📄 uroprosnp.ascx
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</tr>
<asp:Repeater ID="labTests" runat=server>
<ItemTemplate>
<tr>
<td height="17" align="center" class="FormInsideTableRegCell"><%# DataBinder.Eval(Container.DataItem, "LabDateText") %></td>
<td class="FormInsideTableRegCell"><%# DataBinder.Eval(Container.DataItem, "LabTest") %></td>
<td class="FormInsideTableRegCell"><%# DataBinder.Eval(Container.DataItem, "LabResult") %></td>
<td class="FormInsideTableRegCell">
<%# DataBinder.Eval(Container.DataItem, "LabQuality") %>
</td>
</tr>
</ItemTemplate>
</asp:Repeater>
</table>
</td>
<td valign="top" class="blackBoldText"><table border="0" width="100%" cellpadding="1" cellspacing="0">
<tr >
<td width="100" align="center" valign="middle" class="FormInsideTableTopCell">Date
<br>
(mm/dd/yyyy)</td>
<td align="center" valign="middle" class="FormInsideTableTopCell">Marker</td>
<td align="center" valign="middle" class="FormInsideTableTopCell">Value</td>
<td align="center" valign="middle" class="FormInsideTableTopCell">Data<br>
Source</td>
</tr>
<tr >
<td height="17" align="center" class="FormInsideTableRegCell">/<span><img src="../../Images/shim.gif" border="0" width="22" height="1"></span>/</td>
<td class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
</tr>
<tr >
<td height="17" align="center" class="FormInsideTableRegCell">/<span><img src="../../Images/shim.gif" border="0" width="22" height="1"></span>/</td>
<td class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
</tr>
<tr >
<td height="17" align="center" class="FormInsideTableRegCell">/<span><img src="../../Images/shim.gif" border="0" width="22" height="1"></span>/</td>
<td class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
</tr>
<tr >
<td height="17" align="center" class="FormInsideTableRegCell">/<span><img src="../../Images/shim.gif" border="0" width="22" height="1"></span>/</td>
<td class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
</tr>
<tr >
<td height="17" align="center" class="FormInsideTableRegCell">/<span><img src="../../Images/shim.gif" border="0" width="22" height="1"></span>/</td>
<td class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
</tr>
<tr >
<td height="17" align="center" class="FormInsideTableRegCell">/<span><img src="../../Images/shim.gif" border="0" width="22" height="1"></span>/</td>
<td class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
</tr>
</table></td>
</tr>
</table>
</td>
</tr>
<tr>
<td class="FormOuterTableRow"> <span class="blackBoldText"><img src="../../Images/shim.gif" border="0" width="4" height="0">Imaging</span><span><img src="../../Images/shim.gif" border="0" width="10" height="1">
<input type="checkbox" name="Films Reviewed">
Films Reviewed<img src="../../Images/shim.gif" border="0" width="10" height="1">
<input type="checkbox" name="Compared to Past">
Compared to Past<img src="../../Images/shim.gif" border="0" width="10" height="1">
<input type="checkbox" name="Reviewed with Radiologist">
Reviewed with Radiologist<img src="../../Images/shim.gif" border="0" width="10" height="1">
<input type="checkbox" name="Digitized">
Digitized</span> <table align="center" border="0" width="100%" cellpadding="0" cellspacing="0">
<tr >
<td width="15%" align="center" valign="middle" class="FormInsideTableTopCell">Date</td>
<td width="15%" align="center" valign="middle" class="FormInsideTableTopCell">Study</td>
<td width="35%" align="center" valign="middle" class="FormInsideTableTopCell">Results</td>
<td width="35%" align="center" valign="middle" class="FormInsideTableTopCell">Comments</td>
</tr>
<asp:Repeater ID="images" runat=server>
<ItemTemplate>
<tr>
<td height="24" align="center" class="FormInsideTableRegCell"> <%# DataBinder.Eval(Container.DataItem, "DxDateText") %></td>
<td class="FormInsideTableRegCell"> <%# DataBinder.Eval(Container.DataItem, "DxType") %></td>
<td class="FormInsideTableRegCell"> <%# DataBinder.Eval(Container.DataItem, "DxResult") %></td>
<td class="FormInnerRowBottomBorder"> <%# DataBinder.Eval(Container.DataItem, "DxNotes") %></td>
</tr>
</ItemTemplate>
</asp:Repeater>
<tr>
<td height="17" align="center" class="FormInsideTableRegCell">/ /</td>
<td class="FormInsideTableRegCell"> MRI</td>
<td class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"><img src="../../Images/shim.gif" border="0" width="5" height="15">MRI
Ureth. Length:________________<br>
<img src="../../Images/shim.gif" border="0" width="5" height="15">MRI
Veins (0-4+):_________________<br>
<img src="../../Images/shim.gif" border="0" width="5" height="15">Prostate
Volume (cc):_____________<img src="../../Images/shim.gif" border="0" width="25" height="1"></td>
</tr>
<tr >
<td height="17" colspan="4"><img src="../../Images/shim.gif" border="0" width="4" height="0">Additional
Comments:<br> <br>
<img src="../../Images/shim.gif" border="0" width="4" height="0"></td>
</tr>
</table>
</td>
</tr>
<tr>
<td class="FormOuterTableRow"> <span class="blackBoldText"><img src="../../Images/shim.gif" border="0" width="4" height="0">Previous Biopsies </span>
<input type="checkbox" name="PA222" value="Yes"><strong>Check if None</strong><br>
<table align="center" border="0" width="100%" cellpadding="0" cellspacing="0">
<tr>
<td width="15%" align="center" valign="middle" class="FormInsideTableTopCell">Date</td>
<td width="25%" align="center" valign="middle" class="FormInsideTableTopCell">Result</td>
<td width="60%" align="center" valign="middle" class="FormInsideTableTopCell">Comments</td>
</tr>
<tr>
<td height="24" align="center" class="FormInsideTableRegCell">/<span><img src="../../Images/shim.gif" border="0" width="22" height="1"></span>/</td>
<td class="FormInsideTableRegCell"> </td>
<td class="FormInnerRowBottomBorder"> </td>
</tr>
<tr>
<td height="24" align="center" class="FormInsideTableRegCell">/<span><img src="../../Images/shim.gif" border="0" width="22" height="1"></span>/</td>
<td class="FormInsideTableRegCell"> </td>
<td class="FormInnerRowBottomBorder"> </td>
</tr>
<tr>
<td height="24" align="center" class="FormInsideTableRegCell">/<span><img src="../../Images/shim.gif" border="0" width="22" height="1"></span>/</td>
<td class="FormInsideTableRegCell"> </td>
<td class="FormInnerRowBottomBorder"> </td>
</tr>
</table>
</td>
</tr>
<tr>
<td class="FormOuterTableRow"> <span class="blackBoldText"><img src="../../Images/shim.gif" border="0" width="4" height="0">Diagnostic
Biopsy</span> Date: ____/____/_____ Data
Source:<span>
<input name="DateLastGnRH22" type="checkbox" id="DateLastGnRH222" value="yes">
Outside
<input name="DateLastGnRH32" type="checkbox" id="DateLastGnRH323" value="yes">
MSK Rev
<input name="DateLastGnRH322" type="checkbox" id="DateLastGnRH3222" value="yes">
Done at MSK</span><br> <table align="center" border="0" width="100%" cellpadding="0" cellspacing="0">
<tr>
<td align="center" valign="middle" class="FormInsideTableTopCell">Result</td>
<td align="center" valign="middle" class="FormInsideTableTopCell">Gleason Grade </td>
<td align="center" valign="middle" class="FormInsideTableTopCell">Cores</td>
</tr>
<tr >
<td height="16" align="center" valign="middle" class="FormInnerRowRightBorder"> </td>
<td align="center" valign="middle" class="FormInnerRowRightBorder">
<input type="text" name="BxGG1" size="2" maxlength="48" class="inputFieldFlat">
<strong>+</strong> <input type="text" name="BxGG2" size="2" maxlength="48" class="inputFieldFlat">
<strong>=</strong> <input type="text" name="BxGGS" size="2" maxlength="48" class="inputFieldFlat"></td>
<td align="center" valign="middle"> Positive:
<input type="text" name="BxPosCores" size="3" maxlength="48" class="inputFieldFlat">
Total:
<input type="text" name="BxNumCores" size="3" maxlength="48" class="inputFieldFlat"></td>
</tr>
<tr>
<td colspan="6"> <table align="center" border="0" width="650" cellpadding="0" cellspacing="0">
<tr>
<td width="30" align="center" class="FormInsideTableTopCell">Side</td>
<td width="30" align="center" class="FormInsideTableTopCell">Level</td>
<td width="40" align="center" class="FormInsideTableTopCell">#Cores</td>
<td width="30" align="center" class="FormInsideTableTopCell">GG1</td>
<td width="30" align="center" class="FormInsideTableTopCell">GG2</td>
<td width="30" align="center" class="FormInsideTableTopCell">GGS</td>
<td width="30" align="center" class="FormInsideTableTopCell">%Ca</td>
<td width="30" align="center" class="FormInsideTableTopCell">mmCa</td>
<td width="30" align="center" class="FormInsideTableTopCell">mmCore</td>
<td width="30" align="center" class="FormInsideTableTopCell">PNI</td>
<td width="30" align="center" class="FormInsideTableTopCell">PIN</td>
<td width="30" align="center" class="FormInsideTableTopCell">ASAP</td>
<td width="45" align="center" class="FormInsideTableTopCell">HG PIN </td>
<td width="125" align="center" class="FormInsideTableTopCell">Biopsy Notes</td>
</tr>
<tr>
<td height="24" align="center" class="FormInsideTableRegCell">Right</td>
<td align="center" class="FormInsideTableRegCell">A</td>
<td class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
<td class="FormInnerRowBottomBorder"> </td>
</tr>
<tr>
<td height="24" align="center" class="FormInsideTableRegCell">Right</td>
<td align="center" class="FormInsideTableRegCell">M</td>
<td class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
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