procprostatectomiesopform.ascx

医疗决策支持系统

	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="OpAV_Preserved_PdLabel" Text="AV Preserved:" Field="OpAV_Preserved" Required="No" runat=server /></td>
		<td><select id="OpAV_Preserved" class="pdFormField" runat=server NAME="OpAV_Preserved"/></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="OpPuboprostatics_PdLabel" Text="Puboprostatics:" Field="OpPuboprostatics" Required="No" runat=server /></td>
		<td><select id="OpPuboprostatics" class="pdFormField" runat=server NAME="OpPuboprostatics"/></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="OpR_AV_Site_PdLabel" Text="Right Accessory Vessel Site:" Field="OpR_AV_Site" Required="No" runat=server /></td>
		<td><select id="OpR_AV_Site" class="pdFormField" runat=server NAME="OpR_AV_Site"/></td>
	</tr>
	<tr><!-- input type ns in meta data, input text used -->
		<td class="pdFormFieldLabel"><val:PDLabel id="OpR_AV_Diam_PdLabel" Text="Right AV Diameter (mm):" Field="OpR_AV_Diam" Required="No" runat=server /></td>
		<td><input type="text" id="OpR_AV_Diam" class="pdFormField" maxlength="50" runat=server NAME="OpR_AV_Diam"/></td>
	</tr>
	<tr><!-- input type ns in meta data, input text used -->
		<td class="pdFormFieldLabel"><val:PDLabel id="OpL_AV_Site_PdLabel" Text="Left Accessory Vessel Site:" Field="OpL_AV_Site" Required="No" runat=server /></td>
		<td><select id="OpL_AV_Site" class="pdFormField" runat=server NAME="OpL_AV_Site"/></td>
	</tr>
	<tr><!-- input type ns in meta data, input text used -->
		<td class="pdFormFieldLabel"><val:PDLabel id="OpL_AV_Diam_PdLabel" Text="Left AV Diameter (mm):" Field="OpL_AV_Diam" Required="No" runat=server /></td>
		<td><input type="text" id="OpL_AV_Diam" class="pdFormField" maxlength="50" runat=server NAME="OpL_AV_Diam"/></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="OpR_DopplerStatus_PdLabel" Text="Right Doppler Probe Status:" Field="OpR_DopplerStatus" Required="No" runat=server /></td>
		<td><select id="OpR_DopplerStatus" class="pdFormField" runat=server NAME="OpR_DopplerStatus"/></td>
	</tr>
	<tr><!-- input type ns in meta data, input text used -->
		<td class="pdFormFieldLabel"><val:PDLabel id="OpR_DopplerVA_PdLabel" Text="Right Doppler Visual Assess:" Field="OpR_DopplerVA" Required="No" runat=server /></td>
		<td><input type="text" id="OpR_DopplerVA" class="pdFormField" maxlength="50" runat=server NAME="OpR_DopplerVA"/></td>
	</tr>
	<tr><!-- input type ns in meta data, input text used -->
		<td class="pdFormFieldLabel"><val:PDLabel id="OpL_DopplerStatus_PdLabel" Text="Left Doppler Probe Status:" Field="OpL_DopplerStatus" Required="No" runat=server /></td>
		<td><select id="OpL_DopplerStatus" class="pdFormField" runat=server NAME="OpL_DopplerStatus"/></td>
	</tr>
	<tr><!-- input type ns in meta data, input text used -->
		<td class="pdFormFieldLabel"><val:PDLabel id="OpL_DopplerVA_PdLabel" Text="Left Doppler Visual Assess:" Field="OpL_DopplerVA" Required="No" runat=server /></td>
		<td><input type="text" id="OpL_DopplerVA" class="pdFormField" maxlength="50" runat=server NAME="OpL_DopplerVA"/></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="OpL_NVB_Status_PdLabel" Text="Left NVB Status:" Field="OpL_NVB_Status" Required="No" runat=server /></td>
		<td><select id="OpL_NVB_Status" class="pdFormField" runat=server NAME="OpL_NVB_Status"/></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="OpL_NVB_DissectionType_Pdlabel" Text="Left NVB Dissection Type:" Field="OpL_NVB_DissectionType" Required="No" runat=server /></td>
		<td><select id="OpL_NVB_DissectionType" class="pdFormField" runat=server NAME="OpL_NVB_DissectionType"/></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="OpL_NVB_Graft_PdLabel" Text="Left NVB Graft:" Field="OpL_NVB_Graft" Required="No" runat=server /></td>
		<td><select id="OpL_NVB_Graft" class="pdFormField" runat=server NAME="OpL_NVB_Graft"/></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="OpL_NVB_Donor_PdLabel" Text="Left NVB Donor:" Field="OpL_NVB_Donor" Required="No" runat=server /></td>
		<td><select id="OpL_NVB_Donor" class="pdFormField" runat=server NAME="OpL_NVB_Donor"/></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="OpL_NVB_Quality_PdLabel" Text="Left NVB Quality:" Field="OpL_NVB_Quality" Required="No" runat=server /></td>
		<td><select id="OpL_NVB_Quality" class="pdFormField" runat=server NAME="OpL_NVB_Quality"/></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="OpR_NVB_Status_PdLabel" Text="Right NVB Status:" Field="OpR_NVB_Status" Required="No" runat=server /></td>
		<td><select id="OpR_NVB_Status" class="pdFormField" runat=server NAME="OpR_NVB_Status"/></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="OpR_NVB_DissectionType_Pdlabel" Text="Right NVB Dissection Type:" Field="OpR_NVB_DissectionType" Required="No" runat=server /></td>
		<td><select id="OpR_NVB_DissectionType" class="pdFormField" runat=server NAME="OpR_NVB_DissectionType"/></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="OpR_NVB_Graft_PdLabel" Text="Right NVB Graft:" Field="OpR_NVB_Graft" Required="No" runat=server /></td>
		<td><select id="OpR_NVB_Graft" class="pdFormField" runat=server NAME="OpR_NVB_Graft"/></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="OpR_NVB_Donor_PdLabel" Text="Right NVB Donor:" Field="OpR_NVB_Donor" Required="No" runat=server /></td>
		<td><select id="OpR_NVB_Donor" class="pdFormField" runat=server NAME="OpR_NVB_Donor"/></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="OpR_NVB_Quality_PdLabel" Text="Right NVB Quality:" Field="OpR_NVB_Quality" Required="No" runat=server /></td>
		<td><select id="OpR_NVB_Quality" class="pdFormField" runat=server NAME="OpR_NVB_Quality"/></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="OpAnastQuality_PdLabel" Text="Anast Quality:" Field="OpAnastQuality" Required="No" runat=server /></td>
		<td><select id="OpAnastQuality" class="pdFormField" runat=server NAME="OpAnastQuality"/></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="OpAnastNumSutures_PdLabel" Text="Anast # Sutures:" Field="OpAnastNumSutures" Required="No" runat=server /></td>
		<td><input type="text" id="OpAnastNumSutures" class="pdFormField" maxlength="50" runat=server NAME="OpAnastNumSutures"/></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="OpAnastSuturePattern_PdLabel" Text="Suture Pattern:" Field="OpAnastSuturePattern" Required="No" runat=server /></td>
		<td><select id="OpAnastSuturePattern" class="pdFormField" runat=server NAME="OpAnastSuturePattern"/></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="OpAnastSutureNotes_PdLabel" Text="Suture Notes:" Field="OpAnastSutureNotes" Required="No" runat=server /></td>
		<td><textarea id="OpAnastSutureNotes" class="pdFormNotesField" cols="32" rows="3" maxlength="255" runat=server NAME="OpAnastSutureNotes"></textarea></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="OpBN_Diam_PdLabel" Text="BN Diameter:" Field="OpBN_Diam" Required="No" runat=server /></td>
		<td><input type="text" id="OpBN_Diam" class="pdFormField" maxlength="50" runat=server NAME="OpBN_Diam"/></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="OpBN_DegreeEversion_PdLabel" Text="BN Degree Eversion:" Field="OpBN_DegreeEversion" Required="No" runat=server /></td>
		<td><input type="text" id="OpBN_DegreeEversion" class="pdFormField" maxlength="50" runat=server NAME="OpBN_DegreeEversion"/></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="OpSuspVeinComplex_PdLabel" Text="Suspended Venous Complex:" Field="OpSuspVeinComplex" Required="No" runat=server /></td>
		<td><select id="OpSuspVeinComplex" class="pdFormField" runat=server NAME="OpSuspVeinComplex"/></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="OpL_Drain_PdLabel" Text="Left Drain:" Field="OpL_Drain" Required="No" runat=server /></td>
		<td><select id="OpL_Drain" class="pdFormField" runat=server NAME="OpL_Drain"/></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="OpR_Drain_PdLabel" Text="Right Drain:" Field="OpR_Drain" Required="No" runat=server /></td>
		<td><select id="OpR_Drain" class="pdFormField" runat=server NAME="OpR_Drain"/></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="OpA_Drain_PdLabel" Text="Anterior Drain:" Field="OpA_Drain" Required="No" runat=server /></td>
		<td><select id="OpA_Drain" class="pdFormField" runat=server NAME="OpA_Drain"/></td>
	</tr>
	<tr><!-- input type ns in meta data, input text used -->
		<td class="pdFormFieldLabel"><val:PDLabel id="OpP_Drain_PdLabel" Text="Posterior Drain:" Field="OpP_Drain" Required="No" runat=server /></td>
		<td><select id="OpP_Drain" class="pdFormField" runat=server NAME="OpP_Drain"/></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="OpCathTraction_PdLabel" Text="Catheter Traction:" Field="OpCathTraction" Required="No" runat=server /></td>
		<td><select id="OpCathTraction" class="pdFormField" runat=server NAME="OpCathTraction"/></td>
	</tr>
	<tr><!-- input type ns in meta data, input text used -->
		<td class="pdFormFieldLabel"><val:PDLabel id="OpCathTractionTime_PdLabel" Text="Catheter Traction Time:" Field="OpCathTractionTime" Required="No" runat=server /></td>
		<td><input type="text" id="OpCathTractionTime" class="pdFormField" maxlength="50" runat=server NAME="OpCathTractionTime"/></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="OpSV_DissectionFirst_PdLabel" Text="SV Dissected First:" Field="OpSV_DissectionFirst" Required="No" runat=server /></td>
		<td><select id="OpSV_DissectionFirst" class="pdFormField" runat=server NAME="OpSV_DissectionFirst"/></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="OpNotes_PdLabel" Text="Notes:" Field="OpNotes" Required="No" runat=server /></td>
		<td><textarea id="OpNotes" class="pdFormNotesField" cols="32" rows="3" maxlength="1000" runat=server NAME="OpNotes"></textarea></td>
	</tr>
 
</table>