clinic

src/main/resources/templates/mz/clinic.html

@@ -450,94 +450,94 @@
             </div>
             <div class="col-md-12 col-sm-12 col-xs-12" style="margin-top: 10px;">
                 <form class="form-horizontal form-label-left mz-fixed-form" novalidate autocomplete="off">
-<!--                    <div class="item form-group customization" id="symptomFlag" target-id="symptom">-->
-<!--                        <label class="my_label">主诉：</label>-->
-<!--                        <div class="form-group has-feedback" style="float: right;width: calc(100% - 65px);">-->
-<!--                            <input type="text" class="form-control has-feedback-left" id="symptom"-->
-<!--                                   placeholder="请输入" style="padding-left: 10px;">-->
-<!--                            <span class="fa fa-search form-control-feedback right" aria-hidden="true"-->
-<!--                                  style="right: 0px;"></span>-->
-<!--                        </div>-->
-<!--                    </div>-->
-<!--                    <div class="item form-group customization" id="emrHpiFlag" target-id="emrHpi">-->
-<!--                        <label class="my_label">现病史：</label>-->
-<!--                        &lt;!&ndash;   <input id="emrHpi" class="form-control my_label_input"-->
-<!--                                  placeholder="请输入" type="text" data-placement="bottom-right">&ndash;&gt;-->
-<!--                        <textarea id="emrHpi" class="form-control my_label_input" placeholder="请输入"></textarea>-->
-<!--                    </div>-->
-<!--                    <div class="item form-group customization" id="emrPsFlag" target-id="emrPs">-->
-<!--                        <label class="my_label">既往史：</label>-->
-<!--                        <textarea id="emrPs" class="form-control my_label_input" placeholder="请输入"></textarea>-->
-<!--                        &lt;!&ndash;                        <input id="emrPs" class="form-control my_label_input"&ndash;&gt;-->
-<!--                        &lt;!&ndash;                               placeholder="请输入" type="text" data-placement="bottom-right">&ndash;&gt;-->
-<!--                    </div>-->
-<!--                    <div class="item form-group customization" id="personalHistoryFlag" target-id="personalHistory">-->
-<!--                        <label class="my_label">个人史：</label>-->
-<!--                        <input id="personalHistory" class="form-control my_label_input"-->
-<!--                               placeholder="请输入" type="text" data-placement="bottom-right">-->
-<!--                    </div>-->
-<!--                    <div class="item form-group customization" id="crbHistoryFlag" target-id="crbHistory">-->
-<!--                        <label class="my_label">传染病史：</label>-->
-<!--                        <textarea id="crbHistory" class="form-control my_label_input" placeholder="请输入"></textarea>-->
-<!--                    </div>-->
-<!--                    <div class="item form-group customization" id="fzZlFlag" target-id="fzZl">-->
-<!--                        <label class="my_label">辅助资料：</label>-->
-<!--                        <textarea id="fzZl" class="form-control my_label_input" placeholder="请输入"></textarea>-->
-<!--                    </div>-->
-<!--                    <div class="item form-group customization" id="familyHistoryFlag" target-id="familyHistory">-->
-<!--                        <label class="my_label">家族史：</label>-->
-<!--                        <input id="familyHistory" class="form-control my_label_input"-->
-<!--                               placeholder="请输入" type="text" data-placement="bottom-right">-->
-<!--                    </div>-->
-<!--                    <div class="item form-group customization" id="obstericalHistoryFlag" target-id="obstericalHistory">-->
-<!--                        <label class="my_label">婚育史：</label>-->
-<!--                        <input id="obstericalHistory" class="form-control my_label_input"-->
-<!--                               placeholder="请输入" type="text" data-placement="bottom-right">-->
-<!--                    </div>-->
-<!--                    <div class="item form-group foreclose">-->
-<!--                        <label class="my_label">一般项目：</label>-->
-<!--                        <div class="my_label_input" style="height: 34px;line-height: 34px;">-->
-<!--                            <div style="float: left;">-->
-<!--                                体重<input id="weight" type="number" min="0"/>kg&nbsp;&nbsp;-->
-<!--                                体温<input id="temperature" type="number" min="0"/>℃&nbsp;&nbsp;-->
-<!--                                脉搏<input id="sphygmus" type="number" min="0"/>次/分&nbsp;&nbsp;-->
-<!--                                呼吸<input id="breathe" type="number" min="0"/>次/分&nbsp;&nbsp;-->
-<!--                                血压<input id="pressure_high" type="number" min="0"/>&nbsp;/-->
-<!--                                <input id="pressure_floor" type="number" min="0"/>mmhg-->
-<!--                            </div>-->
-<!--                            <div id="pressureLeftFlag" style="float: left;margin-left: 5px;"> 血压（左）<input-->
-<!--                                    id="pressure_high_left" type="number" min="0"/>&nbsp;/-->
-<!--                                <input id="pressure_floor_left" type="number" min="0"/>mmhg-->
-<!--                            </div>-->
-
-<!--                        </div>-->
-<!--                    </div>-->
-<!--                    <div class="item form-group customization" target-id="otherCheck" id="zdAllergenFlag">-->
-<!--                        <label class="my_label">过敏史：</label>-->
-<!--                        <div style="width: calc((100% - 65px)/2);float: left;">-->
-<!--                            <select class="form-control selectpicker show-tick"-->
-<!--                                    title="常规过敏源" data-live-search="true"  multiple-->
-<!--                                    id="zdAllergen">-->
-<!--                            </select>-->
-<!--                        </div>-->
-<!--                        <div style="width: calc((100% - 65px)/2);float: left;">-->
-<!--                            <select class="form-control selectpicker show-tick"-->
-<!--                                    title="本院药品过敏源" data-live-search="true" multiple-->
-<!--                                    id="ypDitList">-->
-<!--                            </select>-->
-<!--                        </div>-->
-<!--                    </div>-->
-<!--                    &lt;!&ndash;<div class="item form-group">&ndash;&gt;-->
-<!--                    &lt;!&ndash;<label class="my_label"></label>&ndash;&gt;-->
-<!--                    &lt;!&ndash;<div class="form-group has-feedback" style="float: right;width:calc (100% - 65px);">&ndash;&gt;-->
-<!--                    &lt;!&ndash;<input type="text" class="form-control has-feedback-left" id="healthCheckUp" style="display: block">&ndash;&gt;-->
-<!--                    &lt;!&ndash;</div>&ndash;&gt;-->
-<!--                    &lt;!&ndash;</div>&ndash;&gt;-->
-<!--                    <div class="item form-group customization" target-id="otherCheck" id="otherCheckFlag">-->
-<!--                        <label class="my_label">体格检查：</label>-->
-<!--                        <textarea id="otherCheck" class="form-control my_label_input"-->
-<!--                                  placeholder="请输入" type="text" data-placement="bottom-right"></textarea>-->
-<!--                    </div>-->
+                    <div class="item form-group customization" id="symptomFlag" target-id="symptom">
+                        <label class="my_label">主诉：</label>
+                        <div class="form-group has-feedback" style="float: right;width: calc(100% - 65px);">
+                            <input type="text" class="form-control has-feedback-left" id="symptom"
+                                   placeholder="请输入" style="padding-left: 10px;">
+                            <span class="fa fa-search form-control-feedback right" aria-hidden="true"
+                                  style="right: 0px;"></span>
+                        </div>
+                    </div>
+                    <div class="item form-group customization" id="emrHpiFlag" target-id="emrHpi">
+                        <label class="my_label">现病史：</label>
+                        <!--   <input id="emrHpi" class="form-control my_label_input"
+                                  placeholder="请输入" type="text" data-placement="bottom-right">-->
+                        <textarea id="emrHpi" class="form-control my_label_input" placeholder="请输入"></textarea>
+                    </div>
+                    <div class="item form-group customization" id="emrPsFlag" target-id="emrPs">
+                        <label class="my_label">既往史：</label>
+                        <textarea id="emrPs" class="form-control my_label_input" placeholder="请输入"></textarea>
+                        <!--                        <input id="emrPs" class="form-control my_label_input"-->
+                        <!--                               placeholder="请输入" type="text" data-placement="bottom-right">-->
+                    </div>
+                    <div class="item form-group customization" id="personalHistoryFlag" target-id="personalHistory">
+                        <label class="my_label">个人史：</label>
+                        <input id="personalHistory" class="form-control my_label_input"
+                               placeholder="请输入" type="text" data-placement="bottom-right">
+                    </div>
+                    <div class="item form-group customization" id="crbHistoryFlag" target-id="crbHistory">
+                        <label class="my_label">传染病史：</label>
+                        <textarea id="crbHistory" class="form-control my_label_input" placeholder="请输入"></textarea>
+                    </div>
+                    <div class="item form-group customization" id="fzZlFlag" target-id="fzZl">
+                        <label class="my_label">辅助资料：</label>
+                        <textarea id="fzZl" class="form-control my_label_input" placeholder="请输入"></textarea>
+                    </div>
+                    <div class="item form-group customization" id="familyHistoryFlag" target-id="familyHistory">
+                        <label class="my_label">家族史：</label>
+                        <input id="familyHistory" class="form-control my_label_input"
+                               placeholder="请输入" type="text" data-placement="bottom-right">
+                    </div>
+                    <div class="item form-group customization" id="obstericalHistoryFlag" target-id="obstericalHistory">
+                        <label class="my_label">婚育史：</label>
+                        <input id="obstericalHistory" class="form-control my_label_input"
+                               placeholder="请输入" type="text" data-placement="bottom-right">
+                    </div>
+                    <div class="item form-group foreclose">
+                        <label class="my_label">一般项目：</label>
+                        <div class="my_label_input" style="height: 34px;line-height: 34px;">
+                            <div style="float: left;">
+                                体重<input id="weight" type="number" min="0"/>kg&nbsp;&nbsp;
+                                体温<input id="temperature" type="number" min="0"/>℃&nbsp;&nbsp;
+                                脉搏<input id="sphygmus" type="number" min="0"/>次/分&nbsp;&nbsp;
+                                呼吸<input id="breathe" type="number" min="0"/>次/分&nbsp;&nbsp;
+                                血压<input id="pressure_high" type="number" min="0"/>&nbsp;/
+                                <input id="pressure_floor" type="number" min="0"/>mmhg
+                            </div>
+                            <div id="pressureLeftFlag" style="float: left;margin-left: 5px;"> 血压（左）<input
+                                    id="pressure_high_left" type="number" min="0"/>&nbsp;/
+                                <input id="pressure_floor_left" type="number" min="0"/>mmhg
+                            </div>
+
+                        </div>
+                    </div>
+                    <div class="item form-group customization" target-id="otherCheck" id="zdAllergenFlag">
+                        <label class="my_label">过敏史：</label>
+                        <div style="width: calc((100% - 65px)/2);float: left;">
+                            <select class="form-control selectpicker show-tick"
+                                    title="常规过敏源" data-live-search="true"  multiple
+                                    id="zdAllergen">
+                            </select>
+                        </div>
+                        <div style="width: calc((100% - 65px)/2);float: left;">
+                            <select class="form-control selectpicker show-tick"
+                                    title="本院药品过敏源" data-live-search="true" multiple
+                                    id="ypDitList">
+                            </select>
+                        </div>
+                    </div>
+                    <!--<div class="item form-group">-->
+                    <!--<label class="my_label"></label>-->
+                    <!--<div class="form-group has-feedback" style="float: right;width:calc (100% - 65px);">-->
+                    <!--<input type="text" class="form-control has-feedback-left" id="healthCheckUp" style="display: block">-->
+                    <!--</div>-->
+                    <!--</div>-->
+                    <div class="item form-group customization" target-id="otherCheck" id="otherCheckFlag">
+                        <label class="my_label">体格检查：</label>
+                        <textarea id="otherCheck" class="form-control my_label_input"
+                                  placeholder="请输入" type="text" data-placement="bottom-right"></textarea>
+                    </div>
                     <div class="item form-group customization" target-id="diagnose" id="diagnoseFlag">
                         <label class="my_label">诊断：</label>
                         <div class="form-group has-feedback" style="float: right;width: calc(100% - 65px);">
@@ -4094,138 +4094,138 @@
                         </div>
                     </div>
 
-<!--                    <div class="item form-group thmz_alert">-->
-<!--                        <div class="col-md-12 col-sm-12 col-xs-12 item">-->
-<!--                            <label class="control-label col-md-2 col-sm-2 col-xs-12" for="editEmrChiefComplaint">主诉-->
-<!--                            </label>-->
-<!--                            <div class="col-md-8 col-sm-8 col-xs-12">-->
-<!--                                <textarea id="editEmrChiefComplaint" class="form-control col-md-7 col-xs-12"-->
-<!--                                          type="text"></textarea>-->
-<!--                            </div>-->
-<!--                        </div>-->
-<!--                    </div>-->
-<!--                    <div class="item form-group thmz_alert">-->
-<!--                        <div class="col-md-12 col-sm-12 col-xs-12 item">-->
-<!--                            <label class="control-label col-md-2 col-sm-2 col-xs-12" for="editEmrHpi">现病史-->
-<!--                            </label>-->
-<!--                            <div class="col-md-8 col-sm-8 col-xs-12">-->
-<!--                                <textarea id="editEmrHpi" class="form-control col-md-7 col-xs-12"-->
-<!--                                          type="text"></textarea>-->
-<!--                            </div>-->
-<!--                        </div>-->
-<!--                    </div>-->
-<!--                    <div class="item form-group thmz_alert">-->
-<!--                        <div class="col-md-12 col-sm-12 col-xs-12 item">-->
-<!--                            <label class="control-label col-md-2 col-sm-2 col-xs-12" for="editEmrPs">既往史-->
-<!--                            </label>-->
-<!--                            <div class="col-md-8 col-sm-8 col-xs-12">-->
-<!--                                <textarea id="editEmrPs" class="form-control col-md-7 col-xs-12" type="text"></textarea>-->
-<!--                            </div>-->
-<!--                        </div>-->
-<!--                    </div>-->
-<!--                    <div class="item form-group thmz_alert">-->
-<!--                        <div class="col-md-12 col-sm-12 col-xs-12 item">-->
-<!--                            <label class="control-label col-md-2 col-sm-2 col-xs-12" for="editPersonalHistory">个人史-->
-<!--                            </label>-->
-<!--                            <div class="col-md-8 col-sm-8 col-xs-12">-->
-<!--                                <textarea id="editPersonalHistory" class="form-control col-md-7 col-xs-12"-->
-<!--                                          type="text"></textarea>-->
-<!--                            </div>-->
-<!--                        </div>-->
-<!--                    </div>-->
-<!--                    <div class="item form-group thmz_alert">-->
-<!--                        <div class="col-md-12 col-sm-12 col-xs-12 item">-->
-<!--                            <label class="control-label col-md-2 col-sm-2 col-xs-12" for="editFamilyHistory">家族史-->
-<!--                            </label>-->
-<!--                            <div class="col-md-8 col-sm-8 col-xs-12">-->
-<!--                                <textarea id="editFamilyHistory" class="form-control col-md-7 col-xs-12"-->
-<!--                                          type="text"></textarea>-->
-<!--                            </div>-->
-<!--                        </div>-->
-<!--                    </div>-->
-<!--                    <div class="item form-group thmz_alert">-->
-<!--                        <div class="col-md-12 col-sm-12 col-xs-12 item">-->
-<!--                            <label class="control-label col-md-2 col-sm-2 col-xs-12" for="editCrbHistory">传染病史-->
-<!--                            </label>-->
-<!--                            <div class="col-md-8 col-sm-8 col-xs-12">-->
-<!--                                <textarea id="editCrbHistory" class="form-control col-md-7 col-xs-12"-->
-<!--                                          type="text"></textarea>-->
-<!--                            </div>-->
-<!--                        </div>-->
-<!--                    </div>-->
-<!--                    <div class="item form-group thmz_alert">-->
-<!--                        <div class="col-md-12 col-sm-12 col-xs-12 item">-->
-<!--                            <label class="control-label col-md-2 col-sm-2 col-xs-12" for="editFzZl">辅助资料-->
-<!--                            </label>-->
-<!--                            <div class="col-md-8 col-sm-8 col-xs-12">-->
-<!--                                <textarea id="editFzZl" class="form-control col-md-7 col-xs-12"-->
-<!--                                          type="text"></textarea>-->
-<!--                            </div>-->
-<!--                        </div>-->
-<!--                    </div>-->
-<!--                    <div class="item form-group thmz_alert">-->
-<!--                        <div class="col-md-12 col-sm-12 col-xs-12 item">-->
-<!--                            <label class="control-label col-md-2 col-sm-2 col-xs-12" for="editObstericalHistory">婚育史-->
-<!--                            </label>-->
-<!--                            <div class="col-md-8 col-sm-8 col-xs-12">-->
-<!--                                <textarea id="editObstericalHistory" class="form-control col-md-7 col-xs-12"-->
-<!--                                          type="text"></textarea>-->
-<!--                            </div>-->
-<!--                        </div>-->
-<!--                    </div>-->
-<!--                    <div class="item form-group thmz_alert">-->
-<!--                        <div class="col-md-12 col-sm-12 col-xs-12 item">-->
-<!--                            <label class="control-label col-md-2 col-sm-2 col-xs-12">一般项目：</label>-->
-<!--                            <div class="col-md-8 col-sm-8 col-xs-12">-->
-<!--                                <div style="float: left;">-->
-<!--                                    体重<input id="bl_weight" type="number" min="0"-->
-<!--                                               style="width: 40px;border: none !important;border-radius: 0 !important;border-bottom: 1px solid #ddd !important;color: red;"/>kg&nbsp;&nbsp;-->
-<!--                                    体温<input id="bl_temperature" type="number" min="0"-->
-<!--                                               style="width: 40px;border: none !important;border-radius: 0 !important;border-bottom: 1px solid #ddd !important;color: red;"/>℃&nbsp;&nbsp;-->
-<!--                                    脉搏<input id="bl_sphygmus" type="number" min="0"-->
-<!--                                               style="width: 40px;border: none !important;border-radius: 0 !important;border-bottom: 1px solid #ddd !important;color: red;"/>次/分&nbsp;&nbsp;-->
-<!--                                    呼吸<input id="bl_breathe" type="number" min="0"-->
-<!--                                               style="width: 40px;border: none !important;border-radius: 0 !important;border-bottom: 1px solid #ddd !important;color: red;"/>次/分&nbsp;&nbsp;</br>-->
-<!--                                    血压<input id="bl_pressure_high" type="number" min="0"-->
-<!--                                               style="width: 40px;border: none !important;border-radius: 0 !important;border-bottom: 1px solid #ddd !important;color: red;"/>&nbsp;/-->
-<!--                                    <input id="bl_pressure_floor" type="number" min="0"-->
-<!--                                           style="width: 40px;border: none !important;border-radius: 0 !important;border-bottom: 1px solid #ddd !important;color: red;"/>mmhg-->
-<!--                                    &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;血压（左）<input-->
-<!--                                        id="bl_pressure_high_left" type="number" min="0"-->
-<!--                                        style="width: 40px;border: none !important;border-radius: 0 !important;border-bottom: 1px solid #ddd !important;color: red;"/>&nbsp;/-->
-<!--                                    <input id="bl_pressure_floor_left" type="number" min="0"-->
-<!--                                           style="width: 40px;border: none !important;border-radius: 0 !important;border-bottom: 1px solid #ddd !important;color: red;"/>mmhg-->
-<!--                                </div>-->
-<!--                            </div>-->
-<!--                        </div>-->
-<!--                    </div>-->
-<!--                    <div class="item form-group thmz_alert">-->
-<!--                        <div class="col-md-12 col-sm-12 col-xs-12 item">-->
-<!--                            <label class="control-label col-md-2 col-sm-2 col-xs-12" for="editZdAllergen">过敏源-->
-<!--                            </label>-->
-<!--                            <div class="col-md-4 col-sm-4 col-xs-12">-->
-<!--                                <select class="form-control selectpicker show-tick"-->
-<!--                                        title="常规过敏源" data-live-search="true"  multiple-->
-<!--                                        id="editZdAllergen">-->
-<!--                                </select>-->
-<!--                            </div>-->
-<!--                            <div class="col-md-4 col-sm-4 col-xs-12">-->
-<!--                                <select class="form-control selectpicker show-tick"-->
-<!--                                        title="本院药品过敏源" data-live-search="true" multiple-->
-<!--                                        id="editYpDitList">-->
-<!--                                </select>-->
-<!--                            </div>-->
-<!--                        </div>-->
-<!--                    </div>-->
-<!--                    <div class="item form-group thmz_alert">-->
-<!--                        <div class="col-md-12 col-sm-12 col-xs-12 item">-->
-<!--                            <label class="control-label col-md-2 col-sm-2 col-xs-12" for="editQtjc">体格检查-->
-<!--                            </label>-->
-<!--                            <div class="col-md-8 col-sm-8 col-xs-12">-->
-<!--                                <textarea id="editQtjc" class="form-control col-md-7 col-xs-12" type="text"></textarea>-->
-<!--                            </div>-->
-<!--                        </div>-->
-<!--                    </div>-->
+                    <div class="item form-group thmz_alert">
+                        <div class="col-md-12 col-sm-12 col-xs-12 item">
+                            <label class="control-label col-md-2 col-sm-2 col-xs-12" for="editEmrChiefComplaint">主诉
+                            </label>
+                            <div class="col-md-8 col-sm-8 col-xs-12">
+                                <textarea id="editEmrChiefComplaint" class="form-control col-md-7 col-xs-12"
+                                          type="text"></textarea>
+                            </div>
+                        </div>
+                    </div>
+                    <div class="item form-group thmz_alert">
+                        <div class="col-md-12 col-sm-12 col-xs-12 item">
+                            <label class="control-label col-md-2 col-sm-2 col-xs-12" for="editEmrHpi">现病史
+                            </label>
+                            <div class="col-md-8 col-sm-8 col-xs-12">
+                                <textarea id="editEmrHpi" class="form-control col-md-7 col-xs-12"
+                                          type="text"></textarea>
+                            </div>
+                        </div>
+                    </div>
+                    <div class="item form-group thmz_alert">
+                        <div class="col-md-12 col-sm-12 col-xs-12 item">
+                            <label class="control-label col-md-2 col-sm-2 col-xs-12" for="editEmrPs">既往史
+                            </label>
+                            <div class="col-md-8 col-sm-8 col-xs-12">
+                                <textarea id="editEmrPs" class="form-control col-md-7 col-xs-12" type="text"></textarea>
+                            </div>
+                        </div>
+                    </div>
+                    <div class="item form-group thmz_alert">
+                        <div class="col-md-12 col-sm-12 col-xs-12 item">
+                            <label class="control-label col-md-2 col-sm-2 col-xs-12" for="editPersonalHistory">个人史
+                            </label>
+                            <div class="col-md-8 col-sm-8 col-xs-12">
+                                <textarea id="editPersonalHistory" class="form-control col-md-7 col-xs-12"
+                                          type="text"></textarea>
+                            </div>
+                        </div>
+                    </div>
+                    <div class="item form-group thmz_alert">
+                        <div class="col-md-12 col-sm-12 col-xs-12 item">
+                            <label class="control-label col-md-2 col-sm-2 col-xs-12" for="editFamilyHistory">家族史
+                            </label>
+                            <div class="col-md-8 col-sm-8 col-xs-12">
+                                <textarea id="editFamilyHistory" class="form-control col-md-7 col-xs-12"
+                                          type="text"></textarea>
+                            </div>
+                        </div>
+                    </div>
+                    <div class="item form-group thmz_alert">
+                        <div class="col-md-12 col-sm-12 col-xs-12 item">
+                            <label class="control-label col-md-2 col-sm-2 col-xs-12" for="editCrbHistory">传染病史
+                            </label>
+                            <div class="col-md-8 col-sm-8 col-xs-12">
+                                <textarea id="editCrbHistory" class="form-control col-md-7 col-xs-12"
+                                          type="text"></textarea>
+                            </div>
+                        </div>
+                    </div>
+                    <div class="item form-group thmz_alert">
+                        <div class="col-md-12 col-sm-12 col-xs-12 item">
+                            <label class="control-label col-md-2 col-sm-2 col-xs-12" for="editFzZl">辅助资料
+                            </label>
+                            <div class="col-md-8 col-sm-8 col-xs-12">
+                                <textarea id="editFzZl" class="form-control col-md-7 col-xs-12"
+                                          type="text"></textarea>
+                            </div>
+                        </div>
+                    </div>
+                    <div class="item form-group thmz_alert">
+                        <div class="col-md-12 col-sm-12 col-xs-12 item">
+                            <label class="control-label col-md-2 col-sm-2 col-xs-12" for="editObstericalHistory">婚育史
+                            </label>
+                            <div class="col-md-8 col-sm-8 col-xs-12">
+                                <textarea id="editObstericalHistory" class="form-control col-md-7 col-xs-12"
+                                          type="text"></textarea>
+                            </div>
+                        </div>
+                    </div>
+                    <div class="item form-group thmz_alert">
+                        <div class="col-md-12 col-sm-12 col-xs-12 item">
+                            <label class="control-label col-md-2 col-sm-2 col-xs-12">一般项目：</label>
+                            <div class="col-md-8 col-sm-8 col-xs-12">
+                                <div style="float: left;">
+                                    体重<input id="bl_weight" type="number" min="0"
+                                               style="width: 40px;border: none !important;border-radius: 0 !important;border-bottom: 1px solid #ddd !important;color: red;"/>kg&nbsp;&nbsp;
+                                    体温<input id="bl_temperature" type="number" min="0"
+                                               style="width: 40px;border: none !important;border-radius: 0 !important;border-bottom: 1px solid #ddd !important;color: red;"/>℃&nbsp;&nbsp;
+                                    脉搏<input id="bl_sphygmus" type="number" min="0"
+                                               style="width: 40px;border: none !important;border-radius: 0 !important;border-bottom: 1px solid #ddd !important;color: red;"/>次/分&nbsp;&nbsp;
+                                    呼吸<input id="bl_breathe" type="number" min="0"
+                                               style="width: 40px;border: none !important;border-radius: 0 !important;border-bottom: 1px solid #ddd !important;color: red;"/>次/分&nbsp;&nbsp;</br>
+                                    血压<input id="bl_pressure_high" type="number" min="0"
+                                               style="width: 40px;border: none !important;border-radius: 0 !important;border-bottom: 1px solid #ddd !important;color: red;"/>&nbsp;/
+                                    <input id="bl_pressure_floor" type="number" min="0"
+                                           style="width: 40px;border: none !important;border-radius: 0 !important;border-bottom: 1px solid #ddd !important;color: red;"/>mmhg
+                                    &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;血压（左）<input
+                                        id="bl_pressure_high_left" type="number" min="0"
+                                        style="width: 40px;border: none !important;border-radius: 0 !important;border-bottom: 1px solid #ddd !important;color: red;"/>&nbsp;/
+                                    <input id="bl_pressure_floor_left" type="number" min="0"
+                                           style="width: 40px;border: none !important;border-radius: 0 !important;border-bottom: 1px solid #ddd !important;color: red;"/>mmhg
+                                </div>
+                            </div>
+                        </div>
+                    </div>
+                    <div class="item form-group thmz_alert">
+                        <div class="col-md-12 col-sm-12 col-xs-12 item">
+                            <label class="control-label col-md-2 col-sm-2 col-xs-12" for="editZdAllergen">过敏源
+                            </label>
+                            <div class="col-md-4 col-sm-4 col-xs-12">
+                                <select class="form-control selectpicker show-tick"
+                                        title="常规过敏源" data-live-search="true"  multiple
+                                        id="editZdAllergen">
+                                </select>
+                            </div>
+                            <div class="col-md-4 col-sm-4 col-xs-12">
+                                <select class="form-control selectpicker show-tick"
+                                        title="本院药品过敏源" data-live-search="true" multiple
+                                        id="editYpDitList">
+                                </select>
+                            </div>
+                        </div>
+                    </div>
+                    <div class="item form-group thmz_alert">
+                        <div class="col-md-12 col-sm-12 col-xs-12 item">
+                            <label class="control-label col-md-2 col-sm-2 col-xs-12" for="editQtjc">体格检查
+                            </label>
+                            <div class="col-md-8 col-sm-8 col-xs-12">
+                                <textarea id="editQtjc" class="form-control col-md-7 col-xs-12" type="text"></textarea>
+                            </div>
+                        </div>
+                    </div>
                     <div class="item form-group thmz_alert">
                         <div class="col-md-12 col-sm-12 col-xs-12 item">
                             <label class="control-label col-md-2 col-sm-2 col-xs-12" for="editZd">诊断