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monjack
2025-04-23 13:27:25 +08:00
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<div id="_page"
style="margin: 0px auto; background: rgb(255, 255, 255); width: 209.5mm; min-height: 148mm; transform: scale(1, 1); transform-origin: 50% 0px 0px;"
pagekind="A5" direct="landscape">
<div id="_header"
style="outline: none; min-height: 0.5cm; padding-left: 1cm; padding-right: 1cm; padding-top: 0.65cm; position: relative;"
contenteditable="false" class="">
<div style="text-align: center; line-height: 1.5;"><span
style="font-size: x-large; font-weight: 700;">成都中医药大学附属第一医院</span></div>
<div style="text-align: center; line-height: 1;"><span
style="font-weight: bold; font-size: large;">电子病历</span></div>
<div style="text-align: center;"><span
style="font-weight: bold; font-family: 楷体; line-height: 1; color: rgb(255, 255, 255); font-size: 5pt;">.</span>
</div>
</div>
<div id="_body" style="min-height: calc(472.441px); padding-left: 1cm; padding-right: 1cm;"
contenteditable="false" class="">
<div style="text-align: left;" domain="" code="" title="" contenteditable="false"><span
style="font-size: small; text-align: justify; font-weight: bold;" domain="" code="" title=""
contenteditable="false">姓名：</span>
<field tabindex="0" id="pat_name" type="Text" contenteditable="false" class="input" title="姓名"
name="pat_name" data-code="" data-expression="" multiline="false" validate="false" format=""
style="font-size: small; text-align: justify;" value=""></field><span
style="font-size: small; text-align: justify;">&nbsp; &nbsp;</span><span
style="font-size: small; text-align: justify; font-weight: bold;" domain="" code="" title=""
contenteditable="false">性别：</span>
<field tabindex="0" id="pat_sex" type="Text" contenteditable="false" class="input" title="性别" value="男"
name="pat_sex" data-code="" data-expression="" multiline="false" validate="false" format=""
style="font-size: small; text-align: justify;">男</field><span
style="font-size: small; text-align: justify;">&nbsp; &nbsp;</span><span
style="font-size: small; text-align: justify; font-weight: bold;" domain="" code="" title=""
contenteditable="false">年龄：</span>
<field tabindex="0" id="pat_age" type="Text" contenteditable="false" class="input" title="年龄"
name="pat_age" data-code="" data-expression="" multiline="false" validate="false" format=""
style="font-size: small; text-align: justify;" value=""></field><span
style="font-size: small; text-align: justify;">&nbsp; &nbsp;</span><span
style="font-size: small; text-align: justify; font-weight: bold;" domain="" code="" title=""
contenteditable="false">就诊科室：</span>
<field tabindex="0" id="visit_dept" type="Text" contenteditable="false" class="input" title="就诊科室"
name="visit_dept" data-code="" data-expression="" multiline="false" validate="false" format=""
style="font-size: small; text-align: justify;" value="风湿免疫科">风湿免疫科</field><span
style="font-size: small; text-align: justify; font-weight: bold;" domain="" code="" title=""
contenteditable="false">&nbsp; &nbsp;就诊号：</span>
<field tabindex="0" type="Text" contenteditable="false" class="input" title="就诊号" data-code=""
data-expression="" multiline="false" validate="false" format="" style="font-size: small;" domain=""
code="" required="false" inputmode="" id="pat_id" name="pat_id" value="MZ07882405098">
MZ07882405098</field><span style="font-size: small; text-align: justify;">&nbsp;</span>
</div>
<div style="text-align: justify; line-height: 2;"><span style="line-height: 2;"><span
style="font-weight: 700; line-height: 2;">
<hr style="font-size: small;"><span style="font-size: 9pt;">就诊时间：</span>
</span>
<field tabindex="0" id="visit_time" type="Text" class="input" title="就诊时间" name="visit_time"
data-code="" data-expression="" multiline="false" validate="false" format=""
style="font-size: 9pt;" value="2024-05-09 14:21:52">2024-05-09 14:21:52</field>
<field tabindex="0" type="Text" class="blank input" title="就诊时间" name="visit_time" data-code=""
data-expression="" multiline="false" validate="false" format=""
style="font-weight: 700; font-size: 9pt;">&nbsp;</field>
</span><span style="font-size: 9pt; line-height: 2;">&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;
<group type="radio" id="firstcall" domain="" code="" style=""><input type="radio" id="firstcall__0"
name="firstcall" value="1" checked><label for="firstcall__0">初诊</label><input type="radio"
id="firstcall__1" name="firstcall" value="2"><label for="firstcall__1">复诊</label></group>
</span></div>
<div style="text-align: justify; line-height: 2;"><span style="font-size: 9pt; line-height: 2;"><span
style="font-weight: bold;">联系电话：</span>
<field tabindex="0" id="pat_phone" type="Text" class="input" title="联系电话" name="pat_phone"
data-code="" data-expression="" multiline="false" validate="false" format=""
contenteditable="true" style="" value=""></field><span style="" domain=""
code="" title=" "><span style="font-weight: bold;">&nbsp; 家庭住址：</span>
<field tabindex="0" id="pat_address" name="pat_address" type="Text" contenteditable="true"
class="blank input" title="地址" domain="" code="" multiline="true" required="false" format=""
inputmode="" data-expression="" value="">地址</field>
</span>
</span></div>
<div style="text-align: justify; line-height: 2;"><span style="font-size: 9pt; line-height: 2;"><span
style="font-weight: bold;">主诉：</span>
<field tabindex="0" id="pat_appeal" name="pat_appeal" type="Text" contenteditable="true"
class="input" title="主诉" domain="" code="" multiline="true" required="false" format=""
inputmode="" data-expression="" style="" value=""></field><span
style="font-weight: bold;">&nbsp;</span>
</span></div>
<div style="text-align: justify; line-height: 2;"><span style="font-size: 9pt; line-height: 2;"><span
style="" title="" domain="" code=""><span style="font-weight: bold;">现病史：</span>
<field tabindex="0" id="pat_now_history" name="pat_now_history" type="Text"
contenteditable="true" class="input" title="病史" domain="" code="" multiline="true"
required="false" format="" inputmode="" data-expression="" style=""
value=""></field><span
style="font-weight: bold;">&nbsp;</span>
</span></span></div>
<div style="text-align: justify; line-height: 2;"><span style="font-size: 9pt; line-height: 2;"><span
style="font-weight: bold;">既往史：</span>
<field tabindex="0" id="pat_past_history" name="pat_past_history" type="Text" contenteditable="true"
class="blank input" title="既往史" domain="" code="" multiline="true" required="false" format=""
inputmode="" data-expression="" style="">既往史</field><span
style="font-weight: bold;">&nbsp;</span>
</span></div>
<div style="text-align: justify; line-height: 2;" domain="" code="" title=" "><span
style="font-size: 9pt; line-height: 2;"><span style="font-weight: bold;">过敏史：</span>
<field tabindex="0" id="pat_allergy_history" name="pat_allergy_history" type="Text"
contenteditable="true" class="blank input" title="过敏史" domain="" code="" multiline="true"
required="false" format="" inputmode="" data-expression="" style="">过敏史</field><span
style="font-weight: bold;">&nbsp;</span>
</span></div>
<div style="text-align: justify; line-height: 2;"><span style="font-size: 9pt; line-height: 2;"><span
style="font-weight: bold;">诊断：</span>
<field tabindex="0" id="diagnosis" name="diagnosis" type="Text" contenteditable="true" class="input"
title="诊断" domain="" code="" multiline="true" required="false" format="" inputmode=""
data-expression="" style="" value=""></field>
</span></div>
<div style="text-align: justify; line-height: 2;"><span style="font-size: 12px;"><span
style="font-weight: 700;">处方：</span>
<field tabindex="0" id="presc" name="presc" type="Text" contenteditable="false" class="input"
title="处方" domain="" code="" multiline="true" required="false" format="" inputmode=""
data-expression="" style="" value=""></field><span style="font-weight: 700;">&nbsp;</span>
</span></div>
<div style="text-align: justify; line-height: 2;"><span style="font-size: 9pt; line-height: 2;"><span
style="font-weight: bold;">建议：</span>
<field tabindex="0" id="advice" type="Text" contenteditable="true" class="input" title="建议" domain="" code=""
multiline="true" required="false" format="" inputmode="" data-expression="" style=""
value="在用药过程中有任何身体不适，请及时前往实体医院就诊">在用药过程中有任何身体不适，请及时前往实体医院就诊</field><span
style="font-weight: bold;">&nbsp;</span>
</span></div>
<div style="text-align: justify; line-height: 2;"><span style="font-size: 9pt; line-height: 2;"><span
style="font-weight: bold;"><br></span></span></div>
<div style="text-align: justify; line-height: 2;" domain="" code="" title="" contenteditable="false"><span
style="font-weight: bold; line-height: 2; font-size: 9pt;">医师签字：</span>
<field tabindex="0" id="doctor_name" type="Text" contenteditable="false" class="input" title="医师签字"
name="doctor_name" data-code="" data-expression="" multiline="false" validate="false" format=""
style="line-height: 2; font-size: 9pt;" domain="" code="" required="false" inputmode="" value="贾连荣">
张某某</field><span style="line-height: 2; font-size: 9pt;">&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;
&nbsp; <span style="font-weight: bold; line-height: 2;">手签：</span></span>
</div>
</div>
<div id="_footer"
style="outline: none; position: relative; min-height: 0.5cm; padding-left: 1cm; padding-right: 1cm; padding-bottom: 0.65cm;"
contenteditable="false" class="">
<div style="text-align: center;"><span style="font-size: small;">第<field page="pageNum" style="">#</field>
页,共<field page="pageTotal" style="">#</field>页</span></div>
</div>
</div>