PostpartumHealthCheckup42Days.json 18 KB

123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899100101102103104105106107108109110111112113114115116117118119120121122123124125126127128129130131132133134135136137138139140141142143144145146147148149150151152153154155156157158159160161162163164165166167168169170171172173174175176177178179180181182183184185186187188189190191192193194195196197198199200201202203204205206207208209210211212213214215216217218219220221222223224225226227228229230231232233234235236237238239240241242243244245246247248249250251252253254255256257258259260261262263264265266267268269270271272273274275276277278279280281282283284285286287288289290291292293294295296297298299300301302303304305306307308309310311312313314315316317318319320321322323324325326327328329330331332333334335336337338339340341342343344345346347348349350351352353354355356357358359360361362363364365366367368369370371372373374375376377378379380381382383384385386387388389390391392393394395396397398399400401402403404405406407408409410411412413414415416417418419420421422423424425426427428429430431432433434435436437438439440441442443444445446447448449450451452453454455456457458459460461462463464465466467468469470471472473474475476477478479480481482483484485486487488489490491492493494495496497498499500501502503504505506507508509510511512513514515516517518519520521522523524525526527528529530531532533534535536537538539540541542543544545546547548549550551552553554555556557558559560561562563564565566567568569570571572573574575576577578579580581582583584585586587588589590591592593594595596597598599600601602603604605606607608609610
  1. [
  2. {
  3. "label": "随访日期",
  4. "defaultValue": null,
  5. "span": 24,
  6. "key": "Form_Date",
  7. "type": "dateTime",
  8. "border": null,
  9. "disabledValue": null,
  10. "options": [],
  11. "children": null,
  12. "append": "",
  13. "placeholder": "",
  14. "required": null,
  15. "show-limit": false,
  16. "parentKey": null,
  17. "buttonName": null,
  18. "childrenKey": null
  19. },
  20. {
  21. "label": "分娩日期",
  22. "defaultValue": null,
  23. "span": 24,
  24. "key": "Delivery_Date",
  25. "type": "dateTime",
  26. "border": null,
  27. "disabledValue": null,
  28. "options": [],
  29. "children": null,
  30. "append": "",
  31. "placeholder": "",
  32. "required": null,
  33. "show-limit": false,
  34. "parentKey": null,
  35. "buttonName": null,
  36. "childrenKey": null
  37. },
  38. {
  39. "label": "出院日期",
  40. "defaultValue": null,
  41. "span": 24,
  42. "key": "Discharge_Date",
  43. "type": "dateTime",
  44. "border": null,
  45. "disabledValue": null,
  46. "options": [],
  47. "children": null,
  48. "append": "",
  49. "placeholder": "",
  50. "required": null,
  51. "show-limit": false,
  52. "parentKey": null,
  53. "buttonName": null,
  54. "childrenKey": null
  55. },
  56. {
  57. "label": "一般健康状况",
  58. "defaultValue": null,
  59. "span": 24,
  60. "key": "GeneralHealthCondition",
  61. "type": "input",
  62. "border": null,
  63. "disabledValue": null,
  64. "options": null,
  65. "children": null,
  66. "append": "",
  67. "placeholder": "",
  68. "required": null,
  69. "show-limit": false,
  70. "parentKey": null,
  71. "buttonName": null,
  72. "childrenKey": null
  73. },
  74. {
  75. "label": "一般心理状况",
  76. "defaultValue": null,
  77. "span": 24,
  78. "key": "MentalHealthStatus",
  79. "type": "input",
  80. "border": null,
  81. "disabledValue": null,
  82. "options": null,
  83. "children": null,
  84. "append": "",
  85. "placeholder": "",
  86. "required": null,
  87. "show-limit": false,
  88. "parentKey": null,
  89. "buttonName": null,
  90. "childrenKey": null
  91. },
  92. {
  93. "label": "血压",
  94. "defaultValue": null,
  95. "span": 24,
  96. "key": "BloodPressure",
  97. "type": "bloodPressure",
  98. "border": null,
  99. "disabledValue": null,
  100. "options": [],
  101. "children": null,
  102. "append": "mmHg",
  103. "placeholder": "",
  104. "required": null,
  105. "show-limit": false,
  106. "parentKey": null
  107. },
  108. {
  109. "label": "乳房",
  110. "defaultValue": null,
  111. "span": 24,
  112. "key": "Breasts",
  113. "type": "virtualTitle",
  114. "border": null,
  115. "disabledValue": null,
  116. "options": null,
  117. "children": [
  118. {
  119. "label": "未见异常",
  120. "defaultValue": null,
  121. "span": 12,
  122. "key": "Breasts_1",
  123. "type": "option",
  124. "border": null,
  125. "disabledValue": null,
  126. "options": [],
  127. "children": null,
  128. "append": "",
  129. "placeholder": "",
  130. "required": null,
  131. "show-limit": false,
  132. "parentKey": "Breasts",
  133. "buttonName": null,
  134. "childrenKey": null
  135. },
  136. {
  137. "label": "异常",
  138. "defaultValue": null,
  139. "span": 12,
  140. "key": "Breasts_2",
  141. "type": "input",
  142. "border": null,
  143. "disabledValue": null,
  144. "options": [],
  145. "children": null,
  146. "append": "",
  147. "placeholder": "",
  148. "required": null,
  149. "show-limit": false,
  150. "parentKey": "Breasts",
  151. "buttonName": null,
  152. "childrenKey": null
  153. }
  154. ],
  155. "append": "",
  156. "placeholder": "",
  157. "required": null,
  158. "show-limit": false,
  159. "parentKey": null
  160. },
  161. {
  162. "label": "恶露",
  163. "defaultValue": null,
  164. "span": 24,
  165. "key": "Lochia",
  166. "type": "virtualTitle",
  167. "border": null,
  168. "disabledValue": null,
  169. "options": null,
  170. "children": [
  171. {
  172. "label": "未见异常",
  173. "defaultValue": null,
  174. "span": 12,
  175. "key": "Lochia_1",
  176. "type": "option",
  177. "border": null,
  178. "disabledValue": null,
  179. "options": [],
  180. "children": null,
  181. "append": "",
  182. "placeholder": "",
  183. "required": null,
  184. "show-limit": false,
  185. "parentKey": "Lochia",
  186. "buttonName": null,
  187. "childrenKey": null
  188. },
  189. {
  190. "label": "异常",
  191. "defaultValue": null,
  192. "span": 12,
  193. "key": "Lochia_2",
  194. "type": "input",
  195. "border": null,
  196. "disabledValue": null,
  197. "options": [],
  198. "children": null,
  199. "append": "",
  200. "placeholder": "",
  201. "required": null,
  202. "show-limit": false,
  203. "parentKey": "Lochia",
  204. "buttonName": null,
  205. "childrenKey": null
  206. }
  207. ],
  208. "append": "",
  209. "placeholder": "",
  210. "required": null,
  211. "show-limit": false,
  212. "parentKey": null
  213. },
  214. {
  215. "label": "子宫",
  216. "defaultValue": null,
  217. "span": 24,
  218. "key": "Uterus",
  219. "type": "virtualTitle",
  220. "border": null,
  221. "disabledValue": null,
  222. "options": null,
  223. "children": [
  224. {
  225. "label": "未见异常",
  226. "defaultValue": null,
  227. "span": 12,
  228. "key": "Uterus_1",
  229. "type": "option",
  230. "border": null,
  231. "disabledValue": null,
  232. "options": [],
  233. "children": null,
  234. "append": "",
  235. "placeholder": "",
  236. "required": null,
  237. "show-limit": false,
  238. "parentKey": "Uterus",
  239. "buttonName": null,
  240. "childrenKey": null
  241. },
  242. {
  243. "label": "异常",
  244. "defaultValue": null,
  245. "span": 12,
  246. "key": "Uterus_2",
  247. "type": "input",
  248. "border": null,
  249. "disabledValue": null,
  250. "options": [],
  251. "children": null,
  252. "append": "",
  253. "placeholder": "",
  254. "required": null,
  255. "show-limit": false,
  256. "parentKey": "Uterus",
  257. "buttonName": null,
  258. "childrenKey": null
  259. }
  260. ],
  261. "append": "",
  262. "placeholder": "",
  263. "required": null,
  264. "show-limit": false,
  265. "parentKey": null
  266. },
  267. {
  268. "label": "伤口",
  269. "defaultValue": null,
  270. "span": 24,
  271. "key": "Wound",
  272. "type": "virtualTitle",
  273. "border": null,
  274. "disabledValue": null,
  275. "options": null,
  276. "children": [
  277. {
  278. "label": "未见异常",
  279. "defaultValue": null,
  280. "span": 12,
  281. "key": "Wound_1",
  282. "type": "option",
  283. "border": null,
  284. "disabledValue": null,
  285. "options": [],
  286. "children": null,
  287. "append": "",
  288. "placeholder": "",
  289. "required": null,
  290. "show-limit": false,
  291. "parentKey": "Wound",
  292. "buttonName": null,
  293. "childrenKey": null
  294. },
  295. {
  296. "label": "异常",
  297. "defaultValue": null,
  298. "span": 12,
  299. "key": "Wound_2",
  300. "type": "input",
  301. "border": null,
  302. "disabledValue": null,
  303. "options": [],
  304. "children": null,
  305. "append": "",
  306. "placeholder": "",
  307. "required": null,
  308. "show-limit": false,
  309. "parentKey": "Wound",
  310. "buttonName": null,
  311. "childrenKey": null
  312. }
  313. ],
  314. "append": "",
  315. "placeholder": "",
  316. "required": null,
  317. "show-limit": false,
  318. "parentKey": null
  319. },
  320. {
  321. "label": "其他",
  322. "defaultValue": null,
  323. "span": 12,
  324. "key": "Other",
  325. "type": "input",
  326. "border": null,
  327. "disabledValue": null,
  328. "options": [],
  329. "children": null,
  330. "append": "",
  331. "placeholder": "",
  332. "required": null,
  333. "show-limit": false,
  334. "parentKey": null,
  335. "buttonName": null,
  336. "childrenKey": null
  337. },
  338. {
  339. "label": "分类",
  340. "defaultValue": null,
  341. "span": 12,
  342. "key": "Classification",
  343. "type": "virtualTitle",
  344. "border": null,
  345. "disabledValue": null,
  346. "options": null,
  347. "children": [
  348. {
  349. "label": "未见异常",
  350. "defaultValue": null,
  351. "span": 12,
  352. "key": "Classification_1",
  353. "type": "option",
  354. "border": null,
  355. "disabledValue": null,
  356. "options": null,
  357. "children": null,
  358. "append": "",
  359. "placeholder": "",
  360. "required": false,
  361. "show-limit": false,
  362. "parentKey": "Classification",
  363. "buttonName": null,
  364. "childrenKey": null
  365. },
  366. {
  367. "label": "异常:",
  368. "defaultValue": null,
  369. "span": 12,
  370. "key": "Classification_2",
  371. "type": "input",
  372. "border": null,
  373. "disabledValue": null,
  374. "options": null,
  375. "children": null,
  376. "append": "",
  377. "placeholder": "",
  378. "required": false,
  379. "show-limit": false,
  380. "parentKey": "Classification",
  381. "buttonName": null,
  382. "childrenKey": null
  383. }
  384. ],
  385. "append": "",
  386. "placeholder": "",
  387. "required": null,
  388. "show-limit": false,
  389. "parentKey": null,
  390. "buttonName": null,
  391. "childrenKey": null
  392. },
  393. {
  394. "label": "指导",
  395. "defaultValue": null,
  396. "span": 24,
  397. "key": "Guidance",
  398. "type": "virtualTitle",
  399. "border": null,
  400. "disabledValue": null,
  401. "options": null,
  402. "children": [
  403. {
  404. "label": "心理保健",
  405. "defaultValue": null,
  406. "span": 12,
  407. "key": "Guidance_1",
  408. "type": "option",
  409. "border": null,
  410. "disabledValue": null,
  411. "options": null,
  412. "children": null,
  413. "append": "",
  414. "placeholder": "",
  415. "required": false,
  416. "show-limit": false,
  417. "parentKey": "Guidance",
  418. "buttonName": null,
  419. "childrenKey": null
  420. },
  421. {
  422. "label": "性保健与避孕",
  423. "defaultValue": null,
  424. "span": 12,
  425. "key": "Guidance_2",
  426. "type": "option",
  427. "border": null,
  428. "disabledValue": null,
  429. "options": null,
  430. "children": null,
  431. "append": "",
  432. "placeholder": "",
  433. "required": false,
  434. "show-limit": false,
  435. "parentKey": "Guidance",
  436. "buttonName": null,
  437. "childrenKey": null
  438. },
  439. {
  440. "label": "婴儿喂养",
  441. "defaultValue": null,
  442. "span": 12,
  443. "key": "Guidance_3",
  444. "type": "option",
  445. "border": null,
  446. "disabledValue": null,
  447. "options": null,
  448. "children": null,
  449. "append": "",
  450. "placeholder": "",
  451. "required": false,
  452. "show-limit": false,
  453. "parentKey": "Guidance",
  454. "buttonName": null,
  455. "childrenKey": null
  456. },
  457. {
  458. "label": "产妇营养",
  459. "defaultValue": null,
  460. "span": 12,
  461. "key": "Guidance_4",
  462. "type": "option",
  463. "border": null,
  464. "disabledValue": null,
  465. "options": null,
  466. "children": null,
  467. "append": "",
  468. "placeholder": "",
  469. "required": false,
  470. "show-limit": false,
  471. "parentKey": "Guidance",
  472. "buttonName": null,
  473. "childrenKey": null
  474. },
  475. {
  476. "label": "其他",
  477. "defaultValue": null,
  478. "span": 12,
  479. "key": "Guidance_Other",
  480. "type": "input",
  481. "border": null,
  482. "disabledValue": null,
  483. "options": null,
  484. "children": null,
  485. "append": "",
  486. "placeholder": "",
  487. "required": false,
  488. "show-limit": false,
  489. "parentKey": "Guidance",
  490. "buttonName": null,
  491. "childrenKey": null
  492. }
  493. ],
  494. "append": "",
  495. "placeholder": "",
  496. "required": null,
  497. "show-limit": false,
  498. "parentKey": null
  499. },
  500. {
  501. "label": "处理",
  502. "defaultValue": null,
  503. "span": 12,
  504. "key": "Processing",
  505. "type": "virtualTitle",
  506. "border": null,
  507. "disabledValue": null,
  508. "options": null,
  509. "children": [
  510. {
  511. "label": "结案",
  512. "defaultValue": null,
  513. "span": 12,
  514. "key": "Processing_1",
  515. "type": "option",
  516. "border": null,
  517. "disabledValue": null,
  518. "options": null,
  519. "children": null,
  520. "append": "",
  521. "placeholder": "",
  522. "required": false,
  523. "show-limit": false,
  524. "parentKey": "Processing",
  525. "buttonName": null,
  526. "childrenKey": null
  527. },
  528. {
  529. "label": "转诊",
  530. "defaultValue": null,
  531. "span": 12,
  532. "key": "Referral",
  533. "type": "virtualTitle",
  534. "border": null,
  535. "disabledValue": null,
  536. "options": null,
  537. "children": [
  538. {
  539. "label": "原因",
  540. "defaultValue": null,
  541. "span": 12,
  542. "key": "Reason_For_Referral",
  543. "type": "input",
  544. "border": null,
  545. "disabledValue": null,
  546. "options": null,
  547. "children": null,
  548. "append": "",
  549. "placeholder": "",
  550. "required": false,
  551. "show-limit": false,
  552. "parentKey": "Referral",
  553. "buttonName": null,
  554. "childrenKey": null
  555. },
  556. {
  557. "label": "机构及科室",
  558. "defaultValue": null,
  559. "span": 12,
  560. "key": "Institution_And_Department",
  561. "type": "input",
  562. "border": null,
  563. "disabledValue": null,
  564. "options": null,
  565. "children": null,
  566. "append": "",
  567. "placeholder": "",
  568. "required": false,
  569. "show-limit": false,
  570. "parentKey": "Referral",
  571. "buttonName": null,
  572. "childrenKey": null
  573. }
  574. ],
  575. "append": "",
  576. "placeholder": "",
  577. "required": false,
  578. "show-limit": false,
  579. "parentKey": "Processing",
  580. "buttonName": null,
  581. "childrenKey": null
  582. }
  583. ],
  584. "append": "",
  585. "placeholder": "",
  586. "required": false,
  587. "show-limit": false,
  588. "parentKey": null,
  589. "buttonName": null,
  590. "childrenKey": null
  591. },
  592. {
  593. "label": "随访医生签名",
  594. "defaultValue": null,
  595. "span": 12,
  596. "key": "Follow_up_Physician_Signature",
  597. "type": "signature",
  598. "border": null,
  599. "disabledValue": null,
  600. "options": null,
  601. "children": null,
  602. "append": "",
  603. "placeholder": "",
  604. "required": false,
  605. "show-limit": false,
  606. "parentKey": null,
  607. "buttonName": null,
  608. "childrenKey": null
  609. }
  610. ]