{
"primaryScheme": {
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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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],
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],
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},
{
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],
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],
"recommends": [
],
"target": "谷草谷丙>=100",
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],
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{
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{
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{
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},
{
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"remark": "",
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},
{
"dose": "25mg起始,单次最大剂量100mg",
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{
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{
"decrements": [
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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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{
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{
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{
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{
"decrements": [
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{
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],
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{
"drugs": [
{
"dose": "10mg起始,单日最大剂量25mg",
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{
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{
"dose": "5mg起始,单日最大剂量10mg",
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{
"decrements": [
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{
"decrements": [
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{
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],
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],
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{
"drugs": [
{
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"remark": "",
"usage": "口服"
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{
"dose": "5mg",
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"remark": "",
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},
{
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],
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{
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{
"decrements": [
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"disables": [
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"recommends": [
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"target": "谷草谷丙>=100",
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},
{
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"recommends": [
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],
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],
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]
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{
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"recommends": [
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{
"decrements": [
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{
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"target": "冠心病/心衰",
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],
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{
"drugs": [
{
"dose": "10mg起始,单日最大剂量25mg",
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"dose": "100mg起始,单日最大剂量300mg",
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{
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"dose": "5mg起始,单日最大剂量10mg",
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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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{
"dose": "100mg起始,单日最大剂量300mg",
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],
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{
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{
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"target": "谷草谷丙>=100",
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{
"decrements": [
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],
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],
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],
"priority": 2,
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{
"drugTypes": [
{
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"dose": "0.5g或1g,单日最大累积剂量2g",
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"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",
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],
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{
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{
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{
"decrements": [
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],
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},
{
"drugs": [
{
"dose": "50mg",
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},
{
"dose": "100mg",
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{
"dose": "5mg",
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"remark": "",
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},
{
"dose": "5mg",
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"remark": "",
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},
{
"dose": "25mg",
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"remark": "",
"usage": "口服"
}
],
"notes": [
{
"decrements": [
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"disables": [
],
"recommends": [
],
"target": "60>=eGFR>30",
"type": "肾功能禁忌"
},
{
"decrements": [
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],
"disables": [
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"阿格列汀",
"西格列汀"
],
"recommends": [
],
"target": "30>=eGFR",
"type": "肾功能禁忌"
},
{
"decrements": [
],
"disables": [
"维格列汀"
],
"recommends": [
],
"target": "谷草谷丙>=100",
"type": "肝功能禁忌"
},
{
"decrements": [
],
"disables": [
],
"recommends": [
"维格列汀",
"西格列汀",
"利格列汀",
"阿格列汀",
"沙格列汀"
],
"target": "冠心病/心衰",
"type": "心血管功能禁忌"
}
],
"typeCode": "XA10BH",
"typeName": "DPP⁃4抑制剂"
},
{
"drugs": [
{
"dose": "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