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patient_id_27984666.json
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{
"patient_id": "27984666",
"tool_results": [
{
"tool_id": "801",
"tool_name": "CHA₂DS₂-VASc Score for Atrial Fibrillation Stroke Risk",
"params": {
"Age": "65-74",
"Sex": "Female",
"CHF history": "Yes",
"Hypertension history": "Yes",
"Stroke/TIA/thromboembolism history": "Yes",
"Vascular disease history (prior MI, peripheral artery disease, or aortic plaque)": "Yes",
"Diabetes history": "Yes"
},
"tool_summary": "CHA2DS2-VASc Score: [8, high stroke risk]"
},
{
"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": "Yes",
"Labile INR": "No",
"Age >65": "No",
"Medication usage predisposing to bleeding": "Yes",
"Alcohol use": "No"
},
"tool_summary": "HAS-BLED Score: [4, high risk of major bleeding]"
},
{
"tool_id": "10160",
"tool_name": "Clinical Dementia Rating (CDR) Scale",
"params": {
"Memory (M)": "Severe memory loss; only highly learned material retained; new material rapidly lost (2)",
"Orientation (O)": "Severe difficulty with time relationships; usually disoriented to time, often to place (2)",
"Judgment and problem solving (JPS)": "Unable to make judgments or solve problems (3)",
"Community affairs (CA)": "No pretense of independent function outside home; appears too ill to be taken to functions outside a family home (3)",
"Home and hobbies (HH)": "No significant function in home (3)",
"Personal care (PC)": "Requires much help with personal care; frequent incontinence (3)"
},
"tool_summary": "Clinical Dementia Rating (CDR) Scale: [3, severe dementia]"
},
{
"tool_id": "10430",
"tool_name": "Modified Rankin Score-9Q (mRS-9Q)",
"params": {
"Q1: Do you have any symptoms that are bothering you?": "Yes",
"Q2: Are you able to do the same work as before?": "No",
"Q3: Are you able to keep up with your hobbies?": "No",
"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?": "Yes",
"Q6: Do you need help with shopping or traveling close to home?": "Yes",
"Q7: Do you need another person to help you walk?": "Yes",
"Q8: Do you need help with eating, going to the toilet, or bathing?": "Yes",
"Q9: Do you stay in bed most of the day and need constant nursing care?": "No"
},
"tool_summary": "Modified Rankin Scale (mRS): [4, moderately severe disability]"
},
{
"tool_id": "1756",
"tool_name": "Modified NIH Stroke Scale/Score (mNIHSS)",
"params": {
"1B: Level of consciousness/orientation questions": "1 question correct",
"1C: Level of consciousness commands": "1 task correct",
"2: Test horizontal extra-ocular movements": "Normal",
"3: Test visual fields": "No visual loss",
"5A: Test left arm motor drift": "No drift",
"5B: Test right arm motor drift": "No drift",
"6A: Test left leg motor drift": "No drift",
"6B: Test right leg motor drift": "No drift",
"8: Test sensation": "Normal; no sensory loss",
"9: Test language/aphasia": "Severe aphasia",
"11: Test extinction/inattention/neglect": "Normal"
},
"tool_summary": "Modified NIH Stroke Scale (mNIHSS): [4, minor stroke]"
},
{
"tool_id": "10551",
"tool_name": "Direct-Acting Oral Anticoagulants (DOAC) Score",
"params": {
"Age, years": ">=80",
"Creatinine clearance/estimated glomerular filtration rate (mL/min)": "30-60",
"Underweight (body mass index 2)": "No",
"Stroke/transient ischemic attack/embolism history": "Yes",
"Diabetes": "Yes",
"Hypertension": "Yes",
"Antiplatelet use": "Aspirin",
"Nonsteroidal anti-inflammatory (NSAID) use": "No",
"Bleeding history": "Yes",
"Liver disease": "No"
},
"tool_summary": "Mini-DOAC Score: [10, very high 1-year major bleeding risk]"
},
{
"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": "Occasionally moist: requiring extra linen change approximately once a day",
"Activity": "Chairfast: ability to walk severely limited or non-existent; cannot bear own weight and/or must be assisted into chair/wheelchair",
"Mobility": "Very limited: makes occasional slight changes in body or extremity position but unable to make frequent or significant changes independently ",
"Nutrition": "Probably inadequate: rarely eats complete meal and generally eats only about ½ of any food offered; protein intake includes only 3 servings of meat or dairy products daily; occasionally will take dietary supplement; or receives less than optimum amount of",
"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: [14, moderate risk]"
},
{
"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": "Yes",
"Index admission type": "Urgent or emergent",
"Number of hospital admissions during the previous year": "0-1",
"Length of stay": ">=5 days"
},
"tool_summary": "HOSPITAL Score: [5, intermediate risk of potentially avoidable 30-day readmission]"
},
{
"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)": "No increase",
"Prolonged PT, seconds": "<3",
"Fibrinogen level, g/L": ">=1"
},
"tool_summary": "DIC Score: [0, Not suggestive of overt DIC, possible non-overt DIC]"
},
{
"tool_id": "10331",
"tool_name": "Rome IV Diagnostic Criteria for Child Functional Constipation",
"params": {
"<=2 defecations in the toilet per week in a child of a developmental age of >=4 years": "No",
">=1 episode of fecal incontinence per week": "No",
"History of retentive posturing or excessive volitional stool retention": "No",
"History of painful or hard bowel movements": "No",
"Presence of a large fecal mass in the rectum": "No",
"History of large diameter stools that can obstruct the toilet": "No"
},
"tool_summary": "Rome IV for Child Constipation: [Negative, low risk of functional constipation]"
},
{
"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-Cog Score: [3 points, 20% risk of delirium]; AWOL Score: [3 points, not specified]; Risk of Delirium during Hospitalization: [20%, moderate 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": "10545",
"tool_name": "The Face, Legs, Activity, Cry, and Consolability (FLACC) Scale",
"params": {
"Face": "Occasional grimace or frown, withdrawn, disinterested",
"Legs": "Normal position or relaxed",
"Activity": "Lying quietly, normal position, moves easily",
"Cry": "No cry (awake or asleep)",
"Consolability": "Content, relaxed"
},
"tool_summary": "FLACC Pain Scale: [1, mild discomfort]"
},
{
"tool_id": "10209",
"tool_name": "RiskE Score for Cardiac Surgery in Active Infective Endocarditis",
"params": {
"Age, years": "64-72",
"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: [13, 11.61% predicted in-hospital postoperative mortality]"
},
{
"tool_id": "10474",
"tool_name": "2HELPS2B Score",
"params": {
"B[I]RDs": "No",
"Presence of LPDs, LRDA, or BIPDs": "No",
"Prior seizure": "No",
"Sporadic epileptiform discharges": "Yes",
"Frequency >2.0 Hz for any periodic or rhythmic pattern": "No",
"Presence of “plus” features ": "No"
},
"tool_summary": "2HELPS2B Score: [1, 12% risk of seizure]"
},
{
"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)": "Normal CRP and normal ESR",
"Duration of symptoms": "<6 weeks"
},
"tool_summary": "ACR/EULAR Criteria for Rheumatoid Arthritis: [0 points, Unlikely RA]"
},
{
"tool_id": "4009",
"tool_name": "Cincinnati Prehospital Stroke Severity Scale (CP-SSS)",
"params": {
"Conjugate gaze deviation": "No",
"Ask patient age and current month": "One correct",
"Ask patient to close eyes and open/close hand": "Follows one command",
"Instruct patient to hold arm (either or both) up for 10 seconds": "Can do"
},
"tool_summary": "Mini-Cog Score: [1, low risk of LVO and NIHSS ≥15]"
},
{
"tool_id": "2654",
"tool_name": "qSOFA (Quick SOFA) Score for Sepsis",
"params": {
"Altered mental status": "Yes",
"Respiratory rate >=22": "No",
"Systolic BP <=100": "No"
},
"tool_summary": "qSOFA Score: [1, Not high risk]"
},
{
"tool_id": "10467",
"tool_name": "VTE-BLEED Score",
"params": {
"Active cancer": "No",
"Male patient with uncontrolled hypertension": "No",
"Anemia": "Yes",
"History of bleeding": "Yes",
"Renal dysfunction (creatinine clearance 30-60 mL/min)": "No",
"Age >=60 years": "Yes"
},
"tool_summary": "VTE-BLEED Score: [4.5, Elevated bleeding risk]"
}
]
}