12345678910111213141516171819202122232425262728293031323334353637383940414243444546474849505152535455565758596061626364656667686970717273747576777879808182838485868788899091 |
- <wrapper>
- <view class="hospital-edit-patient">
- <form-row title="关系">
- <select-relationship onChange="onRelationChange">
- <form-arrow value="{{ editForm.relationShip }}" placeholder="请选择关系"/>
- </select-relationship>
- </form-row>
- <form-row title="就诊人姓名" common="true">
- <view class="input-control">
- <input
- type="text"
- onInput="onNameInput"
- placeholder="请输入真实姓名"
- value="{{ editForm.name }}"
- placeholder-class="placeholder"
- disabled="{{ isAuthSuccess && !editForm.id }}"
- />
- </view>
- </form-row>
- <!-- <form-row title="就诊人性别">
- <view class="row-m">
- <radio-custom-group
- options="{{ genders }}"
- onChange="onSexChange"
- value="{{ editForm.sex }}"
- />
- </view>
- </form-row> -->
- <form-row title="证件类型" common="true">
- <picker
- range-key="name"
- range="{{ certTypes }}"
- onChange="onCertTypeChange"
- >
- <view><form-arrow value="{{ editForm.idCardType }}" /></view>
- </picker>
- </form-row>
- <form-row title="证件号码">
- <view class="input-control">
- <input
- type="text"
- onInput="onCardNoInput"
- placeholder="请输入证件号码"
- value="{{ editForm.idCardNo }}"
- placeholder-class="placeholder"
- disabled="{{ isAuthSuccess && !editForm.id }}"
- />
- </view>
- </form-row>
- <form-row title="手机号码">
- <view class="input-control">
- <input
- type="text"
- onInput="onPhoneInput"
- placeholder-class="placeholder"
- value="{{ editForm.phoneNumber }}"
- placeholder="请输入在医院预留的手机号"
- disabled="{{ isAuthSuccess && !editForm.id }}"
- />
- </view>
- </form-row>
- <form-row title="费别类型">
- <view class="input-control">
- <am-checkbox
- ctrlChecked="{{editForm.isInsu === '1'}}"
- onChange="checkedInsuChange"
- />
- <text class="isinsu-text" onTap="checkedTextInsuChange">医保</text>
- <am-checkbox
- ctrlChecked="{{ editForm.isInsu === '0'}}"
- onChange="checkedNoInsuChange"
- />
- <text class="isinsu-text" onTap="checkedTextnoInsuChange">自费</text>
- </view>
- </form-row>
- <view class="isinsu-alert">
- 温馨提示:
- 1、忘记个人诊疗卡号/ID号的请联系客服中心(400-020-1120)。
- 2、请首次预约挂号后,就诊时先到门诊大厅挂号/收费⑤号窗进行人员身份确认后再报到就诊。
- 3、属于初诊建卡的患者,请持有效证件(身份证、社保卡、公费医疗证)到我院门诊挂号窗核验医疗待遇(医保/公医),再前往诊室就医。</view>
- <view class="footer">
- <button class="submit-button" onTap="patientSave">保存</button>
- </view>
- </view>
- <select-card
- show="{{ show }}"
- onClose="onClosePopup"
- onChange="onCardChange"
- defaultList="{{ medicCardsList }}"
- />
- </wrapper>
|