VitalApp/assets/templates/PostnatalVisitRecord.json

{
	"Key": "PostnatalVisitRecord",
	"Name": "产后访视",
	"Content": [
		{
			"label": "随访日期",
			"defaultValue": null,
			"span": 24,
			"key": "Form_Date",
			"type": "dateTime",
			"border": null,
			"disabledValue": null,
			"options": [],
			"children": null,
			"append": "",
			"placeholder": "",
			"required": null,
			"show-limit": false,
			"parentKey": null,
			"buttonName": null,
			"childrenKey": null
		},
		{
			"label": "分娩日期",
			"defaultValue": null,
			"span": 24,
			"key": "Delivery_Date",
			"type": "dateTime",
			"border": null,
			"disabledValue": null,
			"options": [],
			"children": null,
			"append": "",
			"placeholder": "",
			"required": null,
			"show-limit": false,
			"parentKey": null,
			"buttonName": null,
			"childrenKey": null
		},
		{
			"label": "出院日期",
			"defaultValue": null,
			"span": 24,
			"key": "Discharge_Date",
			"type": "dateTime",
			"border": null,
			"disabledValue": null,
			"options": [],
			"children": null,
			"append": "",
			"placeholder": "",
			"required": null,
			"show-limit": false,
			"parentKey": null,
			"buttonName": null,
			"childrenKey": null
		},
		{
			"label": "体温",
			"defaultValue": null,
			"span": 24,
			"key": "Temperature",
			"type": "numberInput",
			"border": null,
			"disabledValue": null,
			"options": null,
			"children": null,
			"append": "℃",
			"placeholder": "",
			"required": null,
			"show-limit": false,
			"parentKey": null,
			"buttonName": null,
			"childrenKey": null
		},
		{
			"label": "一般健康情况",
			"defaultValue": null,
			"span": 24,
			"key": "GeneralHealthCondition",
			"type": "input",
			"border": null,
			"disabledValue": null,
			"options": null,
			"children": null,
			"append": "",
			"placeholder": "",
			"required": null,
			"show-limit": false,
			"parentKey": null,
			"buttonName": null,
			"childrenKey": null
		},
		{
			"label": "一般心理状况",
			"defaultValue": null,
			"span": 24,
			"key": "MentalHealthStatus",
			"type": "input",
			"border": null,
			"disabledValue": null,
			"options": null,
			"children": null,
			"append": "",
			"placeholder": "",
			"required": null,
			"show-limit": false,
			"parentKey": null,
			"buttonName": null,
			"childrenKey": null
		},
		{
			"label": "血压",
			"defaultValue": null,
			"span": 24,
			"key": "BloodPressure",
			"type": "bloodPressure",
			"border": null,
			"disabledValue": null,
			"options": [],
			"children": null,
			"append": "mmHg",
			"placeholder": "",
			"required": null,
			"show-limit": false,
			"parentKey": null
		},
		{
			"label": "乳房",
			"defaultValue": null,
			"span": 24,
			"key": "Breasts",
			"type": "virtualTitle",
			"border": null,
			"disabledValue": null,
			"options": null,
			"children": [
				{
					"label": "未见异常",
					"defaultValue": null,
					"span": 12,
					"key": "Breasts_1",
					"type": "option",
					"border": null,
					"disabledValue": null,
					"options": [],
					"children": null,
					"append": "",
					"placeholder": "",
					"required": null,
					"show-limit": false,
					"parentKey": "Breasts",
					"buttonName": null,
					"childrenKey": null
				},
				{
					"label": "异常",
					"defaultValue": null,
					"span": 12,
					"key": "Breasts_2",
					"type": "input",
					"border": null,
					"disabledValue": null,
					"options": [],
					"children": null,
					"append": "",
					"placeholder": "",
					"required": null,
					"show-limit": false,
					"parentKey": "Breasts",
					"buttonName": null,
					"childrenKey": null
				}
			],
			"append": "",
			"placeholder": "",
			"required": null,
			"show-limit": false,
			"parentKey": null
		},
		{
			"label": "恶露",
			"defaultValue": null,
			"span": 24,
			"key": "Lochia",
			"type": "virtualTitle",
			"border": null,
			"disabledValue": null,
			"options": null,
			"children": [
				{
					"label": "未见异常",
					"defaultValue": null,
					"span": 12,
					"key": "Lochia_1",
					"type": "option",
					"border": null,
					"disabledValue": null,
					"options": [],
					"children": null,
					"append": "",
					"placeholder": "",
					"required": null,
					"show-limit": false,
					"parentKey": "Lochia",
					"buttonName": null,
					"childrenKey": null
				},
				{
					"label": "异常",
					"defaultValue": null,
					"span": 12,
					"key": "Lochia_2",
					"type": "input",
					"border": null,
					"disabledValue": null,
					"options": [],
					"children": null,
					"append": "",
					"placeholder": "",
					"required": null,
					"show-limit": false,
					"parentKey": "Lochia",
					"buttonName": null,
					"childrenKey": null
				}
			],
			"append": "",
			"placeholder": "",
			"required": null,
			"show-limit": false,
			"parentKey": null
		},
		{
			"label": "子宫",
			"defaultValue": null,
			"span": 24,
			"key": "Uterus",
			"type": "virtualTitle",
			"border": null,
			"disabledValue": null,
			"options": null,
			"children": [
				{
					"label": "未见异常",
					"defaultValue": null,
					"span": 12,
					"key": "Uterus_1",
					"type": "option",
					"border": null,
					"disabledValue": null,
					"options": [],
					"children": null,
					"append": "",
					"placeholder": "",
					"required": null,
					"show-limit": false,
					"parentKey": "Uterus",
					"buttonName": null,
					"childrenKey": null
				},
				{
					"label": "异常",
					"defaultValue": null,
					"span": 12,
					"key": "Uterus_2",
					"type": "input",
					"border": null,
					"disabledValue": null,
					"options": [],
					"children": null,
					"append": "",
					"placeholder": "",
					"required": null,
					"show-limit": false,
					"parentKey": "Uterus",
					"buttonName": null,
					"childrenKey": null
				}
			],
			"append": "",
			"placeholder": "",
			"required": null,
			"show-limit": false,
			"parentKey": null
		},
		{
			"label": "伤口",
			"defaultValue": null,
			"span": 24,
			"key": "Wound",
			"type": "virtualTitle",
			"border": null,
			"disabledValue": null,
			"options": null,
			"children": [
				{
					"label": "未见异常",
					"defaultValue": null,
					"span": 12,
					"key": "Wound_1",
					"type": "option",
					"border": null,
					"disabledValue": null,
					"options": [],
					"children": null,
					"append": "",
					"placeholder": "",
					"required": null,
					"show-limit": false,
					"parentKey": "Wound",
					"buttonName": null,
					"childrenKey": null
				},
				{
					"label": "异常",
					"defaultValue": null,
					"span": 12,
					"key": "Wound_2",
					"type": "input",
					"border": null,
					"disabledValue": null,
					"options": [],
					"children": null,
					"append": "",
					"placeholder": "",
					"required": null,
					"show-limit": false,
					"parentKey": "Wound",
					"buttonName": null,
					"childrenKey": null
				}
			],
			"append": "",
			"placeholder": "",
			"required": null,
			"show-limit": false,
			"parentKey": 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": false,
			"parentKey": null,
			"buttonName": null,
			"childrenKey": null
		},
		{
			"label": "分类",
			"defaultValue": null,
			"span": 12,
			"key": "Classification",
			"type": "virtualTitle",
			"border": null,
			"disabledValue": null,
			"options": null,
			"children": [
				{
					"label": "未见异常",
					"defaultValue": null,
					"span": 12,
					"key": "Classification_1",
					"type": "option",
					"border": null,
					"disabledValue": null,
					"options": null,
					"children": null,
					"append": "",
					"placeholder": "",
					"required": false,
					"show-limit": false,
					"parentKey": "Classification",
					"buttonName": null,
					"childrenKey": null
				},
				{
					"label": "异常：",
					"defaultValue": null,
					"span": 12,
					"key": "Classification_2",
					"type": "input",
					"border": null,
					"disabledValue": null,
					"options": null,
					"children": null,
					"append": "",
					"placeholder": "",
					"required": false,
					"show-limit": false,
					"parentKey": "Classification",
					"buttonName": null,
					"childrenKey": null
				}
			],
			"append": "",
			"placeholder": "",
			"required": null,
			"show-limit": false,
			"parentKey": null,
			"buttonName": null,
			"childrenKey": null
		},
		{
			"label": "指导",
			"defaultValue": null,
			"span": 24,
			"key": "Guidance",
			"type": "virtualTitle",
			"border": null,
			"disabledValue": null,
			"options": null,
			"children": [
				{
					"label": "个人卫生",
					"defaultValue": null,
					"span": 12,
					"key": "Guidance_1",
					"type": "option",
					"border": null,
					"disabledValue": null,
					"options": null,
					"children": null,
					"append": "",
					"placeholder": "",
					"required": false,
					"show-limit": false,
					"parentKey": "Guidance",
					"buttonName": null,
					"childrenKey": null
				},
				{
					"label": "心理",
					"defaultValue": null,
					"span": 12,
					"key": "Guidance_2",
					"type": "option",
					"border": null,
					"disabledValue": null,
					"options": null,
					"children": null,
					"append": "",
					"placeholder": "",
					"required": false,
					"show-limit": false,
					"parentKey": "Guidance",
					"buttonName": null,
					"childrenKey": null
				},
				{
					"label": "营养",
					"defaultValue": null,
					"span": 12,
					"key": "Guidance_3",
					"type": "option",
					"border": null,
					"disabledValue": null,
					"options": null,
					"children": null,
					"append": "",
					"placeholder": "",
					"required": false,
					"show-limit": false,
					"parentKey": "Guidance",
					"buttonName": null,
					"childrenKey": null
				},
				{
					"label": "母乳喂养",
					"defaultValue": null,
					"span": 12,
					"key": "Guidance_4",
					"type": "option",
					"border": null,
					"disabledValue": null,
					"options": null,
					"children": null,
					"append": "",
					"placeholder": "",
					"required": false,
					"show-limit": false,
					"parentKey": "Guidance",
					"buttonName": null,
					"childrenKey": null
				},
				{
					"label": "新生儿护理与喂养",
					"defaultValue": null,
					"span": 12,
					"key": "Guidance_5",
					"type": "option",
					"border": null,
					"disabledValue": null,
					"options": null,
					"children": null,
					"append": "",
					"placeholder": "",
					"required": false,
					"show-limit": false,
					"parentKey": "Guidance",
					"buttonName": null,
					"childrenKey": null
				},
				{
					"label": "其他",
					"defaultValue": null,
					"span": 12,
					"key": "Guidance_Other",
					"type": "input",
					"border": null,
					"disabledValue": null,
					"options": null,
					"children": null,
					"append": "",
					"placeholder": "",
					"required": false,
					"show-limit": false,
					"parentKey": "Guidance",
					"buttonName": null,
					"childrenKey": null
				}
			],
			"append": "",
			"placeholder": "",
			"required": null,
			"show-limit": false,
			"parentKey": null
		},
		{
			"label": "转诊",
			"defaultValue": null,
			"span": 12,
			"key": "Referral",
			"type": "virtualTitle",
			"border": null,
			"disabledValue": null,
			"options": null,
			"children": [
				{
					"label": "无",
					"defaultValue": null,
					"span": 12,
					"key": "referral_1",
					"type": "option",
					"border": null,
					"disabledValue": null,
					"options": null,
					"children": null,
					"append": "",
					"placeholder": "",
					"required": false,
					"show-limit": false,
					"parentKey": "Referral",
					"buttonName": null,
					"childrenKey": null
				},
				{
					"label": "有",
					"defaultValue": null,
					"span": 12,
					"key": "referral_2",
					"type": "option",
					"border": null,
					"disabledValue": null,
					"options": null,
					"children": null,
					"append": "",
					"placeholder": "",
					"required": false,
					"show-limit": false,
					"parentKey": "Referral",
					"buttonName": null,
					"childrenKey": null
				},
				{
					"label": "原因",
					"defaultValue": null,
					"span": 12,
					"key": "Reason_For_Referral",
					"type": "input",
					"border": null,
					"disabledValue": null,
					"options": null,
					"children": null,
					"append": "",
					"placeholder": "",
					"required": false,
					"show-limit": false,
					"parentKey": "referral_Input",
					"buttonName": null,
					"childrenKey": null
				},
				{
					"label": "机构及科室",
					"defaultValue": null,
					"span": 12,
					"key": "Institution_And_Department",
					"type": "input",
					"border": null,
					"disabledValue": null,
					"options": null,
					"children": null,
					"append": "",
					"placeholder": "",
					"required": false,
					"show-limit": false,
					"parentKey": "referral_Input",
					"buttonName": null,
					"childrenKey": null
				}
			],
			"append": "",
			"placeholder": "",
			"required": false,
			"show-limit": false,
			"parentKey": null,
			"buttonName": null,
			"childrenKey": null
		},
		{
			"label": "下次随访日期",
			"defaultValue": null,
			"span": 12,
			"key": "Next_Follow_Up_Date",
			"type": "dateTime",
			"border": null,
			"disabledValue": null,
			"options": null,
			"children": null,
			"append": "",
			"placeholder": "",
			"required": false,
			"show-limit": false,
			"parentKey": null,
			"buttonName": null,
			"childrenKey": null
		},
		{
			"label": "随访医生签名",
			"defaultValue": null,
			"span": 12,
			"key": "Follow_up_Physician_Signature",
			"type": "signature",
			"border": null,
			"disabledValue": null,
			"options": null,
			"children": null,
			"append": "",
			"placeholder": "",
			"required": false,
			"show-limit": false,
			"parentKey": null,
			"buttonName": null,
			"childrenKey": null
		}
	]
}