长时序멀티모달병력데이터셋

{
  "patient_id": "LH_PT_2024_003172",
  "demographics": {
    "gender": "M",
    "age_at_baseline": 58,
    "age_unit": "year"
  },
  "primary_diagnosis": {
    "icd_code_original": "C34.1",
    "icd_version": "ICD-10",
    "icd_code_mapped": "C34.1",
    "diagnosis_name": "肺上叶恶性肿瘤",
    "department": "肿瘤科",
    "disease_spectrum": "实体瘤-肺癌"
  },
  "temporal_trajectory": {
    "time_span_years": 3.5,
    "encounter_count": 8,
    "first_record_date": "2019-03-15",
    "last_record_date": "2022-09-20",
    "encounters": [
      {
        "encounter_id": "ENC_001",
        "date": "2019-03-15",
        "type": "inpatient",
        "department": "肿瘤科",
        "phase": "baseline_diagnosis",
        "linked_data": {
          "clinical_notes": ["入院记录", "首次病程", "出院小结"],
          "imaging": [
            {"study_id": "IMG_CT_001", "modality": "CT", "body_part": "CHEST", "report_id": "RPT_001"}
          ],
          "pathology": [
            {"report_id": "PATH_001", "type": "biopsy", "finding": "非小细胞肺癌，腺癌"}
          ],
          "lab_results": ["血常规", "生化", "肿瘤标志物"],
          "medications": [],
          "scales": [{"name": "ECOG", "score": 1}]
        }
      },
      {
        "encounter_id": "ENC_004",
        "date": "2020-03-10",
        "type": "outpatient",
        "phase": "follow_up_1y",
        "linked_data": {
          "imaging": [
            {"study_id": "IMG_CT_004", "modality": "CT", "body_part": "CHEST",
             "comparison": "对比前片IMG_CT_003", "report_id": "RPT_004"}
          ],
          "lab_results": ["肿瘤标志物"],
          "scales": [{"name": "ECOG", "score": 0}]
        }
      }
    ]
  }
}

{
  "patient_id": "LH_PT_2024_003172",
  "encounter_id": "ENC_006",
  "study_id": "IMG_MRI_006",
  "study_datetime": "2021-06-18T09:30:00",
  "modality": "MRI",
  "body_part": "BRAIN",
  "study_description": "头颅MRI平扫+增强",
  "series": [
    {
      "series_id": "SER_006_01",
      "series_description": "T1WI",
      "slice_thickness": 5.0,
      "pixel_spacing": [0.5, 0.5],
      "rows": 512,
      "columns": 512,
      "file_count": 24,
      "file_path": "patient_003172/enc_006/mri/ser_01/"
    },
    {
      "series_id": "SER_006_02",
      "series_description": "T2WI FLAIR",
      "slice_thickness": 5.0,
      "pixel_spacing": [0.5, 0.5],
      "rows": 512,
      "columns": 512,
      "file_count": 24,
      "file_path": "patient_003172/enc_006/mri/ser_02/"
    },
    {
      "series_id": "SER_006_05",
      "series_description": "T1WI+C (Post-Contrast)",
      "slice_thickness": 5.0,
      "pixel_spacing": [0.5, 0.5],
      "rows": 512,
      "columns": 512,
      "file_count": 24,
      "file_path": "patient_003172/enc_006/mri/ser_05/",
      "contrast_phase": "post_contrast"
    }
  ],
  "linked_report": {
    "report_id": "RPT_006",
    "findings": "右侧额叶可见结节状强化灶，较前次(IMG_CT_004)无明显变化...",
    "impression": "考虑转移瘤稳定，建议继续随访",
    "report_date": "2021-06-18"
  },
  "linked_encounter": {
    "encounter_id": "ENC_006",
    "date": "2021-06-18",
    "department": "肿瘤科",
    "phase": "follow_up_2y"
  },
  "quality_note": {
    "dicom_metadata_preserved": true,
    "spatial_position_preserved": true,
    "burned_in_annotation": "NO",
    "desensitization_status": "passed"
  }
}