index.html 30 KB

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  1. <div class="copd-record-edit">
  2. <div class="copd-r-e-header">
  3. <el-radio-group style="margin-bottom: 8px;">
  4. <el-radio-button label="base">
  5. <div @click="onClickNavLink('copdBaseInfo')">基本信息</div>
  6. </el-radio-button>
  7. <el-radio-button label="manage">
  8. <div @click="onClickNavLink('copdManageInfo')">管理信息</div>
  9. </el-radio-button>
  10. <el-radio-button label="first">
  11. <div @click="onClickNavLink('copdFirstInfo')">首次确诊信息</div>
  12. </el-radio-button>
  13. </el-radio-group>
  14. </div>
  15. <div class="copd-r-e-box">
  16. <el-form label-width="220px" :model="formData" size="mini" :rules="rules" ref="ruleForm" >
  17. <div class="copd-data-para-item">
  18. <div class="copd-d-p-i-title" id="copdBaseInfo">
  19. 基本信息
  20. </div>
  21. <div class="diver-line"></div>
  22. <div class="copd-d-p-i-content">
  23. <div class="copd-d-p-i-content_inner">
  24. <el-form-item label="患者姓名:" class="copd-form-item">
  25. <el-input class="copd-form-input" readonly disabled :value="formData.name"></el-input>
  26. </el-form-item>
  27. <el-form-item label="性别:" class="copd-form-item">
  28. <el-input class="copd-form-input" readonly disabled v-model="formData.sexName"></el-input>
  29. </el-form-item>
  30. <el-form-item label="证件类型:" class="copd-form-item">
  31. <!-- <el-input class="copd-form-input" disabled :value="formData.idcardType" ></el-input> -->
  32. <el-select placeholder="请选择" disabled v-model="formData.idcardType" style="width: 100%;">
  33. <el-option
  34. v-for="item in idCardTypeArr"
  35. :key="item.value"
  36. :label="item.value"
  37. :value="item.code">
  38. </el-option>
  39. </el-select>
  40. </el-form-item>
  41. <el-form-item label="证件号码:" class="copd-form-item">
  42. <el-input class="copd-form-input" disabled :value="formData.idcard" ></el-input>
  43. </el-form-item>
  44. <el-form-item label="联系电话:" prop="mobile" class="copd-form-item">
  45. <el-input class="copd-form-input" v-model="formData.mobile"></el-input>
  46. </el-form-item>
  47. <el-form-item label="婚姻状态:" class="copd-form-item">
  48. <el-select placeholder="请选择" v-model="formData.marriage" style="width: 100%;">
  49. <el-option
  50. v-for="item in marriageArr"
  51. :key="item.value"
  52. :label="item.value"
  53. :value="item.code">
  54. </el-option>
  55. </el-select>
  56. </el-form-item>
  57. <el-form-item label="国籍:" class="copd-form-item">
  58. <el-input class="copd-form-input" disabled v-model="formData.nationality"></el-input>
  59. </el-form-item>
  60. <el-form-item label="民族:" class="copd-form-item">
  61. <el-select placeholder="请选择" v-model="formData.nation" style="width: 100%;">
  62. <el-option
  63. v-for="item in nationDict"
  64. :key="item.NATION_NAME"
  65. :label="item.NATION_NAME"
  66. :value="item.NATION_CODE">
  67. </el-option>
  68. </el-select>
  69. </el-form-item>
  70. <el-form-item label="出生日期:" v-if="formData.idcardType!='idCard'" class="copd-form-item">
  71. <el-date-picker
  72. class="copd-edit-datepicker"
  73. v-model="formData.birthday"
  74. value-format="yyyy-MM-dd"
  75. placeholder="选择日期时间"
  76. ></el-date-picker>
  77. </el-form-item>
  78. <el-form-item label="出生日期:" v-else class="copd-form-item">
  79. <el-input class="copd-form-input" disabled v-model="formData.birthday"></el-input>
  80. </el-form-item>
  81. <el-form-item label="年龄:" class="copd-form-item">
  82. <el-input class="copd-form-input" v-model="formData.age"></el-input>
  83. </el-form-item>
  84. <el-form-item label="职业:" class="copd-form-item">
  85. <el-select placeholder="请选择" v-model="formData.occupation" style="width: 100%;">
  86. <el-option
  87. v-for="item in occupationArr"
  88. :key="item.value"
  89. :label="item.value"
  90. :value="item.code">
  91. </el-option>
  92. </el-select>
  93. </el-form-item>
  94. <el-form-item label="学历:" class="copd-form-item">
  95. <el-select placeholder="请选择" v-model="formData.educational" style="width: 100%;">
  96. <el-option
  97. v-for="item in educationalArr"
  98. :key="item.value"
  99. :label="item.value"
  100. :value="item.code">
  101. </el-option>
  102. </el-select>
  103. </el-form-item>
  104. <el-form-item label="生存状态:" class="copd-form-item">
  105. <el-select placeholder="请选择" v-model='formData.isLive' style="width: 100%;">
  106. <el-option
  107. v-for="item in isLiveArr"
  108. :key="item.value"
  109. :label="item.value"
  110. :value="item.code">
  111. </el-option>
  112. </el-select>
  113. </el-form-item>
  114. <el-form-item label="死亡时间:" class="copd-form-item" v-if="formData.isLive==2">
  115. <el-date-picker
  116. class="copd-edit-datepicker"
  117. v-model="formData.deathTime"
  118. value-format="yyyy-MM-dd"
  119. placeholder="选择日期时间"
  120. ></el-date-picker>
  121. </el-form-item>
  122. <el-form-item label="死亡时间:" class="copd-form-item" v-else>
  123. <el-input class="copd-form-input" disabled readonly v-model="formData.deathTime" ></el-input>
  124. </el-form-item>
  125. <el-form-item label="死亡原因:" class="copd-form-item copd-fill-width">
  126. <el-input v-if="formData.isLive==2" class="copd-form-input" v-model="formData.deathReason" ></el-input>
  127. <el-input class="copd-form-input" v-else disabled v-model="formData.deathReason" ></el-input>
  128. </el-form-item>
  129. <el-form-item label="是否有吸烟史:" class="copd-form-item">
  130. <el-select placeholder="请选择" v-model="formData.hasSmoke" style="width: 100%;">
  131. <el-option
  132. v-for="item in smokeArr"
  133. :key="item.value"
  134. :label="item.value"
  135. :value="item.code">
  136. </el-option>
  137. </el-select>
  138. </el-form-item>
  139. <el-form-item label="是否有饮酒史:" class="copd-form-item">
  140. <el-select placeholder="请选择" v-model="formData.hasDrink" style="width: 100%;">
  141. <el-option
  142. v-for="item in drinkArr"
  143. :key="item.value"
  144. :label="item.value"
  145. :value="item.code">
  146. </el-option>
  147. </el-select>
  148. </el-form-item>
  149. <el-form-item label="常住地区:" class="copd-form-item">
  150. <div class="copd-form-input">
  151. <el-cascader
  152. clearable
  153. width="100%"
  154. placeholder="请选择地址"
  155. ref="cascader"
  156. :options="addressOptions1"
  157. @active-item-change="handleItemChange(addressVal, 1)"
  158. :props="props"
  159. v-model="addressVal"
  160. ></el-cascader>
  161. </div>
  162. </el-form-item>
  163. <el-form-item label="常住地址:" class="copd-form-item">
  164. <el-input class="copd-form-input" v-model="formData.liveAddress"></el-input>
  165. </el-form-item>
  166. <el-form-item label="户籍地区:" class="copd-form-item">
  167. <el-cascader
  168. clearable
  169. class="copd-form-input"
  170. placeholder="请选择地址"
  171. ref="cas"
  172. :options="addressOptions2"
  173. @active-item-change="handleItemChange(resiginAddressVal, 2)"
  174. :props="props"
  175. v-model="resiginAddressVal"
  176. ></el-cascader>
  177. </el-form-item>
  178. <el-form-item label="户籍地址:" class="copd-form-item">
  179. <el-input class="copd-form-input" v-model="formData.registAddress" ></el-input>
  180. </el-form-item>
  181. </div>
  182. </div>
  183. </div>
  184. <div class="copd-data-para-item">
  185. <div class="copd-d-p-i-title" id="copdManageInfo">
  186. 管理信息
  187. </div>
  188. <div class="diver-line"></div>
  189. <div class="copd-d-p-i-content">
  190. <div class="copd-d-p-i-content_inner">
  191. <el-form-item label="下转状态:" class="copd-form-item">
  192. <el-input class="copd-form-input" disabled readonly :value="formData.turnDownStatus==1?'已下转':'未下转'"></el-input>
  193. </el-form-item>
  194. <el-form-item label="接收状态:" class="copd-form-item">
  195. <el-input class="copd-form-input" disabled readonly :value="formData.receiveStatus==1?'已接收':'未接收'"></el-input>
  196. </el-form-item>
  197. <el-form-item label="接收医院:" class="copd-form-item">
  198. <el-input class="copd-form-input" disabled readonly :value="formData.hospitalName"></el-input>
  199. </el-form-item>
  200. <el-form-item label="接收医生:" class="copd-form-item">
  201. <el-input class="copd-form-input" disabled readonly :value="formData.doctorName" ></el-input>
  202. </el-form-item>
  203. <el-form-item label="随访状态:" class="copd-form-item">
  204. <el-select placeholder="请选择" v-model="formData.archivesStatus" style="width: 100%;">
  205. <el-option
  206. v-for="item in followupArr"
  207. :key="item.value"
  208. :label="item.value"
  209. :value="item.code">
  210. </el-option>
  211. </el-select>
  212. </el-form-item>
  213. <el-form-item label="病情转归:" class="copd-form-item">
  214. <el-select placeholder="请选择" v-model="formData.diseaseConversion" style="width: 100%;">
  215. <el-option
  216. v-for="item in conversionArr"
  217. :key="item.value"
  218. :label="item.value"
  219. :value="item.code">
  220. </el-option>
  221. </el-select>
  222. </el-form-item>
  223. </div>
  224. </div>
  225. </div>
  226. <div class="copd-data-para-item">
  227. <div class="copd-d-p-i-title">
  228. 首次确诊信息
  229. </div>
  230. <div class="diver-line"></div>
  231. <div class="copd-d-p-i-content">
  232. <div class="copd-d-p-i-content_inner" id="copdFirstInfo">
  233. <el-form-item label="patient_SN:" class="copd-form-item">
  234. <el-input class="copd-form-input" v-model="formData.patientSn"></el-input>
  235. </el-form-item>
  236. <el-form-item label="就诊标识.X:" class="copd-form-item">
  237. <el-input class="copd-form-input" v-model="formData.visitFlag"></el-input>
  238. </el-form-item>
  239. <el-form-item label="慢阻肺是否主诊断:" class="copd-form-item">
  240. <el-select placeholder="请选择" v-model="formData.isCopd" style="width: 100%;">
  241. <el-option
  242. v-for="item in copdArr"
  243. :key="item.value"
  244. :label="item.value"
  245. :value="item.code">
  246. </el-option>
  247. </el-select>
  248. </el-form-item>
  249. <div class="copd-sub-title">
  250. <div class="title">
  251. <div class="forent-bar"></div>
  252. <div>个人病史</div>
  253. </div>
  254. </div>
  255. <el-form-item label="有无过敏史:" class="copd-form-item">
  256. <el-select placeholder="请选择" v-model="formData.hasAllergy" style="width: 100%;">
  257. <el-option
  258. v-for="item in copdArr"
  259. :key="item.value"
  260. :label="item.value"
  261. :value="item.code">
  262. </el-option>
  263. </el-select>
  264. </el-form-item>
  265. <el-form-item label="是否有放射性物质接触史:" class="copd-form-item">
  266. <el-select placeholder="请选择" v-model="formData.hasRadioactivity" style="width: 100%;">
  267. <el-option
  268. v-for="item in copdArr"
  269. :key="item.value"
  270. :label="item.value"
  271. :value="item.code">
  272. </el-option>
  273. </el-select>
  274. </el-form-item>
  275. <el-form-item label="是否有手术史:" class="copd-form-item">
  276. <el-select placeholder="请选择" v-model="formData.hasSurgical" style="width: 100%;">
  277. <el-option
  278. v-for="item in copdArr"
  279. :key="item.value"
  280. :label="item.value"
  281. :value="item.code">
  282. </el-option>
  283. </el-select>
  284. </el-form-item>
  285. <el-form-item label="是否有疾病史:" class="copd-form-item">
  286. <el-select placeholder="请选择" v-model="formData.hasDisease" style="width: 100%;">
  287. <el-option
  288. v-for="item in copdArr"
  289. :key="item.value"
  290. :label="item.value"
  291. :value="item.code">
  292. </el-option>
  293. </el-select>
  294. </el-form-item>
  295. <div class="copd-sub-title">
  296. <div class="title">
  297. <div class="forent-bar"></div>
  298. <div>就诊信息</div>
  299. </div>
  300. </div>
  301. <el-form-item label="主诉.阳性症状.体征:" class="copd-form-item copd-fill-width">
  302. <el-input class="copd-form-input" v-model="formData.chief"></el-input>
  303. </el-form-item>
  304. <el-form-item label="首次诊断地区:" class="copd-form-item">
  305. <el-cascader
  306. clearable
  307. width="100%"
  308. placeholder="请选择诊断地址"
  309. ref="diagnosis"
  310. :options="addressOptions3"
  311. @active-item-change="handleItemChange(diagnosisAddressVal, 3)"
  312. :props="props"
  313. v-model="diagnosisAddressVal"
  314. ></el-cascader>
  315. <!-- <el-select placeholder="请选择" v-model="formData.firstVisitArea" style="width: 100%;">
  316. <el-option
  317. v-for="item in firstAreaArr"
  318. :key="item.value"
  319. :label="item.value"
  320. :value="item.code">
  321. </el-option>
  322. </el-select> -->
  323. </el-form-item>
  324. <el-form-item label="首次诊断机构级别:" class="copd-form-item">
  325. <el-select placeholder="请选择" v-model="formData.firstVisitOrgLevel" style="width: 100%;">
  326. <el-option
  327. v-for="item in orgLevelArr"
  328. :key="item.value"
  329. :label="item.value"
  330. :value="item.code">
  331. </el-option>
  332. </el-select>
  333. </el-form-item>
  334. <el-form-item label="首次诊断医疗机构:" class="copd-form-item">
  335. <el-input class="copd-form-input" v-model="formData.firstOrg"></el-input>
  336. </el-form-item>
  337. <el-form-item label="首次诊断时间:" class="copd-form-item">
  338. <el-date-picker
  339. v-model="formData.firstVisitTime"
  340. value-format="yyyy-MM-dd"
  341. placeholder="选择日期时间"
  342. ></el-date-picker>
  343. </el-form-item>
  344. <el-form-item label="首次诊断科室:" class="copd-form-item">
  345. <el-input class="copd-form-input" v-model="formData.firstDept"></el-input>
  346. </el-form-item>
  347. <el-form-item label="首次就诊类型:" class="copd-form-item">
  348. <el-select placeholder="请选择" v-model="formData.firstVisitType" style="width: 100%;">
  349. <el-option
  350. v-for="item in firstVisitTypeArr"
  351. :key="item.value"
  352. :label="item.value"
  353. :value="item.code">
  354. </el-option>
  355. </el-select>
  356. </el-form-item>
  357. <el-form-item label="首次就诊医保类型:" class="copd-form-item">
  358. <el-input class="copd-form-input" v-model="formData.firstChargeType"></el-input>
  359. <!-- <el-select placeholder="请选择" v-model="formData.firstChargeType" style="width: 100%;">
  360. <el-option
  361. v-for="item in []"
  362. :key="item.value"
  363. :label="item.label"
  364. :value="item.value">
  365. </el-option>
  366. </el-select> -->
  367. </el-form-item>
  368. <el-form-item label="首次就诊联系电话:" class="copd-form-item">
  369. <el-input class="copd-form-input" v-model="formData.firstMobile"></el-input>
  370. </el-form-item>
  371. <el-form-item label="ICD10诊断代码:" class="copd-form-item">
  372. <el-input class="copd-form-input" v-model="formData.icd10Code"></el-input>
  373. </el-form-item>
  374. <el-form-item label="ICD10诊断名称:" class="copd-form-item">
  375. <el-input class="copd-form-input" v-model="formData.icd10Name"></el-input>
  376. </el-form-item>
  377. <div class="copd-sub-title">
  378. <div class="title">
  379. <div class="forent-bar"></div>
  380. <div>共病情况</div>
  381. </div>
  382. </div>
  383. <el-form-item label="是否有共病:" class="copd-form-item">
  384. <el-select placeholder="请选择" v-model="formData.comorbiditySituation" style="width: 100%;">
  385. <el-option
  386. v-for="item in copdArr"
  387. :key="item.value"
  388. :label="item.value"
  389. :value="item.code">
  390. </el-option>
  391. </el-select>
  392. </el-form-item>
  393. <el-form-item label="共病个数:" class="copd-form-item">
  394. <el-input class="copd-form-input" v-model="formData.comorbidityNum" ></el-input>
  395. </el-form-item>
  396. <el-form-item label="共病情况:" class="copd-form-item copd-fill-width">
  397. <el-input class="copd-form-input" type="textarea" v-model="formData.comorbiditySituation" ></el-input>
  398. </el-form-item>
  399. <div class="copd-sub-title">
  400. <div class="title">
  401. <div class="forent-bar"></div>
  402. <div>血气分析</div>
  403. </div>
  404. </div>
  405. <el-form-item label="是否做过血气分析:" class="copd-form-item">
  406. <el-select placeholder="请选择" style="width: 100%;" v-model="formData.hasBloodGas">
  407. <el-option
  408. v-for="item in copdArr"
  409. :key="item.value"
  410. :label="item.value"
  411. :value="item.code">
  412. </el-option>
  413. </el-select>
  414. </el-form-item>
  415. <el-form-item label="检验报告时间:" class="copd-form-item">
  416. <el-date-picker
  417. v-model="formData.checkReportTime"
  418. value-format="yyyy-MM-dd"
  419. placeholder="选择日期时间"
  420. ></el-date-picker>
  421. </el-form-item>
  422. <el-form-item label="酸碱度:" class="copd-form-item">
  423. <el-input class="copd-form-input" v-model="formData.ph"></el-input>
  424. </el-form-item>
  425. <el-form-item label="氧气压:" class="copd-form-item">
  426. <el-input class="copd-form-input" v-model="formData.oxygenPartialPressure" ></el-input>
  427. </el-form-item>
  428. <el-form-item label="肺泡动脉痒分压差值:" class="copd-form-item">
  429. <el-input class="copd-form-input" v-model="formData.alveolarArteryOpp"></el-input>
  430. </el-form-item>
  431. <el-form-item label="痒饱和度:" class="copd-form-item">
  432. <el-input class="copd-form-input" v-model="formData.oxygenSaturation"></el-input>
  433. </el-form-item>
  434. <el-form-item label="二氧化碳分压:" class="copd-form-item">
  435. <el-input class="copd-form-input" v-model="formData.co2" ></el-input>
  436. </el-form-item>
  437. <el-form-item label="氧含量:" class="copd-form-item">
  438. <el-input class="copd-form-input" v-model="formData.oxygenContent"></el-input>
  439. </el-form-item>
  440. <el-form-item label="实际碳酸氢盐:" class="copd-form-item">
  441. <el-input class="copd-form-input" v-model="formData.actualBicarbonate"></el-input>
  442. </el-form-item>
  443. <el-form-item label="标准盐酸氢盐:" class="copd-form-item">
  444. <el-input class="copd-form-input" v-model="formData.standardBicarbonate"></el-input>
  445. </el-form-item>
  446. <div class="copd-sub-title">
  447. <div class="title">
  448. <div class="forent-bar"></div>
  449. <div>肺功能检查</div>
  450. </div>
  451. </div>
  452. <el-form-item label="是否做过肺功能检查:" class="copd-form-item">
  453. <el-select placeholder="请选择" v-model="formData.hasLung" style="width: 100%;">
  454. <el-option
  455. v-for="item in copdArr"
  456. :key="item.value"
  457. :label="item.value"
  458. :value="item.code">
  459. </el-option>
  460. </el-select>
  461. </el-form-item>
  462. <el-form-item label="肺功能测定-检查时间:" class="copd-form-item">
  463. <el-date-picker
  464. v-model="formData.lungTime"
  465. type="datetime"
  466. placeholder="选择日期时间"
  467. ></el-date-picker>
  468. </el-form-item>
  469. <el-form-item label="肺功能测定-检查项目:" class="copd-form-item copd-fill-width">
  470. <el-input class="copd-form-input" v-model="formData.lungItem"></el-input>
  471. </el-form-item>
  472. <el-form-item label="肺功能测定-检查结论:" class="copd-form-item copd-fill-width">
  473. <el-input class="copd-form-input" v-model="formData.lungConclusion"></el-input>
  474. </el-form-item>
  475. <el-form-item label="肺功能测定-检查所见:" class="copd-form-item copd-fill-width">
  476. <el-input class="copd-form-input" v-model="formData.lungSeen"></el-input>
  477. </el-form-item>
  478. <el-form-item label="脉冲振荡肺功能测定-检查时间:" class="copd-form-item copd-fill-width">
  479. <el-date-picker
  480. v-model="formData.lungTime2"
  481. type="datetime"
  482. placeholder="选择日期时间"
  483. ></el-date-picker>
  484. </el-form-item>
  485. <el-form-item label="脉冲振荡肺功能测定-检查项目:" class="copd-form-item copd-fill-width">
  486. <el-input class="copd-form-input" type="textarea" v-model="formData.lungItem2"></el-input>
  487. </el-form-item>
  488. <el-form-item label="脉冲振荡肺功能测定-检查结论:" class="copd-form-item copd-fill-width">
  489. <el-input class="copd-form-input" type="textarea" v-model="formData.lungConclusion2"></el-input>
  490. </el-form-item>
  491. <div class="copd-sub-title">
  492. <div class="title">
  493. <div class="forent-bar"></div>
  494. <div>X线检查</div>
  495. </div>
  496. </div>
  497. <el-form-item label="是否做过X线检查:" class="copd-form-item">
  498. <el-select placeholder="请选择" v-model="formData.hasx" style="width: 100%;">
  499. <el-option
  500. v-for="item in copdArr"
  501. :key="item.value"
  502. :label="item.value"
  503. :value="item.code">
  504. </el-option>
  505. </el-select>
  506. </el-form-item>
  507. <el-form-item label="胸部X线检查-检查时间:" class="copd-form-item">
  508. <el-date-picker
  509. v-model="formData.xtime"
  510. type="datetime"
  511. placeholder="选择日期时间"
  512. ></el-date-picker>
  513. </el-form-item>
  514. <el-form-item label="胸部X线检查-检查项目:" class="copd-form-item copd-fill-width">
  515. <el-input class="copd-form-input" v-model="formData.xitem"></el-input>
  516. </el-form-item>
  517. <el-form-item label="胸部X线检查-检查结论:" class="copd-form-item copd-fill-width">
  518. <el-input class="copd-form-input" v-model="formData.xconclusion"></el-input>
  519. </el-form-item>
  520. <div class="copd-sub-title">
  521. <div class="title">
  522. <div class="forent-bar"></div>
  523. <div>CT检查</div>
  524. </div>
  525. </div>
  526. <el-form-item label="是否做过CT:" class="copd-form-item">
  527. <el-select placeholder="请选择" v-model="formData.hasCt" style="width: 100%;">
  528. <el-option
  529. v-for="item in copdArr"
  530. :key="item.value"
  531. :label="item.value"
  532. :value="item.code">
  533. </el-option>
  534. </el-select>
  535. </el-form-item>
  536. <el-form-item label="胸部CT检查-检查时间:" class="copd-form-item">
  537. <el-date-picker
  538. v-model="formData.ctTime"
  539. type="datetime"
  540. placeholder="选择日期时间"
  541. ></el-date-picker>
  542. </el-form-item>
  543. <el-form-item label="胸部CT检查-检查项目:" class="copd-form-item">
  544. <el-input class="copd-form-input" v-model="formData.ctItem"></el-input>
  545. </el-form-item>
  546. <el-form-item label="胸部CT检查-检查结论:" class="copd-form-item">
  547. <el-input class="copd-form-input" v-model="formData.ctConclusion"></el-input>
  548. </el-form-item>
  549. <template v-if="formData.firstVisitType==1">
  550. <div class="copd-sub-title">
  551. <div class="title">
  552. <div class="forent-bar"></div>
  553. <div>门诊类型</div>
  554. </div>
  555. </div>
  556. <el-form-item label="门诊结算时间:" class="copd-form-item">
  557. <el-date-picker
  558. v-model="formData.settleTime"
  559. type="datetime"
  560. placeholder="选择日期时间"
  561. ></el-date-picker>
  562. </el-form-item>
  563. <el-form-item label="门诊结算金额:" class="copd-form-item">
  564. <el-input class="copd-form-input" v-model="formData.settleFee"></el-input>
  565. </el-form-item>
  566. <el-form-item label="门诊医保支付金额:" class="copd-form-item">
  567. <el-input class="copd-form-input" v-model="formData.ybFee"></el-input>
  568. </el-form-item>
  569. <el-form-item label="门诊自费支付金额:" class="copd-form-item">
  570. <el-input class="copd-form-input" v-model="formData.zfFee"></el-input>
  571. </el-form-item>
  572. </template>
  573. <template v-if="formData.firstVisitType==2">
  574. <div class="copd-sub-title">
  575. <div class="title">
  576. <div class="forent-bar"></div>
  577. <div>住院类型</div>
  578. </div>
  579. </div>
  580. <el-form-item label="出院时间:" class="copd-form-item">
  581. <el-date-picker
  582. v-model="formData.outpatientTime"
  583. type="datetime"
  584. placeholder="选择日期时间"
  585. class="copd-edit-datepicker"
  586. ></el-date-picker>
  587. </el-form-item>
  588. <el-form-item label="出院科室:" class="copd-form-item">
  589. <el-input class="copd-form-input" v-model="formData.outpatientDept"></el-input>
  590. </el-form-item>
  591. <el-form-item label="住院天数:" class="copd-form-item">
  592. <el-input class="copd-form-input" v-model="formData.inpatientDays"></el-input>
  593. </el-form-item>
  594. <el-form-item label="出院诊断代码:" class="copd-form-item">
  595. <el-input class="copd-form-input" v-model="formData.diagnosis"></el-input>
  596. </el-form-item>
  597. <el-form-item label="出院诊断名称:" class="copd-form-item">
  598. <el-input class="copd-form-input" v-model="formData.diagnosisName"></el-input>
  599. </el-form-item>
  600. <el-form-item label="住院应收总费用:" class="copd-form-item">
  601. <el-input class="copd-form-input" v-model="formData.totalFee"></el-input>
  602. </el-form-item>
  603. <el-form-item label="住院自付费用:" class="copd-form-item">
  604. <el-input class="copd-form-input" v-model="formData.zfFee2"></el-input>
  605. </el-form-item>
  606. </template>
  607. </div>
  608. </div>
  609. </div>
  610. </el-form>
  611. <div class="copd-edit-bottom-box">
  612. <el-button @click="cancel">取消</el-button>
  613. <el-button type="primary" @click="updJkCopdPatient">保存</el-button>
  614. </div>
  615. </div>
  616. </div>