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</table></td>
</tr>
</table></td>
</tr>
<tr>
<td class="FormOuterTableRow">
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td align="left" valign="top"> <span class="blackBoldText"><img src="../../Images/shim.gif" border="0" width="4" height="16">Systemic Therapies</span>
<table border="0" width="100%" cellpadding="0" cellspacing="0">
<tr>
<td width="100" align="center" class="FormInsideTableTopCell">Start Date</td>
<td width="200" align="center" class="FormInsideTableTopCell">Agent<br></td>
<td width="350" align="center" class="FormInsideTableTopCell">Notes</td>
</tr>
<asp:Repeater ID="SystemicTx" runat=server>
<ItemTemplate>
<tr >
<td height="19" class="FormInsideTableRegCell"> <strong>
<%# DataBinder.Eval(Container.DataItem, "MedTxDateText") %>
</strong></td>
<td height="12" class="FormInsideTableRegCell"> <strong>
<%# DataBinder.Eval(Container.DataItem, "MedTxAgent") %>
</strong></td>
<td height="12" class="FormInnerRowBottomBorder"> <strong>
<%# DataBinder.Eval(Container.DataItem, "MedTxNotes") %>
</strong></td>
</tr>
</ItemTemplate>
</asp:Repeater>
</table>
</td>
</tr>
</table>
</td>
</tr>
<tr>
<td align="left" valign="top" class="FormOuterTableRow"><img src="../../Images/shim.gif" border="0" width="4" height="1"><span class="blackBoldText">Radiation Therapies</span><br>
<table width="100%" border="0" cellpadding="0" cellspacing="0">
<tr align="center" class="eFormInnerTableRow">
<td width="70" class="FormInsideTableTopCell">Start Date</td>
<td width="70" class="FormInsideTableTopCell">Stop Date</td>
<td width="230" class="FormInsideTableTopCell">Location</td>
<td width="70" class="FormInsideTableTopCell">Total Dosage</td>
<td width="210" class="FormInsideTableTopCell">Findings</td>
</tr>
<asp:Repeater ID="XRT" runat=server>
<ItemTemplate>
<tr>
<td height="20" class="FormInsideTableRegCell"> <strong><%# DataBinder.Eval(Container.DataItem, "RadTxDateText") %></strong></td>
<td class="FormInsideTableRegCell"> <strong><%# DataBinder.Eval(Container.DataItem, "RadTxStopDateText") %></strong></td>
<td class="FormInsideTableRegCell"> <strong><%# DataBinder.Eval(Container.DataItem, "RadTxType") %> <%# DataBinder.Eval(Container.DataItem, "RadTxTarget") %></strong></td>
<td class="FormInsideTableRegCell"> <strong><%# DataBinder.Eval(Container.DataItem, "RadTxTotalDose") %></strong></td>
<td class="FormInsideTableRegCell"> <strong><%# DataBinder.Eval(Container.DataItem, "RadTxNotes") %></strong></td>
</tr>
</ItemTemplate>
</asp:Repeater>
</table>
</td>
</tr>
<tr>
<td align="center" class="FormOuterTableRow">
<table border="0" width="100%" cellpadding="0" cellspacing="0">
<tr>
<td align="left" valign="top" class="FormInnerRowBottomBorder"><img src="../../Images/shim.gif" border="0" width="4" height="1"><span class="blackBoldText">Protocols</span>
<table align="center" border="0" width="100%" cellpadding="0" cellspacing="0">
<tr>
<td width="20%" align="center" class="FormInsideTableTopCell">Start Date</td>
<td width="20%" align="center" class="FormInsideTableTopCell">Protocol #</td>
<td width="40%" align="center" class="FormInsideTableTopCell">Treatment</td>
<td width="20%" align="center" class="FormInsideTableTopCell">Stop Date</td>
</tr>
<tr>
<td height="21" class="FormInsideTableRegCell"> </td>
<td height="12" class="FormInsideTableRegCell"> </td>
<td height="12" class="FormInsideTableRegCell"> </td>
<td height="12" class="FormInsideTableRegCell"> </td>
</tr>
<tr>
<td height="21" class="FormInsideTableRegCell"> </td>
<td height="12" class="FormInsideTableRegCell"> </td>
<td height="12" class="FormInsideTableRegCell"> </td>
<td height="12" class="FormInsideTableRegCell"> </td>
</tr>
</table>
</td>
</tr>
</table>
</td>
</tr>
<tr>
<td height="14" align="center" valign="bottom" class="blackBoldText">GU05<img src="../../Images/shim.gif" border="0" width="45" height="1">U09<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">Page
<span id="PageNumber">1</span> of <span id="TotalPages">5</span><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">B/02.070.<span class="blackBoldTextSmall">05</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">*U09*</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> <br>
<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 Bladder Endoscopy<br/>Follow-Up Patient</span></td>
<td width="50%" align="center" valign="bottom">
<table width="100%" 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>
<td align="left" valign="top">
<% =patientAddress1 %>
<% =patientAddress2 %>
<% =patientCity %>
<% =patientState %>
<% =patientPostalCode %>
</td>
</tr>
<tr>
<td colspan="2"><img src="../../Images/shim.gif" border="0" width="1" height="5"></td>
</tr>
<tr>
<td colspan="2" align="center" valign="bottom" class="blackBoldText">Patient Identification</td>
</tr>
</table>
</td>
</tr>
</table>
</td>
</tr>
<tr>
<td class="FormOuterTableRow"><img src="../../Images/shim.gif" border="0" width="4" height="15"><span class="blackBoldText">Date: <% =apptClinicDate %>
<img src="../../Images/shim.gif" border="0" width="220" height="1">Physician: <% =apptPhysicianName %></span></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="1"><span class="blackBoldText">Procedures: Biopsies / Endoscopies</span><br>
<table width="100%" border="0" cellpadding="0" cellspacing="0">
<tr align="center">
<td width="60" class="FormInsideTableTopCell">Date</td>
<td width="120" class="FormInsideTableTopCell">Procedure</td>
<td width="350" class="FormInsideTableTopCell">Findings</td>
<td width="60" class="FormInsideTableTopCell">Cytology</td>
<td width="60" class="FormInsideTableTopCell">Source</td>
</tr>
<tr>
<td height="20" class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
<td class="FormInnerRowBottomBorder"> </td>
</tr>
<tr >
<td height="20" class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
<td class="FormInsideTableRegCell"> </td>
<td class="FormInnerRowBottomBorder"> </td>
</tr>
</table>
</td>
</tr>
</table>
</td>
</tr>
--> <tr>
<td class="FormOuterTableRow">
<table border="0" width="100%" cellpadding="0" cellspacing="0">
<tr>
<td colspan="4" class="FormInnerRowBottomBorder"><span class="blackBoldText"><img src="../../Images/shim.gif" border="0" width="4" height="15">Cytology</span>
<input type="checkbox" name="Reviewed with Radiologist2">Reviewed with Pathologist</td>
</tr>
<tr>
<td width="100" height="20" align="center" class="FormInsideTableRegCell">Date</td>
<td width="150" align="center" class="FormInsideTableRegCell">Source</td>
<td width="300" align="center" class="FormInsideTableRegCell">Results</td>
<td width="100" align="center" class="FormInnerRowBottomBorder">Data Source </td>
</tr>
<asp:Repeater ID="Cytologies" runat=server>
<ItemTemplate>
<tr>
<td height="19" class="FormInsideTableRegCell" align="center"> <strong><%# DataBinder.Eval(Container.DataItem, "CytoDateText") %></strong></td>
<td height="12" class="FormInsideTableRegCell"> <strong><%# DataBinder.Eval(Container.DataItem, "CytoType") %></strong></td>
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