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<td class="ControlBoxLinedRows"><euc:EformHidden RecordId="11" TABLE="Toxicities" FIELD="ToxStopDate" Runat="server" ID="ToxStopDate_Diarrhea"/>
<euc:EformTextBox RecordId="11" ShowCalendar="True" CalcDate="True" style="width:70;" TABLE="Toxicities" FIELD="ToxStopDateText" Runat="server" ID="ToxStopDateText_Diarrhea"/> </td>
<td class="ControlBoxLinedRows" align="center"><euc:EformTextBox RecordId="11" ShowCalendar="False" CalcDate="False" style="width:50px;" TABLE="Toxicities" FIELD="ToxNotes" Runat="server" ID="ToxNotes_Diarrhea"/></td>
<td class="ControlBoxLinedRows" align="center"><euc:EformDeleteIcon runat="server" ID="Eformdeleteicon11"/></td>
</tr>
<tr>
<td valign="top" class="ControlBoxLinedRowsShaded"> </td>
<td valign="top" class="ControlBoxLinedRowsShaded">Constipation</td>
<td class="ControlBoxLinedRows" align="center"><euc:EformRadioButtonGroup Table="Toxicities" Field="ToxGrade" id="ToxGrade_Constipation" RecordId="12" GroupName="Constipation" runat="server"
Field1="ToxCategory" Value1="Gastrointestinal"
Field2="ToxName" Value2="Constipation">
<euc:EformRadioButton Id="Constipation0" Value="0" runat="server" ExpandClickableArea="False"/> </td>
<td class="ControlBoxLinedRows" align="center"><euc:EformRadioButton Id="Constipation1" Value="1" runat="server" ExpandClickableArea="False"/></td>
<td class="ControlBoxLinedRows" align="center"><euc:EformRadioButton Id="Constipation2" Value="2" runat="server" ExpandClickableArea="False"/></td>
<td class="ControlBoxLinedRows" align="center"><euc:EformRadioButton Id="Constipation3" Value="3" runat="server" ExpandClickableArea="False"/></td>
<td class="ControlBoxLinedRows" align="center"><euc:EformRadioButton Id="Constipation4" Value="4" runat="server" ExpandClickableArea="False"/>
</euc:EformRadioButtonGroup></td>
<td class="ControlBoxLinedRows"><euc:EformSelect RecordId="12" LookupCode="RelatedTo" TABLE="Toxicities" FIELD="ToxRelatedTo" Runat="server" ID="ToxRelatedTo_Constipation" style="width: 62px;"/></td>
<td class="ControlBoxLinedRows"><euc:EformComboBox RecordId="12" LookupCode="ToxIntervention" RefBy="ToxIntervention" TABLE="Toxicities" FIELD="ToxIntervention" Runat="server" ID="ToxIntervention_Constipation" style="width: 70px;"/></td>
<td class="ControlBoxLinedRows"><euc:EformHidden RecordId="12" TABLE="Toxicities" FIELD="ToxDate" Runat="server" ID="ToxDate_Constipation"/>
<euc:EformTextBox RecordId="12" ShowCalendar="True" CalcDate="True" style="width:70;" TABLE="Toxicities" FIELD="ToxDateText" Runat="server" ID="ToxDateText_Constipation"/> </td>
<td class="ControlBoxLinedRows"><euc:EformHidden RecordId="12" TABLE="Toxicities" FIELD="ToxStopDate" Runat="server" ID="ToxStopDate_Constipation"/>
<euc:EformTextBox RecordId="12" ShowCalendar="True" CalcDate="True" style="width:70;" TABLE="Toxicities" FIELD="ToxStopDateText" Runat="server" ID="ToxStopDateText_Constipation"/> </td>
<td class="ControlBoxLinedRows" align="center"><euc:EformTextBox RecordId="12" ShowCalendar="False" CalcDate="False" style="width:50px;" TABLE="Toxicities" FIELD="ToxNotes" Runat="server" ID="ToxNotes_Constipation"/></td>
<td class="ControlBoxLinedRows" align="center"><euc:EformDeleteIcon runat="server" ID="Eformdeleteicon12"/></td>
</tr>
<tr>
<td valign="top" class="ControlBoxLinedRowsShaded">Neuro</td>
<td valign="top" class="ControlBoxLinedRowsShaded">Numb / Ting </td>
<td class="ControlBoxLinedRows" align="center"><euc:EformRadioButtonGroup Table="Toxicities" Field="ToxGrade" id="ToxGrade_NumbnessTingling" RecordId="13" GroupName="NumbnessTingling" runat="server"
Field1="ToxCategory" Value1="Neurological"
Field2="ToxName" Value2="Numbness / Tingling">
<euc:EformRadioButton Id="NumbnessTingling0" Value="0" runat="server" ExpandClickableArea="False"/> </td>
<td class="ControlBoxLinedRows" align="center"><euc:EformRadioButton Id="NumbnessTingling1" Value="1" runat="server" ExpandClickableArea="False"/></td>
<td class="ControlBoxLinedRows" align="center"><euc:EformRadioButton Id="NumbnessTingling2" Value="2" runat="server" ExpandClickableArea="False"/></td>
<td class="ControlBoxLinedRows" align="center"><euc:EformRadioButton Id="NumbnessTingling3" Value="3" runat="server" ExpandClickableArea="False"/></td>
<td class="ControlBoxLinedRows" align="center"><euc:EformRadioButton Id="NumbnessTingling4" Value="4" runat="server" ExpandClickableArea="False"/>
</euc:EformRadioButtonGroup></td>
<td class="ControlBoxLinedRows"><euc:EformSelect RecordId="13" LookupCode="RelatedTo" TABLE="Toxicities" FIELD="ToxRelatedTo" Runat="server" ID="ToxRelatedTo_NumbnessTingling" style="width: 62px;"/></td>
<td class="ControlBoxLinedRows"><euc:EformComboBox RecordId="13" LookupCode="ToxIntervention" RefBy="ToxIntervention" TABLE="Toxicities" FIELD="ToxIntervention" Runat="server" ID="ToxIntervention_NumbnessTingling" style="width: 70px;"/></td>
<td class="ControlBoxLinedRows"><euc:EformHidden RecordId="13" TABLE="Toxicities" FIELD="ToxDate" Runat="server" ID="ToxDate_NumbnessTingling"/>
<euc:EformTextBox RecordId="13" ShowCalendar="True" CalcDate="True" style="width:70;" TABLE="Toxicities" FIELD="ToxDateText" Runat="server" ID="ToxDateText_NumbnessTingling"/> </td>
<td class="ControlBoxLinedRows"><euc:EformHidden RecordId="13" TABLE="Toxicities" FIELD="ToxStopDate" Runat="server" ID="ToxStopDate_NumbnessTingling"/>
<euc:EformTextBox RecordId="13" ShowCalendar="True" CalcDate="True" style="width:70;" TABLE="Toxicities" FIELD="ToxStopDateText" Runat="server" ID="ToxStopDateText_NumbnessTingling"/> </td>
<td class="ControlBoxLinedRows" align="center"><euc:EformTextBox RecordId="13" ShowCalendar="False" CalcDate="False" style="width:50px;" TABLE="Toxicities" FIELD="ToxNotes" Runat="server" ID="ToxNotes_NumbnessTingling"/></td>
<td class="ControlBoxLinedRows" align="center"><euc:EformDeleteIcon runat="server" ID="Eformdeleteicon13"/></td>
</tr>
<tr>
<td valign="top" class="ControlBoxLinedRowsShaded"> </td>
<td valign="top" class="ControlBoxLinedRowsShaded">Weakness</td>
<td class="ControlBoxLinedRows" align="center"><euc:EformRadioButtonGroup Table="Toxicities" Field="ToxGrade" id="ToxGrade_Weakness" RecordId="14" GroupName="Weakness" runat="server"
Field1="ToxCategory" Value1="Neurological"
Field2="ToxName" Value2="Weakness">
<euc:EformRadioButton Id="Weakness0" Value="0" runat="server" ExpandClickableArea="False"/> </td>
<td class="ControlBoxLinedRows" align="center"><euc:EformRadioButton Id="Weakness1" Value="1" runat="server" ExpandClickableArea="False"/></td>
<td class="ControlBoxLinedRows" align="center"><euc:EformRadioButton Id="Weakness2" Value="2" runat="server" ExpandClickableArea="False"/></td>
<td class="ControlBoxLinedRows" align="center"><euc:EformRadioButton Id="Weakness3" Value="3" runat="server" ExpandClickableArea="False"/></td>
<td class="ControlBoxLinedRows" align="center"><euc:EformRadioButton Id="Weakness4" Value="4" runat="server" ExpandClickableArea="False"/>
</euc:EformRadioButtonGroup></td>
<td class="ControlBoxLinedRows"><euc:EformSelect RecordId="14" LookupCode="RelatedTo" TABLE="Toxicities" FIELD="ToxRelatedTo" Runat="server" ID="ToxRelatedTo_Weakness" style="width: 62px;"/></td>
<td class="ControlBoxLinedRows"><euc:EformComboBox RecordId="14" LookupCode="ToxIntervention" RefBy="ToxIntervention" TABLE="Toxicities" FIELD="ToxIntervention" Runat="server" ID="ToxIntervention_Weakness" style="width: 70px;"/></td>
<td class="ControlBoxLinedRows"><euc:EformHidden RecordId="14" TABLE="Toxicities" FIELD="ToxDate" Runat="server" ID="ToxDate_Weakness"/>
<euc:EformTextBox RecordId="14" ShowCalendar="True" CalcDate="True" style="width:70;" TABLE="Toxicities" FIELD="ToxDateText" Runat="server" ID="ToxDateText_Weakness"/> </td>
<td class="ControlBoxLinedRows"><euc:EformHidden RecordId="14" TABLE="Toxicities" FIELD="ToxStopDate" Runat="server" ID="ToxStopDate_Weakness"/>
<euc:EformTextBox RecordId="14" ShowCalendar="True" CalcDate="True" style="width:70;" TABLE="Toxicities" FIELD="ToxStopDateText" Runat="server" ID="ToxStopDateText_Weakness"/> </td>
<td class="ControlBoxLinedRows" align="center"><euc:EformTextBox RecordId="14" ShowCalendar="False" CalcDate="False" style="width:50px;" TABLE="Toxicities" FIELD="ToxNotes" Runat="server" ID="ToxNotes_Weakness"/></td>
<td class="ControlBoxLinedRows" align="center"><euc:EformDeleteIcon runat="server" ID="Eformdeleteicon14"/></td>
</tr>
<tr>
<td valign="top" class="ControlBoxLinedRowsShaded">GU</td>
<td valign="top" class="ControlBoxLinedRowsShaded">Nocturia</td>
<td class="ControlBoxLinedRows" align="center"><euc:EformRadioButtonGroup Table="Toxicities" Field="ToxGrade" id="ToxGrade_Nocturia" RecordId="15" GroupName="Nocturia" runat="server"
Field1="ToxCategory" Value1="Genitourinary"
Field2="ToxName" Value2="Nocturia">
<euc:EformRadioButton Id="Nocturia0" Value="0" runat="server" ExpandClickableArea="False"/> </td>
<td class="ControlBoxLinedRows" align="center"><euc:EformRadioButton Id="Nocturia1" Value="1" runat="server" ExpandClickableArea="False"/></td>
<td class="ControlBoxLinedRows" align="center"><euc:EformRadioButton Id="Nocturia2" Value="2" runat="server" ExpandClickableArea="False"/></td>
<td class="ControlBoxLinedRows" align="center"><euc:EformRadioButton Id="Nocturia3" Value="3" runat="server" ExpandClickableArea="False"/></td>
<td class="ControlBoxLinedRows" align="center"><euc:EformRadioButton Id="Nocturia4" Value="4" runat="server" ExpandClickableArea="False"/>
</euc:EformRadioButtonGroup></td>
<td class="ControlBoxLinedRows"><euc:EformSelect RecordId="15" LookupCode="RelatedTo" TABLE="Toxicities" FIELD="ToxRelatedTo" Runat="server" ID="ToxRelatedTo_Nocturia" style="width: 62px;"/></td>
<td class="ControlBoxLinedRows"><euc:EformComboBox RecordId="15" LookupCode="ToxIntervention" RefBy="ToxIntervention" TABLE="Toxicities" FIELD="ToxIntervention" Runat="server" ID="ToxIntervention_Nocturia" style="width: 70px;"/></td>
<td class="ControlBoxLinedRows"><euc:EformHidden RecordId="15" TABLE="Toxicities" FIELD="ToxDate" Runat="server" ID="ToxDate_Nocturia"/>
<euc:EformTextBox RecordId="15" ShowCalendar="True" CalcDate="True" style="width:70;" TABLE="Toxicities" FIELD="ToxDateText" Runat="server" ID="ToxDateText_Nocturia"/> </td>
<td class="ControlBoxLinedRows"><euc:EformHidden RecordId="15" TABLE="Toxicities" FIELD="ToxStopDate" Runat="server" ID="ToxStopDate_Nocturia"/>
<euc:EformTextBox RecordId="15" ShowCalendar="True" CalcDate="True" style="width:70;" TABLE="Toxicities" FIELD="ToxStopDateText" Runat="server" ID="ToxStopDateText_Nocturia"/> </td>
<td class="ControlBoxLinedRows" align="center"><euc:EformTextBox RecordId="15" ShowCalendar="False" CalcDate="False" style="width:50px;" TABLE="Toxicities" FIELD="ToxNotes" Runat="server" ID="ToxNotes_Nocturia"/></td>
<td class="ControlBoxLinedRows" align="center"><euc:EformDeleteIcon runat="server" ID="Eformdeleteicon15"/></td>
</tr>
<tr>
<td valign="top" class="ControlBoxLinedRowsShaded"> </td>
<td valign="top" class="ControlBoxLinedRowsShaded">Hematuria</td>
<td class="ControlBoxLinedRows" align="center"><euc:EformRadioButtonGroup Table="Toxicities" Field="ToxGrade" id="ToxGrade_Hematuria" RecordId="16" GroupName="Hematuria" runat="server"
Field1="ToxCategory" Value1="Genitourinary"
Field2="ToxName" Value2="Hematuria">
<euc:EformRadioButton Id="Hematuria0" Value="0" runat="server" ExpandClickableArea="False"/> </td>
<td class="ControlBoxLinedRows" align="center"><euc:EformRadioButton Id="Hematuria1" Value="1" runat="server" ExpandClickableArea="False"/></td>
<td class="ControlBoxLinedRows" align="center"><euc:EformRadioButton Id="Hematuria2" Value="2" runat="server" ExpandClickableArea="False"/></td>
<td class="ControlBoxLinedRows" align="center"><euc:EformRadioButton Id="Hematuria3" Value="3" runat="server" ExpandClickableArea="False"/></td>
<td class="ControlBoxLinedRows" align="center"><euc:EformRadioButton Id="Hematuria4" Value="4" runat="server" ExpandClickableArea="False"/>
</euc:EformRadioButtonGroup></td>
<td class="ControlBoxLinedRows"><euc:EformSelect RecordId="16" LookupCode="RelatedTo" TABLE="Toxicities" FIELD="ToxRelatedTo" Runat="server" ID="ToxRelatedTo_Hematuria" style="width: 62px;"/></td>
<td class="ControlBoxLinedRows"><euc:EformComboBox RecordId="16" LookupCode="ToxIntervention" RefBy="ToxIntervention" TABLE="Toxicities" FIELD="ToxIntervention" Runat="server" ID="ToxIntervention_Hematuria" style="width: 70px;"/></td>
<td class="ControlBoxLinedRows"><euc:EformHidden RecordId="16" TABLE="Toxicities" FIELD="ToxDate" Runat="server" ID="ToxDate_Hematuria"/>
<euc:EformTextBox RecordId="16" ShowCalendar="True" CalcDate="True" style="width:70;" TABLE="Toxicities" FIELD="ToxDateText" Runat="server" ID="ToxDateText_Hematuria"/> </td>
<td class="ControlBoxLinedRows"><euc:EformHidden RecordId="16" TABLE="Toxicities" FIELD="ToxStopDate" Runat="server" ID="ToxStopDate_Hematuria"/>
<euc:EformTextBox RecordId="16" ShowCalendar="True" CalcDate="True" style="width:70;" TABLE="Toxicities" FIELD="ToxStopDateText" Runat="server" ID="ToxStopDateText_Hematuria"/> </td>
<td class="ControlBoxLinedRows" align="center"><euc:EformTextBox RecordId="16" ShowCalendar="False" CalcDate="False" style="width:50px;" TABLE="Toxicities" FIELD="ToxNotes" Runat="server" ID="ToxNotes_Hematuria"/></td>
<td class="ControlBoxLinedRows" align="center"><euc:EformDeleteIcon runat="server" ID="Eformdeleteicon16"/></td>
</tr>
<tr>
<td valign="top" class="ControlBoxLinedRowsShaded"> </td>
<td valign="top" class="ControlBoxLinedRowsShaded">Dysuria</td>
<td class="ControlBoxLinedRows" align="center"><euc:EformRadioButtonGroup Table="Toxicities" Field="ToxGrade" id="ToxGrade_Dysuria" RecordId="17" GroupName="Dysuria" runat="server"
Field1="ToxCategory" Value1="Genitourinary"
Field2="ToxName" Value2="Dysuria">
<euc:EformRadioButton Id="Dysuria0" Value="0" runat="server" ExpandClickableArea="False"/> </td>
<td class="ControlBoxLinedRows" align="center"><euc:EformRadioButton Id="Dysuria1" Value="1" runat="server" ExpandClickableArea="False"/></td>
<td class="ControlBoxLinedRows" align="center"><euc:EformRadioButton Id="Dysuria2" Value="2" runat="server" ExpandClickableArea="False"/></td>
<td class="ControlBoxLinedRows" align="center"><euc:EformRadioButton Id="Dysuria3" Value="3" runat="server" ExpandClickableArea="False"/></td>
<td class="ControlBoxLinedRows" align="center"><euc:EformRadioButton Id="Dysuria4" Value="4" runat="server" ExpandClickableArea="False"/>
</euc:EformRadioButtonGroup></td>
<td class="ControlBoxLinedRows"><euc:EformSelect RecordId="17" LookupCode="RelatedTo" TABLE="Toxicities" FIELD="ToxRelatedTo" Runat="server" ID="ToxRelatedTo_Dysuria" style="width: 62px;"/></td>
<td class="ControlBoxLinedRows"><euc:EformComboBox RecordId="17" LookupCode="ToxIntervention" RefBy="ToxIntervention" TABLE="Toxicities" FIELD="ToxIntervention" Runat="server" ID="ToxIntervention_Dysuria" style="width: 70px;"/></td>
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