prostatectomydetails2.ascx

医疗决策支持系统

      <td valign="bottom" align="right"><img src="../Images/EFormControlBottomRight.gif" width="2" height="2" /></td>
    </tr>
  </table>  <br/><br/><br/>
  
  
  
      <!-- END PostOp Prediction -->
      
      
   
   
      <!-- BEGIN Catheter -->

      
  <span class="controlBoxTitle">&nbsp;&nbsp;Catheter</span><br />
  <table width="480" border="0" cellpadding="0" cellspacing="0" class="controlBox">
    <tr> 
      <td width="2" valign="top"><img src="../Images/EFormControlTopLeft.gif" width="2" height="2" /></td>
      <td  width="576">&nbsp;</td>
      <td width="2" valign="top" align="right"><img src="../Images/EFormControlTopRight.gif" width="2" height="2" /></td>
    </tr>
    <tr> 
      <td><img src="../Images/shim.gif" width="1" height="1" /></td>
      <td><table width="476" border="0" cellspacing="0" cellpadding="4">
          <tr> 
            <td width="160" height="18" align="right" class="controlBoxFieldTitle">Catheter 
              on Traction?</td>
            <td class="controlBoxFieldOption"> 
				<euc:EformRadioButton id="OpCathTractionNone" GroupName="OpCathTraction" Text="None" runat=server/>
				&nbsp;&nbsp;&nbsp; 
				<euc:EformRadioButton id="OpCathTractionImmediate" GroupName="OpCathTraction"  Text="Immediate"  runat=server/>
				&nbsp;&nbsp;&nbsp; 
				<euc:EformRadioButton id="OpCathTractionDelayed" GroupName="OpCathTraction"  Text="Delayed"  runat=server/>
				</td>
          </tr>
          <tr> 
            <td height="18" align="right" class="controlBoxFieldTitle">Duration 
              of Traction&nbsp; </td>
            <td class="controlBoxFieldOption"> 
              <euc:EformRadioButton ID="OpCathTractionTime12" GroupName="OpCathTractionTime" Text="&lt;12" runat=server/>
              &nbsp;&nbsp;&nbsp; 
              <euc:EformRadioButton ID="OpCathTractionTime24" GroupName="OpCathTractionTime" Text="12-24" runat=server/>
              &nbsp;&nbsp;&nbsp; 
              <euc:EformRadioButton ID="OpCathTractionTime48" GroupName="OpCathTractionTime" Text="24-48" runat=server/>
              
             &nbsp;&nbsp;&nbsp; <euc:EformRadioButton ID="OpCathTractionTime48Plus" Text="48+" runat=server/>
             </td>
          </tr>
        </table></td>
      <td><img src="../Images/shim.gif" width="1" height="1" /></td>
    </tr>
    <tr> 
      <td valign="bottom"><img src="../Images/EFormControlBottomLeft.gif" width="2" height="2" /></td>
      <td>&nbsp;</td>
      <td valign="bottom" align="right"><img src="../Images/EFormControlBottomRight.gif" width="2" height="2" /></td>
    </tr>
  </table>  <br/><br/><br/>
  
  
  <!-- END Catheter -->





  <!-- BEGIN Surgical Details / Fluids -->


<span class="controlBoxTitle">&nbsp;&nbsp;Surgical Details / Fluids</span><br />
  <table width="520" border="0" cellpadding="0" cellspacing="0" class="controlBox">
    <tr> 
      <td width="2" valign="top"><img src="../Images/EFormControlTopLeft.gif" width="2" height="2" /></td>
      <td  width="516">&nbsp;</td>
      <td width="2" valign="top" align="right"><img src="../Images/EFormControlTopRight.gif" width="2" height="2" /></td>
    </tr>
    <tr> 
      <td><img src="../Images/shim.gif" width="1" height="1" /></td>
      <td><table width="516" border="0" cellspacing="0" cellpadding="4">
          <tr> 
            <td width="230" height="18" align="right" class="controlBoxFieldTitle">Operating Time (Skin to Skin) &nbsp; </td>
            <td class="controlBoxFieldOption">  
				 <euc:EformTextBox ID="SurgOperatingTime" runat="server"  class="InputText" ></euc:EFormTextBox>(hh:mm)  
             </td>
          </tr>
          <tr> 
            <td height="18" align="right" class="controlBoxFieldTitle">Anesthesia Time &nbsp; </td>
            <td class="controlBoxFieldOption">
				<euc:EformTextBox ID="SurgAnesthesiaTime" runat="server"  class="InputText" ></euc:EFormTextBox>(hh:mm)
			</td>
          </tr>
          <tr> 
            <td height="18" align="right" class="controlBoxFieldTitle">Estimated Blood Loss &nbsp; </td>
            <td class="controlBoxFieldOption">
				<euc:EformTextBox ID="SurgEstBloodLoss" runat="server"  class="InputText" ></euc:EFormTextBox> cc </td>
          </tr>
        </table></td>
      <td><img src="../Images/shim.gif" width="1" height="1" /></td>
    </tr>
    <tr> 
      <td valign="bottom"><img src="../Images/EFormControlBottomLeft.gif" width="2" height="2" /></td>
      <td>&nbsp;</td>
      <td valign="bottom" align="right"><img src="../Images/EFormControlBottomRight.gif" width="2" height="2" /></td>
    </tr>
  </table>

        <table width="520" border="0" cellpadding="0" cellspacing="0" class="controlBoxDataGridTable">
          <tr> 
            <td width="2" valign="top" class="controlBoxDataGridFirstColumn"><img src="../Images/EFormControlTopLeft.gif" width="2" height="2" /></td>
            <td  width="150" height="25" class="controlBoxDataGridHeaderFirstCol">&nbsp;</td>
            <td class="controlBoxDataGridHeader">Auto</td>
            <td class="controlBoxDataGridHeader">PRBC</td>
            <td class="controlBoxDataGridHeader">FFP</td>
            <td class="controlBoxDataGridHeader">Cellsaver</td>
            <td width="2" align="right" valign="top" class="controlBox"><img src="../Images/EFormControlTopRight.gif" width="2" height="2" /></td>
          </tr>
          <tr> 
            <td class="controlBoxDataGridFirstColumn"><img src="../Images/shim.gif" width="1" height="1" /></td>
            <td height="35" class="controlBoxDataGridTitleColumn">&nbsp;&nbsp;
            Units Available </td>
            <td align="center"> <euc:EformTextBox ID="SurgAutoAvailable" runat="server"  size="10" class="InputText" /></td>
            <td align="center"> <euc:EformTextBox ID="SurgRBC_Available" runat="server"  size="10" class="InputText" /></td>
            <td align="center"> <euc:EformTextBox ID="SurgFFP_Available" class="InputText" size="10" runat="server" /></td>
            <td align="center"> <euc:EformTextBox ID="SurgCellsaver_Available" class="InputText" size="10" runat="server" /></td>
            <td><img src="../Images/shim.gif" width="1" height="1" /></td>
          </tr>
          <tr> 
            <td class="controlBoxDataGridFirstColumn"><img src="../Images/shim.gif" width="1" height="1" /></td>
            <td height="35" class="controlBoxDataGridTitleColumn">&nbsp;&nbsp;
            Units Transfused</td>
            <td align="center"> <euc:EformTextBox ID="SurgAutoTransfused" runat="server"  size="10" class="InputText" /></td>
            <td align="center"> <euc:EformTextBox ID="SurgRBC_Transfused" runat="server"  size="10" class="InputText" /></td>
            <td align="center"> <euc:EformTextBox ID="SurgFFP_Transfused" runat="server"  size="10" class="InputText" /></td>
            <td align="center"> <euc:EformTextBox ID="SurgCellsaver_Transfused" runat="server" class="InputText" size="10" /></td>
            <td><img src="../Images/shim.gif" width="1" height="1" /></td>
          </tr>
          <tr> 
            <td class="controlBoxDataGridFirstColumn"><img src="../Images/shim.gif" width="1" height="1" /></td>
            <td height="35" class="controlBoxDataGridTitleColumn">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
            Intraoperative</td>
            <td align="center"> <euc:EformTextBox ID="SurgAuto_IntraOp" class="InputText" size="10" runat=server/></td>
            <td align="center"> <euc:EformTextBox ID="SurgRBC_IntraOp" runat="server"  size="10" class="InputText" runat=server></td>
            <td align="center"> <euc:EformTextBox ID="SurgFFP_IntraOp" class="InputText" size="10" runat=server /></td>
            <td align="center"> <euc:EformTextBox ID="SurgCellsaver_IntraOp" class="InputText" size="10" runat=server/></td>
            <td><img src="../Images/shim.gif" width="1" height="1" /></td>
          </tr>
          <tr> 
            <td class="controlBoxDataGridFirstColumn"><img src="../Images/shim.gif" width="1" height="1" /></td>
            <td height="35" class="controlBoxDataGridTitleColumn">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
            PACU / PostOp</td>
            <td align="center"> <euc:EformTextBox ID="SurgAuto_PostOp" class="InputText" size="10" runat="server"/></td>
            <td align="center"> <euc:EformTextBox ID="SurgRBC_PostOp"  size="10" class="InputText" runat="server"></td>
            <td align="center"> <euc:EformTextBox ID="SurgFFP_PostOp" class="InputText" size="10" runat="server"/></td>
            <td align="center"> <euc:EformTextBox ID="SurgCellsaver_PostOp" class="InputText" size="10" runat="server"/></td>
            <td>&nbsp;</td>
          </tr>
          <tr> 
            <td valign="bottom" class="controlBoxDataGridFirstColumn"><img src="../Images/EFormControlBottomLeft.gif" width="2" height="2" /></td>
            <td align="right" valign="bottom" class="controlBoxDataGridFirstColumn"><img src="../Images/EFormControlBottomRight.gif" width="2" height="2" /></td>
            <td align="center">&nbsp;</td>
            <td align="center">&nbsp;</td>
            <td align="center">&nbsp;</td>
            <td align="center">&nbsp;</td>
            <td><img src="../Images/shim.gif" width="1" height="1" /></td>
          </tr>
        </table><br/>
        <table width="300" border="0" cellpadding="0" cellspacing="0" class="controlBoxDataGridTable">
          <tr> 
            <td width="2" valign="top" class="controlBoxDataGridFirstColumn"><img src="../Images/EFormControlTopLeft.gif" width="2" height="2" /></td>
            <td  width="90" height="25" class="controlBoxDataGridHeaderFirstCol">Date</td>
            <td width="60" class="controlBoxDataGridHeader">Var</td>
            <td class="controlBoxDataGridHeader">Value</td>
            <td width="2" align="right" valign="top" class="controlBox"><img src="../Images/EFormControlTopRight.gif" width="2" height="2" /></td>
          </tr>
          <tr> 
            <td class="controlBoxDataGridFirstColumn">&nbsp;</td>
            <td height="35" class="controlBoxDataGridTitleColumn">&nbsp;&nbsp;Admission</td>
            <td align="center" class="controlBoxFieldOption"><a href="#">HGB</a> 
            </td>
            <td align="center"> <euc:EformTextBox ID="SurgHGB_Admit" runat="server"  size="10" class="InputText" ></td>
            <td>&nbsp;</td>
          </tr>
          <tr> 
            <td class="controlBoxDataGridFirstColumn">&nbsp;</td>
            <td height="35" class="controlBoxDataGridTitleColumn">&nbsp;&nbsp;Admission</td>
            <td align="center" class="controlBoxFieldOption"><a href="#">HCT</a> 
            </td>
            <td align="center"> <euc:EformTextBox ID="SurgHCT_Admit" runat="server"  size="10" class="InputText" ></td>
            <td>&nbsp;</td>
          </tr>
          <tr> 
            <td class="controlBoxDataGridFirstColumn">&nbsp;</td>
            <td height="35" class="controlBoxDataGridTitleColumn">&nbsp;&nbsp;IntraOp</td>
            <td align="center" class="controlBoxFieldOption"><a href="#">HGB</a> 
            </td>
            <td align="center"> <euc:EformTextBox ID="SurgHGB_IntraOp" runat="server"  size="10" class="InputText" ></td>
            <td>&nbsp;</td>
          </tr>
          <tr> 
            <td class="controlBoxDataGridFirstColumn">&nbsp;</td>
            <td height="35" class="controlBoxDataGridTitleColumn">&nbsp;&nbsp;IntraOp</td>
            <td align="center" class="controlBoxFieldOption"><a href="#">HCT</a> 
            </td>
            <td align="center"> <euc:EformTextBox ID="SurgHCT_IntraOp" runat="server"  size="10" class="InputText" ></td>
            <td>&nbsp;</td>
          </tr>
          <tr> 
            <td valign="bottom" class="controlBoxDataGridFirstColumn"><img src="../Images/EFormControlBottomLeft.gif" width="2" height="2" /></td>
            <td align="right" valign="bottom" class="controlBoxDataGridFirstColumn"><img src="../Images/EFormControlBottomRight.gif" width="2" height="2" /></td>
            <td align="center">&nbsp;</td>
            <td align="center">&nbsp;</td>
            <td>&nbsp;</td>
          </tr>
        </table><br/>
  
  
  <table width="320" border="0" cellpadding="0" cellspacing="0" class="controlBox">
    <tr> 
      <td width="2" valign="top"><img src="../Images/EFormControlTopLeft.gif" width="2" height="2" /></td>
      <td  width="316">&nbsp;</td>
      <td width="2" valign="top" align="right"><img src="../Images/EFormControlTopRight.gif" width="2" height="2" /></td>
    </tr>
    <tr> 
      <td><img src="../Images/shim.gif" width="1" height="1" /></td>
      <td><table width="316" border="0" cellspacing="0" cellpadding="4">
          <tr> 
            <td width="130" height="18" align="right" class="controlBoxFieldTitle">Crystalloid&nbsp; 
            </td>
            <td class="controlBoxFieldOption"> <label> 
              <euc:EformTextBox ID="Crystalloid" class="InputText" size="10" runat=server/>
              cc</label></td>
          </tr>
          <tr> 
            <td height="18" align="right" class="controlBoxFieldTitle">Colloid&nbsp; 
            </td>
            <td class="controlBoxFieldOption"> <label> 
               <euc:EformTextBox ID="Colloid" class="InputText" size="10" runat=server/>
              cc</label></td>
          </tr>
        </table></td>
      <td><img src="../Images/shim.gif" width="1" height="1" /></td>
    </tr>
    <tr> 
      <td valign="bottom"><img src="../Images/EFormControlBottomLeft.gif" width="2" height="2" /></td>
      <td>&nbsp;</td>
      <td valign="bottom" align="right"><img src="../Images/EFormControlBottomRight.gif" width="2" height="2" /></td>
    </tr>
  </table>  <br/><br/><br/>


  <!-- END Surgical Details / Fluids -->