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patient_id_25016923.json
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{
"patient_id": "25016923",
"tool_results": [
{
"tool_id": "357",
"tool_name": "ABCD<sup>2</sup> Score for TIA",
"params": {
"Age >= 60 years": "Yes",
"BP >= 140/90 mmHg": "Yes",
"Clinical features of the TIA": "Unilateral weakness",
"Duration of symptoms": ">= 60 minutes",
"History of diabetes": "No"
},
"tool_summary": "ABCD2 Score: [6, high risk of stroke]"
},
{
"tool_id": "715",
"tool_name": "NIH Stroke Scale/Score (NIHSS)",
"params": {
"1A: Level of consciousness": "Alert; keenly responsive",
"1B: Ask month and age": "Both questions right",
"1C: 'Blink eyes' & 'squeeze hands'": "Performs both tasks",
"2: Horizontal extraocular movements": "Normal",
"3: Visual fields": "No visual loss",
"4: Facial palsy": "Normal symmetry",
"5A: Left arm motor drift": "No drift for 10 seconds",
"5B: Right arm motor drift": "No drift for 10 seconds",
"6A: Left leg motor drift": "No drift for 5 seconds",
"6B: Right leg motor drift": "No drift for 5 seconds",
"7: Limb Ataxia": "No ataxia",
"8: Sensation": "Mild-moderate loss: less sharp/more dull ",
"9: Language/aphasia": "Normal; no aphasia",
"10: Dysarthria": "Normal",
"11: Extinction/inattention": "No abnormality"
},
"tool_summary": "NIH Stroke Scale/Score (NIHSS): [1, minimal risk of stroke impairment]"
},
{
"tool_id": "3992",
"tool_name": "STOP-BANG Score for Obstructive Sleep Apnea",
"params": {
"Do you snore loudly?": "No",
"Do you often feel tired, fatigued, or sleepy during the daytime?": "No",
"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: [3, Intermediate risk for moderate to severe OSA]"
},
{
"tool_id": "807",
"tool_name": "HAS-BLED Score for Major Bleeding Risk",
"params": {
"Hypertension": "Yes",
"Renal disease": "No",
"Liver disease": "No",
"Stroke history": "Yes",
"Prior major bleeding or predisposition to bleeding": "No",
"Labile INR": "No",
"Age >65": "No",
"Medication usage predisposing to bleeding": "Yes",
"Alcohol use": "No"
},
"tool_summary": "HAS-BLED Score: [3, high risk of major bleeding]"
},
{
"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": "Yes",
"Vascular disease history (prior MI, peripheral artery disease, or aortic plaque)": "Yes",
"Diabetes history": "No"
},
"tool_summary": "CHA2DS2-VASc Score: [5, high stroke risk]"
},
{
"tool_id": "10421",
"tool_name": "Canadian Transient Ischemic Attack (TIA) Score",
"params": {
"First TIA in lifetime": "No",
"Symptoms >=10 mins": "Yes",
"History of carotid stenosis": "Yes",
"Already on antiplatelet therapy": "Yes",
"History of gait disturbance": "No",
"History of unilateral weakness": "Yes",
"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": "Mini Stroke Risk Score: [8 points, medium risk of stroke in the next 7 days]; Canadian TIA Score: [8 points, medium risk]; Stroke Risk Percentage: [2%, medium risk]"
},
{
"tool_id": "10551",
"tool_name": "Direct-Acting Oral Anticoagulants (DOAC) Score",
"params": {
"Age, years": "65-69",
"Creatinine clearance/estimated glomerular filtration rate (mL/min)": ">60",
"Underweight (body mass index 2)": "No",
"Stroke/transient ischemic attack/embolism history": "Yes",
"Diabetes": "No",
"Hypertension": "Yes",
"Antiplatelet use": "Dual-antiplatelet",
"Nonsteroidal anti-inflammatory (NSAID) use": "No",
"Bleeding history": "No",
"Liver disease": "No"
},
"tool_summary": "Mini Score: [7, moderate 1-year major bleeding risk]"
},
{
"tool_id": "3995",
"tool_name": "Abbreviated Mental Test 4 (AMT-4)",
"params": {
"Age": "Correct",
"Date of birth": "Correct",
"Place": "Correct",
"Year": "Correct"
},
"tool_summary": "AMT-4 Score (Abbreviated Mental Test - 4): [4, normal cognition]"
},
{
"tool_id": "10430",
"tool_name": "Modified Rankin Score-9Q (mRS-9Q)",
"params": {
"Q1: Do you have any symptoms that are bothering you?": "No",
"Q2: Are you able to do the same work as before?": "Yes",
"Q3: Are you able to keep up with your hobbies?": "Yes",
"Q4: Have you maintained your ties to friends and family?": "Yes",
"Q5: Do you need help making a simple meal, doing household chores, or balancing a checkbook?": "No",
"Q6: Do you need help with shopping or traveling close to home?": "No",
"Q7: Do you need another person to help you walk?": "No",
"Q8: Do you need help with eating, going to the toilet, or bathing?": "No",
"Q9: Do you stay in bed most of the day and need constant nursing care?": "No"
},
"tool_summary": "Modified Rankin Scale (mRS): [0, no symptoms]"
},
{
"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": "Yes",
"No other specific cause of stroke identified": "No"
},
"tool_summary": "ESUS Criteria (Tool ID: 10007): [Negative, low risk of ESUS]"
},
{
"tool_id": "10467",
"tool_name": "VTE-BLEED Score",
"params": {
"Active cancer": "No",
"Male patient with uncontrolled hypertension": "No",
"Anemia": "No",
"History of bleeding": "No",
"Renal dysfunction (creatinine clearance 30-60 mL/min)": "No",
"Age >=60 years": "Yes"
},
"tool_summary": "VTE-BLEED Score: [1.5, Low Bleeding Risk]"
},
{
"tool_id": "10466",
"tool_name": "Edinburgh Postnatal Depression Scale (EPDS)",
"params": {
"I have been able to laugh and see the funny side of things": "As much as I always could",
"I have looked forward with enjoyment to things": "As much as I ever did",
"I have blamed myself unnecessarily when things went wrong": "No, never",
"I have been anxious or worried for no good reason": "No, not at all",
"I have felt scared or panicky for no very good reason": "No, not at all",
"Things have been getting on top of me": "No, I have been coping as well as ever",
"I have been so unhappy that I have had difficulty sleeping": "No, not at all",
"I have felt sad or miserable": "No, not at all",
"I have been so unhappy that I have been crying": "No, never",
"The thought of harming myself has occurred to me": "Never"
},
"tool_summary": "EPDS Score: [0, no depression risk]"
},
{
"tool_id": "10040",
"tool_name": "Duval/CIBMTR Score for Acute Myelogenous Leukemia (AML) Survival",
"params": {
"Disease group": "Primary induction failure or duration of first complete remission >6 months",
"Cytogenetics prior to HSCT": "Good or intermediate ",
" HLA match group": "HLA identical sibling or well matched or partially matched unrelated",
"Circulating blasts ": "Absent",
"Karnofsky or Lanksy scale": "90-100"
},
"tool_summary": "Duval Score: [0, 42% 3-year overall survival after transplantation]"
},
{
"tool_id": "10038",
"tool_name": "Braden Score for Pressure Ulcers",
"params": {
"Sensory perception": "Slightly limited: responds to verbal commands but cannot always communicate discomfort or need to be turned, OR has sensory impairment limiting ability to feel pain/discomfort in 1-2 extremities",
"Moisture": "Rarely moist: skin usually dry, linen only requires changing at routine intervals ",
"Activity": "Walks frequently: walks outside room >=2x/day and inside room at least once every 2 hrs during waking hours",
"Mobility": "No limitation: makes major and frequent changes in position without assistance",
"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": "No apparent problem: moves in bed/chair independently, has sufficient muscle strength to lift up completely during move, maintains good position in bed/chair "
},
"tool_summary": "Braden Score: [21, Average risk]"
},
{
"tool_id": "10422",
"tool_name": "Penicillin Allergy Decision Rule (PEN-FAST)",
"params": {
"Five years or less since reaction": "No",
"Anaphylaxis or angioedema\r\nOR\r\nSevere cutaneous adverse reaction": "No",
"Treatment required for reaction": "No"
},
"tool_summary": "PEN-FAST Score: [0, very low risk of positive penicillin allergy test]"
},
{
"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": "0",
"Resolution in >15 days": "No/Unknown",
"Alternative diagnoses excluded (by >=3 biological investigations)": "No/Unknown"
},
"tool_summary": "RegiSCAR Score for DRESS: [-4, No case]"
},
{
"tool_id": "10053",
"tool_name": "Binet Staging System for Chronic Lymphocytic Leukemia (CLL)",
"params": {
"Areas of lymphadenopathy": "<3",
"Anemia": "No",
"Thrombocytopenia": "No"
},
"tool_summary": "Binet Staging for CLL: [Stage A, low risk]"
},
{
"tool_id": "10028",
"tool_name": "FOUR (Full Outline of UnResponsiveness) Score",
"params": {
"Eye response": "Eyelids open or opened, tracking, or blinking to command",
"Motor response (upper extremities)": "Thumbs-up, fist, or peace sign",
"Brainstem reflexes": "Pupil and corneal reflexes present",
"Respiration pattern": "Not intubated, regular breathing pattern"
},
"tool_summary": "FOUR Score (Full Outline of UnResponsiveness): [16, minimal coma severity]"
},
{
"tool_id": "10024",
"tool_name": "ASA Physical Status/ASA Classification",
"params": {
"Description": "Patient with severe systemic disease",
"Emergency surgery": "No"
},
"tool_summary": "ASA Physical Status Classification (ASA 3): [3, moderate risk]"
},
{
"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": "No",
"Persistent vomiting": "No",
"Coagulopathy": "No"
},
"tool_summary": "Mini/NEXUS CT Head Rule: [High, risk]"
}
]
}