Updated Acknowledgments page
[openemr.git] / contrib / forms / xmlformgen / affirm_sheet.xml
blob2755292afbee301da0b8f5e4b5e9b3c1c5c98550
1 <?xml version="1.0" encoding="ISO-8859-1"?>
2         <!-- Generated by Hand -->
3 <form>
4         <table type="form">form_affirm_sheet</table>
5         <RealName>Affirm Sheet</RealName>
6         <safename>affirm_sheet</safename>
7         <style cells_per_row="2">layout</style>
8         <acl table="patients">med</acl>
10         <manual>
11                 <section name="affirm" label="Affirm">
12                         <field name="affirm" label="Affirm" type="textfield" size="163" maxlength="255" labelcols="1" cols="1"/>
13                         <field name="exam_yeast" label="Yeast" type="dropdown_list" size="163" list="proc_res_bool" 
14                                 maxlength="255" labelcols="1" cols="1" />
15                         <field name="exam_gardnerrla" label="Gardnerrlla" type="dropdown_list" size="163" list="proc_res_bool"
16                                 maxlength="255" labelcols="1" cols="1" />
17                         <field name="exam_trichomonas" label="Trichomonas" type="dropdown_list" size="163" list="proc_res_bool"
18                                 maxlength="255" labelcols="1" cols="1" />                               
19                         <field name="lot_number" label="Lot Number" type="textfield" size="163" maxlength="255" labelcols="1" cols="1"/>
20                         <field name="exp_date" label="Exp. Date" type="textfield" size="163" maxlength="255" labelcols="1" cols="1"/>
21                 </section>
22         </manual>
23         
24         <list name="proc_res_bool" label="Results" type="standard" id="proc_res_bool" import="no"/>
25 </form>