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| { | |
| "id": "hyponatremia-workup", | |
| "title": "Severe hyponatremia \u2014 SIADH diagnosis and safe correction", | |
| "patient_id": "pat-1012", | |
| "encounter_id": "enc-1012", | |
| "role": "Attending Physician", | |
| "objective": "As the attending physician, review sodium, serum and urine osmolality, and urine sodium, place hypertonic saline with serial BMP monitoring, document the hyponatremia classification, SIADH diagnostic criteria, and safe correction rate plan with osmotic demyelination risk, then sign the encounter.", | |
| "required_orders": [ | |
| "Sodium chloride 3% IV", | |
| "Basic metabolic panel" | |
| ], | |
| "required_note_elements": [ | |
| "Sodium level", | |
| "Serum osmolality", | |
| "Urine osmolality", | |
| "Urine sodium", | |
| "Volume status classification", | |
| "SIADH assessment", | |
| "Correction rate goal" | |
| ], | |
| "scoring": { | |
| "base_reward": 1.0, | |
| "substeps": { | |
| "order:Sodium chloride 3% IV": 0.12, | |
| "order:Basic metabolic panel": 0.05, | |
| "note_element:Sodium level": 0.09, | |
| "note_element:Serum osmolality": 0.09, | |
| "note_element:Urine osmolality": 0.08, | |
| "note_element:Urine sodium": 0.08, | |
| "note_element:Volume status classification": 0.09, | |
| "note_element:SIADH assessment": 0.11, | |
| "note_element:Correction rate goal": 0.1, | |
| "encounter_signed": 0.19 | |
| } | |
| } | |
| } | |