shortqolsexual.ascx

医疗决策支持系统

    </table>    </td>
  </tr>
  <tr>
    <td height="45" class="ControlBoxRowAlternatingRowsB" valign="top"><strong>13</strong></td>
    <td colspan="3" class="ControlBoxRowAlternatingRowsB">
	
	
	<table border="0" cellspacing="0" cellpadding="0" width="100%">
      <tr>
        <td width="40%" >Date Full, Normal Erection Achieved</td>
        <td><asp:Label id="DateFullNormalErectionAchievedLabel" runat="server" Font-Bold="true">None Currently Recorded</asp:Label></td>
      </tr>
      <tr id="PastFullNormalRow" runat="server">
        <td align="right" style="padding-top: 14px; padding-bottom: 14px; font-size: 11px; border-bottom: solid 1px #dddddd;">If the date is known, you may record it now:&nbsp;&nbsp;&nbsp; </td>
        <td style="padding-top: 14px; padding-bottom: 14px; border-bottom: solid 1px #dddddd;"><euc:EformHidden id="SurveyType_FullNormalErection" runat="server" RecordId="9" Table="Surveys" Field="SurveyType" Value="Sexual Function"/>
            <euc:EformHidden id="SurveyQuestion_FullNormalErection" runat="server" RecordId="1" ParentRecordId="9" Table="SurveyItems" Field="SurveyItem" Value="Erectile Function"/>
            <euc:EformHidden id="SurveyItemResult_FullNormalErection" runat="server" RecordId="1" ParentRecordId="9" Table="SurveyItems" FIELD="SurveyItemResult"  Value="1"/>
            <euc:EformHidden id="FullNormalErection_SurveyDate" runat="server" RecordId="9" Table="Surveys" Field="SurveyDate"/>
            <euc:EformTextBox ShowCalendar="true" CalcDate="true" style="width:90px;" TABLE="Surveys"  RecordId="9"  FIELD="SurveyDateText" Runat="server" ID="FullNormalErection_SurveyDateText" EnableHiddenOnUIEvent="SurveyType_FullNormalErection,SurveyQuestion_FullNormalErection,SurveyItemResult_FullNormalErection"/></td>
      </tr>
    </table>  
	
	
	</td>
  </tr>
  <tr>
    <td height="45" class="ControlBoxRowAlternatingRowsB">&nbsp;</td>
    <td colspan="2" class="ControlBoxRowAlternatingRowsB">% Best Erection, w/ PO meds
	<euc:EformHidden id="SurveyQuestion_PercentBestErectionMeds" runat="server" RecordId="2" ParentRecordId="3" Table="SurveyItems" Field="SurveyItem" Value="Percent Best Erection (Meds)"/>	</td>
    <td class="ControlBoxRowAlternatingRowsB"><euc:EformTextBox  RecordId="2" ParentRecordId="3" ShowCalendar="false" ShowNumberPad="True" CalcDate="false" style="width:30px;" TABLE="SurveyItems" FIELD="SurveyItemResult" Runat="server" ID="PercentBestErectionWithMeds" EnableHiddenOnUIEvent="SurveyType_2,SurveyQuestion_PercentBestErectionMeds"/>%</td>
  </tr>
  <tr>
    <td height="45" class="ControlBoxRowAlternatingRowsB">&nbsp;</td>
    <td colspan="2" class="ControlBoxRowAlternatingRowsB">% Best Erection, w/o meds </td>
    <td class="ControlBoxRowAlternatingRowsB">
	<euc:EformHidden id="SurveyQuestion_PercentBestErectionNoMeds" runat="server" RecordId="3" ParentRecordId="3" Table="SurveyItems" Field="SurveyItem" Value="Percent Best Erection (No Meds)"/>
	<euc:EformTextBox  RecordId="3" ParentRecordId="3" ShowCalendar="false" ShowNumberPad="True" CalcDate="false" style="width:30px;" TABLE="SurveyItems" FIELD="SurveyItemResult" Runat="server" ID="PercentBestErectionWithoutMeds" EnableHiddenOnUIEvent="SurveyType_2,SurveyQuestion_PercentBestErectionNoMeds"/>%</td>
  </tr>
  <tr>
    <td height="45" valign="top" class="ControlBoxRowAlternatingRowsA"><strong>14</strong></td>
    <td colspan="3" valign="top" class="ControlBoxRowAlternatingRowsA">
    
    
    
    
    <table width="80%" cellpadding="5" cellspacing="0" class="ClinicalEformTable" id="SexualQOLHtmlTable">
  <tr> 
    <td width="50%"  class="controlBoxDataGridHeaderFirstCol" style="text-align: left;">&nbsp;TX for Erectile Dysfunction</td>
    <td class="controlBoxDataGridHeaderFirstCol">Start Date</td>
    <td  class="controlBoxDataGridHeaderFirstCol">Stop Date</td>
    <td  class="controlBoxDataGridHeaderFirstCol">&nbsp;</td>
  </tr>
  
  
  <asp:Repeater ID="QolTherapy" runat="server" OnItemCreated="EFormRepeaterOnDataBound" > 
	<ItemTemplate> 
		<tr class="ClinicalEformPopulatedRow" onMouseOver="this.className='ClinicalEformHighlightedRow';" onMouseOut="this.className='ClinicalEformPopulatedRow';" onclick="LoadDataEntryForm('QOL_Therapy', <%# DataBinder.Eval(Container.DataItem, "QOL_TherapyId") %>, 'QOL_TxDateText,QOL_TxIndication,QOL_Therapy,QOL_TxStopDateText', 'ShortQOLSexual');"> 
			<td class="ClinicalEformPopulatedColumn">&nbsp;<%# DataBinder.Eval(Container.DataItem, "QOL_Therapy") %></td>
			<td align="center" class="ClinicalEformPopulatedColumn">&nbsp;<%# DataBinder.Eval(Container.DataItem, "QOL_TxDateText") %></td>
			<td align="center" class="ClinicalEformPopulatedColumn">&nbsp;<%# DataBinder.Eval(Container.DataItem, "QOL_TxStopDateText") %></td>
		    <td class="ClinicalEformPopulatedColumn"><img align="right" src="../../../Images/EformPopulatedRowLOCK.gif" width="9" height="11" id="LockImage" runat="server" title="This record has been locked.">&nbsp;</td>
		</tr>      
	</ItemTemplate>
  </asp:Repeater>

  
  

  <tr>
    <td height="28" class="ClinicalEformGridColumnOne" >
		&nbsp;&nbsp;&nbsp;Vacuum Erection Device
		<euc:EformHidden id="QOL_TxIndication" runat="server" RecordId="1" Table="QOL_Therapy" Field="QOL_TxIndication" Value="Erectile Dysfunction"/>
		<euc:EformHidden id="QOL_Therapy" runat="server" RecordId="1" Table="QOL_Therapy" Field="QOL_Therapy" Value="Vacuum Erectile Device (VED)"/>    </td>
    <td>&nbsp;<euc:EformTextBox Runat="server" RecordId="1"  ID="QOL_TxTherapyDateText" TABLE="QOL_Therapy" FIELD="QOL_TxDateText" style="width:80px;"  ShowCalendar="True" CalcDate="True" class="InputText"  EnableHiddenOnUIEvent="QOL_TxIndication,QOL_Therapy"/>
		<euc:EformHidden RecordId="1" Runat="server" ID="QOL_TxTherapyDate" Table="QOL_Therapy" FIELD="QOL_TxDate" />	</td>
    <td>&nbsp;<euc:EformTextBox Runat="server" RecordId="1"  ID="QOL_TxTherapyStopDateText" TABLE="QOL_Therapy" FIELD="QOL_TxStopDateText" style="width:80px;"  ShowCalendar="True" CalcDate="True" class="InputText"  EnableHiddenOnUIEvent="QOL_TxIndication,QOL_Therapy" />
		<euc:EformHidden RecordId="1" Runat="server" ID="QOL_TxTherapyStopDate" Table="QOL_Therapy" FIELD="QOL_TxStopDate" />    </td>
    <td>&nbsp;</td>
  </tr>
  
  
   <tr>
    <td height="28" class="ClinicalEformGridColumnOne" >
		&nbsp;&nbsp;&nbsp;Penile Prosthesis
		<euc:EformHidden id="OpNamePenileProsthesis" runat="server" RecordId="11" Table="Procedures" Field="OpName" Value="Penile Prosthesis"/>
		<euc:EformHidden id="OpIndicationPenileProsthesis" runat="server" RecordId="11" Table="Procedures" Field="OpIndication" Value="Erectile Dysfunction"/>    </td>
    <td>&nbsp;<euc:EformTextBox Runat="server" RecordId="11"  ID="PenileProsthesisOpDateText" TABLE="Procedures" FIELD="OpDateText" style="width:80px;"  ShowCalendar="True" CalcDate="True" class="InputText"  EnableHiddenOnUIEvent="OpNamePenileProsthesis,OpIndicationPenileProsthesis" />
		<euc:EformHidden RecordId="11" Runat="server" ID="PenileProsthesisOpDate" Table="Procedures" Field="OpDate" />    </td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
  </tr>
  
  
   <tr >
    <td height="28" class="ClinicalEformGridColumnOne" >
		&nbsp;&nbsp;&nbsp;MUSE
		<euc:EformHidden id="MedicationMUSE" runat="server" RecordId="21" Table="Medications" Field="Medication" Value="MUSE"/>
		<euc:EformHidden id="MedIndicationMUSE" runat="server" RecordId="21" Table="Medications" Field="MedIndication" Value="Erectile Dysfunction"/>    </td>
    <td >
    
    &nbsp;<euc:EformTextBox Runat="server" RecordId="21"  ID="MUSEMedDateText" TABLE="Medications" FIELD="MedDateText" style="width:80px;"  ShowCalendar="True" CalcDate="True" class="InputText"  EnableHiddenOnUIEvent="MedicationMUSE,MedIndicationMUSE" />
    <euc:EformHidden RecordId="21" Runat="server" ID="MUSEMedDate" Table="Medications" Field="MedDate" />    </td>
    <td >&nbsp;
        <euc:EformTextBox Runat="server" RecordId="21"  ID="MUSEMedStopDateText" TABLE="Medications" FIELD="MedStopDateText" style="width:80px;"  ShowCalendar="True" CalcDate="True" class="InputText"  EnableHiddenOnUIEvent="MedicationMUSE,MedIndicationMUSE" />
        <euc:EformHidden RecordId="21" Runat="server" ID="MUSEMedStopDate" Table="Medications" Field="MedStopDate" />    </td>
    <td>&nbsp;</td>
  </tr>
  <tr >
    <td height="28" class="ClinicalEformGridColumnOne" >
		&nbsp;&nbsp;&nbsp;Intracorp. Injection
		<euc:EformHidden id="MedicationErectileInjection" runat="server" RecordId="22" Table="Medications" Field="Medication" Value="Intracavernosal Injection"/>
		<euc:EformHidden id="MedRouteErectileInjection" runat="server" RecordId="22" Table="Medications" Field="MedRoute" Value="Intracavernosal"/>
		<euc:EformHidden id="MedIndicationErectileInjection" runat="server" RecordId="22" Table="Medications" Field="MedIndication" Value="Erectile Dysfunction"/>    </td>
    <td >
    
    &nbsp;<euc:EformTextBox Runat="server" RecordId="22"  ID="ErectileInjectionMedDateText" TABLE="Medications" FIELD="MedDateText" style="width:80px;"  ShowCalendar="True" CalcDate="True" class="InputText"  EnableHiddenOnUIEvent="MedicationErectileInjection,MedIndicationErectileInjection,MedRouteErectileInjection" />
    <euc:EformHidden RecordId="22" Runat="server" ID="ErectileInjectionMedDate" Table="Medications" Field="MedDate" />    </td>
    <td >&nbsp;
        <euc:EformTextBox Runat="server" RecordId="22"  ID="ErectileInjectionMedStopDateText" TABLE="Medications" FIELD="MedStopDateText" style="width:80px;"  ShowCalendar="True" CalcDate="True" class="InputText"  EnableHiddenOnUIEvent="MedicationErectileInjection,MedIndicationErectileInjection,MedRouteErectileInjection" />
        <euc:EformHidden RecordId="22" Runat="server" ID="ErectileInjectionMedStopDate" Table="Medications" Field="MedStopDate" />    </td>
    <td>&nbsp;</td>
  </tr>
</table>
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;To enter  other Medications, please see the Medications section. <br />
    <br /></td>
  </tr>
  
  
  <tr>
    <td height="45" valign="top" class="ControlBoxRowAlternatingRowsB"><strong>15</strong></td>
    <td colspan="3" valign="top" class="ControlBoxRowAlternatingRowsB">
	
	<table cellpadding="0" cellspacing="0" border="0">
		<tr><td valign="top" style="padding-right: 8px;">
	Notes</td><td>
      <euc:EformTextArea TextMode="MultiLine" TABLE="Surveys" FIELD="SurveyNotes" RecordId="3" Rows="4" Cols="58" Runat="server" ID="SexualFunctionNotes"/></td>
  		</tr></table>	</td>
  </tr>
</table>
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<script language="javascript">
	updateSumWithSelections('SexualQTotal','<%= SurveyItemResult_2.ClientID %>','<%= SurveyItemResult_3.ClientID %>',null);
</script>