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| { | |
| "id": "postop-ileus", | |
| "title": "Post-op ileus \u2014 decompression and electrolyte correction", | |
| "patient_id": "pat-1025", | |
| "encounter_id": "enc-1025", | |
| "role": "Attending Physician", | |
| "objective": "As the attending physician, review post-operative labs and imaging, place NGT decompression and IV potassium repletion, document the bowel status, electrolyte plan, and NPO rationale, then sign the encounter.", | |
| "required_orders": [ | |
| "Nasogastric tube placement", | |
| "Potassium chloride IV" | |
| ], | |
| "required_note_elements": [ | |
| "Bowel function status", | |
| "Electrolyte correction", | |
| "NPO status" | |
| ], | |
| "scoring": { | |
| "base_reward": 1.0, | |
| "substeps": { | |
| "order:Nasogastric tube placement": 0.18, | |
| "order:Potassium chloride IV": 0.12, | |
| "note_element:Bowel function status": 0.15, | |
| "note_element:Electrolyte correction": 0.13, | |
| "note_element:NPO status": 0.12, | |
| "encounter_signed": 0.3 | |
| } | |
| } | |
| } | |