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- <xhtml:head>
- <xhtml:title>피험자 청구서</xhtml:title>
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- <instance id="instance1">
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- <main>
- <repdetl>
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- <R0274032/>
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- <R0274034/>
- <R0274035/>
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- <repmain>
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- <projcd/>
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- <bsid/>
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- //보고서 기본값 셋팅.
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- model.setValue("/root/main/repdetl/R0274002", model.getValue("/root/main/repmain/projnm"));
- model.setValue("/root/main/repdetl/R0274003", "1" );
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- <xhtml:body pagewidth="660">
- <script type="javascript" ev:event="onloadcomplete">
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- <caption id="caption1" style="left:0px; top:0px; width:630px; height:55px; font-size:20pt; font-weight:bold; text-decoration:underline; text-align:center; ">임상시험 의무기록 열람 신청서</caption>
- <group id="group1" style="left:0px; top:55px; width:630px; height:590px; ">
- <caption id="caption2" style="left:0px; top:1px; width:147px; height:34px; font-size:14pt; font-weight:bold; ">1. 연구과제명</caption>
- <caption id="caption4" class="cell_1" style="left:87px; top:340px; width:135px; height:24px; text-align:center; ">차트번호</caption>
- <caption id="caption5" class="cell_1" style="left:223px; top:340px; width:100px; height:24px; text-align:center; ">성명</caption>
- <caption id="caption6" class="cell_1" style="left:324px; top:340px; width:59px; height:24px; text-align:center; ">연번</caption>
- <caption id="caption7" class="cell_1" style="left:384px; top:340px; width:135px; height:24px; text-align:center; ">차트번호</caption>
- <input id="input1" ref="/root/main/repdetl/R0274010" navindex="6" style="left:87px; top:366px; width:135px; height:19px; "/>
- <input id="input2" ref="/root/main/repdetl/R0274013" navindex="8" style="left:87px; top:387px; width:135px; height:19px; "/>
- <input id="input3" ref="/root/main/repdetl/R0274016" navindex="10" style="left:87px; top:408px; width:135px; height:19px; "/>
- <input id="input14" ref="/root/main/repdetl/R0274011" navindex="7" style="left:223px; top:366px; width:100px; height:19px; "/>
- <input id="input15" ref="/root/main/repdetl/R0274014" navindex="9" style="left:223px; top:387px; width:100px; height:19px; "/>
- <input id="input16" ref="/root/main/repdetl/R0274017" navindex="11" style="left:223px; top:408px; width:100px; height:19px; "/>
- <input id="input17" ref="/root/main/repdetl/R0274018" disabled="true" navindex="3" style="left:324px; top:366px; width:59px; height:19px; text-align:center; "/>
- <input id="input18" ref="/root/main/repdetl/R0274019" navindex="12" style="left:384px; top:366px; width:135px; height:19px; "/>
- <input id="input20" ref="/root/main/repdetl/R0274021" disabled="true" navindex="3" style="left:324px; top:387px; width:59px; height:19px; text-align:center; "/>
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- <caption id="caption32" style="left:245px; top:532px; width:75px; height:20px; ">연구책임자 :</caption>
- <caption id="caption9" style="left:25px; top:435px; width:468px; height:42px; ">
- <![CDATA[※ 피험자 LIST는 50개만 가능하며, 6명 이상일 경우 Excel 파일로 작성하여 첨부할 것.
- 붙 임 : 열람 피험자 리스트 1부. 끝.]]>
- </caption>
- <caption id="caption8" class="cell_1" style="left:27px; top:340px; width:59px; height:24px; text-align:center; ">연 번</caption>
- <input id="input4" ref="/root/main/repdetl/R0274009" disabled="true" navindex="3" style="left:27px; top:366px; width:59px; height:19px; text-align:center; "/>
- <input id="input5" ref="/root/main/repdetl/R0274012" disabled="true" navindex="3" style="left:27px; top:387px; width:59px; height:19px; text-align:center; "/>
- <input id="input6" ref="/root/main/repdetl/R0274015" disabled="true" navindex="3" style="left:27px; top:408px; width:59px; height:19px; text-align:center; "/>
- <input id="input7" ref="/root/main/repdetl/R0274020" navindex="13" style="left:520px; top:366px; width:100px; height:19px; "/>
- <input id="input8" ref="/root/main/repdetl/R0274023" navindex="15" style="left:520px; top:387px; width:100px; height:19px; "/>
- <caption id="caption10" class="cell_1" style="left:520px; top:340px; width:100px; height:24px; text-align:center; ">성명</caption>
- <input id="input11" ref="/root/main/repdetl/R0274026" navindex="17" style="left:520px; top:408px; width:100px; height:19px; "/>
- <textarea id="textarea1" ref="/root/main/repdetl/R0274001" disabled="true" scroll="autovscroll" style="left:25px; top:57px; width:160px; height:34px; text-align:center; vertical-align:middle; "/>
- <caption id="caption17" class="cell_1" style="left:187px; top:35px; width:435px; height:20px; text-align:center; ">과 제 명</caption>
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- <caption id="caption29" class="cell_1" style="left:25px; top:35px; width:160px; height:20px; text-align:center; ">과제번호</caption>
- <caption id="caption3" style="left:0px; top:105px; width:147px; height:34px; font-size:14pt; font-weight:bold; ">2. 신 청 자</caption>
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- <caption id="caption11" class="cell_1" style="left:85px; top:138px; width:135px; height:24px; text-align:center; ">소 속</caption>
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- <input id="input10" ref="/root/main/repdetl/R0274004" navindex="1" style="left:85px; top:164px; width:135px; height:19px; "/>
- <caption id="caption13" class="cell_1" style="left:322px; top:138px; width:159px; height:24px; text-align:center; ">연락처</caption>
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- <caption id="caption14" class="cell_1" style="left:482px; top:138px; width:135px; height:24px; text-align:center; ">비고</caption>
- <caption id="caption15" class="cell_1" style="left:25px; top:138px; width:59px; height:24px; text-align:center; ">연 번</caption>
- <input id="input13" ref="/root/main/repdetl/R0274007" navindex="4" style="left:482px; top:164px; width:135px; height:19px; "/>
- <input id="input19" ref="/root/main/repdetl/R0274003" disabled="true" style="left:25px; top:164px; width:59px; height:19px; text-align:center; "/>
- <caption id="caption16" style="left:0px; top:200px; width:147px; height:34px; font-size:14pt; font-weight:bold; ">3. 열람목적</caption>
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- <caption id="caption18" style="left:0px; top:305px; width:216px; height:34px; font-size:14pt; font-weight:bold; ">4. 열람 피험자 리스트</caption>
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