{ "Key": "MaternalHealthManagement", "Name": "第 1 次产前检查", "Content":[ { "label": "填表日期", "defaultValue": null, "span": 24, "key": "Form_Date", "type": "dateTime", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "孕周", "defaultValue": null, "span": 12, "key": "Gestational_Week", "type": "numberInput", "border": null, "disabledValue": null, "options": [], "children": null, "append": "周", "placeholder": "", "required": null, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "孕妇年龄", "defaultValue": null, "span": 12, "key": "MaternalAge", "type": "numberInput", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "丈夫姓名", "defaultValue": null, "span": 12, "key": "HusbandName", "type": "input", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "丈夫年龄", "defaultValue": null, "span": 12, "key": "HusbandAge", "type": "numberInput", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "丈夫电话", "defaultValue": null, "span": 12, "key": "HusbandPhone", "type": "input", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "孕次", "defaultValue": null, "span": 12, "key": "PregnancyCount", "type": "numberInput", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "产次", "defaultValue": null, "span": 12, "key": "BirthCount", "type": "virtualTitle", "border": null, "disabledValue": null, "options": [], "children": [ { "label": "阴道分娩", "defaultValue": null, "span": 12, "key": "PregnancyCount", "type": "numberInput", "border": null, "disabledValue": null, "options": [], "children": null, "append": "次", "placeholder": "", "required": null, "show-limit": false, "parentKey": "BirthCount", "buttonName": null, "childrenKey": null }, { "label": "剖宫产", "defaultValue": null, "span": 12, "key": "CesareanSection", "type": "numberInput", "border": null, "disabledValue": null, "options": [], "children": null, "append": "次", "placeholder": "", "required": null, "show-limit": false, "parentKey": "BirthCount", "buttonName": null, "childrenKey": null } ], "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "末次月经", "defaultValue": null, "span": 12, "key": "Last_Period", "type": "virtualTitle", "border": null, "disabledValue": null, "options": null, "children": [ { "label": "日期", "defaultValue": null, "span": 24, "key": "Last_Period_Date", "type": "dateTime", "border": null, "disabledValue": null, "options": null, "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": "Last_Period", "buttonName": null, "childrenKey": null }, { "label": "不详", "defaultValue": null, "span": 12, "key": "virtualTitle", "type": "option", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": true, "parentKey": "Last_Period", "buttonName": null, "childrenKey": null } ], "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "预产期", "defaultValue": null, "span": 24, "key": "EstimatedDeliveryDate", "type": "dateTime", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "既往史", "defaultValue": [], "span": 24, "key": "Past_History", "type": "virtualTitle", "border": false, "disabledValue": "Past_History_1", "maxItems": 10, "options": null, "children": [ { "label": "无", "defaultValue": null, "span": 12, "key": "Past_History_1", "type": "option", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": true, "parentKey": "Past_History", "buttonName": null, "childrenKey": null }, { "label": "心脏病", "defaultValue": null, "span": 12, "key": "Past_History_2", "type": "option", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": true, "parentKey": "Past_History", "buttonName": null, "childrenKey": null }, { "label": "肾脏疾病", "defaultValue": null, "span": 12, "key": "Past_History_3", "type": "option", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": true, "parentKey": "Past_History", "buttonName": null, "childrenKey": null }, { "label": "肝脏疾病", "defaultValue": null, "span": 12, "key": "Past_History_4", "type": "option", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": true, "parentKey": "Past_History", "buttonName": null, "childrenKey": null }, { "label": "高血压", "defaultValue": null, "span": 12, "key": "Past_History_5", "type": "option", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": true, "parentKey": "Past_History", "buttonName": null, "childrenKey": null }, { "label": "贫血", "defaultValue": null, "span": 12, "key": "Past_History_6", "type": "option", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": true, "parentKey": "Past_History", "buttonName": null, "childrenKey": null }, { "label": "糖尿病", "defaultValue": null, "span": 12, "key": "Past_History_7", "type": "option", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": true, "parentKey": "Past_History", "buttonName": null, "childrenKey": null }, { "label": "其他", "defaultValue": null, "span": 12, "key": "Past_History_Other", "type": "input", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": true, "parentKey": "Past_History", "buttonName": null, "childrenKey": null } ], "append": null, "placeholder": null, "required": null, "show-limit": null, "parentKey": "virtualGeneralSymptom", "buttonName": null, "childrenKey": null }, { "label": "家族史", "defaultValue": [], "span": 24, "key": "Family_History", "type": "virtualTitle", "border": false, "disabledValue": "1", "maxItems": 10, "options": null, "children": [ { "label": "无", "defaultValue": null, "span": 12, "key": "Family_History_1", "type": "option", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": true, "parentKey": "Family_History", "buttonName": null, "childrenKey": null }, { "label": "遗传性疾病史", "defaultValue": null, "span": 12, "key": "Family_History_2", "type": "option", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": true, "parentKey": "Family_History", "buttonName": null, "childrenKey": null }, { "label": "精神疾病史", "defaultValue": null, "span": 12, "key": "Family_History_3", "type": "option", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": true, "parentKey": "Family_History", "buttonName": null, "childrenKey": null }, { "label": "其他", "defaultValue": null, "span": 12, "key": "Family_History_Other", "type": "input", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": true, "parentKey": "Family_History", "buttonName": null, "childrenKey": null }, { "label": "遗传性疾病史详情：", "defaultValue": null, "span": 12, "key": "Family_History_2_Detail", "type": "longInput", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": true, "parentKey": "Family_History", "buttonName": null, "childrenKey": null }, { "label": "精神疾病史详情：", "defaultValue": null, "span": 12, "key": "Family_History_3_Detail", "type": "longInput", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": true, "parentKey": "Family_History", "buttonName": null, "childrenKey": null } ], "append": null, "placeholder": null, "required": null, "show-limit": null, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "个人史", "defaultValue": [], "span": 24, "key": "Health_History", "type": "virtualTitle", "border": false, "disabledValue": "1", "maxItems": 10, "options": null, "children": [ { "label": "无特殊", "defaultValue": null, "span": 12, "key": "Health_History_1", "type": "option", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": true, "parentKey": "Health_History", "buttonName": null, "childrenKey": null }, { "label": "吸烟", "defaultValue": null, "span": 12, "key": "Health_History_2", "type": "option", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": true, "parentKey": "Health_History", "buttonName": null, "childrenKey": null }, { "label": "饮酒", "defaultValue": null, "span": 12, "key": "Health_History_3", "type": "option", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": true, "parentKey": "Health_History", "buttonName": null, "childrenKey": null }, { "label": "服用药物", "defaultValue": null, "span": 12, "key": "Health_History_4", "type": "option", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": true, "parentKey": "Health_History", "buttonName": null, "childrenKey": null }, { "label": "接触有毒有害物质", "defaultValue": null, "span": 12, "key": "Health_History_5", "type": "option", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": true, "parentKey": "Health_History", "buttonName": null, "childrenKey": null }, { "label": "接触放射线", "defaultValue": null, "span": 12, "key": "Health_History_6", "type": "option", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": true, "parentKey": "Health_History", "buttonName": null, "childrenKey": null }, { "label": "其他", "defaultValue": null, "span": 12, "key": "Health_History_7", "type": "input", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": true, "parentKey": "Health_History", "buttonName": null, "childrenKey": null } ], "append": null, "placeholder": null, "required": null, "show-limit": null, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "妇产科手术史", "defaultValue": [], "span": 24, "key": "Operation_History", "type": "virtualTitle", "border": false, "disabledValue": "1", "maxItems": 10, "options": null, "children": [ { "label": "无", "defaultValue": null, "span": 12, "key": "Operation_History_null", "type": "option", "border": null, "disabledValue": null, "options": [], "children": null, "append": "次", "placeholder": "", "required": null, "show-limit": false, "parentKey": "Operation_History", "buttonName": null, "childrenKey": null }, { "label": "有", "defaultValue": null, "span": 12, "key": "Operation_History_True", "type": "option", "border": null, "disabledValue": null, "options": null, "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": "Operation_History", "buttonName": null, "childrenKey": null }, { "label": "妇产科手术史详情", "defaultValue": null, "span": 12, "key": "Operation_History_True_Detail", "type": "longInput", "border": null, "disabledValue": null, "options": null, "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": "Operation_History", "buttonName": null, "childrenKey": null } ], "append": null, "placeholder": null, "required": null, "show-limit": null, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "孕产史", "defaultValue": [], "span": 24, "key": "Maternity_History", "type": "virtualTitle", "border": false, "disabledValue": "1", "maxItems": 10, "options": null, "children": [ { "label": "自然流产", "defaultValue": 0, "span": 12, "key": "Miscarriage", "type": "numberInput", "border": null, "disabledValue": null, "options": [], "children": null, "append": "次", "placeholder": "", "required": null, "show-limit": false, "parentKey": "Maternity_History", "buttonName": null, "childrenKey": null }, { "label": "人工流产", "defaultValue": 0, "span": 12, "key": "InducedAbortion", "type": "numberInput", "border": null, "disabledValue": null, "options": [], "children": null, "append": "次", "placeholder": "", "required": null, "show-limit": false, "parentKey": "Maternity_History", "buttonName": null, "childrenKey": null }, { "label": "死胎", "defaultValue": 0, "span": 12, "key": "Stillborn", "type": "numberInput", "border": null, "disabledValue": null, "options": [], "children": null, "append": "次", "placeholder": "", "required": null, "show-limit": false, "parentKey": "Maternity_History", "buttonName": null, "childrenKey": null }, { "label": "死产", "defaultValue": 0, "span": 12, "key": "Stillbirth", "type": "numberInput", "border": null, "disabledValue": null, "options": [], "children": null, "append": "次", "placeholder": "", "required": null, "show-limit": false, "parentKey": "Maternity_History", "buttonName": null, "childrenKey": null }, { "label": "新生儿死亡", "defaultValue": 0, "span": 12, "key": "Neonatal_Death", "type": "numberInput", "border": null, "disabledValue": null, "options": [], "children": null, "append": "次", "placeholder": "", "required": null, "show-limit": false, "parentKey": "Maternity_History", "buttonName": null, "childrenKey": null }, { "label": "出生缺陷儿", "defaultValue": 0, "span": 12, "key": "Birth_Defect_Child", "type": "numberInput", "border": null, "disabledValue": null, "options": [], "children": null, "append": "次", "placeholder": "", "required": null, "show-limit": false, "parentKey": "Maternity_History", "buttonName": null, "childrenKey": null } ], "append": null, "placeholder": null, "required": null, "show-limit": null, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "身高", "defaultValue": null, "span": 12, "key": "Height", "type": "numberInput", "border": null, "disabledValue": null, "options": [], "children": null, "append": "cm", "placeholder": "", "required": null, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "体重", "defaultValue": null, "span": 12, "key": "Weight", "type": "numberInput", "border": null, "disabledValue": null, "options": [], "children": null, "append": "kg", "placeholder": "", "required": null, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "体质指数（BMI）", "defaultValue": null, "span": 12, "key": "Bmi", "type": "numberInput", "border": null, "disabledValue": null, "options": [], "children": null, "append": "kg/m²", "placeholder": "", "required": null, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "血压", "defaultValue": null, "span": 24, "key": "BloodPressure", "type": "bloodPressure", "border": null, "disabledValue": null, "options": [], "children": null, "append": "mmHg", "placeholder": "", "required": null, "show-limit": false, "parentKey": null }, { "label": "听诊", "defaultValue": null, "span": 24, "key": "Auscultation", "type": "virtualTitle", "border": null, "disabledValue": null, "options": null, "children": [ { "label": "心脏", "defaultValue": null, "span": 24, "key": "Heart_Abnormal", "type": "virtualTitle", "border": false, "disabledValue": "No_Abnormalities_Found", "maxItems": 10, "options": null, "children": [ { "label": "未见异常", "defaultValue": null, "span": 12, "key": "Heart_Abnormal_1", "type": "option", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": "Heart_Abnormal", "buttonName": null, "childrenKey": null }, { "label": "异常：", "defaultValue": null, "span": 12, "key": "Heart_Abnormal_Abnormality", "type": "input", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": "Heart_Abnormal", "buttonName": null, "childrenKey": null } ], "append": null, "placeholder": null, "required": null, "show-limit": null, "parentKey": "Auscultation", "buttonName": null, "childrenKey": null }, { "label": "肺部", "defaultValue": [], "span": 24, "key": "Lung_Abnormal", "type": "virtualTitle", "border": false, "disabledValue": "1", "maxItems": 10, "options": null, "children": [ { "label": "未见异常", "defaultValue": null, "span": 12, "key": "Lung_Abnormal_1", "type": "option", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": "Lung_Abnormal", "buttonName": null, "childrenKey": null }, { "label": "异常：", "defaultValue": null, "span": 12, "key": "Lung_Abnormal_Abnormality", "type": "input", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": "Lung_Abnormal", "buttonName": null, "childrenKey": null } ], "append": null, "placeholder": null, "required": null, "show-limit": null, "parentKey": "Auscultation", "buttonName": null, "childrenKey": null } ], "append": "mmHg", "placeholder": "", "required": null, "show-limit": false, "parentKey": null }, { "label": "妇科检查", "defaultValue": null, "span": 24, "key": "Gynecological_Examination", "type": "virtualTitle", "border": null, "disabledValue": null, "options": null, "children": [ { "label": "外阴", "defaultValue": null, "span": 24, "key": "Vulvar", "type": "virtualTitle", "border": null, "disabledValue": null, "options": null, "children": [ { "label": "未见异常", "defaultValue": null, "span": 12, "key": "Vulvar_1", "type": "option", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": "Vulvar", "buttonName": null, "childrenKey": null }, { "label": "异常：", "defaultValue": null, "span": 12, "key": "Vulvar_Abnormality", "type": "input", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": "Vulvar", "buttonName": null, "childrenKey": null } ], "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": "Gynecological_Examination", "buttonName": null, "childrenKey": null }, { "label": "阴道", "defaultValue": null, "span": 12, "key": "Vagina", "type": "virtualTitle", "border": null, "disabledValue": null, "options": null, "children": [ { "label": "未见异常", "defaultValue": null, "span": 12, "key": "Vagina_1", "type": "option", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": "Vagina", "buttonName": null, "childrenKey": null }, { "label": "异常：", "defaultValue": null, "span": 12, "key": "Vagina_Abnormality", "type": "input", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": "Vagina", "buttonName": null, "childrenKey": null } ], "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": "Gynecological_Examination", "buttonName": null, "childrenKey": null }, { "label": "宫颈", "defaultValue": null, "span": 12, "key": "Cervical", "type": "virtualTitle", "border": null, "disabledValue": null, "options": null, "children": [ { "label": "未见异常", "defaultValue": null, "span": 12, "key": "Cervical_1", "type": "option", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": "Cervical", "buttonName": null, "childrenKey": null }, { "label": "异常：", "defaultValue": null, "span": 12, "key": "Cervical_Abnormality", "type": "input", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": "Cervical", "buttonName": null, "childrenKey": null } ], "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": "Gynecological_Examination", "buttonName": null, "childrenKey": null }, { "label": "子宫", "defaultValue": null, "span": 12, "key": "Uteri_Body", "type": "virtualTitle", "border": null, "disabledValue": null, "options": null, "children": [ { "label": "未见异常", "defaultValue": null, "span": 12, "key": "Uteri_Body_1", "type": "option", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": "Uteri_Body", "buttonName": null, "childrenKey": null }, { "label": "异常：", "defaultValue": null, "span": 12, "key": "Uteri_Body_Abnormality", "type": "input", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": "Uteri_Body", "buttonName": null, "childrenKey": null } ], "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": "Gynecological_Examination", "buttonName": null, "childrenKey": null }, { "label": "附件", "defaultValue": null, "span": 12, "key": "Uteri_Adnexa", "type": "virtualTitle", "border": null, "disabledValue": null, "options": null, "children": [ { "label": "未见异常", "defaultValue": null, "span": 12, "key": "Uteri_Adnexa_1", "type": "option", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": "Uteri_Adnexa", "buttonName": null, "childrenKey": null }, { "label": "异常：", "defaultValue": null, "span": 12, "key": "Uteri_Adnexa_Abnormality", "type": "input", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": "Uteri_Adnexa", "buttonName": null, "childrenKey": null } ], "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": "Gynecological_Examination", "buttonName": null, "childrenKey": null } ], "append": "mmHg", "placeholder": "", "required": null, "show-limit": false, "parentKey": null }, { "label": "辅助检查", "defaultValue": null, "span": 12, "key": "Ancillary_Examination", "type": "virtualTitle", "border": null, "disabledValue": null, "options": null, "children": [ { "label": "血常规", "defaultValue": null, "span": 12, "key": "Complete_Blood_Count", "type": "virtualTitle", "border": null, "disabledValue": null, "options": null, "children": [ { "label": "血红蛋白值", "defaultValue": null, "span": 12, "key": "Hemoglobin", "type": "input", "border": null, "disabledValue": null, "options": null, "children": null, "append": "g/L", "placeholder": "", "required": null, "show-limit": false, "parentKey": "Complete_Blood_Count", "buttonName": null, "childrenKey": null }, { "label": "白细胞计数值", "defaultValue": null, "span": 12, "key": "White_Blood_Cell_Count", "type": "input", "border": null, "disabledValue": null, "options": null, "children": null, "append": "/L", "placeholder": "", "required": null, "show-limit": false, "parentKey": "Complete_Blood_Count", "buttonName": null, "childrenKey": null }, { "label": "血小板计数值", "defaultValue": null, "span": 12, "key": "Platelet_Count", "type": "input", "border": null, "disabledValue": null, "options": null, "children": null, "append": "/L", "placeholder": "", "required": null, "show-limit": false, "parentKey": "Complete_Blood_Count", "buttonName": null, "childrenKey": null }, { "label": "其他", "defaultValue": null, "span": 12, "key": "Blood_Other", "type": "input", "border": null, "disabledValue": null, "options": null, "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": "Complete_Blood_Count", "buttonName": null, "childrenKey": null } ], "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": "Ancillary_Examination", "buttonName": null, "childrenKey": null }, { "label": "尿常规", "defaultValue": null, "span": 12, "key": "Urinary_Pro", "type": "virtualTitle", "border": null, "disabledValue": null, "options": null, "children": [ { "label": "尿蛋白", "defaultValue": null, "span": 12, "key": "Urine_Protein", "type": "input", "border": null, "disabledValue": null, "options": null, "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": "Urinary_Pro", "buttonName": null, "childrenKey": null }, { "label": "尿糖", "defaultValue": null, "span": 12, "key": "Urine_Glucose", "type": "input", "border": null, "disabledValue": null, "options": null, "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": "Urinary_Pro", "buttonName": null, "childrenKey": null }, { "label": "尿酮体", "defaultValue": null, "span": 12, "key": "Urine_Ketones", "type": "input", "border": null, "disabledValue": null, "options": null, "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": "Urinary_Pro", "buttonName": null, "childrenKey": null }, { "label": "尿潜血", "defaultValue": null, "span": 12, "key": "Urine_Occult_Blood", "type": "input", "border": null, "disabledValue": null, "options": null, "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": "Urinary_Pro", "buttonName": null, "childrenKey": null }, { "label": "其他", "defaultValue": null, "span": 12, "key": "Urinary_Pro_Other", "type": "input", "border": null, "disabledValue": null, "options": null, "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": "Urinary_Pro", "buttonName": null, "childrenKey": null } ], "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": "Ancillary_Examination", "buttonName": null, "childrenKey": null }, { "label": "血型", "defaultValue": null, "span": 12, "key": "Bloodtype", "type": "radio", "border": null, "disabledValue": null, "options": [ { "label": "A", "value": "1" }, { "label": "B", "value": "2" }, { "label": "O", "value": "3" }, { "label": "AB", "value": "4" }, { "label": "RH", "value": "5" } ], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": "Ancillary_Examination", "buttonName": null, "childrenKey": null }, { "label": "血糖", "defaultValue": null, "span": 12, "key": "Fasting_Glucose_Mmol", "type": "numberInput", "border": null, "disabledValue": null, "options": null, "children": null, "append": "mmol/L", "placeholder": "", "required": null, "show-limit": false, "parentKey": "Ancillary_Examination", "buttonName": null, "childrenKey": null }, { "label": "肝功能", "defaultValue": null, "span": 12, "key": "liverFunction", "type": "virtualTitle", "border": null, "disabledValue": null, "options": null, "children": [ { "label": "血清谷丙转氨酶", "defaultValue": null, "span": 12, "key": "Serum_Alanine_Aminotransferase", "type": "input", "border": null, "disabledValue": null, "options": null, "children": null, "append": "U/L", "placeholder": "", "required": null, "show-limit": false, "parentKey": "liverFunction", "buttonName": null, "childrenKey": null }, { "label": "血清谷草转氨酶", "defaultValue": null, "span": 12, "key": "Serum_Aspartate_Aminotransferase", "type": "input", "border": null, "disabledValue": null, "options": null, "children": null, "append": "U/L", "placeholder": "", "required": null, "show-limit": false, "parentKey": "liverFunction", "buttonName": null, "childrenKey": null }, { "label": "白蛋白", "defaultValue": null, "span": 12, "key": "Liver_Alb", "type": "numberInput", "border": null, "disabledValue": null, "options": null, "children": null, "append": "g/L", "placeholder": "", "required": null, "show-limit": false, "parentKey": "liverFunction", "buttonName": null, "childrenKey": null }, { "label": "总胆红素", "defaultValue": null, "span": 12, "key": "Liver_Tbil", "type": "numberInput", "border": null, "disabledValue": null, "options": [], "children": null, "append": "μmol/L", "placeholder": "", "required": false, "show-limit": false, "parentKey": "liverFunction", "buttonName": null, "childrenKey": null }, { "label": "结合胆红素", "defaultValue": null, "span": 12, "key": "Liver_Dbil", "type": "numberInput", "border": null, "disabledValue": null, "options": [], "children": null, "append": "μmol/L", "placeholder": "", "required": false, "show-limit": false, "parentKey": "liverFunction", "buttonName": null, "childrenKey": null } ], "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": "Ancillary_Examination", "buttonName": null, "childrenKey": null }, { "label": "肾功能", "defaultValue": null, "span": 24, "key": "renalFunction", "type": "virtualTitle", "border": null, "disabledValue": null, "options": null, "children": [ { "label": "血清肌酐", "defaultValue": null, "span": 12, "key": "Renal_Cr", "type": "numberInput", "border": null, "disabledValue": null, "options": [], "children": null, "append": "μmol/L", "placeholder": "", "required": false, "show-limit": false, "parentKey": "renalFunction", "buttonName": null, "childrenKey": null }, { "label": "血尿素", "defaultValue": null, "span": 12, "key": "Blood_Urea", "type": "numberInput", "border": null, "disabledValue": null, "options": [], "children": null, "append": "mmol/L", "placeholder": "", "required": false, "show-limit": false, "parentKey": "renalFunction", "buttonName": null, "childrenKey": null } ], "append": null, "placeholder": null, "required": true, "show-limit": null, "parentKey": "Ancillary_Examination", "buttonName": null, "childrenKey": null }, { "label": "阴道分泌物", "defaultValue": null, "span": 24, "key": "Vaginal_Discharge", "type": "virtualTitle", "border": null, "disabledValue": "Renal_Cr", "options": [], "children": [ { "label": "未见异常", "defaultValue": null, "span": 12, "key": "Vaginal_Discharge_1", "type": "option", "border": null, "disabledValue": null, "options": null, "children": null, "append": "", "placeholder": "", "required": false, "show-limit": false, "parentKey": "Vaginal_Discharge", "buttonName": null, "childrenKey": null }, { "label": "滴虫", "defaultValue": null, "span": 12, "key": "Vaginal_Discharge_2", "type": "option", "border": null, "disabledValue": null, "options": null, "children": null, "append": "", "placeholder": "", "required": false, "show-limit": false, "parentKey": "Vaginal_Discharge", "buttonName": null, "childrenKey": null }, { "label": "假丝酵母菌", "defaultValue": null, "span": 12, "key": "Vaginal_Discharge_3", "type": "option", "border": null, "disabledValue": null, "options": null, "children": null, "append": "", "placeholder": "", "required": false, "show-limit": false, "parentKey": "Vaginal_Discharge", "buttonName": null, "childrenKey": null }, { "label": "其他", "defaultValue": null, "span": 12, "key": "Vaginal_Discharge_4", "type": "input", "border": null, "disabledValue": null, "options": null, "children": null, "append": "", "placeholder": "", "required": false, "show-limit": false, "parentKey": "Vaginal_Discharge", "buttonName": null, "childrenKey": null } ], "append": null, "placeholder": null, "required": true, "show-limit": null, "parentKey": "Vaginal_Discharge", "buttonName": null, "childrenKey": null }, { "label": "阴道清洁度", "defaultValue": null, "span": 12, "key": "Blood_Urea", "type": "radio", "border": null, "disabledValue": null, "options": [ { "label": "Ⅰ度", "value": "1" }, { "label": "Ⅱ度", "value": "2" }, { "label": "Ⅲ度 ", "value": "3" }, { "label": "Ⅳ度", "value": "4" } ], "children": null, "append": null, "placeholder": "", "required": false, "show-limit": false, "parentKey": "Vaginal_Discharge", "buttonName": null, "childrenKey": null }, { "label": "乙型肝炎", "defaultValue": null, "span": 24, "key": "Hbsag", "type": "virtualTitle", "border": null, "disabledValue": null, "options": null, "children": [ { "label": "乙型肝炎表面抗原", "defaultValue": null, "span": 12, "key": "Hepatitis_B_Surface_Antigen", "type": "input", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": false, "show-limit": false, "parentKey": "Hbsag", "buttonName": null, "childrenKey": null }, { "label": "乙型肝炎表面抗体", "defaultValue": null, "span": 12, "key": "Hepatitis_B_Aurface_Antibody", "type": "input", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": false, "show-limit": false, "parentKey": "Hbsag", "buttonName": null, "childrenKey": null }, { "label": "乙型肝炎e抗原", "defaultValue": null, "span": 12, "key": "Hepatitis_B_E_Antigen", "type": "input", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": false, "show-limit": false, "parentKey": "Hbsag", "buttonName": null, "childrenKey": null }, { "label": "乙型肝炎e抗体", "defaultValue": null, "span": 12, "key": "Hepatitis_B_E_Antibody", "type": "input", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": false, "show-limit": false, "parentKey": "Hbsag", "buttonName": null, "childrenKey": null }, { "label": "乙型肝炎核心抗体", "defaultValue": null, "span": 12, "key": "Hepatitis_B_Core_Antibody", "type": "input", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": false, "show-limit": false, "parentKey": "Hbsag", "buttonName": null, "childrenKey": null } ], "append": null, "placeholder": null, "required": true, "show-limit": null, "parentKey": "Ancillary_Examination", "buttonName": null, "childrenKey": null }, { "label": "梅毒血清学试验", "defaultValue": null, "span": 24, "key": "Syphilis_Serological_Test", "type": "radio", "border": null, "disabledValue": null, "options": [ { "label": "阳性", "value": "1" }, { "label": "阴性", "value": "2" } ], "children": null, "append": null, "placeholder": null, "required": true, "show-limit": null, "parentKey": "Ancillary_Examination", "buttonName": null, "childrenKey": null }, { "label": "HIV抗体检测", "defaultValue": null, "span": 24, "key": "HIV_Antibody_Test", "type": "radio", "border": null, "disabledValue": null, "options": [ { "label": "阳性", "value": "1" }, { "label": "阴性", "value": "2" } ], "children": null, "append": null, "placeholder": null, "required": true, "show-limit": null, "parentKey": "Ancillary_Examination", "buttonName": null, "childrenKey": null }, { "label": "B超", "defaultValue": null, "span": 24, "key": "Ultrasound_Scan", "type": "input", "border": null, "disabledValue": null, "options": null, "children": null, "append": null, "placeholder": null, "required": true, "show-limit": null, "parentKey": "Ancillary_Examination", "buttonName": null, "childrenKey": null }, { "label": "其他", "defaultValue": null, "span": 24, "key": "Ancillary_Examination_Other", "type": "input", "border": null, "disabledValue": null, "options": null, "children": null, "append": null, "placeholder": null, "required": true, "show-limit": null, "parentKey": "Ancillary_Examination", "buttonName": null, "childrenKey": null } ], "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "总体评估", "defaultValue": null, "span": 12, "key": "MaternalHealthManagement_Overall_Assessment", "type": "virtualTitle", "border": null, "disabledValue": null, "options": null, "children": [ { "label": "未见异常", "defaultValue": null, "span": 12, "key": "M_O_A_No_Abnormality_Detected", "type": "option", "border": null, "disabledValue": null, "options": null, "children": null, "append": "", "placeholder": "", "required": false, "show-limit": false, "parentKey": "MaternalHealthManagement_Overall_Assessment", "buttonName": null, "childrenKey": null }, { "label": "异常：", "defaultValue": null, "span": 12, "key": "M_O_A_Abnormality", "type": "input", "border": null, "disabledValue": null, "options": null, "children": null, "append": "", "placeholder": "", "required": false, "show-limit": false, "parentKey": "Vaginal_Discharge", "buttonName": null, "childrenKey": null } ], "append": "", "placeholder": "", "required": false, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "保健指导", "defaultValue": null, "span": 12, "key": "Health_Guidance", "type": "virtualTitle", "border": null, "disabledValue": null, "options": null, "children": [ { "label": "生活方式", "defaultValue": null, "span": 12, "key": "Lifestyle", "type": "input", "border": null, "disabledValue": null, "options": null, "children": null, "append": "", "placeholder": "", "required": false, "show-limit": false, "parentKey": "Health_Guidance", "buttonName": null, "childrenKey": null }, { "label": "心理", "defaultValue": null, "span": 12, "key": "Psychology", "type": "input", "border": null, "disabledValue": null, "options": null, "children": null, "append": "", "placeholder": "", "required": false, "show-limit": false, "parentKey": "Health_Guidance", "buttonName": null, "childrenKey": null }, { "label": "营养", "defaultValue": null, "span": 12, "key": "Nutrition", "type": "input", "border": null, "disabledValue": null, "options": null, "children": null, "append": "", "placeholder": "", "required": false, "show-limit": false, "parentKey": "Health_Guidance", "buttonName": null, "childrenKey": null }, { "label": "产前筛查宣传告知", "defaultValue": null, "span": 12, "key": "Prenatal_Screening_Awareness_Campaign", "type": "input", "border": null, "disabledValue": null, "options": null, "children": null, "append": "", "placeholder": "", "required": false, "show-limit": false, "parentKey": "Health_Guidance", "buttonName": null, "childrenKey": null }, { "label": "避免致畸因素和疾病对胚胎的不良影响", "defaultValue": null, "span": 12, "key": "Avoidance_Of_Teratogens", "type": "input", "border": null, "disabledValue": null, "options": null, "children": null, "append": "", "placeholder": "", "required": false, "show-limit": false, "parentKey": "Health_Guidance", "buttonName": null, "childrenKey": null }, { "label": "其他", "defaultValue": null, "span": 12, "key": "Health_Guidance_Other", "type": "input", "border": null, "disabledValue": null, "options": null, "children": null, "append": "", "placeholder": "", "required": false, "show-limit": false, "parentKey": "Health_Guidance", "buttonName": null, "childrenKey": null } ], "append": "", "placeholder": "", "required": false, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "转诊", "defaultValue": null, "span": 12, "key": "Referral", "type": "virtualTitle", "border": null, "disabledValue": null, "options": null, "children": [ { "label": "无", "defaultValue": null, "span": 12, "key": "referral_1", "type": "option", "border": null, "disabledValue": null, "options": null, "children": null, "append": "", "placeholder": "", "required": false, "show-limit": false, "parentKey": "Referral", "buttonName": null, "childrenKey": null }, { "label": "有", "defaultValue": null, "span": 12, "key": "referral_2", "type": "option", "border": null, "disabledValue": null, "options": null, "children": null, "append": "", "placeholder": "", "required": false, "show-limit": false, "parentKey": "Referral", "buttonName": null, "childrenKey": null }, { "label": "原因", "defaultValue": null, "span": 12, "key": "Reason_For_Referral", "type": "input", "border": null, "disabledValue": null, "options": null, "children": null, "append": "", "placeholder": "", "required": false, "show-limit": false, "parentKey": "referral_Input", "buttonName": null, "childrenKey": null }, { "label": "机构及科室", "defaultValue": null, "span": 12, "key": "Institution_And_Department", "type": "input", "border": null, "disabledValue": null, "options": null, "children": null, "append": "", "placeholder": "", "required": false, "show-limit": false, "parentKey": "referral_Input", "buttonName": null, "childrenKey": null } ], "append": "", "placeholder": "", "required": false, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "下次随访日期", "defaultValue": null, "span": 12, "key": "Next_Follow_Up_Date", "type": "dateTime", "border": null, "disabledValue": null, "options": null, "children": null, "append": "", "placeholder": "", "required": false, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "随访医生签名", "defaultValue": null, "span": 12, "key": "Follow_up_Physician_Signature", "type": "signature", "border": null, "disabledValue": null, "options": null, "children": null, "append": "", "placeholder": "", "required": false, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null } ] }