PostpartumHealthCheckup42Days.json 19 KB

123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899100101102103104105106107108109110111112113114115116117118119120121122123124125126127128129130131132133134135136137138139140141142143144145146147148149150151152153154155156157158159160161162163164165166167168169170171172173174175176177178179180181182183184185186187188189190191192193194195196197198199200201202203204205206207208209210211212213214215216217218219220221222223224225226227228229230231232233234235236237238239240241242243244245246247248249250251252253254255256257258259260261262263264265266267268269270271272273274275276277278279280281282283284285286287288289290291292293294295296297298299300301302303304305306307308309310311312313314315316317318319320321322323324325326327328329330331332333334335336337338339340341342343344345346347348349350351352353354355356357358359360361362363364365366367368369370371372373374375376377378379380381382383384385386387388389390391392393394395396397398399400401402403404405406407408409410411412413414415416417418419420421422423424425426427428429430431432433434435436437438439440441442443444445446447448449450451452453454455456457458459460461462463464465466467468469470471472473474475476477478479480481482483484485486487488489490491492493494495496497498499500501502503504505506507508509510511512513514515516517518519520521522523524525526527528529530531532533534535536537538539540541542543544545546547548549550551552553554555556557558559560561562563564565566567568569570571572573574575576577578579580581582583584585586
  1. {
  2. "Key": "PostpartumHealthCheckup42Days",
  3. "Name": "产后 42 天健康检查",
  4. "Content": [
  5. {
  6. "label": "随访日期",
  7. "defaultValue": null,
  8. "span": 24,
  9. "key": "Form_Date",
  10. "type": "dateTime",
  11. "border": null,
  12. "disabledValue": null,
  13. "options": [],
  14. "children": null,
  15. "append": "",
  16. "placeholder": "",
  17. "required": null,
  18. "show-limit": false,
  19. "parentKey": null,
  20. "buttonName": null,
  21. "childrenKey": null
  22. },
  23. {
  24. "label": "分娩日期",
  25. "defaultValue": null,
  26. "span": 24,
  27. "key": "Delivery_Date",
  28. "type": "dateTime",
  29. "border": null,
  30. "disabledValue": null,
  31. "options": [],
  32. "children": null,
  33. "append": "",
  34. "placeholder": "",
  35. "required": null,
  36. "show-limit": false,
  37. "parentKey": null,
  38. "buttonName": null,
  39. "childrenKey": null
  40. },
  41. {
  42. "label": "出院日期",
  43. "defaultValue": null,
  44. "span": 24,
  45. "key": "Discharge_Date",
  46. "type": "dateTime",
  47. "border": null,
  48. "disabledValue": null,
  49. "options": [],
  50. "children": null,
  51. "append": "",
  52. "placeholder": "",
  53. "required": null,
  54. "show-limit": false,
  55. "parentKey": null,
  56. "buttonName": null,
  57. "childrenKey": null
  58. },
  59. {
  60. "label": "一般健康状况",
  61. "defaultValue": null,
  62. "span": 24,
  63. "key": "GeneralHealthCondition",
  64. "type": "input",
  65. "border": null,
  66. "disabledValue": null,
  67. "options": null,
  68. "children": null,
  69. "append": "",
  70. "placeholder": "",
  71. "required": null,
  72. "show-limit": false,
  73. "parentKey": null,
  74. "buttonName": null,
  75. "childrenKey": null
  76. },
  77. {
  78. "label": "一般心理状况",
  79. "defaultValue": null,
  80. "span": 24,
  81. "key": "MentalHealthStatus",
  82. "type": "input",
  83. "border": null,
  84. "disabledValue": null,
  85. "options": null,
  86. "children": null,
  87. "append": "",
  88. "placeholder": "",
  89. "required": null,
  90. "show-limit": false,
  91. "parentKey": null,
  92. "buttonName": null,
  93. "childrenKey": null
  94. },
  95. {
  96. "label": "血压",
  97. "defaultValue": null,
  98. "span": 24,
  99. "key": "BloodPressure",
  100. "type": "bloodPressure",
  101. "border": null,
  102. "disabledValue": null,
  103. "options": [],
  104. "children": null,
  105. "append": "mmHg",
  106. "placeholder": "",
  107. "required": null,
  108. "show-limit": false,
  109. "parentKey": null
  110. },
  111. {
  112. "label": "乳房",
  113. "defaultValue": null,
  114. "span": 24,
  115. "key": "Breasts",
  116. "type": "virtualTitle",
  117. "border": null,
  118. "disabledValue": null,
  119. "options": null,
  120. "children": [
  121. {
  122. "label": "未见异常",
  123. "defaultValue": null,
  124. "span": 12,
  125. "key": "Breasts_1",
  126. "type": "option",
  127. "border": null,
  128. "disabledValue": null,
  129. "options": [],
  130. "children": null,
  131. "append": "",
  132. "placeholder": "",
  133. "required": null,
  134. "show-limit": false,
  135. "parentKey": "Breasts",
  136. "buttonName": null,
  137. "childrenKey": null
  138. },
  139. {
  140. "label": "异常",
  141. "defaultValue": null,
  142. "span": 12,
  143. "key": "Breasts_2",
  144. "type": "input",
  145. "border": null,
  146. "disabledValue": null,
  147. "options": [],
  148. "children": null,
  149. "append": "",
  150. "placeholder": "",
  151. "required": null,
  152. "show-limit": false,
  153. "parentKey": "Breasts",
  154. "buttonName": null,
  155. "childrenKey": null
  156. }
  157. ],
  158. "append": "",
  159. "placeholder": "",
  160. "required": null,
  161. "show-limit": false,
  162. "parentKey": null
  163. },
  164. {
  165. "label": "恶露",
  166. "defaultValue": null,
  167. "span": 24,
  168. "key": "Lochia",
  169. "type": "virtualTitle",
  170. "border": null,
  171. "disabledValue": null,
  172. "options": null,
  173. "children": [
  174. {
  175. "label": "未见异常",
  176. "defaultValue": null,
  177. "span": 12,
  178. "key": "Lochia_1",
  179. "type": "option",
  180. "border": null,
  181. "disabledValue": null,
  182. "options": [],
  183. "children": null,
  184. "append": "",
  185. "placeholder": "",
  186. "required": null,
  187. "show-limit": false,
  188. "parentKey": "Lochia",
  189. "buttonName": null,
  190. "childrenKey": null
  191. },
  192. {
  193. "label": "异常",
  194. "defaultValue": null,
  195. "span": 12,
  196. "key": "Lochia_2",
  197. "type": "input",
  198. "border": null,
  199. "disabledValue": null,
  200. "options": [],
  201. "children": null,
  202. "append": "",
  203. "placeholder": "",
  204. "required": null,
  205. "show-limit": false,
  206. "parentKey": "Lochia",
  207. "buttonName": null,
  208. "childrenKey": null
  209. }
  210. ],
  211. "append": "",
  212. "placeholder": "",
  213. "required": null,
  214. "show-limit": false,
  215. "parentKey": null
  216. },
  217. {
  218. "label": "子宫",
  219. "defaultValue": null,
  220. "span": 24,
  221. "key": "Uterus",
  222. "type": "virtualTitle",
  223. "border": null,
  224. "disabledValue": null,
  225. "options": null,
  226. "children": [
  227. {
  228. "label": "未见异常",
  229. "defaultValue": null,
  230. "span": 12,
  231. "key": "Uterus_1",
  232. "type": "option",
  233. "border": null,
  234. "disabledValue": null,
  235. "options": [],
  236. "children": null,
  237. "append": "",
  238. "placeholder": "",
  239. "required": null,
  240. "show-limit": false,
  241. "parentKey": "Uterus",
  242. "buttonName": null,
  243. "childrenKey": null
  244. },
  245. {
  246. "label": "异常",
  247. "defaultValue": null,
  248. "span": 12,
  249. "key": "Uterus_2",
  250. "type": "input",
  251. "border": null,
  252. "disabledValue": null,
  253. "options": [],
  254. "children": null,
  255. "append": "",
  256. "placeholder": "",
  257. "required": null,
  258. "show-limit": false,
  259. "parentKey": "Uterus",
  260. "buttonName": null,
  261. "childrenKey": null
  262. }
  263. ],
  264. "append": "",
  265. "placeholder": "",
  266. "required": null,
  267. "show-limit": false,
  268. "parentKey": null
  269. },
  270. {
  271. "label": "伤口",
  272. "defaultValue": null,
  273. "span": 24,
  274. "key": "Wound",
  275. "type": "virtualTitle",
  276. "border": null,
  277. "disabledValue": null,
  278. "options": null,
  279. "children": [
  280. {
  281. "label": "未见异常",
  282. "defaultValue": null,
  283. "span": 12,
  284. "key": "Wound_1",
  285. "type": "option",
  286. "border": null,
  287. "disabledValue": null,
  288. "options": [],
  289. "children": null,
  290. "append": "",
  291. "placeholder": "",
  292. "required": null,
  293. "show-limit": false,
  294. "parentKey": "Wound",
  295. "buttonName": null,
  296. "childrenKey": null
  297. },
  298. {
  299. "label": "异常",
  300. "defaultValue": null,
  301. "span": 12,
  302. "key": "Wound_2",
  303. "type": "input",
  304. "border": null,
  305. "disabledValue": null,
  306. "options": [],
  307. "children": null,
  308. "append": "",
  309. "placeholder": "",
  310. "required": null,
  311. "show-limit": false,
  312. "parentKey": "Wound",
  313. "buttonName": null,
  314. "childrenKey": null
  315. }
  316. ],
  317. "append": "",
  318. "placeholder": "",
  319. "required": null,
  320. "show-limit": false,
  321. "parentKey": null
  322. },
  323. {
  324. "label": "其他",
  325. "defaultValue": null,
  326. "span": 12,
  327. "key": "Other",
  328. "type": "input",
  329. "border": null,
  330. "disabledValue": null,
  331. "options": [],
  332. "children": null,
  333. "append": "",
  334. "placeholder": "",
  335. "required": null,
  336. "show-limit": false,
  337. "parentKey": null,
  338. "buttonName": null,
  339. "childrenKey": null
  340. },
  341. {
  342. "label": "分类",
  343. "defaultValue": null,
  344. "span": 12,
  345. "key": "Classification",
  346. "type": "radio",
  347. "border": null,
  348. "disabledValue": null,
  349. "options": [
  350. {
  351. "label": "已恢复",
  352. "value": "1"
  353. },
  354. {
  355. "label": "未恢复",
  356. "value": "2"
  357. }
  358. ],
  359. "children": null,
  360. "append": "",
  361. "placeholder": "",
  362. "required": null,
  363. "show-limit": false,
  364. "parentKey": null,
  365. "buttonName": null,
  366. "childrenKey": null
  367. },
  368. {
  369. "label": "指导",
  370. "defaultValue": null,
  371. "span": 24,
  372. "key": "Guidance",
  373. "type": "virtualTitle",
  374. "border": null,
  375. "disabledValue": null,
  376. "options": null,
  377. "children": [
  378. {
  379. "label": "心理保健",
  380. "defaultValue": null,
  381. "span": 12,
  382. "key": "Guidance_1",
  383. "type": "option",
  384. "border": null,
  385. "disabledValue": null,
  386. "options": null,
  387. "children": null,
  388. "append": "",
  389. "placeholder": "",
  390. "required": false,
  391. "show-limit": false,
  392. "parentKey": "Guidance",
  393. "buttonName": null,
  394. "childrenKey": null
  395. },
  396. {
  397. "label": "性保健与避孕",
  398. "defaultValue": null,
  399. "span": 12,
  400. "key": "Guidance_2",
  401. "type": "option",
  402. "border": null,
  403. "disabledValue": null,
  404. "options": null,
  405. "children": null,
  406. "append": "",
  407. "placeholder": "",
  408. "required": false,
  409. "show-limit": false,
  410. "parentKey": "Guidance",
  411. "buttonName": null,
  412. "childrenKey": null
  413. },
  414. {
  415. "label": "婴儿喂养",
  416. "defaultValue": null,
  417. "span": 12,
  418. "key": "Guidance_3",
  419. "type": "option",
  420. "border": null,
  421. "disabledValue": null,
  422. "options": null,
  423. "children": null,
  424. "append": "",
  425. "placeholder": "",
  426. "required": false,
  427. "show-limit": false,
  428. "parentKey": "Guidance",
  429. "buttonName": null,
  430. "childrenKey": null
  431. },
  432. {
  433. "label": "产妇营养",
  434. "defaultValue": null,
  435. "span": 12,
  436. "key": "Guidance_4",
  437. "type": "option",
  438. "border": null,
  439. "disabledValue": null,
  440. "options": null,
  441. "children": null,
  442. "append": "",
  443. "placeholder": "",
  444. "required": false,
  445. "show-limit": false,
  446. "parentKey": "Guidance",
  447. "buttonName": null,
  448. "childrenKey": null
  449. },
  450. {
  451. "label": "其他",
  452. "defaultValue": null,
  453. "span": 12,
  454. "key": "Guidance_Other",
  455. "type": "input",
  456. "border": null,
  457. "disabledValue": null,
  458. "options": null,
  459. "children": null,
  460. "append": "",
  461. "placeholder": "",
  462. "required": false,
  463. "show-limit": false,
  464. "parentKey": "Guidance",
  465. "buttonName": null,
  466. "childrenKey": null
  467. }
  468. ],
  469. "append": "",
  470. "placeholder": "",
  471. "required": null,
  472. "show-limit": false,
  473. "parentKey": null
  474. },
  475. {
  476. "label": "处理",
  477. "defaultValue": null,
  478. "span": 12,
  479. "key": "Processing",
  480. "type": "virtualTitle",
  481. "border": null,
  482. "disabledValue": null,
  483. "options": null,
  484. "children": [
  485. {
  486. "label": "结案",
  487. "defaultValue": null,
  488. "span": 12,
  489. "key": "Processing_1",
  490. "type": "option",
  491. "border": null,
  492. "disabledValue": null,
  493. "options": null,
  494. "children": null,
  495. "append": "",
  496. "placeholder": "",
  497. "required": false,
  498. "show-limit": false,
  499. "parentKey": "Processing",
  500. "buttonName": null,
  501. "childrenKey": null
  502. },
  503. {
  504. "label": "转诊",
  505. "defaultValue": null,
  506. "span": 12,
  507. "key": "Referral",
  508. "type": "virtualTitle",
  509. "border": null,
  510. "disabledValue": null,
  511. "options": null,
  512. "children": [
  513. {
  514. "label": "原因",
  515. "defaultValue": null,
  516. "span": 12,
  517. "key": "Reason_For_Referral",
  518. "type": "input",
  519. "border": null,
  520. "disabledValue": null,
  521. "options": null,
  522. "children": null,
  523. "append": "",
  524. "placeholder": "",
  525. "required": false,
  526. "show-limit": false,
  527. "parentKey": "Referral",
  528. "buttonName": null,
  529. "childrenKey": null
  530. },
  531. {
  532. "label": "机构及科室",
  533. "defaultValue": null,
  534. "span": 12,
  535. "key": "Institution_And_Department",
  536. "type": "input",
  537. "border": null,
  538. "disabledValue": null,
  539. "options": null,
  540. "children": null,
  541. "append": "",
  542. "placeholder": "",
  543. "required": false,
  544. "show-limit": false,
  545. "parentKey": "Referral",
  546. "buttonName": null,
  547. "childrenKey": null
  548. }
  549. ],
  550. "append": "",
  551. "placeholder": "",
  552. "required": false,
  553. "show-limit": false,
  554. "parentKey": "Processing",
  555. "buttonName": null,
  556. "childrenKey": null
  557. }
  558. ],
  559. "append": "",
  560. "placeholder": "",
  561. "required": false,
  562. "show-limit": false,
  563. "parentKey": null,
  564. "buttonName": null,
  565. "childrenKey": null
  566. },
  567. {
  568. "label": "随访医生签名",
  569. "defaultValue": null,
  570. "span": 12,
  571. "key": "Follow_up_Physician_Signature",
  572. "type": "signature",
  573. "border": null,
  574. "disabledValue": null,
  575. "options": null,
  576. "children": null,
  577. "append": "",
  578. "placeholder": "",
  579. "required": false,
  580. "show-limit": false,
  581. "parentKey": null,
  582. "buttonName": null,
  583. "childrenKey": null
  584. }
  585. ]
  586. }