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				@@ -6,7 +6,7 @@ 
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				         UPDATE s_gxhpz_follow_up_records 
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				         <set> 
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				             <!-- 合并用药是否引起不良反应 --> 
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				-            <if test="combinedMedicationAdverseReaction != null"> 
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				+            <if test="combinedMedicationAdverseReaction != null and combinedMedicationAdverseReaction != ''"> 
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				                 combined_medication_adverse_reaction = #{combinedMedicationAdverseReaction}, 
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				             </if> 
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				             <!-- 合并用药其他不良反应 --> 
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				@@ -26,11 +26,11 @@ 
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				                 is_review = #{isReview}, 
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				             </if> 
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				             <!-- 影像学检查 医保类型 --> 
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				-            <if test="imagingInsuranceType != null and imagingInsuranceType != ''"> 
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				-                imaging_insurance_type = #{imagingInsuranceType}, 
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				+            <if test="imagingInsuranceTypeList != null and imagingInsuranceTypeList != ''"> 
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				+                imaging_insurance_type = #{imagingInsuranceTypeList}, 
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				             </if> 
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				             <!-- CT 单选 --> 
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				-            <if test="ctCheck != null"> 
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				+            <if test="ctCheck != null and ctCheck != ''"> 
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				                 ct_check = #{ctCheck}, 
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				             </if> 
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				             <!-- CT文本 --> 
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				@@ -62,8 +62,8 @@ 
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				                 imaging_examinations_image = #{imagingExaminationsImage}, 
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				             </if> 
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				             <!-- 肿瘤标记物检查 多选 --> 
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				-            <if test="tumorMarkerCheck != null and tumorMarkerCheck != ''"> 
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				-                tumor_marker_check = #{tumorMarkerCheck}, 
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				+            <if test="tumorMarkerCheckList != null and tumorMarkerCheckList != ''"> 
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				+                tumor_marker_check = #{tumorMarkerCheckList}, 
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				             </if> 
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				             <!-- CEA --> 
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				             <if test="cea != null and cea != ''"> 
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				@@ -118,8 +118,8 @@ 
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				                 lab_test_indicators_image = #{labTestIndicatorsImage}, 
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				             </if> 
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				             <!-- 治疗类型 --> 
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				-            <if test="treatmentType != null and treatmentType != ''"> 
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				-                treatment_type = #{treatmentType}, 
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				+            <if test="treatmentTypeList != null and treatmentTypeList != ''"> 
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				+                treatment_type = #{treatmentTypeList}, 
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				             </if> 
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				             <!-- 用药前治疗方案 --> 
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				             <if test="pre_medication_plan != null and pre_medication_plan != ''"> 
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				@@ -146,11 +146,11 @@ 
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				                 clinical_interaction = #{clinicalInteraction}, 
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				             </if> 
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				             <!-- 请描述临床相互作用 --> 
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				-            <if test="clinicalInteractionDescription != null"> 
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				+            <if test="clinicalInteractionDescription != null and clinicalInteractionDescription != ''"> 
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				                 clinical_interaction_description = #{clinicalInteractionDescription}, 
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				             </if> 
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				             <!-- 是否有不必要重复用药 --> 
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				-            <if test="unnecessaryRepeatedMedication != null"> 
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				+            <if test="unnecessaryRepeatedMedication != null and unnecessaryRepeatedMedication != ''"> 
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				                 unnecessary_repeated_medication = #{unnecessaryRepeatedMedication}, 
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				             </if> 
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				             <!-- 重复用药首次使用日期 --> 
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				@@ -174,12 +174,12 @@ 
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				                 medication_error_description = #{medicationErrorDescription}, 
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				             </if> 
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				             <!-- 用药记录 --> 
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				-            <if test="medicationRecord != null"> 
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				-                medication_record = #{medicationRecord}, 
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				+            <if test="medication_record != null and medication_record != ''"> 
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				+                medication_record = #{medication_record}, 
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				             </if> 
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				             <!-- 合并用药记录 --> 
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				-            <if test="combinedMedicationRecord != null"> 
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				-                combined_medication_record = #{combinedMedicationRecord}, 
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				+            <if test="combined_medication_record != null and combined_medication_record != ''"> 
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				+                combined_medication_record = #{combined_medication_record}, 
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				             </if> 
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				             <!-- 疼痛标准评分NRS --> 
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				             <if test="painNrsScore != null"> 
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				@@ -202,7 +202,7 @@ 
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				                 specific_question = #{specificQuestion}, 
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				             </if> 
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				             <!-- 药师解答 --> 
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				-            <if test="pharmacistResponse != null"> 
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				+            <if test="pharmacistResponse != null and pharmacistResponse != ''"> 
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				                 pharmacist_response = #{pharmacistResponse}, 
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				             </if> 
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				             <!-- 患者病情评估 --> 
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				@@ -210,8 +210,8 @@ 
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				                 patient_condition_assessment = #{patientConditionAssessment}, 
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				             </if> 
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				             <!-- 共建项目描述 --> 
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				-            <if test="projectDescription != null"> 
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				-                project_description = #{projectDFescription}, 
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				+            <if test="projectDescription != null and projectDescription != ''"> 
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				+                project_description = #{projectDescription}, 
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				             </if> 
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				             <!-- 更新时间 --> 
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				             updatedTime = CURRENT_TIMESTAMP, 
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				@@ -243,7 +243,7 @@ 
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				                 is_review, 
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				             </if> 
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				             <!-- 影像学检查 医保类型 --> 
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				-            <if test="imagingInsuranceType != null and imagingInsuranceType != ''"> 
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				+            <if test="imagingInsuranceTypeList != null and imagingInsuranceTypeList != ''"> 
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				                 imaging_insurance_type, 
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				             </if> 
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				             <!-- CT 单选 --> 
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				@@ -279,7 +279,7 @@ 
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				                 imaging_examinations_image, 
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				             </if> 
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				             <!-- 肿瘤标记物检查 多选 --> 
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				-            <if test="tumorMarkerCheck != null and tumorMarkerCheck != ''"> 
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				+            <if test="tumorMarkerCheckList != null and tumorMarkerCheckList != ''"> 
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				                 tumor_marker_check, 
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				             </if> 
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				             <!-- CEA --> 
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				@@ -335,7 +335,7 @@ 
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				                 lab_test_indicators_image, 
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				             </if> 
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				             <!-- 治疗类型 --> 
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				-            <if test="treatmentType != null and treatmentType != ''"> 
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				+            <if test="treatmentTypeList != null and treatmentTypeList != ''"> 
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				                 treatment_type, 
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				             </if> 
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				             <!-- 用药前治疗方案 --> 
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				@@ -391,11 +391,11 @@ 
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				                 medication_error_description, 
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				             </if> 
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				             <!-- 用药记录 --> 
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				-            <if test="medicationRecord != null and medicationRecord != ''"> 
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				+            <if test="medication_record != null and medication_record != ''"> 
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				                 medication_record, 
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				             </if> 
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				             <!-- 合并用药记录 --> 
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				-            <if test="combinedMedicationRecord != null and combinedMedicationRecord != ''"> 
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				+            <if test="combined_medication_record != null and combined_medication_record != ''"> 
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				                 combined_medication_record, 
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				             </if> 
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				             <!-- 疼痛标准评分NRS --> 
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