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CHADS VASC 2 HTML file

Basic HTML file - requires 2 js files to work properly : DHTMLmain.js and ComboStrokeRisk2.js

HTML icon CHADSVASC2.html — HTML, 53 kB (54838 bytes)

File contents

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<style>
<!--
A{text-decoration:none}
-->
</style>

<script language="javascript" type="text/javascript" src="${oscar_image_path}ComboStrokeRisk2.js"></script>
<script language="JavaScript1.2" src="ComboStrokeRisk2.js"type="text/javascript"></script>
<script language="JavaScript1.2" src="DHTMLmain.js"type="text/javascript"></script>
<script language="javascript" type="text/javascript" src="${oscar_image_path}DHTMLmain.js"></script>

<script language="javascript" type="text/javascript">
function restart() {
   if (document.getElementById("CHADSCounter").value =='1') {
       document.getElementById("CHA2DS2VASCSwitch").style.background='yellow';
	   document.FormName.CHADS2Type.value= '"CHA2DS2 VASC"';
	}
	   if (document.getElementById("CHADSCounter").value =='2') {
       document.getElementById("CHADS2Switch").style.background='yellow';
	   document.FormName.CHADS2Type.value= '"CHADS2"';
	}
}
function onLoad(){
    if (document.getElementById("counter").value ==''){
       (document.getElementById("counter").value = 1);
	   (document.getElementById("CHADSCounter").value =1);
       start();
       search();
       passAge();
       UpdateBP();
       passGender();
       checkLab();
       startUp();
     }
	 if (document.getElementById("counter").value =='1'){
	   restart();
	 }
}    
</script>

</head>

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Text[15]=["","Abnormal renal function ( defined as the presence of chronic dialysis or renal transplantation or serum creatinine greater than 200 mmol/L (Points: 1 )"]
Text[16]=["","Some Lists <li>list one</li> <li>list two</li> <li>list three</li> <li>list four</li>"]
Text[17]=["","Abnormal renal function ( defined as the presence of chronic dialysis or renal transplantation or serum creatinine greater than 200 mmol/L (Points: 1 )"]
Text[18]=["","Abnormal liver function ( defined as chronic hepatic disease (eg. cirrhosis) or biochemical evidence of significant hepatic derangement (eg. bilirubin >2x upper limit of normal, in association with AST/ALT/ALP >3x upper limit normal) (Points: 1 )"]
Text[19]=["","Alcohol intake (consuming 8 or more alcoholic drinks per week) (Points: 1)"]
Text[20]=["","Labile INRs (refers to unstable/high INRs or poor time in therapeutic range(eg<60%))(Points: 1)"]
Text[21]=["","Hypertension -( systolic blood pressure >160 mmHg) (Points: 1 ) "]
Text[22]=["","Drug Therapy (concomitant therapy such as antiplatelet agents, NSAID's)   (Points: 1 )"]
Text[23]=["","Bleeding (Major bleeding history (anemia or predisposition to bleeding))  (Points: 1 )"]
Text[24]=["","Although elderly is defined as over 65, this is really an assessment of degree of frailty. The physician needs to use their discretion here. "]
Text[25]=["","Population average"]
Text[26]=["","or LVEF <= 40%"]
Text[27]=["","Click here for more information on the Framingham Stroke or Death after Atrial Fibrillation calculator "]
Text[28]=["","Click here for more information on the CHA2DS2 VASc stroke risk in atrial fibrillation calculator "]
Text[29]=["","Click here for more information on the HAS BLED bleeding risk calculator "]
Text[30]=["","In the HAS BLED bleeding risk assessment hypertension is considered a modifiable risk factor. So appropriate treatment of the blood pressure is thought to reduce the risk for bleeding. "]
Text[31]=["","Requirements for Special Authority approval: For prevention of stroke and systemic embolus in non valvular atrial fibrillation AND anticoagulation with warfarin inadequate after a 2 month trial OR warfarin is contraindicated or not possible (eg no access to INR testing). EXCLUSIONS: eGFR < 30 ml/min OR Age >74 and renal function not stable OR hemodynamically significant rheumatic valvular heart disease (especially mitral stenosis) OR patients with prosthetic heart valves. "]
Text[32]=["","Requirements for Special Authority approval: Not currently eligible."]
Text[33]=["","Requirements for Special Authority approval: If needed for secondary prevention of coronary, cerebral or peripheral vascular occlusion where there has been treatment failure on optimal ASA therapy. "]
Text[34]=["","Click here for more information on validation of the CHA2DS2 VASc vs CHADS2 calculators."]
Text[35]=["","Click here to populate the CHA2DS2 VASC results"]
Text[36]=["","Click here to populate the CHADS2 results"]
Text[37]=["","Risk determined by HAS-BLED score for warfarin and then adjusted as needed for the newer agents"]
Text[38]=["","Risk of bleed 20% less than warfarin (based on RE-LY)"]
Text[39]=["","Risk of bleed similar to warfarin"]
Text[40]=["","Risk of bleed 31% less than warfarin (based on ARISTOTLE)"]
Text[41]=["","Risk of bleed similar to warfarin (derived from ACTIVE-W)"]

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<input name="BP" id="BP" type="hidden" oscarDB=m$BP#value>
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<input type="hidden" name="PtName" id="PtName" oscarDB=patient_name>
<!-- ---------------------- -->

 <table width="770px" style="background-color:#b0c4de;" >
   <tr>
   <td>
	
 <div id="heading" >
   <table width="100%" style="outline:black solid thin">
	<tr>
                    <td style="text-align: center;"><input name="PatientSurnameFirstName" type="text" class="noborder" style="width: 250px; font-family: Arial; font-size: 14px;font-weight:bold;" oscarDB=patient_name >
                    <input name="TodaysDate" type="text" class="noborder" style="width: 80px; font-family: Arial; font-size: 14px;font-weight:bold; text-align: center;" oscardb=today >		
                    </td>
					<td colspan="6" style="text-align: right;"><input name="IntroSelect" id="IntroSelect" type="text" value='X' class="DoNotPrint" style="width:16px; height:16px; border:1px solid #000000; font-weight:bold;color:red; text-align:center; background-color:white;" onkeypress="javascript:return displayKeyCode(event,this.id);" onmousedown="changeValue(this.id);setDirtyFlag()" onkeypress="javascript:return displayKeyCode(event,this.id);"></td>
        </tr>
		<tr>
                    <td><b>PERSONALIZED STROKE RISK ASSESSMENT IN ATRIAL FIBRILLATION (non valvular):</b></td>
								   
        </tr> 
	<tr>
               <td>You have been diagnosed with a heart condition called atrial fibrillation. This means that the two small chambers in your heart are not beating properly, which could lead to pooling of the blood and clotting, which could then dislodge and go to the brain and cause a stroke. Because of this possibility, unless your risk score is very low, we recommend that you be on a blood thinner to reduce the risk. This handout is to help provide you with an estimation of your stroke risk and show you how this might change with different interventions. This is to help you come to an informed decision to help you chose one of the blood thinner options. It is important to understand that these numbers that you see are estimates as best as we know and are only there for guidance.</td>


        </tr>
   </table>	
  </div>
<br>
    <div id="riskfactorsDiv" >	
	
		        <table width="100%" style="outline:black solid thin" class="DoNotPrint">
				
				    <tr>
                    <td colspan="6"><b>RISK FACTORS:</b></td>
					<td colspan="2" style="text-align: right;"><input name="RiskFactorsSelect" id="RiskFactorsSelect" type="text" class="DoNotPrint" style="width:16px; height:16px; border:1px solid #000000; font-weight:bold;color:red; text-align:center; background-color:white;" onkeypress="javascript:return displayKeyCode(event,this.id);" onmousedown="changeValue(this.id);setDirtyFlag()" onkeypress="javascript:return displayKeyCode(event,this.id);"></td>
                    </tr> 
                      
                    <tr>
						<td style="text-align: center;">Age:</td>
		                <td style="text-align: left;"><input name="PatientAge" id = "PatientAge" type="text" class="noborder" style="width:16px; height:16px; font-family: Arial;font-weight: bold; font-size: 10px; text-align: center;" oscardb=age ><input name="PatientAge2" id="PatientAge2" type="hidden" ></td>
						<td style="text-align: center;"><b>C</b>ongestive Heart <A href="#" onMouseOver="stm(Text[26],Style[13])" onMouseOut="htm()">Failure</A> at any time:</td>
		                <td style="text-align: left;"><input name="CHF1" id="CHF1" type="text"  style="width:16px; height:16px; border:1px solid #000000; font-weight:bold; text-align:center; background-color:white;" onkeypress="javascript:return displayKeyCode(event,this.id);" onmousedown="changeValue(this.id);totalScore();setDirtyFlag()" onkeypress="javascript:return displayKeyCode(event,this.id);"><input name="CHF2" id="CHF2" type="hidden" ></td>						
						<td style="text-align: center;"> <b>H</b>ypertension <A href="#" onMouseOver="stm(Text[30],Style[13])" onMouseOut="htm()">(Sys >160):</A></td>
		                <td style="text-align: left;"><input name="HBHypertension1" id="HBHypertension1" type="text" style="width:16px; height:16px; border:1px solid #000000; font-weight:bold; text-align:center; background-color:white;" onkeypress="javascript:return displayKeyCode(event,this.id);" onmousedown="changeValue(this.id);totalScore();setDirtyFlag()" onkeypress="javascript:return displayKeyCode(event,this.id);"><input name="HBHypertension2" id="HBHypertension2" type="hidden" ></td>                        

                    </tr>
                    <tr>
   				        <td style="text-align: center;">Systolic BP:</td>
		                <td style="text-align: left;"><input name="SystolicBP" id = "SystolicBP" type="text" class="noborder" style="width: 25px;height:16px; font-family: Arial;font-weight: bold; font-size: 10px; text-align: center;"><input name="SystolicBP2" id="SystolicBP2" type="hidden"></td>
						<td style="text-align: center;"><b>H</b>igh blood pressure (controlled or not):</td>
		                <td style="text-align: left;"><input name="HBP1" id="HBP1" type="text" style="width:16px; height:16px; border:1px solid #000000; font-weight:bold; text-align:center; background-color:white;" onkeypress="javascript:return displayKeyCode(event,this.id);" onmousedown="changeValue(this.id);totalScore();setDirtyFlag()" onkeypress="javascript:return displayKeyCode(event,this.id);"><input name="HBP2" id="HBP2" type="hidden" ></td>						
						<td style="text-align: center;"><b>A</b>bnormal <A href="#" onMouseOver="stm(Text[17],Style[13])" onMouseOut="htm()">Kidney</A> function:</td>
		                <td style="text-align: left;"><input name="AbnRF1" id="AbnRF1" type="text" style="width:16px; height:16px; border:1px solid #000000; font-weight:bold; text-align:center; background-color:white;" onkeypress="javascript:return displayKeyCode(event,this.id);" onmousedown="changeValue(this.id);totalScore();setDirtyFlag()" onkeypress="javascript:return displayKeyCode(event,this.id);"><input name="AbnRF2" id="AbnRF2" type="hidden" ></td>
						
                    </tr>
                    <tr>
						<td style="text-align: center;">Female:</td>
		                <td style="text-align: left;"><input name="Female1" id="Female1" type="text" style="width:16px; height:16px; border:1px solid #000000; font-weight:bold; text-align:center; background-color:white;" onkeypress="javascript:return displayKeyCode(event,this.id);" onmousedown="changeValue(this.id);duplicate();totalScore();setDirtyFlag()" onkeypress="javascript:return displayKeyCode(event,this.id);"><input name="Female2" id="Female2" type="hidden"></td>
						<td style="text-align: center;"><b>A</b>ge > 75:</td>
		                <td style="text-align: left;"><input name="Age1" id="Age1" type="text" style="width:16px; height:16px; border:1px solid #000000; font-weight:bold; text-align:center; background-color:white;" onkeypress="javascript:return displayKeyCode(event,this.id);" onmousedown="changeValue(this.id);clear65();duplicate2();totalScore();setDirtyFlag()" onkeypress="javascript:return displayKeyCode(event,this.id);"><input name="Age2" id="Age2" type="hidden" ></td>                        
						<td style="text-align: center;"><b>A</b>bnormal <A href="#" onMouseOver="stm(Text[18],Style[13])" onMouseOut="htm()">Liver</A> function:</td>
		                <td style="text-align: left;"><input name="AbnLF1" id="AbnLF1" type="text" style="width:16px; height:16px; border:1px solid #000000; font-weight:bold; text-align:center; background-color:white;" onkeypress="javascript:return displayKeyCode(event,this.id);" onmousedown="changeValue(this.id);totalScore();setDirtyFlag()" onkeypress="javascript:return displayKeyCode(event,this.id);"><input name="AbnLF2" id="AbnLF2" type="hidden" ></td>						

                    </tr>
                    <tr>
 						<td style="text-align: center;">Diabetes type 1 or 2:</td>
		                <td style="text-align: left;"><input name="DM3" id="DM3" type="text" style="width:16px; height:16px; border:1px solid #000000; font-weight:bold; text-align:center; background-color:white;" onkeypress="javascript:return displayKeyCode(event,this.id);" onmousedown="changeValue(this.id);duplicate2();totalScore();setDirtyFlag()" onkeypress="javascript:return displayKeyCode(event,this.id);"><input name="DM4" id="DM4" type="hidden" ></td>                       
						<td style="text-align: center;"><b>D</b>iabetes type 1 or 2:</td>
		                <td style="text-align: left;"><input name="DM1" id="DM1" type="text" style="width:16px; height:16px; border:1px solid #000000; font-weight:bold; text-align:center; background-color:white;" onkeypress="javascript:return displayKeyCode(event,this.id);" onmousedown="changeValue(this.id);duplicate();totalScore();setDirtyFlag()" onkeypress="javascript:return displayKeyCode(event,this.id);"><input name="DM2" id="DM2" type="hidden" ></td>
						<td style="text-align: center;"><b>S</b>troke or TIA:</A></td>
		                <td style="text-align: left;"><input name="HBStroke1" id="HBStroke1" type="text" style="width:16px; height:16px; border:1px solid #000000; font-weight:bold; text-align:center; background-color:white;" onkeypress="javascript:return displayKeyCode(event,this.id);" onmousedown="changeValue(this.id);duplicate3();totalScore();setDirtyFlag()" onkeypress="javascript:return displayKeyCode(event,this.id);"><input name="HBStroke2" id="HBStroke2" type="hidden" ></td>

                    </tr>
                    <tr>
						<td style="text-align: center;">TIA or Stroke in past:</td>
		                <td style="text-align: left;"><input name="TIA3" id="TIA3" type="text" style="width:16px; height:16px; border:1px solid #000000; font-weight:bold; text-align:center; background-color:white;" onkeypress="javascript:return displayKeyCode(event,this.id);" onmousedown="changeValue(this.id);duplicate2();totalScore();setDirtyFlag()" onkeypress="javascript:return displayKeyCode(event,this.id);"><input name="TIA4" id="TIA4" type="hidden"></td>					
                        <td style="text-align: center;"><b>S</b>troke or TIA in past:</td>
		                <td style="text-align: left;"><input name="TIA1" id="TIA1" type="text" style="width:16px; height:16px; border:1px solid #000000; font-weight:bold; text-align:center; background-color:white;" onkeypress="javascript:return displayKeyCode(event,this.id);" onmousedown="changeValue(this.id);duplicate();totalScore();setDirtyFlag()" onkeypress="javascript:return displayKeyCode(event,this.id);"><input name="TIA2" id="TIA2" type="hidden"></td>
						<td style="text-align: center;">History of major <b>B</b>leed:</td>
		                <td style="text-align: left;"><input name="MajorBleed1" id="MajorBleed1" type="text" style="width:16px; height:16px; border:1px solid #000000; font-weight:bold; text-align:center; background-color:white;" onkeypress="javascript:return displayKeyCode(event,this.id);" onmousedown="changeValue(this.id);totalScore();setDirtyFlag()" onkeypress="javascript:return displayKeyCode(event,this.id);"><input name="MajorBleed2" id="MajorBleed2" type="hidden" ></td>

                    </tr>
                    <tr>
						<td></td>
		                <td></td>
						<td style="text-align: center;"><b>V</b>ascular disease:</td>
		                <td style="text-align: left;"><input name="MI1" id="MI1" type="text" style="width:16px; height:16px; border:1px solid #000000; font-weight:bold; text-align:center; background-color:white;" onkeypress="javascript:return displayKeyCode(event,this.id);" onmousedown="changeValue(this.id);totalScore();setDirtyFlag()" onkeypress="javascript:return displayKeyCode(event,this.id);"><input name="MI2" id="MI2" type="hidden" ></td>						
						<td style="text-align: center;">History of <b>L</b>abile <A href="#" onMouseOver="stm(Text[20],Style[13])" onMouseOut="htm()"> INR:</A></td>
		                <td style="text-align: left;"><input name="LabileINR1" id="LabileINR1" type="text" style="width:16px; height:16px; border:1px solid #000000; font-weight:bold; text-align:center; background-color:white;" onkeypress="javascript:return displayKeyCode(event,this.id);" onmousedown="changeValue(this.id);totalScore();setDirtyFlag()" onkeypress="javascript:return displayKeyCode(event,this.id);"><input name="LabileINR2" id="LabileINR2" type="hidden" ></td>                        

                    </tr>
                    <tr>
						<td></td>
		                <td></td>					
                        <td style="text-align: center;"><b>A</b>ge 65-75:</td>
		                <td style="text-align: left;"><input name="Age651" id="Age651" type="text" style="width:16px; height:16px; border:1px solid #000000; font-weight:bold; text-align:center; background-color:white;" onkeypress="javascript:return displayKeyCode(event,this.id);" onmousedown="changeValue(this.id);clear75();duplicate2();totalScore();setDirtyFlag()" onkeypress="javascript:return displayKeyCode(event,this.id);"><input name="Age652" id="Age652" type="hidden" ></td>						
						<td style="text-align: center;"><b>E</b>lderly <A href="#" onMouseOver="stm(Text[24],Style[13])" onMouseOut="htm()">(>65):</A></td>
		                <td style="text-align: left;"><input name="HBElderly1" id="HBElderly1" type="text" style="width:16px; height:16px; border:1px solid #000000; font-weight:bold; text-align:center; background-color:white;" onkeypress="javascript:return displayKeyCode(event,this.id);" onmousedown="changeValue(this.id);totalScore();setDirtyFlag()" onkeypress="javascript:return displayKeyCode(event,this.id);"><input name="HBElderly2" id="HBElderly2" type="hidden" ></td>
                    </tr>
                    <tr>

						<td></td>
		                <td></td>
                        <td style="text-align: center;"><b>S</b>ex: Female:</td>
		                <td style="text-align: left;"><input name="Female3" id="Female3" type="text" style="width:16px; height:16px; border:1px solid #000000; font-weight:bold; text-align:center; background-color:white;" onkeypress="javascript:return displayKeyCode(event,this.id);" onmousedown="changeValue(this.id);duplicate2();totalScore();setDirtyFlag()" onkeypress="javascript:return displayKeyCode(event,this.id);"><input name="Female4" id="Female4" type="hidden"></td>
						<td style="text-align: center;">Taking antiplatelet <b>D</b>rug or NSAID:</td>
		                <td style="text-align: left;"><input name="NSAID1" id="NSAID1" type="text" style="width:16px; height:16px; border:1px solid #000000; font-weight:bold; text-align:center; background-color:white;" onkeypress="javascript:return displayKeyCode(event,this.id);" onmousedown="changeValue(this.id);totalScore();setDirtyFlag()" onkeypress="javascript:return displayKeyCode(event,this.id);"><input name="NSAID2" id="NSAID2" type="hidden" ></td>
                    </tr>
					<tr>
			            <td>&nbsp </td>
		                <td>&nbsp </td>
			            <td>&nbsp </td>
		                <td>&nbsp </td>
						<td style="text-align: center;">Current excess <A href="#" onMouseOver="stm(Text[19],Style[13])" onMouseOut="htm()">Alcohol </A>use:</td>
		                <td style="text-align: left;"><input name="Alcohol1" id="Alcohol1" type="text" style="width:16px; height:16px; border:1px solid #000000; font-weight:bold; text-align:center; background-color:white;" onkeypress="javascript:return displayKeyCode(event,this.id);" onmousedown="changeValue(this.id);totalScore();setDirtyFlag()" onkeypress="javascript:return displayKeyCode(event,this.id);"><input name="Alcohol2" id="Alcohol2" type="hidden" ></td>					
					</tr>
					<tr>
			            <td>&nbsp </td>
		                <td>&nbsp </td>
			            <td>&nbsp </td>
		                <td>&nbsp </td>
			            <td>&nbsp </td>
		                <td>&nbsp </td>					
					</tr>
					<tr>
						<td style="text-align: center;"><a  href="http://www.framinghamheartstudy.org/risk/death.html" target="_blank" onMouseOver="stm(Text[27],Style[13])" onMouseOut="htm()"><b>FRAMINGHAM<b></a></td>
		                <td><input name="FRAMINGHAMAFIB" id = "FRAMINGHAMAFIB" type="text" class="noborder" style="width:20px; height:16px; font-family: Arial; font-weight: bold; font-size: 12px; text-align: center;"></td>					
						<td style="text-align: center;"><a  href="http://www.bmj.com/content/342/bmj.d124#ref-11" target="_blank" onMouseOver="stm(Text[34],Style[13])" onMouseOut="htm()"><b>#<b></a> <input name="CHA2DS2VASCSwitch" id = "CHA2DS2VASCSwitch" type="text" onMouseOver="stm(Text[35],Style[15])" onMouseOut="htm()" style="width:120px; height:20px; border:1px solid #000000; font-weight:bold; text-align:center;" value='CHA2DS2 VASC' onmousedown="switchCHA2DS2VASC();totalScore();"></input></td>
		                <td style="text-align: right;"><input name="CHA2DS2VASC" id = "CHA2DS2VASC" type="text" class="noborder" style="width:20px; height:16px; font-family: Arial;font-weight: bold; font-size: 12px; text-align: center;" ></td>
						<td style="text-align: center;"><a  href="http://journal.publications.chestnet.org/article.aspx?articleid=1045174" target="_blank" onMouseOver="stm(Text[29],Style[13])" onMouseOut="htm()"><b>HAS BLED<b></a></td>
		                <td style="text-align: center;"><input name="HASBLED" id = "HASBLED" type="text" class="noborder" style="width:20px; height:16px; font-family: Arial;font-weight: bold; font-size: 12px; text-align: center;"></td>
                    </tr>
					<tr>
					    <td></td>
						<td></td>
			            <td style="text-align: center;"><input name="CHADS2Switch" id = "CHADS2Switch" type="text" style="width:70px; height:20px; border:1px solid #000000; font-weight:bold; text-align:center; " value='CHADS2' onMouseOver="stm(Text[36],Style[13])" onMouseOut="htm()" onmousedown="switchCHADS2();totalScore();"></input><input name="CHADSCounter" id="CHADSCounter" type="hidden" ></input></td>
		                <td style="text-align: right;"><input name="CHADS2" id = "CHADS2" type="text" class="noborder" style="width:20px; height:16px; font-family: Arial;font-weight: bold; font-size: 12px; text-align: center;"></td>
						<td></td>
						<td></td>
					</tr>
					   
	            </table>
						
    </div>	
    <div>	
		 <input type="button"  class="DoNotPrint" onclick="totalScore();checkLab()" value="Confirm Data Entry and Calculate Scores"> 
	</div>
	<div id="notherapyDiv">
	        <table width="100%" style="outline:black solid thin">
                <tr>
                    <td colspan="7"><b>NO THERAPY:</b></td>
		     <td colspan="1" style="text-align: right;"><input name="NoTherapySelect" id="NoTherapySelect" type="text" value='X' class="DoNotPrint" style="width:16px; height:16px; border:1px solid #000000; font-weight:bold;color:red; text-align:center; background-color:white;" onkeypress="javascript:return displayKeyCode(event,this.id);" onmousedown="changeValue(this.id);setDirtyFlag()" onkeypress="javascript:return displayKeyCode(event,this.id);"></td>
                </tr>                       
                    <tr>
                        <td colspan="7">Your ANNUAL risk of stroke or serious blood clots not on treatment:</td>
                        <td colspan="1"><input type="text" class="noborder" name="AnnualRiskNoTherapy" id="AnnualRiskNoTherapy" style="width:40px;font-size: 14px;font-weight: bold;text-align: right;">%</td>
                    </tr>
		    <tr>
			<td colspan="2">Your ANNUAL <A href="#" onMouseOver="stm(Text[25],Style[13])" onMouseOut="htm()">risk</A> of major bleeding: &nbsp&nbsp
                        <input type="text"  class="noborder" name="AnnualRiskBleedNoTherapy" id="AnnualRiskBleedNoTherapy" style="width:25px;" value="0.6">%</td>					
                    </tr>
		    <tr>
                        <td colspan="1">Your FIVE YEAR risk of stroke or serious blood clots not on treatment: &nbsp&nbsp&nbsp&nbsp
                        <input type="text" class="noborder" name="FiveYearRiskNoTherapy" id="FiveYearRiskNoTherapy" style="width:30px;font-size: 14px;font-weight: bold;text-align: right;">%</td>

                    </tr>
            </table>
		<br>			
	</div>	

	
  	<div id="aspirinDiv">				
			<table width="100%" style="outline:black solid thin">
                <tr>
                    <td colspan="7"><b>ASPIRIN 80-325mg/day:</b></td>
		    <td colspan="1" style="text-align: right;"><input name="AspirinSelect" id="AspirinSelect" type="text" value='X' class="DoNotPrint" style="width:16px; height:16px; border:1px solid #000000; font-weight:bold;color:red; text-align:center; background-color:white;" onkeypress="javascript:return displayKeyCode(event,this.id);" onmousedown="changeValue(this.id);setDirtyFlag()" onkeypress="javascript:return displayKeyCode(event,this.id);"></td>
                </tr>                        
                <tr>
                    <td colspan="7">Your ANNUAL risk of stroke or serious blood clots on aspirin:</td>
                    <td colspan="1"><input type="text" class="noborder" name="AnnualRiskAspirin" id="AnnualRiskAspirin"  style="width:40px;font-size: 14px;font-weight: bold;text-align: right;">%</td>
                </tr>
				<tr>
                     <td colspan="2">Your ANNUAL <A href="#" onMouseOver="stm(Text[25],Style[13])" onMouseOut="htm()">risk</A> of major bleeding: &nbsp&nbsp
                     <input type="text" class="noborder" name="AnnualRiskBleedAspirin" id="AnnualRiskBleedAspirin"  style="width:25px;" value="1.1">%</td>	
                </tr>									     							
				<tr>
                     <td colspan="1">RRR:
                     <input type="text" class="noborder" name="RelativeRiskReductionAspirin" id="RelativeRiskReductionAspirin"   style="width:22px; font-size: 12px;" value="22">% &nbsp&nbsp ARR:
				     <input type="text" class="noborder" name="AbsoluteRiskReductionAspirin" id="AbsoluteRiskReductionAspirin"  style="width:25px;font-size: 12px;">% &nbsp&nbsp Chance of benefit per year:  1 in
					 <input type="text" class="noborder" name="ChanceofBenefitPerYearAspirin" id="ChanceofBenefitPerYearAspirin"  style="width:25px;font-size: 12px;"> &nbsp&nbsp&nbsp&nbsp Cost per 3 months:
					 <input type="text" class="noborder" name="Cost3MAspirin" id="Cost3MAspirin"   style="width:35px;" value="$8"></td>
					 
				 </tr>									         
			</table>
		<br>			
    </div>
	
	  	<div id="aspirinPlavixDiv">				
			<table width="100%" style="outline:black solid thin">
                <tr>
                    <td colspan="7"><b>ASPIRIN 75-100mg/day and <A href="#" onMouseOver="stm(Text[33],Style[14])" onMouseOut="htm()"><b>CLOPIDOGREL</b></A> 75mg/day:</b></td>
		    <td colspan="1" style="text-align: right;"><input name="AspirinPlavixSelect" id="AspirinPlavixSelect" type="text" class="DoNotPrint" style="width:16px; height:16px; border:1px solid #000000; font-weight:bold;color:red; text-align:center; background-color:white;" onkeypress="javascript:return displayKeyCode(event,this.id);" onmousedown="changeValue(this.id);setDirtyFlag()" onkeypress="javascript:return displayKeyCode(event,this.id);"></td>
                </tr>                        
                <tr>
                    <td colspan="7">Your ANNUAL risk of stroke or serious blood clots on aspirin and plavix:</td>
                    <td colspan="1"><input type="text" class="noborder" name="AnnualRiskAspirinPlavix" id="AnnualRiskAspirinPlavix"  style="width:40px;font-size: 14px;font-weight: bold;text-align: right;">%</td>
                </tr>
				<tr>
                     <td colspan="2">Your ANNUAL <A href="#" onMouseOver="stm(Text[41],Style[13])" onMouseOut="htm()">risk</A> of major bleeding: &nbsp&nbsp
                     <input type="text" class="noborder" name="AnnualRiskBleedAspirinPlavix" id="AnnualRiskBleedAspirinPlavix"  style="width:25px;" >%</td>	
                </tr>									     							
				<tr>
                     <td colspan="1">RRR:
                     <input type="text" class="noborder" name="RelativeRiskReductionAspirinPlavix" id="RelativeRiskReductionAspirinPlavix"   style="width:22px; font-size: 12px;" value="44">% &nbsp&nbsp ARR:
				     <input type="text" class="noborder" name="AbsoluteRiskReductionAspirinPlavix" id="AbsoluteRiskReductionAspirinPlavix"  style="width:25px;font-size: 12px;">% &nbsp&nbsp Chance of benefit per year:  1 in
					 <input type="text" class="noborder" name="ChanceofBenefitPerYearAspirinPlavix" id="ChanceofBenefitPerYearAspirinPlavix"  style="width:25px;font-size: 12px;"> &nbsp&nbsp&nbsp&nbsp Cost per 3 months:
					 <input type="text" class="noborder" name="Cost3MAspirinPlavix" id="Cost3MAspirinPlavix"   style="width:35px;" value="$110"></td>
				 </tr>									         
			</table>
		<br>			
    </div>

  	<div id="warfarinDiv">				
			<table width="100%" style="outline:black solid thin">
                <tr>
                    <td colspan="7"><b>WARFARIN INR 2-3:</b></td>
		    <td colspan="1" style="text-align: right;"><input name="WarfarinSelect" id="WarfarinSelect" type="text" value='X' class="DoNotPrint" style="width:16px; height:16px; border:1px solid #000000; font-weight:bold;color:red; text-align:center; background-color:white;" onkeypress="javascript:return displayKeyCode(event,this.id);" onmousedown="changeValue(this.id);setDirtyFlag()" onkeypress="javascript:return displayKeyCode(event,this.id);"></td>
                </tr>                        
                <tr>
                    <td colspan="7">Your ANNUAL risk of stroke or serious blood clots on warfarin:</td>
                    <td colspan="1"><input type="text" class="noborder" name="AnnualRiskWarfarin" id="AnnualRiskWarfarin"  style="width:40px;font-size: 14px;font-weight: bold;text-align: right;">%</td>
                </tr>
				<tr>
                     <td colspan="2">Your ANNUAL <A href="#" onMouseOver="stm(Text[37],Style[13])" onMouseOut="htm()">risk</A> of major bleeding: &nbsp&nbsp
                     <input type="text" class="noborder" name="AnnualRiskBleedWarfarin" id="AnnualRiskBleedWarfarin"  style="width:25px;" >%</td>	
                </tr>									     							
				<tr>
                     <td colspan="1">RRR:
                     <input type="text" class="noborder" name="RelativeRiskReductionWarfarin" id="RelativeRiskReductionWarfarin"   style="width:22px; font-size: 12px;" value="66">% &nbsp&nbsp ARR:
				     <input type="text" class="noborder" name="AbsoluteRiskReductionWarfarin" id="AbsoluteRiskReductionWarfarin"  style="width:25px;font-size: 12px;">% &nbsp&nbsp Chance of benefit per year:  1 in
					 <input type="text" class="noborder" name="ChanceofBenefitPerYearWarfarin" id="ChanceofBenefitPerYearWarfarin"  style="width:25px;font-size: 12px;"> &nbsp&nbsp&nbsp&nbsp Cost per 3 months:
					 <input type="text" class="noborder" name="Cost3MWarfarin" id="Cost3MWarfarin"   style="width:35px;" value="$40"></td>
				 </tr>									         
			</table>
		<br>			
    </div>
	
  	<div id="Dabigatran110Div">				
			<table width="100%" style="outline:black solid thin">
                <tr>
                    <td colspan="7"><A href="#" onMouseOver="stm(Text[31],Style[14])" onMouseOut="htm()"><b>DABIGATRAN</b></A><b> 110MG BID PO:</b></td>
		    <td colspan="1" style="text-align: right;"><input name="Dabigatran110Select" id="Dabigatran110Select" type="text" class="DoNotPrint" style="width:16px; height:16px; border:1px solid #000000; font-weight:bold;color:red; text-align:center; background-color:white;" onkeypress="javascript:return displayKeyCode(event,this.id);" onmousedown="changeValue(this.id);setDirtyFlag()" onkeypress="javascript:return displayKeyCode(event,this.id);"></td>
                </tr>                        
                <tr>
                    <td colspan="7">Your ANNUAL risk of stroke or serious blood clots on dabigatran 110mg:</td>
                    <td colspan="1"><input type="text" class="noborder" name="AnnualRiskDabigatran110" id="AnnualRiskDabigatran110"  style="width:40px;font-size: 14px;font-weight: bold;text-align: right;">%</td>
                </tr>
				<tr>
                     <td colspan="2">Your ANNUAL <A href="#" onMouseOver="stm(Text[38],Style[13])" onMouseOut="htm()">risk</A> of major bleeding: &nbsp&nbsp
                     <input type="text" class="noborder" name="AnnualRiskBleedDabigatran110" id="AnnualRiskBleedDabigatran110"  style="width:25px;" >%</td>	
                </tr>									     							
				<tr>
                     <td colspan="1">RRR:
                     <input type="text" class="noborder" name="RelativeRiskReductionDabigatran110" id="RelativeRiskReductionDabigatran110"   style="width:22px; font-size: 12px;" value="66">% &nbsp&nbsp ARR:
				     <input type="text" class="noborder" name="AbsoluteRiskReductionDabigatran110" id="AbsoluteRiskReductionDabigatran110"  style="width:25px;font-size: 12px;">% &nbsp&nbsp Chance of benefit per year:  1 in
					 <input type="text" class="noborder" name="ChanceofBenefitPerYearDabigatran110" id="ChanceofBenefitPerYearDabigatran110"  style="width:25px;font-size: 12px;"> &nbsp&nbsp&nbsp&nbsp Cost per 3 months:
					 <input type="text" class="noborder" name="Cost3MDabigatran110" id="Cost3MDabigatran110"   style="width:35px;" value="$335"></td>
				 </tr>									         
			</table>
		<br>			
    </div>

  	<div id="Rivaroxaban20Div">				
			<table width="100%" style="outline:black solid thin">
                <tr>
                    <td colspan="7"><A href="#" onMouseOver="stm(Text[31],Style[14])" onMouseOut="htm()"><b>RIVAROXABAN</b></A><b> 20MG OD PO:</b></td>
		    <td colspan="1" style="text-align: right;"><input name="Rivaroxaban20Select" id="Rivaroxaban20Select" type="text"  class="DoNotPrint" style="width:16px; height:16px; border:1px solid #000000; font-weight:bold;color:red; text-align:center; background-color:white;" onkeypress="javascript:return displayKeyCode(event,this.id);" onmousedown="changeValue(this.id);setDirtyFlag()" onkeypress="javascript:return displayKeyCode(event,this.id);"></td>
                </tr>                        
                <tr>
                    <td colspan="7">Your ANNUAL risk of stroke or serious blood clots on rivaroxaban:</td>
                    <td colspan="1"><input type="text" class="noborder" name="AnnualRiskRivaroxaban20" id="AnnualRiskRivaroxaban20"  style="width:40px;font-size: 14px;font-weight: bold;text-align: right;">%</td>
                </tr>
				<tr>
                     <td colspan="2">Your ANNUAL <A href="#" onMouseOver="stm(Text[39],Style[13])" onMouseOut="htm()">risk</A> of major bleeding: &nbsp&nbsp
                     <input type="text" class="noborder" name="AnnualRiskBleedRivaroxaban20" id="AnnualRiskBleedRivaroxaban20"  style="width:25px;" >%</td>	
                </tr>									     							
				<tr>
                     <td colspan="1">RRR:
                     <input type="text" class="noborder" name="RelativeRiskReductionRivaroxaban20" id="RelativeRiskReductionRivaroxaban20"   style="width:22px; font-size: 12px;" value="66">% &nbsp&nbsp ARR:
				     <input type="text" class="noborder" name="AbsoluteRiskReductionRivaroxaban20" id="AbsoluteRiskReductionRivaroxaban20"  style="width:25px;font-size: 12px;">% &nbsp&nbsp Chance of benefit per year:  1 in
					 <input type="text" class="noborder" name="ChanceofBenefitPerYearRivaroxaban20" id="ChanceofBenefitPerYearRivaroxaban20"  style="width:25px;font-size: 12px;"> &nbsp&nbsp&nbsp&nbsp Cost per 3 months:
					 <input type="text" class="noborder" name="Cost3MRivaroxaban20" id="Cost3MRivaroxaban20"   style="width:35px;" value="$300"></td>
				 </tr>									         
			</table>
		<br>			
    </div>



  	<div id="Apixaban5Div">				
			<table width="100%" style="outline:black solid thin">
                <tr>
                    <td colspan="7"><A href="#" onMouseOver="stm(Text[32],Style[14])" onMouseOut="htm()"><b>APIXABAN</b></A><b> 5MG BID PO:</b></td>
		    <td colspan="1" style="text-align: right;"><input name="Apixaban5Select" id="Apixaban5Select" type="text" class="DoNotPrint" style="width:16px; height:16px; border:1px solid #000000; font-weight:bold;color:red; text-align:center; background-color:white;" onkeypress="javascript:return displayKeyCode(event,this.id);" onmousedown="changeValue(this.id);setDirtyFlag()" onkeypress="javascript:return displayKeyCode(event,this.id);"></td>
                </tr>                        
                <tr>
                    <td colspan="7">Your ANNUAL risk of stroke or serious blood clots on apixaban:</td>
                    <td colspan="1"><input type="text" class="noborder" name="AnnualRiskApixaban5" id="AnnualRiskApixaban5"  style="width:40px;font-size: 14px;font-weight: bold;text-align: right;">%</td>
                </tr>
				<tr>
                     <td colspan="2">Your ANNUAL <A href="#" onMouseOver="stm(Text[40],Style[13])" onMouseOut="htm()">risk</A> of major bleeding: &nbsp&nbsp
                     <input type="text" class="noborder" name="AnnualRiskBleedApixaban5" id="AnnualRiskBleedApixaban5"  style="width:25px;" >%</td>	
                </tr>									     							
				<tr>
                     <td colspan="1">RRR:
                     <input type="text" class="noborder" name="RelativeRiskReductionApixaban5" id="RelativeRiskReductionApixaban5"   style="width:22px; font-size: 12px;" value="74">% &nbsp&nbsp ARR:
				     <input type="text" class="noborder" name="AbsoluteRiskReductionApixaban5" id="AbsoluteRiskReductionApixaban5"  style="width:25px;font-size: 12px;">% &nbsp&nbsp Chance of benefit per year:  1 in
					 <input type="text" class="noborder" name="ChanceofBenefitPerYearApixaban5" id="ChanceofBenefitPerYearApixaban5"  style="width:25px;font-size: 12px;"> &nbsp&nbsp&nbsp&nbsp Cost per 3 months:
					 <input type="text" class="noborder" name="Cost3MApixaban5" id="Cost3MApixaban5"   style="width:35px;" value="$300"></td>
				 </tr>									         
			</table>
		<br>			
    </div>

  	<div id="Dabigatran150Div">				
			<table width="100%" style="outline:black solid thin">
                <tr>
                    <td colspan="7"><A href="#" onMouseOver="stm(Text[31],Style[14])" onMouseOut="htm()"><b>DABIGATRAN</b></A><b> 150MG BID PO:</b></td>
		    <td colspan="1" style="text-align: right;"><input name="Dabigatran150Select" id="Dabigatran150Select" value='X' type="text"  class="DoNotPrint" style="width:16px; height:16px; border:1px solid #000000; font-weight:bold;color:red; text-align:center; background-color:white;" onkeypress="javascript:return displayKeyCode(event,this.id);" onmousedown="changeValue(this.id);setDirtyFlag()" onkeypress="javascript:return displayKeyCode(event,this.id);"></td>
                </tr>                        
                <tr>
                    <td colspan="7">Your ANNUAL risk of stroke or serious blood clots on dabigatran 150mg:</td>
                    <td colspan="1"><input type="text" class="noborder" name="AnnualRiskDabigatran150" id="AnnualRiskDabigatran150"  style="width:40px;font-size: 14px;font-weight: bold;text-align: right;">%</td>
                </tr>
				<tr>
                     <td colspan="2">Your ANNUAL <A href="#" onMouseOver="stm(Text[39],Style[13])" onMouseOut="htm()">risk</A> of major bleeding: &nbsp&nbsp
                     <input type="text" class="noborder" name="AnnualRiskBleedDabigatran150" id="AnnualRiskBleedDabigatran150"  style="width:25px;" >%</td>	
                </tr>									     							
				<tr>
                     <td colspan="1">RRR:
                     <input type="text" class="noborder" name="RelativeRiskReductionDabigatran150" id="RelativeRiskReductionDabigatran150"   style="width:22px; font-size: 12px;" value="78">% &nbsp&nbsp ARR:
				     <input type="text" class="noborder" name="AbsoluteRiskReductionDabigatran150" id="AbsoluteRiskReductionDabigatran150"  style="width:25px;font-size: 12px;">% &nbsp&nbsp Chance of benefit per year:  1 in
					 <input type="text" class="noborder" name="ChanceofBenefitPerYearDabigatran150" id="ChanceofBenefitPerYearDabigatran150"  style="width:25px;font-size: 12px;"> &nbsp&nbsp&nbsp&nbsp Cost per 3 months:
					 <input type="text" class="noborder" name="Cost3MDabigatran150" id="Cost3MDabigatran150"   style="width:35px;" value="$335"></td>
				 </tr>									         
			</table>	
	<br>				
    </div>

  	<div id="GeneralNotesDiv">				
			<table width="100%" style="outline:black solid thin">
                <tr>
                   <td><b>General Notes:</b></td>
                   <td style="text-align: right;"><input name="GeneralNotesSelect" id="GeneralNotesSelect" type="text" value='X' class="DoNotPrint" style="width:16px; height:16px; border:1px solid #000000; font-weight:bold;color:red; text-align:center; background-color:white;" onkeypress="javascript:return displayKeyCode(event,this.id);" onmousedown="changeValue(this.id);setDirtyFlag()" onkeypress="javascript:return displayKeyCode(event,this.id);"></td>
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                    <td>Warfarin use requires blood work monitoring-initially every 1-2 days until stable, then every 2-4 weeks.</td>
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                   <td>The newer agents (Dabigatran,Rivaroxaban, Apixaban) do not require blood work monitoring but are more expensive.</td>
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                   <td>"Major bleeding" means risk for bleeding in and around the brain, bleeding requiring hospitalization or a haemoglobin drop > 2g/L or that needs transfusion. However it is important to know that the majority of patients with major bleeds have a good outcome and this needs to be weighed against the possible outcome of a stroke. </td>
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                   <td>The risk estimates above are calculated using the "Framingham Stroke or Death after Atrial Fibrillation" tool, the <input name="CHADS2Type" id = "CHADS2Type" class="noborder"  type="text" style="width:120px; height:20px;text-align:right; "> tool and the "HAS BLED" tool. These tools take into account some of your medical history including your age and sex and the presence or absence of conditions like diabetes, high blood pressure, heart failure, previous stroke etc.  </td>
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			</table>	
					
    </div>
   </td>
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   </table>
<br>
        <tr>
        <td>The CHADS2 and CHA2DS2-VASc risk estimates are based on BMJ 2011;342:d124, 10 year followup estimates.</td>
        </tr>
<br>
        <tr>				
	<td>This form is adapted with permission from the work by Peter Loewen UBC (Pharm.D, B.Sc. Pharm): <a href="http:www.peterloewen.com/" target="_blank">www.peterloewen.com</a></td>
        </tr>

  
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	        <td class="Heading1">Medical History box:</td>	
	</tr>
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	<td><textarea name="searchbox" id="searchbox" class="information" style="width:300; height: 900px;"></textarea></p></td>
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		<td><p id="eGFR">eGFR</p></td>
                <td><input  name="eGFR2" id="eGFR2" type="text" style="width:50px; text-align: center;" oscarDB=m$EGFR#value></td>
                <td><input  name="eGFR3" id="eGFR3" type="text" style="width:70px; text-align: center;" oscarDB=m$EGFR#dateObserved></td>
	</tr>
        <tr>				
		<td><p id="CREAT">CREAT</p></td>
                <td><input  name="CREATININE2" id="CREATININE2" type="text" style="width:50px; text-align: center;" oscarDB=m$SCR#value></td>
                <td><input  name="CREATININE3" id="CREATININE3" type="text" style="width:70px; text-align: center;" oscarDB=m$SCR#dateObserved></td>
	</tr>
        <tr>		
		<td><p id="AST">AST</p></td>
                <td><input  name="AST2" id="AST2" type="text" style="width:50px; text-align: center;" oscarDB=m$AST#value></td>
                <td><input  name="AST3" id="AST3" type="text" style="width:70px; text-align: center;" oscarDB=m$AST#dateObserved></td>
	</tr>
        <tr>
		<td><p id="ALT">ALT</p></td>
                <td><input name="ALT2" id="ALT2" type="text" style="width:50px; text-align: center;" oscarDB=m$ALT#value></td>
                <td><input  name="ALT3" id="ALT3" type="text" style="width:70px; text-align: center;" oscarDB=m$ALT#dateObserved></td>
	</tr>
        <tr>				
		<td><p id="BILI">BILI</p></td>
                <td><input  name="BILI2" id="BILI2" type="text" style="width:50px; text-align: center;" oscarDB=m$BILI#value></td>
                <td><input  name="BILI3" id="BILI3" type="text" style="width:70px; text-align: center;" oscarDB=m$BILI#dateObserved></td>
	</tr>
        <tr>				
		<td><p id="ALP">ALP</p></td>
                <td><input  name="ALP2" id="ALP2" type="text" style="width:50px; text-align: center;" oscarDB=m$ALP#value></td>
                <td><input  name="ALP3" id="ALP3" type="text" style="width:70px; text-align: center;" oscarDB=m$ALP#dateObserved></td>

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<a rel="license" href="http://creativecommons.org/licenses/by-sa/3.0/deed.en_US"><img alt="Creative Commons License" style="border-width:0" src="http://i.creativecommons.org/l/by-sa/3.0/80x15.png" /></a><br /><span xmlns:dct="http://purl.org/dc/terms/" property="dct:title">Atrial Fibrillation Stroke Risk Advisor</span> by <span xmlns:cc="http://creativecommons.org/ns#" property="cc:attributionName">Dr D.A. Page</span> is licensed under a <a rel="license" href="http://creativecommons.org/licenses/by-sa/3.0/deed.en_US">Creative Commons Attribution-ShareAlike 3.0 Unported License</a>.<br />Permissions beyond the scope of this license may be available at <a xmlns:cc="http://creativecommons.org/ns#" href="http://www.oscarcanada.org/" rel="cc:morePermissions">http://www.oscarcanada.org/</a>.
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