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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": "upper-gi-bleed",
"title": "Upper GI bleed \u2014 transfusion and acid suppression",
"patient_id": "pat-1005",
"encounter_id": "enc-1005",
"role": "Attending Physician",
"objective": "As the attending physician, review hemoglobin trend and coag panel, place PRBC transfusion and IV pantoprazole, document the bleed severity, hemodynamics, and GI consultation need, then sign the encounter.",
"required_orders": [
"Packed red blood cells",
"Pantoprazole IV"
],
"required_note_elements": [
"Hemoglobin trend",
"Hemodynamic status",
"Glasgow-Blatchford score",
"Transfusion plan",
"GI consultation indication"
],
"scoring": {
"base_reward": 1.0,
"substeps": {
"order:Packed red blood cells": 0.15,
"order:Pantoprazole IV": 0.08,
"note_element:Hemoglobin trend": 0.12,
"note_element:Hemodynamic status": 0.1,
"note_element:Glasgow-Blatchford score": 0.1,
"note_element:Transfusion plan": 0.1,
"note_element:GI consultation indication": 0.1,
"encounter_signed": 0.25
}
}
}
|