[01 · SHP-MED-06-036]

临床指令微调训练数据。

分任务类型组织的单轮指令微调样本。每条样本给出指令、模型可见的上下文块，以及按声明结构写成的目标回答。回答附作答边界声明，并绑定一段可按字符区间回算的证据跨度。分组策略与复核记录随样本交付。可用于临床任务指令微调、医院助手的边界对齐与训练流水线校验。

医疗模型训练 · 评估与研究使用许可 · 更新日期 2026-08-05

10
实体: 152
字段: 4
实体关系: 06
所属体系

[02 · 产品说明]

读懂数据结构与交付边界

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。

[01]

数据产品概览

项	数量	内容
实体	10	指令样本 · 任务规范 · 上下文块 · 目标回答 · 证据跨度 · 复核记录 · 数据划分 · 来源文书 · 数据质量项 · 来源沿袭
字段	152	交付范围内的字段总数
实体关系	4	每条指令样本连接一个任务规范、一个上下文块、一个目标回答、至少一个证据跨度与一条复核记录 · 证据跨度以 Unicode 半开区间定位上下文块，按区间截取的文字必须与证据正文一致 · 数据划分按患者、就诊与近重复来源成组，同组样本不跨划分 · 自产样本与来源记录分开存放，来源文书索引单列一层

交付与供应方式

数据集交付：清单 CSV／Parquet ＋单一对象文件夹＋ Meta.jsonl／Parquet
API 调用
Token 计量
数巨有谱可信数据空间连接器合约使用

权利与来源

数据取得方式：数据资源持有方书面授权
数据来源机构：医疗机构（含等级医院、社区医院及康复机构、疾控机构）
数据加工机构：数巨有谱或数据资源持有方
数据经营机构：数巨有谱（经营权权利人）

[02 · DATA CONTENT]

数据内容与字段结构

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
上下文块	context_id	上下文标识
上下文块	parentobjectid	父对象标识
上下文块	record_status	记录状态
上下文块	sourceobjectid	来源对象标识
上下文块	sourcerowid	来源行标识
上下文块	eventtimeraw	事件时间
上下文块	available_time	可用时间
上下文块	missing_reason	缺失原因
上下文块	data_nature	数据性质
上下文块	sample_id	样本标识
上下文块	context_text	上下文正文
上下文块	clinicaleventtime	临床事件时间
上下文块	record_time	记录时间
上下文块	evidence_cutoff
上下文块	context_language	上下文语种
证据片段	evidence_id	证据标识
证据片段	parentobjectid	父对象标识
证据片段	record_status	记录状态
证据片段	sourceobjectid	来源对象标识
证据片段	sourcerowid	来源行标识
证据片段	eventtimeraw	事件时间
证据片段	available_time	可用时间
证据片段	missing_reason	缺失原因
证据片段	data_nature	数据性质
证据片段	sample_id	样本标识
证据片段	context_id	上下文标识
证据片段	start_offset	起始偏移
证据片段	end_offset	结束偏移
证据片段	evidence_text	证据正文
证据片段	evidence_role	证据角色
指令样本	sample_id	样本标识
指令样本	parentobjectid	父对象标识
指令样本	record_status	记录状态
指令样本	sourceobjectid	来源对象标识
指令样本	sourcerowid	来源行标识
指令样本	eventtimeraw	事件时间
指令样本	available_time	可用时间
指令样本	missing_reason	缺失原因
指令样本	data_nature	数据性质
指令样本	taskspecid	任务规格标识
指令样本	context_id	上下文标识
指令样本	target_id	目标标识
指令样本	instruction	指令
指令样本	task_type	任务类型
指令样本	task_version	任务版本
指令样本	answerability	可答性
指令样本	patient_group	患者分组
指令样本	encounter_group	就诊分组
指令样本	source_group	来源分组
指令样本	evidence_cutoff
指令样本	split_id	数据划分标识
指令样本	generation_tier
指令样本	deidentificationstrategyversion	去标识策略版本
数据质量项	qualityissueid	数据质量项标识
数据质量项	parentobjectid	父对象标识
数据质量项	record_status	记录状态
数据质量项	sourceobjectid	来源对象标识
数据质量项	sourcerowid	来源行标识
数据质量项	eventtimeraw	事件时间
数据质量项	available_time	可用时间
数据质量项	missing_reason	缺失原因
数据质量项	data_nature	数据性质
数据质量项	issue_code	问题代码
数据质量项	severity	严重程度
数据质量项	handling	处理方式
数据质量项	affected_scope	影响范围
复核记录	review_id	复核标识
复核记录	parentobjectid	父对象标识
复核记录	record_status	记录状态
复核记录	sourceobjectid	来源对象标识
复核记录	sourcerowid	来源行标识
复核记录	eventtimeraw	事件时间
复核记录	available_time	可用时间
复核记录	missing_reason	缺失原因
复核记录	data_nature	数据性质
复核记录	sample_id	样本标识
复核记录	review_status	复核状态
复核记录	reviewer_role	复核方角色
复核记录	review_time	复核时间
复核记录	evidence_checked	证据已核
复核记录	boundary_checked	边界已核
复核记录	review_note	复核备注
来源文书	document_id	文书标识
来源文书	parentobjectid	父对象标识
来源文书	record_status	记录状态
来源文书	sourceobjectid	来源对象标识
来源文书	sourcerowid	来源行标识
来源文书	eventtimeraw	事件时间
来源文书	available_time	可用时间
来源文书	missing_reason	缺失原因
来源文书	data_nature	数据性质
来源文书	document_family	文书族
来源文书	content_availability
来源文书	deidentification_status	去标识状态
来源文书	sourcetimestatus	来源时间状态
来源文书	customertextincluded	含客户可见正文
来源沿袭	lineage_id	沿袭标识
来源沿袭	parentobjectid	父对象标识
来源沿袭	record_status	记录状态
来源沿袭	sourceobjectid	来源对象标识
来源沿袭	sourcerowid	来源行标识
来源沿袭	eventtimeraw	事件时间
来源沿袭	available_time	可用时间
来源沿袭	missing_reason	缺失原因
来源沿袭	data_nature	数据性质
来源沿袭	object_type	对象类型
来源沿袭	object_id	对象标识
来源沿袭	source_locator	来源定位
来源沿袭	transformation_rule	转换规则
数据划分组	split_id	数据划分标识
数据划分组	parentobjectid	父对象标识
数据划分组	record_status	记录状态
数据划分组	sourceobjectid	来源对象标识
数据划分组	sourcerowid	来源行标识
数据划分组	eventtimeraw	事件时间
数据划分组	available_time	可用时间
数据划分组	missing_reason	缺失原因
数据划分组	data_nature	数据性质
数据划分组	split_name	数据划分名称
数据划分组	grouping_key	分组键
数据划分组	grouping_policy
数据划分组	leakage_policy
目标回答	target_id	目标标识
目标回答	parentobjectid	父对象标识
目标回答	record_status	记录状态
目标回答	sourceobjectid	来源对象标识
目标回答	sourcerowid	来源行标识
目标回答	eventtimeraw	事件时间
目标回答	available_time	可用时间
目标回答	missing_reason	缺失原因
目标回答	data_nature	数据性质
目标回答	sample_id	样本标识
目标回答	target_json
目标回答	target_version
目标回答	answerability	可答性
目标回答	review_status	复核状态
目标回答	boundary_statement
任务规格	taskspecid	任务规格标识
任务规格	parentobjectid	父对象标识
任务规格	record_status	记录状态
任务规格	sourceobjectid	来源对象标识
任务规格	sourcerowid	来源行标识
任务规格	eventtimeraw	事件时间
任务规格	available_time	可用时间
任务规格	missing_reason	缺失原因
任务规格	data_nature	数据性质
任务规格	task_type	任务类型
任务规格	task_version	任务版本
任务规格	task_description	任务说明
任务规格	expected_schema	期望结构
任务规格	unanswerable_policy
任务规格	singleturnrequired

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。

10 个实体8 条连接响应式完整展示

实体概览

核心实体以品牌蓝标识

01核心实体

指令样本

指令／可答性／截点

02关联实体

任务规范

输出结构／不可答处置

03关联实体

上下文块

模型可见的全部输入

04关联实体

目标回答

结构化输出／边界声明

05关联实体

证据跨度

字符区间／证据正文

06关联实体

复核记录

证据与边界分项核

07关联实体

数据划分

同患者不跨划分

08关联实体

来源文书

取材来源

09辅助实体

数据质量项

性质与口径

10辅助实体

来源沿袭

加工规则登记

连接关系

每条关系独占一行，基数置于两实体之间

实体 A01

任务规范

输出结构／不可答处置

1—n

实体 B

指令样本

指令／可答性／截点

实体 A02

指令样本

指令／可答性／截点

1—1

实体 B

上下文块

模型可见的全部输入

实体 A03

指令样本

指令／可答性／截点

1—1

实体 B

目标回答

结构化输出／边界声明

实体 A04

上下文块

模型可见的全部输入

1—n

实体 B

证据跨度

字符区间／证据正文

实体 A05

指令样本

指令／可答性／截点

1—1

实体 B

复核记录

证据与边界分项核

实体 A06

数据划分

同患者不跨划分

1—n

实体 B

指令样本

指令／可答性／截点

实体 A07

来源文书

取材来源

1—n 来源文书是上下文的取材来源，索引本身不生成指令目标

实体 B

上下文块

模型可见的全部输入

实体 A08

指令样本

指令／可答性／截点

1—1 该样本的加工沿袭登记

实体 B

来源沿袭

加工规则登记

核心实体关联实体1—1 / 1—n / n—1 表示关系基数

查看关系语义清单

起	基数	至	关系语义
任务规范	1—n	指令样本	一版任务规范之下的多条指令样本
指令样本	1—1	上下文块	每条样本一个模型可见的上下文块
指令样本	1—1	目标回答	每条样本一份按结构写成的参考答案
上下文块	1—n	证据跨度	答案所依据的上下文字符区间
指令样本	1—1	复核记录	每条样本一条分项复核记录
数据划分	1—n	指令样本	样本按患者、就诊与近重复来源成组归入划分
来源文书	1—n	上下文块	来源文书是上下文的取材来源，索引本身不生成指令目标
指令样本	1—1	来源沿袭	该样本的加工沿袭登记

一条指令样本把任务规范、可见上下文、参考答案、证据跨度与复核记录串成一套。证据跨度落在上下文块的字符坐标系上，按区间截取所得与证据正文一致，答案可逐条回算。数据划分按患者、就诊与近重复来源成组，同组样本不跨划分。来源文书是上下文的取材来源。

样例字段语义

分组	字段	英文键	语义
任务规范	任务类型	task_type	该规范覆盖的任务类别，本例四类：文书分类与章节、结构化抽取、时间事件、术语与去标识转换
任务规范	期望输出结构	expected_schema	该类任务要求的输出结构，本例以键值形式写明。分类任务要求同时给出标签与依据，抽取任务要求给出字段名与取值。模型输出可按此结构机器校验
任务规范	不可答处置	unanswerable_policy	上下文不足以作答时的规定动作，本例四类任务各有一条。如目标字段未记载时返回未记录、不补医学常识，无确定规则时保留原文并标为待复核
任务规范	是否限单轮	singleturnrequired	该任务是否限定单轮内完成，本例四类均为是；多轮沟通任务另行组织
指令样本	指令	instruction	面向模型的具体要求。本例含判断文书类型并给出依据、返回文本中显式出现的章节名称、抽取主诉、抽取体温等
指令样本	可答性	answerability	该样本按给定上下文能不能作答；可答与不可答分列，不可答样本用于训练拒答
指令样本	证据截点	evidence_cutoff	本样本可用信息的时间上限，截点之后的内容不得进入上下文，也不得出现在目标回答里
指令样本	患者分组与就诊分组	patientgroup／encountergroup	该样本所属的患者与就诊分组，用于保证同一患者的样本不被切到训练与验证两侧
指令样本	生成层级	generation_tier	该样本的产出层级，本例为经复核的专业自产样本；不同层级不混在同一层交付
上下文块	上下文正文	context_text	模型可见的全部输入文本，本例为逐条不同的临床文书片段；目标答案所需的信息只能出自这里
上下文块	上下文语种	context_language	该上下文的语种，多语种训练时可按语种分层取用
目标回答	目标输出	target_json	按任务规范结构写成的参考答案。本例含标签与依据成对给出的分类答案、字段名与取值成对的抽取答案
目标回答	作答边界声明	boundary_statement	随每条目标一同交付的作答边界，本例统一为仅依据可见上下文作答、不补充诊疗建议与未记载事实；边界与答案同层，微调时一并对齐
目标回答	目标版本	target_version	该参考答案的版本；答案修订后另出一版，历史版本不被覆盖
证据跨度	证据正文与起止偏移	evidencetext／startoffset／end_offset	支撑该答案的上下文片段及其字符区间；按区间截取所得必须与证据正文一致，答案因此可逐条回算
证据跨度	证据角色	evidence_role	该片段在本条样本中承担的作用，本例为直接支撑
数据划分	分组策略	grouping_policy	划分成组的口径，本例为同一患者、就诊及近重复来源不得跨分组
数据划分	泄漏防护策略	leakage_policy	防泄漏的规定，本例为任务截点之后的信息不得进入上下文或目标
复核记录	证据已核与边界已核	evidencechecked／boundarychecked	复核分两项分别记录：证据是否落实、作答边界是否到位；不用一个笼统的「已复核」代替两件事
复核记录	复核人角色	reviewer_role	执行本条复核的角色，本例为临床数据复核员

样例记录

二十条单轮指令样本及其目标回答，按四类任务规范组织。四类为文书分类与章节六条、结构化抽取六条、时间事件四条、术语与去标识转换四条。每条带可见上下文块、按声明结构写成的目标输出。每条另带一段可按字符区间回算的证据跨度、作答边界声明与逐条复核记录。任务规范的期望输出结构与不可答处置一并附上。划分策略按患者、就诊与近重复来源成组。

{
  "样例性质": "自产样本",
  "task_spec": [
    {
      "available_time": "2026-06-26T08:00:00",
      "event_time_raw": "2026-06-26T08:00:00",
      "expected_schema": "{\"evidence\": \"string\", \"label\": \"string\"}",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "single_turn_required": "true",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "task_description": "识别文书类型或返回显式章节，仅依据文中出现的内容。",
      "task_spec_id": "TASK_SPEC-0000001",
      "task_type": "document_classification_or_section",
      "task_version": "instruction_document_section_v1",
      "unanswerable_policy": "来源不含明确线索时返回无法判断并说明缺失信息。"
    },
    {
      "available_time": "2026-06-26T08:00:00",
      "event_time_raw": "2026-06-26T08:00:00",
      "expected_schema": "{\"field\": \"string\", \"value\": \"string\"}",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "single_turn_required": "true",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "task_description": "从给定文本抽取明确记载的结构化事实。",
      "task_spec_id": "TASK_SPEC-0000002",
      "task_type": "structured_extraction",
      "task_version": "instruction_structured_extraction_v1",
      "unanswerable_policy": "目标字段未记载时返回未记录，不补充医学常识。"
    },
    {
      "available_time": "2026-06-26T08:00:00",
      "event_time_raw": "2026-06-26T08:00:00",
      "expected_schema": "{\"event\": \"string\", \"event_time_raw\": \"string\"}",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "single_turn_required": "true",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "task_description": "抽取显式时间与事件，并保留原始时间表达。",
      "task_spec_id": "TASK_SPEC-0000003",
      "task_type": "time_event",
      "task_version": "instruction_time_event_v1",
      "unanswerable_policy": "未出现明确时间或事件时返回无法建立时间事件。"
    },
    {
      "available_time": "2026-06-26T08:00:00",
      "event_time_raw": "2026-06-26T08:00:00",
      "expected_schema": "{\"normalized_or_masked\": \"string\", \"rule\": \"string\", \"source\": \"string\"}",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "single_turn_required": "true",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "task_description": "执行有规则约束的术语规范化或去标识转换。",
      "task_spec_id": "TASK_SPEC-0000004",
      "task_type": "terminology_or_deidentification",
      "task_version": "instruction_term_deid_v1",
      "unanswerable_policy": "无确定规则时保留原文并标为待复核。"
    }
  ],
  "context_block": [
    {
      "available_time": "2026-06-26T08:00:00",
      "clinical_event_time": "2026-06-25T08:00:00+08:00",
      "context_id": "CONTEXT-0000001",
      "context_language": "zh-CN",
      "context_text": "入院记录：主诉反复胸闷三月，加重两天。",
      "event_time_raw": "2026-06-26T08:00:00",
      "evidence_cutoff": "2026-06-26T08:00:00+08:00",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "record_time": "2026-06-25T10:00:00+08:00",
      "sample_id": "SAMPLE-0000001",
      "source_object_id": "SOURCE_OBJECT-0000001"
    },
    {
      "available_time": "2026-06-26T08:00:00",
      "clinical_event_time": "2026-06-25T08:00:00+08:00",
      "context_id": "CONTEXT-0000002",
      "context_language": "zh-CN",
      "context_text": "首次病程记录：患者入院后完成心电图检查。",
      "event_time_raw": "2026-06-26T08:00:00",
      "evidence_cutoff": "2026-06-26T08:00:00+08:00",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "record_time": "2026-06-25T10:00:00+08:00",
      "sample_id": "SAMPLE-0000002",
      "source_object_id": "SOURCE_OBJECT-0000001"
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      "available_time": "2026-06-26T08:00:00",
      "clinical_event_time": "2026-06-25T08:00:00+08:00",
      "context_id": "CONTEXT-0000003",
      "context_language": "zh-CN",
      "context_text": "手术记录：术中见阑尾充血肿胀，完整切除。",
      "event_time_raw": "2026-06-26T08:00:00",
      "evidence_cutoff": "2026-06-26T08:00:00+08:00",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "record_time": "2026-06-25T10:00:00+08:00",
      "sample_id": "SAMPLE-0000003",
      "source_object_id": "SOURCE_OBJECT-0000001"
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      "available_time": "2026-06-26T08:00:00",
      "clinical_event_time": "2026-06-25T08:00:00+08:00",
      "context_id": "CONTEXT-0000004",
      "context_language": "zh-CN",
      "context_text": "出院记录：出院时切口愈合，生命体征平稳。",
      "event_time_raw": "2026-06-26T08:00:00",
      "evidence_cutoff": "2026-06-26T08:00:00+08:00",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "record_time": "2026-06-25T10:00:00+08:00",
      "sample_id": "SAMPLE-0000004",
      "source_object_id": "SOURCE_OBJECT-0000001"
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      "available_time": "2026-06-26T08:00:00",
      "clinical_event_time": "2026-06-25T08:00:00+08:00",
      "context_id": "CONTEXT-0000005",
      "context_language": "zh-CN",
      "context_text": "病程记录：今日复查血常规，白细胞较前下降。",
      "event_time_raw": "2026-06-26T08:00:00",
      "evidence_cutoff": "2026-06-26T08:00:00+08:00",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "record_time": "2026-06-25T10:00:00+08:00",
      "sample_id": "SAMPLE-0000005",
      "source_object_id": "SOURCE_OBJECT-0000001"
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      "available_time": "2026-06-26T08:00:00",
      "clinical_event_time": "2026-06-25T08:00:00+08:00",
      "context_id": "CONTEXT-0000006",
      "context_language": "zh-CN",
      "context_text": "现病史：患者两日前出现发热。既往史：否认糖尿病。",
      "event_time_raw": "2026-06-26T08:00:00",
      "evidence_cutoff": "2026-06-26T08:00:00+08:00",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "record_time": "2026-06-25T10:00:00+08:00",
      "sample_id": "SAMPLE-0000006",
      "source_object_id": "SOURCE_OBJECT-0000001"
    },
    {
      "available_time": "2026-06-26T08:00:00",
      "clinical_event_time": "2026-06-25T08:00:00+08:00",
      "context_id": "CONTEXT-0000007",
      "context_language": "zh-CN",
      "context_text": "主诉：咳嗽、咳痰五天。",
      "event_time_raw": "2026-06-26T08:00:00",
      "evidence_cutoff": "2026-06-26T08:00:00+08:00",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "record_time": "2026-06-25T10:00:00+08:00",
      "sample_id": "SAMPLE-0000007",
      "source_object_id": "SOURCE_OBJECT-0000001"
    },
    {
      "available_time": "2026-06-26T08:00:00",
      "clinical_event_time": "2026-06-25T08:00:00+08:00",
      "context_id": "CONTEXT-0000008",
      "context_language": "zh-CN",
      "context_text": "体温38.6℃，脉搏96次/分。",
      "event_time_raw": "2026-06-26T08:00:00",
      "evidence_cutoff": "2026-06-26T08:00:00+08:00",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "record_time": "2026-06-25T10:00:00+08:00",
      "sample_id": "SAMPLE-0000008",
      "source_object_id": "SOURCE_OBJECT-0000001"
    },
    {
      "available_time": "2026-06-26T08:00:00",
      "clinical_event_time": "2026-06-25T08:00:00+08:00",
      "context_id": "CONTEXT-0000009",
      "context_language": "zh-CN",
      "context_text": "过敏史：青霉素过敏。",
      "event_time_raw": "2026-06-26T08:00:00",
      "evidence_cutoff": "2026-06-26T08:00:00+08:00",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "record_time": "2026-06-25T10:00:00+08:00",
      "sample_id": "SAMPLE-0000009",
      "source_object_id": "SOURCE_OBJECT-0000001"
    },
    {
      "available_time": "2026-06-26T08:00:00",
      "clinical_event_time": "2026-06-25T08:00:00+08:00",
      "context_id": "CONTEXT-0000010",
      "context_language": "zh-CN",
      "context_text": "出院诊断：社区获得性肺炎。",
      "event_time_raw": "2026-06-26T08:00:00",
      "evidence_cutoff": "2026-06-26T08:00:00+08:00",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "record_time": "2026-06-25T10:00:00+08:00",
      "sample_id": "SAMPLE-0000010",
      "source_object_id": "SOURCE_OBJECT-0000001"
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    {
      "available_time": "2026-06-26T08:00:00",
      "clinical_event_time": "2026-06-25T08:00:00+08:00",
      "context_id": "CONTEXT-0000011",
      "context_language": "zh-CN",
      "context_text": "检查结果：胸部CT示右下肺斑片影。",
      "event_time_raw": "2026-06-26T08:00:00",
      "evidence_cutoff": "2026-06-26T08:00:00+08:00",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "record_time": "2026-06-25T10:00:00+08:00",
      "sample_id": "SAMPLE-0000011",
      "source_object_id": "SOURCE_OBJECT-0000001"
    },
    {
      "available_time": "2026-06-26T08:00:00",
      "clinical_event_time": "2026-06-25T08:00:00+08:00",
      "context_id": "CONTEXT-0000012",
      "context_language": "zh-CN",
      "context_text": "处理：建议一周后门诊复查。",
      "event_time_raw": "2026-06-26T08:00:00",
      "evidence_cutoff": "2026-06-26T08:00:00+08:00",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "record_time": "2026-06-25T10:00:00+08:00",
      "sample_id": "SAMPLE-0000012",
      "source_object_id": "SOURCE_OBJECT-0000001"
    },
    {
      "available_time": "2026-06-26T08:00:00",
      "clinical_event_time": "2026-06-25T08:00:00+08:00",
      "context_id": "CONTEXT-0000013",
      "context_language": "zh-CN",
      "context_text": "2026-07-29 09:20完成胸部CT检查。",
      "event_time_raw": "2026-06-26T08:00:00",
      "evidence_cutoff": "2026-06-26T08:00:00+08:00",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "record_time": "2026-06-25T10:00:00+08:00",
      "sample_id": "SAMPLE-0000013",
      "source_object_id": "SOURCE_OBJECT-0000001"
    },
    {
      "available_time": "2026-06-26T08:00:00",
      "clinical_event_time": "2026-06-25T08:00:00+08:00",
      "context_id": "CONTEXT-0000014",
      "context_language": "zh-CN",
      "context_text": "术后第2天拔除引流管。",
      "event_time_raw": "2026-06-26T08:00:00",
      "evidence_cutoff": "2026-06-26T08:00:00+08:00",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "record_time": "2026-06-25T10:00:00+08:00",
      "sample_id": "SAMPLE-0000014",
      "source_object_id": "SOURCE_OBJECT-0000001"
    },
    {
      "available_time": "2026-06-26T08:00:00",
      "clinical_event_time": "2026-06-25T08:00:00+08:00",
      "context_id": "CONTEXT-0000015",
      "context_language": "zh-CN",
      "context_text": "患者于2026年8月24日出院。",
      "event_time_raw": "2026-06-26T08:00:00",
      "evidence_cutoff": "2026-06-26T08:00:00+08:00",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "record_time": "2026-06-25T10:00:00+08:00",
      "sample_id": "SAMPLE-0000015",
      "source_object_id": "SOURCE_OBJECT-0000001"
    },
    {
      "available_time": "2026-06-26T08:00:00",
      "clinical_event_time": "2026-06-25T08:00:00+08:00",
      "context_id": "CONTEXT-0000016",
      "context_language": "zh-CN",
      "context_text": "入院前三天出现持续发热。",
      "event_time_raw": "2026-06-26T08:00:00",
      "evidence_cutoff": "2026-06-26T08:00:00+08:00",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "record_time": "2026-06-25T10:00:00+08:00",
      "sample_id": "SAMPLE-0000016",
      "source_object_id": "SOURCE_OBJECT-0000001"
    },
    {
      "available_time": "2026-06-26T08:00:00",
      "clinical_event_time": "2026-06-25T08:00:00+08:00",
      "context_id": "CONTEXT-0000017",
      "context_language": "zh-CN",
      "context_text": "诊断原文：高血压病。",
      "event_time_raw": "2026-06-26T08:00:00",
      "evidence_cutoff": "2026-06-26T08:00:00+08:00",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "record_time": "2026-06-25T10:00:00+08:00",
      "sample_id": "SAMPLE-0000017",
      "source_object_id": "SOURCE_OBJECT-0000001"
    },
    {
      "available_time": "2026-06-26T08:00:00",
      "clinical_event_time": "2026-06-25T08:00:00+08:00",
      "context_id": "CONTEXT-0000018",
      "context_language": "zh-CN",
      "context_text": "患者姓名：王某某，今日复诊。",
      "event_time_raw": "2026-06-26T08:00:00",
      "evidence_cutoff": "2026-06-26T08:00:00+08:00",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "record_time": "2026-06-25T10:00:00+08:00",
      "sample_id": "SAMPLE-0000018",
      "source_object_id": "SOURCE_OBJECT-0000001"
    },
    {
      "available_time": "2026-06-26T08:00:00",
      "clinical_event_time": "2026-06-25T08:00:00+08:00",
      "context_id": "CONTEXT-0000019",
      "context_language": "zh-CN",
      "context_text": "联系电话：138****1234。",
      "event_time_raw": "2026-06-26T08:00:00",
      "evidence_cutoff": "2026-06-26T08:00:00+08:00",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "record_time": "2026-06-25T10:00:00+08:00",
      "sample_id": "SAMPLE-0000019",
      "source_object_id": "SOURCE_OBJECT-0000001"
    },
    {
      "available_time": "2026-06-26T08:00:00",
      "clinical_event_time": "2026-06-25T08:00:00+08:00",
      "context_id": "CONTEXT-0000020",
      "context_language": "zh-CN",
      "context_text": "诊断原文：肾囊肿。",
      "event_time_raw": "2026-06-26T08:00:00",
      "evidence_cutoff": "2026-06-26T08:00:00+08:00",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "record_time": "2026-06-25T10:00:00+08:00",
      "sample_id": "SAMPLE-0000020",
      "source_object_id": "SOURCE_OBJECT-0000001"
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  ],
  "instruction_sample": [
    {
      "answerability": "answerable_from_context",
      "available_time": "2026-06-26T08:00:00",
      "context_id": "CONTEXT-0000001",
      "deidentification_strategy_version": "synthetic_no_personal_data_v1",
      "encounter_group": "SYN_ENCOUNTER_GROUP_001",
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      "evidence_cutoff": "2026-06-26T08:00:00+08:00",
      "generation_tier": "professional_synthetic_reviewed",
      "instruction": "判断文书类型，并给出依据。",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "patient_group": "SYN_PATIENT_GROUP_001",
      "record_status": "reviewed_synthetic_instruction",
      "sample_id": "SAMPLE-0000001",
      "source_group": "SYN_DOCUMENT_001",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "split_id": "SPLIT-0000001",
      "target_id": "TARGET-0000001",
      "task_spec_id": "TASK_SPEC-0000001",
      "task_type": "document_classification_or_section",
      "task_version": "instruction_document_section_v1"
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    {
      "answerability": "answerable_from_context",
      "available_time": "2026-06-26T08:00:00",
      "context_id": "CONTEXT-0000002",
      "deidentification_strategy_version": "synthetic_no_personal_data_v1",
      "encounter_group": "SYN_ENCOUNTER_GROUP_001",
      "event_time_raw": "2026-06-26T08:00:00",
      "evidence_cutoff": "2026-06-26T08:00:00+08:00",
      "generation_tier": "professional_synthetic_reviewed",
      "instruction": "判断文书类型，并给出依据。",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "patient_group": "SYN_PATIENT_GROUP_001",
      "record_status": "reviewed_synthetic_instruction",
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      "source_group": "SYN_DOCUMENT_002",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "split_id": "SPLIT-0000001",
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      "task_spec_id": "TASK_SPEC-0000001",
      "task_type": "document_classification_or_section",
      "task_version": "instruction_document_section_v1"
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    {
      "answerability": "answerable_from_context",
      "available_time": "2026-06-26T08:00:00",
      "context_id": "CONTEXT-0000003",
      "deidentification_strategy_version": "synthetic_no_personal_data_v1",
      "encounter_group": "SYN_ENCOUNTER_GROUP_001",
      "event_time_raw": "2026-06-26T08:00:00",
      "evidence_cutoff": "2026-06-26T08:00:00+08:00",
      "generation_tier": "professional_synthetic_reviewed",
      "instruction": "判断文书类型，并给出依据。",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "patient_group": "SYN_PATIENT_GROUP_001",
      "record_status": "reviewed_synthetic_instruction",
      "sample_id": "SAMPLE-0000003",
      "source_group": "SYN_DOCUMENT_003",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "split_id": "SPLIT-0000001",
      "target_id": "TARGET-0000003",
      "task_spec_id": "TASK_SPEC-0000001",
      "task_type": "document_classification_or_section",
      "task_version": "instruction_document_section_v1"
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    {
      "answerability": "answerable_from_context",
      "available_time": "2026-06-26T08:00:00",
      "context_id": "CONTEXT-0000004",
      "deidentification_strategy_version": "synthetic_no_personal_data_v1",
      "encounter_group": "SYN_ENCOUNTER_GROUP_001",
      "event_time_raw": "2026-06-26T08:00:00",
      "evidence_cutoff": "2026-06-26T08:00:00+08:00",
      "generation_tier": "professional_synthetic_reviewed",
      "instruction": "判断文书类型，并给出依据。",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "patient_group": "SYN_PATIENT_GROUP_001",
      "record_status": "reviewed_synthetic_instruction",
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      "source_group": "SYN_DOCUMENT_004",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "split_id": "SPLIT-0000001",
      "target_id": "TARGET-0000004",
      "task_spec_id": "TASK_SPEC-0000001",
      "task_type": "document_classification_or_section",
      "task_version": "instruction_document_section_v1"
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    {
      "answerability": "answerable_from_context",
      "available_time": "2026-06-26T08:00:00",
      "context_id": "CONTEXT-0000005",
      "deidentification_strategy_version": "synthetic_no_personal_data_v1",
      "encounter_group": "SYN_ENCOUNTER_GROUP_001",
      "event_time_raw": "2026-06-26T08:00:00",
      "evidence_cutoff": "2026-06-26T08:00:00+08:00",
      "generation_tier": "professional_synthetic_reviewed",
      "instruction": "判断文书类型，并给出依据。",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "patient_group": "SYN_PATIENT_GROUP_001",
      "record_status": "reviewed_synthetic_instruction",
      "sample_id": "SAMPLE-0000005",
      "source_group": "SYN_DOCUMENT_005",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "split_id": "SPLIT-0000001",
      "target_id": "TARGET-0000005",
      "task_spec_id": "TASK_SPEC-0000001",
      "task_type": "document_classification_or_section",
      "task_version": "instruction_document_section_v1"
    },
    {
      "answerability": "answerable_from_context",
      "available_time": "2026-06-26T08:00:00",
      "context_id": "CONTEXT-0000006",
      "deidentification_strategy_version": "synthetic_no_personal_data_v1",
      "encounter_group": "SYN_ENCOUNTER_GROUP_002",
      "event_time_raw": "2026-06-26T08:00:00",
      "evidence_cutoff": "2026-06-26T08:00:00+08:00",
      "generation_tier": "professional_synthetic_reviewed",
      "instruction": "返回文本中显式出现的章节名称。",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "patient_group": "SYN_PATIENT_GROUP_001",
      "record_status": "reviewed_synthetic_instruction",
      "sample_id": "SAMPLE-0000006",
      "source_group": "SYN_DOCUMENT_006",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "split_id": "SPLIT-0000001",
      "target_id": "TARGET-0000006",
      "task_spec_id": "TASK_SPEC-0000001",
      "task_type": "document_classification_or_section",
      "task_version": "instruction_document_section_v1"
    },
    {
      "answerability": "answerable_from_context",
      "available_time": "2026-06-26T08:00:00",
      "context_id": "CONTEXT-0000007",
      "deidentification_strategy_version": "synthetic_no_personal_data_v1",
      "encounter_group": "SYN_ENCOUNTER_GROUP_002",
      "event_time_raw": "2026-06-26T08:00:00",
      "evidence_cutoff": "2026-06-26T08:00:00+08:00",
      "generation_tier": "professional_synthetic_reviewed",
      "instruction": "抽取主诉。",
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      "event_time_raw": "2026-06-26T08:00:00",
      "evidence_checked": "true",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "reviewed_synthetic",
      "review_id": "REVIEW-0000004",
      "review_note": "任务、目标、证据与使用边界已逐项核对。",
      "review_status": "reviewed_synthetic",
      "review_time": "2026-06-27T09:00:00+08:00",
      "reviewer_role": "clinical_data_reviewer",
      "sample_id": "SAMPLE-0000004",
      "source_object_id": "SOURCE_OBJECT-0000001"
    },
    {
      "available_time": "2026-06-26T08:00:00",
      "boundary_checked": "true",
      "event_time_raw": "2026-06-26T08:00:00",
      "evidence_checked": "true",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "reviewed_synthetic",
      "review_id": "REVIEW-0000005",
      "review_note": "任务、目标、证据与使用边界已逐项核对。",
      "review_status": "reviewed_synthetic",
      "review_time": "2026-06-27T09:00:00+08:00",
      "reviewer_role": "clinical_data_reviewer",
      "sample_id": "SAMPLE-0000005",
      "source_object_id": "SOURCE_OBJECT-0000001"
    },
    {
      "available_time": "2026-06-26T08:00:00",
      "boundary_checked": "true",
      "event_time_raw": "2026-06-26T08:00:00",
      "evidence_checked": "true",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "reviewed_synthetic",
      "review_id": "REVIEW-0000006",
      "review_note": "任务、目标、证据与使用边界已逐项核对。",
      "review_status": "reviewed_synthetic",
      "review_time": "2026-06-27T09:00:00+08:00",
      "reviewer_role": "clinical_data_reviewer",
      "sample_id": "SAMPLE-0000006",
      "source_object_id": "SOURCE_OBJECT-0000001"
    },
    {
      "available_time": "2026-06-26T08:00:00",
      "boundary_checked": "true",
      "event_time_raw": "2026-06-26T08:00:00",
      "evidence_checked": "true",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "reviewed_synthetic",
      "review_id": "REVIEW-0000007",
      "review_note": "任务、目标、证据与使用边界已逐项核对。",
      "review_status": "reviewed_synthetic",
      "review_time": "2026-06-27T09:00:00+08:00",
      "reviewer_role": "clinical_data_reviewer",
      "sample_id": "SAMPLE-0000007",
      "source_object_id": "SOURCE_OBJECT-0000001"
    },
    {
      "available_time": "2026-06-26T08:00:00",
      "boundary_checked": "true",
      "event_time_raw": "2026-06-26T08:00:00",
      "evidence_checked": "true",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "reviewed_synthetic",
      "review_id": "REVIEW-0000008",
      "review_note": "任务、目标、证据与使用边界已逐项核对。",
      "review_status": "reviewed_synthetic",
      "review_time": "2026-06-27T09:00:00+08:00",
      "reviewer_role": "clinical_data_reviewer",
      "sample_id": "SAMPLE-0000008",
      "source_object_id": "SOURCE_OBJECT-0000001"
    },
    {
      "available_time": "2026-06-26T08:00:00",
      "boundary_checked": "true",
      "event_time_raw": "2026-06-26T08:00:00",
      "evidence_checked": "true",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "reviewed_synthetic",
      "review_id": "REVIEW-0000009",
      "review_note": "任务、目标、证据与使用边界已逐项核对。",
      "review_status": "reviewed_synthetic",
      "review_time": "2026-06-27T09:00:00+08:00",
      "reviewer_role": "clinical_data_reviewer",
      "sample_id": "SAMPLE-0000009",
      "source_object_id": "SOURCE_OBJECT-0000001"
    },
    {
      "available_time": "2026-06-26T08:00:00",
      "boundary_checked": "true",
      "event_time_raw": "2026-06-26T08:00:00",
      "evidence_checked": "true",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "reviewed_synthetic",
      "review_id": "REVIEW-0000010",
      "review_note": "任务、目标、证据与使用边界已逐项核对。",
      "review_status": "reviewed_synthetic",
      "review_time": "2026-06-27T09:00:00+08:00",
      "reviewer_role": "clinical_data_reviewer",
      "sample_id": "SAMPLE-0000010",
      "source_object_id": "SOURCE_OBJECT-0000001"
    },
    {
      "available_time": "2026-06-26T08:00:00",
      "boundary_checked": "true",
      "event_time_raw": "2026-06-26T08:00:00",
      "evidence_checked": "true",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "reviewed_synthetic",
      "review_id": "REVIEW-0000011",
      "review_note": "任务、目标、证据与使用边界已逐项核对。",
      "review_status": "reviewed_synthetic",
      "review_time": "2026-06-27T09:00:00+08:00",
      "reviewer_role": "clinical_data_reviewer",
      "sample_id": "SAMPLE-0000011",
      "source_object_id": "SOURCE_OBJECT-0000001"
    },
    {
      "available_time": "2026-06-26T08:00:00",
      "boundary_checked": "true",
      "event_time_raw": "2026-06-26T08:00:00",
      "evidence_checked": "true",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "reviewed_synthetic",
      "review_id": "REVIEW-0000012",
      "review_note": "任务、目标、证据与使用边界已逐项核对。",
      "review_status": "reviewed_synthetic",
      "review_time": "2026-06-27T09:00:00+08:00",
      "reviewer_role": "clinical_data_reviewer",
      "sample_id": "SAMPLE-0000012",
      "source_object_id": "SOURCE_OBJECT-0000001"
    },
    {
      "available_time": "2026-06-26T08:00:00",
      "boundary_checked": "true",
      "event_time_raw": "2026-06-26T08:00:00",
      "evidence_checked": "true",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "reviewed_synthetic",
      "review_id": "REVIEW-0000013",
      "review_note": "任务、目标、证据与使用边界已逐项核对。",
      "review_status": "reviewed_synthetic",
      "review_time": "2026-06-27T09:00:00+08:00",
      "reviewer_role": "clinical_data_reviewer",
      "sample_id": "SAMPLE-0000013",
      "source_object_id": "SOURCE_OBJECT-0000001"
    },
    {
      "available_time": "2026-06-26T08:00:00",
      "boundary_checked": "true",
      "event_time_raw": "2026-06-26T08:00:00",
      "evidence_checked": "true",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "reviewed_synthetic",
      "review_id": "REVIEW-0000014",
      "review_note": "任务、目标、证据与使用边界已逐项核对。",
      "review_status": "reviewed_synthetic",
      "review_time": "2026-06-27T09:00:00+08:00",
      "reviewer_role": "clinical_data_reviewer",
      "sample_id": "SAMPLE-0000014",
      "source_object_id": "SOURCE_OBJECT-0000001"
    },
    {
      "available_time": "2026-06-26T08:00:00",
      "boundary_checked": "true",
      "event_time_raw": "2026-06-26T08:00:00",
      "evidence_checked": "true",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "reviewed_synthetic",
      "review_id": "REVIEW-0000015",
      "review_note": "任务、目标、证据与使用边界已逐项核对。",
      "review_status": "reviewed_synthetic",
      "review_time": "2026-06-27T09:00:00+08:00",
      "reviewer_role": "clinical_data_reviewer",
      "sample_id": "SAMPLE-0000015",
      "source_object_id": "SOURCE_OBJECT-0000001"
    },
    {
      "available_time": "2026-06-26T08:00:00",
      "boundary_checked": "true",
      "event_time_raw": "2026-06-26T08:00:00",
      "evidence_checked": "true",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "reviewed_synthetic",
      "review_id": "REVIEW-0000016",
      "review_note": "任务、目标、证据与使用边界已逐项核对。",
      "review_status": "reviewed_synthetic",
      "review_time": "2026-06-27T09:00:00+08:00",
      "reviewer_role": "clinical_data_reviewer",
      "sample_id": "SAMPLE-0000016",
      "source_object_id": "SOURCE_OBJECT-0000001"
    },
    {
      "available_time": "2026-06-26T08:00:00",
      "boundary_checked": "true",
      "event_time_raw": "2026-06-26T08:00:00",
      "evidence_checked": "true",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "reviewed_synthetic",
      "review_id": "REVIEW-0000017",
      "review_note": "任务、目标、证据与使用边界已逐项核对。",
      "review_status": "reviewed_synthetic",
      "review_time": "2026-06-27T09:00:00+08:00",
      "reviewer_role": "clinical_data_reviewer",
      "sample_id": "SAMPLE-0000017",
      "source_object_id": "SOURCE_OBJECT-0000001"
    },
    {
      "available_time": "2026-06-26T08:00:00",
      "boundary_checked": "true",
      "event_time_raw": "2026-06-26T08:00:00",
      "evidence_checked": "true",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "reviewed_synthetic",
      "review_id": "REVIEW-0000018",
      "review_note": "任务、目标、证据与使用边界已逐项核对。",
      "review_status": "reviewed_synthetic",
      "review_time": "2026-06-27T09:00:00+08:00",
      "reviewer_role": "clinical_data_reviewer",
      "sample_id": "SAMPLE-0000018",
      "source_object_id": "SOURCE_OBJECT-0000001"
    },
    {
      "available_time": "2026-06-26T08:00:00",
      "boundary_checked": "true",
      "event_time_raw": "2026-06-26T08:00:00",
      "evidence_checked": "true",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "reviewed_synthetic",
      "review_id": "REVIEW-0000019",
      "review_note": "任务、目标、证据与使用边界已逐项核对。",
      "review_status": "reviewed_synthetic",
      "review_time": "2026-06-27T09:00:00+08:00",
      "reviewer_role": "clinical_data_reviewer",
      "sample_id": "SAMPLE-0000019",
      "source_object_id": "SOURCE_OBJECT-0000001"
    },
    {
      "available_time": "2026-06-26T08:00:00",
      "boundary_checked": "true",
      "event_time_raw": "2026-06-26T08:00:00",
      "evidence_checked": "true",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "reviewed_synthetic",
      "review_id": "REVIEW-0000020",
      "review_note": "任务、目标、证据与使用边界已逐项核对。",
      "review_status": "reviewed_synthetic",
      "review_time": "2026-06-27T09:00:00+08:00",
      "reviewer_role": "clinical_data_reviewer",
      "sample_id": "SAMPLE-0000020",
      "source_object_id": "SOURCE_OBJECT-0000001"
    }
  ],
  "quality_issue": [
    {
      "affected_scope": "synthetic_dataset",
      "available_time": "2026-06-26T08:00:00",
      "event_time_raw": "2026-06-26T08:00:00",
      "handling": "保持合成标识，仅用于结构、流程与复算演示。",
      "issue_code": "synthetic_dataset_not_clinical_advice",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "quality_issue_id": "QUALITY_ISSUE-0000001",
      "record_status": "synthetic_dataset",
      "severity": "information",
      "source_object_id": "SOURCE_OBJECT-0000001"
    }
  ]
}

[03]

使用场景

医疗任务模型的指令对齐与输出格式收敛

医疗科技企业 · 医疗垂类大模型微调团队

输出结构先定后训：每类任务的期望输出结构以键值形式写在任务规范里。模型学到的是下游程序能直接解析的结构
拒答与作答一起训：不可答处置逐任务写明。目标字段未记载时返回未记录，无确定规则时保留原文并标待复核
边界随答案入训：每份参考答案附作答边界声明，声明与答案在同一层交付。微调时边界是被对齐的内容
证据可脚本核：答案绑定上下文中的字符区间。训练前可逐条核对证据是否真在上下文里，不合格样本进不了训练集
四类任务可调配比：文书分类与章节、结构化抽取、时间事件、术语与去标识转换各成一类。可按目标能力调整配比

获得：输出结构可解析、拒答有据、证据可回算的指令对齐语料

院内场景助手的能力边界设定

医院信息中心 · 院内智能助手建设

先定能干什么：四类任务规范可直接作为院内助手的能力清单，说明哪些请求接、哪些请求转人工
边界由数据承载：作答边界声明写明仅依据可见上下文作答，不补充诊疗建议与未记载事实。助手的边界随训练数据一同交付
输入截点可执行：证据截点让助手在回答时点只用当时拿得到的信息。截点后的信息不进入上下文与目标
结果可直接回写：目标输出按声明结构给出，助手结果可写回院内系统字段，不必再加一层文本解析
复核项目可查：每条样本的证据与边界两项分别记录核对结果，院内评审时可查到具体复核了哪两项

获得：能力清单明确、结果可直接对接院内系统的助手训练底料

训练数据流水线的质量卡点设置

医疗信息化企业 · 数据流水线与模型工程团队

三项可机器校验：输出结构、证据区间、区间文本与证据正文是否一致，三项都能程序化校验。流水线可在入库前自动拦下不合格样本
防泄漏写成字段：分组策略与泄漏防护策略都是数据里的字段。流水线可直接按字段执行划分
近重复不被切开：患者、就诊与来源三层分组键随样本交付，近重复文书不会被分到训练与验证两侧
答案版本可回退：参考答案带目标版本，修订后新旧并存，模型效果变化可归因到具体哪一版答案

获得：卡点可程序化、划分口径写在数据里的训练流水线输入

临床文本任务的标准作答范本

医学教育与专业内容团队 · 规范化作答范本

结论必须带依据：分类答案同时给出标签与依据，可作为「结论要写出处」的教学范本
不同任务不同答法：抽取任务给字段与取值，时间任务保留原始时间表达。术语任务给出规则与来源，四类各有范式
材料不足怎么说：不可答处置给出四种规范说法，可直接作为材料不足时的标准回复表述
当场可核对：范本带证据区间，教学时能当场核对结论是不是真从材料里读出来的

获得：结论带依据、材料不足时有规范说法的作答范本

[04]

定制与定向

是否支持定制：是
任务组织方式（单选）：按单一任务类型 / 按多任务类型组合
其他定制项（多选）：任务类型范围 / 上下文长度 / 不可答样本比例 / 专科范围 / 输出结构规格
最低定制数量：3,000 条指令样本
任务规范定制：期望输出结构与不可答处置可按客户下游系统的字段与流程改写，改写后另出一版任务规范随数据交付
其他可定制项：与项目商务确定

[05]

去标识化与交付

直接标识符移除：姓名、证件号码、联系方式、住址
间接标识符不可逆映射：患者标识、就诊号、报告单号
时间平移：整体平移并保持时序与时间间隔
机构与医师信息去除或泛化
自由文本二次核查：叙述内容中的标识信息
可按项目追加 K-匿名等泛化处理，匿名化的判定与出具方式随项目约定
上下文与目标回答按去标识策略处理，策略版本随样本交付
样本内嵌的时间统一平移，保序保间隔；证据截点随之平移，截点与上下文之间的先后关系不变

加密通道交付：支持

[06]

关联数据集

SHP-MED-05-035 临床文本去标识化数据——上下文所用文本的处理口径来源
SHP-MED-06-037 证据问答与检索增强训练数据——需要先检索再取证的任务形态
SHP-MED-07-042 通用临床能力评测集——微调结果的能力评测对照

[07]

常见问题

临床指令微调训练数据包含哪些内容？

临床指令微调训练数据（SHP-MED-06-036）交付分任务类型组织的单轮指令微调样本，覆盖文书分类与章节、结构化抽取、时间事件、术语与去标识转换四类任务。每条样本含指令、上下文块、按声明结构写成的目标回答、作答边界声明与可按字符区间回算的证据跨度。

临床指令微调训练数据适合训练什么模型？

适合医疗任务模型的指令对齐与输出格式收敛训练，拒答与作答一起训练，目标字段未记载时返回未记录；也适合院内智能助手的能力边界设定、训练数据流水线的质量卡点校验，以及临床文本任务的规范化作答范本组织。

临床指令微调训练数据的样例与交付形态？

产品页提供明确标识的自产样例：二十条单轮指令样本及目标回答，按四类任务规范组织，每条带证据跨度、作答边界声明与逐条复核记录，生成层级随样本标注。支持数据集交付、API 调用、Token 计量与可信数据空间连接器。

临床指令微调训练数据怎么定制？起订量多少？

任务组织方式可选单一任务类型或多任务组合，再按任务类型范围、上下文长度、不可答样本比例、专科范围与输出结构规格定制，起订量为 3,000 条指令样本，数据量按项目商定。可先申请开源子集或测试数据验证样本结构与校验脚本。

临床指令微调训练数据可以和哪些产品组合？

常与临床文本去标识化数据（SHP-MED-05-035）对齐上下文文本的处理口径，与证据问答与检索增强训练数据（SHP-MED-06-037）衔接先检索再取证的任务形态，与通用临床能力评测集（SHP-MED-07-042）对照微调结果的能力评测。

[08]

获取方式

有明确科研／临床项目：提供研究方向与所需字段范围，可先申请开源子集用于可行性验证。
有明确数据智能场景：提供模型或应用场景，可先申请测试数据与接入方式完成联调。
许可：评估与研究使用许可。

[03 · 关联产品]

继续查看可连接的数据产品

按产品资料中登记的患者、就诊、事件或任务标识关系继续查看。

SHP-MED-05-035体系 05

临床文本去标识化数据

按声明策略处理后的临床文书全文，标识位置以统一标记占位。逐份配一条标识替换汇总，记标识类别、替换策略与替换处数。原文与去标识正文之间逐段给出偏移映射。去标识策略版本及其可逆性状态随数据交付。可用于去标识引擎测试、既有标注的坐标换算与合规说明。

5 个实体33 个字段

查看产品说明 →

SHP-MED-06-037体系 06

证据问答与检索增强训练数据

证据问答与检索增强的训练样本。语料文书切成证据块，每条问题先判可答性，再经一次检索运行取得带排名与分数的候选。可答的问题给出回答、支持证据与精确到字符区间的引用。不可答的问题写明缺什么材料。可用于检索增强问答训练、拒答能力对齐与检索链路回归。

13 个实体178 个字段

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SHP-MED-07-042体系 07

通用临床能力评测集

一套成体系的临床能力评测集，用于测量医疗大模型在本评测集覆盖的五类临床能力域上的表现。每道题标明考的是哪一类临床能力、难度层级，以及在给定证据下能不能答。题目随附证据、参考答案与评分细则，失分按错误类型归类。可用于上线前能力摸底、版本回归，以及多家模型同题比选。

9 个实体58 个字段

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