Datasets de bilans de santé

{
  "anon_id": "PHY-2023-C3M7R2T1W4",
  "report_id": "RPT-S-CSZX-20230621-0158",
  "meta": {
    "quality_grade": "S",
    "source_institution": "合作医疗集团体检中心",
    "institution_tier": "优质",
    "checkup_date": "2023-06-21",
    "original_price_cny": 5200
  },
  "demographics": {
    "gender": "女",
    "birth_year": 1995,
    "age_at_checkup": 28,
    "height_cm": 163.0,
    "weight_kg": 55.2,
    "bmi": 20.8,
    "blood_pressure_mmhg": {"systolic": 112, "diastolic": 72}
  },
  "lab_results": {
    "biochemistry": {
      "alt_U_L": 18, "ggt_U_L": 15, "cr_umol_L": 62, "ua_umol_L": 280,
      "egfr_ml_min": 108, "tc_mmol_L": 4.52, "tg_mmol_L": 1.05,
      "ldl_c_mmol_L": 2.31, "fpg_mmol_L": 4.9, "hba1c_percent": 5.1
    },
    "tumor_markers": {
      "afp_ng_ml": 2.1, "cea_ng_ml": 1.2, "ca125_U_ml": 12.5, "ca15_3_U_ml": 18.3
    },
    "thyroid_function": {
      "tsh_mIU_L": 2.34, "ft3_pmol_L": 4.8, "ft4_pmol_L": 15.2
    }
  },
  "imaging": {
    "thyroid_us": {
      "findings": "甲状腺右叶见一低回声结节，大小约0.6x0.4cm，边界清晰，TI-RADS 3类。",
      "ti_rads": "3"
    },
    "breast_us": {
      "findings": "双侧乳腺未见明显占位性病变，BI-RADS 1类。",
      "bi_rads": "1"
    }
  },
  "summary": {
    "main_findings": [
      "甲状腺右叶小结节（TI-RADS 3类，建议定期随访）"
    ],
    "risk_stratification": "低危",
    "health_score": 92
  }
}

{
  "anon_id": "PHY-2023-F9P2N5V8D1",
  "report_id": "RPT-S-CQZX-20231008-0042",
  "meta": {
    "quality_grade": "A",
    "source_institution": "合作三甲医院体检中心",
    "institution_tier": "优质-三甲",
    "checkup_date": "2023-10-08",
    "original_price_cny": 8800
  },
  "demographics": {
    "gender": "男",
    "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": {
      "alt_U_L": 35, "ggt_U_L": 52, "cr_umol_L": 102, "ua_umol_L": 468,
      "egfr_ml_min": 62, "tc_mmol_L": 6.12, "tg_mmol_L": 2.88,
      "ldl_c_mmol_L": 4.21, "fpg_mmol_L": 7.2, "hba1c_percent": 7.1
    },
    "tumor_markers": {
      "afp_ng_ml": 5.8, "cea_ng_ml": 3.5, "ca19_9_U_ml": 28.2,
      "psa_total_ng_ml": 6.8, "psa_ratio": 0.12
    }
  },
  "imaging": {
    "chest_ct": {
      "findings": "双肺气肿征象，右肺中叶可见一实性结节，直径约8mm，边界尚清，建议3个月后复查。",
      "lung_rads": "3", "nodule_count": 2, "largest_nodule_mm": 8
    },
    "carotid_us": {
      "findings": "双侧颈总动脉多发混合回声斑块，左侧最大约12.5x3.8mm，管腔狭窄率约45%。",
      "stenosis_percent": 45
    },
    "cardiac_us": {"ef_percent": 55, "ea_ratio": 0.72}
  },
  "summary": {
    "main_findings": [
      "2型糖尿病（HbA1c 7.1%）", "混合型高脂血症",
      "双侧颈动脉粥样硬化伴重度狭窄（45%）",
      "右肺中叶实性结节（Lung-RADS 3类，建议短期随访）",
      "前列腺特异性抗原升高（PSA 6.8，比值0.12，建议泌尿外科就诊）"
    ],
    "risk_stratification": "心血管疾病高危",
    "recommend_followup": ["内分泌科", "心内科", "呼吸科", "泌尿外科"]
  }
}