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[ aws . comprehendmedical ]

infer-icd10-cm

Description

InferICD10CM detects medical conditions as entities listed in a patient record and links those entities to normalized concept identifiers in the ICD-10-CM knowledge base from the Centers for Disease Control. Amazon Comprehend Medical only detects medical entities in English language texts.

See also: AWS API Documentation

See 'aws help' for descriptions of global parameters.

Synopsis

  infer-icd10-cm
--text <value>
[--cli-input-json <value>]
[--generate-cli-skeleton <value>]

Options

--text (string)

The input text used for analysis. The input for InferICD10CM is a string from 1 to 10000 characters.

--cli-input-json (string) Performs service operation based on the JSON string provided. The JSON string follows the format provided by --generate-cli-skeleton. If other arguments are provided on the command line, the CLI values will override the JSON-provided values. It is not possible to pass arbitrary binary values using a JSON-provided value as the string will be taken literally.

--generate-cli-skeleton (string) Prints a JSON skeleton to standard output without sending an API request. If provided with no value or the value input, prints a sample input JSON that can be used as an argument for --cli-input-json. If provided with the value output, it validates the command inputs and returns a sample output JSON for that command.

See 'aws help' for descriptions of global parameters.

Examples

Example 1: To detect medical condition entities and link to the ICD-10-CM Ontology directly from text

The following infer-icd10-cm example labels the detected medical condition entities and links those entities with codes in the 2019 edition of the International Classification of Diseases Clinical Modification (ICD-10-CM).

aws comprehendmedical infer-icd10-cm \
    --text "The patient complains of abdominal pain, has a long-standing history of diabetes treated with Micronase daily."

Output:

{
    "Entities": [
        {
            "Id": 0,
            "Text": "abdominal pain",
            "Category": "MEDICAL_CONDITION",
            "Type": "DX_NAME",
            "Score": 0.9475538730621338,
            "BeginOffset": 28,
            "EndOffset": 42,
            "Attributes": [],
            "Traits": [
                {
                    "Name": "SYMPTOM",
                    "Score": 0.6724207401275635
                }
            ],
            "ICD10CMConcepts": [
                {
                    "Description": "Unspecified abdominal pain",
                    "Code": "R10.9",
                    "Score": 0.6904221177101135
                },
                {
                    "Description": "Epigastric pain",
                    "Code": "R10.13",
                    "Score": 0.1364113688468933
                },
                {
                    "Description": "Generalized abdominal pain",
                    "Code": "R10.84",
                    "Score": 0.12508003413677216
                },
                {
                    "Description": "Left lower quadrant pain",
                    "Code": "R10.32",
                    "Score": 0.10063883662223816
                },
                {
                    "Description": "Lower abdominal pain, unspecified",
                    "Code": "R10.30",
                    "Score": 0.09933677315711975
                }
            ]
        },
        {
            "Id": 1,
            "Text": "diabetes",
            "Category": "MEDICAL_CONDITION",
            "Type": "DX_NAME",
            "Score": 0.9899052977561951,
            "BeginOffset": 75,
            "EndOffset": 83,
            "Attributes": [],
            "Traits": [
                {
                    "Name": "DIAGNOSIS",
                    "Score": 0.9258432388305664
                }
            ],
            "ICD10CMConcepts": [
                {
                    "Description": "Type 2 diabetes mellitus without complications",
                    "Code": "E11.9",
                    "Score": 0.7158446311950684
                },
                {
                    "Description": "Family history of diabetes mellitus",
                    "Code": "Z83.3",
                    "Score": 0.5704703330993652
                },
                {
                    "Description": "Family history of other endocrine, nutritional and metabolic diseases",
                    "Code": "Z83.49",
                    "Score": 0.19856023788452148
                },
                {
                    "Description": "Type 1 diabetes mellitus with ketoacidosis without coma",
                    "Code": "E10.10",
                    "Score": 0.13285516202449799
                },
                {
                    "Description": "Type 2 diabetes mellitus with hyperglycemia",
                    "Code": "E11.65",
                    "Score": 0.0993388369679451
                }
            ]
        }
    ],
    "ModelVersion": "0.1.0"
}

For more information, see Infer ICD10-CM in the Amazon Comprehend Medical Developer Guide.

Example 2: To detect medical condition entities and link to the ICD-10-CM Ontology from a file pathway

The following infer-icd-10-cm example labels the detected medical condition entities and links those entities with codes in the 2019 edition of the International Classification of Diseases Clinical Modification (ICD-10-CM).

aws comprehendmedical infer-icd10-cm \
    --text file://icd10cm.txt

Contents of icd10cm.txt:

{
    "The patient complains of abdominal pain, has a long-standing history of diabetes treated with Micronase daily."
}

Output:

{
    "Entities": [
        {
            "Id": 0,
            "Text": "abdominal pain",
            "Category": "MEDICAL_CONDITION",
            "Type": "DX_NAME",
            "Score": 0.9475538730621338,
            "BeginOffset": 28,
            "EndOffset": 42,
            "Attributes": [],
            "Traits": [
                {
                    "Name": "SYMPTOM",
                    "Score": 0.6724207401275635
                }
            ],
            "ICD10CMConcepts": [
                {
                    "Description": "Unspecified abdominal pain",
                    "Code": "R10.9",
                    "Score": 0.6904221177101135
                },
                {
                    "Description": "Epigastric pain",
                    "Code": "R10.13",
                    "Score": 0.1364113688468933
                },
                {
                    "Description": "Generalized abdominal pain",
                    "Code": "R10.84",
                    "Score": 0.12508003413677216
                },
                {
                    "Description": "Left lower quadrant pain",
                    "Code": "R10.32",
                    "Score": 0.10063883662223816
                },
                {
                    "Description": "Lower abdominal pain, unspecified",
                    "Code": "R10.30",
                    "Score": 0.09933677315711975
                }
            ]
        },
        {
            "Id": 1,
            "Text": "diabetes",
            "Category": "MEDICAL_CONDITION",
            "Type": "DX_NAME",
            "Score": 0.9899052977561951,
            "BeginOffset": 75,
            "EndOffset": 83,
            "Attributes": [],
            "Traits": [
                {
                    "Name": "DIAGNOSIS",
                    "Score": 0.9258432388305664
                }
            ],
            "ICD10CMConcepts": [
                {
                    "Description": "Type 2 diabetes mellitus without complications",
                    "Code": "E11.9",
                    "Score": 0.7158446311950684
                },
                {
                    "Description": "Family history of diabetes mellitus",
                    "Code": "Z83.3",
                    "Score": 0.5704703330993652
                },
                {
                    "Description": "Family history of other endocrine, nutritional and metabolic diseases",
                    "Code": "Z83.49",
                    "Score": 0.19856023788452148
                },
                {
                    "Description": "Type 1 diabetes mellitus with ketoacidosis without coma",
                    "Code": "E10.10",
                    "Score": 0.13285516202449799
                },
                {
                    "Description": "Type 2 diabetes mellitus with hyperglycemia",
                    "Code": "E11.65",
                    "Score": 0.0993388369679451
                }
            ]
        }
    ],
    "ModelVersion": "0.1.0"
}

For more information, see Infer-ICD10-CM in the Amazon Comprehend Medical Developer Guide.

Output

Entities -> (list)

The medical conditions detected in the text linked to ICD-10-CM concepts. If the action is successful, the service sends back an HTTP 200 response, as well as the entities detected.

(structure)

The collection of medical entities extracted from the input text and their associated information. For each entity, the response provides the entity text, the entity category, where the entity text begins and ends, and the level of confidence that Amazon Comprehend Medical has in the detection and analysis. Attributes and traits of the entity are also returned.

Id -> (integer)

The numeric identifier for the entity. This is a monotonically increasing id unique within this response rather than a global unique identifier.

Text -> (string)

The segment of input text that is matched to the detected entity.

Category -> (string)

The category of the entity. InferICD10CM detects entities in the MEDICAL_CONDITION category.

Type -> (string)

Describes the specific type of entity with category of entities. InferICD10CM detects entities of the type DX_NAME .

Score -> (float)

The level of confidence that Amazon Comprehend Medical has in the accuracy of the detection.

BeginOffset -> (integer)

The 0-based character offset in the input text that shows where the entity begins. The offset returns the UTF-8 code point in the string.

EndOffset -> (integer)

The 0-based character offset in the input text that shows where the entity ends. The offset returns the UTF-8 code point in the string.

Attributes -> (list)

The detected attributes that relate to the entity. An extracted segment of the text that is an attribute of an entity, or otherwise related to an entity, such as the nature of a medical condition.

(structure)

The detected attributes that relate to an entity. This includes an extracted segment of the text that is an attribute of an entity, or otherwise related to an entity. InferICD10CM detects the following attributes: Direction , System, Organ or Site , and Acuity .

Type -> (string)

The type of attribute. InferICD10CM detects entities of the type DX_NAME .

Score -> (float)

The level of confidence that Amazon Comprehend Medical has that the segment of text is correctly recognized as an attribute.

RelationshipScore -> (float)

The level of confidence that Amazon Comprehend Medical has that this attribute is correctly related to this entity.

Id -> (integer)

The numeric identifier for this attribute. This is a monotonically increasing id unique within this response rather than a global unique identifier.

BeginOffset -> (integer)

The 0-based character offset in the input text that shows where the attribute begins. The offset returns the UTF-8 code point in the string.

EndOffset -> (integer)

The 0-based character offset in the input text that shows where the attribute ends. The offset returns the UTF-8 code point in the string.

Text -> (string)

The segment of input text which contains the detected attribute.

Traits -> (list)

The contextual information for the attribute. The traits recognized by InferICD10CM are DIAGNOSIS , SIGN , SYMPTOM , and NEGATION .

(structure)

Contextual information for the entity. The traits recognized by InferICD10CM are DIAGNOSIS , SIGN , SYMPTOM , and NEGATION .

Name -> (string)

Provides a name or contextual description about the trait.

Score -> (float)

The level of confidence that Amazon Comprehend Medical has that the segment of text is correctly recognized as a trait.

Traits -> (list)

Provides Contextual information for the entity. The traits recognized by InferICD10CM are DIAGNOSIS , SIGN , SYMPTOM , and NEGATION.

(structure)

Contextual information for the entity. The traits recognized by InferICD10CM are DIAGNOSIS , SIGN , SYMPTOM , and NEGATION .

Name -> (string)

Provides a name or contextual description about the trait.

Score -> (float)

The level of confidence that Amazon Comprehend Medical has that the segment of text is correctly recognized as a trait.

ICD10CMConcepts -> (list)

The ICD-10-CM concepts that the entity could refer to, along with a score indicating the likelihood of the match.

(structure)

The ICD-10-CM concepts that the entity could refer to, along with a score indicating the likelihood of the match.

Description -> (string)

The long description of the ICD-10-CM code in the ontology.

Code -> (string)

The ICD-10-CM code that identifies the concept found in the knowledge base from the Centers for Disease Control.

Score -> (float)

The level of confidence that Amazon Comprehend Medical has that the entity is accurately linked to an ICD-10-CM concept.

PaginationToken -> (string)

If the result of the previous request to InferICD10CM was truncated, include the PaginationToken to fetch the next page of medical condition entities.

ModelVersion -> (string)

The version of the model used to analyze the documents, in the format n .*n* .*n* You can use this information to track the model used for a particular batch of documents.