Personal tools
Navigation
 

American Urological Society's Prostate Symptom Score html

HTML icon ProstateScore.HTML — HTML, 9 kB (9536 bytes)

File contents

<html>
<head>
<META http-equiv="Content-Type" content="text/html; charset=UTF-8">
<title></title>
<style>
 input {
	 -moz-box-sizing: content-box;
	 -webkit-print-color-adjust: exact;
	 -webkit-box-sizing: content-box;
	 box-sizing: content-box
}
 .sig {
	 border: 2px dotted blue;
	 background-color: lightgrey;
 }
 </style>

<style type="text/css" media="print">
 .DoNotPrint {
	 display: none;
 }
 .noborder {
	 border : 0px;
	 background: transparent;
	 scrollbar-3dlight-color: transparent;
	 scrollbar-3dlight-color: transparent;
	 scrollbar-arrow-color: transparent;
	 scrollbar-base-color: transparent;
	 scrollbar-darkshadow-color: transparent;
	 scrollbar-face-color: transparent;
	 scrollbar-highlight-color: transparent;
	 scrollbar-shadow-color: transparent;
	 scrollbar-track-color: transparent;
	 background: transparent;
	 overflow: hidden;
 }
.sig {
	 border-style: solid;
	 border-color: transparent;
	 background-color: transparent;
 }
 </style>

<!-- jQuery file for testing outside of OSCAR -->
<script type="text/javascript" src="jquery-1.7.1.min.js"></script>
<script type="text/javascript" src="jSignature.min.js"></script>

<!-- OSCAR based files for greater functionality -->
<script type="text/javascript" src="${oscar_javascript_path}jquery/jquery-1.4.2.js"></script>
<script language="javascript">
function formPrint(){
	window.print();
} 
</script>

<!-- scripts to confirm closing of window if it hadnt been saved yet -->
<script language="javascript">
//keypress events trigger dirty flag
var needToConfirm = false;
document.onkeyup=setDirtyFlag;
function setDirtyFlag(){
	needToConfirm = true;
}
function releaseDirtyFlag(){
	needToConfirm = false; //Call this function to prevent an alert.
//this could be called when save button is clicked
}
window.onbeforeunload = confirmExit;
function confirmExit(){
	if (needToConfirm){
		 return "You have attempted to leave this page. If you have made any changes to the fields without clicking the Save button, your changes will be lost. Are you sure you want to exit this page?";
	 }
}
</script>

<script type="text/javascript">
function reImg(){
// for stand alone development without uploading to OSCAR
	var strLoc = window.location.href.toLowerCase();
	if(strLoc.indexOf("https") == -1) {
		var src1 = document.getElementById("BGImage1").src;
		document.getElementById("BGImage1").src = src1.replace("$%7Boscar_image_path%7D","");
	}
}
</script>
</head>

<body onload="reImg();">
<form method="post" action="" name="FormName" id="FormName" >
<div>
</div>


<div id="page1" style="page-break-after:always;position:relative;" >

<img id="BGImage1" src="${oscar_image_path}AUAprostateSCORE.png" style="position: relative; left: 0px; top: 0px; width:750px">

<input name="first_last_name" id="first_last_name" type="text" class="noborder" style="position:absolute; left:160px; top:180px; width:219px; height:19px; font-family:sans-serif; font-style:normal; font-weight:normal; font-size:12px; text-align:left; background-color:transparent;"  oscarDB=first_last_name>

<input name="age" id="age" type="text" class="noborder" style="position:absolute; left:429px; top:180px; width:35px; height:19px; font-family:sans-serif; font-style:normal; font-weight:normal; font-size:12px; text-align:left; background-color:transparent;"  oscarDB=age>

<input name="today" id="today" type="text" class="noborder" style="position:absolute; left:587px; top:180px; width:119px; height:19px; font-family:sans-serif; font-style:normal; font-weight:normal; font-size:12px; text-align:left; background-color:transparent;"  oscarDB=today>

<input type=RADIO name="LineA0" value="LineA0" style="position:absolute; left:391px; top:316px; ">

<input type=RADIO name="LineA0" value="LineA1" " style="position:absolute; left:450px; top:316px; ">

<input type=RADIO name="LineA0" value="LineA2" " style="position:absolute; left:510px; top:316px; ">

<input type=RADIO name="LineA0" value="LineA3" " style="position:absolute; left:564px; top:316px; ">

<input type=RADIO name="LineA0" value="LineA4" " style="position:absolute; left:623px; top:316px; ">

<input type=RADIO name="LineA0" value="LineA5" " style="position:absolute; left:683px; top:316px; ">

<input type=RADIO name="LineB0" value="LineA0" " style="position:absolute; left:391px; top:362px; ">

<input type=RADIO name="LineB0" value="LineB1" " style="position:absolute; left:450px; top:362px; ">

<input type=RADIO name="LineB0" value="LineB2" " style="position:absolute; left:510px; top:362px; ">

<input type=RADIO name="LineB0" value="LineB3" " style="position:absolute; left:564px; top:362px; ">

<input type=RADIO name="LineB0" value="LineB4" " style="position:absolute; left:623px; top:362px; ">

<input type=RADIO name="LineB0" value="LineB5" " style="position:absolute; left:683px; top:362px; ">

<input type=RADIO name="LineC0" value="LineC0" " style="position:absolute; left:391px; top:410px; ">

<input type=RADIO name="LineC0" value="LineC1" " style="position:absolute; left:450px; top:410px; ">

<input type=RADIO name="LineC0" value="LineC2" " style="position:absolute; left:510px; top:410px; ">

<input type=RADIO name="LineC0" value="LineC3" " style="position:absolute; left:564px; top:410px; ">

<input type=RADIO name="LineC0" value="LineC4" " style="position:absolute; left:623px; top:410px; ">

<input type=RADIO name="LineC0" value="LineC5" " style="position:absolute; left:683px; top:410px; ">

<input type=RADIO name="LineD0" value="LineD0" " style="position:absolute; left:391px; top:450px; ">

<input type=RADIO name="LineD0" value="LineD1" " style="position:absolute; left:450px; top:450px; ">

<input type=RADIO name="LineD0" value="LineD2" " style="position:absolute; left:510px; top:450px; ">

<input type=RADIO name="LineD0" value="LineD3" " style="position:absolute; left:564px; top:450px; ">

<input type=RADIO name="LineD0" value="LineD4" " style="position:absolute; left:623px; top:450px; ">

<input type=RADIO name="LineD0" value="LineD5" " style="position:absolute; left:683px; top:450px; ">

<input type=RADIO name="LineE0" value="LineE0" " style="position:absolute; left:391px; top:481px; ">

<input type=RADIO name="LineE0" value="LineE1" " style="position:absolute; left:450px; top:481px; ">

<input type=RADIO name="LineE0" value="LineE2" " style="position:absolute; left:510px; top:481px; ">

<input type=RADIO name="LineE0" value="LineE3" " style="position:absolute; left:564px; top:481px; ">

<input type=RADIO name="LineE0" value="LineE4" " style="position:absolute; left:623px; top:481px; ">

<input type=RADIO name="LineE0" value="LineE5" " style="position:absolute; left:683px; top:481px; ">

<input type=RADIO name="LineF0" value="LineF0" " style="position:absolute; left:391px; top:513px; ">

<input type=RADIO name="LineF0" value="LineF1" " style="position:absolute; left:450px; top:513px; ">

<input type=RADIO name="LineF0" value="LineF2" " style="position:absolute; left:510px; top:513px; ">

<input type=RADIO name="LineF0" value="LineF3" " style="position:absolute; left:564px; top:513px; ">

<input type=RADIO name="LineF0" value="LineF4" " style="position:absolute; left:623px; top:513px; ">

<input type=RADIO name="LineF0" value="LineF5" " style="position:absolute; left:683px; top:513px; ">

<input type=RADIO name="LineG0" value="LineG0" " style="position:absolute; left:389px; top:554px; ">

<input type=RADIO name="LineG0" value="LineG1" " style="position:absolute; left:450px; top:554px; ">

<input type=RADIO name="LineG0" value="LineG2" " style="position:absolute; left:510px; top:554px; ">

<input type=RADIO name="LineG0" value="LineG3" " style="position:absolute; left:564px; top:554px; ">

<input type=RADIO name="LineG0" value="LineG4" " style="position:absolute; left:623px; top:554px; ">

<input type=RADIO name="LineG0" value="LineG5" " style="position:absolute; left:683px; top:554px; ">

<input type=RADIO name="QOL0" value="QOL0" " style="position:absolute; left:338px; top:772px; ">

<input type=RADIO name="QOL0" value="QOL1" " style="position:absolute; left:400px; top:772px; ">

<input type=RADIO name="QOL0" value="QOL2" " style="position:absolute; left:453px; top:772px; ">

<input type=RADIO name="QOL0" value="QOL3" " style="position:absolute; left:484px; top:772px; ">

<input type=RADIO name="QOL0" value="QOL4" " style="position:absolute; left:544px; top:772px; ">

<input type=RADIO name="QOL0" value="QOL5" " style="position:absolute; left:617px; top:772px; ">

<input type=RADIO name="QOL0" value="QOL6" " style="position:absolute; left:681px; top:772px; ">

<input name="Total" id="Total" type="text" class="noborder" style="position:absolute; left:670px; top:610px; width:50px; height:25px; font-family:sans-serif; font-style:normal; font-weight:normal; font-size:12px; text-align:left; background-color:transparent;" value="">


</div>


 <div class="DoNotPrint" id="BottomButtons" style="position: absolute; top:900px; left:0px;">
	 <table><tr><td>
		 Subject: <input name="subject" size="40" type="text"> <br> 
		<input value="Submit" name="SubmitButton" id="SubmitButton" type="submit" onclick=" releaseDirtyFlag();"> 
			<input value="Reset" name="ResetButton" id="ResetButton" type="reset"> 
			<input value="Print" name="PrintButton" id="PrintButton" type="button" onclick="formPrint();"> 
			<input value="Print & Submit" name="PrintSubmitButton" id="PrintSubmitButton" type="button" onclick="formPrint();releaseDirtyFlag();setTimeout('SubmitButton.click()',1000);"> 
	 </td></tr></table>
 </div>
 </form>

</body>
</html>

Document Actions

 

Download button

DOWNLOAD OSCAR FOR TESTING

 

eForms button

DOWNLOAD SHARED E-FORMS


 Customize button

FIND PLUG-INS AND TWEAKS
FOR YOUR OSCAR EMR

 

Subscribe Button

SUBSCRIBE TO DISCUSSION LIST 
(SEE ALL LISTS)

  

Help button

ACCESS THE ONLINE MANUALS
(PAID SUPPORT)