text xpath="xforms/group[@id='1']/select1[@bind='fn_status']/item[@id='161268^Working^99DCT']/label" value="Working"/><text xpath="xforms/group[@id='1']/select1[@bind='fn_status']/item[@id='160026^Patient ambulatory^99DCT']/label" value="Patient ambulatory"/><text xpath="xforms/group[@id='1']/select1[@bind='fn_status']/item[@id='161270^Bedridden^99DCT']/label" value="Bedridden"/><text xpath="xforms/group[@id='1']/select1[@bind='colouration']/label" value="Colouration"/><text xpath="xforms/group[@id='1']/select1[@bind='colouration']/hint" value="Colouration-A question on KIULARCO HIV_MRS follow_up form"/><text xpath="xforms/group[@id='1']/select1[@bind='colouration']/item[@id='1115^NORMAL^99DCT']/label" value="NORMAL"/><text xpath="xforms/group[@id='1']/select1[@bind='colouration']/item[@id='5245^PALLOR^99DCT']/label" value="PALLOR"/><text xpath="xforms/group[@id='1']/select1[@bind='colouration']/item[@id='5192^ICTERIC SCLERA^99DCT']/label" value="ICTERIC SCLERA"/><text xpath="xforms/group[@id='1']/select1[@bind='colouration']/item[@id='161361^Cyanotic^99DCT']/label" value="Cyanotic"/><text xpath="xforms/group[@id='1']/select1[@bind='dehydration.']/label" value="Signs of dehydration"/><text xpath="xforms/group[@id='1']/select1[@bind='dehydration.']/hint" value="Signs of dehydration-A question on KIULARCO HIV_MRS follow_up form"/><text xpath="xforms/group[@id='1']/select1[@bind='dehydration.']/item[@id='1065^YES^99DCT']/label" value="YES"/><text xpath="xforms/group[@id='1']/select1[@bind='dehydration.']/item[@id='1066^NO^99DCT']/label" value="NO"/><text xpath="xforms/group[@id='1']/input[@bind='dehyd_note']/label" value="Notes on dehydration"/><text xpath="xforms/group[@id='1']/input[@bind='dehyd_note']/hint" value="Notes on dehydration-A question on KIULARCO HIV_MRS follow_up form"/><text xpath="xforms/group[@id='1']/select1[@bind='nutrition']/label" value="Nutritional Status"/><text xpath="xforms/group[@id='1']/select1[@bind='nutrition']/hint" value="Nutritional Status-A question on KIULARCO HIV_MRS follow_up form"/><text xpath="xforms/group[@id='1']/select1[@bind='nutrition']/item[@id='161272^Not malnourished^99DCT']/label" value="Not malnourished"/><text xpath="xforms/group[@id='1']/select1[@bind='nutrition']/item[@id='161274^Moderately malnourished^99DCT']/label" value="Moderately malnourished"/><text xpath="xforms/group[@id='1']/select1[@bind='nutrition']/item[@id='161276^Severely malnourished^99DCT']/label" value="Severely malnourished"/><text xpath="xforms/group[@id='1']/select1[@bind='nutritional_suppl']/label" value="Nutritional supplementary"/><text xpath="xforms/group[@id='1']/select1[@bind='nutritional_suppl']/hint" value="Nutritional supplementary-A question on KIULARCO HIV_MRS follow_up form"/><text xpath="xforms/group[@id='1']/select1[@bind='nutritional_suppl']/item[@id='161277^Therapeutic food^99DCT']/label" value="Therapeutic food"/><text xpath="xforms/group[@id='1']/select1[@bind='nutritional_suppl']/item[@id='161278^Supplimental food^99DCT']/label" value="Supplimental food"/><text xpath="xforms/group[@id='1']/select1[@bind='nutritional_suppl']/item[@id='161507^No supplement^99DCT']/label" value="No supplement"/><text xpath="xforms/group[@id='1']/select1[@bind='systemic']/label" value="SYSTEMIC (i.e., fever, fatigue, weight loss)"/><text xpath="xforms/group[@id='1']/select1[@bind='systemic']/hint" value="SYSTEMIC (i.e., fever, fatigue, weight loss)-A question on KIULARCO HIV_MRS follow_up form"/><text xpath="xforms/group[@id='1']/select1[@bind='systemic']/item[@id='1066^NO^99DCT']/label" value="NO"/><text xpath="xforms/group[@id='1']/select1[@bind='systemic']/item[@id='1065^YES^99DCT']/label" value="YES"/><text xpath="xforms/group[@id='1']/input[@bind='syst_note']/label" value="Note on systemic findings"/><text xpath="xforms/group[@id='1']/input[@bind='syst_note']/hint" value="Note on systemic findings-A question on KIULARCO HIV_MRS follow_up form"/><text xpath="xforms/group[@id='1']/select1[@bind='palp_lymph']/label" value="Palpable lymph nodes"/><text xpath="xforms/group[@id='1']/select1[@bind='palp_lymph']/hint" value="Palpable lymph nodes-A question on KIULARCO HIV_MRS follow_up form"/><text xpath="xforms/group[@id='1']/select1[@bind='palp_lymph']/item[@id='1066^NO^99DCT']/label" value="NO"/><text xpath="xforms/group[@id='1']/select1[@bind='palp_lymph']/item[@id='1065^YES^99DCT']/label" value="YES"/><text xpath="xforms/group[@id='1']/input[@bind='palp_lymph_loc']/label" value="Location of palpable lymph nodes"/><text xpath="xforms/group[@id='1']/input[@bind='palp_lymph_loc']/hint" value="Location of palpable lymph nodes-A question on KIULARCO HIV_MRS follow_up form"/><text xpath="xforms/group[@id='1']/select1[@bind='ocular']/label" value="Ocular"/><text xpath="xforms/group[@id='1']/select1[@bind='ocular']/hint" value="Ocular-A question on KIULARCO HIV_MRS follow_up form"/><text xpath="xforms/group[@id='1']/select1[@bind='ocular']/item[@id='1115^NORMAL^99DCT']/label" value="NORMAL"/><text xpath="xforms/group[@id='1']/select1[@bind='ocular']/item[@id='1116^ABNORMAL^99DCT']/label" value="ABNORMAL"/><text xpath="xforms/group[@id='1']/input[@bind='ocular_note']/label" value="Notes on ocular findings"/><text xpath="xforms/group[@id='1']/input[@bind='ocular_note']/hint" value="Notes on ocular findings-A question on KIULARCO HIV_MRS follow_up form"/><text xpath="xforms/group[@id='1']/select1[@bind='ent']/label" value="Ear/ nose,/throat"/><text xpath="xforms/group[@id='1']/select1[@bind='ent']/hint" value="Ear, nose, throat-A question on KIULARCO HIV_MRS follow_up form"/><text xpath="xforms/group[@id='1']/select1[@bind='ent']/item[@id='1115^NORMAL^99DCT']/label" value="NORMAL"/><text xpath="xforms/group[@id='1']/select1[@bind='ent']/item[@id='1116^ABNORMAL^99DCT']/label" value="ABNORMAL"/><text xpath="xforms/group[@id='1']/input[@bind='ent_note']/label" value="Notes on ENT findings"/><text xpath="xforms/group[@id='1']/input[@bind='ent_note']/hint" value="Notes on ENT findings"/><text xpath="xforms/group[@id='1']/select1[@bind='resp']/label" value="Respiratory"/><text xpath="xforms/group[@id='1']/select1[@bind='resp']/hint" value="Question on KIULARCO HIV_MRS followup form:Respiratory"/><text xpath="xforms/group[@id='1']/select1[@bind='resp']/item[@id='1115^NORMAL^99DCT']/label" value="NORMAL"/><text xpath="xforms/group[@id='1']/select1[@bind='resp']/item[@id='1116^ABNORMAL^99DCT']/label" value="ABNORMAL"/><text xpath="xforms/group[@id='1']/input[@bind='resp_note']/label" value="Notes on respiratory findings"/><text xpath="xforms/group[@id='1']/input[@bind='resp_note']/hint" value="Question on KIULARCO HIV_MRS followup form:Notes on respiratory findings"/><text xpath="xforms/group[@id='1']/select1[@bind='cv']/label" value="Cardiovascular"/><text xpath="xforms/group[@id='1']/select1[@bind='cv']/hint" value="Question on KIULARCO HIV_MRS followup form:Cardiovascular"/><text xpath="xforms/group[@id='1']/select1[@bind='cv']/item[@id='1115^NORMAL^99DCT']/label" value="NORMAL"/><text xpath="xforms/group[@id='1']/select1[@bind='cv']/item[@id='1116^ABNORMAL^99DCT']/label" value="ABNORMAL"/><text xpath="xforms/group[@id='1']/input[@bind='cv_note']/label" value="Notes on cardiovascular findings"/><text xpath="xforms/group[@id='1']/input[@bind='cv_note']/hint" value="Question on KIULARCO HIV_MRS followup form:Notes on cardiovascular findings"/><text xpath="xforms/group[@id='1']/select1[@bind='gi_liver']/label" value="Gastrointestinal(including oral cavity) or liver"/><text xpath="xforms/group[@id='1']/select1[@bind='gi_liver']/hint" value="Question on KIULARCO HIV_MRS followup form:Gastrointestinal(including oral cavity) or liver"/><text xpath="xforms/group[@id='1']/select1[@bind='gi_liver']/item[@id='1115^NORMAL^99DCT']/label" value="NORMAL"/><text xpath="xforms/group[@id='1']/select1[@bind='gi_liver']/item[@id='1116^ABNORMAL^99DCT']/label" value="ABNORMAL"/><text xpath="xforms/group[@id='1']/input[@bind='gi_liver_note']/label" value="Notes of GI/Liver findings"/><text xpath="xforms/group[@id='1']/input[@bind='gi_liver_note']/hint" value="Question on KIULARCO HIV_MRS followup form:Notes of GI/Liver findings"/><text xpath="xforms/group[@id='1']/select1[@bind='gu_std']/label" value="Genitourinary(including STDs)"/><text xpath="xforms/group[@id='1']/select1[@bind='gu_std']/hint" value="Question on KIULARCO HIV_MRS followup form:Genitourinary(including STDs)"/><text xpath="xforms/group[@id='1']/select1[@bind='gu_std']/item[@id='1115^NORMAL^99DCT']/label" value="NORMAL"/><text xpath="xforms/group[@id='1']/select1[@bind='gu_std']/item[@id='1116^ABNORMAL^99DCT']/label" value="ABNORMAL"/><text xpath="xforms/group[@id='1']/input[@bind='gu_std_note']/label" value="Notes on GU/STD findings"/><text xpath="xforms/group[@id='1']/input[@bind='gu_std_note']/hint" value="Question on KIULARCO HIV_MRS followup form:Notes on GU/STD findings"/><text xpath="xforms/group[@id='1']/select1[@bind='neuro']/label" value="Neurological"/><text xpath="xforms/group[@id='1']/select1[@bind='neuro']/hint" value="Question on KIULARCO HIV_MRS followup form:Neurological"/><text xpath="xforms/group[@id='1']/select1[@bind='neuro']/item[@id='1115^NORMAL^99DCT']/label" value="NORMAL"/><text xpath="xforms/group[@id='1']/select1[@bind='neuro']/item[@id='1116^ABNORMAL^99DCT']/label" value="ABNORMAL"/><text xpath="xforms/group[@id='1']/input[@bind='neuro_note']/label" value="Notes on neurological findings"/><text xpath="xforms/group[@id='1']/input[@bind='neuro_note']/hint" value="Question on KIULARCO HIV_MRS followup form:Notes on neurological findings"/><text xpath="xforms/group[@id='1']/select1[@bind='joint_bone']/label" value="Joints/Bones"/><text xpath="xforms/group[@id='1']/select1[@bind='joint_bone']/hint" value="Question on KIULARCO HIV_MRS followup form:Joints/Bones"/><text xpath="xforms/group[@id='1']/select1[@bind='joint_bone']/item[@id='1115^NORMAL^99DCT']/label" value="NORMAL"/><text xpath="xforms/group[@id='1']/select1[@bind='joint_bone']/item[@id='1116^ABNORMAL^99DCT']/label" value="ABNORMAL"/><text xpath="xforms/group[@id='1']/input[@bind='joint_bone_note']/label" value="Notes on joint/bones notes."/><text xpath="xforms/group[@id='1']/input[@bind='joint_bone_note']/hint" value="Question on KIULARCO HIV_MRS followup form:Notes on joint/bones notes."/><text xpath="xforms/group[@id='1']/select1[@bind='skin']/label" value="Skin"/><text xpath="xforms/group[@id='1']/select1[@bind='skin']/hint" value="Question on KIULARCO HIV_MRS followup form:Skin"/><text xpath="xforms/group[@id='1']/select1[@bind='skin']/item[@id='1115^NORMAL^99DCT']/label" value="NORMAL"/><text xpath="xforms/group[@id='1']/select1[@bind='skin']/item[@id='1116^ABNORMAL^99DCT']/label" value="ABNORMAL"/><text xpath="xforms/group[@id='1']/input[@bind='skin_note']/label" value="Notes on skin findings"/><text xpath="xforms/group[@id='1']/input[@bind='skin_note']/hint" value="A question on KIULARCO HIV_MRS follow_up form: Notes on skin findings"/><text xpath="xforms/group[@id='1']/input[@bind='icd_dx1']/label" value="ICD10 for 1st diagnosis during visit"/><text xpath="xforms/group[@id='1']/input[@bind='icd_dx1']/hint" value="A question on KIULARCO HIV_MRS follow_up form: ICD10 for 1st diagnosis during visit"/><text xpath="xforms/group[@id='1']/input[@bind='icd_dx2']/label" value="ICD10 for 2nd diagnosis during visit"/><text xpath="xforms/group[@id='1']/input[@bind='icd_dx2']/hint" value="ICD10 for 2nd diagnosis during visit-A question on KIULARCO HIV_MRS follow_up"/><text xpath="xforms/group[@id='1']/input[@bind='icd_dx3']/label" value="ICD10 for 3rd diagnosis during visit"/><text xpath="xforms/group[@id='1']/input[@bind='icd_dx3']/hint" value="ICD10 for 3rd diagnosis during visit-A question on KIULARCO HIV_MRS follow_up"/><text xpath="xforms/group[@id='1']/input[@bind='icd_dx4']/label" value="ICD10 for 4th diagnosis during visit"/><text xpath="xforms/group[@id='1']/input[@bind='icd_dx4']/hint" value="ICD10 for 4th diagnosis during visit-A question on KIULARCO HIV_MRS follow_up"/><text xpath="xforms/group[@id='1']/input[@bind='icd_dx5']/label" value="ICD10 for 5th diagnosis during visit"/><text xpath="xforms/group[@id='1']/input[@bind='icd_dx5']/hint" value="ICD10 for 5th diagnosis during visit-A question on KIULARCO HIV_MRS follow_up"/><text xpath="xforms/group[@id='1']/input[@bind='icd_dx6']/label" value="ICD10 for 6th diagnosis during visit"/><text xpath="xforms/group[@id='1']/input[@bind='icd_dx6']/hint" value="ICD10 for 6th diagnosis during visit-A question on KIULARCO HIV_MRS follow_up"/><text xpath="xforms/group[@id='1']/select1[@bind='iris']/label" value="Iris diagnosis"/><text xpath="xforms/group[@id='1']/select1[@bind='iris']/hint" value="Iris diagnosis-A question on KIULARCO HIV_MRS follow_up"/><text xpath="xforms/group[@id='1']/select1[@bind='iris']/item[@id='1066^NO^99DCT']/label" value="NO"/><text xpath="xforms/group[@id='1']/select1[@bind='iris']/item[@id='161282^Probable^99DCT']/label" value="Probable"/><text xpath="xforms/group[@id='1']/select1[@bind='iris']/item[@id='161283^Definite^99DCT']/label" value="Definite"/><text xpath="xforms/group[@id='1']/select1[@bind='iris']/item[@id='1175^NOT APPLICABLE^99DCT']/label" value="NOT APPLICABLE"/><text xpath="xforms/group[@id='1']/select1[@bind='iris']/item[@id='161279^Suspected^99DCT']/label" value="Suspected"/><text xpath="xforms/group[@id='1']/input[@bind='iris_icd']/label" value="IRIS associated with which diagnosis listed above(select only one)"/><text xpath="xforms/group[@id='1']/input[@bind='iris_icd']/hint" value="IRIS associated with which diagnosis listed above(select only one)-A question on KIULARCO HIV_MRS follow_up"/><text xpath="xforms/group[@id='1']/select1[@bind='whostage_change']/label" value="Change in WHO stage since has last visit"/><text xpath="xforms/group[@id='1']/select1[@bind='whostage_change']/item[@id='1066^NO^99DCT']/label" value="NO"/><text xpath="xforms/group[@id='1']/select1[@bind='whostage_change']/item[@id='1065^YES^99DCT']/label" value="YES"/><text xpath="xforms/group[@id='1']/select1[@bind='whostage']/label" value="Who stage"/><text xpath="xforms/group[@id='1']/select1[@bind='whostage']/item[@id='161284^Stage1^99DCT']/label" value="Stage1"/><text xpath="xforms/group[@id='1']/select1[@bind='whostage']/item[@id='161287^Stage 2^99DCT']/label" value="Stage 2"/><text xpath="xforms/group[@id='1']/select1[@bind='whostage']/item[@id='161288^Stage 3^99DCT']/label" value="Stage 3"/><text xpath="xforms/group[@id='1']/select1[@bind='whostage']/item[@id='161290^stage 4^99DCT']/label" value="stage 4"/><text xpath="xforms/group[@id='1']/input[@bind='whostage_icd1']/label" value="If WHO Stage has changed since last visit,reason 1 for change"/><text xpath="xforms/group[@id='1']/input[@bind='whostage_icd2']/label" value="If WHO Stage has changed since last visit,reason 2 for changev"/><text xpath="xforms/group[@id='1']/input[@bind='whostage_icd3']/label" value="If WHO Stage has changed since last visit,reason 3 for change"/><text xpath="xforms/group[@id='1']/select1[@bind='hosp_adm']/label" value="Hospital admission since last visit"/><text xpath="xforms/group[@id='1']/select1[@bind='hosp_adm']/hint" value="Hospital admission since last visit-A question on KIULARCO HIV_MRS follow_up"/><text xpath="xforms/group[@id='1']/select1[@bind='hosp_adm']/item[@id='1066^NO^99DCT']/label" value="NO"/><text xpath="xforms/group[@id='1']/select1[@bind='hosp_adm']/item[@id='1065^YES^99DCT']/label" value="YES"/><text xpath="xforms/group[@id='1']/input[@bind='hosp_date1']/label" value="Date of 1st admission"/><text xpath="xforms/group[@id='1']/input[@bind='hosp_date1']/hint" value="Date of 1st admission-A question on KIULARCO HIV_MRS follow_up"/><text xpath="xforms/group[@id='1']/input[@bind='hosp_ind1']/label" value="ICD10 code for 1st admission"/><text xpath="xforms/group[@id='1']/input[@bind='hosp_ind1']/hint" value="ICD10 code for 1st admission-A question on KIULARCO HIV_MRS follow_up"/><text xpath="xforms/group[@id='1']/input[@bind='hosp_date2']/label" value="Date of 2nd admission"/><text xpath="xforms/group[@id='1']/input[@bind='hosp_date2']/hint" value="Date of 2nd admission-A question on KIULARCO HIV_MRS follow_up"/><text xpath="xforms/group[@id='1']/input[@bind='hosp_ind2']/label" value="ICD10 code for 2nd admission"/><text xpath="xforms/group[@id='1']/input[@bind='hosp_ind2']/hint" value="ICD10 code for 2nd admission-A question on KIULARCO HIV_MRS follow_up form"/><text xpath="xforms/group[@id='1']/input[@bind='hosp_date3']/label" value="Date of 3rd admission"/><text xpath="xforms/group[@id='1']/input[@bind='hosp_date3']/hint" value="Date of 3rd admission-A question on KIULARCO HIV_MRS follow_up form"/><text xpath="xforms/group[@id='1']/input[@bind='hosp_ind3']/label" value="ICD10 code for 3rd admission"/><text xpath="xforms/group[@id='1']/input[@bind='hosp_ind3']/hint" value="ICD10 code for 3rd admission-A question on KIULARCO HIV_MRS follow_up form"/><text xpath="xforms/group[@id='1']/input[@bind='other_tox_spec']/label" value="Describe other toxicity"/><text xpath="xforms/group[@id='1']/input[@bind='other_tox_spec']/hint" value="Describe other toxicity"/><text xpath="xforms/group[@id='1']/input[@bind='plan']/label" value="Plan notes"/><text xpath="xforms/group[@id='1']/input[@bind='plan']/hint" value="Question on KIULARCO HIV_MRS followup form:Plan notes"/><text xpath="xforms/group[@id='1']/select1[@bind='any_drugs']/label" value="Any drugs prescribed (including ARV,prophylaxis,or treatment)"/><text xpath="xforms/group[@id='1']/select1[@bind='any_drugs']/hint" value="Question on KIULARCO HIV_MRS followup form:Any drugs prescribed (including ARV,prophylaxis,or treatment)"/><text xpath="xforms/group[@id='1']/select1[@bind='any_drugs']/item[@id='1066^NO^99DCT']/label" value="NO"/><text xpath="xforms/group[@id='1']/select1[@bind='any_drugs']/item[@id='1065^YES^99DCT']/label" value="YES"/><text xpath="xforms/group[@id='1']/select1[@bind='any_tests']/label" value="Any tests ordered"/><text xpath="xforms/group[@id='1']/select1[@bind='any_tests']/hint" value="Any tests ordered-A question on KIULARCO HIV_MRS test-order form"/><text xpath="xforms/group[@id='1']/select1[@bind='any_tests']/item[@id='1066^NO^99DCT']/label" value="NO"/><text xpath="xforms/group[@id='1']/select1[@bind='any_tests']/item[@id='1065^YES^99DCT']/label" value="YES"/><text xpath="xforms/group[@id='1']/select1[@bind='pt_dest']/label" value="PT_DEST"/><text xpath="xforms/group[@id='1']/select1[@bind='pt_dest']/hint" value="Question on KIULARCO HIV_MRS followup form:Destination of patient"/><text xpath="xforms/group[@id='1']/select1[@bind='pt_dest']/item[@id='1536^HOME^99DCT']/label" value="HOME"/><text xpath="xforms/group[@id='1']/select1[@bind='pt_dest']/item[@id='161210^Admitted^99DCT']/label" value="Admitted"/><text xpath="xforms/group[@id='1']/select1[@bind='pt_dest']/item[@id='161212^Reffered^99DCT']/label" value="Reffered"/><text xpath="xforms/group[@id='1']/input[@bind='other_ref']/label" value="OTHER_REF"/><text xpath="xforms/group[@id='1']/input[@bind='next_visit']/label" value="Date of next visit"/><text xpath="xforms/group[@id='1']/input[@bind='next_visit']/hint" value="Question on KIULARCO HIV_MRS followup form:Date of next visit"/><text xpath="xforms/group[@id='1']/input[@bind='clin_no']/label" value="Number of clinician"/><text xpath="xforms/group[@id='1']/input[@bind='clin_no']/hint" value="Question on KIULARCO HIV_MRS followup form:Number of clinician"/><text xpath="xforms/group[@id='1']/input[@bind='dss_no']/label" value="DSS_NO"/><text xpath="xforms/group[@id='1']/select1[@bind='pmtct_press']/label" value="PMTCT_PRESS"/><text xpath="xforms/group[@id='1']/select1[@bind='pmtct_press']/item[@id='621^AZT^99DCT']/label" value="AZT"/><text xpath="xforms/group[@id='1']/select1[@bind='pmtct_press']/item[@id='161130^NVP^99DCT']/label" value="NVP"/><text xpath="xforms/group[@id='1']/select1[@bind='pmtct_press']/item[@id='5622^OTHER NON-CODED^99DCT']/label" value="OTHER NON-CODED"/><text xpath="xforms/group[@id='1']/select1[@bind='hosp_loc']/label" value="HOSP_LOC"/><text xpath="xforms/group[@id='1']/select1[@bind='hosp_loc']/hint" value="Location of hospital"/><text xpath="xforms/group[@id='1']/select1[@bind='hosp_loc']/item[@id='5622^OTHER NON-CODED^99DCT']/label" value="OTHER NON-CODED"/><text 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xpath="xforms/group[@id='1']/select1[@bind='arv_status_disch']/item[@id='159835^Continue^99DCT']/label" value="Continue"/><text xpath="xforms/group[@id='1']/select1[@bind='arv_status_disch']/item[@id='161135^change^99DCT']/label" value="change"/><text xpath="xforms/group[@id='1']/select1[@bind='arv_status_disch']/item[@id='161123^stop^99DCT']/label" value="stop"/><text xpath="xforms/group[@id='1']/select1[@bind='arv_status_disch']/item[@id='161124^restart^99DCT']/label" value="restart"/><text xpath="xforms/group[@id='1']/select1[@bind='no_art_reason']/label" value="Reason ARVs were not started"/><text xpath="xforms/group[@id='1']/select1[@bind='no_art_reason']/hint" value="Reason ART were not started"/><text xpath="xforms/group[@id='1']/select1[@bind='no_art_reason']/item[@id='161203^Does not fullfil creteria^99DCT']/label" value="Does not fullfil creteria"/><text xpath="xforms/group[@id='1']/select1[@bind='no_art_reason']/item[@id='161205^Fulfills criteria but counselling 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xpath="xforms/group[@id='1']/select[@bind='refer_to']/item[@id='st._francis_hospital']/label" value="St. Francis Hospital"/><text xpath="xforms/group[@id='1']/select[@bind='refer_to']/item[@id='muhimbili']/label" value="Muhimbili"/><text xpath="xforms/group[@id='1']/select[@bind='refer_to']/item[@id='ocean_road_cancer_institute']/label" value="Ocean Road Cancer Institute"/><text xpath="xforms/group[@id='1']/select[@bind='next_time']/label" value="NEXT_TIME"/><text xpath="xforms/group[@id='1']/select[@bind='next_time']/item[@id='cd4.']/label" value="CD4."/><text xpath="xforms/group[@id='1']/select[@bind='next_time']/item[@id='p24.']/label" value="P24."/><text xpath="xforms/group[@id='1']/select[@bind='next_time']/item[@id='viral_load.']/label" value="Viral load."/><text xpath="xforms/group[@id='1']/select[@bind='next_time']/item[@id='safety_lab']/label" value="Safety lab"/><text xpath="xforms/group[@id='1']/select[@bind='next_time']/item[@id='other_non-coded']/label" value="OTHER 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value="NONE"/><text xpath="xforms/group[@id='1']/select1[@bind='art_pres']/item[@id='161503^PMTCT^99DCT']/label" value="PMTCT"/><text xpath="xforms/group[@id='1']/select1[@bind='art_pres']/item[@id='161151^1a(30)=d4T(30)+3TC+NVP^99DCT']/label" value="1a(30)=d4T(30)+3TC+NVP"/><text xpath="xforms/group[@id='1']/select1[@bind='art_pres']/item[@id='161153^1a(30)L=d4T(30)+3TC+NVP^99DCT']/label" value="1a(30)L=d4T(30)+3TC+NVP"/><text xpath="xforms/group[@id='1']/select1[@bind='art_pres']/item[@id='161163^1d(30)=d4T(30)+3TC+EFV^99DCT']/label" value="1d(30)=d4T(30)+3TC+EFV"/><text xpath="xforms/group[@id='1']/select1[@bind='art_pres']/item[@id='161178^2a=ABC+ddl+LPV/r^99DCT']/label" value="2a=ABC+ddl+LPV/r"/><text xpath="xforms/group[@id='1']/select1[@bind='art_pres']/item[@id='161180^2b=ABC+ddl+SQV/r^99DCT']/label" value="2b=ABC+ddl+SQV/r"/><text xpath="xforms/group[@id='1']/select1[@bind='art_pres']/item[@id='161182^2d=ABC+ddl+ATV/r^99DCT']/label" value="2d=ABC+ddl+ATV/r"/><text xpath="xforms/group[@id='1']/select1[@bind='art_pres']/item[@id='161148^1a=d4T+3TC+NVP^99DCT']/label" value="1a=d4T+3TC+NVP"/><text xpath="xforms/group[@id='1']/select1[@bind='art_pres']/item[@id='161159^1d=d4T+3TC+EFV^99DCT']/label" value="1d=d4T+3TC+EFV"/><text xpath="xforms/group[@id='1']/select1[@bind='art_pres']/item[@id='161164^1e=TDF+FTC+EFV^99DCT']/label" value="1e=TDF+FTC+EFV"/><text xpath="xforms/group[@id='1']/select1[@bind='art_pres']/item[@id='161168^1f=TDF+FTC+NVP^99DCT']/label" value="1f=TDF+FTC+NVP"/><text xpath="xforms/group[@id='1']/select1[@bind='art_pres']/item[@id='161170^1g=TDF+3TC+EFV^99DCT']/label" value="1g=TDF+3TC+EFV"/><text xpath="xforms/group[@id='1']/select1[@bind='art_pres']/item[@id='161171^1h=TDF+3TC+NVP^99DCT']/label" value="1h=TDF+3TC+NVP"/><text xpath="xforms/group[@id='1']/select1[@bind='art_pres']/item[@id='161185^2e=TDF+3TC+LPV/r^99DCT']/label" value="2e=TDF+3TC+LPV/r"/><text xpath="xforms/group[@id='1']/select1[@bind='art_pres']/item[@id='161187^2f=TDF+FTC+LPV/r^99DCT']/label" value="2f=TDF+FTC+LPV/r"/><text xpath="xforms/group[@id='1']/select1[@bind='art_pres']/item[@id='161190^2g=ABC+3TC+LPV/r^99DCT']/label" value="2g=ABC+3TC+LPV/r"/><text xpath="xforms/group[@id='1']/select1[@bind='art_pres']/item[@id='161155^1b=AZT+3TC+NVP^99DCT']/label" value="1b=AZT+3TC+NVP"/><text xpath="xforms/group[@id='1']/select1[@bind='art_pres']/item[@id='161156^1c=AZT+3TC+EFV^99DCT']/label" value="1c=AZT+3TC+EFV"/><text xpath="xforms/group[@id='1']/select1[@bind='art_pres']/item[@id='161176^1x=Other1stline^99DCT']/label" value="1x=Other1stline"/><text xpath="xforms/group[@id='1']/select1[@bind='art_pres']/item[@id='161195^2x=Other2ndline^99DCT']/label" value="2x=Other2ndline"/><text xpath="xforms/group[@id='1']/select1[@bind='art_pres']/item[@id='161504^PEP^99DCT']/label" value="PEP"/><text xpath="xforms/group[@id='1']/select1[@bind='art_pres']/item[@id='161931^ABC, 3TC, 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xpath="xforms/group[@id='1']/select1[@bind='art_pres']/item[@id='161926^2n-A AZT, 3TC, LPV/r 2n-P^99DCT']/label" value="2n-A AZT, 3TC, LPV/r 2n-P"/><text xpath="xforms/group[@id='1']/select1[@bind='art_pres']/item[@id='161927^AZT, 3TC, EFV 2t-P^99DCT']/label" value="AZT, 3TC, EFV 2t-P"/><text xpath="xforms/group[@id='1']/select1[@bind='art_pres']/item[@id='161928^5a AZT^99DCT']/label" value="5a AZT"/><text xpath="xforms/group[@id='1']/select1[@bind='art_pres']/item[@id='161929^5b AZT, 3TC, NVP^99DCT']/label" value="5b AZT, 3TC, NVP"/><text xpath="xforms/group[@id='1']/select1[@bind='art_pres']/item[@id='161930^5c AZT, 3TC^99DCT']/label" value="5c AZT, 3TC"/><text xpath="xforms/group[@id='1']/select1[@bind='art_pres']/item[@id='162056^DTG+ATV/r+ETV^99DCT']/label" value="DTG+ATV/r+ETV"/><text xpath="xforms/group[@id='1']/select1[@bind='art_pres']/item[@id='162057^DTG+ETV+3TC^99DCT']/label" value="DTG+ETV+3TC"/><text 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HIV_MRS follow_up form"/><text xpath="xforms/group[@id='1']/select1[@bind='art_pres_1']/item[@id='1107^NONE^99DCT']/label" value="NONE"/><text xpath="xforms/group[@id='1']/select1[@bind='art_pres_1']/item[@id='161148^1a=d4T+3TC+NVP^99DCT']/label" value="1a=d4T+3TC+NVP"/><text xpath="xforms/group[@id='1']/select1[@bind='art_pres_1']/item[@id='161151^1a(30)=d4T(30)+3TC+NVP^99DCT']/label" value="1a(30)=d4T(30)+3TC+NVP"/><text xpath="xforms/group[@id='1']/select1[@bind='art_pres_1']/item[@id='161153^1a(30)L=d4T(30)+3TC+NVP^99DCT']/label" value="1a(30)L=d4T(30)+3TC+NVP"/><text xpath="xforms/group[@id='1']/select1[@bind='art_pres_1']/item[@id='161159^1d=d4T+3TC+EFV^99DCT']/label" value="1d=d4T+3TC+EFV"/><text xpath="xforms/group[@id='1']/select1[@bind='art_pres_1']/item[@id='161163^1d(30)=d4T(30)+3TC+EFV^99DCT']/label" value="1d(30)=d4T(30)+3TC+EFV"/><text xpath="xforms/group[@id='1']/select1[@bind='art_pres_1']/item[@id='161164^1e=TDF+FTC+EFV^99DCT']/label" value="1e=TDF+FTC+EFV"/><text 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xpath="xforms/group[@id='1']/select1[@bind='art_pres_1']/item[@id='161925^2m-A TDF, 3TC, ATV/r^99DCT']/label" value="2m-A TDF, 3TC, ATV/r"/><text xpath="xforms/group[@id='1']/select1[@bind='art_pres_1']/item[@id='161926^2n-A AZT, 3TC, LPV/r 2n-P^99DCT']/label" value="2n-A AZT, 3TC, LPV/r 2n-P"/><text xpath="xforms/group[@id='1']/select1[@bind='art_pres_1']/item[@id='161927^AZT, 3TC, EFV 2t-P^99DCT']/label" value="AZT, 3TC, EFV 2t-P"/><text xpath="xforms/group[@id='1']/select1[@bind='art_pres_1']/item[@id='161928^5a AZT^99DCT']/label" value="5a AZT"/><text xpath="xforms/group[@id='1']/select1[@bind='art_pres_1']/item[@id='161929^5b AZT, 3TC, NVP^99DCT']/label" value="5b AZT, 3TC, NVP"/><text xpath="xforms/group[@id='1']/select1[@bind='art_pres_1']/item[@id='161930^5c AZT, 3TC^99DCT']/label" value="5c AZT, 3TC"/><text xpath="xforms/group[@id='1']/select1[@bind='art_pres_1']/item[@id='162056^DTG+ATV/r+ETV^99DCT']/label" value="DTG+ATV/r+ETV"/><text 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xpath="xforms/group[@id='1']/select1[@bind='art_pres_1']/item[@id='162064^DRV/r+AZT+3TC^99DCT']/label" value="DRV/r+AZT+3TC"/><text xpath="xforms/group[@id='1']/select1[@bind='art_pres_1']/item[@id='162065^DRV+RTV+ABC+3TC^99DCT']/label" value="DRV+RTV+ABC+3TC"/><text xpath="xforms/group[@id='1']/select1[@bind='art_pres_1']/item[@id='162066^DRV+RTV+AZT+3TC^99DCT']/label" value="DRV+RTV+AZT+3TC"/><text xpath="xforms/group[@id='1']/select1[@bind='art_pres_1']/item[@id='162067^DTG+DRV/r+1-2NRTI^99DCT']/label" value="DTG+DRV/r+1-2NRTI"/><text xpath="xforms/group[@id='1']/select1[@bind='art_pres_1']/item[@id='162278^DTG+DRV/r^99DCT']/label" value="DTG+DRV/r"/><text xpath="xforms/group[@id='1']/select1[@bind='art_pres_1']/item[@id='162069^RAL+DRV/r+1-2NRTI^99DCT']/label" value="RAL+DRV/r+1-2NRTI"/><text xpath="xforms/group[@id='1']/select1[@bind='art_pres_1']/item[@id='162279^RAL+DRV/r^99DCT']/label" value="RAL+DRV/r"/><text 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@WidgetType='Label'][@Text]" value="Daily alcohol consumption"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1410px' and @WidgetType='GroupBox']/Item[@Binding='obs/alcohol_daily/value' and @WidgetType='Label'][@HelpText]" value="Daily alcohol consumption-A question on KIULARCO HIV_MRS follow_up form"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1410px' and @WidgetType='GroupBox']/Item[@Binding='obs/alcohol_daily/value' and @WidgetType='Label'][@Top]" value="160px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1410px' and @WidgetType='GroupBox']/Item[@Binding='obs/alcohol_daily/value' and @WidgetType='Label'][@Left]" value="12px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1410px' and @WidgetType='GroupBox']/Item[@Binding='obs/alcohol_weekly/value' and @WidgetType='Label'][@Text]" value="Weekly alcohol consumption"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1410px' and @WidgetType='GroupBox']/Item[@Binding='obs/alcohol_weekly/value' and @WidgetType='Label'][@HelpText]" value="Weekly alcohol consumption-A question on KIULARCO HIV_MRS follow_up form"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1410px' and @WidgetType='GroupBox']/Item[@Binding='obs/alcohol_weekly/value' and @WidgetType='Label'][@Top]" value="202px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1410px' and @WidgetType='GroupBox']/Item[@Binding='obs/alcohol_weekly/value' and @WidgetType='Label'][@Left]" value="13px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1410px' and @WidgetType='GroupBox']/Item[@Binding='obs/alcohol_npw/value' and @WidgetType='TextBox'][@HelpText]" value="Number of standard drinks per week"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1410px' and @WidgetType='GroupBox']/Item[@Binding='obs/alcohol_npw/value' and @WidgetType='TextBox'][@Top]" value="201px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1410px' and @WidgetType='GroupBox']/Item[@Binding='obs/alcohol_npw/value' and @WidgetType='TextBox'][@Left]" value="685px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1410px' and @WidgetType='GroupBox']/Item[@Binding='obs/alcohol_npw/value' and @WidgetType='TextBox'][@Width]" value="168px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1410px' and @WidgetType='GroupBox']/Item[@Binding='liquor' and @ParentBinding='obs/alcohol_type/xforms_value' and @WidgetType='CheckBox'][@Text]" value="Liquor"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1410px' and @WidgetType='GroupBox']/Item[@Binding='liquor' and @ParentBinding='obs/alcohol_type/xforms_value' and @WidgetType='CheckBox'][@HelpText]" value="Liquor"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1410px' and @WidgetType='GroupBox']/Item[@Binding='liquor' and @ParentBinding='obs/alcohol_type/xforms_value' and @WidgetType='CheckBox'][@Top]" value="118px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1410px' and @WidgetType='GroupBox']/Item[@Binding='liquor' and @ParentBinding='obs/alcohol_type/xforms_value' and @WidgetType='CheckBox'][@Left]" value="699px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1410px' and @WidgetType='GroupBox']/Item[@Binding='other_non-coded' and @ParentBinding='obs/alcohol_type/xforms_value' and @WidgetType='CheckBox'][@Text]" value="Other"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1410px' and @WidgetType='GroupBox']/Item[@Binding='other_non-coded' and @ParentBinding='obs/alcohol_type/xforms_value' and @WidgetType='CheckBox'][@HelpText]" value="OTHER NON-CODED"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1410px' and @WidgetType='GroupBox']/Item[@Binding='other_non-coded' and @ParentBinding='obs/alcohol_type/xforms_value' and @WidgetType='CheckBox'][@Top]" value="118px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1410px' and @WidgetType='GroupBox']/Item[@Binding='other_non-coded' and @ParentBinding='obs/alcohol_type/xforms_value' and @WidgetType='CheckBox'][@Left]" value="780px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1410px' and @WidgetType='GroupBox']/Item[@Binding='obs/alcohol_type/xforms_value' and @WidgetType='Label'][@Text]" value="Type of alcohol"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1410px' and @WidgetType='GroupBox']/Item[@Binding='obs/alcohol_type/xforms_value' and @WidgetType='Label'][@HelpText]" value="A question on KIULARCO HIV_MRS baseline form: alcohol type taken this patient."/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1410px' and @WidgetType='GroupBox']/Item[@Binding='obs/alcohol_type/xforms_value' and @WidgetType='Label'][@Top]" value="119px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1410px' and @WidgetType='GroupBox']/Item[@Binding='obs/alcohol_type/xforms_value' and @WidgetType='Label'][@Left]" value="407px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1410px' and @WidgetType='GroupBox']/Item[@Binding='beer' and @ParentBinding='obs/alcohol_type/xforms_value' and @WidgetType='CheckBox'][@Text]" value="Beer"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1410px' and @WidgetType='GroupBox']/Item[@Binding='beer' and @ParentBinding='obs/alcohol_type/xforms_value' and @WidgetType='CheckBox'][@HelpText]" value="Beer"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1410px' and @WidgetType='GroupBox']/Item[@Binding='beer' and @ParentBinding='obs/alcohol_type/xforms_value' and @WidgetType='CheckBox'][@Top]" value="117px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1410px' and @WidgetType='GroupBox']/Item[@Binding='beer' and @ParentBinding='obs/alcohol_type/xforms_value' and @WidgetType='CheckBox'][@Left]" value="633px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1410px' and @WidgetType='GroupBox']/Item[@Binding='obs/alcohol/value' and @WidgetType='Label'][@Text]" value="Currently consume alcohol"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1410px' and @WidgetType='GroupBox']/Item[@Binding='obs/alcohol/value' and @WidgetType='Label'][@HelpText]" value="Currently consume alcohol-A question on KIULARCO HIV_MRS follow_up form"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1410px' and @WidgetType='GroupBox']/Item[@Binding='obs/alcohol/value' and @WidgetType='Label'][@Top]" value="118px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1410px' and @WidgetType='GroupBox']/Item[@Binding='obs/alcohol/value' and @WidgetType='Label'][@Left]" value="11px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1410px' and @WidgetType='GroupBox']/Item[@Binding='1065^YES^99DCT' and @ParentBinding='obs/smoke_cig/value' and @WidgetType='RadioButton'][@Text]" value="Yes"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1410px' and @WidgetType='GroupBox']/Item[@Binding='1065^YES^99DCT' and @ParentBinding='obs/smoke_cig/value' and @WidgetType='RadioButton'][@HelpText]" value="YES"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1410px' and @WidgetType='GroupBox']/Item[@Binding='1065^YES^99DCT' and @ParentBinding='obs/smoke_cig/value' and @WidgetType='RadioButton'][@Top]" value="70px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1410px' and @WidgetType='GroupBox']/Item[@Binding='1065^YES^99DCT' and @ParentBinding='obs/smoke_cig/value' and @WidgetType='RadioButton'][@Left]" value="242px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1410px' and @WidgetType='GroupBox']/Item[@Binding='obs/avg-cig/value' and @WidgetType='TextBox'][@HelpText]" value="Avarage number of cigarettes smoked per day-A question on KIULARCO HIV_MRS follow_up form"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1410px' and @WidgetType='GroupBox']/Item[@Binding='obs/avg-cig/value' and @WidgetType='TextBox'][@Top]" value="70px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1410px' and @WidgetType='GroupBox']/Item[@Binding='obs/avg-cig/value' and @WidgetType='TextBox'][@Left]" value="683px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1410px' and @WidgetType='GroupBox']/Item[@Binding='obs/avg-cig/value' and @WidgetType='TextBox'][@Width]" value="166px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1410px' and @WidgetType='GroupBox']/Item[@Binding='obs/smoke_cig/value' and @WidgetType='Label'][@Text]" value="Smoking"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1410px' and @WidgetType='GroupBox']/Item[@Binding='obs/smoke_cig/value' and @WidgetType='Label'][@HelpText]" value="Smoking-A question on KIULARCO HIV_MRS follow_up form"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1410px' and @WidgetType='GroupBox']/Item[@Binding='obs/smoke_cig/value' and @WidgetType='Label'][@Top]" value="73px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1410px' and @WidgetType='GroupBox']/Item[@Binding='obs/smoke_cig/value' and @WidgetType='Label'][@Left]" value="9px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1410px' and @WidgetType='GroupBox']/Item[@Binding='obs/chew_tobacco/value' and @WidgetType='Label'][@Text]" value="Chew tobacco"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1410px' and @WidgetType='GroupBox']/Item[@Binding='obs/chew_tobacco/value' and @WidgetType='Label'][@HelpText]" value="Chew tobacco-A question on KIULARCO HIV_MRS follow_up form"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1410px' and @WidgetType='GroupBox']/Item[@Binding='obs/chew_tobacco/value' and @WidgetType='Label'][@Top]" value="32px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1410px' and @WidgetType='GroupBox']/Item[@Binding='obs/chew_tobacco/value' and @WidgetType='Label'][@Left]" value="9px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1601px-null' and @WidgetType='GroupBox'][@Top]" value="1938px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1601px-null' and @WidgetType='GroupBox'][@Left]" value="46px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1601px-null' and @WidgetType='GroupBox'][@Width]" value="880px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1601px-null' and @WidgetType='GroupBox']/Item[@Binding='LEFT48pxTOP1601px-null' and @WidgetType='Label'][@Text]" value="HOSPITALIZATIONS"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1601px-null' and @WidgetType='GroupBox']/Item[@Binding='LEFT48pxTOP1601px-null' and @WidgetType='Label'][@HelpText]" value="Header Label"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1601px-null' and @WidgetType='GroupBox']/Item[@Binding='LEFT48pxTOP1601px-null' and @WidgetType='Label'][@Top]" value="0px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1601px-null' and @WidgetType='GroupBox']/Item[@Binding='LEFT48pxTOP1601px-null' and @WidgetType='Label'][@Left]" value="0px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1601px-null' and @WidgetType='GroupBox']/Item[@Binding='LEFT48pxTOP1601px-null' and @WidgetType='Label'][@Width]" value="100%"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1601px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/hosp_date2/value' and @WidgetType='Label'][@Text]" value="Date of 2nd admission"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1601px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/hosp_date2/value' and @WidgetType='Label'][@HelpText]" value="Date of 2nd admission-A question on KIULARCO HIV_MRS follow_up"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1601px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/hosp_date2/value' and @WidgetType='Label'][@Top]" value="111px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1601px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/hosp_date2/value' and @WidgetType='Label'][@Left]" value="11px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1601px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/hosp_date3/value' and @WidgetType='Label'][@Text]" value="Date of 3rd admission"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1601px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/hosp_date3/value' and @WidgetType='Label'][@HelpText]" value="Date of 3rd admission-A question on KIULARCO HIV_MRS follow_up form"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1601px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/hosp_date3/value' and @WidgetType='Label'][@Top]" value="151px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1601px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/hosp_date3/value' and @WidgetType='Label'][@Left]" value="11px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1601px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/hosp_ind2/value' and @WidgetType='Label'][@Text]" value="ICD10 code for 2nd admission"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1601px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/hosp_ind2/value' and @WidgetType='Label'][@HelpText]" value="ICD10 code for 2nd admission-A question on KIULARCO HIV_MRS follow_up form"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1601px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/hosp_ind2/value' and @WidgetType='Label'][@Top]" value="109px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1601px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/hosp_ind2/value' and @WidgetType='Label'][@Left]" value="509px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1601px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/hosp_ind3/value' and @WidgetType='Label'][@Text]" value="ICD10 code for 3rd admission"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1601px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/hosp_ind3/value' and @WidgetType='Label'][@HelpText]" value="ICD10 code for 3rd admission-A question on KIULARCO HIV_MRS follow_up form"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1601px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/hosp_ind3/value' and @WidgetType='Label'][@Top]" value="149px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1601px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/hosp_ind3/value' and @WidgetType='Label'][@Left]" value="509px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1601px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/hosp_ind3/value' and @WidgetType='TextBox'][@HelpText]" value="ICD10 code for 3rd admission-A question on KIULARCO HIV_MRS follow_up form"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1601px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/hosp_ind3/value' and @WidgetType='TextBox'][@Top]" value="149px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1601px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/hosp_ind3/value' and @WidgetType='TextBox'][@Left]" value="721px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1601px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/hosp_ind3/value' and @WidgetType='TextBox'][@Width]" value="133px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1601px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/hosp_ind2/value' and @WidgetType='TextBox'][@HelpText]" value="ICD10 code for 2nd admission-A question on KIULARCO HIV_MRS follow_up form"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1601px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/hosp_ind2/value' and @WidgetType='TextBox'][@Top]" value="109px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1601px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/hosp_ind2/value' and @WidgetType='TextBox'][@Left]" value="720px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1601px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/hosp_ind2/value' and @WidgetType='TextBox'][@Width]" value="133px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1601px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/hosp_ind1/value' and @WidgetType='TextBox'][@HelpText]" value="ICD10 code for 1st admission-A question on KIULARCO HIV_MRS follow_up"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1601px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/hosp_ind1/value' and @WidgetType='TextBox'][@Top]" value="69px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1601px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/hosp_ind1/value' and @WidgetType='TextBox'][@Left]" value="720px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1601px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/hosp_ind1/value' and @WidgetType='TextBox'][@Width]" value="133px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1601px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/hosp_date1/value' and @WidgetType='DatePicker'][@HelpText]" value="Date of 1st admission-A question on KIULARCO HIV_MRS follow_up"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1601px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/hosp_date1/value' and @WidgetType='DatePicker'][@Top]" value="71px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1601px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/hosp_date1/value' and @WidgetType='DatePicker'][@Left]" value="201px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1601px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/hosp_date1/value' and @WidgetType='DatePicker'][@Width]" value="200px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1601px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/hosp_date2/value' and @WidgetType='DatePicker'][@HelpText]" value="Date of 2nd admission-A question on KIULARCO HIV_MRS follow_up"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1601px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/hosp_date2/value' and @WidgetType='DatePicker'][@Top]" value="111px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1601px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/hosp_date2/value' and @WidgetType='DatePicker'][@Left]" value="201px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1601px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/hosp_date2/value' and @WidgetType='DatePicker'][@Width]" value="200px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1601px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/hosp_date3/value' and @WidgetType='DatePicker'][@HelpText]" value="Date of 3rd admission-A question on KIULARCO HIV_MRS follow_up form"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP1601px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/hosp_date3/value' and 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