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| # Detail clarifying questions - Situation-specific, patient-centered | |
| # These ask about the patient's current situation to provide targeted advice | |
| # シックデイ - 食事摂取状況（既存） | |
| - question_id: "DET_SICK_DAY_INTAKE" | |
| applies_to_topic_groups: ["sick_day"] | |
| text: "今の食事・水分摂取の状況は？" | |
| choices: | |
| - id: "A" | |
| text: "通常通りか少し減った程度で食べられる" | |
| update_state: | |
| food_intake_level: "reduced" | |
| dehydration_risk: false | |
| - id: "B" | |
| text: "固形は厳しく、ゼリーやスープなら少量とれる" | |
| update_state: | |
| food_intake_level: "liquid_only" | |
| dehydration_risk: true | |
| - id: "C" | |
| text: "ほとんど口から入れられず、水分も難しい" | |
| update_state: | |
| food_intake_level: "almost_none" | |
| dehydration_risk: true | |
| ketone_risk: true | |
| # 旅行 - 国内/海外 | |
| - question_id: "DET_TRAVEL_TYPE" | |
| applies_to_topic_groups: ["travel"] | |
| text: "旅行のタイプを教えてください。" | |
| choices: | |
| - id: "A" | |
| text: "国内旅行が中心" | |
| update_state: | |
| travel_overseas: false | |
| - id: "B" | |
| text: "海外旅行を予定している" | |
| update_state: | |
| travel_overseas: true | |
| # 食事療法 - インスリン調整経験（状況確認型に変更） | |
| - question_id: "DET_DIET_INSULIN_EXPERIENCE" | |
| applies_to_topic_groups: ["diet"] | |
| text: "インスリンの調整についてお聞きします。" | |
| choices: | |
| - id: "A" | |
| text: "食事量に合わせてインスリン量を調整したことがある" | |
| update_state: | |
| insulin_experience: "adjustment_experienced" | |
| diet_focus: "food_exchange_carbo" | |
| - id: "B" | |
| text: "インスリンを使っているが、量の調整は医師任せ" | |
| update_state: | |
| insulin_experience: "adjustment_novice" | |
| diet_focus: "food_exchange_carbo" | |
| - id: "C" | |
| text: "インスリンは使っていない（内服薬のみ・食事療法のみ）" | |
| update_state: | |
| insulin_experience: "no_insulin" | |
| diet_focus: "eating_tips" | |
| # 低血糖/合併症 - 現在の症状（状況確認型に変更） | |
| - question_id: "DET_HYPOGLYCEMIA_NOW" | |
| applies_to_topic_groups: ["complication", "hypoglycemia"] | |
| text: "低血糖に関して、今の状況を教えてください。" | |
| choices: | |
| - id: "A" | |
| text: "今まさに症状がある（冷や汗、手の震え、動悸など）" | |
| update_state: | |
| hypoglycemia_concern: "treatment" | |
| hypo_red_flags: true | |
| - id: "B" | |
| text: "さっき症状があったが、今は落ち着いている" | |
| update_state: | |
| hypoglycemia_concern: "treatment" | |
| hypo_red_flags: false | |
| - id: "C" | |
| text: "今後のために知識として知りたい" | |
| update_state: | |
| hypoglycemia_concern: "overview" | |
| hypo_red_flags: false | |
| # 神経障害 | |
| - question_id: "DET_NEUROPATHY_SYMPTOMS" | |
| applies_to_topic_groups: ["neuropathy"] | |
| text: "神経障害の症状について教えてください。" | |
| choices: | |
| - id: "A" | |
| text: "急に症状が出た（片足のしびれ、顔の麻痺など）" | |
| update_state: | |
| acute_neurologic_red_flags: true | |
| - id: "B" | |
| text: "以前から両足がしびれる等の症状がある" | |
| update_state: | |
| acute_neurologic_red_flags: false | |
| neuropathy_chronic: true | |
| # フットケア | |
| - question_id: "DET_FOOTCARE_CONDITION" | |
| applies_to_topic_groups: ["footcare"] | |
| text: "足の状態について教えてください。" | |
| choices: | |
| - id: "A" | |
| text: "傷や潰瘍があり、赤みや腫れ、膿がある" | |
| update_state: | |
| foot_infection_risk: true | |
| foot_ulcer_present: true | |
| - id: "B" | |
| text: "小さな傷や靴擦れがある程度" | |
| update_state: | |
| foot_infection_risk: false | |
| foot_ulcer_present: true | |
| - id: "C" | |
| text: "予防のためにケア方法を知りたい" | |
| update_state: | |
| foot_infection_risk: false | |
| foot_ulcer_present: false | |