样例字段语义
| 分组 | 字段 | 英文键 | 语义 |
|---|
| 微生物标本与培养 | 标本类型 | specimen_raw | 送检标本的种类,如痰、血、尿、伤口分泌物;标本类型直接决定结果的临床解释方式 |
| 微生物标本与培养 | 涂片或培养 | smearorculture_raw | 该条记录是涂片镜检还是培养,两者的阴性含义完全不同 |
| 微生物标本与培养 | 培养结果 | cultureresultraw | 培养的来源结论。未找到细菌、正常菌群生长、无生长、污染与未执行是五种不同状态,按来源保留。 |
| 微生物标本与培养 | 报告时间 | reporttimeraw | 微生物结果报告时点,与标本采集时点相差常达数日,抗菌药决策分析必须用对时点 |
| 菌株药敏 | 菌株药敏 | isolatesusceptibilityid | 逐菌株、逐药物的敏感性结果;须按菌株分层 |
| 降钙素原观测 | 检测物名称 | analytenameraw | 该观测的检测项目名称;仅有英文缩写而无中文名可确认时不认定为降钙素原,避免同缩写指代不同项目 |
| 降钙素原观测 | 结果取值与单位 | resultvalueraw / unit_raw | 感染标志物的测得值与其计量单位 |
| 降钙素原观测 | 参考范围 | referencerangeraw | 来源记录的参考范围,是判断该次结果是否升高的依据 |
| 降钙素原观测 | 观测时间 | observationtimeraw | 该次标志物观测的时点,多次观测可据此构成变化序列 |
| 抗菌药医嘱来源记录 | 药品名称与剂量频次途径 | drugnameraw / doseraw / frequencyraw / route_raw | 抗菌药医嘱的完整要素,是分析用药方案与强度的基础 |
| 抗菌药医嘱来源记录 | 医嘱起止与状态 | orderstartraw / orderendraw / order_status | 医嘱计划的起止与当前状态;围术期预防用药与感染治疗用药按临床语境区分 |
| 抗菌药暴露 | 抗菌药暴露 | antimicrobialexposureid | 有给药证据的实际暴露;首剂时点、疗程阶段与医嘱分开保存,医嘱开始时间不当首剂给药时间 |
| 感染事件 | 感染事件 | infectionepisodeid | 具有独立起点、证据、部位与观察窗的疑似或确认感染事件,须有临床定义证据才生成 |
| 器官功能评分 | 器官功能评分 | organscoreid | 序贯器官衰竭评估等评分记录;脓毒症判定要求在声明的基线窗内急性增加达到阈值,缺基线即不判定 |
| qSOFA 筛查 | 快速筛查记录 | qsofascreenid | 床旁快速筛查结果;筛查阳性只提示需进一步评估,不替代脓毒症诊断 |
| 脓毒症评估标签 | 评估标签 | sepsislabelid | 按声明定义得出的脓毒症判定结论;感染、脓毒症与脓毒性休克三级分开,不互相顶替 |
| 感染源控制 | 感染源控制 | sourcecontrolid | 引流、清创、拔管等感染源处理的记录,是评估治疗时效的关键环节 |
| ICU 来源记录 | 模板名称与字段名取值 | templatenameraw / fieldnameraw / fieldvalueraw | 重症监护记录单按模板与字段逐项保存的原始内容 |
| 出入量来源记录 | 出入量名称、取值与类型 | fluidnameraw / fluidvalueraw / fluidtyperaw | 液体出入量的逐条记录及其类别,是容量管理分析的基础 |
样例记录
同一次住院内的感染相关记录。含痰标本的涂片与培养结果、两次降钙素原观测及其参考范围。七条头孢类抗菌药医嘱的名称、剂量、频次、途径与起止一并给出。三类证据分属不同来源组件,是否构成感染事件由声明的判定规则决定。
{
"样例性质": "真实记录·已脱敏",
"infection_related_source_bundle": {
"available_time": null,
"event_time_raw": null,
"missing_reason": "not_covered_or_not_applicable",
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "source_record",
"source_bundle_id": "SOURCE_BUNDLE-0000001",
"source_object_id": "SOURCE_OBJECT-0000001"
},
"icu_source_record": [
{
"available_time": null,
"event_time_raw": null,
"field_name_raw": "ABP_收缩压",
"field_value_raw": "123",
"missing_reason": "not_covered_or_not_applicable",
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "source_record",
"record_time_raw": "2021-02-04 23:06:55",
"source_object_id": "SOURCE_OBJECT-0000001",
"template_name_raw": "观察记录单_生命体征"
},
{
"available_time": null,
"event_time_raw": null,
"field_name_raw": "瞳孔_大小右",
"field_value_raw": "2",
"missing_reason": "not_covered_or_not_applicable",
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "source_record",
"record_time_raw": "2021-02-04 23:06:55",
"source_object_id": "SOURCE_OBJECT-0000001",
"template_name_raw": "观察记录单_生命体征"
},
{
"available_time": null,
"event_time_raw": null,
"field_name_raw": "SpO2",
"field_value_raw": "96",
"missing_reason": "not_covered_or_not_applicable",
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "source_record",
"record_time_raw": "2021-02-04 15:29:44",
"source_object_id": "SOURCE_OBJECT-0000001",
"template_name_raw": "观察记录单_生命体征"
},
{
"available_time": null,
"event_time_raw": null,
"field_name_raw": "瞳孔",
"field_value_raw": "2/2 灵敏/灵敏",
"missing_reason": "not_covered_or_not_applicable",
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "source_record",
"record_time_raw": "2021-02-05 03:06:27",
"source_object_id": "SOURCE_OBJECT-0000001",
"template_name_raw": "观察记录单_生命体征"
},
{
"available_time": null,
"event_time_raw": null,
"field_name_raw": "护理记录",
"field_value_raw": "患者压疮危险因素评分为13分,提示中度危险,予气垫床、定时翻身、保护皮肤清洁干燥及正确使用预防压疮的护理用具;患者跌倒坠床危险因素评分为4分,提示高危风险,予床档保护及保护性约束等措施;患者非计划拔管风险评估为24分,属于拔管高风险,各管道固定稳妥,密切观察;VTE风险评估为8分,属高危。向患者家属行病情、治疗用药、营养、压疮预防、失禁护理、跌倒 /坠床预防、康复锻炼、约束、心理指导、非计划性拔管预防、疼痛相关知识、血栓预防等健康指导。并行VAP和UTI等相关健康宣教,家属表示理解配合。",
"missing_reason": "not_covered_or_not_applicable",
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "source_record",
"record_time_raw": "2021-02-03 17:15:44",
"source_object_id": "SOURCE_OBJECT-0000001",
"template_name_raw": "护理记录单_护理项目"
},
{
"available_time": null,
"event_time_raw": null,
"field_name_raw": "二.专科护理_机械通气护理",
"field_value_raw": "√",
"missing_reason": "not_covered_or_not_applicable",
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "source_record",
"record_time_raw": "2021-02-03 17:03:20",
"source_object_id": "SOURCE_OBJECT-0000001",
"template_name_raw": "护理计划单_护理计划项目"
},
{
"available_time": null,
"event_time_raw": null,
"field_name_raw": "一.基础护理_体位",
"field_value_raw": "半卧",
"missing_reason": "not_covered_or_not_applicable",
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "source_record",
"record_time_raw": "2021-02-04 03:09:04",
"source_object_id": "SOURCE_OBJECT-0000001",
"template_name_raw": "护理计划单_护理计划项目"
},
{
"available_time": null,
"event_time_raw": null,
"field_name_raw": "体位2",
"field_value_raw": "半卧",
"missing_reason": "not_covered_or_not_applicable",
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "source_record",
"record_time_raw": "2021-02-05 03:08:17",
"source_object_id": "SOURCE_OBJECT-0000001",
"template_name_raw": "交接班记录单_交接班记录项"
},
{
"available_time": null,
"event_time_raw": null,
"field_name_raw": "三.病情观察_疼痛评估",
"field_value_raw": "Q4h",
"missing_reason": "not_covered_or_not_applicable",
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "source_record",
"record_time_raw": "2021-02-03 17:03:20",
"source_object_id": "SOURCE_OBJECT-0000001",
"template_name_raw": "护理计划单_护理计划项目"
},
{
"available_time": null,
"event_time_raw": null,
"field_name_raw": "三.病情观察_测T",
"field_value_raw": "Q4h",
"missing_reason": "not_covered_or_not_applicable",
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "source_record",
"record_time_raw": "2021-02-04 03:09:05",
"source_object_id": "SOURCE_OBJECT-0000001",
"template_name_raw": "护理计划单_护理计划项目"
},
{
"available_time": null,
"event_time_raw": null,
"field_name_raw": "体位1",
"field_value_raw": "左侧卧位",
"missing_reason": "not_covered_or_not_applicable",
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "source_record",
"record_time_raw": "2021-02-05 03:08:17",
"source_object_id": "SOURCE_OBJECT-0000001",
"template_name_raw": "交接班记录单_交接班记录项"
},
{
"available_time": null,
"event_time_raw": null,
"field_name_raw": "重症疼痛观察工具(CPOT)",
"field_value_raw": "1",
"missing_reason": "not_covered_or_not_applicable",
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "source_record",
"record_time_raw": "2021-02-04 05:09:20",
"source_object_id": "SOURCE_OBJECT-0000001",
"template_name_raw": "ICU镇静镇痛评分表_ICU镇静镇痛评分表"
},
{
"available_time": null,
"event_time_raw": null,
"field_name_raw": "ABP_收缩压",
"field_value_raw": "130",
"missing_reason": "not_covered_or_not_applicable",
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "source_record",
"record_time_raw": "2021-02-05 00:20:11",
"source_object_id": "SOURCE_OBJECT-0000001",
"template_name_raw": "观察记录单_生命体征"
},
{
"available_time": null,
"event_time_raw": null,
"field_name_raw": "R",
"field_value_raw": "24",
"missing_reason": "not_covered_or_not_applicable",
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "source_record",
"record_time_raw": "2021-02-04 16:31:05",
"source_object_id": "SOURCE_OBJECT-0000001",
"template_name_raw": "观察记录单_生命体征"
},
{
"available_time": null,
"event_time_raw": null,
"field_name_raw": "ABP_平均压",
"field_value_raw": "72",
"missing_reason": "not_covered_or_not_applicable",
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "source_record",
"record_time_raw": "2021-02-05 04:43:59",
"source_object_id": "SOURCE_OBJECT-0000001",
"template_name_raw": "观察记录单_生命体征"
},
{
"available_time": null,
"event_time_raw": null,
"field_name_raw": "引流量_名称",
"field_value_raw": "胸腔闭式引流",
"missing_reason": "not_covered_or_not_applicable",
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "source_record",
"record_time_raw": "2021-02-04 05:20:11",
"source_object_id": "SOURCE_OBJECT-0000001",
"template_name_raw": "出入量记录单_出量项目"
},
{
"available_time": null,
"event_time_raw": null,
"field_name_raw": "引流量_量",
"field_value_raw": "80",
"missing_reason": "not_covered_or_not_applicable",
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "source_record",
"record_time_raw": "2021-02-04 05:20:11",
"source_object_id": "SOURCE_OBJECT-0000001",
"template_name_raw": "出入量记录单_出量项目"
},
{
"available_time": null,
"event_time_raw": null,
"field_name_raw": "HR",
"field_value_raw": "70",
"missing_reason": "not_covered_or_not_applicable",
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "source_record",
"record_time_raw": "2021-02-05 04:43:59",
"source_object_id": "SOURCE_OBJECT-0000001",
"template_name_raw": "观察记录单_生命体征"
}
],
"antimicrobial_order_source_record": [
{
"antimicrobial_order_id": "ANTIMICROBIAL_ORDER-0000001",
"available_time": null,
"dose_raw": "1.5",
"drug_name_raw": "① (基/集)注射用头孢呋辛钠(0.75g/瓶)×2瓶 1.5g 静脉输液 术前30分 30-50滴/分",
"event_time_raw": null,
"frequency_raw": "术前30分",
"missing_reason": "not_covered_or_not_applicable",
"order_end_raw": "2026-07-23T15:34:09",
"order_start_raw": "2026-07-23T15:33:29",
"order_status": "ordered_not_administered",
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "source_record",
"route_raw": "静脉输液",
"source_object_id": "SOURCE_OBJECT-0000001"
},
{
"antimicrobial_order_id": "ANTIMICROBIAL_ORDER-0000002",
"available_time": null,
"dose_raw": "1.5",
"drug_name_raw": "② (基/集)注射用头孢呋辛钠(0.75g/瓶)×2瓶 1.5g 静脉输液 立即 30-50滴/分",
"event_time_raw": null,
"frequency_raw": "立即",
"missing_reason": "not_covered_or_not_applicable",
"order_end_raw": "2026-07-23T15:34:09",
"order_start_raw": "2026-07-23T15:33:29",
"order_status": "ordered_not_administered",
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "source_record",
"route_raw": "静脉输液",
"source_object_id": "SOURCE_OBJECT-0000001"
},
{
"antimicrobial_order_id": "ANTIMICROBIAL_ORDER-0000003",
"available_time": null,
"dose_raw": "1.5",
"drug_name_raw": "⑧ (基/集)注射用头孢呋辛钠(0.75g/瓶)×2瓶 1.5g 静脉输液 每日一次 30-50滴/分",
"event_time_raw": null,
"frequency_raw": "每日一次",
"missing_reason": "not_covered_or_not_applicable",
"order_end_raw": "2026-07-24T12:53:29",
"order_start_raw": "2026-07-24T12:25:47",
"order_status": "ordered_not_administered",
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "source_record",
"route_raw": "静脉输液",
"source_object_id": "SOURCE_OBJECT-0000001"
},
{
"antimicrobial_order_id": "ANTIMICROBIAL_ORDER-0000004",
"available_time": null,
"dose_raw": "1.5",
"drug_name_raw": "⑨ (基/集)注射用头孢呋辛钠(0.75g/瓶)×2瓶 1.5g 静脉输液 每日一次 30-50滴/分",
"event_time_raw": null,
"frequency_raw": "每日一次",
"missing_reason": "not_covered_or_not_applicable",
"order_end_raw": "2026-07-24T12:53:29",
"order_start_raw": "2026-07-24T12:25:47",
"order_status": "ordered_not_administered",
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "source_record",
"route_raw": "静脉输液",
"source_object_id": "SOURCE_OBJECT-0000001"
},
{
"antimicrobial_order_id": "ANTIMICROBIAL_ORDER-0000005",
"available_time": null,
"dose_raw": "1.5",
"drug_name_raw": "③ (基/集)注射用头孢呋辛钠(0.75g/瓶)×2瓶 1.5g 静脉输液 每日一次 30-50滴/分",
"event_time_raw": null,
"frequency_raw": "每日一次",
"missing_reason": "not_covered_or_not_applicable",
"order_end_raw": "2026-07-25T08:45:30",
"order_start_raw": "2026-07-25T08:00:03",
"order_status": "ordered_not_administered",
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "source_record",
"route_raw": "静脉输液",
"source_object_id": "SOURCE_OBJECT-0000001"
},
{
"antimicrobial_order_id": "ANTIMICROBIAL_ORDER-0000006",
"available_time": null,
"dose_raw": "1.5",
"drug_name_raw": "④ (基/集)注射用头孢呋辛钠(0.75g/瓶)×2瓶 1.5g 静脉输液 每日一次 30-50滴/分",
"event_time_raw": null,
"frequency_raw": "每日一次",
"missing_reason": "not_covered_or_not_applicable",
"order_end_raw": "2026-07-25T08:45:30",
"order_start_raw": "2026-07-25T08:00:03",
"order_status": "ordered_not_administered",
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "source_record",
"route_raw": "静脉输液",
"source_object_id": "SOURCE_OBJECT-0000001"
},
{
"antimicrobial_order_id": "ANTIMICROBIAL_ORDER-0000007",
"available_time": null,
"dose_raw": "1.5",
"drug_name_raw": "⑤ (基/集)注射用头孢呋辛钠(0.75g/瓶)×2瓶 1.5g 静脉输液 每日一次 30-50滴/分",
"event_time_raw": null,
"frequency_raw": "每日一次",
"missing_reason": "not_covered_or_not_applicable",
"order_end_raw": "2026-07-25T08:45:30",
"order_start_raw": "2026-07-25T08:00:03",
"order_status": "ordered_not_administered",
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "source_record",
"route_raw": "静脉输液",
"source_object_id": "SOURCE_OBJECT-0000001"
}
],
"microbiology_specimen_culture": [
{
"available_time": null,
"culture_result_raw": "涂片结果:鳞状上皮细胞 > 25 个 / LP,WBC <10 个 / LP,未找到细菌",
"event_time_raw": null,
"microbiology_record_id": "MICROBIOLOGY_RECORD-0000001",
"missing_reason": "not_covered_or_not_applicable",
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "source_record",
"report_time_raw": "2026-07-26T10:56:52",
"smear_or_culture_raw": "一般细菌涂片",
"source_object_id": "SOURCE_OBJECT-0000001",
"specimen_raw": "痰液"
},
{
"available_time": null,
"culture_result_raw": "正常菌群生长",
"event_time_raw": null,
"microbiology_record_id": "MICROBIOLOGY_RECORD-0000002",
"missing_reason": "not_covered_or_not_applicable",
"parent_object_id": "PARENT_OBJECT-0000001",
"record_status": "source_record",
"report_time_raw": "2026-07-28T08:33:42",
"smear_or_culture_raw": "细菌培养",
"source_object_id": "SOURCE_OBJECT-0000001",
"specimen_raw": "痰液"
}
],
"procalcitonin_observation": [
{
"analyte_name_raw": "降钙素原",
"available_time": null,
"event_time_raw": null,
"missing_reason": "not_covered_or_not_applicable",
"observation_time_raw": "2026-07-25T09:53:38",
"parent_object_id": "PARENT_OBJECT-0000001",
"procalcitonin_observation_id": "PROCALCITONIN_OBSERVATION-0000001",
"record_status": "source_record",
"reference_range_raw": "0-0.1",
"result_value_raw": "0.14",
"source_object_id": "SOURCE_OBJECT-0000001",
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