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- <view class="content"><view class="inner"><u-alert vue-id="7edbe746-1" title="国家卫健委要求，就医行为必须实名登记" type="info" bind:__l="__l"></u-alert><view class="form-box"><view class="form-item"><text class="label">姓名</text><input class="input-width" type="text" placeholder="请输入真实姓名" placeholder-class="form-input" data-event-opts="{{[['input',[['__set_model',['$0','patientName','$event',[]],['form']]]]]}}" value="{{form.patientName}}" bindinput="__e"/></view><view class="form-item"><text class="label">性别</text><radio-group style="display:flex;align-items:center;"><label style="margin-right:30rpx;"><radio style="margin-right:16rpx;" color="#C39A58" value="1" checked="{{form.sex===1}}" data-event-opts="{{[['tap',[['genderChange',[1]]]]]}}" bindtap="__e"></radio><text class="option-text">男</text></label><label><radio style="margin-right:16rpx;" color="#C39A58" value="2" checked="{{form.sex===2}}" data-event-opts="{{[['tap',[['genderChange',[2]]]]]}}" bindtap="__e"></radio><text class="option-text">女</text></label></radio-group></view><view class="form-item"><text class="label">手机号码</text><input class="input-width" type="phone" placeholder="请输入手机号码" placeholder-class="form-input" data-event-opts="{{[['input',[['__set_model',['$0','mobile','$event',[]],['form']]]]]}}" value="{{form.mobile}}" bindinput="__e"/></view><view class="form-item"><text class="label">身份证号</text><input class="input-width" type="idcard" placeholder="请输入身份证号" placeholder-class="form-input" data-event-opts="{{[['blur',[['idcardChange']]],['input',[['__set_model',['$0','idCard','$event',[]],['form']]]]]}}" value="{{form.idCard}}" bindblur="__e" bindinput="__e"/></view><view class="form-item"><text class="label">出生年月</text><picker class="birth-picker" value="{{form.birthday}}" start="1900-01-01" mode="date" data-event-opts="{{[['change',[['birthdayChange',['$event']]]]]}}" bindchange="__e"><view class="right-box"><view class="input-box"><input type="text" placeholder="请选择出生年月" placeholder-class="form-input" disabled="disabled" value="{{form.birthday}}"/></view><image class="arrow" src="{{imgPath+'/app/commonCourse/arrow_gray.png'}}" mode></image></view></picker></view></view><view class="form-box"><view data-event-opts="{{[['tap',[['e0',['$event']]]]]}}" class="form-item" bindtap="__e"><text class="label">与本人关系</text><view class="right-box"><view class="input-box"><input type="text" placeholder="请选择" placeholder-class="form-input" disabled="disabled" value="{{form.relation}}"/></view><image class="arrow" src="{{imgPath+'/app/commonCourse/arrow_gray.png'}}" mode></image></view></view></view><view class="form-box"><view class="form-item"><text class="label">肝功能</text><radio-group data-event-opts="{{[['change',[['liverUnusualChange',['$event']]]]]}}" style="display:flex;align-items:center;" bindchange="__e"><label style="margin-right:30rpx;"><radio style="margin-right:16rpx;" color="#C39A58" value="正常" checked="{{form.liverUnusual==='正常'}}"></radio><text class="option-text">正常</text></label><label><radio style="margin-right:16rpx;" color="#C39A58" value="异常" checked="{{form.liverUnusual==='异常'}}"></radio><text class="option-text">异常</text></label></radio-group></view><view class="form-item"><text class="label">肾功能</text><radio-group data-event-opts="{{[['change',[['renalUnusualChange',['$event']]]]]}}" style="display:flex;align-items:center;" bindchange="__e"><label style="margin-right:30rpx;"><radio style="margin-right:16rpx;" color="#C39A58" value="正常" checked="{{form.renalUnusual==='正常'}}"></radio><text class="option-text">正常</text></label><label><radio style="margin-right:16rpx;" color="#C39A58" value="异常" checked="{{form.renalUnusual==='异常'}}"></radio><text class="option-text">异常</text></label></radio-group></view><view class="form-item"><text class="label">过敏史</text><radio-group data-event-opts="{{[['change',[['historyAllergicChange',['$event']]]]]}}" style="display:flex;align-items:center;justify-content:flex-end;margin:5rpx 0rpx;" bindchange="__e"><label style="margin-right:30rpx;"><radio style="margin-right:16rpx;" color="#C39A58" value="无" checked="{{form.historyAllergic==='无'}}"></radio><text class="option-text">无</text></label><label><radio style="margin-right:16rpx;" color="#C39A58" value="有" checked="{{form.historyAllergic==='有'}}"></radio><text class="option-text">有</text></label></radio-group></view><block wx:if="{{form.historyAllergic=='有'}}"><view class="form-item"><view class="option-box" style="margin:5rpx 0rpx;"><block wx:for="{{historyAllergics}}" wx:for-item="item" wx:for-index="index"><view class="option"><u-tag vue-id="{{'7edbe746-2-'+index}}" borderColor="{{item.checked==1?'#ffffff':'#C39A58'}}" bgColor="{{item.checked==1?'#C39A58':'#ffffff'}}" color="{{item.checked==1?'#ffffff':'#C39A58'}}" shape="circle" text="{{item.name}}" data-event-opts="{{[['^click',[['historyAllergicOptionChange',['$0'],[[['historyAllergics','',index]]]]]]]}}" bind:click="__e" bind:__l="__l"></u-tag></view></block></view></view></block><view class="form-item"><text class="label">个人病史</text><radio-group data-event-opts="{{[['change',[['selfMedHistoryChange',['$event']]]]]}}" style="display:flex;align-items:center;" bindchange="__e"><label style="margin-right:30rpx;"><radio style="margin-right:16rpx;" color="#C39A58" value="无" checked="{{form.selfMedHistory==='无'}}"></radio><text class="option-text">无</text></label><label><radio style="margin-right:16rpx;" color="#C39A58" value="有" checked="{{form.selfMedHistory==='有'}}"></radio><text class="option-text">有</text></label></radio-group></view><block wx:if="{{form.selfMedHistory=='有'}}"><view class="form-item"><view class="option-box" style="margin:5rpx 0rpx;"><block wx:for="{{selfMedHistorys}}" wx:for-item="item" wx:for-index="index"><view class="option"><u-tag vue-id="{{'7edbe746-3-'+index}}" borderColor="{{item.checked==1?'#ffffff':'#C39A58'}}" bgColor="{{item.checked==1?'#C39A58':'#ffffff'}}" color="{{item.checked==1?'#ffffff':'#C39A58'}}" shape="circle" text="{{item.name}}" data-event-opts="{{[['^click',[['selfMedHistoryOptionChange',['$0'],[[['selfMedHistorys','',index]]]]]]]}}" bind:click="__e" bind:__l="__l"></u-tag></view></block></view></view></block><view class="form-item"><text class="label">家庭病史</text><radio-group data-event-opts="{{[['change',[['familyMedHistoryChange',['$event']]]]]}}" style="display:flex;align-items:center;" bindchange="__e"><label style="margin-right:30rpx;"><radio style="margin-right:16rpx;" color="#C39A58" value="无" checked="{{form.familyMedHistory==='无'}}"></radio><text class="option-text">无</text></label><label><radio style="margin-right:16rpx;" color="#C39A58" value="有" checked="{{form.familyMedHistory==='有'}}"></radio><text class="option-text">有</text></label></radio-group></view><block wx:if="{{form.familyMedHistory=='有'}}"><view class="form-item"><view class="option-box" style="margin:5rpx 0rpx;"><block wx:for="{{familyMedHistorys}}" wx:for-item="item" wx:for-index="index"><view class="option"><u-tag vue-id="{{'7edbe746-4-'+index}}" borderColor="{{item.checked==1?'#ffffff':'#C39A58'}}" bgColor="{{item.checked==1?'#C39A58':'#ffffff'}}" color="{{item.checked==1?'#ffffff':'#C39A58'}}" shape="circle" text="{{item.name}}" data-event-opts="{{[['^click',[['familyMedHistoryOptionChange',['$0'],[[['familyMedHistorys','',index]]]]]]]}}" bind:click="__e" bind:__l="__l"></u-tag></view></block></view></view></block></view></view><view class="btn-box"><view data-event-opts="{{[['tap',[['submit']]]]}}" class="sub-btn" bindtap="__e">保存就诊人</view></view><u-action-sheet vue-id="7edbe746-5" show="{{relationShow}}" actions="{{relations}}" title="请选择" data-event-opts="{{[['^close',[['e1']]],['^select',[['relationSelect']]]]}}" bind:close="__e" bind:select="__e" bind:__l="__l"></u-action-sheet></view>
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