index.axml 3.5 KB

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  1. <wrapper>
  2. <view class="hospital-edit-patient">
  3. <form-row title="关系">
  4. <select-relationship onChange="onRelationChange">
  5. <form-arrow value="{{ editForm.relationShip }}" placeholder="请选择关系"/>
  6. </select-relationship>
  7. </form-row>
  8. <form-row title="就诊人姓名" common="true">
  9. <view class="input-control">
  10. <input
  11. type="text"
  12. onInput="onNameInput"
  13. placeholder="请输入真实姓名"
  14. value="{{ editForm.name }}"
  15. placeholder-class="placeholder"
  16. disabled="{{ isAuthSuccess && !editForm.id }}"
  17. />
  18. </view>
  19. </form-row>
  20. <!-- <form-row title="就诊人性别">
  21. <view class="row-m">
  22. <radio-custom-group
  23. options="{{ genders }}"
  24. onChange="onSexChange"
  25. value="{{ editForm.sex }}"
  26. />
  27. </view>
  28. </form-row> -->
  29. <form-row title="证件类型" common="true">
  30. <picker
  31. range-key="name"
  32. range="{{ certTypes }}"
  33. onChange="onCertTypeChange"
  34. >
  35. <view><form-arrow value="{{ editForm.idCardType }}" /></view>
  36. </picker>
  37. </form-row>
  38. <form-row title="证件号码">
  39. <view class="input-control">
  40. <input
  41. type="text"
  42. onInput="onCardNoInput"
  43. placeholder="请输入证件号码"
  44. value="{{ editForm.idCardNo }}"
  45. placeholder-class="placeholder"
  46. disabled="{{ isAuthSuccess && !editForm.id }}"
  47. />
  48. </view>
  49. </form-row>
  50. <form-row title="手机号码">
  51. <view class="input-control">
  52. <input
  53. type="text"
  54. onInput="onPhoneInput"
  55. placeholder-class="placeholder"
  56. value="{{ editForm.phoneNumber }}"
  57. placeholder="请输入在医院预留的手机号"
  58. disabled="{{ isAuthSuccess && !editForm.id }}"
  59. />
  60. </view>
  61. </form-row>
  62. <form-row title="费别类型">
  63. <view class="input-control">
  64. <am-checkbox
  65. ctrlChecked="{{editForm.isInsu === '1'}}"
  66. onChange="checkedInsuChange"
  67. />
  68. <text class="isinsu-text" onTap="checkedTextInsuChange">医保</text>
  69. <am-checkbox
  70. ctrlChecked="{{ editForm.isInsu === '0'}}"
  71. onChange="checkedNoInsuChange"
  72. />
  73. <text class="isinsu-text" onTap="checkedTextnoInsuChange">自费</text>
  74. </view>
  75. </form-row>
  76. <view class="isinsu-alert">
  77. 温馨提示:
  78. 1、忘记个人诊疗卡号/ID号的请联系客服中心(400-020-1120)。
  79. 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。
  80. 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>
  81. <view class="footer">
  82. <button class="submit-button" onTap="patientSave">保存</button>
  83. </view>
  84. </view>
  85. <modal
  86. show="{{ modalOpened }}"
  87. showClose="{{ false }}"
  88. onButtonClick="onButtonClick"
  89. buttons="{{ buttons }}"
  90. zIndex="10"
  91. >
  92. <view slot="header">温馨提醒</view>
  93. 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。
  94. </modal>
  95. <select-card
  96. show="{{ show }}"
  97. onClose="onClosePopup"
  98. onChange="onCardChange"
  99. defaultList="{{ medicCardsList }}"
  100. />
  101. </wrapper>