VitalApp/assets/templates/ET_3SETJKJCLB.json

{
    "Key": "ET_3SETJKJCLB",
    "Name": "3岁儿童健康体检表",
    "Content": [
        {
            "label": "体征",
            "defaultValue": null,
            "span": 24,
            "key": "sign",
            "type": "title",
            "border": null,
            "disabledValue": null,
            "options": [],
            "children": [
                {
                    "label": "体重",
                    "defaultValue": null,
                    "span": 24,
                    "key": "Weight_Evaluate",
                    "type": "inputAndRadio",
                    "border": null,
                    "disabledValue": null,
                    "options": [
                        {
                            "label": "上",
                            "value": "1"
                        },
                        {
                            "label": "中",
                            "value": "2"
                        },
                        {
                            "label": "下",
                            "value": "3"
                        }
                    ],
                    "children": null,
                    "append": "kg",
                    "placeholder": null,
                    "required": null,
                    "show-limit": null,
                    "parentKey": "sign",
                    "buttonName": null,
                    "childrenKey": [
                        "Weight",
                        "Weight_Evaluate"
                    ]
                },
                {
                    "label": "身高",
                    "defaultValue": null,
                    "span": 24,
                    "key": "Stature_Evaluate",
                    "type": "inputAndRadio",
                    "border": null,
                    "disabledValue": null,
                    "options": [
                        {
                            "label": "上",
                            "value": "1"
                        },
                        {
                            "label": "中",
                            "value": "2"
                        },
                        {
                            "label": "下",
                            "value": "3"
                        }
                    ],
                    "children": null,
                    "append": "cm",
                    "placeholder": null,
                    "required": null,
                    "show-limit": null,
                    "parentKey": "sign",
                    "buttonName": null,
                    "childrenKey": [
                        "Stature",
                        "Stature_Evaluate"
                    ]
                },
                {
                    "label": "体重/身高",
                    "defaultValue": null,
                    "span": 24,
                    "key": "Wh_Evaluate",
                    "type": "inputAndRadio",
                    "border": null,
                    "disabledValue": null,
                    "options": [
                        {
                            "label": "上",
                            "value": "1"
                        },
                        {
                            "label": "中",
                            "value": "2"
                        },
                        {
                            "label": "下",
                            "value": "3"
                        }
                    ],
                    "children": null,
                    "append": "kg/㎡",
                    "placeholder": null,
                    "required": null,
                    "show-limit": null,
                    "parentKey": "sign",
                    "buttonName": null,
                    "childrenKey": [
                        "Wh",
                        "Wh_Evaluate"
                    ]
                },
                {
                    "label": "体格发育评价",
                    "defaultValue": null,
                    "span": 24,
                    "key": "Physique_Evaluate",
                    "type": "radio",
                    "border": null,
                    "disabledValue": null,
                    "options": [
                        {
                            "label": "正常",
                            "value": "1"
                        },
                        {
                            "label": "低体重",
                            "value": "2"
                        },
                        {
                            "label": "消瘦",
                            "value": "3"
                        },
                        {
                            "label": "生长迟缓",
                            "value": "4"
                        },
                        {
                            "label": "超重",
                            "value": "5"
                        }
                    ],
                    "children": null,
                    "append": null,
                    "placeholder": null,
                    "required": null,
                    "show-limit": null,
                    "parentKey": "physique",
                    "buttonName": null,
                    "childrenKey": null
                }
            ],
            "append": null,
            "placeholder": null,
            "required": null,
            "show-limit": null,
            "parentKey": null,
            "buttonName": null,
            "childrenKey": null
        },
        {
            "label": "体格检查",
            "defaultValue": null,
            "span": 24,
            "key": "physique",
            "type": "title",
            "border": null,
            "disabledValue": null,
            "options": [],
            "children": [
                {
                    "label": "听力",
                    "defaultValue": null,
                    "span": 24,
                    "key": "Hearing",
                    "type": "radio",
                    "border": null,
                    "disabledValue": null,
                    "options": [
                        {
                            "label": "通过",
                            "value": "1"
                        },
                        {
                            "label": "未通过",
                            "value": "2"
                        }
                    ],
                    "children": null,
                    "append": null,
                    "placeholder": null,
                    "required": null,
                    "show-limit": null,
                    "parentKey": "physique",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "牙数",
                    "defaultValue": null,
                    "span": 12,
                    "key": "Tooth_Amount",
                    "type": "numberInput",
                    "border": null,
                    "disabledValue": null,
                    "options": [],
                    "children": null,
                    "append": "颗",
                    "placeholder": "",
                    "required": null,
                    "show-limit": null,
                    "parentKey": "physique",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "龋齿数",
                    "defaultValue": null,
                    "span": 12,
                    "key": "Tooth_Decay_Amount",
                    "type": "numberInput",
                    "border": null,
                    "disabledValue": null,
                    "options": [],
                    "children": null,
                    "append": "颗",
                    "placeholder": "",
                    "required": null,
                    "show-limit": null,
                    "parentKey": "physique",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "胸部",
                    "defaultValue": null,
                    "span": 24,
                    "key": "Heart_Abnormal",
                    "type": "radio",
                    "border": null,
                    "disabledValue": null,
                    "options": [
                        {
                            "label": "未见异常",
                            "value": "1"
                        },
                        {
                            "label": "异常",
                            "value": "2"
                        }
                    ],
                    "children": null,
                    "append": null,
                    "placeholder": null,
                    "required": null,
                    "show-limit": null,
                    "parentKey": "physique",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "腹部",
                    "defaultValue": null,
                    "span": 24,
                    "key": "Abdominal_Abnormal",
                    "type": "radio",
                    "border": null,
                    "disabledValue": null,
                    "options": [
                        {
                            "label": "未见异常",
                            "value": "1"
                        },
                        {
                            "label": "异常",
                            "value": "2"
                        }
                    ],
                    "children": null,
                    "append": null,
                    "placeholder": null,
                    "required": null,
                    "show-limit": null,
                    "parentKey": "physique",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "血红蛋白值",
                    "defaultValue": null,
                    "span": 12,
                    "key": "Hgb",
                    "type": "input",
                    "border": null,
                    "disabledValue": null,
                    "options": [],
                    "children": null,
                    "append": "g/L",
                    "placeholder": "",
                    "required": null,
                    "show-limit": null,
                    "parentKey": "physique",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "其他",
                    "defaultValue": null,
                    "span": 12,
                    "key": "Other",
                    "type": "input",
                    "border": null,
                    "disabledValue": null,
                    "options": [],
                    "children": null,
                    "append": "",
                    "placeholder": "",
                    "required": null,
                    "show-limit": null,
                    "parentKey": "physique",
                    "buttonName": null,
                    "childrenKey": null
                }
            ],
            "append": null,
            "placeholder": null,
            "required": null,
            "show-limit": null,
            "parentKey": null,
            "buttonName": null,
            "childrenKey": null
        },
        {
            "label": "评估及指导",
            "defaultValue": null,
            "span": 24,
            "key": "lifestyleCoachingAndAssistedExamination",
            "type": "title",
            "border": null,
            "disabledValue": null,
            "options": [],
            "children": [
                {
                    "label": "发育评估",
                    "defaultValue": null,
                    "span": 24,
                    "key": "Growth_36",
                    "type": "checkbox",
                    "border": null,
                    "disabledValue": null,
                    "options": [
                        {
                            "label": "不会说自己的名字",
                            "value": "1"
                        },
                        {
                            "label": "不会玩“拿棍当马骑”等假想游戏",
                            "value": "2"
                        },
                        {
                            "label": "不会模仿画圆",
                            "value": "3"
                        },
                        {
                            "label": "不会双脚跳",
                            "value": "4"
                        }
                    ],
                    "children": null,
                    "append": null,
                    "placeholder": null,
                    "required": null,
                    "show-limit": null,
                    "parentKey": "lifestyleCoachingAndAssistedExamination",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "两次随访间患病情况",
                    "defaultValue": null,
                    "span": 24,
                    "key": "Illness_State",
                    "type": "checkBoxFrequency",
                    "border": null,
                    "disabledValue": "1",
                    "options": [
                        {
                            "label": "无",
                            "value": "1"
                        },
                        {
                            "label": "肺炎",
                            "value": "2"
                        },
                        {
                            "label": "腹泻",
                            "value": "3"
                        },
                        {
                            "label": "外伤",
                            "value": "4"
                        },
                        {
                            "label": "其他",
                            "value": "5"
                        }
                    ],
                    "children": null,
                    "append": null,
                    "placeholder": null,
                    "required": null,
                    "show-limit": null,
                    "parentKey": "lifestyleCoachingAndAssistedExamination",
                    "buttonName": null,
                    "childrenKey": [
                        "Illness_State_Other"
                    ],
                    "groupKeys": [
                        "5"
                    ]
                },
                {
                    "label": "转诊建议",
                    "defaultValue": null,
                    "span": 24,
                    "key": "Referral",
                    "type": "referral",
                    "border": null,
                    "disabledValue": null,
                    "options": [
                        {
                            "label": "无",
                            "value": "1"
                        },
                        {
                            "label": "有",
                            "value": "2"
                        }
                    ],
                    "children": null,
                    "append": null,
                    "placeholder": null,
                    "required": null,
                    "show-limit": null,
                    "parentKey": "lifestyleCoachingAndAssistedExamination",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "指导",
                    "defaultValue": null,
                    "span": 24,
                    "key": "Guidance",
                    "type": "checkBoxIncludeOther",
                    "border": null,
                    "disabledValue": null,
                    "options": [
                        {
                            "label": "合理膳食",
                            "value": "1"
                        },
                        {
                            "label": "生长发育",
                            "value": "2"
                        },
                        {
                            "label": "疾病预防",
                            "value": "3"
                        },
                        {
                            "label": "预防伤害",
                            "value": "4"
                        },
                        {
                            "label": "口腔保健",
                            "value": "5"
                        },
                        {
                            "label": "其他",
                            "value": "6"
                        }
                    ],
                    "children": null,
                    "append": null,
                    "placeholder": null,
                    "required": null,
                    "show-limit": null,
                    "parentKey": "lifestyleCoachingAndAssistedExamination",
                    "buttonName": null,
                    "childrenKey": [
                        "Guidance_Other"
                    ],
                    "groupKeys": [
                        "6"
                    ]
                }
            ],
            "append": null,
            "placeholder": null,
            "required": null,
            "show-limit": null,
            "parentKey": null,
            "buttonName": null,
            "childrenKey": null
        }
    ]
}