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@@ -4,37 +4,23 @@
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<%@ page language="java" contentType="text/html; charset=UTF-8"
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pageEncoding="UTF-8"%>
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<jsp:include page="${data._INCLUDE}/header.jsp"></jsp:include>
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-
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<script type="text/javascript">
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-function nonFaceStart() {
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- getAjax("/patient/nonFaceStart", $("#hiddenForm").serialize(), function ( result ) {
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-
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- $("#nonface").append('<input type="hidden" name="member_name" value="'+result.member_name+'" />');
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- $("#nonface").append('<input type="hidden" name="member_id" value="'+result.member_id+'" />');
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- $("#nonface").append('<input type="hidden" name="room_id" value="'+result.room_id+'" />');
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- $("#nonface").append('<input type="hidden" name="hashData" value="'+result.hashData+'">');
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- $("#nonface").append('<input type="hidden" name="token" value="'+result.token+'">');
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- $("#nonface").append('<input type="hidden" name="api_key" value="'+result.api_key+'">');
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-
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- $("#nonface").append('<input type="hidden" name="classify" value="d">');
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-
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- var gsWin = window.open('about:blank','nonface');
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- var frm =document.nonface;
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- frm.target ="nonface";
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- frm.method ="post";
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- frm.submit();
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-
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- }, function(){
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- }, function(){
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-
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+function deleteConfirm(){
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+ alertBox({ type : "confirm",
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+ txt : "정말로 삭제할까요?",
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+ callBack : function( result ){
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+ console.log( result );
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+ if( result ){
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+ $( "#pForm" ).attr( "action", "./delete" );
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+ $( "#pForm" ).submit();
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+ }
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+ }
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});
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+ return false;
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}
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</script>
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-
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</head>
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<body>
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- <form id="nonface" name="nonface" action="https://lemon.medihere.com/app/vc">
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- </form>
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<div class="wrapper">
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<jsp:include page="${data._INCLUDE}/sidebar.jsp"></jsp:include>
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@@ -42,11 +28,6 @@ function nonFaceStart() {
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<jsp:include page="${data._INCLUDE}/top.jsp"></jsp:include>
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<main class="content">
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- <form id="hiddenForm">
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- <input type="hidden" id="pId" name="pId" value="<c:out value="${info.id}" />">
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- <input type="hidden" id="pName" name="pName" value="<c:out value="${info.patientName}" />">
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- <input type="hidden" id="roomId" name="roomId" value="<c:out value="${info.roomNumber}" />">
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- </form>
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<div class="container-fluid p-0">
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<!-- 환자관리 : 신규환자 등록 START -->
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<div class="row">
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@@ -69,210 +50,220 @@ function nonFaceStart() {
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<div class="col-12">
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<div class="card">
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<div class="card-body">
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- <table class="table mobile-table">
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- <colgroup>
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- <col style="width:15%">
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- <col style="width:35%">
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- <col style="width:15%">
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- <col style="width:35%">
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- </colgroup>
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- <tr>
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- <th>치료센터</th>
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- <td><c:out value="${info.centerName}" /></td>
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- <th>입소일시</th>
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- <td colspan="2">
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- <fmt:parseDate var="hDate" value="${info.hospitalizationDate}" pattern="yyyy-MM-dd HH:mm" />
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- <c:set var="hospitalizationDate"><fmt:formatDate value="${hDate}" pattern="yyyy년 MM월 dd일" /></c:set>
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- <c:out value="${hospitalizationDate}" />
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-<%-- <c:out value="${info.hospitalizationDate}" /> --%>
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- </td>
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- </tr>
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- <tr>
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- <th>병동 번호</th>
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- <td>
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- <c:if test="${info.wardNumber ne null and info.wardNumber ne ''}">
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- <c:out value="${info.wardNumber}"/>동
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- </c:if>
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- <c:out value="${info.roomNumber}" />호
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- </td>
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- <th>이름</th>
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- <td>
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- <c:out value="${info.patientName}" />
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- </td>
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- </tr>
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- <tr>
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- <th>성별</th>
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- <td>
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- <c:if test="${info.gender eq 'M'}">
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- 남
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- </c:if>
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- <c:if test="${info.gender ne 'M'}">
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- 여
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- </c:if>
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- </td>
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- <th>생년월일</th>
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- <td>
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- <c:out value="${info.jumin}" />
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- </td>
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- </tr>
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- <tr>
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- <th>연락처</th>
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- <td>
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- <c:out value="${info.patientPhone}" />
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- </td>
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- <th>보호자 연락처</th>
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- <td>
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- <c:out value="${info.guardianPhone}" />
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- </td>
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- </tr>
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- <tr>
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- <th>증상시작일</th>
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- <td>
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- <fmt:parseDate var="symptomStartDateTime" value="${info.symptomStartDate}" pattern="yyyy-MM-dd HH:mm" />
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- <c:set var="symptomStartDate"><fmt:formatDate value="${symptomStartDateTime}" pattern="yyyy년 MM월 dd일" /></c:set>
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- <c:out value="${symptomStartDate}" />
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- </td>
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- <th>확진일</th>
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- <td>
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- <fmt:parseDate var="confirmationDateTime" value="${info.confirmationDate}" pattern="yyyy-MM-dd HH:mm" />
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- <c:set var="confirmationDate"><fmt:formatDate value="${confirmationDateTime}" pattern="yyyy년 MM월 dd일" /></c:set>
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- <c:out value="${confirmationDate}" />
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- </td>
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- </tr>
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- <tr>
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-<!-- <th>격리해제 예정일</th> -->
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- <th>상태 변경일</br>(퇴소, 지정병원이송, 기타)</th>
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- <td>
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- <fmt:parseDate var="disisolationDateTime" value="${info.disisolationDate}" pattern="yyyy-MM-dd HH:mm" />
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- <c:set var="disisolationDate"><fmt:formatDate value="${disisolationDateTime}" pattern="yyyy년 MM월 dd일" /></c:set>
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- <c:out value="${disisolationDate}" />
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- <c:if test="${info.state eq 'D'}">(퇴소)</c:if>
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- <c:if test="${info.state eq 'T'}">(지정병원 이송)</c:if>
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- <c:if test="${info.state eq 'E'}">(기타)</c:if>
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- </td>
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- <th>상태</th>
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- <td>
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- <c:if test="${info.state eq 'H'}">입소</c:if>
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- <c:if test="${info.state eq 'D'}">퇴소</c:if>
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- <c:if test="${info.state eq 'T'}">지정병원 이송</c:if>
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- <c:if test="${info.state eq 'E'}">기타</c:if>
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- </td>
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- </tr>
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- <tr>
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- <th>최근 약복용<br />(최근 24시간 이내)</th>
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- <td>
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- <c:choose>
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- <c:when test="${info.drugYn eq 'Y'}">복용 (<c:out value="${info.drugContent}" />)</c:when>
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- <c:when test="${info.drugYn eq 'N'}">미복용</c:when>
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- <c:otherwise></c:otherwise>
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- </c:choose>
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- </td>
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- <th>임신</th>
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- <td>
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- <c:choose>
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- <c:when test="${info.pregnancyStatus eq 'N'}">무</c:when>
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- <c:when test="${info.pregnancyStatus eq 'Y'}">유 (<c:out value="${info.pregnancyWeek}주차" />)</c:when>
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- <c:otherwise></c:otherwise>
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- </c:choose>
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- </td>
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- </tr>
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- <tr>
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- <th rowspan="2">기저질환 여부</th>
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- <td colspan="3">
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- <c:choose>
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- <c:when test="${info.basalDiseaseYn eq 'Y'}">유</c:when>
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- <c:when test="${info.basalDiseaseYn eq 'N'}">무</c:when>
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- <c:otherwise></c:otherwise>
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- </c:choose>
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- </td>
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- </tr>
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- <tr>
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- <td colspan="3">
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-<%-- <c:if test="${info.highBloodPressureCheck eq 'Y'}">, 고혈압</c:if> --%>
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-<%-- <c:if test="${info.lowBloodPressureCheck eq 'Y'}">, 저혈압</c:if> --%>
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-<%-- <c:if test="${info.organTransplantCheck eq 'Y'}">, 장기이식(신장, 간 등)</c:if> --%>
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-<%-- <c:if test="${info.diabetesCheck eq 'Y'}">, 당뇨</c:if> --%>
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-<%-- <c:if test="${info.respiratoryDiseaseCheck eq 'Y'}">, 호흡기질환</c:if> --%>
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-<%-- <c:if test="${info.immunologicalDiseaseCheck eq 'Y'}">, 면역질환(류마티스 등)</c:if> --%>
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-<%-- <c:if test="${info.heartDisease eq 'Y'}">, 심장질환</c:if> --%>
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-<%-- <c:if test="${info.liverDisease eq 'Y'}">, 간질환</c:if> --%>
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-<%-- <c:if test="${info.operation eq 'Y'}">, 수술(<c:out value="${info.operationContent}" />)</c:if> --%>
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-<%-- <c:if test="${info.allergyCheck eq 'Y'}">, 알레르기</c:if> --%>
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-<%-- <c:if test="${info.kidneyDisease eq 'Y'}">, 신장질환</c:if> --%>
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-<%-- <c:if test="${info.cancerCheck eq 'Y'}">, 암(<c:out value="${info.cancerName}" />)</c:if> --%>
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-<%-- <c:if test="${info.ectCheckDisease eq 'Y'}">, 기타(<c:out value="${info.etcContentDisease}" />)</c:if> --%>
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- <c:out value="${disease}" />
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- </td>
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- </tr>
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- <tr>
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- <th>현재 증상<br />(입소 당시)</th>
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- <td colspan="3">
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-<%-- <c:if test="${info.feverCheck eq 'Y'}">, 열감(열나는느낌)</c:if> --%>
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-<%-- <c:if test="${info.coughCheck eq 'Y'}">, 기침</c:if> --%>
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-<%-- <c:if test="${info.colic eq 'Y'}">, 복통(배아픔)</c:if> --%>
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-<%-- <c:if test="${info.coldFitCheck eq 'Y'}">, 오한(추운 느낌)</c:if> --%>
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-<%-- <c:if test="${info.sputumCheck eq 'Y'}">, 가래</c:if> --%>
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-<%-- <c:if test="${info.ocinCheck eq 'Y'}">, 오심(구역질)</c:if> --%>
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-<%-- <c:if test="${info.chestPain eq 'Y'}">, 흉통</c:if> --%>
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-<%-- <c:if test="${info.noseCheck eq 'Y'}">, 콧물 또는 코 막힘</c:if> --%>
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-<%-- <c:if test="${info.vomitingCheck eq 'Y'}">, 구토</c:if> --%>
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-<%-- <c:if test="${info.musclePainCheck eq 'Y'}">, 근육통(몸살)</c:if> --%>
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-<%-- <c:if test="${info.soreThroatCheck eq 'Y'}">, 인후통(목 아픔)</c:if> --%>
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-<%-- <c:if test="${info.diarrheaCheck eq 'Y'}">, 설사</c:if> --%>
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-<%-- <c:if test="${info.headacheCheck eq 'Y'}">, 두통(머리아픔)</c:if> --%>
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-<%-- <c:if test="${info.dyspneaCheck eq 'Y'}">, 호흡곤란(숨가쁨)</c:if> --%>
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-<%-- <c:if test="${info.fatigueCheck eq 'Y'}">, 권태감(피곤함)</c:if> --%>
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-<%-- <c:if test="${info.ectCheckSymptom eq 'Y'}">, 기타(<c:out value="${info.etcContentSymptom}" />)</c:if> --%>
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- <c:out value="${symptom}" />
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- </td>
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- </tr>
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- <tr>
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- <th>
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- 체온
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- </th>
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- <td>
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- <c:out value="우측 ${info.feverRight}℃ / 좌측 ${info.feverRight}℃" />
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- </td>
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- <th>
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- 맥박수
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- </th>
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- <td>
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- <c:out value="${info.pulseRate} 회/분" />
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- </td>
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- </tr>
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- <tr>
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- <th>
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- 호흡수
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- </th>
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- <td>
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- <c:out value="${info.respirationRate} 회/분" />
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- </td>
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- <th>
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- 혈압
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- </th>
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- <td>
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- <c:out value="수축기 ${info.bloodPressureLevelCon} mmHg / 이완기 ${info.bloodPressureLevelRel} mmHg" />
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- </td>
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- </tr>
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- <tr>
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- <th>
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- 산소포화도
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- </th>
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- <td colspan="3">
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- <c:out value="${info.oxygenSaturation} %" />
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- </td>
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- </tr>
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- </table>
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- <div class="row mt-3">
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- <div class="col-12">
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- <div class="text-right">
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- <c:if test="${data._SES_GROUP_IDX ne '1'}">
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- <button type="button" class="btn btn-secondary w100" onclick="location.href='./edit?patientIdx=${patientIdx}';">수정</button>
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- </c:if>
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- <button type="button" class="btn btn-primary w100" onclick="location.href='./list';">확인</button>
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+ <form method="post" id="pForm">
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+ <input type="hidden" name="enIdx" value="<c:out value="${enIdx}" />">
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+
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+ <table class="table mobile-table">
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+ <colgroup>
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+ <col style="width:15%">
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+ <col style="width:35%">
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+ <col style="width:15%">
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+ <col style="width:35%">
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+ </colgroup>
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+ <tr>
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+ <th>치료센터</th>
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+ <td><c:out value="${info.centerName}" /></td>
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+ <th>입소일시</th>
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+ <td colspan="2">
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+ <fmt:parseDate var="hDate" value="${info.hospitalizationDate}" pattern="yyyy-MM-dd HH:mm" />
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+ <c:set var="hospitalizationDate"><fmt:formatDate value="${hDate}" pattern="yyyy년 MM월 dd일" /></c:set>
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+ <c:out value="${hospitalizationDate}" />
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+ <%-- <c:out value="${info.hospitalizationDate}" /> --%>
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+ </td>
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+ </tr>
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+ <tr>
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+ <th>병동 번호</th>
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+ <td>
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+ <c:if test="${info.wardNumber ne null and info.wardNumber ne ''}">
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+ <c:out value="${info.wardNumber}"/>동
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+ </c:if>
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+ <c:out value="${info.roomNumber}" />호
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+ </td>
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+ <th>이름</th>
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+ <td>
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+ <c:out value="${info.patientName}" />
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+ </td>
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+ </tr>
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+ <tr>
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+ <th>성별</th>
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+ <td>
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+ <c:if test="${info.gender eq 'M'}">
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+ 남
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+ </c:if>
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+ <c:if test="${info.gender ne 'M'}">
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+ 여
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+ </c:if>
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+ </td>
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+ <th>생년월일</th>
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+ <td>
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+ <c:out value="${info.jumin}" />
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+ </td>
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+ </tr>
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+ <tr>
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+ <th>연락처</th>
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+ <td>
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+ <c:out value="${info.patientPhone}" />
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+ </td>
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+ <th>보호자 연락처</th>
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+ <td>
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+ <c:out value="${info.guardianPhone}" />
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+ </td>
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+ </tr>
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+ <tr>
|
|
|
+ <th>증상시작일</th>
|
|
|
+ <td>
|
|
|
+ <fmt:parseDate var="symptomStartDateTime" value="${info.symptomStartDate}" pattern="yyyy-MM-dd HH:mm" />
|
|
|
+ <c:set var="symptomStartDate"><fmt:formatDate value="${symptomStartDateTime}" pattern="yyyy년 MM월 dd일" /></c:set>
|
|
|
+ <c:out value="${symptomStartDate}" />
|
|
|
+ </td>
|
|
|
+ <th>확진일</th>
|
|
|
+ <td>
|
|
|
+ <fmt:parseDate var="confirmationDateTime" value="${info.confirmationDate}" pattern="yyyy-MM-dd HH:mm" />
|
|
|
+ <c:set var="confirmationDate"><fmt:formatDate value="${confirmationDateTime}" pattern="yyyy년 MM월 dd일" /></c:set>
|
|
|
+ <c:out value="${confirmationDate}" />
|
|
|
+ </td>
|
|
|
+ </tr>
|
|
|
+ <tr>
|
|
|
+ <!-- <th>격리해제 예정일</th> -->
|
|
|
+ <th>상태 변경일</br>(퇴소, 지정병원이송, 기타)</th>
|
|
|
+ <td>
|
|
|
+ <fmt:parseDate var="disisolationDateTime" value="${info.disisolationDate}" pattern="yyyy-MM-dd HH:mm" />
|
|
|
+ <c:set var="disisolationDate"><fmt:formatDate value="${disisolationDateTime}" pattern="yyyy년 MM월 dd일" /></c:set>
|
|
|
+ <c:out value="${disisolationDate}" />
|
|
|
+ <c:if test="${info.state eq 'D'}">(퇴소)</c:if>
|
|
|
+ <c:if test="${info.state eq 'T'}">(지정병원 이송)</c:if>
|
|
|
+ <c:if test="${info.state eq 'E'}">(기타)</c:if>
|
|
|
+ </td>
|
|
|
+ <th>상태</th>
|
|
|
+ <td>
|
|
|
+ <c:if test="${info.state eq 'H'}">입소</c:if>
|
|
|
+ <c:if test="${info.state eq 'D'}">퇴소</c:if>
|
|
|
+ <c:if test="${info.state eq 'T'}">지정병원 이송</c:if>
|
|
|
+ <c:if test="${info.state eq 'E'}">기타</c:if>
|
|
|
+ </td>
|
|
|
+ </tr>
|
|
|
+ <tr>
|
|
|
+ <th>최근 약복용<br />(최근 24시간 이내)</th>
|
|
|
+ <td>
|
|
|
+ <c:choose>
|
|
|
+ <c:when test="${info.drugYn eq 'Y'}">복용 (<c:out value="${info.drugContent}" />)</c:when>
|
|
|
+ <c:when test="${info.drugYn eq 'N'}">미복용</c:when>
|
|
|
+ <c:otherwise></c:otherwise>
|
|
|
+ </c:choose>
|
|
|
+ </td>
|
|
|
+ <th>임신</th>
|
|
|
+ <td>
|
|
|
+ <c:choose>
|
|
|
+ <c:when test="${info.pregnancyStatus eq 'N'}">무</c:when>
|
|
|
+ <c:when test="${info.pregnancyStatus eq 'Y'}">유 (<c:out value="${info.pregnancyWeek}주차" />)</c:when>
|
|
|
+ <c:otherwise></c:otherwise>
|
|
|
+ </c:choose>
|
|
|
+ </td>
|
|
|
+ </tr>
|
|
|
+ <tr>
|
|
|
+ <th rowspan="2">기저질환 여부</th>
|
|
|
+ <td colspan="3">
|
|
|
+ <c:choose>
|
|
|
+ <c:when test="${info.basalDiseaseYn eq 'Y'}">유</c:when>
|
|
|
+ <c:when test="${info.basalDiseaseYn eq 'N'}">무</c:when>
|
|
|
+ <c:otherwise></c:otherwise>
|
|
|
+ </c:choose>
|
|
|
+ </td>
|
|
|
+ </tr>
|
|
|
+ <tr>
|
|
|
+ <td colspan="3">
|
|
|
+ <%-- <c:if test="${info.highBloodPressureCheck eq 'Y'}">, 고혈압</c:if> --%>
|
|
|
+ <%-- <c:if test="${info.lowBloodPressureCheck eq 'Y'}">, 저혈압</c:if> --%>
|
|
|
+ <%-- <c:if test="${info.organTransplantCheck eq 'Y'}">, 장기이식(신장, 간 등)</c:if> --%>
|
|
|
+ <%-- <c:if test="${info.diabetesCheck eq 'Y'}">, 당뇨</c:if> --%>
|
|
|
+ <%-- <c:if test="${info.respiratoryDiseaseCheck eq 'Y'}">, 호흡기질환</c:if> --%>
|
|
|
+ <%-- <c:if test="${info.immunologicalDiseaseCheck eq 'Y'}">, 면역질환(류마티스 등)</c:if> --%>
|
|
|
+ <%-- <c:if test="${info.heartDisease eq 'Y'}">, 심장질환</c:if> --%>
|
|
|
+ <%-- <c:if test="${info.liverDisease eq 'Y'}">, 간질환</c:if> --%>
|
|
|
+ <%-- <c:if test="${info.operation eq 'Y'}">, 수술(<c:out value="${info.operationContent}" />)</c:if> --%>
|
|
|
+ <%-- <c:if test="${info.allergyCheck eq 'Y'}">, 알레르기</c:if> --%>
|
|
|
+ <%-- <c:if test="${info.kidneyDisease eq 'Y'}">, 신장질환</c:if> --%>
|
|
|
+ <%-- <c:if test="${info.cancerCheck eq 'Y'}">, 암(<c:out value="${info.cancerName}" />)</c:if> --%>
|
|
|
+ <%-- <c:if test="${info.ectCheckDisease eq 'Y'}">, 기타(<c:out value="${info.etcContentDisease}" />)</c:if> --%>
|
|
|
+ <c:out value="${disease}" />
|
|
|
+ </td>
|
|
|
+ </tr>
|
|
|
+ <tr>
|
|
|
+ <th>현재 증상<br />(입소 당시)</th>
|
|
|
+ <td colspan="3">
|
|
|
+ <%-- <c:if test="${info.feverCheck eq 'Y'}">, 열감(열나는느낌)</c:if> --%>
|
|
|
+ <%-- <c:if test="${info.coughCheck eq 'Y'}">, 기침</c:if> --%>
|
|
|
+ <%-- <c:if test="${info.colic eq 'Y'}">, 복통(배아픔)</c:if> --%>
|
|
|
+ <%-- <c:if test="${info.coldFitCheck eq 'Y'}">, 오한(추운 느낌)</c:if> --%>
|
|
|
+ <%-- <c:if test="${info.sputumCheck eq 'Y'}">, 가래</c:if> --%>
|
|
|
+ <%-- <c:if test="${info.ocinCheck eq 'Y'}">, 오심(구역질)</c:if> --%>
|
|
|
+ <%-- <c:if test="${info.chestPain eq 'Y'}">, 흉통</c:if> --%>
|
|
|
+ <%-- <c:if test="${info.noseCheck eq 'Y'}">, 콧물 또는 코 막힘</c:if> --%>
|
|
|
+ <%-- <c:if test="${info.vomitingCheck eq 'Y'}">, 구토</c:if> --%>
|
|
|
+ <%-- <c:if test="${info.musclePainCheck eq 'Y'}">, 근육통(몸살)</c:if> --%>
|
|
|
+ <%-- <c:if test="${info.soreThroatCheck eq 'Y'}">, 인후통(목 아픔)</c:if> --%>
|
|
|
+ <%-- <c:if test="${info.diarrheaCheck eq 'Y'}">, 설사</c:if> --%>
|
|
|
+ <%-- <c:if test="${info.headacheCheck eq 'Y'}">, 두통(머리아픔)</c:if> --%>
|
|
|
+ <%-- <c:if test="${info.dyspneaCheck eq 'Y'}">, 호흡곤란(숨가쁨)</c:if> --%>
|
|
|
+ <%-- <c:if test="${info.fatigueCheck eq 'Y'}">, 권태감(피곤함)</c:if> --%>
|
|
|
+ <%-- <c:if test="${info.ectCheckSymptom eq 'Y'}">, 기타(<c:out value="${info.etcContentSymptom}" />)</c:if> --%>
|
|
|
+ <c:out value="${symptom}" />
|
|
|
+ </td>
|
|
|
+ </tr>
|
|
|
+ <tr>
|
|
|
+ <th>
|
|
|
+ 체온
|
|
|
+ </th>
|
|
|
+ <td>
|
|
|
+ <c:out value="우측 ${info.feverRight}℃ / 좌측 ${info.feverRight}℃" />
|
|
|
+ </td>
|
|
|
+ <th>
|
|
|
+ 맥박수
|
|
|
+ </th>
|
|
|
+ <td>
|
|
|
+ <c:out value="${info.pulseRate} 회/분" />
|
|
|
+ </td>
|
|
|
+ </tr>
|
|
|
+ <tr>
|
|
|
+ <th>
|
|
|
+ 호흡수
|
|
|
+ </th>
|
|
|
+ <td>
|
|
|
+ <c:out value="${info.respirationRate} 회/분" />
|
|
|
+ </td>
|
|
|
+ <th>
|
|
|
+ 혈압
|
|
|
+ </th>
|
|
|
+ <td>
|
|
|
+ <c:out value="수축기 ${info.bloodPressureLevelCon} mmHg / 이완기 ${info.bloodPressureLevelRel} mmHg" />
|
|
|
+ </td>
|
|
|
+ </tr>
|
|
|
+ <tr>
|
|
|
+ <th>
|
|
|
+ 산소포화도
|
|
|
+ </th>
|
|
|
+ <td colspan="3">
|
|
|
+ <c:out value="${info.oxygenSaturation} %" />
|
|
|
+ </td>
|
|
|
+ </tr>
|
|
|
+ </table>
|
|
|
+
|
|
|
+ <div class="row mt-3">
|
|
|
+ <div class="col-12">
|
|
|
+ <div class="text-right">
|
|
|
+ <c:if test="${data._SES_GROUP_IDX eq '2'}">
|
|
|
+ <button type="button" class="btn btn-danger w100" onclick="deleteConfirm();">삭제</button>
|
|
|
+ </c:if>
|
|
|
+
|
|
|
+ <c:if test="${data._SES_GROUP_IDX ne '1'}">
|
|
|
+ <button type="button" class="btn btn-secondary w100" onclick="location.href='./edit?patientIdx=${patientIdx}';">수정</button>
|
|
|
+ </c:if>
|
|
|
+
|
|
|
+ <button type="button" class="btn btn-primary w100" onclick="location.href='./list';">확인</button>
|
|
|
+ </div>
|
|
|
</div>
|
|
|
</div>
|
|
|
- </div>
|
|
|
+ </form>
|
|
|
</div>
|
|
|
</div>
|
|
|
</div>
|