patient_id_29305168.json

{
  "patient_id": "29305168",
  "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": "Forced gaze palsy: cannot be overcome",
        "3: Visual fields": "Complete hemianopia",
        "4: Facial palsy": "Unilateral complete paralysis (upper/lower face)",
        "5A: Left arm motor drift": "Drift, but doesn't hit bed",
        "5B: Right arm motor drift": "No movement",
        "6A: Left leg motor drift": "Drift, but doesn't hit bed",
        "6B: Right leg motor drift": "No effort against gravity",
        "7: Limb Ataxia": "No ataxia",
        "8: Sensation": "Mild-moderate loss: less sharp/more dull ",
        "9: Language/aphasia": "Mute/global aphasia: no usable speech/auditory comprehension",
        "10: Dysarthria": "Severe dysarthria: unintelligible slurring or out of proportion to dysphasia",
        "11: Extinction/inattention": "Visual/tactile/auditory/spatial/personal inattention"
      },
      "tool_summary": "NIH Stroke Scale/Score (NIHSS): [27, severe stroke]"
    },
    {
      "tool_id": "801",
      "tool_name": "CHA₂DS₂-VASc Score for Atrial Fibrillation Stroke Risk",
      "params": {
        "Age": ">=75",
        "Sex": "Female",
        "CHF history": "No",
        "Hypertension history": "Yes",
        "Stroke/TIA/thromboembolism history": "Yes",
        "Vascular disease history (prior MI, peripheral artery disease, or aortic plaque)": "No",
        "Diabetes history": "Yes"
      },
      "tool_summary": "CHA2DS2-VASc Score: [7, high risk of stroke or systemic embolism]"
    },
    {
      "tool_id": "3912",
      "tool_name": "Barthel Index for Activities of Daily Living (ADL)",
      "params": {
        "Feeding": "Unable",
        "Bathing": "Unable",
        "Grooming": "Unable",
        "Dressing": "Unable",
        "Bowel control": "Incontinent (or needs to be given enemas)",
        "Bladder control": "Incontinent (catheterized, unable to manage alone)",
        "Toilet use": "Unable",
        "Transfers (bed to chair and back)": "Unable",
        "Mobility on level surfaces": "Immobile or <50 yards",
        "Stairs": "Unable"
      },
      "tool_summary": "Barthel Index: [0, totally dependent]"
    },
    {
      "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": "No",
        "Labile INR": "Yes",
        "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": "3642",
      "tool_name": "Rockall Score for Upper GI Bleeding (Complete)",
      "params": {
        "Age": ">=80 years",
        "Shock": "No shock (SBP >=100 AND HR <100)",
        "Comorbidities": "Renal failure, liver failure, and/or disseminated malignancy",
        "Diagnosis": "All other diagnoses",
        "Major stigmata of recent hemorrhage": "None"
      },
      "tool_summary": "Rockall Score (Complete): [6, High Risk]"
    },
    {
      "tool_id": "2023",
      "tool_name": "Padua Prediction Score for Risk of VTE",
      "params": {
        "Active cancer": "No",
        "Previous VTE": "No",
        "Reduced mobility": "Yes",
        "Already known thrombophilic condition": "No",
        "Recent (<=1 month) trauma and/or surgery": "Yes",
        "Elderly age (>=70 years)": "Yes",
        "Heart and/or respiratory failure": "No",
        "Acute MI and/or ischemic stroke": "Yes",
        "Acute infection and/or rheumatologic disorder": "No",
        "Obesity (BMI >=30)": "No",
        "Ongoing hormonal treatment": "No"
      },
      "tool_summary": "2023 Padua Prediction Score: [7, high risk of venous thromboembolism]"
    },
    {
      "tool_id": "10045",
      "tool_name": "Kidney Failure Risk Calculator",
      "params": {
        "eGFR, mL/min/1.73m²": "45-49",
        "Sex": "Female",
        "Urine albumin-to-creatinine ratio, mg/g": "30-300",
        "Age, years": "70-79",
        "Serum albumin, g/dL (g/L)": "3.1-3.5 (31-35)",
        "Serum phosphorus, mg/dL (mmol/L)": "<3.5 (<1.13)",
        "Serum bicarbonate, mEq/L (mmol/L)": "18-22 (18-22)",
        "Serum calcium, mg/dL (mmol/L)": "8.6-9.5 (2.12-2.37)"
      },
      "tool_summary": "Kidney Failure Risk Calculator (ID: 10045): [NaN, data unavailable]"
    },
    {
      "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)": "Yes",
        "Age >=60 years": "Yes"
      },
      "tool_summary": "VTE-BLEED Score: [3, Elevated bleeding risk]"
    },
    {
      "tool_id": "10349",
      "tool_name": "IMPROVE Risk Score for Venous Thromboembolism (VTE)",
      "params": {
        "Previous VTE": "No",
        "Known thrombophilia": "No",
        "Current lower-limb paralysis": "Yes",
        "Current cancer": "No",
        "Immobilized >=7 days": "Yes",
        "ICU/CCU stay": "Yes",
        "Age >60 years": "Yes"
      },
      "tool_summary": "IMPROVE Score: [5, moderate risk]; 3-month risk of VTE: [7.2%, moderate risk]"
    },
    {
      "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": "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": "Very limited: responds only to pain, cannot communicate discomfort except by moaning or restlessness, OR has sensory impairment limiting ability to feel pain/discomfort over half of body",
        "Moisture": "Rarely moist: skin usually dry, linen only requires changing at routine intervals ",
        "Activity": "Bedfast: confined to bed",
        "Mobility": "Very limited: makes occasional slight changes in body or extremity position but unable to make frequent or significant changes 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": "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: [13, moderate 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]"
    },
    {
      "tool_id": "10071",
      "tool_name": "REVEAL Registry Risk Score 2.0 for Pulmonary Arterial Hypertension (PAH)",
      "params": {
        "WHO group 1 subgroup": "Other",
        "eGFR 2 or renal insufficiency": "Yes",
        "Male age >60 years": "No",
        "NYHA/WHO functional class": "IV",
        "Systolic BP, mmHg": ">=110 mmHg",
        "Heart rate, bpm": "<=96 bpm",
        "Any hospitalizations within 6 months": "Yes",
        "6-minute walk test": "<165 m",
        "BNP, pg/mL": "50 to <200 pg/mL",
        "Pericardial effusion on echocardiogram": "No",
        "DLCO on pulmonary function test": ">=40%",
        "Mean right atrial pressure >20 mmHg within 1 year on right heart catheterization": "No",
        "Pulmonary vascular resistance ": "No"
      },
      "tool_summary": "REVEAL Score 2.0 for PAH: [11, high risk]"
    },
    {
      "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": "2",
        "Activities": "5 (“I am very limited doing any activities at home”)",
        "Confidence": "5 (“I am not at all confident leaving my home because of my lung condition”)",
        "Sleep": "0 (“I sleep soundly”)",
        "Energy": "5 (“I have no energy at all”)"
      },
      "tool_summary": "COPD Assessment Test (CAT): [17, medium health impact]"
    },
    {
      "tool_id": "10486",
      "tool_name": "Sequential Clinical Assessment of Respiratory Function (SCARF) Score",
      "params": {
        "Incentive spirometry ": "No",
        "Respiratory rate >20 breaths/min": "No",
        "Numeric pain score >=5": "No",
        "Cough inadequate to clear respiratory secretions": "No"
      },
      "tool_summary": "SCARF Score: [0, low risk]"
    },
    {
      "tool_id": "3995",
      "tool_name": "Abbreviated Mental Test 4 (AMT-4)",
      "params": {
        "Age": "Incorrect",
        "Date of birth": "Incorrect",
        "Place": "Incorrect",
        "Year": "Incorrect"
      },
      "tool_summary": "AMT-4 Score: [0, abnormal cognition]"
    },
    {
      "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?": "Yes"
      },
      "tool_summary": "Modified Rankin Scale (mRS): [5, severe disability]"
    },
    {
      "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]; Hospitalization Delirium Risk: [64%, high risk of delirium]."
    },
    {
      "tool_id": "10270",
      "tool_name": "Pediatric NIH Stroke Scale (NIHSS)",
      "params": {
        "1A. Level of consciousness": "Not alert, requires repeated stimulation, or is obtunded and requires strong/painful stimulation to make movements (not stereotyped)",
        "1B. Ask age and to point out family member": "Answers neither question correctly",
        "1C. Command to blink eyes and touch nose": "Performs neither task correctly",
        "2. Horizontal extraocular movements": "Forced deviation or total gaze paresis not overcome by oculocephalic maneuver",
        "3. Visual fields": "Partial hemianopia",
        "4. Facial palsy": "Partial paralysis (total or near total paralysis of lower face)",
        "5A. Left arm motor drift": "Some effort against gravity, limb cannot get to or maintain (if cued) 90 (or 45) degrees, drifts down to bed, but has some effort against gravity",
        "5B. Right arm motor drift": "No movement",
        "6A. Left leg motor drift": "No drift, leg holds 30 degrees position for full 5 seconds",
        "6B. Right leg motor drift": "Leg falls to bed by 5 seconds, but has some effort against gravity",
        "7. Limb ataxia": "Absent",
        "8: Sensation": "Mild to moderate sensory loss; patient feels pinprick is less sharp or dull on the affected side, or there is a loss of superficial pain with pinprick but patient is aware he/she is being touched",
        "9. Best language": "Mute, global aphasia; no usable speech or auditory comprehension",
        "10. Dysarthria": "Severe; patient's speech is so slurred as to be unintelligible in the absence of or out of proportion to any dysphasia, or is mute/anarthric",
        "11. Extinction and inattention": "Profound hemi-inattention or hemi-inattention to >1 modality; does not recognize own hand or orients to only one side of space"
      },
      "tool_summary": "Pediatric NIH Stroke Scale (PedNIHSS): [27, severe stroke risk]"
    }
  ]
}