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[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
An 87-year-old man was admitted to our hospital for anorexia for several days, high-grade fever from the previous day, and liver dysfunction. Of note, he had a history of hypertension, diabetes mellitus (DM), and angina. Physical examination findings included: clear consciousness; height, 163 cm; weigh... | 1) Formula
- Cockcroft-Gault (male): CrCl (mL/min) = [(140 − age) × weight (kg)] / (72 × serum creatinine (mg/dL))
2) Extract required values from the note
- Age:
- Quoted text: "An 87-year-old man"
- Value: 87 years
- Sex:
- Quoted text: "An 87-year-old man"
- Value: male
- Height:
- Quoted text: "height, 1... | Creatinine Clearance (Cockcroft-Gault Equation) | lab test | decimal | 25.2381 | 23.97619 | 26.50001 | 1 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
An 83-year-old man with a past medical history of two myocardial infarctions, chronic obstructive pulmonary disease, and hyperlipidemia presented to the emergency room shortly before midnight with sharp chest pain, nausea, and dyspnea. The patient states he has had chest discomfort and food intolerance... | 1) Formula
- Cockcroft-Gault (male): CrCl (mL/min) = ((140 − age) × weight_kg) / (72 × SCr_mg/dL)
2) Extract required values from the note
- Age:
- Quoted text: "An 83-year-old man"
- Value: age = 83 years
- Sex:
- Quoted text: "An 83-year-old man"
- Value: male
- Weight (first admission):
- Quoted text: "th... | Creatinine Clearance (Cockcroft-Gault Equation) | lab test | decimal | 38.0 | 36.1 | 39.9 | 2 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 62 year old Caucasian female patient (height - 1.60 m, weight 72 kg, BMI 28.1) was admitted to hospital with AKI (patient’s baseline serum creatinine was 85 μmol/L and eGFR was 63 ml/min/1.73 m2 by MDRD equation) whilst on treatment for mastoiditis. Her background medical history included hypertensio... | 1) Identify formula(s)
- Cockcroft-Gault (CG) equation (female):
CrCl (mL/min) = [(140 − age) × weight (kg)] / [72 × SCr (mg/dL)] × 0.85
- Ideal body weight (IBW) — Devine formula (female):
IBW (kg) = 45.5 kg + 2.3 kg × (height in inches − 60)
- Adjusted body weight (used when overweight/obese):
ABW (kg) = IBW... | Creatinine Clearance (Cockcroft-Gault Equation) | lab test | decimal | 57.65181 | 54.76922 | 60.5344 | 3 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 42-year-old woman comes to the physician for a routine health maintenance examination. She has generalized fatigue and has had difficulties doing her household duties for the past 3 months. She has eczema and gastroesophageal reflux disease. She has a history of using intravenous methamphetamine in h... | 1) Formula
- Cockcroft-Gault equation (for creatinine clearance, mL/min):
CrCl = [(140 − age) × weight(kg)] / [72 × SCr(mg/dL)] × 0.85 (if female)
2) Extract required values from the note
- Age:
- Quote: "A 42-year-old woman"
- Value: 42 years
- Sex:
- Quote: "A 42-year-old woman"
- Value: female (apply fema... | Creatinine Clearance (Cockcroft-Gault Equation) | lab test | decimal | 106.19185 | 100.88226 | 111.50144 | 4 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 45-year-old, 58 kg, 156 cm woman presented with increased and prolonged vaginal bleedings. A physical examination and an ultrasound showed a submucosal leiomyoma of the uterus. There were no other symptoms or pathological findings. Preoperative blood tests, which included electrolytes analyses, a ful... | 1) Formula
- Cockcroft-Gault: CrCl (mL/min) = [(140 − age) × weight(kg)] / [72 × SCr(mg/dL)] × 0.85 (for females)
2) Extract required values from the note (first admission values)
- Age:
- Quoted text: "A 45-year-old, 58 kg, 156 cm woman..."
- Value: age = 45 years
- Sex:
- Quoted text: "A 45-year-old ... woman"... | Creatinine Clearance (Cockcroft-Gault Equation) | lab test | decimal | 78.12231 | 74.21619 | 82.02843 | 5 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 41-year-old Japanese man was admitted to our hospital with liver damage, itchy skin, and pyrexia. His medical history was unremarkable, but one year previously his gamma-glutamyl transpeptidase levels had risen to 271 IU/L (normal: < 30 IU/L). Prior to this, the patient had consumed 540 mL of sake th... | 1) Formula
- Cockcroft-Gault (male): CrCl (mL/min) = ((140 − age) × weight (kg)) / (72 × SCr (mg/dL))
2) Extract required values from the note (values at first admission)
- Age:
- Quoted text: "A 41-year-old Japanese man"
- Value: 41 years
- Weight:
- Quoted text: "weighed 52.5 kg."
- Value: 52.5 kg
- Height:
... | Creatinine Clearance (Cockcroft-Gault Equation) | lab test | decimal | 83.93895 | 79.742 | 88.1359 | 6 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 68-year-old Indian male patient presented with the complaints of generalized malaise, poor appetite, weight loss, headache and polyuria for last 2 months. He had a chronic ill-looking appearance, a dehydrated tongue and dry skin. Urine output was 5000-5500 mL/day with a history of nocturia and cravin... | 1) Formula
- Cockcroft-Gault (male): CrCl (mL/min) = ((140 − age) × weight (kg)) / (72 × serum creatinine (mg/dL))
2) Extract required values from the note (first admission)
- Age:
- Quoted text: "A 68-year-old Indian male patient..."
- Value: 68 years
- Sex:
- Quoted text: "A 68-year-old Indian male patient..."... | Creatinine Clearance (Cockcroft-Gault Equation) | lab test | decimal | 55.625 | 52.84375 | 58.40625 | 7 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 71-year-old man, non-smoker (height: 155 cm; weight: 59 kg), was scheduled to receive video-assisted thoracoscopic extended thymectomy with the diagnosis of MG. Two months previously, he developed symptoms of right ptosis and progressive swallowing difficulty. Based on a positive response to edrophon... | 1) Formula
- Cockcroft-Gault equation (for men):
CrCl (mL/min) = [(140 − age) × weight (kg)] / [72 × serum creatinine (mg/dL)]
(For females the result is multiplied by 0.85; not applicable here.)
2) Extract required values from the note
- Age:
- Quote: "A 71-year-old man"
- Value: age = 71 years
- Sex:
- Qu... | Creatinine Clearance (Cockcroft-Gault Equation) | lab test | decimal | 35.33309 | 33.56644 | 37.09974 | 8 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
The patient was an 82-year-old woman who had a 3-year history of leg cramps and first had chest tightness for two years. She had been treated for ischemic cardiomyopathy with triple vessel disease at another hospital, but had been hospitalized for heart failure 12 times in the last two years. Echocardi... | 1) Formula
- Cockcroft-Gault equation (for creatinine clearance, mL/min):
CrCl = ((140 − age) × weight_kg) / (72 × SCr_mg/dL) × 0.85 (if female)
2) Extracted values from the patient note (first admission)
- Age:
- Quoted text: "The patient was an 82-year-old woman..."
- Value: age = 82 years
- Sex:
- Quoted te... | Creatinine Clearance (Cockcroft-Gault Equation) | lab test | decimal | 9.67083 | 9.18729 | 10.15437 | 9 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 47-year-old female (height, 160 cm; weight, 60 kg) with a giant liver due to polycystic liver disease (PLD) was scheduled to undergo ABO-incompatible living donor liver transplantation because of worsening malnutrition, disability in activities of daily living, and abdominal distention, which were co... | 1) Formula
- Cockcroft-Gault equation (for creatinine clearance, CrCl):
CrCl (mL/min) = ((140 − age) × weight (kg)) / (72 × serum creatinine (mg/dL)) × 0.85 (if female)
2) Extract required values from the note
- Age:
- Quoted text: "A 47-year-old female ..."
- Value: age = 47 years
- Sex:
- Quoted text: "A 47-... | Creatinine Clearance (Cockcroft-Gault Equation) | lab test | decimal | 63.90115 | 60.70609 | 67.09621 | 10 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
In 2008, a 59-year-old Japanese woman was admitted for evaluation of renal disease. RA had been diagnosed at another hospital in 1972 when she presented with bilateral arthropathy of the hands, knees, ankles, and feet. Treatment was started with a combination of a gold preparation and nonsteroidal anti... | 1) Formula
- Cockcroft-Gault equation (for creatinine clearance, CrCl, mL/min):
CrCl = [(140 − age) × weight (kg)] / [72 × serum creatinine (mg/dL)] × 0.85 (if female)
2) Extract required values from the note
- Age:
- Quote: "In 2008, a 59-year-old Japanese woman was admitted..."
- Value: age = 59 years
- Sex:
... | Creatinine Clearance (Cockcroft-Gault Equation) | lab test | decimal | 10.01786 | 9.51697 | 10.51875 | 11 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 53-year-old man was referred to our hospital for evaluation and management of hypertension and hypokalemia. He was diagnosed with hypertension at the age of 40 years, and his blood pressure was poorly controlled with a calcium channel blocker (nifedipine at 40 mg/d). He also had a past medical histor... | 1) Formula
- Cockcroft-Gault equation (male):
Creatinine Clearance (mL/min) = [(140 − age (years)) × weight (kg)] / [72 × serum creatinine (mg/dL)]
(No 0.85 female multiplier because patient is male.)
2) Extract required values from the note
- Age:
- Quote: "A 53-year-old man was referred..."
- Value: age = 53... | Creatinine Clearance (Cockcroft-Gault Equation) | lab test | decimal | 64.81061 | 61.57008 | 68.05114 | 12 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 48-year-old woman comes to the physician for the evaluation of 24-hour blood pressure monitoring results. Over the last 3 months, she has had intermittent nausea, decreased appetite, and increasing weakness and fatigue during the day. She has been treated twice for kidney stones within the past year.... | 1) Formula(s)
- Cockcroft-Gault creatinine clearance (CrCl) for women:
CrCl = [(140 − age) × weight(kg)] / (72 × SCr(mg/dL)) × 0.85
- Adjusted body weight (AdjBW) for overweight/obese patients (standard convention used here):
AdjBW = IBW + 0.4 × (Actual weight − IBW)
- Ideal body weight (Devine formula, female):
... | Creatinine Clearance (Cockcroft-Gault Equation) | lab test | decimal | 86.89835 | 82.55343 | 91.24327 | 13 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
In April 2011, an 81-year-old woman with a history of photosensitivity and hypertension was admitted to our hospital due to bilateral edema of the legs and nephrotic proteinuria (7.0 g/day). Her proteinuria was not detected before March 2011 by screening test by the family doctor. At admission, her hei... | 1) Formula
- Cockcroft-Gault equation (for females):
CrCl (mL/min) = [(140 − age) × weight (kg)] / [72 × serum creatinine (mg/dL)] × 0.85
2) Extracted values from the note (first admission, before treatment)
- Age:
- Quote: "an 81-year-old woman"
- Value: 81 years
- Height:
- Quote: "height was 153 cm"
- Val... | Creatinine Clearance (Cockcroft-Gault Equation) | lab test | decimal | 21.93788 | 20.84099 | 23.03477 | 14 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
This is a case of an 83-year-old man who presented to the emergency department with a right-sided headache for 2 days. The headache was described as a pain level of 8/10, throbbing, and radiating to the back of the neck. No weakness, numbness, visual deficits, nausea, vomiting, dizziness, or lightheade... | 1) Formula
- Cockcroft-Gault equation (male): CrCl (mL/min) = [(140 − age) × weight (kg)] / [72 × serum creatinine (mg/dL)]
(For females multiply result by 0.85; patient is male so no female adjustment.)
2) Extract values from the note
- Age:
- Quoted text: "This is a case of an 83-year-old man..."
- Value: age ... | Creatinine Clearance (Cockcroft-Gault Equation) | lab test | decimal | 31.84454 | 30.25231 | 33.43677 | 15 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 78-year-old man with a history of hypertension and benign prostatic hyperplasia, and no history of any infectious diseases, underwent endovascular stenting (S. M. A. R. T. Control C10060SL, Cordis, Santa Clara, CA, USA) at another hospital for chronic occlusion of the left iliac artery, which had bee... | 1) Formula
- Cockcroft-Gault equation (for males):
CrCl (mL/min) = [(140 − age in years) × weight (kg)] / [72 × serum creatinine (mg/dL)]
2) Extract required values from the note
- Age
- Quote: "A 78-year-old man"
- Value: 78 years
- Sex
- Quote: "A 78-year-old man"
- Value: male
- Height
- Quote: "The pat... | Creatinine Clearance (Cockcroft-Gault Equation) | lab test | decimal | 52.66849 | 50.03507 | 55.30191 | 16 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 55-year-old man comes to the physician for a follow-up examination. For the past 6 months, he has had fatigue, headaches, and several episodes of dizziness. Three months ago, he was diagnosed with hypertension and started on medications. Since the diagnosis was made, his medications have been adjuste... | 1) Formula
- Cockcroft-Gault (male): CrCl (mL/min) = [(140 − age) × weight (kg)] / [72 × serum creatinine (mg/dL)]
2) Extract each required value from the note
- Age:
- Quoted text: "A 55-year-old man"
- Value: 55 years
- Sex:
- Quoted text: "A 55-year-old man"
- Value: male
- Actual weight:
- Quoted text: "... | Creatinine Clearance (Cockcroft-Gault Equation) | lab test | decimal | 73.14863 | 69.4912 | 76.80606 | 17 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 60-year-old male with end-stage kidney disease due to ADPKD was admitted to our hospital for an evaluation of diplopia and left hemiplegia in March 2012. He had started maintenance hemodialysis in 2005. He had hypertension, which was relatively under good control with antihypertensive agents. He had ... | 1) Formula to use (Cockcroft-Gault):
- For males: CrCl (mL/min) = ((140 − age in years) × weight in kg) / (72 × serum creatinine in mg/dL)
2) Extract required values from the note (first admission values) and show conversions:
- Age:
- Quoted text: "A 60-year-old male ..."
- Value: age = 60 years
... | Creatinine Clearance (Cockcroft-Gault Equation) | lab test | decimal | 6.07477 | 5.77103 | 6.37851 | 18 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
In November 2007, a 49-year-old Japanese woman was referred to our hospital from an orthopaedist complaining of a one year history of sustained difficulty walking and severe bilateral hip pain. Her height was 155.5 cm and body weight was 61.0 kg. Laboratory data showed a creatinine of 1.4 mg/dl, potass... | 1) Formula (state explicitly)
- Cockcroft-Gault equation (for females): CrCl (mL/min) = [(140 − age) × weight (kg)] / [72 × SCr (mg/dL)] × 0.85
- Adjustment rule to choose weight:
- Compute BMI = weight(kg) / [height(m)]^2.
- If BMI ≥ 25 (overweight/obese) use Adjusted Body Weight (AdjBW) = IBW + 0.4 × (Actual wei... | Creatinine Clearance (Cockcroft-Gault Equation) | lab test | decimal | 40.96504 | 38.91679 | 43.01329 | 19 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 28-year-old woman presented to the emergency department with sudden-onset abdominal pain. She also had experienced multiple episodes of non-bloody vomitus during the previous 24 hours. One year earlier, she was diagnosed with uncontrolled T2DM but refused to start insulin treatment. Two months before... | 1) Formula
- Cockcroft-Gault equation (for creatinine clearance, mL/min):
CrCl = [(140 − age in years) × weight (kg)] / [72 × serum creatinine (mg/dL)] × (0.85 if female)
2) Extract required values from the note (values at first admission)
- Age:
- Quoted text: "A 28-year-old woman presented..."
- Age = 28 years... | Creatinine Clearance (Cockcroft-Gault Equation) | lab test | decimal | 63.27379 | 60.1101 | 66.43748 | 20 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 61-year-old Caucasian man presented to the emergency department in autumn with one week of dyspnea, productive cough, myalgia, and fever. He denied any chest pain or hemoptysis. His past medical history was significant for hypertension, diabetes mellitus, chronic kidney disease, and non-Hodgkin’s lym... | 1) Formula (2021 CKD‑EPI creatinine equation, race‑free)
eGFR (mL/min/1.73 m²) = 142 × min(Scr/κ, 1)^α × max(Scr/κ, 1)^(−1.200) × 0.9938^Age
- For males: κ = 0.9, α = −0.302
- For females: κ = 0.7, α = −0.241, and multiply additionally by 1.012 (not used here)
2) Extract required values from the note
- Age
- Quoted ... | CKD-EPI Equations for Glomerular Filtration Rate | lab test | decimal | 7.40237 | 7.03225 | 7.77249 | 21 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
The patient, a 22-year-old woman of Chinese Han ethnicity, was admitted for severe edema of the facial region and two lower limbs over 3 mo.
The patient developed edema of the facial region and two lower limbs 3 mo ago without obvious cause. Her symptoms were mild in the morning and severe in the after... | 1) Formula (2021 race-free CKD‑EPI creatinine equation, creatinine only)
eGFR = 142 × min(Scr/κ, 1)^α × max(Scr/κ, 1)^(−1.200) × 0.9938^Age × 1.012 (if female)
where:
- Scr = serum creatinine in mg/dL
- κ = 0.7 for females
- α = −0.241 for females
- age in years
- race coefficient omitted (race-free refit)
2) Extract ... | CKD-EPI Equations for Glomerular Filtration Rate | lab test | decimal | 47.039 | 44.68705 | 49.39095 | 22 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 51-year-old woman from South America with a past medical history of anemia, hypertension, kidney stones, and COVID-19, 4 months prior (a positive antigen test without symptoms) was evaluated in the emergency department after being found to have calcium of 15.7 mg/dL in clinic. The patient endorsed fa... | 1) Formula (2021 CKD-EPI creatinine equation, race-free)
eGFR = 142 × min(Scr / k, 1)^α × max(Scr / k, 1)^(-1.200) × 0.9938^age × (1.012 if female)
Constants for 2021 CKD-EPI (sex-specific)
- For female: k = 0.7, α = -0.241, multiply final result by 1.012
- For male: k = 0.9, α = -0.302, no female multiplier
2) Extra... | CKD-EPI Equations for Glomerular Filtration Rate | lab test | decimal | 48.44101 | 46.01896 | 50.86306 | 23 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 17-year-old male presented with a few days history of severe headache, visual disturbances, and a few episodes of vomiting. There was no history of fever, altered consciousness, seizures, or upper or lower limb weakness. The past medical history was unremarkable. At the time of examination, his BP wa... | 1) Identify the formula
I will use the 2021 CKD‑EPI creatinine equation (race‑free refit, Inker et al. 2021):
eGFR (mL/min/1.73 m²) = 142 × min(Scr/κ, 1)^α × max(Scr/κ, 1)^(–1.200) × 0.9938^Age × (1.012 if female)
Where:
- Scr = serum creatinine (mg/dL)
- κ = 0.9 for males, 0.7 for females
- α = –0.302 for males, –0... | CKD-EPI Equations for Glomerular Filtration Rate | lab test | decimal | 23.42179 | 22.2507 | 24.59288 | 24 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 40-year-old female with a 5-year history of opium abuse presented with 6-month history of fatigue, low back pain, and menometrorrhagia. She had no previous history of any specific medical condition. Physical examination was normal and no abdominal tenderness, organ enlargement, or palpable masses wer... | 1) Formula (2021 CKD‑EPI creatinine equation, no race)
GFR = 142 × min(Scr/κ, 1)^α × max(Scr/κ, 1)^−1.200 × 0.9938^Age × (1.012 if female)
Where for females: κ = 0.7, α = −0.241.
2) Extract required values from the note
- "A 40-year-old female ..." → Age = 40 years
- "Serum creatinine was elevated (2.5)." → Serum cre... | CKD-EPI Equations for Glomerular Filtration Rate | lab test | decimal | 24.32306 | 23.10691 | 25.53921 | 25 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 35-year-old Japanese man with a history of renal disease presented to a dermatology clinic with sudden onset of a purpuric rash on his lower extremities () and was diagnosed with anaphylactoid purpura. Although he was asymptomatic, proteinuria, and haematuria were detected during a screening test whe... | 1) Formula (2021 CKD‑EPI creatinine equation, race‑free)
GFR (mL/min/1.73 m²) = 142 × min(Scr/κ, 1)^α × max(Scr/κ, 1)^−1.200 × 0.9938^Age × 1.012 (if female)
For a male: κ = 0.9, α = −0.302. No race multiplier applied in the 2021 equation.
2) Extract required values from the note
- Age:
- Quoted text: "A 35-year-ol... | CKD-EPI Equations for Glomerular Filtration Rate | lab test | decimal | 70.21721 | 66.70635 | 73.72807 | 26 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 78-year-old man underwent open surgical repair of Crawford type III thoracoabdominal aortic aneurysm because its maximal diameter increased from 49 to 60 mm during 2 years of follow-up (). He had no major associated illness except for chronic renal dysfunction, with a serum creatinine concentration o... | 1) Formula (2021 CKD‑EPI creatinine equation, race‑free)
GFR (mL/min/1.73 m2) = 142 × min(Scr/κ, 1)^α × max(Scr/κ, 1)^(−1.200) × 0.9938^Age × (1.012 if female)
where for creatinine:
- κ = 0.9 for males
- α = −0.302 for males
(For females κ = 0.7 and α = −0.241, and multiply by 1.012; race not used in this 2021 equation... | CKD-EPI Equations for Glomerular Filtration Rate | lab test | decimal | 25.65504 | 24.37229 | 26.93779 | 27 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 70-year-old man was referred to our institution because of abdominal distention and vomiting that started 2 days prior to admission. The patient was undergoing hemodialysis for chronic nephritis, and his past history included hypertension, chronic heart failure, and arterial sclerosis. He was never a... | 1) Formula (2021 CKD‑EPI Creatinine equation, race‑free)
eGFR = 142 × min(Scr/κ, 1)^α × max(Scr/κ, 1)^−1.200 × 0.9938^Age × (1.012 if female)
Where:
- For males: κ = 0.9, α = −0.302
- For females: κ = 0.7, α = −0.241
2) Extract required values from the note
- Age:
- Quote: "A 70-year-old man was referred..."
- Va... | CKD-EPI Equations for Glomerular Filtration Rate | lab test | decimal | 11.09459 | 10.53986 | 11.64932 | 28 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 53-year-old Hispanic male with poorly controlled diabetes, hemodialysis for two years, and coronary artery bypass grafting 10 months previously, developed redness pain and swelling of the medial aspect of both legs two days prior to admission. This occurred in a symmetrical fashion and extended from ... | 1) Formula (2021 CKD‑EPI Creatinine equation, race‑free)
eGFR (mL/min/1.73 m²) = 142 × min(Scr/κ, 1)^α × max(Scr/κ, 1)^−1.200 × 0.9938^Age × 1.012 (if female)
Constants used:
- For males: κ = 0.9, α = −0.241
- For females: κ = 0.7, α = −0.302
(2021 refit removed race coefficient; no race multiplier applied)
2) Extrac... | CKD-EPI Equations for Glomerular Filtration Rate | lab test | decimal | 4.90379 | 4.6586 | 5.14898 | 29 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 35 year old female with SCD, presented with pedal and periorbital edema, distension of abdomen, decreased urine output and dyspnoea on exertion since 1 month. On examination, she was pale, with pulse rate of 100/minute, normal temperature, and blood pressure was 160/100 mm Hg. Her abdomen was distend... | 1) Formula (2021 CKD-EPI Creatinine equation, race-free)
- eGFR (mL/min/1.73 m²) = 142 × min(Scr/κ, 1)^α × max(Scr/κ, 1)^-1.200 × 0.9938^Age × (1.012 if female, 1.000 if male)
- For females: κ = 0.7, α = -0.241
2) Extract values from the note (first admission, prior to treatment)
- Age:
- Quoted text: "A 35 year old... | CKD-EPI Equations for Glomerular Filtration Rate | lab test | decimal | 7.29346 | 6.92879 | 7.65813 | 30 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 28-year-old male patient presented with the complaints of generalized weakness and exertional dyspnea of 1 month duration. He did not give a history of frothing of urine, pedal edema, hematuria or breathlessness in the past. Clinically he appeared pale and dehydrated, blood pressure was 120/80 mmHg a... | 1) Formula (2021 CKD‑EPI creatinine equation, no race):
eGFR = 142 × min(Scr/κ, 1)^α × max(Scr/κ, 1)^−1.200 × 0.9938^Age × 1.012 (if female)
For males: κ = 0.9, α = −0.302, and do NOT multiply by 1.012.
2) Extract required values from the note (first admission values):
- Age:
Quote: "A 28-year-old male ... | CKD-EPI Equations for Glomerular Filtration Rate | lab test | decimal | 28.13233 | 26.72571 | 29.53895 | 31 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 65-year-old woman was referred for colonoscopy because of abdominal pain and hematochezia. She had a history of end-stage renal disease, hypertension, and diabetes mellitus. She underwent hemodialysis three times per week. The patient's hemodynamic parameters were stable. On physical examination, she... | 1) Formula (2021 CKD‑EPI creatinine equation, race‑free)
eGFR (mL/min/1.73 m²) = 142 × min(Scr/κ, 1)^α × max(Scr/κ, 1)^(−1.200) × 0.9938^Age × 1.012 (if female)
Where:
- Scr = serum creatinine (mg/dL)
- κ = 0.7 for females, 0.9 for males
- α = −0.241 for females, −0.302 for males
- Age in years
- The female multiplier... | CKD-EPI Equations for Glomerular Filtration Rate | lab test | decimal | 6.49484 | 6.1701 | 6.81958 | 32 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 70-year-old white woman with a renal transplant performed nine years ago arrived at the emergency room with a dry cough and minimal activity dyspnea. She had no fever, expectoration, or chest pain.
She had been diagnosed with hypertension and dyslipidemia and the origin of the kidney disease was unkn... | 1) Formula (2021 CKD-EPI Creatinine equation, race-free refit)
eGFR (mL/min/1.73 m²) = 142 × min(Scr/κ, 1)^α × max(Scr/κ, 1)^−1.200 × 0.9938^Age × 1.012 (if female)
Where:
- Scr = serum creatinine in mg/dL
- κ = 0.7 for females
- α = −0.241 for females
- Age in years
- No race multiplier (race-free 2021 refit)
2) Ext... | CKD-EPI Equations for Glomerular Filtration Rate | lab test | decimal | 41.1776 | 39.11872 | 43.23648 | 33 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 58-year-old man presents to the emergency department with rapid onset of severe pain and swelling in his right great toe overnight. He reports experiencing a similar episode several years ago but cannot recall the diagnosis or the medication he was given for treatment. His medical history is signific... | 1) Formula (2021 CKD-EPI creatinine equation, no race):
eGFR = 142 × min(Scr/κ, 1)^α × max(Scr/κ, 1)^(-1.200) × 0.9938^age
- For males: κ = 0.9, α = -0.302, no female multiplier.
2) Extract values from the note:
- Quote: "A 58-year-old man" → Age = 58 years
- Quote: "Creatinine: 3.1 mg/dL" → Serum creatini... | CKD-EPI Equations for Glomerular Filtration Rate | lab test | decimal | 22.44331 | 21.32114 | 23.56548 | 34 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 33-year-old woman presents to the emergency department after she found out she had a blood pressure of 165/100 mmHg at a local pharmacy. The patient is not followed by a primary care physician and is not currently taking any medications. She has no other complaints at this time. A bedside ultrasound ... | 1) Formula (2021 CKD-EPI creatinine equation, refit, no race):
GFR = 142 × min(Scr/κ, 1)^α × max(Scr/κ, 1)^−1.200 × 0.9938^Age × 1.012 (if female)
Where for creatinine (mg/dL):
- for females: κ = 0.7, α = −0.241
2) Extract required values from the note (first admission, before treatment):
- Age:
- Quoted text: "A 3... | CKD-EPI Equations for Glomerular Filtration Rate | lab test | decimal | 68.04278 | 64.64064 | 71.44492 | 35 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 70-year-old male suffered progressive generalized edema after consuming stale crabs, with only mild abdominal discomfort and no fever or other symptoms. Before this, he was healthy and did not have a history of digestive diseases, diabetes, or chronic obstructive pulmonary disease. The man was a nati... | 1) Formula (2021 CKD‑EPI creatinine equation, creatinine-only, race‑free)
eGFR (mL/min/1.73 m2) = 142 × min(Scr/κ, 1)^α × max(Scr/κ, 1)^(−1.200) × 0.9938^Age × (1.012 if female)
For males: κ = 0.9, α = −0.302, no female multiplier (use 1.000).
2) Extract required values from the note
- Age
- Quoted text: "A 70-year... | CKD-EPI Equations for Glomerular Filtration Rate | lab test | decimal | 50.95345 | 48.40578 | 53.50112 | 36 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 62-year-old man with PL was found a right-side ureteral calculi by ultrasound in the routine health examination. Thirteen years ago, when he was diagnosed with PL, CT scan found a heavy hydronephrosis in the left side. So he had accepted an open surgery of uretero-vesical reimplantation in the left s... | 1) Formula (2021 CKD‑EPI creatinine equation, without race)
eGFR = 142 × min(Scr/κ, 1)^α × max(Scr/κ, 1)^(−1.200) × 0.9938^Age × (1.012 if female)
For males: κ = 0.9, α = −0.302.
Scr must be in mg/dL. Age in years. No race coefficient is used in the 2021 equation.
2) Extract required values from the note
- Age:
- Q... | CKD-EPI Equations for Glomerular Filtration Rate | lab test | decimal | 74.27715 | 70.56329 | 77.99101 | 37 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 45-year-old male with a history of hypertension and chronic kidney disease (CKD) diagnosed concomitantly 2 years ago presented with acute onset rash [] and diffuse joint pains for 2 weeks. He denied any blood transfusions, intravenous drug abuse or high-risk sexual behavior. His medications included ... | 1) Formula (2021 CKD‑EPI creatinine equation, no race):
eGFR = 142 × min(Scr/κ, 1)^α × max(Scr/κ, 1)^−1.200 × 0.9938^Age × (1.012 if female)
For males: κ = 0.9, α = −0.302. (No female multiplier for this patient.)
2) Extract required values from the note:
- Age:
- Quoted text: "A 45-year-old male ..."
- Value: Age... | CKD-EPI Equations for Glomerular Filtration Rate | lab test | decimal | 43.78544 | 41.59617 | 45.97471 | 38 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A healthy 18-year-old male was admitted due to kidney failure (serum creatinine: 3 mg/dL), proteinuria (1.89 g/day), and recent past episodes of intermittent macrohematuria. Urine smear disclosed 30–50 red blood cells per high power field (). Four months before admission, a routine blood exam had been ... | 1) Formula (2021 CKD‑EPI creatinine equation, race‑free):
GFR = 142 × min(Scr/κ, 1)^α × max(Scr/κ, 1)^(−1.200) × 0.9938^Age × (1.012 if female; 1.000 if male)
Constants for creatinine equation:
- For males: κ = 0.9, α = −0.302
- For females: κ = 0.7, α = −0.241
(The 2021 refit removes race.)
2) Extract required value... | CKD-EPI Equations for Glomerular Filtration Rate | lab test | decimal | 29.93751 | 28.44063 | 31.43439 | 39 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 64-year-old Brazilian man was admitted to the emergency department of our institution in April 2019 claiming fatigue, malaise, intermittent fever, and weight loss. In the first physical exam he presented hypotension and mental confusion. Three months before he began with progressive prostration, unin... | 1) Formula (2021 CKD-EPI creatinine equation, race-free)
eGFR = 142 × min(Scr/k, 1)^α × max(Scr/k, 1)^(-1.200) × 0.9938^Age × (1.012 if female)
where:
- Scr = serum creatinine in mg/dL
- k = 0.9 for males, 0.7 for females
- α = -0.302 for males, -0.241 for females
- Age in years
- (race multiplier removed in 2021 refi... | CKD-EPI Equations for Glomerular Filtration Rate | lab test | decimal | 40.43277 | 38.41113 | 42.45441 | 40 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
Our patient is a 38-year-old woman with a past medical history most significant for a Roux-en-Y gastric bypass surgery in March 2017, complicated by a marginal ulcer at the anastomosis site with subsequent perforation. The patient could not tolerate oral nutrition and became severely malnourished, and ... | 1) Formula / scoring criteria (CHA2DS2-VASc)
- C: Congestive heart failure (or left ventricular systolic dysfunction) = 1 point
- H: Hypertension = 1 point
- A2: Age ≥75 years = 2 points
- D: Diabetes mellitus = 1 point
- S2: Prior stroke / TIA / thromboembolism = 2 points
- V: Vascular disease (prior MI, peripheral ar... | CHA2DS2-VASc Score for Atrial Fibrillation Stroke Risk | risk | integer | 2 | 2 | 2 | 41 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 68-year-old woman was admitted to the hospital with dizziness, disequilibrium, and dysarthria, which she had had for about 2 weeks. She had a history of hypertension, but no history of diabetes or heart disease, no familial history of cardiovascular disease, and no use of preventive medication for st... | 1) Formula / scoring criteria
- CHA2DS2-VASc score components:
- Congestive heart failure / left ventricular dysfunction (CHF) = 1 point
- Hypertension = 1 point
- Age ≥75 years = 2 points
- Diabetes mellitus = 1 point
- Prior stroke / TIA / thromboembolism = 2 points
- Vascular disease (prior MI, periphera... | CHA2DS2-VASc Score for Atrial Fibrillation Stroke Risk | risk | integer | 5 | 5 | 5 | 42 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
An 86-year-old woman with a history of atrial fibrillation, aortic stenosis, and hypertension presented to the emergency department due to altered mental status. She was lethargic, confused, and was not answering questions appropriately for the past four days. On arrival, she was afebrile, and her vita... | 1) Formula / scoring criteria (CHA2DS2-VASc):
- C = Congestive heart failure / left ventricular dysfunction = 1 point
- H = Hypertension = 1 point
- A2 = Age ≥75 years = 2 points
- D = Diabetes mellitus = 1 point
- S2 = Prior Stroke / TIA / systemic thromboembolism = 2 points
- V = Vascular disease (prior MI, PAD, aort... | CHA2DS2-VASc Score for Atrial Fibrillation Stroke Risk | risk | integer | 4 | 4 | 4 | 43 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 68-year-old man with the left hemiparesis from 2 h previously visited the emergency room. His medical history included hypertension and bilateral emphysema due to heavy smoking. Vital sign assessment revealed tachycardia; examination of the heart revealed atrial fibrillation (AF). Neurological examin... | 1) Formula / scoring criteria (CHA2DS2-VASc)
- Congestive heart failure / left ventricular dysfunction = 1 point
- Hypertension = 1 point
- Age ≥75 years = 2 points
- Diabetes mellitus = 1 point
- Prior Stroke / TIA / thromboembolism = 2 points
- Vascular disease (prior MI, PAD, aortic plaque) = 1 point
- Age 65–74 yea... | CHA2DS2-VASc Score for Atrial Fibrillation Stroke Risk | risk | integer | 4 | 4 | 4 | 44 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
The patient that admitted into our department was a 75-year-old male, diagnosed with osteoporosis by DXA examination, his serum CTX, P1NP and OC were 0.78 μg/L, 200.70 μg/L, and 24.47 μg/L, respectively. He had a history of 15-year hypertension and 10-year chronic AF. Ten months earlier, he suffered fr... | 1) Formula / scoring criteria
- CHA2DS2-VASc score components and points:
- C: Congestive heart failure / left ventricular dysfunction = 1 point
- H: Hypertension = 1 point
- A2: Age ≥ 75 years = 2 points
- D: Diabetes mellitus = 1 point
- S2: Prior stroke / TIA / thromboembolism = 2 points
- V: Vascular di... | CHA2DS2-VASc Score for Atrial Fibrillation Stroke Risk | risk | integer | 5 | 5 | 5 | 45 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 56-year-old woman with a significant history of RCA stenosis with prior bare metal stenting, hypertension, diabetes, dyslipidemia, smoking, and paroxysmal atrial fibrillation presented to the emergency department with anginal chest pain. Initial work up showed significant elevation of cardiac troponi... | 1) Formula / scoring criteria (CHA2DS2-VASc):
- Congestive heart failure / LV dysfunction = 1 point
- Hypertension = 1 point
- Age ≥75 years = 2 points
- Diabetes mellitus = 1 point
- Prior stroke / TIA / thromboembolism = 2 points
- Vascular disease (prior MI, peripheral arterial disease, or aortic plaque) = 1 point
-... | CHA2DS2-VASc Score for Atrial Fibrillation Stroke Risk | risk | integer | 4 | 4 | 4 | 46 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
DH 21-year-old primigravida presented for her booking visit at 11+2/40. Her history was notable for a background history of congenital biliary atresia (BA). She had undergone an early Kasai portoenterostomy with Roux-en-Y anastomosis in the early neonatal period. Her subsequent postoperative course was... | 1) Formula / scoring criteria
- CHA2DS2-VASc score components:
- C: Congestive heart failure / left ventricular dysfunction = 1 point
- H: Hypertension = 1 point
- A2: Age ≥ 75 years = 2 points
- D: Diabetes mellitus = 1 point
- S2: Prior stroke / TIA / thromboembolism = 2 points
- V: Vascular disease (prio... | CHA2DS2-VASc Score for Atrial Fibrillation Stroke Risk | risk | integer | 1 | 1 | 1 | 47 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 75-year-old man with persistent AF, a CHA2DS2 VASc score of 4 and a HAS-BLED score of 4 with recurrent gastrointestinal bleedings was referred to a tertiary clinic for a LAAC. His medical history consisted of a chronic obstructive pulmonary disease (COPD), coronary artery disease, and a two-thirds ga... | 1) Formula / scoring criteria
- CHA2DS2‑VASc score = C + H + A2 + D + S2 + V + A + Sc
- C: Congestive heart failure / LVEF ≤40% = 1 point
- H: Hypertension (history) = 1 point
- A2: Age ≥75 years = 2 points
- D: Diabetes mellitus = 1 point
- S2: Prior Stroke / TIA / systemic embolism = 2 points
- V: Vascula... | CHA2DS2-VASc Score for Atrial Fibrillation Stroke Risk | risk | integer | 3 | 3 | 3 | 48 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 55-year-old right-handed male presented to the emergency department after a syncopal episode. He was teaching a karate class when a coworker saw him fall to the ground. He spontaneously regained consciousness after a few seconds but was confused for ∼15–20 min. He had no recollection of the event, an... | 1) Formula / scoring criteria
- CHA2DS2-VASc score components and points:
- Congestive heart failure / LV dysfunction = 1 point
- Hypertension = 1 point
- Age ≥75 years = 2 points
- Diabetes mellitus = 1 point
- Prior stroke / TIA / thromboembolism = 2 points
- Vascular disease (prior MI, peripheral arteria... | CHA2DS2-VASc Score for Atrial Fibrillation Stroke Risk | risk | integer | 0 | 0 | 0 | 50 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 63-year-old man with history of hypertension and glucose intolerance since age 59 years was emergently admitted to our Institution from a peripheral Hospital for evaluation of a severe, constant posterior chest pain, radiating forward, and dyspnoea with a suspected diagnosis of acute aortic dissectio... | 1) Formula / scoring criteria (CHA2DS2-VASc)
- Congestive heart failure / left ventricular dysfunction = 1 point
- Hypertension = 1 point
- Age ≥75 years = 2 points
- Diabetes mellitus = 1 point
- Prior stroke / TIA / thromboembolism = 2 points
- Vascular disease (prior MI, peripheral artery disease, or aortic plaque) ... | CHA2DS2-VASc Score for Atrial Fibrillation Stroke Risk | risk | integer | 1 | 1 | 1 | 51 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 59-year-old man diagnosed with obstructive hydrocephalus was scheduled for an ETV. The patient had a medical history of well-controlled diabetes mellitus and hypertension that was being treated with an angiotensin receptor blocker, a calcium channel blocker, and a beta blocker. The body mass index wa... | 1) Formula / scoring criteria (CHA2DS2‑VASc)
- Congestive heart failure / LV dysfunction = 1 point
- Hypertension = 1 point
- Age ≥75 years = 2 points
- Diabetes mellitus = 1 point
- Prior Stroke / TIA / thromboembolism = 2 points
- Vascular disease (prior MI, PAD, aortic plaque) = 1 point
- Age 65–74 years = 1 point
-... | CHA2DS2-VASc Score for Atrial Fibrillation Stroke Risk | risk | integer | 2 | 2 | 2 | 52 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 78-year-old female patient, temporarily admitted to the recovery department after ECT, developed atrial fibrillation and chest pain. Her medical history showed hypertension, severe depression and paroxysmal atrial fibrillation. Her ECG 3 months before ECT was completely normal. Immediately after ECT ... | 1) Formula / scoring criteria
- CHA2DS2-VASc components and points:
- C: Congestive heart failure / LV dysfunction = 1 point
- H: Hypertension = 1 point
- A2: Age ≥75 years = 2 points
- D: Diabetes mellitus = 1 point
- S2: Prior Stroke / TIA / thromboembolism = 2 points
- V: Vascular disease (prior MI, PAD,... | CHA2DS2-VASc Score for Atrial Fibrillation Stroke Risk | risk | integer | 5 | 5 | 5 | 53 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
The patient was a 64-year-old man affected by a persistent nodular lesion of the cheek mucosa. More precisely, he presented with a blue-violet, sessile, painless, and nonbleeding lesion of the cheek lasting one year (Figure ). He reported occasional biting trauma. Warfarin therapy had been prescribed f... | 1) Formula / scoring criteria (CHA2DS2-VASc):
- C: Congestive heart failure / left ventricular dysfunction = 1 point
- H: Hypertension = 1 point
- A2: Age ≥75 years = 2 points
- D: Diabetes mellitus = 1 point
- S2: Prior Stroke / TIA / thromboembolism = 2 points
- V: Vascular disease (prior MI, peripheral artery diseas... | CHA2DS2-VASc Score for Atrial Fibrillation Stroke Risk | risk | integer | 0 | 0 | 0 | 54 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 57-year-old man who had alcoholic liver disease and chronic hepatitis C-related Child-Pugh class C liver cirrhosis was brought to our emergency department by ambulance, exhibiting fever, short of breath and a localized wound pain over left ankle. The patient presented with dyspnea, lower extremity ed... | 1) Formula / scoring criteria (CHA2DS2-VASc)
- Congestive heart failure / LV dysfunction: 1 point
- Hypertension (history of hypertension or treatment): 1 point
- Age ≥75 years: 2 points
- Diabetes mellitus: 1 point
- Prior stroke / TIA / thromboembolism: 2 points
- Vascular disease (prior MI, PAD, or aortic plaque): 1... | CHA2DS2-VASc Score for Atrial Fibrillation Stroke Risk | risk | integer | 0 | 0 | 0 | 55 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 62-year-old male presented to Samsung Medical Center with a 40-year history of paroxysmal palpitations. Although diagnosed with atrial septal defect (ASD) 30 years previously, the patient elected not to undergo surgical repair. Approximately 1 year prior, he began to visit the pediatric ward of Samsu... | 1) Formula / scoring criteria
- CHA2DS2-VASc score components and points:
- C: Congestive heart failure / LVEF ≤40% = 1 point
- H: Hypertension = 1 point
- A2: Age ≥75 years = 2 points
- D: Diabetes mellitus = 1 point
- S2: Prior stroke / TIA / thromboembolism = 2 points
- V: Vascular disease (prior MI, PAD... | CHA2DS2-VASc Score for Atrial Fibrillation Stroke Risk | risk | integer | 0 | 0 | 0 | 56 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 73-year-old female presented with a chief complaint for evaluation of an incidental finding of peripancreatic lymph node.
She underwent computed tomography (CT) of the abdomen and pelvis as part of her routine surveillance for extranodal marginal zone B-cell lymphoma of mucosa-associated lymphoid tis... | 1) Formula / scoring criteria
- CHA2DS2‑VASc score components:
- Congestive heart failure / left ventricular dysfunction = 1 point
- Hypertension = 1 point
- Age ≥75 years = 2 points
- Diabetes mellitus = 1 point
- Prior Stroke / TIA / thromboembolism = 2 points
- Vascular disease (prior MI, PAD, aortic pla... | CHA2DS2-VASc Score for Atrial Fibrillation Stroke Risk | risk | integer | 3 | 3 | 3 | 57 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
The patient was a 76-year-old man with a history of mild dysphasia. He had a prior history of cerebral infarctions (x3) at the age of 66, 74 and 75 years, with a first instance of swallowing difficulties after the third stroke. At that time, dysphasia rehabilitation was initiated within 3 days of the s... | 1) Formula / scoring criteria (CHA2DS2-VASc)
- Congestive heart failure / left ventricular dysfunction: 1 point
- Hypertension: 1 point
- Age ≥75 years: 2 points
- Diabetes mellitus: 1 point
- Prior stroke / TIA / thromboembolism: 2 points
- Vascular disease (prior myocardial infarction, peripheral artery disease, or a... | CHA2DS2-VASc Score for Atrial Fibrillation Stroke Risk | risk | integer | 6 | 6 | 6 | 58 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
An obese 42-year-old African American male with diabetes mellitus, hypertension, heart failure with reduced ejection fraction, coronary arterial disease, and atrial fibrillation presented with new onset right-sided chest pain and a palpable right chest mass. Ultrasound showed an anterior right chest, w... | 1) Formula / scoring criteria (CHA2DS2-VASc)
- Congestive heart failure / LV dysfunction = 1 point
- Hypertension = 1 point
- Age ≥75 years = 2 points
- Age 65–74 years = 1 point
- Diabetes mellitus = 1 point
- Stroke / TIA / thromboembolism (prior) = 2 points
- Vascular disease (prior MI, PAD, or aortic plaque) = 1 po... | CHA2DS2-VASc Score for Atrial Fibrillation Stroke Risk | risk | integer | 4 | 4 | 4 | 59 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
An 83-year-old male with a history of arterial hypertension and diabetes developed acute right-sided hemiparesis and fluent aphasia (NIHSS score on admission: 4). He arrived at our hospital 45 min later. On admission, his blood pressure was 160/70 mm Hg; atrial fibrillation was detected on electrocardi... | 1) Formula / scoring criteria (CHA2DS2‑VASc)
- Congestive heart failure / left ventricular dysfunction = 1 point
- Hypertension = 1 point
- Age ≥75 years = 2 points
- Diabetes mellitus = 1 point
- Stroke / TIA / thromboembolism (prior or current) = 2 points
- Vascular disease (prior MI, PAD, aortic plaque) = 1 point
- ... | CHA2DS2-VASc Score for Atrial Fibrillation Stroke Risk | risk | integer | 6 | 6 | 6 | 60 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 46 year old male, a known hypertensive on treatment for the past 10 years, was diagnosed to have chronic renal failure 3 years ago. Consequently he progressed to ESRD and hemodialysis was initiated in December 2006 for the same, with the creation of a brachiocephalic arteriovenous fistula over the le... | 1) Formula:
- Mean arterial pressure (MAP) = (Systolic BP + 2 × Diastolic BP) / 3
2) Extract values from the note:
- Quoted text: "BP of 140/80 mmHg."
- Systolic blood pressure (SBP) = 140 mmHg
- Diastolic blood pressure (DBP) = 80 mmHg
- These values are from the patient's initial exam on admission (prior to trea... | Mean Arterial Pressure (MAP) | physical | decimal | 100.0 | 95.0 | 105.0 | 61 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 40-year-old unrestrained passenger is brought into the emergency room after a motor vehicle collision. The patient is awake and alert, though he complains of chest and back pain. Soon after he is brought in, the patient loses consciousness. His vitals are: Temperature 96 deg F (35.6 deg C), pulse 120... | 1) Formula
- Mean arterial pressure (MAP) ≈ (SBP + 2 × DBP) / 3
2) Extract required values from the patient note
- Quote: "blood pressure 80/45 mmHg"
- Systolic blood pressure (SBP) = 80 mmHg
- Diastolic blood pressure (DBP) = 45 mmHg
(No unit conversions needed.)
3) Special conditions or adjustments
- No age/se... | Mean Arterial Pressure (MAP) | physical | decimal | 56.66667 | 53.83334 | 59.5 | 62 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
We describe the case of a 70-year-old woman who developed sudden-onset vertical separation of images. This occurred only when she specifically gazed at a distance. For example, when she looked at a plant, she saw a double image that was completely vertically separated, without overlap. The bottom image... | 1) Formula
- Mean arterial pressure (MAP) = (SBP + 2 × DBP) / 3
2) Extract required values from the note
- Quoted text: "On examination, her blood pressure (BP) was 150/92 with a pulse of 71, which was regular."
- Systolic blood pressure (SBP) = 150 mm Hg
- Diastolic blood pressure (DBP) = 92 mm Hg
- No unit conve... | Mean Arterial Pressure (MAP) | physical | decimal | 111.33333 | 105.76666 | 116.9 | 63 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 10-year-old male patient was brought to our department with premature pubarche and onset of facial acne at the age of 8 years and increase in penis size at the age of 9 years. Concomitantly, he had a progressive, gradually worsening holocranial headache associated with drowsiness and loss of appetite... | 1) Formula:
- Mean arterial pressure (MAP) ≈ (SBP + 2 × DBP) / 3
2) Extract required values from the note:
- Quoted text: "Physical examination revealed ... blood pressure of 90/60 mmHg,"
- Systolic blood pressure (SBP) = 90 mmHg
- Diastolic blood pressure (DBP) = 60 mmHg
- No unit conversions are needed (values a... | Mean Arterial Pressure (MAP) | physical | decimal | 70.0 | 66.5 | 73.5 | 64 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 79-year-old African American female presented to the emergency room for shortness of breath with exertion and grade 2+ bilateral lower limb edema. The patient denied dizziness, palpitation, fever, chills, productive cough, abdominal pain, nausea, vomiting, hematemesis, melena, and hematochezia.
On ex... | 1) Formula:
- Mean arterial pressure (MAP) ≈ (SBP + 2 × DBP) / 3
2) Extract values from the note:
- Quote: "the patient's blood pressure was 94/66 mmHg"
- Systolic blood pressure (SBP) = 94 mmHg
- Diastolic blood pressure (DBP) = 66 mmHg
- These are first-admission vitals (used per instructions).
- No unit convers... | Mean Arterial Pressure (MAP) | physical | decimal | 75.33333 | 71.56666 | 79.1 | 65 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 67-year-old woman has fallen from the second story level of her home while hanging laundry. She was brought to the emergency department immediately and presented with severe abdominal pain. The patient is anxious, and her hands and feet feel very cold to the touch. There is no evidence of bone fractu... | 1) Formula:
- Mean arterial pressure (MAP) = (SBP + 2 × DBP) / 3
2) Extract required values from the note:
- "Her blood pressure is 102/67 mm Hg" → SBP = 102 mm Hg, DBP = 67 mm Hg
(No unit conversions needed.)
3) Special conditions/adjustments:
- None applicable for MAP calculation. Using first-admission vitals as r... | Mean Arterial Pressure (MAP) | physical | decimal | 78.66667 | 74.73334 | 82.6 | 66 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 47-year-old female comes to the emergency department because of increasing back pain for the past 2 weeks. She is unable to perform her daily chores. One month ago, she fell and hurt her back while working outside in the garden. The pain subsided with over-the-counter acetaminophen. She underwent a l... | 1) Formula
- Mean arterial pressure (MAP) = (SBP + 2 × DBP) / 3
2) Extract required values from the patient note
- Quote: "blood pressure is 110/80 mm Hg."
- Systolic blood pressure (SBP) = 110 mm Hg
- Diastolic blood pressure (DBP) = 80 mm Hg
- Note: these are the patient's values at first admission (prior to an... | Mean Arterial Pressure (MAP) | physical | decimal | 90.0 | 85.5 | 94.5 | 67 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 50-year-old female patient with a known case of diabetes mellitus and end-stage renal disease due to hypertension was started on hemodialysis in March 2014. Permanent tunneled catheters were placed into the right internal jugular vein as the patient was not fit for AVF creation due to vascular occlus... | 1) Formula:
- Mean arterial pressure (MAP) ≡ (SBP + 2 × DBP) / 3
2) Extract values from the patient note:
- Quoted text: "the blood pressure 150/75 mm Hg"
- Systolic blood pressure (SBP) = 150.0000 mm Hg
- Diastolic blood pressure (DBP) = 75.0000 mm Hg
- These values are from the first admission (documented on pre... | Mean Arterial Pressure (MAP) | physical | decimal | 100.0 | 95.0 | 105.0 | 68 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 59-year-old man was admitted to the emergency department with a carrot in the rectum and mild lower abdominal discomfort. He had no specific history and denied homosexual identity. The patient's blood pressure was 132/78 mm Hg; pulse rate, 88/min; respiration rate, 18/min; and body temperature, 36.5℃... | 1) Formula:
MAP ≈ (SBP + 2 × DBP) / 3
2) Extract required values from the note:
- "The patient's blood pressure was 132/78 mm Hg;"
- Systolic blood pressure (SBP) = 132.0000 mm Hg
- Diastolic blood pressure (DBP) = 78.0000 mm Hg
(No unit conversions needed.)
3) Special conditions/checks:
- No special age/sex adj... | Mean Arterial Pressure (MAP) | physical | decimal | 96.0 | 91.2 | 100.8 | 69 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 35-year-old man is brought to the emergency department 30 minutes after being involved in a motor vehicle collision. The patient was on his way to work before he lost control of his car and crashed into a tree. On arrival, the patient appears weak and lethargic. He has pain in his abdomen. His temper... | 1) Formula:
MAP = (SBP + 2 × DBP) / 3
2) Extract required values from the note:
- "blood pressure is 85/60 mm Hg." → Systolic blood pressure (SBP) = 85 mm Hg; Diastolic blood pressure (DBP) = 60 mm Hg.
- Quoted text: "blood pressure is 85/60 mm Hg."
- SBP = 85 mm Hg
- DBP = 60 mm Hg
(No unit conversions needed.... | Mean Arterial Pressure (MAP) | physical | decimal | 68.33333 | 64.91666 | 71.75 | 70 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 56-year-old man presents to the family medicine office since he has been having difficulty keeping his blood pressure under control for the past month. He has a significant medical history of hypertension, coronary artery disease, and diabetes mellitus. He has a prescription for losartan, atenolol, a... | 1) Formula:
- Mean arterial pressure (MAP) = (SBP + 2 × DBP) / 3
(equivalently MAP = DBP + 1/3 × (SBP − DBP))
2) Extract required values from the patient note:
- "The blood pressure is 178/100 mm Hg"
- Systolic blood pressure (SBP) = 178 mm Hg
- Diastolic blood pressure (DBP) = 100 mm Hg
- No unit conversion req... | Mean Arterial Pressure (MAP) | physical | decimal | 126.0 | 119.7 | 132.3 | 71 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 34-year-old Surinamese female was referred to the Department of Vascular Medicine of our hospital because of right-sided blurred vision, caused by ischemic retinopathy and neovascularisation (Fig. ). Her medical history was remarkable for heterozygote alpha-thalassemia, but negative for thrombotic an... | 1) Formula:
- Mean arterial pressure (MAP) ≈ (SBP + 2 × DBP) / 3
2) Extract required values from the note:
- Quote: "blood pressure 125/70 mmHg"
- Systolic blood pressure (SBP) = 125 mmHg
- Diastolic blood pressure (DBP) = 70 mmHg
(No unit conversions required.)
3) Special conditions / adjustments:
- Patient BMI... | Mean Arterial Pressure (MAP) | physical | decimal | 88.33333 | 83.91666 | 92.75 | 72 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 21-year-old man presented to our emergency room with a complaint of right lower abdominal pain for 2 days. On physical examination, the vital signs were as follows: temperature, 37.3°C; heart rate, 94/min; respiratory rate, 20/min; blood pressure, 120/75 mm Hg. The abdominal examination was significa... | 1) Formula:
- Mean arterial pressure (MAP) ≈ (SBP + 2 × DBP) / 3
2) Extract required values from the note:
- Quote: "blood pressure, 120/75 mm Hg."
- Systolic blood pressure (SBP) = 120 mm Hg
- Diastolic blood pressure (DBP) = 75 mm Hg
- (No unit conversions needed.)
3) Special conditions/adjustments:
- No specia... | Mean Arterial Pressure (MAP) | physical | decimal | 90.0 | 85.5 | 94.5 | 73 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 44-year-old man comes to the physician for a routine health maintenance examination. He had not seen his primary care physician for 7 years. He has no complaints other than feeling easily fatigued. He has no significant medical history. He reports drinking half a pint of liquor a day. His temperature... | 1) Formula
- Mean arterial pressure (MAP) = (SBP + 2 × DBP) / 3
(equivalently MAP = (1/3) SBP + (2/3) DBP)
2) Extract values from the note
- "blood pressure is 120/70 mm Hg."
- Systolic blood pressure (SBP) = 120 mm Hg
- Diastolic blood pressure (DBP) = 70 mm Hg
- No unit conversions required (values already in ... | Mean Arterial Pressure (MAP) | physical | decimal | 86.66667 | 82.33334 | 91.0 | 74 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 72-year-old woman presented to the emergency room with dyspnea and myalgia that developed 2 weeks after undergoing acupuncture therapy on both knees due to arthralgia. Vital signs on admission showed hypotension (80/40 mm Hg), tachycardia (118 beats per minute), tachypnea (20 per minute), and hypothe... | 1) Formula:
Mean arterial pressure (MAP) = (SBP + 2 × DBP) / 3
2) Extract required values from the note:
- Quoted text: "hypotension (80/40 mm Hg)"
- Systolic blood pressure (SBP) = 80 mm Hg
- Diastolic blood pressure (DBP) = 40 mm Hg
- No unit conversions needed (values already in mm Hg).
3) Special conditions /... | Mean Arterial Pressure (MAP) | physical | decimal | 53.33333 | 50.66666 | 56.0 | 75 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 12-year-old girl, the youngest of three siblings, born of a nonconsanguineous marriage, and who had a normal perinatal history, was referred for evaluation of an incidentally detected cardiac murmur. There was failure to thrive but otherwise the patient was asymptomatic. There was no history of chest... | 1) Identify formula
- Mean arterial pressure (MAP) formula: MAP = DBP + (SBP − DBP)/3
(equivalently MAP = (2 × DBP + SBP) / 3)
2) Extract required values from the note
- Quote: "The blood pressure was 128/92 mmHg"
- Systolic blood pressure (SBP) = 128.0000 mmHg
- Diastolic blood pressure (DBP) = 92.0000 mmHg
- N... | Mean Arterial Pressure (MAP) | physical | decimal | 104.0 | 98.8 | 109.2 | 76 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 65-year-old African American woman was rushed to the hospital by ambulance following an episode of syncope at a community supermarket. She regained consciousness within a few minutes. There was no tongue biting, urinary incontinence, or postictal confusion. She reported some premonitory symptoms of w... | 1) Formula:
- Mean arterial pressure (MAP) ≈ (systolic blood pressure + 2 × diastolic blood pressure) / 3
- Explicitly: MAP = (SBP + 2 × DBP) / 3
2) Extract required values from the note:
- Quote: "blood pressure while supine was 89/52 mm Hg"
- SBP = 89 mm Hg
- DBP = 52 mm Hg
- Unit conversions: none required (val... | Mean Arterial Pressure (MAP) | physical | decimal | 64.33333 | 61.11666 | 67.55 | 77 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 48-year-old morbidly obese African-American male with a medical history of congestive heart failure, hypertension, obstructive sleep apnea on 2 l of home oxygen and non-complaint with continuous positive airway pressure at night presented to the emergency department (ED) with worsening shortness of b... | 1) Formula:
- Mean arterial pressure (MAP) ≈ (SBP + 2 × DBP) / 3
(equivalently MAP = DBP + 1/3 × [SBP − DBP]).
2) Extract required values from the note:
- Quoted text: "Vital signs in the ED were ... blood pressure, 116/66 mmHg;"
- Systolic blood pressure (SBP) = 116 mm Hg
- Diastolic blood pressure (DBP) = 66 m... | Mean Arterial Pressure (MAP) | physical | decimal | 82.66667 | 78.53334 | 86.8 | 78 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
Patient A is a 30-year-old male who was admitted to the hospital after 10 days of cough, profuse nocturnal sweating and loss of appetite. He had traveled to India 1 months ago and has not any positive history of TB vaccination. He is a previously healthy man, working as an engineer in a high tech compa... | 1) Formula
- Mean arterial pressure (MAP) is calculated as:
MAP = (SBP + 2 × DBP) / 3
2) Extract required values from the patient note
- Quoted text: "BP of 125/75 mmHg"
- Systolic blood pressure (SBP) = 125 mmHg
- Diastolic blood pressure (DBP) = 75 mmHg
- This BP is from the initial presentation/admission (the... | Mean Arterial Pressure (MAP) | physical | decimal | 91.66667 | 87.08334 | 96.25 | 79 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 76-year-old man presented with typical chest pain and ST-elevation inferior MI. He was a smoker with diabetes and chronic kidney disease Class 3a with a glomerular filtration rate (GFR) 48 mL/min/m2. The hospital had no coronary intervention facilities, so he received thrombolytic therapy. Two weeks ... | 1) Formula
- Mean arterial pressure (MAP) ≈ (SBP + 2 × DBP) / 3
2) Extract required values from the note
- Quoted text: "His heart rate was 88 b.p.m. and blood pressure was 115/67 mmHg."
- Systolic blood pressure (SBP) = 115 mmHg
- Diastolic blood pressure (DBP) = 67 mmHg
Note: The note does not report a separate... | Mean Arterial Pressure (MAP) | physical | decimal | 83.0 | 78.85 | 87.15 | 80 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 63-year-old male, 159 cm in height and 70 kg in weight, was scheduled to undergo resection of cervical epidural mass. The patient had a medical history of well-controlled hypertension and old healed pulmonary tuberculosis. The patient had facial and neck purpuras and ecchymoses, whose cause could not... | 1) Formula
- BMI = weight (kg) / [height (m)]^2
2) Extract required values from the patient note
- Weight:
- Quoted text: "70 kg in weight"
- Value: 70.0000 kg
- Height:
- Quoted text: "159 cm in height"
- Value: 159.0000 cm
- Convert to meters: 159.0000 cm × 0.01 = 1.5900 m
3) Check for special conditions ... | Body Mass Index (BMI) | physical | decimal | 27.68878 | 26.30434 | 29.07322 | 81 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 76-year-old woman presented at our outpatient clinic with symptomatic OA of the right knee. At admission her height was measured to be 139.8 cm and her weight was measured to be 46.5 kg. Her past medical history included NF, congenital pseudarthrosis, and combined deformities of the tibia and fibula ... | 1) Formula
- BMI = weight (kg) / (height (m))^2
2) Extract required values from the note
- Weight:
- Quote: "her weight was measured to be 46.5 kg."
- Value: 46.5 kg
- Height:
- Quote: "her height was measured to be 139.8 cm"
- Value: 139.8 cm
- Convert to meters: 139.8 cm × 0.01 = 1.3980 m
3) Special condi... | Body Mass Index (BMI) | physical | decimal | 23.79242 | 22.6028 | 24.98204 | 82 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
When waking in the early morning (3:30 am), a 33-year-old male presented with persistent right limb weakness and verbal confusion. There was no record of special past history or family history. He smoked 2–5 cigarettes per day and had been drinking for 10 years. His height was 170 cm and weight 81 kg, ... | 1) Formula
- Body mass index (BMI) = weight (kg) / (height (m))^2
2) Extract required values from the note
- Quote: "His height was 170 cm"
- Height = 170 cm
- Convert to meters: 170.0000 cm × 0.01 = 1.7000 m
- Quote: "weight 81 kg"
- Weight = 81.0000 kg
3) Check for special conditions or adjustments
- No instr... | Body Mass Index (BMI) | physical | decimal | 28.02768 | 26.6263 | 29.42906 | 83 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 50-year-old male patient visited the hospital to undergo synovectomy for left knee ostarthritis and tenosynovitis. The patient had suffered difficulties in walking from weakening of both lower limb muscles since 25 years ago, and recently the symptom of weakness of lower limb muscles became more seri... | 1) Formula
- Body mass index (BMI) = weight (kg) / (height (m))^2
2) Extract required values from the note
- Quote: "The patient stood 168 cm and weighed 63 kg,"
- Weight = 63.0000 kg
- Height = 168.0000 cm
- Convert height to meters:
- 168.0000 cm × 0.01 = 1.6800 m
3) Check for special conditions/adjustments
... | Body Mass Index (BMI) | physical | decimal | 22.32143 | 21.20536 | 23.4375 | 84 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 48-year-old female patient (weight: 66 kg, height: 166 cm) with multiple millimetric gallstones was due to undergo intraoperative ERCP followed by LC. She had a history of caesarean section and appendectomy and had elevated transaminases plus hyperbilirubinemia. She was accepted as being American Ane... | 1) Formula
- BMI = weight (kg) / [height (m)]^2
2) Extract values from the note
- Quote: "(weight: 66 kg, height: 166 cm)"
- Weight = 66 kg
- Height = 166 cm
- Unit conversion (height):
- 166 cm × 0.01 = 1.6600 m
3) Special conditions / adjustments
- No BMI-based adjustments or age/sex coefficients apply for c... | Body Mass Index (BMI) | physical | decimal | 23.95123 | 22.75367 | 25.14879 | 85 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
An 81-year-old, 77 kg, 183 cm man with a three-year history of muscle biopsy-proven IBM suffered a left intertrochanteric femoral fracture and a small parafalcine subdural hematoma as a result of falling down stairs in his home. The patient originally had progressive left proximal lower extremity and b... | 1) Formula
- Body mass index (BMI) = weight (kg) / [height (m)]^2
2) Extract values from the note
- Weight:
- Quoted text: "An 81-year-old, 77 kg, 183 cm man..."
- Value: 77 kg
- Height:
- Quoted text: "An 81-year-old, 77 kg, 183 cm man..."
- Value: 183 cm
- Unit conversion (height cm → m):
- 183 cm × 0.01 ... | Body Mass Index (BMI) | physical | decimal | 22.99262 | 21.84299 | 24.14225 | 86 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 33-year-old woman was referred to a university hospital for the evaluation of secondary amenorrhea for 4 months. The patient had spontaneous thelarche at age 11 years and menarche at age 13 years. She denied experiencing vasomotor symptoms. A human chorionic gonadotropin (hCG) urine test was negative... | 1) Formula
- BMI = weight (kg) / (height (m))^2
2) Extract required values from the note
- Quote: "height 165.0 cm, weight 60.2 kg"
- Height = 165.0 cm
- Weight = 60.2 kg
- Convert height to meters:
- 165.0 cm × (1 m / 100 cm) = 1.6500 m
3) Special conditions/adjustments
- None required for BMI calculation (no... | Body Mass Index (BMI) | physical | decimal | 22.11203 | 21.00643 | 23.21763 | 87 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
The case we present was a 71-year-old Japanese man. When he was being treated for pneumonia at another hospital, CT image incidentally revealed a BT and mild right-sided hydronephrosis (Fig. ) without metastasis. After his pneumonia had been cured, the patient was referred to the SIMC to receive treatm... | 1) Formula
- BMI = weight (kg) / [height (m)]^2
2) Extract required values from the note
- Quote: "At his first visit, the patient's physical (height: 1.56 m, weight: 48.9 kg)"
- Height = 1.56 m
- Weight = 48.9 kg
- No unit conversions required (height already in meters, weight in kilograms).
3) Special condition... | Body Mass Index (BMI) | physical | decimal | 20.09369 | 19.08901 | 21.09837 | 88 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 37-year-old female patient was referred to Hacettepe University, Pediatric Genetics Department following complaints of atypical facial features. She was the second child of non-consanguineous healthy parents. She was born at term by spontaneous vaginal delivery with a birthweight of 1,500 g (lower th... | 1) Formula
- BMI = weight (kg) / [height (m)]^2
2) Extract required values from the note
- Weight:
- Quoted text: "a weight of 42 kg (lower than 3rd centile)"
- Value: 42.0 kg
- Height:
- Quoted text: "a height of 145 cm (lower than 3rd centile)"
- Value: 145.0 cm
3) Unit conversions / special-condition check... | Body Mass Index (BMI) | physical | decimal | 19.97622 | 18.97741 | 20.97503 | 89 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 51-year-old man was admitted to our hospital for renal biopsy. Proteinuria had been detected when the patient was approximately 30 years of age, and he had experienced tonsillitis several times. The patient had been diagnosed with PV with an abnormality of the JAK2 gene 3 years earlier. Renal biopsy ... | 1) Formula
- BMI = weight (kg) / [height (m)]^2
2) Extract required values from the note
- Quote: "The patient’s height, weight, and blood pressure were 165 cm, 66 kg, and 120/73 mmHg, respectively."
- Height = 165 cm
- Weight = 66 kg
- Unit conversion for height:
- 165 cm × (1 m / 100 cm) = 1.6500 m
3) Check ... | Body Mass Index (BMI) | physical | decimal | 24.24242 | 23.0303 | 25.45454 | 90 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
An 8-year-old girl arrived at the emergency department with severe respiratory obstruction following interhospital transport. She weighed 42 kg and was 137 cm in height. Treatment for asthma that had been initiated about 1 month before had not improved her respiratory condition. She presented with mark... | 1) Formula
- BMI = weight (kg) / (height (m))^2
2) Extract values from the patient note
- Quote: "She weighed 42 kg"
Value: weight = 42.0000 kg
- Quote: "and was 137 cm in height."
Value: height = 137.0000 cm
(These are the values at first admission prior to treatment.)
3) Unit conversion
- Convert height to... | Body Mass Index (BMI) | physical | decimal | 22.37732 | 21.25845 | 23.49619 | 91 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 30-year-old G4, P2 female, 160 cm tall, and weighing 68 kg, was admitted at 38 weeks of her third gestation for vaginal bleeding and hypogastralgia at her local hospital. Due to the combination of hypoxemia and abnormal electrocardiograph (ECG) findings, she was advised to transfer to our hospital; t... | 1) Formula:
- BMI = weight (kg) / [height (m)]^2
2) Extract required values from the patient note:
- Quote: "160 cm tall"
- Height = 160 cm
- Quote: "weighing 68 kg"
- Weight = 68 kg
3) Check for special conditions or adjustments:
- No BMI-based adjustments, age/sex coefficients, or other conditional logic apply ... | Body Mass Index (BMI) | physical | decimal | 26.5625 | 25.23438 | 27.89062 | 92 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 67-year-old man with a height of 183 cm and a weight of 105 kg was admitted for urgent resection of a left atrial mass. He presented with progressive heart failure that could not be alleviated by inotropic or vasodilating drugs and had been coughing for 10 days. The symptoms had aggravated, and he ha... | 1) Formula
- BMI = weight (kg) / [height (m)]^2
2) Extracted values from the patient note
- "A 67-year-old man with a height of 183 cm and a weight of 105 kg was admitted..."
- Height = 183 cm
- Weight = 105 kg
- Unit conversions
- Height: 183 cm → 183.0000 cm × (1 m / 100 cm) = 1.8300 m
3) Special conditi... | Body Mass Index (BMI) | physical | decimal | 31.35358 | 29.7859 | 32.92126 | 93 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 17-year-old female diagnosed with Down syndrome applied to pediatric cardiology outpatient clinic with swelling around the eyes and hands and dyspnea during sleep. Her height was 143 cm (25th–50th percentile according to growth chart for girls with Down syndrome), and her weight was 50 kg (25th–50th ... | 1) Formula:
- BMI = weight (kg) / (height (m))^2
2) Extract values from the note:
- "her weight was 50 kg (25th–50th percentile ...)" → weight = 50.0000 kg
- "Her height was 143 cm (25th–50th percentile ...)" → height = 143.00 cm
Unit conversion:
- Height: 143.00 cm × (1 m / 100 cm) = 1.4300 m
3) Special conditions ... | Body Mass Index (BMI) | physical | decimal | 24.45107 | 23.22852 | 25.67362 | 94 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
The patient was a 17-year-old boy with hypopituitarism, autism, and a history of septooptic dysplasia with whom communication was difficult. He was receiving treatment with dexamethasone 100 μg and Levothyroxine sodium 1 mg per day. One month before admission, he experienced a fall, which resulted in d... | 1) Formula
- BMI = weight (kg) / [height (m)]^2
2) Extract required values from the note
- Quote: "a height of 161 cm and weight of 63 kg noted."
- Weight = 63 kg
- Height = 161 cm
- Convert height to meters:
- 161 cm × 0.01 = 1.6100 m
3) Check special conditions/adjustments
- No BMI-based adjustments (no inst... | Body Mass Index (BMI) | physical | decimal | 24.30462 | 23.08939 | 25.51985 | 95 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 12-yr-old female presented to our outpatient department with a right winged scapula. Her height was 139 cm and her weight was 38 kg. This condition abruptly developed after climbing a mountain for 2 hr with a rucksack/back-pack weighing about 20 kg at 2 months previous to her hospital visit. At a cer... | 1) Formula
- BMI = weight (kg) / [height (m)]^2
2) Extract required values from the note
- Quoted text: "Her height was 139 cm and her weight was 38 kg."
- Height = 139 cm
- Weight = 38 kg
- Use values at first admission: these are the presentation values quoted above (prior to treatment).
3) Unit conversions / ... | Body Mass Index (BMI) | physical | decimal | 19.66772 | 18.68433 | 20.65111 | 96 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 25-year-old man presented with pain in both knees for four consecutive years and, since 3 months, bilateral groin pain and pain in the gluteal region, radiating to both knees.
The patient has been diagnosed with HHR as a child and has been on potassium phosphate and calcitriol tablets ever since. A t... | 1) Formula
- BMI = weight (kg) / [height (m)]^2
2) Extract required values from the note
- Weight:
- Quote: "weighting 53 kg"
- Value: 53 kg
- Height:
- Quote: "measuring 155 cm"
- Value: 155 cm
- Conversion: 155 cm × 0.01 = 1.5500 m
3) Check for special conditions/adjustments
- BMI-based weight adjustments... | Body Mass Index (BMI) | physical | decimal | 22.06035 | 20.95733 | 23.16337 | 97 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
We describe a 20-year-old male from the Mbuyuni area of northern Tanzania who presented to Kilimanjaro Christian Medical Center (KCMC) in January 2020 with weight loss, splenomegaly, severe cachexia, and watery diarrhea. However, the leading symptom on presentation was watery diarrhea for 3 weeks.
The ... | 1) Formula
- BMI = weight (kg) / [height (m)]^2
2) Extract required values from the note
- Quoted text: "body weight of 39 kg and a height of 172 cm."
- Weight = 39.0000 kg
- Height = 172.0000 cm
- Convert height to meters:
- 172.0000 cm × 0.01 = 1.7200 m
3) Check for special conditions or adjustments
- BMI-ba... | Body Mass Index (BMI) | physical | decimal | 13.1828 | 12.52366 | 13.84194 | 98 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 57-year-old woman (180 cm, 60 kg) was presented to the emergency department with upper abdominal pain and left-sided chest discomfort for a couple of days. In addition, she reported of nausea. Upon physical examination, percussion sounds over the left lower thorax were a bit dull and cervical lymph n... | 1) Formula
- BMI = weight (kg) / [height (m)]^2
2) Extract values from the note
- "A 57-year-old woman (180 cm, 60 kg) was presented..."
- Height = 180 cm
- Weight = 60 kg
- Unit conversion for height:
- 180 cm × 0.01 = 1.8000 m
(These are the patient's values at first admission as reported.)
3) Check for sp... | Body Mass Index (BMI) | physical | decimal | 18.51852 | 17.59259 | 19.44445 | 99 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
A 3-year-old girl visited the Emergency Department because she had not been able to eat well and had a fever since one day ago. She had no abdominal pain, vomiting, or diarrhea. She had taken only the prescribed acetaminophen one day before. According to her past medical history, she went to kindergart... | 1) Formula
- BMI = weight (kg) / [height (m)]^2
2) Extract required values from the note
- Weight:
- Quoted text: "her weight was 15 kg (50th–75th percentile)."
- Value: 15.0 kg
- Height:
- Quoted text: "Her height was 98 cm (50th–75th percentile),"
- Value: 98.0 cm
- Conversion to meters: 98.0 cm × 0.01 = 0... | Body Mass Index (BMI) | physical | decimal | 15.61849 | 14.83757 | 16.39941 | 100 | |
[{"role": "system", "content": "You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.\n\n## Instructions\n\n1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.\n\n2. **Extract each required value** fr... | You are an expert clinical calculator. Given a patient note and a medical calculation question, solve it step-by-step.
## Instructions
1. **Identify the formula or scoring criteria** needed for this calculation. State the formula explicitly.
2. **Extract each required value** from the patient note. For each value:
... | ## Patient Note
An 86-year-old male previously treated for hypertension presented to the emergency department with two days of sudden abdominal pain and nausea which resolved temporarily after self-induced emesis. Patient was examined and investigated thoroughly. Temperature was 36.3 C, blood pressure was 138/81, and ... | 1) Formula:
Corrected calcium (mg/dL) = measured total Ca (mg/dL) + 0.8 × (4.0 − albumin [g/dL])
2) Extracted values from the note (first admission):
- "calcium 8.6 mg/dl" → measured total calcium = 8.6 mg/dL
- "albumin 3.1 g/dl" → albumin = 3.1 g/dL
(Units are already appropriate; no conversion needed.)
3) Special c... | Calcium Correction for Hypoalbuminemia | lab test | decimal | 9.32 | 8.854 | 9.786 | 101 |
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