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b4806b0 | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 | {
"id": "pe-workup",
"title": "PE \u2014 diagnostic imaging and empiric anticoagulation",
"patient_id": "pat-1008",
"encounter_id": "enc-1008",
"role": "Attending Physician",
"objective": "As the attending physician, review D-dimer and Wells criteria, place CTA chest and heparin drip, document the PE probability, hemodynamics, and anticoagulation rationale, then sign the encounter.",
"required_orders": [
"CT angiography chest",
"Heparin drip"
],
"required_note_elements": [
"D-dimer elevation",
"Wells score",
"Hypoxia evaluation",
"Right heart strain",
"Anticoagulation plan"
],
"scoring": {
"base_reward": 1.0,
"substeps": {
"order:CT angiography chest": 0.13,
"order:Heparin drip": 0.13,
"note_element:D-dimer elevation": 0.1,
"note_element:Wells score": 0.12,
"note_element:Hypoxia evaluation": 0.1,
"note_element:Right heart strain": 0.1,
"note_element:Anticoagulation plan": 0.1,
"encounter_signed": 0.22
}
}
}
|