dbs289
/
LifeCenter


			
				
					
						
						
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							<%@ taglib uri="http://java.sun.com/jsp/jstl/core" prefix="c" %>
<%@ taglib prefix="form" uri="http://www.springframework.org/tags/form"%>
<%@ page language="java" contentType="text/html; charset=UTF-8" pageEncoding="UTF-8" %>
<jsp:include page="${data._INCLUDE}/header.jsp"></jsp:include>
<script>
	$(function() {
		// Select2
		$(".select2").each(function() {
			$(this)
				.wrap("<div class=\"position-relative\"></div>")
				.select2({
					placeholder: "Select value",
					dropdownParent: $(this).parent()
				});
		})
		// Daterangepicker
		$("input[name=\"daterange\"]").daterangepicker({
			opens: "left"
		});
		$("input[name=\"datetimes\"]").daterangepicker({
			timePicker: true,
			opens: "left",
			startDate: moment().startOf("hour"),
			endDate: moment().startOf("hour").add(32, "hour"),
			locale: {
				format: "M/DD hh:mm A"
			}
		});
		$("input[name=\"datesingle\"]").daterangepicker({
			singleDatePicker: true,
			showDropdowns: true
		});
		// Datetimepicker
		$('#datetimepicker-minimum').datetimepicker();
		$('#datetimepicker-view-mode').datetimepicker({
			viewMode: 'years'
		});
		$('#datetimepicker-time').datetimepicker({
			format: 'LT'
		});
		$('#datetimepicker-date').datetimepicker({
			format: 'L'
		});
		var start = moment().subtract(29, "days");
		var end = moment();

		function cb(start, end) {
			$("#reportrange span").html(start.format("MMMM D, YYYY") + " - " + end.format("MMMM D, YYYY"));
		}
		$("#reportrange").daterangepicker({
			startDate: start,
			endDate: end,
			ranges: {
				"Today": [moment(), moment()],
				"Yesterday": [moment().subtract(1, "days"), moment().subtract(1, "days")],
				"Last 7 Days": [moment().subtract(6, "days"), moment()],
				"Last 30 Days": [moment().subtract(29, "days"), moment()],
				"This Month": [moment().startOf("month"), moment().endOf("month")],
				"Last Month": [moment().subtract(1, "month").startOf("month"), moment().subtract(1, "month").endOf("month")]
			}
		}, cb);
		cb(start, end);
	});
</script>
<script>
	$(function() {
		// Datatables basic
		$("#datatables-basic").DataTable({
			responsive: true
		});
		// Datatables with Buttons
		var datatablesButtons = $("#datatables-buttons").DataTable({
			responsive: true,
			lengthChange: !1,
			buttons: ["copy", "print"]
		});
		datatablesButtons.buttons().container().appendTo("#datatables-buttons_wrapper .col-md-6:eq(0)");
		// Datatables with Multiselect
		var datatablesMulti = $("#datatables-multi").DataTable({
			responsive: true,
			select: {
				style: "multi"
			}
		});
	});
</script>
</head>
<body>
<div class="wrapper">
	<jsp:include page="${data._INCLUDE}/sidebar.jsp"></jsp:include>

	<div class="main">
		<nav class="navbar navbar-expand navbar-light bg-white">
			<a class="sidebar-toggle d-flex mr-2">
         <i class="hamburger align-self-center"></i>
       </a>

			<div class="navbar-collapse collapse">
				<ul class="navbar-nav ml-auto">
					<li class="nav-item dropdown">
						<a class="nav-icon dropdown-toggle d-inline-block d-sm-none" href="#" data-toggle="dropdown">
               <i class="align-middle" data-feather="settings"></i>
             </a>

						<a class="nav-link dropdown-toggle d-none d-sm-inline-block" href="#" data-toggle="dropdown">
              <span class="text-dark">홍길동 선생님</span>
             </a>
						<div class="dropdown-menu dropdown-menu-right">
							<a class="dropdown-item" href="pages-profile.html"><i class="align-middle mr-1" data-feather="user"></i> 정보변경</a>
							<a class="dropdown-item" href="#"><i class="align-middle mr-1" data-feather="pie-chart"></i> 로그아웃</a>
						</div>
					</li>
				</ul>
			</div>
		</nav>

		<main class="content">
			<div class="container-fluid p-0">
				<!-- 환자관리 : 신규환자 등록 START -->
				<div class="row">
					<div class="col-12 col-lg-6">
						<h1 class="h3 mb-3">
							환자정보
						</h1>
					</div>
					<div class="col-12 col-lg-6  text-right">
						<nav aria-label="breadcrumb">
							<ol class="breadcrumb">
								<li class="breadcrumb-item"><a href="javscript:;">Home</a></li>
								<li class="breadcrumb-item">환자관리</li>
								<li class="breadcrumb-item active">환자정보 등록</li>
							</ol>
						</nav>
					</div>
				</div>
				<div class="row">
					<div class="col-12">
						<div class="card">
							<div class="card-body">
								<table class="table mobile-table">
									<colgroup>
										<col style="width:15%">
										<col style="width:35%">
										<col style="width:15%">
										<col style="width:35%">
									</colgroup>
									<tr>
										<th>치료센터</th>
										<td>레몬종합병원</td>
										<th><span class="fix">*</span>입소일시</th>
										<td colspan="2">
											<div class="form-row">
												<div class="col-6">
													<input class="form-control" type="text" name="datesingle">
												</div>
												<div class="col-3">
													<select class="custom-select">
												          <option selected="">시간</option>
												          <option>1</option>
												          <option>2</option>
												          <option>3</option>
												          <option>4</option>
												          <option>5</option>
												          <option>6</option>
												          <option>7</option>
											        </select>
												</div>
												<div class="col-3">
													<select class="custom-select">
												          <option selected="">분</option>
												          <option>1</option>
												          <option>2</option>
												          <option>3</option>
												          <option>4</option>
												          <option>5</option>
												          <option>6</option>
												          <option>7</option>
											        </select>
												</div>
											</div>
										</td>
									</tr>
									<tr>
										<th><span class="fix">*</span>병동 번호</th>
										<td>
											<input type="text" class="form-control" placeholder="병동 번호를 입력해주세요">
										</td>
										<th><span class="fix">*</span>이름</th>
										<td>
											<input type="text" class="form-control" placeholder="이름을 입력해주세요">
										</td>
									</tr>
									<tr>
										<th><span class="fix">*</span>성별</th>
										<td>
											<label class="form-check form-check-inline">
									            <input class="form-check-input" type="radio" name="inline-radios-example" value="option1">
									            <span class="form-check-label">
									              남
									            </span>
									        </label>
											<label class="form-check form-check-inline">
									            <input class="form-check-input" type="radio" name="inline-radios-example" value="option2">
									            <span class="form-check-label">
									              여
									            </span>
									        </label>
										</td>
										<th><span class="fix">*</span>생년월일</th>
										<td>
											<div class="form-row">
												<div class="col-4">
													<select class="custom-select">
												          <option selected="">년</option>
												          <option>1999</option>
												          <option>1998</option>
												          <option>1997</option>
											        </select>
												</div>
												<div class="col-4">
													<select class="custom-select">
												          <option selected="">월</option>
												          <option>1</option>
												          <option>2</option>
												          <option>3</option>
												          <option>4</option>
												          <option>5</option>
												          <option>6</option>
												          <option>7</option>
												          <option>8</option>
												          <option>9</option>
												          <option>10</option>
												          <option>11</option>
												          <option>12</option>
											        </select>
												</div>
												<div class="col-4">
													<select class="custom-select">
												          <option selected="">일</option>
												          <option>1</option>
												          <option>2</option>
												          <option>3</option>
												          <option>4</option>
												          <option>5</option>
												          <option>6</option>
												          <option>7</option>
												          <option>8</option>
												          <option>9</option>
											        </select>
												</div>
											</div>
										</td>
									</tr>
									<tr>
										<th><span class="fix">*</span>연락처</th>
										<td>
											<input type="text" class="form-control" placeholder="연락처를 입력해주세요">
										</td>
										<th>보호자 연락처</th>
										<td>
											<input type="text" class="form-control" placeholder="보호자 연락처를 입력해주세요">
										</td>
									</tr>
									<tr>
										<th><span class="fix">*</span>증상시작일</th>
										<td>
											<div class="form-group mb-xl-0">
												<input class="form-control" type="text" name="datesingle">
											</div>
										</td>
										<th><span class="fix">*</span>확진일</th>
										<td>
											<div class="form-group mb-xl-0">
												<input class="form-control" type="text" name="datesingle">
											</div>
										</td>
									</tr>
									<tr>
										<th>격리해제일</th>
										<td colspan="3">
											<div class="form-group mb-xl-0">
												<input class="form-control" type="text" name="datesingle">
											</div>
										</td>
									</tr>
									<tr>
										<th><span class="fix">*</span>기저질환</th>
										<td>
											<label class="form-check form-check-inline">
									            <input class="form-check-input" type="radio" name="inline-radios-example" value="option1">
									            <span class="form-check-label">
									              무
									            </span>
									        </label>
											<label class="form-check form-check-inline">
									            <input class="form-check-input" type="radio" name="inline-radios-example" value="option2">
									            <span class="form-check-label">
									              유
									            </span>
									        </label>
											<label class="form-check form-check-inline">
									            <input type="text" class="form-control" name="inline-radios-example">
									        </label>
										</td>
										<th><span class="fix">*</span>임신</th>
										<td>
											<label class="form-check form-check-inline">
									            <input class="form-check-input" type="radio" name="inline-radios-example" value="option1">
									            <span class="form-check-label">
									              무
									            </span>
									        </label>
											<label class="form-check form-check-inline">
									            <input class="form-check-input" type="radio" name="inline-radios-example" value="option2">
									            <span class="form-check-label">
									              유
									            </span>
									        </label>
											<label class="form-check form-check-inline">
													<select class="custom-select">
												          <option selected="">주</option>
												          <option>1주</option>
												          <option>2주</option>
												          <option>3주</option>
												          <option>4주</option>
												          <option>5주</option>
											        </select>
									        </label>
										</td>
									</tr>
									<tr>
										<th rowspan="5"><span class="fix">*</span>입실당시 증상</th>
										<td colspan="3">
											<label class="form-check form-check-inline">
									            <input class="form-check-input" type="checkbox" value="option1">
									            <span class="form-check-label">
									            	발열 (37.5℃ 이상, 입실 당시 체온 - 우 <input type="text" class="form-control form-control-sm w50" name="">℃ / - 좌 <input type="text" class="form-control form-control-sm w50" name="">℃
									            </span>
									        </label>
										</td>
									</tr>
									<tr>
										<td colspan="3">
											<label class="form-check form-check-inline">
									            <input class="form-check-input" type="checkbox" value="option1">
									            <span class="form-check-label">
									            	기침
									            </span>
									        </label>
											<label class="form-check form-check-inline">
									            <input class="form-check-input" type="checkbox" value="option1">
									            <span class="form-check-label">
									            	호흡곤란
									            </span>
									        </label>
											<label class="form-check form-check-inline">
									            <input class="form-check-input" type="checkbox" value="option1">
									            <span class="form-check-label">
									            	오한
									            </span>
									        </label>
											<label class="form-check form-check-inline">
									            <input class="form-check-input" type="checkbox" value="option1">
									            <span class="form-check-label">
									            	근육통
									            </span>
									        </label>
											<label class="form-check form-check-inline">
									            <input class="form-check-input" type="checkbox" value="option1">
									            <span class="form-check-label">
									            	두통
									            </span>
									        </label>
											<label class="form-check form-check-inline">
									            <input class="form-check-input" type="checkbox" value="option1">
									            <span class="form-check-label">
									            	인후통
									            </span>
									        </label>
											<label class="form-check form-check-inline">
									            <input class="form-check-input" type="checkbox" value="option1">
									            <span class="form-check-label">
									            	후각/미각손실
									            </span>
									        </label>
											<label class="form-check form-check-inline">
									            <input class="form-check-input" type="checkbox" value="option1">
									            <span class="form-check-label">
									            	피로
									            </span>
									        </label>
										</td>
									</tr>
									<tr>
										<td colspan="3">
											<label class="form-check form-check-inline">
									            <input class="form-check-input" type="checkbox" value="option1">
									            <span class="form-check-label">
									            	식욕감소
									            </span>
									        </label>
											<label class="form-check form-check-inline">
									            <input class="form-check-input" type="checkbox" value="option1">
									            <span class="form-check-label">
									            	가래
									            </span>
									        </label>
											<label class="form-check form-check-inline">
									            <input class="form-check-input" type="checkbox" value="option1">
									            <span class="form-check-label">
									            	오신
									            </span>
									        </label>
											<label class="form-check form-check-inline">
									            <input class="form-check-input" type="checkbox" value="option1">
									            <span class="form-check-label">
									            	구토
									            </span>
									        </label>
											<label class="form-check form-check-inline">
									            <input class="form-check-input" type="checkbox" value="option1">
									            <span class="form-check-label">
									            	설사
									            </span>
									        </label>
											<label class="form-check form-check-inline">
									            <input class="form-check-input" type="checkbox" value="option1">
									            <span class="form-check-label">
									            	어지러움
									            </span>
									        </label>
											<label class="form-check form-check-inline">
									            <input class="form-check-input" type="checkbox" value="option1">
									            <span class="form-check-label">
									            	콧물/코막힘
									            </span>
									        </label>
											<label class="form-check form-check-inline">
									            <input class="form-check-input" type="checkbox" value="option1">
									            <span class="form-check-label">
									            	기타 (<input type="text" class="form-control form-control-sm w150" name="">)
									            </span>
									        </label>
										</td>
									</tr>
									<tr>
										<td colspan="3">
											<label class="form-check form-check-inline">
									            <input class="form-check-input" type="checkbox" value="option1">
									            <span class="form-check-label">
									            	맥박 ( <input type="text" class="form-control form-control-sm w150" name=""> )
									            </span>
									        </label>
											<label class="form-check form-check-inline">
									            <input class="form-check-input" type="checkbox" value="option1">
									            <span class="form-check-label">
									            	호흡 ( <input type="text" class="form-control form-control-sm w150" name=""> )
									            </span>
									        </label>
											<label class="form-check form-check-inline">
									            <input class="form-check-input" type="checkbox" value="option1">
									            <span class="form-check-label">
									            	혈압mmHg ( <input type="text" class="form-control form-control-sm w150" name=""> )
									            </span>
									        </label>
										</td>
									</tr>
									<tr>
										<td colspan="3">
											<table class="table">	
												<colgroup>
													<col style="width:15%">
													<col style="width:35%">
													<col style="width:15%">
													<col style="width:35%">
												</colgroup>
												<tr>
													<th><span class="fix">*</span>중증도분류</th>
													<td>
														<input type="text" class="form-control form-control-sm" name="">
													</td>
													<th><span class="fix">*</span>산소포화도</th>
													<td>
														<input type="text" class="form-control form-control-sm" name="">
													</td>
												</tr>
												<tr>
													<th><span class="fix">*</span>흉부 X선 결과</th>
													<td colspan="3">
														<label class="form-check form-check-inline">
												            <input class="form-check-input" type="checkbox" value="option1">
												            <span class="form-check-label">
												            	정상
												            </span>
												        </label>
														<label class="form-check form-check-inline">
												            <input class="form-check-input" type="checkbox" value="option1">
												            <span class="form-check-label">
												            	폐렴
												            </span>
												        </label>
														<label class="form-check form-check-inline">
												            <input class="form-check-input" type="checkbox" value="option1">
												            <span class="form-check-label">
												            	기타 ( <input type="text" class="form-control form-control-sm w150" name=""> )
												            </span>
												        </label>
													</td>
												</tr>
											</table>
										</td>
									</tr>
									<tr>
										<th>상태 및 특이사항</th>
										<td colspan="3">
											<div class="form-row">
												<div class="col-10">
													<textarea name="" class="form-control"></textarea>
												</div>
												<div class="col-2">
													000/1000 byte
												</div>
											</div>
										</td>
									</tr>
								</table>
								<div class="row mt-3">
									<div class="col-12">
										<div class="text-right">
											<button class="btn btn-outline-primary w100" onclick="history.go(-1);">취소</button>
											<button class="btn btn-primary w100" onclick="location.href='./info';">저장</button>
										</div>
									</div>
								</div>
							</div>
						</div>
					</div>
				</div>
				<!-- 환자관리 : 신규환자 등록 END -->
			</div>
		</main>

		<jsp:include page="${data._INCLUDE}/footer.jsp"></jsp:include>
	</div>
</div>

</body>
</html>