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{ "primaryScheme": { "groupCode": "TJ-hba1cG7L8-ageG60-bmiG28", "regimenType": "drug", "regimens": [ { "drugTypes": [ { "drugs": [ { "dose": "0.5g或1g,单日最大累积剂量2g", "drugGenericCode": "XA10BAE021", "drugGenericName": "二甲双胍", "frequency": "每天两次或每天三次,推荐餐后", "remark": "由于老年患者可能出现肾功能减退,应定期检查肾功能并根据肾功能调整二甲双胍的剂量", "usage": "口服" } ], "notes": [ { "decrements": [ ], "disables": [ "二甲双胍" ], "recommends": [ ], "target": "60>=eGFR>30", "type": "肾功能禁忌" }, { "decrements": [ ], "disables": [ "二甲双胍" ], "recommends": [ ], "target": "30>=eGFR", "type": "肾功能禁忌" }, { "decrements": [ ], "disables": [ "二甲双胍" ], "recommends": [ ], "target": "谷草谷丙>=100", "type": "肝功能禁忌" } ], "typeCode": "XA10BA", "typeName": "双胍类" } ], "priority": 1, "reason": "", "regimenCode": "TJ-hba1cG7L8-ageG60-bmiG28-reg1", "regimenName": "【优选】二甲双胍" }, { "drugTypes": [ { "drugs": [ { "dose": "50mg-100mg,单次最大剂量200mg", "drugGenericCode": "XA10BFA025", "drugGenericName": "阿卡波糖", "frequency": "每天三次,餐中", "remark": "", "usage": "口服" }, { 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"10mg起始,单日最大剂量25mg", "drugGenericCode": "XA10BKE079", "drugGenericName": "恩格列净", "frequency": "每天一次", "remark": "", "usage": "口服" }, { "dose": "100mg起始,单日最大剂量300mg", "drugGenericCode": "XA10BKK130", "drugGenericName": "卡格列净", "frequency": "每天一次", "remark": "", "usage": "口服" }, { "dose": "5mg", "drugGenericCode": "XA10BKA338", "drugGenericName": "艾托格列净", "frequency": "每天一次", "remark": "", "usage": "口服" }, { "dose": "5mg起始,单日最大剂量10mg", "drugGenericCode": "XA10BKD256", "drugGenericName": "达格列净", "frequency": "每天一次", "remark": "", "usage": "口服" } ], "notes": [ { "decrements": [ ], "disables": [ "卡格列净", "艾托格列净", "恩格列净" ], "recommends": [ ], "target": "60>=eGFR>30", "type": "肾功能禁忌" }, { "decrements": [ ], "disables": [ "卡格列净", "达格列净", "艾托格列净", "恩格列净" ], "recommends": [ ], "target": "30>=eGFR", "type": "肾功能禁忌" }, { "decrements": [ ], "disables": [ "卡格列净", "达格列净", "艾托格列净", "恩格列净" ], "recommends": [ ], "target": "谷草谷丙>=100", "type": "肝功能禁忌" }, { "decrements": [ ], "disables": [ ], "recommends": [ "卡格列净", "达格列净", "艾托格列净", "恩格列净" ], "target": "冠心病/心衰", "type": "心血管功能禁忌" } ], "typeCode": "XA10BK", "typeName": "SGLT-2抑制剂" }, { "drugs": [ { "dose": "0.6mg一周后无明显胃肠道反应后可加至1.2mg,单日最大剂量1.8mg", "drugGenericCode": "XA10BJL326", "drugGenericName": "利拉鲁肽", "frequency": "每天一次", "remark": "", "usage": "皮下注射" }, { "dose": "0.25mg或0.5mg起始,每周最大推荐剂量为1mg", "drugGenericCode": "XA10BJS279", "drugGenericName": "司美格鲁肽", "frequency": "每周一次", "remark": "", "usage": "皮下注射" }, { "dose": "0.75 mg起始,每周最大推荐剂量为 1.5 mg", "drugGenericCode": "XA10BJD332", "drugGenericName": "度拉糖肽", "frequency": "每周一次", "remark": "", "usage": "皮下注射" }, { "dose": "5 μg起始,单次最大剂量10mg", "drugGenericCode": "XA10BJA085", "drugGenericName": "艾塞那肽", "frequency": "每天二次,早餐、晚餐前 60 分钟内", "remark": "对患有胰腺炎的患者,禁用本品。不推荐本品用于终末期肾病或严重肾功能 不全(肌酐清除率<30 ml/min)的患者", "usage": "皮下注射" }, { "dose": "10μg应用14天,后调整为20μg维持", "drugGenericCode": "XA10BJL366", "drugGenericName": "利司那肽", "frequency": "每天一次", "remark": "", "usage": "皮下注射" }, { "dose": "0.1mg,每周最大推荐剂量为0.2mg", "drugGenericCode": "XA10BJJ237", "drugGenericName": "洛塞那肽", "frequency": "每周一次", "remark": "", "usage": "皮下注射" } ], "notes": [ { "decrements": [ "洛塞那肽" ], "disables": [ ], "recommends": [ ], "target": "60>=eGFR>30", "type": "肾功能禁忌" }, { "decrements": [ ], "disables": [ "利拉鲁肽", "利司那肽", "艾塞那肽", "度拉糖肽", "司美格鲁肽", "洛塞那肽" ], "recommends": [ ], "target": "30>=eGFR", "type": "肾功能禁忌" }, { "decrements": [ ], "disables": [ "司美格鲁肽", "利拉鲁肽" ], "recommends": [ ], "target": "谷草谷丙>=100", "type": "肝功能禁忌" }, { "decrements": [ ], "disables": [ ], "recommends": [ "利拉鲁肽", "利司那肽", "艾塞那肽", "度拉糖肽", "司美格鲁肽", "洛塞那肽" ], "target": "冠心病/心衰", "type": "心血管功能禁忌" } ], "typeCode": "XA10BJ", "typeName": "GLP-1RA" } ], "priority": 3, "reason": "", "regimenCode": "HS-hba1cG7L8-ageG60-bmiG28-reg3", "regimenName": "【优选】二甲双胍(或加用DPP-4抑制剂或SGLT-2抑制剂或GLP-1RA)" }, { "drugTypes": [ { "drugs": [ { "dose": "4mg,单日最大剂量8mg", "drugGenericCode": "XA10BGL261", "drugGenericName": "罗格列酮", "frequency": "每天一次", "remark": "", "usage": "口服" }, { "dose": "15mg-30mg,单日最大剂量45mg", "drugGenericCode": "XA10BGB091", "drugGenericName": "吡格列酮", "frequency": "每天一次", "remark": "老年患者应谨慎给药,密切观察服用期间是否发生不良反应", "usage": "口服" } ], "notes": [ { "decrements": [ ], "disables": [ "吡格列酮" ], "recommends": [ ], "target": "60>=eGFR>30", "type": "肾功能禁忌" }, { "decrements": [ ], "disables": [ "吡格列酮", "罗格列酮" ], "recommends": [ ], "target": "30>=eGFR", "type": "肾功能禁忌" }, { "decrements": [ ], "disables": [ "吡格列酮", "罗格列酮" ], "recommends": [ ], "target": "谷草谷丙>=100", "type": "肝功能禁忌" } ], "typeCode": "XA10BG", "typeName": "噻唑烷二酮类" }, { "drugs": [ { "dose": "50mg-100mg,单次最大剂量200mg", "drugGenericCode": "XA10BFA025", "drugGenericName": "阿卡波糖", "frequency": "每天三次,餐中", "remark": "", "usage": "口服" }, { "dose": "0.2mg,单次最大剂量0.3mg", "drugGenericCode": "XA10BFF058", "drugGenericName": "伏格列波糖", "frequency": "每天三次,餐中", "remark": "", "usage": "口服" }, { "dose": "25mg起始,单次最大剂量100mg", "drugGenericCode": "XA10BFM097", "drugGenericName": "米格列醇", "frequency": "每天三次,餐中", "remark": "", "usage": "口服" } ], "notes": [ { "decrements": [ ], "disables": [ "伏格列波糖", "米格列醇", "阿卡波糖" ], "recommends": [ ], "target": "30>=eGFR", "type": "肾功能禁忌" }, { "decrements": [ ], "disables": [ "伏格列波糖", "阿卡波糖" ], "recommends": [ ], "target": "谷草谷丙>=100", "type": "肝功能禁忌" } ], "typeCode": "XA10BF", "typeName": "α⁃糖苷酶抑制剂" }, { "drugs": [ { "dose": "0.1-0.2U/kg/d起始,根据空腹血糖调整用量", "drugGenericCode": "XA10AEC074", "drugGenericName": "甘精胰岛素", "frequency": "每天一次,睡前", "remark": "", "usage": "皮下注射" }, { "dose": "0.1-0.2U/kg/d起始,根据空腹血糖调整用量", "drugGenericCode": "XA10AED087", "drugGenericName": "地特胰岛素", "frequency": "每天一次,睡前", "remark": "", "usage": "皮下注射" }, { "dose": "0.1-0.2U/kg/d起始,根据空腹血糖调整用量", "drugGenericCode": "XA10AED318", "drugGenericName": "德谷胰岛素", "frequency": "每天一次,睡前", "remark": "", "usage": "皮下注射" } ], "notes": [ ], "typeCode": "XA10AE", "typeName": "基础胰岛素" } ], "priority": 4, "reason": "", "regimenCode": "HS-hba1cG7L8-ageG60-bmiG28-reg4", "regimenName": "【可用】噻唑烷二酮类、α-糖苷酶抑制剂(优选方案基础上加用)" } ] } }
select t5.*, get_json_object(oper_result, concat('$.specialistScheme.regimens[',regimens_pos,'].drugTypes[',drugTypes_pos,'].drugs[',drugs_pos,'].drugGenericCode')) as drug_generic_code, get_json_object(oper_result, concat('$.specialistScheme.regimens[',regimens_pos,'].drugTypes[',drugTypes_pos,'].drugs[',drugs_pos,'].drug_generic_name')) as drug_generic_name , get_json_object(oper_result, concat('$.specialistScheme.regimens[',regimens_pos,'].drugTypes[',drugTypes_pos,'].drugs[',drugs_pos,'].dose')) as dose , get_json_object(oper_result, concat('$.specialistScheme.regimens[',regimens_pos,'].drugTypes[',drugTypes_pos,'].drugs[',drugs_pos,'].usage')) as usage , get_json_object(oper_result, concat('$.specialistScheme.regimens[',regimens_pos,'].drugTypes[',drugTypes_pos,'].drugs[',drugs_pos,'].frequency')) as frequency, get_json_object(oper_result, concat('$.specialistScheme.regimens[',regimens_pos,'].drugTypes[',drugTypes_pos,'].drugs[',drugs_pos,'].remark')) as remark from ( select t4.*, drugs_pos from ( select t3.*, size(split(regexp_replace(t3.drug_generic_codes,'\\[|\\]',''),',')) as drugs_num from ( select t2.*, get_json_object(oper_result, concat('$.specialistScheme.regimens[',regimens_pos,'].drugTypes[',drugTypes_pos,'].typeCode')) as durg_type_code, get_json_object(oper_result, concat('$.specialistScheme.regimens[',regimens_pos,'].drugTypes[',drugTypes_pos,'].typeName')) as durg_type_name, get_json_object(oper_result, concat('$.specialistScheme.regimens[',regimens_pos,'].drugTypes[',drugTypes_pos,'].drugs[*].drugGenericCode')) as drug_generic_codes, get_json_object(oper_result, concat('$.specialistScheme.regimens[',regimens_pos,'].drugTypes[',drugTypes_pos,'].drugs[*].drug_generic_name')) as drug_generic_names , get_json_object(oper_result, concat('$.specialistScheme.regimens[',regimens_pos,'].drugTypes[',drugTypes_pos,'].drugs[*].dose')) as doses , get_json_object(oper_result, concat('$.specialistScheme.regimens[',regimens_pos,'].drugTypes[',drugTypes_pos,'].drugs[*].usage')) as usages , get_json_object(oper_result, concat('$.specialistScheme.regimens[',regimens_pos,'].drugTypes[',drugTypes_pos,'].drugs[*].frequency')) as frequencys, get_json_object(oper_result, concat('$.specialistScheme.regimens[',regimens_pos,'].drugTypes[',drugTypes_pos,'].drugs[*].remark')) as remarks from ( select t1.*, drugTypes_pos from ( select t0.*, size(split(regexp_replace(t0.typeCodes,'\\[|\\]',''),',')) as drugTypes_num from ( select t.*, oper_result_primaryScheme_groupCode as group_code, get_json_object(oper_result, concat('$.specialistScheme.regimens[',regimens_pos,'].regimenCode')) as regimenCode, get_json_object(oper_result, concat('$.specialistScheme.regimens[',regimens_pos,'].regimenName')) as regimenName, get_json_object(oper_result, concat('$.specialistScheme.regimens[',regimens_pos,'].reason')) as reason, get_json_object(oper_result, concat('$.specialistScheme.regimens[',regimens_pos,'].priority')) as priority, get_json_object(oper_result, concat('$.specialistScheme.regimens[',regimens_pos,'].drugTypes[*].typeCode')) as typeCodes, get_json_object(oper_result, concat('$.specialistScheme.regimens[',regimens_pos,'].drugTypes[*].typeName')) as typeNames, 2 as origin_type from ( select n.*, regimens_pos from wedw_dw.ai_base_recommended_plan_detail_df_tmp1 n lateral VIEW posexplode ( split ( space( specialistScheme_regimens_num -1), '' ) ) t AS regimens_pos, val ) t ) t0 ) t1 lateral VIEW posexplode ( split ( space( drugTypes_num -1), '' ) ) t AS drugTypes_pos, val ) t2 ) t3 ) t4 lateral VIEW posexplode ( split ( space( drugs_num -1), '' ) ) t AS drugs_pos, val ) t5
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