老年人能力评估系统web端#3

完成了网页前端的大体结构

<%--
  Created by IntelliJ IDEA.
  User: Administrator
  Date: 2024/12/9
  Time: 16:47
  To change this template use File | Settings | File Templates.
--%>
<%@ page contentType="text/html;charset=UTF-8" language="java" %>
<%@page isELIgnored="false" %>
<html>
<head>

    <title>登录</title>
</head>
<body>
<form action="/2025217/loginServlet" name="form" method="post">
<%--    <p>${login_msg} ${regist_msg}</p>--%>
    <p>身份证号<input type="text" name="id" id="id"></p>
    <p>密码<input type="password" name="password" id="password"></p>

    <input type="submit" class="button" value="登录">
    <a href="register.jsp" >注册</a>
</form>
</body>
</html>
<%@ taglib prefix="c" uri="http://java.sun.com/jsp/jstl/core" %>
<%--
  Created by IntelliJ IDEA.
  User: Administrator
  Date: 2024/12/9
  Time: 17:51
  To change this template use File | Settings | File Templates.
--%>
<%@ page contentType="text/html;charset=UTF-8" language="java" %>
<html>
<head>
    <title>主菜单</title>
</head>
<body>
    <h2>主菜单</h2><hr>
    <a href="assessment.jsp">填写评估基本信息表</a><br>
    <a href="info.jsp">填写被评估者的基本信息表 </a><br>
    <a href="iprovider.jsp">填写信息提供者及联系人信息表 </a><br>
    <a href="daily.jsp">填写日常生活活动评估表 </a><br>
    <a href="mental.jsp">填写精神状态评估表 </a><br>
    <a href="sensory.jsp">填写感知觉与沟通评估表 </a><br>
    <a href="addSocial.jsp">填写社会参与评估表 </a><br>
    <a href="">查看老年人能力评估报告 </a><br>
<br>
</body>
</html>
<%@ page contentType="text/html;charset=UTF-8" language="java" %>
<%@page isELIgnored="false" %>
<!DOCTYPE html>
<html>
<head>
    <meta charset="UTF-8">
    <title>录入社会功能信息</title>
</head>
<body>
<h2>录入社会功能信息</h2>
<form action="addSocial" method="post">
<%--    <label for="id">ID:</label>--%>
<%--    <input type="text" id="id" name="id" required><br><br>--%>
<%--    <input type="hidden" id="id" name="id" value="${user.id}" required><br><br>--%>
    <input type="hidden" id="id" name="id" value="123456789123456789" required><br><br>

    <label for="life_ability">生活能力:</label>
    <select id="life_ability" name="life_ability" required>
        <option value="0">能料理家务</option>
        <option value="1">能做家务但欠好</option>
        <option value="2">能自理生活,但家务欠缺</option>
        <option value="3">基本生活事务能自理</option>
        <option value="4">需帮助</option>
    </select><br><br>

    <label for="work_ability">工作能力:</label>
    <select id="work_ability" name="work_ability" required>
        <option value="0">能照常进行脑力或体力工作</option>
        <option value="1">工作能力有所下降</option>
        <option value="2">工作能力明显下降</option>
        <option value="3">技能仅保留片段</option>
        <option value="4">技能完全磨灭</option>
    </select><br><br>

    <label for="time_space_orientation">时间/空间定向:</label>
    <select id="time_space_orientation" name="time_space_orientation" required>
        <option value="0">时间观念清楚,可单独出远门</option>
        <option value="1">时间观念轻微下降</option>
        <option value="2">时间观念较差</option>
        <option value="3">时间观念很差</option>
        <option value="4">无时间观念</option>
    </select><br><br>

    <label for="person_orientation">人物定向:</label>
    <select id="person_orientation" name="person_orientation" required>
        <option value="0">知道周围人关系,能辨别陌生人的年龄和身份</option>
        <option value="1">只知家中亲密亲人的关系</option>
        <option value="2">只能称呼家人</option>
        <option value="3">只能认识常住亲人</option>
        <option value="4">只认识保护人</option>
    </select><br><br>

    <label for="social_interaction_ability">社会交往能力:</label>
    <select id="social_interaction_ability" name="social_interaction_ability" required>
        <option value="0">能适应社会环境</option>
        <option value="1">能适应单纯环境</option>
        <option value="2">脱离社会</option>
        <option value="3">勉强交往</option>
        <option value="4">难以接触他人</option>
    </select><br><br>

    <label for="total_score">社会参与总分:</label>
    <input type="number" id="total_score" name="total_score" required><br><br>

    <label for="participation_level">参与水平:</label>
    <select id="participation_level" name="participation_level" required>
        <option value="0">能力完好</option>
        <option value="1">轻度受损</option>
        <option value="2">中度受损</option>
        <option value="3">重度受损</option>
    </select><br><br>

    <input type="submit" value="提交">
</form>
</body>
</html>
<%@ page contentType="text/html;charset=UTF-8" language="java" %>
<%@page isELIgnored="false" %>
<!DOCTYPE html>
<html lang="en">
<head>
  <meta charset="UTF-8">
  <meta name="viewport" content="width=device-width, initial-scale=1.0">
  <title>评估基本信息</title>
</head>
<body>
<h2>评估基本信息</h2>
<form action="assessmentServlet" method="post">
  <label for="id">评估编号:</label>
  <input type="text" id="id" name="id" required /><br><br>

  <label for="date">日期:</label>
  <input type="date" id="date" name="date" required><br><br>

  <label for="reason">评估原因:</label>
  <select id="reason" name="reason" required>
    <option value="1">接受服务前初评</option>
    <option value="2">接受服务后的常规评估</option>
    <option value="3">状况发生变化后的即时评估</option>
    <option value="4">因评估结果有疑问进行的复评</option>
  </select><br><br>

  <input type="submit" value="提交" />
</form>
</body>
</html>
<%@ page contentType="text/html;charset=UTF-8" language="java" %>
<%@page isELIgnored="false" %>
<!DOCTYPE html>
<html>
<head>
  <meta charset="UTF-8">
  <title>日常生活信息</title>
</head>
<body>
<h2>日常生活信息</h2>
<form action="addDaily" method="post">
<%--  <input type="hidden" id="id" name="id" value="${user.id}" required><br><br>--%>
  <input type="hidden" id="id" name="id" value="123456789123456789" required><br><br>

  <label for="eating">进食:</label>
  <select id="eating" name="eating" required>
    <option value="10">可独立进食</option>
    <option value="5">需部分帮助</option>
    <option value="0">需极大帮助或完全依赖他人</option>
  </select><br><br>

  <label for="bathing">洗澡:</label>
  <select id="bathing" name="bathing" required>
    <option value="5">可独立完成</option>
    <option value="0">需他人帮助</option>
  </select><br><br>

  <label for="grooming">打理仪表:</label>
  <select id="grooming" name="grooming" required>
    <option value="5">可独立完成</option>
    <option value="0">需他人帮助</option>
  </select><br><br>

  <label for="dressing">穿衣:</label>
  <select id="dressing" name="dressing" required>
    <option value="10">可独立完成</option>
    <option value="5">需部分帮助</option>
    <option value="0">需极大帮助或完全依赖他人</option>
  </select><br><br>

  <label for="bowel_control">排便控制:</label>
  <select id="bowel_control" name="bowel_control" required>
    <option value="10">可控制大便</option>
    <option value="5">偶尔失控</option>
    <option value="0">完全失控</option>
  </select><br><br>

  <label for="bladder_control">排尿控制:</label>
  <select id="bladder_control" name="bladder_control" required>
    <option value="10">可控制小便</option>
    <option value="5">偶尔失控</option>
    <option value="0">完全失控或留置导尿管</option>
  </select><br><br>

  <label for="toileting">如厕:</label>
  <select id="toileting" name="toileting" required>
    <option value="10">可独立完成</option>
    <option value="5">需部分帮助</option>
    <option value="0">需极大帮助或完全依赖他人</option>
  </select><br><br>

  <label for="bed_chair_transfer">床椅转移:</label>
  <select id="bed_chair_transfer" name="bed_chair_transfer" required>
    <option value="15">可独立完成</option>
    <option value="10">需部分帮助</option>
    <option value="5">需极大帮助</option>
    <option value="0">完全依赖他人</option>
  </select><br><br>

  <label for="walking">行走:</label>
  <select id="walking" name="walking" required>
    <option value="15">可独立行走</option>
    <option value="10">需部分帮助</option>
    <option value="5">需极大帮助</option>
    <option value="0">完全依赖他人</option>
  </select><br><br>

  <label for="stairs">上下楼梯:</label>
  <select id="stairs" name="stairs" required>
    <option value="10">可独立完成</option>
    <option value="5">需部分帮助</option>
    <option value="0">需极大帮助或完全依赖他人</option>
  </select><br><br>

  <label for="total_score">总分:</label>
  <input type="text" id="total_score" name="total_score" readonly><br><br>

  <label for="activity_level">活动水平:</label>
  <select id="activity_level" name="activity_level" required>
    <option value="0">能力完好</option>
    <option value="1">轻度受损</option>
    <option value="2">中度受损</option>
    <option value="3">重度受损</option>
  </select><br><br>

  <input type="submit" value="提交">
</form>
</body>
</html>
<%@ page contentType="text/html;charset=UTF-8" language="java" %>
<%@page isELIgnored="false" %>
<!DOCTYPE html>
<html lang="zh">
<head>
  <meta charset="UTF-8">
  <meta name="viewport" content="width=device-width, initial-scale=1.0">
  <title>信息录入</title>
</head>
<body>
<h2>信息录入表单</h2>
<form action="InfoServlet" method="post">
  <%--@declare id="economic_source"--%><%--@declare id="medical_payment_methods"--%>
<%--  <input type="hidden" id="id" name="id" value="${user.id}" required><br><br>--%>
    <input type="hidden" id="id" name="id" value="123456789123456789" required><br><br>

  <label for="social_security_card">社会保障卡:</label>
  <input type="text" id="social_security_card" name="social_security_card" maxlength="50" required><br><br>

  <label for="ethnicity">民族:</label>
  <select id="ethnicity" name="ethnicity" required>
    <option value="0">汉族</option>
    <option value="1">少数民族</option>
  </select><br><br>

  <label for="education_level">学历:</label>
  <select id="education_level" name="education_level" required>
    <option value="0">文盲</option>
    <option value="1">小学</option>
    <option value="2">初中</option>
    <option value="3">高中/技校/中专</option>
    <option value="4">大学专科及以上</option>
    <option value="5">不详</option>
  </select><br><br>

  <label for="religion">宗教:</label>
  <select id="religion" name="religion" required>
    <option value="0">无</option>
    <option value="1">有</option>
  </select><br><br>

  <label for="marital_status">婚姻状况:</label>
  <select id="marital_status" name="marital_status" required>
    <option value="1">未婚</option>
    <option value="2">已婚</option>
    <option value="3">丧偶</option>
    <option value="4">离婚</option>
    <option value="5">未说明的婚姻状况</option>
  </select><br><br>

  <label for="living_condition">生活状况:</label>
  <select id="living_condition" name="living_condition" required>
    <option value="0">独居</option>
    <option value="1">与配偶/伴侣居住</option>
    <option value="2">与子女居住</option>
    <option value="3">与父母居住</option>
    <option value="4">与兄弟姐妹居住</option>
    <option value="5">与其他亲属居住</option>
    <option value="6">与非亲属关系的人居住</option>
    <option value="7">养老机构</option>
  </select><br><br>

  <label for="medical_payment_methods">医疗支付方式:</label><br>
  <input type="checkbox" name="medical_payment_methods" value="0"> 城镇职工基本医疗保险<br>
  <input type="checkbox" name="medical_payment_methods" value="1"> 城镇居民基本医疗保险<br>
  <input type="checkbox" name="medical_payment_methods" value="2"> 新型农村合作医疗<br>
  <input type="checkbox" name="medical_payment_methods" value="3"> 贫困救助<br>
  <input type="checkbox" name="medical_payment_methods" value="4"> 商业医疗保险<br>
  <input type="checkbox" name="medical_payment_methods" value="5"> 全公费<br>
  <input type="checkbox" name="medical_payment_methods" value="6"> 全自费<br>
  <input type="checkbox" name="medical_payment_methods" value="7"> 其他<br><br>

  <label for="economic_source">经济来源:</label><br>
  <input type="checkbox" name="economic_source" value="0"> 退休金/养老金<br>
  <input type="checkbox" name="economic_source" value="1"> 子女补贴<br>
  <input type="checkbox" name="economic_source" value="2"> 亲友资助<br>
  <input type="checkbox" name="economic_source" value="3"> 其他补贴<br><br>

  <label for="dementia">痴呆症:</label>
  <select id="dementia" name="dementia" required>
    <option value="0">无</option>
    <option value="1">轻度</option>
    <option value="2">中度</option>
    <option value="3">重度</option>
  </select><br><br>

  <label for="psychiatric_disorder">精神障碍:</label>
  <select id="psychiatric_disorder" name="psychiatric_disorder" required>
    <option value="0">无</option>
    <option value="1">精神分裂症</option>
    <option value="2">双相情感障碍</option>
    <option value="3">偏执性精神障碍</option>
    <option value="4">分裂情感性障碍</option>
    <option value="5">癫痫所致精神障碍</option>
    <option value="6">精神发育迟滞伴发精神障碍</option>
  </select><br><br>

  <label for="chronic_diseases">慢性病:</label><br>
  <textarea id="chronic_diseases" name="chronic_diseases"></textarea><br><br>

  <label for="fall">跌倒:</label>
  <select id="fall" name="fall" required>
    <option value="0">无</option>
    <option value="1">发生过1次</option>
    <option value="2">发生过2次</option>
    <option value="3">发生过3次及以上</option>
  </select><br><br>

  <label for="wandering">徘徊:</label>
  <select id="wandering" name="wandering" required>
    <option value="0">无</option>
    <option value="1">发生过1次</option>
    <option value="2">发生过2次</option>
    <option value="3">发生过3次及以上</option>
  </select><br><br>

  <label for="choking">窒息:</label>
  <select id="choking" name="choking" required>
    <option value="0">无</option>
    <option value="1">发生过1次</option>
    <option value="2">发生过2次</option>
    <option value="3">发生过3次及以上</option>
  </select><br><br>

  <label for="suicide_attempt">自杀尝试:</label>
  <select id="suicide_attempt" name="suicide_attempt" required>
    <option value="0">无</option>
    <option value="1">发生过1次</option>
    <option value="2">发生过2次</option>
    <option value="3">发生过3次及以上</option>
  </select><br><br>

  <label for="other_incidents">其他事件:</label><br>
  <textarea id="other_incidents" name="other_incidents"></textarea><br><br>

  <button type="submit">提交</button>
</form>
</body>
</html>
<%@ page contentType="text/html;charset=UTF-8" language="java" %>
<%@page isELIgnored="false" %>
<!DOCTYPE html>
<html lang="zh">
<head>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<title>信息录入</title>
</head>
<body>
<h2>信息录入表单</h2>
<form action="InfoServlet" method="post">
<%--@declare id="economic_source"--%><%--@declare id="medical_payment_methods"--%>
<%--  <input type="hidden" id="id" name="id" value="${user.id}" required><br><br>--%>
<input type="hidden" id="id" name="id" value="123456789123456789" required><br><br>

<label for="social_security_card">社会保障卡:</label>
<input type="text" id="social_security_card" name="social_security_card" maxlength="50" required><br><br>

<label for="ethnicity">民族:</label>
<select id="ethnicity" name="ethnicity" required>
<option value="0">汉族</option>
<option value="1">少数民族</option>
</select><br><br>

<label for="education_level">学历:</label>
<select id="education_level" name="education_level" required>
<option value="0">文盲</option>
<option value="1">小学</option>
<option value="2">初中</option>
<option value="3">高中/技校/中专</option>
<option value="4">大学专科及以上</option>
<option value="5">不详</option>
</select><br><br>

<label for="religion">宗教:</label>
<select id="religion" name="religion" required>
<option value="0">无</option>
<option value="1">有</option>
</select><br><br>

<label for="marital_status">婚姻状况:</label>
<select id="marital_status" name="marital_status" required>
<option value="1">未婚</option>
<option value="2">已婚</option>
<option value="3">丧偶</option>
<option value="4">离婚</option>
<option value="5">未说明的婚姻状况</option>
</select><br><br>

<label for="living_condition">生活状况:</label>
<select id="living_condition" name="living_condition" required>
<option value="0">独居</option>
<option value="1">与配偶/伴侣居住</option>
<option value="2">与子女居住</option>
<option value="3">与父母居住</option>
<option value="4">与兄弟姐妹居住</option>
<option value="5">与其他亲属居住</option>
<option value="6">与非亲属关系的人居住</option>
<option value="7">养老机构</option>
</select><br><br>

<label for="medical_payment_methods">医疗支付方式:</label><br>
<input type="checkbox" name="medical_payment_methods" value="0"> 城镇职工基本医疗保险<br>
<input type="checkbox" name="medical_payment_methods" value="1"> 城镇居民基本医疗保险<br>
<input type="checkbox" name="medical_payment_methods" value="2"> 新型农村合作医疗<br>
<input type="checkbox" name="medical_payment_methods" value="3"> 贫困救助<br>
<input type="checkbox" name="medical_payment_methods" value="4"> 商业医疗保险<br>
<input type="checkbox" name="medical_payment_methods" value="5"> 全公费<br>
<input type="checkbox" name="medical_payment_methods" value="6"> 全自费<br>
<input type="checkbox" name="medical_payment_methods" value="7"> 其他<br><br>

<label for="economic_source">经济来源:</label><br>
<input type="checkbox" name="economic_source" value="0"> 退休金/养老金<br>
<input type="checkbox" name="economic_source" value="1"> 子女补贴<br>
<input type="checkbox" name="economic_source" value="2"> 亲友资助<br>
<input type="checkbox" name="economic_source" value="3"> 其他补贴<br><br>

<label for="dementia">痴呆症:</label>
<select id="dementia" name="dementia" required>
<option value="0">无</option>
<option value="1">轻度</option>
<option value="2">中度</option>
<option value="3">重度</option>
</select><br><br>

<label for="psychiatric_disorder">精神障碍:</label>
<select id="psychiatric_disorder" name="psychiatric_disorder" required>
<option value="0">无</option>
<option value="1">精神分裂症</option>
<option value="2">双相情感障碍</option>
<option value="3">偏执性精神障碍</option>
<option value="4">分裂情感性障碍</option>
<option value="5">癫痫所致精神障碍</option>
<option value="6">精神发育迟滞伴发精神障碍</option>
</select><br><br>

<label for="chronic_diseases">慢性病:</label><br>
<textarea id="chronic_diseases" name="chronic_diseases"></
<%@ page contentType="text/html;charset=UTF-8" language="java" %>
<%@page isELIgnored="false" %>
<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<title>InfoProvider Form</title>
</head>
<body>
<h2>信息提供者及联系人信息</h2>
<form action="InfoProviderServlet" method="post">
<%--  <input type="hidden" id="id" name="id" value="${user.id}" required><br><br>--%>
<input type="hidden" id="id" name="id" value="123456789123456789" required><br><br>

<label for="provider_name">信息提供者的姓名:</label>
<input type="text" id="provider_name" name="provider_name" required /><br><br>

<label for="relationship">关系:</label>
<select id="relationship" name="relationship" required>
<option value="1">配偶</option>
<option value="2">子女</option>
<option value="3">其他亲属</option>
<option value="4">雇佣照顾者</option>
<option value="5">其他</option>
</select><br><br>

<label for="other_relationship">其他关系(如果选择“其他”时填写):</label>
<input type="text" id="other_relationship" name="other_relationship" /><br><br>

<label for="name">联系人姓名:</label>
<input type="text" id="name" name="name" required /><br><br>

<label for="phone">联系人电话:</label>
<input type="text" id="phone" name="phone" required /><br><br>

<input type="submit" value="提交" />
</form>
</body>
</html>
<%@ page contentType="text/html;charset=UTF-8" language="java" %>
<%@page isELIgnored="false" %>
<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<title>精神健康评估</title>
</head>
<body>
<h2>精神健康评估信息</h2>
<form action="mentalServlet" method="post">
<input type="hidden" id="id" name="id" value="${user.id}" required><br><br>

<label for="clock_test">画钟测验:</label>
<select id="clock_test" name="clock_test" required>
<option value="0">画钟正确</option>
<option value="1">画钟错误</option>
<option value="2">已确诊为认知障碍</option>
</select><br><br>

<label for="recall_words">回忆词语:</label>
<select id="recall_words" name="recall_words" required>
<option value="0">能回忆出2-3个词</option>
<option value="1">回忆出0-1个词</option>
<option value="2">已确诊为认知障碍</option>
</select><br><br>

<label for="aggression_behavior">攻击行为:</label>
<select id="aggression_behavior" name="aggression_behavior" required>
<option value="0">无攻击行为</option>
<option value="1">偶尔攻击</option>
<option value="2">频繁攻击</option>
</select><br><br>

<label for="depression_symptoms">抑郁症状:</label>
<select id="depression_symptoms" name="depression_symptoms" required>
<option value="0">无症状</option>
<option value="1">轻度抑郁</option>
<option value="2">自杀念头或自杀行为</option>
</select><br><br>

<label for="total_score">精神状态总分:</label>
<input type="number" id="total_score" name="total_score" required /><br><br>

<label for="mental_state_level">精神状态分级:</label>
<select id="mental_state_level" name="mental_state_level" required>
<option value="0">能力完好</option>
<option value="1">轻度受损</option>
<option value="2">中度受损</option>
<option value="3">重度受损</option>
</select><br><br>

<input type="submit" value="提交" />
</form>
</body>
</html>
posted @ 2025-02-19 20:41  花落水无痕  阅读(16)  评论(0)    收藏  举报