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@@ -3,374 +3,399 @@
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"Name": "严重精神障碍患者个人信息补充表",
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"Content": [
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{
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- "label": "监护人姓名",
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+ "label": "基本信息",
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"defaultValue": [],
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"span": 12,
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- "key": "LossFollow",
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+ "key": "BasicInfo",
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"type": "input",
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"border": false,
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"disabledValue": "1",
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"options": [],
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- "children": null,
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- "append": null,
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- "placeholder": null,
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- "required": null,
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- "show-limit": null,
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- "parentKey": "",
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- "buttonName": null,
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- "childrenKey": null,
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- "groupKeys": []
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- },
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- {
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- "label": "与患者关系",
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- "defaultValue": [],
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- "span": 12,
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- "key": "LossFollow",
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- "type": "input",
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- "border": false,
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- "disabledValue": "1",
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- "options": [],
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- "children": null,
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- "append": null,
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- "placeholder": null,
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- "required": null,
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- "show-limit": null,
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- "parentKey": "",
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- "buttonName": null,
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- "childrenKey": null,
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- "groupKeys": []
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- },
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- {
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- "label": "与患者关系",
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- "defaultValue": [],
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- "span": 12,
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- "key": "LossFollow",
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- "type": "input",
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- "border": false,
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- "disabledValue": "1",
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- "options": [],
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- "children": null,
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- "append": null,
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- "placeholder": null,
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- "required": null,
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- "show-limit": null,
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- "parentKey": "",
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- "buttonName": null,
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- "childrenKey": null,
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- "groupKeys": []
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- },
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- {
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- "label": "监护人住址",
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- "defaultValue": [],
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- "span": 12,
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- "key": "LossFollow",
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- "type": "input",
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- "border": false,
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- "disabledValue": "1",
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- "options": [],
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- "children": null,
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- "append": null,
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- "placeholder": null,
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- "required": null,
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- "show-limit": null,
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- "parentKey": "",
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- "buttonName": null,
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- "childrenKey": null,
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- "groupKeys": []
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- },
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- {
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- "label": "监护人电话",
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- "defaultValue": [],
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- "span": 12,
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- "key": "LossFollow",
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- "type": "input",
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- "border": false,
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- "disabledValue": "1",
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- "options": [],
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- "children": null,
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- "append": null,
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- "placeholder": null,
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- "required": null,
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- "show-limit": null,
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- "parentKey": "",
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- "buttonName": null,
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- "childrenKey": null,
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- "groupKeys": []
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- },
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- {
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- "label": "辖区村（居）委会联系人",
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- "defaultValue": [],
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- "span": 24,
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- "key": "LossFollow",
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- "type": "input",
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- "border": false,
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- "disabledValue": "1",
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- "options": [],
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- "children": null,
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- "append": null,
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- "placeholder": null,
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- "required": null,
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- "show-limit": null,
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- "parentKey": "",
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- "buttonName": null,
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- "childrenKey": null,
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- "groupKeys": []
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- },
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- {
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- "label": "辖区村（居）委会联系电话",
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- "defaultValue": [],
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- "span": 24,
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- "key": "LossFollow",
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- "type": "input",
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- "border": false,
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- "disabledValue": "1",
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- "options": [],
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- "children": null,
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- "append": null,
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- "placeholder": null,
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- "required": null,
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- "show-limit": null,
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- "parentKey": "",
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- "buttonName": null,
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- "childrenKey": null,
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- "groupKeys": []
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- },
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- {
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- "label": "户别",
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- "defaultValue": [],
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- "span": 24,
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- "key": "Death_Cause",
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- "type": "radio",
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- "border": false,
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- "disabledValue": "0",
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- "options": [
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- {
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- "label": "城镇",
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- "value": "1"
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- },
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- {
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- "label": "农村",
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- "value": "2"
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- }
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- ],
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- "children": null,
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- "append": null,
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- "placeholder": null,
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- "required": null,
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- "show-limit": null,
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- "parentKey": "DeadDateAndCause",
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- "buttonName": null,
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- "childrenKey": null,
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- "groupKeys": []
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- },
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- {
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- "label": "就业情况",
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- "defaultValue": [],
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- "span": 24,
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- "key": "Death_Cause",
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- "type": "radio",
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- "border": false,
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- "disabledValue": "1",
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- "options": [
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- {
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- "label": "在岗工人",
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- "value": "1"
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- },
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+ "children": [
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{
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- "label": "在岗管理者",
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- "value": "2"
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+ "label": "监护人姓名",
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+ "defaultValue": [],
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+ "span": 12,
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+ "key": "Guardian_Name",
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+ "type": "input",
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+ "border": false,
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+ "disabledValue": "1",
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+ "options": [],
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+ "children": null,
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+ "append": null,
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+ "placeholder": null,
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+ "required": null,
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+ "show-limit": null,
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+ "parentKey": "BasicInfo",
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+ "buttonName": null,
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+ "childrenKey": null,
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+ "groupKeys": []
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},
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{
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- "label": "农民",
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- "value": "3"
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+ "label": "与患者关系",
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+ "defaultValue": [],
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+ "span": 12,
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+ "key": "Guardian_Relation",
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+ "type": "input",
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+ "border": false,
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+ "disabledValue": "1",
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+ "options": [],
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+ "children": null,
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+ "append": null,
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+ "placeholder": null,
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+ "required": null,
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+ "show-limit": null,
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+ "parentKey": "BasicInfo",
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+ "buttonName": null,
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+ "childrenKey": null,
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+ "groupKeys": []
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},
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{
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- "label": "下岗或无业",
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- "value": "4"
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+ "label": "监护人住址",
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+ "defaultValue": [],
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+ "span": 12,
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+ "key": "Guardian_Addr",
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+ "type": "input",
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+ "border": false,
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+ "disabledValue": "1",
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+ "options": [],
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+ "children": null,
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+ "append": null,
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+ "placeholder": null,
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+ "required": null,
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+ "show-limit": null,
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+ "parentKey": "BasicInfo",
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+ "buttonName": null,
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+ "childrenKey": null,
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+ "groupKeys": []
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},
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{
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- "label": "在校学生",
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- "value": "5"
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+ "label": "监护人电话",
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+ "defaultValue": [],
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+ "span": 12,
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+ "key": "Guardian_Tel_No",
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+ "type": "input",
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+ "border": false,
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+ "disabledValue": "1",
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+ "options": [],
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+ "children": null,
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+ "append": null,
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+ "placeholder": null,
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+ "required": null,
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+ "show-limit": null,
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+ "parentKey": "BasicInfo",
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+ "buttonName": null,
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+ "childrenKey": null,
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+ "groupKeys": []
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},
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{
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- "label": " 退休",
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- "value": "6"
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+ "label": "辖区村（居）委会联系人",
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+ "defaultValue": [],
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+ "span": 24,
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+ "key": "Community_Contact_Name",
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+ "type": "input",
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+ "border": false,
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+ "disabledValue": "1",
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+ "options": [],
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+ "children": null,
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+ "append": null,
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+ "placeholder": null,
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+ "required": null,
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+ "show-limit": null,
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+ "parentKey": "BasicInfo",
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+ "buttonName": null,
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+ "childrenKey": null,
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+ "groupKeys": []
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},
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{
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- "label": "专业技术人员",
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- "value": "7"
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+ "label": "辖区村（居）委会联系电话",
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+ "defaultValue": [],
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+ "span": 24,
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+ "key": "Community_Contact_Phone",
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+ "type": "input",
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+ "border": false,
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+ "disabledValue": "1",
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+ "options": [],
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+ "children": null,
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+ "append": null,
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+ "placeholder": null,
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+ "required": null,
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+ "show-limit": null,
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+ "parentKey": "BasicInfo",
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+ "buttonName": null,
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+ "childrenKey": null,
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+ "groupKeys": []
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},
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{
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- "label": "其他",
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- "value": "8"
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+ "label": "户别",
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+ "defaultValue": [],
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+ "span": 24,
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+ "key": "Residence_Type",
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+ "type": "radio",
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+ "border": false,
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+ "disabledValue": "0",
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+ "options": [
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+ {
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+ "label": "城镇",
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+ "value": "1"
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+ },
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+ {
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+ "label": "农村",
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+ "value": "2"
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+ }
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+ ],
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+ "children": null,
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+ "append": null,
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+ "placeholder": null,
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+ "required": null,
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+ "show-limit": null,
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+ "parentKey": "BasicInfo",
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+ "buttonName": null,
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+ "childrenKey": null,
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+ "groupKeys": []
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},
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{
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- "label": "不详",
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- "value": "9"
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- }
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- ],
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- "children": null,
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- "append": null,
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- "placeholder": null,
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- "required": null,
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- "show-limit": null,
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- "parentKey": "DeadDateAndCause",
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- "buttonName": null,
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- "childrenKey": null,
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- "groupKeys": []
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- },
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- {
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- "label": "知情同意",
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- "defaultValue": [],
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- "span": 24,
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- "key": "Death_Cause",
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- "type": "radio",
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- "border": false,
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- "disabledValue": "1",
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- "options": [
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- {
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- "label": "同意参加管理",
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- "value": "1"
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+ "label": "就业情况",
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+ "defaultValue": [],
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+ "span": 24,
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+ "key": "Employment_Status",
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+ "type": "radio",
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+ "border": false,
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+ "disabledValue": "1",
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+ "options": [
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+ {
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+ "label": "在岗工人",
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+ "value": "1"
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+ },
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+ {
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+ "label": "在岗管理者",
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+ "value": "2"
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+ },
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+ {
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+ "label": "农民",
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+ "value": "3"
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+ },
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+ {
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+ "label": "下岗或无业",
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+ "value": "4"
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+ },
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+ {
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+ "label": "在校学生",
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+ "value": "5"
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+ },
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+ {
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+ "label": " 退休",
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+ "value": "6"
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+ },
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+ {
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+ "label": "专业技术人员",
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+ "value": "7"
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+ },
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+ {
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+ "label": "其他",
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+ "value": "8"
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+ },
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+ {
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+ "label": "不详",
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+ "value": "9"
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+ }
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+ ],
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+ "children": null,
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+ "append": null,
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+ "placeholder": null,
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+ "required": null,
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+ "show-limit": null,
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+ "parentKey": "BasicInfo",
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+ "buttonName": null,
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+ "childrenKey": null,
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+ "groupKeys": []
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},
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{
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- "label": "不同意参加管理",
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- "value": "0"
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+ "label": "知情同意",
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+ "defaultValue": [],
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+ "span": 24,
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+ "key": "Informed_Consent_Mark",
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+ "type": "radioInformedConsent",
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+ "border": false,
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+ "disabledValue": "1",
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+ "options": [
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+ {
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+ "label": "同意参加管理",
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+ "value": "1"
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+ },
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+ {
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+ "label": "不同意参加管理",
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+ "value": "0"
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+ }
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+ ],
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+ "children": null,
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+ "append": null,
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+ "placeholder": null,
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+ "required": null,
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+ "show-limit": null,
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+ "parentKey": "BasicInfo",
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+ "buttonName": null,
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+ "childrenKey": [
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+ "Informed_Consent_Signer_Name",
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+ "Informed_Consent_Sign_Date"
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+ ],
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+ "groupKeys": []
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}
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],
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- "children": null,
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"append": null,
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"placeholder": null,
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"required": null,
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"show-limit": null,
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- "parentKey": "DeadDateAndCause",
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+ "parentKey": "",
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"buttonName": null,
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"childrenKey": null,
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"groupKeys": []
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},
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{
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- "label": "初次发病时间",
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+ "label": "症状",
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|
|
"defaultValue": [],
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"span": 24,
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- "key": "Death_Date",
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- "type": "date",
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+ "key": "Symptomatic",
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+ "type": "input",
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"border": false,
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"disabledValue": "1",
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- },
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- {
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- "label": "交流困难",
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- },
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- {
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- "label": "猜疑",
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- "value": "3"
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- },
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- {
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- "label": "喜怒无常",
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- "value": "4"
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- },
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- {
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- "label": "行为怪异",
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- },
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- {
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- "label": "兴奋话多",
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- },
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- {
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- "label": "伤人毁物",
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- },
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- {
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- "label": "悲观厌世",
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- "value": "8"
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- },
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- {
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- "label": "无故外走",
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- "value": "9"
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- },
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- {
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- "label": "自语自笑",
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- "value": "10"
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- },
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- {
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- "label": "孤僻懒散",
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- "value": "11"
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- },
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- }
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- {
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- "label": "既往关锁情况",
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- "defaultValue": [],
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- "span": 24,
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- "key": "Locking_State",
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- "border": false,
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- "disabledValue": "1",
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- "options": [
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+ "children": [
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{
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- "label": "无关锁",
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- "value": "1"
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+ "label": "初次发病时间",
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+ "defaultValue": [],
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+ "span": 24,
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+ "key": "Smi_First_Onset_Date",
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+ "type": "date",
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+ "border": false,
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+ "disabledValue": "1",
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+ "groupKeys": []
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},
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{
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- "label": "关锁",
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- "value": "2"
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+ "label": "目前症状",
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+ "defaultValue": [],
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+ "span": 24,
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+ "key": "Mental_Symp_Code",
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+ "type": "checkBoxIncludeOther",
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+ "border": false,
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+ "disabledValue": "0",
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+ "options": [
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+ {
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+ "label": "幻觉",
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+ "value": "1"
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+ },
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+ {
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+ "label": "交流困难",
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+ "value": "2"
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+ },
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+ {
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+ "label": "猜疑",
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+ "value": "3"
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+ },
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+ {
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+ "label": "喜怒无常",
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+ "value": "4"
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+ },
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+ {
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+ "label": "行为怪异",
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+ "value": "5"
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+ },
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+ {
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+ "label": "兴奋话多",
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+ "value": "6"
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+ },
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+ {
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+ "label": "伤人毁物",
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+ "value": "7"
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+ },
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+ {
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+ "label": "悲观厌世",
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+ "value": "8"
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+ },
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+ {
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+ "label": "无故外走",
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+ "value": "9"
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+ },
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+ {
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+ "label": "自语自笑",
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+ "value": "10"
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+ },
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+ {
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+ "label": "孤僻懒散",
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+ "value": "11"
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+ },
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+ {
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+ "label": "其他",
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+ "value": "12"
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+ }
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+ ],
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+ "childrenKey": ["Mental_Symp_Other"],
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+ "groupKeys": ["12"]
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},
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{
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- "label": "关锁已解除",
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- "value": "3"
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+ "label": "既往关锁情况",
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+ "defaultValue": [],
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+ "span": 24,
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+ "key": "Locked_Code",
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+ "type": "radio",
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+ "border": false,
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+ "disabledValue": "1",
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+ "options": [
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+ {
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+ "label": "无关锁",
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+ "value": "1"
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+ },
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+ {
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+ "label": "关锁",
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+ "value": "2"
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+ },
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+ {
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+ "label": "关锁已解除",
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+ "value": "3"
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+ }
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+ ],
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+ "children": null,
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+ "append": null,
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+ "placeholder": null,
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+ "buttonName": null,
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+ "childrenKey": null,
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+ "groupKeys": []
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}
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],
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- "children": null,
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"append": null,
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"placeholder": null,
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"required": null,
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"show-limit": null,
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- "parentKey": "BehaviorAndTreatment",
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"buttonName": null,
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"childrenKey": null,
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"groupKeys": []
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},
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+
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{
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"label": "既往治疗情况",
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"defaultValue": [],
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"span": 24,
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- "key": "Locking_State",
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+ "key": "PreviousTreatment",
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"type": "radio",
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"border": false,
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"disabledValue": "1",
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@@ -380,7 +405,7 @@
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"label": "门诊",
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"defaultValue": [],
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"span": 24,
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- "key": "Locking_State",
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+ "key": "Past_Treat_Result_Code",
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"type": "radio",
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"border": false,
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"disabledValue": "1",
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@@ -403,16 +428,16 @@
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"required": null,
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"show-limit": null,
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+ "parentKey": "PreviousTreatment",
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"buttonName": null,
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- "childrenKey": null,
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- "groupKeys": []
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+ "childrenKey": ["First_Antipsy_Treat_Date"],
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+ "groupKeys": ["2", "3"]
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},
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{
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"label": "首次抗精神病药治疗时间",
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"defaultValue": [],
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"span": 24,
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- "key": "Locking_State",
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+ "key": "First_Antipsy_Treat_Date",
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"type": "date",
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"border": false,
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"disabledValue": "1",
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@@ -422,7 +447,26 @@
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"placeholder": null,
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"required": null,
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"show-limit": null,
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- "parentKey": "BehaviorAndTreatment",
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+ "parentKey": "PreviousTreatment",
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+ "buttonName": null,
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+ "childrenKey": null,
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+ "groupKeys": []
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+ },
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+ {
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+ "label": "住院",
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+ "defaultValue": [],
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+ "span": 24,
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+ "key": "Past_Psy_Inpat_Times",
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+ "type": "inputHospitalizationTimes",
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+ "border": false,
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+ "disabledValue": "1",
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+ "options": [],
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+ "children": null,
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+ "append": null,
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+ "placeholder": null,
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+ "required": null,
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+ "show-limit": null,
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+ "parentKey": "PreviousTreatment",
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"buttonName": null,
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"groupKeys": []
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@@ -432,157 +476,181 @@
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"placeholder": null,
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"required": null,
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"show-limit": null,
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- "parentKey": "BehaviorAndTreatment",
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+ "parentKey": "",
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"buttonName": null,
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"childrenKey": null,
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"groupKeys": []
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},
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{
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- "label": "目前诊断情况",
|
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+ "label": "当前状况",
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"defaultValue": [],
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"span": 24,
|
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- "key": "Locking_State",
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+ "key": "CurrentSituation",
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"type": "input",
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"border": false,
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"disabledValue": "1",
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"options": [],
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- "children": null,
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- "append": null,
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- "groupKeys": []
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- },
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- {
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- "label": "最近一次治疗效果",
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- "defaultValue": [],
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- "span": 24,
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- "key": "Locking_State",
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- "type": "radio",
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- "border": false,
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- "disabledValue": "1",
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- "options": [
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- {
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- "label": "临床痊愈",
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- "value": "1"
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- },
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- {
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- "label": "好转",
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- "value": "2"
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- {
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- "label": "无变化",
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- "value": "3"
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- {
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- "label": "加重",
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- }
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- {
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- "label": "危险行为",
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- "defaultValue": [],
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- "span": 24,
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- "key": "Dangerousbehavior",
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- "disabledValue": "7",
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- {
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- "label": "轻度滋事",
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- "value": "1"
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- },
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- {
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- "label": "肇事",
|
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- "value": "2"
|
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- },
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- {
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|
- "label": "肇祸",
|
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|
- "value": "3"
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- },
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+ "children": [
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{
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- "label": "其他危害行为",
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- "value": "4"
|
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+ "label": "目前诊断情况",
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+ "defaultValue": [],
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+ "span": 24,
|
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+ "key": "Diagnose",
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+ "type": "inputDiagnose",
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+ "border": false,
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+ "disabledValue": "1",
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+ "options": [],
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+ "parentKey": "CurrentSituation",
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+ "buttonName": null,
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+ "childrenKey": [
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|
+ "Diagnose",
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+ "Confirmed_Diag_Org_Name",
|
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+ "Confirmed_Diag_Date"
|
|
|
+ ],
|
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|
+ "groupKeys": []
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},
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{
|
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|
- "label": "自伤",
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- "value": "5"
|
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+ "label": "最近一次治疗效果",
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+ "defaultValue": [],
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+ "span": 24,
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+ "key": "Past_Treat_Result_Code1",
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+ "type": "radio",
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+ "border": false,
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+ "disabledValue": "1",
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+ "options": [
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+ {
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+ "label": "临床痊愈",
|
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+ "value": "1"
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+ },
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+ {
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+ "label": "好转",
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+ "value": "2"
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+ },
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+ {
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+ "label": "无变化",
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+ "value": "3"
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+ },
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+ {
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+ "label": "加重",
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+ "value": "4"
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+ }
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{
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- "label": "自杀未遂",
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- "value": "6"
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+ "label": "危险行为",
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+ "defaultValue": [],
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+ "span": 24,
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+ "key": "Dangerous",
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+ "type": "checkBoxFrequency",
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+ "border": false,
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+ "disabledValue": "7",
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+ "options": [
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+ {
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+ "label": "轻度滋事",
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+ "value": "1"
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+ },
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+ {
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+ "label": "肇事",
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+ "value": "2"
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+ },
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+ {
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+ "label": "肇祸",
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+ "value": "3"
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+ },
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+ {
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+ "label": "其他危害行为",
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+ "value": "4"
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+ },
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+ {
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+ "label": "自伤",
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+ "value": "5"
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+ },
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+ {
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+ "label": "自杀未遂",
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+ "value": "6"
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+ },
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+ {
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+ "label": "无",
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+ "value": "7"
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+ }
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+ ],
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+ "children": null,
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+ "append": null,
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+ "childrenKey": null,
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+ "groupKeys": []
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},
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{
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- "label": "无",
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- "value": "7"
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- }
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- ],
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- "children": null,
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- "append": null,
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- "groupKeys": []
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- },
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- {
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- "label": "经济状况",
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- "defaultValue": [],
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- "span": 24,
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- "key": "Dangerousbehavior",
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- "type": "radio",
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- "border": false,
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- "disabledValue": "0",
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- "options": [
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- {
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- "label": "贫困，在当地贫困线标准以下",
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|
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- "value": "1"
|
|
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+ "label": "经济状况",
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+ "defaultValue": [],
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+ "span": 24,
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+ "key": "Financial_Situa Tion_Code",
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+ "type": "radio",
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+ "border": false,
|
|
|
+ "disabledValue": "0",
|
|
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+ "options": [
|
|
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+ {
|
|
|
+ "label": "贫困，在当地贫困线标准以下",
|
|
|
+ "value": "1"
|
|
|
+ },
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|
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+ {
|
|
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+ "label": "非贫困",
|
|
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+ "value": "2"
|
|
|
+ }
|
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+ ],
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+ "children": null,
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+ "append": null,
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+ "placeholder": null,
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+ "required": null,
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+ "show-limit": null,
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+ "parentKey": "CurrentSituation",
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+ "buttonName": null,
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+ "childrenKey": null,
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+ "groupKeys": []
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},
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{
|
|
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- "label": "非贫困",
|
|
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- "value": "2"
|
|
|
+ "label": "专科医生的意见（如果有请记录）",
|
|
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+ "defaultValue": [],
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|
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+ "span": 24,
|
|
|
+ "key": "Specialist_Advice",
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+ "type": "input",
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+ "border": false,
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+ "disabledValue": "1",
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+ "options": [],
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+ "children": null,
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+ "append": null,
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}
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- "children": null,
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- "parentKey": "BehaviorAndTreatment",
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- },
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- {
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- "label": "专科医生的意见（如果有请记录）",
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- "defaultValue": [],
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- "span": 24,
|
|
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- "key": "Locking_State",
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- "type": "input",
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- "border": false,
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- "disabledValue": "1",
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- "options": [],
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- "children": null,
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- "append": null,
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- "parentKey": "BehaviorAndTreatment",
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+ "parentKey": "",
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"groupKeys": []
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