?? qtf_add.jsp.svn-base
字號:
<!--function:添加其他慢性病患者隨訪記錄
author:zxh
-->
<%@ page language="java" import="java.util.*" pageEncoding="gbk"%>
<%@ taglib uri="/WEB-INF/tlds/frametag.tld" prefix="by"%>
<%@ page import="com.stframe.form.DataForm"%>
<%
String path = request.getContextPath();
String basePath = request.getScheme() + "://"
+ request.getServerName() + ":" + request.getServerPort()
+ path + "/";
%>
<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN">
<html>
<head>
<title>添加其他慢性病患者隨訪記錄</title>
<meta http-equiv="pragma" content="no-cache">
<meta http-equiv="cache-control" content="no-cache">
<meta http-equiv="expires" content="0">
<meta http-equiv="keywords" content="keyword1,keyword2,keyword3">
<meta http-equiv="description" content="This is my page">
<script language="javascript" type="text/javascript"
src="<%=path%>/JS/validator.js"></script>
<script language="javascript" src="<%=path%>/JS/date.js"
type="text/javascript"></script>
<link rel="stylesheet" href="<%=path%>/CSS/style.css" type="text/css">
<script type="text/javascript" language="javascript"
src="<%=path%>/JS/sysusercheck.js">
</script>
</head>
<body>
<table class="TopTable">
<tr>
<td>
添加其他慢性病患者隨訪記錄
</td>
</tr>
</table>
<br><br>
<center>
<by:out name="qt">
<form method="post" id="form"
action="<%=path%>/Selevet.do?action=QTF_SAVE" name="form">
<table border="1" width="70%" class="MyTABLE" id="look">
<!--CMD標志-->
<input type="hidden" name="CMD" value="A" />
<input type="hidden" name="ID" value="${qt_ID}">
<input type="hidden" name="QTDA_ID" value="${param.QTDA_ID}">
<input type="hidden" name="HZSFZHM" size="18" readonly="true"/>
<tr>
<td height="27px" width="30%" align="right" valign="middle" class="TableColUp">
居民健康檔案號
</td>
<td width="60%" align="left" valign="middle">
<input type="hidden" id="JMJKDAH" name="JMJKDAH" value="${param.JMJKDAH}">
${param.JMJKDAH}
</td>
</tr>
<tr>
<td height="27px" width="30%" align="right" valign="middle" class="TableColUp">
<input type="hidden" id="JMXM" name="JMXM" value="${param.JMXM}">
姓名
</td>
<td width="60%" align="left" valign="middle">
${param.JMXM}
</td>
</tr>
<tr>
<td height="27px" width="30%" align="right" valign="middle" class="TableColUp">
性別
</td>
<td width="60%" align="left" valign="middle">
<input type="hidden" id="XB" name="XB" value="${param.XB}">
${param.XB}
</td>
</tr>
<tr>
<td height="27px" width="30%" align="right" valign="middle" class="TableColUp">
年齡
</td>
<td width="60%" align="left" valign="middle">
<input type="hidden" id="NL" name="NL" value="${param.NL}">
${param.NL}
</td>
</tr>
<tr>
<td height="27px" width="30%" align="right" valign="middle" class="TableColUp">
ICD10編碼
</td>
<td width="60%" align="left" valign="middle">
<select name="ICD10BM">
<by:forby name="DICT_ICDBM" id="gxylx">
<option value="${gxylx.NAME}">${gxylx.NAME}</option>
</by:forby>
</select>
<span id="ICD10BM_ID"></span>
</td>
</tr>
<tr>
<td height="27px" width="30%" align="right" valign="middle" class="TableColUp">
隨訪日期
</td>
<td width="60%" align="left" valign="middle">
<input type="text" name="SFRQ" id="SFRQ"
value="${qt_SFRQ}"
readonly="readonly" style="cursor:hand;"
onClick="show_cele_date(this,'','',this,'dcDate');"
dataType="Date" msg="日期錯誤">
</td>
</tr>
<tr>
<td height="27px" width="30%" align="right" valign="middle" class="TableColUp">
隨訪醫生
</td>
<td width="60%" align="left" valign="middle">
<select name="SFYS" id="SFYS">
<option value="">請選擇</option>
<by:forby name="emp_list" id="emp">
<option value="${emp.CODE}=${emp.NAME}" ${qt_SFYS==emp.NAME?'selected':''}>${emp.NAME}</option>
</by:forby>
</select>
<font color="red"><strong>*</strong> </font>
<span id="ZYSXM_ID"></span>
</td>
</tr>
<tr>
<td height="27px" width="30%" align="right" valign="middle" class="TableColUp">
近期就診醫院
</td>
<td width="60%" align="left" valign="middle">
<input type="text" name="JZYY" id="JZYY" value="${qt_JZYY}">
</td>
</tr>
<tr>
<td height="27px" width="30%" align="right" valign="middle" class="TableColUp">
主要健康問題
</td>
<td width="60%" align="left" valign="middle">
<textarea rows="3" cols="45" name="ZSZZ" id="ZSZZ" >${qt_ZSZZ}</textarea>
</td>
</tr>
<tr>
<td height="27px" width="30%" align="right" valign="middle" class="TableColUp">
服用藥物
</td>
<td width="60%" align="left" valign="middle">
<input type="text" name="FYYW" id="FYYW" value="${qt_FYYW}">
</td>
</tr>
<tr>
<td height="27px" width="30%" align="right" valign="middle" class="TableColUp">
服藥情況
</td>
<td width="60%" align="left" valign="middle">
<input type="text" name="FYQK" id="FYQK" value="${qt_FYQK}">
</td>
</tr>
<tr>
<td height="27px" width="30%" align="right" valign="middle" class="TableColUp">
效果
</td>
<td width="60%" align="left" valign="middle">
<input type="text" name="XYZGY" id="XYZGY" value="${qt_XYZGY}">
</td>
</tr>
<tr>
<td height="27px" width="30%" align="right" valign="middle" class="TableColUp">
體檢情況
</td>
<td width="60%" align="left" valign="middle">
<textarea rows="3" cols="45" name="TJQK" id="TJQK" >${qt_TJQK}</textarea>
</td>
</tr>
<tr>
<td height="27px" width="30%" align="right" valign="middle" class="TableColUp">
現場指導
</td>
<td width="60%" align="left" valign="middle">
<textarea rows="3" cols="45" name="XCZD" id="XCZD" >${qt_XCZD}</textarea>
</td>
</tr>
<tr>
<td height="27px" width="30%" align="right" valign="middle" class="TableColUp">
健康材料發放
</td>
<td width="60%" align="left" valign="middle">
<textarea rows="3" cols="45" name="CLFF" id="CLFF" >${qt_CLFF}</textarea>
</td>
</tr>
<tr>
<td height="27px" width="30%" align="right" valign="middle" class="TableColUp">
健教情況
</td>
<td width="60%" align="left" valign="middle">
<textarea rows="3" cols="45" name="JJQK" id="JJQK" >${qt_JJQK}</textarea>
</td>
</tr>
<tr height="27px">
<td align="left" colspan="2">
<input type="submit" name="submit"
value="保 存"
style="margin-left:30%;" class="button">
<input type="button" name="Submit3" value="返 回"
onClick="javascript:{history.back();}" class="button">
</td>
</tr>
</table>
</form>
</by:out>
</center>
</body>
</html>
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