SPMMO08100_중증진료등록신청서.xrw 4.5 KB

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  1. <?xml version="1.0" encoding="EUC-KR"?>
  2. <?xml-stylesheet href="../../../com/commonweb/css/common.css" type="text/css" ?>
  3. <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">
  4. <xhtml:head>
  5. <xhtml:title>중증진료 등록 신청서</xhtml:title>
  6. <model id="model1">
  7. <instance id="instance1">
  8. <root xmlns="">
  9. <진료과목>내과</진료과목>
  10. <병록번호>1010</병록번호>
  11. <암진단>2006/12/22</암진단>
  12. <상병>J00</상병>
  13. </root>
  14. </instance>
  15. </model>
  16. </xhtml:head>
  17. <xhtml:body pagewidth="425" pageheight="280" style="margin-left:8; margin-top:8; margin-right:8; margin-bottom:8; ">
  18. <select id="checkbox1" overflow="visible" appearance="full" vcellspacing="10" style="left:122px; top:93px; width:307px; height:160px; border-style:none; ">
  19. <choices>
  20. <item>
  21. <label>조직검사 없는 진단적 수술</label>
  22. <value>조직검사 없는 진단적 수술</value>
  23. </item>
  24. <item>
  25. <label>특수 생화학적 또는 면역학적검사</label>
  26. <value>특수 생화학적 또는 면역학적검사</value>
  27. </item>
  28. <item>
  29. <label>세포학적 또는 혈액학적 검사</label>
  30. <value>세포학적 또는 혈액학적 검사</value>
  31. </item>
  32. <item>
  33. <label>전이부위의 조직학적 검사</label>
  34. <value>전이부위의 조직학적 검사</value>
  35. </item>
  36. <item>
  37. <label>원발부위의 조직학적 생검</label>
  38. <value>원발부위의 조직학적 생검</value>
  39. </item>
  40. <item>
  41. <label>기타</label>
  42. <value>기타</value>
  43. </item>
  44. </choices>
  45. </select>
  46. <select id="checkbox2" overflow="visible" appearance="full" cellspacing="10" cols="5" style="left:122px; top:75px; width:307px; height:20px; border-style:none; ">
  47. <choices>
  48. <item>
  49. <label>검사</label>
  50. <value>검사</value>
  51. </item>
  52. <item>
  53. <label>Sono</label>
  54. <value>Sono</value>
  55. </item>
  56. <item>
  57. <label>CT</label>
  58. <value>CT</value>
  59. </item>
  60. <item>
  61. <label/>
  62. <value/>
  63. </item>
  64. <item>
  65. <label>기타</label>
  66. <value>기타</value>
  67. </item>
  68. </choices>
  69. </select>
  70. <caption id="caption1" class="cell_1" style="left:225px; top:46px; width:105px; height:23px; text-align:right; vertical-align:middle; ">상병기호(진단명)</caption>
  71. <caption id="caption2" class="cell_1" style="left:225px; top:22px; width:101px; height:23px; text-align:right; vertical-align:middle; ">등록번호</caption>
  72. <caption id="caption13" class="cell_1" style="left:4px; top:22px; width:115px; height:23px; text-align:right; vertical-align:middle; ">진료과목</caption>
  73. <caption id="caption4" class="cell_1" style="left:4px; top:70px; width:115px; height:184px; text-align:right; vertical-align:middle; ">
  74. <![CDATA[최종진단 방법
  75. (※ 중복 체크 가능) ]]>
  76. </caption>
  77. <caption id="caption5" class="cell_1" style="left:4px; top:46px; width:115px; height:23px; text-align:right; vertical-align:middle; ">암진단확인일</caption>
  78. <line id="line1" class="line_2" style="x1:4px; y1:253px; x2:429px; y2:253px; "/>
  79. <line id="line2" class="line_1" style="x1:4px; y1:18px; x2:430px; y2:19px; "/>
  80. <input id="input1" ref="/root/병록번호" class="input_default" style="left:329px; top:22px; width:100px; height:19px; "/>
  81. <line id="line3" class="line_2" style="x1:4px; y1:44px; x2:429px; y2:44px; "/>
  82. <input id="input3" ref="/root/진료과목" class="input_default" style="left:122px; top:22px; width:100px; height:19px; "/>
  83. <line id="line4" class="line_2" style="x1:4px; y1:67px; x2:429px; y2:67px; "/>
  84. <input id="input4" ref="/root/상병" class="input_default" style="left:329px; top:46px; width:100px; height:19px; "/>
  85. <input id="input5" ref="/root/암진단" class="input_default" style="left:122px; top:46px; width:100px; height:19px; "/>
  86. <button id="btn_confirm" class="btn4_letter2" style="left:315px; top:258px; width:56px; height:22px; ">
  87. <caption>확인</caption>
  88. </button>
  89. <button id="button1" class="btn4_letter2" style="left:374px; top:258px; width:56px; height:22px; ">
  90. <caption>취소</caption>
  91. </button>
  92. <line id="line6" class="line_3" style="x1:4px; y1:253px; x2:430px; y2:253px; "/>
  93. <caption id="caption3" class="tit_2" style="left:9px; top:1px; width:171px; height:13px; ">중증진료등록신청서</caption>
  94. <line id="line5" class="line_3" style="x1:430px; y1:253px; x2:430px; y2:20px; "/>
  95. <button id="button2" class="btn3_letter6" style="left:4px; top:258px; width:104px; height:22px; ">
  96. <caption>의무기록정보</caption>
  97. </button>
  98. <line id="line7" class="line_3" style="x1:4px; y1:253px; x2:4px; y2:20px; "/>
  99. </xhtml:body>
  100. </xhtml:html>