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- <?xml-stylesheet href="../../../com/commonweb/css/common.css" type="text/css" ?>
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- <xhtml:head>
- <xhtml:title>Untitle</xhtml:title>
- <model id="model1">
- <instance id="instance1">
- <root xmlns="">
- <example>Sample</example>
- </root>
- </instance>
- </model>
- </xhtml:head>
- <xhtml:body guideline="1,1195;" style="margin-left:8; margin-top:0; margin-right:8; margin-bottom:0; ">
- <group id="group1" style="left:0px; top:0px; width:1195px; height:13px; ">
- <caption id="caption6" class="tit_1" style="left:0px; top:0px; width:800px; height:14px; ">산재접수반송증(I010)조회</caption>
- </group>
- <group id="group3" scroll="auto" style="left:0px; top:13px; width:1195px; height:744px; ">
- <group id="group2" style="left:0px; top:10px; width:1194px; height:35px; vertical-align:top; ">
- <shape id="roundrect1" class="roundrect_search" appearance="roundrect" ellipsewidth="10" ellipseheight="10" style="left:0px; top:0px; width:1194px; height:35px; background-color:#fffbf2; border-color:#ffd799; "/>
- <button id="btn_search" class="btn1_letter2" style="left:1123px; top:7px; width:56px; height:22px; ">
- <caption>조회</caption>
- </button>
- <line id="line13" class="line_4" style="x1:1108px; y1:7px; x2:1108px; y2:29px; border-color:#ffe4bb; border-left-style:solid; "/>
- <caption id="caption2" class="search_name" style="left:780px; top:8px; width:145px; height:17px; ">청구번호/청구분야 :</caption>
- <caption id="caption7" style="left:311px; top:9px; width:15px; height:15px; ">~</caption>
- <input id="ipt_fromacptym" ref="/root/send/fromacptym" class="input_search" style="left:222px; top:8px; width:85px; height:19px; "/>
- <input id="ipt_toacptym" ref="/root/send/toacptym" class="input_search" style="left:325px; top:8px; width:85px; height:19px; "/>
- <input id="ipt_clamno" class="input_search" style="left:932px; top:8px; width:80px; height:19px; "/>
- <select1 id="rdo_term" ref="/root/send/termflag" overflow="visible" appearance="full" cols="3" rows="1" style="left:5px; top:8px; width:210px; height:17px; border-style:none; ">
- <choices>
- <item>
- <label>심사차수</label>
- <value>1</value>
- </item>
- <item>
- <label>진료연월</label>
- <value>2</value>
- </item>
- <item>
- <label>통보일자</label>
- <value>3</value>
- </item>
- </choices>
- </select1>
- <select1 id="cmb_clamfield" class="combo_search" appearance="minimal" style="left:1015px; top:8px; width:80px; height:19px; ">
- <choices>
- <item>
- <label>combo1</label>
- <value>combo1</value>
- </item>
- </choices>
- </select1>
- <input id="input1" ref="/root/send/toacptym" class="input_search" style="left:510px; top:8px; width:80px; height:19px; "/>
- <caption id="caption9" class="search_name" style="left:420px; top:8px; width:90px; height:17px; ">접수번호 :</caption>
- <input id="input2" ref="/root/send/toacptym" class="input_search" style="left:690px; top:8px; width:80px; height:19px; "/>
- <caption id="caption10" class="search_name" style="left:600px; top:8px; width:90px; height:17px; ">묶음번호 :</caption>
- </group>
- <datagrid id="grd_f101h" nodeset="/root/main/grid/f101h" class="datagrid1" caption="심사차수^청구번호^내원^분야^접수번호^묶음번호^심결건수^심사결정액^통보일자^진료월^진료기간^보험자종별^심사담당부^심사담당조^심사담당자^전화번호^VER^청구서일련번호^요양기관기호^지원^참조란^비고" colsep="^" colwidth="59, 65, 42, 48, 70, 65, 75, 78, 73, 75, 73, 79, 76, 84, 79, 73, 47, 100, 86, 47, 100" dataheight="23" defaultrows="2" focuscolor="#b9e5fb" mergecellsfixedrows="bycolrec" rowheight="35" rowsep="|" style="left:0px; top:75px; width:1194px; height:75px; ">
- <col ref="acptdd"/>
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- </datagrid>
- <caption id="caption5" class="tit_2" style="left:5px; top:55px; width:70px; height:13px; ">F020.1</caption>
- <line id="line3" class="line_1" style="x1:0px; y1:70px; x2:1194px; y2:70px; "/>
- <datagrid id="datagrid1" nodeset="/root/main/grid/f101h" class="datagrid1" caption="명일련^등록번호^수진자^진료형태^본인추가부담금^특정기호^주상병^요양개시일^초진료^재진료^초진횟수^초진가산^재진횟수^재진가산^입원일수^요양일수^처방횟수^비고^급여총액^본인부담금^특수장비^청구액^상한액초과금^구분^급여총액^본인부담금^보험자부담금^위탁검사^심사결정^조정합계I^조정합계II^상한액초과금^심사담당조^사업장기호^증번호^청구서일련번호^비고" colsep="^" colwidth="66, 74, 69, 68, 100, 70, 71, 73, 76, 70, 73, 71, 77, 74, 83, 77, 71, 73, 76, 79, 69, 73, 82, 72, 75, 70, 79, 80, 70, 66, 64, 77, 81, 71, 67, 100" dataheight="23" defaultrows="2" focuscolor="#b9e5fb" mergecellsfixedrows="bycolrec" rowheight="35" rowsep="|" style="left:0px; top:180px; width:1194px; height:75px; ">
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- </datagrid>
- <caption id="caption1" class="tit_2" style="left:5px; top:160px; width:70px; height:13px; ">F020.2</caption>
- <line id="line1" class="line_1" style="x1:0px; y1:175px; x2:1194px; y2:175px; "/>
- <caption id="caption3" class="tit_2" style="left:287px; top:265px; width:70px; height:13px; ">F020.3</caption>
- <line id="line2" class="line_1" style="x1:287px; y1:280px; x2:941px; y2:280px; "/>
- <datagrid id="datagrid2" nodeset="/root/main/grid/f101h" class="datagrid2" caption="줄번호^항^조정사유^I,II항^코드^처방명칭^단가^일투^총투^조정금액^심사불능세부사유코드^관련근거^비고^비고" colsep="^" colwidth="59, 100, 100, 100, 100, 100, 100, 100, 100, 100, 100, 100, 100" dataheight="23" defaultrows="2" focuscolor="#b9e5fb" mergecellsfixedrows="bycolrec" rowheight="35" rowsep="|" style="left:287px; top:285px; width:654px; height:95px; ">
- <col ref="acptdd"/>
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- </datagrid>
- <datagrid id="datagrid3" nodeset="/root/main/grid/f101h" class="datagrid2" caption="처방전교부번호^줄번호^사유^코드^처방명칭^조정횟수^비고^비고" colsep="^" colwidth="59, 100, 100, 100, 100, 100, 100" dataheight="23" defaultrows="2" focuscolor="#b9e5fb" mergecellsfixedrows="bycolrec" rowheight="35" rowsep="|" style="left:287px; top:410px; width:654px; height:95px; ">
- <col ref="acptdd"/>
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- </datagrid>
- <caption id="caption4" class="tit_2" style="left:287px; top:390px; width:75px; height:13px; ">F020.6</caption>
- <line id="line4" class="line_1" style="x1:287px; y1:405px; x2:941px; y2:405px; "/>
- <datagrid id="datagrid4" nodeset="/root/main/grid/f101h" class="datagrid2" caption="줄번호^코드^처방명칭^수탁기관기호^위탁검사직접지급금^처리코드^비고^비고" colsep="^" colwidth="59, 100, 100, 100, 100, 100, 100" dataheight="23" defaultrows="2" focuscolor="#b9e5fb" mergecellsfixedrows="bycolrec" rowheight="35" rowsep="|" style="left:287px; top:535px; width:654px; height:95px; ">
- <col ref="acptdd"/>
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- </datagrid>
- <caption id="caption8" class="tit_2" style="left:287px; top:515px; width:75px; height:13px; ">F020.5</caption>
- <line id="line5" class="line_1" style="x1:287px; y1:530px; x2:941px; y2:530px; "/>
- <line id="line23" class="line_2" style="x1:0px; y1:332px; x2:281px; y2:332px; "/>
- <line id="line24" class="line_2" style="x1:0px; y1:357px; x2:281px; y2:357px; "/>
- <line id="line6" class="line_3" style="x1:0px; y1:732px; x2:281px; y2:732px; "/>
- <input id="input11" class="input_default" style="left:163px; top:361px; width:58px; height:19px; "/>
- <line id="line25" class="line_2" style="x1:0px; y1:382px; x2:281px; y2:382px; "/>
- <input id="input14" class="input_default" style="left:163px; top:336px; width:58px; height:19px; "/>
- <caption id="caption13" class="cell_1" style="left:0px; top:285px; width:160px; height:23px; vertical-align:middle; "/>
- <line id="line7" class="line_1" style="x1:0px; y1:280px; x2:282px; y2:280px; "/>
- <caption id="caption25" class="cell_1" style="left:0px; top:334px; width:160px; height:23px; vertical-align:middle; ">요양급여비용총액 합계</caption>
- <input id="input27" class="input_default" style="left:163px; top:386px; width:58px; height:19px; "/>
- <caption id="caption15" class="cell_1" style="left:0px; top:384px; width:160px; height:23px; vertical-align:middle; ">본인부담상한액초과금 합계</caption>
- <input id="input17" class="input_default" style="left:163px; top:311px; width:58px; height:19px; "/>
- <caption id="caption17" class="cell_1" style="left:0px; top:309px; width:160px; height:23px; text-align:left; vertical-align:middle; ">건수 합계</caption>
- <caption id="caption12" class="cell_1" style="left:0px; top:359px; width:160px; height:23px; vertical-align:middle; ">본인부담금 합계</caption>
- <line id="line8" class="line_2" style="x1:0px; y1:407px; x2:281px; y2:407px; "/>
- <line id="line9" class="line_2" style="x1:0px; y1:432px; x2:281px; y2:432px; "/>
- <input id="input4" class="input_default" style="left:163px; top:461px; width:58px; height:19px; "/>
- <line id="line10" class="line_2" style="x1:0px; y1:457px; x2:281px; y2:457px; "/>
- <line id="line11" class="line_2" style="x1:0px; y1:482px; x2:281px; y2:482px; "/>
- <caption id="caption14" class="cell_1" style="left:0px; top:459px; width:160px; height:23px; vertical-align:middle; ">본인부담환급금 합계</caption>
- <input id="input5" class="input_default" style="left:163px; top:436px; width:58px; height:19px; "/>
- <caption id="caption16" class="cell_1" style="left:0px; top:434px; width:160px; height:23px; vertical-align:middle; ">보험자 부담금 합계</caption>
- <caption id="caption18" class="cell_1" style="left:0px; top:484px; width:160px; height:23px; vertical-align:middle; ">본인추가부담금 합계</caption>
- <input id="input6" class="input_default" style="left:163px; top:486px; width:58px; height:19px; "/>
- <input id="input7" class="input_default" style="left:163px; top:411px; width:58px; height:19px; "/>
- <caption id="caption19" class="cell_1" style="left:0px; top:409px; width:160px; height:23px; vertical-align:middle; ">청구액 합계</caption>
- <caption id="caption20" class="tit_2" style="left:5px; top:265px; width:70px; height:13px; ">F020.4</caption>
- <input id="input8" class="input_default" style="left:163px; top:511px; width:58px; height:19px; "/>
- <line id="line12" class="line_2" style="x1:0px; y1:507px; x2:281px; y2:507px; "/>
- <line id="line14" class="line_2" style="x1:0px; y1:707px; x2:281px; y2:707px; "/>
- <caption id="caption22" class="cell_1" style="left:0px; top:709px; width:160px; height:23px; vertical-align:middle; ">심사결정액 합계</caption>
- <caption id="caption24" class="cell_1" style="left:0px; top:509px; width:160px; height:23px; vertical-align:middle; ">위탁검사 직접지급금 합계</caption>
- <input id="input10" class="input_default" style="left:163px; top:711px; width:58px; height:19px; "/>
- <input id="input13" class="input_default" style="left:224px; top:411px; width:58px; height:19px; "/>
- <input id="input24" class="input_default" style="left:224px; top:511px; width:58px; height:19px; "/>
- <input id="input29" class="input_default" style="left:224px; top:711px; width:58px; height:19px; "/>
- <input id="input30" class="input_default" style="left:224px; top:361px; width:58px; height:19px; "/>
- <input id="input31" class="input_default" style="left:224px; top:336px; width:58px; height:19px; "/>
- <input id="input32" class="input_default" style="left:224px; top:386px; width:58px; height:19px; "/>
- <input id="input33" class="input_default" style="left:224px; top:311px; width:58px; height:19px; "/>
- <input id="input34" class="input_default" style="left:224px; top:461px; width:58px; height:19px; "/>
- <input id="input35" class="input_default" style="left:224px; top:436px; width:58px; height:19px; "/>
- <input id="input36" class="input_default" style="left:224px; top:486px; width:58px; height:19px; "/>
- <caption id="caption32" class="cell_1" style="left:163px; top:285px; width:58px; height:23px; vertical-align:middle; ">청구사항</caption>
- <line id="line22" class="line_2" style="x1:0px; y1:307px; x2:282px; y2:307px; "/>
- <caption id="caption33" class="cell_1" style="left:224px; top:285px; width:58px; height:23px; vertical-align:middle; ">심결사항</caption>
- <input id="input3" class="input_default" style="left:163px; top:586px; width:58px; height:19px; "/>
- <line id="line15" class="line_2" style="x1:0px; y1:582px; x2:281px; y2:582px; "/>
- <input id="input9" class="input_default" style="left:163px; top:686px; width:58px; height:19px; "/>
- <line id="line16" class="line_2" style="x1:0px; y1:607px; x2:281px; y2:607px; "/>
- <input id="input12" class="input_default" style="left:224px; top:536px; width:58px; height:19px; "/>
- <line id="line17" class="line_2" style="x1:0px; y1:632px; x2:281px; y2:632px; "/>
- <line id="line18" class="line_2" style="x1:0px; y1:657px; x2:281px; y2:657px; "/>
- <input id="input15" class="input_default" style="left:224px; top:561px; width:58px; height:19px; "/>
- <line id="line19" class="line_2" style="x1:0px; y1:682px; x2:281px; y2:682px; "/>
- <input id="input16" class="input_default" style="left:163px; top:536px; width:58px; height:19px; "/>
- <line id="line20" class="line_2" style="x1:0px; y1:532px; x2:281px; y2:532px; "/>
- <input id="input18" class="input_default" style="left:224px; top:636px; width:58px; height:19px; "/>
- <line id="line21" class="line_2" style="x1:0px; y1:557px; x2:281px; y2:557px; "/>
- <input id="input19" class="input_default" style="left:224px; top:611px; width:58px; height:19px; "/>
- <input id="input20" class="input_default" style="left:224px; top:686px; width:58px; height:19px; "/>
- <input id="input21" class="input_default" style="left:224px; top:586px; width:58px; height:19px; "/>
- <caption id="caption11" class="cell_1" style="left:0px; top:534px; width:160px; height:23px; vertical-align:middle; ">본인부담금 합계</caption>
- <input id="input22" class="input_default" style="left:224px; top:661px; width:58px; height:19px; "/>
- <caption id="caption21" class="cell_1" style="left:0px; top:684px; width:160px; height:23px; vertical-align:middle; ">위탁검사 직접지급금 합계</caption>
- <caption id="caption23" class="cell_1" style="left:0px; top:634px; width:160px; height:23px; vertical-align:middle; ">본인부담환급금 합계</caption>
- <caption id="caption26" class="cell_1" style="left:0px; top:559px; width:160px; height:23px; vertical-align:middle; ">본인부담상한액초과금 합계</caption>
- <input id="input23" class="input_default" style="left:163px; top:561px; width:58px; height:19px; "/>
- <caption id="caption27" class="cell_1" style="left:0px; top:609px; width:160px; height:23px; vertical-align:middle; ">보험자 부담금 합계</caption>
- <caption id="caption28" class="cell_1" style="left:0px; top:659px; width:160px; height:23px; vertical-align:middle; ">본인추가부담금 합계</caption>
- <input id="input25" class="input_default" style="left:163px; top:636px; width:58px; height:19px; "/>
- <caption id="caption29" class="cell_1" style="left:0px; top:584px; width:160px; height:23px; vertical-align:middle; ">청구액 합계</caption>
- <input id="input26" class="input_default" style="left:163px; top:611px; width:58px; height:19px; "/>
- <input id="input28" class="input_default" style="left:163px; top:661px; width:58px; height:19px; "/>
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- <group id="group4" scroll="auto" style="left:0px; top:13px; width:1195px; height:744px; ">
- <caption id="caption36" class="tit_2" style="left:5px; top:80px; width:70px; height:14px; ">I010</caption>
- <line id="line27" class="line_1" style="x1:0px; y1:95px; x2:1194px; y2:95px; "/>
- <button id="button26" class="btn2_letter2" style="left:1152px; top:75px; width:42px; height:19px; ">
- <caption>출력</caption>
- </button>
- <button id="button12" class="btn2_letter4" style="left:1085px; top:75px; width:64px; height:19px; ">
- <caption>엑셀저장</caption>
- </button>
- <datagrid id="datagrid5" nodeset="/root/main/grid/f101h" class="datagrid1" caption="통지일자^접수구분^청구번호^접수번호^접수반송구분^청구건수계^청구액계^반송사유^참조란^서식번호^의료기관코드^비고" colsep="^" colwidth="83, 73, 83, 83, 89, 96, 96, 78, 315, 67, 93" dataheight="23" defaultrows="2" focuscolor="#b9e5fb" mergecellsfixedrows="bycolrec" rowheader="seq" rowheight="35" rowsep="|" style="left:0px; top:100px; width:1194px; height:642px; ">
- <col ref="acptdd"/>
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- <col/>
- </datagrid>
- <group id="group5" style="left:0px; top:10px; width:1194px; height:60px; vertical-align:top; ">
- <shape id="roundrect2" class="roundrect_search" appearance="roundrect" ellipsewidth="10" ellipseheight="10" style="left:0px; top:0px; width:1194px; height:60px; background-color:#fffbf2; border-color:#ffd799; "/>
- <button id="button1" class="btn1_letter2" style="left:1123px; top:23px; width:56px; height:22px; ">
- <caption>조회</caption>
- </button>
- <line id="line26" class="line_4" style="x1:1108px; y1:7px; x2:1108px; y2:54px; border-color:#ffe4bb; border-left-style:solid; "/>
- <caption id="caption31" style="left:311px; top:11px; width:15px; height:15px; ">~</caption>
- <input id="input37" ref="/root/send/fromacptym" class="input_search" style="left:222px; top:10px; width:85px; height:19px; "/>
- <input id="input38" ref="/root/send/toacptym" class="input_search" style="left:325px; top:10px; width:85px; height:19px; "/>
- <select1 id="rdo_termflag" ref="/root/send/termflag" overflow="visible" appearance="full" cols="2" rows="1" style="left:15px; top:10px; width:140px; height:17px; border-style:none; ">
- <choices>
- <item>
- <label>통지일자</label>
- <value>1</value>
- </item>
- <item>
- <label>접수년월</label>
- <value>2</value>
- </item>
- </choices>
- </select1>
- <caption id="caption34" class="search_name" style="left:420px; top:10px; width:90px; height:17px; ">접수구분 :</caption>
- <input id="ipt_clamno" ref="/root/send/clamno" class="input_search" style="left:690px; top:10px; width:80px; height:19px; "/>
- <caption id="caption35" class="search_name" style="left:600px; top:10px; width:90px; height:17px; ">청구번호 :</caption>
- <select1 id="radio3" ref="/root/send/termflag" overflow="visible" appearance="full" cols="3" rows="1" style="left:95px; top:35px; width:135px; height:17px; border-style:none; ">
- <choices>
- <item>
- <label>전체</label>
- <value>1</value>
- </item>
- <item>
- <label>산재</label>
- <value>2</value>
- </item>
- <item>
- <label>후유</label>
- <value>3</value>
- </item>
- </choices>
- </select1>
- <caption id="caption40" class="search_name" style="left:5px; top:35px; width:90px; height:17px; ">산재유형 :</caption>
- <caption id="caption41" class="search_name" style="left:250px; top:35px; width:75px; height:17px; ">청구처 :</caption>
- <select1 id="radio2" ref="/root/send/termflag" overflow="visible" appearance="full" cols="3" rows="1" style="left:326px; top:35px; width:144px; height:17px; border-style:none; ">
- <choices>
- <item>
- <label>전체</label>
- <value>1</value>
- </item>
- <item>
- <label>공단</label>
- <value>2</value>
- </item>
- <item>
- <label>노동부</label>
- <value>3</value>
- </item>
- </choices>
- </select1>
- <input id="input39" ref="/root/send/toacptym" class="input_search" style="left:870px; top:10px; width:80px; height:19px; "/>
- <caption id="caption30" class="search_name" style="left:780px; top:10px; width:90px; height:17px; ">접수번호 :</caption>
- <select1 id="cmb_acptflag" class="combo_search" appearance="minimal" style="left:509px; top:9px; width:80px; height:19px; ">
- <choices>
- <item>
- <label>combo1</label>
- <value>combo1</value>
- </item>
- </choices>
- </select1>
- </group>
- </group>
- </xhtml:body>
- </xhtml:html>
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