tasks/examples/hepatic-encephalopathy.json

{
  "id": "hepatic-encephalopathy",
  "title": "Hepatic encephalopathy \u2014 lactulose titration and rifaximin",
  "patient_id": "pat-1016",
  "encounter_id": "enc-1016",
  "role": "Attending Physician",
  "objective": "As the attending physician, review ammonia and hepatic function, place lactulose and rifaximin, document the encephalopathy grading, precipitant, and titration goals, then sign the encounter.",
  "required_orders": [
    "Lactulose oral",
    "Rifaximin oral"
  ],
  "required_note_elements": [
    "Ammonia level",
    "Mental status changes",
    "West Haven grade",
    "Precipitant identification",
    "Lactulose plan"
  ],
  "scoring": {
    "base_reward": 1.0,
    "substeps": {
      "order:Lactulose oral": 0.14,
      "order:Rifaximin oral": 0.09,
      "note_element:Ammonia level": 0.12,
      "note_element:Mental status changes": 0.1,
      "note_element:West Haven grade": 0.1,
      "note_element:Precipitant identification": 0.12,
      "note_element:Lactulose plan": 0.1,
      "encounter_signed": 0.23
    }
  }
}