D010 多来源临床事实合并

合并已经完成规范处理的临床事实，记录互补、冲突、替代与状态变化关系，同时保留每项事实的来源。

个人 Skill知识加工19 个文件浏览次数 0

开始使用

下载前阅读 SKILL.md 中的使用条件，并确认所用工具支持对应能力。

输入资料: All four manifests must belong to the same package_id: D006 context_resolution_manifest.json D007 measurement_normalization_manifest.json D008 medication_normalization_manifest.json D009 problem_reconciliation_manifest.j… 阅读本节完整说明

使用提示摘自原文，配套文件保留来源版本；实际运行条件以各包说明为准。

正文

references/merge-semantics.md

duplicate: two records represent the same event and add no independent clinical meaning.
corroborating: independent sources describe the same event consistently. They may be represented as one canonical fact with multiple provenance entries.
complementary: records concern the same clinical topic but add different non-conflicting details. Keep separate unless a future reviewed rule explicitly supports composition.
conflicting: records cannot both describe the same state/value at the same clinical identity without explanation. Keep both and require review.
superseding: a later record explicitly replaces/corrects an earlier record. Keep lineage to both; do not erase the superseded record.
state_transition: different time points/states of the same clinical object. Keep both facts and connect them.

Only duplicate and high-confidence corroborating relations may be merged automatically.