围绕一个临床问题组织起来的病例单元，边界是一个锚点时点加一段观察窗。同一患者在窗内的文书、检验、检查报告、用药、操作与结局收在一处。每条证据标注模态、首次可用时间与来源对象。可用于病例级多模态输入构造、会诊资料组装与端到端评测。
检查检验与多模态 · 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 | 8 | 临床病例单元 · 就诊 · 临床事件 · 证据项 · 模态可用性 · 项目病例候选 · 数据质量项 · 来源沿袭 |
| 字段 | 64 | 交付范围内的字段总数 |
| 实体关系 | 4 | 临床病例单元 1—n 就诊 · 临床病例单元 1—n 临床事件与证据项 · 临床事件 1—n 证据项 · 项目病例候选带跨模态对照状态，核实前停在候选级 |
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 |
|---|---|---|---|
| 临床病例单元 | caseunitid | 病例单元标识 | 稳定对象标识或连接键；用于逐表关联，不承载临床结论。 |
| 临床病例单元 | patient_token | 患者令牌 | 与该表业务对象直接相关的文本属性。 |
| 临床病例单元 | clinical_question | 临床问题 | 与该表业务对象直接相关的文本属性。 |
| 临床病例单元 | index_type | 计数或稳定序号；只在来源或确定性规则给出时填写。 | |
| 临床病例单元 | index_time | 索引时点 | 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。 |
| 临床病例单元 | window_start | 窗口起点 | 与该表业务对象直接相关的文本属性。 |
| 临床病例单元 | window_end | 窗口终点 | 与该表业务对象直接相关的文本属性。 |
| 临床病例单元 | case_status | 病例状态 | 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。 |
| 临床病例单元 | 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。 |
| 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 | caseunitid | 病例单元标识 | 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 | 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。 |
| 临床事件 | event_type | 事件类型 | 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。 |
| 临床事件 | event_time | 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 | time_precision | 时间精度 | 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 | sourcelineageid | 来源沿袭标识 | 稳定对象标识或连接键；用于逐表关联，不承载临床结论。 |
| 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。 |
| 就诊 | 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。 |
| 就诊 | caseunitid | 病例单元标识 | 稳定对象标识或连接键；用于逐表关联，不承载临床结论。 |
| 就诊 | encounter_type | 就诊类型 | 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。 |
| 就诊 | encounter_token | 就诊令牌 | 与该表业务对象直接相关的文本属性。 |
| 就诊 | 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。 |
| 就诊 | 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。 |
| 就诊 | association_basis | 关联依据 | 与该表业务对象直接相关的文本属性。 |
| 就诊 | 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。 |
| 证据项 | evidence_id | 证据标识 | 稳定对象标识或连接键；用于逐表关联，不承载临床结论。 |
| 证据项 | caseunitid | 病例单元标识 | 稳定对象标识或连接键；用于逐表关联，不承载临床结论。 |
| 证据项 | 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。 |
| 证据项 | modality | 设备类型 | 与该表业务对象直接相关的文本属性。 |
| 证据项 | object_type | 对象类型 | 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。 |
| 证据项 | 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。 |
| 证据项 | content_sha256 | 正文校验值 | 与该表业务对象直接相关的文本属性。 |
| 证据项 | 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。 |
| 证据项 | evidence_status | 证据状态 | 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。 |
| 证据项 | sourcelineageid | 来源沿袭标识 | 稳定对象标识或连接键；用于逐表关联，不承载临床结论。 |
| 证据项 | 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。 |
| 模态可用性 | availability_id | 稳定对象标识或连接键；用于逐表关联，不承载临床结论。 | |
| 模态可用性 | caseunitid | 病例单元标识 | 稳定对象标识或连接键；用于逐表关联，不承载临床结论。 |
| 模态可用性 | modality | 设备类型 | 与该表业务对象直接相关的文本属性。 |
| 模态可用性 | availability_status | 可用状态 | 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。 |
| 模态可用性 | reason | 原因 | 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。 |
| 模态可用性 | asoftime | 截至时点 | 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。 |
| 模态可用性 | 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。 |
| 项目病例候选 | candidate_id | 候选标识 | 稳定对象标识或连接键；用于逐表关联，不承载临床结论。 |
| 项目病例候选 | candidate_scope | 候选范围 | 与该表业务对象直接相关的文本属性。 |
| 项目病例候选 | candidate_status | 候选状态 | 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。 |
| 项目病例候选 | object_count | 对象数 | 计数或稳定序号；只在来源或确定性规则给出时填写。 |
| 项目病例候选 | report_count | 报告数 | 计数或稳定序号；只在来源或确定性规则给出时填写。 |
| 项目病例候选 | crosswalk_status | 对照状态 | 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。 |
| 项目病例候选 | 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 | scope | 范围 | 与该表业务对象直接相关的文本属性。 |
| 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 | severity | 严重程度 | 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 | sourcelineageid | 来源沿袭标识 | 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 | 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 | logicalsourceuri | 与该表业务对象直接相关的文本属性。 | |
| 来源沿袭 | source_group | 来源分组 | 与该表业务对象直接相关的文本属性。 |
| 来源沿袭 | sourcerownumber | 与该表业务对象直接相关的文本属性。 | |
| 来源沿袭 | sourcerowsha256 | 与该表业务对象直接相关的文本属性。 | |
| 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。 |
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。
问题 · 锚点 · 观察窗
类型 · 起止 · 纳入依据
类型 · 事件时间 · 可用时间
模态 · 对象 · 状态
四态 · 原因 · 判定时点
待跨模态对照
quality_issue
source_lineage
每条关系独占一行，基数置于两实体之间
临床病例单元
问题 · 锚点 · 观察窗
就诊
类型 · 起止 · 纳入依据
临床病例单元
问题 · 锚点 · 观察窗
临床事件
类型 · 事件时间 · 可用时间
临床事件
类型 · 事件时间 · 可用时间
证据项
模态 · 对象 · 状态
临床病例单元
问题 · 锚点 · 观察窗
证据项
模态 · 对象 · 状态
临床病例单元
问题 · 锚点 · 观察窗
模态可用性
四态 · 原因 · 判定时点
项目病例候选
待跨模态对照
临床病例单元
问题 · 锚点 · 观察窗
| 起 | 基数 | 至 | 关系语义 |
|---|---|---|---|
| 临床病例单元 | 1—n | 就诊 | 病例单元窗内纳入的各次就诊 |
| 临床病例单元 | 1—n | 临床事件 | 病例单元下按时间排列的临床事件 |
| 临床事件 | 1—n | 证据项 | 一个事件可对应多条不同模态的证据 |
| 临床病例单元 | 1—n | 证据项 | 未挂到具体事件的证据仍归属病例单元 |
| 临床病例单元 | 1—n | 模态可用性 | 该病例对每种模态各有一条可用状态 |
| 项目病例候选 | n—1 | 临床病例单元 | 候选完成跨模态对照后方可升级为病例单元 |
病例单元之下挂事件、证据项与各模态的可用状态。待核候选另成一层，须有正式对照关系才升级为已核病例单元。
| 分组 | 字段 | 英文键 | 语义 |
|---|---|---|---|
| 临床病例单元 | 临床问题 | clinical_question | 本病例单元要回答的临床问题，如术前评估、鉴别诊断、疗效判断；同一患者不同问题各成一个病例单元 |
| 临床病例单元 | 锚点类型与锚点时点 | indextype / indextime | 回答该问题的时间基准，如入院、手术、首次确诊或治疗开始，全部证据以此为参照 |
| 临床病例单元 | 观察窗起止 | windowstart / windowend | 允许纳入事件的时间边界，窗外事实不进入该病例单元 |
| 临床病例单元 | 病例状态 | case_status | 该病例单元的组装状态，含证据是否齐备与是否存在未决问题 |
| 就诊 | 纳入依据 | association_basis | 该次就诊被纳入本病例单元的理由，需要明确写出 |
| 就诊 | 就诊类型与起止 | encountertype / starttime / end_time | 门诊、急诊、住院等接触类型及其时间区间 |
| 临床事件 | 事件类型与事件时间 | eventtype / eventtime | 该事件的类别与真实发生时点，构成病例的时间骨架 |
| 临床事件 | 首次可用时间 | available_time | 该事件信息首次可供目标任务使用的时点；面向预测或决策时只有不晚于截点的证据才可入模 |
| 临床事件 | 时间精度 | time_precision | 该时点精确到日、时还是仅为相对表述，缺失保留未知 |
| 证据项 | 证据模态 | modality | 该证据属于文书、检验、影像、病理、用药、操作还是结局 |
| 证据项 | 对象类型与来源记录标识 | objecttype / sourcerecord_id | 该证据对应的具体对象及其来源记录，可逐条回查 |
| 证据项 | 证据状态 | evidence_status | 该证据是否完整可用，如报告缺正文、影像仅有索引 |
| 模态可用性 | 模态可用状态 | availability_status | 该病例对某模态的状态取四值之一：已具备、缺失、不适用、未知 |
| 模态可用性 | 状态原因与判定时点 | reason / asoftime | 该状态的具体原因及判定时刻，数据补充后状态可更新并留痕 |
| 项目病例候选 | 候选范围与状态 | candidatescope / candidatestatus | 尚未完成跨模态对照的病例范围及其当前状态，与已核病例单元分开存放 |
| 项目病例候选 | 跨模态对照状态 | crosswalk_status | 该候选的影像、报告与病历之间是否已建立正式对照关系，仅目录同源不算 |
围绕一个明确临床问题组织的病例。含锚点时点与观察窗、窗内各次就诊、按时间排列的临床事件。文书、检验、检查报告、用药与操作各模态的证据项与可用状态一并给出。
{
"样例性质": "真实记录·已脱敏",
"clinical_case_unit": {
"case_status": "real_ehr_case_bundle",
"case_unit_id": "CASE-0000001",
"clinical_question": "rectal_mass_care",
"index_time": "2026-07-14 13:46",
"index_type": "hospital_admission",
"patient_token": "PTK-0000001",
"window_end": "2026-07-29 08:08",
"window_start": "2026-07-14T13:00:00"
},
"encounter": [
{
"association_basis": "same_patient_namespace_and_case_bundle",
"case_unit_id": "CASE-0000001",
"encounter_id": "ENC-0000001",
"encounter_token": "VIS-0000001",
"encounter_type": "outpatient",
"end_time": null,
"start_time": "2026-07-14T13:00:00"
},
{
"association_basis": "same_patient_namespace_and_case_bundle",
"case_unit_id": "CASE-0000001",
"encounter_id": "ENC-0000002",
"encounter_token": "VIS-0000002",
"encounter_type": "inpatient",
"end_time": "2026-07-29 08:08",
"start_time": "2026-07-14 13:46"
}
],
"modality_availability": [
{
"as_of_time": null,
"availability_id": "AVAILABILITY-0000001",
"availability_status": "available",
"case_unit_id": "CASE-0000001",
"modality": "clinical_document",
"reason": "source_bundle_observed"
},
{
"as_of_time": null,
"availability_id": "AVAILABILITY-0000002",
"availability_status": "available",
"case_unit_id": "CASE-0000001",
"modality": "laboratory",
"reason": "source_bundle_observed"
},
{
"as_of_time": null,
"availability_id": "AVAILABILITY-0000003",
"availability_status": "available",
"case_unit_id": "CASE-0000001",
"modality": "imaging_report",
"reason": "source_bundle_observed"
},
{
"as_of_time": null,
"availability_id": "AVAILABILITY-0000004",
"availability_status": "available",
"case_unit_id": "CASE-0000001",
"modality": "medication_order",
"reason": "source_bundle_observed"
},
{
"as_of_time": null,
"availability_id": "AVAILABILITY-0000005",
"availability_status": "available",
"case_unit_id": "CASE-0000001",
"modality": "procedure",
"reason": "source_bundle_observed"
},
{
"as_of_time": null,
"availability_id": "AVAILABILITY-0000006",
"availability_status": "available",
"case_unit_id": "CASE-0000001",
"modality": "outcome",
"reason": "source_bundle_observed"
},
{
"as_of_time": null,
"availability_id": "AVAILABILITY-0000007",
"availability_status": "unknown",
"case_unit_id": "CASE-0000001",
"modality": "raw_imaging",
"reason": "not_in_source_bundle"
},
{
"as_of_time": null,
"availability_id": "AVAILABILITY-0000008",
"availability_status": "unknown",
"case_unit_id": "CASE-0000001",
"modality": "pathology_image",
"reason": "not_in_source_bundle"
}
],
"clinical_event": [
{
"available_time": null,
"case_unit_id": "CASE-0000001",
"encounter_id": "ENC-0000002",
"event_id": "EVENT-0000001",
"event_time": "2026-07-14 13:46",
"event_type": "病案首页",
"time_precision": "source_or_unknown"
},
{
"available_time": null,
"case_unit_id": "CASE-0000001",
"encounter_id": "ENC-0000001",
"event_id": "EVENT-0000002",
"event_time": "2026-07-14T13:00:00",
"event_type": "门诊病历",
"time_precision": "source_or_unknown"
},
{
"available_time": null,
"case_unit_id": "CASE-0000001",
"encounter_id": "ENC-0000002",
"event_id": "EVENT-0000003",
"event_time": "2026-07-14T13:46:27",
"event_type": "入院记录",
"time_precision": "source_or_unknown"
},
{
"available_time": null,
"case_unit_id": "CASE-0000001",
"encounter_id": "ENC-0000002",
"event_id": "EVENT-0000004",
"event_time": "2026-07-14T16:54:51",
"event_type": "首次病程记录",
"time_precision": "source_or_unknown"
},
{
"available_time": null,
"case_unit_id": "CASE-0000001",
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{
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{
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},
{
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},
{
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{
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},
{
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],
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{
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{
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},
{
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],
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{
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"scope": "case_identifiers",
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},
{
"handling": "unknown is retained and not backfilled",
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},
{
"handling": "candidate remains unverified without object crosswalk",
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"scope": "product_scope",
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}
]
}
医疗科技企业 · 多模态临床大模型团队
获得：多模态输入边界清楚、时点合法，模型结论有据可指
三甲医院 · 多学科会诊与疑难病例讨论
获得：会诊与复盘材料完整、可回放、缺口可见
医疗 AI 评测团队
获得：评测贴近真实使用条件，模型的稳健性与诚实度可量化
药械企业与研究机构 · 病例证据包
获得：边界清楚、可逐条追溯的病例证据包
临床多模态病例数据包含哪些内容？
临床多模态病例数据（SHP-MED-03-023）以一个临床问题加一段观察窗为边界组织病例单元，把窗内的文书、检验、检查报告、用药、操作与结局收在一处。每条证据标注模态、首次可用时间与来源对象，模态可用性取已具备、缺失、不适用、未知四态。
多模态临床大模型的输入怎么构造？
临床多模态病例数据（SHP-MED-03-023）只让首次可用时间不晚于目标截点的证据进入输入，可按不同截点构造多组输入，考察模型在信息受限时的表现。模态可用性显式给出，支持模态消融；模型输出的每条依据都能指回具体证据项。
病例级多模态数据怎么交付？
临床多模态病例数据（SHP-MED-03-023）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（病例单元与证据项表、各模态原件）、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。
能指定必须包含哪些模态吗？
临床多模态病例数据（SHP-MED-03-023）的病例组织方式可按临床问题或按诊疗片段（如一次住院），并可按病种与临床问题类型、必备模态组合、观察窗长度与锚点类型定制，起订量为 1,000 个病例单元。可先申请开源子集或测试数据起步。
端到端病例评测还要配哪些数据？
临床多模态病例数据（SHP-MED-03-023）与医学影像—报告配对数据（SHP-MED-03-020）组合，可展开影像模态的层级与报告配对；与多模态临床训练数据（SHP-MED-06-040）组合，可在病例底座之上组织训练任务。
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