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klhis/file/reporttemplate/58392EB3-EF6C-7B90-49F1-B77.../结算清单打印/ac9afe8ad8b6052444af1c1b011...

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<TD style="CURSOR: default" height=23 width=718 align=center><FONT style="FONT-SIZE: 5.55mm"> <STRONG>广东省河源市医疗保障基金结算清单</STRONG></FONT></TD></TR>
<TR>
<TD style="CURSOR: default" align=right>清单流水号<U> <SPAN id=89CB1D49-BDA0-C59C-7F89-5BA8BB5C08F7 class=Emr_hdy wattype="static" watid="89CB1D49-BDA0-C59C-7F89-5BA8BB5C08F7" watvalue="LSH" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$LSH$</SPAN> </U>   </TD></TR>
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<TD style="CURSOR: default" height=23 width=718>定点医疗机构名称<U> <SPAN id=E9776F7A-F02F-56D0-4611-D4BDA3B3AF46 class=Emr_hdy wattype="static" watid="E9776F7A-F02F-56D0-4611-D4BDA3B3AF46" watvalue="JGNAME" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$JGNAME$</SPAN> </U>   定点医疗机构代码<U> <SPAN id=5DDD215A-B3A7-BEDB-7DC2-4B2B8ED2874F class=Emr_hdy wattype="static" watid="5DDD215A-B3A7-BEDB-7DC2-4B2B8ED2874F" watvalue="JGCODE" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$JGCODE$</SPAN> </U>   医保结算等级<U> <SPAN id=E1537700-CDCE-0BFC-70E8-67C9EEEC9E37 class=Emr_hdy wattype="static" watid="E1537700-CDCE-0BFC-70E8-67C9EEEC9E37" watvalue="JGDJ" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$JGDJ$</SPAN> </U>  </TD></TR>
<TR>
<TD style="CURSOR: default" height=23 width=718>医保编号<U> <SPAN id=0B4D67BC-47BD-2732-F661-41FEF40C02CA class=Emr_hdy wattype="static" watid="0B4D67BC-47BD-2732-F661-41FEF40C02CA" watvalue="HI_NO" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$HI_NO$</SPAN> </U>       病案号<U> <SPAN id=1085816B-EA29-350C-70DC-5F17A7E64F36 class=Emr_hdy wattype="static" watid="1085816B-EA29-350C-70DC-5F17A7E64F36" watvalue="MEDCASNO" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$MEDCASNO$</SPAN> </U>       申报时间<U> <SPAN id=0BCC2668-B6E2-7CD0-3CC0-432168C44BDA class=Emr_hdy wattype="static" watid="0BCC2668-B6E2-7CD0-3CC0-432168C44BDA" watvalue="DCLA_TIME" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$DCLA_TIME$</SPAN> </U>   </TD></TR></TBODY></TABLE></SPAN>
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<TABLE style="FONT-SIZE: 3.7mm; FONT-FAMILY: 宋体; WIDTH: 100%; BORDER-COLLAPSE: collapse; LINE-HEIGHT: 1.5" borderColor=#000000 cellSpacing=0 cellPadding=0 width="100%" bgColor=transparent border=1 class>
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<TD style="CURSOR: default; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " height=23 width=737 align=center class><B><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">一、基本信息</SPAN></B></TD></TR>
<TR style="HEIGHT: 158px" class>
<TD style="CURSOR: default" height=158 width=737 class>
<P class=MsoNormal style="LAYOUT-GRID-MODE: char; TEXT-ALIGN: left; LINE-HEIGHT: 150%" align=left><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; LINE-HEIGHT: 150%">姓名</SPAN><U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'; LINE-HEIGHT: 150%">&nbsp;<SPAN id=9A96E36D-574B-3511-51BD-BCFD010DE777 class=Emr_hdy wattype="static" watid="9A96E36D-574B-3511-51BD-BCFD010DE777" watvalue="PSN_NAME" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$PSN_NAME$</SPAN>&nbsp;&nbsp;</SPAN></U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'; LINE-HEIGHT: 150%">&nbsp;&nbsp;&nbsp;&nbsp;</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; LINE-HEIGHT: 150%">性别</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'; LINE-HEIGHT: 150%"> [<SPAN id=FDEA570F-2165-784C-91D3-C3B93CBF43B4 class=Emr_hdy wattype="static" watid="FDEA570F-2165-784C-91D3-C3B93CBF43B4" watvalue="GEND" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$GEND$</SPAN>] 1.</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; LINE-HEIGHT: 150%">男</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'; LINE-HEIGHT: 150%"> 2.</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; LINE-HEIGHT: 150%">女</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'; LINE-HEIGHT: 150%">&nbsp;&nbsp;&nbsp;&nbsp;</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; LINE-HEIGHT: 150%">出生日期</SPAN><U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'; LINE-HEIGHT: 150%">&nbsp;&nbsp;&nbsp;<SPAN id=BC875ABD-82CE-9803-589D-07169F862776 class=Emr_hdy wattype="static" watid="BC875ABD-82CE-9803-589D-07169F862776" watvalue="BRDY" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$BRDY$</SPAN></SPAN></U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'; LINE-HEIGHT: 150%">&nbsp; </SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; LINE-HEIGHT: 150%">年龄</SPAN><U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'; LINE-HEIGHT: 150%">&nbsp;<SPAN id=D1927017-449F-061C-872B-EEA0FC259BB3 class=Emr_hdy wattype="static" watid="D1927017-449F-061C-872B-EEA0FC259BB3" watvalue="AGE" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$AGE$</SPAN>&nbsp; </SPAN></U><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; LINE-HEIGHT: 150%">岁</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'; LINE-HEIGHT: 150%">&nbsp;&nbsp;</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; LINE-HEIGHT: 150%">国籍</SPAN><U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'; LINE-HEIGHT: 150%">&nbsp;<SPAN id=9ADCA13B-6C18-5B3C-80E2-B25316C4BF83 class=Emr_hdy wattype="static" watid="9ADCA13B-6C18-5B3C-80E2-B25316C4BF83" watvalue="NTLY" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$NTLY$</SPAN>&nbsp; </SPAN></U></P>
<P class=MsoNormal style="LAYOUT-GRID-MODE: char; LINE-HEIGHT: 150%"><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; LINE-HEIGHT: 150%">（年龄不足</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'; LINE-HEIGHT: 150%">1</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; LINE-HEIGHT: 150%">周岁）年龄</SPAN><U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'; LINE-HEIGHT: 150%">&nbsp;<SPAN id=F7E5B11E-8A71-91E9-B4B9-F741A0BF5020 class=Emr_hdy wattype="static" watid="F7E5B11E-8A71-91E9-B4B9-F741A0BF5020" watvalue="NL2" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$NL2$</SPAN> </SPAN></U><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; COLOR: black; LINE-HEIGHT: 150%">天</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'; LINE-HEIGHT: 150%">&nbsp;&nbsp;</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; LINE-HEIGHT: 150%">民族</SPAN><U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'; LINE-HEIGHT: 150%">&nbsp;<SPAN id=4F72C575-081B-0295-37D2-9DFE401EE4B6 class=Emr_hdy wattype="static" watid="4F72C575-081B-0295-37D2-9DFE401EE4B6" watvalue="NATY" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$NATY$</SPAN>&nbsp;</SPAN></U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'; LINE-HEIGHT: 150%">&nbsp;</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; LINE-HEIGHT: 150%">患者证件类别</SPAN><U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'; LINE-HEIGHT: 150%">&nbsp;<SPAN id=BDC2C4FF-3E4A-F781-4D0D-C7FE7400DA67 class=Emr_hdy wattype="static" watid="BDC2C4FF-3E4A-F781-4D0D-C7FE7400DA67" watvalue="ZJLX" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$ZJLX$</SPAN>&nbsp;</SPAN></U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'; LINE-HEIGHT: 150%">&nbsp;</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; LINE-HEIGHT: 150%">患者证件号码</SPAN><U><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'; LINE-HEIGHT: 150%">&nbsp;<SPAN id=6DB6C707-451B-3E0E-4611-126F79179A40 class=Emr_hdy wattype="static" watid="6DB6C707-451B-3E0E-4611-126F79179A40" watvalue="CERTNO" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$CERTNO$</SPAN></SPAN></U><U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'; LINE-HEIGHT: 150%">&nbsp;</SPAN></U></P>
<P class=MsoNormal style="LAYOUT-GRID-MODE: char; LINE-HEIGHT: 150%"><U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'; LINE-HEIGHT: 150%"></SPAN></U><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; LINE-HEIGHT: 150%">职业</SPAN><U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'; LINE-HEIGHT: 150%">&nbsp;<SPAN id=36ABA50C-56A6-5808-9E62-C382BA3B0D74 class=Emr_hdy wattype="static" watid="36ABA50C-56A6-5808-9E62-C382BA3B0D74" watvalue="PRFS" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$PRFS$</SPAN>&nbsp;</SPAN></U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'; LINE-HEIGHT: 150%">&nbsp;&nbsp;</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; LINE-HEIGHT: 150%">现住址</SPAN><U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'; LINE-HEIGHT: 150%">&nbsp;&nbsp;<SPAN id=F11348F5-1D58-22F6-01AD-FD4E448C7ED1 class=Emr_hdy wattype="static" watid="F11348F5-1D58-22F6-01AD-FD4E448C7ED1" watvalue="CURR_ADDR" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$CURR_ADDR$</SPAN></SPAN></U><U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'; LINE-HEIGHT: 150%">&nbsp; </SPAN></U></P>
<P class=MsoNormal style="LAYOUT-GRID-MODE: char; LINE-HEIGHT: 150%"><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; LINE-HEIGHT: 150%">工作单位及地址</SPAN><U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'; LINE-HEIGHT: 150%">&nbsp;<SPAN id=65547BC0-055E-6C23-F493-39E5E41287D4 class=Emr_hdy wattype="static" watid="65547BC0-055E-6C23-F493-39E5E41287D4" watvalue="EMP_NAME" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$EMP_NAME$</SPAN>&nbsp;</SPAN></U><U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'; LINE-HEIGHT: 150%">&nbsp;<SPAN id=46D9F8C1-B582-577E-5750-8C36DDBACB5E class=Emr_hdy wattype="static" watid="46D9F8C1-B582-577E-5750-8C36DDBACB5E" watvalue="EMP_ADDR" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$EMP_ADDR$</SPAN>&nbsp;</SPAN></U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'; LINE-HEIGHT: 150%">&nbsp;&nbsp;&nbsp;</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; LINE-HEIGHT: 150%">单位</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; LINE-HEIGHT: 150%">电话</SPAN><U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'; LINE-HEIGHT: 150%">&nbsp;<SPAN id=1AEB7B37-ADC0-70E6-CAE4-5620F9A79DD2 class=Emr_hdy wattype="static" watid="1AEB7B37-ADC0-70E6-CAE4-5620F9A79DD2" watvalue="EMP_TEL" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$EMP_TEL$</SPAN>&nbsp;</SPAN></U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'; LINE-HEIGHT: 150%">&nbsp;&nbsp;&nbsp;&nbsp;</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; LINE-HEIGHT: 150%">邮编</SPAN><U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'; LINE-HEIGHT: 150%">&nbsp;<SPAN id=029FFB96-BD19-D4C9-D72E-57CD4A200B4D class=Emr_hdy wattype="static" watid="029FFB96-BD19-D4C9-D72E-57CD4A200B4D" watvalue="POSCODE" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$POSCODE$</SPAN> </SPAN></U></P>
<P class=MsoNormal style="LAYOUT-GRID-MODE: char; LINE-HEIGHT: 150%"><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; LINE-HEIGHT: 150%">联系人姓名</SPAN><U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'; LINE-HEIGHT: 150%">&nbsp;<SPAN id=97076F5E-5D3F-50E4-F8A0-2C5C9CB5F6D6 class=Emr_hdy wattype="static" watid="97076F5E-5D3F-50E4-F8A0-2C5C9CB5F6D6" watvalue="CONER_NAME" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$CONER_NAME$</SPAN>&nbsp;</SPAN></U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'; LINE-HEIGHT: 150%">&nbsp;</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; LINE-HEIGHT: 150%">关系</SPAN><U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'; LINE-HEIGHT: 150%">&nbsp;<SPAN id=25DA8861-5A22-99D0-44F5-B80AD4096D79 class=Emr_hdy wattype="static" watid="25DA8861-5A22-99D0-44F5-B80AD4096D79" watvalue="PATN_RLTS" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$PATN_RLTS$</SPAN>&nbsp;</SPAN></U><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; LINE-HEIGHT: 150%">地址</SPAN><U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'; LINE-HEIGHT: 150%">&nbsp;&nbsp;<SPAN id=8E345F81-8A5C-D353-1478-D2E44808938F class=Emr_hdy wattype="static" watid="8E345F81-8A5C-D353-1478-D2E44808938F" watvalue="CONER_ADDR" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$CONER_ADDR$</SPAN></SPAN></U><U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'; LINE-HEIGHT: 150%">&nbsp;&nbsp;</SPAN></U><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; LINE-HEIGHT: 150%">电话</SPAN><U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'; LINE-HEIGHT: 150%">&nbsp;&nbsp;<SPAN id=86235C6B-C207-3107-92C3-74A1EA5EA238 class=Emr_hdy wattype="static" watid="86235C6B-C207-3107-92C3-74A1EA5EA238" watvalue="CONER_TEL" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$CONER_TEL$</SPAN>&nbsp; </SPAN></U></P>
<P class=MsoNormal style="LAYOUT-GRID-MODE: char; LINE-HEIGHT: 150%"><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; LINE-HEIGHT: 150%">医保类型</SPAN><U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'; LINE-HEIGHT: 150%">&nbsp;&nbsp;<SPAN id=F10A388A-5177-D471-F673-EF5B1846CD68 class=Emr_hdy wattype="static" watid="F10A388A-5177-D471-F673-EF5B1846CD68" watvalue="HI_TYPE" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$HI_TYPE$</SPAN>&nbsp;&nbsp;</SPAN></U><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; LINE-HEIGHT: 150%">特殊人员类型</SPAN><U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'; LINE-HEIGHT: 150%">&nbsp;&nbsp;<SPAN id=D45FB5C6-C3CA-0559-1329-01A2A3FF5883 class=Emr_hdy wattype="static" watid="D45FB5C6-C3CA-0559-1329-01A2A3FF5883" watvalue="SP_PSN_TYPE" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$SP_PSN_TYPE$</SPAN>&nbsp;&nbsp;</SPAN></U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'; LINE-HEIGHT: 150%">&nbsp;</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; LINE-HEIGHT: 150%">参保地</SPAN><U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'; LINE-HEIGHT: 150%">&nbsp;&nbsp;<SPAN id=89BD04E8-567D-54BA-AFBF-2B5661E67A28 class=Emr_hdy wattype="static" watid="89BD04E8-567D-54BA-AFBF-2B5661E67A28" watvalue="INSUPLC" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$INSUPLC$</SPAN>&nbsp;&nbsp; </SPAN></U></P>
<P class=MsoNormal style="LAYOUT-GRID-MODE: char; LINE-HEIGHT: 150%"><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; LINE-HEIGHT: 150%">新生儿入院类型</SPAN><U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'; LINE-HEIGHT: 150%">&nbsp;<SPAN id=6D1AF038-5415-BE57-68B9-AD79777128F8 class=Emr_hdy wattype="static" watid="6D1AF038-5415-BE57-68B9-AD79777128F8" watvalue="NWB_ADM_TYPE" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$NWB_ADM_TYPE$</SPAN>&nbsp;&nbsp;</SPAN></U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'; LINE-HEIGHT: 150%">&nbsp;&nbsp;</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; LINE-HEIGHT: 150%">新生儿出生体重</SPAN><U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'; LINE-HEIGHT: 150%">&nbsp;<SPAN id=99EB6DF6-2D7E-289A-B606-0B8711DC336E class=Emr_hdy wattype="static" watid="99EB6DF6-2D7E-289A-B606-0B8711DC336E" watvalue="NCSTZ" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$NCSTZ$</SPAN>&nbsp; </SPAN></U><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; LINE-HEIGHT: 150%">克</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'; LINE-HEIGHT: 150%">&nbsp;</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; LINE-HEIGHT: 150%">新生儿入院体重</SPAN><U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'; LINE-HEIGHT: 150%">&nbsp;<SPAN id=E44D12F9-F4E8-27DD-2084-2255C61176C9 class=Emr_hdy wattype="static" watid="E44D12F9-F4E8-27DD-2084-2255C61176C9" watvalue="NRYTZ" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$NRYTZ$</SPAN> </SPAN></U><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; LINE-HEIGHT: 150%">克</SPAN></P></TD></TR></TBODY></TABLE>
<TABLE style="FONT-SIZE: 3.7mm; FONT-FAMILY: 宋体; WIDTH: 100%; BORDER-COLLAPSE: collapse; LINE-HEIGHT: 1.5" borderColor=#000000 cellSpacing=0 cellPadding=0 width="100%" bgColor=transparent border=1 class>
<TBODY>
<TR class>
<TD style="CURSOR: default" height=23 width=730 colSpan=3 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><B><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">二、门诊慢特病诊疗信息</SPAN></B></P></TD></TR>
<TR class>
<TD style="CURSOR: default" height=23 width=730 colSpan=3 class>
<P class=MsoNormal style="LAYOUT-GRID-MODE: char"><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">诊断科别</SPAN><U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">&nbsp;&nbsp;&nbsp;&nbsp;<SPAN id=DC8761C6-5E3F-E741-A9DA-2E5959523AE4 class=Emr_hdy wattype="static" watid="DC8761C6-5E3F-E741-A9DA-2E5959523AE4" watvalue="OPSP_DIAG_CATY" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$OPSP_DIAG_CATY$</SPAN>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</SPAN></U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;  </SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">就诊日期</SPAN><U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">&nbsp;&nbsp;&nbsp;<SPAN id=36345235-1197-6BF2-ECB5-367751911BD2 class=Emr_hdy wattype="static" watid="36345235-1197-6BF2-ECB5-367751911BD2" watvalue="OPSP_MDTRT_DATE" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$OPSP_MDTRT_DATE$</SPAN>&nbsp;&nbsp;</SPAN></U></P></TD></TR>
<TR class>
<TD style="CURSOR: default" height=23 width=293 class>诊断代码</TD>
<TD style="CURSOR: default" height=23 width=246 class>
<P class=MsoNormal style="LAYOUT-GRID-MODE: char; TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">手术及操作名称</SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=189 class>
<P class=MsoNormal style="LAYOUT-GRID-MODE: char; TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">手术及操作代码</SPAN></P></TD></TR>
<TR class>
<TD style="CURSOR: default" height=23 width=293 class>
<P class=MsoNormal style="LAYOUT-GRID-MODE: char; TEXT-ALIGN: center; TEXT-INDENT: 10.5pt" align=center><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'"><SPAN id=473D5D33-CBD3-20D6-6891-F95AD2F9BCCA class=Emr_hdy wattype="static" watid="473D5D33-CBD3-20D6-6891-F95AD2F9BCCA" watvalue="MTZDBM" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$MTZDBM$</SPAN>&nbsp;</SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=246 class>
<P class=MsoNormal style="LAYOUT-GRID-MODE: char; TEXT-ALIGN: center; TEXT-INDENT: 10.5pt" align=center><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'"><SPAN id=20F057C3-C872-E23E-A6F4-3CF7D3D4322F class=Emr_hdy wattype="static" watid="20F057C3-C872-E23E-A6F4-3CF7D3D4322F" watvalue="MTSSMC" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$MTSSMC$</SPAN>&nbsp;</SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=189 class>
<P class=MsoNormal style="LAYOUT-GRID-MODE: char; TEXT-ALIGN: center; TEXT-INDENT: 10.5pt" align=center><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'"><SPAN id=2B411320-EA18-5063-7FF6-FD4EDECB644B class=Emr_hdy wattype="static" watid="2B411320-EA18-5063-7FF6-FD4EDECB644B" watvalue="MTSSBM" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$MTSSBM$</SPAN>&nbsp;</SPAN></P></TD></TR>
<TR class>
<TD style="CURSOR: default" height=23 width=293 class></TD>
<TD style="CURSOR: default" height=23 width=246 class></TD>
<TD style="CURSOR: default" height=23 width=189 class></TD></TR>
<TR class>
<TD style="CURSOR: default" height=23 width=293 class></TD>
<TD style="CURSOR: default" height=23 width=246 class></TD>
<TD style="CURSOR: default" height=23 width=189 class></TD></TR></TBODY></TABLE>
<TABLE style="FONT-SIZE: 3.7mm; FONT-FAMILY: 宋体; WIDTH: 100%; BORDER-COLLAPSE: collapse; LINE-HEIGHT: 1.5" borderColor=#000000 cellSpacing=0 cellPadding=0 width="100%" bgColor=transparent border=1 class>
<TBODY>
<TR style="HEIGHT: 23px" class>
<TD style="CURSOR: default" height=23 width=734 colSpan=6 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><B><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">三、住院诊疗信息</SPAN></B></P></TD></TR>
<TR style="HEIGHT: 23px" class>
<TD style="CURSOR: default" height=23 width=734 colSpan=6 class>
<P class=MsoNormal><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">住院医疗类型</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'"> [<SPAN id=58EB304A-8C9B-1912-F8C4-584E401F39EE class=Emr_hdy wattype="static" watid="58EB304A-8C9B-1912-F8C4-584E401F39EE" watvalue="YLLX" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$YLLX$</SPAN>]  1.</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">住院</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">&nbsp;&nbsp; 2.</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">日间手术</SPAN></P></TD></TR>
<TR style="HEIGHT: 23px" class>
<TD style="CURSOR: default" height=23 width=734 colSpan=6 class>
<P class=MsoNormal><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">入院途径</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'"> [<SPAN id=4D6818AC-FC1D-B9FF-DB6B-A14AFE0AEFA9 class=Emr_hdy wattype="static" watid="4D6818AC-FC1D-B9FF-DB6B-A14AFE0AEFA9" watvalue="ADM_WAY" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$ADM_WAY$</SPAN>]  1.</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">急诊</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">&nbsp;&nbsp; 2.</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">门诊</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">&nbsp;&nbsp; 3.</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">其他医疗机构转入</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">&nbsp;&nbsp; 9.</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">其他</SPAN></P></TD></TR>
<TR style="HEIGHT: 23px" class>
<TD style="CURSOR: default" height=23 width=734 colSpan=6 class>
<P class=MsoNormal><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">治疗类别</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'"> [<SPAN id=1EE65ADE-E7EC-9619-E778-EA3A4F6B49DB class=Emr_hdy wattype="static" watid="1EE65ADE-E7EC-9619-E778-EA3A4F6B49DB" watvalue="TRT_TYPE" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$TRT_TYPE$</SPAN>]  1.</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">西医</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'"> &nbsp;<SPAN lang=EN-US>&nbsp;2.</SPAN></SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">中医（</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">2.1 </SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">中医</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">&nbsp;&nbsp; 2.2</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">民族医）</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">&nbsp;&nbsp; 3.</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">中西医</SPAN></P></TD></TR>
<TR style="HEIGHT: 23px" class>
<TD style="CURSOR: default" height=23 width=734 colSpan=6 class>
<P class=MsoNormal><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">入院时间</SPAN><U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">&nbsp;&nbsp;&nbsp;<SPAN id=D57D096E-DB9E-A3A1-669E-42E3E5DD0AB5 class=Emr_hdy wattype="static" watid="D57D096E-DB9E-A3A1-669E-42E3E5DD0AB5" watvalue="ADM_TIME" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$ADM_TIME$</SPAN></SPAN></U><U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">&nbsp;&nbsp;</SPAN></U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">入院科别</SPAN><U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">&nbsp;&nbsp;&nbsp;<SPAN id=52DA4FB4-F760-28C1-0174-7A73F1683F81 class=Emr_hdy wattype="static" watid="52DA4FB4-F760-28C1-0174-7A73F1683F81" watvalue="ADM_CATY" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$ADM_CATY$</SPAN>&nbsp;&nbsp;&nbsp;&nbsp;</SPAN></U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">转科科别</SPAN><U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">&nbsp;&nbsp;&nbsp;<SPAN id=150808BF-F49F-4666-538A-7F57E844B0D2 class=Emr_hdy wattype="static" watid="150808BF-F49F-4666-538A-7F57E844B0D2" watvalue="REFLDEPT_DEPT" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$REFLDEPT_DEPT$</SPAN>&nbsp;&nbsp; </SPAN></U></P></TD></TR>
<TR style="HEIGHT: 23px" class>
<TD style="CURSOR: default" height=23 width=734 colSpan=6 class>
<P class=MsoNormal><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">出院时间</SPAN><U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">&nbsp;&nbsp;&nbsp;<SPAN id=F8F7DF12-371C-B8E9-E0C7-1D57ADCC0116 class=Emr_hdy wattype="static" watid="F8F7DF12-371C-B8E9-E0C7-1D57ADCC0116" watvalue="DSCG_TIME" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$DSCG_TIME$</SPAN></SPAN></U><U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">&nbsp;&nbsp;</SPAN></U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">出院科别</SPAN><U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">&nbsp;&nbsp;<SPAN id=20FED00D-0242-5F6D-B158-707FD9CBC655 class=Emr_hdy wattype="static" watid="20FED00D-0242-5F6D-B158-707FD9CBC655" watvalue="DSCG_CATY" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$DSCG_CATY$</SPAN>&nbsp;&nbsp;</SPAN></U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">实际住院</SPAN><U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">&nbsp;&nbsp;&nbsp;<SPAN id=DF2B28E9-76F3-6BDA-75D6-3D0DC70C6CA3 class=Emr_hdy wattype="static" watid="DF2B28E9-76F3-6BDA-75D6-3D0DC70C6CA3" watvalue="ZYTS" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$ZYTS$</SPAN>&nbsp;&nbsp; </SPAN></U><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">天</SPAN></P></TD></TR>
<TR style="HEIGHT: 43px" class>
<TD style="CURSOR: default" height=43 width=734 colSpan=6 class>
<P class=MsoNormal><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">门（急）诊诊断（西医诊断）</SPAN><U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">&nbsp;&nbsp;<SPAN id=3A074FF7-7938-61A7-20CD-A3559A43E157 class=Emr_hdy wattype="static" watid="3A074FF7-7938-61A7-20CD-A3559A43E157" watvalue="OTP_WM_DISE" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$OTP_WM_DISE$</SPAN>&nbsp;&nbsp;</SPAN></U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">疾病代码</SPAN><U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">&nbsp;&nbsp;&nbsp;<SPAN id=D1592654-B596-5CA4-3BFB-379A13BB37F3 class=Emr_hdy wattype="static" watid="D1592654-B596-5CA4-3BFB-379A13BB37F3" watvalue="WM_DISE_CODE" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$WM_DISE_CODE$</SPAN>&nbsp;&nbsp;&nbsp; </SPAN></U></P>
<P class=MsoNormal><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">门（急）诊诊断（中医诊断）</SPAN><U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">&nbsp;&nbsp;&nbsp;<SPAN id=28659985-985D-8396-C6EE-671BE9DEFC07 class=Emr_hdy wattype="static" watid="28659985-985D-8396-C6EE-671BE9DEFC07" watvalue="OTP_TCM_DISE" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$OTP_TCM_DISE$</SPAN>&nbsp;&nbsp;&nbsp;</SPAN></U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">疾病代码</SPAN><U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">&nbsp;&nbsp;&nbsp;<SPAN id=AACA3739-5B11-1D1E-D034-E280210B1E2E class=Emr_hdy wattype="static" watid="AACA3739-5B11-1D1E-D034-E280210B1E2E" watvalue="TCM_DISE_CODE" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$TCM_DISE_CODE$</SPAN>&nbsp;&nbsp;&nbsp; </SPAN></U></P></TD></TR>
<TR style="HEIGHT: 23px" class>
<TD style="CURSOR: default" height=23 width=196 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">出院西医诊断</SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=100 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">疾病代码</SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=67 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">入院病情</SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=177 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">出院中医诊断</SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=117 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">疾病代码</SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=72 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">入院病情</SPAN></P></TD></TR>
<TR style="HEIGHT: 23px" class>
<TD style="CURSOR: default" height=23 width=196 class>
<P class=MsoNormal><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">主要诊断：<SPAN id=0C7AEA93-D2DD-D80C-3D23-A8BDB63EC6B6 class=Emr_hdy wattype="static" watid="0C7AEA93-D2DD-D80C-3D23-A8BDB63EC6B6" watvalue="XYMC1" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$XYMC1$</SPAN></SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=100 class>
<P class=MsoNormal><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'"><SPAN id=667FE494-2CBC-62B5-E7F4-046FA09BC093 class=Emr_hdy wattype="static" watid="667FE494-2CBC-62B5-E7F4-046FA09BC093" watvalue="XYZD1" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$XYZD1$</SPAN></SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=67 class><SPAN id=D76D0681-A9AE-E443-09F5-2888789B6869 class=Emr_hdy wattype="static" watid="D76D0681-A9AE-E443-09F5-2888789B6869" watvalue="XYBQ1" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$XYBQ1$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=177 class>
<P class=MsoNormal><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">主病：<SPAN id=53D7771C-1A1E-0FD5-2B9E-CEE5E0DC3892 class=Emr_hdy wattype="static" watid="53D7771C-1A1E-0FD5-2B9E-CEE5E0DC3892" watvalue="ZYMC1" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$ZYMC1$</SPAN></SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=117 class><SPAN id=1EFBB11D-EE08-5077-7823-EFB55FA39F81 class=Emr_hdy wattype="static" watid="1EFBB11D-EE08-5077-7823-EFB55FA39F81" watvalue="ZYZD1" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$ZYZD1$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=72 class> <SPAN id=BA00EA36-BCDB-8039-8EAB-308162CB06C6 class=Emr_hdy wattype="static" watid="BA00EA36-BCDB-8039-8EAB-308162CB06C6" watvalue="ZYBQ1" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$ZYBQ1$</SPAN></TD></TR>
<TR style="HEIGHT: 23px" class>
<TD style="CURSOR: default" height=23 width=196 class>
<P class=MsoNormal><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">其他诊断：<SPAN id=3B504BC0-16E2-5F1B-CC4D-5D0B34A1E377 class=Emr_hdy wattype="static" watid="3B504BC0-16E2-5F1B-CC4D-5D0B34A1E377" watvalue="XYMC2" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$XYMC2$</SPAN></SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=100 class><SPAN id=A55438C3-D053-D1D5-7256-DC069D33C94C class=Emr_hdy wattype="static" watid="A55438C3-D053-D1D5-7256-DC069D33C94C" watvalue="XYZD2" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$XYZD2$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=67 class><SPAN id=F4479C78-8DF3-DB8D-ABD9-A916EB9ACD34 class=Emr_hdy wattype="static" watid="F4479C78-8DF3-DB8D-ABD9-A916EB9ACD34" watvalue="XYBQ2" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$XYBQ2$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=177 class>
<P class=MsoNormal><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">主证：<SPAN id=5255F6FA-54E4-B12E-5C7B-602539A51093 class=Emr_hdy wattype="static" watid="5255F6FA-54E4-B12E-5C7B-602539A51093" watvalue="ZHMC1" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$ZHMC1$</SPAN></SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=117 class><SPAN id=4E942CF0-4472-4F0E-12B2-1DC7D3868853 class=Emr_hdy wattype="static" watid="4E942CF0-4472-4F0E-12B2-1DC7D3868853" watvalue="ZHBM1" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$ZHBM1$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=72 class></TD></TR>
<TR style="HEIGHT: 23px" class>
<TD style="CURSOR: default" height=23 width=196 class><SPAN id=B55ACE53-D635-E36D-0AC0-7913E382477B class=Emr_hdy wattype="static" watid="B55ACE53-D635-E36D-0AC0-7913E382477B" watvalue="XYMC3" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$XYMC3$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=100 class><SPAN id=26CCE50C-DFC0-5850-0792-C48A2DBF741E class=Emr_hdy wattype="static" watid="26CCE50C-DFC0-5850-0792-C48A2DBF741E" watvalue="XYZD3" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$XYZD3$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=67 class><SPAN id=63543FDF-BB63-3D8F-5DDB-48030D00FFE8 class=Emr_hdy wattype="static" watid="63543FDF-BB63-3D8F-5DDB-48030D00FFE8" watvalue="XYBQ3" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$XYBQ3$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=177 class><SPAN id=F7C80F94-213D-969A-2594-323ECAD1115A class=Emr_hdy wattype="static" watid="F7C80F94-213D-969A-2594-323ECAD1115A" watvalue="ZYMC2" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$ZYMC2$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=117 class><SPAN id=4EE0296A-A243-8ED5-FFB4-4625CB38475C class=Emr_hdy wattype="static" watid="4EE0296A-A243-8ED5-FFB4-4625CB38475C" watvalue="ZYZD2" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$ZYZD2$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=72 class><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">&nbsp;<SPAN id=5A1097DA-7FF9-5B13-7DA8-B56B9F27B82C class=Emr_hdy wattype="static" watid="5A1097DA-7FF9-5B13-7DA8-B56B9F27B82C" watvalue="ZYBQ2" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$ZYBQ2$</SPAN></SPAN></TD></TR>
<TR style="HEIGHT: 23px" class>
<TD style="CURSOR: default" height=23 width=196 class><SPAN id=B2D51ED1-2C83-937B-8C60-6092449520C8 class=Emr_hdy wattype="static" watid="B2D51ED1-2C83-937B-8C60-6092449520C8" watvalue="XYMC4" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$XYMC4$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=100 class><SPAN id=B86ECAF3-9A3F-63B6-463D-C90A861BABC0 class=Emr_hdy wattype="static" watid="B86ECAF3-9A3F-63B6-463D-C90A861BABC0" watvalue="XYZD4" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$XYZD4$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=67 class><SPAN id=A3E9F54D-A8F5-B91E-2019-1FA713B7D8CF class=Emr_hdy wattype="static" watid="A3E9F54D-A8F5-B91E-2019-1FA713B7D8CF" watvalue="XYBQ4" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$XYBQ4$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=177 class><SPAN id=6F9CD333-9CAC-EF1C-C1FA-FE409F80E2C9 class=Emr_hdy wattype="static" watid="6F9CD333-9CAC-EF1C-C1FA-FE409F80E2C9" watvalue="ZHMC2" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$ZHMC2$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=117 class><SPAN id=C8ECABA5-3DFD-ED5B-EF55-69B236D9D8EF class=Emr_hdy wattype="static" watid="C8ECABA5-3DFD-ED5B-EF55-69B236D9D8EF" watvalue="ZHBM2" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$ZHBM2$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=72 class></TD></TR>
<TR style="HEIGHT: 23px" class>
<TD style="CURSOR: default" height=23 width=196 class><SPAN id=4AA4C6C6-96CD-9715-B279-75043B531D5B class=Emr_hdy wattype="static" watid="4AA4C6C6-96CD-9715-B279-75043B531D5B" watvalue="XYMC5" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$XYMC5$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=100 class>
<P class=MsoNormal><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'"><SPAN id=C6E572CB-94B4-00AB-1981-08FFD0C824CE class=Emr_hdy wattype="static" watid="C6E572CB-94B4-00AB-1981-08FFD0C824CE" watvalue="XYZD5" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$XYZD5$</SPAN></SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=67 class><SPAN id=F5249AD4-A9D2-4A58-75F5-6DEB9D47F8E5 class=Emr_hdy wattype="static" watid="F5249AD4-A9D2-4A58-75F5-6DEB9D47F8E5" watvalue="XYBQ5" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$XYBQ5$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=177 class><SPAN id=D233EE07-6B69-FA10-2F04-EFEE6EBB4CE1 class=Emr_hdy wattype="static" watid="D233EE07-6B69-FA10-2F04-EFEE6EBB4CE1" watvalue="ZYMC3" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$ZYMC3$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=117 class><SPAN id=0EB09273-AACB-19DA-6F66-9147377DCF24 class=Emr_hdy wattype="static" watid="0EB09273-AACB-19DA-6F66-9147377DCF24" watvalue="ZYZD3" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$ZYZD3$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=72 class> <SPAN id=D58A108C-3DD3-C827-1CC0-D2291E10F7F0 class=Emr_hdy wattype="static" watid="D58A108C-3DD3-C827-1CC0-D2291E10F7F0" watvalue="ZYBQ3" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$ZYBQ3$</SPAN></TD></TR>
<TR style="HEIGHT: 23px" class>
<TD style="CURSOR: default" height=23 width=196 class>
<P class=MsoNormal><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'"><SPAN id=F8E88781-B7AC-AE80-D213-E63E9010A55A class=Emr_hdy wattype="static" watid="F8E88781-B7AC-AE80-D213-E63E9010A55A" watvalue="XYMC6" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$XYMC6$</SPAN></SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=100 class>
<P class=MsoNormal><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'"><SPAN id=EEAD2F35-5483-CEDA-A4BF-29E4F0FC6844 class=Emr_hdy wattype="static" watid="EEAD2F35-5483-CEDA-A4BF-29E4F0FC6844" watvalue="XYZD6" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$XYZD6$</SPAN></SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=67 class><SPAN id=F4C620A9-34FE-C02F-5447-492F73D80D55 class=Emr_hdy wattype="static" watid="F4C620A9-34FE-C02F-5447-492F73D80D55" watvalue="XYBQ6" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$XYBQ6$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=177 class><SPAN id=528FA2DB-85DB-53F4-0994-01793BAA5F84 class=Emr_hdy wattype="static" watid="528FA2DB-85DB-53F4-0994-01793BAA5F84" watvalue="ZHMC3" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$ZHMC3$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=117 class><SPAN id=D8F859B1-3236-5530-1842-68CFFA3DAF73 class=Emr_hdy wattype="static" watid="D8F859B1-3236-5530-1842-68CFFA3DAF73" watvalue="ZHBM3" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$ZHBM3$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=72 class></TD></TR>
<TR style="HEIGHT: 23px" class>
<TD style="CURSOR: default" height=23 width=196 class><SPAN id=87EBCEE4-CFCB-1299-1375-E1339833D06D class=Emr_hdy wattype="static" watid="87EBCEE4-CFCB-1299-1375-E1339833D06D" watvalue="XYMC7" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$XYMC7$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=100 class>
<P class=MsoNormal><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'"><SPAN id=C8BBBCE7-1933-582D-5428-F9A7638A8839 class=Emr_hdy wattype="static" watid="C8BBBCE7-1933-582D-5428-F9A7638A8839" watvalue="XYZD7" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$XYZD7$</SPAN></SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=67 class><SPAN id=79D57F75-6C2B-E1C0-6F71-629C73034EEA class=Emr_hdy wattype="static" watid="79D57F75-6C2B-E1C0-6F71-629C73034EEA" watvalue="XYBQ7" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$XYBQ7$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=177 class><SPAN id=FA03938F-2DC5-6C64-69D5-468C6A7A5B04 class=Emr_hdy wattype="static" watid="FA03938F-2DC5-6C64-69D5-468C6A7A5B04" watvalue="ZYMC4" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$ZYMC4$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=117 class><SPAN id=6624F0AA-6F6F-F5A4-7B00-8859F3CDCEC4 class=Emr_hdy wattype="static" watid="6624F0AA-6F6F-F5A4-7B00-8859F3CDCEC4" watvalue="ZYZD4" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$ZYZD4$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=72 class> <SPAN id=B6AFE0A7-BFF0-3F4C-3797-BD387565B4F3 class=Emr_hdy wattype="static" watid="B6AFE0A7-BFF0-3F4C-3797-BD387565B4F3" watvalue="ZYBQ4" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$ZYBQ4$</SPAN></TD></TR>
<TR style="HEIGHT: 23px" class>
<TD style="CURSOR: default" height=23 width=196 class>
<P class=MsoNormal><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'"><SPAN id=1E973712-5335-488A-725C-8749A2D74B46 class=Emr_hdy wattype="static" watid="1E973712-5335-488A-725C-8749A2D74B46" watvalue="XYMC8" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$XYMC8$</SPAN></SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=100 class><SPAN id=56F7B1DF-A734-7F2A-879A-487ED38B5883 class=Emr_hdy wattype="static" watid="56F7B1DF-A734-7F2A-879A-487ED38B5883" watvalue="XYZD9" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$XYZD9$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=67 class><SPAN id=43979AD0-65D2-215B-BC0B-F16698794205 class=Emr_hdy wattype="static" watid="43979AD0-65D2-215B-BC0B-F16698794205" watvalue="XYBQ8" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$XYBQ8$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=177 class><SPAN id=445B3A24-CDFC-027C-E25E-50176F970313 class=Emr_hdy wattype="static" watid="445B3A24-CDFC-027C-E25E-50176F970313" watvalue="ZHMC4" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$ZHMC4$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=117 class><SPAN id=839E304C-222E-C97C-309C-17609517C9A1 class=Emr_hdy wattype="static" watid="839E304C-222E-C97C-309C-17609517C9A1" watvalue="ZHBM4" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$ZHBM4$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=72 class></TD></TR>
<TR style="HEIGHT: 23px" class>
<TD style="CURSOR: default" height=23 width=196 class><SPAN id=436A6B8C-993E-075E-732B-E0A2E991E066 class=Emr_hdy wattype="static" watid="436A6B8C-993E-075E-732B-E0A2E991E066" watvalue="XYMC9" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$XYMC9$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=100 class><SPAN id=96720F6A-0510-1E0C-8625-4C6518F4C159 class=Emr_hdy wattype="static" watid="96720F6A-0510-1E0C-8625-4C6518F4C159" watvalue="XYZD9" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$XYZD9$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=67 class><SPAN id=4EF5FF1B-C01D-1590-C0F5-20A31239B941 class=Emr_hdy wattype="static" watid="4EF5FF1B-C01D-1590-C0F5-20A31239B941" watvalue="XYBQ9" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$XYBQ9$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=177 class>
<P class=MsoNormal><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'"><SPAN id=CF484876-9032-3D6A-3449-7F8AB78A8CFA class=Emr_hdy wattype="static" watid="CF484876-9032-3D6A-3449-7F8AB78A8CFA" watvalue="ZYMC5" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$ZYMC5$</SPAN></SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=117 class><SPAN id=AC6FFABB-EF22-116E-D4F9-4716DC9515BE class=Emr_hdy wattype="static" watid="AC6FFABB-EF22-116E-D4F9-4716DC9515BE" watvalue="ZYZD5" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$ZYZD5$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=72 class> <SPAN id=CC5E8098-BC8A-FB30-F629-B81DCBDC2486 class=Emr_hdy wattype="static" watid="CC5E8098-BC8A-FB30-F629-B81DCBDC2486" watvalue="ZYBQ5" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$ZYBQ5$</SPAN></TD></TR>
<TR style="HEIGHT: 23px" class>
<TD style="CURSOR: default" height=23 width=735 colSpan=6 class>
<P class=MsoNormal><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">诊断代码计数</SPAN><U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">&nbsp;&nbsp; <SPAN id=905CFC4D-BB5D-C219-A6C9-8DC5425D5114 class=Emr_hdy wattype="static" watid="905CFC4D-BB5D-C219-A6C9-8DC5425D5114" watvalue="DIAG_CODE_CNT" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$DIAG_CODE_CNT$</SPAN>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</SPAN></U></P></TD></TR></TBODY></TABLE>
<TABLE style="FONT-SIZE: 3.7mm; FONT-FAMILY: 宋体; WIDTH: 100%; BORDER-COLLAPSE: collapse; LINE-HEIGHT: 1.5" borderColor=#000000 cellSpacing=0 cellPadding=0 width="100%" bgColor=transparent border=1 class>
<TBODY>
<TR style="HEIGHT: 43px" class>
<TD style="CURSOR: default" height=43 width=169 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; COLOR: black">主要手术及操作名称</SPAN></P></TD>
<TD style="CURSOR: default" height=43 width=116 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; COLOR: black">主要手术及操作代码</SPAN></P></TD>
<TD style="CURSOR: default" height=43 width=95 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">麻醉</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">方式</SPAN></P></TD>
<TD style="CURSOR: default" height=43 width=81 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; COLOR: black">术者医师姓名</SPAN></P></TD>
<TD style="CURSOR: default" height=43 width=97 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; COLOR: black">术者医师代码</SPAN></P></TD>
<TD style="CURSOR: default" height=43 width=92 class>麻醉医师姓名</TD>
<TD style="CURSOR: default" height=43 width=80 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; COLOR: black">麻醉医师代码</SPAN></P></TD></TR>
<TR style="HEIGHT: 23px" class>
<TD style="CURSOR: default" height=23 width=169 class>
<P class=MsoNormal style="TEXT-ALIGN: left" align=left><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; COLOR: black"><SPAN id=B37800DA-319D-7768-134E-EC72AF32340E class=Emr_hdy wattype="static" watid="B37800DA-319D-7768-134E-EC72AF32340E" watvalue="SSMC1" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$SSMC1$</SPAN></SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=116 class><SPAN id=20920D4C-2252-00F2-E9BA-9E1A93385587 class=Emr_hdy wattype="static" watid="20920D4C-2252-00F2-E9BA-9E1A93385587" watvalue="SSDM1" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$SSDM1$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=95 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN lang=EN-US style="FONT-SIZE: 9pt; FONT-FAMILY: 'Times New Roman','serif'; COLOR: black"><SPAN id=2ED87903-BD36-E27E-20C5-C2B1C6D221B5 class=Emr_hdy wattype="static" watid="2ED87903-BD36-E27E-20C5-C2B1C6D221B5" watvalue="MZFS1" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$MZFS1$</SPAN></SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=81 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN lang=EN-US style="FONT-SIZE: 9pt; FONT-FAMILY: 'Times New Roman','serif'; COLOR: black"><SPAN id=42E674D9-C581-F6A5-058F-EBE0711E1EE8 class=Emr_hdy wattype="static" watid="42E674D9-C581-F6A5-058F-EBE0711E1EE8" watvalue="SZXM1" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$SZXM1$</SPAN>&nbsp;</SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=97 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN lang=EN-US style="FONT-SIZE: 9pt; FONT-FAMILY: 'Times New Roman','serif'; COLOR: black"><SPAN id=6918C524-A851-42EA-D4EF-974A20074000 class=Emr_hdy wattype="static" watid="6918C524-A851-42EA-D4EF-974A20074000" watvalue="SZDM1" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$SZDM1$</SPAN>&nbsp;</SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=92 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN lang=EN-US style="FONT-SIZE: 9pt; FONT-FAMILY: 'Times New Roman','serif'; COLOR: black"><SPAN id=672D2B98-BF0A-0DF7-2B88-DDCB7BB44873 class=Emr_hdy wattype="static" watid="672D2B98-BF0A-0DF7-2B88-DDCB7BB44873" watvalue="MZXM1" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$MZXM1$</SPAN>&nbsp;</SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=80 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN lang=EN-US style="FONT-SIZE: 9pt; FONT-FAMILY: 'Times New Roman','serif'; COLOR: black"><SPAN id=FFDC19E9-38F3-A77A-0F0E-D3C92BA6AE21 class=Emr_hdy wattype="static" watid="FFDC19E9-38F3-A77A-0F0E-D3C92BA6AE21" watvalue="MZDM1" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$MZDM1$</SPAN>&nbsp;</SPAN></P></TD></TR>
<TR style="HEIGHT: 23px" class>
<TD style="CURSOR: default" height=23 width=735 colSpan=7 class>手术及操作起止时间：<SPAN id=789E46F0-BD66-0D97-F0BF-0B7BB3EF5C14 class=Emr_hdy wattype="static" watid="789E46F0-BD66-0D97-F0BF-0B7BB3EF5C14" watvalue="SSRQ1" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$SSRQ1$</SPAN>              麻醉起止时间：</TD></TR>
<TR style="HEIGHT: 43px" class>
<TD style="CURSOR: default" height=43 width=169 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; COLOR: black">其他手术及操作名称1</SPAN></P></TD>
<TD style="CURSOR: default" height=43 width=116 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; COLOR: black"><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; COLOR: black">其他</SPAN>手术及操作代码1</SPAN></P></TD>
<TD style="CURSOR: default" height=43 width=95 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">麻醉</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">方式</SPAN></P></TD>
<TD style="CURSOR: default" height=43 width=81 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; COLOR: black">术者医师姓名</SPAN></P></TD>
<TD style="CURSOR: default" height=43 width=97 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; COLOR: black">术者医师代码</SPAN></P></TD>
<TD style="CURSOR: default" height=43 width=92 class>麻醉医师姓名</TD>
<TD style="CURSOR: default" height=43 width=80 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; COLOR: black">麻醉医师代码</SPAN></P></TD></TR>
<TR style="HEIGHT: 23px" class>
<TD style="CURSOR: default" height=23 width=169 class>
<P class=MsoNormal style="TEXT-ALIGN: left" align=left><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; COLOR: black"><SPAN id=EC765188-55E8-A147-2801-71E6F0031C48 class=Emr_hdy wattype="static" watid="EC765188-55E8-A147-2801-71E6F0031C48" watvalue="SSMC2" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$SSMC2$</SPAN><SPAN> </SPAN></SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=116 class><SPAN id=BCCB2691-0B65-E589-924D-EEA5142F69E5 class=Emr_hdy wattype="static" watid="BCCB2691-0B65-E589-924D-EEA5142F69E5" watvalue="SSDM2" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$SSDM2$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=95 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN lang=EN-US style="FONT-SIZE: 9pt; FONT-FAMILY: 'Times New Roman','serif'; COLOR: black"><SPAN id=52E34DE6-D17A-55D0-3253-EC4C57DA9258 class=Emr_hdy wattype="static" watid="52E34DE6-D17A-55D0-3253-EC4C57DA9258" watvalue="MZFS2" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$MZFS2$</SPAN></SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=81 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN lang=EN-US style="FONT-SIZE: 9pt; FONT-FAMILY: 'Times New Roman','serif'; COLOR: black"><SPAN id=C2AC0EF9-6244-51D7-6FF1-8B5BB07129CB class=Emr_hdy wattype="static" watid="C2AC0EF9-6244-51D7-6FF1-8B5BB07129CB" watvalue="SZXM2" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$SZXM2$</SPAN>&nbsp;</SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=97 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN lang=EN-US style="FONT-SIZE: 9pt; FONT-FAMILY: 'Times New Roman','serif'; COLOR: black"><SPAN id=CE5043EB-A709-E6FF-D9FB-8527A9F2E207 class=Emr_hdy wattype="static" watid="CE5043EB-A709-E6FF-D9FB-8527A9F2E207" watvalue="SZDM2" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$SZDM2$</SPAN>&nbsp;</SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=92 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN lang=EN-US style="FONT-SIZE: 9pt; FONT-FAMILY: 'Times New Roman','serif'; COLOR: black"><SPAN id=C2EA7302-AC0A-EA11-0E0F-52AF2E465004 class=Emr_hdy wattype="static" watid="C2EA7302-AC0A-EA11-0E0F-52AF2E465004" watvalue="MZXM2" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$MZXM2$</SPAN>&nbsp;</SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=80 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN lang=EN-US style="FONT-SIZE: 9pt; FONT-FAMILY: 'Times New Roman','serif'; COLOR: black"><SPAN id=A63F27EA-7C06-A8A1-4B3F-7FED0E8595BE class=Emr_hdy wattype="static" watid="A63F27EA-7C06-A8A1-4B3F-7FED0E8595BE" watvalue="MZDM2" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$MZDM2$</SPAN>&nbsp;</SPAN></P></TD></TR>
<TR style="HEIGHT: 23px" class>
<TD style="CURSOR: default" height=23 width=735 colSpan=7 class>手术及操作起止时间：<SPAN id=257AA05E-FC0B-B3F0-B328-19FDAD1EEBA6 class=Emr_hdy wattype="static" watid="257AA05E-FC0B-B3F0-B328-19FDAD1EEBA6" watvalue="SSRQ2" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$SSRQ2$</SPAN>              麻醉起止时间：</TD></TR>
<TR style="HEIGHT: 43px" class>
<TD style="CURSOR: default" height=43 width=169 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; COLOR: black">其他手术及操作名称2</SPAN></P></TD>
<TD style="CURSOR: default" height=43 width=116 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; COLOR: black"><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; COLOR: black">其他</SPAN>手术及操作代码2</SPAN></P></TD>
<TD style="CURSOR: default" height=43 width=95 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">麻醉</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">方式</SPAN></P></TD>
<TD style="CURSOR: default" height=43 width=81 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; COLOR: black">术者医师姓名</SPAN></P></TD>
<TD style="CURSOR: default" height=43 width=97 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; COLOR: black">术者医师代码</SPAN></P></TD>
<TD style="CURSOR: default" height=43 width=92 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; COLOR: black">麻醉医师姓名</SPAN></P></TD>
<TD style="CURSOR: default" height=43 width=80 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; COLOR: black">麻醉医师代码</SPAN></P></TD></TR>
<TR style="HEIGHT: 23px" class>
<TD style="CURSOR: default; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " height=23 width=169 align=left class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN lang=EN-US style="FONT-SIZE: 9pt; FONT-FAMILY: 'Times New Roman','serif'; COLOR: black"><SPAN id=DAD0C306-B34C-1818-EE80-AB350430A0A4 class=Emr_hdy wattype="static" watid="DAD0C306-B34C-1818-EE80-AB350430A0A4" watvalue="SSMC3" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$SSMC3$</SPAN><SPAN> </SPAN></SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=116 class><SPAN id=19584BA2-E436-72F3-EFFC-D79330E7BDBD class=Emr_hdy wattype="static" watid="19584BA2-E436-72F3-EFFC-D79330E7BDBD" watvalue="SSDM3" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$SSDM3$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=95 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN lang=EN-US style="FONT-SIZE: 9pt; FONT-FAMILY: 'Times New Roman','serif'; COLOR: black"><SPAN id=05C5DBCA-CCB9-5C63-2CE2-397A3A46BC01 class=Emr_hdy wattype="static" watid="05C5DBCA-CCB9-5C63-2CE2-397A3A46BC01" watvalue="MZFS3" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$MZFS3$</SPAN></SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=81 class><SPAN id=5F38691E-4788-C621-C97F-6151529FF03F class=Emr_hdy wattype="static" watid="5F38691E-4788-C621-C97F-6151529FF03F" watvalue="SZXM3" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$SZXM3$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=97 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN lang=EN-US style="FONT-SIZE: 9pt; FONT-FAMILY: 'Times New Roman','serif'; COLOR: black"><SPAN id=ED074627-94F2-E9D3-4489-CD9BB53283F7 class=Emr_hdy wattype="static" watid="ED074627-94F2-E9D3-4489-CD9BB53283F7" watvalue="SZDM3" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$SZDM3$</SPAN>&nbsp;</SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=92 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN lang=EN-US style="FONT-SIZE: 9pt; FONT-FAMILY: 'Times New Roman','serif'; COLOR: black"><SPAN id=3D166C65-FBDB-6BCC-5DCA-4FA5456E0F37 class=Emr_hdy wattype="static" watid="3D166C65-FBDB-6BCC-5DCA-4FA5456E0F37" watvalue="MZXM3" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$MZXM3$</SPAN>&nbsp;</SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=80 class><SPAN id=BC40317E-E908-D972-7D29-70D4FBC8722B class=Emr_hdy wattype="static" watid="BC40317E-E908-D972-7D29-70D4FBC8722B" watvalue="MZDM3" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$MZDM3$</SPAN></TD></TR>
<TR style="HEIGHT: 23px" class>
<TD style="CURSOR: default" height=23 width=735 colSpan=7 class>手术及操作起止时间：<SPAN id=0C000494-730A-4D25-AA3F-A1CBE3682902 class=Emr_hdy wattype="static" watid="0C000494-730A-4D25-AA3F-A1CBE3682902" watvalue="SSRQ3" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$SSRQ3$</SPAN>             麻醉起止时间：</TD></TR>
<TR style="HEIGHT: 43px" class>
<TD style="CURSOR: default" height=43 width=169 class>其他手术及操作名称3</TD>
<TD style="CURSOR: default" height=43 width=116 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; COLOR: black"><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; COLOR: black">其他</SPAN>手术及操作代码3</SPAN></P></TD>
<TD style="CURSOR: default" height=43 width=95 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">麻醉</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">方式</SPAN></P></TD>
<TD style="CURSOR: default" height=43 width=81 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; COLOR: black">术者医师姓名</SPAN></P></TD>
<TD style="CURSOR: default" height=43 width=97 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; COLOR: black">术者医师代码</SPAN></P></TD>
<TD style="CURSOR: default" height=43 width=92 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; COLOR: black">麻醉医师姓名</SPAN></P></TD>
<TD style="CURSOR: default" height=43 width=80 class>麻醉医师代码</TD></TR>
<TR style="HEIGHT: 23px" class>
<TD style="CURSOR: default" height=23 width=169 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN lang=EN-US style="FONT-SIZE: 9pt; FONT-FAMILY: 'Times New Roman','serif'; COLOR: black"><SPAN id=D9E65C93-DF3A-B4A1-CFC8-BE167D39F67F class=Emr_hdy wattype="static" watid="D9E65C93-DF3A-B4A1-CFC8-BE167D39F67F" watvalue="SSMC4" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$SSMC4$</SPAN>&nbsp;</SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=116 class><SPAN id=698A245D-1130-5C4A-297D-2E5593009520 class=Emr_hdy wattype="static" watid="698A245D-1130-5C4A-297D-2E5593009520" watvalue="SSDM4" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$SSDM4$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=95 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN lang=EN-US style="FONT-SIZE: 9pt; FONT-FAMILY: 'Times New Roman','serif'; COLOR: black"><SPAN id=0C2735BE-2006-A82C-9929-9100325F4229 class=Emr_hdy wattype="static" watid="0C2735BE-2006-A82C-9929-9100325F4229" watvalue="MZFS4" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$MZFS4$</SPAN></SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=81 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN lang=EN-US style="FONT-SIZE: 9pt; FONT-FAMILY: 'Times New Roman','serif'; COLOR: black"><SPAN id=B63F2ACE-4DD5-6A76-D6DB-7723DD09AE9C class=Emr_hdy wattype="static" watid="B63F2ACE-4DD5-6A76-D6DB-7723DD09AE9C" watvalue="SZXM4" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$SZXM4$</SPAN>&nbsp;</SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=97 class><SPAN id=169F4CF3-D799-AFD1-30EC-751B30856AAB class=Emr_hdy wattype="static" watid="169F4CF3-D799-AFD1-30EC-751B30856AAB" watvalue="SZDM4" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$SZDM4$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=92 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN lang=EN-US style="FONT-SIZE: 9pt; FONT-FAMILY: 'Times New Roman','serif'; COLOR: black"><SPAN id=5E76E899-5337-0AB6-4D39-CD3747EEAF45 class=Emr_hdy wattype="static" watid="5E76E899-5337-0AB6-4D39-CD3747EEAF45" watvalue="MZXM4" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$MZXM4$</SPAN>&nbsp;</SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=80 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN lang=EN-US style="FONT-SIZE: 9pt; FONT-FAMILY: 'Times New Roman','serif'; COLOR: black"><SPAN id=74FC4BF7-AA10-4EED-C929-86BE86ACADE3 class=Emr_hdy wattype="static" watid="74FC4BF7-AA10-4EED-C929-86BE86ACADE3" watvalue="MZDM4" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$MZDM4$</SPAN>&nbsp;</SPAN></P></TD></TR>
<TR style="HEIGHT: 23px" class>
<TD style="CURSOR: default" height=23 width=735 colSpan=7 class>手术及操作起止时间：<SPAN id=A28277D6-2775-B0A5-7799-4239C81736C1 class=Emr_hdy wattype="static" watid="A28277D6-2775-B0A5-7799-4239C81736C1" watvalue="SSRQ4" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$SSRQ4$</SPAN>             麻醉起止时间：</TD></TR>
<TR style="HEIGHT: 23px" class>
<TD style="CURSOR: default" height=23 width=169 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; COLOR: black">其他手术及操作名称4</SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=116 class><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; COLOR: black">其他</SPAN>手术及操作代码4</TD>
<TD style="CURSOR: default" height=23 width=95 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">麻醉</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">方式</SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=81 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; COLOR: black">术者医师姓名</SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=97 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; COLOR: black">术者医师代码</SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=92 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; COLOR: black">麻醉医师姓名</SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=80 class>麻醉医师代码</TD></TR>
<TR style="HEIGHT: 23px" class>
<TD style="CURSOR: default" height=23 width=169 class><SPAN id=B1CD169B-9E55-B7F7-229D-022FC0A1BD49 class=Emr_hdy wattype="static" watid="B1CD169B-9E55-B7F7-229D-022FC0A1BD49" watvalue="SSMC5" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$SSMC5$</SPAN><SPAN> </SPAN></TD>
<TD style="CURSOR: default" height=23 width=116 class><SPAN id=19DBAD07-E3BD-7F9C-3F11-7135F89AE913 class=Emr_hdy wattype="static" watid="19DBAD07-E3BD-7F9C-3F11-7135F89AE913" watvalue="SSDM5" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$SSDM5$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=95 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN lang=EN-US style="FONT-SIZE: 9pt; FONT-FAMILY: 'Times New Roman','serif'; COLOR: black"><SPAN id=FDAA4421-C8FD-DD11-C2CD-17BA4256D201 class=Emr_hdy wattype="static" watid="FDAA4421-C8FD-DD11-C2CD-17BA4256D201" watvalue="MZFS5" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$MZFS5$</SPAN></SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=81 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN lang=EN-US style="FONT-SIZE: 9pt; FONT-FAMILY: 'Times New Roman','serif'; COLOR: black">&nbsp;<SPAN id=F5C1BC81-D9A5-7CE8-DF60-159C3F5F9339 class=Emr_hdy wattype="static" watid="F5C1BC81-D9A5-7CE8-DF60-159C3F5F9339" watvalue="SZXM5" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$SZXM5$</SPAN></SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=97 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN lang=EN-US style="FONT-SIZE: 9pt; FONT-FAMILY: 'Times New Roman','serif'; COLOR: black"><SPAN id=D82D4AA4-C0DF-B4A6-1320-C55CC35578DB class=Emr_hdy wattype="static" watid="D82D4AA4-C0DF-B4A6-1320-C55CC35578DB" watvalue="SZDM5" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$SZDM5$</SPAN>&nbsp;</SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=92 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN id=63D4EFD0-6D29-970F-3C80-84F54282001C class=Emr_hdy wattype="static" watid="63D4EFD0-6D29-970F-3C80-84F54282001C" watvalue="MZXM5" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$MZXM5$</SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=80 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN lang=EN-US style="FONT-SIZE: 9pt; FONT-FAMILY: 'Times New Roman','serif'; COLOR: black"><SPAN id=C0DEB60C-2661-54CC-45CC-437394151D95 class=Emr_hdy wattype="static" watid="C0DEB60C-2661-54CC-45CC-437394151D95" watvalue="MZDM5" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$MZDM5$</SPAN>&nbsp;</SPAN></P></TD></TR>
<TR style="HEIGHT: 23px" class>
<TD style="CURSOR: default" height=23 width=735 colSpan=7 class>手术及操作起止时间：<SPAN id=3CFCEBF6-8543-140E-D869-18A90884F54D class=Emr_hdy wattype="static" watid="3CFCEBF6-8543-140E-D869-18A90884F54D" watvalue="SSRQ5" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$SSRQ5$</SPAN>              麻醉起止时间：</TD></TR>
<TR style="HEIGHT: 23px" class>
<TD style="CURSOR: default" height=23 width=169 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; COLOR: black">其他手术及操作名称5</SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=116 class><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; COLOR: black">其他</SPAN>手术及操作代码5</TD>
<TD style="CURSOR: default" height=23 width=95 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">麻醉</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">方式</SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=81 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; COLOR: black">术者医师姓名</SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=97 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; COLOR: black">术者医师代码</SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=92 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; COLOR: black">麻醉医师姓名</SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=80 class>麻醉医师代码</TD></TR>
<TR style="HEIGHT: 23px" class>
<TD style="CURSOR: default" height=23 width=169 class><SPAN id=0544C1A7-75B3-85BB-6C5A-A78A0BE096BB class=Emr_hdy wattype="static" watid="0544C1A7-75B3-85BB-6C5A-A78A0BE096BB" watvalue="SSMC6" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$SSMC6$</SPAN><SPAN> </SPAN></TD>
<TD style="CURSOR: default" height=23 width=116 class><SPAN id=35E18949-73FF-A173-45C6-54C1743EA82F class=Emr_hdy wattype="static" watid="35E18949-73FF-A173-45C6-54C1743EA82F" watvalue="SSDM6" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$SSDM6$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=95 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN lang=EN-US style="FONT-SIZE: 9pt; FONT-FAMILY: 'Times New Roman','serif'; COLOR: black"><SPAN id=7A341520-79D8-F6B5-EAED-27A7A753513C class=Emr_hdy wattype="static" watid="7A341520-79D8-F6B5-EAED-27A7A753513C" watvalue="MZFS6" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$MZFS6$</SPAN></SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=81 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN lang=EN-US style="FONT-SIZE: 9pt; FONT-FAMILY: 'Times New Roman','serif'; COLOR: black"><SPAN id=F0501284-3C48-7D1A-3241-503A42B1F7F1 class=Emr_hdy wattype="static" watid="F0501284-3C48-7D1A-3241-503A42B1F7F1" watvalue="SZXM6" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$SZXM6$</SPAN>&nbsp;</SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=97 class><SPAN id=9ED97A8F-151C-68FF-AAA0-9D84106842F4 class=Emr_hdy wattype="static" watid="9ED97A8F-151C-68FF-AAA0-9D84106842F4" watvalue="SZDM6" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$SZDM6$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=92 class><SPAN id=D397B3EA-382C-1C44-A075-EC73D5BFC79B class=Emr_hdy wattype="static" watid="D397B3EA-382C-1C44-A075-EC73D5BFC79B" watvalue="MZXM6" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$MZXM6$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=80 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN lang=EN-US style="FONT-SIZE: 9pt; FONT-FAMILY: 'Times New Roman','serif'; COLOR: black"><SPAN id=54E47690-7376-130D-6456-7C327A23D2BF class=Emr_hdy wattype="static" watid="54E47690-7376-130D-6456-7C327A23D2BF" watvalue="MZDM6" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$MZDM6$</SPAN>&nbsp;</SPAN></P></TD></TR>
<TR style="HEIGHT: 23px" class>
<TD style="CURSOR: default" height=23 width=735 colSpan=7 class>手术及操作起止时间：<SPAN id=9C1AFADE-4530-B485-5347-290404A7AB74 class=Emr_hdy wattype="static" watid="9C1AFADE-4530-B485-5347-290404A7AB74" watvalue="SSRQ6" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$SSRQ6$</SPAN>              麻醉起止时间：</TD></TR>
<TR style="HEIGHT: 23px" class>
<TD style="CURSOR: default" height=23 width=735 colSpan=7 class>
<P class=MsoNormal><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">手术及操作代码计数</SPAN><U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">&nbsp;&nbsp;&nbsp;<SPAN id=9BAA8B5F-6F1A-E392-BD3D-C47713D24BD0 class=Emr_hdy wattype="static" watid="9BAA8B5F-6F1A-E392-BD3D-C47713D24BD0" watvalue="OPRN_OPRT_CODE_CNT" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$OPRN_OPRT_CODE_CNT$</SPAN>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</SPAN></U></P></TD></TR>
<TR class>
<TD style="CURSOR: default" width=735 colSpan=7 class>
<P class=MsoNormal><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">呼吸机使用时间</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">___<SPAN id=FCBAB181-5AFA-644F-895E-AB19D93460B4 class=Emr_hdy wattype="static" watid="FCBAB181-5AFA-644F-895E-AB19D93460B4" watvalue="HXT" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$HXT$</SPAN>___</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">天</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">___<SPAN id=CD3B2721-C2CD-95CF-4DF3-B45FDABFB5EB class=Emr_hdy wattype="static" watid="CD3B2721-C2CD-95CF-4DF3-B45FDABFB5EB" watvalue="HXS" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$HXS$</SPAN>___</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">小时</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">__<SPAN id=6C0BC4F9-E6B4-57E9-047B-506D783B0BE2 class=Emr_hdy wattype="static" watid="6C0BC4F9-E6B4-57E9-047B-506D783B0BE2" watvalue="HXF" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$HXF$</SPAN>____</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">分钟</SPAN></P></TD></TR>
<TR class>
<TD style="CURSOR: default" width=735 colSpan=7 class>
<P class=MsoNormal><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">颅脑损伤患者昏迷时间：入院前</SPAN><U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">&nbsp;&nbsp;<SPAN id=093BE3E5-81B7-D21F-234A-DE5EB2F8287C class=Emr_hdy wattype="static" watid="093BE3E5-81B7-D21F-234A-DE5EB2F8287C" watvalue="RYQT" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$RYQT$</SPAN>&nbsp;&nbsp;&nbsp;&nbsp;</SPAN></U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">&nbsp;&nbsp;</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">天</SPAN><U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">&nbsp;&nbsp;<SPAN id=0C571376-8709-C4C1-D066-C9561EEB6645 class=Emr_hdy wattype="static" watid="0C571376-8709-C4C1-D066-C9561EEB6645" watvalue="RYQS" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$RYQS$</SPAN>&nbsp;&nbsp;&nbsp;&nbsp;</SPAN></U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">&nbsp;&nbsp;</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">小时</SPAN><U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">&nbsp;&nbsp;&nbsp;<SPAN id=834B08F5-5D91-8149-31F6-1FF16CD4472D class=Emr_hdy wattype="static" watid="834B08F5-5D91-8149-31F6-1FF16CD4472D" watvalue="RYQF" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$RYQF$</SPAN>&nbsp;&nbsp;&nbsp;</SPAN></U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">&nbsp;&nbsp;</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">分钟</SPAN></P>
<P class=MsoNormal><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">入院后</SPAN><U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">&nbsp;&nbsp;&nbsp;<SPAN id=767FAF38-E52B-707E-2649-6D94A4107CC9 class=Emr_hdy wattype="static" watid="767FAF38-E52B-707E-2649-6D94A4107CC9" watvalue="RYHT" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$RYHT$</SPAN>&nbsp;&nbsp;&nbsp;</SPAN></U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">&nbsp;&nbsp;</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">天</SPAN><U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">&nbsp;&nbsp;&nbsp;<SPAN id=E20ED289-B7A5-22F3-CD00-C7A54BC26C42 class=Emr_hdy wattype="static" watid="E20ED289-B7A5-22F3-CD00-C7A54BC26C42" watvalue="RYHS" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$RYHS$</SPAN>&nbsp;&nbsp;&nbsp;</SPAN></U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">&nbsp;&nbsp;</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">小时</SPAN><U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">&nbsp;&nbsp;&nbsp;<SPAN id=F7E7BEBE-0B3C-8107-AD70-7458595156B4 class=Emr_hdy wattype="static" watid="F7E7BEBE-0B3C-8107-AD70-7458595156B4" watvalue="RYHF" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$RYHF$</SPAN>&nbsp;&nbsp;&nbsp;</SPAN></U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">&nbsp;&nbsp;</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">分钟</SPAN></P></TD></TR></TBODY></TABLE>
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<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">重症监护病房类型</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">*</SPAN></P>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">（</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">CCU</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">、</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">NICU</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">、</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">EICU</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">、</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">SICU</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">、</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">PICU</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">、</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">RICU</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">、其他）</SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=140 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">进重症监护室时间</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">*</SPAN></P>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">（</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">_</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">年</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">_</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">月</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">_</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">日</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">_</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">时</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">_</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">分）</SPAN></P></TD>
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<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">出重症监护室时间</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">*</SPAN></P>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">（</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">_</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">年</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">_</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">月</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">_</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">日</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">_</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">时</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">_</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">分）</SPAN></P></TD>
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<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">合计（小时）</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">*</SPAN></P></TD></TR>
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<TD style="CURSOR: default" height=23 width=140 class></TD>
<TD style="CURSOR: default" height=23 width=135 class></TD>
<TD style="CURSOR: default" height=23 width=231 class></TD></TR>
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<TD style="CURSOR: default" height=23 width=225 class></TD>
<TD style="CURSOR: default" height=23 width=140 class></TD>
<TD style="CURSOR: default" height=23 width=135 class></TD>
<TD style="CURSOR: default" height=23 width=231 class></TD></TR>
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<TD style="CURSOR: default" height=23 width=225 class></TD>
<TD style="CURSOR: default" height=23 width=140 class></TD>
<TD style="CURSOR: default" height=23 width=135 class></TD>
<TD style="CURSOR: default" height=23 width=231 class></TD></TR>
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<TD style="CURSOR: default" height=23 width=225 class>输血品种</TD>
<TD style="CURSOR: default" height=23 width=277 colSpan=2 class>输血量</TD>
<TD style="CURSOR: default" height=23 width=231 class>输血计量单位</TD></TR>
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<TD style="CURSOR: default" height=23 width=225 class><SPAN id=B7F18871-2EF6-77D8-7FCD-BAA680B347B1 class=Emr_hdy wattype="static" watid="B7F18871-2EF6-77D8-7FCD-BAA680B347B1" watvalue="BLD_CAT" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$BLD_CAT$</SPAN>&nbsp;&nbsp;</TD>
<TD style="CURSOR: default" height=23 width=277 colSpan=2 class><SPAN id=C15417D6-4A4F-CB8A-50D2-5DA141DD0697 class=Emr_hdy wattype="static" watid="C15417D6-4A4F-CB8A-50D2-5DA141DD0697" watvalue="BLD_AMT" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$BLD_AMT$</SPAN>&nbsp;&nbsp;&nbsp;&nbsp;</TD>
<TD style="CURSOR: default" height=23 width=231 class>&nbsp;<SPAN id=F4986471-4FAA-3538-F0E6-7DDC65555BE9 class=Emr_hdy wattype="static" watid="F4986471-4FAA-3538-F0E6-7DDC65555BE9" watvalue="BLD_UNT" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$BLD_UNT$</SPAN>&nbsp;&nbsp;</TD></TR>
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<TD style="CURSOR: default" height=23 width=225 class></TD>
<TD style="CURSOR: default" height=23 width=277 colSpan=2 class></TD>
<TD style="CURSOR: default" height=23 width=231 class></TD></TR>
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<TD style="CURSOR: default" height=23 width=225 class></TD>
<TD style="CURSOR: default" height=23 width=277 colSpan=2 class></TD>
<TD style="CURSOR: default" height=23 width=231 class></TD></TR>
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<TD style="CURSOR: default" height=23 width=735 colSpan=4 class>
<P class=MsoNormal><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">特级护理天数</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; FONT-FAMILY: 'Times New Roman','serif'">*</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">_<SPAN id=5D0B1BFA-6772-85A1-F243-8FE0317CBBA5 class=Emr_hdy wattype="static" watid="5D0B1BFA-6772-85A1-F243-8FE0317CBBA5" watvalue="TJTS" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$TJTS$</SPAN>_&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">一级护理天数</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; FONT-FAMILY: 'Times New Roman','serif'">*</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">_<SPAN id=6B370B80-F0B0-D55B-4D13-399AA711EB7C class=Emr_hdy wattype="static" watid="6B370B80-F0B0-D55B-4D13-399AA711EB7C" watvalue="YJTS" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$YJTS$</SPAN>_&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">二级护理天数</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; FONT-FAMILY: 'Times New Roman','serif'">*</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">_<SPAN id=BF0E98E7-4E4D-F91B-A538-BF58895B1535 class=Emr_hdy wattype="static" watid="BF0E98E7-4E4D-F91B-A538-BF58895B1535" watvalue="EJTS" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$EJTS$</SPAN>_&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">三级护理天数</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; FONT-FAMILY: 'Times New Roman','serif'">*</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">_<SPAN id=E42B3852-C3F7-955D-03CF-DB65070ABEE4 class=Emr_hdy wattype="static" watid="E42B3852-C3F7-955D-03CF-DB65070ABEE4" watvalue="SJTS" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$SJTS$</SPAN>_</SPAN></P></TD></TR>
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<P class=MsoNormal><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">离院方式</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">&nbsp;</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'"> [<SPAN id=F2CDBC3E-3F70-03D7-2CAB-DCDF922B7F97 class=Emr_hdy wattype="static" watid="F2CDBC3E-3F70-03D7-2CAB-DCDF922B7F97" watvalue="LYFS" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$LYFS$</SPAN>] 1.</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">医嘱离院</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">&nbsp;<SPAN lang=EN-US>&nbsp;2. </SPAN></SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">医嘱转院，拟接收机构名称</SPAN><U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">&nbsp;&nbsp;<SPAN id=0A24E26C-BBC5-52DD-9D89-568AEF899C30 class=Emr_hdy wattype="static" watid="0A24E26C-BBC5-52DD-9D89-568AEF899C30" watvalue="JSJGMC1" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$JSJGMC1$</SPAN>&nbsp;&nbsp;</SPAN></U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">&nbsp;</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">拟接收机构代码</SPAN><U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">&nbsp;&nbsp;<SPAN id=814FCC9C-98FA-0996-6AD3-5563EC948B8D class=Emr_hdy wattype="static" watid="814FCC9C-98FA-0996-6AD3-5563EC948B8D" watvalue="JSJGBM1" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$JSJGBM1$</SPAN>&nbsp;&nbsp;&nbsp;</SPAN></U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">&nbsp;</SPAN></P>
<P class=MsoNormal><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">3.</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">转社区、转卫生院机构，拟接收机构名称</SPAN><U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">&nbsp;&nbsp;<SPAN id=32F21A1E-1E8D-8169-60E6-EBAAA4D8FE62 class=Emr_hdy wattype="static" watid="32F21A1E-1E8D-8169-60E6-EBAAA4D8FE62" watvalue="JSJGMC2" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$JSJGMC2$</SPAN>&nbsp;&nbsp;&nbsp;&nbsp;</SPAN></U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">&nbsp;&nbsp;</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">拟接收机构代码</SPAN><U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">&nbsp;&nbsp;&nbsp;&nbsp;<SPAN id=245B2E69-6F94-08D0-FFC3-6655166CFAAF class=Emr_hdy wattype="static" watid="245B2E69-6F94-08D0-FFC3-6655166CFAAF" watvalue="JSJGBM2" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$JSJGBM2$</SPAN>&nbsp;&nbsp;&nbsp;</SPAN></U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">&nbsp;&nbsp;&nbsp;4.</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">非医嘱离院</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">&nbsp;&nbsp; 5.</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">死亡</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">&nbsp;&nbsp; 9.</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">其他</SPAN></P></TD></TR>
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<TD style="CURSOR: default" height=23 width=735 colSpan=4 class><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">是否有出院</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">31</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">天内再住院计划</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'"> [<SPAN id=2C80EB1C-2FAA-2823-9F09-8232C3ED9E47 class=Emr_hdy wattype="static" watid="2C80EB1C-2FAA-2823-9F09-8232C3ED9E47" watvalue="ZZYBZ" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$ZZYBZ$</SPAN>]  1.</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">无</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'"> <SPAN lang=EN-US>&nbsp;&nbsp;2.</SPAN></SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">有，目的</SPAN><U><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">&nbsp;<SPAN lang=EN-US>&nbsp;&nbsp;&nbsp;&nbsp;<SPAN id=695018BF-FB73-0172-3E4C-28B70BDC852B class=Emr_hdy wattype="static" watid="695018BF-FB73-0172-3E4C-28B70BDC852B" watvalue="DAYS_RINP_PUP_31" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$DAYS_RINP_PUP_31$</SPAN>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</SPAN></SPAN></U></TD></TR>
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<TD style="CURSOR: default" height=23 width=367 colSpan=2 class>
<P class=MsoNormal><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">主诊医师姓名</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; FONT-FAMILY: 'Times New Roman','serif'"><U>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<SPAN id=0D162E28-4268-665D-CF93-922E7ACEAB6C class=Emr_hdy wattype="static" watid="0D162E28-4268-665D-CF93-922E7ACEAB6C" watvalue="CHFPDR_NAME" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$CHFPDR_NAME$</SPAN>&nbsp;&nbsp;&nbsp;&nbsp; </U></SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=368 colSpan=2 class>
<P class=MsoNormal><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">主诊医师代码</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; FONT-FAMILY: 'Times New Roman','serif'"><U>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<SPAN id=ED42528F-BAB1-D26C-6ECE-F4C2AD71B790 class=Emr_hdy wattype="static" watid="ED42528F-BAB1-D26C-6ECE-F4C2AD71B790" watvalue="CHFPDR_CODE" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$CHFPDR_CODE$</SPAN>&nbsp;&nbsp;&nbsp; </U></SPAN></P></TD></TR>
<TR class>
<TD style="CURSOR: default" height=23 width=366 colSpan=2 class>
<P class=MsoNormal><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">责任护士姓名</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; FONT-FAMILY: 'Times New Roman','serif'"><U>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<SPAN id=C8D77145-38A3-5FE4-6E4D-D32190AF1093 class=Emr_hdy wattype="static" watid="C8D77145-38A3-5FE4-6E4D-D32190AF1093" watvalue="ZRHS" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$ZRHS$</SPAN>&nbsp;&nbsp;&nbsp;&nbsp; </U></SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=368 colSpan=2 class>
<P class=MsoNormal><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">责任护士代码</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; FONT-FAMILY: 'Times New Roman','serif'"><U>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<SPAN id=20974306-EEC7-5986-38AA-CAA7E1FAF6AA class=Emr_hdy wattype="static" watid="20974306-EEC7-5986-38AA-CAA7E1FAF6AA" watvalue="ZRHSBM" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$ZRHSBM$</SPAN>&nbsp;&nbsp;&nbsp; </U></SPAN></P></TD></TR></TBODY></TABLE></P>
<P>
<TABLE style="FONT-SIZE: 3.7mm; FONT-FAMILY: 宋体; WIDTH: 100%; BORDER-COLLAPSE: collapse; LINE-HEIGHT: 1.5" borderColor=#000000 cellSpacing=0 cellPadding=0 width="100%" bgColor=transparent border=1 class>
<TBODY>
<TR class>
<TD style="CURSOR: default" height=23 width=734 colSpan=6 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><B><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">四、医疗收费信息</SPAN></B></P></TD></TR>
<TR class>
<TD style="CURSOR: default" height=23 width=222 class>
<P class=MsoNormal style="TEXT-ALIGN: left" align=left><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">业务流水号：</SPAN><U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">&nbsp;<SPAN id=B0D3E3AB-5FBD-827C-BEA3-008B4FF7126E class=Emr_hdy wattype="static" watid="B0D3E3AB-5FBD-827C-BEA3-008B4FF7126E" watvalue="BIZ_SN" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$BIZ_SN$</SPAN>&nbsp;</SPAN></U></P>
<P class=MsoNormal style="TEXT-ALIGN: left" align=left><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">票据代码：</SPAN><U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">&nbsp;&nbsp;<SPAN id=4BD90068-60B9-6670-4408-C035B6DDF827 class=Emr_hdy wattype="static" watid="4BD90068-60B9-6670-4408-C035B6DDF827" watvalue="BILL_CODE" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$BILL_CODE$</SPAN>&nbsp; </SPAN></U></P>
<P class=MsoNormal style="TEXT-ALIGN: left" align=left><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">票据号码：</SPAN><U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">&nbsp;&nbsp;&nbsp;<SPAN id=D171C351-2CC4-F153-3250-EFD7C2A1CA99 class=Emr_hdy wattype="static" watid="D171C351-2CC4-F153-3250-EFD7C2A1CA99" watvalue="BILL_NO" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$BILL_NO$</SPAN>&nbsp;&nbsp; </SPAN></U></P></TD>
<TD style="CURSOR: default" height=23 width=513 colSpan=5 class>
<P class=MsoNormal style="LAYOUT-GRID-MODE: char; TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">结算期间：</SPAN><U><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">&nbsp;&nbsp;<SPAN id=F3063745-EB92-DD94-5599-1E4D16D6E854 class=Emr_hdy wattype="static" watid="F3063745-EB92-DD94-5599-1E4D16D6E854" watvalue="SETL_BEGN_DATE" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$SETL_BEGN_DATE$</SPAN></SPAN></U><U><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'"><SPAN lang=EN-US>&nbsp;&nbsp;</SPAN></SPAN></U><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">—</SPAN><U><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">&nbsp;&nbsp;&nbsp;<SPAN id=CFADCB93-A358-D8CF-BBC9-FA1A128D1657 class=Emr_hdy wattype="static" watid="CFADCB93-A358-D8CF-BBC9-FA1A128D1657" watvalue="SETL_END_DATE" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$SETL_END_DATE$</SPAN></SPAN></U><U><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'"><SPAN lang=EN-US>&nbsp;&nbsp;</SPAN></SPAN></U></P></TD></TR>
<TR class>
<TD style="CURSOR: default" height=23 width=222 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><B><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">项目名称</SPAN></B></P></TD>
<TD style="CURSOR: default" height=23 width=113 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">金额</SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=101 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">甲类</SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=100 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">乙类</SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=98 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">自费</SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=95 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">其他</SPAN></P></TD></TR>
<TR class>
<TD style="CURSOR: default" height=23 width=222 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">床位费</SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=113 class><SPAN id=4D74A751-9269-E020-5A59-E99BCBEDF863 class=Emr_hdy wattype="static" watid="4D74A751-9269-E020-5A59-E99BCBEDF863" watvalue="FYZJE01" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYZJE01$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=101 class><SPAN id=26850B63-8127-EA29-9289-47AFACDFC3FE class=Emr_hdy wattype="static" watid="26850B63-8127-EA29-9289-47AFACDFC3FE" watvalue="FYJL01" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYJL01$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=100 class>
<P class=MsoNormal><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">&nbsp;<SPAN id=A2AC5624-974A-95C4-557B-7B525FA95962 class=Emr_hdy wattype="static" watid="A2AC5624-974A-95C4-557B-7B525FA95962" watvalue="FYYL01" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYYL01$</SPAN></SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=98 class><SPAN id=52F321F5-C19E-1AFC-64F7-A96D738A79FC class=Emr_hdy wattype="static" watid="52F321F5-C19E-1AFC-64F7-A96D738A79FC" watvalue="FYZF01" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYZF01$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=95 class><SPAN id=556D8B15-85C6-CDA6-0EF3-5A55836C761F class=Emr_hdy wattype="static" watid="556D8B15-85C6-CDA6-0EF3-5A55836C761F" watvalue="FYQT01" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYQT01$</SPAN></TD></TR>
<TR class>
<TD style="CURSOR: default" height=23 width=222 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">诊察费</SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=113 class><SPAN id=72DB1BE3-6564-CEBE-421A-AED1276F77C3 class=Emr_hdy wattype="static" watid="72DB1BE3-6564-CEBE-421A-AED1276F77C3" watvalue="FYZJE02" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYZJE02$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=101 class><SPAN id=8AF1BF44-3E42-19E4-3D93-D84D88D50833 class=Emr_hdy wattype="static" watid="8AF1BF44-3E42-19E4-3D93-D84D88D50833" watvalue="FYJL02" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYJL02$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=100 class><SPAN id=E8D2097A-B12C-8D87-99A3-7091C3CD0A9B class=Emr_hdy wattype="static" watid="E8D2097A-B12C-8D87-99A3-7091C3CD0A9B" watvalue="FYYL02" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYYL02$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=98 class><SPAN id=AF275D5A-B886-9960-A65E-5AFE63EB580D class=Emr_hdy wattype="static" watid="AF275D5A-B886-9960-A65E-5AFE63EB580D" watvalue="FYZF02" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYZF02$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=95 class><SPAN id=26F310EC-4463-0A23-C04A-C7AE4888225A class=Emr_hdy wattype="static" watid="26F310EC-4463-0A23-C04A-C7AE4888225A" watvalue="FYQT02" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYQT02$</SPAN></TD></TR>
<TR class>
<TD style="CURSOR: default" height=23 width=222 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">检查费</SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=113 class><SPAN id=74308037-36EC-D0A7-B601-09CA2E6590B0 class=Emr_hdy wattype="static" watid="74308037-36EC-D0A7-B601-09CA2E6590B0" watvalue="FYZJE03" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYZJE03$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=101 class><SPAN id=16A0DD09-C52E-B3E5-D0E5-B4CFCAF889D8 class=Emr_hdy wattype="static" watid="16A0DD09-C52E-B3E5-D0E5-B4CFCAF889D8" watvalue="FYJL03" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYJL03$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=100 class><SPAN id=33EF759B-C03A-2052-0EDF-DE3EDEA13693 class=Emr_hdy wattype="static" watid="33EF759B-C03A-2052-0EDF-DE3EDEA13693" watvalue="FYYL03" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYYL03$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=98 class><SPAN id=C795887D-3BBC-36AE-9A42-CAE2F43499A7 class=Emr_hdy wattype="static" watid="C795887D-3BBC-36AE-9A42-CAE2F43499A7" watvalue="FYZF03" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYZF03$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=95 class><SPAN id=DC1EDF8A-F1FB-ACB9-F8DF-7042C762E6A7 class=Emr_hdy wattype="static" watid="DC1EDF8A-F1FB-ACB9-F8DF-7042C762E6A7" watvalue="FYQT03" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYQT03$</SPAN></TD></TR>
<TR class>
<TD style="CURSOR: default" height=23 width=222 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">化验费</SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=113 class><SPAN id=16D419F7-60F0-86E9-9214-CB23EF38F567 class=Emr_hdy wattype="static" watid="16D419F7-60F0-86E9-9214-CB23EF38F567" watvalue="FYZJE04" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYZJE04$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=101 class><SPAN id=5CCFD61B-CA00-13B6-1F6D-1667E4D1CB15 class=Emr_hdy wattype="static" watid="5CCFD61B-CA00-13B6-1F6D-1667E4D1CB15" watvalue="FYJL04" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYJL04$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=100 class><SPAN id=BEC887DE-8D65-B4ED-D0EB-1571062A9C69 class=Emr_hdy wattype="static" watid="BEC887DE-8D65-B4ED-D0EB-1571062A9C69" watvalue="FYYL04" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYYL04$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=98 class><SPAN id=3703D591-D54B-2DDB-FA9A-DD9F2E12DB0D class=Emr_hdy wattype="static" watid="3703D591-D54B-2DDB-FA9A-DD9F2E12DB0D" watvalue="FYZF04" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYZF04$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=95 class><SPAN id=C1377C40-131D-7277-4670-8FA6C0362451 class=Emr_hdy wattype="static" watid="C1377C40-131D-7277-4670-8FA6C0362451" watvalue="FYQT04" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYQT04$</SPAN></TD></TR>
<TR class>
<TD style="CURSOR: default" height=23 width=222 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">治疗费</SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=113 class><SPAN id=994FCC97-2E81-1091-C003-6FE130560FCD class=Emr_hdy wattype="static" watid="994FCC97-2E81-1091-C003-6FE130560FCD" watvalue="FYZJE05" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYZJE05$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=101 class><SPAN id=8CF17BCA-10A9-0800-F7A4-DA2449F2DB52 class=Emr_hdy wattype="static" watid="8CF17BCA-10A9-0800-F7A4-DA2449F2DB52" watvalue="FYJL05" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYJL05$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=100 class><SPAN id=38A75338-C6E8-7070-7482-F121438748CF class=Emr_hdy wattype="static" watid="38A75338-C6E8-7070-7482-F121438748CF" watvalue="FYYL05" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYYL05$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=98 class><SPAN id=C0A28CBB-11CB-B060-D179-56821AF3C2CD class=Emr_hdy wattype="static" watid="C0A28CBB-11CB-B060-D179-56821AF3C2CD" watvalue="FYZF05" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYZF05$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=95 class><SPAN id=70B97FBF-BF81-D5EF-B756-317C81C417A8 class=Emr_hdy wattype="static" watid="70B97FBF-BF81-D5EF-B756-317C81C417A8" watvalue="FYQT05" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYQT05$</SPAN></TD></TR>
<TR class>
<TD style="CURSOR: default" height=23 width=222 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">手术费</SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=113 class><SPAN id=1BFEFB2B-5A22-7EEC-90DA-0F71996A9C4F class=Emr_hdy wattype="static" watid="1BFEFB2B-5A22-7EEC-90DA-0F71996A9C4F" watvalue="FYZJE06" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYZJE06$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=101 class><SPAN id=2A990A90-92BD-68C5-0CD5-569EF841F9AE class=Emr_hdy wattype="static" watid="2A990A90-92BD-68C5-0CD5-569EF841F9AE" watvalue="FYJL06" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYJL06$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=100 class><SPAN id=47408188-6FEC-82B9-CB85-A33F0E820BC7 class=Emr_hdy wattype="static" watid="47408188-6FEC-82B9-CB85-A33F0E820BC7" watvalue="FYYL06" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYYL06$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=98 class><SPAN id=5466F13B-8BC9-A15F-9E64-083110CDF2D0 class=Emr_hdy wattype="static" watid="5466F13B-8BC9-A15F-9E64-083110CDF2D0" watvalue="FYZF06" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYZF06$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=95 class><SPAN id=6E721757-DC85-AF58-498A-55201D5AEF0A class=Emr_hdy wattype="static" watid="6E721757-DC85-AF58-498A-55201D5AEF0A" watvalue="FYQT06" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYQT06$</SPAN></TD></TR>
<TR class>
<TD style="CURSOR: default" height=23 width=222 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">护理费</SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=113 class><SPAN id=F09DD475-C4B1-5C9A-3976-0E2963768E7C class=Emr_hdy wattype="static" watid="F09DD475-C4B1-5C9A-3976-0E2963768E7C" watvalue="FYZJE07" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYZJE07$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=101 class><SPAN id=C2AFF3EF-68A5-744E-F262-DA55FFDC026F class=Emr_hdy wattype="static" watid="C2AFF3EF-68A5-744E-F262-DA55FFDC026F" watvalue="FYJL07" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYJL07$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=100 class><SPAN id=052980D3-697E-0915-49EC-6DC0FC0D313B class=Emr_hdy wattype="static" watid="052980D3-697E-0915-49EC-6DC0FC0D313B" watvalue="FYYL07" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYYL07$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=98 class><SPAN id=1661E46D-5B3E-D59D-3E89-A457FABEDE1B class=Emr_hdy wattype="static" watid="1661E46D-5B3E-D59D-3E89-A457FABEDE1B" watvalue="FYZF07" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYZF07$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=95 class><SPAN id=53B1A6B3-408D-8B35-BA11-DBF1D91817DA class=Emr_hdy wattype="static" watid="53B1A6B3-408D-8B35-BA11-DBF1D91817DA" watvalue="FYQT07" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYQT07$</SPAN></TD></TR>
<TR class>
<TD style="CURSOR: default" height=23 width=222 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">卫生材料费</SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=113 class><SPAN id=B530EA02-737B-1D1C-A584-73E569E3A32F class=Emr_hdy wattype="static" watid="B530EA02-737B-1D1C-A584-73E569E3A32F" watvalue="FYZJE08" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYZJE08$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=101 class><SPAN id=FAF84498-5B03-5256-AB55-224043849C5D class=Emr_hdy wattype="static" watid="FAF84498-5B03-5256-AB55-224043849C5D" watvalue="FYJL08" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYJL08$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=100 class><SPAN id=76AC74E7-FF49-9D94-DB3D-EE896B68CAE0 class=Emr_hdy wattype="static" watid="76AC74E7-FF49-9D94-DB3D-EE896B68CAE0" watvalue="FYYL08" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYYL08$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=98 class><SPAN id=CD29C3A0-31E2-DB36-A205-32336A092767 class=Emr_hdy wattype="static" watid="CD29C3A0-31E2-DB36-A205-32336A092767" watvalue="FYZF08" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYZF08$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=95 class><SPAN id=A65BE6EA-EB66-374A-3CF5-3E0E23D255E8 class=Emr_hdy wattype="static" watid="A65BE6EA-EB66-374A-3CF5-3E0E23D255E8" watvalue="FYQT08" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYQT08$</SPAN></TD></TR>
<TR class>
<TD style="CURSOR: default" height=23 width=222 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">西药费</SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=113 class><SPAN id=BBAF4945-634C-3C11-C0A7-82F9664A9C64 class=Emr_hdy wattype="static" watid="BBAF4945-634C-3C11-C0A7-82F9664A9C64" watvalue="FYZJE09" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYZJE09$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=101 class><SPAN id=1209776A-49A8-7E5D-E2D2-4AD80449FDED class=Emr_hdy wattype="static" watid="1209776A-49A8-7E5D-E2D2-4AD80449FDED" watvalue="FYJL09" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYJL09$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=100 class><SPAN id=F2258F1D-6774-7C70-4D70-D4C33F53FF58 class=Emr_hdy wattype="static" watid="F2258F1D-6774-7C70-4D70-D4C33F53FF58" watvalue="FYYL09" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYYL09$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=98 class><SPAN id=1A276295-82E0-5988-C432-3448682C0CE7 class=Emr_hdy wattype="static" watid="1A276295-82E0-5988-C432-3448682C0CE7" watvalue="FYZF09" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYZF09$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=95 class><SPAN id=F6ADE381-D7D7-11E9-6074-D675505E1873 class=Emr_hdy wattype="static" watid="F6ADE381-D7D7-11E9-6074-D675505E1873" watvalue="FYQT09" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYQT09$</SPAN></TD></TR>
<TR class>
<TD style="CURSOR: default" height=23 width=222 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">中药饮片费</SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=113 class><SPAN id=9F95BB8B-3235-A208-F693-2FBA46BE0EF2 class=Emr_hdy wattype="static" watid="9F95BB8B-3235-A208-F693-2FBA46BE0EF2" watvalue="FYZJE10" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYZJE10$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=101 class><SPAN id=09704F14-509A-5E12-C992-3E2B95DA2A53 class=Emr_hdy wattype="static" watid="09704F14-509A-5E12-C992-3E2B95DA2A53" watvalue="FYJL10" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYJL10$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=100 class><SPAN id=ED49CF6D-EB10-27F0-6951-02DAF54D5FE9 class=Emr_hdy wattype="static" watid="ED49CF6D-EB10-27F0-6951-02DAF54D5FE9" watvalue="FYYL10" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYYL10$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=98 class><SPAN id=25D6DFF2-F6C4-FE37-86F1-A0747A69CDE6 class=Emr_hdy wattype="static" watid="25D6DFF2-F6C4-FE37-86F1-A0747A69CDE6" watvalue="FYZF10" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYZF10$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=95 class><SPAN id=F1D73F49-0017-A8C7-8DE7-08B64566B172 class=Emr_hdy wattype="static" watid="F1D73F49-0017-A8C7-8DE7-08B64566B172" watvalue="FYQT10" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYQT10$</SPAN></TD></TR>
<TR class>
<TD style="CURSOR: default" height=23 width=222 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">中成药费</SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=113 class><SPAN id=B3A5700E-3B7E-C265-DF91-4512CD8FCBA2 class=Emr_hdy wattype="static" watid="B3A5700E-3B7E-C265-DF91-4512CD8FCBA2" watvalue="FYZJE11" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYZJE11$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=101 class><SPAN id=5FAC4AC6-815E-B557-C245-E6427C1688A9 class=Emr_hdy wattype="static" watid="5FAC4AC6-815E-B557-C245-E6427C1688A9" watvalue="FYJL11" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYJL11$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=100 class><SPAN id=13E37837-0E5B-A0AD-5449-45775DFC4860 class=Emr_hdy wattype="static" watid="13E37837-0E5B-A0AD-5449-45775DFC4860" watvalue="FYYL11" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYYL11$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=98 class><SPAN id=B6E407E2-EF47-464B-95D7-82CEAB5A3897 class=Emr_hdy wattype="static" watid="B6E407E2-EF47-464B-95D7-82CEAB5A3897" watvalue="FYZF11" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYZF11$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=95 class><SPAN id=60AFF3F8-9A4F-FEDF-53A6-510FD3BF8C84 class=Emr_hdy wattype="static" watid="60AFF3F8-9A4F-FEDF-53A6-510FD3BF8C84" watvalue="FYQT11" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYQT11$</SPAN></TD></TR>
<TR class>
<TD style="CURSOR: default" height=23 width=222 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">一般诊疗费</SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=113 class><SPAN id=21D92391-9688-A62B-941C-FC7104C52818 class=Emr_hdy wattype="static" watid="21D92391-9688-A62B-941C-FC7104C52818" watvalue="FYZJE12" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYZJE12$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=101 class><SPAN id=CE5BD40A-8588-BA81-F289-8B3FB2221CD2 class=Emr_hdy wattype="static" watid="CE5BD40A-8588-BA81-F289-8B3FB2221CD2" watvalue="FYJL12" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYJL12$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=100 class><SPAN id=49D8D5D2-EFD3-7412-FF2C-C2BC6B082037 class=Emr_hdy wattype="static" watid="49D8D5D2-EFD3-7412-FF2C-C2BC6B082037" watvalue="FYYL12" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYYL12$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=98 class><SPAN id=252F78F9-5984-8965-1601-309DCBD30D65 class=Emr_hdy wattype="static" watid="252F78F9-5984-8965-1601-309DCBD30D65" watvalue="FYZF12" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYZF12$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=95 class><SPAN id=AF175EAB-20EF-B92A-206D-DF8436906855 class=Emr_hdy wattype="static" watid="AF175EAB-20EF-B92A-206D-DF8436906855" watvalue="FYQT12" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYQT12$</SPAN></TD></TR>
<TR class>
<TD style="CURSOR: default" height=23 width=222 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">挂号费</SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=113 class><SPAN id=7B98E5F0-53F5-9022-4E92-A83967E03065 class=Emr_hdy wattype="static" watid="7B98E5F0-53F5-9022-4E92-A83967E03065" watvalue="FYZJE13" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYZJE13$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=101 class><SPAN id=54291D06-2861-6A81-F390-674EAEAE7245 class=Emr_hdy wattype="static" watid="54291D06-2861-6A81-F390-674EAEAE7245" watvalue="FYJL13" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYJL13$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=100 class><SPAN id=00C0FF86-1652-94DB-75E3-01F12B7E92AE class=Emr_hdy wattype="static" watid="00C0FF86-1652-94DB-75E3-01F12B7E92AE" watvalue="FYYL13" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYYL13$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=98 class><SPAN id=00745760-C07F-60EE-CA77-B3D80CBB0DDE class=Emr_hdy wattype="static" watid="00745760-C07F-60EE-CA77-B3D80CBB0DDE" watvalue="FYZF13" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYZF13$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=95 class><SPAN id=1B8FE142-7D55-2C12-6F9C-09013FA1F87F class=Emr_hdy wattype="static" watid="1B8FE142-7D55-2C12-6F9C-09013FA1F87F" watvalue="FYQT13" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYQT13$</SPAN></TD></TR>
<TR class>
<TD style="CURSOR: default" height=23 width=222 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">其他费</SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=113 class><SPAN id=F95E6A3C-39FF-A503-2084-986BB3659096 class=Emr_hdy wattype="static" watid="F95E6A3C-39FF-A503-2084-986BB3659096" watvalue="FYZJE14" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYZJE14$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=101 class><SPAN id=DF7ABEF4-4368-75A5-998D-BE1F509F03B3 class=Emr_hdy wattype="static" watid="DF7ABEF4-4368-75A5-998D-BE1F509F03B3" watvalue="FYJL14" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYJL14$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=100 class><SPAN id=B5E0A289-D6DA-DDDF-CBC7-86FEDF5AEAB3 class=Emr_hdy wattype="static" watid="B5E0A289-D6DA-DDDF-CBC7-86FEDF5AEAB3" watvalue="FYYL14" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYYL14$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=98 class><SPAN id=47F490F3-0E2F-0149-F842-86B9FF60C907 class=Emr_hdy wattype="static" watid="47F490F3-0E2F-0149-F842-86B9FF60C907" watvalue="FYZF14" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYZF14$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=95 class><SPAN id=839687D3-E905-2C6A-CE9A-1B83FE031EF1 class=Emr_hdy wattype="static" watid="839687D3-E905-2C6A-CE9A-1B83FE031EF1" watvalue="FYQT14" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$FYQT14$</SPAN></TD></TR>
<TR class>
<TD style="CURSOR: default" height=23 width=222 class>XX(按病种收费名称+代码)</TD>
<TD style="CURSOR: default" height=23 width=113 class></TD>
<TD style="CURSOR: default" height=23 width=101 class></TD>
<TD style="CURSOR: default" height=23 width=100 class></TD>
<TD style="CURSOR: default" height=23 width=98 class></TD>
<TD style="CURSOR: default" height=23 width=95 class></TD></TR>
<TR class>
<TD style="CURSOR: default" height=23 width=222 class>
<P class=MsoNormal style="TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体">金额合计</SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=113 class><SPAN id=EB5E06B1-D6C7-A04D-FBD7-313A508C7714 class=Emr_hdy wattype="static" watid="EB5E06B1-D6C7-A04D-FBD7-313A508C7714" watvalue="ZJEHJ" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$ZJEHJ$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=101 class><SPAN id=9D25EADB-CCF3-6F38-4B1D-114AE075F3A8 class=Emr_hdy wattype="static" watid="9D25EADB-CCF3-6F38-4B1D-114AE075F3A8" watvalue="JLHJ" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$JLHJ$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=100 class><SPAN id=B5BCBB87-C89E-68C6-9DD4-EEFB533484CB class=Emr_hdy wattype="static" watid="B5BCBB87-C89E-68C6-9DD4-EEFB533484CB" watvalue="YLHJ" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$YLHJ$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=98 class>
<P class=MsoNormal><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman','serif'">&nbsp;<SPAN id=504A4E3A-A585-A44F-7A37-C1CDC9994D50 class=Emr_hdy wattype="static" watid="504A4E3A-A585-A44F-7A37-C1CDC9994D50" watvalue="ZFHJ" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$ZFHJ$</SPAN></SPAN></P></TD>
<TD style="CURSOR: default" height=23 width=95 class><SPAN id=890A0BF9-BB08-851C-47A0-465AFBDC9906 class=Emr_hdy wattype="static" watid="890A0BF9-BB08-851C-47A0-465AFBDC9906" watvalue="QTHJ" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$QTHJ$</SPAN></TD></TR></TBODY></TABLE></P>
<DIV align=center>
<TABLE style="FONT-SIZE: 3.7mm; FONT-FAMILY: 宋体; BORDER-COLLAPSE: collapse; LINE-HEIGHT: 1.5" borderColor=#000000 cellSpacing=0 cellPadding=0 width="100%" align=center bgColor=transparent border=1>
<TBODY>
<TR style="HEIGHT: 23px">
<TD style="CURSOR: default" height=23 width=238 colSpan=2>        <STRONG>医保统筹基金支付</STRONG></TD>
<TD style="CURSOR: default; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " height=23 width=119 align=center><SPAN id=9E290E15-95D4-F6F2-27D7-978CBC01B89E class=Emr_hdy wattype="static" watid="9E290E15-95D4-F6F2-27D7-978CBC01B89E" watvalue="TCZF" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$TCZF$</SPAN></TD>
<TD style="CURSOR: default; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " rowSpan=5 width=119 align=center><STRONG>个人负担</STRONG></TD>
<TD style="CURSOR: default; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " rowSpan=3 width=119 align=center>个人自付</TD>
<TD style="CURSOR: default; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " height=23 rowSpan=3 width=141 align=center><SPAN id=45FD5596-AD1D-830B-57BF-9AC56AAD01C0 class=Emr_hdy wattype="static" watid="45FD5596-AD1D-830B-57BF-9AC56AAD01C0" watvalue="PSN_SELFPAY" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$PSN_SELFPAY$</SPAN></TD></TR>
<TR style="HEIGHT: 23px">
<TD style="CURSOR: default" rowSpan=3 width=138><STRONG>补充医疗报销支付</STRONG></TD>
<TD style="CURSOR: default; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " height=23 width=100 align=center>职工大额补助</TD>
<TD style="CURSOR: default; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " height=23 width=119 align=center><SPAN id=0147C052-F5C1-2CCC-FBA3-A9DA3DFC4671 class=Emr_hdy wattype="static" watid="0147C052-F5C1-2CCC-FBA3-A9DA3DFC4671" watvalue="DEBC" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$DEBC$</SPAN></TD></TR>
<TR style="HEIGHT: 24px">
<TD style="CURSOR: default; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " height=24 width=100 align=center>居民大病保险</TD>
<TD style="CURSOR: default; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " height=24 width=119 align=center><SPAN id=83A7F326-EC62-AAAB-6114-30B99D73118F class=Emr_hdy wattype="static" watid="83A7F326-EC62-AAAB-6114-30B99D73118F" watvalue="DBBXZF" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$DBBXZF$</SPAN></TD></TR>
<TR style="HEIGHT: 23px">
<TD style="CURSOR: default; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " height=23 width=100 align=center>公务员医疗补助</TD>
<TD style="CURSOR: default; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " height=23 width=119 align=center><SPAN id=F20BB949-958F-6031-1B41-9A2825124CBC class=Emr_hdy wattype="static" watid="F20BB949-958F-6031-1B41-9A2825124CBC" watvalue="GWYBZ" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$GWYBZ$</SPAN></TD>
<TD style="CURSOR: default; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " height=23 rowSpan=2 width=119 align=center>个人自费</TD>
<TD style="CURSOR: default; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " height=23 rowSpan=2 width=141 align=center><SPAN id=E6224525-F3A8-459D-7F8A-C91A5F078DD9 class=Emr_hdy wattype="static" watid="E6224525-F3A8-459D-7F8A-C91A5F078DD9" watvalue="PSN_OWNPAY" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$PSN_OWNPAY$</SPAN></TD></TR>
<TR style="HEIGHT: 23px">
<TD style="CURSOR: default; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " height=23 width=238 colSpan=2 align=center><STRONG>医疗救助支付</STRONG></TD>
<TD style="CURSOR: default; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " height=23 width=119 align=center><SPAN id=BE1102EF-E055-C51F-D17E-E57D8109E6A1 class=Emr_hdy wattype="static" watid="BE1102EF-E055-C51F-D17E-E57D8109E6A1" watvalue="YLJZ" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$YLJZ$</SPAN></TD></TR>
<TR style="HEIGHT: 23px">
<TD style="CURSOR: default; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " rowSpan=3 width=138 align=center><STRONG>其他支付</STRONG></TD>
<TD style="CURSOR: default; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " height=23 width=100 align=center>企业补充</TD>
<TD style="CURSOR: default; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " height=23 width=119 align=center><SPAN id=4B54787E-6348-1A9C-9408-7F7BBE6DDD52 class=Emr_hdy wattype="static" watid="4B54787E-6348-1A9C-9408-7F7BBE6DDD52" watvalue="QYBC" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$QYBC$</SPAN></TD>
<TD style="CURSOR: default; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " rowSpan=3 width=119 align=center><STRONG>个人支付</STRONG></TD>
<TD style="CURSOR: default; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " height=23 rowSpan=2 width=119 align=center>个人账户支付</TD>
<TD style="CURSOR: default; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " height=23 rowSpan=2 width=141 align=center><SPAN id=A4D83F26-FB62-8748-1B56-302BC868EA6C class=Emr_hdy wattype="static" watid="A4D83F26-FB62-8748-1B56-302BC868EA6C" watvalue="ACCT_PAY" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$ACCT_PAY$</SPAN></TD></TR>
<TR style="HEIGHT: 23px">
<TD style="CURSOR: default; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " height=23 width=100 align=center>商业保险</TD>
<TD style="CURSOR: default; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " height=23 width=119 align=center></TD></TR>
<TR style="HEIGHT: 23px">
<TD style="CURSOR: default; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " height=23 width=100 align=center>......</TD>
<TD style="CURSOR: default; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " height=23 width=119 align=center><SPAN id=6D84487F-3E43-E18C-7044-6834374C9B52 class=Emr_hdy wattype="static" watid="6D84487F-3E43-E18C-7044-6834374C9B52" watvalue="QTZC" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$QTZC$</SPAN></TD>
<TD style="CURSOR: default; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " width=119 align=center>个人现金支付</TD>
<TD style="CURSOR: default; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " height=23 width=141 align=center><SPAN id=8CBD0BCD-FBBE-CFEB-29C8-5E36699FA626 class=Emr_hdy wattype="static" watid="8CBD0BCD-FBBE-CFEB-29C8-5E36699FA626" watvalue="PSN_CASHPAY" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$PSN_CASHPAY$</SPAN></TD></TR>
<TR>
<TD style="CURSOR: default" width=727 colSpan=6>医保支付方式 [<SPAN id=BF206FEC-0729-4626-240B-1AB20C2A4020 class=Emr_hdy wattype="static" watid="BF206FEC-0729-4626-240B-1AB20C2A4020" watvalue="YBFS" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$YBFS$</SPAN>]1.按项目 2.单病种 3.按病种分值 4.疾病诊断相关分组(DRG) 5.按床日 6. 按人头...</TD></TR></TBODY></TABLE></DIV>
<P>定点医疗机构填报部门<U> <SPAN id=4EAF73FB-CC66-7688-4A48-2E95DBBF705A class=Emr_hdy wattype="static" watid="4EAF73FB-CC66-7688-4A48-2E95DBBF705A" watvalue="MEDINS_FILL_DEPT" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$MEDINS_FILL_DEPT$</SPAN> </U> 医保经办机构<U> <SPAN id=A05B5F09-C6CF-84E8-281C-22967D239E03 class=Emr_hdy wattype="static" watid="A05B5F09-C6CF-84E8-281C-22967D239E03" watvalue="HSORG" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$HSORG$</SPAN> </U> 代码<U> <SPAN id=400DD07C-AB51-331E-6D31-F0C6D0B008C6 class=Emr_hdy wattype="static" watid="400DD07C-AB51-331E-6D31-F0C6D0B008C6" watvalue="JGCODE" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$JGCODE$</SPAN> </U> </P>
<P>定点医疗机构填报人<U> <SPAN id=68AC9A14-6497-1E77-ED3B-8128E849E9AC class=Emr_hdy wattype="static" watid="68AC9A14-6497-1E77-ED3B-8128E849E9AC" watvalue="MEDINS_FILL_PSN" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$MEDINS_FILL_PSN$</SPAN> </U> 医保机构经办人<U> <SPAN id=4ADEF7E1-62F6-7FB4-504C-34010D55E1CE class=Emr_hdy wattype="static" watid="4ADEF7E1-62F6-7FB4-504C-34010D55E1CE" watvalue="HSORG_OPTER" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$HSORG_OPTER$</SPAN> </U> 代码<U> <SPAN id=896CEC16-B985-DA6A-8AE2-0764FDA05A73 class=Emr_hdy wattype="static" watid="896CEC16-B985-DA6A-8AE2-0764FDA05A73" watvalue="JBRDM" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$JBRDM$</SPAN> </U> </P>
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