{ "meta" : { "corporateuser": "false", "logo_small": "http://www.medgle.com/logo/medglelogoBB.png", "logo_big": "http://www.medgle.com/logo/medglelogoE.jpg", "linkback_url": "http://www.medgle.com/?gender=m&height=185&realage=55&task=getinfo&wght=200", "linkback_text": "Click here for more information", "resulttype": "symptoms" }, "query" : { "raw": "task=getinfo&", "querytype" : "", "resulttype" : "symptoms", "query_detailed" : "55 years old m 185cm 200kg with for 3 days", "symptoms" : [ ], "symptomexps": [ ], "criticalsymptoms" : [ ], "severe_symptoms" : [ ], "mild_symptoms" : [ ], "moderate_symptoms" : [ ], "realduration" : "3", "durations" : [ ], "gender" : "m", "agerange" : "50+", "realage" : "55", "isrecurring": "" }, "acute_analysis" : { "general" : { "critical_body_part_injury" : "false", "category_pie_graph" : "", "emergency_histogram" : "http%3A%2F%2Fchart.apis.google.com%2Fchart%3Fchs%3D120x40%26amp%3Bcht%3Dbvs%26amp%3Bchds%3D0%2C2.0%26amp%3Bchd%3Dt%3A0.0%2C0.0%2C0.0%2C0.0%26amp%3Bchxt%3Dx%26amp%3Bchxs%3D0%2C232323%2C10%26amp%3Bchco%3D00aaff%26amp%3Bchxl%3D0%3A%7C1%7C2%7C3%7C4%7C", "emergency_average" : "", "esi" : "", "triage_completed" : "false", "analysis_summary": "A 55 years old presents with (chief complaints). \n\nPHYSICAL CHARACTERISTICS\nHe is 185cm. He is 200kg. \n\nASSESSMENT (AUTOMATED)\nCLINICALGPS TRIAGE LEVEL: \n\nMost likely causes for include . \n\nEND AUTOMATED ASSESSMENT\n\n\nNOTES & COMMENTS\n", "analysis_summary_hl7": "MSH|^~\\&|ClinicalGPS|MEDgle|GECENTRICITY|SUMMITMED|201352504816||ORU^R01|$SHORTCODE|P|2.3.1\n$PID\nOBX|1|TX|AGE||55|y|||||X\nOBX|1|TX|GENDER||M||||||X\nOBX|1|TX|CHIEF COMPLAINT||||||||X\nOBX|1|TX|SYMPTOM DURATION||3 days||||||X\nOBX|1|TX|IMMUNOSUPPRESSED||N||||||X\nOBX|1|TX|HEIGHT||185|cm|||||X\nOBX|1|TX|WEIGHT||200|kg|||||X\nOBX|1|TX|TRIAGE LEVEL||||||||X\nOBX|1|TX|SELECTED POSSIBLE DIAGNOSES||||||||X\nOBX|1|TX|TOP POSSIBLE DIAGNOSES||||||||X\nOBX|1|TX|AUTOMATED ASSESSMENT AND PLAN||||||||X\nOBX|1|TX|AUTOMATED ASSESSMENT||||||||X\nOBX|1|TX|HISTORY OF PRESENT ILLNESS AUTONOTE||A 55 years old presents with (chief complaints). ~~PHYSICAL CHARACTERISTICS~He is 185cm. He is 200kg.||||||X\n", "emergency_low_score" : "", "diagnoses_no_match" : "false" }, "suggestions" : { "didyoumean_questions" : { }, "subsymptoms" : { }, "questions" : { "diagnosis_severity_questions" : { }, "diagnosis_detailed_q_explanations" : { }, "emsymptoms": { }, "important_questions" : { "clammy skin" : { "type" : "symptom", "star" : "10" } , "difficulty breathing" : { "type" : "symptom", "star" : "8" } , "dizziness" : { "type" : "symptom", "star" : "8" } , "passing out" : { "type" : "symptom", "star" : "8" } }, "symptom_questions" : { "symptom_severity_questions" : { }, "emergency_symptoms" : { "chest pain" : { "critical" : "true", "sourcesl1" : "", "sourcesem" : "", "sources" : "", "synonyms" : "ache in chest, chest discomfort, chest hurts, chest soreness, chest tightness, heart hurts, heaviness in chest, pain in chest, pain in heart, pressure in chest", "subops" : "", "subsynonyms" : "" } , "clammy skin" : { "critical" : "true", "sourcesl1" : "", "sourcesem" : "", "sources" : "", "synonyms" : "cold and wet skin, cold sweat, cold sweaty skin, skin clammy, skin cold and wet", "subops" : "", "subsynonyms" : "" } , "dizziness" : { "critical" : "true", "sourcesl1" : "", "sourcesem" : "", "sources" : "", "synonyms" : "dizzy, feeling like falling, lightheadedness", "subops" : "", "subsynonyms" : "" } , "epigastric abdominal pain" : { "critical" : "false", "sourcesl1" : "", "sourcesem" : "", "sources" : "", "synonyms" : "abdominal pain epigastric, abdominal pain in upper middle part, belly pain epigastric, belly pain in upper middle part, epigastric abdominal soreness, epigastric pain, pain in upper middle part of stomach, stomach pain epigastric, stomach pain in upper middle part", "subops" : "", "subsynonyms" : "" } , "palpitations" : { "critical" : "true", "sourcesl1" : "", "sourcesem" : "", "sources" : "", "synonyms" : "fast heart rhythm, heart beats fast, heart is racing, heart pounding, heart racing, heart rate faster than 140 bpm in adults, increased heart rate, racing heart rate, rapid heart beat, tachycardia, throbbing tachycardia, thumping in chest", "subops" : "", "subsynonyms" : "" } , "passing out" : { "critical" : "true", "sourcesl1" : "", "sourcesem" : "", "sources" : "", "synonyms" : "blacking out, body suddenly feels limp, briefly losing consciousness, cannot stand because feeling weak, fainted, fainting, feels weak, knocked out, knocked unconscious for a brief period, lost consciousness for a brief period, orthostasis, passed out, sudden limpness, suddenly becoming limp, syncope, too weak to stand, too weak to walk, transient loss of consciousness, transient period of unconsciousness, unconscious for brief period, very weak", "subops" : "", "subsynonyms" : "" } , "upper abdominal pain" : { "critical" : "false", "sourcesl1" : "", "sourcesem" : "", "sources" : "", "synonyms" : "abdominal pain in upper part, belly pain in upper part, pain above belly button, pain above umbilicus, pain in upper abdomen, pain in upper part of belly, pain in upper part of stomach, stomach pain in upper part, upper abdominal soreness, upper abdominal tenderness", "subops" : "", "subsynonyms" : "" } , "difficulty breathing" : { "critical" : "false", "sourcesl1" : "", "sourcesem" : "", "sources" : "", "synonyms" : "breathing difficulty, breathing problems, breathlessness, can't breathe, cannot breathe, chest pain when breathing deeply, dyspnea, hard to breathe, inability to take a deep breath, labored breathing, painful breathing, problem breathing, respiratory distress, shortness of breath, sob, suffocating feeling, unable to breathe", "subops" : "", "subsynonyms" : "" } } } }, "tests" : { "procedures_with_ems" : { } }, "therapies" : { "therapeutic_procedures" : { }, "therapeutic_drugs" : { } }, "otc_drugs" : { }, "homecare_options" : { }, "chronic_homecare_options" : { } }, "results" : { "ddxstreams" : { }, "lifethreatening_diagnoses" : [ ], "diagnoses_details" : { "estimated_total_cost" : { "probability" :"0.0", "standard_deviation" : "0.00", "total_estimated" : "0.0" }, "diagnoses_result_count" : 0, "diagnoses_shown_result_count" : 0 }, "diagnoses" : { }, "meta_analysis" : { "upstream_diagnoses" : { } , "downstream_diagnoses" : { } }, "medication_sideeffects" : { } , "hospitals" : { }, "physicians" : { } } }, "chronic_analysis" : { "healthiermee" : { "corporateuser": "false", "logo_small": "http://www.medgle.com/logo/medglelogoBB.png", "logo_big": "http://www.medgle.com/logo/medglelogoE.jpg", "hme_query" : { "gender" : "m", "age" : "55", "height" : "185", "weight" : "200", "givenbmi" : "", "activitylevel" : "2", "activitylevellabel" : "some activity", "numdailydrinks" : "0.0", "numdailydrinkslabel" : "0", "numdailypacks" : "0.0", "numdailypackslabel" : "0", "dailyfat" : "1", "dailyfatlabel" : "normal", "familyhistoryof" : [ ], "currentdiagnosis" : [ ], "ethnicity" : [ ] }, "analysis" : { "healthage" : "66", "fitscore" : "100.0", "rawfitscore" : "-2370", "maxfitscoreforage" : "675", "fitscore_gimg" : "http://chart.apis.google.com/chart?chs=125x70&cht=gom&chd=t:8&chxt=x&chxs=0,767676,14&chxl=0:|F", "fitscore_grade" : "F", "dailycalorieburn" : "3743", "dailyrecommendedlose" : "500", "currentcalorieburnclose" : "0", "dietcalorieburnclose" : "0", "current_weight_meal_plan" : "", "diet_weight_meal_plan" : "", "bmidata": { "bmi" : "58.43682", "bmiunderweight" : "18.5", "bmioverweight" : "24.9", "bmiobese" : "29.9" }, "estimated_health_cost_old" : { "probability" : 0.2, "total": 70908.1 }, "estimated_health_cost_est" : { "standard_deviation" : 832.63, "total" : 44300 }, "atriskfor" : { "obstructive sleep apnea" : { "riskrank" : "7.096498", "riskscore" : "7.096498", "dollars" : "$$$$", "positive_factors" : "Overweight", "negative_factors" : "" } , "metabolic syndrome" : { "riskrank" : "7.0150037", "riskscore" : "7.0150037", "dollars" : "$$$", "positive_factors" : "Overweight", "negative_factors" : "Fat" } , "diabetes mellitus type 2" : { "riskrank" : "6.852004", "riskscore" : "6.852004", "dollars" : "$$$$$", "positive_factors" : "Overweight", "negative_factors" : "FHISTORY, Fat" } , "ischemic cardiomyopathy" : { "riskrank" : "6.689003", "riskscore" : "6.689003", "dollars" : "$$$$$$", "positive_factors" : "Overweight", "negative_factors" : "Fat, Smoking" } , "angina pectoris" : { "riskrank" : "6.689001", "riskscore" : "6.689001", "dollars" : "$$$$$", "positive_factors" : "Overweight", "negative_factors" : "Fat, Smoking" } , "coronary artery disease" : { "riskrank" : "6.688998", "riskscore" : "6.688998", "dollars" : "$$$$$", "positive_factors" : "Overweight", "negative_factors" : "Fat, Smoking" } , "congestive heart failure" : { "riskrank" : "6.6889954", "riskscore" : "6.6889954", "dollars" : "$$$$$$", "positive_factors" : "Overweight", "negative_factors" : "Fat, Smoking" } , "peripheral vascular disease" : { "riskrank" : "6.6889915", "riskscore" : "6.6889915", "dollars" : "$$$$$", "positive_factors" : "", "negative_factors" : "Smoking" } , "aortic aneurysm" : { "riskrank" : "6.5260043", "riskscore" : "6.5260043", "dollars" : "$$$$$", "positive_factors" : "Overweight", "negative_factors" : "FHISTORY, Fat, Smoking" } , "hypertension" : { "riskrank" : "6.5260015", "riskscore" : "6.5260015", "dollars" : "$$$$$", "positive_factors" : "Overweight", "negative_factors" : "FHISTORY, Fat, Smoking" } , "gall stones" : { "riskrank" : "6.273657", "riskscore" : "6.273657", "dollars" : "$$$$$", "positive_factors" : "Overweight", "negative_factors" : "" } , "diverticulitis" : { "riskrank" : "6.201608", "riskscore" : "6.201608", "dollars" : "$$$$$", "positive_factors" : "Overweight", "negative_factors" : "Fat" } , "carcinoma of prostate" : { "riskrank" : "6.201607", "riskscore" : "6.201607", "dollars" : "$$$$$", "positive_factors" : "Overweight", "negative_factors" : "Fat" } , "statin myopathy" : { "riskrank" : "6.2016068", "riskscore" : "6.2016068", "dollars" : "$$$", "positive_factors" : "Overweight", "negative_factors" : "Fat" } , "hyperglycemia" : { "riskrank" : "6.2016063", "riskscore" : "6.2016063", "dollars" : "$$$$$$", "positive_factors" : "Overweight", "negative_factors" : "Fat" } , "nonalcoholic fatty liver disease" : { "riskrank" : "6.201606", "riskscore" : "6.201606", "dollars" : "$$$", "positive_factors" : "Overweight", "negative_factors" : "Fat" } , "hypertriglyceridemia" : { "riskrank" : "6.0575066", "riskscore" : "6.0575066", "dollars" : "$$$", "positive_factors" : "Overweight", "negative_factors" : "FHISTORY, Fat" } , "hypercholesterolemia" : { "riskrank" : "6.0575056", "riskscore" : "6.0575056", "dollars" : "$$$$$", "positive_factors" : "Overweight", "negative_factors" : "FHISTORY, Fat" } , "cerebrovascular accidents" : { "riskrank" : "5.9854574", "riskscore" : "5.9854574", "dollars" : "$$$$$", "positive_factors" : "Overweight", "negative_factors" : "Smoking" } , "ischemic foot" : { "riskrank" : "5.9134045", "riskscore" : "5.9134045", "dollars" : "$$$$", "positive_factors" : "Overweight", "negative_factors" : "Fat, Smoking" } , "hypertensive heart disease" : { "riskrank" : "5.7693076", "riskscore" : "5.7693076", "dollars" : "$$$$$", "positive_factors" : "Overweight", "negative_factors" : "FHISTORY, Fat, Smoking" } , "liver cirrhosis" : { "riskrank" : "5.7693076", "riskscore" : "5.7693076", "dollars" : "$$$$$", "positive_factors" : "Overweight", "negative_factors" : "Drinking, Fat" } , "common bile duct obstruction" : { "riskrank" : "5.769307", "riskscore" : "5.769307", "dollars" : "$$$", "positive_factors" : "Overweight", "negative_factors" : "Drinking, Fat" } , "colon cancer" : { "riskrank" : "5.7693067", "riskscore" : "5.7693067", "dollars" : "$$$$$$", "positive_factors" : "Overweight", "negative_factors" : "FHISTORY, Fat, Smoking" } , "complete atrioventricular block" : { "riskrank" : "5.7693057", "riskscore" : "5.7693057", "dollars" : "$$$$$$", "positive_factors" : "Overweight", "negative_factors" : "FHISTORY, Fat, Smoking" } , "gout" : { "riskrank" : "5.6972494", "riskscore" : "5.6972494", "dollars" : "$$$$$", "positive_factors" : "Overweight", "negative_factors" : "Drinking, FHISTORY" } , "breast cancer in females" : { "riskrank" : "5.625205", "riskscore" : "5.625205", "dollars" : "$$$$$$", "positive_factors" : "Overweight", "negative_factors" : "Drinking, FHISTORY, Fat" } , "hypertensive urgency" : { "riskrank" : "5.2461576", "riskscore" : "5.2461576", "dollars" : "$$$$", "positive_factors" : "Overweight", "negative_factors" : "FHISTORY, Fat, Smoking" } , "multiple myeloma" : { "riskrank" : "4.627964", "riskscore" : "4.627964", "dollars" : "$$$$$$$$", "positive_factors" : "Overweight", "negative_factors" : "" } , "uterine carcinoma" : { "riskrank" : "4.5748143", "riskscore" : "4.5748143", "dollars" : "$$$", "positive_factors" : "Overweight", "negative_factors" : "Fat" } , "acanthosis nigricans" : { "riskrank" : "4.567013", "riskscore" : "4.567013", "dollars" : "$$$$$", "positive_factors" : "Overweight", "negative_factors" : "" } , "Diabetic Hyperosmolar Coma" : { "riskrank" : "4.4685144", "riskscore" : "4.4685144", "dollars" : "$$$", "positive_factors" : "Overweight", "negative_factors" : "FHISTORY, Fat" } , "gestational diabetes" : { "riskrank" : "4.3841577", "riskscore" : "4.3841577", "dollars" : "$$$", "positive_factors" : "Overweight", "negative_factors" : "" } , "pseudotumor cerebri" : { "riskrank" : "4.3841577", "riskscore" : "4.3841577", "dollars" : "$$$$$$", "positive_factors" : "Overweight", "negative_factors" : "" } , "iliofemoral arterial occlusion" : { "riskrank" : "4.362214", "riskscore" : "4.362214", "dollars" : "$$$$", "positive_factors" : "Overweight", "negative_factors" : "Fat, Smoking" } , "renal cell carcinoma" : { "riskrank" : "4.362214", "riskscore" : "4.362214", "dollars" : "$$$$$$", "positive_factors" : "Overweight", "negative_factors" : "Fat, Smoking" } , "carcinoma pancreas" : { "riskrank" : "4.255914", "riskscore" : "4.255914", "dollars" : "$$$$$$", "positive_factors" : "Overweight", "negative_factors" : "FHISTORY, Fat, Smoking" } , "carcinoma rectum" : { "riskrank" : "4.246166", "riskscore" : "4.246166", "dollars" : "$$$$$$", "positive_factors" : "Overweight", "negative_factors" : "FHISTORY, Fat, Smoking" } , "antiphospholipid antibody syndrome" : { "riskrank" : "4.1166086", "riskscore" : "4.1166086", "dollars" : "$$$$$$$$", "positive_factors" : "Overweight", "negative_factors" : "Fat, Smoking" } , "esophageal carcinoma" : { "riskrank" : "4.0341854", "riskscore" : "4.0341854", "dollars" : "$$$$$", "positive_factors" : "Overweight", "negative_factors" : "Drinking, Fat, Smoking" } , "chylomicronemia syndrome" : { "riskrank" : "3.7153485", "riskscore" : "3.7153485", "dollars" : "$$$$$", "positive_factors" : "Overweight", "negative_factors" : "Drinking, FHISTORY, Fat, Smoking" } , "varicose veins" : { "riskrank" : "1.9033258", "riskscore" : "1.9033258", "dollars" : "$$$", "positive_factors" : "Overweight", "negative_factors" : "" } , "sciatica" : { "riskrank" : "1.9033254", "riskscore" : "1.9033254", "dollars" : "$$$$$", "positive_factors" : "Overweight", "negative_factors" : "" } , "osteoarthritis" : { "riskrank" : "1.903322", "riskscore" : "1.903322", "dollars" : "$$$", "positive_factors" : "Overweight", "negative_factors" : "" } }, "suggestions" : { "chronic_diagnostic_tests" : { "Complete Blood Count" : { "star" : "1", "val" : "36.946243", "sources" : "ischemic cardiomyopathy, congestive heart failure, peripheral vascular disease, aortic aneurysm, hypertension, gall stones, diverticulitis, cerebrovascular accidents, hypertensive heart disease, liver cirrhosis, colon cancer, gout, multiple myeloma, uterine carcinoma, acanthosis nigricans, pseudotumor cerebri, renal cell carcinoma, carcinoma pancreas, carcinoma rectum, antiphospholipid antibody syndrome, esophageal carcinoma, varicose veins" } , "Complete metabolic panel" : { "star" : "1", "val" : "35.26172", "sources" : "diabetes mellitus type 2, ischemic cardiomyopathy, congestive heart failure, peripheral vascular disease, aortic aneurysm, hypertension, diverticulitis, hypercholesterolemia, cerebrovascular accidents, hypertensive heart disease, liver cirrhosis, gout, renal cell carcinoma, carcinoma pancreas, carcinoma rectum, esophageal carcinoma" } , "Serum Creatinine" : { "star" : "1", "val" : "34.42105", "sources" : "diabetes mellitus type 2, congestive heart failure, peripheral vascular disease, aortic aneurysm, hypertension, carcinoma of prostate, hypercholesterolemia, hypertensive heart disease, liver cirrhosis, gout, multiple myeloma, Diabetic Hyperosmolar Coma, gestational diabetes, renal cell carcinoma, carcinoma rectum" } , "Chest X-ray" : { "star" : "1", "val" : "33.779205", "sources" : "angina pectoris, coronary artery disease, congestive heart failure, aortic aneurysm, hypertension, carcinoma of prostate, hypertensive heart disease, liver cirrhosis, colon cancer, breast cancer in females, uterine carcinoma, renal cell carcinoma, carcinoma pancreas, carcinoma rectum" } , "BUN" : { "star" : "1", "val" : "33.634354", "sources" : "diabetes mellitus type 2, congestive heart failure, peripheral vascular disease, aortic aneurysm, hypertension, carcinoma of prostate, hypercholesterolemia, hypertensive heart disease, liver cirrhosis, gout, multiple myeloma, Diabetic Hyperosmolar Coma, renal cell carcinoma, carcinoma rectum" } , "serum glucose" : { "star" : "1", "val" : "33.578476", "sources" : "obstructive sleep apnea, metabolic syndrome, diabetes mellitus type 2, hypertension, nonalcoholic fatty liver disease, hypertriglyceridemia, hypercholesterolemia, cerebrovascular accidents, hypertensive heart disease, acanthosis nigricans, Diabetic Hyperosmolar Coma, gestational diabetes, chylomicronemia syndrome" } , "EKG" : { "star" : "1", "val" : "33.081482", "sources" : "obstructive sleep apnea, metabolic syndrome, ischemic cardiomyopathy, angina pectoris, coronary artery disease, congestive heart failure, peripheral vascular disease, hypertension, hypertriglyceridemia, hypercholesterolemia, cerebrovascular accidents, hypertensive heart disease, complete atrioventricular block" } , "fasting lipid profile" : { "star" : "1", "val" : "32.127167", "sources" : "metabolic syndrome, ischemic cardiomyopathy, peripheral vascular disease, hypertension, nonalcoholic fatty liver disease, hypertriglyceridemia, hypercholesterolemia, hypertensive heart disease, liver cirrhosis, gout, acanthosis nigricans, chylomicronemia syndrome" } , "ECHOcardiogram" : { "star" : "1", "val" : "30.745804", "sources" : "obstructive sleep apnea, metabolic syndrome, ischemic cardiomyopathy, congestive heart failure, peripheral vascular disease, aortic aneurysm, hypertension, hypertriglyceridemia, hypercholesterolemia, hypertensive heart disease, antiphospholipid antibody syndrome" } , "Abdominal CAT Scan" : { "star" : "1", "val" : "30.639786", "sources" : "aortic aneurysm, diverticulitis, liver cirrhosis, colon cancer, uterine carcinoma, renal cell carcinoma, carcinoma pancreas, carcinoma rectum, antiphospholipid antibody syndrome, esophageal carcinoma, chylomicronemia syndrome" } }, "chronic_symptoms" : { "fatigue" : { "star" : "7", "val" : "99.60401", "sources" : "Diabetic Hyperosmolar Coma, angina pectoris, carcinoma of prostate, carcinoma pancreas, carcinoma rectum, colon cancer, congestive heart failure, coronary artery disease, diabetes mellitus type 2, hypertensive heart disease, ischemic cardiomyopathy, liver cirrhosis, metabolic syndrome, multiple myeloma, nonalcoholic fatty liver disease, obstructive sleep apnea, uterine carcinoma" } , "obese" : { "star" : "4", "val" : "57.222576", "sources" : "angina pectoris, coronary artery disease, diabetes mellitus type 2, hypertension, hypertensive heart disease, metabolic syndrome, nonalcoholic fatty liver disease, obstructive sleep apnea, pseudotumor cerebri" } , "high blood pressure" : { "star" : "4", "val" : "54.89908", "sources" : "coronary artery disease, hypertension, hypertensive heart disease, hypertensive urgency, iliofemoral arterial occlusion, ischemic cardiomyopathy, ischemic foot, metabolic syndrome, peripheral vascular disease" } , "abnormal blood fats" : { "star" : "3", "val" : "46.03011", "sources" : "congestive heart failure, diabetes mellitus type 2, hypertension, hypertriglyceridemia, metabolic syndrome, nonalcoholic fatty liver disease, peripheral vascular disease" } , "palpitations" : { "star" : "3", "val" : "43.51982", "sources" : "Diabetic Hyperosmolar Coma, angina pectoris, aortic aneurysm, congestive heart failure, coronary artery disease, hypertensive heart disease, ischemic cardiomyopathy" } , "palpitations without fever" : { "star" : "3", "val" : "43.51982", "sources" : "Diabetic Hyperosmolar Coma, angina pectoris, aortic aneurysm, congestive heart failure, coronary artery disease, hypertensive heart disease, ischemic cardiomyopathy" } , "passing out" : { "star" : "3", "val" : "42.816284", "sources" : "Diabetic Hyperosmolar Coma, angina pectoris, aortic aneurysm, cerebrovascular accidents, coronary artery disease, hypertensive heart disease, ischemic cardiomyopathy" } , "weight loss" : { "star" : "3", "val" : "42.540688", "sources" : "Diabetic Hyperosmolar Coma, carcinoma of prostate, carcinoma pancreas, carcinoma rectum, colon cancer, esophageal carcinoma, multiple myeloma, renal cell carcinoma, uterine carcinoma" } , "coronary artery disease" : { "star" : "2", "val" : "40.541485", "sources" : "angina pectoris, congestive heart failure, coronary artery disease, ischemic cardiomyopathy, obstructive sleep apnea, peripheral vascular disease" } , "peripheral vascular disease" : { "star" : "2", "val" : "40.13399", "sources" : "angina pectoris, congestive heart failure, coronary artery disease, diabetes mellitus type 2, hypertension, peripheral vascular disease" } }, "chronic_therapeutic_procedures" : { "Maintain Healthy Weight" : { "star" : "7", "val" : "95.59013", "sources" : "acanthosis nigricans, angina pectoris, cerebrovascular accidents, chylomicronemia syndrome, coronary artery disease, diabetes mellitus type 2, gestational diabetes, gout, hypercholesterolemia, hypertension, hypertensive heart disease, hypertriglyceridemia, metabolic syndrome, nonalcoholic fatty liver disease, obstructive sleep apnea, osteoarthritis, pseudotumor cerebri" } , "Avoid Smoking" : { "star" : "6", "val" : "85.576614", "sources" : "angina pectoris, cerebrovascular accidents, chylomicronemia syndrome, colon cancer, coronary artery disease, diabetes mellitus type 2, esophageal carcinoma, hypertension, hypertensive heart disease, hypertriglyceridemia, ischemic cardiomyopathy, metabolic syndrome, obstructive sleep apnea, peripheral vascular disease" } , "diet modification" : { "star" : "6", "val" : "84.328156", "sources" : "angina pectoris, cerebrovascular accidents, chylomicronemia syndrome, congestive heart failure, coronary artery disease, diabetes mellitus type 2, gestational diabetes, gout, hypercholesterolemia, hypertension, hypertensive heart disease, hypertriglyceridemia, metabolic syndrome, nonalcoholic fatty liver disease" } , "Nutritional counseling" : { "star" : "6", "val" : "84.11201", "sources" : "angina pectoris, chylomicronemia syndrome, congestive heart failure, coronary artery disease, diabetes mellitus type 2, gestational diabetes, gout, hypercholesterolemia, hypertension, hypertensive heart disease, hypertriglyceridemia, liver cirrhosis, metabolic syndrome, nonalcoholic fatty liver disease" } , "Lifestyle Modification" : { "star" : "5", "val" : "78.33142", "sources" : "angina pectoris, coronary artery disease, diabetes mellitus type 2, hypercholesterolemia, hypertension, hypertensive heart disease, hypertriglyceridemia, ischemic cardiomyopathy, metabolic syndrome, nonalcoholic fatty liver disease, obstructive sleep apnea, peripheral vascular disease" } , "Exercise programs" : { "star" : "4", "val" : "64.11307", "sources" : "chylomicronemia syndrome, diabetes mellitus type 2, gestational diabetes, hypercholesterolemia, hypertension, hypertensive heart disease, metabolic syndrome, nonalcoholic fatty liver disease, obstructive sleep apnea, osteoarthritis, peripheral vascular disease, sciatica" } , "Blood Pressure Management" : { "star" : "4", "val" : "58.01831", "sources" : "angina pectoris, congestive heart failure, coronary artery disease, diabetes mellitus type 2, hypercholesterolemia, hypertension, hypertensive heart disease, hypertriglyceridemia, peripheral vascular disease" } , "low fat diet" : { "star" : "4", "val" : "54.883278", "sources" : "chylomicronemia syndrome, congestive heart failure, diabetes mellitus type 2, hypercholesterolemia, hypertension, hypertensive heart disease, hypertriglyceridemia, metabolic syndrome, nonalcoholic fatty liver disease" } , "Blood Glucose Self-Monitoring" : { "star" : "3", "val" : "43.32723", "sources" : "angina pectoris, cerebrovascular accidents, coronary artery disease, diabetes mellitus type 2, gestational diabetes, hypertension, nonalcoholic fatty liver disease" } , "Diabetes Education" : { "star" : "3", "val" : "43.32723", "sources" : "angina pectoris, cerebrovascular accidents, coronary artery disease, diabetes mellitus type 2, gestational diabetes, hypertension, nonalcoholic fatty liver disease" } }, "chronic_therapeutic_medications" : { "Lisinopril" : { "star" : "7", "val" : "39.051304", "sources" : "angina pectoris, congestive heart failure, coronary artery disease, hypertension, hypertensive heart disease, ischemic cardiomyopathy" } , "metoprolol" : { "star" : "7", "val" : "39.051304", "sources" : "angina pectoris, congestive heart failure, coronary artery disease, hypertension, hypertensive heart disease, ischemic cardiomyopathy" } , "Furosemide" : { "star" : "6", "val" : "35.826775", "sources" : "congestive heart failure, hypertension, hypertensive heart disease, ischemic cardiomyopathy, liver cirrhosis, pseudotumor cerebri" } , "Atorvastatin" : { "star" : "6", "val" : "33.1395", "sources" : "angina pectoris, coronary artery disease, hypercholesterolemia, metabolic syndrome, peripheral vascular disease" } , "Pravastatin Sodium" : { "star" : "6", "val" : "33.1395", "sources" : "angina pectoris, coronary artery disease, hypercholesterolemia, metabolic syndrome, peripheral vascular disease" } , "Atenolol" : { "star" : "6", "val" : "32.362312", "sources" : "angina pectoris, coronary artery disease, hypertension, hypertensive heart disease, ischemic cardiomyopathy" } , "Ramipril" : { "star" : "6", "val" : "32.3623", "sources" : "angina pectoris, congestive heart failure, coronary artery disease, hypertension, hypertensive heart disease" } , "Propranolol" : { "star" : "5", "val" : "31.442617", "sources" : "angina pectoris, coronary artery disease, hypertension, hypertensive heart disease, liver cirrhosis" } , "Spironolactone" : { "star" : "5", "val" : "31.442616", "sources" : "congestive heart failure, hypertension, hypertensive heart disease, ischemic cardiomyopathy, liver cirrhosis" } , "Gemfibrozil" : { "star" : "5", "val" : "29.534355", "sources" : "chylomicronemia syndrome, hypercholesterolemia, hypertriglyceridemia, metabolic syndrome, peripheral vascular disease" } , "Fenofibrate" : { "star" : "5", "val" : "28.542614", "sources" : "chylomicronemia syndrome, gout, hypercholesterolemia, hypertriglyceridemia, metabolic syndrome" } , "Fluorouracil" : { "star" : "5", "val" : "28.292992", "sources" : "breast cancer in females, carcinoma pancreas, carcinoma rectum, colon cancer, esophageal carcinoma, renal cell carcinoma" } , "Propranolol hydrochloride" : { "star" : "4", "val" : "26.593004", "sources" : "angina pectoris, coronary artery disease, hypertension, ischemic cardiomyopathy" } , "Zocor" : { "star" : "4", "val" : "26.450508", "sources" : "angina pectoris, coronary artery disease, hypercholesterolemia, metabolic syndrome" } , "Amlodipine" : { "star" : "4", "val" : "25.67331", "sources" : "angina pectoris, coronary artery disease, hypertension, hypertensive heart disease" } , "Diltiazem" : { "star" : "4", "val" : "25.67331", "sources" : "angina pectoris, coronary artery disease, hypertension, hypertensive heart disease" } , "Labetalol hydrochloride" : { "star" : "4", "val" : "25.67331", "sources" : "angina pectoris, coronary artery disease, hypertension, hypertensive heart disease" } , "Verapamil" : { "star" : "4", "val" : "25.67331", "sources" : "angina pectoris, coronary artery disease, hypertension, hypertensive heart disease" } , "Benazepril" : { "star" : "4", "val" : "25.673307", "sources" : "congestive heart failure, hypertension, hypertensive heart disease, ischemic cardiomyopathy" } , "Captopril" : { "star" : "4", "val" : "25.673307", "sources" : "congestive heart failure, hypertension, hypertensive heart disease, ischemic cardiomyopathy" } }, "chronic_monitoring_options" : { "Blood Pressure monitoring" : { "type" : "dtests", "details" : "", "frequency" :"1", "frequencyunit" : "3 years", "prn" : "", "atdiagnosis" : "", "target1" : "", "target2" : "", "sources" : "coronary artery disease, diabetes mellitus type 2", "star" : "6", "rawscore" : "8.0" } , "body mass index" : { "type" : "", "details" : "", "frequency" :"1", "frequencyunit" : "year", "prn" : "", "atdiagnosis" : "", "target1" : "", "target2" : "", "sources" : "", "star" : "4", "rawscore" : "5.0" } , "BP MEASUREMENT" : { "type" : "", "details" : "", "frequency" :"1", "frequencyunit" : "year", "prn" : "", "atdiagnosis" : "", "target1" : "", "target2" : "", "sources" : "", "star" : "2", "rawscore" : "3.0" } , "HBA1c (Hemoglobin A1c)" : { "type" : "dtests", "details" : "", "frequency" :"1", "frequencyunit" : "3 years", "prn" : "", "atdiagnosis" : "", "target1" : "", "target2" : "", "sources" : "coronary artery disease, diabetes mellitus type 2", "star" : "1", "rawscore" : "2.0" } , "WAIST CIRCUMFERENCE" : { "type" : "", "details" : "", "frequency" :"1", "frequencyunit" : "year", "prn" : "", "atdiagnosis" : "", "target1" : "", "target2" : "", "sources" : "", "star" : "1", "rawscore" : "2.0" } , "smoking" : { "type" : "", "details" : "", "frequency" :"1", "frequencyunit" : "year", "prn" : "", "atdiagnosis" : "", "target1" : "", "target2" : "", "sources" : "", "star" : "1", "rawscore" : "2.0" } }, "gaps_of_care" : { "Blood Pressure monitoring" : { "type" : "dtests", "details" : "", "frequency" :"1", "frequencyunit" : "3 years", "prn" : "", "atdiagnosis" : "", "target1" : "", "target2" : "", "sources" : "coronary artery disease, diabetes mellitus type 2", "star" : "6", "rawscore" : "8.0" } , "body mass index" : { "type" : "", "details" : "", "frequency" :"1", "frequencyunit" : "year", "prn" : "", "atdiagnosis" : "", "target1" : "", "target2" : "", "sources" : "", "star" : "4", "rawscore" : "5.0" } , "BP MEASUREMENT" : { "type" : "", "details" : "", "frequency" :"1", "frequencyunit" : "year", "prn" : "", "atdiagnosis" : "", "target1" : "", "target2" : "", "sources" : "", "star" : "2", "rawscore" : "3.0" } , "HBA1c (Hemoglobin A1c)" : { "type" : "dtests", "details" : "", "frequency" :"1", "frequencyunit" : "3 years", "prn" : "", "atdiagnosis" : "", "target1" : "", "target2" : "", "sources" : "coronary artery disease, diabetes mellitus type 2", "star" : "1", "rawscore" : "2.0" } , "WAIST CIRCUMFERENCE" : { "type" : "", "details" : "", "frequency" :"1", "frequencyunit" : "year", "prn" : "", "atdiagnosis" : "", "target1" : "", "target2" : "", "sources" : "", "star" : "1", "rawscore" : "2.0" } , "smoking" : { "type" : "", "details" : "", "frequency" :"1", "frequencyunit" : "year", "prn" : "", "atdiagnosis" : "", "target1" : "", "target2" : "", "sources" : "", "star" : "1", "rawscore" : "2.0" } , "waist circumference" : { "type" : "", "details" : "", "frequency" :"1", "frequencyunit" : "year", "prn" : "", "atdiagnosis" : "", "target1" : "", "target2" : "", "sources" : "", "star" : "1", "rawscore" : "2.0" } , "2HR 75G OGTT (IGT)" : { "type" : "", "details" : "", "frequency" :"1", "frequencyunit" : "year", "prn" : "", "atdiagnosis" : "", "target1" : "", "target2" : "", "sources" : "", "star" : "0", "rawscore" : "1.0" } , "2HR OGTT\n\n75G ANHYDROUS GLUCOSE IN WATER" : { "type" : "", "details" : "", "frequency" :"1", "frequencyunit" : "year", "prn" : "", "atdiagnosis" : "", "target1" : "", "target2" : "", "sources" : "", "star" : "0", "rawscore" : "1.0" } , "AMBULATORY BP MEASUREMENT" : { "type" : "", "details" : "", "frequency" :"1", "frequencyunit" : "year", "prn" : "", "atdiagnosis" : "", "target1" : "", "target2" : "", "sources" : "", "star" : "0", "rawscore" : "1.0" } , "Complete blood count,\n\nElectrolytes (Na K cl bicarb),\n\nCa,\n\nMG,\n\n(if on diuretics),\n\nRenal function (BUN, Cr),\n\nLiver function (AST, ALT, Alk phos, Bili, T Prot, Alb),\n\nUrinalysis,\n\nSensitive TSH (sTSH),\n\nPT/INR," : { "type" : "", "details" : "", "frequency" :"1", "frequencyunit" : "year", "prn" : "", "atdiagnosis" : "", "target1" : "", "target2" : "", "sources" : "", "star" : "0", "rawscore" : "1.0" } , "Dyspnea,Pedal/leg swelling, Orthopnea.,Weight gain (rapid)\n\nParoxysmal nocturnal dyspnea (PND),Sleep disturbances (anxiety or air hunger),\n\nCough (recumbent or exertional),Chest tightness or discomfort\n\nAbdominal or epigastric discomfort,Unexplained confusion,altered mental status, \n\nfatigue\n\nAbdominal bloating (ascites),Nausea or anorexia\n\nEarly satiety,Dependent edema\n\nHemoptysis,frothy or pink-tinged sputum" : { "type" : "", "details" : "", "frequency" :"1", "frequencyunit" : "year", "prn" : "", "atdiagnosis" : "", "target1" : "", "target2" : "", "sources" : "", "star" : "0", "rawscore" : "1.0" } , "Dyspnea/PND/orthopnea,Cough/sputum production,\n\nRecent weight gain,Claudication,\n\nChest pain,Exercise tolerance,\n\nPalpitations,Fatigue,\n\nBlood loss/causes of anemia,Edema/ascites,\n\nRecent fevers/viral infection,Color changes," : { "type" : "", "details" : "", "frequency" :"1", "frequencyunit" : "year", "prn" : "", "atdiagnosis" : "", "target1" : "", "target2" : "", "sources" : "", "star" : "0", "rawscore" : "1.0" } , "EXERCISE" : { "type" : "", "details" : "", "frequency" :"1", "frequencyunit" : "year", "prn" : "", "atdiagnosis" : "", "target1" : "", "target2" : "", "sources" : "", "star" : "0", "rawscore" : "1.0" } , "Easy fatigability,Malaise \n\nPoor energy level or endurance,Impaired concentration or memory\n\nDecreased exercise tolerance,Sleep disturbance\n\nCachexia,Altered mentation (somnolence, confusion)\n\nMuscle wasting or weakness,Resting tachycardia \n\nNausea or anorexia,Daytime oliguria with recumbent nocturia\n\nEarly satiety,Cool or vasoconstricted extremities\n\nWeight loss unexplained,Cheyne-Stokes respiration (with or without apnea)" : { "type" : "", "details" : "", "frequency" :"1", "frequencyunit" : "year", "prn" : "", "atdiagnosis" : "", "target1" : "", "target2" : "", "sources" : "", "star" : "0", "rawscore" : "1.0" } , "FASTING PLASMA GLUCOSE (IFG)" : { "type" : "", "details" : "", "frequency" :"1", "frequencyunit" : "year", "prn" : "", "atdiagnosis" : "", "target1" : "", "target2" : "", "sources" : "", "star" : "0", "rawscore" : "1.0" } , "FASTING PLASMA GLUCOSE: NO CAL INTAKE FOR AT LEAST 8 HRS" : { "type" : "", "details" : "", "frequency" :"1", "frequencyunit" : "year", "prn" : "", "atdiagnosis" : "", "target1" : "", "target2" : "", "sources" : "", "star" : "0", "rawscore" : "1.0" } , "Ferritin/iron/TIBC/macrocytic anemias\n\n- Lipid profile\n\n- Blood culture (if endocarditis suspected)" : { "type" : "", "details" : "", "frequency" :"1", "frequencyunit" : "year", "prn" : "", "atdiagnosis" : "", "target1" : "", "target2" : "", "sources" : "", "star" : "0", "rawscore" : "1.0" } , "GRR" : { "type" : "", "details" : "", "frequency" :"1", "frequencyunit" : "year", "prn" : "", "atdiagnosis" : "", "target1" : "", "target2" : "", "sources" : "", "star" : "0", "rawscore" : "1.0" } , "High Density Lipoprotein (HDL) cholesterol)" : { "type" : "", "details" : "", "frequency" :"1", "frequencyunit" : "3 years", "prn" : "", "atdiagnosis" : "", "target1" : "", "target2" : "", "sources" : "diabetes mellitus type 2", "star" : "0", "rawscore" : "1.0" } , "History of congestive heart failure (HF),Blunt chest injury,\n\nHistory of myocardial infarction (MI),Rheumatic fever,\n\nCardiac risk factors,HIV,\n\nHypertension/smoking/diabetes/hyperlipidemia, Bacterial endocarditis,\n\nHistory/risk factors for thromboembolic disease, Claudication,\n\nHistory of thyroid dysfunction,Screen for depression,\n\nRecently postpartum,Foreign travel,\n\nHistory of snoring/sleep apnea," : { "type" : "", "details" : "", "frequency" :"1", "frequencyunit" : "year", "prn" : "", "atdiagnosis" : "", "target1" : "", "target2" : "", "sources" : "", "star" : "0", "rawscore" : "1.0" } , "Lymes serology (if suspect bradycardia/heart block)\n\n- Connective tissue disease workup\n\n- HIV" : { "type" : "", "details" : "", "frequency" :"1", "frequencyunit" : "year", "prn" : "", "atdiagnosis" : "", "target1" : "", "target2" : "", "sources" : "", "star" : "0", "rawscore" : "1.0" } , "NT-proBNP or BNP,\n\nTest for myocardial injury: troponin,\n\nConsider arterial blood gases,\n\nConsider D-dimer if a pulmonary embolus is of intermediate likelihood as a cause of presenting \n\nsymptoms," : { "type" : "", "details" : "", "frequency" :"1", "frequencyunit" : "year", "prn" : "", "atdiagnosis" : "", "target1" : "", "target2" : "", "sources" : "", "star" : "0", "rawscore" : "1.0" } , "No evidence of recent myocardial damage" : { "type" : "", "details" : "", "frequency" :"1", "frequencyunit" : "year", "prn" : "", "atdiagnosis" : "", "target1" : "", "target2" : "", "sources" : "", "star" : "0", "rawscore" : "1.0" } , "No significant change in frequency, duration, precipitating causes or ease of relief of angina for at \n\nleast 60 days" : { "type" : "", "details" : "", "frequency" :"1", "frequencyunit" : "year", "prn" : "", "atdiagnosis" : "", "target1" : "", "target2" : "", "sources" : "", "star" : "0", "rawscore" : "1.0" } , "RANDOM PLASMA GLUCOSE WITH CLASSIC SYMPTOMS OF HYPERGLYCEMIA OR HYPERGLYCEMIC CRISIS" : { "type" : "", "details" : "", "frequency" :"1", "frequencyunit" : "year", "prn" : "", "atdiagnosis" : "", "target1" : "", "target2" : "", "sources" : "", "star" : "0", "rawscore" : "1.0" } , "SMOKING" : { "type" : "", "details" : "", "frequency" :"1", "frequencyunit" : "year", "prn" : "", "atdiagnosis" : "", "target1" : "", "target2" : "", "sources" : "", "star" : "0", "rawscore" : "1.0" } , "Salt and daily fluid intake" : { "type" : "", "details" : "", "frequency" :"1", "frequencyunit" : "year", "prn" : "", "atdiagnosis" : "", "target1" : "", "target2" : "", "sources" : "", "star" : "0", "rawscore" : "1.0" } , "Serum Low-density lipoprotein (LDL)" : { "type" : "dtests", "details" : "", "frequency" :"1", "frequencyunit" : "3 years", "prn" : "", "atdiagnosis" : "", "target1" : "", "target2" : "", "sources" : "diabetes mellitus type 2", "star" : "0", "rawscore" : "1.0" } , "Symptom complex has remained stable for at least 60 days" : { "type" : "", "details" : "", "frequency" :"1", "frequencyunit" : "year", "prn" : "", "atdiagnosis" : "", "target1" : "", "target2" : "", "sources" : "", "star" : "0", "rawscore" : "1.0" } , "URINE" : { "type" : "", "details" : "", "frequency" :"1", "frequencyunit" : "year", "prn" : "", "atdiagnosis" : "", "target1" : "", "target2" : "", "sources" : "", "star" : "0", "rawscore" : "1.0" } , "Vital signs, including weight and height\n\n• Diaphoresis\n\nDiminished peripheral pulse or bruit,\n\nSkin color: cyanosis, pallor, jaundice,\n\nLower extremity edema in the absence of venous insufficiency,\n\nElevated jugular venous pressure, positive hepato-jugular reflux,\n\ntachycardia, bradycardia/arrhythmias,\n\nLeft lateral displacement of point of maximal impulse (PMI),\n\nHeart sounds S3, S4 or murmur,\n\nlabored breathing, rales above the lower 25% of the lung that do not clear with cough,\n\nAbdomen large pulsatile or tender liver or ascites," : { "type" : "", "details" : "", "frequency" :"1", "frequencyunit" : "year", "prn" : "", "atdiagnosis" : "", "target1" : "", "target2" : "", "sources" : "", "star" : "0", "rawscore" : "1.0" } , "activitylevel" : { "type" : "", "details" : "", "frequency" :"1", "frequencyunit" : "year", "prn" : "", "atdiagnosis" : "", "target1" : "", "target2" : "", "sources" : "", "star" : "0", "rawscore" : "1.0" } , "alcohol" : { "type" : "", "details" : "", "frequency" :"1", "frequencyunit" : "year", "prn" : "", "atdiagnosis" : "", "target1" : "", "target2" : "", "sources" : "", "star" : "0", "rawscore" : "1.0" } , "atypical symptoms cardiac ischemia,fatigue, shortness of breath (SOB) without chest pain, nausea and vomiting, back pain, jaw pain, \n\ndizziness and weakness," : { "type" : "", "details" : "", "frequency" :"1", "frequencyunit" : "year", "prn" : "", "atdiagnosis" : "", "target1" : "", "target2" : "", "sources" : "", "star" : "0", "rawscore" : "1.0" } , "drug abuse" : { "type" : "", "details" : "", "frequency" :"1", "frequencyunit" : "year", "prn" : "", "atdiagnosis" : "", "target1" : "", "target2" : "", "sources" : "", "star" : "0", "rawscore" : "1.0" } , "etiology,precipitating factors" : { "type" : "", "details" : "", "frequency" :"1", "frequencyunit" : "year", "prn" : "", "atdiagnosis" : "", "target1" : "", "target2" : "", "sources" : "", "star" : "0", "rawscore" : "1.0" } , "failure systolic,diastolic" : { "type" : "", "details" : "", "frequency" :"1", "frequencyunit" : "year", "prn" : "", "atdiagnosis" : "", "target1" : "", "target2" : "", "sources" : "", "star" : "0", "rawscore" : "1.0" } , "family history of: ischemic heart disease, HF, congenital heart disease, risk factors for \n\nathero-sclerotic cardiovascular disease (ASCVD) and HF" : { "type" : "", "details" : "", "frequency" :"1", "frequencyunit" : "year", "prn" : "", "atdiagnosis" : "", "target1" : "", "target2" : "", "sources" : "", "star" : "0", "rawscore" : "1.0" } , "history and physical" : { "type" : "", "details" : "", "frequency" :"1", "frequencyunit" : "year", "prn" : "", "atdiagnosis" : "", "target1" : "", "target2" : "", "sources" : "", "star" : "0", "rawscore" : "1.0" } , "marked symptoms at rest despite maximal medical therapy" : { "type" : "", "details" : "", "frequency" :"1", "frequencyunit" : "year", "prn" : "", "atdiagnosis" : "", "target1" : "", "target2" : "", "sources" : "", "star" : "0", "rawscore" : "1.0" } , "physical exam" : { "type" : "", "details" : "", "frequency" :"1", "frequencyunit" : "year", "prn" : "", "atdiagnosis" : "", "target1" : "", "target2" : "", "sources" : "", "star" : "0", "rawscore" : "1.0" } , "shortness of breath,fatigue,reduced exercise tolerance" : { "type" : "", "details" : "", "frequency" :"1", "frequencyunit" : "year", "prn" : "", "atdiagnosis" : "", "target1" : "", "target2" : "", "sources" : "", "star" : "0", "rawscore" : "1.0" } , "stage A heart failure" : { "type" : "", "details" : "", "frequency" :"1", "frequencyunit" : "year", "prn" : "", "atdiagnosis" : "", "target1" : "", "target2" : "", "sources" : "", "star" : "0", "rawscore" : "1.0" } , "stage B" : { "type" : "", "details" : "", "frequency" :"1", "frequencyunit" : "year", "prn" : "", "atdiagnosis" : "", "target1" : "", "target2" : "", "sources" : "", "star" : "0", "rawscore" : "1.0" } , "stage C heart failure" : { "type" : "", "details" : "", "frequency" :"1", "frequencyunit" : "year", "prn" : "", "atdiagnosis" : "", "target1" : "", "target2" : "", "sources" : "", "star" : "0", "rawscore" : "1.0" } , "stage D heart failure" : { "type" : "", "details" : "", "frequency" :"1", "frequencyunit" : "year", "prn" : "", "atdiagnosis" : "", "target1" : "", "target2" : "", "sources" : "", "star" : "0", "rawscore" : "1.0" } }, "successes_of_care" : { }, "chronic_therapy_options" : { "smoking cessation" : { "type" : "edu", "details" : "", "frequency" :"", "frequencyunit" : "", "prn" : "true", "atdiagnosis" : "true", "target1" : "", "target2" : "", "sources" : "coronary artery disease", "star" : "0", "rawscore" : "0.0" } , "physical activity" : { "type" : "exer", "details" : "30-60 minutes of aerobic activity (walking, jogging, etc.) three to four times per week,\n\nMedically \n\nsupervised programs are recommended for moderate- to high-risk patients", "frequency" :"", "frequencyunit" : "", "prn" : "true", "atdiagnosis" : "true", "target1" : "30-45 minutes of moderate intensity exercise five times a week", "target2" : "increase in daily lifestyle activities (walking breaks at work, gardening, etc.)\n\nMedically \n\nsupervised programs are recommended for moderate- to high-risk patients", "sources" : "coronary artery disease", "star" : "0", "rawscore" : "0.0" } , "" : { "type" : "", "details" : "", "frequency" :"", "frequencyunit" : "", "prn" : "", "atdiagnosis" : "", "target1" : "", "target2" : "", "sources" : "coronary artery disease", "star" : "0", "rawscore" : "0.0" } , "dietary fat" : { "type" : "diet", "details" : "", "frequency" :"", "frequencyunit" : "", "prn" : "true", "atdiagnosis" : "true", "target1" : "< 30% total calories", "target2" : "", "sources" : "coronary artery disease", "star" : "0", "rawscore" : "0.0" } , "saturated fat" : { "type" : "diet", "details" : "", "frequency" :"", "frequencyunit" : "", "prn" : "true", "atdiagnosis" : "true", "target1" : "< 7 % total calories", "target2" : "", "sources" : "coronary artery disease", "star" : "0", "rawscore" : "0.0" } , "dietary cholesterol" : { "type" : "diet", "details" : "", "frequency" :"", "frequencyunit" : "", "prn" : "", "atdiagnosis" : "true", "target1" : "< 200 mg/day", "target2" : "", "sources" : "coronary artery disease", "star" : "0", "rawscore" : "0.0" } , "Patient education" : { "type" : "edu", "details" : "", "frequency" :"", "frequencyunit" : "", "prn" : "", "atdiagnosis" : "true", "target1" : "", "target2" : "", "sources" : "coronary artery disease", "star" : "0", "rawscore" : "0.0" } , "LOW CARB LOW CHOL/TRANS FAT/SAT FAT, INCREASED OMEGA 3 FA, INCREASED HIGH FIBER" : { "type" : "diet", "details" : "", "frequency" :"0", "frequencyunit" : "day", "prn" : "", "atdiagnosis" : "", "target1" : "", "target2" : "", "sources" : "diabetes mellitus type 2", "star" : "0", "rawscore" : "0.0" } , "WEIGHT LOSS" : { "type" : "beh", "details" : "", "frequency" :"", "frequencyunit" : "day", "prn" : "", "atdiagnosis" : "true", "target1" : "7% BODY WEIGHT", "target2" : "", "sources" : "diabetes mellitus type 2", "star" : "0", "rawscore" : "0.0" } , "PHYSICAL ACTIVITY" : { "type" : "exer", "details" : "", "frequency" :"", "frequencyunit" : "week", "prn" : "", "atdiagnosis" : "true", "target1" : "150 MINS/WEEK", "target2" : "", "sources" : "diabetes mellitus type 2", "star" : "0", "rawscore" : "0.0" } , "14G FIBER/1000 CALS" : { "type" : "diet", "details" : "", "frequency" :"", "frequencyunit" : "", "prn" : "", "atdiagnosis" : "", "target1" : "", "target2" : "", "sources" : "diabetes mellitus type 2", "star" : "0", "rawscore" : "0.0" } , "WHOLE GRAINS=1/2 GRAIN INTAKE" : { "type" : "diet", "details" : "", "frequency" :"", "frequencyunit" : "", "prn" : "", "atdiagnosis" : "", "target1" : "", "target2" : "", "sources" : "diabetes mellitus type 2", "star" : "0", "rawscore" : "0.0" } , "SMOKING CESSATION" : { "type" : "beh", "details" : "", "frequency" :"", "frequencyunit" : "", "prn" : "", "atdiagnosis" : "", "target1" : "", "target2" : "", "sources" : "diabetes mellitus type 2", "star" : "0", "rawscore" : "0.0" } , "ANNUAL HISTORY AND PHYSICAL EXAM" : { "type" : "proc", "details" : "", "frequency" :"1", "frequencyunit" : "year", "prn" : "true", "atdiagnosis" : "true", "target1" : "", "target2" : "", "sources" : "diabetes mellitus type 2", "star" : "0", "rawscore" : "0.0" } }, "improvement_factors" : { "Lose Weight" : { "delta" : "-1935.0" } , "Increase Activity" : { "delta" : "-1939.5" } } }, "acute_atriskfor" : { } } } } }