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- <?xml version="1.0"?>
- <form>
- <group id="header" colspan="4" col="6" xfill="1">
- <group id="patient_info" string="P A T I E N T" colspan="2" col="2" yexpand="1" xfill="1" >
- <label name="patient" />
- <field name="patient" />
- <label name="patient_identification" />
- <field name="patient_identification" />
- <label name="patient_age" />
- <field name="patient_age" />
- </group>
- <group id="study_info" string="S T U D Y" colspan="2" col="2" yexpand="1" xfill="1" >
- <label name="consecutive" />
- <field name="consecutive" />
- <label name="entity" />
- <field name="entity" />
- <label name="requester_entity" />
- <field name="requester_entity" />
- <label name="requester_site" />
- <field name="requester_site" />
- <label name="health_prof" />
- <field name="health_prof" />
- </group>
- <group id="dates_state" colspan="2" col="2" xfill="1">
- <label name="date_taken" />
- <field name="date_taken" />
- <label name="date_received" />
- <field name="date_received" />
- <label name="date_diagnostic" />
- <field name="date_diagnostic" />
- <label name="urgent" />
- <field name="urgent" />
- </group>
- </group>
- <separator id="samples" string="S A M P L E" colspan="4" />
- <group id="sample" colspan="4">
- <group id="in_out" colspan="2" col="2">
- <label name="satisfactory" />
- <field name="satisfactory" />
- <label name="unsatisfactory" />
- <field name="unsatisfactory" />
- </group>
- </group>
- <separator id="separator1" colspan="4" />
- <group id="satisfactory" colspan="4">
- <group id="group_a" string="A. READING FOR SQUAMOUS CELLS" colspan="2" yexpand="1">
- <field name="rsc" colspan="4" />
- </group>
- <group id="group_b" string="B. MICROBIAL CLASSIFICATION" colspan="2">
- <group id="b1" colspan="2" col="2" yexpand="1" xfill="1">
- <label name="bd" />
- <field name="bd" />
- <label name="cf" />
- <field name="cf" />
- <label name="bv" />
- <field name="bv" />
- <label name="cm" />
- <field name="cm" />
- </group>
- <group id="b2" colspan="2" col="2" yexpand="1" xfill="1">
- <label name="herpes" />
- <field name="herpes" />
- <label name="actinomyces" />
- <field name="actinomyces" />
- <label name="trichomonas" />
- <field name="trichomonas" />
- </group>
- </group>
- <separator id="separator2" colspan="4" />
- <group id="group_c" string="C. READING FOR GLANDULAR CELLS" colspan="2" yexpand="1">
- <field name="rgc" colspan="4" />
- </group>
- <group id="group_d" string="D. LEUKOCYTES, HISTIOCYTES, HEMATIOCYTES, HEMATIES" colspan="2">
- <group id="d1" colspan="2" col="2" yexpand="1" xfill="1">
- <label name="leukocytes" />
- <field name="leukocytes" />
- <label name="hematies" />
- <field name="hematies" />
- </group>
- <group id="d2" colspan="2" col="2" yexpand="1" xfill="1">
- <label name="lymphocytes" />
- <field name="lymphocytes" />
- <label name="histiocytes" />
- <field name="histiocytes" />
- </group>
- </group>
- </group>
- <separator id="separator3" colspan="4" />
- <group id="unsatisfactory" string="UNSATISFACTORY FOR EVALUATION BY:" colspan="4" col="6">
- <label name="hemorrhage" />
- <field name="hemorrhage" />
- <label name="ieo" />
- <field name="ieo" />
- <label name="poor_preservation" />
- <field name="poor_preservation" />
- <label name="aec" />
- <field name="aec" />
- <label name="low_cellularity" />
- <field name="low_cellularity" />
- </group>
- <group id="global" colspan="4">
- <group id="global_info" colspan="2">
- <group id="reactive"
- string="R E A C T I V E . C H A N G E S . S E C O N D A R Y . T O :"
- colspan="2">
- <field name="reactive" colspan="4" />
- </group>
- <newline />
- <group id="template" string="T E M P L A T E . D I A G N O S T I C" colspan="2">
- <field name="template" widget="selection" colspan="4" />
- </group>
- <newline />
- <group id="diagnostic_study" string="D I A G N O S T I C" colspan="2">
- <field name="diagnostic" colspan="4" />
- </group>
- </group>
- <group id="general_desc" colspan="2" yexpand="1">
- <group id="observation_study" string="O B S E R V A T I O N S" colspan="4">
- <field name="observations" colspan="4" />
- </group>
- </group>
- </group>
- <separator id="separator5" colspan="4" />
- <group id="signatures" string="S I G N A T U R E S OF P R O F E S S I O N A L S" colspan="4">
- <label name="cytologist" />
- <field name="cytologist" />
- <label name="pathologist" />
- <field name="pathologist" />
- </group>
- <separator id="separator6" colspan="4" />
- <group id="states" colspan="4" col="11">
- <group id="space1" colspan="5"></group>
- <group id="states1" colspan="1">
- <label name="state" />
- <field name="state" />
- </group>
- <group id="space2" colspan="5"></group>
- </group>
- <group id="btns" colspan="4" col="11">
- <group id="space3" colspan="5"></group>
- <group id="buttons" colspan="1">
- <button name="set_to_new" string="Set To New" icon="tryton-back" />
- <button name="completed" string="Completed" icon="tryton-forward"/>
- <button name="edit" string="Edit" icon="tryton-forward"/>
- <button name="validated" string="Validated" icon="tryton-forward"/>
- </group>
- <group id="space4" colspan="5"></group>
- </group>
- <newline />
- <field name="email" invisible="1" />
- </form>
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