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Clinical forms and patient details · VERSION 3dfb7c9f

Enter a fictional Death Form date and recover from date-of-birth validation

Open the installed optional Death Form, cancel without saving, read a definite before-birth refusal, and save one reviewed fictional patient date/time through the ordinary Doctor interface.

Doctor

Read the single optional field and Cancel. Genuine wide MANSOQ ordinary Doctor view of a separate explicitly fictional Death Form software-training case.12
Recorded release 3dfb7c9f · 2026-10-19T13:48:50.141Z · 1728 × 921

Read the single optional field and Cancel

Capture details

Exact committed 3dfb7c9f: 3401 verified source blobs and 139 built assets; fresh physical-USB runtime proof d172d2a4. Existing ordinary Doctor, separate fictional Ambulatory case, date 19 October 2026. One refused before-DOB attempt and one saved Patient deceased_datetime. No actual death, care decision, certification, ordinary response, PDF, discharge or undo is represented. Current 3dfb behavior only.

Image SHA-256 8303d3a3e6ed885341eb10ef8a4cd8dc4858ec8c8bb34790f3f4fcc4418306b3

  1. Read Death Form - Workflow: This installed form contains one optional date-and-time input.
  2. Cancel the blank form: Leave the untouched form without selecting Submit.
Read the actual date-of-birth refusal. Genuine wide MANSOQ ordinary Doctor view of a separate explicitly fictional Death Form software-training case.12
Recorded release 3dfb7c9f · 2026-10-19T13:50:01.231Z · 1728 × 921

Read the actual date-of-birth refusal

Capture details

Exact committed 3dfb7c9f: 3401 verified source blobs and 139 built assets; fresh physical-USB runtime proof d172d2a4. Existing ordinary Doctor, separate fictional Ambulatory case, date 19 October 2026. One refused before-DOB attempt and one saved Patient deceased_datetime. No actual death, care decision, certification, ordinary response, PDF, discharge or undo is represented. Current 3dfb behavior only.

Image SHA-256 7e84eafc91eeabafad842037be9ee7a80ec55b8769a03e39b01d302106c15942

  1. Read the date-of-birth validation message: The form reports: Date of birth cannot be after the date of death.
  2. Find the flagged question: Scroll to question identifies the field associated with this validation error.
Read successful submission and the patient banner. Genuine wide MANSOQ ordinary Doctor view of a separate explicitly fictional Death Form software-training case.12
Recorded release 3dfb7c9f · 2026-10-19T13:50:43.010Z · 1728 × 921

Read successful submission and the patient banner

Capture details

Exact committed 3dfb7c9f: 3401 verified source blobs and 139 built assets; fresh physical-USB runtime proof d172d2a4. Existing ordinary Doctor, separate fictional Ambulatory case, date 19 October 2026. One refused before-DOB attempt and one saved Patient deceased_datetime. No actual death, care decision, certification, ordinary response, PDF, discharge or undo is represented. Current 3dfb behavior only.

Image SHA-256 1d4a5b475b1aaa14fba075991215b49217bf14988223116eb42b471e40dddded

  1. Read the saved Deceased banner: The banner shows 19 Oct 2026 at 04:32 PM.
  2. Read the empty overview response area: This patient-field update does not create an ordinary response card.

14 of 14 content blocks have reviewed image alignment. Missing overview or prerequisite images remain open.

Before you begin

  • Use an existing authorized Doctor session with access to the intended patient and active encounter, plus permission to update that patient. Opening a questionnaire is not by itself proof of patient-write authority.
    Verify the separate fictional Doctor encounter. Genuine wide MANSOQ ordinary Doctor view of a separate explicitly fictional Death Form software-training case.12
    Recorded release 3dfb7c9f · 2026-10-19T13:46:00.794Z · 1728 × 921

    Verify the separate fictional Doctor encounter

    Capture details

    Exact committed 3dfb7c9f: 3401 verified source blobs and 139 built assets; fresh physical-USB runtime proof d172d2a4. Existing ordinary Doctor, separate fictional Ambulatory case, date 19 October 2026. One refused before-DOB attempt and one saved Patient deceased_datetime. No actual death, care decision, certification, ordinary response, PDF, discharge or undo is represented. Current 3dfb behavior only.

    Image SHA-256 197e67fde77103c0770e4e37daf5c5054418c3f9fc466b431d7e5b635b98c347

    1. Open Forms: Use Forms on the intended fictional Ambulatory encounter.
    2. Verify the fictional patient: Check the training patient name before continuing.
  • Use only the separate SYNTHETIC 3dfb Death Form Controls Training case for this software exercise. Its DOB is 01 Jan 2000. The displayed date/time values are fictional examples, not instructions to determine or certify a death.
    Open the intended patient profile before entry. Genuine wide MANSOQ ordinary Doctor view of a separate explicitly fictional Death Form software-training case.12
    Recorded release 3dfb7c9f · 2026-10-19T13:46:22.161Z · 1728 × 921

    Open the intended patient profile before entry

    Capture details

    Exact committed 3dfb7c9f: 3401 verified source blobs and 139 built assets; fresh physical-USB runtime proof d172d2a4. Existing ordinary Doctor, separate fictional Ambulatory case, date 19 October 2026. One refused before-DOB attempt and one saved Patient deceased_datetime. No actual death, care decision, certification, ordinary response, PDF, discharge or undo is represented. Current 3dfb behavior only.

    Image SHA-256 a492c35b3651e9f4e7a3a241713dd05606ea3cdd3ff7a41734a5836cc2beb637

    1. Open View Profile: Read the patient details before recording a patient-level change.
    2. Read the explicit training context: This separate case represents no real person, death, clinical decision or certificate.
    Read the retained date of birth. Genuine wide MANSOQ ordinary Doctor view of a separate explicitly fictional Death Form software-training case.12
    Recorded release 3dfb7c9f · 2026-10-19T13:46:30.689Z · 1728 × 921

    Read the retained date of birth

    Capture details

    Exact committed 3dfb7c9f: 3401 verified source blobs and 139 built assets; fresh physical-USB runtime proof d172d2a4. Existing ordinary Doctor, separate fictional Ambulatory case, date 19 October 2026. One refused before-DOB attempt and one saved Patient deceased_datetime. No actual death, care decision, certification, ordinary response, PDF, discharge or undo is represented. Current 3dfb behavior only.

    Image SHA-256 3074c443b0780749bd4f5cfd2afd969eaa09ee130b2f004fd0aba2a4c1a47f24

    1. Read Date of Birth: The fictional date of birth is 01 Jan 2000.
    2. Return to Encounters: Use Encounters to find this patient’s intended active encounter.
  • This lesson shows the installed encounter Death Form with one optional Death Form - Workflow field. Your facility’s configured form and clinical authorization must be checked separately.
    Choose the installed Death Form. Genuine wide MANSOQ ordinary Doctor view of a separate explicitly fictional Death Form software-training case.1
    Recorded release 3dfb7c9f · 2026-10-19T13:48:45.408Z · 1728 × 921

    Choose the installed Death Form

    Capture details

    Exact committed 3dfb7c9f: 3401 verified source blobs and 139 built assets; fresh physical-USB runtime proof d172d2a4. Existing ordinary Doctor, separate fictional Ambulatory case, date 19 October 2026. One refused before-DOB attempt and one saved Patient deceased_datetime. No actual death, care decision, certification, ordinary response, PDF, discharge or undo is represented. Current 3dfb behavior only.

    Image SHA-256 503d1b1e7d39b806fd54fc9500a699dd61b422b330e0b94abb5364eb496d052b

    1. Select Death Form: Choose the Death Form row. Its star is a separate favourite control and is not used.
    Read the single optional field and Cancel. Genuine wide MANSOQ ordinary Doctor view of a separate explicitly fictional Death Form software-training case.12
    Recorded release 3dfb7c9f · 2026-10-19T13:48:50.141Z · 1728 × 921

    Read the single optional field and Cancel

    Capture details

    Exact committed 3dfb7c9f: 3401 verified source blobs and 139 built assets; fresh physical-USB runtime proof d172d2a4. Existing ordinary Doctor, separate fictional Ambulatory case, date 19 October 2026. One refused before-DOB attempt and one saved Patient deceased_datetime. No actual death, care decision, certification, ordinary response, PDF, discharge or undo is represented. Current 3dfb behavior only.

    Image SHA-256 8303d3a3e6ed885341eb10ef8a4cd8dc4858ec8c8bb34790f3f4fcc4418306b3

    1. Read Death Form - Workflow: This installed form contains one optional date-and-time input.
    2. Cancel the blank form: Leave the untouched form without selecting Submit.

1. Confirm the separate fictional patient and encounter

Read the patient name and the selected Ambulatory, In Progress encounter. This exercise uses a separate fictional patient rather than a person receiving care.

Verify the separate fictional Doctor encounter. Genuine wide MANSOQ ordinary Doctor view of a separate explicitly fictional Death Form software-training case.12
Recorded release 3dfb7c9f · 2026-10-19T13:46:00.794Z · 1728 × 921

Verify the separate fictional Doctor encounter

Capture details

Exact committed 3dfb7c9f: 3401 verified source blobs and 139 built assets; fresh physical-USB runtime proof d172d2a4. Existing ordinary Doctor, separate fictional Ambulatory case, date 19 October 2026. One refused before-DOB attempt and one saved Patient deceased_datetime. No actual death, care decision, certification, ordinary response, PDF, discharge or undo is represented. Current 3dfb behavior only.

Image SHA-256 197e67fde77103c0770e4e37daf5c5054418c3f9fc466b431d7e5b635b98c347

  1. Open Forms: Use Forms on the intended fictional Ambulatory encounter.
  2. Verify the fictional patient: Check the training patient name before continuing.

2. Read the date of birth before entry

Open the patient summary, choose View Profile, and read Date of Birth. The pictured patient was born on 01 Jan 2000. Use Encounters and View Encounter to return to the intended ongoing encounter.

Open the intended patient profile before entry. Genuine wide MANSOQ ordinary Doctor view of a separate explicitly fictional Death Form software-training case.12
Recorded release 3dfb7c9f · 2026-10-19T13:46:22.161Z · 1728 × 921

Open the intended patient profile before entry

Capture details

Exact committed 3dfb7c9f: 3401 verified source blobs and 139 built assets; fresh physical-USB runtime proof d172d2a4. Existing ordinary Doctor, separate fictional Ambulatory case, date 19 October 2026. One refused before-DOB attempt and one saved Patient deceased_datetime. No actual death, care decision, certification, ordinary response, PDF, discharge or undo is represented. Current 3dfb behavior only.

Image SHA-256 a492c35b3651e9f4e7a3a241713dd05606ea3cdd3ff7a41734a5836cc2beb637

  1. Open View Profile: Read the patient details before recording a patient-level change.
  2. Read the explicit training context: This separate case represents no real person, death, clinical decision or certificate.
Read the retained date of birth. Genuine wide MANSOQ ordinary Doctor view of a separate explicitly fictional Death Form software-training case.12
Recorded release 3dfb7c9f · 2026-10-19T13:46:30.689Z · 1728 × 921

Read the retained date of birth

Capture details

Exact committed 3dfb7c9f: 3401 verified source blobs and 139 built assets; fresh physical-USB runtime proof d172d2a4. Existing ordinary Doctor, separate fictional Ambulatory case, date 19 October 2026. One refused before-DOB attempt and one saved Patient deceased_datetime. No actual death, care decision, certification, ordinary response, PDF, discharge or undo is represented. Current 3dfb behavior only.

Image SHA-256 3074c443b0780749bd4f5cfd2afd969eaa09ee130b2f004fd0aba2a4c1a47f24

  1. Read Date of Birth: The fictional date of birth is 01 Jan 2000.
  2. Return to Encounters: Use Encounters to find this patient’s intended active encounter.
Return through the intended encounter link. Genuine wide MANSOQ ordinary Doctor view of a separate explicitly fictional Death Form software-training case.12
Recorded release 3dfb7c9f · 2026-10-19T13:48:38.236Z · 1728 × 921

Return through the intended encounter link

Capture details

Exact committed 3dfb7c9f: 3401 verified source blobs and 139 built assets; fresh physical-USB runtime proof d172d2a4. Existing ordinary Doctor, separate fictional Ambulatory case, date 19 October 2026. One refused before-DOB attempt and one saved Patient deceased_datetime. No actual death, care decision, certification, ordinary response, PDF, discharge or undo is represented. Current 3dfb behavior only.

Image SHA-256 5a14963087b043dbf3cb93c00135207df069cf38bf9ba634f8704350fedf47d5

  1. Open View Encounter: Open the pictured Ambulatory, In Progress encounter.
  2. Read the facility and encounter dates: Check the same facility and ongoing encounter before opening the form.

3. Open the installed Death Form

Choose Forms, then select the Death Form row. Leave the separate favourite star unchanged. Confirm the form title and its single Death Form - Workflow date-and-time field.

Verify the separate fictional Doctor encounter. Genuine wide MANSOQ ordinary Doctor view of a separate explicitly fictional Death Form software-training case.12
Recorded release 3dfb7c9f · 2026-10-19T13:46:00.794Z · 1728 × 921

Verify the separate fictional Doctor encounter

Capture details

Exact committed 3dfb7c9f: 3401 verified source blobs and 139 built assets; fresh physical-USB runtime proof d172d2a4. Existing ordinary Doctor, separate fictional Ambulatory case, date 19 October 2026. One refused before-DOB attempt and one saved Patient deceased_datetime. No actual death, care decision, certification, ordinary response, PDF, discharge or undo is represented. Current 3dfb behavior only.

Image SHA-256 197e67fde77103c0770e4e37daf5c5054418c3f9fc466b431d7e5b635b98c347

  1. Open Forms: Use Forms on the intended fictional Ambulatory encounter.
  2. Verify the fictional patient: Check the training patient name before continuing.
Choose the installed Death Form. Genuine wide MANSOQ ordinary Doctor view of a separate explicitly fictional Death Form software-training case.1
Recorded release 3dfb7c9f · 2026-10-19T13:48:45.408Z · 1728 × 921

Choose the installed Death Form

Capture details

Exact committed 3dfb7c9f: 3401 verified source blobs and 139 built assets; fresh physical-USB runtime proof d172d2a4. Existing ordinary Doctor, separate fictional Ambulatory case, date 19 October 2026. One refused before-DOB attempt and one saved Patient deceased_datetime. No actual death, care decision, certification, ordinary response, PDF, discharge or undo is represented. Current 3dfb behavior only.

Image SHA-256 503d1b1e7d39b806fd54fc9500a699dd61b422b330e0b94abb5364eb496d052b

  1. Select Death Form: Choose the Death Form row. Its star is a separate favourite control and is not used.
Read the single optional field and Cancel. Genuine wide MANSOQ ordinary Doctor view of a separate explicitly fictional Death Form software-training case.12
Recorded release 3dfb7c9f · 2026-10-19T13:48:50.141Z · 1728 × 921

Read the single optional field and Cancel

Capture details

Exact committed 3dfb7c9f: 3401 verified source blobs and 139 built assets; fresh physical-USB runtime proof d172d2a4. Existing ordinary Doctor, separate fictional Ambulatory case, date 19 October 2026. One refused before-DOB attempt and one saved Patient deceased_datetime. No actual death, care decision, certification, ordinary response, PDF, discharge or undo is represented. Current 3dfb behavior only.

Image SHA-256 8303d3a3e6ed885341eb10ef8a4cd8dc4858ec8c8bb34790f3f4fcc4418306b3

  1. Read Death Form - Workflow: This installed form contains one optional date-and-time input.
  2. Cancel the blank form: Leave the untouched form without selecting Submit.

4. Cancel the untouched optional field

The pictured installed input has no required asterisk. Select Cancel without using Submit. The encounter returns with no new response card and the patient’s deceased date remains unset.

Read the single optional field and Cancel. Genuine wide MANSOQ ordinary Doctor view of a separate explicitly fictional Death Form software-training case.12
Recorded release 3dfb7c9f · 2026-10-19T13:48:50.141Z · 1728 × 921

Read the single optional field and Cancel

Capture details

Exact committed 3dfb7c9f: 3401 verified source blobs and 139 built assets; fresh physical-USB runtime proof d172d2a4. Existing ordinary Doctor, separate fictional Ambulatory case, date 19 October 2026. One refused before-DOB attempt and one saved Patient deceased_datetime. No actual death, care decision, certification, ordinary response, PDF, discharge or undo is represented. Current 3dfb behavior only.

Image SHA-256 8303d3a3e6ed885341eb10ef8a4cd8dc4858ec8c8bb34790f3f4fcc4418306b3

  1. Read Death Form - Workflow: This installed form contains one optional date-and-time input.
  2. Cancel the blank form: Leave the untouched form without selecting Submit.
Read the unchanged encounter after Cancel. Genuine wide MANSOQ ordinary Doctor view of a separate explicitly fictional Death Form software-training case.12
Recorded release 3dfb7c9f · 2026-10-19T13:48:54.351Z · 1728 × 921

Read the unchanged encounter after Cancel

Capture details

Exact committed 3dfb7c9f: 3401 verified source blobs and 139 built assets; fresh physical-USB runtime proof d172d2a4. Existing ordinary Doctor, separate fictional Ambulatory case, date 19 October 2026. One refused before-DOB attempt and one saved Patient deceased_datetime. No actual death, care decision, certification, ordinary response, PDF, discharge or undo is represented. Current 3dfb behavior only.

Image SHA-256 81793b925c53e6de4b97002992d6f92ee805f11029fb750a4118e6204fd02c7d

  1. Reopen the same form: Return to Forms when ready to continue the fictional exercise.
  2. Read the unchanged empty overview: No response card was created by Cancel.

5. Read a controlled before-birth validation example

Reopen the same form. On this fictional training case only, use the native date and clock segments to enter 31 Dec 1999 at 09:30 AM, then leave the field and check the retained value. This predates the displayed DOB. Submit the controlled invalid example once.

Review the fictional before-birth validation example. Genuine wide MANSOQ ordinary Doctor view of a separate explicitly fictional Death Form software-training case.12
Recorded release 3dfb7c9f · 2026-10-19T13:49:56.944Z · 1728 × 921

Review the fictional before-birth validation example

Capture details

Exact committed 3dfb7c9f: 3401 verified source blobs and 139 built assets; fresh physical-USB runtime proof d172d2a4. Existing ordinary Doctor, separate fictional Ambulatory case, date 19 October 2026. One refused before-DOB attempt and one saved Patient deceased_datetime. No actual death, care decision, certification, ordinary response, PDF, discharge or undo is represented. Current 3dfb behavior only.

Image SHA-256 890ad269ee76e56e93151f0ffbcb39dd4598169dea3a260800720158c54d901c

  1. Read the before-birth example: 31 Dec 1999, 09:30 AM precedes this fictional patient’s 01 Jan 2000 date of birth.
  2. Submit the controlled validation example once: This deliberately invalid value is used only on the separate training case.
Read the retained date of birth. Genuine wide MANSOQ ordinary Doctor view of a separate explicitly fictional Death Form software-training case.12
Recorded release 3dfb7c9f · 2026-10-19T13:46:30.689Z · 1728 × 921

Read the retained date of birth

Capture details

Exact committed 3dfb7c9f: 3401 verified source blobs and 139 built assets; fresh physical-USB runtime proof d172d2a4. Existing ordinary Doctor, separate fictional Ambulatory case, date 19 October 2026. One refused before-DOB attempt and one saved Patient deceased_datetime. No actual death, care decision, certification, ordinary response, PDF, discharge or undo is represented. Current 3dfb behavior only.

Image SHA-256 3074c443b0780749bd4f5cfd2afd969eaa09ee130b2f004fd0aba2a4c1a47f24

  1. Read Date of Birth: The fictional date of birth is 01 Jan 2000.
  2. Return to Encounters: Use Encounters to find this patient’s intended active encounter.

6. Read the definite refusal before recovering

The actual validation message says Date of birth cannot be after the date of death. The form remains open with the supplied value. The patient field was not saved. Read the flagged question and resolve the value before another submission; do not repeat a submission whose result is unknown.

Read the actual date-of-birth refusal. Genuine wide MANSOQ ordinary Doctor view of a separate explicitly fictional Death Form software-training case.12
Recorded release 3dfb7c9f · 2026-10-19T13:50:01.231Z · 1728 × 921

Read the actual date-of-birth refusal

Capture details

Exact committed 3dfb7c9f: 3401 verified source blobs and 139 built assets; fresh physical-USB runtime proof d172d2a4. Existing ordinary Doctor, separate fictional Ambulatory case, date 19 October 2026. One refused before-DOB attempt and one saved Patient deceased_datetime. No actual death, care decision, certification, ordinary response, PDF, discharge or undo is represented. Current 3dfb behavior only.

Image SHA-256 7e84eafc91eeabafad842037be9ee7a80ec55b8769a03e39b01d302106c15942

  1. Read the date-of-birth validation message: The form reports: Date of birth cannot be after the date of death.
  2. Find the flagged question: Scroll to question identifies the field associated with this validation error.

7. Replace the rejected value and review it

For this dated software exercise, replace it with 19 Oct 2026 at 04:32 PM in Riyadh. Use the native day, month, year, clock and AM/PM segments, leave the field, and check the retained full value. The previous validation message is still visible while the corrected value is reviewed. This already-past training value is not a clinical default.

Review the corrected fictional value before Submit. Genuine wide MANSOQ ordinary Doctor view of a separate explicitly fictional Death Form software-training case.12
Recorded release 3dfb7c9f · 2026-10-19T13:50:39.419Z · 1728 × 921

Review the corrected fictional value before Submit

Capture details

Exact committed 3dfb7c9f: 3401 verified source blobs and 139 built assets; fresh physical-USB runtime proof d172d2a4. Existing ordinary Doctor, separate fictional Ambulatory case, date 19 October 2026. One refused before-DOB attempt and one saved Patient deceased_datetime. No actual death, care decision, certification, ordinary response, PDF, discharge or undo is represented. Current 3dfb behavior only.

Image SHA-256 daf07e06e0976118bca2459c51d002b4509fda8665ab54d0ec209955094d2b89

  1. Enter and leave the corrected field: The retained local value is 19 Oct 2026, 04:32 PM in Riyadh.
  2. Submit the reviewed correction once: The earlier validation message remains on this screen while the corrected value is reviewed.

8. Submit the reviewed value once

Choose Submit only after confirming the correct fictional patient and full local date/time. The successful return shows a Deceased banner with 19 Oct 2026 at 04:32 PM. Continue to the result-checking lesson; this structured patient update does not add an ordinary response card.

Review the corrected fictional value before Submit. Genuine wide MANSOQ ordinary Doctor view of a separate explicitly fictional Death Form software-training case.12
Recorded release 3dfb7c9f · 2026-10-19T13:50:39.419Z · 1728 × 921

Review the corrected fictional value before Submit

Capture details

Exact committed 3dfb7c9f: 3401 verified source blobs and 139 built assets; fresh physical-USB runtime proof d172d2a4. Existing ordinary Doctor, separate fictional Ambulatory case, date 19 October 2026. One refused before-DOB attempt and one saved Patient deceased_datetime. No actual death, care decision, certification, ordinary response, PDF, discharge or undo is represented. Current 3dfb behavior only.

Image SHA-256 daf07e06e0976118bca2459c51d002b4509fda8665ab54d0ec209955094d2b89

  1. Enter and leave the corrected field: The retained local value is 19 Oct 2026, 04:32 PM in Riyadh.
  2. Submit the reviewed correction once: The earlier validation message remains on this screen while the corrected value is reviewed.
Read successful submission and the patient banner. Genuine wide MANSOQ ordinary Doctor view of a separate explicitly fictional Death Form software-training case.12
Recorded release 3dfb7c9f · 2026-10-19T13:50:43.010Z · 1728 × 921

Read successful submission and the patient banner

Capture details

Exact committed 3dfb7c9f: 3401 verified source blobs and 139 built assets; fresh physical-USB runtime proof d172d2a4. Existing ordinary Doctor, separate fictional Ambulatory case, date 19 October 2026. One refused before-DOB attempt and one saved Patient deceased_datetime. No actual death, care decision, certification, ordinary response, PDF, discharge or undo is represented. Current 3dfb behavior only.

Image SHA-256 1d4a5b475b1aaa14fba075991215b49217bf14988223116eb42b471e40dddded

  1. Read the saved Deceased banner: The banner shows 19 Oct 2026 at 04:32 PM.
  2. Read the empty overview response area: This patient-field update does not create an ordinary response card.

Patient-write authority and actual scope

The demonstrated actor is an existing ordinary Doctor authorized to update this patient. The form writes the patient’s deceased date/time. It does not certify a death, determine clinical eligibility, finish the encounter, discharge the patient or perform a separate care workflow.

Read successful submission and the patient banner. Genuine wide MANSOQ ordinary Doctor view of a separate explicitly fictional Death Form software-training case.12
Recorded release 3dfb7c9f · 2026-10-19T13:50:43.010Z · 1728 × 921

Read successful submission and the patient banner

Capture details

Exact committed 3dfb7c9f: 3401 verified source blobs and 139 built assets; fresh physical-USB runtime proof d172d2a4. Existing ordinary Doctor, separate fictional Ambulatory case, date 19 October 2026. One refused before-DOB attempt and one saved Patient deceased_datetime. No actual death, care decision, certification, ordinary response, PDF, discharge or undo is represented. Current 3dfb behavior only.

Image SHA-256 1d4a5b475b1aaa14fba075991215b49217bf14988223116eb42b471e40dddded

  1. Read the saved Deceased banner: The banner shows 19 Oct 2026 at 04:32 PM.
  2. Read the empty overview response area: This patient-field update does not create an ordinary response card.
Read the persisted result after reload. Genuine wide MANSOQ ordinary Doctor view of a separate explicitly fictional Death Form software-training case.12
Recorded release 3dfb7c9f · 2026-10-19T13:51:00.910Z · 1728 × 921

Read the persisted result after reload

Capture details

Exact committed 3dfb7c9f: 3401 verified source blobs and 139 built assets; fresh physical-USB runtime proof d172d2a4. Existing ordinary Doctor, separate fictional Ambulatory case, date 19 October 2026. One refused before-DOB attempt and one saved Patient deceased_datetime. No actual death, care decision, certification, ordinary response, PDF, discharge or undo is represented. Current 3dfb behavior only.

Image SHA-256 276ce58ef75d4456ee1d067d7e64c0b666b0aececafebcc475aed90f3bd5edd7

  1. Verify the saved local date and time: The same Deceased banner is retained after the browser reload.
  2. Read In Progress: The Ambulatory encounter remains In Progress; recording this field did not discharge it.

Optional form field and validation boundaries

This installed encounter form has one optional structured input, with no note, repeat or ordinary-answer controls. Its native date/time input exposes a current-time maximum, and the backend separately checks future values and consistency with DOB. Only the actual before-DOB refusal is demonstrated here; an empty Submit or future-date submission is not demonstrated.

Read the single optional field and Cancel. Genuine wide MANSOQ ordinary Doctor view of a separate explicitly fictional Death Form software-training case.12
Recorded release 3dfb7c9f · 2026-10-19T13:48:50.141Z · 1728 × 921

Read the single optional field and Cancel

Capture details

Exact committed 3dfb7c9f: 3401 verified source blobs and 139 built assets; fresh physical-USB runtime proof d172d2a4. Existing ordinary Doctor, separate fictional Ambulatory case, date 19 October 2026. One refused before-DOB attempt and one saved Patient deceased_datetime. No actual death, care decision, certification, ordinary response, PDF, discharge or undo is represented. Current 3dfb behavior only.

Image SHA-256 8303d3a3e6ed885341eb10ef8a4cd8dc4858ec8c8bb34790f3f4fcc4418306b3

  1. Read Death Form - Workflow: This installed form contains one optional date-and-time input.
  2. Cancel the blank form: Leave the untouched form without selecting Submit.
Read the actual date-of-birth refusal. Genuine wide MANSOQ ordinary Doctor view of a separate explicitly fictional Death Form software-training case.12
Recorded release 3dfb7c9f · 2026-10-19T13:50:01.231Z · 1728 × 921

Read the actual date-of-birth refusal

Capture details

Exact committed 3dfb7c9f: 3401 verified source blobs and 139 built assets; fresh physical-USB runtime proof d172d2a4. Existing ordinary Doctor, separate fictional Ambulatory case, date 19 October 2026. One refused before-DOB attempt and one saved Patient deceased_datetime. No actual death, care decision, certification, ordinary response, PDF, discharge or undo is represented. Current 3dfb behavior only.

Image SHA-256 7e84eafc91eeabafad842037be9ee7a80ec55b8769a03e39b01d302106c15942

  1. Read the date-of-birth validation message: The form reports: Date of birth cannot be after the date of death.
  2. Find the flagged question: Scroll to question identifies the field associated with this validation error.

Source evidence

Every citation uses this exact committed version. The private source repository requires access.