hospitalized.html 33 KB

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  1. <link rel="stylesheet" href="/thmz/css/bootstrap/css/bootstrap-select.css"/>
  2. <link rel="stylesheet" href="/thmz/css/bootstrap/css/daterangepicker.css"/>
  3. <link rel="stylesheet" href="/thmz/css/iCheck/blue.css">
  4. <link rel="stylesheet" href="/thmz/css/custom.min.css">
  5. <link rel="stylesheet" href="/thmz/css/jquery.webui-popover.min.css">
  6. <link rel="stylesheet" href="/thmz/css/registration.css?44:72882">
  7. <script src="/thmz/js/dependent/bootstrap-select.js"></script>
  8. <script src="/thmz/js/dependent/daterangepicker.js"></script>
  9. <script src="/thmz/js/dependent/icheck.js"></script>
  10. <script src="/thmz/js/dependent/jquery.webui-popover.min.js"></script>
  11. <script src="/thmz/js/dependent/validator.js"></script>
  12. <script src="/thmz/js/dependent/LodopFuncs.js"></script>
  13. <script src="/thmz/js/jBox/jquery.jBox-2.3.min.js"></script>
  14. <script src="/thmz/js/jBox/baseISSObject.js"></script>
  15. <script src="/thmz/js/jBox/baseISSOnline.js"></script>
  16. <script src="/thmz/js/dependent/clipboard.js"></script>
  17. <script src="/thmz/js/jBox/common.js"></script>
  18. <!--<script src="/thmz/js/common/distpicker.js"></script>-->
  19. <script src="/thmz/js/zy/hospitalized.js"></script>
  20. <title>入院登记</title>
  21. <style>
  22. .thmz_alert .alert::after {
  23. content: '';
  24. display: block;
  25. height: 0;
  26. width: 0;
  27. border-color: transparent transparent #CE5454 transparent;
  28. border-style: solid;
  29. border-width: 11px 7px;
  30. position: absolute;
  31. left: 23px;
  32. top: -23px;
  33. }
  34. .thmz_alert .alert {
  35. float: right;
  36. margin-right: 10px;
  37. margin-top: 12px;
  38. }
  39. .input-group-own {
  40. margin-bottom: 0px;
  41. }
  42. </style>
  43. <div class="row" style="height: calc(100% - 60px);overflow-y: auto;">
  44. <div class="col-md-12 col-sm-12 col-xs-12">
  45. <div class="title">
  46. <div>入院登记</div>
  47. </div>
  48. <form class="form-horizontal form-label-left mz-fixed-form" novalidate id="regi_form" autocomplete="off">
  49. <div class="item form-group">
  50. <div class="col-md-3 col-sm-3 col-xs-12">
  51. <button type="button" style="margin-left:14px;cursor: default;margin-bottom: 10px !important;"
  52. class="btn btn-primary">
  53. 基本信息
  54. </button>
  55. </div>
  56. <div class="col-md-9 col-sm-9 col-xs-12">
  57. <div class="clearRegistrationDiv">
  58. <a id="siReadCard"><i class="fa fa-barcode">&nbsp;医保电子凭证</i></a>
  59. <a id="siReadCardFace"><i class="fa fa-github-alt">&nbsp;医保刷脸</i></a>
  60. <a id="uploadIdCard"><i class="fa fa-arrow-up">&nbsp;上传身份证</i></a>
  61. <a id="seeIdCard"><i class="fa fa-eye">&nbsp;查看身份证</i></a>
  62. <a id="updateInpatientNo"><i class="fa fa-check-square-o">&nbsp;修改住院号</i></a>
  63. <a onclick="saveZyPatient(false)" id="saveUser" hidden><i
  64. class="fa fa-user">&nbsp;保存患者信息</i></a>
  65. <a id="copyAddress" hidden><i class="fa fa-copyright" onclick="copyAddress()">&nbsp;复制身份证地址</i></a>
  66. <a id="clearRegistration"><i class="fa fa-trash">&nbsp;清空</i></a>
  67. </div>
  68. </div>
  69. </div>
  70. <div class="item form-group thmz_alert">
  71. <div class="col-md-3 col-sm-3 col-xs-12 item">
  72. <label class="control-label col-md-4 col-sm-4 col-xs-12" for="userName">姓名 <span
  73. class="required">*</span>
  74. </label>
  75. <div class="col-md-8 col-sm-8 col-xs-12">
  76. <input id="userName" class="form-control col-md-7 col-xs-12" data-validate-length-range="2,16"
  77. placeholder="姓名" required="required" type="text" data-placement="bottom-right">
  78. <input type='text' class="form-control hide" id='userNameReadOnly' readonly/>
  79. </div>
  80. </div>
  81. <div class="col-md-3 col-sm-3 col-xs-12 item thmz_group_alert">
  82. <label class="control-label col-md-4 col-sm-4 col-xs-12" for="age">年龄
  83. </label>
  84. <div class="col-md-8 col-sm-8 col-xs-12">
  85. <div class="input-group input-group-own">
  86. <input id="age" class="form-control col-md-7 col-xs-12" type="number"
  87. data-validate-minmax="0,200" required="required"
  88. placeholder="请输入">
  89. <div class="input-group-btn">
  90. <button type="button" class="btn btn-default dropdown-toggle" data-toggle="dropdown"
  91. aria-expanded="false" style="margin-right: 0px;">岁 <span class="caret"></span>
  92. </button>
  93. <!--<ul class="dropdown-menu dropdown-menu-right" role="menu"
  94. style="width: 50px;min-width: 50px;">
  95. <li><a href="#">岁</a>
  96. </li>
  97. <li><a href="#">月</a>
  98. </li>
  99. <li><a href="#">天</a>
  100. </li>
  101. </ul>-->
  102. </div>
  103. <!-- /btn-group -->
  104. </div>
  105. </div>
  106. </div>
  107. <div class="col-md-3 col-sm-3 col-xs-12 item">
  108. <label class="control-label col-md-4 col-sm-4 col-xs-12" for="gender">性别 <span
  109. class="required">*</span>
  110. </label>
  111. <div class="col-md-8 col-sm-8 col-xs-12">
  112. <select class="form-control selectpicker show-tick" required="required" id="gender">
  113. </select>
  114. </div>
  115. </div>
  116. <div class="col-md-3 col-sm-3 col-xs-12 item thmz_group_alert">
  117. <label class="control-label col-md-4 col-sm-4 col-xs-12" for="birthDayGroup">出生日期 <span
  118. class="required">*</span>
  119. </label>
  120. <div class="col-md-8 col-sm-8 col-xs-12">
  121. <div class='input-group date input-group-own' id='birthDayGroup'>
  122. <input type='text' class="form-control" required="required" id='birthDay'
  123. onchange="clearTextOrTitle(this)"/>
  124. <span class="input-group-addon">
  125. <span class="glyphicon glyphicon-calendar"></span>
  126. </span>
  127. </div>
  128. <input type='text' class="form-control hide" id='birthDayReadonly' readonly/>
  129. </div>
  130. </div>
  131. </div>
  132. <div class="item form-group thmz_alert">
  133. <div class="col-md-3 col-sm-3 col-xs-12 item thmz_group_alert">
  134. <label class="control-label col-md-4 col-sm-4 col-xs-12" for="cardNo">卡号/ID <span
  135. class="required">*</span>
  136. </label>
  137. <div class="col-md-8 col-sm-8 col-xs-12">
  138. <div class="input-group demo2 input-group-own">
  139. <input id="cardNo" class="form-control col-md-7 col-xs-12" type="text"
  140. data-validate-length-range="1,10"
  141. placeholder="ID/卡号" required="required">
  142. <input type='text' class="form-control hide" id='patientId'/>
  143. <span class="input-group-addon"><a href="#" style="cursor: default"><i
  144. class="fa fa-credit-card"></i></a></span>
  145. </div>
  146. </div>
  147. </div>
  148. <div class="col-md-3 col-sm-3 col-xs-12 item">
  149. <label class="control-label col-md-4 col-sm-4 col-xs-12" for="phoneNum">手机号码 <span
  150. class="required">*</span>
  151. </label>
  152. <div class="col-md-8 col-sm-8 col-xs-12">
  153. <input id="phoneNum" class="form-control col-md-7 col-xs-12" type="text"
  154. data-validate-length-range="11,11"
  155. placeholder="请输入" required="required" onchange="clearTextOrTitle(this)">
  156. </div>
  157. </div>
  158. <div class="col-md-3 col-sm-3 col-xs-12 item">
  159. <label class="control-label col-md-4 col-sm-4 col-xs-12" for="maritalStatus">婚姻状态 <span
  160. class="required">*</span>
  161. </label>
  162. <div class="col-md-8 col-sm-8 col-xs-12">
  163. <select class="form-control selectpicker show-tick" required="required" id="maritalStatus">
  164. </select>
  165. </div>
  166. </div>
  167. <div class="col-md-3 col-sm-3 col-xs-12 item">
  168. <label class="control-label col-md-4 col-sm-4 col-xs-12" for="profession">职业 <span
  169. class="required">*</span>
  170. </label>
  171. <div class="col-md-8 col-sm-8 col-xs-12">
  172. <select class="form-control selectpicker show-tick" required="required" id="profession">
  173. </select>
  174. </div>
  175. </div>
  176. </div>
  177. <div class="item form-group thmz_alert">
  178. <div class="col-md-3 col-sm-3 col-xs-12 item thmz_group_alert">
  179. <label class="control-label col-md-4 col-sm-4 col-xs-12" for="nationality">国籍<span
  180. class="required">*</span>
  181. </label>
  182. <div class="col-md-8 col-sm-8 col-xs-12">
  183. <select class="form-control selectpicker show-tick" required="required" id="nationality"
  184. data-live-search="true">
  185. </select>
  186. </div>
  187. </div>
  188. <div class="col-md-3 col-sm-3 col-xs-12 item thmz_group_alert">
  189. <label class="control-label col-md-4 col-sm-4 col-xs-12" for="nation">民族<span
  190. class="required">*</span>
  191. </label>
  192. <div class="col-md-8 col-sm-8 col-xs-12">
  193. <select class="form-control selectpicker show-tick" required="required" id="nation"
  194. data-live-search="true">
  195. </select>
  196. </div>
  197. <input id="nationToUpload" type="hidden"/>
  198. </div>
  199. <div class="col-md-6 col-sm-6 col-xs-12 item" data-toggle="distpicker" data-autoselect="3">
  200. <!--<label class="control-label col-md-4 col-sm-4 col-xs-12" for="bornAddress">出生地址 <span-->
  201. <!--class="required">*</span>-->
  202. <!--</label>-->
  203. <!--<div class="col-md-8 col-sm-8 col-xs-12">-->
  204. <!--<select class="form-control selectpicker show-tick" required="required" id="bornAddress">-->
  205. <!--</select>-->
  206. <!--</div>-->
  207. <label class="col-sm-2 control-label" style="padding-left: 28px;padding-top: 10px">出生地址</label>
  208. <div class="col-md-4 col-sm-4 col-xs-12">
  209. <select class="form-control selectpicker show-tick" id="provinceCodeBorn" onchange="initCity(4,null)" data-live-search="true"></select>
  210. </div>
  211. <div class="col-md-3 col-sm-3 col-xs-12">
  212. <select class="form-control selectpicker show-tick" id="cityCodeBorn" onchange="initDistrict(4,null,null)" data-live-search="true"></select>
  213. </div>
  214. <div class="col-md-3 col-sm-3 col-xs-12">
  215. <select class="form-control selectpicker show-tick" id="districtCodeBorn" data-live-search="true"></select>
  216. </div>
  217. </div>
  218. </div>
  219. <div class="item form-group">
  220. <div class="col-md-3 col-sm-3 col-xs-12 item">
  221. <label class="control-label col-md-4 col-sm-4 col-xs-12" for="certificateType">证件类型 <span
  222. class="required">*</span>
  223. </label>
  224. <div class="col-md-8 col-sm-8 col-xs-12">
  225. <select class="form-control selectpicker show-tick" required="required" id="certificateType">
  226. </select>
  227. </div>
  228. </div>
  229. <div class="col-md-3 col-sm-3 col-xs-12 item thmz_group_alert">
  230. <label class="control-label col-md-3 col-sm-3 col-xs-12" for="idCard" style="left: 17px;">证件号
  231. </label>
  232. <div class="col-md-9 col-sm-9 col-xs-12" style="left: 17px;">
  233. <div class="input-group demo2 input-group-own">
  234. <input id="idCard" class="form-control" type="text"
  235. data-validate-length-range="18,18"
  236. placeholder="请输入">
  237. <span class="input-group-addon"><a href="#"><i class="fa fa-newspaper-o"></i></a></span>
  238. </div>
  239. </div>
  240. </div>
  241. <div class="col-md-6 col-sm-6 col-xs-12 item">
  242. <label class="control-label col-md-2 col-sm-2 col-xs-12" for="permanentAddress">户口地址 <span
  243. class="required">*</span>
  244. </label>
  245. <div class="col-md-10 col-sm-10 col-xs-12">
  246. <div class='input-group input-group-own'>
  247. <input type='text' class="form-control" required="required" id='permanentAddress'
  248. onchange="clearTextOrTitle(this)"/>
  249. <span class="input-group-addon">
  250. <span class="fa fa-arrows-h"></span>
  251. </span>
  252. </div>
  253. </div>
  254. </div>
  255. </div>
  256. <div class="item form-group">
  257. <div class="col-md-6 col-sm-6 col-xs-12 item" data-toggle="distpicker" data-autoselect="3">
  258. <label class="col-sm-2 control-label" style="padding-left: 28px;padding-top: 10px">家庭住址</label>
  259. <div class="col-md-4 col-sm-4 col-xs-12">
  260. <select class="form-control selectpicker show-tick" id="provinceCode" onchange="initCity(1,null)" data-live-search="true"></select>
  261. </div>
  262. <div class="col-md-3 col-sm-3 col-xs-12">
  263. <select class="form-control selectpicker show-tick" id="cityCode" onchange="initDistrict(1,null,null)" data-live-search="true"></select>
  264. </div>
  265. <div class="col-md-3 col-sm-3 col-xs-12">
  266. <select class="form-control selectpicker show-tick" id="districtCode" data-live-search="true"></select>
  267. </div>
  268. </div>
  269. <div class="col-md-6 col-sm-6 col-xs-12 item">
  270. <label class="control-label col-md-2 col-sm-2 col-xs-12" for="address" style="left: -3px;">住址详情
  271. </label>
  272. <div class="col-md-10 col-sm-10 col-xs-12" style="left: -3px;">
  273. <input id="address" class="form-control optional" type="text"
  274. data-validate-length-range="0,40"
  275. placeholder="请输入">
  276. </div>
  277. <!--身份证上传需要的一些隐藏参数-->
  278. <input id="imageIdCard" type="hidden"/>
  279. <input id="issuedData" type="hidden"/>
  280. <input id="validDate" type="hidden"/>
  281. <input id="idIssued" type="hidden"/>
  282. <!--身份证上传需要的一些隐藏参数-->
  283. </div>
  284. </div>
  285. <div class="item form-group">
  286. <div class="col-md-3 col-sm-3 col-xs-12 item">
  287. <label class="control-label col-md-4 col-sm-4 col-xs-12" for="admissionNumber">住院号
  288. </label>
  289. <div class="col-md-8 col-sm-8 col-xs-12">
  290. <input id="admissionNumber" class="form-control col-md-7 col-xs-12" type="text"
  291. data-validate-length-range="11,11"
  292. placeholder="请输入">
  293. </div>
  294. </div>
  295. <div class="col-md-2 col-sm-2 col-xs-12 item btn-group" id="regi_List_btn_group">
  296. <button class="btn btn-sm btn-primary" type="button" onclick="titleButtonChange(this)">&nbsp;&nbsp;自动&nbsp;&nbsp;</button>
  297. <button class="btn btn-sm btn-default" type="button" onclick="titleButtonChange(this)">&nbsp;&nbsp;家床&nbsp;&nbsp;
  298. </button>
  299. </div>
  300. <div class="col-md-7 col-sm-7 col-xs-12 item">
  301. <label class="control-label col-md-2 col-sm-2 col-xs-12" for="unitAddress" style="left: -3px;">单位地址
  302. </label>
  303. <div class="col-md-10 col-sm-10 col-xs-12" style="left: -3px;">
  304. <input id="unitAddress" class="form-control optional" type="text"
  305. data-validate-length-range="0,40"
  306. placeholder="请输入">
  307. </div>
  308. </div>
  309. </div>
  310. <!--<div class="item form-group thmz_alert">-->
  311. <!--<div class="col-md-6 col-sm-6 col-xs-12">-->
  312. <!--<label class="control-label col-md-4 col-sm-4 col-xs-12" for="remark">备注-->
  313. <!--</label>-->
  314. <!--<div class="col-md-8 col-sm-8 col-xs-12">-->
  315. <!--<input id="remark" class="form-control col-md-7 col-xs-12" data-validate-length-range="2,10"-->
  316. <!--placeholder="请输入" required="true" type="text">-->
  317. <!--</div>-->
  318. <!--</div>-->
  319. <!--</div>-->
  320. <!--<div class="item form-group thmz_alert">-->
  321. <!---->
  322. <!--</div>-->
  323. <div class="item form-group">
  324. <div class="col-md-6 col-sm-6 col-xs-12">
  325. <button type="button" style="margin-left:14px;cursor: default;margin-bottom: 10px !important;"
  326. class="btn btn-primary">
  327. 联系人信息
  328. </button>
  329. </div>
  330. </div>
  331. <div class="item form-group">
  332. <div class="col-md-3 col-sm-3 col-xs-12">
  333. <label class="control-label col-md-4 col-sm-4 col-xs-12" for="contractName">姓名
  334. </label>
  335. <div class="col-md-8 col-sm-8 col-xs-12">
  336. <input id="contractName" class="form-control col-md-7 col-xs-12" type="text"
  337. data-validate-length-range="2,10"
  338. placeholder="联系人姓名">
  339. </div>
  340. </div>
  341. <div class="col-md-3 col-sm-3 col-xs-12">
  342. <label class="control-label col-md-4 col-sm-4 col-xs-12" for="relationship">关系
  343. </label>
  344. <div class="col-md-8 col-sm-8 col-xs-12">
  345. <select class="form-control selectpicker show-tick" required="required" id="relationship">
  346. </select>
  347. </div>
  348. </div>
  349. <div class="col-md-3 col-sm-3 col-xs-12">
  350. <label class="control-label col-md-4 col-sm-4 col-xs-12" for="contractPhone">电话
  351. </label>
  352. <div class="col-md-8 col-sm-8 col-xs-12">
  353. <input id="contractPhone" class="form-control col-md-7 col-xs-12" type="text"
  354. data-validate-length-range="2,10"
  355. placeholder="联系人电话">
  356. </div>
  357. </div>
  358. </div>
  359. <div class="item form-group">
  360. <div class="col-md-12 col-sm-12 col-xs-12 item">
  361. <label class="control-label col-md-1 col-sm-1 col-xs-12" for="contractAddress" style="left: -8px;">地址
  362. </label>
  363. <div class="col-md-11 col-sm-11 col-xs-12" style="left: -6px;">
  364. <input id="contractAddress" class="form-control optional" type="text"
  365. data-validate-length-range="0,40"
  366. placeholder="请输入">
  367. </div>
  368. </div>
  369. </div>
  370. <div class="item form-group">
  371. <div class="col-md-6 col-sm-6 col-xs-12">
  372. <button type="button" style="margin-left:14px;cursor: default;margin-bottom: 10px !important;"
  373. class="btn btn-primary">
  374. 住院信息
  375. </button>
  376. </div>
  377. </div>
  378. <div class="item form-group thmz_alert">
  379. <div class="col-md-3 col-sm-3 col-xs-12 item">
  380. <label class="control-label col-md-4 col-sm-4 col-xs-12" for="admissionDay">入院日期 <span
  381. class="required">*</span>
  382. </label>
  383. <div class="col-md-8 col-sm-8 col-xs-12">
  384. <div class='input-group date input-group-own' id='admissionDayGroup'>
  385. <input type='text' class="form-control" required="required" id='admissionDay'
  386. onchange="clearTextOrTitle(this)"/>
  387. <span class="input-group-addon">
  388. <span class="glyphicon glyphicon-calendar"></span>
  389. </span>
  390. </div>
  391. <input type='text' class="form-control hide" id='admissionDayReadonly' readonly/>
  392. </div>
  393. </div>
  394. <div class="col-md-3 col-sm-3 col-xs-12 item thmz_group_alert">
  395. <label class="control-label col-md-4 col-sm-4 col-xs-12" for="reqDoctor">入院医生<span
  396. class="required">*</span>
  397. </label>
  398. <div class="col-md-8 col-sm-8 col-xs-12">
  399. <select class="form-control selectpicker show-tick" required="required" id="reqDoctor"
  400. data-live-search="true">
  401. </select>
  402. </div>
  403. </div>
  404. <div class="col-md-3 col-sm-3 col-xs-12 item thmz_group_alert">
  405. <label class="control-label col-md-4 col-sm-4 col-xs-12" for="clinicDiagnosisCode">门诊诊断编码<span
  406. class="required">*</span>
  407. </label>
  408. <div class="col-md-8 col-sm-8 col-xs-12">
  409. <input id="clinicDiagnosisCode" class="form-control col-md-7 col-xs-12" type="text"
  410. placeholder="门诊诊断编码">
  411. </div>
  412. </div>
  413. <div class="col-md-3 col-sm-3 col-xs-12 item thmz_group_alert">
  414. <label class="control-label col-md-4 col-sm-4 col-xs-12" for="clinicDiagnosis">门诊诊断<span
  415. class="required">*</span>
  416. </label>
  417. <div class="col-md-8 col-sm-8 col-xs-12">
  418. <input id="clinicDiagnosis" class="form-control col-md-7 col-xs-12" type="text"
  419. placeholder="门诊诊断">
  420. </div>
  421. </div>
  422. </div>
  423. <div class="item form-group thmz_alert">
  424. <div class="col-md-3 col-sm-3 col-xs-12 item thmz_group_alert">
  425. <label class="control-label col-md-4 col-sm-4 col-xs-12" for="hospitalDiagnosisCode">住院诊断编码<span
  426. class="required">*</span>
  427. </label>
  428. <div class="col-md-8 col-sm-8 col-xs-12">
  429. <input id="hospitalDiagnosisCode" class="form-control col-md-7 col-xs-12" type="text"
  430. placeholder="住院诊断编码">
  431. </div>
  432. </div>
  433. <div class="col-md-3 col-sm-3 col-xs-12 item">
  434. <label class="control-label col-md-4 col-sm-4 col-xs-12" for="hospitalDiagnosis">住院诊断 <span
  435. class="required">*</span>
  436. </label>
  437. <div class="col-md-8 col-sm-8 col-xs-12">
  438. <input id="hospitalDiagnosis" class="form-control col-md-7 col-xs-12" type="text"
  439. placeholder="住院诊断">
  440. </div>
  441. </div>
  442. <div class="col-md-3 col-sm-3 col-xs-12 item">
  443. <label class="control-label col-md-4 col-sm-4 col-xs-12" for="inpatientWard">病区 <span
  444. class="required">*</span>
  445. </label>
  446. <div class="col-md-8 col-sm-8 col-xs-12">
  447. <select class="form-control selectpicker show-tick" required="required" id="inpatientWard"
  448. onchange="initSmallDeptByDept()" data-live-search="true" title="请选择">
  449. </select>
  450. </div>
  451. </div>
  452. <div class="col-md-3 col-sm-3 col-xs-12 item thmz_group_alert">
  453. <label class="control-label col-md-4 col-sm-4 col-xs-12" for="smallWard">小科室<span
  454. class="required">*</span>
  455. </label>
  456. <div class="col-md-8 col-sm-8 col-xs-12">
  457. <select class="form-control selectpicker show-tick" required="required" id="smallWard"
  458. title="请选择">
  459. </select>
  460. </div>
  461. </div>
  462. </div>
  463. <div class="item form-group thmz_alert">
  464. <div class="col-md-3 col-sm-3 col-xs-12 item thmz_group_alert">
  465. <label class="control-label col-md-4 col-sm-4 col-xs-12" for="bedNum">床号<span
  466. class="required">*</span>
  467. </label>
  468. <div class="col-md-8 col-sm-8 col-xs-12">
  469. <select class="form-control selectpicker show-tick" required="required" id="bedNum">
  470. </select>
  471. </div>
  472. </div>
  473. <div class="col-md-3 col-sm-3 col-xs-12 item">
  474. <label class="control-label col-md-4 col-sm-4 col-xs-12" for="admissStatus">入院状态 <span
  475. class="required">*</span>
  476. </label>
  477. <div class="col-md-8 col-sm-8 col-xs-12">
  478. <select class="form-control selectpicker show-tick" required="required" id="admissStatus">
  479. </select>
  480. </div>
  481. </div>
  482. </div>
  483. <div class="item form-group" style="margin-top: 80px;">
  484. <div class="col-md-12 col-sm-12 col-xs-12">
  485. <button type="button" class="btn btn-primary" id="confirmFee" style="width: calc(100% - 20px);">
  486. <span>入院登记</span>
  487. </button>
  488. </div>
  489. </div>
  490. </form>
  491. </div>
  492. </div>
  493. <!--患者查询弹窗开始-->
  494. <div class="modal fade bs-example-modal-lg" tabindex="-1" role="dialog" aria-hidden="true" id="patientModal">
  495. <div class="modal-dialog modal-lg">
  496. <div class="modal-content" style="width: 700px;margin-left: 200px;">
  497. <div class="modal-header">
  498. <button type="button" class="close" data-dismiss="modal"><span aria-hidden="true">×</span>
  499. </button>
  500. <h4 class="modal-title modal-title-thmz">患者查询 <span style="font-size: 1px;margin-left: 20px;"
  501. id="tip_message">请选择本次需要入院的患者信息</span></h4>
  502. </div>
  503. <div class="modal-body">
  504. <form class="form-horizontal form-label-left" novalidate>
  505. <table class="table table-striped table-bordered">
  506. <thead>
  507. <tr>
  508. <th>患者ID</th>
  509. <th>患者姓名</th>
  510. <th>患者性别</th>
  511. <th>患者卡号</th>
  512. <th>电话号码</th>
  513. <th>出生年月</th>
  514. <th>患者身份证号码</th>
  515. </tr>
  516. </thead>
  517. <tbody id="patientTable">
  518. </tbody>
  519. </table>
  520. </form>
  521. </div>
  522. <div class="modal-footer">
  523. <button type="button" class="btn btn-default" data-dismiss="modal">关闭</button>
  524. </div>
  525. </div>
  526. </div>
  527. </div>
  528. <!--患者查询弹窗结尾-->
  529. <!--修改住院号弹窗开始-->
  530. <div class="modal fade bs-example-modal-lg" tabindex="-1" role="dialog" aria-hidden="true" id="updateInpatientNoModal">
  531. <div class="modal-dialog modal-lg">
  532. <div class="modal-content" style="width: 400px;margin-left: 200px;">
  533. <div class="modal-header">
  534. <button type="button" class="close" data-dismiss="modal"><span aria-hidden="true">×</span>
  535. </button>
  536. <h4 class="modal-title modal-title-thmz">改号处理</h4>
  537. </div>
  538. <div class="modal-body">
  539. <form class="form-horizontal form-label-left" novalidate autocomplete="off">
  540. <div class="item form-group">
  541. <label class="control-label col-md-4 col-sm-4 col-xs-12" for="new_inpatientNo">新住院号 <span
  542. class="required">*</span>
  543. </label>
  544. <div class="col-md-6 col-sm-6 col-xs-12">
  545. <input type="text" id="new_inpatientNo" class="form-control col-md-7 col-xs-12">
  546. </div>
  547. </div>
  548. <div class="item form-group">
  549. <label class="control-label col-md-4 col-sm-4 col-xs-12" for="new_name">新号姓名 <span
  550. class="required">*</span>
  551. </label>
  552. <div class="col-md-6 col-sm-6 col-xs-12">
  553. <input class="form-control col-md-7 col-xs-12" id="new_name"/>
  554. </div>
  555. </div>
  556. <div class="item form-group">
  557. <label class="control-label col-md-4 col-sm-4 col-xs-12" for="birthDayNew">出生日期
  558. </label>
  559. <div class="col-md-6 col-sm-6 col-xs-12">
  560. <input type="text" id="birthDayNew" class="form-control col-md-7 col-xs-12" readonly>
  561. </div>
  562. </div>
  563. </form>
  564. </div>
  565. <div class="modal-footer">
  566. <button type="button" class="btn btn-primary" id="saveEdit">保存</button>
  567. <button type="button" class="btn btn-default" data-dismiss="modal">取消</button>
  568. </div>
  569. </div>
  570. </div>
  571. </div>
  572. <!--修改住院号弹窗结尾-->
  573. <!--查看患者身份证弹窗开始-->
  574. <div class="modal fade bs-example-modal-lg" tabindex="-1" role="dialog" aria-hidden="true" id="seeIdCardModal">
  575. <div class="modal-dialog modal-lg">
  576. <div class="modal-content" style="width: 600px;margin-left: 200px;">
  577. <div class="modal-header">
  578. <button type="button" class="close" data-dismiss="modal"><span aria-hidden="true">×</span>
  579. </button>
  580. <h4 class="modal-title modal-title-thmz">查看身份证</h4>
  581. </div>
  582. <div class="modal-body">
  583. <form class="form-horizontal form-label-left" novalidate autocomplete="off">
  584. <img src="" id="idCardImage" width="350px" style="clear: both;display: block;margin: auto;">
  585. </form>
  586. </div>
  587. <div class="modal-footer">
  588. <button type="button" class="btn btn-default" data-dismiss="modal">取消</button>
  589. </div>
  590. </div>
  591. </div>
  592. </div>
  593. <!--查看患者身份证弹窗结尾-->
  594. <object id="LODOP_OB" classid="clsid:2105C259-1E0C-4534-8141-A753534CB4CA" width=0 height=0>
  595. <embed id="LODOP_EM" type="application/x-print-lodop" width=0 height=0></embed>
  596. </object>