urotestrplndfu.ascx

医疗决策支持系统

                  </strong> <br/>
                </ItemTemplate>
              </asp:Repeater> <table width="306" border="0" cellspacing="0" cellpadding="1" id="BlankScrotalUSTable" runat="server">
                <tr> 
                  <td colspan="3"> <img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"> 
                    Microlithiasis &nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"> 
                    Macrolithiasis &nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13"> 
                    Heterogeneity </td>
                </tr>
                <tr> 
                  <td class="FormInsideTableTopLeftCell">Side</td>
                  <td class="FormInsideTableTopCell" width="70">Size</td>
                  <td class="FormInsideTableTopCell"  width="70">Nodes</td>
                </tr>
                <tr> 
                  <td class="FormInsideTableLeftCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13" vspace="2" align="absmiddle">Left&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13" vspace="2" align="absmiddle">Right</td>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                </tr>
                <tr> 
                  <td class="FormInsideTableLeftCell"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13" vspace="2" align="absmiddle">Left&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13" vspace="2" align="absmiddle">Right</td>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                </tr>
              </table></td>
            <td class="FormInsideTableRegCell">&nbsp;</td>
          </tr>
        </table></td>
    </tr>
    <tr> 
      <td class="FormOuterTableRow"> <table width="650" border="0" cellspacing="0" cellpadding="4">
          <tr> 
            <td> <asp:Repeater ID="CTChest" runat=server> 
                <HeaderTemplate> <span class="blackBoldText">Chest CT</span><br/>
                  <br/>
                </HeaderTemplate>
                <ItemTemplate> <strong> 
                  <%# DataBinder.Eval(Container.DataItem, "DxDateText") %>
                  </strong> &nbsp;<strong> 
                  <%# DataBinder.Eval(Container.DataItem, "DxType") %>
                  </strong> &nbsp;<strong> 
                  <%# DataBinder.Eval(Container.DataItem, "DxTarget") %>
                  </strong> &nbsp;<strong> 
                  <%# DataBinder.Eval(Container.DataItem, "DxSide") %>
                  </strong> &nbsp;<strong> 
                  <%# DataBinder.Eval(Container.DataItem, "DxResult") %>
                  &nbsp; 
                  <%# DataBinder.Eval(Container.DataItem, "DxNotes") %>
                  </strong> <br/>
                </ItemTemplate>
              </asp:Repeater> <table width="642" border="0" cellpadding="1" cellspacing="0" id="BlankChestCTTable" runat="server">
                <tr> 
                  <td colspan="2" class="FormInnerRowBottomBorder"><span class="blackBoldText">Chest 
                    CT</span><span><img src="../../Images/shim.gif" border="0" width="20" height="8"></span> 
                    <input type="checkbox" name="Films Reviewed24">
                    Normal</td>
                  <td colspan="2" class="FormInsideTableTopLeftCell">Date:</td>
                  <td colspan="2" class="FormInsideTableTopLeftCell">Date:</td>
                  <td colspan="2" class="FormInsideTableTopLeftCell">Date:</td>
                </tr>
                <tr> 
                  <td width="52" align="center" class="FormInsideTableLeftCell"><span>Site</span></td>
                  <td width="90" align="center" class="FormInnerRowBottomBorder">Side</td>
                  <td width="83" align="center" valign="top" class="FormInsideTableLeftCell">Size</td>
                  <td width="83" align="center" valign="top" class="FormInsideTableRegCell">Nodes</td>
                  <td width="83" align="center" valign="top" class="FormInsideTableLeftCell">Size</td>
                  <td width="83" align="center" valign="top" class="FormInsideTableRegCell">Nodes</td>
                  <td width="83" align="center" valign="top" class="FormInsideTableLeftCell">Size</td>
                  <td width="83" align="center" valign="top" class="FormInsideTableRegCell">Nodes</td>
                </tr>
                <tr> 
                  <td rowspan="2" class="FormInsideTableLeftCell"><p>Lung</p></td>
                  <td align="center" class="FormInnerRowBottomBorder"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13" vspace="2" align="absbottom">Left&nbsp;&nbsp;&nbsp;&nbsp;<img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13" vspace="2" align="absbottom">Right</td>
                  <td class="FormInsideTableLeftCell">&nbsp;</td>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                </tr>
                <tr> 
                  <td align="center" class="FormInnerRowBottomBorder"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13" vspace="2" align="absbottom">Left&nbsp;&nbsp;&nbsp;&nbsp;<img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13" vspace="2" align="absbottom">Right</td>
                  <td class="FormInsideTableLeftCell">&nbsp;</td>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                </tr>
                <tr> 
                  <td rowspan="2" class="FormInsideTableLeftCell">Mediastinal</td>
                  <td align="center" class="FormInnerRowBottomBorder"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13" vspace="2" align="absbottom">Left&nbsp;&nbsp;&nbsp;&nbsp;<img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13" vspace="2" align="absbottom">Right</td>
                  <td class="FormInsideTableLeftCell">&nbsp;</td>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                </tr>
                <tr> 
                  <td align="center" class="FormInnerRowBottomBorder"><img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13" vspace="2" align="absbottom">Left&nbsp;&nbsp;&nbsp;&nbsp;<img src="../../Images/FormImages/WinCheckbox.gif" width="13" height="13" vspace="2" align="absbottom">Right</td>
                  <td class="FormInsideTableLeftCell">&nbsp;</td>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                </tr>
              </table></td>
          </tr>
        </table></td>
    </tr>
    <tr> 
      <td class="FormOuterTableRow"> <asp:Repeater ID="CTAbdomenPelvis" runat=server> 
          <HeaderTemplate> &nbsp;<span class="blackBoldText">CT Scan (Abdomen 
            / Pelvis)</span><br/>
            <br/>
          </HeaderTemplate>
          <ItemTemplate> <strong>&nbsp; 
            <%# DataBinder.Eval(Container.DataItem, "DxDateText") %>
            </strong> &nbsp;<strong> 
            <%# DataBinder.Eval(Container.DataItem, "DxType") %>
            </strong> &nbsp;<strong> 
            <%# DataBinder.Eval(Container.DataItem, "DxTarget") %>
            </strong> &nbsp;<strong> 
            <%# DataBinder.Eval(Container.DataItem, "DxSide") %>
            </strong> &nbsp;<strong> 
            <%# DataBinder.Eval(Container.DataItem, "DxResult") %>
            &nbsp; 
            <%# DataBinder.Eval(Container.DataItem, "DxNotes") %>
            </strong> <br/>
          </ItemTemplate>
        </asp:Repeater> <table width="650" border="0" cellspacing="0" cellpadding="4" id="BlankCTAbdomenPelvisTable" runat="server">
          <tr> 
            <td width="325"><span class="blackBoldText">CT Scan (Abdomen / Pelvis)<br>
              </span> <input type="checkbox" name="Films Reviewed2">
              Liver Mets<img src="../../Images/shim.gif" border="0" width="12" height="1"> 
              <input type="checkbox" name="Compared to Past2">
              Other Visc. Mets<br> <input type="checkbox" name="Reviewed with Radiologist2">
              Lymphocele<br> </td>
            <td width="325" align="left">Primary Landing Zone: <br> <input type="checkbox" name="Films Reviewed22">
              Left: Paraaortic<img src="../../Images/shim.gif" border="0" width="18" height="1"> 
              <input type="checkbox" name="Compared to Past222">
              Interaortic<br> <input type="checkbox" name="Compared to Past222">
              Right: Interaortocaval</td>
          </tr>
          <tr> 
            <td colspan="2"> <table width="642" border="0" cellpadding="1" cellspacing="0">
                <tr> 
                  <td align="center" class="FormInnerRowBottomBorder">&nbsp;</td>
                  <td align="center" class="FormInnerRowBottomBorder">&nbsp;</td>
                  <td colspan="5" align="center" class="FormInsideTableTopLeftCell">Size 
                    (cm)</td>
                </tr>
                <tr> 
                  <td width="112" align="center" class="FormInsideTableLeftCell"><span>Site</span></td>
                  <td width="30" align="center" class="FormInnerRowBottomBorder">No 
                    Mass</td>
                  <td width="64" align="center" valign="top" class="FormInsideTableLeftCell">Date:</td>
                  <td width="64" align="center" valign="top" class="FormInsideTableRegCell">Date:</td>
                  <td width="64" align="center" valign="top" class="FormInsideTableRegCell">Date:</td>
                  <td width="64" align="center" valign="top" class="FormInsideTableRegCell">Date:</td>
                  <td width="64" align="center" valign="top" class="FormInsideTableRegCell">Date:</td>
                </tr>
                <tr> 
                  <td class="FormInsideTableLeftCell"><p>Largest mass on CT<br>
                      (in longest dimension)</p></td>
                  <td class="FormInnerRowBottomBorder">&nbsp;</td>
                  <td class="FormInsideTableLeftCell">&nbsp;</td>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                </tr>
                <tr> 
                  <td class="FormInsideTableLeftCell">Precaval</td>
                  <td class="FormInnerRowBottomBorder">&nbsp;</td>
                  <td class="FormInsideTableLeftCell">&nbsp;</td>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                </tr>
                <tr> 
                  <td class="FormInsideTableLeftCell">Paracaval</td>
                  <td class="FormInnerRowBottomBorder">&nbsp;</td>
                  <td class="FormInsideTableLeftCell">&nbsp;</td>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                </tr>
                <tr> 
                  <td class="FormInsideTableLeftCell">Para-aortic</td>
                  <td class="FormInnerRowBottomBorder">&nbsp;</td>
                  <td class="FormInsideTableLeftCell">&nbsp;</td>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                </tr>
                <tr> 
                  <td class="FormInsideTableLeftCell">Preaortic</td>
                  <td class="FormInnerRowBottomBorder">&nbsp;</td>
                  <td class="FormInsideTableLeftCell">&nbsp;</td>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                </tr>
                <tr> 
                  <td class="FormInsideTableLeftCell">Interaortocaval</td>
                  <td class="FormInnerRowBottomBorder">&nbsp;</td>
                  <td class="FormInsideTableLeftCell">&nbsp;</td>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                  <td cl