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- <?xml version="1.0" encoding="EUC-KR"?>
- <?xml-stylesheet href="../../../com/commonweb/css/common.css" type="text/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>중증진료 등록 신청서</xhtml:title>
- <model id="model1">
- <instance id="instance1">
- <root xmlns="">
- <진료과목>내과</진료과목>
- <병록번호>1010</병록번호>
- <암진단>2006/12/22</암진단>
- <상병>J00</상병>
- </root>
- </instance>
- </model>
- </xhtml:head>
- <xhtml:body pagewidth="425" pageheight="280" style="margin-left:8; margin-top:8; margin-right:8; margin-bottom:8; ">
- <select id="checkbox1" overflow="visible" appearance="full" vcellspacing="10" style="left:122px; top:93px; width:307px; height:160px; border-style:none; ">
- <choices>
- <item>
- <label>조직검사 없는 진단적 수술</label>
- <value>조직검사 없는 진단적 수술</value>
- </item>
- <item>
- <label>특수 생화학적 또는 면역학적검사</label>
- <value>특수 생화학적 또는 면역학적검사</value>
- </item>
- <item>
- <label>세포학적 또는 혈액학적 검사</label>
- <value>세포학적 또는 혈액학적 검사</value>
- </item>
- <item>
- <label>전이부위의 조직학적 검사</label>
- <value>전이부위의 조직학적 검사</value>
- </item>
- <item>
- <label>원발부위의 조직학적 생검</label>
- <value>원발부위의 조직학적 생검</value>
- </item>
- <item>
- <label>기타</label>
- <value>기타</value>
- </item>
- </choices>
- </select>
- <select id="checkbox2" overflow="visible" appearance="full" cellspacing="10" cols="5" style="left:122px; top:75px; width:307px; height:20px; border-style:none; ">
- <choices>
- <item>
- <label>검사</label>
- <value>검사</value>
- </item>
- <item>
- <label>Sono</label>
- <value>Sono</value>
- </item>
- <item>
- <label>CT</label>
- <value>CT</value>
- </item>
- <item>
- <label/>
- <value/>
- </item>
- <item>
- <label>기타</label>
- <value>기타</value>
- </item>
- </choices>
- </select>
- <caption id="caption1" class="cell_1" style="left:225px; top:46px; width:105px; height:23px; text-align:right; vertical-align:middle; ">상병기호(진단명)</caption>
- <caption id="caption2" class="cell_1" style="left:225px; top:22px; width:101px; height:23px; text-align:right; vertical-align:middle; ">등록번호</caption>
- <caption id="caption13" class="cell_1" style="left:4px; top:22px; width:115px; height:23px; text-align:right; vertical-align:middle; ">진료과목</caption>
- <caption id="caption4" class="cell_1" style="left:4px; top:70px; width:115px; height:184px; text-align:right; vertical-align:middle; ">
- <![CDATA[최종진단 방법
- (※ 중복 체크 가능) ]]>
- </caption>
- <caption id="caption5" class="cell_1" style="left:4px; top:46px; width:115px; height:23px; text-align:right; vertical-align:middle; ">암진단확인일</caption>
- <line id="line1" class="line_2" style="x1:4px; y1:253px; x2:429px; y2:253px; "/>
- <line id="line2" class="line_1" style="x1:4px; y1:18px; x2:430px; y2:19px; "/>
- <input id="input1" ref="/root/병록번호" class="input_default" style="left:329px; top:22px; width:100px; height:19px; "/>
- <line id="line3" class="line_2" style="x1:4px; y1:44px; x2:429px; y2:44px; "/>
- <input id="input3" ref="/root/진료과목" class="input_default" style="left:122px; top:22px; width:100px; height:19px; "/>
- <line id="line4" class="line_2" style="x1:4px; y1:67px; x2:429px; y2:67px; "/>
- <input id="input4" ref="/root/상병" class="input_default" style="left:329px; top:46px; width:100px; height:19px; "/>
- <input id="input5" ref="/root/암진단" class="input_default" style="left:122px; top:46px; width:100px; height:19px; "/>
- <button id="btn_confirm" class="btn4_letter2" style="left:315px; top:258px; width:56px; height:22px; ">
- <caption>확인</caption>
- </button>
- <button id="button1" class="btn4_letter2" style="left:374px; top:258px; width:56px; height:22px; ">
- <caption>취소</caption>
- </button>
- <line id="line6" class="line_3" style="x1:4px; y1:253px; x2:430px; y2:253px; "/>
- <caption id="caption3" class="tit_2" style="left:9px; top:1px; width:171px; height:13px; ">중증진료등록신청서</caption>
- <line id="line5" class="line_3" style="x1:430px; y1:253px; x2:430px; y2:20px; "/>
- <button id="button2" class="btn3_letter6" style="left:4px; top:258px; width:104px; height:22px; ">
- <caption>의무기록정보</caption>
- </button>
- <line id="line7" class="line_3" style="x1:4px; y1:253px; x2:4px; y2:20px; "/>
- </xhtml:body>
- </xhtml:html>
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