<commit_before><h:html xmlns:h="http://www.w3.org/1999/xhtml"
        xmlns="http://www.w3.org/2002/xforms"
	  xmlns:ev="http://www.w3.org/2001/xml-events"
	  xmlns:xsd="http://www.w3.org/2001/XMLSchema"
	  xmlns:jr="http://openrosa.org/javarosa">
	<h:head>
		<h:title>E-CTC Form V8 - Patient Triage Protocol</h:title>

		<model id="CDCDemo">
			<itext>
				<translation lang="English" default="">
					<text id="question1">
						<value form="long">Eng: Enter ARV Regimen</value>
						<value form="short">Rash?</value>
						<value form="hint">Select your Regimen</value>
					</text>
					<text id="queOneLabel1">
						<value form="">1a30:d4T30-3TC-NVP</value>
					</text>
					<text id="queOneLabel2">
						<value form="">1a40:d4T30-3TC-NVP</value>
					</text>
					<text id="queOneLabel3">
						<value form="">1a30-S: starting</value>
					</text>
					<text id="queOneLabel4">
						<value form="">1a40-S: starting</value>
					</text>
					<text id="queOneLabel5">
						<value form="">1b:ZDV-CTC-NVP</value>
					</text>
					<text id="queOneLabel6">
						<value form="">1c:ZDV-3TC-EFV</value>
					</text>
					<text id="queOneLabel7">
						<value form="">1d40:d4T40-3TC-EFV</value>
					</text>
					<text id="queOneLabel8">
						<value form="">2b:ABC-ddl-SQV/r</value>
					</text>
					<text id="queOneLabel9">
						<value form="">2a:ABC-ddl-LPV/r</value>
					</text>
					<text id="queOneLabel10">
						<value form="">2c:ABC-ddl-NFV</value>
					</text>
					<text id="queOneLabel11">
						<value form="">Other regimen</value>
					</text>
					<text id="queOneLabel12">
						<value form="">Not on Arvs Yet</value>
					</text>
					<text id="question2">
						<value form="long">ASK: The Records indicate that your current regimen is 1c:ZDV-3TC-EFV. Has this changed?</value>
						<value form="short">Regimen Changed</value>
						<value form="hint">Select your Current Regimen</value>
					</text>
					<text id="queTwoLabel1">
						<value form="">Switch entry to 1c:ZDV-3TC-EFV</value>
					</text>
					<text id="queTwoLabel2">
						<value form="">Keep Entry</value>
					</text>
					<text id="question3">
						<value form="long">ASK: Our records indicate you have been on treatment for 12 months. Is that correct?</value>
						<value form="short">Treatment Status</value>
						<value form="hint">Answer yes if the above is correct.</value>
					</text>
					<text id="queThreeLabel1">
						<value form="">YES</value>
					</text>
					<text id="queThreeLabel2">
						<value form="">NO</value>
					</text>
					<text id="question4">
						<value form="long">Remember to order the patients 12 months CD4 test!</value>
						<value form="short">Lab Test Order</value>
						<value form="hint">Press button</value>
					</text>
					<text id="question5_1">
						<value form="long">Enter Weight</value>
						<value form="short">Weight</value>
						<value form="hint">Enter Weight</value>
					</text>
					<text id="question5_2">
						<value form="long">Units</value>
						<value form="short">Units</value>
						<value form="hint">Select Units</value>
					</text>
					<text id="queFiveLabel1">
						<value form="">Kilograms</value>
					</text>
					<text id="queFiveLabel2">
						<value form="">Pounds</value>
					</text>
					<text id="question6">
						<value form="long">Weight Chart</value>
						<value form="short">Weight Chart</value>
						<value form="hint">Weight Chart</value>
					</text>
					<text id="question7">
						<value form="long">TB Status</value>
						<value form="short">TB Status</value>
						<value form="hint">Select TB Status</value>
					</text>
					<text id="queSevenLabel1">
						<value form="">NO TB treatment or signs</value>
					</text>
					<text id="queSevenLabel2">
						<value form="">Waiting for TB results</value>
					</text>
					<text id="queSevenLabel3">
						<value form="">On INH Prophylaxis</value>
					</text>
					<text id="queSevenLabel4">
						<value form="">TB confirmed, will start treatment</value>
					</text>
					<text id="question8">
						<value form="long">Now I will ask you some questions to determine if you need to see a doctor on this visit.</value>
						<value form="short">Questions</value>
						<value form="hint">Answer Correctly</value>
					</text>
					<text id="question9">
						<value form="long">Have You been admitted to hospital since your last visit?</value>
						<value form="short">Admission Status</value>
						<value form="hint">Select Correct answer</value>
					</text>
					<text id="queNineLabel1">
						<value form="">NO</value>
					</text>
					<text id="queNineLabel2">
						<value form="">YES</value>
					</text>
					<text id="question10">
						<value form="long">Do you have any rash?</value>
						<value form="short">Rash</value>
						<value form="hint">Select Correct answer</value>
					</text>
					<text id="queTenLabel1">
						<value form="">NO</value>
					</text>
					<text id="queTenLabel2">
						<value form="">YES</value>
					</text>
					<text id="question11">
						<value form="long">Is it new or getting worse since your last visit?</value>
						<value form="short">Status after last visit</value>
						<value form="hint">Select Correct answer</value>
					</text>
					<text id="queElevenLabel1">
						<value form="">NO</value>
					</text>
					<text id="queElevenLabel2">
						<value form="">YES</value>
					</text>
				</translation>
				<translation lang="Swahili">
					<text id="question1">
						<value form="long">SW: Enter ARV Regimen</value>
						<value form="short">SW : Rash?</value>
						<value form="hint">SW : Select your Regimen</value>
					</text>
					<text id="queOneLabel1">
						<value form="">
						</value>
					</text>
					<text id="queOneLabel2">
						<value form="">SW : 1a40:d4T30-3TC-NVP</value>
					</text>
					<text id="queOneLabel3">
						<value form="">SW : 1a30-S: starting</value>
					</text>
					<text id="queOneLabel4">
						<value form="">SW : 1a40-S: starting</value>
					</text>
					<text id="queOneLabel5">
						<value form="">SW : 1b:ZDV-CTC-NVP</value>
					</text>
					<text id="queOneLabel6">
						<value form="">SW : 1c:ZDV-3TC-EFV</value>
					</text>
					<text id="queOneLabel7">
						<value form="">SW : 1d40:d4T40-3TC-EFV</value>
					</text>
					<text id="queOneLabel8">
						<value form="">SW : 2b:ABC-ddl-SQV/r</value>
					</text>
					<text id="queOneLabel9">
						<value form="">SW : 2a:ABC-ddl-LPV/r</value>
					</text>
					<text id="queOneLabel10">
						<value form="">SW : 2c:ABC-ddl-NFV</value>
					</text>
					<text id="queOneLabel11">
						<value form="">SW : Other regimen</value>
					</text>
					<text id="queOneLabel12">
						<value form="">SW : Not on Arvs Yet</value>
					</text>
					<text id="question2">
						<value form="long">SW : ASK: The Records indicate that your current regimen is 1c:ZDV-3TC-EFV. Has this changed?</value>
						<value form="short">SW : Regimen Changed</value>
						<value form="hint">SW : Select your Current Regimen</value>
					</text>
					<text id="queTwoLabel1">
						<value form="">SW : Switch entry to 1c:ZDV-3TC-EFV</value>
					</text>
					<text id="queTwoLabel2">
						<value form="">SW : Keep Entry</value>
					</text>
					<text id="question3">
						<value form="long">SW : ASK: Our records indicate you have been on treatment for 12 months. Is that correct?</value>
						<value form="short">SW : Treatment Status</value>
						<value form="hint">SW : Answer yes if the above is correct.</value>
					</text>
					<text id="queThreeLabel1">
						<value form="">SW : YES</value>
					</text>
					<text id="queThreeLabel2">
						<value form="">SW : NO</value>
					</text>
					<text id="question4">
						<value form="long">SW : Remember to order the patients 12 months CD4 test!</value>
						<value form="short">SW : Lab Test Order</value>
						<value form="hint">SW : Press button</value>
					</text>
					<text id="question5_1">
						<value form="long">SW : Enter Weight</value>
						<value form="short">SW : Weight</value>
						<value form="hint">SW : Enter Weight</value>
					</text>
					<text id="question5_2">
						<value form="long">SW : Units</value>
						<value form="short">SW : Units</value>
						<value form="hint">SW : Select Units</value>
					</text>
					<text id="queFiveLabel1">
						<value form="">SW : Kilograms</value>
					</text>
					<text id="queFiveLabel2">
						<value form="">SW : Pounds</value>
					</text>
					<text id="question6">
						<value form="long">SW : Weight Chart</value>
						<value form="short">SW : Weight Chart</value>
						<value form="hint">SW : Weight Chart</value>
					</text>
					<text id="question7">
						<value form="long">SW : TB Status</value>
						<value form="short">SW : TB Status</value>
						<value form="hint">SW : Select TB Status</value>
					</text>
					<text id="queSevenLabel1">
						<value form="">SW : NO TB treatment or signs</value>
					</text>
					<text id="queSevenLabel2">
						<value form="">SW : Waiting for TB results</value>
					</text>
					<text id="queSevenLabel3">
						<value form="">SW : On INH Prophylaxis</value>
					</text>
					<text id="queSevenLabel4">
						<value form="">SW : TB confirmed, will start treatment</value>
					</text>
					<text id="question8">
						<value form="long">SW : Now I will ask you some questions to determine if you need to see a doctor on this visit.</value>
						<value form="short">SW : Questions</value>
						<value form="hint">SW : Answer Correctly</value>
					</text>
					<text id="question9">
						<value form="long">SW : Have You been admitted to hospital since your last visit?</value>
						<value form="short">SW : Admission Status</value>
						<value form="hint">SW : Select Correct answer</value>
					</text>
					<text id="queNineLabel1">
						<value form="">SW : NO</value>
					</text>
					<text id="queNineLabel2">
						<value form="">SW : YES</value>
					</text>
					<text id="question10">
						<value form="long">SW : Do you have any rash?</value>
						<value form="short">SW : Rash</value>
						<value form="hint">SW : Select Correct answer</value>
					</text>
					<text id="queTenLabel1">
						<value form="">SW : NO</value>
					</text>
					<text id="queTenLabel2">
						<value form="">SW : YES</value>
					</text>
					<text id="question11">
						<value form="long">SW : Is it new or getting worse since your last visit?</value>
						<value form="short">SW : Status after last visit</value>
						<value form="hint">SW : Select Correct answer</value>
					</text>
					<text id="queElevenLabel1">
						<value form="">SW : NO</value>
					</text>
					<text id="queElevenLabel2">
						<value form="">SW : YES</value>
					</text>
				</translation>
				<translation lang="Japanese">
					<text id="question1">
						<value form="long">
						</value>
						<value form="short">
						</value>
						<value form="hint">
						</value>
					</text>
					<text id="queOneLabel1">
						<value form="">JA : 1a30:d4T30-3TC-NVP</value>
					</text>
					<text id="queOneLabel2">
						<value form="">JA : 1a40:d4T30-3TC-NVP</value>
					</text>
					<text id="queOneLabel3">
						<value form="">JA : 1a30-S: starting</value>
					</text>
					<text id="queOneLabel4">
						<value form="">JA : 1a40-S: starting</value>
					</text>
					<text id="queOneLabel5">
						<value form="">JA : 1b:ZDV-CTC-NVP</value>
					</text>
					<text id="queOneLabel6">
						<value form="">JA : 1c:ZDV-3TC-EFV</value>
					</text>
					<text id="queOneLabel7">
						<value form="">JA : 1d40:d4T40-3TC-EFV</value>
					</text>
					<text id="queOneLabel8">
						<value form="">JA : 2b:ABC-ddl-SQV/r</value>
					</text>
					<text id="queOneLabel9">
						<value form="">JA : 2a:ABC-ddl-LPV/r</value>
					</text>
					<text id="queOneLabel10">
						<value form="">JA : 2c:ABC-ddl-NFV</value>
					</text>
					<text id="queOneLabel11">
						<value form="">JA : Other regimen</value>
					</text>
					<text id="queOneLabel12">
						<value form="">JA : Not on Arvs Yet</value>
					</text>
					<text id="question2">
						<value form="long">JA : ASK: The Records indicate that your current regimen is 1c:ZDV-3TC-EFV. Has this changed?</value>
						<value form="short">JA : Regimen Changed</value>
						<value form="hint">JA : Select your Current Regimen</value>
					</text>
					<text id="queTwoLabel1">
						<value form="">JA : Switch entry to 1c:ZDV-3TC-EFV</value>
					</text>
					<text id="queTwoLabel2">
						<value form="">JA : Keep Entry</value>
					</text>
					<text id="question3">
						<value form="long">JA : ASK: Our records indicate you have been on treatment for 12 months. Is that correct?</value>
						<value form="short">JA : Treatment Status</value>
						<value form="hint">JA : Answer yes if the above is correct.</value>
					</text>
					<text id="queThreeLabel1">
						<value form="">JA : YES</value>
					</text>
					<text id="queThreeLabel2">
						<value form="">JA : NO</value>
					</text>
					<text id="question4">
						<value form="long">JA : Remember to order the patients 12 months CD4 test!</value>
						<value form="short">JA : Lab Test Order</value>
						<value form="hint">JA : Press button</value>
					</text>
					<text id="question5_1">
						<value form="long">JA : Enter Weight</value>
						<value form="short">JA : Weight</value>
						<value form="hint">JA : Enter Weight</value>
					</text>
					<text id="question5_2">
						<value form="long">JA : Units</value>
						<value form="short">JA : Units</value>
						<value form="hint">JA : Select Units</value>
					</text>
					<text id="queFiveLabel1">
						<value form="">JA : Kilograms</value>
					</text>
					<text id="queFiveLabel2">
						<value form="">JA : Pounds</value>
					</text>
					<text id="question6">
						<value form="long">JA : Weight Chart</value>
						<value form="short">JA : Weight Chart</value>
						<value form="hint">JA : Weight Chart</value>
					</text>
					<text id="question7">
						<value form="long">JA : TB Status</value>
						<value form="short">JA : TB Status</value>
						<value form="hint">JA : Select TB Status</value>
					</text>
					<text id="queSevenLabel1">
						<value form="">JA : NO TB treatment or signs</value>
					</text>
					<text id="queSevenLabel2">
						<value form="">JA : Waiting for TB results</value>
					</text>
					<text id="queSevenLabel3">
						<value form="">JA : On INH Prophylaxis</value>
					</text>
					<text id="queSevenLabel4">
						<value form="">JA : TB confirmed, will start treatment</value>
					</text>
					<text id="question8">
						<value form="long">JA : Now I will ask you some questions to determine if you need to see a doctor on this visit.</value>
						<value form="short">JA : Questions</value>
						<value form="hint">JA : Answer Correctly</value>
					</text>
					<text id="question9">
						<value form="long">JA : Have You been admitted to hospital since your last visit?</value>
						<value form="short">JA : Admission Status</value>
						<value form="hint">JA : Select Correct answer</value>
					</text>
					<text id="queNineLabel1">
						<value form="">JA : NO</value>
					</text>
					<text id="queNineLabel2">
						<value form="">JA : YES</value>
					</text>
					<text id="question10">
						<value form="long">JA : Do you have any rash?</value>
						<value form="short">JA : Rash</value>
						<value form="hint">JA : Select Correct answer</value>
					</text>
					<text id="queTenLabel1">
						<value form="">JA : NO</value>
					</text>
					<text id="queTenLabel2">
						<value form="">JA : YES</value>
					</text>
					<text id="question11">
						<value form="long">JA : Is it new or getting worse since your last visit?</value>
						<value form="short">JA : Status after last visit</value>
						<value form="hint">JA : Select Correct answer</value>
					</text>
					<text id="queElevenLabel1">
						<value form="">JA : NO</value>
					</text>
					<text id="queElevenLabel2">
						<value form="">JA : YES</value>
					</text>
				</translation>
				<translation lang="Chinese">
					<text id="question1">
						<value form="long">CH: Enter ARV Regimen</value>
						<value form="short">CH : Rash?</value>
						<value form="hint">CH : Select your Regimen</value>
					</text>
					<text id="queOneLabel1">
						<value form="">CH : 1a30:d4T30-3TC-NVP</value>
					</text>
					<text id="queOneLabel2">
						<value form="">CH : 1a40:d4T30-3TC-NVP</value>
					</text>
					<text id="queOneLabel3">
						<value form="">CH : 1a30-S: starting</value>
					</text>
					<text id="queOneLabel4">
						<value form="">CH : 1a40-S: starting</value>
					</text>
					<text id="queOneLabel5">
						<value form="">CH : 1b:ZDV-CTC-NVP</value>
					</text>
					<text id="queOneLabel6">
						<value form="">CH : 1c:ZDV-3TC-EFV</value>
					</text>
					<text id="queOneLabel7">
						<value form="">CH : 1d40:d4T40-3TC-EFV</value>
					</text>
					<text id="queOneLabel8">
						<value form="">CH : 2b:ABC-ddl-SQV/r</value>
					</text>
					<text id="queOneLabel9">
						<value form="">CH : 2a:ABC-ddl-LPV/r</value>
					</text>
					<text id="queOneLabel10">
						<value form="">CH : 2c:ABC-ddl-NFV</value>
					</text>
					<text id="queOneLabel11">
						<value form="">CH : Other regimen</value>
					</text>
					<text id="queOneLabel12">
						<value form="">CH : Not on Arvs Yet</value>
					</text>
					<text id="question2">
						<value form="long">CH : ASK: The Records indicate that your current regimen is 1c:ZDV-3TC-EFV. Has this changed?</value>
						<value form="short">CH : Regimen Changed</value>
						<value form="hint">CH : Select your Current Regimen</value>
					</text>
					<text id="queTwoLabel1">
						<value form="">CH : Switch entry to 1c:ZDV-3TC-EFV</value>
					</text>
					<text id="queTwoLabel2">
						<value form="">CH : Keep Entry</value>
					</text>
					<text id="question3">
						<value form="long">CH : ASK: Our records indicate you have been on treatment for 12 months. Is that correct?</value>
						<value form="short">CH : Treatment Status</value>
						<value form="hint">CH : Answer yes if the above is correct.</value>
					</text>
					<text id="queThreeLabel1">
						<value form="">CH : YES</value>
					</text>
					<text id="queThreeLabel2">
						<value form="">CH : NO</value>
					</text>
					<text id="question4">
						<value form="long">CH : Remember to order the patients 12 months CD4 test!</value>
						<value form="short">CH : Lab Test Order</value>
						<value form="hint">CH : Press button</value>
					</text>
					<text id="question5_1">
						<value form="long">CH : Enter Weight</value>
						<value form="short">CH : Weight</value>
						<value form="hint">CH : Enter Weight</value>
					</text>
					<text id="question5_2">
						<value form="long">CH : Units</value>
						<value form="short">CH : Units</value>
						<value form="hint">CH : Select Units</value>
					</text>
					<text id="queFiveLabel1">
						<value form="">CH : Kilograms</value>
					</text>
					<text id="queFiveLabel2">
						<value form="">CH : Pounds</value>
					</text>
					<text id="question6">
						<value form="long">CH : Weight Chart</value>
						<value form="short">CH : Weight Chart</value>
						<value form="hint">CH : Weight Chart</value>
					</text>
					<text id="question7">
						<value form="long">CH : TB Status</value>
						<value form="short">CH : TB Status</value>
						<value form="hint">CH : Select TB Status</value>
					</text>
					<text id="queSevenLabel1">
						<value form="">CH : NO TB treatment or signs</value>
					</text>
					<text id="queSevenLabel2">
						<value form="">CH : Waiting for TB results</value>
					</text>
					<text id="queSevenLabel3">
						<value form="">CH : On INH Prophylaxis</value>
					</text>
					<text id="queSevenLabel4">
						<value form="">CH : TB confirmed, will start treatment</value>
					</text>
					<text id="question8">
						<value form="long">CH : Now I will ask you some questions to determine if you need to see a doctor on this visit.</value>
						<value form="short">CH : Lab Test Order</value>
						<value form="hint">CH : Answer Correctly</value>
					</text>
					<text id="question9">
						<value form="long">CH : Have You been admitted to hospital since your last visit?</value>
						<value form="short">CH : Admission Status</value>
						<value form="hint">CH : Select Correct answer</value>
					</text>
					<text id="queNineLabel1">
						<value form="">CH : NO</value>
					</text>
					<text id="queNineLabel2">
						<value form="">CH : YES</value>
					</text>
					<text id="question10">
						<value form="long">CH : Do you have any rash?</value>
						<value form="short">CH : Rash</value>
						<value form="hint">CH : Select Correct answer</value>
					</text>
					<text id="queTenLabel1">
						<value form="">CH : NO</value>
					</text>
					<text id="queTenLabel2">
						<value form="">CH : YES</value>
					</text>
					<text id="question11">
						<value form="long">CH : Is it new or getting worse since your last visit?</value>
						<value form="short">CH : Status after last visit</value>
						<value form="hint">CH : Select Correct answer</value>
					</text>
					<text id="queElevenLabel1">
						<value form="">CH : NO</value>
					</text>
					<text id="queElevenLabel2">
						<value form="">CH : YES</value>
					</text>
				</translation>
			</itext>
			<instance>
				<data>
					<ARVRegimen>
						<RegimenName>
						</RegimenName>
					</ARVRegimen>
					<Entry>
						<RegimenChanged>
						</RegimenChanged>
					</Entry>
					<Patient>
						<OnTreatment>
						</OnTreatment>
					</Patient>
					<Reminder>
						<ToOrder>
						</ToOrder>
					</Reminder>
					<Weight>
						<Value>
						</Value>
						<Units>
						</Units>
					</Weight>
					<History>
						<data>5</data>
						<data>10</data>
						<data>20</data>
						<data>25</data>
						<data>35</data>
						<data>45</data>
						<data>58</data>
						<data>69</data>
						<data>80</data>
						<data>99</data>
					</History>
					<Desease>
						<Status>
						</Status>
					</Desease>
					<Ask>
						<Message>
						</Message>
					</Ask>
					<HospitalAdmission>
						<Status>
						</Status>
					</HospitalAdmission>
					<Rash>
						<Status>
						</Status>
					</Rash>
					<Condition>
						<IsImproved>Yes</IsImproved>
					</Condition>
				</data>
			</instance>
			<bind id="isImproved" nodeset="/data/Condition/IsImproved" type="xsd:string" />
			<bind id="status" nodeset="/data/Desease/Status" type="xsd:string" />
			<bind id="weightValue" nodeset="/data/Weight/Value" type="xsd:numeric" />
			<bind id="regimenChanged" nodeset="/data/Entry/RegimenChanged" type="xsd:string" />
			<bind id="history" nodeset="/data/History/data" type="xsd:string" />
			<bind id="admissionStatus" nodeset="/data/HospitalAdmission/Status" type="xsd:string" />
			<bind id="message" nodeset="/data/Ask/Message" type="xsd:string" />
			<bind id="units" nodeset="/data/Weight/Units" type="xsd:string" />
			<bind id="toOrder" nodeset="/data/Reminder/ToOrder" type="xsd:string" />
			<bind id="rashStatus" nodeset="/data/Rash/Status" type="xsd:string" />
			<bind id="onTreatment" nodeset="/data/Patient/OnTreatment" type="xsd:string" />
			<bind id="regimenName" nodeset="/data/ARVRegimen/RegimenName" type="xsd:string" />
		</model>
	</h:head>
	<h:body>
		<select1 bind="regimenName" appearance="full" >
			<label ref ="jr:itext('question1')" >
			</label>
			<hint ref ="jr:itext('question1')" >
			</hint>
			<item>
				<label ref ="jr:itext('queOneLabel1')" >
				</label>
				<value>1a30:d4T30-3TC-NVP</value>
			</item>
			<item>
				<label ref ="jr:itext('queOneLabel2')" >
				</label>
				<value>1a40:d4T30-3TC-NVP</value>
			</item>
			<item>
				<label ref ="jr:itext('queOneLabel3')" >
				</label>
				<value>1a30-S: starting</value>
			</item>
			<item>
				<label>1a40-S: starting</label>
				<value>1a40-S: starting</value>
			</item>
			<item>
				<label ref ="jr:itext('queOneLabel5')" >
				</label>
				<value>1b:ZDV-CTC-NVP</value>
			</item>
			<item>
				<label ref ="jr:itext('queOneLabel6')" >
				</label>
				<value>1c:ZDV-3TC-EFV</value>
			</item>
			<item>
				<label ref ="jr:itext('queOneLabel7')" >
				</label>
				<value>1d40:d4T40-3TC-EFV</value>
			</item>
			<item>
				<label>2b:ABC-ddl-SQV/r</label>
				<value>2b:ABC-ddl-SQV/r</value>
			</item>
			<item>
				<label ref ="jr:itext('queOneLabel9')" >
				</label>
				<value>2a:ABC-ddl-LPV/r</value>
			</item>
			<item>
				<label ref ="jr:itext('queOneLabel10')" >
				</label>
				<value>2c:ABC-ddl-NFV</value>
			</item>
			<item>
				<label ref ="jr:itext('queOneLabel11')" >
				</label>
				<value>Other regimen</value>
			</item>
			<item>
				<label ref ="jr:itext('queOneLabel12')" >
				</label>
				<value>Not on Arvs Yet</value>
			</item>
		</select1 >
		<select1 bind="regimenChanged" appearance="full" >
			<label ref ="jr:itext('question2')" >
			</label>
			<hint ref ="jr:itext('question2')" >
			</hint>
			<item>
				<label ref ="jr:itext('queTwoLabel1')" >
				</label>
				<value>1c:ZDV-3TC-EFV</value>
			</item>
			<item>
				<label ref ="jr:itext('queTwoLabel2')" >
				</label>
				<value>Keep my current Entry</value>
			</item>
		</select1 >
		<select1 bind="onTreatment" appearance="full" >
			<label ref ="jr:itext('question3')" >
			</label>
			<hint ref ="jr:itext('question3')" >
			</hint>
			<item>
				<label ref ="jr:itext('queThreeLabel1')" >
				</label>
				<value>Yes</value>
			</item>
			<item>
				<label ref ="jr:itext('queThreeLabel2')" >
				</label>
				<value>No</value>
			</item>
		</select1 >
		<trigger bind="toOrder" >
			<label ref ="jr:itext('question4')" >
			</label>
			<hint ref ="jr:itext('question4')" >
			</hint>
		</trigger >
		<input bind="weightValue" >
			<label ref ="jr:itext('question5_1')" >
			</label>
			<hint ref ="jr:itext('question5_1')" >
			</hint>
		</input >
		<select1 bind="units" appearance="full" >
			<label ref ="jr:itext('question5_2')" >
			</label>
			<hint ref ="jr:itext('question5_2')" >
			</hint>
			<item>
				<label ref ="jr:itext('queFiveLabel1')" >
				</label>
				<value>Kilograms</value>
			</item>
			<item>
				<label ref ="jr:itext('queFiveLabel2')" >
				</label>
				<value>Pounds</value>
			</item>
		</select1 >
		<output bind="history" type="graph" >
			<label ref ="jr:itext('question6')" >
			</label>
			<hint ref ="jr:itext('question6')" >
			</hint>
		</output >
		<select bind="status" appearance="full" >
			<label ref ="jr:itext('question7')" >
			</label>
			<hint ref ="jr:itext('question7')" >
			</hint>
			<item>
				<label ref ="jr:itext('queSevenLabel1')" >
				</label>
				<value>NO TB treatment or signs</value>
			</item>
			<item>
				<label ref ="jr:itext('queSevenLabel2')" >
				</label>
				<value>Waiting for TB results</value>
			</item>
			<item>
				<label ref ="jr:itext('queSevenLabel3')" >
				</label>
				<value>On INH Prophylaxis</value>
			</item>
			<item>
				<label ref ="jr:itext('queSevenLabel4')" >
				</label>
				<value>TB confirmed, will start treatment</value>
			</item>
		</select >
		<trigger bind="message" >
			<label ref ="jr:itext('question8')" >
			</label>
			<hint ref ="jr:itext('question8')" >
			</hint>
		</trigger >
		<select1 bind="admissionStatus" appearance="full" >
			<label ref ="jr:itext('question9')" >
			</label>
			<hint ref ="jr:itext('question9')" >
			</hint>
			<item>
				<label ref ="jr:itext('queNineLabel1')" >
				</label>
				<value>NO</value>
			</item>
			<item>
				<label ref ="jr:itext('queNineLabel2')" >
				</label>
				<value>Yes</value>
			</item>
		</select1 >
		<select1 bind="rashStatus" appearance="full" >
			<label ref ="jr:itext('question10')" >
			</label>
			<hint ref ="jr:itext('question10')" >
			</hint>
			<item>
				<label ref ="jr:itext('queTenLabel1')" >
				</label>
				<value>NO</value>
			</item>
			<item>
				<label ref ="jr:itext('queTenLabel2')" >
				</label>
				<value>Yes</value>
			</item>
		</select1 >
		<select1 bind="isImproved" appearance="full" >
			<label ref ="jr:itext('question11')" >
			</label>
			<hint ref ="jr:itext('question11')" >
			</hint>
			<item>
				<label ref ="jr:itext('queElevenLabel1')" >
				</label>
				<value>NO</value>
			</item>
			<item>
				<label ref ="jr:itext('queElevenLabel2')" >
				</label>
				<value>Yes</value>
			</item>
		</select1 >
	</h:body><commit_msg>[r738] [branches/dev] Form now conforms to the new localizer standards<commit_after><h:html xmlns:h="http://www.w3.org/1999/xhtml"
        xmlns="http://www.w3.org/2002/xforms"
	  xmlns:ev="http://www.w3.org/2001/xml-events"
	  xmlns:xsd="http://www.w3.org/2001/XMLSchema"
	  xmlns:jr="http://openrosa.org/javarosa">
	<h:head>
		<h:title>E-CTC Form V8 - Patient Triage Protocol</h:title>

		<model id="CDCDemo">
			<itext>
				<translation lang="English" default="">
					<text id="question1">
						<value form="long">Eng: Enter ARV Regimen</value>
						<value form="short">Rash?</value>
					</text>
					<text id="question1hint">
						<value form="">Select your Regimen</value>
					</text>
					<text id="queOneLabel1">
						<value form="">1a30:d4T30-3TC-NVP</value>
					</text>
					<text id="queOneLabel2">
						<value form="">1a40:d4T30-3TC-NVP</value>
					</text>
					<text id="queOneLabel3">
						<value form="">1a30-S: starting</value>
					</text>
					<text id="queOneLabel4">
						<value form="">1a40-S: starting</value>
					</text>
					<text id="queOneLabel5">
						<value form="">1b:ZDV-CTC-NVP</value>
					</text>
					<text id="queOneLabel6">
						<value form="">1c:ZDV-3TC-EFV</value>
					</text>
					<text id="queOneLabel7">
						<value form="">1d40:d4T40-3TC-EFV</value>
					</text>
					<text id="queOneLabel8">
						<value form="">2b:ABC-ddl-SQV/r</value>
					</text>
					<text id="queOneLabel9">
						<value form="">2a:ABC-ddl-LPV/r</value>
					</text>
					<text id="queOneLabel10">
						<value form="">2c:ABC-ddl-NFV</value>
					</text>
					<text id="queOneLabel11">
						<value form="">Other regimen</value>
					</text>
					<text id="queOneLabel12">
						<value form="">Not on Arvs Yet</value>
					</text>
					<text id="question2">
						<value form="long">ASK: The Records indicate that your current regimen is 1c:ZDV-3TC-EFV. Has this changed?</value>
						<value form="short">Regimen Changed</value>
					</text>
					<text id="question2hint">
						<value form="">Select your Current Regimen</value>
					</text>
					<text id="queTwoLabel1">
						<value form="">Switch entry to 1c:ZDV-3TC-EFV</value>
					</text>
					<text id="queTwoLabel2">
						<value form="">Keep Entry</value>
					</text>
					<text id="question3">
						<value form="long">ASK: Our records indicate you have been on treatment for 12 months. Is that correct?</value>
						<value form="short">Treatment Status</value>
					</text>
					<text id="question3hint">
						<value form="">Answer yes if the above is correct.</value>
					</text>
					<text id="queThreeLabel1">
						<value form="">YES</value>
					</text>
					<text id="queThreeLabel2">
						<value form="">NO</value>
					</text>
					<text id="question4">
						<value form="long">Remember to order the patients 12 months CD4 test!</value>
						<value form="short">Lab Test Order</value>
					</text>
					<text id="question4hint">
						<value form="">Press button</value>
					</text>
					<text id="question5_1">
						<value form="long">Enter Weight</value>
						<value form="short">Weight</value>
					</text>
					<text id="question5_1hint">
						<value form="">Enter Weight</value>
					</text>
					<text id="question5_2">
						<value form="long">Units</value>
						<value form="short">Units</value>
					</text>
					<text id="question5_2hint">
						<value form="">Select Units</value>
					</text>
					<text id="queFiveLabel1">
						<value form="">Kilograms</value>
					</text>
					<text id="queFiveLabel2">
						<value form="">Pounds</value>
					</text>
					<text id="question6">
						<value form="long">Weight Chart</value>
						<value form="short">Weight Chart</value>
					</text>
					<text id="question6hint">
						<value form="">Weight Chart</value>
					</text>
					<text id="question7">
						<value form="long">TB Status</value>
						<value form="short">TB Status</value>
					</text>
					<text id="question7hint">
						<value form="">Select TB Status</value>
					</text>
					<text id="queSevenLabel1">
						<value form="">NO TB treatment or signs</value>
					</text>
					<text id="queSevenLabel2">
						<value form="">Waiting for TB results</value>
					</text>
					<text id="queSevenLabel3">
						<value form="">On INH Prophylaxis</value>
					</text>
					<text id="queSevenLabel4">
						<value form="">TB confirmed, will start treatment</value>
					</text>
					<text id="question8">
						<value form="long">Now I will ask you some questions to determine if you need to see a doctor on this visit.</value>
						<value form="short">Questions</value>
					</text>
					<text id="question8hint">
						<value form="">Answer Correctly</value>
					</text>
					<text id="question9">
						<value form="long">Have You been admitted to hospital since your last visit?</value>
						<value form="short">Admission Status</value>
					</text>
					<text id="question9hint">
						<value form="">Select Correct answer</value>
					</text>
					<text id="queNineLabel1">
						<value form="">NO</value>
					</text>
					<text id="queNineLabel2">
						<value form="">YES</value>
					</text>
					<text id="question10">
						<value form="long">Do you have any rash?</value>
						<value form="short">Rash</value>
					</text>
					<text id="question10hint">
						<value form="">Select Correct answer</value>
					</text>
					<text id="queTenLabel1">
						<value form="">NO</value>
					</text>
					<text id="queTenLabel2">
						<value form="">YES</value>
					</text>
					<text id="question11">
						<value form="long">Is it new or getting worse since your last visit?</value>
						<value form="short">Status after last visit</value>
					</text>
					<text id="question11hint">
						<value form="">Select Correct answer</value>
					</text>
					<text id="queElevenLabel1">
						<value form="">NO</value>
					</text>
					<text id="queElevenLabel2">
						<value form="">YES</value>
					</text>
				</translation>
				<translation lang="Swahili">
					<text id="question1">
						<value form="long">SW: Enter ARV Regimen</value>
						<value form="short">SW : Rash?</value>
					</text>
					<text id="question1hint">
						<value form="">SW : Select your Regimen</value>
					</text>
					<text id="queOneLabel1">
						<value form="">
						</value>
					</text>
					<text id="queOneLabel2">
						<value form="">SW : 1a40:d4T30-3TC-NVP</value>
					</text>
					<text id="queOneLabel3">
						<value form="">SW : 1a30-S: starting</value>
					</text>
					<text id="queOneLabel4">
						<value form="">SW : 1a40-S: starting</value>
					</text>
					<text id="queOneLabel5">
						<value form="">SW : 1b:ZDV-CTC-NVP</value>
					</text>
					<text id="queOneLabel6">
						<value form="">SW : 1c:ZDV-3TC-EFV</value>
					</text>
					<text id="queOneLabel7">
						<value form="">SW : 1d40:d4T40-3TC-EFV</value>
					</text>
					<text id="queOneLabel8">
						<value form="">SW : 2b:ABC-ddl-SQV/r</value>
					</text>
					<text id="queOneLabel9">
						<value form="">SW : 2a:ABC-ddl-LPV/r</value>
					</text>
					<text id="queOneLabel10">
						<value form="">SW : 2c:ABC-ddl-NFV</value>
					</text>
					<text id="queOneLabel11">
						<value form="">SW : Other regimen</value>
					</text>
					<text id="queOneLabel12">
						<value form="">SW : Not on Arvs Yet</value>
					</text>
					<text id="question2">
						<value form="long">SW : ASK: The Records indicate that your current regimen is 1c:ZDV-3TC-EFV. Has this changed?</value>
						<value form="short">SW : Regimen Changed</value>
					</text>
					<text id="question2hint">
						<value form="">SW : Select your Current Regimen</value>
					</text>
					<text id="queTwoLabel1">
						<value form="">SW : Switch entry to 1c:ZDV-3TC-EFV</value>
					</text>
					<text id="queTwoLabel2">
						<value form="">SW : Keep Entry</value>
					</text>
					<text id="question3">
						<value form="long">SW : ASK: Our records indicate you have been on treatment for 12 months. Is that correct?</value>
						<value form="short">SW : Treatment Status</value>
					</text>
					<text id="question3hint">
						<value form="">SW : Answer yes if the above is correct.</value>
					</text>
					<text id="queThreeLabel1">
						<value form="">SW : YES</value>
					</text>
					<text id="queThreeLabel2">
						<value form="">SW : NO</value>
					</text>
					<text id="question4">
						<value form="long">SW : Remember to order the patients 12 months CD4 test!</value>
						<value form="short">SW : Lab Test Order</value>
					</text>
					<text id="question4hint">
						<value form="">SW : Press button</value>
					</text>
					<text id="question5_1">
						<value form="long">SW : Enter Weight</value>
						<value form="short">SW : Weight</value>
					</text>
					<text id="question5_1hint">
						<value form="">SW : Enter Weight</value>
					</text>
					<text id="question5_2">
						<value form="long">SW : Units</value>
						<value form="short">SW : Units</value>
					</text>
					<text id="question5_2hint">
						<value form="">SW : Select Units</value>
					</text>
					<text id="queFiveLabel1">
						<value form="">SW : Kilograms</value>
					</text>
					<text id="queFiveLabel2">
						<value form="">SW : Pounds</value>
					</text>
					<text id="question6">
						<value form="long">SW : Weight Chart</value>
						<value form="short">SW : Weight Chart</value>
					</text>
					<text id="question6hint">
						<value form="">SW : Weight Chart</value>
					</text>
					<text id="question7">
						<value form="long">SW : TB Status</value>
						<value form="short">SW : TB Status</value>
					</text>
					<text id="question7hint">
						<value form="">SW : Select TB Status</value>
					</text>
					<text id="queSevenLabel1">
						<value form="">SW : NO TB treatment or signs</value>
					</text>
					<text id="queSevenLabel2">
						<value form="">SW : Waiting for TB results</value>
					</text>
					<text id="queSevenLabel3">
						<value form="">SW : On INH Prophylaxis</value>
					</text>
					<text id="queSevenLabel4">
						<value form="">SW : TB confirmed, will start treatment</value>
					</text>
					<text id="question8">
						<value form="long">SW : Now I will ask you some questions to determine if you need to see a doctor on this visit.</value>
						<value form="short">SW : Questions</value>
					</text>
					<text id="question8hint">
						<value form="">SW : Answer Correctly</value>
					</text>
					<text id="question9">
						<value form="long">SW : Have You been admitted to hospital since your last visit?</value>
						<value form="short">SW : Admission Status</value>
					</text>
					<text id="question9hint">
						<value form="">SW : Select Correct answer</value>
					</text>
					<text id="queNineLabel1">
						<value form="">SW : NO</value>
					</text>
					<text id="queNineLabel2">
						<value form="">SW : YES</value>
					</text>
					<text id="question10">
						<value form="long">SW : Do you have any rash?</value>
						<value form="short">SW : Rash</value>
					</text>
					<text id="question10hint">
						<value form="">SW : Select Correct answer</value>
					</text>
					<text id="queTenLabel1">
						<value form="">SW : NO</value>
					</text>
					<text id="queTenLabel2">
						<value form="">SW : YES</value>
					</text>
					<text id="question11">
						<value form="long">SW : Is it new or getting worse since your last visit?</value>
						<value form="short">SW : Status after last visit</value>
					</text>
					<text id="question11hint">
						<value form="">SW : Select Correct answer</value>
					</text>
					<text id="queElevenLabel1">
						<value form="">SW : NO</value>
					</text>
					<text id="queElevenLabel2">
						<value form="">SW : YES</value>
					</text>
				</translation>
				<translation lang="Japanese">
					<text id="question1">
						<value form="long">
						</value>
						<value form="short">
						</value>
					</text>
					<text id="question1hint">
						<value form="">
						</value>
					</text>
					<text id="queOneLabel1">
						<value form="">JA : 1a30:d4T30-3TC-NVP</value>
					</text>
					<text id="queOneLabel2">
						<value form="">JA : 1a40:d4T30-3TC-NVP</value>
					</text>
					<text id="queOneLabel3">
						<value form="">JA : 1a30-S: starting</value>
					</text>
					<text id="queOneLabel4">
						<value form="">JA : 1a40-S: starting</value>
					</text>
					<text id="queOneLabel5">
						<value form="">JA : 1b:ZDV-CTC-NVP</value>
					</text>
					<text id="queOneLabel6">
						<value form="">JA : 1c:ZDV-3TC-EFV</value>
					</text>
					<text id="queOneLabel7">
						<value form="">JA : 1d40:d4T40-3TC-EFV</value>
					</text>
					<text id="queOneLabel8">
						<value form="">JA : 2b:ABC-ddl-SQV/r</value>
					</text>
					<text id="queOneLabel9">
						<value form="">JA : 2a:ABC-ddl-LPV/r</value>
					</text>
					<text id="queOneLabel10">
						<value form="">JA : 2c:ABC-ddl-NFV</value>
					</text>
					<text id="queOneLabel11">
						<value form="">JA : Other regimen</value>
					</text>
					<text id="queOneLabel12">
						<value form="">JA : Not on Arvs Yet</value>
					</text>
					<text id="question2">
						<value form="long">JA : ASK: The Records indicate that your current regimen is 1c:ZDV-3TC-EFV. Has this changed?</value>
						<value form="short">JA : Regimen Changed</value>
					</text>
					<text id="question2hint">
						<value form="">JA : Select your Current Regimen</value>
					</text>
					<text id="queTwoLabel1">
						<value form="">JA : Switch entry to 1c:ZDV-3TC-EFV</value>
					</text>
					<text id="queTwoLabel2">
						<value form="">JA : Keep Entry</value>
					</text>
					<text id="question3">
						<value form="long">JA : ASK: Our records indicate you have been on treatment for 12 months. Is that correct?</value>
						<value form="short">JA : Treatment Status</value>
					</text>
					<text id="question3hint">
						<value form="">JA : Answer yes if the above is correct.</value>
					</text>
					<text id="queThreeLabel1">
						<value form="">JA : YES</value>
					</text>
					<text id="queThreeLabel2">
						<value form="">JA : NO</value>
					</text>
					<text id="question4">
						<value form="long">JA : Remember to order the patients 12 months CD4 test!</value>
						<value form="short">JA : Lab Test Order</value>
					</text>
					<text id="question4hint">
						<value form="">JA : Press button</value>
					</text>
					<text id="question5_1">
						<value form="long">JA : Enter Weight</value>
						<value form="short">JA : Weight</value>
					</text>
					<text id="question5_1hint">
						<value form="">JA : Enter Weight</value>
					</text>
					<text id="question5_2">
						<value form="long">JA : Units</value>
						<value form="short">JA : Units</value>
					</text>
					<text id="question5_2hint">
						<value form="">JA : Select Units</value>
					</text>
					<text id="queFiveLabel1">
						<value form="">JA : Kilograms</value>
					</text>
					<text id="queFiveLabel2">
						<value form="">JA : Pounds</value>
					</text>
					<text id="question6">
						<value form="long">JA : Weight Chart</value>
						<value form="short">JA : Weight Chart</value>
					</text>
					<text id="question6hint">
						<value form="">JA : Weight Chart</value>
					</text>
					<text id="question7">
						<value form="long">JA : TB Status</value>
						<value form="short">JA : TB Status</value>
					</text>
					<text id="question7hint">
						<value form="">JA : Select TB Status</value>
					</text>
					<text id="queSevenLabel1">
						<value form="">JA : NO TB treatment or signs</value>
					</text>
					<text id="queSevenLabel2">
						<value form="">JA : Waiting for TB results</value>
					</text>
					<text id="queSevenLabel3">
						<value form="">JA : On INH Prophylaxis</value>
					</text>
					<text id="queSevenLabel4">
						<value form="">JA : TB confirmed, will start treatment</value>
					</text>
					<text id="question8">
						<value form="long">JA : Now I will ask you some questions to determine if you need to see a doctor on this visit.</value>
						<value form="short">JA : Questions</value>
					</text>
					<text id="question8hint">
						<value form="">JA : Answer Correctly</value>
					</text>
					<text id="question9">
						<value form="long">JA : Have You been admitted to hospital since your last visit?</value>
						<value form="short">JA : Admission Status</value>
					</text>
					<text id="question9hint">
						<value form="">JA : Select Correct answer</value>
					</text>
					<text id="queNineLabel1">
						<value form="">JA : NO</value>
					</text>
					<text id="queNineLabel2">
						<value form="">JA : YES</value>
					</text>
					<text id="question10">
						<value form="long">JA : Do you have any rash?</value>
						<value form="short">JA : Rash</value>
					</text>
					<text id="question10hint">
						<value form="">JA : Select Correct answer</value>
					</text>
					<text id="queTenLabel1">
						<value form="">JA : NO</value>
					</text>
					<text id="queTenLabel2">
						<value form="">JA : YES</value>
					</text>
					<text id="question11">
						<value form="long">JA : Is it new or getting worse since your last visit?</value>
						<value form="short">JA : Status after last visit</value>
					</text>
					<text id="question11hint">
						<value form="">JA : Select Correct answer</value>
					</text>
					<text id="queElevenLabel1">
						<value form="">JA : NO</value>
					</text>
					<text id="queElevenLabel2">
						<value form="">JA : YES</value>
					</text>
				</translation>
				<translation lang="Chinese">
					<text id="question1">
						<value form="long">CH: Enter ARV Regimen</value>
						<value form="short">CH : Rash?</value>
					</text>
					<text id="question1hint">
						<value form="">CH : Select your Regimen</value>
					</text>
					<text id="queOneLabel1">
					<value form="">CH : 1a30:d4T30-3TC-NVP</value>
				</text>
				<text id="queOneLabel2">
					<value form="">CH : 1a40:d4T30-3TC-NVP</value>
				</text>
				<text id="queOneLabel3">
					<value form="">CH : 1a30-S: starting</value>
				</text>
				<text id="queOneLabel4">
					<value form="">CH : 1a40-S: starting</value>
				</text>
				<text id="queOneLabel5">
					<value form="">CH : 1b:ZDV-CTC-NVP</value>
				</text>
				<text id="queOneLabel6">
					<value form="">CH : 1c:ZDV-3TC-EFV</value>
				</text>
				<text id="queOneLabel7">
					<value form="">CH : 1d40:d4T40-3TC-EFV</value>
				</text>
				<text id="queOneLabel8">
					<value form="">CH : 2b:ABC-ddl-SQV/r</value>
				</text>
				<text id="queOneLabel9">
					<value form="">CH : 2a:ABC-ddl-LPV/r</value>
				</text>
				<text id="queOneLabel10">
					<value form="">CH : 2c:ABC-ddl-NFV</value>
				</text>
				<text id="queOneLabel11">
					<value form="">CH : Other regimen</value>
				</text>
				<text id="queOneLabel12">
					<value form="">CH : Not on Arvs Yet</value>
				</text>
				<text id="question2">
					<value form="long">CH : ASK: The Records indicate that your current regimen is 1c:ZDV-3TC-EFV. Has this changed?</value>
					<value form="short">CH : Regimen Changed</value>
				</text>
				<text id="question2hint">
					<value form="">CH : Select your Current Regimen</value>
				</text>
					<text id="queTwoLabel1">
				<value form="">CH : Switch entry to 1c:ZDV-3TC-EFV</value>
			</text>
			<text id="queTwoLabel2">
				<value form="">CH : Keep Entry</value>
			</text>
			<text id="question3">
				<value form="long">CH : ASK: Our records indicate you have been on treatment for 12 months. Is that correct?</value>
				<value form="short">CH : Treatment Status</value>
			</text>
			<text id="question3hint">
				<value form="">CH : Answer yes if the above is correct.</value>
			</text>
			<text id="queThreeLabel1">
				<value form="">CH : YES</value>
			</text>
			<text id="queThreeLabel2">
				<value form="">CH : NO</value>
			</text>
			<text id="question4">
				<value form="long">CH : Remember to order the patients 12 months CD4 test!</value>
				<value form="short">CH : Lab Test Order</value>
			</text>
			<text id="question4hint">
				<value form="">CH : Press button</value>
			</text>
			<text id="question5_1">
				<value form="long">CH : Enter Weight</value>
				<value form="short">CH : Weight</value>
			</text>
			<text id="question5_1hint">
				<value form="">CH : Enter Weight</value>
			</text>
			<text id="question5_2">
				<value form="long">CH : Units</value>
				<value form="short">CH : Units</value>
			</text>
			<text id="question5_2hint">
				<value form="">CH : Select Units</value>
			</text>
			<text id="queFiveLabel1">
				<value form="">CH : Kilograms</value>
			</text>
			<text id="queFiveLabel2">
				<value form="">CH : Pounds</value>
			</text>
			<text id="question6">
				<value form="long">CH : Weight Chart</value>
				<value form="short">CH : Weight Chart</value>
			</text>
			<text id="question6hint">
				<value form="">CH : Weight Chart</value>
			</text>
			<text id="question7">
				<value form="long">CH : TB Status</value>
				<value form="short">CH : TB Status</value>
			</text>
			<text id="question7hint">
				<value form="">CH : Select TB Status</value>
			</text>
			<text id="queSevenLabel1">
				<value form="">CH : NO TB treatment or signs</value>
			</text>
			<text id="queSevenLabel2">
				<value form="">CH : Waiting for TB results</value>
			</text>
			<text id="queSevenLabel3">
				<value form="">CH : On INH Prophylaxis</value>
			</text>
			<text id="queSevenLabel4">
				<value form="">CH : TB confirmed, will start treatment</value>
			</text>
			<text id="question8">
				<value form="long">CH : Now I will ask you some questions to determine if you need to see a doctor on this visit.</value>
				<value form="short">CH : Lab Test Order</value>
			</text>
			<text id="question8hint">
				<value form="">CH : Answer Correctly</value>
			</text>
			<text id="question9">
				<value form="long">CH : Have You been admitted to hospital since your last visit?</value>
				<value form="short">CH : Admission Status</value>
			</text>
			<text id="question9hint">
				<value form="">CH : Select Correct answer</value>
			</text>
			<text id="queNineLabel1">
				<value form="">CH : NO</value>
			</text>
			<text id="queNineLabel2">
				<value form="">CH : YES</value>
			</text>
			<text id="question10">
				<value form="long">CH : Do you have any rash?</value>
				<value form="short">CH : Rash</value>
			</text>
			<text id="question10hint">
				<value form="">CH : Select Correct answer</value>
			</text>
			<text id="queTenLabel1">
				<value form="">CH : NO</value>
			</text>
			<text id="queTenLabel2">
				<value form="">CH : YES</value>
			</text>
			<text id="question11">
				<value form="long">CH : Is it new or getting worse since your last visit?</value>
				<value form="short">CH : Status after last visit</value>
			</text>
			<text id="question11hint">
				<value form="">CH : Select Correct answer</value>
			</text>
			<text id="queElevenLabel1">
				<value form="">CH : NO</value>
			</text>
			<text id="queElevenLabel2">
				<value form="">CH : YES</value>
			</text>
		</translation>
	</itext>
	<instance>
		<data>
			<ARVRegimen>
				<RegimenName>
				</RegimenName>
			</ARVRegimen>
			<Entry>
				<RegimenChanged>
				</RegimenChanged>
			</Entry>
			<Patient>
				<OnTreatment>
				</OnTreatment>
			</Patient>
			<Reminder>
				<ToOrder>
				</ToOrder>
			</Reminder>
			<Weight>
				<Value>
				</Value>
				<Units>
				</Units>
			</Weight>
			<History>
				<data>5</data>
				<data>10</data>
				<data>20</data>
				<data>25</data>
				<data>35</data>
				<data>45</data>
				<data>58</data>
				<data>69</data>
				<data>80</data>
				<data>99</data>
			</History>
			<Desease>
				<Status>
				</Status>
			</Desease>
			<Ask>
				<Message>
				</Message>
			</Ask>
			<HospitalAdmission>
				<Status>
				</Status>
			</HospitalAdmission>
			<Rash>
				<Status>
				</Status>
			</Rash>
			<Condition>
				<IsImproved>Yes</IsImproved>
			</Condition>
		</data>
	</instance>
	<bind id="isImproved" nodeset="/data/Condition/IsImproved" type="xsd:string" />
	<bind id="status" nodeset="/data/Desease/Status" type="xsd:string" />
	<bind id="weightValue" nodeset="/data/Weight/Value" type="xsd:numeric" />
	<bind id="regimenChanged" nodeset="/data/Entry/RegimenChanged" type="xsd:string" />
	<bind id="history" nodeset="/data/History/data" type="xsd:string" />
	<bind id="admissionStatus" nodeset="/data/HospitalAdmission/Status" type="xsd:string" />
	<bind id="message" nodeset="/data/Ask/Message" type="xsd:string" />
	<bind id="units" nodeset="/data/Weight/Units" type="xsd:string" />
	<bind id="toOrder" nodeset="/data/Reminder/ToOrder" type="xsd:string" />
	<bind id="rashStatus" nodeset="/data/Rash/Status" type="xsd:string" />
	<bind id="onTreatment" nodeset="/data/Patient/OnTreatment" type="xsd:string" />
	<bind id="regimenName" nodeset="/data/ARVRegimen/RegimenName" type="xsd:string" />
</model>
</h:head>
<h:body>
<select1 bind="regimenName" appearance="full" >
	<label ref ="jr:itext('question1')" >
	</label>
	<hint ref ="jr:itext('question1hint')" >
	</hint>
	<item>
		<label ref ="jr:itext('queOneLabel1')" >
		</label>
		<value>1a30:d4T30-3TC-NVP</value>
	</item>
	<item>
		<label ref ="jr:itext('queOneLabel2')" >
		</label>
		<value>1a40:d4T30-3TC-NVP</value>
	</item>
	<item>
		<label ref ="jr:itext('queOneLabel3')" >
		</label>
		<value>1a30-S: starting</value>
	</item>
	<item>
		<label>1a40-S: starting</label>
		<value>1a40-S: starting</value>
	</item>
	<item>
		<label ref ="jr:itext('queOneLabel5')" >
		</label>
		<value>1b:ZDV-CTC-NVP</value>
	</item>
	<item>
		<label ref ="jr:itext('queOneLabel6')" >
		</label>
		<value>1c:ZDV-3TC-EFV</value>
	</item>
	<item>
		<label ref ="jr:itext('queOneLabel7')" >
		</label>
		<value>1d40:d4T40-3TC-EFV</value>
	</item>
	<item>
		<label>2b:ABC-ddl-SQV/r</label>
		<value>2b:ABC-ddl-SQV/r</value>
	</item>
	<item>
		<label ref ="jr:itext('queOneLabel9')" >
		</label>
		<value>2a:ABC-ddl-LPV/r</value>
	</item>
	<item>
		<label ref ="jr:itext('queOneLabel10')" >
		</label>
		<value>2c:ABC-ddl-NFV</value>
	</item>
	<item>
		<label ref ="jr:itext('queOneLabel11')" >
		</label>
		<value>Other regimen</value>
	</item>
	<item>
		<label ref ="jr:itext('queOneLabel12')" >
		</label>
		<value>Not on Arvs Yet</value>
	</item>
</select1 >
<select1 bind="regimenChanged" appearance="full" >
	<label ref ="jr:itext('question2')" >
	</label>
	<hint ref ="jr:itext('question2hint')" >
	</hint>
	<item>
		<label ref ="jr:itext('queTwoLabel1')" >
		</label>
		<value>1c:ZDV-3TC-EFV</value>
	</item>
	<item>
		<label ref ="jr:itext('queTwoLabel2')" >
		</label>
		<value>Keep my current Entry</value>
	</item>
</select1 >
<select1 bind="onTreatment" appearance="full" >
	<label ref ="jr:itext('question3')" >
	</label>
	<hint ref ="jr:itext('question3hint')" >
	</hint>
	<item>
		<label ref ="jr:itext('queThreeLabel1')" >
		</label>
		<value>Yes</value>
	</item>
	<item>
		<label ref ="jr:itext('queThreeLabel2')" >
		</label>
		<value>No</value>
	</item>
</select1 >
<trigger bind="toOrder" >
	<label ref ="jr:itext('question4')" >
	</label>
	<hint ref ="jr:itext('question4hint')" >
	</hint>
</trigger >
<input bind="weightValue" >
	<label ref ="jr:itext('question5_1')" >
	</label>
	<hint ref ="jr:itext('question5_1hint')" >
	</hint>
</input >
<select1 bind="units" appearance="full" >
	<label ref ="jr:itext('question5_2')" >
	</label>
	<hint ref ="jr:itext('question5_2hint')" >
	</hint>
	<item>
		<label ref ="jr:itext('queFiveLabel1')" >
		</label>
		<value>Kilograms</value>
	</item>
	<item>
		<label ref ="jr:itext('queFiveLabel2')" >
		</label>
		<value>Pounds</value>
	</item>
</select1 >
<output bind="history" type="graph" >
	<label ref ="jr:itext('question6')" >
	</label>
	<hint ref ="jr:itext('question6hint')" >
	</hint>
</output >
<select bind="status" appearance="full" >
	<label ref ="jr:itext('question7')" >
	</label>
	<hint ref ="jr:itext('question7hint')" >
	</hint>
	<item>
		<label ref ="jr:itext('queSevenLabel1')" >
		</label>
		<value>NO TB treatment or signs</value>
	</item>
	<item>
		<label ref ="jr:itext('queSevenLabel2')" >
		</label>
		<value>Waiting for TB results</value>
	</item>
	<item>
		<label ref ="jr:itext('queSevenLabel3')" >
		</label>
		<value>On INH Prophylaxis</value>
	</item>
	<item>
		<label ref ="jr:itext('queSevenLabel4')" >
		</label>
		<value>TB confirmed, will start treatment</value>
	</item>
</select >
<trigger bind="message" >
	<label ref ="jr:itext('question8')" >
	</label>
	<hint ref ="jr:itext('question8hint')" >
	</hint>
</trigger >
<select1 bind="admissionStatus" appearance="full" >
	<label ref ="jr:itext('question9')" >
	</label>
	<hint ref ="jr:itext('question9hint')" >
	</hint>
	<item>
		<label ref ="jr:itext('queNineLabel1')" >
		</label>
		<value>NO</value>
	</item>
	<item>
		<label ref ="jr:itext('queNineLabel2')" >
		</label>
		<value>Yes</value>
	</item>
</select1 >
<select1 bind="rashStatus" appearance="full" >
	<label ref ="jr:itext('question10')" >
	</label>
	<hint ref ="jr:itext('question10hint')" >
	</hint>
	<item>
		<label ref ="jr:itext('queTenLabel1')" >
		</label>
		<value>NO</value>
	</item>
	<item>
		<label ref ="jr:itext('queTenLabel2')" >
		</label>
		<value>Yes</value>
	</item>
</select1 >
<select1 bind="isImproved" appearance="full" >
	<label ref ="jr:itext('question11')" >
	</label>
	<hint ref ="jr:itext('question11hint')" >
	</hint>
	<item>
		<label ref ="jr:itext('queElevenLabel1')" >
		</label>
		<value>NO</value>
	</item>
	<item>
		<label ref ="jr:itext('queElevenLabel2')" >
		</label>
		<value>Yes</value>
	</item>
</select1 >
</h:body>
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