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医疗决策支持系统

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      <td width="650" height="20" class="FormOuterTableRow"><img src="../../Images/shim.gif" border="0" width="4" height="11"><span class="blackBoldText">Date: <% =apptClinicDate %></span></td>
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	 <td class="FormOuterTableRow" width="400" align="right" valign="top"> 
		<table width="650" border="0" cellspacing="0" cellpadding="0">
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				<td valign="top" width="220"><span class="blackBoldText"><img src="../../Images/shim.gif" border="0" width="4" height="1">Comorbidities</span><br/>
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					<ItemTemplate><%# DataBinder.Eval(Container.DataItem, "ComorbDateText") %> - <%# DataBinder.Eval(Container.DataItem, "Comorbidity") %></ItemTemplate>
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				<td valign="top" width="230"><br/>
					<img src="../../Images/shim.gif" border="0" width="4" height="1">&nbsp;&nbsp;<img src="../../Images/Present.gif" width="43" height="25"><br>
					<img src="../../Images/shim.gif" border="0" width="4" height="1">
					<img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13">&nbsp;&nbsp;<img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13">&nbsp;Pulmonary Disease / Asthma / COPD<br/>
					<img src="../../Images/shim.gif" border="0" width="4" height="1">
					<img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13">&nbsp;&nbsp;<img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13">&nbsp;Diabetes (IDDM/NIDDM)<br/>
					<img src="../../Images/shim.gif" border="0" width="4" height="1">
					<img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13">&nbsp;&nbsp;<img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13">&nbsp;Hypercholesterolemia<br/>
					<img src="../../Images/shim.gif" border="0" width="4" height="1">
					<img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13">&nbsp;&nbsp;<img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13">&nbsp;Depression<br/>
					<img src="../../Images/shim.gif" border="0" width="4" height="1">
					<img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13">&nbsp;&nbsp;<img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13">&nbsp;Back Pain / DJD
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				<td align="left" width="200"><br/>
					<img src="../../Images/shim.gif" border="0" width="4" height="1">&nbsp;&nbsp;&nbsp;<img src="../../Images/Present.gif" width="43" height="25"><br>
					<img src="../../Images/shim.gif" border="0" width="10" height="1">
					<img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13">&nbsp;&nbsp;<img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13">&nbsp;Coronary Artery Disease / MI<br/>
					<img src="../../Images/shim.gif" border="0" width="10" height="1">
					<img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13">&nbsp;&nbsp;<img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13">&nbsp;Other Cardiac Disease:<br/>
					<img src="../../Images/shim.gif" border="0" width="10" height="1">
					<img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13">&nbsp;&nbsp;<img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13">&nbsp;Hypertension<br/>
					<img src="../../Images/shim.gif" border="0" width="10" height="1">
					<img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13">&nbsp;&nbsp;<img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13">&nbsp;CVA<br/>
					<img src="../../Images/shim.gif" border="0" width="10" height="1">
					<img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13">&nbsp;&nbsp;<img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13">&nbsp;Thromboembolic Events /DVT<br/> 
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		<td colspan="8" class="FormOuterTableRow"><span class="blackBoldText"><img src="../../Images/shim.gif" border="0" width="4" height="0">Review of Systems</span>
		<table align="center" border="0" width="100%" cellpadding="0" cellspacing="0">
          <tr > 
            <td class="FormInsideTableTopCell" align="center"><strong>Organ System</strong></td>
            <td class="FormInsideTableTopCell" align="center"><strong>Symptom</strong></td>
            <td class="FormInsideTableTopCell" align="center"><strong>Not Present</strong></td>
            <td class="FormInsideTableTopCell" align="center"><strong>Present</strong></td>
            <td class="FormInsideTableTopCell" align="center"><strong>Not Asked</strong></td>
            <td class="FormInsideTableTopCell" width="50%" align="center"><strong>Comments</strong></td>
          </tr>
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            <td class="FormInsideTableRegCell" rowspan="2" align="left" valign="top"><img src="../../Images/shim.gif" border="0" width="4" height="0">General</td>
            <td class="FormInsideTableRegCell" align="left" height="20">Fever</td>
            <td class="FormInsideTableRegCell" align="center"><img src="../../Images/icon_checkBoxBlank.gif" width="18" height="14" alt="" border="0"></td>
            <td class="FormInsideTableRegCell" align="center"><img src="../../Images/icon_checkBoxBlank.gif" width="18" height="14" alt="" border="0"></td>
            <td class="FormInsideTableRegCell" align="center"><img src="../../Images/icon_checkBoxBlank.gif" width="18" height="14" alt="" border="0"></td>
            <td class="FormInsideTableRegCell" rowspan="2" align="center">&nbsp;</td>
          </tr>
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            <td class="FormInsideTableRegCell" align="left" height="20">Wght. Loss</td>
            <td class="FormInsideTableRegCell" align="center"><img src="../../Images/icon_checkBoxBlank.gif" width="18" height="14" alt="" border="0"></td>
            <td class="FormInsideTableRegCell" align="center"><img src="../../Images/icon_checkBoxBlank.gif" width="18" height="14" alt="" border="0"></td>
            <td class="FormInsideTableRegCell" align="center"><img src="../../Images/icon_checkBoxBlank.gif" width="18" height="14" alt="" border="0"></td>
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            <td class="FormInsideTableRegCell" align="left" valign="top" rowspan="2"><img src="../../Images/shim.gif" border="0" width="4" height="0">Neuro</td>
            <td class="FormInsideTableRegCell" align="left" height="20">Headaches</td>
            <td class="FormInsideTableRegCell" align="center"><img src="../../Images/icon_checkBoxBlank.gif" width="18" height="14" alt="" border="0"></td>
            <td class="FormInsideTableRegCell" align="center"><img src="../../Images/icon_checkBoxBlank.gif" width="18" height="14" alt="" border="0"></td>
            <td class="FormInsideTableRegCell" align="center"><img src="../../Images/icon_checkBoxBlank.gif" width="18" height="14" alt="" border="0"></td>
            <td class="FormInsideTableRegCell" rowspan="2" align="center">&nbsp;</td>
          </tr>
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            <td class="FormInsideTableRegCell" align="left" height="20">Focal Weakness</td>
            <td class="FormInsideTableRegCell" align="center"><img src="../../Images/icon_checkBoxBlank.gif" width="18" height="14" alt="" border="0"></td>
            <td class="FormInsideTableRegCell" align="center"><img src="../../Images/icon_checkBoxBlank.gif" width="18" height="14" alt="" border="0"></td>
            <td class="FormInsideTableRegCell" align="center"><img src="../../Images/icon_checkBoxBlank.gif" width="18" height="14" alt="" border="0"></td>
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            <td class="FormInsideTableRegCell" align="left" valign="top"><img src="../../Images/shim.gif" border="0" width="4" height="0">Eyes</td>
            <td class="FormInsideTableRegCell" align="left" height="20">Visual Problems</td>
            <td class="FormInsideTableRegCell" align="center"><img src="../../Images/icon_checkBoxBlank.gif" width="18" height="14" alt="" border="0"></td>
            <td class="FormInsideTableRegCell" align="center"><img src="../../Images/icon_checkBoxBlank.gif" width="18" height="14" alt="" border="0"></td>
            <td class="FormInsideTableRegCell" align="center"><img src="../../Images/icon_checkBoxBlank.gif" width="18" height="14" alt="" border="0"></td>
            <td class="FormInsideTableRegCell" align="center">&nbsp;</td>
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            <td class="FormInsideTableRegCell" align="left" valign="top" rowspan="2"><img src="../../Images/shim.gif" border="0" width="4" height="0">CV</td>
            <td class="FormInsideTableRegCell" align="left" height="20">Angina</td>
            <td class="FormInsideTableRegCell" align="center"><img src="../../Images/icon_checkBoxBlank.gif" width="18" height="14" alt="" border="0"></td>
            <td class="FormInsideTableRegCell" align="center"><img src="../../Images/icon_checkBoxBlank.gif" width="18" height="14" alt="" border="0"></td>
            <td class="FormInsideTableRegCell" align="center"><img src="../../Images/icon_checkBoxBlank.gif" width="18" height="14" alt="" border="0"></td>
            <td class="FormInsideTableRegCell" rowspan="2" align="center">&nbsp;</td>
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            <td class="FormInsideTableRegCell" align="left">Palpitations</td>
            <td class="FormInsideTableRegCell" align="center"><img src="../../Images/icon_checkBoxBlank.gif" width="18" height="14" alt="" border="0"></td>
            <td class="FormInsideTableRegCell" align="center"><img src="../../Images/icon_checkBoxBlank.gif" width="18" height="14" alt="" border="0"></td>
            <td class="FormInsideTableRegCell" align="center"><img src="../../Images/icon_checkBoxBlank.gif" width="18" height="14" alt="" border="0"></td>
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            <td class="FormInsideTableRegCell" align="left" valign="top" rowspan="3"><img src="../../Images/shim.gif" border="0" width="4" height="0">Respiratory</td>
            <td class="FormInsideTableRegCell" align="left" height="20">Cough</td>
            <td class="FormInsideTableRegCell" align="center"><img src="../../Images/icon_checkBoxBlank.gif" width="18" height="14" alt="" border="0"></td>
            <td class="FormInsideTableRegCell" align="center"><img src="../../Images/icon_checkBoxBlank.gif" width="18" height="14" alt="" border="0"></td>
            <td class="FormInsideTableRegCell" align="center"><img src="../../Images/icon_checkBoxBlank.gif" width="18" height="14" alt="" border="0"></td>
            <td class="FormInsideTableRegCell" rowspan="3" align="center">&nbsp;</td>
          </tr>
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            <td class="FormInsideTableRegCell" align="left" height="20">SOB</td>
            <td class="FormInsideTableRegCell" align="center"><img src="../../Images/icon_checkBoxBlank.gif" width="18" height="14" alt="" border="0"></td>
            <td class="FormInsideTableRegCell" align="center"><img src="../../Images/icon_checkBoxBlank.gif" width="18" height="14" alt="" border="0"></td>
            <td class="FormInsideTableRegCell" align="center"><img src="../../Images/icon_checkBoxBlank.gif" width="18" height="14" alt="" border="0"></td>
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            <td class="FormInsideTableRegCell" align="left" height="20">Hemoptysis</td>
            <td class="FormInsideTableRegCell" align="center"><img src="../../Images/icon_checkBoxBlank.gif" width="18" height="14" alt="" border="0"></td>
            <td class="FormInsideTableRegCell" align="center"><img src="../../Images/icon_checkBoxBlank.gif" width="18" height="14" alt="" border="0"></td>
            <td class="FormInsideTableRegCell" align="center"><img src="../../Images/icon_checkBoxBlank.gif" width="18" height="14" alt="" border="0"></td>
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            <td class="FormInsideTableRegCell" align="left" valign="top" rowspan="4"><img src="../../Images/shim.gif" border="0" width="4" height="0">GI</td>
            <td class="FormInsideTableRegCell" align="left" height="20">Nausea</td>
            <td class="FormInsideTableRegCell" align="center"><img src="../../Images/icon_checkBoxBlank.gif" width="18" height="14" alt="" border="0"></td>
            <td class="FormInsideTableRegCell" align="center"><img src="../../Images/icon_checkBoxBlank.gif" width="18" height="14" alt="" border="0"></td>
            <td class="FormInsideTableRegCell" align="center"><img src="../../Images/icon_checkBoxBlank.gif" width="18" height="14" alt="" border="0"></td>
            <td class="FormInsideTableRegCell" rowspan="4" align="center">&nbsp;</td>
          </tr>
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            <td class="FormInsideTableRegCell" align="left" height="20">Vomiting</td>
            <td class="FormInsideTableRegCell" align="center"><img src="../../Images/icon_checkBoxBlank.gif" width="18" height="14" alt="" border="0"></td>
            <td class="FormInsideTableRegCell" align="center"><img src="../../Images/icon_checkBoxBlank.gif" width="18" height="14" alt="" border="0"></td>
            <td class="FormInsideTableRegCell" align="center"><img src="../../Images/icon_checkBoxBlank.gif" width="18" height="14" alt="" border="0"></td>
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            <td class="FormInsideTableRegCell" align="left" height="20">Abdominal Pain</td>
            <td class="FormInsideTableRegCell" align="center"><img src="../../Images/icon_checkBoxBlank.gif" width="18" height="14" alt="" border="0"></td>
            <td class="FormInsideTableRegCell" align="center"><img src="../../Images/icon_checkBoxBlank.gif" width="18" height="14" alt="" border="0"></td>
            <td class="FormInsideTableRegCell" align="center"><img src="../../Images/icon_checkBoxBlank.gif" width="18" height="14" alt="" border="0"></td>
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            <td class="FormInsideTableRegCell" align="left" height="20">Rectal Bleeding</td>
            <td class="FormInsideTableRegCell" align="center"><img src="../../Images/icon_checkBoxBlank.gif" width="18" height="14" alt="" border="0"></td>
            <td class="FormInsideTableRegCell" align="center"><img src="../../Images/icon_checkBoxBlank.gif" width="18" height="14" alt="" border="0"></td>
            <td class="FormInsideTableRegCell" align="center"><img src="../../Images/icon_checkBoxBlank.gif" width="18" height="14" alt="" border="0"></td>
		  </tr>
          <tr > 
            <td class="FormInsideTableRegCell" align="left" valign="top" rowspan="4"><img src="../../Images/shim.gif" border="0" width="4" height="0">GU</td>
            <td class="FormInsideTableRegCell" align="left" height="20">Dysuria</td>
            <td class="FormInsideTableRegCell" align="center"><img src="../../Images/icon_checkBoxBlank.gif" width="18" height="14" alt="" border="0"></td>
            <td class="FormInsideTableRegCell" align="center"><img src="../../Images/icon_checkBoxBlank.gif" width="18" height="14" alt="" border="0"></td>
            <td class="FormInsideTableRegCell" align="center"><img src="../../Images/icon_checkBoxBlank.gif" width="18" height="14" alt="" border="0"></td>
            <td class="FormInsideTableRegCell" rowspan="4" align="center" height="20">&nbsp;</td>
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          <tr > 
            <td class="FormInsideTableRegCell" align="left" height="20">Frequency</td>
            <td class="FormInsideTableRegCell" align="center"><img src="../../Images/icon_checkBoxBlank.gif" width="18" height="14" alt="" border="0"></td>
            <td class="FormInsideTableRegCell" align="center"><img src="../../Images/icon_checkBoxBlank.gif" width="18" height="14" alt="" border="0"></td>
            <td class="FormInsideTableRegCell" align="center"><img src="../../Images/icon_checkBoxBlank.gif" width="18" height="14" alt="" border="0"></td>
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