VitalApp/assets/templates/GXY.json

{
    "Key": "GXY",
    "Name": "高血压",
    "Content": [
        {
            "label": "症状",
            "defaultValue": null,
            "span": 24,
            "key": "symptom",
            "type": "title",
            "border": null,
            "disabledValue": null,
            "options": [],
            "children": [
                {
                    "label": "症状",
                    "defaultValue": [],
                    "span": 24,
                    "key": "Symptom",
                    "type": "checkbox",
                    "border": false,
                    "disabledValue": "1",
                    "options": [
                        {
                            "label": "无症状",
                            "value": "1"
                        },
                        {
                            "label": "头痛头晕",
                            "value": "2"
                        },
                        {
                            "label": "恶心呕吐",
                            "value": "3"
                        },
                        {
                            "label": "眼花耳鸣",
                            "value": "4"
                        },
                        {
                            "label": "呼吸困难",
                            "value": "5"
                        },
                        {
                            "label": "心悸胸闷",
                            "value": "6"
                        },
                        {
                            "label": "鼻衄出血不止",
                            "value": "7"
                        },
                        {
                            "label": "四肢发麻",
                            "value": "8"
                        },
                        {
                            "label": "下肢水肿",
                            "value": "9"
                        },
                        {
                            "label": "其他",
                            "value": "10"
                        }
                    ],
                    "children": null,
                    "append": null,
                    "placeholder": null,
                    "required": true,
                    "show-limit": null,
                    "parentKey": "symptom",
                    "buttonName": null,
                    "childrenKey": null
                }
            ],
            "append": null,
            "placeholder": null,
            "required": null,
            "show-limit": null,
            "parentKey": null,
            "buttonName": null,
            "childrenKey": null
        },
        {
            "label": "体征",
            "defaultValue": null,
            "span": 24,
            "key": "sign",
            "type": "title",
            "border": null,
            "disabledValue": null,
            "options": [],
            "children": [
                {
                    "label": "血压",
                    "defaultValue": null,
                    "span": 24,
                    "key": "Blood",
                    "type": "bloodPressure",
                    "border": null,
                    "disabledValue": null,
                    "options": [],
                    "children": null,
                    "append": "mmHg",
                    "placeholder": "",
                    "required": true,
                    "show-limit": false,
                    "parentKey": "sign",
                    "buttonName": "测量",
                    "childrenKey": [
                        "Sbp",
                        "Dbp"
                    ]
                },
                {
                    "label": "身高",
                    "defaultValue": null,
                    "span": 12,
                    "key": "Height",
                    "type": "input",
                    "border": null,
                    "disabledValue": null,
                    "options": [],
                    "children": null,
                    "append": "cm",
                    "placeholder": "",
                    "required": true,
                    "show-limit": false,
                    "parentKey": "sign",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "心率",
                    "defaultValue": null,
                    "span": 12,
                    "key": "Heart_Rate",
                    "type": "input",
                    "border": null,
                    "disabledValue": null,
                    "options": [],
                    "children": null,
                    "append": "次/分钟",
                    "placeholder": "",
                    "required": true,
                    "show-limit": false,
                    "parentKey": "sign",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "体重",
                    "defaultValue": null,
                    "span": 12,
                    "key": "Weight",
                    "type": "input",
                    "border": null,
                    "disabledValue": null,
                    "options": [],
                    "children": null,
                    "append": "kg",
                    "placeholder": "",
                    "required": true,
                    "show-limit": false,
                    "parentKey": "sign",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "下次随访目标",
                    "defaultValue": null,
                    "span": 12,
                    "key": "Weight_Next",
                    "type": "input",
                    "border": null,
                    "disabledValue": null,
                    "options": [],
                    "children": null,
                    "append": "kg",
                    "placeholder": "",
                    "required": null,
                    "show-limit": false,
                    "parentKey": "sign",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "体质指数",
                    "defaultValue": null,
                    "span": 12,
                    "key": "Bmi",
                    "type": "input",
                    "border": null,
                    "disabledValue": null,
                    "options": [],
                    "children": null,
                    "append": "kg/㎡",
                    "placeholder": "",
                    "required": null,
                    "show-limit": false,
                    "parentKey": "sign",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "下次随访目标",
                    "defaultValue": null,
                    "span": 12,
                    "key": "Bmi_Next",
                    "type": "input",
                    "border": null,
                    "disabledValue": null,
                    "options": [],
                    "children": null,
                    "append": "kg/㎡",
                    "placeholder": "",
                    "required": null,
                    "show-limit": false,
                    "parentKey": "sign",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "其他",
                    "defaultValue": null,
                    "span": 24,
                    "key": "Sign_Other",
                    "type": "input",
                    "border": null,
                    "disabledValue": null,
                    "options": [],
                    "children": null,
                    "append": "",
                    "placeholder": "",
                    "required": null,
                    "show-limit": false,
                    "parentKey": "sign",
                    "buttonName": null,
                    "childrenKey": null
                }
            ],
            "append": null,
            "placeholder": null,
            "required": null,
            "show-limit": null,
            "parentKey": null,
            "buttonName": null,
            "childrenKey": null
        },
        {
            "label": "生活方式指导",
            "defaultValue": null,
            "span": 24,
            "key": "lifestyleCoachingAndAssistedExamination",
            "type": "title",
            "border": null,
            "disabledValue": null,
            "options": [],
            "children": [
                {
                    "label": "日吸烟量",
                    "defaultValue": null,
                    "span": 12,
                    "key": "Smoking_Daily",
                    "type": "input",
                    "border": null,
                    "disabledValue": null,
                    "options": [],
                    "children": null,
                    "append": "支",
                    "placeholder": "",
                    "required": true,
                    "show-limit": false,
                    "parentKey": "lifestyleCoachingAndAssistedExamination",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "下次随访目标",
                    "defaultValue": null,
                    "span": 12,
                    "key": "Goal_Smoking",
                    "type": "input",
                    "border": null,
                    "disabledValue": null,
                    "options": [],
                    "children": null,
                    "append": "支",
                    "placeholder": "",
                    "required": null,
                    "show-limit": false,
                    "parentKey": "lifestyleCoachingAndAssistedExamination",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "日饮酒量",
                    "defaultValue": null,
                    "span": 12,
                    "key": "Drinking_Daily",
                    "type": "input",
                    "border": null,
                    "disabledValue": null,
                    "options": [],
                    "children": null,
                    "append": "两",
                    "placeholder": "",
                    "required": true,
                    "show-limit": false,
                    "parentKey": "lifestyleCoachingAndAssistedExamination",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "下次随访目标",
                    "defaultValue": null,
                    "span": 12,
                    "key": "Goal_Drinking",
                    "type": "input",
                    "border": null,
                    "disabledValue": null,
                    "options": [],
                    "children": null,
                    "append": "两",
                    "placeholder": "",
                    "required": null,
                    "show-limit": false,
                    "parentKey": "lifestyleCoachingAndAssistedExamination",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "摄盐情况（咸淡）",
                    "defaultValue": [],
                    "span": 24,
                    "key": "Salt_Intake",
                    "type": "radio",
                    "border": false,
                    "disabledValue": null,
                    "options": [
                        {
                            "label": "轻",
                            "value": "1"
                        },
                        {
                            "label": "中",
                            "value": "2"
                        },
                        {
                            "label": "重",
                            "value": "3"
                        }
                    ],
                    "children": null,
                    "append": null,
                    "placeholder": null,
                    "required": true,
                    "show-limit": null,
                    "parentKey": "lifestyleCoachingAndAssistedExamination",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "下次随访目标",
                    "defaultValue": [],
                    "span": 24,
                    "key": "Goal_Salt_Intake",
                    "type": "radio",
                    "border": false,
                    "disabledValue": null,
                    "options": [
                        {
                            "label": "轻",
                            "value": "1"
                        },
                        {
                            "label": "中",
                            "value": "2"
                        },
                        {
                            "label": "重",
                            "value": "3"
                        }
                    ],
                    "children": null,
                    "append": null,
                    "placeholder": null,
                    "required": false,
                    "show-limit": null,
                    "parentKey": "lifestyleCoachingAndAssistedExamination",
                    "buttonName": null,
                    "childrenKey": null
                }
            ],
            "append": null,
            "placeholder": null,
            "required": null,
            "show-limit": null,
            "parentKey": null,
            "buttonName": null,
            "childrenKey": null
        },
        {
            "label": "辅助检查",
            "defaultValue": null,
            "span": 24,
            "key": "lifestyleCoachingAndAssistedExamination",
            "type": "title",
            "border": null,
            "disabledValue": null,
            "options": [],
            "children": [
                {
                    "label": "心理调整",
                    "defaultValue": [],
                    "span": 24,
                    "key": "Psychol_Adjust",
                    "type": "radio",
                    "border": false,
                    "disabledValue": null,
                    "options": [
                        {
                            "label": "良好",
                            "value": "1"
                        },
                        {
                            "label": "一般",
                            "value": "2"
                        },
                        {
                            "label": "差",
                            "value": "3"
                        }
                    ],
                    "children": null,
                    "append": null,
                    "placeholder": null,
                    "required": true,
                    "show-limit": null,
                    "parentKey": "lifestyleCoachingAndAssistedExamination",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "遵医行为",
                    "defaultValue": [],
                    "span": 24,
                    "key": "Compliance",
                    "type": "radio",
                    "border": false,
                    "disabledValue": null,
                    "options": [
                        {
                            "label": "良好",
                            "value": "1"
                        },
                        {
                            "label": "一般",
                            "value": "2"
                        },
                        {
                            "label": "差",
                            "value": "3"
                        }
                    ],
                    "children": null,
                    "append": null,
                    "placeholder": null,
                    "required": true,
                    "show-limit": null,
                    "parentKey": "lifestyleCoachingAndAssistedExamination",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "辅助检查",
                    "defaultValue": null,
                    "span": 24,
                    "key": "Auxiliary_Other",
                    "type": "input",
                    "border": null,
                    "disabledValue": null,
                    "options": [],
                    "children": null,
                    "append": "",
                    "placeholder": "",
                    "required": null,
                    "show-limit": false,
                    "parentKey": "lifestyleCoachingAndAssistedExamination",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "服药依从性",
                    "defaultValue": [],
                    "span": 24,
                    "key": "Compliance_Drug",
                    "type": "radio",
                    "border": false,
                    "disabledValue": null,
                    "options": [
                        {
                            "label": "规律",
                            "value": "1"
                        },
                        {
                            "label": "间断",
                            "value": "2"
                        },
                        {
                            "label": "不服药",
                            "value": "3"
                        }
                    ],
                    "children": null,
                    "append": null,
                    "placeholder": null,
                    "required": true,
                    "show-limit": null,
                    "parentKey": "lifestyleCoachingAndAssistedExamination",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "此次随访分类",
                    "defaultValue": [],
                    "span": 24,
                    "key": "Follow_Up_Classify",
                    "type": "radio",
                    "border": false,
                    "disabledValue": null,
                    "options": [
                        {
                            "label": "控制满意",
                            "value": "1"
                        },
                        {
                            "label": "控制不满意",
                            "value": "2"
                        },
                        {
                            "label": "不良反应",
                            "value": "3"
                        },
                        {
                            "label": "并发症",
                            "value": "4"
                        }
                    ],
                    "children": null,
                    "append": null,
                    "placeholder": null,
                    "required": true,
                    "show-limit": null,
                    "parentKey": "lifestyleCoachingAndAssistedExamination",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "药物不良反应",
                    "defaultValue": [],
                    "span": 24,
                    "key": "Adverse",
                    "type": "radio",
                    "border": false,
                    "disabledValue": null,
                    "options": [
                        {
                            "label": "无",
                            "value": "1"
                        },
                        {
                            "label": "有",
                            "value": "2"
                        }
                    ],
                    "children": null,
                    "append": null,
                    "placeholder": null,
                    "required": false,
                    "show-limit": null,
                    "parentKey": "lifestyleCoachingAndAssistedExamination",
                    "buttonName": null,
                    "childrenKey": null
                }
            ],
            "append": null,
            "placeholder": null,
            "required": null,
            "show-limit": null,
            "parentKey": null,
            "buttonName": null,
            "childrenKey": null
        },
        {
            "label": "用药情况",
            "defaultValue": null,
            "span": 24,
            "key": "medicationSituation",
            "type": "title",
            "border": null,
            "disabledValue": null,
            "options": [],
            "children": [
                {
                    "label": "用药情况",
                    "defaultValue": null,
                    "span": 24,
                    "key": "Appraisal",
                    "type": "gxyAndTnbMedication",
                    "border": null,
                    "disabledValue": null,
                    "options": [],
                    "children": null,
                    "append": "",
                    "placeholder": "",
                    "required": true,
                    "show-limit": false,
                    "parentKey": "medicationSituation",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "转诊机构及科别：",
                    "defaultValue": null,
                    "span": 24,
                    "key": "Referral_Hospital",
                    "type": "input",
                    "border": null,
                    "disabledValue": null,
                    "options": [],
                    "children": null,
                    "append": "",
                    "placeholder": "",
                    "required": null,
                    "show-limit": false,
                    "parentKey": "medicationSituation",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "转诊原因：",
                    "defaultValue": null,
                    "span": 24,
                    "key": "Referral_Reason",
                    "type": "input",
                    "border": null,
                    "disabledValue": null,
                    "options": [],
                    "children": null,
                    "append": "",
                    "placeholder": "",
                    "required": null,
                    "show-limit": false,
                    "parentKey": "Drug_Info",
                    "buttonName": null,
                    "childrenKey": null
                }
            ],
            "append": null,
            "placeholder": null,
            "required": null,
            "show-limit": null,
            "parentKey": null,
            "buttonName": null,
            "childrenKey": null
        },
        {
            "label": "处方",
            "defaultValue": null,
            "span": 24,
            "key": "Pre",
            "type": "title",
            "border": null,
            "disabledValue": null,
            "options": [],
            "children": [
                {
                    "label": "处方",
                    "defaultValue": null,
                    "span": 24,
                    "key": "Prescription",
                    "type": "prescriptionType",
                    "border": null,
                    "disabledValue": null,
                    "options": [],
                    "children": null,
                    "append": "",
                    "placeholder": "",
                    "required": null,
                    "show-limit": false,
                    "parentKey": "Pre",
                    "buttonName": "HypertensionPrescription",
                    "childrenKey": null
                }
            ],
            "append": null,
            "placeholder": null,
            "required": null,
            "show-limit": null,
            "parentKey": null,
            "buttonName": null,
            "childrenKey": null
        }
    ]
}