proccystectomiesopform.ascx

医疗决策支持系统

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

	<input type="hidden" id="SurgeryId" runat=server />
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="OpSurgeon_PdLabel" Text="Surgeon:" Field="OpSurgeon" Required="No" runat=server /></td>
		<td><val:ComboBox Id="OpSurgeon" RefBy="OpSurgeon" runat=server /></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="OpSurgeonType_PdLabel" Text="Type of Surgeon:" Field="OpSurgeonType" Required="No" runat=server /></td>
		<td><select id="OpSurgeonType" class="pdFormField" runat=server /></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="OpAssistant_PdLabel" Text="Assistant:" Field="OpAssistant" Required="No" runat=server /></td>
		<td><val:ComboBox Id="OpAssistant" RefBy="OpAssistant" runat=server /></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="OpAssistantType_PdLabel" Text="Type of Assistant:" Field="OpAssistantType" Required="No" runat=server /></td>
		<td><select id="OpAssistantType" class="pdFormField" runat=server /></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="OpType_PdLabel" Text="Type of Operation:" Field="OpType" Required="No" runat=server /></td>
		<td><select id="OpType" class="pdFormField" runat=server /></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="OpCPT_Code_PdLabel" Text="CPT Code:" Field="OpCPT_Code" Required="No" runat=server /></td>
		<td><input type="text" id="OpCPT_Code" class="pdFormField" maxlength="50" runat=server NAME="OpCPT_Code"/></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="OpCPT_Description_PdLabel" Text="CPT Description:" Field="OpCPT_Description" Required="No" runat=server /></td>
		<td><input type="text" id="OpCPT_Description" class="pdFormField" maxlength="250" runat=server NAME="OpCPT_Description"/></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="OpCompleteResection_PdLabel" Text="Complete Resection:" Field="OpCompleteResection" Required="No" runat=server /></td>
		<td><select id="OpCompleteResection" class="pdFormField" runat=server /></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="OpBladderMargin_PdLabel" Text="Bladder Margin:" Field="OpBladderMargin" Required="No" runat=server /></td>
		<td><val:ComboBox Id="OpBladderMargin" RefBy="OpBladderMargin" runat=server /></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="OpBladderMarginFrozen_PdLabel" Text="Bladder Margin Frozen:" Field="OpBladderMarginFrozen" Required="No" runat=server /></td>
		<td><val:ComboBox Id="OpBladderMarginFrozen" RefBy="OpBladderMarginFrozen" runat=server /></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="OpL_UreterMargin_PdLabel" Text="Left Ureter Margin:" Field="OpL_UreterMargin" Required="No" runat=server /></td>
		<td><val:ComboBox Id="OpL_UreterMargin" RefBy="OpL_UreterMargin" runat=server /></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="OpL_UreterMarginFrozen_PdLabel" Text="Left Ureter Margin Frozen:" Field="OpL_UreterMarginFrozen" Required="No" runat=server /></td>
		<td><val:ComboBox Id="OpL_UreterMarginFrozen" RefBy="OpL_UreterMarginFrozen" runat=server /></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="OpR_UreterMargin_PdLabel" Text="Right Ureter Margin:" Field="OpR_UreterMargin" Required="No" runat=server /></td>
		<td><val:ComboBox Id="OpR_UreterMargin" RefBy="OpR_UreterMargin" runat=server /></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="OpR_UreterMarginFrozen_PdLabel" Text="Right Ureter Margin Frozen:" Field="OpR_UreterMarginFrozen" Required="No" runat=server /></td>
		<td><val:ComboBox Id="OpR_UreterMarginFrozen" RefBy="OpR_UreterMarginFrozen" runat=server /></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="OpUrethraMargin_PdLabel" Text="Urethra Margin:" Field="OpUrethraMargin" Required="No" runat=server /></td>
		<td><val:ComboBox Id="OpUrethraMargin" RefBy="OpUrethraMargin" runat=server /></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="OpUrethraMarginFrozen_PdLabel" Text="Urethra Margin Frozen:" Field="OpUrethraMarginFrozen" Required="No" runat=server /></td>
		<td><val:ComboBox Id="OpUrethraMarginFrozen" RefBy="OpUrethraMarginFrozen" runat=server /></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="OpUrethrectomy_PdLabel" Text="Urethrectomy:" Field="OpUrethrectomy" Required="No" runat=server /></td>
		<td><select id="OpUrethrectomy" class="pdFormField" runat=server /></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="OpR_UreterAnast_PdLabel" Text="Right Ureter Anast:" Field="OpR_UreterAnast" Required="No" runat=server /></td>
		<td><select id="OpR_UreterAnast" class="pdFormField" runat=server /></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="OpL_UreterAnast_PdLabel" Text="Left Ureter Anast:" Field="OpL_UreterAnast" Required="No" runat=server /></td>
		<td><select id="OpL_UreterAnast" class="pdFormField" runat=server /></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="OpLateralPedicleClips_PdLabel" Text="Lateral Pedical Clips:" Field="OpLateralPedicleClips" Required="No" runat=server /></td>
		<td><select id="OpLateralPedicleClips" class="pdFormField" runat=server /></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="OpLateralPedicleStaples_PdLabel" Text="Lateral Pedical Staples:" Field="OpLateralPedicleStaples" Required="No" runat=server /></td>
		<td><select id="OpLateralPedicleStaples" class="pdFormField" runat=server/></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="OpLateralPedicleTies_PdLabel" Text="Lateral Pedical Ties:" Field="OpLateralPedicleTies" Required="No" runat=server /></td>
		<td><select id="OpLateralPedicleTies" class="pdFormField" runat=server /></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="OpPosteriorPedicleClips_PdLabel" Text="Posterior Pedical Clips:" Field="OpPosteriorPedicleClips" Required="No" runat=server /></td>
		<td><select id="OpPosteriorPedicleClips" class="pdFormField" runat=server /></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="OpPosteriorPedicleStaples_PdLabel" Text="Posterior Pedical Staples:" Field="OpPosteriorPedicleStaples" Required="No" runat=server /></td>
		<td><select id="OpPosteriorPedicleStaples" class="pdFormField" runat=server /></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="OpPosteriorPedicleTies_PdLabel" Text="Posterior Pedical Ties:" Field="OpPosteriorPedicleTies" Required="No" runat=server /></td>
		<td><select id="OpPosteriorPedicleTies" class="pdFormField" runat=server /></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="OpHypogastricArteryLigated_PdLabel" Text="Hypogastric Artery Ligated:" Field="OpHypogastricArteryLigated" Required="No" runat=server /></td>
		<td><select id="OpHypogastricArteryLigated" class="pdFormField" runat=server /></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="OpIncompletePelvicFloor_PdLabel" Text="Incomplete Pelvic Floor:" Field="OpIncompletePelvicFloor" Required="No" runat=server /></td>
		<td><select id="OpIncompletePelvicFloor" class="pdFormField" runat=server /></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="OpIncompleteSideWall_PdLabel" Text="Incomplete Sidewall:" Field="OpIncompleteSideWall" Required="No" runat=server /></td>
		<td><select id="OpIncompleteSideWall" class="pdFormField" runat=server /></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="OpIncompleteRectum_PdLabel" Text="Incomplete Rectum:" Field="OpIncompleteRectum" Required="No" runat=server /></td>
		<td><select id="OpIncompleteRectum" class="pdFormField" runat=server /></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="OpGrossEVD_PdLabel" Text="Gross EVD:" Field="OpGrossEVD" Required="No" runat=server /></td>
		<td><select id="OpGrossEVD" class="pdFormField" runat=server /></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="OpVagResection_PdLabel" Text="Vaginal Resection:" Field="OpVagResection" Required="No" runat=server /></td>
		<td><select id="OpVagResection" class="pdFormField" runat=server /></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="OpVagResectionAnt_PdLabel" Text="Vaginal Resection Anterior:" Field="OpVagResectionAnt" Required="No" runat=server /></td>
		<td><select id="OpVagResectionAnt" class="pdFormField" runat=server /></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="OpVagResectionLat_PdLabel" Text="Vaginal Resection Lateral:" Field="OpVagResectionLat" Required="No" runat=server /></td>
		<td><select id="OpVagResectionLat" class="pdFormField" runat=server /></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="OpVagReconstruction_PdLabel" Text="Vaginal Reconstruction:" Field="OpVagReconstruction" Required="No" runat=server /></td>
		<td><val:ComboBox Id="OpVagReconstruction" RefBy="OpVagReconstruction" runat=server /></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="OpNerveSparing_PdLabel" Text="Nerve Sparing:" Field="OpNerveSparing" Required="No" runat=server /></td>
		<td><select id="OpNerveSparing" class="pdFormField" runat=server /></td>
	</tr>
	<tr>
		<td class="pdFormFieldLabel"><val:PDLabel id="OpNotes_PdLabel" Text="Notes:" Field="OpNotes" Required="No" runat=server /></td>
		<td><textarea id="OpNotes" class="pdFormNotesField" cols="32" rows="3" runat=server ></textarea></td>
	</tr>
 
</table>