Notes.html

<htmlform>

	<macros>
		paperFormId = (Fill this in)
		headerColor =#009d8e
		fontOnHeaderColor = white
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	<script type="text/javascript">
	
		$j(function(){
			$j('.type').hide();
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	<style>
		.section {
			border: 1px solid $headerColor;
			padding: 2px;
			text-align: left;
			margin-bottom: 1em;
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			display: block;
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		table.baseline-aligned td {
			vertical-align: baseline;
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		td.lookup {
			background-color:yellow;
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	<span style="float:right">Paper Form ID: $paperFormId</span>
	<h2>Additional Information</h2>

	<section headerLabel="1. Encounter Details">
		<table class="baseline-aligned">
			<tr>
				<td>Date:</td>
				<td><encounterDate default="today"/></td>
				<td><pre>			</pre></td>
				<td>Location:</td>
				<td><encounterLocation default="Unknown Location" /></td>
				<td><pre>			</pre></td>
				<td>Provider:</td>
				<td><encounterProvider default="currentUser" role="Provider" /></td>
				<td><pre>			</pre></td>
				<td class="type">Type:</td>
				<td class="type"><encounterType default="NOTES" /></td>
			</tr>
		</table>
	</section>

	<section headerLabel="2. Patient Information">
		<table class="baseline-aligned">
			<tr>
				<td>Name:</td>
				<td><lookup class="value" expression="patient.personName"/></td>
				<td><pre>		</pre></td>
				<td>Manual ID:</td>
				<td><lookup class="value" complexExpression="#foreach( $patId in $patientIdentifiers.get('Old Identification Number') ) $patId #end "/></td>
				<td><pre>		</pre></td>
				<td>Auto ID:</td>
				<td><lookup class="value" complexExpression="#foreach( $patId in $patientIdentifiers.get('OpenMRS Identification Number') ) $patId #end"/></td>
				<td><pre>		</pre></td>
				<td>Gender:</td>
				<td><lookup class="value" expression="patient.gender"/></td>
			</tr>
			
		</table>
	</section>


        <section headerLabel="3. Additional Information">
		<table class="baseline-aligned">
			<tr>
				<th style="background-color: #696969; color: #ffffff;">Notes</th>

			</tr>
			<tr>
				<td><obs conceptId="159395" cols="170" rows="10" /></td>
				
			</tr>
			
		</table>
		<table class="baseline-aligned">
			<tr>
				<th style="background-color: #696969; color: #ffffff;">Previous Notes</th>
			</tr>
			<tr>
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					<td class="lookup">
						<lookup complexExpression="#foreach($obs in $fn.allObs(159395)) 
							$obs.valueText &lt;br &gt; [#Date: $obs.obsDatetime] &lt;hr &gt; &lt;br &gt; #end" class="value"/>
					</td>
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			</tr>
			
		</table>
	</section>

	<submit/>

</htmlform>