[01 · SHP-MED-08-052]

纵向随访智能体轨迹数据。

一次随访从触发到闭环的全过程记录。任务带时间窗：计划窗口与完成判据先写定。轨迹里有触发与提醒、交互轮次、带计量单位的复测观察、复评结论与计划变更、逾期判定。人工确认单独成条，与自动状态分列。用于训练随访智能体的窗口调度与升级判定，也可用于院内随访流程组织。

医疗智能体数据 · 评估与研究使用许可 · 更新日期 2026-08-05

20
实体: 115
字段: 4
实体关系: 08
所属体系

[02 · 产品说明]

读懂数据结构与交付边界

以下内容来自产品说明书，包含数据拓扑、字段字典、脱敏样例、使用场景及定制方式。

[01]

数据产品概览

项	数量	内容
实体	20	临床结局 · 事件序列候选 · 随访轨迹 · 随访观测 · 随访计划 · 随访任务 · 人工确认 · 交互轮次 · 逾期事件 · 患者时间线快照 · 计划变更 · 数据质量项 · 复评 · 提醒事件 · 复核记录 · 来源沿袭 · 数据划分 · 状态转移 · 工具调用 · 触发事件
字段	115	交付范围内的字段总数
实体关系	4	时间线快照连接随访观测与事件序列候选 · 一条轨迹连接随访任务、随访计划、触发事件、提醒事件、交互轮次与复评 · 计划变更保留指向前一版计划的指针 · 人工确认与自动状态转移各自成列

交付与供应方式

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

权利与来源

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

[02 · DATA CONTENT]

数据内容与字段结构

在同一位置切换字段字典、实体血缘与脱敏样例，避免重复铺陈造成页面过长。

对象	英文键	中文名
临床结局	outcome_id	结局标识
临床结局	task_id	任务标识
临床结局	outcome_detail	结果详情
临床结局	outcome_time	结局时间
临床结局	data_nature	数据性质
事件序列候选	sequence_id	序列标识
事件序列候选	snapshot_id	快照标识
事件序列候选	examination_name	检查名称
事件序列候选	point_count	点数
事件序列候选	firsteventtime	首次事件时间
事件序列候选	lasteventtime	末次事件时间
事件序列候选	data_nature	数据性质
随访智能体轨迹	episode_id	轨迹标识
随访智能体轨迹	snapshot_id	快照标识
随访智能体轨迹	track_domain	轨道领域
随访智能体轨迹	data_nature	数据性质
随访观察	observation_id	观测标识
随访观察	snapshot_id	快照标识
随访观察	encountergroupid	就诊分组标识
随访观察	examination_name	检查名称
随访观察	event_time	事件时间
随访观察	available_time	可用时间
随访观察	missing_reason	缺失原因
随访观察	observation_value	观测值
随访观察	observation_unit	观测单位
随访观察	data_nature	数据性质
随访计划	plan_id	计划标识
随访计划	task_id	任务标识
随访计划	plan_goal	计划目标
随访计划	plan_action	计划动作
随访计划	window_start	窗口起点
随访计划	window_end	窗口终点
随访计划	data_nature	数据性质
随访任务	task_id	任务标识
随访任务	episode_id	轨迹标识
随访任务	task_problem	随访问题
随访任务	task_goal	任务目标
随访任务	completion_criterion	完成判据
随访任务	escalation_criterion	升级判据
随访任务	task_status	任务状态
随访任务	indexeventtime	索引事件时间
随访任务	cutoff_time	截点时间
随访任务	data_nature	数据性质
人工确认	confirmation_id	确认标识
人工确认	task_id	任务标识
人工确认	human_role	人工角色
人工确认	human_decision	人工决策
人工确认	decision_rationale	决策理由
人工确认	confirmation_time	人工确认时间
人工确认	data_nature	数据性质
交互轮次	interaction_id	交互标识
交互轮次	task_id	任务标识
交互轮次	participant_role	参与角色
交互轮次	interaction_content	交互内容
交互轮次	interaction_time	交互时间
交互轮次	data_nature	数据性质
逾期事件	overdue_id	逾期标识
逾期事件	task_id	任务标识
逾期事件	overdue_status	逾期状态
逾期事件	loss_reason	失访原因
逾期事件	overdue_time	逾期时间
逾期事件	data_nature	数据性质
患者时间线快照	snapshot_id	快照标识
患者时间线快照	patientgroupid	患者分组标识
患者时间线快照	encounter_count	就诊数
患者时间线快照	data_nature	数据性质
计划变更	change_id	变更标识
计划变更	plan_id	计划标识
计划变更	supersedesplanid	被取代计划标识
计划变更	change_reason	变更原因
计划变更	data_nature	数据性质
数据质量项	qualityissueid	数据质量项标识
数据质量项	issue_code	问题代码
数据质量项	handling	处理方式
数据质量项	data_nature	数据性质
复评	reassessment_id	复评标识
复评	task_id	任务标识
复评	reassessment_decision	复评决策
复评	evidence_ref	证据引用
复评	reassessment_time	复评时间
复评	data_nature	数据性质
提醒事件	reminder_id	提醒标识
提醒事件	task_id	任务标识
提醒事件	reminder_channel	提醒渠道
提醒事件	reminder_message	提醒内容
提醒事件	reminder_time	提醒时间
提醒事件	data_nature	数据性质
复核记录	review_id	复核标识
复核记录	episode_id	轨迹标识
复核记录	review_time	复核时间
复核记录	data_nature	数据性质
来源沿袭	lineage_id	沿袭标识
来源沿袭	lineage_status	沿袭状态
来源沿袭	data_nature	数据性质
数据划分组	splitgroupid	划分组标识
数据划分组	snapshot_id	快照标识
数据划分组	isolation_level	隔离层级
数据划分组	data_nature	数据性质
状态转移	transition_id	状态转移标识
状态转移	episode_id	轨迹标识
状态转移	state_before	变更前状态
状态转移	state_after	变更后状态
状态转移	transition_time	状态转移时间
状态转移	data_nature	数据性质
工具调用	call_id	调用标识
工具调用	task_id	任务标识
工具调用	tool_name	工具名称
工具调用	input_payload	输入载荷
工具调用	output_payload	输出载荷
工具调用	resultavailableat	结果可用时间
工具调用	data_nature	数据性质
触发事件	trigger_id	触发标识
触发事件	task_id	任务标识
触发事件	trigger_time	触发时间
触发事件	data_nature	数据性质

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。

20 个实体18 条连接响应式完整展示

实体概览

核心实体以品牌蓝标识

01关联实体

临床结局

流程结局说明

02关联实体

事件序列候选

重复观察点数／首末时刻

03核心实体

随访轨迹

时间线／随访领域

04关联实体

随访观测

项目／值与单位

05关联实体

随访计划

动作／允许窗口

06关联实体

随访任务

目标／完成判据／截点

07关联实体

人工确认

角色／决定／理由

08关联实体

交互轮次

参与方／内容

09关联实体

逾期事件

逾期判定／失访原因

10关联实体

患者时间线快照

就诊数／患者组

11关联实体

计划变更

原因／被替代版本

12辅助实体

数据质量项

quality_issue

13关联实体

复评

结论／所引证据

14关联实体

提醒事件

渠道／正文／时刻

15关联实体

复核记录

复核时刻

16辅助实体

来源沿袭

source_lineage

17关联实体

数据划分

同患者整体成组

18关联实体

状态转移

前态／后态

19关联实体

工具调用

入参／返回

20关联实体

触发事件

触发时刻

连接关系

每条关系独占一行，基数置于两实体之间

实体 A01

患者时间线快照

就诊数／患者组

1—n

实体 B

随访轨迹

时间线／随访领域

实体 A02

患者时间线快照

就诊数／患者组

1—n

实体 B

随访观测

项目／值与单位

实体 A03

患者时间线快照

就诊数／患者组

1—n

实体 B

事件序列候选

重复观察点数／首末时刻

实体 A04

随访轨迹

时间线／随访领域

1—n

实体 B

随访任务

目标／完成判据／截点

实体 A05

随访任务

目标／完成判据／截点

1—n

实体 B

随访计划

动作／允许窗口

实体 A06

随访任务

目标／完成判据／截点

1—n

实体 B

触发事件

触发时刻

实体 A07

随访任务

目标／完成判据／截点

1—n

实体 B

提醒事件

渠道／正文／时刻

实体 A08

随访任务

目标／完成判据／截点

1—n

实体 B

交互轮次

参与方／内容

实体 A09

随访任务

目标／完成判据／截点

1—n

实体 B

工具调用

入参／返回

实体 A10

随访任务

目标／完成判据／截点

1—n

实体 B

复评

结论／所引证据

实体 A11

随访任务

目标／完成判据／截点

1—n

实体 B

逾期事件

逾期判定／失访原因

实体 A12

随访任务

目标／完成判据／截点

1—n

实体 B

人工确认

角色／决定／理由

实体 A13

随访任务

目标／完成判据／截点

1—1

实体 B

临床结局

流程结局说明

实体 A14

随访计划

动作／允许窗口

1—n

实体 B

计划变更

原因／被替代版本

实体 A15

随访轨迹

时间线／随访领域

1—n

实体 B

状态转移

前态／后态

实体 A16

随访轨迹

时间线／随访领域

1—n

实体 B

复核记录

复核时刻

实体 A17

患者时间线快照

就诊数／患者组

1—1

实体 B

数据划分

同患者整体成组

实体 A18

复评

结论／所引证据

1—n 复评只引用截点前已可用的观察

实体 B

随访观测

项目／值与单位

核心实体关联实体1—1 / 1—n / n—1 表示关系基数

查看关系语义清单

起	基数	至	关系语义
患者时间线快照	1—n	随访轨迹	同一条时间线上可跑多段随访轨迹
患者时间线快照	1—n	随访观测	观察值挂在患者时间线上
患者时间线快照	1—n	事件序列候选	同项目跨就诊的重复观察构成序列候选
随访轨迹	1—n	随访任务	轨迹展开为具体随访任务
随访任务	1—n	随访计划	任务带计划动作与允许窗口
随访任务	1—n	触发事件	任务在窗口开始时被触发
随访任务	1—n	提醒事件	任务按声明渠道发出提醒
随访任务	1—n	交互轮次	任务记录各轮交互
随访任务	1—n	工具调用	任务通过工具调用取得观察
随访任务	1—n	复评	任务闭环前作出复评
随访任务	1—n	逾期事件	任务按声明窗口判定逾期
随访任务	1—n	人工确认	任务的人工确认单独成条
随访任务	1—1	临床结局	任务闭环时记录流程结局
随访计划	1—n	计划变更	计划变更保留被替代的旧版
随访轨迹	1—n	状态转移	轨迹的状态跳转逐跳记录
随访轨迹	1—n	复核记录	轨迹的历次复核记录
患者时间线快照	1—1	数据划分	时间线整体归入一个数据划分组
复评	1—n	随访观测	复评只引用截点前已可用的观察

任务是随访的调度单位。计划窗口、完成判据与升级条件先写定。触发、提醒、交互、观察、复评与逾期，再逐个挂到同一个任务上。「这一轮到底完成没完成」有判据可依。计划变更保留被替代的旧版，改期与改动作的历史逐版可查。逾期按声明窗口计算，本轮不适用时也留条。人工确认自成一个节点，与状态转移分开。复评只连截点前已可用的观察。

样例字段语义

分组	字段	英文键	语义
随访任务	待处理问题	task_problem	本轮随访要处理的临床问题
随访任务	任务目标	task_goal	本轮随访要取得的具体结果
随访任务	完成判据	completion_criterion	判定本轮完成所必须满足的条件
随访任务	升级条件	escalation_criterion	触发升级处理的条件
随访任务	索引事件时间	索引事件时间	本轮随访计时的起点事件时刻
随访任务	决策截点	截点时间	本轮决策允许使用的信息截止时刻；此后到达的结果不得反填早期理由
随访任务	任务状态	任务状态	本轮状态；计划中、到期、已联系、已完成、逾期、已取消、不适用、已升级与未知分列
随访计划	计划动作	plan_action	本计划要执行的动作
随访计划	允许窗口	windowstart／windowend	允许完成的时间窗起止；逾期按此窗口计算，不按常规随访周期推定
触发事件	触发时刻	触发时间	本轮任务被触发的时刻
提醒事件	提醒渠道	reminder_channel	提醒发出所经的渠道声明
提醒事件	提醒正文	reminder_message	实际发出的提醒内容
提醒事件	提醒时刻	提醒时间	提醒发出的时刻，与触发时刻分列
逾期事件	逾期判定	逾期状态	本轮的逾期判定结果；本轮已完成时标为不适用，不留空值
逾期事件	失访原因	loss_reason	判为失访时的原因；未见后续记录标为未知或删失
交互轮次	参与方角色	participant_role	本轮交互的参与方
交互轮次	交互内容	interaction_content	本轮交互的实际内容
随访观测	观察项目	examination_name	本轮采集的观察项目
随访观测	观察值与单位	观测值／observation_unit	观察取值与其计量单位；缺单位的取值不进入可比计算
随访观测	事件与可用时间	事件时间／可用时间	观察发生时刻与结果首次可用时刻分列
随访观测	缺失原因	缺失原因	本轮未取得观察时的原因
复评	复评结论	reassessment_decision	本轮复评得出的结论
复评	所引证据	evidence_ref	得出该结论时引用的证据，只含当时已可用的内容
计划变更	变更原因	change_reason	本次计划是否变更及其理由；结论为无需变更时同样留条
计划变更	被替代计划	supersedesplanid	被本次变更替代的上一版计划；旧版一并保留
人工确认	确认角色	human_role	作出确认的人员角色
人工确认	人工决定	human_decision	人工作出的决定
人工确认	决定理由	decision_rationale	作出该决定的依据；人工确认不能由系统状态替代
临床结局	结局说明	outcome_detail	本轮结束时的流程结局说明
状态转移	前后状态	statebefore／stateafter	本轮状态机的每次跳转，逐跳记录
工具调用	入参与返回	inputpayload／outputpayload	本轮工具调用的传入内容与返回内容
事件序列候选	观察点数与首末时间	pointcount／firsteventtime／lastevent_time	同一检查项目跨就诊的重复观察构成
数据划分	隔离层级	isolation_level	划分粒度；同一患者时间线及其派生轨迹整体成组

样例记录

一段数巨有谱自产的随访轨迹。任务写明待处理的问题、目标与完成判据：窗口内收到带单位的观察值并完成专业复评。升级条件是：窗口结束前未响应，或没有可用观察值。计划给出动作与允许窗口起止，触发在窗口开始时发生。提醒按声明渠道发出，留下消息原文与发出时刻。交互轮次记录参与方与回应内容，工具调用带入参与返回载荷。观察值连同计量单位、事件时间与结果首次可用时间一并记录。复评引用它当时可见的证据得出结论。计划变更即使结论是无需变更也留条，并写明理由。逾期事件按声明窗口计算，本轮已完成时标为不适用。人工确认单列角色、决定与理由。

{
  "样例性质": "自产样本",
  "patient_timeline_snapshot": {
    "encounter_count": "3",
    "patient_group_id": "PATIENT_GROUP-0000001",
    "snapshot_id": "SNAPSHOT-0000001"
  },
  "followup_task": [
    {
      "completion_criterion": "窗口内收到带单位的观察值且完成专业复评",
      "cutoff_time": "2026-07-19T12:00:00",
      "episode_id": "EPISODE-0000001",
      "escalation_criterion": "窗口结束前未响应或没有可用观察值",
      "index_event_time": "2026-07-19T08:00:00",
      "task_goal": "取得带单位的合成收缩压观察并完成复评",
      "task_id": "TASK-0000001",
      "task_problem": "慢病观察项需要在计划窗口内取得复测结果",
      "task_status": "completed"
    },
    {
      "completion_criterion": "窗口内收到带单位的观察值且完成专业复评",
      "cutoff_time": "2026-07-20T12:00:00",
      "episode_id": "EPISODE-0000002",
      "escalation_criterion": "窗口结束前未响应或没有可用观察值",
      "index_event_time": "2026-07-20T08:00:00",
      "task_goal": "取得带单位的合成收缩压观察并完成复评",
      "task_id": "TASK-0000002",
      "task_problem": "慢病观察项需要在计划窗口内取得复测结果",
      "task_status": "completed"
    },
    {
      "completion_criterion": "窗口内收到带单位的观察值且完成专业复评",
      "cutoff_time": "2026-07-21T12:00:00",
      "episode_id": "EPISODE-0000003",
      "escalation_criterion": "窗口结束前未响应或没有可用观察值",
      "index_event_time": "2026-07-21T08:00:00",
      "task_goal": "取得带单位的合成收缩压观察并完成复评",
      "task_id": "TASK-0000003",
      "task_problem": "慢病观察项需要在计划窗口内取得复测结果",
      "task_status": "completed"
    },
    {
      "completion_criterion": "窗口内收到带单位的观察值且完成专业复评",
      "cutoff_time": "2026-07-22T12:00:00",
      "episode_id": "EPISODE-0000004",
      "escalation_criterion": "窗口结束前未响应或没有可用观察值",
      "index_event_time": "2026-07-22T08:00:00",
      "task_goal": "取得带单位的合成收缩压观察并完成复评",
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      "task_problem": "慢病观察项需要在计划窗口内取得复测结果",
      "task_status": "completed"
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    {
      "completion_criterion": "窗口内收到体温观察且完成出院后状态复评",
      "cutoff_time": "2026-07-23T12:00:00",
      "episode_id": "EPISODE-0000005",
      "escalation_criterion": "窗口结束前未响应或没有可用体温观察",
      "index_event_time": "2026-07-23T08:00:00",
      "task_goal": "取得带单位的合成体温观察并完成复评",
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      "task_status": "completed"
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    {
      "completion_criterion": "窗口内收到体温观察且完成出院后状态复评",
      "cutoff_time": "2026-07-24T12:00:00",
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      "index_event_time": "2026-07-24T08:00:00",
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      "index_event_time": "2026-07-25T08:00:00",
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    {
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      "cutoff_time": "2026-07-26T12:00:00",
      "episode_id": "EPISODE-0000008",
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      "index_event_time": "2026-07-26T08:00:00",
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      "task_status": "completed"
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      "task_status": "completed"
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      "completion_criterion": "窗口内收到步行距离观察且完成康复复评",
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      "index_event_time": "2026-07-28T08:00:00",
      "task_goal": "取得带单位的合成步行距离观察并完成复评",
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      "task_status": "completed"
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    {
      "completion_criterion": "窗口内收到步行距离观察且完成康复复评",
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      "episode_id": "EPISODE-0000011",
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      "index_event_time": "2026-07-29T08:00:00",
      "task_goal": "取得带单位的合成步行距离观察并完成复评",
      "task_id": "TASK-0000011",
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      "task_status": "lost_to_followup"
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    {
      "completion_criterion": "窗口内收到步行距离观察且完成康复复评",
      "cutoff_time": "2026-07-30T12:00:00",
      "episode_id": "EPISODE-0000012",
      "escalation_criterion": "窗口结束前未响应或没有可用康复观察",
      "index_event_time": "2026-07-30T08:00:00",
      "task_goal": "取得带单位的合成步行距离观察并完成复评",
      "task_id": "TASK-0000012",
      "task_problem": "康复或复查观察项需要在计划窗口内完成记录",
      "task_status": "lost_to_followup"
    }
  ],
  "followup_plan": [
    {
      "plan_action": "发送复测提醒，收集收缩压观察并在截点前复评",
      "plan_goal": "完成慢病复测与结果复评",
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      "task_id": "TASK-0000001",
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      "window_start": "2026-07-19T09:00:00"
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    {
      "plan_action": "发送复测提醒，收集收缩压观察并在截点前复评",
      "plan_goal": "完成慢病复测与结果复评",
      "plan_id": "PLAN-0000002",
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    },
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      "plan_action": "发送复测提醒，收集收缩压观察并在截点前复评",
      "plan_goal": "完成慢病复测与结果复评",
      "plan_id": "PLAN-0000003",
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    {
      "plan_action": "发送复测提醒，收集收缩压观察并在截点前复评",
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      "plan_action": "发送出院后提醒，收集体温并在截点前复评",
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      "window_start": "2026-07-23T09:00:00"
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    {
      "plan_action": "发送出院后提醒，收集体温并在截点前复评",
      "plan_goal": "完成出院后体温观察与复评",
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      "window_start": "2026-07-24T09:00:00"
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      "plan_action": "发送出院后提醒，收集体温并在截点前复评",
      "plan_goal": "完成出院后体温观察与复评",
      "plan_id": "PLAN-0000007",
      "task_id": "TASK-0000007",
      "window_end": "2026-07-25T11:00:00",
      "window_start": "2026-07-25T09:00:00"
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    {
      "plan_action": "发送出院后提醒，收集体温并在截点前复评",
      "plan_goal": "完成出院后体温观察与复评",
      "plan_id": "PLAN-0000008",
      "task_id": "TASK-0000008",
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      "window_start": "2026-07-26T09:00:00"
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      "plan_action": "发送康复复查提醒，收集六分钟步行距离并在截点前复评",
      "plan_goal": "完成康复观察与结果复评",
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      "window_start": "2026-07-27T09:00:00"
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    {
      "plan_action": "发送康复复查提醒，收集六分钟步行距离并在截点前复评",
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      "task_id": "TASK-0000010",
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      "window_start": "2026-07-28T09:00:00"
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      "plan_goal": "在无响应后进入人工复核",
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      "window_start": "2026-07-29T11:05:00"
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      "plan_goal": "完成康复观察与结果复评",
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      "window_end": "2026-07-30T11:00:00",
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      "plan_action": "保留未取得观察的事实并升级给人工复核，不补写临床结局",
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      "task_id": "TASK-0000012",
      "window_end": "2026-07-30T12:00:00",
      "window_start": "2026-07-30T11:05:00"
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      "overdue_id": "OVERDUE-0000008",
      "overdue_status": "not_applicable_after_completed",
      "overdue_time": "2026-07-26T11:00:00",
      "task_id": "TASK-0000008"
    },
    {
      "loss_reason": null,
      "overdue_id": "OVERDUE-0000009",
      "overdue_status": "not_applicable_after_completed",
      "overdue_time": "2026-07-27T11:00:00",
      "task_id": "TASK-0000009"
    },
    {
      "loss_reason": null,
      "overdue_id": "OVERDUE-0000010",
      "overdue_status": "not_applicable_after_completed",
      "overdue_time": "2026-07-28T11:00:00",
      "task_id": "TASK-0000010"
    },
    {
      "loss_reason": "synthetic_no_response_within_window",
      "overdue_id": "OVERDUE-0000011",
      "overdue_status": "synthetic_lost_to_followup",
      "overdue_time": "2026-07-29T11:00:00",
      "task_id": "TASK-0000011"
    },
    {
      "loss_reason": "synthetic_no_response_within_window",
      "overdue_id": "OVERDUE-0000012",
      "overdue_status": "synthetic_lost_to_followup",
      "overdue_time": "2026-07-30T11:00:00",
      "task_id": "TASK-0000012"
    }
  ],
  "followup_agent_episode": [
    {
      "episode_id": "EPISODE-0000001",
      "snapshot_id": "SNAPSHOT-0000001",
      "track_domain": "chronic_condition_followup"
    },
    {
      "episode_id": "EPISODE-0000002",
      "snapshot_id": "SNAPSHOT-0000001",
      "track_domain": "chronic_condition_followup"
    },
    {
      "episode_id": "EPISODE-0000003",
      "snapshot_id": "SNAPSHOT-0000001",
      "track_domain": "chronic_condition_followup"
    },
    {
      "episode_id": "EPISODE-0000004",
      "snapshot_id": "SNAPSHOT-0000001",
      "track_domain": "chronic_condition_followup"
    },
    {
      "episode_id": "EPISODE-0000005",
      "snapshot_id": "SNAPSHOT-0000001",
      "track_domain": "post_discharge_followup"
    },
    {
      "episode_id": "EPISODE-0000006",
      "snapshot_id": "SNAPSHOT-0000001",
      "track_domain": "post_discharge_followup"
    },
    {
      "episode_id": "EPISODE-0000007",
      "snapshot_id": "SNAPSHOT-0000001",
      "track_domain": "post_discharge_followup"
    },
    {
      "episode_id": "EPISODE-0000008",
      "snapshot_id": "SNAPSHOT-0000001",
      "track_domain": "post_discharge_followup"
    },
    {
      "episode_id": "EPISODE-0000009",
      "snapshot_id": "SNAPSHOT-0000001",
      "track_domain": "rehabilitation_or_recheck_followup"
    },
    {
      "episode_id": "EPISODE-0000010",
      "snapshot_id": "SNAPSHOT-0000001",
      "track_domain": "rehabilitation_or_recheck_followup"
    },
    {
      "episode_id": "EPISODE-0000011",
      "snapshot_id": "SNAPSHOT-0000001",
      "track_domain": "rehabilitation_or_recheck_followup"
    },
    {
      "episode_id": "EPISODE-0000012",
      "snapshot_id": "SNAPSHOT-0000001",
      "track_domain": "rehabilitation_or_recheck_followup"
    }
  ],
  "interaction_turn": [
    {
      "interaction_content": "确认已理解复测要求并提交合成观察。",
      "interaction_id": "INTERACTION-0000001",
      "interaction_time": "2026-07-19T09:20:00",
      "participant_role": "synthetic_chronic_followup_participant",
      "task_id": "TASK-0000001"
    },
    {
      "interaction_content": "确认已理解复测要求并提交合成观察。",
      "interaction_id": "INTERACTION-0000002",
      "interaction_time": "2026-07-20T09:20:00",
      "participant_role": "synthetic_chronic_followup_participant",
      "task_id": "TASK-0000002"
    },
    {
      "interaction_content": "确认已理解复测要求并提交合成观察。",
      "interaction_id": "INTERACTION-0000003",
      "interaction_time": "2026-07-21T09:20:00",
      "participant_role": "synthetic_chronic_followup_participant",
      "task_id": "TASK-0000003"
    },
    {
      "interaction_content": "确认已理解复测要求并提交合成观察。",
      "interaction_id": "INTERACTION-0000004",
      "interaction_time": "2026-07-22T09:20:00",
      "participant_role": "synthetic_chronic_followup_participant",
      "task_id": "TASK-0000004"
    },
    {
      "interaction_content": "确认已理解出院后观察要求并提交合成体温。",
      "interaction_id": "INTERACTION-0000005",
      "interaction_time": "2026-07-23T09:20:00",
      "participant_role": "synthetic_post_discharge_participant",
      "task_id": "TASK-0000005"
    },
    {
      "interaction_content": "确认已理解出院后观察要求并提交合成体温。",
      "interaction_id": "INTERACTION-0000006",
      "interaction_time": "2026-07-24T09:20:00",
      "participant_role": "synthetic_post_discharge_participant",
      "task_id": "TASK-0000006"
    },
    {
      "interaction_content": "确认已理解出院后观察要求并提交合成体温。",
      "interaction_id": "INTERACTION-0000007",
      "interaction_time": "2026-07-25T09:20:00",
      "participant_role": "synthetic_post_discharge_participant",
      "task_id": "TASK-0000007"
    },
    {
      "interaction_content": "确认已理解出院后观察要求并提交合成体温。",
      "interaction_id": "INTERACTION-0000008",
      "interaction_time": "2026-07-26T09:20:00",
      "participant_role": "synthetic_post_discharge_participant",
      "task_id": "TASK-0000008"
    },
    {
      "interaction_content": "确认已理解康复观察要求并提交合成步行距离。",
      "interaction_id": "INTERACTION-0000009",
      "interaction_time": "2026-07-27T09:20:00",
      "participant_role": "synthetic_rehabilitation_participant",
      "task_id": "TASK-0000009"
    },
    {
      "interaction_content": "确认已理解康复观察要求并提交合成步行距离。",
      "interaction_id": "INTERACTION-0000010",
      "interaction_time": "2026-07-28T09:20:00",
      "participant_role": "synthetic_rehabilitation_participant",
      "task_id": "TASK-0000010"
    },
    {
      "interaction_content": "未收到合成参与者响应。",
      "interaction_id": "INTERACTION-0000011",
      "interaction_time": "2026-07-29T09:20:00",
      "participant_role": "synthetic_rehabilitation_participant",
      "task_id": "TASK-0000011"
    },
    {
      "interaction_content": "未收到合成参与者响应。",
      "interaction_id": "INTERACTION-0000012",
      "interaction_time": "2026-07-30T09:20:00",
      "participant_role": "synthetic_rehabilitation_participant",
      "task_id": "TASK-0000012"
    }
  ],
  "followup_observation": [
    {
      "available_time": "2026-07-19T09:31:00",
      "encounter_group_id": "ENCOUNTER_GROUP-0000001",
      "event_time": "2026-07-19T09:30:00",
      "examination_name": "synthetic_systolic_blood_pressure",
      "missing_reason": null,
      "observation_id": "OBSERVATION-0000001",
      "observation_unit": "mmHg",
      "observation_value": "132",
      "snapshot_id": "SNAPSHOT-0000001"
    },
    {
      "available_time": "2026-07-20T09:31:00",
      "encounter_group_id": "ENCOUNTER_GROUP-0000001",
      "event_time": "2026-07-20T09:30:00",
      "examination_name": "synthetic_systolic_blood_pressure",
      "missing_reason": null,
      "observation_id": "OBSERVATION-0000002",
      "observation_unit": "mmHg",
      "observation_value": "132",
      "snapshot_id": "SNAPSHOT-0000001"
    },
    {
      "available_time": "2026-07-21T09:31:00",
      "encounter_group_id": "ENCOUNTER_GROUP-0000001",
      "event_time": "2026-07-21T09:30:00",
      "examination_name": "synthetic_systolic_blood_pressure",
      "missing_reason": null,
      "observation_id": "OBSERVATION-0000003",
      "observation_unit": "mmHg",
      "observation_value": "132",
      "snapshot_id": "SNAPSHOT-0000001"
    },
    {
      "available_time": "2026-07-22T09:31:00",
      "encounter_group_id": "ENCOUNTER_GROUP-0000001",
      "event_time": "2026-07-22T09:30:00",
      "examination_name": "synthetic_systolic_blood_pressure",
      "missing_reason": null,
      "observation_id": "OBSERVATION-0000004",
      "observation_unit": "mmHg",
      "observation_value": "132",
      "snapshot_id": "SNAPSHOT-0000001"
    },
    {
      "available_time": "2026-07-23T09:31:00",
      "encounter_group_id": "ENCOUNTER_GROUP-0000001",
      "event_time": "2026-07-23T09:30:00",
      "examination_name": "synthetic_body_temperature",
      "missing_reason": null,
      "observation_id": "OBSERVATION-0000005",
      "observation_unit": "Cel",
      "observation_value": "36.8",
      "snapshot_id": "SNAPSHOT-0000001"
    },
    {
      "available_time": "2026-07-24T09:31:00",
      "encounter_group_id": "ENCOUNTER_GROUP-0000001",
      "event_time": "2026-07-24T09:30:00",
      "examination_name": "synthetic_body_temperature",
      "missing_reason": null,
      "observation_id": "OBSERVATION-0000006",
      "observation_unit": "Cel",
      "observation_value": "36.8",
      "snapshot_id": "SNAPSHOT-0000001"
    },
    {
      "available_time": "2026-07-25T09:31:00",
      "encounter_group_id": "ENCOUNTER_GROUP-0000001",
      "event_time": "2026-07-25T09:30:00",
      "examination_name": "synthetic_body_temperature",
      "missing_reason": null,
      "observation_id": "OBSERVATION-0000007",
      "observation_unit": "Cel",
      "observation_value": "36.8",
      "snapshot_id": "SNAPSHOT-0000001"
    },
    {
      "available_time": "2026-07-26T09:31:00",
      "encounter_group_id": "ENCOUNTER_GROUP-0000001",
      "event_time": "2026-07-26T09:30:00",
      "examination_name": "synthetic_body_temperature",
      "missing_reason": null,
      "observation_id": "OBSERVATION-0000008",
      "observation_unit": "Cel",
      "observation_value": "36.8",
      "snapshot_id": "SNAPSHOT-0000001"
    },
    {
      "available_time": "2026-07-27T09:31:00",
      "encounter_group_id": "ENCOUNTER_GROUP-0000001",
      "event_time": "2026-07-27T09:30:00",
      "examination_name": "synthetic_six_minute_walk_distance",
      "missing_reason": null,
      "observation_id": "OBSERVATION-0000009",
      "observation_unit": "m",
      "observation_value": "360",
      "snapshot_id": "SNAPSHOT-0000001"
    },
    {
      "available_time": "2026-07-28T09:31:00",
      "encounter_group_id": "ENCOUNTER_GROUP-0000001",
      "event_time": "2026-07-28T09:30:00",
      "examination_name": "synthetic_six_minute_walk_distance",
      "missing_reason": null,
      "observation_id": "OBSERVATION-0000010",
      "observation_unit": "m",
      "observation_value": "360",
      "snapshot_id": "SNAPSHOT-0000001"
    },
    {
      "available_time": null,
      "encounter_group_id": "ENCOUNTER_GROUP-0000001",
      "event_time": null,
      "examination_name": "synthetic_six_minute_walk_distance",
      "missing_reason": "synthetic_no_observation_received",
      "observation_id": "OBSERVATION-0000011",
      "observation_unit": "m",
      "observation_value": null,
      "snapshot_id": "SNAPSHOT-0000001"
    },
    {
      "available_time": null,
      "encounter_group_id": "ENCOUNTER_GROUP-0000001",
      "event_time": null,
      "examination_name": "synthetic_six_minute_walk_distance",
      "missing_reason": "synthetic_no_observation_received",
      "observation_id": "OBSERVATION-0000012",
      "observation_unit": "m",
      "observation_value": null,
      "snapshot_id": "SNAPSHOT-0000001"
    }
  ],
  "reassessment": [
    {
      "evidence_ref": "SYN_CALL_001|OBSERVATION-0000001",
      "reassessment_decision": "complete_followup_workflow_with_observation",
      "reassessment_id": "REASSESSMENT-0000001",
      "reassessment_time": "2026-07-19T10:00:00",
      "task_id": "TASK-0000001"
    },
    {
      "evidence_ref": "SYN_CALL_002|OBSERVATION-0000002",
      "reassessment_decision": "complete_followup_workflow_with_observation",
      "reassessment_id": "REASSESSMENT-0000002",
      "reassessment_time": "2026-07-20T10:00:00",
      "task_id": "TASK-0000002"
    },
    {
      "evidence_ref": "SYN_CALL_003|OBSERVATION-0000003",
      "reassessment_decision": "complete_followup_workflow_with_observation",
      "reassessment_id": "REASSESSMENT-0000003",
      "reassessment_time": "2026-07-21T10:00:00",
      "task_id": "TASK-0000003"
    },
    {
      "evidence_ref": "SYN_CALL_004|OBSERVATION-0000004",
      "reassessment_decision": "complete_followup_workflow_with_observation",
      "reassessment_id": "REASSESSMENT-0000004",
      "reassessment_time": "2026-07-22T10:00:00",
      "task_id": "TASK-0000004"
    },
    {
      "evidence_ref": "SYN_CALL_005|OBSERVATION-0000005",
      "reassessment_decision": "complete_followup_workflow_with_observation",
      "reassessment_id": "REASSESSMENT-0000005",
      "reassessment_time": "2026-07-23T10:00:00",
      "task_id": "TASK-0000005"
    },
    {
      "evidence_ref": "SYN_CALL_006|OBSERVATION-0000006",
      "reassessment_decision": "complete_followup_workflow_with_observation",
      "reassessment_id": "REASSESSMENT-0000006",
      "reassessment_time": "2026-07-24T10:00:00",
      "task_id": "TASK-0000006"
    },
    {
      "evidence_ref": "SYN_CALL_007|OBSERVATION-0000007",
      "reassessment_decision": "complete_followup_workflow_with_observation",
      "reassessment_id": "REASSESSMENT-0000007",
      "reassessment_time": "2026-07-25T10:00:00",
      "task_id": "TASK-0000007"
    },
    {
      "evidence_ref": "SYN_CALL_008|OBSERVATION-0000008",
      "reassessment_decision": "complete_followup_workflow_with_observation",
      "reassessment_id": "REASSESSMENT-0000008",
      "reassessment_time": "2026-07-26T10:00:00",
      "task_id": "TASK-0000008"
    },
    {
      "evidence_ref": "SYN_CALL_009|OBSERVATION-0000009",
      "reassessment_decision": "complete_followup_workflow_with_observation",
      "reassessment_id": "REASSESSMENT-0000009",
      "reassessment_time": "2026-07-27T10:00:00",
      "task_id": "TASK-0000009"
    },
    {
      "evidence_ref": "SYN_CALL_010|OBSERVATION-0000010",
      "reassessment_decision": "complete_followup_workflow_with_observation",
      "reassessment_id": "REASSESSMENT-0000010",
      "reassessment_time": "2026-07-28T10:00:00",
      "task_id": "TASK-0000010"
    },
    {
      "evidence_ref": "REMINDER-0000011|INTERACTION-0000011|OVERDUE-0000011",
      "reassessment_decision": "escalate_for_human_review_due_to_no_response",
      "reassessment_id": "REASSESSMENT-0000011",
      "reassessment_time": "2026-07-29T11:00:00",
      "task_id": "TASK-0000011"
    },
    {
      "evidence_ref": "REMINDER-0000012|INTERACTION-0000012|OVERDUE-0000012",
      "reassessment_decision": "escalate_for_human_review_due_to_no_response",
      "reassessment_id": "REASSESSMENT-0000012",
      "reassessment_time": "2026-07-30T11:00:00",
      "task_id": "TASK-0000012"
    }
  ],
  "plan_change": [
    {
      "change_id": "CHANGE-0000001",
      "change_reason": "observation received within window; no plan change required",
      "plan_id": "PLAN-0000001",
      "supersedes_plan_id": null
    },
    {
      "change_id": "CHANGE-0000002",
      "change_reason": "observation received within window; no plan change required",
      "plan_id": "PLAN-0000002",
      "supersedes_plan_id": null
    },
    {
      "change_id": "CHANGE-0000003",
      "change_reason": "observation received within window; no plan change required",
      "plan_id": "PLAN-0000003",
      "supersedes_plan_id": null
    },
    {
      "change_id": "CHANGE-0000004",
      "change_reason": "observation received within window; no plan change required",
      "plan_id": "PLAN-0000004",
      "supersedes_plan_id": null
    },
    {
      "change_id": "CHANGE-0000005",
      "change_reason": "observation received within window; no plan change required",
      "plan_id": "PLAN-0000005",
      "supersedes_plan_id": null
    },
    {
      "change_id": "CHANGE-0000006",
      "change_reason": "observation received within window; no plan change required",
      "plan_id": "PLAN-0000006",
      "supersedes_plan_id": null
    },
    {
      "change_id": "CHANGE-0000007",
      "change_reason": "observation received within window; no plan change required",
      "plan_id": "PLAN-0000007",
      "supersedes_plan_id": null
    },
    {
      "change_id": "CHANGE-0000008",
      "change_reason": "observation received within window; no plan change required",
      "plan_id": "PLAN-0000008",
      "supersedes_plan_id": null
    },
    {
      "change_id": "CHANGE-0000009",
      "change_reason": "observation received within window; no plan change required",
      "plan_id": "PLAN-0000009",
      "supersedes_plan_id": null
    },
    {
      "change_id": "CHANGE-0000010",
      "change_reason": "observation received within window; no plan change required",
      "plan_id": "PLAN-0000010",
      "supersedes_plan_id": null
    },
    {
      "change_id": "CHANGE-0000011",
      "change_reason": "no response by window end; preserve missing observation and escalate",
      "plan_id": "PLAN-0000012",
      "supersedes_plan_id": "PLAN-0000011"
    },
    {
      "change_id": "CHANGE-0000012",
      "change_reason": "no response by window end; preserve missing observation and escalate",
      "plan_id": "PLAN-0000014",
      "supersedes_plan_id": "PLAN-0000013"
    }
  ],
  "human_confirmation": [
    {
      "confirmation_id": "CONFIRMATION-0000001",
      "confirmation_time": "2026-07-19T10:10:00",
      "decision_rationale": "the synthetic observation and reassessment evidence are linked and complete",
      "human_decision": "confirm_workflow_complete",
      "human_role": "synthetic_followup_reviewer",
      "task_id": "TASK-0000001"
    },
    {
      "confirmation_id": "CONFIRMATION-0000002",
      "confirmation_time": "2026-07-20T10:10:00",
      "decision_rationale": "the synthetic observation and reassessment evidence are linked and complete",
      "human_decision": "confirm_workflow_complete",
      "human_role": "synthetic_followup_reviewer",
      "task_id": "TASK-0000002"
    },
    {
      "confirmation_id": "CONFIRMATION-0000003",
      "confirmation_time": "2026-07-21T10:10:00",
      "decision_rationale": "the synthetic observation and reassessment evidence are linked and complete",
      "human_decision": "confirm_workflow_complete",
      "human_role": "synthetic_followup_reviewer",
      "task_id": "TASK-0000003"
    },
    {
      "confirmation_id": "CONFIRMATION-0000004",
      "confirmation_time": "2026-07-22T10:10:00",
      "decision_rationale": "the synthetic observation and reassessment evidence are linked and complete",
      "human_decision": "confirm_workflow_complete",
      "human_role": "synthetic_followup_reviewer",
      "task_id": "TASK-0000004"
    },
    {
      "confirmation_id": "CONFIRMATION-0000005",
      "confirmation_time": "2026-07-23T10:10:00",
      "decision_rationale": "the synthetic observation and reassessment evidence are linked and complete",
      "human_decision": "confirm_workflow_complete",
      "human_role": "synthetic_followup_reviewer",
      "task_id": "TASK-0000005"
    },
    {
      "confirmation_id": "CONFIRMATION-0000006",
      "confirmation_time": "2026-07-24T10:10:00",
      "decision_rationale": "the synthetic observation and reassessment evidence are linked and complete",
      "human_decision": "confirm_workflow_complete",
      "human_role": "synthetic_followup_reviewer",
      "task_id": "TASK-0000006"
    },
    {
      "confirmation_id": "CONFIRMATION-0000007",
      "confirmation_time": "2026-07-25T10:10:00",
      "decision_rationale": "the synthetic observation and reassessment evidence are linked and complete",
      "human_decision": "confirm_workflow_complete",
      "human_role": "synthetic_followup_reviewer",
      "task_id": "TASK-0000007"
    },
    {
      "confirmation_id": "CONFIRMATION-0000008",
      "confirmation_time": "2026-07-26T10:10:00",
      "decision_rationale": "the synthetic observation and reassessment evidence are linked and complete",
      "human_decision": "confirm_workflow_complete",
      "human_role": "synthetic_followup_reviewer",
      "task_id": "TASK-0000008"
    },
    {
      "confirmation_id": "CONFIRMATION-0000009",
      "confirmation_time": "2026-07-27T10:10:00",
      "decision_rationale": "the synthetic observation and reassessment evidence are linked and complete",
      "human_decision": "confirm_workflow_complete",
      "human_role": "synthetic_followup_reviewer",
      "task_id": "TASK-0000009"
    },
    {
      "confirmation_id": "CONFIRMATION-0000010",
      "confirmation_time": "2026-07-28T10:10:00",
      "decision_rationale": "the synthetic observation and reassessment evidence are linked and complete",
      "human_decision": "confirm_workflow_complete",
      "human_role": "synthetic_followup_reviewer",
      "task_id": "TASK-0000010"
    },
    {
      "confirmation_id": "CONFIRMATION-0000011",
      "confirmation_time": "2026-07-29T11:05:00",
      "decision_rationale": "no response and no observation were available by cutoff",
      "human_decision": "retain_unknown_and_escalate",
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    "isolation_level": "patient_then_source_family",
    "snapshot_id": "SNAPSHOT-0000001",
    "split_group_id": "SPLIT_GROUP-0000001"
  },
  "quality_issue": {
    "handling": "exclude from real followup coverage and outcomes",
    "issue_code": "synthetic_not_real_followup_execution",
    "quality_issue_id": "QUALITY_ISSUE-0000001"
  }
}

[03]