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[]
["江门市基本医疗保险门诊特定病种服务资格申请表"]
["申请单位（盖章）：开平立群医院"]
["序号","病种名称","申请资格"]
[null,null,"诊断\n（待遇认定）","治疗"]
[1,"心脏移植术后抗排异治疗","R","□"]
[2,"肝脏移植术后抗排异治疗","R","□"]
[3,"肺脏移植术后抗排异治疗","R","□"]
[4,"肾脏移植术后抗排异治疗","R","□"]
[5,"造血干细胞移植后抗排异治疗","R","□"]
[6,"慢性肾功能不全（血透治疗）","R","□"]
[7,"慢性肾功能不全（腹透治疗）","R","□"]
[8,"小儿脑性瘫痪（含0-3岁精神运动发育迟缓儿童）","R","R"]
[9,"其他器官移植术后抗排异治疗","R","□"]