medicaltherapyform.ascx

医疗决策支持系统

<!-- add Med Type based on selection of Med Agent -->
<script language=javascript>
// this function is called onclick of the combo box; if implement it requires an outermost if clause so other combos on this page do not trigger it.
	function executePageEventOnComboClick(comboValue, comboClientId)
	{
		// only trigger event if its a Med Agent Combo
		if(comboClientId.indexOf('MedTxAgent') > -1)
		{
			var medTxTypeClientId = comboClientId.replace('MedTxAgent', 'MedTxType');
			var medTxType = "";
			
			// go to array and get description based on value
			for(var i=0; i< MedTxAgentOptionsArray.length; i++)
			{
				var myArray = MedTxAgentOptionsArray[i];
				if(myArray[0] == comboValue)
				{
					medTxType = myArray[1];
				}
			}
			document.getElementById(medTxTypeClientId).value = medTxType;
		}
	}
</script>
<%@ Control Language="c#" AutoEventWireup="false" Codebehind="MedicalTherapyForm.ascx.cs" Inherits="Caisis.UI.Modules.All.DataEntryForms.MedicalTherapiesForm" 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" cellpadding="0" cellspacing="3">

	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="ProtocolId_PdLabel" Text="Protocol #:" Field="ProtocolId" Required="No" runat=server /></td>
		<td><select id="ProtocolId" class="pdFormField" runat=server /></td>
	</tr>
	<input type="hidden" id="MedicalTherapyId" runat=server />
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="MedTxDateText_PdLabel" Text="Start Date:" Field="MedTxDateText" Required="No" runat=server /></td>
		<td><input  type="text" id="MedTxDateText" class="pdFormField" runat=server /><img id="MedTxDateTextCal" runat="server" src="../../../images/Calendar/cal.gif" width="16" height="16" border="0" alt="select date" align="absMiddle" /><img src="../../images/shim.gif" height="1" width="30" /><val:PDLabel id="MedTxPending_PdLabel" Text="Pending:" Field="MedTxPending" Required="No" runat=server /><input type="checkbox" id="MedTxPending" value="1" runat=server NAME="MedTxPending"/></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="MedTxDate_PdLabel" Text="" Field="MedTxDate" Required="No" runat=server /></td>
		<td><input type="text" id="MedTxDate" class="pdFormField"  runat=server readonly/></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="MedTxStopDateText_PdLabel" Text="Stop Date:" Field="MedTxStopDateText" Required="No" runat=server /></td>
		<td><input type="text" id="MedTxStopDateText" class="pdFormField" runat=server NAME="MedTxStopDateText"/><img id="MedTxStopDateTextCal" runat="server" src="../../../images/Calendar/cal.gif" width="16" height="16" border="0" alt="select date" align="absMiddle" /></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="MedTxStopDate_PdLabel" Text="" Field="MedTxStopDate" Required="No" runat=server /></td>
		<td><input type="text" id="MedTxStopDate" class="pdFormField"  runat=server readonly NAME="MedTxStopDate"/></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="MedTxAgent_Pdlabel1" Text="Agent(s):" Field="MedTxAgent" Required="No" runat=server /></td>
		<td><val:ComboBox Id="MedTxAgent" RefBy="MedTxAgent" runat=server /></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="MedTxType_PdLabel" Text="Type:" Field="MedTxType" Required="Yes" runat=server /></td>
		<td><select id="MedTxType" class="pdFormField" runat=server /></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="MedTxDataSource_PdLabel" Text="Data Source:" Field="MedTxDataSource" Required="No" runat=server /></td>
		<td><val:ComboBox Id="MedTxDataSource" RefBy="MedTxDataSource" runat=server /></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="MedTxQuality_PdLabel" Text="Data Quality:" Field="MedTxQuality" Required="No" runat=server /></td>
		<td><select id="MedTxQuality" class="pdFormField" runat=server NAME="MedTxQuality"/></td>
	</tr>
<!--Break for Level 1 entry fields-->	
	<tr>
		<td colspan="2" height="25">&nbsp;</td>
	</tr>
	<tr>
		<td colspan="2" bgcolor="cccccc" height="1"><img src="../../images/shim.gif" height="1" width="1" /></td>
	</tr>
	<tr>
		<td colspan="2"  height="25">&nbsp;</td>
	</tr>
<!--End Break-->	
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="MedTxIndication_PdLabel" Text="Indication:" Field="MedTxIndication" Required="No" runat=server /></td>
		<td><val:ComboBox Id="MedTxIndication" RefBy="MedTxIndication" runat=server /></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="MedTxIntent_PdLabel" Text="Intent:" Field="MedTxIntent" Required="No" runat=server /></td>
		<td><val:ComboBox Id="MedTxIntent" RefBy="MedTxIntent" runat=server /></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="MedTxDose_PdLabel" Text="Dose:" Field="MedTxDose" Required="No" runat=server /></td>
		<td><input type="text" id="MedTxDose" class="pdFormField" maxlength="50" runat=server NAME="MedTxDose"/></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="MedTxTotalDose_PdLabel" Text="Total Dose:" Field="MedTxTotalDose" Required="No" runat=server /></td>
		<td><input type="text" id="MedTxTotalDose" class="pdFormField" maxlength="50" runat=server NAME="MedTxTotalDose"/></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="MedTxUnits_PdLabel" Text="Units (i.e. mg):" Field="MedTxUnits" Required="No" runat=server /></td>
		<td><select id="MedTxUnits" class="pdFormField" runat=server NAME="MedTxUnits"/></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="MedTxRoute_PdLabel" Text="Route:" Field="MedTxRoute" Required="No" runat=server /></td>
		<td><select id="MedTxRoute" class="pdFormField" runat=server NAME="MedTxRoute"/></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="MedTxSchedule_PdLabel" Text="Schedule:" Field="MedTxSchedule" Required="No" runat=server /></td>
		<td><val:ComboBox Id="MedTxSchedule" RefBy="MedTxSchedule" runat=server /></td>
	</tr>
<!--Break for Level 2 entry fields	
	<tr>
		<td colspan="2" height="25">&nbsp;</td>
	</tr>
	<tr>
		<td colspan="2" bgcolor="cccccc" height="1"><img src="../../images/shim.gif" height="1" width="1" /></td>
	</tr>
	<tr>
		<td colspan="2"  height="25">&nbsp;</td>
	</tr>
End Break-->	
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="MedTxCycle_PdLabel" Text="Cycle:" Field="MedTxCycle" Required="No" runat=server /></td>
		<td><input type="text" id="MedTxCycle" class="pdFormField" maxlength="50" runat=server /></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="MedTxWeek_PdLabel" Text="Week:" Field="MedTxWeek" Required="No" runat=server /></td>
		<td><input type="text" id="MedTxWeek" class="pdFormField" maxlength="50" runat=server /></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="MedTxInstitution_PdLabel" Text="Institution:" Field="MedTxInstitution" Required="No" runat=server /></td>
		<td><val:ComboBox Id="MedTxInstitution" RefBy="MedTxInstitution" runat=server /></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="MedTxNotes_PdLabel" Text="Notes:" Field="MedTxNotes" Required="No" runat=server /></td>
		<td><textarea id="MedTxNotes" class="pdFormNotesField" cols="32" rows="3" maxlength="1000" runat=server ></textarea></td>
	</tr>
 
</table>