docs/Templates/ET_FamilyVisitRecord.json

{
    "Key": "ET_FamilyVisitRecord",
    "Name": "新生儿家庭访视记录表",
    "Content": [
        {
            "label": "基础信息",
            "defaultValue": null,
            "span": 24,
            "key": "sign",
            "type": "title",
            "border": null,
            "disabledValue": null,
            "options": [],
            "children": [
                {
                    "label": "性别",
                    "defaultValue": null,
                    "span": 24,
                    "key": "Sex",
                    "type": "radio",
                    "border": null,
                    "disabledValue": null,
                    "options": [
                        {
                            "label": "男",
                            "value": "1"
                        },
                        {
                            "label": "女",
                            "value": "2"
                        },
                        {
                            "label": "未说明的性别",
                            "value": "9"
                        },
                        {
                            "label": "未知的性别",
                            "value": "0"
                        }
                    ],
                    "children": null,
                    "append": null,
                    "placeholder": null,
                    "required": null,
                    "show-limit": null,
                    "parentKey": "sign",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "出生日期",
                    "defaultValue": null,
                    "span": 24,
                    "key": "Date_Birth",
                    "type": "date",
                    "border": null,
                    "disabledValue": null,
                    "options": [],
                    "children": null,
                    "append": null,
                    "placeholder": null,
                    "required": null,
                    "show-limit": null,
                    "parentKey": "sign",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "身份证号",
                    "defaultValue": null,
                    "span": 12,
                    "key": "Card_Number",
                    "type": "input",
                    "border": null,
                    "disabledValue": null,
                    "options": [],
                    "children": null,
                    "append": "",
                    "placeholder": "",
                    "required": null,
                    "show-limit": null,
                    "parentKey": "physique",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "家庭住址",
                    "defaultValue": null,
                    "span": 12,
                    "key": "Address",
                    "type": "input",
                    "border": null,
                    "disabledValue": null,
                    "options": [],
                    "children": null,
                    "append": "",
                    "placeholder": "",
                    "required": null,
                    "show-limit": null,
                    "parentKey": "physique",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "父亲姓名",
                    "defaultValue": null,
                    "span": 12,
                    "key": "Father_Name",
                    "type": "input",
                    "border": null,
                    "disabledValue": null,
                    "options": [],
                    "children": null,
                    "append": null,
                    "placeholder": "",
                    "required": null,
                    "show-limit": null,
                    "parentKey": "physique",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "父亲职业",
                    "defaultValue": null,
                    "span": 12,
                    "key": "Father_Occupation",
                    "type": "input",
                    "border": null,
                    "disabledValue": null,
                    "options": [],
                    "children": null,
                    "append": null,
                    "placeholder": "",
                    "required": null,
                    "show-limit": null,
                    "parentKey": "physique",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "父亲联系电话",
                    "defaultValue": null,
                    "span": 12,
                    "key": "Father_Tel",
                    "type": "input",
                    "border": null,
                    "disabledValue": null,
                    "options": [],
                    "children": null,
                    "append": null,
                    "placeholder": "",
                    "required": null,
                    "show-limit": null,
                    "parentKey": "physique",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "父亲出生日期",
                    "defaultValue": null,
                    "span": 12,
                    "key": "Fatherbirthday",
                    "type": "date",
                    "border": null,
                    "disabledValue": null,
                    "options": [],
                    "children": null,
                    "append": null,
                    "placeholder": "",
                    "required": null,
                    "show-limit": null,
                    "parentKey": "physique",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "母亲姓名",
                    "defaultValue": null,
                    "span": 12,
                    "key": "Mather_Name",
                    "type": "input",
                    "border": null,
                    "disabledValue": null,
                    "options": [],
                    "children": null,
                    "append": null,
                    "placeholder": "",
                    "required": null,
                    "show-limit": null,
                    "parentKey": "physique",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "母亲职业",
                    "defaultValue": null,
                    "span": 12,
                    "key": "Mather_Occupation",
                    "type": "input",
                    "border": null,
                    "disabledValue": null,
                    "options": [],
                    "children": null,
                    "append": null,
                    "placeholder": "",
                    "required": null,
                    "show-limit": null,
                    "parentKey": "physique",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "母亲联系电话",
                    "defaultValue": null,
                    "span": 12,
                    "key": "Mather_Tel",
                    "type": "input",
                    "border": null,
                    "disabledValue": null,
                    "options": [],
                    "children": null,
                    "append": null,
                    "placeholder": "",
                    "required": null,
                    "show-limit": null,
                    "parentKey": "physique",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "母亲出生日期",
                    "defaultValue": null,
                    "span": 12,
                    "key": "Mather_Birthday",
                    "type": "date",
                    "border": null,
                    "disabledValue": null,
                    "options": [],
                    "children": null,
                    "append": null,
                    "placeholder": "",
                    "required": null,
                    "show-limit": null,
                    "parentKey": "physique",
                    "buttonName": null,
                    "childrenKey": null
                }
            ],
            "append": null,
            "placeholder": null,
            "required": null,
            "show-limit": null,
            "parentKey": null,
            "buttonName": null,
            "childrenKey": null
        },
        {
            "label": "新生儿检查",
            "defaultValue": null,
            "span": 24,
            "key": "physique",
            "type": "title",
            "border": null,
            "disabledValue": null,
            "options": [],
            "children": [
                {
                    "label": "出生孕周",
                    "defaultValue": null,
                    "span": 12,
                    "key": "Pregnancy_Week",
                    "type": "input",
                    "border": null,
                    "disabledValue": null,
                    "options": [],
                    "children": null,
                    "append": "周",
                    "placeholder": "",
                    "required": null,
                    "show-limit": null,
                    "parentKey": "physique",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "助产机构名称",
                    "defaultValue": null,
                    "span": 12,
                    "key": "Deliver_Institution",
                    "type": "input",
                    "border": null,
                    "disabledValue": null,
                    "options": [],
                    "children": null,
                    "append": "",
                    "placeholder": "",
                    "required": null,
                    "show-limit": null,
                    "parentKey": "physique",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "母亲妊娠期患病情况",
                    "defaultValue": null,
                    "span": 24,
                    "key": "Pregnancy_Disease",
                    "type": "radio",
                    "border": null,
                    "disabledValue": null,
                    "options": [
                        {
                            "label": "无",
                            "value": "1"
                        },
                        {
                            "label": "糖尿病",
                            "value": "2"
                        },
                        {
                            "label": "妊娠期高血压",
                            "value": "3"
                        },
                        {
                            "label": "其他",
                            "value": "4"
                        }
                    ],
                    "children": null,
                    "append": null,
                    "placeholder": "",
                    "required": null,
                    "show-limit": null,
                    "parentKey": "physique",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "出生情况",
                    "defaultValue": null,
                    "span": 24,
                    "key": "Pregnancy_Mode",
                    "type": "checkBoxIncludeOther",
                    "maxItems": 2,
                    "border": null,
                    "disabledValue": null,
                    "options": [
                        {
                            "label": "顺产",
                            "value": "1"
                        },
                        {
                            "label": "抬头吸引",
                            "value": "2"
                        },
                        {
                            "label": "产钳",
                            "value": "3"
                        },
                        {
                            "label": "剖宫",
                            "value": "4"
                        },
                        {
                            "label": "双多胎",
                            "value": "5"
                        },
                        {
                            "label": "臀位",
                            "value": "6"
                        },
                        {
                            "label": "其他",
                            "value": "7"
                        }
                    ],
                    "children": null,
                    "append": null,
                    "placeholder": "",
                    "required": null,
                    "show-limit": null,
                    "parentKey": "physique",
                    "buttonName": null,
                    "childrenKey": [
                        "Pregnancy_Mode_Other"
                    ],
                    "groupKeys": [
                        "7"
                    ]
                },
                {
                    "label": "新生儿窒息",
                    "defaultValue": null,
                    "span": 12,
                    "key": "Asphyxia",
                    "type": "radio",
                    "border": null,
                    "disabledValue": null,
                    "options": [
                        {
                            "label": "无",
                            "value": "1"
                        },
                        {
                            "label": "有",
                            "value": "2"
                        }
                    ],
                    "children": null,
                    "append": null,
                    "placeholder": "",
                    "required": null,
                    "show-limit": null,
                    "parentKey": "physique",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "畸形",
                    "defaultValue": null,
                    "span": 12,
                    "key": "Deformity",
                    "type": "radioInput",
                    "border": null,
                    "disabledValue": null,
                    "options": [
                        {
                            "label": "无",
                            "value": "1"
                        },
                        {
                            "label": "有",
                            "value": "2"
                        }
                    ],
                    "children": null,
                    "append": null,
                    "placeholder": null,
                    "required": null,
                    "show-limit": null,
                    "parentKey": "physique",
                    "buttonName": "2",
                    "childrenKey": [
                        "Deformity",
                        "Deformity_Other"
                    ]
                },
                {
                    "label": "新生儿听力筛查",
                    "defaultValue": null,
                    "span": 24,
                    "key": "Hearing_Screening",
                    "type": "radio",
                    "border": null,
                    "disabledValue": null,
                    "options": [
                        {
                            "label": "通过",
                            "value": "1"
                        },
                        {
                            "label": "未通过",
                            "value": "2"
                        },
                        {
                            "label": "未筛查",
                            "value": "3"
                        },
                        {
                            "label": "不详",
                            "value": "4"
                        }
                    ],
                    "children": null,
                    "append": null,
                    "placeholder": null,
                    "required": null,
                    "show-limit": null,
                    "parentKey": "physique",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "新生儿疾病筛查",
                    "defaultValue": null,
                    "span": 24,
                    "key": "Disease_Screening",
                    "type": "checkBoxIncludeOther",
                    "maxItems": 2,
                    "border": null,
                    "disabledValue": "1",
                    "options": [
                        {
                            "label": "未进行",
                            "value": "1"
                        },
                        {
                            "label": "检查均阴性",
                            "value": "2"
                        },
                        {
                            "label": "甲低",
                            "value": "3"
                        },
                        {
                            "label": "苯丙酮尿症",
                            "value": "4"
                        },
                        {
                            "label": "其他遗传代谢病",
                            "value": "5"
                        }
                    ],
                    "children": null,
                    "append": null,
                    "placeholder": null,
                    "required": null,
                    "show-limit": null,
                    "parentKey": "physique",
                    "buttonName": null,
                    "childrenKey": [
                        "Disease_Screening_Other"
                    ],
                    "groupKeys": [
                        "5"
                    ]
                },
                {
                    "label": "新生儿出生体重",
                    "defaultValue": null,
                    "span": 12,
                    "key": "Birth_Weight",
                    "type": "input",
                    "border": null,
                    "disabledValue": null,
                    "options": [],
                    "children": null,
                    "append": "kg",
                    "placeholder": "",
                    "required": null,
                    "show-limit": null,
                    "parentKey": "physique",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "目前体重",
                    "defaultValue": null,
                    "span": 12,
                    "key": "Weight",
                    "type": "input",
                    "border": null,
                    "disabledValue": null,
                    "options": [],
                    "children": null,
                    "append": "kg",
                    "placeholder": "",
                    "required": null,
                    "show-limit": null,
                    "parentKey": "physique",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "出生身长",
                    "defaultValue": null,
                    "span": 12,
                    "key": "Birth_Stature",
                    "type": "input",
                    "border": null,
                    "disabledValue": null,
                    "options": [],
                    "children": null,
                    "append": "cm",
                    "placeholder": "",
                    "required": null,
                    "show-limit": null,
                    "parentKey": "physique",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "喂养方式",
                    "defaultValue": null,
                    "span": 24,
                    "key": "Feed_Type",
                    "type": "radio",
                    "border": null,
                    "disabledValue": null,
                    "options": [
                        {
                            "label": "纯母乳",
                            "value": "1"
                        },
                        {
                            "label": "混合",
                            "value": "2"
                        },
                        {
                            "label": "人工",
                            "value": "3"
                        }
                    ],
                    "children": null,
                    "append": null,
                    "placeholder": null,
                    "required": null,
                    "show-limit": null,
                    "parentKey": "physique",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "吃奶量",
                    "defaultValue": null,
                    "span": 12,
                    "key": "Milk_Amount",
                    "type": "input",
                    "border": null,
                    "disabledValue": null,
                    "options": [],
                    "children": null,
                    "append": "ml/次",
                    "parentKey": "physique",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "吃奶次数",
                    "defaultValue": null,
                    "span": 12,
                    "key": "Feed_Times",
                    "type": "input",
                    "border": null,
                    "disabledValue": null,
                    "options": [],
                    "children": null,
                    "append": "次/日",
                    "placeholder": "",
                    "required": null,
                    "show-limit": null,
                    "parentKey": "physique",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "呕吐",
                    "defaultValue": null,
                    "span": 24,
                    "key": "Vomit",
                    "type": "radio",
                    "border": null,
                    "disabledValue": null,
                    "options": [
                        {
                            "label": "无",
                            "value": "1"
                        },
                        {
                            "label": "有",
                            "value": "2"
                        }
                    ],
                    "children": null,
                    "append": null,
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                    "parentKey": "physique",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "大便",
                    "defaultValue": null,
                    "span": 24,
                    "key": "Stool_State",
                    "type": "radio",
                    "border": null,
                    "disabledValue": null,
                    "options": [
                        {
                            "label": "糊状",
                            "value": "1"
                        },
                        {
                            "label": "稀",
                            "value": "2"
                        },
                        {
                            "label": "其他",
                            "value": "3"
                        }
                    ],
                    "children": null,
                    "append": null,
                    "placeholder": null,
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                    "show-limit": null,
                    "parentKey": "physique",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "大便次数",
                    "defaultValue": null,
                    "span": 12,
                    "key": "Stool_Times",
                    "type": "input",
                    "border": null,
                    "disabledValue": null,
                    "options": [],
                    "children": null,
                    "append": "次/日",
                    "placeholder": "",
                    "required": null,
                    "show-limit": null,
                    "parentKey": "physique",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "体温",
                    "defaultValue": null,
                    "span": 12,
                    "key": "Temperature",
                    "type": "input",
                    "border": null,
                    "disabledValue": null,
                    "options": [],
                    "children": null,
                    "append": "℃",
                    "placeholder": "",
                    "required": null,
                    "show-limit": null,
                    "parentKey": "physique",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "心率",
                    "defaultValue": null,
                    "span": 12,
                    "key": "Pulse",
                    "type": "input",
                    "border": null,
                    "disabledValue": null,
                    "options": [],
                    "children": null,
                    "append": "次/分钟",
                    "placeholder": "",
                    "required": null,
                    "show-limit": null,
                    "parentKey": "physique",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "呼吸频率",
                    "defaultValue": null,
                    "span": 12,
                    "key": "Breathe",
                    "type": "input",
                    "border": null,
                    "disabledValue": null,
                    "options": [],
                    "children": null,
                    "append": "次/分钟",
                    "placeholder": "",
                    "required": null,
                    "show-limit": null,
                    "parentKey": "physique",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "面色",
                    "defaultValue": null,
                    "span": 24,
                    "key": "Face",
                    "type": "radioInput",
                    "border": null,
                    "disabledValue": null,
                    "options": [
                        {
                            "label": "红润",
                            "value": "1"
                        },
                        {
                            "label": "黄染",
                            "value": "2"
                        },
                        {
                            "label": "其他",
                            "value": "3"
                        }
                    ],
                    "children": null,
                    "append": null,
                    "placeholder": null,
                    "required": null,
                    "show-limit": null,
                    "parentKey": "physique",
                    "buttonName": "3",
                    "childrenKey": [
                        "Face",
                        "Face_Other"
                    ]
                },
                {
                    "label": "黄疸部位",
                    "defaultValue": null,
                    "span": 24,
                    "key": "Jaundice_Part",
                    "type": "checkbox",
                    "border": null,
                    "disabledValue": "1",
                    "options": [
                        {
                            "label": "无",
                            "value": "1"
                        },
                        {
                            "label": "面部",
                            "value": "2"
                        },
                        {
                            "label": "躯干",
                            "value": "3"
                        },
                        {
                            "label": "四肢",
                            "value": "4"
                        },
                        {
                            "label": "手足",
                            "value": "5"
                        }
                    ],
                    "children": null,
                    "append": null,
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                    "show-limit": null,
                    "parentKey": "physique",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "前囟",
                    "defaultValue": null,
                    "span": 24,
                    "key": "Fontanel_State",
                    "type": "anteriorFontanelleOther",
                    "border": null,
                    "disabledValue": null,
                    "options": [
                        {
                            "label": "正常",
                            "value": "1"
                        },
                        {
                            "label": "膨隆",
                            "value": "2"
                        },
                        {
                            "label": "凹陷",
                            "value": "3"
                        },
                        {
                            "label": "其他",
                            "value": "4"
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                    ],
                    "children": null,
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                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "眼睛",
                    "defaultValue": null,
                    "span": 12,
                    "key": "Eyes_Abnormal",
                    "type": "radio",
                    "border": null,
                    "disabledValue": null,
                    "options": [
                        {
                            "label": "未见异常",
                            "value": "1"
                        },
                        {
                            "label": "异常",
                            "value": "2"
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                    ],
                    "children": null,
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                    "parentKey": "physique",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "四肢活动度",
                    "defaultValue": null,
                    "span": 12,
                    "key": "Extremitie_Activity",
                    "type": "radio",
                    "border": null,
                    "disabledValue": null,
                    "options": [
                        {
                            "label": "未见异常",
                            "value": "1"
                        },
                        {
                            "label": "异常",
                            "value": "2"
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                    ],
                    "children": null,
                    "append": null,
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                    "show-limit": null,
                    "parentKey": "physique",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "耳外观",
                    "defaultValue": null,
                    "span": 12,
                    "key": "Ear_Abnormal",
                    "type": "radio",
                    "border": null,
                    "disabledValue": null,
                    "options": [
                        {
                            "label": "未见异常",
                            "value": "1"
                        },
                        {
                            "label": "异常",
                            "value": "2"
                        }
                    ],
                    "children": null,
                    "append": null,
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                    "parentKey": "physique",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "颈部包块",
                    "defaultValue": null,
                    "span": 12,
                    "key": "Neck_Mass",
                    "type": "radio",
                    "border": null,
                    "disabledValue": null,
                    "options": [
                        {
                            "label": "未见异常",
                            "value": "1"
                        },
                        {
                            "label": "异常",
                            "value": "2"
                        }
                    ],
                    "children": null,
                    "append": null,
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