VitalApp/assets/templates/YZJSZABCXX.json

{
  "Key": "YZJSZABCXX",
  "Name": "严重精神障碍患者个人信息补充表",
  "Content": [
    {
      "label": "基本信息",
      "defaultValue": [],
      "span": 12,
      "key": "BasicInfo",
      "type": "input",
      "border": false,
      "disabledValue": "1",
      "options": [],
      "children": [
        {
          "label": "监护人姓名",
          "defaultValue": [],
          "span": 12,
          "key": "Guardian_Name",
          "type": "input",
          "border": false,
          "disabledValue": "1",
          "options": [],
          "children": null,
          "append": null,
          "placeholder": null,
          "required": null,
          "show-limit": null,
          "parentKey": "BasicInfo",
          "buttonName": null,
          "childrenKey": null,
          "groupKeys": []
        },
        {
          "label": "与患者关系",
          "defaultValue": [],
          "span": 12,
          "key": "Guardian_Relation",
          "type": "input",
          "border": false,
          "disabledValue": "1",
          "options": [],
          "children": null,
          "append": null,
          "placeholder": null,
          "required": null,
          "show-limit": null,
          "parentKey": "BasicInfo",
          "buttonName": null,
          "childrenKey": null,
          "groupKeys": []
        },
        {
          "label": "监护人住址",
          "defaultValue": [],
          "span": 12,
          "key": "Guardian_Addr",
          "type": "input",
          "border": false,
          "disabledValue": "1",
          "options": [],
          "children": null,
          "append": null,
          "placeholder": null,
          "required": null,
          "show-limit": null,
          "parentKey": "BasicInfo",
          "buttonName": null,
          "childrenKey": null,
          "groupKeys": []
        },
        {
          "label": "监护人电话",
          "defaultValue": [],
          "span": 12,
          "key": "Guardian_Tel_No",
          "type": "input",
          "border": false,
          "disabledValue": "1",
          "options": [],
          "children": null,
          "append": null,
          "placeholder": null,
          "required": null,
          "show-limit": null,
          "parentKey": "BasicInfo",
          "buttonName": null,
          "childrenKey": null,
          "groupKeys": []
        },
        {
          "label": "辖区村（居）委会联系人",
          "defaultValue": [],
          "span": 12,
          "key": "Community_Contact_Name",
          "type": "input",
          "border": false,
          "disabledValue": "1",
          "options": [],
          "children": null,
          "append": null,
          "placeholder": null,
          "required": null,
          "show-limit": null,
          "parentKey": "BasicInfo",
          "buttonName": null,
          "childrenKey": null,
          "groupKeys": []
        },
        {
          "label": "辖区村（居）委会联系电话",
          "defaultValue": [],
          "span": 12,
          "key": "Community_Contact_Phone",
          "type": "input",
          "border": false,
          "disabledValue": "1",
          "options": [],
          "children": null,
          "append": null,
          "placeholder": null,
          "required": null,
          "show-limit": null,
          "parentKey": "BasicInfo",
          "buttonName": null,
          "childrenKey": null,
          "groupKeys": []
        },
        {
          "label": "户别",
          "defaultValue": [],
          "span": 24,
          "key": "Residence_Type",
          "type": "radio",
          "border": false,
          "disabledValue": "0",
          "options": [
            {
              "label": "城镇",
              "value": "1"
            },
            {
              "label": "农村",
              "value": "2"
            }
          ],
          "children": null,
          "append": null,
          "placeholder": null,
          "required": null,
          "show-limit": null,
          "parentKey": "BasicInfo",
          "buttonName": null,
          "childrenKey": null,
          "groupKeys": []
        },
        {
          "label": "就业情况",
          "defaultValue": [],
          "span": 24,
          "key": "Employment_Status",
          "type": "radio",
          "border": false,
          "disabledValue": "1",
          "options": [
            {
              "label": "在岗工人",
              "value": "1"
            },
            {
              "label": "在岗管理者",
              "value": "2"
            },
            {
              "label": "农民",
              "value": "3"
            },
            {
              "label": "下岗或无业",
              "value": "4"
            },
            {
              "label": "在校学生",
              "value": "5"
            },
            {
              "label": " 退休",
              "value": "6"
            },
            {
              "label": "专业技术人员",
              "value": "7"
            },
            {
              "label": "其他",
              "value": "8"
            },
            {
              "label": "不详",
              "value": "9"
            }
          ],
          "children": null,
          "append": null,
          "placeholder": null,
          "required": null,
          "show-limit": null,
          "parentKey": "BasicInfo",
          "buttonName": null,
          "childrenKey": null,
          "groupKeys": []
        },
        {
          "label": "知情同意",
          "defaultValue": [],
          "span": 24,
          "key": "Informed_Consent_Mark",
          "type": "radioInformedConsent",
          "border": false,
          "disabledValue": "1",
          "options": [
            {
              "label": "同意参加管理",
              "value": "1"
            },
            {
              "label": "不同意参加管理",
              "value": "0"
            }
          ],
          "children": null,
          "append": null,
          "placeholder": null,
          "required": null,
          "show-limit": null,
          "parentKey": "BasicInfo",
          "buttonName": null,
          "childrenKey": [
            "Informed_Consent_Signer_Name",
            "Informed_Consent_Sign_Date"
          ],
          "groupKeys": []
        }
      ],
      "append": null,
      "placeholder": null,
      "required": null,
      "show-limit": null,
      "parentKey": "",
      "buttonName": null,
      "childrenKey": null,
      "groupKeys": []
    },
    {
      "label": "症状",
      "defaultValue": [],
      "span": 24,
      "key": "Symptomatic",
      "type": "input",
      "border": false,
      "disabledValue": "1",
      "options": [],
      "children": [
        {
          "label": "初次发病时间",
          "defaultValue": [],
          "span": 24,
          "key": "Smi_First_Onset_Date",
          "type": "date",
          "border": false,
          "disabledValue": "1",
          "options": [],
          "children": null,
          "append": null,
          "placeholder": null,
          "required": null,
          "show-limit": null,
          "parentKey": "Symptomatic",
          "buttonName": null,
          "childrenKey": null,
          "groupKeys": []
        },
        {
          "label": "既往主要症状",
          "defaultValue": [],
          "span": 24,
          "key": "Mental_Symp_Code",
          "type": "checkBoxIncludeOther",
          "border": false,
          "disabledValue": "0",
          "options": [
            {
              "label": "幻觉",
              "value": "1"
            },
            {
              "label": "交流困难",
              "value": "2"
            },
            {
              "label": "猜疑",
              "value": "3"
            },
            {
              "label": "喜怒无常",
              "value": "4"
            },
            {
              "label": "行为怪异",
              "value": "5"
            },
            {
              "label": "兴奋话多",
              "value": "6"
            },
            {
              "label": "伤人毁物",
              "value": "7"
            },
            {
              "label": "悲观厌世",
              "value": "8"
            },
            {
              "label": "无故外走",
              "value": "9"
            },
            {
              "label": "自语自笑",
              "value": "10"
            },
            {
              "label": "孤僻懒散",
              "value": "11"
            },
            {
              "label": "其他",
              "value": "12"
            }
          ],
          "children": null,
          "append": null,
          "placeholder": null,
          "required": null,
          "show-limit": null,
          "parentKey": "Symptomatic",
          "buttonName": null,
          "childrenKey": ["Mental_Symp_Other"],
          "groupKeys": ["12"]
        },
        {
          "label": "既往关锁情况",
          "defaultValue": [],
          "span": 24,
          "key": "Locked_Code",
          "type": "radio",
          "border": false,
          "disabledValue": "1",
          "options": [
            {
              "label": "无关锁",
              "value": "1"
            },
            {
              "label": "关锁",
              "value": "2"
            },
            {
              "label": "关锁已解除",
              "value": "3"
            }
          ],
          "children": null,
          "append": null,
          "placeholder": null,
          "required": null,
          "show-limit": null,
          "parentKey": "Symptomatic",
          "buttonName": null,
          "childrenKey": null,
          "groupKeys": []
        }
      ],
      "append": null,
      "placeholder": null,
      "required": null,
      "show-limit": null,
      "parentKey": "",
      "buttonName": null,
      "childrenKey": null,
      "groupKeys": []
    },

    {
      "label": "既往治疗情况",
      "defaultValue": [],
      "span": 24,
      "key": "PreviousTreatment",
      "type": "radio",
      "border": false,
      "disabledValue": "1",
      "options": [],
      "children": [
        {
          "label": "既往治疗情况",
          "defaultValue": [],
          "span": 24,
          "key": "Past_Treat_Result_Code",
          "type": "radioPreviousTreatment",
          "border": false,
          "disabledValue": "1",
          "options": [
            {
              "label": "未治",
              "value": "1"
            },
            {
              "label": "间断门诊治疗",
              "value": "2"
            },
            {
              "label": "连续门诊治疗",
              "value": "3"
            }
          ],
          "children": null,
          "append": null,
          "placeholder": null,
          "required": null,
          "show-limit": null,
          "parentKey": "PreviousTreatment",
          "buttonName": null,
          "childrenKey": ["First_Antipsy_Treat_Date", "Past_Psy_Inpat_Times"],
          "groupKeys": ["2", "3"]
        }
      ],
      "append": null,
      "placeholder": null,
      "required": null,
      "show-limit": null,
      "parentKey": "",
      "buttonName": null,
      "childrenKey": null,
      "groupKeys": []
    },
    {
      "label": "当前状况",
      "defaultValue": [],
      "span": 24,
      "key": "CurrentSituation",
      "type": "input",
      "border": false,
      "disabledValue": "1",
      "options": [],
      "children": [
        {
          "label": "目前诊断情况",
          "defaultValue": [],
          "span": 24,
          "key": "Diagnose",
          "type": "inputDiagnose",
          "border": false,
          "disabledValue": "1",
          "options": [],
          "children": null,
          "append": null,
          "placeholder": null,
          "required": null,
          "show-limit": null,
          "parentKey": "CurrentSituation",
          "buttonName": null,
          "childrenKey": [
            "Diagnose",
            "Confirmed_Diag_Org_Name",
            "Confirmed_Diag_Date"
          ],
          "groupKeys": []
        },
        {
          "label": "最近一次治疗效果",
          "defaultValue": [],
          "span": 24,
          "key": "Past_Treat_Result_Code1",
          "type": "radio",
          "border": false,
          "disabledValue": "1",
          "options": [
            {
              "label": "临床痊愈",
              "value": "1"
            },
            {
              "label": "好转",
              "value": "2"
            },
            {
              "label": "无变化",
              "value": "3"
            },
            {
              "label": "加重",
              "value": "4"
            }
          ],
          "children": null,
          "append": null,
          "placeholder": null,
          "required": null,
          "show-limit": null,
          "parentKey": "BehaviorAndTreatment",
          "buttonName": null,
          "childrenKey": null,
          "groupKeys": []
        },
        {
          "label": "危险行为",
          "defaultValue": [],
          "span": 24,
          "key": "Dangerous",
          "type": "checkBoxFrequency",
          "border": false,
          "disabledValue": "7",
          "options": [
            {
              "label": "轻度滋事",
              "value": "1"
            },
            {
              "label": "肇事",
              "value": "2"
            },
            {
              "label": "肇祸",
              "value": "3"
            },
            {
              "label": "其他危害行为",
              "value": "4"
            },
            {
              "label": "自伤",
              "value": "5"
            },
            {
              "label": "自杀未遂",
              "value": "6"
            },
            {
              "label": "无",
              "value": "7"
            }
          ],
          "children": null,
          "append": null,
          "placeholder": null,
          "required": null,
          "show-limit": null,
          "parentKey": "CurrentSituation",
          "buttonName": null,
          "childrenKey": null,
          "groupKeys": []
        },
        {
          "label": "经济状况",
          "defaultValue": [],
          "span": 24,
          "key": "Financial_Situa Tion_Code",
          "type": "radio",
          "border": false,
          "disabledValue": "0",
          "options": [
            {
              "label": "贫困，在当地贫困线标准以下",
              "value": "1"
            },
            {
              "label": "非贫困",
              "value": "2"
            }
          ],
          "children": null,
          "append": null,
          "placeholder": null,
          "required": null,
          "show-limit": null,
          "parentKey": "CurrentSituation",
          "buttonName": null,
          "childrenKey": null,
          "groupKeys": []
        },
        {
          "label": "专科医生的意见（如果有请记录）",
          "defaultValue": [],
          "span": 24,
          "key": "Specialist_Advice",
          "type": "input",
          "border": false,
          "disabledValue": "1",
          "options": [],
          "children": null,
          "append": null,
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    }
  ]
}