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| { | |
| "id": "chf-exacerbation", | |
| "title": "CHF exacerbation \u2014 IV diuresis and volume management", | |
| "patient_id": "pat-1007", | |
| "encounter_id": "enc-1007", | |
| "role": "Attending Physician", | |
| "objective": "As the attending physician, review BNP, electrolytes, and daily weights, place IV furosemide and renal monitoring, document the volume overload assessment and diuresis strategy, then sign the encounter.", | |
| "required_orders": [ | |
| "Furosemide IV", | |
| "Basic metabolic panel" | |
| ], | |
| "required_note_elements": [ | |
| "Volume status", | |
| "BNP level", | |
| "Daily weight trend", | |
| "Ejection fraction", | |
| "Diuretic plan" | |
| ], | |
| "scoring": { | |
| "base_reward": 1.0, | |
| "substeps": { | |
| "order:Furosemide IV": 0.15, | |
| "order:Basic metabolic panel": 0.07, | |
| "note_element:Volume status": 0.13, | |
| "note_element:BNP level": 0.1, | |
| "note_element:Daily weight trend": 0.1, | |
| "note_element:Ejection fraction": 0.1, | |
| "note_element:Diuretic plan": 0.12, | |
| "encounter_signed": 0.23 | |
| } | |
| } | |
| } | |