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Markers","description":"不能把阳性当确诊，也不能凭正常结果排除癌症。；肿瘤标志物用途与一般筛癌局限","properties":{"id":"MARKER","title":"Tumor Markers","publisher":"National Cancer Institute","year_region":"美国｜现行网页","url":"https://www.cancer.gov/about-cancer/diagnosis-staging/diagnosis/tumor-markers-fact-sheet","notes":"不能把阳性当确诊，也不能凭正常结果排除癌症。；肿瘤标志物用途与一般筛癌局限","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:NCI_SCREEN","type":"EvidenceSource","label":"What Cancer Screening Tests Check for Cancer?","description":"检查方法与人群条件配套使用。；规范筛查方法及皮肤等项目的适用边界","properties":{"id":"NCI_SCREEN","title":"What Cancer Screening Tests Check for Cancer?","publisher":"National Cancer Institute","year_region":"美国｜现行网页","url":"https://www.cancer.gov/about-cancer/screening/screening-tests","notes":"检查方法与人群条件配套使用。；规范筛查方法及皮肤等项目的适用边界","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:FDA_CT","type":"EvidenceSource","label":"Whole-Body CT Screening","description":"不用于否定有明确临床指征的影像检查。；普通无症状人群全身CT筛查局限","properties":{"id":"FDA_CT","title":"Whole-Body CT Screening","publisher":"FDA","year_region":"美国｜现行网页","url":"https://www.fda.gov/radiation-emitting-products/medical-x-ray-imaging/whole-body-ct-screening-should-i-or-shouldnt-i-get-one","notes":"不用于否定有明确临床指征的影像检查。；普通无症状人群全身CT筛查局限","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:ACR_MRI","type":"EvidenceSource","label":"ACR Statement on Screening Total Body MRI","description":"无症状无特定风险普筛证据不足。；普通无症状人群全身MRI证据边界","properties":{"id":"ACR_MRI","title":"ACR Statement on Screening Total Body MRI","publisher":"American College of Radiology","year_region":"美国｜2023","url":"https://www.acr.org/News-and-Publications/Media-Center/2023/ACR-Statement-on-Screening-Total-Body-MRI","notes":"无症状无特定风险普筛证据不足。；普通无症状人群全身MRI证据边界","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:MCD","type":"EvidenceSource","label":"Questions and Answers about Multi-Cancer Detection Tests","description":"不把商业检测宣传当作规范筛查替代依据。；多癌检测临床净获益及规范筛查替代问题","properties":{"id":"MCD","title":"Questions and Answers about Multi-Cancer Detection Tests","publisher":"National Cancer Institute","year_region":"美国｜现行网页","url":"https://www.prevention.cancer.gov/research-areas/networks-consortia-programs/csrn/q-a-about-mcd-tests","notes":"不把商业检测宣传当作规范筛查替代依据。；多癌检测临床净获益及规范筛查替代问题","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:GENETIC","type":"EvidenceSource","label":"Genetic Testing for Inherited Cancer Risk","description":"遗传变异不等于必然发病；先确认检测是否改变管理。；家族风险、遗传咨询与针对性检测","properties":{"id":"GENETIC","title":"Genetic Testing for Inherited Cancer Risk","publisher":"National Cancer Institute","year_region":"美国｜现行网页","url":"https://www.cancer.gov/about-cancer/causes-prevention/genetics/genetic-testing-fact-sheet","notes":"遗传变异不等于必然发病；先确认检测是否改变管理。；家族风险、遗传咨询与针对性检测","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:BACTERIURIA","type":"EvidenceSource","label":"Asymptomatic Bacteriuria in Adults: Screening","description":"针对菌尿筛查，不可扩大解释为禁止尿常规。；非孕成人无症状菌尿筛查边界","properties":{"id":"BACTERIURIA","title":"Asymptomatic Bacteriuria in Adults: Screening","publisher":"USPSTF","year_region":"美国｜2019","url":"https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/asymptomatic-bacteriuria-in-adults-screening","notes":"针对菌尿筛查，不可扩大解释为禁止尿常规。；非孕成人无症状菌尿筛查边界","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:OVARIAN","type":"EvidenceSource","label":"Ovarian Cancer: Screening","description":"有症状、附件肿块或明确遗传风险者由专科处理。；一般风险无症状女性CA125/超声普筛","properties":{"id":"OVARIAN","title":"Ovarian Cancer: Screening","publisher":"USPSTF","year_region":"美国｜2018","url":"https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/ovarian-cancer-screening","notes":"有症状、附件肿块或明确遗传风险者由专科处理。；一般风险无症状女性CA125/超声普筛","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:ANEMIA","type":"EvidenceSource","label":"Anemia: Diagnosis","description":"相关营养化验由血常规及病史提示，非所有人全套。；贫血症状、风险及进一步血液检查","properties":{"id":"ANEMIA","title":"Anemia: Diagnosis","publisher":"NHLBI／NIH","year_region":"美国｜现行网页","url":"https://www.nhlbi.nih.gov/health/anemia/diagnosis","notes":"相关营养化验由血常规及病史提示，非所有人全套。；贫血症状、风险及进一步血液检查","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:B12","type":"EvidenceSource","label":"Vitamin B12–Deficiency Anemia","description":"结合贫血、神经表现、吸收和用药风险。；B12缺乏风险与诊断","properties":{"id":"B12","title":"Vitamin B12–Deficiency Anemia","publisher":"NHLBI／NIH","year_region":"美国｜现行网页","url":"https://www.nhlbi.nih.gov/health/anemia/vitamin-b12-deficiency-anemia","notes":"结合贫血、神经表现、吸收和用药风险。；B12缺乏风险与诊断","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:ALZ25","type":"EvidenceSource","label":"Blood-based biomarkers in suspected Alzheimer's disease within specialized care","description":"不延伸为认知正常人群的常规血液标志物普筛。；有客观认知损害者的专科血液标志物用途","properties":{"id":"ALZ25","title":"Blood-based biomarkers in suspected Alzheimer's disease within specialized care","publisher":"Alzheimer's Association／Alzheimer's & Dementia","year_region":"国际专业指南｜2025","url":"https://alz-journals.onlinelibrary.wiley.com/doi/10.1002/alz.70535","notes":"不延伸为认知正常人群的常规血液标志物普筛。；有客观认知损害者的专科血液标志物用途","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:AAA","type":"EvidenceSource","label":"Abdominal Aortic Aneurysm: Screening","description":"国际参考；曾吸烟通常指终生累计≥100支，其他人群个体化。；65–75岁曾吸烟男性一次性腹主动脉超声","properties":{"id":"AAA","title":"Abdominal Aortic Aneurysm: Screening","publisher":"USPSTF","year_region":"美国｜2019","url":"https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/abdominal-aortic-aneurysm-screening","notes":"国际参考；曾吸烟通常指终生累计≥100支，其他人群个体化。；65–75岁曾吸烟男性一次性腹主动脉超声","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:GEN_LAB","type":"EvidenceSource","label":"How to Understand Your Lab Results","description":"参考区间、检测方法及单位差异；区间内外均不能单独确诊或排除疾病。","properties":{"id":"GEN_LAB","title":"How to Understand Your Lab Results","publisher":"NIH / MedlinePlus","year_region":"美国｜现行网页，2026-10核对","url":"https://medlineplus.gov/lab-tests/how-to-understand-your-lab-results/","notes":"参考区间、检测方法及单位差异；区间内外均不能单独确诊或排除疾病。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:GEN_CEA","type":"EvidenceSource","label":"CEA — Carcinoembryonic Antigen, Serum","description":"Beckman免疫酶法：非吸烟者≤3.0 ng/mL；吸烟者可升高，通常<5.0。不能用于普通无症状人群筛癌。","properties":{"id":"GEN_CEA","title":"CEA — Carcinoembryonic Antigen, Serum","publisher":"Mayo Clinic Laboratories","year_region":"美国｜2026-10核对的实验室示例","url":"https://www.mayocliniclabs.com/test-catalog/Overview/8521","notes":"Beckman免疫酶法：非吸烟者≤3.0 ng/mL；吸烟者可升高，通常<5.0。不能用于普通无症状人群筛癌。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:GEN_CA199","type":"EvidenceSource","label":"CA19 — Carbohydrate Antigen 19-9, Serum","description":"Access GI Monitor免疫酶法：<35 U/mL。区间和结果依方法；不是癌症排除界值。","properties":{"id":"GEN_CA199","title":"CA19 — Carbohydrate Antigen 19-9, Serum","publisher":"Mayo Clinic Laboratories","year_region":"美国｜2026-10核对的实验室示例","url":"https://www.mayocliniclabs.com/test-catalog/Overview/800100","notes":"Access GI Monitor免疫酶法：<35 U/mL。区间和结果依方法；不是癌症排除界值。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:GEN_CA125","type":"EvidenceSource","label":"CA25 — Cancer Antigen 125, Serum","description":"Roche Elecsys CA125 II电化学发光法（ECLIA）当前参考：女性<46 U/mL，男性不适用；其他平台参考值不可直接互换。","properties":{"id":"GEN_CA125","title":"CA25 — Cancer Antigen 125, Serum","publisher":"Mayo Clinic Laboratories","year_region":"美国｜2026-10核对的实验室示例","url":"https://www.mayocliniclabs.com/test-catalog/Overview/800101","notes":"Roche Elecsys CA125 II电化学发光法（ECLIA）当前参考：女性<46 U/mL，男性不适用；其他平台参考值不可直接互换。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:GEN_ACTIVITY","type":"EvidenceSource","label":"Physical activity","description":"成人每周150–300分钟中等强度或75–150分钟高强度；肌力活动至少2天；减少久坐。属于健康行为目标。","properties":{"id":"GEN_ACTIVITY","title":"Physical activity","publisher":"World Health Organization","year_region":"国际｜WHO 2020身体活动指南对应现行说明","url":"https://www.who.int/europe/news-room/fact-sheets/item/physical-activity","notes":"成人每周150–300分钟中等强度或75–150分钟高强度；肌力活动至少2天；减少久坐。属于健康行为目标。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:GEN_SLEEP","type":"EvidenceSource","label":"About Sleep","description":"18–60岁≥7小时；61–64岁7–9小时；65岁以上7–8小时。还需评价睡眠质量。","properties":{"id":"GEN_SLEEP","title":"About Sleep","publisher":"CDC","year_region":"美国｜现行网页，2026-10核对","url":"https://www.cdc.gov/sleep/about/index.html","notes":"18–60岁≥7小时；61–64岁7–9小时；65岁以上7–8小时。还需评价睡眠质量。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:GEN_ALCOHOL","type":"EvidenceSource","label":"No level of alcohol consumption is safe for our health","description":"不存在可保证零健康风险的饮酒量。风险随饮酒增加；不是实验室参考区间。","properties":{"id":"GEN_ALCOHOL","title":"No level of alcohol consumption is safe for our health","publisher":"WHO","year_region":"国际｜2023声明","url":"https://www.who.int/azerbaijan/news/item/04-01-2023-no-level-of-alcohol-consumption-is-safe-for-our-health","notes":"不存在可保证零健康风险的饮酒量。风险随饮酒增加；不是实验室参考区间。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:GEN_SALT","type":"EvidenceSource","label":"国家卫生健康委员会2023年12月5日新闻发布会文字实录","description":"减盐及运动；盐摄入降至每天5克以下。需包括烹调盐与含盐调味品。","properties":{"id":"GEN_SALT","title":"国家卫生健康委员会2023年12月5日新闻发布会文字实录","publisher":"国家卫生健康委","year_region":"中国｜2023，引用中国居民膳食指南2022","url":"https://www.nhc.gov.cn/xcs/c100122/202312/f24e98fc0bc343efa6168b8d788549c1.shtml","notes":"减盐及运动；盐摄入降至每天5克以下。需包括烹调盐与含盐调味品。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:GEN_SUGAR","type":"EvidenceSource","label":"对十三届全国人大五次会议第0648号建议的答复","description":"所引健康管理推荐为每日添加糖不高于25 g；不是总碳水化合物指标。","properties":{"id":"GEN_SUGAR","title":"对十三届全国人大五次会议第0648号建议的答复","publisher":"国家卫生健康委","year_region":"中国｜2023，引用中国居民膳食指南2022","url":"https://www.nhc.gov.cn/wjw/jiany/202301/b3ff2797cb25418ea62be87cc894247b.shtml","notes":"所引健康管理推荐为每日添加糖不高于25 g；不是总碳水化合物指标。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:GEN_APOE","type":"EvidenceSource","label":"Alzheimer’s Disease Genetics Fact Sheet","description":"APOE风险基因型不能单独确诊或完全预测发病；检测需临床情境。","properties":{"id":"GEN_APOE","title":"Alzheimer’s Disease Genetics Fact Sheet","publisher":"National Institute on Aging / NIH","year_region":"美国｜现行网页，2026-10核对","url":"https://www.nia.nih.gov/health/alzheimers-causes-and-risk-factors/alzheimers-disease-genetics-fact-sheet","notes":"APOE风险基因型不能单独确诊或完全预测发病；检测需临床情境。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:FUN_NHC25","type":"EvidenceSource","label":"成人健康体检项目推荐指引（2025年版）","description":"用于体检项目框架；定性正常表现为临床描述，不能据此排除隐匿疾病。","properties":{"id":"FUN_NHC25","title":"成人健康体检项目推荐指引（2025年版）","publisher":"国家卫生健康委","year_region":"中国｜2025","url":"https://www.nhc.gov.cn/yzygj/c100068/202511/4feaeb6de63e44cb9fd4ac8f579ca279.shtml","notes":"用于体检项目框架；定性正常表现为临床描述，不能据此排除隐匿疾病。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:FUN_OBESITY24","type":"EvidenceSource","label":"肥胖症诊疗指南（2024年版）","description":"原文第5–7页：BMI、腰围、腰臀比及体脂过多参考；体脂无单一健康区间。","properties":{"id":"FUN_OBESITY24","title":"肥胖症诊疗指南（2024年版）","publisher":"国家卫生健康委","year_region":"中国｜2024","url":"https://www.gov.cn/zhengce/zhengceku/202410/P020241020715873679737.pdf","notes":"原文第5–7页：BMI、腰围、腰臀比及体脂过多参考；体脂无单一健康区间。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:FUN_BP24","type":"EvidenceSource","label":"Chinese Guidelines for the Prevention and Treatment of Hypertension (2024 revision)","description":"表6：正常血压<120且<80；正常高值120–139和/或80–89；诊室高血压≥140和/或≥90，须规范确认。","properties":{"id":"FUN_BP24","title":"Chinese Guidelines for the Prevention and Treatment of Hypertension (2024 revision)","publisher":"中国高血压防治指南修订委员会等","year_region":"中国｜2024修订，2025英文全文","url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC11937835/","notes":"表6：正常血压<120且<80；正常高值120–139和/或80–89；诊室高血压≥140和/或≥90，须规范确认。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:FUN_HR","type":"EvidenceSource","label":"All About Heart Rate (Pulse)","description":"成人坐位或卧位安静状态通常60–100次/分；运动员、睡眠及药物可影响。","properties":{"id":"FUN_HR","title":"All About Heart Rate (Pulse)","publisher":"American Heart Association","year_region":"美国｜现行网页，2026核对","url":"https://www.heart.org/en/health-topics/high-blood-pressure/the-facts-about-high-blood-pressure/all-about-heart-rate-pulse","notes":"成人坐位或卧位安静状态通常60–100次/分；运动员、睡眠及药物可影响。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:FUN_SPO2","type":"EvidenceSource","label":"Pulse Oximeter Basics","description":"健康人多为95%–100%；海拔、疾病、皮肤色素、灌注和设备影响结果。","properties":{"id":"FUN_SPO2","title":"Pulse Oximeter Basics","publisher":"U.S. FDA","year_region":"美国｜2025网页，2026核对","url":"https://www.fda.gov/consumers/consumer-updates/pulse-oximeter-basics","notes":"健康人多为95%–100%；海拔、疾病、皮肤色素、灌注和设备影响结果。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:FUN_AWGS25","type":"EvidenceSource","label":"A focus shift from sarcopenia to muscle health in the Asian Working Group for Sarcopenia 2025 Consensus Update","description":"表1、表2、图2已核对；区分50–64岁与≥65岁。原文公开副本：https://www.nutrivitta.cl/wp-content/uploads/2025/11/A-focus-shift-from-sarcopenia-to-muscle-health-in-_251117_104114.pdf 。低肌量+低肌力为诊断组合；体能为结局指标。","properties":{"id":"FUN_AWGS25","title":"A focus shift from sarcopenia to muscle health in the Asian Working Group for Sarcopenia 2025 Consensus Update","publisher":"Asian Working Group for Sarcopenia / Nature Aging","year_region":"亚洲｜2025","url":"https://doi.org/10.1038/s43587-025-01004-y","notes":"表1、表2、图2已核对；区分50–64岁与≥65岁。原文公开副本：https://www.nutrivitta.cl/wp-content/uploads/2025/11/A-focus-shift-from-sarcopenia-to-muscle-health-in-_251117_104114.pdf 。低肌量+低肌力为诊断组合；体能为结局指标。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:FUN_TUG","type":"EvidenceSource","label":"STEADI: Timed Up & Go Assessment","description":"3米起立行走往返坐下；老年人≥12秒提示跌倒风险。","properties":{"id":"FUN_TUG","title":"STEADI: Timed Up & Go Assessment","publisher":"U.S. CDC","year_region":"美国｜2017，现行工具","url":"https://www.cdc.gov/steadi/media/pdfs/STEADI-Assessment-TUG-508.pdf","notes":"3米起立行走往返坐下；老年人≥12秒提示跌倒风险。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:FUN_BALANCE","type":"EvidenceSource","label":"STEADI: The 4-Stage Balance Test","description":"睁眼串联站立不能维持10秒提示跌倒风险增加。","properties":{"id":"FUN_BALANCE","title":"STEADI: The 4-Stage Balance Test","publisher":"U.S. CDC","year_region":"美国｜2017，现行工具","url":"https://www.cdc.gov/steadi/media/pdfs/STEADI-Assessment-4Stage-508.pdf","notes":"睁眼串联站立不能维持10秒提示跌倒风险增加。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:FUN_BARTHEL23","type":"EvidenceSource","label":"WS/T 431—2023 护理分级标准","description":"表1及附录A：Barthel总分100为无依赖；61–99轻度、41–60中度、≤40重度依赖。此处用于描述功能，不自动决定护理级别。","properties":{"id":"FUN_BARTHEL23","title":"WS/T 431—2023 护理分级标准","publisher":"国家卫生健康委","year_region":"中国｜2023发布，2024实施","url":"https://www.nhc.gov.cn/wjw/pjl/202309/7e933e1560ef4b5c970db5facb74db63/files/1739783480846_74444.pdf","notes":"表1及附录A：Barthel总分100为无依赖；61–99轻度、41–60中度、≤40重度依赖。此处用于描述功能，不自动决定护理级别。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:FUN_IWGDF23","type":"EvidenceSource","label":"Practical guidelines on the prevention and management of diabetes-related foot disease (IWGDF 2023 update)","description":"第5–7页及附录1：足皮肤、足脉、10g单丝及128Hz振动觉检查。","properties":{"id":"FUN_IWGDF23","title":"Practical guidelines on the prevention and management of diabetes-related foot disease (IWGDF 2023 update)","publisher":"International Working Group on the Diabetic Foot","year_region":"国际｜2023","url":"https://iwgdfguidelines.org/wp-content/uploads/2023/07/IWGDF-2023-01-Practical-Guidelines.pdf","notes":"第5–7页及附录1：足皮肤、足脉、10g单丝及128Hz振动觉检查。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:FUN_VA","type":"EvidenceSource","label":"Visual Acuity","description":"20/20代表标准远视力，不能代表所有视觉功能正常。","properties":{"id":"FUN_VA","title":"Visual Acuity","publisher":"American Optometric Association","year_region":"美国｜现行网页，2026核对","url":"https://www.aoa.org/healthy-eyes/vision-and-vision-correction/visual-acuity","notes":"20/20代表标准远视力，不能代表所有视觉功能正常。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:FUN_IOP","type":"EvidenceSource","label":"Tonometry","description":"常用眼压参考10–21mmHg；角膜厚度和测量方法影响结果。","properties":{"id":"FUN_IOP","title":"Tonometry","publisher":"U.S. National Library of Medicine / MedlinePlus","year_region":"美国｜2024审阅","url":"https://medlineplus.gov/ency/article/003447.htm","notes":"常用眼压参考10–21mmHg；角膜厚度和测量方法影响结果。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:FUN_EYE","type":"EvidenceSource","label":"National Eye Institute Statement on Detection of Glaucoma and Adult Vision Screening","description":"眼压、视神经、视网膜和必要的视野需综合判读；单项正常不排除眼病。","properties":{"id":"FUN_EYE","title":"National Eye Institute Statement on Detection of Glaucoma and Adult Vision Screening","publisher":"U.S. National Eye Institute","year_region":"美国｜现行网页，2026核对","url":"https://www.nei.nih.gov/about/education-and-outreach/glaucoma-resources/national-eye-institute-statement-detection-glaucoma-and-adult-vision-screening","notes":"眼压、视神经、视网膜和必要的视野需综合判读；单项正常不排除眼病。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:FUN_HEARING21","type":"EvidenceSource","label":"World Report on Hearing","description":"WHO听力分级采用500、1000、2000、4000Hz听阈均值；分级通常参考较好耳，仍需分别报告双耳。","properties":{"id":"FUN_HEARING21","title":"World Report on Hearing","publisher":"World Health Organization","year_region":"国际｜2021","url":"https://iris.who.int/bitstream/handle/10665/339913/9789240020481-eng.pdf?sequence=1","notes":"WHO听力分级采用500、1000、2000、4000Hz听阈均值；分级通常参考较好耳，仍需分别报告双耳。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:FUN_PERIO18","type":"EvidenceSource","label":"Periodontal health and gingival diseases and conditions: Consensus report of workgroup 1 of the 2017 World Workshop","description":"完整牙周组织的临床牙龈健康：探诊深度≤3mm、出血位点<10%；既往牙周炎治疗后的判定另有条件。","properties":{"id":"FUN_PERIO18","title":"Periodontal health and gingival diseases and conditions: Consensus report of workgroup 1 of the 2017 World Workshop","publisher":"European Federation of Periodontology / American Academy of Periodontology","year_region":"国际｜2018","url":"https://www.efp.org/fileadmin/uploads/efp/Documents/Campaigns/New_Classification/Reports/Consensus_report__Workgroup_1__Chapple_et_al-2018-Journal_of_Clinical_Periodontology.pdf","notes":"完整牙周组织的临床牙龈健康：探诊深度≤3mm、出血位点<10%；既往牙周炎治疗后的判定另有条件。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:FUN_DENTAL25","type":"EvidenceSource","label":"2025年全国爱牙日核心信息","description":"口腔健康检查和疾病预防框架；已治疗或缺牙不能简单当作当前龋病。","properties":{"id":"FUN_DENTAL25","title":"2025年全国爱牙日核心信息","publisher":"国家卫生健康委","year_region":"中国｜2025","url":"https://www.nhc.gov.cn/ylyjs/zcwj/202509/b9275391bd8349e6bf5ebc9667b24ab8/files/2025%E5%B9%B4%E2%80%9C%E5%85%A8%E5%9B%BD%E7%88%B1%E7%89%99%E6%97%A5%E2%80%9D%E6%A0%B8%E5%BF%83%E4%BF%A1%E6%81%AF.pdf","notes":"口腔健康检查和疾病预防框架；已治疗或缺牙不能简单当作当前龋病。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:FUN_ABCDE","type":"EvidenceSource","label":"What to look for: ABCDEs of melanoma","description":"不对称、边缘、颜色、直径和变化为警示线索；直径<6mm仍可能为黑色素瘤。","properties":{"id":"FUN_ABCDE","title":"What to look for: ABCDEs of melanoma","publisher":"American Academy of Dermatology","year_region":"美国｜现行网页，2026核对","url":"https://www.aad.org/public/diseases/skin-cancer/abcdes-melanoma","notes":"不对称、边缘、颜色、直径和变化为警示线索；直径<6mm仍可能为黑色素瘤。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:FUN_PHQ","type":"EvidenceSource","label":"Instruction Manual: Instructions for Patient Health Questionnaire (PHQ) and GAD-7 Measures","description":"原手册第2、6–7页已核对；PHQ/GAD均为症状评估与筛查，不等于临床确诊。","properties":{"id":"FUN_PHQ","title":"Instruction Manual: Instructions for Patient Health Questionnaire (PHQ) and GAD-7 Measures","publisher":"Spitzer / Williams / Kroenke及量表开发团队","year_region":"国际工具｜2010手册，2014存档","url":"https://www.phqscreeners.com/images/sites/g/files/g10016261/f/201412/instructions.pdf","notes":"原手册第2、6–7页已核对；PHQ/GAD均为症状评估与筛查，不等于临床确诊。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:FUN_MOCA","type":"EvidenceSource","label":"MoCA FAQ: Education correction and interpretation","description":"标准完整版通常26–30；受教育≤12年加1分且总分不超过30。不同版本和地区常模可不同。","properties":{"id":"FUN_MOCA","title":"MoCA FAQ: Education correction and interpretation","publisher":"MoCA Test Inc.","year_region":"国际工具｜现行网页，2026核对","url":"https://mocacognition.com/faq/","notes":"标准完整版通常26–30；受教育≤12年加1分且总分不超过30。不同版本和地区常模可不同。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:FUN_MMSE16","type":"EvidenceSource","label":"Mini-Mental State Examination in Elderly Chinese: A Population-Based Normative Study","description":"中国老年人群研究；痴呆筛查切点16/17、19/20、23/24，分别对应未受教育、1–6年、≥7年。不是正常人统一区间，也不是MCI诊断线。","properties":{"id":"FUN_MMSE16","title":"Mini-Mental State Examination in Elderly Chinese: A Population-Based Normative Study","publisher":"Li H / Jia J / Yang Z; Journal of Alzheimer’s Disease","year_region":"中国｜2016","url":"https://pubmed.ncbi.nlm.nih.gov/27163822/","notes":"中国老年人群研究；痴呆筛查切点16/17、19/20、23/24，分别对应未受教育、1–6年、≥7年。不是正常人统一区间，也不是MCI诊断线。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:FUN_ISI11","type":"EvidenceSource","label":"The Insomnia Severity Index: Psychometric Indicators to Detect Insomnia Cases and Evaluate Treatment Response","description":"ISI总分0–28；0–7、8–14、15–21、22–28为症状严重程度分层；筛查与确诊不同。","properties":{"id":"FUN_ISI11","title":"The Insomnia Severity Index: Psychometric Indicators to Detect Insomnia Cases and Evaluate Treatment Response","publisher":"Morin et al.; Sleep","year_region":"国际工具｜2011","url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC3079939/","notes":"ISI总分0–28；0–7、8–14、15–21、22–28为症状严重程度分层；筛查与确诊不同。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:FUN_PSQI89","type":"EvidenceSource","label":"The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research","description":"原始PSQI总分>5区分睡眠质量较差；中文版或特定人群研究可能采用其他切点。","properties":{"id":"FUN_PSQI89","title":"The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research","publisher":"Buysse et al.; Psychiatry Research","year_region":"国际工具｜1989原始研究","url":"https://pubmed.ncbi.nlm.nih.gov/2748771/","notes":"原始PSQI总分>5区分睡眠质量较差；中文版或特定人群研究可能采用其他切点。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:FUN_AAA19","type":"EvidenceSource","label":"Abdominal Aortic Aneurysm: Screening","description":"腹主动脉直径≥3.0cm为常用AAA定义；筛查对象与随访按风险。","properties":{"id":"FUN_AAA19","title":"Abdominal Aortic Aneurysm: Screening","publisher":"U.S. Preventive Services Task Force","year_region":"美国｜2019","url":"https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/abdominal-aortic-aneurysm-screening","notes":"腹主动脉直径≥3.0cm为常用AAA定义；筛查对象与随访按风险。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:LAB_WST4041","type":"EvidenceSource","label":"WS/T 404.1—2012：ALT、AST、ALP、GGT参考区间","description":"国家卫生行业标准；ALT/AST须区分有无磷酸吡哆醛；数值与上海临检2024表交叉核对。","properties":{"id":"LAB_WST4041","title":"WS/T 404.1—2012：ALT、AST、ALP、GGT参考区间","publisher":"原卫生部","year_region":"中国｜2012发布，2013实施","url":"https://www.nhc.gov.cn/wjw/s9492/201301/9b2e494990ce4825a48b4b476f6f928b/files/1739781504016_48990.pdf","notes":"国家卫生行业标准；ALT/AST须区分有无磷酸吡哆醛；数值与上海临检2024表交叉核对。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:LAB_WST4042","type":"EvidenceSource","label":"WS/T 404.2—2012：总蛋白、白蛋白参考区间","description":"含计算球蛋白及白球比；本地实验室采用前应验证适用性。","properties":{"id":"LAB_WST4042","title":"WS/T 404.2—2012：总蛋白、白蛋白参考区间","publisher":"原卫生部","year_region":"中国｜2012发布，2013实施","url":"https://www.nhc.gov.cn/wjw/s9492/201301/99b1eace1d6943699f6a2d5def0d6dc8/files/1739781505289_41802.pdf","notes":"含计算球蛋白及白球比；本地实验室采用前应验证适用性。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:LAB_WST4043","type":"EvidenceSource","label":"WS/T 404.3—2012：血清钾、钠、氯参考区间","description":"血清参考区间；不能不经验证套用于全血血气仪。","properties":{"id":"LAB_WST4043","title":"WS/T 404.3—2012：血清钾、钠、氯参考区间","publisher":"原卫生部","year_region":"中国｜2012发布，2013实施","url":"https://www.nhc.gov.cn/ewebeditor/uploadfile/2013/01/20130109170954741.pdf","notes":"血清参考区间；不能不经验证套用于全血血气仪。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:LAB_WST4044","type":"EvidenceSource","label":"WS/T 404.4—2018：总胆红素、直接胆红素参考区间","description":"直接胆红素采用系统特异区间；表格数值由上海临检2024原文核验。","properties":{"id":"LAB_WST4044","title":"WS/T 404.4—2018：总胆红素、直接胆红素参考区间","publisher":"国家卫生健康委员会","year_region":"中国｜2018，2018-11-01实施","url":"https://www.nhc.gov.cn/wjw/s9492/201805/67aa364588f74ec69a1de85f893ed2c4.shtml","notes":"直接胆红素采用系统特异区间；表格数值由上海临检2024原文核验。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:LAB_WST4045","type":"EvidenceSource","label":"WS/T 404.5—2015：血清尿素、肌酐参考区间","description":"适用中国20–79岁成人；肌酐需ID-MS溯源、酶法或苦味酸法；研究参考采样空腹8–14小时。","properties":{"id":"LAB_WST4045","title":"WS/T 404.5—2015：血清尿素、肌酐参考区间","publisher":"原国家卫生计生委","year_region":"中国｜2015，2015-10-01实施","url":"https://www.nhc.gov.cn/ewebeditor/uploadfile/2015/05/20150504152412571.pdf","notes":"适用中国20–79岁成人；肌酐需ID-MS溯源、酶法或苦味酸法；研究参考采样空腹8–14小时。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:LAB_WST4046","type":"EvidenceSource","label":"WS/T 404.6—2015：血清总钙、无机磷、镁、铁参考区间","description":"表格数值由上海临检2024官方原文核验；须经本实验室验证。","properties":{"id":"LAB_WST4046","title":"WS/T 404.6—2015：血清总钙、无机磷、镁、铁参考区间","publisher":"原国家卫生计生委","year_region":"中国｜2015，2015-10-01实施","url":"https://www.nhc.gov.cn/ewebeditor/uploadfile/2015/05/20150504152426630.pdf","notes":"表格数值由上海临检2024官方原文核验；须经本实验室验证。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:LAB_SHQC2024","type":"EvidenceSource","label":"上海市临床检验质量控制标准（2024年版）","description":"成人生化表见第74–75页，CRP/前白蛋白/转铁蛋白见第88页，血细胞18项见第100页。CRP非超敏法。WS/T 404.9—2026将于2026-11-01实施，本表截至2026-10-03不混用未生效版。","properties":{"id":"LAB_SHQC2024","title":"上海市临床检验质量控制标准（2024年版）","publisher":"上海市临床检验中心／上海市临床检验质量控制中心","year_region":"中国上海｜2024","url":"https://oa.sccl.org.cn/Download/MSG/20250219083847146.pdf","notes":"成人生化表见第74–75页，CRP/前白蛋白/转铁蛋白见第88页，血细胞18项见第100页。CRP非超敏法。WS/T 404.9—2026将于2026-11-01实施，本表截至2026-10-03不混用未生效版。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:LAB_WST40410","type":"EvidenceSource","label":"WS/T 404.10—2022：血清T3、T4、FT3、FT4及TSH参考区间","description":"≥18岁非孕人群，区间按检测系统分层；本表示例为罗氏E170/cobas e601电化学发光法，不能跨品牌套用。","properties":{"id":"LAB_WST40410","title":"WS/T 404.10—2022：血清T3、T4、FT3、FT4及TSH参考区间","publisher":"国家卫生健康委员会","year_region":"中国｜2022，2023-06-01实施","url":"https://www.nhc.gov.cn/fzs/c100048/202301/2300352790234540a42dd9083252ad93/files/1733125663533_66790.pdf","notes":"≥18岁非孕人群，区间按检测系统分层；本表示例为罗氏E170/cobas e601电化学发光法，不能跨品牌套用。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:LAB_LIPID2023","type":"EvidenceSource","label":"中国血脂管理指南（2023年）","description":"表3是ASCVD一级预防低危者的参考标准，非全体成人治疗目标；Lp(a)单位为mg/L，不能用固定系数转成nmol/L。","properties":{"id":"LAB_LIPID2023","title":"中国血脂管理指南（2023年）","publisher":"联合专家委员会／中华医学会","year_region":"中国｜2023","url":"https://csc.cma.org.cn/attach/0/96b4e603cee74b7fb208b278aa92bd8b.pdf","notes":"表3是ASCVD一级预防低危者的参考标准，非全体成人治疗目标；Lp(a)单位为mg/L，不能用固定系数转成nmol/L。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:LAB_KDIGO2024","type":"EvidenceSource","label":"KDIGO 2024 Clinical Practice Guideline for 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Serum（APOAB）","description":"罗氏免疫比浊法；ApoA1/ApoB为该实验室风险相关参考标准示例；本表g/L由源mg/dL按0.01换算。","properties":{"id":"LAB_MAYO_APO","title":"Apolipoprotein A1 and B, Serum（APOAB）","publisher":"Mayo Clinic Laboratories","year_region":"美国｜2026-10-03核验","url":"https://www.mayocliniclabs.com/test-catalog/overview/607593","notes":"罗氏免疫比浊法；ApoA1/ApoB为该实验室风险相关参考标准示例；本表g/L由源mg/dL按0.01换算。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:LAB_MAYO_CYSC","type":"EvidenceSource","label":"Cystatin C with eGFR, Serum（CSTCE）","description":"免疫比浊法、按年龄分层的胱抑素C实验室示例；用于需进一步核实肾功能的情况，不作为人人加查。","properties":{"id":"LAB_MAYO_CYSC","title":"Cystatin C with eGFR, Serum（CSTCE）","publisher":"Mayo Clinic Laboratories","year_region":"美国｜2026-10-03核验","url":"https://www.mayocliniclabs.com/test-catalog/Overview/617062","notes":"免疫比浊法、按年龄分层的胱抑素C实验室示例；用于需进一步核实肾功能的情况，不作为人人加查。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:LAB_MAYO_HCO3","type":"EvidenceSource","label":"Bicarbonate, Serum（HCO3）","description":"光度酶法测总二氧化碳/碳酸氢盐的实验室示例；血气计算HCO3另用其报告区间。","properties":{"id":"LAB_MAYO_HCO3","title":"Bicarbonate, Serum（HCO3）","publisher":"Mayo Clinic Laboratories","year_region":"美国｜2026-10-03核验","url":"https://www.mayocliniclabs.com/test-catalog/overview/876","notes":"光度酶法测总二氧化碳/碳酸氢盐的实验室示例；血气计算HCO3另用其报告区间。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:LAB_MAYO_PTH","type":"EvidenceSource","label":"Parathyroid Hormone, Serum（PTH2）","description":"电化学发光法完整PTH示例；须同血钙、肾功能一起解释。","properties":{"id":"LAB_MAYO_PTH","title":"Parathyroid Hormone, Serum（PTH2）","publisher":"Mayo Clinic Laboratories","year_region":"美国｜2026-10-03核验","url":"https://www.mayocliniclabs.com/test-catalog/overview/28379","notes":"电化学发光法完整PTH示例；须同血钙、肾功能一起解释。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:LAB_MAYO_VITD","type":"EvidenceSource","label":"25-Hydroxyvitamin D2 and D3, Serum（25HDN）","description":"LC-MS/MS；源明确20–50 ng/mL为临床决策值而非人群统计参考区间；各指南及疾病治疗目标可不同。","properties":{"id":"LAB_MAYO_VITD","title":"25-Hydroxyvitamin D2 and D3, Serum（25HDN）","publisher":"Mayo Clinic Laboratories","year_region":"美国｜2026-10-03核验","url":"https://www.mayocliniclabs.com/test-catalog/overview/83670","notes":"LC-MS/MS；源明确20–50 ng/mL为临床决策值而非人群统计参考区间；各指南及疾病治疗目标可不同。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:LAB_MAYO_FERR","type":"EvidenceSource","label":"Ferritin, Serum（FERR1）","description":"罗氏电化学发光法；按性别、年龄分层。参考下限不等同缺铁的诊断界值，炎症时须特别判断。","properties":{"id":"LAB_MAYO_FERR","title":"Ferritin, Serum（FERR1）","publisher":"Mayo Clinic Laboratories","year_region":"美国｜2026-10-03核验","url":"https://www.mayocliniclabs.com/test-catalog/overview/619953","notes":"罗氏电化学发光法；按性别、年龄分层。参考下限不等同缺铁的诊断界值，炎症时须特别判断。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:LAB_MAYO_IRON","type":"EvidenceSource","label":"Iron and Total Iron-Binding Capacity, Serum（SFEC）","description":"TIBC比浊/计算；TSAT计算；当前目录TIBC250–400 μg/dL、TSAT14–50%。仅摘取区间与采样要求。","properties":{"id":"LAB_MAYO_IRON","title":"Iron and Total Iron-Binding Capacity, Serum（SFEC）","publisher":"Mayo Clinic Laboratories","year_region":"美国｜2026-10-03核验","url":"https://www.mayocliniclabs.com/test-catalog/overview/621385","notes":"TIBC比浊/计算；TSAT计算；当前目录TIBC250–400 μg/dL、TSAT14–50%。仅摘取区间与采样要求。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:LAB_MAYO_B12FOL","type":"EvidenceSource","label":"Vitamin B12 and Folate, Serum（FB12）","description":"B12免疫酶法，叶酸竞争性受体结合测定；该组合要求空腹8小时。","properties":{"id":"LAB_MAYO_B12FOL","title":"Vitamin B12 and Folate, Serum（FB12）","publisher":"Mayo Clinic Laboratories","year_region":"美国｜2026-10-03核验","url":"https://www.mayocliniclabs.com/test-catalog/Overview/9156","notes":"B12免疫酶法，叶酸竞争性受体结合测定；该组合要求空腹8小时。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:LAB_MAYO_HSCRP","type":"EvidenceSource","label":"C-Reactive Protein, High Sensitivity, Serum（HSCRP）","description":"免疫比浊法；<2 mg/L是该来源心血管风险解释示例，与常规CRP参考区间不同。","properties":{"id":"LAB_MAYO_HSCRP","title":"C-Reactive Protein, High Sensitivity, Serum（HSCRP）","publisher":"Mayo Clinic Laboratories","year_region":"美国｜2026-10-03核验","url":"https://www.mayocliniclabs.com/test-catalog/Overview/800024","notes":"免疫比浊法；<2 mg/L是该来源心血管风险解释示例，与常规CRP参考区间不同。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:LAB_MAYO_PT","type":"EvidenceSource","label":"Prothrombin Time, Plasma（PTTP）","description":"RecombiPlasTin 2G试剂，凝固光学/比浊法；未抗凝者PT9.4–12.5s、INR0.9–1.1；华法林治疗区间另定。","properties":{"id":"LAB_MAYO_PT","title":"Prothrombin Time, Plasma（PTTP）","publisher":"Mayo Clinic Laboratories","year_region":"美国｜2026-10-03核验","url":"https://www.mayocliniclabs.com/test-catalog/overview/40934","notes":"RecombiPlasTin 2G试剂，凝固光学/比浊法；未抗凝者PT9.4–12.5s、INR0.9–1.1；华法林治疗区间另定。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:LAB_MAYO_APTT","type":"EvidenceSource","label":"Activated Partial Thromboplastin Time, Plasma（APTTP）","description":"SynthASil试剂、硅胶激活；实验室示例25–37秒，不能跨试剂套用。","properties":{"id":"LAB_MAYO_APTT","title":"Activated Partial Thromboplastin Time, Plasma（APTTP）","publisher":"Mayo Clinic Laboratories","year_region":"美国｜2026-10-03核验","url":"https://www.mayocliniclabs.com/test-catalog/Overview/40935","notes":"SynthASil试剂、硅胶激活；实验室示例25–37秒，不能跨试剂套用。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:LAB_MAYO_TT","type":"EvidenceSource","label":"Thrombin Time (Bovine), Plasma（TTSC）","description":"ACL TOP、牛凝血酶HemosIL试剂、光学凝固法示例15.8–24.9秒。","properties":{"id":"LAB_MAYO_TT","title":"Thrombin Time (Bovine), Plasma（TTSC）","publisher":"Mayo Clinic Laboratories","year_region":"美国｜2026-10-03核验","url":"https://www.mayocliniclabs.com/test-catalog/overview/602184","notes":"ACL TOP、牛凝血酶HemosIL试剂、光学凝固法示例15.8–24.9秒。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:LAB_MAYO_FIB","type":"EvidenceSource","label":"Fibrinogen, Plasma（FIBTP）","description":"Clauss凝固法；源200–393 mg/dL换算为2.00–3.93 g/L。","properties":{"id":"LAB_MAYO_FIB","title":"Fibrinogen, Plasma（FIBTP）","publisher":"Mayo Clinic Laboratories","year_region":"美国｜2026-10-03核验","url":"https://www.mayocliniclabs.com/test-catalog/overview/40937","notes":"Clauss凝固法；源200–393 mg/dL换算为2.00–3.93 g/L。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:LAB_MAYO_DD","type":"EvidenceSource","label":"D-Dimer, Plasma（DIMER）","description":"HemosIL D-Dimer HS 500试剂、ACL TOP乳胶免疫比浊法；FEU报告≤500 ng/mL；FEU与DDU不可混读，排除血栓须结合临床验前概率。","properties":{"id":"LAB_MAYO_DD","title":"D-Dimer, Plasma（DIMER）","publisher":"Mayo Clinic Laboratories","year_region":"美国｜2026-10-03核验","url":"https://www.mayocliniclabs.com/test-catalog/overview/602174","notes":"HemosIL D-Dimer HS 500试剂、ACL TOP乳胶免疫比浊法；FEU报告≤500 ng/mL；FEU与DDU不可混读，排除血栓须结合临床验前概率。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:LAB_MAYO_RF","type":"EvidenceSource","label":"Rheumatoid Factor, Serum（RHUT）","description":"免疫比浊法；该实验室参考<15 IU/mL；阳性不等同类风湿关节炎。","properties":{"id":"LAB_MAYO_RF","title":"Rheumatoid Factor, Serum（RHUT）","publisher":"Mayo Clinic Laboratories","year_region":"美国｜2026-10-03核验","url":"https://www.mayocliniclabs.com/test-catalog/overview/603415","notes":"免疫比浊法；该实验室参考<15 IU/mL；阳性不等同类风湿关节炎。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:LAB_MAYO_CCP","type":"EvidenceSource","label":"Cyclic Citrullinated Peptide Antibodies, IgG, Serum（CCP）","description":"ELISA；该检测系统<20 U阴性，单位及切点必须随试剂解释。","properties":{"id":"LAB_MAYO_CCP","title":"Cyclic Citrullinated Peptide Antibodies, IgG, Serum（CCP）","publisher":"Mayo Clinic Laboratories","year_region":"美国｜2026-10-03核验","url":"https://www.mayocliniclabs.com/test-catalog/overview/84182","notes":"ELISA；该检测系统<20 U阴性，单位及切点必须随试剂解释。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:LAB_CBC_WST405","type":"EvidenceSource","label":"WS/T 405—2012 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casts","description":"仅支持通常无细胞管型、少量透明管型可见及需按类型解释的边界。","properties":{"id":"LAB_URINE_CASTS_NLM2025","title":"Urinary casts","publisher":"美国国家医学图书馆 MedlinePlus","year_region":"2025复核 / 美国","url":"https://medlineplus.gov/ency/article/003586.htm","notes":"仅支持通常无细胞管型、少量透明管型可见及需按类型解释的边界。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:LAB_URINE_CRYSTALS_NLM2024","type":"EvidenceSource","label":"Crystals in Urine","description":"少量某些结晶可见；解释取决于种类、数量及临床情况，不能将有结晶直接等同患结石。","properties":{"id":"LAB_URINE_CRYSTALS_NLM2024","title":"Crystals in Urine","publisher":"美国国家医学图书馆 MedlinePlus","year_region":"2024更新 / 美国","url":"https://medlineplus.gov/lab-tests/crystals-in-urine/","notes":"少量某些结晶可见；解释取决于种类、数量及临床情况，不能将有结晶直接等同患结石。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:LAB_URINE_STOOL_HHHT2024","type":"EvidenceSource","label":"粪便常规的留取及结果解读","description":"支持粪便颜色、性状、红白细胞、寄生虫及虫卵的定性参考结果；FIT/隐血不纳入本片段。","properties":{"id":"LAB_URINE_STOOL_HHHT2024","title":"粪便常规的留取及结果解读","publisher":"呼和浩特市妇幼保健院检验科","year_region":"2024 / 中国","url":"https://www.hsfybjy.org.cn/jkkp/detailed/1429.html","notes":"支持粪便颜色、性状、红白细胞、寄生虫及虫卵的定性参考结果；FIT/隐血不纳入本片段。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:IMG_CARD_01","type":"EvidenceSource","label":"2023 Chinese guideline for lipid management / 中国血脂管理指南（2023年）","description":"ASCVD总风险评估部分：10年低、中、高危及直接高危条件。5%–9%按连续概率表达为5%至<10%；不混用美国风险分层。","properties":{"id":"IMG_CARD_01","title":"2023 Chinese guideline for lipid management / 中国血脂管理指南（2023年）","publisher":"中国血脂管理指南修订联合专家委员会；Frontiers in Pharmacology正式英文版","year_region":"2023，中国","url":"https://www.frontiersin.org/journals/pharmacology/articles/10.3389/fphar.2023.1190934/full","notes":"ASCVD总风险评估部分：10年低、中、高危及直接高危条件。5%–9%按连续概率表达为5%至<10%；不混用美国风险分层。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:IMG_CARD_02","type":"EvidenceSource","label":"Chinese Guidelines for the Prevention and Treatment of Hypertension (2024 revision)","description":"未使用降压药时的家庭、24小时、昼间及夜间高血压诊断界值；家庭平均值要求连续5–7天规范测量。另可检索全文 https://pmc.ncbi.nlm.nih.gov/articles/PMC11937835/ 。","properties":{"id":"IMG_CARD_02","title":"Chinese Guidelines for the Prevention and Treatment of Hypertension (2024 revision)","publisher":"中国高血压防治指南修订委员会等；Journal of Geriatric Cardiology","year_region":"2024修订，2025英文发表，中国","url":"https://www.sciopen.com/article/10.26599/1671-5411.2025.01.008","notes":"未使用降压药时的家庭、24小时、昼间及夜间高血压诊断界值；家庭平均值要求连续5–7天规范测量。另可检索全文 https://pmc.ncbi.nlm.nih.gov/articles/PMC11937835/ 。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:IMG_CARD_03","type":"EvidenceSource","label":"All About Heart Rate","description":"学会官方健康教育页面，明确静息60–100次/分及运动、睡眠、药物等例外；不是Holter平均心率参考区间。","properties":{"id":"IMG_CARD_03","title":"All About Heart Rate","publisher":"American Heart Association","year_region":"2024复核，美国/成人通用背景","url":"https://www.heart.org/en/health-topics/high-blood-pressure/the-facts-about-high-blood-pressure/all-about-heart-rate-pulse","notes":"学会官方健康教育页面，明确静息60–100次/分及运动、睡眠、药物等例外；不是Holter平均心率参考区间。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:IMG_CARD_04","type":"EvidenceSource","label":"AHA/ACCF/HRS Recommendations for the Standardization and Interpretation of the Electrocardiogram: Part III—Intraventricular Conduction Disturbances","description":"成人QRS常用上限及束支阻滞形态标准、短PR相关说明。参考值受年龄/性别影响；需综合多导联波形。","properties":{"id":"IMG_CARD_04","title":"AHA/ACCF/HRS Recommendations for the Standardization and Interpretation of the Electrocardiogram: Part III—Intraventricular Conduction Disturbances","publisher":"AHA/ACCF/HRS；Journal of the American College of Cardiology","year_region":"2009，美国/国际","url":"https://www.jacc.org/doi/10.1016/j.jacc.2008.12.013","notes":"成人QRS常用上限及束支阻滞形态标准、短PR相关说明。参考值受年龄/性别影响；需综合多导联波形。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:IMG_CARD_05","type":"EvidenceSource","label":"2018 ACC/AHA/HRS Guideline on the Evaluation and Management of Patients With Bradycardia and Cardiac Conduction Delay","description":"一度房室传导延迟PR>200 ms；束支阻滞需同时考虑QRS形态。窦房结功能障碍无适用于所有患者的起搏心率/停搏时长单一阈值。","properties":{"id":"IMG_CARD_05","title":"2018 ACC/AHA/HRS Guideline on the Evaluation and Management of Patients With Bradycardia and Cardiac Conduction Delay","publisher":"ACC/AHA/HRS；Circulation","year_region":"2018，美国/国际","url":"https://www.ahajournals.org/doi/10.1161/CIR.0000000000000628","notes":"一度房室传导延迟PR>200 ms；束支阻滞需同时考虑QRS形态。窦房结功能障碍无适用于所有患者的起搏心率/停搏时长单一阈值。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:IMG_CARD_06","type":"EvidenceSource","label":"AHA/ACCF/HRS Recommendations for the Standardization and Interpretation of the Electrocardiogram: Part IV—ST Segment, T and U Waves, and QT Interval","description":"原文实用QTc延长界值：男性>450 ms、女性≥460 ms；短QT≤390 ms。建议使用适当线性回归校正并注明方法；不等同遗传性长/短QT综合征诊断标准。","properties":{"id":"IMG_CARD_06","title":"AHA/ACCF/HRS Recommendations for the Standardization and Interpretation of the Electrocardiogram: Part IV—ST Segment, T and U Waves, and QT Interval","publisher":"AHA/ACCF/HRS；Journal of the American College of Cardiology","year_region":"2009，美国/国际","url":"https://www.jacc.org/doi/10.1016/j.jacc.2008.12.014","notes":"原文实用QTc延长界值：男性>450 ms、女性≥460 ms；短QT≤390 ms。建议使用适当线性回归校正并注明方法；不等同遗传性长/短QT综合征诊断标准。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:IMG_CARD_07","type":"EvidenceSource","label":"2017 ISHNE-HRS Expert Consensus Statement on Ambulatory ECG and External Cardiac Monitoring/Telemetry","description":"动态心电监测适应证、记录质量、症状对应、心律失常计数/负荷；原始全文DOI 10.1111/anec.12447。为编辑不设统一Holter正常单值提供方法框架，不声称共识规定一条通用正常区间。","properties":{"id":"IMG_CARD_07","title":"2017 ISHNE-HRS Expert Consensus Statement on Ambulatory ECG and External Cardiac Monitoring/Telemetry","publisher":"ISHNE/HRS；Heart Rhythm Society官方发布","year_region":"2017，国际","url":"https://www.hrsonline.org/resource/2017-ishne-hrs-expert-consensus-statement/","notes":"动态心电监测适应证、记录质量、症状对应、心律失常计数/负荷；原始全文DOI 10.1111/anec.12447。为编辑不设统一Holter正常单值提供方法框架，不声称共识规定一条通用正常区间。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:IMG_CARD_08","type":"EvidenceSource","label":"2022 ESC Guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death","description":"室早相关心肌病章节：负荷约10%为需警惕的阈值，>20%风险进一步增加；是特定临床情境中的风险指标，不是健康人室早正常上限。","properties":{"id":"IMG_CARD_08","title":"2022 ESC Guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death","publisher":"European Society of Cardiology；European Heart Journal","year_region":"2022，欧洲/国际","url":"https://academic.oup.com/eurheartj/article/43/40/3997/6675633","notes":"室早相关心肌病章节：负荷约10%为需警惕的阈值，>20%风险进一步增加；是特定临床情境中的风险指标，不是健康人室早正常上限。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:IMG_CARD_09","type":"EvidenceSource","label":"Management of asymptomatic arrhythmias: an EHRA consensus document","description":"专家共识将PAC>500次/24 h作为需关注房颤风险、考虑进一步监测的高负荷提示；不能把这一数值转成正常/疾病二分。","properties":{"id":"IMG_CARD_09","title":"Management of asymptomatic arrhythmias: an EHRA consensus document","publisher":"EHRA，HFA/HRS/APHRS/CASSA/LAHRS认可；Europace","year_region":"2019，欧洲/国际","url":"https://academic.oup.com/europace/article/21/6/844/5382236","notes":"专家共识将PAC>500次/24 h作为需关注房颤风险、考虑进一步监测的高负荷提示；不能把这一数值转成正常/疾病二分。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:IMG_CARD_10","type":"EvidenceSource","label":"2024 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS","description":"临床房颤应由心电证据确认；动态监测确诊最短时长依情境而定，30秒可提示进一步评价。负荷应标明有效监测时间。","properties":{"id":"IMG_CARD_10","title":"2024 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS","publisher":"European Society of Cardiology/EACTS；European Heart Journal","year_region":"2024，欧洲/国际","url":"https://academic.oup.com/eurheartj/article/45/36/3314/7738779","notes":"临床房颤应由心电证据确认；动态监测确诊最短时长依情境而定，30秒可提示进一步评价。负荷应标明有效监测时间。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:IMG_CARD_11","type":"EvidenceSource","label":"Recommendations for Cardiac Chamber Quantification by Echocardiography in Adults","description":"二维双平面LVEF、线性内径、线性法/BSA左室质量指数、二维左房容积指数及右室指标。表2、表4、附表3及右室功能章节；方法/性别特异，不应宣称是中国所有实验室统一正常值。","properties":{"id":"IMG_CARD_11","title":"Recommendations for Cardiac Chamber Quantification by Echocardiography in Adults","publisher":"American Society of Echocardiography / EACVI","year_region":"2015，美国/欧洲国际参考","url":"https://www.asecho.org/wp-content/uploads/2016/02/2015_ChamberQuantificationREV.pdf","notes":"二维双平面LVEF、线性内径、线性法/BSA左室质量指数、二维左房容积指数及右室指标。表2、表4、附表3及右室功能章节；方法/性别特异，不应宣称是中国所有实验室统一正常值。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:IMG_CARD_12","type":"EvidenceSource","label":"Recommendations for the Evaluation of Left Ventricular Diastolic Function by Echocardiography and for HFpEF Diagnosis: An Update From ASE","description":"表1定义平均E/e′为E除以室间隔和侧壁e′的平均；图3静息左房压估计使用平均≥14、室间隔≥15、侧壁≥13。图2诊断舒张功能障碍流程写平均>14，勿跨流程混用；HFpEF需综合判断。","properties":{"id":"IMG_CARD_12","title":"Recommendations for the Evaluation of Left Ventricular Diastolic Function by Echocardiography and for HFpEF Diagnosis: An Update From ASE","publisher":"American Society of Echocardiography；JASE","year_region":"2025，美国/国际","url":"https://www.asecho.org/wp-content/uploads/2025/07/Left-Ventricular-Diastolic-Function.pdf","notes":"表1定义平均E/e′为E除以室间隔和侧壁e′的平均；图3静息左房压估计使用平均≥14、室间隔≥15、侧壁≥13。图2诊断舒张功能障碍流程写平均>14，勿跨流程混用；HFpEF需综合判断。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:IMG_CARD_13","type":"EvidenceSource","label":"2023 Multimodality Appropriate Use Criteria for the Detection and Risk Assessment of Chronic Coronary Disease","description":"使用CAC-DRS的0、1–99、100–299、≥300分组。选择此处≥300的明确边界，避免2018 CAC-DRS正文部分位置“>300”造成300分归属空缺。","properties":{"id":"IMG_CARD_13","title":"2023 Multimodality Appropriate Use Criteria for the Detection and Risk Assessment of Chronic Coronary Disease","publisher":"ACC/AHA/ASE/ASNC/ASPC/HFSA/HRS/SCAI/SCCT/SCMR/STS","year_region":"2023，美国多学会","url":"https://www.jacc.org/doi/10.1016/j.jacc.2023.03.410","notes":"使用CAC-DRS的0、1–99、100–299、≥300分组。选择此处≥300的明确边界，避免2018 CAC-DRS正文部分位置“>300”造成300分归属空缺。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:IMG_CARD_14","type":"EvidenceSource","label":"CAD-RADS 2.0—2022 Coronary Artery Disease Reporting and Data System","description":"冠脉CTA狭窄0–5/N分级、4A/4B解剖条件及P和其他修饰符；非钙化病变与钙化评分应区别。","properties":{"id":"IMG_CARD_14","title":"CAD-RADS 2.0—2022 Coronary Artery Disease Reporting and Data System","publisher":"SCCT/ACC/ACR/NASCI；Radiology: Cardiothoracic Imaging","year_region":"2022，美国多学会/国际","url":"https://pubs.rsna.org/doi/full/10.1148/ryct.220183","notes":"冠脉CTA狭窄0–5/N分级、4A/4B解剖条件及P和其他修饰符；非钙化病变与钙化评分应区别。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:IMG_CARD_15","type":"EvidenceSource","label":"2024 AHA/ACC Guideline for Management of Lower Extremity Peripheral Artery Disease—Official Slide Set","description":"静息ABI分类：≤0.90异常；0.91–0.99边界；1.00–1.40正常；>1.40不可压缩。正式指南DOI 10.1161/CIR.0000000000001251；第38–40页含分类与补充检测。","properties":{"id":"IMG_CARD_15","title":"2024 AHA/ACC Guideline for Management of Lower Extremity Peripheral Artery Disease—Official Slide Set","publisher":"AHA/ACC及相关血管学会","year_region":"2024，美国/国际","url":"https://www.heart.org/en/-/media/PHD-Files-2/Science-News/2/2024/2024-PAD-guideline-slide-set.pdf","notes":"静息ABI分类：≤0.90异常；0.91–0.99边界；1.00–1.40正常；>1.40不可压缩。正式指南DOI 10.1161/CIR.0000000000001251；第38–40页含分类与补充检测。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:IMG_CARD_16","type":"EvidenceSource","label":"Updated Recommendations for Carotid Stenosis Interpretation Criteria","description":"适用IAC认可实验室的改良SRU颈内动脉超声标准；50%狭窄多数病例PSV界值180 cm/s；应综合全部灰阶和多普勒参数。百分比类别另核对SRU原始共识；高等级狭窄阈值本次未作调整。","properties":{"id":"IMG_CARD_16","title":"Updated Recommendations for Carotid Stenosis Interpretation Criteria","publisher":"Intersocietal Accreditation Commission (IAC) Vascular Testing","year_region":"2023，美国","url":"https://intersocietal.org/wp-content/uploads/2023/11/IAC-Updated-Recommendations-for-Carotid-Stenosis-Interpretation-Criteria_11.1.23.pdf","notes":"适用IAC认可实验室的改良SRU颈内动脉超声标准；50%狭窄多数病例PSV界值180 cm/s；应综合全部灰阶和多普勒参数。百分比类别另核对SRU原始共识；高等级狭窄阈值本次未作调整。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:IMG_CARD_17","type":"EvidenceSource","label":"Mannheim Carotid Intima-Media Thickness and Plaque Consensus (2004–2006–2011)","description":"斑块定义的0.5 mm、相对周围IMT的50%以及厚度>1.5 mm条件；强调局灶斑块和弥漫IMT增厚区分。","properties":{"id":"IMG_CARD_17","title":"Mannheim Carotid Intima-Media Thickness and Plaque Consensus (2004–2006–2011)","publisher":"European Stroke Conferences共识组；Cerebrovascular Diseases","year_region":"2012，欧洲/国际","url":"https://karger.com/ced/article-abstract/34/4/290/77092/Mannheim-Carotid-Intima-Media-Thickness-and-Plaque?redirectedFrom=fulltext","notes":"斑块定义的0.5 mm、相对周围IMT的50%以及厚度>1.5 mm条件；强调局灶斑块和弥漫IMT增厚区分。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:IMG_CARD_18","type":"EvidenceSource","label":"Use of Carotid Ultrasound to Identify Subclinical Vascular Disease and Evaluate Cardiovascular Disease Risk","description":"仅用于支持IMT测量、年龄/性别/人群分位数和报告方法；不把2008年的筛查建议当作2026年所有无症状成人常规筛查依据。","properties":{"id":"IMG_CARD_18","title":"Use of Carotid Ultrasound to Identify Subclinical Vascular Disease and Evaluate Cardiovascular Disease Risk","publisher":"American Society of Echocardiography CIMT Task Force；Society for Vascular Medicine认可","year_region":"2008，美国/国际标准化方法","url":"https://www.asecho.org/wp-content/uploads/2013/05/Use-of-Carotid-US-to-ID-Subclinical-Vasc-Disease-and-Eval-Disease-Risk.pdf","notes":"仅用于支持IMT测量、年龄/性别/人群分位数和报告方法；不把2008年的筛查建议当作2026年所有无症状成人常规筛查依据。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:IMG_CARD_19","type":"EvidenceSource","label":"Carotid Artery Stenosis: Gray-Scale and Doppler US Diagnosis—Society of Radiologists in Ultrasound Consensus Conference","description":"原始共识明确无狭窄、<50%、50–69%、≥70%但未近闭塞、近闭塞、完全闭塞。流速阈值已由IAC 2023部分修订，本表不采用2003年中度狭窄PSV 125 cm/s旧下限。","properties":{"id":"IMG_CARD_19","title":"Carotid Artery Stenosis: Gray-Scale and Doppler US Diagnosis—Society of Radiologists in Ultrasound Consensus Conference","publisher":"Society of Radiologists in Ultrasound；Radiology","year_region":"2003，美国；供狭窄百分比分类定义","url":"https://pubs.rsna.org/doi/abs/10.1148/radiol.2292030516","notes":"原始共识明确无狭窄、<50%、50–69%、≥70%但未近闭塞、近闭塞、完全闭塞。流速阈值已由IAC 2023部分修订，本表不采用2003年中度狭窄PSV 125 cm/s旧下限。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:IMG_ABD25","type":"EvidenceSource","label":"How to Read Your Abdominal Ultrasound Report","description":"用于说明器官影像与定性报告。下列“未见异常”是描述形式，不虚设统一器官尺寸。","properties":{"id":"IMG_ABD25","title":"How to Read Your Abdominal Ultrasound Report","publisher":"RSNA／ACR，RadiologyInfo","year_region":"美国｜2025复核","url":"https://www.radiologyinfo.org/en/info/article-abdo-ultrasound-report","notes":"用于说明器官影像与定性报告。下列“未见异常”是描述形式，不虚设统一器官尺寸。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:IMG_FIB23","type":"EvidenceSource","label":"AASLD Practice Guidance on the clinical assessment and management of nonalcoholic fatty liver disease","description":"图2、表5及非侵入检测章节：FIB-4、VCTE、MRE。阈值针对所研究脂肪肝人群的进展期纤维化分层；不通用于所有肝病。","properties":{"id":"IMG_FIB23","title":"AASLD Practice Guidance on the clinical assessment and management of nonalcoholic fatty liver disease","publisher":"AASLD／Hepatology","year_region":"美国专业指南｜2023","url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10735173/","notes":"图2、表5及非侵入检测章节：FIB-4、VCTE、MRE。阈值针对所研究脂肪肝人群的进展期纤维化分层；不通用于所有肝病。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:IMG_PFT22","type":"EvidenceSource","label":"ERS/ATS technical standard on interpretive strategies for routine lung 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Report","publisher":"GOLD","year_region":"国际｜2026版","url":"https://goldcopd.org/wp-content/uploads/2025/11/GOLD-REPORT-2026-v1.2-20Nov2025_WMV.pdf","notes":"支扩后FEV1/FVC<0.70是结合症状和暴露史的COPD诊断路径界值，不是跨年龄肺功能参考下限。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:IMG_CXR","type":"EvidenceSource","label":"How to Read Your Chest X-ray Report","description":"定性影像报告；不将胸片阴性等同排除肺癌或所有肺病。","properties":{"id":"IMG_CXR","title":"How to Read Your Chest X-ray Report","publisher":"RSNA／ACR，RadiologyInfo","year_region":"美国｜现行网页，2026-10核对","url":"https://www.radiologyinfo.org/en/info/article-chest-xray-report","notes":"定性影像报告；不将胸片阴性等同排除肺癌或所有肺病。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:IMG_STOP16","type":"EvidenceSource","label":"STOP-Bang Questionnaire: A Practical Approach to Screen for Obstructive Sleep Apnea","description":"STOP-Bang 0–2低风险、3–4中间风险、5–8高风险；中间风险还可按组合条件重新分层。","properties":{"id":"IMG_STOP16","title":"STOP-Bang Questionnaire: A Practical Approach to Screen for Obstructive Sleep Apnea","publisher":"Chung等／CHEST","year_region":"量表研究者原文｜2016","url":"https://journal.chestnet.org/article/S0012-3692%2815%2900018-5/fulltext","notes":"STOP-Bang 0–2低风险、3–4中间风险、5–8高风险；中间风险还可按组合条件重新分层。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:IMG_ESS","type":"EvidenceSource","label":"Epworth Sleepiness Scale (ESS)","description":"成人0–10分常用正常范围，>10提示日间过度嗜睡；主观量表不独立诊断OSA。","properties":{"id":"IMG_ESS","title":"Epworth Sleepiness Scale (ESS)","publisher":"American Thoracic Society","year_region":"美国专业学会｜现行网页，2026-10核对","url":"https://site.thoracic.org/assemblies/srn/sleep-related-questionnaires/ess","notes":"成人0–10分常用正常范围，>10提示日间过度嗜睡；主观量表不独立诊断OSA。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:IMG_AASM17","type":"EvidenceSource","label":"Clinical Practice Guideline for Diagnostic Testing for Adult Obstructive Sleep Apnea","description":"PSG、HSAT、REI与AHI的分母及适用条件；HSAT阴性/不确定但仍高度怀疑时需PSG。","properties":{"id":"IMG_AASM17","title":"Clinical Practice Guideline for Diagnostic Testing for Adult Obstructive Sleep Apnea","publisher":"American Academy of Sleep Medicine","year_region":"美国专业指南｜2017","url":"https://www.aasm.org/resources/clinicalguidelines/diagnostic-testing-osa.pdf","notes":"PSG、HSAT、REI与AHI的分母及适用条件；HSAT阴性/不确定但仍高度怀疑时需PSG。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:IMG_AHI","type":"EvidenceSource","label":"Understanding the Results","description":"成人AHI：<5，5至<15，15至<30，≥30；儿童界值不同。","properties":{"id":"IMG_AHI","title":"Understanding the Results","publisher":"Harvard Medical School，Division of Sleep Medicine","year_region":"美国医学院｜现行网页，2026-10核对","url":"https://sleep.hms.harvard.edu/education-training/public-education/sleep-and-health-education-program/sleep-health-education-34","notes":"成人AHI：<5，5至<15，15至<30，≥30；儿童界值不同。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:IMG_LUNGRADS22","type":"EvidenceSource","label":"Lung-RADS v2022 Assessment Categories","description":"ACR官方现行链接，2026-10由官方网站进入。影像分类供已有报告判读，不把国际分类管理间隔套为中国筛查年龄或频率。","properties":{"id":"IMG_LUNGRADS22","title":"Lung-RADS v2022 Assessment Categories","publisher":"American College of Radiology","year_region":"美国专业分类｜2022","url":"https://edge.sitecorecloud.io/americancoldf5f-acrorgf92a-productioncb02-3650/media/ACR/Files/RADS/Lung-RADS/Lung-RADS-2022.pdf","notes":"ACR官方现行链接，2026-10由官方网站进入。影像分类供已有报告判读，不把国际分类管理间隔套为中国筛查年龄或频率。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:IMG_CRC24","type":"EvidenceSource","label":"肺癌／结直肠癌筛查与早诊早治方案（2024年版）","description":"结直肠癌方案散发风险评分≥4分为高风险；原页 https://www.nhc.gov.cn/ylyjs/gzdt/202408/42f43b5f0c4c4ebe90c78ee127959b92.shtml 。","properties":{"id":"IMG_CRC24","title":"肺癌／结直肠癌筛查与早诊早治方案（2024年版）","publisher":"国家卫生健康委；政府全文转载","year_region":"中国｜2024","url":"https://www.ghx.gov.cn/ghx/zwgk/bmxzxx/bm/ghxwsjkj/fdzdgknr/ylws/art/2024/art_6cf49eef7ace496296a64dec82a051d6.html","notes":"结直肠癌方案散发风险评分≥4分为高风险；原页 https://www.nhc.gov.cn/ylyjs/gzdt/202408/42f43b5f0c4c4ebe90c78ee127959b92.shtml 。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:IMG_FIT","type":"EvidenceSource","label":"Fecal Occult Blood, Colorectal Cancer Screen, Qualitative, Immunochemical, Feces","description":"参考结果阴性。试剂缓冲液ng/mL与粪便μg Hb/g不能脱离采样装置直接混用，明细不设跨试剂统一数字。","properties":{"id":"IMG_FIT","title":"Fecal Occult Blood, Colorectal Cancer Screen, Qualitative, Immunochemical, Feces","publisher":"Mayo Clinic Laboratories","year_region":"美国实验室方法说明｜2026-10核对","url":"https://www.mayocliniclabs.com/test-catalog/Overview/607700","notes":"参考结果阴性。试剂缓冲液ng/mL与粪便μg Hb/g不能脱离采样装置直接混用，明细不设跨试剂统一数字。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:IMG_COLON","type":"EvidenceSource","label":"Colonoscopy","description":"结肠黏膜观察、息肉与活检；镜下结果和组织病理须分别解释。","properties":{"id":"IMG_COLON","title":"Colonoscopy","publisher":"NIH／NIDDK","year_region":"美国｜现行网页，2026-10核对","url":"https://www.niddk.nih.gov/health-information/diagnostic-tests/colonoscopy","notes":"结肠黏膜观察、息肉与活检；镜下结果和组织病理须分别解释。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:IMG_EGD","type":"EvidenceSource","label":"Upper GI Endoscopy","description":"上消化道内镜观察食管、胃和十二指肠；有指征时取组织检查。","properties":{"id":"IMG_EGD","title":"Upper GI Endoscopy","publisher":"NIH／NIDDK","year_region":"美国｜现行网页，2026-10核对","url":"https://www.niddk.nih.gov/health-information/diagnostic-tests/upper-gi-endoscopy","notes":"上消化道内镜观察食管、胃和十二指肠；有指征时取组织检查。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:IMG_BBPS25","type":"EvidenceSource","label":"Optimizing bowel preparation quality for colonoscopy: consensus recommendations by the US Multi-Society Task Force on Colorectal Cancer","description":"肠道准备质量按清洗吸引后评价；BBPS每段≥2是充分准备的常用标准。","properties":{"id":"IMG_BBPS25","title":"Optimizing bowel preparation quality for colonoscopy: consensus recommendations by the US Multi-Society Task Force on Colorectal Cancer","publisher":"USMSTF／ASGE","year_region":"美国专业共识｜2025","url":"https://www.asge.org/home/resources/publications/guidelines/optimizing-bowel-preparation-quality-for-colonoscopy--consensus-recommendations-by-the-us-multi-society-task-force-on-colorectal-cancer","notes":"肠道准备质量按清洗吸引后评价；BBPS每段≥2是充分准备的常用标准。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:IMG_GASTRIC24","type":"EvidenceSource","label":"食管癌／胃癌筛查与早诊早治方案（2024年版）","description":"内镜发现与组织病理诊断；癌前病变不按阴性常规筛查处理。","properties":{"id":"IMG_GASTRIC24","title":"食管癌／胃癌筛查与早诊早治方案（2024年版）","publisher":"国家卫生健康委；政府全文转载","year_region":"中国｜2024","url":"https://www.ghx.gov.cn/ghx/zwgk/bmxzxx/bm/ghxwsjkj/fdzdgknr/ylws/art/2024/art_8aadffa0b2db4024951b8130788a5ec0.html","notes":"内镜发现与组织病理诊断；癌前病变不按阴性常规筛查处理。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:IMG_LIVER26","type":"EvidenceSource","label":"原发性肝癌诊疗指南（2026年版）","description":"高危肝病监测结合超声、AFP、PIVKA-II；单次肿瘤标志物正常不能排除肝癌。","properties":{"id":"IMG_LIVER26","title":"原发性肝癌诊疗指南（2026年版）","publisher":"国家卫生健康委组织／正式期刊全文","year_region":"中国｜2026","url":"https://www.med-sci.cn/cgzcx/articlexml.asp?doi=10.12015/issn.1674-8034.2026.08.001&html=","notes":"高危肝病监测结合超声、AFP、PIVKA-II；单次肿瘤标志物正常不能排除肝癌。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:IMG_AFP","type":"EvidenceSource","label":"Alpha-Fetoprotein (AFP) Tumor Marker, Serum","description":"该实验室非孕者血清参考值<8.4 ng/mL；不能当作所有试剂、中国所有机构的统一范围。","properties":{"id":"IMG_AFP","title":"Alpha-Fetoprotein (AFP) Tumor Marker, Serum","publisher":"Mayo Clinic Laboratories","year_region":"美国实验室方法特异示例｜2026-10核对","url":"https://www.mayocliniclabs.com/test-catalog/Overview/800002","notes":"该实验室非孕者血清参考值<8.4 ng/mL；不能当作所有试剂、中国所有机构的统一范围。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:IMG_DCP","type":"EvidenceSource","label":"Des-Gamma-Carboxy Prothrombin, Serum","description":"uTASWako i30方法参考<7.5 ng/mL。其他机构可能用mAU/mL，不能无校准关系直接换算。","properties":{"id":"IMG_DCP","title":"Des-Gamma-Carboxy Prothrombin, Serum","publisher":"Mayo Clinic Laboratories","year_region":"美国实验室方法特异示例｜2026-10核对","url":"https://www.mayocliniclabs.com/test-catalog/Overview/61844","notes":"uTASWako i30方法参考<7.5 ng/mL。其他机构可能用mAU/mL，不能无校准关系直接换算。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:IMG_BIRADS","type":"EvidenceSource","label":"Mammograms","description":"BI-RADS 0–6分类含义；只引用判读定义，不将美国筛查年龄/间隔混作中国要求。","properties":{"id":"IMG_BIRADS","title":"Mammograms","publisher":"NIH／National Cancer Institute","year_region":"美国｜现行网页，2026-10核对","url":"https://www.cancer.gov/types/breast/screening/mammograms","notes":"BI-RADS 0–6分类含义；只引用判读定义，不将美国筛查年龄/间隔混作中国要求。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:IMG_DENSITY","type":"EvidenceSource","label":"Dense Breasts: Answers to Commonly Asked Questions","description":"乳腺密度A–D；C/D属于致密乳腺，密度不是癌症诊断。","properties":{"id":"IMG_DENSITY","title":"Dense Breasts: Answers to Commonly Asked Questions","publisher":"NIH／National Cancer Institute","year_region":"美国｜现行网页，2026-10核对","url":"https://www.cancer.gov/types/breast/screening/dense-breasts","notes":"乳腺密度A–D；C/D属于致密乳腺，密度不是癌症诊断。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:IMG_CERVIX","type":"EvidenceSource","label":"HPV and Pap Test Results: Next Steps after an Abnormal Cervical Cancer Screening Test","description":"引用高危HPV阴性/阳性与细胞学NILM定义；异常处置采用当地风险分流路径，不照搬网页旧的取样重做间隔。","properties":{"id":"IMG_CERVIX","title":"HPV and Pap Test Results: Next Steps after an Abnormal Cervical Cancer Screening Test","publisher":"NIH／National Cancer Institute","year_region":"美国｜2024更新","url":"https://www.cancer.gov/types/cervical/screening/abnormal-hpv-pap-test-results","notes":"引用高危HPV阴性/阳性与细胞学NILM定义；异常处置采用当地风险分流路径，不照搬网页旧的取样重做间隔。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:IMG_PSA","type":"EvidenceSource","label":"Prostate-Specific Antigen (PSA), Total and Free, Serum","description":"Roche Elecsys ECLIA。年龄参考上限和4–10 ng/mL灰区内游离/总PSA相对风险；不是中国筛查适龄标准或统一穿刺阈值。","properties":{"id":"IMG_PSA","title":"Prostate-Specific Antigen (PSA), Total and Free, Serum","publisher":"Mayo Clinic Laboratories","year_region":"美国实验室方法特异示例｜2026-10核对","url":"https://www.mayocliniclabs.com/test-catalog/Overview/800066","notes":"Roche Elecsys ECLIA。年龄参考上限和4–10 ng/mL灰区内游离/总PSA相对风险；不是中国筛查适龄标准或统一穿刺阈值。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:IMG_ISCD23","type":"EvidenceSource","label":"2023 ISCD Official Adult Positions","description":"中心DXA测量部位、T/Z分数适用人群和阈值；不同设备BMD不直接比较。","properties":{"id":"IMG_ISCD23","title":"2023 ISCD Official Adult Positions","publisher":"International Society for Clinical Densitometry","year_region":"国际专业立场｜2023","url":"https://iscd.org/official-positions-2023/","notes":"中心DXA测量部位、T/Z分数适用人群和阈值；不同设备BMD不直接比较。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:IMG_NIAMS25","type":"EvidenceSource","label":"Bone Mineral Density Tests: What the Numbers Mean","description":"T-score正常、低骨量、骨质疏松分类；须结合临床骨折风险。","properties":{"id":"IMG_NIAMS25","title":"Bone Mineral Density Tests: What the Numbers Mean","publisher":"NIH／NIAMS","year_region":"美国｜2025复核","url":"https://www.niams.nih.gov/health-topics/bone-mineral-density-tests-what-numbers-mean","notes":"T-score正常、低骨量、骨质疏松分类；须结合临床骨折风险。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:IMG_TIRADS17","type":"EvidenceSource","label":"ACR TI-RADS Assessment Categories","description":"ACR TR1–TR5和大小条件。与C-TIRADS等系统不同，报告必须注明采用哪种分类。官方入口 https://www.acr.org/Clinical-Resources/Clinical-Tools-and-Reference/Reporting-and-Data-Systems/TI-RADS 。","properties":{"id":"IMG_TIRADS17","title":"ACR TI-RADS Assessment Categories","publisher":"American College of Radiology","year_region":"美国专业分类｜2017体系，现行官方图表","url":"https://edge.sitecorecloud.io/americancoldf5f-acrorgf92a-productioncb02-3650/media/ACR/Files/RADS/TI-RADS/TI-RADS-Assessment-Categories-Alternative-chart.pdf","notes":"ACR TR1–TR5和大小条件。与C-TIRADS等系统不同，报告必须注明采用哪种分类。官方入口 https://www.acr.org/Clinical-Resources/Clinical-Tools-and-Reference/Reporting-and-Data-Systems/TI-RADS 。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:INF_HP_UBT","type":"EvidenceSource","label":"Helicobacter pylori Breath Test, UBT","description":"阴性报告；药物、取样及检测时机影响灵敏度。","properties":{"id":"INF_HP_UBT","title":"Helicobacter pylori Breath Test, UBT","publisher":"Mayo Clinic Laboratories","year_region":"在线目录，2026-10核对；美国","url":"https://www.mayocliniclabs.com/test-catalog/Overview/81590","notes":"阴性报告；药物、取样及检测时机影响灵敏度。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:INF_HP_DOB","type":"EvidenceSource","label":"BreathTek UBT for H. pylori Kit：FDA说明书","description":"成人DOB判定界值2.4；仅限该试剂和设备，不代表全部13C方法。","properties":{"id":"INF_HP_DOB","title":"BreathTek UBT for H. pylori Kit：FDA说明书","publisher":"Otsuka / US FDA","year_region":"P100025批准说明书；美国方法示例","url":"https://www.accessdata.fda.gov/cdrh_docs/pdf10/P100025C.pdf","notes":"成人DOB判定界值2.4；仅限该试剂和设备，不代表全部13C方法。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:INF_HP_AG","type":"EvidenceSource","label":"Helicobacter pylori Antigen, Feces, HPSAF","description":"粪便抗原阴性参考及方法限制。","properties":{"id":"INF_HP_AG","title":"Helicobacter pylori Antigen, Feces, HPSAF","publisher":"Mayo Clinic Laboratories","year_region":"在线目录，2026-10核对；美国","url":"https://www.mayocliniclabs.com/test-catalog/Overview/800272","notes":"粪便抗原阴性参考及方法限制。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:INF_PELVIC","type":"EvidenceSource","label":"Pelvic exam","description":"外阴、阴道、宫颈、子宫附件检查内容；临床表现需医生判断。","properties":{"id":"INF_PELVIC","title":"Pelvic exam","publisher":"Mayo Clinic","year_region":"2026在线资料；美国","url":"https://www.mayoclinic.org/tests-procedures/pelvic-exam/about/pac-20385135","notes":"外阴、阴道、宫颈、子宫附件检查内容；临床表现需医生判断。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:INF_PELVIC_US","type":"EvidenceSource","label":"Pelvis Ultrasound","description":"子宫、内膜、卵巢、附件及血流的超声评价；无统一健康人体积上限。","properties":{"id":"INF_PELVIC_US","title":"Pelvis Ultrasound","publisher":"ACR / RSNA RadiologyInfo","year_region":"2026在线资料；美国","url":"https://www.radiologyinfo.org/en/info/pelvus","notes":"子宫、内膜、卵巢、附件及血流的超声评价；无统一健康人体积上限。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:INF_ENDOMETRIUM","type":"EvidenceSource","label":"ACOG Publishes Updated Guidance on Evaluation of Postmenopausal Bleeding","description":"更新多数绝经后出血患者的初评路径；不以单一内膜厚度保证排除病变。","properties":{"id":"INF_ENDOMETRIUM","title":"ACOG Publishes Updated Guidance on Evaluation of Postmenopausal Bleeding","publisher":"ACOG","year_region":"2026-04；美国","url":"https://www.acog.org/news/news-releases/2026/04/acog-publishes-updated-guidance-evaluation-postmenopausal-bleeding","notes":"更新多数绝经后出血患者的初评路径；不以单一内膜厚度保证排除病变。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:INF_VPH","type":"EvidenceSource","label":"Vaginal pH","description":"常见pH 3.8–4.5；激素、月经、绝经、性接触可改变pH。","properties":{"id":"INF_VPH","title":"Vaginal pH","publisher":"Cleveland Clinic","year_region":"2026-03；美国","url":"https://my.clevelandclinic.org/health/body/vaginal-ph","notes":"常见pH 3.8–4.5；激素、月经、绝经、性接触可改变pH。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:INF_BV","type":"EvidenceSource","label":"Bacterial Vaginosis—STI Treatment Guidelines","description":"Nugent 0–3/4–6/7–10；线索细胞、pH和胺试验为联合诊断线索。","properties":{"id":"INF_BV","title":"Bacterial Vaginosis—STI Treatment Guidelines","publisher":"CDC","year_region":"2021指南，在线核对2026-10；美国","url":"https://www.cdc.gov/std/treatment-guidelines/bv.htm","notes":"Nugent 0–3/4–6/7–10；线索细胞、pH和胺试验为联合诊断线索。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:INF_CANDIDA","type":"EvidenceSource","label":"Vulvovaginal Candidiasis—STI Treatment Guidelines","description":"念珠菌可定植；诊断应结合症状，阴性镜检不完全排除。","properties":{"id":"INF_CANDIDA","title":"Vulvovaginal Candidiasis—STI Treatment Guidelines","publisher":"CDC","year_region":"2021指南，在线核对2026-10；美国","url":"https://www.cdc.gov/std/treatment-guidelines/candidiasis.htm","notes":"念珠菌可定植；诊断应结合症状，阴性镜检不完全排除。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:INF_TRICH","type":"EvidenceSource","label":"Trichomoniasis—STI Treatment Guidelines","description":"滴虫湿片、NAAT方法及局限。","properties":{"id":"INF_TRICH","title":"Trichomoniasis—STI Treatment Guidelines","publisher":"CDC","year_region":"2021指南，在线核对2026-10；美国","url":"https://www.cdc.gov/std/treatment-guidelines/trichomoniasis.htm","notes":"滴虫湿片、NAAT方法及局限。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:INF_CERVICITIS","type":"EvidenceSource","label":"Urethritis and Cervicitis—STI Treatment Guidelines","description":"阴道液镜检白细胞>10/HPF为白细胞增多线索；宫颈涂片白细胞诊断界值尚未标准化。","properties":{"id":"INF_CERVICITIS","title":"Urethritis and Cervicitis—STI Treatment Guidelines","publisher":"CDC","year_region":"2021指南，2022复核；美国","url":"https://www.cdc.gov/std/treatment-guidelines/urethritis-and-cervicitis.htm","notes":"阴道液镜检白细胞>10/HPF为白细胞增多线索；宫颈涂片白细胞诊断界值尚未标准化。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:INF_FSH","type":"EvidenceSource","label":"Follicle-Stimulating Hormone (FSH), Serum","description":"电化学发光法；男性>18岁和女性月经阶段参考区间。","properties":{"id":"INF_FSH","title":"Follicle-Stimulating Hormone (FSH), Serum","publisher":"Mayo Clinic Laboratories","year_region":"在线目录，2026-10核对；美国","url":"https://www.mayocliniclabs.com/test-catalog/overview/602761","notes":"电化学发光法；男性>18岁和女性月经阶段参考区间。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:INF_LH","type":"EvidenceSource","label":"Luteinizing Hormone (LH), test 004283","description":"Roche cobas ECLIA；mIU/mL；分性别与月经阶段。","properties":{"id":"INF_LH","title":"Luteinizing Hormone (LH), test 004283","publisher":"Labcorp","year_region":"在线目录，2026-10核对；美国","url":"https://www.labcorp.com/tests/004283/luteinizing-hormone-lh","notes":"Roche cobas ECLIA；mIU/mL；分性别与月经阶段。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:INF_E2","type":"EvidenceSource","label":"Estradiol, test 004515","description":"Roche ECLIA；pg/mL；低浓度测量的敏感质谱选择及局限。","properties":{"id":"INF_E2","title":"Estradiol, test 004515","publisher":"Labcorp","year_region":"在线目录，2026-10核对；美国","url":"https://www.labcorp.com/tests/004515/estradiol","notes":"Roche ECLIA；pg/mL；低浓度测量的敏感质谱选择及局限。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:INF_P4","type":"EvidenceSource","label":"Progesterone, test 004317","description":"ECLIA；ng/mL；分周期及妊娠阶段。","properties":{"id":"INF_P4","title":"Progesterone, test 004317","publisher":"Labcorp","year_region":"在线目录，2026-10核对；美国","url":"https://www.labcorp.com/tests/004317/progesterone","notes":"ECLIA；ng/mL；分周期及妊娠阶段。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:INF_PRL","type":"EvidenceSource","label":"Prolactin, Serum, PRL","description":"成人分性别参考值；应激、妊娠、药物、大分子泌乳素等影响。","properties":{"id":"INF_PRL","title":"Prolactin, Serum, PRL","publisher":"Mayo Clinic Laboratories","year_region":"在线目录，2026-10核对；美国","url":"https://www.mayocliniclabs.com/test-catalog/Overview/800091","notes":"成人分性别参考值；应激、妊娠、药物、大分子泌乳素等影响。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:INF_TT","type":"EvidenceSource","label":"Testosterone, Total, Mass Spectrometry, Serum, TTST","description":"LC-MS/MS；19岁及以上；清晨样本，不能与免疫法直接混用。","properties":{"id":"INF_TT","title":"Testosterone, Total, Mass Spectrometry, Serum, TTST","publisher":"Mayo Clinic Laboratories","year_region":"在线目录，2026-10核对；美国","url":"https://www.mayocliniclabs.com/test-catalog/overview/8533","notes":"LC-MS/MS；19岁及以上；清晨样本，不能与免疫法直接混用。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:INF_LUTS","type":"EvidenceSource","label":"EAU Guidelines on Non-neurogenic Male LUTS: Diagnostic Evaluation","description":"IPSS、PVR、尿流率和前列腺超声；PVR无统一治疗决策界值。","properties":{"id":"INF_LUTS","title":"EAU Guidelines on Non-neurogenic Male LUTS: Diagnostic Evaluation","publisher":"European Association of Urology","year_region":"2026在线指南；欧洲","url":"https://uroweb.org/guidelines/management-of-non-neurogenic-male-luts/chapter/diagnostic-evaluation","notes":"IPSS、PVR、尿流率和前列腺超声；PVR无统一治疗决策界值。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:INF_SEMEN","type":"EvidenceSource","label":"EAU Guidelines on Sexual and Reproductive Health: Male Infertility","description":"表11.2：精液参数第五百分位下限；pH与过氧化物酶阳性白细胞为其他共识界值；不能单独区分有无生育力。","properties":{"id":"INF_SEMEN","title":"EAU Guidelines on Sexual and Reproductive Health: Male Infertility","publisher":"European Association of Urology","year_region":"2026在线指南，引用WHO 2021第6版；国际","url":"https://uroweb.org/guidelines/sexual-and-reproductive-health/chapter/male-infertility","notes":"表11.2：精液参数第五百分位下限；pH与过氧化物酶阳性白细胞为其他共识界值；不能单独区分有无生育力。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:INF_HCG","type":"EvidenceSource","label":"Human Chorionic Gonadotropin (hCG), Quantitative, Pregnancy, Serum","description":"血清妊娠hCG阴性<5 IU/L；不能凭单个数值定位妊娠或评价胚胎存活。","properties":{"id":"INF_HCG","title":"Human Chorionic Gonadotropin (hCG), Quantitative, Pregnancy, Serum","publisher":"Mayo Clinic Laboratories","year_region":"在线目录，2026-10核对；美国","url":"https://www.mayocliniclabs.com/test-catalog/overview/80678","notes":"血清妊娠hCG阴性<5 IU/L；不能凭单个数值定位妊娠或评价胚胎存活。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:INF_RUBELLA","type":"EvidenceSource","label":"Serology Testing for Rubella","description":"IgG用于免疫评估；美国EIA免疫判定使用10 IU/mL界值；不推荐无症状者常规IgM筛查。","properties":{"id":"INF_RUBELLA","title":"Serology Testing for Rubella","publisher":"CDC","year_region":"2024；美国","url":"https://www.cdc.gov/rubella/php/laboratories/serology-testing.html","notes":"IgG用于免疫评估；美国EIA免疫判定使用10 IU/mL界值；不推荐无症状者常规IgM筛查。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:INF_GENETIC","type":"EvidenceSource","label":"Carrier Screening in the Age of Genomic Medicine","description":"携带者筛查陰性后仍有剩余风险；按家族史、病种及检测覆盖解释。","properties":{"id":"INF_GENETIC","title":"Carrier Screening in the Age of Genomic Medicine","publisher":"ACOG","year_region":"2017指导文件，在线核对2026-10；美国","url":"https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2017/03/carrier-screening-in-the-age-of-genomic-medicine","notes":"携带者筛查陰性后仍有剩余风险；按家族史、病种及检测覆盖解释。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:INF_HBV","type":"EvidenceSource","label":"Screening and Testing for Hepatitis B Virus Infection: CDC Recommendations","description":"HBsAg/anti-HBs/anti-HBc组合解释；完整疫苗系列后1–2个月anti-HBs≥10 mIU/mL提示保护性应答。","properties":{"id":"INF_HBV","title":"Screening and Testing for Hepatitis B Virus Infection: CDC Recommendations","publisher":"CDC MMWR","year_region":"2023；美国","url":"https://www.cdc.gov/mmwr/volumes/72/rr/rr7201a1.htm","notes":"HBsAg/anti-HBs/anti-HBc组合解释；完整疫苗系列后1–2个月anti-HBs≥10 mIU/mL提示保护性应答。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:INF_HBE","type":"EvidenceSource","label":"Hepatitis B Virus e Antigen and Hepatitis B Virus e Antibody, Serum","description":"HBeAg与anti-HBe参考阴性；感染者应结合HBV DNA判断。","properties":{"id":"INF_HBE","title":"Hepatitis B Virus e Antigen and Hepatitis B Virus e Antibody, Serum","publisher":"Mayo Clinic Laboratories","year_region":"在线目录，2026-10核对；美国","url":"https://www.mayocliniclabs.com/test-catalog/Overview/603556","notes":"HBeAg与anti-HBe参考阴性；感染者应结合HBV DNA判断。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:INF_HBVDNA","type":"EvidenceSource","label":"HBV DNA Detection and Quantification by Real-Time PCR, Serum","description":"未检出为参考；检出但<10 IU/mL不等于未检出。","properties":{"id":"INF_HBVDNA","title":"HBV DNA Detection and Quantification by Real-Time PCR, Serum","publisher":"Mayo Clinic Laboratories","year_region":"在线目录，2026-10核对；美国","url":"https://www.mayocliniclabs.com/test-catalog/overview/65555","notes":"未检出为参考；检出但<10 IU/mL不等于未检出。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:INF_HCV","type":"EvidenceSource","label":"Clinical Screening and Diagnosis for Hepatitis C","description":"HCV抗体与RNA串联解释；抗体反应性不等于当前感染。","properties":{"id":"INF_HCV","title":"Clinical Screening and Diagnosis for Hepatitis C","publisher":"CDC","year_region":"在线资料，2026-10核对；美国","url":"https://www.cdc.gov/hepatitis-c/hcp/diagnosis-testing/index.html","notes":"HCV抗体与RNA串联解释；抗体反应性不等于当前感染。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:INF_HIV","type":"EvidenceSource","label":"Getting Tested for HIV","description":"阴性与窗口期；初筛反应性后需要后续检测。","properties":{"id":"INF_HIV","title":"Getting Tested for HIV","publisher":"CDC","year_region":"2026-09；美国","url":"https://www.cdc.gov/hiv/testing/index.html","notes":"阴性与窗口期；初筛反应性后需要后续检测。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:INF_HIV_ALG","type":"EvidenceSource","label":"HIV Infection—STI Treatment Guidelines","description":"实验室Ag/Ab初筛后补充鉴别检测，结果不一致时用核酸；中国按本地规范执行。","properties":{"id":"INF_HIV_ALG","title":"HIV Infection—STI Treatment Guidelines","publisher":"CDC","year_region":"2021指南，在线核对2026-10；美国","url":"https://www.cdc.gov/std/treatment-guidelines/hiv.htm","notes":"实验室Ag/Ab初筛后补充鉴别检测，结果不一致时用核酸；中国按本地规范执行。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:INF_SYPHILIS","type":"EvidenceSource","label":"Syphilis—STI Treatment Guidelines","description":"特异/非特异抗体联合解释；RPR滴度四倍变化需同法比较。","properties":{"id":"INF_SYPHILIS","title":"Syphilis—STI Treatment Guidelines","publisher":"CDC","year_region":"2021指南，在线核对2026-10；美国","url":"https://www.cdc.gov/std/treatment-guidelines/syphilis.htm","notes":"特异/非特异抗体联合解释；RPR滴度四倍变化需同法比较。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:INF_GC","type":"EvidenceSource","label":"Gonococcal Infections Among Adolescents and Adults","description":"淋球菌NAAT标本部位与方法，培养药敏用于特定临床场景。","properties":{"id":"INF_GC","title":"Gonococcal Infections Among Adolescents and Adults","publisher":"CDC","year_region":"2021指南，在线核对2026-10；美国","url":"https://www.cdc.gov/std/treatment-guidelines/gonorrhea-adults.htm","notes":"淋球菌NAAT标本部位与方法，培养药敏用于特定临床场景。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:INF_CT","type":"EvidenceSource","label":"Chlamydial Infections","description":"衣原体NAAT、首段尿/阴道及暴露部位拭子等。","properties":{"id":"INF_CT","title":"Chlamydial Infections","publisher":"CDC","year_region":"2021指南，在线核对2026-10；美国","url":"https://www.cdc.gov/std/treatment-guidelines/chlamydia.htm","notes":"衣原体NAAT、首段尿/阴道及暴露部位拭子等。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:INF_QFT","type":"EvidenceSource","label":"QuantiFERON-TB Gold Plus Test Result Interpretation","description":"Nil、TB1/TB2减Nil、Mitogen减Nil联合判定；不能把单管浓度当诊断。","properties":{"id":"INF_QFT","title":"QuantiFERON-TB Gold Plus Test Result Interpretation","publisher":"QIAGEN","year_region":"在线说明，2026-10核对；厂家方法","url":"https://www.qiagen.com/en-gb/tb-testing/what-is-quantiferon/how-does-qft-work/quantiferon-tb-test-result-interpretation","notes":"Nil、TB1/TB2减Nil、Mitogen减Nil联合判定；不能把单管浓度当诊断。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:INF_IGRA","type":"EvidenceSource","label":"Clinical Testing Guidance: Interferon Gamma Release Assay","description":"IGRA阴性/阳性/不确定或临界；阳性不能区分潜伏感染与活动病。","properties":{"id":"INF_IGRA","title":"Clinical Testing Guidance: Interferon Gamma Release Assay","publisher":"CDC","year_region":"在线指导，2026-10核对；美国","url":"https://www.cdc.gov/tb/hcp/testing-diagnosis/interferon-gamma-release-assay.html","notes":"IGRA阴性/阳性/不确定或临界；阳性不能区分潜伏感染与活动病。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:INF_TST","type":"EvidenceSource","label":"Clinical Testing Guidance: Tuberculin Skin Test","description":"48–72小时测硬结；按风险分别采用5/10/15 mm阳性界值。","properties":{"id":"INF_TST","title":"Clinical Testing Guidance: Tuberculin Skin Test","publisher":"CDC","year_region":"在线指导，2026-10核对；美国","url":"https://www.cdc.gov/tb/hcp/testing-diagnosis/tuberculin-skin-test.html","notes":"48–72小时测硬结；按风险分别采用5/10/15 mm阳性界值。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:INF_IGE","type":"EvidenceSource","label":"Immunoglobulin E (IgE), Serum","description":"ImmunoCAP；18岁及以上≤214 kU/L；正常不能排除过敏。","properties":{"id":"INF_IGE","title":"Immunoglobulin E (IgE), Serum","publisher":"Mayo Clinic Laboratories","year_region":"在线目录，2026-10核对；美国","url":"https://www.mayocliniclabs.com/test-catalog/Overview/8159","notes":"ImmunoCAP；18岁及以上≤214 kU/L；正常不能排除过敏。","checked":"2026-10-03"},"source_ids":[],"aliases":[]},{"id":"SRC:INF_SIGE","type":"EvidenceSource","label":"Respiratory Profile, Region 13: Specific IgE reference 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