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Configuración del modelo Radiology Insights

Para interactuar con el modelo Radiology Insights, puede proporcionar varios parámetros de configuración del modelo que modifican el resultado de las respuestas.

Importante

La configuración del modelo se aplica a TODOS los pacientes dentro de una solicitud.

  "configuration": {
    "inferenceOptions": {
      "followupRecommendationOptions": {
        "includeRecommendationsWithNoSpecifiedModality": false,
        "includeRecommendationsInReferences": false,
        "provideFocusedSentenceEvidence": false
      },
      "findingOptions": {
        "provideFocusedSentenceEvidence": false
      }
    },
    "locale": "en-US",
    "verbose": false,
    "includeEvidence": true
  }

Búsqueda de casos

A través de la configuración del modelo, la API permite buscar pruebas de los documentos clínicos proporcionados como parte de las inferencias.

Incluir evidencia Comportamiento
true La evidencia se devuelve como parte de las inferencias.
false No se devuelve ninguna evidencia

Opciones de inferencia

FindingOptions

  • provideFocusedSentenceEvidence
  • Tipo: booleano
  • Proporcione una sola oración centrada como evidencia para la búsqueda; el valor predeterminado es true.

FollowupRecommendationOptions

  • includeRecommendationsWithNoSpecifiedModality

    • Tipo: booleano
    • Descripción: Para incluir o excluir recomendaciones de seguimiento sin ninguna modalidad radiológica específica. El valor predeterminado es False.
  • includeRecommendationsInReferences

    • Tipo: booleano
    • Descripción: Para incluir o excluir recomendaciones de seguimiento en referencias a una guía o artículo. El valor predeterminado es False.
  • provideFocusedSentenceEvidence

    • Tipo: booleano
    • description: proporcione una sola frase centrada como evidencia para la recomendación; el valor predeterminado es true.

IncludeEvidence

  • IncludeEvidence
  • Tipo: booleano
  • Proporcionar evidencia para la inferencia, el valor predeterminado es false sin evidencia devuelta.

Ejemplos

Ejemplo 1

followupRecommendationOptions:

  • includeRecommendationsWithNoSpecifiedModality es true
  • includeRecommendationsInReferences es false
  • provideFocusedSentenceEvidence para recomendaciones es false

Como resultado:

El modelo comprueba las recomendaciones de seguimiento con una modalidad especificada (como ULTRASONOGRAFÍA DE DIAGNÓSTICO) y las recomendaciones sin ninguna modalidad radiológica específica (como PROCEDIMIENTO DE IMÁGENES RADIOGRÁFICAS). El modelo no comprueba si hay una recomendación en una instrucción. El modelo no proporciona una sola frase centrada como evidencia para la recomendación.

  • includeEvidence es true. (El modelo incluye evidencia para todas las inferencias).

Ejemplos de json de solicitud y respuesta:

{
      "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"
                            }
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                            "valueInteger": 311
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                        ],
                        "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"
                            }
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                            "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"
                      },
                      {
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                    }
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                      "reference": "docid1"
                    }
                  },
                  {
                    "url": "offset",
                    "valueInteger": 800
                  },
                  {
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                    "valueInteger": 3
                  }
                ],
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              },
              {
                "extension": [
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                    "url": "reference",
                    "valueReference": {
                      "reference": "docid1"
                    }
                  },
                  {
                    "url": "offset",
                    "valueInteger": 803
                  },
                  {
                    "url": "length",
                    "valueInteger": 1
                  }
                ],
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              },
              {
                "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"
}

Ejemplo 2

followupRecommendationOptions:

  • includeRecommendationsWithNoSpecifiedModality es false
  • includeRecommendationsInReferences es true
  • provideFocusedSentenceEvidence para resultados es true
  • includeEvidence es true

Como resultado: el modelo comprueba las recomendaciones de seguimiento con una modalidad especificada, no para y para recomendaciones con una modalidad radiológica no específica. El modelo comprueba si hay una recomendación en una guía. El modelo proporciona una sola frase centrada como evidencia para la recomendación.

Ejemplos de json de solicitud y respuesta:

{
      "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"
				}
              }
            ]
          }
        ]
      }
    }
{
  "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": [
              {
                "extension": [
                  {
                    "url": "reference",
                    "valueReference": {
                      "reference": "docid1"
                    }
                  },
                  {
                    "url": "offset",
                    "valueInteger": 91
                  },
                  {
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    ],
    "modelVersion": "2024-04-16"
  },
  "id": "followupRecommendation1",
  "createdAt": "2024-05-14T15:48:01Z",
  "expiresAt": "2024-05-15T15:48:01Z",
  "updatedAt": "2024-05-14T15:48:05Z",
  "status": "succeeded"
}

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