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- <html>
- <head>
- <meta charset="UTF-8">
- <title>详细信息采集</title>
- <meta name="author" content="yihu.com" />
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- </head>
- <body>
- <div class="h45">
- <div class="demo-comtop">
- <a class="mui-action-back"></a>
- <h1>详细信息采集</h1>
- </div>
- </div>
- <div class="c-main">
-
- </div>
- <script type="text/html" id="list_tmp">
- <ul class="xc-ul">
- <li class="xc-li" id="school" data-code="" data-name="">
- <div class="key">文化程度</div>
- <div class="info">
- <select name="" id="schoolSel" class="c-hide"></select>
- <span class="dl-input-icon"></span>
- </div>
- </li>
- <li class="xc-li" id="job" data-code="" data-name="">
- <div class="key">职业</div>
- <div class="info">
- <select name="" id="jobSel" class="c-hide"></select>
- <span class="dl-input-icon"></span>
- </div>
- </li>
- <li class="xc-li long" id="pay" data-code="" data-name="">
- <div class="key">医疗费用支付方式</div>
- <div class="info">
- <select name="" id="paySel" class="c-hide"></select>
- <span class="dl-input-icon"></span>
- </div>
- </li>
- <li class="xc-li long" id="disability" data-code="" data-name="">
- <div class="key">残疾情况</div>
- <div class="info">
- <select name="" id="disabilitySel" class="c-hide"></select>
- <span class="dl-input-icon"></span>
- </div>
- </li>
- <li class="xc-li-more j-drug">
- <div class="xc-radio">
- <div class="name">药物过敏史</div>
- <div class="one" data-id="0">
- <div></div>
- <div>无</div>
- </div>
- <div class="one" data-id="1">
- <div></div>
- <div>有</div>
- </div>
- </div>
- <div class="xc-li-radio c-hide">
- {{each data.allergy as val}}
- {{if val.code !=4}}
- <div class="child j-noOther" data-code="{{val.code}}" data-name="{{val.value}}">
- <div class="j-checkbox"></div>
- <div class="j-checkbox">{{val.value}}</div>
- </div>
- {{else}}
- <div class="child j-drug-other">
- <div class="j-showbox"></div>
- <div class="j-showbox w80">其他</div>
- <input class="other c-hide j-hide" type="text" placeholder="请输入药品名称" maxlength="30"/>
- </div>
- {{/if}}
- {{/each}}
- </div>
- </li>
- <li class="xc-li-more j-past" >
- <div class="xc-radio">
- <div class="name">既往史</div>
- <div class="one" data-id="0">
- <div></div>
- <div>无</div>
- </div>
- <div class="one" data-id="1">
- <div></div>
- <div>有</div>
- </div>
- </div>
- <div class="xc-li-radio c-hide">
- {{each data.pastHistory as it}}
- {{if it.code !=4}}
- <div class="child j-noOther" data-code="{{it.code}}" data-name="{{it.value}}">
- <div class="j-showbox"></div>
- <div class="j-showbox w80">{{it.value}}</div>
- <input class="other c-hide dateSel j-hide" type="text" placeholder="请输入确诊时间"/>
- </div>
- {{else}}
- <div class="child j-past-other">
- <div class="j-showbox"></div>
- <div class="j-showbox w80">其他</div>
- <input class="other past c-hide j-hide" type="text" placeholder="请输入疾病名称" maxlength="30"/>
- </div>
- {{/if}}
- {{/each}}
- </div>
- </li>
- <li class="xc-li-more j-gen" >
- <div class="xc-radio">
- <div class="name">遗传病史</div>
- <div class="one" data-id="0">
- <div></div>
- <div>无</div>
- </div>
- <div class="one" data-id="1">
- <div></div>
- <div>有</div>
- </div>
- </div>
- <div class="xc-li-radio c-hide">
- <div class="child longer">
- <input class="other" type="text" placeholder="请输入疾病名称" maxlength="30"/>
- </div>
- </div>
- </li>
- <li class="xc-li-more j-family" >
- <div class="xc-radio">
- <div class="name">家族史</div>
- <div class="one" data-id="0">
- <div></div>
- <div>无</div>
- </div>
- <div class="one" data-id="1">
- <div></div>
- <div>有</div>
- </div>
- </div>
- <div class="xc-li-radio small c-hide">
- <div class="child2 j-sel">
- <div>父亲疾病类型</div>
- <div class="info">
- <select class="sickSel c-hide" multiple data-code="" data-name=""></select>
- </div>
- </div>
- <div class="child2 j-sel">
- <div>母亲疾病类型</div>
- <div class="info">
- <select class="sickSel c-hide" multiple data-code="" data-name=""></select>
- </div>
- </div>
- <div class="child2 j-sel">
- <div>兄弟姐妹疾病类型</div>
- <div class="info">
- <select class="sickSel c-hide" multiple data-code="" data-name=""></select>
- </div>
- </div>
- <div class="child2 j-sel">
- <div>子女疾病类型</div>
- <div class="info">
- <select class="sickSel c-hide" multiple data-code="" data-name=""></select>
- </div>
- </div>
- </div>
- </li>
- </ul>
- <div class="jm-foot">
- <div class="jm-btn">提交</div>
- </div>
- </script>
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- <script src="../../../js/template.js"></script>
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- <script src="../js/xinxicaiji.js" type="text/javascript" charset="utf-8"></script>
- </body>
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