[01 · SHP-MED-08-053]

多角色临床审阅与仲裁轨迹数据。

一例病例经初审、独立复核与仲裁三个角色走一遍的全过程记录。初审与独立复核各自成版提交意见，并引用证据。两方的差异单独记成一条分歧。仲裁逐条给出采纳与驳回，生成最终版本；证据不足的点列为未决。用于多人复核流程的产品设计，也可用于疑难病例讨论留档。

医疗智能体数据 · 评估与研究使用许可 · 更新日期 2026-08-05

16
实体: 93
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	16	仲裁决定 · 仲裁处理 · 材料版本 · 分歧记录 · 证据引用 · 补证请求 · 最终版本 · 数据质量项 · 审阅病例 · 覆盖状态 · 审阅意见 · 复核记录 · 审阅角色 · 评分细则 · 来源沿袭 · 数据划分
字段	93	交付范围内的字段总数
实体关系	4	一个审阅病例连接带版本的审阅意见与分歧记录 · 每条审阅意见连接可回溯的证据引用 · 分歧记录连接初始意见与独立意见 · 仲裁决定处理分歧并产生最终产出物版本

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
仲裁结论	adjudication_id	仲裁标识
仲裁结论	case_id	病例标识
仲裁结论	adjudication_rationale	仲裁理由
仲裁结论	adjudicated_time	仲裁时间
仲裁结论	data_nature	数据性质
仲裁裁决	resolution_id	裁决标识
仲裁裁决	adjudication_id	仲裁标识
仲裁裁决	disagreement_id	分歧标识
仲裁裁决	resolution_status	处理状态
仲裁裁决	resolution_rationale	裁决理由
仲裁裁决	resolutionevidencecitation_ids	裁决依据的证据引用
仲裁裁决	adoptedevidencecitation_ids	采纳的证据引用
仲裁裁决	rejectedevidencecitation_ids	驳回的证据引用
仲裁裁决	unresolved_points	未决事项
仲裁裁决	adoptedopinionid	采纳意见标识
仲裁裁决	data_nature	数据性质
产出物版本	artifactversionid	产出物版本标识
产出物版本	case_id	病例标识
产出物版本	supersedesversionid	被取代版本标识
产出物版本	data_nature	数据性质
分歧记录	disagreement_id	分歧标识
分歧记录	case_id	病例标识
分歧记录	initialopinionid	初始意见标识
分歧记录	independentopinionid	独立意见标识
分歧记录	disagreement_type	分歧类型
分歧记录	disagreement_basis	分歧依据
分歧记录	disagreement_status	分歧状态
分歧记录	data_nature	数据性质
证据引用	citation_id	引用标识
证据引用	opinion_id	意见标识
证据引用	artifactversionid	产出物版本标识
证据引用	citation_status	引用状态
证据引用	evidence_statement	证据陈述
证据引用	data_nature	数据性质
补证请求	request_id	请求标识
补证请求	disagreement_id	分歧标识
补证请求	requested_time	请求时间
补证请求	returned_time	返回时间
补证请求	data_nature	数据性质
最终产出物版本	finalversionid	最终版本标识
最终产出物版本	case_id	病例标识
最终产出物版本	adjudication_id	仲裁标识
最终产出物版本	final_status	最终状态
最终产出物版本	supersedesversionid	被取代版本标识
最终产出物版本	confirmed_time	确认时间
最终产出物版本	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
审阅病例	case_id	病例标识
审阅病例	task_domain	任务领域
审阅病例	taskmaterialsummary	任务材料摘要
审阅病例	materialsnapshottime	材料快照时间
审阅病例	data_nature	数据性质
审阅覆盖状态	coverage_id	覆盖标识
审阅覆盖状态	realtaskmaterial_status	真实任务材料状态
审阅覆盖状态	realopinioncount	真实意见数
审阅覆盖状态	realdisagreementcount	真实分歧数
审阅覆盖状态	realadjudicationcount	真实仲裁数
审阅覆盖状态	data_nature	数据性质
审阅意见	opinion_id	意见标识
审阅意见	case_id	病例标识
审阅意见	role_id	角色标识
审阅意见	opinion_version	意见版本
审阅意见	conclusion_status	检查结论状态
审阅意见	opinion_summary	意见摘要
审阅意见	opinion_basis	意见依据
审阅意见	applicability_boundary	适用边界
审阅意见	confidence_status	配对置信状态
审阅意见	uncertainty_status	不确定性状态
审阅意见	submitted_time	提交时间
审阅意见	data_nature	数据性质
复核记录	review_id	复核标识
复核记录	case_id	病例标识
复核记录	review_time	复核时间
复核记录	data_nature	数据性质
审阅角色	role_id	角色标识
审阅角色	case_id	病例标识
审阅角色	role_type	角色类型
审阅角色	independence_status	独立性状态
审阅角色	data_nature	数据性质
评分细则	rubric_id	评分细则标识
评分细则	case_id	病例标识
评分细则	rubric_scope	评分细则范围
评分细则	data_nature	数据性质
来源沿袭	lineage_id	沿袭标识
来源沿袭	source_status	来源状态
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	case_id	病例标识
数据划分组	isolation_level	隔离层级
数据划分组	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。

16 个实体16 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

仲裁决定

仲裁理由／时点

02关联实体

仲裁处理

采纳与驳回／未决点

03关联实体

材料版本

版本／被替代版本

04关联实体

分歧记录

分歧类型／焦点／状态

05关联实体

证据引用

证据陈述／可追溯层级

06关联实体

补证请求

请求时点／返回时点

07关联实体

最终版本

确认时点／状态

08辅助实体

数据质量项

quality_issue

09核心实体

审阅病例

任务领域／材料快照

10辅助实体

覆盖状态

review_coverage_status

11关联实体

审阅意见

结论／依据／适用边界

12关联实体

复核记录

复核时点

13关联实体

审阅角色

角色类型／独立性

14关联实体

评分细则

评分范围

15辅助实体

来源沿袭

source_lineage

16关联实体

数据划分

隔离层级

连接关系

每条关系独占一行，基数置于两实体之间

实体 A01

审阅病例

任务领域／材料快照

1—n

实体 B

审阅角色

角色类型／独立性

实体 A02

审阅角色

角色类型／独立性

1—n

实体 B

审阅意见

结论／依据／适用边界

实体 A03

审阅意见

结论／依据／适用边界

1—n

实体 B

证据引用

证据陈述／可追溯层级

实体 A04

审阅病例

任务领域／材料快照

1—n

实体 B

材料版本

版本／被替代版本

实体 A05

证据引用

证据陈述／可追溯层级

1—1

实体 B

材料版本

版本／被替代版本

实体 A06

审阅病例

任务领域／材料快照

1—n

实体 B

分歧记录

分歧类型／焦点／状态

实体 A07

审阅意见

结论／依据／适用边界

1—n

实体 B

分歧记录

分歧类型／焦点／状态

实体 A08

分歧记录

分歧类型／焦点／状态

1—n

实体 B

补证请求

请求时点／返回时点

实体 A09

审阅病例

任务领域／材料快照

1—1

实体 B

仲裁决定

仲裁理由／时点

实体 A10

仲裁决定

仲裁理由／时点

1—n

实体 B

仲裁处理

采纳与驳回／未决点

实体 A11

仲裁处理

采纳与驳回／未决点

1—1

实体 B

分歧记录

分歧类型／焦点／状态

实体 A12

仲裁决定

仲裁理由／时点

1—1

实体 B

最终版本

确认时点／状态

实体 A13

最终版本

确认时点／状态

1—1

实体 B

材料版本

版本／被替代版本

实体 A14

审阅病例

任务领域／材料快照

1—1

实体 B

评分细则

评分范围

实体 A15

审阅病例

任务领域／材料快照

1—1

实体 B

数据划分

隔离层级

实体 A16

审阅病例

任务领域／材料快照

1—n

实体 B

复核记录

复核时点

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
审阅病例	1—n	审阅角色	一例审阅设初审、独立复核与仲裁三类角色
审阅角色	1—n	审阅意见	角色按版本提交意见
审阅意见	1—n	证据引用	意见逐条挂接可追溯的证据引用
审阅病例	1—n	材料版本	送审材料按版本保存
证据引用	1—1	材料版本	引用回指具体的材料版本
审阅病例	1—n	分歧记录	两条意见的差异单独记成分歧
审阅意见	1—n	分歧记录	分歧显式连接初审与独立复核的两条意见
分歧记录	1—n	补证请求	分歧可发起补证请求
审阅病例	1—1	仲裁决定	一例审阅由一次仲裁收口
仲裁决定	1—n	仲裁处理	仲裁逐条处理分歧并写明采纳与驳回
仲裁处理	1—1	分歧记录	每条处理对应一条分歧
仲裁决定	1—1	最终版本	仲裁生成最终版本
最终版本	1—1	材料版本	最终版本替代原版本，原版本保留
审阅病例	1—1	评分细则	一例审阅对应一版评分细则
审阅病例	1—1	数据划分	病例及其派生变体整体归入一个划分
审阅病例	1—n	复核记录	病例的历次复核记录

一例审阅有两条并行线索。角色—意见—引用这条线记录每个人看到什么、说了什么、凭什么说。分歧—补证—仲裁这条线记录差异怎么被发现、补了什么材料、最后怎么收口。两条线在分歧记录上交汇，「谁和谁不一致、不一致在哪」是显式对象。仲裁处理逐条挂到分歧上，写明采纳与驳回的具体引用。未决点单独成字段。最终版本以替代关系接在原材料版本之后。

样例字段语义

分组	字段	英文键	语义
审阅病例	任务领域	task_domain	本例的审阅类型，如诊断与处置审阅
审阅病例	材料摘要	taskmaterialsummary	送审材料的构成说明
审阅病例	材料快照时间	materialsnapshottime	材料被冻结的时点；各角色看的是同一份快照
审阅角色	角色类型	role_type	该角色在本例中的位置，初审、独立复核与仲裁分列
审阅角色	独立性状态	independence_status	该角色相对其他角色的独立程度声明
审阅意见	意见结论	opinion_summary	该角色给出的结论
审阅意见	结论依据	opinion_basis	该结论所依据的具体事实
审阅意见	适用边界	applicability_boundary	该结论适用到哪里为止，如仅适用于本次快照
审阅意见	不确定性状态	uncertainty_status	该意见所声明的不确定来源，如关键确认性检查缺失
审阅意见	意见版本	opinion_version	意见的版本号；看到仲裁结果后不得静默改写先前版本
审阅意见	提交时间	submitted_time	该意见的提交时点，据此可确认独立复核在什么信息条件下作出
证据引用	证据陈述	evidence_statement	该意见所引用的材料内容
证据引用	引用状态	citation_status	该引用的可追溯层级
分歧记录	分歧类型	disagreement_type	两条意见分歧的性质，如证据边界与置信度差异
分歧记录	分歧依据	disagreement_basis	分歧的具体焦点，写明两侧结论及争点
分歧记录	分歧状态	disagreement_status	该分歧当前是待解决还是已解决
补证请求	请求与返回时间	requestedtime／returnedtime	补充材料的请求时点与返回时点分列，等待时长看得出来
仲裁决定	仲裁理由	adjudication_rationale	仲裁作出该决定的理由
仲裁处理	采纳与驳回	adoptedopinionid／adoptedevidencecitationids／rejectedevidencecitationids	逐条写明采纳了哪条意见与引用、驳回了哪些，不只给一个最终结论
仲裁处理	未决点	unresolved_points	仍待补充或无法判定的点；证据不足时保留未决状态
材料版本	被替代版本	supersedesversionid	本版所替代的上一版；原版本保留可查
最终版本	确认时间与状态	confirmedtime／finalstatus	最终版本的确认时点与状态
评分细则	评分范围	rubric_scope	本例的判分维度，如证据边界、置信度与不确定性表达
数据划分	隔离层级	isolation_level	同一病例及其派生变体整体成组，角色轨迹不拆分

样例记录

一例自产的急诊胸痛审阅材料：突发胸闷、首份心电图摘要、肌钙蛋白初检与观察建议。材料按快照时间冻结。初审角色提交意见：首份检查无特异改变时，保留低危观察候选。意见另写明结论所依据的事实与适用边界。独立复核角色只看同一份快照，主张缩窄结论，先补重复心电图与动态生物标志物。两条意见的差异单独记成一条分歧，焦点是一次性初检能否支持风险分层。随后发出补证请求，记录请求与返回时点。仲裁逐条给出采纳与驳回的意见与引用，写明理由，并把仍待补充的点列为未决。最终版本以替代关系接在原版本之后。

{
  "样例性质": "自产样本",
  "review_case": [
    {
      "case_id": "CASE-0000001",
      "material_snapshot_time": "2026-07-18T08:00:00+08:00",
      "task_domain": "diagnosis_or_disposition_review",
      "task_material_summary": "合成急诊胸痛材料：突发胸闷、首份心电图摘要、肌钙蛋白初检和观察建议。"
    },
    {
      "case_id": "CASE-0000002",
      "material_snapshot_time": "2026-07-19T08:00:00+08:00",
      "task_domain": "diagnosis_or_disposition_review",
      "task_material_summary": "合成老年发热材料：发热、低血压、血常规、乳酸初检和液体复评记录。"
    },
    {
      "case_id": "CASE-0000003",
      "material_snapshot_time": "2026-07-20T08:00:00+08:00",
      "task_domain": "diagnosis_or_disposition_review",
      "task_material_summary": "合成急性呼吸困难材料：气促、血氧、胸片摘要、肾功能和利尿处理意向。"
    },
    {
      "case_id": "CASE-0000004",
      "material_snapshot_time": "2026-07-21T08:00:00+08:00",
      "task_domain": "diagnosis_or_disposition_review",
      "task_material_summary": "合成术后意识改变材料：麻醉恢复记录、镇痛用药摘要、血糖和神经查体片段。"
    },
    {
      "case_id": "CASE-0000005",
      "material_snapshot_time": "2026-07-22T08:00:00+08:00",
      "task_domain": "extraction_or_coding_review",
      "task_material_summary": "合成糖尿病门诊文本：慢病随访段落、否定词、胰岛素名称候选和复诊计划。"
    },
    {
      "case_id": "CASE-0000006",
      "material_snapshot_time": "2026-07-23T08:00:00+08:00",
      "task_domain": "extraction_or_coding_review",
      "task_material_summary": "合成抗菌药过敏文本：既往反应描述、现用药记录、皮疹时间和替代方案片段。"
    },
    {
      "case_id": "CASE-0000007",
      "material_snapshot_time": "2026-07-24T08:00:00+08:00",
      "task_domain": "extraction_or_coding_review",
      "task_material_summary": "合成手术记录文本：术前诊断、术式名称、术后诊断和编号化术语候选。"
    },
    {
      "case_id": "CASE-0000008",
      "material_snapshot_time": "2026-07-25T08:00:00+08:00",
      "task_domain": "extraction_or_coding_review",
      "task_material_summary": "合成检验报告文本：项目名称、数值、单位、参考范围和复查建议片段。"
    },
    {
      "case_id": "CASE-0000009",
      "material_snapshot_time": "2026-07-26T08:00:00+08:00",
      "task_domain": "multimodal_or_report_review",
      "task_material_summary": "合成胸部CT报告材料：检查级摘要、系列描述、报告所见和病例级关联候选。"
    },
    {
      "case_id": "CASE-0000010",
      "material_snapshot_time": "2026-07-27T08:00:00+08:00",
      "task_domain": "multimodal_or_report_review",
      "task_material_summary": "合成肺部病理材料：标本摘要、病理报告片段、IHC结果和影像关联候选。"
    },
    {
      "case_id": "CASE-0000011",
      "material_snapshot_time": "2026-07-28T08:00:00+08:00",
      "task_domain": "multimodal_or_report_review",
      "task_material_summary": "合成心电材料：检查编号、自动测量摘要、判读文字和复查建议。"
    },
    {
      "case_id": "CASE-0000012",
      "material_snapshot_time": "2026-07-29T08:00:00+08:00",
      "task_domain": "multimodal_or_report_review",
      "task_material_summary": "合成肺结节复查材料：前后报告摘要、结节尺寸描述、检查间隔和随访建议。"
    }
  ],
  "review_role": [
    {
      "case_id": "CASE-0000001",
      "independence_status": "synthetic_role",
      "role_id": "ROLE-0000001",
      "role_type": "initial_reviewer"
    },
    {
      "case_id": "CASE-0000001",
      "independence_status": "synthetic_independent_snapshot",
      "role_id": "ROLE-0000002",
      "role_type": "independent_reviewer"
    },
    {
      "case_id": "CASE-0000001",
      "independence_status": "synthetic_role",
      "role_id": "ROLE-0000003",
      "role_type": "adjudicator"
    },
    {
      "case_id": "CASE-0000002",
      "independence_status": "synthetic_role",
      "role_id": "ROLE-0000004",
      "role_type": "initial_reviewer"
    },
    {
      "case_id": "CASE-0000002",
      "independence_status": "synthetic_independent_snapshot",
      "role_id": "ROLE-0000005",
      "role_type": "independent_reviewer"
    },
    {
      "case_id": "CASE-0000002",
      "independence_status": "synthetic_role",
      "role_id": "ROLE-0000006",
      "role_type": "adjudicator"
    },
    {
      "case_id": "CASE-0000003",
      "independence_status": "synthetic_role",
      "role_id": "ROLE-0000007",
      "role_type": "initial_reviewer"
    },
    {
      "case_id": "CASE-0000003",
      "independence_status": "synthetic_independent_snapshot",
      "role_id": "ROLE-0000008",
      "role_type": "independent_reviewer"
    },
    {
      "case_id": "CASE-0000003",
      "independence_status": "synthetic_role",
      "role_id": "ROLE-0000009",
      "role_type": "adjudicator"
    },
    {
      "case_id": "CASE-0000004",
      "independence_status": "synthetic_role",
      "role_id": "ROLE-0000010",
      "role_type": "initial_reviewer"
    },
    {
      "case_id": "CASE-0000004",
      "independence_status": "synthetic_independent_snapshot",
      "role_id": "ROLE-0000011",
      "role_type": "independent_reviewer"
    },
    {
      "case_id": "CASE-0000004",
      "independence_status": "synthetic_role",
      "role_id": "ROLE-0000012",
      "role_type": "adjudicator"
    },
    {
      "case_id": "CASE-0000005",
      "independence_status": "synthetic_role",
      "role_id": "ROLE-0000013",
      "role_type": "initial_reviewer"
    },
    {
      "case_id": "CASE-0000005",
      "independence_status": "synthetic_independent_snapshot",
      "role_id": "ROLE-0000014",
      "role_type": "independent_reviewer"
    },
    {
      "case_id": "CASE-0000005",
      "independence_status": "synthetic_role",
      "role_id": "ROLE-0000015",
      "role_type": "adjudicator"
    },
    {
      "case_id": "CASE-0000006",
      "independence_status": "synthetic_role",
      "role_id": "ROLE-0000016",
      "role_type": "initial_reviewer"
    },
    {
      "case_id": "CASE-0000006",
      "independence_status": "synthetic_independent_snapshot",
      "role_id": "ROLE-0000017",
      "role_type": "independent_reviewer"
    },
    {
      "case_id": "CASE-0000006",
      "independence_status": "synthetic_role",
      "role_id": "ROLE-0000018",
      "role_type": "adjudicator"
    },
    {
      "case_id": "CASE-0000007",
      "independence_status": "synthetic_role",
      "role_id": "ROLE-0000019",
      "role_type": "initial_reviewer"
    },
    {
      "case_id": "CASE-0000007",
      "independence_status": "synthetic_independent_snapshot",
      "role_id": "ROLE-0000020",
      "role_type": "independent_reviewer"
    },
    {
      "case_id": "CASE-0000007",
      "independence_status": "synthetic_role",
      "role_id": "ROLE-0000021",
      "role_type": "adjudicator"
    },
    {
      "case_id": "CASE-0000008",
      "independence_status": "synthetic_role",
      "role_id": "ROLE-0000022",
      "role_type": "initial_reviewer"
    },
    {
      "case_id": "CASE-0000008",
      "independence_status": "synthetic_independent_snapshot",
      "role_id": "ROLE-0000023",
      "role_type": "independent_reviewer"
    },
    {
      "case_id": "CASE-0000008",
      "independence_status": "synthetic_role",
      "role_id": "ROLE-0000024",
      "role_type": "adjudicator"
    },
    {
      "case_id": "CASE-0000009",
      "independence_status": "synthetic_role",
      "role_id": "ROLE-0000025",
      "role_type": "initial_reviewer"
    },
    {
      "case_id": "CASE-0000009",
      "independence_status": "synthetic_independent_snapshot",
      "role_id": "ROLE-0000026",
      "role_type": "independent_reviewer"
    },
    {
      "case_id": "CASE-0000009",
      "independence_status": "synthetic_role",
      "role_id": "ROLE-0000027",
      "role_type": "adjudicator"
    },
    {
      "case_id": "CASE-0000010",
      "independence_status": "synthetic_role",
      "role_id": "ROLE-0000028",
      "role_type": "initial_reviewer"
    },
    {
      "case_id": "CASE-0000010",
      "independence_status": "synthetic_independent_snapshot",
      "role_id": "ROLE-0000029",
      "role_type": "independent_reviewer"
    },
    {
      "case_id": "CASE-0000010",
      "independence_status": "synthetic_role",
      "role_id": "ROLE-0000030",
      "role_type": "adjudicator"
    },
    {
      "case_id": "CASE-0000011",
      "independence_status": "synthetic_role",
      "role_id": "ROLE-0000031",
      "role_type": "initial_reviewer"
    },
    {
      "case_id": "CASE-0000011",
      "independence_status": "synthetic_independent_snapshot",
      "role_id": "ROLE-0000032",
      "role_type": "independent_reviewer"
    },
    {
      "case_id": "CASE-0000011",
      "independence_status": "synthetic_role",
      "role_id": "ROLE-0000033",
      "role_type": "adjudicator"
    },
    {
      "case_id": "CASE-0000012",
      "independence_status": "synthetic_role",
      "role_id": "ROLE-0000034",
      "role_type": "initial_reviewer"
    },
    {
      "case_id": "CASE-0000012",
      "independence_status": "synthetic_independent_snapshot",
      "role_id": "ROLE-0000035",
      "role_type": "independent_reviewer"
    },
    {
      "case_id": "CASE-0000012",
      "independence_status": "synthetic_role",
      "role_id": "ROLE-0000036",
      "role_type": "adjudicator"
    }
  ],
  "review_opinion": [
    {
      "applicability_boundary": "仅适用于本次合成就诊快照，不外推长期结局或最终诊断。",
      "case_id": "CASE-0000001",
      "conclusion_status": "synthetic_limited_conclusion_supported",
      "confidence_status": "synthetic_moderate",
      "opinion_basis": "依据现病史、查体摘要与已提供检验的方向一致性。胸痛持续时间、首份心电图和初检结果尚未形成高危证据。",
      "opinion_id": "OPINION-0000001",
      "opinion_summary": "初审认为现有材料支持限定范围的候选结论。初审主张在首份检查无特异改变时保留低危观察候选。",
      "opinion_version": "1",
      "role_id": "ROLE-0000001",
      "submitted_time": "2026-07-18T09:00:00+08:00",
      "uncertainty_status": "synthetic_confirmatory_test_missing"
    },
    {
      "applicability_boundary": "不得形成最终诊断、治疗效果或长期风险判断。",
      "case_id": "CASE-0000001",
      "conclusion_status": "synthetic_narrower_conclusion_required",
      "confidence_status": "synthetic_low",
      "opinion_basis": "依据关键确认性检查缺失且时间关系不足。单次初检不能排除动态变化，观察窗口尚未闭合。",
      "opinion_id": "OPINION-0000002",
      "opinion_summary": "独立审阅认为应缩窄结论并先补确认性材料。独立审阅主张先补重复心电图与动态生物标志物。",
      "opinion_version": "1",
      "role_id": "ROLE-0000002",
      "submitted_time": "2026-07-18T10:00:00+08:00",
      "uncertainty_status": "synthetic_key_evidence_gap"
    },
    {
      "applicability_boundary": "仅输出冻结材料直接支持的交集，不替代临床诊断。",
      "case_id": "CASE-0000001",
      "conclusion_status": "synthetic_adjudicated_limited_conclusion",
      "confidence_status": "synthetic_moderate",
      "opinion_basis": "依据两侧共同支持部分与补证返回结果。分歧焦点是一次性初检能否支持风险分层。",
      "opinion_id": "OPINION-0000003",
      "opinion_summary": "仲裁意见采纳更窄的候选结论并保留不确定项。仲裁仅采纳短期观察与重复检查建议，不输出急性事件的确定性结论。",
      "opinion_version": "1",
      "role_id": "ROLE-0000003",
      "submitted_time": "2026-07-18T11:00:00+08:00",
      "uncertainty_status": "synthetic_residual_uncertainty"
    },
    {
      "applicability_boundary": "仅适用于本次合成就诊快照，不外推长期结局或最终诊断。",
      "case_id": "CASE-0000002",
      "conclusion_status": "synthetic_limited_conclusion_supported",
      "confidence_status": "synthetic_moderate",
      "opinion_basis": "依据现病史、查体摘要与已提供检验的方向一致性。低血压与乳酸异常方向一致，但病原学和复评反应缺失。",
      "opinion_id": "OPINION-0000004",
      "opinion_summary": "初审认为现有材料支持限定范围的候选结论。初审主张将感染相关低灌注列为需优先复评的候选。",
      "opinion_version": "1",
      "role_id": "ROLE-0000004",
      "submitted_time": "2026-07-19T09:00:00+08:00",
      "uncertainty_status": "synthetic_confirmatory_test_missing"
    },
    {
      "applicability_boundary": "不得形成最终诊断、治疗效果或长期风险判断。",
      "case_id": "CASE-0000002",
      "conclusion_status": "synthetic_narrower_conclusion_required",
      "confidence_status": "synthetic_low",
      "opinion_basis": "依据关键确认性检查缺失且时间关系不足。现有资料缺少连续生命体征、培养和用药前后时序。",
      "opinion_id": "OPINION-0000005",
      "opinion_summary": "独立审阅认为应缩窄结论并先补确认性材料。独立审阅主张先区分容量不足、感染和药物相关因素。",
      "opinion_version": "1",
      "role_id": "ROLE-0000005",
      "submitted_time": "2026-07-19T10:00:00+08:00",
      "uncertainty_status": "synthetic_key_evidence_gap"
    },
    {
      "applicability_boundary": "仅输出冻结材料直接支持的交集，不替代临床诊断。",
      "case_id": "CASE-0000002",
      "conclusion_status": "synthetic_adjudicated_limited_conclusion",
      "confidence_status": "synthetic_moderate",
      "opinion_basis": "依据两侧共同支持部分与补证返回结果。分歧焦点是低血压的单一归因是否成立。",
      "opinion_id": "OPINION-0000006",
      "opinion_summary": "仲裁意见采纳更窄的候选结论并保留不确定项。仲裁保留感染相关低灌注候选，同时要求记录容量复评和培养结果。",
      "opinion_version": "1",
      "role_id": "ROLE-0000006",
      "submitted_time": "2026-07-19T11:00:00+08:00",
      "uncertainty_status": "synthetic_residual_uncertainty"
    },
    {
      "applicability_boundary": "仅适用于本次合成就诊快照，不外推长期结局或最终诊断。",
      "case_id": "CASE-0000003",
      "conclusion_status": "synthetic_limited_conclusion_supported",
      "confidence_status": "synthetic_moderate",
      "opinion_basis": "依据现病史、查体摘要与已提供检验的方向一致性。胸片充血征象摘要与低氧同时出现，且有既往肾功能异常线索。",
      "opinion_id": "OPINION-0000007",
      "opinion_summary": "初审认为现有材料支持限定范围的候选结论。初审主张影像与低氧支持容量负荷相关呼吸困难候选。",
      "opinion_version": "1",
      "role_id": "ROLE-0000007",
      "submitted_time": "2026-07-20T09:00:00+08:00",
      "uncertainty_status": "synthetic_confirmatory_test_missing"
    },
    {
      "applicability_boundary": "不得形成最终诊断、治疗效果或长期风险判断。",
      "case_id": "CASE-0000003",
      "conclusion_status": "synthetic_narrower_conclusion_required",
      "confidence_status": "synthetic_low",
      "opinion_basis": "依据关键确认性检查缺失且时间关系不足。缺少体液状态、超声和治疗后氧合变化。",
      "opinion_id": "OPINION-0000008",
      "opinion_summary": "独立审阅认为应缩窄结论并先补确认性材料。独立审阅主张影像摘要不足以区分感染、心源性和其他原因。",
      "opinion_version": "1",
      "role_id": "ROLE-0000008",
      "submitted_time": "2026-07-20T10:00:00+08:00",
      "uncertainty_status": "synthetic_key_evidence_gap"
    },
    {
      "applicability_boundary": "仅输出冻结材料直接支持的交集，不替代临床诊断。",
      "case_id": "CASE-0000003",
      "conclusion_status": "synthetic_adjudicated_limited_conclusion",
      "confidence_status": "synthetic_moderate",
      "opinion_basis": "依据两侧共同支持部分与补证返回结果。分歧焦点是影像摘要能否决定病因和处理方向。",
      "opinion_id": "OPINION-0000009",
      "opinion_summary": "仲裁意见采纳更窄的候选结论并保留不确定项。仲裁仅保留需并行鉴别与复测氧合的候选路径，不指定单一病因。",
      "opinion_version": "1",
      "role_id": "ROLE-0000009",
      "submitted_time": "2026-07-20T11:00:00+08:00",
      "uncertainty_status": "synthetic_residual_uncertainty"
    },
    {
      "applicability_boundary": "仅适用于本次合成就诊快照，不外推长期结局或最终诊断。",
      "case_id": "CASE-0000004",
      "conclusion_status": "synthetic_limited_conclusion_supported",
      "confidence_status": "synthetic_moderate",
      "opinion_basis": "依据现病史、查体摘要与已提供检验的方向一致性。意识变化发生于术后早期，镇痛给药与血糖异常均为可见线索。",
      "opinion_id": "OPINION-0000010",
      "opinion_summary": "初审认为现有材料支持限定范围的候选结论。初审主张优先按药物残余与代谢因素复核。",
      "opinion_version": "1",
      "role_id": "ROLE-0000010",
      "submitted_time": "2026-07-21T09:00:00+08:00",
      "uncertainty_status": "synthetic_confirmatory_test_missing"
    },
    {
      "applicability_boundary": "不得形成最终诊断、治疗效果或长期风险判断。",
      "case_id": "CASE-0000004",
      "conclusion_status": "synthetic_narrower_conclusion_required",
      "confidence_status": "synthetic_low",
      "opinion_basis": "依据关键确认性检查缺失且时间关系不足。神经查体片段不完整，缺少基线状态和复查记录。",
      "opinion_id": "OPINION-0000011",
      "opinion_summary": "独立审阅认为应缩窄结论并先补确认性材料。独立审阅主张不能据时间邻近性排除神经系统急症。",
      "opinion_version": "1",
      "role_id": "ROLE-0000011",
      "submitted_time": "2026-07-21T10:00:00+08:00",
      "uncertainty_status": "synthetic_key_evidence_gap"
    },
    {
      "applicability_boundary": "仅输出冻结材料直接支持的交集，不替代临床诊断。",
      "case_id": "CASE-0000004",
      "conclusion_status": "synthetic_adjudicated_limited_conclusion",
      "confidence_status": "synthetic_moderate",
      "opinion_basis": "依据两侧共同支持部分与补证返回结果。分歧焦点是术后时间关系是否足以解释意识改变。",
      "opinion_id": "OPINION-0000012",
      "opinion_summary": "仲裁意见采纳更窄的候选结论并保留不确定项。仲裁采纳先行复核可逆因素并保留神经评估升级条件的有限结论。",
      "opinion_version": "1",
      "role_id": "ROLE-0000012",
      "submitted_time": "2026-07-21T11:00:00+08:00",
      "uncertainty_status": "synthetic_residual_uncertainty"
    },
    {
      "applicability_boundary": "只形成候选映射，不代表人工审核编码或结算编码。",
      "case_id": "CASE-0000005",
      "conclusion_status": "synthetic_candidate_mapping_supported",
      "confidence_status": "synthetic_moderate",
      "opinion_basis": "依据片段原文与候选术语名称的直接一致性。文本存在直接药名片段和同段随访语境。",
      "opinion_id": "OPINION-0000013",
      "opinion_summary": "初审认为文本片段可形成术语映射候选。初审主张可将明确出现的胰岛素名称列为候选药物实体。",
      "opinion_version": "1",
      "role_id": "ROLE-0000013",
      "submitted_time": "2026-07-22T09:00:00+08:00",
      "uncertainty_status": "synthetic_context_incomplete"
    },
    {
      "applicability_boundary": "不得把名称命中升级为已确认编码或诊断真值。",
      "case_id": "CASE-0000005",
      "conclusion_status": "synthetic_manual_review_required",
      "confidence_status": "synthetic_low",
      "opinion_basis": "依据修饰词、否定词和上下文范围仍可能改变术语含义。片段未完整覆盖是否继续使用及剂量调整的上下文。",
      "opinion_id": "OPINION-0000014",
      "opinion_summary": "独立审阅拒绝直接确认编码并要求人工复核。独立审阅主张否定和停用语义可能改变候选状态。",
      "opinion_version": "1",
      "role_id": "ROLE-0000014",
      "submitted_time": "2026-07-22T10:00:00+08:00",
      "uncertainty_status": "synthetic_semantic_scope_gap"
    },
    {
      "applicability_boundary": "交付结果仅为候选及复核状态，不输出确认编码。",
      "case_id": "CASE-0000005",
      "conclusion_status": "synthetic_adjudicated_candidate_only",
      "confidence_status": "synthetic_moderate",
      "opinion_basis": "依据名称命中可复算，但语义边界未闭合。分歧焦点是名称出现能否等同于当前用药事实。",
      "opinion_id": "OPINION-0000015",
      "opinion_summary": "仲裁保留名称候选并明确送人工审核。仲裁仅采纳药物名称候选，并标记需人工复核其否定、持续和剂量语义。",
      "opinion_version": "1",
      "role_id": "ROLE-0000015",
      "submitted_time": "2026-07-22T11:00:00+08:00",
      "uncertainty_status": "synthetic_review_pending"
    },
    {
      "applicability_boundary": "只形成候选映射，不代表人工审核编码或结算编码。",
      "case_id": "CASE-0000006",
      "conclusion_status": "synthetic_candidate_mapping_supported",
      "confidence_status": "synthetic_moderate",
      "opinion_basis": "依据片段原文与候选术语名称的直接一致性。药名与皮疹描述在相邻片段出现，存在时间词线索。",
      "opinion_id": "OPINION-0000016",
      "opinion_summary": "初审认为文本片段可形成术语映射候选。初审主张可提取过敏相关药物和反应候选。",
      "opinion_version": "1",
      "role_id": "ROLE-0000016",
      "submitted_time": "2026-07-23T09:00:00+08:00",
      "uncertainty_status": "synthetic_context_incomplete"
    },
    {
      "applicability_boundary": "不得把名称命中升级为已确认编码或诊断真值。",
      "case_id": "CASE-0000006",
      "conclusion_status": "synthetic_manual_review_required",
      "confidence_status": "synthetic_low",
      "opinion_basis": "依据修饰词、否定词和上下文范围仍可能改变术语含义。文本未闭合首次暴露、再暴露与反应因果顺序。",
      "opinion_id": "OPINION-0000017",
      "opinion_summary": "独立审阅拒绝直接确认编码并要求人工复核。独立审阅主张需区分既往史、当前反应和预防性提示。",
      "opinion_version": "1",
      "role_id": "ROLE-0000017",
      "submitted_time": "2026-07-23T10:00:00+08:00",
      "uncertainty_status": "synthetic_semantic_scope_gap"
    },
    {
      "applicability_boundary": "交付结果仅为候选及复核状态，不输出确认编码。",
      "case_id": "CASE-0000006",
      "conclusion_status": "synthetic_adjudicated_candidate_only",
      "confidence_status": "synthetic_moderate",
      "opinion_basis": "依据名称命中可复算，但语义边界未闭合。分歧焦点是相邻文本是否构成药物不良反应关系。",
      "opinion_id": "OPINION-0000018",
      "opinion_summary": "仲裁保留名称候选并明确送人工审核。仲裁采纳药物—反应候选对，但拒绝形成已确认过敏或因果关系编码。",
      "opinion_version": "1",
      "role_id": "ROLE-0000018",
      "submitted_time": "2026-07-23T11:00:00+08:00",
      "uncertainty_status": "synthetic_review_pending"
    },
    {
      "applicability_boundary": "只形成候选映射，不代表人工审核编码或结算编码。",
      "case_id": "CASE-0000007",
      "conclusion_status": "synthetic_candidate_mapping_supported",
      "confidence_status": "synthetic_moderate",
      "opinion_basis": "依据片段原文与候选术语名称的直接一致性。术式名称与手术记录标题和术后描述直接对应。",
      "opinion_id": "OPINION-0000019",
      "opinion_summary": "初审认为文本片段可形成术语映射候选。初审主张术式名称可进入操作术语候选集合。",
      "opinion_version": "1",
      "role_id": "ROLE-0000019",
      "submitted_time": "2026-07-24T09:00:00+08:00",
      "uncertainty_status": "synthetic_context_incomplete"
    },
    {
      "applicability_boundary": "不得把名称命中升级为已确认编码或诊断真值。",
      "case_id": "CASE-0000007",
      "conclusion_status": "synthetic_manual_review_required",
      "confidence_status": "synthetic_low",
      "opinion_basis": "依据修饰词、否定词和上下文范围仍可能改变术语含义。编号、入路和联合操作可能改变标准概念。",
      "opinion_id": "OPINION-0000020",
      "opinion_summary": "独立审阅拒绝直接确认编码并要求人工复核。独立审阅主张文本未提供可确认的标准编码版本与修饰范围。",
      "opinion_version": "1",
      "role_id": "ROLE-0000020",
      "submitted_time": "2026-07-24T10:00:00+08:00",
      "uncertainty_status": "synthetic_semantic_scope_gap"
    },
    {
      "applicability_boundary": "交付结果仅为候选及复核状态，不输出确认编码。",
      "case_id": "CASE-0000007",
      "conclusion_status": "synthetic_adjudicated_candidate_only",
      "confidence_status": "synthetic_moderate",
      "opinion_basis": "依据名称命中可复算，但语义边界未闭合。分歧焦点是操作名称命中能否直接升级标准编码。",
      "opinion_id": "OPINION-0000021",
      "opinion_summary": "仲裁保留名称候选并明确送人工审核。仲裁保留原文名称和候选编码，要求按术式修饰与版本进行人工确认。",
      "opinion_version": "1",
      "role_id": "ROLE-0000021",
      "submitted_time": "2026-07-24T11:00:00+08:00",
      "uncertainty_status": "synthetic_review_pending"
    },
    {
      "applicability_boundary": "只形成候选映射，不代表人工审核编码或结算编码。",
      "case_id": "CASE-0000008",
      "conclusion_status": "synthetic_candidate_mapping_supported",
      "confidence_status": "synthetic_moderate",
      "opinion_basis": "依据片段原文与候选术语名称的直接一致性。同一报告片段内存在项目名、数值及单位。",
      "opinion_id": "OPINION-0000022",
      "opinion_summary": "初审认为文本片段可形成术语映射候选。初审主张可抽取项目—数值—单位的结构化候选。",
      "opinion_version": "1",
      "role_id": "ROLE-0000022",
      "submitted_time": "2026-07-25T09:00:00+08:00",
      "uncertainty_status": "synthetic_context_incomplete"
    },
    {
      "applicability_boundary": "不得把名称命中升级为已确认编码或诊断真值。",
      "case_id": "CASE-0000008",
      "conclusion_status": "synthetic_manual_review_required",
      "confidence_status": "synthetic_low",
      "opinion_basis": "依据修饰词、否定词和上下文范围仍可能改变术语含义。单位虽出现，但不同方法和标本来源未在文本中闭合。",
      "opinion_id": "OPINION-0000023",
      "opinion_summary": "独立审阅拒绝直接确认编码并要求人工复核。独立审阅主张参考范围版本和标本条件缺失会影响解释。",
      "opinion_version": "1",
      "role_id": "ROLE-0000023",
      "submitted_time": "2026-07-25T10:00:00+08:00",
      "uncertainty_status": "synthetic_semantic_scope_gap"
    },
    {
      "applicability_boundary": "交付结果仅为候选及复核状态，不输出确认编码。",
      "case_id": "CASE-0000008",
      "conclusion_status": "synthetic_adjudicated_candidate_only",
      "confidence_status": "synthetic_moderate",
      "opinion_basis": "依据名称命中可复算，但语义边界未闭合。分歧焦点是数值抽取与临床异常解释能否同时成立。",
      "opinion_id": "OPINION-0000024",
      "opinion_summary": "仲裁保留名称候选并明确送人工审核。仲裁采纳原始项目、数值和单位候选，拒绝直接标注临床异常等级。",
      "opinion_version": "1",
      "role_id": "ROLE-0000024",
      "submitted_time": "2026-07-25T11:00:00+08:00",
      "uncertainty_status": "synthetic_review_pending"
    },
    {
      "applicability_boundary": "只适用于病例级候选关联，不代表病灶级真值。",
      "case_id": "CASE-0000009",
      "conclusion_status": "synthetic_pair_candidate_supported",
      "confidence_status": "synthetic_moderate",
      "opinion_basis": "依据同一合成病例范围与报告描述的一致性。检查日期、模态和报告解剖部位在材料中一致。",
      "opinion_id": "OPINION-0000025",
      "opinion_summary": "初审认为对象与报告可形成病例级候选关联。初审主张同一检查摘要与报告可形成检查级候选关联。",
      "opinion_version": "1",
      "role_id": "ROLE-0000025",
      "submitted_time": "2026-07-26T09:00:00+08:00",
      "uncertainty_status": "synthetic_object_key_missing"
    },
    {
      "applicability_boundary": "不得升级为图像—病灶—诊断强配对或标注真值。",
      "case_id": "CASE-0000009",
      "conclusion_status": "synthetic_strong_pair_not_supported",
      "confidence_status": "synthetic_low",
      "opinion_basis": "依据缺少稳定对象键且报告不能唯一定位单个图像对象。报告未唯一引用序列或实例，多个系列均可能相关。",
      "opinion_id": "OPINION-0000026",
      "opinion_summary": "独立审阅认为证据不足以形成强配对。独立审阅主张系列级对象键不足，不能形成病灶级配对。",
      "opinion_version": "1",
      "role_id": "ROLE-0000026",
      "submitted_time": "2026-07-26T10:00:00+08:00",
      "uncertainty_status": "synthetic_pairing_ambiguity"
    },
    {
      "applicability_boundary": "仅输出病例级候选边及其质量状态。",
      "case_id": "CASE-0000009",
      "conclusion_status": "synthetic_adjudicated_case_level_candidate",
      "confidence_status": "synthetic_moderate",
      "opinion_basis": "依据两侧共同确认病例范围，但对象级唯一性不足。分歧焦点是检查级一致性能否支持更细粒度影像配对。",
      "opinion_id": "OPINION-0000027",
      "opinion_summary": "仲裁采纳病例级候选关联并拒绝强配对。仲裁采纳检查级候选边，拒绝病灶级或实例级强配对。",
      "opinion_version": "1",
      "role_id": "ROLE-0000027",
      "submitted_time": "2026-07-26T11:00:00+08:00",
      "uncertainty_status": "synthetic_object_level_unresolved"
    },
    {
      "applicability_boundary": "只适用于病例级候选关联，不代表病灶级真值。",
      "case_id": "CASE-0000010",
      "conclusion_status": "synthetic_pair_candidate_supported",
      "confidence_status": "synthetic_moderate",
      "opinion_basis": "依据同一合成病例范围与报告描述的一致性。解剖部位、标本摘要和报告措辞具有一致线索。",
      "opinion_id": "OPINION-0000028",
      "opinion_summary": "初审认为对象与报告可形成病例级候选关联。初审主张标本与病理报告的描述可形成病例内候选连接。",
      "opinion_version": "1",
      "role_id": "ROLE-0000028",
      "submitted_time": "2026-07-27T09:00:00+08:00",
      "uncertainty_status": "synthetic_object_key_missing"
    },
    {
      "applicability_boundary": "不得升级为图像—病灶—诊断强配对或标注真值。",
      "case_id": "CASE-0000010",
      "conclusion_status": "synthetic_strong_pair_not_supported",
      "confidence_status": "synthetic_low",
      "opinion_basis": "依据缺少稳定对象键且报告不能唯一定位单个图像对象。IHC结果属于报告级信息，未定位到单个切片对象。",
      "opinion_id": "OPINION-0000029",
      "opinion_summary": "独立审阅认为证据不足以形成强配对。独立审阅主张缺少稳定蜡块或切片键，不能推断图像—病理一一对应。",
      "opinion_version": "1",
      "role_id": "ROLE-0000029",
      "submitted_time": "2026-07-27T10:00:00+08:00",
      "uncertainty_status": "synthetic_pairing_ambiguity"
    },
    {
      "applicability_boundary": "仅输出病例级候选边及其质量状态。",
      "case_id": "CASE-0000010",
      "conclusion_status": "synthetic_adjudicated_case_level_candidate",
      "confidence_status": "synthetic_moderate",
      "opinion_basis": "依据两侧共同确认病例范围，但对象级唯一性不足。分歧焦点是报告级病理信息是否可下沉为切片级标签。",
      "opinion_id": "OPINION-0000030",
      "opinion_summary": "仲裁采纳病例级候选关联并拒绝强配对。仲裁保留标本—报告候选关系，拒绝把IHC或诊断下放到具体图像对象。",
      "opinion_version": "1",
      "role_id": "ROLE-0000030",
      "submitted_time": "2026-07-27T11:00:00+08:00",
      "uncertainty_status": "synthetic_object_level_unresolved"
    },
    {
      "applicability_boundary": "只适用于病例级候选关联，不代表病灶级真值。",
      "case_id": "CASE-0000011",
      "conclusion_status": "synthetic_pair_candidate_supported",
      "confidence_status": "synthetic_moderate",
      "opinion_basis": "依据同一合成病例范围与报告描述的一致性。编号、检查时间和判读文本在同一材料版本内出现。",
      "opinion_id": "OPINION-0000031",
      "opinion_summary": "初审认为对象与报告可形成病例级候选关联。初审主张检查编号与判读文字可形成检查级报告候选。",
      "opinion_version": "1",
      "role_id": "ROLE-0000031",
      "submitted_time": "2026-07-28T09:00:00+08:00",
      "uncertainty_status": "synthetic_object_key_missing"
    },
    {
      "applicability_boundary": "不得升级为图像—病灶—诊断强配对或标注真值。",
      "case_id": "CASE-0000011",
      "conclusion_status": "synthetic_strong_pair_not_supported",
      "confidence_status": "synthetic_low",
      "opinion_basis": "依据缺少稳定对象键且报告不能唯一定位单个图像对象。缺少原始波形、人工复核和症状相关时间线。",
      "opinion_id": "OPINION-0000032",
      "opinion_summary": "独立审阅认为证据不足以形成强配对。独立审阅主张自动测量不能单独替代人工判读或临床诊断。",
      "opinion_version": "1",
      "role_id": "ROLE-0000032",
      "submitted_time": "2026-07-28T10:00:00+08:00",
      "uncertainty_status": "synthetic_pairing_ambiguity"
    },
    {
      "applicability_boundary": "仅输出病例级候选边及其质量状态。",
      "case_id": "CASE-0000011",
      "conclusion_status": "synthetic_adjudicated_case_level_candidate",
      "confidence_status": "synthetic_moderate",
      "opinion_basis": "依据两侧共同确认病例范围，但对象级唯一性不足。分歧焦点是自动测量摘要在报告结论中的证据等级。",
      "opinion_id": "OPINION-0000033",
      "opinion_summary": "仲裁采纳病例级候选关联并拒绝强配对。仲裁采纳检查级报告候选，并限制自动测量仅作辅助证据。",
      "opinion_version": "1",
      "role_id": "ROLE-0000033",
      "submitted_time": "2026-07-28T11:00:00+08:00",
      "uncertainty_status": "synthetic_object_level_unresolved"
    },
    {
      "applicability_boundary": "只适用于病例级候选关联，不代表病灶级真值。",
      "case_id": "CASE-0000012",
      "conclusion_status": "synthetic_pair_candidate_supported",
      "confidence_status": "synthetic_moderate",
      "opinion_basis": "依据同一合成病例范围与报告描述的一致性。相同解剖部位和随访语句支持比较意图。",
      "opinion_id": "OPINION-0000034",
      "opinion_summary": "初审认为对象与报告可形成病例级候选关联。初审主张前后报告可形成同病例复查变化候选。",
      "opinion_version": "1",
      "role_id": "ROLE-0000034",
      "submitted_time": "2026-07-29T09:00:00+08:00",
      "uncertainty_status": "synthetic_object_key_missing"
    },
    {
      "applicability_boundary": "不得升级为图像—病灶—诊断强配对或标注真值。",
      "case_id": "CASE-0000012",
      "conclusion_status": "synthetic_strong_pair_not_supported",
      "confidence_status": "synthetic_low",
      "opinion_basis": "依据缺少稳定对象键且报告不能唯一定位单个图像对象。缺少同层面定位、原始影像和一致测量规则。",
      "opinion_id": "OPINION-0000035",
      "opinion_summary": "独立审阅认为证据不足以形成强配对。独立审阅主张不同检查协议和测量方法可能影响尺寸比较。",
      "opinion_version": "1",
      "role_id": "ROLE-0000035",
      "submitted_time": "2026-07-29T10:00:00+08:00",
      "uncertainty_status": "synthetic_pairing_ambiguity"
    },
    {
      "applicability_boundary": "仅输出病例级候选边及其质量状态。",
      "case_id": "CASE-0000012",
      "conclusion_status": "synthetic_adjudicated_case_level_candidate",
      "confidence_status": "synthetic_moderate",
      "opinion_basis": "依据两侧共同确认病例范围，但对象级唯一性不足。分歧焦点是报告中的尺寸变化能否等同于病灶真实进展。",
      "opinion_id": "OPINION-0000036",
      "opinion_summary": "仲裁采纳病例级候选关联并拒绝强配对。仲裁采纳复查比较候选和随访建议，拒绝结论性进展或疗效判断。",
      "opinion_version": "1",
      "role_id": "ROLE-0000036",
      "submitted_time": "2026-07-29T11:00:00+08:00",
      "uncertainty_status": "synthetic_object_level_unresolved"
    }
  ],
  "disagreement_record": [
    {
      "case_id": "CASE-0000001",
      "disagreement_basis": "初审结论“synthetic_limited_conclusion_supported”与独立审阅结论“synthetic_narrower_conclusion_required”不同；分歧焦点是一次性初检能否支持风险分层。",
      "disagreement_id": "DISAGREEMENT-0000001",
      "disagreement_status": "synthetic_open_then_resolved",
      "disagreement_type": "synthetic_evidence_boundary_confidence_difference",
      "independent_opinion_id": "OPINION-0000002",
      "initial_opinion_id": "OPINION-0000001"
    },
    {
      "case_id": "CASE-0000002",
      "disagreement_basis": "初审结论“synthetic_limited_conclusion_supported”与独立审阅结论“synthetic_narrower_conclusion_required”不同；分歧焦点是低血压的单一归因是否成立。",
      "disagreement_id": "DISAGREEMENT-0000002",
      "disagreement_status": "synthetic_open_then_resolved",
      "disagreement_type": "synthetic_evidence_boundary_confidence_difference",
      "independent_opinion_id": "OPINION-0000005",
      "initial_opinion_id": "OPINION-0000004"
    },
    {
      "case_id": "CASE-0000003",
      "disagreement_basis": "初审结论“synthetic_limited_conclusion_supported”与独立审阅结论“synthetic_narrower_conclusion_required”不同；分歧焦点是影像摘要能否决定病因和处理方向。",
      "disagreement_id": "DISAGREEMENT-0000003",
      "disagreement_status": "synthetic_open_then_resolved",
      "disagreement_type": "synthetic_evidence_boundary_confidence_difference",
      "independent_opinion_id": "OPINION-0000008",
      "initial_opinion_id": "OPINION-0000007"
    },
    {
      "case_id": "CASE-0000004",
      "disagreement_basis": "初审结论“synthetic_limited_conclusion_supported”与独立审阅结论“synthetic_narrower_conclusion_required”不同；分歧焦点是术后时间关系是否足以解释意识改变。",
      "disagreement_id": "DISAGREEMENT-0000004",
      "disagreement_status": "synthetic_open_then_resolved",
      "disagreement_type": "synthetic_evidence_boundary_confidence_difference",
      "independent_opinion_id": "OPINION-0000011",
      "initial_opinion_id": "OPINION-0000010"
    },
    {
      "case_id": "CASE-0000005",
      "disagreement_basis": "初审结论“synthetic_candidate_mapping_supported”与独立审阅结论“synthetic_manual_review_required”不同；分歧焦点是名称出现能否等同于当前用药事实。",
      "disagreement_id": "DISAGREEMENT-0000005",
      "disagreement_status": "synthetic_open_then_resolved",
      "disagreement_type": "synthetic_evidence_boundary_confidence_difference",
      "independent_opinion_id": "OPINION-0000014",
      "initial_opinion_id": "OPINION-0000013"
    },
    {
      "case_id": "CASE-0000006",
      "disagreement_basis": "初审结论“synthetic_candidate_mapping_supported”与独立审阅结论“synthetic_manual_review_required”不同；分歧焦点是相邻文本是否构成药物不良反应关系。",
      "disagreement_id": "DISAGREEMENT-0000006",
      "disagreement_status": "synthetic_open_then_resolved",
      "disagreement_type": "synthetic_evidence_boundary_confidence_difference",
      "independent_opinion_id": "OPINION-0000017",
      "initial_opinion_id": "OPINION-0000016"
    },
    {
      "case_id": "CASE-0000007",
      "disagreement_basis": "初审结论“synthetic_candidate_mapping_supported”与独立审阅结论“synthetic_manual_review_required”不同；分歧焦点是操作名称命中能否直接升级标准编码。",
      "disagreement_id": "DISAGREEMENT-0000007",
      "disagreement_status": "synthetic_open_then_resolved",
      "disagreement_type": "synthetic_evidence_boundary_confidence_difference",
      "independent_opinion_id": "OPINION-0000020",
      "initial_opinion_id": "OPINION-0000019"
    },
    {
      "case_id": "CASE-0000008",
      "disagreement_basis": "初审结论“synthetic_candidate_mapping_supported”与独立审阅结论“synthetic_manual_review_required”不同；分歧焦点是数值抽取与临床异常解释能否同时成立。",
      "disagreement_id": "DISAGREEMENT-0000008",
      "disagreement_status": "synthetic_open_then_resolved",
      "disagreement_type": "synthetic_evidence_boundary_confidence_difference",
      "independent_opinion_id": "OPINION-0000023",
      "initial_opinion_id": "OPINION-0000022"
    },
    {
      "case_id": "CASE-0000009",
      "disagreement_basis": "初审结论“synthetic_pair_candidate_supported”与独立审阅结论“synthetic_strong_pair_not_supported”不同；分歧焦点是检查级一致性能否支持更细粒度影像配对。",
      "disagreement_id": "DISAGREEMENT-0000009",
      "disagreement_status": "synthetic_open_then_resolved",
      "disagreement_type": "synthetic_evidence_boundary_confidence_difference",
      "independent_opinion_id": "OPINION-0000026",
      "initial_opinion_id": "OPINION-0000025"
    },
    {
      "case_id": "CASE-0000010",
      "disagreement_basis": "初审结论“synthetic_pair_candidate_supported”与独立审阅结论“synthetic_strong_pair_not_supported”不同；分歧焦点是报告级病理信息是否可下沉为切片级标签。",
      "disagreement_id": "DISAGREEMENT-0000010",
      "disagreement_status": "synthetic_open_then_resolved",
      "disagreement_type": "synthetic_evidence_boundary_confidence_difference",
      "independent_opinion_id": "OPINION-0000029",
      "initial_opinion_id": "OPINION-0000028"
    },
    {
      "case_id": "CASE-0000011",
      "disagreement_basis": "初审结论“synthetic_pair_candidate_supported”与独立审阅结论“synthetic_strong_pair_not_supported”不同；分歧焦点是自动测量摘要在报告结论中的证据等级。",
      "disagreement_id": "DISAGREEMENT-0000011",
      "disagreement_status": "synthetic_open_then_resolved",
      "disagreement_type": "synthetic_evidence_boundary_confidence_difference",
      "independent_opinion_id": "OPINION-0000032",
      "initial_opinion_id": "OPINION-0000031"
    },
    {
      "case_id": "CASE-0000012",
      "disagreement_basis": "初审结论“synthetic_pair_candidate_supported”与独立审阅结论“synthetic_strong_pair_not_supported”不同；分歧焦点是报告中的尺寸变化能否等同于病灶真实进展。",
      "disagreement_id": "DISAGREEMENT-0000012",
      "disagreement_status": "synthetic_open_then_resolved",
      "disagreement_type": "synthetic_evidence_boundary_confidence_difference",
      "independent_opinion_id": "OPINION-0000035",
      "initial_opinion_id": "OPINION-0000034"
    }
  ],
  "evidence_request": [
    {
      "disagreement_id": "DISAGREEMENT-0000001",
      "request_id": "REQUEST-0000001",
      "requested_time": "2026-07-18T10:05:00+08:00",
      "returned_time": "2026-07-18T10:15:00+08:00"
    },
    {
      "disagreement_id": "DISAGREEMENT-0000002",
      "request_id": "REQUEST-0000002",
      "requested_time": "2026-07-19T10:05:00+08:00",
      "returned_time": "2026-07-19T10:15:00+08:00"
    },
    {
      "disagreement_id": "DISAGREEMENT-0000003",
      "request_id": "REQUEST-0000003",
      "requested_time": "2026-07-20T10:05:00+08:00",
      "returned_time": "2026-07-20T10:15:00+08:00"
    },
    {
      "disagreement_id": "DISAGREEMENT-0000004",
      "request_id": "REQUEST-0000004",
      "requested_time": "2026-07-21T10:05:00+08:00",
      "returned_time": "2026-07-21T10:15:00+08:00"
    },
    {
      "disagreement_id": "DISAGREEMENT-0000005",
      "request_id": "REQUEST-0000005",
      "requested_time": "2026-07-22T10:05:00+08:00",
      "returned_time": "2026-07-22T10:15:00+08:00"
    },
    {
      "disagreement_id": "DISAGREEMENT-0000006",
      "request_id": "REQUEST-0000006",
      "requested_time": "2026-07-23T10:05:00+08:00",
      "returned_time": "2026-07-23T10:15:00+08:00"
    },
    {
      "disagreement_id": "DISAGREEMENT-0000007",
      "request_id": "REQUEST-0000007",
      "requested_time": "2026-07-24T10:05:00+08:00",
      "returned_time": "2026-07-24T10:15:00+08:00"
    },
    {
      "disagreement_id": "DISAGREEMENT-0000008",
      "request_id": "REQUEST-0000008",
      "requested_time": "2026-07-25T10:05:00+08:00",
      "returned_time": "2026-07-25T10:15:00+08:00"
    },
    {
      "disagreement_id": "DISAGREEMENT-0000009",
      "request_id": "REQUEST-0000009",
      "requested_time": "2026-07-26T10:05:00+08:00",
      "returned_time": "2026-07-26T10:15:00+08:00"
    },
    {
      "disagreement_id": "DISAGREEMENT-0000010",
      "request_id": "REQUEST-0000010",
      "requested_time": "2026-07-27T10:05:00+08:00",
      "returned_time": "2026-07-27T10:15:00+08:00"
    },
    {
      "disagreement_id": "DISAGREEMENT-0000011",
      "request_id": "REQUEST-0000011",
      "requested_time": "2026-07-28T10:05:00+08:00",
      "returned_time": "2026-07-28T10:15:00+08:00"
    },
    {
      "disagreement_id": "DISAGREEMENT-0000012",
      "request_id": "REQUEST-0000012",
      "requested_time": "2026-07-29T10:05:00+08:00",
      "returned_time": "2026-07-29T10:15:00+08:00"
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  "evidence_citation": [
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000001",
      "citation_id": "CITATION-0000001",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "冻结材料中的症状、查体和已提供检验支持限定结论，但缺少确认性检查。胸痛持续时间、首份心电图和初检结果尚未形成高危证据。",
      "opinion_id": "OPINION-0000001"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000001",
      "citation_id": "CITATION-0000002",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "冻结材料未包含确认性检查及完整时间链，只支持保留候选。单次初检不能排除动态变化，观察窗口尚未闭合。",
      "opinion_id": "OPINION-0000002"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000001",
      "citation_id": "CITATION-0000003",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "仲裁引用两侧冻结证据和补证结果，仅采纳可共同复核的部分。仲裁仅采纳短期观察与重复检查建议，不输出急性事件的确定性结论。",
      "opinion_id": "OPINION-0000003"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000002",
      "citation_id": "CITATION-0000004",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "冻结材料中的症状、查体和已提供检验支持限定结论，但缺少确认性检查。低血压与乳酸异常方向一致，但病原学和复评反应缺失。",
      "opinion_id": "OPINION-0000004"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000002",
      "citation_id": "CITATION-0000005",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "冻结材料未包含确认性检查及完整时间链，只支持保留候选。现有资料缺少连续生命体征、培养和用药前后时序。",
      "opinion_id": "OPINION-0000005"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000002",
      "citation_id": "CITATION-0000006",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "仲裁引用两侧冻结证据和补证结果，仅采纳可共同复核的部分。仲裁保留感染相关低灌注候选，同时要求记录容量复评和培养结果。",
      "opinion_id": "OPINION-0000006"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000003",
      "citation_id": "CITATION-0000007",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "冻结材料中的症状、查体和已提供检验支持限定结论，但缺少确认性检查。胸片充血征象摘要与低氧同时出现，且有既往肾功能异常线索。",
      "opinion_id": "OPINION-0000007"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000003",
      "citation_id": "CITATION-0000008",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "冻结材料未包含确认性检查及完整时间链，只支持保留候选。缺少体液状态、超声和治疗后氧合变化。",
      "opinion_id": "OPINION-0000008"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000003",
      "citation_id": "CITATION-0000009",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "仲裁引用两侧冻结证据和补证结果，仅采纳可共同复核的部分。仲裁仅保留需并行鉴别与复测氧合的候选路径，不指定单一病因。",
      "opinion_id": "OPINION-0000009"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000004",
      "citation_id": "CITATION-0000010",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "冻结材料中的症状、查体和已提供检验支持限定结论，但缺少确认性检查。意识变化发生于术后早期，镇痛给药与血糖异常均为可见线索。",
      "opinion_id": "OPINION-0000010"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000004",
      "citation_id": "CITATION-0000011",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "冻结材料未包含确认性检查及完整时间链，只支持保留候选。神经查体片段不完整，缺少基线状态和复查记录。",
      "opinion_id": "OPINION-0000011"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000004",
      "citation_id": "CITATION-0000012",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "仲裁引用两侧冻结证据和补证结果，仅采纳可共同复核的部分。仲裁采纳先行复核可逆因素并保留神经评估升级条件的有限结论。",
      "opinion_id": "OPINION-0000012"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000005",
      "citation_id": "CITATION-0000013",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "冻结文本包含直接名称线索，但完整病程上下文尚未提供。文本存在直接药名片段和同段随访语境。",
      "opinion_id": "OPINION-0000013"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000005",
      "citation_id": "CITATION-0000014",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "冻结文本显示名称命中，但否定和时态边界不足以支持正式编码。片段未完整覆盖是否继续使用及剂量调整的上下文。",
      "opinion_id": "OPINION-0000014"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000005",
      "citation_id": "CITATION-0000015",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "仲裁引用两侧片段证据，仅采纳可复算的名称候选。仲裁仅采纳药物名称候选，并标记需人工复核其否定、持续和剂量语义。",
      "opinion_id": "OPINION-0000015"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000006",
      "citation_id": "CITATION-0000016",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "冻结文本包含直接名称线索，但完整病程上下文尚未提供。药名与皮疹描述在相邻片段出现，存在时间词线索。",
      "opinion_id": "OPINION-0000016"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000006",
      "citation_id": "CITATION-0000017",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "冻结文本显示名称命中，但否定和时态边界不足以支持正式编码。文本未闭合首次暴露、再暴露与反应因果顺序。",
      "opinion_id": "OPINION-0000017"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000006",
      "citation_id": "CITATION-0000018",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "仲裁引用两侧片段证据，仅采纳可复算的名称候选。仲裁采纳药物—反应候选对，但拒绝形成已确认过敏或因果关系编码。",
      "opinion_id": "OPINION-0000018"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000007",
      "citation_id": "CITATION-0000019",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "冻结文本包含直接名称线索，但完整病程上下文尚未提供。术式名称与手术记录标题和术后描述直接对应。",
      "opinion_id": "OPINION-0000019"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000007",
      "citation_id": "CITATION-0000020",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "冻结文本显示名称命中，但否定和时态边界不足以支持正式编码。编号、入路和联合操作可能改变标准概念。",
      "opinion_id": "OPINION-0000020"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000007",
      "citation_id": "CITATION-0000021",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "仲裁引用两侧片段证据，仅采纳可复算的名称候选。仲裁保留原文名称和候选编码，要求按术式修饰与版本进行人工确认。",
      "opinion_id": "OPINION-0000021"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000008",
      "citation_id": "CITATION-0000022",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "冻结文本包含直接名称线索，但完整病程上下文尚未提供。同一报告片段内存在项目名、数值及单位。",
      "opinion_id": "OPINION-0000022"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000008",
      "citation_id": "CITATION-0000023",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "冻结文本显示名称命中，但否定和时态边界不足以支持正式编码。单位虽出现，但不同方法和标本来源未在文本中闭合。",
      "opinion_id": "OPINION-0000023"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000008",
      "citation_id": "CITATION-0000024",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "仲裁引用两侧片段证据，仅采纳可复算的名称候选。仲裁采纳原始项目、数值和单位候选，拒绝直接标注临床异常等级。",
      "opinion_id": "OPINION-0000024"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000009",
      "citation_id": "CITATION-0000025",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "冻结对象与报告在病例范围一致，但缺少稳定对象级配对键。检查日期、模态和报告解剖部位在材料中一致。",
      "opinion_id": "OPINION-0000025"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000009",
      "citation_id": "CITATION-0000026",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "冻结材料未提供可唯一定位的对象键，多个对象均可能对应报告。报告未唯一引用序列或实例，多个系列均可能相关。",
      "opinion_id": "OPINION-0000026"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000009",
      "citation_id": "CITATION-0000027",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "仲裁引用两侧对象与报告证据，仅采纳病例级共同部分。仲裁采纳检查级候选边，拒绝病灶级或实例级强配对。",
      "opinion_id": "OPINION-0000027"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000010",
      "citation_id": "CITATION-0000028",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "冻结对象与报告在病例范围一致，但缺少稳定对象级配对键。解剖部位、标本摘要和报告措辞具有一致线索。",
      "opinion_id": "OPINION-0000028"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000010",
      "citation_id": "CITATION-0000029",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "冻结材料未提供可唯一定位的对象键，多个对象均可能对应报告。IHC结果属于报告级信息，未定位到单个切片对象。",
      "opinion_id": "OPINION-0000029"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000010",
      "citation_id": "CITATION-0000030",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "仲裁引用两侧对象与报告证据，仅采纳病例级共同部分。仲裁保留标本—报告候选关系，拒绝把IHC或诊断下放到具体图像对象。",
      "opinion_id": "OPINION-0000030"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000011",
      "citation_id": "CITATION-0000031",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "冻结对象与报告在病例范围一致，但缺少稳定对象级配对键。编号、检查时间和判读文本在同一材料版本内出现。",
      "opinion_id": "OPINION-0000031"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000011",
      "citation_id": "CITATION-0000032",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "冻结材料未提供可唯一定位的对象键，多个对象均可能对应报告。缺少原始波形、人工复核和症状相关时间线。",
      "opinion_id": "OPINION-0000032"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000011",
      "citation_id": "CITATION-0000033",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "仲裁引用两侧对象与报告证据，仅采纳病例级共同部分。仲裁采纳检查级报告候选，并限制自动测量仅作辅助证据。",
      "opinion_id": "OPINION-0000033"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000012",
      "citation_id": "CITATION-0000034",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "冻结对象与报告在病例范围一致，但缺少稳定对象级配对键。相同解剖部位和随访语句支持比较意图。",
      "opinion_id": "OPINION-0000034"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000012",
      "citation_id": "CITATION-0000035",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "冻结材料未提供可唯一定位的对象键，多个对象均可能对应报告。缺少同层面定位、原始影像和一致测量规则。",
      "opinion_id": "OPINION-0000035"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000012",
      "citation_id": "CITATION-0000036",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "仲裁引用两侧对象与报告证据，仅采纳病例级共同部分。仲裁采纳复查比较候选和随访建议，拒绝结论性进展或疗效判断。",
      "opinion_id": "OPINION-0000036"
    }
  ],
  "adjudication_decision": [
    {
      "adjudicated_time": "2026-07-18T11:00:00+08:00",
      "adjudication_id": "ADJUDICATION-0000001",
      "adjudication_rationale": "仲裁仅采纳短期观察与重复检查建议，不输出急性事件的确定性结论。",
      "case_id": "CASE-0000001"
    },
    {
      "adjudicated_time": "2026-07-19T11:00:00+08:00",
      "adjudication_id": "ADJUDICATION-0000002",
      "adjudication_rationale": "仲裁保留感染相关低灌注候选，同时要求记录容量复评和培养结果。",
      "case_id": "CASE-0000002"
    },
    {
      "adjudicated_time": "2026-07-20T11:00:00+08:00",
      "adjudication_id": "ADJUDICATION-0000003",
      "adjudication_rationale": "仲裁仅保留需并行鉴别与复测氧合的候选路径，不指定单一病因。",
      "case_id": "CASE-0000003"
    },
    {
      "adjudicated_time": "2026-07-21T11:00:00+08:00",
      "adjudication_id": "ADJUDICATION-0000004",
      "adjudication_rationale": "仲裁采纳先行复核可逆因素并保留神经评估升级条件的有限结论。",
      "case_id": "CASE-0000004"
    },
    {
      "adjudicated_time": "2026-07-22T11:00:00+08:00",
      "adjudication_id": "ADJUDICATION-0000005",
      "adjudication_rationale": "仲裁仅采纳药物名称候选，并标记需人工复核其否定、持续和剂量语义。",
      "case_id": "CASE-0000005"
    },
    {
      "adjudicated_time": "2026-07-23T11:00:00+08:00",
      "adjudication_id": "ADJUDICATION-0000006",
      "adjudication_rationale": "仲裁采纳药物—反应候选对，但拒绝形成已确认过敏或因果关系编码。",
      "case_id": "CASE-0000006"
    },
    {
      "adjudicated_time": "2026-07-24T11:00:00+08:00",
      "adjudication_id": "ADJUDICATION-0000007",
      "adjudication_rationale": "仲裁保留原文名称和候选编码，要求按术式修饰与版本进行人工确认。",
      "case_id": "CASE-0000007"
    },
    {
      "adjudicated_time": "2026-07-25T11:00:00+08:00",
      "adjudication_id": "ADJUDICATION-0000008",
      "adjudication_rationale": "仲裁采纳原始项目、数值和单位候选，拒绝直接标注临床异常等级。",
      "case_id": "CASE-0000008"
    },
    {
      "adjudicated_time": "2026-07-26T11:00:00+08:00",
      "adjudication_id": "ADJUDICATION-0000009",
      "adjudication_rationale": "仲裁采纳检查级候选边，拒绝病灶级或实例级强配对。",
      "case_id": "CASE-0000009"
    },
    {
      "adjudicated_time": "2026-07-27T11:00:00+08:00",
      "adjudication_id": "ADJUDICATION-0000010",
      "adjudication_rationale": "仲裁保留标本—报告候选关系，拒绝把IHC或诊断下放到具体图像对象。",
      "case_id": "CASE-0000010"
    },
    {
      "adjudicated_time": "2026-07-28T11:00:00+08:00",
      "adjudication_id": "ADJUDICATION-0000011",
      "adjudication_rationale": "仲裁采纳检查级报告候选，并限制自动测量仅作辅助证据。",
      "case_id": "CASE-0000011"
    },
    {
      "adjudicated_time": "2026-07-29T11:00:00+08:00",
      "adjudication_id": "ADJUDICATION-0000012",
      "adjudication_rationale": "仲裁采纳复查比较候选和随访建议，拒绝结论性进展或疗效判断。",
      "case_id": "CASE-0000012"
    }
  ],
  "adjudication_resolution": [
    {
      "adjudication_id": "ADJUDICATION-0000001",
      "adopted_evidence_citation_ids": "CITATION-0000002",
      "adopted_opinion_id": "OPINION-0000002",
      "disagreement_id": "DISAGREEMENT-0000001",
      "rejected_evidence_citation_ids": "CITATION-0000001",
      "resolution_evidence_citation_ids": "CITATION-0000001|CITATION-0000002",
      "resolution_id": "RESOLUTION-0000001",
      "resolution_rationale": "仲裁仅采纳短期观察与重复检查建议，不输出急性事件的确定性结论。",
      "resolution_status": "synthetic_resolved_with_case_specific_boundary",
      "unresolved_points": "重复心电图、动态生物标志物及症状演变仍待补充；不得据此推断最终诊断。"
    },
    {
      "adjudication_id": "ADJUDICATION-0000002",
      "adopted_evidence_citation_ids": "CITATION-0000005",
      "adopted_opinion_id": "OPINION-0000005",
      "disagreement_id": "DISAGREEMENT-0000002",
      "rejected_evidence_citation_ids": "CITATION-0000004",
      "resolution_evidence_citation_ids": "CITATION-0000004|CITATION-0000005",
      "resolution_id": "RESOLUTION-0000002",
      "resolution_rationale": "仲裁保留感染相关低灌注候选，同时要求记录容量复评和培养结果。",
      "resolution_status": "synthetic_resolved_with_case_specific_boundary",
      "unresolved_points": "连续灌注指标、培养结果和既往用药时间未覆盖；不判定脓毒症或治疗反应。"
    },
    {
      "adjudication_id": "ADJUDICATION-0000003",
      "adopted_evidence_citation_ids": "CITATION-0000008",
      "adopted_opinion_id": "OPINION-0000008",
      "disagreement_id": "DISAGREEMENT-0000003",
      "rejected_evidence_citation_ids": "CITATION-0000007",
      "resolution_evidence_citation_ids": "CITATION-0000007|CITATION-0000008",
      "resolution_id": "RESOLUTION-0000003",
      "resolution_rationale": "仲裁仅保留需并行鉴别与复测氧合的候选路径，不指定单一病因。",
      "resolution_status": "synthetic_resolved_with_case_specific_boundary",
      "unresolved_points": "床旁超声、容量评估和治疗后氧合趋势未提供；疗效与住院结局保持未知。"
    },
    {
      "adjudication_id": "ADJUDICATION-0000004",
      "adopted_evidence_citation_ids": "CITATION-0000011",
      "adopted_opinion_id": "OPINION-0000011",
      "disagreement_id": "DISAGREEMENT-0000004",
      "rejected_evidence_citation_ids": "CITATION-0000010",
      "resolution_evidence_citation_ids": "CITATION-0000010|CITATION-0000011",
      "resolution_id": "RESOLUTION-0000004",
      "resolution_rationale": "仲裁采纳先行复核可逆因素并保留神经评估升级条件的有限结论。",
      "resolution_status": "synthetic_resolved_with_case_specific_boundary",
      "unresolved_points": "完整神经查体、用药剂量反应和复查血糖未覆盖；不形成病因或预后判断。"
    },
    {
      "adjudication_id": "ADJUDICATION-0000005",
      "adopted_evidence_citation_ids": "CITATION-0000014",
      "adopted_opinion_id": "OPINION-0000014",
      "disagreement_id": "DISAGREEMENT-0000005",
      "rejected_evidence_citation_ids": "CITATION-0000013",
      "resolution_evidence_citation_ids": "CITATION-0000013|CITATION-0000014",
      "resolution_id": "RESOLUTION-0000005",
      "resolution_rationale": "仲裁仅采纳药物名称候选，并标记需人工复核其否定、持续和剂量语义。",
      "resolution_status": "synthetic_resolved_with_case_specific_boundary",
      "unresolved_points": "停用时点、实际用药和剂量变化未提供；不得输出治疗暴露或依从性。"
    },
    {
      "adjudication_id": "ADJUDICATION-0000006",
      "adopted_evidence_citation_ids": "CITATION-0000017",
      "adopted_opinion_id": "OPINION-0000017",
      "disagreement_id": "DISAGREEMENT-0000006",
      "rejected_evidence_citation_ids": "CITATION-0000016",
      "resolution_evidence_citation_ids": "CITATION-0000016|CITATION-0000017",
      "resolution_id": "RESOLUTION-0000006",
      "resolution_rationale": "仲裁采纳药物—反应候选对，但拒绝形成已确认过敏或因果关系编码。",
      "resolution_status": "synthetic_resolved_with_case_specific_boundary",
      "unresolved_points": "暴露顺序、专业确认和替代药后的反应未覆盖；不得推断禁忌或安全结论。"
    },
    {
      "adjudication_id": "ADJUDICATION-0000007",
      "adopted_evidence_citation_ids": "CITATION-0000020",
      "adopted_opinion_id": "OPINION-0000020",
      "disagreement_id": "DISAGREEMENT-0000007",
      "rejected_evidence_citation_ids": "CITATION-0000019",
      "resolution_evidence_citation_ids": "CITATION-0000019|CITATION-0000020",
      "resolution_id": "RESOLUTION-0000007",
      "resolution_rationale": "仲裁保留原文名称和候选编码，要求按术式修饰与版本进行人工确认。",
      "resolution_status": "synthetic_resolved_with_case_specific_boundary",
      "unresolved_points": "入路、联合操作和编码体系版本未闭合；不输出已确认手术编码。"
    },
    {
      "adjudication_id": "ADJUDICATION-0000008",
      "adopted_evidence_citation_ids": "CITATION-0000023",
      "adopted_opinion_id": "OPINION-0000023",
      "disagreement_id": "DISAGREEMENT-0000008",
      "rejected_evidence_citation_ids": "CITATION-0000022",
      "resolution_evidence_citation_ids": "CITATION-0000022|CITATION-0000023",
      "resolution_id": "RESOLUTION-0000008",
      "resolution_rationale": "仲裁采纳原始项目、数值和单位候选，拒绝直接标注临床异常等级。",
      "resolution_status": "synthetic_resolved_with_case_specific_boundary",
      "unresolved_points": "标本、方法和参考范围版本不足；不得做单位换算或异常结论。"
    },
    {
      "adjudication_id": "ADJUDICATION-0000009",
      "adopted_evidence_citation_ids": "CITATION-0000026",
      "adopted_opinion_id": "OPINION-0000026",
      "disagreement_id": "DISAGREEMENT-0000009",
      "rejected_evidence_citation_ids": "CITATION-0000025",
      "resolution_evidence_citation_ids": "CITATION-0000025|CITATION-0000026",
      "resolution_id": "RESOLUTION-0000009",
      "resolution_rationale": "仲裁采纳检查级候选边，拒绝病灶级或实例级强配对。",
      "resolution_status": "synthetic_resolved_with_case_specific_boundary",
      "unresolved_points": "稳定序列键、实例定位和病灶标注未提供；不得输出视觉金标准。"
    },
    {
      "adjudication_id": "ADJUDICATION-0000010",
      "adopted_evidence_citation_ids": "CITATION-0000029",
      "adopted_opinion_id": "OPINION-0000029",
      "disagreement_id": "DISAGREEMENT-0000010",
      "rejected_evidence_citation_ids": "CITATION-0000028",
      "resolution_evidence_citation_ids": "CITATION-0000028|CITATION-0000029",
      "resolution_id": "RESOLUTION-0000010",
      "resolution_rationale": "仲裁保留标本—报告候选关系，拒绝把IHC或诊断下放到具体图像对象。",
      "resolution_status": "synthetic_resolved_with_case_specific_boundary",
      "unresolved_points": "蜡块、切片和图像唯一键未覆盖；不输出切片级标注或强配对。"
    },
    {
      "adjudication_id": "ADJUDICATION-0000011",
      "adopted_evidence_citation_ids": "CITATION-0000032",
      "adopted_opinion_id": "OPINION-0000032",
      "disagreement_id": "DISAGREEMENT-0000011",
      "rejected_evidence_citation_ids": "CITATION-0000031",
      "resolution_evidence_citation_ids": "CITATION-0000031|CITATION-0000032",
      "resolution_id": "RESOLUTION-0000011",
      "resolution_rationale": "仲裁采纳检查级报告候选，并限制自动测量仅作辅助证据。",
      "resolution_status": "synthetic_resolved_with_case_specific_boundary",
      "unresolved_points": "原始波形、人工复核和临床症状关联缺失；不得形成诊断金标准。"
    },
    {
      "adjudication_id": "ADJUDICATION-0000012",
      "adopted_evidence_citation_ids": "CITATION-0000035",
      "adopted_opinion_id": "OPINION-0000035",
      "disagreement_id": "DISAGREEMENT-0000012",
      "rejected_evidence_citation_ids": "CITATION-0000034",
      "resolution_evidence_citation_ids": "CITATION-0000034|CITATION-0000035",
      "resolution_id": "RESOLUTION-0000012",
      "resolution_rationale": "仲裁采纳复查比较候选和随访建议，拒绝结论性进展或疗效判断。",
      "resolution_status": "synthetic_resolved_with_case_specific_boundary",
      "unresolved_points": "检查协议、同层面定位和测量方法未覆盖；不得生成病灶真值或长期结局。"
    }
  ],
  "artifact_version": [
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000001",
      "case_id": "CASE-0000001",
      "supersedes_version_id": null
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000002",
      "case_id": "CASE-0000002",
      "supersedes_version_id": null
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000003",
      "case_id": "CASE-0000003",
      "supersedes_version_id": null
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000004",
      "case_id": "CASE-0000004",
      "supersedes_version_id": null
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000005",
      "case_id": "CASE-0000005",
      "supersedes_version_id": null
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000006",
      "case_id": "CASE-0000006",
      "supersedes_version_id": null
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000007",
      "case_id": "CASE-0000007",
      "supersedes_version_id": null
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000008",
      "case_id": "CASE-0000008",
      "supersedes_version_id": null
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000009",
      "case_id": "CASE-0000009",
      "supersedes_version_id": null
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000010",
      "case_id": "CASE-0000010",
      "supersedes_version_id": null
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000011",
      "case_id": "CASE-0000011",
      "supersedes_version_id": null
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000012",
      "case_id": "CASE-0000012",
      "supersedes_version_id": null
    }
  ],
  "final_artifact_version": [
    {
      "adjudication_id": "ADJUDICATION-0000001",
      "case_id": "CASE-0000001",
      "confirmed_time": "2026-07-18T11:10:00+08:00",
      "final_status": "synthetic_confirmed",
      "final_version_id": "FINAL_VERSION-0000001",
      "supersedes_version_id": "ARTIFACT_VERSION-0000001"
    },
    {
      "adjudication_id": "ADJUDICATION-0000002",
      "case_id": "CASE-0000002",
      "confirmed_time": "2026-07-19T11:10:00+08:00",
      "final_status": "synthetic_confirmed",
      "final_version_id": "FINAL_VERSION-0000002",
      "supersedes_version_id": "ARTIFACT_VERSION-0000002"
    },
    {
      "adjudication_id": "ADJUDICATION-0000003",
      "case_id": "CASE-0000003",
      "confirmed_time": "2026-07-20T11:10:00+08:00",
      "final_status": "synthetic_confirmed",
      "final_version_id": "FINAL_VERSION-0000003",
      "supersedes_version_id": "ARTIFACT_VERSION-0000003"
    },
    {
      "adjudication_id": "ADJUDICATION-0000004",
      "case_id": "CASE-0000004",
      "confirmed_time": "2026-07-21T11:10:00+08:00",
      "final_status": "synthetic_confirmed",
      "final_version_id": "FINAL_VERSION-0000004",
      "supersedes_version_id": "ARTIFACT_VERSION-0000004"
    },
    {
      "adjudication_id": "ADJUDICATION-0000005",
      "case_id": "CASE-0000005",
      "confirmed_time": "2026-07-22T11:10:00+08:00",
      "final_status": "synthetic_confirmed",
      "final_version_id": "FINAL_VERSION-0000005",
      "supersedes_version_id": "ARTIFACT_VERSION-0000005"
    },
    {
      "adjudication_id": "ADJUDICATION-0000006",
      "case_id": "CASE-0000006",
      "confirmed_time": "2026-07-23T11:10:00+08:00",
      "final_status": "synthetic_confirmed",
      "final_version_id": "FINAL_VERSION-0000006",
      "supersedes_version_id": "ARTIFACT_VERSION-0000006"
    },
    {
      "adjudication_id": "ADJUDICATION-0000007",
      "case_id": "CASE-0000007",
      "confirmed_time": "2026-07-24T11:10:00+08:00",
      "final_status": "synthetic_confirmed",
      "final_version_id": "FINAL_VERSION-0000007",
      "supersedes_version_id": "ARTIFACT_VERSION-0000007"
    },
    {
      "adjudication_id": "ADJUDICATION-0000008",
      "case_id": "CASE-0000008",
      "confirmed_time": "2026-07-25T11:10:00+08:00",
      "final_status": "synthetic_confirmed",
      "final_version_id": "FINAL_VERSION-0000008",
      "supersedes_version_id": "ARTIFACT_VERSION-0000008"
    },
    {
      "adjudication_id": "ADJUDICATION-0000009",
      "case_id": "CASE-0000009",
      "confirmed_time": "2026-07-26T11:10:00+08:00",
      "final_status": "synthetic_confirmed",
      "final_version_id": "FINAL_VERSION-0000009",
      "supersedes_version_id": "ARTIFACT_VERSION-0000009"
    },
    {
      "adjudication_id": "ADJUDICATION-0000010",
      "case_id": "CASE-0000010",
      "confirmed_time": "2026-07-27T11:10:00+08:00",
      "final_status": "synthetic_confirmed",
      "final_version_id": "FINAL_VERSION-0000010",
      "supersedes_version_id": "ARTIFACT_VERSION-0000010"
    },
    {
      "adjudication_id": "ADJUDICATION-0000011",
      "case_id": "CASE-0000011",
      "confirmed_time": "2026-07-28T11:10:00+08:00",
      "final_status": "synthetic_confirmed",
      "final_version_id": "FINAL_VERSION-0000011",
      "supersedes_version_id": "ARTIFACT_VERSION-0000011"
    },
    {
      "adjudication_id": "ADJUDICATION-0000012",
      "case_id": "CASE-0000012",
      "confirmed_time": "2026-07-29T11:10:00+08:00",
      "final_status": "synthetic_confirmed",
      "final_version_id": "FINAL_VERSION-0000012",
      "supersedes_version_id": "ARTIFACT_VERSION-0000012"
    }
  ],
  "scoring_rubric": [
    {
      "case_id": "CASE-0000001",
      "rubric_id": "RUBRIC-0000001",
      "rubric_scope": "evidence_boundary_confidence_and_uncertainty"
    },
    {
      "case_id": "CASE-0000002",
      "rubric_id": "RUBRIC-0000002",
      "rubric_scope": "evidence_boundary_confidence_and_uncertainty"
    },
    {
      "case_id": "CASE-0000003",
      "rubric_id": "RUBRIC-0000003",
      "rubric_scope": "evidence_boundary_confidence_and_uncertainty"
    },
    {
      "case_id": "CASE-0000004",
      "rubric_id": "RUBRIC-0000004",
      "rubric_scope": "evidence_boundary_confidence_and_uncertainty"
    },
    {
      "case_id": "CASE-0000005",
      "rubric_id": "RUBRIC-0000005",
      "rubric_scope": "evidence_boundary_confidence_and_uncertainty"
    },
    {
      "case_id": "CASE-0000006",
      "rubric_id": "RUBRIC-0000006",
      "rubric_scope": "evidence_boundary_confidence_and_uncertainty"
    },
    {
      "case_id": "CASE-0000007",
      "rubric_id": "RUBRIC-0000007",
      "rubric_scope": "evidence_boundary_confidence_and_uncertainty"
    },
    {
      "case_id": "CASE-0000008",
      "rubric_id": "RUBRIC-0000008",
      "rubric_scope": "evidence_boundary_confidence_and_uncertainty"
    },
    {
      "case_id": "CASE-0000009",
      "rubric_id": "RUBRIC-0000009",
      "rubric_scope": "evidence_boundary_confidence_and_uncertainty"
    },
    {
      "case_id": "CASE-0000010",
      "rubric_id": "RUBRIC-0000010",
      "rubric_scope": "evidence_boundary_confidence_and_uncertainty"
    },
    {
      "case_id": "CASE-0000011",
      "rubric_id": "RUBRIC-0000011",
      "rubric_scope": "evidence_boundary_confidence_and_uncertainty"
    },
    {
      "case_id": "CASE-0000012",
      "rubric_id": "RUBRIC-0000012",
      "rubric_scope": "evidence_boundary_confidence_and_uncertainty"
    }
  ],
  "review_record": [
    {
      "case_id": "CASE-0000001",
      "review_id": "REVIEW-0000001",
      "review_time": "2026-07-18T11:20:00+08:00"
    },
    {
      "case_id": "CASE-0000002",
      "review_id": "REVIEW-0000002",
      "review_time": "2026-07-19T11:20:00+08:00"
    },
    {
      "case_id": "CASE-0000003",
      "review_id": "REVIEW-0000003",
      "review_time": "2026-07-20T11:20:00+08:00"
    },
    {
      "case_id": "CASE-0000004",
      "review_id": "REVIEW-0000004",
      "review_time": "2026-07-21T11:20:00+08:00"
    },
    {
      "case_id": "CASE-0000005",
      "review_id": "REVIEW-0000005",
      "review_time": "2026-07-22T11:20:00+08:00"
    },
    {
      "case_id": "CASE-0000006",
      "review_id": "REVIEW-0000006",
      "review_time": "2026-07-23T11:20:00+08:00"
    },
    {
      "case_id": "CASE-0000007",
      "review_id": "REVIEW-0000007",
      "review_time": "2026-07-24T11:20:00+08:00"
    },
    {
      "case_id": "CASE-0000008",
      "review_id": "REVIEW-0000008",
      "review_time": "2026-07-25T11:20:00+08:00"
    },
    {
      "case_id": "CASE-0000009",
      "review_id": "REVIEW-0000009",
      "review_time": "2026-07-26T11:20:00+08:00"
    },
    {
      "case_id": "CASE-0000010",
      "review_id": "REVIEW-0000010",
      "review_time": "2026-07-27T11:20:00+08:00"
    },
    {
      "case_id": "CASE-0000011",
      "review_id": "REVIEW-0000011",
      "review_time": "2026-07-28T11:20:00+08:00"
    },
    {
      "case_id": "CASE-0000012",
      "review_id": "REVIEW-0000012",
      "review_time": "2026-07-29T11:20:00+08:00"
    }
  ],
  "split_group": [
    {
      "case_id": "CASE-0000001",
      "isolation_level": "case_and_derived_variant",
      "split_group_id": "SPLIT_GROUP-0000001"
    },
    {
      "case_id": "CASE-0000002",
      "isolation_level": "case_and_derived_variant",
      "split_group_id": "SPLIT_GROUP-0000002"
    },
    {
      "case_id": "CASE-0000003",
      "isolation_level": "case_and_derived_variant",
      "split_group_id": "SPLIT_GROUP-0000003"
    },
    {
      "case_id": "CASE-0000004",
      "isolation_level": "case_and_derived_variant",
      "split_group_id": "SPLIT_GROUP-0000004"
    },
    {
      "case_id": "CASE-0000005",
      "isolation_level": "case_and_derived_variant",
      "split_group_id": "SPLIT_GROUP-0000005"
    },
    {
      "case_id": "CASE-0000006",
      "isolation_level": "case_and_derived_variant",
      "split_group_id": "SPLIT_GROUP-0000006"
    },
    {
      "case_id": "CASE-0000007",
      "isolation_level": "case_and_derived_variant",
      "split_group_id": "SPLIT_GROUP-0000007"
    },
    {
      "case_id": "CASE-0000008",
      "isolation_level": "case_and_derived_variant",
      "split_group_id": "SPLIT_GROUP-0000008"
    },
    {
      "case_id": "CASE-0000009",
      "isolation_level": "case_and_derived_variant",
      "split_group_id": "SPLIT_GROUP-0000009"
    },
    {
      "case_id": "CASE-0000010",
      "isolation_level": "case_and_derived_variant",
      "split_group_id": "SPLIT_GROUP-0000010"
    },
    {
      "case_id": "CASE-0000011",
      "isolation_level": "case_and_derived_variant",
      "split_group_id": "SPLIT_GROUP-0000011"
    },
    {
      "case_id": "CASE-0000012",
      "isolation_level": "case_and_derived_variant",
      "split_group_id": "SPLIT_GROUP-0000012"
    }
  ],
  "quality_issue": {
    "handling": "exclude from expert consensus and real arbitration claims",
    "issue_code": "synthetic_not_real_multi_role_review",
    "quality_issue_id": "QUALITY_ISSUE-0000001"
  }
}

[03]

使用场景

多人复核流程的过程数据底座

医疗科技企业 · 标注与复核流程产品团队

意见成版留痕：每条意见带版本与提交时点，先前版本原样保留
分歧是显式对象：两条意见的差异单独成记录，并写明焦点
采纳与驳回都写：仲裁逐条列出采纳与驳回的意见和引用，复核结论的来路完整可查
未决允许留着：证据不足时保留未决点
补证等待可测：补证请求与返回时点分列，流程里真正卡时间的环节看得出来

获得：意见、分歧与仲裁全程留痕的多人复核过程数据

讨论过程的结构化留档

医院质量控制与病例讨论组织方 · 疑难病例讨论

同一份材料起步：材料按快照冻结，各方基于同一份内容发言
结论带适用边界：每条意见写明适用到哪里为止
不确定来源写明：意见声明不确定来自哪里，如关键确认性检查缺失，后续补什么材料一目了然
补证闭环可查：补充材料的请求与返回成对记录，讨论是否等到关键结果才收口有据可依

获得：材料统一、结论边界清楚的病例讨论结构化留档

并行结论的仲裁机制设计参照

医疗科技企业 · 多方结论一致性产品设计

角色独立性写在数据里：独立复核角色声明其独立程度
置信与结论分列：结论、置信状态与不确定性各占字段
分歧分型可统计：分歧按类型归档，可统计哪类分歧最常出现、哪类最难收敛
收口有可复算规则：评分范围写明按证据边界、置信度与不确定性表达判分

获得：独立性、分歧分型与收口规则齐备的仲裁机制参照

标注者间一致性与收敛过程研究

高校与科研机构 · 评审一致性与仲裁方法研究

初次意见未受污染：意见按提交时点保存，可只取首次意见计算未被他人影响时的一致性
收敛路径可观察：从分歧出现、补证到仲裁的时点齐全，可研究补充证据对收敛的实际作用
未决比例可算：未决点单独成字段，可统计有多大比例的分歧在现有证据下本就无法判定
同例不跨划分：一例的全部角色轨迹整体成组

获得：一致性与收敛过程都可量化的评审方法研究底座

[04]

定制与定向

是否支持定制：是
审阅领域范围（单选）：按单一审阅领域 / 按全审阅领域组合
其他定制项（多选）：角色配置 / 意见版本轮次 / 分歧类型分布 / 补证环节设置 / 评分范围
最低定制数量：300 条审阅仲裁轨迹
流程定制：角色数量、仲裁规则与未决处理口径按项目商定
其他可定制项：与项目商务确定

[05]

去标识化与交付

直接标识符移除：姓名、证件号码、联系方式、住址
间接标识符不可逆映射：患者标识、就诊号、报告单号
时间平移：整体平移并保持时序与时间间隔
机构与医师信息去除或泛化
自由文本二次核查：叙述内容中的标识信息
可按项目追加 K-匿名等泛化处理，匿名化的判定与出具方式随项目约定
审阅材料与意见正文全部为自产内容；角色以类型承载，不含任何真实人员身份信息

加密通道交付：支持

[06]

关联数据集

SHP-MED-06-041 临床决策过程监督数据——单方决策过程侧的对应数据
SHP-MED-08-050 电子病历检索与患者摘要轨迹数据——送审材料的上游产出环节
SHP-MED-07-045 医学多模态诊断与报告评测集——报告类审阅所对应的评测集

[07]

常见问题

多角色临床审阅与仲裁轨迹数据包含哪些内容？

多角色临床审阅与仲裁轨迹数据（SHP-MED-08-053）记录一例病例经初审、独立复核与仲裁三个角色走一遍的全过程。两方各自成版提交意见并引用证据，差异单独记成一条分歧。仲裁逐条给出采纳与驳回，生成最终版本，证据不足的点列为未决。

审阅与仲裁轨迹数据适合做什么？

多角色临床审阅与仲裁轨迹数据（SHP-MED-08-053）用于多人复核流程的产品设计与并行结论的仲裁机制参照，也可用于疑难病例讨论的结构化留档。分歧类型与收敛过程可分项统计。

样例能看到什么？交付形态是什么？

公开样例展示多角色临床审阅与仲裁轨迹数据（SHP-MED-08-053）的一条轨迹：材料版本、角色与意见、证据引用、分歧与补证、仲裁与最终版本。交付为病例清单加单一病例文件夹与元数据文件，另支持 API 调用与连接器合约使用。

起订量是多少？可以怎么定制？

多角色临床审阅与仲裁轨迹数据（SHP-MED-08-053）起订量为 300 条审阅仲裁轨迹，范围按单一审阅领域或全审阅领域组合确定。角色配置、意见版本轮次、分歧类型分布、补证环节设置与评分范围可选配。

和哪些产品配合使用？

多角色临床审阅与仲裁轨迹数据（SHP-MED-08-053）的单方决策过程侧对应临床决策过程监督数据（SHP-MED-06-041）。送审材料的上游产出环节可取电子病历检索与患者摘要轨迹数据（SHP-MED-08-050）。

[08]

获取方式

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

[03 · 关联产品]

继续查看可连接的数据产品

按产品资料中登记的患者、就诊、事件或任务标识关系继续查看。

SHP-MED-06-041体系 06

临床决策过程监督数据

本产品交付决策点候选层：在证据文书上识别临床事件与决策点候选，并给出候选状态与确认状态。候选选项、实际动作、理由、不确定性与结局按项目约定生产与确认。样例批次尚未确认，见数据质量项。可用于训练需要交代中间步骤的临床推理模型，也可用于病例复盘教学。

14 个实体77 个字段

查看产品说明 →

SHP-MED-08-050体系 08

电子病历检索与患者摘要轨迹数据

病历检索加患者摘要的全过程记录。一段轨迹从一次提问开始：任务请求写明用途与证据截点，查询逐步发出，返回结果带名次。被选中与被排除的证据双向留存。摘要成版后拆成一条条断言，每条断言的引用指回原文的字符起止位置。用于训练检索类智能体，也可用于上线前的逐步核验。

15 个实体102 个字段

查看产品说明 →

SHP-MED-07-045体系 07

医学多模态诊断与报告评测集

影像与报告成对交付的评测集。一个病例装同一次检查的影像序列与实例、临床上下文与诊断报告版本。影像与报告之间用显式配对边连起来。题目建在病例上，分诊断、所见识别、报告生成与定位四类。用于影像与报告模型的分任务验收，也可用于院内影像应用比选。

17 个实体262 个字段

查看产品说明 →