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</td>
<td class="FormInnerRowBottomBorder">
<%# DataBinder.Eval(Container.DataItem, "AllergyResponse") %>
</td>
</tr>
</ItemTemplate>
</asp:Repeater>
</table></td>
</tr>
</table></td>
</tr>
<tr>
<td height="50" valign="top" class="FormOuterTableRow"><span class="blackBoldText"><img src="../../Images/shim.gif" border="0" width="4" height="15">Comorbidities</span><br/>
<asp:Repeater ID="comorbidities" runat=server>
<ItemTemplate>
<%# DataBinder.Eval(Container.DataItem, "ComorbDateText") %>
- <strong>
<%# DataBinder.Eval(Container.DataItem, "Comorbidity") %>
</strong> </ItemTemplate>
<SeparatorTemplate>; </SeparatorTemplate>
</asp:Repeater>
</td>
</tr>
<tr>
<td class="FormOuterTableRow">
<table width="100%" border="0" cellpadding="0" cellspacing="0">
<tr>
<td align="left" valign="top" ><img src="../../Images/shim.gif" border="0" width="4" height="16"><span class="blackBoldText">Procedures</span><br>
<table width="100%" border="0" cellpadding="0" cellspacing="0">
<tr align="center">
<td width="15%" class="FormInsideTableTopCell">Date</td>
<td width="25%" class="FormInsideTableTopCell">Procedure</td>
<td width="60%" class="FormInsideTableTopCell">Findings</td>
</tr>
<tr>
<td height="20" class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
</tr>
<tr >
<td height="20" class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
</tr>
<tr >
<td height="20" class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
</tr>
</table>
</td>
</tr>
</table>
</td>
</tr>
<tr>
<td align="center" class="FormOuterTableRow">
<table align="center" border="0" width="100%" cellpadding="1" cellspacing="0">
<tr>
<td colspan="5" align="left" valign="middle"><span class="blackBoldText"><img src="../../Images/shim.gif" border="0" width="3" height="15">Medical Therapies / Chemotherapy</span><span><img src="../../Images/shim.gif" border="0" width="50" height="1">Initial Risk Category:<img src="../../Images/shim.gif" border="0" width="20" height="1"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13" hspace="0" vspace="0" align="absmiddle">Poor<img src="../../Images/shim.gif" border="0" width="20" height="1"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13" hspace="0" vspace="0" align="absmiddle">Intermediate<img src="../../Images/shim.gif" border="0" width="20" height="1"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13" hspace="0" vspace="0" align="absmiddle">Good</span></td>
</tr>
<!--<tr>
<td height="22" colspan="5" valign="middle" class="FormInsideTableTopLeftCell"><img src="../../Images/shim.gif" border="0" width="3" height="1">Initial Risk Category:<img src="../../Images/shim.gif" border="0" width="20" height="1"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13" hspace="0" vspace="0" align="absmiddle">Poor<img src="../../Images/shim.gif" border="0" width="20" height="1"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13" hspace="0" vspace="0" align="absmiddle">Intermediate<img src="../../Images/shim.gif" border="0" width="20" height="1"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13" hspace="0" vspace="0" align="absmiddle">Good</td>
</tr>-->
<tr>
<td width="100" align="center" valign="middle" class="FormInsideTableTopCell">Start Date</td>
<td width="100" align="center" valign="middle" class="FormInsideTableTopCell">Stop Date</td>
<td width="125" align="center" valign="middle" class="FormInsideTableTopCell">Indication</td>
<td width="275" align="center" valign="middle" class="FormInsideTableTopCell">Regimen</td>
<td width="100" align="center" valign="middle" class="FormInsideTableTopCell">Cycles</td>
</tr>
<tr>
<td class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
<td height="15" class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
</tr>
<tr>
<td class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
<td height="15" class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
</tr>
<tr>
<td class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
<td height="15" class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
</tr>
</table>
<table align="center" border="0" width="100%" cellpadding="0" cellspacing="0">
<tr>
<td colspan="7" align="left" valign="top" class="smallGrayText"><strong> Indication Codes</strong></td>
</tr>
<tr>
<td align="left" valign="top" class="smallGrayText"> </td>
<td align="right" valign="top" class="smallGrayText"><strong>1 </strong></td>
<td valign="top" class="FormInnerRowRightBorder"><span class="smallGrayText">Induction</span>
</td>
<td align="right" valign="top" class="smallGrayText"><strong>6 </strong></td>
<td valign="top" class="FormInnerRowRightBorder"><span class="smallGrayText">Relapse
after PostChemo RPLND</span></td>
<td align="right" valign="top" class="smallGrayText"><strong>10 </strong></td>
<td valign="top" class="smallGrayText">Third Line </td>
</tr>
<tr>
<td align="left" valign="top" class="smallGrayText"> </td>
<td align="right" valign="top" class="smallGrayText"><strong>2 </strong></td>
<td valign="top" class="FormInnerRowRightBorder"><span class="smallGrayText">Relapse
after Surveillance</span></td>
<td align="right" valign="top" class="smallGrayText"><strong>7 </strong></td>
<td valign="top" class="FormInnerRowRightBorder"><span class="smallGrayText">Relapse after RPLND</span></td>
<td align="right" valign="top" class="smallGrayText"><strong>11 </strong></td>
<td valign="top" class="smallGrayText">Relapse with Progression of
disease</td>
</tr>
<tr>
<td align="left" valign="top" class="smallGrayText"> </td>
<td align="right" valign="top" class="smallGrayText"><strong>3 </strong></td>
<td valign="top" class="FormInnerRowRightBorder"><span class="smallGrayText">Salvage after incomplete RPLND</span></td>
<td align="right" valign="top" class="smallGrayText"><strong>8 </strong></td>
<td valign="top" class="FormInnerRowRightBorder"><span class="smallGrayText">Relapse after Chemo</span></td>
<td align="right" valign="top" class="smallGrayText"><strong>12 </strong></td>
<td valign="top"><span class="smallGrayText">Other</span></td>
</tr>
<tr>
<td align="left" valign="top" class="smallGrayText"> </td>
<td align="right" valign="top" class="smallGrayText"><strong>4 </strong></td>
<td valign="top" class="FormInnerRowRightBorder"><span class="smallGrayText">Adjuvant
after RPLND</span></td>
<td align="right" valign="top" class="smallGrayText"><strong>9 </strong></td>
<td valign="top" class="FormInnerRowRightBorder"><span class="smallGrayText">Second Line</span></td>
<td align="right" valign="top" class="smallGrayText"><strong>13 </strong></td>
<td valign="top" class="smallGrayText">Unknown</td>
</tr>
<tr>
<td align="left" valign="top" class="smallGrayText"> </td>
<td align="right" valign="top" class="smallGrayText"><strong>5 </strong></td>
<td valign="top" class="FormInnerRowRightBorder"><span class="smallGrayText">Adjuvant
after postChemo RPLND</span></td>
<td align="right" valign="top" class="smallGrayText"> </td>
<td valign="top" class="FormInnerRowRightBorder"> </td>
<td valign="top" class="smallGrayText"> </td>
<td valign="top" class="smallGrayText"> </td>
</tr>
</table></td>
</tr>
<tr >
<td height="14" align="center" valign="bottom" class="blackBoldText">GU10<img src="../../Images/shim.gif" border="0" width="45" height="1">U14<img src="../../Images/shim.gif" border="0" width="45" height="1">CMIC
Approval Date: 6/03<img src="../../Images/shim.gif" border="0" width="45" height="8">rev:08/08/06<img src="../../Images/shim.gif" border="0" width="45" height="1">Page
<span id="PageNumber">1</span> of <span id="TotalPages">5</span><img src="../../Images/shim.gif" border="0" width="45" height="1">B/02.070.<span class="blackBoldTextSmall">10</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">*U14*</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 <%= institutionShortName%> POLICY</font>
<table width="650" border="0" cellspacing="0" cellpadding="0">
<tr>
<td class="FormOuterTableTopRow">
<table align="center" border="0" width="100%" cellpadding="4" cellspacing="0">
<tr>
<td width="50%" align="center" valign="middle" class="FormInnerRowRightBorder"><img src="../../Images/FormImages/<%= institutionShortName%>_FormLogo.gif" width="90" alt="" border="0" align="left"><span class="blackBoldText"><%= institutionName%><br>Urology Testis Follow-Up Patient</span></td>
<td width="50%" align="center" valign="bottom">
<table width="100%" border="0" cellspacing="1" cellpadding="0" >
<tr>
<td width="20%"> </td>
<td align="left" width="80%"> </td>
</tr>
<tr>
<td align="right">
<% =patientMRNLabel %>
</td>
<td align="left"><strong>
<% =patientMRN %>
</strong>
<% =patientDOB %>
</td>
</tr>
<tr>
<td align="right">
<% =patientNameLabel %>
</td>
<td align="left"><strong>
<% =patientLastName %>, <% =patientFirstName %> <% =patientMiddleName %>
</strong></td>
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