Radiology Insights model configuration
To interact with the Radiology Insights model, you can provide several model configuration parameters that modify the outcome of the responses.
Important
Model configuration is applied to ALL the patients within a request.
"configuration": {
"inferenceOptions": {
"followupRecommendationOptions": {
"includeRecommendationsWithNoSpecifiedModality": false,
"includeRecommendationsInReferences": false,
"provideFocusedSentenceEvidence": false
},
"findingOptions": {
"provideFocusedSentenceEvidence": false
}
},
"locale": "en-US",
"verbose": false,
"includeEvidence": true
}
Case finding
Through the model configuration, the API allows you to seek evidence from the provided clinical documents as part of the inferences.
| Include Evidence | Behavior |
|---|---|
| true | Evidence is returned as part of the inferences |
| false | No Evidence is returned |
Inference Options
FindingOptions
- provideFocusedSentenceEvidence
- type: boolean
- Provide a single focused sentence as evidence for the finding, default is true.
FollowupRecommendationOptions
includeRecommendationsWithNoSpecifiedModality
- type: boolean
- description: To include or exclude follow-up recommendations with no specific radiologic modality. Default is false.
includeRecommendationsInReferences
- type: boolean
- description: To include or exclude follow-up recommendations in references to a guideline or article. Default is false.
provideFocusedSentenceEvidence
- type: boolean
- description: Provide a single focused sentence as evidence for the recommendation, default is true.
IncludeEvidence
- IncludeEvidence
- type: boolean
- Provide evidence for the inference, default is false with no evidence returned.
Examples
Example 1
followupRecommendationOptions:
- includeRecommendationsWithNoSpecifiedModality is true
- includeRecommendationsInReferences are false
- provideFocusedSentenceEvidence for recommendations is false
As a result:
The model checks for follow-up recommendations with a specified modality (such as DIAGNOSTIC ULTRASONOGRAPHY) and for recommendations with no specific radiologic modality (such as RADIOGRAPHIC IMAGING PROCEDURE). The model does not check for a recommendation in a guideline. The model does not provide a single focused sentence as evidence for the recommendation.
- includeEvidence is true. (The model includes evidence for all inferences.)
Examples request/response json:
{
"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"
}
},
{
"url": "offset",
"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"
}
},
{
"url": "offset",
"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"
}
},
{
"url": "offset",
"valueInteger": 219
},
{
"url": "length",
"valueInteger": 10
}
],
"url": "http://hl7.org/fhir/StructureDefinition/derivation-reference"
},
{
"extension": [
{
"url": "reference",
"valueReference": {
"reference": "docid1"
}
},
{
"url": "offset",
"valueInteger": 230
},
{
"url": "length",
"valueInteger": 3
}
],
"url": "http://hl7.org/fhir/StructureDefinition/derivation-reference"
},
{
"extension": [
{
"url": "reference",
"valueReference": {
"reference": "docid1"
}
},
{
"url": "offset",
"valueInteger": 234
},
{
"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"
},
{
"extension": [
{
"url": "reference",
"valueReference": {
"reference": "docid1"
}
},
{
"url": "offset",
"valueInteger": 248
},
{
"url": "length",
"valueInteger": 4
}
],
"url": "http://hl7.org/fhir/StructureDefinition/derivation-reference"
},
{
"extension": [
{
"url": "reference",
"valueReference": {
"reference": "docid1"
}
},
{
"url": "offset",
"valueInteger": 253
},
{
"url": "length",
"valueInteger": 7
}
],
"url": "http://hl7.org/fhir/StructureDefinition/derivation-reference"
},
{
"extension": [
{
"url": "reference",
"valueReference": {
"reference": "docid1"
}
},
{
"url": "offset",
"valueInteger": 261
},
{
"url": "length",
"valueInteger": 3
}
],
"url": "http://hl7.org/fhir/StructureDefinition/derivation-reference"
},
{
"extension": [
{
"url": "reference",
"valueReference": {
"reference": "docid1"
}
},
{
"url": "offset",
"valueInteger": 265
},
{
"url": "length",
"valueInteger": 3
}
],
"url": "http://hl7.org/fhir/StructureDefinition/derivation-reference"
},
{
"extension": [
{
"url": "reference",
"valueReference": {
"reference": "docid1"
}
},
{
"url": "offset",
"valueInteger": 269
},
{
"url": "length",
"valueInteger": 4
}
],
"url": "http://hl7.org/fhir/StructureDefinition/derivation-reference"
},
{
"extension": [
{
"url": "reference",
"valueReference": {
"reference": "docid1"
}
},
{
"url": "offset",
"valueInteger": 274
},
{
"url": "length",
"valueInteger": 10
}
],
"url": "http://hl7.org/fhir/StructureDefinition/derivation-reference"
},
{
"extension": [
{
"url": "reference",
"valueReference": {
"reference": "docid1"
}
},
{
"url": "offset",
"valueInteger": 285
},
{
"url": "length",
"valueInteger": 4
}
],
"url": "http://hl7.org/fhir/StructureDefinition/derivation-reference"
},
{
"extension": [
{
"url": "reference",
"valueReference": {
"reference": "docid1"
}
},
{
"url": "offset",
"valueInteger": 290
},
{
"url": "length",
"valueInteger": 2
}
],
"url": "http://hl7.org/fhir/StructureDefinition/derivation-reference"
},
{
"extension": [
{
"url": "reference",
"valueReference": {
"reference": "docid1"
}
},
{
"url": "offset",
"valueInteger": 293
},
{
"url": "length",
"valueInteger": 8
}
],
"url": "http://hl7.org/fhir/StructureDefinition/derivation-reference"
},
{
"extension": [
{
"url": "reference",
"valueReference": {
"reference": "docid1"
}
},
{
"url": "offset",
"valueInteger": 302
},
{
"url": "length",
"valueInteger": 5
}
],
"url": "http://hl7.org/fhir/StructureDefinition/derivation-reference"
},
{
"extension": [
{
"url": "reference",
"valueReference": {
"reference": "docid1"
}
},
{
"url": "offset",
"valueInteger": 308
},
{
"url": "length",
"valueInteger": 2
}
],
"url": "http://hl7.org/fhir/StructureDefinition/derivation-reference"
},
{
"extension": [
{
"url": "reference",
"valueReference": {
"reference": "docid1"
}
},
{
"url": "offset",
"valueInteger": 311
},
{
"url": "length",
"valueInteger": 8
}
],
"url": "http://hl7.org/fhir/StructureDefinition/derivation-reference"
},
{
"extension": [
{
"url": "reference",
"valueReference": {
"reference": "docid1"
}
},
{
"url": "offset",
"valueInteger": 320
},
{
"url": "length",
"valueInteger": 10
}
],
"url": "http://hl7.org/fhir/StructureDefinition/derivation-reference"
},
{
"extension": [
{
"url": "reference",
"valueReference": {
"reference": "docid1"
}
},
{
"url": "offset",
"valueInteger": 330
},
{
"url": "length",
"valueInteger": 1
}
],
"url": "http://hl7.org/fhir/StructureDefinition/derivation-reference"
},
{
"extension": [
{
"url": "reference",
"valueReference": {
"reference": "docid1"
}
},
{
"url": "offset",
"valueInteger": 333
},
{
"url": "length",
"valueInteger": 2
}
],
"url": "http://hl7.org/fhir/StructureDefinition/derivation-reference"
},
{
"extension": [
{
"url": "reference",
"valueReference": {
"reference": "docid1"
}
},
{
"url": "offset",
"valueInteger": 336
},
{
"url": "length",
"valueInteger": 2
}
],
"url": "http://hl7.org/fhir/StructureDefinition/derivation-reference"
},
{
"extension": [
{
"url": "reference",
"valueReference": {
"reference": "docid1"
}
},
{
"url": "offset",
"valueInteger": 339
},
{
"url": "length",
"valueInteger": 8
}
],
"url": "http://hl7.org/fhir/StructureDefinition/derivation-reference"
},
{
"extension": [
{
"url": "reference",
"valueReference": {
"reference": "docid1"
}
},
{
"url": "offset",
"valueInteger": 348
},
{
"url": "length",
"valueInteger": 10
}
],
"url": "http://hl7.org/fhir/StructureDefinition/derivation-reference"
},
{
"extension": [
{
"url": "reference",
"valueReference": {
"reference": "docid1"
}
},
{
"url": "offset",
"valueInteger": 359
},
{
"url": "length",
"valueInteger": 3
}
],
"url": "http://hl7.org/fhir/StructureDefinition/derivation-reference"
},
{
"extension": [
{
"url": "reference",
"valueReference": {
"reference": "docid1"
}
},
{
"url": "offset",
"valueInteger": 363
},
{
"url": "length",
"valueInteger": 12
}
],
"url": "http://hl7.org/fhir/StructureDefinition/derivation-reference"
},
{
"extension": [
{
"url": "reference",
"valueReference": {
"reference": "docid1"
}
},
{
"url": "offset",
"valueInteger": 376
},
{
"url": "length",
"valueInteger": 2
}
],
"url": "http://hl7.org/fhir/StructureDefinition/derivation-reference"
},
{
"extension": [
{
"url": "reference",
"valueReference": {
"reference": "docid1"
}
},
{
"url": "offset",
"valueInteger": 379
},
{
"url": "length",
"valueInteger": 1
}
],
"url": "http://hl7.org/fhir/StructureDefinition/derivation-reference"
},
{
"extension": [
{
"url": "reference",
"valueReference": {
"reference": "docid1"
}
},
{
"url": "offset",
"valueInteger": 381
},
{
"url": "length",
"valueInteger": 3
}
],
"url": "http://hl7.org/fhir/StructureDefinition/derivation-reference"
},
{
"extension": [
{
"url": "reference",
"valueReference": {
"reference": "docid1"
}
},
{
"url": "offset",
"valueInteger": 384
},
{
"url": "length",
"valueInteger": 1
}
],
"url": "http://hl7.org/fhir/StructureDefinition/derivation-reference"
},
{
"extension": [
{
"url": "reference",
"valueReference": {
"reference": "docid1"
}
},
{
"url": "offset",
"valueInteger": 386
},
{
"url": "length",
"valueInteger": 11
}
],
"url": "http://hl7.org/fhir/StructureDefinition/derivation-reference"
},
{
"extension": [
{
"url": "reference",
"valueReference": {
"reference": "docid1"
}
},
{
"url": "offset",
"valueInteger": 398
},
{
"url": "length",
"valueInteger": 7
}
],
"url": "http://hl7.org/fhir/StructureDefinition/derivation-reference"
},
{
"extension": [
{
"url": "reference",
"valueReference": {
"reference": "docid1"
}
},
{
"url": "offset",
"valueInteger": 406
},
{
"url": "length",
"valueInteger": 9
}
],
"url": "http://hl7.org/fhir/StructureDefinition/derivation-reference"
},
{
"extension": [
{
"url": "reference",
"valueReference": {
"reference": "docid1"
}
},
{
"url": "offset",
"valueInteger": 417
},
{
"url": "length",
"valueInteger": 1
}
],
"url": "http://hl7.org/fhir/StructureDefinition/derivation-reference"
},
{
"extension": [
{
"url": "reference",
"valueReference": {
"reference": "docid1"
}
},
{
"url": "offset",
"valueInteger": 418
},
{
"url": "length",
"valueInteger": 1
}
],
"url": "http://hl7.org/fhir/StructureDefinition/derivation-reference"
},
{
"extension": [
{
"url": "reference",
"valueReference": {
"reference": "docid1"
}
},
{
"url": "offset",
"valueInteger": 419
},
{
"url": "length",
"valueInteger": 2
}
],
"url": "http://hl7.org/fhir/StructureDefinition/derivation-reference"
},
{
"extension": [
{
"url": "reference",
"valueReference": {
"reference": "docid1"
}
},
{
"url": "offset",
"valueInteger": 422
},
{
"url": "length",
"valueInteger": 2
}
],
"url": "http://hl7.org/fhir/StructureDefinition/derivation-reference"
},
{
"extension": [
{
"url": "reference",
"valueReference": {
"reference": "docid1"
}
},
{
"url": "offset",
"valueInteger": 425
},
{
"url": "length",
"valueInteger": 4
}
],
"url": "http://hl7.org/fhir/StructureDefinition/derivation-reference"
},
{
"extension": [
{
"url": "reference",
"valueReference": {
"reference": "docid1"
}
},
{
"url": "offset",
"valueInteger": 430
},
{
"url": "length",
"valueInteger": 3
}
],
"url": "http://hl7.org/fhir/StructureDefinition/derivation-reference"
},
{
"extension": [
{
"url": "reference",
"valueReference": {
"reference": "docid1"
}
},
{
"url": "offset",
"valueInteger": 434
},
{
"url": "length",
"valueInteger": 8
}
],
"url": "http://hl7.org/fhir/StructureDefinition/derivation-reference"
},
{
"extension": [
{
"url": "reference",
"valueReference": {
"reference": "docid1"
}
},
{
"url": "offset",
"valueInteger": 444
},
{
"url": "length",
"valueInteger": 5
}
],
"url": "http://hl7.org/fhir/StructureDefinition/derivation-reference"
},
{
"extension": [
{
"url": "reference",
"valueReference": {
"reference": "docid1"
}
},
{
"url": "offset",
"valueInteger": 449
},
{
"url": "length",
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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": {
"reference": "docid1"
}
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},
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"reference": "docid1"
}
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"url": "length",
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},
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"valueReference": {
"reference": "docid1"
}
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}
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}
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}
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"url": "length",
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},
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"reference": "docid1"
}
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},
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}
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},
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"url": "reference",
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"reference": "docid1"
}
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},
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"url": "length",
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],
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},
{
"extension": [
{
"url": "reference",
"valueReference": {
"reference": "docid1"
}
},
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"url": "offset",
"valueInteger": 784
},
{
"url": "length",
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}
],
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},
{
"extension": [
{
"url": "reference",
"valueReference": {
"reference": "docid1"
}
},
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"valueInteger": 787
},
{
"url": "length",
"valueInteger": 12
}
],
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},
{
"extension": [
{
"url": "reference",
"valueReference": {
"reference": "docid1"
}
},
{
"url": "offset",
"valueInteger": 800
},
{
"url": "length",
"valueInteger": 3
}
],
"url": "http://hl7.org/fhir/StructureDefinition/derivation-reference"
},
{
"extension": [
{
"url": "reference",
"valueReference": {
"reference": "docid1"
}
},
{
"url": "offset",
"valueInteger": 803
},
{
"url": "length",
"valueInteger": 1
}
],
"url": "http://hl7.org/fhir/StructureDefinition/derivation-reference"
},
{
"extension": [
{
"url": "reference",
"valueReference": {
"reference": "docid1"
}
},
{
"url": "offset",
"valueInteger": 804
},
{
"url": "length",
"valueInteger": 6
}
],
"url": "http://hl7.org/fhir/StructureDefinition/derivation-reference"
},
{
"extension": [
{
"url": "reference",
"valueReference": {
"reference": "docid1"
}
},
{
"url": "offset",
"valueInteger": 810
},
{
"url": "length",
"valueInteger": 1
}
],
"url": "http://hl7.org/fhir/StructureDefinition/derivation-reference"
}
]
}
]
}
],
"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"
}
Example 2
followupRecommendationOptions:
- includeRecommendationsWithNoSpecifiedModality is false
- includeRecommendationsInReferences are true
- provideFocusedSentenceEvidence for findings is true
- includeEvidence is true
As a result: The model checks for follow-up recommendations with a specified modality, not for and for recommendations with a nonspecific radiologic modality. The model checks for a recommendation in a guideline. The model provides a single focused sentence as evidence for the recommendation.
Examples request/response json:
{
"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": [
{
"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"
}
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"expiresAt": "2024-05-15T15:48:01Z",
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}
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