xinxicaiji.html 10 KB

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  1. <!DOCTYPE html>
  2. <html>
  3. <head>
  4. <meta charset="UTF-8">
  5. <title>详细信息采集</title>
  6. <meta name="author" content="yihu.com" />
  7. <meta name="viewport" content="width=device-width, initial-scale=1.0, minimum-scale=1.0, maximum-scale=1.0, user-scalable=0" />
  8. <meta name="apple-mobile-web-app-capable" content="yes" />
  9. <meta name="apple-mobile-web-app-status-bar-style" content="black" />
  10. <link rel="stylesheet" type="text/css" href="../../../css/mui.min.css">
  11. <link rel="stylesheet" type="text/css" href="../../../css/cross.css" />
  12. <link rel="stylesheet" type="text/css" href="../../../css/cross.ui.css" />
  13. <link rel="stylesheet" type="text/css" href="../css/xinxicaiji.css" />
  14. </head>
  15. <body>
  16. <div class="c-main">
  17. </div>
  18. <script type="text/html" id="list_tmp">
  19. <ul class="xc-ul">
  20. <li class="xc-li" id="school" data-code="{{cache.education}}" data-name="{{cache.educationName}}">
  21. <div class="key">文化程度</div>
  22. <div class="info">
  23. <select name="" id="schoolSel" class="c-hide"></select>
  24. <span class="dl-input-icon"></span>
  25. </div>
  26. </li>
  27. <li class="xc-li" id="job" data-code="{{cache.occupation}}" data-name="{{cache.occupationName}}">
  28. <div class="key">职业</div>
  29. <div class="info">
  30. <select name="" id="jobSel" class="c-hide"></select>
  31. <span class="dl-input-icon"></span>
  32. </div>
  33. </li>
  34. <li class="xc-li long" id="pay" data-code="{{cache.payment}}" data-name="{{cache.paymentName}}">
  35. <div class="key">医疗费用支付方式</div>
  36. <div class="info">
  37. <select name="" id="paySel" class="c-hide"></select>
  38. <span class="dl-input-icon"></span>
  39. </div>
  40. </li>
  41. <li class="xc-li long" id="disability" data-code="{{cache.disabilitys}}" data-name="{{cache.disabilitysName}}">
  42. <div class="key">残疾情况</div>
  43. <div class="info">
  44. <select name="" id="disabilitySel" class="c-hide"></select>
  45. <span class="dl-input-icon"></span>
  46. </div>
  47. </li>
  48. <li class="xc-li-more j-drug">
  49. <div class="xc-radio">
  50. <div class="name">药物过敏史</div>
  51. <div class="one {{if cache.drugFlag == '0'}}active{{/if}}" data-id="0">
  52. <div></div>
  53. <div>无</div>
  54. </div>
  55. <div class="one {{if cache.drugFlag == '1'}}active{{/if}}" data-id="1">
  56. <div></div>
  57. <div>有</div>
  58. </div>
  59. </div>
  60. <div class="xc-li-radio {{if cache.drugFlag != '1'}}c-hide{{/if}}">
  61. {{each data.allergy as val}}
  62. {{if val.code !=4}}
  63. <div class="child j-noOther {{if cache && cache.drugAllergys.indexOf(val.code)>-1}}active{{/if}}" data-code="{{val.code}}" data-name="{{val.value}}">
  64. <div class="j-checkbox"></div>
  65. <div class="j-checkbox">{{val.value}}</div>
  66. </div>
  67. {{else}}
  68. <div class="child {{if cache && cache.drugOtherContent!=''}}active{{/if}}">
  69. <div class="j-showbox"></div>
  70. <div class="j-showbox w80">其他</div>
  71. <input class="other j-hide {{if !(cache && cache.drugOtherContent!='')}}c-hide{{/if}}" type="text" {{if cache.drugOtherContent!=''}}value="{{cache.drugOtherContent}}"{{/if}} placeholder="请输入药品名称" maxlength="30"/>
  72. </div>
  73. {{/if}}
  74. {{/each}}
  75. </div>
  76. </li>
  77. <li class="xc-li-more j-past" >
  78. <div class="xc-radio">
  79. <div class="name">既往史</div>
  80. <div class="one {{if cache.pastHistorysFlag == '0'}}active{{/if}}" data-id="0">
  81. <div></div>
  82. <div>无</div>
  83. </div>
  84. <div class="one {{if cache.pastHistorysFlag == '1'}}active{{/if}}" data-id="1">
  85. <div></div>
  86. <div>有</div>
  87. </div>
  88. </div>
  89. <div class="xc-li-radio {{if cache.pastHistorysFlag != '1'}}c-hide{{/if}}">
  90. {{each data.pastHistory as it i}}
  91. {{if it.code !=4}}
  92. <div class="child j-noOther {{if cache && cache.pastHistorys.indexOf(it.code)>-1}}active{{/if}}" data-code="{{it.code}}" data-name="{{it.value}}">
  93. <div class="j-showbox"></div>
  94. <div class="j-showbox w80">{{it.value}}</div>
  95. <input class="other {{if !(cache && cache.pastHistorys.indexOf(it.code)>-1)}}c-hide{{/if}} dateSel j-hide" type="text" {{if cache && cache.pastHistorys.indexOf(it.code)>-1 && cache.pastHistoryDate.split(',').length==2}}value="{{cache.pastHistoryDate.split(',')[i]=='0'?'':cache.pastHistoryDate.split(',')[i]}}"{{/if}} {{if cache && cache.pastHistorys.indexOf(it.code)>-1 && cache.pastHistoryDate.split(',').length==1}}value="{{cache.pastHistoryDate.split(',')[0]=='0'?'':cache.pastHistoryDate.split(',')[0]}}"{{/if}} placeholder="请输入确诊时间"/>
  96. </div>
  97. {{else}}
  98. <div class="child {{if cache && cache.pastHistoryContent!=''}}active{{/if}}">
  99. <div class="j-showbox"></div>
  100. <div class="j-showbox w80">其他</div>
  101. <input class="other past {{if !(cache && cache.pastHistoryContent!='')}}c-hide{{/if}} j-hide" type="text" {{if cache.pastHistoryContent!=''}}value="{{cache.pastHistoryContent}}"{{/if}} placeholder="请输入疾病名称" maxlength="30"/>
  102. </div>
  103. {{/if}}
  104. {{/each}}
  105. </div>
  106. </li>
  107. <li class="xc-li-more j-gen" >
  108. <div class="xc-radio">
  109. <div class="name">遗传病史</div>
  110. <div class="one {{if cache.geneticFlag == '0'}}active{{/if}}" data-id="0">
  111. <div></div>
  112. <div>无</div>
  113. </div>
  114. <div class="one {{if cache.geneticFlag == '1'}}active{{/if}}" data-id="1">
  115. <div></div>
  116. <div>有</div>
  117. </div>
  118. </div>
  119. <div class="xc-li-radio {{if cache.geneticFlag != '1'}}c-hide{{/if}}">
  120. <div class="child longer">
  121. <input class="other" value="{{cache.geneticContent}}" type="text" placeholder="请输入疾病名称" maxlength="30"/>
  122. </div>
  123. </div>
  124. </li>
  125. <li class="xc-li-more j-family" >
  126. <div class="xc-radio">
  127. <div class="name">家族史</div>
  128. <div class="one {{if cache.familyHistoryFlag == '0'}}active{{/if}}" data-id="0">
  129. <div></div>
  130. <div>无</div>
  131. </div>
  132. <div class="one {{if cache.familyHistoryFlag == '1'}}active{{/if}}" data-id="1">
  133. <div></div>
  134. <div>有</div>
  135. </div>
  136. </div>
  137. <div class="xc-li-radio small {{if cache.familyHistoryFlag != '1'}}c-hide{{/if}}">
  138. <div class="child2 j-sel">
  139. <div>父亲疾病类型</div>
  140. <div class="info">
  141. <select class="sickSel c-hide" multiple data-code="{{cache.familyFatherHistorys}}" data-name="{{cache.familyFatherHistorysName}}"></select>
  142. </div>
  143. </div>
  144. <div class="child2 j-sel">
  145. <div>母亲疾病类型</div>
  146. <div class="info">
  147. <select class="sickSel c-hide" multiple data-code="{{cache.familyMotherHistorys}}" data-name="{{cache.familyMotherHistorysName}}"></select>
  148. </div>
  149. </div>
  150. <div class="child2 j-sel">
  151. <div>兄弟姐妹疾病类型</div>
  152. <div class="info">
  153. <select class="sickSel c-hide" multiple data-code="{{cache.familyBrotherHistorys}}" data-name="{{cache.familyBrotherHistorysName}}"></select>
  154. </div>
  155. </div>
  156. <div class="child2 j-sel">
  157. <div>子女疾病类型</div>
  158. <div class="info">
  159. <select class="sickSel c-hide" multiple data-code="{{cache.familyChildrenHistorys}}" data-name="{{cache.familyChildrenHistorysName}}"></select>
  160. </div>
  161. </div>
  162. </div>
  163. </li>
  164. </ul>
  165. <div class="jm-foot">
  166. <div class="jm-btn">提交</div>
  167. </div>
  168. </script>
  169. <script src="../../../js/jquery/2.1.3/jquery.js"></script>
  170. <script type="text/javascript" src="../../../js/mui.min.js"></script>
  171. <link rel="stylesheet" type="text/css" href="../../../widget/artDialog/6.0.5/css/ui-dialog.min.css" />
  172. <script src="../../../widget/artDialog/6.0.5/js/dialog-plus.min.js" type="text/javascript" charset="utf-8"></script>
  173. <link rel="stylesheet" type="text/css" href="../../../widget/mobiscroll/2.17.1/css/mobiscroll.css"/>
  174. <script src="../../../widget/mobiscroll/2.17.1/js/mobiscroll.js" type="text/javascript" charset="utf-8"></script>
  175. <script src="../../../js/template.js"></script>
  176. <script type="text/javascript" src="../../../js/common_http.js" ></script>
  177. <script type="text/javascript" src="../../../js/weixin_common.js" ></script>
  178. <script src="../js/xinxicaiji.js" type="text/javascript" charset="utf-8"></script>
  179. </body>
  180. </html>