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"record_status": "source_record", "source_object_id": "SOURCE_OBJECT-0000001", "stroke_episode_id": "STROKE_EPISODE-0000001" }, { "available_time": null, "diagnosis_raw": "1.急性脑梗死（左侧基底节区及放射冠） 2.脑动脉粥样硬化 3.高血压2级（很高危） 4.陈旧性心肌梗死PCI术后 5.2型糖尿病 6.高脂血症 7.反流性食管炎", "encounter_business_id": "ENCOUNTER_BUSINESS-0000002", "episode_type_raw": "ischemic_stroke_candidate", "event_time_raw": null, "missing_reason": "not_covered_or_not_applicable", "parent_object_id": "PARENT_OBJECT-0000001", "record_status": "source_record", "source_object_id": "SOURCE_OBJECT-0000001", "stroke_episode_id": "STROKE_EPISODE-0000002" }, { "available_time": null, "diagnosis_raw": "1.急性缺血性脑卒中（DWI阴性） 2.脑动脉粥样硬化 3.双侧颈内动脉C4-C7段轻度狭窄 4.头颈部动脉粥样硬化 5.头晕 6.高血压2级（很高危） 7.陈旧性心肌梗死PCI术后 8.高脂血症 9.2型糖尿病 10.反流性食管炎", "encounter_business_id": "ENCOUNTER_BUSINESS-0000003", "episode_type_raw": "ischemic_stroke_candidate", "event_time_raw": null, "missing_reason": "not_covered_or_not_applicable", "parent_object_id": "PARENT_OBJECT-0000001", "record_status": "source_record", "source_object_id": "SOURCE_OBJECT-0000001", "stroke_episode_id": "STROKE_EPISODE-0000003" } ], "imaging_assessment": [ { "available_time": null, "body_site_raw": "头颅", "conclusion_raw": "双侧基底节区腔隙灶或缺血性白质改变可能；颅内未见急性出血。", "event_time_raw": null, "exam_time_raw": "2021-06-03 10:16:00", "finding_raw": "双侧基底节区见点片状低密度影，脑室系统未见受压，中线结构居中，颅内未见出血征象。", "imaging_assessment_id": "IMAGING_ASSESSMENT-0000001", "missing_reason": "not_covered_or_not_applicable", "modality_raw": "CT", "parent_object_id": "PARENT_OBJECT-0000001", "record_status": "source_record", "report_business_id": "REPORT_BUSINESS-0000001", "source_object_id": "SOURCE_OBJECT-0000001" }, { "available_time": null, "body_site_raw": "头颅", "conclusion_raw": "双侧基底节区腔隙灶；颅内未见急性出血。", "event_time_raw": null, "exam_time_raw": "2021-07-06 11:21:00", "finding_raw": "双侧基底节区小片低密度影，脑实质内未见急性出血灶，中线结构居中。", "imaging_assessment_id": "IMAGING_ASSESSMENT-0000002", "missing_reason": "not_covered_or_not_applicable", "modality_raw": "CT", "parent_object_id": "PARENT_OBJECT-0000001", "record_status": "source_record", "report_business_id": "REPORT_BUSINESS-0000002", "source_object_id": "SOURCE_OBJECT-0000001" }, { "available_time": null, "body_site_raw": "头颅", "conclusion_raw": "未见明确新发脑梗死；双侧基底节区腔隙灶及缺血性白质改变。", "event_time_raw": null, "exam_time_raw": "2021-07-07 09:36:00", "finding_raw": "DWI未见明显弥散受限灶；双侧基底节区及半卵圆中心散在斑点状长T2信号，FLAIR稍高信号。", "imaging_assessment_id": "IMAGING_ASSESSMENT-0000003", "missing_reason": "not_covered_or_not_applicable", "modality_raw": "MRI", "parent_object_id": "PARENT_OBJECT-0000001", "record_status": "source_record", "report_business_id": "REPORT_BUSINESS-0000003", "source_object_id": "SOURCE_OBJECT-0000001" }, { "available_time": null, "body_site_raw": "脑血管", "conclusion_raw": "颅内主要动脉TCD检测未见明显异常。", "event_time_raw": null, "exam_time_raw": "2021-07-08 10:05:00", "finding_raw": "双侧大脑中动脉、前动脉、后动脉及椎基底动脉血流速度未见明显异常。", "imaging_assessment_id": "IMAGING_ASSESSMENT-0000004", "missing_reason": "not_covered_or_not_applicable", "modality_raw": "TCD", "parent_object_id": "PARENT_OBJECT-0000001", "record_status": "source_record", "report_business_id": "REPORT_BUSINESS-0000004", "source_object_id": "SOURCE_OBJECT-0000001" }, { "available_time": null, "body_site_raw": "头颅", "conclusion_raw": "双侧基底节区腔隙灶；未见急性颅内出血。", "event_time_raw": null, "exam_time_raw": "2023-03-01 15:12:00", "finding_raw": "双侧基底节区腔隙灶同前，脑沟裂稍增宽，颅内未见急性出血或占位征象。", "imaging_assessment_id": "IMAGING_ASSESSMENT-0000005", "missing_reason": "not_covered_or_not_applicable", "modality_raw": "CT", "parent_object_id": "PARENT_OBJECT-0000001", "record_status": "source_record", "report_business_id": "REPORT_BUSINESS-0000005", "source_object_id": "SOURCE_OBJECT-0000001" }, { "available_time": null, "body_site_raw": "头颅", "conclusion_raw": "颅内未见急性出血；双侧基底节区腔隙灶。", "event_time_raw": null, "exam_time_raw": "2024-01-09 10:25:00", "finding_raw": "双侧基底节区腔隙灶，脑实质内未见急性出血灶，中线结构居中。", "imaging_assessment_id": "IMAGING_ASSESSMENT-0000006", "missing_reason": "not_covered_or_not_applicable", "modality_raw": "CT", "parent_object_id": "PARENT_OBJECT-0000001", "record_status": "source_record", "report_business_id": "REPORT_BUSINESS-0000006", "source_object_id": "SOURCE_OBJECT-0000001" }, { "available_time": null, "body_site_raw": "头颅", "conclusion_raw": "左侧基底节区及放射冠新近脑梗死。", "event_time_raw": null, "exam_time_raw": "2024-01-10 08:58:00", "finding_raw": "左侧基底节区及放射冠见点片状DWI高信号、ADC减低，FLAIR稍高信号；脑室系统未见明显受压。", "imaging_assessment_id": "IMAGING_ASSESSMENT-0000007", "missing_reason": "not_covered_or_not_applicable", "modality_raw": "MRI", "parent_object_id": "PARENT_OBJECT-0000001", "record_status": "source_record", "report_business_id": "REPORT_BUSINESS-0000007", "source_object_id": "SOURCE_OBJECT-0000001" }, { "available_time": null, "body_site_raw": "头颈部动脉", "conclusion_raw": "头颈动脉粥样硬化改变；未见责任大血管闭塞。", "event_time_raw": null, "exam_time_raw": "2024-01-10 14:05:00", "finding_raw": "双侧颈内动脉虹吸段、椎基底动脉壁毛糙并散在钙化斑块，未见责任大血管闭塞。", "imaging_assessment_id": "IMAGING_ASSESSMENT-0000008", "missing_reason": "not_covered_or_not_applicable", "modality_raw": "CTA", "parent_object_id": "PARENT_OBJECT-0000001", "record_status": "source_record", "report_business_id": "REPORT_BUSINESS-0000008", "source_object_id": "SOURCE_OBJECT-0000001" }, { "available_time": null, "body_site_raw": "头颅", "conclusion_raw": "未见明确新发脑梗死；陈旧性脑梗死及缺血性白质改变。", "event_time_raw": null, "exam_time_raw": "2025-06-13 11:10:00", "finding_raw": "DWI未见新发弥散受限灶；双侧基底节区、半卵圆中心散在缺血性白质改变，左侧基底节区陈旧性软化灶。", "imaging_assessment_id": "IMAGING_ASSESSMENT-0000009", "missing_reason": "not_covered_or_not_applicable", "modality_raw": "MRI", "parent_object_id": "PARENT_OBJECT-0000001", "record_status": "source_record", "report_business_id": "REPORT_BUSINESS-0000009", "source_object_id": "SOURCE_OBJECT-0000001" }, { "available_time": null, "body_site_raw": "头颅", "conclusion_raw": "双侧基底节区腔隙灶或缺血性白质改变可能；未见急性出血。", "event_time_raw": null, "exam_time_raw": "2026-07-25 11:06:00", "finding_raw": "双侧基底节区斑片状低密度影，脑白质密度欠均，颅内未见出血。", "imaging_assessment_id": "IMAGING_ASSESSMENT-0000010", "missing_reason": "not_covered_or_not_applicable", "modality_raw": "CT", "parent_object_id": "PARENT_OBJECT-0000001", "record_status": "source_record", "report_business_id": "REPORT_BUSINESS-0000010", "source_object_id": "SOURCE_OBJECT-0000001" }, { "available_time": null, "body_site_raw": "头颅", "conclusion_raw": "未见明确新发脑梗死；双侧基底节区腔隙灶。", "event_time_raw": null, "exam_time_raw": "2026-07-28 09:28:00", "finding_raw": "DWI未见明确新发弥散受限灶；双侧基底节区腔隙灶及脑白质少许缺血性改变。", "imaging_assessment_id": "IMAGING_ASSESSMENT-0000011", "missing_reason": "not_covered_or_not_applicable", "modality_raw": "MRI", "parent_object_id": "PARENT_OBJECT-0000001", "record_status": "source_record", "report_business_id": "REPORT_BUSINESS-0000011", "source_object_id": "SOURCE_OBJECT-0000001" }, { "available_time": null, "body_site_raw": "头颈部动脉", "conclusion_raw": "双侧颈内动脉C4-C7段轻度狭窄；头颈部动脉粥样硬化改变。", "event_time_raw": null, "exam_time_raw": "2026-07-28 15:12:00", "finding_raw": "双侧颈内动脉C4-C7段管壁毛糙，局部轻度狭窄；头颈部多发动脉粥样硬化改变，未见大血管闭塞。", "imaging_assessment_id": "IMAGING_ASSESSMENT-0000012", "missing_reason": "not_covered_or_not_applicable", "modality_raw": "CTA", "parent_object_id": "PARENT_OBJECT-0000001", "record_status": "source_record", "report_business_id": "REPORT_BUSINESS-0000012", "source_object_id": "SOURCE_OBJECT-0000001" }, { "available_time": null, "body_site_raw": "脑血管", "conclusion_raw": "TCD发泡试验阴性。", "event_time_raw": null, "exam_time_raw": "2026-07-29 10:00:00", "finding_raw": "静息状态及Valsalva动作时未见微栓子信号。", "imaging_assessment_id": "IMAGING_ASSESSMENT-0000013", "missing_reason": "not_covered_or_not_applicable", "modality_raw": "TCD", "parent_object_id": "PARENT_OBJECT-0000001", "record_status": "source_record", "report_business_id": "REPORT_BUSINESS-0000013", "source_object_id": "SOURCE_OBJECT-0000001" } ], "neurologic_scale_assessment": { 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