encountersform.ascx

医疗决策支持系统

<%@ Control Language="c#" AutoEventWireup="false" Codebehind="EncountersForm.ascx.cs" Inherits="Caisis.UI.Modules.All.DataEntryForms.EncountersForm" 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 colspan="2" height="15"><input type="hidden" id="EncounterId" runat=server NAME="EncounterId"/>&nbsp;</td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="EncDateText_PdLabel" Text="Date:" Field="EncDateText" Required="No" runat=server /></td>
		<td><input type="text" id="EncDateText" class="pdFormField" onblur=";" runat=server NAME="EncDateText"/><img src="../../../images/Calendar/cal.gif" id="EncDateTextCal" runat="server"  width="16" height="16" border="0" alt="select date" align="absMiddle" onClick="" /><img src="../../images/shim.gif" border="0" width="30" height="1"/><input type="checkbox" id="EncPending" value="1" runat=server/><val:PDLabel id="EncPending_PdLabel" Text=" Pending" Field="EncPending" Required="No" runat=server /></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="EncDate_PdLabel" Text="" Field="EncDate" Required="No" runat=server /></td>
		<td><input type="text" id="EncDate" class="pdFormField"  runat=server NAME="EncDate" readonly/></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="EncType_PdLabel" Text="Type:" Field="EncType" Required="No" runat=server /></td>
		<td><select id="EncType" class="pdFormField" runat=server NAME="EncType"/></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="EncChiefComplaint_PdLabel" Text="Chief Complaint:" Field="EncChiefComplaint" Required="No" runat=server /></td>
		<td><input type="text" id="EncChiefComplaint" class="pdFormField" maxlength="255" runat=server NAME="EncChiefComplaint"/></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="EncPhysician_PdLabel" Text="Physician:" Field="EncPhysician" Required="No" runat=server /></td>
		<td><val:ComboBox Id="EncPhysician" RefBy="EncPhysician" runat=server /></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="EncFellow_PdLabel" Text="Fellow:" Field="EncFellow" Required="No" runat=server /></td>
		<td><val:ComboBox Id="EncFellow" RefBy="EncFellow" runat=server /></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="EncNurse_PdLabel" Text="Nurse:" Field="EncNurse" Required="No" runat=server /></td>
		<td><val:ComboBox Id="EncNurse" RefBy="EncNurse" runat=server /></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="EncPresentation_PdLabel" Text="Presentation:" Field="EncPresentation" Required="No" runat=server /></td>
		<td><select id="EncPresentation" class="pdFormField" runat=server NAME="EncPresentation"/></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="EncStatus_PdLabel" Text="Status:" Field="EncStatus" Required="No" runat=server /></td>
		<td><select id="EncStatus" class="pdFormField" runat=server NAME="EncStatus"/></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="EncDataSource_PdLabel" Text="Data Source:" Field="EncDataSource" Required="No" runat=server /></td>
		<td><val:ComboBox Id="EncDataSource" RefBy="EncDataSource" runat=server /></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="EncQuality_PdLabel" Text="Data Quality:" Field="EncQuality" Required="No" runat=server /></td>
		<td><select id="EncQuality" class="pdFormField" runat=server NAME="EncQuality"/></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="EncKPS_PdLabel" Text="KPS:" Field="EncKPS" Required="No" runat=server /></td>
		<td><input type="text" id="EncKPS" class="pdFormField" maxlength="50" runat=server NAME="EncKPS"/></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="EncBP_PdLabel" Text="BP:" Field="EncBP" Required="No" runat=server /></td>
		<td><input type="text" id="EncBP" class="pdFormField" maxlength="50" runat=server NAME="EncBP"/></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="EncPulse_PdLabel" Text="Pulse:" Field="EncPulse" Required="No" runat=server /></td>
		<td><input type="text" id="EncPulse" class="pdFormField" maxlength="50" runat=server NAME="EncPulse"/></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="EncTemp_PdLabel" Text="Temp:" Field="EncTemp" Required="No" runat=server /></td>
		<td><input type="text" id="EncTemp" class="pdFormField" maxlength="50" runat=server NAME="EncTemp"/></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="EncResp_PdLabel" Text="Resp:" Field="EncResp" Required="No" runat=server /></td>
		<td><input type="text" id="EncResp" class="pdFormField" maxlength="50" runat=server NAME="EncResp"/></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="EncHeight_PdLabel" Text="Height:" Field="EncHeight" Required="No" runat=server /></td>
		<td><input type="text" id="EncHeight" class="pdFormField" maxlength="50" runat=server NAME="EncHeight"/>&nbsp;(cm)</td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="EncWeight_PdLabel" Text="Weight:" Field="EncWeight" Required="No" runat=server /></td>
		<td><input type="text" id="EncWeight" class="pdFormField" maxlength="50" runat=server NAME="EncWeight"/>&nbsp;(kg)</td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="EncBSA_PdLabel" Text="BSA:" Field="EncBSA" Required="No" runat=server /></td>
		<td><input type="text" id="EncBSA" class="pdFormField" maxlength="50" runat=server NAME="EncBSA"/>&nbsp;(m<sup>2</sup>)</td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="EncBMI_PdLabel" Text="BMI:" Field="EncBMI" Required="No" runat=server /></td>
		<td><input type="text" id="EncBMI" class="pdFormField" maxlength="50" runat=server NAME="EncBMI"/>&nbsp;(kg/m<sup>2</sup>)</td>
	</tr>
	
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="EncInstitution_PdLabel" Text="Institution:" Field="EncInstitution" Required="No" runat=server /></td>
		<td><val:ComboBox Id="EncInstitution" RefBy="EncInstitution" runat=server /></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="EncNotes_PdLabel" Text="Notes:" Field="EncNotes" Required="No" runat=server /></td>
		<td><textarea id="EncNotes" class="pdFormNotesField" cols="32" rows="3" maxlength="1000" runat=server NAME="EncNotes"></textarea></td>
	</tr>
 
</table>