بيانات الفحوصات الطبية

{
 "anon_id": "PHY-2021-Q3R7B1L9W2",
 "report_id": "RPT-S-FDZS-20230520-0147",
 "meta": {
 "quality_grade": "S+",
 "source_institution": " ",
 "institution_tier": " ",
 "checkup_date": "2023-05-20",
 "is_longitudinal": true,
 "longitudinal_span_years": 3,
 "previous_report_ids": ["RPT-S-FDZS-20210518-0091", "RPT-S-FDZS-20220519-0122"]
 },
 "demographics": {
 "gender": " ", "birth_year": 1992, "age_at_checkup": 31,
 "height_cm": 163.0, "weight_kg": 54.2, "bmi": 20.4,
 "blood_pressure_mmhg": {"systolic": 108, "diastolic": 68}
 },
 "lab_results": {
 "thyroid_function": {
 "tsh_mIU_L": 2.35, "ft3_pmol_L": 4.8, "ft4_pmol_L": 15.2,
 "tpoab_IU_ml": 156.8
 },
 "biochemistry": {
 "fpg_mmol_L": 4.8, "hba1c_percent": 5.2,
 "tc_mmol_L": 4.65, "hdl_c_mmol_L": 1.72, "ldl_c_mmol_L": 2.45
 },
 "tumor_markers": {
 "afp_ng_ml": 2.5, "cea_ng_ml": 1.2, "ca125_U_ml": 18.6
 }
 },
 "imaging": {
 "thyroid_us": {
 "findings": " TI-RADS 2 ",
 "tirads": "2"
 },
 "breast_us": {
 "findings": " 10 8×5mm BI-RADS 3 ",
 "birads": "3"
 }
 },
 "summary": {
 "main_findings": [
 " TPOAb ",
 " BI-RADS 3 "
 ],
 "risk_stratification": " ",
 "temporal_comparison": "TPOAb 2021 42 IU/mL 115→157 "
 }
}

{
 "anon_id": "PHY-2022-D6K1J8P3Z5",
 "report_id": "RPT-S-SCRH-20230812-0201",
 "meta": {
 "quality_grade": "S",
 "source_institution": " ",
 "institution_tier": " ",
 "checkup_date": "2023-08-12",
 "report_pages": 56, "effective_pages": 52,
 "imaging_count": 12, "original_price_cny": 12800
 },
 "demographics": {
 "gender": " ", "birth_year": 1958, "age_at_checkup": 65,
 "height_cm": 168.0, "weight_kg": 71.5, "bmi": 25.3,
 "blood_pressure_mmhg": {"systolic": 152, "diastolic": 92}
 },
 "lab_results": {
 "biochemistry": {
 "bun_mmol_L": 8.2, "cr_umol_L": 115, "egfr_ml_min": 58,
 "fpg_mmol_L": 7.8, "hba1c_percent": 7.2,
 "tc_mmol_L": 5.45, "ldl_c_mmol_L": 3.25
 },
 "tumor_markers": {
 "cea_ng_ml": 6.8, "psa_total_ng_ml": 6.5, "psa_ratio": 0.17,
 "ferritin_ng_ml": 385
 }
 },
 "imaging": {
 "chest_ct": {
 "findings": " 12×10mm 4R 12mm ",
 "lung_rads": "4B", "nodule_count": 1, "largest_nodule_mm": 12
 },
 "coronary_cta": {
 "findings": "LAD 55% Agatston 285 ",
 "agatston_score": 285, "lad_stenosis_percent": 55
 },
 "head_mri_mra": { "fazekas_grade": 1 }
 },
 "summary": {
 "main_findings": [
 " Lung-RADS 4B ",
 " LAD 55% Agatston 285 ",
 "2 HbA1c 7.2% ", " 2 ",
 "CKD 3a eGFR 58 ", "CEA 6.8 ng/mL ",
 "PSA 6.5 ng/mL f/t 0.17 "
 ],
 "risk_stratification": " + ",
 "temporal_comparison": " PSA 4.2 6.5 +55% eGFR 65 58"
 }
}

{
 "anon_id": "PHY-2023-M4W8T5K2H7",
 "report_id": "RPT-S-ZDYF-20230625-0155",
 "meta": {
 "quality_grade": "S",
 "source_institution": " ",
 "institution_tier": " ",
 "checkup_date": "2023-06-25",
 "report_pages": 44, "effective_pages": 40,
 "imaging_count": 7, "original_price_cny": 8500
 },
 "demographics": {
 "gender": " ", "birth_year": 1978, "age_at_checkup": 45,
 "height_cm": 160.5, "weight_kg": 62.8, "bmi": 24.4
 },
 "lab_results": {
 "tumor_markers": {
 "afp_ng_ml": 3.8, "cea_ng_ml": 2.5, "ca125_U_ml": 68.5,
 "ca15_3_U_ml": 22.8, "he4_pmol_L": 72.5, "roma_index": 18.2
 }
 },
 "imaging": {
 "breast_mammography": {
 "findings": " 15×12mm BI-RADS 4A ",
 "birads": "4A", "microcalcifications": true
 },
 "gynecologic_us": {
 "findings": " 42×35mm —— ",
 "endometrial_thickness_mm": 12
 }
 },
 "summary": {
 "main_findings": [
 " BI-RADS 4A ",
 "CA125 68.5 U/mL ", " 42×35mm "
 ],
 "risk_stratification": " 4A +CA125 ",
 "temporal_comparison": " CA125 2022 32.5 68.5 +111% "
 }
}

{
 "anon_id": "PHY-2024-L2F6H9N4S1",
 "report_id": "RPT-S-SHGH-20240218-0208",
 "meta": {
 "quality_grade": "S+",
 "source_institution": " ",
 "institution_tier": " ",
 "checkup_date": "2024-02-18",
 "report_pages": 48, "effective_pages": 45,
 "imaging_count": 9, "original_price_cny": 15800
 },
 "demographics": {
 "gender": " ", "birth_year": 1990, "age_at_checkup": 34,
 "height_cm": 158.0, "weight_kg": 50.5, "bmi": 20.2
 },
 "lab_results": {
 "genetic_testing": {
 "septin9_methylation": " ",
 "cancer_susceptibility_panel": {
 "brca1": " / ", "brca2": " / ",
 "mlh1/msh2/msh6/pms2": " / "
 },
 "pharmacogenomics": {
 "cyp2c19": "*1/*1 ",
 "cyp2d6": "*1/*10 ",
 "slco1b1": "*1a/*1b ",
 "mthfr_c677t": "CT 65% "
 }
 }
 },
 "imaging": {
 "whole_body_mri": { "findings": " DWI BS " },
 "breast_mri": { "findings": " BI-RADS 1 ", "birads": "1" },
 "ai_fundus": { "dr_result": " ", "amd_result": " ", "glaucoma_risk": " " }
 },
 "summary": {
 "main_findings": [
 "MTHFR C677T 65% ",
 "CYP2D6 ", " ",
 " / "
 ],
 "risk_stratification": " ",
 "pharmacogenomic_notes": "CYP2C19 CYP2D6 "
 }
}