VitalApp/assets/templates/YZJSZASFFW.json

{
  "Key": "YZJSZASFFW",
  "Name": "严重精神障碍患者随访服务记录表",
  "Content": [
    {
      "label": "失访",
      "defaultValue": [],
      "span": 24,
      "key": "LossFollow",
      "type": "radio",
      "border": false,
      "disabledValue": "1",
      "options": [],
      "children": [
        {
          "label": "若失访，原因",
          "defaultValue": [],
          "span": 24,
          "key": "Loss_Follow",
          "type": "radio",
          "border": false,
          "disabledValue": "1",
          "options": [
            {
              "label": "外出打工",
              "value": "1"
            },
            {
              "label": "迁居他处",
              "value": "2"
            },
            {
              "label": "走失",
              "value": "3"
            },
            {
              "label": "连续3次未到访",
              "value": "4"
            },
            {
              "label": "其他",
              "value": "5"
            }
          ],
          "children": null,
          "append": null,
          "placeholder": null,
          "required": null,
          "show-limit": null,
          "parentKey": "LossFollow",
          "buttonName": null,
          "childrenKey": null,
          "groupKeys": []
        }
      ],
      "append": null,
      "placeholder": null,
      "required": null,
      "show-limit": null,
      "parentKey": "",
      "buttonName": null,
      "childrenKey": null,
      "groupKeys": []
    },
    {
      "label": "死亡",
      "defaultValue": [],
      "span": 24,
      "key": "DeadDateAndCause",
      "type": "radio",
      "border": false,
      "disabledValue": "1",
      "options": [],
      "children": [
        {
          "label": "死亡日期",
          "defaultValue": [],
          "span": 24,
          "key": "Death_Date",
          "type": "date",
          "border": false,
          "disabledValue": "1",
          "options": [],
          "children": null,
          "append": null,
          "placeholder": null,
          "required": null,
          "show-limit": null,
          "parentKey": "DeadDateAndCause",
          "buttonName": null,
          "childrenKey": null,
          "groupKeys": []
        },
        {
          "label": "死亡原因",
          "defaultValue": [],
          "span": 24,
          "key": "Death_Cause",
          "type": "radio",
          "border": false,
          "disabledValue": "1",
          "options": [
            {
              "label": "躯体疾病",
              "value": "1"
            },
            {
              "label": "自杀",
              "value": "2"
            },
            {
              "label": "他杀",
              "value": "3"
            },
            {
              "label": "意外",
              "value": "4"
            },
            {
              "label": "精神疾病相关并发症",
              "value": "5"
            },
            {
              "label": "其他",
              "value": "6"
            }
          ],
          "children": null,
          "append": null,
          "placeholder": null,
          "required": null,
          "show-limit": null,
          "parentKey": "DeadDateAndCause",
          "buttonName": null,
          "childrenKey": null,
          "groupKeys": []
        },
        {
          "label": "疾病分类",
          "defaultValue": [],
          "span": 24,
          "key": "Diseases_Type",
          "type": "checkbox",
          "border": false,
          "disabledValue": "0",
          "options": [
            {
              "label": "传染病和寄生虫病",
              "value": "1"
            },
            {
              "label": "肿瘤",
              "value": "2"
            },
            {
              "label": "心脏病",
              "value": "3"
            },
            {
              "label": "脑血管病",
              "value": "4"
            },
            {
              "label": "呼吸系统疾病",
              "value": "5"
            },
            {
              "label": "消化系统疾病",
              "value": "6"
            },
            {
              "label": "其他疾病",
              "value": "7"
            },
            {
              "label": "不详",
              "value": "8"
            }
          ],
          "children": null,
          "append": null,
          "placeholder": null,
          "required": null,
          "show-limit": null,
          "parentKey": "DeadDateAndCause",
          "buttonName": null,
          "childrenKey": null,
          "groupKeys": []
        }
      ],
      "append": null,
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      "required": null,
      "show-limit": null,
      "parentKey": "",
      "buttonName": null,
      "childrenKey": null,
      "groupKeys": []
    },
    {
      "label": "症状评估",
      "defaultValue": [],
      "span": 24,
      "key": "Symptomatic",
      "type": "radio",
      "border": false,
      "disabledValue": "1",
      "options": [],
      "children": [
        {
          "label": "危险性评估",
          "defaultValue": [],
          "span": 24,
          "key": "Danger",
          "type": "radio",
          "border": false,
          "disabledValue": "1",
          "options": [
            {
              "label": "0（0级）",
              "value": "1"
            },
            {
              "label": "1（1级）",
              "value": "2"
            },
            {
              "label": "2（2级）",
              "value": "3"
            },
            {
              "label": "3（3级）",
              "value": "4"
            },
            {
              "label": "4（4级）",
              "value": "5"
            },
            {
              "label": "5（5级）",
              "value": "6"
            }
          ],
          "children": null,
          "append": null,
          "placeholder": null,
          "required": null,
          "show-limit": null,
          "parentKey": "Symptomatic",
          "buttonName": null,
          "childrenKey": null,
          "groupKeys": []
        },
        {
          "label": "目前症状",
          "defaultValue": [],
          "span": 24,
          "key": "Symptom",
          "type": "checkbox",
          "border": false,
          "disabledValue": "0",
          "options": [
            {
              "label": "幻觉",
              "value": "1"
            },
            {
              "label": "交流困难",
              "value": "2"
            },
            {
              "label": "猜忌",
              "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": ["Symptom_Other"],
          "groupKeys": ["12"]
        },
        {
          "label": "自知力",
          "defaultValue": [],
          "span": 24,
          "key": "Insight",
          "type": "radio",
          "border": false,
          "disabledValue": "1",
          "options": [
            {
              "label": "自知力完全",
              "value": "1"
            },
            {
              "label": "自知力不全",
              "value": "2"
            },
            {
              "label": "自知力缺失",
              "value": "3"
            }
          ],
          "children": null,
          "append": null,
          "placeholder": null,
          "required": null,
          "show-limit": null,
          "parentKey": "Symptomatic",
          "buttonName": null,
          "childrenKey": null,
          "groupKeys": []
        },
        {
          "label": "睡眠情况",
          "defaultValue": [],
          "span": 24,
          "key": "Sleep",
          "type": "radio",
          "border": false,
          "disabledValue": "1",
          "options": [
            {
              "label": "良好",
              "value": "1"
            },
            {
              "label": "一般",
              "value": "2"
            },
            {
              "label": "较差",
              "value": "3"
            }
          ],
          "children": null,
          "append": null,
          "placeholder": null,
          "required": null,
          "show-limit": null,
          "parentKey": "Symptomatic",
          "buttonName": null,
          "childrenKey": null,
          "groupKeys": []
        },
        {
          "label": "饮食情况",
          "defaultValue": [],
          "span": 24,
          "key": "Diet",
          "type": "radio",
          "border": false,
          "disabledValue": "1",
          "options": [
            {
              "label": "良好",
              "value": "1"
            },
            {
              "label": "一般",
              "value": "2"
            },
            {
              "label": "较差",
              "value": "3"
            }
          ],
          "children": null,
          "append": null,
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      ],
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      "parentKey": "",
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    },
    {
      "label": "社会功能情况",
      "defaultValue": [],
      "span": 24,
      "key": "SocialFunctioning",
      "type": "radio",
      "border": false,
      "disabledValue": "1",
      "options": [],
      "children": [
        {
          "label": "个人生活料理",
          "defaultValue": [],
          "span": 24,
          "key": "Older_Living_Ability",
          "type": "radio",
          "border": false,
          "disabledValue": "1",
          "options": [
            {
              "label": "良好",
              "value": "1"
            },
            {
              "label": "一般",
              "value": "2"
            },
            {
              "label": "较差",
              "value": "3"
            }
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          "buttonName": null,
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        },
        {
          "label": "家务劳动",
          "defaultValue": [],
          "span": 24,
          "key": "Housework",
          "type": "radio",
          "border": false,
          "disabledValue": "1",
          "options": [
            {
              "label": "良好",
              "value": "1"
            },
            {
              "label": "一般",
              "value": "2"
            },
            {
              "label": "较差",
              "value": "3"
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        },
        {
          "label": "生产劳动及工作",
          "defaultValue": [],
          "span": 24,
          "key": "Work",
          "type": "radio",
          "border": false,
          "disabledValue": "1",
          "options": [
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              "label": "良好",
              "value": "1"
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              "label": "一般",
              "value": "2"
            },
            {
              "label": "较差",
              "value": "3"
            },
            {
              "label": "此项不适用",
              "value": "9"
            }
          ],
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          "append": null,
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        },
        {
          "label": "学习能力",
          "defaultValue": [],
          "span": 24,
          "key": "Learning",
          "type": "radio",
          "border": false,
          "disabledValue": "1",
          "options": [
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              "label": "良好",
              "value": "1"
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              "label": "一般",
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              "label": "较差",
              "value": "3"
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        {
          "label": "社会人际交往",
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          "span": 24,
          "key": "Interpersonal",
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          "border": false,
          "disabledValue": "1",
          "options": [
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              "label": "良好",
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              "label": "一般",
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    },
    {
      "label": "行为及治疗",
      "defaultValue": [],
      "span": 24,
      "key": "BehaviorAndTreatment",
      "type": "radio",
      "border": false,
      "disabledValue": "1",
      "options": [],
      "children": [
        {
          "label": "危险行为",
          "defaultValue": [],
          "span": 24,
          "key": "Dangerousbehavior",
          "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"
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          "parentKey": "BehaviorAndTreatment",
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          "childrenKey": null,
          "groupKeys": []
        },
        {
          "label": "两次随访期间关锁情况",
          "defaultValue": [],
          "span": 24,
          "key": "Locking_State",
          "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"
            }
          ],
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        },
        {
          "label": "两次随访期间住院情况",
          "defaultValue": [],
          "span": 24,
          "key": "Hospitalized",
          "type": "radioHospitalization",
          "border": false,
          "disabledValue": "1",
          "options": [
            {
              "label": "未住院",
              "value": "0"
            },
            {
              "label": "目前正在住院",
              "value": "1"
            },
            {
              "label": "曾住院，现未住院",
              "value": "2"
            }
          ],
          "children": null,
          "append": null,
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          "buttonName": null,
          "childrenKey": ["Discharge_Time"],
          "groupKeys": []
        },
        {
          "label": "实验室检查",
          "defaultValue": [],
          "span": 24,
          "key": "Laboratory",
          "type": "radioExtraDescription",
          "border": false,
          "disabledValue": "1",
          "options": [
            {
              "label": "无",
              "value": "1"
            },
            {
              "label": "有",
              "value": "2"
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          ],
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          "append": null,
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          "childrenKey": ["Laboratory_Pro"],
          "groupKeys": ["2"]
        },
        {
          "label": "用药依从性",
          "defaultValue": [],
          "span": 24,
          "key": "Compliance_Drup",
          "type": "radio",
          "border": false,
          "disabledValue": "1",
          "options": [
            {
              "label": "按医嘱规律用药",
              "value": "1"
            },
            {
              "label": "间断用药",
              "value": "2"
            },
            {
              "label": "不用药",
              "value": "3"
            },
            {
              "label": "医嘱勿需用药",
              "value": "4"
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        },
        {
          "label": "药物不良反应",
          "defaultValue": [],
          "span": 24,
          "key": "Adverse_Drug",
          "type": "radioExtraDescription",
          "border": false,
          "disabledValue": "1",
          "options": [
            {
              "label": "无",
              "value": "1"
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            {
              "label": "有",
              "value": "2"
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            {
              "label": "此项不适用",
              "value": "9"
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        {
          "label": "治疗效果",
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          "span": 24,
          "key": "Treatment_Effect",
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          "border": false,
          "disabledValue": "1",
          "options": [
            {
              "label": "痊愈",
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            {
              "label": "好转",
              "value": "2"
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            {
              "label": "无变化",
              "value": "3"
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            {
              "label": "加重",
              "value": "4"
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              "label": "此项不适用",
              "value": "9"
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        },
        {
          "label": "康复措施",
          "defaultValue": [],
          "span": 24,
          "key": "Measure",
          "type": "checkbox",
          "border": false,
          "disabledValue": "0",
          "options": [
            {
              "label": "生活劳动能力",
              "value": "1"
            },
            {
              "label": "职业训练",
              "value": "2"
            },
            {
              "label": "学习能力",
              "value": "3"
            },
            {
              "label": "社会交往",
              "value": "4"
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              "label": "其他",
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          "groupKeys": ["5"],
          "maxItems": 4
        },
        {
          "label": "是否转诊",
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          "key": "Referral",
          "type": "radioReferral",
          "border": false,
          "disabledValue": "1",
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              "label": "否",
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              "label": "是",
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          "groupKeys": []
        },
        {
          "label": "用药情况",
          "defaultValue": [],
          "span": 24,
          "key": "Drug_Usage",
          "type": "medication",
          "border": false,
          "disabledValue": "1",
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        {
          "label": "用药指导",
          "defaultValue": [],
          "span": 24,
          "key": "Guidance_Info",
          "type": "medication",
          "border": false,
          "disabledValue": "1",
          "options": [],
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    },
    {
      "label": "随访分类",
      "defaultValue": [],
      "span": 24,
      "key": "Categorization",
      "type": "radio",
      "border": false,
      "disabledValue": "1",
      "options": [],
      "children": [
        {
          "label": "本次随访分类",
          "defaultValue": [],
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