郑州颐和随访系统UI

addOrEditWorkOrder.html 13KB

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  1. <!DOCTYPE html>
  2. <html>
  3. <head>
  4. <meta charset="UTF-8">
  5. <meta name="viewport" content="width=device-width, initial-scale=1.0">
  6. <title>添加或编辑工单</title>
  7. <script src="../Script/Common/huayi.load.js"></script>
  8. <script src="../Script/Common/huayi.config.js"></script>
  9. <link href="../js/bootstrap-select/css/bootstrap-select.css" rel="stylesheet" />
  10. <link rel="stylesheet" type="text/css" href="../js/bootstrap-treeview/bootstrap-treeview.min.css" />
  11. <link href="../callScreen/css/call.css" rel="stylesheet" />
  12. </head>
  13. <!-- disabled -->
  14. <body>
  15. <div class="clearfix wrapper wrapper-content">
  16. <div class="order_form">
  17. <form class="form-inline clearfix" id="order_form">
  18. <!-- <div class="form-group col-md-12 clearfix">
  19. <label class="col-md-2">反馈类型:</label>
  20. <div id="order_type" class="col-md-10 r_order_type">
  21. </div>
  22. </div> -->
  23. <div class="form-group col-md-12 clearfix">
  24. <label class="col-md-2">工单类型:</label>
  25. <div id="order_type" class="col-md-6 r_order_type">
  26. <label class="radio-inline">
  27. <input type="radio" name="type" value="1" checked="checked" disabled="true"> 就医咨询
  28. </label>
  29. <label class="radio-inline">
  30. <input type="radio" name="type" value="2" disabled="true"> 预约诊疗
  31. </label>
  32. <label class="radio-inline">
  33. <input type="radio" name="type" value="3" disabled="true"> 投诉
  34. </label>
  35. <label class="radio-inline">
  36. <input type="radio" name="type" value="4" disabled="true"> 建议
  37. </label>
  38. </div>
  39. </div>
  40. <!-- <div class="form-group col-md-12" id="order_handles">
  41. <label for="order_handle">业务办理:</label>
  42. <select class="form-control input-sm selectpicker" id="order_handle" data-live-search="true">
  43. <option value="0">请选择业务办理</option>
  44. </select>
  45. </div> -->
  46. <div class="col-md-12 row">
  47. <div class="col-md-12 row">
  48. <div class="form-group col-md-4">
  49. <label for="order_name">客户姓名:</label>
  50. <input type="text" class="form-control input-sm" id="order_name" autocomplete="off" placeholder="请输入客户姓名">
  51. </div>
  52. <div class="form-group col-md-4">
  53. <label for="order_tel">客户电话:</label>
  54. <input type="text" class="form-control input-sm" id="order_tel" autocomplete="off" placeholder="请输入客户电话">
  55. </div>
  56. </div>
  57. <div class="col-md-12 row">
  58. <div class="form-group col-md-4 clearfix">
  59. <label class="col-md-2">性别:</label>
  60. <div id="order_sexte" class="r_order_type col-md-6">
  61. <label class="radio-inline">
  62. <input type="radio" name="tions" value="1">男
  63. </label>
  64. <label class="radio-inline">
  65. <input type="radio" name="tions" value="2">女
  66. </label>
  67. </div>
  68. </div>
  69. <div class="form-group col-md-4">
  70. <label for="order_company">客户地址:</label>
  71. <input type="text" class="form-control input-sm" id="order_company" autocomplete="off" placeholder="请输入客户地址">
  72. </div>
  73. </div>
  74. </div>
  75. <div id="order_pointment" style="display: none;">
  76. <div id="" class="form-group col-md-12">
  77. <label for="order_handle">预约类别:</label>
  78. <select class="form-control input-sm " id="order_category" style="width: 300px;" >
  79. <option value="">请选择预约类别</option>
  80. <option value="预约挂号">预约挂号</option>
  81. <option value="预约检查">预约检查</option>
  82. <option value="预约床位">预约床位</option>
  83. <option value="预约车辆">预约车辆</option>
  84. </select>
  85. </div>
  86. </div>
  87. <!-- 预约挂号 -->
  88. <div id="tration" style="display: none;">
  89. <div class="form-group col-md-4">
  90. <label for="order_company">身份证号:</label>
  91. <input type="text" class="form-control input-sm" id="order_number" autocomplete="off" placeholder="请输入身份证号">
  92. </div>
  93. <div class="form-group col-md-4">
  94. <label for="order_company">预约专家:</label>
  95. <input type="text" class="form-control input-sm" id="order_expert" autocomplete="off" placeholder="请输入预约专家">
  96. </div>
  97. <div id="order_isover_vice" class="form-group col-md-4 clearfix">
  98. <label class="col-md-2">来院就医:</label>
  99. <div id="order_advice" class="r_order_type">
  100. <label class="radio-inline">
  101. <input type="radio" name="advice" value="1">是
  102. </label>
  103. <label class="radio-inline">
  104. <input type="radio" name="advice" value="0" checked="checked">否
  105. </label>
  106. </div>
  107. </div>
  108. </div>
  109. <!-- 预约检查 -->
  110. <div id="insurance" style="display: none;">
  111. <div class="form-group col-md-4">
  112. <label for="order_company">预约项目:</label>
  113. <input type="text" class="form-control input-sm" id="order_utilities" autocomplete="off" placeholder="请输入预约项目">
  114. </div>
  115. </div>
  116. <!-- 预约床位 -->
  117. <!-- 预约车辆 -->
  118. <div id="dispatch" style="display: none;">
  119. <div class="form-group col-md-4">
  120. <label for="order_company">约车人:</label>
  121. <input type="text" class="form-control input-sm" id="order_About" autocomplete="off" placeholder="请输入约车人">
  122. </div>
  123. <div class="form-group col-md-4">
  124. <label for="order_company">电话:</label>
  125. <input type="text" class="form-control input-sm" id="order_lephone" autocomplete="off" placeholder="请输入电话">
  126. </div>
  127. <div class="form-group col-md-4">
  128. <label for="order_company">接诊地址:</label>
  129. <input type="text" class="form-control input-sm" id="order_ocation" autocomplete="off" placeholder="请输入接诊地址">
  130. </div>
  131. <div class="form-group col-md-4">
  132. <label for="order_company">出车时间:</label>
  133. <input type="text" class="form-control input-sm" id="order_chucetime" autocomplete="off" placeholder="请输入出车时间">
  134. </div>
  135. <div id="order_isover_chuch" class="form-group col-md-8 clearfix">
  136. <label class="col-md-2">是否出车:</label>
  137. <div id="order_chuch" class="r_order_type col-md-10">
  138. <label class="radio-inline">
  139. <input type="radio" name="chuch" value="1">是
  140. </label>
  141. <label class="radio-inline">
  142. <input type="radio" name="chuch" value="0" checked="checked">否
  143. </label>
  144. </div>
  145. </div>
  146. <div class="form-group col-md-12">
  147. <label for="order_reception">患者病情:</label>
  148. <textarea id="order_Huebig" rows="3" cols="20" class="form-control" autocomplete="off" placeholder="请输入患者病情"></textarea>
  149. </div>
  150. </div>
  151. <div id="Tousik" style="display: none;" >
  152. <div class="form-group col-md-4">
  153. <label for="order_tel">被投诉科室:</label>
  154. <input type="text" class="form-control input-sm" id="order_Betou" autocomplete="off" placeholder="请输入被投诉科室">
  155. </div>
  156. <div class="form-group col-md-4">
  157. <label for="order_tel">被投诉对象:</label>
  158. <input type="text" class="form-control input-sm" id="order_Betxia" autocomplete="off" placeholder="请输入被投诉对象">
  159. </div>
  160. </div>
  161. <!-- 预约类别通用字段 -->
  162. <div id="yukshi" style="display: none;">
  163. <div class="form-group col-md-4">
  164. <label for="order_company">预约科室:</label>
  165. <input type="text" class="form-control input-sm" id="order_office" autocomplete="off" placeholder="请输入预约科室">
  166. </div>
  167. </div>
  168. <div id="yusjian" style="display: none;">
  169. <div class="form-group col-md-4">
  170. <label for="order_company">预约时间:</label>
  171. <input type="text" class="form-control input-sm " id="order_time" autocomplete="off" placeholder="请输入预约时间">
  172. </div>
  173. </div>
  174. <div id="zhujkeshi" style="display: none;">
  175. <div class="form-group col-md-4">
  176. <label for="order_company">转接科室:</label>
  177. <input type="text" class="form-control input-sm" id="order_strtil" autocomplete="off" placeholder="请输入转接科室">
  178. </div>
  179. </div>
  180. <div id="yubzhu" style="display: none;">
  181. <div class="form-group col-md-4">
  182. <label for="order_company">备注:</label>
  183. <input type="text" class="form-control input-sm" id="order_strative" autocomplete="off" placeholder="请输入备注">
  184. </div>
  185. </div>
  186. <div id="Tojon" style="display: none;">
  187. <div id="order_isover_xibum" class="form-group col-md-8 clearfix">
  188. <label class="col-md-4">转至相关部门</label>
  189. <div id="order_xibum" class="r_order_type col-md-10">
  190. <label class="radio-inline">
  191. <input type="radio" name="xibum" value="1">是
  192. </label>
  193. <label class="radio-inline">
  194. <input type="radio" name="xibum" value="0" checked="checked">否
  195. </label>
  196. </div>
  197. </div>
  198. </div>
  199. <div class="form-group col-md-12">
  200. <label for="order_reception">通话请求:</label>
  201. <button class="btn" type="button" id="order_sides">三方通话</button>
  202. <button class="btn" type="button" id="order_used">一键转接</button>
  203. </div>
  204. <div class="form-group col-md-12">
  205. <label for="order_reception">问题描述:</label>
  206. <textarea id="order_reception" rows="3" cols="20" class="form-control" autocomplete="off" placeholder="请输入问题描述"></textarea>
  207. </div>
  208. <!-- <div class="form-group col-md-8 clearfix">
  209. <label class="col-md-2">工单有效性:</label>
  210. <div id="order_iseffective" class="r_order_type col-md-6">
  211. <label class="radio-inline">
  212. <input type="radio" name="radioOptions" value="0" checked="checked">有效
  213. </label>
  214. <label class="radio-inline">
  215. <input type="radio" name="radioOptions" value="1">无效
  216. </label>
  217. </div>
  218. </div> -->
  219. <!-- <div class="form-group col-md-12 order_note">
  220. <label for="order_note"><b class="text-red">*</b>无效原因:</label>
  221. <textarea id="order_note" rows="3" cols="20" class="form-control" placeholder="请输入无效原因"></textarea>
  222. </div> -->
  223. <div id="order_isover_box" class="form-group col-md-12 clearfix">
  224. <label class="col-md-2">是否处理:</label>
  225. <div id="order_isover" class="r_order_type col-md-10">
  226. <label class="radio-inline">
  227. <input type="radio" name="isoverOptions" value="1">是
  228. </label>
  229. <label class="radio-inline">
  230. <input type="radio" name="isoverOptions" value="0" checked="checked">否
  231. </label>
  232. </div>
  233. </div>
  234. <div class="form-group col-md-12">
  235. <label for="order_reception">处理内容:</label>
  236. <textarea id="order_conduct" rows="3" cols="20" class="form-control" autocomplete="off" placeholder="请输入处理内容"></textarea>
  237. </div>
  238. <!-- <div class="col-md-12 clearfix order_transfer" id="order_transfer_depts">
  239. <div class="form-group drop_down col-md-4">
  240. <label for="order_transfer_dept">接收部门:</label>
  241. <input type="text" class="form-control input-sm" id="order_transfer_dept" data-id="0" placeholder="请选择部门" autocomplete="off" />
  242. <span class="caret"></span>
  243. <div id="reginsTreeView" class="hidden"></div>
  244. </div>
  245. <div class="form-group col-md-4">
  246. <label for="order_receiveUser">接收人:</label>
  247. <select class="form-control input-sm selectpicker" id="order_receiveUser" data-live-search="true">
  248. <option value="0">请选择接收人</option>
  249. </select>
  250. </div>
  251. </div> -->
  252. <div class="form-group text-center col-sm-12">
  253. <button type="button" class="btn btn-primary btn-sm" id="save_order">保存</button>
  254. </div>
  255. </form>
  256. </div>
  257. </div>
  258. <script src="../js/autosize/autosize.min.js"></script>
  259. <script src="../js/bootstrap-select/js/bootstrap-select.js"></script>
  260. <script src="../js/bootstrap-select/js/i18n/defaults-zh_CN.js"></script>
  261. <script src="../js/bootstrap-treeview/bootstrap-treeview.min.js"></script>
  262. <script src="../Script/Common/regexs.js"></script>
  263. <script src="../js/WorkOrder/addOrEditWorkOrder.js"></script>
  264. </body>
  265. </html>