﻿<?xml version="1.0" encoding="utf-8" ?>
<Form>
  <Table>
    <tr>
      <td type="button" name="btnMedicalTasks" mask="Medical Tasks"></td>
    </tr>
    <tr>
      <td name="info"></td>
    </tr>
    <tr>      
      <td type="table" height="170">
        <table>
          <tr>
            <td align="center">Date</td>
            <td align="center">PROGRESS  NOTES</td>
            <td align="center">User</td>            
            <td></td>
          </tr>
          <tr>
            <td type="button" member="n1_date" height="30" width="100"></td>
            <td type="text" style="multi" height="60" member="n1_comment" rowspan="2" name="teComment_n1" width="300"></td>
            <td>T:</td>
            <td type="text" width="40" member="n1_tt" name="te_tt_n1"></td>
            <td>BP:</td>
            <td type="text" width="40" member="n1_bp" name="te_bp_n1"></td>
            <Td>HR:</Td>
            <td type="text" width="40" member="n1_hr" name="te_hr_n1"></td>
            <td>RR:</td>
            <td type="text" width="40" member="n1_rr" name="te_rr_n1"></td>
            <td>BG:</td>
            <td type="text" width="40" member="n1_bg" name="te_bg_n1"></td>
            <td>PsOx:</td>
            <td type="text" width="40" member="n1_psox" name="te_psox_n1"></td>
            <td>BW:</td>
            <td type="text" width="40" member="n1_bw" name="te_bw_n1"></td>            
          </tr>
          <tr>
            <td type="button" mask="Remove" height="25" name="btnRemove_n1"></td>            
            <td type="button" height="20" width="20" mask="+!" name="btnAddComment_n1"></td>
            <td>FOOT:</td>
            <td type="checkbox" member="n1_ff"></td>
            <td colspan="11" type="combo" key="Id" mask="Name" member="n1_user" items="query:select u.* from userlist u inner join nurse n on n.userid=u.id"></td>
          </tr>

          <tr>
            <td type="button" member="n2_date" height="30" width="100" ></td>
            <td type="text" style="multi" height="60" member="n2_comment" rowspan="2" name="teComment_n2" width="300"></td>
            <td>T:</td>
            <td type="text" width="40" member="n2_tt"></td>
            <td>BP:</td>
            <td type="text" width="40" member="n2_bp"></td>
            <Td>HR:</Td>
            <td type="text" width="40" member="n2_hr"></td>
            <td>RR:</td>
            <td type="text" width="40" member="n2_rr"></td>
            <td>BG:</td>
            <td type="text" width="40" member="n2_bg"></td>
            <td>PsOx:</td>
            <td type="text" width="40" member="n2_psox"></td>
            <td>BW:</td>
            <td type="text" width="40" member="n2_bw"></td>            
          </tr>
          <tr>
            <td type="button" mask="Remove" height="25" name="btnRemove_n2"></td>
            <td type="button" height="20" width="20" mask="+!" name="btnAddComment_n2"></td>
            <td>FOOT:</td>
            <td type="checkbox" member="n2_ff"></td>
            <td colspan="11" type="combo" key="Id" mask="Name" member="n2_user"  items="query:select u.* from userlist u inner join nurse n on n.userid=u.id"></td>                        
          </tr>

        </table>
      </td>
    </tr>

    <tr>
      <td type="table" height="170">
        <table>
          <tr>
            <td type="button" member="n3_date" height="30" width="100" ></td>
            <td type="text" style="multi" height="60" member="n3_comment" rowspan="2" name="teComment_n3"  width="300"></td>
            <td>T:</td>
            <td type="text" width="40" member="n3_tt"></td>
            <td>BP:</td>
            <td type="text" width="40" member="n3_bp"></td>
            <Td>HR:</Td>
            <td type="text" width="40" member="n3_hr"></td>
            <td>RR:</td>
            <td type="text" width="40" member="n3_rr"></td>
            <td>BG:</td>
            <td type="text" width="40" member="n3_bg"></td>
            <td>PsOx:</td>
            <td type="text" width="40" member="n3_psox"></td>
            <td>BW:</td>
            <td type="text" width="40" member="n3_bw"></td>            
          </tr>
          <tr>
            <td type="button" mask="Remove" height="25" name="btnRemove_n3"></td>                                   
            <td type="button" height="20" width="20" mask="+!" name="btnAddComment_n3"></td>
            <td>FOOT:</td>
            <td type="checkbox" member="n3_ff"></td>
            <td  colspan="11" type="combo" key="Id" mask="Name" member="n3_user"  items="query:select u.* from userlist u inner join nurse n on n.userid=u.id"></td>
          </tr>

          <tr>
            <td type="button" member="n4_date" height="30" width="100" ></td>
            <td type="text" style="multi" height="60" member="n4_comment" rowspan="2" name="teComment_n4"  width="300"></td>
            <td>T:</td>
            <td type="text" width="40" member="n4_tt"></td>
            <td>BP:</td>
            <td type="text" width="40" member="n4_bp"></td>
            <Td>HR:</Td>
            <td type="text" width="40" member="n4_hr"></td>
            <td>RR:</td>
            <td type="text" width="40" member="n4_rr"></td>
            <td>BG:</td>
            <td type="text" width="40" member="n4_bg"></td>
            <td>PsOx:</td>
            <td type="text" width="40" member="n4_psox"></td>
            <td>BW:</td>
            <td type="text" width="40" member="n4_bw"></td>            
          </tr>
          <tr>
            <td type="button" mask="Remove" height="25" name="btnRemove_n4"></td>
            
            <td type="button" height="20" width="20" mask="+!" name="btnAddComment_n4"></td>
            <td>FOOT:</td>
            <td type="checkbox" member="n4_ff"></td>
            <td  colspan="11" type="combo" key="Id" mask="Name" member="n4_user"  items="query:select u.* from userlist u inner join nurse n on n.userid=u.id"></td>
            
          </tr>
        </table>
      </td>
    </tr>


    <tr>
      <td type="table" height="170">
        <table>
          <tr>
            <td type="button" member="n5_date" height="30" width="100" ></td>
            <td type="text" style="multi" height="60" member="n5_comment" rowspan="2" name="teComment_n5"  width="300"></td>
            <td>T:</td>
            <td type="text" width="40" member="n5_tt"></td>
            <td>BP:</td>
            <td type="text" width="40" member="n5_bp"></td>
            <Td>HR:</Td>
            <td type="text" width="40" member="n5_hr"></td>
            <td>RR:</td>
            <td type="text" width="40" member="n5_rr"></td>
            <td>BG:</td>
            <td type="text" width="40" member="n5_bg"></td>
            <td>PsOx:</td>
            <td type="text" width="40" member="n5_psox"></td>
            <td>BW:</td>
            <td type="text" width="40" member="n5_bw"></td>            
          </tr>
          <tr>
            <td type="button" mask="Remove" height="25" name="btnRemove_n5"></td>            
            <td type="button" height="20" width="20" mask="+!" name="btnAddComment_n5"></td>
            <td>FOOT:</td>
            <td type="checkbox" member="n5_ff"></td>
            <td  colspan="11" type="combo" key="Id" mask="Name" member="n5_user"  items="query:select u.* from userlist u inner join nurse n on n.userid=u.id"></td>
          </tr>

          <tr>
            <td type="button" member="n6_date" height="30" width="100" ></td>
            <td type="text" style="multi" height="60" member="n6_comment" rowspan="2" name="teComment_n6"  width="300"></td>
            <td>T:</td>
            <td type="text" width="40" member="n6_tt"></td>
            <td>BP:</td>
            <td type="text" width="40" member="n6_bp"></td>
            <Td>HR:</Td>
            <td type="text" width="40" member="n6_hr"></td>
            <td>RR:</td>
            <td type="text" width="40" member="n6_rr"></td>
            <td>BG:</td>
            <td type="text" width="40" member="n6_bg"></td>
            <td>PsOx:</td>
            <td type="text" width="40" member="n6_psox"></td>
            <td>BW:</td>
            <td type="text" width="40" member="n6_bw"></td>            
          </tr>
          <tr>
            <td type="button" mask="Remove" height="25" name="btnRemove_n6"></td>
            <td type="button" height="20" width="20" mask="+!" name="btnAddComment_n6"></td>
            <td>FOOT:</td>
            <td type="checkbox" member="n6_ff"></td>
            <td  colspan="11"  type="combo" key="Id" mask="Name" member="n6_user"  items="query:select u.* from userlist u inner join nurse n on n.userid=u.id"></td>                                    
          </tr>
        </table>
      </td>
    </tr>

    <tr>
      <td type="table" height="170">
        <table>
          <tr>
            <td type="button" member="n7_date" height="30" width="100" ></td>
            <td type="text" style="multi" height="60" member="n7_comment" rowspan="2" name="teComment_n7"  width="300"></td>
            <td>T:</td>
            <td type="text" width="40" member="n7_tt"></td>
            <td>BP:</td>
            <td type="text" width="40" member="n7_bp"></td>
            <Td>HR:</Td>
            <td type="text" width="40" member="n7_hr"></td>
            <td>RR:</td>
            <td type="text" width="40" member="n7_rr"></td>
            <td>BG:</td>
            <td type="text" width="40" member="n7_bg"></td>
            <td>PsOx:</td>
            <td type="text" width="40" member="n7_psox"></td>
            <td>BW:</td>
            <td type="text" width="40" member="n7_bw"></td>            
          </tr>
          <tr>
            <td type="button" mask="Remove" height="25" name="btnRemove_n7"></td>
            <td type="button" height="20" width="20" mask="+!" name="btnAddComment_n7"></td>
            <td>FOOT:</td>
            <td type="checkbox" member="n7_ff"></td>
            <td  colspan="11" type="combo" key="Id" mask="Name" member="n7_user"  items="query:select u.* from userlist u inner join nurse n on n.userid=u.id"></td>                        
          </tr>

          <tr>
            <td type="button" member="n8_date" height="30" width="100" ></td>
            <td type="text" style="multi" height="60" member="n8_comment" rowspan="2" name="teComment_n8"  width="300"></td>
            <td>T:</td>
            <td type="text" width="40" member="n8_tt"></td>
            <td>BP:</td>
            <td type="text" width="40" member="n8_bp"></td>
            <Td>HR:</Td>
            <td type="text" width="40" member="n8_hr"></td>
            <td>RR:</td>
            <td type="text" width="40" member="n8_rr"></td>
            <td>BG:</td>
            <td type="text" width="40" member="n8_bg"></td>
            <td>PsOx:</td>
            <td type="text" width="40" member="n8_psox"></td>
            <td>BW:</td>
            <td type="text" width="40" member="n8_bw"></td>            
          </tr>
          <tr>
            <td type="button" mask="Remove" height="25" name="btnRemove_n8"></td>            
            <td type="button" height="20" width="20" mask="+!" name="btnAddComment_n8"></td>
            <td>FOOT:</td>
            <td type="checkbox" member="n8_ff"></td>
            <td  colspan="11" type="combo" key="Id" mask="Name" member="n8_user"  items="query:select u.* from userlist u inner join nurse n on n.userid=u.id"></td>
          </tr>
        </table>
      </td>
    </tr>

    <tr>
      <td type="table" height="100">
        <table>
          <tr>
            <td colspan="4" align="center">SUPERVISORY  VISIT  NOTATIONS</td>
          </tr>
          <tr>
            <td type="button" member="n9_date" height="30" width="100" ></td>
            <td type="text" style="multi" height="60" member="n9_comment" rowspan="2" name="teComment_n9"  width="300"></td>
            <td>T:</td>
            <td type="text" width="40" member="n9_tt"></td>
            <td>BP:</td>
            <td type="text" width="40" member="n9_bp"></td>
            <Td>HR:</Td>
            <td type="text" width="40" member="n9_hr"></td>
            <td>RR:</td>
            <td type="text" width="40" member="n9_rr"></td>
            <td>BG:</td>
            <td type="text" width="40" member="n9_bg"></td>
            <td>PsOx:</td>
            <td type="text" width="40" member="n9_psox"></td>
            <td>BW:</td>
            <td type="text" width="40" member="n9_bw"></td>            
          </tr>
          <tr>
            <td type="button" mask="Remove" height="25" name="btnRemove_n9"></td>                        
            <td type="button" height="20" width="20" mask="+!" name="btnAddComment_n9"></td>
            <td>FOOT:</td>
            <td type="checkbox" member="n9_ff"></td>
            <td  colspan="11" type="combo" key="Id" mask="Name" member="n9_user"  items="query:select u.* from userlist u inner join nurse n on n.userid=u.id"></td>            
          </tr>
        </table>
      </td>
    </tr>




    <tr>
      <td type="combo" name="cobComments"></td>
    </tr>
    <tr>
      <td type="table" >
        <table>
          <tr>
            <td type="text" style="readonly" name="teClientName"></td>
            <td type="button" mask="MedProfile" name="btnMedProfile"></td>
            <td type="button" mask="CCP" name="btnICD9"></td>
            <td>on</td>
            <td type="button" name="btnDate"></td>
            <td type="button" mask="MIF/CCNF List" name="btnMIFCCNFList"></td>
            <td type="button" name="btnPrint" width="26" height="26"></td>
            <td type="button" name="btnSpell" mask="Check Spell" width="100" height="26"></td>
            <td type="text" style="readonly" name="teLOC"></td>
            <td></td>
          </tr>
        </table>
      </td>

    </tr>
    <tr>
      <td ></td>
    </tr>
  </Table>
</Form>
