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114 lines
4.2 KiB
114 lines
4.2 KiB
<view class="xqbox">
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<!-- 表单内容 -->
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<scroll-view class="page-content" scroll-y>
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<form bindsubmit="submitForm">
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<!-- 牲畜类型 -->
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<view class="form-section">
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<view class="section-header">
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<view class="section-title">
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<text>牲畜类型</text>
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</view>
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<text class="section-required">必填</text>
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</view>
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<input class="form-input" name="petType" placeholder="请输入牲畜品种（如：山羊、奶牛）" value="{{formData.animalType}}" bindinput="onPetTypeInput" maxlength="20" />
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</view>
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<!-- 牲畜信息 -->
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<view class="form-section">
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<view class="section-header">
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<view class="section-title">
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<text>牲畜信息</text>
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</view>
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<text class="section-required">必填</text>
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</view>
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<view class="info-grid">
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<!-- 年龄 -->
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<view class="info-item">
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<view class="item-label">
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<text>年龄</text>
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</view>
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<view class="item-input-wrapper">
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<input class="item-input" name="petAge" type="digit" placeholder="例如：3岁或者3个月" value="{{formData.animalAge}}" bindinput="onPetAgeInput" />
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</view>
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</view>
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<!-- 性别 -->
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<view class="info-item">
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<view class="item-label">
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<text>性别</text>
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</view>
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<view class="gender-buttons">
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<view class="gender-btn {{formData.animalGender === '公' ? 'active' : ''}}" data-value="公" bindtap="selectGender">
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<text>公</text>
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</view>
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<view class="gender-btn {{formData.animalGender === '母' ? 'active' : ''}}" data-value="母" bindtap="selectGender">
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<text>母</text>
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</view>
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</view>
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</view>
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</view>
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</view>
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<!-- 症状描述 -->
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<view class="form-section">
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<view class="section-header">
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<view class="section-title">
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<text>症状描述</text>
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</view>
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<text class="section-required">必填</text>
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</view>
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<view class="symptom-box">
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<textarea class="symptom-textarea" name="symptoms" placeholder="请详细描述宠物的症状，包括持续时间、频率、具体表现等..." value="{{formData.description}}" bindinput="onSymptomsInput" maxlength="500" auto-height />
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<view class="textarea-counter">
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<text>{{symptomsLength}}/500</text>
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</view>
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</view>
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</view>
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<!-- 图片上传 -->
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<view class="form-section">
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<view class="section-header">
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<view class="section-title">
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<text>上传图片</text>
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</view>
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<text class="section-optional">可选</text>
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</view>
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<view class="upload-tips">
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<text>最多可上传3张图片，用于帮助医生更直观了解病情</text>
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</view>
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<view class="image-upload-grid">
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<!-- 已上传图片 - 使用tempImages预览 -->
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<block wx:for="{{tempImages}}" wx:key="*this">
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<view class="image-preview">
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<image class="preview-image" src="{{item}}" mode="aspectFill" bindtap="previewImage" data-index="{{index}}"></image>
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<view class="remove-overlay" data-index="{{index}}" bindtap="removeImage">
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<image class="remove-icon" src="/pagesA/images/ch.png"></image>
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</view>
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</view>
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</block>
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<!-- 上传按钮 -->
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<view class="upload-btn" wx:if="{{tempImages.length < 3}}" bindtap="chooseImage">
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<view class="upload-icon-wrapper">
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<image class="upload-icon" src="/pagesA/images/jh.png"></image>
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</view>
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<text class="upload-text">上传图片</text>
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</view>
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</view>
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</view>
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<!-- 提交按钮 -->
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<view class="submit-section">
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<button class="submit-btn" type="primary" formType="submit" loading="{{isSubmitting}}" disabled="{{isSubmitting || !isFormValid}}">
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{{isSubmitting ? '提交中...' : '提交问诊单'}}
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</button>
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</view>
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</form>
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</scroll-view>
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</view>
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