Konfiguration des Radiology Insights-Modells
Um mit dem Radiology Insights-Modell zu interagieren, können Sie mehrere Parameter für die Modellkonfiguration angeben, die das Ergebnis der Antworten ändern.
Wichtig
Die Modellkonfiguration wird auf ALLE Patienten innerhalb einer Anforderung angewendet.
"configuration": {
"inferenceOptions": {
"followupRecommendationOptions": {
"includeRecommendationsWithNoSpecifiedModality": false,
"includeRecommendationsInReferences": false,
"provideFocusedSentenceEvidence": false
},
"findingOptions": {
"provideFocusedSentenceEvidence": false
}
},
"locale": "en-US",
"verbose": false,
"includeEvidence": true
}
Fallsuche
Mithilfe der Modellkonfiguration können Sie mit der API Nachweise aus den bereitgestellten klinischen Notizen im Rahmen der Rückschlüsse suchen.
| Einschließen von Nachweisen | Verhalten |
|---|---|
| true | Nachweise werden im Rahmen der Rückschlüsse zurückgegeben. |
| false | Es werden keine Nachweise zurückgegeben. |
Rückschlussoptionen
FindingOptions
- provideFocusedSentenceEvidence
- Typ: Boolescher Wert
- Stellt einen einzelnen fokussierten Satz als Nachweis für das Ergebnis bereit, der Standardwert ist TRUE.
FollowupRecommendationOptions
includeRecommendationsWithNoSpecifiedModality
- Typ: Boolescher Wert
- Beschreibung: Einschließen oder Ausschließen von Weiterbehandlungsempfehlungen ohne besondere radiologische Modalität. Standardwert ist „falsch“.
includeRecommendationsInReferences
- Typ: Boolescher Wert
- Beschreibung: Einschließen oder Ausschließen von Weiterbehandlungsempfehlungen in Verweisen auf eine Richtlinie oder einen Artikel. Standardwert ist „falsch“.
provideFocusedSentenceEvidence
- Typ: Boolescher Wert
- Beschreibung: Stellt einen einzelnen fokussierten Satz als Nachweis für die Empfehlung bereit, der Standardwert ist TRUE.
IncludeEvidence
- IncludeEvidence
- Typ: Boolescher Wert
- Liefern Sie Beweise für den Rückschluss. Die Voreinstellung ist „false“, wenn keine Beweise zurückgegeben werden.
Beispiele
Beispiel 1
followupRecommendationOptions:
- includeRecommendationsWithNoSpecifiedModality ist „true“
- includeRecommendationsInReferences sind „false“
- provideFocusedSentenceEvidence für Empfehlungen ist „false“
Infolgedessen:
Das Modell prüft die Nachuntersuchungsempfehlungen mit einer bestimmten Modalität (z. B. DIAGNOSE-ULTRASONOGRAPHIE) und auf Empfehlungen ohne spezifische radiologische Modalität (z. B. RADIOGRAPHISCHES BILDGEBUNGSVERFAHREN). Das Modell sucht nicht nach Empfehlungen in einer Richtlinie. Das Modell stellt keinen einzelnen fokussierten Satz als Nachweis für die Empfehlung bereit.
- includeEvidence ist true. (Das Modell enthält Nachweise für alle Rückschlüsse.)
Beispiele für Anforderungs-/Antwort-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
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},
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{
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"valueReference": {
"reference": "docid1"
}
},
{
"url": "offset",
"valueInteger": 803
},
{
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"valueInteger": 1
}
],
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},
{
"extension": [
{
"url": "reference",
"valueReference": {
"reference": "docid1"
}
},
{
"url": "offset",
"valueInteger": 804
},
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"valueInteger": 6
}
],
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},
{
"extension": [
{
"url": "reference",
"valueReference": {
"reference": "docid1"
}
},
{
"url": "offset",
"valueInteger": 810
},
{
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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"
}
Beispiel 2
followupRecommendationOptions:
- includeRecommendationsWithNoSpecifiedModality ist „false“
- includeRecommendationsInReferences sind „true“
- provideFocusedSentenceEvidence für Befunde ist „true“
- includeEvidence ist „true“
Daher sucht das Modell mit einer bestimmten Modalität nach Nachuntersuchungsempfehlungen, nicht nach Empfehlungen mit einer nicht spezifischen radiologischen Modalität. Das Modell sucht eine Empfehlung in einer Richtlinie. Das Modell stellt einen einzelnen fokussierten Satz als Nachweis für die Empfehlung bereit.
Beispiele für Anforderungs-/Antwort-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",
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Nächste Schritte
Auf der folgenden Seite erhalten Sie einen besseren Einblick in die Anforderung und die Antworten: