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Not possible with XML skins but I believe it would be with Lua plugins (I'm not good with Lua so can't tell you for sure). If it is it would take 2 Lua plugins. 1 for the vitals and 1 for the buffs/debuffs.
There are many vitals plugins in both in XML and a few in Lua but none that I know of that match what you're asking for.
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