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<title>完善信息</title>
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<div id="content">
<div class="basic_header">
<p class="basic_title">完善患者信息
<img src="../images/skip_butten_png@2x.png" class="skip">
</p>
<p class="basic_tip">为了便于医生提供准确的咨询建议，请尽量填写真实详尽的信息（填写的信息仅您和医生可见）</p>
</div>
<div class="input_list">
<div class="input_item clearfix">
<div class="left_tip">
<span class="txt_red">*</span>
<span class="input_tip">患者姓名</span>
</div>
<div class="right_box">
<input type="text" name="" id="username" value="" placeholder="请输入真实姓名" />
</div>
</div>
<div class="input_item clearfix">
<div class="left_tip">
<span class="txt_red">*</span>
<span class="input_tip">性别</span>
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<div class="right_box" id="sex_typeBox">
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<span class="txt_red">*</span>
<span class="input_tip">出生日期</span>
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<div class="right_box" id="birth_typeBox">
<input type="text" name="" id="birth" value="" placeholder="请选择" readonly="true" />
<img src="../images/_arrows _right@2x.png" class="arrow_icon">
</div>
</div>
<div class="input_item clearfix">
<div class="left_tip">
<span class="input_tip">身高(cm)</span>
</div>
<div class="right_box">
<input type="text" name="" id="height" value="" placeholder="请输入" />
</div>
</div>
<div class="input_item clearfix">
<div class="left_tip">
<span class="input_tip">体重(Kg)</span>
</div>
<div class="right_box">
<input type="text" name="" id="weight" value="" placeholder="请输入" />
</div>
</div>
<div class="input_item clearfix">
<div class="left_tip">
<span class="txt_red">*</span>
<span class="input_tip">疾病诊断</span>
</div>
<div class="right_box" id="disease_typeBox">
<input type="text" name="" id="disease" value="" placeholder="请选择" readonly="true" />
<img src="../images/_arrows _right@2x.png" class="arrow_icon">
</div>
</div>
<div class="not_lung">
<div class="input_item clearfix">
<div class="left_tip">
<span class="txt_red">*</span>
<span class="input_tip">病理类型</span>
</div>
<div class="right_box" id="pathology_typeBox">
<input type="text" name="" id="pathology" value="" placeholder="请选择" readonly="true" />
<img src="../images/_arrows _right@2x.png" class="arrow_icon">
</div>
</div>
<div class="input_item clearfix">
<div class="left_tip">
<span class="input_tip">肿瘤分期</span>
</div>
<div class="right_box" id="stages_typeBox">
<input type="text" name="" id="stages" value="" placeholder="请选择" readonly="true" />
<img src="../images/_arrows _right@2x.png" class="arrow_icon">
</div>
</div>
<div class="input_item clearfix">
<div class="left_tip">
<span class="input_tip">TNM分期</span>
</div>
<div class="right_box" id="stages_TNM_typeBox">
<input type="text" name="" id="stages_TNM" value="" placeholder="请选择" readonly="true" />
<img src="../images/_arrows _right@2x.png" class="arrow_icon">
</div>
</div>
<div class="input_item clearfix">
<div class="left_tip">
<span class="input_tip">有无转移病灶</span>
</div>
<div class="right_box" id="transfer_typeBox">
<input type="text" name="" id="transfer" value="" placeholder="请选择" readonly="true" />
<img src="../images/_arrows _right@2x.png" class="arrow_icon">
</div>
</div>
<div class="input_item clearfix">
<div class="left_tip">
<span class="input_tip">有无吸烟史</span>
</div>
<div class="right_box somke_typeBox">
<input type="text" name="" id="somke" value="" placeholder="请选择" readonly="true" />
<img src="../images/_arrows _right@2x.png" class="arrow_icon">
</div>
</div>
<div class="input_item clearfix">
<div class="left_tip">
<span class="input_tip">ECOG评分</span>
</div>
<div class="right_box" id="ECOG_typeBox">
<input type="text" name="" id="ECOG" value="" placeholder="请选择" readonly="true" />
<img src="../images/_arrows _right@2x.png" class="arrow_icon">
</div>
</div>
<div class="input_item clearfix">
<div class="left_tip" style="width:2.1rem;line-height:0.46rem;margin-left:0.2rem;">
病案号/住院号医保卡号
</div>
<div class="right_box">
<input type="text" name="" id="idCard" value="" placeholder="请输入" />
</div>
</div>
<div class="input_item clearfix" style="border:none">
<div class="left_tip">
<span class="input_tip">医保所在地</span>
</div>
<div class="right_box" id="location_typeBox">
<input type="text" name="" id="location" value="" placeholder="请选择" readonly="true" />
<img src="../images/_arrows _right@2x.png" class="arrow_icon">
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<div class="footer_btn hasPre">
<span class="pre">上一步</span>
<span class="next btnOn">下一步</span>
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<div class="footer_btn noPre">
下一步
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<div class="content_mod">
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<div class="somke_warp">
<div class="somke_header">吸烟史</div>
<div class="clearfix" style="padding-bottom:0.2rem;">
<div class="somke_select yes" data-select="yes">
<img src="../images/pop_select_active@2x.png">
<span class="select_tip">吸烟</span>
</div>
<div class="somke_select no">
<img src="../images/pop_select_default@2x.png">
<span class="select_tip">不吸烟</span>
</div>
</div>
<div class="somke_content">
<div class="somke_content_item">
<span class="txt_red">*</span>
<span class="somke_content_item_leftTip">吸烟时长(年)</span>
<input type="text" name="" value="" placeholder="请输入" id="somkeYear" onkeyup="value=value.replace(/[^\d]/g,'')" />
</div>
<div class="somke_content_item">
<span class="txt_red">*</span>
<span class="somke_content_item_leftTip">每日吸烟量(支)</span>
<input type="text" name="" value="" placeholder="请输入" id="somkeNum" onkeyup="value=value.replace(/[^\d]/g,'')" />
</div>
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<div class="smoke_btn">确定</div>
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