VitalApp/assets/templates/LNRZLNLPG.json

{
	"Key": "LNRZLNLPG",
	"Name": "老年人自理能力评估",
	"Content": [
		{
			"label": "老年人生活自理能力评估",
			"span": 24,
			"key": "constitution",
			"type": "title",
			"options": [
				{
					"label": "可自理",
					"value": "1"
				},
				{
					"label": "轻度依赖",
					"value": "2"
				},
				{
					"label": "中度依赖",
					"value": "3"
				},
				{
					"label": "不能自理",
					"value": "4"
				}
			],
			"children": [
				{
					"label": "进餐：使用餐具将饭菜送入口、咀嚼、吞咽等活动",
					"defaultValue": [],
					"span": 24,
					"key": "qusition1",
					"type": "radio",
					"border": false,
					"disabledValue": "1",
					"options": [
						{
							"label": "独立完成",
							"value": "0"
						},
						{
							"label": "-",
							"value": "0"
						},
						{
							"label": "需要协助，如切碎、搅拌食物等",
							"value": "3"
						},
						{
							"label": "完全需要帮助",
							"value": "5"
						}
					],
					"children": null,
					"append": null,
					"placeholder": null,
					"required": null,
					"show-limit": null,
					"parentKey": "constitution",
					"buttonName": null,
					"childrenKey": null,
					"groupKeys": null
				},
				{
					"label": "梳洗：梳头、洗脸、刷牙、剃须、洗澡等活动",
					"defaultValue": [],
					"span": 24,
					"key": "qusition2",
					"type": "radio",
					"border": false,
					"disabledValue": "1",
					"options": [
						{
							"label": "独立完成",
							"value": "0"
						},
						{
							"label": "能独立地洗头、梳头、洗脸、刷牙、剃须等；洗澡需要协助",
							"value": "1"
						},
						{
							"label": "在协助下和适当的时间内，能完成部分梳洗活动",
							"value": "3"
						},
						{
							"label": "完全需要帮助",
							"value": "7"
						}
					],
					"children": null,
					"append": null,
					"placeholder": null,
					"required": null,
					"show-limit": null,
					"parentKey": "constitution",
					"buttonName": null,
					"childrenKey": null,
					"groupKeys": null
				},
				{
					"label": "穿衣：穿衣裤、袜子、鞋子等活动",
					"defaultValue": [],
					"span": 24,
					"key": "qusition3",
					"type": "radio",
					"border": false,
					"disabledValue": "1",
					"options": [
						{
							"label": "独立完成",
							"value": "0"
						},
						{
							"label": "-",
							"value": "0"
						},
						{
							"label": "需要协助，在适当的时间内完成部分穿衣",
							"value": "3"
						},
						{
							"label": "完全需要帮助",
							"value": "5"
						}
					],
					"children": null,
					"append": null,
					"placeholder": null,
					"required": null,
					"show-limit": null,
					"parentKey": "constitution",
					"buttonName": null,
					"childrenKey": null,
					"groupKeys": null
				},
				{
					"label": "如厕：小便、大便等活动及自控",
					"defaultValue": [],
					"span": 24,
					"key": "qusition4",
					"type": "radio",
					"border": false,
					"disabledValue": "1",
					"options": [
						{
							"label": "不需要协助，可自控",
							"value": "0"
						},
						{
							"label": "偶尔失禁，但基本上能如厕或使用便具",
							"value": "1"
						},
						{
							"label": "经常失禁，在很多提示和协助下尚能如厕或使用便具",
							"value": "5"
						},
						{
							"label": "完全失禁，完全需要帮助",
							"value": "10"
						}
					],
					"children": null,
					"append": null,
					"placeholder": null,
					"required": null,
					"show-limit": null,
					"parentKey": "constitution",
					"buttonName": null,
					"childrenKey": null,
					"groupKeys": null
				},
				{
					"label": "活动：站立、室内行走、上下楼梯、户外活动",
					"defaultValue": [],
					"span": 24,
					"key": "qusition5",
					"type": "radio",
					"border": false,
					"disabledValue": "1",
					"options": [
						{
							"label": "独立完成所有活动",
							"value": "0"
						},
						{
							"label": "借助较小的外力或辅助装置能完成站立、行走、上下楼梯等",
							"value": "1"
						},
						{
							"label": "借助较大的外力才能完成站立、行走，不能上下楼梯",
							"value": "5"
						},
						{
							"label": "卧床不起，活动完全需要帮助",
							"value": "10"
						}
					],
					"children": null,
					"append": null,
					"placeholder": null,
					"required": null,
					"show-limit": null,
					"parentKey": "constitution",
					"buttonName": null,
					"childrenKey": null,
					"groupKeys": null
				}
			],
			"append": null,
			"placeholder": null,
			"required": null,
			"show-limit": null,
			"parentKey": null,
			"buttonName": null,
			"childrenKey": null
		}
	]
}