    [% META title="Initial Screen" %]
<!-- BEGIN [% template.name %] -->

    [% # PROCESS dumper.tt dump = s.as_tree FOREACH s IN screen_categories %]
    [% # PROCESS dumper.tt dump = s.as_tree FOREACH s IN screens %]
    [% # PROCESS dumper.tt dump = audit_categories %]
    [% # PROCESS dumper.tt dump = haem_data.as_tree %]
    [% # PROCESS dumper.tt dump = data.as_tree %]

    [% INCLUDE record/patient_summary.tt request = data %]

    [% IF dfv_errors %]
        <p class="error">[% c.config('msg').dfv_errors %]</p>
    [% END %]

    [% # PROCESS site/js/jquery.tt # already loaded in html_wrapper %]
    <script type="text/javascript" src="/js/jquery.textarea-expander.js"></script>

    <h3 class="header">Screen record:</h3>

    [% # PROCESS request/summary_display.tt # tmpl can be deleted now %]

    [% IF haem_data %]
        <h4 class="indent">Haematology</h4>
        [% INCLUDE result/haem_data.tt function = 'screen' %]
    [% END %]

    [% initial_screen_dfv_js %]

    [% INCLUDE site/previous_requests.tt # don't use PROCESS or 'data' gets clobbered %]
	[% INCLUDE site/previous_lab_tests.tt IF previous_requests.size %]

    [% patient = data.patient_case.patient %]
	<form method="post" name="patientNotes" id="patientNotes" action="[%
            app_url %]/patient/patient_notes/[% data.id %]/[% patient.id %]">
        <p class="title">
            Patient notes: <textarea name="patient_notes" rows="1" cols="70"
                style="vertical-align: middle" class="expand20-200"
                id="patient_notes">[% patient.patient_note.detail %]</textarea>
            <input type="hidden" name="fwd_to" value="[% c.query.url(path_info=1) %]" />
			<input class="button" type="submit" value="Update" />
		</p>
	</form>

    <form action="[% app_url %]/request/general_notes/[% data.id %]" method="post"
        name="notes" id="notes">
      <p class="title">Request notes:
        [% notes = data.request_general_note.detail %]
        <textarea name="general_notes" rows="1" cols="70" class="expand"
          [% site.html.onfocus %] style="vertical-align: middle">[% notes %]</textarea>
        <input type="hidden" name="rm" value="screen" />
        <input class="button" type="submit" value="Update" />
      </p>
    </form>

    <form method="post" action="[% app_url %]/screen/do_initial_screen/[% data.id %]"
            [% initial_screen_onsubmit %] name="initialScreen" id="initialScreen">

        <table class="indent">
            <tr>
                <td class="label">Screen select:</td>
                <td class="content">
					[% INCLUDE screen/screen_select.tt %]
					[% error_screen_id %]
                </td>
                <td rowspan="2" class="borderless">
                    [% site.html.submit %] [% site.html.reset %]
                </td>
            </tr>
            [% # only if settings.have_request_audit
				INCLUDE screen/audit_categories.tt IF audit_categories.size;
			%]
        </table>
    </form>
<!-- END [% template.name %] -->
