一次住院内文书、医嘱、检验、检查、手术等多源记录，统一成一条按时间排序的事件索引。每条事件分列临床事件时间、首次可用时间与记录时间。适用于住院预警模型的特征窗设计、跨系统时间对齐与流程时长分析。
临床诊疗与患者旅程 · 评估与研究使用许可 · 更新日期 2026-08-05
以下内容来自产品说明书，包含数据拓扑、字段字典、脱敏样例、使用场景及定制方式。
| 项 | 数量 | 内容 |
|---|---|---|
| 实体 | 9 | 住院时间线 · 临床事件 · 事件映射 · 事件关系 · 转科节点 · 来源记录 · 时间线质量报告 · 数据质量项 · 来源沿袭 |
| 字段 | 61 | 交付范围内的字段总数 |
| 实体关系 | 3 | 住院时间线 1—n 临床事件 · 每条来源记录 1—1 临床事件、事件映射与来源沿袭 · 事件间的重复、重述、派生、替代关系显式建边 |
在同一位置切换字段字典、实体血缘与脱敏样例，避免重复铺陈造成页面过长。
| 对象 | 英文键 | 中文名 | 说明 |
|---|---|---|---|
| 临床事件 | event_id | 事件标识 | 稳定对象标识或连接键；用于逐表关联，不承载临床结论。 |
| 临床事件 | timeline_id | 时间线标识 | 稳定对象标识或连接键；用于逐表关联，不承载临床结论。 |
| 临床事件 | sourcerecordid | 来源记录标识 | 稳定对象标识或连接键；用于逐表关联，不承载临床结论。 |
| 临床事件 | event_domain | 与该表业务对象直接相关的文本属性。 | |
| 临床事件 | event_status | 事件状态 | 受控状态或范围枚举；用于表达来源性质、覆盖、映射或处理边界。 |
| 临床事件 | eventtimesemantic | 事件时间语义 | 来源或业务时间；仅按该字段声明的语义参与排序，缺失时保持空值。 |
| 临床事件 | eventtimeraw | 事件时间 | 来源或业务时间；仅按该字段声明的语义参与排序，缺失时保持空值。 |
| 临床事件 | available_time | 可用时间 | 来源或业务时间；仅按该字段声明的语义参与排序，缺失时保持空值。 |
| 临床事件 | availabletimemissing_reason | 可用时间缺失原因 | 来源或业务时间；仅按该字段声明的语义参与排序，缺失时保持空值。 |
| 临床事件 | recordedtimeraw | 记录时间 | 来源或业务时间；仅按该字段声明的语义参与排序，缺失时保持空值。 |
| 临床事件 | recordedtimemissing_reason | 记录时间缺失原因 | 来源或业务时间；仅按该字段声明的语义参与排序，缺失时保持空值。 |
| 临床事件 | sort_key | 与该表业务对象直接相关的文本属性。 | |
| 临床事件 | data_nature | 数据性质 | 受控状态或范围枚举；用于表达来源性质、覆盖、映射或处理边界。 |
| 事件映射 | mapping_id | 映射标识 | 稳定对象标识或连接键；用于逐表关联，不承载临床结论。 |
| 事件映射 | event_id | 事件标识 | 稳定对象标识或连接键；用于逐表关联，不承载临床结论。 |
| 事件映射 | sourcerecordid | 来源记录标识 | 稳定对象标识或连接键；用于逐表关联，不承载临床结论。 |
| 事件映射 | mapping_status | 映射状态 | 受控状态或范围枚举；用于表达来源性质、覆盖、映射或处理边界。 |
| 事件映射 | data_nature | 数据性质 | 受控状态或范围枚举；用于表达来源性质、覆盖、映射或处理边界。 |
| 事件关系 | relation_id | 关系标识 | 稳定对象标识或连接键；用于逐表关联，不承载临床结论。 |
| 事件关系 | fromeventid | 稳定对象标识或连接键；用于逐表关联，不承载临床结论。 | |
| 事件关系 | toeventid | 稳定对象标识或连接键；用于逐表关联，不承载临床结论。 | |
| 事件关系 | relation_type | 关系类型 | 受控状态或范围枚举；用于表达来源性质、覆盖、映射或处理边界。 |
| 事件关系 | data_nature | 数据性质 | 受控状态或范围枚举；用于表达来源性质、覆盖、映射或处理边界。 |
| 住院时间线 | timeline_id | 时间线标识 | 稳定对象标识或连接键；用于逐表关联，不承载临床结论。 |
| 住院时间线 | encounter_id | 就诊号 | 稳定对象标识或连接键；用于逐表关联，不承载临床结论。 |
| 住院时间线 | start_time | 开始时间 | 来源或业务时间；仅按该字段声明的语义参与排序，缺失时保持空值。 |
| 住院时间线 | end_time | 结束时间 | 来源或业务时间；仅按该字段声明的语义参与排序，缺失时保持空值。 |
| 住院时间线 | mappingruleversion | 映射规则版本 | 受控状态或范围枚举；用于表达来源性质、覆盖、映射或处理边界。 |
| 住院时间线 | data_nature | 数据性质 | 受控状态或范围枚举；用于表达来源性质、覆盖、映射或处理边界。 |
| 数据质量项 | qualityissueid | 数据质量项标识 | 稳定对象标识或连接键；用于逐表关联，不承载临床结论。 |
| 数据质量项 | issue_code | 问题代码 | 与该表业务对象直接相关的文本属性。 |
| 数据质量项 | handling | 处理方式 | 与该表业务对象直接相关的文本属性。 |
| 数据质量项 | data_nature | 数据性质 | 受控状态或范围枚举；用于表达来源性质、覆盖、映射或处理边界。 |
| 来源沿袭 | lineage_id | 沿袭标识 | 稳定对象标识或连接键；用于逐表关联，不承载临床结论。 |
| 来源沿袭 | sourcerecordid | 来源记录标识 | 稳定对象标识或连接键；用于逐表关联，不承载临床结论。 |
| 来源沿袭 | sourceassetid | 来源资产标识 | 稳定对象标识或连接键；用于逐表关联，不承载临床结论。 |
| 来源沿袭 | source_table | 与该表业务对象直接相关的文本属性。 | |
| 来源沿袭 | source_family | 与该表业务对象直接相关的文本属性。 | |
| 来源沿袭 | sourcerecordkey | 与该表业务对象直接相关的文本属性。 | |
| 来源沿袭 | source_fingerprint | 来源内容指纹 | 与该表业务对象直接相关的文本属性。 |
| 来源沿袭 | eventtimeraw | 事件时间 | 来源或业务时间；仅按该字段声明的语义参与排序，缺失时保持空值。 |
| 来源沿袭 | data_nature | 数据性质 | 受控状态或范围枚举；用于表达来源性质、覆盖、映射或处理边界。 |
| 来源记录 | sourcerecordid | 来源记录标识 | 稳定对象标识或连接键；用于逐表关联，不承载临床结论。 |
| 来源记录 | sourceassetid | 来源资产标识 | 稳定对象标识或连接键；用于逐表关联，不承载临床结论。 |
| 来源记录 | source_table | 与该表业务对象直接相关的文本属性。 | |
| 来源记录 | source_family | 与该表业务对象直接相关的文本属性。 | |
| 来源记录 | sourcerecordkey | 与该表业务对象直接相关的文本属性。 | |
| 来源记录 | source_fingerprint | 来源内容指纹 | 与该表业务对象直接相关的文本属性。 |
| 来源记录 | sourcetimeraw | 来源时间 | 来源或业务时间；仅按该字段声明的语义参与排序，缺失时保持空值。 |
| 来源记录 | data_nature | 数据性质 | 受控状态或范围枚举；用于表达来源性质、覆盖、映射或处理边界。 |
| 时间线质量报告 | report_id | 报告标识 | 稳定对象标识或连接键；用于逐表关联，不承载临床结论。 |
| 时间线质量报告 | event_count | 事件数 | 计数或稳定序号；只在来源或确定性规则给出时填写。 |
| 时间线质量报告 | eventtimecoverage_numerator | 来源或业务时间；仅按该字段声明的语义参与排序，缺失时保持空值。 | |
| 时间线质量报告 | eventtimecoverage_denominator | 来源或业务时间；仅按该字段声明的语义参与排序，缺失时保持空值。 | |
| 时间线质量报告 | eventtimemissing_count | 来源或业务时间；仅按该字段声明的语义参与排序，缺失时保持空值。 | |
| 时间线质量报告 | availabletimecount | 可用时间数 | 来源或业务时间；仅按该字段声明的语义参与排序，缺失时保持空值。 |
| 时间线质量报告 | sortinversioncount | 计数或稳定序号；只在来源或确定性规则给出时填写。 | |
| 时间线质量报告 | data_nature | 数据性质 | 受控状态或范围枚举；用于表达来源性质、覆盖、映射或处理边界。 |
| 转科节点 | transfer_id | 稳定对象标识或连接键；用于逐表关联，不承载临床结论。 | |
| 转科节点 | timeline_id | 时间线标识 | 稳定对象标识或连接键；用于逐表关联，不承载临床结论。 |
| 转科节点 | data_nature | 数据性质 | 受控状态或范围枚举；用于表达来源性质、覆盖、映射或处理边界。 |
数据血缘拓扑
实体与连接关系分层呈现：上方先识别全部数据对象，下方逐条阅读关系基数，避免连线交叠、标签遮挡或内容被裁切。
一次住院 · 规则版本
事件域 · 三类时间
来源→事件
重复／重述／派生／替代
来源表 · 来源行键
transfer_node
覆盖 · 倒挂计数
quality_issue
source_lineage
每条关系独占一行，基数置于两实体之间
住院时间线
一次住院 · 规则版本
临床事件
事件域 · 三类时间
来源记录
来源表 · 来源行键
临床事件
事件域 · 三类时间
来源记录
来源表 · 来源行键
事件映射
来源→事件
临床事件
事件域 · 三类时间
事件关系
重复／重述／派生／替代
事件关系
重复／重述／派生／替代
临床事件
事件域 · 三类时间
住院时间线
一次住院 · 规则版本
转科节点
transfer_node
住院时间线
一次住院 · 规则版本
时间线质量报告
覆盖 · 倒挂计数
| 起 | 基数 | 至 | 关系语义 |
|---|---|---|---|
| 住院时间线 | 1—n | 临床事件 | 一次住院的全部事件按时间排序 |
| 来源记录 | 1—1 | 临床事件 | 一条来源记录生成一个主事件 |
| 来源记录 | 1—1 | 事件映射 | 映射记录留存该事件由哪条来源记录、按哪版规则生成 |
| 临床事件 | 1—n | 事件关系 | 事件之间的显式关系边 |
| 事件关系 | n—1 | 临床事件 | 关系边指向另一事件，重述与新事件由此区分 |
| 住院时间线 | 1—n | 转科节点 | 住院期间的正式转科节点 |
| 住院时间线 | 1—1 | 时间线质量报告 | 每条时间线附一份时间质量报告 |
一条来源记录只生成一个主事件。事件之间的额外解释一律走事件关系表。
| 分组 | 字段 | 英文键 | 语义 |
|---|---|---|---|
| 住院时间线 | 时间线起止 | starttime / endtime | 本条时间线覆盖的时间边界，与住院的入出院时点对齐 |
| 住院时间线 | 映射规则版本 | mappingruleversion | 把来源记录转成事件所用的规则版本，同版本下重跑结果一致 |
| 临床事件 | 事件域 | event_domain | 该事件属于文书、诊断、医嘱、检验、检查还是手术操作 |
| 临床事件 | 事件状态 | event_status | 医嘱类事件区分开立、开始、停止与取消；来源无执行证据时不生成已执行、已给药状态 |
| 临床事件 | 事件时间 | eventtimeraw | 事件在临床上发生的时点，按来源保留不做归一 |
| 临床事件 | 事件时间语义 | eventtimesemantic | 声明该时间来自来源的哪一类时点；仅有「检验时间」而未确认含义时标为来源事件时间 |
| 临床事件 | 首次可用时间 | available_time | 该事件信息在系统中首次可被读取的时点，决定预测任务的截点能否成立 |
| 临床事件 | 可用时间缺失原因 | availabletimemissing_reason | 来源未提供首次可用时间时记明原因，缺失即不得用于宣称预测截点无未来信息 |
| 临床事件 | 记录时间 | recordedtimeraw | 文书或记录被写入系统的时点；晚于出院的记录时间合法存在 |
| 临床事件 | 排序键 | sort_key | 取可解析的事件时间，加来源表与来源行次序，保证同时点事件在多次运行中顺序稳定 |
| 事件关系 | 关系类型 | relation_type | 重复、重述、派生、替代与因果候选分别取值，同一临床事实的多次记录不计成多个事件 |
| 来源记录 | 来源族与来源表 | sourcefamily / sourcetable | 该事件出自哪一类业务记录，用于按来源分层核查与回查 |
| 时间线质量报告 | 事件时间覆盖 | eventtimecoverage_numerator / denominator | 有可用事件时间的事件数与事件总数，分子分母同时给出不只报比例 |
| 时间线质量报告 | 排序倒挂计数 | sortinversioncount | 排序结果中前后时间倒置的条数，为零才可声称序列适用于时序建模 |
| 转科节点 | 转科节点 | transfer_id | 住院期间的科室转入转出节点，仅在来源有正式转科记录时生成 |
| 全表 | 数据性质 | data_nature | 标注该条记录为真实脱敏数据还是合成示例，逐条可判不混用 |
一次住院期间的全部来源记录统一成的事件索引，本样例 606 条。其中检验结果 257 条、非药品医嘱 180 条、药品医嘱 134 条。病程和查房记录 21 条、检查报告 10 条。入院记录、首次病程记录、手术操作、出院记录各 1 条。六类事件域之下再分九类事件类型。每条事件带事件时间、时间语义、事件状态、记录时间与稳定排序键。时间语义共七类：入院时间、医嘱开始时间、检验时间、检查时间。另有文书记录时间、手术开始时间、出院时间。606 条事件时间全部有取值，排序倒挂 0 条，来源记录与事件逐条一对一。
{
"样例性质": "真实记录·已脱敏",
"inpatient_timeline": {
"encounter_id": "ENC-0000001",
"end_time": "2026-07-29T08:08:00",
"mapping_rule_version": "source_clinical_time_sort_v2",
"start_time": "2026-07-14T13:46:00",
"timeline_id": "TIMELINE-0000001"
},
"clinical_event": [
{
"available_time": null,
"available_time_missing_reason": "not_covered_by_source",
"event_domain": "document",
"event_id": "EVENT-0000001",
"event_status": "source_record",
"event_time_raw": "2026-07-14T13:46:27",
"event_time_semantic": "admission_time",
"recorded_time_missing_reason": "source_recorded_time_not_covered",
"recorded_time_raw": null,
"sort_key": "2026-07-14T13:46:27|admission_note|0001",
"timeline_id": "TIMELINE-0000001"
},
{
"available_time": null,
"available_time_missing_reason": "not_covered_by_source",
"event_domain": "medication_order",
"event_id": "EVENT-0000002",
"event_status": "ordered_not_executed",
"event_time_raw": "2026-07-14T13:58:15",
"event_time_semantic": "order_start_time",
"recorded_time_missing_reason": "source_recorded_time_not_covered",
"recorded_time_raw": null,
"sort_key": "2026-07-14T13:58:15|medication_order|0001",
"timeline_id": "TIMELINE-0000001"
},
{
"available_time": null,
"available_time_missing_reason": "not_covered_by_source",
"event_domain": "non_medication_order",
"event_id": "EVENT-0000003",
"event_status": "ordered_not_executed",
"event_time_raw": "2026-07-14T13:58:15",
"event_time_semantic": "order_start_time",
"recorded_time_missing_reason": "source_recorded_time_not_covered",
"recorded_time_raw": null,
"sort_key": "2026-07-14T13:58:15|non_medication_order|0001",
"timeline_id": "TIMELINE-0000001"
},
{
"available_time": null,
"available_time_missing_reason": "not_covered_by_source",
"event_domain": "non_medication_order",
"event_id": "EVENT-0000004",
"event_status": "ordered_not_executed",
"event_time_raw": "2026-07-14T13:58:15",
"event_time_semantic": "order_start_time",
"recorded_time_missing_reason": "source_recorded_time_not_covered",
"recorded_time_raw": null,
"sort_key": "2026-07-14T13:58:15|non_medication_order|0002",
"timeline_id": "TIMELINE-0000001"
},
{
"available_time": null,
"available_time_missing_reason": "not_covered_by_source",
"event_domain": "non_medication_order",
"event_id": "EVENT-0000005",
"event_status": "ordered_not_executed",
"event_time_raw": "2026-07-14T13:58:15",
"event_time_semantic": "order_start_time",
"recorded_time_missing_reason": "source_recorded_time_not_covered",
"recorded_time_raw": null,
"sort_key": "2026-07-14T13:58:15|non_medication_order|0003",
"timeline_id": "TIMELINE-0000001"
},
{
"available_time": null,
"available_time_missing_reason": "not_covered_by_source",
"event_domain": "non_medication_order",
"event_id": "EVENT-0000006",
"event_status": "ordered_not_executed",
"event_time_raw": "2026-07-14T13:58:15",
"event_time_semantic": "order_start_time",
"recorded_time_missing_reason": "source_recorded_time_not_covered",
"recorded_time_raw": null,
"sort_key": "2026-07-14T13:58:15|non_medication_order|0004",
"timeline_id": "TIMELINE-0000001"
},
{
"available_time": null,
"available_time_missing_reason": "not_covered_by_source",
"event_domain": "non_medication_order",
"event_id": "EVENT-0000007",
"event_status": "ordered_not_executed",
"event_time_raw": "2026-07-14T13:58:15",
"event_time_semantic": "order_start_time",
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}
医疗科技企业 · 临床预警与决策支持产品团队
获得：特征窗与截点站得住的住院时序建模底表，线下线上口径一致
医院信息部门 · 多系统事件对齐
获得：跨业务系统可复跑、可回查的统一事件视图
三甲医院 · 医疗质量与运行管理
获得：可下钻到单条事件的流程时长与瓶颈证据
医疗大模型团队 · 事件抽取与一致性检查
获得：事件抽取与归并能力有真实、可核对的参照
住院临床事件时间线数据里有什么？
住院临床事件时间线数据（SHP-MED-01-004）把一次住院的文书、医嘱、检验、检查与手术记录统一成按时间排序的事件索引，含事件映射、事件关系、转科节点与时间线质量报告。每条事件分列临床事件时间、首次可用时间与记录时间，并带排序键。
住院预警模型的训练数据怎么选？
住院临床事件时间线数据（SHP-MED-01-004）适合做预警模型的特征窗构造与预测截点控制，首次可用时间逐条给出，线下与线上取到的序列口径一致。医院侧可做跨系统时间对齐，以及入院到首次手术、开单到检验回报等节点时长测算。
事件时间线数据以什么形式交付？
住院临床事件时间线数据（SHP-MED-01-004）的产品页给出真实脱敏样例与逐字段语义说明。交付形态有数据集（事件索引、关系表与时间线质量报告）、API 调用、Token 计量与可信数据空间连接器合约使用，数据量按项目商定。
时间线数据能只要某几类事件吗？
住院临床事件时间线数据（SHP-MED-01-004）可按单次住院或住院期内指定阶段划定范围，并可按事件域组合（文书／医嘱／检验／检查／手术）、医院等级与指定科室定制，起订量为 2,000 条住院时间线。起步可先申请开源子集或测试数据试跑特征窗。
事件时间线要配哪些数据集才能建模？
住院临床事件时间线数据（SHP-MED-01-004）与住院诊疗数据（SHP-MED-01-002）组合，可把每条事件展开为业务对象明细；与检验时序与变化数据（SHP-MED-03-019）组合，可得到同一住院内指标的数值序列与变化幅度。
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