<div class="mock-title">
    <div class="mock-title-text">
        <span>病案号：969785500</span>
        <span>住院号：165390800</span>
    </div>
    <div class="mock-title-desc">
        患者姓名：<span>章*泉</span>
        出院科室：<span>--</span>
        住院医师：<span>黄*</span>
    </div>
</div>
<div class="mock-content">
    <div class="mock-info">
        <div class="mock-info-inner">
            <div class="layui-row title-code-name">
                <div class="layui-col-xs12 layui-col-sm12 layui-col-md12">
                    <span class="layui-col-title">AH19气管切开伴呼吸机支持≥96小时或ECMO</span>
                </div>
            </div>
            <div class="layui-row">
                <div class="layui-col-xs4 layui-col-sm4 layui-col-md4">
                    付费权重：<span class="layui-col-title">9.8</span>
                </div>
                <div class="layui-col-xs4 layui-col-sm4 layui-col-md4">
                    费率：<span class="layui-col-title">1</span>
                </div>
                <div class="layui-col-xs4 layui-col-sm4 layui-col-md4">
                    病例类型：<span class="layui-col-title">超60天住院病例</span>
                </div>
            </div>
            <div class="layui-row">
                <div class="layui-col-xs4 layui-col-sm4 layui-col-md4">
                    医疗总费用：<span class="layui-col-title">180160.7</span>
                </div>
                <div class="layui-col-xs4 layui-col-sm4 layui-col-md4">
                    结算费用：<span class="layui-col-title">180160.7</span>
                </div>
                <div class="layui-col-xs4 layui-col-sm4 layui-col-md4">
                    结余：<span class="layui-col-title">0</span>
                </div>
            </div>
        </div>
    </div>
    <div class="mock-drag">
        <div class="layui-row layui-col-space16">
            <div class="layui-col-xs6 layui-col-sm6 layui-col-md6">
                <div class="mock-drag-list">
                    <div id="simDiagnosis"></div>
                </div>
            </div>
            <div class="layui-col-xs6 layui-col-sm6 layui-col-md6">
                <div class="mock-drag-list"></div>
            </div>
        </div>
    </div>
</div>
<div class="mock-footer">
    <button type="button" class="layui-btn layui-btn-sm">进行模拟</button>
    <button type="button" class="layui-btn layui-btn-sm">关闭</button>
</div>