<%@ page language="java" contentType="text/html; charset=UTF-8" pageEncoding="utf-8" %>
<%@include file="/WEB-INF/ehr/commons/jsp/commonInclude.jsp" %>

<!--######机构管理页面 > 机构信息对话框模板页######-->
<div id="div_info_form" class="m-form-inline" style="padding-top:10px;" data-role-form>
    <div class="m-form-group">
        <label><span class="red">*&nbsp;</span>所属字典：</label>

        <div class="m-form-control ">

                <input data-type="select" id="dictName" type="text" class="l-text-field required" name="dictName"/>

        </div>
    </div>

    <div class="m-form-group">
        <label>字典项代码：</label>

        <div class="m-form-control ">
            <div class="l-text">
                <input type="text" class="l-text-field required" name="code"/>
            </div>
        </div>
    </div>

    <div class="m-form-group">
        <label><span class="red">*&nbsp;</span>字典项值：</label>

        <div class="m-form-control ">
            <div class="l-text">
                <input type="text" class="l-text-field required"  name="value"/>
            </div>
        </div>
    </div>

    <div class="m-form-group">
        <label>拼音码：</label>

        <div class="m-form-control">
            <div class="l-text">
                <input type="text" class="l-text-field"name="pyCode"/>
            </div>
        </div>
    </div>

    <div class="m-form-group">
        <label>排序：</label>

        <div class="m-form-control ">
            <div class="l-text">
                <input type="text" class="l-text-field" class="l-text-field" name="sort">
            </div>
        </div>
    </div>

    <!-- 隐藏字段 -->
    <div class="m-form-group" style="display: none;">
        <input name="id" hidden="hidden"/>
    </div>
    <div class="m-form-bottom">
        <div id="btnCancel" class="l-button l-button-no">
            <span>关闭</span>
        </div>
        <div id="btnSave" class="l-button">
            <span>保存</span>
        </div>
    </div>
</div>
