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医疗决策支持系统

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    <tr> 
      <td class="FormOuterTableRow"><span class="blackBoldText"><img src="../../Images/shim.gif" border="0" width="4" height="0">Imaging</span><span><img src="../../Images/shim.gif" border="0" width="12" height="8"> 
        <input type="checkbox" name="Films Reviewed">Films Reviewed</span>
		<table align="center" border="0" width="100%" cellpadding="0" cellspacing="0">
          <tr> 
            <td width="100" align="center" valign="middle" class="FormInsideTableTopCell">Date</td>
            <td width="100" align="center" valign="middle" class="FormInsideTableTopCell">Study</td>
            <td width="225" align="center" valign="middle" class="FormInsideTableTopCell">Results</td>
            <td width="275" align="center" valign="middle" class="FormInsideTableTopCell">Notes</td>
          </tr>
          <asp:Repeater ID="images" runat=server> 
            <ItemTemplate> 
              <tr> 
                <td height="18" align="center" class="FormInsideTableRegCell">&nbsp;<strong> 
                  <%# DataBinder.Eval(Container.DataItem, "DxDateText") %>
                  </strong></td>
                <td class="FormInsideTableRegCell">&nbsp;<strong> 
                  <%# DataBinder.Eval(Container.DataItem, "DxType") %>
                  </strong></td>
                <td class="FormInsideTableRegCell">&nbsp;<strong> 
                  <%# DataBinder.Eval(Container.DataItem, "DxResult") %>
                  </strong></td>
                <td class="FormInsideTableRegCell"> 
                  <%# DataBinder.Eval(Container.DataItem, "DxNotes") %>
                  &nbsp; </td>
              </tr>
            </ItemTemplate>
          </asp:Repeater>
        </table></td>
    </tr>
    <tr> 
      <td class="FormOuterTableRow">
	  	<table width="100%" border="0" cellpadding="0" cellspacing="0">
          <tr> 
            <td colspan="6"><img src="../../Images/shim.gif" border="0" width="4" height="1"><span class="blackBoldText">Procedures: Endoscopies</span></td>
          </tr>
          <tr> 
            <td width="80" align="center" class="FormInsideTableTopLeftCell">Date</td>
            <td width="75" align="center" class="FormInsideTableTopCell">Procedure</td>
            <td width="310" align="center" class="FormInsideTableTopCell">Findings</td>
            <td width="105" align="center" class="FormInsideTableTopCell">Pathology</td>
            <td width="65" align="center" class="FormInsideTableTopCell">Cytology</td>
            <td width="65" align="center" class="FormInsideTableTopCell">Pathology Source</td>
          </tr>
          <asp:Repeater ID="Endoscopies" runat=server> 
            <ItemTemplate> 
              <tr> 
                <td height="20" class="FormInsideTableRegCell" align="center">&nbsp;<strong> 
                  <%# DataBinder.Eval(Container.DataItem, "EndoDateText") %>
                  </strong></td>
                <td class="FormInsideTableRegCell">&nbsp;<strong> 
                  <%# DataBinder.Eval(Container.DataItem, "EndoType") %>
                  </strong></td>
                <td class="FormInsideTableRegCell">&nbsp;<strong> 
                  <%# DataBinder.Eval(Container.DataItem, "EndoResult") %>
                  </strong></td>
                <td class="FormInsideTableRegCell" align="center">&nbsp;<strong> 
                  <%# DataBinder.Eval(Container.DataItem, "EndoStageT") %>
                  &nbsp;&nbsp;&nbsp; 
                  <%# DataBinder.Eval(Container.DataItem, "EndoGrade") %>
                  &nbsp;&nbsp;&nbsp; 
                  <%# DataBinder.Eval(Container.DataItem, "EndoHistology") %>
                  </strong></td>
                <td class="FormInsideTableRegCell">&nbsp;</td>
                <td class="FormInnerRowBottomBorder">&nbsp;<strong> 
                  <%# DataBinder.Eval(Container.DataItem, "EndoPathologist") %>
                  </strong></td>
              </tr>
            </ItemTemplate>
          </asp:Repeater>
        </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">Intravesical Therapies</span>
		<table width="100%" border="0" cellpadding="0" cellspacing="0">
          <tr align="center"> 
            <td width="70" class="FormInsideTableTopLeftCell">Start Date</td>
            <td width="70" class="FormInsideTableTopCell">Stop Date</td>
            <td width="160" class="FormInsideTableTopCell">Agent(s)</td>
            <td width="400" class="FormInsideTableTopCell">Notes</td>
          </tr>
          <asp:Repeater ID="IntravesicalTx" runat=server> 
            <ItemTemplate> 
              <tr > 
                <td height="20" class="FormInsideTableRegCell">&nbsp;<strong> 
                  <%# DataBinder.Eval(Container.DataItem, "MedTxDateText") %>
                  </strong></td>
                <td class="FormInsideTableRegCell">&nbsp;<strong> 
                  <%# DataBinder.Eval(Container.DataItem, "MedTxStopDateText") %>
                  </strong></td>
                <td class="FormInsideTableRegCell">&nbsp;<strong> 
                  <%# DataBinder.Eval(Container.DataItem, "MedTxAgent") %>
                  </strong></td>
                <td class="FormInnerRowBottomBorder">&nbsp;<strong> 
                  <%# DataBinder.Eval(Container.DataItem, "MedTxNotes") %>
                  </strong></td>
              </tr>
            </ItemTemplate>
          </asp:Repeater>
        </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">Systemic Therapies</span>
	 	<table width="100%" border="0" cellpadding="0" cellspacing="0">
          <tr align="center"> 
            <td width="70" class="FormInsideTableTopLeftCell">Start Date</td>
            <td width="70" class="FormInsideTableTopCell">Stop Date</td>
            <td width="160" class="FormInsideTableTopCell">Agent(s)</td>
            <td width="400" class="FormInsideTableTopCell">Notes</td>
          </tr>
          <asp:Repeater ID="SystemicTx" runat=server> 
            <ItemTemplate> 
              <tr > 
                <td height="20" class="FormInsideTableRegCell">&nbsp;<strong> 
                  <%# DataBinder.Eval(Container.DataItem, "MedTxDateText") %>
                  </strong></td>
                <td class="FormInsideTableRegCell">&nbsp;<strong> 
                  <%# DataBinder.Eval(Container.DataItem, "MedTxStopDateText") %>
                  </strong></td>
                <td class="FormInsideTableRegCell">&nbsp;<strong> 
                  <%# DataBinder.Eval(Container.DataItem, "MedTxAgent") %>
                  </strong></td>
                <td class="FormInnerRowBottomBorder">&nbsp;<strong> 
                  <%# DataBinder.Eval(Container.DataItem, "MedTxNotes") %>
                  </strong></td>
              </tr>
            </ItemTemplate>
          </asp:Repeater>
        </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="FormInsideTableTopLeftCell">Start Date</td>
            <td width="70" class="FormInsideTableTopCell">Stop Date</td>
            <td width="180" class="FormInsideTableTopCell">Type and Target</td>
            <td width="100" class="FormInsideTableTopCell">Total Dosage</td>
            <td width="280" class="FormInsideTableTopCell">Notes</td>
          </tr>
          <asp:Repeater ID="XRT" runat=server> 
            <ItemTemplate> 
              <tr> 
                <td height="20" class="FormInsideTableLeftCell">&nbsp;<strong> 
                  <%# DataBinder.Eval(Container.DataItem, "RadTxDateText") %>
                  </strong></td>
                <td class="FormInsideTableRegCell">&nbsp;<strong> 
                  <%# DataBinder.Eval(Container.DataItem, "RadTxStopDateText") %>
                  </strong></td>
                <td class="FormInsideTableRegCell">&nbsp;<strong> 
                  <%# DataBinder.Eval(Container.DataItem, "RadTxType") %>
                  &nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 
                  <%# DataBinder.Eval(Container.DataItem, "RadTxTarget") %>
                  </strong></td>
                <td class="FormInsideTableRegCell">&nbsp;<strong> 
                  <%# DataBinder.Eval(Container.DataItem, "RadTxTotalDose") %>
                  </strong></td>
                <td class="FormInsideTableRegCell">&nbsp;<strong> 
                  <%# DataBinder.Eval(Container.DataItem, "RadTxNotes") %>
                  </strong></td>
              </tr>
            </ItemTemplate>
          </asp:Repeater>
        </table></td>
    </tr>
    <tr > 
      <td height="14" align="center" valign="bottom" class="blackBoldText">GU03<img src="../../Images/shim.gif" border="0" width="45" height="1">U07<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">7</span><img src="../../Images/shim.gif" border="0" width="45" height="1">B/02.070.<span class="blackBoldTextSmall">03</span></td>
    </tr>
  </table>
</div><div align="left" 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">*U07*</div>
	<div  class="VerticalBarCodeAcctType"><% =BarCodeAcctType %></div>
	<div  class="VerticalBarCodeDate"><% =BarCodeDate %></div>
	</div>
</div>
  <div align="center"><font style="font-size: 12px;">CONTAINS PROTECTED  HEALTH INFORMATION - HANDLE ACCORDING TO <%= institutionShortName%> POLICY</font> </div>
  <table width="700" border="0" cellspacing="0" cellpadding="0">
    <tr> 
      <td class="FormOuterTableTopRow"><table align="center" border="0" width="700" cellpadding="4" cellspacing="0">
          <tr> 
            <td width="375" 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 New Patient</span></td>
            <td width="325" align="center" valign="bottom" class="blackBoldText"> 
              <table  width="325" 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  %>
                    &nbsp;&nbsp;&nbsp;</td>
                  <td align="left"><strong> 
                    <% =patientMRN  %>
                    </strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 
                    <% =patientDOB  %>
                  </td>
                </tr>
                <tr>