[01 · SHP-MED-07-045]
医学多模态诊断与报告评测集。

影像与报告成对交付的评测集。一个病例装同一次检查的影像序列与实例、临床上下文与诊断报告版本。影像与报告之间用显式配对边连起来。题目建在病例上，分诊断、所见识别、报告生成与定位四类。用于影像与报告模型的分任务验收，也可用于院内影像应用比选。
医疗模型评测与安全 · 评估与研究使用许可 · 更新日期 2026-08-05
17
实体: 262
字段: 5
实体关系: 07
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	17	标注对象 · 临床上下文 · 报告版本 · 影像实例 · 影像序列 · 影像检查 · 评测病例 · 评测题 · 配对边 · 数据质量项 · 参考诊断 · 参考报告 · 复核记录 · 评分点 · 评分细则 · 来源沿袭 · 数据划分
字段	262	交付范围内的字段总数
实体关系	5	一个真实病例含一次影像检查、7 个序列与 1,034 个影像实例。同一病例另含一份报告版本与一条经核对的检查—报告配对边 · 每个真实影像实例绑定随包可迁移的相对路径、SOP 实例标识与文件、像素指纹 · 病例、序列与影像实例三层各自计数 · 真实来源报告与四道真实评测题登记为待复核候选，复核状态单列 · 每个自产病例含一个可读图像对象、一份临床上下文与两道题。各题另配参考诊断、参考报告、标注与评分对象
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
标注对象	annotation_id	标注标识
标注对象	parentobjectid	父对象标识
标注对象	record_status	记录状态
标注对象	sourceobjectid	来源对象标识
标注对象	sourcerowid	来源行标识
标注对象	eventtimeraw	事件时间
标注对象	available_time	可用时间
标注对象	missing_reason	缺失原因
标注对象	data_nature	数据性质
标注对象	item_id	条目标识
标注对象	imageobjectid	图像对象标识
标注对象	annotation_type	标注类型
标注对象	coordinate_system	坐标系
标注对象	geometry	几何
标注对象	label	标签
标注对象	annotation_scope	标注范围
标注对象	review_status	复核状态
临床情境	context_id	上下文标识
临床情境	parentobjectid	父对象标识
临床情境	record_status	记录状态
临床情境	sourceobjectid	来源对象标识
临床情境	sourcerowid	来源行标识
临床情境	eventtimeraw	事件时间
临床情境	available_time	可用时间
临床情境	missing_reason	缺失原因
临床情境	data_nature	数据性质
临床情境	case_id	病例标识
临床情境	context_status	上下文状态
临床情境	context_text	上下文正文
诊断报告版本	reportversionid	报告版本标识
诊断报告版本	parentobjectid	父对象标识
诊断报告版本	record_status	记录状态
诊断报告版本	sourceobjectid	来源对象标识
诊断报告版本	sourcerowid	来源行标识
诊断报告版本	eventtimeraw	事件时间
诊断报告版本	available_time	可用时间
诊断报告版本	missing_reason	缺失原因
诊断报告版本	data_nature	数据性质
诊断报告版本	case_id	病例标识
诊断报告版本	study_id	检查标识
诊断报告版本	report_status	报告状态
诊断报告版本	report_date	报告日期
诊断报告版本	findings_text	检查所见
诊断报告版本	impression_text	报告意见
诊断报告版本	recommendation_text	建议
诊断报告版本	reportversionstatus	报告版本状态
图像对象	imageobjectid	图像对象标识
图像对象	parentobjectid	父对象标识
图像对象	record_status	记录状态
图像对象	sourceobjectid	来源对象标识
图像对象	sourcerowid	来源行标识
图像对象	eventtimeraw	事件时间
图像对象	available_time	可用时间
图像对象	missing_reason	缺失原因
图像对象	data_nature	数据性质
图像对象	series_id	序列标识
图像对象	case_id	病例标识
图像对象	payload_status	载荷状态
图像对象	payloadpackageid	载荷包标识
图像对象	payloadmanifestsha256	载荷清单校验值
图像对象	payloadrelativepath	载荷相对路径
图像对象	payloadlogicaluri	载荷逻辑URI
图像对象	payload_format	载荷格式
图像对象	rows	矩阵行
图像对象	columns	矩阵列
图像对象	studyinstanceuid	检查实例标识
图像对象	seriesinstanceuid	序列实例标识
图像对象	sopinstanceuid	SOP 实例标识
图像对象	transfersyntaxuid	传输语法标识
图像对象	file_sha256	文件校验值
图像对象	pixeldatasha256	像素数据校验值
图像对象	size_bytes	字节数
图像对象	deidentificationruleversion	去标识规则版本
影像序列	series_id	序列标识
影像序列	parentobjectid	父对象标识
影像序列	record_status	记录状态
影像序列	sourceobjectid	来源对象标识
影像序列	sourcerowid	来源行标识
影像序列	eventtimeraw	事件时间
影像序列	available_time	可用时间
影像序列	missing_reason	缺失原因
影像序列	data_nature	数据性质
影像序列	study_id	检查标识
影像序列	case_id	病例标识
影像序列	seriesinstanceuid	序列实例标识
影像序列	series_number	序列号
影像序列	series_role	序列角色
影像序列	modality	设备类型
影像序列	series_description	序列描述
影像序列	rows	矩阵行
影像序列	columns	矩阵列
影像序列	pixel_spacing	像素间距（mm）
影像序列	slice_thickness	层厚（mm）
影像序列	instance_count	实例总数
影像序列	representativedecodestatus	代表层解码状态
影像检查	study_id	检查标识
影像检查	parentobjectid	父对象标识
影像检查	record_status	记录状态
影像检查	sourceobjectid	来源对象标识
影像检查	sourcerowid	来源行标识
影像检查	eventtimeraw	事件时间
影像检查	available_time	可用时间
影像检查	missing_reason	缺失原因
影像检查	data_nature	数据性质
影像检查	case_id	病例标识
影像检查	studyinstanceuid	检查实例标识
影像检查	modality	设备类型
影像检查	body_part	检查部位
影像检查	acquisitionstarttime	采集开始时间
影像检查	acquisitionendtime	采集结束时间
影像检查	series_count	序列数
影像检查	instance_count	实例总数
影像检查	payloadpackageid	载荷包标识
影像检查	payloadmanifestsha256	载荷清单校验值
多模态评测病例	case_id	病例标识
多模态评测病例	parentobjectid	父对象标识
多模态评测病例	record_status	记录状态
多模态评测病例	sourceobjectid	来源对象标识
多模态评测病例	sourcerowid	来源行标识
多模态评测病例	eventtimeraw	事件时间
多模态评测病例	available_time	可用时间
多模态评测病例	missing_reason	缺失原因
多模态评测病例	data_nature	数据性质
多模态评测病例	case_label	病例标签
多模态评测病例	case_status	病例状态
多模态评测题	item_id	条目标识
多模态评测题	parentobjectid	父对象标识
多模态评测题	record_status	记录状态
多模态评测题	sourceobjectid	来源对象标识
多模态评测题	sourcerowid	来源行标识
多模态评测题	eventtimeraw	事件时间
多模态评测题	available_time	可用时间
多模态评测题	missing_reason	缺失原因
多模态评测题	data_nature	数据性质
多模态评测题	case_id	病例标识
多模态评测题	task_type	任务类型
多模态评测题	question_text	题干
多模态评测题	input_modalities	输入模态
多模态评测题	inputstudyid	输入检查标识
多模态评测题	inputimageobject_id	输入图像对象标识
多模态评测题	context_id	上下文标识
多模态评测题	review_status	复核状态
配对关系	pairingedgeid	配对关系标识
配对关系	parentobjectid	父对象标识
配对关系	record_status	记录状态
配对关系	sourceobjectid	来源对象标识
配对关系	sourcerowid	来源行标识
配对关系	eventtimeraw	事件时间
配对关系	available_time	可用时间
配对关系	missing_reason	缺失原因
配对关系	data_nature	数据性质
配对关系	study_id	检查标识
配对关系	reportversionid	报告版本标识
配对关系	studyinstanceuid	检查实例标识
配对关系	pairing_method	配对方法
配对关系	pairing_status	配对状态
配对关系	confidence	配对置信
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	issue_code	问题代码
数据质量项	issue_detail	问题详情
参考诊断	referencediagnosisid	参考诊断标识
参考诊断	parentobjectid	父对象标识
参考诊断	record_status	记录状态
参考诊断	sourceobjectid	来源对象标识
参考诊断	sourcerowid	来源行标识
参考诊断	eventtimeraw	事件时间
参考诊断	available_time	可用时间
参考诊断	missing_reason	缺失原因
参考诊断	data_nature	数据性质
参考诊断	item_id	条目标识
参考诊断	diagnosis_text	诊断正文
参考诊断	diagnosis_basis	诊断依据
参考诊断	certainty	确定性
参考诊断	review_status	复核状态
参考报告	referencereportid	参考报告标识
参考报告	parentobjectid	父对象标识
参考报告	record_status	记录状态
参考报告	sourceobjectid	来源对象标识
参考报告	sourcerowid	来源行标识
参考报告	eventtimeraw	事件时间
参考报告	available_time	可用时间
参考报告	missing_reason	缺失原因
参考报告	data_nature	数据性质
参考报告	item_id	条目标识
参考报告	findings_text	检查所见
参考报告	impression_text	报告意见
参考报告	recommendation_text	建议
参考报告	review_status	复核状态
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	item_id	条目标识
复核记录	review_status	复核状态
复核记录	review_scope	复核范围
评分点	scoringpointid	评分点标识
评分点	parentobjectid	父对象标识
评分点	record_status	记录状态
评分点	sourceobjectid	来源对象标识
评分点	sourcerowid	来源行标识
评分点	eventtimeraw	事件时间
评分点	available_time	可用时间
评分点	missing_reason	缺失原因
评分点	data_nature	数据性质
评分点	item_id	条目标识
评分点	criterion_text	标准正文
评分点	expected_evidence	期望证据
评分点	max_score	满分
评分点	review_status	复核状态
评分细则	rubric_id	评分细则标识
评分细则	parentobjectid	父对象标识
评分细则	record_status	记录状态
评分细则	sourceobjectid	来源对象标识
评分细则	sourcerowid	来源行标识
评分细则	eventtimeraw	事件时间
评分细则	available_time	可用时间
评分细则	missing_reason	缺失原因
评分细则	data_nature	数据性质
评分细则	item_id	条目标识
评分细则	scoring_method	评分方法
评分细则	rubric_text	评分细则正文
评分细则	pass_threshold	通过阈值
评分细则	max_score	满分
评分细则	review_status	复核状态
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	case_id	病例标识
数据划分组	split_name	数据划分名称
数据划分组	grouping_key	分组键
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。
17 个实体14 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关联实体
标注对象

坐标系／标注区域
02关联实体
临床上下文

上下文正文／完整程度
03关联实体
报告版本

所见／意见／报告日期
04关联实体
影像实例

传输语法／去标识规则版本
05关联实体
影像序列

层厚／像素间距／矩阵
06关联实体
影像检查

成像类型／部位／采集时间
07核心实体
评测病例

影像＋报告＋上下文
08关联实体
评测题

可见模态／任务类型
09关联实体
配对边

配对依据／核验层级
10辅助实体
数据质量项

quality_issue
11关联实体
参考诊断

可接受答案／确定性
12关联实体
参考报告

分段参考文本
13关联实体
复核记录

复核状态／范围
14关联实体
评分点

判分要点／权重
15关联实体
评分细则

计分方法／通过阈值
16辅助实体
来源沿袭

source_lineage
17关联实体
数据划分

同一检查不跨划分
连接关系

每条关系独占一行，基数置于两实体之间
实体 A01
评测病例
影像＋报告＋上下文
1—1
实体 B
影像检查
成像类型／部位／采集时间
实体 A02
影像检查
成像类型／部位／采集时间
1—n
实体 B
影像序列
层厚／像素间距／矩阵
实体 A03
影像序列
层厚／像素间距／矩阵
1—n
实体 B
影像实例
传输语法／去标识规则版本
实体 A04
影像检查
成像类型／部位／采集时间
1—1
实体 B
配对边
配对依据／核验层级
实体 A05
配对边
配对依据／核验层级
1—1
实体 B
报告版本
所见／意见／报告日期
实体 A06
评测病例
影像＋报告＋上下文
1—1
实体 B
临床上下文
上下文正文／完整程度
实体 A07
评测病例
影像＋报告＋上下文
1—n
实体 B
评测题
可见模态／任务类型
实体 A08
评测题
可见模态／任务类型
1—1
实体 B
参考诊断
可接受答案／确定性
实体 A09
评测题
可见模态／任务类型
1—1
实体 B
参考报告
分段参考文本
实体 A10
评测题
可见模态／任务类型
1—n
实体 B
标注对象
坐标系／标注区域
实体 A11
评测题
可见模态／任务类型
1—1
实体 B
评分细则
计分方法／通过阈值
实体 A12
评测题
可见模态／任务类型
1—n
实体 B
评分点
判分要点／权重
实体 A13
评测题
可见模态／任务类型
1—n
实体 B
复核记录
复核状态／范围
实体 A14
评测病例
影像＋报告＋上下文
1—1
实体 B
数据划分
同一检查不跨划分
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
评测病例	1—1	影像检查	一个病例对应一次检查
影像检查	1—n	影像序列	一次检查含多个序列
影像序列	1—n	影像实例	一个序列含多个影像实例
影像检查	1—1	配对边	检查经配对边连到报告版本
配对边	1—1	报告版本	配对边指向本次检查的报告版本
评测病例	1—1	临床上下文	病例声明作答时可见的临床上下文
评测病例	1—n	评测题	一个病例可出多道不同任务的题
评测题	1—1	参考诊断	诊断类题对应一份参考诊断
评测题	1—1	参考报告	报告类题对应一份参考报告
评测题	1—n	标注对象	定位类题另挂坐标系明确的标注对象
评测题	1—1	评分细则	一道题对应一版评分细则
评测题	1—n	评分点	答案按评分点逐点判分
评测题	1—n	复核记录	题目的历次复核记录
评测病例	1—1	数据划分	病例整体归入一个划分
影像与报告之间隔着一条配对边。配对边写明按什么依据配上、核验到哪一层，配错与配不上都看得出来。检查—序列—实例三层逐级展开，各层的采集参数分层记录，测量类作答可回到序列参数上核算。题目挂在病例上，不挂在序列上。所以同一次检查的多个序列与全部实例始终算一例。
样例字段语义

分组	字段	英文键	语义
评测病例	病例构成	case_label	本病例的构成说明，声明它是影像与报告经核验配对的一次检查
评测病例	病例层级	case_status	病例所处的层级；来源报告在独立确认前只作候选，不当诊断参考答案
影像检查	成像类型	modality	本次检查的成像方式
影像检查	检查部位	body_part	本次检查覆盖的解剖部位
影像检查	采集起止时间	acquisitionstarttime／acquisitionendtime	本次检查的采集时间区间，与报告日期分列
影像序列	序列描述	series_description	该序列的采集或重建说明，如定位像、薄层肺窗重建
影像序列	层厚	slice_thickness	该序列的重建层厚；层厚不同的序列不可直接互比
影像序列	像素间距	pixel_spacing	单个像素对应的实际尺寸，测量类作答据此把像素长度换算成实际长度
影像序列	图像矩阵	rows／columns	该序列图像的行列数
影像实例	传输语法	transfersyntaxuid	该实例像素数据的编码方式，决定按哪种方式解码
影像实例	去标识规则版本	deidentificationruleversion	该实例所应用的标签清除规则版本，随实例一同交付
配对边	配对依据	pairing_method	影像与报告的配对方式，按检查实例标识精确匹配，不按时间与部位近似猜配
配对边	配对层级	pairing_status	该配对的核验层级；只有已核验的强配对才构成评测病例
报告版本	影像所见	findings_text	报告的所见段落，完整呈现不摘要
报告版本	诊断意见	impression_text	报告的结论段落；报告类题按所见与结论分别判分
报告版本	报告日期	report_date	本版报告的日期；更正报告另立版本，历史版本不被覆盖
临床上下文	上下文正文	context_text	作答时可见的临床背景，与影像一同构成本题的输入
临床上下文	上下文完整程度	context_status	该上下文的完整程度声明，避免把简要背景当成完整病史
评测题	可见模态	input_modalities	本题实际给到的输入形态；只按实际给到的输入判分
评测题	任务类型	task_type	本题考查的任务；影像所见识别、诊断印象、报告结构完整性与证据限定分列
评测题	题干	question_text	要求作答的具体内容
参考诊断	确定性	certainty	参考诊断所允许的确定程度，可接受答案不限于单一措辞
标注对象	坐标系	coordinate_system	定位类答案所在的坐标系；报告文字不被当作定位答案
数据划分	划分归组键	grouping_key	病例归入划分的依据；同一次检查的序列与实例不跨划分
样例记录

一例胸部 CT 检查与同一次检查的诊断报告，按检查实例标识精确配对成一条已核验的强配对边。本次检查含 7 个序列，从定位像到薄层肺窗重建各自记录矩阵、像素间距与层厚；报告的所见与意见段落完整呈现。题组按四类任务出题：影像所见识别、诊断印象、报告结构完整性与证据限定。每题声明实际给到的输入形态。整次检查与报告作为一个病例交付。
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  "pairing_edge": {
    "available_time": null,
    "confidence": "verified",
    "event_time_raw": null,
    "missing_reason": "not_covered_or_not_applicable",
    "pairing_edge_id": "PAIRING_EDGE-0000001",
    "pairing_method": "study_instance_uid_exact",
    "pairing_status": "verified_strong_pair",
    "parent_object_id": "PARENT_OBJECT-0000001",
    "record_status": "verified_strong_pair",
    "report_version_id": "REPORT_VERSION-0000001",
    "source_object_id": "SOURCE_OBJECT-0000001",
    "study_id": "STUDY-0000001",
    "study_instance_uid": "1.2.840.113619.2.476.202500090000000000000000000000000000000001"
  },
  "diagnostic_report_version": {
    "available_time": null,
    "case_id": "CASE-0000001",
    "event_time_raw": null,
    "findings_text": "    左肺下叶缺如，支气管残端周围见高密度影及条片状软组织密度影。双肺散在结节影，部分为磨玻璃密度，最大者位于右肺下叶背段，直径约0.7cm。左残肺少许条索影。纵隔淋巴结稍增多，未见明显增大。心脏未见增大，心包未见积液。主动脉壁钙化。左侧胸腔少量积液。扫及右乳点状钙化灶。扫及甲状腺右侧叶低密度结节。",
    "impression_text": "左肺下叶缺如，术区未见确切肿瘤复发征象，与2025.07.14日CT比较未见明显变化。左残肺少许慢性炎症。双肺散在小结节，多系炎性结节，右肺下叶背段磨玻璃结节其他待排，对比前片未见明显变化。主动脉壁钙化。纵隔淋巴结增多。左侧胸腔少量积液，左侧胸膜增厚。扫及右乳点状钙化灶。扫及甲状腺右侧叶低密度结节，请结合专科检查。",
    "missing_reason": "not_covered_or_not_applicable",
    "parent_object_id": "PARENT_OBJECT-0000001",
    "recommendation_text": null,
    "record_status": "source_report_pending_review",
    "report_date": "2025-12-21",
    "report_status": "source_report_pending_review",
    "report_version_id": "REPORT_VERSION-0000001",
    "report_version_status": "source_version_not_confirmed",
    "source_object_id": "SOURCE_OBJECT-0000001",
    "study_id": "STUDY-0000001"
  },
  "clinical_context": {
    "available_time": null,
    "case_id": "CASE-0000001",
    "context_id": "CONTEXT-0000001",
    "context_status": "minimal_context_without_report_target",
    "context_text": "胸部CT复查；既往存在肺部手术背景。来源影像与报告为强配对，诊断答案尚未人工确认。",
    "event_time_raw": null,
    "missing_reason": "not_covered_or_not_applicable",
    "parent_object_id": "PARENT_OBJECT-0000001",
    "record_status": "source_context_candidate",
    "source_object_id": "SOURCE_OBJECT-0000001"
  },
  "multimodal_eval_item": [
    {
      "available_time": null,
      "case_id": "CASE-0000001",
      "context_id": "CONTEXT-0000001",
      "event_time_raw": null,
      "input_image_object_id": null,
      "input_modalities": "image_payload",
      "input_study_id": "STUDY-0000001",
      "item_id": "ITEM-0000001",
      "missing_reason": "not_covered_or_not_applicable",
      "parent_object_id": "PARENT_OBJECT-0000001",
      "question_text": "在冻结影像闭集中识别主要影像所见；输出保持待复核。",
      "record_status": "source_pending_review_candidate",
      "review_status": "pending_review",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "task_type": "image_finding"
    },
    {
      "available_time": null,
      "case_id": "CASE-0000001",
      "context_id": "CONTEXT-0000001",
      "event_time_raw": null,
      "input_image_object_id": null,
      "input_modalities": "image_and_context",
      "input_study_id": "STUDY-0000001",
      "item_id": "ITEM-0000002",
      "missing_reason": "not_covered_or_not_applicable",
      "parent_object_id": "PARENT_OBJECT-0000001",
      "question_text": "结合影像与最小临床上下文形成诊断印象候选；输出保持待复核。",
      "record_status": "source_pending_review_candidate",
      "review_status": "pending_review",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "task_type": "diagnostic_impression"
    },
    {
      "available_time": null,
      "case_id": "CASE-0000001",
      "context_id": "CONTEXT-0000001",
      "event_time_raw": null,
      "input_image_object_id": null,
      "input_modalities": "image_and_source_report",
      "input_study_id": "STUDY-0000001",
      "item_id": "ITEM-0000003",
      "missing_reason": "not_covered_or_not_applicable",
      "parent_object_id": "PARENT_OBJECT-0000001",
      "question_text": "检查来源报告是否覆盖主要影像所见、结论与必要建议。",
      "record_status": "source_pending_review_candidate",
      "review_status": "pending_review",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "task_type": "report_completeness"
    },
    {
      "available_time": null,
      "case_id": "CASE-0000001",
      "context_id": "CONTEXT-0000001",
      "event_time_raw": null,
      "input_image_object_id": null,
      "input_modalities": "image_metadata_and_report",
      "input_study_id": "STUDY-0000001",
      "item_id": "ITEM-0000004",
      "missing_reason": "not_covered_or_not_applicable",
      "parent_object_id": "PARENT_OBJECT-0000001",
      "question_text": "识别该病例可回答与不可回答的影像证据边界。",
      "record_status": "source_pending_review_candidate",
      "review_status": "pending_review",
      "source_object_id": "SOURCE_OBJECT-0000001",
      "task_type": "evidence_limitation"
    }
  ],
  "split_group": {
    "available_time": null,
    "case_id": null,
    "event_time_raw": null,
    "grouping_key": null,
    "missing_reason": "not_covered_or_not_applicable",
    "parent_object_id": "PARENT_OBJECT-0000001",
    "record_status": "source_record",
    "source_object_id": "SOURCE_OBJECT-0000001",
    "split_id": "SPLIT-0000001",
    "split_name": null
  },
  "quality_issue": [
    {
      "available_time": null,
      "event_time_raw": null,
      "issue_code": "human_gold_absent",
      "issue_detail": "真实病例仅形成待复核题，不含人工确认诊断、报告、标注或评分。",
      "missing_reason": "not_covered_or_not_applicable",
      "parent_object_id": "PARENT_OBJECT-0000001",
      "quality_issue_id": "QUALITY_ISSUE-0000001",
      "record_status": "source_record",
      "source_object_id": "SOURCE_OBJECT-0000001"
    },
    {
      "available_time": null,
      "event_time_raw": null,
      "issue_code": "sibling_payload_dependency",
      "issue_detail": "真实影像字节位于同批可移交产品20兄弟包，以产品号、MANIFEST和相对路径闭集定位。",
      "missing_reason": "not_covered_or_not_applicable",
      "parent_object_id": "PARENT_OBJECT-0000001",
      "quality_issue_id": "QUALITY_ISSUE-0000002",
      "record_status": "source_record",
      "source_object_id": "SOURCE_OBJECT-0000001"
    }
  ]
}
[03]
使用场景

诊断与报告两类任务的分别验收

医疗科技企业 · 影像与报告模型研发
所见与结论分开判：影像所见识别与诊断印象分列成题
报告按维度扣分：报告类题按所见、结论、部位与侧别、测量、建议分维度判分，矛盾与遗漏单独记
按实际给到的输入算：每题声明实际给到的是影像、临床上下文还是两者，只按给到的输入判分
测量有物理依据：序列记录像素间距与层厚，测量类作答可换算回实际长度逐条核对
一次检查算一例：同一次检查的多个序列与全部实例归属同一病例
获得：诊断与报告分任务出分、测量可核算的多模态评测口径
配对可靠性与报告质量的院内检验

医院影像科与医学影像中心 · 影像智能应用比选
配对必须精确：影像与报告按检查实例标识精确配对
更正报告另立版本：历史版本一并保留，可检验系统读的是不是当前有效版本
序列可比性：层厚与重建方式不同的序列分别记录，比选时可要求在可比序列上出结果
结构完整性成题：报告是否漏写部位、侧别或建议，都写成可判分的题
获得：配对可靠、报告结构可判分的影像应用比选依据
多模态能力证据的成套组织

医疗器械与影像软件企业 · 临床评价材料准备
输入条件随题交付：每题的可见模态与临床上下文完整程度随题一同交付，能力声明不脱离输入条件
来源报告先作候选：来源报告在独立确认前只作候选，另有参考诊断承载答案
定位另有承载：定位类任务另有坐标系明确的标注对象
边界与数据同行：已知的能力边界随数据一同交付，材料里既写覆盖也写未覆盖
获得：输入条件与边界都写清楚的多模态能力证据包
报告评价维度与数据组织框架

高校与科研机构 · 影像报告生成研究
分维度评价框架：所见、结论、部位侧别、测量、建议、矛盾与遗漏这套维度现成。可直接用作报告生成的评价框架
强配对的构造条件：配对依据与核验层级写明，可用作自建影像—报告数据集的配对准则
不确定表达研究：参考诊断保留可接受答案与确定性，可用于研究模型对不确定表达的处理方式
划分按检查成组：同一次检查的序列与实例不跨划分
获得：评价维度清晰、配对与划分准则明确的报告生成研究底座
[04]
定制与定向

是否支持定制：是
模态与任务范围（单选）：按单一成像类型与任务 / 按全模态任务组合
其他定制项（多选）：成像类型 / 检查部位 / 序列构成 / 报告评分维度 / 临床上下文完整程度
最低定制数量：200 例配对检查
影像交付：成像类型、序列构成与像素载荷交付形式按项目商定
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
影像标签中的机构、设备与人员标识清除，检查与序列标识重新生成不保留可回联性；像素内烧录文字逐张核查
加密通道交付：支持
[06]
关联数据集

SHP-MED-03-020 医学影像—报告配对数据——题干所依托的影像与报告配对数据
SHP-MED-06-040 多模态临床训练数据——训练侧对应的多模态数据
SHP-MED-03-024 复查对比与病灶变化数据——跨次检查对比任务的配套数据
[07]
常见问题

医学多模态诊断与报告评测集包含哪些内容？
医学多模态诊断与报告评测集（SHP-MED-07-045）按病例交付，一个病例装同一次检查的影像序列与实例、临床上下文与诊断报告版本。影像与报告之间用显式配对边连接。题目建在病例上，分诊断、所见识别、报告生成与定位四类。
多模态评测集适合评什么？
医学多模态诊断与报告评测集（SHP-MED-07-045）用于影像模型与报告生成模型的分任务评估，也可用于院内影像应用比选。它作为独立评测集使用，与训练侧数据隔离，诊断与报告两类任务分别出分。
样例和交付形态是什么样的？
公开样例展示医学多模态诊断与报告评测集（SHP-MED-07-045）的病例结构：影像序列与实例、报告版本、临床上下文与配对边；题目与参考答案随项目交付。交付为病例清单加单一病例文件夹与元数据文件，另支持 API 调用。
起订量是多少？可以怎么定制？
医学多模态诊断与报告评测集（SHP-MED-07-045）起订量为 200 例配对检查，范围按单一成像类型与任务或全模态任务组合确定。成像类型、检查部位、序列构成、报告评分维度与临床上下文完整程度可选配。
和哪些产品一起用？
医学多模态诊断与报告评测集（SHP-MED-07-045）的题干素材可取医学影像—报告配对数据（SHP-MED-03-020），训练侧对应多模态临床训练数据（SHP-MED-06-040）。跨次对比任务另配复查数据。
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获取方式

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

按产品资料中登记的患者、就诊、事件或任务标识关系继续查看。
SHP-MED-03-020体系 03
医学影像—报告配对数据

DICOM 影像与对应诊断报告在检查级精确配对的成套数据。交付检查、序列、实例与报告版本的完整层级。适用于影像大模型训练、影像资产组织与影像终点评审。
9 个实体149 个字段
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SHP-MED-06-040体系 06
多模态临床训练数据

多模态临床训练样本，以病例束为单位组织。每束之下挂各模态资产，逐个资产给出可用状态与解码范围。资产之间的配对边只在存在显式键时建立。任务规范写明输入模态与目标规则，样本另带目标记录与其来源性质。可用于影像—文本多模态训练、多模态数据接入评估与研究取材。
13 个实体159 个字段
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SHP-MED-03-024体系 03
复查对比与病灶变化数据

同一患者两个及以上时点的检查与各自的报告版本，按随访段组织。基线规则写在数据里，比较前先判两次检查可不可比。变化结论区分来源断言与量化测量。可用于纵向对比模型训练、影像科随访读片与疗效评估。
12 个实体68 个字段
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