<?xml version="1.0"?>
<h:html xmlns="http://www.w3.org/2002/xforms" xmlns:ev="http://www.w3.org/2001/xml-events" xmlns:h="http://www.w3.org/1999/xhtml" xmlns:jr="http://openrosa.org/javarosa" xmlns:orx="http://openrosa.org/xforms/" xmlns:xsd="http://www.w3.org/2001/XMLSchema">
  <h:head>
    <h:title>ANC Visit Report</h:title>
    <model>
      <instance>
        <data id="V" version="2015-06-05">
          <outputs>
            <pregnancy_id tag="id" />
          </outputs>
          <meta>
            <start tag="m_st" />
            <end tag="m_et" />
            <phonenumber tag="m_p" />
            <deviceID tag="m_d" />
            <subscriberID tag="m_s" />
            <instanceID tag="m_i" />
            <instanceName tag="m_n" />
          </meta>
        </data>
      </instance>
      <bind nodeset="/data/outputs/pregnancy_id" required="true()" type="string"/>
      <bind jr:preload="timestamp" jr:preloadParams="start" nodeset="/data/meta/start" type="dateTime"/>
      <bind jr:preload="timestamp" jr:preloadParams="end" nodeset="/data/meta/end" type="dateTime"/>
      <bind jr:preload="property" jr:preloadParams="uri:subscriberid" nodeset="/data/meta/subscriberID" type="string"/>
      <bind jr:preload="property" jr:preloadParams="uri:deviceid" nodeset="/data/meta/deviceID" type="string"/>
      <bind jr:preload="property" jr:preloadParams="phonenumber" nodeset="/data/meta/phonenumber" type="string"/>
      <bind calculate="concat('uuid:', uuid())" nodeset="/data/meta/instanceID" readonly="true()" type="string"/>
      <bind calculate="concat('Visit: ', /data/outputs/pregnancy_id )" nodeset="/data/meta/instanceName" type="string"/>
    </model>
  </h:head>
  <h:body>
    <input appearance="numbers" ref="/data/outputs/pregnancy_id">
      <label>Pregnancy ID</label>
      <hint>This is the 5 digit number associated to this woman's pregnancy</hint>
    </input>
  </h:body>
</h:html>
