📄 test_form.xhtml.svn-base
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<?xml version="1.0" encoding="UTF-8"?>
<html xmlns="http://www.w3.org/1999/xhtml" xmlns:xf="http://www.w3.org/2002/xforms"
xmlns:xsd="http://www.w3.org/2001/XMLSchema" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<head>
<title>this is a test</title>
<xf:model>
<xf:instance xmlns="">
<form id="14" name="Test form" version="0.1" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:openmrs="https://www2.cell-life.org.za/OPENMRSDTHF/moduleServlet/formEntry/forms/schema/14-56" xmlns:xd="http://schemas.microsoft.com/office/infopath/2003">
<header>
<enterer>7^Simon Kelly</enterer>
<date_entered>2007-04-13T11:20:29+02:00</date_entered>
<session></session>
<uid></uid>
</header>
<patient>
<patient.birthdate openmrs_table="patient" openmrs_attribute="birthdate"></patient.birthdate>
<patient.family_name openmrs_table="patient_name" openmrs_attribute="family_name"></patient.family_name>
<patient.given_name openmrs_table="patient_name" openmrs_attribute="given_name"></patient.given_name>
<patient.medical_record_number openmrs_table="patient_identifier" openmrs_attribute="identifier"></patient.medical_record_number>
<patient.preferred_id openmrs_table="patient_identifier" openmrs_attribute="identifier"></patient.preferred_id>
<patient.patient_id openmrs_table="patient" openmrs_attribute="patient_id">16814</patient.patient_id>
<patient.sex openmrs_table="patient" openmrs_attribute="gender"></patient.sex>
</patient>
<encounter>
<encounter.encounter_datetime openmrs_table="encounter" openmrs_attribute="encounter_datetime"></encounter.encounter_datetime>
<encounter.location_id openmrs_table="encounter" openmrs_attribute="location_id"></encounter.location_id>
<encounter.provider_id openmrs_table="encounter" openmrs_attribute="provider_id">7</encounter.provider_id>
</encounter>
<obs openmrs_concept="1238^MEDICAL RECORD OBSERVATIONS^99DCT" openmrs_datatype="ZZ">
<home_language openmrs_concept="1377^HOME LANGUAGE^99DCT" openmrs_datatype="ST">
<date xsi:nil="true"></date>
<time xsi:nil="true"></time>
<value xsi:nil="true"></value>
</home_language>
<education openmrs_concept="1378^EDUCATION^99DCT" openmrs_datatype="CWE" multiple="0">
<date xsi:nil="true"></date>
<time xsi:nil="true"></time>
<value xsi:nil="true"></value>
</education>
<last_negative_hiv_test openmrs_concept="1381^LAST NEGATIVE HIV TEST^99DCT" openmrs_datatype="DT">
<date xsi:nil="true"></date>
<time xsi:nil="true"></time>
<value xsi:nil="true"></value>
</last_negative_hiv_test>
<positive_hiv_test_date openmrs_concept="1354^POSITIVE HIV TEST DATE^99DCT" openmrs_datatype="DT">
<date xsi:nil="true"></date>
<time xsi:nil="true"></time>
<value xsi:nil="true"></value>
</positive_hiv_test_date>
<height_cm openmrs_concept="5090^HEIGHT (CM)^99DCT" openmrs_datatype="NM">
<date xsi:nil="true"></date>
<time xsi:nil="true"></time>
<value></value>
</height_cm>
<weight_kg openmrs_concept="5089^WEIGHT (KG)^99DCT" openmrs_datatype="NM">
<date xsi:nil="true"></date>
<time xsi:nil="true"></time>
<value xsi:nil="true"></value>
</weight_kg>
<cd4_count openmrs_concept="5497^CD4 COUNT^99DCT" openmrs_datatype="NM">
<date xsi:nil="true"></date>
<time xsi:nil="true"></time>
<value xsi:nil="true"></value>
</cd4_count>
<sexy openmrs_concept="1446^SEXY^99DCT" openmrs_datatype="BIT">
<date xsi:nil="true"></date>
<time xsi:nil="true"></time>
<value infopath_boolean_hack="1" xsi:nil="true"></value>
</sexy>
</obs>
<problem_list openmrs_concept="1284^PROBLEM LIST^99DCT" openmrs_datatype="ZZ">
<problem_added openmrs_concept="6042^PROBLEM ADDED^99DCT" openmrs_datatype="CWE" multiple="0">
<date xsi:nil="true"></date>
<time xsi:nil="true"></time>
<value xsi:nil="true"></value>
</problem_added>
<problem_resolved openmrs_concept="6097^PROBLEM RESOLVED^99DCT" openmrs_datatype="CWE" multiple="0">
<date xsi:nil="true"></date>
<time xsi:nil="true"></time>
<value xsi:nil="true"></value>
</problem_resolved>
</problem_list>
<other></other></form>
</xf:instance>
<xf:bind id="visitDate" nodeset="/form/encounter/encounter.encounter_datetime" type="xsd:date" />
<xf:bind id="location" nodeset="/form/encounter/encounter.location_id" type="xsd:int" />
<xf:bind id="height" nodeset="/form/obs/height_cm/value" type="xsd:int" />
<xf:bind id="sexy" nodeset="/form/obs/sexy/value" type="xsd:boolean" />
<xf:bind id="cd4" nodeset="/form/obs/cd4_count/value" type="xsd:int" />
<xf:submission id="save" method="post" action="http://tambo.cell-life.org:8180/OPENMRSDTHF/moduleServlet/formEntry/formUpload" ref="/form" />
</xf:model>
</head>
<body>
<xf:input bind="visitDate" incremental="true">
<xf:label>Visit Date:</xf:label>
<xf:hint>Date of visit.</xf:hint>
</xf:input>
<xf:input bind="cd4">
<xf:label>CD4 count:</xf:label>
<xf:hint>Integer.</xf:hint>
</xf:input>
<xf:select1 bind="location" selection="closed">
<xf:label>Enter the location:</xf:label>
<xf:hint>Location at which visit happened.</xf:hint>
<xf:item>
<xf:label>Gugulethu</xf:label>
<xf:value>3</xf:value>
</xf:item>
<xf:item>
<xf:label>Masi</xf:label>
<xf:value>2</xf:value>
</xf:item>
<xf:item>
<xf:label>DTHC</xf:label>
<xf:value>12</xf:value>
</xf:item>
</xf:select1>
<xf:input bind="sexy">
<xf:label>Are you sexy?</xf:label>
<xf:hint>Sexyness is a measure of looks.</xf:hint>
</xf:input>
<xf:input bind="height" incremental="true">
<xf:hint>The patients height</xf:hint>
<xf:label>Height:</xf:label>
</xf:input>
<xf:submit submission="save">
<xf:label>Save</xf:label>
</xf:submit>
</body>
</html>
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