2022-02-09 16:11:01 +08:00
|
|
|
name: 报告新的 HRT 医生
|
|
|
|
|
description: 报告新的 HRT 医生
|
2023-08-20 20:52:23 +08:00
|
|
|
labels: [HRT]
|
2021-12-24 10:23:22 +08:00
|
|
|
body:
|
|
|
|
|
- type: markdown
|
|
|
|
|
attributes:
|
|
|
|
|
value: 感谢您的报告，请根据该表单填充必要信息。
|
|
|
|
|
- type: input
|
|
|
|
|
id: hospital-name
|
|
|
|
|
attributes:
|
|
|
|
|
label: 医院名称
|
|
|
|
|
description: 该医院的名字全称
|
|
|
|
|
validations:
|
|
|
|
|
required: true
|
|
|
|
|
- type: input
|
|
|
|
|
id: doctor-name
|
|
|
|
|
attributes:
|
|
|
|
|
label: 医生姓名
|
|
|
|
|
description: 该医生的名字
|
|
|
|
|
validations:
|
|
|
|
|
required: true
|
2021-12-25 20:12:57 +08:00
|
|
|
- type: dropdown
|
2021-12-24 11:01:18 +08:00
|
|
|
id: labels
|
2021-12-24 10:23:22 +08:00
|
|
|
attributes:
|
|
|
|
|
label: 标签
|
2021-12-25 20:12:57 +08:00
|
|
|
multiple: true
|
2021-12-24 10:23:22 +08:00
|
|
|
options:
|
2022-02-09 16:11:01 +08:00
|
|
|
- 提供 HRT 指导
|
|
|
|
|
- 需家长同意
|
|
|
|
|
- 有检查项目
|
|
|
|
|
- type: dropdown
|
|
|
|
|
id: drugs
|
|
|
|
|
attributes:
|
|
|
|
|
label: 可开具的药品
|
2022-02-09 16:23:40 +08:00
|
|
|
description: 请在注意事项中特别指明药品的「商品名」
|
2022-02-09 16:11:01 +08:00
|
|
|
multiple: true
|
|
|
|
|
options:
|
2022-02-09 16:23:40 +08:00
|
|
|
- 戊酸雌二醇
|
|
|
|
|
- 苯甲酸雌二醇
|
|
|
|
|
- 雌二醇水合物
|
|
|
|
|
- 醋酸环丙孕酮
|
2022-02-09 16:11:01 +08:00
|
|
|
- 螺内酯
|
|
|
|
|
- 比卡鲁胺
|
2022-02-09 16:23:40 +08:00
|
|
|
- 其他
|
|
|
|
|
validations:
|
|
|
|
|
required: true
|
2021-12-24 10:23:22 +08:00
|
|
|
- type: textarea
|
|
|
|
|
id: caveats
|
|
|
|
|
attributes:
|
|
|
|
|
label: 注意事项
|
2021-12-26 01:17:07 +08:00
|
|
|
description: 您在面诊时遭遇的问题以及一些问诊细节
|
2021-12-24 10:23:22 +08:00
|
|
|
validations:
|
2021-12-24 11:02:46 +08:00
|
|
|
required: true
|
2021-12-24 10:23:22 +08:00
|
|
|
- type: checkboxes
|
|
|
|
|
id: license
|
|
|
|
|
attributes:
|
|
|
|
|
label: 以 CC-BY-SA 4.0 协议分发
|
|
|
|
|
description: 本站采用 [CC-BY-SA 4.0](https://creativecommons.org/licenses/by-sa/4.0/deed.zh-Hans) 协议分发内容
|
|
|
|
|
options:
|
|
|
|
|
- label: 我同意以 CC-BY-SA 4.0 协议分发
|
|
|
|
|
required: true
|
