[01 · SHP-MED-03-024]

复查对比与病灶变化数据。

同一患者两个及以上时点的检查与各自的报告版本，按随访段组织。基线规则写在数据里，比较前先判两次检查可不可比。变化结论区分来源断言与量化测量。可用于纵向对比模型训练、影像科随访读片与疗效评估。

检查检验与多模态 · 评估与研究使用许可 · 更新日期 2026-08-05

12
实体: 68
字段: 3
实体关系: 03
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	12	随访事件段 · 影像检查 · 报告版本 · 病灶 · 病灶观测 · 检查对比候选 · 来源断言变化 · 反应评估 · 教学序列候选 · 教学序列组 · 教学图像对象 · 数据质量项
字段	68	交付范围内的字段总数
实体关系	3	随访事件段 1—n 影像检查 1—n 报告版本 · 检查对比为报告级候选关系，附对比状态与可比性判定原因 · 病灶与病灶观测在缺少稳定跨时点对应时保持为空

交付与供应方式

数据集交付：随访段与检查报告 CSV／JSONL／Parquet ＋对比关系表＋影像原件（如适用）＋ Meta
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、专科医院及影像中心）
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	说明
检查对比候选	comparison_id	对比标识	稳定对象标识或连接键；用于逐表关联，不承载临床结论。
检查对比候选	episode_id	轨迹标识	稳定对象标识或连接键；用于逐表关联，不承载临床结论。
检查对比候选	baselineexamid	基线检查标识	稳定对象标识或连接键；用于逐表关联，不承载临床结论。
检查对比候选	followupexamid	随访检查标识	稳定对象标识或连接键；用于逐表关联，不承载临床结论。
检查对比候选	comparison_status	对比状态	受控状态或范围枚举；用于表达来源性质、覆盖、映射或处理边界。
检查对比候选	comparability_reason		受控状态或范围枚举；用于表达来源性质、覆盖、映射或处理边界。
检查对比候选	data_nature	数据性质	受控状态或范围枚举；用于表达来源性质、覆盖、映射或处理边界。
随访事件段	episode_id	轨迹标识	稳定对象标识或连接键；用于逐表关联，不承载临床结论。
随访事件段	patient_token	患者令牌	与该表业务对象直接相关的文本属性。
随访事件段	clinical_question	临床问题	与该表业务对象直接相关的文本属性。
随访事件段	baseline_rule	基线规则	与该表业务对象直接相关的文本属性。
随访事件段	baseline_time	基线时点	来源或业务时间；仅按该字段声明的语义参与排序，缺失时保持空值。
随访事件段	data_nature	数据性质	受控状态或范围枚举；用于表达来源性质、覆盖、映射或处理边界。
影像检查	exam_id	检查标识	稳定对象标识或连接键；用于逐表关联，不承载临床结论。
影像检查	episode_id	轨迹标识	稳定对象标识或连接键；用于逐表关联，不承载临床结论。
影像检查	encounter_token	就诊令牌	与该表业务对象直接相关的文本属性。
影像检查	examnameraw	检查项目	来源原文或原始字段值；保真保留，不因格式化改写为计数、结论或标准编码。
影像检查	modality	设备类型	与该表业务对象直接相关的文本属性。
影像检查	body_site	部位	与该表业务对象直接相关的文本属性。
影像检查	exam_time	检查时间	来源或业务时间；仅按该字段声明的语义参与排序，缺失时保持空值。
影像检查	available_time	可用时间	来源或业务时间；仅按该字段声明的语义参与排序，缺失时保持空值。
影像检查	data_nature	数据性质	受控状态或范围枚举；用于表达来源性质、覆盖、映射或处理边界。
病灶	lesion_id	病灶标识	稳定对象标识或连接键；用于逐表关联，不承载临床结论。
病灶	episode_id	轨迹标识	稳定对象标识或连接键；用于逐表关联，不承载临床结论。
病灶	identity_status		受控状态或范围枚举；用于表达来源性质、覆盖、映射或处理边界。
病灶	data_nature	数据性质	受控状态或范围枚举；用于表达来源性质、覆盖、映射或处理边界。
病灶观测	observation_id	观测标识	稳定对象标识或连接键；用于逐表关联，不承载临床结论。
病灶观测	lesion_id	病灶标识	稳定对象标识或连接键；用于逐表关联，不承载临床结论。
病灶观测	exam_id	检查标识	稳定对象标识或连接键；用于逐表关联，不承载临床结论。
病灶观测	measurement_value	测量值	数值测量、剂量、分值或金额；单位、参考范围和换算规则以同表字段为准。
病灶观测	measurement_unit	测量单位	与该表业务对象直接相关的文本属性。
病灶观测	data_nature	数据性质	受控状态或范围枚举；用于表达来源性质、覆盖、映射或处理边界。
数据质量项	qualityissueid	数据质量项标识	稳定对象标识或连接键；用于逐表关联，不承载临床结论。
数据质量项	scope	范围	与该表业务对象直接相关的文本属性。
数据质量项	issue_code	问题代码	与该表业务对象直接相关的文本属性。
数据质量项	handling	处理方式	与该表业务对象直接相关的文本属性。
数据质量项	data_nature	数据性质	受控状态或范围枚举；用于表达来源性质、覆盖、映射或处理边界。
报告版本	report_id	报告标识	稳定对象标识或连接键；用于逐表关联，不承载临床结论。
报告版本	exam_id	检查标识	稳定对象标识或连接键；用于逐表关联，不承载临床结论。
报告版本	report_time	报告时间	来源或业务时间；仅按该字段声明的语义参与排序，缺失时保持空值。
报告版本	findings_raw	检查所见	来源原文或原始字段值；保真保留，不因格式化改写为计数、结论或标准编码。
报告版本	impression_raw	报告意见	来源原文或原始字段值；保真保留，不因格式化改写为计数、结论或标准编码。
报告版本	available_time	可用时间	来源或业务时间；仅按该字段声明的语义参与排序，缺失时保持空值。
报告版本	data_nature	数据性质	受控状态或范围枚举；用于表达来源性质、覆盖、映射或处理边界。
反应评估	assessment_id	评估标识	稳定对象标识或连接键；用于逐表关联，不承载临床结论。
反应评估	episode_id	轨迹标识	稳定对象标识或连接键；用于逐表关联，不承载临床结论。
反应评估	criterion_name	入排标准名称	与该表业务对象直接相关的文本属性。
反应评估	assessment_status	评估状态	受控状态或范围枚举；用于表达来源性质、覆盖、映射或处理边界。
反应评估	data_nature	数据性质	受控状态或范围枚举；用于表达来源性质、覆盖、映射或处理边界。
来源断言变化	change_id	变更标识	稳定对象标识或连接键；用于逐表关联，不承载临床结论。
来源断言变化	candidate_id	候选标识	稳定对象标识或连接键；用于逐表关联，不承载临床结论。
来源断言变化	assertion_text	断言内容	与该表业务对象直接相关的文本属性。
来源断言变化	quantitative_status		受控状态或范围枚举；用于表达来源性质、覆盖、映射或处理边界。
来源断言变化	data_nature	数据性质	受控状态或范围枚举；用于表达来源性质、覆盖、映射或处理边界。
教学图像对象	image_id	图像标识	稳定对象标识或连接键；用于逐表关联，不承载临床结论。
教学图像对象	seriesgroupid	序列组标识	稳定对象标识或连接键；用于逐表关联，不承载临床结论。
教学图像对象	candidate_id	候选标识	稳定对象标识或连接键；用于逐表关联，不承载临床结论。
教学图像对象	data_nature	数据性质	受控状态或范围枚举；用于表达来源性质、覆盖、映射或处理边界。
教学序列候选	candidate_id	候选标识	稳定对象标识或连接键；用于逐表关联，不承载临床结论。
教学序列候选	case_id	病例标识	稳定对象标识或连接键；用于逐表关联，不承载临床结论。
教学序列候选	exam_label	检查标签	与该表业务对象直接相关的文本属性。
教学序列候选	relative_interval	相对间隔	与该表业务对象直接相关的文本属性。
教学序列候选	candidate_status	候选状态	受控状态或范围枚举；用于表达来源性质、覆盖、映射或处理边界。
教学序列候选	data_nature	数据性质	受控状态或范围枚举；用于表达来源性质、覆盖、映射或处理边界。
教学序列组	seriesgroupid	序列组标识	稳定对象标识或连接键；用于逐表关联，不承载临床结论。
教学序列组	candidate_id	候选标识	稳定对象标识或连接键；用于逐表关联，不承载临床结论。
教学序列组	seriesnameraw	序列名称	来源原文或原始字段值；保真保留，不因格式化改写为计数、结论或标准编码。
教学序列组	data_nature	数据性质	受控状态或范围枚举；用于表达来源性质、覆盖、映射或处理边界。

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。

12 个实体9 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核心实体

随访事件段

问题 · 基线规则

02关联实体

影像检查

类别 · 部位 · 时点

03关联实体

报告版本

所见 · 意见

04关联实体

检查对比候选

对比状态 · 可比性原因

05关联实体

来源断言变化

断言文本 · 是否量化

06关联实体

病灶

身份状态

07关联实体

病灶观测

测量值 · 单位

08关联实体

反应评估

标准名称 · 状态

09辅助实体

教学序列候选

相对间隔 · 候选状态

10辅助实体

教学序列组

序列名称

11辅助实体

教学图像对象

图像标识

12辅助实体

数据质量项

quality_issue

连接关系

每条关系独占一行，基数置于两实体之间

实体 A01

随访事件段

问题 · 基线规则

1—n

实体 B

影像检查

类别 · 部位 · 时点

实体 A02

影像检查

类别 · 部位 · 时点

1—n

实体 B

报告版本

所见 · 意见

实体 A03

随访事件段

问题 · 基线规则

1—n

实体 B

检查对比候选

对比状态 · 可比性原因

实体 A04

检查对比候选

对比状态 · 可比性原因

1—n

实体 B

来源断言变化

断言文本 · 是否量化

实体 A05

随访事件段

问题 · 基线规则

1—n

实体 B

病灶

身份状态

实体 A06

病灶

身份状态

1—n

实体 B

病灶观测

测量值 · 单位

实体 A07

随访事件段

问题 · 基线规则

1—n

实体 B

反应评估

标准名称 · 状态

实体 A08

教学序列候选

相对间隔 · 候选状态

1—n

实体 B

教学序列组

序列名称

实体 A09

教学序列组

序列名称

1—n

实体 B

教学图像对象

图像标识

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
随访事件段	1—n	影像检查	随访段内按时间排列的各次检查
影像检查	1—n	报告版本	一次检查对应报告版本
随访事件段	1—n	检查对比候选	段内两两检查形成的对比关系
检查对比候选	1—n	来源断言变化	该次对比在报告中被写出的变化断言
随访事件段	1—n	病灶	段内保持身份的病灶
病灶	1—n	病灶观测	同一病灶在各次检查中的观测
随访事件段	1—n	反应评估	按声明标准得出的反应评估
教学序列候选	1—n	教学序列组	教学序列候选下的序列分组
教学序列组	1—n	教学图像对象	序列组内的图像对象

各时点的检查与报告挂在同一个随访段之下。对比关系停在报告级候选，可比性判定与原因随每条对比给出。病灶层只在跨时点对应有据可依时才生成。

样例字段语义

分组	字段	英文键	语义
随访事件段	临床问题	clinical_question	本随访段围绕的疾病或观察目的；同一患者的不同部位、不同疾病各成一段
随访事件段	基线规则与基线时点	baselinerule / baselinetime	本段以哪次检查为基线及其判定规则
影像检查	检查名称与类别	examnameraw / modality	该次检查的名称与设备类别
影像检查	检查部位	body_site	检查覆盖的解剖范围
影像检查	检查时间	exam_time	该次检查的实施时点，随访间隔由相邻检查时间直接计算
影像检查	首次可用时间	available_time	该次检查结果首次可供使用的时点；来源未提供时保持未知，不用文件时间顶替
报告版本	报告所见	findings_raw	本次检查的影像征象描述，含与前次检查的对比表述
报告版本	报告意见	impression_raw	基于所见给出的结论与后续建议
病灶	病灶身份状态	identity_status	该病灶在观察窗内是否保持可识别的同一身份；无稳定对应关系时此表为空
病灶观测	测量值与单位	measurementvalue / measurementunit	某病灶在某次检查中的来源测量结果及其单位
检查对比候选	基线与随访检查	baselineexamid / followupexamid	构成一次对比的两端检查，先后顺序由检查时间确定
检查对比候选	对比状态	comparison_status	该对比是可直接比较、有条件比较还是不可比
检查对比候选	可比性原因	comparability_reason	判定结果的具体依据，如层厚不同、增强期相不同、测量平面不同
来源断言变化	断言文本	assertion_text	报告中直接写出的变化表述，如较前增大、较前缩小、无明显变化
来源断言变化	是否量化	quantitative_status	该断言是否附有具体测量数值
反应评估	评估标准名称与状态	criterionname / assessmentstatus	按哪一套已声明的评价标准及其版本作出的评估结论
教学序列候选	检查标签与相对间隔	examlabel / relativeinterval	以相对表述记录的复查时点，如「三个月后」按相对间隔保留

样例记录

同一患者、同一临床问题下的基线检查与随访检查。含各自的报告所见与意见，以及两次检查之间的对比关系与可比性判定。报告中直接写出的变化断言也一并给出。

{
  "样例性质": "真实记录·已脱敏",
  "followup_episode": {
    "baseline_rule": "earliest_exam_in_source_window",
    "baseline_time": "2021-06-02 09:48:00",
    "clinical_question": "report_level_followup",
    "episode_id": "EPISODE-0000001",
    "patient_token": "PTK-0000001"
  },
  "imaging_exam": [
    {
      "available_time": null,
      "body_site": "头颅",
      "encounter_token": "VIS-0000001",
      "episode_id": "EPISODE-0000001",
      "exam_id": "EXAM-0000001",
      "exam_name_raw": "头颅CT平扫",
      "exam_time": "2021-06-02 10:16:00",
      "modality": "CT"
    },
    {
      "available_time": null,
      "body_site": "颈部血管",
      "encounter_token": "VIS-0000001",
      "episode_id": "EPISODE-0000001",
      "exam_id": "EXAM-0000002",
      "exam_name_raw": "颈动脉彩色多普勒超声",
      "exam_time": "2021-06-02 10:42:00",
      "modality": "超声"
    },
    {
      "available_time": null,
      "body_site": "心脏",
      "encounter_token": "VIS-0000001",
      "episode_id": "EPISODE-0000001",
      "exam_id": "EXAM-0000003",
      "exam_name_raw": "十二导联心电图",
      "exam_time": "2021-06-02 09:48:00",
      "modality": "心电图"
    },
    {
      "available_time": null,
      "body_site": "头颅",
      "encounter_token": "VIS-0000002",
      "episode_id": "EPISODE-0000001",
      "exam_id": "EXAM-0000004",
      "exam_name_raw": "头颅CT平扫",
      "exam_time": "2021-07-05 11:21:00",
      "modality": "CT"
    },
    {
      "available_time": null,
      "body_site": "头颅",
      "encounter_token": "VIS-0000002",
      "episode_id": "EPISODE-0000001",
      "exam_id": "EXAM-0000005",
      "exam_name_raw": "头颅MRI平扫+DWI",
      "exam_time": "2021-07-06 09:36:00",
      "modality": "MRI"
    },
    {
      "available_time": null,
      "body_site": "颈部血管",
      "encounter_token": "VIS-0000002",
      "episode_id": "EPISODE-0000001",
      "exam_id": "EXAM-0000006",
      "exam_name_raw": "颈部血管超声",
      "exam_time": "2021-07-06 14:20:00",
      "modality": "超声"
    },
    {
      "available_time": null,
      "body_site": "脑血管",
      "encounter_token": "VIS-0000002",
      "episode_id": "EPISODE-0000001",
      "exam_id": "EXAM-0000007",
      "exam_name_raw": "经颅多普勒超声",
      "exam_time": "2021-07-07 10:05:00",
      "modality": "TCD"
    },
    {
      "available_time": null,
      "body_site": "心脏",
      "encounter_token": "VIS-0000002",
      "episode_id": "EPISODE-0000001",
      "exam_id": "EXAM-0000008",
      "exam_name_raw": "动态心电图",
      "exam_time": "2021-07-08 09:12:00",
      "modality": "心电图"
    },
    {
      "available_time": null,
      "body_site": "颈部血管",
      "encounter_token": "VIS-0000003",
      "episode_id": "EPISODE-0000001",
      "exam_id": "EXAM-0000009",
      "exam_name_raw": "颈动脉彩色多普勒超声",
      "exam_time": "2022-02-01 11:06:00",
      "modality": "超声"
    },
    {
      "available_time": null,
      "body_site": "头颅",
      "encounter_token": "VIS-0000004",
      "episode_id": "EPISODE-0000001",
      "exam_id": "EXAM-0000010",
      "exam_name_raw": "头颅CT平扫",
      "exam_time": "2023-02-28 15:12:00",
      "modality": "CT"
    },
    {
      "available_time": null,
      "body_site": "心脏",
      "encounter_token": "VIS-0000004",
      "episode_id": "EPISODE-0000001",
      "exam_id": "EXAM-0000011",
      "exam_name_raw": "十二导联心电图",
      "exam_time": "2023-02-28 15:46:00",
      "modality": "心电图"
    },
    {
      "available_time": null,
      "body_site": "头颅",
      "encounter_token": "VIS-0000005",
      "episode_id": "EPISODE-0000001",
      "exam_id": "EXAM-0000012",
      "exam_name_raw": "头颅CT平扫",
      "exam_time": "2024-01-08 10:25:00",
      "modality": "CT"
    },
    {
      "available_time": null,
      "body_site": "头颅",
      "encounter_token": "VIS-0000005",
      "episode_id": "EPISODE-0000001",
      "exam_id": "EXAM-0000013",
      "exam_name_raw": "头颅MRI平扫+DWI",
      "exam_time": "2024-01-09 08:58:00",
      "modality": "MRI"
    },
    {
      "available_time": null,
      "body_site": "头颈部动脉",
      "encounter_token": "VIS-0000005",
      "episode_id": "EPISODE-0000001",
      "exam_id": "EXAM-0000014",
      "exam_name_raw": "头颈CTA",
      "exam_time": "2024-01-09 14:05:00",
      "modality": "CTA"
    },
    {
      "available_time": null,
      "body_site": "心脏",
      "encounter_token": "VIS-0000005",
      "episode_id": "EPISODE-0000001",
      "exam_id": "EXAM-0000015",
      "exam_name_raw": "超声心动图",
      "exam_time": "2024-01-10 09:40:00",
      "modality": "超声"
    },
    {
      "available_time": null,
      "body_site": "心脏",
      "encounter_token": "VIS-0000005",
      "episode_id": "EPISODE-0000001",
      "exam_id": "EXAM-0000016",
      "exam_name_raw": "动态心电图",
      "exam_time": "2024-01-10 15:30:00",
      "modality": "心电图"
    },
    {
      "available_time": null,
      "body_site": "心脏",
      "encounter_token": "VIS-0000006",
      "episode_id": "EPISODE-0000001",
      "exam_id": "EXAM-0000017",
      "exam_name_raw": "十二导联心电图",
      "exam_time": "2024-02-07 10:02:00",
      "modality": "心电图"
    },
    {
      "available_time": null,
      "body_site": "颈部血管",
      "encounter_token": "VIS-0000007",
      "episode_id": "EPISODE-0000001",
      "exam_id": "EXAM-0000018",
      "exam_name_raw": "颈部血管超声",
      "exam_time": "2024-10-02 11:28:00",
      "modality": "超声"
    },
    {
      "available_time": null,
      "body_site": "头颅",
      "encounter_token": "VIS-0000008",
      "episode_id": "EPISODE-0000001",
      "exam_id": "EXAM-0000019",
      "exam_name_raw": "头颅MRI平扫+DWI",
      "exam_time": "2025-06-12 11:10:00",
      "modality": "MRI"
    },
    {
      "available_time": null,
      "body_site": "颈椎",
      "encounter_token": "VIS-0000008",
      "episode_id": "EPISODE-0000001",
      "exam_id": "EXAM-0000020",
      "exam_name_raw": "颈椎MRI平扫",
      "exam_time": "2025-06-12 14:35:00",
      "modality": "MRI"
    },
    {
      "available_time": null,
      "body_site": "头颅",
      "encounter_token": "VIS-0000009",
      "episode_id": "EPISODE-0000001",
      "exam_id": "EXAM-0000021",
      "exam_name_raw": "头颅CT平扫",
      "exam_time": "2026-07-24 11:06:00",
      "modality": "CT"
    },
    {
      "available_time": null,
      "body_site": "头颅",
      "encounter_token": "VIS-0000010",
      "episode_id": "EPISODE-0000001",
      "exam_id": "EXAM-0000022",
      "exam_name_raw": "头颅MRI平扫+DWI",
      "exam_time": "2026-07-27 09:28:00",
      "modality": "MRI"
    },
    {
      "available_time": null,
      "body_site": "头颈部动脉",
      "encounter_token": "VIS-0000010",
      "episode_id": "EPISODE-0000001",
      "exam_id": "EXAM-0000023",
      "exam_name_raw": "头颈CTA",
      "exam_time": "2026-07-27 15:12:00",
      "modality": "CTA"
    },
    {
      "available_time": null,
      "body_site": "脑血管",
      "encounter_token": "VIS-0000010",
      "episode_id": "EPISODE-0000001",
      "exam_id": "EXAM-0000024",
      "exam_name_raw": "TCD发泡试验",
      "exam_time": "2026-07-28 10:00:00",
      "modality": "TCD"
    },
    {
      "available_time": null,
      "body_site": "心脏",
      "encounter_token": "VIS-0000010",
      "episode_id": "EPISODE-0000001",
      "exam_id": "EXAM-0000025",
      "exam_name_raw": "动态心电图",
      "exam_time": "2026-07-29 09:10:00",
      "modality": "心电图"
    }
  ],
  "report_version": [
    {
      "available_time": null,
      "exam_id": "EXAM-0000001",
      "findings_raw": "双侧基底节区见点片状低密度影，脑室系统未见受压，中线结构居中，颅内未见出血征象。",
      "impression_raw": "双侧基底节区腔隙灶或缺血性白质改变可能；颅内未见急性出血。",
      "report_id": "RPT-0000001",
      "report_time": "2021-06-02 10:16:00"
    },
    {
      "available_time": null,
      "exam_id": "EXAM-0000002",
      "findings_raw": "双侧颈总动脉内中膜增厚，双侧颈动脉分叉处可见斑块回声，管腔未见明显狭窄。",
      "impression_raw": "双侧颈动脉粥样硬化斑块形成。",
      "report_id": "RPT-0000002",
      "report_time": "2021-06-02 10:42:00"
    },
    {
      "available_time": null,
      "exam_id": "EXAM-0000003",
      "findings_raw": "窦性心律，心率约72次/分，ST-T轻度改变。",
      "impression_raw": "窦性心律，部分ST-T改变。",
      "report_id": "RPT-0000003",
      "report_time": "2021-06-02 09:48:00"
    },
    {
      "available_time": null,
      "exam_id": "EXAM-0000004",
      "findings_raw": "双侧基底节区小片低密度影，脑实质内未见急性出血灶，中线结构居中。",
      "impression_raw": "双侧基底节区腔隙灶；颅内未见急性出血。",
      "report_id": "RPT-0000004",
      "report_time": "2021-07-05 11:21:00"
    },
    {
      "available_time": null,
      "exam_id": "EXAM-0000005",
      "findings_raw": "DWI未见明显弥散受限灶；双侧基底节区及半卵圆中心散在斑点状长T2信号，FLAIR稍高信号。",
      "impression_raw": "未见明确新发脑梗死；双侧基底节区腔隙灶及缺血性白质改变。",
      "report_id": "RPT-0000005",
      "report_time": "2021-07-06 09:36:00"
    },
    {
      "available_time": null,
      "exam_id": "EXAM-0000006",
      "findings_raw": "双侧颈动脉内中膜增厚，左侧颈动脉分叉处低回声斑块，右侧颈总动脉硬斑块，血流速度未见明显增快。",
      "impression_raw": "双侧颈动脉粥样硬化斑块；未见血流动力学意义狭窄。",
      "report_id": "RPT-0000006",
      "report_time": "2021-07-06 14:20:00"
    },
    {
      "available_time": null,
      "exam_id": "EXAM-0000007",
      "findings_raw": "双侧大脑中动脉、前动脉、后动脉及椎基底动脉血流速度未见明显异常。",
      "impression_raw": "颅内主要动脉TCD检测未见明显异常。",
      "report_id": "RPT-0000007",
      "report_time": "2021-07-07 10:05:00"
    },
    {
      "available_time": null,
      "exam_id": "EXAM-0000008",
      "findings_raw": "窦性心律，偶发房性早搏，未记录到心房颤动及长间歇。",
      "impression_raw": "窦性心律；偶发房性早搏；未见房颤。",
      "report_id": "RPT-0000008",
      "report_time": "2021-07-08 09:12:00"
    },
    {
      "available_time": null,
      "exam_id": "EXAM-0000009",
      "findings_raw": "双侧颈动脉内中膜增厚，斑块较前相仿，管腔未见明显狭窄。",
      "impression_raw": "双侧颈动脉粥样硬化斑块，较前无明显进展。",
      "report_id": "RPT-0000009",
      "report_time": "2022-02-01 11:06:00"
    },
    {
      "available_time": null,
      "exam_id": "EXAM-0000010",
      "findings_raw": "双侧基底节区腔隙灶同前，脑沟裂稍增宽，颅内未见急性出血或占位征象。",
      "impression_raw": "双侧基底节区腔隙灶；未见急性颅内出血。",
      "report_id": "RPT-0000010",
      "report_time": "2023-02-28 15:12:00"
    },
    {
      "available_time": null,
      "exam_id": "EXAM-0000011",
      "findings_raw": "窦性心律，心率约68次/分，ST-T改变同前。",
      "impression_raw": "窦性心律，部分ST-T改变。",
      "report_id": "RPT-0000011",
      "report_time": "2023-02-28 15:46:00"
    },
    {
      "available_time": null,
      "exam_id": "EXAM-0000012",
      "findings_raw": "双侧基底节区腔隙灶，脑实质内未见急性出血灶，中线结构居中。",
      "impression_raw": "颅内未见急性出血；双侧基底节区腔隙灶。",
      "report_id": "RPT-0000012",
      "report_time": "2024-01-08 10:25:00"
    },
    {
      "available_time": null,
      "exam_id": "EXAM-0000013",
      "findings_raw": "左侧基底节区及放射冠见点片状DWI高信号、ADC减低，FLAIR稍高信号；脑室系统未见明显受压。",
      "impression_raw": "左侧基底节区及放射冠新近脑梗死。",
      "report_id": "RPT-0000013",
      "report_time": "2024-01-09 08:58:00"
    },
    {
      "available_time": null,
      "exam_id": "EXAM-0000014",
      "findings_raw": "双侧颈内动脉虹吸段、椎基底动脉壁毛糙并散在钙化斑块，未见责任大血管闭塞。",
      "impression_raw": "头颈动脉粥样硬化改变；未见责任大血管闭塞。",
      "report_id": "RPT-0000014",
      "report_time": "2024-01-09 14:05:00"
    },
    {
      "available_time": null,
      "exam_id": "EXAM-0000015",
      "findings_raw": "各房室腔大小正常，左室收缩功能正常，节段性室壁运动异常未见明确显示。",
      "impression_raw": "左室收缩功能正常。",
      "report_id": "RPT-0000015",
      "report_time": "2024-01-10 09:40:00"
    },
    {
      "available_time": null,
      "exam_id": "EXAM-0000016",
      "findings_raw": "窦性心律，偶发房性早搏及室性早搏，未见心房颤动。",
      "impression_raw": "窦性心律；偶发房早、室早；未见房颤。",
      "report_id": "RPT-0000016",
      "report_time": "2024-01-10 15:30:00"
    },
    {
      "available_time": null,
      "exam_id": "EXAM-0000017",
      "findings_raw": "窦性心律，心率约66次/分，ST-T改变。",
      "impression_raw": "窦性心律，部分ST-T改变。",
      "report_id": "RPT-0000017",
      "report_time": "2024-02-07 10:02:00"
    },
    {
      "available_time": null,
      "exam_id": "EXAM-0000018",
      "findings_raw": "双侧颈动脉粥样硬化斑块，右侧斑块较前略增大，血流速度未见明显增快。",
      "impression_raw": "双侧颈动脉粥样硬化斑块；未见明显狭窄。",
      "report_id": "RPT-0000018",
      "report_time": "2024-10-02 11:28:00"
    },
    {
      "available_time": null,
      "exam_id": "EXAM-0000019",
      "findings_raw": "DWI未见新发弥散受限灶；双侧基底节区、半卵圆中心散在缺血性白质改变，左侧基底节区陈旧性软化灶。",
      "impression_raw": "未见明确新发脑梗死；陈旧性脑梗死及缺血性白质改变。",
      "report_id": "RPT-0000019",
      "report_time": "2025-06-12 11:10:00"
    },
    {
      "available_time": null,
      "exam_id": "EXAM-0000020",
      "findings_raw": "颈椎生理曲度变直，C4/5、C5/6、C6/7椎间盘向后突出，硬膜囊受压，脊髓信号未见明确异常。",
      "impression_raw": "颈椎退行性改变；C4/5、C5/6、C6/7椎间盘突出。",
      "report_id": "RPT-0000020",
      "report_time": "2025-06-12 14:35:00"
    },
    {
      "available_time": null,
      "exam_id": "EXAM-0000021",
      "findings_raw": "双侧基底节区斑片状低密度影，脑白质密度欠均，颅内未见出血。",
      "impression_raw": "双侧基底节区腔隙灶或缺血性白质改变可能；未见急性出血。",
      "report_id": "RPT-0000021",
      "report_time": "2026-07-24 11:06:00"
    },
    {
      "available_time": null,
      "exam_id": "EXAM-0000022",
      "findings_raw": "DWI未见明确新发弥散受限灶；双侧基底节区腔隙灶及脑白质少许缺血性改变。",
      "impression_raw": "未见明确新发脑梗死；双侧基底节区腔隙灶。",
      "report_id": "RPT-0000022",
      "report_time": "2026-07-27 09:28:00"
    },
    {
      "available_time": null,
      "exam_id": "EXAM-0000023",
      "findings_raw": "双侧颈内动脉C4-C7段管壁毛糙，局部轻度狭窄；头颈部多发动脉粥样硬化改变，未见大血管闭塞。",
      "impression_raw": "双侧颈内动脉C4-C7段轻度狭窄；头颈部动脉粥样硬化改变。",
      "report_id": "RPT-0000023",
      "report_time": "2026-07-27 15:12:00"
    },
    {
      "available_time": null,
      "exam_id": "EXAM-0000024",
      "findings_raw": "静息状态及Valsalva动作时未见微栓子信号。",
      "impression_raw": "TCD发泡试验阴性。",
      "report_id": "RPT-0000024",
      "report_time": "2026-07-28 10:00:00"
    },
    {
      "available_time": null,
      "exam_id": "EXAM-0000025",
      "findings_raw": "窦性心律，偶发房性早搏，未见房颤及长间歇。",
      "impression_raw": "窦性心律；偶发房性早搏；未见房颤。",
      "report_id": "RPT-0000025",
      "report_time": "2026-07-29 09:10:00"
    }
  ],
  "exam_comparison_candidate": [
    {
      "baseline_exam_id": "EXAM-0000008",
      "comparability_reason": "same_exact_raw_exam_name; no lesion crosswalk",
      "comparison_id": "COMPARISON-0000001",
      "comparison_status": "report_level_candidate",
      "episode_id": "EPISODE-0000001",
      "followup_exam_id": "EXAM-0000016"
    },
    {
      "baseline_exam_id": "EXAM-0000016",
      "comparability_reason": "same_exact_raw_exam_name; no lesion crosswalk",
      "comparison_id": "COMPARISON-0000002",
      "comparison_status": "report_level_candidate",
      "episode_id": "EPISODE-0000001",
      "followup_exam_id": "EXAM-0000025"
    },
    {
      "baseline_exam_id": "EXAM-0000003",
      "comparability_reason": "same_exact_raw_exam_name; no lesion crosswalk",
      "comparison_id": "COMPARISON-0000003",
      "comparison_status": "report_level_candidate",
      "episode_id": "EPISODE-0000001",
      "followup_exam_id": "EXAM-0000011"
    },
    {
      "baseline_exam_id": "EXAM-0000011",
      "comparability_reason": "same_exact_raw_exam_name; no lesion crosswalk",
      "comparison_id": "COMPARISON-0000004",
      "comparison_status": "report_level_candidate",
      "episode_id": "EPISODE-0000001",
      "followup_exam_id": "EXAM-0000017"
    },
    {
      "baseline_exam_id": "EXAM-0000001",
      "comparability_reason": "same_exact_raw_exam_name; no lesion crosswalk",
      "comparison_id": "COMPARISON-0000005",
      "comparison_status": "report_level_candidate",
      "episode_id": "EPISODE-0000001",
      "followup_exam_id": "EXAM-0000004"
    },
    {
      "baseline_exam_id": "EXAM-0000004",
      "comparability_reason": "same_exact_raw_exam_name; no lesion crosswalk",
      "comparison_id": "COMPARISON-0000006",
      "comparison_status": "report_level_candidate",
      "episode_id": "EPISODE-0000001",
      "followup_exam_id": "EXAM-0000010"
    },
    {
      "baseline_exam_id": "EXAM-0000010",
      "comparability_reason": "same_exact_raw_exam_name; no lesion crosswalk",
      "comparison_id": "COMPARISON-0000007",
      "comparison_status": "report_level_candidate",
      "episode_id": "EPISODE-0000001",
      "followup_exam_id": "EXAM-0000012"
    },
    {
      "baseline_exam_id": "EXAM-0000012",
      "comparability_reason": "same_exact_raw_exam_name; no lesion crosswalk",
      "comparison_id": "COMPARISON-0000008",
      "comparison_status": "report_level_candidate",
      "episode_id": "EPISODE-0000001",
      "followup_exam_id": "EXAM-0000021"
    },
    {
      "baseline_exam_id": "EXAM-0000005",
      "comparability_reason": "same_exact_raw_exam_name; no lesion crosswalk",
      "comparison_id": "COMPARISON-0000009",
      "comparison_status": "report_level_candidate",
      "episode_id": "EPISODE-0000001",
      "followup_exam_id": "EXAM-0000013"
    },
    {
      "baseline_exam_id": "EXAM-0000013",
      "comparability_reason": "same_exact_raw_exam_name; no lesion crosswalk",
      "comparison_id": "COMPARISON-0000010",
      "comparison_status": "report_level_candidate",
      "episode_id": "EPISODE-0000001",
      "followup_exam_id": "EXAM-0000019"
    },
    {
      "baseline_exam_id": "EXAM-0000019",
      "comparability_reason": "same_exact_raw_exam_name; no lesion crosswalk",
      "comparison_id": "COMPARISON-0000011",
      "comparison_status": "report_level_candidate",
      "episode_id": "EPISODE-0000001",
      "followup_exam_id": "EXAM-0000022"
    },
    {
      "baseline_exam_id": "EXAM-0000014",
      "comparability_reason": "same_exact_raw_exam_name; no lesion crosswalk",
      "comparison_id": "COMPARISON-0000012",
      "comparison_status": "report_level_candidate",
      "episode_id": "EPISODE-0000001",
      "followup_exam_id": "EXAM-0000023"
    },
    {
      "baseline_exam_id": "EXAM-0000002",
      "comparability_reason": "same_exact_raw_exam_name; no lesion crosswalk",
      "comparison_id": "COMPARISON-0000013",
      "comparison_status": "report_level_candidate",
      "episode_id": "EPISODE-0000001",
      "followup_exam_id": "EXAM-0000009"
    },
    {
      "baseline_exam_id": "EXAM-0000006",
      "comparability_reason": "same_exact_raw_exam_name; no lesion crosswalk",
      "comparison_id": "COMPARISON-0000014",
      "comparison_status": "report_level_candidate",
      "episode_id": "EPISODE-0000001",
      "followup_exam_id": "EXAM-0000018"
    }
  ],
  "teaching_serial_candidate": [
    {
      "candidate_id": "CANDIDATE-0000001",
      "candidate_status": "teaching_serial_imaging_candidate",
      "case_id": "CASE-0000001",
      "exam_label": "MRI-1",
      "relative_interval": null
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "candidate_status": "teaching_serial_imaging_candidate",
      "case_id": "CASE-0000001",
      "exam_label": "MRI-2",
      "relative_interval": "3 months"
    }
  ],
  "teaching_series_group": [
    {
      "candidate_id": "CANDIDATE-0000001",
      "series_group_id": "SERIES-0000001",
      "series_name_raw": "MRI-1/DWI"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "series_group_id": "SERIES-0000002",
      "series_name_raw": "MRI-1/平扫矢状T1"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "series_group_id": "SERIES-0000003",
      "series_name_raw": "MRI-1/平扫轴位T1"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "series_group_id": "SERIES-0000004",
      "series_name_raw": "MRI-1/平扫轴位T2"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "series_group_id": "SERIES-0000005",
      "series_name_raw": "MRI-1/平扫轴位T2-FLAIR"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "series_group_id": "SERIES-0000006",
      "series_name_raw": "MRI-2/DWI"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "series_group_id": "SERIES-0000007",
      "series_name_raw": "MRI-2/平扫矢状T1"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "series_group_id": "SERIES-0000008",
      "series_name_raw": "MRI-2/平扫轴位T1"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "series_group_id": "SERIES-0000009",
      "series_name_raw": "MRI-2/平扫轴位T2"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "series_group_id": "SERIES-0000010",
      "series_name_raw": "MRI-2/平扫轴位T2-FLAIR"
    }
  ],
  "teaching_image_object": [
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000001",
      "series_group_id": "SERIES-0000001"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000002",
      "series_group_id": "SERIES-0000001"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000003",
      "series_group_id": "SERIES-0000001"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000004",
      "series_group_id": "SERIES-0000001"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000005",
      "series_group_id": "SERIES-0000001"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000006",
      "series_group_id": "SERIES-0000001"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000007",
      "series_group_id": "SERIES-0000001"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000008",
      "series_group_id": "SERIES-0000001"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000009",
      "series_group_id": "SERIES-0000001"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000010",
      "series_group_id": "SERIES-0000001"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000011",
      "series_group_id": "SERIES-0000001"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000012",
      "series_group_id": "SERIES-0000001"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000013",
      "series_group_id": "SERIES-0000001"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000014",
      "series_group_id": "SERIES-0000001"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000015",
      "series_group_id": "SERIES-0000001"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000016",
      "series_group_id": "SERIES-0000001"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000017",
      "series_group_id": "SERIES-0000001"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000018",
      "series_group_id": "SERIES-0000001"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000019",
      "series_group_id": "SERIES-0000001"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000020",
      "series_group_id": "SERIES-0000001"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000021",
      "series_group_id": "SERIES-0000001"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000022",
      "series_group_id": "SERIES-0000001"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000023",
      "series_group_id": "SERIES-0000001"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000024",
      "series_group_id": "SERIES-0000001"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000025",
      "series_group_id": "SERIES-0000001"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000026",
      "series_group_id": "SERIES-0000001"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000027",
      "series_group_id": "SERIES-0000001"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000028",
      "series_group_id": "SERIES-0000001"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000029",
      "series_group_id": "SERIES-0000001"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000030",
      "series_group_id": "SERIES-0000001"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000031",
      "series_group_id": "SERIES-0000001"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000032",
      "series_group_id": "SERIES-0000001"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000033",
      "series_group_id": "SERIES-0000001"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000034",
      "series_group_id": "SERIES-0000001"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000035",
      "series_group_id": "SERIES-0000001"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000036",
      "series_group_id": "SERIES-0000001"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000037",
      "series_group_id": "SERIES-0000002"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000038",
      "series_group_id": "SERIES-0000002"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000039",
      "series_group_id": "SERIES-0000002"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000040",
      "series_group_id": "SERIES-0000002"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000041",
      "series_group_id": "SERIES-0000002"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000042",
      "series_group_id": "SERIES-0000002"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000043",
      "series_group_id": "SERIES-0000002"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000044",
      "series_group_id": "SERIES-0000002"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000045",
      "series_group_id": "SERIES-0000002"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000046",
      "series_group_id": "SERIES-0000002"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000047",
      "series_group_id": "SERIES-0000002"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000048",
      "series_group_id": "SERIES-0000002"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000049",
      "series_group_id": "SERIES-0000002"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000050",
      "series_group_id": "SERIES-0000003"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000051",
      "series_group_id": "SERIES-0000003"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000052",
      "series_group_id": "SERIES-0000003"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000053",
      "series_group_id": "SERIES-0000003"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000054",
      "series_group_id": "SERIES-0000003"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000055",
      "series_group_id": "SERIES-0000003"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000056",
      "series_group_id": "SERIES-0000003"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000057",
      "series_group_id": "SERIES-0000003"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000058",
      "series_group_id": "SERIES-0000003"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000059",
      "series_group_id": "SERIES-0000003"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000060",
      "series_group_id": "SERIES-0000003"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000061",
      "series_group_id": "SERIES-0000003"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000062",
      "series_group_id": "SERIES-0000003"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000063",
      "series_group_id": "SERIES-0000003"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000064",
      "series_group_id": "SERIES-0000003"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000065",
      "series_group_id": "SERIES-0000003"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000066",
      "series_group_id": "SERIES-0000003"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000067",
      "series_group_id": "SERIES-0000003"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000068",
      "series_group_id": "SERIES-0000004"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000069",
      "series_group_id": "SERIES-0000004"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000070",
      "series_group_id": "SERIES-0000004"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000071",
      "series_group_id": "SERIES-0000004"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000072",
      "series_group_id": "SERIES-0000004"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000073",
      "series_group_id": "SERIES-0000004"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000074",
      "series_group_id": "SERIES-0000004"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000075",
      "series_group_id": "SERIES-0000004"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000076",
      "series_group_id": "SERIES-0000004"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000077",
      "series_group_id": "SERIES-0000004"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000078",
      "series_group_id": "SERIES-0000004"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000079",
      "series_group_id": "SERIES-0000004"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000080",
      "series_group_id": "SERIES-0000004"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000081",
      "series_group_id": "SERIES-0000004"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000082",
      "series_group_id": "SERIES-0000004"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000083",
      "series_group_id": "SERIES-0000004"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000084",
      "series_group_id": "SERIES-0000004"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000085",
      "series_group_id": "SERIES-0000004"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000086",
      "series_group_id": "SERIES-0000005"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000087",
      "series_group_id": "SERIES-0000005"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000088",
      "series_group_id": "SERIES-0000005"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000089",
      "series_group_id": "SERIES-0000005"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000090",
      "series_group_id": "SERIES-0000005"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000091",
      "series_group_id": "SERIES-0000005"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000092",
      "series_group_id": "SERIES-0000005"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000093",
      "series_group_id": "SERIES-0000005"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000094",
      "series_group_id": "SERIES-0000005"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000095",
      "series_group_id": "SERIES-0000005"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000096",
      "series_group_id": "SERIES-0000005"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000097",
      "series_group_id": "SERIES-0000005"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000098",
      "series_group_id": "SERIES-0000005"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000099",
      "series_group_id": "SERIES-0000005"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000100",
      "series_group_id": "SERIES-0000005"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000101",
      "series_group_id": "SERIES-0000005"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000102",
      "series_group_id": "SERIES-0000005"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000103",
      "series_group_id": "SERIES-0000005"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000104",
      "series_group_id": "SERIES-0000006"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000105",
      "series_group_id": "SERIES-0000006"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000106",
      "series_group_id": "SERIES-0000006"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000107",
      "series_group_id": "SERIES-0000006"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000108",
      "series_group_id": "SERIES-0000006"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000109",
      "series_group_id": "SERIES-0000006"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000110",
      "series_group_id": "SERIES-0000006"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000111",
      "series_group_id": "SERIES-0000006"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000112",
      "series_group_id": "SERIES-0000006"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000113",
      "series_group_id": "SERIES-0000006"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000114",
      "series_group_id": "SERIES-0000006"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000115",
      "series_group_id": "SERIES-0000006"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000116",
      "series_group_id": "SERIES-0000006"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000117",
      "series_group_id": "SERIES-0000006"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000118",
      "series_group_id": "SERIES-0000006"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000119",
      "series_group_id": "SERIES-0000006"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000120",
      "series_group_id": "SERIES-0000006"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000121",
      "series_group_id": "SERIES-0000006"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000122",
      "series_group_id": "SERIES-0000006"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000123",
      "series_group_id": "SERIES-0000006"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000124",
      "series_group_id": "SERIES-0000006"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000125",
      "series_group_id": "SERIES-0000006"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000126",
      "series_group_id": "SERIES-0000006"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000127",
      "series_group_id": "SERIES-0000006"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000128",
      "series_group_id": "SERIES-0000006"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000129",
      "series_group_id": "SERIES-0000006"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000130",
      "series_group_id": "SERIES-0000006"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000131",
      "series_group_id": "SERIES-0000006"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000132",
      "series_group_id": "SERIES-0000006"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000133",
      "series_group_id": "SERIES-0000006"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000134",
      "series_group_id": "SERIES-0000006"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000135",
      "series_group_id": "SERIES-0000006"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000136",
      "series_group_id": "SERIES-0000006"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000137",
      "series_group_id": "SERIES-0000006"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000138",
      "series_group_id": "SERIES-0000006"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000139",
      "series_group_id": "SERIES-0000006"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000140",
      "series_group_id": "SERIES-0000006"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000141",
      "series_group_id": "SERIES-0000006"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000142",
      "series_group_id": "SERIES-0000006"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000143",
      "series_group_id": "SERIES-0000006"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000144",
      "series_group_id": "SERIES-0000006"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000145",
      "series_group_id": "SERIES-0000006"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000146",
      "series_group_id": "SERIES-0000006"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000147",
      "series_group_id": "SERIES-0000006"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000148",
      "series_group_id": "SERIES-0000007"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000149",
      "series_group_id": "SERIES-0000007"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000150",
      "series_group_id": "SERIES-0000007"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000151",
      "series_group_id": "SERIES-0000007"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000152",
      "series_group_id": "SERIES-0000007"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000153",
      "series_group_id": "SERIES-0000007"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000154",
      "series_group_id": "SERIES-0000007"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000155",
      "series_group_id": "SERIES-0000007"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000156",
      "series_group_id": "SERIES-0000007"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000157",
      "series_group_id": "SERIES-0000007"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000158",
      "series_group_id": "SERIES-0000007"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000159",
      "series_group_id": "SERIES-0000007"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000160",
      "series_group_id": "SERIES-0000007"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000161",
      "series_group_id": "SERIES-0000007"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000162",
      "series_group_id": "SERIES-0000007"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000163",
      "series_group_id": "SERIES-0000007"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000164",
      "series_group_id": "SERIES-0000007"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000165",
      "series_group_id": "SERIES-0000007"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000166",
      "series_group_id": "SERIES-0000008"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000167",
      "series_group_id": "SERIES-0000008"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000168",
      "series_group_id": "SERIES-0000008"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000169",
      "series_group_id": "SERIES-0000008"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000170",
      "series_group_id": "SERIES-0000008"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000171",
      "series_group_id": "SERIES-0000008"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000172",
      "series_group_id": "SERIES-0000008"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000173",
      "series_group_id": "SERIES-0000008"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000174",
      "series_group_id": "SERIES-0000008"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000175",
      "series_group_id": "SERIES-0000008"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000176",
      "series_group_id": "SERIES-0000008"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000177",
      "series_group_id": "SERIES-0000008"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000178",
      "series_group_id": "SERIES-0000008"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000179",
      "series_group_id": "SERIES-0000008"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000180",
      "series_group_id": "SERIES-0000008"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000181",
      "series_group_id": "SERIES-0000008"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000182",
      "series_group_id": "SERIES-0000008"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000183",
      "series_group_id": "SERIES-0000008"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000184",
      "series_group_id": "SERIES-0000008"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000185",
      "series_group_id": "SERIES-0000008"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000186",
      "series_group_id": "SERIES-0000008"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000187",
      "series_group_id": "SERIES-0000008"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000188",
      "series_group_id": "SERIES-0000009"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000189",
      "series_group_id": "SERIES-0000009"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000190",
      "series_group_id": "SERIES-0000009"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000191",
      "series_group_id": "SERIES-0000009"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000192",
      "series_group_id": "SERIES-0000009"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000193",
      "series_group_id": "SERIES-0000009"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000194",
      "series_group_id": "SERIES-0000009"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000195",
      "series_group_id": "SERIES-0000009"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000196",
      "series_group_id": "SERIES-0000009"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000197",
      "series_group_id": "SERIES-0000009"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000198",
      "series_group_id": "SERIES-0000009"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000199",
      "series_group_id": "SERIES-0000009"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000200",
      "series_group_id": "SERIES-0000009"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000201",
      "series_group_id": "SERIES-0000009"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000202",
      "series_group_id": "SERIES-0000009"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000203",
      "series_group_id": "SERIES-0000009"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000204",
      "series_group_id": "SERIES-0000009"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000205",
      "series_group_id": "SERIES-0000009"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000206",
      "series_group_id": "SERIES-0000009"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000207",
      "series_group_id": "SERIES-0000009"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000208",
      "series_group_id": "SERIES-0000009"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000209",
      "series_group_id": "SERIES-0000009"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000210",
      "series_group_id": "SERIES-0000010"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000211",
      "series_group_id": "SERIES-0000010"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000212",
      "series_group_id": "SERIES-0000010"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000213",
      "series_group_id": "SERIES-0000010"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000214",
      "series_group_id": "SERIES-0000010"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000215",
      "series_group_id": "SERIES-0000010"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000216",
      "series_group_id": "SERIES-0000010"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000217",
      "series_group_id": "SERIES-0000010"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000218",
      "series_group_id": "SERIES-0000010"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000219",
      "series_group_id": "SERIES-0000010"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000220",
      "series_group_id": "SERIES-0000010"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000221",
      "series_group_id": "SERIES-0000010"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000222",
      "series_group_id": "SERIES-0000010"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000223",
      "series_group_id": "SERIES-0000010"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000224",
      "series_group_id": "SERIES-0000010"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000225",
      "series_group_id": "SERIES-0000010"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000226",
      "series_group_id": "SERIES-0000010"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000227",
      "series_group_id": "SERIES-0000010"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000228",
      "series_group_id": "SERIES-0000010"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000229",
      "series_group_id": "SERIES-0000010"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000230",
      "series_group_id": "SERIES-0000010"
    },
    {
      "candidate_id": "CANDIDATE-0000001",
      "image_id": "IMAGE-0000231",
      "series_group_id": "SERIES-0000010"
    }
  ],
  "source_asserted_change": {
    "assertion_text": "source asserted lesion range reduction and no new lesion after relative 3 months",
    "candidate_id": "CANDIDATE-0000001",
    "change_id": "CHANGE-0000001",
    "quantitative_status": "not_quantified"
  },
  "quality_issue": [
    {
      "handling": "lesion, observation and response tables remain empty",
      "issue_code": "no_stable_lesion_crosswalk",
      "quality_issue_id": "REAL_QI_001",
      "scope": "lesion"
    },
    {
      "handling": "3 months is preserved as relative interval",
      "issue_code": "relative_time_not_absolute",
      "quality_issue_id": "REAL_QI_002",
      "scope": "teaching"
    }
  ]
}

[03]

使用场景

纵向对比模型的训练与边界设定

医疗科技企业 · 影像随访与病灶跟踪产品团队

前后配对训练：基线与随访检查成对给出，训练模型完成真实的前后对比
可比性前置判断：层厚、增强期相、测量平面不同的两次检查，标为不可比或有条件可比。模型学会先判条件再谈变化
稳定病例学习：随访中大量结论是无明显变化，这正是模型最容易过度报告的场景。真实样本给出该有的表达尺度
断言与测量分层：报告写「较前增大」而无测量值时，标为非量化断言。带测量值的变化另记为量化测量
相对时点表达：来源只写「三个月后复查」时保留相对间隔，可训练模型按原表述作答

获得：对比类输出条件明确、尺度贴近放射科真实表达

复查序列组织与前后对照

医院影像科 · 随访读片与结构化报告

随访段归集：按患者与临床问题归集复查序列，同一患者多个部位、多种疾病的随访不互相串
基线固定：基线规则写在数据里，全段比较都以同一基线为准
调阅前置信息：前次检查的类别、部位与协议参数随对比关系给出，读片前即知两次是否真的可比
报告对照：相邻两次报告的所见与意见并列，快速定位描述发生变化的部分
间隔统计：由相邻检查时间直接得出实际随访间隔，与推荐复查周期比对

获得：复查序列归集清楚、基线固定、可比性先行的读片支持数据

反应评估的标准化与可复核

药械企业与研究机构 · 影像疗效评估

标准与版本声明：反应评估记录所依据的评价标准名称与版本，换标准即重算且结论可追溯
基线与最低负荷分列：治疗后最低负荷时点与基线时点是两个概念，分开保存才能正确判断疾病进展
可测量性核对：病灶测量的单位、测量轴与方法随观测保存，同方法的数值才作差值计算
治疗事件对齐：随访段与治疗时点对齐后，变化才能与治疗联系起来讨论
量化以对应为前提：稳定病灶对应齐备时才输出量化变化，缺对应时如实标注

获得：评估标准清楚、量化范围明确的疗效证据

跨时点比较能力的训练与评测

医疗大模型团队 · 纵向推理

比较对象识别：训练模型先确认两次检查是否针对同一部位、同一目的，再做比较
变化方向表达：以报告中的真实变化断言为参照，评测模型的方向判断与措辞强度
不可比拒答：不可比的检查对是现成的负例，训练模型正确回答「两次检查条件不同，不宜直接比较」
多时点推理：三次以上的随访序列可考察模型对整体趋势与波动的区分能力
引用定位：模型给出变化结论时须指明依据的是哪两次检查的哪段描述

获得：纵向比较能力有真实参照，拒答边界有据可依

[04]

定制与定向

是否支持定制：是
对比层级（单选）：报告级对比 / 病灶级对应与测量
其他定制项（多选）：医院等级 / 指定医院 / 检查类别 / 解剖部位 / 最少随访次数 / 随访间隔范围 / 评价标准
最低定制数量：1,000 个随访段
病灶层：病灶身份、跨时点对应与测量在具备稳定对应关系时交付，否则不生成
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
随访段内全部检查与报告时点同步平移，随访间隔保持不变
报告文本内提及的既往检查日期一并平移，前后表述保持一致

加密通道交付：支持

[06]

关联数据集

SHP-MED-03-023 临床多模态病例数据——随访段所属病例的其他模态证据
SHP-MED-04-025 围术期诊疗数据——影响变化解释的手术与治疗事件
SHP-MED-03-020 医学影像—报告配对数据——每个时点上影像与报告的配对底座

[07]

常见问题

复查对比数据包含哪些内容？

复查对比与病灶变化数据（SHP-MED-03-024）按随访段组织同一患者两个及以上时点的检查与各自报告版本，含病灶与病灶观测、检查对比候选、来源断言变化与反应评估。字段有基线规则与基线时点、检查类别与部位、报告所见与意见、对比状态与可比性原因。

影像纵向对比模型用什么数据训练？

复查对比与病灶变化数据（SHP-MED-03-024）把基线与随访检查成对给出，层厚、增强期相与测量平面不同的两次检查标为不可比或有条件可比，模型学会先判条件再谈变化。报告写「较前增大」而无测量值时标为非量化断言，与量化测量分层。

随访对比数据怎么交付？

复查对比与病灶变化数据（SHP-MED-03-024）的产品页给出真实脱敏样例与逐字段语义说明。交付形态有数据集（随访段与检查报告表、对比关系表、影像原件如适用）、API 调用、Token 计量与可信数据空间连接器合约使用，数据量按项目商定。

能做到病灶级对应与测量吗？

复查对比与病灶变化数据（SHP-MED-03-024）的对比层级可选报告级对比或病灶级对应与测量，并可按检查类别、解剖部位、最少随访次数、随访间隔范围与评价标准定制，起订量为 1,000 个随访段。可先申请开源子集或测试数据起步。

疗效影像评估还要配哪些数据？

复查对比与病灶变化数据（SHP-MED-03-024）与医学影像—报告配对数据（SHP-MED-03-020）组合，可拿到每个时点影像与报告的配对底座；与围术期诊疗数据（SHP-MED-04-025）组合，可引入影响变化解释的手术与治疗事件。

[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-03-023体系 03

临床多模态病例数据

围绕一个临床问题组织起来的病例单元，边界是一个锚点时点加一段观察窗。同一患者在窗内的文书、检验、检查报告、用药、操作与结局收在一处。每条证据标注模态、首次可用时间与来源对象。可用于病例级多模态输入构造、会诊资料组装与端到端评测。

8 个实体64 个字段

查看产品说明 →

SHP-MED-04-025体系 04

围术期诊疗数据

以一次实际实施的手术为中心的围术期记录。就诊、手术操作、术前与术后诊断、麻醉方式都挂在这台手术之下。围术期时间节点、来源文书与住院结局同样归在片段之内。可用于术式理解与围术期风险模型训练、手术过程复盘与术式结局证据组织。

10 个实体59 个字段

查看产品说明 →

SHP-MED-03-020体系 03

医学影像—报告配对数据

DICOM 影像与对应诊断报告在检查级精确配对的成套数据。交付检查、序列、实例与报告版本的完整层级。适用于影像大模型训练、影像资产组织与影像终点评审。

9 个实体149 个字段

查看产品说明 →