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<td class="ControlBoxLinedRows"><euc:EformHidden RecordId="17" TABLE="Toxicities" FIELD="ToxDate" Runat="server" ID="ToxDate_Dysuria"/>
<euc:EformTextBox RecordId="17" ShowCalendar="True" CalcDate="True" style="width:70;" TABLE="Toxicities" FIELD="ToxDateText" Runat="server" ID="ToxDateText_Dysuria"/> </td>
<td class="ControlBoxLinedRows"><euc:EformHidden RecordId="17" TABLE="Toxicities" FIELD="ToxStopDate" Runat="server" ID="ToxStopDate_Dysuria"/>
<euc:EformTextBox RecordId="17" ShowCalendar="True" CalcDate="True" style="width:70;" TABLE="Toxicities" FIELD="ToxStopDateText" Runat="server" ID="ToxStopDateText_Dysuria"/> </td>
<td class="ControlBoxLinedRows" align="center"><euc:EformTextBox RecordId="17" ShowCalendar="False" CalcDate="False" style="width:50px;" TABLE="Toxicities" FIELD="ToxNotes" Runat="server" ID="ToxNotes_Dysuria"/></td>
<td class="ControlBoxLinedRows" align="center"><euc:EformDeleteIcon runat="server" ID="Eformdeleteicon17"/></td>
</tr>
<tr>
<td valign="top" class="ControlBoxLinedRowsShaded"><strong>Other:</strong></td>
<td valign="top" class="ControlBoxLinedRowsShaded"> </td>
<td class="ControlBoxLinedRows" align="center"> </td>
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<td class="ControlBoxLinedRows" align="center"> </td>
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</tr>
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<td valign="top" class="ControlBoxLinedRowsShaded"><euc:EformComboBox LookupCode="ToxCategory" RefBy="ToxCategory" RecordId="18" TABLE="Toxicities" FIELD="ToxCategory" Runat="server" ID="ToxCategory_Other1" style="width: 50px;"/></td>
<td valign="top" class="ControlBoxLinedRowsShaded"><euc:EformComboBox LookupCode="Toxicity" RefBy="Toxicity" RecordId="18" TABLE="Toxicities" FIELD="ToxName" Runat="server" ID="ToxName_Other1" style="width: 50px;"/></td>
<td class="ControlBoxLinedRows" align="center"><euc:EformRadioButtonGroup Table="Toxicities" Field="ToxGrade" id="ToxGrade_Other1" RecordId="18" GroupName="Other1" runat="server">
<euc:EformRadioButton Id="Other1_0" Value="0" runat="server" ExpandClickableArea="False"/> </td>
<td class="ControlBoxLinedRows" align="center"><euc:EformRadioButton Id="Other1_1" Value="1" runat="server" ExpandClickableArea="False"/></td>
<td class="ControlBoxLinedRows" align="center"><euc:EformRadioButton Id="Other1_2" Value="2" runat="server" ExpandClickableArea="False"/></td>
<td class="ControlBoxLinedRows" align="center"><euc:EformRadioButton Id="Other1_3" Value="3" runat="server" ExpandClickableArea="False"/></td>
<td class="ControlBoxLinedRows" align="center"><euc:EformRadioButton Id="Other1_4" Value="4" runat="server" ExpandClickableArea="False"/>
</euc:EformRadioButtonGroup></td>
<td class="ControlBoxLinedRows"><euc:EformSelect RecordId="18" LookupCode="RelatedTo" TABLE="Toxicities" FIELD="ToxRelatedTo" Runat="server" ID="ToxRelatedTo_Other1" style="width: 62px;"/></td>
<td class="ControlBoxLinedRows"><euc:EformComboBox RecordId="18" LookupCode="ToxIntervention" RefBy="ToxIntervention" TABLE="Toxicities" FIELD="ToxIntervention" Runat="server" ID="ToxIntervention_Other1" style="width: 70px;"/></td>
<td class="ControlBoxLinedRows"><euc:EformHidden RecordId="18" TABLE="Toxicities" FIELD="ToxDate" Runat="server" ID="ToxDate_Other1"/>
<euc:EformTextBox RecordId="18" ShowCalendar="True" CalcDate="True" style="width:70;" TABLE="Toxicities" FIELD="ToxDateText" Runat="server" ID="ToxDateText_Other1"/> </td>
<td class="ControlBoxLinedRows"><euc:EformHidden RecordId="18" TABLE="Toxicities" FIELD="ToxStopDate" Runat="server" ID="ToxStopDate_Other1"/>
<euc:EformTextBox RecordId="18" ShowCalendar="True" CalcDate="True" style="width:70;" TABLE="Toxicities" FIELD="ToxStopDateText" Runat="server" ID="ToxStopDateText_Other1"/> </td>
<td class="ControlBoxLinedRows" align="center"><euc:EformTextBox RecordId="18" ShowCalendar="False" CalcDate="False" style="width:50px;" TABLE="Toxicities" FIELD="ToxNotes" Runat="server" ID="ToxNotes_Other1"/></td>
<td class="ControlBoxLinedRows" align="center"><euc:EformDeleteIcon runat="server" ID="Eformdeleteicon18"/></td>
</tr>
<tr>
<td valign="top" class="ControlBoxLinedRowsShaded"><euc:EformComboBox LookupCode="ToxCategory" RefBy="ToxCategory" RecordId="19" TABLE="Toxicities" FIELD="ToxCategory" Runat="server" ID="ToxCategory_Other2" style="width: 50px;"/></td>
<td valign="top" class="ControlBoxLinedRowsShaded"><euc:EformComboBox LookupCode="Toxicity" RefBy="Toxicity" RecordId="19" TABLE="Toxicities" FIELD="ToxName" Runat="server" ID="ToxName_Other2" style="width: 50px;"/></td>
<td class="ControlBoxLinedRows" align="center"><euc:EformRadioButtonGroup Table="Toxicities" Field="ToxGrade" id="ToxGrade_Other2" RecordId="19" GroupName="Other2" runat="server">
<euc:EformRadioButton Id="Other2_0" Value="0" runat="server" ExpandClickableArea="False"/> </td>
<td class="ControlBoxLinedRows" align="center"><euc:EformRadioButton Id="Other2_1" Value="1" runat="server" ExpandClickableArea="False"/></td>
<td class="ControlBoxLinedRows" align="center"><euc:EformRadioButton Id="Other2_2" Value="2" runat="server" ExpandClickableArea="False"/></td>
<td class="ControlBoxLinedRows" align="center"><euc:EformRadioButton Id="Other2_3" Value="3" runat="server" ExpandClickableArea="False"/></td>
<td class="ControlBoxLinedRows" align="center"><euc:EformRadioButton Id="Other2_4" Value="4" runat="server" ExpandClickableArea="False"/>
</euc:EformRadioButtonGroup></td>
<td class="ControlBoxLinedRows"><euc:EformSelect RecordId="19" LookupCode="RelatedTo" TABLE="Toxicities" FIELD="ToxRelatedTo" Runat="server" ID="ToxRelatedTo_Other2" style="width: 62px;"/></td>
<td class="ControlBoxLinedRows"><euc:EformComboBox RecordId="19" LookupCode="ToxIntervention" RefBy="ToxIntervention" TABLE="Toxicities" FIELD="ToxIntervention" Runat="server" ID="ToxIntervention_Other2" style="width: 70px;"/></td>
<td class="ControlBoxLinedRows"><euc:EformHidden RecordId="19" TABLE="Toxicities" FIELD="ToxDate" Runat="server" ID="ToxDate_Other2"/>
<euc:EformTextBox RecordId="19" ShowCalendar="True" CalcDate="True" style="width:70;" TABLE="Toxicities" FIELD="ToxDateText" Runat="server" ID="ToxDateText_Other2"/> </td>
<td class="ControlBoxLinedRows"><euc:EformHidden RecordId="19" TABLE="Toxicities" FIELD="ToxStopDate" Runat="server" ID="ToxStopDate_Other2"/>
<euc:EformTextBox RecordId="19" ShowCalendar="True" CalcDate="True" style="width:70;" TABLE="Toxicities" FIELD="ToxStopDateText" Runat="server" ID="ToxStopDateText_Other2"/> </td>
<td class="ControlBoxLinedRows" align="center"><euc:EformTextBox RecordId="19" ShowCalendar="False" CalcDate="False" style="width:50px;" TABLE="Toxicities" FIELD="ToxNotes" Runat="server" ID="ToxNotes_Other2"/></td>
<td class="ControlBoxLinedRows" align="center"><euc:EformDeleteIcon runat="server" ID="Eformdeleteicon19"/></td>
</tr>
<tr>
<td valign="top" class="ControlBoxLinedRowsShaded"><euc:EformComboBox LookupCode="ToxCategory" RefBy="ToxCategory" RecordId="20" TABLE="Toxicities" FIELD="ToxCategory" Runat="server" ID="ToxCategory_Other3" style="width: 50px;"/></td>
<td valign="top" class="ControlBoxLinedRowsShaded"><euc:EformComboBox LookupCode="Toxicity" RefBy="Toxicity" RecordId="20" TABLE="Toxicities" FIELD="ToxName" Runat="server" ID="ToxName_Other3" style="width: 50px;"/></td>
<td class="ControlBoxLinedRows" align="center"><euc:EformRadioButtonGroup Table="Toxicities" Field="ToxGrade" id="ToxGrade_Other3" RecordId="20" GroupName="Other3" runat="server">
<euc:EformRadioButton Id="Other3_0" Value="0" runat="server" ExpandClickableArea="False"/> </td>
<td class="ControlBoxLinedRows" align="center"><euc:EformRadioButton Id="Other3_1" Value="1" runat="server" ExpandClickableArea="False"/></td>
<td class="ControlBoxLinedRows" align="center"><euc:EformRadioButton Id="Other3_2" Value="2" runat="server" ExpandClickableArea="False"/></td>
<td class="ControlBoxLinedRows" align="center"><euc:EformRadioButton Id="Other3_3" Value="3" runat="server" ExpandClickableArea="False"/></td>
<td class="ControlBoxLinedRows" align="center"><euc:EformRadioButton Id="Other3_4" Value="4" runat="server" ExpandClickableArea="False"/>
</euc:EformRadioButtonGroup></td>
<td class="ControlBoxLinedRows"><euc:EformSelect RecordId="20" LookupCode="RelatedTo" TABLE="Toxicities" FIELD="ToxRelatedTo" Runat="server" ID="ToxRelatedTo_Other3" style="width: 62px;"/></td>
<td class="ControlBoxLinedRows"><euc:EformComboBox RecordId="20" LookupCode="ToxIntervention" RefBy="ToxIntervention" TABLE="Toxicities" FIELD="ToxIntervention" Runat="server" ID="ToxIntervention_Other3" style="width: 70px;"/></td>
<td class="ControlBoxLinedRows"><euc:EformHidden RecordId="20" TABLE="Toxicities" FIELD="ToxDate" Runat="server" ID="ToxDate_Other3"/>
<euc:EformTextBox RecordId="20" ShowCalendar="True" CalcDate="True" style="width:70;" TABLE="Toxicities" FIELD="ToxDateText" Runat="server" ID="ToxDateText_Other3"/> </td>
<td class="ControlBoxLinedRows"><euc:EformHidden RecordId="20" TABLE="Toxicities" FIELD="ToxStopDate" Runat="server" ID="ToxStopDate_Other3"/>
<euc:EformTextBox RecordId="20" ShowCalendar="True" CalcDate="True" style="width:70;" TABLE="Toxicities" FIELD="ToxStopDateText" Runat="server" ID="ToxStopDateText_Other3"/> </td>
<td class="ControlBoxLinedRows" align="center"><euc:EformTextBox RecordId="20" ShowCalendar="False" CalcDate="False" style="width:50px;" TABLE="Toxicities" FIELD="ToxNotes" Runat="server" ID="ToxNotes_Other3"/></td>
<td class="ControlBoxLinedRows" align="center"><euc:EformDeleteIcon runat="server" ID="Eformdeleteicon20"/></td>
</tr>
<tr>
<td valign="top" class="ControlBoxLinedRowsShaded"><euc:EformComboBox LookupCode="ToxCategory" RefBy="ToxCategory" RecordId="21" TABLE="Toxicities" FIELD="ToxCategory" Runat="server" ID="ToxCategory_Other4" style="width: 50px;"/></td>
<td valign="top" class="ControlBoxLinedRowsShaded"><euc:EformComboBox LookupCode="Toxicity" RefBy="Toxicity" RecordId="21" TABLE="Toxicities" FIELD="ToxName" Runat="server" ID="ToxName_Other4" style="width: 50px;"/></td>
<td class="ControlBoxLinedRows" align="center"><euc:EformRadioButtonGroup Table="Toxicities" Field="ToxGrade" id="ToxGrade_Other4" RecordId="21" GroupName="Other4" runat="server">
<euc:EformRadioButton Id="Other4_0" Value="0" runat="server" ExpandClickableArea="False"/> </td>
<td class="ControlBoxLinedRows" align="center"><euc:EformRadioButton Id="Other4_1" Value="1" runat="server" ExpandClickableArea="False"/></td>
<td class="ControlBoxLinedRows" align="center"><euc:EformRadioButton Id="Other4_2" Value="2" runat="server" ExpandClickableArea="False"/></td>
<td class="ControlBoxLinedRows" align="center"><euc:EformRadioButton Id="Other4_3" Value="3" runat="server" ExpandClickableArea="False"/></td>
<td class="ControlBoxLinedRows" align="center"><euc:EformRadioButton Id="Other4_4" Value="4" runat="server" ExpandClickableArea="False"/>
</euc:EformRadioButtonGroup></td>
<td class="ControlBoxLinedRows"><euc:EformSelect RecordId="21" LookupCode="RelatedTo" TABLE="Toxicities" FIELD="ToxRelatedTo" Runat="server" ID="ToxRelatedTo_Other4" style="width: 62px;"/></td>
<td class="ControlBoxLinedRows"><euc:EformComboBox RecordId="21" LookupCode="ToxIntervention" RefBy="ToxIntervention" TABLE="Toxicities" FIELD="ToxIntervention" Runat="server" ID="ToxIntervention_Other4" style="width: 70px;"/></td>
<td class="ControlBoxLinedRows"><euc:EformHidden RecordId="21" TABLE="Toxicities" FIELD="ToxDate" Runat="server" ID="ToxDate_Other4"/>
<euc:EformTextBox RecordId="21" ShowCalendar="True" CalcDate="True" style="width:70;" TABLE="Toxicities" FIELD="ToxDateText" Runat="server" ID="ToxDateText_Other4"/> </td>
<td class="ControlBoxLinedRows"><euc:EformHidden RecordId="21" TABLE="Toxicities" FIELD="ToxStopDate" Runat="server" ID="ToxStopDate_Other4"/>
<euc:EformTextBox RecordId="21" ShowCalendar="True" CalcDate="True" style="width:70;" TABLE="Toxicities" FIELD="ToxStopDateText" Runat="server" ID="ToxStopDateText_Other4"/> </td>
<td class="ControlBoxLinedRows" align="center"><euc:EformTextBox RecordId="21" ShowCalendar="False" CalcDate="False" style="width:50px;" TABLE="Toxicities" FIELD="ToxNotes" Runat="server" ID="ToxNotes_Other4"/></td>
<td class="ControlBoxLinedRows" align="center"><euc:EformDeleteIcon runat="server" ID="Eformdeleteicon21"/></td>
</tr>
<tr>
<td valign="top" class="ControlBoxLinedRowsShaded"><euc:EformComboBox LookupCode="ToxCategory" RefBy="ToxCategory" RecordId="22" TABLE="Toxicities" FIELD="ToxCategory" Runat="server" ID="ToxCategory_Other5" style="width: 50px;"/></td>
<td valign="top" class="ControlBoxLinedRowsShaded"><euc:EformComboBox LookupCode="Toxicity" RefBy="Toxicity" RecordId="22" TABLE="Toxicities" FIELD="ToxName" Runat="server" ID="ToxName_Other5" style="width: 50px;"/></td>
<td class="ControlBoxLinedRows" align="center"><euc:EformRadioButtonGroup Table="Toxicities" Field="ToxGrade" id="ToxGrade_Other5" RecordId="22" GroupName="Other5" runat="server">
<euc:EformRadioButton Id="Other5_0" Value="0" runat="server" ExpandClickableArea="False"/> </td>
<td class="ControlBoxLinedRows" align="center"><euc:EformRadioButton Id="Other5_1" Value="1" runat="server" ExpandClickableArea="False"/></td>
<td class="ControlBoxLinedRows" align="center"><euc:EformRadioButton Id="Other5_2" Value="2" runat="server" ExpandClickableArea="False"/></td>
<td class="ControlBoxLinedRows" align="center"><euc:EformRadioButton Id="Other5_3" Value="3" runat="server" ExpandClickableArea="False"/></td>
<td class="ControlBoxLinedRows" align="center"><euc:EformRadioButton Id="Other5_4" Value="4" runat="server" ExpandClickableArea="False"/>
</euc:EformRadioButtonGroup></td>
<td class="ControlBoxLinedRows"><euc:EformSelect RecordId="22" LookupCode="RelatedTo" TABLE="Toxicities" FIELD="ToxRelatedTo" Runat="server" ID="ToxRelatedTo_Other5" style="width: 62px;"/></td>
<td class="ControlBoxLinedRows"><euc:EformComboBox RecordId="22" LookupCode="ToxIntervention" RefBy="ToxIntervention" TABLE="Toxicities" FIELD="ToxIntervention" Runat="server" ID="ToxIntervention_Other5" style="width: 70px;"/></td>
<td class="ControlBoxLinedRows"><euc:EformHidden RecordId="22" TABLE="Toxicities" FIELD="ToxDate" Runat="server" ID="ToxDate_Other5"/>
<euc:EformTextBox RecordId="22" ShowCalendar="True" CalcDate="True" style="width:70;" TABLE="Toxicities" FIELD="ToxDateText" Runat="server" ID="ToxDateText_Other5"/> </td>
<td class="ControlBoxLinedRows"><euc:EformHidden RecordId="22" TABLE="Toxicities" FIELD="ToxStopDate" Runat="server" ID="ToxStopDate_Other5"/>
<euc:EformTextBox RecordId="22" ShowCalendar="True" CalcDate="True" style="width:70;" TABLE="Toxicities" FIELD="ToxStopDateText" Runat="server" ID="ToxStopDateText_Other5"/> </td>
<td class="ControlBoxLinedRows" align="center"><euc:EformTextBox RecordId="22" ShowCalendar="False" CalcDate="False" style="width:50px;" TABLE="Toxicities" FIELD="ToxNotes" Runat="server" ID="ToxNotes_Other5"/></td>
<td class="ControlBoxLinedRows" align="center"><euc:EformDeleteIcon runat="server" ID="Eformdeleteicon22"/></td>
</tr>
</table>
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