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@@ -1,9 +1,32 @@
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{
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{
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- "version": "1.0",
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+ "version": "1.1",
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"updated": "2026-10-13",
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"updated": "2026-10-13",
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"id": "protocol-gut-joint-intervention-v1",
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"id": "protocol-gut-joint-intervention-v1",
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"name": "双人肠道菌群联合干预方案",
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"name": "双人肠道菌群联合干预方案",
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"source_doc": "docs/参考资料/方案/双人肠道菌群联合干预方案.md (1).docx",
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"source_doc": "docs/参考资料/方案/双人肠道菌群联合干预方案.md (1).docx",
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+ "generation": {
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+ "source_type": "health_plan",
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+ "category": "health",
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+ "executor_type": "parent",
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+ "points": 1,
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+ "title_rules": {
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+ "supplement_slot": "【{cycle_name}】{time} {label}:{dose}",
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+ "monitoring": "{name}",
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+ "exercise": "{title}"
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+ },
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+ "period": "min(cycles.start)..max(cycles.end)",
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+ "deadline_rules": {
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+ "daily": "{cycle_end} {time}:00(监测/运动用整周期 {period_end})",
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+ "weekly": "≤周期终点最近的 {weekday} {time}:00",
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+ "onetime": "{due} 09:00:00"
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+ }
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+ },
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+ "notifications": {
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+ "channels": "wechat",
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+ "timing_mode": "before_deadline",
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+ "offset_minutes": 5,
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+ "enabled": 0
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+ },
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"cycles": [
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"cycles": [
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{ "id": "cycle-2", "name": "第二阶段", "start": "2026-10-13", "end": "2026-11-09" },
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{ "id": "cycle-2", "name": "第二阶段", "start": "2026-10-13", "end": "2026-11-09" },
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{ "id": "cycle-3", "name": "第三阶段", "start": "2026-11-10", "end": "2026-12-07" }
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{ "id": "cycle-3", "name": "第三阶段", "start": "2026-11-10", "end": "2026-12-07" }
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@@ -38,23 +61,28 @@
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}
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}
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],
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],
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"daily_monitoring": [
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"daily_monitoring": [
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- { "time": "19:00", "name": "每日记录:排便情况(次数/性状/颜色)", "kind": "self_report" },
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- { "time": "19:00", "name": "每日记录:腹部症状(腹痛/腹泻/胀气)", "kind": "self_report" },
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- { "time": "19:00", "name": "每日足部护理(温水洗脚+检查足部)", "kind": "physical" }
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+ { "time": "19:00", "name": "每日记录:排便情况(次数/性状/颜色)", "description": "关注腹泻、便血、黏液", "kind": "self_report" },
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+ { "time": "19:00", "name": "每日记录:腹部症状(腹痛/腹泻/胀气)", "description": "记录腹部不适程度", "kind": "self_report" },
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+ { "time": "19:00", "name": "每日足部护理(温水洗脚+检查足部)", "description": "糖尿病足部护理,避免受伤", "kind": "physical" }
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],
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],
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"weekly_monitoring": [
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"weekly_monitoring": [
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- { "weekday": "周一", "name": "每周评估:食欲与食量(与血糖关系)", "indicator_ids": [] },
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- { "weekday": "周一", "name": "每周测体重1次并记录", "indicator_ids": [] },
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- { "weekday": "周三", "name": "本周测血糖2-3次(空腹+餐后2h)", "indicator_ids": ["ind-fpg", "ind-pg2h"] }
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+ { "weekday": "周一", "time": "09:00", "name": "每周评估:食欲与食量(与血糖关系)", "description": "每周记录一次食欲与食量变化", "indicator_ids": [] },
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+ { "weekday": "周一", "time": "09:00", "name": "每周测体重1次并记录", "description": "关注体重管理", "indicator_ids": [] },
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+ { "weekday": "周三", "time": "09:00", "name": "本周测血糖2-3次(空腹+餐后2h)", "description": "糖尿病监测;新增补充剂时加测", "indicator_ids": ["ind-fpg", "ind-pg2h"] }
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],
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],
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- "followups": [
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- { "week": "4周", "name": "复查血常规(血红蛋白,评估铁缺乏改善)", "indicator_ids": ["ind-hb"], "note": "4周后查血常规" },
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- { "week": "8-12周", "name": "复查血清铁蛋白(评估储存铁恢复)", "indicator_ids": ["ind-ferritin"], "note": "8-12周查血清铁蛋白" },
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- { "week": "12周", "name": "复查糖化血红蛋白 HbA1c", "indicator_ids": ["ind-hba1c"], "note": "每3个月查一次" },
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- { "week": "12周", "name": "复查血脂", "indicator_ids": ["ind-tc", "ind-tg", "ind-ldlc", "ind-hdlc"], "note": "12周查,评估心脑血管风险" },
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- { "week": "12周", "name": "复查肝肾功能", "indicator_ids": ["ind-alt", "ind-ast", "ind-bun", "ind-cre", "ind-egfr", "ind-ua"], "note": "12周查,评估补充剂安全性" }
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+ "exercise_ids": ["ex-walk", "ex-toe-stand"],
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+ "exercise_tasks": [
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+ { "time": "07:00", "title": "早餐后散步15-20分钟(或足尖俯卧撑)", "description": "餐后散步有助于降餐后血糖", "exercise_ids": ["ex-walk", "ex-toe-stand"] },
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+ { "time": "12:30", "title": "午餐后散步15-20分钟(或足尖俯卧撑)", "description": "餐后散步有助于降餐后血糖", "exercise_ids": ["ex-walk", "ex-toe-stand"] },
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+ { "time": "17:30", "title": "晚餐后散步15-20分钟(或足尖俯卧撑)", "description": "餐后散步助消化、控血糖", "exercise_ids": ["ex-walk", "ex-toe-stand"] }
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],
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],
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- "exercises": ["ex-walk", "ex-toe-stand"]
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+ "followups": [
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+ { "due": "2026-10-20", "week": "4周", "name": "复查血常规(血红蛋白,评估铁缺乏改善)", "indicator_ids": ["ind-hb"], "note": "4周后查血常规" },
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+ { "due": "2026-11-16", "week": "8-12周", "name": "复查血清铁蛋白(评估储存铁恢复)", "indicator_ids": ["ind-ferritin"], "note": "8-12周查血清铁蛋白" },
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+ { "due": "2026-12-03", "week": "12周", "name": "复查糖化血红蛋白 HbA1c", "indicator_ids": ["ind-hba1c"], "note": "每3个月查一次" },
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+ { "due": "2026-12-07", "week": "12周", "name": "复查血脂", "indicator_ids": ["ind-tc", "ind-tg", "ind-ldlc", "ind-hdlc"], "note": "12周查,评估心脑血管风险" },
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+ { "due": "2026-12-07", "week": "12周", "name": "复查肝肾功能", "indicator_ids": ["ind-alt", "ind-ast", "ind-bun", "ind-cre", "ind-egfr", "ind-ua"], "note": "12周查,评估补充剂安全性" }
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+ ]
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},
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},
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{
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{
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"family_id": 90,
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"family_id": 90,
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@@ -85,20 +113,25 @@
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}
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}
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],
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],
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"daily_monitoring": [
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"daily_monitoring": [
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- { "time": "19:00", "name": "每日记录:排便情况(次数/性状/颜色)", "kind": "self_report" },
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- { "time": "19:00", "name": "每日记录:腹部症状(腹胀/腹痛/胀气)", "kind": "self_report" }
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+ { "time": "19:00", "name": "每日记录:排便情况(次数/性状/颜色)", "description": "关注便秘/腹泻变化", "kind": "self_report" },
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+ { "time": "19:00", "name": "每日记录:腹部症状(腹胀/腹痛/胀气)", "description": "记录胀气程度", "kind": "self_report" }
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],
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],
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"weekly_monitoring": [
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"weekly_monitoring": [
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- { "weekday": "周一", "name": "每周评估:食欲与食量", "indicator_ids": [] },
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- { "weekday": "周一", "name": "每周测体重1次并记录", "indicator_ids": [] }
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+ { "weekday": "周一", "time": "09:00", "name": "每周评估:食欲与食量", "description": "每周记录一次食欲改善情况", "indicator_ids": [] },
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+ { "weekday": "周一", "time": "09:00", "name": "每周测体重1次并记录", "description": "关注体重变化", "indicator_ids": [] }
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],
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],
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- "followups": [
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- { "week": "4周", "name": "复查血常规(血红蛋白,评估铁缺乏改善)", "indicator_ids": ["ind-hb"], "note": "4周后查血常规" },
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- { "week": "8-12周", "name": "复查血清铁蛋白(评估储存铁恢复)", "indicator_ids": ["ind-ferritin"], "note": "8-12周查血清铁蛋白" },
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- { "week": "12周", "name": "复查血脂", "indicator_ids": ["ind-tc", "ind-tg", "ind-ldlc", "ind-hdlc"], "note": "12周查" },
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- { "week": "12周", "name": "复查肝肾功能", "indicator_ids": ["ind-alt", "ind-ast", "ind-bun", "ind-cre", "ind-egfr", "ind-ua"], "note": "12周查,补充剂安全性评估" }
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+ "exercise_ids": ["ex-walk", "ex-toe-stand"],
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+ "exercise_tasks": [
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+ { "time": "07:00", "title": "早餐后散步15-20分钟(或足尖俯卧撑)", "description": "适度运动,配合八段锦/太极更佳", "exercise_ids": ["ex-walk", "ex-toe-stand"] },
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+ { "time": "12:30", "title": "午餐后散步15-20分钟(或足尖俯卧撑)", "description": "适度运动", "exercise_ids": ["ex-walk", "ex-toe-stand"] },
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+ { "time": "17:30", "title": "晚餐后散步15-20分钟(或足尖俯卧撑)", "description": "适度运动", "exercise_ids": ["ex-walk", "ex-toe-stand"] }
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],
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],
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- "exercises": ["ex-walk", "ex-toe-stand"]
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+ "followups": [
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+ { "due": "2026-10-20", "week": "4周", "name": "复查血常规(血红蛋白,评估铁缺乏改善)", "indicator_ids": ["ind-hb"], "note": "4周后查血常规" },
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+ { "due": "2026-11-16", "week": "8-12周", "name": "复查血清铁蛋白(评估储存铁恢复)", "indicator_ids": ["ind-ferritin"], "note": "8-12周查血清铁蛋白" },
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+ { "due": "2026-12-07", "week": "12周", "name": "复查血脂", "indicator_ids": ["ind-tc", "ind-tg", "ind-ldlc", "ind-hdlc"], "note": "12周查" },
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+ { "due": "2026-12-07", "week": "12周", "name": "复查肝肾功能", "indicator_ids": ["ind-alt", "ind-ast", "ind-bun", "ind-cre", "ind-egfr", "ind-ua"], "note": "12周查,补充剂安全性评估" }
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+ ]
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}
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}
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]
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]
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-}
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+}
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