index.axml 2.9 KB

123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990
  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="是否医保">
  63. <view class="input-control">
  64. <am-checkbox
  65. ctrlChecked="{{editForm.isInsu === '1'}}"
  66. onChange="checkedInsuChange"
  67. />
  68. <text class="isinsu-text" onTap="checkedTextInsuChange">是</text>
  69. <am-checkbox
  70. ctrlChecked="{{ editForm.isInsu === '0'}}"
  71. onChange="checkedNoInsuChange"
  72. />
  73. <text class="isinsu-text" onTap="checkedTextnoInsuChange">否</text>
  74. </view>
  75. </form-row>
  76. <view class="isinsu-alert">
  77. 温馨提示:
  78. 1、首次来院就诊者,请按上面“无诊疗卡”按钮建档,已有诊疗卡者可直接绑卡。
  79. 2、无诊疗卡患者,预约挂号成功后,就诊前请务必到门诊大厅客服中心完善个人信息,否则会影响您的正常就诊。</view>
  80. <view class="footer">
  81. <button class="submit-button" onTap="patientSave">保存</button>
  82. </view>
  83. </view>
  84. <select-card
  85. show="{{ show }}"
  86. onClose="onClosePopup"
  87. onChange="onCardChange"
  88. defaultList="{{ medicCardsList }}"
  89. />
  90. </wrapper>