Evaluation of the hierarchy attribute extraction pipeline¶

Here we evaluate the performance of Step 2 of the Ariadne pipeline: extracting SNOMED CT hierarchy attributes for medical terms.

The pipeline:

1. Retrieves similar reference SNOMED terms (few-shot examples)
2. Uses an LLM to extract attribute components from the medical term
3. Retrieves candidate concepts for each extracted component via vector search
4. Uses an LLM to select the best candidate for each attribute

Setup¶

Before running this notebook, make sure the environment is set up as described in the README. This includes:

• Credentials for a database with the OHDSI Vocabulary loaded (including snomed_attribute and snomed_reference tables) If you need to recreate these two tables, please run /sandbox/build_pg_indexes_attributes.py
• Credentials for the LLM API
• A config.yaml with the hierarchy prompts configured

All results will be stored in the data/notebook_results folder. Most code blocks will load results from file if they already exist, to save time and costs. Delete those files to rerun the corresponding steps.

In [2]:

import json
import os
from pathlib import Path

import pandas as pd
from dotenv import load_dotenv

project_root = Path.cwd().parent.parent
load_dotenv()

from ariadne.utils.config import load_hierarchy_settings

cfg = load_hierarchy_settings(project_root / "config_condition_mapping.yaml")
print(f"Extraction model: {cfg.models.extraction}")
print(f"Selection model: {cfg.models.selection}")
print(f"Reference examples: {cfg.retrieval.num_reference_examples}")
print(f"Top-k per category: {cfg.retrieval.top_k_per_category}")

import json import os from pathlib import Path import pandas as pd from dotenv import load_dotenv project_root = Path.cwd().parent.parent load_dotenv() from ariadne.utils.config import load_hierarchy_settings cfg = load_hierarchy_settings(project_root / "config_condition_mapping.yaml") print(f"Extraction model: {cfg.models.extraction}") print(f"Selection model: {cfg.models.selection}") print(f"Reference examples: {cfg.retrieval.num_reference_examples}") print(f"Top-k per category: {cfg.retrieval.top_k_per_category}")

Extraction model: o3
Selection model: o3
Reference examples: 5
Top-k per category: 20

Gold standard¶

We use the hierarchy attributes gold standard file. Each row maps a source concept to an expected SNOMED attribute (e.g. finding site, associated morphology).

This gold standard contains the following columns:

• concept_id_1: the concept ID of the source term
• concept_name_1: the source term text
• concept_id_2: the concept ID of the expected attribute value (e.g. a finding site concept)
• concept_code_2: the concept code of the expected attribute value (e.g. a finding site concept)
• concept_name_2: the name of the expected attribute value
• attribute_category: the SNOMED relationship type (e.g. Has finding site, Has asso morph, Has causative agent)

In [3]:

attribute_gs_path = project_root / "data" / "gold_standards" / "hierarchy_attributes_snomed_gs.csv"
# Alternative: use unmatched terms from the exact matching pipeline (Step 1)
# attribute_gs_path = project_root / "data" / "notebook_results" / "exact_matching_vector_search_results.csv"

attribute_gs = pd.read_csv(attribute_gs_path)

# If using exact_matching_vector_search_results.csv, filter to unmatched terms only:
# attribute_gs = attribute_gs[attribute_gs["mapped_concept_id"] == -1]

print(f"Attribute GS: {len(attribute_gs)} rows")
unique_terms = attribute_gs[["concept_id_1", "concept_name_1"]].drop_duplicates()
print(f"Unique terms: {len(unique_terms)}")
attribute_gs.head(10)

attribute_gs_path = project_root / "data" / "gold_standards" / "hierarchy_attributes_snomed_gs.csv" # Alternative: use unmatched terms from the exact matching pipeline (Step 1) # attribute_gs_path = project_root / "data" / "notebook_results" / "exact_matching_vector_search_results.csv" attribute_gs = pd.read_csv(attribute_gs_path) # If using exact_matching_vector_search_results.csv, filter to unmatched terms only: # attribute_gs = attribute_gs[attribute_gs["mapped_concept_id"] == -1] print(f"Attribute GS: {len(attribute_gs)} rows") unique_terms = attribute_gs[["concept_id_1", "concept_name_1"]].drop_duplicates() print(f"Unique terms: {len(unique_terms)}") attribute_gs.head(10)

Attribute GS: 886 rows
Unique terms: 340

Out[3]:

	concept_id_1	concept_name_1	concept_id_2	concept_code_2	concept_name_2	attribute_category
0	22274	Neoplasm of uncertain behavior of larynx	4262229	4596009	Laryngeal structure	Has finding site
1	22274	Neoplasm of uncertain behavior of larynx	4313421	86251006	Neoplasm of uncertain behavior	Has asso morph
2	22281	Sickle cell-hemoglobin SS disease	4083207	281300000	Below reference range	Has interpretation
3	22281	Sickle cell-hemoglobin SS disease	4116830	255399007	Congenital	Has occurrence
4	22281	Sickle cell-hemoglobin SS disease	4177967	49938009	Drepanocyte	Has asso morph
5	22281	Sickle cell-hemoglobin SS disease	4178879	50095005	Hemoglobin S	Has causative agent
6	22281	Sickle cell-hemoglobin SS disease	4218976	41898006	Erythrocyte	Has finding site
7	22281	Sickle cell-hemoglobin SS disease	40480067	441689006	Measurement of total hemoglobin concentration	Has interprets
8	22288	Hereditary elliptocytosis	4030871	14089001	Red blood cell count	Has interprets
9	22288	Hereditary elliptocytosis	4083207	281300000	Below reference range	Has interpretation

Run the hierarchy attribute extraction pipeline¶

We use process_gold_standard from the evaluator module, which:

1. Iterates over each unique term in the gold standard
2. Runs the four-step attribute extraction pipeline (find_attributes_two_stage)
3. Supports checkpointing (resumes from where it left off if interrupted)

In [6]:

import logging
logging.basicConfig(level=logging.INFO, format="%(asctime)s  %(message)s")

from ariadne.hierarchy.evaluator import process_gold_standard
from ariadne.hierarchy.evaluator import _build_prediction_rows
from ariadne.hierarchy.searchers import SnomedAttributeSearcher, SnomedReferenceSearcher

raw_results_file = project_root / "data" / "notebook_results" / "hierarchy_results_raw.json"

if raw_results_file.exists():
    with open(raw_results_file, "r") as f:
        results = json.load(f)
    print(f"Loaded {len(results)} cached results from file.")
else:
    # Exclude gold standard terms from reference examples to prevent data leakage
    gs_concept_ids = set(attribute_gs["concept_id_1"].unique())
    with SnomedAttributeSearcher(cfg=cfg) as attr_idx, \
         SnomedReferenceSearcher(cfg=cfg, exclude_concept_ids=gs_concept_ids) as ref_idx:
        results = process_gold_standard(
            str(attribute_gs_path),
            attr_idx,
            reference_index=ref_idx,
            cfg=cfg,
            max_workers=8,  
        )
    # Save raw results for debugging
    with open(raw_results_file, "w") as f:
        json.dump(results, f, indent=2, default=str)
    print(f"Processed {len(results)} terms. Results saved.")

total_cost = sum(r.get("cost", {}).get("total_cost", 0.0) for r in results if "cost" in r)
print(f"Total API cost: ${total_cost:.4f}")

# Save flat predictions CSV (one row per attribute) — input for RF2 export
results_df = pd.DataFrame(_build_prediction_rows(results))
results_df.to_csv(project_root / "data" / "notebook_results" / "attribute_results.csv", index=False)
print(f"Saved {len(results_df)} attribute rows to attribute_results.csv")
print(f"Columns: {results_df.columns.tolist()}")
results_df.head(10)

import logging logging.basicConfig(level=logging.INFO, format="%(asctime)s %(message)s") from ariadne.hierarchy.evaluator import process_gold_standard from ariadne.hierarchy.evaluator import _build_prediction_rows from ariadne.hierarchy.searchers import SnomedAttributeSearcher, SnomedReferenceSearcher raw_results_file = project_root / "data" / "notebook_results" / "hierarchy_results_raw.json" if raw_results_file.exists(): with open(raw_results_file, "r") as f: results = json.load(f) print(f"Loaded {len(results)} cached results from file.") else: # Exclude gold standard terms from reference examples to prevent data leakage gs_concept_ids = set(attribute_gs["concept_id_1"].unique()) with SnomedAttributeSearcher(cfg=cfg) as attr_idx, \ SnomedReferenceSearcher(cfg=cfg, exclude_concept_ids=gs_concept_ids) as ref_idx: results = process_gold_standard( str(attribute_gs_path), attr_idx, reference_index=ref_idx, cfg=cfg, max_workers=8, ) # Save raw results for debugging with open(raw_results_file, "w") as f: json.dump(results, f, indent=2, default=str) print(f"Processed {len(results)} terms. Results saved.") total_cost = sum(r.get("cost", {}).get("total_cost", 0.0) for r in results if "cost" in r) print(f"Total API cost: ${total_cost:.4f}") # Save flat predictions CSV (one row per attribute) — input for RF2 export results_df = pd.DataFrame(_build_prediction_rows(results)) results_df.to_csv(project_root / "data" / "notebook_results" / "attribute_results.csv", index=False) print(f"Saved {len(results_df)} attribute rows to attribute_results.csv") print(f"Columns: {results_df.columns.tolist()}") results_df.head(10)

2026-05-05 07:59:32,917  SnomedReferenceSearcher: excluding 339 concept IDs from results.
2026-05-05 07:59:32,925  Processing 340 terms from E:\git\Ariadne\data\gold_standards\hierarchy_attributes_snomed_gs.csv
2026-05-05 07:59:32,926  Models: extraction=o3, selection=o3 | workers=8
2026-05-05 07:59:32,929  Resuming from checkpoint: 115 terms already done
2026-05-05 07:59:33,169  Step 1: Retrieving reference examples...
2026-05-05 07:59:33,191  Step 1: Retrieving reference examples...
2026-05-05 07:59:33,212  Step 1: Retrieving reference examples...
2026-05-05 07:59:33,220  Step 1: Retrieving reference examples...
2026-05-05 07:59:33,242  Step 1: Retrieving reference examples...
2026-05-05 07:59:33,248  Step 1: Retrieving reference examples...
2026-05-05 07:59:33,253  Step 1: Retrieving reference examples...
2026-05-05 07:59:33,263  Step 1: Retrieving reference examples...
2026-05-05 07:59:34,050  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 07:59:34,115  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 07:59:34,174  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 07:59:34,222  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 07:59:34,250  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 07:59:34,250  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 07:59:34,310  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 07:59:34,325  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 07:59:36,644    Reference: Hyperplasia of tonsils (similarity: 0.871)
2026-05-05 07:59:36,645    Reference: Hypertrophy of thymus (similarity: 0.678)
2026-05-05 07:59:36,647    Reference: Inflamed tonsils (similarity: 0.673)
2026-05-05 07:59:36,649    Reference: Hypertrophy of nasal turbinates (similarity: 0.665)
2026-05-05 07:59:36,654    Reference: Gigantism and acromegaly (similarity: 1.000)
2026-05-05 07:59:36,672    Reference: Normal sized tonsils (similarity: 0.663)
2026-05-05 07:59:36,674    Reference: Familial infantile gigantism (similarity: 0.630)
2026-05-05 07:59:36,677  Step 2: Inferring attributes...
2026-05-05 07:59:36,679    Reference: Overproduction of growth hormone (similarity: 0.580)
2026-05-05 07:59:36,684    Reference: Gonadotrophin hypersecretion (similarity: 0.487)
2026-05-05 07:59:36,686    Reference: Adult growth hormone deficiency (similarity: 0.479)
2026-05-05 07:59:36,688  Step 2: Inferring attributes...
2026-05-05 07:59:36,692    Reference: Idiopathic panhypopituitarism (similarity: 0.604)
2026-05-05 07:59:36,693    Reference: Prepuberal panhypopituitarism (similarity: 0.602)
2026-05-05 07:59:36,694    Reference: Congenital anomaly of pituitary gland (similarity: 0.586)
2026-05-05 07:59:36,695    Reference: Disorder of posterior pituitary (similarity: 0.585)
2026-05-05 07:59:36,696    Reference: Virilizing syndrome of adrenal origin (similarity: 0.577)
2026-05-05 07:59:36,697  Step 2: Inferring attributes...
2026-05-05 07:59:36,701    Reference: Normal salivary gland (similarity: 0.681)
2026-05-05 07:59:36,703    Reference: Hypertrophy of thymus (similarity: 0.671)
2026-05-05 07:59:36,704    Reference: Mass of salivary gland (similarity: 0.643)
2026-05-05 07:59:36,705    Reference: Abnormal salivary secretion (similarity: 0.642)
2026-05-05 07:59:36,707    Reference: Pleomorphic adenoma of parotid gland (similarity: 0.631)
2026-05-05 07:59:36,708  Step 2: Inferring attributes...
2026-05-05 07:59:36,717    Reference: Fistula of salivary gland (similarity: 1.000)
2026-05-05 07:59:36,718    Reference: Congenital salivary gland fistula (similarity: 0.823)
2026-05-05 07:59:36,719    Reference: Tear of salivary duct (similarity: 0.682)
2026-05-05 07:59:36,720    Reference: Salivary gland hematoma (similarity: 0.625)
2026-05-05 07:59:36,721    Reference: Normal salivary gland (similarity: 0.620)
2026-05-05 07:59:36,722    Reference: Overlapping malignant neoplasm of palate (similarity: 0.789)
2026-05-05 07:59:36,725  Step 2: Inferring attributes...
2026-05-05 07:59:36,727    Reference: Overlapping malignant neoplasm of tongue (similarity: 0.766)
2026-05-05 07:59:36,727    Reference: Acute bacterial pharyngitis (similarity: 0.682)
2026-05-05 07:59:36,731    Reference: Overlapping malignant neoplasm of nasopharynx (similarity: 0.759)
2026-05-05 07:59:36,733    Reference: Acquired hemolytic anemia (similarity: 0.707)
2026-05-05 07:59:36,733    Reference: Chronic sore throat (similarity: 0.652)
2026-05-05 07:59:36,734    Reference: Overlapping malignant neoplasm of multiple endocrine glands (similarity: 0.747)
2026-05-05 07:59:36,735    Reference: Hereditary elliptocytosis (similarity: 0.690)
2026-05-05 07:59:36,736    Reference: Staphylococcal scarlatina (similarity: 0.604)
2026-05-05 07:59:36,736    Reference: Primary overlapping malignant neoplasm of nasopharynx (similarity: 0.707)
2026-05-05 07:59:36,737    Reference: Intracorpuscular hemolytic anemia (similarity: 0.686)
2026-05-05 07:59:36,738    Reference: Acute follicular tonsillitis (similarity: 0.586)
2026-05-05 07:59:36,740  Step 2: Inferring attributes...
2026-05-05 07:59:36,741    Reference: Hereditary hemochromatosis (similarity: 0.650)
2026-05-05 07:59:36,741    Reference: Acute phlegmonous pharyngitis (similarity: 0.580)
2026-05-05 07:59:36,744    Reference: Secondary warm-type hemolytic anemia (similarity: 0.649)
2026-05-05 07:59:36,745  Step 2: Inferring attributes...
2026-05-05 07:59:36,746  Step 2: Inferring attributes...
2026-05-05 07:59:39,394  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 07:59:39,396    Inferred: {
  "associated_morphology": [
    "Hypertrophy (morphologic abnormality)"
  ],
  "finding_site": [
    "Salivary gland structure"
  ]
}
2026-05-05 07:59:39,396  Step 3: Retrieving candidates...
2026-05-05 07:59:39,629  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 07:59:39,631    Inferred: {
  "associated_morphology": [
    "Fistula"
  ],
  "finding_site": [
    "Salivary gland structure"
  ]
}
2026-05-05 07:59:39,631  Step 3: Retrieving candidates...
2026-05-05 07:59:39,779  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 07:59:39,831    associated_morphology: added 3 values from reference examples
2026-05-05 07:59:40,154  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 07:59:40,197    associated_morphology: added 6 values from reference examples
2026-05-05 07:59:41,380  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 07:59:41,382    Inferred: {
  "associated_morphology": [
    "malignant neoplasm"
  ],
  "finding_site": [
    "major salivary gland structure"
  ]
}
2026-05-05 07:59:41,382  Step 3: Retrieving candidates...
2026-05-05 07:59:41,796  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 07:59:41,841    associated_morphology: added 4 values from reference examples
2026-05-05 07:59:42,119  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 07:59:42,121    Inferred: {
  "associated_morphology": [
    "Hypertrophy"
  ],
  "finding_site": [
    "Palatine tonsillar structure"
  ]
}
2026-05-05 07:59:42,122  Step 3: Retrieving candidates...
2026-05-05 07:59:42,541  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 07:59:42,587    associated_morphology: added 3 values from reference examples
2026-05-05 07:59:43,440  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 07:59:43,443    Inferred: {
  "finding_site": [
    "Structure of distal part of pituitary gland"
  ],
  "interprets_interpretation": [
    {
      "interprets": "Hormone production",
      "interpretation": "Increased"
    },
    {
      "interprets": "Height / growth measure",
      "interpretation": "Increased"
    }
  ],
  "pathological_process": [
    "Pathological developmental process"
  ]
}
2026-05-05 07:59:43,443  Step 3: Retrieving candidates...
2026-05-05 07:59:44,061  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 07:59:44,211    finding_site: added 1 values from reference examples
2026-05-05 07:59:44,611    finding_site: added 2 hierarchy neighbors
2026-05-05 07:59:44,612    finding_site: top match = Structure of distal part of pituitary (score: 0.9710226449680142)
2026-05-05 07:59:44,726  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 07:59:44,727    Inferred: {
  "finding_site": [
    "Diencephalon structure",
    "Pituitary gland structure"
  ]
}
2026-05-05 07:59:44,728  Step 3: Retrieving candidates...
2026-05-05 07:59:44,873    associated_morphology: added 202 hierarchy neighbors
2026-05-05 07:59:44,875    associated_morphology: top match = Malignant neoplasm (score: 0.9205468835571757)
2026-05-05 07:59:44,876    finding_site: added 5 values from reference examples
2026-05-05 07:59:45,111    interprets: added 4 hierarchy neighbors
2026-05-05 07:59:45,112    interprets: top match = Hormone production (score: 0.99999898942837)
2026-05-05 07:59:45,133  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 07:59:45,194    finding_site: added 4 values from reference examples
2026-05-05 07:59:45,534    associated_morphology: added 32 hierarchy neighbors
2026-05-05 07:59:45,535    associated_morphology: top match = Fistula (score: 0.9999991950652223)
2026-05-05 07:59:45,537    finding_site: added 2 values from reference examples
2026-05-05 07:59:45,912    associated_morphology: added 49 hierarchy neighbors
2026-05-05 07:59:45,913    associated_morphology: top match = Morphologically abnormal structure (score: 0.6448158895857704)
2026-05-05 07:59:45,915    finding_site: added 3 values from reference examples
2026-05-05 07:59:46,028    finding_site: added 9 hierarchy neighbors
2026-05-05 07:59:46,029    finding_site: top match = Salivary gland structure (score: 0.9999987385935064)
2026-05-05 07:59:46,030  Step 4: Selecting best matches...
2026-05-05 07:59:46,299    finding_site: added 14 hierarchy neighbors
2026-05-05 07:59:46,300    finding_site: top match = Structure of diencephalon (score: 0.8587521865420827)
2026-05-05 07:59:46,301  Step 4: Selecting best matches...
2026-05-05 07:59:46,723    interpretation: added 3 hierarchy neighbors
2026-05-05 07:59:46,724    interpretation: top match = Increased (score: 0.9999983108366551)
2026-05-05 07:59:47,425    finding_site: added 17 hierarchy neighbors
2026-05-05 07:59:47,426    finding_site: top match = Salivary gland structure (score: 0.9999986789587698)
2026-05-05 07:59:47,427  Step 4: Selecting best matches...
2026-05-05 07:59:47,935    finding_site: added 30 hierarchy neighbors
2026-05-05 07:59:47,936    finding_site: top match = Major salivary gland structure (score: 0.9628336498812555)
2026-05-05 07:59:47,937  Step 4: Selecting best matches...
2026-05-05 07:59:47,943  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 07:59:47,945    Inferred: {
  "associated_morphology": [
    "Inflammation"
  ],
  "finding_site": [
    "Pharyngeal structure"
  ],
  "causative_agent": [
    "Streptococcus species"
  ],
  "pathological_process": [
    "Infectious process"
  ]
}
2026-05-05 07:59:47,946  Step 3: Retrieving candidates...
2026-05-05 07:59:48,342    associated_morphology: added 84 hierarchy neighbors
2026-05-05 07:59:48,343    associated_morphology: top match = Hypertrophy (score: 0.9999988554966208)
2026-05-05 07:59:48,344    finding_site: added 2 values from reference examples
2026-05-05 07:59:48,637  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 07:59:48,711    associated_morphology: added 5 values from reference examples
2026-05-05 07:59:48,806  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 07:59:48,815  Total cost: $0.0191
2026-05-05 07:59:48,818  [116/340] Fistula of salivary gland — cost: $0.0191 | total: $0.0191
2026-05-05 07:59:48,867    finding_site: added 14 hierarchy neighbors
2026-05-05 07:59:48,868    finding_site: top match = Palatine tonsillar structure (score: 0.9999990617078988)
2026-05-05 07:59:48,869  Step 4: Selecting best matches...
2026-05-05 07:59:48,960  Step 1: Retrieving reference examples...
2026-05-05 07:59:49,290    associated_morphology: added 63 hierarchy neighbors
2026-05-05 07:59:49,291    associated_morphology: top match = Inflammation (score: 0.9999988748630455)
2026-05-05 07:59:49,293    finding_site: added 2 values from reference examples
2026-05-05 07:59:49,406  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 07:59:49,584    pathological_process: top match = Pathological developmental process (score: 0.9999989868487922)
2026-05-05 07:59:49,586  Step 4: Selecting best matches...
2026-05-05 07:59:49,795    Reference: Benign neoplasm of carotid body (similarity: 0.853)
2026-05-05 07:59:49,796    Reference: Neoplasm of carotid body (similarity: 0.776)
2026-05-05 07:59:49,797    Reference: Neoplasm of para-aortic body (similarity: 0.746)
2026-05-05 07:59:49,798    Reference: Benign neoplasm of endocrine gland (similarity: 0.710)
2026-05-05 07:59:49,798    Reference: Benign neoplasm of thymus (similarity: 0.707)
2026-05-05 07:59:49,799  Step 2: Inferring attributes...
2026-05-05 07:59:51,549  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 07:59:51,555  Total cost: $0.0202
2026-05-05 07:59:51,557  [117/340] Hypertrophy of salivary gland — cost: $0.0202 | total: $0.0393
2026-05-05 07:59:51,683  Step 1: Retrieving reference examples...
2026-05-05 07:59:51,771  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 07:59:51,776  Total cost: $0.0228
2026-05-05 07:59:51,778  [118/340] Syndrome of diencephalo-hypophyseal origin — cost: $0.0228 | total: $0.0621
2026-05-05 07:59:51,912  Step 1: Retrieving reference examples...
2026-05-05 07:59:52,152    finding_site: added 22 hierarchy neighbors
2026-05-05 07:59:52,153    finding_site: top match = Pharyngeal structure (score: 0.999998940934078)
2026-05-05 07:59:52,155    causative_agent: added 3 values from reference examples
2026-05-05 07:59:52,212  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 07:59:52,321  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 07:59:52,602    Reference: Esophageal varices due to cirrhosis of liver (similarity: 0.714)
2026-05-05 07:59:52,603    Reference: Esophageal bleeding due to ulcerative esophagitis (similarity: 0.690)
2026-05-05 07:59:52,604    Reference: Oral varices (similarity: 0.676)
2026-05-05 07:59:52,605    Reference: Duodenal varices (similarity: 0.675)
2026-05-05 07:59:52,606    Reference: Esophageal varices associated with another disorder (similarity: 0.635)
2026-05-05 07:59:52,606  Step 2: Inferring attributes...
2026-05-05 07:59:52,711    causative_agent: added 10 hierarchy neighbors
2026-05-05 07:59:52,712    causative_agent: top match = Streptococcus (score: 0.772322131950105)
2026-05-05 07:59:52,730    Reference: Duodenal candidosis (similarity: 0.678)
2026-05-05 07:59:52,731    Reference: Neonatal candidiasis of intestine (similarity: 0.656)
2026-05-05 07:59:52,731    Reference: Acute oral pseudomembraneous candidiasis (similarity: 0.648)
2026-05-05 07:59:52,732    Reference: Candidal proctitis (similarity: 0.625)
2026-05-05 07:59:52,732    Reference: Ulcer of esophagus (similarity: 0.624)
2026-05-05 07:59:52,734  Step 2: Inferring attributes...
2026-05-05 07:59:54,253  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 07:59:54,260  Total cost: $0.0247
2026-05-05 07:59:54,262  [119/340] Hypertrophy of tonsils — cost: $0.0247 | total: $0.0868
2026-05-05 07:59:54,395  Step 1: Retrieving reference examples...
2026-05-05 07:59:54,541    pathological_process: added 1 hierarchy neighbors
2026-05-05 07:59:54,543    pathological_process: top match = Infectious process (score: 0.9999989174924272)
2026-05-05 07:59:54,544  Step 4: Selecting best matches...
2026-05-05 07:59:54,906  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 07:59:55,069  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 07:59:55,071    Inferred: {
  "interprets_interpretation": [
    {
      "interprets": "Hemolysis",
      "interpretation": "Present"
    },
    {
      "interprets": "Red blood cell count",
      "interpretation": "Below reference range"
    }
  ],
  "occurrence": [
    "Congenital"
  ]
}
2026-05-05 07:59:55,072  Step 3: Retrieving candidates...
2026-05-05 07:59:55,279    Reference: Sialoadenitis (similarity: 1.000)
2026-05-05 07:59:55,279    Reference: Chronic sialadenitis (similarity: 0.704)
2026-05-05 07:59:55,280    Reference: Sialolithiasis (similarity: 0.629)
2026-05-05 07:59:55,281    Reference: Chronic sclerosing sialadenitis (similarity: 0.591)
2026-05-05 07:59:55,281    Reference: Parotitis (similarity: 0.588)
2026-05-05 07:59:55,283  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 07:59:55,284  Step 2: Inferring attributes...
2026-05-05 07:59:55,285    Inferred: {
  "associated_morphology": [
    "Neoplasm, benign"
  ],
  "finding_site": [
    "Aortic body structure"
  ]
}
2026-05-05 07:59:55,288  Step 3: Retrieving candidates...
2026-05-05 07:59:55,549  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 07:59:55,665    interprets: added 2 values from reference examples
2026-05-05 07:59:55,743  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 07:59:55,786    associated_morphology: added 2 values from reference examples
2026-05-05 07:59:56,241    interprets: added 7 hierarchy neighbors
2026-05-05 07:59:56,242    interprets: top match = Hemolysis (score: 0.9999990678201244)
2026-05-05 07:59:56,740    associated_morphology: added 103 hierarchy neighbors
2026-05-05 07:59:56,741    associated_morphology: top match = Neoplasm, benign (score: 0.9999984894043785)
2026-05-05 07:59:56,744    finding_site: added 5 values from reference examples
2026-05-05 07:59:57,053    interpretation: added 10 hierarchy neighbors
2026-05-05 07:59:57,054    interpretation: top match = Present (score: 0.9999986359218799)
2026-05-05 07:59:57,056    occurrence: added 2 values from reference examples
2026-05-05 07:59:57,354  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 07:59:57,360  Total cost: $0.0273
2026-05-05 07:59:57,362  [120/340] Gigantism and acromegaly — cost: $0.0273 | total: $0.1141
2026-05-05 07:59:57,367  Checkpoint saved (120 terms)
2026-05-05 07:59:57,388    finding_site: added 15 hierarchy neighbors
2026-05-05 07:59:57,390    finding_site: top match = Aortic body (score: 0.8621183444431612)
2026-05-05 07:59:57,392  Step 4: Selecting best matches...
2026-05-05 07:59:57,586  Step 1: Retrieving reference examples...
2026-05-05 07:59:58,113  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 07:59:58,282    occurrence: added 5 hierarchy neighbors
2026-05-05 07:59:58,283    occurrence: top match = Congenital (score: 0.999998706873204)
2026-05-05 07:59:58,284  Step 4: Selecting best matches...
2026-05-05 07:59:58,841    Reference: Acute oral pseudomembraneous candidiasis (similarity: 0.709)
2026-05-05 07:59:58,842    Reference: Chronic nodular oral candidiasis (similarity: 0.649)
2026-05-05 07:59:58,842    Reference: Neonatal candidiasis of intestine (similarity: 0.649)
2026-05-05 07:59:58,843    Reference: Neonatal mucocutaneous infection caused by Candida (similarity: 0.637)
2026-05-05 07:59:58,844    Reference: Duodenal candidosis (similarity: 0.622)
2026-05-05 07:59:58,844  Step 2: Inferring attributes...
2026-05-05 07:59:58,861  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 07:59:58,862    Inferred: {
  "associated_morphology": [
    "Inflammation",
    "Inflammatory morphology"
  ],
  "finding_site": [
    "Salivary gland structure"
  ]
}
2026-05-05 07:59:58,864  Step 3: Retrieving candidates...
2026-05-05 07:59:59,153  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 07:59:59,163  Total cost: $0.0336
2026-05-05 07:59:59,166  [121/340] Overlapping malignant neoplasm of major salivary gland — cost: $0.0336 | total: $0.1477
2026-05-05 07:59:59,304  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 07:59:59,335  Step 1: Retrieving reference examples...
2026-05-05 07:59:59,382    associated_morphology: added 1 values from reference examples
2026-05-05 07:59:59,712  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 07:59:59,763    associated_morphology: added 60 hierarchy neighbors
2026-05-05 07:59:59,764    associated_morphology: top match = Inflammation (score: 0.9999984514367927)
2026-05-05 07:59:59,766    finding_site: added 1 values from reference examples
2026-05-05 07:59:59,834    finding_site: added 7 hierarchy neighbors
2026-05-05 07:59:59,835    finding_site: top match = Salivary gland structure (score: 0.9999986789587698)
2026-05-05 07:59:59,836  Step 4: Selecting best matches...
2026-05-05 08:00:00,111    Reference: Severe combined immunodeficiency with reticular dysgenesis (similarity: 0.781)
2026-05-05 08:00:00,112    Reference: Severe combined immunodeficiency due to complete RAG1 and/or RAG2 deficiency (similarity: 0.758)
2026-05-05 08:00:00,113    Reference: Severe combined immunodeficiency with maternofetal engraftment (similarity: 0.734)
2026-05-05 08:00:00,114    Reference: Severe combined immunodeficiency due to IKK2 deficiency (similarity: 0.718)
2026-05-05 08:00:00,114    Reference: SCID (severe combined immunodeficiency) due to absent adenosine deaminase (similarity: 0.717)
2026-05-05 08:00:00,115  Step 2: Inferring attributes...
2026-05-05 08:00:00,844  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:00,851  Total cost: $0.0237
2026-05-05 08:00:00,853  [122/340] Benign neoplasm of aortic body — cost: $0.0237 | total: $0.1714
2026-05-05 08:00:00,979  Step 1: Retrieving reference examples...
2026-05-05 08:00:00,980  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:00,984    Inferred: {
  "associated_morphology": [
    "Inflammation",
    "Inflammatory morphology"
  ],
  "finding_site": [
    "Esophageal structure"
  ],
  "causative_agent": [
    "Candida"
  ],
  "pathological_process": [
    "Infectious process"
  ]
}
2026-05-05 08:00:00,984  Step 3: Retrieving candidates...
2026-05-05 08:00:01,455  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:01,555    associated_morphology: added 1 values from reference examples
2026-05-05 08:00:01,586  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:01,612  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:01,619  Total cost: $0.0323
2026-05-05 08:00:01,622  [123/340] Streptococcal sore throat — cost: $0.0323 | total: $0.2037
2026-05-05 08:00:01,708    associated_morphology: added 47 hierarchy neighbors
2026-05-05 08:00:01,709    associated_morphology: top match = Inflammation (score: 0.9999988748630455)
2026-05-05 08:00:01,711    finding_site: added 4 values from reference examples
2026-05-05 08:00:01,776  Step 1: Retrieving reference examples...
2026-05-05 08:00:02,052    Reference: Crushing injury of larynx (similarity: 0.805)
2026-05-05 08:00:02,054    Reference: Injury of back of neck (similarity: 0.796)
2026-05-05 08:00:02,055    Reference: Injury of anterior neck (similarity: 0.742)
2026-05-05 08:00:02,055    Reference: Crushing injury of face (similarity: 0.738)
2026-05-05 08:00:02,056    Reference: Crushing injury of upper arm (similarity: 0.727)
2026-05-05 08:00:02,057  Step 2: Inferring attributes...
2026-05-05 08:00:02,145  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:02,148    Inferred: {
  "associated_morphology": [
    "Varix",
    "Hemorrhage"
  ],
  "finding_site": [
    "Structure of esophageal vein"
  ]
}
2026-05-05 08:00:02,149  Step 3: Retrieving candidates...
2026-05-05 08:00:02,294  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:02,596  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:02,928    Reference: Neoplasm of uncertain behavior of neck (similarity: 0.822)
2026-05-05 08:00:02,932    Reference: Neoplasm of uncertain behavior of lateral portion of floor of mouth (similarity: 0.810)
2026-05-05 08:00:02,933    Reference: Neoplasm of uncertain behavior of subglottis (similarity: 0.790)
2026-05-05 08:00:02,934    Reference: Neoplasm of uncertain behavior of inner aspect of upper lip (similarity: 0.785)
2026-05-05 08:00:02,934    Reference: Neoplasm of uncertain behavior of lung (similarity: 0.783)
2026-05-05 08:00:02,935  Step 2: Inferring attributes...
2026-05-05 08:00:03,298    associated_morphology: added 26 hierarchy neighbors
2026-05-05 08:00:03,299    associated_morphology: top match = Varix (score: 0.99998872394385)
2026-05-05 08:00:03,301    finding_site: added 3 values from reference examples
2026-05-05 08:00:03,780  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:03,786  Total cost: $0.0201
2026-05-05 08:00:03,788  [124/340] Sialoadenitis — cost: $0.0201 | total: $0.2238
2026-05-05 08:00:03,927  Step 1: Retrieving reference examples...
2026-05-05 08:00:04,123    finding_site: added 33 hierarchy neighbors
2026-05-05 08:00:04,124    finding_site: top match = Esophageal structure (score: 0.9999987795213071)
2026-05-05 08:00:04,132    finding_site: added 19 hierarchy neighbors
2026-05-05 08:00:04,133    finding_site: top match = Structure of esophageal vein (score: 0.9999990195173177)
2026-05-05 08:00:04,135  Step 4: Selecting best matches...
2026-05-05 08:00:04,286    causative_agent: added 1 hierarchy neighbors
2026-05-05 08:00:04,287    causative_agent: top match = Candida (score: 0.9999992862392564)
2026-05-05 08:00:04,359    pathological_process: added 1 hierarchy neighbors
2026-05-05 08:00:04,360    pathological_process: top match = Infectious process (score: 0.9999989174924272)
2026-05-05 08:00:04,361  Step 4: Selecting best matches...
2026-05-05 08:00:04,406  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:04,776    Reference: Laryngeal obstruction due to supraglottitis (similarity: 0.721)
2026-05-05 08:00:04,777    Reference: Totally obstructed airway (similarity: 0.674)
2026-05-05 08:00:04,777    Reference: Injury of larynx (similarity: 0.673)
2026-05-05 08:00:04,778    Reference: Laceration of larynx (similarity: 0.648)
2026-05-05 08:00:04,779    Reference: Obstruction of external auditory canal (similarity: 0.631)
2026-05-05 08:00:04,779  Step 2: Inferring attributes...
2026-05-05 08:00:05,167  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:05,169    Inferred: {
  "associated_morphology": [
    "Crushing injury morphology"
  ],
  "finding_site": [
    "Neck structure"
  ]
}
2026-05-05 08:00:05,170  Step 3: Retrieving candidates...
2026-05-05 08:00:05,644  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:05,648    Inferred: {
  "finding_site": [
    "Structure of internal part of mouth"
  ],
  "causative_agent": [
    "Candida"
  ],
  "pathological_process": [
    "Infectious process"
  ]
}
2026-05-05 08:00:05,648  Step 3: Retrieving candidates...
2026-05-05 08:00:05,727  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:05,768  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:05,770    Inferred: {
  "finding_site": [
    "structure of immune system"
  ],
  "occurrence": [
    "congenital"
  ],
  "pathological_process": [
    "abnormal immune process"
  ],
  "severity": [
    "severe"
  ]
}
2026-05-05 08:00:05,775    associated_morphology: added 4 values from reference examples
2026-05-05 08:00:05,775  Step 3: Retrieving candidates...
2026-05-05 08:00:05,980    associated_morphology: added 44 hierarchy neighbors
2026-05-05 08:00:05,981    associated_morphology: top match = Crushing injury (morphology) (score: 0.9502008980846768)
2026-05-05 08:00:05,983    finding_site: added 7 values from reference examples
2026-05-05 08:00:06,197  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:06,314  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:06,346    finding_site: added 3 values from reference examples
2026-05-05 08:00:06,466    finding_site: added 28 hierarchy neighbors
2026-05-05 08:00:06,468    finding_site: top match = Structure of internal part of mouth (score: 0.9999988739461512)
2026-05-05 08:00:06,512    finding_site: added 2 values from reference examples
2026-05-05 08:00:06,544    causative_agent: added 1 hierarchy neighbors
2026-05-05 08:00:06,545    causative_agent: top match = Candida (score: 0.9999989587646786)
2026-05-05 08:00:06,618    pathological_process: added 1 hierarchy neighbors
2026-05-05 08:00:06,619    pathological_process: top match = Infectious process (score: 0.9999989733405232)
2026-05-05 08:00:06,620  Step 4: Selecting best matches...
2026-05-05 08:00:06,709  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:06,711    Inferred: {
  "associated_morphology": [
    "neoplasm of uncertain behavior"
  ],
  "finding_site": [
    "major salivary gland structure"
  ]
}
2026-05-05 08:00:06,712  Step 3: Retrieving candidates...
2026-05-05 08:00:06,728    finding_site: added 15 hierarchy neighbors
2026-05-05 08:00:06,729    finding_site: top match = Structure of immune system (score: 0.94912097037949)
2026-05-05 08:00:06,803    occurrence: added 1 hierarchy neighbors
2026-05-05 08:00:06,804    occurrence: top match = Congenital (score: 0.9192485840724214)
2026-05-05 08:00:06,918  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:06,920    Inferred: {
  "associated_morphology": [
    "obstruction"
  ],
  "finding_site": [
    "laryngeal structure"
  ]
}
2026-05-05 08:00:06,921  Step 3: Retrieving candidates...
2026-05-05 08:00:07,026    pathological_process: added 3 hierarchy neighbors
2026-05-05 08:00:07,027    pathological_process: top match = Abnormal immune process (score: 0.950668024119896)
2026-05-05 08:00:07,050    finding_site: added 35 hierarchy neighbors
2026-05-05 08:00:07,051    finding_site: top match = Neck structure (score: 0.9999988549697991)
2026-05-05 08:00:07,052  Step 4: Selecting best matches...
2026-05-05 08:00:07,161    severity: top match = Severe (score: 0.9116310403293159)
2026-05-05 08:00:07,162  Step 4: Selecting best matches...
2026-05-05 08:00:07,215  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:07,456    associated_morphology: added 57 hierarchy neighbors
2026-05-05 08:00:07,457    associated_morphology: top match = Neoplasm of uncertain behavior (score: 0.9665275613369201)
2026-05-05 08:00:07,459    finding_site: added 6 values from reference examples
2026-05-05 08:00:07,501  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:07,546    associated_morphology: added 3 values from reference examples
2026-05-05 08:00:08,039    associated_morphology: added 37 hierarchy neighbors
2026-05-05 08:00:08,040    associated_morphology: top match = Obstruction (score: 0.9330523424729829)
2026-05-05 08:00:08,042    finding_site: added 3 values from reference examples
2026-05-05 08:00:08,254    finding_site: added 27 hierarchy neighbors
2026-05-05 08:00:08,255    finding_site: top match = Major salivary gland structure (score: 0.9628336498812555)
2026-05-05 08:00:08,256  Step 4: Selecting best matches...
2026-05-05 08:00:08,297    finding_site: added 15 hierarchy neighbors
2026-05-05 08:00:08,298    finding_site: top match = Laryngeal structure (score: 0.9446813042021439)
2026-05-05 08:00:08,300  Step 4: Selecting best matches...
2026-05-05 08:00:09,688  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:09,693  Total cost: $0.0341
2026-05-05 08:00:09,695  [125/340] Hereditary hemolytic anemia — cost: $0.0341 | total: $0.2578
2026-05-05 08:00:09,701  Checkpoint saved (125 terms)
2026-05-05 08:00:09,824  Step 1: Retrieving reference examples...
2026-05-05 08:00:10,223  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:10,711    Reference: Acute laryngitis and/or tracheitis (similarity: 0.780)
2026-05-05 08:00:10,712    Reference: Acute viral laryngotracheitis (similarity: 0.734)
2026-05-05 08:00:10,713    Reference: Catarrhal laryngitis (similarity: 0.726)
2026-05-05 08:00:10,714    Reference: Infective laryngitis (similarity: 0.697)
2026-05-05 08:00:10,714    Reference: Acute tracheitis (similarity: 0.694)
2026-05-05 08:00:10,716  Step 2: Inferring attributes...
2026-05-05 08:00:11,062  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:11,069  Total cost: $0.0220
2026-05-05 08:00:11,071  [126/340] Neoplasm of uncertain behavior of major salivary gland — cost: $0.0220 | total: $0.2799
2026-05-05 08:00:11,243  Step 1: Retrieving reference examples...
2026-05-05 08:00:11,490  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:11,497  Total cost: $0.0210
2026-05-05 08:00:11,498  [127/340] Crushing injury of neck — cost: $0.0210 | total: $0.3009
2026-05-05 08:00:11,616  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:11,658  Step 1: Retrieving reference examples...
2026-05-05 08:00:11,812  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:11,819  Total cost: $0.0268
2026-05-05 08:00:11,821  [128/340] Candidiasis of the esophagus — cost: $0.0268 | total: $0.3277
2026-05-05 08:00:12,033  Step 1: Retrieving reference examples...
2026-05-05 08:00:12,206  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:12,211  Total cost: $0.0200
2026-05-05 08:00:12,213  [129/340] Obstruction of larynx — cost: $0.0200 | total: $0.3477
2026-05-05 08:00:12,310    Reference: Abscess of neck (similarity: 0.847)
2026-05-05 08:00:12,311    Reference: Cellulitis and abscess of heel (similarity: 0.722)
2026-05-05 08:00:12,311    Reference: Infection of skin of neck (similarity: 0.707)
2026-05-05 08:00:12,312    Reference: Cellulitis and abscess of umbilicus (similarity: 0.707)
2026-05-05 08:00:12,313    Reference: Tuberculous abscess of neck (similarity: 0.704)
2026-05-05 08:00:12,314  Step 2: Inferring attributes...
2026-05-05 08:00:12,460  Step 1: Retrieving reference examples...
2026-05-05 08:00:12,465  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:12,830  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:12,837  Total cost: $0.0266
2026-05-05 08:00:12,840  [130/340] Bleeding esophageal varices — cost: $0.0266 | total: $0.3743
2026-05-05 08:00:12,848  Checkpoint saved (130 terms)
2026-05-05 08:00:13,055  Step 1: Retrieving reference examples...
2026-05-05 08:00:13,064  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:13,150    Reference: Full thickness burn of head and/or neck (similarity: 0.893)
2026-05-05 08:00:13,151    Reference: Full thickness burn of shoulder (similarity: 0.797)
2026-05-05 08:00:13,151    Reference: Full thickness burn of right upper arm (similarity: 0.765)
2026-05-05 08:00:13,152    Reference: Full thickness burn of chest wall (similarity: 0.760)
2026-05-05 08:00:13,153    Reference: Full thickness burn of right shoulder region (similarity: 0.759)
2026-05-05 08:00:13,153  Step 2: Inferring attributes...
2026-05-05 08:00:13,476  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:13,506  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:13,711    Reference: Thoracic back sprain (similarity: 0.688)
2026-05-05 08:00:13,712    Reference: Sprain of spinal ligament (similarity: 0.678)
2026-05-05 08:00:13,713    Reference: Sternoclavicular sprain (similarity: 0.663)
2026-05-05 08:00:13,713    Reference: Stiff neck (similarity: 0.657)
2026-05-05 08:00:13,714    Reference: Injury of tendon of neck (similarity: 0.647)
2026-05-05 08:00:13,715  Step 2: Inferring attributes...
2026-05-05 08:00:14,127    Reference: Nausea (similarity: 0.556)
2026-05-05 08:00:14,128    Reference: Nausea and vomiting caused by radiation (similarity: 0.474)
2026-05-05 08:00:14,130    Reference: Epidemic vertigo (similarity: 0.454)
2026-05-05 08:00:14,132    Reference: Jet lag (similarity: 0.440)
2026-05-05 08:00:14,132    Reference: Vomiting (similarity: 0.437)
2026-05-05 08:00:14,133  Step 2: Inferring attributes...
2026-05-05 08:00:14,136    Reference: Chlamydial pharyngitis (similarity: 0.749)
2026-05-05 08:00:14,137    Reference: Gonococcal lymphangitis of penis (similarity: 0.615)
2026-05-05 08:00:14,138    Reference: Primary syphilis of tonsils (similarity: 0.600)
2026-05-05 08:00:14,139    Reference: Gonococcal meningitis (similarity: 0.599)
2026-05-05 08:00:14,140    Reference: Acute bacterial pharyngitis (similarity: 0.586)
2026-05-05 08:00:14,140  Step 2: Inferring attributes...
2026-05-05 08:00:14,421  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:14,427  Total cost: $0.0246
2026-05-05 08:00:14,429  [131/340] Candidiasis of mouth — cost: $0.0246 | total: $0.3990
2026-05-05 08:00:14,559  Step 1: Retrieving reference examples...
2026-05-05 08:00:14,999  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:15,364    Reference: Primary malignant neoplasm of skin head and neck (similarity: 0.841)
2026-05-05 08:00:15,365    Reference: Primary malignant neoplasm of peripheral nerves of neck (similarity: 0.835)
2026-05-05 08:00:15,366    Reference: Primary malignant neoplasm of pharynx (similarity: 0.770)
2026-05-05 08:00:15,366    Reference: Primary malignant neoplasm of peripheral nerve of head, face and/or neck (similarity: 0.765)
2026-05-05 08:00:15,367    Reference: Malignant tumor of head and neck (similarity: 0.757)
2026-05-05 08:00:15,368  Step 2: Inferring attributes...
2026-05-05 08:00:15,996  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:15,997    Inferred: {
  "associated_morphology": [
    "Abscess morphology",
    "Cellulitis"
  ],
  "finding_site": [
    "Neck structure"
  ]
}
2026-05-05 08:00:15,998  Step 3: Retrieving candidates...
2026-05-05 08:00:16,410  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:16,465    associated_morphology: added 1 values from reference examples
2026-05-05 08:00:16,805    associated_morphology: added 11 hierarchy neighbors
2026-05-05 08:00:16,807    associated_morphology: top match = Abscess morphology (score: 0.9999989457176397)
2026-05-05 08:00:16,809    finding_site: added 3 values from reference examples
2026-05-05 08:00:16,858  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:16,863    Inferred: {
  "associated_morphology": [
    "acute inflammation"
  ],
  "finding_site": [
    "laryngeal structure"
  ],
  "clinical_course": [
    "acute"
  ]
}
2026-05-05 08:00:16,864  Step 3: Retrieving candidates...
2026-05-05 08:00:17,073    finding_site: added 20 hierarchy neighbors
2026-05-05 08:00:17,074    finding_site: top match = Neck structure (score: 0.9999988163230212)
2026-05-05 08:00:17,075  Step 4: Selecting best matches...
2026-05-05 08:00:17,354  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:17,429    associated_morphology: added 3 values from reference examples
2026-05-05 08:00:17,533    associated_morphology: added 67 hierarchy neighbors
2026-05-05 08:00:17,535    associated_morphology: top match = Acute inflammation (score: 0.8123938020444657)
2026-05-05 08:00:17,537    finding_site: added 3 values from reference examples
2026-05-05 08:00:17,798    finding_site: added 7 hierarchy neighbors
2026-05-05 08:00:17,800    finding_site: top match = Laryngeal structure (score: 0.9446672189548188)
2026-05-05 08:00:17,801    clinical_course: added 3 values from reference examples
2026-05-05 08:00:18,080    clinical_course: added 3 hierarchy neighbors
2026-05-05 08:00:18,081    clinical_course: top match = Acute onset (score: 0.6042195770313933)
2026-05-05 08:00:18,082  Step 4: Selecting best matches...
2026-05-05 08:00:19,261  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:19,432    Inferred: {
  "associated_morphology": [
    "Third degree burn injury"
  ],
  "finding_site": [
    "Skin and/or subcutaneous tissue structure of neck"
  ]
}
2026-05-05 08:00:19,433  Step 3: Retrieving candidates...
2026-05-05 08:00:19,914  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:20,079    associated_morphology: added 2 hierarchy neighbors
2026-05-05 08:00:20,080    associated_morphology: top match = Third degree burn injury (score: 0.9999987774934629)
2026-05-05 08:00:20,082    finding_site: added 6 values from reference examples
2026-05-05 08:00:20,740    finding_site: added 51 hierarchy neighbors
2026-05-05 08:00:20,741    finding_site: top match = Skin and/or subcutaneous tissue structure of neck (score: 0.999998887700291)
2026-05-05 08:00:20,742  Step 4: Selecting best matches...
2026-05-05 08:00:21,899  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:21,902    Inferred: {
  "associated_morphology": [
    "Sprain"
  ],
  "finding_site": [
    "Ligament of spine in cervical region"
  ]
}
2026-05-05 08:00:21,903  Step 3: Retrieving candidates...
2026-05-05 08:00:22,064  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:22,069  Total cost: $0.0189
2026-05-05 08:00:22,072  [132/340] Cellulitis and abscess of neck — cost: $0.0189 | total: $0.4178
2026-05-05 08:00:22,202  Step 1: Retrieving reference examples...
2026-05-05 08:00:22,379  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:22,380    Inferred: {
  "finding_site": [
    "Vestibular structure"
  ],
  "causative_agent": [
    "Motion (physical phenomenon)"
  ]
}
2026-05-05 08:00:22,381  Step 3: Retrieving candidates...
2026-05-05 08:00:22,450  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:22,539  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:22,540    Inferred: {
  "associated_morphology": [
    "Inflammation",
    "Inflammatory morphology"
  ],
  "finding_site": [
    "Pharyngeal structure"
  ],
  "causative_agent": [
    "Neisseria gonorrhoeae"
  ],
  "pathological_process": [
    "Infectious process"
  ]
}
2026-05-05 08:00:22,541  Step 3: Retrieving candidates...
2026-05-05 08:00:22,660    associated_morphology: added 2 hierarchy neighbors
2026-05-05 08:00:22,661    associated_morphology: top match = Sprain (score: 0.9999987042223218)
2026-05-05 08:00:22,663    finding_site: added 3 values from reference examples
2026-05-05 08:00:22,678  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:22,841  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:23,001  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:23,024    finding_site: added 37 hierarchy neighbors
2026-05-05 08:00:23,025    finding_site: top match = Ligament of spine in cervical region (score: 0.9999988003737361)
2026-05-05 08:00:23,027  Step 4: Selecting best matches...
2026-05-05 08:00:23,068    Reference: Benign neoplasm of hypopharynx (similarity: 0.935)
2026-05-05 08:00:23,070    Reference: Neoplasm of pharynx (similarity: 0.842)
2026-05-05 08:00:23,071    Reference: Benign neoplasm of supraglottis (similarity: 0.833)
2026-05-05 08:00:23,072    Reference: Benign neoplasm of lateral wall of nasopharynx (similarity: 0.820)
2026-05-05 08:00:23,074    Reference: Benign neoplasm of posterior wall of nasopharynx (similarity: 0.819)
2026-05-05 08:00:23,075  Step 2: Inferring attributes...
2026-05-05 08:00:23,405    associated_morphology: added 2 values from reference examples
2026-05-05 08:00:23,412    finding_site: added 3 values from reference examples
2026-05-05 08:00:23,514    associated_morphology: added 65 hierarchy neighbors
2026-05-05 08:00:23,515    associated_morphology: top match = Inflammation (score: 0.9999988748630455)
2026-05-05 08:00:23,518    finding_site: added 3 values from reference examples
2026-05-05 08:00:23,715    finding_site: added 15 hierarchy neighbors
2026-05-05 08:00:23,716    finding_site: top match = Pharyngeal structure (score: 0.999998940934078)
2026-05-05 08:00:23,717    causative_agent: added 4 values from reference examples
2026-05-05 08:00:23,845    causative_agent: added 10 hierarchy neighbors
2026-05-05 08:00:23,847    causative_agent: top match = Neisseria gonorrhoeae (score: 0.9999987388596744)
2026-05-05 08:00:23,916    pathological_process: added 1 hierarchy neighbors
2026-05-05 08:00:23,917    pathological_process: top match = Infectious process (score: 0.9999989174924272)
2026-05-05 08:00:23,920  Step 4: Selecting best matches...
2026-05-05 08:00:23,999    finding_site: added 17 hierarchy neighbors
2026-05-05 08:00:24,000    finding_site: top match = Vestibular structure (score: 0.9999988675461936)
2026-05-05 08:00:24,003    causative_agent: added 1 values from reference examples
2026-05-05 08:00:24,229  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:24,235  Total cost: $0.0268
2026-05-05 08:00:24,238  [133/340] Acute laryngitis — cost: $0.0268 | total: $0.4447
2026-05-05 08:00:24,322    causative_agent: added 16 hierarchy neighbors
2026-05-05 08:00:24,323    causative_agent: top match = Motion (score: 0.6184284103964677)
2026-05-05 08:00:24,324  Step 4: Selecting best matches...
2026-05-05 08:00:24,378  Step 1: Retrieving reference examples...
2026-05-05 08:00:25,088  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:25,110  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:25,117  Total cost: $0.0240
2026-05-05 08:00:25,120  [134/340] Full thickness burn of neck — cost: $0.0240 | total: $0.4686
2026-05-05 08:00:25,236  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:25,238    Inferred: {
  "associated_morphology": [
    "Malignant neoplasm",
    "Neoplasm, malignant (primary)"
  ],
  "finding_site": [
    "Neck structure"
  ],
  "pathological_process": [
    "Primary malignant neoplastic proliferation"
  ]
}
2026-05-05 08:00:25,240  Step 3: Retrieving candidates...
2026-05-05 08:00:25,350  Step 1: Retrieving reference examples...
2026-05-05 08:00:25,670    Reference: Hypoglycemia diet (similarity: 0.655)
2026-05-05 08:00:25,671    Reference: Hypoglycemic coma (similarity: 0.650)
2026-05-05 08:00:25,672    Reference: Iatrogenic hypoglycemia (similarity: 0.649)
2026-05-05 08:00:25,673    Reference: Factitious hypoglycemia (similarity: 0.644)
2026-05-05 08:00:25,844    Reference: Non-diabetic disorder of endocrine pancreas (similarity: 0.631)
2026-05-05 08:00:25,846  Step 2: Inferring attributes...
2026-05-05 08:00:25,851  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:25,962    associated_morphology: added 1 values from reference examples
2026-05-05 08:00:26,048  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:26,147    associated_morphology: added 202 hierarchy neighbors
2026-05-05 08:00:26,148    associated_morphology: top match = Malignant neoplasm (score: 0.9999988832063165)
2026-05-05 08:00:26,150    finding_site: added 3 values from reference examples
2026-05-05 08:00:26,203  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:26,210  Total cost: $0.0203
2026-05-05 08:00:26,213  [135/340] Neck sprain — cost: $0.0203 | total: $0.4889
2026-05-05 08:00:26,223  Checkpoint saved (135 terms)
2026-05-05 08:00:26,406    finding_site: added 34 hierarchy neighbors
2026-05-05 08:00:26,408    finding_site: top match = Neck structure (score: 0.9999982119780242)
2026-05-05 08:00:26,477  Step 1: Retrieving reference examples...
2026-05-05 08:00:26,692    pathological_process: top match = Primary malignant neoplastic proliferation (score: 0.9999987496296399)
2026-05-05 08:00:26,694  Step 4: Selecting best matches...
2026-05-05 08:00:26,827    Reference: Idiopathic panhypopituitarism (similarity: 0.808)
2026-05-05 08:00:26,828    Reference: Prepuberal panhypopituitarism (similarity: 0.801)
2026-05-05 08:00:26,829    Reference: Lymphocytic hypopituitarism (similarity: 0.721)
2026-05-05 08:00:26,829    Reference: Hypopituitarism due to granulomatous disease (similarity: 0.701)
2026-05-05 08:00:26,830    Reference: Hypopituitarism due to iron overload (similarity: 0.656)
2026-05-05 08:00:26,832  Step 2: Inferring attributes...
2026-05-05 08:00:26,887  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:26,889    Inferred: {
  "associated_morphology": [
    "Neoplasm, benign"
  ],
  "finding_site": [
    "Pharyngeal structure"
  ]
}
2026-05-05 08:00:26,890  Step 3: Retrieving candidates...
2026-05-05 08:00:26,927  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:27,367  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:27,420    associated_morphology: added 1 values from reference examples
2026-05-05 08:00:27,503    Reference: Barrett's esophagus with esophagitis (similarity: 0.744)
2026-05-05 08:00:27,504    Reference: Erosive esophagitis (similarity: 0.680)
2026-05-05 08:00:27,505    Reference: Esophagitis medicamentosa (similarity: 0.608)
2026-05-05 08:00:27,505    Reference: Esophagitis due to sarcoidosis (similarity: 0.601)
2026-05-05 08:00:27,506    Reference: Esophageal bleeding due to ulcerative esophagitis (similarity: 0.567)
2026-05-05 08:00:27,508  Step 2: Inferring attributes...
2026-05-05 08:00:27,562    associated_morphology: added 103 hierarchy neighbors
2026-05-05 08:00:27,563    associated_morphology: top match = Neoplasm, benign (score: 0.9999984894043785)
2026-05-05 08:00:27,565    finding_site: added 5 values from reference examples
2026-05-05 08:00:27,836    finding_site: added 16 hierarchy neighbors
2026-05-05 08:00:27,837    finding_site: top match = Pharyngeal structure (score: 0.999998940934078)
2026-05-05 08:00:27,838  Step 4: Selecting best matches...
2026-05-05 08:00:30,424  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:30,431  Total cost: $0.0306
2026-05-05 08:00:30,434  [136/340] Gonorrhea of pharynx — cost: $0.0306 | total: $0.5196
2026-05-05 08:00:30,577  Step 1: Retrieving reference examples...
2026-05-05 08:00:31,074  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:31,452    Reference: Chronic peptic ulcer with hemorrhage AND with perforation but without obstruction (similarity: 0.891)
2026-05-05 08:00:31,453    Reference: Acute gastric ulcer with hemorrhage AND with perforation but without obstruction (similarity: 0.888)
2026-05-05 08:00:31,454    Reference: Peptic ulcer with perforation (similarity: 0.850)
2026-05-05 08:00:31,455    Reference: Acute gastric ulcer with perforation (similarity: 0.846)
2026-05-05 08:00:31,458    Reference: Chronic peptic ulcer with perforation AND obstruction (similarity: 0.841)
2026-05-05 08:00:31,459  Step 2: Inferring attributes...
2026-05-05 08:00:31,655  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:31,663  Total cost: $0.0238
2026-05-05 08:00:31,666  [137/340] Benign neoplasm of pharynx — cost: $0.0238 | total: $0.5434
2026-05-05 08:00:31,813  Step 1: Retrieving reference examples...
2026-05-05 08:00:32,331  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:32,697  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:32,708  Total cost: $0.0332
2026-05-05 08:00:32,710  [138/340] Primary malignant neoplasm of neck — cost: $0.0332 | total: $0.5765
2026-05-05 08:00:32,722    Reference: Sialolithiasis (similarity: 1.000)
2026-05-05 08:00:32,723    Reference: Chronic sialadenitis (similarity: 0.665)
2026-05-05 08:00:32,724    Reference: Sialoadenitis (similarity: 0.630)
2026-05-05 08:00:32,725    Reference: Dacryolith (similarity: 0.593)
2026-05-05 08:00:32,726    Reference: Chronic sclerosing sialadenitis (similarity: 0.584)
2026-05-05 08:00:32,727  Step 2: Inferring attributes...
2026-05-05 08:00:32,854  Step 1: Retrieving reference examples...
2026-05-05 08:00:33,231  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:33,302  Total cost: $0.0220
2026-05-05 08:00:33,416  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:33,438  [139/340] Motion sickness — cost: $0.0220 | total: $0.5986
2026-05-05 08:00:33,588  Step 1: Retrieving reference examples...
2026-05-05 08:00:33,809    Reference: Chronic peptic ulcer with perforation AND obstruction (similarity: 1.000)
2026-05-05 08:00:33,810    Reference: Chronic gastrojejunal ulcer with perforation AND with obstruction (similarity: 0.914)
2026-05-05 08:00:33,811    Reference: Chronic peptic ulcer with hemorrhage AND with perforation but without obstruction (similarity: 0.888)
2026-05-05 08:00:33,813    Reference: Chronic duodenal ulcer with hemorrhage AND with perforation but without obstruction (similarity: 0.838)
2026-05-05 08:00:33,813    Reference: Peptic ulcer without hemorrhage AND without perforation but with obstruction (similarity: 0.830)
2026-05-05 08:00:33,814  Step 2: Inferring attributes...
2026-05-05 08:00:34,211  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:34,339  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:34,341    Inferred: {
  "finding_site": [
    "Structure of endocrine system"
  ],
  "interprets_interpretation": [
    {
      "interprets": "Blood glucose concentration (observable entity)",
      "interpretation": "Below reference range"
    }
  ]
}
2026-05-05 08:00:34,342  Step 3: Retrieving candidates...
2026-05-05 08:00:34,608    Reference: Congenital upper esophageal web (similarity: 0.753)
2026-05-05 08:00:34,608    Reference: Congenital diverticulum of esophagus (similarity: 0.703)
2026-05-05 08:00:34,609    Reference: Congenital duplication of esophagus (similarity: 0.680)
2026-05-05 08:00:34,610    Reference: Congenital dilatation of trachea (similarity: 0.643)
2026-05-05 08:00:34,610    Reference: Congenital anomaly of cricoid cartilage (similarity: 0.638)
2026-05-05 08:00:34,611  Step 2: Inferring attributes...
2026-05-05 08:00:34,683  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:34,746    finding_site: added 2 values from reference examples
2026-05-05 08:00:35,366    finding_site: added 11 hierarchy neighbors
2026-05-05 08:00:35,382    finding_site: top match = Structure of endocrine system (score: 0.9999988725277725)
2026-05-05 08:00:35,412    interprets: added 2 values from reference examples
2026-05-05 08:00:35,694    interprets: added 11 hierarchy neighbors
2026-05-05 08:00:35,695    interprets: top match = Blood glucose concentration (score: 0.770282248981417)
2026-05-05 08:00:35,696    interpretation: added 1 values from reference examples
2026-05-05 08:00:35,947    interpretation: added 1 hierarchy neighbors
2026-05-05 08:00:35,948    interpretation: top match = Below reference range (score: 0.9999983343497804)
2026-05-05 08:00:35,950  Step 4: Selecting best matches...
2026-05-05 08:00:37,361  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:37,363    Inferred: {
  "finding_site": [
    "Adenohypophysis structure"
  ],
  "interprets_interpretation": [
    {
      "interprets": "Secretion of pituitary hormone (observable)",
      "interpretation": "Decreased"
    }
  ]
}
2026-05-05 08:00:37,364  Step 3: Retrieving candidates...
2026-05-05 08:00:37,814  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:37,816    Inferred: {
  "associated_morphology": [
    "Inflammation"
  ],
  "finding_site": [
    "Esophageal structure"
  ]
}
2026-05-05 08:00:37,817  Step 3: Retrieving candidates...
2026-05-05 08:00:37,874  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:37,937    finding_site: added 5 values from reference examples
2026-05-05 08:00:38,008    finding_site: added 3 hierarchy neighbors
2026-05-05 08:00:38,009    finding_site: top match = Adenohypophysis structure (score: 0.9999988938973854)
2026-05-05 08:00:38,083    interprets: added 3 hierarchy neighbors
2026-05-05 08:00:38,084    interprets: top match = Hormone secretion (score: 0.6753868287829056)
2026-05-05 08:00:38,148    interpretation: added 1 hierarchy neighbors
2026-05-05 08:00:38,149    interpretation: top match = Decreased (score: 0.9999987569293735)
2026-05-05 08:00:38,151  Step 4: Selecting best matches...
2026-05-05 08:00:38,165  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:38,167    Inferred: {
  "associated_morphology": [
    "chronic ulcer",
    "perforated ulcer",
    "obstruction"
  ],
  "finding_site": [
    "upper gastrointestinal tract structure"
  ],
  "clinical_course": [
    "chronic"
  ]
}
2026-05-05 08:00:38,168  Step 3: Retrieving candidates...
2026-05-05 08:00:38,188  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:38,189    Inferred: {
  "associated_morphology": [
    "acute ulcer",
    "perforated ulcer"
  ],
  "finding_site": [
    "upper gastrointestinal tract structure"
  ],
  "clinical_course": [
    "acute"
  ]
}
2026-05-05 08:00:38,190  Step 3: Retrieving candidates...
2026-05-05 08:00:38,562  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:38,618    associated_morphology: added 6 values from reference examples
2026-05-05 08:00:38,741  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:38,872  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:38,895    associated_morphology: added 71 hierarchy neighbors
2026-05-05 08:00:38,897    associated_morphology: top match = Inflammation (score: 0.9999984514367927)
2026-05-05 08:00:38,900    finding_site: added 2 values from reference examples
2026-05-05 08:00:38,948    associated_morphology: added 6 values from reference examples
2026-05-05 08:00:38,998    associated_morphology: added 4 values from reference examples
2026-05-05 08:00:39,121    finding_site: added 6 hierarchy neighbors
2026-05-05 08:00:39,122    finding_site: top match = Esophageal structure (score: 0.999998845248438)
2026-05-05 08:00:39,123  Step 4: Selecting best matches...
2026-05-05 08:00:39,315    associated_morphology: added 39 hierarchy neighbors
2026-05-05 08:00:39,316    associated_morphology: top match = Chronic ulcer (score: 0.9481653881894975)
2026-05-05 08:00:39,318    finding_site: added 6 values from reference examples
2026-05-05 08:00:39,340    associated_morphology: added 39 hierarchy neighbors
2026-05-05 08:00:39,341    associated_morphology: top match = Acute ulcer (score: 0.8396906890905123)
2026-05-05 08:00:39,343    finding_site: added 4 values from reference examples
2026-05-05 08:00:39,574  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:39,575    Inferred: {
  "associated_morphology": [
    "Congenital ring"
  ],
  "finding_site": [
    "Esophageal structure"
  ],
  "occurrence": [
    "Congenital"
  ],
  "pathological_process": [
    "Pathological developmental process"
  ]
}
2026-05-05 08:00:39,576  Step 3: Retrieving candidates...
2026-05-05 08:00:39,581    finding_site: added 16 hierarchy neighbors
2026-05-05 08:00:39,582    finding_site: top match = Upper gastrointestinal tract structure (score: 0.9578553682229207)
2026-05-05 08:00:39,819    finding_site: added 16 hierarchy neighbors
2026-05-05 08:00:39,820    finding_site: top match = Upper gastrointestinal tract structure (score: 0.9578553682229207)
2026-05-05 08:00:39,822    clinical_course: added 4 values from reference examples
2026-05-05 08:00:39,955    clinical_course: added 7 hierarchy neighbors
2026-05-05 08:00:39,956    clinical_course: top match = Chronic (score: 0.9084890803408459)
2026-05-05 08:00:39,957  Step 4: Selecting best matches...
2026-05-05 08:00:39,964  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:39,985    clinical_course: added 9 hierarchy neighbors
2026-05-05 08:00:39,986    clinical_course: top match = Acute onset (score: 0.6042195770313933)
2026-05-05 08:00:39,987  Step 4: Selecting best matches...
2026-05-05 08:00:40,061    associated_morphology: added 8 values from reference examples
2026-05-05 08:00:40,402    associated_morphology: added 40 hierarchy neighbors
2026-05-05 08:00:40,403    associated_morphology: top match = Congenital pigmentation (score: 0.47924930602366633)
2026-05-05 08:00:40,405    finding_site: added 4 values from reference examples
2026-05-05 08:00:40,705    finding_site: added 11 hierarchy neighbors
2026-05-05 08:00:40,706    finding_site: top match = Esophageal structure (score: 0.9999987795213071)
2026-05-05 08:00:40,861    occurrence: added 1 hierarchy neighbors
2026-05-05 08:00:40,862    occurrence: top match = Congenital (score: 0.9999989353091774)
2026-05-05 08:00:41,000    pathological_process: top match = Pathological developmental process (score: 0.9999989868487922)
2026-05-05 08:00:41,001  Step 4: Selecting best matches...
2026-05-05 08:00:44,854  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:44,860  Total cost: $0.0229
2026-05-05 08:00:44,862  [140/340] Chronic peptic ulcer with perforation AND obstruction — cost: $0.0229 | total: $0.6214
2026-05-05 08:00:44,873  Checkpoint saved (140 terms)
2026-05-05 08:00:45,002  Step 1: Retrieving reference examples...
2026-05-05 08:00:45,174  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:45,176    Inferred: {
  "associated_morphology": [
    "Calculus"
  ],
  "finding_site": [
    "Salivary gland structure"
  ]
}
2026-05-05 08:00:45,177  Step 3: Retrieving candidates...
2026-05-05 08:00:45,431  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:45,592  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:45,637    associated_morphology: added 6 values from reference examples
2026-05-05 08:00:45,753    associated_morphology: added 60 hierarchy neighbors
2026-05-05 08:00:45,754    associated_morphology: top match = Calculus (score: 0.9999986966457263)
2026-05-05 08:00:45,755    finding_site: added 2 values from reference examples
2026-05-05 08:00:45,818    Reference: Polyglandular autoimmune syndrome, type 1 (similarity: 0.666)
2026-05-05 08:00:45,819    Reference: Polyglandular dysfunction AND/OR related disorders (similarity: 0.665)
2026-05-05 08:00:45,820    Reference: Dystrophy of multiple endocrine glands (similarity: 0.639)
2026-05-05 08:00:45,821    Reference: Sclerosis of multiple endocrine glands (similarity: 0.626)
2026-05-05 08:00:45,821    Reference: Overlapping malignant neoplasm of multiple endocrine glands (similarity: 0.623)
2026-05-05 08:00:45,822  Step 2: Inferring attributes...
2026-05-05 08:00:45,862    finding_site: added 11 hierarchy neighbors
2026-05-05 08:00:45,863    finding_site: top match = Salivary gland structure (score: 0.9999986789587698)
2026-05-05 08:00:45,864  Step 4: Selecting best matches...
2026-05-05 08:00:47,050  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:47,063  Total cost: $0.0265
2026-05-05 08:00:47,066  [141/340] Hypoglycemic disorder — cost: $0.0265 | total: $0.6479
2026-05-05 08:00:47,212  Step 1: Retrieving reference examples...
2026-05-05 08:00:47,469  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:47,475  Total cost: $0.0248
2026-05-05 08:00:47,477  [142/340] Acute peptic ulcer with perforation but without obstruction — cost: $0.0248 | total: $0.6727
2026-05-05 08:00:47,623  Step 1: Retrieving reference examples...
2026-05-05 08:00:47,703  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:47,817  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:47,822  Total cost: $0.0283
2026-05-05 08:00:47,825  [143/340] Severe combined immunodeficiency disease — cost: $0.0283 | total: $0.7010
2026-05-05 08:00:47,971  Step 1: Retrieving reference examples...
2026-05-05 08:00:48,080  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:48,108    Reference: Benign neoplasm of lacrimal gland (similarity: 0.773)
2026-05-05 08:00:48,108    Reference: Neoplasm of salivary gland duct (similarity: 0.741)
2026-05-05 08:00:48,109    Reference: Pleomorphic adenoma of parotid gland (similarity: 0.732)
2026-05-05 08:00:48,110    Reference: Benign neoplasm of parathyroid gland (similarity: 0.729)
2026-05-05 08:00:48,111    Reference: Benign neoplasm of Bartholin's gland (similarity: 0.727)
2026-05-05 08:00:48,111  Step 2: Inferring attributes...
2026-05-05 08:00:48,472    Reference: Hemoglobin SS disease without crisis (similarity: 1.000)
2026-05-05 08:00:48,475    Reference: Hemoglobin S sickling disorder without crisis (similarity: 0.864)
2026-05-05 08:00:48,476    Reference: Hemoglobin SS disease with crisis (similarity: 0.854)
2026-05-05 08:00:48,477    Reference: Sickle cell-hemoglobin C disease without crisis (similarity: 0.834)
2026-05-05 08:00:48,477    Reference: Sickle cell-hemoglobin E disease with crisis (similarity: 0.707)
2026-05-05 08:00:48,478  Step 2: Inferring attributes...
2026-05-05 08:00:48,526  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:48,931    Reference: Esophagitis medicamentosa (similarity: 0.740)
2026-05-05 08:00:48,932    Reference: Erosive esophagitis (similarity: 0.731)
2026-05-05 08:00:48,932    Reference: Esophagitis due to chemotherapy (similarity: 0.680)
2026-05-05 08:00:48,934    Reference: Esophagitis due to sarcoidosis (similarity: 0.676)
2026-05-05 08:00:48,937    Reference: Eosinophilic esophagitis (similarity: 0.671)
2026-05-05 08:00:48,947  Step 2: Inferring attributes...
2026-05-05 08:00:49,360  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:49,365  Total cost: $0.0271
2026-05-05 08:00:49,367  [144/340] Panhypopituitarism — cost: $0.0271 | total: $0.7281
2026-05-05 08:00:49,494  Step 1: Retrieving reference examples...
2026-05-05 08:00:49,574  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:49,580  Total cost: $0.0211
2026-05-05 08:00:49,582  [145/340] Sialolithiasis — cost: $0.0211 | total: $0.7492
2026-05-05 08:00:49,592  Checkpoint saved (145 terms)
2026-05-05 08:00:49,715  Step 1: Retrieving reference examples...
2026-05-05 08:00:49,893  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:50,075  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:50,283    Reference: Chronic duodenal ulcer with hemorrhage but without obstruction (similarity: 0.943)
2026-05-05 08:00:50,284    Reference: Chronic peptic ulcer with hemorrhage AND with perforation but without obstruction (similarity: 0.929)
2026-05-05 08:00:50,284    Reference: Gastric ulcer with hemorrhage but without obstruction (similarity: 0.918)
2026-05-05 08:00:50,285    Reference: Chronic duodenal ulcer with hemorrhage AND with perforation but without obstruction (similarity: 0.888)
2026-05-05 08:00:50,286    Reference: Peptic ulcer without hemorrhage AND without perforation but with obstruction (similarity: 0.870)
2026-05-05 08:00:50,287  Step 2: Inferring attributes...
2026-05-05 08:00:50,383  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:50,389  Total cost: $0.0258
2026-05-05 08:00:50,392  [146/340] Congenital esophageal ring — cost: $0.0258 | total: $0.7749
2026-05-05 08:00:50,480    Reference: Leydig cell hyperplasia of testis (similarity: 0.677)
2026-05-05 08:00:50,481    Reference: Gonadotrophin hypersecretion (similarity: 0.664)
2026-05-05 08:00:50,481    Reference: Congenital hypertrophy of testis (similarity: 0.654)
2026-05-05 08:00:50,482    Reference: Disorder of endocrine testis (similarity: 0.634)
2026-05-05 08:00:50,484    Reference: Hypergonadism (similarity: 0.593)
2026-05-05 08:00:50,485  Step 2: Inferring attributes...
2026-05-05 08:00:50,538  Step 1: Retrieving reference examples...
2026-05-05 08:00:51,285  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:51,668  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:51,674  Total cost: $0.0325
2026-05-05 08:00:51,676  [147/340] Gastro-esophageal reflux disease with esophagitis — cost: $0.0325 | total: $0.8074
2026-05-05 08:00:51,709    Reference: Thalassemia intermedia (similarity: 0.775)
2026-05-05 08:00:51,711    Reference: Heterozygous thalassemia (similarity: 0.744)
2026-05-05 08:00:51,712    Reference: Beta thalassemia trait (similarity: 0.701)
2026-05-05 08:00:51,713    Reference: Thalassemia-hemoglobin C disease (similarity: 0.700)
2026-05-05 08:00:51,714    Reference: Alpha trait thalassemia (similarity: 0.694)
2026-05-05 08:00:51,715  Step 2: Inferring attributes...
2026-05-05 08:00:51,828  Step 1: Retrieving reference examples...
2026-05-05 08:00:52,544  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:53,048    Reference: Disorder of oropharynx (similarity: 0.887)
2026-05-05 08:00:53,049    Reference: Pharynx problem (similarity: 0.716)
2026-05-05 08:00:53,049    Reference: Cricopharyngeal disorder (similarity: 0.701)
2026-05-05 08:00:53,050    Reference: Disorder of palate (similarity: 0.694)
2026-05-05 08:00:53,051    Reference: Disorder of upper gastrointestinal tract (similarity: 0.668)
2026-05-05 08:00:53,052  Step 2: Inferring attributes...
2026-05-05 08:00:53,118  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:53,120    Inferred: {
  "associated_morphology": [
    "Drepanocyte"
  ],
  "finding_site": [
    "Erythrocyte"
  ],
  "causative_agent": [
    "Hemoglobin S"
  ],
  "interprets_interpretation": [
    {
      "interprets": "Measurement of total hemoglobin concentration",
      "interpretation": "Below reference range"
    }
  ],
  "occurrence": [
    "Congenital"
  ]
}
2026-05-05 08:00:53,121  Step 3: Retrieving candidates...
2026-05-05 08:00:53,588  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:53,948    associated_morphology: top match = Drepanocyte (score: 0.9999983497133681)
2026-05-05 08:00:54,108    finding_site: top match = Erythrocyte (score: 0.9999986520371604)
2026-05-05 08:00:54,242  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:54,244    Inferred: {
  "associated_morphology": [
    "Inflammation",
    "Inflammatory morphology"
  ],
  "finding_site": [
    "Esophageal structure"
  ]
}
2026-05-05 08:00:54,245  Step 3: Retrieving candidates...
2026-05-05 08:00:54,399    causative_agent: added 7 hierarchy neighbors
2026-05-05 08:00:54,400    causative_agent: top match = Hemoglobin S (score: 0.999998633268645)
2026-05-05 08:00:54,520    interprets: added 4 hierarchy neighbors
2026-05-05 08:00:54,521    interprets: top match = Measurement of total hemoglobin concentration (score: 0.9998136217539851)
2026-05-05 08:00:54,602  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:54,603    Inferred: {
  "associated_morphology": [
    "Benign neoplasm"
  ],
  "finding_site": [
    "Major salivary gland structure"
  ]
}
2026-05-05 08:00:54,604  Step 3: Retrieving candidates...
2026-05-05 08:00:54,637    interpretation: added 2 hierarchy neighbors
2026-05-05 08:00:54,638    interpretation: top match = Below reference range (score: 0.9999984547589341)
2026-05-05 08:00:54,777    occurrence: added 1 hierarchy neighbors
2026-05-05 08:00:54,779    occurrence: top match = Congenital (score: 0.9999988878998587)
2026-05-05 08:00:54,780  Step 4: Selecting best matches...
2026-05-05 08:00:55,013  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:55,078    associated_morphology: added 2 values from reference examples
2026-05-05 08:00:55,095  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:55,158    associated_morphology: added 2 values from reference examples
2026-05-05 08:00:55,324    associated_morphology: added 51 hierarchy neighbors
2026-05-05 08:00:55,325    associated_morphology: top match = Inflammation (score: 0.9999988222297281)
2026-05-05 08:00:55,345    associated_morphology: added 103 hierarchy neighbors
2026-05-05 08:00:55,347    associated_morphology: top match = Neoplasm, benign (score: 0.8564820004793287)
2026-05-05 08:00:55,348    finding_site: added 4 values from reference examples
2026-05-05 08:00:55,486    finding_site: added 5 hierarchy neighbors
2026-05-05 08:00:55,487    finding_site: top match = Esophageal structure (score: 0.9999989163011808)
2026-05-05 08:00:55,488  Step 4: Selecting best matches...
2026-05-05 08:00:55,591    finding_site: added 20 hierarchy neighbors
2026-05-05 08:00:55,592    finding_site: top match = Major salivary gland structure (score: 0.9999988422027809)
2026-05-05 08:00:55,593  Step 4: Selecting best matches...
2026-05-05 08:00:58,114  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:58,115  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:58,255    Inferred: {
  "finding_site": [
    "Pharyngeal structure"
  ]
}
2026-05-05 08:00:58,296  Step 3: Retrieving candidates...
2026-05-05 08:00:58,233    Inferred: {
  "finding_site": [
    "testicular endocrine structure"
  ],
  "interprets_interpretation": [
    {
      "interprets": "secretion of testicular hormone",
      "interpretation": "increased"
    }
  ]
}
2026-05-05 08:00:58,300  Step 3: Retrieving candidates...
2026-05-05 08:00:58,977  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:58,987  Total cost: $0.0260
2026-05-05 08:00:58,991  [148/340] Hemoglobin SS disease without crisis — cost: $0.0260 | total: $0.8334
2026-05-05 08:00:58,992  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:58,999  Total cost: $0.0211
2026-05-05 08:00:59,001  [149/340] Esophagitis — cost: $0.0211 | total: $0.8546
2026-05-05 08:00:59,026  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:59,056  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:59,081    finding_site: added 5 values from reference examples
2026-05-05 08:00:59,136    finding_site: added 3 values from reference examples
2026-05-05 08:00:59,199  Step 1: Retrieving reference examples...
2026-05-05 08:00:59,201  Step 1: Retrieving reference examples...
2026-05-05 08:00:59,278    finding_site: added 28 hierarchy neighbors
2026-05-05 08:00:59,279    finding_site: top match = Pharyngeal structure (score: 0.9999989168002564)
2026-05-05 08:00:59,280  Step 4: Selecting best matches...
2026-05-05 08:00:59,400    finding_site: added 13 hierarchy neighbors
2026-05-05 08:00:59,401    finding_site: top match = Testicular endocrine structure (score: 0.9694793662136599)
2026-05-05 08:00:59,403    interprets: added 1 values from reference examples
2026-05-05 08:00:59,475    interprets: added 3 hierarchy neighbors
2026-05-05 08:00:59,477    interprets: top match = Hormone secretion (score: 0.6469831789284813)
2026-05-05 08:00:59,543    interpretation: added 3 hierarchy neighbors
2026-05-05 08:00:59,544    interpretation: top match = Increased (score: 0.7458207666096103)
2026-05-05 08:00:59,546  Step 4: Selecting best matches...
2026-05-05 08:00:59,725  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:00:59,846  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:00,094  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:00,102  Total cost: $0.0247
2026-05-05 08:01:00,104  [150/340] Benign neoplasm of major salivary gland — cost: $0.0247 | total: $0.8792
2026-05-05 08:01:00,124  Checkpoint saved (150 terms)
2026-05-05 08:01:00,147    Reference: Dysarthria (similarity: 0.616)
2026-05-05 08:01:00,148    Reference: Unable to swallow (similarity: 0.608)
2026-05-05 08:01:00,149    Reference: Unable to swallow solids (similarity: 0.569)
2026-05-05 08:01:00,150    Reference: Uncompensated swallowing impairment (similarity: 0.566)
2026-05-05 08:01:00,150    Reference: Unable to swallow thickened fluid (similarity: 0.547)
2026-05-05 08:01:00,151  Step 2: Inferring attributes...
2026-05-05 08:01:00,265    Reference: Gastric ulcer with hemorrhage but without obstruction (similarity: 0.927)
2026-05-05 08:01:00,266    Reference: Chronic duodenal ulcer with hemorrhage but without obstruction (similarity: 0.904)
2026-05-05 08:01:00,267    Reference: Acute gastric ulcer with hemorrhage AND with perforation but without obstruction (similarity: 0.898)
2026-05-05 08:01:00,268    Reference: Chronic peptic ulcer with hemorrhage AND with perforation but without obstruction (similarity: 0.897)
2026-05-05 08:01:00,269    Reference: Peptic ulcer without hemorrhage AND without perforation but with obstruction (similarity: 0.868)
2026-05-05 08:01:00,270  Step 2: Inferring attributes...
2026-05-05 08:01:00,278  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:00,278  Step 1: Retrieving reference examples...
2026-05-05 08:01:00,280    Inferred: {
  "finding_site": [
    "structure of multiple endocrine glands"
  ],
  "interprets_interpretation": [
    {
      "interprets": "hormone secretion",
      "interpretation": "increased"
    }
  ],
  "finding_asso_with": [
    "multiple endocrine adenomatosis"
  ]
}
2026-05-05 08:01:00,283  Step 3: Retrieving candidates...
2026-05-05 08:01:00,353  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:00,355    Inferred: {
  "finding_site": [
    "erythrocyte"
  ],
  "interprets_interpretation": [
    {
      "interprets": "measurement of total hemoglobin concentration",
      "interpretation": "below reference range"
    }
  ],
  "occurrence": [
    "congenital"
  ]
}
2026-05-05 08:01:00,356  Step 3: Retrieving candidates...
2026-05-05 08:01:00,934  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:01,020  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:01,118  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:01,168    finding_site: added 4 values from reference examples
2026-05-05 08:01:01,327    finding_site: top match = Erythrocyte (score: 0.8531412833823601)
2026-05-05 08:01:01,399    finding_site: added 12 hierarchy neighbors
2026-05-05 08:01:01,400    finding_site: top match = Structure of multiple endocrine glands (score: 0.9538959361298407)
2026-05-05 08:01:01,424    Reference: Aplasia of lacrimal and salivary gland (similarity: 0.774)
2026-05-05 08:01:01,425    Reference: Congenital salivary gland fistula (similarity: 0.730)
2026-05-05 08:01:01,426    Reference: Congenital absence of mandible (similarity: 0.703)
2026-05-05 08:01:01,427    Reference: Congenital absence of hand (similarity: 0.646)
2026-05-05 08:01:01,428    Reference: Congenital absence of eyelash (similarity: 0.646)
2026-05-05 08:01:01,429  Step 2: Inferring attributes...
2026-05-05 08:01:01,470    interprets: added 4 hierarchy neighbors
2026-05-05 08:01:01,471    interprets: top match = Measurement of total hemoglobin concentration (score: 0.9641329890990858)
2026-05-05 08:01:01,497  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:01,498    Inferred: {
  "associated_morphology": [
    "chronic bleeding ulcer"
  ],
  "finding_site": [
    "upper gastrointestinal tract structure",
    "structure of lumen of upper gastrointestinal tract"
  ],
  "clinical_course": [
    "chronic"
  ]
}
2026-05-05 08:01:01,499  Step 3: Retrieving candidates...
2026-05-05 08:01:01,508    interprets: added 3 hierarchy neighbors
2026-05-05 08:01:01,509    interprets: top match = Hormone secretion (score: 0.9421691817126601)
2026-05-05 08:01:01,511    interpretation: added 1 values from reference examples
2026-05-05 08:01:01,552    interpretation: added 2 hierarchy neighbors
2026-05-05 08:01:01,554    interpretation: top match = Below reference range (score: 0.9296434867588427)
2026-05-05 08:01:01,589    interpretation: added 4 hierarchy neighbors
2026-05-05 08:01:01,590    interpretation: top match = Increased (score: 0.7457561942743974)
2026-05-05 08:01:01,592  Step 4: Selecting best matches...
2026-05-05 08:01:01,630    occurrence: added 1 hierarchy neighbors
2026-05-05 08:01:01,631    occurrence: top match = Congenital (score: 0.9192663474084836)
2026-05-05 08:01:01,633  Step 4: Selecting best matches...
2026-05-05 08:01:02,192  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:02,284    associated_morphology: added 5 values from reference examples
2026-05-05 08:01:02,365    associated_morphology: added 61 hierarchy neighbors
2026-05-05 08:01:02,366    associated_morphology: top match = Chronic bleeding ulcer (score: 0.9553667295554854)
2026-05-05 08:01:02,368    finding_site: added 5 values from reference examples
2026-05-05 08:01:02,485    finding_site: added 19 hierarchy neighbors
2026-05-05 08:01:02,486    finding_site: top match = Upper gastrointestinal tract structure (score: 0.9578472822351984)
2026-05-05 08:01:02,504  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:02,509  Total cost: $0.0179
2026-05-05 08:01:02,512  [151/340] Disorder of pharynx — cost: $0.0179 | total: $0.8971
2026-05-05 08:01:02,560    clinical_course: added 7 hierarchy neighbors
2026-05-05 08:01:02,561    clinical_course: top match = Chronic (score: 0.9084890803408459)
2026-05-05 08:01:02,563  Step 4: Selecting best matches...
2026-05-05 08:01:02,650  Step 1: Retrieving reference examples...
2026-05-05 08:01:03,080  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:03,473    Reference: Primary malignant neoplasm of pharynx (similarity: 0.785)
2026-05-05 08:01:03,475    Reference: Malignant tumor of tonsillar fossa (similarity: 0.770)
2026-05-05 08:01:03,475    Reference: Primary malignant neoplasm of palate (similarity: 0.751)
2026-05-05 08:01:03,476    Reference: Primary malignant neoplasm of skin head and neck (similarity: 0.716)
2026-05-05 08:01:03,478    Reference: Primary malignant neoplasm of anterior aspect of epiglottis (similarity: 0.716)
2026-05-05 08:01:03,479  Step 2: Inferring attributes...
2026-05-05 08:01:04,334  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:04,336    Inferred: {
  "interprets_interpretation": [
    {
      "interprets": "Ability to swallow",
      "interpretation": "Difficulty"
    }
  ]
}
2026-05-05 08:01:04,337  Step 3: Retrieving candidates...
2026-05-05 08:01:04,944  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:04,992    interprets: added 8 values from reference examples
2026-05-05 08:01:05,482  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:05,491  Total cost: $0.0241
2026-05-05 08:01:05,517  [152/340] Testicular hyperfunction — cost: $0.0241 | total: $0.9211
2026-05-05 08:01:05,640  Step 1: Retrieving reference examples...
2026-05-05 08:01:05,686    interprets: added 14 hierarchy neighbors
2026-05-05 08:01:05,687    interprets: top match = Ability to swallow (score: 0.9999987079433584)
2026-05-05 08:01:05,690    interpretation: added 3 values from reference examples
2026-05-05 08:01:06,037    interpretation: top match = Difficulty (score: 0.999998588794987)
2026-05-05 08:01:06,038  Step 4: Selecting best matches...
2026-05-05 08:01:06,091  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:06,351  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:06,353    Inferred: {
  "associated_morphology": [
    "Absence (morphologic abnormality)"
  ],
  "finding_site": [
    "Salivary gland structure"
  ],
  "occurrence": [
    "Congenital"
  ],
  "pathological_process": [
    "Pathological developmental process"
  ]
}
2026-05-05 08:01:06,354  Step 3: Retrieving candidates...
2026-05-05 08:01:06,462    Reference: Acute viral laryngotracheitis (similarity: 0.927)
2026-05-05 08:01:06,463    Reference: Acute laryngotracheitis without obstruction (similarity: 0.808)
2026-05-05 08:01:06,463    Reference: Acute laryngitis and/or tracheitis (similarity: 0.767)
2026-05-05 08:01:06,465    Reference: Acute tracheitis (similarity: 0.764)
2026-05-05 08:01:06,465    Reference: Chronic laryngitis and laryngotracheitis (similarity: 0.749)
2026-05-05 08:01:06,466  Step 2: Inferring attributes...
2026-05-05 08:01:06,824  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:06,894    associated_morphology: added 6 values from reference examples
2026-05-05 08:01:07,020    associated_morphology: added 36 hierarchy neighbors
2026-05-05 08:01:07,022    associated_morphology: top match = Morphologically abnormal structure (score: 0.6469447884260414)
2026-05-05 08:01:07,024    finding_site: added 4 values from reference examples
2026-05-05 08:01:07,431    finding_site: added 18 hierarchy neighbors
2026-05-05 08:01:07,432    finding_site: top match = Salivary gland structure (score: 0.9999987385935064)
2026-05-05 08:01:07,503    occurrence: added 1 hierarchy neighbors
2026-05-05 08:01:07,504    occurrence: top match = Congenital (score: 0.9999989353091774)
2026-05-05 08:01:07,559  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:07,560    Inferred: {
  "associated_morphology": [
    "Malignant neoplasm",
    "Neoplasm, malignant (primary)"
  ],
  "finding_site": [
    "Tonsillar structure"
  ],
  "pathological_process": [
    "Primary malignant neoplastic proliferation"
  ]
}
2026-05-05 08:01:07,561  Step 3: Retrieving candidates...
2026-05-05 08:01:07,583    pathological_process: top match = Pathological developmental process (score: 0.9999989868487922)
2026-05-05 08:01:07,584  Step 4: Selecting best matches...
2026-05-05 08:01:08,048  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:08,113  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:08,118  Total cost: $0.0243
2026-05-05 08:01:08,130  [153/340] Thalassemia — cost: $0.0243 | total: $0.9454
2026-05-05 08:01:08,149    associated_morphology: added 1 values from reference examples
2026-05-05 08:01:08,195  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:08,203  Total cost: $0.0298
2026-05-05 08:01:08,204  [154/340] Polyglandular activity in multiple endocrine adenomatosis — cost: $0.0298 | total: $0.9752
2026-05-05 08:01:08,253    associated_morphology: added 202 hierarchy neighbors
2026-05-05 08:01:08,254    associated_morphology: top match = Malignant neoplasm (score: 0.999998536957678)
2026-05-05 08:01:08,256    finding_site: added 4 values from reference examples
2026-05-05 08:01:08,301  Step 1: Retrieving reference examples...
2026-05-05 08:01:08,352  Step 1: Retrieving reference examples...
2026-05-05 08:01:08,396    finding_site: added 22 hierarchy neighbors
2026-05-05 08:01:08,398    finding_site: top match = Palatine tonsillar structure (score: 0.8797765203891308)
2026-05-05 08:01:08,498    pathological_process: top match = Primary malignant neoplastic proliferation (score: 0.9999985744559009)
2026-05-05 08:01:08,500  Step 4: Selecting best matches...
2026-05-05 08:01:08,795  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:08,914  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:09,930    Reference: Acute laryngotracheitis without obstruction (similarity: 0.880)
2026-05-05 08:01:09,931    Reference: Acute viral laryngotracheitis (similarity: 0.793)
2026-05-05 08:01:09,933    Reference: Hyperplasia of tonsils (similarity: 0.717)
2026-05-05 08:01:09,934    Reference: Acute laryngitis and/or tracheitis (similarity: 0.767)
2026-05-05 08:01:09,934    Reference: Small adenoids (similarity: 0.683)
2026-05-05 08:01:09,936    Reference: Laryngeal obstruction due to supraglottitis (similarity: 0.743)
2026-05-05 08:01:09,936    Reference: Hypertrophy of nasal turbinates (similarity: 0.605)
2026-05-05 08:01:09,938    Reference: Acute tracheitis (similarity: 0.706)
2026-05-05 08:01:09,938    Reference: Swollen nasopharynx (similarity: 0.568)
2026-05-05 08:01:09,939  Step 2: Inferring attributes...
2026-05-05 08:01:09,940    Reference: Inflamed tonsils (similarity: 0.565)
2026-05-05 08:01:09,943  Step 2: Inferring attributes...
2026-05-05 08:01:13,301  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:13,404  Total cost: $0.0306
2026-05-05 08:01:13,407  [155/340] Chronic peptic ulcer with hemorrhage but without obstruction — cost: $0.0306 | total: $1.0058
2026-05-05 08:01:13,423  Checkpoint saved (155 terms)
2026-05-05 08:01:13,687  Step 1: Retrieving reference examples...
2026-05-05 08:01:13,747  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:13,750    Inferred: {
  "associated_morphology": [
    "acute bleeding ulcer",
    "hemorrhage"
  ],
  "finding_site": [
    "structure of lumen of upper gastrointestinal tract",
    "upper gastrointestinal tract structure"
  ],
  "clinical_course": [
    "sudden onset and/or short duration"
  ]
}
2026-05-05 08:01:13,750  Step 3: Retrieving candidates...
2026-05-05 08:01:14,243  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:14,264  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:14,374  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:14,376    Inferred: {
  "associated_morphology": [
    "Hypertrophy"
  ],
  "finding_site": [
    "Palatine tonsillar structure",
    "Adenoidal structure"
  ]
}
2026-05-05 08:01:14,377  Step 3: Retrieving candidates...
2026-05-05 08:01:14,448    associated_morphology: added 8 values from reference examples
2026-05-05 08:01:14,600    associated_morphology: added 60 hierarchy neighbors
2026-05-05 08:01:14,601    associated_morphology: top match = Acute bleeding ulcer (score: 0.8871151758708538)
2026-05-05 08:01:14,603    finding_site: added 6 values from reference examples
2026-05-05 08:01:14,740    finding_site: added 19 hierarchy neighbors
2026-05-05 08:01:14,741    finding_site: top match = Structure of lumen of upper gastrointestinal tract (score: 0.9714932315030335)
2026-05-05 08:01:14,742    clinical_course: added 2 values from reference examples
2026-05-05 08:01:14,910  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:14,917  Total cost: $0.0323
2026-05-05 08:01:14,920  [156/340] Primary malignant neoplasm of tonsil — cost: $0.0323 | total: $1.0380
2026-05-05 08:01:14,948    Reference: Disorder of oropharynx (similarity: 0.718)
2026-05-05 08:01:14,949    Reference: Disorder of the nose (similarity: 0.653)
2026-05-05 08:01:14,950    Reference: Disorder of respiratory system (similarity: 0.642)
2026-05-05 08:01:14,950    Reference: Cyst of larynx (similarity: 0.632)
2026-05-05 08:01:14,951    Reference: Injury of larynx (similarity: 0.622)
2026-05-05 08:01:14,953  Step 2: Inferring attributes...
2026-05-05 08:01:14,964    clinical_course: added 8 hierarchy neighbors
2026-05-05 08:01:14,965    clinical_course: top match = Sudden onset AND/OR short duration (score: 0.895002098672096)
2026-05-05 08:01:14,966  Step 4: Selecting best matches...
2026-05-05 08:01:14,986  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:15,081    associated_morphology: added 4 values from reference examples
2026-05-05 08:01:15,131  Step 1: Retrieving reference examples...
2026-05-05 08:01:15,258    associated_morphology: added 85 hierarchy neighbors
2026-05-05 08:01:15,260    associated_morphology: top match = Hypertrophy (score: 0.9999988554966208)
2026-05-05 08:01:15,262    finding_site: added 2 values from reference examples
2026-05-05 08:01:15,354    finding_site: added 14 hierarchy neighbors
2026-05-05 08:01:15,355    finding_site: top match = Palatine tonsillar structure (score: 0.9999990617078988)
2026-05-05 08:01:15,356  Step 4: Selecting best matches...
2026-05-05 08:01:15,602  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:15,772  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:15,779  Total cost: $0.0252
2026-05-05 08:01:15,781  [157/340] Congenital absence of salivary gland — cost: $0.0252 | total: $1.0632
2026-05-05 08:01:15,927  Step 1: Retrieving reference examples...
2026-05-05 08:01:16,086    Reference: Abscess of sublingual gland (similarity: 0.835)
2026-05-05 08:01:16,087    Reference: Abscess of jaw (similarity: 0.774)
2026-05-05 08:01:16,088    Reference: Abscess of neck (similarity: 0.746)
2026-05-05 08:01:16,088    Reference: Fistula of salivary gland (similarity: 0.733)
2026-05-05 08:01:16,089    Reference: Abscess of hard palate (similarity: 0.717)
2026-05-05 08:01:16,090  Step 2: Inferring attributes...
2026-05-05 08:01:16,453  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:16,907  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:16,909    Inferred: {
  "associated_morphology": [
    "acute inflammation"
  ],
  "finding_site": [
    "laryngeal structure",
    "tracheal structure"
  ],
  "clinical_course": [
    "sudden onset and/or short duration"
  ]
}
2026-05-05 08:01:16,910  Step 3: Retrieving candidates...
2026-05-05 08:01:16,913    Reference: Disorder of upper gastrointestinal tract (similarity: 0.756)
2026-05-05 08:01:16,913    Reference: Disorder of oropharynx (similarity: 0.672)
2026-05-05 08:01:16,914    Reference: Ulcer of esophagus (similarity: 0.659)
2026-05-05 08:01:16,915    Reference: Esophageal dysplasia (similarity: 0.658)
2026-05-05 08:01:16,916    Reference: Disorder of mediastinum (similarity: 0.653)
2026-05-05 08:01:16,917  Step 2: Inferring attributes...
2026-05-05 08:01:17,309  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:17,310    Inferred: {
  "finding_site": [
    "laryngeal structure"
  ]
}
2026-05-05 08:01:17,311  Step 3: Retrieving candidates...
2026-05-05 08:01:17,421  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:17,501    associated_morphology: added 3 values from reference examples
2026-05-05 08:01:17,620    associated_morphology: added 86 hierarchy neighbors
2026-05-05 08:01:17,621    associated_morphology: top match = Acute inflammation (score: 0.8110776271475821)
2026-05-05 08:01:17,623    finding_site: added 1 values from reference examples
2026-05-05 08:01:17,695    finding_site: added 7 hierarchy neighbors
2026-05-05 08:01:17,696    finding_site: top match = Laryngeal structure (score: 0.9446813042021439)
2026-05-05 08:01:17,698    clinical_course: added 1 values from reference examples
2026-05-05 08:01:17,766    clinical_course: added 8 hierarchy neighbors
2026-05-05 08:01:17,767    clinical_course: top match = Sudden onset AND/OR short duration (score: 0.895002098672096)
2026-05-05 08:01:17,769  Step 4: Selecting best matches...
2026-05-05 08:01:17,831  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:17,855    finding_site: added 3 values from reference examples
2026-05-05 08:01:18,373    finding_site: added 21 hierarchy neighbors
2026-05-05 08:01:18,375    finding_site: top match = Laryngeal structure (score: 0.9446813042021439)
2026-05-05 08:01:18,376  Step 4: Selecting best matches...
2026-05-05 08:01:19,787  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:19,789    Inferred: {
  "associated_morphology": [
    "abscess"
  ],
  "finding_site": [
    "salivary gland structure"
  ]
}
2026-05-05 08:01:19,790  Step 3: Retrieving candidates...
2026-05-05 08:01:20,209  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:20,283    associated_morphology: added 5 values from reference examples
2026-05-05 08:01:20,394    associated_morphology: added 16 hierarchy neighbors
2026-05-05 08:01:20,395    associated_morphology: top match = Abscess of wound (score: 0.6820007824089368)
2026-05-05 08:01:20,397    finding_site: added 4 values from reference examples
2026-05-05 08:01:20,667    finding_site: added 23 hierarchy neighbors
2026-05-05 08:01:20,668    finding_site: top match = Salivary gland structure (score: 0.9604043231356373)
2026-05-05 08:01:20,669  Step 4: Selecting best matches...
2026-05-05 08:01:21,035  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:21,131  Total cost: $0.0155
2026-05-05 08:01:21,144  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:21,145  [158/340] Disorder of the larynx — cost: $0.0155 | total: $1.0787
2026-05-05 08:01:21,150    Inferred: {
  "finding_site": [
    "esophageal structure"
  ]
}
2026-05-05 08:01:21,154  Step 3: Retrieving candidates...
2026-05-05 08:01:21,281  Step 1: Retrieving reference examples...
2026-05-05 08:01:22,180  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:22,208    finding_site: added 4 values from reference examples
2026-05-05 08:01:22,209  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:22,338    finding_site: added 20 hierarchy neighbors
2026-05-05 08:01:22,339    finding_site: top match = Esophageal structure (score: 0.9687077208324795)
2026-05-05 08:01:22,340  Step 4: Selecting best matches...
2026-05-05 08:01:22,594    Reference: Deformity of cervical vertebra (similarity: 0.759)
2026-05-05 08:01:22,595    Reference: Acquired deformity of hand (similarity: 0.746)
2026-05-05 08:01:22,596    Reference: Acquired deformity of upper limb (similarity: 0.743)
2026-05-05 08:01:22,596    Reference: Acquired deformity of elbow (similarity: 0.742)
2026-05-05 08:01:22,597    Reference: Acquired musculoskeletal deformity (similarity: 0.741)
2026-05-05 08:01:22,598  Step 2: Inferring attributes...
2026-05-05 08:01:23,383  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:23,392  Total cost: $0.0198
2026-05-05 08:01:23,395  [159/340] Abscess of salivary gland — cost: $0.0198 | total: $1.0986
2026-05-05 08:01:23,532  Step 1: Retrieving reference examples...
2026-05-05 08:01:23,980  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:24,398    Reference: Disorder of endocrine receptor (similarity: 0.801)
2026-05-05 08:01:24,399    Reference: Disorder of endocrine testis (similarity: 0.735)
2026-05-05 08:01:24,400    Reference: Non-diabetic disorder of endocrine pancreas (similarity: 0.698)
2026-05-05 08:01:24,404    Reference: Complex adrenal endocrine disorder (similarity: 0.686)
2026-05-05 08:01:24,404    Reference: Disorder of posterior pituitary (similarity: 0.674)
2026-05-05 08:01:24,405  Step 2: Inferring attributes...
2026-05-05 08:01:25,167  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:25,169    Inferred: {
  "associated_morphology": [
    "Acute inflammation",
    "Obstruction"
  ],
  "finding_site": [
    "Laryngeal structure",
    "Tracheal structure"
  ],
  "clinical_course": [
    "Acute"
  ]
}
2026-05-05 08:01:25,172  Step 3: Retrieving candidates...
2026-05-05 08:01:25,672  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:25,831  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:25,839  Total cost: $0.0329
2026-05-05 08:01:25,842  [160/340] Acute peptic ulcer with hemorrhage but without obstruction — cost: $0.0329 | total: $1.1315
2026-05-05 08:01:25,855  Checkpoint saved (160 terms)
2026-05-05 08:01:25,951    associated_morphology: added 33 hierarchy neighbors
2026-05-05 08:01:25,952    associated_morphology: top match = Acute inflammation (score: 0.99999888342292)
2026-05-05 08:01:25,954    finding_site: added 1 values from reference examples
2026-05-05 08:01:26,046  Step 1: Retrieving reference examples...
2026-05-05 08:01:26,108    finding_site: added 7 hierarchy neighbors
2026-05-05 08:01:26,110    finding_site: top match = Laryngeal structure (score: 0.9999987984087824)
2026-05-05 08:01:26,112    clinical_course: added 4 values from reference examples
2026-05-05 08:01:26,126  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:26,127    Inferred: {
  "associated_morphology": [
    "Deformity (morphologic abnormality)"
  ],
  "finding_site": [
    "Neck structure"
  ],
  "occurrence": [
    "Period of life between birth and death"
  ]
}
2026-05-05 08:01:26,128  Step 3: Retrieving candidates...
2026-05-05 08:01:26,228    clinical_course: added 3 hierarchy neighbors
2026-05-05 08:01:26,229    clinical_course: top match = Acute onset (score: 0.7656327833332833)
2026-05-05 08:01:26,230  Step 4: Selecting best matches...
2026-05-05 08:01:26,590  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:26,693  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:26,700  Total cost: $0.0280
2026-05-05 08:01:26,702  [161/340] Acute laryngotracheitis — cost: $0.0280 | total: $1.1595
2026-05-05 08:01:26,753  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:26,851    associated_morphology: added 6 values from reference examples
2026-05-05 08:01:26,913  Step 1: Retrieving reference examples...
2026-05-05 08:01:27,123    Reference: Congenital diverticulum of esophagus (similarity: 0.841)
2026-05-05 08:01:27,123    Reference: Intramural diverticulosis of esophagus (similarity: 0.769)
2026-05-05 08:01:27,124    Reference: Acquired achalasia of esophagus (similarity: 0.741)
2026-05-05 08:01:27,125    Reference: Traction esophageal diverticulum (similarity: 0.733)
2026-05-05 08:01:27,126    Reference: Congenital duplication of esophagus (similarity: 0.642)
2026-05-05 08:01:27,126  Step 2: Inferring attributes...
2026-05-05 08:01:27,186    associated_morphology: added 40 hierarchy neighbors
2026-05-05 08:01:27,187    associated_morphology: top match = Morphologically abnormal structure (score: 0.7217888506321172)
2026-05-05 08:01:27,189    finding_site: added 6 values from reference examples
2026-05-05 08:01:27,301  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:27,308  Total cost: $0.0281
2026-05-05 08:01:27,311  [162/340] Hypertrophy of tonsils AND adenoids — cost: $0.0281 | total: $1.1876
2026-05-05 08:01:27,450  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:27,528  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:27,533  Total cost: $0.0172
2026-05-05 08:01:27,536  [163/340] Disorder of esophagus — cost: $0.0172 | total: $1.2048
2026-05-05 08:01:27,547  Step 1: Retrieving reference examples...
2026-05-05 08:01:27,761  Step 1: Retrieving reference examples...
2026-05-05 08:01:28,048    Reference: Nausea (similarity: 1.000)
2026-05-05 08:01:28,048    Reference: Vomiting (similarity: 0.668)
2026-05-05 08:01:28,049    Reference: Nausea and vomiting caused by radiation (similarity: 0.621)
2026-05-05 08:01:28,051    Reference: Able to communicate about nausea (similarity: 0.590)
2026-05-05 08:01:28,051    Reference: Vomiting without nausea (similarity: 0.551)
2026-05-05 08:01:28,051  Step 2: Inferring attributes...
2026-05-05 08:01:28,056  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:28,094    finding_site: added 40 hierarchy neighbors
2026-05-05 08:01:28,095    finding_site: top match = Neck structure (score: 0.9999982119780242)
2026-05-05 08:01:28,212  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:28,230    occurrence: added 4 hierarchy neighbors
2026-05-05 08:01:28,231    occurrence: top match = Period of life between birth and death (score: 0.9999989412860149)
2026-05-05 08:01:28,232  Step 4: Selecting best matches...
2026-05-05 08:01:28,872    Reference: Chlamydial infection of lower genitourinary tract (similarity: 1.000)
2026-05-05 08:01:28,873    Reference: Chlamydial infection of anus and rectum (similarity: 0.679)
2026-05-05 08:01:28,874    Reference: Chlamydial prostatitis (similarity: 0.654)
2026-05-05 08:01:28,875    Reference: Genital mycoplasma infection (similarity: 0.645)
2026-05-05 08:01:28,876    Reference: Cystitis caused by Chlamydia (similarity: 0.639)
2026-05-05 08:01:28,876  Step 2: Inferring attributes...
2026-05-05 08:01:28,928    Reference: Labyrinthitis of right inner ear (similarity: 0.702)
2026-05-05 08:01:28,929    Reference: Acute mastoiditis with labyrinthitis (similarity: 0.673)
2026-05-05 08:01:28,930    Reference: Labyrinthine hydrops of left inner ear (similarity: 0.665)
2026-05-05 08:01:28,931    Reference: Labyrinthine dysfunction (similarity: 0.619)
2026-05-05 08:01:28,931    Reference: Hypoactive labyrinthine dysfunction of left inner ear (similarity: 0.607)
2026-05-05 08:01:28,932  Step 2: Inferring attributes...
2026-05-05 08:01:29,330  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:29,333    Inferred: {
  "finding_site": [
    "endocrine system structure"
  ]
}
2026-05-05 08:01:29,334  Step 3: Retrieving candidates...
2026-05-05 08:01:29,957  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:29,988    finding_site: added 4 values from reference examples
2026-05-05 08:01:30,161    finding_site: added 16 hierarchy neighbors
2026-05-05 08:01:30,162    finding_site: top match = Endocrine gland structure (score: 0.8312711768864584)
2026-05-05 08:01:30,163  Step 4: Selecting best matches...
2026-05-05 08:01:32,156  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:32,162  Total cost: $0.0233
2026-05-05 08:01:32,165  [164/340] Acquired deformity of neck — cost: $0.0233 | total: $1.2281
2026-05-05 08:01:32,348  Step 1: Retrieving reference examples...
2026-05-05 08:01:32,713  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:32,715    Inferred: {
  "finding_site": [
    "lower genitourinary tract structure"
  ],
  "causative_agent": [
    "Chlamydia species"
  ],
  "pathological_process": [
    "infectious process"
  ]
}
2026-05-05 08:01:32,716  Step 3: Retrieving candidates...
2026-05-05 08:01:32,810  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:33,083  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:33,085    Inferred: {
  "associated_morphology": [
    "Inflammation"
  ],
  "finding_site": [
    "Labyrinth structure"
  ]
}
2026-05-05 08:01:33,086  Step 3: Retrieving candidates...
2026-05-05 08:01:33,370  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:33,377  Total cost: $0.0220
2026-05-05 08:01:33,379  [165/340] Dysphagia — cost: $0.0220 | total: $1.2501
2026-05-05 08:01:33,399  Checkpoint saved (165 terms)
2026-05-05 08:01:33,408  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:33,426    Reference: Shoulder dystocia with antenatal problem (similarity: 0.622)
2026-05-05 08:01:33,427    Reference: Disorder of fetus due to uterine dystocia (similarity: 0.547)
2026-05-05 08:01:33,428    Reference: Retraction ring dystocia (similarity: 0.545)
2026-05-05 08:01:33,429    Reference: Pressure injury of shoulder (similarity: 0.539)
2026-05-05 08:01:33,430    Reference: Congenital dysplasia of joint of left shoulder region (similarity: 0.533)
2026-05-05 08:01:33,431  Step 2: Inferring attributes...
2026-05-05 08:01:33,459  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:33,472  Total cost: $0.0291
2026-05-05 08:01:33,476  [166/340] Acute laryngotracheitis with obstruction — cost: $0.0291 | total: $1.2791
2026-05-05 08:01:33,510    finding_site: added 5 values from reference examples
2026-05-05 08:01:33,604  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:33,636  Step 1: Retrieving reference examples...
2026-05-05 08:01:33,671    associated_morphology: added 4 values from reference examples
2026-05-05 08:01:33,688  Step 1: Retrieving reference examples...
2026-05-05 08:01:33,730  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:33,736  Total cost: $0.0160
2026-05-05 08:01:33,737  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:33,740    Inferred: {
  "finding_site": [
    "Upper gastrointestinal tract structure"
  ]
}
2026-05-05 08:01:33,741  Step 3: Retrieving candidates...
2026-05-05 08:01:33,742  [167/340] Disorder of endocrine system — cost: $0.0160 | total: $1.2951
2026-05-05 08:01:33,944    associated_morphology: added 67 hierarchy neighbors
2026-05-05 08:01:33,945    associated_morphology: top match = Inflammation (score: 0.9999988156328776)
2026-05-05 08:01:33,948    finding_site: added 4 values from reference examples
2026-05-05 08:01:34,003  Step 1: Retrieving reference examples...
2026-05-05 08:01:34,199  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:34,219    finding_site: added 12 hierarchy neighbors
2026-05-05 08:01:34,220    finding_site: top match = Labyrinth structure (score: 0.9999988079447335)
2026-05-05 08:01:34,221  Step 4: Selecting best matches...
2026-05-05 08:01:34,239  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:34,264  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:34,310    finding_site: added 2 values from reference examples
2026-05-05 08:01:34,364    finding_site: added 22 hierarchy neighbors
2026-05-05 08:01:34,365    finding_site: top match = Lower genitourinary tract structure (score: 0.9663906150938985)
2026-05-05 08:01:34,367    causative_agent: added 1 values from reference examples
2026-05-05 08:01:34,499  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:34,590    finding_site: added 9 hierarchy neighbors
2026-05-05 08:01:34,591    finding_site: top match = Upper gastrointestinal tract structure (score: 0.9999990908557532)
2026-05-05 08:01:34,592  Step 4: Selecting best matches...
2026-05-05 08:01:34,723    causative_agent: added 5 hierarchy neighbors
2026-05-05 08:01:34,724    causative_agent: top match = Chlamydia (score: 0.7471138172494013)
2026-05-05 08:01:35,029    pathological_process: added 1 hierarchy neighbors
2026-05-05 08:01:35,030    pathological_process: top match = Infectious process (score: 0.9399850055019473)
2026-05-05 08:01:35,031  Step 4: Selecting best matches...
2026-05-05 08:01:35,351    Reference: Arthropathy in Behcet's syndrome of the hand (similarity: 0.908)
2026-05-05 08:01:35,352    Reference: Arthropathy of multiple joints (similarity: 0.671)
2026-05-05 08:01:35,352    Reference: Arthropathy associated with nonspecific urethritis (similarity: 0.654)
2026-05-05 08:01:35,353    Reference: Gouty arthropathy (similarity: 0.625)
2026-05-05 08:01:35,354    Reference: Arthropathy associated with a hematological disorder (similarity: 0.624)
2026-05-05 08:01:35,354  Step 2: Inferring attributes...
2026-05-05 08:01:35,398    Reference: Subacute mastitis (similarity: 0.696)
2026-05-05 08:01:35,399    Reference: Obstetric nipple infection with antenatal complication (similarity: 0.676)
2026-05-05 08:01:35,400    Reference: Abscess of nipple - obstetric (similarity: 0.675)
2026-05-05 08:01:35,401    Reference: Infection of the breast AND/OR nipple associated with childbirth (similarity: 0.633)
2026-05-05 08:01:35,402    Reference: Abscess of nipple associated with childbirth (similarity: 0.633)
2026-05-05 08:01:35,403  Step 2: Inferring attributes...
2026-05-05 08:01:35,477    Reference: Arthropathy in Behcet's syndrome of the hand (similarity: 0.838)
2026-05-05 08:01:35,478    Reference: Arthropathy of multiple joints (similarity: 0.720)
2026-05-05 08:01:35,478    Reference: Traumatic arthropathy of multiple sites (similarity: 0.657)
2026-05-05 08:01:35,479    Reference: Pyogenic arthritis of multiple sites (similarity: 0.622)
2026-05-05 08:01:35,479    Reference: Arthropathy associated with nonspecific urethritis (similarity: 0.609)
2026-05-05 08:01:35,480  Step 2: Inferring attributes...
2026-05-05 08:01:37,777  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:37,779    Inferred: {
  "associated_morphology": [
    "single diverticulum"
  ],
  "finding_site": [
    "esophageal structure"
  ],
  "occurrence": [
    "period of life between birth and death"
  ]
}
2026-05-05 08:01:37,781  Step 3: Retrieving candidates...
2026-05-05 08:01:38,287  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:38,368    associated_morphology: added 4 values from reference examples
2026-05-05 08:01:38,472    associated_morphology: added 3 hierarchy neighbors
2026-05-05 08:01:38,474    associated_morphology: top match = Single diverticulum (score: 0.9605977994270345)
2026-05-05 08:01:38,475    finding_site: added 1 values from reference examples
2026-05-05 08:01:38,573    finding_site: added 8 hierarchy neighbors
2026-05-05 08:01:38,574    finding_site: top match = Esophageal structure (score: 0.9687022624244284)
2026-05-05 08:01:38,576    occurrence: added 3 values from reference examples
2026-05-05 08:01:38,657    occurrence: added 5 hierarchy neighbors
2026-05-05 08:01:38,658    occurrence: top match = Period of life between birth and death (score: 0.9501149706743015)
2026-05-05 08:01:38,659  Step 4: Selecting best matches...
2026-05-05 08:01:38,776  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:38,781  Total cost: $0.0175
2026-05-05 08:01:38,783  [168/340] Nausea — cost: $0.0175 | total: $1.3126
2026-05-05 08:01:38,908  Step 1: Retrieving reference examples...
2026-05-05 08:01:39,461  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:39,834    Reference: Arthropathy of the pelvic region and thigh associated with helminthiasis (similarity: 1.000)
2026-05-05 08:01:39,838    Reference: Transient arthropathy of the pelvic region and thigh (similarity: 0.711)
2026-05-05 08:01:39,840    Reference: Pyogenic arthritis of pelvic region (similarity: 0.609)
2026-05-05 08:01:39,893    Reference: Protrusio acetabuli of the pelvic region and thigh (similarity: 0.592)
2026-05-05 08:01:39,902    Reference: Arthropathy of bilateral hip joints (similarity: 0.592)
2026-05-05 08:01:39,904  Step 2: Inferring attributes...
2026-05-05 08:01:40,835  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:40,878  Total cost: $0.0245
2026-05-05 08:01:40,880  [169/340] Serous labyrinthitis — cost: $0.0245 | total: $1.3371
2026-05-05 08:01:41,021  Step 1: Retrieving reference examples...
2026-05-05 08:01:41,182  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:41,188  Total cost: $0.0232
2026-05-05 08:01:41,190  [170/340] Chlamydial infection of lower genitourinary tract — cost: $0.0232 | total: $1.3603
2026-05-05 08:01:41,209  Checkpoint saved (170 terms)
2026-05-05 08:01:41,323  Step 1: Retrieving reference examples...
2026-05-05 08:01:41,330  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:41,332    Inferred: {
  "associated_morphology": [
    "Inflammation",
    "Inflammatory morphology"
  ],
  "finding_site": [
    "Joint structure"
  ],
  "finding_asso_with": [
    "Behcet's syndrome"
  ]
}
2026-05-05 08:01:41,332  Step 3: Retrieving candidates...
2026-05-05 08:01:41,812  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:41,914  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:41,960  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:42,093    associated_morphology: added 1 values from reference examples
2026-05-05 08:01:42,216    Reference: Gorham's disease (similarity: 0.477)
2026-05-05 08:01:42,217    Reference: Osgood Schlatter disease (similarity: 0.476)
2026-05-05 08:01:42,218    Reference: Osteitis deformans (similarity: 0.475)
2026-05-05 08:01:42,219    Reference: Kozlowski spondylometaphyseal dysplasia (similarity: 0.464)
2026-05-05 08:01:42,220    Reference: Osteochondropathy of bilateral hands (similarity: 0.463)
2026-05-05 08:01:42,220  Step 2: Inferring attributes...
2026-05-05 08:01:42,254    associated_morphology: added 48 hierarchy neighbors
2026-05-05 08:01:42,255    associated_morphology: top match = Inflammation (score: 0.9999988748630455)
2026-05-05 08:01:42,257    finding_site: added 1 values from reference examples
2026-05-05 08:01:42,363    Reference: Hemarthrosis of foot (similarity: 0.861)
2026-05-05 08:01:42,364    Reference: Hemarthrosis of right foot (similarity: 0.818)
2026-05-05 08:01:42,365    Reference: Hemarthrosis of knee (similarity: 0.750)
2026-05-05 08:01:42,366    Reference: Chronic synovitis of right ankle joint due to hemarthrosis (similarity: 0.734)
2026-05-05 08:01:42,366    Reference: Joint effusion of ankle AND/OR foot (similarity: 0.731)
2026-05-05 08:01:42,367  Step 2: Inferring attributes...
2026-05-05 08:01:42,560    finding_site: added 19 hierarchy neighbors
2026-05-05 08:01:42,561    finding_site: top match = Joint structure (score: 0.9999985216050724)
2026-05-05 08:01:42,563  Step 4: Selecting best matches...
2026-05-05 08:01:44,088  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:44,090    Inferred: {
  "occurrence": [
    "Maternal intrapartum period"
  ]
}
2026-05-05 08:01:44,091  Step 3: Retrieving candidates...
2026-05-05 08:01:44,553  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:44,582    occurrence: added 2 values from reference examples
2026-05-05 08:01:44,723    occurrence: added 8 hierarchy neighbors
2026-05-05 08:01:44,724    occurrence: top match = Maternal intrapartum period (score: 0.999998720069257)
2026-05-05 08:01:44,725  Step 4: Selecting best matches...
2026-05-05 08:01:45,094  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:45,096    Inferred: {
  "associated_morphology": [
    "Inflammation",
    "Inflammatory morphology"
  ],
  "finding_site": [
    "Joint structure of multiple body sites"
  ],
  "finding_asso_with": [
    "Behcet's syndrome"
  ]
}
2026-05-05 08:01:45,097  Step 3: Retrieving candidates...
2026-05-05 08:01:45,560  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:45,719    associated_morphology: added 1 values from reference examples
2026-05-05 08:01:45,809    associated_morphology: added 52 hierarchy neighbors
2026-05-05 08:01:45,810    associated_morphology: top match = Inflammation (score: 0.9999988748630455)
2026-05-05 08:01:45,812    finding_site: added 3 values from reference examples
2026-05-05 08:01:45,893    finding_site: added 19 hierarchy neighbors
2026-05-05 08:01:45,894    finding_site: top match = Joint structure of multiple body sites (score: 0.9999989592930218)
2026-05-05 08:01:45,896  Step 4: Selecting best matches...
2026-05-05 08:01:46,926  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:46,929    Inferred: {
  "associated_morphology": [
    "Hemorrhage"
  ],
  "finding_site": [
    "Joint structure of ankle and/or foot"
  ]
}
2026-05-05 08:01:46,930  Step 3: Retrieving candidates...
2026-05-05 08:01:47,022  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:47,024    Inferred: {
  "associated_morphology": [
    "nonsuppurative inflammation"
  ],
  "finding_site": [
    "breast structure"
  ],
  "occurrence": [
    "maternal postpartum period"
  ]
}
2026-05-05 08:01:47,025  Step 3: Retrieving candidates...
2026-05-05 08:01:47,524  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:47,548    Inferred: {
  "associated_morphology": [
    "Inflammation",
    "Inflammatory morphology"
  ],
  "finding_site": [
    "Joint structure of pelvis or upper leg"
  ],
  "finding_asso_with": [
    "Helminthiasis"
  ]
}
2026-05-05 08:01:47,549  Step 3: Retrieving candidates...
2026-05-05 08:01:47,563  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:47,605  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:47,646    associated_morphology: added 3 values from reference examples
2026-05-05 08:01:47,651    associated_morphology: added 2 values from reference examples
2026-05-05 08:01:47,748    associated_morphology: added 14 hierarchy neighbors
2026-05-05 08:01:47,748    associated_morphology: top match = Nonsuppurative inflammation (score: 0.9383509050020766)
2026-05-05 08:01:47,750    finding_site: added 3 values from reference examples
2026-05-05 08:01:47,782    associated_morphology: added 65 hierarchy neighbors
2026-05-05 08:01:47,783    associated_morphology: top match = Hemorrhage (score: 0.9999990043934586)
2026-05-05 08:01:47,785    finding_site: added 5 values from reference examples
2026-05-05 08:01:48,118    finding_site: added 7 hierarchy neighbors
2026-05-05 08:01:48,119    finding_site: top match = Breast structure (score: 0.9516846135972783)
2026-05-05 08:01:48,121    occurrence: added 3 values from reference examples
2026-05-05 08:01:48,182    finding_site: added 24 hierarchy neighbors
2026-05-05 08:01:48,183    finding_site: top match = Joint structure of ankle and/or foot (score: 0.9999986321805603)
2026-05-05 08:01:48,184  Step 4: Selecting best matches...
2026-05-05 08:01:48,195  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:48,258    occurrence: added 1 hierarchy neighbors
2026-05-05 08:01:48,259    occurrence: top match = Maternal postnatal period (score: 0.8764718948860954)
2026-05-05 08:01:48,260  Step 4: Selecting best matches...
2026-05-05 08:01:48,319    associated_morphology: added 2 values from reference examples
2026-05-05 08:01:48,426    associated_morphology: added 59 hierarchy neighbors
2026-05-05 08:01:48,427    associated_morphology: top match = Inflammation (score: 0.9999984514367927)
2026-05-05 08:01:48,429    finding_site: added 4 values from reference examples
2026-05-05 08:01:48,725    finding_site: added 19 hierarchy neighbors
2026-05-05 08:01:48,726    finding_site: top match = Joint structure of pelvis or upper leg (score: 0.9999989953192346)
2026-05-05 08:01:48,727  Step 4: Selecting best matches...
2026-05-05 08:01:49,020  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:49,026  Total cost: $0.0219
2026-05-05 08:01:49,029  [171/340] Shoulder girdle dystocia — cost: $0.0219 | total: $1.3822
2026-05-05 08:01:49,166  Step 1: Retrieving reference examples...
2026-05-05 08:01:49,687  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:49,908  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:49,910    Inferred: {
  "associated_morphology": [
    "osteochondrosis"
  ],
  "finding_site": [
    "bone structure",
    "articular cartilage structure"
  ]
}
2026-05-05 08:01:49,911  Step 3: Retrieving candidates...
2026-05-05 08:01:50,051    Reference: Multiple stiff joints (similarity: 0.747)
2026-05-05 08:01:50,052    Reference: Immobility stiffness (similarity: 0.742)
2026-05-05 08:01:50,053    Reference: Stiffness of joint of left foot (similarity: 0.692)
2026-05-05 08:01:50,053    Reference: Stiffness of joint of left elbow (similarity: 0.686)
2026-05-05 08:01:50,054    Reference: Knee stiff (similarity: 0.685)
2026-05-05 08:01:50,055  Step 2: Inferring attributes...
2026-05-05 08:01:50,367  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:50,426    associated_morphology: added 4 values from reference examples
2026-05-05 08:01:50,636    associated_morphology: added 37 hierarchy neighbors
2026-05-05 08:01:50,637    associated_morphology: top match = Chondromatosis (score: 0.5960679996953318)
2026-05-05 08:01:50,639    finding_site: added 5 values from reference examples
2026-05-05 08:01:51,168    finding_site: added 36 hierarchy neighbors
2026-05-05 08:01:51,170    finding_site: top match = Bone structure (score: 0.9046971775968333)
2026-05-05 08:01:51,172  Step 4: Selecting best matches...
2026-05-05 08:01:52,068  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:52,074  Total cost: $0.0225
2026-05-05 08:01:52,076  [172/340] Hemarthrosis of the ankle and/or foot — cost: $0.0225 | total: $1.4047
2026-05-05 08:01:52,215  Step 1: Retrieving reference examples...
2026-05-05 08:01:52,771  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:53,196    Reference: Osteoarthritis of joint of left shoulder region (similarity: 0.895)
2026-05-05 08:01:53,198    Reference: Secondary osteoarthritis of glenohumeral joint (similarity: 0.771)
2026-05-05 08:01:53,199    Reference: Synovial osteochondromatosis of shoulder (similarity: 0.712)
2026-05-05 08:01:53,200    Reference: Osteoarthritis of elbow (similarity: 0.709)
2026-05-05 08:01:53,201    Reference: Monoarthritis of right shoulder (similarity: 0.693)
2026-05-05 08:01:53,201  Step 2: Inferring attributes...
2026-05-05 08:01:54,401  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:54,404    Inferred: {
  "finding_site": [
    "Structure of joint region"
  ],
  "interprets_interpretation": [
    {
      "interprets": "Range of joint movement",
      "interpretation": "Below reference range"
    }
  ]
}
2026-05-05 08:01:54,404  Step 3: Retrieving candidates...
2026-05-05 08:01:54,996  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:55,072    finding_site: added 4 values from reference examples
2026-05-05 08:01:55,305    finding_site: added 28 hierarchy neighbors
2026-05-05 08:01:55,306    finding_site: top match = Structure of joint region (score: 0.9999990622145257)
2026-05-05 08:01:55,308    interprets: added 5 values from reference examples
2026-05-05 08:01:55,471    interprets: added 24 hierarchy neighbors
2026-05-05 08:01:55,473    interprets: top match = Range of joint movement (score: 0.9999987753200454)
2026-05-05 08:01:55,536    interpretation: added 2 hierarchy neighbors
2026-05-05 08:01:55,537    interpretation: top match = Below reference range (score: 0.9999983343497804)
2026-05-05 08:01:55,538  Step 4: Selecting best matches...
2026-05-05 08:01:55,845  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:55,849  Total cost: $0.0233
2026-05-05 08:01:55,851  [173/340] Arthropathy in Behcet's syndrome — cost: $0.0233 | total: $1.4280
2026-05-05 08:01:55,998  Step 1: Retrieving reference examples...
2026-05-05 08:01:56,465  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:56,904    Reference: Chronic disruption of cruciate ligament of right knee (similarity: 0.724)
2026-05-05 08:01:56,906    Reference: Rupture of ligament of knee joint (similarity: 0.699)
2026-05-05 08:01:56,909    Reference: Old posterior cruciate ligament disruption (similarity: 0.674)
2026-05-05 08:01:56,910    Reference: Chronic rupture of anterior cruciate ligament of left knee (similarity: 0.659)
2026-05-05 08:01:56,910    Reference: Traumatic tear of cruciate ligament of knee (similarity: 0.658)
2026-05-05 08:01:56,911  Step 2: Inferring attributes...
2026-05-05 08:01:57,238  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:57,259  Total cost: $0.0298
2026-05-05 08:01:57,261  [174/340] Acquired diverticulum of esophagus — cost: $0.0298 | total: $1.4577
2026-05-05 08:01:57,384  Step 1: Retrieving reference examples...
2026-05-05 08:01:57,767  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:57,800  Total cost: $0.0273
2026-05-05 08:01:57,817  [175/340] Arthropathy in Behcet's syndrome of multiple sites — cost: $0.0273 | total: $1.4851
2026-05-05 08:01:57,832  Checkpoint saved (175 terms)
2026-05-05 08:01:57,896  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:57,955  Step 1: Retrieving reference examples...
2026-05-05 08:01:58,269    Reference: Intermittent effusion of joint of right shoulder region (similarity: 0.787)
2026-05-05 08:01:58,270    Reference: Effusion of joint of right wrist region (similarity: 0.787)
2026-05-05 08:01:58,271    Reference: Intermittent effusion of joint of bilateral shoulder regions (similarity: 0.753)
2026-05-05 08:01:58,272    Reference: Effusion of joint of right knee (similarity: 0.751)
2026-05-05 08:01:58,272    Reference: Fistula of joint of left shoulder region (similarity: 0.706)
2026-05-05 08:01:58,273  Step 2: Inferring attributes...
2026-05-05 08:01:58,468  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:58,597  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:58,599    Inferred: {
  "associated_morphology": [
    "Degenerative abnormality",
    "Degeneration"
  ],
  "finding_site": [
    "Structure of joint of shoulder region"
  ]
}
2026-05-05 08:01:58,600  Step 3: Retrieving candidates...
2026-05-05 08:01:58,624  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:58,631  Total cost: $0.0323
2026-05-05 08:01:58,633  [176/340] Obstetric non-purulent mastitis — cost: $0.0323 | total: $1.5173
2026-05-05 08:01:58,784  Step 1: Retrieving reference examples...
2026-05-05 08:01:58,846    Reference: Infection of bone associated with spinal fixation device (similarity: 0.739)
2026-05-05 08:01:58,847    Reference: Infection associated with musculoskeletal implant (similarity: 0.689)
2026-05-05 08:01:58,848    Reference: Infection of femur associated with internal fixation device (similarity: 0.668)
2026-05-05 08:01:58,848    Reference: Acute disease of bone (similarity: 0.663)
2026-05-05 08:01:58,849    Reference: Bacterial osteomyelitis (similarity: 0.660)
2026-05-05 08:01:58,850  Step 2: Inferring attributes...
2026-05-05 08:01:59,077  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:59,149    associated_morphology: added 4 values from reference examples
2026-05-05 08:01:59,364  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:59,412    associated_morphology: added 59 hierarchy neighbors
2026-05-05 08:01:59,413    associated_morphology: top match = Degenerative abnormality (score: 0.9999988336162405)
2026-05-05 08:01:59,415    finding_site: added 5 values from reference examples
2026-05-05 08:01:59,637  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:01:59,643  Total cost: $0.0236
2026-05-05 08:01:59,646  [177/340] Joint stiffness — cost: $0.0236 | total: $1.5409
2026-05-05 08:01:59,762    Reference: Rupture of muscle (similarity: 0.852)
2026-05-05 08:01:59,766    Reference: Rupture of gastrocnemius muscle (similarity: 0.711)
2026-05-05 08:01:59,767    Reference: Nontraumatic rupture of extensor tendon of right thigh (similarity: 0.699)
2026-05-05 08:01:59,767    Reference: Rupture of distal quadriceps muscle (similarity: 0.696)
2026-05-05 08:01:59,768    Reference: Nontraumatic rupture of triceps tendon of right upper limb (similarity: 0.683)
2026-05-05 08:01:59,769  Step 2: Inferring attributes...
2026-05-05 08:01:59,778    finding_site: added 33 hierarchy neighbors
2026-05-05 08:01:59,779    finding_site: top match = Structure of joint of right shoulder region (score: 0.9475257951439555)
2026-05-05 08:01:59,780  Step 4: Selecting best matches...
2026-05-05 08:01:59,809  Step 1: Retrieving reference examples...
2026-05-05 08:02:00,387  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:00,846    Reference: Synovial plica (similarity: 1.000)
2026-05-05 08:02:00,871  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:00,911    Reference: Synovial plica syndrome of left knee (similarity: 0.726)
2026-05-05 08:02:00,913    Inferred: {
  "associated_morphology": [
    "Effusion (morphologic abnormality)"
  ],
  "finding_site": [
    "Structure of joint of shoulder region"
  ]
}
2026-05-05 08:02:00,914    Reference: Synovial-like neoplasm (similarity: 0.562)
2026-05-05 08:02:00,915  Step 3: Retrieving candidates...
2026-05-05 08:02:00,916    Reference: Synovial cyst of knee (similarity: 0.556)
2026-05-05 08:02:00,918    Reference: Cutaneous synovial metaplasia (similarity: 0.538)
2026-05-05 08:02:00,919  Step 2: Inferring attributes...
2026-05-05 08:02:01,445  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:01,491    associated_morphology: added 6 values from reference examples
2026-05-05 08:02:01,598    associated_morphology: added 41 hierarchy neighbors
2026-05-05 08:02:01,599    associated_morphology: top match = Morphologically abnormal structure (score: 0.5969224713074568)
2026-05-05 08:02:01,600    finding_site: added 5 values from reference examples
2026-05-05 08:02:01,727    finding_site: added 37 hierarchy neighbors
2026-05-05 08:02:01,729    finding_site: top match = Structure of joint of right shoulder region (score: 0.9475257951439555)
2026-05-05 08:02:01,730  Step 4: Selecting best matches...
2026-05-05 08:02:02,654  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:02,663  Total cost: $0.0287
2026-05-05 08:02:02,666  [178/340] Kashin-Bek disease — cost: $0.0287 | total: $1.5696
2026-05-05 08:02:02,796  Step 1: Retrieving reference examples...
2026-05-05 08:02:03,370  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:03,758    Reference: Lordosis and scoliosis deformity of spine (similarity: 0.833)
2026-05-05 08:02:03,760    Reference: Kyphosis deformity of spine (similarity: 0.790)
2026-05-05 08:02:03,761    Reference: Rotational deformity of spine (similarity: 0.769)
2026-05-05 08:02:03,762    Reference: Family history of scoliosis deformity of spine (similarity: 0.746)
2026-05-05 08:02:03,762    Reference: Deformity of cervical vertebra (similarity: 0.668)
2026-05-05 08:02:03,763  Step 2: Inferring attributes...
2026-05-05 08:02:04,399  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:04,495  Total cost: $0.0237
2026-05-05 08:02:04,500  [179/340] Osteoarthritis of shoulder region — cost: $0.0237 | total: $1.5933
2026-05-05 08:02:04,621  Step 1: Retrieving reference examples...
2026-05-05 08:02:04,881  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:04,883    Inferred: {
  "finding_site": [
    "synovial membrane structure"
  ]
}
2026-05-05 08:02:04,884  Step 3: Retrieving candidates...
2026-05-05 08:02:05,050  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:05,051    Inferred: {
  "associated_morphology": [
    "Rupture"
  ],
  "finding_site": [
    "Muscle structure"
  ]
}
2026-05-05 08:02:05,052  Step 3: Retrieving candidates...
2026-05-05 08:02:05,057  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:05,062  Total cost: $0.0307
2026-05-05 08:02:05,064  [180/340] Arthropathy of the pelvic region and thigh associated with helminthiasis — cost: $0.0307 | total: $1.6240
2026-05-05 08:02:05,086  Checkpoint saved (180 terms)
2026-05-05 08:02:05,207  Step 1: Retrieving reference examples...
2026-05-05 08:02:05,349  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:05,516  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:05,555  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:05,582    finding_site: added 5 values from reference examples
2026-05-05 08:02:05,639    associated_morphology: added 10 hierarchy neighbors
2026-05-05 08:02:05,640    associated_morphology: top match = Rupture (score: 0.9999988750567051)
2026-05-05 08:02:05,642    finding_site: added 6 values from reference examples
2026-05-05 08:02:05,742    Reference: Solitary bone cyst (similarity: 1.000)
2026-05-05 08:02:05,744    Reference: Solitary bone cyst of ulna (similarity: 0.863)
2026-05-05 08:02:05,744    Reference: Solitary bone cyst of right tibia (similarity: 0.841)
2026-05-05 08:02:05,745    Reference: Solitary bone cyst of left hand (similarity: 0.840)
2026-05-05 08:02:05,746    Reference: Solitary bone cyst of left humerus (similarity: 0.822)
2026-05-05 08:02:05,746  Step 2: Inferring attributes...
2026-05-05 08:02:05,783    finding_site: added 22 hierarchy neighbors
2026-05-05 08:02:05,784    finding_site: top match = Structure of synovial membrane of joint (score: 0.834372069203019)
2026-05-05 08:02:05,785  Step 4: Selecting best matches...
2026-05-05 08:02:05,945    finding_site: added 14 hierarchy neighbors
2026-05-05 08:02:05,947    finding_site: top match = Muscle structure (score: 0.9999983326492828)
2026-05-05 08:02:05,948  Step 4: Selecting best matches...
2026-05-05 08:02:05,956  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:06,014  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:06,016    Inferred: {
  "finding_site": [
    "Bone structure"
  ],
  "pathological_process": [
    "Infectious process"
  ]
}
2026-05-05 08:02:06,017  Step 3: Retrieving candidates...
2026-05-05 08:02:06,318    Reference: Congenital hydrocele (similarity: 1.000)
2026-05-05 08:02:06,319    Reference: Adult hydrocele (similarity: 0.718)
2026-05-05 08:02:06,320    Reference: Congenital abnormality of scrotum (similarity: 0.668)
2026-05-05 08:02:06,321    Reference: Congenital hypoplasia of testis and scrotum (similarity: 0.612)
2026-05-05 08:02:06,321    Reference: Congenital hypertrophy of testis (similarity: 0.609)
2026-05-05 08:02:06,323  Step 2: Inferring attributes...
2026-05-05 08:02:06,663  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:06,706    finding_site: added 3 values from reference examples
2026-05-05 08:02:07,126    finding_site: added 22 hierarchy neighbors
2026-05-05 08:02:07,127    finding_site: top match = Bone structure (score: 0.9999986605504126)
2026-05-05 08:02:07,199    pathological_process: added 1 hierarchy neighbors
2026-05-05 08:02:07,200    pathological_process: top match = Infectious process (score: 0.9999989174924272)
2026-05-05 08:02:07,201  Step 4: Selecting best matches...
2026-05-05 08:02:07,833  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:07,835    Inferred: {
  "associated_morphology": [
    "lateral abnormal curvature"
  ],
  "finding_site": [
    "musculoskeletal structure of spine"
  ]
}
2026-05-05 08:02:07,836  Step 3: Retrieving candidates...
2026-05-05 08:02:08,363  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:08,408  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:08,418  Total cost: $0.0228
2026-05-05 08:02:08,424    associated_morphology: added 4 values from reference examples
2026-05-05 08:02:08,426  [181/340] Effusion of joint of shoulder region — cost: $0.0228 | total: $1.6469
2026-05-05 08:02:08,552    associated_morphology: added 20 hierarchy neighbors
2026-05-05 08:02:08,553    associated_morphology: top match = Lateral abnormal curvature (score: 0.9578067047129606)
2026-05-05 08:02:08,555    finding_site: added 1 values from reference examples
2026-05-05 08:02:08,585  Step 1: Retrieving reference examples...
2026-05-05 08:02:08,659    finding_site: added 15 hierarchy neighbors
2026-05-05 08:02:08,660    finding_site: top match = Musculoskeletal structure of spine (score: 0.9607309036584964)
2026-05-05 08:02:08,661  Step 4: Selecting best matches...
2026-05-05 08:02:08,894  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:08,896    Inferred: {
  "associated_morphology": [
    "unicameral bone cyst"
  ],
  "finding_site": [
    "bone structure"
  ]
}
2026-05-05 08:02:08,897  Step 3: Retrieving candidates...
2026-05-05 08:02:09,370  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:09,476  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:09,550    associated_morphology: added 6 values from reference examples
2026-05-05 08:02:09,619  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:09,621    Inferred: {
  "associated_morphology": [
    "hydrocele"
  ],
  "finding_site": [
    "scrotal structure"
  ],
  "pathological_process": [
    "pathological developmental process"
  ],
  "occurrence": [
    "congenital"
  ]
}
2026-05-05 08:02:09,622  Step 3: Retrieving candidates...
2026-05-05 08:02:09,734    Reference: Closed fracture of two ribs (similarity: 1.000)
2026-05-05 08:02:09,735    Reference: Closed fracture of multiple ribs (similarity: 0.913)
2026-05-05 08:02:09,736    Reference: Closed fracture of one rib (similarity: 0.908)
2026-05-05 08:02:09,737    Reference: Fracture of two ribs (similarity: 0.905)
2026-05-05 08:02:09,738    Reference: Open fracture of multiple left ribs (similarity: 0.822)
2026-05-05 08:02:09,738  Step 2: Inferring attributes...
2026-05-05 08:02:09,747    associated_morphology: added 10 hierarchy neighbors
2026-05-05 08:02:09,748    associated_morphology: top match = Synovial cyst (score: 0.5880867469257454)
2026-05-05 08:02:09,750    finding_site: added 5 values from reference examples
2026-05-05 08:02:09,924    finding_site: added 30 hierarchy neighbors
2026-05-05 08:02:09,925    finding_site: top match = Bone structure (score: 0.9047054539139252)
2026-05-05 08:02:09,926  Step 4: Selecting best matches...
2026-05-05 08:02:10,274  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:10,359    associated_morphology: added 4 values from reference examples
2026-05-05 08:02:10,505    associated_morphology: added 36 hierarchy neighbors
2026-05-05 08:02:10,506    associated_morphology: top match = Hydrocele (score: 0.8930468037573415)
2026-05-05 08:02:10,508    finding_site: added 3 values from reference examples
2026-05-05 08:02:10,700    finding_site: added 13 hierarchy neighbors
2026-05-05 08:02:10,701    finding_site: top match = Scrotal structure (score: 0.9597655890750735)
2026-05-05 08:02:10,771    pathological_process: top match = Pathological developmental process (score: 0.9610827223693054)
2026-05-05 08:02:10,772    occurrence: added 1 values from reference examples
2026-05-05 08:02:10,856    occurrence: added 4 hierarchy neighbors
2026-05-05 08:02:10,856    occurrence: top match = Congenital (score: 0.9192279706084484)
2026-05-05 08:02:10,858  Step 4: Selecting best matches...
2026-05-05 08:02:11,299  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:11,312  Total cost: $0.0204
2026-05-05 08:02:11,368  [182/340] Nontraumatic rupture of muscle — cost: $0.0204 | total: $1.6673
2026-05-05 08:02:11,468  Step 1: Retrieving reference examples...
2026-05-05 08:02:11,475  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:11,481  Total cost: $0.0192
2026-05-05 08:02:11,483  [183/340] Synovial plica — cost: $0.0192 | total: $1.6865
2026-05-05 08:02:11,616  Step 1: Retrieving reference examples...
2026-05-05 08:02:11,937  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:12,067  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:12,378    Reference: Open fracture of multiple left ribs (similarity: 0.886)
2026-05-05 08:02:12,379    Reference: Closed fracture of multiple ribs (similarity: 0.848)
2026-05-05 08:02:12,380    Reference: Closed fracture of two ribs (similarity: 0.833)
2026-05-05 08:02:12,380    Reference: Closed fracture of one rib (similarity: 0.814)
2026-05-05 08:02:12,381    Reference: Fracture of two ribs (similarity: 0.794)
2026-05-05 08:02:12,382  Step 2: Inferring attributes...
2026-05-05 08:02:12,504    Reference: Closed fracture of phalanx of finger (similarity: 0.873)
2026-05-05 08:02:12,505    Reference: Closed fracture of phalanx of index finger (similarity: 0.842)
2026-05-05 08:02:12,506    Reference: Closed fracture of proximal phalanx of multiple fingers (similarity: 0.837)
2026-05-05 08:02:12,507    Reference: Closed fracture of distal phalanx of multiple fingers (similarity: 0.835)
2026-05-05 08:02:12,508    Reference: Closed fracture of phalanx of left index finger (similarity: 0.823)
2026-05-05 08:02:12,509  Step 2: Inferring attributes...
2026-05-05 08:02:12,779  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:12,785  Total cost: $0.0188
2026-05-05 08:02:12,788  [184/340] Solitary bone cyst — cost: $0.0188 | total: $1.7052
2026-05-05 08:02:12,919  Step 1: Retrieving reference examples...
2026-05-05 08:02:13,117  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:13,121  Total cost: $0.0242
2026-05-05 08:02:13,123  [185/340] Infection of bone — cost: $0.0242 | total: $1.7294
2026-05-05 08:02:13,142  Checkpoint saved (185 terms)
2026-05-05 08:02:13,246  Step 1: Retrieving reference examples...
2026-05-05 08:02:13,483  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:13,708  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:13,847    Reference: Open dislocation thoracic spine (similarity: 0.696)
2026-05-05 08:02:13,848    Reference: Open dislocation of fifth cervical vertebra (similarity: 0.687)
2026-05-05 08:02:13,849    Reference: Open dislocation of interphalangeal joint of hand (similarity: 0.664)
2026-05-05 08:02:13,850    Reference: Open dislocation of distal end of ulna (similarity: 0.660)
2026-05-05 08:02:13,850    Reference: Open dislocation of metacarpophalangeal joint of thumb (similarity: 0.659)
2026-05-05 08:02:13,851  Step 2: Inferring attributes...
2026-05-05 08:02:14,074    Reference: Closed traumatic dislocation of joint of shoulder region (similarity: 1.000)
2026-05-05 08:02:14,075    Reference: Closed traumatic dislocation shoulder joint, anterior (sub-coracoid) (similarity: 0.817)
2026-05-05 08:02:14,075    Reference: Open traumatic subluxation shoulder joint (similarity: 0.796)
2026-05-05 08:02:14,076    Reference: Closed traumatic inferior dislocation of left glenohumeral joint (similarity: 0.791)
2026-05-05 08:02:14,077    Reference: Closed traumatic dislocation of knee joint (similarity: 0.786)
2026-05-05 08:02:14,078  Step 2: Inferring attributes...
2026-05-05 08:02:16,136  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:16,142  Total cost: $0.0205
2026-05-05 08:02:16,144  [186/340] Scoliosis deformity of spine — cost: $0.0205 | total: $1.7500
2026-05-05 08:02:16,268  Step 1: Retrieving reference examples...
2026-05-05 08:02:16,284  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:16,285    Inferred: {
  "associated_morphology": [
    "Closed fracture of multiple bones"
  ],
  "finding_site": [
    "Bone structure of rib"
  ]
}
2026-05-05 08:02:16,286  Step 3: Retrieving candidates...
2026-05-05 08:02:16,717  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:16,753  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:16,771    associated_morphology: added 3 values from reference examples
2026-05-05 08:02:17,008    associated_morphology: added 25 hierarchy neighbors
2026-05-05 08:02:17,010    associated_morphology: top match = Closed fracture of multiple bones (score: 0.9999991509307969)
2026-05-05 08:02:17,011    finding_site: added 1 values from reference examples
2026-05-05 08:02:17,137    Reference: Blister of shoulder without infection (similarity: 0.822)
2026-05-05 08:02:17,138    Reference: Blister of skin without infection (similarity: 0.810)
2026-05-05 08:02:17,140    Reference: Blister of ankle without infection (similarity: 0.796)
2026-05-05 08:02:17,141    Reference: Right elbow blister with infection (similarity: 0.793)
2026-05-05 08:02:17,142    Reference: Blister of lower leg without infection (similarity: 0.790)
2026-05-05 08:02:17,142  Step 2: Inferring attributes...
2026-05-05 08:02:17,181    finding_site: added 8 hierarchy neighbors
2026-05-05 08:02:17,182    finding_site: top match = Bone structure of rib (score: 0.999998938469104)
2026-05-05 08:02:17,183  Step 4: Selecting best matches...
2026-05-05 08:02:17,678  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:17,680    Inferred: {
  "associated_morphology": [
    "closed dislocation"
  ],
  "finding_site": [
    "joint structure of shoulder region"
  ]
}
2026-05-05 08:02:17,681  Step 3: Retrieving candidates...
2026-05-05 08:02:17,981  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:17,987  Total cost: $0.0249
2026-05-05 08:02:17,988  [187/340] Congenital hydrocele — cost: $0.0249 | total: $1.7748
2026-05-05 08:02:18,122  Step 1: Retrieving reference examples...
2026-05-05 08:02:18,125  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:18,127    Inferred: {
  "associated_morphology": [
    "Fracture, closed"
  ],
  "finding_site": [
    "Bone structure of phalanx of finger"
  ]
}
2026-05-05 08:02:18,128  Step 3: Retrieving candidates...
2026-05-05 08:02:18,215  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:18,267    associated_morphology: added 3 values from reference examples
2026-05-05 08:02:18,427    associated_morphology: added 22 hierarchy neighbors
2026-05-05 08:02:18,429    associated_morphology: top match = Closed dislocation (score: 0.9519676328756449)
2026-05-05 08:02:18,430    finding_site: added 4 values from reference examples
2026-05-05 08:02:18,531    finding_site: added 19 hierarchy neighbors
2026-05-05 08:02:18,532    finding_site: top match = Joint structure of shoulder region (score: 0.9502393009061172)
2026-05-05 08:02:18,533  Step 4: Selecting best matches...
2026-05-05 08:02:18,616  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:18,620  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:18,665    associated_morphology: added 2 values from reference examples
2026-05-05 08:02:18,750    associated_morphology: added 23 hierarchy neighbors
2026-05-05 08:02:18,751    associated_morphology: top match = Fracture, closed (score: 0.999998766224626)
2026-05-05 08:02:18,753    finding_site: added 4 values from reference examples
2026-05-05 08:02:18,782  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:18,783    Inferred: {
  "associated_morphology": [
    "Open dislocation"
  ],
  "finding_site": [
    "Temporomandibular joint structure"
  ]
}
2026-05-05 08:02:18,784  Step 3: Retrieving candidates...
2026-05-05 08:02:18,928    finding_site: added 39 hierarchy neighbors
2026-05-05 08:02:18,929    finding_site: top match = Bone structure of phalanx of finger (score: 0.9999988432109188)
2026-05-05 08:02:18,930  Step 4: Selecting best matches...
2026-05-05 08:02:19,011    Reference: Crush injury of sole of foot (similarity: 0.892)
2026-05-05 08:02:19,012    Reference: Crush injury of toe of right foot (similarity: 0.851)
2026-05-05 08:02:19,013    Reference: Crush injury of great toe (similarity: 0.848)
2026-05-05 08:02:19,014    Reference: Crushing injury of hip (similarity: 0.759)
2026-05-05 08:02:19,014    Reference: Open crush injury, ankle (similarity: 0.755)
2026-05-05 08:02:19,016  Step 2: Inferring attributes...
2026-05-05 08:02:19,269  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:19,414    associated_morphology: added 14 hierarchy neighbors
2026-05-05 08:02:19,415    associated_morphology: top match = Open dislocation (score: 0.9999985722059734)
2026-05-05 08:02:19,417    finding_site: added 5 values from reference examples
2026-05-05 08:02:19,666  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:19,668    Inferred: {
  "associated_morphology": [
    "Fracture, multiple, open"
  ],
  "finding_site": [
    "Bone structure of rib"
  ]
}
2026-05-05 08:02:19,669  Step 3: Retrieving candidates...
2026-05-05 08:02:19,687    finding_site: added 31 hierarchy neighbors
2026-05-05 08:02:19,688    finding_site: top match = Temporomandibular joint structure (score: 0.9999991358632145)
2026-05-05 08:02:19,690  Step 4: Selecting best matches...
2026-05-05 08:02:20,267  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:20,316    associated_morphology: added 4 values from reference examples
2026-05-05 08:02:20,394    associated_morphology: added 25 hierarchy neighbors
2026-05-05 08:02:20,395    associated_morphology: top match = Fracture, multiple, compound (score: 0.8896435109394815)
2026-05-05 08:02:20,397    finding_site: added 1 values from reference examples
2026-05-05 08:02:20,465    finding_site: added 8 hierarchy neighbors
2026-05-05 08:02:20,466    finding_site: top match = Bone structure of rib (score: 0.999998938469104)
2026-05-05 08:02:20,467  Step 4: Selecting best matches...
2026-05-05 08:02:21,036  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:21,045  Total cost: $0.0222
2026-05-05 08:02:21,052  [188/340] Closed fracture of two ribs — cost: $0.0222 | total: $1.7970
2026-05-05 08:02:21,192  Step 1: Retrieving reference examples...
2026-05-05 08:02:21,695  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:22,062    Reference: Burn of knee (similarity: 1.000)
2026-05-05 08:02:22,063    Reference: Burn of thigh (similarity: 0.794)
2026-05-05 08:02:22,064    Reference: Burn of lower leg (similarity: 0.778)
2026-05-05 08:02:22,065    Reference: Burn of elbow (similarity: 0.768)
2026-05-05 08:02:22,065    Reference: Burn of left thigh (similarity: 0.749)
2026-05-05 08:02:22,066  Step 2: Inferring attributes...
2026-05-05 08:02:22,925  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:22,963  Total cost: $0.0220
2026-05-05 08:02:22,965  [189/340] Open dislocation of jaw — cost: $0.0220 | total: $1.8190
2026-05-05 08:02:23,099  Step 1: Retrieving reference examples...
2026-05-05 08:02:23,501  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:23,889    Reference: Burn of foot (similarity: 0.564)
2026-05-05 08:02:23,890    Reference: Ischemic foot ulcer (similarity: 0.529)
2026-05-05 08:02:23,892    Reference: Partial thickness burn of left foot (similarity: 0.527)
2026-05-05 08:02:23,894    Reference: Full thickness burn of foot (similarity: 0.526)
2026-05-05 08:02:23,896    Reference: Drowning and non-fatal immersion (similarity: 0.520)
2026-05-05 08:02:23,899  Step 2: Inferring attributes...
2026-05-05 08:02:23,922  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:23,960  Total cost: $0.0212
2026-05-05 08:02:23,996  [190/340] Closed traumatic dislocation of joint of shoulder region — cost: $0.0212 | total: $1.8402
2026-05-05 08:02:24,022  Checkpoint saved (190 terms)
2026-05-05 08:02:24,111  Step 1: Retrieving reference examples...
2026-05-05 08:02:24,603  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:24,771  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:24,773    Inferred: {
  "associated_morphology": [
    "Crushing injury (morphologic abnormality)"
  ],
  "finding_site": [
    "Structure of foot"
  ]
}
2026-05-05 08:02:24,773  Step 3: Retrieving candidates...
2026-05-05 08:02:24,984    Reference: Gonococcal meningitis (similarity: 0.721)
2026-05-05 08:02:24,985    Reference: Gonococcal hepatitis (similarity: 0.657)
2026-05-05 08:02:24,985    Reference: Sepsis caused by Gonococcus (similarity: 0.620)
2026-05-05 08:02:24,986    Reference: Ankylosing spondylitis (similarity: 0.602)
2026-05-05 08:02:24,987    Reference: Gonococcal urethral abscess (similarity: 0.601)
2026-05-05 08:02:24,987  Step 2: Inferring attributes...
2026-05-05 08:02:25,173  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:25,206  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:25,208    Inferred: {
  "associated_morphology": [
    "blister"
  ],
  "finding_site": [
    "skin structure of elbow region"
  ]
}
2026-05-05 08:02:25,209  Step 3: Retrieving candidates...
2026-05-05 08:02:25,215    associated_morphology: added 1 values from reference examples
2026-05-05 08:02:25,251  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:25,256  Total cost: $0.0220
2026-05-05 08:02:25,258  [191/340] Open fracture of seven ribs — cost: $0.0220 | total: $1.8622
2026-05-05 08:02:25,322    associated_morphology: added 4 hierarchy neighbors
2026-05-05 08:02:25,323    associated_morphology: top match = Crushing injury (morphology) (score: 0.9107648400100584)
2026-05-05 08:02:25,325    finding_site: added 5 values from reference examples
2026-05-05 08:02:25,401  Step 1: Retrieving reference examples...
2026-05-05 08:02:25,600    finding_site: added 38 hierarchy neighbors
2026-05-05 08:02:25,602    finding_site: top match = Structure of right foot (score: 0.8814877459300243)
2026-05-05 08:02:25,603  Step 4: Selecting best matches...
2026-05-05 08:02:25,856  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:25,858    Inferred: {
  "associated_morphology": [
    "Disruption"
  ],
  "finding_site": [
    "Structure of ligament of knee joint"
  ],
  "clinical_course": [
    "Chronic"
  ]
}
2026-05-05 08:02:25,859  Step 3: Retrieving candidates...
2026-05-05 08:02:25,871  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:25,918  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:26,063    associated_morphology: added 9 hierarchy neighbors
2026-05-05 08:02:26,065    associated_morphology: top match = Blister (score: 0.9399616413053609)
2026-05-05 08:02:26,067    finding_site: added 6 values from reference examples
2026-05-05 08:02:26,244    Reference: Primary malignant neoplasm of sacrum (similarity: 0.836)
2026-05-05 08:02:26,245    Reference: Primary malignant neoplasm of sacrococcygeal region (similarity: 0.820)
2026-05-05 08:02:26,246    Reference: Primary malignant neoplasm of upper limb bones and scapula (similarity: 0.700)
2026-05-05 08:02:26,248    Reference: Primary malignant neoplasm of scapula (similarity: 0.694)
2026-05-05 08:02:26,251    finding_site: added 28 hierarchy neighbors
2026-05-05 08:02:26,252    Reference: Primary malignant neoplasm of vertebral column (similarity: 0.693)
2026-05-05 08:02:26,253    finding_site: top match = Skin structure of elbow (score: 0.9345175160348567)
2026-05-05 08:02:26,254  Step 2: Inferring attributes...
2026-05-05 08:02:26,256  Step 4: Selecting best matches...
2026-05-05 08:02:26,314  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:26,316    Inferred: {
  "associated_morphology": [
    "Burn injury"
  ],
  "finding_site": [
    "Knee region structure"
  ]
}
2026-05-05 08:02:26,317  Step 3: Retrieving candidates...
2026-05-05 08:02:26,347  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:26,417    associated_morphology: added 4 values from reference examples
2026-05-05 08:02:26,532    associated_morphology: added 17 hierarchy neighbors
2026-05-05 08:02:26,534    associated_morphology: top match = Disruption (score: 0.9999988252627192)
2026-05-05 08:02:26,536    finding_site: added 4 values from reference examples
2026-05-05 08:02:26,793    finding_site: added 28 hierarchy neighbors
2026-05-05 08:02:26,795    finding_site: top match = Structure of ligament of knee joint (score: 0.9999986999172035)
2026-05-05 08:02:26,861    clinical_course: added 7 hierarchy neighbors
2026-05-05 08:02:26,862    clinical_course: top match = Chronic (score: 0.9999987038089025)
2026-05-05 08:02:26,864  Step 4: Selecting best matches...
2026-05-05 08:02:26,924  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:27,080    associated_morphology: added 13 hierarchy neighbors
2026-05-05 08:02:27,081    associated_morphology: top match = Burn injury (score: 0.999998989142038)
2026-05-05 08:02:27,083    finding_site: added 5 values from reference examples
2026-05-05 08:02:27,251    finding_site: added 33 hierarchy neighbors
2026-05-05 08:02:27,252    finding_site: top match = Knee region structure (score: 0.9999993219984633)
2026-05-05 08:02:27,254  Step 4: Selecting best matches...
2026-05-05 08:02:29,665  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:29,670  Total cost: $0.0197
2026-05-05 08:02:29,672  [192/340] Blister of elbow without infection — cost: $0.0197 | total: $1.8819
2026-05-05 08:02:29,806  Step 1: Retrieving reference examples...
2026-05-05 08:02:30,135  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:30,140  Total cost: $0.0217
2026-05-05 08:02:30,142  [193/340] Crushing injury of foot — cost: $0.0217 | total: $1.9036
2026-05-05 08:02:30,177  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:30,274  Step 1: Retrieving reference examples...
2026-05-05 08:02:30,548    Reference: Benign neoplasm of skin of breast (similarity: 0.898)
2026-05-05 08:02:30,549    Reference: Benign neoplasm of upper inner quadrant of breast (similarity: 0.837)
2026-05-05 08:02:30,550    Reference: Benign neoplasm of thyroid gland (similarity: 0.772)
2026-05-05 08:02:30,550    Reference: Benign neoplasm of chest wall (similarity: 0.770)
2026-05-05 08:02:30,551    Reference: Benign neoplasm of lymph node (similarity: 0.767)
2026-05-05 08:02:30,552  Step 2: Inferring attributes...
2026-05-05 08:02:30,704  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:31,069    Reference: Neoplasm of uncertain behavior of nipple (similarity: 0.896)
2026-05-05 08:02:31,070    Reference: Neoplasm of uncertain behavior of axilla (similarity: 0.864)
2026-05-05 08:02:31,071    Reference: Neoplasm of uncertain behavior of lung (similarity: 0.842)
2026-05-05 08:02:31,072    Reference: Neoplasm of uncertain behavior of ovary (similarity: 0.831)
2026-05-05 08:02:31,073    Reference: Neoplasm of uncertain behavior of gallbladder (similarity: 0.820)
2026-05-05 08:02:31,073  Step 2: Inferring attributes...
2026-05-05 08:02:31,109  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:31,114  Total cost: $0.0276
2026-05-05 08:02:31,117  [194/340] Closed fracture of one or more phalanges of hand — cost: $0.0276 | total: $1.9312
2026-05-05 08:02:31,247  Step 1: Retrieving reference examples...
2026-05-05 08:02:31,892  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:31,930  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:31,940  Total cost: $0.0196
2026-05-05 08:02:31,942  [195/340] Burn of knee — cost: $0.0196 | total: $1.9509
2026-05-05 08:02:31,963  Checkpoint saved (195 terms)
2026-05-05 08:02:32,077  Step 1: Retrieving reference examples...
2026-05-05 08:02:32,270    Reference: Disorder of skeletal muscle (similarity: 1.000)
2026-05-05 08:02:32,271    Reference: Congenital anomaly of skeletal muscle (similarity: 0.703)
2026-05-05 08:02:32,271    Reference: Family history of disorder of skeletal and/or smooth muscle (similarity: 0.696)
2026-05-05 08:02:32,272    Reference: Hereditary disorder of musculoskeletal system (similarity: 0.694)
2026-05-05 08:02:32,273    Reference: Disorder of bone (similarity: 0.689)
2026-05-05 08:02:32,273  Step 2: Inferring attributes...
2026-05-05 08:02:32,435  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:32,802    Reference: Fetal growth abnormality (similarity: 0.722)
2026-05-05 08:02:32,803    Reference: Small fetus (similarity: 0.658)
2026-05-05 08:02:32,804    Reference: Fetal bradycardia affecting management of mother (similarity: 0.647)
2026-05-05 08:02:32,805    Reference: Obstetric problem affecting fetus (similarity: 0.646)
2026-05-05 08:02:32,807    Reference: Asymmetrical small for gestational age fetus (similarity: 0.633)
2026-05-05 08:02:32,807  Step 2: Inferring attributes...
2026-05-05 08:02:32,854  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:32,856    Inferred: {
  "associated_morphology": [
    "injury"
  ],
  "finding_site": [
    "foot structure"
  ],
  "causative_agent": [
    "water"
  ]
}
2026-05-05 08:02:32,857  Step 3: Retrieving candidates...
2026-05-05 08:02:33,390  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:33,407  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:33,409    Inferred: {
  "associated_morphology": [
    "malignant neoplasm (primary)",
    "malignant neoplasm"
  ],
  "finding_site": [
    "pelvic bone structure",
    "structure of sacral vertebral column",
    "bone structure of coccyx"
  ],
  "pathological_process": [
    "primary malignant neoplastic proliferation"
  ]
}
2026-05-05 08:02:33,410  Step 3: Retrieving candidates...
2026-05-05 08:02:33,461    associated_morphology: added 6 values from reference examples
2026-05-05 08:02:33,802    associated_morphology: added 57 hierarchy neighbors
2026-05-05 08:02:33,803    associated_morphology: top match = Cold injury (score: 0.5922800872539538)
2026-05-05 08:02:33,805    finding_site: added 3 values from reference examples
2026-05-05 08:02:33,873  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:33,940    finding_site: added 24 hierarchy neighbors
2026-05-05 08:02:33,941    finding_site: top match = Foot structure (score: 0.9387810521821102)
2026-05-05 08:02:34,055    associated_morphology: added 195 hierarchy neighbors
2026-05-05 08:02:34,057    associated_morphology: top match = Neoplasm, malignant (primary) (score: 0.8608419016528731)
2026-05-05 08:02:34,058    finding_site: added 5 values from reference examples
2026-05-05 08:02:34,129    causative_agent: added 4 hierarchy neighbors
2026-05-05 08:02:34,130    causative_agent: top match = Water (score: 0.8039682349495294)
2026-05-05 08:02:34,133  Step 4: Selecting best matches...
2026-05-05 08:02:34,319  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:34,321    Inferred: {
  "associated_morphology": [
    "Neoplasm of uncertain behavior (morphologic abnormality)"
  ],
  "finding_site": [
    "Breast structure"
  ]
}
2026-05-05 08:02:34,322  Step 3: Retrieving candidates...
2026-05-05 08:02:34,437    finding_site: added 55 hierarchy neighbors
2026-05-05 08:02:34,438    finding_site: top match = Bone structure of pelvis (score: 0.8113223544979214)
2026-05-05 08:02:34,511    pathological_process: top match = Primary malignant neoplastic proliferation (score: 0.9438077395440374)
2026-05-05 08:02:34,513  Step 4: Selecting best matches...
2026-05-05 08:02:34,786  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:34,788    Inferred: {
  "associated_morphology": [
    "Inflammation",
    "Inflammatory morphology"
  ],
  "finding_site": [
    "Vertebral structure"
  ],
  "causative_agent": [
    "Neisseria gonorrhoeae"
  ],
  "pathological_process": [
    "Infectious process"
  ]
}
2026-05-05 08:02:34,790  Step 3: Retrieving candidates...
2026-05-05 08:02:34,835  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:34,903    associated_morphology: added 5 values from reference examples
2026-05-05 08:02:35,012    associated_morphology: added 72 hierarchy neighbors
2026-05-05 08:02:35,013    associated_morphology: top match = Neoplasm, malignant, uncertain whether primary or metastatic (score: 0.6776443167645189)
2026-05-05 08:02:35,015    finding_site: added 5 values from reference examples
2026-05-05 08:02:35,323    finding_site: added 31 hierarchy neighbors
2026-05-05 08:02:35,324    finding_site: top match = Breast structure (score: 0.9999991352217972)
2026-05-05 08:02:35,325  Step 4: Selecting best matches...
2026-05-05 08:02:35,479  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:35,567    associated_morphology: added 1 values from reference examples
2026-05-05 08:02:35,658    associated_morphology: added 54 hierarchy neighbors
2026-05-05 08:02:35,658    associated_morphology: top match = Inflammation (score: 0.9999988156328776)
2026-05-05 08:02:35,660    finding_site: added 5 values from reference examples
2026-05-05 08:02:35,974  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:35,975    Inferred: {
  "finding_site": [
    "skeletal muscle structure"
  ]
}
2026-05-05 08:02:35,976  Step 3: Retrieving candidates...
2026-05-05 08:02:35,994    finding_site: added 38 hierarchy neighbors
2026-05-05 08:02:35,995    finding_site: top match = Structure of vertebral column (score: 0.8205718234052602)
2026-05-05 08:02:36,055    causative_agent: added 1 hierarchy neighbors
2026-05-05 08:02:36,056    causative_agent: top match = Neisseria gonorrhoeae (score: 0.9999987424025324)
2026-05-05 08:02:36,058    pathological_process: added 1 values from reference examples
2026-05-05 08:02:36,148    pathological_process: added 2 hierarchy neighbors
2026-05-05 08:02:36,150    pathological_process: top match = Infectious process (score: 0.9999989733405232)
2026-05-05 08:02:36,151  Step 4: Selecting best matches...
2026-05-05 08:02:36,374  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:36,401    finding_site: added 2 values from reference examples
2026-05-05 08:02:36,572    finding_site: added 16 hierarchy neighbors
2026-05-05 08:02:36,574    finding_site: top match = Skeletal muscle structure (score: 0.9508913995198176)
2026-05-05 08:02:36,575  Step 4: Selecting best matches...
2026-05-05 08:02:37,298  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:37,303    Inferred: {
  "associated_morphology": [
    "Neoplasm, benign"
  ],
  "finding_site": [
    "Breast structure"
  ]
}
2026-05-05 08:02:37,304  Step 3: Retrieving candidates...
2026-05-05 08:02:37,643  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:37,648  Total cost: $0.0316
2026-05-05 08:02:37,651  [196/340] Old disruption of ligament of knee other than collateral AND/OR cruciate ligaments — cost: $0.0316 | total: $1.9825
2026-05-05 08:02:37,801  Step 1: Retrieving reference examples...
2026-05-05 08:02:37,814  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:37,866  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:37,874  Total cost: $0.0230
2026-05-05 08:02:37,879  [197/340] Neoplasm of uncertain behavior of breast — cost: $0.0230 | total: $2.0055
2026-05-05 08:02:37,955    associated_morphology: added 78 hierarchy neighbors
2026-05-05 08:02:37,956    associated_morphology: top match = Neoplasm, benign (score: 0.9999984894043785)
2026-05-05 08:02:37,958    finding_site: added 5 values from reference examples
2026-05-05 08:02:38,014  Step 1: Retrieving reference examples...
2026-05-05 08:02:38,214    finding_site: added 27 hierarchy neighbors
2026-05-05 08:02:38,215    finding_site: top match = Breast structure (score: 0.9999991352217972)
2026-05-05 08:02:38,217  Step 4: Selecting best matches...
2026-05-05 08:02:38,351  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:38,482  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:38,761    Reference: Traumatic arthropathy (similarity: 0.838)
2026-05-05 08:02:38,762    Reference: Traumatic arthropathy of sternoclavicular joint (similarity: 0.805)
2026-05-05 08:02:38,763    Reference: Traumatic arthropathy of multiple sites (similarity: 0.776)
2026-05-05 08:02:38,763    Reference: Traumatic arthropathy-wrist (similarity: 0.767)
2026-05-05 08:02:38,764    Reference: Transient arthropathy of shoulder (similarity: 0.763)
2026-05-05 08:02:38,765  Step 2: Inferring attributes...
2026-05-05 08:02:38,887    Reference: Crystal arthropathy of hip (similarity: 0.788)
2026-05-05 08:02:38,888    Reference: Arthropathy of multiple joints (similarity: 0.719)
2026-05-05 08:02:38,889    Reference: Traumatic arthropathy of multiple sites (similarity: 0.696)
2026-05-05 08:02:38,889    Reference: Climacteric arthritis of multiple sites (similarity: 0.684)
2026-05-05 08:02:38,890    Reference: Pyogenic arthritis of multiple sites (similarity: 0.643)
2026-05-05 08:02:38,891  Step 2: Inferring attributes...
2026-05-05 08:02:40,075  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:40,081  Total cost: $0.0181
2026-05-05 08:02:40,083  [198/340] Disorder of skeletal muscle — cost: $0.0181 | total: $2.0235
2026-05-05 08:02:40,136  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:40,143  Total cost: $0.0275
2026-05-05 08:02:40,146  [199/340] Immersion foot — cost: $0.0275 | total: $2.0510
2026-05-05 08:02:40,227  Step 1: Retrieving reference examples...
2026-05-05 08:02:40,283  Step 1: Retrieving reference examples...
2026-05-05 08:02:40,713  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:40,968  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:41,078    Reference: Stiffness of right shoulder (similarity: 0.839)
2026-05-05 08:02:41,079    Reference: Knee stiff (similarity: 0.750)
2026-05-05 08:02:41,080    Reference: Stiff neck (similarity: 0.710)
2026-05-05 08:02:41,080    Reference: Shoulder joint red (similarity: 0.701)
2026-05-05 08:02:41,081    Reference: Shoulder joint - hot (similarity: 0.688)
2026-05-05 08:02:41,083  Step 2: Inferring attributes...
2026-05-05 08:02:41,337    Reference: Synovial cyst of knee (similarity: 0.851)
2026-05-05 08:02:41,338    Reference: Leaking synovial cyst of elbow (similarity: 0.747)
2026-05-05 08:02:41,339    Reference: Synovial popliteal cyst of bilateral knees (similarity: 0.682)
2026-05-05 08:02:41,340    Reference: Rupture of synovial popliteal cyst (similarity: 0.679)
2026-05-05 08:02:41,340    Reference: Solitary bone cyst (similarity: 0.662)
2026-05-05 08:02:41,341  Step 2: Inferring attributes...
2026-05-05 08:02:41,807  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:41,812  Total cost: $0.0306
2026-05-05 08:02:41,814  [200/340] Gonococcal spondylitis — cost: $0.0306 | total: $2.0817
2026-05-05 08:02:41,838  Checkpoint saved (200 terms)
2026-05-05 08:02:41,942  Step 1: Retrieving reference examples...
2026-05-05 08:02:42,102  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:42,110  Total cost: $0.0364
2026-05-05 08:02:42,112  [201/340] Primary malignant neoplasm of pelvic bones, sacrum and coccyx — cost: $0.0364 | total: $2.1180
2026-05-05 08:02:42,248  Step 1: Retrieving reference examples...
2026-05-05 08:02:42,404  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:42,431  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:42,438  Total cost: $0.0229
2026-05-05 08:02:42,440  [202/340] Benign neoplasm of breast — cost: $0.0229 | total: $2.1409
2026-05-05 08:02:42,575  Step 1: Retrieving reference examples...
2026-05-05 08:02:42,624  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:42,809    Reference: Solitary exostosis (similarity: 0.775)
2026-05-05 08:02:42,810    Reference: Exostosis of right radius (similarity: 0.709)
2026-05-05 08:02:42,811    Reference: Exostosis of bilateral ulnas (similarity: 0.698)
2026-05-05 08:02:42,811    Reference: Exostosis of right calcaneus (similarity: 0.693)
2026-05-05 08:02:42,820    Reference: Bilateral exostosis of foot (similarity: 0.689)
2026-05-05 08:02:42,821  Step 2: Inferring attributes...
2026-05-05 08:02:42,968  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:43,036    Reference: Postoperative heterotopic calcification (similarity: 1.000)
2026-05-05 08:02:43,037    Reference: Prosthetic cardiac valve calcification (similarity: 0.627)
2026-05-05 08:02:43,037    Reference: Metastatic calcification (similarity: 0.594)
2026-05-05 08:02:43,039    Reference: Post-operative keloid scar (similarity: 0.564)
2026-05-05 08:02:43,039    Reference: Postoperative pulmonary embolus (similarity: 0.559)
2026-05-05 08:02:43,040  Step 2: Inferring attributes...
2026-05-05 08:02:43,349    Reference: Heavy-for-dates at birth regardless of gestation period (similarity: 0.622)
2026-05-05 08:02:43,350    Reference: Infant in poor condition at birth (similarity: 0.620)
2026-05-05 08:02:43,351    Reference: Small fetus (similarity: 0.618)
2026-05-05 08:02:43,352    Reference: Fetal growth abnormality (similarity: 0.578)
2026-05-05 08:02:43,352    Reference: Asymmetrical small for gestational age fetus (similarity: 0.570)
2026-05-05 08:02:43,353  Step 2: Inferring attributes...
2026-05-05 08:02:43,429  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:43,431    Inferred: {
  "associated_morphology": [
    "Deposition of crystalline material (morphologic abnormality)"
  ],
  "finding_site": [
    "Joint structure of multiple body sites"
  ]
}
2026-05-05 08:02:43,431  Step 3: Retrieving candidates...
2026-05-05 08:02:44,066  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:44,138    associated_morphology: added 3 values from reference examples
2026-05-05 08:02:44,300    associated_morphology: added 58 hierarchy neighbors
2026-05-05 08:02:44,301    associated_morphology: top match = Deposition of crystalline material (score: 0.8009849841960406)
2026-05-05 08:02:44,303    finding_site: added 2 values from reference examples
2026-05-05 08:02:44,343  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:44,345    Inferred: {
  "finding_site": [
    "Joint structure of shoulder region"
  ]
}
2026-05-05 08:02:44,346  Step 3: Retrieving candidates...
2026-05-05 08:02:44,476    finding_site: added 13 hierarchy neighbors
2026-05-05 08:02:44,477    finding_site: top match = Joint structure of multiple body sites (score: 0.9999989592930218)
2026-05-05 08:02:44,479  Step 4: Selecting best matches...
2026-05-05 08:02:44,715  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:44,718    Inferred: {
  "associated_morphology": [
    "synovial cyst"
  ],
  "finding_site": [
    "synovial membrane structure"
  ]
}
2026-05-05 08:02:44,719  Step 3: Retrieving candidates...
2026-05-05 08:02:45,054  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:45,075    finding_site: added 5 values from reference examples
2026-05-05 08:02:45,259    finding_site: added 34 hierarchy neighbors
2026-05-05 08:02:45,260    finding_site: top match = Joint structure of shoulder region (score: 0.9999992052471118)
2026-05-05 08:02:45,261  Step 4: Selecting best matches...
2026-05-05 08:02:45,266  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:45,309    associated_morphology: added 1 values from reference examples
2026-05-05 08:02:45,405    associated_morphology: added 3 hierarchy neighbors
2026-05-05 08:02:45,406    associated_morphology: top match = Synovial cyst (score: 0.9452629564763622)
2026-05-05 08:02:45,408    finding_site: added 14 values from reference examples
2026-05-05 08:02:45,580    finding_site: added 26 hierarchy neighbors
2026-05-05 08:02:45,581    finding_site: top match = Structure of synovial membrane of joint (score: 0.8343420135785599)
2026-05-05 08:02:45,583  Step 4: Selecting best matches...
2026-05-05 08:02:47,068  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:47,070    Inferred: {
  "finding_site": [
    "Shoulder joint structure"
  ],
  "interprets_interpretation": [
    {
      "interprets": "Shoulder joint - range of movement",
      "interpretation": "Below reference range"
    }
  ]
}
2026-05-05 08:02:47,071  Step 3: Retrieving candidates...
2026-05-05 08:02:47,264  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:47,266    Inferred: {
  "associated_morphology": [
    "external hyperostosis"
  ],
  "finding_site": [
    "bone structure"
  ]
}
2026-05-05 08:02:47,267  Step 3: Retrieving candidates...
2026-05-05 08:02:47,476  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:47,546    finding_site: added 7 values from reference examples
2026-05-05 08:02:47,620    finding_site: added 34 hierarchy neighbors
2026-05-05 08:02:47,621    finding_site: top match = Joint structure of shoulder region (score: 0.8273800740739033)
2026-05-05 08:02:47,622    interprets: added 6 values from reference examples
2026-05-05 08:02:47,769    interprets: added 19 hierarchy neighbors
2026-05-05 08:02:47,770    interprets: top match = Shoulder joint - range of movement (score: 0.9999988702227584)
2026-05-05 08:02:47,774  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:47,835    interpretation: added 2 hierarchy neighbors
2026-05-05 08:02:47,836    interpretation: top match = Below reference range (score: 0.9999983343497804)
2026-05-05 08:02:47,837  Step 4: Selecting best matches...
2026-05-05 08:02:47,920    associated_morphology: added 4 hierarchy neighbors
2026-05-05 08:02:47,922    associated_morphology: top match = External hyperostosis (score: 0.9609127116886764)
2026-05-05 08:02:47,924    finding_site: added 8 values from reference examples
2026-05-05 08:02:48,056    finding_site: added 32 hierarchy neighbors
2026-05-05 08:02:48,058    finding_site: top match = Bone structure (score: 0.9046944057405218)
2026-05-05 08:02:48,059  Step 4: Selecting best matches...
2026-05-05 08:02:49,542  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:49,548  Total cost: $0.0225
2026-05-05 08:02:49,550  [203/340] Crystal arthropathy of multiple sites — cost: $0.0225 | total: $2.1634
2026-05-05 08:02:49,677  Step 1: Retrieving reference examples...
2026-05-05 08:02:49,913  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:49,919  Total cost: $0.0208
2026-05-05 08:02:49,922  [204/340] Synovial cyst — cost: $0.0208 | total: $2.1841
2026-05-05 08:02:50,058  Step 1: Retrieving reference examples...
2026-05-05 08:02:50,087  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:50,450    Reference: Microcalcifications of the breast (similarity: 1.000)
2026-05-05 08:02:50,451    Reference: Mammographic microcalcification of breast (similarity: 0.839)
2026-05-05 08:02:50,452    Reference: Calcification of breast (similarity: 0.766)
2026-05-05 08:02:50,453    Reference: Microcalcifications in tumor and non-neoplastic tissue present (similarity: 0.642)
2026-05-05 08:02:50,455    Reference: Simple cyst of breast (similarity: 0.595)
2026-05-05 08:02:50,456  Step 2: Inferring attributes...
2026-05-05 08:02:50,539  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:50,541    Inferred: {
  "associated_morphology": [
    "growth retardation (morphologic abnormality)"
  ],
  "finding_site": [
    "fetal structure"
  ],
  "interprets_interpretation": [
    {
      "interprets": "fetal growth",
      "interpretation": "below reference range"
    }
  ],
  "pathological_process": [
    "pathological developmental process"
  ],
  "occurrence": [
    "fetal period"
  ]
}
2026-05-05 08:02:50,542  Step 3: Retrieving candidates...
2026-05-05 08:02:50,599  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:50,963    Reference: Open dislocation of distal end of ulna (similarity: 0.860)
2026-05-05 08:02:50,964    Reference: Closed lateral dislocation of elbow (similarity: 0.810)
2026-05-05 08:02:50,964    Reference: Open traumatic dislocation elbow joint, medial (similarity: 0.780)
2026-05-05 08:02:50,965    Reference: Open dislocation of interphalangeal joint of hand (similarity: 0.770)
2026-05-05 08:02:50,966    Reference: Open dislocation of metacarpophalangeal joint of thumb (similarity: 0.749)
2026-05-05 08:02:50,967  Step 2: Inferring attributes...
2026-05-05 08:02:51,210  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:51,211    Inferred: {
  "associated_morphology": [
    "pathologic calcification"
  ],
  "during": [
    "postoperative period"
  ]
}
2026-05-05 08:02:51,212  Step 3: Retrieving candidates...
2026-05-05 08:02:51,394  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:51,521    associated_morphology: added 1 values from reference examples
2026-05-05 08:02:51,621    associated_morphology: added 28 hierarchy neighbors
2026-05-05 08:02:51,622    associated_morphology: top match = Growth retardation (score: 0.741177044166378)
2026-05-05 08:02:51,731    finding_site: added 3 hierarchy neighbors
2026-05-05 08:02:51,732    finding_site: top match = Fetal structure (score: 0.9471860973086891)
2026-05-05 08:02:51,734    interprets: added 1 values from reference examples
2026-05-05 08:02:51,763  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:51,801    associated_morphology: added 4 values from reference examples
2026-05-05 08:02:51,950    interprets: added 10 hierarchy neighbors
2026-05-05 08:02:51,951    interprets: top match = Fetus size (score: 0.6712039689652012)
2026-05-05 08:02:52,011    associated_morphology: added 37 hierarchy neighbors
2026-05-05 08:02:52,014    interpretation: added 2 hierarchy neighbors
2026-05-05 08:02:52,015    associated_morphology: top match = Pathologic calcification (score: 0.951674213900107)
2026-05-05 08:02:52,016    interpretation: top match = Below reference range (score: 0.9296857775730694)
2026-05-05 08:02:52,078    occurrence: added 2 hierarchy neighbors
2026-05-05 08:02:52,079    occurrence: top match = Maternal postnatal period (score: 0.5035659481182844)
2026-05-05 08:02:52,081  Step 4: Selecting best matches...
2026-05-05 08:02:52,086    pathological_process: top match = Pathological developmental process (score: 0.9610486392630114)
2026-05-05 08:02:52,089    occurrence: added 2 values from reference examples
2026-05-05 08:02:52,193  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:52,199  Total cost: $0.0260
2026-05-05 08:02:52,201  [205/340] Shoulder stiff — cost: $0.0260 | total: $2.2102
2026-05-05 08:02:52,212  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:52,221  Total cost: $0.0201
2026-05-05 08:02:52,247  Checkpoint saved (205 terms)
2026-05-05 08:02:52,248  [206/340] Exostosis — cost: $0.0201 | total: $2.2303
2026-05-05 08:02:52,322    occurrence: added 9 hierarchy neighbors
2026-05-05 08:02:52,323    occurrence: top match = Fetal period (score: 0.9406847021543907)
2026-05-05 08:02:52,325  Step 4: Selecting best matches...
2026-05-05 08:02:52,374  Step 1: Retrieving reference examples...
2026-05-05 08:02:52,383  Step 1: Retrieving reference examples...
2026-05-05 08:02:52,716  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:52,723  Total cost: $0.0218
2026-05-05 08:02:52,727  [207/340] Traumatic arthropathy of the shoulder region — cost: $0.0218 | total: $2.2520
2026-05-05 08:02:52,866  Step 1: Retrieving reference examples...
2026-05-05 08:02:52,891  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:52,905  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:53,279    Reference: Late effects of genitourinary system tuberculosis (similarity: 0.708)
2026-05-05 08:02:53,280    Reference: Tuberculosis of liver (similarity: 0.689)
2026-05-05 08:02:53,280    Reference: Tuberculosis of bronchus (similarity: 0.686)
2026-05-05 08:02:53,281    Reference: Tuberculosis of bones and/or joints (similarity: 0.671)
2026-05-05 08:02:53,282    Reference: Tuberculosis of skin and subcutaneous tissue (similarity: 0.670)
2026-05-05 08:02:53,283  Step 2: Inferring attributes...
2026-05-05 08:02:53,347    Reference: Biochemical rickets (similarity: 0.602)
2026-05-05 08:02:53,348    Reference: Late effect of fracture of cervical vertebra (similarity: 0.593)
2026-05-05 08:02:53,349    Reference: Rachitic dwarf (similarity: 0.570)
2026-05-05 08:02:53,349    Reference: Adult osteomalacia due to malnutrition (similarity: 0.553)
2026-05-05 08:02:53,357    Reference: Puerperal osteomalacia (similarity: 0.550)
2026-05-05 08:02:53,358  Step 2: Inferring attributes...
2026-05-05 08:02:53,499  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:53,501    Inferred: {
  "associated_morphology": [
    "Microcalcification"
  ],
  "finding_site": [
    "Breast structure"
  ]
}
2026-05-05 08:02:53,502  Step 3: Retrieving candidates...
2026-05-05 08:02:53,512  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:53,881    Reference: Fistula of right labyrinth structure (similarity: 0.782)
2026-05-05 08:02:53,882    Reference: Traumatic perilymph fistula (similarity: 0.746)
2026-05-05 08:02:53,883    Reference: Labyrinthine dysfunction (similarity: 0.648)
2026-05-05 08:02:53,883    Reference: Acquired lacrimal fistula (similarity: 0.633)
2026-05-05 08:02:53,884    Reference: Labyrinthine hydrops of left inner ear (similarity: 0.626)
2026-05-05 08:02:53,884  Step 2: Inferring attributes...
2026-05-05 08:02:53,981  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:54,027    associated_morphology: added 3 values from reference examples
2026-05-05 08:02:54,710    associated_morphology: added 52 hierarchy neighbors
2026-05-05 08:02:54,711    associated_morphology: top match = Microcalcification (score: 0.9999986309744497)
2026-05-05 08:02:54,781    finding_site: added 7 hierarchy neighbors
2026-05-05 08:02:54,783    finding_site: top match = Breast structure (score: 0.9999991352217972)
2026-05-05 08:02:54,784  Step 4: Selecting best matches...
2026-05-05 08:02:55,369  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:55,371    Inferred: {
  "associated_morphology": [
    "Open dislocation"
  ],
  "finding_site": [
    "Elbow joint structure"
  ]
}
2026-05-05 08:02:55,373  Step 3: Retrieving candidates...
2026-05-05 08:02:55,940  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:55,942    Inferred: {
  "associated_morphology": [
    "fetal malnutrition"
  ],
  "interprets_interpretation": [
    {
      "interprets": "birth weight",
      "interpretation": "abnormally low"
    }
  ],
  "occurrence": [
    "perinatal period",
    "early neonatal period"
  ]
}
2026-05-05 08:02:55,944  Step 3: Retrieving candidates...
2026-05-05 08:02:56,015  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:56,062    associated_morphology: added 3 values from reference examples
2026-05-05 08:02:56,171    associated_morphology: added 18 hierarchy neighbors
2026-05-05 08:02:56,172    associated_morphology: top match = Open dislocation (score: 0.9999985722059734)
2026-05-05 08:02:56,175    finding_site: added 3 values from reference examples
2026-05-05 08:02:56,242    finding_site: added 24 hierarchy neighbors
2026-05-05 08:02:56,243    finding_site: top match = Elbow joint structure (score: 0.9999989321994699)
2026-05-05 08:02:56,244  Step 4: Selecting best matches...
2026-05-05 08:02:56,358  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:56,460    interprets: added 2 values from reference examples
2026-05-05 08:02:56,603    interprets: added 3 hierarchy neighbors
2026-05-05 08:02:56,604    interprets: top match = Birth weight (score: 0.9415560914478805)
2026-05-05 08:02:56,605    interpretation: added 1 values from reference examples
2026-05-05 08:02:56,717    interpretation: added 3 hierarchy neighbors
2026-05-05 08:02:56,718    interpretation: top match = Abnormally low (score: 0.9241563058748683)
2026-05-05 08:02:56,719    occurrence: added 4 values from reference examples
2026-05-05 08:02:56,860    occurrence: added 8 hierarchy neighbors
2026-05-05 08:02:56,861    occurrence: top match = Perinatal period (score: 0.9436415729409543)
2026-05-05 08:02:56,863  Step 4: Selecting best matches...
2026-05-05 08:02:57,340  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:57,390  Total cost: $0.0189
2026-05-05 08:02:57,408  [208/340] Microcalcifications of the breast — cost: $0.0189 | total: $2.2710
2026-05-05 08:02:57,523  Step 1: Retrieving reference examples...
2026-05-05 08:02:58,042  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:58,350  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:58,352    Inferred: {
  "associated_morphology": [
    "Fistula"
  ],
  "finding_site": [
    "Labyrinth structure"
  ]
}
2026-05-05 08:02:58,353  Step 3: Retrieving candidates...
2026-05-05 08:02:58,414    Reference: Reactive arthritis of joint of multiple sites due to and following dysentery (similarity: 0.866)
2026-05-05 08:02:58,415    Reference: Reactive arthritis of joint of elbow (similarity: 0.711)
2026-05-05 08:02:58,416    Reference: Reactive arthritis of joint of left hand (similarity: 0.678)
2026-05-05 08:02:58,417    Reference: Reactive arthritis of left knee (similarity: 0.645)
2026-05-05 08:02:58,417    Reference: Enteropathic arthritis of left glenohumeral joint (similarity: 0.641)
2026-05-05 08:02:58,418  Step 2: Inferring attributes...
2026-05-05 08:02:58,898  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:02:58,945    associated_morphology: added 2 values from reference examples
2026-05-05 08:02:59,029    associated_morphology: added 14 hierarchy neighbors
2026-05-05 08:02:59,030    associated_morphology: top match = Fistula (score: 0.9999990157226466)
2026-05-05 08:02:59,032    finding_site: added 3 values from reference examples
2026-05-05 08:02:59,122    finding_site: added 12 hierarchy neighbors
2026-05-05 08:02:59,123    finding_site: top match = Labyrinth structure (score: 0.9999988379661212)
2026-05-05 08:02:59,125  Step 4: Selecting best matches...
2026-05-05 08:03:00,307  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:00,309    Inferred: {
  "associated_morphology": [
    "granulomatous inflammation"
  ],
  "finding_site": [
    "urinary system structure"
  ],
  "causative_agent": [
    "Mycobacterium tuberculosis complex"
  ],
  "pathological_process": [
    "infectious process"
  ]
}
2026-05-05 08:03:00,310  Step 3: Retrieving candidates...
2026-05-05 08:03:00,506  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:00,514  Total cost: $0.0217
2026-05-05 08:03:00,516  [209/340] Open dislocation of elbow — cost: $0.0217 | total: $2.2927
2026-05-05 08:03:00,652  Step 1: Retrieving reference examples...
2026-05-05 08:03:00,748  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:00,754  Total cost: $0.0237
2026-05-05 08:03:00,757  [210/340] Postoperative heterotopic calcification — cost: $0.0237 | total: $2.3165
2026-05-05 08:03:00,784  Checkpoint saved (210 terms)
2026-05-05 08:03:00,838  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:00,932  Step 1: Retrieving reference examples...
2026-05-05 08:03:01,013    associated_morphology: added 6 hierarchy neighbors
2026-05-05 08:03:01,015    associated_morphology: top match = Granulomatous inflammation (score: 0.9430900819514074)
2026-05-05 08:03:01,017    finding_site: added 6 values from reference examples
2026-05-05 08:03:01,093  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:01,094    Inferred: {
  "finding_site": [
    "bone structure"
  ]
}
2026-05-05 08:03:01,095  Step 3: Retrieving candidates...
2026-05-05 08:03:01,350    finding_site: added 28 hierarchy neighbors
2026-05-05 08:03:01,352    finding_site: top match = Urinary system structure (score: 0.940435934627441)
2026-05-05 08:03:01,425    causative_agent: added 5 hierarchy neighbors
2026-05-05 08:03:01,427    causative_agent: top match = Mycobacterium tuberculosis complex (score: 0.9999986573214713)
2026-05-05 08:03:01,499    pathological_process: added 1 hierarchy neighbors
2026-05-05 08:03:01,500    pathological_process: top match = Infectious process (score: 0.939973987005631)
2026-05-05 08:03:01,501  Step 4: Selecting best matches...
2026-05-05 08:03:01,524  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:01,676  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:01,703    finding_site: added 5 values from reference examples
2026-05-05 08:03:01,816    finding_site: added 19 hierarchy neighbors
2026-05-05 08:03:01,818    finding_site: top match = Bone structure (score: 0.9047085298022933)
2026-05-05 08:03:01,819  Step 4: Selecting best matches...
2026-05-05 08:03:01,900    Reference: Arthropathy of the pelvic region and thigh associated with helminthiasis (similarity: 0.804)
2026-05-05 08:03:01,901    Reference: Allergic arthritis of the ankle and/or foot (similarity: 0.608)
2026-05-05 08:03:01,902    Reference: Traumatic arthropathy of the ankle and/or foot (similarity: 0.599)
2026-05-05 08:03:01,903    Reference: Arthropathy of multiple joints (similarity: 0.592)
2026-05-05 08:03:01,904    Reference: Arthropathy associated with respiratory disorder (similarity: 0.589)
2026-05-05 08:03:01,904  Step 2: Inferring attributes...
2026-05-05 08:03:02,024  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:02,393    Reference: Disorder of right lower extremity (similarity: 0.801)
2026-05-05 08:03:02,394    Reference: Acquired deformity of lower leg (similarity: 0.735)
2026-05-05 08:03:02,394    Reference: Left lower leg repetitive motion disorder (similarity: 0.723)
2026-05-05 08:03:02,395    Reference: Disorder of tendon of foot (similarity: 0.713)
2026-05-05 08:03:02,396    Reference: Acquired deformity of left lower leg (similarity: 0.703)
2026-05-05 08:03:02,397  Step 2: Inferring attributes...
2026-05-05 08:03:03,125  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:03,145  Total cost: $0.0195
2026-05-05 08:03:03,148  [211/340] Labyrinthine fistula — cost: $0.0195 | total: $2.3360
2026-05-05 08:03:03,287  Step 1: Retrieving reference examples...
2026-05-05 08:03:03,831  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:03,838  Total cost: $0.0384
2026-05-05 08:03:03,840  [212/340] Poor fetal growth affecting management — cost: $0.0384 | total: $2.3744
2026-05-05 08:03:03,880  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:03,980  Step 1: Retrieving reference examples...
2026-05-05 08:03:04,249    Reference: Staphylococcal arthritis of hand (similarity: 0.818)
2026-05-05 08:03:04,250    Reference: Pyogenic bacterial arthritis of foot (similarity: 0.792)
2026-05-05 08:03:04,251    Reference: Pyogenic arthritis of hip (similarity: 0.792)
2026-05-05 08:03:04,251    Reference: Pyogenic arthritis of multiple sites (similarity: 0.770)
2026-05-05 08:03:04,252    Reference: Pyogenic arthritis of pelvic region (similarity: 0.729)
2026-05-05 08:03:04,252  Step 2: Inferring attributes...
2026-05-05 08:03:04,395  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:04,758    Reference: Osteoarthritis of joint of left ankle and/or foot (similarity: 0.662)
2026-05-05 08:03:04,759    Reference: Gouty arthritis of the ankle and/or foot (similarity: 0.655)
2026-05-05 08:03:04,760    Reference: Traumatic arthropathy of the ankle and/or foot (similarity: 0.647)
2026-05-05 08:03:04,760    Reference: Allergic arthritis of the ankle and/or foot (similarity: 0.640)
2026-05-05 08:03:04,761    Reference: Osteoarthritis of ankle (similarity: 0.618)
2026-05-05 08:03:04,762  Step 2: Inferring attributes...
2026-05-05 08:03:04,837  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:04,845  Total cost: $0.0306
2026-05-05 08:03:04,847  [213/340] Light-for-dates with signs of fetal malnutrition — cost: $0.0306 | total: $2.4050
2026-05-05 08:03:04,979  Step 1: Retrieving reference examples...
2026-05-05 08:03:05,792  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:06,201    Reference: Localized osteoarthrosis (similarity: 0.763)
2026-05-05 08:03:06,207    Reference: Localized, secondary osteoarthritis of the hand (similarity: 0.706)
2026-05-05 08:03:06,207    Reference: Localized, primary osteoarthritis of the hand (similarity: 0.698)
2026-05-05 08:03:06,212    Reference: Secondary multiple arthrosis (similarity: 0.670)
2026-05-05 08:03:06,213    Reference: Localized osteoarthritis of wrist (similarity: 0.650)
2026-05-05 08:03:06,214  Step 2: Inferring attributes...
2026-05-05 08:03:07,534  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:07,536    Inferred: {
  "finding_site": [
    "lower leg structure"
  ]
}
2026-05-05 08:03:07,537  Step 3: Retrieving candidates...
2026-05-05 08:03:07,645  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:07,654  Total cost: $0.0267
2026-05-05 08:03:07,656  [214/340] Tuberculosis of urinary organs — cost: $0.0267 | total: $2.4317
2026-05-05 08:03:07,772  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:07,774    Inferred: {
  "associated_morphology": [
    "Inflammation",
    "Inflammatory morphology"
  ],
  "finding_site": [
    "Joint structure of ankle and/or foot"
  ],
  "finding_asso_with": [
    "Helminthiasis (infection caused by helminths)"
  ]
}
2026-05-05 08:03:07,775  Step 3: Retrieving candidates...
2026-05-05 08:03:07,786  Step 1: Retrieving reference examples...
2026-05-05 08:03:08,155  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:08,177    finding_site: added 7 values from reference examples
2026-05-05 08:03:08,326  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:08,341    finding_site: added 47 hierarchy neighbors
2026-05-05 08:03:08,341    finding_site: top match = Lower leg structure (score: 0.9503350165426749)
2026-05-05 08:03:08,342  Step 4: Selecting best matches...
2026-05-05 08:03:08,448  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:08,645    associated_morphology: added 47 hierarchy neighbors
2026-05-05 08:03:08,646    associated_morphology: top match = Inflammation (score: 0.9999984514367927)
2026-05-05 08:03:08,648    finding_site: added 4 values from reference examples
2026-05-05 08:03:08,705    Reference: Traumatic arthropathy of multiple sites (similarity: 1.000)
2026-05-05 08:03:08,705    Reference: Traumatic arthropathy (similarity: 0.846)
2026-05-05 08:03:08,706    Reference: Traumatic arthropathy of the ankle and/or foot (similarity: 0.789)
2026-05-05 08:03:08,707    Reference: Traumatic arthropathy-ankle (similarity: 0.778)
2026-05-05 08:03:08,707    Reference: Traumatic arthropathy-wrist (similarity: 0.765)
2026-05-05 08:03:08,707  Step 2: Inferring attributes...
2026-05-05 08:03:08,722    finding_site: added 16 hierarchy neighbors
2026-05-05 08:03:08,723    finding_site: top match = Joint structure of ankle and/or foot (score: 0.9999986321805603)
2026-05-05 08:03:08,724  Step 4: Selecting best matches...
2026-05-05 08:03:10,212  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:10,214    Inferred: {
  "associated_morphology": [
    "Inflammatory morphology",
    "Inflammation"
  ],
  "finding_site": [
    "Joint structure of shoulder region"
  ],
  "finding_asso_with": [
    "Dysentery (disorder)"
  ]
}
2026-05-05 08:03:10,215  Step 3: Retrieving candidates...
2026-05-05 08:03:10,769  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:10,971    associated_morphology: added 47 hierarchy neighbors
2026-05-05 08:03:10,973    associated_morphology: top match = Inflammatory morphology (score: 0.9999986185820602)
2026-05-05 08:03:10,975    finding_site: added 5 values from reference examples
2026-05-05 08:03:11,072    finding_site: added 41 hierarchy neighbors
2026-05-05 08:03:11,073    finding_site: top match = Joint structure of shoulder region (score: 0.9999989519606187)
2026-05-05 08:03:11,074  Step 4: Selecting best matches...
2026-05-05 08:03:12,240  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:12,246  Total cost: $0.0205
2026-05-05 08:03:12,248  [215/340] Disorder of lower leg — cost: $0.0205 | total: $2.4523
2026-05-05 08:03:12,275  Checkpoint saved (215 terms)
2026-05-05 08:03:12,399  Step 1: Retrieving reference examples...
2026-05-05 08:03:13,019  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:13,026  Total cost: $0.0231
2026-05-05 08:03:13,028  [216/340] Late effect of rickets — cost: $0.0231 | total: $2.4754
2026-05-05 08:03:13,168  Step 1: Retrieving reference examples...
2026-05-05 08:03:13,240  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:13,639    Reference: Allergic arthritis (similarity: 1.000)
2026-05-05 08:03:13,640    Reference: Allergic arthritis of the ankle and/or foot (similarity: 0.782)
2026-05-05 08:03:13,641    Reference: Transient arthritis (similarity: 0.652)
2026-05-05 08:03:13,685    Reference: Infective arthritis (similarity: 0.615)
2026-05-05 08:03:13,686    Reference: Staphylococcal arthritis (similarity: 0.610)
2026-05-05 08:03:13,687  Step 2: Inferring attributes...
2026-05-05 08:03:14,114  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:14,361  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:14,362    Inferred: {
  "associated_morphology": [
    "degenerative abnormality",
    "degeneration"
  ],
  "finding_site": [
    "joint structure"
  ]
}
2026-05-05 08:03:14,363  Step 3: Retrieving candidates...
2026-05-05 08:03:14,481    Reference: Localized, primary osteoarthritis of the hand (similarity: 0.866)
2026-05-05 08:03:14,482    Reference: Localized osteoarthrosis (similarity: 0.832)
2026-05-05 08:03:14,482    Reference: Localized, secondary osteoarthritis of the hand (similarity: 0.781)
2026-05-05 08:03:14,483    Reference: Localized osteoarthritis of wrist (similarity: 0.719)
2026-05-05 08:03:14,484    Reference: Secondary osteoarthritis of left hand (similarity: 0.629)
2026-05-05 08:03:14,485  Step 2: Inferring attributes...
2026-05-05 08:03:14,857  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:14,916    associated_morphology: added 4 values from reference examples
2026-05-05 08:03:15,016    associated_morphology: added 71 hierarchy neighbors
2026-05-05 08:03:15,017    associated_morphology: top match = Degenerative abnormality (score: 0.9427205528584643)
2026-05-05 08:03:15,019    finding_site: added 4 values from reference examples
2026-05-05 08:03:15,109    finding_site: added 23 hierarchy neighbors
2026-05-05 08:03:15,110    finding_site: top match = Joint structure (score: 0.9319562487444701)
2026-05-05 08:03:15,111  Step 4: Selecting best matches...
2026-05-05 08:03:16,870  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:16,872    Inferred: {
  "associated_morphology": [
    "suppurative inflammation"
  ],
  "finding_site": [
    "structure of joint of hand"
  ],
  "pathological_process": [
    "infectious process"
  ]
}
2026-05-05 08:03:16,872  Step 3: Retrieving candidates...
2026-05-05 08:03:17,472  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:17,587    associated_morphology: added 1 values from reference examples
2026-05-05 08:03:17,671    associated_morphology: added 40 hierarchy neighbors
2026-05-05 08:03:17,673    associated_morphology: top match = Suppurative inflammation (score: 0.936235597720493)
2026-05-05 08:03:17,675    finding_site: added 5 values from reference examples
2026-05-05 08:03:17,747    finding_site: added 34 hierarchy neighbors
2026-05-05 08:03:17,748    finding_site: top match = Structure of joint of hand (score: 0.9544332625528714)
2026-05-05 08:03:17,818    pathological_process: added 1 hierarchy neighbors
2026-05-05 08:03:17,820    pathological_process: top match = Infectious process (score: 0.9399847453113332)
2026-05-05 08:03:17,821  Step 4: Selecting best matches...
2026-05-05 08:03:18,060  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:18,062    Inferred: {
  "finding_site": [
    "joint structure of multiple body sites"
  ]
}
2026-05-05 08:03:18,063  Step 3: Retrieving candidates...
2026-05-05 08:03:18,498  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:18,526    finding_site: added 4 values from reference examples
2026-05-05 08:03:18,662    finding_site: added 32 hierarchy neighbors
2026-05-05 08:03:18,663    finding_site: top match = Joint structure of multiple body sites (score: 0.9534237516274001)
2026-05-05 08:03:18,664  Step 4: Selecting best matches...
2026-05-05 08:03:20,596  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:20,597    Inferred: {
  "finding_site": [
    "Joint structure of ankle and/or foot"
  ],
  "finding_asso_with": [
    "Mycosis (disorder)"
  ]
}
2026-05-05 08:03:20,598  Step 3: Retrieving candidates...
2026-05-05 08:03:20,773  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:20,778  Total cost: $0.0274
2026-05-05 08:03:20,780  [217/340] Arthropathy of the ankle and/or foot associated with helminthiasis — cost: $0.0274 | total: $2.5028
2026-05-05 08:03:20,926  Step 1: Retrieving reference examples...
2026-05-05 08:03:21,181  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:21,249    finding_site: added 2 values from reference examples
2026-05-05 08:03:21,324    finding_site: added 14 hierarchy neighbors
2026-05-05 08:03:21,325    finding_site: top match = Joint structure of ankle and/or foot (score: 0.9999989867868246)
2026-05-05 08:03:21,326  Step 4: Selecting best matches...
2026-05-05 08:03:21,435  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:21,436    Inferred: {
  "associated_morphology": [
    "Degeneration",
    "Degenerative abnormality"
  ],
  "finding_site": [
    "Joint structure"
  ]
}
2026-05-05 08:03:21,437  Step 3: Retrieving candidates...
2026-05-05 08:03:21,524  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:21,878  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:21,881    Inferred: {
  "associated_morphology": [
    "inflammation",
    "inflammatory morphology"
  ],
  "finding_site": [
    "joint structure"
  ],
  "pathological_process": [
    "non-immunoglobulin E-mediated allergic process"
  ]
}
2026-05-05 08:03:21,882  Step 3: Retrieving candidates...
2026-05-05 08:03:21,889    Reference: Lupus erythematosus overlap syndrome (similarity: 0.582)
2026-05-05 08:03:21,890    Reference: Systemic onset juvenile chronic arthritis (similarity: 0.569)
2026-05-05 08:03:21,890    Reference: Arthropathy in Behcet's syndrome of the hand (similarity: 0.564)
2026-05-05 08:03:21,891    Reference: Antiphospholipid syndrome (similarity: 0.547)
2026-05-05 08:03:21,892    Reference: Cutaneous complication of systemic sclerosis (similarity: 0.536)
2026-05-05 08:03:21,892  Step 2: Inferring attributes...
2026-05-05 08:03:21,901  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:21,961    associated_morphology: added 2 values from reference examples
2026-05-05 08:03:22,052    associated_morphology: added 71 hierarchy neighbors
2026-05-05 08:03:22,053    associated_morphology: top match = Degeneration (score: 0.999998869477742)
2026-05-05 08:03:22,055    finding_site: added 5 values from reference examples
2026-05-05 08:03:22,128    finding_site: added 31 hierarchy neighbors
2026-05-05 08:03:22,130    finding_site: top match = Joint structure (score: 0.9999986945386495)
2026-05-05 08:03:22,131  Step 4: Selecting best matches...
2026-05-05 08:03:22,166  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:22,172  Total cost: $0.0260
2026-05-05 08:03:22,174  [218/340] Localized osteoarthrosis uncertain if primary OR secondary — cost: $0.0260 | total: $2.5288
2026-05-05 08:03:22,306  Step 1: Retrieving reference examples...
2026-05-05 08:03:22,494  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:22,681    associated_morphology: added 47 hierarchy neighbors
2026-05-05 08:03:22,682    associated_morphology: top match = Inflammation (score: 0.8864293102667262)
2026-05-05 08:03:22,684    finding_site: added 1 values from reference examples
2026-05-05 08:03:22,754    finding_site: added 14 hierarchy neighbors
2026-05-05 08:03:22,755    finding_site: top match = Joint structure (score: 0.9319049114053936)
2026-05-05 08:03:22,757    pathological_process: added 2 values from reference examples
2026-05-05 08:03:22,856    pathological_process: added 4 hierarchy neighbors
2026-05-05 08:03:22,857    pathological_process: top match = Non-immunoglobulin E-mediated allergic process (score: 0.952007307892889)
2026-05-05 08:03:22,859  Step 4: Selecting best matches...
2026-05-05 08:03:23,045  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:23,051  Total cost: $0.0299
2026-05-05 08:03:23,054  [219/340] Reactive arthritis of joint of shoulder region due to and following dysentery — cost: $0.0299 | total: $2.5587
2026-05-05 08:03:23,095  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:23,197  Step 1: Retrieving reference examples...
2026-05-05 08:03:23,471    Reference: Contracture of joint of left hand (similarity: 0.918)
2026-05-05 08:03:23,472    Reference: Contracture of joints of bilateral hands (similarity: 0.857)
2026-05-05 08:03:23,473    Reference: Contracture of elbow joint (similarity: 0.827)
2026-05-05 08:03:23,474    Reference: Contracture of joint of foot (similarity: 0.790)
2026-05-05 08:03:23,475    Reference: Contracture of right knee joint (similarity: 0.728)
2026-05-05 08:03:23,475  Step 2: Inferring attributes...
2026-05-05 08:03:23,648  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:24,007    Reference: Articular cartilage disorder of joint of left elbow (similarity: 0.839)
2026-05-05 08:03:24,008    Reference: Articular cartilage disorder of wrist (similarity: 0.802)
2026-05-05 08:03:24,009    Reference: Articular cartilage disorder of knee (similarity: 0.783)
2026-05-05 08:03:24,009    Reference: Articular cartilage disorder, excluding the knee (similarity: 0.721)
2026-05-05 08:03:24,010    Reference: Cartilage disorder (similarity: 0.700)
2026-05-05 08:03:24,011  Step 2: Inferring attributes...
2026-05-05 08:03:26,453  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:26,460  Total cost: $0.0278
2026-05-05 08:03:26,463  [220/340] Pyogenic arthritis of hand — cost: $0.0278 | total: $2.5865
2026-05-05 08:03:26,492  Checkpoint saved (220 terms)
2026-05-05 08:03:26,601  Step 1: Retrieving reference examples...
2026-05-05 08:03:27,039  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:27,047  Total cost: $0.0242
2026-05-05 08:03:27,052  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:27,073  Total cost: $0.0237
2026-05-05 08:03:27,075  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:27,075  [221/340] Localized, primary osteoarthritis — cost: $0.0242 | total: $2.6108
2026-05-05 08:03:27,084  [222/340] Allergic arthritis — cost: $0.0237 | total: $2.6344
2026-05-05 08:03:27,221  Step 1: Retrieving reference examples...
2026-05-05 08:03:27,223  Step 1: Retrieving reference examples...
2026-05-05 08:03:27,469    Reference: Myositis of right thigh (similarity: 0.697)
2026-05-05 08:03:27,470    Reference: Myositis of left foot (similarity: 0.675)
2026-05-05 08:03:27,471    Reference: Proliferative myositis (similarity: 0.667)
2026-05-05 08:03:27,472    Reference: Idiopathic polymyositis (similarity: 0.650)
2026-05-05 08:03:27,472    Reference: Bilateral myositis of feet (similarity: 0.631)
2026-05-05 08:03:27,473  Step 2: Inferring attributes...
2026-05-05 08:03:27,742  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:27,843  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:27,845    Inferred: {
  "associated_morphology": [
    "Contracture"
  ],
  "finding_site": [
    "Structure of joint region of hand"
  ],
  "interprets_interpretation": [
    {
      "interprets": "Hand joint range of movement",
      "interpretation": "Decreased"
    }
  ]
}
2026-05-05 08:03:27,846  Step 3: Retrieving candidates...
2026-05-05 08:03:27,871  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:27,887  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:27,893  Total cost: $0.0226
2026-05-05 08:03:27,895  [223/340] Traumatic arthropathy of multiple sites — cost: $0.0226 | total: $2.6570
2026-05-05 08:03:28,029  Step 1: Retrieving reference examples...
2026-05-05 08:03:28,173    Reference: Lordosis and scoliosis deformity of spine (similarity: 0.852)
2026-05-05 08:03:28,174    Reference: Kyphosis deformity of spine (similarity: 0.814)
2026-05-05 08:03:28,175    Reference: Lordosis deformity of spine following surgical procedure (similarity: 0.790)
2026-05-05 08:03:28,176    Reference: Acquired postural hyperlordosis deformity of lumbar and sacral spine (similarity: 0.728)
2026-05-05 08:03:28,177    Reference: Rotational deformity of spine (similarity: 0.684)
2026-05-05 08:03:28,177  Step 2: Inferring attributes...
2026-05-05 08:03:28,286  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:28,307    Reference: Enthesopathy of left hand (similarity: 0.754)
2026-05-05 08:03:28,308    Reference: Enthesopathy of right ankle (similarity: 0.716)
2026-05-05 08:03:28,309    Reference: Enthesopathy of left elbow (similarity: 0.715)
2026-05-05 08:03:28,310    Reference: Bilateral enthesopathy of hands (similarity: 0.714)
2026-05-05 08:03:28,310    Reference: Enthesitis of quadriceps tendon (similarity: 0.646)
2026-05-05 08:03:28,312  Step 2: Inferring attributes...
2026-05-05 08:03:28,456    associated_morphology: added 6 hierarchy neighbors
2026-05-05 08:03:28,457    associated_morphology: top match = Contracture (score: 0.9999989988938982)
2026-05-05 08:03:28,458    finding_site: added 3 values from reference examples
2026-05-05 08:03:28,564    finding_site: added 40 hierarchy neighbors
2026-05-05 08:03:28,565    finding_site: top match = Structure of hand joint region (score: 0.9430943182453497)
2026-05-05 08:03:28,567    interprets: added 3 values from reference examples
2026-05-05 08:03:28,579  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:28,686    interprets: added 19 hierarchy neighbors
2026-05-05 08:03:28,687    interprets: top match = Hand joint range of movement (score: 0.999605546545793)
2026-05-05 08:03:28,795    interpretation: added 1 hierarchy neighbors
2026-05-05 08:03:28,796    interpretation: top match = Decreased (score: 0.9999989694584682)
2026-05-05 08:03:28,798  Step 4: Selecting best matches...
2026-05-05 08:03:29,002    Reference: Congenital anomaly of limb (similarity: 0.794)
2026-05-05 08:03:29,003    Reference: Congenital absence of toe of right foot (similarity: 0.758)
2026-05-05 08:03:29,003    Reference: Congenital anomaly of tarsal bone (similarity: 0.752)
2026-05-05 08:03:29,004    Reference: Congenital anomaly of tooth (similarity: 0.733)
2026-05-05 08:03:29,005    Reference: Congenital anomaly of skin (similarity: 0.722)
2026-05-05 08:03:29,005  Step 2: Inferring attributes...
2026-05-05 08:03:29,426  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:29,430  Total cost: $0.0236
2026-05-05 08:03:29,432  [224/340] Arthropathy associated with mycoses, of the ankle and/or foot — cost: $0.0236 | total: $2.6806
2026-05-05 08:03:29,569  Step 1: Retrieving reference examples...
2026-05-05 08:03:30,025  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:30,393    Reference: Breastfeeding problem in the newborn (similarity: 0.702)
2026-05-05 08:03:30,394    Reference: Vascular engorgement of breast (similarity: 0.655)
2026-05-05 08:03:30,394    Reference: Edema of newborn (similarity: 0.593)
2026-05-05 08:03:30,397    Reference: Feeding problems in newborn (similarity: 0.586)
2026-05-05 08:03:30,398    Reference: Excessive crying of newborn (similarity: 0.548)
2026-05-05 08:03:30,399  Step 2: Inferring attributes...
2026-05-05 08:03:33,310  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:33,312    Inferred: {
  "associated_morphology": [
    "Morphologically abnormal structure"
  ],
  "finding_site": [
    "Toe structure"
  ],
  "occurrence": [
    "Congenital"
  ],
  "pathological_process": [
    "Pathological developmental process"
  ]
}
2026-05-05 08:03:33,313  Step 3: Retrieving candidates...
2026-05-05 08:03:33,372  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:33,374    Inferred: {
  "associated_morphology": [
    "Anteroposterior abnormal curvature (morphologic abnormality)"
  ],
  "finding_site": [
    "Musculoskeletal structure of spine"
  ]
}
2026-05-05 08:03:33,375  Step 3: Retrieving candidates...
2026-05-05 08:03:33,989  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:33,991    Inferred: {
  "associated_morphology": [
    "deforming arthropathy"
  ],
  "finding_site": [
    "structure of joint of hand"
  ]
}
2026-05-05 08:03:33,993  Step 3: Retrieving candidates...
2026-05-05 08:03:33,996  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:34,034  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:34,037  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:34,047  Total cost: $0.0244
2026-05-05 08:03:34,066  [225/340] Contracture of joint of hand — cost: $0.0244 | total: $2.7050
2026-05-05 08:03:34,130  Checkpoint saved (225 terms)
2026-05-05 08:03:34,138    associated_morphology: added 2 values from reference examples
2026-05-05 08:03:34,150    associated_morphology: added 1 values from reference examples
2026-05-05 08:03:34,225  Step 1: Retrieving reference examples...
2026-05-05 08:03:34,261    associated_morphology: added 4 hierarchy neighbors
2026-05-05 08:03:34,262    associated_morphology: top match = Anteroposterior abnormal curvature (score: 0.8638936207273666)
2026-05-05 08:03:34,264    finding_site: added 2 values from reference examples
2026-05-05 08:03:34,280    associated_morphology: added 24 hierarchy neighbors
2026-05-05 08:03:34,281    associated_morphology: top match = Morphologically abnormal structure (score: 0.9999992916149689)
2026-05-05 08:03:34,283    finding_site: added 4 values from reference examples
2026-05-05 08:03:34,360    finding_site: added 17 hierarchy neighbors
2026-05-05 08:03:34,361    finding_site: top match = Musculoskeletal structure of spine (score: 0.9999986131647389)
2026-05-05 08:03:34,363  Step 4: Selecting best matches...
2026-05-05 08:03:34,386  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:34,388    Inferred: {
  "associated_morphology": [
    "Inflammation",
    "Inflammatory morphology"
  ],
  "finding_site": [
    "Skeletal muscle structure"
  ]
}
2026-05-05 08:03:34,389  Step 3: Retrieving candidates...
2026-05-05 08:03:34,485    finding_site: added 44 hierarchy neighbors
2026-05-05 08:03:34,487    finding_site: top match = Toe structure (score: 0.9999987851468691)
2026-05-05 08:03:34,563    occurrence: added 1 hierarchy neighbors
2026-05-05 08:03:34,565    occurrence: top match = Congenital (score: 0.999998706873204)
2026-05-05 08:03:34,572  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:34,616    associated_morphology: added 3 values from reference examples
2026-05-05 08:03:34,634    pathological_process: top match = Pathological developmental process (score: 0.9999988875144051)
2026-05-05 08:03:34,635  Step 4: Selecting best matches...
2026-05-05 08:03:34,709    associated_morphology: added 71 hierarchy neighbors
2026-05-05 08:03:34,711    associated_morphology: top match = Congenital dysplasia (score: 0.4828313861375857)
2026-05-05 08:03:34,713    finding_site: added 3 values from reference examples
2026-05-05 08:03:34,717  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:34,823    finding_site: added 46 hierarchy neighbors
2026-05-05 08:03:34,825    finding_site: top match = Structure of joint of hand (score: 0.9544156577778825)
2026-05-05 08:03:34,826  Step 4: Selecting best matches...
2026-05-05 08:03:35,024  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:35,107    associated_morphology: added 2 values from reference examples
2026-05-05 08:03:35,119    Reference: Congenital abduction contracture of hip (similarity: 0.758)
2026-05-05 08:03:35,120    Reference: Congenital dislocation of right knee (similarity: 0.733)
2026-05-05 08:03:35,120    Reference: Maternal history of congenital dislocated hip (similarity: 0.708)
2026-05-05 08:03:35,121    Reference: Congenital dislocation of left glenohumeral joint (similarity: 0.696)
2026-05-05 08:03:35,122    Reference: Congenital dislocation of joint of shoulder region (similarity: 0.691)
2026-05-05 08:03:35,123  Step 2: Inferring attributes...
2026-05-05 08:03:35,243    associated_morphology: added 52 hierarchy neighbors
2026-05-05 08:03:35,245    associated_morphology: top match = Inflammation (score: 0.9999988748630455)
2026-05-05 08:03:35,247    finding_site: added 7 values from reference examples
2026-05-05 08:03:35,427    finding_site: added 29 hierarchy neighbors
2026-05-05 08:03:35,428    finding_site: top match = Skeletal muscle structure (score: 0.9999987180862548)
2026-05-05 08:03:35,430  Step 4: Selecting best matches...
2026-05-05 08:03:37,295  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:37,301    Inferred: {
  "associated_morphology": [
    "Hyperemia"
  ],
  "finding_site": [
    "Breast structure"
  ],
  "occurrence": [
    "Neonatal period"
  ]
}
2026-05-05 08:03:37,301  Step 3: Retrieving candidates...
2026-05-05 08:03:37,888  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:37,958    associated_morphology: added 1 values from reference examples
2026-05-05 08:03:38,101    associated_morphology: added 24 hierarchy neighbors
2026-05-05 08:03:38,102    associated_morphology: top match = Hyperemia (score: 0.9999988290019769)
2026-05-05 08:03:38,169    finding_site: added 7 hierarchy neighbors
2026-05-05 08:03:38,170    finding_site: top match = Breast structure (score: 0.999999307724854)
2026-05-05 08:03:38,172    occurrence: added 4 values from reference examples
2026-05-05 08:03:38,218  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:38,223  Total cost: $0.0197
2026-05-05 08:03:38,225  [226/340] Lordosis deformity of spine — cost: $0.0197 | total: $2.7247
2026-05-05 08:03:38,241    occurrence: added 7 hierarchy neighbors
2026-05-05 08:03:38,242    occurrence: top match = Early neonatal period (score: 0.8763260500317954)
2026-05-05 08:03:38,244  Step 4: Selecting best matches...
2026-05-05 08:03:38,345  Step 1: Retrieving reference examples...
2026-05-05 08:03:38,464  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:38,465    Inferred: {
  "finding_site": [
    "Structure of articular cartilage of joint of upper arm"
  ]
}
2026-05-05 08:03:38,466  Step 3: Retrieving candidates...
2026-05-05 08:03:38,921  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:38,945    finding_site: added 4 values from reference examples
2026-05-05 08:03:38,955  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:39,147    finding_site: added 36 hierarchy neighbors
2026-05-05 08:03:39,149    finding_site: top match = Structure of articular cartilage of right upper limb (score: 0.8926466476385835)
2026-05-05 08:03:39,149  Step 4: Selecting best matches...
2026-05-05 08:03:39,231  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:39,237  Total cost: $0.0232
2026-05-05 08:03:39,239  [227/340] Congenital anomaly of toe — cost: $0.0232 | total: $2.7479
2026-05-05 08:03:39,347    Reference: Abnormal breath sounds (similarity: 1.000)
2026-05-05 08:03:39,348    Reference: Abnormal chest sounds (similarity: 0.828)
2026-05-05 08:03:39,349    Reference: Decreased breath sounds (similarity: 0.713)
2026-05-05 08:03:39,349    Reference: Breath sounds - finding (similarity: 0.700)
2026-05-05 08:03:39,351    Reference: Respiratory auscultation finding (similarity: 0.575)
2026-05-05 08:03:39,352  Step 2: Inferring attributes...
2026-05-05 08:03:39,388  Step 1: Retrieving reference examples...
2026-05-05 08:03:39,698  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:39,704  Total cost: $0.0221
2026-05-05 08:03:39,707  [228/340] Myositis — cost: $0.0221 | total: $2.7700
2026-05-05 08:03:39,836  Step 1: Retrieving reference examples...
2026-05-05 08:03:39,917  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:39,956  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:39,957    Inferred: {
  "finding_site": [
    "Structure of enthesis (body structure)"
  ]
}
2026-05-05 08:03:39,958  Step 3: Retrieving candidates...
2026-05-05 08:03:40,283    Reference: Closed fracture of olecranon process of ulna (similarity: 1.000)
2026-05-05 08:03:40,284    Reference: Open fracture of olecranon process of ulna (similarity: 0.893)
2026-05-05 08:03:40,285    Reference: Closed fracture of head of ulna (similarity: 0.835)
2026-05-05 08:03:40,286    Reference: Open fracture of coronoid process of right ulna (similarity: 0.780)
2026-05-05 08:03:40,287    Reference: Closed fracture subluxation of elbow joint (similarity: 0.777)
2026-05-05 08:03:40,287  Step 2: Inferring attributes...
2026-05-05 08:03:40,297  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:40,419  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:40,449    finding_site: added 6 values from reference examples
2026-05-05 08:03:40,590    finding_site: added 16 hierarchy neighbors
2026-05-05 08:03:40,591    finding_site: top match = Structure of enthesis (score: 0.9162135897749368)
2026-05-05 08:03:40,592  Step 4: Selecting best matches...
2026-05-05 08:03:40,665    Reference: Closed fracture of multiple ribs (similarity: 0.906)
2026-05-05 08:03:40,667    Reference: Closed fracture of two ribs (similarity: 0.903)
2026-05-05 08:03:40,667    Reference: Closed fracture of one rib (similarity: 0.887)
2026-05-05 08:03:40,668    Reference: Open fracture of multiple left ribs (similarity: 0.827)
2026-05-05 08:03:40,669    Reference: Fracture of two ribs (similarity: 0.821)
2026-05-05 08:03:40,669  Step 2: Inferring attributes...
2026-05-05 08:03:42,710  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:42,716  Total cost: $0.0238
2026-05-05 08:03:42,719  [229/340] Breast engorgement in newborn — cost: $0.0238 | total: $2.7939
2026-05-05 08:03:42,857  Step 1: Retrieving reference examples...
2026-05-05 08:03:43,491  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:43,621  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:43,650    Inferred: {
  "associated_morphology": [
    "Fracture, closed"
  ],
  "finding_site": [
    "Olecranon structure"
  ]
}
2026-05-05 08:03:43,651  Step 3: Retrieving candidates...
2026-05-05 08:03:43,883    Reference: Open fracture of middle phalanx of left ring finger (similarity: 0.914)
2026-05-05 08:03:43,884    Reference: Open fracture of phalanx of index finger (similarity: 0.893)
2026-05-05 08:03:43,885    Reference: Open fracture of proximal phalanx of index finger (similarity: 0.891)
2026-05-05 08:03:43,886    Reference: Open fracture of distal phalanx of right middle finger (similarity: 0.885)
2026-05-05 08:03:43,886    Reference: Open fracture of proximal phalanx of middle finger of left hand (similarity: 0.863)
2026-05-05 08:03:43,887  Step 2: Inferring attributes...
2026-05-05 08:03:44,142  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:44,144    Inferred: {
  "associated_morphology": [
    "Dislocation",
    "Congenital dislocation"
  ],
  "finding_site": [
    "Hip joint structure"
  ],
  "occurrence": [
    "Congenital"
  ],
  "pathological_process": [
    "Pathological developmental process"
  ]
}
2026-05-05 08:03:44,145  Step 3: Retrieving candidates...
2026-05-05 08:03:44,166  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:44,206    associated_morphology: added 3 values from reference examples
2026-05-05 08:03:44,323    associated_morphology: added 49 hierarchy neighbors
2026-05-05 08:03:44,324    associated_morphology: top match = Fracture, closed (score: 0.999998765422973)
2026-05-05 08:03:44,326    finding_site: added 5 values from reference examples
2026-05-05 08:03:44,469    finding_site: added 22 hierarchy neighbors
2026-05-05 08:03:44,470    finding_site: top match = Structure of olecranon (score: 0.8963912782510877)
2026-05-05 08:03:44,471  Step 4: Selecting best matches...
2026-05-05 08:03:45,091  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:45,184    associated_morphology: added 1 values from reference examples
2026-05-05 08:03:45,302    associated_morphology: added 20 hierarchy neighbors
2026-05-05 08:03:45,303    associated_morphology: top match = Dislocation (score: 0.999999107272977)
2026-05-05 08:03:45,305    finding_site: added 6 values from reference examples
2026-05-05 08:03:45,376    finding_site: added 31 hierarchy neighbors
2026-05-05 08:03:45,377    finding_site: top match = Hip joint structure (score: 0.9999989041164747)
2026-05-05 08:03:45,448    occurrence: added 1 hierarchy neighbors
2026-05-05 08:03:45,449    occurrence: top match = Congenital (score: 0.999998706873204)
2026-05-05 08:03:45,517    pathological_process: top match = Pathological developmental process (score: 0.9999988693697508)
2026-05-05 08:03:45,519  Step 4: Selecting best matches...
2026-05-05 08:03:46,264  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:46,266    Inferred: {
  "associated_morphology": [
    "Closed fracture of multiple bones"
  ],
  "finding_site": [
    "Bone structure of rib"
  ]
}
2026-05-05 08:03:46,268  Step 3: Retrieving candidates...
2026-05-05 08:03:46,653  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:46,658  Total cost: $0.0202
2026-05-05 08:03:46,661  [230/340] Enthesopathy — cost: $0.0202 | total: $2.8141
2026-05-05 08:03:46,692  Checkpoint saved (230 terms)
2026-05-05 08:03:46,797  Step 1: Retrieving reference examples...
2026-05-05 08:03:46,832  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:46,875    associated_morphology: added 3 values from reference examples
2026-05-05 08:03:46,947    associated_morphology: added 25 hierarchy neighbors
2026-05-05 08:03:46,948    associated_morphology: top match = Closed fracture of multiple bones (score: 0.9999991509307969)
2026-05-05 08:03:46,950    finding_site: added 1 values from reference examples
2026-05-05 08:03:47,018    finding_site: added 8 hierarchy neighbors
2026-05-05 08:03:47,020    finding_site: top match = Bone structure of rib (score: 0.999998938469104)
2026-05-05 08:03:47,021  Step 4: Selecting best matches...
2026-05-05 08:03:47,321  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:47,690    Reference: Dislocation of right glenohumeral joint (similarity: 0.794)
2026-05-05 08:03:47,692    Reference: Open dislocation of distal end of ulna (similarity: 0.757)
2026-05-05 08:03:47,692    Reference: Dislocation of shoulder joint (similarity: 0.748)
2026-05-05 08:03:47,693    Reference: Open traumatic dislocation of glenohumeral joint, inferior (infra-glenoid) (similarity: 0.745)
2026-05-05 08:03:47,694    Reference: Open traumatic subluxation shoulder joint (similarity: 0.738)
2026-05-05 08:03:47,695  Step 2: Inferring attributes...
2026-05-05 08:03:48,112  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:48,117  Total cost: $0.0208
2026-05-05 08:03:48,119  [231/340] Closed fracture of olecranon process of ulna — cost: $0.0208 | total: $2.8349
2026-05-05 08:03:48,251  Step 1: Retrieving reference examples...
2026-05-05 08:03:48,813  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:49,212    Reference: Sprain of ligament of carpometacarpal joint of left hand (similarity: 0.772)
2026-05-05 08:03:49,215    Reference: Sprain of ligament of elbow (similarity: 0.739)
2026-05-05 08:03:49,216    Reference: Sprain of ligament of right middle finger (similarity: 0.728)
2026-05-05 08:03:49,217    Reference: Sprain of interphalangeal joint of finger (similarity: 0.726)
2026-05-05 08:03:49,219    Reference: Sprain of ligament of interphalangeal joint of thumb (similarity: 0.714)
2026-05-05 08:03:49,220  Step 2: Inferring attributes...
2026-05-05 08:03:49,918  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:49,935  Total cost: $0.0308
2026-05-05 08:03:49,937  [232/340] Jaccoud's syndrome — cost: $0.0308 | total: $2.8656
2026-05-05 08:03:50,070  Step 1: Retrieving reference examples...
2026-05-05 08:03:50,463  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:50,609  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:50,614  Total cost: $0.0274
2026-05-05 08:03:50,617  [233/340] Articular cartilage disorder of upper arm — cost: $0.0274 | total: $2.8930
2026-05-05 08:03:50,768  Step 1: Retrieving reference examples...
2026-05-05 08:03:50,889    Reference: Contusion of male perineum (similarity: 0.746)
2026-05-05 08:03:50,893    Reference: Contusion of pelvic region (similarity: 0.721)
2026-05-05 08:03:50,894    Reference: Contusion of labium (similarity: 0.704)
2026-05-05 08:03:50,894    Reference: Contusion of rectum (similarity: 0.701)
2026-05-05 08:03:50,895    Reference: Contusion of groin (similarity: 0.701)
2026-05-05 08:03:50,895  Step 2: Inferring attributes...
2026-05-05 08:03:51,455  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:51,756  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:51,761  Total cost: $0.0201
2026-05-05 08:03:51,763  [234/340] Closed fracture of five ribs — cost: $0.0201 | total: $2.9132
2026-05-05 08:03:51,825    Reference: Crushing injury of upper arm (similarity: 1.000)
2026-05-05 08:03:51,826    Reference: Crushing injury of left elbow (similarity: 0.796)
2026-05-05 08:03:51,827    Reference: Contusion of upper arm (similarity: 0.762)
2026-05-05 08:03:51,828    Reference: Injury of upper extremity (similarity: 0.735)
2026-05-05 08:03:51,829    Reference: Closed crush injury, axilla (similarity: 0.731)
2026-05-05 08:03:51,830  Step 2: Inferring attributes...
2026-05-05 08:03:51,910  Step 1: Retrieving reference examples...
2026-05-05 08:03:52,148  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:52,149    Inferred: {
  "finding_site": [
    "Lower respiratory tract structure"
  ],
  "interprets_interpretation": [
    {
      "interprets": "Respiratory sounds",
      "interpretation": "Abnormal"
    }
  ]
}
2026-05-05 08:03:52,150  Step 3: Retrieving candidates...
2026-05-05 08:03:52,348  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:52,712    Reference: Contusion of upper limb (similarity: 1.000)
2026-05-05 08:03:52,713    Reference: Contusion of upper arm (similarity: 0.909)
2026-05-05 08:03:52,714    Reference: Contusion of axillary region (similarity: 0.768)
2026-05-05 08:03:52,715    Reference: Contusion of clavicular area (similarity: 0.737)
2026-05-05 08:03:52,716    Reference: Injury of upper extremity (similarity: 0.712)
2026-05-05 08:03:52,717  Step 2: Inferring attributes...
2026-05-05 08:03:52,794  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:52,855    finding_site: added 1 values from reference examples
2026-05-05 08:03:52,927  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:52,933  Total cost: $0.0291
2026-05-05 08:03:52,936  [235/340] Bilateral congenital dislocation of hip — cost: $0.0291 | total: $2.9422
2026-05-05 08:03:52,955    finding_site: added 6 hierarchy neighbors
2026-05-05 08:03:52,961    finding_site: top match = Lower respiratory tract structure (score: 0.9999988094765376)
2026-05-05 08:03:52,969  Checkpoint saved (235 terms)
2026-05-05 08:03:53,076    interprets: added 7 hierarchy neighbors
2026-05-05 08:03:53,078    interprets: top match = Respiratory sounds (score: 0.999998874134681)
2026-05-05 08:03:53,087  Step 1: Retrieving reference examples...
2026-05-05 08:03:53,381  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:53,383    Inferred: {
  "associated_morphology": [
    "Sprain (morphologic abnormality)"
  ],
  "finding_site": [
    "Structure of ligament of hand (body structure)"
  ]
}
2026-05-05 08:03:53,384  Step 3: Retrieving candidates...
2026-05-05 08:03:53,422    interpretation: added 5 hierarchy neighbors
2026-05-05 08:03:53,423    interpretation: top match = Abnormal (score: 0.9999984504122619)
2026-05-05 08:03:53,424  Step 4: Selecting best matches...
2026-05-05 08:03:53,639  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:53,641    Inferred: {
  "associated_morphology": [
    "contusion (morphologic abnormality)"
  ],
  "finding_site": [
    "genital organ structure"
  ]
}
2026-05-05 08:03:53,642  Step 3: Retrieving candidates...
2026-05-05 08:03:53,644  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:53,892  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:53,938    associated_morphology: added 6 values from reference examples
2026-05-05 08:03:54,005    Reference: Injury of artery (similarity: 0.753)
2026-05-05 08:03:54,006    Reference: Injury of right femoral vein (similarity: 0.748)
2026-05-05 08:03:54,007    Reference: Injury of saphenous vein (similarity: 0.746)
2026-05-05 08:03:54,008    Reference: Superficial femoral artery occlusion (similarity: 0.740)
2026-05-05 08:03:54,009    Reference: Injury of tibial blood vessel (similarity: 0.726)
2026-05-05 08:03:54,009  Step 2: Inferring attributes...
2026-05-05 08:03:54,021    associated_morphology: added 25 hierarchy neighbors
2026-05-05 08:03:54,022    associated_morphology: top match = Morphologically abnormal structure (score: 0.6081670443575445)
2026-05-05 08:03:54,024    finding_site: added 6 values from reference examples
2026-05-05 08:03:54,101  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:54,103    Inferred: {
  "associated_morphology": [
    "Crushing injury (morphologic abnormality)"
  ],
  "finding_site": [
    "Structure of upper arm (body structure)"
  ]
}
2026-05-05 08:03:54,104  Step 3: Retrieving candidates...
2026-05-05 08:03:54,197    finding_site: added 51 hierarchy neighbors
2026-05-05 08:03:54,199    finding_site: top match = Structure of ligament of hand (score: 0.930467697448911)
2026-05-05 08:03:54,200  Step 4: Selecting best matches...
2026-05-05 08:03:54,588  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:54,639    associated_morphology: added 4 values from reference examples
2026-05-05 08:03:54,737  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:54,780    associated_morphology: added 13 hierarchy neighbors
2026-05-05 08:03:54,783    associated_morphology: top match = Crushing injury (morphology) (score: 0.910815018092591)
2026-05-05 08:03:54,785    finding_site: added 4 values from reference examples
2026-05-05 08:03:54,858    associated_morphology: added 6 hierarchy neighbors
2026-05-05 08:03:54,859    associated_morphology: top match = Contusion - lesion (score: 0.7067397704518739)
2026-05-05 08:03:54,862    finding_site: added 6 values from reference examples
2026-05-05 08:03:54,868    finding_site: added 26 hierarchy neighbors
2026-05-05 08:03:54,869    finding_site: top match = Upper arm structure (score: 0.8727920137042822)
2026-05-05 08:03:54,870  Step 4: Selecting best matches...
2026-05-05 08:03:55,073    finding_site: added 43 hierarchy neighbors
2026-05-05 08:03:55,075    finding_site: top match = Structure of genital organ (score: 0.871432178349884)
2026-05-05 08:03:55,076  Step 4: Selecting best matches...
2026-05-05 08:03:55,550  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:55,551    Inferred: {
  "associated_morphology": [
    "open dislocation"
  ],
  "finding_site": [
    "glenohumeral joint structure"
  ]
}
2026-05-05 08:03:55,552  Step 3: Retrieving candidates...
2026-05-05 08:03:56,125  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:56,191    associated_morphology: added 4 values from reference examples
2026-05-05 08:03:56,273    associated_morphology: added 31 hierarchy neighbors
2026-05-05 08:03:56,274    associated_morphology: top match = Open dislocation (score: 0.9331587603289161)
2026-05-05 08:03:56,276    finding_site: added 2 values from reference examples
2026-05-05 08:03:56,347    finding_site: added 13 hierarchy neighbors
2026-05-05 08:03:56,349    finding_site: top match = Glenohumeral joint structure (score: 0.9543165564614746)
2026-05-05 08:03:56,350  Step 4: Selecting best matches...
2026-05-05 08:03:57,133  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:57,134  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:57,136    Inferred: {
  "associated_morphology": [
    "Traumatic abnormality"
  ],
  "finding_site": [
    "Superficial femoral artery structure"
  ]
}
2026-05-05 08:03:57,138  Step 3: Retrieving candidates...
2026-05-05 08:03:57,137    Inferred: {
  "associated_morphology": [
    "contusion"
  ],
  "finding_site": [
    "upper limb structure"
  ]
}
2026-05-05 08:03:57,141  Step 3: Retrieving candidates...
2026-05-05 08:03:57,586  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:57,629    associated_morphology: added 1 values from reference examples
2026-05-05 08:03:57,711    associated_morphology: added 12 hierarchy neighbors
2026-05-05 08:03:57,712    associated_morphology: top match = Traumatic abnormality (score: 0.9999987814607579)
2026-05-05 08:03:57,714    finding_site: added 6 values from reference examples
2026-05-05 08:03:57,855  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:57,893    associated_morphology: added 1 values from reference examples
2026-05-05 08:03:57,968    associated_morphology: added 13 hierarchy neighbors
2026-05-05 08:03:57,969    associated_morphology: top match = Contusion - lesion (score: 0.7723648733807829)
2026-05-05 08:03:57,971    finding_site: added 4 values from reference examples
2026-05-05 08:03:58,059    finding_site: added 25 hierarchy neighbors
2026-05-05 08:03:58,060    finding_site: top match = Upper limb structure (score: 0.9477404582234804)
2026-05-05 08:03:58,061  Step 4: Selecting best matches...
2026-05-05 08:03:58,270  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:58,276  Total cost: $0.0229
2026-05-05 08:03:58,278  [236/340] Sprain of hand — cost: $0.0229 | total: $2.9652
2026-05-05 08:03:58,313  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:58,319  Total cost: $0.0181
2026-05-05 08:03:58,321  [237/340] Crushing injury of upper arm — cost: $0.0181 | total: $2.9832
2026-05-05 08:03:58,416  Step 1: Retrieving reference examples...
2026-05-05 08:03:58,457  Step 1: Retrieving reference examples...
2026-05-05 08:03:58,476    finding_site: added 24 hierarchy neighbors
2026-05-05 08:03:58,477    finding_site: top match = Superficial femoral artery (score: 0.841078750466372)
2026-05-05 08:03:58,478  Step 4: Selecting best matches...
2026-05-05 08:03:58,902  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:59,112  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:59,283    Reference: Contusion of rectum (similarity: 0.782)
2026-05-05 08:03:59,284    Reference: Contusion of lower back (similarity: 0.774)
2026-05-05 08:03:59,289    Reference: Hematoma of buttock (similarity: 0.762)
2026-05-05 08:03:59,290    Reference: Laceration of left buttock (similarity: 0.736)
2026-05-05 08:03:59,291    Reference: Contusion of male perineum (similarity: 0.729)
2026-05-05 08:03:59,292  Step 2: Inferring attributes...
2026-05-05 08:03:59,480    Reference: Contusion of dorsum of foot (similarity: 0.893)
2026-05-05 08:03:59,481    Reference: Contusion of toe (similarity: 0.862)
2026-05-05 08:03:59,481    Reference: Contusion of knee (similarity: 0.771)
2026-05-05 08:03:59,482    Reference: Contusion of left medial malleolus (similarity: 0.759)
2026-05-05 08:03:59,483    Reference: Contusion of right medial malleolus (similarity: 0.755)
2026-05-05 08:03:59,483  Step 2: Inferring attributes...
2026-05-05 08:03:59,791  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:03:59,797  Total cost: $0.0269
2026-05-05 08:03:59,800  [238/340] Abnormal breath sounds — cost: $0.0269 | total: $3.0101
2026-05-05 08:03:59,923  Step 1: Retrieving reference examples...
2026-05-05 08:04:00,161  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:00,168  Total cost: $0.0202
2026-05-05 08:04:00,171  [239/340] Open dislocation of glenohumeral joint — cost: $0.0202 | total: $3.0303
2026-05-05 08:04:00,312  Step 1: Retrieving reference examples...
2026-05-05 08:04:00,477  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:00,744  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:00,841    Reference: Deep third degree burn of breast (similarity: 1.000)
2026-05-05 08:04:00,841    Reference: Deep third degree burn of trunk (similarity: 0.798)
2026-05-05 08:04:00,842    Reference: Deep third degree burn of face (similarity: 0.758)
2026-05-05 08:04:00,843    Reference: Deep third degree burn of hand (similarity: 0.758)
2026-05-05 08:04:00,843    Reference: Burn of breast (similarity: 0.746)
2026-05-05 08:04:00,844  Step 2: Inferring attributes...
2026-05-05 08:04:01,109    Reference: Tuberculosis of knee (similarity: 1.000)
2026-05-05 08:04:01,110    Reference: Tuberculosis of bones and/or joints (similarity: 0.742)
2026-05-05 08:04:01,111    Reference: Tuberculous infection of tendon sheath (similarity: 0.663)
2026-05-05 08:04:01,112    Reference: Tuberculosis of liver (similarity: 0.649)
2026-05-05 08:04:01,112    Reference: Subcutaneous abscess of knee (similarity: 0.641)
2026-05-05 08:04:01,113  Step 2: Inferring attributes...
2026-05-05 08:04:01,456  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:01,458    Inferred: {
  "associated_morphology": [
    "Fracture, open"
  ],
  "finding_site": [
    "Bone structure of middle phalanx of finger"
  ]
}
2026-05-05 08:04:01,459  Step 3: Retrieving candidates...
2026-05-05 08:04:02,079  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:02,088  Total cost: $0.0196
2026-05-05 08:04:02,091  [240/340] Injury of superficial femoral artery — cost: $0.0196 | total: $3.0500
2026-05-05 08:04:02,122  Checkpoint saved (240 terms)
2026-05-05 08:04:02,214  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:02,254  Step 1: Retrieving reference examples...
2026-05-05 08:04:02,334    associated_morphology: added 18 hierarchy neighbors
2026-05-05 08:04:02,335    associated_morphology: top match = Fracture, open (score: 0.9999990988635236)
2026-05-05 08:04:02,337    finding_site: added 6 values from reference examples
2026-05-05 08:04:02,517    finding_site: added 23 hierarchy neighbors
2026-05-05 08:04:02,518    finding_site: top match = Bone structure of middle phalanx of finger (score: 0.9999988114485414)
2026-05-05 08:04:02,520  Step 4: Selecting best matches...
2026-05-05 08:04:02,668  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:03,039    Reference: Malignant neoplasm of lateral wall of urinary bladder (similarity: 1.000)
2026-05-05 08:04:03,040    Reference: Benign neoplasm of lateral wall of urinary bladder (similarity: 0.838)
2026-05-05 08:04:03,041    Reference: Carcinoma in situ of lateral wall of urinary bladder (similarity: 0.793)
2026-05-05 08:04:03,042    Reference: Malignant neoplasm of dome of urinary bladder (similarity: 0.792)
2026-05-05 08:04:03,043    Reference: Neoplasm of posterior wall of urinary bladder (similarity: 0.786)
2026-05-05 08:04:03,043  Step 2: Inferring attributes...
2026-05-05 08:04:04,092  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:04,095    Inferred: {
  "associated_morphology": [
    "Contusion - lesion"
  ],
  "finding_site": [
    "Buttock structure"
  ]
}
2026-05-05 08:04:04,096  Step 3: Retrieving candidates...
2026-05-05 08:04:04,518  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:04,520    Inferred: {
  "associated_morphology": [
    "Contusion - lesion"
  ],
  "finding_site": [
    "Foot structure"
  ]
}
2026-05-05 08:04:04,521  Step 3: Retrieving candidates...
2026-05-05 08:04:04,568  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:04,619    associated_morphology: added 3 values from reference examples
2026-05-05 08:04:04,694    associated_morphology: added 28 hierarchy neighbors
2026-05-05 08:04:04,695    associated_morphology: top match = Contusion - lesion (score: 0.9999989435420943)
2026-05-05 08:04:04,697    finding_site: added 4 values from reference examples
2026-05-05 08:04:04,818    finding_site: added 22 hierarchy neighbors
2026-05-05 08:04:04,819    finding_site: top match = Buttock structure (score: 0.999998978435843)
2026-05-05 08:04:04,820  Step 4: Selecting best matches...
2026-05-05 08:04:05,002  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:05,125    associated_morphology: added 6 hierarchy neighbors
2026-05-05 08:04:05,126    associated_morphology: top match = Contusion - lesion (score: 0.9999989435420943)
2026-05-05 08:04:05,128    finding_site: added 6 values from reference examples
2026-05-05 08:04:05,153  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:05,155    Inferred: {
  "associated_morphology": [
    "Granulomatous inflammation"
  ],
  "finding_site": [
    "Knee joint structure"
  ],
  "causative_agent": [
    "Mycobacterium tuberculosis complex"
  ],
  "pathological_process": [
    "Infectious process"
  ]
}
2026-05-05 08:04:05,156  Step 3: Retrieving candidates...
2026-05-05 08:04:05,220    finding_site: added 35 hierarchy neighbors
2026-05-05 08:04:05,221    finding_site: top match = Foot structure (score: 0.9999987084707685)
2026-05-05 08:04:05,222  Step 4: Selecting best matches...
2026-05-05 08:04:05,381  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:05,383    Inferred: {
  "associated_morphology": [
    "Deep third degree burn injury"
  ],
  "finding_site": [
    "Skin and/or subcutaneous tissue structure of breast"
  ]
}
2026-05-05 08:04:05,384  Step 3: Retrieving candidates...
2026-05-05 08:04:05,394  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:05,400  Total cost: $0.0210
2026-05-05 08:04:05,402  [241/340] Contusion of genital organ — cost: $0.0210 | total: $3.0710
2026-05-05 08:04:05,548  Step 1: Retrieving reference examples...
2026-05-05 08:04:05,581  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:05,587  Total cost: $0.0208
2026-05-05 08:04:05,591  [242/340] Contusion of upper limb — cost: $0.0208 | total: $3.0918
2026-05-05 08:04:05,736  Step 1: Retrieving reference examples...
2026-05-05 08:04:05,899  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:05,905  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:05,985    associated_morphology: added 1 values from reference examples
2026-05-05 08:04:06,011    associated_morphology: added 1 values from reference examples
2026-05-05 08:04:06,056  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:06,092    associated_morphology: added 13 hierarchy neighbors
2026-05-05 08:04:06,094    associated_morphology: top match = Deep third degree burn injury (score: 0.9999987166289447)
2026-05-05 08:04:06,097    finding_site: added 4 values from reference examples
2026-05-05 08:04:06,100    associated_morphology: added 13 hierarchy neighbors
2026-05-05 08:04:06,102    associated_morphology: top match = Granulomatous inflammation (score: 0.9999987297977533)
2026-05-05 08:04:06,105    finding_site: added 4 values from reference examples
2026-05-05 08:04:06,158  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:06,164  Total cost: $0.0225
2026-05-05 08:04:06,166  [243/340] Open fracture finger middle phalanx — cost: $0.0225 | total: $3.1143
2026-05-05 08:04:06,236    finding_site: added 50 hierarchy neighbors
2026-05-05 08:04:06,237    finding_site: top match = Structure of skin and/or subcutaneous tissue of breast (score: 0.9364038952490444)
2026-05-05 08:04:06,239  Step 4: Selecting best matches...
2026-05-05 08:04:06,266    finding_site: added 19 hierarchy neighbors
2026-05-05 08:04:06,268  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:06,268    finding_site: top match = Knee joint structure (score: 0.999981617396436)
2026-05-05 08:04:06,343  Step 1: Retrieving reference examples...
2026-05-05 08:04:06,352    causative_agent: added 5 hierarchy neighbors
2026-05-05 08:04:06,354    causative_agent: top match = Mycobacterium tuberculosis complex (score: 0.9999988676916514)
2026-05-05 08:04:06,425    pathological_process: added 1 hierarchy neighbors
2026-05-05 08:04:06,427    pathological_process: top match = Infectious process (score: 0.9999989174924272)
2026-05-05 08:04:06,428  Step 4: Selecting best matches...
2026-05-05 08:04:06,569    Reference: Disorder of skeletal muscle (similarity: 0.658)
2026-05-05 08:04:06,570    Reference: Dilated cardiomyopathy due to myotonic dystrophy (similarity: 0.621)
2026-05-05 08:04:06,570    Reference: Congenital myotonia, autosomal recessive form (similarity: 0.613)
2026-05-05 08:04:06,571    Reference: Degenerative disorder (similarity: 0.587)
2026-05-05 08:04:06,572    Reference: Toxic neuromuscular junction disorder (similarity: 0.575)
2026-05-05 08:04:06,573  Step 2: Inferring attributes...
2026-05-05 08:04:06,734    Reference: Periodic paralysis with later-onset distal motor neuropathy (similarity: 0.699)
2026-05-05 08:04:06,735    Reference: Hereditary periodic fever (similarity: 0.611)
2026-05-05 08:04:06,736    Reference: Familial primary pulmonary hypertension (similarity: 0.584)
2026-05-05 08:04:06,737    Reference: Autosomal recessive familial isolated hypoparathyroidism (similarity: 0.565)
2026-05-05 08:04:06,738    Reference: Familial multiple factor deficiency syndrome (similarity: 0.563)
2026-05-05 08:04:06,738  Step 2: Inferring attributes...
2026-05-05 08:04:06,857  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:07,119  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:07,121    Inferred: {
  "associated_morphology": [
    "malignant neoplasm"
  ],
  "finding_site": [
    "structure of lateral wall of urinary bladder"
  ]
}
2026-05-05 08:04:07,122  Step 3: Retrieving candidates...
2026-05-05 08:04:07,225    Reference: Chronic arthralgia of temporomandibular joint (similarity: 0.729)
2026-05-05 08:04:07,226    Reference: Articular disc disorder of temporomandibular joint (similarity: 0.680)
2026-05-05 08:04:07,226    Reference: Rheumatoid arthritis of temporomandibular joint (similarity: 0.670)
2026-05-05 08:04:07,227    Reference: Temporomandibular joint normal (similarity: 0.669)
2026-05-05 08:04:07,228    Reference: Rheumatic arthritis of temporomandibular joint (similarity: 0.669)
2026-05-05 08:04:07,228  Step 2: Inferring attributes...
2026-05-05 08:04:07,568  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:07,606    associated_morphology: added 7 values from reference examples
2026-05-05 08:04:07,735    associated_morphology: added 181 hierarchy neighbors
2026-05-05 08:04:07,736    associated_morphology: top match = Malignant neoplasm (score: 0.9205873341203683)
2026-05-05 08:04:07,738    finding_site: added 2 values from reference examples
2026-05-05 08:04:07,899    finding_site: added 2 hierarchy neighbors
2026-05-05 08:04:07,900    finding_site: top match = Structure of lateral wall of urinary bladder (score: 0.9711686958405589)
2026-05-05 08:04:07,901  Step 4: Selecting best matches...
2026-05-05 08:04:08,602  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:08,607  Total cost: $0.0210
2026-05-05 08:04:08,609  [244/340] Contusion of buttock — cost: $0.0210 | total: $3.1353
2026-05-05 08:04:08,734  Step 1: Retrieving reference examples...
2026-05-05 08:04:09,164  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:09,201  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:09,206  Total cost: $0.0200
2026-05-05 08:04:09,209  [245/340] Contusion of foot — cost: $0.0200 | total: $3.1552
2026-05-05 08:04:09,243  Checkpoint saved (245 terms)
2026-05-05 08:04:09,339  Step 1: Retrieving reference examples...
2026-05-05 08:04:09,530    Reference: Lymphoid polyp of anus (similarity: 0.687)
2026-05-05 08:04:09,532    Reference: Benign neoplasm of anus (similarity: 0.631)
2026-05-05 08:04:09,532    Reference: Hypertrophied anal papilla (similarity: 0.612)
2026-05-05 08:04:09,534    Reference: Granuloma of rectum (similarity: 0.608)
2026-05-05 08:04:09,534    Reference: Mild dysplasia of rectum (similarity: 0.589)
2026-05-05 08:04:09,535  Step 2: Inferring attributes...
2026-05-05 08:04:09,549  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:09,559  Total cost: $0.0225
2026-05-05 08:04:09,561  [246/340] Deep third degree burn of breast — cost: $0.0225 | total: $3.1778
2026-05-05 08:04:09,677  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:09,684  Total cost: $0.0238
2026-05-05 08:04:09,686  [247/340] Tuberculosis of knee — cost: $0.0238 | total: $3.2016
2026-05-05 08:04:09,695  Step 1: Retrieving reference examples...
2026-05-05 08:04:09,831  Step 1: Retrieving reference examples...
2026-05-05 08:04:09,915  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:10,266  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:10,269  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:10,293    Reference: Fetal bradycardia affecting management of mother (similarity: 0.826)
2026-05-05 08:04:10,294    Reference: Maternal distress (similarity: 0.651)
2026-05-05 08:04:10,294    Reference: Obstetric problem affecting fetus (similarity: 0.645)
2026-05-05 08:04:10,295    Reference: Fetal disorder due to maternal respiratory disease (similarity: 0.609)
2026-05-05 08:04:10,296    Reference: Disorder of fetus due to uterine dystocia (similarity: 0.591)
2026-05-05 08:04:10,296  Step 2: Inferring attributes...
2026-05-05 08:04:10,654    Reference: Pathological dislocation of hand (similarity: 0.764)
2026-05-05 08:04:10,655    Reference: Pathological dislocation of right hip (similarity: 0.763)
2026-05-05 08:04:10,655    Reference: Pathological dislocation of humeroulnar joint (similarity: 0.691)
2026-05-05 08:04:10,656    Reference: Recurrent dislocation of bilateral knee joints (similarity: 0.676)
2026-05-05 08:04:10,657    Reference: Arthropathy of multiple joints (similarity: 0.663)
2026-05-05 08:04:10,658  Step 2: Inferring attributes...
2026-05-05 08:04:10,662    Reference: Crystal arthropathy of hip (similarity: 0.765)
2026-05-05 08:04:10,662    Reference: Chondrocalcinosis of joint of ankle AND/OR foot (similarity: 0.765)
2026-05-05 08:04:10,663    Reference: Gouty arthritis of the ankle and/or foot (similarity: 0.732)
2026-05-05 08:04:10,664    Reference: Joint effusion of ankle AND/OR foot (similarity: 0.697)
2026-05-05 08:04:10,664    Reference: Traumatic arthropathy of the ankle and/or foot (similarity: 0.694)
2026-05-05 08:04:10,665  Step 2: Inferring attributes...
2026-05-05 08:04:12,666  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:12,672  Total cost: $0.0298
2026-05-05 08:04:12,673  [248/340] Malignant neoplasm of lateral wall of urinary bladder — cost: $0.0298 | total: $3.2313
2026-05-05 08:04:12,799  Step 1: Retrieving reference examples...
2026-05-05 08:04:13,248  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:13,252    Inferred: {
  "finding_site": [
    "Temporomandibular joint structure"
  ]
}
2026-05-05 08:04:13,256  Step 3: Retrieving candidates...
2026-05-05 08:04:13,779  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:13,823    finding_site: added 1 values from reference examples
2026-05-05 08:04:13,824  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:13,917    finding_site: added 8 hierarchy neighbors
2026-05-05 08:04:13,919    finding_site: top match = Temporomandibular joint structure (score: 0.9999991358632145)
2026-05-05 08:04:13,920  Step 4: Selecting best matches...
2026-05-05 08:04:14,192    Reference: Contracture of joint of foot (similarity: 0.832)
2026-05-05 08:04:14,193    Reference: Contracture of elbow joint (similarity: 0.820)
2026-05-05 08:04:14,194    Reference: Contracture of joint of left hand (similarity: 0.809)
2026-05-05 08:04:14,194    Reference: Contracture of right knee joint (similarity: 0.801)
2026-05-05 08:04:14,195    Reference: Contracture of joints of bilateral hands (similarity: 0.759)
2026-05-05 08:04:14,195  Step 2: Inferring attributes...
2026-05-05 08:04:14,770  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:14,771    Inferred: {
  "associated_morphology": [
    "paralysis"
  ],
  "finding_site": [
    "skeletal muscle structure"
  ],
  "occurrence": [
    "congenital"
  ]
}
2026-05-05 08:04:14,772  Step 3: Retrieving candidates...
2026-05-05 08:04:15,105  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:15,107    Inferred: {
  "associated_morphology": [
    "dislocation",
    "spontaneous dislocation"
  ],
  "finding_site": [
    "joint structure"
  ]
}
2026-05-05 08:04:15,107  Step 3: Retrieving candidates...
2026-05-05 08:04:15,132  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:15,134    Inferred: {
  "associated_morphology": [
    "Myotonia (morphologic abnormality)"
  ],
  "finding_site": [
    "Skeletal muscle structure"
  ]
}
2026-05-05 08:04:15,135  Step 3: Retrieving candidates...
2026-05-05 08:04:15,323  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:15,398    associated_morphology: added 1 values from reference examples
2026-05-05 08:04:15,520    associated_morphology: added 39 hierarchy neighbors
2026-05-05 08:04:15,522    associated_morphology: top match = Neurapraxia (score: 0.44924173425891545)
2026-05-05 08:04:15,524    finding_site: added 5 values from reference examples
2026-05-05 08:04:15,610  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:15,612    Inferred: {
  "associated_morphology": [
    "Deposition of crystalline material"
  ],
  "finding_site": [
    "Joint structure of ankle and/or foot"
  ]
}
2026-05-05 08:04:15,612  Step 3: Retrieving candidates...
2026-05-05 08:04:15,717    finding_site: added 20 hierarchy neighbors
2026-05-05 08:04:15,718    finding_site: top match = Skeletal muscle structure (score: 0.9508913995198176)
2026-05-05 08:04:15,768  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:15,791    occurrence: added 1 hierarchy neighbors
2026-05-05 08:04:15,792    occurrence: top match = Congenital (score: 0.9192663474084836)
2026-05-05 08:04:15,793  Step 4: Selecting best matches...
2026-05-05 08:04:15,879  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:15,920    associated_morphology: added 2 values from reference examples
2026-05-05 08:04:15,931    associated_morphology: added 14 hierarchy neighbors
2026-05-05 08:04:15,932    associated_morphology: top match = Dislocation (score: 0.9419740269974244)
2026-05-05 08:04:15,934    finding_site: added 5 values from reference examples
2026-05-05 08:04:16,015    associated_morphology: added 55 hierarchy neighbors
2026-05-05 08:04:16,017    associated_morphology: top match = Morphologically abnormal structure (score: 0.5852316914616519)
2026-05-05 08:04:16,019    finding_site: added 2 values from reference examples
2026-05-05 08:04:16,025    finding_site: added 31 hierarchy neighbors
2026-05-05 08:04:16,026    finding_site: top match = Joint structure (score: 0.9319590021411577)
2026-05-05 08:04:16,027  Step 4: Selecting best matches...
2026-05-05 08:04:16,149    finding_site: added 14 hierarchy neighbors
2026-05-05 08:04:16,151    finding_site: top match = Skeletal muscle structure (score: 0.9999987180862548)
2026-05-05 08:04:16,152  Step 4: Selecting best matches...
2026-05-05 08:04:16,158  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:16,201    associated_morphology: added 4 values from reference examples
2026-05-05 08:04:16,302    associated_morphology: added 76 hierarchy neighbors
2026-05-05 08:04:16,303    associated_morphology: top match = Deposition of crystalline material (score: 0.9999661459182143)
2026-05-05 08:04:16,306    finding_site: added 2 values from reference examples
2026-05-05 08:04:16,374    finding_site: added 13 hierarchy neighbors
2026-05-05 08:04:16,376    finding_site: top match = Joint structure of ankle and/or foot (score: 0.9999989867868246)
2026-05-05 08:04:16,377  Step 4: Selecting best matches...
2026-05-05 08:04:17,367  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:17,369    Inferred: {
  "associated_morphology": [
    "Polyp"
  ],
  "finding_site": [
    "Anal structure",
    "Rectum structure"
  ]
}
2026-05-05 08:04:17,369  Step 3: Retrieving candidates...
2026-05-05 08:04:17,759  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:17,763  Total cost: $0.0196
2026-05-05 08:04:17,767  [249/340] Pain of temporomandibular joint — cost: $0.0196 | total: $3.2509
2026-05-05 08:04:17,807  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:17,888    associated_morphology: added 5 values from reference examples
2026-05-05 08:04:17,943  Step 1: Retrieving reference examples...
2026-05-05 08:04:18,051    associated_morphology: added 115 hierarchy neighbors
2026-05-05 08:04:18,053    associated_morphology: top match = Polyp (score: 0.999998749620157)
2026-05-05 08:04:18,169    finding_site: added 8 hierarchy neighbors
2026-05-05 08:04:18,170    finding_site: top match = Anal structure (score: 0.9999985561444469)
2026-05-05 08:04:18,172  Step 4: Selecting best matches...
2026-05-05 08:04:18,581  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:18,949    Reference: Palindromic rheumatism of bilateral knees (similarity: 0.803)
2026-05-05 08:04:18,952    Reference: Palindromic rheumatism of left knee (similarity: 0.796)
2026-05-05 08:04:18,952    Reference: Palindromic rheumatism of joint of left wrist region (similarity: 0.770)
2026-05-05 08:04:18,953    Reference: Palindromic rheumatism of joint of left shoulder region (similarity: 0.738)
2026-05-05 08:04:18,954    Reference: Rheumatoid arthritis of right ankle (similarity: 0.729)
2026-05-05 08:04:18,954  Step 2: Inferring attributes...
2026-05-05 08:04:22,459  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:22,465  Total cost: $0.0213
2026-05-05 08:04:22,468  [250/340] Pathological dislocation of multiple joints — cost: $0.0213 | total: $3.2722
2026-05-05 08:04:22,495  Checkpoint saved (250 terms)
2026-05-05 08:04:22,595  Step 1: Retrieving reference examples...
2026-05-05 08:04:22,600  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:22,602    Inferred: {
  "associated_morphology": [
    "Contracture"
  ],
  "finding_site": [
    "Joint region structure"
  ],
  "interprets_interpretation": [
    {
      "interprets": "Joint - range of movement",
      "interpretation": "Decreased"
    }
  ]
}
2026-05-05 08:04:22,603  Step 3: Retrieving candidates...
2026-05-05 08:04:22,796  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:22,802  Total cost: $0.0240
2026-05-05 08:04:22,804  [251/340] Anal and rectal polyp — cost: $0.0240 | total: $3.2962
2026-05-05 08:04:22,883  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:22,889  Total cost: $0.0242
2026-05-05 08:04:22,891  [252/340] Crystal arthropathy of ankle AND/OR foot — cost: $0.0242 | total: $3.3204
2026-05-05 08:04:22,945  Step 1: Retrieving reference examples...
2026-05-05 08:04:23,029  Step 1: Retrieving reference examples...
2026-05-05 08:04:23,064  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:23,155  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:23,349    associated_morphology: added 6 hierarchy neighbors
2026-05-05 08:04:23,350    associated_morphology: top match = Contracture (score: 0.9999989490995852)
2026-05-05 08:04:23,353    finding_site: added 6 values from reference examples
2026-05-05 08:04:23,429    finding_site: added 36 hierarchy neighbors
2026-05-05 08:04:23,430    finding_site: top match = Structure of joint region (score: 0.8747908174850699)
2026-05-05 08:04:23,432    interprets: added 5 values from reference examples
2026-05-05 08:04:23,450    Reference: Progressive infantile idiopathic scoliosis (similarity: 0.742)
2026-05-05 08:04:23,451    Reference: Infantile idiopathic scoliosis of cervicothoracic spine (similarity: 0.734)
2026-05-05 08:04:23,451    Reference: Movement reduces spinal deformity (similarity: 0.570)
2026-05-05 08:04:23,452    Reference: Congenital kyphoscoliosis (similarity: 0.550)
2026-05-05 08:04:23,453    Reference: Scoliosis due to and following traumatic injury (similarity: 0.548)
2026-05-05 08:04:23,453  Step 2: Inferring attributes...
2026-05-05 08:04:23,498    interprets: added 23 hierarchy neighbors
2026-05-05 08:04:23,500    interprets: top match = Range of joint movement (score: 0.8449189329454223)
2026-05-05 08:04:23,509  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:23,574    interpretation: added 1 hierarchy neighbors
2026-05-05 08:04:23,575    interpretation: top match = Decreased (score: 0.9999987569293735)
2026-05-05 08:04:23,576  Step 4: Selecting best matches...
2026-05-05 08:04:23,786  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:23,895    Reference: Tenosynovitis of right radial styloid (similarity: 0.844)
2026-05-05 08:04:23,896    Reference: Extensor tenosynovitis of thumb (similarity: 0.669)
2026-05-05 08:04:23,897    Reference: Flexor tenosynovitis of wrist (similarity: 0.665)
2026-05-05 08:04:23,898    Reference: Bicipital tenosynovitis (similarity: 0.625)
2026-05-05 08:04:23,899    Reference: Bilateral tenosynovitis of wrists (similarity: 0.618)
2026-05-05 08:04:23,899  Step 2: Inferring attributes...
2026-05-05 08:04:24,159    Reference: Kyphosis deformity of spine (similarity: 0.681)
2026-05-05 08:04:24,161    Reference: Rotational deformity of spine (similarity: 0.650)
2026-05-05 08:04:24,161    Reference: Lordosis and scoliosis deformity of spine (similarity: 0.646)
2026-05-05 08:04:24,162    Reference: Pott's curvature (similarity: 0.639)
2026-05-05 08:04:24,163    Reference: Deformity of cervical vertebra (similarity: 0.599)
2026-05-05 08:04:24,163  Step 2: Inferring attributes...
2026-05-05 08:04:26,644  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:26,651  Total cost: $0.0266
2026-05-05 08:04:26,653  [253/340] Myotonic disorder — cost: $0.0266 | total: $3.3470
2026-05-05 08:04:26,781  Step 1: Retrieving reference examples...
2026-05-05 08:04:27,479  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:27,872    Reference: Transverse deficiency lower limb - through femur (similarity: 0.895)
2026-05-05 08:04:27,892    Reference: Transverse deficiency lower limb - knee level (similarity: 0.891)
2026-05-05 08:04:27,894    Reference: Transverse deficiency of toe (similarity: 0.804)
2026-05-05 08:04:27,895    Reference: Transverse deficiency of left upper limb (similarity: 0.791)
2026-05-05 08:04:27,896    Reference: Longitudinal deficiency of part of upper limb (similarity: 0.744)
2026-05-05 08:04:27,897  Step 2: Inferring attributes...
2026-05-05 08:04:27,932  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:27,939  Total cost: $0.0264
2026-05-05 08:04:27,941  [254/340] Contracture of joint — cost: $0.0264 | total: $3.3734
2026-05-05 08:04:28,088  Step 1: Retrieving reference examples...
2026-05-05 08:04:28,531  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:28,788  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:28,790    Inferred: {
  "associated_morphology": [
    "Abnormal curvature"
  ],
  "finding_site": [
    "Structure of spine"
  ]
}
2026-05-05 08:04:28,791  Step 3: Retrieving candidates...
2026-05-05 08:04:28,899    Reference: Longitudinal deficiency of carpal bone (similarity: 0.823)
2026-05-05 08:04:28,900    Reference: Congenital absence of tarsal bone (similarity: 0.809)
2026-05-05 08:04:28,901    Reference: Congenital anomaly of tarsal bone (similarity: 0.768)
2026-05-05 08:04:28,902    Reference: Transverse deficiency of toe (similarity: 0.722)
2026-05-05 08:04:28,902    Reference: Incomplete ossification of tarsal bone (similarity: 0.681)
2026-05-05 08:04:28,903  Step 2: Inferring attributes...
2026-05-05 08:04:29,197  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:29,235    associated_morphology: added 7 values from reference examples
2026-05-05 08:04:29,341    associated_morphology: added 19 hierarchy neighbors
2026-05-05 08:04:29,342    associated_morphology: top match = Abnormal curvature (score: 0.9999988831971234)
2026-05-05 08:04:29,344    finding_site: added 6 values from reference examples
2026-05-05 08:04:29,412    finding_site: added 20 hierarchy neighbors
2026-05-05 08:04:29,414    finding_site: top match = Joint structure of spine (score: 0.8604383872197772)
2026-05-05 08:04:29,415  Step 4: Selecting best matches...
2026-05-05 08:04:30,392  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:30,402  Total cost: $0.0311
2026-05-05 08:04:30,407  [255/340] Familial periodic paralysis — cost: $0.0311 | total: $3.4045
2026-05-05 08:04:30,495  Checkpoint saved (255 terms)
2026-05-05 08:04:30,572  Step 1: Retrieving reference examples...
2026-05-05 08:04:31,016  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:31,353  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:31,355    Inferred: {
  "associated_morphology": [
    "Inflammatory morphology"
  ],
  "finding_site": [
    "Ankle joint structure",
    "Joint structure of foot"
  ],
  "clinical_course": [
    "Recurrent"
  ]
}
2026-05-05 08:04:31,356  Step 3: Retrieving candidates...
2026-05-05 08:04:31,380    Reference: Polydactyly of fingers of left hand (similarity: 0.885)
2026-05-05 08:04:31,381    Reference: Polydactyly (similarity: 0.843)
2026-05-05 08:04:31,381    Reference: Polysyndactyly (similarity: 0.697)
2026-05-05 08:04:31,383    Reference: Macrodactyly of right finger (similarity: 0.643)
2026-05-05 08:04:31,383    Reference: Mirror-image polydactyly (similarity: 0.640)
2026-05-05 08:04:31,384  Step 2: Inferring attributes...
2026-05-05 08:04:31,834  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:31,914    associated_morphology: added 2 values from reference examples
2026-05-05 08:04:32,007    associated_morphology: added 47 hierarchy neighbors
2026-05-05 08:04:32,008    associated_morphology: top match = Inflammatory morphology (score: 0.9999988149970762)
2026-05-05 08:04:32,009    finding_site: added 7 values from reference examples
2026-05-05 08:04:32,087    finding_site: added 54 hierarchy neighbors
2026-05-05 08:04:32,088    finding_site: top match = Ankle joint structure (score: 0.9999987855039483)
2026-05-05 08:04:32,170    clinical_course: added 2 hierarchy neighbors
2026-05-05 08:04:32,171    clinical_course: top match = Recurrent (score: 0.9999990312049998)
2026-05-05 08:04:32,173  Step 4: Selecting best matches...
2026-05-05 08:04:32,656  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:32,658    Inferred: {
  "interprets_interpretation": [
    {
      "interprets": "general clinical state",
      "interpretation": "abnormal"
    }
  ],
  "occurrence": [
    "fetal period"
  ]
}
2026-05-05 08:04:32,659  Step 3: Retrieving candidates...
2026-05-05 08:04:33,037  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:33,159    interprets: added 6 hierarchy neighbors
2026-05-05 08:04:33,160    interprets: top match = General clinical state (score: 0.9423874947303538)
2026-05-05 08:04:33,224    interpretation: added 5 hierarchy neighbors
2026-05-05 08:04:33,225    interpretation: top match = Abnormal (score: 0.8924213091080871)
2026-05-05 08:04:33,226    occurrence: added 4 values from reference examples
2026-05-05 08:04:33,292    occurrence: added 14 hierarchy neighbors
2026-05-05 08:04:33,293    occurrence: top match = Fetal period (score: 0.9406590702113984)
2026-05-05 08:04:33,295  Step 4: Selecting best matches...
2026-05-05 08:04:34,021  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:34,024    Inferred: {
  "associated_morphology": [
    "transverse deficiency"
  ],
  "finding_site": [
    "lower limb structure"
  ],
  "occurrence": [
    "congenital"
  ],
  "pathological_process": [
    "pathological developmental process"
  ]
}
2026-05-05 08:04:34,024  Step 3: Retrieving candidates...
2026-05-05 08:04:34,491  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:34,492    Inferred: {
  "associated_morphology": [
    "Longitudinal deficiency"
  ],
  "finding_site": [
    "Bone structure of tarsus"
  ],
  "occurrence": [
    "Congenital"
  ],
  "pathological_process": [
    "Pathological developmental process"
  ]
}
2026-05-05 08:04:34,493  Step 3: Retrieving candidates...
2026-05-05 08:04:34,668  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:34,751    associated_morphology: added 1 values from reference examples
2026-05-05 08:04:34,853    associated_morphology: added 5 hierarchy neighbors
2026-05-05 08:04:34,853    associated_morphology: top match = Transverse deficiency (score: 0.9642991783700309)
2026-05-05 08:04:34,855    finding_site: added 5 values from reference examples
2026-05-05 08:04:34,934  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:34,936    Inferred: {
  "associated_morphology": [
    "Inflammation",
    "Inflammatory morphology"
  ],
  "finding_site": [
    "Structure of abductor pollicis longus tendon sheath",
    "Structure of extensor pollicis brevis tendon sheath"
  ]
}
2026-05-05 08:04:34,937  Step 3: Retrieving candidates...
2026-05-05 08:04:35,019    finding_site: added 39 hierarchy neighbors
2026-05-05 08:04:35,021    finding_site: top match = Lower limb structure (score: 0.9499411565062722)
2026-05-05 08:04:35,093    occurrence: added 1 hierarchy neighbors
2026-05-05 08:04:35,094    occurrence: top match = Congenital (score: 0.9192663474084836)
2026-05-05 08:04:35,164    pathological_process: top match = Pathological developmental process (score: 0.9610484059070883)
2026-05-05 08:04:35,166  Step 4: Selecting best matches...
2026-05-05 08:04:35,228  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:35,319    associated_morphology: added 5 values from reference examples
2026-05-05 08:04:35,429    associated_morphology: added 26 hierarchy neighbors
2026-05-05 08:04:35,430    associated_morphology: top match = Transverse deficiency (score: 0.8375696415105099)
2026-05-05 08:04:35,432    finding_site: added 3 values from reference examples
2026-05-05 08:04:35,510    finding_site: added 20 hierarchy neighbors
2026-05-05 08:04:35,510    finding_site: top match = Bone structure of tarsus (score: 0.9999985103702661)
2026-05-05 08:04:35,582    occurrence: added 1 hierarchy neighbors
2026-05-05 08:04:35,584    occurrence: top match = Congenital (score: 0.999998884907121)
2026-05-05 08:04:35,608  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:35,669    pathological_process: top match = Pathological developmental process (score: 0.999999136597385)
2026-05-05 08:04:35,671  Step 4: Selecting best matches...
2026-05-05 08:04:35,785    associated_morphology: added 47 hierarchy neighbors
2026-05-05 08:04:35,786    associated_morphology: top match = Inflammation (score: 0.9999986291697329)
2026-05-05 08:04:35,788    finding_site: added 6 values from reference examples
2026-05-05 08:04:36,005    finding_site: added 17 hierarchy neighbors
2026-05-05 08:04:36,006    finding_site: top match = Structure of right abductor pollicis longus tendon sheath (score: 0.9535405947642231)
2026-05-05 08:04:36,007  Step 4: Selecting best matches...
2026-05-05 08:04:37,853  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:37,859  Total cost: $0.0233
2026-05-05 08:04:37,862  [256/340] Curvature of spine — cost: $0.0233 | total: $3.4278
2026-05-05 08:04:37,998  Step 1: Retrieving reference examples...
2026-05-05 08:04:38,420  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:38,426  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:38,478    Inferred: {
  "associated_morphology": [
    "supernumerary structure"
  ],
  "finding_site": [
    "finger structure"
  ],
  "occurrence": [
    "congenital"
  ],
  "pathological_process": [
    "pathological developmental process"
  ]
}
2026-05-05 08:04:38,486  Step 3: Retrieving candidates...
2026-05-05 08:04:38,822    Reference: Closed lateral dislocation of elbow (similarity: 0.877)
2026-05-05 08:04:38,823    Reference: Closed posterior dislocation of hip (similarity: 0.770)
2026-05-05 08:04:38,823    Reference: Closed traumatic dislocation elbow joint, lateral (similarity: 0.758)
2026-05-05 08:04:38,824    Reference: Open traumatic dislocation elbow joint, medial (similarity: 0.739)
2026-05-05 08:04:38,825    Reference: Closed fracture subluxation of elbow joint (similarity: 0.723)
2026-05-05 08:04:38,825  Step 2: Inferring attributes...
2026-05-05 08:04:39,144  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:39,249    associated_morphology: added 5 values from reference examples
2026-05-05 08:04:39,355    associated_morphology: added 23 hierarchy neighbors
2026-05-05 08:04:39,356    associated_morphology: top match = Supernumerary structure (score: 0.951970512881521)
2026-05-05 08:04:39,357    finding_site: added 6 values from reference examples
2026-05-05 08:04:39,470    finding_site: added 60 hierarchy neighbors
2026-05-05 08:04:39,471    finding_site: top match = Finger structure (score: 0.7995634614170433)
2026-05-05 08:04:39,542    occurrence: added 1 hierarchy neighbors
2026-05-05 08:04:39,543    occurrence: top match = Congenital (score: 0.9192670598155447)
2026-05-05 08:04:39,612    pathological_process: top match = Pathological developmental process (score: 0.9610484059070883)
2026-05-05 08:04:39,614  Step 4: Selecting best matches...
2026-05-05 08:04:40,259  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:40,271  Total cost: $0.0309
2026-05-05 08:04:40,274  [257/340] Fetal distress affecting management of mother — cost: $0.0309 | total: $3.4586
2026-05-05 08:04:40,400  Step 1: Retrieving reference examples...
2026-05-05 08:04:41,225  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:41,588    Reference: Open medial dislocation of proximal end of tibia (similarity: 0.795)
2026-05-05 08:04:41,589    Reference: Closed posterior dislocation of hip (similarity: 0.781)
2026-05-05 08:04:41,589    Reference: Dislocation of tibia, distal end (similarity: 0.744)
2026-05-05 08:04:41,591    Reference: Closed traumatic posterior dislocation of left knee joint (similarity: 0.737)
2026-05-05 08:04:41,591    Reference: Left hip closed traumatic posterior dislocation (similarity: 0.699)
2026-05-05 08:04:41,592  Step 2: Inferring attributes...
2026-05-05 08:04:41,635  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:41,644  Total cost: $0.0312
2026-05-05 08:04:41,646  [258/340] Palindromic rheumatism of ankle and/or foot — cost: $0.0312 | total: $3.4899
2026-05-05 08:04:41,792  Step 1: Retrieving reference examples...
2026-05-05 08:04:42,233  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:42,235    Inferred: {
  "associated_morphology": [
    "lateral abnormal curvature"
  ],
  "finding_site": [
    "musculoskeletal structure of spine"
  ],
  "clinical_course": [
    "resolving"
  ],
  "occurrence": [
    "infancy"
  ]
}
2026-05-05 08:04:42,236  Step 3: Retrieving candidates...
2026-05-05 08:04:42,488  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:42,716  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:42,803    associated_morphology: added 1 values from reference examples
2026-05-05 08:04:42,860    Reference: Open traumatic dislocation of joint of right ankle (similarity: 0.868)
2026-05-05 08:04:42,861    Reference: Closed traumatic dislocation of knee joint (similarity: 0.828)
2026-05-05 08:04:42,862    Reference: Closed traumatic dislocation of tarsometatarsal joint of right foot (similarity: 0.806)
2026-05-05 08:04:42,862    Reference: Closed traumatic subluxation, subtalar joint (similarity: 0.803)
2026-05-05 08:04:42,863    Reference: Open traumatic dislocation of tarsometatarsal joint (similarity: 0.791)
2026-05-05 08:04:42,863  Step 2: Inferring attributes...
2026-05-05 08:04:42,885    associated_morphology: added 2 hierarchy neighbors
2026-05-05 08:04:42,886    associated_morphology: top match = Lateral abnormal curvature (score: 0.9578208298077402)
2026-05-05 08:04:42,888    finding_site: added 4 values from reference examples
2026-05-05 08:04:43,018    finding_site: added 25 hierarchy neighbors
2026-05-05 08:04:43,019    finding_site: top match = Musculoskeletal structure of spine (score: 0.9607395625340528)
2026-05-05 08:04:43,101    clinical_course: added 2 hierarchy neighbors
2026-05-05 08:04:43,102    clinical_course: top match = Remitting (score: 0.43877437736849945)
2026-05-05 08:04:43,104    occurrence: added 3 values from reference examples
2026-05-05 08:04:43,177  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:43,190  Total cost: $0.0259
2026-05-05 08:04:43,193  [259/340] Longitudinal deficiency of tarsal bone — cost: $0.0259 | total: $3.5158
2026-05-05 08:04:43,201    occurrence: added 5 hierarchy neighbors
2026-05-05 08:04:43,202    occurrence: top match = Infancy (score: 0.9098162240991265)
2026-05-05 08:04:43,203  Step 4: Selecting best matches...
2026-05-05 08:04:43,317  Step 1: Retrieving reference examples...
2026-05-05 08:04:43,560  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:43,565  Total cost: $0.0277
2026-05-05 08:04:43,568  [260/340] Transverse deficiency of lower limb — cost: $0.0277 | total: $3.5435
2026-05-05 08:04:43,618  Checkpoint saved (260 terms)
2026-05-05 08:04:43,703  Step 1: Retrieving reference examples...
2026-05-05 08:04:43,758  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:44,035  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:44,037    Inferred: {
  "associated_morphology": [
    "posterior closed dislocation"
  ],
  "finding_site": [
    "elbow joint structure"
  ]
}
2026-05-05 08:04:44,038  Step 3: Retrieving candidates...
2026-05-05 08:04:44,121    Reference: Sprain of lateral collateral ligament of left knee joint (similarity: 0.918)
2026-05-05 08:04:44,122    Reference: Sprain of lateral collateral ligament of right elbow joint (similarity: 0.792)
2026-05-05 08:04:44,123    Reference: Open division lateral collateral ligament knee (similarity: 0.750)
2026-05-05 08:04:44,125    Reference: Chronic rupture of lateral collateral ligament of right knee (similarity: 0.750)
2026-05-05 08:04:44,126    Reference: Sprain of left iliofemoral ligament (similarity: 0.734)
2026-05-05 08:04:44,126  Step 2: Inferring attributes...
2026-05-05 08:04:44,156  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:44,516  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:44,526    Reference: Closed fracture of head of radius (similarity: 1.000)
2026-05-05 08:04:44,527    Reference: Open fracture of head of radius (similarity: 0.921)
2026-05-05 08:04:44,528    Reference: Closed fracture of head of ulna (similarity: 0.902)
2026-05-05 08:04:44,528    Reference: Closed fracture of distal end of radius (similarity: 0.860)
2026-05-05 08:04:44,529    Reference: Closed fracture of shaft of radius (similarity: 0.847)
2026-05-05 08:04:44,531  Step 2: Inferring attributes...
2026-05-05 08:04:44,559    associated_morphology: added 6 values from reference examples
2026-05-05 08:04:44,639    associated_morphology: added 37 hierarchy neighbors
2026-05-05 08:04:44,641    associated_morphology: top match = Posterior closed dislocation (score: 0.964398727794709)
2026-05-05 08:04:44,643    finding_site: added 2 values from reference examples
2026-05-05 08:04:44,712    finding_site: added 18 hierarchy neighbors
2026-05-05 08:04:44,714    finding_site: top match = Elbow joint structure (score: 0.9602689717445074)
2026-05-05 08:04:44,715  Step 4: Selecting best matches...
2026-05-05 08:04:46,981  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:46,989  Total cost: $0.0268
2026-05-05 08:04:46,991  [261/340] Radial styloid tenosynovitis — cost: $0.0268 | total: $3.5703
2026-05-05 08:04:47,134  Step 1: Retrieving reference examples...
2026-05-05 08:04:47,146  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:47,148    Inferred: {
  "associated_morphology": [
    "Closed dislocation"
  ],
  "finding_site": [
    "Ankle joint structure"
  ]
}
2026-05-05 08:04:47,149  Step 3: Retrieving candidates...
2026-05-05 08:04:47,761  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:47,795  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:47,813    associated_morphology: added 4 values from reference examples
2026-05-05 08:04:47,909    associated_morphology: added 34 hierarchy neighbors
2026-05-05 08:04:47,910    associated_morphology: top match = Closed dislocation (score: 0.9999985171026363)
2026-05-05 08:04:47,911    finding_site: added 5 values from reference examples
2026-05-05 08:04:48,024    finding_site: added 29 hierarchy neighbors
2026-05-05 08:04:48,025    finding_site: top match = Ankle joint structure (score: 0.9999986799135833)
2026-05-05 08:04:48,026  Step 4: Selecting best matches...
2026-05-05 08:04:48,178    Reference: Closed posterior dislocation of hip (similarity: 1.000)
2026-05-05 08:04:48,179    Reference: Left hip closed traumatic posterior dislocation (similarity: 0.817)
2026-05-05 08:04:48,180    Reference: Traumatic obturator dislocation of hip (similarity: 0.734)
2026-05-05 08:04:48,180    Reference: Traumatic dislocation of hip joint (similarity: 0.730)
2026-05-05 08:04:48,182    Reference: Closed fracture subluxation of hip joint (similarity: 0.693)
2026-05-05 08:04:48,182  Step 2: Inferring attributes...
2026-05-05 08:04:48,584  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:48,586    Inferred: {
  "associated_morphology": [
    "posterior closed dislocation"
  ],
  "finding_site": [
    "bone structure of proximal tibia"
  ]
}
2026-05-05 08:04:48,587  Step 3: Retrieving candidates...
2026-05-05 08:04:48,646  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:48,653  Total cost: $0.0206
2026-05-05 08:04:48,656  [262/340] Closed posterior dislocation of elbow — cost: $0.0206 | total: $3.5909
2026-05-05 08:04:48,788  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:48,791    Inferred: {
  "associated_morphology": [
    "Sprain"
  ],
  "finding_site": [
    "Structure of lateral collateral ligament of knee joint"
  ]
}
2026-05-05 08:04:48,793  Step 3: Retrieving candidates...
2026-05-05 08:04:48,795  Step 1: Retrieving reference examples...
2026-05-05 08:04:49,127  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:49,173    associated_morphology: added 2 values from reference examples
2026-05-05 08:04:49,243  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:49,245    associated_morphology: added 17 hierarchy neighbors
2026-05-05 08:04:49,257    associated_morphology: top match = Posterior closed dislocation (score: 0.964398727794709)
2026-05-05 08:04:49,259    finding_site: added 6 values from reference examples
2026-05-05 08:04:49,348  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:49,354  Total cost: $0.0276
2026-05-05 08:04:49,356  [263/340] Polydactyly of fingers — cost: $0.0276 | total: $3.6185
2026-05-05 08:04:49,396    finding_site: added 37 hierarchy neighbors
2026-05-05 08:04:49,397    finding_site: top match = Bone structure of proximal tibia (score: 0.9665360722307532)
2026-05-05 08:04:49,399  Step 4: Selecting best matches...
2026-05-05 08:04:49,505  Step 1: Retrieving reference examples...
2026-05-05 08:04:49,629    Reference: Injury of colon without open wound into abdominal cavity (similarity: 0.836)
2026-05-05 08:04:49,630    Reference: Injury of transverse colon without open wound into abdominal cavity (similarity: 0.794)
2026-05-05 08:04:49,630    Reference: Injury of gastrointestinal tract without open wound into abdominal cavity (similarity: 0.785)
2026-05-05 08:04:49,631    Reference: Injury of ureter without open wound into abdominal cavity (similarity: 0.728)
2026-05-05 08:04:49,632    Reference: Contusion of rectum (similarity: 0.693)
2026-05-05 08:04:49,632  Step 2: Inferring attributes...
2026-05-05 08:04:49,673  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:49,714    associated_morphology: added 3 values from reference examples
2026-05-05 08:04:49,807    associated_morphology: added 15 hierarchy neighbors
2026-05-05 08:04:49,808    associated_morphology: top match = Sprain (score: 0.9999986493612193)
2026-05-05 08:04:49,810    finding_site: added 2 values from reference examples
2026-05-05 08:04:49,933    finding_site: added 8 hierarchy neighbors
2026-05-05 08:04:49,934    finding_site: top match = Structure of lateral collateral ligament of knee joint (score: 0.9999989204931836)
2026-05-05 08:04:49,935  Step 4: Selecting best matches...
2026-05-05 08:04:49,965  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:50,363    Reference: Abrasion and/or friction burn of axilla with infection (similarity: 0.804)
2026-05-05 08:04:50,364    Reference: Abrasion and/or friction burn of upper limb, infected (similarity: 0.801)
2026-05-05 08:04:50,365    Reference: Abrasion and/or friction burn of forearm, without infection (similarity: 0.795)
2026-05-05 08:04:50,366    Reference: Abrasion and/or friction burn of ankle with infection (similarity: 0.795)
2026-05-05 08:04:50,366    Reference: Abrasion and/or friction burn of back with infection (similarity: 0.794)
2026-05-05 08:04:50,367  Step 2: Inferring attributes...
2026-05-05 08:04:51,350  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:51,352    Inferred: {
  "associated_morphology": [
    "Fracture, closed"
  ],
  "finding_site": [
    "Head of radius structure"
  ]
}
2026-05-05 08:04:51,353  Step 3: Retrieving candidates...
2026-05-05 08:04:51,854  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:51,885  Total cost: $0.0421
2026-05-05 08:04:51,890  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:51,891  [264/340] Resolving infantile idiopathic scoliosis — cost: $0.0421 | total: $3.6606
2026-05-05 08:04:51,935    associated_morphology: added 1 values from reference examples
2026-05-05 08:04:52,011    associated_morphology: added 40 hierarchy neighbors
2026-05-05 08:04:52,012    associated_morphology: top match = Fracture, closed (score: 0.9999987652685064)
2026-05-05 08:04:52,014    finding_site: added 4 values from reference examples
2026-05-05 08:04:52,024  Step 1: Retrieving reference examples...
2026-05-05 08:04:52,128    finding_site: added 15 hierarchy neighbors
2026-05-05 08:04:52,130    finding_site: top match = Structure of head of radius (score: 0.8777408518648021)
2026-05-05 08:04:52,131  Step 4: Selecting best matches...
2026-05-05 08:04:52,421  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:52,428  Total cost: $0.0212
2026-05-05 08:04:52,431  [265/340] Closed traumatic dislocation ankle joint — cost: $0.0212 | total: $3.6819
2026-05-05 08:04:52,472  Checkpoint saved (265 terms)
2026-05-05 08:04:52,520  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:52,582  Step 1: Retrieving reference examples...
2026-05-05 08:04:52,884    Reference: Crushing injury of upper arm (similarity: 0.822)
2026-05-05 08:04:52,885    Reference: Closed fracture of multiple bones of upper limb (similarity: 0.739)
2026-05-05 08:04:52,886    Reference: Injury of upper extremity (similarity: 0.719)
2026-05-05 08:04:52,887    Reference: Crushing injury of left elbow (similarity: 0.717)
2026-05-05 08:04:52,888    Reference: Deep third degree burn of multiple sites of upper limb (similarity: 0.717)
2026-05-05 08:04:52,888  Step 2: Inferring attributes...
2026-05-05 08:04:53,006  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:53,030  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:53,032    Inferred: {
  "associated_morphology": [
    "posterior closed dislocation"
  ],
  "finding_site": [
    "hip joint structure"
  ]
}
2026-05-05 08:04:53,032  Step 3: Retrieving candidates...
2026-05-05 08:04:53,063  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:53,073  Total cost: $0.0223
2026-05-05 08:04:53,075  [266/340] Closed posterior dislocation of proximal end of tibia — cost: $0.0223 | total: $3.7042
2026-05-05 08:04:53,231  Step 1: Retrieving reference examples...
2026-05-05 08:04:53,392    Reference: Epidermal burn of elbow (similarity: 1.000)
2026-05-05 08:04:53,393    Reference: Partial thickness burn of elbow (similarity: 0.862)
2026-05-05 08:04:53,394    Reference: Epidermal burn of forearm (similarity: 0.855)
2026-05-05 08:04:53,395    Reference: Partial thickness burn of left elbow (similarity: 0.830)
2026-05-05 08:04:53,395    Reference: Epidermal burn of hand (similarity: 0.829)
2026-05-05 08:04:53,396  Step 2: Inferring attributes...
2026-05-05 08:04:53,848  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:53,886    associated_morphology: added 3 values from reference examples
2026-05-05 08:04:53,957    associated_morphology: added 39 hierarchy neighbors
2026-05-05 08:04:53,958    associated_morphology: top match = Posterior closed dislocation (score: 0.9656443889211666)
2026-05-05 08:04:53,960    finding_site: added 3 values from reference examples
2026-05-05 08:04:53,962  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:53,964    Inferred: {
  "associated_morphology": [
    "Abrasion AND/OR friction burn (morphologic abnormality)"
  ],
  "finding_site": [
    "Skin structure of elbow (body structure)"
  ],
  "pathological_process": [
    "Infectious process (qualifier value)"
  ]
}
2026-05-05 08:04:53,964  Step 3: Retrieving candidates...
2026-05-05 08:04:54,032    finding_site: added 12 hierarchy neighbors
2026-05-05 08:04:54,034    finding_site: top match = Hip joint structure (score: 0.9358852469147739)
2026-05-05 08:04:54,035  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:54,036  Step 4: Selecting best matches...
2026-05-05 08:04:54,410    Reference: Crushing injury of left thigh (similarity: 0.788)
2026-05-05 08:04:54,411    Reference: Crush injury of sole of foot (similarity: 0.770)
2026-05-05 08:04:54,412    Reference: Crushing injury of hip (similarity: 0.755)
2026-05-05 08:04:54,412    Reference: Crush injury of great toe (similarity: 0.746)
2026-05-05 08:04:54,413    Reference: Crush injury of toe of right foot (similarity: 0.745)
2026-05-05 08:04:54,414  Step 2: Inferring attributes...
2026-05-05 08:04:54,518  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:54,586    associated_morphology: added 8 values from reference examples
2026-05-05 08:04:54,680    associated_morphology: added 30 hierarchy neighbors
2026-05-05 08:04:54,681    associated_morphology: top match = Crushing injury (morphology) (score: 0.5382499620291669)
2026-05-05 08:04:54,683    finding_site: added 8 values from reference examples
2026-05-05 08:04:54,792    finding_site: added 26 hierarchy neighbors
2026-05-05 08:04:54,793    finding_site: top match = Skin structure of elbow (score: 0.9266253955524378)
2026-05-05 08:04:54,863    pathological_process: added 1 hierarchy neighbors
2026-05-05 08:04:54,865    pathological_process: top match = Infectious process (score: 0.8102966947987696)
2026-05-05 08:04:54,866  Step 4: Selecting best matches...
2026-05-05 08:04:55,825  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:55,832  Total cost: $0.0227
2026-05-05 08:04:55,835  [267/340] Closed fracture of head of radius — cost: $0.0227 | total: $3.7269
2026-05-05 08:04:55,980  Step 1: Retrieving reference examples...
2026-05-05 08:04:56,183  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:56,185    Inferred: {
  "associated_morphology": [
    "First degree burn injury"
  ],
  "finding_site": [
    "Skin structure of elbow"
  ]
}
2026-05-05 08:04:56,186  Step 3: Retrieving candidates...
2026-05-05 08:04:56,462  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:56,623  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:56,631  Total cost: $0.0212
2026-05-05 08:04:56,634  [268/340] Sprain of lateral collateral ligament of knee — cost: $0.0212 | total: $3.7480
2026-05-05 08:04:56,762  Step 1: Retrieving reference examples...
2026-05-05 08:04:56,774  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:56,823    associated_morphology: added 2 values from reference examples
2026-05-05 08:04:56,834    Reference: Burn of breast (similarity: 1.000)
2026-05-05 08:04:56,835    Reference: Deep third degree burn of breast (similarity: 0.748)
2026-05-05 08:04:56,836    Reference: Burn of face (similarity: 0.687)
2026-05-05 08:04:56,837    Reference: Burn of uterus (similarity: 0.681)
2026-05-05 08:04:56,837    Reference: Burn of thigh (similarity: 0.660)
2026-05-05 08:04:56,839  Step 2: Inferring attributes...
2026-05-05 08:04:56,898    associated_morphology: added 4 hierarchy neighbors
2026-05-05 08:04:56,899    associated_morphology: top match = First degree burn injury (score: 0.9999986482865142)
2026-05-05 08:04:56,901    finding_site: added 3 values from reference examples
2026-05-05 08:04:56,984    finding_site: added 14 hierarchy neighbors
2026-05-05 08:04:56,985    finding_site: top match = Skin structure of elbow (score: 0.9999987539815249)
2026-05-05 08:04:56,987  Step 4: Selecting best matches...
2026-05-05 08:04:57,346  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:57,710    Reference: Epidermal burn of multiple sites of upper limb (similarity: 0.906)
2026-05-05 08:04:57,711    Reference: Epidermal burn of forearm (similarity: 0.878)
2026-05-05 08:04:57,712    Reference: Epidermal burn of hand (similarity: 0.876)
2026-05-05 08:04:57,713    Reference: Epidermal burn of lower limb (similarity: 0.854)
2026-05-05 08:04:57,713    Reference: Epidermal burn of elbow (similarity: 0.847)
2026-05-05 08:04:57,715  Step 2: Inferring attributes...
2026-05-05 08:04:57,967  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:57,973  Total cost: $0.0207
2026-05-05 08:04:57,975  [269/340] Closed posterior dislocation of hip — cost: $0.0207 | total: $3.7688
2026-05-05 08:04:58,073  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:58,075    Inferred: {
  "associated_morphology": [
    "Crushing injury (morphology)"
  ],
  "finding_site": [
    "Upper limb structure"
  ]
}
2026-05-05 08:04:58,076  Step 3: Retrieving candidates...
2026-05-05 08:04:58,123  Step 1: Retrieving reference examples...
2026-05-05 08:04:58,528  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:58,530    Inferred: {
  "associated_morphology": [
    "Damage",
    "Traumatic abnormality"
  ],
  "finding_site": [
    "Rectum structure",
    "Organ within abdominopelvic cavity"
  ]
}
2026-05-05 08:04:58,531  Step 3: Retrieving candidates...
2026-05-05 08:04:58,574  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:58,616  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:58,637    associated_morphology: added 3 values from reference examples
2026-05-05 08:04:58,749    associated_morphology: added 11 hierarchy neighbors
2026-05-05 08:04:58,751    associated_morphology: top match = Crushing injury (morphology) (score: 0.9999687033294189)
2026-05-05 08:04:58,753    finding_site: added 4 values from reference examples
2026-05-05 08:04:58,816  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:58,822  Total cost: $0.0231
2026-05-05 08:04:58,824  [270/340] Abrasion and/or friction burn of elbow with infection — cost: $0.0231 | total: $3.7918
2026-05-05 08:04:58,832    finding_site: added 42 hierarchy neighbors
2026-05-05 08:04:58,836    finding_site: top match = Upper limb structure (score: 0.999999058215923)
2026-05-05 08:04:58,837  Step 4: Selecting best matches...
2026-05-05 08:04:58,879  Checkpoint saved (270 terms)
2026-05-05 08:04:58,976  Step 1: Retrieving reference examples...
2026-05-05 08:04:59,021    Reference: Frostbite of right foot (similarity: 0.921)
2026-05-05 08:04:59,023    Reference: Frostbite of left lower leg (similarity: 0.804)
2026-05-05 08:04:59,023    Reference: Frostbite of face (similarity: 0.769)
2026-05-05 08:04:59,024    Reference: Frostbite with tissue necrosis of head (similarity: 0.666)
2026-05-05 08:04:59,025    Reference: Burn of foot (similarity: 0.656)
2026-05-05 08:04:59,026  Step 2: Inferring attributes...
2026-05-05 08:04:59,177  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:59,269    associated_morphology: added 1 values from reference examples
2026-05-05 08:04:59,348    associated_morphology: added 39 hierarchy neighbors
2026-05-05 08:04:59,349    associated_morphology: top match = Damage (score: 0.9999982138000424)
2026-05-05 08:04:59,351    finding_site: added 4 values from reference examples
2026-05-05 08:04:59,542  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:59,628    finding_site: added 29 hierarchy neighbors
2026-05-05 08:04:59,629    finding_site: top match = Rectum structure (score: 0.9999985252251662)
2026-05-05 08:04:59,630  Step 4: Selecting best matches...
2026-05-05 08:04:59,914    Reference: Full thickness burn of foot (similarity: 1.000)
2026-05-05 08:04:59,915    Reference: Partial thickness burn of left foot (similarity: 0.831)
2026-05-05 08:04:59,916    Reference: Full thickness burn of left lower leg (similarity: 0.826)
2026-05-05 08:04:59,916    Reference: Full thickness burn of right thigh (similarity: 0.805)
2026-05-05 08:04:59,917    Reference: Full thickness burn of left hand (similarity: 0.780)
2026-05-05 08:04:59,918  Step 2: Inferring attributes...
2026-05-05 08:04:59,975  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:04:59,977    Inferred: {
  "associated_morphology": [
    "Burn injury"
  ],
  "finding_site": [
    "Breast structure"
  ]
}
2026-05-05 08:04:59,977  Step 3: Retrieving candidates...
2026-05-05 08:05:00,532  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:00,584  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:00,588    Inferred: {
  "associated_morphology": [
    "Crushing injury"
  ],
  "finding_site": [
    "Lower leg structure"
  ]
}
2026-05-05 08:05:00,590  Step 3: Retrieving candidates...
2026-05-05 08:05:00,623    associated_morphology: added 1 values from reference examples
2026-05-05 08:05:00,697    associated_morphology: added 13 hierarchy neighbors
2026-05-05 08:05:00,699    associated_morphology: top match = Burn injury (score: 0.9999987825500095)
2026-05-05 08:05:00,701    finding_site: added 5 values from reference examples
2026-05-05 08:05:00,881    finding_site: added 29 hierarchy neighbors
2026-05-05 08:05:00,882    finding_site: top match = Breast structure (score: 0.9999991352217972)
2026-05-05 08:05:00,884  Step 4: Selecting best matches...
2026-05-05 08:05:01,240  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:01,246  Total cost: $0.0175
2026-05-05 08:05:01,249  [271/340] Epidermal burn of elbow — cost: $0.0175 | total: $3.8093
2026-05-05 08:05:01,394  Step 1: Retrieving reference examples...
2026-05-05 08:05:01,520  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:01,636    associated_morphology: added 3 hierarchy neighbors
2026-05-05 08:05:01,637    associated_morphology: top match = Crushing injury (morphology) (score: 0.825771162048067)
2026-05-05 08:05:01,639    finding_site: added 5 values from reference examples
2026-05-05 08:05:01,712    finding_site: added 33 hierarchy neighbors
2026-05-05 08:05:01,713    finding_site: top match = Lower leg structure (score: 0.9999989694009307)
2026-05-05 08:05:01,714  Step 4: Selecting best matches...
2026-05-05 08:05:02,221  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:02,588    Reference: Oral syphilis (similarity: 0.700)
2026-05-05 08:05:02,590    Reference: Proctocolitis due to secondary syphilis (similarity: 0.676)
2026-05-05 08:05:02,590    Reference: Late secondary syphilis (similarity: 0.671)
2026-05-05 08:05:02,591    Reference: Primary syphilis of tonsils (similarity: 0.648)
2026-05-05 08:05:02,592    Reference: Secondary syphilis of mouth (similarity: 0.639)
2026-05-05 08:05:02,593  Step 2: Inferring attributes...
2026-05-05 08:05:02,954  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:02,955    Inferred: {
  "associated_morphology": [
    "Cold injury"
  ],
  "finding_site": [
    "Foot structure"
  ],
  "causative_agent": [
    "Freezing temperature"
  ]
}
2026-05-05 08:05:02,956  Step 3: Retrieving candidates...
2026-05-05 08:05:03,673  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:03,741    associated_morphology: added 2 values from reference examples
2026-05-05 08:05:03,849    associated_morphology: added 33 hierarchy neighbors
2026-05-05 08:05:03,851    associated_morphology: top match = Cold injury (score: 0.9999986784191267)
2026-05-05 08:05:03,854    finding_site: added 4 values from reference examples
2026-05-05 08:05:03,982    finding_site: added 51 hierarchy neighbors
2026-05-05 08:05:03,983    finding_site: top match = Foot structure (score: 0.9999988695390628)
2026-05-05 08:05:04,055    causative_agent: added 1 hierarchy neighbors
2026-05-05 08:05:04,056    causative_agent: top match = Freezing temperature (score: 0.9999987294484043)
2026-05-05 08:05:04,057  Step 4: Selecting best matches...
2026-05-05 08:05:04,514  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:04,516    Inferred: {
  "associated_morphology": [
    "First degree burn injury"
  ],
  "finding_site": [
    "Skin structure of upper limb"
  ]
}
2026-05-05 08:05:04,517  Step 3: Retrieving candidates...
2026-05-05 08:05:04,672  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:04,679  Total cost: $0.0220
2026-05-05 08:05:04,681  [272/340] Crushing injury of multiple sites of upper limb — cost: $0.0220 | total: $3.8313
2026-05-05 08:05:04,813  Step 1: Retrieving reference examples...
2026-05-05 08:05:04,884  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:04,891  Total cost: $0.0235
2026-05-05 08:05:04,894  [273/340] Injury of rectum without open wound into abdominal cavity — cost: $0.0235 | total: $3.8548
2026-05-05 08:05:05,036  Step 1: Retrieving reference examples...
2026-05-05 08:05:05,127  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:05,230    associated_morphology: added 2 hierarchy neighbors
2026-05-05 08:05:05,231    associated_morphology: top match = First degree burn injury (score: 0.9999986482865142)
2026-05-05 08:05:05,234    finding_site: added 4 values from reference examples
2026-05-05 08:05:05,320    finding_site: added 26 hierarchy neighbors
2026-05-05 08:05:05,321    finding_site: top match = Skin structure of upper limb (score: 0.9999989272221481)
2026-05-05 08:05:05,322  Step 4: Selecting best matches...
2026-05-05 08:05:05,352  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:05,691  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:05,698  Total cost: $0.0203
2026-05-05 08:05:05,701  [274/340] Crushing injury of lower leg — cost: $0.0203 | total: $3.8750
2026-05-05 08:05:05,709  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:05,744    Reference: Problem of pelvis for delivery (similarity: 0.693)
2026-05-05 08:05:05,745    Reference: Obstructed labor due to deformed pelvis (similarity: 0.691)
2026-05-05 08:05:05,746    Reference: Fetal disproportion due to fetal myelomeningocele (similarity: 0.690)
2026-05-05 08:05:05,747    Reference: Obstructed labor caused by bony pelvis (similarity: 0.678)
2026-05-05 08:05:05,748    Reference: Obstructed labor due to unusually large fetus (similarity: 0.674)
2026-05-05 08:05:05,748  Step 2: Inferring attributes...
2026-05-05 08:05:05,859  Step 1: Retrieving reference examples...
2026-05-05 08:05:06,072    Reference: Arthropathy of elbow (similarity: 0.796)
2026-05-05 08:05:06,073    Reference: Crystal arthropathy of hip (similarity: 0.791)
2026-05-05 08:05:06,074    Reference: Osteoarthritis of elbow (similarity: 0.713)
2026-05-05 08:05:06,075    Reference: Secondary osteoarthritis of bilateral elbows (similarity: 0.654)
2026-05-05 08:05:06,075    Reference: Bacterial arthritis of elbow (similarity: 0.647)
2026-05-05 08:05:06,077  Step 2: Inferring attributes...
2026-05-05 08:05:06,693  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:07,056    Reference: Arthropathy of multiple joints (similarity: 0.797)
2026-05-05 08:05:07,057    Reference: Arthropathy of elbow (similarity: 0.753)
2026-05-05 08:05:07,058    Reference: Arthropathy associated with respiratory disorder (similarity: 0.741)
2026-05-05 08:05:07,059    Reference: Gouty arthropathy (similarity: 0.729)
2026-05-05 08:05:07,059    Reference: Traumatic arthropathy (similarity: 0.719)
2026-05-05 08:05:07,061  Step 2: Inferring attributes...
2026-05-05 08:05:07,137  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:07,139    Inferred: {
  "associated_morphology": [
    "Third degree burn injury"
  ],
  "finding_site": [
    "Skin and/or subcutaneous tissue structure of foot"
  ]
}
2026-05-05 08:05:07,140  Step 3: Retrieving candidates...
2026-05-05 08:05:07,636  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:07,682    associated_morphology: added 1 values from reference examples
2026-05-05 08:05:07,755    associated_morphology: added 4 hierarchy neighbors
2026-05-05 08:05:07,756    associated_morphology: top match = Third degree burn injury (score: 0.9999987774934629)
2026-05-05 08:05:07,758    finding_site: added 4 values from reference examples
2026-05-05 08:05:07,884    finding_site: added 38 hierarchy neighbors
2026-05-05 08:05:07,886    finding_site: top match = Skin and/or subcutaneous tissue structure of foot (score: 0.9999985710317906)
2026-05-05 08:05:07,887  Step 4: Selecting best matches...
2026-05-05 08:05:08,359  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:08,364  Total cost: $0.0199
2026-05-05 08:05:08,366  [275/340] Epidermal burn of upper limb — cost: $0.0199 | total: $3.8950
2026-05-05 08:05:08,404  Checkpoint saved (275 terms)
2026-05-05 08:05:08,511  Step 1: Retrieving reference examples...
2026-05-05 08:05:08,975  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:09,342    Reference: Transient arthropathy of the pelvic region and thigh (similarity: 0.609)
2026-05-05 08:05:09,344    Reference: Protrusio acetabuli of the pelvic region and thigh (similarity: 0.564)
2026-05-05 08:05:09,344    Reference: Ankylosis of joint of pelvic region (similarity: 0.562)
2026-05-05 08:05:09,345    Reference: Arthropathy of the pelvic region and thigh associated with helminthiasis (similarity: 0.544)
2026-05-05 08:05:09,346    Reference: Osteitis of thigh (similarity: 0.537)
2026-05-05 08:05:09,347  Step 2: Inferring attributes...
2026-05-05 08:05:11,286  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:11,287    Inferred: {
  "finding_site": [
    "Joint structure"
  ]
}
2026-05-05 08:05:11,288  Step 3: Retrieving candidates...
2026-05-05 08:05:11,613  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:11,622  Total cost: $0.0213
2026-05-05 08:05:11,624  [276/340] Full thickness burn of foot — cost: $0.0213 | total: $3.9162
2026-05-05 08:05:11,751  Step 1: Retrieving reference examples...
2026-05-05 08:05:11,818  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:11,843    finding_site: added 1 values from reference examples
2026-05-05 08:05:11,879  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:11,882    Inferred: {
  "associated_morphology": [
    "Deposition of crystalline material"
  ],
  "finding_site": [
    "Elbow joint structure"
  ]
}
2026-05-05 08:05:11,882  Step 3: Retrieving candidates...
2026-05-05 08:05:11,915    finding_site: added 17 hierarchy neighbors
2026-05-05 08:05:11,916    finding_site: top match = Joint structure (score: 0.9999985216050724)
2026-05-05 08:05:11,917  Step 4: Selecting best matches...
2026-05-05 08:05:12,192  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:12,468  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:12,514    associated_morphology: added 5 values from reference examples
2026-05-05 08:05:12,558    Reference: Transient arthropathy of the pelvic region and thigh (similarity: 1.000)
2026-05-05 08:05:12,559    Reference: Transient arthropathy of shoulder (similarity: 0.746)
2026-05-05 08:05:12,560    Reference: Arthropathy of the pelvic region and thigh associated with helminthiasis (similarity: 0.711)
2026-05-05 08:05:12,561    Reference: Protrusio acetabuli of the pelvic region and thigh (similarity: 0.698)
2026-05-05 08:05:12,561    Reference: Pyogenic arthritis of pelvic region (similarity: 0.664)
2026-05-05 08:05:12,562  Step 2: Inferring attributes...
2026-05-05 08:05:12,604    associated_morphology: added 79 hierarchy neighbors
2026-05-05 08:05:12,605    associated_morphology: top match = Deposition of crystalline material (score: 0.9999988679971108)
2026-05-05 08:05:12,607    finding_site: added 3 values from reference examples
2026-05-05 08:05:12,670  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:12,674    Inferred: {
  "finding_site": [
    "anus structure"
  ],
  "causative_agent": [
    "Treponema pallidum"
  ],
  "pathological_process": [
    "infectious process"
  ]
}
2026-05-05 08:05:12,675  Step 3: Retrieving candidates...
2026-05-05 08:05:12,682    finding_site: added 22 hierarchy neighbors
2026-05-05 08:05:12,684    finding_site: top match = Elbow joint structure (score: 0.9999985421261085)
2026-05-05 08:05:12,685  Step 4: Selecting best matches...
2026-05-05 08:05:12,870  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:12,876  Total cost: $0.0248
2026-05-05 08:05:12,879  [277/340] Frostbite of foot — cost: $0.0248 | total: $3.9410
2026-05-05 08:05:13,022  Step 1: Retrieving reference examples...
2026-05-05 08:05:13,210  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:13,276    finding_site: added 5 values from reference examples
2026-05-05 08:05:13,365    finding_site: added 30 hierarchy neighbors
2026-05-05 08:05:13,366    finding_site: top match = Anal structure (score: 0.7209469557544603)
2026-05-05 08:05:13,428    causative_agent: added 2 hierarchy neighbors
2026-05-05 08:05:13,428    causative_agent: top match = Treponema pallidum (score: 0.9999986171304039)
2026-05-05 08:05:13,453  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:13,501    pathological_process: added 1 hierarchy neighbors
2026-05-05 08:05:13,502    pathological_process: top match = Infectious process (score: 0.9399786163047276)
2026-05-05 08:05:13,503  Step 4: Selecting best matches...
2026-05-05 08:05:13,861    Reference: Allergic arthritis (similarity: 0.731)
2026-05-05 08:05:13,862    Reference: Transient arthropathy of the pelvic region and thigh (similarity: 0.709)
2026-05-05 08:05:13,863    Reference: Allergic arthritis of the ankle and/or foot (similarity: 0.686)
2026-05-05 08:05:13,863    Reference: Pyogenic arthritis of pelvic region (similarity: 0.648)
2026-05-05 08:05:13,864    Reference: Arthropathy of the pelvic region and thigh associated with helminthiasis (similarity: 0.643)
2026-05-05 08:05:13,865  Step 2: Inferring attributes...
2026-05-05 08:05:16,085  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:16,092  Total cost: $0.0176
2026-05-05 08:05:16,094  [278/340] Arthropathy — cost: $0.0176 | total: $3.9586
2026-05-05 08:05:16,227  Step 1: Retrieving reference examples...
2026-05-05 08:05:16,429  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:16,435  Total cost: $0.0235
2026-05-05 08:05:16,437  [279/340] Crystal arthropathy of elbow — cost: $0.0235 | total: $3.9822
2026-05-05 08:05:16,572  Step 1: Retrieving reference examples...
2026-05-05 08:05:16,643  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:17,003    Reference: Bone spur of right foot (similarity: 0.697)
2026-05-05 08:05:17,005    Reference: Posterior calcaneal exostosis (similarity: 0.651)
2026-05-05 08:05:17,005    Reference: Iliac crest spur (similarity: 0.647)
2026-05-05 08:05:17,006    Reference: Calcaneonavicular bar (similarity: 0.624)
2026-05-05 08:05:17,007    Reference: Calcaneal petechiae (similarity: 0.612)
2026-05-05 08:05:17,007  Step 2: Inferring attributes...
2026-05-05 08:05:17,085  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:17,370  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:17,374    Inferred: {
  "finding_site": [
    "Joint structure of pelvis or upper leg"
  ],
  "clinical_course": [
    "Transitory"
  ]
}
2026-05-05 08:05:17,375  Step 3: Retrieving candidates...
2026-05-05 08:05:17,478    Reference: Loose body in joint of left shoulder region (similarity: 0.957)
2026-05-05 08:05:17,479    Reference: Loose body in joint of right elbow (similarity: 0.830)
2026-05-05 08:05:17,480    Reference: Loose body in ankle joint (similarity: 0.788)
2026-05-05 08:05:17,480    Reference: Loose body in foot joint (similarity: 0.776)
2026-05-05 08:05:17,481    Reference: Loose body in joint of ankle and/or foot (similarity: 0.748)
2026-05-05 08:05:17,482  Step 2: Inferring attributes...
2026-05-05 08:05:17,855  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:17,898    finding_site: added 3 values from reference examples
2026-05-05 08:05:17,972    finding_site: added 19 hierarchy neighbors
2026-05-05 08:05:17,974    finding_site: top match = Joint structure of pelvis or upper leg (score: 0.9999988234253991)
2026-05-05 08:05:18,076    clinical_course: top match = Transitory (score: 0.9999988089618453)
2026-05-05 08:05:18,078  Step 4: Selecting best matches...
2026-05-05 08:05:18,647  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:18,649    Inferred: {
  "associated_morphology": [
    "degeneration (morphologic abnormality)"
  ],
  "finding_site": [
    "joint structure of pelvis or upper leg"
  ],
  "clinical_course": [
    "chronic"
  ]
}
2026-05-05 08:05:18,650  Step 3: Retrieving candidates...
2026-05-05 08:05:18,776  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:18,778    Inferred: {
  "associated_morphology": [
    "disproportion"
  ],
  "finding_site": [
    "bone structure of pelvis"
  ],
  "occurrence": [
    "maternal pregnancy period"
  ]
}
2026-05-05 08:05:18,779  Step 3: Retrieving candidates...
2026-05-05 08:05:19,232  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:19,298    associated_morphology: added 8 values from reference examples
2026-05-05 08:05:19,301  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:19,377    associated_morphology: added 3 values from reference examples
2026-05-05 08:05:19,400    associated_morphology: added 80 hierarchy neighbors
2026-05-05 08:05:19,401    associated_morphology: top match = Degenerative abnormality (score: 0.7583916393067698)
2026-05-05 08:05:19,402    finding_site: added 4 values from reference examples
2026-05-05 08:05:19,450    associated_morphology: added 21 hierarchy neighbors
2026-05-05 08:05:19,452    associated_morphology: top match = Disruption (score: 0.4570264464821372)
2026-05-05 08:05:19,454    finding_site: added 4 values from reference examples
2026-05-05 08:05:19,483    finding_site: added 20 hierarchy neighbors
2026-05-05 08:05:19,485    finding_site: top match = Joint structure of pelvis or upper leg (score: 0.9550203560938096)
2026-05-05 08:05:19,487    clinical_course: added 1 values from reference examples
2026-05-05 08:05:19,539    finding_site: added 29 hierarchy neighbors
2026-05-05 08:05:19,540    finding_site: top match = Bone structure of pelvis (score: 0.9554377055053007)
2026-05-05 08:05:19,542    occurrence: added 4 values from reference examples
2026-05-05 08:05:19,553    clinical_course: added 7 hierarchy neighbors
2026-05-05 08:05:19,554    clinical_course: top match = Chronic (score: 0.9084316456505368)
2026-05-05 08:05:19,556  Step 4: Selecting best matches...
2026-05-05 08:05:19,648    occurrence: added 11 hierarchy neighbors
2026-05-05 08:05:19,650    occurrence: top match = Maternal pregnancy period (score: 0.9638623479015016)
2026-05-05 08:05:19,651  Step 4: Selecting best matches...
2026-05-05 08:05:19,666  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:19,671  Total cost: $0.0236
2026-05-05 08:05:19,674  [280/340] Primary anal syphilis — cost: $0.0236 | total: $4.0058
2026-05-05 08:05:19,721  Checkpoint saved (280 terms)
2026-05-05 08:05:19,830  Step 1: Retrieving reference examples...
2026-05-05 08:05:20,423  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:20,716  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:20,717    Inferred: {
  "associated_morphology": [
    "Loose body"
  ],
  "finding_site": [
    "Structure of joint of shoulder region"
  ]
}
2026-05-05 08:05:20,718  Step 3: Retrieving candidates...
2026-05-05 08:05:20,796    Reference: Bilateral non-traumatic complete rupture of rotator cuff of shoulders (similarity: 0.642)
2026-05-05 08:05:20,797    Reference: Complete tear, coracoclavicular ligament (similarity: 0.640)
2026-05-05 08:05:20,798    Reference: Right rotator cuff syndrome (similarity: 0.611)
2026-05-05 08:05:20,799    Reference: Glenoid labrum tear (similarity: 0.608)
2026-05-05 08:05:20,799    Reference: Complete tear dorsal radiocarpal ligament (similarity: 0.607)
2026-05-05 08:05:20,800  Step 2: Inferring attributes...
2026-05-05 08:05:21,350  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:21,462    associated_morphology: added 2 hierarchy neighbors
2026-05-05 08:05:21,464    associated_morphology: top match = Loose body (score: 0.9999987544505492)
2026-05-05 08:05:21,465    finding_site: added 6 values from reference examples
2026-05-05 08:05:21,537    finding_site: added 46 hierarchy neighbors
2026-05-05 08:05:21,538    finding_site: top match = Structure of joint of right shoulder region (score: 0.9475257951439555)
2026-05-05 08:05:21,539  Step 4: Selecting best matches...
2026-05-05 08:05:21,604  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:21,606    Inferred: {
  "associated_morphology": [
    "Osteophyte"
  ],
  "finding_site": [
    "Calcaneus bone structure"
  ]
}
2026-05-05 08:05:21,607  Step 3: Retrieving candidates...
2026-05-05 08:05:21,978  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:21,980    Inferred: {
  "associated_morphology": [
    "Inflammation",
    "Inflammatory morphology"
  ],
  "finding_site": [
    "Joint structure of pelvis or upper leg"
  ],
  "pathological_process": [
    "Non-immunoglobulin E-mediated allergic process"
  ]
}
2026-05-05 08:05:21,981  Step 3: Retrieving candidates...
2026-05-05 08:05:22,221  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:22,271    associated_morphology: added 5 values from reference examples
2026-05-05 08:05:22,318  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:22,323  Total cost: $0.0190
2026-05-05 08:05:22,324  [281/340] Burn of breast — cost: $0.0190 | total: $4.0248
2026-05-05 08:05:22,392    associated_morphology: added 17 hierarchy neighbors
2026-05-05 08:05:22,393    associated_morphology: top match = Osteophyte (score: 0.9999986367739729)
2026-05-05 08:05:22,395    finding_site: added 7 values from reference examples
2026-05-05 08:05:22,444  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:22,505  Step 1: Retrieving reference examples...
2026-05-05 08:05:22,539    associated_morphology: added 1 values from reference examples
2026-05-05 08:05:22,558    finding_site: added 28 hierarchy neighbors
2026-05-05 08:05:22,559    finding_site: top match = Bone structure of calcaneum (score: 0.8419818450626821)
2026-05-05 08:05:22,560  Step 4: Selecting best matches...
2026-05-05 08:05:22,632    associated_morphology: added 52 hierarchy neighbors
2026-05-05 08:05:22,634    associated_morphology: top match = Inflammation (score: 0.9999988748630455)
2026-05-05 08:05:22,635    finding_site: added 3 values from reference examples
2026-05-05 08:05:22,708    finding_site: added 22 hierarchy neighbors
2026-05-05 08:05:22,709    finding_site: top match = Joint structure of pelvis or upper leg (score: 0.9999988234253991)
2026-05-05 08:05:22,711    pathological_process: added 1 values from reference examples
2026-05-05 08:05:22,783    pathological_process: added 4 hierarchy neighbors
2026-05-05 08:05:22,784    pathological_process: top match = Non-immunoglobulin E-mediated allergic process (score: 0.9999988285232346)
2026-05-05 08:05:22,786  Step 4: Selecting best matches...
2026-05-05 08:05:22,970  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:23,334    Reference: Palindromic rheumatism of joint of left shoulder region (similarity: 0.937)
2026-05-05 08:05:23,335    Reference: Palindromic rheumatism of joint of left wrist region (similarity: 0.848)
2026-05-05 08:05:23,336    Reference: Palindromic rheumatism of bilateral knees (similarity: 0.801)
2026-05-05 08:05:23,336    Reference: Palindromic rheumatism of left knee (similarity: 0.797)
2026-05-05 08:05:23,337    Reference: Right shoulder region pneumococcal arthritis (similarity: 0.682)
2026-05-05 08:05:23,339  Step 2: Inferring attributes...
2026-05-05 08:05:23,987  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:23,993  Total cost: $0.0214
2026-05-05 08:05:23,995  [282/340] Transient arthropathy of the pelvic region and thigh — cost: $0.0214 | total: $4.0462
2026-05-05 08:05:24,127  Step 1: Retrieving reference examples...
2026-05-05 08:05:24,650  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:25,039    Reference: Pathological fracture - shoulder (similarity: 0.793)
2026-05-05 08:05:25,040    Reference: Pathological fracture of multiple sites of single bone (similarity: 0.791)
2026-05-05 08:05:25,041    Reference: Pathological fracture of right fibula (similarity: 0.742)
2026-05-05 08:05:25,041    Reference: Pathological fracture of right femur due to neoplastic disease (similarity: 0.728)
2026-05-05 08:05:25,042    Reference: Pathological fracture of right tibia due to neoplasm (similarity: 0.728)
2026-05-05 08:05:25,043  Step 2: Inferring attributes...
2026-05-05 08:05:27,459  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:27,466  Total cost: $0.0301
2026-05-05 08:05:27,469  [283/340] Disproportion between fetus and pelvis — cost: $0.0301 | total: $4.0763
2026-05-05 08:05:27,600  Step 1: Retrieving reference examples...
2026-05-05 08:05:28,051  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:28,167  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:28,176  Total cost: $0.0233
2026-05-05 08:05:28,179  [284/340] Calcaneal spur — cost: $0.0233 | total: $4.0995
2026-05-05 08:05:28,310  Step 1: Retrieving reference examples...
2026-05-05 08:05:28,455  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:28,462  Total cost: $0.0317
2026-05-05 08:05:28,465  [285/340] Kashin-Beck disease of the pelvic region and thigh — cost: $0.0317 | total: $4.1313
2026-05-05 08:05:28,514  Checkpoint saved (285 terms)
2026-05-05 08:05:28,530    Reference: Nonunion of fracture of clavicle (similarity: 0.802)
2026-05-05 08:05:28,531    Reference: Delayed union of fracture (similarity: 0.732)
2026-05-05 08:05:28,532    Reference: Nonunion of joint of foot without infection (similarity: 0.706)
2026-05-05 08:05:28,534    Reference: Disorder of fracture healing (similarity: 0.661)
2026-05-05 08:05:28,535    Reference: Open fracture of shaft of left ulna (similarity: 0.565)
2026-05-05 08:05:28,536  Step 2: Inferring attributes...
2026-05-05 08:05:28,623  Step 1: Retrieving reference examples...
2026-05-05 08:05:28,757  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:29,084  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:29,146    Reference: Deformity of phalanx of toe (similarity: 0.851)
2026-05-05 08:05:29,147    Reference: Flexion deformity of toe (similarity: 0.822)
2026-05-05 08:05:29,147    Reference: Varus deformity of toe (similarity: 0.806)
2026-05-05 08:05:29,148    Reference: Acquired deformity of toe of left foot (similarity: 0.804)
2026-05-05 08:05:29,149    Reference: Toe joint deformity (similarity: 0.785)
2026-05-05 08:05:29,149  Step 2: Inferring attributes...
2026-05-05 08:05:29,469    Reference: Acquired deformity of lower leg (similarity: 0.739)
2026-05-05 08:05:29,470    Reference: Acquired deformity of left lower leg (similarity: 0.700)
2026-05-05 08:05:29,471    Reference: Acquired varus deformity of joint of lower limb (similarity: 0.679)
2026-05-05 08:05:29,472    Reference: Deformity of femur (similarity: 0.654)
2026-05-05 08:05:29,472    Reference: Hypoplasia of lower limb (similarity: 0.653)
2026-05-05 08:05:29,473  Step 2: Inferring attributes...
2026-05-05 08:05:29,478  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:29,484  Total cost: $0.0211
2026-05-05 08:05:29,485  [286/340] Loose body in joint of shoulder region — cost: $0.0211 | total: $4.1524
2026-05-05 08:05:29,631  Step 1: Retrieving reference examples...
2026-05-05 08:05:29,682  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:29,714  Total cost: $0.0252
2026-05-05 08:05:29,716  [287/340] Allergic arthritis of the pelvic region and thigh — cost: $0.0252 | total: $4.1776
2026-05-05 08:05:29,868  Step 1: Retrieving reference examples...
2026-05-05 08:05:30,121  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:30,337  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:30,408  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:30,411    Inferred: {
  "associated_morphology": [
    "Pathological fracture"
  ],
  "finding_site": [
    "Bone structure"
  ]
}
2026-05-05 08:05:30,412  Step 3: Retrieving candidates...
2026-05-05 08:05:30,496    Reference: Closed fracture of right clavicle (similarity: 0.824)
2026-05-05 08:05:30,497    Reference: Closed fracture of shaft of right clavicle (similarity: 0.816)
2026-05-05 08:05:30,498    Reference: Open fracture dislocation acromioclavicular joint (similarity: 0.800)
2026-05-05 08:05:30,498    Reference: Open fracture of humerus (similarity: 0.798)
2026-05-05 08:05:30,499    Reference: Closed fracture of acromial end of left clavicle (similarity: 0.790)
2026-05-05 08:05:30,500  Step 2: Inferring attributes...
2026-05-05 08:05:30,713    Reference: Closed fracture of multiple ribs (similarity: 0.883)
2026-05-05 08:05:30,714    Reference: Closed fracture of two ribs (similarity: 0.873)
2026-05-05 08:05:30,715    Reference: Closed fracture of one rib (similarity: 0.863)
2026-05-05 08:05:30,716    Reference: Open fracture of multiple left ribs (similarity: 0.812)
2026-05-05 08:05:30,716    Reference: Fracture of two ribs (similarity: 0.798)
2026-05-05 08:05:30,717  Step 2: Inferring attributes...
2026-05-05 08:05:30,898  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:30,947    associated_morphology: added 1 values from reference examples
2026-05-05 08:05:31,055    associated_morphology: added 3 hierarchy neighbors
2026-05-05 08:05:31,056    associated_morphology: top match = Pathologic fracture (score: 0.969624170919728)
2026-05-05 08:05:31,058    finding_site: added 5 values from reference examples
2026-05-05 08:05:31,168    finding_site: added 33 hierarchy neighbors
2026-05-05 08:05:31,169    finding_site: top match = Bone structure (score: 0.9999986605504126)
2026-05-05 08:05:31,170  Step 4: Selecting best matches...
2026-05-05 08:05:32,152  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:32,154    Inferred: {
  "associated_morphology": [
    "Inflammatory morphology"
  ],
  "finding_site": [
    "Structure of joint of shoulder region"
  ],
  "clinical_course": [
    "Recurrent"
  ]
}
2026-05-05 08:05:32,155  Step 3: Retrieving candidates...
2026-05-05 08:05:32,345  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:32,347    Inferred: {
  "associated_morphology": [
    "Fracture, ununited"
  ],
  "finding_site": [
    "Bone structure"
  ]
}
2026-05-05 08:05:32,348  Step 3: Retrieving candidates...
2026-05-05 08:05:32,829  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:32,844  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:32,910    associated_morphology: added 4 values from reference examples
2026-05-05 08:05:32,995    associated_morphology: added 34 hierarchy neighbors
2026-05-05 08:05:32,996    associated_morphology: top match = Inflammatory morphology (score: 0.9999988149970762)
2026-05-05 08:05:32,998    finding_site: added 6 values from reference examples
2026-05-05 08:05:33,087    finding_site: added 41 hierarchy neighbors
2026-05-05 08:05:33,088    finding_site: top match = Structure of joint of right shoulder region (score: 0.9475257951439555)
2026-05-05 08:05:33,096    associated_morphology: added 25 hierarchy neighbors
2026-05-05 08:05:33,097    associated_morphology: top match = Fracture, ununited (score: 0.999999117755447)
2026-05-05 08:05:33,099    finding_site: added 3 values from reference examples
2026-05-05 08:05:33,151    clinical_course: added 2 hierarchy neighbors
2026-05-05 08:05:33,152    clinical_course: top match = Recurrent (score: 0.9999990312049998)
2026-05-05 08:05:33,153  Step 4: Selecting best matches...
2026-05-05 08:05:33,193    finding_site: added 25 hierarchy neighbors
2026-05-05 08:05:33,194    finding_site: top match = Bone structure (score: 0.9999986684924009)
2026-05-05 08:05:33,196  Step 4: Selecting best matches...
2026-05-05 08:05:33,956  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:33,958    Inferred: {
  "associated_morphology": [
    "Complete rupture"
  ],
  "finding_site": [
    "Structure of tendon of rotator cuff"
  ]
}
2026-05-05 08:05:33,958  Step 3: Retrieving candidates...
2026-05-05 08:05:33,988  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:33,990    Inferred: {
  "associated_morphology": [
    "open fracture"
  ],
  "finding_site": [
    "bone structure of clavicle"
  ]
}
2026-05-05 08:05:33,991  Step 3: Retrieving candidates...
2026-05-05 08:05:34,313  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:34,319  Total cost: $0.0196
2026-05-05 08:05:34,321  [288/340] Pathological fracture — cost: $0.0196 | total: $4.1972
2026-05-05 08:05:34,460  Step 1: Retrieving reference examples...
2026-05-05 08:05:34,469  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:34,521    associated_morphology: added 3 values from reference examples
2026-05-05 08:05:34,545  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:34,590    associated_morphology: added 4 values from reference examples
2026-05-05 08:05:34,625    associated_morphology: added 16 hierarchy neighbors
2026-05-05 08:05:34,626    associated_morphology: top match = Complete rupture (score: 0.9999988994435414)
2026-05-05 08:05:34,628    finding_site: added 8 values from reference examples
2026-05-05 08:05:34,666    associated_morphology: added 53 hierarchy neighbors
2026-05-05 08:05:34,668    associated_morphology: top match = Fracture, open (score: 0.7584634088069787)
2026-05-05 08:05:34,670    finding_site: added 6 values from reference examples
2026-05-05 08:05:34,755    finding_site: added 25 hierarchy neighbors
2026-05-05 08:05:34,757    finding_site: top match = Structure of tendon of rotator cuff of right shoulder (score: 0.9135760557854528)
2026-05-05 08:05:34,758  Step 4: Selecting best matches...
2026-05-05 08:05:34,805    finding_site: added 26 hierarchy neighbors
2026-05-05 08:05:34,806    finding_site: top match = Bone structure of clavicle (score: 0.951267488564982)
2026-05-05 08:05:34,808  Step 4: Selecting best matches...
2026-05-05 08:05:34,875  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:35,238    Reference: Open fracture of triquetral bone of wrist (similarity: 0.897)
2026-05-05 08:05:35,239    Reference: Open fracture dislocation lunate (volar) (similarity: 0.887)
2026-05-05 08:05:35,240    Reference: Open fracture of scaphoid bone of wrist (similarity: 0.886)
2026-05-05 08:05:35,241    Reference: Open fracture dislocation perilunate transscaphoid (similarity: 0.809)
2026-05-05 08:05:35,242    Reference: Closed fracture of capitate bone of wrist (similarity: 0.802)
2026-05-05 08:05:35,242  Step 2: Inferring attributes...
2026-05-05 08:05:36,242  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:36,243    Inferred: {
  "associated_morphology": [
    "Deformity"
  ],
  "finding_site": [
    "Toe structure"
  ]
}
2026-05-05 08:05:36,244  Step 3: Retrieving candidates...
2026-05-05 08:05:36,801  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:36,849    associated_morphology: added 3 values from reference examples
2026-05-05 08:05:36,954    associated_morphology: added 24 hierarchy neighbors
2026-05-05 08:05:36,956    associated_morphology: top match = Deformity (score: 0.9999989175549483)
2026-05-05 08:05:36,959    finding_site: added 4 values from reference examples
2026-05-05 08:05:37,067    finding_site: added 35 hierarchy neighbors
2026-05-05 08:05:37,068    finding_site: top match = Toe structure (score: 0.9999985109867873)
2026-05-05 08:05:37,069  Step 4: Selecting best matches...
2026-05-05 08:05:38,016  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:38,018    Inferred: {
  "associated_morphology": [
    "Congenital reduction deformity"
  ],
  "finding_site": [
    "Lower limb structure"
  ],
  "occurrence": [
    "Congenital"
  ],
  "pathological_process": [
    "Pathological developmental process"
  ]
}
2026-05-05 08:05:38,019  Step 3: Retrieving candidates...
2026-05-05 08:05:38,135  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:38,141  Total cost: $0.0211
2026-05-05 08:05:38,143  [289/340] Nonunion of fracture — cost: $0.0211 | total: $4.2183
2026-05-05 08:05:38,284  Step 1: Retrieving reference examples...
2026-05-05 08:05:38,670  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:38,716  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:38,772    associated_morphology: added 9 values from reference examples
2026-05-05 08:05:38,875    associated_morphology: added 25 hierarchy neighbors
2026-05-05 08:05:38,876    associated_morphology: top match = Congenital deformity (score: 0.7360309390944823)
2026-05-05 08:05:38,879    finding_site: added 5 values from reference examples
2026-05-05 08:05:38,963    finding_site: added 31 hierarchy neighbors
2026-05-05 08:05:38,965    finding_site: top match = Lower limb structure (score: 0.9999990782514393)
2026-05-05 08:05:38,966    occurrence: added 4 values from reference examples
2026-05-05 08:05:39,042    occurrence: added 5 hierarchy neighbors
2026-05-05 08:05:39,044    occurrence: top match = Congenital (score: 0.999998706873204)
2026-05-05 08:05:39,094    Reference: Contusion of right index finger (similarity: 0.875)
2026-05-05 08:05:39,095    Reference: Contusion of right ring finger (similarity: 0.861)
2026-05-05 08:05:39,095    Reference: Contusion of toe (similarity: 0.790)
2026-05-05 08:05:39,096    Reference: Contusion of blood vessel of thumb (similarity: 0.781)
2026-05-05 08:05:39,097    Reference: Contusion of upper limb (similarity: 0.750)
2026-05-05 08:05:39,097  Step 2: Inferring attributes...
2026-05-05 08:05:39,113    pathological_process: top match = Pathological developmental process (score: 0.9999988711967598)
2026-05-05 08:05:39,115  Step 4: Selecting best matches...
2026-05-05 08:05:39,788  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:39,794  Total cost: $0.0258
2026-05-05 08:05:39,797  [290/340] Palindromic rheumatism of shoulder region — cost: $0.0258 | total: $4.2440
2026-05-05 08:05:39,833  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:39,837    Inferred: {
  "associated_morphology": [
    "Fracture, open"
  ],
  "finding_site": [
    "Structure of lunate bone"
  ]
}
2026-05-05 08:05:39,839  Step 3: Retrieving candidates...
2026-05-05 08:05:39,889  Checkpoint saved (290 terms)
2026-05-05 08:05:39,977  Step 1: Retrieving reference examples...
2026-05-05 08:05:40,132  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:40,140  Total cost: $0.0214
2026-05-05 08:05:40,142  [291/340] Open fracture of clavicle — cost: $0.0214 | total: $4.2654
2026-05-05 08:05:40,279  Step 1: Retrieving reference examples...
2026-05-05 08:05:40,478  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:40,539  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:40,588    associated_morphology: added 5 values from reference examples
2026-05-05 08:05:40,718    associated_morphology: added 55 hierarchy neighbors
2026-05-05 08:05:40,720    associated_morphology: top match = Fracture, open (score: 0.9999988588815929)
2026-05-05 08:05:40,722    finding_site: added 7 values from reference examples
2026-05-05 08:05:40,812  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:40,842    finding_site: added 20 hierarchy neighbors
2026-05-05 08:05:40,843    finding_site: top match = Structure of lunate bone (score: 0.9999990040319341)
2026-05-05 08:05:40,845  Step 4: Selecting best matches...
2026-05-05 08:05:40,905  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:40,911  Total cost: $0.0229
2026-05-05 08:05:40,913  [292/340] Deformity of toe — cost: $0.0229 | total: $4.2883
2026-05-05 08:05:40,953    Reference: Malposition of prosthetic joint of hip (similarity: 0.701)
2026-05-05 08:05:40,955    Reference: Disorder of testicular prosthesis (similarity: 0.676)
2026-05-05 08:05:40,956    Reference: Disorder of synovial membrane (similarity: 0.671)
2026-05-05 08:05:40,958    Reference: Dislocation of hip joint prosthesis (similarity: 0.662)
2026-05-05 08:05:40,959    Reference: Disorder of bone graft (similarity: 0.661)
2026-05-05 08:05:40,960  Step 2: Inferring attributes...
2026-05-05 08:05:41,064  Step 1: Retrieving reference examples...
2026-05-05 08:05:41,218    Reference: Late effects of genitourinary system tuberculosis (similarity: 0.773)
2026-05-05 08:05:41,219    Reference: Fistula of genitourinary tract (similarity: 0.660)
2026-05-05 08:05:41,219    Reference: Tuberculosis of skin and subcutaneous tissue (similarity: 0.638)
2026-05-05 08:05:41,220    Reference: Tuberculosis of rectum (similarity: 0.636)
2026-05-05 08:05:41,221    Reference: Tuberculosis of bones and/or joints (similarity: 0.632)
2026-05-05 08:05:41,222  Step 2: Inferring attributes...
2026-05-05 08:05:41,533  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:41,933    Reference: Malignant neoplasm of dome of urinary bladder (similarity: 1.000)
2026-05-05 08:05:41,934    Reference: Malignant neoplasm of lateral wall of urinary bladder (similarity: 0.792)
2026-05-05 08:05:41,935    Reference: Primary malignant neoplasm of urinary bladder (similarity: 0.786)
2026-05-05 08:05:41,936    Reference: Primary transitional cell carcinoma of dome of urinary bladder (similarity: 0.740)
2026-05-05 08:05:41,937    Reference: Neoplasm of ureteric orifice of urinary bladder (similarity: 0.720)
2026-05-05 08:05:41,938  Step 2: Inferring attributes...
2026-05-05 08:05:42,766  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:42,768    Inferred: {
  "associated_morphology": [
    "Closed fracture of multiple bones"
  ],
  "finding_site": [
    "Bone structure of rib"
  ]
}
2026-05-05 08:05:42,769  Step 3: Retrieving candidates...
2026-05-05 08:05:43,191  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:43,234    associated_morphology: added 3 values from reference examples
2026-05-05 08:05:43,308    associated_morphology: added 25 hierarchy neighbors
2026-05-05 08:05:43,309    associated_morphology: top match = Closed fracture of multiple bones (score: 0.9999991509307969)
2026-05-05 08:05:43,311    finding_site: added 1 values from reference examples
2026-05-05 08:05:43,383    finding_site: added 8 hierarchy neighbors
2026-05-05 08:05:43,384    finding_site: top match = Bone structure of rib (score: 0.999998938469104)
2026-05-05 08:05:43,386  Step 4: Selecting best matches...
2026-05-05 08:05:43,414  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:43,420  Total cost: $0.0251
2026-05-05 08:05:43,423  [293/340] Full thickness rotator cuff tear — cost: $0.0251 | total: $4.3135
2026-05-05 08:05:43,559  Step 1: Retrieving reference examples...
2026-05-05 08:05:43,909  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:43,917  Total cost: $0.0227
2026-05-05 08:05:43,919  [294/340] Open fracture of lunate bone of wrist — cost: $0.0227 | total: $4.3361
2026-05-05 08:05:44,056  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:44,057  Step 1: Retrieving reference examples...
2026-05-05 08:05:44,435    Reference: Overlapping malignant neoplasm of penis (similarity: 0.725)
2026-05-05 08:05:44,439    Reference: Malignant neoplasm of lateral wall of urinary bladder (similarity: 0.678)
2026-05-05 08:05:44,440    Reference: Overlapping malignant neoplasm of tongue (similarity: 0.677)
2026-05-05 08:05:44,441    Reference: Malignant neoplasm of dome of urinary bladder (similarity: 0.671)
2026-05-05 08:05:44,442    Reference: Overlapping malignant neoplasm of colon and rectum (similarity: 0.668)
2026-05-05 08:05:44,442  Step 2: Inferring attributes...
2026-05-05 08:05:44,475  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:44,667  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:44,669    Inferred: {
  "associated_morphology": [
    "Contusion (morphologic abnormality)"
  ],
  "finding_site": [
    "Finger structure"
  ]
}
2026-05-05 08:05:44,670  Step 3: Retrieving candidates...
2026-05-05 08:05:44,845    Reference: Bilateral benign neoplasm of epididymides (similarity: 0.872)
2026-05-05 08:05:44,846    Reference: Benign neoplasm of right testis (similarity: 0.775)
2026-05-05 08:05:44,847    Reference: Benign neoplasm of male genital organ (similarity: 0.742)
2026-05-05 08:05:44,850    Reference: Benign neoplasm of epicardium (similarity: 0.731)
2026-05-05 08:05:44,851    Reference: Benign neoplasm of uterine adnexa (similarity: 0.721)
2026-05-05 08:05:44,852  Step 2: Inferring attributes...
2026-05-05 08:05:45,161  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:45,179  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:45,181    Inferred: {
  "associated_morphology": [
    "granulomatous inflammation"
  ],
  "finding_site": [
    "genitourinary system structure"
  ],
  "causative_agent": [
    "Mycobacterium tuberculosis complex"
  ],
  "pathological_process": [
    "infectious process"
  ]
}
2026-05-05 08:05:45,182  Step 3: Retrieving candidates...
2026-05-05 08:05:45,279    associated_morphology: added 6 hierarchy neighbors
2026-05-05 08:05:45,280    associated_morphology: top match = Contusion - lesion (score: 0.737396735858874)
2026-05-05 08:05:45,281    finding_site: added 6 values from reference examples
2026-05-05 08:05:45,373    finding_site: added 47 hierarchy neighbors
2026-05-05 08:05:45,374    finding_site: top match = Finger structure (score: 0.9999989389794577)
2026-05-05 08:05:45,376  Step 4: Selecting best matches...
2026-05-05 08:05:45,759  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:45,838    associated_morphology: added 1 values from reference examples
2026-05-05 08:05:45,914    associated_morphology: added 16 hierarchy neighbors
2026-05-05 08:05:45,915    associated_morphology: top match = Granulomatous inflammation (score: 0.9430710868100576)
2026-05-05 08:05:45,917    finding_site: added 4 values from reference examples
2026-05-05 08:05:45,994    finding_site: added 25 hierarchy neighbors
2026-05-05 08:05:45,995    finding_site: top match = Structure of genitourinary system (score: 0.8679462582200708)
2026-05-05 08:05:46,056    causative_agent: added 5 hierarchy neighbors
2026-05-05 08:05:46,057    causative_agent: top match = Mycobacterium tuberculosis complex (score: 0.9999988676916514)
2026-05-05 08:05:46,127    pathological_process: added 1 hierarchy neighbors
2026-05-05 08:05:46,128    pathological_process: top match = Infectious process (score: 0.9399786163047276)
2026-05-05 08:05:46,130  Step 4: Selecting best matches...
2026-05-05 08:05:46,429  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:46,431    Inferred: {
  "associated_morphology": [
    "Malignant neoplasm"
  ],
  "finding_site": [
    "Dome of urinary bladder structure"
  ]
}
2026-05-05 08:05:46,432  Step 3: Retrieving candidates...
2026-05-05 08:05:46,887  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:46,927    associated_morphology: added 6 values from reference examples
2026-05-05 08:05:47,034    associated_morphology: added 227 hierarchy neighbors
2026-05-05 08:05:47,035    associated_morphology: top match = Malignant neoplasm (score: 0.999998536957678)
2026-05-05 08:05:47,037    finding_site: added 2 values from reference examples
2026-05-05 08:05:47,113    finding_site: added 6 hierarchy neighbors
2026-05-05 08:05:47,114    finding_site: top match = Structure of dome of urinary bladder (score: 0.9219679619816976)
2026-05-05 08:05:47,115  Step 4: Selecting best matches...
2026-05-05 08:05:48,032  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:48,038  Total cost: $0.0211
2026-05-05 08:05:48,040  [295/340] Closed fracture of seven ribs — cost: $0.0211 | total: $4.3572
2026-05-05 08:05:48,087  Checkpoint saved (295 terms)
2026-05-05 08:05:48,182  Step 1: Retrieving reference examples...
2026-05-05 08:05:48,577  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:48,579    Inferred: {
  "associated_morphology": [
    "Benign neoplasm"
  ],
  "finding_site": [
    "Epididymis structure"
  ]
}
2026-05-05 08:05:48,580  Step 3: Retrieving candidates...
2026-05-05 08:05:48,829  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:49,145  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:49,204    Reference: Restless legs (similarity: 1.000)
2026-05-05 08:05:49,205    Reference: Left lower leg repetitive motion disorder (similarity: 0.480)
2026-05-05 08:05:49,206    Reference: Sleep-related movement disorder caused by drug (similarity: 0.479)
2026-05-05 08:05:49,206    Reference: Sensation of heaviness in limbs (similarity: 0.473)
2026-05-05 08:05:49,207    Reference: Cramp in lower leg (similarity: 0.453)
2026-05-05 08:05:49,208  Step 2: Inferring attributes...
2026-05-05 08:05:49,268    associated_morphology: added 78 hierarchy neighbors
2026-05-05 08:05:49,270    associated_morphology: top match = Neoplasm, benign (score: 0.8564820004793287)
2026-05-05 08:05:49,271    finding_site: added 8 values from reference examples
2026-05-05 08:05:49,390  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:49,392    Inferred: {
  "associated_morphology": [
    "Neoplasm, malignant (primary)",
    "Malignant neoplasm"
  ],
  "finding_site": [
    "Urinary system structure"
  ]
}
2026-05-05 08:05:49,394  Step 3: Retrieving candidates...
2026-05-05 08:05:49,433    finding_site: added 18 hierarchy neighbors
2026-05-05 08:05:49,434    finding_site: top match = Epididymis structure (score: 0.9999988392767928)
2026-05-05 08:05:49,435  Step 4: Selecting best matches...
2026-05-05 08:05:49,610  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:49,617  Total cost: $0.0216
2026-05-05 08:05:49,619  [296/340] Contusion of finger — cost: $0.0216 | total: $4.3788
2026-05-05 08:05:49,768  Step 1: Retrieving reference examples...
2026-05-05 08:05:49,902  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:49,974    associated_morphology: added 2 values from reference examples
2026-05-05 08:05:50,056    associated_morphology: added 202 hierarchy neighbors
2026-05-05 08:05:50,058    associated_morphology: top match = Neoplasm, malignant (primary) (score: 0.9999965486572666)
2026-05-05 08:05:50,060    finding_site: added 6 values from reference examples
2026-05-05 08:05:50,186    finding_site: added 21 hierarchy neighbors
2026-05-05 08:05:50,195    finding_site: top match = Urinary system structure (score: 0.9999988060819337)
2026-05-05 08:05:50,196  Step 4: Selecting best matches...
2026-05-05 08:05:50,370  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:50,736    Reference: Pain of breast (similarity: 1.000)
2026-05-05 08:05:50,737    Reference: Injury of breast (similarity: 0.690)
2026-05-05 08:05:50,738    Reference: Swelling of breast (similarity: 0.683)
2026-05-05 08:05:50,738    Reference: Pain of sternum (similarity: 0.682)
2026-05-05 08:05:50,739    Reference: Burn of breast (similarity: 0.657)
2026-05-05 08:05:50,740  Step 2: Inferring attributes...
2026-05-05 08:05:54,090  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:54,096  Total cost: $0.0360
2026-05-05 08:05:54,098  [297/340] Reduction deformity of lower limb — cost: $0.0360 | total: $4.4148
2026-05-05 08:05:54,229  Step 1: Retrieving reference examples...
2026-05-05 08:05:54,669  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:54,836  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:54,838    Inferred: {
  "finding_site": [
    "Breast structure"
  ]
}
2026-05-05 08:05:54,839  Step 3: Retrieving candidates...
2026-05-05 08:05:54,988  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:54,996  Total cost: $0.0300
2026-05-05 08:05:54,998  [298/340] Overlapping malignant neoplasm of urinary system — cost: $0.0300 | total: $4.4448
2026-05-05 08:05:55,038    Reference: Pyogenic arthritis of multiple sites (similarity: 1.000)
2026-05-05 08:05:55,039    Reference: Pyogenic arthritis of hip (similarity: 0.769)
2026-05-05 08:05:55,040    Reference: Pyogenic bacterial arthritis of foot (similarity: 0.760)
2026-05-05 08:05:55,041    Reference: Pyogenic arthritis of pelvic region (similarity: 0.760)
2026-05-05 08:05:55,041    Reference: Suppurative arthritis (similarity: 0.695)
2026-05-05 08:05:55,042  Step 2: Inferring attributes...
2026-05-05 08:05:55,140  Step 1: Retrieving reference examples...
2026-05-05 08:05:55,271  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:55,297    finding_site: added 1 values from reference examples
2026-05-05 08:05:55,362  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:55,363    Inferred: {
  "finding_site": [
    "Lower extremity part structure"
  ]
}
2026-05-05 08:05:55,364  Step 3: Retrieving candidates...
2026-05-05 08:05:55,377    finding_site: added 11 hierarchy neighbors
2026-05-05 08:05:55,379    finding_site: top match = Breast structure (score: 0.9999991352217972)
2026-05-05 08:05:55,379  Step 4: Selecting best matches...
2026-05-05 08:05:55,728  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:55,788  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:55,802  Total cost: $0.0243
2026-05-05 08:05:55,808  [299/340] Benign neoplasm of epididymis — cost: $0.0243 | total: $4.4692
2026-05-05 08:05:55,875  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:55,909    finding_site: added 3 values from reference examples
2026-05-05 08:05:55,970  Step 1: Retrieving reference examples...
2026-05-05 08:05:56,113    Reference: Osteoarthritis of joint of left shoulder region (similarity: 0.787)
2026-05-05 08:05:56,114    Reference: Localized, primary osteoarthritis of the hand (similarity: 0.770)
2026-05-05 08:05:56,115    Reference: Secondary osteoarthritis of glenohumeral joint (similarity: 0.744)
2026-05-05 08:05:56,116    Reference: Localized osteoarthrosis (similarity: 0.724)
2026-05-05 08:05:56,117    Reference: Localized, secondary osteoarthritis of the hand (similarity: 0.707)
2026-05-05 08:05:56,118  Step 2: Inferring attributes...
2026-05-05 08:05:56,143    finding_site: added 32 hierarchy neighbors
2026-05-05 08:05:56,144    finding_site: top match = Lower extremity part (score: 0.8516130085225562)
2026-05-05 08:05:56,145  Step 4: Selecting best matches...
2026-05-05 08:05:56,391  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:56,535  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:56,537    Inferred: {
  "finding_site": [
    "Joint structure"
  ],
  "finding_associated_with": [
    "Artificial joint prosthesis"
  ]
}
2026-05-05 08:05:56,538  Step 3: Retrieving candidates...
2026-05-05 08:05:56,755    Reference: Multiple stiff joints (similarity: 0.999)
2026-05-05 08:05:56,756    Reference: Stiffness of joint of left foot (similarity: 0.690)
2026-05-05 08:05:56,757    Reference: Knee stiff (similarity: 0.677)
2026-05-05 08:05:56,758    Reference: Morning stiffness - joint (similarity: 0.650)
2026-05-05 08:05:56,758    Reference: Stiffness of joint of left elbow (similarity: 0.642)
2026-05-05 08:05:56,759  Step 2: Inferring attributes...
2026-05-05 08:05:57,059  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:57,132    finding_site: added 6 values from reference examples
2026-05-05 08:05:57,219    finding_site: added 26 hierarchy neighbors
2026-05-05 08:05:57,221    finding_site: top match = Joint structure (score: 0.9999985216050724)
2026-05-05 08:05:57,222  Step 4: Selecting best matches...
2026-05-05 08:05:57,747  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:57,755  Total cost: $0.0327
2026-05-05 08:05:57,757  [300/340] Malignant neoplasm of dome of urinary bladder — cost: $0.0327 | total: $4.5018
2026-05-05 08:05:57,793  Checkpoint saved (300 terms)
2026-05-05 08:05:57,890  Step 1: Retrieving reference examples...
2026-05-05 08:05:58,162  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:58,168  Total cost: $0.0241
2026-05-05 08:05:58,171  [301/340] Tuberculosis of genitourinary system — cost: $0.0241 | total: $4.5259
2026-05-05 08:05:58,313  Step 1: Retrieving reference examples...
2026-05-05 08:05:58,352  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:58,731    Reference: Enthesopathy of left elbow (similarity: 0.876)
2026-05-05 08:05:58,732    Reference: Enthesopathy of left hand (similarity: 0.764)
2026-05-05 08:05:58,734    Reference: Arthropathy of elbow (similarity: 0.702)
2026-05-05 08:05:58,734    Reference: Bilateral enthesopathy of hands (similarity: 0.692)
2026-05-05 08:05:58,734    Reference: Enthesopathy of right ankle (similarity: 0.660)
2026-05-05 08:05:58,735  Step 2: Inferring attributes...
2026-05-05 08:05:58,739  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:59,105    Reference: Ankylosis of the wrist joint (similarity: 0.762)
2026-05-05 08:05:59,106    Reference: Ankylosis of joint of pelvic region (similarity: 0.749)
2026-05-05 08:05:59,107    Reference: Ankylosis of joint of finger of right hand (similarity: 0.709)
2026-05-05 08:05:59,108    Reference: Ankylosis of lumbosacral joint (similarity: 0.686)
2026-05-05 08:05:59,108    Reference: Congenital dislocation of joint of shoulder region (similarity: 0.679)
2026-05-05 08:05:59,109  Step 2: Inferring attributes...
2026-05-05 08:05:59,220  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:05:59,225  Total cost: $0.0162
2026-05-05 08:05:59,227  [302/340] Pain of breast — cost: $0.0162 | total: $4.5421
2026-05-05 08:05:59,357  Step 1: Retrieving reference examples...
2026-05-05 08:05:59,852  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:00,232    Reference: Knee joint finding (similarity: 0.726)
2026-05-05 08:06:00,233    Reference: Elbow joint pain (similarity: 0.699)
2026-05-05 08:06:00,233    Reference: Elbow joint effusion (similarity: 0.669)
2026-05-05 08:06:00,234    Reference: Stiffness of joint of left elbow (similarity: 0.665)
2026-05-05 08:06:00,235    Reference: Elbow joint unstable (similarity: 0.646)
2026-05-05 08:06:00,236  Step 2: Inferring attributes...
2026-05-05 08:06:00,296  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:00,298    Inferred: {
  "associated_morphology": [
    "Suppurative inflammation"
  ],
  "finding_site": [
    "Joint structure of multiple body sites"
  ],
  "pathological_process": [
    "Infectious process"
  ]
}
2026-05-05 08:06:00,299  Step 3: Retrieving candidates...
2026-05-05 08:06:00,861  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:00,863    Inferred: {
  "finding_site": [
    "structure of joint region"
  ],
  "interprets_interpretation": [
    {
      "interprets": "range of joint movement",
      "interpretation": "below reference range"
    }
  ]
}
2026-05-05 08:06:00,864  Step 3: Retrieving candidates...
2026-05-05 08:06:01,195  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:01,344    associated_morphology: added 8 hierarchy neighbors
2026-05-05 08:06:01,346    associated_morphology: top match = Suppurative inflammation (score: 0.9999989978168009)
2026-05-05 08:06:01,348    finding_site: added 5 values from reference examples
2026-05-05 08:06:01,397  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:01,421    finding_site: added 28 hierarchy neighbors
2026-05-05 08:06:01,423    finding_site: top match = Joint structure of multiple body sites (score: 0.9999987800724521)
2026-05-05 08:06:01,493    finding_site: added 4 values from reference examples
2026-05-05 08:06:01,534    pathological_process: added 1 hierarchy neighbors
2026-05-05 08:06:01,536    pathological_process: top match = Infectious process (score: 0.9999989733405232)
2026-05-05 08:06:01,537  Step 4: Selecting best matches...
2026-05-05 08:06:01,547  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:01,549    Inferred: {
  "associated_morphology": [
    "degenerative abnormality",
    "degeneration"
  ],
  "finding_site": [
    "structure of joint of shoulder region"
  ]
}
2026-05-05 08:06:01,550  Step 3: Retrieving candidates...
2026-05-05 08:06:01,592    finding_site: added 28 hierarchy neighbors
2026-05-05 08:06:01,594    finding_site: top match = Structure of joint region (score: 0.9563494212815821)
2026-05-05 08:06:01,595    interprets: added 4 values from reference examples
2026-05-05 08:06:01,671    interprets: added 22 hierarchy neighbors
2026-05-05 08:06:01,672    interprets: top match = Range of joint movement (score: 0.9384619662821004)
2026-05-05 08:06:01,742    interpretation: added 2 hierarchy neighbors
2026-05-05 08:06:01,743    interpretation: top match = Below reference range (score: 0.929654769927483)
2026-05-05 08:06:01,745  Step 4: Selecting best matches...
2026-05-05 08:06:02,029  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:02,035  Total cost: $0.0197
2026-05-05 08:06:02,037  [303/340] Restless legs — cost: $0.0197 | total: $4.5618
2026-05-05 08:06:02,090  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:02,166    associated_morphology: added 2 values from reference examples
2026-05-05 08:06:02,206  Step 1: Retrieving reference examples...
2026-05-05 08:06:02,262    associated_morphology: added 71 hierarchy neighbors
2026-05-05 08:06:02,263    associated_morphology: top match = Degenerative abnormality (score: 0.9427205528584643)
2026-05-05 08:06:02,264    finding_site: added 6 values from reference examples
2026-05-05 08:06:02,337    finding_site: added 38 hierarchy neighbors
2026-05-05 08:06:02,338    finding_site: top match = Structure of joint of right shoulder region (score: 0.8996735970470836)
2026-05-05 08:06:02,340  Step 4: Selecting best matches...
2026-05-05 08:06:02,698  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:03,059    Reference: Acquired postural hyperlordosis deformity of lumbar and sacral spine (similarity: 0.871)
2026-05-05 08:06:03,060    Reference: Lordosis deformity of spine following surgical procedure (similarity: 0.749)
2026-05-05 08:06:03,061    Reference: Congenital hyperlordosis of lumbosacral spine (similarity: 0.706)
2026-05-05 08:06:03,062    Reference: Lordosis and scoliosis deformity of spine (similarity: 0.698)
2026-05-05 08:06:03,062    Reference: Acquired deformity of knee (similarity: 0.694)
2026-05-05 08:06:03,063  Step 2: Inferring attributes...
2026-05-05 08:06:04,288  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:04,290    Inferred: {
  "finding_site": [
    "Structure of enthesis of elbow region"
  ]
}
2026-05-05 08:06:04,291  Step 3: Retrieving candidates...
2026-05-05 08:06:04,470  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:04,472    Inferred: {
  "associated_morphology": [
    "ankylosis"
  ],
  "finding_site": [
    "joint structure of shoulder region"
  ]
}
2026-05-05 08:06:04,473  Step 3: Retrieving candidates...
2026-05-05 08:06:04,640  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:04,642    Inferred: {
  "finding_site": [
    "Elbow joint structure"
  ]
}
2026-05-05 08:06:04,643  Step 3: Retrieving candidates...
2026-05-05 08:06:04,752  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:04,776    finding_site: added 5 values from reference examples
2026-05-05 08:06:04,878    finding_site: added 28 hierarchy neighbors
2026-05-05 08:06:04,879    finding_site: top match = Structure of enthesis of elbow region (score: 0.9999360427357082)
2026-05-05 08:06:04,880  Step 4: Selecting best matches...
2026-05-05 08:06:04,949  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:04,997    associated_morphology: added 2 values from reference examples
2026-05-05 08:06:05,068    associated_morphology: added 18 hierarchy neighbors
2026-05-05 08:06:05,069    associated_morphology: top match = Ankylosis (score: 0.8799561554131977)
2026-05-05 08:06:05,071    finding_site: added 6 values from reference examples
2026-05-05 08:06:05,197    finding_site: added 45 hierarchy neighbors
2026-05-05 08:06:05,199    finding_site: top match = Joint structure of shoulder region (score: 0.9502393009061172)
2026-05-05 08:06:05,200  Step 4: Selecting best matches...
2026-05-05 08:06:05,280  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:05,301    finding_site: added 2 values from reference examples
2026-05-05 08:06:05,377    finding_site: added 18 hierarchy neighbors
2026-05-05 08:06:05,378    finding_site: top match = Elbow joint structure (score: 0.9999985421261085)
2026-05-05 08:06:05,379  Step 4: Selecting best matches...
2026-05-05 08:06:07,031  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:07,032    Inferred: {
  "associated_morphology": [
    "anteroposterior abnormal curvature"
  ],
  "finding_site": [
    "musculoskeletal structure of spine"
  ],
  "occurrence": [
    "period of life between birth and death"
  ]
}
2026-05-05 08:06:07,033  Step 3: Retrieving candidates...
2026-05-05 08:06:07,057  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:07,064  Total cost: $0.0233
2026-05-05 08:06:07,066  [304/340] Localized, primary osteoarthritis of the shoulder region — cost: $0.0233 | total: $4.5851
2026-05-05 08:06:07,202  Step 1: Retrieving reference examples...
2026-05-05 08:06:07,617  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:07,657  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:07,689  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:07,698  Total cost: $0.0231
2026-05-05 08:06:07,704    associated_morphology: added 2 values from reference examples
2026-05-05 08:06:07,704  [305/340] Pyogenic arthritis of multiple sites — cost: $0.0231 | total: $4.6083
2026-05-05 08:06:07,756  Checkpoint saved (305 terms)
2026-05-05 08:06:07,798    associated_morphology: added 20 hierarchy neighbors
2026-05-05 08:06:07,799    associated_morphology: top match = Anteroposterior abnormal curvature (score: 0.9502496871634163)
2026-05-05 08:06:07,801    finding_site: added 5 values from reference examples
2026-05-05 08:06:07,852  Step 1: Retrieving reference examples...
2026-05-05 08:06:07,874    finding_site: added 26 hierarchy neighbors
2026-05-05 08:06:07,876    finding_site: top match = Musculoskeletal structure of spine (score: 0.9594843743464063)
2026-05-05 08:06:07,877    occurrence: added 1 values from reference examples
2026-05-05 08:06:07,954    occurrence: added 5 hierarchy neighbors
2026-05-05 08:06:07,955    occurrence: top match = Period of life between birth and death (score: 0.9501149706743015)
2026-05-05 08:06:07,957  Step 4: Selecting best matches...
2026-05-05 08:06:08,044    Reference: Effusion of joint of right knee (similarity: 0.740)
2026-05-05 08:06:08,044    Reference: Effusion of joint of right wrist region (similarity: 0.724)
2026-05-05 08:06:08,045    Reference: Spontaneous joint effusion (similarity: 0.691)
2026-05-05 08:06:08,046    Reference: Effusion of metacarpophalangeal joint (similarity: 0.685)
2026-05-05 08:06:08,047    Reference: Elbow joint effusion (similarity: 0.667)
2026-05-05 08:06:08,048  Step 2: Inferring attributes...
2026-05-05 08:06:08,414  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:08,695  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:08,701  Total cost: $0.0160
2026-05-05 08:06:08,704  [306/340] Finding of elbow joint — cost: $0.0160 | total: $4.6242
2026-05-05 08:06:08,783    Reference: Progressive myositis ossificans (similarity: 1.000)
2026-05-05 08:06:08,785    Reference: Traumatic myositis ossificans (similarity: 0.799)
2026-05-05 08:06:08,786    Reference: Nontraumatic myositis ossificans circumscripta (similarity: 0.730)
2026-05-05 08:06:08,787    Reference: Traumatic myositis ossificans of right upper arm (similarity: 0.711)
2026-05-05 08:06:08,787    Reference: Traumatic myositis ossificans of left upper arm (similarity: 0.707)
2026-05-05 08:06:08,788  Step 2: Inferring attributes...
2026-05-05 08:06:08,839  Step 1: Retrieving reference examples...
2026-05-05 08:06:09,219  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:09,224  Total cost: $0.0300
2026-05-05 08:06:09,226  [307/340] Disorder of prosthetic joint — cost: $0.0300 | total: $4.6543
2026-05-05 08:06:09,359  Step 1: Retrieving reference examples...
2026-05-05 08:06:09,443  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:09,680  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:09,687  Total cost: $0.0234
2026-05-05 08:06:09,689  [308/340] Joint ankylosis of the shoulder region — cost: $0.0234 | total: $4.6777
2026-05-05 08:06:09,811    Reference: Epiphyseal arrest of left lower leg (similarity: 0.656)
2026-05-05 08:06:09,812    Reference: Epiphyseal arrest of humerus (similarity: 0.653)
2026-05-05 08:06:09,813    Reference: Complete epiphyseal arrest of right proximal tibia (similarity: 0.613)
2026-05-05 08:06:09,813    Reference: Complete epiphyseal arrest of right distal radius (similarity: 0.595)
2026-05-05 08:06:09,814    Reference: Complete epiphyseal arrest of bilateral distal tibias (similarity: 0.594)
2026-05-05 08:06:09,815  Step 2: Inferring attributes...
2026-05-05 08:06:09,832  Step 1: Retrieving reference examples...
2026-05-05 08:06:09,858  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:10,227    Reference: Congenital anomaly of skin (similarity: 0.763)
2026-05-05 08:06:10,228    Reference: Congenital anomaly of limb (similarity: 0.731)
2026-05-05 08:06:10,229    Reference: Congenital anomaly of integument (similarity: 0.713)
2026-05-05 08:06:10,230    Reference: Congenital anomaly of anus (similarity: 0.713)
2026-05-05 08:06:10,230    Reference: Congenital anomaly of tooth (similarity: 0.698)
2026-05-05 08:06:10,231  Step 2: Inferring attributes...
2026-05-05 08:06:10,330  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:10,462  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:10,468  Total cost: $0.0220
2026-05-05 08:06:10,470  [309/340] Multiple stiff joints — cost: $0.0220 | total: $4.6996
2026-05-05 08:06:10,498  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:10,504  Total cost: $0.0190
2026-05-05 08:06:10,506  [310/340] Enthesopathy of elbow region — cost: $0.0190 | total: $4.7186
2026-05-05 08:06:10,567  Checkpoint saved (310 terms)
2026-05-05 08:06:10,632  Step 1: Retrieving reference examples...
2026-05-05 08:06:10,666  Step 1: Retrieving reference examples...
2026-05-05 08:06:10,722    Reference: Acquired deformity of knee (similarity: 0.791)
2026-05-05 08:06:10,723    Reference: Congenital flexion contracture of knee (similarity: 0.789)
2026-05-05 08:06:10,725    Reference: Congenital dislocation of knee with genu recurvatum (similarity: 0.784)
2026-05-05 08:06:10,726    Reference: Congenital dislocation of right knee (similarity: 0.777)
2026-05-05 08:06:10,726    Reference: Congenital genu valgum of left knee (similarity: 0.770)
2026-05-05 08:06:10,727  Step 2: Inferring attributes...
2026-05-05 08:06:11,209  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:11,226  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:11,618    Reference: Closed fracture of two ribs (similarity: 0.921)
2026-05-05 08:06:11,618    Reference: Closed fracture of multiple ribs (similarity: 0.914)
2026-05-05 08:06:11,619    Reference: Closed fracture of one rib (similarity: 0.901)
2026-05-05 08:06:11,620    Reference: Fracture of two ribs (similarity: 0.830)
2026-05-05 08:06:11,621    Reference: Open fracture of multiple left ribs (similarity: 0.824)
2026-05-05 08:06:11,622  Step 2: Inferring attributes...
2026-05-05 08:06:11,624    Reference: Open fracture of navicular bone of foot (similarity: 1.000)
2026-05-05 08:06:11,625    Reference: Open fracture of medial cuneiform bone of foot (similarity: 0.846)
2026-05-05 08:06:11,626    Reference: Fracture of navicular (similarity: 0.830)
2026-05-05 08:06:11,627    Reference: Open fracture of lateral cuneiform bone of left foot (similarity: 0.819)
2026-05-05 08:06:11,627    Reference: Open dislocation of navicular bone of foot (similarity: 0.819)
2026-05-05 08:06:11,628  Step 2: Inferring attributes...
2026-05-05 08:06:11,986  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:11,988    Inferred: {
  "associated_morphology": [
    "Effusion (morphologic abnormality)"
  ],
  "finding_site": [
    "Joint structure"
  ]
}
2026-05-05 08:06:11,989  Step 3: Retrieving candidates...
2026-05-05 08:06:12,444  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:12,496    associated_morphology: added 6 values from reference examples
2026-05-05 08:06:12,579    associated_morphology: added 32 hierarchy neighbors
2026-05-05 08:06:12,581    associated_morphology: top match = Morphologically abnormal structure (score: 0.5968617660100911)
2026-05-05 08:06:12,582    finding_site: added 5 values from reference examples
2026-05-05 08:06:12,680    finding_site: added 41 hierarchy neighbors
2026-05-05 08:06:12,681    finding_site: top match = Joint structure (score: 0.9999983667686111)
2026-05-05 08:06:12,682  Step 4: Selecting best matches...
2026-05-05 08:06:15,114  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:15,121  Total cost: $0.0241
2026-05-05 08:06:15,123  [311/340] Acquired lordosis deformity of spine — cost: $0.0241 | total: $4.7427
2026-05-05 08:06:15,187  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:15,189    Inferred: {
  "associated_morphology": [
    "Osseous metaplasia"
  ],
  "finding_site": [
    "Skeletal muscle structure"
  ],
  "occurrence": [
    "Congenital"
  ]
}
2026-05-05 08:06:15,190  Step 3: Retrieving candidates...
2026-05-05 08:06:15,259  Step 1: Retrieving reference examples...
2026-05-05 08:06:15,360  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:15,362    Inferred: {
  "associated_morphology": [
    "growth arrest"
  ],
  "finding_site": [
    "bone structure"
  ],
  "pathological_process": [
    "pathological developmental process"
  ]
}
2026-05-05 08:06:15,363  Step 3: Retrieving candidates...
2026-05-05 08:06:15,602  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:15,604    Inferred: {
  "associated_morphology": [
    "morphologically abnormal structure"
  ],
  "finding_site": [
    "breast structure"
  ],
  "occurrence": [
    "congenital"
  ],
  "pathological_process": [
    "pathological developmental process"
  ]
}
2026-05-05 08:06:15,605  Step 3: Retrieving candidates...
2026-05-05 08:06:15,657  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:15,659    Inferred: {
  "associated_morphology": [
    "Deformity (morphologic abnormality)"
  ],
  "finding_site": [
    "Knee joint structure"
  ],
  "occurrence": [
    "Congenital"
  ],
  "pathological_process": [
    "Pathological developmental process"
  ]
}
2026-05-05 08:06:15,660  Step 3: Retrieving candidates...
2026-05-05 08:06:15,731  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:15,876  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:16,034    associated_morphology: added 5 hierarchy neighbors
2026-05-05 08:06:16,035    associated_morphology: top match = Osseous metaplasia (score: 0.9999986727378944)
2026-05-05 08:06:16,038    finding_site: added 5 values from reference examples
2026-05-05 08:06:16,038  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:16,082  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:16,121    Reference: Sprain of tibiofibular ligament of right ankle (similarity: 0.816)
2026-05-05 08:06:16,122    Reference: Sprain of ligament of left proximal tibiofibular joint (similarity: 0.797)
2026-05-05 08:06:16,127    Reference: Sprain of calcaneofibular ligament (similarity: 0.781)
2026-05-05 08:06:16,129    Reference: Fracture of distal end of fibula (similarity: 0.711)
2026-05-05 08:06:16,130    Reference: Sprain of ligament of left distal radioulnar joint (similarity: 0.663)
2026-05-05 08:06:16,132  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:16,134  Step 2: Inferring attributes...
2026-05-05 08:06:16,168    finding_site: added 15 hierarchy neighbors
2026-05-05 08:06:16,169    finding_site: top match = Skeletal muscle structure (score: 0.9999985940283792)
2026-05-05 08:06:16,232    associated_morphology: added 28 hierarchy neighbors
2026-05-05 08:06:16,234    associated_morphology: top match = Growth arrest (score: 0.8611142078105067)
2026-05-05 08:06:16,236    finding_site: added 8 values from reference examples
2026-05-05 08:06:16,244    associated_morphology: added 10 values from reference examples
2026-05-05 08:06:16,262  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:16,269  Total cost: $0.0212
2026-05-05 08:06:16,271  [312/340] Effusion of joint of multiple sites — cost: $0.0212 | total: $4.7639
2026-05-05 08:06:16,288    occurrence: added 1 hierarchy neighbors
2026-05-05 08:06:16,289    occurrence: top match = Congenital (score: 0.9999988079420338)
2026-05-05 08:06:16,290  Step 4: Selecting best matches...
2026-05-05 08:06:16,338    associated_morphology: added 23 hierarchy neighbors
2026-05-05 08:06:16,339    associated_morphology: top match = Morphologically abnormal structure (score: 0.9377861536076766)
2026-05-05 08:06:16,341    finding_site: added 4 values from reference examples
2026-05-05 08:06:16,432    finding_site: added 22 hierarchy neighbors
2026-05-05 08:06:16,434    finding_site: top match = Bone structure (score: 0.9047085298022933)
2026-05-05 08:06:16,442    associated_morphology: added 62 hierarchy neighbors
2026-05-05 08:06:16,444    associated_morphology: top match = Morphologically abnormal structure (score: 0.7218045695616785)
2026-05-05 08:06:16,446    finding_site: added 5 values from reference examples
2026-05-05 08:06:16,455    finding_site: added 32 hierarchy neighbors
2026-05-05 08:06:16,456    finding_site: top match = Breast structure (score: 0.9517102921614813)
2026-05-05 08:06:16,462  Step 1: Retrieving reference examples...
2026-05-05 08:06:16,531    occurrence: added 1 hierarchy neighbors
2026-05-05 08:06:16,532    occurrence: top match = Congenital (score: 0.9192485840724214)
2026-05-05 08:06:16,552    pathological_process: top match = Pathological developmental process (score: 0.9610484059070883)
2026-05-05 08:06:16,554  Step 4: Selecting best matches...
2026-05-05 08:06:16,566    finding_site: added 15 hierarchy neighbors
2026-05-05 08:06:16,566    finding_site: top match = Knee joint structure (score: 0.999981156195284)
2026-05-05 08:06:16,568    occurrence: added 1 values from reference examples
2026-05-05 08:06:16,602    pathological_process: top match = Pathological developmental process (score: 0.9610827223693054)
2026-05-05 08:06:16,604  Step 4: Selecting best matches...
2026-05-05 08:06:16,642    occurrence: added 5 hierarchy neighbors
2026-05-05 08:06:16,646    occurrence: top match = Congenital (score: 0.9999988878998587)
2026-05-05 08:06:16,677  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:16,680    Inferred: {
  "associated_morphology": [
    "Closed fracture of multiple bones"
  ],
  "finding_site": [
    "Bone structure of rib"
  ]
}
2026-05-05 08:06:16,681  Step 3: Retrieving candidates...
2026-05-05 08:06:16,714    pathological_process: top match = Pathological developmental process (score: 0.9999987771660364)
2026-05-05 08:06:16,716  Step 4: Selecting best matches...
2026-05-05 08:06:17,001  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:17,221  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:17,269    associated_morphology: added 3 values from reference examples
2026-05-05 08:06:17,342    associated_morphology: added 25 hierarchy neighbors
2026-05-05 08:06:17,343    associated_morphology: top match = Closed fracture of multiple bones (score: 0.9999988911980753)
2026-05-05 08:06:17,345    finding_site: added 1 values from reference examples
2026-05-05 08:06:17,367    Reference: Complex burn of shoulder (similarity: 0.899)
2026-05-05 08:06:17,368    Reference: Full thickness burn of shoulder (similarity: 0.786)
2026-05-05 08:06:17,369    Reference: Burn of elbow (similarity: 0.747)
2026-05-05 08:06:17,369    Reference: Full thickness burn of right shoulder region (similarity: 0.717)
2026-05-05 08:06:17,370    Reference: Burn of knee (similarity: 0.707)
2026-05-05 08:06:17,371  Step 2: Inferring attributes...
2026-05-05 08:06:17,411    finding_site: added 8 hierarchy neighbors
2026-05-05 08:06:17,412    finding_site: top match = Bone structure of rib (score: 0.9999988256318258)
2026-05-05 08:06:17,413  Step 4: Selecting best matches...
2026-05-05 08:06:17,947  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:17,948    Inferred: {
  "associated_morphology": [
    "open fracture"
  ],
  "finding_site": [
    "navicular bone structure of foot"
  ]
}
2026-05-05 08:06:17,949  Step 3: Retrieving candidates...
2026-05-05 08:06:18,413  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:18,466    associated_morphology: added 2 values from reference examples
2026-05-05 08:06:18,630    associated_morphology: added 50 hierarchy neighbors
2026-05-05 08:06:18,632    associated_morphology: top match = Fracture, open (score: 0.7584634088069787)
2026-05-05 08:06:18,634    finding_site: added 2 values from reference examples
2026-05-05 08:06:18,752    finding_site: added 7 hierarchy neighbors
2026-05-05 08:06:18,753    finding_site: top match = Bone structure of navicular (score: 0.7873477793615786)
2026-05-05 08:06:18,755  Step 4: Selecting best matches...
2026-05-05 08:06:20,092  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:20,094    Inferred: {
  "associated_morphology": [
    "Sprain (morphologic abnormality)"
  ],
  "finding_site": [
    "Distal tibiofibular ligament structure"
  ]
}
2026-05-05 08:06:20,095  Step 3: Retrieving candidates...
2026-05-05 08:06:20,822  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:20,899    associated_morphology: added 5 values from reference examples
2026-05-05 08:06:20,988    associated_morphology: added 45 hierarchy neighbors
2026-05-05 08:06:20,989    associated_morphology: top match = Morphologically abnormal structure (score: 0.6081472937493436)
2026-05-05 08:06:20,991    finding_site: added 3 values from reference examples
2026-05-05 08:06:21,118    finding_site: added 15 hierarchy neighbors
2026-05-05 08:06:21,119    finding_site: top match = Distal tibiofibular joint structure (score: 0.8397694771888418)
2026-05-05 08:06:21,121  Step 4: Selecting best matches...
2026-05-05 08:06:21,126  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:21,132  Total cost: $0.0201
2026-05-05 08:06:21,134  [313/340] Closed fracture of three ribs — cost: $0.0201 | total: $4.7840
2026-05-05 08:06:21,289  Step 1: Retrieving reference examples...
2026-05-05 08:06:21,784  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:21,800  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:21,806  Total cost: $0.0238
2026-05-05 08:06:21,808  [314/340] Progressive myositis ossificans — cost: $0.0238 | total: $4.8078
2026-05-05 08:06:21,961  Step 1: Retrieving reference examples...
2026-05-05 08:06:22,171    Reference: Contusion of upper arm (similarity: 1.000)
2026-05-05 08:06:22,173    Reference: Contusion of upper limb (similarity: 0.909)
2026-05-05 08:06:22,173    Reference: Contusion of axillary region (similarity: 0.790)
2026-05-05 08:06:22,174    Reference: Crushing injury of upper arm (similarity: 0.761)
2026-05-05 08:06:22,175    Reference: Contusion of clavicular area (similarity: 0.753)
2026-05-05 08:06:22,176  Step 2: Inferring attributes...
2026-05-05 08:06:22,516  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:22,878    Reference: Burn of right forearm (similarity: 0.801)
2026-05-05 08:06:22,879    Reference: Burn of right elbow region (similarity: 0.762)
2026-05-05 08:06:22,879    Reference: Burn of elbow (similarity: 0.758)
2026-05-05 08:06:22,881    Reference: Deep third degree burn of multiple sites of upper limb (similarity: 0.727)
2026-05-05 08:06:22,881    Reference: Complex burn of shoulder (similarity: 0.725)
2026-05-05 08:06:22,882  Step 2: Inferring attributes...
2026-05-05 08:06:23,171  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:23,173    Inferred: {
  "associated_morphology": [
    "Burn injury"
  ],
  "finding_site": [
    "Shoulder region structure"
  ]
}
2026-05-05 08:06:23,174  Step 3: Retrieving candidates...
2026-05-05 08:06:23,205  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:23,212  Total cost: $0.0213
2026-05-05 08:06:23,214  [315/340] Open fracture of navicular bone of foot — cost: $0.0213 | total: $4.8291
2026-05-05 08:06:23,263  Checkpoint saved (315 terms)
2026-05-05 08:06:23,357  Step 1: Retrieving reference examples...
2026-05-05 08:06:23,821  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:23,859  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:23,882    associated_morphology: added 3 values from reference examples
2026-05-05 08:06:23,941  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:23,947  Total cost: $0.0283
2026-05-05 08:06:23,949  [316/340] Congenital deformity of knee joint — cost: $0.0283 | total: $4.8574
2026-05-05 08:06:23,972    associated_morphology: added 13 hierarchy neighbors
2026-05-05 08:06:23,973    associated_morphology: top match = Burn injury (score: 0.9999987825500095)
2026-05-05 08:06:23,976    finding_site: added 5 values from reference examples
2026-05-05 08:06:24,056    finding_site: added 42 hierarchy neighbors
2026-05-05 08:06:24,057    finding_site: top match = Shoulder region structure (score: 0.9999986926467798)
2026-05-05 08:06:24,058  Step 4: Selecting best matches...
2026-05-05 08:06:24,115  Step 1: Retrieving reference examples...
2026-05-05 08:06:24,255    Reference: Labyrinthitis of right inner ear (similarity: 0.778)
2026-05-05 08:06:24,256    Reference: Labyrinthine dysfunction (similarity: 0.696)
2026-05-05 08:06:24,257    Reference: Acute mastoiditis with labyrinthitis (similarity: 0.690)
2026-05-05 08:06:24,258    Reference: Labyrinthine hydrops of left inner ear (similarity: 0.645)
2026-05-05 08:06:24,258    Reference: Hyperactive labyrinthine dysfunction of right inner ear (similarity: 0.616)
2026-05-05 08:06:24,259  Step 2: Inferring attributes...
2026-05-05 08:06:24,696  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:25,079    Reference: Ankylosis of the wrist joint (similarity: 0.733)
2026-05-05 08:06:25,081    Reference: Rheumatoid arthritis of temporomandibular joint (similarity: 0.729)
2026-05-05 08:06:25,081    Reference: Rheumatic arthritis of temporomandibular joint (similarity: 0.711)
2026-05-05 08:06:25,082    Reference: Osteoarthritis of right temporomandibular joint (similarity: 0.705)
2026-05-05 08:06:25,083    Reference: Ankylosis of joint of finger of right hand (similarity: 0.702)
2026-05-05 08:06:25,083  Step 2: Inferring attributes...
2026-05-05 08:06:26,416  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:26,418    Inferred: {
  "associated_morphology": [
    "contusion (morphologic abnormality)"
  ],
  "finding_site": [
    "upper arm structure"
  ]
}
2026-05-05 08:06:26,419  Step 3: Retrieving candidates...
2026-05-05 08:06:26,865  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:26,912    associated_morphology: added 1 values from reference examples
2026-05-05 08:06:26,986    associated_morphology: added 9 hierarchy neighbors
2026-05-05 08:06:26,988    associated_morphology: top match = Contusion - lesion (score: 0.7067744642827599)
2026-05-05 08:06:26,990    finding_site: added 4 values from reference examples
2026-05-05 08:06:27,063    finding_site: added 25 hierarchy neighbors
2026-05-05 08:06:27,064    finding_site: top match = Upper arm structure (score: 0.9583012515440796)
2026-05-05 08:06:27,065  Step 4: Selecting best matches...
2026-05-05 08:06:28,032  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:28,037  Total cost: $0.0224
2026-05-05 08:06:28,039  [317/340] Burn of shoulder — cost: $0.0224 | total: $4.8798
2026-05-05 08:06:28,185  Step 1: Retrieving reference examples...
2026-05-05 08:06:28,280  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:28,282    Inferred: {
  "associated_morphology": [
    "Burn injury"
  ],
  "finding_site": [
    "Upper limb structure"
  ]
}
2026-05-05 08:06:28,283  Step 3: Retrieving candidates...
2026-05-05 08:06:28,668  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:28,776  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:28,821    associated_morphology: added 1 values from reference examples
2026-05-05 08:06:28,894    associated_morphology: added 13 hierarchy neighbors
2026-05-05 08:06:28,895    associated_morphology: top match = Burn injury (score: 0.9999987825500095)
2026-05-05 08:06:28,897    finding_site: added 6 values from reference examples
2026-05-05 08:06:28,973  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:28,975    Inferred: {
  "associated_morphology": [
    "ankylosis"
  ],
  "finding_site": [
    "temporomandibular joint structure"
  ]
}
2026-05-05 08:06:28,976  Step 3: Retrieving candidates...
2026-05-05 08:06:28,993    finding_site: added 65 hierarchy neighbors
2026-05-05 08:06:28,995    finding_site: top match = Upper limb structure (score: 0.9999988153051147)
2026-05-05 08:06:28,996  Step 4: Selecting best matches...
2026-05-05 08:06:29,039    Reference: Lordotic proteinuria (similarity: 0.737)
2026-05-05 08:06:29,040    Reference: Proteinuria (similarity: 0.736)
2026-05-05 08:06:29,040    Reference: Postrenal proteinuria (similarity: 0.719)
2026-05-05 08:06:29,041    Reference: Persistent proteinuria (similarity: 0.718)
2026-05-05 08:06:29,042    Reference: Adventitious proteinuria (similarity: 0.709)
2026-05-05 08:06:29,043  Step 2: Inferring attributes...
2026-05-05 08:06:29,424  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:29,426    Inferred: {
  "associated_morphology": [
    "Inflammation",
    "Inflammatory morphology"
  ],
  "finding_site": [
    "Labyrinth structure"
  ]
}
2026-05-05 08:06:29,428  Step 3: Retrieving candidates...
2026-05-05 08:06:29,457  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:29,500    associated_morphology: added 6 values from reference examples
2026-05-05 08:06:29,592    associated_morphology: added 61 hierarchy neighbors
2026-05-05 08:06:29,593    associated_morphology: top match = Ankylosis (score: 0.8800100200936591)
2026-05-05 08:06:29,596    finding_site: added 3 values from reference examples
2026-05-05 08:06:29,677    finding_site: added 34 hierarchy neighbors
2026-05-05 08:06:29,678    finding_site: top match = Temporomandibular joint structure (score: 0.9591614433098076)
2026-05-05 08:06:29,679  Step 4: Selecting best matches...
2026-05-05 08:06:29,994  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:30,056    associated_morphology: added 2 values from reference examples
2026-05-05 08:06:30,146    associated_morphology: added 67 hierarchy neighbors
2026-05-05 08:06:30,147    associated_morphology: top match = Inflammation (score: 0.9999986392955043)
2026-05-05 08:06:30,148    finding_site: added 4 values from reference examples
2026-05-05 08:06:30,216    finding_site: added 12 hierarchy neighbors
2026-05-05 08:06:30,217    finding_site: top match = Labyrinth structure (score: 0.9999987483762877)
2026-05-05 08:06:30,219  Step 4: Selecting best matches...
2026-05-05 08:06:32,187  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:32,193  Total cost: $0.0187
2026-05-05 08:06:32,196  [318/340] Contusion of upper arm — cost: $0.0187 | total: $4.8985
2026-05-05 08:06:32,324  Step 1: Retrieving reference examples...
2026-05-05 08:06:32,865  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:33,228    Reference: Nonneurogenic neurogenic urinary bladder dysfunction (similarity: 0.634)
2026-05-05 08:06:33,229    Reference: Noncompliant neuropathic urinary bladder (similarity: 0.629)
2026-05-05 08:06:33,230    Reference: Hypotonic urinary bladder (similarity: 0.603)
2026-05-05 08:06:33,230    Reference: Abnormal urinary bladder continence (similarity: 0.592)
2026-05-05 08:06:33,231    Reference: Paralysis of sphincter of urinary bladder (similarity: 0.551)
2026-05-05 08:06:33,232  Step 2: Inferring attributes...
2026-05-05 08:06:33,279  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:33,288  Total cost: $0.0223
2026-05-05 08:06:33,290  [319/340] Ankylosis of temporomandibular joint — cost: $0.0223 | total: $4.9207
2026-05-05 08:06:33,436  Step 1: Retrieving reference examples...
2026-05-05 08:06:33,850  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:34,093  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:34,099  Total cost: $0.0246
2026-05-05 08:06:34,101  [320/340] Congenital anomaly of breast — cost: $0.0246 | total: $4.9453
2026-05-05 08:06:34,147  Checkpoint saved (320 terms)
2026-05-05 08:06:34,214    Reference: Arthropathy of the pelvic region and thigh associated with helminthiasis (similarity: 0.805)
2026-05-05 08:06:34,215    Reference: Transient arthropathy of shoulder (similarity: 0.657)
2026-05-05 08:06:34,216    Reference: Arthropathy of elbow (similarity: 0.632)
2026-05-05 08:06:34,216    Reference: Poliomyelitis osteopathy of the shoulder region (similarity: 0.613)
2026-05-05 08:06:34,217    Reference: Arthropathy associated with respiratory disorder (similarity: 0.604)
2026-05-05 08:06:34,218  Step 2: Inferring attributes...
2026-05-05 08:06:34,244  Step 1: Retrieving reference examples...
2026-05-05 08:06:34,734  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:34,951  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:34,957  Total cost: $0.0215
2026-05-05 08:06:34,959  [321/340] Sprain of distal tibiofibular ligament — cost: $0.0215 | total: $4.9668
2026-05-05 08:06:35,091  Step 1: Retrieving reference examples...
2026-05-05 08:06:35,103    Reference: Traumatic arthropathy (similarity: 1.000)
2026-05-05 08:06:35,104    Reference: Traumatic arthropathy-ankle (similarity: 0.872)
2026-05-05 08:06:35,104    Reference: Traumatic arthropathy-wrist (similarity: 0.863)
2026-05-05 08:06:35,105    Reference: Traumatic arthropathy of multiple sites (similarity: 0.846)
2026-05-05 08:06:35,106    Reference: Traumatic arthropathy of the ankle and/or foot (similarity: 0.836)
2026-05-05 08:06:35,107  Step 2: Inferring attributes...
2026-05-05 08:06:35,664  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:35,742  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:35,749  Total cost: $0.0213
2026-05-05 08:06:35,751  [322/340] Labyrinthitis — cost: $0.0213 | total: $4.9880
2026-05-05 08:06:35,906  Step 1: Retrieving reference examples...
2026-05-05 08:06:36,049    Reference: Acute infective polyarthritis (similarity: 0.709)
2026-05-05 08:06:36,050    Reference: Migratory polyarthritis (similarity: 0.706)
2026-05-05 08:06:36,051    Reference: Post-infective polyarthritis (similarity: 0.694)
2026-05-05 08:06:36,052    Reference: Subacute infective polyarthritis (similarity: 0.682)
2026-05-05 08:06:36,052    Reference: Arthropathy of multiple joints (similarity: 0.677)
2026-05-05 08:06:36,053  Step 2: Inferring attributes...
2026-05-05 08:06:36,385  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:36,682  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:36,684    Inferred: {
  "interprets_interpretation": [
    {
      "interprets": "Urine protein measurement",
      "interpretation": "Above reference range"
    }
  ]
}
2026-05-05 08:06:36,685  Step 3: Retrieving candidates...
2026-05-05 08:06:36,760    Reference: Protrusio acetabuli of the pelvic region and thigh (similarity: 1.000)
2026-05-05 08:06:36,761    Reference: Intrapelvic protrusion of left acetabulum (similarity: 0.713)
2026-05-05 08:06:36,762    Reference: Transient arthropathy of the pelvic region and thigh (similarity: 0.697)
2026-05-05 08:06:36,763    Reference: Malposition of prosthetic joint of hip (similarity: 0.612)
2026-05-05 08:06:36,763    Reference: Ankylosis of joint of pelvic region (similarity: 0.602)
2026-05-05 08:06:36,764  Step 2: Inferring attributes...
2026-05-05 08:06:37,187  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:37,434    interprets: added 11 hierarchy neighbors
2026-05-05 08:06:37,435    interprets: top match = Urine protein measurement (score: 0.9999987649475054)
2026-05-05 08:06:37,511  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:37,517  Total cost: $0.0232
2026-05-05 08:06:37,520  [323/340] Burn of upper limb — cost: $0.0232 | total: $5.0113
2026-05-05 08:06:37,574    interpretation: added 2 hierarchy neighbors
2026-05-05 08:06:37,576    interpretation: top match = Above reference range (score: 0.9999987293391469)
2026-05-05 08:06:37,577  Step 4: Selecting best matches...
2026-05-05 08:06:37,666  Step 1: Retrieving reference examples...
2026-05-05 08:06:38,213  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:38,579    Reference: Contracture of elbow joint (similarity: 1.000)
2026-05-05 08:06:38,580    Reference: Contracture of joint of left hand (similarity: 0.790)
2026-05-05 08:06:38,581    Reference: Extension deformity of elbow joint (similarity: 0.783)
2026-05-05 08:06:38,582    Reference: Contracture of right knee joint (similarity: 0.738)
2026-05-05 08:06:38,582    Reference: Contracture of joints of bilateral hands (similarity: 0.736)
2026-05-05 08:06:38,583  Step 2: Inferring attributes...
2026-05-05 08:06:38,937  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:38,943  Total cost: $0.0272
2026-05-05 08:06:38,945  [324/340] Arrest of bone development AND/OR growth — cost: $0.0272 | total: $5.0384
2026-05-05 08:06:39,087  Step 1: Retrieving reference examples...
2026-05-05 08:06:39,557  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:39,917    Reference: Dependence on hemodialysis due to end stage renal disease (similarity: 0.714)
2026-05-05 08:06:39,918    Reference: Family history of end stage renal disease (similarity: 0.629)
2026-05-05 08:06:39,919    Reference: Chronic renal insufficiency (similarity: 0.617)
2026-05-05 08:06:39,920    Reference: Kidney disease (similarity: 0.604)
2026-05-05 08:06:39,921    Reference: Chronic kidney disease stage 3 (similarity: 0.592)
2026-05-05 08:06:39,922  Step 2: Inferring attributes...
2026-05-05 08:06:40,366  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:40,368    Inferred: {
  "finding_site": [
    "joint structure"
  ]
}
2026-05-05 08:06:40,369  Step 3: Retrieving candidates...
2026-05-05 08:06:40,593  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:40,596    Inferred: {
  "associated_morphology": [
    "Protrusion"
  ],
  "finding_site": [
    "Bone structure of acetabulum"
  ]
}
2026-05-05 08:06:40,600  Step 3: Retrieving candidates...
2026-05-05 08:06:40,841  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:40,869    finding_site: added 4 values from reference examples
2026-05-05 08:06:40,945    finding_site: added 32 hierarchy neighbors
2026-05-05 08:06:40,946    finding_site: top match = Joint structure (score: 0.9319049114053936)
2026-05-05 08:06:40,947  Step 4: Selecting best matches...
2026-05-05 08:06:41,035  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:41,085    associated_morphology: added 2 values from reference examples
2026-05-05 08:06:41,190    associated_morphology: added 25 hierarchy neighbors
2026-05-05 08:06:41,191    associated_morphology: top match = Protrusion (score: 0.9999989876957853)
2026-05-05 08:06:41,193    finding_site: added 4 values from reference examples
2026-05-05 08:06:41,268    finding_site: added 23 hierarchy neighbors
2026-05-05 08:06:41,269    finding_site: top match = Bone structure of acetabulum (score: 0.9999845104003647)
2026-05-05 08:06:41,270  Step 4: Selecting best matches...
2026-05-05 08:06:41,785  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:41,790  Total cost: $0.0203
2026-05-05 08:06:41,792  [325/340] Orthostatic proteinuria — cost: $0.0203 | total: $5.0587
2026-05-05 08:06:41,844  Checkpoint saved (325 terms)
2026-05-05 08:06:41,923  Step 1: Retrieving reference examples...
2026-05-05 08:06:42,321  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:42,693    Reference: Trachomatous follicular conjunctivitis (similarity: 0.670)
2026-05-05 08:06:42,693    Reference: Tuberculous phlyctenular keratoconjunctivitis (similarity: 0.526)
2026-05-05 08:06:42,694    Reference: Trichiasis of right eyelid (similarity: 0.522)
2026-05-05 08:06:42,695    Reference: Filarial infection of conjunctiva (similarity: 0.519)
2026-05-05 08:06:42,696    Reference: Scleral stage SX (similarity: 0.508)
2026-05-05 08:06:42,696  Step 2: Inferring attributes...
2026-05-05 08:06:42,860  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:42,862    Inferred: {
  "associated_morphology": [
    "Contracture (morphologic abnormality)"
  ],
  "finding_site": [
    "Elbow joint structure"
  ],
  "interprets_interpretation": [
    {
      "interprets": "Elbow joint \u2013 range of movement (observable entity)",
      "interpretation": "Decreased (qualifier value)"
    }
  ]
}
2026-05-05 08:06:42,863  Step 3: Retrieving candidates...
2026-05-05 08:06:43,008  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:43,010    Inferred: {
  "associated_morphology": [
    "Inflammation",
    "Inflammatory morphology"
  ],
  "finding_site": [
    "Joint structure of shoulder region"
  ],
  "finding_asso_with": [
    "Infection caused by Cestoda and/or Trematoda and/or Phylum Nemata"
  ]
}
2026-05-05 08:06:43,011  Step 3: Retrieving candidates...
2026-05-05 08:06:43,363  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:43,450    associated_morphology: added 5 values from reference examples
2026-05-05 08:06:43,523    associated_morphology: added 25 hierarchy neighbors
2026-05-05 08:06:43,524    associated_morphology: top match = Deformity (score: 0.6098560214788314)
2026-05-05 08:06:43,526    finding_site: added 5 values from reference examples
2026-05-05 08:06:43,535  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:43,536    Inferred: {
  "associated_morphology": [
    "Inflammation",
    "Inflammatory morphology"
  ],
  "finding_site": [
    "Joint structure of multiple body sites"
  ]
}
2026-05-05 08:06:43,537  Step 3: Retrieving candidates...
2026-05-05 08:06:43,570  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:43,595    finding_site: added 29 hierarchy neighbors
2026-05-05 08:06:43,596    finding_site: top match = Elbow joint structure (score: 0.9999989321994699)
2026-05-05 08:06:43,600    interprets: added 3 values from reference examples
2026-05-05 08:06:43,675    interprets: added 20 hierarchy neighbors
2026-05-05 08:06:43,676    interprets: top match = Elbow joint - range of movement (score: 0.8078432783232362)
2026-05-05 08:06:43,740    interpretation: added 1 hierarchy neighbors
2026-05-05 08:06:43,741    interpretation: top match = Decreased (score: 0.7213332730481716)
2026-05-05 08:06:43,743  Step 4: Selecting best matches...
2026-05-05 08:06:43,797    associated_morphology: added 47 hierarchy neighbors
2026-05-05 08:06:43,798    associated_morphology: top match = Inflammation (score: 0.9999988156328776)
2026-05-05 08:06:43,800    finding_site: added 7 values from reference examples
2026-05-05 08:06:43,895    finding_site: added 36 hierarchy neighbors
2026-05-05 08:06:43,896    finding_site: top match = Joint structure of shoulder region (score: 0.9999990472867687)
2026-05-05 08:06:43,897  Step 4: Selecting best matches...
2026-05-05 08:06:44,113  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:44,180    associated_morphology: added 1 values from reference examples
2026-05-05 08:06:44,272    associated_morphology: added 65 hierarchy neighbors
2026-05-05 08:06:44,273    associated_morphology: top match = Inflammation (score: 0.9999986291697329)
2026-05-05 08:06:44,275    finding_site: added 1 values from reference examples
2026-05-05 08:06:44,345    finding_site: added 8 hierarchy neighbors
2026-05-05 08:06:44,346    finding_site: top match = Joint structure of multiple body sites (score: 0.9999988680835877)
2026-05-05 08:06:44,347  Step 4: Selecting best matches...
2026-05-05 08:06:44,805  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:44,811  Total cost: $0.0202
2026-05-05 08:06:44,813  [326/340] Protrusio acetabuli of the pelvic region and thigh — cost: $0.0202 | total: $5.0789
2026-05-05 08:06:44,945  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:44,947    Inferred: {
  "associated_morphology": [
    "acontractile structure"
  ],
  "finding_site": [
    "structure of detrusor muscle of urinary bladder"
  ]
}
2026-05-05 08:06:44,949  Step 3: Retrieving candidates...
2026-05-05 08:06:44,958  Step 1: Retrieving reference examples...
2026-05-05 08:06:45,506  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:45,616  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:45,761    associated_morphology: added 23 hierarchy neighbors
2026-05-05 08:06:45,762    associated_morphology: top match = Morphologically abnormal structure (score: 0.4557138605251716)
2026-05-05 08:06:45,764    finding_site: added 10 values from reference examples
2026-05-05 08:06:45,862    finding_site: added 17 hierarchy neighbors
2026-05-05 08:06:45,863    finding_site: top match = Structure of detrusor muscle of urinary bladder (score: 0.9665121370511334)
2026-05-05 08:06:45,865  Step 4: Selecting best matches...
2026-05-05 08:06:45,884    Reference: Chronic kidney disease stage 5 due to hypertension (similarity: 0.802)
2026-05-05 08:06:45,885    Reference: Chronic kidney disease stage 5 due to type 2 diabetes mellitus (similarity: 0.797)
2026-05-05 08:06:45,886    Reference: Chronic kidney disease stage 3 (similarity: 0.773)
2026-05-05 08:06:45,887    Reference: Chronic kidney disease stage 2 (similarity: 0.723)
2026-05-05 08:06:45,887    Reference: Chronic kidney disease stage 3 due to hypertension (similarity: 0.667)
2026-05-05 08:06:45,888  Step 2: Inferring attributes...
2026-05-05 08:06:47,095  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:47,098    Inferred: {
  "finding_site": [
    "kidney structure"
  ],
  "clinical_course": [
    "chronic"
  ],
  "interprets_interpretation": [
    {
      "interprets": "renal function",
      "interpretation": "impaired"
    }
  ]
}
2026-05-05 08:06:47,099  Step 3: Retrieving candidates...
2026-05-05 08:06:47,557  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:47,760    finding_site: added 9 hierarchy neighbors
2026-05-05 08:06:47,761    finding_site: top match = Kidney structure (score: 0.9402869988451664)
2026-05-05 08:06:47,824    clinical_course: added 7 hierarchy neighbors
2026-05-05 08:06:47,825    clinical_course: top match = Chronic (score: 0.9084316456505368)
2026-05-05 08:06:47,827    interprets: added 2 values from reference examples
2026-05-05 08:06:47,910    interprets: added 6 hierarchy neighbors
2026-05-05 08:06:47,911    interprets: top match = Renal function (score: 0.746706541554)
2026-05-05 08:06:48,028    interpretation: top match = Impaired (score: 0.9221139196815284)
2026-05-05 08:06:48,030  Step 4: Selecting best matches...
2026-05-05 08:06:48,195  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:48,201  Total cost: $0.0214
2026-05-05 08:06:48,204  [327/340] Traumatic arthropathy — cost: $0.0214 | total: $5.1003
2026-05-05 08:06:48,344  Step 1: Retrieving reference examples...
2026-05-05 08:06:48,799  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:48,939  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:48,945  Total cost: $0.0267
2026-05-05 08:06:48,948  [328/340] Contracture of elbow joint — cost: $0.0267 | total: $5.1270
2026-05-05 08:06:49,112  Step 1: Retrieving reference examples...
2026-05-05 08:06:49,172    Reference: Benign hypertensive heart disease and chronic renal disease (similarity: 0.909)
2026-05-05 08:06:49,173    Reference: Malignant hypertensive heart disease and chronic renal disease stage 4 (similarity: 0.812)
2026-05-05 08:06:49,174    Reference: Hypertensive heart AND chronic kidney disease stage 3 (similarity: 0.777)
2026-05-05 08:06:49,175    Reference: Benign hypertensive heart disease without congestive heart failure (similarity: 0.739)
2026-05-05 08:06:49,176    Reference: Chronic kidney disease stage 3 due to hypertension (similarity: 0.676)
2026-05-05 08:06:49,176  Step 2: Inferring attributes...
2026-05-05 08:06:49,573  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:49,937    Reference: Cellulitis of right lower limb (similarity: 0.707)
2026-05-05 08:06:49,938    Reference: Cellulitis of right thigh (similarity: 0.695)
2026-05-05 08:06:49,939    Reference: Cellulitis of knee (similarity: 0.666)
2026-05-05 08:06:49,939    Reference: Cellulitis of right second toe (similarity: 0.663)
2026-05-05 08:06:49,940    Reference: Cellulitis (similarity: 0.662)
2026-05-05 08:06:49,941  Step 2: Inferring attributes...
2026-05-05 08:06:52,367  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:52,374  Total cost: $0.0260
2026-05-05 08:06:52,376  [329/340] Inflammatory polyarthropathy — cost: $0.0260 | total: $5.1530
2026-05-05 08:06:52,499  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:52,502    Inferred: {
  "associated_morphology": [
    "Inflammation"
  ],
  "finding_site": [
    "Conjunctival structure"
  ],
  "causative_agent": [
    "Chlamydia trachomatis"
  ],
  "pathological_process": [
    "Infectious process"
  ]
}
2026-05-05 08:06:52,503  Step 3: Retrieving candidates...
2026-05-05 08:06:52,521  Step 1: Retrieving reference examples...
2026-05-05 08:06:52,525  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:52,526    Inferred: {
  "finding_site": [
    "kidney structure"
  ],
  "interprets_interpretation": [
    {
      "interprets": "renal function",
      "interpretation": "impaired"
    }
  ],
  "clinical_course": [
    "chronic"
  ]
}
2026-05-05 08:06:52,527  Step 3: Retrieving candidates...
2026-05-05 08:06:53,140  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:53,219  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:53,262  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:53,354    associated_morphology: added 7 values from reference examples
2026-05-05 08:06:53,580    associated_morphology: added 101 hierarchy neighbors
2026-05-05 08:06:53,584    associated_morphology: top match = Inflammation (score: 0.9999988748630455)
2026-05-05 08:06:53,587    Reference: Gestation period, 17 weeks (similarity: 1.000)
2026-05-05 08:06:53,588    finding_site: added 4 values from reference examples
2026-05-05 08:06:53,591    Reference: Gestation period, 19 weeks (similarity: 0.919)
2026-05-05 08:06:53,592  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:53,596    Reference: Gestation period, 15 weeks (similarity: 0.892)
2026-05-05 08:06:53,603  Total cost: $0.0303
2026-05-05 08:06:53,604    Reference: Gestation period, 11 weeks (similarity: 0.872)
2026-05-05 08:06:53,610  [330/340] Arthropathy of the shoulder region associated with helminthiasis — cost: $0.0303 | total: $5.1833
2026-05-05 08:06:53,610    Reference: Gestation period, 25 weeks (similarity: 0.860)
2026-05-05 08:06:53,614  Step 2: Inferring attributes...
2026-05-05 08:06:53,682  Checkpoint saved (330 terms)
2026-05-05 08:06:54,128    finding_site: added 21 hierarchy neighbors
2026-05-05 08:06:54,130    finding_site: top match = Conjunctival structure (score: 0.9999988263536034)
2026-05-05 08:06:54,132    causative_agent: added 3 values from reference examples
2026-05-05 08:06:54,199    finding_site: added 9 hierarchy neighbors
2026-05-05 08:06:54,201    finding_site: top match = Kidney structure (score: 0.9402869988451664)
2026-05-05 08:06:54,217  Step 1: Retrieving reference examples...
2026-05-05 08:06:54,290    causative_agent: added 13 hierarchy neighbors
2026-05-05 08:06:54,291    causative_agent: top match = Chlamydia trachomatis (score: 0.9999987081921162)
2026-05-05 08:06:54,293    pathological_process: added 3 values from reference examples
2026-05-05 08:06:54,298    interprets: added 3 hierarchy neighbors
2026-05-05 08:06:54,299    interprets: top match = Renal function (score: 0.746706541554)
2026-05-05 08:06:54,332  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:54,338  Total cost: $0.0236
2026-05-05 08:06:54,341  [331/340] End-stage renal disease — cost: $0.0236 | total: $5.2069
2026-05-05 08:06:54,365    interpretation: top match = Impaired (score: 0.9221139196815284)
2026-05-05 08:06:54,445    clinical_course: added 7 hierarchy neighbors
2026-05-05 08:06:54,446    clinical_course: top match = Chronic (score: 0.9084316456505368)
2026-05-05 08:06:54,447  Step 4: Selecting best matches...
2026-05-05 08:06:54,480    pathological_process: added 3 hierarchy neighbors
2026-05-05 08:06:54,481    pathological_process: top match = Infectious process (score: 0.9999989174924272)
2026-05-05 08:06:54,484  Step 4: Selecting best matches...
2026-05-05 08:06:54,503  Step 1: Retrieving reference examples...
2026-05-05 08:06:54,548  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:54,554  Total cost: $0.0313
2026-05-05 08:06:54,557  [332/340] Acontractile detrusor — cost: $0.0313 | total: $5.2382
2026-05-05 08:06:54,651  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:54,713  Step 1: Retrieving reference examples...
2026-05-05 08:06:55,023    Reference: Idiopathic transient neonatal hyperinsulinemia (similarity: 0.680)
2026-05-05 08:06:55,024    Reference: Transient neonatal hypoglycemia due to hyperinsulinemia (similarity: 0.641)
2026-05-05 08:06:55,025    Reference: Neonatal hyperglycemia (similarity: 0.640)
2026-05-05 08:06:55,026    Reference: Transient neonatal hypothyroidism (similarity: 0.613)
2026-05-05 08:06:55,027    Reference: Atypical Fanconi syndrome, neonatal hyperinsulinism syndrome (similarity: 0.607)
2026-05-05 08:06:55,027  Step 2: Inferring attributes...
2026-05-05 08:06:55,034  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:55,201  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:55,423    Reference: Chronic gout without tophus caused by drug (similarity: 0.836)
2026-05-05 08:06:55,424    Reference: Gouty tophus of right elbow (similarity: 0.768)
2026-05-05 08:06:55,425    Reference: Primary chronic gout without tophus of elbow (similarity: 0.755)
2026-05-05 08:06:55,426    Reference: Tophus of left elbow co-occurrent and due to gout (similarity: 0.718)
2026-05-05 08:06:55,426    Reference: Gouty tophus of olecranon bursa (similarity: 0.714)
2026-05-05 08:06:55,428  Step 2: Inferring attributes...
2026-05-05 08:06:55,593    Reference: Sinoatrial nodal reentrant tachycardia (similarity: 0.602)
2026-05-05 08:06:55,595    Reference: Systolic dysfunction (similarity: 0.571)
2026-05-05 08:06:55,596    Reference: Cardiac pacemaker syndrome (similarity: 0.559)
2026-05-05 08:06:55,597    Reference: Diastolic dysfunction (similarity: 0.558)
2026-05-05 08:06:55,597    Reference: Inappropriate sinus tachycardia (similarity: 0.548)
2026-05-05 08:06:55,598  Step 2: Inferring attributes...
2026-05-05 08:06:58,525  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:58,527    Inferred: {
  "finding_site": [
    "Kidney structure",
    "Heart structure"
  ],
  "clinical_course": [
    "Chronic"
  ],
  "interprets_interpretation": [
    {
      "interprets": "Renal function",
      "interpretation": "Impaired"
    }
  ]
}
2026-05-05 08:06:58,528  Step 3: Retrieving candidates...
2026-05-05 08:06:58,884  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:58,886    Inferred: {
  "associated_morphology": [
    "Cellulitis"
  ],
  "finding_site": [
    "Leg structure"
  ]
}
2026-05-05 08:06:58,887  Step 3: Retrieving candidates...
2026-05-05 08:06:58,959  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:59,393    finding_site: added 14 hierarchy neighbors
2026-05-05 08:06:59,394    finding_site: top match = Kidney structure (score: 0.9999988878458852)
2026-05-05 08:06:59,409  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:06:59,464    clinical_course: added 7 hierarchy neighbors
2026-05-05 08:06:59,465    clinical_course: top match = Chronic (score: 0.9999987038089025)
2026-05-05 08:06:59,468    interprets: added 1 values from reference examples
2026-05-05 08:06:59,553    associated_morphology: added 5 hierarchy neighbors
2026-05-05 08:06:59,554    associated_morphology: top match = Cellulitis (score: 0.9999984035663334)
2026-05-05 08:06:59,556    finding_site: added 4 values from reference examples
2026-05-05 08:06:59,593    interprets: added 4 hierarchy neighbors
2026-05-05 08:06:59,594    interprets: top match = Renal function (score: 0.9999989875518722)
2026-05-05 08:06:59,651    finding_site: added 43 hierarchy neighbors
2026-05-05 08:06:59,652    finding_site: top match = Lower leg structure (score: 0.7727170983059923)
2026-05-05 08:06:59,654  Step 4: Selecting best matches...
2026-05-05 08:06:59,656    interpretation: top match = Impaired (score: 0.999998860047126)
2026-05-05 08:06:59,662  Step 4: Selecting best matches...
2026-05-05 08:07:00,356  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:07:00,362  Total cost: $0.0234
2026-05-05 08:07:00,365  [333/340] Chronic kidney disease stage 5 — cost: $0.0234 | total: $5.2616
2026-05-05 08:07:02,045  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:07:02,047    Inferred: {
  "associated_morphology": [
    "Dysfunction"
  ],
  "finding_site": [
    "Sinoatrial node structure"
  ]
}
2026-05-05 08:07:02,048  Step 3: Retrieving candidates...
2026-05-05 08:07:02,571  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:07:02,693    associated_morphology: added 15 hierarchy neighbors
2026-05-05 08:07:02,694    associated_morphology: top match = Dysplasia (score: 0.5351249946251593)
2026-05-05 08:07:02,696    finding_site: added 4 values from reference examples
2026-05-05 08:07:02,966    finding_site: added 10 hierarchy neighbors
2026-05-05 08:07:02,967    finding_site: top match = Structure of sinoatrial node (score: 0.9025630898377217)
2026-05-05 08:07:02,968  Step 4: Selecting best matches...
2026-05-05 08:07:04,241  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:07:04,247  Total cost: $0.0338
2026-05-05 08:07:04,250  [334/340] Trachoma, active stage — cost: $0.0338 | total: $5.2954
2026-05-05 08:07:07,197  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:07:07,199    Inferred: {
  "associated_morphology": [
    "Tophus",
    "Inflammatory morphology"
  ],
  "finding_site": [
    "Elbow joint structure"
  ],
  "causative_agent": [
    "Drug or medicament"
  ],
  "clinical_course": [
    "Chronic"
  ],
  "interprets_interpretation": [
    {
      "interprets": "Blood urate measurement",
      "interpretation": "Above reference range"
    }
  ]
}
2026-05-05 08:07:07,200  Step 3: Retrieving candidates...
2026-05-05 08:07:07,751  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:07:07,922    associated_morphology: added 1 values from reference examples
2026-05-05 08:07:08,051    associated_morphology: added 48 hierarchy neighbors
2026-05-05 08:07:08,052    associated_morphology: top match = Tophus (score: 0.9999985695503589)
2026-05-05 08:07:08,053    finding_site: added 3 values from reference examples
2026-05-05 08:07:08,133    finding_site: added 20 hierarchy neighbors
2026-05-05 08:07:08,135    finding_site: top match = Elbow joint structure (score: 0.9999989321994699)
2026-05-05 08:07:08,412  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:07:08,418  Total cost: $0.0275
2026-05-05 08:07:08,420  [335/340] Benign hypertensive heart disease and chronic renal disease stage 2 — cost: $0.0275 | total: $5.3229
2026-05-05 08:07:08,472  Checkpoint saved (335 terms)
2026-05-05 08:07:08,499    causative_agent: added 76 hierarchy neighbors
2026-05-05 08:07:08,501    causative_agent: top match = Drug or medicament (score: 0.9999985726419627)
2026-05-05 08:07:08,563    clinical_course: added 7 hierarchy neighbors
2026-05-05 08:07:08,564    clinical_course: top match = Chronic (score: 0.9999984518997393)
2026-05-05 08:07:08,687    interprets: added 2 hierarchy neighbors
2026-05-05 08:07:08,688    interprets: top match = Blood urate measurement (score: 0.9999987744395218)
2026-05-05 08:07:08,755    interpretation: added 2 hierarchy neighbors
2026-05-05 08:07:08,756    interpretation: top match = Above reference range (score: 0.9999982124912241)
2026-05-05 08:07:08,759  Step 4: Selecting best matches...
2026-05-05 08:07:09,271  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:07:09,272    Inferred: {
  "finding_site": [
    "Endocrine pancreatic structure"
  ],
  "clinical_course": [
    "Permanent"
  ],
  "occurrence": [
    "Neonatal"
  ]
}
2026-05-05 08:07:09,273  Step 3: Retrieving candidates...
2026-05-05 08:07:09,716  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:07:09,787    finding_site: added 3 values from reference examples
2026-05-05 08:07:09,874    finding_site: added 14 hierarchy neighbors
2026-05-05 08:07:09,875    finding_site: top match = Endocrine pancreatic structure (score: 0.9999988689516822)
2026-05-05 08:07:09,938    occurrence: added 5 hierarchy neighbors
2026-05-05 08:07:09,939    occurrence: top match = Neonatal (score: 0.9999989044092061)
2026-05-05 08:07:09,940  Step 4: Selecting best matches...
2026-05-05 08:07:14,847  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:07:14,854  Total cost: $0.0255
2026-05-05 08:07:14,856  [336/340] Sinus node dysfunction — cost: $0.0255 | total: $5.3485
2026-05-05 08:07:16,292  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:07:16,300  Total cost: $0.0340
2026-05-05 08:07:16,302  [337/340] Chronic tophaceous gout of elbow caused by drug — cost: $0.0340 | total: $5.3824
2026-05-05 08:07:17,114  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:07:17,120  Total cost: $0.0300
2026-05-05 08:07:17,123  [338/340] Permanent neonatal diabetes mellitus — cost: $0.0300 | total: $5.4124
2026-05-05 08:07:21,127  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:07:21,129    Inferred: {
  "occurrence": [
    "maternal pregnancy period"
  ]
}
2026-05-05 08:07:21,130  Step 3: Retrieving candidates...
2026-05-05 08:07:21,574  HTTP Request: POST https://genaiapimna.jnj.com/openai-embeddings/openai/deployments/text-embedding-3-large/embeddings?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:07:21,693    occurrence: added 4 hierarchy neighbors
2026-05-05 08:07:21,694    occurrence: top match = Maternal pregnancy period (score: 0.9638666272582538)
2026-05-05 08:07:21,695  Step 4: Selecting best matches...
2026-05-05 08:07:26,178  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:07:26,184  Total cost: $0.0219
2026-05-05 08:07:26,189  [339/340] Gestation period, 17 weeks — cost: $0.0219 | total: $5.4344
2026-05-05 08:07:28,160  HTTP Request: POST https://genaiapimna.jnj.com/openai-chat/openai/deployments/o3/chat/completions?api-version=2024-12-01-preview "HTTP/1.1 200 OK"
2026-05-05 08:07:28,166  Total cost: $0.0223
2026-05-05 08:07:28,170  [340/340] Cellulitis of leg, excluding foot — cost: $0.0223 | total: $5.4567
2026-05-05 08:07:28,229  Checkpoint saved (340 terms)
2026-05-05 08:07:28,231  
============================================================
Completed: 340 terms, Total cost: $5.4567
2026-05-05 08:07:28,234  Checkpoint file cleaned up

Processed 340 terms. Results saved.
Total API cost: $5.4567
Saved 599 attribute rows to attribute_results.csv
Columns: ['concept_id_1', 'concept_name_1', 'predicted_concept_id_2', 'predicted_concept_name_2', 'predicted_concept_code_2', 'attribute_category']

Out[6]:

	concept_id_1	concept_name_1	predicted_concept_id_2	predicted_concept_name_2	predicted_concept_code_2	attribute_category
0	28462	Fistula of salivary gland	4043006	Fistula	118622000	Has asso morph
1	28462	Fistula of salivary gland	4294042	Salivary gland structure	385294005	Has finding site
2	28461	Hypertrophy of salivary gland	4210465	Hypertrophy	56246009	Has asso morph
3	28461	Hypertrophy of salivary gland	4294042	Salivary gland structure	385294005	Has finding site
4	28714	Syndrome of diencephalo-hypophyseal origin	4227118	Structure of diencephalon	87563008	Has finding site
5	28714	Syndrome of diencephalo-hypophyseal origin	4209428	Pituitary structure	56329008	Has finding site
6	28457	Hypertrophy of tonsils	4210465	Hypertrophy	56246009	Has asso morph
7	28457	Hypertrophy of tonsils	4327174	Palatine tonsillar structure	75573002	Has finding site
8	28403	Gigantism and acromegaly	4200975	Structure of distal part of pituitary	52618001	Has finding site
9	28403	Gigantism and acromegaly	4146194	Hormone production	35188005	Has interprets

Evaluation¶

We evaluate the pipeline results against the gold standard using a full outer join. Each predicted attribute is matched against the expected attribute by (concept_id_1, concept_id_2, attribute_category). This gives us precision, recall, and F1 scores.

In [7]:

from ariadne.hierarchy.evaluator import evaluate_results

# Set output directory relative to project root
cfg.evaluation.output_dir = str(project_root / "data" / "notebook_results")

eval_df = evaluate_results(results, str(attribute_gs_path), cfg=cfg)
eval_df.head(20)

from ariadne.hierarchy.evaluator import evaluate_results # Set output directory relative to project root cfg.evaluation.output_dir = str(project_root / "data" / "notebook_results") eval_df = evaluate_results(results, str(attribute_gs_path), cfg=cfg) eval_df.head(20)

2026-05-05 09:02:11,620  Gold standard rows: 887
2026-05-05 09:02:11,621  Predicted rows:     599
2026-05-05 09:02:11,621  Matched:            479
2026-05-05 09:02:11,622  Precision:          80.0%
2026-05-05 09:02:11,622  Recall:             54.0%
2026-05-05 09:02:11,623  F1:                 64.5%
2026-05-05 09:02:11,639  Combined evaluation saved: E:\git\Ariadne\data\notebook_results\attribute_evaluation.csv (1007 rows)

Out[7]:

	concept_id_1	concept_name_1	attribute_category	gs_concept_id_2	gs_concept_code_2	gs_concept_name_2	predicted_concept_id_2	predicted_concept_code_2	predicted_concept_name_2	matched	status
0	22274	Neoplasm of uncertain behavior of larynx	Has asso morph	4313421.0	86251006.0	Neoplasm of uncertain behavior	NaN	NaN	NaN	False	missed
1	22274	Neoplasm of uncertain behavior of larynx	Has finding site	4262229.0	4596009.0	Laryngeal structure	NaN	NaN	NaN	False	missed
2	22281	Sickle cell-hemoglobin SS disease	Has asso morph	4177967.0	49938009.0	Drepanocyte	NaN	NaN	NaN	False	missed
3	22281	Sickle cell-hemoglobin SS disease	Has causative agent	4178879.0	50095005.0	Hemoglobin S	NaN	NaN	NaN	False	missed
4	22281	Sickle cell-hemoglobin SS disease	Has finding site	4218976.0	41898006.0	Erythrocyte	NaN	NaN	NaN	False	missed
5	22281	Sickle cell-hemoglobin SS disease	Has interpretation	4083207.0	281300000.0	Below reference range	NaN	NaN	NaN	False	missed
6	22281	Sickle cell-hemoglobin SS disease	Has interprets	40480067.0	441689006.0	Measurement of total hemoglobin concentration	NaN	NaN	NaN	False	missed
7	22281	Sickle cell-hemoglobin SS disease	Has occurrence	4116830.0	255399007.0	Congenital	NaN	NaN	NaN	False	missed
8	22288	Hereditary elliptocytosis	Has asso morph	4259404.0	45028007.0	Elliptocyte	NaN	NaN	NaN	False	missed
9	22288	Hereditary elliptocytosis	Has finding site	4218976.0	41898006.0	Erythrocyte	NaN	NaN	NaN	False	missed
10	22288	Hereditary elliptocytosis	Has interpretation	4083207.0	281300000.0	Below reference range	NaN	NaN	NaN	False	missed
11	22288	Hereditary elliptocytosis	Has interpretation	4181412.0	52101004.0	Present	NaN	NaN	NaN	False	missed
12	22288	Hereditary elliptocytosis	Has interprets	4030871.0	14089001.0	Red blood cell count	NaN	NaN	NaN	False	missed
13	22288	Hereditary elliptocytosis	Has interprets	4224294.0	404227002.0	Hemolysis	NaN	NaN	NaN	False	missed
14	22288	Hereditary elliptocytosis	Has interprets	40480067.0	441689006.0	Measurement of total hemoglobin concentration	NaN	NaN	NaN	False	missed
15	22288	Hereditary elliptocytosis	Has occurrence	4116830.0	255399007.0	Congenital	NaN	NaN	NaN	False	missed
16	22288	Hereditary elliptocytosis	Has pathology	4204670.0	308490002.0	Pathological developmental process	NaN	NaN	NaN	False	missed
17	22340	Esophageal varices without bleeding	Has asso morph	4029830.0	12856003.0	Varix	NaN	NaN	NaN	False	missed
18	22340	Esophageal varices without bleeding	Has finding site	4237655.0	90895003.0	Structure of esophageal vein	NaN	NaN	NaN	False	missed
19	22350	Edema of larynx	Has asso morph	4196943.0	79654002.0	Edema	NaN	NaN	NaN	False	missed

Per-category breakdown¶

In [8]:

n_match = (eval_df["status"] == "match").sum()
n_missed = (eval_df["status"] == "missed").sum()
n_extra = (eval_df["status"] == "extra").sum()
n_gs = n_match + n_missed
n_pred = n_match + n_extra

precision = n_match / n_pred * 100 if n_pred else 0.0
recall = n_match / n_gs * 100 if n_gs else 0.0
f1 = 2 * precision * recall / (precision + recall) if (precision + recall) else 0.0

print(f"Gold standard rows: {n_gs}")
print(f"Predicted rows:     {n_pred}")
print(f"Matched:            {n_match}")
print(f"Precision:          {precision:.1f}%")
print(f"Recall:             {recall:.1f}%")
print(f"F1:                 {f1:.1f}%")

breakdown = (
    eval_df.groupby("attribute_category")["status"]
    .value_counts()
    .unstack(fill_value=0)
    .reindex(columns=["match", "missed", "extra"], fill_value=0)
)
breakdown["precision%"] = (
    breakdown["match"] / (breakdown["match"] + breakdown["extra"]).clip(lower=1) * 100
).round(1)
breakdown["recall%"] = (
    breakdown["match"] / (breakdown["match"] + breakdown["missed"]).clip(lower=1) * 100
).round(1)

breakdown

n_match = (eval_df["status"] == "match").sum() n_missed = (eval_df["status"] == "missed").sum() n_extra = (eval_df["status"] == "extra").sum() n_gs = n_match + n_missed n_pred = n_match + n_extra precision = n_match / n_pred * 100 if n_pred else 0.0 recall = n_match / n_gs * 100 if n_gs else 0.0 f1 = 2 * precision * recall / (precision + recall) if (precision + recall) else 0.0 print(f"Gold standard rows: {n_gs}") print(f"Predicted rows: {n_pred}") print(f"Matched: {n_match}") print(f"Precision: {precision:.1f}%") print(f"Recall: {recall:.1f}%") print(f"F1: {f1:.1f}%") breakdown = ( eval_df.groupby("attribute_category")["status"] .value_counts() .unstack(fill_value=0) .reindex(columns=["match", "missed", "extra"], fill_value=0) ) breakdown["precision%"] = ( breakdown["match"] / (breakdown["match"] + breakdown["extra"]).clip(lower=1) * 100 ).round(1) breakdown["recall%"] = ( breakdown["match"] / (breakdown["match"] + breakdown["missed"]).clip(lower=1) * 100 ).round(1) breakdown

Gold standard rows: 887
Predicted rows:     599
Matched:            479
Precision:          80.0%
Recall:             54.0%
F1:                 64.5%

Out[8]:

status	match	missed	extra	precision%	recall%
attribute_category
During	0	1	0	0.0	0.0
Finding asso with	5	2	0	100.0	71.4
Has asso morph	158	121	52	75.2	56.6
Has causative agent	15	8	1	93.8	65.2
Has clinical course	15	19	2	88.2	44.1
Has finding site	193	164	37	83.9	54.1
Has interpretation	18	16	9	66.7	52.9
Has interprets	18	27	9	66.7	40.0
Has occurrence	23	22	7	76.7	51.1
Has pathology	34	28	2	94.4	54.8
Has severity	0	0	1	0.0	0.0

Missed and extra predictions¶

Inspect which attributes were missed by the pipeline and which were incorrectly predicted.

In [9]:

missed = eval_df[eval_df["status"] == "missed"][["concept_id_1", "concept_name_1", "attribute_category", "gs_concept_name_2"]]
print(f"Missed predictions: {len(missed)}")

extra = eval_df[eval_df["status"] == "extra"][["concept_id_1", "concept_name_1", "attribute_category", "predicted_concept_name_2"]]
print(f"Extra predictions: {len(extra)}")

joined = missed.merge(
    extra,
    on=["concept_id_1", "concept_name_1", "attribute_category"],
    how="outer",
    suffixes=("_missed", "_extra"),
    indicator=True
)

joined.head(20)

missed = eval_df[eval_df["status"] == "missed"][["concept_id_1", "concept_name_1", "attribute_category", "gs_concept_name_2"]] print(f"Missed predictions: {len(missed)}") extra = eval_df[eval_df["status"] == "extra"][["concept_id_1", "concept_name_1", "attribute_category", "predicted_concept_name_2"]] print(f"Extra predictions: {len(extra)}") joined = missed.merge( extra, on=["concept_id_1", "concept_name_1", "attribute_category"], how="outer", suffixes=("_missed", "_extra"), indicator=True ) joined.head(20)

Missed predictions: 408
Extra predictions: 120

Out[9]:

	concept_id_1	concept_name_1	attribute_category	gs_concept_name_2	predicted_concept_name_2	_merge
0	22274	Neoplasm of uncertain behavior of larynx	Has asso morph	Neoplasm of uncertain behavior	NaN	left_only
1	22274	Neoplasm of uncertain behavior of larynx	Has finding site	Laryngeal structure	NaN	left_only
2	22281	Sickle cell-hemoglobin SS disease	Has asso morph	Drepanocyte	NaN	left_only
3	22281	Sickle cell-hemoglobin SS disease	Has causative agent	Hemoglobin S	NaN	left_only
4	22281	Sickle cell-hemoglobin SS disease	Has finding site	Erythrocyte	NaN	left_only
5	22281	Sickle cell-hemoglobin SS disease	Has interpretation	Below reference range	NaN	left_only
6	22281	Sickle cell-hemoglobin SS disease	Has interprets	Measurement of total hemoglobin concentration	NaN	left_only
7	22281	Sickle cell-hemoglobin SS disease	Has occurrence	Congenital	NaN	left_only
8	22288	Hereditary elliptocytosis	Has asso morph	Elliptocyte	NaN	left_only
9	22288	Hereditary elliptocytosis	Has finding site	Erythrocyte	NaN	left_only
10	22288	Hereditary elliptocytosis	Has interpretation	Below reference range	NaN	left_only
11	22288	Hereditary elliptocytosis	Has interpretation	Present	NaN	left_only
12	22288	Hereditary elliptocytosis	Has interprets	Red blood cell count	NaN	left_only
13	22288	Hereditary elliptocytosis	Has interprets	Hemolysis	NaN	left_only
14	22288	Hereditary elliptocytosis	Has interprets	Measurement of total hemoglobin concentration	NaN	left_only
15	22288	Hereditary elliptocytosis	Has occurrence	Congenital	NaN	left_only
16	22288	Hereditary elliptocytosis	Has pathology	Pathological developmental process	NaN	left_only
17	22340	Esophageal varices without bleeding	Has asso morph	Varix	NaN	left_only
18	22340	Esophageal varices without bleeding	Has finding site	Structure of esophageal vein	NaN	left_only
19	22350	Edema of larynx	Has asso morph	Edema	NaN	left_only

RF2 Delta Export¶

Convert the predicted attributes to SNOMED CT RF2 delta files for use with the ELK reasoner. Source OMOP concept IDs are remapped to synthetic SCTIDs (starting at 1 000 000 001) to avoid collisions with real SNOMED IDs in the base release.

Concept definitions are expressed as OWL Functional Syntax axioms in the OWL Axiom Reference Set, which gives ELK more precise subsumption semantics than the legacy StatedRelationship format:

• A concept with attributes becomes EquivalentClasses(:src ObjectIntersectionOf(:parent ObjectSomeValuesFrom(:609096000 ...)))
• A concept with no attributes falls back to SubClassOf(:src :parent)

The output ZIP contains files under Delta/:

• Delta/Terminology/sct2_Concept_Delta_INT_{date}.txt — one row per source term (sufficiently defined)
• Delta/Terminology/sct2_StatedRelationship_Delta_INT_{date}.txt — header-only placeholder
• Delta/Terminology/sct2_Relationship_Delta_INT_{date}.txt — header-only placeholder (required by toolkit)
• Delta/Refset/Content/der2_sRefset_OWLAxiomDelta_INT_{date}.txt — OWL axiom per source concept
• Delta/Refset/Metadata/der2_ssRefset_ModuleDependencyDelta_INT_{date}.txt — module dependency

In [ ]:

# ── Stated parent selection via reference-term neighbourhood voting ────────
import importlib
import json
import psycopg
import ariadne.hierarchy.parent_selector as _ps_mod
importlib.reload(_ps_mod)
from ariadne.hierarchy.parent_selector import build_stated_parents_map
from ariadne.utils.utils import get_environment_variable

conn_str = get_environment_variable("VOCAB_CONNECTION_STRING")
conn_str = conn_str.replace("+psycopg", "").replace("+psycopg2", "")
schema = get_environment_variable("VOCAB_SCHEMA")


# Load raw hierarchy results (contains reference_examples with concept_id + similarity)
raw_results_path = project_root / "data" / "notebook_results" / "hierarchy_results_raw.json"
with open(raw_results_path) as fh:
    raw_results = json.load(fh)

print(f"Loaded {len(raw_results)} raw result entries.")

# ── Tuning parameters ─────────────────────────────────────────────────
#   top_k=1: single best parent (reduces ancestor-explosion false positives)
#   min_similarity=0.7: minimum cosine similarity to count a reference term
#   use_attr_filter=True: skip reference terms less specific than the source
PARENT_TOP_K = 2
PARENT_MIN_SIM = 0.6

with psycopg.connect(conn_str) as parent_conn:
    stated_parents_map = build_stated_parents_map(
        raw_results,
        parent_conn,
        schema,
        top_k=PARENT_TOP_K,
        min_similarity=PARENT_MIN_SIM,
        use_attr_filter=True,
    )

# Coverage report
fallback = [v for v in stated_parents_map.values() if v == ["404684003"]]
specific = len(stated_parents_map) - len(fallback)
print(f"\nStated parent coverage (top_k={PARENT_TOP_K}, min_sim={PARENT_MIN_SIM}):")
print(f"  Concepts with specific parent(s) : {specific}/{len(stated_parents_map)}")
print(f"  Fell back to Clinical finding    : {len(fallback)}/{len(stated_parents_map)}")

# Sample 5 concepts with their selected parents
sample_ids = list(stated_parents_map)[:5]
for cid in sample_ids:
    src_name = next((e.get("source_concept_name","?") for e in raw_results
                     if e.get("source_concept_id") == cid), "?")
    print(f"  {src_name!r:50s} → {stated_parents_map[cid]}")

# ── Stated parent selection via reference-term neighbourhood voting ──────── import importlib import json import psycopg import ariadne.hierarchy.parent_selector as _ps_mod importlib.reload(_ps_mod) from ariadne.hierarchy.parent_selector import build_stated_parents_map from ariadne.utils.utils import get_environment_variable conn_str = get_environment_variable("VOCAB_CONNECTION_STRING") conn_str = conn_str.replace("+psycopg", "").replace("+psycopg2", "") schema = get_environment_variable("VOCAB_SCHEMA") # Load raw hierarchy results (contains reference_examples with concept_id + similarity) raw_results_path = project_root / "data" / "notebook_results" / "hierarchy_results_raw.json" with open(raw_results_path) as fh: raw_results = json.load(fh) print(f"Loaded {len(raw_results)} raw result entries.") # ── Tuning parameters ───────────────────────────────────────────────── # top_k=1: single best parent (reduces ancestor-explosion false positives) # min_similarity=0.7: minimum cosine similarity to count a reference term # use_attr_filter=True: skip reference terms less specific than the source PARENT_TOP_K = 2 PARENT_MIN_SIM = 0.6 with psycopg.connect(conn_str) as parent_conn: stated_parents_map = build_stated_parents_map( raw_results, parent_conn, schema, top_k=PARENT_TOP_K, min_similarity=PARENT_MIN_SIM, use_attr_filter=True, ) # Coverage report fallback = [v for v in stated_parents_map.values() if v == ["404684003"]] specific = len(stated_parents_map) - len(fallback) print(f"\nStated parent coverage (top_k={PARENT_TOP_K}, min_sim={PARENT_MIN_SIM}):") print(f" Concepts with specific parent(s) : {specific}/{len(stated_parents_map)}") print(f" Fell back to Clinical finding : {len(fallback)}/{len(stated_parents_map)}") # Sample 5 concepts with their selected parents sample_ids = list(stated_parents_map)[:5] for cid in sample_ids: src_name = next((e.get("source_concept_name","?") for e in raw_results if e.get("source_concept_id") == cid), "?") print(f" {src_name!r:50s} → {stated_parents_map[cid]}")

In [ ]:

import importlib, sys, shutil

# Force a fresh import — drop ALL ariadne.hierarchy modules from cache
for mod_name in list(sys.modules.keys()):
    if mod_name.startswith("ariadne"):
        del sys.modules[mod_name]

from ariadne.hierarchy.rf2_exporter import export_to_rf2

rf2_output_dir = project_root / "data" / "rf2_output"
# Clean previous delta files to avoid stale artifacts
old_delta = rf2_output_dir / "SnomedCT_YourDelta"
if old_delta.exists():
    shutil.rmtree(old_delta)
old_delta2 = rf2_output_dir / "Delta"
if old_delta2.exists():
    shutil.rmtree(old_delta2)

zip_path, id_map = export_to_rf2(
    source=project_root / "data" / "notebook_results" / "attribute_results.csv",
    output_dir=rf2_output_dir,
    stated_parent=stated_parents_map,   # per-concept parents from neighbourhood voting
)
print(f"RF2 delta written to: {zip_path}")
print(f"ID mapping: {len(id_map)} concepts (OMOP → synthetic)")

# Verify OWL content inline
import zipfile
with zipfile.ZipFile(zip_path) as zf:
    owl_name = next(n for n in zf.namelist() if "OWLAxiom" in n)
    with zf.open(owl_name) as f:
        owl_lines = f.read().decode("utf-8").splitlines()
print(f"OWL axiom rows: {len(owl_lines) - 1}")
if owl_lines[1:]:
    sample = owl_lines[1].split("\t")
    print(f"Sample expression: {sample[-1][:150]}")
id_map.head()

import importlib, sys, shutil # Force a fresh import — drop ALL ariadne.hierarchy modules from cache for mod_name in list(sys.modules.keys()): if mod_name.startswith("ariadne"): del sys.modules[mod_name] from ariadne.hierarchy.rf2_exporter import export_to_rf2 rf2_output_dir = project_root / "data" / "rf2_output" # Clean previous delta files to avoid stale artifacts old_delta = rf2_output_dir / "SnomedCT_YourDelta" if old_delta.exists(): shutil.rmtree(old_delta) old_delta2 = rf2_output_dir / "Delta" if old_delta2.exists(): shutil.rmtree(old_delta2) zip_path, id_map = export_to_rf2( source=project_root / "data" / "notebook_results" / "attribute_results.csv", output_dir=rf2_output_dir, stated_parent=stated_parents_map, # per-concept parents from neighbourhood voting ) print(f"RF2 delta written to: {zip_path}") print(f"ID mapping: {len(id_map)} concepts (OMOP → synthetic)") # Verify OWL content inline import zipfile with zipfile.ZipFile(zip_path) as zf: owl_name = next(n for n in zf.namelist() if "OWLAxiom" in n) with zf.open(owl_name) as f: owl_lines = f.read().decode("utf-8").splitlines() print(f"OWL axiom rows: {len(owl_lines) - 1}") if owl_lines[1:]: sample = owl_lines[1].split("\t") print(f"Sample expression: {sample[-1][:150]}") id_map.head()

SNOMED Classification (ELK Reasoner)¶

Run the ELK OWL EL++ classifier (via snomed-owl-toolkit) to infer Is a (parent) relationships from the predicted attributes.

The classifier takes the RF2 delta ZIP produced above and a base SNOMED CT International Edition snapshot, converts both to OWL, runs ELK, and returns the inferred parent relationships.

Prerequisites¶

• Java 17+ installed and on PATH
• snomed-owl-toolkit JAR — download from GitHub releases
• SNOMED CT International Edition RF2 snapshot — obtain from MLDS

Pre-classification validation¶

Check the RF2 delta for structural issues before sending it to the classifier.

In [ ]:

from ariadne.hierarchy.classifier import (
    classify_delta,
    classification_summary,
    parse_classification_results,
    pre_classification_checks,
    resolve_parent_names,
)

delta_zip = project_root / "data" / "rf2_output" / next(
    f.name for f in (project_root / "data" / "rf2_output").iterdir()
    if f.name.startswith("snomed_delta_") and f.name.endswith(".zip")
)
print(f"Delta ZIP: {delta_zip}")

issues = pre_classification_checks(delta_zip)
if issues:
    print("⚠️  Issues found:")
    for issue in issues:
        print(f"  - {issue}")
else:
    print("✅ All pre-classification checks passed.")

from ariadne.hierarchy.classifier import ( classify_delta, classification_summary, parse_classification_results, pre_classification_checks, resolve_parent_names, ) delta_zip = project_root / "data" / "rf2_output" / next( f.name for f in (project_root / "data" / "rf2_output").iterdir() if f.name.startswith("snomed_delta_") and f.name.endswith(".zip") ) print(f"Delta ZIP: {delta_zip}") issues = pre_classification_checks(delta_zip) if issues: print("⚠️ Issues found:") for issue in issues: print(f" - {issue}") else: print("✅ All pre-classification checks passed.")

Run classification¶

This step takes ~90-120 seconds (dominated by loading the base SNOMED release). The snomed-owl-toolkit converts RF2 → OWL, runs ELK, and produces a results ZIP with the inferred "Is a" relationships.

In [ ]:

results_zip = classify_delta(
    delta_zip,
    base_snomed_zip=str(project_root / "data" / "SnomedCT_InternationalRF2.zip"),
    toolkit_jar=str(project_root / "tools" / "snomed-owl-toolkit-5.3.0-executable.jar"),
    output_dir=project_root / "data" / "rf2_output",
)
print(f"Classification results: {results_zip}")

results_zip = classify_delta( delta_zip, base_snomed_zip=str(project_root / "data" / "SnomedCT_InternationalRF2.zip"), toolkit_jar=str(project_root / "tools" / "snomed-owl-toolkit-5.3.0-executable.jar"), output_dir=project_root / "data" / "rf2_output", ) print(f"Classification results: {results_zip}")

Parse results and resolve names¶

Extract the new inferred "Is a" relationships and resolve SNOMED concept names.

In [ ]:

new_is_a, removed, equiv_df = parse_classification_results(results_zip)

print(f"New inferred 'Is a' relationships: {len(new_is_a)}")
print(f"Redundant relationships removed:   {len(removed)}")
print(f"Equivalent concept rows:           {len(equiv_df)}")

# Build lookup structures
synth_to_omop = dict(zip(
    id_map["synthetic_sctid"].astype(str),
    id_map["omop_concept_id"].astype(str),
))
synth_ids = set(id_map["synthetic_sctid"].astype(str))

# src_name_map: OMOP ID → concept name (from id_map + attribute_gs override)
src_name_map = {}
for _, m in id_map.iterrows():
    omop_str = str(m["omop_concept_id"])
    if str(m.get("concept_name", "")):
        src_name_map[omop_str] = str(m["concept_name"])
for _, gs_row in attribute_gs.iterrows():
    src_name_map[str(gs_row["concept_id_1"])] = gs_row["concept_name_1"]

# Collect all real SCTIDs that appear as ELK results (parents or children)
real_sctids = set()
for _, row in new_is_a.iterrows():
    src, dest = str(row["sourceId"]), str(row["destinationId"])
    src_is_synth = src in synth_ids
    dest_is_synth = dest in synth_ids
    if src_is_synth and not dest_is_synth:
        real_sctids.add(dest)
    elif not src_is_synth and dest_is_synth:
        real_sctids.add(src)

# Resolve SCTID → concept_name for display (keep SCTID as the ID)
sctid_name_map: dict[str, str] = {}
if real_sctids:
    with psycopg.connect(conn_str) as conn:
        with conn.cursor() as cur:
            cur.execute(
                f"""
                SELECT concept_code, concept_name
                FROM {schema}.concept
                WHERE vocabulary_id = 'SNOMED'
                  AND concept_code = ANY(%s)
                """,
                (list(real_sctids),),
            )
            for code, name in cur.fetchall():
                sctid_name_map[str(code)] = name

unmapped = real_sctids - set(sctid_name_map)
if unmapped:
    print(f"{len(unmapped)} SCTIDs not found in CONCEPT table (will keep SCTID as fallback)")

# Build equivalence pairs from the ELK equivalences refset
# Group by mapTarget UUID — concepts sharing the same group are equivalent
from collections import defaultdict
equiv_groups: dict[str, list[str]] = defaultdict(list)
for _, row in equiv_df.iterrows():
    sctid = str(row["referencedComponentId"])
    group = str(row["mapTarget"])
    equiv_groups[group].append(sctid)

# Generate "Maps to" pairs from equivalence groups (all pairwise within group)
equiv_pairs_set: set[tuple[str, str]] = set()
for group_members in equiv_groups.values():
    # Only keep pairs where at least one member is a synthetic (delta) concept
    synth_members = [m for m in group_members if m in synth_ids]
    if not synth_members:
        continue
    for i, a in enumerate(group_members):
        for b in group_members[i+1:]:
            if a in synth_ids or b in synth_ids:
                equiv_pairs_set.add((min(a, b), max(a, b)))

print(f"Equivalence groups: {len(equiv_groups)}, pairs involving delta concepts: {len(equiv_pairs_set)}")

# Build parents_df
rows = []
skipped_base_only = 0
for _, row in new_is_a.iterrows():
    src, dest = str(row["sourceId"]), str(row["destinationId"])
    src_is_synth = src in synth_ids
    dest_is_synth = dest in synth_ids

    if src_is_synth and dest_is_synth:
        continue  # inter-delta hierarchy handled via equivalences
    if not src_is_synth and not dest_is_synth:
        skipped_base_only += 1
        continue

    if src_is_synth and not dest_is_synth:
        omop_id = synth_to_omop[src]
        rows.append({
            "concept_id_1":   omop_id,
            "concept_name_1": src_name_map.get(omop_id, omop_id),
            "relationship_id": "Is a",
            "concept_code_2": dest,
            "concept_name_2": sctid_name_map.get(dest, dest),
        })
    else:
        omop_id = synth_to_omop[dest]
        rows.append({
            "concept_id_1":   omop_id,
            "concept_name_1": src_name_map.get(omop_id, omop_id),
            "relationship_id": "Subsumes",
            "concept_code_2": src,
            "concept_name_2": sctid_name_map.get(src, src),
        })

# Add equivalent pairs as "Maps to"
for a, b in equiv_pairs_set:
    a_is_synth = a in synth_ids
    b_is_synth = b in synth_ids
    if a_is_synth and b_is_synth:
        # Both are delta concepts → use OMOP IDs
        omop_a = synth_to_omop[a]
        omop_b = synth_to_omop[b]
        rows.append({
            "concept_id_1":   omop_a,
            "concept_name_1": src_name_map.get(omop_a, omop_a),
            "relationship_id": "Maps to",
            "concept_code_2": omop_b,
            "concept_name_2": src_name_map.get(omop_b, omop_b),
        })
    elif a_is_synth:
        # a is delta, b is real SNOMED
        omop_a = synth_to_omop[a]
        rows.append({
            "concept_id_1":   omop_a,
            "concept_name_1": src_name_map.get(omop_a, omop_a),
            "relationship_id": "Maps to",
            "concept_code_2": b,
            "concept_name_2": sctid_name_map.get(b, b),
        })
    else:
        # b is delta, a is real SNOMED
        omop_b = synth_to_omop[b]
        rows.append({
            "concept_id_1":   omop_b,
            "concept_name_1": src_name_map.get(omop_b, omop_b),
            "relationship_id": "Maps to",
            "concept_code_2": a,
            "concept_name_2": sctid_name_map.get(a, a),
        })

parents_df = pd.DataFrame(rows, columns=[
    "concept_id_1", "concept_name_1", "relationship_id",
    "concept_code_2", "concept_name_2",
])

parents_csv = project_root / "data" / "notebook_results" / "classification_parents.csv"
parents_df.to_csv(parents_csv, index=False)

n_maps_to = (parents_df["relationship_id"] == "Maps to").sum()
print(f"Saved {len(parents_df)} parent relationships → classification_parents.csv")
print(f"  'Is a'     : {(parents_df['relationship_id']=='Is a').sum()}")
print(f"  'Subsumes' : {(parents_df['relationship_id']=='Subsumes').sum()}")
print(f"  'Maps to'  : {n_maps_to}")
parents_df.head(20)

new_is_a, removed, equiv_df = parse_classification_results(results_zip) print(f"New inferred 'Is a' relationships: {len(new_is_a)}") print(f"Redundant relationships removed: {len(removed)}") print(f"Equivalent concept rows: {len(equiv_df)}") # Build lookup structures synth_to_omop = dict(zip( id_map["synthetic_sctid"].astype(str), id_map["omop_concept_id"].astype(str), )) synth_ids = set(id_map["synthetic_sctid"].astype(str)) # src_name_map: OMOP ID → concept name (from id_map + attribute_gs override) src_name_map = {} for _, m in id_map.iterrows(): omop_str = str(m["omop_concept_id"]) if str(m.get("concept_name", "")): src_name_map[omop_str] = str(m["concept_name"]) for _, gs_row in attribute_gs.iterrows(): src_name_map[str(gs_row["concept_id_1"])] = gs_row["concept_name_1"] # Collect all real SCTIDs that appear as ELK results (parents or children) real_sctids = set() for _, row in new_is_a.iterrows(): src, dest = str(row["sourceId"]), str(row["destinationId"]) src_is_synth = src in synth_ids dest_is_synth = dest in synth_ids if src_is_synth and not dest_is_synth: real_sctids.add(dest) elif not src_is_synth and dest_is_synth: real_sctids.add(src) # Resolve SCTID → concept_name for display (keep SCTID as the ID) sctid_name_map: dict[str, str] = {} if real_sctids: with psycopg.connect(conn_str) as conn: with conn.cursor() as cur: cur.execute( f""" SELECT concept_code, concept_name FROM {schema}.concept WHERE vocabulary_id = 'SNOMED' AND concept_code = ANY(%s) """, (list(real_sctids),), ) for code, name in cur.fetchall(): sctid_name_map[str(code)] = name unmapped = real_sctids - set(sctid_name_map) if unmapped: print(f"{len(unmapped)} SCTIDs not found in CONCEPT table (will keep SCTID as fallback)") # Build equivalence pairs from the ELK equivalences refset # Group by mapTarget UUID — concepts sharing the same group are equivalent from collections import defaultdict equiv_groups: dict[str, list[str]] = defaultdict(list) for _, row in equiv_df.iterrows(): sctid = str(row["referencedComponentId"]) group = str(row["mapTarget"]) equiv_groups[group].append(sctid) # Generate "Maps to" pairs from equivalence groups (all pairwise within group) equiv_pairs_set: set[tuple[str, str]] = set() for group_members in equiv_groups.values(): # Only keep pairs where at least one member is a synthetic (delta) concept synth_members = [m for m in group_members if m in synth_ids] if not synth_members: continue for i, a in enumerate(group_members): for b in group_members[i+1:]: if a in synth_ids or b in synth_ids: equiv_pairs_set.add((min(a, b), max(a, b))) print(f"Equivalence groups: {len(equiv_groups)}, pairs involving delta concepts: {len(equiv_pairs_set)}") # Build parents_df rows = [] skipped_base_only = 0 for _, row in new_is_a.iterrows(): src, dest = str(row["sourceId"]), str(row["destinationId"]) src_is_synth = src in synth_ids dest_is_synth = dest in synth_ids if src_is_synth and dest_is_synth: continue # inter-delta hierarchy handled via equivalences if not src_is_synth and not dest_is_synth: skipped_base_only += 1 continue if src_is_synth and not dest_is_synth: omop_id = synth_to_omop[src] rows.append({ "concept_id_1": omop_id, "concept_name_1": src_name_map.get(omop_id, omop_id), "relationship_id": "Is a", "concept_code_2": dest, "concept_name_2": sctid_name_map.get(dest, dest), }) else: omop_id = synth_to_omop[dest] rows.append({ "concept_id_1": omop_id, "concept_name_1": src_name_map.get(omop_id, omop_id), "relationship_id": "Subsumes", "concept_code_2": src, "concept_name_2": sctid_name_map.get(src, src), }) # Add equivalent pairs as "Maps to" for a, b in equiv_pairs_set: a_is_synth = a in synth_ids b_is_synth = b in synth_ids if a_is_synth and b_is_synth: # Both are delta concepts → use OMOP IDs omop_a = synth_to_omop[a] omop_b = synth_to_omop[b] rows.append({ "concept_id_1": omop_a, "concept_name_1": src_name_map.get(omop_a, omop_a), "relationship_id": "Maps to", "concept_code_2": omop_b, "concept_name_2": src_name_map.get(omop_b, omop_b), }) elif a_is_synth: # a is delta, b is real SNOMED omop_a = synth_to_omop[a] rows.append({ "concept_id_1": omop_a, "concept_name_1": src_name_map.get(omop_a, omop_a), "relationship_id": "Maps to", "concept_code_2": b, "concept_name_2": sctid_name_map.get(b, b), }) else: # b is delta, a is real SNOMED omop_b = synth_to_omop[b] rows.append({ "concept_id_1": omop_b, "concept_name_1": src_name_map.get(omop_b, omop_b), "relationship_id": "Maps to", "concept_code_2": a, "concept_name_2": sctid_name_map.get(a, a), }) parents_df = pd.DataFrame(rows, columns=[ "concept_id_1", "concept_name_1", "relationship_id", "concept_code_2", "concept_name_2", ]) parents_csv = project_root / "data" / "notebook_results" / "classification_parents.csv" parents_df.to_csv(parents_csv, index=False) n_maps_to = (parents_df["relationship_id"] == "Maps to").sum() print(f"Saved {len(parents_df)} parent relationships → classification_parents.csv") print(f" 'Is a' : {(parents_df['relationship_id']=='Is a').sum()}") print(f" 'Subsumes' : {(parents_df['relationship_id']=='Subsumes').sum()}") print(f" 'Maps to' : {n_maps_to}") parents_df.head(20)

Evaluation: inferred parents vs parent gold standard¶

Compare the ELK-inferred "Is a" parents against the actual direct "Is a" relationships from the parent gold standard (hierarchy_snomed_gs.csv)

In [ ]:

# ── Evaluation: concept-level breakdown ────────────────────────────────────
# For each source concept, determine the outcome:
#   - "Maps to":  equivalent to an existing SNOMED concept (exact match via ELK)
#   - "Is a":     correctly placed under a GS parent (concept_code_2 matches GS)
#   - "Subsumes": correctly subsumes a real SNOMED concept (concept_code_2 matches GS)

parent_gs_path = project_root / "data" / "gold_standards" / "hierarchy_snomed_gs.csv"
parent_gs = pd.read_csv(parent_gs_path, dtype={"concept_code_2": str})

# Ensure consistent types for join keys
parent_gs["concept_id_1"] = parent_gs["concept_id_1"].astype(str)
parent_gs["concept_code_2"] = parent_gs["concept_code_2"].astype(str)

source_ids = set(str(s) for s in attribute_gs["concept_id_1"].unique())
total_source = len(source_ids)

# GS set: (concept_id_1, concept_code_2)
actual_gs = parent_gs[parent_gs["concept_id_1"].isin(source_ids)]
actual_set = {
    (r["concept_id_1"], r["concept_code_2"])
    for _, r in actual_gs.iterrows()
}
print(f"Actual 'Is a' pairs from GS : {len(actual_set)}")

# ── Ensure parents_df keys are strings too ────────────────────────────────
parents_df["concept_id_1"] = parents_df["concept_id_1"].astype(str)
parents_df["concept_code_2"] = parents_df["concept_code_2"].astype(str)

# ── Per-relationship-type sets of source concepts ─────────────────────────
# Concepts with "Maps to" (equivalent to existing SNOMED)
maps_to_df = parents_df[parents_df["relationship_id"] == "Maps to"]
maps_to_concepts = set(maps_to_df["concept_id_1"]) & source_ids

# Concepts with "Is a" where predicted parent matches GS
is_a_df = parents_df[parents_df["relationship_id"] == "Is a"]
predicted_is_a = {
    (row["concept_id_1"], row["concept_code_2"])
    for _, row in is_a_df.iterrows()
}
is_a_correct = predicted_is_a & actual_set
is_a_correct_concepts = {sid for sid, _ in is_a_correct}

# Concepts with "Subsumes"
subsumes_df = parents_df[parents_df["relationship_id"] == "Subsumes"]
subsumes_concepts = set(subsumes_df["concept_id_1"]) & source_ids

# All predicted "Is a" source concepts (regardless of correctness)
is_a_all_concepts = set(is_a_df["concept_id_1"]) & source_ids

# ── Print concept-level summary ───────────────────────────────────────────
print(f"\n{'Category':<45s} {'Count':>6s} {'%':>7s}")
print("-" * 60)
print(f"{'Total source concepts':<45s} {total_source:>6d} {'100.0%':>7s}")
print(f"{'Maps to (equivalent to existing SNOMED)':<45s} {len(maps_to_concepts):>6d} {len(maps_to_concepts)/total_source*100:>6.1f}%")
print(f"{'Is a — matches GS parent (same code)':<45s} {len(is_a_correct_concepts):>6d} {len(is_a_correct_concepts)/total_source*100:>6.1f}%")
print(f"{'Is a — any predicted parent':<45s} {len(is_a_all_concepts):>6d} {len(is_a_all_concepts)/total_source*100:>6.1f}%")
print(f"{'Subsumes (subsumes a real SNOMED concept)':<45s} {len(subsumes_concepts):>6d} {len(subsumes_concepts)/total_source*100:>6.1f}%")

# ── Evaluation: concept-level breakdown ──────────────────────────────────── # For each source concept, determine the outcome: # - "Maps to": equivalent to an existing SNOMED concept (exact match via ELK) # - "Is a": correctly placed under a GS parent (concept_code_2 matches GS) # - "Subsumes": correctly subsumes a real SNOMED concept (concept_code_2 matches GS) parent_gs_path = project_root / "data" / "gold_standards" / "hierarchy_snomed_gs.csv" parent_gs = pd.read_csv(parent_gs_path, dtype={"concept_code_2": str}) # Ensure consistent types for join keys parent_gs["concept_id_1"] = parent_gs["concept_id_1"].astype(str) parent_gs["concept_code_2"] = parent_gs["concept_code_2"].astype(str) source_ids = set(str(s) for s in attribute_gs["concept_id_1"].unique()) total_source = len(source_ids) # GS set: (concept_id_1, concept_code_2) actual_gs = parent_gs[parent_gs["concept_id_1"].isin(source_ids)] actual_set = { (r["concept_id_1"], r["concept_code_2"]) for _, r in actual_gs.iterrows() } print(f"Actual 'Is a' pairs from GS : {len(actual_set)}") # ── Ensure parents_df keys are strings too ──────────────────────────────── parents_df["concept_id_1"] = parents_df["concept_id_1"].astype(str) parents_df["concept_code_2"] = parents_df["concept_code_2"].astype(str) # ── Per-relationship-type sets of source concepts ───────────────────────── # Concepts with "Maps to" (equivalent to existing SNOMED) maps_to_df = parents_df[parents_df["relationship_id"] == "Maps to"] maps_to_concepts = set(maps_to_df["concept_id_1"]) & source_ids # Concepts with "Is a" where predicted parent matches GS is_a_df = parents_df[parents_df["relationship_id"] == "Is a"] predicted_is_a = { (row["concept_id_1"], row["concept_code_2"]) for _, row in is_a_df.iterrows() } is_a_correct = predicted_is_a & actual_set is_a_correct_concepts = {sid for sid, _ in is_a_correct} # Concepts with "Subsumes" subsumes_df = parents_df[parents_df["relationship_id"] == "Subsumes"] subsumes_concepts = set(subsumes_df["concept_id_1"]) & source_ids # All predicted "Is a" source concepts (regardless of correctness) is_a_all_concepts = set(is_a_df["concept_id_1"]) & source_ids # ── Print concept-level summary ─────────────────────────────────────────── print(f"\n{'Category':<45s} {'Count':>6s} {'%':>7s}") print("-" * 60) print(f"{'Total source concepts':<45s} {total_source:>6d} {'100.0%':>7s}") print(f"{'Maps to (equivalent to existing SNOMED)':<45s} {len(maps_to_concepts):>6d} {len(maps_to_concepts)/total_source*100:>6.1f}%") print(f"{'Is a — matches GS parent (same code)':<45s} {len(is_a_correct_concepts):>6d} {len(is_a_correct_concepts)/total_source*100:>6.1f}%") print(f"{'Is a — any predicted parent':<45s} {len(is_a_all_concepts):>6d} {len(is_a_all_concepts)/total_source*100:>6.1f}%") print(f"{'Subsumes (subsumes a real SNOMED concept)':<45s} {len(subsumes_concepts):>6d} {len(subsumes_concepts)/total_source*100:>6.1f}%")