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@@ -4256,7 +4256,7 @@
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<!--传染病上报信息弹窗开始-->
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<div class="modal fade bs-example-modal-lg" tabindex="-1" role="dialog" aria-hidden="true" id="crbMainCardModal">
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<div class="modal-dialog modal-lg">
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- <div class="modal-content" style="width: 680px;max-height: 550px;overflow-y: auto;">
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+ <div class="modal-content" style="width: 1100px;max-height: 550px;overflow-y: auto;">
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<div class="modal-header">
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<button type="button" class="close" data-dismiss="modal" onclick="clearCrbMainCard()"><span
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aria-hidden="true">×</span>
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@@ -4264,7 +4264,10 @@
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<h4 class="modal-title modal-title-thmz">传染病上报</h4>
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</div>
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<div class="modal-body">
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- <form class="form-horizontal form-label-left" novalidate id="crbMainCardForm" autocomplete="off">
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+ <div style="float: left;width: 340px;">
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+ <table id="tb_table_crb"></table>
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+ </div>
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+ <div style="float: right;width: 680px; border-left: 1px solid #ddd;" > <form class="form-horizontal form-label-left" novalidate id="crbMainCardForm" autocomplete="off">
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<div class="item form-group">
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<div class="col-md-12 col-sm-12 col-xs-12">
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<button type="button" style="cursor: default;margin-bottom: 10px !important;width: 100%;text-align: left;"
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@@ -4529,10 +4532,544 @@
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</button>
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</div>
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</div>
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+ <div class="item form-group thmz_alert">
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+ <div class="col-md-6 col-sm-6 col-xs-12 item">
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+ <label class="control-label col-md-4 col-sm-4 col-xs-12" for="vaccinate">分类(1)
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+ </label>
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+ <div class="col-md-8 col-sm-8 col-xs-12">
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+ <select class="form-control selectpicker show-tick" required="required" title="请选择"
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+ id="vaccinate">
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+ </select>
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+ </div>
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+ </div>
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+ <div class="col-md-6 col-sm-6 col-xs-12 item">
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+ <label class="control-label col-md-4 col-sm-4 col-xs-12" for="vaccinate2">分类(2)
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+ </label>
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+ <div class="col-md-8 col-sm-8 col-xs-12">
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+ <select class="form-control selectpicker show-tick" required="required" title="请选择"
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+ id="vaccinate2">
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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 thmz_alert">
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+ <div class="col-md-6 col-sm-6 col-xs-12 item">
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+ <label class="control-label col-md-4 col-sm-4 col-xs-12" for="illStartDateGroup">发病日期
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+ <span
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+ class="required">*</span>
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+ </label>
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+ <div class="col-md-8 col-sm-8 col-xs-12">
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+ <div class='input-group date input-group-own' id='illStartDateGroup'>
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+ <input type='text' class="form-control" id="illStartDate"/>
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+ <span class="input-group-addon">
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+ <span class="glyphicon glyphicon-calendar"></span>
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+ </span>
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+ </div>
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+ </div>
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+ </div>
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+ <div class="col-md-6 col-sm-6 col-xs-12 item">
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+ <label class="control-label col-md-4 col-sm-4 col-xs-12" for="illFirstDateGroup">诊断日期
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+ <span
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+ class="required">*</span>
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+ </label>
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+ <div class="col-md-8 col-sm-8 col-xs-12">
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+ <div class='input-group date input-group-own' id='illFirstDateGroup'>
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+ <input type='text' class="form-control" id="illFirstDate"/>
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+ <span class="input-group-addon">
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+ <span class="glyphicon glyphicon-calendar"></span>
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+ </span>
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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 thmz_alert">
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+ <div class="col-md-6 col-sm-6 col-xs-12 item">
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+ <label class="control-label col-md-4 col-sm-4 col-xs-12" for="deathDateGroup">死亡日期
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+ </label>
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+ <div class="col-md-8 col-sm-8 col-xs-12">
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+ <div class='input-group date input-group-own' id='deathDateGroup'>
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+ <input type='text' class="form-control" id="deathDate"/>
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+ <span class="input-group-addon">
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+ <span class="glyphicon glyphicon-calendar"></span>
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+ </span>
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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 class="col-md-12 col-sm-12 col-xs-12">
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+ <button type="button" style="cursor: default;margin-bottom: 10px !important;width: 100%;text-align: left;"
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+ class="btn btn-primary">
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+ <i class="fa fa-exclamation-circle"> 传染病</i>
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+ </button>
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+ </div>
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+ </div>
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+ <div class="item form-group thmz_alert">
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+ <div class="col-md-6 col-sm-6 col-xs-12 item">
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+ <label class="control-label col-md-4 col-sm-4 col-xs-12" for="contagion">甲类
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+ </label>
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+ <div class="col-md-8 col-sm-8 col-xs-12">
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+ <select class="form-control selectpicker show-tick" required="required" title="请选择"
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+ id="contagion">
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+ </select>
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+ </div>
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+ </div>
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+ <div class="col-md-6 col-sm-6 col-xs-12 item">
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+ <label class="control-label col-md-4 col-sm-4 col-xs-12" for="contagion2">乙类
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+ </label>
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+ <div class="col-md-8 col-sm-8 col-xs-12">
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+ <select class="form-control selectpicker show-tick" required="required" title="请选择" data-live-search="true"
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+ id="contagion2">
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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 thmz_alert">
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+ <div class="col-md-6 col-sm-6 col-xs-12 item">
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+ <label class="control-label col-md-4 col-sm-4 col-xs-12" for="contagion3">丙类
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+ </label>
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+ <div class="col-md-8 col-sm-8 col-xs-12">
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+ <select class="form-control selectpicker show-tick" required="required" title="请选择" data-live-search="true"
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+ id="contagion3">
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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 class="col-md-12 col-sm-12 col-xs-12">
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+ <button type="button" style="cursor: default;margin-bottom: 10px !important;width: 100%;text-align: left;"
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+ class="btn btn-primary">
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+ <i class="fa fa-exclamation-circle"> 其他法定管理以及重点临测传染病</i>
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+ </button>
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+ </div>
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+ </div>
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+ <div class="item form-group thmz_alert">
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+ <div class="col-md-6 col-sm-6 col-xs-12 item">
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+ <label class="control-label col-md-4 col-sm-4 col-xs-12" for="contagionQt">其他
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+ </label>
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+ <div class="col-md-8 col-sm-8 col-xs-12">
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+ <select class="form-control selectpicker show-tick" required="required" title="请选择" data-live-search="true"
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+ id="contagionQt">
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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 class="col-md-12 col-sm-12 col-xs-12">
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+ <button type="button" style="cursor: default;width: 100%;text-align: left;margin-bottom: 0px !important;"
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+ class="btn btn-primary">
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+ <i class="fa fa-exclamation-circle"> 梅毒检测结果</i>
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+ </button>
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+ <button type="button" style="cursor: default;margin-bottom: 10px !important;width: 100%;text-align: left;"
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+ class="btn btn-success">
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+ <i class="fa fa-exclamation"> 成人/患儿生母填写</i>
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+ </button>
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+ </div>
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+ </div>
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+ <div class="item form-group thmz_alert">
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+ <div class="col-md-6 col-sm-6 col-xs-12 item">
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+ <label class="control-label col-md-4 col-sm-4 col-xs-12" for="mTrust">TRUST/RPR
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+ </label>
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+ <div class="col-md-8 col-sm-8 col-xs-12">
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+ <select class="form-control selectpicker show-tick" title="请选择"
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+ id="mTrust">
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+ </select>
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+ </div>
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+ </div>
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+ <div class="col-md-6 col-sm-6 col-xs-12 item">
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+ <label class="control-label col-md-4 col-sm-4 col-xs-12" for="mRpr">滴度
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+ </label>
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+ <div class="col-md-8 col-sm-8 col-xs-12">
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+ <select class="form-control selectpicker show-tick" title="请选择"
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+ id="mRpr">
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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 thmz_alert">
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+ <div class="col-md-6 col-sm-6 col-xs-12 item">
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+ <label class="control-label col-md-4 col-sm-4 col-xs-12" for="mTppa">TPPA/TPHA
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+ </label>
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+ <div class="col-md-8 col-sm-8 col-xs-12">
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+ <select class="form-control selectpicker show-tick" title="请选择"
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+ id="mTppa">
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+ </select>
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+ </div>
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+ </div>
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+ <div class="col-md-6 col-sm-6 col-xs-12 item">
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+ <label class="control-label col-md-4 col-sm-4 col-xs-12" for="mOther">其他
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+ </label>
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+ <div class="col-md-8 col-sm-8 col-xs-12">
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+ <select class="form-control selectpicker show-tick" title="请选择"
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+ id="mOther">
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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 class="col-md-12 col-sm-12 col-xs-12">
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+ <button type="button" style="cursor: default;margin-bottom: 10px !important;width: 100%;text-align: left;"
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+ class="btn btn-success">
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+ <i class="fa fa-exclamation"> 患儿填写</i>
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+ </button>
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+ </div>
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+ </div>
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+ <div class="item form-group thmz_alert">
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+ <div class="col-md-6 col-sm-6 col-xs-12 item">
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+ <label class="control-label col-md-4 col-sm-4 col-xs-12" for="cTrust">TRUST/RPR
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+ </label>
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+ <div class="col-md-8 col-sm-8 col-xs-12">
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+ <select class="form-control selectpicker show-tick" title="请选择"
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+ id="cTrust">
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+ </select>
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+ </div>
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+ </div>
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+ <div class="col-md-6 col-sm-6 col-xs-12 item">
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+ <label class="control-label col-md-4 col-sm-4 col-xs-12" for="cRpr">滴度
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+ </label>
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+ <div class="col-md-8 col-sm-8 col-xs-12">
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+ <select class="form-control selectpicker show-tick" title="请选择"
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+ id="cRpr">
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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 thmz_alert">
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+ <div class="col-md-6 col-sm-6 col-xs-12 item">
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+ <label class="control-label col-md-4 col-sm-4 col-xs-12" for="cTppa">TPPA/TPHA
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+ </label>
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+ <div class="col-md-8 col-sm-8 col-xs-12">
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+ <select class="form-control selectpicker show-tick" title="请选择"
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+ id="cTppa">
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+ </select>
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+ </div>
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+ </div>
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+ <div class="col-md-6 col-sm-6 col-xs-12 item">
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+ <label class="control-label col-md-4 col-sm-4 col-xs-12" for="cTpha">
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+ 19S-IgM-TPHA
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+ </label>
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+ <div class="col-md-8 col-sm-8 col-xs-12">
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+ <select class="form-control selectpicker show-tick" title="请选择"
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+ id="cTpha">
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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 thmz_alert">
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+ <div class="col-md-6 col-sm-6 col-xs-12 item">
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+ <label class="control-label col-md-4 col-sm-4 col-xs-12" for="contagionText">订正病名
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+ </label>
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+ <div class="col-md-8 col-sm-8 col-xs-12">
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+ <input id="contagionText" class="form-control col-md-7 col-xs-12"
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+ placeholder="请输入" type="text">
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+ </div>
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+ </div>
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+ <div class="col-md-6 col-sm-6 col-xs-12 item">
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+ <label class="control-label col-md-4 col-sm-4 col-xs-12" for="disDiagType">
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+ 诊断依据
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+ </label>
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+ <div class="col-md-8 col-sm-8 col-xs-12">
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+ <select class="form-control selectpicker show-tick" title="请选择"
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+ id="disDiagType">
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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 thmz_alert">
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+ <div class="col-md-6 col-sm-6 col-xs-12 item">
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+ <label class="control-label col-md-4 col-sm-4 col-xs-12" for="contagionText">报告单位
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+ </label>
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+ <div class="col-md-8 col-sm-8 col-xs-12" style="padding-top: 8px;">
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+ 长沙泰和医院
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+ </div>
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+ </div>
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+ <div class="col-md-6 col-sm-6 col-xs-12 item">
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+ <label class="control-label col-md-4 col-sm-4 col-xs-12" for="cardRet">退卡原因
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+ </label>
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+ <div class="col-md-8 col-sm-8 col-xs-12">
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+ <input id="cardRet" class="form-control col-md-7 col-xs-12"
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+ placeholder="请输入" type="text">
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+ </div>
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+ </div>
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+ </div>
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+ <div class="item form-group thmz_alert">
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+ <div class="col-md-6 col-sm-6 col-xs-12 item">
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+ <label class="control-label col-md-4 col-sm-4 col-xs-12" for="repotrDoctorName">报告医生
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+ </label>
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+ <div class="col-md-8 col-sm-8 col-xs-12" id="repotrDoctorName" style="padding-top: 8px;">
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+ test
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+ </div>
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+ </div>
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+ <div class="col-md-6 col-sm-6 col-xs-12 item">
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+ <label class="control-label col-md-4 col-sm-4 col-xs-12" for="reportTel">联系电话
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+ </label>
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+ <div class="col-md-8 col-sm-8 col-xs-12">
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+ <input id="reportTel" class="form-control col-md-7 col-xs-12"
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+ placeholder="请输入" type="text">
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+ </div>
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+ </div>
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+ </div>
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+ <div class="item form-group thmz_alert">
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+ <div class="col-md-6 col-sm-6 col-xs-12 item">
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+ <label class="control-label col-md-4 col-sm-4 col-xs-12" for="crbReportDate">报告日期
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+ </label>
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+ <div class="col-md-8 col-sm-8 col-xs-12" id="crbReportDate" style="padding-top: 8px;">
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+ test
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+ </div>
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+ </div>
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+ <div class="col-md-6 col-sm-6 col-xs-12 item">
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+ <label class="control-label col-md-4 col-sm-4 col-xs-12" for="inputDt">填卡日期
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+ </label>
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+ <div class="col-md-8 col-sm-8 col-xs-12" id="inputDt" style="padding-top: 8px;">
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+ test
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+ </div>
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+ </div>
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+ </div>
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+ <div class="item form-group thmz_alert">
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+ <div class="col-md-6 col-sm-6 col-xs-12 item">
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+ <label class="control-label col-md-4 col-sm-4 col-xs-12" for="anamnesis">既往史
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+ </label>
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+ <div class="col-md-8 col-sm-8 col-xs-12">
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+ <select class="form-control selectpicker show-tick" title="请选择"
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+ id="anamnesis">
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+ </select>
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+ </div>
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+ </div>
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|
+ <div class="col-md-6 col-sm-6 col-xs-12 item">
|
|
|
+ <label class="control-label col-md-4 col-sm-4 col-xs-12" for="visitType">
|
|
|
+ 本次就诊
|
|
|
+ </label>
|
|
|
+ <div class="col-md-8 col-sm-8 col-xs-12">
|
|
|
+ <select class="form-control selectpicker show-tick" title="请选择"
|
|
|
+ id="visitType">
|
|
|
+ </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="crbRemark"
|
|
|
+ style="margin-left: -3px;">备注</label>
|
|
|
+ <div class="col-md-10 col-sm-10 col-xs-12">
|
|
|
+ <input id="crbRemark" class="form-control col-md-7 col-xs-12"
|
|
|
+ data-validate-length-range="0,40"
|
|
|
+ placeholder="请输入" type="text">
|
|
|
+ </div>
|
|
|
+ </div>
|
|
|
+ </div>
|
|
|
+ <div class="item form-group">
|
|
|
+ <div class="col-md-12 col-sm-12 col-xs-12">
|
|
|
+ <button type="button" style="cursor: default;margin-bottom: 10px !important;width: 100%;text-align: left;"
|
|
|
+ class="btn btn-primary">
|
|
|
+ <i class="fa fa-exclamation-circle"> 病毒性肝炎专报</i>
|
|
|
+ </button>
|
|
|
+ </div>
|
|
|
+ </div>
|
|
|
+ <div class="item form-group thmz_alert">
|
|
|
+ <div class="col-md-6 col-sm-6 col-xs-12 item">
|
|
|
+ <label class="control-label col-md-4 col-sm-4 col-xs-12" for="gyLcfx">临床分型
|
|
|
+ </label>
|
|
|
+ <div class="col-md-8 col-sm-8 col-xs-12">
|
|
|
+ <select class="form-control selectpicker show-tick" title="请选择"
|
|
|
+ id="gyLcfx">
|
|
|
+ </select>
|
|
|
+ </div>
|
|
|
+ </div>
|
|
|
+ <div class="col-md-6 col-sm-6 col-xs-12 item">
|
|
|
+ <label class="control-label col-md-4 col-sm-4 col-xs-12" for="gyByfx">
|
|
|
+ 病原分型
|
|
|
+ </label>
|
|
|
+ <div class="col-md-8 col-sm-8 col-xs-12">
|
|
|
+ <select class="form-control selectpicker show-tick" title="请选择"
|
|
|
+ id="gyByfx">
|
|
|
+ </select>
|
|
|
+ </div>
|
|
|
+ </div>
|
|
|
+ </div>
|
|
|
+ <div class="item form-group thmz_alert">
|
|
|
+ <div class="col-md-6 col-sm-6 col-xs-12 item">
|
|
|
+ <label class="control-label col-md-4 col-sm-4 col-xs-12" for="vAlt">ALT
|
|
|
+ </label>
|
|
|
+ <div class="col-md-8 col-sm-8 col-xs-12">
|
|
|
+ <input id="vAlt" class="form-control col-md-7 col-xs-12"
|
|
|
+ placeholder="请输入" type="text">
|
|
|
+ </div>
|
|
|
+ </div>
|
|
|
+ <div class="col-md-6 col-sm-6 col-xs-12 item">
|
|
|
+ <label class="control-label col-md-4 col-sm-4 col-xs-12" for="vZdhz">总胆红质
|
|
|
+ </label>
|
|
|
+ <div class="col-md-8 col-sm-8 col-xs-12">
|
|
|
+ <input id="vZdhz" class="form-control col-md-7 col-xs-12"
|
|
|
+ placeholder="请输入" type="text">
|
|
|
+ </div>
|
|
|
+ </div>
|
|
|
+ </div>
|
|
|
+ <div class="item form-group thmz_alert">
|
|
|
+ <div class="col-md-6 col-sm-6 col-xs-12 item">
|
|
|
+ <label class="control-label col-md-4 col-sm-4 col-xs-12" for="vKHavigm">抗-HAVIgM
|
|
|
+ </label>
|
|
|
+ <div class="col-md-8 col-sm-8 col-xs-12">
|
|
|
+ <input id="vKHavigm" class="form-control col-md-7 col-xs-12"
|
|
|
+ placeholder="请输入" type="text">
|
|
|
+ </div>
|
|
|
+ </div>
|
|
|
+ <div class="col-md-6 col-sm-6 col-xs-12 item">
|
|
|
+ <label class="control-label col-md-4 col-sm-4 col-xs-12" for="vHavRna">HAV-RNA
|
|
|
+ </label>
|
|
|
+ <div class="col-md-8 col-sm-8 col-xs-12">
|
|
|
+ <input id="vHavRna" class="form-control col-md-7 col-xs-12"
|
|
|
+ placeholder="请输入" type="text">
|
|
|
+ </div>
|
|
|
+ </div>
|
|
|
+ </div>
|
|
|
+ <div class="item form-group thmz_alert">
|
|
|
+ <div class="col-md-6 col-sm-6 col-xs-12 item">
|
|
|
+ <label class="control-label col-md-4 col-sm-4 col-xs-12" for="vHbsag">HbsAg
|
|
|
+ </label>
|
|
|
+ <div class="col-md-8 col-sm-8 col-xs-12">
|
|
|
+ <input id="vHbsag" class="form-control col-md-7 col-xs-12"
|
|
|
+ placeholder="请输入" type="text">
|
|
|
+ </div>
|
|
|
+ </div>
|
|
|
+ <div class="col-md-6 col-sm-6 col-xs-12 item">
|
|
|
+ <label class="control-label col-md-4 col-sm-4 col-xs-12" for="vKHbs">抗-HBs
|
|
|
+ </label>
|
|
|
+ <div class="col-md-8 col-sm-8 col-xs-12">
|
|
|
+ <input id="vKHbs" class="form-control col-md-7 col-xs-12"
|
|
|
+ placeholder="请输入" type="text">
|
|
|
+ </div>
|
|
|
+ </div>
|
|
|
+ </div>
|
|
|
+ <div class="item form-group thmz_alert">
|
|
|
+ <div class="col-md-6 col-sm-6 col-xs-12 item">
|
|
|
+ <label class="control-label col-md-4 col-sm-4 col-xs-12" for="vHbeag">HBeAg
|
|
|
+ </label>
|
|
|
+ <div class="col-md-8 col-sm-8 col-xs-12">
|
|
|
+ <input id="vHbeag" class="form-control col-md-7 col-xs-12"
|
|
|
+ placeholder="请输入" type="text">
|
|
|
+ </div>
|
|
|
+ </div>
|
|
|
+ <div class="col-md-6 col-sm-6 col-xs-12 item">
|
|
|
+ <label class="control-label col-md-4 col-sm-4 col-xs-12" for="vKHbe">抗-HBe
|
|
|
+ </label>
|
|
|
+ <div class="col-md-8 col-sm-8 col-xs-12">
|
|
|
+ <input id="vKHbe" class="form-control col-md-7 col-xs-12"
|
|
|
+ placeholder="请输入" type="text">
|
|
|
+ </div>
|
|
|
+ </div>
|
|
|
+ </div>
|
|
|
+ <div class="item form-group thmz_alert">
|
|
|
+ <div class="col-md-6 col-sm-6 col-xs-12 item">
|
|
|
+ <label class="control-label col-md-4 col-sm-4 col-xs-12" for="vKHbc">抗-HBc
|
|
|
+ </label>
|
|
|
+ <div class="col-md-8 col-sm-8 col-xs-12">
|
|
|
+ <input id="vKHbc" class="form-control col-md-7 col-xs-12"
|
|
|
+ placeholder="请输入" type="text">
|
|
|
+ </div>
|
|
|
+ </div>
|
|
|
+ <div class="col-md-6 col-sm-6 col-xs-12 item">
|
|
|
+ <label class="control-label col-md-4 col-sm-4 col-xs-12" for="vKHbcigm">抗-HBcIgM
|
|
|
+ </label>
|
|
|
+ <div class="col-md-8 col-sm-8 col-xs-12">
|
|
|
+ <input id="vKHbcigm" class="form-control col-md-7 col-xs-12"
|
|
|
+ placeholder="请输入" type="text">
|
|
|
+ </div>
|
|
|
+ </div>
|
|
|
+ </div>
|
|
|
+ <div class="item form-group thmz_alert">
|
|
|
+ <div class="col-md-6 col-sm-6 col-xs-12 item">
|
|
|
+ <label class="control-label col-md-4 col-sm-4 col-xs-12" for="vHbvDna">HBV-DNA
|
|
|
+ </label>
|
|
|
+ <div class="col-md-8 col-sm-8 col-xs-12">
|
|
|
+ <input id="vHbvDna" class="form-control col-md-7 col-xs-12"
|
|
|
+ placeholder="请输入" type="text">
|
|
|
+ </div>
|
|
|
+ </div>
|
|
|
+ <div class="col-md-6 col-sm-6 col-xs-12 item">
|
|
|
+ <label class="control-label col-md-4 col-sm-4 col-xs-12" for="vKHcv">抗-HCV
|
|
|
+ </label>
|
|
|
+ <div class="col-md-8 col-sm-8 col-xs-12">
|
|
|
+ <input id="vKHcv" class="form-control col-md-7 col-xs-12"
|
|
|
+ placeholder="请输入" type="text">
|
|
|
+ </div>
|
|
|
+ </div>
|
|
|
+ </div>
|
|
|
+ <div class="item form-group thmz_alert">
|
|
|
+ <div class="col-md-6 col-sm-6 col-xs-12 item">
|
|
|
+ <label class="control-label col-md-4 col-sm-4 col-xs-12" for="vHcvRna">HCV-RNA
|
|
|
+ </label>
|
|
|
+ <div class="col-md-8 col-sm-8 col-xs-12">
|
|
|
+ <input id="vHcvRna" class="form-control col-md-7 col-xs-12"
|
|
|
+ placeholder="请输入" type="text">
|
|
|
+ </div>
|
|
|
+ </div>
|
|
|
+ <div class="col-md-6 col-sm-6 col-xs-12 item">
|
|
|
+ <label class="control-label col-md-4 col-sm-4 col-xs-12" for="vKHdvigm">抗-HDVIgM
|
|
|
+ </label>
|
|
|
+ <div class="col-md-8 col-sm-8 col-xs-12">
|
|
|
+ <input id="vKHdvigm" class="form-control col-md-7 col-xs-12"
|
|
|
+ placeholder="请输入" type="text">
|
|
|
+ </div>
|
|
|
+ </div>
|
|
|
+ </div>
|
|
|
+ <div class="item form-group thmz_alert">
|
|
|
+ <div class="col-md-6 col-sm-6 col-xs-12 item">
|
|
|
+ <label class="control-label col-md-4 col-sm-4 col-xs-12" for="vKHdv">抗HDV
|
|
|
+ </label>
|
|
|
+ <div class="col-md-8 col-sm-8 col-xs-12">
|
|
|
+ <input id="vKHdv" class="form-control col-md-7 col-xs-12"
|
|
|
+ placeholder="请输入" type="text">
|
|
|
+ </div>
|
|
|
+ </div>
|
|
|
+ <div class="col-md-6 col-sm-6 col-xs-12 item">
|
|
|
+ <label class="control-label col-md-4 col-sm-4 col-xs-12" for="vHdvRna">HDV-RNA
|
|
|
+ </label>
|
|
|
+ <div class="col-md-8 col-sm-8 col-xs-12">
|
|
|
+ <input id="vHdvRna" class="form-control col-md-7 col-xs-12"
|
|
|
+ placeholder="请输入" type="text">
|
|
|
+ </div>
|
|
|
+ </div>
|
|
|
+ </div>
|
|
|
+ <div class="item form-group thmz_alert">
|
|
|
+ <div class="col-md-6 col-sm-6 col-xs-12 item">
|
|
|
+ <label class="control-label col-md-4 col-sm-4 col-xs-12" for="vKHevigm">抗-HEVIgM
|
|
|
+ </label>
|
|
|
+ <div class="col-md-8 col-sm-8 col-xs-12">
|
|
|
+ <input id="vKHevigm" class="form-control col-md-7 col-xs-12"
|
|
|
+ placeholder="请输入" type="text">
|
|
|
+ </div>
|
|
|
+ </div>
|
|
|
+ <div class="col-md-6 col-sm-6 col-xs-12 item">
|
|
|
+ <label class="control-label col-md-4 col-sm-4 col-xs-12" for="vKHev">抗HEV
|
|
|
+ </label>
|
|
|
+ <div class="col-md-8 col-sm-8 col-xs-12">
|
|
|
+ <input id="vKHev" class="form-control col-md-7 col-xs-12"
|
|
|
+ placeholder="请输入" type="text">
|
|
|
+ </div>
|
|
|
+ </div>
|
|
|
+ </div>
|
|
|
+ <div class="item form-group thmz_alert">
|
|
|
+ <div class="col-md-6 col-sm-6 col-xs-12 item">
|
|
|
+ <label class="control-label col-md-4 col-sm-4 col-xs-12" for="vHevRna">HEV-RNA
|
|
|
+ </label>
|
|
|
+ <div class="col-md-8 col-sm-8 col-xs-12">
|
|
|
+ <input id="vHevRna" class="form-control col-md-7 col-xs-12"
|
|
|
+ placeholder="请输入" type="text">
|
|
|
+ </div>
|
|
|
+ </div>
|
|
|
+ <div class="col-md-6 col-sm-6 col-xs-12 item">
|
|
|
+ <label class="control-label col-md-4 col-sm-4 col-xs-12" for="gyDzbm">订正病名
|
|
|
+ </label>
|
|
|
+ <div class="col-md-8 col-sm-8 col-xs-12">
|
|
|
+ <input id="gyDzbm" class="form-control col-md-7 col-xs-12"
|
|
|
+ placeholder="请输入" type="text">
|
|
|
+ </div>
|
|
|
+ </div>
|
|
|
+ </div>
|
|
|
+ </form></div>
|
|
|
|
|
|
- </form>
|
|
|
</div>
|
|
|
- <div class="modal-footer">
|
|
|
+ <div class="modal-footer" style="clear: both">
|
|
|
<button type="button" class="btn btn-primary" id="saveCrbMainCard">保存</button>
|
|
|
<button type="button" class="btn btn-default" data-dismiss="modal" onclick="clearCrbMainCard()">取消
|
|
|
</button>
|