urobladcystfu.ascx

医疗决策支持系统

              </tr>
            </ItemTemplate>
          </asp:Repeater>
        </table></td>
    </tr>
    <tr> 
      <td class="FormOuterTableRow">
	  	<table align="center" border="0" width="100%" cellpadding="0" cellspacing="0">
          <tr> 
            <td colspan="4" class="FormInnerRowBottomBorder"><img src="../../Images/shim.gif" border="0" width="4" height="1"><span class="blackBoldText">Cytology</span>&nbsp;&nbsp;&nbsp;&nbsp;<input type="checkbox" name="Reviewed with Radiologist2">Reviewed with Pathologist</td>
          </tr>
          <tr> 
            <td width="100" height="16" 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="16" class="FormInsideTableRegCell" align="center">&nbsp;<strong> 
                  <%# DataBinder.Eval(Container.DataItem, "CytoDateText") %>
                  </strong></td>
                <td class="FormInsideTableRegCell">&nbsp;<strong> 
                  <%# DataBinder.Eval(Container.DataItem, "CytoType") %>
                  </strong></td>
                <td class="FormInsideTableRegCell">&nbsp;<strong> 
                  <%# DataBinder.Eval(Container.DataItem, "CytoResult") %>
                  <%# DataBinder.Eval(Container.DataItem, "CytoHistology") %>
                  </strong></td>
                <td class="FormInnerRowBottomBorder">&nbsp;<strong> 
                  <%# DataBinder.Eval(Container.DataItem, "CytoDataSource") %>
                  </strong></td>
              </tr>
            </ItemTemplate>
          </asp:Repeater>
        </table></td>
    </tr>
    <tr>
      <td class="FormOuterTableRow"><table width="100%" border="0" cellspacing="0" cellpadding="0">
          <tr>
            <td colspan="2" class="FormInnerRowBottomBorder"><img src="../../Images/shim.gif" border="0" width="4" height="1" /><span class="blackBoldText">Lab Tests</span></td>
          </tr>
          <tr id="LabTestsTrendViewPopTableRow" runat="server">
            <td colspan="2" class="FormInnerRowBottomBorder"><table align="center" border="0" width="100%" cellpadding="0" cellspacing="0">
                <tr>
                  <td width="90" height="22" align="center" class="FormInsideTableRegCell"><strong>Test</strong></td>
                  <asp:Repeater ID="LabTestsTrendViewDates" runat=server>
                    <ItemTemplate>
                      <td width="80" height="12" class="FormInsideTableRegCell" align="center"><strong> <%# DataBinder.Eval(Container.DataItem, "LabDates") %> </strong></td>
                    </ItemTemplate>
                  </asp:Repeater>
                  <td width="90" align="left" class="FormInsideTableRegCell"><strong>Date:</strong></td>
                </tr>
                <asp:Repeater ID="LabTestsTrendView" runat=server>
                  <ItemTemplate>
                    <tr>
                      <td align="center" class="FormInsideTableRegCell">&nbsp;<strong> <%# DataBinder.Eval(Container.DataItem, "[0]") %> </strong></td>
                      <td  class="FormInsideTableRegCell" align="center">&nbsp;<strong> <%# DataBinder.Eval(Container.DataItem, "[1]") %> </strong></td>
                      <td  class="FormInsideTableRegCell" align="center">&nbsp;<strong> <%# DataBinder.Eval(Container.DataItem, "[2]") %> </strong></td>
                      <td class="FormInsideTableRegCell" align="center">&nbsp;<strong> <%# DataBinder.Eval(Container.DataItem, "[3]") %> </strong></td>
                      <td  class="FormInsideTableRegCell" align="center">&nbsp;<strong> <%# DataBinder.Eval(Container.DataItem, "[4]") %> </strong></td>
                      <td  class="FormInsideTableRegCell" align="center">&nbsp;<strong> <%# DataBinder.Eval(Container.DataItem, "[5]") %> </strong></td>
                      <td  class="FormInsideTableRegCell" align="center">&nbsp;<strong> <%# DataBinder.Eval(Container.DataItem, "[6]") %> </strong></td>
                      <td  class="FormInsideTableRegCell" align="center">&nbsp;</td>
                    </tr>
                  </ItemTemplate>
                </asp:Repeater>
            </table></td>
          </tr>
          <tr id="LabTestsTrendViewBlankTableRow" runat="server">
            <td width="325" class="FormInnerRowRightBorder"><table align="center" border="0" width="100%" cellpadding="2" cellspacing="0" >
                <tr>
                  <td class="FormInnerRowRightBorder">&nbsp;</td>
                  <td colspan="3" align="center" class="FormInsideTableRegCell"><strong>Results</strong></td>
                </tr>
                <tr>
                  <td width="55" align="center" class="FormInsideTableRegCell"><strong>Test</strong></td>
                  <td width="95" height="12" class="FormInsideTableRegCell"><strong>Date:</strong></td>
                  <td width="95" class="FormInsideTableRegCell"><strong>Date:</strong></td>
                  <td width="95" class="FormInsideTableRegCell"><strong>Date:</strong></td>
                </tr>
                <tr>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                  <td height="12" class="FormInsideTableRegCell">&nbsp;</td>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                </tr>
                <tr>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                  <td height="12" class="FormInsideTableRegCell">&nbsp;</td>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                </tr>
                <tr>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                  <td height="12" class="FormInsideTableRegCell">&nbsp;</td>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                </tr>
                <tr>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                  <td height="12" class="FormInsideTableRegCell">&nbsp;</td>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                </tr>
            </table></td>
            <td width="325"><table align="center" border="0" width="100%" cellpadding="2" cellspacing="0">
                <tr>
                  <td class="FormInnerRowRightBorder">&nbsp;</td>
                  <td colspan="3" align="center" class="FormInnerRowBottomBorder"><strong>Results</strong></td>
                </tr>
                <tr>
                  <td width="55" align="center" class="FormInsideTableRegCell"><strong>Test</strong></td>
                  <td width="95" height="12" class="FormInsideTableRegCell"><strong>Date:</strong></td>
                  <td width="95" class="FormInsideTableRegCell"><strong>Date:</strong></td>
                  <td width="95" class="FormInnerRowBottomBorder"><strong>Date:</strong></td>
                </tr>
                <tr>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                  <td height="12" class="FormInsideTableRegCell">&nbsp;</td>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                  <td class="FormInnerRowBottomBorder">&nbsp;</td>
                </tr>
                <tr>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                  <td height="12" class="FormInsideTableRegCell">&nbsp;</td>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                  <td class="FormInnerRowBottomBorder">&nbsp;</td>
                </tr>
                <tr>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                  <td height="12" class="FormInsideTableRegCell">&nbsp;</td>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                  <td class="FormInnerRowBottomBorder">&nbsp;</td>
                </tr>
                <tr>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                  <td height="12" class="FormInsideTableRegCell">&nbsp;</td>
                  <td class="FormInsideTableRegCell">&nbsp;</td>
                  <td class="FormInnerRowBottomBorder">&nbsp;</td>
                </tr>
            </table></td>
          </tr>
      </table></td>
    </tr>
    <tr>
      <td class="FormOuterTableRow"><table width="650" 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: Biopsies / Endoscopies</span>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
                <input type="checkbox" name="Reviewed with Radiologist22" />
              Reviewed with Pathologist
              <table width="100%" border="0" cellpadding="0" cellspacing="0">
                  <tr align="center"  >
                    <td width="100" class="FormInsideTableTopCell">Date</td>
                    <td width="120" class="FormInsideTableTopCell">Procedure</td>
                    <td width="280" class="FormInsideTableTopCell">Results</td>
                    <td width="70" class="FormInsideTableTopCell">Cytology</td>
                    <td width="80" class="FormInsideTableTopCell">Data Source</td>
                  </tr>
                  <tr >
                    <td height="23" 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 height="14" align="center" valign="bottom" class="blackBoldText">GU04<img src="../../Images/shim.gif" border="0" width="45" height="8">U08<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:09/08/06<img src="../../Images/shim.gif" border="0" width="45" height="1">Page 
        <span id="PageNumber">2</span> of <span id="TotalPages">6</span><img src="../../Images/shim.gif" border="0" width="45" height="1">B/02.070.<span class="blackBoldTextSmall">04</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">*U08*</div>
	<div  class="VerticalBarCodeAcctType"><% =BarCodeAcctType %></div>
	<div  class="VerticalBarCodeDate"><% =BarCodeDate %></div>
<%--	<div  class="VerticalBarCodeDateTextBG"><img src="../../Images/FormImages/WhiteShim.gif" border="0" width="8" height="60"></div>
	<div  class="VerticalBarCodeDateText">< =apptClinicDate ></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">