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Anticoagulation Bridging Therapy HTML

includes calendar reference and calculations for dates before and after procedure.

HTML icon Anticoagulation Bridging Therapy2.html — HTML, 19 kB (20238 bytes)

File contents

<html>
<head>
<title>Anticoagulation Bridging Therapy</title>


	<link rel="stylesheet" type="text/css" href="${oscar_image_path}JSMPC.css" />
	
	<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;
 }
</style>


	<script language="javascript" type="text/javascript">
		/****************************
		startup functions 
		****************************/
		function startUp()
		{			
			// shows the forms on development machine from notepad ++ - saves you from uploading to the server to input alignments
			var strLoc = window.location.href.toLowerCase();
			if(strLoc.indexOf("https") == -1)
			{
				//page1
				var src = document.getElementById('BGImage').src;				
				document.getElementById('BGImage').src = src.replace('$%7Boscar_image_path%7D','');
			}
		}
		
		


		
		/****************************
			submit and print functions 
		****************************/
		function printSubmit()
		{
			printLetter();
			releaseDirtyFlag();			
			submission();
		}

		function printLetter()
		{
			// hide the bottom buttons
			if (document.getElementById('BottomButtons').style.display == '')
				document.getElementById('BottomButtons').style.display = 'none';
			// print the letter
			window.print();
		} 

		function submission()
		{
			setFlag();
			setTimeout('document.FormName.submit()',1000);			
		}

		function setFlag()
		{
		// indicate that the form has been submitted
		if (document.getElementById("newForm").value == 'True')
			document.getElementById("newForm").value = 'False';
		}
		
		function showButtons()
		{
			//show the bottom buttons if they are hidden
			if (document.getElementById('BottomButtons').style.display == 'none')
				document.getElementById('BottomButtons').style.display = '';
		}
		
		/****************************
			checkbox functions 
		****************************/
		function changeValue(x)
		{
			if (document.getElementById(x).value == '')
				document.getElementById(x).value = 'X';
			else
				document.getElementById(x).value = '';
		}

		function displayKeyCode(evt,x)
		{
			var charCode = (evt.which) ? evt.which : event.keyCode
			// any key press except tab will constitute a value change to the checkbox
			if (charCode != 9)
			{
				changeValue(x);
				return false;
			}
		}
</script>

<!-------Script to optimize window on loading----------->
<script language="JavaScript">
top.window.moveTo(0,0);
if (document.all) {
top.window.resizeTo(screen.availWidth,screen.availHeight);
}
else if (document.layers||document.getElementById) {
if (top.window.outerHeight<screen.availHeight||top.window.outerWidth<screen.availWidth){
top.window.outerHeight = screen.availHeight;
top.window.outerWidth = 850;
}
}
</script>
<!----------End optimize window script---------->

<!-- scripts to confirm closing of window if it hadn't 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 if doesn't requires 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 for current date--------->

<script language="javascript">

<!-- hide javascript

function doDate() {
      var digital = new Date();
      var days = digital.getDate();
      var months = digital.getMonth()*1 +1;
      var years = digital.getFullYear();
      var date =" " + days + "/" + months + "/" + years + " " ;
      return date;
}

// done hiding -->

</script>

<!-----------------script for current time--------->
<script language="javascript">

<!-- hide javascript

function StartClock12() {
Time12 = new Date();
Cur12Hour = Time12.getHours();
Cur12Mins = Time12.getMinutes();
The12Time = 0;
The12Time = (Cur12Hour > 12) ? Cur12Hour - 12 : Cur12Hour;
The12Time += ((Cur12Mins < 10) ? ':0' : ':') + Cur12Mins;
The12Time += (Cur12Hour > 11) ? ' PM': ' AM';
window.status = The12Time;
setTimeout('StartClock12()',1000);
}

// done hiding -->
</script>

<script language="javascript" type="text/javascript">
function onLoad(){
      if (document.getElementById("counter").value ==''){
       (document.getElementById("counter").value = 1);
	   StartClock12();

       (document.FormName.Time.value=The12Time);
	   
      }  

}
</script>

<!--------------------- calendar code ---------------------------------------------------->

<link rel="stylesheet" type="text/css" media="all" href="../share/calendar/calendar.css" title="win2k-cold-1" />


<!-- main calendar program -->


<script type="text/javascript" src="../share/calendar/calendar.js">
</script>


<!-- language for the calendar -->


<script type="text/javascript" src="../share/calendar/lang/calendar-en.js">
</script>


<!-- the following script defines the Calendar.setup helper function, which makes
       adding a calendar a matter of 1 or 2 lines of code. -->


<script type="text/javascript" src="../share/calendar/calendar-setup.js">
</script>

<!--------------------- end calendar code ---------------------------------------------------->

<script language="javascript" type="text/javascript">

function advisedate() {
var myDate=new Date(Date.parse(document.getElementById('xml_vdate').value));
myDate.setDate(myDate.getDate()-9);
  var now = new Date();
  var today = myDate.getDate();
  var month = myDate.getMonth()+1;
  var year = myDate.getFullYear();
  var weekday=new Array(7);
  weekday[0]="Sun";
  weekday[1]="Mon";
  weekday[2]="Tues";
  weekday[3]="Wed";
  weekday[4]="Thurs";
  weekday[5]="Fri";
  weekday[6]="Sat";
  document.getElementById('asa').value = (weekday[myDate.getDay()]+","+year+"/"+month+"/"+today);
}

function advisedate2() {
var myDate=new Date(Date.parse(document.getElementById('xml_vdate').value));
myDate.setDate(myDate.getDate()-5);
  var now = new Date();
  var today = myDate.getDate();
  var month = myDate.getMonth()+1;
  var year = myDate.getFullYear();
  var weekday=new Array(7);
  weekday[0]="Sun";
  weekday[1]="Mon";
  weekday[2]="Tues";
  weekday[3]="Wed";
  weekday[4]="Thurs";
  weekday[5]="Fri";
  weekday[6]="Sat";
  document.getElementById('warf').value = (weekday[myDate.getDay()]+","+year+"/"+month+"/"+today);
}

function advisedate3() {
var myDate=new Date(Date.parse(document.getElementById('xml_vdate').value));
myDate.setDate(myDate.getDate()-3);
  var now = new Date();
  var today = myDate.getDate();
  var month = myDate.getMonth()+1;
  var year = myDate.getFullYear();
  var weekday=new Array(7);
  weekday[0]="Sun";
  weekday[1]="Mon";
  weekday[2]="Tues";
  weekday[3]="Wed";
  weekday[4]="Thurs";
  weekday[5]="Fri";
  weekday[6]="Sat";
  document.getElementById('INR').value = (weekday[myDate.getDay()]+","+year+"/"+month+"/"+today);
}

function advisedate3A() {
var myDate=new Date(Date.parse(document.getElementById('xml_vdate').value));
myDate.setDate(myDate.getDate());
  var now = new Date();
  var today = myDate.getDate();
  var month = myDate.getMonth()+1;
  var year = myDate.getFullYear();
  var weekday=new Array(7);
  weekday[0]="Sun";
  weekday[1]="Mon";
  weekday[2]="Tues";
  weekday[3]="Wed";
  weekday[4]="Thurs";
  weekday[5]="Fri";
  weekday[6]="Sat";
  document.getElementById('LastEnoxap').value = (weekday[myDate.getDay()]+","+year+"/"+month+"/"+today);
}

function advisedate4() {
var myDate=new Date(Date.parse(document.getElementById('xml_vdate').value));
myDate.setDate(myDate.getDate()+1);
  var now = new Date();
  var today = myDate.getDate();
  var month = myDate.getMonth()+1;
  var year = myDate.getFullYear();
  var weekday=new Array(7);
  weekday[0]="Sun";
  weekday[1]="Mon";
  weekday[2]="Tues";
  weekday[3]="Wed";
  weekday[4]="Thurs";
  weekday[5]="Fri";
  weekday[6]="Sat";
  document.getElementById('INRPrior').value = (weekday[myDate.getDay()]+","+year+"/"+month+"/"+today);
}

function advisedate5() {
var myDate=new Date(Date.parse(document.getElementById('xml_vdate').value));
myDate.setDate(myDate.getDate()+2);
  var now = new Date();
  var today = myDate.getDate();
  var month = myDate.getMonth()+1;
  var year = myDate.getFullYear();
  var weekday=new Array(7);
  weekday[0]="Sun";
  weekday[1]="Mon";
  weekday[2]="Tues";
  weekday[3]="Wed";
  weekday[4]="Thurs";
  weekday[5]="Fri";
  weekday[6]="Sat";
  document.getElementById('CBC').value = (weekday[myDate.getDay()]+","+year+"/"+month+"/"+today);
}

function advisedate6() {
var myDate=new Date(Date.parse(document.getElementById('xml_vdate').value));
myDate.setDate(myDate.getDate()+1);
  var now = new Date();
  var today = myDate.getDate();
  var month = myDate.getMonth()+1;
  var year = myDate.getFullYear();
  var weekday=new Array(7);
  weekday[0]="Sun";
  weekday[1]="Mon";
  weekday[2]="Tues";
  weekday[3]="Wed";
  weekday[4]="Thurs";
  weekday[5]="Fri";
  weekday[6]="Sat";
  document.getElementById('ResumeEnox1').value = (weekday[myDate.getDay()]+","+year+"/"+month+"/"+today);
}

</script>


</head>

<body onload="startUp(); onLoad()" onMouseDown="showButtons();">

<form method="post" action="" name="FormName" id="FormName" >

	<input type="hidden" name="counter" id="counter">



<div id="page1" style="position: relative;" class="pagebreak">

<img id='BGImage' src="${oscar_image_path}anticoagulation-bridging-therapy.png" width="750px">

<div style="position: absolute; left:470px; top:10px;"> 

<textarea name="PatientLabel" class="noborder" style="height: 140; width: 250; font-family: Arial; font-size: 14px" oscarDB=label ></textarea>

</div>

<input name="Allergies" id="Allergies" type="text" class="noborder" style="position:absolute; left:69px; top:207px; width:653px; height:29px; font-family:sans-serif; font-style:normal; font-weight:normal; font-size:14px; text-align:left; background-color:white; "  oscarDB=allergies_des>


<input name="Date" id="Date" type="text" class="noborder" style="position:absolute; left:113px; top:290px; width:176px; height:21px; font-family:sans-serif; font-style:normal; font-weight:normal; font-size:14px; text-align:left; background-color:white; text-decoration:underline; "  oscarDB=today>


<input name="Time" id="Time" type="text" class="noborder" style="position:absolute; left:345px; top:290px; width:158px; height:21px; font-family:sans-serif; font-style:normal; font-weight:normal; font-size:14px; text-align:left; background-color:white; text-decoration:underline; ">


<input name="Weight" id="Weight" type="text" class="noborder" style="position:absolute; left:162px; top:318px; width:110px; height:21px; font-family:sans-serif; font-style:normal; font-weight:normal; font-size:14px; text-align:left; background-color:white; text-decoration:underline; "  oscarDB=m$WT#value>


<input name="Procedure" id="Procedure" type="text" class="noborder" style="position:absolute; left:286px; top:347px; width:320px; height:21px; font-family:sans-serif; font-style:normal; font-weight:normal; font-size:14px; text-align:left; background-color:white; text-decoration:underline; " value="">


<div style="position: absolute; left: 620px; top: 351px; ">


<input type="text" name="xml_vdate" id="xml_vdate"
	 value="Proc. Date" 
	 size='10' maxlength='10' style="zIndex:7">

<img src="../images/cal.gif" id="xml_vdate_cal" class="DoNotPrint"/>

</div>

<div style="position: absolute; left: 740px; top: 351px; " class="DoNotPrint" >
      <td><input type="button" name="insertdates" id="insertdates" value="Populate all dates" onclick="advisedate();advisedate2();advisedate3();advisedate3A();advisedate4();advisedate5();advisedate6();" ></td>
</div>


<input name="PriorWarfarinDose" id="PriorWarfarinDose" type="text" class="noborder" style="position:absolute; left:317px; top:375px; width:225px; height:21px; font-family:sans-serif; font-style:normal; font-weight:normal; font-size:14px; text-align:left; background-color:white; text-decoration:underline; " value="">


<input name="ProstheticValve" id="ProstheticValve" type="text" style="position:absolute; left:154px; top:421px; width:12px; height:12px;border: 1px solid #000000;font-weight:bold;" onkeypress="javascript:return displayKeyCode(event,this.id);" onmousedown="changeValue(this.id);" onkeypress="javascript:return displayKeyCode(event,this.id);" >


<input name="Afib" id="Afib" type="text" style="position:absolute; left:154px; top:436px; width:12px; height:12px;border: 1px solid #000000;font-weight:bold;" onkeypress="javascript:return displayKeyCode(event,this.id);" onmousedown="changeValue(this.id);" onkeypress="javascript:return displayKeyCode(event,this.id);" >


<input name="DVT" id="DVT" type="text" style="position:absolute; left:154px; top:464px; width:12px; height:12px;border: 1px solid #000000;font-weight:bold;" onkeypress="javascript:return displayKeyCode(event,this.id);" onmousedown="changeValue(this.id);" onkeypress="javascript:return displayKeyCode(event,this.id);" >


<input name="HyperCoaguable" id="HyperCoaguable" type="text" style="position:absolute; left:154px; top:477px; width:12px; height:12px;border: 1px solid #000000;font-weight:bold;" onkeypress="javascript:return displayKeyCode(event,this.id);" onmousedown="changeValue(this.id);" onkeypress="javascript:return displayKeyCode(event,this.id);" >


<input name="DiscontinueASA" id="DiscontinueASA" type="text" class="noborder" style="position:absolute; left:273px; top:526px; width:52px; height:21px; font-family:sans-serif; font-style:normal; font-weight:normal; font-size:14px; text-align:right; background-color:white; text-decoration:underline; " value="10">


<div style="position: absolute; left:459px; top:528px; " class="noborder" >
      <td><input type="text" name="asa" id="asa" size="12" onclick="advisedate();" ></td>
</div>


<div style="position: absolute; left:579px; top:545px; " class="noborder" >
      <td><input type="text" name="warf" id="warf" size="12" onclick="advisedate2();" ></td>
</div>

<div style="position: absolute; left:439px; top:559px; " class="noborder" >
      <td><input type="text" name="INR" id="INR" size="12" onclick="advisedate3();" ></td>
</div>


<input name="EnoxaparinDose" id="EnoxaparinDose" type="text" class="noborder" style="position:absolute; left:323px; top:606px; width:83px; height:21px; font-family:sans-serif; font-style:normal; font-weight:normal; font-size:14px; text-align:right; background-color:white; text-decoration:underline; " value="">

<div style="position: absolute; left:234px; top:622px; " class="noborder" >
      <td><input type="text" name="LastEnoxap" id="LastEnoxap" size="12" onclick="advisedate3A();" ></td>
</div>


<input name="INRDayPrior" id="INRDayPrior" type="text" class="noborder" style="position:absolute; left:323px; top:640px; width:65px; height:21px; font-family:sans-serif; font-style:normal; font-weight:normal; font-size:14px; text-align:left; background-color:white; text-decoration:underline; " value="">


<input name="StatINR" id="StatINR" type="text" style="position:absolute; left:154px; top:659px; width:12px; height:12px;border: 1px solid #000000;font-weight:bold;" onkeypress="javascript:return displayKeyCode(event,this.id);" onmousedown="changeValue(this.id);" onkeypress="javascript:return displayKeyCode(event,this.id);" >


<div style="position: absolute; left:367px; top:698px; " class="noborder" >
      <td><input type="text" name="INRPrior" id="INRPrior" size="12" onclick="advisedate4();" ></td>
</div>


<div style="position: absolute; left:317px; top:721px; " class="noborder" >
      <td><input type="text" name="CBC" id="CBC" size="12" onclick="advisedate5();" ></td>
</div>

<input name="ResumeEnoxaparin1" id="ResumeEnoxaparin1" type="text" style="position:absolute; left:154px; top:744px; width:12px; height:12px;border: 1px solid #000000;font-weight:bold;" onkeypress="javascript:return displayKeyCode(event,this.id);" onmousedown="changeValue(this.id);" onkeypress="javascript:return displayKeyCode(event,this.id);" >

<div style="position: absolute; left:405px; top:742px; " class="noborder" >
      <td><input type="text" name="ResumeEnox1" id="ResumeEnox1" size="12" onclick="advisedate6();" ></td>
</div>

<input name="ResumeEnoxaparin2" id="ResumeEnoxaparin2" type="text" style="position:absolute; left:154px; top:765px; width:12px; height:12px;border: 1px solid #000000;font-weight:bold;" onkeypress="javascript:return displayKeyCode(event,this.id);" onmousedown="changeValue(this.id);" onkeypress="javascript:return displayKeyCode(event,this.id);" >


<div style="position: absolute; left:309px; top:763px; " class="noborder" >


<input type="text" name="Resume_Enox2" id="Resume_Enox2"
	 value="Resume_Enox2"
	 size='10' maxlength='10' style="zIndex:7">

<img src="../images/cal.gif" id="Resume_Enox2_cal" class="DoNotPrint"/>

</div>


<input name="WafarinDose" id="WafarinDose" type="text" class="noborder" style="position:absolute; left:243px; top:827px; width:107px; height:21px; font-family:sans-serif; font-style:normal; font-weight:normal; font-size:14px; text-align:right; background-color:white; text-decoration:underline; " value="">


<div style="position: absolute; left:466px; top:828px; " class="noborder" >


<input type="text" name="Warf_Start" id="Warf_Start"
	 value="Warf_Start"
	 size='10' maxlength='10' style="zIndex:7">

<img src="../images/cal.gif" id="Warf_Start_cal" class="DoNotPrint"/>

</div>


<input name="PhysicianSignature" id="PhysicianSignature" type="text" class="noborder" style="position:absolute; left:207px; top:898px; width:207px; height:21px; font-family:sans-serif; font-style:italic; font-weight:bold; font-size:14px; text-align:left; background-color:white; text-decoration:underline; " value="Electronically Signed">


<input name="PrintedName" id="PrintedName" type="text" class="noborder" style="position:absolute; left:506px; top:898px; width:218px; height:21px; font-family:sans-serif; font-style:italic; font-weight:bold; font-size:14px; text-align:left; background-color:white; text-decoration:underline; "  oscarDB=doctor>

</div>

<!-- The submit/print/reset buttons ------------------------------------------------------------->
<div class="DoNotPrint" id="BottomButtons" >
		<table>
		<tr><td>
		<input type="hidden" id="newForm" name="newForm" value="True" />				
		Subject: <input name="subject" size="40" type="text"> 
		<input value="Submit" name="SubmitButton" id="SubmitButton" type="button" onclick="releaseDirtyFlag();document.FormName.submit()">
		<input value="Reset" name="ResetButton" id="ResetButton" type="reset"> 
		<input value="Print" name="PrintButton" id="PrintButton" type="button" onclick="printLetter()"> 			
		<input value="Print and Submit" name="PrintSubmitButton" type="button" onClick="printSubmit()">
		</td></tr>
		</table>
</div>
<!-- ------End of submit/print/reset buttons----------------------------------------------------->

 </form>
 
 <!-- ----------------------Calendar Setup for each field---------------------->
 
 <script type="text/javascript">

Calendar.setup( { inputField : "xml_vdate", ifFormat : "%Y-%m-%d", showsTime :false, button : "xml_vdate_cal", singleClick : true, step : 1 } );
Calendar.setup( { inputField : "Resume_Enox2", ifFormat : "%Y-%m-%d", showsTime :false, button : "Resume_Enox2_cal", singleClick : true, step : 1 } );
Calendar.setup( { inputField : "Warf_Start", ifFormat : "%Y-%m-%d", showsTime :false, button : "Warf_Start_cal", singleClick : true, step : 1 } );



</script>

 <!-- ----------------------End Calendar Setup for each field---------------------->



</body>
</html>

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