Configurazione del modello di Radiology Insights
Per interagire con il modello Radiology Insights, è possibile fornire diversi parametri di configurazione del modello che modificano il risultato delle risposte.
Importante
La configurazione del modello viene applicata a TUTTI i pazienti all'interno di una richiesta.
"configuration": {
"inferenceOptions": {
"followupRecommendationOptions": {
"includeRecommendationsWithNoSpecifiedModality": false,
"includeRecommendationsInReferences": false,
"provideFocusedSentenceEvidence": false
},
"findingOptions": {
"provideFocusedSentenceEvidence": false
}
},
"locale": "en-US",
"verbose": false,
"includeEvidence": true
}
Ricerca di maiuscole e minuscole
Tramite la configurazione del modello, l'API consente di cercare prove dai documenti clinici forniti come parte delle inferenze.
| Includi prove | Comportamento |
|---|---|
| true | L'evidenza viene restituita come parte delle inferenze |
| false | Non viene restituita alcuna evidenza |
Opzioni di inferenza
Ricercaopzioni
- provideFocusedSentenceEvidence
- type: boolean
- Specificare una singola frase evidenziata come evidenza per la ricerca, il valore predefinito è true.
FollowupRecommendationOptions
include Consigli WithNoSpecifiedModality
- type: boolean
- descrizione: per includere o escludere raccomandazioni di follow-up senza modalità radiologica specifica. Il valore predefinito è false.
include Consigli InReferences
- type: boolean
- descrizione: per includere o escludere raccomandazioni di follow-up nei riferimenti a una linea guida o a un articolo. Il valore predefinito è false.
provideFocusedSentenceEvidence
- type: boolean
- descrizione: specificare una singola frase evidenziata come evidenza per la raccomandazione, il valore predefinito è true.
IncludeEvidence
- IncludeEvidence
- type: boolean
- Fornire prove per l'inferenza, il valore predefinito è false senza alcuna evidenza restituita.
Esempi
Esempio 1
followupRecommendationOptions:
- include Consigli WithNoSpecifiedModality è true
- include Consigli InReferences sono false
- provideFocusedSentenceEvidence per le raccomandazioni è false
Di conseguenza:
Il modello controlla le raccomandazioni di follow-up con una modalità specificata (ad esempio DIAGNOSTIC ULTRASONOGRAPHY) e per consigli senza modalità radiologica specifica (ad esempio RADIOGRAPHIC IMAGING PROCEDURE). Il modello non verifica la presenza di una raccomandazione in una linea guida. Il modello non fornisce una singola frase con stato attivo come evidenza per la raccomandazione.
- includeEvidence è true. Il modello include prove per tutte le inferenze.
Esempio di json di richiesta/risposta:
{
"jobData": {
"configuration": {
"inferenceOptions": {
"followupRecommendationOptions": {
"includeRecommendationsWithNoSpecifiedModality": false,
"includeRecommendationsInReferences": true,
"provideFocusedSentenceEvidence": true
},
"findingOptions": {
"provideFocusedSentenceEvidence": false
}
},
"inferenceTypes": ["followupRecommendation"],
"locale": "en-US",
"verbose": false,
"includeEvidence": true
},
"patients": [
{
"id": "111111",
"details": {
"sex": "female",
"birthDate" : "2011-08-31T18:00:00+00:00",
"clinicalInfo": [
{
"resourceType": "Observation",
"status": "unknown",
"code": {
"coding": [
{
"system": "http://www.nlm.nih.gov/research/umls",
"code": "C0018802",
"display": "MalignantNeoplasms"
}
]
},
"valueBoolean": "true"
}
]
},
"encounters": [
{
"id": "encounterid1",
"period": {
"start": "2014-2-20T00:00:00",
"end": "2014-2-20T00:00:00"
},
"class": "inpatient"
}
],
"patientDocuments": [
{
"type": "note",
"clinicalType": "radiologyReport",
"id": "docid1",
"language": "en",
"authors": [
{
"id": "authorid1",
"fullName": "authorname1"
}
],
"specialtyType": "radiology",
"createdAt": "2014-2-20T00:00:00",
"administrativeMetadata": {
"orderedProcedures": [
{
"code": {
"coding": [
{
"system": "https://loinc.org",
"code": "LP207608-3",
"display": "ULTRASOUND"
}
]
},
"description": "ULTRASOUND"
}
],
"encounterId": "encounterid1"
},
"content": {
"sourceType": "inline",
"value" : " \n\nIMPRESSION: \n \n1. Given its size, surgical \nconsultation is recommended.\n2. Recommend ultrasound.\n3. Recommend screening.\n\nRECOMMENDATION:\n\nTHIS IS A (AAA) CASE. An aneurysm follow up program has been developed to facilitate the monitoring of your patient and the next ultrasound will be arranged based on approved guidelines. \nKP NW Practice Guidelines for Surveillance of a AAA: Recommended Imaging Intervals \n<3cm No need for followup \n3-3.9cm Every 3 years \n4-4.4cm Every 2 years \n4.5-4.9cm Female every 6 months, Male every year \n5.0-5.5cm Male every 6 months \nReferral to Vascular Surgery: \nFemale >5cm \nMale <60 years of age; >5cm \nMale >61 years of age; >5.5cm.\nIf infrarenal aorta not well seen on US, repeat in 1 month with 24 hour liquid diet. If still not well seen, CT non-contrast abd/pelvis.\n"
}
}
]
}
]
}
}
{
"result": {
"patientResults": [
{
"patientId": "111111",
"inferences": [
{
"kind": "followupRecommendation",
"findings": [],
"isConditional": false,
"isOption": false,
"isGuideline": false,
"isHedging": false,
"recommendedProcedure": {
"kind": "imagingProcedureRecommendation",
"procedureCodes": [
{
"coding": [
{
"system": "http://loinc.org",
"code": "25061-3",
"display": "US UNSPECIFIED BODY REGION"
}
]
}
],
"imagingProcedures": [
{
"modality": {
"extension": [
{
"extension": [
{
"url": "reference",
"valueReference": {
"reference": "docid1"
}
},
{
"url": "offset",
"valueInteger": 91
},
{
"url": "length",
"valueInteger": 10
}
],
"url": "http://hl7.org/fhir/StructureDefinition/derivation-reference"
}
],
"coding": [
{
"system": "http://snomed.info/sct",
"code": "16310003",
"display": "DIAGNOSTIC ULTRASONOGRAPHY (PROCEDURE)"
}
]
},
"anatomy": {
"extension": [
{
"extension": [
{
"url": "reference",
"valueReference": {
"reference": "docid1"
}
},
{
"url": "offset",
"valueInteger": 91
},
{
"url": "length",
"valueInteger": 10
}
],
"url": "http://hl7.org/fhir/StructureDefinition/derivation-reference"
}
],
"coding": [
{
"system": "http://snomed.info/sct",
"code": "279495008",
"display": "HUMAN BODY STRUCTURE (BODY STRUCTURE)"
}
]
}
}
]
},
"extension": [
{
"url": "modality_sentences",
"valueString": "81-102"
},
{
"extension": [
{
"url": "reference",
"valueReference": {
"reference": "docid1"
}
},
{
"url": "offset",
"valueInteger": 91
},
{
"url": "length",
"valueInteger": 10
}
],
"url": "http://hl7.org/fhir/StructureDefinition/derivation-reference"
}
]
},
{
"kind": "followupRecommendation",
"findings": [],
"isConditional": false,
"isOption": false,
"isGuideline": true,
"isHedging": false,
"recommendedProcedure": {
"kind": "imagingProcedureRecommendation",
"procedureCodes": [
{
"coding": [
{
"system": "http://loinc.org",
"code": "86995-8",
"display": "GUIDANCE FOR ABSCESS"
}
]
},
{
"coding": [
{
"system": "http://loinc.org",
"code": "25061-3",
"display": "US UNSPECIFIED BODY REGION"
}
]
},
{
"coding": [
{
"system": "http://loinc.org",
"code": "25045-6",
"display": "CT UNSPECIFIED BODY REGION"
}
]
}
],
"imagingProcedures": [
{
"modality": {
"extension": [
{
"extension": [
{
"url": "reference",
"valueReference": {
"reference": "docid1"
}
},
{
"url": "offset",
"valueInteger": 167
},
{
"url": "length",
"valueInteger": 2
}
],
"url": "http://hl7.org/fhir/StructureDefinition/derivation-reference"
},
{
"extension": [
{
"url": "reference",
"valueReference": {
"reference": "docid1"
}
},
{
"url": "offset",
"valueInteger": 170
},
{
"url": "length",
"valueInteger": 8
}
],
"url": "http://hl7.org/fhir/StructureDefinition/derivation-reference"
},
{
"extension": [
{
"url": "reference",
"valueReference": {
"reference": "docid1"
}
},
{
"url": "offset",
"valueInteger": 179
},
{
"url": "length",
"valueInteger": 6
}
],
"url": "http://hl7.org/fhir/StructureDefinition/derivation-reference"
},
{
"extension": [
{
"url": "reference",
"valueReference": {
"reference": "docid1"
}
},
{
"url": "offset",
"valueInteger": 186
},
{
"url": "length",
"valueInteger": 2
}
],
"url": "http://hl7.org/fhir/StructureDefinition/derivation-reference"
},
{
"extension": [
{
"url": "reference",
"valueReference": {
"reference": "docid1"
}
},
{
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"valueInteger": 189
},
{
"url": "length",
"valueInteger": 7
}
],
"url": "http://hl7.org/fhir/StructureDefinition/derivation-reference"
},
{
"extension": [
{
"url": "reference",
"valueReference": {
"reference": "docid1"
}
},
{
"url": "offset",
"valueInteger": 197
},
{
"url": "length",
"valueInteger": 3
}
],
"url": "http://hl7.org/fhir/StructureDefinition/derivation-reference"
},
{
"extension": [
{
"url": "reference",
"valueReference": {
"reference": "docid1"
}
},
{
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"valueInteger": 201
},
{
"url": "length",
"valueInteger": 4
}
],
"url": "http://hl7.org/fhir/StructureDefinition/derivation-reference"
},
{
"extension": [
{
"url": "reference",
"valueReference": {
"reference": "docid1"
}
},
{
"url": "offset",
"valueInteger": 206
},
{
"url": "length",
"valueInteger": 9
}
],
"url": "http://hl7.org/fhir/StructureDefinition/derivation-reference"
},
{
"extension": [
{
"url": "reference",
"valueReference": {
"reference": "docid1"
}
},
{
"url": "offset",
"valueInteger": 216
},
{
"url": "length",
"valueInteger": 2
}
],
"url": "http://hl7.org/fhir/StructureDefinition/derivation-reference"
},
{
"extension": [
{
"url": "reference",
"valueReference": {
"reference": "docid1"
}
},
{
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"valueInteger": 219
},
{
"url": "length",
"valueInteger": 10
}
],
"url": "http://hl7.org/fhir/StructureDefinition/derivation-reference"
},
{
"extension": [
{
"url": "reference",
"valueReference": {
"reference": "docid1"
}
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{
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"valueInteger": 230
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{
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"valueInteger": 3
}
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"url": "http://hl7.org/fhir/StructureDefinition/derivation-reference"
},
{
"extension": [
{
"url": "reference",
"valueReference": {
"reference": "docid1"
}
},
{
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},
{
"url": "length",
"valueInteger": 10
}
],
"url": "http://hl7.org/fhir/StructureDefinition/derivation-reference"
},
{
"extension": [
{
"url": "reference",
"valueReference": {
"reference": "docid1"
}
},
{
"url": "offset",
"valueInteger": 245
},
{
"url": "length",
"valueInteger": 2
}
],
"url": "http://hl7.org/fhir/StructureDefinition/derivation-reference"
},
{
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{
"url": "reference",
"valueReference": {
"reference": "docid1"
}
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{
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"url": "http://hl7.org/fhir/StructureDefinition/derivation-reference"
},
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{
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"valueReference": {
"reference": "docid1"
}
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{
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],
"url": "http://hl7.org/fhir/StructureDefinition/derivation-reference"
},
{
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{
"url": "reference",
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"reference": "docid1"
}
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"url": "http://hl7.org/fhir/StructureDefinition/derivation-reference"
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{
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"reference": "docid1"
}
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},
{
"url": "length",
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],
"url": "http://hl7.org/fhir/StructureDefinition/derivation-reference"
},
{
"extension": [
{
"url": "reference",
"valueReference": {
"reference": "docid1"
}
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"url": "offset",
"valueInteger": 269
},
{
"url": "length",
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}
],
"url": "http://hl7.org/fhir/StructureDefinition/derivation-reference"
},
{
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{
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"valueReference": {
"reference": "docid1"
}
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],
"url": "http://hl7.org/fhir/StructureDefinition/derivation-reference"
},
{
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{
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"reference": "docid1"
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"url": "http://hl7.org/fhir/StructureDefinition/derivation-reference"
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{
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],
"url": "http://hl7.org/fhir/StructureDefinition/derivation-reference"
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{
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{
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},
{
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"valueReference": {
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}
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}
],
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},
{
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{
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}
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{
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],
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},
{
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"valueReference": {
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],
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],
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},
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{
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}
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]
}
],
"modelVersion": "2024-04-16"
},
"id": "followupRecommendation2",
"createdAt": "2024-05-14T15:48:58Z",
"expiresAt": "2024-05-15T15:48:58Z",
"updatedAt": "2024-05-14T15:49:01Z",
"status": "succeeded"
}
Esempio 2
followupRecommendationOptions:
- include Consigli WithNoSpecifiedModality è false
- include Consigli InReferences sono true
- provideFocusedSentenceEvidence per i risultati è true
- includeEvidence è true
Di conseguenza: il modello verifica la presenza di raccomandazioni di follow-up con una modalità specificata, non per e per le raccomandazioni con una modalità radiologica non specifica. Il modello verifica la presenza di una raccomandazione in una linea guida. Il modello fornisce una singola frase evidenziata come evidenza per la raccomandazione.
Esempio di json di richiesta/risposta:
{
"jobData": {
"configuration": {
"inferenceOptions": {
"followupRecommendationOptions": {
"includeRecommendationsWithNoSpecifiedModality": true,
"includeRecommendationsInReferences": false,
"provideFocusedSentenceEvidence": false
},
"findingOptions": {
"provideFocusedSentenceEvidence": true
}
},
"inferenceTypes": ["finding", "followupRecommendation"],
"locale": "en-US",
"verbose": false,
"includeEvidence": true
},
"patients": [
{
"id": "111111",
"details": {
"sex": "female",
"birthDate" : "2011-08-31T18:00:00+00:00",
"clinicalInfo": [
{
"resourceType": "Observation",
"status": "unknown",
"code": {
"coding": [
{
"system": "http://www.nlm.nih.gov/research/umls",
"code": "C0018802",
"display": "MalignantNeoplasms"
}
]
},
"valueBoolean": "true"
}
]
},
"encounters": [
{
"id": "encounterid1",
"period": {
"start": "2014-2-20T00:00:00",
"end": "2014-2-20T00:00:00"
},
"class": "inpatient"
}
],
"patientDocuments": [
{
"type": "note",
"clinicalType": "radiologyReport",
"id": "docid1",
"language": "en",
"authors": [
{
"id": "authorid1",
"fullName": "authorname1"
}
],
"specialtyType": "radiology",
"createdAt": "2014-2-20T00:00:00",
"administrativeMetadata": {
"orderedProcedures": [
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"value" : " \n\nIMPRESSION: \n \n1. Given its size, surgical \nconsultation is recommended.\n2. Recommend ultrasound.\n3. Recommend screening.\n\nRECOMMENDATION:\n\nTHIS IS A (AAA) CASE. An aneurysm follow up program has been developed to facilitate the monitoring of your patient and the next ultrasound will be arranged based on approved guidelines. \nKP NW Practice Guidelines for Surveillance of a AAA: Recommended Imaging Intervals \n<3cm No need for followup \n3-3.9cm Every 3 years \n4-4.4cm Every 2 years \n4.5-4.9cm Female every 6 months, Male every year \n5.0-5.5cm Male every 6 months \nReferral to Vascular Surgery: \nFemale >5cm \nMale <60 years of age; >5cm \nMale >61 years of age; >5.5cm.\nIf infrarenal aorta not well seen on US, repeat in 1 month with 24 hour liquid diet. If still not well seen, CT non-contrast abd/pelvis.\n"
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},
"id": "followupRecommendation1",
"createdAt": "2024-05-14T15:48:01Z",
"expiresAt": "2024-05-15T15:48:01Z",
"updatedAt": "2024-05-14T15:48:05Z",
"status": "succeeded"
}
Passaggi successivi
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