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dysplasia.xml
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dysplasia.xml
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<?xml version="1.0" encoding="UTF-8"?>
<xf:xforms xmlns:xf="http://www.w3.org/2002/xforms" xmlns:h="http://www.w3.org/1999/xhtml" xmlns:xsd="http://www.w3.org/2001/XMLSchema" xmlns:xs="http://www.w3.org/2001/XMLSchema" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:jr="http://openrosa.org/javarosa">
<xf:head>
<xf:title>CCSP Dysplasia Form</xf:title>
<xf:model id="openmrs_model">
<xf:instance id="openmrs_model_instance">
<form id="401" name="CCSP Dysplasia Form" version="0.1" xmlns:openmrs="https://amrs.ampath.or.ke/amrs/moduleServlet/formentry/forms/schema/401-32" xmlns:xd="http://schemas.microsoft.com/office/infopath/2003">
<!-- ENCOUNTER INFO -->
<header>
<enterer />
<date_entered />
<session />
<uid />
</header>
<patient>
<patient.patient_id openmrs_table="patient" openmrs_attribute="patient_id" />
<patient_identifier.identifier_type_id openmrs_table="patient_identifier" openmrs_attribute="identifier_type_id" />
<patient.medical_record_number openmrs_table="patient_identifier" openmrs_attribute="identifier" />
<patient.birthdate openmrs_table="patient" openmrs_attribute="birthdate" />
<patient.birthdate_estimated openmrs_table="patient" openmrs_attribute="birthdate_estimated" />
<patient.family_name openmrs_table="patient_name" openmrs_attribute="family_name" />
<patient.given_name openmrs_table="patient_name" openmrs_attribute="given_name" />
<patient.middle_name openmrs_table="patient_name" openmrs_attribute="middle_name" />
<patient.sex openmrs_table="patient" openmrs_attribute="gender" />
</patient>
<encounter>
<encounter.encounter_datetime openmrs_table="encounter" openmrs_attribute="encounter_datetime" />
<encounter.location_id openmrs_table="encounter" openmrs_attribute="location_id" />
<encounter.provider_id openmrs_table="encounter" openmrs_attribute="provider_id" />
</encounter>
<obs openmrs_concept="1238^MEDICAL RECORD OBSERVATIONS^99DCT" openmrs_datatype="ZZ">
<temporary.registration.uuid openmrs_concept="9000^TEMPORARY REGISTRATION UUID^99DCT" openmrs_datatype="CWE" />
<start_time openmrs_concept="1693^START TIME^99DCT" openmrs_datatype="TM">
<value />
</start_time>
<start_now></start_now>
<end_time openmrs_concept="1694^END TIME^99DCT" openmrs_datatype="TM">
<value />
</end_time>
<!-- WOMENS RH FORM: 59 CHWGENERALWOMEN This is the Community Health Worker General Encounter Type to collect information on women who are aged between 12 and 49 years. -->
<!-- Update to match encounter ID in AMRS for CCSP -->
<current_visit_type openmrs_concept="1839^CURRENT VISIT TYPE^99DCT" openmrs_datatype="CWE">
<value>59</value>
</current_visit_type>
<!-- CCSP Dysplasia Obs -->
<ccsp_satisfactory_colpo openmrs_concept="7428^Satisfactory Colposcopy^99DCT" openmrs_datatype="CWE">
<date />
<time />
<value />
</ccsp_satisfactory_colpo>
<ccsp_lesion openmrs_concept="7477^Lesion^99DCT" openmrs_datatype="CWE">
<date />
<time />
<value />
</ccsp_lesion>
<ccsp_findings openmrs_concept="7383^Findings^99DCT" openmrs_datatype="CWE">
<date />
<time />
<value />
</ccsp_findings>
<ccsp_visual_cervix openmrs_concept="7484^Cervix^99DCT" openmrs_datatype="CWE">
<date />
<time />
<value />
</ccsp_visual_cervix>
<ccsp_visual_vulva openmrs_concept="7487^Vulva^99DCT" openmrs_datatype="CWE">
<date />
<time />
<value />
</ccsp_visual_vulva>
<ccsp_visual_vagina openmrs_concept="7490^Vagina^99DCT" openmrs_datatype="CWE">
<date />
<time />
<value />
</ccsp_visual_vagina>
<ccsp_procedures_done openmrs_concept="7479^Procedures Done^99DCT" openmrs_datatype="CWE" multiple="0">
<date />
<time />
<value />
</ccsp_procedures_done>
<ccsp_plan openmrs_concept="7500^Plan^99DCT" openmrs_datatype="CWE" multiple="0">
<date />
<time />
<value />
</ccsp_plan>
<ccsp_directive_fp openmrs_concept="6681^Directive FP^99DCT" openmrs_datatype="CWE" multiple="0">
<date />
<time />
<value />
</ccsp_directive_fp>
<ccsp_refill_dispense openmrs_concept="7495^Refill dispensed^99DCT" openmrs_datatype="CWE" multiple="0">
<date />
<time />
<value />
</ccsp_refill_dispense>
<ccsp_new_method openmrs_concept="7240^New method initiated^99DCT" openmrs_datatype="CWE" multiple="0">
<date />
<time />
<value />
</ccsp_new_method>
<!-- CCSP End Dysplasia Obs -->
<!-- CCSP FORMOBS -->
<ccsp_currentfp openmrs_concept="374^Current FP^99DCT" openmrs_datatype="CWE" multiple="0">
<date />
<time />
<value />
</ccsp_currentfp>
<!-- CCSP END FORMOBS -->
</obs>
<other>
<calculated_edd />
<calculated_edd_reminder />
<when_followup />
</other>
</form>
</xf:instance>
<!-- BINDINGS -->
<bind id="start_now" nodeset="/form/obs/start_now" calculate="now()" type="time" />
<!-- Standard Encounter Information -->
<bind id="start_time" nodeset="/form/obs/start_time/value" jr:preload="time" jr:preloadParams="start" type="time" />
<bind id="end_time" nodeset="/form/obs/end_time/value" jr:preload="time" jr:preloadParams="end" type="time" />
<bind id="current_visit_type" nodeset="/form/obs/current_visit_type/value" required="true()" type="string" />
<bind id="encounter.encounter_datetime" nodeset="/form/encounter/encounter.encounter_datetime" required="true()" readonly="true()" />
<bind id="encounter.location_id" nodeset="/form/encounter/encounter.location_id" type="string" required="true()" readonly="true()" />
<bind id="encounter.provider_id" nodeset="/form/encounter/encounter.provider_id" type="string" required="true()" readonly="true()" />
<bind id="patient" nodeset="/form/patient" />
<bind id="patient.patient_id" nodeset="/form/patient/patient.patient_id" type="int" required="true()" readonly="true()" />
<bind id="patient_identifier.identifier_type_id" nodeset="/form/patient/patient_identifier.identifier_type_id" calculate="3" type="integer" />
<bind id="patient.medical_record_number" nodeset="/form/patient/patient.medical_record_number" type="string" readonly="true()" />
<bind id="patient.birthdate" nodeset="/form/patient/patient.birthdate" type="date" readonly="true()" />
<bind id="patient.birthdate_estimated" nodeset="/form/patient/patient.birthdate_estimated" type="string" readonly="true()" />
<bind id="patient.family_name" nodeset="/form/patient/patient.family_name" type="string" required="true()" readonly="true()" />
<bind id="patient.given_name" nodeset="/form/patient/patient.given_name" type="string" required="true()" readonly="true()" />
<bind id="patient.middle_name" nodeset="/form/patient/patient.middle_name" type="string" readonly="true()" />
<bind id="patient.sex" nodeset="/form/patient/patient.sex" type="string" required="true()" readonly="true()" />
<!-- CCSP Dysplasia Bindings -->
<xf:bind id="ccsp_satisfactory_colpo" nodeset="/form/obs/ccsp_satisfactory_colpo/value" type="string" required="true()" />
<xf:bind id="ccsp_lesion" nodeset="/form/obs/ccsp_lesion/value" type="string" required="true()" />
<xf:bind id="ccsp_findings" nodeset="/form/obs/ccsp_findings/value" type="string" required="true()" />
<xf:bind id="ccsp_visual_cervix" nodeset="/form/obs/ccsp_visual_cervix/value" type="string" required="true()" />
<xf:bind id="ccsp_visual_vulva" nodeset="/form/obs/ccsp_visual_vulva/value" type="string" required="true()" />
<xf:bind id="ccsp_visual_vagina" nodeset="/form/obs/ccsp_visual_vagina/value" type="string" required="true()" />
<xf:bind id="ccsp_procedures_done" nodeset="/form/obs/ccsp_procedures_done/value" type="string" required="true()" />
<xf:bind id="ccsp_plan" nodeset="/form/obs/ccsp_plan/value" type="string" required="true()" />
<xf:bind id="ccsp_directive_fp" nodeset="/form/obs/ccsp_directive_fp/value" type="string" required="true()" />
<xf:bind id="ccsp_refill_dispense" nodeset="/form/obs/ccsp_refill_dispense/value" type="string" required="true()" />
<xf:bind id="ccsp_new_method" nodeset="/form/obs/ccsp_new_method/value" type="string" required="true()" />
<!-- End CCSP Dysplasia Bindings -->
<!-- CCSP BINDINGS -->
<xf:bind id="ccsp_currentfp" nodeset="/form/obs/ccsp_currentfp/value" type="string" required="true()" />
<!-- Observations / Form Questions -->
</xf:model>
</xf:head>
<!-- FORM QUESTIONS / BODY -->
<xf:body>
<xf:group id="1">
<!-- CCSP Dysplasia Start -->
<!-- Current FP -->
<xf:select1 appearance="full" bind="ccsp_currentfp" concept_id="374">
<xf:label>Current FP</xf:label>
<xf:item concept_id="1107" id="1107^None^99DCT">
<xf:label>None</xf:label>
<xf:value>1107^None^99DCT</xf:value>
</xf:item>
<xf:item concept_id="907" id="907^Depo^99DCT">
<xf:label>Depo</xf:label>
<xf:value>907^Depo^99DCT</xf:value>
</xf:item>
<xf:item concept_id="5275" id="5275^IUCD^99DCT">
<xf:label>IUCD</xf:label>
<xf:value>5275^IUCD^99DCT</xf:value>
</xf:item>
<xf:item concept_id="6220" id="6220^Implant^99DCT">
<xf:label>Implant</xf:label>
<xf:value>6220^Implant^99DCT</xf:value>
</xf:item>
<xf:item concept_id="780" id="780^Pills^99DCT">
<xf:label>Pills</xf:label>
<xf:value>780^Pills^99DCT</xf:value>
</xf:item>
<xf:item concept_id="5276" id="5276^Sterilization^99DCT">
<xf:label>Sterilization</xf:label>
<xf:value>5276^Sterilization^99DCT</xf:value>
</xf:item>
<xf:item concept_id="6718" id="6718^Male condom^99DCT">
<xf:label>Male condom</xf:label>
<xf:value>6718^Male condom^99DCT</xf:value>
</xf:item>
<xf:item concept_id="6717" id="6717^Female condom^99DCT">
<xf:label>Female condom</xf:label>
<xf:value>6717^Female condom^99DCT</xf:value>
</xf:item>
<xf:item concept_id="5277" id="5277^Rhythm^99DCT">
<xf:label>Rhythm</xf:label>
<xf:value>5277^Rhythm^99DCT</xf:value>
</xf:item>
</xf:select1>
<xf:select1 appearance="full" bind="ccsp_satisfactory_colpo" concept_id="7428">
<xf:label>Satisfactory Colposcopy?</xf:label>
<xf:item concept_id="1065" id="1065^Yes^99DCT">
<xf:label>Yes</xf:label>
<xf:value>1065^Yes^99DCT</xf:value>
</xf:item>
<xf:item concept_id="1066" id="1066^No^99DCT">
<xf:label>No, entire SCJ not seen</xf:label>
<xf:value>1066^No^99DCT</xf:value>
</xf:item>
<xf:item concept_id="1118" id="1118^Not done today^99DCT">
<xf:label>Not done today</xf:label>
<xf:value>1118^Not done today^99DCT</xf:value>
</xf:item>
</xf:select1>
<!-- Lesion -->
<xf:select1 appearance="full" bind="ccsp_lesion" concept_id="7477">
<xf:label>Lesion:</xf:label>
<xf:item concept_id="7474" id="7474^<50% of cervix^99DCT">
<xf:label><50% of cervix</xf:label>
<xf:value>7474^<50% of cervix^99DCT</xf:value>
</xf:item>
<xf:item concept_id="7475" id="7475^>50% of cervix^99DCT">
<xf:label>>50% of cervix</xf:label>
<xf:value>7475^>50% of cervix^99DCT</xf:value>
</xf:item>
<xf:item concept_id="7476" id="7476^Extends into canal^99DCT">
<xf:label>Extends into canal</xf:label>
<xf:value>7476^Extends into canal^99DCT</xf:value>
</xf:item>
</xf:select1>
<!-- Findings -->
<xf:select1 appearance="full" bind="ccsp_findings" concept_id="7383">
<xf:label>Findings:</xf:label>
<xf:item concept_id="1115" id="1115^Normal^99DCT">
<xf:label>Normal</xf:label>
<xf:value>1115^Normal^99DCT</xf:value>
</xf:item>
<xf:item concept_id="7470" id="7470^Punctuation^99DCT">
<xf:label>Punctuation</xf:label>
<xf:value>7470^Punctuation^99DCT</xf:value>
</xf:item>
<xf:item concept_id="7469" id="7469^Acetowhite lesion^99DCT">
<xf:label>Acetowhite lesion</xf:label>
<xf:value>7469^Acetowhite lesion^99DCT</xf:value>
</xf:item>
<xf:item concept_id="7471" id="7471^Mosaicism^99DCT">
<xf:label>Mosaicism</xf:label>
<xf:value>7471^Mosaicism^99DCT</xf:value>
</xf:item>
<xf:item concept_id="7472" id="7472^Atypical Vessels^99DCT">
<xf:label>Atypical Vessels</xf:label>
<xf:value>7472^Atypical Vessels^99DCT</xf:value>
</xf:item>
<xf:item concept_id="7473" id="7473^Internal borders (variegated)^99DCT">
<xf:label>Internal borders (variegated)</xf:label>
<xf:value>7473^Internal borders (variegated)^99DCT</xf:value>
</xf:item>
</xf:select1>
<xf:group appearance="field-list">
<xf:select1 appearance="full" bind="ccsp_visual_cervix" concept_id="7484">
<xf:label>Cervix:</xf:label>
<xf:item concept_id="1115" id="1115^Normal^99DCT">
<xf:label>Normal</xf:label>
<xf:value>1115^Normal^99DCT</xf:value>
</xf:item>
<xf:item concept_id="7424" id="7424^CIN 1^99DCT">
<xf:label>CIN 1</xf:label>
<xf:value>7424^CIN 1^99DCT</xf:value>
</xf:item>
<xf:item concept_id="7425" id="7425^CIN 2^99DCT">
<xf:label>CIN 2</xf:label>
<xf:value>7425^CIN 2^99DCT</xf:value>
</xf:item>
<xf:item concept_id="7216" id="7216^CIN 3^99DCT">
<xf:label>CIN 3</xf:label>
<xf:value>7216^CIN 3^99DCT</xf:value>
</xf:item>
<xf:item concept_id="6537" id="6537^Carcinoma^99DCT">
<xf:label>Carcinoma</xf:label>
<xf:value>6537^Carcinoma^99DCT</xf:value>
</xf:item>
<xf:item concept_id="5622" id="5622^Other^99DCT">
<xf:label>Other</xf:label>
<xf:value>5622^Other^99DCT</xf:value>
</xf:item>
</xf:select1>
<xf:select1 appearance="full" bind="ccsp_visual_vulva" concept_id="7487">
<xf:label>Vulva:</xf:label>
<xf:item concept_id="1115" id="1115^Normal^99DCT">
<xf:label>Normal</xf:label>
<xf:value>1115^Normal^99DCT</xf:value>
</xf:item>
<xf:item concept_id="7489" id="7489^Condyloma/VIN 1^99DCT">
<xf:label>Condyloma/VIN 1</xf:label>
<xf:value>7489^Condyloma/VIN 1^99DCT</xf:value>
</xf:item>
<xf:item concept_id="7488" id="7488^VIN 2^99DCT">
<xf:label>VIN 2</xf:label>
<xf:value>7488^VIN 2^99DCT</xf:value>
</xf:item>
<xf:item concept_id="7483" id="7483^VIN 3^99DCT">
<xf:label>VIN 3</xf:label>
<xf:value>7483^VIN 3^99DCT</xf:value>
</xf:item>
<xf:item concept_id="5622" id="5622^Other^99DCT">
<xf:label>Other</xf:label>
<xf:value>5622^Other^99DCT</xf:value>
</xf:item>
</xf:select1>
<xf:select1 appearance="full" bind="ccsp_visual_vagina" concept_id="7490">
<xf:label>Vagina:</xf:label>
<xf:item concept_id="1115" id="1115^Normal^99DCT">
<xf:label>Normal</xf:label>
<xf:value>1115^Normal^99DCT</xf:value>
</xf:item>
<xf:item concept_id="7492" id="7492^VAIN 1^99DCT">
<xf:label>VAIN 1</xf:label>
<xf:value>7492^VAIN 1^99DCT</xf:value>
</xf:item>
<xf:item concept_id="7491" id="7491^VAIN 2^99DCT">
<xf:label>VAIN 2</xf:label>
<xf:value>7491^VAIN 2^99DCT</xf:value>
</xf:item>
<xf:item concept_id="7435" id="7435^VAIN 3^99DCT">
<xf:label>VAIN 3</xf:label>
<xf:value>7435^VAIN 3^99DCT</xf:value>
</xf:item>
<xf:item concept_id="5622" id="5622^Other^99DCT">
<xf:label>Other</xf:label>
<xf:value>5622^Other^99DCT</xf:value>
</xf:item>
</xf:select1>
</xf:group>
<xf:select1 appearance="full" bind="ccsp_procedures_done" concept_id="7479">
<xf:label>Procedure(s) Done</xf:label>
<xf:item concept_id="6511" id="6511^Biopsies^99DCT">
<xf:label>Biopsies</xf:label>
<xf:value>6511^Biopsies^99DCT</xf:value>
</xf:item>
<xf:item concept_id="7487" id="7487^ECC^99DCT">
<xf:label>ECC</xf:label>
<xf:value>7487^ECC^99DCT</xf:value>
</xf:item>
<xf:item concept_id="7466" id="7466^Cryotherapy^99DCT">
<xf:label>Cryotherapy</xf:label>
<xf:value>7466^Cryotherapy^99DCT</xf:value>
</xf:item>
<xf:item concept_id="7147" id="7147^LEEP^99DCT">
<xf:label>LEEP</xf:label>
<xf:value>7147^LEEP^99DCT</xf:value>
</xf:item>
<!-- TODO Number of LEEP Specimens -->
</xf:select1>
<xf:select1 appearance="full" bind="ccsp_plan" concept_id="7500">
<xf:label>Plan</xf:label>
<xf:item concept_id="7465" id="7465^Surgery^99DCT">
<xf:label>Surgery</xf:label>
<xf:value>7465^Surgery^99DCT</xf:value>
</xf:item>
<xf:item concept_id="7496" id="7496^Routine VIA in 1-year^99DCT">
<xf:label>Routine VIA in 1-year</xf:label>
<xf:value>7496^Routine VIA in 1-year^99DCT</xf:value>
</xf:item>
<xf:item concept_id="7497" id="7497^Routine VIA in 3-years^99DCT">
<xf:label>Routine VIA in 3-years</xf:label>
<xf:value>7497^Routine VIA in 3-years^99DCT</xf:value>
</xf:item>
<xf:item concept_id="7383" id="7383^Repeat Colposcopy^99DCT">
<xf:label>Repeat Colposcopy</xf:label>
<xf:value>7383^Repeat Colposcopy^99DCT</xf:value>
</xf:item>
<!-- TODO Number of months to repeat -->
<xf:item concept_id="7499" id="7499^Referral to Gynae-Oncology^99DCT">
<xf:label>Referral to Gynae-Oncology</xf:label>
<xf:value>7499^Referral to Gynae-Oncology^99DCT</xf:value>
</xf:item>
<xf:item concept_id="5622" id="5622^Other^99DCT">
<xf:label>Other</xf:label>
<xf:value>5622^Other^99DCT</xf:value>
</xf:item>
</xf:select1>
<!-- FP Plan -->
<xf:group appearance="field-list">
<xf:select1 appearance="full" bind="ccsp_directive_fp" concept_id="6681">
<xf:label>Directive FP counseling performed</xf:label>
<xf:item concept_id="1065" id="1065^Yes^99DCT">
<xf:label>Yes</xf:label>
<xf:value>1065^Yes^99DCT</xf:value>
</xf:item>
<xf:item concept_id="1066" id="1066^No^99DCT">
<xf:label>No</xf:label>
<xf:value>1066^No^99DCT</xf:value>
</xf:item>
</xf:select1>
<xf:select1 appearance="full" bind="ccsp_refill_dispense" concept_id="7495">
<xf:label>Refill dispense</xf:label>
<xf:item concept_id="907" id="907^Depo^99DCT">
<xf:label>Depo</xf:label>
<xf:value>907^Depo^99DCT</xf:value>
</xf:item>
<xf:item concept_id="780" id="780^Pills^99DCT">
<xf:label>Pills</xf:label>
<xf:value>780^Pills^99DCT</xf:value>
</xf:item>
<xf:item concept_id="6718" id="6718^Male Condom^99DCT">
<xf:label>Male Condom</xf:label>
<xf:value>6718^Male Condom^99DCT</xf:value>
</xf:item>
<xf:item concept_id="6717" id="6717^Female Condom^99DCT">
<xf:label>Female Condom</xf:label>
<xf:value>6717^Female Condom^99DCT</xf:value>
</xf:item>
</xf:select1>
<xf:select1 appearance="full" bind="ccsp_new_method" concept_id="7240">
<xf:label>New method initiated</xf:label>
<xf:item concept_id="1107" id="1107^No new method^99DCT">
<xf:label>No new method</xf:label>
<xf:value>1107^No new method^99DCT</xf:value>
</xf:item>
<xf:item concept_id="907" id="907^Depo^99DCT">
<xf:label>Depo</xf:label>
<xf:value>907^Depo^99DCT</xf:value>
</xf:item>
<xf:item concept_id="780" id="780^Pills^99DCT">
<xf:label>Pills</xf:label>
<xf:value>780^Pills^99DCT</xf:value>
</xf:item>
<xf:item concept_id="6220" id="6220^Implant^99DCT">
<xf:label>Implant</xf:label>
<xf:value>6220^Implant^99DCT</xf:value>
</xf:item>
<xf:item concept_id="6718" id="6718^Male Condom^99DCT">
<xf:label>Male Condom</xf:label>
<xf:value>6718^Male Condom^99DCT</xf:value>
</xf:item>
<xf:item concept_id="6717" id="6717^Female Condom^99DCT">
<xf:label>Female Condom</xf:label>
<xf:value>6717^Female Condom^99DCT</xf:value>
</xf:item>
</xf:select1>
</xf:group>
<!-- CCSP Dysplasia End -->
<!-- CCSP Start -->
<!-- Procedures Done -->
<!-- SWG TODO Biopsy Location! -->
<!-- Plan -->
<!-- CCSP End -->
</xf:group>
</xf:body>
</xf:xforms>