📄 urokidnnephfu.ascx
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<%@ Control Language="c#" AutoEventWireup="false" Codebehind="UroKidnNephFU.ascx.cs" Inherits="Caisis.UI.Modules.Kidney.PaperForms.UroKidnNephFU" TargetSchema="http://schemas.microsoft.com/intellisense/ie5"%>
<link href="../../../StyleSheets/formStyles.css" rel="stylesheet" type="text/css">
<div id="PaperFormStart">
<div align="center">
<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">*U12*</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 MSKCC POLICY</font> <br>
<table width="650" border="0" cellspacing="0" cellpadding="0">
<tr>
<td class="FormOuterTableTopRow"><table align="center" border="0" width="650" cellpadding="4" cellspacing="0">
<tr>
<td width="325" 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 Nephrectomy Follow-Up Patient</span><br>
</td>
<td width="325" align="center" valign="bottom" > <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 %>
</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 height="20" class="FormOuterTableRow"><img src="../../Images/shim.gif" border="0" width="4" height="11"><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 align="center" border="0" width="100%" cellpadding="0" cellspacing="0">
<tr >
<td align="left" height="22"><img src="../../Images/shim.gif" border="0" width="4" height="0">Referring M.D.:
<asp:Repeater ID="ReferringMD" runat=server >
<ItemTemplate><%# DataBinder.Eval(Container.DataItem, "phFirstName") %> <%# DataBinder.Eval(Container.DataItem, "phLastName") %> (<%# DataBinder.Eval(Container.DataItem, "phInstitution") %>)</ItemTemplate><SeparatorTemplate>, </SeparatorTemplate>
</asp:Repeater>
<asp:Label ID="blankReferrringMD" Runat="server"></asp:Label>
</td>
</tr>
</table>
</td>
</tr>
<tr>
<td class="FormOuterTableRow"><img src="../../Images/shim.gif" border="0" width="4" height="15"><span class="blackBoldText">Chief
Complaint<br>
<br>
<br>
<br>
</span></td>
</tr>
<tr>
<td height="150" valign="top" class="FormOuterTableRow"><img src="../../Images/shim.gif" border="0" width="4" height="15"><span class="blackBoldText">HPI</span><br>
<table cellpadding="4" cellspacing="0" border="0">
<tr>
<td class="HPIText" valign="top" width="*">
<asp:Repeater ID="hpi" runat=server OnItemDataBound="hpiItemDataBound">
<ItemTemplate>
<%# DataBinder.Eval(Container.DataItem, "patientHPI") %><br><asp:Literal ID="StartNextHpiColumn" Runat="server" />
</ItemTemplate>
</asp:Repeater>
<asp:Repeater ID="HpiProstatectomies" runat=server OnItemDataBound="HpiProstatectomiesItemDataBound">
<ItemTemplate>
<strong><%# DataBinder.Eval(Container.DataItem, "OpType") %></strong> on <%# DataBinder.Eval(Container.DataItem, "SurgDateText") %> <asp:Label ID="CaseSurgeonLabel" Runat="server">by <%# DataBinder.Eval(Container.DataItem, "SurgCaseSurgeon") %></asp:Label><br><asp:Literal ID="StartNextHpiColumn" Runat="server" />
</ItemTemplate>
</asp:Repeater>
<asp:Label ID="PreTxPot" Runat="server" />
<asp:Repeater ID="hpiProtocols" runat=server OnItemDataBound="appendToHpiItemDataBound">
<ItemTemplate>
Protocol <%# DataBinder.Eval(Container.DataItem, "ProtocolNum") %> <%# DataBinder.Eval(Container.DataItem, "PtProtocolStatus") %><br><asp:Literal ID="StartNextHpiColumn" Runat="server" />
</ItemTemplate>
</asp:Repeater>
<asp:Repeater ID="hpiBiopsies" runat=server >
<ItemTemplate>
Biopsy: <%# DataBinder.Eval(Container.DataItem, "BxDateText") %> <%# DataBinder.Eval(Container.DataItem, "BxType") %> Result: <%# DataBinder.Eval(Container.DataItem, "BxResult") %> <%# DataBinder.Eval(Container.DataItem, "bxQuality") %><br><asp:Literal ID="StartNextHpiColumn" Runat="server" />
</ItemTemplate>
</asp:Repeater>
<asp:Label ID="NVB_Left" Runat="server" /><asp:Label ID="NVB_Right" Runat="server" />
</td>
</tr>
</table>
</td>
</tr>
<tr>
<td class="FormOuterTableRow">
<table align="center" border="0" width="100%" cellpadding="0" cellspacing="0">
<tr>
<td colspan="4" valign="top" class="FormInsideTableRegCell"><img src="../../Images/shim.gif" border="0" width="4" height="0"><span class="blackBoldText">Interval History</span><br> <img src="../../Images/shim.gif" border="0" width="260" height="130"></td>
<td align="left" valign="top" class="FormInnerRowBottomBorder"><img src="../../Images/shim.gif" border="0" width="4" height="0"><span class="blackBoldText">Other Treatments</span> <table align="center" border="0" width="100%" cellpadding="0" cellspacing="0">
<tr>
<td colspan="1" align="center" class="FormInsideTableTopCell">Start Date</td>
<td colspan="1" align="center" class="FormInsideTableTopCell">TX<br><img src="../../Images/shim.gif" border="0" width="90" height="1"></td>
<td colspan="1" align="center" class="FormInsideTableTopCell">Notes (Protocol #)</td>
<td colspan="1" align="center" class="FormInsideTableTopCell">Stop Date</td>
</tr>
<tr>
<td height="12" 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="12" 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="12" 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="12" 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>
<tr >
<td colspan="8" align="left" valign="top"><img src="../../Images/shim.gif" border="0" width="4" height="0">Late Complications: <input type="checkbox" name="No">No <input type="checkbox" name="Yes" id="LateComplicationsCheckbox" runat="server">Yes (specify):
<asp:Repeater ID="LateComplications" runat="server">
<ItemTemplate>
<%# DataBinder.Eval(Container.DataItem, "ToxDateText") %>
-
<strong><%# DataBinder.Eval(Container.DataItem, "ToxName") %></strong>
</ItemTemplate>
<SeparatorTemplate>; </SeparatorTemplate>
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