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- <template>
- <div id="prescription-print" class="print_page_main_content">
- <div class="title">医疗保障基金结算清单</div>
- <div style="text-align:right;">清单流水号 <div style="width:120px;" class="under_line"></div></div>
- <div class="row">
- <div>定点医疗机构名称<div style="width:120px;" class="under_line"></div></div>
- <div>定点医疗机构代码<div style="width:120px;" class="under_line"></div></div>
- <div>医保结算等级<div style="width:120px;" class="under_line"></div></div>
- </div>
- <div class="row">
- <div>医保编号<div style="width:120px;" class="under_line"></div></div>
- <div>病案号<div style="width:120px;" class="under_line"></div></div>
- <div>申报时间
- <div style="width:40px;" class="under_line"></div>年
- <div style="width:40px;" class="under_line"></div>月
- <div style="width:40px;" class="under_line"></div>日
- </div>
- </div>
- <div>
- <table class="proj_table">
- <tbody>
- <tr>
- <td style="letter-spacing:5px;text-align:center;font-weight:520;font-size:16px;padding: 6px 8px;line-height: 30px;">
- 一、基本信息
- </td>
- </tr>
- <tr>
- <td>
- <div class="row">
- <div class="inline_block">姓名
- <div style="width:80px;" class="under_line"></div>
- </div>
- <div class="inline_block">性别
- <label-box :isChecked="false" showValue="男"></label-box>
- <label-box :isChecked="false" showValue="女"></label-box>
- </div>
- <div class="inline_block">出生日期
- <div style="width:40px;" class="under_line"></div>年
- <div style="width:40px;" class="under_line"></div>月
- <div style="width:40px;" class="under_line"></div>日
- </div>
- <div class="inline_block">年龄
- <div style="width:80px;" class="under_line"></div>岁
- </div>
- <div class="inline_block">国籍
- <div style="width:80px;" class="under_line"></div>
- </div>
- </div>
- <div class="row">
- <div class="inline_block">(年龄不足1周岁)年龄
- <div style="width:80px;" class="under_line"></div>天
- </div>
- <div class="inline_block">民族
- <div style="width:80px;" class="under_line"></div>
- </div>
- <div class="inline_block">患者证件类别
- <div style="width:80px;" class="under_line"></div>
- </div>
- <div class="inline_block">患者证件号码
- <div style="width:140px;" class="under_line"></div>
- </div>
- </div>
- <div>
- <div class="inline_block">职业
- <div style="width:80px;" class="under_line"></div>
- </div>
- <div class="inline_block" style="width:80px;"></div>
- <div class="inline_block">现住址
- <div style="width:80px;" class="under_line"></div>省(区、市)
- <div style="width:80px;" class="under_line"></div>市
- <div style="width:80px;" class="under_line"></div>县
- <div style="width:140px;" class="under_line"></div>
- </div>
- </div>
- <div class="row">
- <div class="inline_block">工作单位名称
- <div style="width:80px;" class="under_line"></div>
- </div>
- <div class="inline_block">工作单位地址
- <div style="width:160px;" class="under_line"></div>
- </div>
- <div class="inline_block">单位电话
- <div style="width:120px;" class="under_line"></div>
- </div>
- <div class="inline_block">邮编
- <div style="width:120px;" class="under_line"></div>
- </div>
- </div>
- <div class="row">
- <div class="inline_block">联系人姓名
- <div style="width:80px;" class="under_line"></div>
- </div>
- <div class="inline_block">关系
- <div style="width:80px;" class="under_line"></div>
- </div>
- <div class="inline_block">地址
- <div style="width:80px;" class="under_line"></div>省(区、市)
- <div style="width:80px;" class="under_line"></div>市
- <div style="width:80px;" class="under_line"></div>县
- <div style="width:140px;" class="under_line"></div>
- </div>
- <div class="inline_block">电话
- <div style="width:80px;" class="under_line"></div>
- </div>
- </div>
- <div class="row">
- <div style="width:33%;">医保类型<div style="width:120px;" class="under_line"></div></div>
- <div style="width:33%;">特殊人员类型<div style="width:120px;" class="under_line"></div></div>
- <div style="width:33%;">参保地<div style="width:120px;" class="under_line"></div></div>
- </div>
- <div class="row">
- <div style="width:33%;">新生儿入院类型<div style="width:120px;" class="under_line"></div></div>
- <div style="width:33%;">新生儿出生体重<div style="width:120px;" class="under_line"></div>克</div>
- <div style="width:33%;">新生儿入院体重<div style="width:120px;" class="under_line"></div>克</div>
- </div>
- </td>
- </tr>
- <tr>
- <td style="letter-spacing:5px;text-align:center;font-weight:520;font-size:16px;padding: 6px 8px;line-height: 30px;">
- 二、门诊慢特病诊疗信息
- </td>
- </tr>
- <tr>
- <td>
- <div class="row">
- <div class="inline_block">诊断科别
- <div style="width:100px;" class="under_line"></div>
- </div>
- <div class="inline_block">就诊日期
- <div style="width:100px;" class="under_line"></div>
- </div>
- </div>
- </td>
- </tr>
- <tr>
- <td style="padding:0;line-height:30px;height:30px;">
- <table class="inside_table">
- <tbody>
- <tr>
- <td style="width:25%;">诊断名称</td>
- <td style="width:25%;">诊断代码</td>
- <td style="width:25%;">手术及操作名称</td>
- <td style="width:25%;">手术及操作代码</td>
- </tr>
- <tr v-for="item in 6">
- <td> </td>
- <td> </td>
- <td> </td>
- <td> </td>
- </tr>
- </tbody>
- </table>
- </td>
- </tr>
- <tr>
- <td style="letter-spacing:5px;text-align:center;font-weight:520;font-size:16px;padding: 6px 8px;line-height: 30px;">
- 三、住院诊疗信息
- </td>
- </tr>
- <tr>
- <td>
- <div class="inline_block">住院医疗类型
- <label-box :isChecked="false" showValue="1.住院"></label-box>
- <label-box :isChecked="false" showValue="2.日间手术"></label-box>
- </div>
- </td>
- </tr>
- <tr>
- <td>
- <div>
- <div class="inline_block">入院途径
- <label-box :isChecked="false" showValue="1.急诊"></label-box>
- <label-box :isChecked="false" showValue="2.门诊"></label-box>
- <label-box :isChecked="false" showValue="3.其他医疗机构转入"></label-box>
- <label-box :isChecked="false" showValue="9.其他"></label-box>
- </div>
- </div>
- </td>
- </tr>
- <tr>
- <td>
- <div>
- <div class="inline_block">治疗类别
- <label-box :isChecked="false" showValue="1.西医"></label-box>
- <label-box :isChecked="false" showValue="2.中医"></label-box>
- (
- <label-box :isChecked="false" showValue="2.1 中医"></label-box>
- <label-box :isChecked="false" showValue="2.2 民族医"></label-box>
- )
- <label-box :isChecked="false" showValue="3.中西医"></label-box>
- </div>
- </div>
- </td>
- </tr>
- <tr>
- <td>
- <div class="row">
- <div style="width:40%" class="inline_block">入院时间
- <div style="width:40px;" class="under_line"></div>年
- <div style="width:40px;" class="under_line"></div>月
- <div style="width:40px;" class="under_line"></div>日
- <div style="width:40px;" class="under_line"></div>时
- </div>
- <div style="width:30%" class="inline_block">入院科别
- <div style="width:80px;" class="under_line"></div>
- </div>
- <div style="width:30%" class="inline_block">转科科别
- <div style="width:80px;" class="under_line"></div>
- </div>
- </div>
- </td>
- </tr>
- <tr>
- <td>
- <div class="row">
- <div style="width:40%" class="inline_block">出院时间
- <div style="width:40px;" class="under_line"></div>年
- <div style="width:40px;" class="under_line"></div>月
- <div style="width:40px;" class="under_line"></div>日
- <div style="width:40px;" class="under_line"></div>时
- </div>
- <div style="width:30%" class="inline_block">出院科别
- <div style="width:80px;" class="under_line"></div>
- </div>
- <div style="width:30%" class="inline_block">实际住院
- <div style="width:80px;" class="under_line"></div>天
- </div>
- </div>
- </td>
- </tr>
- <tr>
- <td>
- <div class="row">
- <div style="width:40%" class="inline_block">门(急)诊诊断(西医诊断)
- <div style="width:80px;" class="under_line"></div>
- </div>
- <div style="width:30%" class="inline_block">疾病代码
- <div style="width:80px;" class="under_line"></div>
- </div>
- <div style="width:30%" class="inline_block">
- </div>
- </div>
- <div class="row">
- <div style="width:40%" class="inline_block">门(急)诊诊断(中医诊断)
- <div style="width:80px;" class="under_line"></div>
- </div>
- <div style="width:30%" class="inline_block">疾病代码
- <div style="width:80px;" class="under_line"></div>
- </div>
- <div style="width:30%" class="inline_block">
- </div>
- </div>
- </td>
- </tr>
- <tr>
- <td style="padding:0;line-height:30px;height:30px;">
- <table class="inside_table">
- <tbody>
- <tr>
- <td style="width:20%;">出院西医诊断</td>
- <td style="width:15%;">疾病代码</td>
- <td style="width:15%;">入院病情</td>
- <td style="width:20%;">出院中医诊断</td>
- <td style="width:15%;">疾病代码</td>
- <td style="width:15%;">入院病情</td>
- </tr>
- <tr>
- <td style="text-align:left;"> 主要诊断:</td>
- <td> </td>
- <td> </td>
- <td style="text-align:left;"> 主病:</td>
- <td> </td>
- <td> </td>
- </tr>
- <tr>
- <td style="text-align:left;"> 其他诊断:</td>
- <td> </td>
- <td> </td>
- <td style="text-align:left;"> 主证:</td>
- <td> </td>
- <td> </td>
- </tr>
- <tr v-for="item in 7">
- <td> </td>
- <td> </td>
- <td> </td>
- <td> </td>
- <td> </td>
- <td> </td>
- </tr>
- </tbody>
- </table>
- </td>
- </tr>
- <tr>
- <td>
- <div class="inline_block">诊断代码计数
- <div style="width:80px;" class="under_line"></div>
- </div>
- </td>
- </tr>
- <tr>
- <td style="padding:0;line-height:30px;height:30px;">
- <table class="inside_table">
- <tbody>
- <tr>
- <td style="width:20%;">手术及操作名称</td>
- <td style="width:20%;">手术及操作代码</td>
- <td style="width:10%;">手术及操作日期</td>
- <td style="width:10%;">麻醉方式*</td>
- <td style="width:10%;">术者医师姓名</td>
- <td style="width:10%;">术者医师代码</td>
- <td style="width:10%;">麻醉医师姓名</td>
- <td style="width:10%;">麻醉医师代码</td>
- </tr>
- <tr>
- <td style="text-align:left;"> 主要:</td>
- <td> </td>
- <td> </td>
- <td> </td>
- <td> </td>
- <td> </td>
- <td> </td>
- <td> </td>
- </tr>
- <tr>
- <td style="text-align:left;"> 其他:</td>
- <td> </td>
- <td> </td>
- <td> </td>
- <td> </td>
- <td> </td>
- <td> </td>
- <td> </td>
- </tr>
- <tr v-for="item in 8">
- <td> </td>
- <td> </td>
- <td> </td>
- <td> </td>
- <td> </td>
- <td> </td>
- <td> </td>
- <td> </td>
- </tr>
- </tbody>
- </table>
- </td>
- </tr>
- <tr>
- <td>
- <div class="inline_block">手术及操作代码计数
- <div style="width:80px;" class="under_line"></div>
- </div>
- </td>
- </tr>
- <tr>
- <td>
- <div class="inline_block">呼吸机使用时间
- <div style="width:40px;" class="under_line"></div>天
- <div style="width:40px;" class="under_line"></div>小时
- <div style="width:40px;" class="under_line"></div>分钟
- </div>
- </td>
- </tr>
- <tr>
- <td>
- <div>
- <div class="inline_block">颅脑损伤患者昏迷时间:
- 入院前<div style="width:40px;" class="under_line"></div>
-
- 天<div style="width:40px;" class="under_line"></div>
-
- 小时<div style="width:40px;" class="under_line"></div>分钟
- </div>
- </div>
- <div>
- <div class="inline_block"><span style="visibility: hidden;">颅脑损伤患者昏迷时间:</span>
- 入院前<div style="width:40px;" class="under_line"></div>
-
- 天<div style="width:40px;" class="under_line"></div>
-
- 小时<div style="width:40px;" class="under_line"></div>分钟
- </div>
- </div>
- </td>
- </tr>
- </tbody>
- </table>
- </div>
- </div>
- </template>
-
- <script>
- import LabelBox from '../../dialysis/printItem/LabelBox'
- export default {
- components:{
- LabelBox
- },
- data(){
- return{
-
- }
- }
- }
- </script>
-
-
-
- <style lang="scss" scoped>
- .title{
- text-align: center;
- font-size: 22px;
- font-weight: bold;
- }
- .row{
- display: flex;
- justify-content: space-between;
- }
- .under_line{
- border-bottom: 1px solid #999;
- width: 95%;
- text-align: center;
- margin-left: 2px;
- display: inline-block;
- }
- .inline_block{
- display: inline-block;
- }
- // #prescription-print{
- // width: 960px;
- // }
- .print_page_main_content .proj_table {
- width: 100%;
- border: 1px solid;
- border-collapse: collapse;
- padding: 2px;
- }
-
- .print_page_main_content .proj_table tbody tr td {
- border: 1px solid;
- /* text-align: center; */
- font-size: 16px;
- padding: 5px 8px;
- line-height: 30px;
- }
-
- .print_page_main_content .proj_table .inside_table {
- width: 100%;
- border: hidden; /* 解决边框冲突 */
- border-collapse: collapse;
- }
-
- .print_page_main_content .proj_table .inside_table tr td {
- border: 1px solid;
- text-align: center;
- font-size: 14px;
- padding: 6px 5px;
- line-height: 16px;
- }
- </style>
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