anchor.diff:              If appropriate Disease is not in the list above then provide appropriate Disease
           </p>
   		<div class="row">
  -	        <div class="medical-label"> Enter Disease </div>
  +	        <div class="medical-label"> Disease Name</div>
   			<div class="value"> <input id="dis" type="text"/> </div>
   		</div>
   
  
positive.code: 
  		<div class="row">
  	        <div class="medical-label">Height (cm)</div>
  			<div class="value"> <input type="text"/> </div>
  		</div>
  
  		<div class="row">
  	        <div class="medical-label">Weight (kg)</div>
  			<div class="value"> <input type="text"/> </div>
  		</div>
  
  		<div class="row">
  	        <div class="medical-label">Baseline performance status</div>
  			<div class="value"> <input type="text"/> </div>
  		</div>
  
  		</chrome:division>
  
negative.code:         </div> 
  
  		<p id="instructions">
              If appropriate Disease Site is not in the list above then provide appropriate Disease Site
          </p>
  
  		<div class="row">
  	        <div class="medical-label"> Disease Site </div>
  			<div class="value"> <input id="dis_site" type="text"/> </div>
  		</div>
  
  