<!DOCTYPE html>
<html lang="zh" xmlns:th="http://www.thymeleaf.org" >
<head>
    <th:block th:include="include :: header('新增体检信息表')" />
</head>
<body class="white-bg">
    <div class="wrapper wrapper-content animated fadeInRight ibox-content">
        <form class="form-horizontal m" id="form-tjxx-add">
            <div class="form-group">
                <label class="col-sm-3 control-label">插入时间：</label>
                <div class="col-sm-8">
                    <textarea name="cdTime" class="form-control"></textarea>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label">批次号：</label>
                <div class="col-sm-8">
                    <textarea name="cdBatch" class="form-control"></textarea>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label">标志位：</label>
                <div class="col-sm-8">
                    <textarea name="cdOperation" class="form-control"></textarea>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label">数据来源：</label>
                <div class="col-sm-8">
                    <textarea name="cdSource" class="form-control"></textarea>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label">身份证号：</label>
                <div class="col-sm-8">
                    <textarea name="cardid" class="form-control"></textarea>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label">人员类型：</label>
                <div class="col-sm-8">
                    <textarea name="persontype" class="form-control"></textarea>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label">单位名称：</label>
                <div class="col-sm-8">
                    <textarea name="unitname" class="form-control"></textarea>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label">姓名：</label>
                <div class="col-sm-8">
                    <textarea name="username" class="form-control"></textarea>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label">性别：</label>
                <div class="col-sm-8">
                    <textarea name="sex" class="form-control"></textarea>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label">年龄：</label>
                <div class="col-sm-8">
                    <textarea name="age" class="form-control"></textarea>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label">民族：</label>
                <div class="col-sm-8">
                    <textarea name="nature" class="form-control"></textarea>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label">学历：</label>
                <div class="col-sm-8">
                    <textarea name="education" class="form-control"></textarea>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label">联系电话：</label>
                <div class="col-sm-8">
                    <textarea name="cellphone" class="form-control"></textarea>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label">工种：</label>
                <div class="col-sm-8">
                    <textarea name="worktype" class="form-control"></textarea>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label">工龄：</label>
                <div class="col-sm-8">
                    <textarea name="workage" class="form-control"></textarea>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label">单位性质：</label>
                <div class="col-sm-8">
                    <textarea name="unitnatrue" class="form-control"></textarea>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label">照片地址：</label>
                <div class="col-sm-8">
                    <textarea name="photourl" class="form-control"></textarea>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label">营业执照图片地址：</label>
                <div class="col-sm-8">
                    <textarea name="licenseurl" class="form-control"></textarea>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label">添加日期：</label>
                <div class="col-sm-8">
                    <textarea name="adddate" class="form-control"></textarea>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label">预约时间：</label>
                <div class="col-sm-8">
                    <textarea name="apptime" class="form-control"></textarea>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label">资料审核：</label>
                <div class="col-sm-8">
                    <textarea name="iChecked" class="form-control"></textarea>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label">资料审核人：</label>
                <div class="col-sm-8">
                    <textarea name="iCheckuser" class="form-control"></textarea>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label">信息审核：</label>
                <div class="col-sm-8">
                    <textarea name="yChecked" class="form-control"></textarea>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label">信息审核人：</label>
                <div class="col-sm-8">
                    <textarea name="yCheckuser" class="form-control"></textarea>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label">LEVlgM：</label>
                <div class="col-sm-8">
                    <textarea name="hLevlgm" class="form-control"></textarea>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label">甲肝lgm：</label>
                <div class="col-sm-8">
                    <textarea name="hJiagan" class="form-control"></textarea>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label">血清丙氨酸氨基转移酶：</label>
                <div class="col-sm-8">
                    <textarea name="hXqzym" class="form-control"></textarea>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label">痢疾杆菌：</label>
                <div class="col-sm-8">
                    <textarea name="hLijiganjun" class="form-control"></textarea>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label">伤寒副伤寒：</label>
                <div class="col-sm-8">
                    <textarea name="hShanghan" class="form-control"></textarea>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label">梅毒：</label>
                <div class="col-sm-8">
                    <textarea name="hMeidu" class="form-control"></textarea>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label">艾滋：</label>
                <div class="col-sm-8">
                    <textarea name="hHiv" class="form-control"></textarea>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label">检验结论：</label>
                <div class="col-sm-8">
                    <textarea name="hConclusion" class="form-control"></textarea>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label">化验检查结果：</label>
                <div class="col-sm-8">
                    <textarea name="hChecked" class="form-control"></textarea>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label">化验检查人：</label>
                <div class="col-sm-8">
                    <textarea name="hCheckuser" class="form-control"></textarea>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label">肝炎病史：</label>
                <div class="col-sm-8">
                    <textarea name="tHasganyan" class="form-control"></textarea>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label">肝炎患病时间：</label>
                <div class="col-sm-8">
                    <textarea name="tGanyan" class="form-control"></textarea>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label">伤寒病史：</label>
                <div class="col-sm-8">
                    <textarea name="tHasshanghan" class="form-control"></textarea>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label">伤寒患病时间：</label>
                <div class="col-sm-8">
                    <textarea name="tShanghan" class="form-control"></textarea>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label">痢疾病史：</label>
                <div class="col-sm-8">
                    <textarea name="tHasliji" class="form-control"></textarea>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label">痢疾患病时间：</label>
                <div class="col-sm-8">
                    <textarea name="tLiji" class="form-control"></textarea>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label">肺结核病史：</label>
                <div class="col-sm-8">
                    <textarea name="tHasfeijiehe" class="form-control"></textarea>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label">肺结核患病时间：</label>
                <div class="col-sm-8">
                    <textarea name="tFeijiehe" class="form-control"></textarea>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label">皮肤病病史：</label>
                <div class="col-sm-8">
                    <textarea name="tHaspifubing" class="form-control"></textarea>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label">皮肤病患病时间：</label>
                <div class="col-sm-8">
                    <textarea name="tPifubing" class="form-control"></textarea>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label">其他疾病：</label>
                <div class="col-sm-8">
                    <textarea name="tHasotherdisease" class="form-control"></textarea>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label">其他疾病患病时间：</label>
                <div class="col-sm-8">
                    <textarea name="tOtherdisease" class="form-control"></textarea>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label">心：</label>
                <div class="col-sm-8">
                    <textarea name="tXin" class="form-control"></textarea>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label">肝：</label>
                <div class="col-sm-8">
                    <textarea name="tGan" class="form-control"></textarea>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label">脾：</label>
                <div class="col-sm-8">
                    <textarea name="tPi" class="form-control"></textarea>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label">肺：</label>
                <div class="col-sm-8">
                    <textarea name="tFei" class="form-control"></textarea>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label">皮肤：</label>
                <div class="col-sm-8">
                    <textarea name="tPifu" class="form-control"></textarea>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label">其他：</label>
                <div class="col-sm-8">
                    <textarea name="tOther" class="form-control"></textarea>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label">X光检查结果：</label>
                <div class="col-sm-8">
                    <textarea name="tX" class="form-control"></textarea>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label">X光现象：</label>
                <div class="col-sm-8">
                    <textarea name="tPhenomenon" class="form-control"></textarea>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label">X光审核：</label>
                <div class="col-sm-8">
                    <textarea name="xChecked" class="form-control"></textarea>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label">X光审核人：</label>
                <div class="col-sm-8">
                    <textarea name="xCheckuser" class="form-control"></textarea>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label">体检结论：</label>
                <div class="col-sm-8">
                    <textarea name="tConclusion" class="form-control"></textarea>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label">检查结果：</label>
                <div class="col-sm-8">
                    <textarea name="tChecked" class="form-control"></textarea>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label">检查结果审核人：</label>
                <div class="col-sm-8">
                    <textarea name="tCheckuser" class="form-control"></textarea>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label">采血审核：</label>
                <div class="col-sm-8">
                    <textarea name="bChecked" class="form-control"></textarea>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label">采血审核人：</label>
                <div class="col-sm-8">
                    <textarea name="bCheckuser" class="form-control"></textarea>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label">查体审核：</label>
                <div class="col-sm-8">
                    <textarea name="cChecked" class="form-control"></textarea>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label">查体审核人：</label>
                <div class="col-sm-8">
                    <textarea name="cCheckuser" class="form-control"></textarea>
                </div>
            </div>
        </form>
    </div>
    <th:block th:include="include :: footer" />
    <script th:inline="javascript">
        var prefix = ctx + "system/tjxx"
        $("#form-tjxx-add").validate({
            focusCleanup: true
        });

        function submitHandler() {
            if ($.validate.form()) {
                $.operate.save(prefix + "/add", $('#form-tjxx-add').serialize());
            }
        }
    </script>
</body>
</html>