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字段 kind 为 limitedOrderDiscrepancy.
如果订单是有限的，则会创建它。也就是说，并非所有对应完整订单的部件和测量值都应在文本中，但文本中出现了完整订单的所有部件和测量值（请参阅完整订单差异推理）。
没有标记扩展的示例：
{
"kind": "limitedOrderDiscrepancy",
"orderType": {
"extension": [],
"coding": [
{
"code": "76705",
"system": "Current Procedural Terminology",
"display": "ULTRASOUND, ABDOMINAL, REAL TIME WITH IMAGE DOCUMENTATION; LIMITED (EG, SINGLE ORGAN, QUADRANT, FOLLOW-UP)"
}
]
},
"presentBodyParts": [
{
"extension": [],
"coding": [
{
"code": "RID58",
"system": "RADLEX ONTOLOGY",
"display": "Liver"
}
]
},
{
"extension": [],
"coding": [
{
"code": "RID187",
"system": "RADLEX ONTOLOGY",
"display": "GALLBLADDER"
}
]
},
{
"extension": [],
"coding": [
{
"code": "RID199",
"system": "RADLEX ONTOLOGY",
"display": "COMMON BILE DUCT"
}
]
},
{
"extension": [],
"coding": [
{
"code": "RID170",
"system": "RADLEX ONTOLOGY",
"display": "PANCREAS"
}
]
},
{
"extension": [],
"coding": [
{
"code": "RID86",
"system": "RADLEX ONTOLOGY",
"display": "SPLEEN"
}
]
},
{
"extension": [],
"coding": [
{
"code": "RID29663",
"system": "RADLEX ONTOLOGY",
"display": "LEFT KIDNEY"
}
]
},
{
"extension": [],
"coding": [
{
"code": "RID29662",
"system": "RADLEX ONTOLOGY",
"display": "RIGHT KIDNEY"
}
]
},
{
"extension": [],
"coding": [
{
"code": "RID905",
"system": "RADLEX ONTOLOGY",
"display": "ABDOMINAL AORTA"
}
]
},
{
"extension": [],
"coding": [
{
"code": "RID1178",
"system": "RADLEX ONTOLOGY",
"display": "INFERIOR VENA CAVA"
}
]
}
],
"presentBodyPartMeasurements": []
}
在此示例中，订单数量有限，但文档已完成（它包含完整订单所需的所有正文部件），因此出现差异。
字段 ordertype 包含一个编码，其中包含以下 CPT 代码之一：
| 代码 | 显示 |
|---|---|
| 76705 | 超声波，腹部，实时与图像文档;有限（例如，单器官，象限，FOLLOW-UP） |
| 76857 | 超声波，骨盆，实时与图像文档;受限或 FOLLOW-UP |
| 76775 | 超声波，复古佩里托内AL（EG，肾，AORTA，节点），实时与图像文档;有限 |
| 76642 | 超声波乳房限制 |
其中的每一个都对应于完整顺序差异推理中的一个完整顺序。 已设置字段 presentBodyParts 和/或 presentBodyPartsMeasurements，其中包含存在其本身或存在其度量的身体部位（radlex 代码）。 标记扩展是指存在的身体部位或度量（或暗示它们的单词）。
请参阅有关完整顺序差异的完整顺序差异推理，了解何时将文本视为完整的。
请求与响应的 JSON 示例：
{
"jobData": {
"configuration": {
"inferenceOptions": {
"followupRecommendationOptions": {
"includeRecommendationsWithNoSpecifiedModality": false,
"includeRecommendationsInReferences": false,
"provideFocusedSentenceEvidence": false
},
"findingOptions": {
"provideFocusedSentenceEvidence": false
}
},
"inferenceTypes": ["limitedOrderDiscrepancy"],
"locale": "en-US",
"verbose": false,
"includeEvidence": false
},
"patients": [
{
"id": "111111",
"details": {
"sex": "male",
"birthDate" : "1959-11-11T19:00:00+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": "2021-8-28T00:00:00",
"end": "2021-8-28T00:00:00"
},
"class": "inpatient"
}
],
"patientDocuments": [
{
"type": "note",
"clinicalType": "radiologyReport",
"id": "docid1",
"language": "en",
"authors": [
{
"id": "authorid1",
"fullName": "authorname1"
}
],
"specialtyType": "radiology",
"createdAt": "2021-8-28T00:00:00",
"administrativeMetadata": {
"orderedProcedures": [
{
"code": {
"coding": [
{
"system": "https://loinc.org",
"code": "30704-1",
"display": "US ABDOMEN LIMITED"
}
]
},
"description": "US ABDOMEN LIMITED"
}
],
"encounterId": "encounterid1"
},
"content": {
"sourceType": "inline",
"value" : "\nHISTORY: 49-year-old male with a history of tuberous sclerosis presenting with epigastric pain and diffuse tenderness. The patient was found to have pericholecystic haziness on CT; evaluation for acute cholecystitis.\n\nTECHNIQUE: Ultrasound evaluation of the abdomen was performed. Comparison is made to the prior abdominal ultrasound (2004) and to the enhanced CT of the abdomen and pelvis (2014).\n\nFINDINGS:\n\nThe liver is elongated, measuring 19.3 cm craniocaudally, and is homogeneous in echotexture without evidence of focal mass lesion. The liver contour is smooth on high resolution images. There is no appreciable intra- or extrahepatic biliary ductal dilatation, with the visualized extrahepatic bile duct measuring up to 6 mm. There are multiple shadowing gallstones, including within the gallbladder neck, which do not appear particularly mobile. In addition, there is thickening of the gallbladder wall up to approximately 7 mm with probable mild mural edema. There is no pericholecystic fluid. No sonographic Murphy's sign was elicited; however the patient reportedly received pain medications in the emergency department.\n\nThe pancreatic head, body and visualized portions of the tail are unremarkable. The spleen is normal in size, measuring 9.9 cm in length.\n\nThe kidneys are normal in size. The right kidney measures 11.5 x 5.2 x 4.3 cm and the left kidney measuring 11.8 x 5.3 x 5.1 cm. There are again multiple bilateral echogenic renal masses consistent with angiomyolipomas, in keeping with the patient's history of tuberous sclerosis. The largest echogenic mass on the right is located in the upper pole and measures 1.2 x 1.3 x 1.3 cm. The largest echogenic mass on the left is located within the renal sinus and measures approximately 2.6 x 2.7 x 4.6 cm. Additional indeterminate renal lesions are present bilaterally and are better characterized on CT. There is no hydronephrosis.\n\nNo ascites is identified within the upper abdomen.\n\nThe visualized portions of the upper abdominal aorta and IVC are normal in caliber.\n\nIMPRESSION:\n\n1. Numerous gallstones associated with gallbladder wall thickening and probable gallbladder mural edema, highly suspicious for acute cholecystitis in this patient presenting with epigastric pain and pericholecystic hazy density identified on CT. Although no sonographic Murphy sign was elicited, evaluation is limited secondary to reported prior administration of pain medication. Thus, clinical correlation is required. No evidence of biliary ductal dilation.\n\n2. There are again multiple bilateral echogenic renal masses consistent with angiomyolipomas, in keeping with the patient's history of tuberous sclerosis. Additional indeterminate renal lesions are present bilaterally and are better characterized on CT and MR.\n\nThese findings were discussed with Dr. Doe at 5:05 p.m. on 1/1/15."
}
}
]
}
]
}
}
{
"result": {
"patientResults": [
{
"patientId": "111111",
"inferences": [
{
"kind": "limitedOrderDiscrepancy",
"orderType": {
"coding": [
{
"system": "http://loinc.org",
"code": "24558-9",
"display": "US Abdomen"
}
]
},
"presentBodyParts": [
{
"coding": [
{
"system": "http://radlex.org",
"code": "RID58",
"display": "LIVER"
}
]
},
{
"coding": [
{
"system": "http://radlex.org",
"code": "RID187",
"display": "GALLBLADDER"
}
]
},
{
"coding": [
{
"system": "http://radlex.org",
"code": "RID199",
"display": "COMMON BILE DUCT"
}
]
},
{
"coding": [
{
"system": "http://radlex.org",
"code": "RID170",
"display": "PANCREAS"
}
]
},
{
"coding": [
{
"system": "http://radlex.org",
"code": "RID86",
"display": "SPLEEN"
}
]
},
{
"coding": [
{
"system": "http://radlex.org",
"code": "RID29663",
"display": "LEFT KIDNEY"
}
]
},
{
"coding": [
{
"system": "http://radlex.org",
"code": "RID29662",
"display": "RIGHT KIDNEY"
}
]
},
{
"coding": [
{
"system": "http://radlex.org",
"code": "RID905",
"display": "ABDOMINAL AORTA"
}
]
},
{
"coding": [
{
"system": "http://radlex.org",
"code": "RID1178",
"display": "INFERIOR VENA CAVA"
}
]
}
],
"presentBodyPartMeasurements": []
}
]
}
],
"modelVersion": "2025-03-17"
},
"id": "fca111",
"createdAt": "2025-04-30T11:20:48Z",
"expiresAt": "2025-05-01T11:20:48Z",
"updatedAt": "2025-04-30T11:20:53Z",
"status": "succeeded"
}