| { | |
| "annotator": "Junaed", | |
| "timestamp": "2026-01-12 02:07:57", | |
| "progress_sequence": 2, | |
| "original_data_index": 8, | |
| "source_type": "Full Original Text", | |
| "total_subclaims": 68, | |
| "annotations": { | |
| "low": { | |
| "count": 17, | |
| "percentage": "25.00%", | |
| "subclaims": [ | |
| "The patient had oedema of the lower extremities for 5 days.", | |
| "The patient was normotensive at discharge.", | |
| "The diagnosis was nephritic syndrome due to complicated GNAPE with hypertensive emergency and convulsive status.", | |
| "Phenobarbital (10 mg/kg) was administered to manage the convulsive status.", | |
| "The direct Coombs test was positive.", | |
| "Hemolytic anemia was suspected.", | |
| "On ICU admission, blood pressure was 134/94 mmHg.", | |
| "The patient was intubated in the ED.", | |
| "The convulsive status was generalised tonic-clonic.", | |
| "Extubation was performed at 48 hours.", | |
| "All cultures were negative.", | |
| "The patient required mechanical ventilation within the first 24 hours.", | |
| "Enalapril was added to the treatment.", | |
| "The patient had a convulsive status at the time of ED presentation.", | |
| "The rapid antigen test for Streptococcus pyogenes was positive.", | |
| "The non-contrast brain CT showed no acute changes.", | |
| "The patient had headaches, nausea, and vomiting for the last 12 hours before consultation." | |
| ] | |
| }, | |
| "intermediate": { | |
| "count": 34, | |
| "percentage": "50.00%", | |
| "subclaims": [ | |
| "Blood pressure exceeded the p95+12 percentile.", | |
| "The patient was normotensive at discharge.", | |
| "The patient was discharged on day 31.", | |
| "Hemolytic anemia was suspected.", | |
| "On ICU admission, blood pressure was 134/94 mmHg.", | |
| "The patient was intubated in the ED.", | |
| "The patient had a history of nasal impetigo two weeks before admission.", | |
| "Normalization of blood pressure was achieved after 10 days.", | |
| "Enalapril was added to the treatment.", | |
| "The non-contrast brain CT showed no acute changes.", | |
| "After 24 hours of extubation, the patient's consciousness deteriorated.", | |
| "The convulsive status was generalised tonic-clonic.", | |
| "Extubation was performed at 48 hours.", | |
| "The patient required mechanical ventilation within the first 24 hours.", | |
| "The patient had a convulsive status at the time of ED presentation.", | |
| "The patient presented with macroscopic glomerular haematuria.", | |
| "The MRI findings were compatible with PRES.", | |
| "Phenobarbital (10 mg/kg) was administered to manage the convulsive status.", | |
| "The patient had headaches, nausea, and vomiting for the last 12 hours before consultation.", | |
| "Diuretic therapy with furosemide was initiated.", | |
| "The patient had oedema of the lower extremities for 5 days.", | |
| "Sodium nitroprusside infusion was started.", | |
| "The direct Coombs test was positive.", | |
| "The nasal impetigo was treated with topical mupirocin and oral cefadroxil.", | |
| "All cultures were negative.", | |
| "The initial urine test showed proteinuria 3+.", | |
| "Antibiotic therapy with cefotaxime was initiated.", | |
| "The initial C3 complement level was 25 mg/dL.", | |
| "MRI of the brain showed subcortical signal increase in the bilateral occipital region.", | |
| "The convulsive status lasted 20 minutes.", | |
| "The control MRI showed regression of the PRES findings.", | |
| "The diagnosis was nephritic syndrome due to complicated GNAPE with hypertensive emergency and convulsive status.", | |
| "The Anti-streptolysin O test was positive.", | |
| "The rapid antigen test for Streptococcus pyogenes was positive." | |
| ] | |
| }, | |
| "proficient": { | |
| "count": 68, | |
| "percentage": "100.00%", | |
| "subclaims": [ | |
| "Blood pressure exceeded the p95+12 percentile.", | |
| "The initial urine test showed leucocyturia 10-25 per field.", | |
| "Hemoglobin dropped to 5 g/dL.", | |
| "Hemolytic anemia was suspected.", | |
| "The next day, creatinine increased to 0.99 mg/dL.", | |
| "The patient is a 4-year-old male.", | |
| "The patient did not present recurrence 6 months after discharge.", | |
| "The patient had a history of nasal impetigo two weeks before admission.", | |
| "Enalapril was added to the treatment.", | |
| "The non-contrast brain CT showed no acute changes.", | |
| "After 24 hours of extubation, the patient's consciousness deteriorated.", | |
| "Extubation was performed at 48 hours.", | |
| "The patient required mechanical ventilation within the first 24 hours.", | |
| "Red blood cell transfusions were given twice.", | |
| "C3 levels were normalized at discharge.", | |
| "The patient was asymptomatic neurologically at discharge.", | |
| "The MRI findings were compatible with PRES.", | |
| "The direct Coombs test remained positive on day 9.", | |
| "The patient received phenobarbital as anticonvulsant therapy.", | |
| "The nasal impetigo was treated with topical mupirocin and oral cefadroxil.", | |
| "The cerebrospinal fluid study was normal.", | |
| "The initial urine test showed proteinuria 3+.", | |
| "The renal ultrasound showed bilateral nephromegaly.", | |
| "The diagnosis was nephritic syndrome due to complicated GNAPE with hypertensive emergency and convulsive status.", | |
| "The Anti-streptolysin O test was positive.", | |
| "The patient had a normal EEG on the day following admission.", | |
| "The initial haematocrit was 21%.", | |
| "The rapid antigen test for Streptococcus pyogenes was positive.", | |
| "ANA was positive at 1/160.", | |
| "The patient had preserved renal function at discharge.", | |
| "The initial platelet count was 756,000/mm3.", | |
| "The patient had no anemia at discharge.", | |
| "The patient was normotensive at discharge.", | |
| "The initial creatinine was 0.3 mg/dL.", | |
| "The patient was discharged on day 31.", | |
| "On ICU admission, blood pressure was 134/94 mmHg.", | |
| "The patient was intubated in the ED.", | |
| "The Glasgow Coma Scale was 8.", | |
| "The renal ultrasound showed increased cortical echogenicity.", | |
| "Normalization of blood pressure was achieved after 10 days.", | |
| "Steroid therapy with methylprednisolone was initiated.", | |
| "Successful extubation was achieved after 5 days.", | |
| "Antihypertensive therapy with amlodipine and labetalol was initiated.", | |
| "The patient improved with blood pressure normalization.", | |
| "The convulsive status was generalised tonic-clonic.", | |
| "The initial white blood cell count was 23,900 cells/mm3.", | |
| "The patient had a convulsive status at the time of ED presentation.", | |
| "The initial urine test showed haematuria (>100 erythrocytes per field).", | |
| "The patient presented with macroscopic glomerular haematuria.", | |
| "The patient had no proteinuria or hematuria at discharge.", | |
| "The urine test showed no proteinuria or hematuria.", | |
| "Phenobarbital (10 mg/kg) was administered to manage the convulsive status.", | |
| "The patient had headaches, nausea, and vomiting for the last 12 hours before consultation.", | |
| "Diuretic therapy with furosemide was initiated.", | |
| "The patient had oedema of the lower extremities for 5 days.", | |
| "Sodium nitroprusside infusion was started.", | |
| "The renal ultrasound showed decreased corticomedullary differentiation.", | |
| "The direct Coombs test was positive.", | |
| "All cultures were negative.", | |
| "The patient had no other morbid history.", | |
| "Antibiotic therapy with cefotaxime was initiated.", | |
| "The initial C3 complement level was 25 mg/dL.", | |
| "MRI of the brain showed subcortical signal increase in the bilateral occipital region.", | |
| "The convulsive status lasted 20 minutes.", | |
| "The control MRI showed regression of the PRES findings.", | |
| "Mechanical ventilation was reintroduced.", | |
| "The initial haemoglobin was 7 g/dL.", | |
| "The next day, 24-hour proteinuria was 36.6 mg/m2/h." | |
| ] | |
| } | |
| } | |
| } |