样例字段语义
| 分组 | 字段 | 英文键 | 语义 |
|---|
| 心血管检查 | 检查类型 | exam_type | 该次检查为心电、动态心电、心脏超声或其他心血管检查 |
| 心血管检查 | 检查业务号 | exambusinessid | 该次检查在业务系统内的标识,是参数与判读记录的归属键 |
| 心血管检查 | 报告日期 | reportdateraw | 报告出具日期;来源缺采集时点时不用报告日期顶替采集时间 |
| 超声心动测量与判读 | 参数名称与取值 | parameternameraw / parametervalueraw | 超声测得的心脏结构与功能参数及其数值,如各腔室内径、室壁厚度、射血分数 |
| 超声心动测量与判读 | 测量方法 | method_raw | 该参数所用的测量方法;同一指标不同方法所得数值不可直接互比 |
| 超声心动测量与判读 | 心动周期时相 | phase_raw | 该测量取自舒张末还是收缩末等时相,时相不同的数值不可混算 |
| 超声心动测量与判读 | 单位 | unit_raw | 参数的计量单位;是否已按体表面积指数化随单位与方法一并记录 |
| 超声心动测量与判读 | 诊断意见 | diagnosis_raw | 超声医师对本次检查的判读结论,与逐项测量分列保存 |
| 心电测量与判读 | 参数名称与取值 | parameternameraw / parametervalueraw | 心电测得的参数与数值,如心率、各波段间期与电轴 |
| 心电测量与判读 | 诊断意见 | diagnosis_raw | 心电诊断结论;设备自动判读与医师最终判读分别保存 |
| 心电测量与判读 | 测量方法与阶段 | methodraw / phaseraw | 该参数由设备自动测量还是人工测量,以及取自检查的哪一阶段 |
| 心电信号资产 | 心电信号资产 | ecgsignalasset_id | 原始心电信号文件;本表仅在确有原始信号时生成 |
| 心脏标志物 | 心脏标志物 | biomarker_id | 肌钙蛋白、利钠肽等心脏标志物的检验结果记录 |
| 治疗暴露 | 治疗暴露 | treatmentexposureid | 有证据的心血管治疗暴露;医嘱、实际给药与计算暴露分别保存不互代 |
| 心血管操作与植入 | 操作与植入 | procedure_id | 介入操作与器械植入的实际记录 |
| 治疗—指标关联边 | 关联边 | treatmentmetricedge_id | 治疗与指标变化之间的关联;须声明评价窗与规则版本 |
| 心血管结局终点 | 结局终点 | outcomeendpointid | 单项结局与复合终点分开;复合终点须声明其组成、观察窗与裁定版本 |
样例记录
同一份交付中的两类心血管检查记录。心脏超声的逐项参数带测量结构、心动周期时相、单位与测量方法。心电的参数与自动判读、医师诊断意见分列保存。两类检查各自附报告日期与诊断结论。
{
"样例性质": "真实记录·已脱敏",
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"report_date_raw": "2022-07-08 14:14:33",
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"exam_type": "echocardiography",
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"report_date_raw": "2022-03-07 08:56:48",
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"exam_type": "echocardiography",
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"exam_type": "echocardiography",
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"report_date_raw": "2022-11-18 14:28:48",
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"report_date_raw": "2021-12-25 13:21:37",
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{
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"cardiovascular_exam_id": "CARDIOVASCULAR_EXAM-0000015",
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"exam_type": "electrocardiography",
"missing_reason": "not_covered_or_not_applicable",
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"cardiovascular_exam_id": "CARDIOVASCULAR_EXAM-0000016",
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"exam_type": "electrocardiography",
"missing_reason": "not_covered_or_not_applicable",
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"exam_type": "electrocardiography",
"missing_reason": "not_covered_or_not_applicable",
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{
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"exam_type": "electrocardiography",
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{
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"exam_type": "electrocardiography",
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{
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"exam_type": "electrocardiography",
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{
"available_time": null,
"cardiovascular_exam_id": "CARDIOVASCULAR_EXAM-0000023",
"event_time_raw": null,
"exam_type": "electrocardiography",
"missing_reason": "not_covered_or_not_applicable",
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{
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{
"available_time": null,
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"exam_type": "electrocardiography",
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},
{
"available_time": null,
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},
{
"available_time": null,
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"exam_type": "electrocardiography",
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},
{
"available_time": null,
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"exam_type": "electrocardiography",
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"report_date_raw": "2021-10-28 15:51:50",
"source_object_id": "SOURCE_OBJECT-0000001"
},
{
"available_time": null,
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"exam_type": "electrocardiography",
"missing_reason": "not_covered_or_not_applicable",
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"record_status": "source_record",
"report_date_raw": "2021-10-28 15:51:50",
"source_object_id": "SOURCE_OBJECT-0000001"
},
{
"available_time": null,
"cardiovascular_exam_id": "CARDIOVASCULAR_EXAM-0000031",
"event_time_raw": null,
"exam_type": "electrocardiography",
"missing_reason": "not_covered_or_not_applicable",
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "source_record",
"report_date_raw": "2022-03-11 16:26:09",
"source_object_id": "SOURCE_OBJECT-0000001"
}
],
"ecg_measurement_interpretation": [
{
"available_time": null,
"diagnosis_raw": "1、窦性心律2、ST-T改变",
"ecg_interpretation_id": "ECG_INTERPRETATION-0000001",
"event_time_raw": null,
"method_raw": "source_ecg_field",
"missing_reason": "not_covered_or_not_applicable",
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"parameter_value_raw": "0.0",
"parent_object_id": "PARENT_OBJECT-0000001",
"phase_raw": null,
"record_status": "source_record",
"source_object_id": "SOURCE_OBJECT-0000001",
"unit_raw": "内分泌代谢科"
},
{
"available_time": null,
"diagnosis_raw": "1、窦性心律 2、正常心电图",
"ecg_interpretation_id": "ECG_INTERPRETATION-0000002",
"event_time_raw": null,
"method_raw": "source_ecg_field",
"missing_reason": "not_covered_or_not_applicable",
"parameter_name_raw": "Rv5_Add_Sv1",
"parameter_value_raw": "0.0",
"parent_object_id": "PARENT_OBJECT-0000001",
"phase_raw": null,
"record_status": "source_record",
"source_object_id": "SOURCE_OBJECT-0000001",
"unit_raw": "内分泌代谢科"
},
{
"available_time": null,
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"unit_raw": "内分泌代谢科"
},
{
"available_time": null,
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"ecg_interpretation_id": "ECG_INTERPRETATION-0000004",
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"parameter_value_raw": "0.99",
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},
{
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"ecg_interpretation_id": "ECG_INTERPRETATION-0000005",
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},
{
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"ecg_interpretation_id": "ECG_INTERPRETATION-0000006",
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},
{
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"ecg_interpretation_id": "ECG_INTERPRETATION-0000007",
"event_time_raw": null,
"method_raw": "source_ecg_field",
"missing_reason": "not_covered_or_not_applicable",
"parameter_name_raw": "Rv5_Add_Sv1",
"parameter_value_raw": "0.0",
"parent_object_id": "PARENT_OBJECT-0000001",
"phase_raw": null,
"record_status": "source_record",
"source_object_id": "SOURCE_OBJECT-0000001",
"unit_raw": "内分泌代谢科"
},
{
"available_time": null,
"diagnosis_raw": "1、窦性心律 2、I°房室传导阻滞3、假性电轴左偏(-47°)4、T波改变",
"ecg_interpretation_id": "ECG_INTERPRETATION-0000008",
"event_time_raw": null,
"method_raw": "source_ecg_field",
"missing_reason": "not_covered_or_not_applicable",
"parameter_name_raw": "Rv5_Add_Sv1",
"parameter_value_raw": "0.0",
"parent_object_id": "PARENT_OBJECT-0000001",
"phase_raw": null,
"record_status": "source_record",
"source_object_id": "SOURCE_OBJECT-0000001",
"unit_raw": "胆道外科"
},
{
"available_time": null,
"diagnosis_raw": "1、窦性心律 2、I°房室传导阻滞3、假性电轴左偏(-47°)4、T波改变",
"ecg_interpretation_id": "ECG_INTERPRETATION-0000009",
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"method_raw": "source_ecg_field",
"missing_reason": "not_covered_or_not_applicable",
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"parameter_value_raw": "0.0",
"parent_object_id": "PARENT_OBJECT-0000001",
"phase_raw": null,
"record_status": "source_record",
"source_object_id": "SOURCE_OBJECT-0000001",
"unit_raw": "胆道外科"
},
{
"available_time": null,
"diagnosis_raw": "1、窦性心律 2、I°房室传导阻滞3、假性电轴左偏(-47°)4、T波改变",
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}