<!-- BEGIN hmrn/data/myeloid.tt -->
[% # PROCESS dumper.tt dump = hmrn_data.precursor %]
[% IF not_using_validationEngine_jquery # then use 'basic' jquery val %]
<script type="text/javascript">
$(document).ready(function() {
$("#myeloid").validate({
rules: { },
});
});
</script>
[% ELSE %]
<script type="text/javascript">
$(document).ready(function() {
$("#myeloid").validationEngine()
})
</script>
[% END %]
<h4 class="indent">
2. Myelodysplastic/myeloproliferative data:
[% div_name = 'myeloidData'; INCLUDE site/snippets/toggleview.tt %]
</h4>
<!-- <div id="[% div_name %]" class="[% hmrn_data.category_has_data.myeloid.size
|| c.query.param('data_set') == 'myeloid' ? 'visible' : 'itemhidden' %]">
-->
<div id="[% div_name %]" class="[% diagnostic_category_desc.match('Myelodysplastic')
|| diagnostic_category_desc.match('Myeloproliferative')
|| diagnostic_category_desc.match('Myelodysplastic / Myeloproliferative')
|| hmrn_data.category_has_data_include_shared.myeloid.size ? 'visible' : 'itemhidden' %]">
<form method="post" name="myeloid" id="myeloid"
action="[% app_url %]/hmrn_data/edit/[% data.id %]/[% patient.id %]">
<input type="hidden" name="data_set" value="myeloid" />
[% IF error_mds_or_mpd %]
<p class="error indent">require a full MPD or MDS data set (or both)</p>
[% END %]
<table class="indent">
<tr>
<td class="label">Splenomegaly:</td>
<td class="content">
[% INCLUDE build_select_field
name = 'splenomegaly'
type = 'myeloid'
%]
[% error_splenomegaly %]
</td>
<td class="label">Detected by:</td>
<td class="content">
[% INCLUDE build_select_field
name = 'detection_spleen'
type = 'myeloid'
%]
[% error_detection_spleen %]
</td>
<td class="grey borderless">[common]</td>
</tr>
<tr>
<td class="label">Hepatomegaly:</td>
<td class="content">
[% INCLUDE build_select_field
name = 'hepatomegaly'
type = 'myeloid'
%]
[% error_hepatomegaly %]
</td>
<td class="label">Detected by:</td>
<td class="content">
[% INCLUDE build_select_field
name = 'detection_liver'
type = 'myeloid'
%]
[% error_detection_liver %]
</td>
<td class="grey borderless">[common]</td>
</tr>
<tr>
<td class="label">ECOG:</td>
<td class="content">
[% INCLUDE build_select_field
name = 'ecog'
type = 'myeloid'
%]
[% error_ecog %]
</td>
<td class="label">Lymphocytes:</td>
<td class="content">
[% INCLUDE build_text_field
units = 'x 10<sup>9</sup>/L'
error = error_lymphs
type = 'myeloid'
name = 'lymphs'
size = 4
%]
</td>
<td class="grey borderless">[common]</td>
</tr>
<tr>
<td class="label">WBC:</td>
<td class="content">
[% INCLUDE build_text_field
units = 'x 10<sup>9</sup>/L'
error = error_wbc
type = 'myeloid'
name = 'wbc'
size = 4
%]
</td>
<td class="label">Neutrophils:</td>
<td class="content">
[% INCLUDE build_text_field
error = error_neutrophils
units = 'x 10<sup>9</sup>/L'
type = 'myeloid'
name = 'neutrophils'
size = 4
%]
</td>
<td class="grey borderless">[common]</td>
</tr>
<tr>
<td class="label">Hb:</td>
<td class="content">
[% INCLUDE build_text_field
error = error_hb
units = 'g/dL'
type = 'myeloid'
name = 'hb'
size = 4
%]
</td>
<td class="label">Monocytes:</td>
<td class="content">
[% INCLUDE build_text_field
units = 'x 10<sup>9</sup>/L'
error = error_monocytes
type = 'myeloid'
name = 'monocytes'
size = 4
%]
</td>
<td class="grey borderless">[common]</td>
</tr>
<tr>
<!-- Removed HCV for PCV instead.....
<td class="label"> Haematocrit vol.:</td>
<td class="content">
[% INCLUDE build_text_field
error = error_haematocrit_vol
units = '%'
type = 'myeloid'
name = 'haematocrit_vol'
size = 4
%]
</td>-->
<td class="label">PCV:</td>
<td class="content">
[% INCLUDE build_text_field
error = error_pcv
units = '%'
type = 'myeloid'
name = 'pcv'
size = 4
%]
</td>
<td class="label">Platelets:</td>
<td class="content">
[% INCLUDE build_text_field
units = 'x 10<sup>9</sup>/L'
error = error_plts
type = 'myeloid'
name = 'plts'
size = 4
%]
</td>
<td class="grey borderless">[common]</td>
</tr>
<tr>
<td class="label">Erythropoietin:</td>
<td class="hmrnMPD">
[% INCLUDE build_select_field
name = 'epo'
type = 'myeloid'
%]
[% error_epo %]
</td>
<td class="label"></td>
<td class="hmrnMPD">
</td>
<td class="grey borderless">[MPD data]</td>
</tr>
<tr>
<td class="label">Karyotype:</td>
<td class="hmrnMDS">
[% INCLUDE build_select_field
name = 'karyotype'
type = 'myeloid'
%]
[% error_karyotype %]
</td>
<td class="label">BM CD34:</td>
<td class="hmrnMDS">
[% INCLUDE build_text_field
error = error_cd34
units = '%'
type = 'myeloid'
name = 'cd34'
size = 3
%]
</td>
<td class="grey borderless">[MDS data]</td>
</tr>
<tr>
<td class="label">RBC dependent:</td>
<td class="hmrnMDS">
[% INCLUDE build_select_field
name = 'transfusion'
type = 'myeloid'
%]
[% error_transfusion %]
</td>
<td class="label">Cytopenias:</td>
<td class="hmrnMDS">
[% INCLUDE build_select_field
name = 'cytopenias'
type = 'myeloid'
%]
[% error_cytopenias %]
</td>
<td class="grey borderless">[MDS data]</td>
</tr>
[% IF hmrn_data.category_has_data_include_shared.myeloid.size;
INCLUDE hmrn_submit delete_section = 'myeloid';
ELSE; INCLUDE hmrn_submit; END %]
</table>
</form>
</div>
<!-- END hmrn/data/myeloid.tt -->