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{ "$schema": "http://json-schema.org/draft-07/schema#", "$id": "https://fhir-ai-hackathon-kit/schemas/search-response.json", "title": "Image Search Response", "description": "MCP tool output schema for search_medical_images with similarity scoring", "type": "object", "properties": { "query": { "type": "string", "description": "Original search query" }, "results_count": { "type": "integer", "description": "Number of results returned (may be less than total_results due to pagination)" }, "total_results": { "type": "integer", "description": "Total number of matching results (before pagination)" }, "search_mode": { "type": "string", "enum": [ "semantic", "keyword", "hybrid" ], "description": "Search mode used: semantic (NV-CLIP), keyword (fallback), or hybrid" }, "execution_time_ms": { "type": "integer", "description": "Query execution time in milliseconds" }, "cache_hit": { "type": "boolean", "description": "Whether the text embedding was retrieved from cache" }, "fallback_reason": { "type": "string", "description": "Reason for fallback to keyword search (if search_mode='keyword')", "examples": [ "NV-CLIP service unavailable", "NVIDIA_API_KEY not set", "Embedding generation failed" ] }, "avg_score": { "type": "number", "description": "Average similarity score across all results (null for keyword search)", "minimum": 0.0, "maximum": 1.0 }, "max_score": { "type": "number", "description": "Highest similarity score (null for keyword search)", "minimum": 0.0, "maximum": 1.0 }, "min_score": { "type": "number", "description": "Lowest similarity score (null for keyword search)", "minimum": 0.0, "maximum": 1.0 }, "images": { "type": "array", "description": "Array of image search results", "items": { "$ref": "#/definitions/ImageResult" } } }, "required": [ "query", "results_count", "search_mode", "images" ], "definitions": { "ImageResult": { "type": "object", "description": "Individual image search result with metadata and scoring", "properties": { "image_id": { "type": "string", "description": "Unique image identifier (DICOM filename without extension)" }, "study_id": { "type": "string", "description": "Study identifier" }, "subject_id": { "type": "string", "description": "Patient identifier (anonymized)" }, "view_position": { "type": "string", "description": "Radiographic view position", "enum": [ "PA", "AP", "LATERAL", "LL", "SWIMMERS", null ] }, "image_path": { "type": "string", "description": "Relative file system path to DICOM image" }, "similarity_score": { "type": "number", "description": "Cosine similarity score between query and image (0.0-1.0). Null for keyword search.", "minimum": 0.0, "maximum": 1.0 }, "score_color": { "type": "string", "enum": [ "green", "yellow", "gray" ], "description": "Color code for UI rendering: green (≥0.7), yellow (0.5-0.7), gray (<0.5)" }, "confidence_level": { "type": "string", "enum": [ "strong", "moderate", "weak" ], "description": "Human-readable confidence label: strong (≥0.7), moderate (0.5-0.7), weak (<0.5)" }, "description": { "type": "string", "description": "Human-readable description of the image" }, "embedding_model": { "type": "string", "description": "Model used for embedding generation", "default": "nvidia/nvclip" }, "clinical_note": { "type": "string", "description": "Associated clinical note/radiology report (P2 feature, optional)" }, "clinical_note_preview": { "type": "string", "description": "Truncated preview of clinical note (first 300 characters)" } }, "required": [ "image_id", "study_id", "subject_id", "image_path", "description" ] } }, "examples": [ { "query": "chest X-ray showing pneumonia", "results_count": 3, "total_results": 127, "search_mode": "semantic", "execution_time_ms": 1247, "cache_hit": true, "avg_score": 0.74, "max_score": 0.89, "min_score": 0.61, "images": [ { "image_id": "4b369dbe-417168fa-7e2b5f04-00582488-c50504e7", "study_id": "53819164", "subject_id": "10045779", "view_position": "PA", "image_path": "../mimic-cxr/physionet.org/files/mimic-cxr/2.1.0/files/p10/p10045779/s53819164/4b369dbe.dcm", "similarity_score": 0.89, "score_color": "green", "confidence_level": "strong", "description": "Chest X-ray (PA) for patient 10045779", "embedding_model": "nvidia/nvclip" }, { "image_id": "257cc0ad-2c02d807-720a3765-0f647de2-e356eb25", "study_id": "53819164", "subject_id": "10045779", "view_position": "LATERAL", "image_path": "../mimic-cxr/physionet.org/files/mimic-cxr/2.1.0/files/p10/p10045779/s53819164/257cc0ad.dcm", "similarity_score": 0.72, "score_color": "green", "confidence_level": "strong", "description": "Chest X-ray (LATERAL) for patient 10045779", "embedding_model": "nvidia/nvclip" } ] }, { "query": "chest X-ray", "results_count": 5, "total_results": 5, "search_mode": "keyword", "execution_time_ms": 87, "cache_hit": false, "fallback_reason": "NVIDIA_API_KEY not set", "images": [ { "image_id": "4b369dbe-417168fa-7e2b5f04-00582488-c50504e7", "study_id": "53819164", "subject_id": "10045779", "view_position": "PA", "image_path": "../mimic-cxr/physionet.org/files/mimic-cxr/2.1.0/files/p10/p10045779/s53819164/4b369dbe.dcm", "description": "Chest X-ray (PA) for patient 10045779" } ] } ] }

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