<style id="CaseStyle">.doc-header { position: relative; padding-top: 10px; padding-bottom: 20px; } .doc-header .hospital-name { font-family: KaiTi; font-weight: bold; text-align: center; font-size: 22px; margin-bottom: 10px; } .doc-header .organization-id { vertical-align: middle; font-size: 14px; position: absolute; right: 10px; top: 10px; text-align: center; margin-bottom: 10px; } .doc-header .doc-title { font-weight: bold; text-align: center; font-size: 24px; } .doc-header .sub-title { font-weight: bold; text-align: center; font-size: 16px; } .doc-header .patient-info { margin-top: 15px; margin-bottom: 10px; display: flex; } .doc-header .patient-info > div { flex-grow: 1; } .doc-body .base-info { margin-top: 20px; } .doc-body .base-info > div { margin-bottom: 20px; float: left; width: 50%; } .doc-body .base-info > div.whole { width: 100%; } .doc-body .base-info > div.line { background: #e0e0e0; height: 1px; } .doc-body .base-info > div.doc-inner-title{ width: 100%; font-weight: bold; } .doc-body .base-info::after { content: " "; display: table; clear: both; } .doc-body .base-info > div.whole table{ border-collapse: collapse; border: 1px solid #e0e0e0; } .doc-body .base-info > div.whole table th,.doc-body .base-info > div.whole table td{ border: 1px solid #e0e0e0; padding: 5px 10px; } .doc-body .base-info .widget-label { display: inline-block; } .doc-body .chief-complaint, .doc-body .present-history { margin-top: 20px; } .doc-body .chief-complaint .widget-label, .doc-body .present-history .widget-label { font-weight: bold; display: inline-block; } .doc-body .autograph, .doc-body .diagnosis { text-align: right; margin-top: 40px; margin-right: 20px; } .doc-body .autograph > div{ margin-bottom: 20px; } #CaseBody { position: relative!important; width: 1200px!important; margin: 0 auto!important; z-index: 1!important; padding: 30px 50px 100px!important; } </style> <div class="doc-container"> <include src="mrqc/customCaseTpl/public/xy2yy_head.tpl"></include> <div class="doc-body"> <div class="base-info"> <div> <span class="widget-label">医疗付费方式: </span> <widget wid="HDSD00_11_117" width="200" type="select"></widget> </div> <div> <span class="widget-label">健康卡号: </span> <widget wid="HDSD00_11_053" type="input"></widget> </div> <div> <span class="widget-label">第</span> <widget wid="HDSD00_11_139" type="input"></widget>次住院 </div> <div> <span class="widget-label">姓 名: </span> <widget wid="HDSD00_11_110" type="input"></widget> </div> <div> <span class="widget-label">性 别: </span> <widget wid="HDSD00_11_109" type="radio"></widget> </div> <div> <span class="widget-label">出生日期:</span> <widget wid="HDSD00_11_014" type="date" width="200"></widget> </div> <div> <span class="widget-label">年 龄: </span> <widget wid="HDSD00_11_079" type="input"></widget> </div> <div> <span class="widget-label">年龄(年龄不足1周岁): </span> <widget wid="HDSD00_11_080" type="input"></widget>月 </div> <div> <span class="widget-label">年龄(新生儿年龄≤28天): </span> <widget wid="HDSD00_11_080_28" type="input"></widget>天 </div> <div> <span class="widget-label">新生儿入院体重: </span> <widget wid="HDSD00_11_108" type="input"></widget> </div> <div> <span class="widget-label">新生儿出生体重: </span> <widget wid="HDSD00_11_107" width="70" type="input"></widget>克 (二孩<widget wid="HDSD00_11_107_2" width="70" type="input"></widget>克) </div> <div class="whole"> <span class="widget-label">身份证件类型: </span> <widget wid="HDSD00_11_049" type="radio"></widget> </div> <div> <span class="widget-label">证件号码: </span> <widget wid="HDSD00_11_048" type="input" width="200"></widget> </div> <div> <span class="widget-label">出 生 地:</span> <widget wid="HDSD00_11_011" type="input" width="380"></widget> </div> <div class="whole"> <span class="widget-label">户 口 地:</span> <widget wid="HDSD00_11_011" type="input" width="400"></widget> <span class="widget-label" style=" margin-left:30px;">邮编:</span> <widget wid="HDSD00_11_047" type="input"></widget> </div> <div class="whole"> <span class="widget-label">现 住 址:</span> <widget wid="HDSD00_11_102" type="input" width="400"></widget> <span class="widget-label" style=" margin-left:30px;">邮编:</span> <widget wid="HDSD00_11_106" type="input"></widget> </div> <div> <span class="widget-label">国 籍: </span> <widget wid="HDSD00_11_036" type="input"></widget> </div> <div> <span class="widget-label">籍 贯: </span> <widget wid="HDSD00_11_051" type="input" width="220"></widget> </div> <div> <span class="widget-label">民 族:</span> <widget wid="HDSD00_11_077" type="input"></widget> </div> <div> <span class="widget-label">职 业:</span> <widget wid="HDSD00_11_125" type="input" width="220"></widget> </div> <div> <span class="widget-label">婚 姻: </span> <widget wid="HDSD00_11_050" type="radio"></widget> </div> <div class="whole"> <span class="widget-label">工作单位及地址:</span> <widget wid="HDSD00_11_029" type="input" width="400"></widget> <span class="widget-label" style=" margin-left:30px;">邮编:</span> <widget wid="HDSD00_11_033" type="input"></widget> </div> <div> <span class="widget-label">联系人姓名: </span> <widget wid="HDSD00_11_065" type="input"></widget> </div> <div> <span class="widget-label">与患者关系: </span> <widget wid="HDSD00_11_066" type="input"></widget> </div> <div class="whole"> <span class="widget-label">联系人地址:</span> <widget wid="HDSD00_11_060" type="input" width="600"></widget> </div> <div> <span class="widget-label">联系人电话: </span> <widget wid="HDSD00_11_064" type="input"></widget> </div> <div class="whole"> <span class="widget-label">入院途径: </span> <widget wid="HDSD00_11_086" type="radio"></widget> </div> <div> <span class="widget-label">入院日期:</span> <widget wid="HDSD00_11_085" type="date" width="200"></widget> </div> <div> <span class="widget-label">入院科别:</span> <widget wid="HDSD00_11_084" type="input" width="200"></widget> </div> <div> <span class="widget-label">入院病房:</span> <widget wid="HDSD00_11_083" type="input" width="200"></widget> </div> <div> <span class="widget-label">转科科别:</span> <widget wid="HDSD00_11_144" type="date" width="200"></widget> </div> <div> <span class="widget-label">出院日期:</span> <widget wid="HDSD00_11_019" type="date" width="200"></widget> </div> <div> <span class="widget-label">出院科别:</span> <widget wid="HDSD00_11_018" type="input" width="200"></widget> </div> <div> <span class="widget-label">出院病房:</span> <widget wid="HDSD00_11_017" type="input" width="200"></widget> </div> <div> <span class="widget-label">实际住院</span> <widget wid="HDSD00_11_087" type="date"></widget>天 </div> <div class="whole"> <span class="widget-label">门(急)诊诊断: </span> <widget wid="HDSD00_11_076" type="input" width="200"></widget> <span class="widget-label" style=" margin-left:30px;">疾病编码:</span> <widget wid="HDSD00_11_075" type="input"></widget> </div> <div class="whole"> <table width="100%" cellpadding="0" cellspace="0"> <thead> <tr> <th width="40%">出院诊断</th> <th width="20%">疾病编码</th> <th width="20%">入院病情</th> <th width="20%">治疗转归</th> </tr> </thead> <tbody> <tr> <td> <div class="table-inner-title">主要诊断</div> <widget wid="HDSD00_11_024" type="input" width="280"></widget> </td> <td><widget wid="HDSD00_11_023" type="input" width="130"></widget></td> <td><widget wid="HDSD00_11_025" type="input" width="130"></widget></td> <td><widget wid="HDSD00_11_024_ZLZG" type="select" width="130"></widget></td> </tr> <tr> <td> <div class="table-inner-title">其他诊断</div> <widget wid="HDSD00_11_021" type="input" width="280"></widget> </td> <td><widget wid="HDSD00_11_020" type="input" width="130"></widget></td> <td><widget wid="HDSD00_11_022" type="input" width="130"></widget></td> <td><widget wid="HDSD00_11_021_ZLZG" type="select" width="130"></widget></td> </tr> <tr> <td><widget wid="HDSD00_11_021_2" type="input" width="280"></widget></td> <td><widget wid="HDSD00_11_020_2" type="input" width="130"></widget></td> <td><widget wid="HDSD00_11_022_2" type="input" width="130"></widget></td> <td><widget wid="HDSD00_11_021_2_ZLZG" type="select" width="130"></widget></td> </tr> <% _.each( _.range(3,25) , function (index){ %> <tr tpl-if="$value('HDSD00_11_021_<%=index%>') && $value('HDSD00_11_020_<%=index%>')"> <td><widget wid="HDSD00_11_021_<%=index%>" type="input" width="280"></widget></td> <td><widget wid="HDSD00_11_020_<%=index%>" type="input" width="130"></widget></td> <td><widget wid="HDSD00_11_022_<%=index%>" type="input" width="130"></widget></td> <td><widget wid="HDSD00_11_021_<%=index%>_ZLZG" type="select" width="130"></widget></td> </tr> <% }) %> <tr> <td colspan="4"> 入院病情:1.有 2.临床未确定 3.情况不明 4.无 治疗转归:1. 治愈 2.好转 3.未愈 5.死亡 9.其他 </td> </tr> </tbody> </table> </div> <div> <span class="widget-label">损伤、中毒的外部原因: </span> <widget wid="HDSD00_11_096" type="input" width="200"></widget> </div> <div> <span class="widget-label">疾病编码: </span> <widget wid="HDSD00_11_097" type="input" width="200"></widget> </div> <div class="whole"> <span class="widget-label">病理诊断: </span> <widget wid="HDSD00_11_010" type="textarea" width="800"></widget> </div> <div> <span class="widget-label">疾病编码: </span> <widget wid="HDSD00_11_009" type="input" width="200"></widget> </div> <div> <span class="widget-label">病 理 号: </span> <widget wid="HDSD00_11_008" type="input" width="200"></widget> </div> <div> <span class="widget-label">有无药物过敏: </span> <widget wid="HDSD00_11_116" type="radio"></widget> </div> <div> <span class="widget-label">过敏药物: </span> <widget wid="HDSD00_11_037" type="input" width="200"></widget> </div> <div> <span class="widget-label">死亡患者尸检: </span> <widget wid="HDSD00_11_095" type="radio"></widget> </div> <div> <span class="widget-label">血 型: </span> <widget wid="HDSD00_11_003" type="radio"></widget> </div> <div> <span class="widget-label">Rh: </span> <widget wid="HDSD00_11_004" type="radio"></widget> </div> <div> <span class="widget-label">科 主 任: </span> <widget wid="HDSD00_11_056" type="input" width="200"></widget> </div> <div> <span class="widget-label">主任(副主任)医师: </span> <widget wid="HDSD00_11_137" type="input" width="200"></widget> </div> <div> <span class="widget-label">主治医师: </span> <widget wid="HDSD00_11_138" type="input" width="200"></widget> </div> <div> <span class="widget-label">住院医师: </span> <widget wid="HDSD00_11_141" type="input" width="200"></widget> </div> <div> <span class="widget-label">责任护士: </span> <widget wid="HDSD00_11_120" type="input" width="200"></widget> </div> <div> <span class="widget-label">进修医师: </span> <widget wid="HDSD00_11_054" type="input" width="200"></widget> </div> <div> <span class="widget-label">实习医师: </span> <widget wid="HDSD00_11_088" type="input" width="200"></widget> </div> <div> <span class="widget-label">编 码 员: </span> <widget wid="HDSD00_11_005" type="input" width="200"></widget> </div> <div> <span class="widget-label">病案质量: </span> <widget wid="HDSD00_11_007" type="radio"></widget> </div> <div> <span class="widget-label">质控医师: </span> <widget wid="HDSD00_11_128" type="input" width="200"></widget> </div> <div> <span class="widget-label">质控护士: </span> <widget wid="HDSD00_11_126" type="input" width="200"></widget> </div> <div> <span class="widget-label">质控日期: </span> <widget wid="HDSD00_11_127" type="date" width="200"></widget> </div> <div class="whole"> <table width="100%" cellpadding="0" cellspace="0"> <thead> <tr> <th rowspan="2">操作编码</th> <th rowspan="2">操作日期</th> <th rowspan="2">手术级别</th> <th rowspan="2">手术类别</th> <th rowspan="2">手术及操作名称</th> <th colspan="3">手术及操作医师</th> <th rowspan="2">切口类别</th> <th rowspan="2">切口愈合等级</th> <th rowspan="2">麻醉方式</th> <th rowspan="2">麻醉医师</th> </tr> <tr> <th>术者</th> <th>Ⅰ助</th> <th>Ⅱ助</th> </tr> </thead> <tbody> <tr> <td><widget wid="HDSD00_11_089" type="input" width="80"></widget></td> <td><widget wid="HDSD00_11_091" type="date" width="80"></widget></td> <td><widget wid="HDSD00_11_092" type="input" width="30"></widget></td> <td><widget wid="HDSD00_11_090_SSLB" type="input" width="30"></widget></td> <td><widget wid="HDSD00_11_090" type="textarea" width="160"></widget></td> <td><widget wid="HDSD00_11_094" type="input" width="50"></widget></td> <td><widget wid="HDSD00_11_001" type="input" width="50"></widget></td> <td><widget wid="HDSD00_11_002" type="input" width="50"></widget></td> <td><widget wid="HDSD00_11_090_QKLB" type="input" width="30"></widget></td> <td><widget wid="HDSD00_11_082" type="input" width="30"></widget></td> <td><widget wid="HDSD00_11_073" type="select" width="100"></widget></td> <td><widget wid="HDSD00_11_074" type="input" width="50"></widget></td> </tr> <tr> <td><widget wid="HDSD00_11_089_2" type="input" width="80"></widget></td> <td><widget wid="HDSD00_11_091_2" type="date" width="80"></widget></td> <td><widget wid="HDSD00_11_092_2" type="input" width="30"></widget></td> <td><widget wid="HDSD00_11_090_2_SSLB" type="input" width="30"></widget></td> <td><widget wid="HDSD00_11_090_2" type="textarea" width="160"></widget></td> <td><widget wid="HDSD00_11_094_2" type="input" width="50"></widget></td> <td><widget wid="HDSD00_11_001_2" type="input" width="50"></widget></td> <td><widget wid="HDSD00_11_002_2" type="input" width="50"></widget></td> <td><widget wid="HDSD00_11_090_2_QKLB" type="input" width="30"></widget></td> <td><widget wid="HDSD00_11_082_2" type="input" width="30"></widget></td> <td><widget wid="HDSD00_11_073_2" type="select" width="100"></widget></td> <td><widget wid="HDSD00_11_074_2" type="input" width="50"></widget></td> </tr> <tr> <td><widget wid="HDSD00_11_089_3" type="input" width="80"></widget></td> <td><widget wid="HDSD00_11_091_3" type="date" width="80"></widget></td> <td><widget wid="HDSD00_11_092_3" type="input" width="30"></widget></td> <td><widget wid="HDSD00_11_090_3_SSLB" type="input" width="30"></widget></td> <td><widget wid="HDSD00_11_090_3" type="textarea" width="160"></widget></td> <td><widget wid="HDSD00_11_094_3" type="input" width="50"></widget></td> <td><widget wid="HDSD00_11_001_3" type="input" width="50"></widget></td> <td><widget wid="HDSD00_11_002_3" type="input" width="50"></widget></td> <td><widget wid="HDSD00_11_090_3_QKLB" type="input" width="30"></widget></td> <td><widget wid="HDSD00_11_082_3" type="input" width="30"></widget></td> <td><widget wid="HDSD00_11_073_3" type="select" width="100"></widget></td> <td><widget wid="HDSD00_11_074_3" type="input" width="50"></widget></td> </tr> <% _.each( _.range(4,25) , function (index){ %> <tr tpl-if="$value('HDSD00_11_089_<%=index%>') && $value('HDSD00_11_090_<%=index%>')"> <td><widget wid="HDSD00_11_089_<%=index%>" type="input" width="80"></widget></td> <td><widget wid="HDSD00_11_091_<%=index%>" type="date" width="80"></widget></td> <td><widget wid="HDSD00_11_092_<%=index%>" type="input" width="30"></widget></td> <td><widget wid="HDSD00_11_090_<%=index%>_SSLB" type="input" width="30"></widget></td> <td><widget wid="HDSD00_11_090_<%=index%>" type="textarea" width="160"></widget></td> <td><widget wid="HDSD00_11_094_<%=index%>" type="input" width="50"></widget></td> <td><widget wid="HDSD00_11_001_<%=index%>" type="input" width="50"></widget></td> <td><widget wid="HDSD00_11_002_<%=index%>" type="input" width="50"></widget></td> <td><widget wid="HDSD00_11_090_<%=index%>_QKLB" type="input" width="30"></widget></td> <td><widget wid="HDSD00_11_082_<%=index%>" type="input" width="30"></widget></td> <td><widget wid="HDSD00_11_073_<%=index%>" type="select" width="100"></widget></td> <td><widget wid="HDSD00_11_074_<%=index%>" type="input" width="50"></widget></td> </tr> <% }) %> <tr> <td colspan="4" rowspan="2">手术类别:1.择期手术 2.急诊手术</td> <td colspan="8">切口类别:0.0类切口 1.I类切口 2.II类切口 3.III类切口</td> </tr> <tr> <td colspan="8">愈合等级:1.甲 2.乙 3.丙 9.其他</td> </tr> </tbody> </table> </div> <div class="whole"> <span class="widget-label">离院方式: </span> <widget wid="HDSD00_11_057" type="input"></widget> </div> <div> <span class="widget-label">拟接收医疗机构名称: </span> <widget wid="HDSD00_11_078_SQ" type="date" width="200"></widget> </div> <div class="whole"> <span class="widget-label">是否有出院31天内再住院计划: </span> <widget wid="HDSD00_11_015" type="radio"></widget> <span class="widget-label" style=" margin-left:30px;">目的: </span> <widget wid="HDSD00_11_016" type="date"></widget> </div> <div> </div> <div class="whole"> <span class="widget-label">颅脑损伤患者昏迷时间: </span> 入院前 <widget wid="HDSD00_11_070" type="date" width="40"></widget>天 <widget wid="HDSD00_11_071" type="date" width="40"></widget>小时 <widget wid="HDSD00_11_072" type="date" width="40"></widget>分钟 入院后 <widget wid="HDSD00_11_067" type="date" width="40"></widget>天 <widget wid="HDSD00_11_068" type="date" width="40"></widget>小时 <widget wid="HDSD00_11_069" type="date" width="40"></widget>分钟 </div> <div class="whole"> <span class="widget-label">住院费用:</span> 总 费 用: <widget wid="HDSD00_11_142" type="input" width="200"></widget>(自付金额: <widget wid="HDSD00_11_143" type="input" width="200"></widget>) </div> <div class="doc-inner-title">1.综合医疗服务类:</div> <div> <span class="widget-label">(1)一般医疗服务费:</span> <widget wid="HDSD00_11_147" type="input" width="200"></widget> </div> <div> <span class="widget-label">(2)一般治疗操作费:</span> <widget wid="HDSD00_11_148" type="input" width="200"></widget> </div> <div> <span class="widget-label">(3)护理费:</span> <widget wid="HDSD00_11_145" type="input" width="200"></widget> </div> <div> <span class="widget-label">(4)其他费用:</span> <widget wid="HDSD00_11_146" type="input" width="200"></widget> </div> <div class="doc-inner-title">2.诊断类:</div> <div> <span class="widget-label">(5)病理诊断费:</span> <widget wid="HDSD00_11_121" type="input" width="200"></widget> </div> <div> <span class="widget-label">(6)实验室诊断费:</span> <widget wid="HDSD00_11_123" type="input" width="200"></widget> </div> <div> <span class="widget-label">(7)影像学诊断费:</span> <widget wid="HDSD00_11_124" type="input" width="200"></widget> </div> <div> <span class="widget-label">(8)临床诊断项目费:</span> <widget wid="HDSD00_11_122" type="input" width="200"></widget> </div> <div class="doc-inner-title">3.治疗类:</div> <div class="whole"> <span class="widget-label">(9)非手术治疗项目费:</span> <widget wid="HDSD00_11_129" type="input"></widget>(临床物理治疗费: <widget wid="HDSD00_11_130" type="input"></widget>) </div> <div class="whole"> <span class="widget-label">(10)手术治疗费:</span> <widget wid="HDSD00_11_131" type="input"></widget>(麻醉费: <widget wid="HDSD00_11_132" type="input"></widget>手术费: <widget wid="HDSD00_11_133" type="input"></widget>) </div> <div class="doc-inner-title">4.康复类:</div> <div> <span class="widget-label">(11)康复费:</span> <widget wid="HDSD00_11_055" type="input" width="200"></widget> </div> <div class="doc-inner-title">5.中医类:</div> <div> <span class="widget-label">(12)中医治疗费:</span> <widget wid="HDSD00_11_136" type="input" width="200"></widget> </div> <div class="doc-inner-title">6.西药类:</div> <div class="whole"> <span class="widget-label">(13)西药费:</span> <widget wid="HDSD00_11_098" type="input"></widget>(抗菌药物费用: <widget wid="HDSD00_11_099" type="input"></widget>) </div> <div class="doc-inner-title">7.中药类:</div> <div> <span class="widget-label">(14)中成药费:</span> <widget wid="HDSD00_11_135" type="input" width="200"></widget> </div> <div> <span class="widget-label">(15)中草药费:</span> <widget wid="HDSD00_11_134" type="input" width="200"></widget> </div> <div class="doc-inner-title">8.血液和血液制品类:</div> <div> <span class="widget-label">(16)血费:</span> <widget wid="HDSD00_11_115" type="input" width="200"></widget> </div> <div> <span class="widget-label">(17)白蛋白类制品费:</span> <widget wid="HDSD00_11_111 " type="input" width="200"></widget> </div> <div> <span class="widget-label">(18)球蛋白类制品费:</span> <widget wid="HDSD00_11_113" type="input" width="200"></widget> </div> <div> <span class="widget-label">(19)凝血因子类制品费:</span> <widget wid="HDSD00_11_112" type="input" width="185"></widget> </div> <div> <span class="widget-label">(20)细胞因子类制品费:</span> <widget wid="HDSD00_11_114" type="input" width="185"></widget> </div> <div class="doc-inner-title">9.耗材类:</div> <div> <span class="widget-label">(21)检查用一次性医用材料费:</span> <widget wid="HDSD00_11_038" type="input" width="145"></widget> </div> <div> <span class="widget-label">(22)治疗用一次性医用材料费:</span> <widget wid="HDSD00_11_040" type="input" width="145"></widget> </div> <div> <span class="widget-label">(23)手术用一次性医用材料费:</span> <widget wid="HDSD00_11_039" type="input" width="145"></widget> </div> <div class="doc-inner-title">10.其他类:</div> <div> <span class="widget-label">(24)其他费:</span> <widget wid="HDSD00_11_081" type="input" width="200"></widget> </div> <div class="whole"> <table width="100%" cellpadding="0" cellspace="0"> <thead> <tr> <th>重症监护室名称</th> <th>进入重症监护室时间(年 月 日 时 分)</th> <th>转出重症监护室时间(年 月 日 时 分)</th> </tr> </thead> <tbody> <tr> <td><widget wid="HDSD00_11_150" type="input" width="180"></widget></td> <td><widget wid="HDSD00_11_151" type="date" width="250"></widget></td> <td><widget wid="HDSD00_11_152" type="date" width="250"></widget></td> </tr> <tr> <td><widget wid="HDSD00_11_150_2" type="input" width="180"></widget></td> <td><widget wid="HDSD00_11_151_2" type="date" width="250"></widget></td> <td><widget wid="HDSD00_11_152_2" type="date" width="250"></widget></td> </tr> <tr> <td><widget wid="HDSD00_11_150_3" type="input" width="180"></widget></td> <td><widget wid="HDSD00_11_151_3" type="date" width="250"></widget></td> <td><widget wid="HDSD00_11_152_3" type="date" width="250"></widget></td> </tr> </tbody> </table> </div> <div> <span class="widget-label">病例分型:</span> <widget wid="HDSD00_HY_BLFX" type="radio"></widget> </div> <div> <span class="widget-label">危重病例:</span> <widget wid="HDSD00_11_153" type="radio"></widget> </div> <div> <span class="widget-label">疑难病例:</span> <widget wid="HDSD00_11_154" type="radio"></widget> </div> <div> <span class="widget-label">MDT病例:</span> <widget wid="HDSD00_11_155" type="radio"></widget> </div> <div> <span class="widget-label">单病种病例:</span> <widget wid="HDSD00_11_156" type="radio"></widget> </div> <div> <span class="widget-label">日间手术病例:</span> <widget wid="HDSD00_11_157" type="radio"></widget> </div> <div> <span class="widget-label">教学查房病例:</span> <widget wid="HDSD00_11_158" type="radio"></widget> </div> <div class="whole"> <span class="widget-label">诊断符合情况:</span> </div> <div> <span class="widget-label">门诊与出院:</span> <widget wid="HDSD00_11_159" type="radio"></widget> </div> <div> <span class="widget-label">入院与出院:</span> <widget wid="HDSD00_11_160" type="radio"></widget> </div> <div> <span class="widget-label">术前与术后:</span> <widget wid="HDSD00_11_161" type="radio"></widget> </div> <div> <span class="widget-label">临床与病理:</span> <widget wid="HDSD00_11_162" type="radio"></widget> </div> <div> <span class="widget-label">放射与病理:</span> <widget wid="HDSD00_11_163" type="radio"></widget> </div> <div> <span class="widget-label">抢救情况:</span> <widget wid="HDSD00_11_164" type="input" width="70"></widget>次 成功<widget wid="HDSD00_11_165" type="input" width="70"></widget>次 </div> <div class="whole"> <span class="widget-label">临床路径管理:</span> <widget wid="HDSD00_11_166" type="radio"></widget> </div> <div class="whole"> <span class="widget-label">实施DRGs管理:</span> <widget wid="HDSD00_HY_DRGS" type="radio"></widget> </div> <div> <span class="widget-label">抗生素使用:</span> <widget wid="HDSD00_HY_ANTIBIOTIC" type="radio"></widget> </div> <div> <span class="widget-label">细菌培养标本送检:</span> <widget wid="HDSD00_HY_BCSS" type="radio"></widget> </div> <div> <span class="widget-label">法定传染病:</span> <widget wid="HDSD00_HY_LID" type="radio"></widget> </div> <div class="whole"> <span class="widget-label">肿瘤分期: </span> T<widget wid="HDSD00_HY_TST" type="input"></widget> N<widget wid="HDSD00_HY_TSN" type="input"></widget> M<widget wid="HDSD00_HY_TSM" type="input"></widget> 1.0期 2.I期 3.II期 4.III期 5.IV期 6.不详 </div> <div class="whole"> <span class="widget-label">新生儿Apgar评分: </span> <widget wid="HDSD00_HY_APGAR" type="input"></widget> </div> </div> </div> <div class="doc_explain"> 说明:<br> (一)医疗付费方式:1.城镇职工基本医疗保险 2.城镇居民基本医疗保险 3.新型农村合作医疗 4.贫困救助 5.商业医疗保险 6.全公费 7.全自费 8.其他社会保险 9.其他<br> (二)凡可由医院信息系统提供住院费用清单的,住院病案首页中可不填写"住院费用"。 </div> </div>