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FZ/lis-module-grp-claim-web/src/main/webapp/g_claim/LLClaimMedicalReceipt.jsp

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<%
/***************************************************************
* <p>ProName：LLClaimMedicalReceipt.jsp</p>
* <p>Title：医疗单据录入页面</p>
* <p>Description：医疗单据录入页面</p>
* <p>Copyright：Copyright (c) 2014</p>
* <p>Company：Sinosoft</p>
* @author : tangxuy
* @version : 8.0
* @date : 2023-10-13
****************************************************************/
%>
<%@page pageEncoding="UTF-8" contentType="text/html; charset=UTF-8" %>
<%@include file="../common/jsp/UsrCheck.jsp" %>
<%@page import="com.sinosoft.lis.pubfun.DateUtil" %>
<%@page import="com.sinosoft.utility.XssUtil"%>
<%
GlobalInput tGI = (GlobalInput)session.getAttribute("GI");
String tManageCom = XssUtil.escapeJavaScript(request.getParameter("ManageCom"));
String tOperator = tGI.Operator;
String mCurrentDate = DateUtil.getCurrentDate();
String tRgtNo = XssUtil.escapeJavaScript(request.getParameter("RgtNo"));
String tCaseNo = XssUtil.escapeJavaScript(request.getParameter("CaseNo"));
String tCustomerNo = XssUtil.escapeJavaScript(request.getParameter("CustomerNo")); //出险人编码
String tMode = XssUtil.escapeJavaScript(request.getParameter("Mode"));
String BussNo = XssUtil.escapeJavaScript(request.getParameter("BussNo"));
String BussType = XssUtil.escapeJavaScript(request.getParameter("BussType"));
String SubType = XssUtil.escapeJavaScript(request.getParameter("SubType"));
String taccDate1 = XssUtil.escapeJavaScript(request.getParameter("AccDate1"));//事故日期
String taccDate2 = XssUtil.escapeJavaScript(request.getParameter("AccDate2"));//出险日期
%>
<script>
var tManageCom = "<%=tManageCom%>"; //记录登陆机构
var tOperator = "<%=tOperator%>"; //记录操作人
var tCurrentDate = "<%=mCurrentDate%>"; //系统时间
var tRgtNo = "<%=tRgtNo%>";
var tCustomerNo = "<%=tCustomerNo%>";
var tCaseNo = "<%=tCaseNo%>";
var tMode = "<%=tMode%>";
var tBussNo = "<%=BussNo%>";
var tBussType = "<%=BussType%>";
var tSubType = "<%=SubType%>";
var taccDate1 = "<%=taccDate1%>";
var taccDate2 = "<%=taccDate2%>";
</script>
<html>
<head>
<%--<title>医疗账单录入</title>--%><title>LIS</title>
<script src="../common/javascript/Common.js"></script>
<script src="../common/javascript/MulLine.js"></script>
<script src="../common/javascript/EasyQuery.js"></script>
<script src="../common/easyQueryVer3/EasyQueryVer3.js"></script>
<script src="../common/easyQueryVer3/EasyQueryCache.js"></script>
<script src="../common/javascript/VerifyInput.js"></script>
<SCRIPT src="../common/laydate/laydate.js"></SCRIPT>
<link href="../common/css/Project.css" rel=stylesheet type=text/css>
<LINK href="../common/css/Project3.css" rel=stylesheet type=text/css>
<link href="../common/css/mulLine.css" rel=stylesheet type=text/css>
<link rel="stylesheet" type="text/css" href="../common/themes/icon.css">
<link rel="stylesheet" href="../common/css/jquery.Jcrop.css" type="text/css"/>
<script src="../common/javascript/jquery.js"></script>
<script src="../common/cvar/CCodeOperate.js"></script>
<script src="LLClaimPubFun.js"></script>
<%@include file="LLClaimMedicalReceiptInit.jsp" %>
<script src="./LLClaimMedicalReceipt.js"></script>
<script src="../common/javascript/i18n/jquery.i18n.js"></script>
<script src="../common/javascript/i18n/jquery.i18n.messagestore.js"></script>
<script src="../common/javascript/i18n/i18n.js"></script>
</head>
<body onload="initForm();initElementtype();">
<form action="" method=post name=fm id=fm target="fraSubmit">
<div id="divMedFee" class="container" showname="费用类型" style="display:''">
<table class=common>
<tr class=common>
<TD class=title> 费用类型</TD>
<TD class=input><Input class=codeno name=MainFeeType
ondblclick="return showCodeList('llfeetype1',[this,MainFeeName],[0,1]);"
onkeyup="return showCodeListKey('llfeetype1',[this,MainFeeName],[0,1]);"
onfocus="choiseType();"><input class=codename name=MainFeeName
elementtype="nacessary" readonly=true></TD>
</TD>
<TD class=title></TD>
<TD class=input></TD>
<TD class=title><INPUT class=cssButton VALUE="单证补扫" TYPE=button onclick="showScan();"></TD>
<TD class=input></TD>
</tr>
</table>
</div>
<%--门诊单证录入信息--%>
<div id="divMedFee1" style="display:none">
<div id="MedFeeClinicInp" class="container grid" showname="门诊单证录入信息">
<span id="spanMedFeeClinicInpGrid"></span>
<table>
<tr>
<td><INPUT class=cssButton name="saveButton1" VALUE="增加/修改" TYPE=button onclick="AddClick1()"></td>
<td><INPUT class=cssButton name="deleteButton1" VALUE="删 除" TYPE=button onclick="DeleteClick1()">
</td>
<td><INPUT class=cssButton name="hideButton1" VALUE="隐 藏" TYPE=button
onclick="divMedFee1.style.display='none';fm.MainFeeType.value='';fm.MainFeeName.value='';">
</td>
</tr>
</table>
<table class=common>
<tr class=common>
<td class=title>账单类型</td>
<td class=input><input class=codeno verify="账单类型|NotNull" name=FeeKind3
CodeData="0|^0|医保门诊^1|新农合门诊^2|医保审批^3|普通门诊"
ondblclick="return showCodeListEx('FeeKind3',[this,FeeKind3Name],[0,1]);"
onkeyup="return showCodeListKeyEx('FeeKind3',[this,FeeKind3Name],[0,1]);"><input
class=codename name=FeeKind3Name readonly elementtype=nacessary></td>
</tr>
<tr class=common>
<td class=title> 单据号</td>
<td class=input><Input class="common" name=ClinicMainFeeNo elementtype="nacessary"></td>
<td class=title> 医院名称</td>
<td class=input><input class="codeno" name="ClinicHosID" onkeydown="QueryOnKeyDown(this)" readonly>
<input class="codename" name="ClinicHosName" id="ClinicHosName" onkeydown="QueryOnKeyDown(this)"
onchange="fm.ClinicHosID.value='';" elementtype="nacessary"></td>
<td class=title> 开始日期</td>
<td class=input><input class="coolDatePicker" id="ClinicStartDate" name="ClinicStartDate"
verify="开始日期|LEN=10&DATE" onchange="verifyField(this);"
elementtype=nacessary onClick="laydate({elem: '#ClinicStartDate'});"
onblur="CheckDate(fm.ClinicStartDate);ADayCal();">
</td>
</tr>
<tr class=common>
<td class=title> 结束日期</td>
<td class=input><input class="coolDatePicker" id="ClinicEndDate" name="ClinicEndDate"
elementtype=nacessary verify="开始日期|LEN=10&DATE"
onchange="verifyField(this);"
onClick="laydate({elem: '#ClinicEndDate'});"
onblur="CheckDate(fm.ClinicEndDate);ADayCal();">
</td>
<td class=title> 天数</td>
<td class=input><Input class="common" readonly name=ClinicDayCount1 verify="天数|INT&VALUE>=0"
onchange="verifyField(this);"></td>
<td class=title> 距离意外事故发生天数</td>
<td class=input><Input class="common" readonly name=ClinicDayCount2
verify="距离意外事故发生天数|INT&VALUE>=0" onchange="verifyField(this);">
</td>
</tr>
<tr class=common>
<td class=title> 距离出险日期天数</td>
<td class=input><Input class="common" readonly name=ClinicDayCount3
verify="距离出险日期天数|INT&VALUE>=0" onchange="verifyField(this);"></td>
<td class=title> 金额合计</td>
<td class=input><Input class="common" name=ClinicSum elementtype=nacessary
verify="金额合计|NUM&VALUE>=0" onchange="verifyField(this);"></td>
</tr>
<tr class=common>
<td class=title> 西药</td>
<td class=input><Input class="common" name=ACM002 verify="西药|NUM&VALUE>=0"
onchange="verifyField(this);"></td>
<td class=title> 中成药</td>
<td class=input><Input class="common" name=ACM003 verify="中成药|NUM&VALUE>=0"
onchange="verifyField(this);"></td>
<td class=title> 中草药</td>
<td class=input><Input class="common" name=ACM004 verify="中草药|NUM&VALUE>=0"
onchange="verifyField(this);"></td>
</tr>
<tr class=common>
<td class=title> 化验费</td>
<td class=input><Input class="common" name=ACT001 verify="化验费|NUM&VALUE>=0"
onchange="verifyField(this);"></td>
<td class=title> 放射费</td>
<td class=input><Input class="common" name=ACE005 verify="放射费|NUM&VALUE>=0"
onchange="verifyField(this);"></td>
<td class=title> B超</td>
<td class=input><Input class="common" name=ACE002 verify="B超|NUM&VALUE>=0"
onchange="verifyField(this);"></td>
</tr>
<tr class=common>
<td class=title> CT</td>
<td class=input><Input class="common" name=ACE003 verify="CT|NUM&VALUE>=0"
onchange="verifyField(this);"></td>
<td class=title> 核磁</td>
<td class=input><Input class="common" name=ACE004 verify="核磁|NUM&VALUE>=0"
onchange="verifyField(this);"></td>
<td class=title> 检查费</td>
<td class=input><Input class="common" name=ACE001 verify="检查费|NUM&VALUE>=0"
onchange="verifyField(this);"></td>
</tr>
<tr class=common>
<td class=title> 治疗费</td>
<td class=input><Input class="common" name=ACC001 verify="治疗费|NUM&VALUE>=0"
onchange="verifyField(this);"></td>
<td class=title> 材料费</td>
<td class=input><Input class="common" name=ACC011 verify="材料费|NUM&VALUE>=0"
onchange="verifyField(this);"></td>
<td class=title> 手术费</td>
<td class=input><Input class="common" name=ACC007 verify="手术费|NUM&VALUE>=0"
onchange="verifyField(this);"></td>
</tr>
<tr class=common>
<td class=title> 输氧费</td>
<td class=input><Input class="common" name=ACC006 verify="输氧费|NUM&VALUE>=0"
onchange="verifyField(this);"></td>
<td class=title> 输血费</td>
<td class=input><Input class="common" name=ACC005 verify="输血费|NUM&VALUE>=0"
onchange="verifyField(this);"></td>
<td class=title> 其他-正畸费</td>
<td class=input><Input class="common" name=ACO013 verify="其他-正畸费|NUM&VALUE>=0"
onchange="verifyField(this);"></td>
</tr>
<tr class=common>
<td class=title> 其他-镶牙费</td>
<td class=input><Input class="common" name=ACO014 verify="其他-镶牙费|NUM&VALUE>=0"
onchange="verifyField(this);"></td>
<td class=title> 其他-鉴定费</td>
<td class=input><Input class="common" name=ACO015 verify="其他-鉴定费|NUM&VALUE>=0"
onchange="verifyField(this);"></td>
<td class=title> 其他-救护车</td>
<td class=input><Input class="common" name=ACO006 verify="其他-救护车|NUM&VALUE>=0"
onchange="verifyField(this);"></td>
</tr>
<tr class=common>
<td class=title> 其他-体检费</td>
<td class=input><Input class="common" name=ACO016 verify="其他-体检费|NUM&VALUE>=0"
onchange="verifyField(this);"></td>
<td class=title> 其他-不细分</td>
<td class=input><Input class="common" name=ACO001 verify="其他-不细分|NUM&VALUE>=0"
onchange="verifyField(this);"></td>
</tr>
<tr class=common>
<td class=title> 收据类型</td>
<td class=input><Input class=codeno name=ClinicDocumentType
ondblclick="return showCodeList('documenttype',[this,ClinicDocumentName],[0,1]);"
onkeyup="return showCodeListKey('documenttype',[this,ClinicDocumentName],[0,1]);"><input
class=codename name=ClinicDocumentName elementtype="nacessary" readonly></td>
<td class=title id="showClinicDMNo1" style="display: none">电子票据代码</td>
<td class=input id="showClinicDMNo2" style="display: none"><Input class="common" name=ClinicDMNo>
</td>
<td class=title id="showClinicHMNo1" style="display: none">电子票据号码</td>
<td class=input id="showClinicHMNo2" style="display: none"><Input class="common" name=ClinicHMNo>
</td>
</tr>
<tr class=common>
<td class=title id="showClinicJYMNo1" style="display: none">校验码</td>
<td class=input id="showClinicJYMNo2" style="display: none"><Input class="common" name=ClinicJYMNo>
</td>
<td class=title id="showClinicKPRQ1" style="display: none">开票日期</td>
<td class=input id="showClinicKPRQ2" style="display: none">
<%-- <input class="common Wdate" onfocus="WdatePicker({readOnly:false,dateFmt:'yyyy-MM-dd'})" verify="开票日期|date&NOTNULL" name="ClinicKPRQ" onblur="CheckDate(fm.ClinicKPRQ);"></TD>--%>
<input class="coolDatePicker" id="ClinicKPRQ" name="ClinicKPRQ" verify="开票日期|LEN=10&DATE"
onchange="verifyField(this);" onClick="laydate({elem: '#ClinicKPRQ'});"><span
class="icon"><a onClick="laydate({elem: '#ClinicKPRQ'});"></a></span></td>
</tr>
</table>
<table class=common>
<tr class=common>
<td class=title> 调整备注</td>
</tr>
<tr class=common>
<td class=input>
<textarea name="AdjRemark4" verify="调整备注|len<=200" verifyorder="1" cols="100" rows="2"
witdh=25% class="common"></textarea>
</td>
</tr>
</table>
<hr>
<div id="Fee1" style="display:''" class="container grid" showname="需增加费用明细">
<span id="spanMedFeeAInpGrid"></span></td>
</div>
<Div id="divDiagnoseKindAInpGrid" class="container grid" showname="诊断类型">
<span id="spanDiagnoseKindAInpGrid"></span></td>
</Div>
<hr>
<div id="QiBuMessage" style="display:'' " class="container" showname="其中企补赔付情况">
<table class=common>
<tr class=common>
<TD class=title> 医保范围内金额</TD>
<TD class=input><Input class="common" name=ACZ002 verify="医保范围内金额|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 医保支付金额</TD>
<TD class=input><Input class="common" name=ACZ001 verify="医保支付金额|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 门诊大额支付</TD>
<TD class=input><Input class="common" name=ACZ013 verify="门诊大额支付|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
</tr>
<tr class=common>
<TD class=title> 退休补充支付</TD>
<TD class=input><Input class="common" name=ACZ007 verify="退休补充支付|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 自付一（医保内自付）</TD>
<TD class=input><Input class="common" name=ACZ008 verify="自付一（医保内自付）|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 起付线</TD>
<TD class=input><Input class="common" name=ACZ009 verify="起付线|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
</tr>
<tr class=common>
<TD class=title> 统筹封顶金额</TD>
<TD class=input><Input class="common" name=ACZ010 verify="统筹封顶金额|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 自付二（部分自付）</TD>
<TD class=input><Input class="common" name=ACZ011 verify="自付二（部分自付）|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 自费</TD>
<TD class=input><Input class="common" name=ACZ012 verify="自费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
</tr>
<tr class=common>
<TD class=title> 税优第三方支付</TD>
<TD class=input><Input class="common" name=ACZ016 verify="税优第三方支付|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
</tr>
</table>
</div>
<hr>
<table>
<tr class=common>
<TD class=common> 门诊费用总合计：</TD>
</tr>
<tr class=common>
<TD class=input><Input class="common" readonly name="SumFee"></TD>
</tr>
</table>
</div>
</div>
<%--住院单证录入信息--%>
<div id="divMedFee2" style="display:none">
<div id="MedFeeInHosInp" class="container grid" showname="住院单证录入信息">
<span id="spanMedFeeInHosInpGrid"></span>
<table>
<tr>
<td><INPUT class=cssButton name="saveButton2" VALUE="增加/修改" TYPE=button onclick="AddClick2()"></td>
<td><INPUT class=cssButton name="deleteButton2" VALUE="删 除" TYPE=button onclick="DeleteClick2()">
</td>
<td><INPUT class=cssButton name="hideButton2" VALUE="隐 藏" TYPE=button
onclick="divMedFee2.style.display='none';fm.MainFeeType.value='';fm.MainFeeName.value='';">
</td>
</tr>
</table>
<table class=common>
<tr class=common>
<td class=title>账单类型</td>
<td class=input><input class=codeno verify="账单类型|NotNull" name=FeeKind4
CodeData="0|^0|医保住院^1|医保特殊病^2|新农合住院^3|医保审批^4|普通住院"
ondblclick="return showCodeListEx('FeeKind4',[this,FeeKind4Name],[0,1]);"
onkeyup="return showCodeListKeyEx('FeeKind4',[this,FeeKind4Name],[0,1]);"><input
class=codename name=FeeKind4Name elementtype=nacessary readonly></td>
</tr>
<tr class=common>
<TD class=title>单据号</TD>
<TD class=input><Input class="common" name=HosMainFeeNo elementtype=nacessary></TD>
<TD class=title> 医院名称</TD>
<td class=input><input class="codeno" name="InHosHosID" onkeydown="QueryOnKeyDown(this)" readonly>
<input class="codename" name="InHosHosName" id="InHosHosName" onkeydown="QueryOnKeyDown(this)"
onchange="fm.InHosHosID.value='';" elementtype="nacessary"></td>
<TD class=title> 开始日期</TD>
<TD class=input><input class="coolDatePicker" id="InHosStartDate" name="InHosStartDate"
verify="开始日期|LEN=10&DATE" onchange="verifyField(this);"
elementtype="nacessary" onClick="laydate({elem: '#InHosStartDate'});"
onblur="CheckDate(fm.InHosStartDate);">
</TD>
</tr>
<tr class=common>
<TD class=title> 结束日期</TD>
<TD class=input><input class="coolDatePicker" id="InHosEndDate" name="InHosEndDate"
verify="结束日期|LEN=10&DATE" onchange="verifyField(this);"
elementtype="nacessary" onClick="laydate({elem: '#InHosEndDate'});"
onblur="CheckDate(fm.InHosEndDate);BDayCal();">
</TD>
<TD class=title> 天数</TD>
<TD class=input><Input class="common" readonly name=InHosDayCount1 verify="天数|INT&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 距离意外事故发生天数</TD>
<TD class=input><Input class="common" readonly name=InHosDayCount2
verify="距离意外事故发生天数|INT&VALUE>=0" onchange="verifyField(this);">
</TD>
</tr>
<tr class=common>
<TD class=title> 距离出险日期天数</TD>
<TD class=input><Input class="common" readonly name=InHosDayCount3
verify="距离出险日期天数|INT&VALUE>=0" onchange="verifyField(this);"></TD>
<%-- <TD class=title> 重症监护开始时间</TD>--%>
<%-- &lt;%&ndash; <TD class= input> <input class="common" onfocus="WdatePicker({readOnly:false,dateFmt:'yyyy-MM-dd'})" name="SevereStartDate" onblur="CheckDate(fm.SevereStartDate);BDayCal1();"></TD>&ndash;%&gt;--%>
<%-- <TD class=input><input class="coolDatePicker" id="SevereStartDate" name="SevereStartDate"--%>
<%-- verify="重症监护开始时间|LEN=10&DATE" onchange="verifyField(this);"--%>
<%-- onClick="laydate({elem: '#SevereStartDate'});"><span class="icon"><a--%>
<%-- onClick="laydate({elem: '#SevereStartDate'});"></a></span></TD>--%>
<%-- <TD class=title> 重症监护结束时间</TD>--%>
<%-- &lt;%&ndash; <TD class= input> <input class="common" onfocus="WdatePicker({readOnly:false,dateFmt:'yyyy-MM-dd'})" name="SevereEndDate" onblur="CheckDate(fm.SevereEndDate);BDayCal1();"></TD>&ndash;%&gt;--%>
<%-- <TD class=input><input class="coolDatePicker" id="SevereEndDate" name="SevereEndDate"--%>
<%-- verify="重症监护结束时间|LEN=10&DATE" onchange="verifyField(this);"--%>
<%-- onClick="laydate({elem: '#SevereEndDate'});"><span--%>
<%-- class="icon"><a onClick="laydate({elem: '#SevereEndDate'});"></a></span></TD>--%>
<TD class=title> 金额合计</TD>
<TD class=input><Input class="common" name=InHosSum verify="金额合计|NUM&VALUE>=0"
onchange="verifyField(this);" elementtype="nacessary"></TD>
</tr>
<%-- <tr class=common>--%>
<%-- <TD class=title> 重症监护室天数</TD>--%>
<%-- <TD class=input><Input class="common" readonly name=SevereDayCount--%>
<%-- verify="重症监护室天数|INT&VALUE>=0" onchange="verifyField(this);"></TD>--%>
<%-- </tr>--%>
<tr class=common>
<TD class=title> 床位费</TD>
<TD class=input><Input class="common" name=BCR001 verify="床位费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 病理费</TD>
<TD class=input><Input class="common" name=BCE006 verify="病理费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 特殊治疗费</TD>
<TD class=input><Input class="common" name=BCC014 verify="特殊治疗费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
</tr>
<tr class=common>
<TD class=title> 其他-取暖费</TD>
<TD class=input><Input class="common" name=BCO009 verify="其他-取暖费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 护理费</TD>
<TD class=input><Input class="common" name=BCC010 verify="护理费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 检查费</TD>
<TD class=input><Input class="common" name=BCE001 verify="检查费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
</tr>
<tr class=common>
<TD class=title> 手术费</TD>
<TD class=input><Input class="common" name=BCC007 verify="手术费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 其他-陪床费</TD>
<TD class=input><Input class="common" name=BCO004 verify="其他-陪床费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 诊疗费</TD>
<TD class=input><Input class="common" name=BCC008 verify="诊疗费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
</tr>
<tr class=common>
<TD class=title> 放射费</TD>
<TD class=input><Input class="common" name=BCE005 verify="放射费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 麻醉费</TD>
<TD class=input><Input class="common" name=BCC009 verify="麻醉费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 其他-不细分</TD>
<TD class=input><Input class="common" name=BCO001 verify="其他-不细分|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
</tr>
<tr class=common>
<TD class=title> 西药费</TD>
<TD class=input><Input class="common" name=BCM002 verify="西药费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 超声费</TD>
<TD class=input><Input class="common" name=BCE002 verify="超声费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 材料费</TD>
<TD class=input><Input class="common" name=BCC011 verify="材料费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
</tr>
<tr class=common>
<TD class=title> 中成药费</TD>
<TD class=input><Input class="common" name=BCM003 verify="中成药费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 治疗费</TD>
<TD class=input><Input class="common" name=BCC001 verify="治疗费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 人工器官</TD>
<TD class=input><Input class="common" name=BCC015 verify="人工器官|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
</tr>
<tr class=common>
<TD class=title> 中草药费</TD>
<TD class=input><Input class="common" name=BCM004 verify="中草药费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 输血费</TD>
<TD class=input><Input class="common" name=BCC005 verify="输血费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 其他-接生费</TD>
<TD class=input><Input class="common" name=BCO008 verify="其他-接生费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
</tr>
<tr class=common>
<TD class=title> 化验费</TD>
<TD class=input><Input class="common" name=BCT001 verify="化验费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 吸氧费</TD>
<TD class=input><Input class="common" name=BCC006 verify="吸氧费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 婴儿费</TD>
<TD class=input><Input class="common" name=BCR003 verify="婴儿费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
</tr>
<tr class=common>
<TD class=title> 收据类型</TD>
<TD class=input><Input class=codeno name=HosDocumentType
ondblclick="return showCodeList('documenttype',[this,HosDocumentName],[0,1]);"
onkeyup="return showCodeListKey('documenttype',[this,HosDocumentName],[0,1]);"><input
class=codename name=HosDocumentName readonly=true elementtype="nacessary"></TD>
<TD class=title id="showHosDMNo1" style="display: none"> 电子票据代码</TD>
<TD class=input id="showHosDMNo2" style="display: none"><Input class="common" name=HosDMNo></TD>
<TD class=title id="showHosHMNo1" style="display: none"> 电子票据号码</TD>
<TD class=input id="showHosHMNo2" style="display: none"><Input class="common" name=HosHMNo></TD>
</tr>
<tr class=common>
<TD class=title id="showHosJYMNo1" style="display: none"> 校验码</TD>
<TD class=input id="showHosJYMNo2" style="display: none"><Input class="common" name=HosJYMNo></TD>
<TD class=title id="showHosKPRQ1" style="display: none">开票日期</TD>
<TD class=input id="showHosKPRQ2" style="display: none">
<%-- <input class="common Wdate" onfocus="WdatePicker({readOnly:false,dateFmt:'yyyy-MM-dd'})" verify="开票日期|date&NOTNULL" name="HosKPRQ" onblur="CheckDate(fm.HosKPRQ);"></TD>--%>
<input class="coolDatePicker" id="HosKPRQ" name="HosKPRQ" verify="开票日期|LEN=10&DATE"
onchange="verifyField(this);" onClick="laydate({elem: '#HosKPRQ'});"><span
class="icon"><a onClick="laydate({elem: '#HosKPRQ'});"></a></span></TD>
</tr>
</table>
<hr>
<table class=common>
<TR class=common>
<TD class=title> 调整备注</TD>
</TR>
<TR class=common>
<TD class=input>
<textarea name="AdjRemark5" verify="调整备注|len<=200" verifyorder="1" cols="100" rows="2"
witdh=25% class="common"></textarea>
</TD>
</TR>
</table>
<div id="SevereFee2" style="display: ''" class="container grid" showname="重症监护时间">
<span id="spanMedSevereFeeBInpGrid"></span>
</div>
<div id="Fee2" style="display: ''" class="container grid" showname="需增加费用明细">
<span id="spanMedFeeBInpGrid"></span>
</div>
<Div id="divDiagnoseKindBInpGrid" class="container grid" showname="诊断类型">
<span id="spanDiagnoseKindBInpGrid"></span>
</Div>
<hr>
<div id="QiBuMessage1" style="display: ''" class="container" showname="其中企补赔付情况">
<table class=common>
<tr class=common>
<TD class=title> 医保范围内费用</TD>
<TD class=input><Input class="common" name=BCZ002 verify="医保范围内费用|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 医保支付金额</TD>
<TD class=input><Input class="common" name=BCZ001 verify="医保支付金额|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 统筹基金支付</TD>
<TD class=input><Input class="common" name=BCZ005 verify="统筹基金支付|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
</tr>
<tr class=common>
<TD class=title> 大额互助支付</TD>
<TD class=input><Input class="common" name=BCZ006 verify="大额互助支付|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 退休补充支付</TD>
<TD class=input><Input class="common" name=BCZ007 verify="退休补充支付|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 自付一（医保内自付）</TD>
<TD class=input><Input class="common" name=BCZ008 verify="自付一|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
</tr>
<tr class=common>
<TD class=title> 起付线</TD>
<TD class=input><Input class="common" name=BCZ009 verify="起付线|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 统筹封顶金额</TD>
<TD class=input><Input class="common" name=BCZ010 verify="统筹封顶金额|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 自付二（部分自付）</TD>
<TD class=input><Input class="common" name=BCZ011 verify="自付二|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
</tr>
<tr class=common>
<TD class=title> 自费</TD>
<TD class=input><Input class="common" name=BCZ012 verify="自费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 税优第三方支付</TD>
<TD class=input><Input class="common" name=BCZ016 verify="税优第三方支付|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
</tr>
</table>
</div>
<hr>
<table>
<TR class=common>
<TD class=common> 住院费用总合计：</TD>
</tr>
<TR class=common>
<TD class=input><Input class="common" readonly name="SumHos"></TD>
</tr>
</table>
</div>
</div>
<%--社保第三方给付--%>
<Div id="divMedFee6" style="display:none">
<Div id="divMedFeeThree" class="container grid" showname="社保第三方给付">
<span id="spanMedFeeThreeGrid"></span>
<table>
<tr>
<td><INPUT class=cssButton name="saveButton6" VALUE="增 加" TYPE=button onclick="AddClick6()"></td>
<td><INPUT class=cssButton name="deleteButton6" VALUE="删 除" TYPE=button onclick="DeleteClick6()">
</td>
<td><INPUT class=cssButton name="hideButton6" VALUE="隐 藏" TYPE=button
onclick="divMedFee6.style.display='none';fm.MainFeeType.value='';fm.MainFeeName.value='';">
</td>
</tr>
</table>
<table class=common>
<tr class=common>
<TD class=title> 费用类型</TD>
<TD class=input><Input class=codeno readonly name=FeeThreeType value="med"><input class=codename
name=FeeThreeTypeName
readonly
value="医疗类型">
</TD>
<TD class=title> 费用代码</TD>
<TD class=input><Input class=codeno name=FeeThreeCode
ondblclick="return showCodeList('llfactypemed',[this,FeeThreeName],[0,1],null,null,null,null,'250');"
onkeyup="return showCodeListKey('llfactypemed',[this,FeeThreeName],[0,1],null,null,null,null,'250');"><input
class=codename name=FeeThreeName elementtype="nacessary" readonly></TD>
<TD class=title> 费用金额</TD>
<TD class=input><Input class=common name=FeeThreeValue verify="费用金额|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
</tr>
<tr class=common>
<TD class=title> 服务机构名称</TD>
<TD class=input><Input class=common name=FeeThreeUnitName verify="服务机构名称|LEN<=30"
onchange="verifyField(this);" elementtype="nacessary"></TD>
<TD class=title></TD>
<TD class=input></TD>
<TD class=title></TD>
<TD class=input></TD>
</tr>
</table>
<table class=common>
<TR class=common>
<TD class=title> 备注</TD>
</tr>
<TR class=common>
<TD class=input>
<textarea name="AdjRemark" verify="备注|len<=200" verifyorder="1" cols="100" rows="2" witdh=25%
class="common"></textarea>
</TD>
</tr>
</table>
<table class=common>
<TR class=common>
<TD class=common> 门诊，住院费用总合计：</TD>
</tr>
<TR class=common>
<TD class=input>
<Input class="common" readonly name="SumAll">
</TD>
</tr>
</table>
</div>
<hr>
</div>
<Div id="divMedFee7" style="display:none">
<%-- <table>--%>
<Div id="Add" style="display: ''" class="container" showname="补充团体医疗">
<%-- <td class=common width="1%"><IMG src="../common/images/butExpand.gif" style="cursor:hand;"--%>
<%-- onCLick="showQ(this);"></td>--%>
<%-- <td class=titleImg>补充团体医疗</td>--%>
<tr>
<td colspan="2">
<div id=med style="display:none">
<Div id="MedFeeNewInp" class="container grid" showname="门诊">
<span id="spanMedFeeNewInpGrid"></span>
<table>
<tr>
<td><INPUT class=cssButton name="saveButton7" id=saveButton7 value="增 加" type=button
onClick="AddClick7()"></td>
<td><INPUT class=cssButton name="deleteButton7" id=deleteButton7 value="删 除" type=button
onClick="DeleteClick7()"></td>
<td><INPUT class=cssButton name="hideButton7" value="隐 藏" type=button
onClick="MedFeeNewInp.style.display='none';fm.MainFeeType.value='';fm.MainFeeType.value='';">
</td>
<%-- <td><INPUT class=cssButton name="exportButton7" value="下 载" type=button onClick="turnPage.makeExcel()"></td>--%>
</tr>
</table>
<table class=common>
<tr>
<td class=title>帐单号</td>
<td class=input><input class="common" name=QMedFeeNo elementtype="nacessary"></td>
<td class=title>医院名称</td>
<td class=input><input class="codeno" name="QMHosID" onkeydown="QueryOnKeyDown(this)" readonly>
<input class="codename" name="QMHosName" id="QMHosName" onkeydown="QueryOnKeyDown(this)"
onchange="fm.QMHosID.value='';" elementtype="nacessary"></td>
<td class=title>医疗总费用</td>
<td class=input><input class="common" name=AA001 verify="医疗总费用|NUM&VALUE>=0"
onchange="verifyField(this);" elementtype="nacessary"></td>
</tr>
<tr>
<td class=title>医保责任范围内</td>
<td class=input><input class="common" name=AB001 verify="医保责任范围内|LEN<=30">
</td>
<td class=title>医保已支付</td>
<td class=input><input class="common" name=AC001 verify="医保已支付|NUM&VALUE>=0"
onchange="verifyField(this);" elementtype="nacessary"></td>
<td class=title>医保内自付（含起付线）</td>
<td class=input><input class="common" name=AD001
verify="医保内自付（含起付线）|NUM&VALUE>=0"
onchange="verifyField(this);"></td>
</tr>
<tr>
<td class=title>起付线</td>
<td class=input><input class="common" name=AE001 verify="起付线|NNUM&VALUE>=0"
onchange="verifyField(this);" elementtype="nacessary"></td>
<td class=title>自费</td>
<td class=input><input class="common" name=AF001 verify="自费|NUM&VALUE>=0"
onchange="verifyField(this);"></td>
<td class=title>部分自费</td>
<td class=input><input class="common" name=AG001 verify="部分自费|NUM&VALUE>=0"
onchange="verifyField(this);"></td>
</tr>
<tr>
<td class=title>其他扣除费用</td>
<td class=input><input class="common" name=AH001
verify="其他扣除费用|NUM&VALUE>=0"
onchange="verifyField(this);"></td>
<td class=title>第三方支付</td>
<td class=input><input class="common" name=AI001 verify="第三方支付|NUM&VALUE>=0"
onchange="verifyField(this);"></td>
</tr>
<tr>
<td class=title>起始日期</td>
<%-- <td class=input><input class="common" onfocus="WdatePicker({readOnly:false,dateFmt:'yyyy-MM-dd'})" verify="起始日期|date&NOTNULL"--%>
<%-- name="QMStartDate" onblur="CheckDate(fm.QMStartDate);"><font size=1 color="#f0000"><b>*</b></font></td>--%>
<TD class=input><input class="coolDatePicker" id="QMStartDate" name="QMStartDate"
verify="起始日期|LEN=10&DATE" onchange="verifyField(this);"
onClick="laydate({elem: '#QMStartDate'});"><span
class="icon"><a onClick="laydate({elem: '#QMStartDate'});"
elementtype="nacessary"></a></span></TD>
<td class=title>结束日期</td>
<%-- <td class=input><input class="common" onfocus="WdatePicker({readOnly:false,dateFmt:'yyyy-MM-dd'})" verify="结束日期|date&NOTNULL"--%>
<%-- name="QMEndDate" onblur="CheckDate(fm.QMEndDate);"><font size=1 color="#f0000"><b>*</b></font></td>--%>
<TD class=input><input class="coolDatePicker" id="QMEndDate" name="QMEndDate"
verify="结束日期|LEN=10&DATE" onchange="verifyField(this);"
onClick="laydate({elem: '#QMEndDate'});"><span
class="icon"><a onClick="laydate({elem: '#QMEndDate'});"
elementtype="nacessary"></a></span></TD>
<td class=title>天数</td>
<td class=input><input class="common" readonly name=QMDayCount1
verify="天数|INT&VALUE>=0" onchange="verifyField(this);">
</td>
</tr>
<tr class=common>
<td class=title>距离意外事故发生天数</td>
<td class=input><input class="common" readonly name=QMDayCount2
verify="距离意外事故发生天数|INT&VALUE>=0"
onchange="verifyField(this);"></td>
<td class=title>距离出险日期天数</td>
<td class=input><input class="common" readonly name=QMDayCount3
verify="距离出险日期天数|INT&VALUE>=0"
onchange="verifyField(this);"></td>
<td class=title> 金额不合理原因</td>
<td class=input><Input class=codeno name=AdjReason1
ondblclick="return showCodeList('llmedfeeadjreason',[this,AdjReasonName1],[0,1]);"
onkeyup="return showCodeListKey('llmedfeeadjreason',[this,AdjReasonName1],[0,1]);"><input
class=codename name=AdjReasonName1 readonly>
</tr>
<tr class=common id="QClinicShow" style="display: none">
<TD class=title> 校验码</TD>
<TD class=input><Input class="common" name=QClinicJYMNo></TD>
<TD class=title> 电子票据代码</TD>
<TD class=input><Input class="common" name=QClinicDMNo></TD>
<TD class=title> 电子票据号码</TD>
<TD class=input><Input class="common" name=QClinicHMNo></TD>
</tr>
<tr class=common>
<TD class=title> 收据类型</TD>
<TD class=input><Input class=codeno name=QClinicDocumentType
ondblclick="return showCodeList('documenttype',[this,QClinicDocumentName],[0,1]);"
onkeyup="return showCodeListKey('documenttype',[this,QClinicDocumentName],[0,1]);"><input
class=codename name=QClinicDocumentName elementtype="nacessary" readonly>
</TD>
<TD class=title id="QClinicKPRQShow1" style="display: none">开票日期</TD>
<TD class=input id="QClinicKPRQShow2" style="display: none">
<%-- <input class="common Wdate" onfocus="WdatePicker({readOnly:false,dateFmt:'yyyy-MM-dd'})" verify="开票日期|date&NOTNULL" name="QClinicKPRQ" onblur="CheckDate(fm.QClinicKPRQ);"></TD>--%>
<input class="coolDatePicker" id="QClinicKPRQ" name="QClinicKPRQ"
verify="开票日期|LEN=10&DATE" onchange="verifyField(this);"
onClick="laydate({elem: '#QClinicKPRQ'});"><span class="icon"><a
onClick="laydate({elem: '#QClinicKPRQ'});"></a></span></TD>
</tr>
</table>
<hr>
<Div id="QBAOtherInsert" class="container" showname="企补门诊其他费用">
<table class=common>
<tr class=common>
<TD class=title> 西药</TD>
<TD class=input><Input class="common" name=QACM002 verify="西药|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 中成药</TD>
<TD class=input><Input class="common" name=QACM003
verify="中成药|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 中草药</TD>
<TD class=input><Input class="common" name=QACM004
verify="中草药|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
</tr>
<tr class=common>
<TD class=title> 化验费</TD>
<TD class=input><Input class="common" name=QACT001
verify="化验费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 放射费</TD>
<TD class=input><Input class="common" name=QACE005
verify="放射费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> B超</TD>
<TD class=input><Input class="common" name=QACE002 verify="B超|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
</tr>
<tr class=common>
<TD class=title> CT</TD>
<TD class=input><Input class="common" name=QACE003 verify="CT|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 核磁</TD>
<TD class=input><Input class="common" name=QACE004 verify="核磁|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 检查费</TD>
<TD class=input><Input class="common" name=QACE001
verify="检查费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
</tr>
<tr class=common>
<TD class=title> 治疗费</TD>
<TD class=input><Input class="common" name=QACC001
verify="治疗费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 材料费</TD>
<TD class=input><Input class="common" name=QACC011
verify="材料费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 手术费</TD>
<TD class=input><Input class="common" name=QACC007
verify="手术费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
</tr>
<tr class=common>
<TD class=title> 输氧费</TD>
<TD class=input><Input class="common" name=QACC006
verify="输氧费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 输血费</TD>
<TD class=input><Input class="common" name=QACC005
verify="输血费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 其他-正畸费</TD>
<TD class=input><Input class="common" name=QACO013
verify="其他-正畸费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
</tr>
<tr class=common>
<TD class=title> 其他-镶牙费</TD>
<TD class=input><Input class="common" name=QACO014
verify="其他-镶牙费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 其他-鉴定费</TD>
<TD class=input><Input class="common" name=QACO015
verify="其他-鉴定费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 其他-救护车</TD>
<TD class=input><Input class="common" name=QACO006
verify="其他-救护车|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
</tr>
<tr class=common>
<TD class=title> 其他-体检费</TD>
<TD class=input><Input class="common" name=QACO016
verify="其他-体检费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 其他-不细分</TD>
<TD class=input><Input class="common" name=QACO001
verify="其他-不细分|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
</tr>
</table>
<div id="Fee3" style="display: ''" class="container grid" showname="需增加费用明细">
<span id="spanMedFeeCInpGrid"></span>
</div>
</Div>
<hr>
<div id="addFeeType" class="container" showname="需增加费用类型">
<table class=common>
<tr class=common>
<td class=title>账单类型</td>
<td class=input><input class=codeno verify="账单类型|NotNull" name=FeeKind
CodeData="0|^0|医保门诊^1|新农合门诊^2|医保审批"
ondblclick="return showCodeListEx('FeeKind',[this,FeeKindName],[0,1]);"
onkeyup="return showCodeListKeyEx('FeeKind',[this,FeeKindName],[0,1]);"><input
class=codename name=FeeKindName readonly elementtype=nacessary></td>
<td class=title>统筹支付</td>
<td class=input><input class="common" name=AJ001
verify="统筹支付|NUM&VALUE>=0"
onchange="verifyField(this);"></td>
</tr>
<tr class=common style="display:none">
<td class=title>西医代码</td>
<td class=input><Input class=codeno name=WestMedType
ondblclick="showDiseasekind('WestMedType','WestMedTypeName','2');"
onkeyup="return showCodeListKey('WestMedType',[this,WestMedTypeName],[0,1],null,null,null,null,'400');"><input
class=codename name=WestMedTypeName readonly>
<td class=title>中医代码</td>
<td class=input><Input class=codeno name=ChinaMedType
ondblclick="showDiseasekind('ChinaMedType','ChinaMedTypeName','1');"
onkeyup="return showCodeListKey('ChinaMedType',[this,ChinaMedTypeName],[0,1],null,null,null,null,'400');"><input
class=codename name=ChinaMedTypeName readonly>
<td class=title>手术代码</td>
<td class=input><Input class=codeno name=OperationKind
ondblclick="showOperationKind('OperationKind','OperationKindName');"
onkeyup="return showCodeListKey('OperationKind',[this,OperationKindName],[0,1],null,null,null,null,'400');"><input
class=codename name=OperationKindName readonly>
<td class=title>诊断类型</td>
<td class=input><Input class=codeno name=DiagnoseKind
ondblclick="return showCodeList('lldiagnosekind',[this,DiagnoseKindName],[0,1]);"
onkeyup="return showCodeListKey('lldiagnosekind',[this,DiagnoseKindName],[0,1]);"><input
class=codename name=DiagnoseKindName readonly>
</tr>
<tr class=common>
<td class=title>统筹积累支付</td>
<td class=input><input class="common" name=AK001
verify="统筹积累支付|NUM&VALUE>=0"
onchange="verifyField(this);"></td>
<td class=title>大额支付</td>
<td class=input><input class="common" name=AL001
verify="大额支付|NUM&VALUE>=0"
onchange="verifyField(this);"></td>
<td class=title>大额累计支付</td>
<td class=input><input class="common" name=AM001
verify="大额累计支付|NUM&VALUE>=0"
onchange="verifyField(this);"></td>
</tr>
</table>
<Div id="divDiagnoseKindA1InpGrid" class="container grid" showname="诊断类型">
<span id="spanDiagnoseKindA1InpGrid"></span>
</Div>
</div>
<table class=common>
<TR class=common>
<TD class=title> 调整备注</TD>
</TR>
<TR class=common>
<TD class=input>
<textarea name="AdjRemark1" verify="调整备注|len<=200" verifyorder="1"
cols="100" rows="2" witdh=25% class="common"></textarea>
</TD>
</TR>
</table>
</div>
</div>
</td>
</tr>
<tr>
<td colspan="2">
<div id=hos style="display:none">
<Div id=MedFeeNewHosInp class="container grid" showname="住院">
<span id="spanMedFeeNewInpHosGrid"></span>
<table>
<tr>
<td><INPUT class=cssButton name="saveButton8" id=saveButton8 value="增 加" type=button
onClick="AddClick8()"></td>
<td><INPUT class=cssButton name="deleteButton8" id=deleteButton8 value="删 除" type=button
onClick="DeleteClick8()"></td>
<td><INPUT class=cssButton name="hideButton8" value="隐 藏" type=button
onClick="MedFeeNewHosInp.style.display='none';fm.MainFeeType.value='';fm.MainFeeType.value='';">
</td>
<%-- <td><INPUT class=cssButton name="exportButton8" value="下 载" type=button onClick="turnPage.makeExcel()"></td>--%>
</tr>
</table>
<table class=common>
<tr>
<td class=title>帐单号</td>
<td class=input><input class="common" name=QHosFeeNo elementtype="nacessary"></td>
<td class=title>医院名称</td>
<td class=input><input class="codeno" name="QHHosID" onkeydown="QueryOnKeyDown(this)" readonly>
<input class="codename" name="QHosHosName" id="QHosHosName" onkeydown="QueryOnKeyDown(this)"
onchange="fm.QHHosID.value='';" elementtype="nacessary"></td>
<td class=title>医疗总费用</td>
<td class=input><input class="common" name=BA001 verify="医疗总费用|NUM&VALUE>=0"
onchange="verifyField(this);" elementtype="nacessary"></td>
</tr>
<tr>
<td class=title>医保责任范围内</td>
<td class=input><input class="common" name=BB001 verify="医保责任范围内|LEN<=30"
onchange="verifyField(this);"></td>
<td class=title>医保已支付</td>
<td class=input><input class="common" name=BC001 verify="医保已支付|NUM&VALUE>=0"
onchange="verifyField(this);" elementtype="nacessary"></td>
<td class=title>统筹自付（含起付线）</td>
<td class=input><input class="common" name=BD001
verify="统筹自付（含起付线）|NUM&VALUE>=0"
onchange="verifyField(this);"></td>
</tr>
<tr>
<td class=title>起付线</td>
<td class=input><input class="common" name=BE001 verify="起付线|NUM&VALUE>=0"
onchange="verifyField(this);" elementtype="nacessary"></td>
<td class=title>大额医疗自付</td>
<td class=input><input class="common" name=BF001
verify="大额医疗自付|NUM&VALUE>=0"
onchange="verifyField(this);"></td>
<td class=title>大额封顶以上自付</td>
<td class=input><input class="common" name=BG001
verify="大额封顶以上自付|NUM&VALUE>=0"
onchange="verifyField(this);"></td>
</tr>
<tr>
<td class=title>自费</td>
<td class=input><input class="common" name=BH001 verify="自费|NUM&VALUE>=0"
onchange="verifyField(this);"></td>
<td class=title>部分自费</td>
<td class=input><input class="common" name=BI001 verify="部分自费|NUM&VALUE>=0"
onchange="verifyField(this);"></td>
<td class=title>须扣除金额</td>
<td class=input><input class="common" name=BJ001 verify="须扣除金额|NUM&VALUE>=0"
onchange="verifyField(this);"></td>
</tr>
<tr>
<td class=title>其他扣除费用</td>
<td class=input><input class="common" name=BK001
verify="其他扣除费用|NUM&VALUE>=0"
onchange="verifyField(this);"></td>
<td class=title>第三方支付</td>
<td class=input><input class="common" name=BL001 verify="第三方支付|NUM&VALUE>=0"
onchange="verifyField(this);"></td>
</tr>
<tr>
<td class=title>起始日期</td>
<%-- <td class=input><input class="common Wdate" onfocus="WdatePicker({readOnly:false,dateFmt:'yyyy-MM-dd'})" verify="起始日期|date&NOTNULL"--%>
<%-- name="QHStartDate" onblur="CheckDate(fm.QHStartDate);"><font size=1 color="#f0000"><b>*</b></font></td>--%>
<TD class=input><input class="coolDatePicker" id="QHStartDate" name="QHStartDate"
onClick="laydate({elem: '#QHStartDate'});"
verify="起始日期|LEN=10&DATE" onchange="verifyField(this);"
elementtype="nacessary"><span class="icon"><a
onClick="laydate({elem: '#QHStartDate'});"></a></span></TD>
<td class=title>结束日期</td>
<%-- <td class=input><input class="common Wdate" onfocus="WdatePicker({readOnly:false,dateFmt:'yyyy-MM-dd'})" verify="结束日期|date&NOTNULL"--%>
<%-- name="QHEndDate" onblur="CheckDate(fm.QHEndDate);"><font size=1 color="#f0000"><b>*</b></font></td>--%>
<TD class=input><input class="coolDatePicker" id="QHEndDate" name="QHEndDate"
onClick="laydate({elem: '#QHEndDate'});"
verify="结束日期|LEN=10&DATE" onchange="verifyField(this);"
elementtype="nacessary"><span class="icon"><a
onClick="laydate({elem: '#QHEndDate'});"></a></span></TD>
<td class=title>天数</td>
<td class=input><input class="common" readonly name=QHDayCount1
verify="天数|INT&VALUE>=0" onchange="verifyField(this);">
</td>
</tr>
<tr class=common>
<td class=title>距离意外事故发生天数</td>
<td class=input><input class="common" readonly name=QHDayCount2
verify="距离意外事故发生天数|INT&VALUE>=0"
onchange="verifyField(this);"></td>
<td class=title>距离出险日期天数</td>
<td class=input><input class="common" readonly name=QHDayCount3
verify="距离出险日期天数|INT&VALUE>=0"
onchange="verifyField(this);"></td>
<td class=title> 金额不合理原因</td>
<td class=input><Input class=codeno name=AdjReason2 onkeyup="inputCheck()"
ondblclick="return showCodeList('llmedfeeadjreason',[this,AdjReasonName2],[0,1]);"
onkeyup="return showCodeListKey('llmedfeeadjreason',[this,AdjReasonName2],[0,1]);"><input
class=codename name=AdjReasonName2 readonly>
</tr>
<tr class=common id="QHosShow" style="display: none">
<TD class=title> 校验码</TD>
<TD class=input><Input class="common" name=QHosJYMNo></TD>
<TD class=title> 电子票据代码</TD>
<TD class=input><Input class="common" name=QHosDMNo></TD>
<TD class=title> 电子票据号码</TD>
<TD class=input><Input class="common" name=QHosHMNo></TD>
</tr>
<tr class=common>
<TD class=title> 收据类型</TD>
<TD class=input><Input class=codeno name=QHosDocumentType
ondblclick="return showCodeList('documenttype',[this,QHosDocumentName],[0,1]);"
onkeyup="return showCodeListKey('documenttype',[this,QHosDocumentName],[0,1]);"><input
class=codename name=QHosDocumentName elementtype="nacessary" readonly>
</TD>
<TD class=title id="QHosKPRQShow1" style="display: none">开票日期</TD>
<TD class=input id="QHosKPRQShow2" style="display: none">
<%-- <input class="common Wdate" onfocus="WdatePicker({readOnly:false,dateFmt:'yyyy-MM-dd'})" verify="开票日期|date&NOTNULL" name="QHosKPRQ" onblur="CheckDate(fm.QHosKPRQ);"></TD>--%>
<input class="coolDatePicker" id="QHosKPRQ" name="QHosKPRQ"
verify="开票日期|LEN=10&DATE" onchange="verifyField(this);"
onClick="laydate({elem: '#QHosKPRQ'});"><span class="icon"><a
onClick="laydate({elem: '#QHosKPRQ'});"></a></span></TD>
</tr>
</table>
<hr>
<Div id="QBHOtherInsert" class="container" showname="企补住院其他费用">
<table class=common>
<tr class=common>
<TD class=title> 床位费</TD>
<TD class=input><Input class="common" name=QHBCR001 verify="床位费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 病理费</TD>
<TD class=input><Input class="common" name=QHBCE006 verify="病理费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 特殊治疗费</TD>
<TD class=input><Input class="common" name=QHBCC014
verify="特殊治疗费|NUM&LEN<10"
onchange="verifyField(this);"></TD>
</tr>
<tr class=common>
<TD class=title> 其他-取暖费</TD>
<TD class=input><Input class="common" name=QHBCO009 verify="取暖费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 护理费</TD>
<TD class=input><Input class="common" name=QHBCC010 verify="护理费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 检查费</TD>
<TD class=input><Input class="common" name=QHBCE001 verify="检查费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
</tr>
<tr class=common>
<TD class=title> 手术费</TD>
<TD class=input><Input class="common" name=QHBCC007 verify="手术费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 其他-陪床费</TD>
<TD class=input><Input class="common" name=QHBCO004 verify="陪床费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 诊疗费</TD>
<TD class=input><Input class="common" name=QHBCC008 verify="诊疗费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
</tr>
<tr class=common>
<TD class=title> 放射费</TD>
<TD class=input><Input class="common" name=QHBCE005 verify="放射费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 麻醉费</TD>
<TD class=input><Input class="common" name=QHBCC009 verify="麻醉费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 其他-不细分</TD>
<TD class=input><Input class="common" name=QHBCO001
verify="其他-不细分|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
</tr>
<tr class=common>
<TD class=title> 西药费</TD>
<TD class=input><Input class="common" name=QHBCM002 verify="西药费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 超声费</TD>
<TD class=input><Input class="common" name=QHBCE002 verify="超声费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 材料费</TD>
<TD class=input><Input class="common" name=QHBCC011 verify="材料费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
</tr>
<tr class=common>
<TD class=title> 中成药费</TD>
<TD class=input><Input class="common" name=QHBCM003 verify="中成药费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 治疗费</TD>
<TD class=input><Input class="common" name=QHBCC001
verify="普通治疗费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 人工器官</TD>
<TD class=input><Input class="common" name=QHBCC015 verify="人工器官|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
</tr>
<tr class=common>
<TD class=title> 中草药费</TD>
<TD class=input><Input class="common" name=QHBCM004 verify="中草药费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 输血费</TD>
<TD class=input><Input class="common" name=QHBCC005 verify="输血费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 其他-接生费</TD>
<TD class=input><Input class="common" name=QHBCO008 verify="接生费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
</tr>
<tr class=common>
<TD class=title> 化验费</TD>
<TD class=input><Input class="common" name=QHBCT001 verify="化验费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 吸氧费</TD>
<TD class=input><Input class="common" name=QHBCC006 verify="吸氧费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 婴儿费</TD>
<TD class=input><Input class="common" name=QHBCR003 verify="婴儿费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
</tr>
</table>
<div id="Fee4" style="display: ''" class="container grid" showname="需增加费用明细">
<span id="spanMedFeeDInpGrid"></span>
</div>
</Div>
<hr>
<div id="addFeeType1" class="container" showname="需增加费用类型">
<table class=common>
<tr class=common>
<td class=title>账单类型</td>
<td class=input><input class=codeno verify="账单类型|NotNull" name=FeeKind1
CodeData="0|^0|医保住院^1|医保特殊病^2|新农合住院^3|医保审批"
ondblclick="return showCodeListEx('FeeKind1',[this,FeeKind1Name],[0,1]);"
onkeyup="return showCodeListKeyEx('FeeKind1',[this,FeeKind1Name],[0,1]);"><input
class=codename name=FeeKind1Name readonly elementtype=nacessary></td>
<td class=title>统筹支付</td>
<td class=input><input class="common" name=BM001
verify="统筹支付|NUM&VALUE>=0"
onchange="verifyField(this);"></td>
</tr>
<tr class=common style="display:none">
<td class=title>西医代码</td>
<td class=input><Input class=codeno name=WestMedType1
ondblclick="showDiseasekind('WestMedType1','WestMedType1Name','2');"
onkeyup="return showCodeListKey('WestMedType1',[this,WestMedType1Name],[0,1],null,null,null,null,'400');"><input
class=codename name=WestMedType1Name readonly>
<td class=title>中医代码</td>
<td class=input><Input class=codeno name=ChinaMedType1
ondblclick="showDiseasekind('ChinaMedType1','ChinaMedType1Name','1');"
onkeyup="return showCodeListKey('ChinaMedType1',[this,ChinaMedType1Name],[0,1],null,null,null,null,'400');"><input
class=codename name=ChinaMedType1Name readonly>
<td class=title>手术代码</td>
<td class=input><Input class=codeno name=OperationKind1
ondblclick="showOperationKind('OperationKind1','OperationKind1Name');"
onkeyup="return showCodeListKey('OperationKind1',[this,OperationKind1Name],[0,1],null,null,null,null,'400');"><input
class=codename name=OperationKind1Name readonly>
<td class=title>诊断类型</td>
<td class=input><Input class=codeno name=DiagnoseKind1
ondblclick="return showCodeList('lldiagnosekind',[this,DiagnoseKind1Name],[0,1]);"
onkeyup="return showCodeListKey('lldiagnosekind',[this,DiagnoseKind1Name],[0,1]);"><input
class=codename name=DiagnoseKind1Name readonly>
</tr>
<tr class=common>
<td class=title>统筹积累支付</td>
<td class=input><input class="common" name=BN001
verify="统筹积累支付|NUM&VALUE>=0"
onchange="verifyField(this);"></td>
<td class=title>大额支付</td>
<td class=input><input class="common" name=BO001
verify="大额支付|NUM&VALUE>=0"
onchange="verifyField(this);"></td>
<td class=title>大额累计支付</td>
<td class=input><input class="common" name=BP001
verify="大额累计支付|NUM&VALUE>=0"
onchange="verifyField(this);"></td>
</tr>
</table>
<Div id="divDiagnoseKindB1InpGrid" class="container grid" showname="诊断类型">
<span id="spanDiagnoseKindB1InpGrid"></span>
</Div>
</div>
<table class=common>
<TR class=common>
<TD class=title> 调整备注</TD>
</TR>
<TR class=common>
<TD class=input>
<textarea name="AdjRemark2" verify="调整备注|len<=200" verifyorder="1"
cols="100" rows="2" witdh=25% class="common"></textarea>
</TD>
</TR>
</table>
</div>
</div>
</td>
</tr>
<tr>
<td colspan="2">
<div id=wom style="display:none">
<Div id=MedFeeNewWomInp class="container grid" showname="女工">
<span id="spanMedFeeNewInpWomGrid"></span>
<table>
<tr>
<td><INPUT class=cssButton name="saveButton9" id=saveButton9 value="增 加" type=button
onClick="AddClick9()"></td>
<td><INPUT class=cssButton name="deleteButton9" id=deleteButton9 value="删 除" type=button
onClick="DeleteClick9()"></td>
<td><INPUT class=cssButton name="hideButton9" value="隐 藏" type=button
onClick="MedFeeNewWomInp.style.display='none';fm.MainFeeType.value='';fm.MainFeeType.value='';">
</td>
<%-- <td><INPUT class=cssButton name="exportButton9" value="下 载" type=button onClick="turnPage.makeExcel()"></td>--%>
</tr>
</table>
<table class=common>
<tr>
<td class=title>账单类型</td>
<td class=input><input class=codeno verify="账单类型|NotNull" name=FeeKind2
CodeData="0|^0|门诊^1|住院"
ondblclick="return showCodeListEx('FeeKind2',[this,FeeKind2Name],[0,1]);"
onkeyup="return showCodeListKeyEx('FeeKind2',[this,FeeKind2Name],[0,1]);"><input
class=codename name=FeeKind2Name readonly elementtype=nacessary></td>
<td class=title>帐单号</td>
<td class=input><input class="common" name=QWomFeeNo elementtype="nacessary"></td>
<td class=title>医院名称</td>
<td class=input><input class="codeno" name="QWHosID" onkeydown="QueryOnKeyDown(this)" readonly>
<input class="codename" name="QWHosName" id="QWHosName" onkeydown="QueryOnKeyDown(this)"
onchange="fm.QWHosID.value='';" elementtype="nacessary"></td>
</tr>
<tr>
<td class=title>医疗总费用</td>
<td class=input><input class="common" name=CA001 verify="医疗总费用|NUM&VALUE>=0"
onchange="verifyField(this);" elementtype="nacessary"></td>
<td class=title>医保已支付</td>
<td class=input><input class="common" name=CB001 verify="医保已支付|NUM&VALUE>=0"
onchange="verifyField(this);" elementtype="nacessary"></td>
<td class=title>自费</td>
<td class=input><input class="common" name=CC001 verify="自费|NUM&VALUE>=0"
onchange="verifyField(this);"></td>
</tr>
<tr>
<td class=title>部分自费</td>
<td class=input><input class="common" name=CD001 verify="部分自费|NUM&VALUE>=0"
onchange="verifyField(this);"></td>
<td class=title>其他扣除费用</td>
<td class=input><input class="common" name=CE001
verify="其他扣除费用|NUM&VALUE>=0"
onchange="verifyField(this);"></td>
<td class=title>第三方支付</td>
<td class=input><input class="common" name=CF001 verify="第三方支付|NUM&VALUE>=0"
onchange="verifyField(this);"></td>
</tr>
<tr>
<td class=title>起始日期</td>
<%-- <td class=input><input class="common Wdate" onfocus="WdatePicker({readOnly:false,dateFmt:'yyyy-MM-dd'})" verify="起始日期|date&NOTNULL"--%>
<%-- name="QWStartDate" onblur="CheckDate(fm.QWStartDate);"><font size=1 color="#f0000"><b>*</b></font></td>--%>
<TD class=input><input class="coolDatePicker" id="QWStartDate" name="QWStartDate"
elementtype="nacessary" verify="起始日期|LEN=10&DATE"
onchange="verifyField(this);"
onClick="laydate({elem: '#QWStartDate'});"><span
class="icon"><a onClick="laydate({elem: '#QWStartDate'});"></a></span></TD>
<td class=title>结束日期</td>
<%-- <td class=input><input class="common Wdate" onfocus="WdatePicker({readOnly:false,dateFmt:'yyyy-MM-dd'})" verify="结束日期|date&NOTNULL"--%>
<%-- name="QWEndDate" onblur="CheckDate(fm.QWEndDate);"><font size=1 color="#f0000"><b>*</b></font></td>--%>
<TD class=input><input class="coolDatePicker" id="QWEndDate" name="QWEndDate"
elementtype="nacessary" verify="结束日期|LEN=10&DATE"
onchange="verifyField(this);"
onClick="laydate({elem: '#QWEndDate'});"><span
class="icon"><a onClick="laydate({elem: '#QWEndDate'});"></a></span></TD>
<td class=title>天数</td>
<td class=input><input class="common" readonly name=QWDayCount1
verify="天数|INT&VALUE>=0" onchange="verifyField(this);">
</td>
</tr>
<tr class=common>
<td class=title>距离意外事故发生天数</td>
<td class=input><input class="common" readonly name=QWDayCount2
verify="距离意外事故发生天数|INT&VALUE>=0"
onchange="verifyField(this);"></td>
<td class=title>距离出险日期天数</td>
<td class=input><input class="common" readonly name=QWDayCount3
verify="距离出险日期天数|INT&VALUE>=0"
onchange="verifyField(this);"></td>
<td class=title> 金额不合理原因</td>
<td class=input><Input class=codeno name=AdjReason3
ondblclick="return showCodeList('llmedfeeadjreason',[this,AdjReasonName3],[0,1]);"
onkeyup="return showCodeListKey('llmedfeeadjreason',[this,AdjReasonName3],[0,1]);"><input
class=codename name=AdjReasonName3 readonly>
</tr>
<tr class=common id="QWomShow" style="display: none">
<TD class=title> 校验码</TD>
<TD class=input><Input class="common" name=QWomJYMNo></TD>
<TD class=title> 电子票据代码</TD>
<TD class=input><Input class="common" name=QWomDMNo></TD>
<TD class=title> 电子票据号码</TD>
<TD class=input><Input class="common" name=QWomHMNo></TD>
</tr>
<tr class=common>
<TD class=title> 收据类型</TD>
<TD class=input><Input class=codeno name=QWomDocumentType
ondblclick="return showCodeList('documenttype',[this,QWomDocumentName],[0,1]);"
onkeyup="return showCodeListKey('documenttype',[this,QWomDocumentName],[0,1]);"><input
class=codename name=QWomDocumentName elementtype="nacessary" readonly></TD>
<TD class=title id="QWomKPRQShow1" style="display: none">开票日期</TD>
<TD class=input id="QWomKPRQShow2" style="display: none">
<%-- <input class="common Wdate" onfocus="WdatePicker({readOnly:false,dateFmt:'yyyy-MM-dd'})" verify="开票日期|date&NOTNULL" name="QWomKPRQ" onblur="CheckDate(fm.QWomKPRQ);"></TD>--%>
<input class="coolDatePicker" id="QWomKPRQ" name="QWomKPRQ"
verify="开票日期|LEN=10&DATE" onchange="verifyField(this);"
onClick="laydate({elem: '#QWomKPRQ'});"><span class="icon"><a
onClick="laydate({elem: '#QWomKPRQ'});"></a></span></TD>
</tr>
</table>
<hr>
<Div id="QBWOtherInsert" class="container" showname="企补女工其他费用">
<table class=common>
<tr class=common>
<TD class=title> 床位费</TD>
<TD class=input><Input class="common" name=QGBCR001
verify="床位费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 病理费</TD>
<TD class=input><Input class="common" name=QGBCE006
verify="病理费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 特殊治疗费</TD>
<TD class=input><Input class="common" name=QGBCC014
verify="特殊治疗费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
</tr>
<tr class=common>
<TD class=title> 其他-取暖费</TD>
<TD class=input><Input class="common" name=QGBCO009
verify="取暖费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 护理费</TD>
<TD class=input><Input class="common" name=QGBCC010
verify="护理费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 检查费</TD>
<TD class=input><Input class="common" name=QGBCE001
verify="检查费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
</tr>
<tr class=common>
<TD class=title> 手术费</TD>
<TD class=input><Input class="common" name=QGBCC007
verify="手术费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 其他-陪床费</TD>
<TD class=input><Input class="common" name=QGBCO004
verify="陪床费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 诊疗费</TD>
<TD class=input><Input class="common" name=QGBCC008
verify="诊疗费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
</tr>
<tr class=common>
<TD class=title> 放射费</TD>
<TD class=input><Input class="common" name=QGBCE005
verify="放射费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 麻醉费</TD>
<TD class=input><Input class="common" name=QGBCC009
verify="麻醉费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 其他-不细分</TD>
<TD class=input><Input class="common" name=QGBCO001
verify="其他-不细分|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
</tr>
<tr class=common>
<TD class=title> 西药费</TD>
<TD class=input><Input class="common" name=QGBCM002
verify="西药费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 超声费</TD>
<TD class=input><Input class="common" name=QGBCE002
verify="超声费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 材料费</TD>
<TD class=input><Input class="common" name=QGBCC011
verify="材料费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
</tr>
<tr class=common>
<TD class=title> 中成药费</TD>
<TD class=input><Input class="common" name=QGBCM003
verify="中成药费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 治疗费</TD>
<TD class=input><Input class="common" name=QGBCC001
verify="普通治疗费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 人工器官</TD>
<TD class=input><Input class="common" name=QGBCC015
verify="人工器官|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
</tr>
<tr class=common>
<TD class=title> 中草药费</TD>
<TD class=input><Input class="common" name=QGBCM004
verify="中草药费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 输血费</TD>
<TD class=input><Input class="common" name=QGBCC005
verify="输血费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 其他-接生费</TD>
<TD class=input><Input class="common" name=QGBCO008
verify="接生费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
</tr>
<tr class=common>
<TD class=title> 化验费</TD>
<TD class=input><Input class="common" name=QGBCT001
verify="化验费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 吸氧费</TD>
<TD class=input><Input class="common" name=QGBCC006
verify="吸氧费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
<TD class=title> 婴儿费</TD>
<TD class=input><Input class="common" name=QGBCR003
verify="婴儿费|NUM&VALUE>=0"
onchange="verifyField(this);"></TD>
</tr>
</table>
<div id="Fee5" style="display: ''" class="container grid" showname="需增加费用明细">
<span id="spanMedFeeEInpGrid"></span>
</div>
<Div id="divDiagnoseKindCInpGrid" class="container grid" showname="诊断类型">
<span id="spanDiagnoseKindCInpGrid"></span>
</Div>
</DIV>
<hr>
<table class=common>
<TR class=common>
<TD class=title> 调整备注</TD>
</TR>
<TR class=common>
<TD class=input>
<textarea name="AdjRemark3" verify="调整备注|len<=200" verifyorder="1"
cols="100" rows="2" witdh=25% class="common"></textarea>
</TD>
</TR>
</table>
</div>
</div>
</td>
</tr>
<%-- </table>--%>
</Div>
</div>
<hr>
<INPUT class=cssButton VALUE="查看全部" TYPE=button onclick="showAll();">
<INPUT class=cssButton VALUE="隐藏全部" TYPE=button onclick="showNone();">
<INPUT class=cssButton VALUE="返 回" TYPE=button onclick="top.close();">
<%-- <table>--%>
<%-- <tr>--%>
<%-- <td class=titleImg><span>医疗账单列表</span></td>--%>
<%-- </tr>--%>
<%-- </table>--%>
<%-- <div id="divHosptial" style="display: ''">--%>
<%-- <table class=common>--%>
<%-- <tr class=common>--%>
<%-- <td text-align: left colSpan=1>--%>
<%-- <span id="spanMedicalBillGrid"></span>--%>
<%-- </td>--%>
<%-- </tr>--%>
<%-- </table>--%>
<%-- <table class=common>--%>
<%-- <td class=titleImg><span>医疗账单录入</span> </td>--%>
<%-- <input class=cssButton TYPE=button value="账单信息识别" onclick="OCR();">--%>
<%-- <tr class=common>--%>
<%-- <td class=title >发票号</td>--%>
<%-- <td class=input><input class="common" id="HospBillNo" name=HospBillNo elementtype=nacessary></td>--%>
<%-- <td class=title >医疗服务方式</td>--%>
<%-- <td class=input><input class=codeno id=HospServiceTypeID name=HospServiceTypeID ondblclick="return showCodeList('hospservicetype',[this,HospServiceTypeName],[0,1],null,null,null,1);" onkeyup="return showCodeListKey('hospservicetype',[this,HospServiceTypeName],[0,1],null,null,null,1);"><input class=codename name=HospServiceTypeName elementtype=nacessary></td>--%>
<%--&lt;%&ndash; <td class=title>医疗子类型</td>&ndash;%&gt;--%>
<%--&lt;%&ndash; <td class=input><input class=codeno name=HospTypeID ondblclick="return showCodeList('hosptype',[this,HospTypeName],[0,1],null,fm.HospServiceTypeID.value,'HospServiceTypeID',1);" onkeyup="return showCodeListKey('hosptype',[this,HospTypeName],[0,1],null,fm.HospServiceTypeID.value,'HospServiceTypeID',1);"><input class=codename name=HospTypeName></td>&ndash;%&gt;--%>
<%-- <td class=title >就诊医院</td>--%>
<%-- <td class=input><input class=codeno name=OnHospitalID readonly><input class=codename name=OnHospitalName id="OnHospitalName" onkeydown="queryHospInfo(OnHospitalID,OnHospitalName);" elementtype=nacessary ></td>--%>
<%-- </tr>--%>
<%-- <tr class=common>--%>
<%-- <td class=title><span>主要诊断</span>(ICD10)</td>--%>
<%-- <td class=input><input class=codeno name=HospICDNo readonly><input class=codename name=HospICDName id="ClinicICDName" onkeydown="queryICDInfo(HospICDNo,HospICDName,HospICDDetail,HospICDDetailName);" elementtype=nacessary ></td>--%>
<%-- <td class=title><span >诊断详情</span>(ICD10)</td>--%>
<%-- <td class=input> <input class=codeno name=HospICDDetail id="HospICDDetail" --%>
<%-- ondblclick="return showCodeList('diseasecode',[this, HospICDDetailName],[0,1],null,fm.HospICDNo.value,'UpIcdCode',1);" onkeyup="return showCodeListKey('diseasecode',[this, HospICDDetailName],[0,1],null,fm.HospICDNo.value,'UpIcdCode',1);" readonly><input class=codename name=HospICDDetailName onkeydown="queryICDDetailInfo(HospICDDetail,HospICDDetailName);"></td>--%>
<%-- </tr>--%>
<%-- <tr class=common>--%>
<%-- <td class=title>起始日期</td>--%>
<%-- <td class=input><input class="coolDatePicker" id="StartDate" name="StartDate" onClick="laydate({elem: '#StartDate'});" ><span class="icon"><a onClick="laydate({elem: '#StartDate'});"></a></span></td>--%>
<%-- <td class=title>结束日期</td>--%>
<%-- <td class=input><input class="coolDatePicker" id="EndDate" name="EndDate" onClick="laydate({elem: '#EndDate'});" ><span class="icon"><a onClick="laydate({elem: '#EndDate'});"></a></span></td>--%>
<%-- <td class=title><span>天数</span></td>--%>
<%-- <td class=input><input class="common" name=DayCounts id="Days" readonly></td>--%>
<%-- </tr>--%>
<%-- <tr class=common>--%>
<%-- <td class= title>距离意外事故发生天数</td>--%>
<%-- <td class= input><Input class="wid readonly" readonly name=InDayCounts1></td>--%>
<%-- <td class= title>距离出险日期天数</td>--%>
<%-- <td class= input><Input class="wid readonly" readonly name=InDayCounts2></td>--%>
<%-- <td class=title>重症监护开始时间</td>--%>
<%-- <td class=input><input class="coolDatePicker" id="SevereStartDate" name="SevereStartDate" onClick="laydate({elem: '#SevereStartDate'});" ><span class="icon"><a onClick="laydate({elem: '#SevereStartDate'});"></a></span></td>--%>
<%-- </tr>--%>
<%-- <tr class=common>--%>
<%-- <td class=title>重症监护结束时间</td>--%>
<%-- <td class=input><input class="coolDatePicker" id="SevereEndDate" name="SevereEndDate" onClick="laydate({elem: '#SevereEndDate'});" ><span class="icon"><a onClick="laydate({elem: '#SevereEndDate'});"></a></span></td>--%>
<%-- <td class=title>重症监护室天数</td>--%>
<%-- <td class=input><Input class="wid readonly" readonly name=SevereDayCount></td>--%>
<%-- <td class=title>账单金额</td>--%>
<%-- <td class=input><input class="common" name=InvoiceAmount id="InvoiceAmount" verify="账单金额|num" elementtype=nacessary></td>--%>
<%-- </tr>--%>
<%-- <tr class= common>--%>
<%-- <td class= title >收据类型</td>--%>
<%-- <td class= input ><Input class=codeno name=DocumentType ondblclick="return showCodeList('documenttype',[this,DocumentName],[0,1]);" onkeyup="return showCodeListKey('documenttype',[this,DocumentName],[0,1]);" ><input class=codename name=DocumentName readonly=true><font size=1 color='#ff0000'><b>*</b></font></TD>--%>
<%-- <td class= title id = "showDMNo1" style= "display: none"> 电子票据代码</td>--%>
<%-- <td class= input id = "showDMNo2" style= "display: none"><Input class="common" name=DMNo></td>--%>
<%-- <td class= title id = "showHMNo1" style= "display: none"> 电子票据号码</TD>--%>
<%-- <td class= input id = "showHMNo2" style= "display: none"> <Input class="common" name=HMNo></td>--%>
<%-- </tr>--%>
<%-- <tr class= common>--%>
<%-- <td class= title id ="showJYMNo1" style= "display: none">校验码</td>--%>
<%-- <td class= input id ="showJYMNo2" style= "display: none"> <Input class="common" name=JYMNo></TD>--%>
<%-- <td class= title id ="showKPRQ1" style= "display: none">开票日期</td>--%>
<%-- <td class= input id ="showKPRQ2" style= "display: none"> <input class="common" onfocus="WdatePicker({readOnly:false,dateFmt:'yyyy-MM-dd'})" verify="开票日期|date&NOTNULL" name="KPRQ" onblur="CheckDate(fm.KPRQ);"></td>--%>
<%-- </tr>--%>
<%-- </table>--%>
<%-- <table class= common>--%>
<%-- <TR class= common>--%>
<%-- <TD class= title> 调整备注</TD>--%>
<%-- </TR>--%>
<%-- <TR class= common>--%>
<%-- <TD class= input>--%>
<%-- <textarea name="AdjRemark5" verify="调整备注|len<=200" verifyorder="1" cols="100" rows="2" witdh=25% class="common"></textarea><font size=1 color='#ff0000'><b>*</b></font>--%>
<%-- </TD>--%>
<%-- </TR>--%>
<%-- </table>--%>
<%-- <table class=common>--%>
<%-- <td class=titleImg ><span>费用项目列表</span> </td>--%>
<%-- <tr class=common>--%>
<%-- <td text-align: left colSpan=1><span id="spanBillItemGrid"></span></td>--%>
<%-- </tr>--%>
<%-- </table>--%>
<%--&lt;%&ndash; <center>--%>
<%-- <input class=cssButton90 type=button value="首 页" data-i18n="FirstPage" onclick="turnPage2.firstPage();">--%>
<%-- <input class=cssButton91 type=button value="上一页" data-i18n="PreviousPage" onclick="turnPage2.previousPage();">--%>
<%-- <input class=cssButton92 type=button value="下一页" data-i18n="NextPage" onclick="turnPage2.nextPage();">--%>
<%-- <input class=cssButton93 type=button value="尾 页" data-i18n="LastPage" onclick="turnPage2.lastPage();">--%>
<%-- </center>&ndash;%&gt;--%>
<%--&lt;%&ndash; <table style="display: none" class=common>&ndash;%&gt;--%>
<%-- <table class=common>--%>
<%-- <tr class=common>--%>
<%-- <td class=titleImg><span>药品库信息</span> </td>--%>
<%-- </tr>--%>
<%-- <tr class=common>--%>
<%-- <td><input class=cssButton type=button value="查 询" onclick=DeductQuery(); id=DeductQueryIt > </td>--%>
<%-- <td><input class=cssButton type=button name=ClinicDeductQuery id="clinicDeductConfirmBtn" value="添 加" data-i18n="Add-10" type=button onclick=DeductAdd();></td>--%>
<%-- </tr>--%>
<%-- <tr class=common>--%>
<%-- <td class=title ><span>地区</span></td>--%>
<%-- <td class=input><input class="common" name=region id="Region" onchange="checkMoney(fm.region);"></td>--%>
<%-- <td class=title ><span>商品/药品名称</span></td>--%>
<%-- <td class=input><input class="common" name=DrugName id="DrugName"></td>--%>
<%-- </tr>--%>
<%-- <table class=common>--%>
<%-- <tr class=common>--%>
<%-- <td text-align: left colSpan=1>--%>
<%-- <span id="spanDrugItemGrid"></span>--%>
<%-- </td>--%>
<%-- </tr>--%>
<%-- </table>--%>
<%-- </table>--%>
<%-- <table class=common>--%>
<%-- <td class=titleImg ><span>诊断类型</span> </td>--%>
<%-- <tr class=common>--%>
<%-- <td text-align: left colSpan=1><span id="spanDiagnoseKindInpGrid"></span></td>--%>
<%-- </tr>--%>
<%-- </table>--%>
<%--&lt;%&ndash; <center>--%>
<%-- <input class=cssButton90 type=button value="首 页" data-i18n="FirstPage" onclick="turnPage3.firstPage();">--%>
<%-- <input class=cssButton91 type=button value="上一页" data-i18n="PreviousPage" onclick="turnPage3.previousPage();">--%>
<%-- <input class=cssButton92 type=button value="下一页" data-i18n="NextPage" onclick="turnPage3.nextPage();">--%>
<%-- <input class=cssButton93 type=button value="尾 页" data-i18n="LastPage" onclick="turnPage3.lastPage();">--%>
<%-- </center>&ndash;%&gt;--%>
<%-- <hr>--%>
<%-- <table class= common>--%>
<%-- <tr class= common>--%>
<%-- <td class= title>医保范围内费用</td>--%>
<%-- <td class= input><Input class="common" name=CZ002 verify="医保范围内费用|NUM&LEN<10" onchange="verifyField(this);"></td>--%>
<%-- <td class= title>医保支付金额</td>--%>
<%-- <td class= input><Input class="common" name=CZ001 verify="医保支付金额|NUM&LEN<10" onchange="verifyField(this);"></td>--%>
<%-- <td class= title>退休补充支付</td>--%>
<%-- <td class= input><Input class="common" name=CZ007 verify="退休补充支付|NUM&LEN<10" onchange="verifyField(this);"></td>--%>
<%-- </tr>--%>
<%-- <tr class= common>--%>
<%-- <td class= title>起付线</td>--%>
<%-- <td class= input><Input class="common" name=CZ009 verify="起付线|NUM&LEN<10" onchange="verifyField(this);"></td>--%>
<%-- <td class= title>统筹封顶金额</TD>--%>
<%-- <td class= input><Input class="common" name=CZ010 verify="统筹封顶金额|NUM&LEN<10" onchange="verifyField(this);"></td>--%>
<%-- <td class= title>自付一（医保内自付）</td>--%>
<%-- <td class= input><Input class="common" name=CZ008 verify="自付一|NUM&LEN<10" onchange="verifyField(this);"></td>--%>
<%-- </tr>--%>
<%-- <tr class= common>--%>
<%-- <td class= title>自付二（部分自付）</td>--%>
<%-- <td class= input><Input class="common" name=CZ011 verify="自付二|NUM&LEN<10" onchange="verifyField(this);"></td>--%>
<%-- <td class= title>自费</td>--%>
<%-- <td class= input><Input class="common" name=CZ012 verify="自费|NUM&LEN<10" onchange="verifyField(this);"></td>--%>
<%-- <td class=title>部分自费</td>--%>
<%-- <td class=input><input class="common" name=AG001 verify="部分自费|NUM&len<10" onchange="verifyField(this);"></td>--%>
<%-- </tr>--%>
<%-- <tr class= common>--%>
<%-- <td class= title>税优第三方支付</td>--%>
<%-- <td class= input><Input class="common" name=BCZ016 verify="税优第三方支付|NUM&LEN<10" onchange="verifyField(this);"></td>--%>
<%-- <td class=title>第三方支付</td>--%>
<%-- <td class=input><input class="common" name=CF001 verify="第三方支付|NUM&len<10" onchange="verifyField(this);"></td>--%>
<%-- <td class=title>其他扣除费用</td>--%>
<%-- <td class=input><input class="common" name=CE001 verify="其他扣除费用|NUM&len<10" onchange="verifyField(this);"></td>--%>
<%-- </tr>--%>
<%-- <tr class= common>--%>
<%-- <td class= title>门诊大额支付</TD>--%>
<%-- <td class= input><Input class="common" name=ACZ013 verify="门诊大额支付|NUM&LEN<10" onchange="verifyField(this);"></td>--%>
<%-- <td class= title>统筹基金支付</td>--%>
<%-- <td class= input><Input class="common" name=BCZ005 verify="统筹基金支付|NUM&LEN<10" onchange="verifyField(this);"></td>--%>
<%-- <td class= title>大额互助支付</td>--%>
<%-- <td class= input><Input class="common" name=BCZ006 verify="大额互助支付|NUM&LEN<10" onchange="verifyField(this);"></td>--%>
<%-- </tr>--%>
<%-- <tr class= common>--%>
<%-- <td class=title>医保已支付</td>--%>
<%-- <td class=input><input class="common" name=CB001 verify="医保已支付|NUM&LEN<10" onchange="verifyField(this);"><font size=1 color='#ff0000'><b>*</b></td>--%>
<%-- <td class=title>统筹支付</td>--%>
<%-- <td class=input><input class="common" name=BM001 verify="统筹支付|NUM&len<10" onchange="verifyField(this);"></td>--%>
<%-- <td class=title>大额支付</td>--%>
<%-- <td class=input><input class="common" name=BO001 verify="大额支付|NUM&len<10" onchange="verifyField(this);"></td>--%>
<%-- </tr>--%>
<%-- <tr class= common>--%>
<%-- <td class=title>统筹自付（含起付线）</td>--%>
<%-- <td class=input><input class="common" name=BD001 verify="统筹自付（含起付线）|NUM&LEM<10" onchange="verifyField(this);"></td>--%>
<%-- <td class=title>统筹积累支付</td>--%>
<%-- <td class=input><input class="common" name=BN001 verify="统筹积累支付|NUM&len<10" onchange="verifyField(this);"></td>--%>
<%-- <td class=title>大额累计支付</td>--%>
<%-- <td class=input><input class="common" name=BP001 verify="大额累计支付|NUM&len<10" onchange="verifyField(this);"></td>--%>
<%-- </tr>--%>
<%-- <tr class= common>--%>
<%-- <td class=title>大额封顶以上自付</td>--%>
<%-- <td class=input><input class="common" name=BG001 verify="大额封顶以上自付|NUM&len<10" onchange="verifyField(this);"></td>--%>
<%-- <td class=title>须扣除金额</td>--%>
<%-- <td class=input><input class="common" name=BJ001 verify="须扣除金额|NUM&len<10" onchange="verifyField(this);"></td>--%>
<%-- <td class=title>大额医疗自付</td>--%>
<%-- <td class=input><input class="common" name=BF001 verify="大额医疗自付|NUM&len<10" onchange="verifyField(this);"></td>--%>
<%-- </tr>--%>
<%-- </table>--%>
<%-- <hr>--%>
<%-- <table>--%>
<%-- <tr class= common>--%>
<%-- <td class= common> 费用总合计： </td>--%>
<%-- </tr>--%>
<%-- <tr class= common>--%>
<%-- <td class= input> <Input class="readonly" readonly name="SumFee"> </td>--%>
<%-- </tr>--%>
<%-- </table>--%>
<%-- <hr>--%>
<%-- <input class=cssButton TYPE=button id=addSpecialHospBill4 value="新 增" data-i18n="Add-3" onclick="addHospBill();">--%>
<%-- <input class=cssButton type=button id=modifySpecialHospBill4 value="修 改" data-i18n="Modify-2" onclick="modifyHospBill();">--%>
<%-- <input class=cssButton TYPE=button id=deleteSpecialHospBill4 value="删 除" data-i18n="Del" onclick="delHospBill();">--%>
<%-- <input class=cssButton type=button id=initClinicBill14 value="清 空" data-i18n="Clear-1" onclick=resetHospBillInfo();>--%>
<%-- <input class="displayNone" name=tSerialNo4>--%>
<%-- <input class="displayNone" name=tCaseNo4>--%>
<%-- <input class=cssButton type=button id=closePage5 value="关 闭" data-i18n="Closed" onclick=top.close();>--%>
<input class="displayNone" name=Operate> <%--操作类型--%>
<input class="displayNone" name=CustomerNo>
<input class="displayNone" name=RgtNo>
<input class="displayNone" name=DealFlag value=''><%--开始日期是否早于出险日期,0是1不是--%>
<input class="displayNone" name=tCaseNo>
<input class="displayNone" name=currentInput>
<input class="displayNone" name=qType value=''><%--企补操作类型--%>
<input class="displayNone" name=SerialNo6 value=''><%--社保第三方给付序号--%>
<input class="displayNone" name=ClinicBillNo1>
<input class="displayNone" name=HospBillNo1>
<input class="displayNone" name=SpecialClinicBill1>
<input class="displayNone" name=SpecialHospBillNo1>
<input class="displayNone" name=CaseSource>
<input class="displayNone" name=tempHosp>
<input class="displayNone" name=tempHospStart>
<input class="displayNone" name=tempHospEnd>
<input class="displayNone" name=tempResult1>
<input class="displayNone" name=SelNo> <%--列表序号--%>
<input class="displayNone" name=PageIndex> <%--页码--%>
<input class="displayNone" name=AfterHospBillNo> <%--往后VO传--%>
<input class="displayNone" name=AfterReceiptNo> <%--往后VO传--%>
<input class="displayNone" name=tPath><%--医疗账单影像地址--%>
<br/><br/><br/><br/>
</form>
<span id="spanCode" style="display: none; position:absolute; slategray"></span>
</body>
</html>
<script>
//var sql2 = "and instr(codealias,"+fm.HospServiceTypeID.value+") ";
var count = 1;
function showQ(img) {
if (count % 2 != 0) {
med.style.display = '';
hos.style.display = '';
wom.style.display = '';
showPage(img, med);
showPage(img, hos);
showPage(img, wom);
count++;
return;
}
if (count % 2 == 0) {
med.style.display = 'none';
hos.style.display = 'none';
wom.style.display = 'none';
showPage(img, med);
showPage(img, hos);
showPage(img, wom);
count++;
return;
}
}
</script>