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{
"version": "1.0.0",
"generated": "2026-07-14",
"note": "以下为演示用虚构患者档案,任何数值均为示例,不代表真实病例。真实使用时应由用户/家属/医生录入本人真实数据。",
"patients": [
{
"profile_id": "sample_A_zhang",
"display_name": "示例患者 A:张先生(68岁,心衰随访)",
"patient": {
"name": "张**",
"age": 68,
"gender": "男",
"diagnosis": "慢性心力衰竭(NYHA II级)随访 / 阵发性房颤",
"primary_doctor": "心内科 李医生",
"manager": "健康管理师 王老师"
},
"ecg_history": [
{"time": "2026-07-13 21:30", "HR": 72, "PR": 168, "QRS": 96, "QT": 396, "QTc": 428, "rhythm": "窦性心律", "ai_finding": "窦性心律,偶发室早", "signal_quality": "good"},
{"time": "2026-07-13 08:10", "HR": 78, "PR": 170, "QRS": 94, "QT": 388, "QTc": 434, "rhythm": "窦性心律", "ai_finding": "窦性心律,未见异常", "signal_quality": "good"},
{"time": "2026-07-12 21:15", "HR": 75, "PR": 172, "QRS": 96, "QT": 390, "QTc": 430, "rhythm": "窦性心律", "ai_finding": "窦性心律,偶发室早(1次)", "signal_quality": "good"},
{"time": "2026-07-12 08:00", "HR": 80, "PR": 168, "QRS": 94, "QT": 384, "QTc": 435, "rhythm": "窦性心律", "ai_finding": "窦性心律", "signal_quality": "good"},
{"time": "2026-07-11 22:00", "HR": 85, "PR": 172, "QRS": 96, "QT": 380, "QTc": 442, "rhythm": "窦性心律", "ai_finding": "窦性心动过速,偶发室早", "signal_quality": "fair"},
{"time": "2026-07-11 08:20", "HR": 118, "PR": 0, "QRS": 90, "QT": 340, "QTc": 460, "rhythm": "疑似房颤", "ai_finding": "疑似阵发性房颤,建议医生复核", "signal_quality": "good"},
{"time": "2026-07-10 21:00", "HR": 76, "PR": 168, "QRS": 94, "QT": 388, "QTc": 430, "rhythm": "窦性心律", "ai_finding": "窦性心律,未见异常", "signal_quality": "good"},
{"time": "2026-07-10 08:15", "HR": 78, "PR": 168, "QRS": 92, "QT": 388, "QTc": 428, "rhythm": "窦性心律", "ai_finding": "窦性心律,偶发室早", "signal_quality": "good"},
{"time": "2026-07-09 21:00", "HR": 74, "PR": 170, "QRS": 92, "QT": 390, "QTc": 425, "rhythm": "窦性心律", "ai_finding": "窦性心律", "signal_quality": "good"},
{"time": "2026-07-08 21:15", "HR": 82, "PR": 168, "QRS": 96, "QT": 386, "QTc": 436, "rhythm": "窦性心律", "ai_finding": "窦性心律,偶发室早", "signal_quality": "good"}
],
"reports": [
{
"time": "2026-07-01",
"type": "医生复核报告",
"reviewer": "心内科 李医生",
"content": "近30天心电监测结果:窦性心律为主(占比约93%),期间1次疑似阵发性房颤发作(2026-07-11 上午,持续约1小时后自行转复),偶发室性早搏(约5-8次/日)。PR、QRS、QTc间期均在正常范围。BNP较上月轻度下降,心脏彩超LVEF较前稳定。总体评估:心衰状态稳定,房颤仍呈阵发性,建议维持现有抗凝方案,继续家用ECG卡每日晨/晚监测,3个月后门诊复查。",
"key_metrics": {"LVEF": 42, "BNP": 380, "eGFR": 68, "INR": 2.1}
},
{
"time": "2026-06-01",
"type": "医生复核报告",
"reviewer": "心内科 李医生",
"content": "过去1月心电稳定,窦性心律为主,偶发室早,无房颤发作。心衰症状稳定。",
"key_metrics": {"LVEF": 40, "BNP": 420, "eGFR": 66, "INR": 2.0}
}
],
"medical_history": {
"conditions": ["慢性心力衰竭 NYHA II级", "阵发性心房颤动", "高血压 II级", "2型糖尿病"],
"past_events": ["2025-12 冠脉造影(未见明显狭窄)", "2024-08 首次诊断房颤", "2023 起搏器评估(暂不需要)"]
},
"medications": [
{"name": "美托洛尔缓释片", "dose": "47.5mg", "freq": "qd(每日一次)"},
{"name": "沙库巴曲缬沙坦", "dose": "50mg", "freq": "bid(每日两次)"},
{"name": "达格列净", "dose": "10mg", "freq": "qd"},
{"name": "利伐沙班", "dose": "20mg", "freq": "qd(抗凝)"},
{"name": "阿托伐他汀", "dose": "20mg", "freq": "qn(睡前)"}
],
"vitals_log": [
{"time": "2026-07-13", "weight_kg": 72.4, "bp": "128/78"},
{"time": "2026-07-12", "weight_kg": 72.3, "bp": "132/82"},
{"time": "2026-07-11", "weight_kg": 72.2, "bp": "138/86"},
{"time": "2026-07-10", "weight_kg": 72.0, "bp": "130/80"},
{"time": "2026-07-09", "weight_kg": 71.8, "bp": "128/78"}
],
"alerts": [
{"time": "2026-07-11 08:20", "level": "L2", "content": "AI提示疑似阵发性房颤发作,持续约1小时", "handled": "已联系管理师,建议加测并次日复查,患者自述有轻度心悸,休息后缓解"},
{"time": "2026-07-05 03:15", "level": "L2", "content": "夜间HR持续>110超过10分钟", "handled": "已联系管理师,考虑与噩梦相关,次日晨起心电恢复正常"},
{"time": "2026-06-24 22:00", "level": "L1", "content": "偶发室早频次略增(当日8次)", "handled": "无需处理,建议减少咖啡因摄入"}
]
},
{
"profile_id": "sample_B_liu",
"display_name": "示例患者 B:刘女士(72岁,健康筛查)",
"patient": {
"name": "刘**",
"age": 72,
"gender": "女",
"diagnosis": "高血压随访 / 体检发现频发室早",
"primary_doctor": "心内科 陈医生",
"manager": "健康管理师 王老师"
},
"ecg_history": [
{"time": "2026-07-13 20:00", "HR": 68, "PR": 156, "QRS": 88, "QT": 402, "QTc": 425, "rhythm": "窦性心律", "ai_finding": "窦性心律,偶发室早(2次)", "signal_quality": "good"},
{"time": "2026-07-12 20:00", "HR": 70, "PR": 158, "QRS": 88, "QT": 400, "QTc": 428, "rhythm": "窦性心律", "ai_finding": "窦性心律,偶发室早(3次)", "signal_quality": "good"},
{"time": "2026-07-11 20:10", "HR": 72, "PR": 156, "QRS": 90, "QT": 398, "QTc": 434, "rhythm": "窦性心律", "ai_finding": "窦性心律,偶发室早(4次)", "signal_quality": "good"},
{"time": "2026-07-10 20:00", "HR": 66, "PR": 160, "QRS": 88, "QT": 406, "QTc": 424, "rhythm": "窦性心律", "ai_finding": "窦性心律,偶发室早(2次)", "signal_quality": "good"},
{"time": "2026-07-09 20:00", "HR": 69, "PR": 158, "QRS": 88, "QT": 402, "QTc": 428, "rhythm": "窦性心律", "ai_finding": "窦性心律,偶发室早(3次)", "signal_quality": "good"},
{"time": "2026-07-08 20:00", "HR": 71, "PR": 156, "QRS": 90, "QT": 400, "QTc": 432, "rhythm": "窦性心律", "ai_finding": "窦性心律,偶发室早(2次)", "signal_quality": "good"},
{"time": "2026-07-07 20:00", "HR": 70, "PR": 158, "QRS": 88, "QT": 402, "QTc": 429, "rhythm": "窦性心律", "ai_finding": "窦性心律,偶发室早(3次)", "signal_quality": "good"}
],
"reports": [
{
"time": "2026-07-05",
"type": "医生复核报告",
"reviewer": "心内科 陈医生",
"content": "近1月心电基线稳定,窦性心律,平均心率68-72次/分,规律。发现频度低的室性早搏,按日采集约2-4次,均为单发形态类似,考虑良性室早。血压控制良好。建议:继续家用ECG卡每日晚间监测一次,如出现连发或成对室早、心悸不适、头晕黑蒙等新症状,及时联系管理师。",
"key_metrics": {"LVEF": 62, "BNP": 42, "eGFR": 75}
}
],
"medical_history": {
"conditions": ["原发性高血压 I级(控制良好)"],
"past_events": ["2026-06 体检发现偶发室早", "2020 起诊断高血压"]
},
"medications": [
{"name": "氨氯地平", "dose": "5mg", "freq": "qd"}
],
"vitals_log": [
{"time": "2026-07-13", "weight_kg": 58.2, "bp": "126/76"},
{"time": "2026-07-12", "weight_kg": 58.2, "bp": "124/74"},
{"time": "2026-07-11", "weight_kg": 58.1, "bp": "128/78"},
{"time": "2026-07-10", "weight_kg": 58.0, "bp": "125/76"}
],
"alerts": []
}
]
}