#{messages['gazelle.ordermanager.Identifiers']}
                    
                        
                    
                
                
                    #{messages['gazelle.HL7Common.Name']}
                    
                
                
                    #{messages['gazelle.ordermanager.Gender']}
                    
                
                
                    #{messages['gazelle.ordermanager.Birthdate']}
                    
                
                
                    #{messages['gazelle.ordermanager.Country']}
                    
                
            
        
        
        
            
                
                    #{messages['gazelle.ordermanager.VisitNumber']}
                    
                
                
                    #{messages['gazelle.ordermanager.PatientsClass']}
                    
                
                
                    #{messages['gazelle.ordermanager.ReferringDoctor']}