ScoringAndAssessmentInference

Back to overview of RI Inferences

This inference gives the score on a classification category like BIRADS. A BIRADS ("breast imaging reporting and data system") is assigned a score that indicates how suspicious the breast scan is. For example, a document with text "BIRADS 2" has a Scoring and Assessment Inference with category "BIRADS" and singleValue "2".

• Field "kind" is ScoringAndAssessment.
• The values of field category are in Appendix A .
• Field categoryDescription gives, in most cases, the expansion of the category abbreviation, for example for BIRADS it is "ACR BREAST IMAGING REPORTING AND DATA SYSTEM".
• Field singleValue contains the value of the field if there's just one value, for example for "BIRADS 2".
• Field rangeValue contains the minimum and/or maximum value if the value is a range. It's theoretically possible that there's only a minimum or maximum value, for example "BIRADS 4- ".
  The value isn't always (only) numeric, it can contain letters as well, for example "4a".
  Fields kind, category, and categoryDescription are required. Either singleValue or at least one field of rangeValue is filled.

Example of a scoring and assessment inference, without token extensions:

{
	"kind": "scoringAndAssessment",
	"category": "TI-RADS",
	"categoryDescription": "ACR THYROID IMAGING REPORTING AND DATA SYSTEM",
	"singleValue": "2"
}

Appendix A: possible values of field "category"

• BIRADS
• C-RADS COLONIC FINDINGS
• CAD-RADS
• LI-RADS
• LUNG-RADS
• NI-RADS
• O-RADS
• PI-RADS
• TI-RADS
• C-RADS EXTRACOLONIC FINDINGS
• LIFETIME BREAST CANCER RISK
• ASCVD RISK
• MODIFIED GAIL MODEL RISK
• TYRER CUSICK MODEL RISK
• AGATSTON SCORE
• 10 YEAR CHD RISK
• Z-SCORE
• T-SCORE
• CALCIUM VOLUME SCORE
• US LI-RADS VISUALIZATION SCORE
• US LI-RADS
• CEUS LI-RADS
• TREATMENT RESPONSE LI-RADS
• O-RADS MRI
• CALCIUM MASS SCORE
• RISK OF MALIGNANCY INDEX
• HNPCC MUTATION RISK
• ALBERTA STROKE PROGRAM EARLY CT SCORE
• KELLGREN-LAWRENCE GRADING SCALE
• TONNIS CLASSIFICATION
• CALCIUM SCORE (UNSPECIFIED)

Examples Request/Response JSON:

{
  "jobData" : {
    "configuration" : {
      "inferenceOptions" : {
        "followupRecommendationOptions" : {
          "includeRecommendationsWithNoSpecifiedModality" : false,
          "includeRecommendationsInReferences" : false,
          "provideFocusedSentenceEvidence" : true
        },
        "findingOptions" : {
          "provideFocusedSentenceEvidence" : true
        }
      },
      "inferenceTypes" : [ "scoringAndAssessment"],
      "locale" : "en-US",
      "verbose" : false,
      "includeEvidence" : false
    },
    "patients" : [ {
      "id" : "11111",
      "details" : {
        "sex" : "female",
        "birthDate" : "1939-05-25",
        "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",
          "name" : "authorname1"
        } ],
        "specialtyType" : "radiology",
        "createdAt" : "2014-2-20T00:00:00",
        "administrativeMetadata" : {
          "orderedProcedures" : [ {
            "code" : {
              "coding" : [ {
                "system" : "http://loinc.org",
                "code" : "USTHY",
                "display" : "US THYROID    "
              } ]
            },
            "description" : "US THYROID    "
          } ],
          "encounterId" : "encounterid1"
        },
        "content" : {
          "sourceType" : "inline",
          "value" : "\n\n\n\r\n\nExam: US THYROID\n\nClinical History: Thyroid nodules. 76 year old patient.\n\nComparison: none.\n\nFindings:\n\nRight lobe: 4.8 x 1.6 x 1.4 cm\n\nLeft Lobe: 4.1 x 1.3 x 1.3 cm\n\nIsthmus: 4 mm\n\nThere are multiple cystic and partly cystic sub-5 mm nodules noted within the right lobe (TIRADS 2).  \n\nIn the lower pole of the left lobe there is a 9 x 8 x 6 mm predominantly solid isoechoic nodule (TIRADS 3).\n\nImpression:\nMultiple bilateral small cystic benign thyroid nodules. A low suspicion 9 mm left lobe thyroid nodule (TI-RADS 3) which, given its small size, does not warrant follow-up.\n\n\r\n"
        }
      } ]
    } ]
  }
}

{
  "result": {
    "patientResults": [
      {
        "patientId": "11111",
        "inferences": [
          {
            "kind": "scoringAndAssessment",
            "category": "TI-RADS",
            "categoryDescription": "ACR THYROID IMAGING REPORTING AND DATA SYSTEM",
            "singleValue": "2"
          },
          {
            "kind": "scoringAndAssessment",
            "category": "TI-RADS",
            "categoryDescription": "ACR THYROID IMAGING REPORTING AND DATA SYSTEM",
            "singleValue": "3"
          },
          {
            "kind": "scoringAndAssessment",
            "category": "TI-RADS",
            "categoryDescription": "ACR THYROID IMAGING REPORTING AND DATA SYSTEM",
            "singleValue": "3"
          }
        ]
      }
    ],
    "modelVersion": "2025-03-17"
  },
  "id": "fca114",
  "createdAt": "2025-04-30T11:29:36Z",
  "expiresAt": "2025-05-01T11:29:36Z",
  "updatedAt": "2025-04-30T11:29:40Z",
  "status": "succeeded"
}