comorbiditiesform.ascx

医疗决策支持系统

<%@ Control Language="c#" AutoEventWireup="false" Codebehind="ComorbiditiesForm.ascx.cs" Inherits="Caisis.UI.Modules.All.DataEntryForms.ComorbiditiesForm" TargetSchema="http://schemas.microsoft.com/intellisense/ie5" %>

<%@ Register TagPrefix="uc1" TagName="helpToolTip" Src="../../../Core/Help/helpToolTip.ascx" %>
<%@ Register TagPrefix="val" TagName="DataEntryCommonFields" Src="../../../Core/DataEntryForms/DataEntryCommonFields.ascx" %>
<%@ Register TagPrefix="val" Namespace="Caisis.UI.Core.Classes" Assembly="Caisis.UI" %>
 
<val:DataEntryCommonFields id="commonFields" runat=server></val:DataEntryCommonFields>

<table align="center" class="pdFormTable" width="440">

	<input type="hidden" id="ComorbidityId" runat=server NAME="ComorbidityId"/>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="ComorbDateText_PdLabel" Text="Date:" Field="ComorbDateText" Required="No" runat=server /></td>
		<td><input type="text" id="ComorbDateText" class="pdFormField" onblur="fuzzyDate(ComorbDateText);" runat=server NAME="ComorbDateText"/><img id="ComorbDateTextCal" runat="server"  src="../../../Images/Calendar/cal.gif" width="16" height="16" border="0" alt="select date" align="absMiddle" onClick="showCal(this);"></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="ComorbDate_PdLabel" Text="" Field="ComorbDate" Required="No" runat=server /></td>
		<td><input type="text" id="ComorbDate" class="pdFormField"  runat=server NAME="ComorbDate" readonly/></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="ComorbSystem_PdLabel" Text="System:" Field="ComorbSystem" Required="No" runat=server /></td>
		<td><select id="ComorbSystem" class="pdFormField" runat=server NAME="ComorbSystem"/></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="ComorbidityFld_PdLabel" Text="Comorbidity:" Field="Comorbidity" Required="Yes" runat=server /></td>
		<td><val:ComboBox Id="ComorbidityFld" RefBy="ComorbidityFld" runat=server /></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="ComorbICD_Code_PdLabel" Text="ICD Code:" Field="ComorbICD_Code" Required="No" runat=server /></td>
		<td><input type="text" id="ComorbICD_Code" class="pdFormField" maxlength="50" runat=server NAME="ComorbICD_Code"/></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="ComorbNotes_PdLabel" Text="Notes:" Field="ComorbNotes" Required="No" runat=server /></td>
		<td><textarea id="ComorbNotes" class="pdFormNotesField" cols="32" rows="3" maxlength="1000" runat=server NAME="ComorbNotes"></textarea></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="ComorbDataSource_PdLabel" Text="Data Source:" Field="ComorbDataSource" Required="No" runat=server /></td>
		<td><val:ComboBox Id="ComorbDataSource" RefBy="ComorbDataSource" runat=server /></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="ComorbQuality_PdLabel" Text="Data Quality:" Field="ComorbQuality" Required="No" runat=server /></td>
		<td><select id="ComorbQuality" class="pdFormField" runat=server NAME="ComorbQuality"/></td>
	</tr>
 
</table>