docs/Templates/TNB.json

{
    "Key": "TNB",
    "Name": "2型糖尿病",
    "Content": [
        {
            "label": "症状",
            "defaultValue": null,
            "span": 24,
            "key": "symptom",
            "type": "title",
            "border": null,
            "disabledValue": null,
            "options": [],
            "children": [
                {
                    "label": "症状",
                    "defaultValue": [],
                    "span": 24,
                    "key": "Symptom",
                    "type": "checkbox",
                    "border": false,
                    "disabledValue": "1",
                    "options": [
                        {
                            "label": "无症状",
                            "value": "1"
                        },
                        {
                            "label": "多饮",
                            "value": "2"
                        },
                        {
                            "label": "多食",
                            "value": "3"
                        },
                        {
                            "label": "多尿",
                            "value": "4"
                        },
                        {
                            "label": "视力模糊",
                            "value": "5"
                        },
                        {
                            "label": "感染",
                            "value": "6"
                        },
                        {
                            "label": "手脚麻木",
                            "value": "7"
                        },
                        {
                            "label": "下肢浮肿",
                            "value": "8"
                        },
                        {
                            "label": "体重明显下降",
                            "value": "9"
                        },
                        {
                            "label": "其他",
                            "value": "10"
                        }
                    ],
                    "children": null,
                    "append": null,
                    "placeholder": null,
                    "required": null,
                    "show-limit": null,
                    "parentKey": "symptom",
                    "buttonName": null,
                    "childrenKey": null
                }
            ],
            "append": null,
            "placeholder": null,
            "required": null,
            "show-limit": null,
            "parentKey": null,
            "buttonName": null,
            "childrenKey": null
        },
        {
            "label": "体征",
            "defaultValue": null,
            "span": 24,
            "key": "sign",
            "type": "title",
            "border": null,
            "disabledValue": null,
            "options": [],
            "children": [
                {
                    "label": "血压",
                    "defaultValue": null,
                    "span": 24,
                    "key": "Blood",
                    "type": "bloodPressure",
                    "border": null,
                    "disabledValue": null,
                    "options": [],
                    "children": null,
                    "append": "mmHg",
                    "placeholder": "",
                    "required": null,
                    "show-limit": false,
                    "parentKey": "sign",
                    "buttonName": "测量",
                    "childrenKey": [
                        "Sbp",
                        "Dbp"
                    ]
                },
                {
                    "label": "身高",
                    "defaultValue": null,
                    "span": 12,
                    "key": "Height",
                    "type": "input",
                    "border": null,
                    "disabledValue": null,
                    "options": [],
                    "children": null,
                    "append": "cm",
                    "placeholder": "",
                    "required": null,
                    "show-limit": false,
                    "parentKey": "sign",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "心率",
                    "defaultValue": null,
                    "span": 12,
                    "key": "Heart_Rate",
                    "type": "input",
                    "border": null,
                    "disabledValue": null,
                    "options": [],
                    "children": null,
                    "append": "次/分钟",
                    "placeholder": "",
                    "required": null,
                    "show-limit": false,
                    "parentKey": "sign",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "体重",
                    "defaultValue": null,
                    "span": 12,
                    "key": "Weight",
                    "type": "input",
                    "border": null,
                    "disabledValue": null,
                    "options": [],
                    "children": null,
                    "append": "kg",
                    "placeholder": "",
                    "required": null,
                    "show-limit": false,
                    "parentKey": "sign",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "下次随访目标",
                    "defaultValue": null,
                    "span": 12,
                    "key": "Goal_Weight",
                    "type": "input",
                    "border": null,
                    "disabledValue": null,
                    "options": [],
                    "children": null,
                    "append": "kg",
                    "placeholder": "",
                    "required": null,
                    "show-limit": false,
                    "parentKey": "sign",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "体质指数",
                    "defaultValue": null,
                    "span": 12,
                    "key": "Bmi",
                    "type": "input",
                    "border": null,
                    "disabledValue": null,
                    "options": [],
                    "children": null,
                    "append": "kg/㎡",
                    "placeholder": "",
                    "required": null,
                    "show-limit": false,
                    "parentKey": "sign",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "下次随访目标",
                    "defaultValue": null,
                    "span": 12,
                    "key": "Goal_Bmi",
                    "type": "input",
                    "border": null,
                    "disabledValue": null,
                    "options": [],
                    "children": null,
                    "append": "kg/㎡",
                    "placeholder": "",
                    "required": null,
                    "show-limit": false,
                    "parentKey": "sign",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "其他",
                    "defaultValue": null,
                    "span": 24,
                    "key": "Sign_Other",
                    "type": "input",
                    "border": null,
                    "disabledValue": null,
                    "options": [],
                    "children": null,
                    "append": "",
                    "placeholder": "",
                    "required": null,
                    "show-limit": false,
                    "parentKey": "sign",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "足背动脉搏动",
                    "defaultValue": [],
                    "span": 24,
                    "key": "Pedal_Artery",
                    "type": "radio",
                    "border": false,
                    "disabledValue": null,
                    "options": [
                        {
                            "label": "触及正常",
                            "value": "1"
                        },
                        {
                            "label": "双侧减弱",
                            "value": "2"
                        },
                        {
                            "label": "左侧减弱",
                            "value": "3"
                        },
                        {
                            "label": "右侧减弱",
                            "value": "4"
                        },
                        {
                            "label": "双侧消失",
                            "value": "5"
                        },
                        {
                            "label": "左侧消失",
                            "value": "6"
                        },
                        {
                            "label": "右侧消失",
                            "value": "7"
                        }
                    ],
                    "children": null,
                    "append": null,
                    "placeholder": null,
                    "required": false,
                    "show-limit": null,
                    "parentKey": "sign",
                    "buttonName": null,
                    "childrenKey": null
                }
            ],
            "append": null,
            "placeholder": null,
            "required": null,
            "show-limit": null,
            "parentKey": null,
            "buttonName": null,
            "childrenKey": null
        },
        {
            "label": "生活方式指导",
            "defaultValue": null,
            "span": 24,
            "key": "lifestyleCoaching",
            "type": "title",
            "border": null,
            "disabledValue": null,
            "options": [],
            "children": [
                {
                    "label": "日吸烟量",
                    "defaultValue": null,
                    "span": 12,
                    "key": "Smoking_Daily",
                    "type": "input",
                    "border": null,
                    "disabledValue": null,
                    "options": [],
                    "children": null,
                    "append": "支",
                    "placeholder": "",
                    "required": null,
                    "show-limit": false,
                    "parentKey": "lifestyleCoaching",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "下次随访目标",
                    "defaultValue": null,
                    "span": 12,
                    "key": "Goal_Smoking",
                    "type": "input",
                    "border": null,
                    "disabledValue": null,
                    "options": [],
                    "children": null,
                    "append": "支",
                    "placeholder": "",
                    "required": null,
                    "show-limit": false,
                    "parentKey": "lifestyleCoaching",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "日饮酒量",
                    "defaultValue": null,
                    "span": 12,
                    "key": "Drinking_Daily",
                    "type": "input",
                    "border": null,
                    "disabledValue": null,
                    "options": [],
                    "children": null,
                    "append": "两",
                    "placeholder": "",
                    "required": null,
                    "show-limit": false,
                    "parentKey": "lifestyleCoaching",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "下次随访目标",
                    "defaultValue": null,
                    "span": 12,
                    "key": "Goal_Drinking",
                    "type": "input",
                    "border": null,
                    "disabledValue": null,
                    "options": [],
                    "children": null,
                    "append": "两",
                    "placeholder": "",
                    "required": null,
                    "show-limit": false,
                    "parentKey": "lifestyleCoaching",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "运动",
                    "defaultValue": null,
                    "span": 12,
                    "key": "Times_Week",
                    "type": "input",
                    "border": null,
                    "disabledValue": null,
                    "options": [],
                    "children": null,
                    "append": "次/周",
                    "placeholder": "",
                    "required": null,
                    "show-limit": false,
                    "parentKey": "lifestyleCoaching",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "下次随访目标",
                    "defaultValue": null,
                    "span": 12,
                    "key": "Goal_Times_Week",
                    "type": "input",
                    "border": null,
                    "disabledValue": null,
                    "options": [],
                    "children": null,
                    "append": "次/周",
                    "placeholder": "",
                    "required": null,
                    "show-limit": false,
                    "parentKey": "lifestyleCoaching",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "主食",
                    "defaultValue": null,
                    "span": 12,
                    "key": "Main_Course_Daily",
                    "type": "input",
                    "border": null,
                    "disabledValue": null,
                    "options": [],
                    "children": null,
                    "append": "克/天",
                    "placeholder": "",
                    "required": null,
                    "show-limit": false,
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                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "下次随访目标",
                    "defaultValue": null,
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                    "border": null,
                    "disabledValue": null,
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                    "placeholder": "",
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                    "parentKey": "lifestyleCoaching",
                    "buttonName": null,
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                },
                {
                    "label": "心理调整",
                    "defaultValue": [],
                    "span": 24,
                    "key": "Psychol_Adjust",
                    "type": "radio",
                    "border": false,
                    "disabledValue": null,
                    "options": [
                        {
                            "label": "良好",
                            "value": "1"
                        },
                        {
                            "label": "一般",
                            "value": "2"
                        },
                        {
                            "label": "差",
                            "value": "3"
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                    ],
                    "children": null,
                    "append": null,
                    "placeholder": null,
                    "required": false,
                    "show-limit": null,
                    "parentKey": "lifestyleCoaching",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "遵医行为",
                    "defaultValue": [],
                    "span": 24,
                    "key": "Compliance",
                    "type": "radio",
                    "border": false,
                    "disabledValue": null,
                    "options": [
                        {
                            "label": "良好",
                            "value": "1"
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                        {
                            "label": "一般",
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                        {
                            "label": "差",
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                    "children": null,
                    "append": null,
                    "placeholder": null,
                    "required": false,
                    "show-limit": null,
                    "parentKey": "lifestyleCoaching",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "空腹血糖值",
                    "defaultValue": null,
                    "span": 12,
                    "key": "Blood_Sugar",
                    "type": "input",
                    "border": null,
                    "disabledValue": null,
                    "options": [],
                    "children": null,
                    "append": "mol/L",
                    "placeholder": "",
                    "required": null,
                    "show-limit": false,
                    "parentKey": "lifestyleCoaching",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "糖化血红蛋白",
                    "defaultValue": null,
                    "span": 12,
                    "key": "Hbalc",
                    "type": "input",
                    "border": null,
                    "disabledValue": null,
                    "options": [],
                    "children": null,
                    "append": "%",
                    "placeholder": "",
                    "required": null,
                    "show-limit": false,
                    "parentKey": "lifestyleCoaching",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "检查日期",
                    "defaultValue": null,
                    "span": 24,
                    "key": "Exam_Date",
                    "type": "input",
                    "border": null,
                    "disabledValue": null,
                    "options": [],
                    "children": null,
                    "append": "",
                    "placeholder": "",
                    "required": null,
                    "show-limit": false,
                    "parentKey": "lifestyleCoaching",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "服药依从性",
                    "defaultValue": [],
                    "span": 24,
                    "key": "Compliance_Drug",
                    "type": "radio",
                    "border": false,
                    "disabledValue": null,
                    "options": [
                        {
                            "label": "规律",
                            "value": "1"
                        },
                        {
                            "label": "间断",
                            "value": "2"
                        },
                        {
                            "label": "不服药",
                            "value": "3"
                        }
                    ],
                    "children": null,
                    "append": null,
                    "placeholder": null,
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                    "show-limit": null,
                    "parentKey": "lifestyleCoaching",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "低血糖反应",
                    "defaultValue": [],
                    "span": 24,
                    "key": "Hypoglycemia",
                    "type": "radio",
                    "border": false,
                    "disabledValue": null,
                    "options": [
                        {
                            "label": "无",
                            "value": "1"
                        },
                        {
                            "label": "偶尔",
                            "value": "2"
                        },
                        {
                            "label": "频繁",
                            "value": "3"
                        }
                    ],
                    "children": null,
                    "append": null,
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                    "parentKey": "lifestyleCoaching",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "此次随访分类",
                    "defaultValue": [],
                    "span": 24,
                    "key": "Follow_Up_Classify",
                    "type": "radio",
                    "border": false,
                    "disabledValue": null,
                    "options": [
                        {
                            "label": "控制满意",
                            "value": "1"
                        },
                        {
                            "label": "控制不满意",
                            "value": "2"
                        },
                        {
                            "label": "不良反应",
                            "value": "3"
                        },
                        {
                            "label": "并发症",
                            "value": "4"
                        }
                    ],
                    "children": null,
                    "append": null,
                    "placeholder": null,
                    "required": false,
                    "show-limit": null,
                    "parentKey": "lifestyleCoaching",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "药物不良反应",
                    "defaultValue": [],
                    "span": 24,
                    "key": "Adverse",
                    "type": "radio",
                    "border": false,
                    "disabledValue": null,
                    "options": [
                        {
                            "label": "无",
                            "value": "1"
                        },
                        {
                            "label": "有",
                            "value": "2"
                        }
                    ],
                    "children": null,
                    "append": null,
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        },
        {
            "label": "用药情况",
            "defaultValue": null,
            "span": 24,
            "key": "Drug_Info",
            "type": "title",
            "border": null,
            "disabledValue": null,
            "options": [],
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                {
                    "label": "药物名称1：",
                    "defaultValue": null,
                    "span": 8,
                    "key": "Appraisal",
                    "type": "input",
                    "border": null,
                    "disabledValue": null,
                    "options": [],
                    "children": null,
                    "append": "",
                    "placeholder": "",
                    "required": null,
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                    "parentKey": "Drug_Info",
                    "buttonName": null,
                    "childrenKey": null
                },
                {
                    "label": "转诊机构及科别：",
                    "defaultValue": null,
                    "span": 24,
                    "key": "Referral_Hospital",
                    "type": "input",
                    "border": null,
                    "disabledValue": null,
                    "options": [],
                    "children": null,
                    "append": "",
                    "placeholder": "",
                    "required": null,
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                    "parentKey": "Drug_Info",
                    "buttonName": null,
                    "childrenKey": null
                }
            ],
            "append": null,
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            "childrenKey": null
        },
        {
            "label": "处方",
            "defaultValue": null,
            "span": 24,
            "key": "Pre",
            "type": "title",
            "border": null,
            "disabledValue": null,
            "options": [],
            "children": [
                {
                    "label": "处方",
                    "defaultValue": null,
                    "span": 24,
                    "key": "Prescription",
                    "type": "prescriptionType",
                    "border": null,
                    "disabledValue": null,
                    "options": [],
                    "children": null,
                    "append": "",
                    "placeholder": "",
                    "required": null,
                    "show-limit": false,
                    "parentKey": "Pre",
                    "buttonName": "DiabetesPrescription",
                    "childrenKey": null
                }
            ],
            "append": null,
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        }
    ]
}