📄 shortqolurinary.ascx
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<td class="ControlBoxRowAlternatingRowsB"> </td>
<td class="ControlBoxRowAlternatingRowsB"> </td>
<td width="17%" class="ControlBoxRowAlternatingRowsB"> </td>
<td width="30%" class="ControlBoxRowAlternatingRowsB"><strong>TOTAL</strong></td>
<td class="ControlBoxRowAlternatingRowsB">
<span id="UrinaryQTotal" style="font-weight: bold; font-size: 13px;"></span> </td>
</tr>
<tr id="LastUrinaryQOLRow" runat="server">
<td colspan="3" class="ControlBoxRowAlternatingRowsB"> </td>
<td colspan="2" class="ControlBoxRowAlternatingRowsB"><asp:Label ID="UrinaryQOL" Runat="server" CssClass="blackBoldTextSmall" /></td>
</tr>
<tr>
<td height="45" class="ControlBoxRowAlternatingRowsA"><strong>2</strong></td>
<td colspan="4" class="ControlBoxRowAlternatingRowsA"><table border="0" cellspacing="0" cellpadding="0" width="420">
<tr>
<td>Continence</td>
<td align="right">
<euc:EformHidden id="SurveyType_2" runat="server" RecordId="2" Table="Surveys" Field="SurveyType" Value="Urinary Function"/>
<euc:EformHidden id="SurveyDate_2" runat="server" RecordId="2" Table="Surveys" Field="SurveyDate"/>
<euc:EformHidden id="SurveyDateText_2" runat="server" RecordId="2" Table="Surveys" Field="SurveyDateText"/>
<euc:EformHidden id="SurveyQuestion_Continence" runat="server" RecordId="1" ParentRecordId="2" Table="SurveyItems" Field="SurveyItem" Value="Continence"/>
<euc:EformDropDownList TABLE="SurveyItems" FIELD="SurveyItemResult"
id="SurveyItemResult_4" runat="server" RecordId="1" ParentRecordId="2"
EnableHiddenOnUIEvent="SurveyQuestion_Continence,SurveyType_2,SurveyDate_2,SurveyDateText_2">
<asp:ListItem Value="">-- Select Value --</asp:ListItem>
<asp:ListItem Value="1">1: Continence (no pads)</asp:ListItem>
<asp:ListItem Value="2">2: Mild SUI (leaks only during heavy activity)</asp:ListItem>
<asp:ListItem Value="3">3: Moderate SUI (leaks with moderate activity)</asp:ListItem>
<asp:ListItem Value="4">4: Severe SUI (leaks during nl activity, dry at night and at rest)</asp:ListItem>
<asp:ListItem Value="5">5: Total Incontinence (continuous leakage of urine at rest)</asp:ListItem>
</euc:EformDropDownList> </td>
</tr>
</table><asp:Label ID="LastCont" Runat="server" CssClass="blackBoldTextSmall"/></td>
</tr>
<tr>
<td height="45" valign="top" class="ControlBoxRowAlternatingRowsB"><strong>3</strong></td>
<td colspan="4" class="ControlBoxRowAlternatingRowsB">
<table border="0" cellspacing="0" cellpadding="0" width="100%">
<tr>
<td width="57%">Date Mild Continence Achieved (Score 2 for Continence) </td>
<td><asp:Label id="DateMildContinenceAchievedLabel" runat="server" Font-Bold="true">None Currently Recorded</asp:Label></td>
</tr>
<tr id="PastMildContinenceRow" runat="server">
<td align="right" style="padding-top: 14px; padding-bottom: 14px;">If the date is known, you may record it now: </td>
<td style="padding-top: 14px; padding-bottom: 14px;">
<euc:EformHidden id="SurveyType_MildContinence" runat="server" RecordId="5" Table="Surveys" Field="SurveyType" Value="Urinary Function"/>
<euc:EformHidden id="SurveyQuestion_MildContinence" runat="server" RecordId="1" ParentRecordId="5" Table="SurveyItems" Field="SurveyItem" Value="Continence"/>
<euc:EformHidden id="SurveyItemResult_MildContinence" runat="server" RecordId="1" ParentRecordId="5" Table="SurveyItems" FIELD="SurveyItemResult" Value="2"/>
<euc:EformHidden id="MildContinence_SurveyDate" runat="server" RecordId="5" Table="Surveys" Field="SurveyDate"/>
<euc:EformTextBox ShowCalendar="true" CalcDate="true" style="width:90px;" TABLE="Surveys" RecordId="5" FIELD="SurveyDateText" Runat="server" ID="MildContinence_SurveyDateText" EnableHiddenOnUIEvent="SurveyType_MildContinence,SurveyQuestion_MildContinence,SurveyItemResult_MildContinence"/></td>
</tr>
</table> </td>
</tr>
<tr>
<td height="45" valign="top" class="ControlBoxRowAlternatingRowsA"><strong>4</strong></td>
<td colspan="4" class="ControlBoxRowAlternatingRowsA"><table border="0" cellspacing="0" cellpadding="0" width="100%">
<tr>
<td width="57%">Date Total Continence Achieved (Score 1 for Continence)</td>
<td><asp:Label id="DateTotalContinenceAchievedLabel" runat="server" Font-Bold="true">None Recorded</asp:Label></td>
</tr>
<tr id="PastTotalContinenceRow" runat="server">
<td align="right" style="padding-top: 14px; padding-bottom: 14px;">If the date is known, you may record it now: </td>
<td style="padding-top: 14px; padding-bottom: 14px;"><euc:EformHidden id="SurveyType_TotalContinence" runat="server" RecordId="6" Table="Surveys" Field="SurveyType" Value="Urinary Function"/>
<euc:EformHidden id="SurveyQuestion_TotalContinence" runat="server" RecordId="1" ParentRecordId="6" Table="SurveyItems" Field="SurveyItem" Value="Continence"/>
<euc:EformHidden id="SurveyItemResult_TotalContinence" runat="server" RecordId="1" ParentRecordId="6" Table="SurveyItems" FIELD="SurveyItemResult" Value="1"/>
<euc:EformHidden id="TotalContinence_SurveyDate" runat="server" RecordId="6" Table="Surveys" Field="SurveyDate"/>
<euc:EformTextBox ShowCalendar="true" CalcDate="true" style="width:90px;" TABLE="Surveys" RecordId="6" FIELD="SurveyDateText" Runat="server" ID="TotalContinence_SurveyDateText" EnableHiddenOnUIEvent="SurveyType_TotalContinence,SurveyQuestion_TotalContinence,SurveyItemResult_TotalContinence"/> </td>
</tr>
</table> </td>
</tr>
<tr>
<td height="45" class="ControlBoxRowAlternatingRowsB"><strong>5</strong></td>
<td colspan="2" class="ControlBoxRowAlternatingRowsB">TX for Incontinence</td>
<td class="ControlBoxRowAlternatingRowsB">
<euc:EformHidden id="IncontinenceTX_Indication" name="IncontinenceTX_Indication" runat="server" RecordId="3" Table="QOL_Therapy" Field="QOL_TxIndication" Value="Incontinence" />
<euc:EformComboBox LookupCode="QOL_Therapy" RefBy="IncontinenceTX" style="width:100;" Field="QOL_Therapy" Table="QOL_Therapy" RecordId="3" Runat="server" id="IncontinenceTX" />
<asp:Label ID="LastIncontTx" Runat="server" CssClass="blackBoldTextSmall" /></td>
<td class="ControlBoxRowAlternatingRowsB">TX Date
<euc:EformTextBox ShowCalendar="true" CalcDate="true" style="width:90px;" TABLE="QOL_Therapy" RecordId="3" FIELD="QOL_TxDateText" Runat="server" ID="IncontinenceTXDateText" AppendToOnChange="enableIncontinenceHidden(this.value);"/>
<euc:EformHidden RecordId="3" Runat="server" ID="IncontinenceTXDate" Table="QOL_Therapy" FIELD="QOL_TxDate" /></td>
</tr>
<tr>
<td height="45" class="ControlBoxRowAlternatingRowsA"><strong>6</strong></td>
<td colspan="2" class="ControlBoxRowAlternatingRowsA">TX for Stricture </td>
<td class="ControlBoxRowAlternatingRowsA">
<euc:EformHidden id="StrictureTX_Indication" runat="server" RecordId="4" Table="QOL_Therapy" Field="QOL_TxIndication" Value="Stricture"/>
<euc:EformComboBox LookupCode="QOL_Therapy" RefBy="IncontinenceTX" style="width:100;" Field="QOL_Therapy" Table="QOL_Therapy" RecordId="4" Runat="server" id="StrictureTX"/></td>
<td class="ControlBoxRowAlternatingRowsA">TX Date
<euc:EformTextBox ShowCalendar="true" CalcDate="true" style="width:90px;" TABLE="QOL_Therapy" RecordId="4" FIELD="QOL_TxDateText" Runat="server" ID="StrictureTXDateText" AppendToOnChange="enableStrictureHidden(this.value);"/>
<euc:EformHidden RecordId="4" Runat="server" ID="StrictureTXDate" Table="QOL_Therapy" FIELD="QOL_TxDate" /> </td>
</tr>
<tr>
<td height="45" class="ControlBoxRowAlternatingRowsB"><strong>7</strong> </td>
<td colspan="4" class="ControlBoxRowAlternatingRowsB">IPSS Score
<euc:EformHidden id="SurveyType_IPSS" runat="server" RecordId="4" Table="Surveys" Field="SurveyType" Value="IPSS"/>
<euc:EformHidden id="SurveyDate_IPSS" runat="server" RecordId="4" Table="Surveys" Field="SurveyDate"/>
<euc:EformHidden id="SurveyDateText_IPSS" runat="server" RecordId="4" Table="Surveys" Field="SurveyDateText"/>
<euc:EformTextBox RecordId="4" ShowCalendar="False" CalcDate="False" ShowNumberPad="true" style="width:90px;" TABLE="Surveys" FIELD="SurveyResult" Runat="server" ID="IPSSScore" /> </td>
</tr>
<tr>
<td height="45" valign="top" class="ControlBoxRowAlternatingRowsA"><strong>8</strong></td>
<td colspan="4" valign="top" class="ControlBoxRowAlternatingRowsA">
<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="2" Rows="4" Cols="58" Runat="server" ID="UrinaryNotes"/></td>
</tr></table></td>
</tr>
</table>
<br/>
<br/>
<br/>
<script language="javascript">
updateSumWithSelections('UrinaryQTotal','<%= SurveyItemResult_1.ClientID %>','<%= SurveyItemResult_2.ClientID %>','<%= SurveyItemResult_3.ClientID %>');
</script>
<script language="javascript">
function enableSurveyType() {
var val = document.getElementById('<%= IPSSScore.ClientID %>').value;
if (val != null && val != '') {
document.getElementById('<%= SurveyType_IPSS.ClientID %>').removeAttribute('disabled');
document.getElementById('<%= SurveyDate_IPSS.ClientID %>').removeAttribute('disabled');
document.getElementById('<%= SurveyDateText_IPSS.ClientID %>').removeAttribute('disabled');
} else {
document.getElementById('<%= SurveyType_IPSS.ClientID %>').disabled = 'disabled';
document.getElementById('<%= SurveyDate_IPSS.ClientID %>').disabled = 'disabled';
document.getElementById('<%= SurveyDateText_IPSS.ClientID %>').disabled = 'disabled';
}
}
document.getElementById('<%= IPSSScore.ClientID %>').onblur = enableSurveyType;
</script>
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