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- <!DOCTYPE html>
- <html lang="zh" xmlns:th="http://www.thymeleaf.org" >
- <head>
- <th:block th:include="include :: header('修改处方')" />
- </head>
- <body>
- <div class="main-content">
- <form class="form-horizontal" id="form-server-edit" th:object="${recipe}">
- <h4 class="form-header h4">处方信息</h4>
- <input type="hidden" id="id" name="id" th:value="${id}">
- <div class="row">
- <div class="col-sm-4">
- <div class="form-group">
- <label class="col-sm-4 control-label is-required">患者姓名:</label>
- <div class="col-sm-8">
- <input name="patientName" placeholder="请输入患者姓名" class="form-control" type="text" maxlength="30" th:value="${patientName}" >
- </div>
- </div>
- </div>
- <div class="col-sm-4">
- <div class="form-group">
- <label class="col-sm-4 control-label is-required">手机号码:</label>
- <div class="col-sm-8">
- <div class="input-group">
- <input id="patientPhone" name="patientPhone" placeholder="请输入手机号码" class="form-control" type="number" maxlength="11" th:value="${patientPhone}">
- <span class="input-group-addon"><i class="fa fa-mobile"></i></span>
- </div>
- </div>
- </div>
- </div>
- <div class="col-sm-4">
- <div class="form-group">
- <label class="col-sm-4 control-label is-required">药品通用名:</label>
- <div class="col-sm-8">
- <input name="genericName" placeholder="请输入药品通用名" class="form-control" type="text" maxlength="30" th:value="${genericName}">
- </div>
- </div>
- </div>
- </div>
- <div class="row">
- <div class="col-sm-4">
- <div class="form-group">
- <label class="col-sm-4 control-label is-required">门店:</label>
- <div class="col-sm-8">
- <div class="input-group">
- <input name="storeName" onclick="selectDeptTree()" id="treeName" type="text" placeholder="请选择门店" class="form-control" th:value="${storeName}">
- <span class="input-group-addon"><i class="fa fa-search"></i></span>
- </div>
- </div>
- </div>
- </div>
- <div class="col-sm-4">
- <div class="form-group">
- <label class="col-sm-4 control-label">厂家:</label>
- <div class="col-sm-8">
- <input id="manufacturer" name="manufacturer" placeholder="请输入厂家" class="form-control" type="text" maxlength="30" th:value="${manufacturer}">
- </div>
- </div>
- </div>
- <div class="col-sm-4">
- <div class="form-group">
- <label class="col-sm-4 control-label">登记人:</label>
- <div class="col-sm-8">
- <input id="registrar" name="registrar" placeholder="请输入登记人" class="form-control" type="text" maxlength="30" th:value="${registrar}">
- </div>
- </div>
- </div>
- </div>
- <div class="row">
- <div class="col-sm-4">
- <div class="form-group">
- <label class="col-sm-4 control-label">规格:</label>
- <div class="col-sm-8">
- <select name="specification" class="form-control" th:with="type=${@dict.getType('sys_select_specification')}">
- <option th:each="dict : ${type}" th:text="${dict.dictLabel}" th:value="${dict.dictValue}"
- th:selected="${dict.dictValue}==${specification}"></option>
- </select>
- </div>
- </div>
- </div>
- <div class="col-sm-4">
- <div class="form-group">
- <label class="col-sm-4 control-label">数量:</label>
- <div class="col-sm-8">
- <input id="quantity" name="quantity" placeholder="请输入数量" class="form-control" type="number" maxlength="30" th:value="${quantity}">
- </div>
- </div>
- </div>
- <div class="col-sm-4">
- <div class="form-group">
- <label class="col-sm-4 control-label">商品名:</label>
- <div class="col-sm-8">
- <input id="productName" name="productName" type="text" maxlength="100" class="form-control" placeholder="请输入商品名" th:value="${productName}">
- </div>
- </div>
- </div>
- </div>
- <div class="row">
- <div class="col-sm-4">
- <div class="form-group">
- <label class="col-sm-4 control-label">处方类型:</label>
- <div class="col-sm-8">
- <select name="prescriptionType" class="form-control" th:with="type=${@dict.getType('sys_select_prescription_ype')}">
- <option th:each="dict : ${type}" th:text="${dict.dictLabel}" th:value="${dict.dictValue}"
- th:selected="${dict.dictValue}==${prescriptionType}"></option>
- </select>
- </div>
- </div>
- </div>
- <div class="col-sm-4">
- <div class="form-group">
- <label class="col-sm-4 control-label">配送方式:</label>
- <div class="col-sm-8">
- <select name="deliveryMethod" class="form-control" th:with="type=${@dict.getType('sys_select_delivery_method')}">
- <option th:each="dict : ${type}" th:text="${dict.dictLabel}" th:value="${dict.dictValue}"
- th:selected="${dict.dictValue}==${deliveryMethod}"></option>
- </select>
- </div>
- </div>
- </div>
- <div class="col-sm-4">
- <div class="form-group">
- <label class="col-sm-4 control-label">MDM编码:</label>
- <div class="col-sm-8">
- <input id="mdmCode" name="mdmCode" placeholder="请输入MDM编码" class="form-control" type="text" maxlength="50" th:value="${mdmCode}" >
- </div>
- </div>
- </div>
- </div>
- <div class="row">
- <div class="col-sm-4">
- <div class="form-group">
- <label class="col-sm-4 control-label is-required">医生:</label>
- <div class="col-sm-8">
- <input id="doctor" name="doctor" placeholder="请输入医生" class="form-control" type="text" maxlength="30" th:value="${doctor}">
- </div>
- </div>
- </div>
- <div class="col-sm-4">
- <div class="form-group">
- <label class="col-sm-4 control-label is-required">医院:</label>
- <div class="col-sm-8">
- <input name="hospital" placeholder="请输入医院" class="form-control" type="text" maxlength="30" th:value="${hospital}">
- </div>
- </div>
- </div>
- <div class="col-sm-4">
- <div class="form-group">
- <label class="col-sm-4 control-label ">科室:</label>
- <div class="col-sm-8">
- <input id="department" name="department" placeholder="请输入科室" class="form-control" type="text" maxlength="50" th:value="${department}">
- </div>
- </div>
- </div>
- </div>
- <h4 class="form-header h4">其他信息</h4>
- <div class="row">
- <div class="col-sm-4">
- <div class="form-group">
- <label class="col-sm-6 control-label">pos会员姓名:</label>
- <div class="col-sm-6">
- <input id="posMemberName" name="posMemberName" placeholder="请输入pos会员姓名" class="form-control" type="text" maxlength="30" th:value="${posMemberName}">
- </div>
- </div>
- </div>
- <div class="col-sm-4">
- <div class="form-group">
- <label class="col-sm-6 control-label">pos会员手机号:</label>
- <div class="col-sm-6">
- <input id="posMemberPhone" name="posMemberPhone" placeholder="请输入pos会员手机号" class="form-control" type="number" maxlength="11" th:value="${posMemberPhone}">
- </div>
- </div>
- </div>
- <div class="col-sm-4">
- <div class="form-group">
- </div>
- </div>
- </div>
- </form>
- </div>
- <div class="main-content">
- <div class="col-sm-offset-5 col-sm-10">
- <button type="button" class="btn btn-sm btn-primary" onclick="submitHandler()"><i class="fa fa-check"></i>保 存</button>
- <button type="button" class="btn btn-sm btn-danger" onclick="closeItem()"><i class="fa fa-reply-all"></i>关 闭 </button>
- </div>
- </div>
- <th:block th:include="include :: footer" />
- </body>
- </html>
- <script>
- /* 用户管理-新增-选择部门树 */
- function selectDeptTree() {
- var treeId = $("#treeId").val();
- var deptId = $.common.isEmpty(treeId) ? "100" : $("#treeId").val();
- var url = ctx + "system/user/selectDeptTree/" + deptId;
- var options = {
- title: '选择部门',
- width: "380",
- url: url,
- callBack: doSubmit
- };
- $.modal.openOptions(options);
- }
- function doSubmit(index, layero){
- var body = $.modal.getChildFrame(index);
- $("#treeId").val(body.find('#treeId').val());
- $("#treeName").val(body.find('#treeName').val());
- $.modal.close(index);
- }
- function submitHandler() {
- var prefix = ctx + "dtp/recipe";
- if ($.validate.form()) {
- var data = $("#form-server-edit").serializeArray();
- /*var status = $("input[id='status']").is(':checked') == true ? 0 : 1;
- var roleIds = $.form.selectCheckeds("role");
- var postIds = $.form.selectSelects("post");
- data.push({"name": "status", "value": status});
- data.push({"name": "roleIds", "value": roleIds});
- data.push({"name": "postIds", "value": postIds});*/
- $.operate.saveTab(prefix + "/edit", data);
- }
- }
- </script>
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