{
  "_leeme": {
    "que_es": "Datos del medidor de trabajo clínico: cuánto trabajo operativo cuesta la atención en el PC de cada consultorio (tiempo activo, tiempo en el sistema clínico SAP, escritura, clics, pantallas recorridas, esperas del sistema, trabajo posterior a la atención), medido de forma continua y agregado por jornada (consultorio × día operativo) y por paciente, en tres fases del estudio con el mismo instrumento: baseline (sin Miracle), notes (con Miracle Notes) y notes_ops (Notes + Operations).",
    "privacidad": "No hay contenido clínico ni texto tecleado en ningún campo. Los pacientes aparecen solo como encounter_key: una huella HMAC irreversible calculada en el PC (misma persona = misma huella dentro del mismo día operativo; entre días no se puede enlazar). Las pantallas SAP son identidades técnicas (sistema/transacción/programa/dynpro), nunca títulos ni valores. Del tecleo solo hay cantidades y tiempo en ráfagas. El único dato de persona es el login de SAP (sap_user), que identifica al médico, no al paciente.",
    "unidades": "Todos los tiempos terminan en _ms y están en milisegundos (60000 = 1 minuto). Los instantes (_at) son ISO 8601 en UTC. dia_operativo es la fecha del día operativo del hospital (corte a las 06:00 hora de Bogotá): una guardia nocturna que cruza medianoche pertenece al día en que empezó.",
    "como_comparar": "La unidad de análisis es el CONSULTORIO y su JORNADA (un consultorio, un día operativo). Compara fases usando solo jornadas con calidad_ok = true (sin datos descartados, reloj estable, cobertura >= 80 %). Usa medianas por jornada, no promedios. Para comparaciones pareadas agrupa por consultorio_id y phase. El médico es una anotación derivada del login SAP visto (sap_users / medico_id), útil para explicar una jornada, no para agrupar el estudio.",
    "definiciones": {
      "jornada": "Todo lo que un consultorio hizo en un día operativo (corte 06:00 Bogotá). El medidor graba de forma continua: no hay turnos que abrir ni cerrar.",
      "estados": "Cada cubeta de 15 s del día está en uno de cuatro estados: activo (hubo clic, tecla o scroll en los últimos 60 s), inactivo (PC encendido y desbloqueado sin nadie tocándolo), bloqueado (sesión de Windows bloqueada) o sin_datos (no llegó cubeta: PC apagado, suspendido o medidor caído).",
      "activo": "Tiempo en primer plano con algún clic, tecla o scroll en los últimos 60 segundos. foreground_ms es el tiempo en primer plano sin exigir input.",
      "his_ms": "Tiempo activo con SAP (el sistema clínico) en primer plano.",
      "tramo": "Isla de actividad: cubetas activas separadas por menos de 15 minutos sin actividad. tramos_ms es la suma de las islas; las horas «en tramos» son el denominador de pacientes_por_hora.",
      "post_atencion_ms": "Tiempo activo atribuido a un paciente DESPUÉS de que se abrió otro paciente distinto: lo que se hace sobre A cuando ya se está con B (documentación posterior a la atención).",
      "ready_ms": "Time-to-ready: desde que se llega a una pantalla SAP hasta el primer fin de round-trip con el servidor sin estar ocupado. Nulo (no cero) si nunca llegó.",
      "sap_wait_ms": "Suma de round-trips al servidor SAP (StartRequest → EndRequest) durante la visita o la jornada: tiempo esperando al sistema.",
      "cobertura_pct": "Porcentaje de la ventana de actividad (de la primera a la última cubeta activa del día) que llegó medido. Cada cubeta cubre su bucket_ms, o la suma de sus foreground_ms si es mayor (un tramo fundido cuyo ancho se guardó recortado). Baja de verdad cuando el PC se apaga o suspende o el medidor muere en medio del día. sin_datos_ms son esos huecos, en milisegundos.",
      "calidad_ok": "true si la jornada es comparable: spool_dropped = 0 (nada descartado en el PC), clock_jumps <= 2 (reloj estable) y cobertura_pct >= 80. calidad_motivos lista por qué no lo es (spool_dropped, clock_jumps, cobertura, sin_actividad).",
      "encounter_key": "Huella HMAC-SHA256 (32 hex) del identificador del paciente, calculada en el PC con una clave que cambia cada día operativo. Irreversible. Nula si la pantalla no mostró paciente.",
      "sap_user": "Login de SAP visto en la cubeta (el del médico, no del paciente). Con el roster se traduce a un nombre (medico_id, medico).",
      "teclas_de_control": "Del teclado solo se distinguen seis teclas: Tab, Enter, borrar (Backspace/Supr → correcciones), copiar (Ctrl+C/Ctrl+Ins), pegar (Ctrl+V/Mayús+Ins) y guardar (Ctrl+S). Cualquier otra tecla cuenta solo como «una tecla».",
      "interrupciones": "Veces que se vuelve a un paciente que ya se había abierto antes en la jornada (el A→B→A de urgencias).",
      "revisitas_sap": "Veces que se vuelve a una pantalla SAP ya visitada con el mismo paciente: navegación de ida y vuelta.",
      "consulta_ms": "Duración de una consulta en reloj de pared: del primer al último instante con actividad sobre ese paciente (incluye interrupciones).",
      "entre_consultas_ms": "Del último instante con actividad de un paciente al primero del siguiente: cuánto tarda el médico en quedar disponible para el próximo (aproximación al «time to administrative readiness»; el momento físico en que el paciente se va no es observable).",
      "carga_admin_pct": "Porcentaje del tiempo activo de la jornada que fue en SAP (el sistema clínico).",
      "surface": "Identidad técnica de la pantalla: sapgui://SISTEMA/TRANSACCION/PROGRAMA/DYNPRO[/subpantalla] para SAP, web://dominio para webs de la lista permitida, o nulo.",
      "app": "Aplicación en primer plano normalizada según la config: sap, miracle_web, chrome, edge, firefox, office, uexe, explorador, otro. Más 'bloqueado', que no es una app: es el estado del PC.",
      "procesos": "Cuántas veces arrancó el medidor ese día en ese PC (1 = nunca se cayó). Los contadores de calidad se suman entre procesos.",
      "pre_atencion_ms": "Tiempo activo del día ANTES de abrir al primer paciente: el arranque (encender, entrar a SAP, revisar).",
      "cola_post_jornada_ms": "Tiempo activo en SAP DESPUÉS de abrir al último paciente del día: la cola de documentación al final.",
      "encuentro": "Un paciente en una jornada (una consulta): desde su primer toque hasta el fin de su última cubeta, con todo lo que costó (activo, SAP, tecleo, clics, pantallas, interrupciones, post-atención)."
    },
    "colecciones": {
      "jornadas": {
        "descripcion": "Una fila por consultorio (PC) y día operativo con todas las métricas agregadas (tabla jornada_summary). Es la tabla principal para análisis.",
        "campos": {
          "device_id": "Id del PC (uuid).",
          "pc": "Nombre del PC (machine_name).",
          "consultorio_id": "Id del consultorio (uuid) o nulo si el PC no estaba asignado ese día.",
          "consultorio": "Nombre del consultorio.",
          "dia_operativo": "Día operativo (YYYY-MM-DD, corte 06:00 Bogotá).",
          "phase": "Fase del estudio: baseline | notes | notes_ops (derivada del calendario por fecha).",
          "primera_actividad": "Primera cubeta activa del día (ISO UTC).",
          "ultima_actividad": "Fin de la última cubeta activa (ISO UTC).",
          "ventana_ms": "ultima_actividad − primera_actividad.",
          "foreground_ms": "Tiempo medido en primer plano (sin exigir input).",
          "activo_ms": "Tiempo activo total.",
          "his_ms": "Tiempo activo en SAP.",
          "miracle_ms": "Tiempo activo en Miracle (app miracle_web).",
          "typing_ms": "Tiempo escribiendo, medido por ráfagas de tecleo.",
          "keystrokes": "Teclas pulsadas (nunca cuáles).",
          "clicks": "Clics izquierdos.",
          "scroll_ticks": "Muescas de rueda.",
          "context_switches": "Cambios de app, pantalla o paciente.",
          "tabs": "Tab.",
          "enters": "Enter.",
          "correcciones": "Backspace + Supr.",
          "copias": "Copiar.",
          "pegados": "Pegar.",
          "guardados": "Ctrl+S.",
          "pacientes": "Pacientes distintos identificados en SAP.",
          "consulta_ms_mediana": "Mediana de la duración de consulta (ver definiciones.consulta_ms).",
          "activo_por_paciente_mediana": "Mediana del tiempo activo por paciente.",
          "entre_consultas_ms_mediana": "Mediana del tiempo entre consultas.",
          "post_atencion_ms": "Ver definiciones.post_atencion_ms.",
          "interrupciones": "Ver definiciones.interrupciones.",
          "pacientes_por_hora": "Pacientes distintos por hora en tramos de actividad.",
          "visitas": "Visitas a pantallas SAP (una visita = una estadía).",
          "pantallas_distintas": "Pantallas SAP distintas visitadas.",
          "revisitas_sap": "Ver definiciones.revisitas_sap.",
          "sap_wait_ms": "Suma de esperas al servidor SAP.",
          "sap_roundtrips": "Round-trips al servidor SAP.",
          "ready_ms_p50": "Mediana del time-to-ready de las pantallas SAP (nulo si no hubo).",
          "ready_ms_p95": "Percentil 95 del time-to-ready.",
          "bloqueado_ms": "Tiempo con la sesión bloqueada.",
          "inactivo_ms": "Tiempo encendido y desbloqueado sin input.",
          "sin_datos_ms": "Huecos sin cubetas (> 30 s) entre la primera y la última cubeta del día.",
          "cobertura_pct": "Ver definiciones.cobertura_pct.",
          "carga_admin_pct": "Ver definiciones.carga_admin_pct.",
          "tramos": "Islas de actividad.",
          "tramos_ms": "Suma de las islas de actividad.",
          "pre_atencion_ms": "Ver definiciones.pre_atencion_ms.",
          "cola_post_jornada_ms": "Ver definiciones.cola_post_jornada_ms.",
          "consulta_ms_p25": "Percentil 25 de la duración de consulta.",
          "consulta_ms_p75": "Percentil 75 de la duración de consulta.",
          "por_app": "Objeto {app: {activo_ms, foreground_ms, typing_ms, keystrokes, clicks}}: cuánto se trabajó, tecleó y clicó en cada app.",
          "por_hora": "Objeto {\"07\": ms activos, \"08\": …} por hora de Bogotá: el perfil del día.",
          "procesos": "Arranques del medidor ese día.",
          "app_version": "Versión del medidor.",
          "activo_por_app": "Objeto {app: ms activos}.",
          "sap_users": "Objeto {login SAP: ms activos}.",
          "calidad": "Objeto con los contadores del instrumento: cobertura_pct, sin_datos_ms, huecos_ms, clock_jumps, spool_dropped, hooks_degradados, hooks_rearmados, ticks_sap_saltados_busy, sap_scripting, sap_eventos_com, procesos.",
          "calidad_ok": "Ver definiciones.calidad_ok.",
          "calidad_motivos": "Lista de motivos por los que la jornada no es comparable (vacía si lo es).",
          "por_hora_detalle": "De qué está hecha cada hora de Bogotá: {\"07\": {sap, otras, inactivo, bloqueado}} en ms. sap y otras se miden con input real (como activo_ms); inactivo y bloqueado con el tiempo que cubre la cubeta. La suma de sap por horas es exactamente his_ms, y sap+otras exactamente activo_ms; no suman 60 min por hora porque el resto de una cubeta activa no se atribuye a nadie, igual que en los totales del día.",
          "algo_version": "Versión del algoritmo de resumen (4 = con el perfil horario detallado).",
          "resumido_en": "Cuándo se calculó esta fila."
        }
      },
      "pacientes": {
        "descripcion": "Una fila por paciente y jornada (tabla encuentros): lo que costó cada consulta. Se regenera con el resumen de la jornada.",
        "campos": {
          "device_id": "PC.",
          "consultorio_id": "Consultorio o nulo.",
          "consultorio": "Nombre del consultorio.",
          "dia_operativo": "Día operativo.",
          "phase": "Fase de la jornada.",
          "orden": "P1, P2… por primera aparición en el día (el mismo número que la línea de tiempo).",
          "encounter_key": "Huella del paciente (irreversible, solo dentro del día).",
          "sap_user": "Login SAP con más actividad sobre este paciente.",
          "medico_id": "Médico del roster para ese login, o nulo.",
          "medico": "Nombre, o nulo.",
          "primera_vez": "Primer toque (ISO UTC).",
          "ultima_vez": "Fin de la última cubeta con este paciente (ISO UTC).",
          "consulta_ms": "ultima_vez − primera_vez (reloj de pared, incluye interrupciones).",
          "activo_ms": "Activo sobre este paciente.",
          "his_ms": "Activo en SAP sobre este paciente.",
          "miracle_ms": "Activo en Miracle sobre este paciente.",
          "typing_ms": "Ms escribiendo.",
          "keystrokes": "Teclas.",
          "clicks": "Clics.",
          "tabs": "Tab.",
          "enters": "Enter.",
          "correcciones": "Backspace + Supr.",
          "copias": "Copiar.",
          "pegados": "Pegar.",
          "guardados": "Ctrl+S.",
          "tramos": "Rachas de atención: 1 = sin interrupción; A→B→A da 2 para A.",
          "post_atencion_ms": "Activo sobre este paciente después de abrir otro posterior.",
          "siguiente_ms": "Del último toque de este paciente al primero del siguiente distinto; nulo si fue el último del día.",
          "visitas": "Estadías en pantallas SAP con este paciente.",
          "pantallas_distintas": "Pantallas SAP distintas.",
          "sap_wait_ms": "Espera al servidor SAP.",
          "ready_ms_p50": "Mediana del time-to-ready de sus pantallas (nulo si no hubo)."
        }
      },
      "muestras": {
        "descripcion": "La serie temporal cruda: una fila por cubeta de 15 segundos y contexto (app · pantalla · paciente · usuario SAP). Es lo que suma a las jornadas. Grande: ~5.800 filas por PC y día.",
        "campos": {
          "device_id": "PC.",
          "consultorio_id": "Consultorio o nulo.",
          "dia_operativo": "Día operativo.",
          "phase": "Fase de la jornada.",
          "bucket_start": "Inicio de la cubeta de 15 s (ISO UTC, alineada al reloj de pared).",
          "bucket_ms": "Lo que cubre esta fila en milisegundos. Normalmente 15000 (una cubeta). En los tramos donde no pasa nada —PC bloqueado, o encendido sin nadie— el medidor funde las cubetas seguidas en UNA fila que cubre todo el tramo (hasta 5 min), así una noche son unas pocas filas y no miles. El tiempo cubierto es exactamente el mismo.",
          "seq": "Índice del segmento dentro de la cubeta cuando cambió el contexto a mitad (0, 1, 2…). Los segmentos se reparten los 15 s en proporción a su foreground_ms.",
          "app": "Aplicación normalizada, o 'bloqueado'.",
          "surface": "Pantalla (ver definiciones.surface).",
          "encounter_key": "Huella del paciente o nulo.",
          "sap_user": "Login SAP visto o nulo.",
          "medico_id": "Médico del roster para ese login, o nulo.",
          "medico": "Nombre del médico, o nulo.",
          "foreground_ms": "Ms en primer plano.",
          "active_ms": "Ms activos.",
          "typing_ms": "Ms escribiendo.",
          "keystrokes": "Teclas.",
          "clicks": "Clics.",
          "scroll_ticks": "Scroll.",
          "context_switches": "Cambios de contexto en la cubeta.",
          "sap_roundtrips": "Round-trips al servidor SAP en la cubeta.",
          "sap_wait_ms": "Espera al servidor SAP en la cubeta (ms).",
          "tabs": "Tab.",
          "enters": "Enter.",
          "correcciones": "Backspace + Supr.",
          "copias": "Copiar.",
          "pegados": "Pegar.",
          "guardados": "Ctrl+S."
        }
      },
      "visitas_sap": {
        "descripcion": "Una fila por estadía en una pantalla SAP: el recorrido por el sistema clínico, en orden.",
        "campos": {
          "device_id": "PC.",
          "consultorio_id": "Consultorio o nulo.",
          "dia_operativo": "Día operativo.",
          "phase": "Fase.",
          "encounter_key": "Paciente (huella) vigente al salir de la pantalla, o nulo.",
          "sap_user": "Login SAP.",
          "medico_id": "Médico del roster para ese login, o nulo.",
          "sid": "Sistema SAP (p. ej. PRD).",
          "tcode": "Transacción (p. ej. NV2000, NWP1).",
          "dynpro": "Número de pantalla (4 dígitos).",
          "surface": "Identidad completa de la pantalla.",
          "entered_at": "Llegada (ISO UTC).",
          "left_at": "Salida (ISO UTC).",
          "dwell_ms": "Duración de la estadía.",
          "ready_ms": "Time-to-ready (nulo si nunca llegó).",
          "sap_wait_ms": "Espera al servidor durante la estadía.",
          "roundtrips": "Round-trips durante la estadía.",
          "exit_to": "Transacción a la que se fue después, o nulo si salió de SAP."
        }
      },
      "eventos": {
        "descripcion": "Eventos discretos: arranques y caídas del medidor, bloqueos, suspensiones, pacientes abiertos/cerrados, calidad, asignación de consultorio.",
        "campos": {
          "device_id": "PC.",
          "consultorio_id": "Consultorio o nulo.",
          "dia_operativo": "Día operativo.",
          "occurred_at": "Instante (ISO UTC).",
          "kind": "Tipo: jornada_inicio, jornada_fin, encounter_enter, encounter_exit, encounter_unknown, lock, unlock, suspend, resume, medidor_start, medidor_stop, sap_attach, sap_detach, sap_user_seen, sap_scripting_no_disponible, clock_jump, spool_drop, spool_reset, hooks_degradados, hooks_rearmados, config_applied, consultorio_asignado, ops_run, calidad.",
          "encounter_key": "Paciente (huella) si aplica.",
          "detail": "Objeto con claves de una lista cerrada (reason, ms, count, user, rule, version…). Nunca texto libre."
        }
      },
      "consultorios": {
        "descripcion": "Los consultorios: la unidad del estudio.",
        "campos": {
          "id": "uuid.",
          "nombre": "Nombre.",
          "orden": "Orden en el panel.",
          "activo": "Si sigue en uso."
        }
      },
      "medicos": {
        "descripcion": "El roster: nombres para los logins SAP (anotación opcional).",
        "campos": {
          "id": "uuid.",
          "display_name": "Nombre.",
          "sap_users": "Logins SAP asociados.",
          "active": "Si está vigente."
        }
      },
      "dispositivos": {
        "descripcion": "Los PCs con el medidor.",
        "campos": {
          "id": "uuid.",
          "machine_name": "Nombre del PC.",
          "consultorio_id": "Consultorio asignado.",
          "consultorio": "Nombre del consultorio.",
          "status": "active | paused | retired.",
          "app_version": "Versión del medidor.",
          "registered_at": "Registro.",
          "last_seen_at": "Último latido."
        }
      },
      "fases": {
        "descripcion": "Calendario del estudio.",
        "campos": {
          "phase": "baseline | notes | notes_ops.",
          "starts_on": "Desde (fecha).",
          "ends_on": "Hasta (fecha) o nulo."
        }
      }
    },
    "generado_en": "2026-10-19T13:13:41.000Z",
    "rango": {
      "desde": "2026-10-13",
      "hasta": "2026-10-19",
      "fase": null,
      "consultorio_id": null,
      "device_id": null,
      "incluye_mala_calidad": false
    },
    "topes": "visitas_sap y eventos se cortan en 200000 filas; muestras (si se pidieron) en 500000. Para más, usa las exportaciones por colección en NDJSON o acota el rango."
  },
  "fases": [
    {
      "phase": "baseline",
      "starts_on": "2026-09-01",
      "ends_on": null,
      "notes": "antes de Miracle"
    }
  ],
  "consultorios": [
    {
      "id": "6512dc40-044f-4e4e-bd47-953a70f79de6",
      "nombre": "Consultorio 1",
      "orden": 1,
      "activo": true
    },
    {
      "id": "1967d76c-ac2e-4c73-b5f9-6399bebcfb85",
      "nombre": "Consultorio 2",
      "orden": 2,
      "activo": true
    },
    {
      "id": "dcd3be4d-5171-4b6f-b9b8-d60e0fc96baa",
      "nombre": "Consultorio 3",
      "orden": 3,
      "activo": true
    }
  ],
  "medicos": [
    {
      "id": "18b152c3-ea6f-4dae-83e6-fece51419516",
      "display_name": "Juliana Garcia",
      "sap_users": [],
      "active": true
    },
    {
      "id": "5d8fe0e5-4510-4999-9f20-7ab3ec62006b",
      "display_name": "Jhonatan Pérez Patearroyo",
      "sap_users": [],
      "active": true
    },
    {
      "id": "6ef48e2f-5f1b-4a52-9cff-05fff07210a5",
      "display_name": "María Alejandra Betancourt Pantoja",
      "sap_users": [],
      "active": true
    }
  ],
  "dispositivos": [
    {
      "id": "9bf328bc-ecd1-471d-8573-cb1200601979",
      "machine_name": "DCHGM001412",
      "consultorio_id": "6512dc40-044f-4e4e-bd47-953a70f79de6",
      "consultorio": "Consultorio 1",
      "status": "active",
      "app_version": "2.0.0",
      "registered_at": "2026-09-03T04:45:27.438Z",
      "last_seen_at": "2026-10-19T13:12:54.715Z"
    },
    {
      "id": "890f9d85-62bb-47f5-a089-5779cfb117fd",
      "machine_name": "DCHGM002189",
      "consultorio_id": "1967d76c-ac2e-4c73-b5f9-6399bebcfb85",
      "consultorio": "Consultorio 2",
      "status": "active",
      "app_version": "2.0.0",
      "registered_at": "2026-09-03T06:25:41.442Z",
      "last_seen_at": "2026-10-19T13:13:40.630Z"
    },
    {
      "id": "7328a35b-f824-49fd-8fb6-44afa9b66643",
      "machine_name": "DCHGM001401",
      "consultorio_id": "dcd3be4d-5171-4b6f-b9b8-d60e0fc96baa",
      "consultorio": "Consultorio 3",
      "status": "active",
      "app_version": "2.0.0",
      "registered_at": "2026-09-03T05:58:19.721Z",
      "last_seen_at": "2026-10-19T13:13:30.824Z"
    },
    {
      "id": "7925ca77-5787-46b0-be30-93f13c593447",
      "machine_name": "DCHGM003424",
      "consultorio_id": null,
      "consultorio": null,
      "status": "retired",
      "app_version": "2.0.0",
      "registered_at": "2026-09-22T20:28:24.359Z",
      "last_seen_at": "2026-09-22T20:30:24.930Z"
    },
    {
      "id": "0659102d-f4f1-47e8-beda-350afe0a8a1e",
      "machine_name": "DESKTOP-TGH49NQ",
      "consultorio_id": null,
      "consultorio": null,
      "status": "retired",
      "app_version": "1.0.0",
      "registered_at": "2026-09-07T16:41:48.999Z",
      "last_seen_at": "2026-09-21T16:19:52.040Z"
    }
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