biopsiesform.ascx

医疗决策支持系统

<%@ Control Language="c#" AutoEventWireup="false" Codebehind="BiopsiesForm.ascx.cs" Inherits="Caisis.UI.Modules.All.DataEntryForms.BiopsiesForm" 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" cellpadding="3">

	<input type="hidden" id="BiopsyId" runat=server NAME="BiopsyId"/>
	
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="SurgeryId_PdLabel" Text="During Surgery On:" Field="SurgeryId" Required="No" runat=server /></td>
		<td><select id="SurgeryId" class="pdFormField" runat=server NAME="SurgeryId"/></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="BxDateText_PdLabel" Text="Date:" Field="BxDateText" Required="No" runat=server /></td>
		<td><input type="text" id="BxDateText" class="pdFormField" onblur="fuzzyDate(BxDateText);" runat=server NAME="BxDateText"/><img id="BxDateTextCal" 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="BxPending_PdLabel" Text="Pending:" Field="BxPending" Required="No" runat=server /><input type="checkbox" id="BxPending" value="1" runat=server NAME="BxPending"/></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="BxDate_PdLabel" Text="" Field="BxDate" Required="No" runat=server /></td>
		<td><input type="text" readonly id="BxDate" class="pdFormField"  runat=server NAME="BxDate"/></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="BxPathNum_PdLabel" Text="Path #:" Field="BxPathNum" Required="No" runat=server /></td>
		<td><input type="text" id="BxPathNum" class="pdFormField" maxlength="50" runat=server NAME="BxPathNum"/></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="BxType_PdLabel" Text="Type:" Field="BxType" Required="Yes" runat=server /></td>
		<td><select id="BxType" class="pdFormField" runat=server NAME="BxType"/></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="BxResult_PdLabel" Text="Result:" Field="BxResult" Required="No" runat=server /></td>
		<td><val:ComboBox Id="BxResult" RefBy="BxResult" runat=server /></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="BxSite_PdLabel" Text="Site:" Field="BxSite" Required="No" runat=server /></td>
		<td><val:ComboBox Id="BxSite" RefBy="BxSite" runat=server /></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="BxSubsite_PdLabel" Text="Subsite:" Field="BxSubsite" Required="No" runat=server /></td>
		<td><val:ComboBox Id="BxSubsite" RefBy="BxSubsite" runat=server /></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="BxSide_PdLabel" Text="Side:" Field="BxSide" Required="No" runat=server /></td>
		<td><select id="BxSide" class="pdFormField" runat=server NAME="BxSide"/></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="BxDataSource_PdLabel" Text="Data Source:" Field="BxDataSource" Required="No" runat=server /></td>
		<td><val:ComboBox Id="BxDataSource" RefBy="BxDataSource" runat=server /></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="BxQuality_PdLabel" Text="Data Quality:" Field="BxQuality" Required="No" runat=server /></td>
		<td><select id="BxQuality" class="pdFormField" runat=server NAME="BxQuality"/></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="BxIndication_PdLabel" Text="Indication:" Field="BxIndication" Required="No" runat=server /></td>
		<td><val:ComboBox Id="BxIndication" RefBy="BxIndication" runat=server /></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="BxGrade_PdLabel" Text="Grade:" Field="BxGrade" Required="No" runat=server /></td>
		<td><val:ComboBox Id="BxGrade" RefBy="BxGrade" runat=server /></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="BxHistology_PdLabel" Text="Histology:" Field="BxHistology" Required="No" runat=server /></td>
		<td><val:ComboBox Id="BxHistology" RefBy="BxHistology" runat=server /></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="BxPathologist_PdLabel" Text="Pathologist:" Field="BxPathologist" Required="No" runat=server /></td>
		<td><val:ComboBox Id="BxPathologist" RefBy="BxPathologist" runat=server /></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="BxInstitution_PdLabel" Text="Institution:" Field="BxInstitution" Required="No" runat=server /></td>
		<td><val:ComboBox Id="BxInstitution" RefBy="BxInstitution" runat=server /></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="BxCPT_Code_PdLabel" Text="CPT Code:" Field="BxCPT_Code" Required="No" runat=server /></td>
		<td><input type="text" id="BxCPT_Code" class="pdFormField" runat=server maxlength="50" NAME="BxCPT_Code"/></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="BxCPT_Description_PdLabel" Text="CPT Description:" Field="BxCPT_Description" Required="No" runat=server /></td>
		<td><input type="text" id="BxCPT_Description" class="pdFormField" maxlength="250" runat=server NAME="BxCPT_Description"/></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="BxNotes_PdLabel" Text="Notes:" Field="BxNotes" Required="No" runat=server /></td>
		<td><textarea id="BxNotes" class="pdFormNotesField" cols="32" rows="3" runat=server NAME="BxNotes"/></td>
	</tr>
</table>
<asp:Literal id="setSurgeryDateJsVar" runat="server" />