HealthLake 集成 NLP 示例请求 - AWS HealthLake

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HealthLake 集成 NLP 示例请求

示例 1：提取到 HealthLake 数据存储中的Patient记录

以下是基于与医疗保健专业人员会Patient面的临床记录示例。

合成数据

以下示例中的文本是合成内容，不包含受保护的健康信息 (PHI)。

1991-08-31

# Chief Complaint
- Headache
- Sinus Pain
- Nasal Congestion
- Sore Throat
- Pain with Bright Lights
- Nasal Discharge
- Cough

# History of Present Illness
Jerónimo599 is a 4 month-old non-hispanic white male.

# Social History
Patient has never smoked.

Patient comes from a middle socioeconomic background.

Patient currently has Aetna.

# Allergies
No Known Allergies.

# Medications
No Active Medications.

# Assessment and Plan
Patient is presenting with bee venom (substance), mold (organism), house dust mite (organism), animal dander (substance), grass pollen (substance), tree pollen (substance), lisinopril, sulfamethoxazole / trimethoprim, fish (substance). 

## Plan

The patient was prescribed the following medications:
- astemizole 10 mg oral tablet
- nda020800 0.3 ml epinephrine 1 mg/ml auto-injector
The patient was placed on a careplan:
- self-care interventions (procedure)

提醒一下，这些信息在资源中以 base64 格式编码。DocumentReference当本文档被收录 HealthLake 并且 Amazon Comprehend Medical API 操作完成后，要查看结果，您可以从请求资源类型GET开始。DocumentReference

GET https://https://healthlake.region.amazonaws.com/datastore/datastoreId/r4/eeb8005725ae22b35b4edbdc68cf2dfd/r4/DocumentReference

当 Amazon Comprehend Medical API 操作成功后，请在链接到以下内容的链接中查找这些键值对 extension "url": "http://healthlake.amazonaws.com/aws-cm/"

{
		"url": "http://healthlake.amazonaws.com/aws-cm/status/",
		"valueString": "SUCCESS"
	},
	{
		"url": "http://healthlake.amazonaws.com/aws-cm/message/",
		"valueString": "The AWS HealthLake integrated medical NLP operation was successful."
	}

以下选项卡显示了如何根据资源类型在 HealthLake 数据存储中报告摄取的医疗记录。

DocumentReference

要查看单个DocumentReference资源类型的结果，请在提供特定资源的地方GET发出请求。id

GET https://https://healthlake.region.amazonaws.com/datastore/datastoreId/r4/eeb8005725ae22b35b4edbdc68cf2dfd/r4/DocumentReference/0e938f03-da7f-4178-acd8-eea9586c46ed

成功后，您将获得一个 200 HTTP 响应代码和以下 JSON 响应（为清楚起见，该响应已被截断）。

这是http://healthlake.amazonaws.com/system-generated-resources/部分。你可以看到已经添加Linkage/e366d29f-2c22-4c19-866e-09603937935a了一个新的。您还可以查看在哪些地方向特定Observation和Condition资源类型添加 HealthLake 了基于推断的结果。

要查看这些资源类型是如何修改的，请选择相关选项卡。

{
		"extension": [
			{
				"url": "http://healthlake.amazonaws.com/linkage",
				"valueReference": {
					"reference": "Linkage/e366d29f-2c22-4c19-866e-09603937935a"
				}
			},
			{
				"url": "http://healthlake.amazonaws.com/nlp-entity",
				"valueReference": {
					"reference": "Observation/c6e0a3ff-7a17-4d8b-bfd0-d02d7da090c5"
				}
			},
			{
				"url": "http://healthlake.amazonaws.com/nlp-entity",
				"valueReference": {
					"reference": "Condition/0854e1f3-894d-448e-a8d9-3af5b9902baf"
				}
			}
		],
		"url": "http://healthlake.amazonaws.com/system-generated-resources/"
	}
Linkage

要查看单个Linkage资源类型的结果，请在提供特定资源的地方GET发出请求。ID

GET https://https://healthlake.region.amazonaws.com/datastore/datastoreId/r4/eeb8005725ae22b35b4edbdc68cf2dfd/r4/Linkage/e366d29f-2c22-4c19-866e-09603937935a

成功后，您将获得一个 200 HTTP 响应代码和以下截断的 JSON 响应。

响应包含item元素。其中，键值对"type": "source"表示用于修改的特定DocumentReference条目，Condition并Observations列在"type": "alternate"键值对下。

您还可以看到meta元素和相应的键值对"tag": [{"display": "SYSTEM_GENERATED"}]，表示这些资源是由创建的。 HealthLake

{
		"resourceType": "Linkage",
		"id": "e366d29f-2c22-4c19-866e-09603937935a",
		"active": true,
		"item":
		[
			{
				"type": "alternate",
				"resource": {
					"reference": "Observation/c6e0a3ff-7a17-4d8b-bfd0-d02d7da090c5",
					"type": "Observation"
				}
			},
			{
				"type": "alternate",
				"resource": {
					"reference": "Condition/9d5c1ef6-f822-4faf-b55f-7c70f2a4aa8d",
					"type": "Condition"
				}
			},
			{
				"type": "source",
				"resource": {
					"reference": "DocumentReference/0e938f03-da7f-4178-acd8-eea9586c46ed",
					"type": "DocumentReference"
				}
			}
		],
		"meta": {
			"lastUpdated": "2022-10-21T19:38:31.327Z",
			"tag": [{
				"display": "SYSTEM_GENERATED"
			}]
		}
	}
Resource type: Observation

要查看单个Observation资源类型的结果，请在提供特定资源的地方GET发出请求。ID

GET https://https://healthlake.region.amazonaws.com/datastore/datastoreId/r4/eeb8005725ae22b35b4edbdc68cf2dfd/r4/Observation/e366d29f-2c22-4c19-866e-09603937935a

Amazon Comprehend Medical API 操作的结果已修改为以下要素：、和。code meta modifierExtension

code

类型的元素CodeableConcept。要了解更多信息，请参阅 FHIR R4 文档CodeableConcept中的。

HealthLake 附加以下三个键值对。

  • "system": "http://healthlake.amazonaws.com/aws-cm/infer-icd10/": 其中 URL 指的是特定的亚马逊 Comprehend Medical API 操作。在本例中，推断 ICD1 0CM。

  • "code": "A52.06": 用于识别疾病控制中心知识库中概念的 ICD-10-CM 代码在哪里A52.06。

  • "display": "Other syphilitic heart involvement": 本"Other syphilitic heart involvement"体中对 ICD-10-CM 代码的详细描述在哪里。

以下截断的 JSON 响应仅包含元素。code

"code": {
		"coding":
		[
		  {
			"system": "http://healthlake.amazonaws.com/aws-cm/infer-icd10/",
			"code": "A52.06",
			"display": "Other syphilitic heart involvement"
		  }
		],
		"text": "Other syphilitic heart involvement"
	}

要了解模型对分配的 ICD-10-CM 代码正确性的置信度，请使用modifierExtension元素。

meta

该meta元素包含的元数据表明该code元素是否包含由 Amazon Comprehend Medical API 操作添加的详细信息。

以下截断的 JSON 响应仅包含元素。meta

"meta": {
		"lastUpdated": "2022-10-21T19:38:30.879Z",
		"tag": [{
			"display": "SYSTEM_GENERATED"
		}]
	}
modifierExtension

该modifierExtension元素包含有关code元素中已分配代码的可信度等级的更多详细信息。它还具有键值对，这些键值对提供了指向 DocumentReference 用于生成结果的原始值和相关的 Linkage 资源类型的链接。

对于添加的每个coding元素，你都会看到一个entity-score和一个被添加到 modifierE entity-Concept-Score xtension 中。对于键值对中的每个值，您会看到一个分数。因为entity-score，该分数是 Amazon Comprehend Medical 对检测准确性的可信度。因为entity-Concept-Score，该分数是亚马逊 Comprehend Medical 对该实体与 ICD-10-CM 概念准确关联的信心程度。

以下截断的 JSON 响应仅包含元素。modifierExtension

"modifierExtension": [{
			"url": "http://healthlake.amazonaws.com/aws-cm/infer-icd10/aws-cm-icd10-entity-score",
			"valueDecimal": 0.45005733
		},
		{
			"url": "http://healthlake.amazonaws.com/aws-cm/infer-icd10/aws-cm-icd10-entity-Concept-Score",
			"valueDecimal": 0.1111792
		},
		{
			"url": "http://healthlake.amazonaws.com/system-generated-linkage",
			"valueReference": {
				"reference": "Linkage/e366d29f-2c22-4c19-866e-09603937935a"
			}
		},
		{
			"url": "http://healthlake.amazonaws.com/source-document-reference",
			"valueReference": {
				"reference": "DocumentReference/0e938f03-da7f-4178-acd8-eea9586c46ed"
			}
		}
	]

完整的 JSON 响应

{
		"subject": {
			"reference": "Patient/0679b7b7-937d-488a-b48d-6315b8e7003b"
		},
		"resourceType": "Observation",
		"status": "unknown",
		"code": {
			"coding": [{
				"system": "http://healthlake.amazonaws.com/aws-cm/infer-icd10/",
				"code": "A52.06",
				"display": "Other syphilitic heart involvement"
			}],
			"text": "Other syphilitic heart involvement"
		},
		"meta": {
			"lastUpdated": "2022-10-21T19:38:30.879Z",
			"tag": [{
				"display": "SYSTEM_GENERATED"
			}]
		},
		"modifierExtension": [{
				"url": "http://healthlake.amazonaws.com/aws-cm/infer-icd10/aws-cm-icd10-entity-score",
				"valueDecimal": 0.45005733
			},
			{
				"url": "http://healthlake.amazonaws.com/aws-cm/infer-icd10/aws-cm-icd10-entity-Concept-Score",
				"valueDecimal": 0.1111792
			},
			{
				"url": "http://healthlake.amazonaws.com/system-generated-linkage",
				"valueReference": {
					"reference": "Linkage/e366d29f-2c22-4c19-866e-09603937935a"
				}
			},
			{
				"url": "http://healthlake.amazonaws.com/source-document-reference",
				"valueReference": {
					"reference": "DocumentReference/0e938f03-da7f-4178-acd8-eea9586c46ed"
				}
			}
		],
		"id": "7e88c7c5-21a5-4dd7-8fc2-a02474fba583"
	}
Condition

要查看单个Condition资源类型的结果，请在提供特定资源的地方GET发出请求。ID

GET https://https://healthlake.region.amazonaws.com/datastore/datastoreId/r4/eeb8005725ae22b35b4edbdc68cf2dfd/r4/Condition/b06d343d-ddb8-4f36-82cb-853fcd434dfd

Amazon Comprehend Medical API 操作的结果已修改为以下要素：、和。code meta modifierExtension

code

类型的元素CodeableConcept。要了解更多信息，请参阅 FHIR R4 文档CodeableConcept中的。

HealthLake 附加以下三个键值对。

  • "system": "http://healthlake.amazonaws.com/aws-cm/infer-icd10/": 其中 URL 指的是特定的亚马逊 Comprehend Medical API 操作。在本例中，推断 ICD1 0CM。

  • "code": "I70.0": 用于识别疾病控制中心知识库中概念的 ICD-10-CM 代码在哪里A52.06。

  • "display": "Atherosclerosis of aorta": 本"Other syphilitic heart involvement"体中对 ICD-10-CM 代码的详细描述在哪里。

以下截断的 JSON 响应仅包含元素。code

"code": {
		"coding":
		[
		  {
			"system": "http://healthlake.amazonaws.com/aws-cm/infer-icd10/",
			"code": "I70.0",
			"display": "Atherosclerosis of aorta"
		  }
		],
		"text": "Atherosclerosis of aorta"
	}

要了解模型对分配的 ICD-10-CM 代码正确性的置信度，请使用modifierExtension元素。

meta

该meta元素包含的元数据表明该code元素是否包含由 Amazon Comprehend Medical API 操作添加的详细信息。

以下截断的 JSON 响应仅包含元素。meta

"meta": {
		"lastUpdated": "2022-10-21T19:38:30.877Z",
		"tag": [{
			"display": "SYSTEM_GENERATED"
		}]
	}
modifierExtension

该modifierExtension元素包含有关code元素中已分配代码的可信度等级的更多详细信息。它还具有键值对，这些键值对提供了指向 DocumentReference 用于生成结果的原始值和相关的 Linkage 资源类型的链接。

对于添加的每个coding元素，你都会看到一个entity-score和一个被添加到 modifierE entity-Concept-Score xtension 中。对于键值对中的每个值，您会看到一个分数。因为entity-score，该分数是 Amazon Comprehend Medical 对检测准确性的可信度。因为entity-Concept-Score，该分数是亚马逊 Comprehend Medical 对该实体与 ICD-10-CM 概念准确关联的信心程度。

以下截断的 JSON 响应仅包含元素。modifierExtension

"modifierExtension": [{
			"url": "http://healthlake.amazonaws.com/aws-cm/infer-icd10/aws-cm-icd10-entity-score",
			"valueDecimal": 0.94417894
		},
		{
			"url": "http://healthlake.amazonaws.com/aws-cm/infer-icd10/aws-cm-icd10-entity-Concept-Score",
			"valueDecimal": 0.8458298
		},
		{
			"url": "http://healthlake.amazonaws.com/system-generated-linkage",
			"valueReference": {
				"reference": "Linkage/e366d29f-2c22-4c19-866e-09603937935a"
			}
		},
		{
			"url": "http://healthlake.amazonaws.com/source-document-reference",
			"valueReference": {
				"reference": "DocumentReference/0e938f03-da7f-4178-acd8-eea9586c46ed"
			}
		}
	]

完整的 JSON 响应

{
		"subject": {
			"reference": "Patient/0679b7b7-937d-488a-b48d-6315b8e7003b"
		},
		"resourceType": "Condition",
		"code": {
			"coding": [{
				"system": "http://healthlake.amazonaws.com/aws-cm/infer-icd10/",
				"code": "I70.0",
				"display": "Atherosclerosis of aorta"
			}],
			"text": "Atherosclerosis of aorta"
		},
		"meta": {
			"lastUpdated": "2022-10-21T19:38:30.877Z",
			"tag": [{
				"display": "SYSTEM_GENERATED"
			}]
		},
		"modifierExtension": [{
				"url": "http://healthlake.amazonaws.com/aws-cm/infer-icd10/aws-cm-icd10-entity-score",
				"valueDecimal": 0.94417894
			},
			{
				"url": "http://healthlake.amazonaws.com/aws-cm/infer-icd10/aws-cm-icd10-entity-Concept-Score",
				"valueDecimal": 0.8458298
			},
			{
				"url": "http://healthlake.amazonaws.com/system-generated-linkage",
				"valueReference": {
					"reference": "Linkage/e366d29f-2c22-4c19-866e-09603937935a"
				}
			},
			{
				"url": "http://healthlake.amazonaws.com/source-document-reference",
				"valueReference": {
					"reference": "DocumentReference/0e938f03-da7f-4178-acd8-eea9586c46ed"
				}
			}
		],
		"id": "b06d343d-ddb8-4f36-82cb-853fcd434dfd"
	}

示例 2：DocumentReference包含MedicationStatement资源类型的 A

以下是根据患者与医疗专业人员的接触而编写的临床记录示例。

合成数据

此示例中的文本为合成内容，不包含受保护的健康信息 (PHI)。

Tom is not prescribed Advil

以下选项卡显示了如何根据资源类型在 HealthLake 数据存储中报告摄取的医疗记录。

DocumentReference

要查看单个DocumentReference资源类型的结果，请在提供特定资源的地方GET发出请求。ID

GET https://https://healthlake.region.amazonaws.com/datastore/datastoreId/r4/eeb8005725ae22b35b4edbdc68cf2dfd/r4/DocumentReference/c549125d-a218-421f-b8bf-23614c5e796c

成功后，您将获得一个 200 HTTP 响应代码和以下截断的 JSON 响应。

键值对表示其中的资源类型是由 Amazon Comprehen extension d Medical API 操作添加的。"url": "http://healthlake.amazonaws.com/system-generated-resources/"您可以看到新的Linkage资源类型和多个MedicationStatement资源。

"extension": [{
			"extension": [{
					"url": "http://healthlake.amazonaws.com/linkage",
					"valueReference": {
						"reference": "Linkage/394bb244-177b-4409-8657-26b20ed56dd7"
					}
				},
				{
					"url": "http://healthlake.amazonaws.com/nlp-entity",
					"valueReference": {
						"reference": "MedicationStatement/cbf6af10-b0b9-451c-bdde-99611e3498a8"
					}
				},
				{
					"url": "http://healthlake.amazonaws.com/nlp-entity",
					"valueReference": {
						"reference": "MedicationStatement/9a89b0d3-6681-45ca-9926-27951edce5c7"
					}
				},
				{
					"url": "http://healthlake.amazonaws.com/nlp-entity",
					"valueReference": {
						"reference": "MedicationStatement/4a01f6c8-5f3a-4122-80ab-405312f96aa2"
					}
				},
				{
					"url": "http://healthlake.amazonaws.com/nlp-entity",
					"valueReference": {
						"reference": "MedicationStatement/fbfb77d8-70cf-4579-b4c0-d6fe3c01656b"
					}
				},
				{
					"url": "http://healthlake.amazonaws.com/nlp-entity",
					"valueReference": {
						"reference": "MedicationStatement/1340c9ce-9c48-4bf9-9b2f-d0ab027f5e0b"
					}
				}
			],
			"url": "http://healthlake.amazonaws.com/system-generated-resources/"
		}
Linkage

要查看单个Linkage资源类型的结果，请在提供特定资源的地方GET发出请求。ID

GET https://https://healthlake.region.amazonaws.com/datastore/datastoreId/r4/eeb8005725ae22b35b4edbdc68cf2dfd/r4/Linkage/394bb244-177b-4409-8657-26b20ed56dd7

成功后，您将获得一个 200 HTTP 响应代码和以下 JSON 响应。

响应包含item元素。其中，键值对"type": "source"表示用于修改MedicationStatement资源DocumentReference类型的特定条目。

您还可以看到meta元素和相应的键值对"tag": [{"display": "SYSTEM_GENERATED"}]，表示这些资源是由创建的。 HealthLake

{
		"resourceType": "Linkage",
		"id": "394bb244-177b-4409-8657-26b20ed56dd7",
		"active": true,
		"item": [{
				"type": "alternate",
				"resource": {
					"reference": "MedicationStatement/cbf6af10-b0b9-451c-bdde-99611e3498a8",
					"type": "MedicationStatement"
				}
			},
			{
				"type": "alternate",
				"resource": {
					"reference": "MedicationStatement/9a89b0d3-6681-45ca-9926-27951edce5c7",
					"type": "MedicationStatement"
				}
			},
			{
				"type": "alternate",
				"resource": {
					"reference": "MedicationStatement/4a01f6c8-5f3a-4122-80ab-405312f96aa2",
					"type": "MedicationStatement"
				}
			},
			{
				"type": "alternate",
				"resource": {
					"reference": "MedicationStatement/fbfb77d8-70cf-4579-b4c0-d6fe3c01656b",
					"type": "MedicationStatement"
				}
			},
			{
				"type": "alternate",
				"resource": {
					"reference": "MedicationStatement/1340c9ce-9c48-4bf9-9b2f-d0ab027f5e0b",
					"type": "MedicationStatement"
				}
			},
			{
				"type": "source",
				"resource": {
					"reference": "DocumentReference/c549125d-a218-421f-b8bf-23614c5e796c",
					"type": "DocumentReference"
				}
			}
		],
		"meta": {
			"lastUpdated": "2022-10-24T20:05:03.501Z",
			"tag": [{
				"display": "SYSTEM_GENERATED"
			}]
		}
	}
MedicationStatement

要查看单个MedicationStatement资源类型的结果，请在提供特定资源的地方GET发出请求。ID

GET https://https://healthlake.region.amazonaws.com/datastore/datastoreId/r4/eeb8005725ae22b35b4edbdc68cf2dfd/r4/MedicationStatement/9a89b0d3-6681-45ca-9926-27951edce5c7

MedicationStatement资源类型是查看 Amazon Comprehend Medical AP InferRxNorm I 操作结果的地方。将结果修改为以下要素：medicationCodeableConceptmeta、和modifierExtension。

medicationCodeableConcept

类型的元素CodeableConcept。要了解更多信息，请参阅 FHIR R4 文档CodeableConcept中的。

HealthLake 附加以下三个键值对。

  • "system": ""http://healthlake.amazonaws.com/aws-cm/infer-rxnorm/: 其中 URL 指的是特定的亚马逊 Comprehend Medical API 操作。此处为 InferRxNorm。

  • "code": "731533": 概 RxNorm 念 ID 在731533哪里，也称为 rxCUI。

  • "display": "ibuprofen 200 MG Oral Capsule [Advil]": RxNorm 概念ibuprofen 200 MG Oral Capsule [Advil]的描述在哪里。

以下截断的 JSON 响应仅包含元素。MedicationStatement

"medicationCodeableConcept": {
		"coding": [
			{
				"system": "http://healthlake.amazonaws.com/aws-cm/infer-rxnorm/",
				"code": "731533",
				"display": "ibuprofen 200 MG Oral Capsule [Advil]"
			}
		]
	}
meta

该meta元素包含的元数据表明该code元素是否包含由 Amazon Comprehend Medical API 操作添加的详细信息。

以下截断的 JSON 响应仅包含元素。meta

"meta": {
		"lastUpdated": "2022-10-24T20:05:02.800Z",
		"tag": [
			{
				"display": "SYSTEM_GENERATED"
			}
		]
	}
modifierExtension

该modifierExtension元素包含键值对，这些键值对提供了指向DocumentReference用于生成结果的原始元素的链接以及相关的 Linkage 资源类型。

"modifierExtension": [
			{
				"url": "http://healthlake.amazonaws.com/system-generated-linkage",
				"valueReference": {
					"reference": "Linkage/394bb244-177b-4409-8657-26b20ed56dd7"
				}
			},
			{
				"url": "http://healthlake.amazonaws.com/source-document-reference",
				"valueReference": {
					"reference": "DocumentReference/c549125d-a218-421f-b8bf-23614c5e796c"
				}
			}
	]