围术期诊疗数据。

样例字段语义

样例记录

一名直肠癌患者接受腹腔镜下直肠前切除术加回肠预防性造口的围术期数据。含就诊与围术期片段、手术名称与术前术后诊断。麻醉方式为全身麻醉，麻醉记录的可用程度如实标注。时间节点三个：手术起止与术毕去向。另有出院结局及其覆盖状态，以及手术记录与出院记录两份来源文书。本例还列出九张可增强的源表候选，各自的行列规模与关联键状态一并给出。

{
  "样例性质": "真实记录·已脱敏",
  "patient": {
    "patient_token": "PATIENT-0000001"
  },
  "encounter": {
    "admit_time": "2026-07-14 13:15:22",
    "discharge_time": "2026-07-29 08:08:16",
    "encounter_id": "ENCOUNTER-0000001",
    "encounter_type": "inpatient",
    "patient_token": "PATIENT-0000001"
  },
  "perioperative_episode": {
    "anesthesia_type": "全身麻醉",
    "encounter_id": "ENCOUNTER-0000001",
    "episode_id": "EPISODE-0000001",
    "episode_status": "performed",
    "procedure_end": "2026-07-20 11:50:00",
    "procedure_start": "2026-07-20 09:00:00"
  },
  "procedure": {
    "episode_id": "EPISODE-0000001",
    "planned_vs_performed_status": "performed",
    "postop_diagnosis_raw": "直肠癌；高血压；动脉粥样硬化；胆囊多发结石并慢性胆囊炎；胆总管内多发小结石；肾结石；肾囊肿",
    "preop_diagnosis_raw": "直肠癌；高血压；动脉粥样硬化；胆囊多发结石并慢性胆囊炎；胆总管内多发小结石；肾结石；肾囊肿",
    "procedure_id": "PROCEDURE-0000001",
    "procedure_name_raw": "腹腔镜下直肠前切除术+回肠预防性单腔造口术"
  },
  "anesthesia_case": {
    "anesthesia_case_id": "ANESTHESIA_CASE-0000001",
    "anesthesia_type_raw": "全身麻醉",
    "episode_id": "EPISODE-0000001",
    "missing_reason": "no_structured_anesthesia_timeline",
    "status": "source_summary_only"
  },
  "perioperative_event": [
    {
      "available_time": null,
      "episode_id": "EPISODE-0000001",
      "event_id": "EVENT-0000001",
      "event_time": "2026-07-20 09:00:00",
      "event_type": "procedure_start",
      "time_precision": "exact"
    },
    {
      "available_time": null,
      "episode_id": "EPISODE-0000001",
      "event_id": "EVENT-0000002",
      "event_time": "2026-07-20 11:50:00",
      "event_type": "procedure_end",
      "time_precision": "exact"
    },
    {
      "available_time": null,
      "episode_id": "EPISODE-0000001",
      "event_id": "EVENT-0000003",
      "event_time": null,
      "event_type": "sent_to_pacu",
      "time_precision": "unknown"
    }
  ],
  "outcome": {
    "coverage_status": "source_discharge_record_only",
    "episode_id": "EPISODE-0000001",
    "outcome_id": "OUTCOME-0000001",
    "outcome_status": "discharged",
    "outcome_time": "2026-07-29 08:08:16",
    "outcome_type": "discharge"
  },
  "document_asset": [
    {
      "document_id": "DOCUMENT-0000001",
      "document_type": "operative_record",
      "episode_id": "EPISODE-0000001"
    },
    {
      "document_id": "DOCUMENT-0000002",
      "document_type": "discharge_record",
      "episode_id": "EPISODE-0000001"
    }
  ],
  "enhancement_table_candidate": [
    {
      "candidate_id": "SRC-PO-001",
      "table_name": "围术期源表 A",
      "declared_row_count": "18",
      "declared_column_count": "13",
      "candidate_status": "表级候选·待对账",
      "crosswalk_status": "关联键已脱敏·暂不可用"
    },
    {
      "candidate_id": "SRC-PO-002",
      "table_name": "围术期源表 B",
      "declared_row_count": "18",
      "declared_column_count": "42",
      "candidate_status": "表级候选·待对账",
      "crosswalk_status": "关联键已脱敏·暂不可用"
    },
    {
      "candidate_id": "SRC-PO-003",
      "table_name": "围术期源表 C",
      "declared_row_count": "15",
      "declared_column_count": "5",
      "candidate_status": "表级候选·待对账",
      "crosswalk_status": "关联键已脱敏·暂不可用"
    },
    {
      "candidate_id": "SRC-PO-004",
      "table_name": "围术期源表 D",
      "declared_row_count": "25",
      "declared_column_count": "12",
      "candidate_status": "表级候选·待对账",
      "crosswalk_status": "关联键已脱敏·暂不可用"
    },
    {
      "candidate_id": "SRC-PO-005",
      "table_name": "围术期源表 E",
      "declared_row_count": "42",
      "declared_column_count": "6",
      "candidate_status": "表级候选·待对账",
      "crosswalk_status": "关联键已脱敏·暂不可用"
    },
    {
      "candidate_id": "SRC-PO-006",
      "table_name": "围术期源表 F",
      "declared_row_count": "14",
      "declared_column_count": "9",
      "candidate_status": "表级候选·待对账",
      "crosswalk_status": "关联键已脱敏·暂不可用"
    },
    {
      "candidate_id": "SRC-PO-007",
      "table_name": "围术期源表 G",
      "declared_row_count": "18",
      "declared_column_count": "47",
      "candidate_status": "表级候选·待对账",
      "crosswalk_status": "关联键已脱敏·暂不可用"
    },
    {
      "candidate_id": "SRC-PO-008",
      "table_name": "围术期源表 H",
      "declared_row_count": "26",
      "declared_column_count": "145",
      "candidate_status": "表级候选·待对账",
      "crosswalk_status": "关联键已脱敏·暂不可用"
    },
    {
      "candidate_id": "SRC-PO-009",
      "table_name": "围术期源表 I",
      "declared_row_count": "10",
      "declared_column_count": "34",
      "candidate_status": "表级候选·待对账",
      "crosswalk_status": "关联键已脱敏·暂不可用"
    }
  ],
  "quality_issue": [
    {
      "handling": "unknown retained; no routine workflow values inferred",
      "issue_code": "missing_anesthesia_pacu_medication_monitoring_detail",
      "quality_issue_id": "QUALITY_ISSUE-0000001",
      "scope": "perioperative_timeline"
    },
    {
      "handling": "保留为表级候选；不做患者级合并",
      "issue_code": "脱敏对照与来源行数不一致",
      "quality_issue_id": "QUALITY_ISSUE-0000002",
      "scope": "围术期源表组"
    }
  ]
}