diff --git a/pages.json b/pages.json
index 19b6926961ccad25ac38ea7030e95ba2dd0b4212..d0a52358830f040573b28afce8a7dfcb37635a1f 100644
--- a/pages.json
+++ b/pages.json
@@ -17,6 +17,10 @@
             "path" : "pages/security/security",
             "style" : {}
         }
+        ,{
+            "path" : "pages/fillInDay/fillInDay",
+            "style" : {}
+        }
     ],
 	"globalStyle": {
 		"navigationBarTextStyle": "white",
diff --git a/pages/fillIn/fillIn.vue b/pages/fillIn/fillIn.vue
index b84390082336e30279c7a6208913637a84123df6..d439ff7d8381d3820e62b4e0ec6ec004c7c867e5 100644
--- a/pages/fillIn/fillIn.vue
+++ b/pages/fillIn/fillIn.vue
@@ -100,8 +100,8 @@
 
 			<view class="cu-form-group margin-top-sm">
 				<view class="uni-padding-wrap uni-common-mt">
-					<view class="padding-top padding-bottom" >
-						<checkbox-group   @click="openModal">
+					<view class="padding-top padding-bottom">
+						<checkbox-group @click="openModal">
 							<label>
 								<checkbox value="A" :checked="form.agree == '1'" class="fl" style="margin-top:4upx" />
 								<view style="padding-left:60upx;padding-top:6upx">
@@ -1611,12 +1611,12 @@
 						}],
 						showList: [{
 								value: '亲密接触者',
-								show: '32,48'
+								show: [32, 35, 38, 40, 43, 45, 47]
 							},
 
 							{
 								value: '居家观察/正在接受集中医学观察',
-								show: '49,50',
+								show: [49, 50]
 							},
 						]
 					},
@@ -1921,13 +1921,13 @@
 
 		methods: {
 			openModal() {
-				if(!this.form.agree) {
+				if (!this.form.agree) {
 					this.form.agree = '1'
 					this.modalName = true
-				}else {
+				} else {
 					this.form.agree = 0
 				}
-				
+
 			},
 			getOrg() {
 				const data = {
@@ -1977,7 +1977,7 @@
 					this.$set(checkList[checkList.length - 1], 'checked', false)
 					const values = []
 					for (var i = 0, lenI = checkList.length; i < lenI; ++i) {
-						if(checkList[i].checked) {
+						if (checkList[i].checked) {
 							values.push(checkList[i].label)
 						}
 					}
@@ -2012,23 +2012,17 @@
 				// 复选框展示和隐藏
 				if (type === 'pickerMore') {
 					console.log(evt)
-					const nullList = ['无上述情况','以上均无']
-					const checkList = item.opts
 					let val = evt.detail.value;
 					const showList = item.showList
 					if (showList && showList.length > 0) {
 						showList.forEach(item => {
-							const start = +item.show.split(',')[0]
-							const end = +item.show.split(',')[1]
-
-							for (let i = start, lenI = end; i <= end; i++) {
+							item.show.forEach(child => {
 								this.list.forEach(row => {
-									if (i == row.num) {
+									if (child == row.num) {
 										this.$set(row, 'hidden', !val.includes(item.value))
 									}
 								})
-							}
-
+							})
 						})
 
 					}
@@ -2078,7 +2072,7 @@
 				for (let i = 0; i < this.list.length; i++) {
 					if (this.list[i].required) {
 						const val = this.form[this.list[i].value]
-						if ((!val || val == -1) && !this.list[i].hidden) {
+						if (!val&& !this.list[i].hidden && this.list[i].required) {
 							flag = false
 							uni.showToast({
 								icon: 'none',
@@ -2095,10 +2089,10 @@
 				if (!flag) {
 					return false
 				} else {
-					this.$http.post(`/sict-ncov/record`, this.form).then(res => {
+					this.$http.post(`/sict-ncov/report`, this.form).then(res => {
 						const d = res.data
 						if (d.code == 1) {
-
+							uni.navigateBack()
 						} else {
 							uni.showToast({
 								icon: 'none',
diff --git a/pages/fillInDay/fillInDay.vue b/pages/fillInDay/fillInDay.vue
new file mode 100644
index 0000000000000000000000000000000000000000..332a1d398f329079e6cce7a80fea62f8d169b219
--- /dev/null
+++ b/pages/fillInDay/fillInDay.vue
@@ -0,0 +1,2217 @@
+<template>
+	<view>
+		
+	</view>
+</template>
+
+<script>
+	export default {
+		data() {
+			return {
+				
+			}
+		},
+		methods: {
+			
+		}
+	}
+</script>
+
+<style>
+
+</style>
+<template>
+	<view class="questionnaire">
+		<form @submit="formSubmit">
+			<template v-for="(item,index) in list">
+				<template v-if="item.type == 'radio'">
+					<view class="margin-top padding sict-label" :key="item.value" v-show="!item.hidden">
+						<view v-show="!item.hidden">
+							<span style="color:red;display: inline-block; vertical-align:inherit;margin-right:4upx" v-if="item.required">*</span>
+							{{index+1}}、 {{item.label}}
+						</view>
+						<view class="text-right  sict-value" v-show="!item.hidden">
+							<radio-group @change="showChange($event,item)">
+								<view>
+									<view class="label" v-for="(opt, optIndex) in item.opts" :key="opt.label">
+										<radio :class="form[item.value]== opt.value ?'checked':''" :checked="form[item.value]== opt.value?true:false"
+										 :value="opt.value"></radio>
+										<view style="display: inline-block;" class="right">{{opt.label}}</view>
+									</view>
+								</view>
+							</radio-group>
+						</view>
+					</view>
+				</template>
+				<template v-else-if="item.type == 'picker'">
+					<view class="cu-form-group margin-top padding-rl" v-show="!item.hidden" :key="item.value">
+						<view :class="item.titleClass"><span style="color:red;display: inline-block; vertical-align:inherit;margin-right:4upx"
+							 v-if="item.required">*</span>{{index+1}}、{{item.label}}</view>
+						<picker @change="updatePickerVal($event,item)" range-key="label" mode="selector" :value="form[item.value]" :range="item.opts">
+							<view class="picker">
+								{{form[item.value]?form[item.value]:'请选择'}}
+							</view>
+						</picker>
+					</view>
+				</template>
+
+				<template v-else-if="item.type == 'pickerMore'">
+					<view class="margin-top" :key="index">
+						<uni-collapse>
+							<uni-collapse-item :title="index+1 +'、' + item.label" :open="true" :required="item.required">
+								<view class="padding-lr">
+									<view class="uni-list">
+										<checkbox-group @change="showChange($event,item)">
+											<label class="uni-list-cell uni-list-cell-pd" v-for="(itemCheck,indexCheck) in item.opts" :key="itemCheck.value"
+											 @click="checkboxChange(indexCheck,itemCheck,item)">
+												<view class="list-item">
+													<view class="fl">
+														<checkbox :value="itemCheck.value" :checked="itemCheck.checked" />
+													</view>
+													<view style="padding-left:60upx">{{itemCheck.label}}</view>
+												</view>
+											</label>
+										</checkbox-group>
+									</view>
+								</view>
+							</uni-collapse-item>
+						</uni-collapse>
+					</view>
+				</template>
+
+				<template v-else-if="item.type == 'date'">
+					<view class="cu-form-group margin-top padding-rl" v-show="!item.hidden" :key="item.value">
+						<view :class="item.titleClass"><span style="color:red;display: inline-block; vertical-align:inherit;margin-right:4upx"
+							 v-if="item.required">*</span>{{index+1}}、{{item.label}}</view>
+						<picker mode="date" :value="date" start="2015-09-01" end="2020-09-01" @change="updatePickerVal($event,item)">
+							<view class="picker">
+								{{form[item.value]?form[item.value]:'请选择'}}
+							</view>
+						</picker>
+					</view>
+				</template>
+				<template v-else-if="item.type == 'input'">
+					<view class="cu-form-group margin-top padding-rl" :key="item.value" v-show="!item.hidden">
+						<view :class="item.titleClass">
+							<span style="color:red;display: inline-block; vertical-align:inherit;margin-right:4upx" v-if="item.required">*</span>
+							{{index+1}}、{{item.label}}</view>
+						<input class="text-right" :placeholder="item.placeholder" :type="item.controType" :value="form[item.value]" name="input"
+						 @input="updateInputVal($event,item.value)"></input>
+					</view>
+				</template>
+				<view class="margin-top-xs" v-show="item.child && childItem.show" v-for="(childItem,childIndex) in item.child" :key="childItem.value">
+					<view class="margin-top-sm padding-rl sict-label cu-form-group">
+						<view>
+							<span style="color:red;display: inline-block; vertical-align:inherit;margin-right:4upx" v-if="childItem.required">*</span>
+							{{childItem.title}}
+						</view>
+						<checkbox v-if="childItem.type == 'radio'" :class="form[childItem.value]?'checked':''" :checked="form[childItem.value]?true:false"
+						 :value="childItem.value"></checkbox>
+
+						<picker v-else-if="childItem.type == 'picker'" range-key="label" @change="updatePickerVal($event,childItem)"
+						 :value="form[childItem.value]" :range="childItem.opts">
+							<view class="picker">
+								{{form[childItem.value]>-1?childItem.opts[form[childItem.value]].label:'请选择'}}
+							</view>
+						</picker>
+						<input class="text-right" v-else-if="childItem.type == 'input'" :type="childItem.controType" :placeholder="childItem.placeholder"
+						 :value="form[childItem.value]" name="input" @input="updateInputVal($event,childItem.value)"></input>
+					</view>
+				</view>
+			</template>
+
+			<view class="cu-form-group margin-top-sm">
+				<view class="uni-padding-wrap uni-common-mt">
+					<view class="padding-top padding-bottom">
+						<checkbox-group @click="openModal">
+							<label>
+								<checkbox value="A" :checked="form.agree == '1'" class="fl" style="margin-top:4upx" />
+								<view style="padding-left:60upx;padding-top:6upx">
+									我已阅读理解了全部情况，我同意参加
+								</view>
+							</label>
+						</checkbox-group>
+					</view>
+				</view>
+				</checkbox-group>
+			</view>
+
+			<view class="cu-modal" :class="modalName?'show':''">
+				<view class="cu-dialog">
+					<view class="cu-bar bg-white justify-end text-bold">
+						<view class="content">知情同意书</view>
+						<view class="action" @tap="modalName = ''">
+							<text class="cuIcon-close text-black"></text>
+						</view>
+					</view>
+					<view class="padding-xl green-word">
+						<div class="text-left">
+							<p>在您决定是否参加该筛查（或随访）之前，请仔细阅读以下内容。您可以和您的亲属、朋友一起讨论，或请医生给予解释，然后做出决定。</p>
+							<p>&nbsp;</p>
+							<p class="text-bold">一、筛查开展的背景和目的</p>
+							<p>癌症是严重威胁人民生命和健康的疾病，也是我国居民的主要死亡原因之一。目前因出现临床症状而就诊的患者多为中晚期病人，治疗费用昂贵而且效果不佳，给病人和家属带来极大的痛苦和沉重的经济负担。</p>
+							<p>医学研究和临床实践证实,癌症的发生发展有一个过程，可以通过科学有效的技术方法对人群进行筛查，及时发现癌前病变及早期癌，经有效治疗，可以阻断癌前病变的发展。接受早诊早治的患者痛苦小，经济花费少，而且患者可以很快恢复健康，像健康人一样工作生活。早诊早治是目前控制癌症的最有效的途径。</p>
+							<p>&nbsp;</p>
+							<p class="text-bold">四、哪些人不宜参加筛查</p>
+							<p>具有下列情况的，不宜参加筛查：①严重心脏病，心力衰竭；②重症呼吸道疾病，呼吸困难，哮喘持续状态；③有严重脑部疾病者；④咽后壁脓肿，严重脊柱畸形，或主动脉瘤患者；⑤身体虚弱不能耐受内镜检查，或难以镇静自控者；⑥上消化道腐蚀性炎症急性期，或疑为上消化道穿孔者；⑦大量腹水、严重腹胀，或有重度食管静脉曲张者；⑧有出血倾向者（凝血功能不正常），或正在服用抗凝血药物者，后者须停药一周后检查出凝血功能正常方可进行内镜检查；⑨妊娠期妇女；⑨40-69岁有碘过敏史者等。</p>
+							<p>&nbsp;</p>
+							<p class="text-bold">五、参加筛查可能带来的不适与不便</p>
+							<p>内镜检查和治疗时一般很安全。但也偶有检查和治疗过程中发生食管或胃出血、穿孔及药物反应（如碘过敏）等。对这些情况医生都有很好的预防措施和应急预案，即使发生，罕有危及生命的可能。如果您想进一步了解情况，请与检查小组的医生联系。</p>
+							<p>&nbsp;</p>
+							<p class="text-bold">六、保密原则</p>
+							<p>您的所有个人资料将是保密的，由承担该筛查工作的医院妥善保存。任何公开报告将不会披露您的个人信息。我们将在法律允许的范围内，尽一切努力保护您的隐私。</p>
+							<p>我们将保存所采取的标本资料，并可能在以后的研究中使用，标本上贴有带编码的标签，不会出现您的姓名，您的所有信息将会保密。</p>
+						</div>
+						<button @click="modalName = ''" class="cu-btn block bg-blue margin-tb-sm lg">我知道了</button>
+					</view>
+				</view>
+			</view>
+			<view class="padding">
+				<button form-type="submit" class="cu-btn block bg-blue margin-tb-sm lg">提 交</button>
+			</view>
+		</form>
+	</view>
+</template>
+
+<script>
+	import uniCollapse from '@/components/uni-collapse/uni-collapse.vue'
+	import uniCollapseItem from '@/components/uni-collapse-item/uni-collapse-item.vue'
+	import validate from '@/utils/validate.js'
+	export default {
+		components: {
+			uniCollapse,
+			uniCollapseItem
+		},
+		data() {
+			return {
+				modalName: false,
+				id: '',
+				radio: [],
+				shanghaiList: [{
+						label: '是否离沪',
+						required: true,
+						value: 'left',
+						titleClass: 'title',
+						type: 'picker',
+						opts: [{
+							value: 'a',
+							label: '是'
+						}, {
+							value: 'b',
+							label: '否'
+						}]
+					},
+					{
+						label: '离沪原因',
+						required: true,
+						value: 'leftReason',
+						titleClass: 'title',
+						type: 'picker',
+						opts: [{
+							value: 'a',
+							label: '探亲'
+						}, {
+							value: 'b',
+							label: '出差'
+						}, {
+							value: 'b',
+							label: '旅游'
+						}, {
+							value: 'b',
+							label: '其他'
+						}]
+					},
+					{
+						label: '离沪出发日期',
+						required: true,
+						value: 'leftDate',
+						titleClass: 'title',
+						type: 'date',
+					},
+					{
+						label: '离沪方式',
+						required: true,
+						value: 'leftVehicle',
+						titleClass: 'title',
+						type: 'date',
+						opts: [{
+							value: 'a',
+							label: '火车	'
+						}, {
+							value: '飞机',
+							label: '否'
+						}, {
+							value: '客车',
+							label: '否'
+						}, {
+							value: '自驾',
+							label: '否'
+						}]
+					},
+					{
+						label: '离沪车次/航班',
+						required: true,
+						value: 'leftVehicleNum',
+						titleClass: 'title',
+						placeholder: '请输入地址',
+						type: 'input',
+					},
+					{
+						label: '离沪到达日期',
+						required: true,
+						value: 'leftReachDate',
+						titleClass: 'title',
+						type: 'date',
+					},
+					{
+						label: '离沪目的地',
+						required: true,
+						value: 'leftTarget',
+						titleClass: 'title',
+						placeholder: '请输入地址',
+						type: 'input',
+					},
+					{
+						label: '离沪具体地址',
+						required: true,
+						value: 'leftAddress',
+						titleClass: 'title',
+						placeholder: '请输入地址',
+						type: 'input',
+					},
+					{
+						label: '离沪同行者姓名（没有填无）',
+						required: true,
+						value: 'leftDependentNames',
+						titleClass: 'title',
+						placeholder: '请输入',
+						type: 'input',
+					},
+					{
+						label: '离沪同行者联系方式（没有填无）',
+						required: true,
+						value: 'leftDependentPhones',
+						titleClass: 'title',
+						placeholder: '请输入',
+						type: 'input',
+					},
+					{
+						label: '是否返沪',
+						required: true,
+						value: 'backed',
+						titleClass: 'title',
+						type: 'picker',
+						opts: [{
+							value: 'a',
+							label: '是'
+						}, {
+							value: 'b',
+							label: '否'
+						}]
+					},
+					{
+						label: '返沪出发地',
+						required: true,
+						value: 'backFrom',
+						titleClass: 'title',
+						placeholder: '请输入',
+						type: 'input',
+					},
+					{
+						label: '返沪出发日期',
+						required: true,
+						value: 'backDate',
+						titleClass: 'title',
+						type: 'date',
+					},
+					{
+						label: '返沪方式',
+						required: true,
+						value: 'backVehicle',
+						titleClass: 'title',
+						type: 'picker',
+						opts: [{
+							value: 'a',
+							label: '火车	'
+						}, {
+							value: '飞机',
+							label: '否'
+						}, {
+							value: '客车',
+							label: '否'
+						}, {
+							value: '自驾',
+							label: '否'
+						}]
+					},
+					{
+						label: '返沪车次/航班',
+						required: true,
+						value: 'backVehicleNum',
+						titleClass: 'title',
+						placeholder: '请输入地址',
+						type: 'input',
+					},
+					{
+						label: '返沪到达日期',
+						required: true,
+						value: 'backReachedDate',
+						titleClass: 'title',
+						type: 'date',
+					},
+					{
+						label: '返沪同行者姓名（没有填无）',
+						required: true,
+						value: 'backDependentNames',
+						titleClass: 'title',
+						placeholder: '请输入',
+						type: 'input',
+					},
+					{
+						label: '返沪同行者联系方式（没有填无）',
+						required: true,
+						value: 'backDependentPhones',
+						titleClass: 'title',
+						placeholder: '请输入',
+						type: 'input',
+					},
+					{
+						label: '当前状况',
+						required: true,
+						value: 'currentStatus',
+						titleClass: 'title',
+						type: 'picker',
+						opts: [{
+							value: 'a',
+							label: '已经确诊'
+						}, {
+							value: 'b',
+							label: '疑似诊断'
+						}, {
+							value: 'b',
+							label: '亲密接触者'
+						}, {
+							value: 'b',
+							label: '正在接受集中医学观察'
+						}, {
+							value: 'b',
+							label: '居家观察'
+						}, {
+							value: 'b',
+							label: '已解除集中医学观察'
+						}, {
+							value: 'b',
+							label: '无上述情况'
+						}]
+					},
+
+					{
+						label: '症状',
+						required: true,
+						value: 'symptom',
+						titleClass: 'title',
+						type: 'pickerMore',
+						opts: [{
+							value: '发热',
+							label: '发热'
+						}, {
+							value: '咳嗽',
+							label: '咳嗽'
+						}, {
+							value: '流涕',
+							label: '流涕'
+						}, {
+							value: '咽痛',
+							label: '咽痛'
+						}, {
+							value: '咳痰',
+							label: '咳痰'
+						}, {
+							value: '胸痛',
+							label: '胸痛'
+						}, {
+							value: '肌肉酸痛/关节痛',
+							label: '肌肉酸痛/关节痛'
+						}, {
+							value: '气促',
+							label: '气促'
+						}, {
+							value: '腹泻',
+							label: '腹泻'
+						}, {
+							value: '无上述症状',
+							label: '无上述症状'
+						}]
+					},
+					{
+						label: '湖北接触史',
+						required: true,
+						value: 'relativesGastricCount',
+						titleClass: 'title',
+						type: 'picker',
+						opts: [{
+							value: 'a',
+							label: '已经确诊'
+						}, {
+							value: 'b',
+							label: '疑似诊断'
+						}, {
+							value: 'b',
+							label: '亲密接触者'
+						}, {
+							value: 'b',
+							label: '正在接受集中医学观察'
+						}, {
+							value: 'b',
+							label: '居家观察'
+						}, {
+							value: 'b',
+							label: '已解除集中医学观察'
+						}, {
+							value: 'b',
+							label: '无上述情况'
+						}]
+					}
+				],
+				list: [{
+						label: '单位名称',
+						required: true,
+						value: 'orgName',
+						titleClass: 'title',
+						type: 'picker',
+						opts: []
+					},
+					{
+						label: '所在部门',
+						required: true,
+						value: 'department',
+						titleClass: 'title',
+						placeholder: '请输入所在部门',
+						type: 'input',
+					},
+					{
+						label: '职务',
+						required: true,
+						value: 'position',
+						titleClass: 'title',
+						placeholder: '请输入职务',
+						type: 'input',
+					},
+					{
+						label: '员工姓名',
+						required: true,
+						value: 'name',
+						titleClass: 'title',
+						placeholder: '请输入员工姓名',
+						type: 'input',
+					},
+					{
+						label: '联系方式',
+						required: true,
+						value: 'phone',
+						titleClass: 'title',
+						placeholder: '请输入联系方式',
+						type: 'input',
+					},
+					{
+						label: '国籍',
+						required: true,
+						value: 'nationality',
+						titleClass: 'title',
+						type: 'picker',
+						opts: [{
+								label: "喀麦隆",
+								value: "Cameroon"
+							},
+							{
+								label: "加拿大",
+								value: "Canada"
+							},
+							{
+								label: "加那利群岛",
+								value: "Canary Is"
+							},
+							{
+								label: "佛得角",
+								value: "Cape Verde"
+							},
+							{
+								label: "开曼群岛",
+								value: "Cayman Is"
+							},
+							{
+								label: "中非共和国",
+								value: "Central African Rep."
+							},
+							{
+								label: "乍得",
+								value: "Chad"
+							},
+							{
+								label: "智利",
+								value: "Chile"
+							},
+							{
+								label: "中国",
+								value: "China"
+							},
+							{
+								label: "哥伦比亚",
+								value: "Colombia"
+							},
+							{
+								label: "科摩罗",
+								value: "Comoros"
+							},
+							{
+								label: "刚果",
+								value: "Congo"
+							},
+							{
+								label: "民主刚果",
+								value: "Congo,DR"
+							},
+							{
+								label: "库克群岛",
+								value: "Cook Is"
+							},
+							{
+								label: "哥斯达黎加",
+								value: "Costa Rica"
+							},
+							{
+								label: "科特迪瓦",
+								value: "Cote d'lvoire"
+							},
+							{
+								label: "克罗地亚",
+								value: "Croatia Rep"
+							},
+							{
+								label: "古巴",
+								value: "Cuba"
+							},
+							{
+								label: "库腊索岛",
+								value: "Curacao"
+							},
+							{
+								label: "塞浦路斯",
+								value: "Cyprus"
+							},
+							{
+								label: "捷克共和国",
+								value: "Czech Rep"
+							},
+							{
+								label: "丹麦",
+								value: "Denmark"
+							},
+							{
+								label: "吉布提",
+								value: "Djibouti"
+							},
+							{
+								label: "多米尼克",
+								value: "Dominica"
+							},
+							{
+								label: "多米尼加共和国",
+								value: "Dominican Rep."
+							},
+							{
+								label: "东帝汶",
+								value: "East Timor"
+							},
+							{
+								label: "厄瓜多尔",
+								value: "Ecuador"
+							},
+							{
+								label: "埃及",
+								value: "Egypt"
+							},
+							{
+								label: "萨尔瓦多",
+								value: "El Salvador"
+							},
+							{
+								label: "赤道几内亚",
+								value: "Eq.Guinea"
+							},
+							{
+								label: "厄立特里亚",
+								value: "Eritrea"
+							},
+							{
+								label: "爱沙尼亚",
+								value: "Estonia"
+							},
+							{
+								label: "埃塞俄比亚",
+								value: "Ethiopia"
+							},
+							{
+								label: "斐济",
+								value: "Fiji"
+							},
+							{
+								label: "芬兰",
+								value: "Finland"
+							},
+							{
+								label: "法国",
+								value: "France"
+							},
+							{
+								label: "法属圭亚那",
+								value: "French Guyana"
+							},
+							{
+								label: "法属玻利尼西亚",
+								value: "French Polynesia"
+							},
+							{
+								label: "加蓬",
+								value: "Gabon"
+							},
+							{
+								label: "冈比亚",
+								value: "Gambia"
+							},
+							{
+								label: "盖比群岛",
+								value: "Gambier Is"
+							},
+							{
+								label: "格鲁吉亚",
+								value: "Georgia"
+							},
+							{
+								label: "德国",
+								value: "Germany"
+							},
+							{
+								label: "加纳",
+								value: "Ghana"
+							},
+							{
+								label: "直布罗陀",
+								value: "Gibraltar"
+							},
+							{
+								label: "希腊",
+								value: "Greece"
+							},
+							{
+								label: "格陵兰",
+								value: "Greenland"
+							},
+							{
+								label: "格林纳达",
+								value: "Grenada"
+							},
+							{
+								label: "瓜德罗普",
+								value: "Guadeloupe"
+							},
+							{
+								label: "危地马拉",
+								value: "Guatemala"
+							},
+							{
+								label: "几内亚",
+								value: "Guinea"
+							},
+							{
+								label: "几内亚(比绍)",
+								value: "Guinea Bissau"
+							},
+							{
+								label: "圭亚那",
+								value: "Guyana"
+							},
+							{
+								label: "海地",
+								value: "Haiti"
+							},
+							{
+								label: "洪都拉斯",
+								value: "Honduras"
+							},
+							{
+								label: "中国香港",
+								value: "Hong Kong"
+							},
+							{
+								label: "匈牙利",
+								value: "Hungary"
+							},
+							{
+								label: "冰岛",
+								value: "Iceland"
+							},
+							{
+								label: "印度",
+								value: "India"
+							},
+							{
+								label: "印度尼西亚",
+								value: "Indonesia"
+							},
+							{
+								label: "伊朗",
+								value: "Iran"
+							},
+							{
+								label: "伊拉克",
+								value: "Iraq"
+							},
+							{
+								label: "爱尔兰",
+								value: "Ireland"
+							},
+							{
+								label: "以色列",
+								value: "Israel"
+							},
+							{
+								label: "意大利",
+								value: "Italy"
+							},
+							{
+								label: "牙买加",
+								value: "Jamaica"
+							},
+							{
+								label: "日本",
+								value: "Japan"
+							},
+							{
+								label: "约旦",
+								value: "Jordan"
+							},
+							{
+								label: "哈萨克斯坦",
+								value: "Kazakhstan"
+							},
+							{
+								label: "肯尼亚",
+								value: "Kenya"
+							},
+							{
+								label: "吉尔吉斯斯坦",
+								value: "Kirghizia"
+							},
+							{
+								label: "基里巴斯",
+								value: "Kiribati"
+							},
+							{
+								label: "韩国",
+								value: "Korea Rep."
+							},
+							{
+								label: "朝鲜",
+								value: "Korea,DPR"
+							},
+							{
+								label: "科威特",
+								value: "Kuwait"
+							},
+							{
+								label: "老挝",
+								value: "Laos,PDR"
+							},
+							{
+								label: "拉脱维亚",
+								value: "Latvia"
+							},
+							{
+								label: "黎巴嫩",
+								value: "Lebanon"
+							},
+							{
+								label: "莱索托",
+								value: "Lesotho"
+							},
+							{
+								label: "利比里亚",
+								value: "Liberia"
+							},
+							{
+								label: "利比亚",
+								value: "Libyan Arab Jm"
+							},
+							{
+								label: "列支敦士登",
+								value: "Liechtenstein"
+							},
+							{
+								label: "立陶宛",
+								value: "Lithuania"
+							},
+							{
+								label: "卢森堡",
+								value: "Luxembourg"
+							},
+							{
+								label: "中国澳门",
+								value: "Macau"
+							},
+							{
+								label: "马其顿",
+								value: "Macedonia Rep"
+							},
+							{
+								label: "马达加斯加",
+								value: "Madagascar"
+							},
+							{
+								label: "马拉维",
+								value: "Malawi"
+							},
+							{
+								label: "马来西亚",
+								value: "Malaysia"
+							},
+							{
+								label: "马尔代夫",
+								value: "Maldives"
+							},
+							{
+								label: "马里",
+								value: "Mali"
+							},
+							{
+								label: "马耳他",
+								value: "Malta"
+							},
+							{
+								label: "马克萨斯群岛",
+								value: "Marquesas Is"
+							},
+							{
+								label: "马绍尔群岛",
+								value: "Marshall Is Rep"
+							},
+							{
+								label: "马提尼克",
+								value: "Martinique"
+							},
+							{
+								label: "毛里塔尼亚",
+								value: "Mauritania"
+							},
+							{
+								label: "毛里求斯",
+								value: "Mauritius"
+							},
+							{
+								label: "马约特岛",
+								value: "Mayotte"
+							},
+							{
+								label: "梅利利亚",
+								value: "Melilla"
+							},
+							{
+								label: "墨西哥",
+								value: "Mexico"
+							},
+							{
+								label: "密克罗尼西亚联邦",
+								value: "Micronesia Fs"
+							},
+							{
+								label: "摩尔多瓦",
+								value: "Moldavia"
+							},
+							{
+								label: "摩纳哥",
+								value: "Monaco"
+							},
+							{
+								label: "蒙古",
+								value: "Mongolia"
+							},
+							{
+								label: "蒙特塞拉特",
+								value: "Montserrat"
+							},
+							{
+								label: "摩洛哥",
+								value: "Morocco"
+							},
+							{
+								label: "莫桑比克",
+								value: "Mozambique"
+							},
+							{
+								label: "缅甸",
+								value: "Myanmar"
+							},
+							{
+								label: "纳米比亚",
+								value: "Namibia"
+							},
+							{
+								label: "瑙鲁",
+								value: "Nauru"
+							},
+							{
+								label: "尼泊尔",
+								value: "Nepal"
+							},
+							{
+								label: "荷兰",
+								value: "Netherlands"
+							},
+							{
+								label: "荷属安德列斯",
+								value: "NETHERLANDS ANTILLES"
+							},
+							{
+								label: "新喀里多尼亚",
+								value: "New Caledonia"
+							},
+							{
+								label: "新西兰",
+								value: "New Zealand"
+							},
+							{
+								label: "尼加拉瓜",
+								value: "Nicaragua"
+							},
+							{
+								label: "尼日尔",
+								value: "Niger"
+							},
+							{
+								label: "尼日利亚",
+								value: "Nigeria"
+							},
+							{
+								label: "诺福克岛",
+								value: "Norfolk Is"
+							},
+							{
+								label: "挪威",
+								value: "Norway"
+							},
+							{
+								label: "阿曼",
+								value: "Oman"
+							},
+							{
+								label: "巴基斯坦",
+								value: "Pakistan"
+							},
+							{
+								label: "帕劳共和国",
+								value: "Palau"
+							},
+							{
+								label: "巴勒斯坦",
+								value: "Palestine"
+							},
+							{
+								label: "巴拿马",
+								value: "Panama"
+							},
+							{
+								label: "巴布亚新几内亚",
+								value: "Papua New Guinea"
+							},
+							{
+								label: "巴拉圭",
+								value: "Paraguay"
+							},
+							{
+								label: "秘鲁",
+								value: "Peru"
+							},
+							{
+								label: "菲律宾",
+								value: "Philippines"
+							},
+							{
+								label: "波兰",
+								value: "Poland"
+							},
+							{
+								label: "葡萄牙",
+								value: "Portugal"
+							},
+							{
+								label: "波多黎各",
+								value: "Puerto Rico"
+							},
+							{
+								label: "卡塔尔",
+								value: "Qatar"
+							},
+							{
+								label: "也门共和国",
+								value: "Republic of Yemen"
+							},
+							{
+								label: "留尼汪",
+								value: "Reunion"
+							},
+							{
+								label: "罗马尼亚",
+								value: "Romania"
+							},
+							{
+								label: "俄罗斯联邦",
+								value: "Russia"
+							},
+							{
+								label: "卢旺达",
+								value: "Rwanda"
+							},
+							{
+								label: "南非",
+								value: "S.Africa"
+							},
+							{
+								label: "萨巴",
+								value: "Saba"
+							},
+							{
+								label: "圣卢西亚",
+								value: "Saint Lucia"
+							},
+							{
+								label: "圣马丁岛",
+								value: "Saint Martin Is"
+							},
+							{
+								label: "圣文森特和格林纳丁斯",
+								value: "Saint Vincent & Grenadines"
+							},
+							{
+								label: "萨摩亚",
+								value: "Samoa"
+							},
+							{
+								label: "圣马力诺",
+								value: "San Marino"
+							},
+							{
+								label: "圣多美和普林西比",
+								value: "Sao Tome and Principe"
+							},
+							{
+								label: "沙特阿拉伯",
+								value: "Saudi Arabia"
+							},
+							{
+								label: "塞内加尔",
+								value: "Senegal"
+							},
+							{
+								label: "塞黑",
+								value: "Serbia & Montenegro"
+							},
+							{
+								label: "塞舌尔",
+								value: "Seychelles"
+							},
+							{
+								label: "塞拉利昂",
+								value: "Sierra Leone"
+							},
+							{
+								label: "新加坡",
+								value: "Singapore"
+							},
+							{
+								label: "斯洛伐克",
+								value: "Slovak Rep"
+							},
+							{
+								label: "斯洛文尼亚",
+								value: "Slovenia Rep"
+							},
+							{
+								label: "社会群岛",
+								value: "Society Is"
+							},
+							{
+								label: "所罗门群岛",
+								value: "Solomon Is"
+							},
+							{
+								label: "索马里",
+								value: "Somalia"
+							},
+							{
+								label: "西班牙",
+								value: "Spain"
+							},
+							{
+								label: "斯里兰卡",
+								value: "Sri Lanka"
+							},
+							{
+								label: "圣其茨-尼维斯",
+								value: "St. Kitts-Nevis"
+							},
+							{
+								label: "圣卢西亚",
+								value: "ST. LUCIA"
+							},
+							{
+								label: "圣文森特和格纳丁斯",
+								value: "ST. VINCENT AND THE GRENADINES"
+							},
+							{
+								label: "圣皮埃尔和密克隆",
+								value: "St.Pierre and Miquelon"
+							},
+							{
+								label: "苏丹",
+								value: "Sudan"
+							},
+							{
+								label: "苏里南",
+								value: "Suriname"
+							},
+							{
+								label: "斯威士兰",
+								value: "Swaziland"
+							},
+							{
+								label: "瑞典",
+								value: "Sweden"
+							},
+							{
+								label: "瑞士",
+								value: "Switzerland"
+							},
+							{
+								label: "叙利亚",
+								value: "Syrian"
+							},
+							{
+								label: "塔吉克斯坦",
+								value: "Tadzhikistan"
+							},
+							{
+								label: "中国台湾",
+								value: "Taiwan prov."
+							},
+							{
+								label: "坦桑尼亚",
+								value: "Tanzania"
+							},
+							{
+								label: "泰国",
+								value: "Thailand"
+							},
+							{
+								label: "荷属安地列斯群岛",
+								value: "the Netherlands Antilles"
+							},
+							{
+								label: "多哥",
+								value: "Togo"
+							},
+							{
+								label: "汤加",
+								value: "Tonga"
+							},
+							{
+								label: "特立尼达和多巴哥",
+								value: "Trinidad & Tobago"
+							},
+							{
+								label: "土阿莫土群岛",
+								value: "Tuamotu Is"
+							},
+							{
+								label: "土布艾群岛",
+								value: "Tubai Is"
+							},
+							{
+								label: "突尼斯",
+								value: "Tunisia"
+							},
+							{
+								label: "土耳其",
+								value: "Turkey"
+							},
+							{
+								label: "土库曼斯坦",
+								value: "Turkmenistan"
+							},
+							{
+								label: "特克斯和凯科斯群岛",
+								value: "Turks & Caicos Is"
+							},
+							{
+								label: "图瓦卢",
+								value: "Tuvalu"
+							},
+							{
+								label: "乌干达",
+								value: "Uganda"
+							},
+							{
+								label: "乌克兰",
+								value: "Ukraine"
+							},
+							{
+								label: "阿联酋",
+								value: "United Arab Emirates"
+							},
+							{
+								label: "英国",
+								value: "United Kingdom"
+							},
+							{
+								label: "美国",
+								value: "United States"
+							},
+							{
+								label: "乌拉圭",
+								value: "Uruguay"
+							},
+							{
+								label: "乌兹别克斯坦",
+								value: "Uzbekstan"
+							},
+							{
+								label: "瓦努阿图",
+								value: "Vanuatu"
+							},
+							{
+								label: "梵蒂冈城国",
+								value: "Vatican City State"
+							},
+							{
+								label: "委内瑞拉",
+								value: "Venezuela"
+							},
+							{
+								label: "越南",
+								value: "Vietnam"
+							},
+							{
+								label: "英属维尔京群岛",
+								value: "VIRGIN IS.(U.K.)"
+							},
+							{
+								label: "美属维尔京群岛",
+								value: "VIRGIN IS.(US)"
+							},
+							{
+								label: "瓦利斯和浮图纳",
+								value: "Wallis and Futuna"
+							},
+							{
+								label: "西撒哈拉",
+								value: "Western Sahara"
+							},
+							{
+								label: "赞比亚",
+								value: "Zambia"
+							},
+							{
+								label: "津巴布韦",
+								value: "Zimbabwe"
+							}
+						]
+					},
+					{
+						label: '身份证号/护照号',
+						required: true,
+						value: 'idCard',
+						titleClass: 'title',
+						placeholder: '请输入身份证号/护照号',
+						type: 'input',
+					},
+					{
+						label: '户籍地址',
+						required: true,
+						value: 'householdAddress',
+						titleClass: 'title',
+						placeholder: '请输入户籍地址',
+						type: 'input',
+					},
+					{
+						label: '在沪居住（暂住）地址',
+						required: true,
+						value: 'residenceAddress',
+						titleClass: 'title',
+						placeholder: '请输入地址',
+						type: 'input',
+					},
+					{
+						label: '是否复工',
+						required: true,
+						value: 'returnToWork',
+						titleClass: 'title',
+						type: 'radio',
+						opts: [{
+								value: '0',
+								label: '否'
+							},
+							{
+								value: '1',
+								label: '是'
+							},
+						],
+						show: [11],
+						showValue: ['1']
+					},
+					{
+						label: '计划复工日期',
+						hidden: true,
+						required: true,
+						value: 'planReturnDate',
+						titleClass: 'title',
+						type: 'date',
+						num: 11
+					},
+					{
+						label: '是否离沪',
+						required: true,
+						value: 'left',
+						titleClass: 'title',
+						type: 'radio',
+						opts: [{
+								value: '0',
+								label: '否'
+							},
+							{
+								value: '1',
+								label: '是'
+							}
+						],
+						show: [13, 14, 15, 16, 17, 18, 19, 20, 21],
+						showValue: ['1']
+					},
+					{
+						label: '离沪原因',
+						required: true,
+						value: 'leftReason',
+						titleClass: 'title',
+						type: 'picker',
+						opts: [{
+							value: 'a',
+							label: '探亲'
+						}, {
+							value: 'b',
+							label: '出差'
+						}, {
+							value: 'b',
+							label: '旅游'
+						}, {
+							value: 'b',
+							label: '其他'
+						}],
+						num: 13,
+						hidden: true,
+					},
+					{
+						label: '离沪出发日期',
+						required: true,
+						value: 'leftDate',
+						titleClass: 'title',
+						type: 'date',
+						num: 14,
+						hidden: true,
+					},
+					{
+						label: '离沪方式',
+						required: true,
+						value: 'leftVehicle',
+						titleClass: 'title',
+						type: 'radio',
+						opts: [{
+							value: '火车',
+							label: '火车	'
+						}, {
+							value: '飞机',
+							label: '飞机'
+						}, {
+							value: '客车',
+							label: '客车'
+						}, {
+							value: '自驾',
+							label: '自驾'
+						}],
+						num: 15,
+						show: ['16'],
+						showValue: ['火车', '飞机'],
+						hidden: true,
+					},
+					{
+						label: '离沪车次/航班',
+						required: true,
+						value: 'leftVehicleNum',
+						titleClass: 'title',
+						placeholder: '请输入地址',
+						type: 'input',
+						num: 16,
+						hidden: true,
+					},
+					{
+						label: '离沪到达日期',
+						required: true,
+						value: 'leftReachDate',
+						titleClass: 'title',
+						type: 'date',
+						num: 17,
+						hidden: true,
+					},
+					{
+						label: '离沪目的地',
+						required: true,
+						value: 'leftTarget',
+						titleClass: 'title',
+						placeholder: '请输入地址',
+						type: 'input',
+						num: 18,
+						hidden: true,
+					},
+					{
+						label: '离沪具体地址',
+						required: true,
+						value: 'leftAddress',
+						titleClass: 'title',
+						placeholder: '请输入地址',
+						type: 'input',
+						num: 19,
+						hidden: true,
+					},
+					{
+						label: '离沪同行者姓名（没有填无）',
+						required: true,
+						value: 'leftDependentNames',
+						titleClass: 'title',
+						placeholder: '请输入',
+						type: 'input',
+						num: 20,
+						hidden: true,
+					},
+					{
+						label: '离沪同行者联系方式（没有填无）',
+						required: true,
+						value: 'leftDependentPhones',
+						titleClass: 'title',
+						placeholder: '请输入',
+						type: 'input',
+						num: 21,
+						hidden: true,
+					},
+					{
+						label: '是否返沪',
+						required: true,
+						value: 'backed',
+						titleClass: 'title',
+						type: 'radio',
+						show: [23, 24, 25, 26, 27, 28, 29],
+						showValue: ['1'],
+						opts: [{
+							value: '0',
+							label: '否'
+						}, {
+							value: '1',
+							label: '是'
+						}]
+					},
+					{
+						label: '返沪出发地',
+						required: true,
+						value: 'backFrom',
+						titleClass: 'title',
+						placeholder: '请输入',
+						type: 'input',
+						num: 23,
+						hidden: true,
+					},
+					{
+						label: '返沪出发日期',
+						required: true,
+						value: 'backDate',
+						titleClass: 'title',
+						type: 'date',
+						num: 24,
+						hidden: true,
+					},
+					{
+						label: '返沪方式',
+						required: true,
+						value: 'backVehicle',
+						titleClass: 'title',
+						type: 'radio',
+						opts: [{
+							value: '火车',
+							label: '火车	'
+						}, {
+							value: '飞机',
+							label: '飞机'
+						}, {
+							value: '客车',
+							label: '客车'
+						}, {
+							value: '自驾',
+							label: '自驾'
+						}],
+						show: ['26'],
+						showValue: ['火车', '飞机'],
+						num: 25,
+						hidden: true,
+					},
+					{
+						label: '返沪车次/航班',
+						required: true,
+						value: 'backVehicleNum',
+						titleClass: 'title',
+						placeholder: '请输入地址',
+						type: 'input',
+						num: 26,
+						hidden: true,
+					},
+					{
+						label: '返沪到达日期',
+						required: true,
+						value: 'backReachedDate',
+						titleClass: 'title',
+						type: 'date',
+						num: 27,
+						hidden: true,
+					},
+					{
+						label: '返沪同行者姓名（没有填无）',
+						required: true,
+						value: 'backDependentNames',
+						titleClass: 'title',
+						placeholder: '请输入',
+						type: 'input',
+						num: 28,
+						hidden: true,
+					},
+					{
+						label: '返沪同行者联系方式（没有填无）',
+						required: true,
+						value: 'backDependentPhones',
+						titleClass: 'title',
+						placeholder: '请输入',
+						type: 'input',
+						num: 29,
+						hidden: true,
+					},
+					{
+						label: '当前状况',
+						required: true,
+						value: 'currentStatus',
+						titleClass: 'title',
+						type: 'pickerMore',
+						opts: [{
+							value: '已经确诊',
+							label: '已经确诊'
+						}, {
+							value: '疑似诊断',
+							label: '疑似诊断'
+						}, {
+							value: '亲密接触者',
+							label: '亲密接触者'
+						}, {
+							value: '居家观察/正在接受集中医学观察',
+							label: '居家观察/正在接受集中医学观察'
+						}, {
+							value: '已解除集中医学观察',
+							label: '已解除集中医学观察'
+						}, {
+							value: '无上述情况',
+							label: '无上述情况'
+						}],
+						showList: [{
+								value: '亲密接触者',
+								show: [32, 35, 38, 40, 43, 45, 47]
+							},
+
+							{
+								value: '居家观察/正在接受集中医学观察',
+								show: [49, 50]
+							},
+						]
+					},
+
+					{
+						label: '停留湖北',
+						required: true,
+						value: 'hubeiStopped',
+						titleClass: 'title',
+						type: 'radio',
+						num: 32,
+						hidden: true,
+						opts: [{
+							value: '0',
+							label: '否'
+						}, {
+							value: '1',
+							label: '是'
+						}],
+						show: [33, 34],
+						showValue: ['1']
+					},
+					{
+						label: '到达湖北日期',
+						required: true,
+						value: 'hubeiStopStartDate',
+						titleClass: 'title',
+						type: 'date',
+						num: 33,
+						hidden: true
+					},
+					{
+						label: '离开湖北日期',
+						required: true,
+						value: 'hubeiStopEndDate',
+						titleClass: 'title',
+						type: 'date',
+						num: 34,
+						hidden: true
+					},
+
+					{
+						label: '途径湖北',
+						required: true,
+						value: 'hubeiPassed',
+						titleClass: 'title',
+						type: 'radio',
+						opts: [{
+							value: '0',
+							label: '否'
+						}, {
+							value: '1',
+							label: '是'
+						}],
+						show: [36, 37],
+						num: 35,
+						hidden: true,
+						showValue: ['1']
+					},
+					{
+						label: '途径湖北到达日期',
+						required: true,
+						value: 'hubeiPassStartDate',
+						titleClass: 'title',
+						type: 'date',
+						num: 36,
+						hidden: true
+					},
+					{
+						label: '途径湖北离开日期',
+						required: true,
+						value: 'hubeiPassEndDate',
+						titleClass: 'title',
+						type: 'date',
+						num: 37,
+						hidden: true
+					},
+					{
+						label: '接触湖北人员',
+						required: true,
+						value: 'hubeiContacted',
+						titleClass: 'title',
+						type: 'radio',
+						opts: [{
+							value: '0',
+							label: '否'
+						}, {
+							value: '1',
+							label: '是'
+						}],
+						show: [39],
+						num: 38,
+						hidden: true,
+						showValue: ['1']
+					},
+					{
+						label: '接触湖北人员接触时间',
+						required: true,
+						value: 'hubeiContactDate',
+						titleClass: 'title',
+						type: 'date',
+						num: 39,
+						hidden: true
+					},
+					{
+						label: '家属停留或途径湖北',
+						required: true,
+						value: 'hubeiFamilyStopped',
+						titleClass: 'title',
+						type: 'radio',
+						opts: [{
+							value: '0',
+							label: '否'
+						}, {
+							value: '1',
+							label: '是'
+						}],
+						show: [41, 42],
+						num: 40,
+						hidden: true,
+						showValue: ['1']
+					},
+					{
+						label: '家属停留或途径湖北到达日期',
+						required: true,
+						value: 'hubeiFamilyStopStartDate',
+						titleClass: 'title',
+						type: 'date',
+						num: 41,
+						hidden: true
+					},
+					{
+						label: '家属停留或途径湖北离开日期',
+						required: true,
+						value: 'hubeiFamilyStoppEndDate',
+						titleClass: 'title',
+						type: 'date',
+						num: 42,
+						hidden: true
+					},
+					{
+						label: '家属接触湖北人员',
+						required: true,
+						value: 'hubeiFamilyContacted',
+						titleClass: 'title',
+						type: 'radio',
+						opts: [{
+							value: '0',
+							label: '否'
+						}, {
+							value: '1',
+							label: '是'
+						}],
+						show: [44],
+						num: 43,
+						hidden: true,
+						showValue: ['1']
+					},
+					{
+						label: '家属接触湖北人员接触时间',
+						required: true,
+						value: 'hubeiFamilyContactDate',
+						titleClass: 'title',
+						type: 'date',
+						num: 44,
+						hidden: true
+					},
+					{
+						label: '接触过已确诊或疑似患者',
+						required: true,
+						value: 'patientContact',
+						titleClass: 'title',
+						type: 'radio',
+						opts: [{
+							value: '0',
+							label: '否'
+						}, {
+							value: '1',
+							label: '是'
+						}],
+						show: [46],
+						num: 45,
+						hidden: true,
+						showValue: ['1']
+					},
+					{
+						label: '接触患者时间',
+						required: true,
+						value: 'patientContactDate',
+						titleClass: 'title',
+						type: 'date',
+						num: 46,
+						hidden: true
+					},
+					{
+						label: '家属接触过已确诊或疑似患者',
+						required: true,
+						value: 'familyPatientContact',
+						titleClass: 'title',
+						type: 'radio',
+						opts: [{
+							value: '0',
+							label: '否'
+						}, {
+							value: '1',
+							label: '是'
+						}],
+						show: [48],
+						num: 47,
+						hidden: true,
+						showValue: ['1']
+					},
+					{
+						label: '家属接触患者时间',
+						required: true,
+						value: 'familyPatientContactDate',
+						titleClass: 'title',
+						type: 'date',
+						num: 48,
+						hidden: true
+					},
+					{
+						label: '隔离地址',
+						required: true,
+						value: 'quarantineAdress',
+						titleClass: 'title',
+						placeholder: '请输入',
+						type: 'input',
+						num: 49,
+						hidden: true
+					},
+					{
+						label: '隔离开始日期',
+						required: true,
+						value: 'quarantineDate',
+						titleClass: 'title',
+						type: 'date',
+						num: 50,
+						hidden: true
+					},
+					{
+						label: '症状',
+						required: true,
+						value: 'symptom',
+						titleClass: 'title',
+						type: 'pickerMore',
+						opts: [{
+							value: '发热',
+							label: '发热'
+						}, {
+							value: '咳嗽',
+							label: '咳嗽'
+						}, {
+							value: '流涕',
+							label: '流涕'
+						}, {
+							value: '咽痛',
+							label: '咽痛'
+						}, {
+							value: '咳痰',
+							label: '咳痰'
+						}, {
+							value: '胸痛',
+							label: '胸痛'
+						}, {
+							value: '肌肉酸痛/关节痛',
+							label: '肌肉酸痛/关节痛'
+						}, {
+							value: '气促',
+							label: '气促'
+						}, {
+							value: '腹泻',
+							label: '腹泻'
+						}, {
+							value: '以上均无',
+							label: '以上均无'
+						}]
+					},
+				],
+				form: {
+					agree: 0,
+					orgId: '',
+					orgName: '',
+					department: '',
+					position: '',
+					name: '',
+					phone: '',
+					nationality: '',
+					idCard: '',
+					returnToWork: '',
+					householdAddress: '',
+					residenceAddress: '',
+					planReturnDate: ''
+				}
+			}
+		},
+
+		onLoad(option) {
+			this.getOrg()
+		},
+
+
+		methods: {
+			openModal() {
+				if (!this.form.agree) {
+					this.form.agree = '1'
+					this.modalName = true
+				} else {
+					this.form.agree = 0
+				}
+
+			},
+			getOrg() {
+				const data = {
+					params: {
+						pageNum: 1,
+						pageSize: 1000000
+					}
+				}
+				this.$http.get(`/sict-ncov/org/page`, data).then(res => {
+					const d = res.data
+					if (d.code == 1) {
+						let list = []
+						d.object.list.forEach(item => {
+							list.push({
+								label: item.orgName,
+								value: item.id
+							})
+						})
+						this.list[0].opts = list
+					}
+				}).catch(err => {
+					console.log(err)
+				})
+			},
+			// 获取信息
+			getInfo(id) {
+
+			},
+			// 更新复选框绑定的表单内容
+			checkboxChange(index, obj, item) {
+				const checkList = item.opts
+				const prop = item.value
+				for (let i = 0, lenI = checkList.length; i < lenI; ++i) {
+					if (index == i) {
+						this.$set(checkList[i], 'checked', !checkList[i].checked)
+					}
+				}
+				// 处理以上均无情况 
+				const nullList = ['无上述情况', '以上均无']
+				if (nullList.includes(obj.label)) {
+					for (var i = 0, lenI = checkList.length; i < lenI; ++i) {
+						this.$set(checkList[i], 'checked', false)
+					}
+					this.$set(checkList[checkList.length - 1], 'checked', true)
+					this.form[prop] = obj.label
+				} else {
+					this.$set(checkList[checkList.length - 1], 'checked', false)
+					const values = []
+					for (var i = 0, lenI = checkList.length; i < lenI; ++i) {
+						if (checkList[i].checked) {
+							values.push(checkList[i].label)
+						}
+					}
+					this.form[prop] = values.join(',')
+				}
+
+			},
+			radioChange(val, prop) {
+				this.$set(this.form, prop, val)
+				this.isShowChild()
+			},
+			// 隐藏/显示
+			showChange(evt, item) {
+				const prop = item.value
+				const type = item.type
+				if (type === 'radio') {
+					const val = evt.target.value
+					this.$set(this.form, prop, val)
+					for (let i = 0; i < this.list.length; i++) {
+						const current = this.list[i]
+						if (current.value == prop && current.show) {
+							current.show.forEach(child => {
+								this.list.forEach(row => {
+									if (child == row.num) {
+										this.$set(row, 'hidden', !current.showValue.includes(val))
+									}
+								})
+							})
+						}
+					}
+				}
+				// 复选框展示和隐藏
+				if (type === 'pickerMore') {
+					console.log(evt)
+					let val = evt.detail.value;
+					const showList = item.showList
+					if (showList && showList.length > 0) {
+						showList.forEach(item => {
+							item.show.forEach(child => {
+								this.list.forEach(row => {
+									if (child == row.num) {
+										this.$set(row, 'hidden', !val.includes(item.value))
+									}
+								})
+							})
+						})
+
+					}
+				}
+
+
+
+			},
+			isShowChild() {
+				console.log(this.form['returnToWork'])
+				this.list[10].hidden = this.form['returnToWork'] == 'a'
+			},
+
+			Switch(e, prop) {
+				this.form[prop] = e.detail.value
+			},
+			// 更新输入框绑定的表单内容
+			updateInputVal(event, props) {
+				this.form[props] = event.target.value
+			},
+			// 更新下拉框绑定的表单内容
+			updatePickerVal(event, item) {
+				console.log(event)
+				const opts = item.opts
+				const prop = item.value
+				const val = event.detail.value
+				if (!opts) {
+					this.$set(this.form, prop, val)
+					return
+				}
+				for (let i = 0; i < opts.length; i++) {
+					if (i == val) {
+						if (prop == 'orgName') {
+							this.$set(this.form, 'orgId', opts[i].value)
+							this.$set(this.form, prop, opts[i].label)
+						} else {
+							this.$set(this.form, prop, opts[i].label)
+						}
+					}
+				}
+			},
+			// 提交信息
+			formSubmit() {
+				console.log(this.form)
+				let flag = true
+				let msg = ''
+				for (let i = 0; i < this.list.length; i++) {
+					if (this.list[i].required) {
+						const val = this.form[this.list[i].value]
+						if (!val&& !this.list[i].hidden && this.list[i].required) {
+							flag = false
+							uni.showToast({
+								icon: 'none',
+								title: `第${i+1}项${this.list[i].label }未填写`
+							})
+							break
+						}
+						if (!flag) {
+							break
+						}
+					}
+				}
+
+				if (!flag) {
+					return false
+				} else {
+					this.$http.post(`/sict-ncov/report`, this.form).then(res => {
+						const d = res.data
+						if (d.code == 1) {
+							uni.navigateBack()
+						} else {
+							uni.showToast({
+								icon: 'none',
+								title: d.message
+							})
+						}
+					}).catch(err => {
+						console.log(err)
+					})
+				}
+			}
+		}
+	}
+</script>
+
+<style lang="scss" scoped>
+	.sict-title {
+		padding: 20upx 0;
+		padding-right: 20upx;
+		word-break: break-all;
+		text-align: justify
+	}
+
+	.sict-label {
+		background-color: white;
+		font-size: 30upx;
+		text-align: justify;
+	}
+
+	.sict-value {
+		margin-top: 15upx;
+
+		.right {
+			margin-left: 10upx;
+			vertical-align: bottom;
+		}
+
+		.label {
+			// display: inline-block;
+			text-align: left;
+			padding: 20upx 0;
+			padding-left: 30upx;
+			border-bottom: 2upx solid #d3d3d3;
+
+			&:last-child {
+				border-bottom: 0;
+			}
+		}
+	}
+
+	uni-radio-group {
+		border: 2upx solid #d3d3d3;
+		border-radius: 8upx;
+		margin-left: 20upx;
+		display: block;
+	}
+
+	radio-group {
+		border: 2upx solid #d3d3d3;
+		border-radius: 8upx;
+		margin-left: 20upx;
+		display: block;
+	}
+
+	.icon-right {
+		font-family: cuIcon;
+		font-size: 34upx;
+		color: #8799a3;
+		line-height: 100upx;
+		width: 60upx;
+		text-align: right;
+		margin: auto;
+	}
+
+	.uni-list-cell {
+		.list-item {
+			border-bottom: 2upx solid #d3d3d3;
+			padding: 20upx 0;
+			padding-left: 30upx;
+		}
+
+		&:last-child {
+			.list-item {
+				border-bottom: 0;
+			}
+		}
+	}
+
+	.uni-list {
+		margin-left: 20upx;
+		border: 2upx solid #d3d3d3;
+		border-radius: 8upx;
+	}
+</style>
+
+<style>
+	.questionnaire .uni-collapse-cell__title:after {
+		border-bottom: 0 !important;
+	}
+</style>
diff --git a/pages/index/index.vue b/pages/index/index.vue
index b1ec53e3d62392039ae136498eb17900d5828585..dd5a4f8d5fbc7c18cf44498bdf478b7d95b6267f 100644
--- a/pages/index/index.vue
+++ b/pages/index/index.vue
@@ -4,6 +4,7 @@
 			<view class="btnList">
 				<button class="btnStaff" type="primary" @click="staff">员工填报</button>
 				<button class="btnSecurity" type="primary" @click="security">安保测温</button>
+				<button class="btnSecurity" type="primary" @click="fillInDay">每日填报</button>
 				<image class="img" src="../../static/22.jpg" mode="" ></image>
 				<view class="tips">
 					入园请向门卫出示健康码
@@ -50,6 +51,12 @@
 					url: `/pages/security/security`
 				})
 			},
+			fillInDay() {
+				console.log(232)
+				uni.navigateTo({
+					url:`/pages/fillInDay/fillInDay`
+				})
+			},
 			// 获取用户信息
 			getUserInfo(code) {
 				this.$http.post(`/sict-ncov/user/auth?code=${code}`).then(res => {
@@ -81,7 +88,7 @@
 		background-size: cover; 
 		background-image: url('http://139.9.163.126/gastric/static/background.jpg');
 		.btnList{
-			padding-top: 435upx;
+			padding-top: 355upx;
 			.btnStaff,.btnSecurity{
 				background-color: #92d0f1;
 				color: #FFFFFF;