{
  "样例性质": "自产样本",
  "review_case": [
    {
      "case_id": "CASE-0000001",
      "material_snapshot_time": "2026-07-18T08:00:00+08:00",
      "task_domain": "diagnosis_or_disposition_review",
      "task_material_summary": "合成急诊胸痛材料：突发胸闷、首份心电图摘要、肌钙蛋白初检和观察建议。"
    },
    {
      "case_id": "CASE-0000002",
      "material_snapshot_time": "2026-07-19T08:00:00+08:00",
      "task_domain": "diagnosis_or_disposition_review",
      "task_material_summary": "合成老年发热材料：发热、低血压、血常规、乳酸初检和液体复评记录。"
    },
    {
      "case_id": "CASE-0000003",
      "material_snapshot_time": "2026-07-20T08:00:00+08:00",
      "task_domain": "diagnosis_or_disposition_review",
      "task_material_summary": "合成急性呼吸困难材料：气促、血氧、胸片摘要、肾功能和利尿处理意向。"
    },
    {
      "case_id": "CASE-0000004",
      "material_snapshot_time": "2026-07-21T08:00:00+08:00",
      "task_domain": "diagnosis_or_disposition_review",
      "task_material_summary": "合成术后意识改变材料：麻醉恢复记录、镇痛用药摘要、血糖和神经查体片段。"
    },
    {
      "case_id": "CASE-0000005",
      "material_snapshot_time": "2026-07-22T08:00:00+08:00",
      "task_domain": "extraction_or_coding_review",
      "task_material_summary": "合成糖尿病门诊文本：慢病随访段落、否定词、胰岛素名称候选和复诊计划。"
    },
    {
      "case_id": "CASE-0000006",
      "material_snapshot_time": "2026-07-23T08:00:00+08:00",
      "task_domain": "extraction_or_coding_review",
      "task_material_summary": "合成抗菌药过敏文本：既往反应描述、现用药记录、皮疹时间和替代方案片段。"
    },
    {
      "case_id": "CASE-0000007",
      "material_snapshot_time": "2026-07-24T08:00:00+08:00",
      "task_domain": "extraction_or_coding_review",
      "task_material_summary": "合成手术记录文本：术前诊断、术式名称、术后诊断和编号化术语候选。"
    },
    {
      "case_id": "CASE-0000008",
      "material_snapshot_time": "2026-07-25T08:00:00+08:00",
      "task_domain": "extraction_or_coding_review",
      "task_material_summary": "合成检验报告文本：项目名称、数值、单位、参考范围和复查建议片段。"
    },
    {
      "case_id": "CASE-0000009",
      "material_snapshot_time": "2026-07-26T08:00:00+08:00",
      "task_domain": "multimodal_or_report_review",
      "task_material_summary": "合成胸部CT报告材料：检查级摘要、系列描述、报告所见和病例级关联候选。"
    },
    {
      "case_id": "CASE-0000010",
      "material_snapshot_time": "2026-07-27T08:00:00+08:00",
      "task_domain": "multimodal_or_report_review",
      "task_material_summary": "合成肺部病理材料：标本摘要、病理报告片段、IHC结果和影像关联候选。"
    },
    {
      "case_id": "CASE-0000011",
      "material_snapshot_time": "2026-07-28T08:00:00+08:00",
      "task_domain": "multimodal_or_report_review",
      "task_material_summary": "合成心电材料：检查编号、自动测量摘要、判读文字和复查建议。"
    },
    {
      "case_id": "CASE-0000012",
      "material_snapshot_time": "2026-07-29T08:00:00+08:00",
      "task_domain": "multimodal_or_report_review",
      "task_material_summary": "合成肺结节复查材料：前后报告摘要、结节尺寸描述、检查间隔和随访建议。"
    }
  ],
  "review_role": [
    {
      "case_id": "CASE-0000001",
      "independence_status": "synthetic_role",
      "role_id": "ROLE-0000001",
      "role_type": "initial_reviewer"
    },
    {
      "case_id": "CASE-0000001",
      "independence_status": "synthetic_independent_snapshot",
      "role_id": "ROLE-0000002",
      "role_type": "independent_reviewer"
    },
    {
      "case_id": "CASE-0000001",
      "independence_status": "synthetic_role",
      "role_id": "ROLE-0000003",
      "role_type": "adjudicator"
    },
    {
      "case_id": "CASE-0000002",
      "independence_status": "synthetic_role",
      "role_id": "ROLE-0000004",
      "role_type": "initial_reviewer"
    },
    {
      "case_id": "CASE-0000002",
      "independence_status": "synthetic_independent_snapshot",
      "role_id": "ROLE-0000005",
      "role_type": "independent_reviewer"
    },
    {
      "case_id": "CASE-0000002",
      "independence_status": "synthetic_role",
      "role_id": "ROLE-0000006",
      "role_type": "adjudicator"
    },
    {
      "case_id": "CASE-0000003",
      "independence_status": "synthetic_role",
      "role_id": "ROLE-0000007",
      "role_type": "initial_reviewer"
    },
    {
      "case_id": "CASE-0000003",
      "independence_status": "synthetic_independent_snapshot",
      "role_id": "ROLE-0000008",
      "role_type": "independent_reviewer"
    },
    {
      "case_id": "CASE-0000003",
      "independence_status": "synthetic_role",
      "role_id": "ROLE-0000009",
      "role_type": "adjudicator"
    },
    {
      "case_id": "CASE-0000004",
      "independence_status": "synthetic_role",
      "role_id": "ROLE-0000010",
      "role_type": "initial_reviewer"
    },
    {
      "case_id": "CASE-0000004",
      "independence_status": "synthetic_independent_snapshot",
      "role_id": "ROLE-0000011",
      "role_type": "independent_reviewer"
    },
    {
      "case_id": "CASE-0000004",
      "independence_status": "synthetic_role",
      "role_id": "ROLE-0000012",
      "role_type": "adjudicator"
    },
    {
      "case_id": "CASE-0000005",
      "independence_status": "synthetic_role",
      "role_id": "ROLE-0000013",
      "role_type": "initial_reviewer"
    },
    {
      "case_id": "CASE-0000005",
      "independence_status": "synthetic_independent_snapshot",
      "role_id": "ROLE-0000014",
      "role_type": "independent_reviewer"
    },
    {
      "case_id": "CASE-0000005",
      "independence_status": "synthetic_role",
      "role_id": "ROLE-0000015",
      "role_type": "adjudicator"
    },
    {
      "case_id": "CASE-0000006",
      "independence_status": "synthetic_role",
      "role_id": "ROLE-0000016",
      "role_type": "initial_reviewer"
    },
    {
      "case_id": "CASE-0000006",
      "independence_status": "synthetic_independent_snapshot",
      "role_id": "ROLE-0000017",
      "role_type": "independent_reviewer"
    },
    {
      "case_id": "CASE-0000006",
      "independence_status": "synthetic_role",
      "role_id": "ROLE-0000018",
      "role_type": "adjudicator"
    },
    {
      "case_id": "CASE-0000007",
      "independence_status": "synthetic_role",
      "role_id": "ROLE-0000019",
      "role_type": "initial_reviewer"
    },
    {
      "case_id": "CASE-0000007",
      "independence_status": "synthetic_independent_snapshot",
      "role_id": "ROLE-0000020",
      "role_type": "independent_reviewer"
    },
    {
      "case_id": "CASE-0000007",
      "independence_status": "synthetic_role",
      "role_id": "ROLE-0000021",
      "role_type": "adjudicator"
    },
    {
      "case_id": "CASE-0000008",
      "independence_status": "synthetic_role",
      "role_id": "ROLE-0000022",
      "role_type": "initial_reviewer"
    },
    {
      "case_id": "CASE-0000008",
      "independence_status": "synthetic_independent_snapshot",
      "role_id": "ROLE-0000023",
      "role_type": "independent_reviewer"
    },
    {
      "case_id": "CASE-0000008",
      "independence_status": "synthetic_role",
      "role_id": "ROLE-0000024",
      "role_type": "adjudicator"
    },
    {
      "case_id": "CASE-0000009",
      "independence_status": "synthetic_role",
      "role_id": "ROLE-0000025",
      "role_type": "initial_reviewer"
    },
    {
      "case_id": "CASE-0000009",
      "independence_status": "synthetic_independent_snapshot",
      "role_id": "ROLE-0000026",
      "role_type": "independent_reviewer"
    },
    {
      "case_id": "CASE-0000009",
      "independence_status": "synthetic_role",
      "role_id": "ROLE-0000027",
      "role_type": "adjudicator"
    },
    {
      "case_id": "CASE-0000010",
      "independence_status": "synthetic_role",
      "role_id": "ROLE-0000028",
      "role_type": "initial_reviewer"
    },
    {
      "case_id": "CASE-0000010",
      "independence_status": "synthetic_independent_snapshot",
      "role_id": "ROLE-0000029",
      "role_type": "independent_reviewer"
    },
    {
      "case_id": "CASE-0000010",
      "independence_status": "synthetic_role",
      "role_id": "ROLE-0000030",
      "role_type": "adjudicator"
    },
    {
      "case_id": "CASE-0000011",
      "independence_status": "synthetic_role",
      "role_id": "ROLE-0000031",
      "role_type": "initial_reviewer"
    },
    {
      "case_id": "CASE-0000011",
      "independence_status": "synthetic_independent_snapshot",
      "role_id": "ROLE-0000032",
      "role_type": "independent_reviewer"
    },
    {
      "case_id": "CASE-0000011",
      "independence_status": "synthetic_role",
      "role_id": "ROLE-0000033",
      "role_type": "adjudicator"
    },
    {
      "case_id": "CASE-0000012",
      "independence_status": "synthetic_role",
      "role_id": "ROLE-0000034",
      "role_type": "initial_reviewer"
    },
    {
      "case_id": "CASE-0000012",
      "independence_status": "synthetic_independent_snapshot",
      "role_id": "ROLE-0000035",
      "role_type": "independent_reviewer"
    },
    {
      "case_id": "CASE-0000012",
      "independence_status": "synthetic_role",
      "role_id": "ROLE-0000036",
      "role_type": "adjudicator"
    }
  ],
  "review_opinion": [
    {
      "applicability_boundary": "仅适用于本次合成就诊快照，不外推长期结局或最终诊断。",
      "case_id": "CASE-0000001",
      "conclusion_status": "synthetic_limited_conclusion_supported",
      "confidence_status": "synthetic_moderate",
      "opinion_basis": "依据现病史、查体摘要与已提供检验的方向一致性。胸痛持续时间、首份心电图和初检结果尚未形成高危证据。",
      "opinion_id": "OPINION-0000001",
      "opinion_summary": "初审认为现有材料支持限定范围的候选结论。初审主张在首份检查无特异改变时保留低危观察候选。",
      "opinion_version": "1",
      "role_id": "ROLE-0000001",
      "submitted_time": "2026-07-18T09:00:00+08:00",
      "uncertainty_status": "synthetic_confirmatory_test_missing"
    },
    {
      "applicability_boundary": "不得形成最终诊断、治疗效果或长期风险判断。",
      "case_id": "CASE-0000001",
      "conclusion_status": "synthetic_narrower_conclusion_required",
      "confidence_status": "synthetic_low",
      "opinion_basis": "依据关键确认性检查缺失且时间关系不足。单次初检不能排除动态变化，观察窗口尚未闭合。",
      "opinion_id": "OPINION-0000002",
      "opinion_summary": "独立审阅认为应缩窄结论并先补确认性材料。独立审阅主张先补重复心电图与动态生物标志物。",
      "opinion_version": "1",
      "role_id": "ROLE-0000002",
      "submitted_time": "2026-07-18T10:00:00+08:00",
      "uncertainty_status": "synthetic_key_evidence_gap"
    },
    {
      "applicability_boundary": "仅输出冻结材料直接支持的交集，不替代临床诊断。",
      "case_id": "CASE-0000001",
      "conclusion_status": "synthetic_adjudicated_limited_conclusion",
      "confidence_status": "synthetic_moderate",
      "opinion_basis": "依据两侧共同支持部分与补证返回结果。分歧焦点是一次性初检能否支持风险分层。",
      "opinion_id": "OPINION-0000003",
      "opinion_summary": "仲裁意见采纳更窄的候选结论并保留不确定项。仲裁仅采纳短期观察与重复检查建议，不输出急性事件的确定性结论。",
      "opinion_version": "1",
      "role_id": "ROLE-0000003",
      "submitted_time": "2026-07-18T11:00:00+08:00",
      "uncertainty_status": "synthetic_residual_uncertainty"
    },
    {
      "applicability_boundary": "仅适用于本次合成就诊快照，不外推长期结局或最终诊断。",
      "case_id": "CASE-0000002",
      "conclusion_status": "synthetic_limited_conclusion_supported",
      "confidence_status": "synthetic_moderate",
      "opinion_basis": "依据现病史、查体摘要与已提供检验的方向一致性。低血压与乳酸异常方向一致，但病原学和复评反应缺失。",
      "opinion_id": "OPINION-0000004",
      "opinion_summary": "初审认为现有材料支持限定范围的候选结论。初审主张将感染相关低灌注列为需优先复评的候选。",
      "opinion_version": "1",
      "role_id": "ROLE-0000004",
      "submitted_time": "2026-07-19T09:00:00+08:00",
      "uncertainty_status": "synthetic_confirmatory_test_missing"
    },
    {
      "applicability_boundary": "不得形成最终诊断、治疗效果或长期风险判断。",
      "case_id": "CASE-0000002",
      "conclusion_status": "synthetic_narrower_conclusion_required",
      "confidence_status": "synthetic_low",
      "opinion_basis": "依据关键确认性检查缺失且时间关系不足。现有资料缺少连续生命体征、培养和用药前后时序。",
      "opinion_id": "OPINION-0000005",
      "opinion_summary": "独立审阅认为应缩窄结论并先补确认性材料。独立审阅主张先区分容量不足、感染和药物相关因素。",
      "opinion_version": "1",
      "role_id": "ROLE-0000005",
      "submitted_time": "2026-07-19T10:00:00+08:00",
      "uncertainty_status": "synthetic_key_evidence_gap"
    },
    {
      "applicability_boundary": "仅输出冻结材料直接支持的交集，不替代临床诊断。",
      "case_id": "CASE-0000002",
      "conclusion_status": "synthetic_adjudicated_limited_conclusion",
      "confidence_status": "synthetic_moderate",
      "opinion_basis": "依据两侧共同支持部分与补证返回结果。分歧焦点是低血压的单一归因是否成立。",
      "opinion_id": "OPINION-0000006",
      "opinion_summary": "仲裁意见采纳更窄的候选结论并保留不确定项。仲裁保留感染相关低灌注候选，同时要求记录容量复评和培养结果。",
      "opinion_version": "1",
      "role_id": "ROLE-0000006",
      "submitted_time": "2026-07-19T11:00:00+08:00",
      "uncertainty_status": "synthetic_residual_uncertainty"
    },
    {
      "applicability_boundary": "仅适用于本次合成就诊快照，不外推长期结局或最终诊断。",
      "case_id": "CASE-0000003",
      "conclusion_status": "synthetic_limited_conclusion_supported",
      "confidence_status": "synthetic_moderate",
      "opinion_basis": "依据现病史、查体摘要与已提供检验的方向一致性。胸片充血征象摘要与低氧同时出现，且有既往肾功能异常线索。",
      "opinion_id": "OPINION-0000007",
      "opinion_summary": "初审认为现有材料支持限定范围的候选结论。初审主张影像与低氧支持容量负荷相关呼吸困难候选。",
      "opinion_version": "1",
      "role_id": "ROLE-0000007",
      "submitted_time": "2026-07-20T09:00:00+08:00",
      "uncertainty_status": "synthetic_confirmatory_test_missing"
    },
    {
      "applicability_boundary": "不得形成最终诊断、治疗效果或长期风险判断。",
      "case_id": "CASE-0000003",
      "conclusion_status": "synthetic_narrower_conclusion_required",
      "confidence_status": "synthetic_low",
      "opinion_basis": "依据关键确认性检查缺失且时间关系不足。缺少体液状态、超声和治疗后氧合变化。",
      "opinion_id": "OPINION-0000008",
      "opinion_summary": "独立审阅认为应缩窄结论并先补确认性材料。独立审阅主张影像摘要不足以区分感染、心源性和其他原因。",
      "opinion_version": "1",
      "role_id": "ROLE-0000008",
      "submitted_time": "2026-07-20T10:00:00+08:00",
      "uncertainty_status": "synthetic_key_evidence_gap"
    },
    {
      "applicability_boundary": "仅输出冻结材料直接支持的交集，不替代临床诊断。",
      "case_id": "CASE-0000003",
      "conclusion_status": "synthetic_adjudicated_limited_conclusion",
      "confidence_status": "synthetic_moderate",
      "opinion_basis": "依据两侧共同支持部分与补证返回结果。分歧焦点是影像摘要能否决定病因和处理方向。",
      "opinion_id": "OPINION-0000009",
      "opinion_summary": "仲裁意见采纳更窄的候选结论并保留不确定项。仲裁仅保留需并行鉴别与复测氧合的候选路径，不指定单一病因。",
      "opinion_version": "1",
      "role_id": "ROLE-0000009",
      "submitted_time": "2026-07-20T11:00:00+08:00",
      "uncertainty_status": "synthetic_residual_uncertainty"
    },
    {
      "applicability_boundary": "仅适用于本次合成就诊快照，不外推长期结局或最终诊断。",
      "case_id": "CASE-0000004",
      "conclusion_status": "synthetic_limited_conclusion_supported",
      "confidence_status": "synthetic_moderate",
      "opinion_basis": "依据现病史、查体摘要与已提供检验的方向一致性。意识变化发生于术后早期，镇痛给药与血糖异常均为可见线索。",
      "opinion_id": "OPINION-0000010",
      "opinion_summary": "初审认为现有材料支持限定范围的候选结论。初审主张优先按药物残余与代谢因素复核。",
      "opinion_version": "1",
      "role_id": "ROLE-0000010",
      "submitted_time": "2026-07-21T09:00:00+08:00",
      "uncertainty_status": "synthetic_confirmatory_test_missing"
    },
    {
      "applicability_boundary": "不得形成最终诊断、治疗效果或长期风险判断。",
      "case_id": "CASE-0000004",
      "conclusion_status": "synthetic_narrower_conclusion_required",
      "confidence_status": "synthetic_low",
      "opinion_basis": "依据关键确认性检查缺失且时间关系不足。神经查体片段不完整，缺少基线状态和复查记录。",
      "opinion_id": "OPINION-0000011",
      "opinion_summary": "独立审阅认为应缩窄结论并先补确认性材料。独立审阅主张不能据时间邻近性排除神经系统急症。",
      "opinion_version": "1",
      "role_id": "ROLE-0000011",
      "submitted_time": "2026-07-21T10:00:00+08:00",
      "uncertainty_status": "synthetic_key_evidence_gap"
    },
    {
      "applicability_boundary": "仅输出冻结材料直接支持的交集，不替代临床诊断。",
      "case_id": "CASE-0000004",
      "conclusion_status": "synthetic_adjudicated_limited_conclusion",
      "confidence_status": "synthetic_moderate",
      "opinion_basis": "依据两侧共同支持部分与补证返回结果。分歧焦点是术后时间关系是否足以解释意识改变。",
      "opinion_id": "OPINION-0000012",
      "opinion_summary": "仲裁意见采纳更窄的候选结论并保留不确定项。仲裁采纳先行复核可逆因素并保留神经评估升级条件的有限结论。",
      "opinion_version": "1",
      "role_id": "ROLE-0000012",
      "submitted_time": "2026-07-21T11:00:00+08:00",
      "uncertainty_status": "synthetic_residual_uncertainty"
    },
    {
      "applicability_boundary": "只形成候选映射，不代表人工审核编码或结算编码。",
      "case_id": "CASE-0000005",
      "conclusion_status": "synthetic_candidate_mapping_supported",
      "confidence_status": "synthetic_moderate",
      "opinion_basis": "依据片段原文与候选术语名称的直接一致性。文本存在直接药名片段和同段随访语境。",
      "opinion_id": "OPINION-0000013",
      "opinion_summary": "初审认为文本片段可形成术语映射候选。初审主张可将明确出现的胰岛素名称列为候选药物实体。",
      "opinion_version": "1",
      "role_id": "ROLE-0000013",
      "submitted_time": "2026-07-22T09:00:00+08:00",
      "uncertainty_status": "synthetic_context_incomplete"
    },
    {
      "applicability_boundary": "不得把名称命中升级为已确认编码或诊断真值。",
      "case_id": "CASE-0000005",
      "conclusion_status": "synthetic_manual_review_required",
      "confidence_status": "synthetic_low",
      "opinion_basis": "依据修饰词、否定词和上下文范围仍可能改变术语含义。片段未完整覆盖是否继续使用及剂量调整的上下文。",
      "opinion_id": "OPINION-0000014",
      "opinion_summary": "独立审阅拒绝直接确认编码并要求人工复核。独立审阅主张否定和停用语义可能改变候选状态。",
      "opinion_version": "1",
      "role_id": "ROLE-0000014",
      "submitted_time": "2026-07-22T10:00:00+08:00",
      "uncertainty_status": "synthetic_semantic_scope_gap"
    },
    {
      "applicability_boundary": "交付结果仅为候选及复核状态，不输出确认编码。",
      "case_id": "CASE-0000005",
      "conclusion_status": "synthetic_adjudicated_candidate_only",
      "confidence_status": "synthetic_moderate",
      "opinion_basis": "依据名称命中可复算，但语义边界未闭合。分歧焦点是名称出现能否等同于当前用药事实。",
      "opinion_id": "OPINION-0000015",
      "opinion_summary": "仲裁保留名称候选并明确送人工审核。仲裁仅采纳药物名称候选，并标记需人工复核其否定、持续和剂量语义。",
      "opinion_version": "1",
      "role_id": "ROLE-0000015",
      "submitted_time": "2026-07-22T11:00:00+08:00",
      "uncertainty_status": "synthetic_review_pending"
    },
    {
      "applicability_boundary": "只形成候选映射，不代表人工审核编码或结算编码。",
      "case_id": "CASE-0000006",
      "conclusion_status": "synthetic_candidate_mapping_supported",
      "confidence_status": "synthetic_moderate",
      "opinion_basis": "依据片段原文与候选术语名称的直接一致性。药名与皮疹描述在相邻片段出现，存在时间词线索。",
      "opinion_id": "OPINION-0000016",
      "opinion_summary": "初审认为文本片段可形成术语映射候选。初审主张可提取过敏相关药物和反应候选。",
      "opinion_version": "1",
      "role_id": "ROLE-0000016",
      "submitted_time": "2026-07-23T09:00:00+08:00",
      "uncertainty_status": "synthetic_context_incomplete"
    },
    {
      "applicability_boundary": "不得把名称命中升级为已确认编码或诊断真值。",
      "case_id": "CASE-0000006",
      "conclusion_status": "synthetic_manual_review_required",
      "confidence_status": "synthetic_low",
      "opinion_basis": "依据修饰词、否定词和上下文范围仍可能改变术语含义。文本未闭合首次暴露、再暴露与反应因果顺序。",
      "opinion_id": "OPINION-0000017",
      "opinion_summary": "独立审阅拒绝直接确认编码并要求人工复核。独立审阅主张需区分既往史、当前反应和预防性提示。",
      "opinion_version": "1",
      "role_id": "ROLE-0000017",
      "submitted_time": "2026-07-23T10:00:00+08:00",
      "uncertainty_status": "synthetic_semantic_scope_gap"
    },
    {
      "applicability_boundary": "交付结果仅为候选及复核状态，不输出确认编码。",
      "case_id": "CASE-0000006",
      "conclusion_status": "synthetic_adjudicated_candidate_only",
      "confidence_status": "synthetic_moderate",
      "opinion_basis": "依据名称命中可复算，但语义边界未闭合。分歧焦点是相邻文本是否构成药物不良反应关系。",
      "opinion_id": "OPINION-0000018",
      "opinion_summary": "仲裁保留名称候选并明确送人工审核。仲裁采纳药物—反应候选对，但拒绝形成已确认过敏或因果关系编码。",
      "opinion_version": "1",
      "role_id": "ROLE-0000018",
      "submitted_time": "2026-07-23T11:00:00+08:00",
      "uncertainty_status": "synthetic_review_pending"
    },
    {
      "applicability_boundary": "只形成候选映射，不代表人工审核编码或结算编码。",
      "case_id": "CASE-0000007",
      "conclusion_status": "synthetic_candidate_mapping_supported",
      "confidence_status": "synthetic_moderate",
      "opinion_basis": "依据片段原文与候选术语名称的直接一致性。术式名称与手术记录标题和术后描述直接对应。",
      "opinion_id": "OPINION-0000019",
      "opinion_summary": "初审认为文本片段可形成术语映射候选。初审主张术式名称可进入操作术语候选集合。",
      "opinion_version": "1",
      "role_id": "ROLE-0000019",
      "submitted_time": "2026-07-24T09:00:00+08:00",
      "uncertainty_status": "synthetic_context_incomplete"
    },
    {
      "applicability_boundary": "不得把名称命中升级为已确认编码或诊断真值。",
      "case_id": "CASE-0000007",
      "conclusion_status": "synthetic_manual_review_required",
      "confidence_status": "synthetic_low",
      "opinion_basis": "依据修饰词、否定词和上下文范围仍可能改变术语含义。编号、入路和联合操作可能改变标准概念。",
      "opinion_id": "OPINION-0000020",
      "opinion_summary": "独立审阅拒绝直接确认编码并要求人工复核。独立审阅主张文本未提供可确认的标准编码版本与修饰范围。",
      "opinion_version": "1",
      "role_id": "ROLE-0000020",
      "submitted_time": "2026-07-24T10:00:00+08:00",
      "uncertainty_status": "synthetic_semantic_scope_gap"
    },
    {
      "applicability_boundary": "交付结果仅为候选及复核状态，不输出确认编码。",
      "case_id": "CASE-0000007",
      "conclusion_status": "synthetic_adjudicated_candidate_only",
      "confidence_status": "synthetic_moderate",
      "opinion_basis": "依据名称命中可复算，但语义边界未闭合。分歧焦点是操作名称命中能否直接升级标准编码。",
      "opinion_id": "OPINION-0000021",
      "opinion_summary": "仲裁保留名称候选并明确送人工审核。仲裁保留原文名称和候选编码，要求按术式修饰与版本进行人工确认。",
      "opinion_version": "1",
      "role_id": "ROLE-0000021",
      "submitted_time": "2026-07-24T11:00:00+08:00",
      "uncertainty_status": "synthetic_review_pending"
    },
    {
      "applicability_boundary": "只形成候选映射，不代表人工审核编码或结算编码。",
      "case_id": "CASE-0000008",
      "conclusion_status": "synthetic_candidate_mapping_supported",
      "confidence_status": "synthetic_moderate",
      "opinion_basis": "依据片段原文与候选术语名称的直接一致性。同一报告片段内存在项目名、数值及单位。",
      "opinion_id": "OPINION-0000022",
      "opinion_summary": "初审认为文本片段可形成术语映射候选。初审主张可抽取项目—数值—单位的结构化候选。",
      "opinion_version": "1",
      "role_id": "ROLE-0000022",
      "submitted_time": "2026-07-25T09:00:00+08:00",
      "uncertainty_status": "synthetic_context_incomplete"
    },
    {
      "applicability_boundary": "不得把名称命中升级为已确认编码或诊断真值。",
      "case_id": "CASE-0000008",
      "conclusion_status": "synthetic_manual_review_required",
      "confidence_status": "synthetic_low",
      "opinion_basis": "依据修饰词、否定词和上下文范围仍可能改变术语含义。单位虽出现，但不同方法和标本来源未在文本中闭合。",
      "opinion_id": "OPINION-0000023",
      "opinion_summary": "独立审阅拒绝直接确认编码并要求人工复核。独立审阅主张参考范围版本和标本条件缺失会影响解释。",
      "opinion_version": "1",
      "role_id": "ROLE-0000023",
      "submitted_time": "2026-07-25T10:00:00+08:00",
      "uncertainty_status": "synthetic_semantic_scope_gap"
    },
    {
      "applicability_boundary": "交付结果仅为候选及复核状态，不输出确认编码。",
      "case_id": "CASE-0000008",
      "conclusion_status": "synthetic_adjudicated_candidate_only",
      "confidence_status": "synthetic_moderate",
      "opinion_basis": "依据名称命中可复算，但语义边界未闭合。分歧焦点是数值抽取与临床异常解释能否同时成立。",
      "opinion_id": "OPINION-0000024",
      "opinion_summary": "仲裁保留名称候选并明确送人工审核。仲裁采纳原始项目、数值和单位候选，拒绝直接标注临床异常等级。",
      "opinion_version": "1",
      "role_id": "ROLE-0000024",
      "submitted_time": "2026-07-25T11:00:00+08:00",
      "uncertainty_status": "synthetic_review_pending"
    },
    {
      "applicability_boundary": "只适用于病例级候选关联，不代表病灶级真值。",
      "case_id": "CASE-0000009",
      "conclusion_status": "synthetic_pair_candidate_supported",
      "confidence_status": "synthetic_moderate",
      "opinion_basis": "依据同一合成病例范围与报告描述的一致性。检查日期、模态和报告解剖部位在材料中一致。",
      "opinion_id": "OPINION-0000025",
      "opinion_summary": "初审认为对象与报告可形成病例级候选关联。初审主张同一检查摘要与报告可形成检查级候选关联。",
      "opinion_version": "1",
      "role_id": "ROLE-0000025",
      "submitted_time": "2026-07-26T09:00:00+08:00",
      "uncertainty_status": "synthetic_object_key_missing"
    },
    {
      "applicability_boundary": "不得升级为图像—病灶—诊断强配对或标注真值。",
      "case_id": "CASE-0000009",
      "conclusion_status": "synthetic_strong_pair_not_supported",
      "confidence_status": "synthetic_low",
      "opinion_basis": "依据缺少稳定对象键且报告不能唯一定位单个图像对象。报告未唯一引用序列或实例，多个系列均可能相关。",
      "opinion_id": "OPINION-0000026",
      "opinion_summary": "独立审阅认为证据不足以形成强配对。独立审阅主张系列级对象键不足，不能形成病灶级配对。",
      "opinion_version": "1",
      "role_id": "ROLE-0000026",
      "submitted_time": "2026-07-26T10:00:00+08:00",
      "uncertainty_status": "synthetic_pairing_ambiguity"
    },
    {
      "applicability_boundary": "仅输出病例级候选边及其质量状态。",
      "case_id": "CASE-0000009",
      "conclusion_status": "synthetic_adjudicated_case_level_candidate",
      "confidence_status": "synthetic_moderate",
      "opinion_basis": "依据两侧共同确认病例范围，但对象级唯一性不足。分歧焦点是检查级一致性能否支持更细粒度影像配对。",
      "opinion_id": "OPINION-0000027",
      "opinion_summary": "仲裁采纳病例级候选关联并拒绝强配对。仲裁采纳检查级候选边，拒绝病灶级或实例级强配对。",
      "opinion_version": "1",
      "role_id": "ROLE-0000027",
      "submitted_time": "2026-07-26T11:00:00+08:00",
      "uncertainty_status": "synthetic_object_level_unresolved"
    },
    {
      "applicability_boundary": "只适用于病例级候选关联，不代表病灶级真值。",
      "case_id": "CASE-0000010",
      "conclusion_status": "synthetic_pair_candidate_supported",
      "confidence_status": "synthetic_moderate",
      "opinion_basis": "依据同一合成病例范围与报告描述的一致性。解剖部位、标本摘要和报告措辞具有一致线索。",
      "opinion_id": "OPINION-0000028",
      "opinion_summary": "初审认为对象与报告可形成病例级候选关联。初审主张标本与病理报告的描述可形成病例内候选连接。",
      "opinion_version": "1",
      "role_id": "ROLE-0000028",
      "submitted_time": "2026-07-27T09:00:00+08:00",
      "uncertainty_status": "synthetic_object_key_missing"
    },
    {
      "applicability_boundary": "不得升级为图像—病灶—诊断强配对或标注真值。",
      "case_id": "CASE-0000010",
      "conclusion_status": "synthetic_strong_pair_not_supported",
      "confidence_status": "synthetic_low",
      "opinion_basis": "依据缺少稳定对象键且报告不能唯一定位单个图像对象。IHC结果属于报告级信息，未定位到单个切片对象。",
      "opinion_id": "OPINION-0000029",
      "opinion_summary": "独立审阅认为证据不足以形成强配对。独立审阅主张缺少稳定蜡块或切片键，不能推断图像—病理一一对应。",
      "opinion_version": "1",
      "role_id": "ROLE-0000029",
      "submitted_time": "2026-07-27T10:00:00+08:00",
      "uncertainty_status": "synthetic_pairing_ambiguity"
    },
    {
      "applicability_boundary": "仅输出病例级候选边及其质量状态。",
      "case_id": "CASE-0000010",
      "conclusion_status": "synthetic_adjudicated_case_level_candidate",
      "confidence_status": "synthetic_moderate",
      "opinion_basis": "依据两侧共同确认病例范围，但对象级唯一性不足。分歧焦点是报告级病理信息是否可下沉为切片级标签。",
      "opinion_id": "OPINION-0000030",
      "opinion_summary": "仲裁采纳病例级候选关联并拒绝强配对。仲裁保留标本—报告候选关系，拒绝把IHC或诊断下放到具体图像对象。",
      "opinion_version": "1",
      "role_id": "ROLE-0000030",
      "submitted_time": "2026-07-27T11:00:00+08:00",
      "uncertainty_status": "synthetic_object_level_unresolved"
    },
    {
      "applicability_boundary": "只适用于病例级候选关联，不代表病灶级真值。",
      "case_id": "CASE-0000011",
      "conclusion_status": "synthetic_pair_candidate_supported",
      "confidence_status": "synthetic_moderate",
      "opinion_basis": "依据同一合成病例范围与报告描述的一致性。编号、检查时间和判读文本在同一材料版本内出现。",
      "opinion_id": "OPINION-0000031",
      "opinion_summary": "初审认为对象与报告可形成病例级候选关联。初审主张检查编号与判读文字可形成检查级报告候选。",
      "opinion_version": "1",
      "role_id": "ROLE-0000031",
      "submitted_time": "2026-07-28T09:00:00+08:00",
      "uncertainty_status": "synthetic_object_key_missing"
    },
    {
      "applicability_boundary": "不得升级为图像—病灶—诊断强配对或标注真值。",
      "case_id": "CASE-0000011",
      "conclusion_status": "synthetic_strong_pair_not_supported",
      "confidence_status": "synthetic_low",
      "opinion_basis": "依据缺少稳定对象键且报告不能唯一定位单个图像对象。缺少原始波形、人工复核和症状相关时间线。",
      "opinion_id": "OPINION-0000032",
      "opinion_summary": "独立审阅认为证据不足以形成强配对。独立审阅主张自动测量不能单独替代人工判读或临床诊断。",
      "opinion_version": "1",
      "role_id": "ROLE-0000032",
      "submitted_time": "2026-07-28T10:00:00+08:00",
      "uncertainty_status": "synthetic_pairing_ambiguity"
    },
    {
      "applicability_boundary": "仅输出病例级候选边及其质量状态。",
      "case_id": "CASE-0000011",
      "conclusion_status": "synthetic_adjudicated_case_level_candidate",
      "confidence_status": "synthetic_moderate",
      "opinion_basis": "依据两侧共同确认病例范围，但对象级唯一性不足。分歧焦点是自动测量摘要在报告结论中的证据等级。",
      "opinion_id": "OPINION-0000033",
      "opinion_summary": "仲裁采纳病例级候选关联并拒绝强配对。仲裁采纳检查级报告候选，并限制自动测量仅作辅助证据。",
      "opinion_version": "1",
      "role_id": "ROLE-0000033",
      "submitted_time": "2026-07-28T11:00:00+08:00",
      "uncertainty_status": "synthetic_object_level_unresolved"
    },
    {
      "applicability_boundary": "只适用于病例级候选关联，不代表病灶级真值。",
      "case_id": "CASE-0000012",
      "conclusion_status": "synthetic_pair_candidate_supported",
      "confidence_status": "synthetic_moderate",
      "opinion_basis": "依据同一合成病例范围与报告描述的一致性。相同解剖部位和随访语句支持比较意图。",
      "opinion_id": "OPINION-0000034",
      "opinion_summary": "初审认为对象与报告可形成病例级候选关联。初审主张前后报告可形成同病例复查变化候选。",
      "opinion_version": "1",
      "role_id": "ROLE-0000034",
      "submitted_time": "2026-07-29T09:00:00+08:00",
      "uncertainty_status": "synthetic_object_key_missing"
    },
    {
      "applicability_boundary": "不得升级为图像—病灶—诊断强配对或标注真值。",
      "case_id": "CASE-0000012",
      "conclusion_status": "synthetic_strong_pair_not_supported",
      "confidence_status": "synthetic_low",
      "opinion_basis": "依据缺少稳定对象键且报告不能唯一定位单个图像对象。缺少同层面定位、原始影像和一致测量规则。",
      "opinion_id": "OPINION-0000035",
      "opinion_summary": "独立审阅认为证据不足以形成强配对。独立审阅主张不同检查协议和测量方法可能影响尺寸比较。",
      "opinion_version": "1",
      "role_id": "ROLE-0000035",
      "submitted_time": "2026-07-29T10:00:00+08:00",
      "uncertainty_status": "synthetic_pairing_ambiguity"
    },
    {
      "applicability_boundary": "仅输出病例级候选边及其质量状态。",
      "case_id": "CASE-0000012",
      "conclusion_status": "synthetic_adjudicated_case_level_candidate",
      "confidence_status": "synthetic_moderate",
      "opinion_basis": "依据两侧共同确认病例范围，但对象级唯一性不足。分歧焦点是报告中的尺寸变化能否等同于病灶真实进展。",
      "opinion_id": "OPINION-0000036",
      "opinion_summary": "仲裁采纳病例级候选关联并拒绝强配对。仲裁采纳复查比较候选和随访建议，拒绝结论性进展或疗效判断。",
      "opinion_version": "1",
      "role_id": "ROLE-0000036",
      "submitted_time": "2026-07-29T11:00:00+08:00",
      "uncertainty_status": "synthetic_object_level_unresolved"
    }
  ],
  "disagreement_record": [
    {
      "case_id": "CASE-0000001",
      "disagreement_basis": "初审结论“synthetic_limited_conclusion_supported”与独立审阅结论“synthetic_narrower_conclusion_required”不同；分歧焦点是一次性初检能否支持风险分层。",
      "disagreement_id": "DISAGREEMENT-0000001",
      "disagreement_status": "synthetic_open_then_resolved",
      "disagreement_type": "synthetic_evidence_boundary_confidence_difference",
      "independent_opinion_id": "OPINION-0000002",
      "initial_opinion_id": "OPINION-0000001"
    },
    {
      "case_id": "CASE-0000002",
      "disagreement_basis": "初审结论“synthetic_limited_conclusion_supported”与独立审阅结论“synthetic_narrower_conclusion_required”不同；分歧焦点是低血压的单一归因是否成立。",
      "disagreement_id": "DISAGREEMENT-0000002",
      "disagreement_status": "synthetic_open_then_resolved",
      "disagreement_type": "synthetic_evidence_boundary_confidence_difference",
      "independent_opinion_id": "OPINION-0000005",
      "initial_opinion_id": "OPINION-0000004"
    },
    {
      "case_id": "CASE-0000003",
      "disagreement_basis": "初审结论“synthetic_limited_conclusion_supported”与独立审阅结论“synthetic_narrower_conclusion_required”不同；分歧焦点是影像摘要能否决定病因和处理方向。",
      "disagreement_id": "DISAGREEMENT-0000003",
      "disagreement_status": "synthetic_open_then_resolved",
      "disagreement_type": "synthetic_evidence_boundary_confidence_difference",
      "independent_opinion_id": "OPINION-0000008",
      "initial_opinion_id": "OPINION-0000007"
    },
    {
      "case_id": "CASE-0000004",
      "disagreement_basis": "初审结论“synthetic_limited_conclusion_supported”与独立审阅结论“synthetic_narrower_conclusion_required”不同；分歧焦点是术后时间关系是否足以解释意识改变。",
      "disagreement_id": "DISAGREEMENT-0000004",
      "disagreement_status": "synthetic_open_then_resolved",
      "disagreement_type": "synthetic_evidence_boundary_confidence_difference",
      "independent_opinion_id": "OPINION-0000011",
      "initial_opinion_id": "OPINION-0000010"
    },
    {
      "case_id": "CASE-0000005",
      "disagreement_basis": "初审结论“synthetic_candidate_mapping_supported”与独立审阅结论“synthetic_manual_review_required”不同；分歧焦点是名称出现能否等同于当前用药事实。",
      "disagreement_id": "DISAGREEMENT-0000005",
      "disagreement_status": "synthetic_open_then_resolved",
      "disagreement_type": "synthetic_evidence_boundary_confidence_difference",
      "independent_opinion_id": "OPINION-0000014",
      "initial_opinion_id": "OPINION-0000013"
    },
    {
      "case_id": "CASE-0000006",
      "disagreement_basis": "初审结论“synthetic_candidate_mapping_supported”与独立审阅结论“synthetic_manual_review_required”不同；分歧焦点是相邻文本是否构成药物不良反应关系。",
      "disagreement_id": "DISAGREEMENT-0000006",
      "disagreement_status": "synthetic_open_then_resolved",
      "disagreement_type": "synthetic_evidence_boundary_confidence_difference",
      "independent_opinion_id": "OPINION-0000017",
      "initial_opinion_id": "OPINION-0000016"
    },
    {
      "case_id": "CASE-0000007",
      "disagreement_basis": "初审结论“synthetic_candidate_mapping_supported”与独立审阅结论“synthetic_manual_review_required”不同；分歧焦点是操作名称命中能否直接升级标准编码。",
      "disagreement_id": "DISAGREEMENT-0000007",
      "disagreement_status": "synthetic_open_then_resolved",
      "disagreement_type": "synthetic_evidence_boundary_confidence_difference",
      "independent_opinion_id": "OPINION-0000020",
      "initial_opinion_id": "OPINION-0000019"
    },
    {
      "case_id": "CASE-0000008",
      "disagreement_basis": "初审结论“synthetic_candidate_mapping_supported”与独立审阅结论“synthetic_manual_review_required”不同；分歧焦点是数值抽取与临床异常解释能否同时成立。",
      "disagreement_id": "DISAGREEMENT-0000008",
      "disagreement_status": "synthetic_open_then_resolved",
      "disagreement_type": "synthetic_evidence_boundary_confidence_difference",
      "independent_opinion_id": "OPINION-0000023",
      "initial_opinion_id": "OPINION-0000022"
    },
    {
      "case_id": "CASE-0000009",
      "disagreement_basis": "初审结论“synthetic_pair_candidate_supported”与独立审阅结论“synthetic_strong_pair_not_supported”不同；分歧焦点是检查级一致性能否支持更细粒度影像配对。",
      "disagreement_id": "DISAGREEMENT-0000009",
      "disagreement_status": "synthetic_open_then_resolved",
      "disagreement_type": "synthetic_evidence_boundary_confidence_difference",
      "independent_opinion_id": "OPINION-0000026",
      "initial_opinion_id": "OPINION-0000025"
    },
    {
      "case_id": "CASE-0000010",
      "disagreement_basis": "初审结论“synthetic_pair_candidate_supported”与独立审阅结论“synthetic_strong_pair_not_supported”不同；分歧焦点是报告级病理信息是否可下沉为切片级标签。",
      "disagreement_id": "DISAGREEMENT-0000010",
      "disagreement_status": "synthetic_open_then_resolved",
      "disagreement_type": "synthetic_evidence_boundary_confidence_difference",
      "independent_opinion_id": "OPINION-0000029",
      "initial_opinion_id": "OPINION-0000028"
    },
    {
      "case_id": "CASE-0000011",
      "disagreement_basis": "初审结论“synthetic_pair_candidate_supported”与独立审阅结论“synthetic_strong_pair_not_supported”不同；分歧焦点是自动测量摘要在报告结论中的证据等级。",
      "disagreement_id": "DISAGREEMENT-0000011",
      "disagreement_status": "synthetic_open_then_resolved",
      "disagreement_type": "synthetic_evidence_boundary_confidence_difference",
      "independent_opinion_id": "OPINION-0000032",
      "initial_opinion_id": "OPINION-0000031"
    },
    {
      "case_id": "CASE-0000012",
      "disagreement_basis": "初审结论“synthetic_pair_candidate_supported”与独立审阅结论“synthetic_strong_pair_not_supported”不同；分歧焦点是报告中的尺寸变化能否等同于病灶真实进展。",
      "disagreement_id": "DISAGREEMENT-0000012",
      "disagreement_status": "synthetic_open_then_resolved",
      "disagreement_type": "synthetic_evidence_boundary_confidence_difference",
      "independent_opinion_id": "OPINION-0000035",
      "initial_opinion_id": "OPINION-0000034"
    }
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  "evidence_request": [
    {
      "disagreement_id": "DISAGREEMENT-0000001",
      "request_id": "REQUEST-0000001",
      "requested_time": "2026-07-18T10:05:00+08:00",
      "returned_time": "2026-07-18T10:15:00+08:00"
    },
    {
      "disagreement_id": "DISAGREEMENT-0000002",
      "request_id": "REQUEST-0000002",
      "requested_time": "2026-07-19T10:05:00+08:00",
      "returned_time": "2026-07-19T10:15:00+08:00"
    },
    {
      "disagreement_id": "DISAGREEMENT-0000003",
      "request_id": "REQUEST-0000003",
      "requested_time": "2026-07-20T10:05:00+08:00",
      "returned_time": "2026-07-20T10:15:00+08:00"
    },
    {
      "disagreement_id": "DISAGREEMENT-0000004",
      "request_id": "REQUEST-0000004",
      "requested_time": "2026-07-21T10:05:00+08:00",
      "returned_time": "2026-07-21T10:15:00+08:00"
    },
    {
      "disagreement_id": "DISAGREEMENT-0000005",
      "request_id": "REQUEST-0000005",
      "requested_time": "2026-07-22T10:05:00+08:00",
      "returned_time": "2026-07-22T10:15:00+08:00"
    },
    {
      "disagreement_id": "DISAGREEMENT-0000006",
      "request_id": "REQUEST-0000006",
      "requested_time": "2026-07-23T10:05:00+08:00",
      "returned_time": "2026-07-23T10:15:00+08:00"
    },
    {
      "disagreement_id": "DISAGREEMENT-0000007",
      "request_id": "REQUEST-0000007",
      "requested_time": "2026-07-24T10:05:00+08:00",
      "returned_time": "2026-07-24T10:15:00+08:00"
    },
    {
      "disagreement_id": "DISAGREEMENT-0000008",
      "request_id": "REQUEST-0000008",
      "requested_time": "2026-07-25T10:05:00+08:00",
      "returned_time": "2026-07-25T10:15:00+08:00"
    },
    {
      "disagreement_id": "DISAGREEMENT-0000009",
      "request_id": "REQUEST-0000009",
      "requested_time": "2026-07-26T10:05:00+08:00",
      "returned_time": "2026-07-26T10:15:00+08:00"
    },
    {
      "disagreement_id": "DISAGREEMENT-0000010",
      "request_id": "REQUEST-0000010",
      "requested_time": "2026-07-27T10:05:00+08:00",
      "returned_time": "2026-07-27T10:15:00+08:00"
    },
    {
      "disagreement_id": "DISAGREEMENT-0000011",
      "request_id": "REQUEST-0000011",
      "requested_time": "2026-07-28T10:05:00+08:00",
      "returned_time": "2026-07-28T10:15:00+08:00"
    },
    {
      "disagreement_id": "DISAGREEMENT-0000012",
      "request_id": "REQUEST-0000012",
      "requested_time": "2026-07-29T10:05:00+08:00",
      "returned_time": "2026-07-29T10:15:00+08:00"
    }
  ],
  "evidence_citation": [
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000001",
      "citation_id": "CITATION-0000001",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "冻结材料中的症状、查体和已提供检验支持限定结论，但缺少确认性检查。胸痛持续时间、首份心电图和初检结果尚未形成高危证据。",
      "opinion_id": "OPINION-0000001"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000001",
      "citation_id": "CITATION-0000002",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "冻结材料未包含确认性检查及完整时间链，只支持保留候选。单次初检不能排除动态变化，观察窗口尚未闭合。",
      "opinion_id": "OPINION-0000002"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000001",
      "citation_id": "CITATION-0000003",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "仲裁引用两侧冻结证据和补证结果，仅采纳可共同复核的部分。仲裁仅采纳短期观察与重复检查建议，不输出急性事件的确定性结论。",
      "opinion_id": "OPINION-0000003"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000002",
      "citation_id": "CITATION-0000004",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "冻结材料中的症状、查体和已提供检验支持限定结论，但缺少确认性检查。低血压与乳酸异常方向一致，但病原学和复评反应缺失。",
      "opinion_id": "OPINION-0000004"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000002",
      "citation_id": "CITATION-0000005",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "冻结材料未包含确认性检查及完整时间链，只支持保留候选。现有资料缺少连续生命体征、培养和用药前后时序。",
      "opinion_id": "OPINION-0000005"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000002",
      "citation_id": "CITATION-0000006",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "仲裁引用两侧冻结证据和补证结果，仅采纳可共同复核的部分。仲裁保留感染相关低灌注候选，同时要求记录容量复评和培养结果。",
      "opinion_id": "OPINION-0000006"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000003",
      "citation_id": "CITATION-0000007",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "冻结材料中的症状、查体和已提供检验支持限定结论，但缺少确认性检查。胸片充血征象摘要与低氧同时出现，且有既往肾功能异常线索。",
      "opinion_id": "OPINION-0000007"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000003",
      "citation_id": "CITATION-0000008",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "冻结材料未包含确认性检查及完整时间链，只支持保留候选。缺少体液状态、超声和治疗后氧合变化。",
      "opinion_id": "OPINION-0000008"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000003",
      "citation_id": "CITATION-0000009",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "仲裁引用两侧冻结证据和补证结果，仅采纳可共同复核的部分。仲裁仅保留需并行鉴别与复测氧合的候选路径，不指定单一病因。",
      "opinion_id": "OPINION-0000009"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000004",
      "citation_id": "CITATION-0000010",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "冻结材料中的症状、查体和已提供检验支持限定结论，但缺少确认性检查。意识变化发生于术后早期，镇痛给药与血糖异常均为可见线索。",
      "opinion_id": "OPINION-0000010"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000004",
      "citation_id": "CITATION-0000011",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "冻结材料未包含确认性检查及完整时间链，只支持保留候选。神经查体片段不完整，缺少基线状态和复查记录。",
      "opinion_id": "OPINION-0000011"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000004",
      "citation_id": "CITATION-0000012",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "仲裁引用两侧冻结证据和补证结果，仅采纳可共同复核的部分。仲裁采纳先行复核可逆因素并保留神经评估升级条件的有限结论。",
      "opinion_id": "OPINION-0000012"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000005",
      "citation_id": "CITATION-0000013",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "冻结文本包含直接名称线索，但完整病程上下文尚未提供。文本存在直接药名片段和同段随访语境。",
      "opinion_id": "OPINION-0000013"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000005",
      "citation_id": "CITATION-0000014",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "冻结文本显示名称命中，但否定和时态边界不足以支持正式编码。片段未完整覆盖是否继续使用及剂量调整的上下文。",
      "opinion_id": "OPINION-0000014"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000005",
      "citation_id": "CITATION-0000015",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "仲裁引用两侧片段证据，仅采纳可复算的名称候选。仲裁仅采纳药物名称候选，并标记需人工复核其否定、持续和剂量语义。",
      "opinion_id": "OPINION-0000015"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000006",
      "citation_id": "CITATION-0000016",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "冻结文本包含直接名称线索，但完整病程上下文尚未提供。药名与皮疹描述在相邻片段出现，存在时间词线索。",
      "opinion_id": "OPINION-0000016"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000006",
      "citation_id": "CITATION-0000017",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "冻结文本显示名称命中，但否定和时态边界不足以支持正式编码。文本未闭合首次暴露、再暴露与反应因果顺序。",
      "opinion_id": "OPINION-0000017"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000006",
      "citation_id": "CITATION-0000018",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "仲裁引用两侧片段证据，仅采纳可复算的名称候选。仲裁采纳药物—反应候选对，但拒绝形成已确认过敏或因果关系编码。",
      "opinion_id": "OPINION-0000018"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000007",
      "citation_id": "CITATION-0000019",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "冻结文本包含直接名称线索，但完整病程上下文尚未提供。术式名称与手术记录标题和术后描述直接对应。",
      "opinion_id": "OPINION-0000019"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000007",
      "citation_id": "CITATION-0000020",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "冻结文本显示名称命中，但否定和时态边界不足以支持正式编码。编号、入路和联合操作可能改变标准概念。",
      "opinion_id": "OPINION-0000020"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000007",
      "citation_id": "CITATION-0000021",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "仲裁引用两侧片段证据，仅采纳可复算的名称候选。仲裁保留原文名称和候选编码，要求按术式修饰与版本进行人工确认。",
      "opinion_id": "OPINION-0000021"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000008",
      "citation_id": "CITATION-0000022",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "冻结文本包含直接名称线索，但完整病程上下文尚未提供。同一报告片段内存在项目名、数值及单位。",
      "opinion_id": "OPINION-0000022"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000008",
      "citation_id": "CITATION-0000023",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "冻结文本显示名称命中，但否定和时态边界不足以支持正式编码。单位虽出现，但不同方法和标本来源未在文本中闭合。",
      "opinion_id": "OPINION-0000023"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000008",
      "citation_id": "CITATION-0000024",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "仲裁引用两侧片段证据，仅采纳可复算的名称候选。仲裁采纳原始项目、数值和单位候选，拒绝直接标注临床异常等级。",
      "opinion_id": "OPINION-0000024"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000009",
      "citation_id": "CITATION-0000025",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "冻结对象与报告在病例范围一致，但缺少稳定对象级配对键。检查日期、模态和报告解剖部位在材料中一致。",
      "opinion_id": "OPINION-0000025"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000009",
      "citation_id": "CITATION-0000026",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "冻结材料未提供可唯一定位的对象键，多个对象均可能对应报告。报告未唯一引用序列或实例，多个系列均可能相关。",
      "opinion_id": "OPINION-0000026"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000009",
      "citation_id": "CITATION-0000027",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "仲裁引用两侧对象与报告证据，仅采纳病例级共同部分。仲裁采纳检查级候选边，拒绝病灶级或实例级强配对。",
      "opinion_id": "OPINION-0000027"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000010",
      "citation_id": "CITATION-0000028",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "冻结对象与报告在病例范围一致，但缺少稳定对象级配对键。解剖部位、标本摘要和报告措辞具有一致线索。",
      "opinion_id": "OPINION-0000028"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000010",
      "citation_id": "CITATION-0000029",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "冻结材料未提供可唯一定位的对象键，多个对象均可能对应报告。IHC结果属于报告级信息，未定位到单个切片对象。",
      "opinion_id": "OPINION-0000029"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000010",
      "citation_id": "CITATION-0000030",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "仲裁引用两侧对象与报告证据，仅采纳病例级共同部分。仲裁保留标本—报告候选关系，拒绝把IHC或诊断下放到具体图像对象。",
      "opinion_id": "OPINION-0000030"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000011",
      "citation_id": "CITATION-0000031",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "冻结对象与报告在病例范围一致，但缺少稳定对象级配对键。编号、检查时间和判读文本在同一材料版本内出现。",
      "opinion_id": "OPINION-0000031"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000011",
      "citation_id": "CITATION-0000032",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "冻结材料未提供可唯一定位的对象键，多个对象均可能对应报告。缺少原始波形、人工复核和症状相关时间线。",
      "opinion_id": "OPINION-0000032"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000011",
      "citation_id": "CITATION-0000033",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "仲裁引用两侧对象与报告证据，仅采纳病例级共同部分。仲裁采纳检查级报告候选，并限制自动测量仅作辅助证据。",
      "opinion_id": "OPINION-0000033"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000012",
      "citation_id": "CITATION-0000034",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "冻结对象与报告在病例范围一致，但缺少稳定对象级配对键。相同解剖部位和随访语句支持比较意图。",
      "opinion_id": "OPINION-0000034"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000012",
      "citation_id": "CITATION-0000035",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "冻结材料未提供可唯一定位的对象键，多个对象均可能对应报告。缺少同层面定位、原始影像和一致测量规则。",
      "opinion_id": "OPINION-0000035"
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000012",
      "citation_id": "CITATION-0000036",
      "citation_status": "synthetic_traceable_evidence",
      "evidence_statement": "仲裁引用两侧对象与报告证据，仅采纳病例级共同部分。仲裁采纳复查比较候选和随访建议，拒绝结论性进展或疗效判断。",
      "opinion_id": "OPINION-0000036"
    }
  ],
  "adjudication_decision": [
    {
      "adjudicated_time": "2026-07-18T11:00:00+08:00",
      "adjudication_id": "ADJUDICATION-0000001",
      "adjudication_rationale": "仲裁仅采纳短期观察与重复检查建议，不输出急性事件的确定性结论。",
      "case_id": "CASE-0000001"
    },
    {
      "adjudicated_time": "2026-07-19T11:00:00+08:00",
      "adjudication_id": "ADJUDICATION-0000002",
      "adjudication_rationale": "仲裁保留感染相关低灌注候选，同时要求记录容量复评和培养结果。",
      "case_id": "CASE-0000002"
    },
    {
      "adjudicated_time": "2026-07-20T11:00:00+08:00",
      "adjudication_id": "ADJUDICATION-0000003",
      "adjudication_rationale": "仲裁仅保留需并行鉴别与复测氧合的候选路径，不指定单一病因。",
      "case_id": "CASE-0000003"
    },
    {
      "adjudicated_time": "2026-07-21T11:00:00+08:00",
      "adjudication_id": "ADJUDICATION-0000004",
      "adjudication_rationale": "仲裁采纳先行复核可逆因素并保留神经评估升级条件的有限结论。",
      "case_id": "CASE-0000004"
    },
    {
      "adjudicated_time": "2026-07-22T11:00:00+08:00",
      "adjudication_id": "ADJUDICATION-0000005",
      "adjudication_rationale": "仲裁仅采纳药物名称候选，并标记需人工复核其否定、持续和剂量语义。",
      "case_id": "CASE-0000005"
    },
    {
      "adjudicated_time": "2026-07-23T11:00:00+08:00",
      "adjudication_id": "ADJUDICATION-0000006",
      "adjudication_rationale": "仲裁采纳药物—反应候选对，但拒绝形成已确认过敏或因果关系编码。",
      "case_id": "CASE-0000006"
    },
    {
      "adjudicated_time": "2026-07-24T11:00:00+08:00",
      "adjudication_id": "ADJUDICATION-0000007",
      "adjudication_rationale": "仲裁保留原文名称和候选编码，要求按术式修饰与版本进行人工确认。",
      "case_id": "CASE-0000007"
    },
    {
      "adjudicated_time": "2026-07-25T11:00:00+08:00",
      "adjudication_id": "ADJUDICATION-0000008",
      "adjudication_rationale": "仲裁采纳原始项目、数值和单位候选，拒绝直接标注临床异常等级。",
      "case_id": "CASE-0000008"
    },
    {
      "adjudicated_time": "2026-07-26T11:00:00+08:00",
      "adjudication_id": "ADJUDICATION-0000009",
      "adjudication_rationale": "仲裁采纳检查级候选边，拒绝病灶级或实例级强配对。",
      "case_id": "CASE-0000009"
    },
    {
      "adjudicated_time": "2026-07-27T11:00:00+08:00",
      "adjudication_id": "ADJUDICATION-0000010",
      "adjudication_rationale": "仲裁保留标本—报告候选关系，拒绝把IHC或诊断下放到具体图像对象。",
      "case_id": "CASE-0000010"
    },
    {
      "adjudicated_time": "2026-07-28T11:00:00+08:00",
      "adjudication_id": "ADJUDICATION-0000011",
      "adjudication_rationale": "仲裁采纳检查级报告候选，并限制自动测量仅作辅助证据。",
      "case_id": "CASE-0000011"
    },
    {
      "adjudicated_time": "2026-07-29T11:00:00+08:00",
      "adjudication_id": "ADJUDICATION-0000012",
      "adjudication_rationale": "仲裁采纳复查比较候选和随访建议，拒绝结论性进展或疗效判断。",
      "case_id": "CASE-0000012"
    }
  ],
  "adjudication_resolution": [
    {
      "adjudication_id": "ADJUDICATION-0000001",
      "adopted_evidence_citation_ids": "CITATION-0000002",
      "adopted_opinion_id": "OPINION-0000002",
      "disagreement_id": "DISAGREEMENT-0000001",
      "rejected_evidence_citation_ids": "CITATION-0000001",
      "resolution_evidence_citation_ids": "CITATION-0000001|CITATION-0000002",
      "resolution_id": "RESOLUTION-0000001",
      "resolution_rationale": "仲裁仅采纳短期观察与重复检查建议，不输出急性事件的确定性结论。",
      "resolution_status": "synthetic_resolved_with_case_specific_boundary",
      "unresolved_points": "重复心电图、动态生物标志物及症状演变仍待补充；不得据此推断最终诊断。"
    },
    {
      "adjudication_id": "ADJUDICATION-0000002",
      "adopted_evidence_citation_ids": "CITATION-0000005",
      "adopted_opinion_id": "OPINION-0000005",
      "disagreement_id": "DISAGREEMENT-0000002",
      "rejected_evidence_citation_ids": "CITATION-0000004",
      "resolution_evidence_citation_ids": "CITATION-0000004|CITATION-0000005",
      "resolution_id": "RESOLUTION-0000002",
      "resolution_rationale": "仲裁保留感染相关低灌注候选，同时要求记录容量复评和培养结果。",
      "resolution_status": "synthetic_resolved_with_case_specific_boundary",
      "unresolved_points": "连续灌注指标、培养结果和既往用药时间未覆盖；不判定脓毒症或治疗反应。"
    },
    {
      "adjudication_id": "ADJUDICATION-0000003",
      "adopted_evidence_citation_ids": "CITATION-0000008",
      "adopted_opinion_id": "OPINION-0000008",
      "disagreement_id": "DISAGREEMENT-0000003",
      "rejected_evidence_citation_ids": "CITATION-0000007",
      "resolution_evidence_citation_ids": "CITATION-0000007|CITATION-0000008",
      "resolution_id": "RESOLUTION-0000003",
      "resolution_rationale": "仲裁仅保留需并行鉴别与复测氧合的候选路径，不指定单一病因。",
      "resolution_status": "synthetic_resolved_with_case_specific_boundary",
      "unresolved_points": "床旁超声、容量评估和治疗后氧合趋势未提供；疗效与住院结局保持未知。"
    },
    {
      "adjudication_id": "ADJUDICATION-0000004",
      "adopted_evidence_citation_ids": "CITATION-0000011",
      "adopted_opinion_id": "OPINION-0000011",
      "disagreement_id": "DISAGREEMENT-0000004",
      "rejected_evidence_citation_ids": "CITATION-0000010",
      "resolution_evidence_citation_ids": "CITATION-0000010|CITATION-0000011",
      "resolution_id": "RESOLUTION-0000004",
      "resolution_rationale": "仲裁采纳先行复核可逆因素并保留神经评估升级条件的有限结论。",
      "resolution_status": "synthetic_resolved_with_case_specific_boundary",
      "unresolved_points": "完整神经查体、用药剂量反应和复查血糖未覆盖；不形成病因或预后判断。"
    },
    {
      "adjudication_id": "ADJUDICATION-0000005",
      "adopted_evidence_citation_ids": "CITATION-0000014",
      "adopted_opinion_id": "OPINION-0000014",
      "disagreement_id": "DISAGREEMENT-0000005",
      "rejected_evidence_citation_ids": "CITATION-0000013",
      "resolution_evidence_citation_ids": "CITATION-0000013|CITATION-0000014",
      "resolution_id": "RESOLUTION-0000005",
      "resolution_rationale": "仲裁仅采纳药物名称候选，并标记需人工复核其否定、持续和剂量语义。",
      "resolution_status": "synthetic_resolved_with_case_specific_boundary",
      "unresolved_points": "停用时点、实际用药和剂量变化未提供；不得输出治疗暴露或依从性。"
    },
    {
      "adjudication_id": "ADJUDICATION-0000006",
      "adopted_evidence_citation_ids": "CITATION-0000017",
      "adopted_opinion_id": "OPINION-0000017",
      "disagreement_id": "DISAGREEMENT-0000006",
      "rejected_evidence_citation_ids": "CITATION-0000016",
      "resolution_evidence_citation_ids": "CITATION-0000016|CITATION-0000017",
      "resolution_id": "RESOLUTION-0000006",
      "resolution_rationale": "仲裁采纳药物—反应候选对，但拒绝形成已确认过敏或因果关系编码。",
      "resolution_status": "synthetic_resolved_with_case_specific_boundary",
      "unresolved_points": "暴露顺序、专业确认和替代药后的反应未覆盖；不得推断禁忌或安全结论。"
    },
    {
      "adjudication_id": "ADJUDICATION-0000007",
      "adopted_evidence_citation_ids": "CITATION-0000020",
      "adopted_opinion_id": "OPINION-0000020",
      "disagreement_id": "DISAGREEMENT-0000007",
      "rejected_evidence_citation_ids": "CITATION-0000019",
      "resolution_evidence_citation_ids": "CITATION-0000019|CITATION-0000020",
      "resolution_id": "RESOLUTION-0000007",
      "resolution_rationale": "仲裁保留原文名称和候选编码，要求按术式修饰与版本进行人工确认。",
      "resolution_status": "synthetic_resolved_with_case_specific_boundary",
      "unresolved_points": "入路、联合操作和编码体系版本未闭合；不输出已确认手术编码。"
    },
    {
      "adjudication_id": "ADJUDICATION-0000008",
      "adopted_evidence_citation_ids": "CITATION-0000023",
      "adopted_opinion_id": "OPINION-0000023",
      "disagreement_id": "DISAGREEMENT-0000008",
      "rejected_evidence_citation_ids": "CITATION-0000022",
      "resolution_evidence_citation_ids": "CITATION-0000022|CITATION-0000023",
      "resolution_id": "RESOLUTION-0000008",
      "resolution_rationale": "仲裁采纳原始项目、数值和单位候选，拒绝直接标注临床异常等级。",
      "resolution_status": "synthetic_resolved_with_case_specific_boundary",
      "unresolved_points": "标本、方法和参考范围版本不足；不得做单位换算或异常结论。"
    },
    {
      "adjudication_id": "ADJUDICATION-0000009",
      "adopted_evidence_citation_ids": "CITATION-0000026",
      "adopted_opinion_id": "OPINION-0000026",
      "disagreement_id": "DISAGREEMENT-0000009",
      "rejected_evidence_citation_ids": "CITATION-0000025",
      "resolution_evidence_citation_ids": "CITATION-0000025|CITATION-0000026",
      "resolution_id": "RESOLUTION-0000009",
      "resolution_rationale": "仲裁采纳检查级候选边，拒绝病灶级或实例级强配对。",
      "resolution_status": "synthetic_resolved_with_case_specific_boundary",
      "unresolved_points": "稳定序列键、实例定位和病灶标注未提供；不得输出视觉金标准。"
    },
    {
      "adjudication_id": "ADJUDICATION-0000010",
      "adopted_evidence_citation_ids": "CITATION-0000029",
      "adopted_opinion_id": "OPINION-0000029",
      "disagreement_id": "DISAGREEMENT-0000010",
      "rejected_evidence_citation_ids": "CITATION-0000028",
      "resolution_evidence_citation_ids": "CITATION-0000028|CITATION-0000029",
      "resolution_id": "RESOLUTION-0000010",
      "resolution_rationale": "仲裁保留标本—报告候选关系，拒绝把IHC或诊断下放到具体图像对象。",
      "resolution_status": "synthetic_resolved_with_case_specific_boundary",
      "unresolved_points": "蜡块、切片和图像唯一键未覆盖；不输出切片级标注或强配对。"
    },
    {
      "adjudication_id": "ADJUDICATION-0000011",
      "adopted_evidence_citation_ids": "CITATION-0000032",
      "adopted_opinion_id": "OPINION-0000032",
      "disagreement_id": "DISAGREEMENT-0000011",
      "rejected_evidence_citation_ids": "CITATION-0000031",
      "resolution_evidence_citation_ids": "CITATION-0000031|CITATION-0000032",
      "resolution_id": "RESOLUTION-0000011",
      "resolution_rationale": "仲裁采纳检查级报告候选，并限制自动测量仅作辅助证据。",
      "resolution_status": "synthetic_resolved_with_case_specific_boundary",
      "unresolved_points": "原始波形、人工复核和临床症状关联缺失；不得形成诊断金标准。"
    },
    {
      "adjudication_id": "ADJUDICATION-0000012",
      "adopted_evidence_citation_ids": "CITATION-0000035",
      "adopted_opinion_id": "OPINION-0000035",
      "disagreement_id": "DISAGREEMENT-0000012",
      "rejected_evidence_citation_ids": "CITATION-0000034",
      "resolution_evidence_citation_ids": "CITATION-0000034|CITATION-0000035",
      "resolution_id": "RESOLUTION-0000012",
      "resolution_rationale": "仲裁采纳复查比较候选和随访建议，拒绝结论性进展或疗效判断。",
      "resolution_status": "synthetic_resolved_with_case_specific_boundary",
      "unresolved_points": "检查协议、同层面定位和测量方法未覆盖；不得生成病灶真值或长期结局。"
    }
  ],
  "artifact_version": [
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000001",
      "case_id": "CASE-0000001",
      "supersedes_version_id": null
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000002",
      "case_id": "CASE-0000002",
      "supersedes_version_id": null
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000003",
      "case_id": "CASE-0000003",
      "supersedes_version_id": null
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000004",
      "case_id": "CASE-0000004",
      "supersedes_version_id": null
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000005",
      "case_id": "CASE-0000005",
      "supersedes_version_id": null
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000006",
      "case_id": "CASE-0000006",
      "supersedes_version_id": null
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000007",
      "case_id": "CASE-0000007",
      "supersedes_version_id": null
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000008",
      "case_id": "CASE-0000008",
      "supersedes_version_id": null
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000009",
      "case_id": "CASE-0000009",
      "supersedes_version_id": null
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000010",
      "case_id": "CASE-0000010",
      "supersedes_version_id": null
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000011",
      "case_id": "CASE-0000011",
      "supersedes_version_id": null
    },
    {
      "artifact_version_id": "ARTIFACT_VERSION-0000012",
      "case_id": "CASE-0000012",
      "supersedes_version_id": null
    }
  ],
  "final_artifact_version": [
    {
      "adjudication_id": "ADJUDICATION-0000001",
      "case_id": "CASE-0000001",
      "confirmed_time": "2026-07-18T11:10:00+08:00",
      "final_status": "synthetic_confirmed",
      "final_version_id": "FINAL_VERSION-0000001",
      "supersedes_version_id": "ARTIFACT_VERSION-0000001"
    },
    {
      "adjudication_id": "ADJUDICATION-0000002",
      "case_id": "CASE-0000002",
      "confirmed_time": "2026-07-19T11:10:00+08:00",
      "final_status": "synthetic_confirmed",
      "final_version_id": "FINAL_VERSION-0000002",
      "supersedes_version_id": "ARTIFACT_VERSION-0000002"
    },
    {
      "adjudication_id": "ADJUDICATION-0000003",
      "case_id": "CASE-0000003",
      "confirmed_time": "2026-07-20T11:10:00+08:00",
      "final_status": "synthetic_confirmed",
      "final_version_id": "FINAL_VERSION-0000003",
      "supersedes_version_id": "ARTIFACT_VERSION-0000003"
    },
    {
      "adjudication_id": "ADJUDICATION-0000004",
      "case_id": "CASE-0000004",
      "confirmed_time": "2026-07-21T11:10:00+08:00",
      "final_status": "synthetic_confirmed",
      "final_version_id": "FINAL_VERSION-0000004",
      "supersedes_version_id": "ARTIFACT_VERSION-0000004"
    },
    {
      "adjudication_id": "ADJUDICATION-0000005",
      "case_id": "CASE-0000005",
      "confirmed_time": "2026-07-22T11:10:00+08:00",
      "final_status": "synthetic_confirmed",
      "final_version_id": "FINAL_VERSION-0000005",
      "supersedes_version_id": "ARTIFACT_VERSION-0000005"
    },
    {
      "adjudication_id": "ADJUDICATION-0000006",
      "case_id": "CASE-0000006",
      "confirmed_time": "2026-07-23T11:10:00+08:00",
      "final_status": "synthetic_confirmed",
      "final_version_id": "FINAL_VERSION-0000006",
      "supersedes_version_id": "ARTIFACT_VERSION-0000006"
    },
    {
      "adjudication_id": "ADJUDICATION-0000007",
      "case_id": "CASE-0000007",
      "confirmed_time": "2026-07-24T11:10:00+08:00",
      "final_status": "synthetic_confirmed",
      "final_version_id": "FINAL_VERSION-0000007",
      "supersedes_version_id": "ARTIFACT_VERSION-0000007"
    },
    {
      "adjudication_id": "ADJUDICATION-0000008",
      "case_id": "CASE-0000008",
      "confirmed_time": "2026-07-25T11:10:00+08:00",
      "final_status": "synthetic_confirmed",
      "final_version_id": "FINAL_VERSION-0000008",
      "supersedes_version_id": "ARTIFACT_VERSION-0000008"
    },
    {
      "adjudication_id": "ADJUDICATION-0000009",
      "case_id": "CASE-0000009",
      "confirmed_time": "2026-07-26T11:10:00+08:00",
      "final_status": "synthetic_confirmed",
      "final_version_id": "FINAL_VERSION-0000009",
      "supersedes_version_id": "ARTIFACT_VERSION-0000009"
    },
    {
      "adjudication_id": "ADJUDICATION-0000010",
      "case_id": "CASE-0000010",
      "confirmed_time": "2026-07-27T11:10:00+08:00",
      "final_status": "synthetic_confirmed",
      "final_version_id": "FINAL_VERSION-0000010",
      "supersedes_version_id": "ARTIFACT_VERSION-0000010"
    },
    {
      "adjudication_id": "ADJUDICATION-0000011",
      "case_id": "CASE-0000011",
      "confirmed_time": "2026-07-28T11:10:00+08:00",
      "final_status": "synthetic_confirmed",
      "final_version_id": "FINAL_VERSION-0000011",
      "supersedes_version_id": "ARTIFACT_VERSION-0000011"
    },
    {
      "adjudication_id": "ADJUDICATION-0000012",
      "case_id": "CASE-0000012",
      "confirmed_time": "2026-07-29T11:10:00+08:00",
      "final_status": "synthetic_confirmed",
      "final_version_id": "FINAL_VERSION-0000012",
      "supersedes_version_id": "ARTIFACT_VERSION-0000012"
    }
  ],
  "scoring_rubric": [
    {
      "case_id": "CASE-0000001",
      "rubric_id": "RUBRIC-0000001",
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    },
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    },
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      "case_id": "CASE-0000012",
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    },
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    "handling": "exclude from expert consensus and real arbitration claims",
    "issue_code": "synthetic_not_real_multi_role_review",
    "quality_issue_id": "QUALITY_ISSUE-0000001"
  }
}