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patient_id_21611540.json
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{
"patient_id": "21611540",
"tool_results": [
{
"tool_id": "3836",
"tool_name": "Fisher Grading Scale for Subarachnoid Hemorrhage (SAH)",
"params": {
"Signs/symptoms": "Localized clot and/or vertical layer within the subarachnoid space > 1mm thick"
},
"tool_summary": "Fisher Grading Scale (ID: 3836): [Grade III, low to high risk of vasospasm (range 23-96%)]"
},
{
"tool_id": "404",
"tool_name": "Hunt & Hess Classification of Subarachnoid Hemorrhage",
"params": {
"Signs/Symptoms": "Stuporous, More Severe Focal Deficit"
},
"tool_summary": "Hunt & Hess Classification/Score: [4, approximately 80% mortality]"
},
{
"tool_id": "402",
"tool_name": "Intracerebral Hemorrhage (ICH) Score",
"params": {
"Glasgow Coma Score": "3-4",
"Age >=80": "No",
"ICH volume >=30mL": "No",
"Intraventricular hemorrhage": "Yes",
"Infratentorial origin of hemorrhage": "No"
},
"tool_summary": "ICH Score: [3, 72% mortality]"
},
{
"tool_id": "801",
"tool_name": "CHA₂DS₂-VASc Score for Atrial Fibrillation Stroke Risk",
"params": {
"Age": ">=75",
"Sex": "Male",
"CHF history": "No",
"Hypertension history": "Yes",
"Stroke/TIA/thromboembolism history": "Yes",
"Vascular disease history (prior MI, peripheral artery disease, or aortic plaque)": "Yes",
"Diabetes history": "No"
},
"tool_summary": "CHA2DS2-VASc Score: [6, high risk of stroke or TIA/systemic embolism]"
},
{
"tool_id": "1718",
"tool_name": "ATRIA Bleeding Risk Score",
"params": {
"Anemia": "No",
"Severe Renal Disease": "No",
"Age >= 75 years": "No",
"Any Prior Hemorrhage Diagnosis": "Yes",
"Hypertension History": "Yes"
},
"tool_summary": "ATRIA Bleeding Risk Score: [2, Low Risk (<4 Points), 0.76% Annual Risk of Hemorrhage]"
},
{
"tool_id": "807",
"tool_name": "HAS-BLED Score for Major Bleeding Risk",
"params": {
"Hypertension": "Yes",
"Renal disease": "Yes",
"Liver disease": "No",
"Stroke history": "Yes",
"Prior major bleeding or predisposition to bleeding": "Yes",
"Labile INR": "No",
"Age >65": "Yes",
"Medication usage predisposing to bleeding": "Yes",
"Alcohol use": "No"
},
"tool_summary": "HAS-BLED Score: [6, very high risk of major bleeding]"
},
{
"tool_id": "1785",
"tool_name": "HEMORR₂HAGES Score for Major Bleeding Risk",
"params": {
"Hepatic or Renal Disease": "Yes",
"Ethanol (Alcohol) Abuse": "No",
"Malignancy History": "No",
"Older (Age >75)": "No",
"Reduced Platelet Count or Function": "Yes",
"Rebleeding Risk": "Yes",
"Hypertension (Uncontrolled)": "Yes",
"Anemia": "No",
"Genetic Factors": "No",
"Excessive Fall Risk": "No",
"Stroke History": "No"
},
"tool_summary": "HEMORR2HAGES Score: [5, 12.3% risk of bleeding per 100 patient-years of warfarin]"
},
{
"tool_id": "10045",
"tool_name": "Kidney Failure Risk Calculator",
"params": {
"eGFR, mL/min/1.73m²": "30-34",
"Sex": "Male",
"Urine albumin-to-creatinine ratio, mg/g": "<30",
"Age, years": "80-89",
"Serum albumin, g/dL (g/L)": "2.6-30 (26-30)",
"Serum phosphorus, mg/dL (mmol/L)": "3.5-4.5 (1.13-1.45)",
"Serum bicarbonate, mEq/L (mmol/L)": ">25 (>25)",
"Serum calcium, mg/dL (mmol/L)": "8.6-9.5 (2.12-2.37)"
},
"tool_summary": "5-year risk of kidney failure: [NaN, cannot assess risk level]"
},
{
"tool_id": "10003",
"tool_name": "Rome IV Diagnostic Criteria for Functional Constipation",
"params": {
"Straining": "No",
"Lumpy or hard stools ": "No",
"Sensation of incomplete evacuation": "No",
"Sensation of anorectal obstruction/blockage": "No",
"Manual maneuvers to facilitate defecation": "No",
"<3 spontaneous bowel movements per week": "Yes",
"Loose stools rarely present without use of laxatives": "No",
"Does NOT meet Rome IV Criteria for IBS": "Yes"
},
"tool_summary": "Functional Constipation Assessment: [Negative, low risk of functional constipation]"
},
{
"tool_id": "10022",
"tool_name": "ARISCAT Score for Postoperative Pulmonary Complications",
"params": {
"Age, years": "51-80",
"Preoperative SpO₂": ">=96%",
"Respiratory infection in the last month": "Yes",
"Preoperative anemia (Hgb <=10 g/dL)": "No",
"Surgical incision": "Peripheral",
"Duration of surgery": "<2 hrs",
"Emergency procedure": "Yes"
},
"tool_summary": "ARISCAT Score for Post-Op Pulmonary Complications: [28, Intermediate Risk]"
},
{
"tool_id": "10038",
"tool_name": "Braden Score for Pressure Ulcers",
"params": {
"Sensory perception": "Completely limited: unresponsive to painful stimuli due to diminished consciousness or sedation, OR limited ability to feel pain over most of body",
"Moisture": "Constantly moist: skin is kept moist almost constantly by perspiration, urine, etc; dampness detected every time patient is moved/turned",
"Activity": "Bedfast: confined to bed",
"Mobility": "Completely immobile: does not make even slight changes in body or extremity position without assistance ",
"Nutrition": "Very poor: never eats complete meal; rarely eats >⅓ of any food offered; eats <=2 servings protein (meat or dairy) daily; takes fluids poorly; does not take liquid dietary supplement; or is NPO and/or maintained on clear liquids or IV for >5 days",
"Friction and shear": "Problem: requires moderate to maximum assistance in moving; complete lifting without sliding against sheets is impossible; frequently slides down in bed or chair, requiring frequent repositioning with maximum assistance; spasticity, contractures, or agita"
},
"tool_summary": "Braden Score: [6, high risk]"
},
{
"tool_id": "10143",
"tool_name": "RESP (Respiratory ECMO Survival Prediction) Score",
"params": {
"Age, years": ">=60",
"Immunocompromised status at time of ECMO": "Yes",
"Mechanically ventilated before ECMO initiated": "<48 hours",
"Diagnosis": "Nonrespiratory or chronic respiratory diagnosis",
"History of central nervous system dysfunction": "Yes",
"Acute associated nonpulmonary infection": "Yes",
"Neuromuscular blockade before ECMO": "Yes",
"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": "Mini/Score: [-11, 18% survival], RESP Score/Score: [-11, critical], Risk Class/Score: [Class V, extremely high risk], In-hospital survival/Score: [18%, very low survival chance]"
},
{
"tool_id": "10161",
"tool_name": "COPD Assessment Test (CAT)",
"params": {
"Cough": "0 (“I never cough”)",
"Phlegm": "0 (“I have no phlegm in my chest at all”)",
"Chest tightness": "0 (“My chest does not feel tight at all”)",
"Breathlessness": "3",
"Activities": "4",
"Confidence": "4",
"Sleep": "3",
"Energy": "5 (“I have no energy at all”)"
},
"tool_summary": "COPD Assessment Test (CAT): [19, medium health impact]"
},
{
"tool_id": "10092",
"tool_name": "ACR/EULAR 2010 Rheumatoid Arthritis Classification Criteria",
"params": {
"Joint involvement": "1 large joint",
"Serology (need at least one serology test result to use these criteria)": "Negative rheumatoid factor and negative anti-citrullinated protein antibody",
"Acute-phase reactants (need at least one acute-phase reactant test result to use these criteria)": "Abnormal CRP or abnormal ESR",
"Duration of symptoms": "<6 weeks"
},
"tool_summary": "ACR/EULAR Criteria for Rheumatoid Arthritis: [1, Unlikely RA]"
},
{
"tool_id": "10203",
"tool_name": "ISTH Criteria for Disseminated Intravascular Coagulation (DIC)",
"params": {
"Platelet count, cells x 109/L": ">=100",
"Elevated levels of a fibrin-related marker (e.g. D-dimer, fibrin degradation products)": "Moderate increase",
"Prolonged PT, seconds": ">=6",
"Fibrinogen level, g/L": ">=1"
},
"tool_summary": "DIC Score: [4, not suggestive of overt DIC, possible non-overt DIC]"
},
{
"tool_id": "1756",
"tool_name": "Modified NIH Stroke Scale/Score (mNIHSS)",
"params": {
"1B: Level of consciousness/orientation questions": "0 questions correct",
"1C: Level of consciousness commands": "0 tasks correct",
"2: Test horizontal extra-ocular movements": "Total gaze palsy",
"3: Test visual fields": "Bilateral hemianopia",
"5A: Test left arm motor drift": "No movement",
"5B: Test right arm motor drift": "No movement",
"6A: Test left leg motor drift": "No movement",
"6B: Test right leg motor drift": "No movement",
"8: Test sensation": "Abnormal; sensory loss",
"9: Test language/aphasia": "Mute/global aphasia",
"11: Test extinction/inattention/neglect": "Severe"
},
"tool_summary": "Modified NIH Stroke Scale (mNIHSS): [31, severe stroke]"
},
{
"tool_id": "10140",
"tool_name": "GCS-Pupils Score",
"params": {
"Eye response": " No eye opening",
"Verbal response": "No verbal response",
" Motor response": "Withdrawal from pain",
" Pupil response": "Both pupils reactive to light (normal)"
},
"tool_summary": "GCS-Pupils Score: [6, 24.97% mortality, 46.26% unfavorable outcome at 6 months post-injury]"
},
{
"tool_id": "10287",
"tool_name": "Modified Sequential Organ Failure Assessment (mSOFA) Score",
"params": {
"SpO₂/FiO₂": ">235 to <=315",
"Scleral icterus or jaundice present": "No",
"Hypotension": "No hypotension",
"Glasgow Coma Scale": "<6",
"Creatinine, mg/dL": "1.2-1.9"
},
"tool_summary": "mSOFA Score: [7, 4% 30-day mortality]"
},
{
"tool_id": "10098",
"tool_name": "Danger Assessment Tool for Domestic Abuse",
"params": {
"Has the physical violence increased in frequency or severity over the past 6 months?": "No",
"Have they ever used a weapon or threatened you with a weapon?": "No",
"Do you believe they are capable of killing you?": "No",
"Have you ever been beaten by them while you were pregnant?": "No",
"Are they violently and constantly jealous of you?": "No"
},
"tool_summary": "Danger Assessment Score: [0, low risk of lethal or potentially lethal assault by IP]"
}
]
}