Spaces:
Sleeping
Sleeping
File size: 6,784 Bytes
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"app_title": "PPD Risk Assessment",
"description": "Enter patient details to screen for Postpartum Depression risk.",
"fields": [
{
"id": "Need for Support",
"label": "Select Need for Support",
"type": "dropdown",
"options": [
"high",
"low",
"medium",
"none"
],
"default": "high"
},
{
"id": "Recieved Support",
"label": "Select Recieved Support",
"type": "dropdown",
"options": [
"high",
"low",
"medium"
],
"default": "high"
},
{
"id": "Abuse",
"label": "Select Abuse",
"type": "dropdown",
"options": [
"no",
"yes"
],
"default": "no"
},
{
"id": "Disease before pregnancy",
"label": "Select Disease before pregnancy",
"type": "dropdown",
"options": [
"1.2",
"chronic disease",
"non-chronic disease",
"none"
],
"default": "1.2"
},
{
"id": "Occupation before latest pregnancy",
"label": "Select Occupation before latest pregnancy",
"type": "dropdown",
"options": [
"business",
"doctor",
"house wife",
"housewife",
"other",
"service",
"student",
"teacher"
],
"default": "business"
},
{
"id": "Pregnancy plan",
"label": "Select Pregnancy plan",
"type": "dropdown",
"options": [
"no",
"yes"
],
"default": "no"
},
{
"id": "Relationship with husband",
"label": "Select Relationship with husband",
"type": "dropdown",
"options": [
"bad",
"friendly",
"good",
"neutral",
"poor"
],
"default": "bad"
},
{
"id": "Major changes or losses during pregnancy",
"label": "Select Major changes or losses during pregnancy",
"type": "dropdown",
"options": [
"no",
"yes"
],
"default": "no"
},
{
"id": "Relationship with the in-laws",
"label": "Select Relationship with the in-laws",
"type": "dropdown",
"options": [
"bad",
"friendly",
"good",
"neutral",
"poor"
],
"default": "bad"
},
{
"id": "Birth compliancy",
"label": "Select Birth compliancy",
"type": "dropdown",
"options": [
"no",
"yes"
],
"default": "no"
},
{
"id": "Relationship between father and newborn",
"label": "Select Relationship between father and newborn",
"type": "dropdown",
"options": [
"bad",
"good",
"neutral",
"very good"
],
"default": "bad"
},
{
"id": "Education Level",
"label": "Select Education Level",
"type": "dropdown",
"options": [
"college",
"high school",
"primary school",
"university",
"unknown"
],
"default": "college"
},
{
"id": "Family type",
"label": "Select Family type",
"type": "dropdown",
"options": [
"joint",
"nuclear"
],
"default": "joint"
},
{
"id": "Diseases during pregnancy",
"label": "Select Diseases during pregnancy",
"type": "dropdown",
"options": [
"chronic disease",
"non-chronic disease",
"none"
],
"default": "chronic disease"
},
{
"id": "Trust and share feelings",
"label": "Select Trust and share feelings",
"type": "dropdown",
"options": [
"no",
"yes"
],
"default": "no"
},
{
"id": "Relationship with the newborn",
"label": "Select Relationship with the newborn",
"type": "dropdown",
"options": [
"bad",
"good",
"neutral",
"very good"
],
"default": "bad"
},
{
"id": "Occupation After Your Latest Childbirth",
"label": "Select Occupation After Your Latest Childbirth",
"type": "dropdown",
"options": [
"business",
"doctor",
"house wife",
"housewife",
"other",
"service",
"student",
"teacher"
],
"default": "business"
},
{
"id": "Age",
"label": "Enter Age",
"type": "number",
"min": 18.0,
"max": 45.0,
"default": 18.0
},
{
"id": "Addiction",
"label": "Select Addiction",
"type": "dropdown",
"options": [
"Drinking",
"Drugs",
"Smoking"
],
"default": "Drinking"
},
{
"id": "Husband's education level",
"label": "Select Husband's education level",
"type": "dropdown",
"options": [
"College",
"High School",
"High school",
"Primary School",
"Primary school",
"University"
],
"default": "College"
}
]
} |