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patient_id_26618403.json
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{
"patient_id": "26618403",
"tool_results": [
{
"tool_id": "715",
"tool_name": "NIH Stroke Scale/Score (NIHSS)",
"params": {
"1A: Level of consciousness": "Alert; keenly responsive",
"1B: Ask month and age": "0 questions right ",
"1C: 'Blink eyes' & 'squeeze hands'": "Performs 0 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": "Normal; no sensory loss",
"9: Language/aphasia": "Mild-moderate aphasia: some obvious changes, without significant limitation",
"10: Dysarthria": "Normal",
"11: Extinction/inattention": "No abnormality"
},
"tool_summary": "NIH Stroke Scale/Score (NIHSS): [5, mild stroke]"
},
{
"tool_id": "357",
"tool_name": "ABCD<sup>2</sup> Score for TIA",
"params": {
"Age >= 60 years": "Yes",
"BP >= 140/90 mmHg": "No",
"Clinical features of the TIA": "Other symptoms",
"Duration of symptoms": "<10 minutes",
"History of diabetes": "No"
},
"tool_summary": "ABCD2 Score: [1, low risk]"
},
{
"tool_id": "801",
"tool_name": "CHA₂DS₂-VASc Score for Atrial Fibrillation Stroke Risk",
"params": {
"Age": ">=75",
"Sex": "Male",
"CHF history": "No",
"Hypertension history": "No",
"Stroke/TIA/thromboembolism history": "Yes",
"Vascular disease history (prior MI, peripheral artery disease, or aortic plaque)": "No",
"Diabetes history": "No"
},
"tool_summary": "CHA2DS2-VASc Score: [4, moderate to high risk of stroke]"
},
{
"tool_id": "1842",
"tool_name": "ATRIA Stroke Risk Score",
"params": {
"History of stroke": "Yes",
"Age": "75-84 years",
"Female": "No",
"History of diabetes mellitus": "No",
"History of congestive heart failure": "No",
"History of hypertension": "Yes",
"Proteinuria": "No",
"eGFR ": "No"
},
"tool_summary": "ATRIA Stroke Risk Score: [8, high risk (>6 points), ≥2% annual risk of ischemic stroke]"
},
{
"tool_id": "1718",
"tool_name": "ATRIA Bleeding Risk Score",
"params": {
"Anemia": "No",
"Severe Renal Disease": "No",
"Age >= 75 years": "Yes",
"Any Prior Hemorrhage Diagnosis": "No",
"Hypertension History": "No"
},
"tool_summary": "ATRIA Bleeding Risk Score: [2, Low Risk]"
},
{
"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": "10566",
"tool_name": "Geriatric Depression Scale (GDS-15)",
"params": {
"Are you basically satisfied with your life?": "No",
"Have you dropped many of your activities and interests?": "Yes",
"Do you feel that your life is empty?": "Yes",
"Do you often get bored?": "Yes",
"Are you in good spirits most of the time?": "No",
"Are you afraid that something bad is going to happen to you?": "No",
"Do you feel happy most of the time?": "No",
"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?": "No",
"Do you feel pretty worthless the way you are now?": "Yes",
"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": "GDS-15 (Geriatric Depression Scale - 15 items): [13, suggests severe depression]"
},
{
"tool_id": "10160",
"tool_name": "Clinical Dementia Rating (CDR) Scale",
"params": {
"Memory (M)": "Moderate memory loss; more marked for recent events; interferes with everyday activities (1)",
"Orientation (O)": "Moderate difficulty with time relationships; oriented for place and person at examination but may have geographic disorientation (1)",
"Judgment and problem solving (JPS)": "Moderate difficulty in handling complex problems; social judgment usually maintained (1)",
"Community affairs (CA)": "No pretense of independent function outside home; appears well enough to be taken to functions outside a family home (2)",
"Home and hobbies (HH)": "Mild but definite impairment of function at home; more difficult chores abandoned; more complicated hobbies and interests abandoned (1)",
"Personal care (PC)": "Fully capable of self-care (0)"
},
"tool_summary": "Clinical Dementia Rating (CDR) Scale: [1, mild dementia]"
},
{
"tool_id": "3627",
"tool_name": "Abbey Pain Scale for Dementia Patients",
"params": {
"Vocalization": "Mild",
"Facial expression": "Mild",
"Body language": "Mild",
"Physiological changes": "Moderate",
"Physical changes": "Mild",
"Type of pain": "Acute on chronic"
},
"tool_summary": "Abbey Pain Scale: [6, mild acute on chronic pain]"
},
{
"tool_id": "1894",
"tool_name": "Barnes Jewish Hospital Stroke Dysphagia Screen",
"params": {
"GCS < 13": "No",
"Facial asymmetry/weakness present": "No",
"Tongue asymmetry/weakness present": "No",
"Palatal asymmetry/weakness present": "No",
"Any signs of aspiration during 3 oz water test": "Yes"
},
"tool_summary": "Barnes Jewish Hospital Stroke Dysphagia Screen (BJH-SDS) result: [Fail, high risk of dysphagia and aspiration]"
},
{
"tool_id": "10007",
"tool_name": "Embolic Stroke of Undetermined Source (ESUS) Criteria",
"params": {
"Non-lacunar ischemic stroke on CT or MRI": "Yes",
"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": "Yes"
},
"tool_summary": "ESUS Criteria Fulfillment: [Positive, Further evaluation required]"
},
{
"tool_id": "10524",
"tool_name": "The Sick, Control, One, Fat, Food (SCOFF) Questionnaire",
"params": {
"Do you make yourself Sick because you feel uncomfortably full?\n": "No",
"Do you worry you have lost Control over how much you eat?": "No",
"Have you recently lost more than One stone (14 pounds or 6.35 kg) in a 3 month period?": "No",
"Do you believe yourself to be Fat when others say you are too thin?": "No",
"Would you say that Food dominates your life?": "No"
},
"tool_summary": "SCOFF Screening Tool: [0, low risk of eating disorder]"
},
{
"tool_id": "10321",
"tool_name": "Rome IV Diagnostic Criteria for Functional Biliary Sphincter of Oddi Disorder (SOD)",
"params": {
"Criteria for biliary pain": "No",
"Elevated liver enzymes OR dilated bile duct, but not both": "No",
"Absence of bile duct stones or other structural abnormalities": "Yes"
},
"tool_summary": "Mini and Rome IV for Biliary Sphincter of Oddi Disorder: [Negative, low risk for disorder]"
},
{
"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": "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: [20, Average risk]"
},
{
"tool_id": "3995",
"tool_name": "Abbreviated Mental Test 4 (AMT-4)",
"params": {
"Age": "Correct",
"Date of birth": "Correct",
"Place": "Incorrect",
"Year": "Incorrect"
},
"tool_summary": "AMT-4 Score: [2, Abnormal cognition]"
},
{
"tool_id": "362",
"tool_name": "Wells' Criteria for DVT",
"params": {
"Active cancer": "No",
"Bedridden recently >3 days or major surgery within 12 weeks": "No",
"Calf swelling >3 cm compared to the other leg": "No",
"Collateral (nonvaricose) superficial veins present": "No",
"Entire leg swollen": "No",
"Localized tenderness along the deep venous system": "No",
"Pitting edema, confined to symptomatic leg": "No",
"Paralysis, paresis, or recent plaster immobilization of the lower extremity": "No",
"Previously documented DVT": "No",
"Alternative diagnosis to DVT as likely or more likely": "Yes"
},
"tool_summary": "Wells' Score for DVT: [-2, low risk group for DVT, \"unlikely\"]"
},
{
"tool_id": "10090",
"tool_name": "AWOL Score for Delirium",
"params": {
"Age": ">=80 years",
"Correctly spells “world” backward": "No",
"Oriented to city, state, county, hospital name, and floor": "No",
"Nursing illness severity assessment": "Moderately ill"
},
"tool_summary": "Mini Score: [4 points, 64% risk of delirium]; AWOL Score: [4 points, unspecified risk level]; Risk of Delirium during Hospitalization: [64%, high risk]"
},
{
"tool_id": "10350",
"tool_name": "IMPROVEDD Risk Score for Venous Thromboembolism (VTE)",
"params": {
"Previous VTE": "No",
"Known thrombophilia": "No",
"Current lower-limb paralysis": "No",
"Current cancer": "No",
"Immobilized >=7 days": "No",
"ICU/CCU stay": "No",
"Age >60 years": "Yes",
"D-dimer >=2x ULN": "No"
},
"tool_summary": "IMPROVEDD Score: [1, low risk of VTE at 0.6% over 42 days and 0.7% over 77 days]"
},
{
"tool_id": "3912",
"tool_name": "Barthel Index for Activities of Daily Living (ADL)",
"params": {
"Feeding": "Needs help",
"Bathing": "Independent",
"Grooming": "Independent",
"Dressing": "Needs help",
"Bowel control": "Continent",
"Bladder control": "Occasional accident",
"Toilet use": "Needs help",
"Transfers (bed to chair and back)": "Independent",
"Mobility on level surfaces": "Independent (but may use any aid, e.g. stick) >50 yards",
"Stairs": "Needs help (verbal, physical, carrying aid)"
},
"tool_summary": "Barthel Index: [75, minimally dependent]"
},
{
"tool_id": "3701",
"tool_name": "Pain Assessment in Advanced Dementia Scale (PAINAD)",
"params": {
"Breathing (independent of vocalization)": "Normal",
"Negative vocalization": "None",
"Facial expression": "Sad/frightened/frown",
"Body language": "Relaxed",
"Consolability": "Distracted or reassured by voice/touch"
},
"tool_summary": "PAINAD Tool (for assessing pain in dementia patients): [2, mild pain]"
}
]
}