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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>Untitle</xhtml:title>
- <model id="model1">
- <instance id="instance1">
- <root xmlns="">
- <example>Sample</example>
- </root>
- </instance>
- </model>
- <script src="../../../com/commonweb/js/common.js" type="javascript"/>
- </xhtml:head>
- <xhtml:body pagewidth="596" pageheight="563" style="margin-left:8; margin-top:0; margin-right:8; margin-bottom:0; ">
- <group id="group1" style="left:0px; top:0px; width:580px; height:535px; ">
- <switch id="switch1" style="left:0px; top:109px; width:580px; height:402px; border-color:#c7a3cf; border-style:solid; ">
- <case id="case1" selected="true">
- <caption id="caption5" style="left:10px; top:10px; width:95px; height:13px; font-weight:bold; vertical-align:middle; ">1. 의뢰사유</caption>
- <select1 id="radio1" overflow="visible" appearance="full" style="left:5px; top:32px; width:195px; height:67px; border-style:none; ">
- <choices>
- <item>
- <label>2차 병원전원 의뢰 및 상담</label>
- <value>radio1</value>
- </item>
- <item>
- <label>퇴원지시상태, 보호자 상담의뢰</label>
- <value/>
- </item>
- <item>
- <label>가정간호 알선 및 상담</label>
- <value/>
- </item>
- <item>
- <label>기타사유(직접입력)</label>
- <value/>
- </item>
- </choices>
- </select1>
- <textarea id="textarea1" style="left:5px; top:102px; width:569px; height:62px; "/>
- <caption id="caption6" style="left:10px; top:174px; width:133px; height:13px; font-weight:bold; vertical-align:middle; ">2. 재원사유 및 현상태</caption>
- <select1 id="combo1" class="combo_default" appearance="minimal" style="left:5px; top:194px; width:569px; height:19px; ">
- <choices>
- <item>
- <label>combo1</label>
- <value>combo1</value>
- </item>
- </choices>
- </select1>
- <textarea id="textarea2" style="left:5px; top:216px; width:569px; height:52px; "/>
- <caption id="caption7" style="left:10px; top:278px; width:334px; height:13px; font-weight:bold; vertical-align:middle; ">3. 기타전달사항(향후 중점치료 방향, 보호자 의견 포함)</caption>
- <textarea id="textarea3" style="left:5px; top:298px; width:569px; height:65px; "/>
- <line id="line2" class="line_1" style="x1:5px; y1:189px; x2:573px; y2:189px; "/>
- <line id="line3" class="line_1" style="x1:5px; y1:293px; x2:573px; y2:293px; "/>
- <line id="line1" class="line_1" style="x1:5px; y1:25px; x2:573px; y2:25px; "/>
- <group id="group2" style="left:0px; top:364px; width:570px; height:27px; ">
- <line id="line4" class="line_6" style="x1:5px; y1:0px; x2:570px; y2:0px; "/>
- <button id="button1" class="btn4_letter2" style="left:384px; top:5px; width:56px; height:22px; ">
- <caption>저장</caption>
- </button>
- <button id="button6" class="btn4_letter2" style="left:443px; top:5px; width:56px; height:22px; ">
- <caption>취소</caption>
- </button>
- <button id="button8" class="btn4_letter3" style="left:502px; top:5px; width:68px; height:22px; ">
- <caption>초기화</caption>
- </button>
- </group>
- </case>
- <case id="case2">
- <caption id="caption9" class="cell_1" style="left:5px; top:10px; width:90px; height:23px; vertical-align:middle; ">의뢰일자</caption>
- <input id="input2" class="input_default" inputtype="date" style="left:98px; top:11px; width:100px; height:19px; "/>
- <caption id="caption10" style="left:5px; top:36px; width:490px; height:20px; vertical-align:middle; ">적정 재원관리를 위하여 재원사유 및 퇴원, 전원가능성에 대해 빠른 회신을 부탁드립니다.</caption>
- <textarea id="textarea4" style="left:5px; top:59px; width:569px; height:47px; "/>
- <caption id="caption11" style="left:5px; top:109px; width:419px; height:20px; font-weight:bold; color:#cc3399; vertical-align:middle; ">※ 급성기 치료가 완료되었거나 그렇지 않을 경우도 체크하여 주십시요</caption>
- <caption id="caption12" style="left:5px; top:132px; width:148px; height:18px; font-weight:bold; vertical-align:middle; ">1. 앞으로 퇴원가능성은?</caption>
- <select1 id="radio2" overflow="visible" appearance="full" cols="6" rows="1" style="left:10px; top:153px; width:450px; height:17px; border-style:none; ">
- <choices>
- <item>
- <label>4일이내</label>
- <value>radio1</value>
- </item>
- <item>
- <label>1주일이내</label>
- <value/>
- </item>
- <item>
- <label>1주~2주이내</label>
- <value/>
- </item>
- <item>
- <label>2주~3주이내</label>
- <value/>
- </item>
- <item>
- <label>한달이상</label>
- <value/>
- </item>
- <item>
- <label>미결정</label>
- <value/>
- </item>
- </choices>
- </select1>
- <caption id="caption13" style="left:5px; top:173px; width:324px; height:18px; font-weight:bold; vertical-align:middle; ">2. 전원 가능성이 있거나 필요하다면 대상 의료기관은?</caption>
- <select1 id="radio3" overflow="visible" appearance="full" cols="6" rows="1" style="left:10px; top:194px; width:450px; height:17px; border-style:none; ">
- <choices>
- <item>
- <label>2차병원</label>
- <value>radio1</value>
- </item>
- <item>
- <label>3차병원</label>
- <value/>
- </item>
- <item>
- <label>요양원, 노인전문병원</label>
- <value/>
- </item>
- <item>
- <label>재활 전문병원</label>
- <value/>
- </item>
- </choices>
- </select1>
- <caption id="caption14" style="left:5px; top:214px; width:324px; height:18px; font-weight:bold; vertical-align:middle; ">3. 현재 가장 주요한 재원사유는?</caption>
- <select1 id="combo2" class="combo_default" appearance="minimal" style="left:5px; top:235px; width:569px; height:19px; ">
- <choices>
- <item>
- <label>combo1</label>
- <value>combo1</value>
- </item>
- </choices>
- </select1>
- <textarea id="textarea5" style="left:5px; top:257px; width:569px; height:30px; "/>
- <select1 id="combo3" class="combo_default" appearance="minimal" style="left:5px; top:311px; width:569px; height:19px; ">
- <choices>
- <item>
- <label>combo1</label>
- <value>combo1</value>
- </item>
- </choices>
- </select1>
- <caption id="caption15" style="left:5px; top:290px; width:431px; height:18px; font-weight:bold; vertical-align:middle; ">4. 기타 코디네이터에게 협조사항이 있으면 선택 또는 입력해 주십시요</caption>
- <textarea id="textarea6" style="left:5px; top:333px; width:569px; height:30px; "/>
- <group id="group3" style="left:0px; top:364px; width:570px; height:27px; ">
- <line id="line5" class="line_6" style="x1:5px; y1:0px; x2:570px; y2:0px; "/>
- <button id="button2" class="btn4_letter2" style="left:384px; top:5px; width:56px; height:22px; ">
- <caption>저장</caption>
- </button>
- <button id="button4" class="btn4_letter2" style="left:443px; top:5px; width:56px; height:22px; ">
- <caption>취소</caption>
- </button>
- <button id="button5" class="btn4_letter3" style="left:502px; top:5px; width:68px; height:22px; ">
- <caption>초기화</caption>
- </button>
- </group>
- </case>
- </switch>
- <button id="button7" class="btn_sw" group="tab" style="left:100px; top:88px; width:119px; height:22px; ">
- <caption>재원사유 회신서작성</caption>
- <toggle case="case2" ev:event="onclick"/>
- </button>
- <button id="button3" class="btn_sw" group="tab" selected="true" style="left:0px; top:88px; width:100px; height:22px; ">
- <caption>재원관리 의뢰</caption>
- <toggle case="case1" ev:event="onclick"/>
- </button>
- <caption id="caption53" class="tit_2" style="left:5px; top:10px; width:144px; height:13px; ">재원관리</caption>
- <line id="line39" class="line_1" style="x1:0px; y1:25px; x2:580px; y2:25px; "/>
- <caption id="caption1" style="left:0px; top:30px; width:360px; height:20px; font-weight:bold; color:#cc3399; vertical-align:middle; ">※ 위 환자는 재원관리 대상으로 등록되었습니다. 현재상태 :</caption>
- <caption id="caption2" style="left:363px; top:30px; width:80px; height:20px; font-weight:bold; color:#993366; vertical-align:middle; ">상담중</caption>
- <input id="input21" class="input_default" style="left:93px; top:56px; width:98px; height:19px; "/>
- <caption id="caption20" class="cell_1" style="left:0px; top:55px; width:90px; height:23px; vertical-align:middle; ">환자성명</caption>
- <caption id="caption3" class="cell_1" style="left:194px; top:55px; width:90px; height:23px; vertical-align:middle; ">입원일자</caption>
- <caption id="caption4" class="cell_1" style="left:388px; top:55px; width:90px; height:23px; vertical-align:middle; ">재원미수금</caption>
- <input id="input1" class="input_default" style="left:481px; top:56px; width:98px; height:19px; "/>
- <input id="input18" class="input_default" inputtype="date" style="left:287px; top:56px; width:98px; height:19px; "/>
- </group>
- </xhtml:body>
- </xhtml:html>
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