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patient_id_23507439.json
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{
"patient_id": "23507439",
"tool_results": [
{
"tool_id": "801",
"tool_name": "CHA₂DS₂-VASc Score for Atrial Fibrillation Stroke Risk",
"params": {
"Age": "65-74",
"Sex": "Male",
"CHF history": "No",
"Hypertension history": "Yes",
"Stroke/TIA/thromboembolism history": "No",
"Vascular disease history (prior MI, peripheral artery disease, or aortic plaque)": "No",
"Diabetes history": "Yes"
},
"tool_summary": "CHA2DS2-VASc Score: [3, moderate stroke risk]"
},
{
"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. Reasonable to start warfarin.]"
},
{
"tool_id": "402",
"tool_name": "Intracerebral Hemorrhage (ICH) Score",
"params": {
"Glasgow Coma Score": "13-15",
"Age >=80": "No",
"ICH volume >=30mL": "No",
"Intraventricular hemorrhage": "No",
"Infratentorial origin of hemorrhage": "No"
},
"tool_summary": "ICH Score: [0, 0% mortality]"
},
{
"tool_id": "3883",
"tool_name": "Functional Outcome in Patients With Primary Intracerebral Hemorrhage (FUNC) Score",
"params": {
"ICH volume (cm³)": "<30",
"Age": "70-79",
"ICH location": "Lobar",
"GCS score": ">=9",
"Pre-ICH cognitive impairment": "No"
},
"tool_summary": "3883_FUNC Score: [10, moderate probability of functional independence at 90 days]"
},
{
"tool_id": "10003",
"tool_name": "Rome IV Diagnostic Criteria for Functional Constipation",
"params": {
"Straining": "Yes",
"Lumpy or hard stools ": "Yes",
"Sensation of incomplete evacuation": "Yes",
"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": "Yes",
"Does NOT meet Rome IV Criteria for IBS": "Yes"
},
"tool_summary": "Functional Constipation Diagnosis Tool (ID: 10003): [Positive, likely functional constipation]"
},
{
"tool_id": "10467",
"tool_name": "VTE-BLEED Score",
"params": {
"Active cancer": "No",
"Male patient with uncontrolled hypertension": "No",
"Anemia": "No",
"History of bleeding": "Yes",
"Renal dysfunction (creatinine clearance 30-60 mL/min)": "No",
"Age >=60 years": "Yes"
},
"tool_summary": "VTE-BLEED Score: [3, Elevated bleeding risk]"
},
{
"tool_id": "10031",
"tool_name": "REACH-B Score for Hepatocellular Carcinoma (HCC)",
"params": {
"Sex": "Male",
"Age, years": "60-65",
"ALT, U/L": "15-44",
"HBeAg": "Negative",
"Hepatitis B virus DNA level, copies/mL": "<300 (undetectable)"
},
"tool_summary": "HCC risk at 10 years: [3.2%, low risk], REACH-B Score: [9, moderate risk of developing HCC within 5 years], 10-year risk of HCC: [3.2%, low risk"
},
{
"tool_id": "10007",
"tool_name": "Embolic Stroke of Undetermined Source (ESUS) Criteria",
"params": {
"Non-lacunar ischemic stroke on CT or MRI": "No",
"Absence of atherosclerosis (extra- or intracranial) causing >=50% luminal stenosis in arteries supplying the ischemic area": "Yes",
"No major risk cardioembolic source": "No",
"No other specific cause of stroke identified": "Yes"
},
"tool_summary": "ESUS Criteria Result: [Negative, low risk of ESUS]"
},
{
"tool_id": "10038",
"tool_name": "Braden Score for Pressure Ulcers",
"params": {
"Sensory perception": "No impairment: responds to verbal commands, able to feel and express pain/discomfort",
"Moisture": "Rarely moist: skin usually dry, linen only requires changing at routine intervals ",
"Activity": "Walks occasionally: during day but for very short distances with or without assistance; spends majority of shift in bed/chair ",
"Mobility": "Slightly limited: makes frequent though slight changes in body or extremity position independently ",
"Nutrition": "Adequate: eats over half of most meals; eats 4 servings protein (meat or dairy) daily; occasionally refuses meal but will usually take supplement when offered; or is on a tube feeding/TPN regimen which probably meets most of nutritional needs ",
"Friction and shear": "Potential problem: moves feebly or requires minimum assistance; during a move, skin probably slides to some extent against sheets, chair restraints, or other devices; maintains relatively good position in chair or bed most of the time but occasionally sli"
},
"tool_summary": "Braden Score: [19, average risk]"
},
{
"tool_id": "10465",
"tool_name": "IMPROVE Bleeding Risk Score",
"params": {
"Age, years": "40-84",
"Gender": "Male",
"Renal function (GFR), mL/min/m2": ">=60",
"Current cancer": "No",
"Rheumatic disease": "No",
"Central venous catheter": "No",
"ICU/CCU": "Yes",
"Evidence of hepatic failure (INR >1.5)": "No",
"Platelet count, cells/L": ">=50 x 109",
"Bleeding in 3 months before admission": "Yes",
"Active gastroduodenal ulcer": "No"
},
"tool_summary": "IMPROVE Bleeding Risk Score: [9, increased risk of bleeding]"
},
{
"tool_id": "10046",
"tool_name": "Denver HIV Risk Score",
"params": {
"Age, years ": "<22",
"Gender": "Male",
"Sexual practices": "None of the above",
"Other risk factors": "Neither",
"Race/ethnicity": "American Indian, Alaska Native, Native Hawaiian, non-Hawaiian Pacific Islander, or other"
},
"tool_summary": "Denver HIV Score: [21, Low risk]"
},
{
"tool_id": "10084",
"tool_name": "RegiSCAR Score for Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS)",
"params": {
"Fever (>=38.5 degC)": "No/Unknown",
"Enlarged lymph nodes": "No/Unknown",
"Atypical lymphocytes": "No/Unknown",
"Eosinophilia": "0-699 cells or <10% (no eosinophilia)",
"Skin rash extent >50%": "No/Unknown",
"At least two of: edema, infiltration, purpura, scaling": "No",
"Biopsy suggesting DRESS": "No",
"Internal organ involved": "1",
"Resolution in >15 days": "No/Unknown",
"Alternative diagnoses excluded (by >=3 biological investigations)": "No/Unknown"
},
"tool_summary": "RegiSCAR for DRESS: [-3, No case]"
},
{
"tool_id": "10471",
"tool_name": "Acute Renal Failure after Cardiac Surgery (Thakar Score)",
"params": {
"Gender": "Male",
"Congestive heart failure": "No",
"Left ventricular ejection fraction ": "No",
"Preoperative use of IABP": "No",
"COPD": "No",
"Insulin-requiring diabetes": "No",
"Previous cardiac surgery": "No",
"Emergency surgery": "No",
"Surgery type": "None",
"Preoperative creatinine, mg/dL": "<1.2"
},
"tool_summary": "Thakar Score: [0, 0.4% risk of ARF]"
},
{
"tool_id": "10209",
"tool_name": "RiskE Score for Cardiac Surgery in Active Infective Endocarditis",
"params": {
"Age, years": ">=73",
"Prosthetic endocarditis": "No",
"Virulent microorganism": "No",
"Septic shock": "No",
"Thrombocytopenia": "No",
"Acute renal insufficiency": "No",
"Cardiogenic shock": "No",
"Periannular complications": "No"
},
"tool_summary": "Mini Score: [14 points, 12.61% predicted in-hospital postop mortality]"
},
{
"tool_id": "10029",
"tool_name": "CART (Cardiac Arrest Risk Triage) Score",
"params": {
"Respiratory rate, breaths/min": "<21",
"Heart rate, beats/min": "<110",
"Diastolic BP, mmHg ": ">49",
"Age, years": ">69"
},
"tool_summary": "Mini Score: [9, low risk], CART Score: [9, low risk of cardiac arrest within 48 hours]"
},
{
"tool_id": "10078",
"tool_name": "Pediatric NEXUS II Head CT Decision Instrument for Blunt Trauma",
"params": {
"Evidence of skull fracture": "No",
"Scalp hematoma": "No",
"Neurologic deficit": "Yes",
"Abnormal level of alertness": "No",
"Abnormal behavior": "Yes",
"Persistent vomiting": "No",
"Coagulopathy": "Yes"
},
"tool_summary": "Mini/NEXUS CT Head Rule: [High, Consider CT]"
},
{
"tool_id": "10042",
"tool_name": "Oakland Score for Safe Discharge After Lower GI Bleed",
"params": {
"Age, years": ">=70",
"Sex": "Male",
"Previous lower GI bleeding admission": "No",
"DRE findings": "No blood",
"Heart rate, bpm": "70-89",
"Systolic blood pressure, mmHg": "130-159",
"Hemoglobin, g/L (g/dL)": "130-159 (13-15.9)"
},
"tool_summary": "Oakland Score: [10, high risk of adverse outcomes, discharge not recommended]"
},
{
"tool_id": "10566",
"tool_name": "Geriatric Depression Scale (GDS-15)",
"params": {
"Are you basically satisfied with your life?": "Yes",
"Have you dropped many of your activities and interests?": "Yes",
"Do you feel that your life is empty?": "No",
"Do you often get bored?": "No",
"Are you in good spirits most of the time?": "Yes",
"Are you afraid that something bad is going to happen to you?": "Yes",
"Do you feel happy most of the time?": "Yes",
"Do you often feel helpless?": "Yes",
"Do you prefer to stay at home, rather than going out and doing new things?": "Yes",
"Do you feel you have more problems with memory than most?": "Yes",
"Do you think it is wonderful to be alive now?": "Yes",
"Do you feel pretty worthless the way you are now?": "No",
"Do you feel full of energy?": "No",
"Do you feel that your situation is hopeless?": "No",
"Do you think that most people are better off than you are?": "Yes"
},
"tool_summary": "Geriatric Depression Scale (GDS-15): [7, mild depression]"
}
]
}