<!DOCTYPE html PUBLIC “-//W3C//DTD HTML 4.01//EN” “www.w3.org/TR/html4/strict.dtd”> <html xmlns:n1=“urn:hl7-org:v3” xmlns:xsi=“www.w3.org/2001/XMLSchema-instance”>

<head>
  <meta http-equiv="Content-Type" content="text/html; charset=UTF-8" />
  {{#patient}}
  <title>Cypress Certification Patient Test Record: {{given_name}} {{familyName}}</title>
  {{/patient}}
  {{#include_style?}}
    {{> _header_css}}
  {{/include_style?}}
</head>
<body>
  {{#patient}}
  <h1 class="h1center">Cypress Certification Patient Test Record: {{given_name}} {{familyName}}</h1>
  <div class="div-table">
    <div class="div-table-body">
      <div class="div-head-row patient_narr_tr panel panel-default patient-details">
        <div class="div-table-head patient_narr_th panel-heading"><span class="td_label">Patient</span></div>
        <div class="div-table-head">{{given_name}} {{familyName}}</div>
        <div class="div-table-head patient_narr_th panel-heading"><span class="td_label">Sex</span></div>
        <div class="div-table-head">{{{gender}}}{{#demographic_code_description}}gender{{/demographic_code_description}}</div>
      </div>
      <div class="div-head-row patient_narr_tr panel panel-default patient-details">
        <div class="div-table-head patient_narr_th panel-heading"><span class="td_label">Date of birth</span></div>
        <div class="div-table-head">{{{birthdate}}}</div>
        <div class="div-table-head patient_narr_th panel-heading"><span class="td_label">Date of expiration</span></div>
        <div class="div-table-head">{{{expiration}}}</div>
      </div>
      <div class="div-head-row patient_narr_tr panel panel-default patient-details">
        <div class="div-table-head patient_narr_th panel-heading"><span class="td_label">Race</span></div>
        <div class="div-table-head">{{{race}}}{{#demographic_code_description}}race{{/demographic_code_description}}</div>
        <div class="div-table-head patient_narr_th panel-heading"><span class="td_label">Ethnicity</span></div>
        <div class="div-table-head">{{{ethnic_group}}}{{#demographic_code_description}}ethnic_group{{/demographic_code_description}}</div>
      </div>
      <div class="div-head-row patient_narr_tr panel panel-default patient-details">
        <div class="div-table-head patient_narr_th panel-heading"><span class="td_label">Insurance Providers</span></div>
        <div class="div-table-head">{{{payer}}}{{#demographic_code_description}}payer{{/demographic_code_description}}</div>
        <div class="div-table-head patient_narr_th panel-heading"><span class="td_label">Patient IDs</span></div>
        <div class="div-table-head">{{{mrn}}} Cypress</div>
      </div>
      <div class="div-head-row patient_narr_tr panel panel-default patient-details">
        <div class="div-table-head patient_narr_th panel-heading"><span class="td_label">Address</span></div>
        <div class="div-table-head">{{{patient_addresses}}}</div>
        <div class="div-table-head patient_narr_th panel-heading"><span class="td_label">Telecom</span></div>
        <div class="div-table-head">{{{patient_telecoms}}}</div>
      </div>
    </div>
  </div>
  {{/patient}}
  {{> _javascript}}
  {{#data_elements}}
  <div class="panel panel-default patient-details">
    <div class="panel-heading"><h3 class='panel-title'>{{title}}</h3></div>
    <!--table class="narr_table" border="1" width="100%"-->
    <div class="div-table">
      <div class="div-table-heading">
        <div class="div-table-row narr_tr">
          <div class="div-table-head narr_th-wide">Description</div>
          <div class="div-table-head narr_th-narrow">Codes</div>
          <div class="div-table-head narr_th-wide">Time</div>
          <div class="div-table-head narr_th-wide">Fields/Results</div>
        </div>
      </div>
      <div class="div-table-body">
        {{#element_list}}
          <div class="div-table-row narr_tr">
            {{> data_element/_data_element}}
          </div>
        {{/element_list}}
      </div>
    </div>
  </div>
  {{/data_elements}}
</body>

</html>