本文為英文版的機器翻譯版本，如內容有任何歧義或不一致之處，概以英文版為準。 # HealthLake 整合 NLP 範例請求 **範例 1：擷取至 HealthLake 資料存放區的`Patient`記錄** 以下是以與醫療專業人員的`Patient`相遇為基礎的臨床備註範例。 **合成資料** 下列範例中的文字是合成內容，不包含受保護的健康資訊 (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) ``` 提醒您，此資訊在 `DocumentReference` 資源中以 base64 格式編碼。當本文件擷取至 HealthLake 且 Amazon Comprehend Medical API 操作完成時，若要查看結果，您可以從`DocumentReference`資源類型的`GET`請求開始。 ``` GET https://https://healthlake.region.amazonaws.com/datastore/datastoreId/r4/eeb8005725ae22b35b4edbdc68cf2dfd/r4/DocumentReference ``` 當 Amazon Comprehend Medical API 操作成功時，請在`extension`連結至下列項目的 內尋找這些鍵值對 `"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." } ``` 下列索引標籤顯示如何根據資源類型，在您的 HealthLake 資料存放區中報告擷取的醫療記錄。 ------ #### [ DocumentReference ] 若要查看單一`DocumentReference`資源類型的結果，請提出 `GET`請求，其中提供特定資源`id`的 。 ``` GET https://https://healthlake.region.amazonaws.com/datastore/datastoreId/r4/eeb8005725ae22b35b4edbdc68cf2dfd/r4/DocumentReference/0e938f03-da7f-4178-acd8-eea9586c46ed ``` 成功時，您會收到 `200` HTTP 回應代碼和下列 JSON 回應 （為了清楚起見，已截斷）。 以下是 `http://healthlake.amazonaws.com/system-generated-resources/`部分。您可以看到`Linkage/e366d29f-2c22-4c19-866e-09603937935a`已新增新的 。您也可以查看 HealthLake 已將推論型問題清單新增至特定 `Condition` `Observation`和資源類型的位置。 若要查看這些資源類型的修改方式，請選擇相關索引標籤。 ``` { "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 ] 若要查看單一`Linkage`資源類型的結果，請提出 `GET`請求，其中提供特定資源`ID`的 。 ``` GET https://https://healthlake.region.amazonaws.com/datastore/datastoreId/r4/eeb8005725ae22b35b4edbdc68cf2dfd/r4/Linkage/e366d29f-2c22-4c19-866e-09603937935a ``` 成功時，您會收到 `200` HTTP 回應代碼，以及下列截斷的 JSON 回應。 回應包含 `item`元素。其中，索引鍵/值對`"type": "source"`會指出用來修改 的特定`DocumentReference`項目，`Condition`並`Observations`列在索引`"type": "alternate"`鍵/值對下。 *您也會看到 `meta`元素和對應的鍵值對 `"tag": [{"display": "SYSTEM_GENERATED"}]`，表示這些資源是由 HealthLake 建立。* ``` { "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 ] 若要查看單一`Observation`資源類型的結果，請提出 `GET`請求，其中提供特定資源`ID`的 。 ``` GET https://https://healthlake.region.amazonaws.com/datastore/datastoreId/r4/eeb8005725ae22b35b4edbdc68cf2dfd/r4/Observation/e366d29f-2c22-4c19-866e-09603937935a ``` Amazon Comprehend Medical API 操作的結果會修改為下列元素：`code`、 `meta`和 `modifierExtension`。 **`code`** 類型 的 元素`CodeableConcept`。若要進一步了解，請參閱 **FHIR R4 文件**[https://hl7.org/fhir/R4/datatypes.html#CodeableConcept](https://hl7.org/fhir/R4/datatypes.html#CodeableConcept)中的 。 HealthLake 會附加下列三個鍵值對。 + `"system": "http://healthlake.amazonaws.com/aws-cm/infer-icd10/"`：其中 URL 是指特定的 Amazon Comprehend Medical API 操作。在此情況下，InferICD10CM。 + `"code": "A52.06"`：其中 `A52.06`是 ICD-10-CM 程式碼，用於從疾病控制中心識別知識庫中找到的概念。 + `"display": "Other syphilitic heart involvement"`：其中 `"Other syphilitic heart involvement"`是 上下文中 ICD-10-CM 程式碼的長描述。 下列截斷的 JSON 回應僅包含 `code`元素。 ``` "code": { "coding": [ { "system": "http://healthlake.amazonaws.com/aws-cm/infer-icd10/", "code": "A52.06", "display": "Other syphilitic heart involvement" } ], "text": "Other syphilitic heart involvement" } ``` 若要了解模型對指派的 ICD-10-CM 程式碼是否正確的可信度，請使用 `modifierExtension`元素。 **`meta`** `meta` 元素包含中繼資料，指出`code`元素是否包含 Amazon Comprehend Medical API 操作所新增的詳細資訊。 下列截斷的 JSON 回應僅包含 `meta`元素。 ``` "meta": { "lastUpdated": "2022-10-21T19:38:30.879Z", "tag": [{ "display": "SYSTEM_GENERATED" }] } ``` **`modifierExtension`** `modifierExtension` 元素包含有關`code`元素中指定代碼之可信度層級的更多詳細資訊。它還具有索引鍵/值對，提供用於產生結果和相關 Linkage 資源類型的原始 DocumentReference 的連結。 對於每個新增的`coding`元素，您會看到 `entity-score`和 `entity-Concept-Score` 新增至 modifierExtension。對於鍵/值對中的每個值，您會看到分數。對於 `entity-score`，此分數是 Amazon Comprehend Medical 對偵測準確性的可信度。對於 `entity-Concept-Score`，此分數是 Amazon Comprehend Medical 對實體準確連結到 ICD-10-CM 概念的可信度。 下列截斷的 JSON 回應僅包含 `modifierExtension`元素。 ``` "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 JSON 回應** ``` { "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 ] 若要查看單一`Condition`資源類型的結果，請提出 `GET`請求，其中提供特定資源`ID`的 。 ``` GET https://https://healthlake.region.amazonaws.com/datastore/datastoreId/r4/eeb8005725ae22b35b4edbdc68cf2dfd/r4/Condition/b06d343d-ddb8-4f36-82cb-853fcd434dfd ``` Amazon Comprehend Medical API 操作的結果會修改為下列元素：`code`、 `meta`和 `modifierExtension`。 **`code`** 類型 的 元素`CodeableConcept`。若要進一步了解，請參閱 **FHIR R4 文件**[https://hl7.org/fhir/R4/datatypes.html#CodeableConcept](https://hl7.org/fhir/R4/datatypes.html#CodeableConcept)中的 。 HealthLake 會附加下列三個鍵值對。 + `"system": "http://healthlake.amazonaws.com/aws-cm/infer-icd10/"`：其中 URL 是指特定的 Amazon Comprehend Medical API 操作。在此情況下，InferICD10CM。 + `"code": "I70.0"`：其中 `A52.06`是 ICD-10-CM 程式碼，用於從疾病控制中心識別知識庫中找到的概念。 + `"display": "Atherosclerosis of aorta"`：其中 `"Other syphilitic heart involvement"`是本體中 ICD-10-CM 程式碼的長描述。 下列截斷的 JSON 回應僅包含 `code`元素。 ``` "code": { "coding": [ { "system": "http://healthlake.amazonaws.com/aws-cm/infer-icd10/", "code": "I70.0", "display": "Atherosclerosis of aorta" } ], "text": "Atherosclerosis of aorta" } ``` 若要了解模型對指派的 ICD-10-CM 程式碼是否正確的可信度，請使用 `modifierExtension`元素。 **`meta`** `meta` 元素包含中繼資料，指出`code`元素是否包含 Amazon Comprehend Medical API 操作所新增的詳細資訊。 下列截斷的 JSON 回應僅包含 `meta`元素。 ``` "meta": { "lastUpdated": "2022-10-21T19:38:30.877Z", "tag": [{ "display": "SYSTEM_GENERATED" }] } ``` **`modifierExtension`** `modifierExtension` 元素包含有關`code`元素中指定代碼之可信度層級的更多詳細資訊。它還具有索引鍵/值對，提供用於產生結果和相關 Linkage 資源類型的原始 DocumentReference 的連結。 對於每個新增的`coding`元素，您會看到 `entity-score`和 `entity-Concept-Score` 新增至 modifierExtension。對於鍵/值對中的每個值，您會看到分數。對於 `entity-score`，此分數是 Amazon Comprehend Medical 對偵測準確性的可信度。對於 `entity-Concept-Score`，此分數是 Amazon Comprehend Medical 對實體準確連結到 ICD-10-CM 概念的可信度。 下列截斷的 JSON 回應僅包含 `modifierExtension`元素。 ``` "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 JSON 回應** ``` { "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" } ``` ------ **範例 2：`DocumentReference`包含`MedicationStatement`資源類型的 ** 以下是根據病患與醫療專業人員接觸的臨床備註範例。 **合成資料** 此範例中的文字是合成內容，不包含受保護的健康資訊 (PHI)。 ``` Tom is not prescribed Advil ``` 下列索引標籤顯示如何根據資源類型，在您的 HealthLake 資料存放區中報告擷取的醫療記錄。 ------ #### [ DocumentReference ] 若要查看單一`DocumentReference`資源類型的結果，請提出 `GET`請求，其中提供特定資源`ID`的 。 ``` GET https://https://healthlake.region.amazonaws.com/datastore/datastoreId/r4/eeb8005725ae22b35b4edbdc68cf2dfd/r4/DocumentReference/c549125d-a218-421f-b8bf-23614c5e796c ``` 成功時，您會收到 `200` HTTP 回應代碼和下列截斷的 JSON 回應。 鍵/值對 `"url": "http://healthlake.amazonaws.com/system-generated-resources/"`表示其中的資源類型`extension`已由 Amazon Comprehend Medical API 操作新增。您可以查看新的`Linkage`資源類型和多個`MedicationStatement`資源。 ``` "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 ] 若要查看單一`Linkage`資源類型的結果，請提出 `GET`請求，其中提供特定資源`ID`的 。 ``` GET https://https://healthlake.region.amazonaws.com/datastore/datastoreId/r4/eeb8005725ae22b35b4edbdc68cf2dfd/r4/Linkage/394bb244-177b-4409-8657-26b20ed56dd7 ``` 成功時，您會收到 `200` HTTP 回應代碼和下列 JSON 回應。 回應包含 `item`元素。其中，鍵/值對`"type": "source"`會指出用來修改`MedicationStatement`資源類型的特定`DocumentReference`項目。 您也可以看到 `meta`元素和對應的鍵/值對 `"tag": [{"display": "SYSTEM_GENERATED"}]`，表示這些資源是由 HealthLake 建立。 ``` { "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 ] 若要查看單一`MedicationStatement`資源類型的結果，請提出 `GET`請求，其中提供特定資源`ID`的 。 ``` GET https://https://healthlake.region.amazonaws.com/datastore/datastoreId/r4/eeb8005725ae22b35b4edbdc68cf2dfd/r4/MedicationStatement/9a89b0d3-6681-45ca-9926-27951edce5c7 ``` `MedicationStatement` 資源類型是找到 Amazon Comprehend Medical InferRxNorm API 操作結果的位置。結果會修改為下列元素：`medicationCodeableConcept`、 `meta`和 `modifierExtension`。 **medicationCodeableConcept** 類型 的 元素`CodeableConcept`。若要進一步了解，請參閱 **FHIR R4 文件**[https://hl7.org/fhir/R4/datatypes.html#CodeableConcept](https://hl7.org/fhir/R4/datatypes.html#CodeableConcept)中的 。 HealthLake 會附加下列三個鍵值對。 + `"system": ""http://healthlake.amazonaws.com/aws-cm/infer-rxnorm/`：其中 URL 是指特定的 Amazon Comprehend Medical API 操作。在此情況下，InferRxNorm。 + `"code": "731533"`：其中 `731533` 是 RxNorm 概念 ID，也稱為 RxCUI。 + `"display": "ibuprofen 200 MG Oral Capsule [Advil]"`：其中 `ibuprofen 200 MG Oral Capsule [Advil]`是 RxNorm 概念的描述。 下列截斷的 JSON 回應僅包含 `MedicationStatement`元素。 ``` "medicationCodeableConcept": { "coding": [ { "system": "http://healthlake.amazonaws.com/aws-cm/infer-rxnorm/", "code": "731533", "display": "ibuprofen 200 MG Oral Capsule [Advil]" } ] } ``` **`meta`** `meta` 元素包含中繼資料，指出`code`元素是否包含 Amazon Comprehend Medical API 操作所新增的詳細資訊。 下列截斷的 JSON 回應僅包含 `meta`元素。 ``` "meta": { "lastUpdated": "2022-10-24T20:05:02.800Z", "tag": [ { "display": "SYSTEM_GENERATED" } ] } ``` **`modifierExtension`** `modifierExtension` 元素包含鍵/值對，提供用來`DocumentReference`產生結果和相關 Linkage 資源類型的原始 連結。 ``` "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" } } ] ``` ------