/
ckd_imaging.xml
82 lines (69 loc) · 2.78 KB
/
ckd_imaging.xml
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<htmlform formUuid="1bb608b2-9fa8-11e8-98d0-529269fb1459"
formName="Chronic Kidney Disease Imaging Results"
formEncounterType="c4948e2c-9adf-11e8-9eb6-529269fb1459" formVersion="1.0">
<macros>
<macro key="hivStatus" value="6567ae62-977f-11e1-8993-905e29aff6c1" />
<macro key="reactive" value="65587802-977f-11e1-8993-905e29aff6c1" />
<macro key="nReactive" value="6558791a-977f-11e1-8993-905e29aff6c1" />
<macro key="unknown" value="65576584-977f-11e1-8993-905e29aff6c1" />
<macro key="ussResult" value="b822cbed-d108-4387-8876-b430179a5945" />
</macros>
<!-- Flowsheet table view -->
<ifMode mode="VIEW" include="true">
<table class="visit-table data-entry-table">
<thead class="visit-table-header">
<tr>
<th colspan="2">Imaging (USS) Results</th>
</tr>
<tr>
<th>Date</th>
<th>Result</th>
</tr>
</thead>
<tbody class="visit-table-body">
<tr class="visit-table-row">
<td class="nowrap visit-date">
<!-- Encounter Date -->
<encounterDate/>
</td>
<td>
<obs conceptId="$ussResult"/>
</td>
</tr>
</tbody>
</table>
</ifMode>
<!-- Data entry view -->
<ifMode mode="VIEW" include="false">
<h4 style="font-style: italic;">
<b>Imaging (USS) Results</b>
<span style="padding-left:50px;">Version 1</span>
<span id="patientUuid" style="display:none"><lookup expression="patient.uuid"/></span>
<span style="padding-left:50px;">
<b style="padding-right:10px;">NCD Reg no:</b>
<b>
<lookup complexExpression="#foreach( $id in $patientIdentifiers.get("Chronic Care Number") ) $!id #end"/>
</b>
</span>
</h4>
<span style="display:none">
<encounterProvider default="16576"/>
</span> <!-- Set provider to a default as not used -->
<table class="visit-edit-table">
<tr>
<th>Date</th>
<td>
<encounterDate id="visitDate" default="today"/>
<span id="visitDateError" class="error field-error" style="display:none;color: rgb(255, 0, 0);"></span>
</td>
</tr>
<tr>
<th>Result</th>
<td class="focus-field">
<obs conceptId="$ussResult" />
</td>
</tr>
</table>
<submit/>
</ifMode>
</htmlform>