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- <?xml version="1.0" encoding="EUC-KR"?>
- <?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>보험팀 심사</xhtml:title>
- <model id="model1">
- <instance id="instance1">
- <root xmlns="">
- <main>
- <grid>
- </grid>
- </main>
- <send>
- <data1/>
- <data2/>
- <data3/>
- <data4/>
- <data5/>
- <data6/>
- </send>
- <init>
- <radio1>
- <label>법정급여</label>
- <value>1</value>
- <label>법정비급여</label>
- <value>2</value>
- <label>의료적비급여</label>
- <value>3</value>
- <label>비산정</label>
- <value>4</value>
- </radio1>
- <radio2>
- <label>결정신청유</label>
- <value>1</value>
- <label>결정신청무</label>
- <value>2</value>
- </radio2>
- </init>
- </root>
- </instance>
- <script type="javascript" ev:event="xforms-ready">
- <![CDATA[
- model.removeNode("/root/main/grid");
- model.refresh();
- ]]>
- </script>
- </model>
- <script type="javascript" src="../../../com/commonweb/js/common.js"/>
- <script type="javascript" src="../../../com/commonweb/js/tfHelper.js"/>
- <script type="javascript" src="D:\CMCProject\application\webapps\com\hismainweb\js\DocTitle.js"/>
- </xhtml:head>
- <xhtml:body guideline="1,652;2,524;" style="margin-left:8; margin-top:8; margin-right:8; margin-bottom:8; ">
- <group id="group3" scroll="auto" style="left:0px; top:0px; width:510px; height:325px; ">
- <caption id="caption1" class="tit_2" style="left:0px; top:0px; width:185px; height:14px; ">건강보험적용여부(수가담당)</caption>
- <line id="line9" class="line_1" style="x1:0px; y1:20px; x2:500px; y2:20px; "/>
- <line id="line30" class="line_2" style="x1:0px; y1:71px; x2:500px; y2:71px; "/>
- <line id="line20" class="line_2" style="x1:0px; y1:220px; x2:500px; y2:220px; "/>
- <line id="line31" class="line_2" style="x1:0px; y1:95px; x2:500px; y2:95px; "/>
- <line id="line32" class="line_2" style="x1:0px; y1:119px; x2:500px; y2:119px; "/>
- <caption id="caption30" class="cell_1" style="left:0px; top:246px; width:108px; height:71px; vertical-align:middle; ">심사소견</caption>
- <line id="line11" class="line_2" style="x1:0px; y1:47px; x2:500px; y2:47px; "/>
- <line id="line34" class="line_2" style="x1:0px; y1:172px; x2:500px; y2:172px; "/>
- <caption id="caption42" class="cell_1" style="left:0px; top:97px; width:108px; height:23px; vertical-align:middle; ">행위료포함</caption>
- <caption id="caption65" class="cell_1" style="left:0px; top:73px; width:108px; height:23px; vertical-align:middle; ">기타의견</caption>
- <caption id="caption55" class="cell_1" style="left:0px; top:25px; width:108px; height:23px; vertical-align:middle; ">요양급여</caption>
- <line id="line36" class="line_2" style="x1:0px; y1:196px; x2:500px; y2:196px; "/>
- <line id="line25" class="line_2" style="x1:0px; y1:244px; x2:500px; y2:244px; "/>
- <line id="line15" class="line_3" style="x1:0px; y1:320px; x2:500px; y2:320px; "/>
- <caption id="caption67" class="cell_1" style="left:0px; top:222px; width:108px; height:23px; vertical-align:middle; ">금액(원)</caption>
- <caption id="caption56" class="cell_1" style="left:0px; top:150px; width:108px; height:23px; vertical-align:middle; ">한글</caption>
- <caption id="caption35" class="cell_1" style="left:0px; top:198px; width:108px; height:23px; vertical-align:middle; ">수가코드</caption>
- <input id="input25" class="input_default" style="left:110px; top:74px; width:390px; height:19px; "/>
- <caption id="caption47" class="cell_1" style="left:0px; top:49px; width:108px; height:23px; vertical-align:middle; ">미결정치료재료</caption>
- <input id="input17" class="input_default" style="left:110px; top:223px; width:210px; height:19px; "/>
- <caption id="caption29" class="cell_1" style="left:0px; top:174px; width:108px; height:23px; vertical-align:middle; ">영문</caption>
- <input id="input5" class="input_default" style="left:109px; top:151px; width:390px; height:19px; "/>
- <select1 id="radio3" ref="/root/send/data5" overflow="visible" appearance="full" cols="4" rows="1" style="left:110px; top:25px; width:200px; height:20px; border-style:none; ">
- <choices>
- <itemset nodeset="/root/init/radio1">
- <label ref="label"/>
- <value ref="value"/>
- </itemset>
- </choices>
- </select1>
- <select1 id="radio4" ref="/root/send/data4" overflow="visible" appearance="full" cols="3" rows="1" style="left:110px; top:50px; width:100px; height:20px; border-style:none; ">
- <choices>
- <itemset nodeset="/root/init/radio2">
- <label ref="label"/>
- <value ref="value"/>
- </itemset>
- </choices>
- </select1>
- <select id="checkbox1" overflow="visible" appearance="full" style="left:115px; top:100px; width:85px; height:15px; border-style:none; ">
- <choices>
- <item>
- <label>포함여부</label>
- <value>checkbox1</value>
- </item>
- </choices>
- </select>
- <line id="line1" class="line_1" style="x1:0px; y1:145px; x2:500px; y2:145px; "/>
- <caption id="caption2" class="tit_2" style="left:0px; top:130px; width:185px; height:14px; ">동재료사용 의료 행위명</caption>
- <input id="input1" class="input_default" style="left:110px; top:175px; width:390px; height:19px; "/>
- <input id="input2" class="input_default" style="left:110px; top:200px; width:210px; height:19px; "/>
- <textarea id="textarea1" style="left:110px; top:247px; width:390px; height:69px; "/>
- <line id="line2" class="line_2" style="x1:0px; y1:317px; x2:500px; y2:317px; "/>
- <input id="input9" class="input_essential" inputtype="date" style="left:384px; top:51px; width:116px; height:19px; "/>
- <caption id="caption21" class="cell_1" style="left:301px; top:50px; width:80px; height:23px; vertical-align:middle; ">신청일자</caption>
- </group>
- <group id="group1" scroll="auto" style="left:0px; top:327px; width:510px; height:27px; ">
- <button id="btn_confirm" class="btn4_letter4" style="left:369px; top:3px; width:80px; height:22px; ">
- <caption>심의완료</caption>
- </button>
- <button id="btn_cancel" class="btn4_letter2" style="left:452px; top:3px; width:56px; height:22px; ">
- <caption>취소</caption>
- </button>
- </group>
- </xhtml:body>
- </xhtml:html>
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