patient_id_21097921.json

{
  "patient_id": "21097921",
  "tool_results": [
    {
      "tool_id": "324",
      "tool_name": "CURB-65 Score for Pneumonia Severity",
      "params": {
        "Confusion": "Yes",
        "BUN >19 mg/dL (>7 mmol/L urea)": "No",
        "Respiratory Rate >=30": "No",
        "Systolic BP ": "No",
        "Age >=65": "No"
      },
      "tool_summary": "CURB-65 Score: [1, low risk group: 2.7% 30-day mortality]"
    },
    {
      "tool_id": "10278",
      "tool_name": "PIRO Score for Community-Acquired Pneumonia",
      "params": {
        "Comorbitities (COPD or immunocompromised)": "No",
        "Age >70 years": "No",
        "Bacteremia": "No",
        "Multilobar opacities in chest radiograph": "No",
        "Shock": "No",
        "Severe hypoxemia": "Yes",
        "Acute renal failure": "No",
        "Acute respiratory distress syndrome": "No"
      },
      "tool_summary": "PIRO Score: [1, Low risk]"
    },
    {
      "tool_id": "10277",
      "tool_name": "Rome IV Diagnostic Criteria for Reflux Hypersensitivity",
      "params": {
        "Retrosternal symptoms including heartburn and chest pain": "Yes",
        "Normal endoscopy and absence of evidence that EoE is the cause for symptoms": "Yes",
        "Absence of major esophageal motor disorders (achalasia/EGJ outflow obstruction, diffuse esophageal spasm, jackhammer esophagus, absent peristalsis)": "Yes",
        "Evidence of triggering of symptoms by reflux events despite normal acid exposure on pH or pH-impedance monitoring (response to antisecretory therapy does not exclude the diagnosis)": "Yes"
      },
      "tool_summary": "Rome IV for Reflux Hypersensitivity: [Positive, moderate risk of reflux hypersensitivity]"
    },
    {
      "tool_id": "3992",
      "tool_name": "STOP-BANG Score for Obstructive Sleep Apnea",
      "params": {
        "Do you snore loudly?": "Yes",
        "Do you often feel tired, fatigued, or sleepy during the daytime?": "Yes",
        "Has anyone observed you stop breathing during sleep?": "No",
        "Do you have (or are you being treated for) high blood pressure?": "Yes",
        "BMI": ">35 kg/m²",
        "Age": ">50 years",
        "Neck circumference": ">40 cm",
        "Gender": "Male"
      },
      "tool_summary": "STOP-BANG Score: [7, high risk for moderate to severe OSA]"
    },
    {
      "tool_id": "10051",
      "tool_name": "HOSPITAL Score for Readmissions",
      "params": {
        "Hemoglobin level at discharge, g/dL": "<12 ",
        "Discharged from oncology service": "No",
        "Sodium level at discharge, mEq/L": ">=135 ",
        "Any ICD-9 coded procedure performed during hospital stay": "No",
        "Index admission type": "Urgent or emergent",
        "Number of hospital admissions during the previous year": "2-5",
        "Length of stay": ">=5 days"
      },
      "tool_summary": "HOSPITAL Score: [6 points, Intermediate risk of potentially avoidable 30-day readmission - 12.0%]"
    },
    {
      "tool_id": "10190",
      "tool_name": "Malnutrition Universal Screening Tool (MUST)",
      "params": {
        "BMI, kg/m2": ">20",
        "Unplanned weight loss in past 3-6 months": "<5%",
        "Patient is acutely ill and there has been or is likely to be no nutritional intake for >5 days": "No"
      },
      "tool_summary": "MUST Score: [0, Low]"
    },
    {
      "tool_id": "10161",
      "tool_name": "COPD Assessment Test (CAT)",
      "params": {
        "Cough": "2",
        "Phlegm": "2",
        "Chest tightness": "3",
        "Breathlessness": "4",
        "Activities": "3",
        "Confidence": "3",
        "Sleep": "3",
        "Energy": "4"
      },
      "tool_summary": "COPD Assessment Test (CAT): [24, high health impact]"
    },
    {
      "tool_id": "10097",
      "tool_name": "Preoperative Mortality Predictor (PMP) Score",
      "params": {
        "Inpatient": "Yes",
        "Sepsis": "No",
        "Poor functional status": "No",
        "Disseminated cancer": "No",
        "Age, years": "<65",
        "Cardiac comorbidity": "Yes",
        "Pulmonary comorbidity": "Yes",
        "Renal comorbidity": "No",
        "Liver comorbidity": "No",
        "Steroids for chronic condition": "No",
        "Weight loss": "No",
        "Bleeding disorder": "No",
        "DNR status": "No",
        "Obesity": "Yes"
      },
      "tool_summary": "Mini Score: [13, 2.4% risk of perioperative mortality]"
    },
    {
      "tool_id": "10485",
      "tool_name": "RibScore",
      "params": {
        ">=6 fractures": "No",
        "Bilateral fractures": "No",
        "Flail chest": "No",
        ">=3 severely (bicortical) displaced fractures": "No",
        "First rib fracture": "No",
        ">=1 fracture in all three anatomic areas (anterior, lateral, and posterior)": "No"
      },
      "tool_summary": "RibScore: [0, low risk of pneumonia, respiratory failure, and tracheostomy]"
    },
    {
      "tool_id": "10520",
      "tool_name": "Obesity Surgery Mortality Risk Score (OS-MRS)",
      "params": {
        "BMI >=50 kg/m2": "No",
        "Male gender": "Yes",
        "Hypertension": "Yes",
        "Risk of PE": "No",
        "Age >=45 years": "Yes"
      },
      "tool_summary": "Mini score: [3 points, mortality rate 1.9% - Class B]."
    },
    {
      "tool_id": "10295",
      "tool_name": "Rome IV Diagnostic Criteria for Belching Disorders",
      "params": {
        "Bothersome (i.e., severe enough to impact on usual activities) belching from the esophagus more than 3 days a week": "No",
        "Bothersome (i.e., severe enough to impact on usual activities) belching from the stomach  more than 3 days a week": "No"
      },
      "tool_summary": "Rome IV Diagnostic Criteria for Belching Disorders: [Negative, low risk for excessive belching disorders]"
    },
    {
      "tool_id": "3998",
      "tool_name": "ALT-70 Score for Cellulitis",
      "params": {
        "Asymmetric": "No",
        "Age >=70 years": "No",
        "WBC in ED >=10,000/µL": "No",
        "HR in ED >=90 bpm": "No"
      },
      "tool_summary": "ALT-70 Score for Pseudocellulitis: [0, Reassess - >83.3% likelihood of pseudocellulitis]"
    },
    {
      "tool_id": "10462",
      "tool_name": "American Urological Association Symptom Index (AUA-SI)/International Prostate Symptom Score (IPSS)",
      "params": {
        "Incomplete emptying: How often have you had the sensation of not emptying your bladder?": "Not at all",
        "Frequency: How often have you had to urinate less than every two hours?": "Not at all",
        "Intermittency: How often have you found you stopped and started again several times when you urinated?": "Not at all",
        "Urgency: How often have you found it difficult to postpone urination?": "Not at all",
        "Weak stream: How often have you had a weak urinary stream?": "Not at all",
        "Straining: How often have you had to strain to start urination?": "Not at all",
        "Nocturia: How many times do you typically get up at night to urinate?": "None",
        "If you were to spend the rest of your life with your urinary condition just the way it is now, how would you feel about that?": "Delighted"
      },
      "tool_summary": "AUA-SI/IPSS Score: [0, Mild BPH symptom severity]"
    },
    {
      "tool_id": "10143",
      "tool_name": "RESP (Respiratory ECMO Survival Prediction) Score",
      "params": {
        "Age, years": ">=60",
        "Immunocompromised status at time of ECMO": "No",
        "Mechanically ventilated before ECMO initiated": "<48 hours",
        "Diagnosis": "Aspiration pneumonitis",
        "History of central nervous system dysfunction": "Yes",
        "Acute associated nonpulmonary infection": "No",
        "Neuromuscular blockade before ECMO": "No",
        "Nitric oxide before ECMO": "No",
        "Bicarbonate infusion before ECMO": "No",
        "Cardiac arrest before ECMO": "No",
        "PaCO₂ >=75 mmHg (>=10 kPa)": "No",
        "Peak inspiratory pressure >=42 cm H₂O (>=4.1 kPa)": "No"
      },
      "tool_summary": "RESP Score: [-2, Class IV], In-hospital survival: [33%, high risk]"
    },
    {
      "tool_id": "10016",
      "tool_name": "Dual Antiplatelet Therapy (DAPT) Score",
      "params": {
        "Age, years": "<65",
        "Cigarette smoking": "No",
        "Diabetes mellitus": "Yes",
        "MI at presentation": "No",
        "Prior PCI or prior MI": "No",
        "Paclitaxel-eluting stent": "No",
        "Stent diameter <3 mm": "No",
        "CHF or LVEF <30%": "No",
        "Vein graft stent": "No"
      },
      "tool_summary": "DAPT Score: [1, low risk]"
    },
    {
      "tool_id": "10552",
      "tool_name": "PECARN Cervical Spine Injury Prediction Rule",
      "params": {
        "Glasgow Coma Score": "15",
        "AVPU": "Alert and conscious",
        "Abnormal airway, breathing, or circulation": "Yes",
        "Focal neurologic deficits": "No",
        "Other signs of altered mental status": "Yes",
        "Self-reported neck pain or neck tenderness on examination": "No",
        "Substantial head or torso injury": "No"
      },
      "tool_summary": "PECARN C-Spine Score: [12.1%, moderate risk of c-spine injury]"
    },
    {
      "tool_id": "10128",
      "tool_name": "Patient Activity Scale II (PAS II) for RA",
      "params": {
        "Stand up from a straight chair": "With some difficulty",
        "Walk outdoors on flat ground": "With some difficulty",
        "Get on and off the toilet": "Without any difficulty",
        "Reach and get down a 5-pound object (such as a bag of sugar) from just above the head": "With some difficulty",
        "Open car doors": "Without any difficulty",
        "Do outside work (such as yard work)": "With much difficulty",
        "Wait in a line for 15 minutes": "With some difficulty",
        "Lift heavy objects": "With much difficulty",
        "Move heavy objects": "With much difficulty",
        "Go up 2 or more flights of stairs": "With much difficulty",
        "Ask patient to rate pain on a scale of 0-10, where 10 is the worst pain imaginable": "6",
        "Ask patient to rate how well they are doing in the past week considering all the ways their disease affects them on a scale of 0-10, where 10 is the worst": "6"
      },
      "tool_summary": "Patient Activity Scale II for RA (PAS II): [5.33, Moderate disease activity]"
    },
    {
      "tool_id": "10421",
      "tool_name": "Canadian Transient Ischemic Attack (TIA) Score",
      "params": {
        "First TIA in lifetime": "No",
        "Symptoms >=10 mins": "No",
        "History of carotid stenosis": "No",
        "Already on antiplatelet therapy": "Yes",
        "History of gait disturbance": "No",
        "History of unilateral weakness": "No",
        "History of vertigo": "No",
        "Initial triage diastolic blood pressure >=110 mmHg": "No",
        "Dysarthria or aphasia (history or examination)": "No",
        "Atrial fibrillation on ECG": "No",
        "Infarction (new or old) on CT": "No",
        "Platelet count >=400x109/L": "No",
        "Glucose >=15 mmol/L": "No"
      },
      "tool_summary": "Canadian TIA Score/Mini Score: [3, low risk of stroke in the next 7 days]"
    }
  ]
}