|
|
@@ -0,0 +1,591 @@
|
|
|
+{
|
|
|
+ "Key": "YZJSZABCXX",
|
|
|
+ "Name": "严重精神障碍患者个人信息补充表",
|
|
|
+ "Content": [
|
|
|
+ {
|
|
|
+ "label": "监护人姓名",
|
|
|
+ "defaultValue": [],
|
|
|
+ "span": 12,
|
|
|
+ "key": "LossFollow",
|
|
|
+ "type": "input",
|
|
|
+ "border": false,
|
|
|
+ "disabledValue": "1",
|
|
|
+ "options": [],
|
|
|
+ "children": null,
|
|
|
+ "append": null,
|
|
|
+ "placeholder": null,
|
|
|
+ "required": null,
|
|
|
+ "show-limit": null,
|
|
|
+ "parentKey": "",
|
|
|
+ "buttonName": null,
|
|
|
+ "childrenKey": null,
|
|
|
+ "groupKeys": []
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "label": "与患者关系",
|
|
|
+ "defaultValue": [],
|
|
|
+ "span": 12,
|
|
|
+ "key": "LossFollow",
|
|
|
+ "type": "input",
|
|
|
+ "border": false,
|
|
|
+ "disabledValue": "1",
|
|
|
+ "options": [],
|
|
|
+ "children": null,
|
|
|
+ "append": null,
|
|
|
+ "placeholder": null,
|
|
|
+ "required": null,
|
|
|
+ "show-limit": null,
|
|
|
+ "parentKey": "",
|
|
|
+ "buttonName": null,
|
|
|
+ "childrenKey": null,
|
|
|
+ "groupKeys": []
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "label": "与患者关系",
|
|
|
+ "defaultValue": [],
|
|
|
+ "span": 12,
|
|
|
+ "key": "LossFollow",
|
|
|
+ "type": "input",
|
|
|
+ "border": false,
|
|
|
+ "disabledValue": "1",
|
|
|
+ "options": [],
|
|
|
+ "children": null,
|
|
|
+ "append": null,
|
|
|
+ "placeholder": null,
|
|
|
+ "required": null,
|
|
|
+ "show-limit": null,
|
|
|
+ "parentKey": "",
|
|
|
+ "buttonName": null,
|
|
|
+ "childrenKey": null,
|
|
|
+ "groupKeys": []
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "label": "监护人住址",
|
|
|
+ "defaultValue": [],
|
|
|
+ "span": 12,
|
|
|
+ "key": "LossFollow",
|
|
|
+ "type": "input",
|
|
|
+ "border": false,
|
|
|
+ "disabledValue": "1",
|
|
|
+ "options": [],
|
|
|
+ "children": null,
|
|
|
+ "append": null,
|
|
|
+ "placeholder": null,
|
|
|
+ "required": null,
|
|
|
+ "show-limit": null,
|
|
|
+ "parentKey": "",
|
|
|
+ "buttonName": null,
|
|
|
+ "childrenKey": null,
|
|
|
+ "groupKeys": []
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "label": "监护人电话",
|
|
|
+ "defaultValue": [],
|
|
|
+ "span": 12,
|
|
|
+ "key": "LossFollow",
|
|
|
+ "type": "input",
|
|
|
+ "border": false,
|
|
|
+ "disabledValue": "1",
|
|
|
+ "options": [],
|
|
|
+ "children": null,
|
|
|
+ "append": null,
|
|
|
+ "placeholder": null,
|
|
|
+ "required": null,
|
|
|
+ "show-limit": null,
|
|
|
+ "parentKey": "",
|
|
|
+ "buttonName": null,
|
|
|
+ "childrenKey": null,
|
|
|
+ "groupKeys": []
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "label": "辖区村（居）委会联系人",
|
|
|
+ "defaultValue": [],
|
|
|
+ "span": 24,
|
|
|
+ "key": "LossFollow",
|
|
|
+ "type": "input",
|
|
|
+ "border": false,
|
|
|
+ "disabledValue": "1",
|
|
|
+ "options": [],
|
|
|
+ "children": null,
|
|
|
+ "append": null,
|
|
|
+ "placeholder": null,
|
|
|
+ "required": null,
|
|
|
+ "show-limit": null,
|
|
|
+ "parentKey": "",
|
|
|
+ "buttonName": null,
|
|
|
+ "childrenKey": null,
|
|
|
+ "groupKeys": []
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "label": "辖区村（居）委会联系电话",
|
|
|
+ "defaultValue": [],
|
|
|
+ "span": 24,
|
|
|
+ "key": "LossFollow",
|
|
|
+ "type": "input",
|
|
|
+ "border": false,
|
|
|
+ "disabledValue": "1",
|
|
|
+ "options": [],
|
|
|
+ "children": null,
|
|
|
+ "append": null,
|
|
|
+ "placeholder": null,
|
|
|
+ "required": null,
|
|
|
+ "show-limit": null,
|
|
|
+ "parentKey": "",
|
|
|
+ "buttonName": null,
|
|
|
+ "childrenKey": null,
|
|
|
+ "groupKeys": []
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "label": "户别",
|
|
|
+ "defaultValue": [],
|
|
|
+ "span": 24,
|
|
|
+ "key": "Death_Cause",
|
|
|
+ "type": "radio",
|
|
|
+ "border": false,
|
|
|
+ "disabledValue": "0",
|
|
|
+ "options": [
|
|
|
+ {
|
|
|
+ "label": "城镇",
|
|
|
+ "value": "1"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "label": "农村",
|
|
|
+ "value": "2"
|
|
|
+ }
|
|
|
+ ],
|
|
|
+ "children": null,
|
|
|
+ "append": null,
|
|
|
+ "placeholder": null,
|
|
|
+ "required": null,
|
|
|
+ "show-limit": null,
|
|
|
+ "parentKey": "DeadDateAndCause",
|
|
|
+ "buttonName": null,
|
|
|
+ "childrenKey": null,
|
|
|
+ "groupKeys": []
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "label": "就业情况",
|
|
|
+ "defaultValue": [],
|
|
|
+ "span": 24,
|
|
|
+ "key": "Death_Cause",
|
|
|
+ "type": "radio",
|
|
|
+ "border": false,
|
|
|
+ "disabledValue": "1",
|
|
|
+ "options": [
|
|
|
+ {
|
|
|
+ "label": "在岗工人",
|
|
|
+ "value": "1"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "label": "在岗管理者",
|
|
|
+ "value": "2"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "label": "农民",
|
|
|
+ "value": "3"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "label": "下岗或无业",
|
|
|
+ "value": "4"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "label": "在校学生",
|
|
|
+ "value": "5"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "label": " 退休",
|
|
|
+ "value": "6"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "label": "专业技术人员",
|
|
|
+ "value": "7"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "label": "其他",
|
|
|
+ "value": "8"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "label": "不详",
|
|
|
+ "value": "9"
|
|
|
+ }
|
|
|
+ ],
|
|
|
+ "children": null,
|
|
|
+ "append": null,
|
|
|
+ "placeholder": null,
|
|
|
+ "required": null,
|
|
|
+ "show-limit": null,
|
|
|
+ "parentKey": "DeadDateAndCause",
|
|
|
+ "buttonName": null,
|
|
|
+ "childrenKey": null,
|
|
|
+ "groupKeys": []
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "label": "知情同意",
|
|
|
+ "defaultValue": [],
|
|
|
+ "span": 24,
|
|
|
+ "key": "Death_Cause",
|
|
|
+ "type": "radio",
|
|
|
+ "border": false,
|
|
|
+ "disabledValue": "1",
|
|
|
+ "options": [
|
|
|
+ {
|
|
|
+ "label": "同意参加管理",
|
|
|
+ "value": "1"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "label": "不同意参加管理",
|
|
|
+ "value": "0"
|
|
|
+ }
|
|
|
+ ],
|
|
|
+ "children": null,
|
|
|
+ "append": null,
|
|
|
+ "placeholder": null,
|
|
|
+ "required": null,
|
|
|
+ "show-limit": null,
|
|
|
+ "parentKey": "DeadDateAndCause",
|
|
|
+ "buttonName": null,
|
|
|
+ "childrenKey": null,
|
|
|
+ "groupKeys": []
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "label": "初次发病时间",
|
|
|
+ "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": "目前症状",
|
|
|
+ "defaultValue": [],
|
|
|
+ "span": 24,
|
|
|
+ "key": "Symptom",
|
|
|
+ "type": "checkBoxIncludeOther",
|
|
|
+ "border": false,
|
|
|
+ "disabledValue": "0",
|
|
|
+ "options": [
|
|
|
+ {
|
|
|
+ "label": "幻觉",
|
|
|
+ "value": "1"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "label": "交流困难",
|
|
|
+ "value": "2"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "label": "猜疑",
|
|
|
+ "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": ["12"],
|
|
|
+ "groupKeys": []
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "label": "既往关锁情况",
|
|
|
+ "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"
|
|
|
+ }
|
|
|
+ ],
|
|
|
+ "children": null,
|
|
|
+ "append": null,
|
|
|
+ "placeholder": null,
|
|
|
+ "required": null,
|
|
|
+ "show-limit": null,
|
|
|
+ "parentKey": "BehaviorAndTreatment",
|
|
|
+ "buttonName": null,
|
|
|
+ "childrenKey": null,
|
|
|
+ "groupKeys": []
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "label": "既往治疗情况",
|
|
|
+ "defaultValue": [],
|
|
|
+ "span": 24,
|
|
|
+ "key": "Locking_State",
|
|
|
+ "type": "radio",
|
|
|
+ "border": false,
|
|
|
+ "disabledValue": "1",
|
|
|
+ "options": [],
|
|
|
+ "children": [
|
|
|
+ {
|
|
|
+ "label": "门诊",
|
|
|
+ "defaultValue": [],
|
|
|
+ "span": 24,
|
|
|
+ "key": "Locking_State",
|
|
|
+ "type": "radio",
|
|
|
+ "border": false,
|
|
|
+ "disabledValue": "1",
|
|
|
+ "options": [
|
|
|
+ {
|
|
|
+ "label": "未治",
|
|
|
+ "value": "1"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "label": "间断门诊治疗",
|
|
|
+ "value": "2"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "label": "连续门诊治疗",
|
|
|
+ "value": "3"
|
|
|
+ }
|
|
|
+ ],
|
|
|
+ "children": null,
|
|
|
+ "append": null,
|
|
|
+ "placeholder": null,
|
|
|
+ "required": null,
|
|
|
+ "show-limit": null,
|
|
|
+ "parentKey": "BehaviorAndTreatment",
|
|
|
+ "buttonName": null,
|
|
|
+ "childrenKey": null,
|
|
|
+ "groupKeys": []
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "label": "首次抗精神病药治疗时间",
|
|
|
+ "defaultValue": [],
|
|
|
+ "span": 24,
|
|
|
+ "key": "Locking_State",
|
|
|
+ "type": "date",
|
|
|
+ "border": false,
|
|
|
+ "disabledValue": "1",
|
|
|
+ "options": [],
|
|
|
+ "children": null,
|
|
|
+ "append": null,
|
|
|
+ "placeholder": null,
|
|
|
+ "required": null,
|
|
|
+ "show-limit": null,
|
|
|
+ "parentKey": "BehaviorAndTreatment",
|
|
|
+ "buttonName": null,
|
|
|
+ "childrenKey": null,
|
|
|
+ "groupKeys": []
|
|
|
+ }
|
|
|
+ ],
|
|
|
+ "append": null,
|
|
|
+ "placeholder": null,
|
|
|
+ "required": null,
|
|
|
+ "show-limit": null,
|
|
|
+ "parentKey": "BehaviorAndTreatment",
|
|
|
+ "buttonName": null,
|
|
|
+ "childrenKey": null,
|
|
|
+ "groupKeys": []
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "label": "目前诊断情况",
|
|
|
+ "defaultValue": [],
|
|
|
+ "span": 24,
|
|
|
+ "key": "Locking_State",
|
|
|
+ "type": "input",
|
|
|
+ "border": false,
|
|
|
+ "disabledValue": "1",
|
|
|
+ "options": [],
|
|
|
+ "children": null,
|
|
|
+ "append": null,
|
|
|
+ "placeholder": null,
|
|
|
+ "required": null,
|
|
|
+ "show-limit": null,
|
|
|
+ "parentKey": "BehaviorAndTreatment",
|
|
|
+ "buttonName": null,
|
|
|
+ "childrenKey": null,
|
|
|
+ "groupKeys": []
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "label": "最近一次治疗效果",
|
|
|
+ "defaultValue": [],
|
|
|
+ "span": 24,
|
|
|
+ "key": "Locking_State",
|
|
|
+ "type": "radio",
|
|
|
+ "border": false,
|
|
|
+ "disabledValue": "1",
|
|
|
+ "options": [
|
|
|
+ {
|
|
|
+ "label": "临床痊愈",
|
|
|
+ "value": "1"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "label": "好转",
|
|
|
+ "value": "2"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "label": "无变化",
|
|
|
+ "value": "3"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "label": "加重",
|
|
|
+ "value": "4"
|
|
|
+ }
|
|
|
+ ],
|
|
|
+ "children": null,
|
|
|
+ "append": null,
|
|
|
+ "placeholder": null,
|
|
|
+ "required": null,
|
|
|
+ "show-limit": null,
|
|
|
+ "parentKey": "BehaviorAndTreatment",
|
|
|
+ "buttonName": null,
|
|
|
+ "childrenKey": null,
|
|
|
+ "groupKeys": []
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "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"
|
|
|
+ }
|
|
|
+ ],
|
|
|
+ "children": null,
|
|
|
+ "append": null,
|
|
|
+ "placeholder": null,
|
|
|
+ "required": null,
|
|
|
+ "show-limit": null,
|
|
|
+ "parentKey": "BehaviorAndTreatment",
|
|
|
+ "buttonName": null,
|
|
|
+ "childrenKey": null,
|
|
|
+ "groupKeys": []
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "label": "经济状况",
|
|
|
+ "defaultValue": [],
|
|
|
+ "span": 24,
|
|
|
+ "key": "Dangerousbehavior",
|
|
|
+ "type": "radio",
|
|
|
+ "border": false,
|
|
|
+ "disabledValue": "0",
|
|
|
+ "options": [
|
|
|
+ {
|
|
|
+ "label": "贫困，在当地贫困线标准以下",
|
|
|
+ "value": "1"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "label": "非贫困",
|
|
|
+ "value": "2"
|
|
|
+ }
|
|
|
+ ],
|
|
|
+ "children": null,
|
|
|
+ "append": null,
|
|
|
+ "placeholder": null,
|
|
|
+ "required": null,
|
|
|
+ "show-limit": null,
|
|
|
+ "parentKey": "BehaviorAndTreatment",
|
|
|
+ "buttonName": null,
|
|
|
+ "childrenKey": null,
|
|
|
+ "groupKeys": []
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "label": "专科医生的意见（如果有请记录）",
|
|
|
+ "defaultValue": [],
|
|
|
+ "span": 24,
|
|
|
+ "key": "Locking_State",
|
|
|
+ "type": "input",
|
|
|
+ "border": false,
|
|
|
+ "disabledValue": "1",
|
|
|
+ "options": [],
|
|
|
+ "children": null,
|
|
|
+ "append": null,
|
|
|
+ "placeholder": null,
|
|
|
+ "required": null,
|
|
|
+ "show-limit": null,
|
|
|
+ "parentKey": "BehaviorAndTreatment",
|
|
|
+ "buttonName": null,
|
|
|
+ "childrenKey": null,
|
|
|
+ "groupKeys": []
|
|
|
+ }
|
|
|
+ ]
|
|
|
+}
|
