uroprosor.ascx

医疗决策支持系统

<%@ Control CodeBehind="UroProsOR.ascx.cs" Language="c#" AutoEventWireup="false" Inherits="Caisis.UI.Modules.Prostate.PaperForms.UroProsOR" %>


<asp:PlaceHolder id="PreOpFormHolder" runat="server"></asp:PlaceHolder>


<div id="NonBreakingPage">

<div align="center">

<div align="center">
	<div align="right" class="ORPopulation">
	  <div  class="ORDemographics">
	  <table  width="325" border="0" cellpadding="0" cellspacing="0">
                <tr> 
                  <td width="65"><img src="../../Images/shim.gif" border="0" width="65" height="1"></td>
                  <td align="left" width="260"><img src="../../Images/shim.gif" border="0" width="260" height="1"></td>
                </tr>
                <tr> 
                  <td align="right"> 
                    <% =patientMRNLabel  %>
                    &nbsp;&nbsp;&nbsp;</td>
                  <td align="left"><strong> 
                    <% =patientMRN  %>
                    </strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 
                    <% =patientDOB  %>
                  </td>
                </tr>
                <tr> 
                  <td colspan="1" align="right"> 
                    <% =patientNameLabel  %>
                    &nbsp;&nbsp;&nbsp;</td>
                  <td colspan="1" align="left"><strong> 
                    <% =patientLastName  %>, <% =patientFirstName  %> <% =patientMiddleName  %>
                    </strong></td>
                </tr>
                <tr> 
                  <td align="right" valign="top"> 
                    <% =patientAddressLabel  %>
                    &nbsp;&nbsp;&nbsp;</td>
                  <td align="left" valign="top"> 
                    <% =patientAddress1  %>
                    <% =patientAddress2  %>
                    <% =patientCity  %>
                    <% =patientState  %>
                    <% =patientPostalCode  %>
                  </td>
                </tr>
              </table>
	  </div>
	</div>
</div>




  <img src="../../Images/FormImages/ProstateOR_PG1_20041122.gif" width="700" height="917" border="0"></div>
<div id="LastPageInForm" runat="server" align="center" style="page-break-before:always;"><font style="font-size: 12px;">CONTAINS PROTECTED  HEALTH INFORMATION - HANDLE ACCORDING TO MSKCC POLICY</font>
  <table width="650" border="0" cellpadding="0" cellspacing="0" bgcolor="ffffff">
    <tr> 
      <td class="FormOuterTableTopRow"><table align="center" border="0" width="650" cellpadding="4" cellspacing="0">
           
            <tr> 
              
            <td width="325" align="center" valign="middle" class="FormInnerRowRightBorder"><img src="../../Images/FormImages/<%= institutionShortName%>_FormLogo.gif" width="90" alt="" border="0" align="left"><span class="blackBoldText"><%= institutionName%><br>
              <br>
              Urology Prostatectomy OR<br>
              Pathology Form</span><br> </td>
              <td width="325" align="center" valign="bottom" >
              
              
              <table  width="325" border="0" cellspacing="1" cellpadding="0" >
					<tr> 
						<td width="65"><img src="../../Images/shim.gif" border="0" width="65" height="1"></td>
						<td align="left" width="260"><img src="../../Images/shim.gif" border="0" width="260" height="1"></td>
					</tr>
					<tr> 
						<td align="right"><% =patientMRNLabel  %>&nbsp;&nbsp;&nbsp;</td>
						<td align="left"><strong><% =patientMRN  %></strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<% =patientDOB  %></td>
					</tr>
					<tr> 
						<td colspan="1" align="right"><% =patientNameLabel  %>&nbsp;&nbsp;&nbsp;</td>
						<td colspan="1" align="left"><strong><% =patientLastName  %>, <% =patientFirstName  %> <% =patientMiddleName  %></strong></td>
					</tr>
					<tr> 
						<td align="right" valign="top"><% =patientAddressLabel  %>&nbsp;&nbsp;&nbsp;</td>
						<td align="left" valign="top"><% =patientAddress1  %><% =patientAddress2  %><% =patientCity  %> <% =patientState  %> <% =patientPostalCode  %></td>
					</tr>
					 <tr> 
						<td colspan="2"><img src="../../Images/shim.gif" border="0" width="1" height="5"></td>
					</tr>
					<tr> 
						<td colspan="2" align="center" valign="bottom" class="blackBoldText">Patient Identification</td>
					</tr>
				</table>              
              
              
              </td>
            </tr>
            </table></td>
    </tr>
    <tr> 
      <td class="FormOuterTableRow"><img src="../../Images/shim.gif" border="0" width="4" height="15"><span class="blackBoldText">Date:<% =apptClinicDate %></span><img src="../../Images/shim.gif" border="0" width="290" height="1"><span class="blackBoldText">Case 
        Surgeon :</span></td>
    </tr>
    <tr> 
      <td valign="top" class="FormOuterTableRow"> <table width="650" border="0" cellspacing="0" cellpadding="4">
          <tr valign="top"> 
            <td height="80" class="FormInnerRowRightBorder"><br> <br>
              Please mark all suspected tumor sites.<br> <br> <br> <br> <br> <img src="../../Images/FormImages/ProstatePathologyDiagram.gif" width="640" height="635"><br> 
              <br> <br> </td>
          </tr>
        </table></td>
    </tr>
  </table>
</div>


</div>