zhaozhiqiang
/
YH_Web_UI


			
				
					
						
						
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							<!DOCTYPE html>
<html>

	<head>
		<meta charset="UTF-8">
        <meta name="viewport" content="width=device-width, initial-scale=1.0">
        <script src="../Script/Common/huayi.load.js"></script>
		<script src="../Script/Common/huayi.config.js"></script>
		<link rel="stylesheet" href="../css/Table/table1.css"/>
        <link rel="stylesheet" href="../css/init.css" />
        <link rel="stylesheet" href="./css/accessRegister.css" />
		<title>随访登记</title>
	</head>

	<body class="gray-bg">
        <div style="margin-top: 10px;">
            <div class="left">
			    <div id="order_details" class="ckxq Hidens">
                    <div class="shark_content_title clearfix">
                        <span>病人信息</span>
                    </div>
                    <ul class="clearfix ckxq_ul">
                        <li class="Active">信息</li>
                        <li>手术</li>
                    </ul>
                    <div class="gdxq">
                        <table id="gdxq_table" border="0" class="table table-bordered table-hover" style="width: 100%;">
                            <tbody class="tbodys">
                                <tr>
                                    <th>姓名：</th>
                                    <td>
                                        <span id="informationName">测试人</span>
                                    </td>
                                    <th>性别：</th>
                                    <td>
                                        <span id="informationGender">男</span>
                                    </td>
                                    <th>出生日期：</th>
                                    <td>
                                        <span id="informationDate">1996.09.18</span>
                                    </td>
                                </tr>
                                <tr>
                                    <th>年龄：</th>
                                    <td>
                                        <span id="informationAge">30</span>
                                    </td>
                                    <th>婚姻：</th>
                                    <td>
                                        <span id="informationMarriage">未婚</span>
                                    </td>
                                </tr>
                                <tr>
                                    <th>身份证号：</th>
                                    <td>
                                        <span id="informationIdentityNumber">44545454</span>
                                    </td>
                                </tr>
                                <tr>
                                    <th>家庭电话：</th>
                                    <td>
                                        <span id="informationHomePhone">5454545</span>
                                    </td>
                                    <th>国籍：</th>
                                    <td>
                                        <span id="informationNationality">中国</span>
                                    </td>
                                    <th>手机：</th>
                                    <td>
                                        <span id="informationMobilePhone">17802445487</span>
                                    </td>
                                </tr>
                                <tr>
                                    <th>邮件：</th>
                                    <td>
                                        <span id="informationMail"></span>
                                    </td>
                                    <th>工作单位：</th>
                                    <td>
                                        <span id="informationEmployer">个体</span>
                                    </td>
                                    <th>邮编：</th>
                                    <td>
                                        <span id="informationPostcode"></span>
                                    </td>
                                </tr>
                                <tr>
                                    <th>家庭地址：</th>
                                    <td >
                                        <span id="informationAddress"></span>
                                    </td>
                                </tr>
                                <tr>
                                    <th>联系人：</th>
                                    <td >
                                        <span id="informationContact"></span>
                                    </td>
                                    <th>关系：</th>
                                    <td >
                                        <span id="informationRelation" ></span>
                                    </td>
                                    <th>联系人电话：</th>
                                    <td >
                                        <span id="informationContactPhone"></span>
                                    </td>
                                </tr>
                                <tr>
                                    <th>地址：</th>
                                    <td >
                                        <span id="informationContactAddress"></span>
                                    </td>
                                </tr>
                                <tr>
                                    <th>入院日期：</th>
                                    <td>
                                        <span id="informationAdmissionDate"></span>
                                    </td>
                                    <th>入院科室：</th>
                                    <td>
                                        <span id="informationAdmissionDepartment"></span>
                                    </td>
                                    <th>入院床位：</th>
                                    <td>
                                        <span id="informationAdmissionBeds"></span>
                                    </td>
                                </tr>
                                <tr>
                                    <th>出院日期：</th>
                                    <td>
                                        <span id="informationDischargeDate"></span>
                                    </td>
                                    <th>出院科室：</th>
                                    <td>
                                        <span id="informationDischargeDepartment"></span>
                                    </td>
                                    <th>出院床位：</th>
                                    <td>
                                        <span id="informationDischargeBeds"></span>
                                    </td>
                                </tr>
                                <tr>
                                    <th>确诊日期：</th>
                                    <td>
                                        <span id="informationConfirmationDate"></span>
                                    </td>
                                    <th>建档日期：</th>
                                    <td>
                                        <span id="informationFiledOn"></span>
                                    </td>
                                    <th>建档人</th>
                                    <td>
                                        <span id="informationFiler"></span>
                                    </td>
                                </tr>
                                <tr>
                                    <th>住院次数：</th>
                                    <td>
                                        <span id="informationHospitalizations"></span>
                                    </td>
                                    <th>门（急）诊诊断：</th>
                                    <td>
                                        <span id="informationDiagnosticResult">分隔符</span>
                                    </td>
                                    <th>住院天数：</th>
                                    <td>
                                        <span id="informationHospitalDays"></span>
                                    </td>
                                </tr>
                                <tr>
                                    <th>院区：</th>
                                    <td>
                                        <span id="informationCourtyard"></span>
                                    </td>
                                    <th>入院情况：</th>
                                    <td>
                                        <span id="informationAdmissions"></span>
                                    </td>
                                </tr>
                            </tbody>
                        </table>
                    </div>
                    <div class="gdxq" style="display:none;">
                        <table id="" border="0" class="table table-bordered  table-hover" style="width: 100%;">
                            <tbody class="tbodys">
                                <tr>
                                    <th>门诊医生：</th>
                                    <td>
                                        <span id="surgeryOutpatientDoctor"></span>
                                    </td>
                                    <th>收治医生：</th>
                                    <td>
                                        <span id="surgeryTreatingDoctor"></span>
                                    </td>
                                    <th>主治医生：</th>
                                    <td>
                                        <span id="surgeryDoctor"></span>
                                    </td>
                                </tr>
                                <tr>
                                    <th>医生电话：</th>
                                    <td>
                                        <span id="surgeryDoctorPhone"></span>
                                    </td>
                                    <th>住院医生：</th>
                                    <td>
                                        <span id="surgeryResidentDoctor"></span>
                                    </td>
                                    <th>主治医生组：</th>
                                    <td>
                                        <span id="surgeryAttendingDoctorGroup"></span>
                                    </td>
                                </tr>
                                <tr>
                                    <th>主管护士：</th>
                                    <td>
                                        <span id="surgeryChargeNurse"></span>
                                    </td>
                                    <th>病案号：</th>
                                    <td>
                                        <span id="surgeryMedicalRecordNumber"></span>
                                    </td>
                                    <th>医疗付款方式：</th>
                                    <td>
                                        <span id="surgeryMedicalPaymentMethods"></span>
                                    </td>
                                </tr>
                                <tr>
                                    <th>费用类别：</th>
                                    <td>
                                        <span id="surgeryCostCategory"></span>
                                    </td>
                                    <th>费用性质：</th>
                                    <td>
                                        <span id="surgeryCostNature"></span>
                                    </td>
                                    <th>总费用：</th>
                                    <td>
                                        <span id="surgeryTotalCost"></span>
                                    </td>
                                </tr>
                                <tr>
                                    <th>自费费用：</th>
                                    <td>
                                        <span id="surgeryPocketCosts"></span>
                                    </td>
                                    <th>建议技术随访标记：</th>
                                    <td>
                                        <span id="surgerySuggestAccessMark"></span>
                                    </td>
                                    <th>随访标记：</th>
                                    <td>
                                        <span id="surgeryAccessMark"></span>
                                    </td>
                                </tr>
                                <tr>
                                    <th>采集流水号：</th>
                                    <td>
                                        <span id="surgeryCollectionSerialNumber"></span>
                                    </td>
                                    <th>随访判别：</th>
                                    <td>
                                        <span id="surgeryAccessDiscriminate"></span>
                                    </td>
                                    <th>首次随访操作人姓名：</th>
                                    <td>
                                        <span id="surgeryFirstOperateName"></span>
                                    </td>
                                </tr>
                                <tr>
                                    <th>最近随访操作人姓名：</th>
                                    <td>
                                        <span id="surgeryRecentOperateName"></span>
                                    </td>
                                    <th>最近随访时间：</th>
                                    <td>
                                        <span id="surgeryRecentTime"></span>
                                    </td>
                                    <th>需要随访次数：</th>
                                    <td>
                                        <span id="surgeryNeedFrequency"></span>
                                    </td>
                                </tr>
                                <tr>
                                    <th>已经随访次数：</th>
                                    <td>
                                        <span id="surgeryAlreadyFrequency"></span>
                                    </td>
                                </tr>
                            </tbody>
                        </table>
                    </div>
                </div>
            </div>
            <div class="right">
                <div class="wrapper clearfix outBoundTask">
                    <div class="content_1 clearfix">
                        <div class="shark_content_title clearfix">
                            <span>操作人信息</span>
                        </div>
                        <div class="clearfix Phone_Text clearfix">
                        </div>
                    </div>
                    
                    <div class="content_3 clearfix " style="display: none;">
                        <div class="shark_content_title clearfix">
                            <span>用户反馈</span>
                        </div>
                        <div>
                            <ul class="clearfix" id="Tg">
        
                            </ul>
                        </div>
                    </div>
                    <div class="content_4  clearfix ">
                        <div class="shark_content_title clearfix">
                            <span>问卷信息</span>
                        </div>
                        <div>
							<label>选择问卷信息：</label>
							<select class="select-style" id="selectQuesInformation" style="vertical-align: middle;">
								<option value="0">请选择问卷信息</option>
                            </select>
                            <button class="btns search-questionnaire-detail">查询</button>
						</div>
                        <div class="questionnaire-detail" style="display: none;">
                            <ul style="padding-left: 0;" class="title_ul">
                                <li>
                                    <label for="">问卷名称</label><span class="Title"></span>
                                </li>
                                <li>
                                    <label for="startText">问卷开场语</label><span id="startText" class="F_Remark"></span>
                                </li>
                                <li>
                                    <label for="F_Remark">问卷说明</label><span id="F_Remark" class="F_Remark"></span>
                                </li>
                            </ul>
                            <ul class="Qus_box">
        
                            </ul>
                            <ul style="padding-left: 0;" class="title_ul">
                                <li>
                                    <label for="">问卷结束语</label><span id="endText" class="F_Remark"></span>
                                </li>
                            </ul>
                        </div>
                    </div>
                    
                    <div class="content_2  clearfix ">
                        <div class="shark_content_title clearfix">
                            <span>随访综合满意度</span>
                        </div>
                        <div class="row-spacing">
							<label>随访满意度：</label>
							<select class="select-style" id="selectSatisfaction">
								<option value="0">请选择随访满意度</option>
							</select>
                        </div>
                        <div class="row-spacing">
                            <label>表扬：</label>
                            <input class="input-style" type="text" id="satisfactionPraise">
                        </div>
                        <div class="row-spacing">
                            <label >批评：</label>
                            <input class="input-style" type="text" id="satisfactionCriticism">
                        </div>
                        <div class="row-spacing">
                            <label>建议：</label>
                            <input class="input-style" type="text" id="satisfactionAdvise">
						</div>
                        <div>
                            <ul class="clearfix" id="Tgetruset">
        
                            </ul>
                        </div>
                    </div>
                    <div class="content_5 clearfix" style="text-align: center;">
                        <div style="margin-bottom: 20px;">
                            <button class="btns access-complete">随访完成</button>
                            <button class="Ce btns">短信随访</button>
                        </div>
                        <div>
                            <button class="Ce btns">无法联系</button>
                            <button class="Ce btns">电话错误</button>
                            <button class="Ce btns">拒绝随访</button>
                            <button class="Ce btns">停机</button>
                            <button class="Ce btns">空号</button>
                            <button class="Ce btns">关机</button>
                            <input type="hidden" id="F_CusID" />
                            <input type="hidden" id="F_Id" />
                            <input type="hidden" id="F_TaskId" />
                            <input type="hidden" id="TelCode" value="" />
                        </div>
                    </div>
                </div>
            </div>
        </div>
	</body>
	<!-- <script src="./js/accessRegister.js"></script> -->
</html>