File size: 2,179 Bytes
877add7
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
{
  "patient_id": "medium_0010",
  "age": 89,
  "sex": "M",
  "comorbidities": [
    "ckd",
    "htn",
    "dm2"
  ],
  "medications": [
    {
      "drug": "ace_inhibitor_like",
      "dose_bucket": "LOW",
      "indication": "indication_0",
      "class_name": "antihypertensive",
      "requires_taper": false
    },
    {
      "drug": "warfarin_like",
      "dose_bucket": "MEDIUM",
      "indication": "indication_1",
      "class_name": "anticoagulant",
      "requires_taper": false
    },
    {
      "drug": "ssri_like",
      "dose_bucket": "LOW",
      "indication": "indication_2",
      "class_name": "antidepressant",
      "requires_taper": false
    },
    {
      "drug": "opioid_like",
      "dose_bucket": "MEDIUM",
      "indication": "indication_3",
      "class_name": "analgesic",
      "requires_taper": true
    },
    {
      "drug": "metformin_like",
      "dose_bucket": "MEDIUM",
      "indication": "indication_4",
      "class_name": "glucose_lowering",
      "requires_taper": false
    },
    {
      "drug": "statin_like",
      "dose_bucket": "HIGH",
      "indication": "indication_5",
      "class_name": "lipid_lowering",
      "requires_taper": false
    },
    {
      "drug": "ppi_like",
      "dose_bucket": "LOW",
      "indication": "indication_6",
      "class_name": "gastro",
      "requires_taper": false
    },
    {
      "drug": "beta_blocker_like",
      "dose_bucket": "LOW",
      "indication": "indication_7",
      "class_name": "antihypertensive",
      "requires_taper": false
    }
  ],
  "labs": {
    "egfr": 25.2,
    "ast": 28.7,
    "alt": 35.4,
    "inr": 1.82,
    "glucose": 233.4
  },
  "vitals": {
    "sbp": 153.0,
    "dbp": 67.0,
    "hr": 54.0,
    "egfr_trend": 1.88,
    "inr_trend": 0.57,
    "glucose_trend": 40.81
  },
  "specialist_conflicts": [
    "duplicate_analgesic_strategy",
    "cardio_vs_pain_med_conflict"
  ],
  "prior_ade_history": [],
  "frailty_score": 0.56,
  "adherence_estimate": 0.77,
  "latent_confounders": {
    "metabolism_variability": 0.805,
    "social_support_risk": 0.544,
    "polyprovider_fragmentation": 0.221
  },
  "monitoring_gaps": [
    "missing_followup_bp"
  ]
}