D006 临床语境与状态判定

整理临床事实的否定、确定程度、时间、主体和明确状态，区分既往、家族史与当前信息，为后续归并提供语境依据。

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输入资料: Required: D005 fact_extraction_manifest.json with overall_status=ready_for_context_resolution; D005 finalized clinical_fact_drafts.jsonl; D004 StructuredDocuments referenced through D005 provenance for narrative context.… 阅读本节完整说明

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references/structured-context-policy.md

D006 may use explicit structured status fields from de-identified rows/resources when the status has an unambiguous semantic mapping.

Examples of safe mappings:

FHIR Condition.verificationStatus=refuted -> polarity negative, certainty refuted.
FHIR Condition.verificationStatus=confirmed -> polarity positive, certainty confirmed.
FHIR Condition.clinicalStatus=resolved -> clinical_status resolved.
explicit row values such as resolved, active, refuted, confirmed, historical in clearly named status columns.

Do not infer status from generic administrative fields such as status=finished unless the resource/domain semantics are known. Medication status/action remains D008-owned.

D006 临床语境与状态判定

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