同一患者两个及以上时点的检查与各自的报告版本，按随访段组织。基线规则写在数据里，比较前先判两次检查可不可比。变化结论区分来源断言与量化测量。可用于纵向对比模型训练、影像科随访读片与疗效评估。
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 | 12 | 随访事件段 · 影像检查 · 报告版本 · 病灶 · 病灶观测 · 检查对比候选 · 来源断言变化 · 反应评估 · 教学序列候选 · 教学序列组 · 教学图像对象 · 数据质量项 |
| 字段 | 68 | 交付范围内的字段总数 |
| 实体关系 | 3 | 随访事件段 1—n 影像检查 1—n 报告版本 · 检查对比为报告级候选关系，附对比状态与可比性判定原因 · 病灶与病灶观测在缺少稳定跨时点对应时保持为空 |
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 |
|---|---|---|---|
| 检查对比候选 | comparison_id | 对比标识 | 稳定对象标识或连接键；用于逐表关联，不承载临床结论。 |
| 检查对比候选 | episode_id | 轨迹标识 | 稳定对象标识或连接键；用于逐表关联，不承载临床结论。 |
| 检查对比候选 | baselineexamid | 基线检查标识 | 稳定对象标识或连接键；用于逐表关联，不承载临床结论。 |
| 检查对比候选 | followupexamid | 随访检查标识 | 稳定对象标识或连接键；用于逐表关联，不承载临床结论。 |
| 检查对比候选 | comparison_status | 对比状态 | 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。 |
| 检查对比候选 | comparability_reason | 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。 | |
| 检查对比候选 | 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。 |
| 随访事件段 | episode_id | 轨迹标识 | 稳定对象标识或连接键；用于逐表关联，不承载临床结论。 |
| 随访事件段 | patient_token | 患者令牌 | 与该表业务对象直接相关的文本属性。 |
| 随访事件段 | clinical_question | 临床问题 | 与该表业务对象直接相关的文本属性。 |
| 随访事件段 | baseline_rule | 基线规则 | 与该表业务对象直接相关的文本属性。 |
| 随访事件段 | baseline_time | 基线时点 | 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。 |
| 随访事件段 | 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。 |
| 影像检查 | exam_id | 检查标识 | 稳定对象标识或连接键；用于逐表关联，不承载临床结论。 |
| 影像检查 | episode_id | 轨迹标识 | 稳定对象标识或连接键；用于逐表关联，不承载临床结论。 |
| 影像检查 | encounter_token | 就诊令牌 | 与该表业务对象直接相关的文本属性。 |
| 影像检查 | examnameraw | 检查项目 | 来源原文或原始字段值；保真保留，不因格式化改写为计数、结论或标准编码。 |
| 影像检查 | modality | 设备类型 | 与该表业务对象直接相关的文本属性。 |
| 影像检查 | body_site | 部位 | 与该表业务对象直接相关的文本属性。 |
| 影像检查 | exam_time | 检查时间 | 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。 |
| 影像检查 | 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。 |
| 影像检查 | 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。 |
| 病灶 | lesion_id | 病灶标识 | 稳定对象标识或连接键；用于逐表关联，不承载临床结论。 |
| 病灶 | episode_id | 轨迹标识 | 稳定对象标识或连接键；用于逐表关联，不承载临床结论。 |
| 病灶 | identity_status | 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。 | |
| 病灶 | 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。 |
| 病灶观测 | observation_id | 观测标识 | 稳定对象标识或连接键；用于逐表关联，不承载临床结论。 |
| 病灶观测 | lesion_id | 病灶标识 | 稳定对象标识或连接键；用于逐表关联，不承载临床结论。 |
| 病灶观测 | exam_id | 检查标识 | 稳定对象标识或连接键；用于逐表关联，不承载临床结论。 |
| 病灶观测 | measurement_value | 测量值 | 数值测量、剂量、分值或金额；单位、参考范围和换算规则以同表字段为准。 |
| 病灶观测 | measurement_unit | 测量单位 | 与该表业务对象直接相关的文本属性。 |
| 病灶观测 | 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 | 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。 |
| 报告版本 | 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。 |
| 报告版本 | exam_id | 检查标识 | 稳定对象标识或连接键；用于逐表关联，不承载临床结论。 |
| 报告版本 | report_time | 报告时间 | 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。 |
| 报告版本 | findings_raw | 检查所见 | 来源原文或原始字段值；保真保留，不因格式化改写为计数、结论或标准编码。 |
| 报告版本 | impression_raw | 报告意见 | 来源原文或原始字段值；保真保留，不因格式化改写为计数、结论或标准编码。 |
| 报告版本 | 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。 |
| 报告版本 | 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。 |
| 反应评估 | assessment_id | 评估标识 | 稳定对象标识或连接键；用于逐表关联，不承载临床结论。 |
| 反应评估 | episode_id | 轨迹标识 | 稳定对象标识或连接键；用于逐表关联，不承载临床结论。 |
| 反应评估 | criterion_name | 入排标准名称 | 与该表业务对象直接相关的文本属性。 |
| 反应评估 | assessment_status | 评估状态 | 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。 |
| 反应评估 | 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。 |
| 来源断言变化 | change_id | 变更标识 | 稳定对象标识或连接键；用于逐表关联，不承载临床结论。 |
| 来源断言变化 | 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。 |
| 来源断言变化 | assertion_text | 断言内容 | 与该表业务对象直接相关的文本属性。 |
| 来源断言变化 | quantitative_status | 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。 | |
| 来源断言变化 | 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。 |
| 教学图像对象 | image_id | 图像标识 | 稳定对象标识或连接键；用于逐表关联，不承载临床结论。 |
| 教学图像对象 | seriesgroupid | 序列组标识 | 稳定对象标识或连接键；用于逐表关联，不承载临床结论。 |
| 教学图像对象 | 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。 |
| 教学图像对象 | 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。 |
| 教学序列候选 | 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。 |
| 教学序列候选 | case_id | 病例标识 | 稳定对象标识或连接键；用于逐表关联，不承载临床结论。 |
| 教学序列候选 | exam_label | 检查标签 | 与该表业务对象直接相关的文本属性。 |
| 教学序列候选 | relative_interval | 相对间隔 | 与该表业务对象直接相关的文本属性。 |
| 教学序列候选 | 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。 |
| 教学序列候选 | 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。 |
| 教学序列组 | seriesgroupid | 序列组标识 | 稳定对象标识或连接键；用于逐表关联，不承载临床结论。 |
| 教学序列组 | 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。 |
| 教学序列组 | seriesnameraw | 序列名称 | 来源原文或原始字段值；保真保留，不因格式化改写为计数、结论或标准编码。 |
| 教学序列组 | 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 · 基线规则
类别 · 部位 · 时点
所见 · 意见
对比状态 · 可比性原因
断言文本 · 是否量化
身份状态
测量值 · 单位
标准名称 · 状态
相对间隔 · 候选状态
序列名称
图像标识
quality_issue
每条关系独占一行，基数置于两实体之间
随访事件段
问题 · 基线规则
影像检查
类别 · 部位 · 时点
影像检查
类别 · 部位 · 时点
报告版本
所见 · 意见
随访事件段
问题 · 基线规则
检查对比候选
对比状态 · 可比性原因
检查对比候选
对比状态 · 可比性原因
来源断言变化
断言文本 · 是否量化
随访事件段
问题 · 基线规则
病灶
身份状态
病灶
身份状态
病灶观测
测量值 · 单位
随访事件段
问题 · 基线规则
反应评估
标准名称 · 状态
教学序列候选
相对间隔 · 候选状态
教学序列组
序列名称
教学序列组
序列名称
教学图像对象
图像标识
| 起 | 基数 | 至 | 关系语义 |
|---|---|---|---|
| 随访事件段 | 1—n | 影像检查 | 随访段内按时间排列的各次检查 |
| 影像检查 | 1—n | 报告版本 | 一次检查对应报告版本 |
| 随访事件段 | 1—n | 检查对比候选 | 段内两两检查形成的对比关系 |
| 检查对比候选 | 1—n | 来源断言变化 | 该次对比在报告中被写出的变化断言 |
| 随访事件段 | 1—n | 病灶 | 段内保持身份的病灶 |
| 病灶 | 1—n | 病灶观测 | 同一病灶在各次检查中的观测 |
| 随访事件段 | 1—n | 反应评估 | 按声明标准得出的反应评估 |
| 教学序列候选 | 1—n | 教学序列组 | 教学序列候选下的序列分组 |
| 教学序列组 | 1—n | 教学图像对象 | 序列组内的图像对象 |
各时点的检查与报告挂在同一个随访段之下。对比关系停在报告级候选，可比性判定与原因随每条对比给出。病灶层只在跨时点对应有据可依时才生成。
| 分组 | 字段 | 英文键 | 语义 |
|---|---|---|---|
| 随访事件段 | 临床问题 | clinical_question | 本随访段围绕的疾病或观察目的；同一患者的不同部位、不同疾病各成一段 |
| 随访事件段 | 基线规则与基线时点 | baselinerule / baselinetime | 本段以哪次检查为基线及其判定规则 |
| 影像检查 | 检查名称与类别 | examnameraw / modality | 该次检查的名称与设备类别 |
| 影像检查 | 检查部位 | body_site | 检查覆盖的解剖范围 |
| 影像检查 | 检查时间 | exam_time | 该次检查的实施时点，随访间隔由相邻检查时间直接计算 |
| 影像检查 | 首次可用时间 | available_time | 该次检查结果首次可供使用的时点；来源未提供时保持未知，不用文件时间顶替 |
| 报告版本 | 报告所见 | findings_raw | 本次检查的影像征象描述，含与前次检查的对比表述 |
| 报告版本 | 报告意见 | impression_raw | 基于所见给出的结论与后续建议 |
| 病灶 | 病灶身份状态 | identity_status | 该病灶在观察窗内是否保持可识别的同一身份；无稳定对应关系时此表为空 |
| 病灶观测 | 测量值与单位 | measurementvalue / measurementunit | 某病灶在某次检查中的来源测量结果及其单位 |
| 检查对比候选 | 基线与随访检查 | baselineexamid / followupexamid | 构成一次对比的两端检查，先后顺序由检查时间确定 |
| 检查对比候选 | 对比状态 | comparison_status | 该对比是可直接比较、有条件比较还是不可比 |
| 检查对比候选 | 可比性原因 | comparability_reason | 判定结果的具体依据，如层厚不同、增强期相不同、测量平面不同 |
| 来源断言变化 | 断言文本 | assertion_text | 报告中直接写出的变化表述，如较前增大、较前缩小、无明显变化 |
| 来源断言变化 | 是否量化 | quantitative_status | 该断言是否附有具体测量数值 |
| 反应评估 | 评估标准名称与状态 | criterionname / assessmentstatus | 按哪一套已声明的评价标准及其版本作出的评估结论 |
| 教学序列候选 | 检查标签与相对间隔 | examlabel / relativeinterval | 以相对表述记录的复查时点，如「三个月后」按相对间隔保留 |
同一患者、同一临床问题下的基线检查与随访检查。含各自的报告所见与意见，以及两次检查之间的对比关系与可比性判定。报告中直接写出的变化断言也一并给出。
{
"样例性质": "真实记录·已脱敏",
"followup_episode": {
"baseline_rule": "earliest_exam_in_source_window",
"baseline_time": "2021-06-02 09:48:00",
"clinical_question": "report_level_followup",
"episode_id": "EPISODE-0000001",
"patient_token": "PTK-0000001"
},
"imaging_exam": [
{
"available_time": null,
"body_site": "头颅",
"encounter_token": "VIS-0000001",
"episode_id": "EPISODE-0000001",
"exam_id": "EXAM-0000001",
"exam_name_raw": "头颅CT平扫",
"exam_time": "2021-06-02 10:16:00",
"modality": "CT"
},
{
"available_time": null,
"body_site": "颈部血管",
"encounter_token": "VIS-0000001",
"episode_id": "EPISODE-0000001",
"exam_id": "EXAM-0000002",
"exam_name_raw": "颈动脉彩色多普勒超声",
"exam_time": "2021-06-02 10:42:00",
"modality": "超声"
},
{
"available_time": null,
"body_site": "心脏",
"encounter_token": "VIS-0000001",
"episode_id": "EPISODE-0000001",
"exam_id": "EXAM-0000003",
"exam_name_raw": "十二导联心电图",
"exam_time": "2021-06-02 09:48:00",
"modality": "心电图"
},
{
"available_time": null,
"body_site": "头颅",
"encounter_token": "VIS-0000002",
"episode_id": "EPISODE-0000001",
"exam_id": "EXAM-0000004",
"exam_name_raw": "头颅CT平扫",
"exam_time": "2021-07-05 11:21:00",
"modality": "CT"
},
{
"available_time": null,
"body_site": "头颅",
"encounter_token": "VIS-0000002",
"episode_id": "EPISODE-0000001",
"exam_id": "EXAM-0000005",
"exam_name_raw": "头颅MRI平扫+DWI",
"exam_time": "2021-07-06 09:36:00",
"modality": "MRI"
},
{
"available_time": null,
"body_site": "颈部血管",
"encounter_token": "VIS-0000002",
"episode_id": "EPISODE-0000001",
"exam_id": "EXAM-0000006",
"exam_name_raw": "颈部血管超声",
"exam_time": "2021-07-06 14:20:00",
"modality": "超声"
},
{
"available_time": null,
"body_site": "脑血管",
"encounter_token": "VIS-0000002",
"episode_id": "EPISODE-0000001",
"exam_id": "EXAM-0000007",
"exam_name_raw": "经颅多普勒超声",
"exam_time": "2021-07-07 10:05:00",
"modality": "TCD"
},
{
"available_time": null,
"body_site": "心脏",
"encounter_token": "VIS-0000002",
"episode_id": "EPISODE-0000001",
"exam_id": "EXAM-0000008",
"exam_name_raw": "动态心电图",
"exam_time": "2021-07-08 09:12:00",
"modality": "心电图"
},
{
"available_time": null,
"body_site": "颈部血管",
"encounter_token": "VIS-0000003",
"episode_id": "EPISODE-0000001",
"exam_id": "EXAM-0000009",
"exam_name_raw": "颈动脉彩色多普勒超声",
"exam_time": "2022-02-01 11:06:00",
"modality": "超声"
},
{
"available_time": null,
"body_site": "头颅",
"encounter_token": "VIS-0000004",
"episode_id": "EPISODE-0000001",
"exam_id": "EXAM-0000010",
"exam_name_raw": "头颅CT平扫",
"exam_time": "2023-02-28 15:12:00",
"modality": "CT"
},
{
"available_time": null,
"body_site": "心脏",
"encounter_token": "VIS-0000004",
"episode_id": "EPISODE-0000001",
"exam_id": "EXAM-0000011",
"exam_name_raw": "十二导联心电图",
"exam_time": "2023-02-28 15:46:00",
"modality": "心电图"
},
{
"available_time": null,
"body_site": "头颅",
"encounter_token": "VIS-0000005",
"episode_id": "EPISODE-0000001",
"exam_id": "EXAM-0000012",
"exam_name_raw": "头颅CT平扫",
"exam_time": "2024-01-08 10:25:00",
"modality": "CT"
},
{
"available_time": null,
"body_site": "头颅",
"encounter_token": "VIS-0000005",
"episode_id": "EPISODE-0000001",
"exam_id": "EXAM-0000013",
"exam_name_raw": "头颅MRI平扫+DWI",
"exam_time": "2024-01-09 08:58:00",
"modality": "MRI"
},
{
"available_time": null,
"body_site": "头颈部动脉",
"encounter_token": "VIS-0000005",
"episode_id": "EPISODE-0000001",
"exam_id": "EXAM-0000014",
"exam_name_raw": "头颈CTA",
"exam_time": "2024-01-09 14:05:00",
"modality": "CTA"
},
{
"available_time": null,
"body_site": "心脏",
"encounter_token": "VIS-0000005",
"episode_id": "EPISODE-0000001",
"exam_id": "EXAM-0000015",
"exam_name_raw": "超声心动图",
"exam_time": "2024-01-10 09:40:00",
"modality": "超声"
},
{
"available_time": null,
"body_site": "心脏",
"encounter_token": "VIS-0000005",
"episode_id": "EPISODE-0000001",
"exam_id": "EXAM-0000016",
"exam_name_raw": "动态心电图",
"exam_time": "2024-01-10 15:30:00",
"modality": "心电图"
},
{
"available_time": null,
"body_site": "心脏",
"encounter_token": "VIS-0000006",
"episode_id": "EPISODE-0000001",
"exam_id": "EXAM-0000017",
"exam_name_raw": "十二导联心电图",
"exam_time": "2024-02-07 10:02:00",
"modality": "心电图"
},
{
"available_time": null,
"body_site": "颈部血管",
"encounter_token": "VIS-0000007",
"episode_id": "EPISODE-0000001",
"exam_id": "EXAM-0000018",
"exam_name_raw": "颈部血管超声",
"exam_time": "2024-10-02 11:28:00",
"modality": "超声"
},
{
"available_time": null,
"body_site": "头颅",
"encounter_token": "VIS-0000008",
"episode_id": "EPISODE-0000001",
"exam_id": "EXAM-0000019",
"exam_name_raw": "头颅MRI平扫+DWI",
"exam_time": "2025-06-12 11:10:00",
"modality": "MRI"
},
{
"available_time": null,
"body_site": "颈椎",
"encounter_token": "VIS-0000008",
"episode_id": "EPISODE-0000001",
"exam_id": "EXAM-0000020",
"exam_name_raw": "颈椎MRI平扫",
"exam_time": "2025-06-12 14:35:00",
"modality": "MRI"
},
{
"available_time": null,
"body_site": "头颅",
"encounter_token": "VIS-0000009",
"episode_id": "EPISODE-0000001",
"exam_id": "EXAM-0000021",
"exam_name_raw": "头颅CT平扫",
"exam_time": "2026-07-24 11:06:00",
"modality": "CT"
},
{
"available_time": null,
"body_site": "头颅",
"encounter_token": "VIS-0000010",
"episode_id": "EPISODE-0000001",
"exam_id": "EXAM-0000022",
"exam_name_raw": "头颅MRI平扫+DWI",
"exam_time": "2026-07-27 09:28:00",
"modality": "MRI"
},
{
"available_time": null,
"body_site": "头颈部动脉",
"encounter_token": "VIS-0000010",
"episode_id": "EPISODE-0000001",
"exam_id": "EXAM-0000023",
"exam_name_raw": "头颈CTA",
"exam_time": "2026-07-27 15:12:00",
"modality": "CTA"
},
{
"available_time": null,
"body_site": "脑血管",
"encounter_token": "VIS-0000010",
"episode_id": "EPISODE-0000001",
"exam_id": "EXAM-0000024",
"exam_name_raw": "TCD发泡试验",
"exam_time": "2026-07-28 10:00:00",
"modality": "TCD"
},
{
"available_time": null,
"body_site": "心脏",
"encounter_token": "VIS-0000010",
"episode_id": "EPISODE-0000001",
"exam_id": "EXAM-0000025",
"exam_name_raw": "动态心电图",
"exam_time": "2026-07-29 09:10:00",
"modality": "心电图"
}
],
"report_version": [
{
"available_time": null,
"exam_id": "EXAM-0000001",
"findings_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。",
"impression_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。",
"report_id": "RPT-0000001",
"report_time": "2021-06-02 10:16:00"
},
{
"available_time": null,
"exam_id": "EXAM-0000002",
"findings_raw": "双侧颈总动脉内中膜增厚，双侧颈动脉分叉处可见斑块回声，管腔未见明显狭窄。",
"impression_raw": "双侧颈动脉粥样硬化斑块形成。",
"report_id": "RPT-0000002",
"report_time": "2021-06-02 10:42:00"
},
{
"available_time": null,
"exam_id": "EXAM-0000003",
"findings_raw": "窦性心律，心率约72次/分，ST-T轻度改变。",
"impression_raw": "窦性心律，部分ST-T改变。",
"report_id": "RPT-0000003",
"report_time": "2021-06-02 09:48:00"
},
{
"available_time": null,
"exam_id": "EXAM-0000004",
"findings_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。",
"impression_raw": "双侧基底节区腔隙灶；颅内未见急性出血。",
"report_id": "RPT-0000004",
"report_time": "2021-07-05 11:21:00"
},
{
"available_time": null,
"exam_id": "EXAM-0000005",
"findings_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。",
"impression_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。",
"report_id": "RPT-0000005",
"report_time": "2021-07-06 09:36:00"
},
{
"available_time": null,
"exam_id": "EXAM-0000006",
"findings_raw": "双侧颈动脉内中膜增厚，左侧颈动脉分叉处低回声斑块，右侧颈总动脉硬斑块，血流速度未见明显增快。",
"impression_raw": "双侧颈动脉粥样硬化斑块；未见血流动力学意义狭窄。",
"report_id": "RPT-0000006",
"report_time": "2021-07-06 14:20:00"
},
{
"available_time": null,
"exam_id": "EXAM-0000007",
"findings_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。",
"impression_raw": "颅内主要动脉TCD检测未见明显异常。",
"report_id": "RPT-0000007",
"report_time": "2021-07-07 10:05:00"
},
{
"available_time": null,
"exam_id": "EXAM-0000008",
"findings_raw": "窦性心律，偶发房性早搏，未记录到心房颤动及长间歇。",
"impression_raw": "窦性心律；偶发房性早搏；未见房颤。",
"report_id": "RPT-0000008",
"report_time": "2021-07-08 09:12:00"
},
{
"available_time": null,
"exam_id": "EXAM-0000009",
"findings_raw": "双侧颈动脉内中膜增厚，斑块较前相仿，管腔未见明显狭窄。",
"impression_raw": "双侧颈动脉粥样硬化斑块，较前无明显进展。",
"report_id": "RPT-0000009",
"report_time": "2022-02-01 11:06:00"
},
{
"available_time": null,
"exam_id": "EXAM-0000010",
"findings_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。",
"impression_raw": "双侧基底节区腔隙灶；未见急性颅内出血。",
"report_id": "RPT-0000010",
"report_time": "2023-02-28 15:12:00"
},
{
"available_time": null,
"exam_id": "EXAM-0000011",
"findings_raw": "窦性心律，心率约68次/分，ST-T改变同前。",
"impression_raw": "窦性心律，部分ST-T改变。",
"report_id": "RPT-0000011",
"report_time": "2023-02-28 15:46:00"
},
{
"available_time": null,
"exam_id": "EXAM-0000012",
"findings_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。",
"impression_raw": "颅内未见急性出血；双侧基底节区腔隙灶。",
"report_id": "RPT-0000012",
"report_time": "2024-01-08 10:25:00"
},
{
"available_time": null,
"exam_id": "EXAM-0000013",
"findings_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。",
"impression_raw": "左侧基底节区及放射冠新近脑梗死。",
"report_id": "RPT-0000013",
"report_time": "2024-01-09 08:58:00"
},
{
"available_time": null,
"exam_id": "EXAM-0000014",
"findings_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。",
"impression_raw": "头颈动脉粥样硬化改变；未见责任大血管闭塞。",
"report_id": "RPT-0000014",
"report_time": "2024-01-09 14:05:00"
},
{
"available_time": null,
"exam_id": "EXAM-0000015",
"findings_raw": "各房室腔大小正常，左室收缩功能正常，节段性室壁运动异常未见明确显示。",
"impression_raw": "左室收缩功能正常。",
"report_id": "RPT-0000015",
"report_time": "2024-01-10 09:40:00"
},
{
"available_time": null,
"exam_id": "EXAM-0000016",
"findings_raw": "窦性心律，偶发房性早搏及室性早搏，未见心房颤动。",
"impression_raw": "窦性心律；偶发房早、室早；未见房颤。",
"report_id": "RPT-0000016",
"report_time": "2024-01-10 15:30:00"
},
{
"available_time": null,
"exam_id": "EXAM-0000017",
"findings_raw": "窦性心律，心率约66次/分，ST-T改变。",
"impression_raw": "窦性心律，部分ST-T改变。",
"report_id": "RPT-0000017",
"report_time": "2024-02-07 10:02:00"
},
{
"available_time": null,
"exam_id": "EXAM-0000018",
"findings_raw": "双侧颈动脉粥样硬化斑块，右侧斑块较前略增大，血流速度未见明显增快。",
"impression_raw": "双侧颈动脉粥样硬化斑块；未见明显狭窄。",
"report_id": "RPT-0000018",
"report_time": "2024-10-02 11:28:00"
},
{
"available_time": null,
"exam_id": "EXAM-0000019",
"findings_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。",
"impression_raw": "未见明确新发脑梗死；陈旧性脑梗死及缺血性白质改变。",
"report_id": "RPT-0000019",
"report_time": "2025-06-12 11:10:00"
},
{
"available_time": null,
"exam_id": "EXAM-0000020",
"findings_raw": "颈椎生理曲度变直，C4/5、C5/6、C6/7椎间盘向后突出，硬膜囊受压，脊髓信号未见明确异常。",
"impression_raw": "颈椎退行性改变；C4/5、C5/6、C6/7椎间盘突出。",
"report_id": "RPT-0000020",
"report_time": "2025-06-12 14:35:00"
},
{
"available_time": null,
"exam_id": "EXAM-0000021",
"findings_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。",
"impression_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。",
"report_id": "RPT-0000021",
"report_time": "2026-07-24 11:06:00"
},
{
"available_time": null,
"exam_id": "EXAM-0000022",
"findings_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。",
"impression_raw": "未见明确新发脑梗死；双侧基底节区腔隙灶。",
"report_id": "RPT-0000022",
"report_time": "2026-07-27 09:28:00"
},
{
"available_time": null,
"exam_id": "EXAM-0000023",
"findings_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。",
"impression_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。",
"report_id": "RPT-0000023",
"report_time": "2026-07-27 15:12:00"
},
{
"available_time": null,
"exam_id": "EXAM-0000024",
"findings_raw": "静息状态及Valsalva动作时未见微栓子信号。",
"impression_raw": "TCD发泡试验阴性。",
"report_id": "RPT-0000024",
"report_time": "2026-07-28 10:00:00"
},
{
"available_time": null,
"exam_id": "EXAM-0000025",
"findings_raw": "窦性心律，偶发房性早搏，未见房颤及长间歇。",
"impression_raw": "窦性心律；偶发房性早搏；未见房颤。",
"report_id": "RPT-0000025",
"report_time": "2026-07-29 09:10:00"
}
],
"exam_comparison_candidate": [
{
"baseline_exam_id": "EXAM-0000008",
"comparability_reason": "same_exact_raw_exam_name; no lesion crosswalk",
"comparison_id": "COMPARISON-0000001",
"comparison_status": "report_level_candidate",
"episode_id": "EPISODE-0000001",
"followup_exam_id": "EXAM-0000016"
},
{
"baseline_exam_id": "EXAM-0000016",
"comparability_reason": "same_exact_raw_exam_name; no lesion crosswalk",
"comparison_id": "COMPARISON-0000002",
"comparison_status": "report_level_candidate",
"episode_id": "EPISODE-0000001",
"followup_exam_id": "EXAM-0000025"
},
{
"baseline_exam_id": "EXAM-0000003",
"comparability_reason": "same_exact_raw_exam_name; no lesion crosswalk",
"comparison_id": "COMPARISON-0000003",
"comparison_status": "report_level_candidate",
"episode_id": "EPISODE-0000001",
"followup_exam_id": "EXAM-0000011"
},
{
"baseline_exam_id": "EXAM-0000011",
"comparability_reason": "same_exact_raw_exam_name; no lesion crosswalk",
"comparison_id": "COMPARISON-0000004",
"comparison_status": "report_level_candidate",
"episode_id": "EPISODE-0000001",
"followup_exam_id": "EXAM-0000017"
},
{
"baseline_exam_id": "EXAM-0000001",
"comparability_reason": "same_exact_raw_exam_name; no lesion crosswalk",
"comparison_id": "COMPARISON-0000005",
"comparison_status": "report_level_candidate",
"episode_id": "EPISODE-0000001",
"followup_exam_id": "EXAM-0000004"
},
{
"baseline_exam_id": "EXAM-0000004",
"comparability_reason": "same_exact_raw_exam_name; no lesion crosswalk",
"comparison_id": "COMPARISON-0000006",
"comparison_status": "report_level_candidate",
"episode_id": "EPISODE-0000001",
"followup_exam_id": "EXAM-0000010"
},
{
"baseline_exam_id": "EXAM-0000010",
"comparability_reason": "same_exact_raw_exam_name; no lesion crosswalk",
"comparison_id": "COMPARISON-0000007",
"comparison_status": "report_level_candidate",
"episode_id": "EPISODE-0000001",
"followup_exam_id": "EXAM-0000012"
},
{
"baseline_exam_id": "EXAM-0000012",
"comparability_reason": "same_exact_raw_exam_name; no lesion crosswalk",
"comparison_id": "COMPARISON-0000008",
"comparison_status": "report_level_candidate",
"episode_id": "EPISODE-0000001",
"followup_exam_id": "EXAM-0000021"
},
{
"baseline_exam_id": "EXAM-0000005",
"comparability_reason": "same_exact_raw_exam_name; no lesion crosswalk",
"comparison_id": "COMPARISON-0000009",
"comparison_status": "report_level_candidate",
"episode_id": "EPISODE-0000001",
"followup_exam_id": "EXAM-0000013"
},
{
"baseline_exam_id": "EXAM-0000013",
"comparability_reason": "same_exact_raw_exam_name; no lesion crosswalk",
"comparison_id": "COMPARISON-0000010",
"comparison_status": "report_level_candidate",
"episode_id": "EPISODE-0000001",
"followup_exam_id": "EXAM-0000019"
},
{
"baseline_exam_id": "EXAM-0000019",
"comparability_reason": "same_exact_raw_exam_name; no lesion crosswalk",
"comparison_id": "COMPARISON-0000011",
"comparison_status": "report_level_candidate",
"episode_id": "EPISODE-0000001",
"followup_exam_id": "EXAM-0000022"
},
{
"baseline_exam_id": "EXAM-0000014",
"comparability_reason": "same_exact_raw_exam_name; no lesion crosswalk",
"comparison_id": "COMPARISON-0000012",
"comparison_status": "report_level_candidate",
"episode_id": "EPISODE-0000001",
"followup_exam_id": "EXAM-0000023"
},
{
"baseline_exam_id": "EXAM-0000002",
"comparability_reason": "same_exact_raw_exam_name; no lesion crosswalk",
"comparison_id": "COMPARISON-0000013",
"comparison_status": "report_level_candidate",
"episode_id": "EPISODE-0000001",
"followup_exam_id": "EXAM-0000009"
},
{
"baseline_exam_id": "EXAM-0000006",
"comparability_reason": "same_exact_raw_exam_name; no lesion crosswalk",
"comparison_id": "COMPARISON-0000014",
"comparison_status": "report_level_candidate",
"episode_id": "EPISODE-0000001",
"followup_exam_id": "EXAM-0000018"
}
],
"teaching_serial_candidate": [
{
"candidate_id": "CANDIDATE-0000001",
"candidate_status": "teaching_serial_imaging_candidate",
"case_id": "CASE-0000001",
"exam_label": "MRI-1",
"relative_interval": null
},
{
"candidate_id": "CANDIDATE-0000001",
"candidate_status": "teaching_serial_imaging_candidate",
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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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},
{
"candidate_id": "CANDIDATE-0000001",
"image_id": "IMAGE-0000151",
"series_group_id": "SERIES-0000007"
},
{
"candidate_id": "CANDIDATE-0000001",
"image_id": "IMAGE-0000152",
"series_group_id": "SERIES-0000007"
},
{
"candidate_id": "CANDIDATE-0000001",
"image_id": "IMAGE-0000153",
"series_group_id": "SERIES-0000007"
},
{
"candidate_id": "CANDIDATE-0000001",
"image_id": "IMAGE-0000154",
"series_group_id": "SERIES-0000007"
},
{
"candidate_id": "CANDIDATE-0000001",
"image_id": "IMAGE-0000155",
"series_group_id": "SERIES-0000007"
},
{
"candidate_id": "CANDIDATE-0000001",
"image_id": "IMAGE-0000156",
"series_group_id": "SERIES-0000007"
},
{
"candidate_id": "CANDIDATE-0000001",
"image_id": "IMAGE-0000157",
"series_group_id": "SERIES-0000007"
},
{
"candidate_id": "CANDIDATE-0000001",
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"series_group_id": "SERIES-0000007"
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{
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{
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{
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},
{
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},
{
"candidate_id": "CANDIDATE-0000001",
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{
"candidate_id": "CANDIDATE-0000001",
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{
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{
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{
"candidate_id": "CANDIDATE-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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"series_group_id": "SERIES-0000008"
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{
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{
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},
{
"candidate_id": "CANDIDATE-0000001",
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},
{
"candidate_id": "CANDIDATE-0000001",
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"series_group_id": "SERIES-0000008"
},
{
"candidate_id": "CANDIDATE-0000001",
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"series_group_id": "SERIES-0000008"
},
{
"candidate_id": "CANDIDATE-0000001",
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"series_group_id": "SERIES-0000008"
},
{
"candidate_id": "CANDIDATE-0000001",
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"series_group_id": "SERIES-0000008"
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{
"candidate_id": "CANDIDATE-0000001",
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"series_group_id": "SERIES-0000008"
},
{
"candidate_id": "CANDIDATE-0000001",
"image_id": "IMAGE-0000187",
"series_group_id": "SERIES-0000008"
},
{
"candidate_id": "CANDIDATE-0000001",
"image_id": "IMAGE-0000188",
"series_group_id": "SERIES-0000009"
},
{
"candidate_id": "CANDIDATE-0000001",
"image_id": "IMAGE-0000189",
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},
{
"candidate_id": "CANDIDATE-0000001",
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},
{
"candidate_id": "CANDIDATE-0000001",
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"series_group_id": "SERIES-0000009"
},
{
"candidate_id": "CANDIDATE-0000001",
"image_id": "IMAGE-0000192",
"series_group_id": "SERIES-0000009"
},
{
"candidate_id": "CANDIDATE-0000001",
"image_id": "IMAGE-0000193",
"series_group_id": "SERIES-0000009"
},
{
"candidate_id": "CANDIDATE-0000001",
"image_id": "IMAGE-0000194",
"series_group_id": "SERIES-0000009"
},
{
"candidate_id": "CANDIDATE-0000001",
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"series_group_id": "SERIES-0000009"
},
{
"candidate_id": "CANDIDATE-0000001",
"image_id": "IMAGE-0000196",
"series_group_id": "SERIES-0000009"
},
{
"candidate_id": "CANDIDATE-0000001",
"image_id": "IMAGE-0000197",
"series_group_id": "SERIES-0000009"
},
{
"candidate_id": "CANDIDATE-0000001",
"image_id": "IMAGE-0000198",
"series_group_id": "SERIES-0000009"
},
{
"candidate_id": "CANDIDATE-0000001",
"image_id": "IMAGE-0000199",
"series_group_id": "SERIES-0000009"
},
{
"candidate_id": "CANDIDATE-0000001",
"image_id": "IMAGE-0000200",
"series_group_id": "SERIES-0000009"
},
{
"candidate_id": "CANDIDATE-0000001",
"image_id": "IMAGE-0000201",
"series_group_id": "SERIES-0000009"
},
{
"candidate_id": "CANDIDATE-0000001",
"image_id": "IMAGE-0000202",
"series_group_id": "SERIES-0000009"
},
{
"candidate_id": "CANDIDATE-0000001",
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"series_group_id": "SERIES-0000009"
},
{
"candidate_id": "CANDIDATE-0000001",
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},
{
"candidate_id": "CANDIDATE-0000001",
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},
{
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},
{
"candidate_id": "CANDIDATE-0000001",
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},
{
"candidate_id": "CANDIDATE-0000001",
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},
{
"candidate_id": "CANDIDATE-0000001",
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"series_group_id": "SERIES-0000009"
},
{
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},
{
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},
{
"candidate_id": "CANDIDATE-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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{
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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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],
"source_asserted_change": {
"assertion_text": "source asserted lesion range reduction and no new lesion after relative 3 months",
"candidate_id": "CANDIDATE-0000001",
"change_id": "CHANGE-0000001",
"quantitative_status": "not_quantified"
},
"quality_issue": [
{
"handling": "lesion, observation and response tables remain empty",
"issue_code": "no_stable_lesion_crosswalk",
"quality_issue_id": "REAL_QI_001",
"scope": "lesion"
},
{
"handling": "3 months is preserved as relative interval",
"issue_code": "relative_time_not_absolute",
"quality_issue_id": "REAL_QI_002",
"scope": "teaching"
}
]
}
医疗科技企业 · 影像随访与病灶跟踪产品团队
获得：对比类输出条件明确、尺度贴近放射科真实表达
医院影像科 · 随访读片与结构化报告
获得：复查序列归集清楚、基线固定、可比性先行的读片支持数据
药械企业与研究机构 · 影像疗效评估
获得：评估标准清楚、量化范围明确的疗效证据
医疗大模型团队 · 纵向推理
获得：纵向比较能力有真实参照，拒答边界有据可依
复查对比数据包含哪些内容？
复查对比与病灶变化数据（SHP-MED-03-024）按随访段组织同一患者两个及以上时点的检查与各自报告版本，含病灶与病灶观测、检查对比候选、来源断言变化与反应评估。字段有基线规则与基线时点、检查类别与部位、报告所见与意见、对比状态与可比性原因。
影像纵向对比模型用什么数据训练？
复查对比与病灶变化数据（SHP-MED-03-024）把基线与随访检查成对给出，层厚、增强期相与测量平面不同的两次检查标为不可比或有条件可比，模型学会先判条件再谈变化。报告写「较前增大」而无测量值时标为非量化断言，与量化测量分层。
随访对比数据怎么交付？
复查对比与病灶变化数据（SHP-MED-03-024）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（随访段与检查报告表、对比关系表、影像原件如适用）、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。
能做到病灶级对应与测量吗？
复查对比与病灶变化数据（SHP-MED-03-024）的对比层级可选报告级对比或病灶级对应与测量，并可按检查类别、解剖部位、最少随访次数、随访间隔范围与评价标准定制，起订量为 1,000 个随访段。可先申请开源子集或测试数据起步。
疗效影像评估还要配哪些数据？
复查对比与病灶变化数据（SHP-MED-03-024）与医学影像—报告配对数据（SHP-MED-03-020）组合，可拿到每个时点影像与报告的配对底座；与围术期诊疗数据（SHP-MED-04-025）组合，可引入影响变化解释的手术与治疗事件。
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