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@@ -24,6 +24,8 @@
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<script src="/thmz/js/common/date-util.js"></script>
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<script src="/thmz/js/common/date-util.js"></script>
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<script src="/thmz/js/mz/crb_main_card.js"></script>
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<script src="/thmz/js/mz/crb_main_card.js"></script>
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<script src="/thmz/js/mz/clinic.js"></script>
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<script src="/thmz/js/mz/clinic.js"></script>
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+<script type="text/javascript" src="/thmz/js/hlyy/mlrkon.js"></script>
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+
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<title>就诊</title>
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<title>就诊</title>
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<!-- 打印的样式-->
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<!-- 打印的样式-->
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<style media="print">
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<style media="print">
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@@ -391,12 +393,12 @@
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<span>性别: </span> <label><span id="patientGender"></span></label>
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<span>性别: </span> <label><span id="patientGender"></span></label>
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<label style="font-weight:normal" id="patientPhoneLabel" hidden><span>手机号: </span> <label><span
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<label style="font-weight:normal" id="patientPhoneLabel" hidden><span>手机号: </span> <label><span
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id="patientPhone"></span></label> </label>
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id="patientPhone"></span></label> </label>
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-<!-- <span>病人性质: </span> <label><span id="patientResponseType"></span></label>-->
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+ <!-- <span>病人性质: </span> <label><span id="patientResponseType"></span></label>-->
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<span>病人身份: </span> <label><a class="fa fa-futbol-o"></a> <span id="patientVisitType" style="color: red;font-weight:bold"></span></label>
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<span>病人身份: </span> <label><a class="fa fa-futbol-o"></a> <span id="patientVisitType" style="color: red;font-weight:bold"></span></label>
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<span>慢病类型: </span> <label><span id="crmType"></span></label>
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<span>慢病类型: </span> <label><span id="crmType"></span></label>
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<!--当前接诊病人id-->
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<!--当前接诊病人id-->
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<!-- <input id="patientId" type="hidden"/>-->
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<!-- <input id="patientId" type="hidden"/>-->
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- <!--就诊次数-->
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+ <!--就诊次数-->
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<input type="hidden" id="visitTimes"/>
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<input type="hidden" id="visitTimes"/>
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<!--当前接诊病人分诊流水号-->
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<!--当前接诊病人分诊流水号-->
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<input type="hidden" id="mzfzSerialNoInClick"/>
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<input type="hidden" id="mzfzSerialNoInClick"/>
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@@ -451,8 +453,8 @@
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<div class="item form-group customization" id="emrPsFlag" target-id="emrPs">
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<div class="item form-group customization" id="emrPsFlag" target-id="emrPs">
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<label class="my_label">既往史:</label>
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<label class="my_label">既往史:</label>
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<textarea id="emrPs" class="form-control my_label_input" placeholder="请输入"></textarea>
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<textarea id="emrPs" class="form-control my_label_input" placeholder="请输入"></textarea>
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-<!-- <input id="emrPs" class="form-control my_label_input"-->
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-<!-- placeholder="请输入" type="text" data-placement="bottom-right">-->
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+ <!-- <input id="emrPs" class="form-control my_label_input"-->
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+ <!-- placeholder="请输入" type="text" data-placement="bottom-right">-->
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</div>
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</div>
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<div class="item form-group customization" id="personalHistoryFlag" target-id="personalHistory">
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<div class="item form-group customization" id="personalHistoryFlag" target-id="personalHistory">
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<label class="my_label">个人史:</label>
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<label class="my_label">个人史:</label>
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@@ -1259,6 +1261,46 @@
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</div>
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</div>
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</div>
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</div>
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</div>
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</div>
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+ <div class="item form-group">
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+ <div style="width: 250px;float: left;">
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+ <label class="my_label_4">联系人:</label>
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+ <div style="width: 150px;float: left;">
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+ <input id="contacterName" class="form-control col-md-7 col-xs-12"
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+ >
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+ </div>
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+ </div>
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+
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+ </div>
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+ <div class="item form-group">
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+ <div style="width: 250px;float: left;">
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+ <label class="my_label_4">联系人关系:</label>
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+ <div style="width: 150px;float: left;">
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+ <select class="form-control selectpicker show-tick"
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+ title="请选择"
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+ id="contacterRelationship">
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+ </select>
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+ </div>
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+ </div>
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+ </div>
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+ <div class="item form-group">
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+ <div style="width: 250px;float: left;">
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+ <label class="my_label_4">联系人电话:</label>
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+ <div style="width: 150px;float: left;">
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+ <input id="contacterPhone" class="form-control col-md-7 col-xs-12"
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+ >
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+ </div>
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+ </div>
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+
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+ </div>
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+ <div class="item form-group">
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+ <div style="width: 250px;float: left;">
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+ <label class="my_label_4">联系人地址:</label>
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+ <div style="width: 150px;float: left;">
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+ <input id="contacterAddress" class="form-control col-md-7 col-xs-12"
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+ >
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+ </div>
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+ </div>
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+ </div>
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<div class="item form-group">
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<div class="item form-group">
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<div style="width: 200px;float: left;">
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<div style="width: 200px;float: left;">
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<label class="my_label_3">押金(元):</label>
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<label class="my_label_3">押金(元):</label>
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@@ -2110,7 +2152,7 @@
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<div class="hasCharge"><img id="chargeImage" src="/thmz/images/nocharge.png" alt=""
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<div class="hasCharge"><img id="chargeImage" src="/thmz/images/nocharge.png" alt=""
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style="width: 100%;height: 100%;"></div>
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style="width: 100%;height: 100%;"></div>
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<div class="hasPrint"><img id="printImage" src="/thmz/images/noprint.png" alt=""
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<div class="hasPrint"><img id="printImage" src="/thmz/images/noprint.png" alt=""
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- style="width: 100%;height: 100%;"></div>
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+ style="width: 100%;height: 100%;"></div>
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</div>
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</div>
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<div class="item form-group">
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<div class="item form-group">
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<div class="checkbox" style="cursor: pointer;">
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<div class="checkbox" style="cursor: pointer;">
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@@ -2311,13 +2353,13 @@
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<div class="x_panel_mine" style="background: #EBEBE4;">
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<div class="x_panel_mine" style="background: #EBEBE4;">
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<div class="x_title">
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<div class="x_title">
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<span style="font-weight: 700;color: black;margin-right: 20px;">自付金额:<span id="selfAmountView"
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<span style="font-weight: 700;color: black;margin-right: 20px;">自付金额:<span id="selfAmountView"
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- style="color: black;"></span>元</span>
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+ style="color: black;"></span>元</span>
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<span style="font-weight: 700;color: black;margin-right: 20px;">门诊统筹:<span id="fundPayView"
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<span style="font-weight: 700;color: black;margin-right: 20px;">门诊统筹:<span id="fundPayView"
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- style="color: black;"></span>元</span>
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+ style="color: black;"></span>元</span>
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<span style="font-weight: 700;color: black;margin-right: 20px;">个账支付:<span id="acctPayView"
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<span style="font-weight: 700;color: black;margin-right: 20px;">个账支付:<span id="acctPayView"
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- style="color: black;"></span>元</span>
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+ style="color: black;"></span>元</span>
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<span style="font-weight: 700;color: black;margin-right: 20px;">合计金额:<span id="totalAmountView"
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<span style="font-weight: 700;color: black;margin-right: 20px;">合计金额:<span id="totalAmountView"
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- style="color: black;"></span>元</span>
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+ style="color: black;"></span>元</span>
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<span>打印设置 </span>
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<span>打印设置 </span>
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<ul class="nav navbar-right panel_toolbox">
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<ul class="nav navbar-right panel_toolbox">
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<li><a class="collapse-link"><i class="fa fa-chevron-up" id="setupId"></i></a>
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<li><a class="collapse-link"><i class="fa fa-chevron-up" id="setupId"></i></a>
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@@ -2852,53 +2894,54 @@
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<div style="float: left;height: 20px;margin-top: -5px">
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<div style="float: left;height: 20px;margin-top: -5px">
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<svg id="cfBarcode" height="20"></svg>
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<svg id="cfBarcode" height="20"></svg>
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</div>
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</div>
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- <div style="text-align:left;font-weight: 700;margin-left: 160px" class="hospitalName">长沙泰和医院</div>
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+ <div style="text-align:left;font-weight: 500;margin-left: 160px;font-size: 24px" class="hospitalName">沭阳铭和医院</div>
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<div style="float: right;margin-right: 100px;width: 110px;text-align: center;position: absolute;top: 0px;right: 0px;"
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<div style="float: right;margin-right: 100px;width: 110px;text-align: center;position: absolute;top: 0px;right: 0px;"
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id="cfOrderNumTitle"></div>
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id="cfOrderNumTitle"></div>
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<div style="float: right;color: red;margin-right: 30px;border: 1px solid red;width: 70px;text-align: center;position: absolute;top: 0px;right: 0px;"
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<div style="float: right;color: red;margin-right: 30px;border: 1px solid red;width: 70px;text-align: center;position: absolute;top: 0px;right: 0px;"
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id="cfTitle"></div>
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id="cfTitle"></div>
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</div>
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</div>
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- <div style="text-align:left;font-weight: 700;margin-left: 185px">处方笺</div>
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- <!--<h3 style="text-align:center;font-weight: 700;">长沙泰和医院</h3>-->
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+ <div style="text-align:left;font-weight: 700;margin-left: 185px;font-size: 24px">处方笺</div>
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+ <br>
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+ <!--<h3 style="text-align:center;font-weight: 700;">沭阳铭和医院</h3>-->
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<!--<h3 style="text-align:center;font-weight: 700;">处方笺</h3>-->
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<!--<h3 style="text-align:center;font-weight: 700;">处方笺</h3>-->
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<table class="table table-striped table-bordered" style="border-bottom: 1px solid black;font-size: 13px;">
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<table class="table table-striped table-bordered" style="border-bottom: 1px solid black;font-size: 13px;">
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<tbody>
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<tbody>
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<tr>
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<tr>
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- <td style="text-align: right">姓名:</td>
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+ <td style="text-align: left">姓名:</td>
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<td id="patientNamePrescription"></td>
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<td id="patientNamePrescription"></td>
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- <td style="text-align: right">性别:</td>
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+ <td style="text-align: left">性别:</td>
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<td id="patientGenderPrescription"></td>
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<td id="patientGenderPrescription"></td>
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- <td style="text-align: right">年龄:</td>
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+ <td style="text-align: left">年龄:</td>
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<td id="patientAgePrescription"></td>
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<td id="patientAgePrescription"></td>
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</tr>
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</tr>
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<tr>
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<tr>
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- <td style="text-align: right">门诊ID:</td>
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+ <td style="text-align: left">门诊ID:</td>
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<td id="patientIdPrescription"></td>
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<td id="patientIdPrescription"></td>
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- <td style="text-align: right">科室:</td>
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+ <td style="text-align: left">科室:</td>
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<td id="deptPrescription"></td>
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<td id="deptPrescription"></td>
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<!--<td style="text-align: right">医生:</td>-->
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<!--<td style="text-align: right">医生:</td>-->
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<!--<td id="doctorPrescription"></td>-->
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<!--<td id="doctorPrescription"></td>-->
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</tr>
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</tr>
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<tr>
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<tr>
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- <td style="text-align: right">处方类型:</td>
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+ <td style="text-align: left">处方类型:</td>
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<td id="typePrescription"></td>
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<td id="typePrescription"></td>
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- <td style="text-align: right">处方时间:</td>
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+ <td style="text-align: left">处方时间:</td>
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<td id="cfTime" colspan="3"></td>
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<td id="cfTime" colspan="3"></td>
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</tr>
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</tr>
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<tr>
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<tr>
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- <td style="text-align: right" width="18%">身份证号码:</td>
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+ <td style="text-align: left" width="18%">身份证号码:</td>
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<td id="socialNo" colspan="2"></td>
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<td id="socialNo" colspan="2"></td>
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- <td style="text-align: right">病人类别:</td>
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+ <td style="text-align: left">病人类别:</td>
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<td id="sfTypeId" colspan="2" ></td>
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<td id="sfTypeId" colspan="2" ></td>
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</tr>
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</tr>
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<tr>
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<tr>
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- <td style="text-align: right">诊断:</td>
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+ <td style="text-align: left">诊断:</td>
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<td id="zdPrescription" colspan="5"></td>
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<td id="zdPrescription" colspan="5"></td>
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</tr>
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</tr>
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</tbody>
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</tbody>
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</table>
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</table>
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- <div style="height: 140mm;border-bottom: 1px solid black">
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+ <div style="height: 110mm;border-bottom: 1px solid black">
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<table class="table table-striped table-bordered">
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<table class="table table-striped table-bordered">
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<img src="/thmz/images/prescription.png" style="margin-top: 5px;margin-bottom: 5px;"/>
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<img src="/thmz/images/prescription.png" style="margin-top: 5px;margin-bottom: 5px;"/>
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<tbody id="prescriptionDetail" style="padding-bottom: 10px;font-size: 13px;">
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<tbody id="prescriptionDetail" style="padding-bottom: 10px;font-size: 13px;">
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@@ -2908,9 +2951,6 @@
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<!--<tr>-->
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<!--<tr>-->
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<!--<td>1.重酒石酸去甲肾上腺素注射液 2mg 2mg 共18支用法:鞘内注射(QNZS) 频次:一次/4h(Q4H) 3天</td>-->
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<!--<td>1.重酒石酸去甲肾上腺素注射液 2mg 2mg 共18支用法:鞘内注射(QNZS) 频次:一次/4h(Q4H) 3天</td>-->
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<!--</tr>-->
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<!--</tr>-->
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- <!--<tr>-->
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- <!--<td>1.重酒石酸去甲肾上腺素注射液 2mg 2mg 共18支用法:鞘内注射(QNZS) 频次:一次/4h(Q4H) 3天</td>-->
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- <!--</tr>-->
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</tbody>
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</tbody>
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</table>
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</table>
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</div>
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</div>
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@@ -2951,77 +2991,68 @@
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<!--打印门诊指引单开始-->
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<!--打印门诊指引单开始-->
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<div id="guide_card_table" class="hide"
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<div id="guide_card_table" class="hide"
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- style="width:920px;height: calc(100% - 160px);margin:0 auto;border: 1px solid #337ab7;font-size: 13px;padding: 40px 20px 40px 20px;overflow-y: auto; overflow-x:hidden;">
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- <div>
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+ style="width:48mm;margin:0 auto;border: 1px solid #337ab7;font-size: 13px;padding: 40px 20px 40px 20px;overflow-y: visible; overflow-x:hidden;">
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+ <div style="width:40mm;">
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<div>
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<div>
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- <div style="float: left;padding-right: 20px;"><img id="imgcode" style="height: 60px;"/></div>
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- <div style="text-align:left;font-weight: bold;font-size: 20px;float: left;height: 60px;line-height: 60px;margin-left: 20px;">
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- <span class="hospitalName">长沙泰和医院</span>门诊就诊指引单
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+ <div style="flex:1;font-weight:bold;white-space:nowrap;overflow:hidden;text-overflow:ellipsis;">
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+ <span class="hospitalName">沭阳铭和医院</span><br>门诊就诊指引单
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</div>
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</div>
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- <div>
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- <div style="float: left;width: 195px;">
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- <div style="margin-bottom: 10px">门 诊 号:<span id="patientIdGuideCard"></span></div>
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- <div style="margin-bottom: 10px">姓 名:<span id="patientNameGuideCard"></span></div>
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- <div style="margin-bottom: 10px">接诊医生:<span id="doctorGuideCard"></span></div>
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- <div style="margin-bottom: 10px">接诊时间:<span id="patientDateGuideCard"></span></div>
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- <div>缴费金额:<span id="totalAmountGuideCard"></span></div>
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- </div>
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- <div style="float: left;width: 320px;">
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- <div id="payQrcodeGuideCard" style="float: left;width: 150px;height:150px;text-align: center;padding: 3px">
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-
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- </div>
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- <div id="wxPayQrCard" style="float: left;width: 150px;height:150px;text-align: center;padding: 3px">
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-
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- </div>
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- </div>
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+ <div style="float: left;padding-right: 20px;"><img id="imgcode" style="height: 60px;"/></div>
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+ <div style="float: left;width: 170px;">
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+ <div style="margin-bottom: 8px">门诊号:<span id="patientIdGuideCard"></span></div>
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+ <div style="margin-bottom: 8px">姓名:<span id="patientNameGuideCard"></span></div>
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+ <div style="margin-bottom: 8px">接诊医生:<span id="doctorGuideCard"></span></div>
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+ <div style="margin-bottom: 8px">接诊时间:
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+ <span id="patientDateGuideCard"></span></div>
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+ <div>缴费金额:<span id="totalAmountGuideCard"></span></div>
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+ <div id="payQrcodeGuideCard" style="float: left;width: 140px;height:140px;text-align: center;padding: 2px;"></div>
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+ <div id="wxPayQrCard" style="float: left;width: 140px;height:140px;text-align: center;padding: 2px;"></div>
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</div>
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</div>
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</div>
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</div>
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<table class="table table-striped table-bordered" style="border-top: 2px dashed black">
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<table class="table table-striped table-bordered" style="border-top: 2px dashed black">
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<tbody >
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<tbody >
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- <tr>
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- <td colspan="3">
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- <span style="font-weight: 700;"> 1、项目指引:</span>
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- </td>
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- </tr>
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- </tbody>
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- </table>
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- <table class="table table-striped table-bordered" style="border: 1px dashed black">
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- <tbody id="guideCardDetail" style="padding-bottom: 10px;font-size: 13px;">
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- </tbody>
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- </table>
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- <table class="table table-striped table-bordered" style="font-size: 13px;margin-top: 10px;">
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- <tbody>
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- <tr>
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- <td colspan="3">
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- <span style="font-weight: 700;"> 2、缴费告知:</span>
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- 推荐使用扫码支付,也可在门诊收费窗口缴费;如有职工医保,可门诊统筹支付,已统筹处方因医保限制跨月不可退费。
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- </td>
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- </tr>
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<tr>
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<tr>
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<td colspan="3">
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<td colspan="3">
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- <span style="font-weight: 700;"> 3、预约与查询:</span>
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- 检查检验结果推荐在手机公众号查看,如需纸质版结果,抽血检验结果可至自助打印机和看诊楼层导诊处打印,超声结果在【超声科】前台打印,放射科结果在【放射科】前台打印。
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+ <span style="font-weight: 700;"> 1、项目指引:</span>
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</td>
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</td>
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</tr>
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</tr>
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</tbody>
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</tbody>
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</table>
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</table>
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- <div>
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- <div style="margin-top: 5px;display: flex">
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- <div style="height: 130px;text-align: center;margin-top: 25px">
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- <img src="/thmz/images/zydnew.png" style="height: 80px;width: 180px;object-fit: cover"/>
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- <div style="display: inline-block;text-align: center;width: 200px;font-size: 15px;font-weight: bold">
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- <div style="margin-bottom: 3px">365天无假日医院</div>
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- <div style="margin-bottom: 3px">如果您满意,请告诉别人</div>
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- <div style="margin-bottom: 3px">如果您不满意,请告诉我们</div>
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- <div style="margin-bottom: 3px">24小时帮助/投诉电话:</div>
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- <div >88518888</div>
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- </div>
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- </div>
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- <div id="healthEducationCard" style="width: 130px;height:130px;text-align: center;padding: 3px;margin-right: 3px;margin-top: 5px">
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-
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- </div>
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- </div>
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- </div>
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+ <table class="table table-striped table-bordered" style="border: 1px dashed black">
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+ <tbody id="guideCardDetail" style="padding-bottom: 10px;font-size: 13px;">
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+ </tbody>
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+ </table>
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+ <!-- <table class="table table-striped table-bordered" style="font-size: 13px;margin-top: 10px;">-->
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+ <!-- <tbody>-->
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+ <!-- <tr>-->
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+ <!-- <td colspan="3">-->
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+ <!-- <span style="font-weight: 700;"> 2、缴费告知:</span>-->
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+ <!-- 推荐使用扫码支付,也可在门诊收费窗口缴费;如有职工医保,可门诊统筹支付,已统筹处方因医保限制跨月不可退费。-->
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+ <!-- </td>-->
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+ <!-- </tr>-->
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+ <!-- <tr>-->
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+ <!-- <td colspan="3">-->
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+ <!-- <span style="font-weight: 700;"> 3、预约与查询:</span>-->
|
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|
+ <!-- 检查检验结果推荐在手机公众号查看,如需纸质版结果,抽血检验结果可至自助打印机和看诊楼层导诊处打印,超声结果在【超声科】前台打印,放射科结果在【放射科】前台打印。-->
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+ <!-- </td>-->
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+ <!-- </tr>-->
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+ <!-- </tbody>-->
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+ <!-- </table>-->
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+ <!-- <div>-->
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+ <!-- <div style="margin-top: 5px;display: flex">-->
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+ <!-- <div style="height: 130px;text-align: center;margin-top: 25px">-->
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+ <!-- <img src="/thmz/images/zydnew.png" style="height: 80px;width: 180px;object-fit: cover"/>-->
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+ <!-- <div style="display: inline-block;text-align: center;width: 200px;font-size: 15px;font-weight: bold">-->
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+ <!-- <div style="margin-bottom: 3px">365天无假日医院</div>-->
|
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|
|
+ <!-- <div style="margin-bottom: 3px">如果您满意,请告诉别人</div>-->
|
|
|
|
+ <!-- <div style="margin-bottom: 3px">如果您不满意,请告诉我们</div>-->
|
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|
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+ <!-- <div style="margin-bottom: 3px">24小时帮助/投诉电话:</div>-->
|
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+ <!-- <div >88518888</div>-->
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+ <!-- </div>-->
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+ <!-- </div>-->
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+ <!-- <div id="healthEducationCard" style="width:48mm;height:48mm;text-align: center;padding: 3px;margin-right: 3px;margin-top: 5px"></div>-->
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+ <!-- </div>-->
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+ <!-- </div>-->
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</div>
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</div>
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</div>
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</div>
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<!--打印门诊指引单结束-->
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<!--打印门诊指引单结束-->
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@@ -3036,7 +3067,7 @@
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<svg id="JcBarcode" height="20"></svg>
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<svg id="JcBarcode" height="20"></svg>
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</div>
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</div>
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<div style="position: relative;width: 100%;margin-left: -110px;">
|
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<div style="position: relative;width: 100%;margin-left: -110px;">
|
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- <div style="text-align: center;font-weight: 700;" class="hospitalName">长沙泰和医院</div>
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+ <div style="text-align: center;font-weight: 700;" class="hospitalName">沭阳铭和医院</div>
|
|
<div style="text-align:center;font-weight: 700;">检查申请单</div>
|
|
<div style="text-align:center;font-weight: 700;">检查申请单</div>
|
|
</div>
|
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</div>
|
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<table class="table table-striped table-bordered"
|
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<table class="table table-striped table-bordered"
|
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@@ -3134,7 +3165,7 @@
|
|
<svg id="JyBarcode" height="20"></svg>
|
|
<svg id="JyBarcode" height="20"></svg>
|
|
</div>
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</div>
|
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<div style="position: relative;width: 100%;margin-left: -110px;">
|
|
<div style="position: relative;width: 100%;margin-left: -110px;">
|
|
- <div style="text-align:center;font-weight: 700;" class="hospitalName">长沙泰和医院</div>
|
|
|
|
|
|
+ <div style="text-align:center;font-weight: 700;" class="hospitalName">沭阳铭和医院</div>
|
|
<div style="text-align:center;font-weight: 700;">检验申请单</div>
|
|
<div style="text-align:center;font-weight: 700;">检验申请单</div>
|
|
</div>
|
|
</div>
|
|
<table class="table table-striped table-bordered"
|
|
<table class="table table-striped table-bordered"
|
|
@@ -3226,7 +3257,7 @@
|
|
<div>
|
|
<div>
|
|
<div id="mz_bl_title">
|
|
<div id="mz_bl_title">
|
|
<div style="position: relative;">
|
|
<div style="position: relative;">
|
|
- <div style="text-align:center;font-weight: 700;" class="hospitalName">长沙泰和医院</div>
|
|
|
|
|
|
+ <div style="text-align:center;font-weight: 700;" class="hospitalName">沭阳铭和医院</div>
|
|
<div style="float: right;color: red;margin-right: 30px;border: 1px solid red;width: 60px;text-align: center;position: absolute;top: 0px;right: 0px;"
|
|
<div style="float: right;color: red;margin-right: 30px;border: 1px solid red;width: 60px;text-align: center;position: absolute;top: 0px;right: 0px;"
|
|
id="firstOrNotTitle"></div>
|
|
id="firstOrNotTitle"></div>
|
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</div>
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</div>
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|
@@ -3390,33 +3421,33 @@
|
|
<tbody>
|
|
<tbody>
|
|
<tr>
|
|
<tr>
|
|
<td>患者姓名:<span id="patientNameZyReq"
|
|
<td>患者姓名:<span id="patientNameZyReq"
|
|
- style="width: 190px;display: inline-block;border-bottom: 1px solid grey;"></span>
|
|
|
|
|
|
+ style="width: 190px;display: inline-block;border-bottom: 1px solid grey;"></span>
|
|
</td>
|
|
</td>
|
|
<td colspan="3">年龄:<span id="patientAgeZyReq"
|
|
<td colspan="3">年龄:<span id="patientAgeZyReq"
|
|
- style="width: 60px;display: inline-block;border-bottom: 1px solid grey;"></span>
|
|
|
|
|
|
+ style="width: 60px;display: inline-block;border-bottom: 1px solid grey;"></span>
|
|
</td>
|
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</td>
|
|
<td>性别:<span id="patientGenderZyReq"
|
|
<td>性别:<span id="patientGenderZyReq"
|
|
- style="width: 55px;display: inline-block;border-bottom: 1px solid grey;"></span></td>
|
|
|
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+ style="width: 55px;display: inline-block;border-bottom: 1px solid grey;"></span></td>
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</tr>
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</tr>
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<tr>
|
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<tr>
|
|
<td colspan="2">证件号码:<span id="sfzZyReq"
|
|
<td colspan="2">证件号码:<span id="sfzZyReq"
|
|
- style="width: 245px;display: inline-block;border-bottom: 1px solid grey;"></span>
|
|
|
|
|
|
+ style="width: 245px;display: inline-block;border-bottom: 1px solid grey;"></span>
|
|
</td>
|
|
</td>
|
|
<td colspan="3">门诊编号:<span id="patientIdZyReq"
|
|
<td colspan="3">门诊编号:<span id="patientIdZyReq"
|
|
- style="width: 90px;display: inline-block;border-bottom: 1px solid grey;"></span>
|
|
|
|
|
|
+ style="width: 90px;display: inline-block;border-bottom: 1px solid grey;"></span>
|
|
</td>
|
|
</td>
|
|
</tr>
|
|
</tr>
|
|
<tr>
|
|
<tr>
|
|
<td colspan="5">住 址:<span id="addressZyReq"
|
|
<td colspan="5">住 址:<span id="addressZyReq"
|
|
- style="width: 415px;display: inline-block;border-bottom: 1px solid grey;"></span>
|
|
|
|
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+ style="width: 415px;display: inline-block;border-bottom: 1px solid grey;"></span>
|
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</td>
|
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</td>
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</tr>
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</tr>
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<tr>
|
|
<tr>
|
|
<td colspan="2">入院途径:<span id="routeOfAdmissionName"
|
|
<td colspan="2">入院途径:<span id="routeOfAdmissionName"
|
|
- style="width: 245px;display: inline-block;border-bottom: 1px solid grey;"></span>
|
|
|
|
|
|
+ style="width: 245px;display: inline-block;border-bottom: 1px solid grey;"></span>
|
|
<td colspan="3">电话:<span id="phoneZyReq"
|
|
<td colspan="3">电话:<span id="phoneZyReq"
|
|
- style="width: 120px;display: inline-block;border-bottom: 1px solid grey;"></span>
|
|
|
|
|
|
+ style="width: 120px;display: inline-block;border-bottom: 1px solid grey;"></span>
|
|
</td>
|
|
</td>
|
|
</td>
|
|
</td>
|
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</tr>
|
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</tr>
|
|
@@ -3428,7 +3459,7 @@
|
|
style="width: 300px;display: inline-block;border-bottom: 1px solid grey;"></span>
|
|
style="width: 300px;display: inline-block;border-bottom: 1px solid grey;"></span>
|
|
</td>
|
|
</td>
|
|
<td colspan="2">疾病编码<span id="icsCodeZyReq"
|
|
<td colspan="2">疾病编码<span id="icsCodeZyReq"
|
|
- style="width: 87px;display: inline-block;border-bottom: 1px solid grey;"></span>
|
|
|
|
|
|
+ style="width: 87px;display: inline-block;border-bottom: 1px solid grey;"></span>
|
|
</td>
|
|
</td>
|
|
</tr>
|
|
</tr>
|
|
<!--<tr>-->
|
|
<!--<tr>-->
|
|
@@ -3457,10 +3488,10 @@
|
|
<!--</tr>-->
|
|
<!--</tr>-->
|
|
<tr>
|
|
<tr>
|
|
<td colspan="2">入住科室:<span id="smallDeptZyReq"
|
|
<td colspan="2">入住科室:<span id="smallDeptZyReq"
|
|
- style="width: 240px;display: inline-block;border-bottom: 1px solid grey;margin-left: 4px;"></span>
|
|
|
|
|
|
+ style="width: 240px;display: inline-block;border-bottom: 1px solid grey;margin-left: 4px;"></span>
|
|
</td>
|
|
</td>
|
|
<td colspan="3">入住病区:<span id="reqDeptZyReq"
|
|
<td colspan="3">入住病区:<span id="reqDeptZyReq"
|
|
- style="width: 83px;display: inline-block;border-bottom: 1px solid grey;margin-left: 6px;"></span>
|
|
|
|
|
|
+ style="width: 83px;display: inline-block;border-bottom: 1px solid grey;margin-left: 6px;"></span>
|
|
</td>
|
|
</td>
|
|
</tr>
|
|
</tr>
|
|
<tr>
|
|
<tr>
|
|
@@ -3476,7 +3507,7 @@
|
|
</tr>
|
|
</tr>
|
|
<tr>
|
|
<tr>
|
|
<td colspan="5">押金:<span id="depositZyReq"
|
|
<td colspan="5">押金:<span id="depositZyReq"
|
|
- style="width: 415px;display: inline-block;border-bottom: 1px solid grey;"></span>
|
|
|
|
|
|
+ style="width: 415px;display: inline-block;border-bottom: 1px solid grey;"></span>
|
|
</td>
|
|
</td>
|
|
</tr>
|
|
</tr>
|
|
<tr>
|
|
<tr>
|
|
@@ -3500,10 +3531,10 @@
|
|
<!--<td>入院状态: <span id="admissStatusZyReq"></span></td>-->
|
|
<!--<td>入院状态: <span id="admissStatusZyReq"></span></td>-->
|
|
<!--<td style="width: 140px;"></td>-->
|
|
<!--<td style="width: 140px;"></td>-->
|
|
<td style="width: 45%">申请科室: <span id="deptCodeZyReq"
|
|
<td style="width: 45%">申请科室: <span id="deptCodeZyReq"
|
|
- style="width: 142px;display: inline-block;border-bottom: 1px solid grey;"></span>
|
|
|
|
|
|
+ style="width: 142px;display: inline-block;border-bottom: 1px solid grey;"></span>
|
|
</td>
|
|
</td>
|
|
<td style="width: 55%">申请医生(签字):<span id="doctorCodeZyReq"
|
|
<td style="width: 55%">申请医生(签字):<span id="doctorCodeZyReq"
|
|
- style="width: 150px;display: inline-block;border-bottom: 1px solid grey;"></span>
|
|
|
|
|
|
+ style="width: 150px;display: inline-block;border-bottom: 1px solid grey;"></span>
|
|
</td>
|
|
</td>
|
|
</tr>
|
|
</tr>
|
|
<tr>
|
|
<tr>
|
|
@@ -3511,7 +3542,7 @@
|
|
style="width: 130px;display: inline-block;border-bottom: 1px solid grey;"> </span>
|
|
style="width: 130px;display: inline-block;border-bottom: 1px solid grey;"> </span>
|
|
</td>
|
|
</td>
|
|
<td style="width: 55%">申请日期:<span id="visitDateZyReq"
|
|
<td style="width: 55%">申请日期:<span id="visitDateZyReq"
|
|
- style="width: 190px;display: inline-block;border-bottom: 1px solid grey;"></span>
|
|
|
|
|
|
+ style="width: 190px;display: inline-block;border-bottom: 1px solid grey;"></span>
|
|
</td>
|
|
</td>
|
|
</tr>
|
|
</tr>
|
|
</tbody>
|
|
</tbody>
|
|
@@ -3610,7 +3641,7 @@
|
|
<button type="button" class="close" data-dismiss="modal"><span aria-hidden="true">×</span>
|
|
<button type="button" class="close" data-dismiss="modal"><span aria-hidden="true">×</span>
|
|
</button>
|
|
</button>
|
|
<h4 class="modal-title modal-title-thmz">分诊列表 <span style="font-size: 1px;margin-left: 20px;"
|
|
<h4 class="modal-title modal-title-thmz">分诊列表 <span style="font-size: 1px;margin-left: 20px;"
|
|
- id="tip_message">请选择本次需要接诊的分诊信息</span>
|
|
|
|
|
|
+ id="tip_message">请选择本次需要接诊的分诊信息</span>
|
|
</h4>
|
|
</h4>
|
|
</div>
|
|
</div>
|
|
<div class="modal-body">
|
|
<div class="modal-body">
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@@ -3650,33 +3681,33 @@
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</div>
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</div>
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<div class="modal-body">
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<div class="modal-body">
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<form class="form-horizontal form-label-left" novalidate>
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<form class="form-horizontal form-label-left" novalidate>
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- <div class="item form-group">
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- <label class="col-md-1 col-sm-1 col-xs-12">
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- </label>
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- <label class="col-md-3 col-sm-3 col-xs-12">参保地
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- </label>
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- <label class="col-md-3 col-sm-3 col-xs-12" for="visitAdvmPro">
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- <select class="form-control selectpicker show-tick" data-live-search="true"
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- id="visitAdvmPro" onchange="cityChange('visitAdvmPro','visitAdvmCity',null)" title="参保地省"></select>
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- </label>
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- <label class="col-md-3 col-sm-3 col-xs-12" for="visitAdvmCity">
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- <select class="form-control selectpicker show-tick" data-live-search="true"
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- id="visitAdvmCity" onchange="" title="参保地市"></select>
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- </label>
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- </div>
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- <table class="table table-striped table-bordered">
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- <thead>
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- <tr>
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- <th>开始日期</th>
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- <th>结束日期</th>
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- <th>病种编码</th>
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- <th>病种名称</th>
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- <th>备案机构</th>
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- </tr>
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- </thead>
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- <tbody id="fetchSpcSlwinfoTable">
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- </tbody>
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- </table>
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+ <div class="item form-group">
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+ <label class="col-md-1 col-sm-1 col-xs-12">
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+ </label>
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+ <label class="col-md-3 col-sm-3 col-xs-12">参保地
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+ </label>
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+ <label class="col-md-3 col-sm-3 col-xs-12" for="visitAdvmPro">
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+ <select class="form-control selectpicker show-tick" data-live-search="true"
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+ id="visitAdvmPro" onchange="cityChange('visitAdvmPro','visitAdvmCity',null)" title="参保地省"></select>
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+ </label>
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+ <label class="col-md-3 col-sm-3 col-xs-12" for="visitAdvmCity">
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+ <select class="form-control selectpicker show-tick" data-live-search="true"
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+ id="visitAdvmCity" onchange="" title="参保地市"></select>
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+ </label>
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+ </div>
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+ <table class="table table-striped table-bordered">
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+ <thead>
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+ <tr>
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+ <th>开始日期</th>
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+ <th>结束日期</th>
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+ <th>病种编码</th>
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+ <th>病种名称</th>
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+ <th>备案机构</th>
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+ </tr>
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+ </thead>
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+ <tbody id="fetchSpcSlwinfoTable">
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+ </tbody>
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+ </table>
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</form>
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</form>
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</div>
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</div>
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<div class="modal-footer">
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<div class="modal-footer">
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@@ -3706,8 +3737,8 @@
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<label class="col-md-6 col-sm-6 col-xs-12" for="discountLv">
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<label class="col-md-6 col-sm-6 col-xs-12" for="discountLv">
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<select class="form-control selectpicker show-tick"
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<select class="form-control selectpicker show-tick"
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id="discountLv" title="请选择">
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id="discountLv" title="请选择">
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- <option value="0">优先套餐优惠</option>
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- <option value="1">优先股东卡优惠</option>
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+ <option value="0">优先套餐优惠</option>
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+ <option value="1">优先股东卡优惠</option>
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</select>
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</select>
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</label>
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</label>
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</div>
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</div>
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@@ -3772,7 +3803,7 @@
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<tr>
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<tr>
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<td></td>
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<td></td>
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<td colspan="2" style="text-align:center;font-weight: 700;font-size: 18px;">
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<td colspan="2" style="text-align:center;font-weight: 700;font-size: 18px;">
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- <span class="hospitalName">泰和医院</span>门诊检查报告单
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+ <span class="hospitalName">铭和医院</span>门诊检查报告单
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</td>
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</td>
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<td id="doctor" style="float: right;"></td>
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<td id="doctor" style="float: right;"></td>
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</tr>
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</tr>
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@@ -4081,15 +4112,15 @@
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<div class="col-md-8 col-sm-8 col-xs-12">
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<div class="col-md-8 col-sm-8 col-xs-12">
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<div style="float: left;">
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<div style="float: left;">
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体重<input id="bl_weight" type="number" min="0"
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体重<input id="bl_weight" type="number" min="0"
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- style="width: 40px;border: none !important;border-radius: 0 !important;border-bottom: 1px solid #ddd !important;color: red;"/>kg
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+ style="width: 40px;border: none !important;border-radius: 0 !important;border-bottom: 1px solid #ddd !important;color: red;"/>kg
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体温<input id="bl_temperature" type="number" min="0"
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体温<input id="bl_temperature" type="number" min="0"
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- style="width: 40px;border: none !important;border-radius: 0 !important;border-bottom: 1px solid #ddd !important;color: red;"/>℃
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+ style="width: 40px;border: none !important;border-radius: 0 !important;border-bottom: 1px solid #ddd !important;color: red;"/>℃
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脉搏<input id="bl_sphygmus" type="number" min="0"
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脉搏<input id="bl_sphygmus" type="number" min="0"
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- style="width: 40px;border: none !important;border-radius: 0 !important;border-bottom: 1px solid #ddd !important;color: red;"/>次/分
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+ style="width: 40px;border: none !important;border-radius: 0 !important;border-bottom: 1px solid #ddd !important;color: red;"/>次/分
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呼吸<input id="bl_breathe" type="number" min="0"
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呼吸<input id="bl_breathe" type="number" min="0"
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- style="width: 40px;border: none !important;border-radius: 0 !important;border-bottom: 1px solid #ddd !important;color: red;"/>次/分 </br>
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+ style="width: 40px;border: none !important;border-radius: 0 !important;border-bottom: 1px solid #ddd !important;color: red;"/>次/分 </br>
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血压<input id="bl_pressure_high" type="number" min="0"
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血压<input id="bl_pressure_high" type="number" min="0"
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- style="width: 40px;border: none !important;border-radius: 0 !important;border-bottom: 1px solid #ddd !important;color: red;"/> /
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+ style="width: 40px;border: none !important;border-radius: 0 !important;border-bottom: 1px solid #ddd !important;color: red;"/> /
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<input id="bl_pressure_floor" type="number" min="0"
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<input id="bl_pressure_floor" type="number" min="0"
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style="width: 40px;border: none !important;border-radius: 0 !important;border-bottom: 1px solid #ddd !important;color: red;"/>mmhg
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style="width: 40px;border: none !important;border-radius: 0 !important;border-bottom: 1px solid #ddd !important;color: red;"/>mmhg
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血压(左)<input
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血压(左)<input
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@@ -4415,7 +4446,7 @@
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<div style="position: relative;">
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<div style="position: relative;">
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<div style="float: left;margin-left: 5px;width: 60px;text-align: center;position: absolute;top: 0px;left: 0px;"
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<div style="float: left;margin-left: 5px;width: 60px;text-align: center;position: absolute;top: 0px;left: 0px;"
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><img src="/thmz/images/taihe-logo-small.png" style="height: 50px;"></div>
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><img src="/thmz/images/taihe-logo-small.png" style="height: 50px;"></div>
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- <div style="text-align:center;font-weight: 700;font-size: 16px;" class="hospitalName">长沙泰和医院</div>
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+ <div style="text-align:center;font-weight: 700;font-size: 16px;" class="hospitalName">沭阳铭和医院</div>
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</div>
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</div>
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<div style="text-align:center;font-weight: 700;margin-top: 10px;font-size: 16px;">参保人员门诊统筹医保支付告知审核表</div>
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<div style="text-align:center;font-weight: 700;margin-top: 10px;font-size: 16px;">参保人员门诊统筹医保支付告知审核表</div>
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<table class="table table-striped table-bordered"
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<table class="table table-striped table-bordered"
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