/
simpleVisitNote.xml
83 lines (67 loc) · 2.52 KB
/
simpleVisitNote.xml
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<htmlform formUuid="c75f120a-04ec-11e3-8780-2b40bef9a44b" formName="Visit Note" formEncounterType="d7151f82-c1f3-4152-a605-2f9ea7414a79" formVersion="1.0">
<style type="text/css">
#who-when-where {
margin-bottom: 6px;
border-bottom: 1px solid #ccc;
}
#who-when-where p {
display: inline-block;
padding-right: 20px;
}
#where > input[type=text] {
display: inline-block;
}
.field-error {
color: #ff6666;
font-size: 1.1em;
display: block;
}
<ifMode mode="VIEW" include="false">
#data-collection {
display: inline-block;
width: 58%;
vertical-align: top;
}
#encounter-diagnoses-target {
display: inline-block;
width: 40%;
vertical-align: top;
}
#encounter-diagnoses-app {
margin-bottom: 20px;
}
</ifMode>
</style>
<ifMode mode="VIEW" include="false">
<h2><uimessage code="referenceapplication.visitNote.title"/></h2>
<div id="who-when-where">
<p id="who">
<label><uimessage code="coreapps.patientDashBoard.provider"/></label>
<span><encounterProvider default="currentUser" required="true" /></span>
</p>
<p id="when">
<label><uimessage code="coreapps.patientDashBoard.location"/></label>
<span><encounterLocation default="SessionAttribute:emrContext.sessionLocationId"/></span>
</p>
<p id="where">
<label><uimessage code="coreapps.patientDashBoard.date"/></label>
<span><encounterDate id="encounterDate" default="now" /></span>
</p>
</div>
</ifMode>
<div id="data-collection">
<encounterDiagnoses required="true" selectedDiagnosesTarget="#encounter-diagnoses-target"/>
<p>
<label><uimessage code="coreapps.consult.freeTextComments"/></label>
<obs conceptId="CIEL:162169" style="textarea" rows="5"/>
</p>
</div>
<div id="encounter-diagnoses-target">
</div>
<ifMode mode="VIEW" include="false">
<div id="buttons">
<submit submitClass="confirm right" submitCode="general.save"/>
<button type="button" class="cancel"><uimessage code="general.cancel"/></button>
</div>
</ifMode>
</htmlform>