六轮制的多轮咨询会话训练数据。每段会话带病例背景与允许陈述范围，逐轮标注对话状态与意图。每一轮写明允许说什么、禁止说什么，并给出指向事实文书的证据引用。每段另带一条接管记录，写明触发条件与转接去向。可用于咨询助手的多轮训练与边界对齐、随访话术设计与对话质检。
医疗模型训练 · 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 | 10 | 会话 · 对话轮次 · 作答边界 · 证据引用 · 事实文书 · 接管记录 · 复核记录 · 数据划分 · 数据质量项 · 来源沿袭 |
| 字段 | 147 | 交付范围内的字段总数 |
| 实体关系 | 5 | 每一轮对话挂在一段会话之下，并记下它承接同一会话中的哪一轮 · 每一轮对话对应一条作答边界，写明允许什么与禁止什么 · 证据引用把一轮对话连到具体的事实文书 · 接管记录由会话的收尾轮触发，写明条件与转接去向 · 数据划分按会话与其事实变体成组，同组不跨划分 |
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 |
|---|---|---|---|
| 会话片段 | episode_id | 轨迹标识 | |
| 会话片段 | parentobjectid | 父对象标识 | |
| 会话片段 | record_status | 记录状态 | |
| 会话片段 | sourceobjectid | 来源对象标识 | |
| 会话片段 | sourcerowid | 来源行标识 | |
| 会话片段 | eventtimeraw | 事件时间 | |
| 会话片段 | available_time | 可用时间 | |
| 会话片段 | missing_reason | 缺失原因 | |
| 会话片段 | data_nature | 数据性质 | |
| 会话片段 | scene_type | ||
| 会话片段 | episode_status | 轨迹状态 | |
| 会话片段 | turn_count | 轮次数 | |
| 会话片段 | case_background | ||
| 会话片段 | allowedfactscope | ||
| 会话片段 | end_condition | ||
| 会话片段 | generated_at | 生成时点 | |
| 对话轮次 | turn_id | 轮次标识 | |
| 对话轮次 | parentobjectid | 父对象标识 | |
| 对话轮次 | record_status | 记录状态 | |
| 对话轮次 | sourceobjectid | 来源对象标识 | |
| 对话轮次 | sourcerowid | 来源行标识 | |
| 对话轮次 | eventtimeraw | 事件时间 | |
| 对话轮次 | available_time | 可用时间 | |
| 对话轮次 | missing_reason | 缺失原因 | |
| 对话轮次 | data_nature | 数据性质 | |
| 对话轮次 | episode_id | 轨迹标识 | |
| 对话轮次 | turn_index | ||
| 对话轮次 | speaker_role | 发言角色 | |
| 对话轮次 | intent | 意图 | |
| 对话轮次 | dialogue_state | ||
| 对话轮次 | message | ||
| 对话轮次 | dependsonturn_id | ||
| 对话轮次 | relationtoprevious | ||
| 对话轮次 | evidence_id | 证据标识 | |
| 对话轮次 | allowed_assertion | 允许断言 | |
| 对话轮次 | forbidden_assertion | ||
| 对话轮次 | escalation_condition | ||
| 对话轮次 | generated_at | 生成时点 | |
| 证据引用 | evidence_id | 证据标识 | |
| 证据引用 | parentobjectid | 父对象标识 | |
| 证据引用 | record_status | 记录状态 | |
| 证据引用 | sourceobjectid | 来源对象标识 | |
| 证据引用 | sourcerowid | 来源行标识 | |
| 证据引用 | eventtimeraw | 事件时间 | |
| 证据引用 | available_time | 可用时间 | |
| 证据引用 | missing_reason | 缺失原因 | |
| 证据引用 | data_nature | 数据性质 | |
| 证据引用 | turn_id | 轮次标识 | |
| 证据引用 | document_id | 文书标识 | |
| 证据引用 | evidence_type | 证据类型 | |
| 证据引用 | evidence_text | 证据正文 | |
| 证据引用 | evidence_status | 证据状态 | |
| 事实文书 | document_id | 文书标识 | |
| 事实文书 | parentobjectid | 父对象标识 | |
| 事实文书 | record_status | 记录状态 | |
| 事实文书 | sourceobjectid | 来源对象标识 | |
| 事实文书 | sourcerowid | 来源行标识 | |
| 事实文书 | eventtimeraw | 事件时间 | |
| 事实文书 | available_time | 可用时间 | |
| 事实文书 | missing_reason | 缺失原因 | |
| 事实文书 | data_nature | 数据性质 | |
| 事实文书 | document_family | 文书族 | |
| 事实文书 | document_version | 文书版本 | |
| 事实文书 | content_text | 内容正文 | |
| 事实文书 | fact_scope | ||
| 接管记录 | handoff_id | 人工接管标识 | |
| 接管记录 | parentobjectid | 父对象标识 | |
| 接管记录 | record_status | 记录状态 | |
| 接管记录 | sourceobjectid | 来源对象标识 | |
| 接管记录 | sourcerowid | 来源行标识 | |
| 接管记录 | eventtimeraw | 事件时间 | |
| 接管记录 | available_time | 可用时间 | |
| 接管记录 | missing_reason | 缺失原因 | |
| 接管记录 | data_nature | 数据性质 | |
| 接管记录 | episode_id | 轨迹标识 | |
| 接管记录 | triggerturnid | ||
| 接管记录 | handoff_condition | 接管条件 | |
| 接管记录 | handoff_target | 接管目标 | |
| 接管记录 | handoff_status | 人工接管状态 | |
| 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 | object_type | 对象类型 | |
| 数据质量项 | object_id | 对象标识 | |
| 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 | |
| 作答边界 | boundary_id | 边界标识 | |
| 作答边界 | parentobjectid | 父对象标识 | |
| 作答边界 | record_status | 记录状态 | |
| 作答边界 | sourceobjectid | 来源对象标识 | |
| 作答边界 | sourcerowid | 来源行标识 | |
| 作答边界 | eventtimeraw | 事件时间 | |
| 作答边界 | available_time | 可用时间 | |
| 作答边界 | missing_reason | 缺失原因 | |
| 作答边界 | data_nature | 数据性质 | |
| 作答边界 | turn_id | 轮次标识 | |
| 作答边界 | boundary_type | 边界类型 | |
| 作答边界 | boundary_text | ||
| 作答边界 | allowed_response | 允许回答 | |
| 作答边界 | prohibited_response | 禁止回答 | |
| 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 | episode_id | 轨迹标识 | |
| 复核记录 | reviewer_role | 复核方角色 | |
| 复核记录 | review_status | 复核状态 | |
| 复核记录 | review_decision | 复核结论 | |
| 复核记录 | review_note | 复核备注 | |
| 复核记录 | reviewed_at | 复核时间 | |
| 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 | group_key | ||
| 数据划分组 | split_name | 数据划分名称 | |
| 数据划分组 | grouping_policy |
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。
场景／背景／结束条件
状态／意图／承接关系
允许什么／禁止什么
这一轮依据什么
事实范围
触发条件／转接去向
五项分别核
同会话不跨划分
性质与口径
加工规则登记
每条关系独占一行，基数置于两实体之间
会话
场景／背景／结束条件
对话轮次
状态／意图／承接关系
对话轮次
状态／意图／承接关系
作答边界
允许什么／禁止什么
对话轮次
状态／意图／承接关系
证据引用
这一轮依据什么
事实文书
事实范围
证据引用
这一轮依据什么
会话
场景／背景／结束条件
接管记录
触发条件／转接去向
会话
场景／背景／结束条件
复核记录
五项分别核
数据划分
同会话不跨划分
会话
场景／背景／结束条件
会话
场景／背景／结束条件
事实文书
事实范围
会话
场景／背景／结束条件
来源沿袭
加工规则登记
| 起 | 基数 | 至 | 关系语义 |
|---|---|---|---|
| 会话 | 1—n | 对话轮次 | 一段会话展开为按序编号的多轮 |
| 对话轮次 | 1—1 | 作答边界 | 每一轮一条允许与禁止的作答边界 |
| 对话轮次 | 1—n | 证据引用 | 这一轮所依据的事实证据 |
| 事实文书 | 1—n | 证据引用 | 证据引用指向具体的事实文书 |
| 会话 | 1—1 | 接管记录 | 该段会话的接管记录，由收尾轮触发 |
| 会话 | 1—n | 复核记录 | 该段会话的分项复核记录 |
| 数据划分 | 1—n | 会话 | 会话与其事实变体成组归入划分 |
| 会话 | 1—1 | 事实文书 | 会话的病例背景取自其事实文书 |
| 会话 | 1—1 | 来源沿袭 | 该段会话的加工沿袭登记 |
一段会话展开为按序编号的多轮。每一轮同时挂一条作答边界与至少一条指向事实文书的证据引用。轮与轮之间的承接关系，记在轮次自身的「所依赖的上一轮」与「与上一轮的关系」两个字段上。开场轮这两项为空。多轮上下文因此可逐轮回溯。接管记录由会话的收尾轮触发，写明触发条件与转接去向。
| 分组 | 字段 | 英文键 | 语义 |
|---|---|---|---|
| 会话 | 场景类型 | scene_type | 该段会话的场景，本例四类各三段：病史追问、病情解释、出院用药、随访 |
| 会话 | 病例背景 | case_background | 本段会话可依据的全部事实，本例逐段不同。如已知发热与咳嗽持续三天、计划完成胸部 CT、病因尚未确定；模型能说的内容以此为限 |
| 会话 | 允许陈述范围 | allowedfactscope | 本段允许陈述的内容范围，本例如复述已知症状、缺失检查与需要观察的变化 |
| 会话 | 结束条件 | end_condition | 本段会话怎样才算收尾，本例统一要求完成事实边界说明，必要时转接到相应团队 |
| 会话 | 轮次数 | turn_count | 该段的对话轮数，本例均为六轮，构成从开场到收尾的完整结构 |
| 对话轮次 | 说话人角色 | speaker_role | 这一轮由谁说，本例患者与照护协调员各三十六轮 |
| 对话轮次 | 对话状态 | dialogue_state | 这一轮处在会话的哪一步，本例六步各十二轮。六步为开场、澄清、补充情境、依据受限的解释、方案确认、收尾或升级 |
| 对话轮次 | 意图 | intent | 这一轮要达成什么。本例含索取信息、澄清情境、补充细节、依据受限的解释、确认下一步、总结与转接 |
| 对话轮次 | 对话内容 | message | 这一轮的具体话语。本例含患者陈述症状与提问，以及协调员先确认警示症状、再说明现有材料能支持到哪一步 |
| 对话轮次 | 所依赖的上一轮 | dependsonturn_id | 这一轮承接同一会话中的哪一轮；开场轮为空，多轮上下文因此可逐轮回溯 |
| 对话轮次 | 与上一轮的关系 | relationtoprevious | 承接方式，本例含回应、澄清、延续三种；每一轮的上下文来源写明，不靠位置默认 |
| 对话轮次 | 禁止陈述 | forbidden_assertion | 这一轮明令不能说的内容，本例逐场景不同。如不得给出确定诊断、不得排除心肺疾病、不得把结节解释为良性或恶性 |
| 对话轮次 | 升级条件 | escalation_condition | 出现什么情况就应当转人工，本例如呼吸困难、胸痛、意识变化或持续高热 |
| 作答边界 | 边界正文 | boundary_text | 允许与禁止合成一句的完整边界表述，可直接作为该轮的对齐目标 |
| 作答边界 | 边界类型 | boundary_type | 该边界约束的方面，本例为事实范围与升级路径两项 |
| 证据引用 | 证据正文 | evidence_text | 这一轮所依据的事实文字，与病例背景同源；轮次说的话不得超出所引证据 |
| 证据引用 | 证据类型 | evidence_type | 该证据在会话中的角色，本例分对话前提与病例事实两类，各三十六条 |
| 事实文书 | 事实范围 | fact_scope | 该份事实文书覆盖的话题，本例如发热与咳嗽病史追问、术后腹痛变化追问、肺结节检查结果解释 |
| 接管记录 | 接管条件与转接去向 | handoffcondition／handofftarget | 触发人工接管的条件与转接对象，本例含呼吸或影像专科团队、心血管照护团队、手术团队或急诊 |
| 接管记录 | 触发轮次 | triggerturnid | 由哪一轮触发接管，本例均为各段会话的收尾轮 |
| 接管记录 | 接管状态 | handoff_status | 接管路径的可用状态，本例为条件满足时可用；条件未满足时不转出，也不静默继续 |
| 复核记录 | 复核说明 | review_note | 复核核到的项目，本例五项：角色、轮次依赖、事实证据、作答边界与升级路径 |
| 数据划分 | 分组策略 | grouping_policy | 划分成组的口径，本例为同一会话及其事实变体保持同组 |
十二段六轮制多轮会话，覆盖病史追问、病情解释、出院用药与随访四类场景各三段。每段带病例背景、允许陈述范围与结束条件。逐轮标注说话人角色、对话状态与意图。对话状态分开场、澄清、补充情境、依据受限的解释、方案确认、收尾或升级六种。每一轮另记它承接的上一轮与承接方式。七十二轮各配一条写明允许什么与禁止什么的作答边界，以及一条指向事实文书的证据引用。每段会话另带一条写明触发条件与转接去向的接管记录。
{
"样例性质": "自产样本",
"fact_document": [
{
"available_time": null,
"content_text": "已知发热、咳嗽持续三天，计划完成胸部CT；病因尚未确定。",
"document_family": "professional_synthetic_case_fact",
"document_id": "DOCUMENT-0000001",
"document_version": "P39-SYN-FACT-v1",
"event_time_raw": null,
"fact_scope": "发热与咳嗽病史追问",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001"
},
{
"available_time": null,
"content_text": "已知活动后气短两周，病历记录否认胸痛，计划行心电图检查。",
"document_family": "professional_synthetic_case_fact",
"document_id": "DOCUMENT-0000002",
"document_version": "P39-SYN-FACT-v1",
"event_time_raw": null,
"fact_scope": "活动后气短与胸痛否认追问",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001"
},
{
"available_time": null,
"content_text": "已知腹腔镜阑尾切除术后第二天，切口疼痛较前减轻，未记录呕吐。",
"document_family": "professional_synthetic_case_fact",
"document_id": "DOCUMENT-0000003",
"document_version": "P39-SYN-FACT-v1",
"event_time_raw": null,
"fact_scope": "术后腹痛变化追问",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001"
},
{
"available_time": null,
"content_text": "胸部CT描述右肺上叶8毫米肺结节，建议三个月后复查；未提供病理结论。",
"document_family": "professional_synthetic_case_fact",
"document_id": "DOCUMENT-0000004",
"document_version": "P39-SYN-FACT-v1",
"event_time_raw": null,
"fact_scope": "肺结节检查结果解释",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001"
},
{
"available_time": null,
"content_text": "出院诊断记录原发性高血压，出院说明要求继续监测血压。",
"document_family": "professional_synthetic_case_fact",
"document_id": "DOCUMENT-0000005",
"document_version": "P39-SYN-FACT-v1",
"event_time_raw": null,
"fact_scope": "高血压诊断与监测解释",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001"
},
{
"available_time": null,
"content_text": "合成病理报告记录结肠腺癌、中分化、切缘未见肿瘤累及；未提供完整分期。",
"document_family": "professional_synthetic_case_fact",
"document_id": "DOCUMENT-0000006",
"document_version": "P39-SYN-FACT-v1",
"event_time_raw": null,
"fact_scope": "病理报告术语解释",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001"
},
{
"available_time": null,
"content_text": "记录中有阿莫西林500毫克每8小时口服的医嘱，但没有实际给药记录。",
"document_family": "professional_synthetic_case_fact",
"document_id": "DOCUMENT-0000007",
"document_version": "P39-SYN-FACT-v1",
"event_time_raw": null,
"fact_scope": "抗菌药医嘱与实际给药边界",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001"
},
{
"available_time": null,
"content_text": "出院说明记录继续口服氨氯地平并监测血压，未记录自行加减剂量规则。",
"document_family": "professional_synthetic_case_fact",
"document_id": "DOCUMENT-0000008",
"document_version": "P39-SYN-FACT-v1",
"event_time_raw": null,
"fact_scope": "降压药出院说明",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001"
},
{
"available_time": null,
"content_text": "出院说明要求保持切口清洁、按计划复诊，并观察发热、红肿和渗液。",
"document_family": "professional_synthetic_case_fact",
"document_id": "DOCUMENT-0000009",
"document_version": "P39-SYN-FACT-v1",
"event_time_raw": null,
"fact_scope": "术后出院切口护理说明",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001"
},
{
"available_time": null,
"content_text": "影像报告建议三个月后复查胸部CT；未记录复查完成或结节变化。",
"document_family": "professional_synthetic_case_fact",
"document_id": "DOCUMENT-0000010",
"document_version": "P39-SYN-FACT-v1",
"event_time_raw": null,
"fact_scope": "肺结节影像随访安排",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001"
},
{
"available_time": null,
"content_text": "病程记录建议复查血常规，当前未提供复查结果。",
"document_family": "professional_synthetic_case_fact",
"document_id": "DOCUMENT-0000011",
"document_version": "P39-SYN-FACT-v1",
"event_time_raw": null,
"fact_scope": "血常规复查结果沟通",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001"
},
{
"available_time": null,
"content_text": "随访记录描述切口愈合良好、未见感染，并建议按计划复诊；不含长期结局。",
"document_family": "professional_synthetic_case_fact",
"document_id": "DOCUMENT-0000012",
"document_version": "P39-SYN-FACT-v1",
"event_time_raw": null,
"fact_scope": "术后切口复诊沟通",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001"
}
],
"conversation_episode": [
{
"allowed_fact_scope": "复述已知症状、缺失检查和需要观察的变化。",
"available_time": null,
"case_background": "已知发热、咳嗽持续三天，计划完成胸部CT；病因尚未确定。",
"end_condition": "完成事实边界说明；必要时转接至急诊或负责照护团队",
"episode_id": "EPISODE-0000001",
"episode_status": "professionally_reviewed_synthetic",
"event_time_raw": null,
"generated_at": "2026-07-29T09:00:00+08:00",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"scene_type": "history_followup",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_count": "6"
},
{
"allowed_fact_scope": "描述症状诱因、缓解方式和警示症状。",
"available_time": null,
"case_background": "已知活动后气短两周，病历记录否认胸痛，计划行心电图检查。",
"end_condition": "完成事实边界说明；必要时转接至急诊或心血管照护团队",
"episode_id": "EPISODE-0000002",
"episode_status": "professionally_reviewed_synthetic",
"event_time_raw": null,
"generated_at": "2026-07-29T09:10:00+08:00",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"scene_type": "history_followup",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_count": "6"
},
{
"allowed_fact_scope": "比较疼痛变化并提示已声明的术后警示信息。",
"available_time": null,
"case_background": "已知腹腔镜阑尾切除术后第二天，切口疼痛较前减轻，未记录呕吐。",
"end_condition": "完成事实边界说明；必要时转接至手术团队或急诊",
"episode_id": "EPISODE-0000003",
"episode_status": "professionally_reviewed_synthetic",
"event_time_raw": null,
"generated_at": "2026-07-29T09:20:00+08:00",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"scene_type": "history_followup",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_count": "6"
},
{
"allowed_fact_scope": "解释影像报告字面含义、复查目的和资料准备。",
"available_time": null,
"case_background": "胸部CT描述右肺上叶8毫米肺结节，建议三个月后复查；未提供病理结论。",
"end_condition": "完成事实边界说明；必要时转接至呼吸或影像专科团队",
"episode_id": "EPISODE-0000004",
"episode_status": "professionally_reviewed_synthetic",
"event_time_raw": null,
"generated_at": "2026-07-29T09:30:00+08:00",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"scene_type": "condition_explanation",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_count": "6"
},
{
"allowed_fact_scope": "解释连续监测、记录条件和联系照护团队的原则。",
"available_time": null,
"case_background": "出院诊断记录原发性高血压，出院说明要求继续监测血压。",
"end_condition": "完成事实边界说明；必要时转接至高血压照护团队",
"episode_id": "EPISODE-0000005",
"episode_status": "professionally_reviewed_synthetic",
"event_time_raw": null,
"generated_at": "2026-07-29T10:00:00+08:00",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"scene_type": "condition_explanation",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_count": "6"
},
{
"allowed_fact_scope": "解释报告术语的层级和需要补充的资料。",
"available_time": null,
"case_background": "合成病理报告记录结肠腺癌、中分化、切缘未见肿瘤累及；未提供完整分期。",
"end_condition": "完成事实边界说明；必要时转接至病理与肿瘤专科团队",
"episode_id": "EPISODE-0000006",
"episode_status": "professionally_reviewed_synthetic",
"event_time_raw": null,
"generated_at": "2026-07-29T10:10:00+08:00",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"scene_type": "condition_explanation",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_count": "6"
},
{
"allowed_fact_scope": "区分医嘱与实际用药，并提示记录实际情况。",
"available_time": null,
"case_background": "记录中有阿莫西林500毫克每8小时口服的医嘱，但没有实际给药记录。",
"end_condition": "完成事实边界说明；必要时转接至开立医嘱的临床或药学团队",
"episode_id": "EPISODE-0000007",
"episode_status": "professionally_reviewed_synthetic",
"event_time_raw": null,
"generated_at": "2026-07-29T10:20:00+08:00",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"scene_type": "medication_discharge",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_count": "6"
},
{
"allowed_fact_scope": "说明出院医嘱记录、血压记录和复核流程。",
"available_time": null,
"case_background": "出院说明记录继续口服氨氯地平并监测血压，未记录自行加减剂量规则。",
"end_condition": "完成事实边界说明；必要时转接至高血压照护或药学团队",
"episode_id": "EPISODE-0000008",
"episode_status": "professionally_reviewed_synthetic",
"event_time_raw": null,
"generated_at": "2026-07-29T10:30:00+08:00",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"scene_type": "medication_discharge",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_count": "6"
},
{
"allowed_fact_scope": "说明切口观察项目、记录方式和复诊原则。",
"available_time": null,
"case_background": "出院说明要求保持切口清洁、按计划复诊，并观察发热、红肿和渗液。",
"end_condition": "完成事实边界说明；必要时转接至手术团队或急诊",
"episode_id": "EPISODE-0000009",
"episode_status": "professionally_reviewed_synthetic",
"event_time_raw": null,
"generated_at": "2026-07-29T11:00:00+08:00",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"scene_type": "medication_discharge",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_count": "6"
},
{
"allowed_fact_scope": "组织随访资料、计划状态和联系路径。",
"available_time": null,
"case_background": "影像报告建议三个月后复查胸部CT；未记录复查完成或结节变化。",
"end_condition": "完成事实边界说明；必要时转接至呼吸或影像随访团队",
"episode_id": "EPISODE-0000010",
"episode_status": "professionally_reviewed_synthetic",
"event_time_raw": null,
"generated_at": "2026-07-29T11:10:00+08:00",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"scene_type": "followup",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_count": "6"
},
{
"allowed_fact_scope": "区分计划、预约、结果可用和解释阶段。",
"available_time": null,
"case_background": "病程记录建议复查血常规，当前未提供复查结果。",
"end_condition": "完成事实边界说明；必要时转接至负责复查的临床团队",
"episode_id": "EPISODE-0000011",
"episode_status": "professionally_reviewed_synthetic",
"event_time_raw": null,
"generated_at": "2026-07-29T11:20:00+08:00",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"scene_type": "followup",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_count": "6"
},
{
"allowed_fact_scope": "解释当次观察范围并组织复诊前记录。",
"available_time": null,
"case_background": "随访记录描述切口愈合良好、未见感染，并建议按计划复诊；不含长期结局。",
"end_condition": "完成事实边界说明；必要时转接至手术随访团队",
"episode_id": "EPISODE-0000012",
"episode_status": "professionally_reviewed_synthetic",
"event_time_raw": null,
"generated_at": "2026-07-29T11:30:00+08:00",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"scene_type": "followup",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_count": "6"
}
],
"dialogue_turn": [
{
"allowed_assertion": "复述已知症状、缺失检查和需要观察的变化。",
"available_time": null,
"depends_on_turn_id": null,
"dialogue_state": "opening",
"episode_id": "EPISODE-0000001",
"escalation_condition": "出现呼吸困难、胸痛、意识变化或持续高热",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000001",
"forbidden_assertion": "不得给出确定诊断、替代检查或承诺病程。",
"generated_at": "2026-07-29T09:00:00+08:00",
"intent": "request_information",
"message": "我发热并咳嗽三天，想知道还需要补充什么情况。",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": null,
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "patient",
"turn_id": "TURN-0000001",
"turn_index": "1"
},
{
"allowed_assertion": "复述已知症状、缺失检查和需要观察的变化。",
"available_time": null,
"depends_on_turn_id": "TURN-0000001",
"dialogue_state": "clarification",
"episode_id": "EPISODE-0000001",
"escalation_condition": "出现呼吸困难、胸痛、意识变化或持续高热",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000002",
"forbidden_assertion": "不得给出确定诊断、替代检查或承诺病程。",
"generated_at": "2026-07-29T09:00:00+08:00",
"intent": "clarify_context",
"message": "先确认是否出现呼吸困难、胸痛或意识变化；现有材料只记录发热、咳嗽和计划检查。",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": "responds_to",
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "care_navigator",
"turn_id": "TURN-0000002",
"turn_index": "2"
},
{
"allowed_assertion": "复述已知症状、缺失检查和需要观察的变化。",
"available_time": null,
"depends_on_turn_id": "TURN-0000002",
"dialogue_state": "context_update",
"episode_id": "EPISODE-0000001",
"escalation_condition": "出现呼吸困难、胸痛、意识变化或持续高热",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000003",
"forbidden_assertion": "不得给出确定诊断、替代检查或承诺病程。",
"generated_at": "2026-07-29T09:00:00+08:00",
"intent": "provide_detail",
"message": "目前没有呼吸困难，体温最高38.5℃，胸部CT还没做。",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": "clarifies",
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "patient",
"turn_id": "TURN-0000003",
"turn_index": "3"
},
{
"allowed_assertion": "复述已知症状、缺失检查和需要观察的变化。",
"available_time": null,
"depends_on_turn_id": "TURN-0000003",
"dialogue_state": "bounded_explanation",
"episode_id": "EPISODE-0000001",
"escalation_condition": "出现呼吸困难、胸痛、意识变化或持续高热",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000004",
"forbidden_assertion": "不得给出确定诊断、替代检查或承诺病程。",
"generated_at": "2026-07-29T09:00:00+08:00",
"intent": "evidence_bound_explanation",
"message": "症状持续时间和最高体温可以记录，但影像尚未完成，不能据此确定病因。",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": "carries_forward",
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "care_navigator",
"turn_id": "TURN-0000004",
"turn_index": "4"
},
{
"allowed_assertion": "复述已知症状、缺失检查和需要观察的变化。",
"available_time": null,
"depends_on_turn_id": "TURN-0000004",
"dialogue_state": "plan_confirmation",
"episode_id": "EPISODE-0000001",
"escalation_condition": "出现呼吸困难、胸痛、意识变化或持续高热",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000005",
"forbidden_assertion": "不得给出确定诊断、替代检查或承诺病程。",
"generated_at": "2026-07-29T09:00:00+08:00",
"intent": "confirm_next_step",
"message": "在复查前我应该记录哪些变化？",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": "clarifies",
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "patient",
"turn_id": "TURN-0000005",
"turn_index": "5"
},
{
"allowed_assertion": "复述已知症状、缺失检查和需要观察的变化。",
"available_time": null,
"depends_on_turn_id": "TURN-0000005",
"dialogue_state": "closure_or_escalation",
"episode_id": "EPISODE-0000001",
"escalation_condition": "出现呼吸困难、胸痛、意识变化或持续高热",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000006",
"forbidden_assertion": "不得给出确定诊断、替代检查或承诺病程。",
"generated_at": "2026-07-29T09:00:00+08:00",
"intent": "summary_and_handoff",
"message": "可记录体温、咳嗽、呼吸情况和新症状，并按既定安排完成检查；出现呼吸困难或意识变化请及时联系照护团队。",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": "carries_forward",
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "care_navigator",
"turn_id": "TURN-0000006",
"turn_index": "6"
},
{
"allowed_assertion": "描述症状诱因、缓解方式和警示症状。",
"available_time": null,
"depends_on_turn_id": null,
"dialogue_state": "opening",
"episode_id": "EPISODE-0000002",
"escalation_condition": "静息气短、胸痛、晕厥或症状迅速加重",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000007",
"forbidden_assertion": "不得排除心肺疾病或给出未经检查的病因。",
"generated_at": "2026-07-29T09:10:00+08:00",
"intent": "request_information",
"message": "我最近活动后气短，但没有胸痛，还需要说明哪些情况？",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": null,
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "patient",
"turn_id": "TURN-0000007",
"turn_index": "1"
},
{
"allowed_assertion": "描述症状诱因、缓解方式和警示症状。",
"available_time": null,
"depends_on_turn_id": "TURN-0000007",
"dialogue_state": "clarification",
"episode_id": "EPISODE-0000002",
"escalation_condition": "静息气短、胸痛、晕厥或症状迅速加重",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000008",
"forbidden_assertion": "不得排除心肺疾病或给出未经检查的病因。",
"generated_at": "2026-07-29T09:10:00+08:00",
"intent": "clarify_context",
"message": "需要了解气短在什么活动量下出现、是否伴心悸或晕厥，以及静息后能否缓解。",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": "responds_to",
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "care_navigator",
"turn_id": "TURN-0000008",
"turn_index": "2"
},
{
"allowed_assertion": "描述症状诱因、缓解方式和警示症状。",
"available_time": null,
"depends_on_turn_id": "TURN-0000008",
"dialogue_state": "context_update",
"episode_id": "EPISODE-0000002",
"escalation_condition": "静息气短、胸痛、晕厥或症状迅速加重",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000009",
"forbidden_assertion": "不得排除心肺疾病或给出未经检查的病因。",
"generated_at": "2026-07-29T09:10:00+08:00",
"intent": "provide_detail",
"message": "上两层楼时明显，休息几分钟能缓解，没有晕厥。",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": "clarifies",
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "patient",
"turn_id": "TURN-0000009",
"turn_index": "3"
},
{
"allowed_assertion": "描述症状诱因、缓解方式和警示症状。",
"available_time": null,
"depends_on_turn_id": "TURN-0000009",
"dialogue_state": "bounded_explanation",
"episode_id": "EPISODE-0000002",
"escalation_condition": "静息气短、胸痛、晕厥或症状迅速加重",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000010",
"forbidden_assertion": "不得排除心肺疾病或给出未经检查的病因。",
"generated_at": "2026-07-29T09:10:00+08:00",
"intent": "evidence_bound_explanation",
"message": "这些信息有助于描述症状模式，但不能替代心电图和临床评估。",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": "carries_forward",
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "care_navigator",
"turn_id": "TURN-0000010",
"turn_index": "4"
},
{
"allowed_assertion": "描述症状诱因、缓解方式和警示症状。",
"available_time": null,
"depends_on_turn_id": "TURN-0000010",
"dialogue_state": "plan_confirmation",
"episode_id": "EPISODE-0000002",
"escalation_condition": "静息气短、胸痛、晕厥或症状迅速加重",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000011",
"forbidden_assertion": "不得排除心肺疾病或给出未经检查的病因。",
"generated_at": "2026-07-29T09:10:00+08:00",
"intent": "confirm_next_step",
"message": "如果今晚又气短，我该怎么判断是否需要尽快就医？",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": "clarifies",
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "patient",
"turn_id": "TURN-0000011",
"turn_index": "5"
},
{
"allowed_assertion": "描述症状诱因、缓解方式和警示症状。",
"available_time": null,
"depends_on_turn_id": "TURN-0000011",
"dialogue_state": "closure_or_escalation",
"episode_id": "EPISODE-0000002",
"escalation_condition": "静息气短、胸痛、晕厥或症状迅速加重",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000012",
"forbidden_assertion": "不得排除心肺疾病或给出未经检查的病因。",
"generated_at": "2026-07-29T09:10:00+08:00",
"intent": "summary_and_handoff",
"message": "若静息时也气短、出现胸痛、晕厥或症状明显加重，应及时联系急诊；否则记录诱因并按计划完成检查。",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": "carries_forward",
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "care_navigator",
"turn_id": "TURN-0000012",
"turn_index": "6"
},
{
"allowed_assertion": "比较疼痛变化并提示已声明的术后警示信息。",
"available_time": null,
"depends_on_turn_id": null,
"dialogue_state": "opening",
"episode_id": "EPISODE-0000003",
"escalation_condition": "疼痛加重、发热、反复呕吐或切口异常",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000013",
"forbidden_assertion": "不得据此宣布恢复正常或排除术后并发症。",
"generated_at": "2026-07-29T09:20:00+08:00",
"intent": "request_information",
"message": "手术后第二天还有腹痛，我应该怎样描述才有帮助？",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": null,
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "patient",
"turn_id": "TURN-0000013",
"turn_index": "1"
},
{
"allowed_assertion": "比较疼痛变化并提示已声明的术后警示信息。",
"available_time": null,
"depends_on_turn_id": "TURN-0000013",
"dialogue_state": "clarification",
"episode_id": "EPISODE-0000003",
"escalation_condition": "疼痛加重、发热、反复呕吐或切口异常",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000014",
"forbidden_assertion": "不得据此宣布恢复正常或排除术后并发症。",
"generated_at": "2026-07-29T09:20:00+08:00",
"intent": "clarify_context",
"message": "可以说明疼痛位置、强度变化、是否伴发热、呕吐或切口渗液。",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": "responds_to",
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "care_navigator",
"turn_id": "TURN-0000014",
"turn_index": "2"
},
{
"allowed_assertion": "比较疼痛变化并提示已声明的术后警示信息。",
"available_time": null,
"depends_on_turn_id": "TURN-0000014",
"dialogue_state": "context_update",
"episode_id": "EPISODE-0000003",
"escalation_condition": "疼痛加重、发热、反复呕吐或切口异常",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000015",
"forbidden_assertion": "不得据此宣布恢复正常或排除术后并发症。",
"generated_at": "2026-07-29T09:20:00+08:00",
"intent": "provide_detail",
"message": "疼痛比昨天轻，主要在切口附近，没有呕吐，体温正常。",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": "clarifies",
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "patient",
"turn_id": "TURN-0000015",
"turn_index": "3"
},
{
"allowed_assertion": "比较疼痛变化并提示已声明的术后警示信息。",
"available_time": null,
"depends_on_turn_id": "TURN-0000015",
"dialogue_state": "bounded_explanation",
"episode_id": "EPISODE-0000003",
"escalation_condition": "疼痛加重、发热、反复呕吐或切口异常",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000016",
"forbidden_assertion": "不得据此宣布恢复正常或排除术后并发症。",
"generated_at": "2026-07-29T09:20:00+08:00",
"intent": "evidence_bound_explanation",
"message": "疼痛减轻和未见呕吐是当前合成场景中的信息，但仍需继续观察切口和整体变化。",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": "carries_forward",
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "care_navigator",
"turn_id": "TURN-0000016",
"turn_index": "4"
},
{
"allowed_assertion": "比较疼痛变化并提示已声明的术后警示信息。",
"available_time": null,
"depends_on_turn_id": "TURN-0000016",
"dialogue_state": "plan_confirmation",
"episode_id": "EPISODE-0000003",
"escalation_condition": "疼痛加重、发热、反复呕吐或切口异常",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000017",
"forbidden_assertion": "不得据此宣布恢复正常或排除术后并发症。",
"generated_at": "2026-07-29T09:20:00+08:00",
"intent": "confirm_next_step",
"message": "哪些变化需要马上联系医生？",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": "clarifies",
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "patient",
"turn_id": "TURN-0000017",
"turn_index": "5"
},
{
"allowed_assertion": "比较疼痛变化并提示已声明的术后警示信息。",
"available_time": null,
"depends_on_turn_id": "TURN-0000017",
"dialogue_state": "closure_or_escalation",
"episode_id": "EPISODE-0000003",
"escalation_condition": "疼痛加重、发热、反复呕吐或切口异常",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000018",
"forbidden_assertion": "不得据此宣布恢复正常或排除术后并发症。",
"generated_at": "2026-07-29T09:20:00+08:00",
"intent": "summary_and_handoff",
"message": "若疼痛明显加重、持续发热、反复呕吐或切口红肿渗液，应尽快联系手术团队。",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": "carries_forward",
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "care_navigator",
"turn_id": "TURN-0000018",
"turn_index": "6"
},
{
"allowed_assertion": "解释影像报告字面含义、复查目的和资料准备。",
"available_time": null,
"depends_on_turn_id": null,
"dialogue_state": "opening",
"episode_id": "EPISODE-0000004",
"escalation_condition": "需要判断结节性质、调整复查时间或出现新症状",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000019",
"forbidden_assertion": "不得把结节解释为良性、恶性或病理诊断。",
"generated_at": "2026-07-29T09:30:00+08:00",
"intent": "request_information",
"message": "报告写右肺上叶有8毫米肺结节，这是不是肿瘤？",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": null,
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "patient",
"turn_id": "TURN-0000019",
"turn_index": "1"
},
{
"allowed_assertion": "解释影像报告字面含义、复查目的和资料准备。",
"available_time": null,
"depends_on_turn_id": "TURN-0000019",
"dialogue_state": "clarification",
"episode_id": "EPISODE-0000004",
"escalation_condition": "需要判断结节性质、调整复查时间或出现新症状",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000020",
"forbidden_assertion": "不得把结节解释为良性、恶性或病理诊断。",
"generated_at": "2026-07-29T09:30:00+08:00",
"intent": "clarify_context",
"message": "报告只描述了影像发现和复查建议，单凭这句话不能确定结节性质。",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": "responds_to",
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "care_navigator",
"turn_id": "TURN-0000020",
"turn_index": "2"
},
{
"allowed_assertion": "解释影像报告字面含义、复查目的和资料准备。",
"available_time": null,
"depends_on_turn_id": "TURN-0000020",
"dialogue_state": "context_update",
"episode_id": "EPISODE-0000004",
"escalation_condition": "需要判断结节性质、调整复查时间或出现新症状",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000021",
"forbidden_assertion": "不得把结节解释为良性、恶性或病理诊断。",
"generated_at": "2026-07-29T09:30:00+08:00",
"intent": "provide_detail",
"message": "报告没有写其他异常，只建议三个月后复查。",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": "clarifies",
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "patient",
"turn_id": "TURN-0000021",
"turn_index": "3"
},
{
"allowed_assertion": "解释影像报告字面含义、复查目的和资料准备。",
"available_time": null,
"depends_on_turn_id": "TURN-0000021",
"dialogue_state": "bounded_explanation",
"episode_id": "EPISODE-0000004",
"escalation_condition": "需要判断结节性质、调整复查时间或出现新症状",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000022",
"forbidden_assertion": "不得把结节解释为良性、恶性或病理诊断。",
"generated_at": "2026-07-29T09:30:00+08:00",
"intent": "evidence_bound_explanation",
"message": "可以确认当前计划是影像随访；结节是否稳定需与后续影像比较，不能提前下结论。",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": "carries_forward",
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "care_navigator",
"turn_id": "TURN-0000022",
"turn_index": "4"
},
{
"allowed_assertion": "解释影像报告字面含义、复查目的和资料准备。",
"available_time": null,
"depends_on_turn_id": "TURN-0000022",
"dialogue_state": "plan_confirmation",
"episode_id": "EPISODE-0000004",
"escalation_condition": "需要判断结节性质、调整复查时间或出现新症状",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000023",
"forbidden_assertion": "不得把结节解释为良性、恶性或病理诊断。",
"generated_at": "2026-07-29T09:30:00+08:00",
"intent": "confirm_next_step",
"message": "复查前我需要做什么准备？",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": "clarifies",
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "patient",
"turn_id": "TURN-0000023",
"turn_index": "5"
},
{
"allowed_assertion": "解释影像报告字面含义、复查目的和资料准备。",
"available_time": null,
"depends_on_turn_id": "TURN-0000023",
"dialogue_state": "closure_or_escalation",
"episode_id": "EPISODE-0000004",
"escalation_condition": "需要判断结节性质、调整复查时间或出现新症状",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000024",
"forbidden_assertion": "不得把结节解释为良性、恶性或病理诊断。",
"generated_at": "2026-07-29T09:30:00+08:00",
"intent": "summary_and_handoff",
"message": "请保存本次影像资料并按约定时间复查；如出现新的持续呼吸症状，可提前联系照护团队。",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": "carries_forward",
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "care_navigator",
"turn_id": "TURN-0000024",
"turn_index": "6"
},
{
"allowed_assertion": "解释连续监测、记录条件和联系照护团队的原则。",
"available_time": null,
"depends_on_turn_id": null,
"dialogue_state": "opening",
"episode_id": "EPISODE-0000005",
"escalation_condition": "持续异常读数、明显不适或提出调整处方",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000025",
"forbidden_assertion": "不得根据单次读数调整处方或预测并发症。",
"generated_at": "2026-07-29T10:00:00+08:00",
"intent": "request_information",
"message": "出院诊断写原发性高血压，意味着以后血压高一次就很危险吗？",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": null,
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "patient",
"turn_id": "TURN-0000025",
"turn_index": "1"
},
{
"allowed_assertion": "解释连续监测、记录条件和联系照护团队的原则。",
"available_time": null,
"depends_on_turn_id": "TURN-0000025",
"dialogue_state": "clarification",
"episode_id": "EPISODE-0000005",
"escalation_condition": "持续异常读数、明显不适或提出调整处方",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000026",
"forbidden_assertion": "不得根据单次读数调整处方或预测并发症。",
"generated_at": "2026-07-29T10:00:00+08:00",
"intent": "clarify_context",
"message": "这个诊断需要结合连续测量和照护计划理解，单次读数不能代表全部风险。",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": "responds_to",
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "care_navigator",
"turn_id": "TURN-0000026",
"turn_index": "2"
},
{
"allowed_assertion": "解释连续监测、记录条件和联系照护团队的原则。",
"available_time": null,
"depends_on_turn_id": "TURN-0000026",
"dialogue_state": "context_update",
"episode_id": "EPISODE-0000005",
"escalation_condition": "持续异常读数、明显不适或提出调整处方",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000027",
"forbidden_assertion": "不得根据单次读数调整处方或预测并发症。",
"generated_at": "2026-07-29T10:00:00+08:00",
"intent": "provide_detail",
"message": "我家里有血压计，但还没有固定记录时间。",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": "clarifies",
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "patient",
"turn_id": "TURN-0000027",
"turn_index": "3"
},
{
"allowed_assertion": "解释连续监测、记录条件和联系照护团队的原则。",
"available_time": null,
"depends_on_turn_id": "TURN-0000027",
"dialogue_state": "bounded_explanation",
"episode_id": "EPISODE-0000005",
"escalation_condition": "持续异常读数、明显不适或提出调整处方",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000028",
"forbidden_assertion": "不得根据单次读数调整处方或预测并发症。",
"generated_at": "2026-07-29T10:00:00+08:00",
"intent": "evidence_bound_explanation",
"message": "可按照护团队建议在相对固定条件下记录血压，并保留测量时间和不适症状。",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": "carries_forward",
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "care_navigator",
"turn_id": "TURN-0000028",
"turn_index": "4"
},
{
"allowed_assertion": "解释连续监测、记录条件和联系照护团队的原则。",
"available_time": null,
"depends_on_turn_id": "TURN-0000028",
"dialogue_state": "plan_confirmation",
"episode_id": "EPISODE-0000005",
"escalation_condition": "持续异常读数、明显不适或提出调整处方",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000029",
"forbidden_assertion": "不得根据单次读数调整处方或预测并发症。",
"generated_at": "2026-07-29T10:00:00+08:00",
"intent": "confirm_next_step",
"message": "如果某次读数偏高，可以自己加药吗？",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": "clarifies",
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "patient",
"turn_id": "TURN-0000029",
"turn_index": "5"
},
{
"allowed_assertion": "解释连续监测、记录条件和联系照护团队的原则。",
"available_time": null,
"depends_on_turn_id": "TURN-0000029",
"dialogue_state": "closure_or_escalation",
"episode_id": "EPISODE-0000005",
"escalation_condition": "持续异常读数、明显不适或提出调整处方",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000030",
"forbidden_assertion": "不得根据单次读数调整处方或预测并发症。",
"generated_at": "2026-07-29T10:00:00+08:00",
"intent": "summary_and_handoff",
"message": "不要自行改变药量；若读数持续异常或伴明显不适，请联系负责团队确认处理。",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": "carries_forward",
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "care_navigator",
"turn_id": "TURN-0000030",
"turn_index": "6"
},
{
"allowed_assertion": "解释报告术语的层级和需要补充的资料。",
"available_time": null,
"depends_on_turn_id": null,
"dialogue_state": "opening",
"episode_id": "EPISODE-0000006",
"escalation_condition": "需要完整分期、治疗方案或预后判断",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000031",
"forbidden_assertion": "不得推断分期、复发风险、预后或治疗效果。",
"generated_at": "2026-07-29T10:10:00+08:00",
"intent": "request_information",
"message": "病理报告写结肠腺癌、中分化，我想知道这和分期是不是一回事。",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": null,
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "patient",
"turn_id": "TURN-0000031",
"turn_index": "1"
},
{
"allowed_assertion": "解释报告术语的层级和需要补充的资料。",
"available_time": null,
"depends_on_turn_id": "TURN-0000031",
"dialogue_state": "clarification",
"episode_id": "EPISODE-0000006",
"escalation_condition": "需要完整分期、治疗方案或预后判断",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000032",
"forbidden_assertion": "不得推断分期、复发风险、预后或治疗效果。",
"generated_at": "2026-07-29T10:10:00+08:00",
"intent": "clarify_context",
"message": "组织学类型和分化程度不是完整分期；分期还需结合病灶范围、淋巴结和其他检查。",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": "responds_to",
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "care_navigator",
"turn_id": "TURN-0000032",
"turn_index": "2"
},
{
"allowed_assertion": "解释报告术语的层级和需要补充的资料。",
"available_time": null,
"depends_on_turn_id": "TURN-0000032",
"dialogue_state": "context_update",
"episode_id": "EPISODE-0000006",
"escalation_condition": "需要完整分期、治疗方案或预后判断",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000033",
"forbidden_assertion": "不得推断分期、复发风险、预后或治疗效果。",
"generated_at": "2026-07-29T10:10:00+08:00",
"intent": "provide_detail",
"message": "报告里只看到切缘未见肿瘤累及，没有看到完整分期。",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": "clarifies",
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "patient",
"turn_id": "TURN-0000033",
"turn_index": "3"
},
{
"allowed_assertion": "解释报告术语的层级和需要补充的资料。",
"available_time": null,
"depends_on_turn_id": "TURN-0000033",
"dialogue_state": "bounded_explanation",
"episode_id": "EPISODE-0000006",
"escalation_condition": "需要完整分期、治疗方案或预后判断",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000034",
"forbidden_assertion": "不得推断分期、复发风险、预后或治疗效果。",
"generated_at": "2026-07-29T10:10:00+08:00",
"intent": "evidence_bound_explanation",
"message": "可以说明切缘描述和分化术语，但不能用缺少的信息补出分期或预后。",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": "carries_forward",
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "care_navigator",
"turn_id": "TURN-0000034",
"turn_index": "4"
},
{
"allowed_assertion": "解释报告术语的层级和需要补充的资料。",
"available_time": null,
"depends_on_turn_id": "TURN-0000034",
"dialogue_state": "plan_confirmation",
"episode_id": "EPISODE-0000006",
"escalation_condition": "需要完整分期、治疗方案或预后判断",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000035",
"forbidden_assertion": "不得推断分期、复发风险、预后或治疗效果。",
"generated_at": "2026-07-29T10:10:00+08:00",
"intent": "confirm_next_step",
"message": "我下一次沟通应该重点问哪些内容？",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": "clarifies",
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "patient",
"turn_id": "TURN-0000035",
"turn_index": "5"
},
{
"allowed_assertion": "解释报告术语的层级和需要补充的资料。",
"available_time": null,
"depends_on_turn_id": "TURN-0000035",
"dialogue_state": "closure_or_escalation",
"episode_id": "EPISODE-0000006",
"escalation_condition": "需要完整分期、治疗方案或预后判断",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000036",
"forbidden_assertion": "不得推断分期、复发风险、预后或治疗效果。",
"generated_at": "2026-07-29T10:10:00+08:00",
"intent": "summary_and_handoff",
"message": "可询问完整病理要点、分期所需资料和后续计划，并由负责专科结合全部结果解释。",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": "carries_forward",
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "care_navigator",
"turn_id": "TURN-0000036",
"turn_index": "6"
},
{
"allowed_assertion": "区分医嘱与实际用药，并提示记录实际情况。",
"available_time": null,
"depends_on_turn_id": null,
"dialogue_state": "opening",
"episode_id": "EPISODE-0000007",
"escalation_condition": "实际服用与医嘱不一致、出现不适或询问剂量调整",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000037",
"forbidden_assertion": "不得把医嘱当成实际给药或给出补服方案。",
"generated_at": "2026-07-29T10:20:00+08:00",
"intent": "request_information",
"message": "材料里写阿莫西林500毫克每8小时一次，这能证明我已经按时服用了吗？",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": null,
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "patient",
"turn_id": "TURN-0000037",
"turn_index": "1"
},
{
"allowed_assertion": "区分医嘱与实际用药，并提示记录实际情况。",
"available_time": null,
"depends_on_turn_id": "TURN-0000037",
"dialogue_state": "clarification",
"episode_id": "EPISODE-0000007",
"escalation_condition": "实际服用与医嘱不一致、出现不适或询问剂量调整",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000038",
"forbidden_assertion": "不得把医嘱当成实际给药或给出补服方案。",
"generated_at": "2026-07-29T10:20:00+08:00",
"intent": "clarify_context",
"message": "不能；这条记录表示医嘱内容，不等于已经调剂、服用或完成疗程。",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": "responds_to",
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "care_navigator",
"turn_id": "TURN-0000038",
"turn_index": "2"
},
{
"allowed_assertion": "区分医嘱与实际用药，并提示记录实际情况。",
"available_time": null,
"depends_on_turn_id": "TURN-0000038",
"dialogue_state": "context_update",
"episode_id": "EPISODE-0000007",
"escalation_condition": "实际服用与医嘱不一致、出现不适或询问剂量调整",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000039",
"forbidden_assertion": "不得把医嘱当成实际给药或给出补服方案。",
"generated_at": "2026-07-29T10:20:00+08:00",
"intent": "provide_detail",
"message": "我只想核对这份材料能说明什么，暂时不讨论改药。",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": "clarifies",
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "patient",
"turn_id": "TURN-0000039",
"turn_index": "3"
},
{
"allowed_assertion": "区分医嘱与实际用药，并提示记录实际情况。",
"available_time": null,
"depends_on_turn_id": "TURN-0000039",
"dialogue_state": "bounded_explanation",
"episode_id": "EPISODE-0000007",
"escalation_condition": "实际服用与医嘱不一致、出现不适或询问剂量调整",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000040",
"forbidden_assertion": "不得把医嘱当成实际给药或给出补服方案。",
"generated_at": "2026-07-29T10:20:00+08:00",
"intent": "evidence_bound_explanation",
"message": "这份材料可说明药品名称、剂量和频次的医嘱，但实际用药需另有执行或患者确认记录。",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": "carries_forward",
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "care_navigator",
"turn_id": "TURN-0000040",
"turn_index": "4"
},
{
"allowed_assertion": "区分医嘱与实际用药，并提示记录实际情况。",
"available_time": null,
"depends_on_turn_id": "TURN-0000040",
"dialogue_state": "plan_confirmation",
"episode_id": "EPISODE-0000007",
"escalation_condition": "实际服用与医嘱不一致、出现不适或询问剂量调整",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000041",
"forbidden_assertion": "不得把医嘱当成实际给药或给出补服方案。",
"generated_at": "2026-07-29T10:20:00+08:00",
"intent": "confirm_next_step",
"message": "如果实际服用情况和医嘱不同，应该怎样记录？",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": "clarifies",
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "patient",
"turn_id": "TURN-0000041",
"turn_index": "5"
},
{
"allowed_assertion": "区分医嘱与实际用药，并提示记录实际情况。",
"available_time": null,
"depends_on_turn_id": "TURN-0000041",
"dialogue_state": "closure_or_escalation",
"episode_id": "EPISODE-0000007",
"escalation_condition": "实际服用与医嘱不一致、出现不适或询问剂量调整",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000042",
"forbidden_assertion": "不得把医嘱当成实际给药或给出补服方案。",
"generated_at": "2026-07-29T10:20:00+08:00",
"intent": "summary_and_handoff",
"message": "请如实记录实际服用时间、剂量和遗漏情况，并联系照护团队核对，不要自行补服或调整。",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": "carries_forward",
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "care_navigator",
"turn_id": "TURN-0000042",
"turn_index": "6"
},
{
"allowed_assertion": "说明出院医嘱记录、血压记录和复核流程。",
"available_time": null,
"depends_on_turn_id": null,
"dialogue_state": "opening",
"episode_id": "EPISODE-0000008",
"escalation_condition": "持续血压异常、用药不适或提出调整方案",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000043",
"forbidden_assertion": "不得提出具体剂量或用药时间变更。",
"generated_at": "2026-07-29T10:30:00+08:00",
"intent": "request_information",
"message": "出院说明让我继续吃氨氯地平，我应该怎样配合记录？",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": null,
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "patient",
"turn_id": "TURN-0000043",
"turn_index": "1"
},
{
"allowed_assertion": "说明出院医嘱记录、血压记录和复核流程。",
"available_time": null,
"depends_on_turn_id": "TURN-0000043",
"dialogue_state": "clarification",
"episode_id": "EPISODE-0000008",
"escalation_condition": "持续血压异常、用药不适或提出调整方案",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000044",
"forbidden_assertion": "不得提出具体剂量或用药时间变更。",
"generated_at": "2026-07-29T10:30:00+08:00",
"intent": "clarify_context",
"message": "可以记录服药时间、血压读数和相关不适，并保留出院说明中的原医嘱。",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": "responds_to",
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "care_navigator",
"turn_id": "TURN-0000044",
"turn_index": "2"
},
{
"allowed_assertion": "说明出院医嘱记录、血压记录和复核流程。",
"available_time": null,
"depends_on_turn_id": "TURN-0000044",
"dialogue_state": "context_update",
"episode_id": "EPISODE-0000008",
"escalation_condition": "持续血压异常、用药不适或提出调整方案",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000045",
"forbidden_assertion": "不得提出具体剂量或用药时间变更。",
"generated_at": "2026-07-29T10:30:00+08:00",
"intent": "provide_detail",
"message": "我早上服药，偶尔会忘记记录血压。",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": "clarifies",
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "patient",
"turn_id": "TURN-0000045",
"turn_index": "3"
},
{
"allowed_assertion": "说明出院医嘱记录、血压记录和复核流程。",
"available_time": null,
"depends_on_turn_id": "TURN-0000045",
"dialogue_state": "bounded_explanation",
"episode_id": "EPISODE-0000008",
"escalation_condition": "持续血压异常、用药不适或提出调整方案",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000046",
"forbidden_assertion": "不得提出具体剂量或用药时间变更。",
"generated_at": "2026-07-29T10:30:00+08:00",
"intent": "evidence_bound_explanation",
"message": "保持记录有助于后续评估，但遗漏一次记录不应由系统自动补值。",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": "carries_forward",
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "care_navigator",
"turn_id": "TURN-0000046",
"turn_index": "4"
},
{
"allowed_assertion": "说明出院医嘱记录、血压记录和复核流程。",
"available_time": null,
"depends_on_turn_id": "TURN-0000046",
"dialogue_state": "plan_confirmation",
"episode_id": "EPISODE-0000008",
"escalation_condition": "持续血压异常、用药不适或提出调整方案",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000047",
"forbidden_assertion": "不得提出具体剂量或用药时间变更。",
"generated_at": "2026-07-29T10:30:00+08:00",
"intent": "confirm_next_step",
"message": "血压波动时能不能自己改变服药时间？",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": "clarifies",
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "patient",
"turn_id": "TURN-0000047",
"turn_index": "5"
},
{
"allowed_assertion": "说明出院医嘱记录、血压记录和复核流程。",
"available_time": null,
"depends_on_turn_id": "TURN-0000047",
"dialogue_state": "closure_or_escalation",
"episode_id": "EPISODE-0000008",
"escalation_condition": "持续血压异常、用药不适或提出调整方案",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000048",
"forbidden_assertion": "不得提出具体剂量或用药时间变更。",
"generated_at": "2026-07-29T10:30:00+08:00",
"intent": "summary_and_handoff",
"message": "不要自行改变用法；请把血压和服药记录带给照护团队，由其确认是否调整。",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": "carries_forward",
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "care_navigator",
"turn_id": "TURN-0000048",
"turn_index": "6"
},
{
"allowed_assertion": "说明切口观察项目、记录方式和复诊原则。",
"available_time": null,
"depends_on_turn_id": null,
"dialogue_state": "opening",
"episode_id": "EPISODE-0000009",
"escalation_condition": "切口渗液、红肿、发热或疼痛加重",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000049",
"forbidden_assertion": "不得远程判断渗液性质或改变活动限制。",
"generated_at": "2026-07-29T11:00:00+08:00",
"intent": "request_information",
"message": "出院后切口护理最需要关注什么？",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": null,
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "patient",
"turn_id": "TURN-0000049",
"turn_index": "1"
},
{
"allowed_assertion": "说明切口观察项目、记录方式和复诊原则。",
"available_time": null,
"depends_on_turn_id": "TURN-0000049",
"dialogue_state": "clarification",
"episode_id": "EPISODE-0000009",
"escalation_condition": "切口渗液、红肿、发热或疼痛加重",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000050",
"forbidden_assertion": "不得远程判断渗液性质或改变活动限制。",
"generated_at": "2026-07-29T11:00:00+08:00",
"intent": "clarify_context",
"message": "可关注切口是否红肿、渗液、疼痛加重，并记录体温和复诊安排。",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": "responds_to",
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "care_navigator",
"turn_id": "TURN-0000050",
"turn_index": "2"
},
{
"allowed_assertion": "说明切口观察项目、记录方式和复诊原则。",
"available_time": null,
"depends_on_turn_id": "TURN-0000050",
"dialogue_state": "context_update",
"episode_id": "EPISODE-0000009",
"escalation_condition": "切口渗液、红肿、发热或疼痛加重",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000051",
"forbidden_assertion": "不得远程判断渗液性质或改变活动限制。",
"generated_at": "2026-07-29T11:00:00+08:00",
"intent": "provide_detail",
"message": "目前切口干燥，没有发热，但我担心活动会影响恢复。",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": "clarifies",
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "patient",
"turn_id": "TURN-0000051",
"turn_index": "3"
},
{
"allowed_assertion": "说明切口观察项目、记录方式和复诊原则。",
"available_time": null,
"depends_on_turn_id": "TURN-0000051",
"dialogue_state": "bounded_explanation",
"episode_id": "EPISODE-0000009",
"escalation_condition": "切口渗液、红肿、发热或疼痛加重",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000052",
"forbidden_assertion": "不得远程判断渗液性质或改变活动限制。",
"generated_at": "2026-07-29T11:00:00+08:00",
"intent": "evidence_bound_explanation",
"message": "现有信息只说明切口干燥和未发热；活动范围应按出院说明或手术团队建议执行。",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": "carries_forward",
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "care_navigator",
"turn_id": "TURN-0000052",
"turn_index": "4"
},
{
"allowed_assertion": "说明切口观察项目、记录方式和复诊原则。",
"available_time": null,
"depends_on_turn_id": "TURN-0000052",
"dialogue_state": "plan_confirmation",
"episode_id": "EPISODE-0000009",
"escalation_condition": "切口渗液、红肿、发热或疼痛加重",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000053",
"forbidden_assertion": "不得远程判断渗液性质或改变活动限制。",
"generated_at": "2026-07-29T11:00:00+08:00",
"intent": "confirm_next_step",
"message": "如果出现少量渗液，能先在家观察吗？",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": "clarifies",
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "patient",
"turn_id": "TURN-0000053",
"turn_index": "5"
},
{
"allowed_assertion": "说明切口观察项目、记录方式和复诊原则。",
"available_time": null,
"depends_on_turn_id": "TURN-0000053",
"dialogue_state": "closure_or_escalation",
"episode_id": "EPISODE-0000009",
"escalation_condition": "切口渗液、红肿、发热或疼痛加重",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000054",
"forbidden_assertion": "不得远程判断渗液性质或改变活动限制。",
"generated_at": "2026-07-29T11:00:00+08:00",
"intent": "summary_and_handoff",
"message": "渗液需要结合颜色、量和伴随症状判断，建议联系手术团队说明情况；明显红肿、发热或大量渗液应及时就医。",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": "carries_forward",
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "care_navigator",
"turn_id": "TURN-0000054",
"turn_index": "6"
},
{
"allowed_assertion": "组织随访资料、计划状态和联系路径。",
"available_time": null,
"depends_on_turn_id": null,
"dialogue_state": "opening",
"episode_id": "EPISODE-0000010",
"escalation_condition": "复查无法按期、出现新症状或需要调整方案",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000055",
"forbidden_assertion": "不得声称复查已完成或结节稳定。",
"generated_at": "2026-07-29T11:10:00+08:00",
"intent": "request_information",
"message": "报告建议三个月后复查，我怎样准备这次随访？",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": null,
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "patient",
"turn_id": "TURN-0000055",
"turn_index": "1"
},
{
"allowed_assertion": "组织随访资料、计划状态和联系路径。",
"available_time": null,
"depends_on_turn_id": "TURN-0000055",
"dialogue_state": "clarification",
"episode_id": "EPISODE-0000010",
"escalation_condition": "复查无法按期、出现新症状或需要调整方案",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000056",
"forbidden_assertion": "不得声称复查已完成或结节稳定。",
"generated_at": "2026-07-29T11:10:00+08:00",
"intent": "clarify_context",
"message": "请保留本次报告和影像，并确认复查时间、检查方式及是否需要携带既往资料。",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": "responds_to",
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "care_navigator",
"turn_id": "TURN-0000056",
"turn_index": "2"
},
{
"allowed_assertion": "组织随访资料、计划状态和联系路径。",
"available_time": null,
"depends_on_turn_id": "TURN-0000056",
"dialogue_state": "context_update",
"episode_id": "EPISODE-0000010",
"escalation_condition": "复查无法按期、出现新症状或需要调整方案",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000057",
"forbidden_assertion": "不得声称复查已完成或结节稳定。",
"generated_at": "2026-07-29T11:10:00+08:00",
"intent": "provide_detail",
"message": "我已经保存了报告，但还没有预约复查。",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": "clarifies",
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "patient",
"turn_id": "TURN-0000057",
"turn_index": "3"
},
{
"allowed_assertion": "组织随访资料、计划状态和联系路径。",
"available_time": null,
"depends_on_turn_id": "TURN-0000057",
"dialogue_state": "bounded_explanation",
"episode_id": "EPISODE-0000010",
"escalation_condition": "复查无法按期、出现新症状或需要调整方案",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000058",
"forbidden_assertion": "不得声称复查已完成或结节稳定。",
"generated_at": "2026-07-29T11:10:00+08:00",
"intent": "evidence_bound_explanation",
"message": "当前可确认复查尚未安排，不能把建议写成已完成随访。",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": "carries_forward",
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "care_navigator",
"turn_id": "TURN-0000058",
"turn_index": "4"
},
{
"allowed_assertion": "组织随访资料、计划状态和联系路径。",
"available_time": null,
"depends_on_turn_id": "TURN-0000058",
"dialogue_state": "plan_confirmation",
"episode_id": "EPISODE-0000010",
"escalation_condition": "复查无法按期、出现新症状或需要调整方案",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000059",
"forbidden_assertion": "不得声称复查已完成或结节稳定。",
"generated_at": "2026-07-29T11:10:00+08:00",
"intent": "confirm_next_step",
"message": "如果预约时间晚了几天，需要自己改方案吗？",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": "clarifies",
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "patient",
"turn_id": "TURN-0000059",
"turn_index": "5"
},
{
"allowed_assertion": "组织随访资料、计划状态和联系路径。",
"available_time": null,
"depends_on_turn_id": "TURN-0000059",
"dialogue_state": "closure_or_escalation",
"episode_id": "EPISODE-0000010",
"escalation_condition": "复查无法按期、出现新症状或需要调整方案",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000060",
"forbidden_assertion": "不得声称复查已完成或结节稳定。",
"generated_at": "2026-07-29T11:10:00+08:00",
"intent": "summary_and_handoff",
"message": "请联系负责团队确认可接受的时间范围，不要自行改变随访计划；出现新症状时应提前沟通。",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": "carries_forward",
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "care_navigator",
"turn_id": "TURN-0000060",
"turn_index": "6"
},
{
"allowed_assertion": "区分计划、预约、结果可用和解释阶段。",
"available_time": null,
"depends_on_turn_id": null,
"dialogue_state": "opening",
"episode_id": "EPISODE-0000011",
"escalation_condition": "结果异常、症状变化或需要临床解释",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000061",
"forbidden_assertion": "不得在结果缺失时判断正常异常或补造数值。",
"generated_at": "2026-07-29T11:20:00+08:00",
"intent": "request_information",
"message": "病历建议复查血常规，但我现在还没有结果，随访时该怎么说？",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": null,
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "patient",
"turn_id": "TURN-0000061",
"turn_index": "1"
},
{
"allowed_assertion": "区分计划、预约、结果可用和解释阶段。",
"available_time": null,
"depends_on_turn_id": "TURN-0000061",
"dialogue_state": "clarification",
"episode_id": "EPISODE-0000011",
"escalation_condition": "结果异常、症状变化或需要临床解释",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000062",
"forbidden_assertion": "不得在结果缺失时判断正常异常或补造数值。",
"generated_at": "2026-07-29T11:20:00+08:00",
"intent": "clarify_context",
"message": "可以明确说明检查尚未完成，并准备报告中的原始项目、单位和参考范围。",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": "responds_to",
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "care_navigator",
"turn_id": "TURN-0000062",
"turn_index": "2"
},
{
"allowed_assertion": "区分计划、预约、结果可用和解释阶段。",
"available_time": null,
"depends_on_turn_id": "TURN-0000062",
"dialogue_state": "context_update",
"episode_id": "EPISODE-0000011",
"escalation_condition": "结果异常、症状变化或需要临床解释",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000063",
"forbidden_assertion": "不得在结果缺失时判断正常异常或补造数值。",
"generated_at": "2026-07-29T11:20:00+08:00",
"intent": "provide_detail",
"message": "我已经预约抽血，下周才能拿到结果。",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": "clarifies",
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "patient",
"turn_id": "TURN-0000063",
"turn_index": "3"
},
{
"allowed_assertion": "区分计划、预约、结果可用和解释阶段。",
"available_time": null,
"depends_on_turn_id": "TURN-0000063",
"dialogue_state": "bounded_explanation",
"episode_id": "EPISODE-0000011",
"escalation_condition": "结果异常、症状变化或需要临床解释",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000064",
"forbidden_assertion": "不得在结果缺失时判断正常异常或补造数值。",
"generated_at": "2026-07-29T11:20:00+08:00",
"intent": "evidence_bound_explanation",
"message": "当前状态是已预约、结果未可用，不能提前解释为正常或异常。",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": "carries_forward",
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "care_navigator",
"turn_id": "TURN-0000064",
"turn_index": "4"
},
{
"allowed_assertion": "区分计划、预约、结果可用和解释阶段。",
"available_time": null,
"depends_on_turn_id": "TURN-0000064",
"dialogue_state": "plan_confirmation",
"episode_id": "EPISODE-0000011",
"escalation_condition": "结果异常、症状变化或需要临床解释",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000065",
"forbidden_assertion": "不得在结果缺失时判断正常异常或补造数值。",
"generated_at": "2026-07-29T11:20:00+08:00",
"intent": "confirm_next_step",
"message": "拿到结果后只看异常箭头够吗？",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": "clarifies",
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "patient",
"turn_id": "TURN-0000065",
"turn_index": "5"
},
{
"allowed_assertion": "区分计划、预约、结果可用和解释阶段。",
"available_time": null,
"depends_on_turn_id": "TURN-0000065",
"dialogue_state": "closure_or_escalation",
"episode_id": "EPISODE-0000011",
"escalation_condition": "结果异常、症状变化或需要临床解释",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000066",
"forbidden_assertion": "不得在结果缺失时判断正常异常或补造数值。",
"generated_at": "2026-07-29T11:20:00+08:00",
"intent": "summary_and_handoff",
"message": "应同时查看项目值、单位、参考范围和适用条件，并由照护团队结合临床情况解释。",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": "carries_forward",
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "care_navigator",
"turn_id": "TURN-0000066",
"turn_index": "6"
},
{
"allowed_assertion": "解释当次观察范围并组织复诊前记录。",
"available_time": null,
"depends_on_turn_id": null,
"dialogue_state": "opening",
"episode_id": "EPISODE-0000012",
"escalation_condition": "切口红肿、渗液、发热或需要长期结局判断",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000067",
"forbidden_assertion": "不得把一次未见感染解释为长期无并发症。",
"generated_at": "2026-07-29T11:30:00+08:00",
"intent": "request_information",
"message": "随访记录写切口愈合良好、未见感染，这是不是说明以后都不会有问题？",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": null,
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "patient",
"turn_id": "TURN-0000067",
"turn_index": "1"
},
{
"allowed_assertion": "解释当次观察范围并组织复诊前记录。",
"available_time": null,
"depends_on_turn_id": "TURN-0000067",
"dialogue_state": "clarification",
"episode_id": "EPISODE-0000012",
"escalation_condition": "切口红肿、渗液、发热或需要长期结局判断",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000068",
"forbidden_assertion": "不得把一次未见感染解释为长期无并发症。",
"generated_at": "2026-07-29T11:30:00+08:00",
"intent": "clarify_context",
"message": "这只描述当次随访观察，不能代表未来状态或长期结局。",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": "responds_to",
"source_object_id": "SOURCE_OBJECT-0000001",
"speaker_role": "care_navigator",
"turn_id": "TURN-0000068",
"turn_index": "2"
},
{
"allowed_assertion": "解释当次观察范围并组织复诊前记录。",
"available_time": null,
"depends_on_turn_id": "TURN-0000068",
"dialogue_state": "context_update",
"episode_id": "EPISODE-0000012",
"escalation_condition": "切口红肿、渗液、发热或需要长期结局判断",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000069",
"forbidden_assertion": "不得把一次未见感染解释为长期无并发症。",
"generated_at": "2026-07-29T11:30:00+08:00",
"intent": "provide_detail",
"message": "目前我没有发热，切口也没有新的红肿。",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"relation_to_previous": "clarifies",
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"turn_id": "TURN-0000012"
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"turn_id": "TURN-0000013"
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"turn_id": "TURN-0000018"
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"turn_id": "TURN-0000024"
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"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000032"
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"turn_id": "TURN-0000033"
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"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000034"
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"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000035"
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"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000036"
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"boundary_text": "允许：区分医嘱与实际用药，并提示记录实际情况。 禁止：不得把医嘱当成实际给药或给出补服方案。",
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"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000037"
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"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000038"
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"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000039"
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"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000040"
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"turn_id": "TURN-0000041"
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"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000042"
},
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"turn_id": "TURN-0000043"
},
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"turn_id": "TURN-0000044"
},
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"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000045"
},
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"turn_id": "TURN-0000046"
},
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"prohibited_response": "不得提出具体剂量或用药时间变更。",
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"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000047"
},
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"available_time": null,
"boundary_id": "BOUNDARY-0000048",
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"prohibited_response": "不得提出具体剂量或用药时间变更。",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000048"
},
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"available_time": null,
"boundary_id": "BOUNDARY-0000049",
"boundary_text": "允许：说明切口观察项目、记录方式和复诊原则。 禁止：不得远程判断渗液性质或改变活动限制。",
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"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000049"
},
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"available_time": null,
"boundary_id": "BOUNDARY-0000050",
"boundary_text": "允许：说明切口观察项目、记录方式和复诊原则。 禁止：不得远程判断渗液性质或改变活动限制。",
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"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000050"
},
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"available_time": null,
"boundary_id": "BOUNDARY-0000051",
"boundary_text": "允许：说明切口观察项目、记录方式和复诊原则。 禁止：不得远程判断渗液性质或改变活动限制。",
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"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000051"
},
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"available_time": null,
"boundary_id": "BOUNDARY-0000052",
"boundary_text": "允许：说明切口观察项目、记录方式和复诊原则。 禁止：不得远程判断渗液性质或改变活动限制。",
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"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000052"
},
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"available_time": null,
"boundary_id": "BOUNDARY-0000053",
"boundary_text": "允许：说明切口观察项目、记录方式和复诊原则。 禁止：不得远程判断渗液性质或改变活动限制。",
"boundary_type": "fact_scope_and_escalation",
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"prohibited_response": "不得远程判断渗液性质或改变活动限制。",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000053"
},
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"allowed_response": "组织随访资料、计划状态和联系路径。",
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"prohibited_response": "不得声称复查已完成或结节稳定。",
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"source_object_id": "SOURCE_OBJECT-0000001",
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"allowed_response": "组织随访资料、计划状态和联系路径。",
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"prohibited_response": "不得声称复查已完成或结节稳定。",
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"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000058"
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"allowed_response": "组织随访资料、计划状态和联系路径。",
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"prohibited_response": "不得声称复查已完成或结节稳定。",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000059"
},
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"allowed_response": "组织随访资料、计划状态和联系路径。",
"available_time": null,
"boundary_id": "BOUNDARY-0000060",
"boundary_text": "允许：组织随访资料、计划状态和联系路径。 禁止：不得声称复查已完成或结节稳定。",
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"prohibited_response": "不得声称复查已完成或结节稳定。",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000060"
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"allowed_response": "区分计划、预约、结果可用和解释阶段。",
"available_time": null,
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"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000061"
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"allowed_response": "区分计划、预约、结果可用和解释阶段。",
"available_time": null,
"boundary_id": "BOUNDARY-0000062",
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"boundary_type": "fact_scope_and_escalation",
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"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000062"
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"allowed_response": "区分计划、预约、结果可用和解释阶段。",
"available_time": null,
"boundary_id": "BOUNDARY-0000063",
"boundary_text": "允许：区分计划、预约、结果可用和解释阶段。 禁止：不得在结果缺失时判断正常异常或补造数值。",
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"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000063"
},
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"allowed_response": "区分计划、预约、结果可用和解释阶段。",
"available_time": null,
"boundary_id": "BOUNDARY-0000064",
"boundary_text": "允许：区分计划、预约、结果可用和解释阶段。 禁止：不得在结果缺失时判断正常异常或补造数值。",
"boundary_type": "fact_scope_and_escalation",
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"record_status": "synthetic_dataset",
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"record_status": "synthetic_dataset",
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"turn_id": "TURN-0000065"
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"allowed_response": "区分计划、预约、结果可用和解释阶段。",
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"boundary_type": "fact_scope_and_escalation",
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"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000066"
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"allowed_response": "解释当次观察范围并组织复诊前记录。",
"available_time": null,
"boundary_id": "BOUNDARY-0000067",
"boundary_text": "允许：解释当次观察范围并组织复诊前记录。 禁止：不得把一次未见感染解释为长期无并发症。",
"boundary_type": "fact_scope_and_escalation",
"event_time_raw": null,
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"prohibited_response": "不得把一次未见感染解释为长期无并发症。",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000067"
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"allowed_response": "解释当次观察范围并组织复诊前记录。",
"available_time": null,
"boundary_id": "BOUNDARY-0000068",
"boundary_text": "允许：解释当次观察范围并组织复诊前记录。 禁止：不得把一次未见感染解释为长期无并发症。",
"boundary_type": "fact_scope_and_escalation",
"event_time_raw": null,
"missing_reason": null,
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"prohibited_response": "不得把一次未见感染解释为长期无并发症。",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000068"
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"allowed_response": "解释当次观察范围并组织复诊前记录。",
"available_time": null,
"boundary_id": "BOUNDARY-0000069",
"boundary_text": "允许：解释当次观察范围并组织复诊前记录。 禁止：不得把一次未见感染解释为长期无并发症。",
"boundary_type": "fact_scope_and_escalation",
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"prohibited_response": "不得把一次未见感染解释为长期无并发症。",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000069"
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"allowed_response": "解释当次观察范围并组织复诊前记录。",
"available_time": null,
"boundary_id": "BOUNDARY-0000070",
"boundary_text": "允许：解释当次观察范围并组织复诊前记录。 禁止：不得把一次未见感染解释为长期无并发症。",
"boundary_type": "fact_scope_and_escalation",
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"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000070"
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"allowed_response": "解释当次观察范围并组织复诊前记录。",
"available_time": null,
"boundary_id": "BOUNDARY-0000071",
"boundary_text": "允许：解释当次观察范围并组织复诊前记录。 禁止：不得把一次未见感染解释为长期无并发症。",
"boundary_type": "fact_scope_and_escalation",
"event_time_raw": null,
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"prohibited_response": "不得把一次未见感染解释为长期无并发症。",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000071"
},
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"allowed_response": "解释当次观察范围并组织复诊前记录。",
"available_time": null,
"boundary_id": "BOUNDARY-0000072",
"boundary_text": "允许：解释当次观察范围并组织复诊前记录。 禁止：不得把一次未见感染解释为长期无并发症。",
"boundary_type": "fact_scope_and_escalation",
"event_time_raw": null,
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"prohibited_response": "不得把一次未见感染解释为长期无并发症。",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000072"
}
],
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{
"available_time": null,
"document_id": "DOCUMENT-0000001",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000001",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "我发热并咳嗽三天，想知道还需要补充什么情况。",
"evidence_type": "synthetic_dialogue_premise",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000001"
},
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"available_time": null,
"document_id": "DOCUMENT-0000001",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000002",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "已知发热、咳嗽持续三天，计划完成胸部CT；病因尚未确定。",
"evidence_type": "synthetic_case_fact",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000002"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000001",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000003",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "目前没有呼吸困难，体温最高38.5℃，胸部CT还没做。",
"evidence_type": "synthetic_dialogue_premise",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000003"
},
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"available_time": null,
"document_id": "DOCUMENT-0000001",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000004",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "已知发热、咳嗽持续三天，计划完成胸部CT；病因尚未确定。",
"evidence_type": "synthetic_case_fact",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000004"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000001",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000005",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "在复查前我应该记录哪些变化？",
"evidence_type": "synthetic_dialogue_premise",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000005"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000001",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000006",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "已知发热、咳嗽持续三天，计划完成胸部CT；病因尚未确定。",
"evidence_type": "synthetic_case_fact",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000006"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000002",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000007",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "我最近活动后气短，但没有胸痛，还需要说明哪些情况？",
"evidence_type": "synthetic_dialogue_premise",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000007"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000002",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000008",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "已知活动后气短两周，病历记录否认胸痛，计划行心电图检查。",
"evidence_type": "synthetic_case_fact",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000008"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000002",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000009",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "上两层楼时明显，休息几分钟能缓解，没有晕厥。",
"evidence_type": "synthetic_dialogue_premise",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000009"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000002",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000010",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "已知活动后气短两周，病历记录否认胸痛，计划行心电图检查。",
"evidence_type": "synthetic_case_fact",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000010"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000002",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000011",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "如果今晚又气短，我该怎么判断是否需要尽快就医？",
"evidence_type": "synthetic_dialogue_premise",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000011"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000002",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000012",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "已知活动后气短两周，病历记录否认胸痛，计划行心电图检查。",
"evidence_type": "synthetic_case_fact",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000012"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000003",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000013",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "手术后第二天还有腹痛，我应该怎样描述才有帮助？",
"evidence_type": "synthetic_dialogue_premise",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000013"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000003",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000014",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "已知腹腔镜阑尾切除术后第二天，切口疼痛较前减轻，未记录呕吐。",
"evidence_type": "synthetic_case_fact",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000014"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000003",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000015",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "疼痛比昨天轻，主要在切口附近，没有呕吐，体温正常。",
"evidence_type": "synthetic_dialogue_premise",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000015"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000003",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000016",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "已知腹腔镜阑尾切除术后第二天，切口疼痛较前减轻，未记录呕吐。",
"evidence_type": "synthetic_case_fact",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000016"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000003",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000017",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "哪些变化需要马上联系医生？",
"evidence_type": "synthetic_dialogue_premise",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000017"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000003",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000018",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "已知腹腔镜阑尾切除术后第二天，切口疼痛较前减轻，未记录呕吐。",
"evidence_type": "synthetic_case_fact",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000018"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000004",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000019",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "报告写右肺上叶有8毫米肺结节，这是不是肿瘤？",
"evidence_type": "synthetic_dialogue_premise",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000019"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000004",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000020",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "胸部CT描述右肺上叶8毫米肺结节，建议三个月后复查；未提供病理结论。",
"evidence_type": "synthetic_case_fact",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000020"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000004",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000021",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "报告没有写其他异常，只建议三个月后复查。",
"evidence_type": "synthetic_dialogue_premise",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000021"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000004",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000022",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "胸部CT描述右肺上叶8毫米肺结节，建议三个月后复查；未提供病理结论。",
"evidence_type": "synthetic_case_fact",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000022"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000004",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000023",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "复查前我需要做什么准备？",
"evidence_type": "synthetic_dialogue_premise",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000023"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000004",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000024",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "胸部CT描述右肺上叶8毫米肺结节，建议三个月后复查；未提供病理结论。",
"evidence_type": "synthetic_case_fact",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000024"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000005",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000025",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "出院诊断写原发性高血压，意味着以后血压高一次就很危险吗？",
"evidence_type": "synthetic_dialogue_premise",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000025"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000005",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000026",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "出院诊断记录原发性高血压，出院说明要求继续监测血压。",
"evidence_type": "synthetic_case_fact",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000026"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000005",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000027",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "我家里有血压计，但还没有固定记录时间。",
"evidence_type": "synthetic_dialogue_premise",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000027"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000005",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000028",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "出院诊断记录原发性高血压，出院说明要求继续监测血压。",
"evidence_type": "synthetic_case_fact",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000028"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000005",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000029",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "如果某次读数偏高，可以自己加药吗？",
"evidence_type": "synthetic_dialogue_premise",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000029"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000005",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000030",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "出院诊断记录原发性高血压，出院说明要求继续监测血压。",
"evidence_type": "synthetic_case_fact",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000030"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000006",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000031",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "病理报告写结肠腺癌、中分化，我想知道这和分期是不是一回事。",
"evidence_type": "synthetic_dialogue_premise",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000031"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000006",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000032",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "合成病理报告记录结肠腺癌、中分化、切缘未见肿瘤累及；未提供完整分期。",
"evidence_type": "synthetic_case_fact",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000032"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000006",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000033",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "报告里只看到切缘未见肿瘤累及，没有看到完整分期。",
"evidence_type": "synthetic_dialogue_premise",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000033"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000006",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000034",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "合成病理报告记录结肠腺癌、中分化、切缘未见肿瘤累及；未提供完整分期。",
"evidence_type": "synthetic_case_fact",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000034"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000006",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000035",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "我下一次沟通应该重点问哪些内容？",
"evidence_type": "synthetic_dialogue_premise",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000035"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000006",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000036",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "合成病理报告记录结肠腺癌、中分化、切缘未见肿瘤累及；未提供完整分期。",
"evidence_type": "synthetic_case_fact",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000036"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000007",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000037",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "材料里写阿莫西林500毫克每8小时一次，这能证明我已经按时服用了吗？",
"evidence_type": "synthetic_dialogue_premise",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000037"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000007",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000038",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "记录中有阿莫西林500毫克每8小时口服的医嘱，但没有实际给药记录。",
"evidence_type": "synthetic_case_fact",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000038"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000007",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000039",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "我只想核对这份材料能说明什么，暂时不讨论改药。",
"evidence_type": "synthetic_dialogue_premise",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000039"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000007",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000040",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "记录中有阿莫西林500毫克每8小时口服的医嘱，但没有实际给药记录。",
"evidence_type": "synthetic_case_fact",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000040"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000007",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000041",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "如果实际服用情况和医嘱不同，应该怎样记录？",
"evidence_type": "synthetic_dialogue_premise",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000041"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000007",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000042",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "记录中有阿莫西林500毫克每8小时口服的医嘱，但没有实际给药记录。",
"evidence_type": "synthetic_case_fact",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000042"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000008",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000043",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "出院说明让我继续吃氨氯地平，我应该怎样配合记录？",
"evidence_type": "synthetic_dialogue_premise",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000043"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000008",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000044",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "出院说明记录继续口服氨氯地平并监测血压，未记录自行加减剂量规则。",
"evidence_type": "synthetic_case_fact",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000044"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000008",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000045",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "我早上服药，偶尔会忘记记录血压。",
"evidence_type": "synthetic_dialogue_premise",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000045"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000008",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000046",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "出院说明记录继续口服氨氯地平并监测血压，未记录自行加减剂量规则。",
"evidence_type": "synthetic_case_fact",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000046"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000008",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000047",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "血压波动时能不能自己改变服药时间？",
"evidence_type": "synthetic_dialogue_premise",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000047"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000008",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000048",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "出院说明记录继续口服氨氯地平并监测血压，未记录自行加减剂量规则。",
"evidence_type": "synthetic_case_fact",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000048"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000009",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000049",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "出院后切口护理最需要关注什么？",
"evidence_type": "synthetic_dialogue_premise",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000049"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000009",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000050",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "出院说明要求保持切口清洁、按计划复诊，并观察发热、红肿和渗液。",
"evidence_type": "synthetic_case_fact",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000050"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000009",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000051",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "目前切口干燥，没有发热，但我担心活动会影响恢复。",
"evidence_type": "synthetic_dialogue_premise",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000051"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000009",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000052",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "出院说明要求保持切口清洁、按计划复诊，并观察发热、红肿和渗液。",
"evidence_type": "synthetic_case_fact",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000052"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000009",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000053",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "如果出现少量渗液，能先在家观察吗？",
"evidence_type": "synthetic_dialogue_premise",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000053"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000009",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000054",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "出院说明要求保持切口清洁、按计划复诊，并观察发热、红肿和渗液。",
"evidence_type": "synthetic_case_fact",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000054"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000010",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000055",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "报告建议三个月后复查，我怎样准备这次随访？",
"evidence_type": "synthetic_dialogue_premise",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000055"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000010",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000056",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "影像报告建议三个月后复查胸部CT；未记录复查完成或结节变化。",
"evidence_type": "synthetic_case_fact",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000056"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000010",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000057",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "我已经保存了报告，但还没有预约复查。",
"evidence_type": "synthetic_dialogue_premise",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000057"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000010",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000058",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "影像报告建议三个月后复查胸部CT；未记录复查完成或结节变化。",
"evidence_type": "synthetic_case_fact",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000058"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000010",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000059",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "如果预约时间晚了几天，需要自己改方案吗？",
"evidence_type": "synthetic_dialogue_premise",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000059"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000010",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000060",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "影像报告建议三个月后复查胸部CT；未记录复查完成或结节变化。",
"evidence_type": "synthetic_case_fact",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000060"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000011",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000061",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "病历建议复查血常规，但我现在还没有结果，随访时该怎么说？",
"evidence_type": "synthetic_dialogue_premise",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000061"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000011",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000062",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "病程记录建议复查血常规，当前未提供复查结果。",
"evidence_type": "synthetic_case_fact",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000062"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000011",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000063",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "我已经预约抽血，下周才能拿到结果。",
"evidence_type": "synthetic_dialogue_premise",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000063"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000011",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000064",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "病程记录建议复查血常规，当前未提供复查结果。",
"evidence_type": "synthetic_case_fact",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000064"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000011",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000065",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "拿到结果后只看异常箭头够吗？",
"evidence_type": "synthetic_dialogue_premise",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000065"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000011",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000066",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "病程记录建议复查血常规，当前未提供复查结果。",
"evidence_type": "synthetic_case_fact",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000066"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000012",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000067",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "随访记录写切口愈合良好、未见感染，这是不是说明以后都不会有问题？",
"evidence_type": "synthetic_dialogue_premise",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000067"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000012",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000068",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "随访记录描述切口愈合良好、未见感染，并建议按计划复诊；不含长期结局。",
"evidence_type": "synthetic_case_fact",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000068"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000012",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000069",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "目前我没有发热，切口也没有新的红肿。",
"evidence_type": "synthetic_dialogue_premise",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000069"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000012",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000070",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "随访记录描述切口愈合良好、未见感染，并建议按计划复诊；不含长期结局。",
"evidence_type": "synthetic_case_fact",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000070"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000012",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000071",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "下次复诊前我应该继续记录什么？",
"evidence_type": "synthetic_dialogue_premise",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000071"
},
{
"available_time": null,
"document_id": "DOCUMENT-0000012",
"event_time_raw": null,
"evidence_id": "EVIDENCE-0000072",
"evidence_status": "professionally_reviewed_synthetic",
"evidence_text": "随访记录描述切口愈合良好、未见感染，并建议按计划复诊；不含长期结局。",
"evidence_type": "synthetic_case_fact",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"turn_id": "TURN-0000072"
}
],
"handoff_record": [
{
"available_time": null,
"episode_id": "EPISODE-0000001",
"event_time_raw": null,
"handoff_condition": "出现呼吸困难、胸痛、意识变化或持续高热",
"handoff_id": "HANDOFF-0000001",
"handoff_status": "available_when_condition_met",
"handoff_target": "急诊或负责照护团队",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"trigger_turn_id": "TURN-0000006"
},
{
"available_time": null,
"episode_id": "EPISODE-0000002",
"event_time_raw": null,
"handoff_condition": "静息气短、胸痛、晕厥或症状迅速加重",
"handoff_id": "HANDOFF-0000002",
"handoff_status": "available_when_condition_met",
"handoff_target": "急诊或心血管照护团队",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"trigger_turn_id": "TURN-0000012"
},
{
"available_time": null,
"episode_id": "EPISODE-0000003",
"event_time_raw": null,
"handoff_condition": "疼痛加重、发热、反复呕吐或切口异常",
"handoff_id": "HANDOFF-0000003",
"handoff_status": "available_when_condition_met",
"handoff_target": "手术团队或急诊",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"trigger_turn_id": "TURN-0000018"
},
{
"available_time": null,
"episode_id": "EPISODE-0000004",
"event_time_raw": null,
"handoff_condition": "需要判断结节性质、调整复查时间或出现新症状",
"handoff_id": "HANDOFF-0000004",
"handoff_status": "available_when_condition_met",
"handoff_target": "呼吸或影像专科团队",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"trigger_turn_id": "TURN-0000024"
},
{
"available_time": null,
"episode_id": "EPISODE-0000005",
"event_time_raw": null,
"handoff_condition": "持续异常读数、明显不适或提出调整处方",
"handoff_id": "HANDOFF-0000005",
"handoff_status": "available_when_condition_met",
"handoff_target": "高血压照护团队",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"trigger_turn_id": "TURN-0000030"
},
{
"available_time": null,
"episode_id": "EPISODE-0000006",
"event_time_raw": null,
"handoff_condition": "需要完整分期、治疗方案或预后判断",
"handoff_id": "HANDOFF-0000006",
"handoff_status": "available_when_condition_met",
"handoff_target": "病理与肿瘤专科团队",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"trigger_turn_id": "TURN-0000036"
},
{
"available_time": null,
"episode_id": "EPISODE-0000007",
"event_time_raw": null,
"handoff_condition": "实际服用与医嘱不一致、出现不适或询问剂量调整",
"handoff_id": "HANDOFF-0000007",
"handoff_status": "available_when_condition_met",
"handoff_target": "开立医嘱的临床或药学团队",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"trigger_turn_id": "TURN-0000042"
},
{
"available_time": null,
"episode_id": "EPISODE-0000008",
"event_time_raw": null,
"handoff_condition": "持续血压异常、用药不适或提出调整方案",
"handoff_id": "HANDOFF-0000008",
"handoff_status": "available_when_condition_met",
"handoff_target": "高血压照护或药学团队",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"trigger_turn_id": "TURN-0000048"
},
{
"available_time": null,
"episode_id": "EPISODE-0000009",
"event_time_raw": null,
"handoff_condition": "切口渗液、红肿、发热或疼痛加重",
"handoff_id": "HANDOFF-0000009",
"handoff_status": "available_when_condition_met",
"handoff_target": "手术团队或急诊",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"trigger_turn_id": "TURN-0000054"
},
{
"available_time": null,
"episode_id": "EPISODE-0000010",
"event_time_raw": null,
"handoff_condition": "复查无法按期、出现新症状或需要调整方案",
"handoff_id": "HANDOFF-0000010",
"handoff_status": "available_when_condition_met",
"handoff_target": "呼吸或影像随访团队",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"trigger_turn_id": "TURN-0000060"
},
{
"available_time": null,
"episode_id": "EPISODE-0000011",
"event_time_raw": null,
"handoff_condition": "结果异常、症状变化或需要临床解释",
"handoff_id": "HANDOFF-0000011",
"handoff_status": "available_when_condition_met",
"handoff_target": "负责复查的临床团队",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"trigger_turn_id": "TURN-0000066"
},
{
"available_time": null,
"episode_id": "EPISODE-0000012",
"event_time_raw": null,
"handoff_condition": "切口红肿、渗液、发热或需要长期结局判断",
"handoff_id": "HANDOFF-0000012",
"handoff_status": "available_when_condition_met",
"handoff_target": "手术随访团队",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"trigger_turn_id": "TURN-0000072"
}
],
"split_group": [
{
"available_time": null,
"event_time_raw": null,
"group_key": "GROUP-0000001",
"grouping_policy": "episode and fact variants remain in one split",
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"source_object_id": "SOURCE_OBJECT-0000001",
"split_id": "SPLIT-0000001",
"split_name": "development"
}
],
"review_record": [
{
"available_time": null,
"episode_id": "EPISODE-0000001",
"event_time_raw": null,
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"review_decision": "accepted_for_synthetic_dataset",
"review_id": "REVIEW-0000001",
"review_note": "role, turn dependency, fact evidence, response boundary and escalation path checked",
"review_status": "completed",
"reviewed_at": "2026-07-29T16:30:00+08:00",
"reviewer_role": "clinical_communication_reviewer",
"source_object_id": "SOURCE_OBJECT-0000001"
},
{
"available_time": null,
"episode_id": "EPISODE-0000002",
"event_time_raw": null,
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"review_decision": "accepted_for_synthetic_dataset",
"review_id": "REVIEW-0000002",
"review_note": "role, turn dependency, fact evidence, response boundary and escalation path checked",
"review_status": "completed",
"reviewed_at": "2026-07-29T16:30:00+08:00",
"reviewer_role": "clinical_communication_reviewer",
"source_object_id": "SOURCE_OBJECT-0000001"
},
{
"available_time": null,
"episode_id": "EPISODE-0000003",
"event_time_raw": null,
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"review_decision": "accepted_for_synthetic_dataset",
"review_id": "REVIEW-0000003",
"review_note": "role, turn dependency, fact evidence, response boundary and escalation path checked",
"review_status": "completed",
"reviewed_at": "2026-07-29T16:30:00+08:00",
"reviewer_role": "clinical_communication_reviewer",
"source_object_id": "SOURCE_OBJECT-0000001"
},
{
"available_time": null,
"episode_id": "EPISODE-0000004",
"event_time_raw": null,
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"review_decision": "accepted_for_synthetic_dataset",
"review_id": "REVIEW-0000004",
"review_note": "role, turn dependency, fact evidence, response boundary and escalation path checked",
"review_status": "completed",
"reviewed_at": "2026-07-29T16:30:00+08:00",
"reviewer_role": "clinical_communication_reviewer",
"source_object_id": "SOURCE_OBJECT-0000001"
},
{
"available_time": null,
"episode_id": "EPISODE-0000005",
"event_time_raw": null,
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"review_decision": "accepted_for_synthetic_dataset",
"review_id": "REVIEW-0000005",
"review_note": "role, turn dependency, fact evidence, response boundary and escalation path checked",
"review_status": "completed",
"reviewed_at": "2026-07-29T16:30:00+08:00",
"reviewer_role": "clinical_communication_reviewer",
"source_object_id": "SOURCE_OBJECT-0000001"
},
{
"available_time": null,
"episode_id": "EPISODE-0000006",
"event_time_raw": null,
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"review_decision": "accepted_for_synthetic_dataset",
"review_id": "REVIEW-0000006",
"review_note": "role, turn dependency, fact evidence, response boundary and escalation path checked",
"review_status": "completed",
"reviewed_at": "2026-07-29T16:30:00+08:00",
"reviewer_role": "clinical_communication_reviewer",
"source_object_id": "SOURCE_OBJECT-0000001"
},
{
"available_time": null,
"episode_id": "EPISODE-0000007",
"event_time_raw": null,
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"review_decision": "accepted_for_synthetic_dataset",
"review_id": "REVIEW-0000007",
"review_note": "role, turn dependency, fact evidence, response boundary and escalation path checked",
"review_status": "completed",
"reviewed_at": "2026-07-29T16:30:00+08:00",
"reviewer_role": "clinical_communication_reviewer",
"source_object_id": "SOURCE_OBJECT-0000001"
},
{
"available_time": null,
"episode_id": "EPISODE-0000008",
"event_time_raw": null,
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"review_decision": "accepted_for_synthetic_dataset",
"review_id": "REVIEW-0000008",
"review_note": "role, turn dependency, fact evidence, response boundary and escalation path checked",
"review_status": "completed",
"reviewed_at": "2026-07-29T16:30:00+08:00",
"reviewer_role": "clinical_communication_reviewer",
"source_object_id": "SOURCE_OBJECT-0000001"
},
{
"available_time": null,
"episode_id": "EPISODE-0000009",
"event_time_raw": null,
"missing_reason": null,
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "synthetic_dataset",
"review_decision": "accepted_for_synthetic_dataset",
"review_id": "REVIEW-0000009",
"review_note": "role, turn dependency, fact evidence, response boundary and escalation path checked",
"review_status": "completed",
"reviewed_at": "2026-07-29T16:30:00+08:00",
"reviewer_role": "clinical_communication_reviewer",
"source_object_id": "SOURCE_OBJECT-0000001"
},
{
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"review_status": "completed",
"reviewed_at": "2026-07-29T16:30:00+08:00",
"reviewer_role": "clinical_communication_reviewer",
"source_object_id": "SOURCE_OBJECT-0000001"
},
{
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"review_id": "REVIEW-0000011",
"review_note": "role, turn dependency, fact evidence, response boundary and escalation path checked",
"review_status": "completed",
"reviewed_at": "2026-07-29T16:30:00+08:00",
"reviewer_role": "clinical_communication_reviewer",
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},
{
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"reviewer_role": "clinical_communication_reviewer",
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}
],
"quality_issue": [
{
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"handling": "use for dialogue structure and boundary evaluation; do not claim real communication coverage",
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"object_id": "OBJECT-0000001",
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}
]
}
医疗科技企业 · 医疗对话与咨询产品团队
获得：逐轮边界明确、升级路径可执行的多轮沟通对齐语料
三甲医院 · 患者服务与随访中心
获得：话术、转接与收尾三项都有明文口径的随访规范底料
医疗信息化企业 · 对话系统与质检模块
获得：逐轮可判定、状态机可对照的对话质检用例
医学教育与患者沟通培训 · 沟通训练材料
获得：次序、措辞与边界都有实例可循的沟通培训材料
多轮咨询与沟通训练数据包含哪些内容？
多轮咨询与沟通训练数据（SHP-MED-06-039）交付六轮制的多轮咨询会话样本，覆盖病史追问、病情解释、出院用药与随访四类场景。每段会话带病例背景与允许陈述范围，逐轮标注对话状态、意图与作答边界，并给出指向事实文书的证据引用与接管记录。
多轮咨询与沟通训练数据适合做什么？
适合咨询助手的多轮对话训练与逐轮边界对齐，升级条件与转人工路径写成字段可直接执行；也适合随访咨询话术与转接口径的规范化、对话质检规则的状态机校验，以及依据材料沟通的医患沟通培训材料组织。
多轮咨询与沟通训练数据有样例吗？怎么交付？
产品页提供明确标识的自产样例：十二段六轮制会话覆盖四类场景，七十二轮各配一条写明允许陈述与禁止陈述的作答边界与一条证据引用，每段另带写明触发条件与转接去向的接管记录。交付形态含数据集、API 调用、Token 计量与可信数据空间连接器。
多轮咨询与沟通训练数据如何定制与起步？
会话组织方式可选单一沟通场景或多场景组合，再按场景类型、会话轮数、升级条件强度、说话人角色设定与专科范围定制，起订量为 1,000 段多轮会话，数据量按项目商定。可先申请开源子集或测试数据体验会话与边界结构。
多轮咨询与沟通训练数据与哪些产品搭配？
常与临床指令微调训练数据（SHP-MED-06-036）互补单轮任务形态的样本，与错误恢复与人工接管轨迹数据（SHP-MED-08-054）衔接接管触发之后的处置轨迹，与医疗安全与红队测试集（SHP-MED-07-047）对照边界被冲撞时的安全评测。
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