<?xml version="1.0" encoding="utf-8"?>
<systemform>
  <formid>{9cc0345e-b044-4f92-8626-b7459fbeaf28}</formid>
  <IntroducedVersion>1.1.0.2</IntroducedVersion>
  <FormPresentation>1</FormPresentation>
  <FormActivationState>1</FormActivationState>
  <form maxWidth="400">
    <tabs>
      <tab id="{0670480a-7dcb-48b4-bf81-3afdd866a21f}" name="tab_1" showlabel="false">
        <labels>
          <label description="Tab" languagecode="1033" />
        </labels>
        <columns>
          <column width="100%">
            <sections>
              <section id="{44189ad0-afae-4ac6-bd4c-b891f2662532}" name="tab_1_column_1_section_1" columns="1" showlabel="false" showbar="false" IsUserDefined="0" locklevel="0" labelwidth="250" celllabelalignment="Left" celllabelposition="Left">
                <labels>
                  <label description="section" languagecode="1033" />
                </labels>
                <rows>
                  <row>
                    <cell id="{c65d4943-250a-d236-21a5-d56c7cc84d43}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="Veteran Refused Service" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_outcomerefusedservice_bool" classid="{67FAC785-CD58-4f9f-ABB3-4B7DDC6ED5ED}" datafieldname="vhacrm_outcomerefusedservice_bool" disabled="false" />
                    </cell>
                  </row>
                  <row>
                    <cell id="{8966ae1a-d59b-9381-96ca-a2527a8ba0ae}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="Veteran Not Located" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_outcomenotlocated_bool" classid="{67FAC785-CD58-4f9f-ABB3-4B7DDC6ED5ED}" datafieldname="vhacrm_outcomenotlocated_bool" disabled="false" />
                    </cell>
                  </row>
                  <row>
                    <cell id="{08b4c225-ca41-d735-a70c-13864e56da6e}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="Veteran Immediate Evaluation" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_outcomeevaluation_bool" classid="{67FAC785-CD58-4f9f-ABB3-4B7DDC6ED5ED}" datafieldname="vhacrm_outcomeevaluation_bool" disabled="false" />
                    </cell>
                  </row>
                  <row>
                    <cell id="{ae09098b-4d68-ce2d-690d-b335a001e806}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="Veteran Hospitalized" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_outcomehospitalized_bool" classid="{67FAC785-CD58-4f9f-ABB3-4B7DDC6ED5ED}" datafieldname="vhacrm_outcomehospitalized_bool" disabled="false" />
                    </cell>
                  </row>
                  <row>
                    <cell id="{292068d1-7338-c121-adc8-b72ddc29a7c6}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="Veteran Enrolled/Registered" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_outcomeregistered_bool" classid="{67FAC785-CD58-4f9f-ABB3-4B7DDC6ED5ED}" datafieldname="vhacrm_outcomeregistered_bool" disabled="false" />
                    </cell>
                  </row>
                  <row>
                    <cell id="{63d3be23-7c73-6a8b-b610-9d462a62ae36}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="Caller Ineligible for services" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_outcomeineligible_bool" classid="{67FAC785-CD58-4f9f-ABB3-4B7DDC6ED5ED}" datafieldname="vhacrm_outcomeineligible_bool" disabled="false" />
                    </cell>
                  </row>
                  <row>
                    <cell id="{c7b9edd0-6b01-d064-8d46-9817236e88b8}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="Transportation arrangements" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_outcometransportation_bool" classid="{67FAC785-CD58-4f9f-ABB3-4B7DDC6ED5ED}" datafieldname="vhacrm_outcometransportation_bool" disabled="false" />
                    </cell>
                  </row>
                  <row>
                    <cell id="{ac733d1a-a1be-4da1-5117-88b6598abb86}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="Rescue with Follow up" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_outcomerescuefollowup_bool" classid="{67FAC785-CD58-4f9f-ABB3-4B7DDC6ED5ED}" datafieldname="vhacrm_outcomerescuefollowup_bool" disabled="false" />
                    </cell>
                  </row>
                  <row>
                    <cell id="{0d6da871-c3e4-c2ed-c64b-e570cd8ecd3e}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="Rescue with no Follow up" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_outcomerescuenofollowup_bool" classid="{67FAC785-CD58-4f9f-ABB3-4B7DDC6ED5ED}" datafieldname="vhacrm_outcomerescuenofollowup_bool" disabled="false" />
                    </cell>
                  </row>
                  <row>
                    <cell id="{4aba230c-666b-8127-1c7b-1ac5c684b97a}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="Welfare check by local emergency/law enforcement" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_outcomewelfarecheck_bool" classid="{67FAC785-CD58-4f9f-ABB3-4B7DDC6ED5ED}" datafieldname="vhacrm_outcomewelfarecheck_bool" disabled="false" />
                    </cell>
                  </row>
                  <row>
                    <cell id="{3a44ecdb-4cee-8995-64e2-3654237c069c}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="Referred for a mental health evaluation" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_outcomehealtheval_bool" classid="{67FAC785-CD58-4f9f-ABB3-4B7DDC6ED5ED}" datafieldname="vhacrm_outcomehealtheval_bool" disabled="false" />
                    </cell>
                  </row>
                  <row>
                    <cell id="{8b2e9a4d-61ba-b60a-ce46-bd62a28a18eb}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="Referred to a Veteran Suicide Coordinator" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_outcomereferredsuicide_bool" classid="{67FAC785-CD58-4f9f-ABB3-4B7DDC6ED5ED}" datafieldname="vhacrm_outcomereferredsuicide_bool" disabled="false" />
                    </cell>
                  </row>
                  <row>
                    <cell id="{bc934b75-1631-6401-04ea-2cc4447908a9}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="Referred to OEF/OIF Program" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_outcomereferredoefoif_bool" classid="{67FAC785-CD58-4f9f-ABB3-4B7DDC6ED5ED}" datafieldname="vhacrm_outcomereferredoefoif_bool" disabled="false" />
                    </cell>
                  </row>
                  <row>
                    <cell id="{a9909cb2-acd7-191c-2969-582046ec332d}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="Referred to Women Veteran Coordinator" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_outcomecoordinator_bool" classid="{67FAC785-CD58-4f9f-ABB3-4B7DDC6ED5ED}" datafieldname="vhacrm_outcomecoordinator_bool" disabled="false" />
                    </cell>
                  </row>
                </rows>
              </section>
            </sections>
          </column>
        </columns>
      </tab>
    </tabs>
    <DisplayConditions Order="1">
      <Role Id="{627090ff-40a3-4053-8790-584edc5be201}" />
      <Role Id="{119f245c-3cc8-4b62-b31c-d1a046ced15d}" />
    </DisplayConditions>
  </form>
  <IsCustomizable>1</IsCustomizable>
  <CanBeDeleted>1</CanBeDeleted>
  <LocalizedNames>
    <LocalizedName description="Veteran Outcome 1" languagecode="1033" />
  </LocalizedNames>
</systemform>