样例字段语义
| 分组 | 字段 | 英文键 | 语义 |
|---|
| 病种规则包 | 索引规则 | index_rule | 病程从哪一刻起算，本例为首次合成随访；起算点由索引规则显式声明 |
| 病种规则包 | 允许转移规则 | allowedtransitionrule | 阶段之间被允许的走法，本例为按声明顺序推进且后态不改写前态；病程中的全部阶段跳变均符合本规则 |
| 病种规则包 | 观察窗规则 | observationwindowrule | 就诊时点与观察窗关闭方式，本例为第零、三十、六十、九十天四次就诊，第九十一天行政删失；序列长度由规则决定 |
| 病种规则包 | 治疗状态规则 | treatmentstaterule | 治疗记录的分层口径，本例明写计划、医嘱与实际暴露三者分列；这条规则直接决定下游怎么定义暴露 |
| 病种规则包 | 规则版本与复核版本 | ruleversion／professionalreview_version | 规则本身的版本与其复核口径版本，两者分列；规则改动必须升版，旧版生成的病程不被追溯改写 |
| 合成患者 | 病程类型 | course_type | 该患者所走的纵向路径，本例三类：初诊到基线再到复评、稳定随访、需复评与方案变更 |
| 合成病程 | 观察窗起止 | windowstart／windowend | 本条病程的观察起点与终点；一切事件是否落在窗内按这两个时点判定 |
| 索引事件 | 索引状态 | index_status | 索引事件的性质声明；本例明写为合成首次随访 |
| 疾病阶段状态 | 阶段名称与起止 | stagename／stagestart／stage_end | 该段时间内病程所处的阶段及其持续区间。本例共十种阶段名：新近记录、已建立基线、积极管理中、稳定监测；另有需复评、方案变更已记录、观察窗关闭等 |
| 疾病阶段状态 | 前版阶段指针与转移原因 | supersedesstageid／transition_reason | 本版阶段接替的是哪一版以及为什么转移；历史版本保留，任一时点的阶段判断都能还原当时的依据 |
| 合成就诊 | 就诊序号 | encounter_no | 本次就诊在该病程中的次序，本例每条病程四次；序号与时间同时给出，纵向任务不必自行排序 |
| 观测 | 观测值、单位与参考范围 | observationvalue／unit／referencerange_raw | 本次测量的取值、量纲与所声明的参考区间，本例为糖化血红蛋白、百分比、四点零至六点零；三者同层交付，数值不脱离量纲单独存在 |
| 观测 | 可比性状态 | comparability_status | 本次观测能否与前次直接比较的判定依据，本例记明同项目、同单位、同声明参考范围；不满足的标为不可比 |
| 观测 | 采集、报告与首次可用时间 | collectiontime／resulttime／available_time | 同一条结果的三个时点分列；复评能用哪些结果按首次可用时间判，不按采集时间判 |
| 治疗计划 | 计划正文与计划状态 | plantext／planstatus | 本次记录的管理计划及其性质声明；计划是被记录下来的意图 |
| 药品医嘱 | 药品名称、途径与频次 | medication_name／route／frequency | 本次开具的医嘱内容，本例药品以方案代号形式给出；结构与流程可照此开发，医嘱内容不承载用药建议 |
| 实际暴露 | 暴露状态与暴露证据 | exposurestatus／exposureevidence | 该医嘱是否真的被执行，以及依据是什么；本例证据为仅有医嘱而无给药执行记录 |
| 复评 | 证据截点 | evidencecutofftime | 本次复评被允许使用的信息上限；截点之后才可读的结果不参与本次判断 |
| 复评 | 复评正文 | reassessment_text | 本次复评的记述，本例给出当次取值与较前次的变化幅度，并声明只描述本条轨迹、不确认疗效 |
| 窗末结局 | 结局正文与结局状态 | outcometext／outcomestatus | 观察窗结束那一刻的状态及其性质声明；本例明写这是窗末状态 |
| 删失记录 | 删失时间与删失状态 | censoringtime／censoringstatus | 观察在哪一刻因何终止，本例为观察窗结束的行政删失、长期结局未观察；未观察到与未发生在数据里是两回事 |
| 约束结果 | 约束编码与约束状态 | constraintcode／constraintstatus | 本例把病程关系、时间顺序与暴露边界合成一条约束逐条病程检查并记结果 |
| 生成运行 | 随机种子与运行状态 | seed／run_status | 本批病程所用的种子与运行性质，本例为确定性完成；同一批轨迹可原样重建 |
| 复核记录 | 复核状态与复核版本 | reviewstatus／reviewversion | 该病程的专业复核进展与所依据的口径版本；复核状态自成一列 |
样例记录
一份自产的成人 2 型糖尿病规则包先行定版。规则包写明适用人群、入选与排除规则。索引规则：首次合成随访即索引事件。另有阶段定义版本与允许的转移方式：阶段按声明顺序推进。观察窗规则：第零、三十、六十、九十天四次就诊，第九十一天行政删失。再加事件词表版本与治疗状态规则：计划、医嘱与实际暴露分列。规则包带规则版本与复核版本。二十四位合成患者按三类病程各八条铺开：初诊到基线再到复评、稳定随访、需复评与方案变更。年龄带与出生性别各半。二十四条病程共九十六次就诊。沿时间轴展开九十六条阶段状态，共十种阶段名，每次变化保留前版指针与转移原因。另有九十六条临床事件。九十六条糖化血红蛋白观测：单位为百分比，参考范围声明为四点零至六点零。可比性状态记明同项目同单位同声明范围；采集、报告、首次可用与记录四个时间分列。治疗侧有九十六份治疗计划与九十六条药品医嘱，医嘱以方案代号形式给出。另挂九十六条实际暴露：暴露时间为空，证据记为仅有医嘱无给药执行。每次就诊配一条带证据截点的复评，只比对截点前已可读的观测。每条病程末尾另有一条窗末结局与一条行政删失记录。窗末结局描述观察窗结束时的状态，删失记录说明长期结局尚未观察。整批由一次带随机种子的确定性生成运行产出，另附逐条约束检查与复核记录。
{
"样例性质": "自产样本",
"generation_run": {
"generated_time": "2025-10-19T00:00:00",
"rule_pack_id": "RULE_PACK-0000001",
"run_id": "RUN-0000001",
"run_status": "deterministic_complete",
"seed": "570096"
},
"disease_rule_pack": {
"allowed_transition_rule": "阶段按声明轨迹顺序推进；后态不得改写前态",
"disease_definition": "成人2型糖尿病合成开发轨迹",
"event_vocabulary_version": "synthetic_diabetes_event_v1",
"exclusion_rule": "排除真实患者行、真实分布参数、真实疗效参数和未声明单位的观测",
"inclusion_rule": "合成患者具有四次声明就诊和四个可比HbA1c观测",
"index_rule": "第一次合成随访为索引事件，不解释为疾病起病",
"observation_window_rule": "第0、30、60、90天四次就诊；第91天行政删失",
"population_scope": "仅限成人合成方法开发样例",
"professional_review_version": "professional_review_pending_v1",
"rule_pack_id": "RULE_PACK-0000001",
"rule_status": "professional_synthetic_development",
"rule_version": "1.0.0",
"stage_definition_version": "synthetic_t2d_stage_v1",
"treatment_state_rule": "治疗计划、药品医嘱与实际暴露三层分列登记"
},
"synthetic_patient": [
{
"age_band": "45_64",
"birth_sex": "female",
"course_type": "initial_baseline_reassessment",
"patient_id": "PATIENT-0000001"
},
{
"age_band": "65_plus",
"birth_sex": "male",
"course_type": "initial_baseline_reassessment",
"patient_id": "PATIENT-0000002"
},
{
"age_band": "45_64",
"birth_sex": "female",
"course_type": "initial_baseline_reassessment",
"patient_id": "PATIENT-0000003"
},
{
"age_band": "65_plus",
"birth_sex": "male",
"course_type": "initial_baseline_reassessment",
"patient_id": "PATIENT-0000004"
},
{
"age_band": "45_64",
"birth_sex": "female",
"course_type": "initial_baseline_reassessment",
"patient_id": "PATIENT-0000005"
},
{
"age_band": "65_plus",
"birth_sex": "male",
"course_type": "initial_baseline_reassessment",
"patient_id": "PATIENT-0000006"
},
{
"age_band": "45_64",
"birth_sex": "female",
"course_type": "initial_baseline_reassessment",
"patient_id": "PATIENT-0000007"
},
{
"age_band": "65_plus",
"birth_sex": "male",
"course_type": "initial_baseline_reassessment",
"patient_id": "PATIENT-0000008"
},
{
"age_band": "45_64",
"birth_sex": "female",
"course_type": "stable_followup",
"patient_id": "PATIENT-0000009"
},
{
"age_band": "65_plus",
"birth_sex": "male",
"course_type": "stable_followup",
"patient_id": "PATIENT-0000010"
},
{
"age_band": "45_64",
"birth_sex": "female",
"course_type": "stable_followup",
"patient_id": "PATIENT-0000011"
},
{
"age_band": "65_plus",
"birth_sex": "male",
"course_type": "stable_followup",
"patient_id": "PATIENT-0000012"
},
{
"age_band": "45_64",
"birth_sex": "female",
"course_type": "stable_followup",
"patient_id": "PATIENT-0000013"
},
{
"age_band": "65_plus",
"birth_sex": "male",
"course_type": "stable_followup",
"patient_id": "PATIENT-0000014"
},
{
"age_band": "45_64",
"birth_sex": "female",
"course_type": "stable_followup",
"patient_id": "PATIENT-0000015"
},
{
"age_band": "65_plus",
"birth_sex": "male",
"course_type": "stable_followup",
"patient_id": "PATIENT-0000016"
},
{
"age_band": "45_64",
"birth_sex": "female",
"course_type": "needs_reassessment_conflict_plan_change",
"patient_id": "PATIENT-0000017"
},
{
"age_band": "65_plus",
"birth_sex": "male",
"course_type": "needs_reassessment_conflict_plan_change",
"patient_id": "PATIENT-0000018"
},
{
"age_band": "45_64",
"birth_sex": "female",
"course_type": "needs_reassessment_conflict_plan_change",
"patient_id": "PATIENT-0000019"
},
{
"age_band": "65_plus",
"birth_sex": "male",
"course_type": "needs_reassessment_conflict_plan_change",
"patient_id": "PATIENT-0000020"
},
{
"age_band": "45_64",
"birth_sex": "female",
"course_type": "needs_reassessment_conflict_plan_change",
"patient_id": "PATIENT-0000021"
},
{
"age_band": "65_plus",
"birth_sex": "male",
"course_type": "needs_reassessment_conflict_plan_change",
"patient_id": "PATIENT-0000022"
},
{
"age_band": "45_64",
"birth_sex": "female",
"course_type": "needs_reassessment_conflict_plan_change",
"patient_id": "PATIENT-0000023"
},
{
"age_band": "65_plus",
"birth_sex": "male",
"course_type": "needs_reassessment_conflict_plan_change",
"patient_id": "PATIENT-0000024"
}
],
"synthetic_disease_course": [
{
"course_id": "COURSE-0000001",
"course_status": "professional_synthetic_pending_review",
"index_event_time": "2025-10-27T08:00:00",
"patient_id": "PATIENT-0000001",
"rule_pack_id": "RULE_PACK-0000001",
"source_group": "professional_synthetic_rule_pack",
"split_group": "synthetic_development",
"window_end": "2026-01-26T08:00:00",
"window_start": "2025-10-27T08:00:00"
},
{
"course_id": "COURSE-0000002",
"course_status": "professional_synthetic_pending_review",
"index_event_time": "2025-11-04T08:00:00",
"patient_id": "PATIENT-0000002",
"rule_pack_id": "RULE_PACK-0000001",
"source_group": "professional_synthetic_rule_pack",
"split_group": "synthetic_development",
"window_end": "2026-02-03T08:00:00",
"window_start": "2025-11-04T08:00:00"
},
{
"course_id": "COURSE-0000003",
"course_status": "professional_synthetic_pending_review",
"index_event_time": "2025-11-12T08:00:00",
"patient_id": "PATIENT-0000003",
"rule_pack_id": "RULE_PACK-0000001",
"source_group": "professional_synthetic_rule_pack",
"split_group": "synthetic_development",
"window_end": "2026-02-11T08:00:00",
"window_start": "2025-11-12T08:00:00"
},
{
"course_id": "COURSE-0000004",
"course_status": "professional_synthetic_pending_review",
"index_event_time": "2025-11-20T08:00:00",
"patient_id": "PATIENT-0000004",
"rule_pack_id": "RULE_PACK-0000001",
"source_group": "professional_synthetic_rule_pack",
"split_group": "synthetic_development",
"window_end": "2026-02-19T08:00:00",
"window_start": "2025-11-20T08:00:00"
},
{
"course_id": "COURSE-0000005",
"course_status": "professional_synthetic_pending_review",
"index_event_time": "2025-11-28T08:00:00",
"patient_id": "PATIENT-0000005",
"rule_pack_id": "RULE_PACK-0000001",
"source_group": "professional_synthetic_rule_pack",
"split_group": "synthetic_development",
"window_end": "2026-02-27T08:00:00",
"window_start": "2025-11-28T08:00:00"
},
{
"course_id": "COURSE-0000006",
"course_status": "professional_synthetic_pending_review",
"index_event_time": "2025-12-06T08:00:00",
"patient_id": "PATIENT-0000006",
"rule_pack_id": "RULE_PACK-0000001",
"source_group": "professional_synthetic_rule_pack",
"split_group": "synthetic_development",
"window_end": "2026-03-07T08:00:00",
"window_start": "2025-12-06T08:00:00"
},
{
"course_id": "COURSE-0000007",
"course_status": "professional_synthetic_pending_review",
"index_event_time": "2025-12-14T08:00:00",
"patient_id": "PATIENT-0000007",
"rule_pack_id": "RULE_PACK-0000001",
"source_group": "professional_synthetic_rule_pack",
"split_group": "synthetic_development",
"window_end": "2026-03-15T08:00:00",
"window_start": "2025-12-14T08:00:00"
},
{
"course_id": "COURSE-0000008",
"course_status": "professional_synthetic_pending_review",
"index_event_time": "2025-12-22T08:00:00",
"patient_id": "PATIENT-0000008",
"rule_pack_id": "RULE_PACK-0000001",
"source_group": "professional_synthetic_rule_pack",
"split_group": "synthetic_development",
"window_end": "2026-03-23T08:00:00",
"window_start": "2025-12-22T08:00:00"
},
{
"course_id": "COURSE-0000009",
"course_status": "professional_synthetic_pending_review",
"index_event_time": "2025-12-30T08:00:00",
"patient_id": "PATIENT-0000009",
"rule_pack_id": "RULE_PACK-0000001",
"source_group": "professional_synthetic_rule_pack",
"split_group": "synthetic_development",
"window_end": "2026-03-31T08:00:00",
"window_start": "2025-12-30T08:00:00"
},
{
"course_id": "COURSE-0000010",
"course_status": "professional_synthetic_pending_review",
"index_event_time": "2026-01-07T08:00:00",
"patient_id": "PATIENT-0000010",
"rule_pack_id": "RULE_PACK-0000001",
"source_group": "professional_synthetic_rule_pack",
"split_group": "synthetic_development",
"window_end": "2026-04-08T08:00:00",
"window_start": "2026-01-07T08:00:00"
},
{
"course_id": "COURSE-0000011",
"course_status": "professional_synthetic_pending_review",
"index_event_time": "2026-01-15T08:00:00",
"patient_id": "PATIENT-0000011",
"rule_pack_id": "RULE_PACK-0000001",
"source_group": "professional_synthetic_rule_pack",
"split_group": "synthetic_development",
"window_end": "2026-04-16T08:00:00",
"window_start": "2026-01-15T08:00:00"
},
{
"course_id": "COURSE-0000012",
"course_status": "professional_synthetic_pending_review",
"index_event_time": "2026-01-23T08:00:00",
"patient_id": "PATIENT-0000012",
"rule_pack_id": "RULE_PACK-0000001",
"source_group": "professional_synthetic_rule_pack",
"split_group": "synthetic_development",
"window_end": "2026-04-24T08:00:00",
"window_start": "2026-01-23T08:00:00"
},
{
"course_id": "COURSE-0000013",
"course_status": "professional_synthetic_pending_review",
"index_event_time": "2026-01-31T08:00:00",
"patient_id": "PATIENT-0000013",
"rule_pack_id": "RULE_PACK-0000001",
"source_group": "professional_synthetic_rule_pack",
"split_group": "synthetic_development",
"window_end": "2026-05-02T08:00:00",
"window_start": "2026-01-31T08:00:00"
},
{
"course_id": "COURSE-0000014",
"course_status": "professional_synthetic_pending_review",
"index_event_time": "2026-02-08T08:00:00",
"patient_id": "PATIENT-0000014",
"rule_pack_id": "RULE_PACK-0000001",
"source_group": "professional_synthetic_rule_pack",
"split_group": "synthetic_development",
"window_end": "2026-05-10T08:00:00",
"window_start": "2026-02-08T08:00:00"
},
{
"course_id": "COURSE-0000015",
"course_status": "professional_synthetic_pending_review",
"index_event_time": "2026-02-16T08:00:00",
"patient_id": "PATIENT-0000015",
"rule_pack_id": "RULE_PACK-0000001",
"source_group": "professional_synthetic_rule_pack",
"split_group": "synthetic_development",
"window_end": "2026-05-18T08:00:00",
"window_start": "2026-02-16T08:00:00"
},
{
"course_id": "COURSE-0000016",
"course_status": "professional_synthetic_pending_review",
"index_event_time": "2026-02-24T08:00:00",
"patient_id": "PATIENT-0000016",
"rule_pack_id": "RULE_PACK-0000001",
"source_group": "professional_synthetic_rule_pack",
"split_group": "synthetic_development",
"window_end": "2026-05-26T08:00:00",
"window_start": "2026-02-24T08:00:00"
},
{
"course_id": "COURSE-0000017",
"course_status": "professional_synthetic_pending_review",
"index_event_time": "2026-03-04T08:00:00",
"patient_id": "PATIENT-0000017",
"rule_pack_id": "RULE_PACK-0000001",
"source_group": "professional_synthetic_rule_pack",
"split_group": "synthetic_development",
"window_end": "2026-06-03T08:00:00",
"window_start": "2026-03-04T08:00:00"
},
{
"course_id": "COURSE-0000018",
"course_status": "professional_synthetic_pending_review",
"index_event_time": "2026-03-12T08:00:00",
"patient_id": "PATIENT-0000018",
"rule_pack_id": "RULE_PACK-0000001",
"source_group": "professional_synthetic_rule_pack",
"split_group": "synthetic_development",
"window_end": "2026-06-11T08:00:00",
"window_start": "2026-03-12T08:00:00"
},
{
"course_id": "COURSE-0000019",
"course_status": "professional_synthetic_pending_review",
"index_event_time": "2026-03-20T08:00:00",
"patient_id": "PATIENT-0000019",
"rule_pack_id": "RULE_PACK-0000001",
"source_group": "professional_synthetic_rule_pack",
"split_group": "synthetic_development",
"window_end": "2026-06-19T08:00:00",
"window_start": "2026-03-20T08:00:00"
},
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},
{
"encounter_id": "ENCOUNTER-0000072",
"plan_id": "PLAN-0000072",
"plan_status": "professional_synthetic_non_prescriptive",
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{
"encounter_id": "ENCOUNTER-0000073",
"plan_id": "PLAN-0000073",
"plan_status": "professional_synthetic_non_prescriptive",
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"plan_time": "2026-03-20T08:15:00"
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"encounter_id": "ENCOUNTER-0000074",
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},
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"encounter_id": "ENCOUNTER-0000075",
"plan_id": "PLAN-0000075",
"plan_status": "professional_synthetic_non_prescriptive",
"plan_text": "记录生活方式管理与合成药物计划，待专业复核；计划不等于执行，也不用于临床处方。",
"plan_time": "2026-05-19T08:15:00"
},
{
"encounter_id": "ENCOUNTER-0000076",
"plan_id": "PLAN-0000076",
"plan_status": "professional_synthetic_non_prescriptive",
"plan_text": "记录合成计划变更候选，需专业复核；不等于已执行。",
"plan_time": "2026-06-18T08:15:00"
},
{
"encounter_id": "ENCOUNTER-0000077",
"plan_id": "PLAN-0000077",
"plan_status": "professional_synthetic_non_prescriptive",
"plan_text": "记录生活方式管理与合成药物计划，待专业复核；计划不等于执行，也不用于临床处方。",
"plan_time": "2026-03-28T08:15:00"
},
{
"encounter_id": "ENCOUNTER-0000078",
"plan_id": "PLAN-0000078",
"plan_status": "professional_synthetic_non_prescriptive",
"plan_text": "记录生活方式管理与合成药物计划，待专业复核；计划不等于执行，也不用于临床处方。",
"plan_time": "2026-04-27T08:15:00"
},
{
"encounter_id": "ENCOUNTER-0000079",
"plan_id": "PLAN-0000079",
"plan_status": "professional_synthetic_non_prescriptive",
"plan_text": "记录生活方式管理与合成药物计划，待专业复核；计划不等于执行，也不用于临床处方。",
"plan_time": "2026-05-27T08:15:00"
},
{
"encounter_id": "ENCOUNTER-0000080",
"plan_id": "PLAN-0000080",
"plan_status": "professional_synthetic_non_prescriptive",
"plan_text": "记录合成计划变更候选，需专业复核；不等于已执行。",
"plan_time": "2026-06-26T08:15:00"
},
{
"encounter_id": "ENCOUNTER-0000081",
"plan_id": "PLAN-0000081",
"plan_status": "professional_synthetic_non_prescriptive",
"plan_text": "记录生活方式管理与合成药物计划，待专业复核；计划不等于执行，也不用于临床处方。",
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"encounter_id": "ENCOUNTER-0000082",
"plan_id": "PLAN-0000082",
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"plan_time": "2026-05-05T08:15:00"
},
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"encounter_id": "ENCOUNTER-0000083",
"plan_id": "PLAN-0000083",
"plan_status": "professional_synthetic_non_prescriptive",
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},
{
"encounter_id": "ENCOUNTER-0000084",
"plan_id": "PLAN-0000084",
"plan_status": "professional_synthetic_non_prescriptive",
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"encounter_id": "ENCOUNTER-0000085",
"plan_id": "PLAN-0000085",
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"plan_text": "记录生活方式管理与合成药物计划，待专业复核；计划不等于执行，也不用于临床处方。",
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},
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"plan_id": "PLAN-0000088",
"plan_status": "professional_synthetic_non_prescriptive",
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"observation_name": "糖化血红蛋白",
"observation_value": "8.4",
"recorded_time": "2026-05-05T08:52:00",
"reference_range_raw": "4.0—6.0（合成声明范围）",
"result_time": "2026-05-05T08:50:00",
"unit": "%"
},
{
"available_time": "2026-06-04T08:51:00",
"collection_time": "2026-06-04T08:20:00",
"comparability_status": "same_item_unit_and_declared_reference_range",
"encounter_id": "ENCOUNTER-0000083",
"observation_id": "OBSERVATION-0000083",
"observation_name": "糖化血红蛋白",
"observation_value": "9.2",
"recorded_time": "2026-06-04T08:52:00",
"reference_range_raw": "4.0—6.0（合成声明范围）",
"result_time": "2026-06-04T08:50:00",
"unit": "%"
},
{
"available_time": "2026-07-04T08:51:00",
"collection_time": "2026-07-04T08:20:00",
"comparability_status": "same_item_unit_and_declared_reference_range",
"encounter_id": "ENCOUNTER-0000084",
"observation_id": "OBSERVATION-0000084",
"observation_name": "糖化血红蛋白",
"observation_value": "8.9",
"recorded_time": "2026-07-04T08:52:00",
"reference_range_raw": "4.0—6.0（合成声明范围）",
"result_time": "2026-07-04T08:50:00",
"unit": "%"
},
{
"available_time": "2026-04-13T08:51:00",
"collection_time": "2026-04-13T08:20:00",
"comparability_status": "same_item_unit_and_declared_reference_range",
"encounter_id": "ENCOUNTER-0000085",
"observation_id": "OBSERVATION-0000085",
"observation_name": "糖化血红蛋白",
"observation_value": "8.7",
"recorded_time": "2026-04-13T08:52:00",
"reference_range_raw": "4.0—6.0（合成声明范围）",
"result_time": "2026-04-13T08:50:00",
"unit": "%"
},
{
"available_time": "2026-05-13T08:51:00",
"collection_time": "2026-05-13T08:20:00",
"comparability_status": "same_item_unit_and_declared_reference_range",
"encounter_id": "ENCOUNTER-0000086",
"observation_id": "OBSERVATION-0000086",
"observation_name": "糖化血红蛋白",
"observation_value": "8.5",
"recorded_time": "2026-05-13T08:52:00",
"reference_range_raw": "4.0—6.0（合成声明范围）",
"result_time": "2026-05-13T08:50:00",
"unit": "%"
},
{
"available_time": "2026-06-12T08:51:00",
"collection_time": "2026-06-12T08:20:00",
"comparability_status": "same_item_unit_and_declared_reference_range",
"encounter_id": "ENCOUNTER-0000087",
"observation_id": "OBSERVATION-0000087",
"observation_name": "糖化血红蛋白",
"observation_value": "9.3",
"recorded_time": "2026-06-12T08:52:00",
"reference_range_raw": "4.0—6.0（合成声明范围）",
"result_time": "2026-06-12T08:50:00",
"unit": "%"
},
{
"available_time": "2026-07-12T08:51:00",
"collection_time": "2026-07-12T08:20:00",
"comparability_status": "same_item_unit_and_declared_reference_range",
"encounter_id": "ENCOUNTER-0000088",
"observation_id": "OBSERVATION-0000088",
"observation_name": "糖化血红蛋白",
"observation_value": "9.0",
"recorded_time": "2026-07-12T08:52:00",
"reference_range_raw": "4.0—6.0（合成声明范围）",
"result_time": "2026-07-12T08:50:00",
"unit": "%"
},
{
"available_time": "2026-04-21T08:51:00",
"collection_time": "2026-04-21T08:20:00",
"comparability_status": "same_item_unit_and_declared_reference_range",
"encounter_id": "ENCOUNTER-0000089",
"observation_id": "OBSERVATION-0000089",
"observation_name": "糖化血红蛋白",
"observation_value": "8.8",
"recorded_time": "2026-04-21T08:52:00",
"reference_range_raw": "4.0—6.0（合成声明范围）",
"result_time": "2026-04-21T08:50:00",
"unit": "%"
},
{
"available_time": "2026-05-21T08:51:00",
"collection_time": "2026-05-21T08:20:00",
"comparability_status": "same_item_unit_and_declared_reference_range",
"encounter_id": "ENCOUNTER-0000090",
"observation_id": "OBSERVATION-0000090",
"observation_name": "糖化血红蛋白",
"observation_value": "8.6",
"recorded_time": "2026-05-21T08:52:00",
"reference_range_raw": "4.0—6.0（合成声明范围）",
"result_time": "2026-05-21T08:50:00",
"unit": "%"
},
{
"available_time": "2026-06-20T08:51:00",
"collection_time": "2026-06-20T08:20:00",
"comparability_status": "same_item_unit_and_declared_reference_range",
"encounter_id": "ENCOUNTER-0000091",
"observation_id": "OBSERVATION-0000091",
"observation_name": "糖化血红蛋白",
"observation_value": "9.4",
"recorded_time": "2026-06-20T08:52:00",
"reference_range_raw": "4.0—6.0（合成声明范围）",
"result_time": "2026-06-20T08:50:00",
"unit": "%"
},
{
"available_time": "2026-07-20T08:51:00",
"collection_time": "2026-07-20T08:20:00",
"comparability_status": "same_item_unit_and_declared_reference_range",
"encounter_id": "ENCOUNTER-0000092",
"observation_id": "OBSERVATION-0000092",
"observation_name": "糖化血红蛋白",
"observation_value": "9.1",
"recorded_time": "2026-07-20T08:52:00",
"reference_range_raw": "4.0—6.0（合成声明范围）",
"result_time": "2026-07-20T08:50:00",
"unit": "%"
},
{
"available_time": "2026-04-29T08:51:00",
"collection_time": "2026-04-29T08:20:00",
"comparability_status": "same_item_unit_and_declared_reference_range",
"encounter_id": "ENCOUNTER-0000093",
"observation_id": "OBSERVATION-0000093",
"observation_name": "糖化血红蛋白",
"observation_value": "8.5",
"recorded_time": "2026-04-29T08:52:00",
"reference_range_raw": "4.0—6.0（合成声明范围）",
"result_time": "2026-04-29T08:50:00",
"unit": "%"
},
{
"available_time": "2026-05-29T08:51:00",
"collection_time": "2026-05-29T08:20:00",
"comparability_status": "same_item_unit_and_declared_reference_range",
"encounter_id": "ENCOUNTER-0000094",
"observation_id": "OBSERVATION-0000094",
"observation_name": "糖化血红蛋白",
"observation_value": "8.3",
"recorded_time": "2026-05-29T08:52:00",
"reference_range_raw": "4.0—6.0（合成声明范围）",
"result_time": "2026-05-29T08:50:00",
"unit": "%"
},
{
"available_time": "2026-06-28T08:51:00",
"collection_time": "2026-06-28T08:20:00",
"comparability_status": "same_item_unit_and_declared_reference_range",
"encounter_id": "ENCOUNTER-0000095",
"observation_id": "OBSERVATION-0000095",
"observation_name": "糖化血红蛋白",
"observation_value": "9.1",
"recorded_time": "2026-06-28T08:52:00",
"reference_range_raw": "4.0—6.0（合成声明范围）",
"result_time": "2026-06-28T08:50:00",
"unit": "%"
},
{
"available_time": "2026-07-28T08:51:00",
"collection_time": "2026-07-28T08:20:00",
"comparability_status": "same_item_unit_and_declared_reference_range",
"encounter_id": "ENCOUNTER-0000096",
"observation_id": "OBSERVATION-0000096",
"observation_name": "糖化血红蛋白",
"observation_value": "8.8",
"recorded_time": "2026-07-28T08:52:00",
"reference_range_raw": "4.0—6.0（合成声明范围）",
"result_time": "2026-07-28T08:50:00",
"unit": "%"
}
],
"reassessment": [
{
"course_id": "COURSE-0000001",
"encounter_id": "ENCOUNTER-0000001",
"evidence_cutoff_time": "2025-10-27T08:51:00",
"reassessment_id": "REASSESSMENT-0000001",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "合成基线HbA1c为9.1%；尚无前次可比点，趋势未知。",
"reassessment_time": "2025-10-27T08:55:00"
},
{
"course_id": "COURSE-0000001",
"encounter_id": "ENCOUNTER-0000002",
"evidence_cutoff_time": "2025-11-26T08:51:00",
"reassessment_id": "REASSESSMENT-0000002",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为8.3%，较前次降低0.8个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2025-11-26T08:55:00"
},
{
"course_id": "COURSE-0000001",
"encounter_id": "ENCOUNTER-0000003",
"evidence_cutoff_time": "2025-12-26T08:51:00",
"reassessment_id": "REASSESSMENT-0000003",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为7.6%，较前次降低0.7个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2025-12-26T08:55:00"
},
{
"course_id": "COURSE-0000001",
"encounter_id": "ENCOUNTER-0000004",
"evidence_cutoff_time": "2026-01-25T08:51:00",
"reassessment_id": "REASSESSMENT-0000004",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为7.1%，较前次降低0.5个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-01-25T08:55:00"
},
{
"course_id": "COURSE-0000002",
"encounter_id": "ENCOUNTER-0000005",
"evidence_cutoff_time": "2025-11-04T08:51:00",
"reassessment_id": "REASSESSMENT-0000005",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "合成基线HbA1c为9.2%；尚无前次可比点，趋势未知。",
"reassessment_time": "2025-11-04T08:55:00"
},
{
"course_id": "COURSE-0000002",
"encounter_id": "ENCOUNTER-0000006",
"evidence_cutoff_time": "2025-12-04T08:51:00",
"reassessment_id": "REASSESSMENT-0000006",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为8.4%，较前次降低0.8个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2025-12-04T08:55:00"
},
{
"course_id": "COURSE-0000002",
"encounter_id": "ENCOUNTER-0000007",
"evidence_cutoff_time": "2026-01-03T08:51:00",
"reassessment_id": "REASSESSMENT-0000007",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为7.7%，较前次降低0.7个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-01-03T08:55:00"
},
{
"course_id": "COURSE-0000002",
"encounter_id": "ENCOUNTER-0000008",
"evidence_cutoff_time": "2026-02-02T08:51:00",
"reassessment_id": "REASSESSMENT-0000008",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为7.2%，较前次降低0.5个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-02-02T08:55:00"
},
{
"course_id": "COURSE-0000003",
"encounter_id": "ENCOUNTER-0000009",
"evidence_cutoff_time": "2025-11-12T08:51:00",
"reassessment_id": "REASSESSMENT-0000009",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "合成基线HbA1c为9.3%；尚无前次可比点，趋势未知。",
"reassessment_time": "2025-11-12T08:55:00"
},
{
"course_id": "COURSE-0000003",
"encounter_id": "ENCOUNTER-0000010",
"evidence_cutoff_time": "2025-12-12T08:51:00",
"reassessment_id": "REASSESSMENT-0000010",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为8.5%，较前次降低0.8个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2025-12-12T08:55:00"
},
{
"course_id": "COURSE-0000003",
"encounter_id": "ENCOUNTER-0000011",
"evidence_cutoff_time": "2026-01-11T08:51:00",
"reassessment_id": "REASSESSMENT-0000011",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为7.8%，较前次降低0.7个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-01-11T08:55:00"
},
{
"course_id": "COURSE-0000003",
"encounter_id": "ENCOUNTER-0000012",
"evidence_cutoff_time": "2026-02-10T08:51:00",
"reassessment_id": "REASSESSMENT-0000012",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为7.3%，较前次降低0.5个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-02-10T08:55:00"
},
{
"course_id": "COURSE-0000004",
"encounter_id": "ENCOUNTER-0000013",
"evidence_cutoff_time": "2025-11-20T08:51:00",
"reassessment_id": "REASSESSMENT-0000013",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "合成基线HbA1c为9.0%；尚无前次可比点，趋势未知。",
"reassessment_time": "2025-11-20T08:55:00"
},
{
"course_id": "COURSE-0000004",
"encounter_id": "ENCOUNTER-0000014",
"evidence_cutoff_time": "2025-12-20T08:51:00",
"reassessment_id": "REASSESSMENT-0000014",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为8.2%，较前次降低0.8个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2025-12-20T08:55:00"
},
{
"course_id": "COURSE-0000004",
"encounter_id": "ENCOUNTER-0000015",
"evidence_cutoff_time": "2026-01-19T08:51:00",
"reassessment_id": "REASSESSMENT-0000015",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为7.5%，较前次降低0.7个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-01-19T08:55:00"
},
{
"course_id": "COURSE-0000004",
"encounter_id": "ENCOUNTER-0000016",
"evidence_cutoff_time": "2026-02-18T08:51:00",
"reassessment_id": "REASSESSMENT-0000016",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为7.0%，较前次降低0.5个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-02-18T08:55:00"
},
{
"course_id": "COURSE-0000005",
"encounter_id": "ENCOUNTER-0000017",
"evidence_cutoff_time": "2025-11-28T08:51:00",
"reassessment_id": "REASSESSMENT-0000017",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "合成基线HbA1c为9.1%；尚无前次可比点，趋势未知。",
"reassessment_time": "2025-11-28T08:55:00"
},
{
"course_id": "COURSE-0000005",
"encounter_id": "ENCOUNTER-0000018",
"evidence_cutoff_time": "2025-12-28T08:51:00",
"reassessment_id": "REASSESSMENT-0000018",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为8.3%，较前次降低0.8个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2025-12-28T08:55:00"
},
{
"course_id": "COURSE-0000005",
"encounter_id": "ENCOUNTER-0000019",
"evidence_cutoff_time": "2026-01-27T08:51:00",
"reassessment_id": "REASSESSMENT-0000019",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为7.6%，较前次降低0.7个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-01-27T08:55:00"
},
{
"course_id": "COURSE-0000005",
"encounter_id": "ENCOUNTER-0000020",
"evidence_cutoff_time": "2026-02-26T08:51:00",
"reassessment_id": "REASSESSMENT-0000020",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为7.1%，较前次降低0.5个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-02-26T08:55:00"
},
{
"course_id": "COURSE-0000006",
"encounter_id": "ENCOUNTER-0000021",
"evidence_cutoff_time": "2025-12-06T08:51:00",
"reassessment_id": "REASSESSMENT-0000021",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "合成基线HbA1c为9.2%；尚无前次可比点，趋势未知。",
"reassessment_time": "2025-12-06T08:55:00"
},
{
"course_id": "COURSE-0000006",
"encounter_id": "ENCOUNTER-0000022",
"evidence_cutoff_time": "2026-01-05T08:51:00",
"reassessment_id": "REASSESSMENT-0000022",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为8.4%，较前次降低0.8个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-01-05T08:55:00"
},
{
"course_id": "COURSE-0000006",
"encounter_id": "ENCOUNTER-0000023",
"evidence_cutoff_time": "2026-02-04T08:51:00",
"reassessment_id": "REASSESSMENT-0000023",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为7.7%，较前次降低0.7个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-02-04T08:55:00"
},
{
"course_id": "COURSE-0000006",
"encounter_id": "ENCOUNTER-0000024",
"evidence_cutoff_time": "2026-03-06T08:51:00",
"reassessment_id": "REASSESSMENT-0000024",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为7.2%，较前次降低0.5个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-03-06T08:55:00"
},
{
"course_id": "COURSE-0000007",
"encounter_id": "ENCOUNTER-0000025",
"evidence_cutoff_time": "2025-12-14T08:51:00",
"reassessment_id": "REASSESSMENT-0000025",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "合成基线HbA1c为9.3%；尚无前次可比点，趋势未知。",
"reassessment_time": "2025-12-14T08:55:00"
},
{
"course_id": "COURSE-0000007",
"encounter_id": "ENCOUNTER-0000026",
"evidence_cutoff_time": "2026-01-13T08:51:00",
"reassessment_id": "REASSESSMENT-0000026",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为8.5%，较前次降低0.8个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-01-13T08:55:00"
},
{
"course_id": "COURSE-0000007",
"encounter_id": "ENCOUNTER-0000027",
"evidence_cutoff_time": "2026-02-12T08:51:00",
"reassessment_id": "REASSESSMENT-0000027",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为7.8%，较前次降低0.7个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-02-12T08:55:00"
},
{
"course_id": "COURSE-0000007",
"encounter_id": "ENCOUNTER-0000028",
"evidence_cutoff_time": "2026-03-14T08:51:00",
"reassessment_id": "REASSESSMENT-0000028",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为7.3%，较前次降低0.5个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-03-14T08:55:00"
},
{
"course_id": "COURSE-0000008",
"encounter_id": "ENCOUNTER-0000029",
"evidence_cutoff_time": "2025-12-22T08:51:00",
"reassessment_id": "REASSESSMENT-0000029",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "合成基线HbA1c为9.0%；尚无前次可比点，趋势未知。",
"reassessment_time": "2025-12-22T08:55:00"
},
{
"course_id": "COURSE-0000008",
"encounter_id": "ENCOUNTER-0000030",
"evidence_cutoff_time": "2026-01-21T08:51:00",
"reassessment_id": "REASSESSMENT-0000030",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为8.2%，较前次降低0.8个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-01-21T08:55:00"
},
{
"course_id": "COURSE-0000008",
"encounter_id": "ENCOUNTER-0000031",
"evidence_cutoff_time": "2026-02-20T08:51:00",
"reassessment_id": "REASSESSMENT-0000031",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为7.5%，较前次降低0.7个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-02-20T08:55:00"
},
{
"course_id": "COURSE-0000008",
"encounter_id": "ENCOUNTER-0000032",
"evidence_cutoff_time": "2026-03-22T08:51:00",
"reassessment_id": "REASSESSMENT-0000032",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为7.0%，较前次降低0.5个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-03-22T08:55:00"
},
{
"course_id": "COURSE-0000009",
"encounter_id": "ENCOUNTER-0000033",
"evidence_cutoff_time": "2025-12-30T08:51:00",
"reassessment_id": "REASSESSMENT-0000033",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "合成基线HbA1c为7.2%；尚无前次可比点，趋势未知。",
"reassessment_time": "2025-12-30T08:55:00"
},
{
"course_id": "COURSE-0000009",
"encounter_id": "ENCOUNTER-0000034",
"evidence_cutoff_time": "2026-01-29T08:51:00",
"reassessment_id": "REASSESSMENT-0000034",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为7.1%，较前次降低0.1个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-01-29T08:55:00"
},
{
"course_id": "COURSE-0000009",
"encounter_id": "ENCOUNTER-0000035",
"evidence_cutoff_time": "2026-02-28T08:51:00",
"reassessment_id": "REASSESSMENT-0000035",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为7.1%，较前次持平0.0个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-02-28T08:55:00"
},
{
"course_id": "COURSE-0000009",
"encounter_id": "ENCOUNTER-0000036",
"evidence_cutoff_time": "2026-03-30T08:51:00",
"reassessment_id": "REASSESSMENT-0000036",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为7.0%，较前次降低0.1个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-03-30T08:55:00"
},
{
"course_id": "COURSE-0000010",
"encounter_id": "ENCOUNTER-0000037",
"evidence_cutoff_time": "2026-01-07T08:51:00",
"reassessment_id": "REASSESSMENT-0000037",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "合成基线HbA1c为7.3%；尚无前次可比点，趋势未知。",
"reassessment_time": "2026-01-07T08:55:00"
},
{
"course_id": "COURSE-0000010",
"encounter_id": "ENCOUNTER-0000038",
"evidence_cutoff_time": "2026-02-06T08:51:00",
"reassessment_id": "REASSESSMENT-0000038",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为7.2%，较前次降低0.1个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-02-06T08:55:00"
},
{
"course_id": "COURSE-0000010",
"encounter_id": "ENCOUNTER-0000039",
"evidence_cutoff_time": "2026-03-08T08:51:00",
"reassessment_id": "REASSESSMENT-0000039",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为7.2%，较前次持平0.0个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-03-08T08:55:00"
},
{
"course_id": "COURSE-0000010",
"encounter_id": "ENCOUNTER-0000040",
"evidence_cutoff_time": "2026-04-07T08:51:00",
"reassessment_id": "REASSESSMENT-0000040",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为7.1%，较前次降低0.1个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-04-07T08:55:00"
},
{
"course_id": "COURSE-0000011",
"encounter_id": "ENCOUNTER-0000041",
"evidence_cutoff_time": "2026-01-15T08:51:00",
"reassessment_id": "REASSESSMENT-0000041",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "合成基线HbA1c为7.4%；尚无前次可比点，趋势未知。",
"reassessment_time": "2026-01-15T08:55:00"
},
{
"course_id": "COURSE-0000011",
"encounter_id": "ENCOUNTER-0000042",
"evidence_cutoff_time": "2026-02-14T08:51:00",
"reassessment_id": "REASSESSMENT-0000042",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为7.3%，较前次降低0.1个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-02-14T08:55:00"
},
{
"course_id": "COURSE-0000011",
"encounter_id": "ENCOUNTER-0000043",
"evidence_cutoff_time": "2026-03-16T08:51:00",
"reassessment_id": "REASSESSMENT-0000043",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为7.3%，较前次持平0.0个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-03-16T08:55:00"
},
{
"course_id": "COURSE-0000011",
"encounter_id": "ENCOUNTER-0000044",
"evidence_cutoff_time": "2026-04-15T08:51:00",
"reassessment_id": "REASSESSMENT-0000044",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为7.2%，较前次降低0.1个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-04-15T08:55:00"
},
{
"course_id": "COURSE-0000012",
"encounter_id": "ENCOUNTER-0000045",
"evidence_cutoff_time": "2026-01-23T08:51:00",
"reassessment_id": "REASSESSMENT-0000045",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "合成基线HbA1c为7.1%；尚无前次可比点，趋势未知。",
"reassessment_time": "2026-01-23T08:55:00"
},
{
"course_id": "COURSE-0000012",
"encounter_id": "ENCOUNTER-0000046",
"evidence_cutoff_time": "2026-02-22T08:51:00",
"reassessment_id": "REASSESSMENT-0000046",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为7.0%，较前次降低0.1个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-02-22T08:55:00"
},
{
"course_id": "COURSE-0000012",
"encounter_id": "ENCOUNTER-0000047",
"evidence_cutoff_time": "2026-03-24T08:51:00",
"reassessment_id": "REASSESSMENT-0000047",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为7.0%，较前次持平0.0个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-03-24T08:55:00"
},
{
"course_id": "COURSE-0000012",
"encounter_id": "ENCOUNTER-0000048",
"evidence_cutoff_time": "2026-04-23T08:51:00",
"reassessment_id": "REASSESSMENT-0000048",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为6.9%，较前次降低0.1个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-04-23T08:55:00"
},
{
"course_id": "COURSE-0000013",
"encounter_id": "ENCOUNTER-0000049",
"evidence_cutoff_time": "2026-01-31T08:51:00",
"reassessment_id": "REASSESSMENT-0000049",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "合成基线HbA1c为7.2%；尚无前次可比点，趋势未知。",
"reassessment_time": "2026-01-31T08:55:00"
},
{
"course_id": "COURSE-0000013",
"encounter_id": "ENCOUNTER-0000050",
"evidence_cutoff_time": "2026-03-02T08:51:00",
"reassessment_id": "REASSESSMENT-0000050",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为7.1%，较前次降低0.1个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-03-02T08:55:00"
},
{
"course_id": "COURSE-0000013",
"encounter_id": "ENCOUNTER-0000051",
"evidence_cutoff_time": "2026-04-01T08:51:00",
"reassessment_id": "REASSESSMENT-0000051",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为7.1%，较前次持平0.0个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-04-01T08:55:00"
},
{
"course_id": "COURSE-0000013",
"encounter_id": "ENCOUNTER-0000052",
"evidence_cutoff_time": "2026-05-01T08:51:00",
"reassessment_id": "REASSESSMENT-0000052",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为7.0%，较前次降低0.1个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-05-01T08:55:00"
},
{
"course_id": "COURSE-0000014",
"encounter_id": "ENCOUNTER-0000053",
"evidence_cutoff_time": "2026-02-08T08:51:00",
"reassessment_id": "REASSESSMENT-0000053",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "合成基线HbA1c为7.3%；尚无前次可比点，趋势未知。",
"reassessment_time": "2026-02-08T08:55:00"
},
{
"course_id": "COURSE-0000014",
"encounter_id": "ENCOUNTER-0000054",
"evidence_cutoff_time": "2026-03-10T08:51:00",
"reassessment_id": "REASSESSMENT-0000054",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为7.2%，较前次降低0.1个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-03-10T08:55:00"
},
{
"course_id": "COURSE-0000014",
"encounter_id": "ENCOUNTER-0000055",
"evidence_cutoff_time": "2026-04-09T08:51:00",
"reassessment_id": "REASSESSMENT-0000055",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为7.2%，较前次持平0.0个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-04-09T08:55:00"
},
{
"course_id": "COURSE-0000014",
"encounter_id": "ENCOUNTER-0000056",
"evidence_cutoff_time": "2026-05-09T08:51:00",
"reassessment_id": "REASSESSMENT-0000056",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为7.1%，较前次降低0.1个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-05-09T08:55:00"
},
{
"course_id": "COURSE-0000015",
"encounter_id": "ENCOUNTER-0000057",
"evidence_cutoff_time": "2026-02-16T08:51:00",
"reassessment_id": "REASSESSMENT-0000057",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "合成基线HbA1c为7.4%；尚无前次可比点，趋势未知。",
"reassessment_time": "2026-02-16T08:55:00"
},
{
"course_id": "COURSE-0000015",
"encounter_id": "ENCOUNTER-0000058",
"evidence_cutoff_time": "2026-03-18T08:51:00",
"reassessment_id": "REASSESSMENT-0000058",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为7.3%，较前次降低0.1个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-03-18T08:55:00"
},
{
"course_id": "COURSE-0000015",
"encounter_id": "ENCOUNTER-0000059",
"evidence_cutoff_time": "2026-04-17T08:51:00",
"reassessment_id": "REASSESSMENT-0000059",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为7.3%，较前次持平0.0个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-04-17T08:55:00"
},
{
"course_id": "COURSE-0000015",
"encounter_id": "ENCOUNTER-0000060",
"evidence_cutoff_time": "2026-05-17T08:51:00",
"reassessment_id": "REASSESSMENT-0000060",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为7.2%，较前次降低0.1个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-05-17T08:55:00"
},
{
"course_id": "COURSE-0000016",
"encounter_id": "ENCOUNTER-0000061",
"evidence_cutoff_time": "2026-02-24T08:51:00",
"reassessment_id": "REASSESSMENT-0000061",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "合成基线HbA1c为7.1%；尚无前次可比点，趋势未知。",
"reassessment_time": "2026-02-24T08:55:00"
},
{
"course_id": "COURSE-0000016",
"encounter_id": "ENCOUNTER-0000062",
"evidence_cutoff_time": "2026-03-26T08:51:00",
"reassessment_id": "REASSESSMENT-0000062",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为7.0%，较前次降低0.1个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-03-26T08:55:00"
},
{
"course_id": "COURSE-0000016",
"encounter_id": "ENCOUNTER-0000063",
"evidence_cutoff_time": "2026-04-25T08:51:00",
"reassessment_id": "REASSESSMENT-0000063",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为7.0%，较前次持平0.0个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-04-25T08:55:00"
},
{
"course_id": "COURSE-0000016",
"encounter_id": "ENCOUNTER-0000064",
"evidence_cutoff_time": "2026-05-25T08:51:00",
"reassessment_id": "REASSESSMENT-0000064",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为6.9%，较前次降低0.1个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-05-25T08:55:00"
},
{
"course_id": "COURSE-0000017",
"encounter_id": "ENCOUNTER-0000065",
"evidence_cutoff_time": "2026-03-04T08:51:00",
"reassessment_id": "REASSESSMENT-0000065",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "合成基线HbA1c为8.6%；尚无前次可比点，趋势未知。",
"reassessment_time": "2026-03-04T08:55:00"
},
{
"course_id": "COURSE-0000017",
"encounter_id": "ENCOUNTER-0000066",
"evidence_cutoff_time": "2026-04-03T08:51:00",
"reassessment_id": "REASSESSMENT-0000066",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为8.4%，较前次降低0.2个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-04-03T08:55:00"
},
{
"course_id": "COURSE-0000017",
"encounter_id": "ENCOUNTER-0000067",
"evidence_cutoff_time": "2026-05-03T08:51:00",
"reassessment_id": "REASSESSMENT-0000067",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为9.2%，较前次升高0.8个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-05-03T08:55:00"
},
{
"course_id": "COURSE-0000017",
"encounter_id": "ENCOUNTER-0000068",
"evidence_cutoff_time": "2026-06-02T08:51:00",
"reassessment_id": "REASSESSMENT-0000068",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为8.9%，较前次降低0.3个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-06-02T08:55:00"
},
{
"course_id": "COURSE-0000018",
"encounter_id": "ENCOUNTER-0000069",
"evidence_cutoff_time": "2026-03-12T08:51:00",
"reassessment_id": "REASSESSMENT-0000069",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "合成基线HbA1c为8.7%；尚无前次可比点，趋势未知。",
"reassessment_time": "2026-03-12T08:55:00"
},
{
"course_id": "COURSE-0000018",
"encounter_id": "ENCOUNTER-0000070",
"evidence_cutoff_time": "2026-04-11T08:51:00",
"reassessment_id": "REASSESSMENT-0000070",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为8.5%，较前次降低0.2个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-04-11T08:55:00"
},
{
"course_id": "COURSE-0000018",
"encounter_id": "ENCOUNTER-0000071",
"evidence_cutoff_time": "2026-05-11T08:51:00",
"reassessment_id": "REASSESSMENT-0000071",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为9.3%，较前次升高0.8个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-05-11T08:55:00"
},
{
"course_id": "COURSE-0000018",
"encounter_id": "ENCOUNTER-0000072",
"evidence_cutoff_time": "2026-06-10T08:51:00",
"reassessment_id": "REASSESSMENT-0000072",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为9.0%，较前次降低0.3个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-06-10T08:55:00"
},
{
"course_id": "COURSE-0000019",
"encounter_id": "ENCOUNTER-0000073",
"evidence_cutoff_time": "2026-03-20T08:51:00",
"reassessment_id": "REASSESSMENT-0000073",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "合成基线HbA1c为8.8%；尚无前次可比点，趋势未知。",
"reassessment_time": "2026-03-20T08:55:00"
},
{
"course_id": "COURSE-0000019",
"encounter_id": "ENCOUNTER-0000074",
"evidence_cutoff_time": "2026-04-19T08:51:00",
"reassessment_id": "REASSESSMENT-0000074",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为8.6%，较前次降低0.2个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-04-19T08:55:00"
},
{
"course_id": "COURSE-0000019",
"encounter_id": "ENCOUNTER-0000075",
"evidence_cutoff_time": "2026-05-19T08:51:00",
"reassessment_id": "REASSESSMENT-0000075",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为9.4%，较前次升高0.8个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-05-19T08:55:00"
},
{
"course_id": "COURSE-0000019",
"encounter_id": "ENCOUNTER-0000076",
"evidence_cutoff_time": "2026-06-18T08:51:00",
"reassessment_id": "REASSESSMENT-0000076",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为9.1%，较前次降低0.3个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-06-18T08:55:00"
},
{
"course_id": "COURSE-0000020",
"encounter_id": "ENCOUNTER-0000077",
"evidence_cutoff_time": "2026-03-28T08:51:00",
"reassessment_id": "REASSESSMENT-0000077",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "合成基线HbA1c为8.5%；尚无前次可比点，趋势未知。",
"reassessment_time": "2026-03-28T08:55:00"
},
{
"course_id": "COURSE-0000020",
"encounter_id": "ENCOUNTER-0000078",
"evidence_cutoff_time": "2026-04-27T08:51:00",
"reassessment_id": "REASSESSMENT-0000078",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为8.3%，较前次降低0.2个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-04-27T08:55:00"
},
{
"course_id": "COURSE-0000020",
"encounter_id": "ENCOUNTER-0000079",
"evidence_cutoff_time": "2026-05-27T08:51:00",
"reassessment_id": "REASSESSMENT-0000079",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为9.1%，较前次升高0.8个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-05-27T08:55:00"
},
{
"course_id": "COURSE-0000020",
"encounter_id": "ENCOUNTER-0000080",
"evidence_cutoff_time": "2026-06-26T08:51:00",
"reassessment_id": "REASSESSMENT-0000080",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为8.8%，较前次降低0.3个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-06-26T08:55:00"
},
{
"course_id": "COURSE-0000021",
"encounter_id": "ENCOUNTER-0000081",
"evidence_cutoff_time": "2026-04-05T08:51:00",
"reassessment_id": "REASSESSMENT-0000081",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "合成基线HbA1c为8.6%；尚无前次可比点，趋势未知。",
"reassessment_time": "2026-04-05T08:55:00"
},
{
"course_id": "COURSE-0000021",
"encounter_id": "ENCOUNTER-0000082",
"evidence_cutoff_time": "2026-05-05T08:51:00",
"reassessment_id": "REASSESSMENT-0000082",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为8.4%，较前次降低0.2个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-05-05T08:55:00"
},
{
"course_id": "COURSE-0000021",
"encounter_id": "ENCOUNTER-0000083",
"evidence_cutoff_time": "2026-06-04T08:51:00",
"reassessment_id": "REASSESSMENT-0000083",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为9.2%，较前次升高0.8个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-06-04T08:55:00"
},
{
"course_id": "COURSE-0000021",
"encounter_id": "ENCOUNTER-0000084",
"evidence_cutoff_time": "2026-07-04T08:51:00",
"reassessment_id": "REASSESSMENT-0000084",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为8.9%，较前次降低0.3个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-07-04T08:55:00"
},
{
"course_id": "COURSE-0000022",
"encounter_id": "ENCOUNTER-0000085",
"evidence_cutoff_time": "2026-04-13T08:51:00",
"reassessment_id": "REASSESSMENT-0000085",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "合成基线HbA1c为8.7%；尚无前次可比点，趋势未知。",
"reassessment_time": "2026-04-13T08:55:00"
},
{
"course_id": "COURSE-0000022",
"encounter_id": "ENCOUNTER-0000086",
"evidence_cutoff_time": "2026-05-13T08:51:00",
"reassessment_id": "REASSESSMENT-0000086",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为8.5%，较前次降低0.2个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-05-13T08:55:00"
},
{
"course_id": "COURSE-0000022",
"encounter_id": "ENCOUNTER-0000087",
"evidence_cutoff_time": "2026-06-12T08:51:00",
"reassessment_id": "REASSESSMENT-0000087",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为9.3%，较前次升高0.8个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-06-12T08:55:00"
},
{
"course_id": "COURSE-0000022",
"encounter_id": "ENCOUNTER-0000088",
"evidence_cutoff_time": "2026-07-12T08:51:00",
"reassessment_id": "REASSESSMENT-0000088",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为9.0%，较前次降低0.3个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-07-12T08:55:00"
},
{
"course_id": "COURSE-0000023",
"encounter_id": "ENCOUNTER-0000089",
"evidence_cutoff_time": "2026-04-21T08:51:00",
"reassessment_id": "REASSESSMENT-0000089",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "合成基线HbA1c为8.8%；尚无前次可比点，趋势未知。",
"reassessment_time": "2026-04-21T08:55:00"
},
{
"course_id": "COURSE-0000023",
"encounter_id": "ENCOUNTER-0000090",
"evidence_cutoff_time": "2026-05-21T08:51:00",
"reassessment_id": "REASSESSMENT-0000090",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为8.6%，较前次降低0.2个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-05-21T08:55:00"
},
{
"course_id": "COURSE-0000023",
"encounter_id": "ENCOUNTER-0000091",
"evidence_cutoff_time": "2026-06-20T08:51:00",
"reassessment_id": "REASSESSMENT-0000091",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为9.4%，较前次升高0.8个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-06-20T08:55:00"
},
{
"course_id": "COURSE-0000023",
"encounter_id": "ENCOUNTER-0000092",
"evidence_cutoff_time": "2026-07-20T08:51:00",
"reassessment_id": "REASSESSMENT-0000092",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为9.1%，较前次降低0.3个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-07-20T08:55:00"
},
{
"course_id": "COURSE-0000024",
"encounter_id": "ENCOUNTER-0000093",
"evidence_cutoff_time": "2026-04-29T08:51:00",
"reassessment_id": "REASSESSMENT-0000093",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "合成基线HbA1c为8.5%；尚无前次可比点，趋势未知。",
"reassessment_time": "2026-04-29T08:55:00"
},
{
"course_id": "COURSE-0000024",
"encounter_id": "ENCOUNTER-0000094",
"evidence_cutoff_time": "2026-05-29T08:51:00",
"reassessment_id": "REASSESSMENT-0000094",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为8.3%，较前次降低0.2个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-05-29T08:55:00"
},
{
"course_id": "COURSE-0000024",
"encounter_id": "ENCOUNTER-0000095",
"evidence_cutoff_time": "2026-06-28T08:51:00",
"reassessment_id": "REASSESSMENT-0000095",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为9.1%，较前次升高0.8个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-06-28T08:55:00"
},
{
"course_id": "COURSE-0000024",
"encounter_id": "ENCOUNTER-0000096",
"evidence_cutoff_time": "2026-07-28T08:51:00",
"reassessment_id": "REASSESSMENT-0000096",
"reassessment_status": "professional_synthetic_pending_review",
"reassessment_text": "本次合成HbA1c为8.8%，较前次降低0.3个百分点；仅描述合成轨迹，不确认真实疗效。",
"reassessment_time": "2026-07-28T08:55:00"
}
],
"outcome_event": [
{
"course_id": "COURSE-0000001",
"outcome_id": "OUTCOME-0000001",
"outcome_status": "synthetic_window_end_state_not_real_effect",
"outcome_text": "观察窗末合成HbA1c为7.1%；这是合成窗末状态，不是疗效、长期结局或因果结论。",
"outcome_time": "2026-01-25T08:00:00"
},
{
"course_id": "COURSE-0000002",
"outcome_id": "OUTCOME-0000002",
"outcome_status": "synthetic_window_end_state_not_real_effect",
"outcome_text": "观察窗末合成HbA1c为7.2%；这是合成窗末状态，不是疗效、长期结局或因果结论。",
"outcome_time": "2026-02-02T08:00:00"
},
{
"course_id": "COURSE-0000003",
"outcome_id": "OUTCOME-0000003",
"outcome_status": "synthetic_window_end_state_not_real_effect",
"outcome_text": "观察窗末合成HbA1c为7.3%；这是合成窗末状态，不是疗效、长期结局或因果结论。",
"outcome_time": "2026-02-10T08:00:00"
},
{
"course_id": "COURSE-0000004",
"outcome_id": "OUTCOME-0000004",
"outcome_status": "synthetic_window_end_state_not_real_effect",
"outcome_text": "观察窗末合成HbA1c为7.0%；这是合成窗末状态，不是疗效、长期结局或因果结论。",
"outcome_time": "2026-02-18T08:00:00"
},
{
"course_id": "COURSE-0000005",
"outcome_id": "OUTCOME-0000005",
"outcome_status": "synthetic_window_end_state_not_real_effect",
"outcome_text": "观察窗末合成HbA1c为7.1%；这是合成窗末状态，不是疗效、长期结局或因果结论。",
"outcome_time": "2026-02-26T08:00:00"
},
{
"course_id": "COURSE-0000006",
"outcome_id": "OUTCOME-0000006",
"outcome_status": "synthetic_window_end_state_not_real_effect",
"outcome_text": "观察窗末合成HbA1c为7.2%；这是合成窗末状态，不是疗效、长期结局或因果结论。",
"outcome_time": "2026-03-06T08:00:00"
},
{
"course_id": "COURSE-0000007",
"outcome_id": "OUTCOME-0000007",
"outcome_status": "synthetic_window_end_state_not_real_effect",
"outcome_text": "观察窗末合成HbA1c为7.3%；这是合成窗末状态，不是疗效、长期结局或因果结论。",
"outcome_time": "2026-03-14T08:00:00"
},
{
"course_id": "COURSE-0000008",
"outcome_id": "OUTCOME-0000008",
"outcome_status": "synthetic_window_end_state_not_real_effect",
"outcome_text": "观察窗末合成HbA1c为7.0%；这是合成窗末状态，不是疗效、长期结局或因果结论。",
"outcome_time": "2026-03-22T08:00:00"
},
{
"course_id": "COURSE-0000009",
"outcome_id": "OUTCOME-0000009",
"outcome_status": "synthetic_window_end_state_not_real_effect",
"outcome_text": "观察窗末合成HbA1c为7.0%；这是合成窗末状态，不是疗效、长期结局或因果结论。",
"outcome_time": "2026-03-30T08:00:00"
},
{
"course_id": "COURSE-0000010",
"outcome_id": "OUTCOME-0000010",
"outcome_status": "synthetic_window_end_state_not_real_effect",
"outcome_text": "观察窗末合成HbA1c为7.1%；这是合成窗末状态，不是疗效、长期结局或因果结论。",
"outcome_time": "2026-04-07T08:00:00"
},
{
"course_id": "COURSE-0000011",
"outcome_id": "OUTCOME-0000011",
"outcome_status": "synthetic_window_end_state_not_real_effect",
"outcome_text": "观察窗末合成HbA1c为7.2%；这是合成窗末状态，不是疗效、长期结局或因果结论。",
"outcome_time": "2026-04-15T08:00:00"
},
{
"course_id": "COURSE-0000012",
"outcome_id": "OUTCOME-0000012",
"outcome_status": "synthetic_window_end_state_not_real_effect",
"outcome_text": "观察窗末合成HbA1c为6.9%；这是合成窗末状态，不是疗效、长期结局或因果结论。",
"outcome_time": "2026-04-23T08:00:00"
},
{
"course_id": "COURSE-0000013",
"outcome_id": "OUTCOME-0000013",
"outcome_status": "synthetic_window_end_state_not_real_effect",
"outcome_text": "观察窗末合成HbA1c为7.0%；这是合成窗末状态，不是疗效、长期结局或因果结论。",
"outcome_time": "2026-05-01T08:00:00"
},
{
"course_id": "COURSE-0000014",
"outcome_id": "OUTCOME-0000014",
"outcome_status": "synthetic_window_end_state_not_real_effect",
"outcome_text": "观察窗末合成HbA1c为7.1%；这是合成窗末状态，不是疗效、长期结局或因果结论。",
"outcome_time": "2026-05-09T08:00:00"
},
{
"course_id": "COURSE-0000015",
"outcome_id": "OUTCOME-0000015",
"outcome_status": "synthetic_window_end_state_not_real_effect",
"outcome_text": "观察窗末合成HbA1c为7.2%；这是合成窗末状态，不是疗效、长期结局或因果结论。",
"outcome_time": "2026-05-17T08:00:00"
},
{
"course_id": "COURSE-0000016",
"outcome_id": "OUTCOME-0000016",
"outcome_status": "synthetic_window_end_state_not_real_effect",
"outcome_text": "观察窗末合成HbA1c为6.9%；这是合成窗末状态，不是疗效、长期结局或因果结论。",
"outcome_time": "2026-05-25T08:00:00"
},
{
"course_id": "COURSE-0000017",
"outcome_id": "OUTCOME-0000017",
"outcome_status": "synthetic_window_end_state_not_real_effect",
"outcome_text": "观察窗末合成HbA1c为8.9%；这是合成窗末状态，不是疗效、长期结局或因果结论。",
"outcome_time": "2026-06-02T08:00:00"
},
{
"course_id": "COURSE-0000018",
"outcome_id": "OUTCOME-0000018",
"outcome_status": "synthetic_window_end_state_not_real_effect",
"outcome_text": "观察窗末合成HbA1c为9.0%；这是合成窗末状态，不是疗效、长期结局或因果结论。",
"outcome_time": "2026-06-10T08:00:00"
},
{
"course_id": "COURSE-0000019",
"outcome_id": "OUTCOME-0000019",
"outcome_status": "synthetic_window_end_state_not_real_effect",
"outcome_text": "观察窗末合成HbA1c为9.1%；这是合成窗末状态，不是疗效、长期结局或因果结论。",
"outcome_time": "2026-06-18T08:00:00"
},
{
"course_id": "COURSE-0000020",
"outcome_id": "OUTCOME-0000020",
"outcome_status": "synthetic_window_end_state_not_real_effect",
"outcome_text": "观察窗末合成HbA1c为8.8%；这是合成窗末状态，不是疗效、长期结局或因果结论。",
"outcome_time": "2026-06-26T08:00:00"
},
{
"course_id": "COURSE-0000021",
"outcome_id": "OUTCOME-0000021",
"outcome_status": "synthetic_window_end_state_not_real_effect",
"outcome_text": "观察窗末合成HbA1c为8.9%；这是合成窗末状态，不是疗效、长期结局或因果结论。",
"outcome_time": "2026-07-04T08:00:00"
},
{
"course_id": "COURSE-0000022",
"outcome_id": "OUTCOME-0000022",
"outcome_status": "synthetic_window_end_state_not_real_effect",
"outcome_text": "观察窗末合成HbA1c为9.0%；这是合成窗末状态，不是疗效、长期结局或因果结论。",
"outcome_time": "2026-07-12T08:00:00"
},
{
"course_id": "COURSE-0000023",
"outcome_id": "OUTCOME-0000023",
"outcome_status": "synthetic_window_end_state_not_real_effect",
"outcome_text": "观察窗末合成HbA1c为9.1%；这是合成窗末状态，不是疗效、长期结局或因果结论。",
"outcome_time": "2026-07-20T08:00:00"
},
{
"course_id": "COURSE-0000024",
"outcome_id": "OUTCOME-0000024",
"outcome_status": "synthetic_window_end_state_not_real_effect",
"outcome_text": "观察窗末合成HbA1c为8.8%；这是合成窗末状态，不是疗效、长期结局或因果结论。",
"outcome_time": "2026-07-28T08:00:00"
}
],
"censoring_record": [
{
"censoring_id": "CENSORING-0000001",
"censoring_status": "administrative_window_end_long_term_outcome_unobserved",
"censoring_time": "2026-01-26T08:00:00",
"course_id": "COURSE-0000001"
},
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