[01 · SHP-MED-06-039]

多轮咨询与沟通训练数据。

六轮制的多轮咨询会话训练数据。每段会话带病例背景与允许陈述范围，逐轮标注对话状态与意图。每一轮写明允许说什么、禁止说什么，并给出指向事实文书的证据引用。每段另带一条接管记录，写明触发条件与转接去向。可用于咨询助手的多轮训练与边界对齐、随访话术设计与对话质检。

医疗模型训练 · 评估与研究使用许可 · 更新日期 2026-08-05

10
实体: 147
字段: 5
实体关系: 06
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	10	会话 · 对话轮次 · 作答边界 · 证据引用 · 事实文书 · 接管记录 · 复核记录 · 数据划分 · 数据质量项 · 来源沿袭
字段	147	交付范围内的字段总数
实体关系	5	每一轮对话挂在一段会话之下，并记下它承接同一会话中的哪一轮 · 每一轮对话对应一条作答边界，写明允许什么与禁止什么 · 证据引用把一轮对话连到具体的事实文书 · 接管记录由会话的收尾轮触发，写明条件与转接去向 · 数据划分按会话与其事实变体成组，同组不跨划分

交付与供应方式

数据集交付：清单 CSV／Parquet ＋单一对象文件夹＋ Meta.jsonl／Parquet
API 调用
Token 计量
数巨有谱可信数据空间连接器合约使用

权利与来源

数据取得方式：数据资源持有方书面授权
数据来源机构：医疗机构（含等级医院、社区医院及康复机构、疾控机构）
数据加工机构：数巨有谱或数据资源持有方
数据经营机构：数巨有谱（经营权权利人）

[02 · DATA CONTENT]

数据内容与字段结构

在同一位置切换字段字典、实体血缘与脱敏样例，避免重复铺陈造成页面过长。

对象	英文键	中文名
会话片段	episode_id	轨迹标识
会话片段	parentobjectid	父对象标识
会话片段	record_status	记录状态
会话片段	sourceobjectid	来源对象标识
会话片段	sourcerowid	来源行标识
会话片段	eventtimeraw	事件时间
会话片段	available_time	可用时间
会话片段	missing_reason	缺失原因
会话片段	data_nature	数据性质
会话片段	scene_type
会话片段	episode_status	轨迹状态
会话片段	turn_count	轮次数
会话片段	case_background
会话片段	allowedfactscope
会话片段	end_condition
会话片段	generated_at	生成时点
对话轮次	turn_id	轮次标识
对话轮次	parentobjectid	父对象标识
对话轮次	record_status	记录状态
对话轮次	sourceobjectid	来源对象标识
对话轮次	sourcerowid	来源行标识
对话轮次	eventtimeraw	事件时间
对话轮次	available_time	可用时间
对话轮次	missing_reason	缺失原因
对话轮次	data_nature	数据性质
对话轮次	episode_id	轨迹标识
对话轮次	turn_index
对话轮次	speaker_role	发言角色
对话轮次	intent	意图
对话轮次	dialogue_state
对话轮次	message
对话轮次	dependsonturn_id
对话轮次	relationtoprevious
对话轮次	evidence_id	证据标识
对话轮次	allowed_assertion	允许断言
对话轮次	forbidden_assertion
对话轮次	escalation_condition
对话轮次	generated_at	生成时点
证据引用	evidence_id	证据标识
证据引用	parentobjectid	父对象标识
证据引用	record_status	记录状态
证据引用	sourceobjectid	来源对象标识
证据引用	sourcerowid	来源行标识
证据引用	eventtimeraw	事件时间
证据引用	available_time	可用时间
证据引用	missing_reason	缺失原因
证据引用	data_nature	数据性质
证据引用	turn_id	轮次标识
证据引用	document_id	文书标识
证据引用	evidence_type	证据类型
证据引用	evidence_text	证据正文
证据引用	evidence_status	证据状态
事实文书	document_id	文书标识
事实文书	parentobjectid	父对象标识
事实文书	record_status	记录状态
事实文书	sourceobjectid	来源对象标识
事实文书	sourcerowid	来源行标识
事实文书	eventtimeraw	事件时间
事实文书	available_time	可用时间
事实文书	missing_reason	缺失原因
事实文书	data_nature	数据性质
事实文书	document_family	文书族
事实文书	document_version	文书版本
事实文书	content_text	内容正文
事实文书	fact_scope
接管记录	handoff_id	人工接管标识
接管记录	parentobjectid	父对象标识
接管记录	record_status	记录状态
接管记录	sourceobjectid	来源对象标识
接管记录	sourcerowid	来源行标识
接管记录	eventtimeraw	事件时间
接管记录	available_time	可用时间
接管记录	missing_reason	缺失原因
接管记录	data_nature	数据性质
接管记录	episode_id	轨迹标识
接管记录	triggerturnid
接管记录	handoff_condition	接管条件
接管记录	handoff_target	接管目标
接管记录	handoff_status	人工接管状态
数据质量项	qualityissueid	数据质量项标识
数据质量项	parentobjectid	父对象标识
数据质量项	record_status	记录状态
数据质量项	sourceobjectid	来源对象标识
数据质量项	sourcerowid	来源行标识
数据质量项	eventtimeraw	事件时间
数据质量项	available_time	可用时间
数据质量项	missing_reason	缺失原因
数据质量项	data_nature	数据性质
数据质量项	object_type	对象类型
数据质量项	object_id	对象标识
数据质量项	issue_code	问题代码
数据质量项	severity	严重程度
数据质量项	handling	处理方式
作答边界	boundary_id	边界标识
作答边界	parentobjectid	父对象标识
作答边界	record_status	记录状态
作答边界	sourceobjectid	来源对象标识
作答边界	sourcerowid	来源行标识
作答边界	eventtimeraw	事件时间
作答边界	available_time	可用时间
作答边界	missing_reason	缺失原因
作答边界	data_nature	数据性质
作答边界	turn_id	轮次标识
作答边界	boundary_type	边界类型
作答边界	boundary_text
作答边界	allowed_response	允许回答
作答边界	prohibited_response	禁止回答
复核记录	review_id	复核标识
复核记录	parentobjectid	父对象标识
复核记录	record_status	记录状态
复核记录	sourceobjectid	来源对象标识
复核记录	sourcerowid	来源行标识
复核记录	eventtimeraw	事件时间
复核记录	available_time	可用时间
复核记录	missing_reason	缺失原因
复核记录	data_nature	数据性质
复核记录	episode_id	轨迹标识
复核记录	reviewer_role	复核方角色
复核记录	review_status	复核状态
复核记录	review_decision	复核结论
复核记录	review_note	复核备注
复核记录	reviewed_at	复核时间
来源沿袭	lineage_id	沿袭标识
来源沿袭	parentobjectid	父对象标识
来源沿袭	record_status	记录状态
来源沿袭	sourceobjectid	来源对象标识
来源沿袭	sourcerowid	来源行标识
来源沿袭	eventtimeraw	事件时间
来源沿袭	available_time	可用时间
来源沿袭	missing_reason	缺失原因
来源沿袭	data_nature	数据性质
来源沿袭	object_type	对象类型
来源沿袭	object_id	对象标识
来源沿袭	source_locator	来源定位
来源沿袭	transformation_rule	转换规则
数据划分组	split_id	数据划分标识
数据划分组	parentobjectid	父对象标识
数据划分组	record_status	记录状态
数据划分组	sourceobjectid	来源对象标识
数据划分组	sourcerowid	来源行标识
数据划分组	eventtimeraw	事件时间
数据划分组	available_time	可用时间
数据划分组	missing_reason	缺失原因
数据划分组	data_nature	数据性质
数据划分组	group_key
数据划分组	split_name	数据划分名称
数据划分组	grouping_policy

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。

10 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

会话

场景／背景／结束条件

02关联实体

对话轮次

状态／意图／承接关系

03关联实体

作答边界

允许什么／禁止什么

04关联实体

证据引用

这一轮依据什么

05关联实体

事实文书

事实范围

06关联实体

接管记录

触发条件／转接去向

07关联实体

复核记录

五项分别核

08关联实体

数据划分

同会话不跨划分

09辅助实体

数据质量项

性质与口径

10辅助实体

来源沿袭

加工规则登记

连接关系

每条关系独占一行，基数置于两实体之间

实体 A01

会话

场景／背景／结束条件

1—n

实体 B

对话轮次

状态／意图／承接关系

实体 A02

对话轮次

状态／意图／承接关系

1—1

实体 B

作答边界

允许什么／禁止什么

实体 A03

对话轮次

状态／意图／承接关系

1—n

实体 B

证据引用

这一轮依据什么

实体 A04

事实文书

事实范围

1—n

实体 B

证据引用

这一轮依据什么

实体 A05

会话

场景／背景／结束条件

1—1

实体 B

接管记录

触发条件／转接去向

实体 A06

会话

场景／背景／结束条件

1—n

实体 B

复核记录

五项分别核

实体 A07

数据划分

同会话不跨划分

1—n

实体 B

会话

场景／背景／结束条件

实体 A08

会话

场景／背景／结束条件

1—1 会话的病例背景取自其事实文书

实体 B

事实文书

事实范围

实体 A09

会话

场景／背景／结束条件

1—1 该段会话的加工沿袭登记

实体 B

来源沿袭

加工规则登记

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
会话	1—n	对话轮次	一段会话展开为按序编号的多轮
对话轮次	1—1	作答边界	每一轮一条允许与禁止的作答边界
对话轮次	1—n	证据引用	这一轮所依据的事实证据
事实文书	1—n	证据引用	证据引用指向具体的事实文书
会话	1—1	接管记录	该段会话的接管记录，由收尾轮触发
会话	1—n	复核记录	该段会话的分项复核记录
数据划分	1—n	会话	会话与其事实变体成组归入划分
会话	1—1	事实文书	会话的病例背景取自其事实文书
会话	1—1	来源沿袭	该段会话的加工沿袭登记

一段会话展开为按序编号的多轮。每一轮同时挂一条作答边界与至少一条指向事实文书的证据引用。轮与轮之间的承接关系，记在轮次自身的「所依赖的上一轮」与「与上一轮的关系」两个字段上。开场轮这两项为空。多轮上下文因此可逐轮回溯。接管记录由会话的收尾轮触发，写明触发条件与转接去向。

样例字段语义

分组	字段	英文键	语义
会话	场景类型	scene_type	该段会话的场景，本例四类各三段：病史追问、病情解释、出院用药、随访
会话	病例背景	case_background	本段会话可依据的全部事实，本例逐段不同。如已知发热与咳嗽持续三天、计划完成胸部 CT、病因尚未确定；模型能说的内容以此为限
会话	允许陈述范围	allowedfactscope	本段允许陈述的内容范围，本例如复述已知症状、缺失检查与需要观察的变化
会话	结束条件	end_condition	本段会话怎样才算收尾，本例统一要求完成事实边界说明，必要时转接到相应团队
会话	轮次数	turn_count	该段的对话轮数，本例均为六轮，构成从开场到收尾的完整结构
对话轮次	说话人角色	speaker_role	这一轮由谁说，本例患者与照护协调员各三十六轮
对话轮次	对话状态	dialogue_state	这一轮处在会话的哪一步，本例六步各十二轮。六步为开场、澄清、补充情境、依据受限的解释、方案确认、收尾或升级
对话轮次	意图	intent	这一轮要达成什么。本例含索取信息、澄清情境、补充细节、依据受限的解释、确认下一步、总结与转接
对话轮次	对话内容	message	这一轮的具体话语。本例含患者陈述症状与提问，以及协调员先确认警示症状、再说明现有材料能支持到哪一步
对话轮次	所依赖的上一轮	dependsonturn_id	这一轮承接同一会话中的哪一轮；开场轮为空，多轮上下文因此可逐轮回溯
对话轮次	与上一轮的关系	relationtoprevious	承接方式，本例含回应、澄清、延续三种；每一轮的上下文来源写明，不靠位置默认
对话轮次	禁止陈述	forbidden_assertion	这一轮明令不能说的内容，本例逐场景不同。如不得给出确定诊断、不得排除心肺疾病、不得把结节解释为良性或恶性
对话轮次	升级条件	escalation_condition	出现什么情况就应当转人工，本例如呼吸困难、胸痛、意识变化或持续高热
作答边界	边界正文	boundary_text	允许与禁止合成一句的完整边界表述，可直接作为该轮的对齐目标
作答边界	边界类型	boundary_type	该边界约束的方面，本例为事实范围与升级路径两项
证据引用	证据正文	evidence_text	这一轮所依据的事实文字，与病例背景同源；轮次说的话不得超出所引证据
证据引用	证据类型	evidence_type	该证据在会话中的角色，本例分对话前提与病例事实两类，各三十六条
事实文书	事实范围	fact_scope	该份事实文书覆盖的话题，本例如发热与咳嗽病史追问、术后腹痛变化追问、肺结节检查结果解释
接管记录	接管条件与转接去向	handoffcondition／handofftarget	触发人工接管的条件与转接对象，本例含呼吸或影像专科团队、心血管照护团队、手术团队或急诊
接管记录	触发轮次	triggerturnid	由哪一轮触发接管，本例均为各段会话的收尾轮
接管记录	接管状态	handoff_status	接管路径的可用状态，本例为条件满足时可用；条件未满足时不转出，也不静默继续
复核记录	复核说明	review_note	复核核到的项目，本例五项：角色、轮次依赖、事实证据、作答边界与升级路径
数据划分	分组策略	grouping_policy	划分成组的口径，本例为同一会话及其事实变体保持同组

样例记录

十二段六轮制多轮会话，覆盖病史追问、病情解释、出院用药与随访四类场景各三段。每段带病例背景、允许陈述范围与结束条件。逐轮标注说话人角色、对话状态与意图。对话状态分开场、澄清、补充情境、依据受限的解释、方案确认、收尾或升级六种。每一轮另记它承接的上一轮与承接方式。七十二轮各配一条写明允许什么与禁止什么的作答边界，以及一条指向事实文书的证据引用。每段会话另带一条写明触发条件与转接去向的接管记录。

{
  "样例性质": "自产样本",
  "fact_document": [
    {
      "available_time": null,
      "content_text": "已知发热、咳嗽持续三天，计划完成胸部CT；病因尚未确定。",
      "document_family": "professional_synthetic_case_fact",
      "document_id": "DOCUMENT-0000001",
      "document_version": "P39-SYN-FACT-v1",
      "event_time_raw": null,
      "fact_scope": "发热与咳嗽病史追问",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001"
    },
    {
      "available_time": null,
      "content_text": "已知活动后气短两周，病历记录否认胸痛，计划行心电图检查。",
      "document_family": "professional_synthetic_case_fact",
      "document_id": "DOCUMENT-0000002",
      "document_version": "P39-SYN-FACT-v1",
      "event_time_raw": null,
      "fact_scope": "活动后气短与胸痛否认追问",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001"
    },
    {
      "available_time": null,
      "content_text": "已知腹腔镜阑尾切除术后第二天，切口疼痛较前减轻，未记录呕吐。",
      "document_family": "professional_synthetic_case_fact",
      "document_id": "DOCUMENT-0000003",
      "document_version": "P39-SYN-FACT-v1",
      "event_time_raw": null,
      "fact_scope": "术后腹痛变化追问",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001"
    },
    {
      "available_time": null,
      "content_text": "胸部CT描述右肺上叶8毫米肺结节，建议三个月后复查；未提供病理结论。",
      "document_family": "professional_synthetic_case_fact",
      "document_id": "DOCUMENT-0000004",
      "document_version": "P39-SYN-FACT-v1",
      "event_time_raw": null,
      "fact_scope": "肺结节检查结果解释",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001"
    },
    {
      "available_time": null,
      "content_text": "出院诊断记录原发性高血压，出院说明要求继续监测血压。",
      "document_family": "professional_synthetic_case_fact",
      "document_id": "DOCUMENT-0000005",
      "document_version": "P39-SYN-FACT-v1",
      "event_time_raw": null,
      "fact_scope": "高血压诊断与监测解释",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001"
    },
    {
      "available_time": null,
      "content_text": "合成病理报告记录结肠腺癌、中分化、切缘未见肿瘤累及；未提供完整分期。",
      "document_family": "professional_synthetic_case_fact",
      "document_id": "DOCUMENT-0000006",
      "document_version": "P39-SYN-FACT-v1",
      "event_time_raw": null,
      "fact_scope": "病理报告术语解释",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001"
    },
    {
      "available_time": null,
      "content_text": "记录中有阿莫西林500毫克每8小时口服的医嘱，但没有实际给药记录。",
      "document_family": "professional_synthetic_case_fact",
      "document_id": "DOCUMENT-0000007",
      "document_version": "P39-SYN-FACT-v1",
      "event_time_raw": null,
      "fact_scope": "抗菌药医嘱与实际给药边界",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001"
    },
    {
      "available_time": null,
      "content_text": "出院说明记录继续口服氨氯地平并监测血压，未记录自行加减剂量规则。",
      "document_family": "professional_synthetic_case_fact",
      "document_id": "DOCUMENT-0000008",
      "document_version": "P39-SYN-FACT-v1",
      "event_time_raw": null,
      "fact_scope": "降压药出院说明",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001"
    },
    {
      "available_time": null,
      "content_text": "出院说明要求保持切口清洁、按计划复诊，并观察发热、红肿和渗液。",
      "document_family": "professional_synthetic_case_fact",
      "document_id": "DOCUMENT-0000009",
      "document_version": "P39-SYN-FACT-v1",
      "event_time_raw": null,
      "fact_scope": "术后出院切口护理说明",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001"
    },
    {
      "available_time": null,
      "content_text": "影像报告建议三个月后复查胸部CT；未记录复查完成或结节变化。",
      "document_family": "professional_synthetic_case_fact",
      "document_id": "DOCUMENT-0000010",
      "document_version": "P39-SYN-FACT-v1",
      "event_time_raw": null,
      "fact_scope": "肺结节影像随访安排",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001"
    },
    {
      "available_time": null,
      "content_text": "病程记录建议复查血常规，当前未提供复查结果。",
      "document_family": "professional_synthetic_case_fact",
      "document_id": "DOCUMENT-0000011",
      "document_version": "P39-SYN-FACT-v1",
      "event_time_raw": null,
      "fact_scope": "血常规复查结果沟通",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001"
    },
    {
      "available_time": null,
      "content_text": "随访记录描述切口愈合良好、未见感染，并建议按计划复诊；不含长期结局。",
      "document_family": "professional_synthetic_case_fact",
      "document_id": "DOCUMENT-0000012",
      "document_version": "P39-SYN-FACT-v1",
      "event_time_raw": null,
      "fact_scope": "术后切口复诊沟通",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001"
    }
  ],
  "conversation_episode": [
    {
      "allowed_fact_scope": "复述已知症状、缺失检查和需要观察的变化。",
      "available_time": null,
      "case_background": "已知发热、咳嗽持续三天，计划完成胸部CT；病因尚未确定。",
      "end_condition": "完成事实边界说明；必要时转接至急诊或负责照护团队",
      "episode_id": "EPISODE-0000001",
      "episode_status": "professionally_reviewed_synthetic",
      "event_time_raw": null,
      "generated_at": "2026-07-29T09:00:00+08:00",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "scene_type": "history_followup",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_count": "6"
    },
    {
      "allowed_fact_scope": "描述症状诱因、缓解方式和警示症状。",
      "available_time": null,
      "case_background": "已知活动后气短两周，病历记录否认胸痛，计划行心电图检查。",
      "end_condition": "完成事实边界说明；必要时转接至急诊或心血管照护团队",
      "episode_id": "EPISODE-0000002",
      "episode_status": "professionally_reviewed_synthetic",
      "event_time_raw": null,
      "generated_at": "2026-07-29T09:10:00+08:00",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "scene_type": "history_followup",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_count": "6"
    },
    {
      "allowed_fact_scope": "比较疼痛变化并提示已声明的术后警示信息。",
      "available_time": null,
      "case_background": "已知腹腔镜阑尾切除术后第二天，切口疼痛较前减轻，未记录呕吐。",
      "end_condition": "完成事实边界说明；必要时转接至手术团队或急诊",
      "episode_id": "EPISODE-0000003",
      "episode_status": "professionally_reviewed_synthetic",
      "event_time_raw": null,
      "generated_at": "2026-07-29T09:20:00+08:00",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "scene_type": "history_followup",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_count": "6"
    },
    {
      "allowed_fact_scope": "解释影像报告字面含义、复查目的和资料准备。",
      "available_time": null,
      "case_background": "胸部CT描述右肺上叶8毫米肺结节，建议三个月后复查；未提供病理结论。",
      "end_condition": "完成事实边界说明；必要时转接至呼吸或影像专科团队",
      "episode_id": "EPISODE-0000004",
      "episode_status": "professionally_reviewed_synthetic",
      "event_time_raw": null,
      "generated_at": "2026-07-29T09:30:00+08:00",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "scene_type": "condition_explanation",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_count": "6"
    },
    {
      "allowed_fact_scope": "解释连续监测、记录条件和联系照护团队的原则。",
      "available_time": null,
      "case_background": "出院诊断记录原发性高血压，出院说明要求继续监测血压。",
      "end_condition": "完成事实边界说明；必要时转接至高血压照护团队",
      "episode_id": "EPISODE-0000005",
      "episode_status": "professionally_reviewed_synthetic",
      "event_time_raw": null,
      "generated_at": "2026-07-29T10:00:00+08:00",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "scene_type": "condition_explanation",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_count": "6"
    },
    {
      "allowed_fact_scope": "解释报告术语的层级和需要补充的资料。",
      "available_time": null,
      "case_background": "合成病理报告记录结肠腺癌、中分化、切缘未见肿瘤累及；未提供完整分期。",
      "end_condition": "完成事实边界说明；必要时转接至病理与肿瘤专科团队",
      "episode_id": "EPISODE-0000006",
      "episode_status": "professionally_reviewed_synthetic",
      "event_time_raw": null,
      "generated_at": "2026-07-29T10:10:00+08:00",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "scene_type": "condition_explanation",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_count": "6"
    },
    {
      "allowed_fact_scope": "区分医嘱与实际用药，并提示记录实际情况。",
      "available_time": null,
      "case_background": "记录中有阿莫西林500毫克每8小时口服的医嘱，但没有实际给药记录。",
      "end_condition": "完成事实边界说明；必要时转接至开立医嘱的临床或药学团队",
      "episode_id": "EPISODE-0000007",
      "episode_status": "professionally_reviewed_synthetic",
      "event_time_raw": null,
      "generated_at": "2026-07-29T10:20:00+08:00",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "scene_type": "medication_discharge",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_count": "6"
    },
    {
      "allowed_fact_scope": "说明出院医嘱记录、血压记录和复核流程。",
      "available_time": null,
      "case_background": "出院说明记录继续口服氨氯地平并监测血压，未记录自行加减剂量规则。",
      "end_condition": "完成事实边界说明；必要时转接至高血压照护或药学团队",
      "episode_id": "EPISODE-0000008",
      "episode_status": "professionally_reviewed_synthetic",
      "event_time_raw": null,
      "generated_at": "2026-07-29T10:30:00+08:00",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "scene_type": "medication_discharge",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_count": "6"
    },
    {
      "allowed_fact_scope": "说明切口观察项目、记录方式和复诊原则。",
      "available_time": null,
      "case_background": "出院说明要求保持切口清洁、按计划复诊，并观察发热、红肿和渗液。",
      "end_condition": "完成事实边界说明；必要时转接至手术团队或急诊",
      "episode_id": "EPISODE-0000009",
      "episode_status": "professionally_reviewed_synthetic",
      "event_time_raw": null,
      "generated_at": "2026-07-29T11:00:00+08:00",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "scene_type": "medication_discharge",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_count": "6"
    },
    {
      "allowed_fact_scope": "组织随访资料、计划状态和联系路径。",
      "available_time": null,
      "case_background": "影像报告建议三个月后复查胸部CT；未记录复查完成或结节变化。",
      "end_condition": "完成事实边界说明；必要时转接至呼吸或影像随访团队",
      "episode_id": "EPISODE-0000010",
      "episode_status": "professionally_reviewed_synthetic",
      "event_time_raw": null,
      "generated_at": "2026-07-29T11:10:00+08:00",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "scene_type": "followup",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_count": "6"
    },
    {
      "allowed_fact_scope": "区分计划、预约、结果可用和解释阶段。",
      "available_time": null,
      "case_background": "病程记录建议复查血常规，当前未提供复查结果。",
      "end_condition": "完成事实边界说明；必要时转接至负责复查的临床团队",
      "episode_id": "EPISODE-0000011",
      "episode_status": "professionally_reviewed_synthetic",
      "event_time_raw": null,
      "generated_at": "2026-07-29T11:20:00+08:00",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "scene_type": "followup",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_count": "6"
    },
    {
      "allowed_fact_scope": "解释当次观察范围并组织复诊前记录。",
      "available_time": null,
      "case_background": "随访记录描述切口愈合良好、未见感染，并建议按计划复诊；不含长期结局。",
      "end_condition": "完成事实边界说明；必要时转接至手术随访团队",
      "episode_id": "EPISODE-0000012",
      "episode_status": "professionally_reviewed_synthetic",
      "event_time_raw": null,
      "generated_at": "2026-07-29T11:30:00+08:00",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "scene_type": "followup",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_count": "6"
    }
  ],
  "dialogue_turn": [
    {
      "allowed_assertion": "复述已知症状、缺失检查和需要观察的变化。",
      "available_time": null,
      "depends_on_turn_id": null,
      "dialogue_state": "opening",
      "episode_id": "EPISODE-0000001",
      "escalation_condition": "出现呼吸困难、胸痛、意识变化或持续高热",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000001",
      "forbidden_assertion": "不得给出确定诊断、替代检查或承诺病程。",
      "generated_at": "2026-07-29T09:00:00+08:00",
      "intent": "request_information",
      "message": "我发热并咳嗽三天，想知道还需要补充什么情况。",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": null,
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "patient",
      "turn_id": "TURN-0000001",
      "turn_index": "1"
    },
    {
      "allowed_assertion": "复述已知症状、缺失检查和需要观察的变化。",
      "available_time": null,
      "depends_on_turn_id": "TURN-0000001",
      "dialogue_state": "clarification",
      "episode_id": "EPISODE-0000001",
      "escalation_condition": "出现呼吸困难、胸痛、意识变化或持续高热",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000002",
      "forbidden_assertion": "不得给出确定诊断、替代检查或承诺病程。",
      "generated_at": "2026-07-29T09:00:00+08:00",
      "intent": "clarify_context",
      "message": "先确认是否出现呼吸困难、胸痛或意识变化；现有材料只记录发热、咳嗽和计划检查。",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": "responds_to",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "care_navigator",
      "turn_id": "TURN-0000002",
      "turn_index": "2"
    },
    {
      "allowed_assertion": "复述已知症状、缺失检查和需要观察的变化。",
      "available_time": null,
      "depends_on_turn_id": "TURN-0000002",
      "dialogue_state": "context_update",
      "episode_id": "EPISODE-0000001",
      "escalation_condition": "出现呼吸困难、胸痛、意识变化或持续高热",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000003",
      "forbidden_assertion": "不得给出确定诊断、替代检查或承诺病程。",
      "generated_at": "2026-07-29T09:00:00+08:00",
      "intent": "provide_detail",
      "message": "目前没有呼吸困难，体温最高38.5℃，胸部CT还没做。",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": "clarifies",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "patient",
      "turn_id": "TURN-0000003",
      "turn_index": "3"
    },
    {
      "allowed_assertion": "复述已知症状、缺失检查和需要观察的变化。",
      "available_time": null,
      "depends_on_turn_id": "TURN-0000003",
      "dialogue_state": "bounded_explanation",
      "episode_id": "EPISODE-0000001",
      "escalation_condition": "出现呼吸困难、胸痛、意识变化或持续高热",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000004",
      "forbidden_assertion": "不得给出确定诊断、替代检查或承诺病程。",
      "generated_at": "2026-07-29T09:00:00+08:00",
      "intent": "evidence_bound_explanation",
      "message": "症状持续时间和最高体温可以记录，但影像尚未完成，不能据此确定病因。",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": "carries_forward",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "care_navigator",
      "turn_id": "TURN-0000004",
      "turn_index": "4"
    },
    {
      "allowed_assertion": "复述已知症状、缺失检查和需要观察的变化。",
      "available_time": null,
      "depends_on_turn_id": "TURN-0000004",
      "dialogue_state": "plan_confirmation",
      "episode_id": "EPISODE-0000001",
      "escalation_condition": "出现呼吸困难、胸痛、意识变化或持续高热",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000005",
      "forbidden_assertion": "不得给出确定诊断、替代检查或承诺病程。",
      "generated_at": "2026-07-29T09:00:00+08:00",
      "intent": "confirm_next_step",
      "message": "在复查前我应该记录哪些变化？",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": "clarifies",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "patient",
      "turn_id": "TURN-0000005",
      "turn_index": "5"
    },
    {
      "allowed_assertion": "复述已知症状、缺失检查和需要观察的变化。",
      "available_time": null,
      "depends_on_turn_id": "TURN-0000005",
      "dialogue_state": "closure_or_escalation",
      "episode_id": "EPISODE-0000001",
      "escalation_condition": "出现呼吸困难、胸痛、意识变化或持续高热",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000006",
      "forbidden_assertion": "不得给出确定诊断、替代检查或承诺病程。",
      "generated_at": "2026-07-29T09:00:00+08:00",
      "intent": "summary_and_handoff",
      "message": "可记录体温、咳嗽、呼吸情况和新症状，并按既定安排完成检查；出现呼吸困难或意识变化请及时联系照护团队。",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": "carries_forward",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "care_navigator",
      "turn_id": "TURN-0000006",
      "turn_index": "6"
    },
    {
      "allowed_assertion": "描述症状诱因、缓解方式和警示症状。",
      "available_time": null,
      "depends_on_turn_id": null,
      "dialogue_state": "opening",
      "episode_id": "EPISODE-0000002",
      "escalation_condition": "静息气短、胸痛、晕厥或症状迅速加重",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000007",
      "forbidden_assertion": "不得排除心肺疾病或给出未经检查的病因。",
      "generated_at": "2026-07-29T09:10:00+08:00",
      "intent": "request_information",
      "message": "我最近活动后气短，但没有胸痛，还需要说明哪些情况？",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": null,
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "patient",
      "turn_id": "TURN-0000007",
      "turn_index": "1"
    },
    {
      "allowed_assertion": "描述症状诱因、缓解方式和警示症状。",
      "available_time": null,
      "depends_on_turn_id": "TURN-0000007",
      "dialogue_state": "clarification",
      "episode_id": "EPISODE-0000002",
      "escalation_condition": "静息气短、胸痛、晕厥或症状迅速加重",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000008",
      "forbidden_assertion": "不得排除心肺疾病或给出未经检查的病因。",
      "generated_at": "2026-07-29T09:10:00+08:00",
      "intent": "clarify_context",
      "message": "需要了解气短在什么活动量下出现、是否伴心悸或晕厥，以及静息后能否缓解。",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": "responds_to",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "care_navigator",
      "turn_id": "TURN-0000008",
      "turn_index": "2"
    },
    {
      "allowed_assertion": "描述症状诱因、缓解方式和警示症状。",
      "available_time": null,
      "depends_on_turn_id": "TURN-0000008",
      "dialogue_state": "context_update",
      "episode_id": "EPISODE-0000002",
      "escalation_condition": "静息气短、胸痛、晕厥或症状迅速加重",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000009",
      "forbidden_assertion": "不得排除心肺疾病或给出未经检查的病因。",
      "generated_at": "2026-07-29T09:10:00+08:00",
      "intent": "provide_detail",
      "message": "上两层楼时明显，休息几分钟能缓解，没有晕厥。",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": "clarifies",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "patient",
      "turn_id": "TURN-0000009",
      "turn_index": "3"
    },
    {
      "allowed_assertion": "描述症状诱因、缓解方式和警示症状。",
      "available_time": null,
      "depends_on_turn_id": "TURN-0000009",
      "dialogue_state": "bounded_explanation",
      "episode_id": "EPISODE-0000002",
      "escalation_condition": "静息气短、胸痛、晕厥或症状迅速加重",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000010",
      "forbidden_assertion": "不得排除心肺疾病或给出未经检查的病因。",
      "generated_at": "2026-07-29T09:10:00+08:00",
      "intent": "evidence_bound_explanation",
      "message": "这些信息有助于描述症状模式，但不能替代心电图和临床评估。",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": "carries_forward",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "care_navigator",
      "turn_id": "TURN-0000010",
      "turn_index": "4"
    },
    {
      "allowed_assertion": "描述症状诱因、缓解方式和警示症状。",
      "available_time": null,
      "depends_on_turn_id": "TURN-0000010",
      "dialogue_state": "plan_confirmation",
      "episode_id": "EPISODE-0000002",
      "escalation_condition": "静息气短、胸痛、晕厥或症状迅速加重",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000011",
      "forbidden_assertion": "不得排除心肺疾病或给出未经检查的病因。",
      "generated_at": "2026-07-29T09:10:00+08:00",
      "intent": "confirm_next_step",
      "message": "如果今晚又气短，我该怎么判断是否需要尽快就医？",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": "clarifies",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "patient",
      "turn_id": "TURN-0000011",
      "turn_index": "5"
    },
    {
      "allowed_assertion": "描述症状诱因、缓解方式和警示症状。",
      "available_time": null,
      "depends_on_turn_id": "TURN-0000011",
      "dialogue_state": "closure_or_escalation",
      "episode_id": "EPISODE-0000002",
      "escalation_condition": "静息气短、胸痛、晕厥或症状迅速加重",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000012",
      "forbidden_assertion": "不得排除心肺疾病或给出未经检查的病因。",
      "generated_at": "2026-07-29T09:10:00+08:00",
      "intent": "summary_and_handoff",
      "message": "若静息时也气短、出现胸痛、晕厥或症状明显加重，应及时联系急诊；否则记录诱因并按计划完成检查。",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": "carries_forward",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "care_navigator",
      "turn_id": "TURN-0000012",
      "turn_index": "6"
    },
    {
      "allowed_assertion": "比较疼痛变化并提示已声明的术后警示信息。",
      "available_time": null,
      "depends_on_turn_id": null,
      "dialogue_state": "opening",
      "episode_id": "EPISODE-0000003",
      "escalation_condition": "疼痛加重、发热、反复呕吐或切口异常",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000013",
      "forbidden_assertion": "不得据此宣布恢复正常或排除术后并发症。",
      "generated_at": "2026-07-29T09:20:00+08:00",
      "intent": "request_information",
      "message": "手术后第二天还有腹痛，我应该怎样描述才有帮助？",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": null,
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "patient",
      "turn_id": "TURN-0000013",
      "turn_index": "1"
    },
    {
      "allowed_assertion": "比较疼痛变化并提示已声明的术后警示信息。",
      "available_time": null,
      "depends_on_turn_id": "TURN-0000013",
      "dialogue_state": "clarification",
      "episode_id": "EPISODE-0000003",
      "escalation_condition": "疼痛加重、发热、反复呕吐或切口异常",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000014",
      "forbidden_assertion": "不得据此宣布恢复正常或排除术后并发症。",
      "generated_at": "2026-07-29T09:20:00+08:00",
      "intent": "clarify_context",
      "message": "可以说明疼痛位置、强度变化、是否伴发热、呕吐或切口渗液。",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": "responds_to",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "care_navigator",
      "turn_id": "TURN-0000014",
      "turn_index": "2"
    },
    {
      "allowed_assertion": "比较疼痛变化并提示已声明的术后警示信息。",
      "available_time": null,
      "depends_on_turn_id": "TURN-0000014",
      "dialogue_state": "context_update",
      "episode_id": "EPISODE-0000003",
      "escalation_condition": "疼痛加重、发热、反复呕吐或切口异常",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000015",
      "forbidden_assertion": "不得据此宣布恢复正常或排除术后并发症。",
      "generated_at": "2026-07-29T09:20:00+08:00",
      "intent": "provide_detail",
      "message": "疼痛比昨天轻，主要在切口附近，没有呕吐，体温正常。",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": "clarifies",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "patient",
      "turn_id": "TURN-0000015",
      "turn_index": "3"
    },
    {
      "allowed_assertion": "比较疼痛变化并提示已声明的术后警示信息。",
      "available_time": null,
      "depends_on_turn_id": "TURN-0000015",
      "dialogue_state": "bounded_explanation",
      "episode_id": "EPISODE-0000003",
      "escalation_condition": "疼痛加重、发热、反复呕吐或切口异常",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000016",
      "forbidden_assertion": "不得据此宣布恢复正常或排除术后并发症。",
      "generated_at": "2026-07-29T09:20:00+08:00",
      "intent": "evidence_bound_explanation",
      "message": "疼痛减轻和未见呕吐是当前合成场景中的信息，但仍需继续观察切口和整体变化。",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": "carries_forward",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "care_navigator",
      "turn_id": "TURN-0000016",
      "turn_index": "4"
    },
    {
      "allowed_assertion": "比较疼痛变化并提示已声明的术后警示信息。",
      "available_time": null,
      "depends_on_turn_id": "TURN-0000016",
      "dialogue_state": "plan_confirmation",
      "episode_id": "EPISODE-0000003",
      "escalation_condition": "疼痛加重、发热、反复呕吐或切口异常",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000017",
      "forbidden_assertion": "不得据此宣布恢复正常或排除术后并发症。",
      "generated_at": "2026-07-29T09:20:00+08:00",
      "intent": "confirm_next_step",
      "message": "哪些变化需要马上联系医生？",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": "clarifies",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "patient",
      "turn_id": "TURN-0000017",
      "turn_index": "5"
    },
    {
      "allowed_assertion": "比较疼痛变化并提示已声明的术后警示信息。",
      "available_time": null,
      "depends_on_turn_id": "TURN-0000017",
      "dialogue_state": "closure_or_escalation",
      "episode_id": "EPISODE-0000003",
      "escalation_condition": "疼痛加重、发热、反复呕吐或切口异常",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000018",
      "forbidden_assertion": "不得据此宣布恢复正常或排除术后并发症。",
      "generated_at": "2026-07-29T09:20:00+08:00",
      "intent": "summary_and_handoff",
      "message": "若疼痛明显加重、持续发热、反复呕吐或切口红肿渗液，应尽快联系手术团队。",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": "carries_forward",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "care_navigator",
      "turn_id": "TURN-0000018",
      "turn_index": "6"
    },
    {
      "allowed_assertion": "解释影像报告字面含义、复查目的和资料准备。",
      "available_time": null,
      "depends_on_turn_id": null,
      "dialogue_state": "opening",
      "episode_id": "EPISODE-0000004",
      "escalation_condition": "需要判断结节性质、调整复查时间或出现新症状",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000019",
      "forbidden_assertion": "不得把结节解释为良性、恶性或病理诊断。",
      "generated_at": "2026-07-29T09:30:00+08:00",
      "intent": "request_information",
      "message": "报告写右肺上叶有8毫米肺结节，这是不是肿瘤？",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": null,
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "patient",
      "turn_id": "TURN-0000019",
      "turn_index": "1"
    },
    {
      "allowed_assertion": "解释影像报告字面含义、复查目的和资料准备。",
      "available_time": null,
      "depends_on_turn_id": "TURN-0000019",
      "dialogue_state": "clarification",
      "episode_id": "EPISODE-0000004",
      "escalation_condition": "需要判断结节性质、调整复查时间或出现新症状",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000020",
      "forbidden_assertion": "不得把结节解释为良性、恶性或病理诊断。",
      "generated_at": "2026-07-29T09:30:00+08:00",
      "intent": "clarify_context",
      "message": "报告只描述了影像发现和复查建议，单凭这句话不能确定结节性质。",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": "responds_to",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "care_navigator",
      "turn_id": "TURN-0000020",
      "turn_index": "2"
    },
    {
      "allowed_assertion": "解释影像报告字面含义、复查目的和资料准备。",
      "available_time": null,
      "depends_on_turn_id": "TURN-0000020",
      "dialogue_state": "context_update",
      "episode_id": "EPISODE-0000004",
      "escalation_condition": "需要判断结节性质、调整复查时间或出现新症状",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000021",
      "forbidden_assertion": "不得把结节解释为良性、恶性或病理诊断。",
      "generated_at": "2026-07-29T09:30:00+08:00",
      "intent": "provide_detail",
      "message": "报告没有写其他异常，只建议三个月后复查。",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": "clarifies",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "patient",
      "turn_id": "TURN-0000021",
      "turn_index": "3"
    },
    {
      "allowed_assertion": "解释影像报告字面含义、复查目的和资料准备。",
      "available_time": null,
      "depends_on_turn_id": "TURN-0000021",
      "dialogue_state": "bounded_explanation",
      "episode_id": "EPISODE-0000004",
      "escalation_condition": "需要判断结节性质、调整复查时间或出现新症状",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000022",
      "forbidden_assertion": "不得把结节解释为良性、恶性或病理诊断。",
      "generated_at": "2026-07-29T09:30:00+08:00",
      "intent": "evidence_bound_explanation",
      "message": "可以确认当前计划是影像随访；结节是否稳定需与后续影像比较，不能提前下结论。",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": "carries_forward",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "care_navigator",
      "turn_id": "TURN-0000022",
      "turn_index": "4"
    },
    {
      "allowed_assertion": "解释影像报告字面含义、复查目的和资料准备。",
      "available_time": null,
      "depends_on_turn_id": "TURN-0000022",
      "dialogue_state": "plan_confirmation",
      "episode_id": "EPISODE-0000004",
      "escalation_condition": "需要判断结节性质、调整复查时间或出现新症状",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000023",
      "forbidden_assertion": "不得把结节解释为良性、恶性或病理诊断。",
      "generated_at": "2026-07-29T09:30:00+08:00",
      "intent": "confirm_next_step",
      "message": "复查前我需要做什么准备？",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": "clarifies",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "patient",
      "turn_id": "TURN-0000023",
      "turn_index": "5"
    },
    {
      "allowed_assertion": "解释影像报告字面含义、复查目的和资料准备。",
      "available_time": null,
      "depends_on_turn_id": "TURN-0000023",
      "dialogue_state": "closure_or_escalation",
      "episode_id": "EPISODE-0000004",
      "escalation_condition": "需要判断结节性质、调整复查时间或出现新症状",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000024",
      "forbidden_assertion": "不得把结节解释为良性、恶性或病理诊断。",
      "generated_at": "2026-07-29T09:30:00+08:00",
      "intent": "summary_and_handoff",
      "message": "请保存本次影像资料并按约定时间复查；如出现新的持续呼吸症状，可提前联系照护团队。",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": "carries_forward",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "care_navigator",
      "turn_id": "TURN-0000024",
      "turn_index": "6"
    },
    {
      "allowed_assertion": "解释连续监测、记录条件和联系照护团队的原则。",
      "available_time": null,
      "depends_on_turn_id": null,
      "dialogue_state": "opening",
      "episode_id": "EPISODE-0000005",
      "escalation_condition": "持续异常读数、明显不适或提出调整处方",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000025",
      "forbidden_assertion": "不得根据单次读数调整处方或预测并发症。",
      "generated_at": "2026-07-29T10:00:00+08:00",
      "intent": "request_information",
      "message": "出院诊断写原发性高血压，意味着以后血压高一次就很危险吗？",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": null,
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "patient",
      "turn_id": "TURN-0000025",
      "turn_index": "1"
    },
    {
      "allowed_assertion": "解释连续监测、记录条件和联系照护团队的原则。",
      "available_time": null,
      "depends_on_turn_id": "TURN-0000025",
      "dialogue_state": "clarification",
      "episode_id": "EPISODE-0000005",
      "escalation_condition": "持续异常读数、明显不适或提出调整处方",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000026",
      "forbidden_assertion": "不得根据单次读数调整处方或预测并发症。",
      "generated_at": "2026-07-29T10:00:00+08:00",
      "intent": "clarify_context",
      "message": "这个诊断需要结合连续测量和照护计划理解，单次读数不能代表全部风险。",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": "responds_to",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "care_navigator",
      "turn_id": "TURN-0000026",
      "turn_index": "2"
    },
    {
      "allowed_assertion": "解释连续监测、记录条件和联系照护团队的原则。",
      "available_time": null,
      "depends_on_turn_id": "TURN-0000026",
      "dialogue_state": "context_update",
      "episode_id": "EPISODE-0000005",
      "escalation_condition": "持续异常读数、明显不适或提出调整处方",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000027",
      "forbidden_assertion": "不得根据单次读数调整处方或预测并发症。",
      "generated_at": "2026-07-29T10:00:00+08:00",
      "intent": "provide_detail",
      "message": "我家里有血压计，但还没有固定记录时间。",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": "clarifies",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "patient",
      "turn_id": "TURN-0000027",
      "turn_index": "3"
    },
    {
      "allowed_assertion": "解释连续监测、记录条件和联系照护团队的原则。",
      "available_time": null,
      "depends_on_turn_id": "TURN-0000027",
      "dialogue_state": "bounded_explanation",
      "episode_id": "EPISODE-0000005",
      "escalation_condition": "持续异常读数、明显不适或提出调整处方",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000028",
      "forbidden_assertion": "不得根据单次读数调整处方或预测并发症。",
      "generated_at": "2026-07-29T10:00:00+08:00",
      "intent": "evidence_bound_explanation",
      "message": "可按照护团队建议在相对固定条件下记录血压，并保留测量时间和不适症状。",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": "carries_forward",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "care_navigator",
      "turn_id": "TURN-0000028",
      "turn_index": "4"
    },
    {
      "allowed_assertion": "解释连续监测、记录条件和联系照护团队的原则。",
      "available_time": null,
      "depends_on_turn_id": "TURN-0000028",
      "dialogue_state": "plan_confirmation",
      "episode_id": "EPISODE-0000005",
      "escalation_condition": "持续异常读数、明显不适或提出调整处方",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000029",
      "forbidden_assertion": "不得根据单次读数调整处方或预测并发症。",
      "generated_at": "2026-07-29T10:00:00+08:00",
      "intent": "confirm_next_step",
      "message": "如果某次读数偏高，可以自己加药吗？",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": "clarifies",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "patient",
      "turn_id": "TURN-0000029",
      "turn_index": "5"
    },
    {
      "allowed_assertion": "解释连续监测、记录条件和联系照护团队的原则。",
      "available_time": null,
      "depends_on_turn_id": "TURN-0000029",
      "dialogue_state": "closure_or_escalation",
      "episode_id": "EPISODE-0000005",
      "escalation_condition": "持续异常读数、明显不适或提出调整处方",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000030",
      "forbidden_assertion": "不得根据单次读数调整处方或预测并发症。",
      "generated_at": "2026-07-29T10:00:00+08:00",
      "intent": "summary_and_handoff",
      "message": "不要自行改变药量；若读数持续异常或伴明显不适，请联系负责团队确认处理。",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": "carries_forward",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "care_navigator",
      "turn_id": "TURN-0000030",
      "turn_index": "6"
    },
    {
      "allowed_assertion": "解释报告术语的层级和需要补充的资料。",
      "available_time": null,
      "depends_on_turn_id": null,
      "dialogue_state": "opening",
      "episode_id": "EPISODE-0000006",
      "escalation_condition": "需要完整分期、治疗方案或预后判断",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000031",
      "forbidden_assertion": "不得推断分期、复发风险、预后或治疗效果。",
      "generated_at": "2026-07-29T10:10:00+08:00",
      "intent": "request_information",
      "message": "病理报告写结肠腺癌、中分化，我想知道这和分期是不是一回事。",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": null,
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "patient",
      "turn_id": "TURN-0000031",
      "turn_index": "1"
    },
    {
      "allowed_assertion": "解释报告术语的层级和需要补充的资料。",
      "available_time": null,
      "depends_on_turn_id": "TURN-0000031",
      "dialogue_state": "clarification",
      "episode_id": "EPISODE-0000006",
      "escalation_condition": "需要完整分期、治疗方案或预后判断",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000032",
      "forbidden_assertion": "不得推断分期、复发风险、预后或治疗效果。",
      "generated_at": "2026-07-29T10:10:00+08:00",
      "intent": "clarify_context",
      "message": "组织学类型和分化程度不是完整分期；分期还需结合病灶范围、淋巴结和其他检查。",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": "responds_to",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "care_navigator",
      "turn_id": "TURN-0000032",
      "turn_index": "2"
    },
    {
      "allowed_assertion": "解释报告术语的层级和需要补充的资料。",
      "available_time": null,
      "depends_on_turn_id": "TURN-0000032",
      "dialogue_state": "context_update",
      "episode_id": "EPISODE-0000006",
      "escalation_condition": "需要完整分期、治疗方案或预后判断",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000033",
      "forbidden_assertion": "不得推断分期、复发风险、预后或治疗效果。",
      "generated_at": "2026-07-29T10:10:00+08:00",
      "intent": "provide_detail",
      "message": "报告里只看到切缘未见肿瘤累及，没有看到完整分期。",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": "clarifies",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "patient",
      "turn_id": "TURN-0000033",
      "turn_index": "3"
    },
    {
      "allowed_assertion": "解释报告术语的层级和需要补充的资料。",
      "available_time": null,
      "depends_on_turn_id": "TURN-0000033",
      "dialogue_state": "bounded_explanation",
      "episode_id": "EPISODE-0000006",
      "escalation_condition": "需要完整分期、治疗方案或预后判断",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000034",
      "forbidden_assertion": "不得推断分期、复发风险、预后或治疗效果。",
      "generated_at": "2026-07-29T10:10:00+08:00",
      "intent": "evidence_bound_explanation",
      "message": "可以说明切缘描述和分化术语，但不能用缺少的信息补出分期或预后。",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": "carries_forward",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "care_navigator",
      "turn_id": "TURN-0000034",
      "turn_index": "4"
    },
    {
      "allowed_assertion": "解释报告术语的层级和需要补充的资料。",
      "available_time": null,
      "depends_on_turn_id": "TURN-0000034",
      "dialogue_state": "plan_confirmation",
      "episode_id": "EPISODE-0000006",
      "escalation_condition": "需要完整分期、治疗方案或预后判断",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000035",
      "forbidden_assertion": "不得推断分期、复发风险、预后或治疗效果。",
      "generated_at": "2026-07-29T10:10:00+08:00",
      "intent": "confirm_next_step",
      "message": "我下一次沟通应该重点问哪些内容？",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": "clarifies",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "patient",
      "turn_id": "TURN-0000035",
      "turn_index": "5"
    },
    {
      "allowed_assertion": "解释报告术语的层级和需要补充的资料。",
      "available_time": null,
      "depends_on_turn_id": "TURN-0000035",
      "dialogue_state": "closure_or_escalation",
      "episode_id": "EPISODE-0000006",
      "escalation_condition": "需要完整分期、治疗方案或预后判断",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000036",
      "forbidden_assertion": "不得推断分期、复发风险、预后或治疗效果。",
      "generated_at": "2026-07-29T10:10:00+08:00",
      "intent": "summary_and_handoff",
      "message": "可询问完整病理要点、分期所需资料和后续计划，并由负责专科结合全部结果解释。",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": "carries_forward",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "care_navigator",
      "turn_id": "TURN-0000036",
      "turn_index": "6"
    },
    {
      "allowed_assertion": "区分医嘱与实际用药，并提示记录实际情况。",
      "available_time": null,
      "depends_on_turn_id": null,
      "dialogue_state": "opening",
      "episode_id": "EPISODE-0000007",
      "escalation_condition": "实际服用与医嘱不一致、出现不适或询问剂量调整",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000037",
      "forbidden_assertion": "不得把医嘱当成实际给药或给出补服方案。",
      "generated_at": "2026-07-29T10:20:00+08:00",
      "intent": "request_information",
      "message": "材料里写阿莫西林500毫克每8小时一次，这能证明我已经按时服用了吗？",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": null,
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "patient",
      "turn_id": "TURN-0000037",
      "turn_index": "1"
    },
    {
      "allowed_assertion": "区分医嘱与实际用药，并提示记录实际情况。",
      "available_time": null,
      "depends_on_turn_id": "TURN-0000037",
      "dialogue_state": "clarification",
      "episode_id": "EPISODE-0000007",
      "escalation_condition": "实际服用与医嘱不一致、出现不适或询问剂量调整",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000038",
      "forbidden_assertion": "不得把医嘱当成实际给药或给出补服方案。",
      "generated_at": "2026-07-29T10:20:00+08:00",
      "intent": "clarify_context",
      "message": "不能；这条记录表示医嘱内容，不等于已经调剂、服用或完成疗程。",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": "responds_to",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "care_navigator",
      "turn_id": "TURN-0000038",
      "turn_index": "2"
    },
    {
      "allowed_assertion": "区分医嘱与实际用药，并提示记录实际情况。",
      "available_time": null,
      "depends_on_turn_id": "TURN-0000038",
      "dialogue_state": "context_update",
      "episode_id": "EPISODE-0000007",
      "escalation_condition": "实际服用与医嘱不一致、出现不适或询问剂量调整",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000039",
      "forbidden_assertion": "不得把医嘱当成实际给药或给出补服方案。",
      "generated_at": "2026-07-29T10:20:00+08:00",
      "intent": "provide_detail",
      "message": "我只想核对这份材料能说明什么，暂时不讨论改药。",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": "clarifies",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "patient",
      "turn_id": "TURN-0000039",
      "turn_index": "3"
    },
    {
      "allowed_assertion": "区分医嘱与实际用药，并提示记录实际情况。",
      "available_time": null,
      "depends_on_turn_id": "TURN-0000039",
      "dialogue_state": "bounded_explanation",
      "episode_id": "EPISODE-0000007",
      "escalation_condition": "实际服用与医嘱不一致、出现不适或询问剂量调整",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000040",
      "forbidden_assertion": "不得把医嘱当成实际给药或给出补服方案。",
      "generated_at": "2026-07-29T10:20:00+08:00",
      "intent": "evidence_bound_explanation",
      "message": "这份材料可说明药品名称、剂量和频次的医嘱，但实际用药需另有执行或患者确认记录。",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": "carries_forward",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "care_navigator",
      "turn_id": "TURN-0000040",
      "turn_index": "4"
    },
    {
      "allowed_assertion": "区分医嘱与实际用药，并提示记录实际情况。",
      "available_time": null,
      "depends_on_turn_id": "TURN-0000040",
      "dialogue_state": "plan_confirmation",
      "episode_id": "EPISODE-0000007",
      "escalation_condition": "实际服用与医嘱不一致、出现不适或询问剂量调整",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000041",
      "forbidden_assertion": "不得把医嘱当成实际给药或给出补服方案。",
      "generated_at": "2026-07-29T10:20:00+08:00",
      "intent": "confirm_next_step",
      "message": "如果实际服用情况和医嘱不同，应该怎样记录？",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": "clarifies",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "patient",
      "turn_id": "TURN-0000041",
      "turn_index": "5"
    },
    {
      "allowed_assertion": "区分医嘱与实际用药，并提示记录实际情况。",
      "available_time": null,
      "depends_on_turn_id": "TURN-0000041",
      "dialogue_state": "closure_or_escalation",
      "episode_id": "EPISODE-0000007",
      "escalation_condition": "实际服用与医嘱不一致、出现不适或询问剂量调整",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000042",
      "forbidden_assertion": "不得把医嘱当成实际给药或给出补服方案。",
      "generated_at": "2026-07-29T10:20:00+08:00",
      "intent": "summary_and_handoff",
      "message": "请如实记录实际服用时间、剂量和遗漏情况，并联系照护团队核对，不要自行补服或调整。",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": "carries_forward",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "care_navigator",
      "turn_id": "TURN-0000042",
      "turn_index": "6"
    },
    {
      "allowed_assertion": "说明出院医嘱记录、血压记录和复核流程。",
      "available_time": null,
      "depends_on_turn_id": null,
      "dialogue_state": "opening",
      "episode_id": "EPISODE-0000008",
      "escalation_condition": "持续血压异常、用药不适或提出调整方案",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000043",
      "forbidden_assertion": "不得提出具体剂量或用药时间变更。",
      "generated_at": "2026-07-29T10:30:00+08:00",
      "intent": "request_information",
      "message": "出院说明让我继续吃氨氯地平，我应该怎样配合记录？",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": null,
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "patient",
      "turn_id": "TURN-0000043",
      "turn_index": "1"
    },
    {
      "allowed_assertion": "说明出院医嘱记录、血压记录和复核流程。",
      "available_time": null,
      "depends_on_turn_id": "TURN-0000043",
      "dialogue_state": "clarification",
      "episode_id": "EPISODE-0000008",
      "escalation_condition": "持续血压异常、用药不适或提出调整方案",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000044",
      "forbidden_assertion": "不得提出具体剂量或用药时间变更。",
      "generated_at": "2026-07-29T10:30:00+08:00",
      "intent": "clarify_context",
      "message": "可以记录服药时间、血压读数和相关不适，并保留出院说明中的原医嘱。",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": "responds_to",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "care_navigator",
      "turn_id": "TURN-0000044",
      "turn_index": "2"
    },
    {
      "allowed_assertion": "说明出院医嘱记录、血压记录和复核流程。",
      "available_time": null,
      "depends_on_turn_id": "TURN-0000044",
      "dialogue_state": "context_update",
      "episode_id": "EPISODE-0000008",
      "escalation_condition": "持续血压异常、用药不适或提出调整方案",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000045",
      "forbidden_assertion": "不得提出具体剂量或用药时间变更。",
      "generated_at": "2026-07-29T10:30:00+08:00",
      "intent": "provide_detail",
      "message": "我早上服药，偶尔会忘记记录血压。",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": "clarifies",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "patient",
      "turn_id": "TURN-0000045",
      "turn_index": "3"
    },
    {
      "allowed_assertion": "说明出院医嘱记录、血压记录和复核流程。",
      "available_time": null,
      "depends_on_turn_id": "TURN-0000045",
      "dialogue_state": "bounded_explanation",
      "episode_id": "EPISODE-0000008",
      "escalation_condition": "持续血压异常、用药不适或提出调整方案",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000046",
      "forbidden_assertion": "不得提出具体剂量或用药时间变更。",
      "generated_at": "2026-07-29T10:30:00+08:00",
      "intent": "evidence_bound_explanation",
      "message": "保持记录有助于后续评估，但遗漏一次记录不应由系统自动补值。",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": "carries_forward",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "care_navigator",
      "turn_id": "TURN-0000046",
      "turn_index": "4"
    },
    {
      "allowed_assertion": "说明出院医嘱记录、血压记录和复核流程。",
      "available_time": null,
      "depends_on_turn_id": "TURN-0000046",
      "dialogue_state": "plan_confirmation",
      "episode_id": "EPISODE-0000008",
      "escalation_condition": "持续血压异常、用药不适或提出调整方案",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000047",
      "forbidden_assertion": "不得提出具体剂量或用药时间变更。",
      "generated_at": "2026-07-29T10:30:00+08:00",
      "intent": "confirm_next_step",
      "message": "血压波动时能不能自己改变服药时间？",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": "clarifies",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "patient",
      "turn_id": "TURN-0000047",
      "turn_index": "5"
    },
    {
      "allowed_assertion": "说明出院医嘱记录、血压记录和复核流程。",
      "available_time": null,
      "depends_on_turn_id": "TURN-0000047",
      "dialogue_state": "closure_or_escalation",
      "episode_id": "EPISODE-0000008",
      "escalation_condition": "持续血压异常、用药不适或提出调整方案",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000048",
      "forbidden_assertion": "不得提出具体剂量或用药时间变更。",
      "generated_at": "2026-07-29T10:30:00+08:00",
      "intent": "summary_and_handoff",
      "message": "不要自行改变用法；请把血压和服药记录带给照护团队，由其确认是否调整。",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": "carries_forward",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "care_navigator",
      "turn_id": "TURN-0000048",
      "turn_index": "6"
    },
    {
      "allowed_assertion": "说明切口观察项目、记录方式和复诊原则。",
      "available_time": null,
      "depends_on_turn_id": null,
      "dialogue_state": "opening",
      "episode_id": "EPISODE-0000009",
      "escalation_condition": "切口渗液、红肿、发热或疼痛加重",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000049",
      "forbidden_assertion": "不得远程判断渗液性质或改变活动限制。",
      "generated_at": "2026-07-29T11:00:00+08:00",
      "intent": "request_information",
      "message": "出院后切口护理最需要关注什么？",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": null,
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "patient",
      "turn_id": "TURN-0000049",
      "turn_index": "1"
    },
    {
      "allowed_assertion": "说明切口观察项目、记录方式和复诊原则。",
      "available_time": null,
      "depends_on_turn_id": "TURN-0000049",
      "dialogue_state": "clarification",
      "episode_id": "EPISODE-0000009",
      "escalation_condition": "切口渗液、红肿、发热或疼痛加重",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000050",
      "forbidden_assertion": "不得远程判断渗液性质或改变活动限制。",
      "generated_at": "2026-07-29T11:00:00+08:00",
      "intent": "clarify_context",
      "message": "可关注切口是否红肿、渗液、疼痛加重，并记录体温和复诊安排。",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": "responds_to",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "care_navigator",
      "turn_id": "TURN-0000050",
      "turn_index": "2"
    },
    {
      "allowed_assertion": "说明切口观察项目、记录方式和复诊原则。",
      "available_time": null,
      "depends_on_turn_id": "TURN-0000050",
      "dialogue_state": "context_update",
      "episode_id": "EPISODE-0000009",
      "escalation_condition": "切口渗液、红肿、发热或疼痛加重",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000051",
      "forbidden_assertion": "不得远程判断渗液性质或改变活动限制。",
      "generated_at": "2026-07-29T11:00:00+08:00",
      "intent": "provide_detail",
      "message": "目前切口干燥，没有发热，但我担心活动会影响恢复。",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": "clarifies",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "patient",
      "turn_id": "TURN-0000051",
      "turn_index": "3"
    },
    {
      "allowed_assertion": "说明切口观察项目、记录方式和复诊原则。",
      "available_time": null,
      "depends_on_turn_id": "TURN-0000051",
      "dialogue_state": "bounded_explanation",
      "episode_id": "EPISODE-0000009",
      "escalation_condition": "切口渗液、红肿、发热或疼痛加重",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000052",
      "forbidden_assertion": "不得远程判断渗液性质或改变活动限制。",
      "generated_at": "2026-07-29T11:00:00+08:00",
      "intent": "evidence_bound_explanation",
      "message": "现有信息只说明切口干燥和未发热；活动范围应按出院说明或手术团队建议执行。",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": "carries_forward",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "care_navigator",
      "turn_id": "TURN-0000052",
      "turn_index": "4"
    },
    {
      "allowed_assertion": "说明切口观察项目、记录方式和复诊原则。",
      "available_time": null,
      "depends_on_turn_id": "TURN-0000052",
      "dialogue_state": "plan_confirmation",
      "episode_id": "EPISODE-0000009",
      "escalation_condition": "切口渗液、红肿、发热或疼痛加重",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000053",
      "forbidden_assertion": "不得远程判断渗液性质或改变活动限制。",
      "generated_at": "2026-07-29T11:00:00+08:00",
      "intent": "confirm_next_step",
      "message": "如果出现少量渗液，能先在家观察吗？",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": "clarifies",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "patient",
      "turn_id": "TURN-0000053",
      "turn_index": "5"
    },
    {
      "allowed_assertion": "说明切口观察项目、记录方式和复诊原则。",
      "available_time": null,
      "depends_on_turn_id": "TURN-0000053",
      "dialogue_state": "closure_or_escalation",
      "episode_id": "EPISODE-0000009",
      "escalation_condition": "切口渗液、红肿、发热或疼痛加重",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000054",
      "forbidden_assertion": "不得远程判断渗液性质或改变活动限制。",
      "generated_at": "2026-07-29T11:00:00+08:00",
      "intent": "summary_and_handoff",
      "message": "渗液需要结合颜色、量和伴随症状判断，建议联系手术团队说明情况；明显红肿、发热或大量渗液应及时就医。",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": "carries_forward",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "care_navigator",
      "turn_id": "TURN-0000054",
      "turn_index": "6"
    },
    {
      "allowed_assertion": "组织随访资料、计划状态和联系路径。",
      "available_time": null,
      "depends_on_turn_id": null,
      "dialogue_state": "opening",
      "episode_id": "EPISODE-0000010",
      "escalation_condition": "复查无法按期、出现新症状或需要调整方案",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000055",
      "forbidden_assertion": "不得声称复查已完成或结节稳定。",
      "generated_at": "2026-07-29T11:10:00+08:00",
      "intent": "request_information",
      "message": "报告建议三个月后复查，我怎样准备这次随访？",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": null,
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "patient",
      "turn_id": "TURN-0000055",
      "turn_index": "1"
    },
    {
      "allowed_assertion": "组织随访资料、计划状态和联系路径。",
      "available_time": null,
      "depends_on_turn_id": "TURN-0000055",
      "dialogue_state": "clarification",
      "episode_id": "EPISODE-0000010",
      "escalation_condition": "复查无法按期、出现新症状或需要调整方案",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000056",
      "forbidden_assertion": "不得声称复查已完成或结节稳定。",
      "generated_at": "2026-07-29T11:10:00+08:00",
      "intent": "clarify_context",
      "message": "请保留本次报告和影像，并确认复查时间、检查方式及是否需要携带既往资料。",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": "responds_to",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "care_navigator",
      "turn_id": "TURN-0000056",
      "turn_index": "2"
    },
    {
      "allowed_assertion": "组织随访资料、计划状态和联系路径。",
      "available_time": null,
      "depends_on_turn_id": "TURN-0000056",
      "dialogue_state": "context_update",
      "episode_id": "EPISODE-0000010",
      "escalation_condition": "复查无法按期、出现新症状或需要调整方案",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000057",
      "forbidden_assertion": "不得声称复查已完成或结节稳定。",
      "generated_at": "2026-07-29T11:10:00+08:00",
      "intent": "provide_detail",
      "message": "我已经保存了报告，但还没有预约复查。",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": "clarifies",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "patient",
      "turn_id": "TURN-0000057",
      "turn_index": "3"
    },
    {
      "allowed_assertion": "组织随访资料、计划状态和联系路径。",
      "available_time": null,
      "depends_on_turn_id": "TURN-0000057",
      "dialogue_state": "bounded_explanation",
      "episode_id": "EPISODE-0000010",
      "escalation_condition": "复查无法按期、出现新症状或需要调整方案",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000058",
      "forbidden_assertion": "不得声称复查已完成或结节稳定。",
      "generated_at": "2026-07-29T11:10:00+08:00",
      "intent": "evidence_bound_explanation",
      "message": "当前可确认复查尚未安排，不能把建议写成已完成随访。",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": "carries_forward",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "care_navigator",
      "turn_id": "TURN-0000058",
      "turn_index": "4"
    },
    {
      "allowed_assertion": "组织随访资料、计划状态和联系路径。",
      "available_time": null,
      "depends_on_turn_id": "TURN-0000058",
      "dialogue_state": "plan_confirmation",
      "episode_id": "EPISODE-0000010",
      "escalation_condition": "复查无法按期、出现新症状或需要调整方案",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000059",
      "forbidden_assertion": "不得声称复查已完成或结节稳定。",
      "generated_at": "2026-07-29T11:10:00+08:00",
      "intent": "confirm_next_step",
      "message": "如果预约时间晚了几天，需要自己改方案吗？",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": "clarifies",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "patient",
      "turn_id": "TURN-0000059",
      "turn_index": "5"
    },
    {
      "allowed_assertion": "组织随访资料、计划状态和联系路径。",
      "available_time": null,
      "depends_on_turn_id": "TURN-0000059",
      "dialogue_state": "closure_or_escalation",
      "episode_id": "EPISODE-0000010",
      "escalation_condition": "复查无法按期、出现新症状或需要调整方案",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000060",
      "forbidden_assertion": "不得声称复查已完成或结节稳定。",
      "generated_at": "2026-07-29T11:10:00+08:00",
      "intent": "summary_and_handoff",
      "message": "请联系负责团队确认可接受的时间范围，不要自行改变随访计划；出现新症状时应提前沟通。",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": "carries_forward",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "care_navigator",
      "turn_id": "TURN-0000060",
      "turn_index": "6"
    },
    {
      "allowed_assertion": "区分计划、预约、结果可用和解释阶段。",
      "available_time": null,
      "depends_on_turn_id": null,
      "dialogue_state": "opening",
      "episode_id": "EPISODE-0000011",
      "escalation_condition": "结果异常、症状变化或需要临床解释",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000061",
      "forbidden_assertion": "不得在结果缺失时判断正常异常或补造数值。",
      "generated_at": "2026-07-29T11:20:00+08:00",
      "intent": "request_information",
      "message": "病历建议复查血常规，但我现在还没有结果，随访时该怎么说？",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": null,
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "patient",
      "turn_id": "TURN-0000061",
      "turn_index": "1"
    },
    {
      "allowed_assertion": "区分计划、预约、结果可用和解释阶段。",
      "available_time": null,
      "depends_on_turn_id": "TURN-0000061",
      "dialogue_state": "clarification",
      "episode_id": "EPISODE-0000011",
      "escalation_condition": "结果异常、症状变化或需要临床解释",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000062",
      "forbidden_assertion": "不得在结果缺失时判断正常异常或补造数值。",
      "generated_at": "2026-07-29T11:20:00+08:00",
      "intent": "clarify_context",
      "message": "可以明确说明检查尚未完成，并准备报告中的原始项目、单位和参考范围。",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": "responds_to",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "care_navigator",
      "turn_id": "TURN-0000062",
      "turn_index": "2"
    },
    {
      "allowed_assertion": "区分计划、预约、结果可用和解释阶段。",
      "available_time": null,
      "depends_on_turn_id": "TURN-0000062",
      "dialogue_state": "context_update",
      "episode_id": "EPISODE-0000011",
      "escalation_condition": "结果异常、症状变化或需要临床解释",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000063",
      "forbidden_assertion": "不得在结果缺失时判断正常异常或补造数值。",
      "generated_at": "2026-07-29T11:20:00+08:00",
      "intent": "provide_detail",
      "message": "我已经预约抽血，下周才能拿到结果。",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": "clarifies",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "patient",
      "turn_id": "TURN-0000063",
      "turn_index": "3"
    },
    {
      "allowed_assertion": "区分计划、预约、结果可用和解释阶段。",
      "available_time": null,
      "depends_on_turn_id": "TURN-0000063",
      "dialogue_state": "bounded_explanation",
      "episode_id": "EPISODE-0000011",
      "escalation_condition": "结果异常、症状变化或需要临床解释",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000064",
      "forbidden_assertion": "不得在结果缺失时判断正常异常或补造数值。",
      "generated_at": "2026-07-29T11:20:00+08:00",
      "intent": "evidence_bound_explanation",
      "message": "当前状态是已预约、结果未可用，不能提前解释为正常或异常。",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": "carries_forward",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "care_navigator",
      "turn_id": "TURN-0000064",
      "turn_index": "4"
    },
    {
      "allowed_assertion": "区分计划、预约、结果可用和解释阶段。",
      "available_time": null,
      "depends_on_turn_id": "TURN-0000064",
      "dialogue_state": "plan_confirmation",
      "episode_id": "EPISODE-0000011",
      "escalation_condition": "结果异常、症状变化或需要临床解释",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000065",
      "forbidden_assertion": "不得在结果缺失时判断正常异常或补造数值。",
      "generated_at": "2026-07-29T11:20:00+08:00",
      "intent": "confirm_next_step",
      "message": "拿到结果后只看异常箭头够吗？",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": "clarifies",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "patient",
      "turn_id": "TURN-0000065",
      "turn_index": "5"
    },
    {
      "allowed_assertion": "区分计划、预约、结果可用和解释阶段。",
      "available_time": null,
      "depends_on_turn_id": "TURN-0000065",
      "dialogue_state": "closure_or_escalation",
      "episode_id": "EPISODE-0000011",
      "escalation_condition": "结果异常、症状变化或需要临床解释",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000066",
      "forbidden_assertion": "不得在结果缺失时判断正常异常或补造数值。",
      "generated_at": "2026-07-29T11:20:00+08:00",
      "intent": "summary_and_handoff",
      "message": "应同时查看项目值、单位、参考范围和适用条件，并由照护团队结合临床情况解释。",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": "carries_forward",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "care_navigator",
      "turn_id": "TURN-0000066",
      "turn_index": "6"
    },
    {
      "allowed_assertion": "解释当次观察范围并组织复诊前记录。",
      "available_time": null,
      "depends_on_turn_id": null,
      "dialogue_state": "opening",
      "episode_id": "EPISODE-0000012",
      "escalation_condition": "切口红肿、渗液、发热或需要长期结局判断",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000067",
      "forbidden_assertion": "不得把一次未见感染解释为长期无并发症。",
      "generated_at": "2026-07-29T11:30:00+08:00",
      "intent": "request_information",
      "message": "随访记录写切口愈合良好、未见感染，这是不是说明以后都不会有问题？",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": null,
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "patient",
      "turn_id": "TURN-0000067",
      "turn_index": "1"
    },
    {
      "allowed_assertion": "解释当次观察范围并组织复诊前记录。",
      "available_time": null,
      "depends_on_turn_id": "TURN-0000067",
      "dialogue_state": "clarification",
      "episode_id": "EPISODE-0000012",
      "escalation_condition": "切口红肿、渗液、发热或需要长期结局判断",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000068",
      "forbidden_assertion": "不得把一次未见感染解释为长期无并发症。",
      "generated_at": "2026-07-29T11:30:00+08:00",
      "intent": "clarify_context",
      "message": "这只描述当次随访观察，不能代表未来状态或长期结局。",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": "responds_to",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "care_navigator",
      "turn_id": "TURN-0000068",
      "turn_index": "2"
    },
    {
      "allowed_assertion": "解释当次观察范围并组织复诊前记录。",
      "available_time": null,
      "depends_on_turn_id": "TURN-0000068",
      "dialogue_state": "context_update",
      "episode_id": "EPISODE-0000012",
      "escalation_condition": "切口红肿、渗液、发热或需要长期结局判断",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000069",
      "forbidden_assertion": "不得把一次未见感染解释为长期无并发症。",
      "generated_at": "2026-07-29T11:30:00+08:00",
      "intent": "provide_detail",
      "message": "目前我没有发热，切口也没有新的红肿。",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": "clarifies",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "patient",
      "turn_id": "TURN-0000069",
      "turn_index": "3"
    },
    {
      "allowed_assertion": "解释当次观察范围并组织复诊前记录。",
      "available_time": null,
      "depends_on_turn_id": "TURN-0000069",
      "dialogue_state": "bounded_explanation",
      "episode_id": "EPISODE-0000012",
      "escalation_condition": "切口红肿、渗液、发热或需要长期结局判断",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000070",
      "forbidden_assertion": "不得把一次未见感染解释为长期无并发症。",
      "generated_at": "2026-07-29T11:30:00+08:00",
      "intent": "evidence_bound_explanation",
      "message": "这些是当前合成场景中的信息，可用于本次沟通，但仍需按计划复诊。",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": "carries_forward",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "care_navigator",
      "turn_id": "TURN-0000070",
      "turn_index": "4"
    },
    {
      "allowed_assertion": "解释当次观察范围并组织复诊前记录。",
      "available_time": null,
      "depends_on_turn_id": "TURN-0000070",
      "dialogue_state": "plan_confirmation",
      "episode_id": "EPISODE-0000012",
      "escalation_condition": "切口红肿、渗液、发热或需要长期结局判断",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000071",
      "forbidden_assertion": "不得把一次未见感染解释为长期无并发症。",
      "generated_at": "2026-07-29T11:30:00+08:00",
      "intent": "confirm_next_step",
      "message": "下次复诊前我应该继续记录什么？",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": "clarifies",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "patient",
      "turn_id": "TURN-0000071",
      "turn_index": "5"
    },
    {
      "allowed_assertion": "解释当次观察范围并组织复诊前记录。",
      "available_time": null,
      "depends_on_turn_id": "TURN-0000071",
      "dialogue_state": "closure_or_escalation",
      "episode_id": "EPISODE-0000012",
      "escalation_condition": "切口红肿、渗液、发热或需要长期结局判断",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000072",
      "forbidden_assertion": "不得把一次未见感染解释为长期无并发症。",
      "generated_at": "2026-07-29T11:30:00+08:00",
      "intent": "summary_and_handoff",
      "message": "可继续记录体温、切口外观、疼痛和新症状；若出现红肿、渗液或发热，请提前联系手术团队。",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "relation_to_previous": "carries_forward",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "speaker_role": "care_navigator",
      "turn_id": "TURN-0000072",
      "turn_index": "6"
    }
  ],
  "response_boundary": [
    {
      "allowed_response": "复述已知症状、缺失检查和需要观察的变化。",
      "available_time": null,
      "boundary_id": "BOUNDARY-0000001",
      "boundary_text": "允许：复述已知症状、缺失检查和需要观察的变化。 禁止：不得给出确定诊断、替代检查或承诺病程。",
      "boundary_type": "fact_scope_and_escalation",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "prohibited_response": "不得给出确定诊断、替代检查或承诺病程。",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000001"
    },
    {
      "allowed_response": "复述已知症状、缺失检查和需要观察的变化。",
      "available_time": null,
      "boundary_id": "BOUNDARY-0000002",
      "boundary_text": "允许：复述已知症状、缺失检查和需要观察的变化。 禁止：不得给出确定诊断、替代检查或承诺病程。",
      "boundary_type": "fact_scope_and_escalation",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "prohibited_response": "不得给出确定诊断、替代检查或承诺病程。",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000002"
    },
    {
      "allowed_response": "复述已知症状、缺失检查和需要观察的变化。",
      "available_time": null,
      "boundary_id": "BOUNDARY-0000003",
      "boundary_text": "允许：复述已知症状、缺失检查和需要观察的变化。 禁止：不得给出确定诊断、替代检查或承诺病程。",
      "boundary_type": "fact_scope_and_escalation",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "prohibited_response": "不得给出确定诊断、替代检查或承诺病程。",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000003"
    },
    {
      "allowed_response": "复述已知症状、缺失检查和需要观察的变化。",
      "available_time": null,
      "boundary_id": "BOUNDARY-0000004",
      "boundary_text": "允许：复述已知症状、缺失检查和需要观察的变化。 禁止：不得给出确定诊断、替代检查或承诺病程。",
      "boundary_type": "fact_scope_and_escalation",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "prohibited_response": "不得给出确定诊断、替代检查或承诺病程。",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000004"
    },
    {
      "allowed_response": "复述已知症状、缺失检查和需要观察的变化。",
      "available_time": null,
      "boundary_id": "BOUNDARY-0000005",
      "boundary_text": "允许：复述已知症状、缺失检查和需要观察的变化。 禁止：不得给出确定诊断、替代检查或承诺病程。",
      "boundary_type": "fact_scope_and_escalation",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "prohibited_response": "不得给出确定诊断、替代检查或承诺病程。",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000005"
    },
    {
      "allowed_response": "复述已知症状、缺失检查和需要观察的变化。",
      "available_time": null,
      "boundary_id": "BOUNDARY-0000006",
      "boundary_text": "允许：复述已知症状、缺失检查和需要观察的变化。 禁止：不得给出确定诊断、替代检查或承诺病程。",
      "boundary_type": "fact_scope_and_escalation",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "prohibited_response": "不得给出确定诊断、替代检查或承诺病程。",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000006"
    },
    {
      "allowed_response": "描述症状诱因、缓解方式和警示症状。",
      "available_time": null,
      "boundary_id": "BOUNDARY-0000007",
      "boundary_text": "允许：描述症状诱因、缓解方式和警示症状。 禁止：不得排除心肺疾病或给出未经检查的病因。",
      "boundary_type": "fact_scope_and_escalation",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "prohibited_response": "不得排除心肺疾病或给出未经检查的病因。",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000007"
    },
    {
      "allowed_response": "描述症状诱因、缓解方式和警示症状。",
      "available_time": null,
      "boundary_id": "BOUNDARY-0000008",
      "boundary_text": "允许：描述症状诱因、缓解方式和警示症状。 禁止：不得排除心肺疾病或给出未经检查的病因。",
      "boundary_type": "fact_scope_and_escalation",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "prohibited_response": "不得排除心肺疾病或给出未经检查的病因。",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000008"
    },
    {
      "allowed_response": "描述症状诱因、缓解方式和警示症状。",
      "available_time": null,
      "boundary_id": "BOUNDARY-0000009",
      "boundary_text": "允许：描述症状诱因、缓解方式和警示症状。 禁止：不得排除心肺疾病或给出未经检查的病因。",
      "boundary_type": "fact_scope_and_escalation",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "prohibited_response": "不得排除心肺疾病或给出未经检查的病因。",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000009"
    },
    {
      "allowed_response": "描述症状诱因、缓解方式和警示症状。",
      "available_time": null,
      "boundary_id": "BOUNDARY-0000010",
      "boundary_text": "允许：描述症状诱因、缓解方式和警示症状。 禁止：不得排除心肺疾病或给出未经检查的病因。",
      "boundary_type": "fact_scope_and_escalation",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "prohibited_response": "不得排除心肺疾病或给出未经检查的病因。",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000010"
    },
    {
      "allowed_response": "描述症状诱因、缓解方式和警示症状。",
      "available_time": null,
      "boundary_id": "BOUNDARY-0000011",
      "boundary_text": "允许：描述症状诱因、缓解方式和警示症状。 禁止：不得排除心肺疾病或给出未经检查的病因。",
      "boundary_type": "fact_scope_and_escalation",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "prohibited_response": "不得排除心肺疾病或给出未经检查的病因。",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000011"
    },
    {
      "allowed_response": "描述症状诱因、缓解方式和警示症状。",
      "available_time": null,
      "boundary_id": "BOUNDARY-0000012",
      "boundary_text": "允许：描述症状诱因、缓解方式和警示症状。 禁止：不得排除心肺疾病或给出未经检查的病因。",
      "boundary_type": "fact_scope_and_escalation",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "prohibited_response": "不得排除心肺疾病或给出未经检查的病因。",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000012"
    },
    {
      "allowed_response": "比较疼痛变化并提示已声明的术后警示信息。",
      "available_time": null,
      "boundary_id": "BOUNDARY-0000013",
      "boundary_text": "允许：比较疼痛变化并提示已声明的术后警示信息。 禁止：不得据此宣布恢复正常或排除术后并发症。",
      "boundary_type": "fact_scope_and_escalation",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "prohibited_response": "不得据此宣布恢复正常或排除术后并发症。",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000013"
    },
    {
      "allowed_response": "比较疼痛变化并提示已声明的术后警示信息。",
      "available_time": null,
      "boundary_id": "BOUNDARY-0000014",
      "boundary_text": "允许：比较疼痛变化并提示已声明的术后警示信息。 禁止：不得据此宣布恢复正常或排除术后并发症。",
      "boundary_type": "fact_scope_and_escalation",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "prohibited_response": "不得据此宣布恢复正常或排除术后并发症。",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000014"
    },
    {
      "allowed_response": "比较疼痛变化并提示已声明的术后警示信息。",
      "available_time": null,
      "boundary_id": "BOUNDARY-0000015",
      "boundary_text": "允许：比较疼痛变化并提示已声明的术后警示信息。 禁止：不得据此宣布恢复正常或排除术后并发症。",
      "boundary_type": "fact_scope_and_escalation",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "prohibited_response": "不得据此宣布恢复正常或排除术后并发症。",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000015"
    },
    {
      "allowed_response": "比较疼痛变化并提示已声明的术后警示信息。",
      "available_time": null,
      "boundary_id": "BOUNDARY-0000016",
      "boundary_text": "允许：比较疼痛变化并提示已声明的术后警示信息。 禁止：不得据此宣布恢复正常或排除术后并发症。",
      "boundary_type": "fact_scope_and_escalation",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "prohibited_response": "不得据此宣布恢复正常或排除术后并发症。",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000016"
    },
    {
      "allowed_response": "比较疼痛变化并提示已声明的术后警示信息。",
      "available_time": null,
      "boundary_id": "BOUNDARY-0000017",
      "boundary_text": "允许：比较疼痛变化并提示已声明的术后警示信息。 禁止：不得据此宣布恢复正常或排除术后并发症。",
      "boundary_type": "fact_scope_and_escalation",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "prohibited_response": "不得据此宣布恢复正常或排除术后并发症。",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000017"
    },
    {
      "allowed_response": "比较疼痛变化并提示已声明的术后警示信息。",
      "available_time": null,
      "boundary_id": "BOUNDARY-0000018",
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      "boundary_text": "允许：解释影像报告字面含义、复查目的和资料准备。 禁止：不得把结节解释为良性、恶性或病理诊断。",
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      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000020"
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      "available_time": null,
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      "boundary_text": "允许：解释影像报告字面含义、复查目的和资料准备。 禁止：不得把结节解释为良性、恶性或病理诊断。",
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      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "prohibited_response": "不得把结节解释为良性、恶性或病理诊断。",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000021"
    },
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      "available_time": null,
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      "boundary_text": "允许：解释影像报告字面含义、复查目的和资料准备。 禁止：不得把结节解释为良性、恶性或病理诊断。",
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      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "prohibited_response": "不得把结节解释为良性、恶性或病理诊断。",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000022"
    },
    {
      "allowed_response": "解释影像报告字面含义、复查目的和资料准备。",
      "available_time": null,
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      "boundary_text": "允许：解释影像报告字面含义、复查目的和资料准备。 禁止：不得把结节解释为良性、恶性或病理诊断。",
      "boundary_type": "fact_scope_and_escalation",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "prohibited_response": "不得把结节解释为良性、恶性或病理诊断。",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000023"
    },
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      "allowed_response": "解释影像报告字面含义、复查目的和资料准备。",
      "available_time": null,
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      "boundary_text": "允许：解释影像报告字面含义、复查目的和资料准备。 禁止：不得把结节解释为良性、恶性或病理诊断。",
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      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "prohibited_response": "不得把结节解释为良性、恶性或病理诊断。",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000024"
    },
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      "allowed_response": "解释连续监测、记录条件和联系照护团队的原则。",
      "available_time": null,
      "boundary_id": "BOUNDARY-0000025",
      "boundary_text": "允许：解释连续监测、记录条件和联系照护团队的原则。 禁止：不得根据单次读数调整处方或预测并发症。",
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      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "prohibited_response": "不得根据单次读数调整处方或预测并发症。",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000025"
    },
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      "available_time": null,
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      "boundary_text": "允许：解释连续监测、记录条件和联系照护团队的原则。 禁止：不得根据单次读数调整处方或预测并发症。",
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      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000026"
    },
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      "available_time": null,
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      "boundary_text": "允许：解释连续监测、记录条件和联系照护团队的原则。 禁止：不得根据单次读数调整处方或预测并发症。",
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      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000027"
    },
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      "available_time": null,
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      "boundary_text": "允许：解释连续监测、记录条件和联系照护团队的原则。 禁止：不得根据单次读数调整处方或预测并发症。",
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      "missing_reason": null,
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      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000028"
    },
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      "available_time": null,
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      "boundary_text": "允许：解释连续监测、记录条件和联系照护团队的原则。 禁止：不得根据单次读数调整处方或预测并发症。",
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      "missing_reason": null,
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      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000029"
    },
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      "allowed_response": "解释连续监测、记录条件和联系照护团队的原则。",
      "available_time": null,
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      "boundary_text": "允许：解释连续监测、记录条件和联系照护团队的原则。 禁止：不得根据单次读数调整处方或预测并发症。",
      "boundary_type": "fact_scope_and_escalation",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "prohibited_response": "不得根据单次读数调整处方或预测并发症。",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000030"
    },
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      "allowed_response": "解释报告术语的层级和需要补充的资料。",
      "available_time": null,
      "boundary_id": "BOUNDARY-0000031",
      "boundary_text": "允许：解释报告术语的层级和需要补充的资料。 禁止：不得推断分期、复发风险、预后或治疗效果。",
      "boundary_type": "fact_scope_and_escalation",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "prohibited_response": "不得推断分期、复发风险、预后或治疗效果。",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000031"
    },
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      "available_time": null,
      "boundary_id": "BOUNDARY-0000032",
      "boundary_text": "允许：解释报告术语的层级和需要补充的资料。 禁止：不得推断分期、复发风险、预后或治疗效果。",
      "boundary_type": "fact_scope_and_escalation",
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      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
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      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000032"
    },
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      "available_time": null,
      "boundary_id": "BOUNDARY-0000033",
      "boundary_text": "允许：解释报告术语的层级和需要补充的资料。 禁止：不得推断分期、复发风险、预后或治疗效果。",
      "boundary_type": "fact_scope_and_escalation",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "prohibited_response": "不得推断分期、复发风险、预后或治疗效果。",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000033"
    },
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      "available_time": null,
      "boundary_id": "BOUNDARY-0000034",
      "boundary_text": "允许：解释报告术语的层级和需要补充的资料。 禁止：不得推断分期、复发风险、预后或治疗效果。",
      "boundary_type": "fact_scope_and_escalation",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "prohibited_response": "不得推断分期、复发风险、预后或治疗效果。",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000034"
    },
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      "available_time": null,
      "boundary_id": "BOUNDARY-0000035",
      "boundary_text": "允许：解释报告术语的层级和需要补充的资料。 禁止：不得推断分期、复发风险、预后或治疗效果。",
      "boundary_type": "fact_scope_and_escalation",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "prohibited_response": "不得推断分期、复发风险、预后或治疗效果。",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000035"
    },
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      "allowed_response": "解释报告术语的层级和需要补充的资料。",
      "available_time": null,
      "boundary_id": "BOUNDARY-0000036",
      "boundary_text": "允许：解释报告术语的层级和需要补充的资料。 禁止：不得推断分期、复发风险、预后或治疗效果。",
      "boundary_type": "fact_scope_and_escalation",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "prohibited_response": "不得推断分期、复发风险、预后或治疗效果。",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000036"
    },
    {
      "allowed_response": "区分医嘱与实际用药，并提示记录实际情况。",
      "available_time": null,
      "boundary_id": "BOUNDARY-0000037",
      "boundary_text": "允许：区分医嘱与实际用药，并提示记录实际情况。 禁止：不得把医嘱当成实际给药或给出补服方案。",
      "boundary_type": "fact_scope_and_escalation",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "prohibited_response": "不得把医嘱当成实际给药或给出补服方案。",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000037"
    },
    {
      "allowed_response": "区分医嘱与实际用药，并提示记录实际情况。",
      "available_time": null,
      "boundary_id": "BOUNDARY-0000038",
      "boundary_text": "允许：区分医嘱与实际用药，并提示记录实际情况。 禁止：不得把医嘱当成实际给药或给出补服方案。",
      "boundary_type": "fact_scope_and_escalation",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "prohibited_response": "不得把医嘱当成实际给药或给出补服方案。",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000038"
    },
    {
      "allowed_response": "区分医嘱与实际用药，并提示记录实际情况。",
      "available_time": null,
      "boundary_id": "BOUNDARY-0000039",
      "boundary_text": "允许：区分医嘱与实际用药，并提示记录实际情况。 禁止：不得把医嘱当成实际给药或给出补服方案。",
      "boundary_type": "fact_scope_and_escalation",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "prohibited_response": "不得把医嘱当成实际给药或给出补服方案。",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000039"
    },
    {
      "allowed_response": "区分医嘱与实际用药，并提示记录实际情况。",
      "available_time": null,
      "boundary_id": "BOUNDARY-0000040",
      "boundary_text": "允许：区分医嘱与实际用药，并提示记录实际情况。 禁止：不得把医嘱当成实际给药或给出补服方案。",
      "boundary_type": "fact_scope_and_escalation",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "prohibited_response": "不得把医嘱当成实际给药或给出补服方案。",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000040"
    },
    {
      "allowed_response": "区分医嘱与实际用药，并提示记录实际情况。",
      "available_time": null,
      "boundary_id": "BOUNDARY-0000041",
      "boundary_text": "允许：区分医嘱与实际用药，并提示记录实际情况。 禁止：不得把医嘱当成实际给药或给出补服方案。",
      "boundary_type": "fact_scope_and_escalation",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "prohibited_response": "不得把医嘱当成实际给药或给出补服方案。",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000041"
    },
    {
      "allowed_response": "区分医嘱与实际用药，并提示记录实际情况。",
      "available_time": null,
      "boundary_id": "BOUNDARY-0000042",
      "boundary_text": "允许：区分医嘱与实际用药，并提示记录实际情况。 禁止：不得把医嘱当成实际给药或给出补服方案。",
      "boundary_type": "fact_scope_and_escalation",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "prohibited_response": "不得把医嘱当成实际给药或给出补服方案。",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000042"
    },
    {
      "allowed_response": "说明出院医嘱记录、血压记录和复核流程。",
      "available_time": null,
      "boundary_id": "BOUNDARY-0000043",
      "boundary_text": "允许：说明出院医嘱记录、血压记录和复核流程。 禁止：不得提出具体剂量或用药时间变更。",
      "boundary_type": "fact_scope_and_escalation",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "prohibited_response": "不得提出具体剂量或用药时间变更。",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000043"
    },
    {
      "allowed_response": "说明出院医嘱记录、血压记录和复核流程。",
      "available_time": null,
      "boundary_id": "BOUNDARY-0000044",
      "boundary_text": "允许：说明出院医嘱记录、血压记录和复核流程。 禁止：不得提出具体剂量或用药时间变更。",
      "boundary_type": "fact_scope_and_escalation",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "prohibited_response": "不得提出具体剂量或用药时间变更。",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000044"
    },
    {
      "allowed_response": "说明出院医嘱记录、血压记录和复核流程。",
      "available_time": null,
      "boundary_id": "BOUNDARY-0000045",
      "boundary_text": "允许：说明出院医嘱记录、血压记录和复核流程。 禁止：不得提出具体剂量或用药时间变更。",
      "boundary_type": "fact_scope_and_escalation",
      "event_time_raw": null,
      "missing_reason": null,
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      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000045"
    },
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      "available_time": null,
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      "boundary_text": "允许：说明出院医嘱记录、血压记录和复核流程。 禁止：不得提出具体剂量或用药时间变更。",
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      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000046"
    },
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      "allowed_response": "说明出院医嘱记录、血压记录和复核流程。",
      "available_time": null,
      "boundary_id": "BOUNDARY-0000047",
      "boundary_text": "允许：说明出院医嘱记录、血压记录和复核流程。 禁止：不得提出具体剂量或用药时间变更。",
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      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "prohibited_response": "不得提出具体剂量或用药时间变更。",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000047"
    },
    {
      "allowed_response": "说明出院医嘱记录、血压记录和复核流程。",
      "available_time": null,
      "boundary_id": "BOUNDARY-0000048",
      "boundary_text": "允许：说明出院医嘱记录、血压记录和复核流程。 禁止：不得提出具体剂量或用药时间变更。",
      "boundary_type": "fact_scope_and_escalation",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "prohibited_response": "不得提出具体剂量或用药时间变更。",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000048"
    },
    {
      "allowed_response": "说明切口观察项目、记录方式和复诊原则。",
      "available_time": null,
      "boundary_id": "BOUNDARY-0000049",
      "boundary_text": "允许：说明切口观察项目、记录方式和复诊原则。 禁止：不得远程判断渗液性质或改变活动限制。",
      "boundary_type": "fact_scope_and_escalation",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "prohibited_response": "不得远程判断渗液性质或改变活动限制。",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000049"
    },
    {
      "allowed_response": "说明切口观察项目、记录方式和复诊原则。",
      "available_time": null,
      "boundary_id": "BOUNDARY-0000050",
      "boundary_text": "允许：说明切口观察项目、记录方式和复诊原则。 禁止：不得远程判断渗液性质或改变活动限制。",
      "boundary_type": "fact_scope_and_escalation",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "prohibited_response": "不得远程判断渗液性质或改变活动限制。",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000050"
    },
    {
      "allowed_response": "说明切口观察项目、记录方式和复诊原则。",
      "available_time": null,
      "boundary_id": "BOUNDARY-0000051",
      "boundary_text": "允许：说明切口观察项目、记录方式和复诊原则。 禁止：不得远程判断渗液性质或改变活动限制。",
      "boundary_type": "fact_scope_and_escalation",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "prohibited_response": "不得远程判断渗液性质或改变活动限制。",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000051"
    },
    {
      "allowed_response": "说明切口观察项目、记录方式和复诊原则。",
      "available_time": null,
      "boundary_id": "BOUNDARY-0000052",
      "boundary_text": "允许：说明切口观察项目、记录方式和复诊原则。 禁止：不得远程判断渗液性质或改变活动限制。",
      "boundary_type": "fact_scope_and_escalation",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "prohibited_response": "不得远程判断渗液性质或改变活动限制。",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000052"
    },
    {
      "allowed_response": "说明切口观察项目、记录方式和复诊原则。",
      "available_time": null,
      "boundary_id": "BOUNDARY-0000053",
      "boundary_text": "允许：说明切口观察项目、记录方式和复诊原则。 禁止：不得远程判断渗液性质或改变活动限制。",
      "boundary_type": "fact_scope_and_escalation",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "prohibited_response": "不得远程判断渗液性质或改变活动限制。",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000053"
    },
    {
      "allowed_response": "说明切口观察项目、记录方式和复诊原则。",
      "available_time": null,
      "boundary_id": "BOUNDARY-0000054",
      "boundary_text": "允许：说明切口观察项目、记录方式和复诊原则。 禁止：不得远程判断渗液性质或改变活动限制。",
      "boundary_type": "fact_scope_and_escalation",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "prohibited_response": "不得远程判断渗液性质或改变活动限制。",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000054"
    },
    {
      "allowed_response": "组织随访资料、计划状态和联系路径。",
      "available_time": null,
      "boundary_id": "BOUNDARY-0000055",
      "boundary_text": "允许：组织随访资料、计划状态和联系路径。 禁止：不得声称复查已完成或结节稳定。",
      "boundary_type": "fact_scope_and_escalation",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "prohibited_response": "不得声称复查已完成或结节稳定。",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000055"
    },
    {
      "allowed_response": "组织随访资料、计划状态和联系路径。",
      "available_time": null,
      "boundary_id": "BOUNDARY-0000056",
      "boundary_text": "允许：组织随访资料、计划状态和联系路径。 禁止：不得声称复查已完成或结节稳定。",
      "boundary_type": "fact_scope_and_escalation",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "prohibited_response": "不得声称复查已完成或结节稳定。",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000056"
    },
    {
      "allowed_response": "组织随访资料、计划状态和联系路径。",
      "available_time": null,
      "boundary_id": "BOUNDARY-0000057",
      "boundary_text": "允许：组织随访资料、计划状态和联系路径。 禁止：不得声称复查已完成或结节稳定。",
      "boundary_type": "fact_scope_and_escalation",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "prohibited_response": "不得声称复查已完成或结节稳定。",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000057"
    },
    {
      "allowed_response": "组织随访资料、计划状态和联系路径。",
      "available_time": null,
      "boundary_id": "BOUNDARY-0000058",
      "boundary_text": "允许：组织随访资料、计划状态和联系路径。 禁止：不得声称复查已完成或结节稳定。",
      "boundary_type": "fact_scope_and_escalation",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "prohibited_response": "不得声称复查已完成或结节稳定。",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000058"
    },
    {
      "allowed_response": "组织随访资料、计划状态和联系路径。",
      "available_time": null,
      "boundary_id": "BOUNDARY-0000059",
      "boundary_text": "允许：组织随访资料、计划状态和联系路径。 禁止：不得声称复查已完成或结节稳定。",
      "boundary_type": "fact_scope_and_escalation",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "prohibited_response": "不得声称复查已完成或结节稳定。",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000059"
    },
    {
      "allowed_response": "组织随访资料、计划状态和联系路径。",
      "available_time": null,
      "boundary_id": "BOUNDARY-0000060",
      "boundary_text": "允许：组织随访资料、计划状态和联系路径。 禁止：不得声称复查已完成或结节稳定。",
      "boundary_type": "fact_scope_and_escalation",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "prohibited_response": "不得声称复查已完成或结节稳定。",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000060"
    },
    {
      "allowed_response": "区分计划、预约、结果可用和解释阶段。",
      "available_time": null,
      "boundary_id": "BOUNDARY-0000061",
      "boundary_text": "允许：区分计划、预约、结果可用和解释阶段。 禁止：不得在结果缺失时判断正常异常或补造数值。",
      "boundary_type": "fact_scope_and_escalation",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "prohibited_response": "不得在结果缺失时判断正常异常或补造数值。",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000061"
    },
    {
      "allowed_response": "区分计划、预约、结果可用和解释阶段。",
      "available_time": null,
      "boundary_id": "BOUNDARY-0000062",
      "boundary_text": "允许：区分计划、预约、结果可用和解释阶段。 禁止：不得在结果缺失时判断正常异常或补造数值。",
      "boundary_type": "fact_scope_and_escalation",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "prohibited_response": "不得在结果缺失时判断正常异常或补造数值。",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000062"
    },
    {
      "allowed_response": "区分计划、预约、结果可用和解释阶段。",
      "available_time": null,
      "boundary_id": "BOUNDARY-0000063",
      "boundary_text": "允许：区分计划、预约、结果可用和解释阶段。 禁止：不得在结果缺失时判断正常异常或补造数值。",
      "boundary_type": "fact_scope_and_escalation",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "prohibited_response": "不得在结果缺失时判断正常异常或补造数值。",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000063"
    },
    {
      "allowed_response": "区分计划、预约、结果可用和解释阶段。",
      "available_time": null,
      "boundary_id": "BOUNDARY-0000064",
      "boundary_text": "允许：区分计划、预约、结果可用和解释阶段。 禁止：不得在结果缺失时判断正常异常或补造数值。",
      "boundary_type": "fact_scope_and_escalation",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "prohibited_response": "不得在结果缺失时判断正常异常或补造数值。",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000064"
    },
    {
      "allowed_response": "区分计划、预约、结果可用和解释阶段。",
      "available_time": null,
      "boundary_id": "BOUNDARY-0000065",
      "boundary_text": "允许：区分计划、预约、结果可用和解释阶段。 禁止：不得在结果缺失时判断正常异常或补造数值。",
      "boundary_type": "fact_scope_and_escalation",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "prohibited_response": "不得在结果缺失时判断正常异常或补造数值。",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000065"
    },
    {
      "allowed_response": "区分计划、预约、结果可用和解释阶段。",
      "available_time": null,
      "boundary_id": "BOUNDARY-0000066",
      "boundary_text": "允许：区分计划、预约、结果可用和解释阶段。 禁止：不得在结果缺失时判断正常异常或补造数值。",
      "boundary_type": "fact_scope_and_escalation",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "prohibited_response": "不得在结果缺失时判断正常异常或补造数值。",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000066"
    },
    {
      "allowed_response": "解释当次观察范围并组织复诊前记录。",
      "available_time": null,
      "boundary_id": "BOUNDARY-0000067",
      "boundary_text": "允许：解释当次观察范围并组织复诊前记录。 禁止：不得把一次未见感染解释为长期无并发症。",
      "boundary_type": "fact_scope_and_escalation",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "prohibited_response": "不得把一次未见感染解释为长期无并发症。",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000067"
    },
    {
      "allowed_response": "解释当次观察范围并组织复诊前记录。",
      "available_time": null,
      "boundary_id": "BOUNDARY-0000068",
      "boundary_text": "允许：解释当次观察范围并组织复诊前记录。 禁止：不得把一次未见感染解释为长期无并发症。",
      "boundary_type": "fact_scope_and_escalation",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "prohibited_response": "不得把一次未见感染解释为长期无并发症。",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000068"
    },
    {
      "allowed_response": "解释当次观察范围并组织复诊前记录。",
      "available_time": null,
      "boundary_id": "BOUNDARY-0000069",
      "boundary_text": "允许：解释当次观察范围并组织复诊前记录。 禁止：不得把一次未见感染解释为长期无并发症。",
      "boundary_type": "fact_scope_and_escalation",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "prohibited_response": "不得把一次未见感染解释为长期无并发症。",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000069"
    },
    {
      "allowed_response": "解释当次观察范围并组织复诊前记录。",
      "available_time": null,
      "boundary_id": "BOUNDARY-0000070",
      "boundary_text": "允许：解释当次观察范围并组织复诊前记录。 禁止：不得把一次未见感染解释为长期无并发症。",
      "boundary_type": "fact_scope_and_escalation",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "prohibited_response": "不得把一次未见感染解释为长期无并发症。",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000070"
    },
    {
      "allowed_response": "解释当次观察范围并组织复诊前记录。",
      "available_time": null,
      "boundary_id": "BOUNDARY-0000071",
      "boundary_text": "允许：解释当次观察范围并组织复诊前记录。 禁止：不得把一次未见感染解释为长期无并发症。",
      "boundary_type": "fact_scope_and_escalation",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "prohibited_response": "不得把一次未见感染解释为长期无并发症。",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000071"
    },
    {
      "allowed_response": "解释当次观察范围并组织复诊前记录。",
      "available_time": null,
      "boundary_id": "BOUNDARY-0000072",
      "boundary_text": "允许：解释当次观察范围并组织复诊前记录。 禁止：不得把一次未见感染解释为长期无并发症。",
      "boundary_type": "fact_scope_and_escalation",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "prohibited_response": "不得把一次未见感染解释为长期无并发症。",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000072"
    }
  ],
  "evidence_reference": [
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000001",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000001",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "我发热并咳嗽三天，想知道还需要补充什么情况。",
      "evidence_type": "synthetic_dialogue_premise",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000001"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000001",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000002",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "已知发热、咳嗽持续三天，计划完成胸部CT；病因尚未确定。",
      "evidence_type": "synthetic_case_fact",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000002"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000001",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000003",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "目前没有呼吸困难，体温最高38.5℃，胸部CT还没做。",
      "evidence_type": "synthetic_dialogue_premise",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000003"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000001",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000004",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "已知发热、咳嗽持续三天，计划完成胸部CT；病因尚未确定。",
      "evidence_type": "synthetic_case_fact",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000004"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000001",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000005",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "在复查前我应该记录哪些变化？",
      "evidence_type": "synthetic_dialogue_premise",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000005"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000001",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000006",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "已知发热、咳嗽持续三天，计划完成胸部CT；病因尚未确定。",
      "evidence_type": "synthetic_case_fact",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000006"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000002",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000007",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "我最近活动后气短，但没有胸痛，还需要说明哪些情况？",
      "evidence_type": "synthetic_dialogue_premise",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000007"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000002",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000008",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "已知活动后气短两周，病历记录否认胸痛，计划行心电图检查。",
      "evidence_type": "synthetic_case_fact",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000008"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000002",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000009",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "上两层楼时明显，休息几分钟能缓解，没有晕厥。",
      "evidence_type": "synthetic_dialogue_premise",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000009"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000002",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000010",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "已知活动后气短两周，病历记录否认胸痛，计划行心电图检查。",
      "evidence_type": "synthetic_case_fact",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000010"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000002",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000011",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "如果今晚又气短，我该怎么判断是否需要尽快就医？",
      "evidence_type": "synthetic_dialogue_premise",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000011"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000002",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000012",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "已知活动后气短两周，病历记录否认胸痛，计划行心电图检查。",
      "evidence_type": "synthetic_case_fact",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000012"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000003",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000013",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "手术后第二天还有腹痛，我应该怎样描述才有帮助？",
      "evidence_type": "synthetic_dialogue_premise",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000013"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000003",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000014",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "已知腹腔镜阑尾切除术后第二天，切口疼痛较前减轻，未记录呕吐。",
      "evidence_type": "synthetic_case_fact",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000014"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000003",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000015",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "疼痛比昨天轻，主要在切口附近，没有呕吐，体温正常。",
      "evidence_type": "synthetic_dialogue_premise",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000015"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000003",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000016",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "已知腹腔镜阑尾切除术后第二天，切口疼痛较前减轻，未记录呕吐。",
      "evidence_type": "synthetic_case_fact",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000016"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000003",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000017",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "哪些变化需要马上联系医生？",
      "evidence_type": "synthetic_dialogue_premise",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000017"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000003",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000018",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "已知腹腔镜阑尾切除术后第二天，切口疼痛较前减轻，未记录呕吐。",
      "evidence_type": "synthetic_case_fact",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000018"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000004",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000019",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "报告写右肺上叶有8毫米肺结节，这是不是肿瘤？",
      "evidence_type": "synthetic_dialogue_premise",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000019"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000004",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000020",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "胸部CT描述右肺上叶8毫米肺结节，建议三个月后复查；未提供病理结论。",
      "evidence_type": "synthetic_case_fact",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000020"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000004",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000021",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "报告没有写其他异常，只建议三个月后复查。",
      "evidence_type": "synthetic_dialogue_premise",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000021"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000004",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000022",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "胸部CT描述右肺上叶8毫米肺结节，建议三个月后复查；未提供病理结论。",
      "evidence_type": "synthetic_case_fact",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000022"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000004",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000023",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "复查前我需要做什么准备？",
      "evidence_type": "synthetic_dialogue_premise",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000023"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000004",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000024",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "胸部CT描述右肺上叶8毫米肺结节，建议三个月后复查；未提供病理结论。",
      "evidence_type": "synthetic_case_fact",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000024"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000005",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000025",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "出院诊断写原发性高血压，意味着以后血压高一次就很危险吗？",
      "evidence_type": "synthetic_dialogue_premise",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000025"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000005",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000026",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "出院诊断记录原发性高血压，出院说明要求继续监测血压。",
      "evidence_type": "synthetic_case_fact",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000026"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000005",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000027",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "我家里有血压计，但还没有固定记录时间。",
      "evidence_type": "synthetic_dialogue_premise",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000027"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000005",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000028",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "出院诊断记录原发性高血压，出院说明要求继续监测血压。",
      "evidence_type": "synthetic_case_fact",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000028"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000005",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000029",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "如果某次读数偏高，可以自己加药吗？",
      "evidence_type": "synthetic_dialogue_premise",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000029"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000005",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000030",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "出院诊断记录原发性高血压，出院说明要求继续监测血压。",
      "evidence_type": "synthetic_case_fact",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000030"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000006",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000031",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "病理报告写结肠腺癌、中分化，我想知道这和分期是不是一回事。",
      "evidence_type": "synthetic_dialogue_premise",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000031"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000006",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000032",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "合成病理报告记录结肠腺癌、中分化、切缘未见肿瘤累及；未提供完整分期。",
      "evidence_type": "synthetic_case_fact",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000032"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000006",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000033",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "报告里只看到切缘未见肿瘤累及，没有看到完整分期。",
      "evidence_type": "synthetic_dialogue_premise",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000033"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000006",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000034",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "合成病理报告记录结肠腺癌、中分化、切缘未见肿瘤累及；未提供完整分期。",
      "evidence_type": "synthetic_case_fact",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000034"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000006",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000035",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "我下一次沟通应该重点问哪些内容？",
      "evidence_type": "synthetic_dialogue_premise",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000035"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000006",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000036",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "合成病理报告记录结肠腺癌、中分化、切缘未见肿瘤累及；未提供完整分期。",
      "evidence_type": "synthetic_case_fact",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000036"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000007",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000037",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "材料里写阿莫西林500毫克每8小时一次，这能证明我已经按时服用了吗？",
      "evidence_type": "synthetic_dialogue_premise",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000037"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000007",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000038",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "记录中有阿莫西林500毫克每8小时口服的医嘱，但没有实际给药记录。",
      "evidence_type": "synthetic_case_fact",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000038"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000007",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000039",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "我只想核对这份材料能说明什么，暂时不讨论改药。",
      "evidence_type": "synthetic_dialogue_premise",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000039"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000007",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000040",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "记录中有阿莫西林500毫克每8小时口服的医嘱，但没有实际给药记录。",
      "evidence_type": "synthetic_case_fact",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000040"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000007",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000041",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "如果实际服用情况和医嘱不同，应该怎样记录？",
      "evidence_type": "synthetic_dialogue_premise",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000041"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000007",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000042",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "记录中有阿莫西林500毫克每8小时口服的医嘱，但没有实际给药记录。",
      "evidence_type": "synthetic_case_fact",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000042"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000008",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000043",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "出院说明让我继续吃氨氯地平，我应该怎样配合记录？",
      "evidence_type": "synthetic_dialogue_premise",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000043"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000008",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000044",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "出院说明记录继续口服氨氯地平并监测血压，未记录自行加减剂量规则。",
      "evidence_type": "synthetic_case_fact",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000044"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000008",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000045",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "我早上服药，偶尔会忘记记录血压。",
      "evidence_type": "synthetic_dialogue_premise",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000045"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000008",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000046",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "出院说明记录继续口服氨氯地平并监测血压，未记录自行加减剂量规则。",
      "evidence_type": "synthetic_case_fact",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000046"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000008",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000047",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "血压波动时能不能自己改变服药时间？",
      "evidence_type": "synthetic_dialogue_premise",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000047"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000008",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000048",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "出院说明记录继续口服氨氯地平并监测血压，未记录自行加减剂量规则。",
      "evidence_type": "synthetic_case_fact",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000048"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000009",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000049",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "出院后切口护理最需要关注什么？",
      "evidence_type": "synthetic_dialogue_premise",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000049"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000009",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000050",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "出院说明要求保持切口清洁、按计划复诊，并观察发热、红肿和渗液。",
      "evidence_type": "synthetic_case_fact",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000050"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000009",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000051",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "目前切口干燥，没有发热，但我担心活动会影响恢复。",
      "evidence_type": "synthetic_dialogue_premise",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000051"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000009",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000052",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "出院说明要求保持切口清洁、按计划复诊，并观察发热、红肿和渗液。",
      "evidence_type": "synthetic_case_fact",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000052"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000009",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000053",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "如果出现少量渗液，能先在家观察吗？",
      "evidence_type": "synthetic_dialogue_premise",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000053"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000009",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000054",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "出院说明要求保持切口清洁、按计划复诊，并观察发热、红肿和渗液。",
      "evidence_type": "synthetic_case_fact",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000054"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000010",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000055",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "报告建议三个月后复查，我怎样准备这次随访？",
      "evidence_type": "synthetic_dialogue_premise",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000055"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000010",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000056",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "影像报告建议三个月后复查胸部CT；未记录复查完成或结节变化。",
      "evidence_type": "synthetic_case_fact",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000056"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000010",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000057",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "我已经保存了报告，但还没有预约复查。",
      "evidence_type": "synthetic_dialogue_premise",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000057"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000010",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000058",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "影像报告建议三个月后复查胸部CT；未记录复查完成或结节变化。",
      "evidence_type": "synthetic_case_fact",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000058"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000010",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000059",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "如果预约时间晚了几天，需要自己改方案吗？",
      "evidence_type": "synthetic_dialogue_premise",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000059"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000010",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000060",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "影像报告建议三个月后复查胸部CT；未记录复查完成或结节变化。",
      "evidence_type": "synthetic_case_fact",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000060"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000011",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000061",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "病历建议复查血常规，但我现在还没有结果，随访时该怎么说？",
      "evidence_type": "synthetic_dialogue_premise",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000061"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000011",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000062",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "病程记录建议复查血常规，当前未提供复查结果。",
      "evidence_type": "synthetic_case_fact",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000062"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000011",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000063",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "我已经预约抽血，下周才能拿到结果。",
      "evidence_type": "synthetic_dialogue_premise",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000063"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000011",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000064",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "病程记录建议复查血常规，当前未提供复查结果。",
      "evidence_type": "synthetic_case_fact",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000064"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000011",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000065",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "拿到结果后只看异常箭头够吗？",
      "evidence_type": "synthetic_dialogue_premise",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000065"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000011",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000066",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "病程记录建议复查血常规，当前未提供复查结果。",
      "evidence_type": "synthetic_case_fact",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000066"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000012",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000067",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "随访记录写切口愈合良好、未见感染，这是不是说明以后都不会有问题？",
      "evidence_type": "synthetic_dialogue_premise",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000067"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000012",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000068",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "随访记录描述切口愈合良好、未见感染，并建议按计划复诊；不含长期结局。",
      "evidence_type": "synthetic_case_fact",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000068"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000012",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000069",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "目前我没有发热，切口也没有新的红肿。",
      "evidence_type": "synthetic_dialogue_premise",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000069"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000012",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000070",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "随访记录描述切口愈合良好、未见感染，并建议按计划复诊；不含长期结局。",
      "evidence_type": "synthetic_case_fact",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000070"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000012",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000071",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "下次复诊前我应该继续记录什么？",
      "evidence_type": "synthetic_dialogue_premise",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000071"
    },
    {
      "available_time": null,
      "document_id": "DOCUMENT-0000012",
      "event_time_raw": null,
      "evidence_id": "EVIDENCE-0000072",
      "evidence_status": "professionally_reviewed_synthetic",
      "evidence_text": "随访记录描述切口愈合良好、未见感染，并建议按计划复诊；不含长期结局。",
      "evidence_type": "synthetic_case_fact",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "turn_id": "TURN-0000072"
    }
  ],
  "handoff_record": [
    {
      "available_time": null,
      "episode_id": "EPISODE-0000001",
      "event_time_raw": null,
      "handoff_condition": "出现呼吸困难、胸痛、意识变化或持续高热",
      "handoff_id": "HANDOFF-0000001",
      "handoff_status": "available_when_condition_met",
      "handoff_target": "急诊或负责照护团队",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "trigger_turn_id": "TURN-0000006"
    },
    {
      "available_time": null,
      "episode_id": "EPISODE-0000002",
      "event_time_raw": null,
      "handoff_condition": "静息气短、胸痛、晕厥或症状迅速加重",
      "handoff_id": "HANDOFF-0000002",
      "handoff_status": "available_when_condition_met",
      "handoff_target": "急诊或心血管照护团队",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "trigger_turn_id": "TURN-0000012"
    },
    {
      "available_time": null,
      "episode_id": "EPISODE-0000003",
      "event_time_raw": null,
      "handoff_condition": "疼痛加重、发热、反复呕吐或切口异常",
      "handoff_id": "HANDOFF-0000003",
      "handoff_status": "available_when_condition_met",
      "handoff_target": "手术团队或急诊",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "trigger_turn_id": "TURN-0000018"
    },
    {
      "available_time": null,
      "episode_id": "EPISODE-0000004",
      "event_time_raw": null,
      "handoff_condition": "需要判断结节性质、调整复查时间或出现新症状",
      "handoff_id": "HANDOFF-0000004",
      "handoff_status": "available_when_condition_met",
      "handoff_target": "呼吸或影像专科团队",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "trigger_turn_id": "TURN-0000024"
    },
    {
      "available_time": null,
      "episode_id": "EPISODE-0000005",
      "event_time_raw": null,
      "handoff_condition": "持续异常读数、明显不适或提出调整处方",
      "handoff_id": "HANDOFF-0000005",
      "handoff_status": "available_when_condition_met",
      "handoff_target": "高血压照护团队",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "trigger_turn_id": "TURN-0000030"
    },
    {
      "available_time": null,
      "episode_id": "EPISODE-0000006",
      "event_time_raw": null,
      "handoff_condition": "需要完整分期、治疗方案或预后判断",
      "handoff_id": "HANDOFF-0000006",
      "handoff_status": "available_when_condition_met",
      "handoff_target": "病理与肿瘤专科团队",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "trigger_turn_id": "TURN-0000036"
    },
    {
      "available_time": null,
      "episode_id": "EPISODE-0000007",
      "event_time_raw": null,
      "handoff_condition": "实际服用与医嘱不一致、出现不适或询问剂量调整",
      "handoff_id": "HANDOFF-0000007",
      "handoff_status": "available_when_condition_met",
      "handoff_target": "开立医嘱的临床或药学团队",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "trigger_turn_id": "TURN-0000042"
    },
    {
      "available_time": null,
      "episode_id": "EPISODE-0000008",
      "event_time_raw": null,
      "handoff_condition": "持续血压异常、用药不适或提出调整方案",
      "handoff_id": "HANDOFF-0000008",
      "handoff_status": "available_when_condition_met",
      "handoff_target": "高血压照护或药学团队",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "trigger_turn_id": "TURN-0000048"
    },
    {
      "available_time": null,
      "episode_id": "EPISODE-0000009",
      "event_time_raw": null,
      "handoff_condition": "切口渗液、红肿、发热或疼痛加重",
      "handoff_id": "HANDOFF-0000009",
      "handoff_status": "available_when_condition_met",
      "handoff_target": "手术团队或急诊",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "trigger_turn_id": "TURN-0000054"
    },
    {
      "available_time": null,
      "episode_id": "EPISODE-0000010",
      "event_time_raw": null,
      "handoff_condition": "复查无法按期、出现新症状或需要调整方案",
      "handoff_id": "HANDOFF-0000010",
      "handoff_status": "available_when_condition_met",
      "handoff_target": "呼吸或影像随访团队",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "trigger_turn_id": "TURN-0000060"
    },
    {
      "available_time": null,
      "episode_id": "EPISODE-0000011",
      "event_time_raw": null,
      "handoff_condition": "结果异常、症状变化或需要临床解释",
      "handoff_id": "HANDOFF-0000011",
      "handoff_status": "available_when_condition_met",
      "handoff_target": "负责复查的临床团队",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "trigger_turn_id": "TURN-0000066"
    },
    {
      "available_time": null,
      "episode_id": "EPISODE-0000012",
      "event_time_raw": null,
      "handoff_condition": "切口红肿、渗液、发热或需要长期结局判断",
      "handoff_id": "HANDOFF-0000012",
      "handoff_status": "available_when_condition_met",
      "handoff_target": "手术随访团队",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "trigger_turn_id": "TURN-0000072"
    }
  ],
  "split_group": [
    {
      "available_time": null,
      "event_time_raw": null,
      "group_key": "GROUP-0000001",
      "grouping_policy": "episode and fact variants remain in one split",
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "split_id": "SPLIT-0000001",
      "split_name": "development"
    }
  ],
  "review_record": [
    {
      "available_time": null,
      "episode_id": "EPISODE-0000001",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "review_decision": "accepted_for_synthetic_dataset",
      "review_id": "REVIEW-0000001",
      "review_note": "role, turn dependency, fact evidence, response boundary and escalation path checked",
      "review_status": "completed",
      "reviewed_at": "2026-07-29T16:30:00+08:00",
      "reviewer_role": "clinical_communication_reviewer",
      "source_object_id": "SOURCE_OBJECT-0000001"
    },
    {
      "available_time": null,
      "episode_id": "EPISODE-0000002",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "review_decision": "accepted_for_synthetic_dataset",
      "review_id": "REVIEW-0000002",
      "review_note": "role, turn dependency, fact evidence, response boundary and escalation path checked",
      "review_status": "completed",
      "reviewed_at": "2026-07-29T16:30:00+08:00",
      "reviewer_role": "clinical_communication_reviewer",
      "source_object_id": "SOURCE_OBJECT-0000001"
    },
    {
      "available_time": null,
      "episode_id": "EPISODE-0000003",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "review_decision": "accepted_for_synthetic_dataset",
      "review_id": "REVIEW-0000003",
      "review_note": "role, turn dependency, fact evidence, response boundary and escalation path checked",
      "review_status": "completed",
      "reviewed_at": "2026-07-29T16:30:00+08:00",
      "reviewer_role": "clinical_communication_reviewer",
      "source_object_id": "SOURCE_OBJECT-0000001"
    },
    {
      "available_time": null,
      "episode_id": "EPISODE-0000004",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "review_decision": "accepted_for_synthetic_dataset",
      "review_id": "REVIEW-0000004",
      "review_note": "role, turn dependency, fact evidence, response boundary and escalation path checked",
      "review_status": "completed",
      "reviewed_at": "2026-07-29T16:30:00+08:00",
      "reviewer_role": "clinical_communication_reviewer",
      "source_object_id": "SOURCE_OBJECT-0000001"
    },
    {
      "available_time": null,
      "episode_id": "EPISODE-0000005",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "review_decision": "accepted_for_synthetic_dataset",
      "review_id": "REVIEW-0000005",
      "review_note": "role, turn dependency, fact evidence, response boundary and escalation path checked",
      "review_status": "completed",
      "reviewed_at": "2026-07-29T16:30:00+08:00",
      "reviewer_role": "clinical_communication_reviewer",
      "source_object_id": "SOURCE_OBJECT-0000001"
    },
    {
      "available_time": null,
      "episode_id": "EPISODE-0000006",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "review_decision": "accepted_for_synthetic_dataset",
      "review_id": "REVIEW-0000006",
      "review_note": "role, turn dependency, fact evidence, response boundary and escalation path checked",
      "review_status": "completed",
      "reviewed_at": "2026-07-29T16:30:00+08:00",
      "reviewer_role": "clinical_communication_reviewer",
      "source_object_id": "SOURCE_OBJECT-0000001"
    },
    {
      "available_time": null,
      "episode_id": "EPISODE-0000007",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "review_decision": "accepted_for_synthetic_dataset",
      "review_id": "REVIEW-0000007",
      "review_note": "role, turn dependency, fact evidence, response boundary and escalation path checked",
      "review_status": "completed",
      "reviewed_at": "2026-07-29T16:30:00+08:00",
      "reviewer_role": "clinical_communication_reviewer",
      "source_object_id": "SOURCE_OBJECT-0000001"
    },
    {
      "available_time": null,
      "episode_id": "EPISODE-0000008",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "review_decision": "accepted_for_synthetic_dataset",
      "review_id": "REVIEW-0000008",
      "review_note": "role, turn dependency, fact evidence, response boundary and escalation path checked",
      "review_status": "completed",
      "reviewed_at": "2026-07-29T16:30:00+08:00",
      "reviewer_role": "clinical_communication_reviewer",
      "source_object_id": "SOURCE_OBJECT-0000001"
    },
    {
      "available_time": null,
      "episode_id": "EPISODE-0000009",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "review_decision": "accepted_for_synthetic_dataset",
      "review_id": "REVIEW-0000009",
      "review_note": "role, turn dependency, fact evidence, response boundary and escalation path checked",
      "review_status": "completed",
      "reviewed_at": "2026-07-29T16:30:00+08:00",
      "reviewer_role": "clinical_communication_reviewer",
      "source_object_id": "SOURCE_OBJECT-0000001"
    },
    {
      "available_time": null,
      "episode_id": "EPISODE-0000010",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "review_decision": "accepted_for_synthetic_dataset",
      "review_id": "REVIEW-0000010",
      "review_note": "role, turn dependency, fact evidence, response boundary and escalation path checked",
      "review_status": "completed",
      "reviewed_at": "2026-07-29T16:30:00+08:00",
      "reviewer_role": "clinical_communication_reviewer",
      "source_object_id": "SOURCE_OBJECT-0000001"
    },
    {
      "available_time": null,
      "episode_id": "EPISODE-0000011",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "review_decision": "accepted_for_synthetic_dataset",
      "review_id": "REVIEW-0000011",
      "review_note": "role, turn dependency, fact evidence, response boundary and escalation path checked",
      "review_status": "completed",
      "reviewed_at": "2026-07-29T16:30:00+08:00",
      "reviewer_role": "clinical_communication_reviewer",
      "source_object_id": "SOURCE_OBJECT-0000001"
    },
    {
      "available_time": null,
      "episode_id": "EPISODE-0000012",
      "event_time_raw": null,
      "missing_reason": null,
      "parent_object_id": "PARENT_OBJECT-0000001",
      "record_status": "synthetic_dataset",
      "review_decision": "accepted_for_synthetic_dataset",
      "review_id": "REVIEW-0000012",
      "review_note": "role, turn dependency, fact evidence, response boundary and escalation path checked",
      "review_status": "completed",
      "reviewed_at": "2026-07-29T16:30:00+08:00",
      "reviewer_role": "clinical_communication_reviewer",
      "source_object_id": "SOURCE_OBJECT-0000001"
    }
  ],
  "quality_issue": [
    {
      "available_time": null,
      "event_time_raw": null,
      "handling": "use for dialogue structure and boundary evaluation; do not claim real communication coverage",
      "issue_code": "synthetic_not_real_conversation",
      "missing_reason": null,
      "object_id": "OBJECT-0000001",
      "object_type": "synthetic_dataset",
      "parent_object_id": "PARENT_OBJECT-0000001",
      "quality_issue_id": "QUALITY_ISSUE-0000001",
      "record_status": "synthetic_dataset",
      "severity": "info",
      "source_object_id": "SOURCE_OBJECT-0000001"
    }
  ]
}

[03]

使用场景

多轮沟通模型的逐轮边界对齐

医疗科技企业 · 医疗对话与咨询产品团队

边界按轮给：允许与禁止逐轮各一条。模型学到的是这一步能说到哪
禁止项贴着病例走：不得给出确定诊断、不得排除心肺疾病、不得把结节解释为良性或恶性。禁止项随病例事实变化，训练出的拒绝带具体理由
升级条件成字段：每轮带升级条件。模型遇到呼吸困难、胸痛、意识变化这类表述时转人工
上下文依赖显式：每轮记录它承接哪一轮以及承接方式。可训练模型正确指代上文，也可据此构造打乱顺序的负样本
六步状态可分评：开场、澄清、补充情境、依据受限的解释、方案确认、收尾或升级各自成状态。模型表现可按状态分别评估

获得：逐轮边界明确、升级路径可执行的多轮沟通对齐语料

随访咨询话术与转接口径的规范化

三甲医院 · 患者服务与随访中心

话术有现成范本：协调员一侧的话语先确认警示症状，再说明现有材料能支持到哪一步。可直接作为随访人员的话术范本
四类场景覆盖日常：病史追问、病情解释、出院用药、随访，恰是随访中心日常来电的主要类型
转接条件写死：接管记录写明触发条件与转接去向。去向含呼吸或影像专科、心血管照护团队、手术团队或急诊，可直接落成转接规程
该说与不该说成对：允许陈述与禁止陈述在同一条边界里成对给出，培训时不必再靠个人经验拿捏分寸
收尾有统一标准：结束条件统一要求完成事实边界说明，避免咨询在含糊状态下挂断

获得：话术、转接与收尾三项都有明文口径的随访规范底料

对话质检规则的用例与状态机校验

医疗信息化企业 · 对话系统与质检模块

状态机可对照：六个对话状态与六种意图逐轮标注。可直接对照检验产品的对话状态机有没有跳步或绕圈
越界可逐轮判定：每轮的禁止陈述是明确文本。质检模块可按轮判定回复有没有越界
依赖断裂有判据：轮次依赖字段让「答非所问」与「上下文丢失」这两类故障有了可判定的依据
转出逻辑可回归：接管记录绑定触发轮，可用作转人工逻辑的回归用例，检验条件命中时是否真的转出

获得：逐轮可判定、状态机可对照的对话质检用例

依据材料沟通的次序与边界教学

医学教育与患者沟通培训 · 沟通训练材料

先排危再解释：会话统一以确认警示症状开场，可作为「先排危、后解释」这一沟通次序的教学示例
说清材料到哪一步：协调员明确指出影像尚未完成、病理结论未提供。示范了信息不全时如何把话说清楚
患者一侧同样成文：患者轮次写出真实关切与追问方式，培训时可双向演练，不只练专业方一侧
禁止项当考点：逐场景的禁止陈述可直接作为培训考核题，检验学员会不会在追问压力下越界给结论

获得：次序、措辞与边界都有实例可循的沟通培训材料

[04]

定制与定向

是否支持定制：是
会话组织方式（单选）：按单一沟通场景 / 按多沟通场景组合
其他定制项（多选）：场景类型范围 / 会话轮数 / 升级条件强度 / 说话人角色设定 / 专科范围
最低定制数量：1,000 段多轮会话
边界与转接定制：允许与禁止陈述、升级条件与转接去向可按客户机构的服务规程改写，改写后随会话另出一版边界
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
病例背景与对话内容按去标识策略处理，事实范围声明随会话交付
会话内嵌的时间统一平移，保序保间隔；轮与轮之间的时间间隔不变

加密通道交付：支持

[06]

关联数据集

SHP-MED-06-036 临床指令微调训练数据——单轮任务形态的指令样本
SHP-MED-08-054 错误恢复与人工接管轨迹数据——接管触发之后的处置轨迹
SHP-MED-07-047 医疗安全与红队测试集——边界被冲撞时的安全评测

[07]

常见问题

多轮咨询与沟通训练数据包含哪些内容？

多轮咨询与沟通训练数据（SHP-MED-06-039）交付六轮制的多轮咨询会话样本，覆盖病史追问、病情解释、出院用药与随访四类场景。每段会话带病例背景与允许陈述范围，逐轮标注对话状态、意图与作答边界，并给出指向事实文书的证据引用与接管记录。

多轮咨询与沟通训练数据适合做什么？

适合咨询助手的多轮对话训练与逐轮边界对齐，升级条件与转人工路径写成字段可直接执行；也适合随访咨询话术与转接口径的规范化、对话质检规则的状态机校验，以及依据材料沟通的医患沟通培训材料组织。

多轮咨询与沟通训练数据有样例吗？怎么交付？

产品页提供明确标识的自产样例：十二段六轮制会话覆盖四类场景，七十二轮各配一条写明允许陈述与禁止陈述的作答边界与一条证据引用，每段另带写明触发条件与转接去向的接管记录。交付形态含数据集、API 调用、Token 计量与可信数据空间连接器。

多轮咨询与沟通训练数据如何定制与起步？

会话组织方式可选单一沟通场景或多场景组合，再按场景类型、会话轮数、升级条件强度、说话人角色设定与专科范围定制，起订量为 1,000 段多轮会话，数据量按项目商定。可先申请开源子集或测试数据体验会话与边界结构。

多轮咨询与沟通训练数据与哪些产品搭配？

常与临床指令微调训练数据（SHP-MED-06-036）互补单轮任务形态的样本，与错误恢复与人工接管轨迹数据（SHP-MED-08-054）衔接接管触发之后的处置轨迹，与医疗安全与红队测试集（SHP-MED-07-047）对照边界被冲撞时的安全评测。

[08]

获取方式

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

[03 · 关联产品]

继续查看可连接的数据产品

按产品资料中登记的患者、就诊、事件或任务标识关系继续查看。

SHP-MED-06-036体系 06

临床指令微调训练数据

分任务类型组织的单轮指令微调样本。每条样本给出指令、模型可见的上下文块，以及按声明结构写成的目标回答。回答附作答边界声明，并绑定一段可按字符区间回算的证据跨度。分组策略与复核记录随样本交付。可用于临床任务指令微调、医院助手的边界对齐与训练流水线校验。

10 个实体152 个字段

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SHP-MED-08-054体系 08

错误恢复与人工接管轨迹数据

智能体运行出错后的完整处置过程记录。每条轨迹记下任务快照与运行环境版本、错误检测与分类、影响范围。处置侧记回退与恢复动作、重试。转人工的部分另记接管触发、请求与人工决定。恢复动作显式指向它所处理的那个错误。用于训练失败处置策略，也可用于人机交接规范与发布回归。

18 个实体107 个字段

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SHP-MED-07-047体系 07

医疗安全与红队测试集

面向医疗大模型的安全边界测试集。用例按风险域组织，每例给一段临床上下文，再派生带干扰的对抗变体。每条用例预先定义必须行为与禁止结果两项判据，另标严重度。判分是二元的——两条同时满足才算通过。用于上线前的安全摸底与院内准入评估。

17 个实体95 个字段

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