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- <?xml-stylesheet type="text/css" href="../../../com/commonweb/css/common.css" ?>
- <xhtml:html xmlns:xhtml="http://www.w3.org/1999/xhtml" xmlns:xsd="http://www.w3.org/2001/XMLSchema" xmlns="http://www.w3.org/2002/01/xforms" xmlns:ev="http://www.w3.org/2001/xml-events">
- <xhtml:head>
- <xhtml:title>Untitle</xhtml:title>
- <model id="model1">
- <instance id="instance1">
- <root xmlns="">
- <a>
- <geo>999999-9999999<geo>999</geo>
- </geo>
- <dent>9999999999</dent>
- <ent BM="" Cord=""/>
- <echo>018-9999-9999</echo>
- <pft>2005/04/06</pft>
- <cho>2005-07-20</cho>
- </a>
- </root>
- </instance>
- </model>
- </xhtml:head>
- <xhtml:body guideline="1,1194;2,784;" style="margin-left:8; margin-top:0; margin-right:8; margin-bottom:0; ">
- <button id="button38" class="btn4_letter3" style="left:406px; top:490px; width:68px; height:22px; ">
- <caption>초기화</caption>
- </button>
- <button id="button41" class="btn4_letter2" style="left:476px; top:490px; width:56px; height:22px; ">
- <caption>삭제</caption>
- </button>
- <button id="button42" class="btn4_letter2" style="left:535px; top:490px; width:56px; height:22px; ">
- <caption>저장</caption>
- </button>
- <group id="grp_tle" style="left:0px; top:0px; width:1195px; height:13px; ">
- <caption id="caption19" class="tit_1" style="left:0px; top:0px; width:400px; height:14px; ">조직 기증 동의서</caption>
- </group>
- <group id="grp_biz" scroll="auto" style="left:0px; top:13px; width:590px; height:472px; ">
- <caption id="caption2" class="tit_2" style="left:5px; top:10px; width:400px; height:14px; font-family:돋움; vertical-align:middle; ">기증자의 의학적병력평가서</caption>
- <line id="line1" class="line_1" style="x1:0px; y1:25px; x2:565px; y2:25px; "/>
- <select1 id="radio1" class="radio_search" appearance="full" cols="3" rows="1" overflow="visible" style="left:400px; top:81px; width:115px; height:20px; border-style:none; ">
- <choices>
- <item>
- <label>유</label>
- <value>1</value>
- </item>
- <item>
- <label>무</label>
- <value>2</value>
- </item>
- <item>
- <label>모름</label>
- <value>3</value>
- </item>
- </choices>
- </select1>
- <caption id="caption1" class="tit_2" style="left:5px; top:185px; width:560px; height:13px; font-family:돋움; vertical-align:middle; ">일 수행 불가능 ; 집에서 생활은 가능하나 다른 사람의 도움이 필요 ; 많은 다양한 보조 필요</caption>
- <select1 id="radio2" class="radio_search" appearance="full" cols="1" rows="3" overflow="visible" style="left:0px; top:205px; width:565px; height:60px; border-style:none; ">
- <choices>
- <item>
- <label>70 : 자가 치료 가능 ; 정상 생활이나 활동은 불가능</label>
- <value>1</value>
- </item>
- <item>
- <label>60 : 가끔 보조가 필요하나 대부분의 요구사항 치료가능</label>
- <value>2</value>
- </item>
- <item>
- <label>50 : 적당한 보조와 자주 의료적 도움이 필요</label>
- <value>3</value>
- </item>
- </choices>
- </select1>
- <line id="line2" class="line_1" style="x1:0px; y1:200px; x2:565px; y2:200px; "/>
- <caption id="caption3" class="tit_2" style="left:5px; top:275px; width:560px; height:13px; font-family:돋움; vertical-align:middle; ">자가 치료 불가능 ; 병원이나 기관의 장비 필요 ; 질병이 빠르게 진행</caption>
- <line id="line3" class="line_1" style="x1:0px; y1:290px; x2:565px; y2:290px; "/>
- <select1 id="radio3" class="radio_search" appearance="full" cols="1" rows="4" overflow="visible" style="left:0px; top:295px; width:565px; height:80px; border-style:none; ">
- <choices>
- <item>
- <label>40 : 무력 ; 특수한 치료와 보조 필요</label>
- <value>1</value>
- </item>
- <item>
- <label>30 : 심한 무력; 임종 순간이 아니라도 입원치료 필요</label>
- <value>2</value>
- </item>
- <item>
- <label>20 : 심하게 아픔 ; 입원 치료 필요 ; 적극적인 지지 요법</label>
- <value>3</value>
- </item>
- <item>
- <label>10 : 빈사상태 ; 빠른 임종 과정 진행</label>
- <value>4</value>
- </item>
- </choices>
- </select1>
- <caption id="caption35" class="cell_1" style="left:0px; top:30px; width:300px; height:23px; vertical-align:middle; ">기증자에 대한 의학적 / 사회적 질문</caption>
- <caption id="caption4" class="cell_1" style="left:0px; top:54px; width:300px; height:23px; vertical-align:middle; ">면역결핍증(AIDS) 위험인자확인</caption>
- <caption id="caption7" class="search_no_b" style="left:10px; top:80px; width:400px; height:17px; text-align:center; ">1. 혈액응고인자를 혈우병이나 응고부전으로 맞은 적이 있다.</caption>
- </group>
- </xhtml:body>
- </xhtml:html>
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