medicationsform.ascx

医疗决策支持系统

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

<input type=hidden id="medicationId" runat=server>
	
<!--get detailed Meds data if coming from Chron list -->
<table align="center" width="440" border="0">
	<val:DataEntryCommonFields id="commonFields" runat=server></val:DataEntryCommonFields>

	<tr>
		<td width="100" class="pdFormFieldLabel"><val:PDLabel id="toolTip1" Text="Med Start Date:" Field="MedDateText" runat="server" /></td>
		<td><input type="text" ID="medDateText" class="pdFormField" runat="server" NAME="medDateText"><img id="medDateTextCal" runat="server" src="../../../images/Calendar/cal.gif" width="16" height="16" border="0" alt="Enter Date" align="absMiddle" /></td>
	</tr>
	<tr>
		<td>&nbsp;</td> 
		<td><input type="text" ID="medDate" class="pdFormField" runat="server" NAME="medDate" readonly></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="toolTip2" Text="Stop Date:" Field="MedStopDateText" runat="server" /></td>
		<td><input type="text" ID="medStopDateText" class="pdFormField" runat="server" NAME="medStopDateText"><img id="medStopDateTextCal" runat="server"  src="../../../images/Calendar/cal.gif" width="16" height="16" border="0" alt="Enter Date" align="absMiddle" /></td>
	</tr>
	<tr>
		<td valign="center" align="right">&nbsp;</td>
		<td valign="top"><input type="text" ID="medStopDate" maxlength="48" class="pdFormField" size="21" readonly runat="server" NAME="medStopDate"></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="MedType_PdLabel" Text="Type:" Field="MedType" Required="No" runat="server" /></td>
		<td valign="top"><select ID="MedType" class="pdFormField" runat="server" NAME="MedType"></select></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel" valign="top"><val:PDLabel id="MedicationFld_PdLabel" Text="Medication:" Field="Medication"  Required="Yes" runat="server" /></td>
		<td><val:ComboBox Id="MedicationFld" RefBy="MedicationFld" Runat="Server"/></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel" valign="top"><val:PDLabel id="toolTip5" Text="Indication:" Field="MedIndication"  Required="No" runat="server" /></td>
		<td><val:ComboBox Id="medIndication" RefBy="medIndication" Runat="Server"/></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="toolTip7" Text="Dose:" Field="MedDose" runat="server" /></td>
		<td>
			<input type="text" maxlength="48" id="medDose" class="pdFormField" runat="server" NAME="medDose"></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="toolTip10" Text="Total Dose:" Field="MedTotalDose" runat="server" /></td>
		<td><input type="text" maxlength="48" id="medTotalDose" class="pdFormField" runat="server" NAME="medTotalDose"></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="toolTip8" Text="Units:" Field="MedUnits" runat="server" /></td>
		<td><select ID="medUnits" class="pdFormField" runat="server" NAME="medUnits"></select></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="toolTip6" Text="Route:" Field="MedRoute" runat="server" /></td>
		<td><select ID="medRoute" class="pdFormField" runat="server" NAME="medRoute"></select></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel" valign="top"><val:PDLabel id="toolTip9" Text="Schedule:" Field="MedSchedule"  Required="No" runat="server" /></td>
		<td><val:ComboBox Id="medSchedule" RefBy="medSchedule" Runat="Server"/></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="toolTip11" Text="Notes:" Field="MedNotes" runat="server" /></td>
		<td valign="top">
			<textarea id="medNotes" cols="32" rows="3" runat="server" class="pdFormNotesField" NAME="medNotes"></textarea>
		</td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel" valign="top"><val:PDLabel id="Pdlabel2" Text="DataSource:" Field="medDataSource"  Required="No" runat="server" /></td>
		<td><val:ComboBox Id="medDataSource" RefBy="medDataSource" Runat="Server"/></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="toolTip12" Text="Quality:" Field="MedQuality" runat="server" /></td>
		<td><select ID="dataQuality" class="pdFormField" runat="server" NAME="dataQuality"></select></td>
	</tr>
	<tr>
		<td>&nbsp;</td>
	</tr>
</table>