📄 urourinfuncnp.ascx
字号:
<asp:Repeater ID="familyHistory" runat=server OnItemCreated="FamilyHistoryItemCreated">
<ItemTemplate> <strong> <%# DataBinder.Eval(Container.DataItem, "FamMemNum") %> <%# DataBinder.Eval(Container.DataItem, "FamMemRelation") %>
<asp:Label ID="FamMemSide" Runat="server">( <%# DataBinder.Eval(Container.DataItem, "FamMemSide") %> )</asp:Label>
</strong>
<asp:Label ID="FamMemDiagnosis" Runat="server" >with <%# DataBinder.Eval(Container.DataItem, "FamMemDiagnosis") %> </asp:Label>
<br />
</ItemTemplate>
</asp:Repeater> </td>
<td width="330"><p><span class="blackBoldText">Social History:</span><br />
<img src="../../Images/shim.gif" width="1" height="5" hspace="0" vspace="0" border="0" /><br />
Occupation:
<asp:Label ID="socHxOccupation" Runat="server" />
<br />
<img src="../../Images/shim.gif" width="1" height="5" hspace="0" vspace="0" border="0" /><br />
Marital Status:
<asp:Label ID="socHxMaritalStatus" Runat="server" />
<img src="../../Images/shim.gif" border="0" width="60" height="1" />Children:
<asp:Label ID="socHxChildren" Runat="server" />
<br />
<img src="../../Images/shim.gif" width="1" height="5" hspace="0" vspace="0" border="0" /><br />
Tobacco Use:
<input type="checkbox" name="Digitized222222" />
None <br />
<img src="../../Images/shim.gif" border="0" width="73" height="8" />
<asp:Label ID="socHxTobaccoType" Runat="server">
<input type="checkbox" name="Digitized2222" />
Cigarettes <img src="../../Images/shim.gif" border="0" width="10" height="8" />
<input type="checkbox" name="Digitized22222" />
Cigar<img src="../../Images/shim.gif" border="0" width="10" height="1" />
<input type="checkbox" name="Digitized22223" />
Pipe</asp:Label>
<br />
<img src="../../Images/shim.gif" border="0" width="73" height="1" />
<input type="checkbox" id="socHxTobaccoPacksPerDayCheckBox" runat="server" name="socHxTobaccoPacksPerDayCheckBox"/>
<asp:Label ID="socHxTobaccoPacksPerDay" Runat="server">______</asp:Label>
packs / day for
<asp:Label ID="socHxTobaccoYears" Runat="server">______</asp:Label>
years<br />
<img src="../../Images/shim.gif" border="0" width="73" height="1" />
<input type="checkbox" id="socHxTobaccoQuitYearCheckbox" runat="server" name="socHxTobaccoQuitYearCheckbox"/>
Quit:
<asp:Label ID="socHxTobaccoQuitYear" Runat="server">______ years
ago</asp:Label>
<br />
<br />
Alcohol Use:
<asp:Label ID="socHxAlcohol" Runat="server" />
<br />
<img src="../../Images/shim.gif" width="1" height="5" hspace="0" vspace="0" border="0" /> <br />
Carcinogen Exposure:
<asp:Label ID="socHxCarcinogen" Runat="server" />
<br />
Caffeine Use: </p></td>
</tr>
</table></td>
</tr>
<tr>
<td class="FormOuterTableRow"><table align="center" border="0" width="100%" cellpadding="0" cellspacing="0">
<tr >
<td colspan="2" valign="top" class="blackBoldText"><span class="blackBoldText"><img src="../../Images/shim.gif" border="0" width="4" height="0" />Lab
Tests</span> </td>
</tr>
<tr >
<td valign="top" class="FormInnerRowRightBorder"><table width="100%" border="0" cellpadding="0" cellspacing="0" class="FormInnerRowRightBorder">
<tr>
<td width="80" height="15" align="center" valign="middle" class="FormInsideTableTopCell">Date</td>
<td align="center" valign="middle" class="FormInsideTableTopCell">Lab Test</td>
<td align="center" valign="middle" class="FormInsideTableTopCell">Value</td>
<td width="80" align="center" valign="middle" class="FormInsideTableTopCell">Data Source</td>
</tr>
<asp:Repeater ID="labTests" runat=server>
<ItemTemplate>
<tr>
<td height="22" align="center" class="FormInsideTableLeftCell"> <%# DataBinder.Eval(Container.DataItem, "LabDateText") %> </td>
<td class="FormInsideTableRegCell" align="center"> <%# DataBinder.Eval(Container.DataItem, "LabTest") %> </td>
<td class="FormInsideTableRegCell" align="center"> <%# DataBinder.Eval(Container.DataItem, "LabResult") %> </td>
<td class="FormInsideTableRegCell" align="center"> <%# DataBinder.Eval(Container.DataItem, "LabQuality") %> </td>
</tr>
</ItemTemplate>
</asp:Repeater>
</table></td>
<td valign="top" class="blackBoldText"><table border="0" width="100%" cellpadding="0" cellspacing="0">
<tr >
<td width="80" height="15" align="center" valign="middle" class="FormInsideTableTopCell">Date</td>
<td align="center" valign="middle" class="FormInsideTableTopCell">Lab Test </td>
<td align="center" valign="middle" class="FormInsideTableTopCell">Value</td>
<td width="80" align="center" valign="middle" class="FormInsideTableTopCell">Data Source</td>
</tr>
<tr >
<td height="22" align="center" class="FormInsideTableRegCell">/<span><img src="../../Images/shim.gif" border="0" width="22" height="1" /></span>/</td>
<td class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
</tr>
<tr >
<td height="22" align="center" class="FormInsideTableRegCell">/<span><img src="../../Images/shim.gif" border="0" width="22" height="1" /></span>/</td>
<td class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
</tr>
<tr >
<td height="22" align="center" class="FormInsideTableRegCell">/<span><img src="../../Images/shim.gif" border="0" width="22" height="1" /></span>/</td>
<td class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
</tr>
</table></td>
</tr>
</table></td>
</tr>
<tr>
<td class="FormOuterTableRow"><span class="blackBoldText"><img src="../../Images/shim.gif" border="0" width="4" height="0">Imaging</span><span><img src="../../Images/shim.gif" border="0" width="12" height="1">
<input type="checkbox" name="Films Reviewed">
Films Reviewed<br>
</span> <table align="center" border="0" width="650" cellpadding="0" cellspacing="0">
<tr>
<td width="100" height="20" align="center" valign="middle" class="FormInsideTableTopCell">Date</td>
<td width="125" align="center" valign="middle" class="FormInsideTableTopCell">Study</td>
<td width="125" align="center" valign="middle" class="FormInsideTableTopCell">Results</td>
<td width="300" align="center" valign="middle" class="FormInsideTableTopCell">Notes</td>
</tr>
<asp:Repeater ID="images" runat=server>
<ItemTemplate>
<tr>
<td height="22" class="FormInsideTableRegCell" align="center"> <strong>
<%# DataBinder.Eval(Container.DataItem, "DxDateText") %>
</strong></td>
<td class="FormInsideTableRegCell"> <strong><%# DataBinder.Eval(Container.DataItem, "DxType") %></strong></td>
<td class="FormInsideTableRegCell"> <strong><%# DataBinder.Eval(Container.DataItem, "DxResult") %></strong></td>
<td class="FormInsideTableRegCell"> <strong><%# DataBinder.Eval(Container.DataItem, "DxNotes") %></strong></td>
</tr>
</ItemTemplate>
</asp:Repeater>
</table></td>
</tr>
<tr >
<td height="14" align="center" valign="bottom" class="blackBoldText">GU16<img src="../../Images/shim.gif" border="0" width="45" height="1">U20<img src="../../Images/shim.gif" border="0" width="45" height="1">CMIC
Approval Date: 9/03<img src="../../Images/shim.gif" border="0" width="45" height="1">rev:09/08/06<img src="../../Images/shim.gif" border="0" width="45" height="1">Page
<span id="PageNumber">2</span> of <span id="TotalPages">5</span><img src="../../Images/shim.gif" border="0" width="45" height="1">B/02.070.<span class="blackBoldTextSmall">16</span></td>
</tr>
</table>
</div>
<div align="center" style="page-break-before:always">
<div align="center">
<div align="right" class="VerticalBarCodeDiv">
<div class="VerticalBarCodeStatement"><img src="../../Images/FormImages/BarCodeLineStatement.gif" border="0" width="8" height="121"><br/>
<img src="../../Images/FormImages/BarCodeLineStatement.gif" border="0" width="8" height="121" vspace="220"><br/>
<img src="../../Images/FormImages/BarCodeLineStatement.gif" border="0" width="8" height="121"></div>
<div class="VerticalBarCodeMRN"><% =BarCodeMRN %></div>
<div class="VerticalBarCodeDocType">*U20*</div>
<div class="VerticalBarCodeAcctType"><% =BarCodeAcctType %></div>
<div class="VerticalBarCodeDate"><% =BarCodeDate %></div>
</div>
</div>
<font style="font-size: 12px;">CONTAINS PROTECTED HEALTH INFORMATION - HANDLE ACCORDING TO MSKCC POLICY</font>
<table width="650" cellpadding="0" cellspacing="0" bgcolor="#FFFFFF">
<tr >
<td class="FormOuterTableTopRow"> <table align="center" border="0" width="100%" cellpadding="0" cellspacing="0">
<tr >
<td width="50%" align="center" valign="middle" class="FormInnerRowRightBorder"><span class="blackBoldText"><img src="../../Images/FormImages/<%= institutionShortName%>_FormLogo.gif" width="90" alt="" border="0" align="left"><%= institutionName%><br>
Urology Urinary Function<br>
New Patient</span></td>
<td width="50%" align="center" valign="bottom"> <table width="325" border="0" cellspacing="1" cellpadding="0" >
<tr>
<td width="65"><img src="../../Images/shim.gif" border="0" width="65" height="1"></td>
<td align="left" width="260"><img src="../../Images/shim.gif" border="0" width="260" height="1"></td>
</tr>
<tr>
<td align="right">
<% =patientMRNLabel %>
</td>
<td align="left"><strong>
<% =patientMRN %>
</strong>
<% =patientDOB %> </td>
</tr>
<tr>
<td colspan="1" align="right">
<% =patientNameLabel %>
</td>
<td colspan="1" align="left"><strong>
<% =patientLastName %>, <% =patientFirstName %> <% =patientMiddleName %>
</strong></td>
</tr>
<tr>
<td align="right" valign="top">
<% =patientAddressLabel %>
</td>
⌨️ 快捷键说明
复制代码
Ctrl + C
搜索代码
Ctrl + F
全屏模式
F11
切换主题
Ctrl + Shift + D
显示快捷键
?
增大字号
Ctrl + =
减小字号
Ctrl + -