📄 urokidnnephfu.ascx
字号:
</asp:Repeater>
<br> <img src="../../Images/shim.gif" border="0" width="0" height="12">
</td>
</tr>
<!-- <tr >
<td colspan="8" align="left" valign="top">
<table align="left" border="0" width="70%" cellpadding="0" cellspacing="0" bgcolor="#CCCCCC">
<tr >
<td valign="middle"><img src="../../Images/shim.gif" border="0" width="4" height="0">Check Indication:</td>
<td class="smallGrayText" valign="middle"><input type="checkbox" name="Yes">+SM</td>
<td class="smallGrayText" valign="middle"><input type="checkbox" name="Yes">BCR</td>
<td class="smallGrayText" valign="middle"><input type="checkbox" name="Yes">+ECE/SVI</td>
<td class="smallGrayText" valign="middle"><input type="checkbox" name="Yes">LCR</td>
<td class="smallGrayText" valign="middle"><input type="checkbox" name="Yes">+LN</td>
<td class="smallGrayText" valign="middle"><input type="checkbox" name="Yes">Mets</td>
</tr>
</table>
</td>
</tr>-->
</table></td>
</tr>
<tr>
<td valign="top" class="FormOuterTableRow"><table width="650" border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="335" valign="top" class="FormInnerRowRightBorder">
<table width="325" border="0" cellspacing="0" cellpadding="1">
<tr>
<td colspan="3"><span class="blackBoldText">Medications</span><img src="../../Images/shim.gif" border="0" width="80" height="1"><input name="DateLastGnRH" type="checkbox" id="DateLastGnRH" value="yes">Unchanged Since Last Visit</td>
</tr>
<tr align="center">
<td width="195" height="22" class="FormInsideTableTopCell">Agent</td>
<td width="60" class="FormInsideTableTopCell">Dose</td>
<td width="70" class="FormInsideTableTopCell">Schedule</td>
</tr>
<asp:Repeater ID="medications" runat=server>
<ItemTemplate>
<tr>
<td class="FormInsideTableRegCell"> <strong><%# DataBinder.Eval(Container.DataItem, "Medication") %></strong></td>
<td class="FormInsideTableRegCell"> <strong><%# DataBinder.Eval(Container.DataItem, "MedDose") %> <%# DataBinder.Eval(Container.DataItem, "MedUnits") %></strong></td>
<td class="FormInsideTableRegCell"> <strong><%# DataBinder.Eval(Container.DataItem, "MedSchedule") %></strong></td>
</tr>
</ItemTemplate>
</asp:Repeater>
</table>
</td>
<td width="315" valign="top">
<table width="315" border="0" cellspacing="0" cellpadding="1">
<tr>
<td colspan="2" class="FormInnerRowBottomBorder"><span class="blackBoldText">Allergies</span> <span>
<input name="DateLastGnRH2" type="checkbox" id="DateLastGnRH2" value="yes">NKA
<input name="DateLastGnRH3" type="checkbox" id="DateLastGnRH3" value="yes">Unchanged Since Last Visit</span></td>
</tr>
<tr align="center">
<td width="150" height="22" class="FormInsideTableRegCell">Allergen</td>
<td width="165" class="FormInnerRowBottomBorder">Reaction</td>
</tr>
<asp:Repeater ID="allergies" runat=server>
<ItemTemplate>
<tr>
<td class="FormInsideTableRegCell"> <strong><%# DataBinder.Eval(Container.DataItem, "Allergen") %></strong></td>
<td class="FormInnerRowBottomBorder"> <strong><%# DataBinder.Eval(Container.DataItem, "AllergyResponse") %></strong></td>
</tr>
</ItemTemplate>
</asp:Repeater>
</table></td>
</tr>
</table></td>
</tr>
<tr>
<td height="70" valign="top" class="FormOuterTableRow"><span class="blackBoldText"><img src="../../Images/shim.gif" border="0" width="4" height="15">Comorbidities</span>
<br>
<table cellpadding="0" cellspacing="0" border="0" width="100%"><tr><td>
<asp:Repeater ID="comorbidities" runat="server" OnItemDataBound="ComorbiditiesItemDataBound">
<ItemTemplate>
<%# DataBinder.Eval(Container.DataItem, "ComorbDateText") %>
-
<strong><%# DataBinder.Eval(Container.DataItem, "Comorbidity") %></strong><br/>
<asp:Literal ID="StartNextColumn" Runat="server"/>
</ItemTemplate>
</asp:Repeater>
</td></tr></table>
</td>
</tr>
<tr>
<td class="FormOuterTableRow"><img src="../../Images/shim.gif" border="0" width="4" height="15"><span class="blackBoldText">Disease State:</span>
<img src="../../Images/shim.gif" border="0" width="26" height="1"><input type="checkbox" name="NED2">NED
<img src="../../Images/shim.gif" border="0" width="65" height="1"><input type="checkbox" name="LCR22">Ipsilateral Recurrence
<img src="../../Images/shim.gif" border="0" width="20" height="1"><input type="checkbox" name="LCR23">Contralateral Recurrence<br>
<img src="../../Images/shim.gif" border="0" width="114" height="1"><input type="checkbox" name="Mets22">Renal Fossa
<img src="../../Images/shim.gif" border="0" width="20" height="1"><input type="checkbox" name="Mets2">Mets
<img src="../../Images/shim.gif" border="0" width="20" height="1"><asp:Label ID="LastStatus" Runat="server">Date:</asp:Label></td>
</tr>
<tr >
<td height="14" align="center" valign="bottom" class="blackBoldText">GU08<img src="../../Images/shim.gif" border="0" width="45" height="1">U12<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="1">rev:09/08/06<img src="../../Images/shim.gif" border="0" width="45" height="1">Page
<span id="PageNumber">1</span> of <span id="TotalPages">4</span><img src="../../Images/shim.gif" border="0" width="45" height="1">B/02.070.<span class="blackBoldTextSmall">08</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">*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>
<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></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 %></span></td>
</tr>
<tr>
<td align="center" class="FormOuterTableRow"> <table width="650" border="0" cellspacing="0" cellpadding="4">
<tr>
<td width="510" colspan="3"><span class="blackBoldText">Lab Tests</span> Date:
______________ Data
Source :_______________</td>
</tr>
<tr>
<td colspan="3"><img src="../../Images/standardLabsGridLined.gif" width="642" height="98"></td>
</tr>
<tr id="PopulatedLabTestsTableRow" runat="server">
<td colspan="3"><table width="642" border="0" cellpadding="0" cellspacing="0" >
<tr >
<td width="100" height="20" align="center" valign="middle" class="FormInsideTableTopLeftCell">Date</td>
<td align="center" valign="middle" class="FormInsideTableTopCell">Marker</td>
<td align="center" valign="middle" class="FormInsideTableTopCell">Value</td>
<td align="center" valign="middle" class="FormInsideTableTopCell">Data Source</td>
</tr>
<asp:Repeater ID="labTests" runat=server>
<ItemTemplate>
<tr>
⌨️ 快捷键说明
复制代码
Ctrl + C
搜索代码
Ctrl + F
全屏模式
F11
切换主题
Ctrl + Shift + D
显示快捷键
?
增大字号
Ctrl + =
减小字号
Ctrl + -