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+[
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+ {
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+ "label": "姓名",
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+ "defaultValue": null,
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+ "span": 12,
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+ "key": "Name",
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+ "type": "input",
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+ "border": null,
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+ "disabledValue": null,
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+ "options": [],
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+ "children": null,
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+ "append": "",
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+ "placeholder": "",
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+ "required": null,
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+ "show-limit": false,
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+ "parentKey": null,
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+ "buttonName": null,
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+ "childrenKey": null
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+ },
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+ {
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+ "label": "性别",
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+ "defaultValue": null,
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+ "span": 24,
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+ "key": "Sex",
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+ "type": "radio",
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+ "border": null,
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+ "disabledValue": null,
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+ "options": [
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+ {
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+ "label": "男",
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+ "value": "1"
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+ },
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+ {
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+ "label": "女",
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+ "value": "2"
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+ }
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+ ],
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+ "children": null,
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+ "append": null,
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+ "placeholder": null,
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+ "required": null,
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+ "show-limit": null,
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+ "parentKey": null,
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+ "buttonName": null,
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+ "childrenKey": null
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+ },
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+ {
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+ "label": "年龄",
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+ "defaultValue": null,
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+ "span": 12,
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+ "key": "Age",
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+ "type": "numberInput",
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+ "border": null,
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+ "disabledValue": null,
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+ "options": [],
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+ "children": null,
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+ "append": "",
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+ "placeholder": "",
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+ "required": null,
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+ "show-limit": false,
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+ "parentKey": null,
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+ "buttonName": null,
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+ "childrenKey": null
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+ },
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+ {
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+ "label": "诊断",
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+ "defaultValue": null,
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+ "span": 12,
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+ "key": "Diagnosis",
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+ "type": "input",
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+ "border": null,
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+ "disabledValue": null,
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+ "options": [],
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+ "children": null,
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+ "append": "",
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+ "placeholder": "",
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+ "required": null,
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+ "show-limit": false,
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+ "parentKey": null,
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+ "buttonName": null,
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+ "childrenKey": null
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+ },
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+ {
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+ "label": " 肺结核是一种由结核分枝杆菌引起的严重危害健康的慢性传染病,主要通过呼吸道传播。肺结核的主要症状有咳嗽、咳痰,还会伴有痰中带血、午后低热、夜间盗汗、体重减轻、呼吸困难等症状。出现肺结核可疑症状应及时到当地结核病定点医疗机构就诊。经全程规范治疗,绝大多数肺结核患者可以治愈。如不规范治疗,容易产生耐药结核。一旦耐药,治愈率低、治疗费用高、社会危害大。\r\n 影响肺结核发病和传播的主要因素包括:与传染性肺结核患者密切接触;出现咳嗽、咳痰2周以上等肺结核可疑症状不及时去医院检查;患了肺结核不按医嘱坚持治疗,擅自停药;吸烟;居室环境通风不良;免疫力低下(如高龄、营养不良人群,艾滋病病毒感染者,糖尿病患者等)。\r\n 采取健康生活方式,积极治疗,有助于身体康复,改善生活质量。",
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+ "defaultValue": null,
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+ "span": 12,
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+ "key": "Hint_Label",
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+ "type": "label",
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+ "border": null,
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+ "disabledValue": null,
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+ "options": [],
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+ "children": null,
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+ "append": "",
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+ "placeholder": "",
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+ "required": null,
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+ "show-limit": false,
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+ "parentKey": null,
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+ "buttonName": null,
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+ "childrenKey": null
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+ },
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+ {
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+ "label": "健康生活方式",
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+ "defaultValue": null,
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+ "span": 12,
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+ "key": "HealthyLifestyle",
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+ "type": "checkbox",
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+ "border": null,
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+ "disabledValue": null,
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+ "options": [
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+ {
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+ "label": "居家治疗的肺结核患者,应当尽量与家人分室居住,保持居室通风。",
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+ "value": "1"
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+ },
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+ {
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+ "label": "不随地吐痰,痰液吐在有消毒液(如0.5%的84消毒液)的带盖痰盂里,不方便时可将痰液吐在消毒湿纸巾或密封痰袋里,然后焚烧处理。",
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+ "value": "2"
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+ },
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+ {
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+ "label": "咳嗽、打喷嚏时应当避让他人、掩住口鼻。",
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+ "value": "3"
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+ },
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+ {
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+ "label": "尽量不去集市、商场、车站等人群密集的公共场所。如必须去,应当佩戴口罩。",
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+ "value": "4"
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+ },
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+ {
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+ "label": "如家庭密切接触者出现咳嗽、咳痰2周以上等肺结核的可疑症状,应及时到医院检查。",
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+ "value": "5"
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+ },
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+ {
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+ "label": "加强营养,多吃奶类、蛋类、瘦内等高蛋白食物,多吃绿叶蔬菜、水果以及杂粮等食品,不吃辛辣刺激食物。",
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+ "value": "6"
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+ },
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+ {
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+ "label": "不吸烟(吸烟者戒烟)。",
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+ "value": "7"
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+ },
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+ {
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+ "label": "避免接触二手烟。",
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+ "value": "8"
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+ },
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+ {
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+ "label": "不饮酒。",
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+ "value": "9"
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+ },
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+ {
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+ "label": "有发热、胸痛、咳嗽、呼吸困难、乏力等明显症状时,不建议运动。",
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+ "value": "10"
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+ },
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+ {
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+ "label": "经过规范治疗症状改善后,可在医生指导下进行适量运动,但以不引起劳累和不适为宜。",
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+ "value": "11"
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+ },
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+ {
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+ "label": "生活起居规律、保证睡眠充足、避免过度劳累。",
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+ "value": "12"
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+ },
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+ {
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+ "label": "保持心情舒畅、情绪稳定,减轻精神压力,树立治疗信心。",
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+ "value": "13"
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+ }
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+ ],
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+ "children": null,
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+ "append": "",
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+ "placeholder": "",
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+ "required": null,
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+ "show-limit": false,
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+ "parentKey": null,
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+ "buttonName": null,
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+ "childrenKey": null
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+ },
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+ {
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+ "label": "治疗与康复",
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+ "defaultValue": null,
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+ "span": 12,
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+ "key": "HealthyLifestyle",
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+ "type": "checkbox",
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+ "border": null,
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+ "disabledValue": null,
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+ "options": [
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+ {
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+ "label": "遵医嘱服药,不要自行停药或调整药物。",
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+ "value": "1"
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+ },
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+ {
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+ "label": "出现药物不良反应,要及时和医生联系,不可自行停药或更改治疗方案。",
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+ "value": "2"
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+ },
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+ {
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+ "label": "遵医嘱定期复查。",
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+ "value": "3"
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+ },
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+ {
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+ "label": "遵医嘱妥善存放抗结核药物。药品放在阴凉干燥、孩子接触不到的地方。夏天宜放在冰箱的冷藏室。",
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+ "value": "4"
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+ },
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+ {
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+ "label": "如需短时间外出,应告知医生并带够足量药品按时服用。如要改变居住地,应与医生联系办理延续治疗相关手续。",
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+ "value": "5"
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+ }
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+ ],
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+ "children": null,
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+ "append": "",
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+ "placeholder": "",
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+ "required": null,
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+ "show-limit": false,
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+ "parentKey": null,
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+ "buttonName": null,
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+ "childrenKey": null
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+ },
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+ {
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+ "label": "急症处理",
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+ "defaultValue": null,
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+ "span": 12,
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+ "key": "EmergencyTreatment",
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+ "type": "checkbox",
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+ "border": null,
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+ "disabledValue": "",
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+ "options": [
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+ {
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+ "label": "治疗期间出现病情加重,如咯血,或药物不良反应引起的严重不适,如恶心、呕吐、腹胀、腹泻、腹痛、过敏反应、视物模糊、皮肤或者巩膜黄染等症状,或出现其他严重情况,应及时到医院就诊。",
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+ "value": "1"
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+ }
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+ ],
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+ "children": null,
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+ "append": "",
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+ "placeholder": "",
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+ "required": null,
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+ "show-limit": false,
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+ "parentKey": null,
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+ "buttonName": null,
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+ "childrenKey": null
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+ },
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+ {
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+ "label": "其他指导建议",
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+ "defaultValue": null,
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+ "span": 12,
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+ "key": "Other",
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+ "type": "textareaInput",
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+ "border": null,
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+ "disabledValue": null,
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+ "options": [],
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+ "children": null,
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+ "append": "",
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+ "placeholder": "",
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+ "required": null,
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+ "show-limit": false,
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+ "parentKey": null,
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+ "buttonName": null,
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+ "childrenKey": null
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+ },
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+ {
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+ "label": "医生/指导人员签名:",
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+ "defaultValue": null,
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+ "span": 12,
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+ "key": "Signature",
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+ "type": "signature",
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+ "border": null,
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+ "disabledValue": null,
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+ "options": [],
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+ "children": null,
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+ "append": "",
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+ "placeholder": "",
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+ "required": null,
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+ "show-limit": false,
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+ "parentKey": null,
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+ "buttonName": null,
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+ "childrenKey": null
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+ },
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+ {
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+ "label": "咨询电话:",
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+ "defaultValue": null,
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+ "span": 12,
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+ "key": "Phone",
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+ "type": "numberInput",
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+ "border": null,
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+ "disabledValue": null,
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+ "options": [],
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+ "children": null,
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+ "append": "",
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+ "placeholder": "",
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+ "required": null,
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+ "show-limit": false,
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+ "parentKey": null,
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+ "buttonName": null,
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+ "childrenKey": null
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+ },
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+ {
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+ "label": "日期",
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+ "defaultValue": null,
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+ "span": 12,
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+ "key": "DateTime",
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+ "type": "dateTime",
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+ "border": null,
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+ "disabledValue": null,
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+ "options": [],
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+ "children": null,
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+ "append": "",
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+ "placeholder": "",
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+ "required": null,
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+ "show-limit": false,
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+ "parentKey": null,
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+ "buttonName": null,
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+ "childrenKey": null
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+ },
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+ {
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+ "label": "严重精神障碍患者健康教育处方使用说明 \r\n ★使用对象:严重精神障碍患者或看护人。 \r\n ★使用方法 \r\n 1、本处方不能代替专科医生开具的医疗处方,主要用于帮助患者父母及看护人争取认识严重精神障碍患者,早发现,早治疗,系统干预该疾病。 \r\n 2.医务人员应结合患者的病情、健康危险因素等,提供有针对性的健康指导。",
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+ "defaultValue": null,
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+ "span": 12,
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+ "key": "DescriptionLabel",
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+ "type": "label",
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+ "border": null,
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+ "disabledValue": null,
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+ "options": [],
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+ "children": null,
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+ "append": "",
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+ "placeholder": "",
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+ "required": null,
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+ "show-limit": false,
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+ "parentKey": null,
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+ "buttonName": null,
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+ "childrenKey": null
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+ }
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+]
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