reviewofsystems_gufu.ascx

医疗决策支持系统

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<%@ Register TagPrefix="euc" Namespace="Caisis.UI.Core.Classes.CustomControls" Assembly="Caisis.UI" %>
<link href="../../../StyleSheets/EformStyles.css" rel="stylesheet" type="text/css">
<a name="ReviewOfSystems_GUFU" /><span class="controlBoxTitle">Review of Systems</span><br />
<br />
<table width="650" border="0" cellspacing="0" cellpadding="2" style="border: solid 1px #cccccc;" id="ReviewOfSystemsHtmlTable">
  <tr>
    <td class="controlBoxDataGridHeaderFirstCol">System</td>
    <td class="controlBoxDataGridHeaderFirstCol" style="text-align:left;">Symptom</td>
    <td class="controlBoxDataGridHeaderFirstCol">0 </td>
    <td class="controlBoxDataGridHeaderFirstCol">1</td>
    <td class="controlBoxDataGridHeaderFirstCol">2</td>
    <td class="controlBoxDataGridHeaderFirstCol">3</td>
    <td class="controlBoxDataGridHeaderFirstCol">4</td>
    <td class="controlBoxDataGridHeaderFirstCol">Disease or Therapy </td>
    <td class="controlBoxDataGridHeaderFirstCol">Intervention </td>
    <td class="controlBoxDataGridHeaderFirstCol">Start Date </td>
    <td class="controlBoxDataGridHeaderFirstCol">Stop Date </td>
    <td width="40%" class="controlBoxDataGridHeaderFirstCol">Comments</td>
    <td class="controlBoxDataGridHeaderFirstCol">&nbsp;</td>
  </tr>
  <tr>
    <td rowspan="3" valign="top" class="ControlBoxLinedRowsShaded">Const</td>
    <td valign="top" class="ControlBoxLinedRowsShaded">Fatigue</td>
    <td class="ControlBoxLinedRows" align="center">

		<euc:EformRadioButtonGroup Table="Toxicities" Field="ToxGrade" id="ToxGrade_Fatigue" RecordId="1" GroupName="Fatigue" runat="server"
			Field1="ToxCategory" Value1="Constitution"
			Field2="ToxName" Value2="Fatigue">
			<euc:EformRadioButton Id="Fatigue0" Value="0" runat="server" ExpandClickableArea="False"/>			</td>
    <td class="ControlBoxLinedRows" align="center"><euc:EformRadioButton Id="Fatigue1" Value="1" runat="server" ExpandClickableArea="False"/></td>
    <td class="ControlBoxLinedRows" align="center"><euc:EformRadioButton Id="Fatigue2" Value="2" runat="server" ExpandClickableArea="False"/></td>
    <td class="ControlBoxLinedRows" align="center"><euc:EformRadioButton Id="Fatigue3" Value="3" runat="server" ExpandClickableArea="False"/></td>
    <td class="ControlBoxLinedRows" align="center"><euc:EformRadioButton Id="Fatigue4" Value="4" runat="server" ExpandClickableArea="False"/></euc:EformRadioButtonGroup></td>
    <td class="ControlBoxLinedRows"><euc:EformSelect RecordId="1" LookupCode="RelatedTo" TABLE="Toxicities" FIELD="ToxRelatedTo" Runat="server" ID="ToxRelatedTo_Fatigue" style="width: 62px;"/></td>
    <td class="ControlBoxLinedRows"><euc:EformComboBox RecordId="1" LookupCode="ToxIntervention" RefBy="ToxIntervention" TABLE="Toxicities" FIELD="ToxIntervention" Runat="server" ID="ToxIntervention_Fatigue" style="width: 70px;"/></td>
    <td class="ControlBoxLinedRows">
				<euc:EformHidden RecordId="1"  TABLE="Toxicities" FIELD="ToxDate" Runat="server" ID="ToxDate_Fatigue"/>
				<euc:EformTextBox RecordId="1" ShowCalendar="True" CalcDate="True" style="width:70;" TABLE="Toxicities" FIELD="ToxDateText" Runat="server" ID="ToxDateText_Fatigue"/>				</td>
    <td class="ControlBoxLinedRows">
				<euc:EformHidden RecordId="1"  TABLE="Toxicities" FIELD="ToxStopDate" Runat="server" ID="ToxStopDate_Fatigue"/>
				<euc:EformTextBox RecordId="1" ShowCalendar="True" CalcDate="True" style="width:70;" TABLE="Toxicities" FIELD="ToxStopDateText" Runat="server" ID="ToxStopDateText_Fatigue"/>	</td>
    <td class="ControlBoxLinedRows" align="center"><euc:EformTextBox RecordId="1" ShowCalendar="False" CalcDate="False" style="width:50px;" TABLE="Toxicities" FIELD="ToxNotes" Runat="server" ID="ToxNotes_Fatigue"/></td>
    <td class="ControlBoxLinedRows" align="center"><euc:EformDeleteIcon runat="server" ID="Eformdeleteicon1"/></td>
  </tr>
  <tr>
    <td valign="top" class="ControlBoxLinedRowsShaded">Fever</td>
    <td class="ControlBoxLinedRows" align="center"><euc:EformRadioButtonGroup Table="Toxicities" Field="ToxGrade" id="ToxGrade_Fever" RecordId="2" GroupName="Fever" runat="server"
			Field1="ToxCategory" Value1="Constitution"
			Field2="ToxName" Value2="Fever">
        <euc:EformRadioButton Id="Fever0" Value="0" runat="server" ExpandClickableArea="False"/>    </td>
    <td class="ControlBoxLinedRows" align="center"><euc:EformRadioButton Id="Fever1" Value="1" runat="server" ExpandClickableArea="False"/></td>
    <td class="ControlBoxLinedRows" align="center"><euc:EformRadioButton Id="Fever2" Value="2" runat="server" ExpandClickableArea="False"/></td>
    <td class="ControlBoxLinedRows" align="center"><euc:EformRadioButton Id="Fever3" Value="3" runat="server" ExpandClickableArea="False"/></td>
    <td class="ControlBoxLinedRows" align="center"><euc:EformRadioButton Id="Fever4" Value="4" runat="server" ExpandClickableArea="False"/>
        </euc:EformRadioButtonGroup></td>
    <td class="ControlBoxLinedRows"><euc:EformSelect RecordId="2" LookupCode="RelatedTo" TABLE="Toxicities" FIELD="ToxRelatedTo" Runat="server" ID="ToxRelatedTo_Fever" style="width: 62px;"/></td>
    <td class="ControlBoxLinedRows"><euc:EformComboBox RecordId="2" LookupCode="ToxIntervention" RefBy="ToxIntervention" TABLE="Toxicities" FIELD="ToxIntervention" Runat="server" ID="ToxIntervention_Fever" style="width: 70px;"/></td>
    <td class="ControlBoxLinedRows"><euc:EformHidden RecordId="2"  TABLE="Toxicities" FIELD="ToxDate" Runat="server" ID="ToxDate_Fever"/>
        <euc:EformTextBox RecordId="2" ShowCalendar="True" CalcDate="True" style="width:70;" TABLE="Toxicities" FIELD="ToxDateText" Runat="server" ID="ToxDateText_Fever"/>    </td>
    <td class="ControlBoxLinedRows"><euc:EformHidden RecordId="2"  TABLE="Toxicities" FIELD="ToxStopDate" Runat="server" ID="ToxStopDate_Fever"/>
        <euc:EformTextBox RecordId="2" ShowCalendar="True" CalcDate="True" style="width:70;" TABLE="Toxicities" FIELD="ToxStopDateText" Runat="server" ID="ToxStopDateText_Fever"/>    </td>
    <td class="ControlBoxLinedRows" align="center"><euc:EformTextBox RecordId="2" ShowCalendar="False" CalcDate="False" style="width:50px;" TABLE="Toxicities" FIELD="ToxNotes" Runat="server" ID="ToxNotes_Fever"/></td>
    <td class="ControlBoxLinedRows" align="center"><euc:EformDeleteIcon runat="server" ID="Eformdeleteicon2"/></td>
  </tr>
  <tr>
    <td valign="top" class="ControlBoxLinedRowsShaded">Wt Loss / App </td>
    <td class="ControlBoxLinedRows" align="center"><euc:EformRadioButtonGroup Table="Toxicities" Field="ToxGrade" id="ToxGrade_WtLossApp" RecordId="3" GroupName="WtLossApp" runat="server"
			Field1="ToxCategory" Value1="Constitution"
			Field2="ToxName" Value2="Weight Loss / Appetite">
        <euc:EformRadioButton Id="WtLossApp0" Value="0" runat="server" ExpandClickableArea="False"/>    </td>
    <td class="ControlBoxLinedRows" align="center"><euc:EformRadioButton Id="WtLossApp1" Value="1" runat="server" ExpandClickableArea="False"/></td>
    <td class="ControlBoxLinedRows" align="center"><euc:EformRadioButton Id="WtLossApp2" Value="2" runat="server" ExpandClickableArea="False"/></td>
    <td class="ControlBoxLinedRows" align="center"><euc:EformRadioButton Id="WtLossApp3" Value="3" runat="server" ExpandClickableArea="False"/></td>
    <td class="ControlBoxLinedRows" align="center"><euc:EformRadioButton Id="WtLossApp4" Value="4" runat="server" ExpandClickableArea="False"/>
        </euc:EformRadioButtonGroup></td>
    <td class="ControlBoxLinedRows"><euc:EformSelect RecordId="3" LookupCode="RelatedTo" TABLE="Toxicities" FIELD="ToxRelatedTo" Runat="server" ID="ToxRelatedTo_WtLossApp" style="width: 62px;"/></td>
    <td class="ControlBoxLinedRows"><euc:EformComboBox RecordId="3" LookupCode="ToxIntervention" RefBy="ToxIntervention" TABLE="Toxicities" FIELD="ToxIntervention" Runat="server" ID="ToxIntervention_WtLossApp" style="width: 70px;"/></td>
    <td class="ControlBoxLinedRows"><euc:EformHidden RecordId="3"  TABLE="Toxicities" FIELD="ToxDate" Runat="server" ID="ToxDate_WtLossApp"/>
        <euc:EformTextBox RecordId="3" ShowCalendar="True" CalcDate="True" style="width:70;" TABLE="Toxicities" FIELD="ToxDateText" Runat="server" ID="ToxDateText_WtLossApp"/>    </td>
    <td class="ControlBoxLinedRows"><euc:EformHidden RecordId="3"  TABLE="Toxicities" FIELD="ToxStopDate" Runat="server" ID="ToxStopDate_WtLossApp"/>
        <euc:EformTextBox RecordId="3" ShowCalendar="True" CalcDate="True" style="width:70;" TABLE="Toxicities" FIELD="ToxStopDateText" Runat="server" ID="ToxStopDateText_WtLossApp"/>    </td>
    <td class="ControlBoxLinedRows" align="center"><euc:EformTextBox RecordId="3" ShowCalendar="False" CalcDate="False" style="width:50px;" TABLE="Toxicities" FIELD="ToxNotes" Runat="server" ID="ToxNotes_WtLossApp"/></td>
    <td class="ControlBoxLinedRows" align="center"><euc:EformDeleteIcon runat="server" ID="Eformdeleteicon3"/></td>
  </tr>
  <tr>
    <td valign="top" class="ControlBoxLinedRowsShaded">Skin</td>
    <td valign="top" class="ControlBoxLinedRowsShaded">Rash</td>
    <td class="ControlBoxLinedRows" align="center"><euc:EformRadioButtonGroup Table="Toxicities" Field="ToxGrade" id="ToxGrade_Rash" RecordId="4" GroupName="Rash" runat="server"
			Field1="ToxCategory" Value1="Skin"
			Field2="ToxName" Value2="Rash">
        <euc:EformRadioButton Id="Rash0" Value="0" runat="server" ExpandClickableArea="False"/>    </td>
    <td class="ControlBoxLinedRows" align="center"><euc:EformRadioButton Id="Rash1" Value="1" runat="server" ExpandClickableArea="False"/></td>
    <td class="ControlBoxLinedRows" align="center"><euc:EformRadioButton Id="Rash2" Value="2" runat="server" ExpandClickableArea="False"/></td>
    <td class="ControlBoxLinedRows" align="center"><euc:EformRadioButton Id="Rash3" Value="3" runat="server" ExpandClickableArea="False"/></td>
    <td class="ControlBoxLinedRows" align="center"><euc:EformRadioButton Id="Rash4" Value="4" runat="server" ExpandClickableArea="False"/>
        </euc:EformRadioButtonGroup></td>
    <td class="ControlBoxLinedRows"><euc:EformSelect RecordId="4" LookupCode="RelatedTo" TABLE="Toxicities" FIELD="ToxRelatedTo" Runat="server" ID="ToxRelatedTo_Rash" style="width: 62px;"/></td>
    <td class="ControlBoxLinedRows"><euc:EformComboBox RecordId="4" LookupCode="ToxIntervention" RefBy="ToxIntervention" TABLE="Toxicities" FIELD="ToxIntervention" Runat="server" ID="ToxIntervention_Rash" style="width: 70px;"/></td>
    <td class="ControlBoxLinedRows"><euc:EformHidden RecordId="4"  TABLE="Toxicities" FIELD="ToxDate" Runat="server" ID="ToxDate_Rash"/>
        <euc:EformTextBox RecordId="4" ShowCalendar="True" CalcDate="True" style="width:70;" TABLE="Toxicities" FIELD="ToxDateText" Runat="server" ID="ToxDateText_Rash"/>    </td>
    <td class="ControlBoxLinedRows"><euc:EformHidden RecordId="4"  TABLE="Toxicities" FIELD="ToxStopDate" Runat="server" ID="ToxStopDate_Rash"/>
        <euc:EformTextBox RecordId="4" ShowCalendar="True" CalcDate="True" style="width:70;" TABLE="Toxicities" FIELD="ToxStopDateText" Runat="server" ID="ToxStopDateText_Rash"/>    </td>
    <td class="ControlBoxLinedRows" align="center"><euc:EformTextBox RecordId="4" ShowCalendar="False" CalcDate="False" style="width:50px;" TABLE="Toxicities" FIELD="ToxNotes" Runat="server" ID="ToxNotes_Rash"/></td>
    <td class="ControlBoxLinedRows" align="center"><euc:EformDeleteIcon runat="server" ID="Eformdeleteicon4"/></td>
  </tr>
  <tr>
    <td valign="top" class="ControlBoxLinedRowsShaded">ENMT</td>
    <td valign="top" class="ControlBoxLinedRowsShaded">Mucositis</td>
    <td class="ControlBoxLinedRows" align="center"><euc:EformRadioButtonGroup Table="Toxicities" Field="ToxGrade" id="ToxGrade_Mucositis" RecordId="5" GroupName="Mucositis" runat="server"
			Field1="ToxCategory" Value1="Ears / Nose / Mouth / Throat"
			Field2="ToxName" Value2="Mucositis">
        <euc:EformRadioButton Id="Mucositis0" Value="0" runat="server" ExpandClickableArea="False"/>    </td>
    <td class="ControlBoxLinedRows" align="center"><euc:EformRadioButton Id="Mucositis1" Value="1" runat="server" ExpandClickableArea="False"/></td>
    <td class="ControlBoxLinedRows" align="center"><euc:EformRadioButton Id="Mucositis2" Value="2" runat="server" ExpandClickableArea="False"/></td>
    <td class="ControlBoxLinedRows" align="center"><euc:EformRadioButton Id="Mucositis3" Value="3" runat="server" ExpandClickableArea="False"/></td>
    <td class="ControlBoxLinedRows" align="center"><euc:EformRadioButton Id="Mucositis4" Value="4" runat="server" ExpandClickableArea="False"/>
        </euc:EformRadioButtonGroup></td>
    <td class="ControlBoxLinedRows"><euc:EformSelect RecordId="5" LookupCode="RelatedTo" TABLE="Toxicities" FIELD="ToxRelatedTo" Runat="server" ID="ToxRelatedTo_Mucositis" style="width: 62px;"/></td>
    <td class="ControlBoxLinedRows"><euc:EformComboBox RecordId="5" LookupCode="ToxIntervention" RefBy="ToxIntervention" TABLE="Toxicities" FIELD="ToxIntervention" Runat="server" ID="ToxIntervention_Mucositis" style="width: 70px;"/></td>
    <td class="ControlBoxLinedRows"><euc:EformHidden RecordId="5"  TABLE="Toxicities" FIELD="ToxDate" Runat="server" ID="ToxDate_Mucositis"/>
        <euc:EformTextBox RecordId="5" ShowCalendar="True" CalcDate="True" style="width:70;" TABLE="Toxicities" FIELD="ToxDateText" Runat="server" ID="ToxDateText_Mucositis"/>    </td>
    <td class="ControlBoxLinedRows"><euc:EformHidden RecordId="5"  TABLE="Toxicities" FIELD="ToxStopDate" Runat="server" ID="ToxStopDate_Mucositis"/>
        <euc:EformTextBox RecordId="5" ShowCalendar="True" CalcDate="True" style="width:70;" TABLE="Toxicities" FIELD="ToxStopDateText" Runat="server" ID="ToxStopDateText_Mucositis"/>    </td>