通用临床能力评测集。

样例字段语义

样例记录

按能力域各取一条评测条目，拆开看它由哪些部分组成。考查哪一类临床能力、题型与难度定在哪一级；在给定证据范围内能不能答；证据怎么挂接、何时可用；评分细则怎么给分、失分归入哪一类错误。判分口径与复核时点取诊断推理这一条的完整链。题目与参考答案按项目交付，不在公开样例中展示。

{
  "样例性质": "基于真实脱敏记录构建·含自产合成条目",
  "source_document": [
    {
      "document_id": "DOCUMENT-KNOWLEDGE",
      "document_family": "入院记录",
      "deidentification_status": "deidentified_source_candidate"
    },
    {
      "document_id": "DOCUMENT-CASE-EVIDENCE",
      "document_family": "首次病程记录",
      "deidentification_status": "deidentified_source_candidate"
    },
    {
      "document_id": "DOCUMENT-DIAGNOSTIC-REASONING",
      "document_family": "病程和查房记录",
      "deidentification_status": "synthetic"
    },
    {
      "document_id": "DOCUMENT-TREATMENT-RISK",
      "document_family": "手术记录",
      "deidentification_status": "deidentified_source_candidate"
    },
    {
      "document_id": "DOCUMENT-COMMUNICATION",
      "document_family": "门诊病历",
      "deidentification_status": "synthetic"
    }
  ],
  "evaluation_item_candidate": [
    {
      "item_id": "ITEM-KNOWLEDGE",
      "document_id": "DOCUMENT-KNOWLEDGE",
      "task_type": "精确匹配题",
      "ability_domain": "临床知识与术语",
      "answerability": "answerable_with_dataset_evidence",
      "difficulty": "基础",
      "cutoff_time": "2026-07-23T18:00:00",
      "evidence_status": "professional_source_constrained_candidate",
      "gold_status": "professional_synthetic_reviewed",
      "review_status": "reviewed_synthetic"
    },
    {
      "item_id": "ITEM-CASE-EVIDENCE",
      "document_id": "DOCUMENT-CASE-EVIDENCE",
      "task_type": "要点得分题",
      "ability_domain": "病例理解与证据",
      "answerability": "unanswerable_in_declared_corpus",
      "difficulty": "基础",
      "cutoff_time": "2026-07-24T08:00:00",
      "evidence_status": "professional_source_constrained_candidate",
      "gold_status": "professional_synthetic_reviewed",
      "review_status": "reviewed_synthetic"
    },
    {
      "item_id": "ITEM-DIAGNOSTIC-REASONING",
      "document_id": "DOCUMENT-DIAGNOSTIC-REASONING",
      "task_type": "顺序约束题",
      "ability_domain": "诊断推理",
      "answerability": "answerable_with_dataset_evidence",
      "difficulty": "进阶",
      "cutoff_time": "2026-07-26T12:00:00",
      "evidence_status": "professionally_reviewed_synthetic",
      "gold_status": "professional_synthetic_reviewed",
      "review_status": "reviewed_synthetic"
    },
    {
      "item_id": "ITEM-TREATMENT-RISK",
      "document_id": "DOCUMENT-TREATMENT-RISK",
      "task_type": "等级评分题",
      "ability_domain": "治疗与风险",
      "answerability": "answerable_with_dataset_evidence",
      "difficulty": "高阶",
      "cutoff_time": "2026-07-29T12:00:00",
      "evidence_status": "professional_source_constrained_candidate",
      "gold_status": "professional_synthetic_reviewed",
      "review_status": "reviewed_synthetic"
    },
    {
      "item_id": "ITEM-COMMUNICATION",
      "document_id": "DOCUMENT-COMMUNICATION",
      "task_type": "等级评分题",
      "ability_domain": "医患沟通",
      "answerability": "answerable_with_dataset_evidence",
      "difficulty": "进阶",
      "cutoff_time": "2026-07-30T10:00:00",
      "evidence_status": "professionally_reviewed_synthetic",
      "gold_status": "professional_synthetic_reviewed",
      "review_status": "reviewed_synthetic"
    }
  ],
  "evidence_candidate": [
    {
      "evidence_id": "EVIDENCE-KNOWLEDGE",
      "item_id": "ITEM-KNOWLEDGE",
      "evidence_text": "入院记录专科检查记载：肛门缘可见皮赘，指检直肠下段扪及形态不规则肿物，镜下见直肠新生物糜烂、内痔充血。诊断术语「内痔」在参考编码快照内命中 K64.805；「直肠肿物」在同一快照内无对应编码，登记为未映射候选。",
      "available_time": "2026-07-23T14:00:00",
      "evidence_status": "professional_source_constrained_candidate"
    },
    {
      "evidence_id": "EVIDENCE-CASE-EVIDENCE",
      "item_id": "ITEM-CASE-EVIDENCE",
      "evidence_text": "首次病程记录内可检索到入院时的体温、脉搏与在用降压药；出院后三十天的随访记录不在本次语料快照范围内，缺口按声明的语料边界逐条登记。",
      "available_time": "2026-07-24T07:00:00",
      "evidence_status": "professional_source_constrained_candidate"
    },
    {
      "evidence_id": "EVIDENCE-DIAGNOSTIC-REASONING",
      "item_id": "ITEM-DIAGNOSTIC-REASONING",
      "evidence_text": "同一次住院的事件按时间登记：入院评估、抗菌药医嘱、随访化验采集、出院。化验的采集时刻与结果可用时刻分列登记，其中一条采集于上午八时、结果十二时才可用。",
      "available_time": "2026-07-26T08:00:00",
      "evidence_status": "professionally_reviewed_synthetic"
    },
    {
      "evidence_id": "EVIDENCE-TREATMENT-RISK",
      "item_id": "ITEM-TREATMENT-RISK",
      "evidence_text": "入院记录载便血一天、量多色暗红、前一日解便七次、不伴腹痛，既往高血压二十余年并长期口服抗血小板药；手术记录载全身麻醉下行腹腔镜直肠前切除术加回肠预防性造口。",
      "available_time": "2026-07-29T09:00:00",
      "evidence_status": "professional_source_constrained_candidate"
    },
    {
      "evidence_id": "EVIDENCE-COMMUNICATION",
      "item_id": "ITEM-COMMUNICATION",
      "evidence_text": "已知发热、咳嗽持续三天，胸部 CT 已开具尚未完成，病因未定。可复述的事实范围与转急诊的触发条件同条登记：出现呼吸困难、胸痛、意识变化或持续高热即转急诊或负责照护团队。",
      "available_time": "2026-07-30T09:00:00",
      "evidence_status": "professionally_reviewed_synthetic"
    }
  ],
  "scoring_rubric": {
    "rubric_id": "RUBRIC-DIAGNOSTIC-REASONING",
    "item_id": "ITEM-DIAGNOSTIC-REASONING",
    "scoring_method": "criterion_weighted",
    "score_points": "3",
    "partial_credit_rule": "事件先后判对得基础分；间隔值与单位同时答对再加分；用了截点之后才可用的检验结果，该题计零分",
    "rubric_status": "synthetic_diagnostic_reasoning_rubric"
  },
  "error_type": {
    "error_type_id": "ERROR_TYPE-DIAGNOSTIC-REASONING",
    "item_id": "ITEM-DIAGNOSTIC-REASONING",
    "error_type_text": "时序错误：事件先后判反，或把采集时刻当成结果可用时刻使用",
    "error_status": "synthetic_diagnostic_reasoning_boundary_error"
  },
  "reference_answer": {
    "answer_id": "ANSWER-DIAGNOSTIC-REASONING",
    "item_id": "ITEM-DIAGNOSTIC-REASONING",
    "answer_status": "professional_synthetic_diagnostic_reasoning_answer",
    "review_status": "reviewed_synthetic"
  },
  "review_record": {
    "review_id": "REVIEW-DIAGNOSTIC-REASONING",
    "item_id": "ITEM-DIAGNOSTIC-REASONING",
    "review_status": "reviewed_synthetic",
    "review_time": "2026-07-27T12:00:00"
  }
}