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sgithens/ampath ccsp odk prototype

Created December 7, 2012 13:19
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ampath ccsp odk prototype
<?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>Cervical Cancer Screening Form</xf:title>
<xf:model id="openmrs_model">
<xf:instance id="openmrs_model_instance">
<form id="3" name="Cervical Cancer screening Form" version="0.1" uuid="8c6c6c39-1375-4227-a800-3b18f63ee0e4" xmlns:openmrs="/moduleServlet/formentry/forms/schema/3-1" xmlns:xd="http://schemas.microsoft.com/office/infopath/2003">
<header>
<enterer/>
<date_entered/>
<session/>
<uid/>
</header>
<patient>
<patient.birthdate openmrs_table="patient" openmrs_attribute="birthdate"/>
<patient.family_name openmrs_table="patient_name" openmrs_attribute="family_name"/>
<patient.given_name openmrs_table="patient_name" openmrs_attribute="given_name"/>
<patient.medical_record_number openmrs_table="patient_identifier" openmrs_attribute="identifier"/>
<patient.middle_name openmrs_table="patient_name" openmrs_attribute="middle_name"/>
<patient.sex openmrs_table="patient" openmrs_attribute="gender"/>
<patient.patient_id openmrs_table="patient" openmrs_attribute="patient_id"/>
<no_male/>
</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">
<last_menstrual_period_date openmrs_concept="1836^LAST MENSTRUAL PERIOD DATE^99DCT" openmrs_datatype="DT">
<date/><time/><value/>
</last_menstrual_period_date>
<chief_complaint openmrs_concept="5219^CHIEF COMPLAINT^99DCT" openmrs_datatype="CWE" multiple="1">
<date/><time/>
<symptomatic openmrs_concept="1068^SYMPTOMATIC^99DCT">false</symptomatic>
<asymptomatic openmrs_concept="5006^ASYMPTOMATIC^99DCT">false</asymptomatic>
<having_hypoglycemia_symptoms_in_past_month openmrs_concept="8008^HAVING HYPOGLYCEMIA SYMPTOMS IN PAST MONTH^99DCT">false</having_hypoglycemia_symptoms_in_past_month>
<none openmrs_concept="1107^NONE^99DCT">false</none>
<vaginal_discharge openmrs_concept="5993^VAGINAL DISCHARGE^99DCT">false</vaginal_discharge>
<vaginal_bleeding openmrs_concept="1489^VAGINAL BLEEDING^99DCT">false</vaginal_bleeding>
<dysfunctional_uterine_bleeding openmrs_concept="6497^DYSFUNCTIONAL UTERINE BLEEDING^99DCT">false</dysfunctional_uterine_bleeding>
<menorrhagia openmrs_concept="1461^MENORRHAGIA^99DCT">false</menorrhagia>
<postmenopausal_bleeding openmrs_concept="8274^POSTMENOPAUSAL BLEEDING^99DCT">false</postmenopausal_bleeding>
<other_non-coded openmrs_concept="5622^OTHER NON-CODED^99DCT">false</other_non-coded>
<postcoital_bleeding openmrs_concept="8273^POSTCOITAL BLEEDING^99DCT">false</postcoital_bleeding>
<xforms_value/>
</chief_complaint>
<method_of_family_planning openmrs_concept="374^METHOD OF FAMILY PLANNING^99DCT" openmrs_datatype="CWE" multiple="1">
<date/><time/>
<injectable_contraceptives openmrs_concept="5279^INJECTABLE CONTRACEPTIVES^99DCT">false</injectable_contraceptives>
<diaphragm openmrs_concept="5278^DIAPHRAGM^99DCT">false</diaphragm>
<intrauterine_device openmrs_concept="5275^INTRAUTERINE DEVICE^99DCT">false</intrauterine_device>
<other_non-coded openmrs_concept="5622^OTHER NON-CODED^99DCT">false</other_non-coded>
<female_sterilization openmrs_concept="5276^FEMALE STERILIZATION^99DCT">false</female_sterilization>
<condoms openmrs_concept="190^CONDOMS^99DCT">false</condoms>
<oral_contraception openmrs_concept="780^ORAL CONTRACEPTION^99DCT">false</oral_contraception>
<natural_family_planning openmrs_concept="5277^NATURAL FAMILY PLANNING^99DCT">false</natural_family_planning>
<medroxyprogesterone_acetate openmrs_concept="907^MEDROXYPROGESTERONE ACETATE^99DCT">false</medroxyprogesterone_acetate>
<none openmrs_concept="1107^NONE^99DCT">false</none>
<contraceptive_implant openmrs_concept="6220^CONTRACEPTIVE IMPLANT^99DCT">false</contraceptive_implant>
<combined_hormone_oral_contraceptive_pill openmrs_concept="6218^COMBINED HORMONE ORAL CONTRACEPTIVE PILL^99DCT">false</combined_hormone_oral_contraceptive_pill>
<abstinence openmrs_concept="6219^ABSTINENCE^99DCT">false</abstinence>
<progestin_pills openmrs_concept="6217^PROGESTIN PILLS^99DCT">false</progestin_pills>
<tubal_ligation openmrs_concept="6700^TUBAL LIGATION^99DCT">false</tubal_ligation>
<vasectomy openmrs_concept="6701^VASECTOMY^99DCT">false</vasectomy>
<herbal_traditional_medications openmrs_concept="5841^HERBAL TRADITIONAL MEDICATIONS^99DCT">false</herbal_traditional_medications>
<female_condoms openmrs_concept="6717^FEMALE CONDOMS^99DCT">false</female_condoms>
<male_condoms openmrs_concept="6718^MALE CONDOMS^99DCT">false</male_condoms>
<emergency_contraceptive_pills openmrs_concept="6725^EMERGENCY CONTRACEPTIVE PILLS^99DCT">false</emergency_contraceptive_pills>
<contraceptive_sponge openmrs_concept="8134^CONTRACEPTIVE SPONGE^99DCT">false</contraceptive_sponge>
<family_planning_via_oral_contraceptive_pills openmrs_concept="5274^FAMILY PLANNING VIA ORAL CONTRACEPTIVE PILLS^99DCT">false</family_planning_via_oral_contraceptive_pills>
<do_not_know openmrs_concept="1624^DO NOT KNOW^99DCT">false</do_not_know>
<xforms_value/></method_of_family_planning>
<successful_completion_of_colposcopy openmrs_concept="7428^SUCCESSFUL COMPLETION OF COLPOSCOPY ^99DCT" openmrs_datatype="CWE" multiple="0">
<date/><time/><value/>
</successful_completion_of_colposcopy>
<size_of_cervical_lesion_coded openmrs_concept="7477^SIZE OF CERVICAL LESION, CODED ^99DCT" openmrs_datatype="CWE" multiple="0">
<date/><time/><value/>
</size_of_cervical_lesion_coded>
<colposcopy openmrs_concept="7383^COLPOSCOPY^99DCT" openmrs_datatype="CWE" multiple="1">
<date/><time/>
<normal openmrs_concept="1115^NORMAL^99DCT">false</normal>
<abnormal openmrs_concept="1116^ABNORMAL^99DCT">false</abnormal>
<acetowhite_lesion openmrs_concept="7469^ACETOWHITE LESION^99DCT">false</acetowhite_lesion>
<punctuated_capillaries openmrs_concept="7470^PUNCTUATED CAPILLARIES ^99DCT">false</punctuated_capillaries>
<mosaicism openmrs_concept="7471^MOSAICISM^99DCT">false</mosaicism>
<atypical_blood_vessels openmrs_concept="7472^ATYPICAL BLOOD VESSELS^99DCT">false</atypical_blood_vessels>
<internal_border_within_cervical_lesion openmrs_concept="7473^INTERNAL BORDER WITHIN CERVICAL LESION^99DCT">false</internal_border_within_cervical_lesion>
<do_not_know openmrs_concept="1624^DO NOT KNOW^99DCT">false</do_not_know>
<xforms_value/>
</colposcopy>
<pathological_diagnosis_added openmrs_concept="8278^PATHOLOGICAL DIAGNOSIS ADDED^99DCT" openmrs_datatype="CWE" multiple="0">
<date/><time/><value/>
</pathological_diagnosis_added>
<temp_pathological_diagnosis_info/>
<freetext_general openmrs_concept="1915^FREETEXT GENERAL^99DCT" openmrs_datatype="ST">
<date/><time/><value/>
</freetext_general>
<colposcopy openmrs_concept="7383^COLPOSCOPY^99DCT" openmrs_datatype="CWE" multiple="1">
<date/><time/>
<normal openmrs_concept="1115^NORMAL^99DCT">false</normal>
<abnormal openmrs_concept="1116^ABNORMAL^99DCT">false</abnormal>
<acetowhite_lesion openmrs_concept="7469^ACETOWHITE LESION^99DCT">false</acetowhite_lesion>
<punctuated_capillaries openmrs_concept="7470^PUNCTUATED CAPILLARIES ^99DCT">false</punctuated_capillaries>
<mosaicism openmrs_concept="7471^MOSAICISM^99DCT">false</mosaicism>
<atypical_blood_vessels openmrs_concept="7472^ATYPICAL BLOOD VESSELS^99DCT">false</atypical_blood_vessels>
<internal_border_within_cervical_lesion openmrs_concept="7473^INTERNAL BORDER WITHIN CERVICAL LESION^99DCT">false</internal_border_within_cervical_lesion>
<do_not_know openmrs_concept="1624^DO NOT KNOW^99DCT">false</do_not_know>
<xforms_value/>
</colposcopy>
<procedures_done_this_visit_detailed openmrs_concept="7480^PROCEDURES DONE THIS VISIT, DETAILED^99DCT" openmrs_datatype="ZZ">
<number_of_specimen_collected openmrs_concept="7482^NUMBER OF SPECIMEN COLLECTED^99DCT" openmrs_datatype="NM">
<date/><time/><value/>
</number_of_specimen_collected>
<tmp_procedures_done_this_visit_detailed/>
<body_part openmrs_concept="8265^BODY PART^99DCT" openmrs_datatype="CWE" multiple="0">
<date/><time/><value/>
</body_part>
<procedures_done_this_visit openmrs_concept="7479^PROCEDURES DONE THIS VISIT^99DCT" openmrs_datatype="CWE" multiple="0">
<date/><time/><value/>
</procedures_done_this_visit>
<anatomic_location_description openmrs_concept="8268^ANATOMIC LOCATION DESCRIPTION^99DCT" openmrs_datatype="CWE" multiple="0">
<date/><time/><value/>
</anatomic_location_description>
<clock_face_cervical_biopsy_location openmrs_concept="7481^CLOCK FACE CERVICAL BIOPSY LOCATION ^99DCT" openmrs_datatype="NM">
<date/><time/><value/>
</clock_face_cervical_biopsy_location>
<pathological_diagnosis_added openmrs_concept="8278^PATHOLOGICAL DIAGNOSIS ADDED^99DCT" openmrs_datatype="CWE" multiple="0">
<date/><time/><value/>
</pathological_diagnosis_added>
<pathological_diagnosis_added_cervix/>
<pathological_diagnosis_added_vagina/>
<pathological_diagnosis_added_vulva/>
</procedures_done_this_visit_detailed>
<freetext_general openmrs_concept="1915^FREETEXT GENERAL^99DCT" openmrs_datatype="ST">
<date/><time/><value/>
</freetext_general>
</obs>
</form>
</xf:instance>
<bind id="patient" nodeset="/form/patient"/>
<bind id="patient.family_name" nodeset="/form/patient/patient.family_name" type="string" required="true()"/>
<bind id="patient.given_name" nodeset="/form/patient/patient.given_name" type="string" required="true()"/>
<bind id="patient.sex" nodeset="/form/patient/patient.sex" type="string" required="true()"/>
<bind id="patient.birthdate" nodeset="/form/patient/patient.birthdate" type="date" required="true()"
constraint=". &lt;=today()" jr:constraintMsg="Date of birth cannot be in the future"/>
<bind id="patient.medical_record_number" nodeset="/form/patient/patient.medical_record_number" type="string" required="true()"/>
<bind id="patient.middle_name" nodeset="/form/patient/patient.middle_name" type="string" required="true()"/>
<bind id="patient.patient_id" nodeset="/form/patient/patient.patient_id" type="int" required="true()" visible="false()"/>
<bind id="no_male" nodeset="/form/patient/no_male" type="string" readonly="true()" relevant="../patient/patient.sex= 'M'"/>
<bind id="encounter" nodeset="/form/encounter" relevant="../patient/patient.sex= 'F'"/>
<bind id="encounter.encounter_datetime" nodeset="/form/encounter/encounter.encounter_datetime" type="date"
constraint=". &lt;= today()" jr:constraintMsg="Date of biopsy collection cannot be after today" required="true()"/>
<bind id="encounter.location_id" nodeset="/form/encounter/encounter.location_id" type="string" required="true()"/>
<bind id="encounter.provider_id" nodeset="/form/encounter/encounter.provider_id" type="string" required="true()"/>
<bind id="obs" nodeset="/form/obs" relevant="../patient/patient.sex= 'F'"/>
<bind id="last_menstrual_period_date" nodeset="/form/obs/last_menstrual_period_date/value" type="date"
constraint=". &lt;=today()" jr:constraintMsg="LMP date cannot be in the future"/>
<bind id="chief_complaint" nodeset="/form/obs/chief_complaint/xforms_value" type="string"/>
<bind id="method_of_family_planning" nodeset="/form/obs/method_of_family_planning/xforms_value" type="string"
constraint="not(selected(., 'none') and count-selected(.)>1)" jr:constraintMsg="If None, is selected, it should be the only option"/>
<bind id="successful_completion_of_colposcopy" nodeset="/form/obs/successful_completion_of_colposcopy/value" type="string" required="true()"/>
<bind id="size_of_cervical_lesion_coded" nodeset="/form/obs/size_of_cervical_lesion_coded/value" type="string" required="true()"
relevant="../../successful_completion_of_colposcopy/value ='1065^YES^99DCT'"/>
<bind id="colposcopy" nodeset="/form/obs/colposcopy/xforms_value" type="string" required="true()"
constraint="not((selected(., 'normal') or selected(., 'Do_not_know')) and count-selected(.)>1)" jr:constraintMsg="When normal or do not know is selected, it must be the only answer"
relevant="../../successful_completion_of_colposcopy/value ='1065^YES^99DCT'"/>
<bind id="procedures_done_this_visit_detailed" nodeset="/form/obs/procedures_done_this_visit_detailed"/>
<bind id="number_of_specimen_collected" nodeset="/form/obs/procedures_done_this_visit_detailed/number_of_specimen_collected/value" type="integer" required="true()"/>
<bind id="body_part" nodeset="/form/obs/procedures_done_this_visit_detailed/body_part/value" type="string" required="true()"/>
<bind id="procedures_done_this_visit" nodeset="/form/obs/procedures_done_this_visit_detailed/procedures_done_this_visit/value" type="string" required="true()"/>
<bind id="anatomic_location_description" nodeset="/form/obs/procedures_done_this_visit_detailed/anatomic_location_description/value" type="string"
relevant="../../procedures_done_this_visit/value = '7147^LOOP ELECTROSURGICAL EXCISION PROCEDURE^99DCT'"/>
<bind id="clock_face_cervical_biopsy_location" nodeset="/form/obs/procedures_done_this_visit_detailed/clock_face_cervical_biopsy_location/value" type="int"
relevant="../../procedures_done_this_visit/value != '7147^LOOP ELECTROSURGICAL EXCISION PROCEDURE^99DCT'"
constraint=". &gt;= 1 and . &lt;= 12" jr:constraintMsg="Values should be between 1 and 12 inclusive"/>
<bind id="pathological_diagnosis_added_cervix" nodeset="/form/obs/procedures_done_this_visit_detailed/pathological_diagnosis_added_cervix" type="string" required="true()"
relevant="../body_part/value='8279^CERVIX^99DCT'"/>
<bind id="pathological_diagnosis_added_vagina" nodeset="/form/obs/procedures_done_this_visit_detailed/pathological_diagnosis_added_vagina" type="string" required="true()"
relevant="../body_part/value='8280^VAGINA^99DCT'"/>
<bind id="pathological_diagnosis_added_vulva" nodeset="/form/obs/procedures_done_this_visit_detailed/pathological_diagnosis_added_vulva" type="string" required="true()"
relevant="../body_part/value='8281^VULVA^99DCT'"/>
<bind id="pathological_diagnosis_added" nodeset="/form/obs/procedures_done_this_visit_detailed/pathological_diagnosis_added/value" type="string"
calculate="if(../../body_part/value='8279^CERVIX^99DCT',../../pathological_diagnosis_added_cervix,
if(../../body_part/value='8280^VAGINA^99DCT',../../pathological_diagnosis_added_vagina,../../pathological_diagnosis_added_vulva))"/>
<bind id="tmp_procedures_done_this_visit_detailed" nodeset="/form/obs/procedures_done_this_visit_detailed/tmp_procedures_done_this_visit_detailed" type="string" readonly="true()"/>
<bind id="freetext_general" nodeset="/form/obs/freetext_general/value" type="string"/>
</xf:model>
</xf:head>
<xf:body>
<group>
<label>Cervical Cancer Screening</label>
<group appearance="field-list" bind="patient">
<label>Demographic Information</label>
<input bind="patient.family_name">
<label>Family Name</label>
</input>
<input bind="patient.given_name">
<label>Given Name</label>
</input>
<input bind="patient.middle_name">
<label>Middle Name</label>
</input>
<input bind="patient.medical_record_number">
<label>AMRS ID Number</label>
</input>
<select1 bind="patient.sex">
<label>Gender</label>
<item>
<label>Male</label>
<value>M</value>
</item>
<item>
<label>Female</label>
<value>F</value>
</item>
</select1>
<input bind="patient.birthdate">
<label>Date of Birth</label>
</input>
</group>
<input bind="no_male">
<label>Cervical cancer screening cannot be done on a male. This form will be closed</label>
</input>
<group appearance="field-list" bind="encounter">
<label>Encounter Details</label>
<input bind="encounter.encounter_datetime">
<label>Date of Biopsy Collection </label>
</input>
<select1 bind="encounter.location_id">
<label>Clinic/Screening Site</label>
<item>
<label>Unknown Location [1]</label>
<value>1</value>
</item>
</select1>
<select1 bind="encounter.provider_id">
<label>Provider</label>
<item>
<label>Super User [1]</label>
<value>1</value>
</item>
</select1>
</group>
<input bind="last_menstrual_period_date">
<label>Last Menstrual Period Date</label>
</input>
<select bind="chief_complaint">
<label>Chief Complaint</label>
<hint>Patient's chief complaint</hint>
<item>
<label>Sypmptomatic</label>
<value>Symptomatic</value>
</item>
<item>
<label>Asymptomatic</label>
<value>Asymptomatic</value>
</item>
<item>
<label>Having hypoglycemia symptoms in past month</label>
<value>Having_hypoglycemia_symptoms_in_past_month</value>
</item>
</select>
<select bind="method_of_family_planning">
<label>What Method Of Family Planning Do You Currently Use?</label>
<item>
<label>Condoms</label>
<value>Condoms</value>
</item>
<item>
<label>Sterilization/Hysterectomy</label>
<value>Female_sterilization</value>
</item>
<item>
<label>Intrauterine device</label>
<value>Intrauterine_device</value>
</item>
<item>
<label>Diaphragm/Cervical cap</label>
<value>Diaphragm</value>
</item>
<item>
<label>Oral contraceptive pills</label>
<value>Family_planning_via_oral_contraceptive_pills</value>
</item>
<item>
<label>Natural family planning/rhythm</label>
<value>Natural_family_planning</value>
</item>
<item>
<label>Injectable hormones</label>
<value>injectable_contraceptives</value>
</item>
<item>
<label>Other</label>
<value>Other_non-coded</value>
</item>
<item>
<label>None</label>
<value>none</value>
</item>
</select>
<select1 bind="successful_completion_of_colposcopy">
<label>Was Colposcopy Successfully Done Today?</label>
<item>
<label>Yes</label>
<value>1065^YES^99DCT</value>
</item>
<item>
<label>No</label>
<value>1066^NO^99DCT</value>
</item>
<item>
<label>Not done</label>
<value>1118^NOT DONE^99DCT</value>
</item>
</select1>
<select1 bind="size_of_cervical_lesion_coded">
<label>Size of Cervical Lesion</label>
<item>
<label>Larger than 50 percent of cervix</label>
<value>7474^LARGER THAN 50 PERCENT OF CERVIX^99DCT</value>
</item>
<item>
<label>Smaller than 50 percent of cervix</label>
<value>7475^SMALLER THAN 50 PERCENT OF CERVIX^99DCT</value>
</item>
<item>
<label>Cervical lesion extends into endocervical canal</label>
<value>7476^CERVICAL LESION EXTENDS INTO ENDOCERVICAL CANAL^99DCT</value>
</item>
</select1>
<select bind="colposcopy">
<label>Colposcopy Results</label>
<item>
<label>Normal</label>
<value>normal</value>
</item>
<item>
<label>Abnormal</label>
<value>Abnormal</value>
</item>
<item>
<label>Acetowhite lesion</label>
<value>Acetowhite_lesion</value>
</item>
<item>
<label>Punctuated capillaries</label>
<value>Punctuated_capillaries</value>
</item>
<item>
<label>Mosaicism</label>
<value>Mosaicism</value>
</item>
<item>
<label>Atypical blood vessels</label>
<value>Atypical_blood_vessels</value>
</item>
<item>
<label>Internal border within cervical lesion</label>
<value>Internal_border_within_cervical_lesion</value>
</item>
<item>
<label>Do not know</label>
<value>Do_not_know</value>
</item>
</select>
<group appearance="field-list">
<label>Procedures Done This Visit</label>
<repeat bind="procedures_done_this_visit_detailed">
<group appearance="field-list">
<input bind="tmp_procedures_done_this_visit_detailed">
<label>Please add details about each specimen collected by filling in all relevant responses about each specimen:</label>
</input>
<select1 bind="body_part">
<label>From What Part Of The Body Was Specimen Collected?</label>
<item>
<label>Cervix</label>
<value>8279^CERVIX^99DCT</value>
</item>
<item>
<label>Vagina</label>
<value>8280^VAGINA^99DCT</value>
</item>
<item>
<label>Vulva</label>
<value>8281^VULVA^99DCT</value>
</item>
</select1>
</group>
<select1 bind="procedures_done_this_visit">
<label>How Was Specimen Collected?</label>
<item>
<label>LEEP</label>
<value>7147^LOOP ELECTROSURGICAL EXCISION PROCEDURE^99DCT</value>
</item>
<item>
<label>Cervical punch/excisional Biopsy</label>
<value>6511^EXCISIONAL OR SURGICAL BIOPSY^99DCT</value>
</item>
<item>
<label>Endocervical curretage (ECC)</label>
<value>7478^ENDOCERVICAL CURETTAGE ^99DCT</value>
</item>
</select1>
<select1 bind="anatomic_location_description">
<label>Provide Location Of Specimen</label>
<item>
<label>Superficial</label>
<value>8266^SUPERFICIAL^99DCT</value>
</item>
<item>
<label>Deep</label>
<value>8267^DEEP^99DCT</value>
</item>
<item>
<label>Other</label>
<value>5622^OTHER NON-CODED^99DCT</value>
</item>
</select1>
<input bind="clock_face_cervical_biopsy_location">
<label>Provide location where biopsy for specimen was done: __O’clock</label>
</input>
<select1 bind="pathological_diagnosis_added_cervix">
<label>Pathological Diagnosis for Cervical Specimen</label>
<item>
<label>Normal</label>
<value>1115^NORMAL^99DCT</value>
</item>
<item>
<label>Cervicitis</label>
<value>149^CERVICITIS^99DCT</value>
</item>
<item>
<label>Cervical squamous metaplasia</label>
<value>8282^CERVICAL SQUAMOUS METAPLASIA^99DCT</value>
</item>
<item>
<label>Mild cervical intraepithelial dysplasia (CIN 1)</label>
<value>7424^CERVICAL INTRAEPITHELIAL NEOPLASIA GRADE 1^99DCT</value>
</item>
<item>
<label>Moderate cervical intraepithelial dysplasia (CIN 2)</label>
<value>7425^CERVICAL INTRAEPITHELIAL NEOPLASIA GRADE 2^99DCT</value>
</item>
<item>
<label>Severe cervical intraepithelial dysplasia (CIN 3)</label>
<value>7216^CERVICAL INTRAEPITHELIAL NEOPLASIA GRADE 3^99DCT</value>
</item>
<item>
<label>Cervical adenocarcinoma</label>
<value>8275^CERVICAL ADENOCARCINOMA^99DCT</value>
</item>
<item>
<label>Cervical squamous cell carcinoma</label>
<value>8275^CERVICAL ADENOCARCINOMA^99DCT</value>
</item>
<item>
<label>Other</label>
<value>5622^OTHER NON-CODED^99DCT</value>
</item>
</select1>
<select1 bind="pathological_diagnosis_added_vagina">
<label>Pathological Diagnosis for Vaginal Specimen</label>
<item>
<label>Normal</label>
<value>1115^NORMAL^99DCT</value>
</item>
<item>
<label>Mild vaginal intraepithelial neoplasia (VAIN1)</label>
<value>7492^VAGINAL INTRAEPITHELIAL NEOPLASIA GRADE 1^99DCT</value>
</item>
<item>
<label>Moderate vaginal intraepithelial neoplasia (VAIN 2)</label>
<value>7491^VAGINAL INTRAEPITHELIAL NEOPLASIA GRADE 2 ^99DCT</value>
</item>
<item>
<label>Severe vaginal intraepithelial neoplasia (VAIN 3)</label>
<value>7435^VAGINAL INTRAEPITHELIAL NEOPLASIA GRADE 3^99DCT</value>
</item>
<item>
<label>Other</label>
<value>5622^OTHER NON-CODED^99DCT</value>
</item>
</select1>
<select1 bind="pathological_diagnosis_added_vulva">
<label>Pathological Diagnosis for Vulval Specimen</label>
<item>
<label>Normal</label>
<value>1115^NORMAL^99DCT</value>
</item>
<item>
<label>Condyloma / Mild vulva intraepithelial neoplasia (VIN1)</label>
<value>7489^CONDYLOMA OR VULVAR INTRAEPITHELIAL NEOPLASIA GRADE 1^99DCT</value>
</item>
<item>
<label>Moderate vulva intraepithelial neoplasia (VIN 2)</label>
<value>7488^VULVAR INTRAEPITHELIAL NEOPLASIA GRADE 2^99DCT</value>
</item>
<item>
<label>Severe vulva intraepithelial neoplasia (VIN 3)</label>
<value>7483^VULVAR INTRAEPITHELIAL NEOPLASIA GRADE 3^99DCT</value>
</item>
<item>
<label>Other</label>
<value>5622^OTHER NON-CODED^99DCT</value>
</item>
</select1>
</repeat>
</group>
</group>
</xf:body>
</xf:xforms>
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