{{ 'Data Elements' | translate }}

{{ widget.layout.name | translate}}
{{ widget.layout.icon_helptext }}
{{block.layout.is_design_elements}} {{block.layout.icon_name}} {{ block.layout.icon_supplement }}
{{ block.layout.icon_helptext }}
{{ block.layout.name | translate}} {{ block.layout.name | translate}} {{ block.layout.name | translate}} {{ block.layout.name_row2 | translate}}

{{ 'Digital Signature' | translate}}

{{block.layout.is_design_elements}} {{block.layout.icon_name}} {{ block.layout.icon_supplement }}
{{ block.layout.icon_helptext }}
{{ block.layout.name | translate}}

{{ 'Other' | translate}}

PRIMARY SIGNATURE
DATE SIGNED (PRIMARY)
INITIALS
SECONDARY SIGNATURE
DATE SIGNED (SECONDARY)
{{widget.layout.icon_name}} TEXT INPUT FIELD
{{widget.layout.icon_name}} CHECKBOX
{{widget.layout.icon_name}} DATE
{{widget.layout.icon_name}} TEXTAREA INPUT FIELD
{{widget.layout.icon_name}} IMAGE FIELD
{{widget.layout.icon_name}} DATE & TIME