数据结构说明
January 14, 2026 · View on GitHub
生化检查数据结构
{
"id": "20251231123456789",
"type": "生化检查",
"date": "2025-12-31",
"hospital": "XX医院",
"items": [
{
"name": "白细胞计数",
"value": "6.5",
"unit": "×$10^{9}$/L",
"min_ref": "3.5",
"max_ref": "9.5",
"is_abnormal": false
}
]
}
字段说明
id: 唯一标识符（时间戳生成）type: 检查类型，固定为"生化检查"date: 检查日期（YYYY-MM-DD格式）hospital: 就诊医院名称items: 检查项目数组name: 检查项目名称value: 检查结果值unit: 计量单位min_ref: 参考范围下限max_ref: 参考范围上限is_abnormal: 是否异常（布尔值）
影像检查数据结构
{
"id": "20251231123456789",
"type": "影像检查",
"subtype": "B超",
"date": "2025-12-31",
"hospital": "XX医院",
"body_part": "腹部",
"findings": {
"description": "检查所见描述",
"measurements": {
"尺寸": "具体数值"
},
"conclusion": "检查结论"
},
"original_image": "images/original.jpg"
}
字段说明
id: 唯一标识符（时间戳生成）type: 检查类型，固定为"影像检查"subtype: 影像检查子类型（B超、CT、MRI、X光等）date: 检查日期（YYYY-MM-DD格式）hospital: 就诊医院名称body_part: 检查部位findings: 检查发现对象description: 检查所见文字描述measurements: 测量数据对象conclusion: 检查结论
original_image: 原始图片备份路径
辐射记录数据结构
{
"id": "20251231123456789",
"exam_type": "CT",
"body_part": "胸部",
"exam_date": "2025-12-31",
"standard_dose": 7.0,
"body_surface_area": 1.85,
"adjustment_factor": 1.07,
"actual_dose": 7.5,
"dose_unit": "mSv"
}
字段说明
id: 唯一标识符（时间戳生成）exam_type: 检查类型（CT、X光、PET-CT等）body_part: 检查部位exam_date: 检查日期（YYYY-MM-DD格式）standard_dose: 标准辐射剂量（mSv）body_surface_area: 用户体表面积（m²）adjustment_factor: 体表面积调整系数actual_dose: 实际辐射剂量（mSv）dose_unit: 剂量单位，固定为"mSv"
用户档案数据结构
{
"basic_info": {
"gender": "F",
"height": 175,
"height_unit": "cm",
"weight": 70,
"weight_unit": "kg",
"birth_date": "1990-01-01"
},
"calculated": {
"age": 35,
"bmi": 22.9,
"bmi_status": "正常",
"body_surface_area": 1.85,
"bsa_unit": "m²"
}
}
字段说明
basic_info: 基础信息对象gender: 性别（M=男性，F=女性，其他值可选）height: 身高数值height_unit: 身高单位weight: 体重数值weight_unit: 体重单位birth_date: 出生日期（YYYY-MM-DD格式）
calculated: 自动计算的信息对象age: 年龄（周岁）bmi: BMI指数bmi_status: BMI状态（偏瘦/正常/超重/肥胖）body_surface_area: 体表面积（使用Mosteller公式计算）bsa_unit: 体表面积单位
全局索引数据结构
{
"biochemical_exams": [
{
"id": "20251231123456789",
"date": "2025-12-31",
"type": "生化检查",
"file_path": "data/生化检查/2025-12/2025-12-31_血常规.json"
}
],
"imaging_exams": [
{
"id": "20251231123456789",
"date": "2025-12-31",
"type": "影像检查",
"subtype": "B超",
"file_path": "data/影像检查/2025-12/2025-12-31_腹部B超.json"
}
],
"last_updated": "2025-12-31T12:34:56.789Z"
}
字段说明
biochemical_exams: 生化检查索引数组imaging_exams: 影像检查索引数组symptom_records: 症状记录索引数组last_updated: 最后更新时间（ISO 8601格式）
症状记录数据结构
{
"id": "20251231123456789",
"record_date": "2025-12-31",
"symptom_date": "2025-12-31",
"original_input": "用户原始输入",
"standardized": {
"main_symptom": "头痛",
"category": "神经系统",
"body_part": "头部",
"severity": "轻度",
"severity_level": 1,
"characteristics": "胀痛感",
"onset_time": "2025-12-31T10:00:00",
"duration": "2小时",
"frequency": "首次出现"
},
"associated_symptoms": [
{
"name": "恶心",
"present": true
},
{
"name": "呕吐",
"present": false
}
],
"triggers": {
"possible_causes": ["睡眠不足", "精神紧张"],
"aggravating_factors": [],
"relieving_factors": ["休息后略缓解"]
},
"medical_assessment": {
"urgency": "observation",
"urgency_level": 1,
"recommendation": "居家观察",
"advice": "建议充分休息，保证充足睡眠。如症状加重或持续超过24小时，建议就医。",
"red_flags": []
},
"follow_up": {
"needs_follow_up": false,
"follow_up_date": null,
"improvement": null
},
"metadata": {
"created_at": "2025-12-31T12:34:56.789Z",
"last_updated": "2025-12-31T12:34:56.789Z"
}
}
字段说明
id: 唯一标识符（时间戳生成）record_date: 记录创建日期（YYYY-MM-DD格式）symptom_date: 症状发生日期（YYYY-MM-DD格式）original_input: 用户原始输入的自然语言描述standardized: 标准化后的医学信息对象main_symptom: 主要症状的标准医学术语category: 症状所属系统分类body_part: 症状发生的身体部位severity: 严重程度描述（轻度/中度/重度/危急）severity_level: 严重程度等级（1-4）characteristics: 症状特点描述onset_time: 症状开始时间（ISO 8601格式）duration: 持续时间描述frequency: 发生频率描述
associated_symptoms: 伴随症状数组name: 症状名称present: 是否存在该症状（布尔值）
triggers: 诱因和缓解因素对象possible_causes: 可能原因数组aggravating_factors: 加重因素数组relieving_factors: 缓解因素数组
medical_assessment: 医学评估对象urgency: 紧急程度类别（observation/outpatient/urgent/emergency）urgency_level: 紧急程度等级（1-4）recommendation: 就医建议类别advice: 具体建议内容red_flags: 危险警示信号数组
follow_up: 随访信息对象needs_follow_up: 是否需要随访（布尔值）follow_up_date: 随访日期（如有）improvement: 改善情况（如有）
metadata: 元数据对象created_at: 记录创建时间（ISO 8601格式）last_updated: 最后更新时间（ISO 8601格式）
紧急程度分类
- observation（1级）: 居家观察
- outpatient（2级）: 门诊就医（1周内）
- urgent（3级）: 尽快就医（今天或明天）
- emergency（4级）: 立即就医或拨打急救电话
症状系统分类
- 呼吸系统：咳嗽、咳痰、呼吸困难、胸痛等
- 心血管系统：心悸、胸闷、水肿等
- 消化系统：腹痛、恶心、呕吐、腹泻、便秘等
- 神经系统：头痛、头晕、失眠、抽搐等
- 泌尿系统：尿频、尿急、尿痛、血尿等
- 内分泌系统：多饮、多尿、体重变化等
- 肌肉骨骼：关节痛、肌肉痛、活动受限等
- 全身症状：发热、乏力、消瘦等
用药记录数据结构
药物信息数据结构
{
"medications": [
{
"id": "med_20251231123456789",
"name": "阿司匹林",
"generic_name": "阿司匹林",
"dosage": {
"value": 100,
"unit": "mg"
},
"frequency": {
"type": "daily",
"times_per_day": 1,
"interval_days": 1
},
"schedule": [
{
"weekday": 1,
"time": "08:00",
"timing_label": "早餐后",
"dose": {
"value": 100,
"unit": "mg"
}
},
{
"weekday": 2,
"time": "08:00",
"timing_label": "早餐后",
"dose": {
"value": 100,
"unit": "mg"
}
}
... (继续至星期日，共7条记录)
],
"instructions": "早餐后服用",
"notes": "",
"active": true,
"created_at": "2025-12-31T12:34:56.789Z",
"last_updated": "2025-12-31T12:34:56.789Z"
}
]
}
字段说明
medications: 药物数组id: 唯一标识符（前缀 med_ + 时间戳）name: 药物名称（通用名或商品名）generic_name: 通用名称dosage: 剂量信息对象value: 剂量数值unit: 剂量单位（mg、g、ml、IU、片、粒等）
frequency: 用药频率对象type: 频率类型（daily/weekly/every_other_day/as_needed）times_per_day: 每天用药次数interval_days: 用药间隔天数
schedule: 用药计划数组（强制要求明确指定每个星期几的用药计划）weekday: 星期几（1-7，1表示周一，7表示周日）time: 用药时间（HH:mm格式）timing_label: 时间标签（早餐后、睡前等）dose: 该时间点的剂量
instructions: 用药说明notes: 备注信息active: 是否活跃（true表示正在使用，false表示已停用）created_at: 创建时间（ISO 8601格式）last_updated: 最后更新时间（ISO 8601格式）
schedule 数组生成规则
重要：schedule 必须为每个星期几明确生成用药计划记录
每天1次的药物
生成 7 条记录（周一至周日各1条）
"schedule": [
{"weekday": 1, "time": "08:00", ...},
{"weekday": 2, "time": "08:00", ...},
{"weekday": 3, "time": "08:00", ...},
{"weekday": 4, "time": "08:00", ...},
{"weekday": 5, "time": "08:00", ...},
{"weekday": 6, "time": "08:00", ...},
{"weekday": 7, "time": "08:00", ...}
]
``$
#### 每天2次的药物
生成 14 条记录（每天2次 \times 7天）
$``json
"schedule": [
{"weekday": 1, "time": "08:00", ...}, // 周一早晨
{"weekday": 1, "time": "20:00", ...}, // 周一晚上
{"weekday": 2, "time": "08:00", ...}, // 周二早晨
{"weekday": 2, "time": "20:00", ...}, // 周二晚上
... (继续至星期日)
]
``$
#### 每天3次的药物
生成 21 条记录（每天3次 \times 7天）
$``json
"schedule": [
{"weekday": 1, "time": "08:00", ...}, // 周一早餐后
{"weekday": 1, "time": "12:30", ...}, // 周一午餐后
{"weekday": 1, "time": "18:30", ...}, // 周一晚餐后
{"weekday": 2, "time": "08:00", ...}, // 周二早餐后
... (继续至星期日)
]
每周1次的药物
生成 1 条记录（指定的星期几）
"schedule": [
{"weekday": 1, "time": "08:00", ...} // 每周一
]
隔天1次的药物
生成 4 条记录（周一、三、五、日 或 二、四、六）
"schedule": [
{"weekday": 1, "time": "08:00", ...},
{"weekday": 3, "time": "08:00", ...},
{"weekday": 5, "time": "08:00", ...},
{"weekday": 7, "time": "08:00", ...}
]
用药记录数据结构
{
"date": "2025-12-31",
"logs": [
{
"id": "log_20251231080000001",
"medication_id": "med_20251231123456789",
"medication_name": "阿司匹林",
"scheduled_time": "08:00",
"actual_time": "2025-12-31T08:15:00",
"status": "taken",
"dose": {
"value": 100,
"unit": "mg"
},
"notes": "",
"created_at": "2025-12-31T08:15:00.000Z"
}
]
}
字段说明
date: 用药日期（YYYY-MM-DD格式）logs: 用药记录数组id: 记录唯一标识符（前缀 log_ + 时间戳）medication_id: 关联的药物IDmedication_name: 药物名称scheduled_time: 计划用药时间（HH:mm格式）actual_time: 实际用药时间（ISO 8601格式，漏服时为null）status: 用药状态（taken/missed/skipped/delayed）dose: 实际剂量notes: 备注（如漏服原因）created_at: 记录创建时间（ISO 8601格式）
用药状态值说明
- taken: 已服用（按时或延迟服用）
- missed: 漏服（未服用）
- skipped: 跳过（医嘱停用或暂停）
- delayed: 延迟服用（已服用但时间延迟）
频率类型说明
- daily: 每日（times_per_day表示每天次数）
- weekly: 每周（times_per_day表示每周次数）
- every_other_day: 隔日一次
- as_needed: 按需服用（不计算依从性）
用药依从性计算
``$ 依从性百分比 = (实际服用次数 / 计划服用次数) \times 100%
其中：
- 实际服用次数 = \text{status}为\text{taken}或\text{delayed}的记录数
- 计划服用次数 = 应服用的总次数（排除\text{skipped}和\text{as_needed}）
- 待服用状态不计入统计 $``
依从性等级
- 优秀: ≥ 90%
- 良好: 70% - 89%
- 需改进: < 70%
全局索引更新（用药记录）
{
"medications": [
{
"id": "med_20251231123456789",
"name": "阿司匹林",
"dosage_value": 100,
"dosage_unit": "mg",
"frequency_type": "daily",
"file_path": "data/medications/medications.json",
"active": true,
"created_at": "2025-12-31T12:34:56.789Z"
}
],
"medication_logs": [
{
"id": "log_20251231080000001",
"date": "2025-12-31",
"medication_id": "med_20251231123456789",
"medication_name": "阿司匹林",
"status": "taken",
"file_path": "data/medication-logs/2025-12/2025-12-31.json"
}
]
}
儿童意外伤害预防数据结构
{
"created_at": "2025-01-14T00:00:00.000Z",
"last_updated": "2025-01-14T10:00:00.000Z",
"child_profile": {
"child_id": "child_20200101",
"name": "小明",
"birth_date": "2020-01-01",
"gender": "male"
},
"safety_assessments": [
{
"date": "2025-01-14",
"age": "2y5m",
"age_months": 29,
"area": "home",
"area_name": "家庭安全",
"checklist": {
"window_protection": {
"item": "窗户防护",
"safe": true,
"notes": "已安装限位器"
},
"outlet_covers": {
"item": "插座保护",
"safe": true,
"notes": "所有插座已安装保护盖"
},
"chemical_storage": {
"item": "化学品收纳",
"safe": false,
"notes": "药品放在低处，需移至带锁高处"
}
},
"score": {
"total_items": 5,
"safe_items": 4,
"percentage": 80,
"level": "good"
},
"risks_identified": [
{
"item": "chemical_storage",
"risk_level": "high",
"description": "药品未安全存放"
}
]
}
],
"emergency_contacts": [
{ "name": "爸爸", "phone": "138****1234", "relationship": "father" },
{ "name": "妈妈", "phone": "139****5678", "relationship": "mother" }
]
}
字段说明
child_profile: 儿童基础信息safety_assessments: 安全评估记录数组area: 评估区域（home/car/water/food/outdoor）checklist: 安全检查项目score: 安全评分risks_identified: 识别的风险数组emergency_contacts: 紧急联系人
儿童发育里程碑数据结构
{
"created_at": "2025-01-14T00:00:00.000Z",
"last_updated": "2025-01-14T10:00:00.000Z",
"child_profile": {
"child_id": "child_20200101",
"name": "小明",
"birth_date": "2020-01-01",
"gender": "male",
"premature": false
},
"developmental_tracking": {
"assessments": [
{
"date": "2025-01-14",
"age_months": 6,
"gross_motor": {
"items": [
{
"milestone": "独坐",
"age_expected": 6,
"achieved": true,
"age_achieved": 5,
"date_achieved": "2020-06-01"
}
],
"status": "normal"
},
"fine_motor": {
"items": [
{
"milestone": "拇食指捏物",
"age_expected": 9,
"achieved": false
}
],
"status": "normal"
}
}
]
}
}
字段说明
gross_motor: 大运动发育fine_motor: 精细动作发育language: 语言发育social: 社交发育cognitive: 认知发育milestone: 里程碑名称age_expected: 预期达成月龄achieved: 是否已达成age_achieved: 实际达成月龄
儿童疾病管理数据结构
{
"created_at": "2025-01-14T00:00:00.000Z",
"last_updated": "2025-01-14T10:00:00.000Z",
"child_profile": {
"child_id": "child_20200101",
"name": "小明",
"birth_date": "2020-01-01",
"gender": "male"
},
"illness_records": [
{
"id": "illness_20250112",
"date": "2025-01-12",
"onset_date": "2025-01-12",
"days_illness": 3,
"condition": {
"name": "急性上呼吸道感染",
"category": "respiratory",
"severity": "mild"
},
"symptoms": [
{
"name": "发热",
"severity": "moderate",
"status": "improving"
}
],
"fever_tracking": [
{
"date": "2025-01-12T18:00:00",
"temperature": 38.2,
"medication": null
}
],
"medications": [
{
"name": "布洛芬混悬液",
"dosage": "5ml",
"frequency": "按需"
}
]
}
]
}
字段说明
condition: 疾病信息category: 疾病类别（respiratory/digestive等）severity: 严重程度（mild/moderate/severe）fever_tracking: 体温追踪记录medications: 用药记录
儿童睡眠管理数据结构
{
"created_at": "2025-01-14T00:00:00.000Z",
"last_updated": "2025-01-14T10:00:00.000Z",
"child_profile": {
"child_id": "child_20200101",
"name": "小明",
"birth_date": "2020-01-01",
"gender": "male"
},
"sleep_records": [
{
"date": "2025-01-13",
"age_months": 29,
"night_sleep": {
"bedtime": "21:00",
"fall_asleep_time": "21:30",
"wake_time": "07:00",
"total_sleep_hours": 9.5,
"sleep_quality": "good"
},
"night_wakeups": {
"count": 1,
"durations_minutes": [10],
"reasons": ["口渴"]
},
"day_sleep": {
"naps": 1,
"total_nap_sleep": 2
},
"total_sleep": {
"hours": 11.5,
"within_recommended": true
}
}
],
"sleep_problems": {
"night_terrors": false,
"bedwetting": false,
"sleep_walking": false
}
}
字段说明
night_sleep: 夜间睡眠night_wakeups: 夜醒记录day_sleep: 白天小睡total_sleep: 总睡眠时长sleep_problems: 睡眠问题标记
儿童营养饮食数据结构
{
"created_at": "2025-01-14T00:00:00.000Z",
"last_updated": "2025-01-14T10:00:00.000Z",
"child_profile": {
"child_id": "child_20200101",
"name": "小明",
"birth_date": "2020-01-01",
"gender": "male"
},
"dietary_records": [
{
"date": "2025-01-14",
"age_months": 29,
"meals": {
"breakfast": {
"time": "08:00",
"foods": [
{
"name": "牛奶",
"amount": "200ml",
"category": "dairy"
}
]
},
"lunch": {
"time": "12:00",
"foods": [
{
"name": "米饭",
"amount": "1小碗",
"category": "grain"
}
]
}
},
"water_intake": {
"amount_ml": 800,
"recommended_min": 1000,
"adequate": false
},
"nutrition_assessment": {
"protein": "adequate",
"calcium": "adequate",
"iron": "adequate",
"vitamin_d": "supplement_recommended"
}
}
],
"picky_eating": {
"level": "mild",
"refused_foods": ["胡萝卜", "青椒"],
"preferred_foods": ["鸡肉", "水果"]
}
}
字段说明
meals: 每餐记录category: 食物类别（grain/protein/vegetable/fruit/dairy）water_intake: 饮水量nutrition_assessment: 营养评估picky_eating: 挑食评估
儿童心理健康数据结构
{
"created_at": "2025-01-14T00:00:00.000Z",
"last_updated": "2025-01-14T10:00:00.000Z",
"child_profile": {
"child_id": "child_20200101",
"name": "小明",
"birth_date": "2020-01-01",
"gender": "male"
},
"assessments": [
{
"date": "2025-01-14",
"age_months": 60,
"mood_assessment": {
"overall_mood": "stable",
"mood_rating": 7,
"emotional_regulation": "good"
},
"behavior_assessment": {
"overall_behavior": "normal",
"activity_level": "appropriate",
"attention_span": "age_appropriate",
"aggression": "none"
},
"anxiety_screening": {
"overall_anxiety": "low_risk"
},
"attention_screening": {
"inattention_score": 8,
"hyperactivity_score": 5,
"total_score": 13
},
"overall_assessment": "normal"
}
],
"mood_tracking": [
{
"date": "2025-01-14",
"mood": "happy",
"mood_rating": 7,
"context": "playing"
}
],
"behavior_tracking": {
"tantrums": {
"frequency": "rare",
"triggers": ["hungry", "tired"]
},
"sleep_issues": false,
"aggression": false
}
}
字段说明
mood_assessment: 情绪评估behavior_assessment: 行为评估anxiety_screening: 焦虑筛查attention_screening: 注意力筛查（ADHD相关）mood_tracking: 情绪追踪记录behavior_tracking: 行为问题追踪