Pre-surgery launches from the patient chart, one workflow at a time.
| Scenario | Patient | Summary | |
|---|---|---|---|
precast-p01-colorectal | Doe, Jane (MRN 1234567890) | Female aged 72, Open Rectosigmoidectomy (870), Colorectal, ASA III. Enter on the review screen: Indigenous status Non-Indigenous, country of birth Australia, surgical category Elective Cat 1 (0-30 Days). Check the indices: Frailty Index 0.26 (10 deficits), Charlson 11, Elixhauser 16, PhenoAge 67.1. | Launch precast |
precast-p02-colorectal | Tran, David (MRN 9000000002) | Male aged 58, Peritonectomy (7189), Colorectal, ASA III. Enter on the review screen: Indigenous status Non-Indigenous, country of birth Other, surgical category Elective Cat 1 (0-30 Days). Check the indices: Frailty Index 0.08 (3 deficits), Charlson 11, Elixhauser 15, PhenoAge 69.3. | Launch precast |
precast-p03-head-and-neck | Walsh, Margaret (MRN 9000000003) | Female aged 66, Glossectomy (6936) with Anterolateral Thigh Free Flap (6897), Head and Neck, ASA III. Enter on the review screen: Indigenous status Non-Indigenous, country of birth United Kingdom, surgical category Elective Cat 1 (0-30 Days). Check the indices: Frailty Index 0.15 (6 deficits), Charlson 5, Elixhauser 13, PhenoAge 81.1. | Launch precast |
precast-p04-renal | Patel, Suresh (MRN 9000000004) | Male aged 74, Robotic Radical Nephrectomy (7281), Renal, ASA III. Enter on the review screen: Indigenous status Non-Indigenous, country of birth India, surgical category Elective Cat 2 (30-60 Days). Check the indices: Frailty Index 0.28 (11 deficits), Charlson 8, Elixhauser 14, PhenoAge 77.3. | Launch precast |
precast-p05-plastics-reconstructive | Rossi, Emma (MRN 9000000005) | Female aged 45, Breast Reconstruction with Bilateral Abdominal Free Flap (6646), Plastics Reconstructive, ASA II. Enter on the review screen: Indigenous status Aboriginal, country of birth Australia, surgical category Elective Cat 1 (0-30 Days). Check the indices: Frailty Index 0.08 (3 deficits), Charlson 2, Elixhauser -1, PhenoAge 47.1. | Launch precast |
precast-p06-upper-gi | Li, Wei (MRN 9000000006) | Male aged 69, Pancreaticoduodenectomy (7162), Upper GI, ASA III. Enter on the review screen: Indigenous status Non-Indigenous, country of birth China, surgical category Elective Cat 1 (0-30 Days). Check the indices: Frailty Index 0.15 (6 deficits), Charlson 6, Elixhauser 24, PhenoAge 86.3. | Launch precast |
precast-p07-colorectal | Okafor, Susan (MRN 9000000007) | Female aged 61, Robotic High Anterior Resection (8199), Colorectal, ASA II. Enter on the review screen: Indigenous status Non-Indigenous, country of birth United Kingdom, surgical category Elective Cat 1 (0-30 Days). Check the indices: Frailty Index 0.05 (2 deficits), Charlson 4, Elixhauser 4, PhenoAge 57.2. | Launch precast |
precast-p08-plastics-reconstructive | Fitzgerald, Joan (MRN 9000000008) | Female aged 82, Abdominal Wall Reconstruction (1333), Plastics Reconstructive, ASA III. Enter on the review screen: Indigenous status Non-Indigenous, country of birth Australia, surgical category Elective Cat 1 (0-30 Days). Check the indices: Frailty Index 0.46 (18 deficits), Charlson 9, Elixhauser 7, PhenoAge 91.7. | Launch precast |
precast-p09-colorectal | Haddad, George (MRN 9000000009) | Male aged 67, Open Rectosigmoidectomy (870), Colorectal, ASA IV. Enter on the review screen: Indigenous status Non-Indigenous, country of birth Other, surgical category Emergency. Check the indices: Frailty Index 0.18 (7 deficits), Charlson 6, Elixhauser 19, PhenoAge 104.2. | Launch precast |
precast-p10-colorectal | Mabo, Leilani (MRN 9000000010) | Female aged 52, Hyperthermic Intraperitoneal Chemotherapy (6975), Colorectal, ASA II. Enter on the review screen: Indigenous status Torres Strait Islander, country of birth Australia, surgical category Elective Cat 1 (0-30 Days). Check the indices: Frailty Index 0.05 (2 deficits), Charlson 10, Elixhauser 21, PhenoAge 60.8. | Launch precast |
precast-p11-head-and-neck | Kowalski, Anna (MRN 9000000011) | Female aged 38, Total Thyroidectomy (946), Head and Neck, ASA I. Enter on the review screen: Indigenous status Non-Indigenous, country of birth Australia, surgical category Elective Cat 2 (30-60 Days). Check the indices: Frailty Index 0.03 (1 deficits), Charlson 2, Elixhauser 1, PhenoAge 34.8. | Launch precast |
precast-p12-head-and-neck | Brennan, Terence (MRN 9000000012) | Male aged 71, Total Laryngectomy (6909), Head and Neck, ASA III. Enter on the review screen: Indigenous status Non-Indigenous, country of birth Australia, surgical category Elective Cat 1 (0-30 Days). Check the indices: Frailty Index 0.21 (8 deficits), Charlson 7, Elixhauser 15, PhenoAge 87. | Launch precast |
precast-p13-renal | Sharma, Rajesh (MRN 9000000013) | Male aged 55, Robotic Partial Nephrectomy (7276), Renal, ASA II. Enter on the review screen: Indigenous status Non-Indigenous, country of birth India, surgical category Elective Cat 2 (30-60 Days). Check the indices: Frailty Index 0.05 (2 deficits), Charlson 4, Elixhauser 11, PhenoAge 57.1. | Launch precast |
precast-p14-renal | Thompson, Alan (MRN 9000000014) | Male aged 76, Total Cystectomy (6761), Renal, ASA III. Enter on the review screen: Indigenous status Non-Indigenous, country of birth United Kingdom, surgical category Elective Cat 1 (0-30 Days). Check the indices: Frailty Index 0.18 (7 deficits), Charlson 9, Elixhauser 9, PhenoAge 84.6. | Launch precast |
precast-p15-upper-gi | Costa, Michael (MRN 9000000015) | Male aged 63, Laparoscopic Oesophagectomy (4977), Upper GI, ASA III. Enter on the review screen: Indigenous status Non-Indigenous, country of birth Australia, surgical category Elective Cat 1 (0-30 Days). Check the indices: Frailty Index 0.08 (3 deficits), Charlson 4, Elixhauser 6, PhenoAge 63.5. | Launch precast |
precast-p16-vitals-window-edge | Doe, Jane (MRN 1234567890) | Data edge: Pulse measured 30 days before the surgery date, respiratory rate 31 days before. Pulse is used from Epic (30 days is inside the vitals window). Respiratory rate shows no current value and blocks Calculate until a value is entered. | Launch precast |
precast-p17-labs-window-edge | Doe, Jane (MRN 1234567890) | Data edge: Albumin 30 days before the surgery date, haemoglobin 31 days before, creatinine dated the day after the surgery date. Albumin is used from Epic. Haemoglobin and creatinine are outside the 30 day window (one too old, one after the surgery date), so they show no current value and are pre-filled with a flagged default. | Launch precast |
precast-p18-surgery-date-melbourne-day | Doe, Jane (MRN 1234567890) | Data edge: Surgery booked just after midnight Melbourne time, the day after tomorrow (still tomorrow by the UTC date). Pulse measured 29 days ago by the UTC date. The surgery date shows as the day after tomorrow, the Melbourne date. Pulse is 31 days before that date, so it shows no current value and blocks Calculate until a value is entered. By the UTC date it would have been inside the window. | Launch precast |
precast-p19-history-window-conditions | Doe, Jane (MRN 1234567890) | Data edge: Four conditions: hypertension recorded 180 days before the surgery date, arthritis 181 days before, dyslipidaemia recorded after the surgery date, osteoporosis resolved. Only hypertension is a contributing factor in the medical history. Arthritis (outside 180 days), dyslipidaemia (after the surgery date) and osteoporosis (resolved, not returned by the active-only search) are absent. | Launch precast |
precast-p20-history-window-visits | Doe, Jane (MRN 1234567890) | Data edge: Fit for surgery visit 180 days before the surgery date, pre-anaesthetic clinic visit 181 days before. Fit for Surgery Program shows Referred (started). Pre-anaesthetic clinic shows Not completed because its visit is outside the 180 day window. | Launch precast |
precast-p21-units-converted | Doe, Jane (MRN 1234567890) | Data edge: Weight in pounds, creatinine in mg/dL, haematocrit as a fraction (L/L). Weight shows about 64.3 kg, creatinine about 54.8 umol/L and haematocrit 0.42, each converted from the unit Epic sent. No value is flagged as unrecognised. | Launch precast |
precast-p22-units-not-recognised | Doe, Jane (MRN 1234567890) | Data edge: Height in inches and haemoglobin in g/dL, units the calculator does not accept. Neither value is used (not coerced, not sent to the model). Height shows no usable value and blocks Calculate until a value is entered. Haemoglobin shows no usable value and is pre-filled with a flagged default. | Launch precast |
precast-p23-values-out-of-plausible-range | Doe, Jane (MRN 1234567890) | Data edge: Height 250 cm with weight 30 kg (BMI 4.8), pulse 251 and haemoglobin 251 g/L, each past a plausibility limit. Calculate is blocked with an out-of-range reason for BMI, pulse and haemoglobin. The retrieved values are shown as they came, not clamped. | Launch precast |
precast-p24-values-at-limits | Doe, Jane (MRN 1234567890) | Data edge: Values exactly on the plausibility limits: height 250 cm, pulse 20, mean pressure 200, respiratory rate 4, SpO2 100, temperature 32, haemoglobin 30 g/L. Every value is accepted and Calculate is not blocked. Values outside their reference range are flagged for confirmation. | Launch precast |
precast-p25-age-120 | Doe, Jane (MRN 1234567890) | Data edge: Patient aged 120 at surgery, the oldest accepted age. Age at surgery shows 120 and is accepted. Calculate is not blocked by age. | Launch precast |
precast-p26-age-121 | Doe, Jane (MRN 1234567890) | Data edge: Patient aged 121 at surgery, one past the accepted age. Age at surgery shows 121 as out of range and Calculate is blocked. The age is locked, so it cannot be corrected on screen. | Launch precast |
precast-p27-demographics-missing | Doe, Jane (MRN 1234567890) | Data edge: No postcode and no preferred language recorded in Epic. Postcode shows no value and is locked, so Calculate is blocked with a reason naming postcode. Primary language shows no value and must be chosen by the clinician. | Launch precast |
precast-p28-multiple-surgery-candidates | Doe, Jane (MRN 1234567890) | Data edge: Two booked surgeries (tomorrow and in 10 days) and one completed 20 days ago. The confirm screen lists three candidate surgeries, latest first, and the clinician must choose one before continuing. The completed one is shown as done, the others as booked. | Launch precast |
precast-p29-no-surgery-found | Doe, Jane (MRN 1234567890) | Data edge: No booked or completed surgery in Epic. The confirm screen finds no surgery and offers the predefined procedure list for the specialty; a surgery date must be entered by hand. | Launch precast |
precast-p42-read-labs-paging-truncated | Doe, Jane (MRN 1234567890) | Data edge: The laboratory search returns one result per page, so the calculator has to follow every page. Every laboratory result arrives, as if the search had come back in one page. Nothing is missing and no error shows. | Launch precast |
precast-p50-conditions-ruled-out | Doe, Jane (MRN 1234567890) | Data edge: Three active conditions: hypertension confirmed, arthritis refuted and dyslipidaemia entered in error. Only hypertension is a contributing factor in the medical history. Arthritis (refuted) and dyslipidaemia (entered in error) are absent. | Launch precast |
Post-operative T0 launches with an encounter.
| Scenario | Patient | Summary | |
|---|---|---|---|
nowcast-t0-p01-colorectal | Doe, Jane (MRN 1234567890) | Female aged 72, Open Rectosigmoidectomy (870), Colorectal, ASA III. Operated today, 3.6 h in theatre, Peter Mac 6C ECU after recovery. Choose T0 on the confirm screen. Enter on the review screen: Indigenous status Non-Indigenous, country of birth Australia, surgical category Elective Cat 1 (0-30 Days). The peri-operative section should load from Epic: theatre duration 3.6 h, scheduled minus actual -0.1 h, recovery 2.3 h, intensive care 0 h in 0 stay(s) (stay count is a placeholder), extended care unit yes, red cell units 4. Check the indices: Frailty Index 0.26 (10 deficits), Charlson 11, Elixhauser 16, PhenoAge 67.1. | Launch t0 |
nowcast-t0-p02-colorectal | Tran, David (MRN 9000000002) | Male aged 58, Peritonectomy (7189), Colorectal, ASA III. Operated today, 8.4 h in theatre, RMH ICU first, then the ward. Choose T0 on the confirm screen. Enter on the review screen: Indigenous status Non-Indigenous, country of birth Other, surgical category Elective Cat 1 (0-30 Days). The peri-operative section should load from Epic: theatre duration 8.4 h, scheduled minus actual -0.4 h, recovery 27.5 h (to the ward, including the ICU stay), intensive care 26 h in 1 stay(s) (stay count is a placeholder), extended care unit no, red cell units 2. Check the indices: Frailty Index 0.08 (3 deficits), Charlson 11, Elixhauser 15, PhenoAge 69.3. | Launch t0 |
nowcast-t0-p03-head-and-neck | Walsh, Margaret (MRN 9000000003) | Female aged 66, Glossectomy (6936) with Anterolateral Thigh Free Flap (6897), Head and Neck, ASA III. Operated today, 8.8 h in theatre, RMH ICU first, then the ward. Choose T0 on the confirm screen. Enter on the review screen: Indigenous status Non-Indigenous, country of birth United Kingdom, surgical category Elective Cat 1 (0-30 Days). The peri-operative section should load from Epic: theatre duration 8.8 h, scheduled minus actual -0.8 h, recovery 41.2 h (to the ward, including the ICU stay), intensive care 40 h in 1 stay(s) (stay count is a placeholder), extended care unit no, red cell units 1. Check the indices: Frailty Index 0.15 (6 deficits), Charlson 5, Elixhauser 13, PhenoAge 81.1. | Launch t0 |
nowcast-t0-p04-renal | Patel, Suresh (MRN 9000000004) | Male aged 74, Robotic Radical Nephrectomy (7281), Renal, ASA III. Operated today, 3.2 h in theatre, Peter Mac 6C ECU after recovery. Choose T0 on the confirm screen. Enter on the review screen: Indigenous status Non-Indigenous, country of birth India, surgical category Elective Cat 2 (30-60 Days). The peri-operative section should load from Epic: theatre duration 3.2 h, scheduled minus actual 0.3 h, recovery 1.6 h, intensive care 0 h in 0 stay(s) (stay count is a placeholder), extended care unit yes, red cell units 0. Check the indices: Frailty Index 0.28 (11 deficits), Charlson 8, Elixhauser 14, PhenoAge 77.3. | Launch t0 |
nowcast-t0-p05-plastics-reconstructive | Rossi, Emma (MRN 9000000005) | Female aged 45, Breast Reconstruction with Bilateral Abdominal Free Flap (6646), Plastics Reconstructive, ASA II. Operated today, 7.9 h in theatre, Peter Mac 6C ECU after recovery. Choose T0 on the confirm screen. Enter on the review screen: Indigenous status Aboriginal, country of birth Australia, surgical category Elective Cat 1 (0-30 Days). The peri-operative section should load from Epic: theatre duration 7.9 h, scheduled minus actual -0.4 h, recovery 1.8 h, intensive care 0 h in 0 stay(s) (stay count is a placeholder), extended care unit yes, red cell units 1. Check the indices: Frailty Index 0.08 (3 deficits), Charlson 2, Elixhauser -1, PhenoAge 47.1. | Launch t0 |
nowcast-t0-p06-upper-gi | Li, Wei (MRN 9000000006) | Male aged 69, Pancreaticoduodenectomy (7162), Upper GI, ASA III. Operated today, 7.1 h in theatre, RMH ICU first, then the ward. Choose T0 on the confirm screen. Enter on the review screen: Indigenous status Non-Indigenous, country of birth China, surgical category Elective Cat 1 (0-30 Days). The peri-operative section should load from Epic: theatre duration 7.1 h, scheduled minus actual -0.6 h, recovery 120 h (to the ward, including the ICU stay), intensive care 120 h in 1 stay(s) (stay count is a placeholder), extended care unit no, red cell units 12. Check the indices: Frailty Index 0.15 (6 deficits), Charlson 6, Elixhauser 24, PhenoAge 86.3. | Launch t0 |
nowcast-t0-p07-colorectal | Okafor, Susan (MRN 9000000007) | Female aged 61, Robotic High Anterior Resection (8199), Colorectal, ASA II. Operated today, 4.3 h in theatre, Peter Mac 6C ECU after recovery. Choose T0 on the confirm screen. Enter on the review screen: Indigenous status Non-Indigenous, country of birth United Kingdom, surgical category Elective Cat 1 (0-30 Days). The peri-operative section should load from Epic: theatre duration 4.3 h, scheduled minus actual -0.3 h, recovery 2 h, intensive care 0 h in 0 stay(s) (stay count is a placeholder), extended care unit yes, red cell units 3. Check the indices: Frailty Index 0.05 (2 deficits), Charlson 4, Elixhauser 4, PhenoAge 57.2. | Launch t0 |
nowcast-t0-p08-plastics-reconstructive | Fitzgerald, Joan (MRN 9000000008) | Female aged 82, Abdominal Wall Reconstruction (1333), Plastics Reconstructive, ASA III. Operated today, 1.8 h in theatre, Peter Mac 6A Ward after recovery. Choose T0 on the confirm screen. Enter on the review screen: Indigenous status Non-Indigenous, country of birth Australia, surgical category Elective Cat 1 (0-30 Days). The peri-operative section should load from Epic: theatre duration 1.8 h, scheduled minus actual 0.2 h, recovery 2.6 h, intensive care 0 h in 0 stay(s) (stay count is a placeholder), extended care unit no, red cell units 0. Check the indices: Frailty Index 0.46 (18 deficits), Charlson 9, Elixhauser 7, PhenoAge 91.7. | Launch t0 |
nowcast-t0-p09-colorectal | Haddad, George (MRN 9000000009) | Male aged 67, Open Rectosigmoidectomy (870), Colorectal, ASA IV. Operated today, 3.4 h in theatre, RMH ICU first, then the ward. Choose T0 on the confirm screen. Enter on the review screen: Indigenous status Non-Indigenous, country of birth Other, surgical category Emergency. The peri-operative section should load from Epic: theatre duration 3.4 h, scheduled minus actual -0.4 h, recovery 96 h (to the ward, including the ICU stay), intensive care 96 h in 1 stay(s) (stay count is a placeholder), extended care unit no, red cell units 2. Check the indices: Frailty Index 0.18 (7 deficits), Charlson 6, Elixhauser 19, PhenoAge 104.2. | Launch t0 |
nowcast-t0-p10-colorectal | Mabo, Leilani (MRN 9000000010) | Female aged 52, Hyperthermic Intraperitoneal Chemotherapy (6975), Colorectal, ASA II. Operated today, 8.6 h in theatre, RMH ICU first, then the ward. Choose T0 on the confirm screen. Enter on the review screen: Indigenous status Torres Strait Islander, country of birth Australia, surgical category Elective Cat 1 (0-30 Days). The peri-operative section should load from Epic: theatre duration 8.6 h, scheduled minus actual -0.6 h, recovery 29.3 h (to the ward, including the ICU stay), intensive care 28 h in 1 stay(s) (stay count is a placeholder), extended care unit no, red cell units 1. Check the indices: Frailty Index 0.05 (2 deficits), Charlson 10, Elixhauser 21, PhenoAge 60.8. | Launch t0 |
nowcast-t0-p11-head-and-neck | Kowalski, Anna (MRN 9000000011) | Female aged 38, Total Thyroidectomy (946), Head and Neck, ASA I. Operated today, 2.6 h in theatre, Peter Mac 6A Ward after recovery. Choose T0 on the confirm screen. Enter on the review screen: Indigenous status Non-Indigenous, country of birth Australia, surgical category Elective Cat 2 (30-60 Days). The peri-operative section should load from Epic: theatre duration 2.6 h, scheduled minus actual -0.1 h, recovery 1.5 h, intensive care 0 h in 0 stay(s) (stay count is a placeholder), extended care unit no, red cell units 0. Check the indices: Frailty Index 0.03 (1 deficits), Charlson 2, Elixhauser 1, PhenoAge 34.8. | Launch t0 |
nowcast-t0-p12-head-and-neck | Brennan, Terence (MRN 9000000012) | Male aged 71, Total Laryngectomy (6909), Head and Neck, ASA III. Operated today, 7.4 h in theatre, RMH ICU first, then the ward. Choose T0 on the confirm screen. Enter on the review screen: Indigenous status Non-Indigenous, country of birth Australia, surgical category Elective Cat 1 (0-30 Days). The peri-operative section should load from Epic: theatre duration 7.4 h, scheduled minus actual -0.4 h, recovery 48 h (to the ward, including the ICU stay), intensive care 48 h in 1 stay(s) (stay count is a placeholder), extended care unit no, red cell units 1. Check the indices: Frailty Index 0.21 (8 deficits), Charlson 7, Elixhauser 15, PhenoAge 87. | Launch t0 |
nowcast-t0-p13-renal | Sharma, Rajesh (MRN 9000000013) | Male aged 55, Robotic Partial Nephrectomy (7276), Renal, ASA II. Operated today, 3.1 h in theatre, Peter Mac 6A Ward after recovery. Choose T0 on the confirm screen. Enter on the review screen: Indigenous status Non-Indigenous, country of birth India, surgical category Elective Cat 2 (30-60 Days). The peri-operative section should load from Epic: theatre duration 3.1 h, scheduled minus actual -0.1 h, recovery 1.5 h, intensive care 0 h in 0 stay(s) (stay count is a placeholder), extended care unit no, red cell units 0. Check the indices: Frailty Index 0.05 (2 deficits), Charlson 4, Elixhauser 11, PhenoAge 57.1. | Launch t0 |
nowcast-t0-p14-renal | Thompson, Alan (MRN 9000000014) | Male aged 76, Total Cystectomy (6761), Renal, ASA III. Operated today, 6.5 h in theatre, RMH ICU first, then the ward. Choose T0 on the confirm screen. Enter on the review screen: Indigenous status Non-Indigenous, country of birth United Kingdom, surgical category Elective Cat 1 (0-30 Days). The peri-operative section should load from Epic: theatre duration 6.5 h, scheduled minus actual -0.5 h, recovery 31.2 h (to the ward, including the ICU stay), intensive care 30 h in 1 stay(s) (stay count is a placeholder), extended care unit no, red cell units 2. Check the indices: Frailty Index 0.18 (7 deficits), Charlson 9, Elixhauser 9, PhenoAge 84.6. | Launch t0 |
nowcast-t0-p15-upper-gi | Costa, Michael (MRN 9000000015) | Male aged 63, Laparoscopic Oesophagectomy (4977), Upper GI, ASA III. Operated today, 7.6 h in theatre, RMH ICU first, then the ward. Choose T0 on the confirm screen. Enter on the review screen: Indigenous status Non-Indigenous, country of birth Australia, surgical category Elective Cat 1 (0-30 Days). The peri-operative section should load from Epic: theatre duration 7.6 h, scheduled minus actual -0.6 h, recovery 36 h (to the ward, including the ICU stay), intensive care 36 h in 1 stay(s) (stay count is a placeholder), extended care unit no, red cell units 0. Check the indices: Frailty Index 0.08 (3 deficits), Charlson 4, Elixhauser 6, PhenoAge 63.5. | Launch t0 |
nowcast-t0-p16-still-in-intensive-care | Tran, David (MRN 9000000002) | Data edge: Peritonectomy patient still in RMH ICU: the ICU stay has no end time. Choose T0. Hours in intensive care show no value (the stay is not finished) while the ICU stay count and other peri-operative values load. | Launch t0 |
nowcast-t0-p17-no-location-history | Doe, Jane (MRN 1234567890) | Data edge: The launch encounter has no recorded ward movements. Choose T0. Peri-operative values (recovery, intensive care, extended care unit) show no value, and signals that need the ward admission time cannot be placed. | Launch t0 |
nowcast-t0-p18-no-procedure-record | Doe, Jane (MRN 1234567890) | Data edge: The surgery is only a fulfilled booking; no completed procedure record exists. Choose T0. The surgery is found from the booking, but theatre start and end are unknown: peri-operative durations and the signal charts show no value. | Launch t0 |
nowcast-t0-p19-short-series | Doe, Jane (MRN 1234567890) | Data edge: Every intra-operative signal has only two readings. Choose T0. With fewer than three readings the signal statistics (trajectory measures) show no value; the charts show the two points. | Launch t0 |
nowcast-t0-p21-series-paging-truncated | Doe, Jane (MRN 1234567890) | Data edge: Vital sign readings come 20 per page, so 217 readings need 11 pages, and the calculator has to follow every page. Choose T0. Every signal loads with all its readings: pulse, pressure, respiratory rate, SpO2, CO2 and temperature. Nothing is reported as too large. | Launch t0 |
Post-operative T2 launches with an encounter.
| Scenario | Patient | Summary | |
|---|---|---|---|
nowcast-t2-p01-colorectal | Doe, Jane (MRN 1234567890) | Female aged 72, Open Rectosigmoidectomy (870), Colorectal, ASA III. Operated 4 days ago, 3.6 h in theatre, Peter Mac 6C ECU after recovery. Ward course: stable. Choose T2 on the confirm screen (surgery was 4 days ago, so T2 is suggested). Stable ward stay: normal vital signs throughout, so the placeholder early warning score stays near 0. Ward bloods (creatinine, urea, neutrophils, red cells, haemoglobin) are at about 3, 12, 24 and 30 hours after arrival on the unit (the T2 window ends about 35 to 50 hours after arrival, so each patient has at least three). The signals section shows the theatre charts and the ward charts titled 'ward admission to day 3'. The ward values are invented test data, so the length of stay checks the wiring and is not clinical. | Launch t2 |
nowcast-t2-p02-colorectal | Tran, David (MRN 9000000002) | Male aged 58, Peritonectomy (7189), Colorectal, ASA III. Operated 4 days ago, 8.4 h in theatre, RMH ICU first, then the ward. Ward course: fever. Choose T2 on the confirm screen (surgery was 4 days ago, so T2 is suggested). Fever and a fast pulse peaking on day 2 then settling: the score rises then falls. Bloods show mild inflammation. Ward bloods (creatinine, urea, neutrophils, red cells, haemoglobin) are at about 3, 12, 24 and 30 hours after arrival on the unit (the T2 window ends about 35 to 50 hours after arrival, so each patient has at least three). The signals section shows the theatre charts and the ward charts titled 'ward admission to day 3'. The ward values are invented test data, so the length of stay checks the wiring and is not clinical. | Launch t2 |
nowcast-t2-p03-head-and-neck | Walsh, Margaret (MRN 9000000003) | Female aged 66, Glossectomy (6936) with Anterolateral Thigh Free Flap (6897), Head and Neck, ASA III. Operated 4 days ago, 8.8 h in theatre, RMH ICU first, then the ward. Ward course: deteriorating. Choose T2 on the confirm screen (surgery was 4 days ago, so T2 is suggested). Deteriorating: falling pressure and oxygen saturation, rising pulse, breathing and temperature, so the score climbs through the stay. Kidney function and white cells worsen. Ward bloods (creatinine, urea, neutrophils, red cells, haemoglobin) are at about 3, 12, 24 and 30 hours after arrival on the unit (the T2 window ends about 35 to 50 hours after arrival, so each patient has at least three). The signals section shows the theatre charts and the ward charts titled 'ward admission to day 3'. The ward values are invented test data, so the length of stay checks the wiring and is not clinical. | Launch t2 |
nowcast-t2-p04-renal | Patel, Suresh (MRN 9000000004) | Male aged 74, Robotic Radical Nephrectomy (7281), Renal, ASA III. Operated 4 days ago, 3.2 h in theatre, Peter Mac 6C ECU after recovery. Ward course: recovering. Choose T2 on the confirm screen (surgery was 4 days ago, so T2 is suggested). Recovering after a rough start: abnormal on arrival, normalising over the stay, so the score falls. Bloods improve slightly. Ward bloods (creatinine, urea, neutrophils, red cells, haemoglobin) are at about 3, 12, 24 and 30 hours after arrival on the unit (the T2 window ends about 35 to 50 hours after arrival, so each patient has at least three). The signals section shows the theatre charts and the ward charts titled 'ward admission to day 3'. The ward values are invented test data, so the length of stay checks the wiring and is not clinical. | Launch t2 |
nowcast-t2-p05-plastics-reconstructive | Rossi, Emma (MRN 9000000005) | Female aged 45, Breast Reconstruction with Bilateral Abdominal Free Flap (6646), Plastics Reconstructive, ASA II. Operated 4 days ago, 7.9 h in theatre, Peter Mac 6C ECU after recovery. Ward course: stable. Choose T2 on the confirm screen (surgery was 4 days ago, so T2 is suggested). Stable ward stay: normal vital signs throughout, so the placeholder early warning score stays near 0. Ward bloods (creatinine, urea, neutrophils, red cells, haemoglobin) are at about 3, 12, 24 and 30 hours after arrival on the unit (the T2 window ends about 35 to 50 hours after arrival, so each patient has at least three). The signals section shows the theatre charts and the ward charts titled 'ward admission to day 3'. The ward values are invented test data, so the length of stay checks the wiring and is not clinical. | Launch t2 |
nowcast-t2-p06-upper-gi | Li, Wei (MRN 9000000006) | Male aged 69, Pancreaticoduodenectomy (7162), Upper GI, ASA III. Operated 4 days ago, 7.1 h in theatre, RMH ICU first, then the ward. Ward course: fever. Choose T2 on the confirm screen (surgery was 4 days ago, so T2 is suggested). Fever and a fast pulse peaking on day 2 then settling: the score rises then falls. Bloods show mild inflammation. Ward bloods (creatinine, urea, neutrophils, red cells, haemoglobin) are at about 3, 12, 24 and 30 hours after arrival on the unit (the T2 window ends about 35 to 50 hours after arrival, so each patient has at least three). The signals section shows the theatre charts and the ward charts titled 'ward admission to day 3'. The ward values are invented test data, so the length of stay checks the wiring and is not clinical. | Launch t2 |
nowcast-t2-p07-colorectal | Okafor, Susan (MRN 9000000007) | Female aged 61, Robotic High Anterior Resection (8199), Colorectal, ASA II. Operated 4 days ago, 4.3 h in theatre, Peter Mac 6C ECU after recovery. Ward course: deteriorating. Choose T2 on the confirm screen (surgery was 4 days ago, so T2 is suggested). Deteriorating: falling pressure and oxygen saturation, rising pulse, breathing and temperature, so the score climbs through the stay. Kidney function and white cells worsen. Ward bloods (creatinine, urea, neutrophils, red cells, haemoglobin) are at about 3, 12, 24 and 30 hours after arrival on the unit (the T2 window ends about 35 to 50 hours after arrival, so each patient has at least three). The signals section shows the theatre charts and the ward charts titled 'ward admission to day 3'. The ward values are invented test data, so the length of stay checks the wiring and is not clinical. SPARSE WARD BLOODS: only 2 ward result(s) for each lab, so the T2 settings missingSeriesStatistics decides: impute fills them as in training, block stops Calculate. | Launch t2 |
nowcast-t2-p08-plastics-reconstructive | Fitzgerald, Joan (MRN 9000000008) | Female aged 82, Abdominal Wall Reconstruction (1333), Plastics Reconstructive, ASA III. Operated 4 days ago, 1.8 h in theatre, Peter Mac 6A Ward after recovery. Ward course: recovering. Choose T2 on the confirm screen (surgery was 4 days ago, so T2 is suggested). Recovering after a rough start: abnormal on arrival, normalising over the stay, so the score falls. Bloods improve slightly. Ward bloods (creatinine, urea, neutrophils, red cells, haemoglobin) are at about 3, 12, 24 and 30 hours after arrival on the unit (the T2 window ends about 35 to 50 hours after arrival, so each patient has at least three). The signals section shows the theatre charts and the ward charts titled 'ward admission to day 3'. The ward values are invented test data, so the length of stay checks the wiring and is not clinical. | Launch t2 |
nowcast-t2-p09-colorectal | Haddad, George (MRN 9000000009) | Male aged 67, Open Rectosigmoidectomy (870), Colorectal, ASA IV. Operated 4 days ago, 3.4 h in theatre, RMH ICU first, then the ward. Ward course: stable. Choose T2 on the confirm screen (surgery was 4 days ago, so T2 is suggested). Stable ward stay: normal vital signs throughout, so the placeholder early warning score stays near 0. Ward bloods (creatinine, urea, neutrophils, red cells, haemoglobin) are at about 3, 12, 24 and 30 hours after arrival on the unit (the T2 window ends about 35 to 50 hours after arrival, so each patient has at least three). The signals section shows the theatre charts and the ward charts titled 'ward admission to day 3'. The ward values are invented test data, so the length of stay checks the wiring and is not clinical. | Launch t2 |
nowcast-t2-p10-colorectal | Mabo, Leilani (MRN 9000000010) | Female aged 52, Hyperthermic Intraperitoneal Chemotherapy (6975), Colorectal, ASA II. Operated 4 days ago, 8.6 h in theatre, RMH ICU first, then the ward. Ward course: fever. Choose T2 on the confirm screen (surgery was 4 days ago, so T2 is suggested). Fever and a fast pulse peaking on day 2 then settling: the score rises then falls. Bloods show mild inflammation. Ward bloods (creatinine, urea, neutrophils, red cells, haemoglobin) are at about 3, 12, 24 and 30 hours after arrival on the unit (the T2 window ends about 35 to 50 hours after arrival, so each patient has at least three). The signals section shows the theatre charts and the ward charts titled 'ward admission to day 3'. The ward values are invented test data, so the length of stay checks the wiring and is not clinical. SPARSE WARD BLOODS: only 1 ward result(s) for each lab, so the T2 settings missingSeriesStatistics decides: impute fills them as in training, block stops Calculate. | Launch t2 |
nowcast-t2-p11-head-and-neck | Kowalski, Anna (MRN 9000000011) | Female aged 38, Total Thyroidectomy (946), Head and Neck, ASA I. Operated 4 days ago, 2.6 h in theatre, Peter Mac 6A Ward after recovery. Ward course: deteriorating. Choose T2 on the confirm screen (surgery was 4 days ago, so T2 is suggested). Deteriorating: falling pressure and oxygen saturation, rising pulse, breathing and temperature, so the score climbs through the stay. Kidney function and white cells worsen. Ward bloods (creatinine, urea, neutrophils, red cells, haemoglobin) are at about 3, 12, 24 and 30 hours after arrival on the unit (the T2 window ends about 35 to 50 hours after arrival, so each patient has at least three). The signals section shows the theatre charts and the ward charts titled 'ward admission to day 3'. The ward values are invented test data, so the length of stay checks the wiring and is not clinical. | Launch t2 |
nowcast-t2-p12-head-and-neck | Brennan, Terence (MRN 9000000012) | Male aged 71, Total Laryngectomy (6909), Head and Neck, ASA III. Operated 4 days ago, 7.4 h in theatre, RMH ICU first, then the ward. Ward course: recovering. Choose T2 on the confirm screen (surgery was 4 days ago, so T2 is suggested). Recovering after a rough start: abnormal on arrival, normalising over the stay, so the score falls. Bloods improve slightly. Ward bloods (creatinine, urea, neutrophils, red cells, haemoglobin) are at about 3, 12, 24 and 30 hours after arrival on the unit (the T2 window ends about 35 to 50 hours after arrival, so each patient has at least three). The signals section shows the theatre charts and the ward charts titled 'ward admission to day 3'. The ward values are invented test data, so the length of stay checks the wiring and is not clinical. | Launch t2 |
nowcast-t2-p13-renal | Sharma, Rajesh (MRN 9000000013) | Male aged 55, Robotic Partial Nephrectomy (7276), Renal, ASA II. Operated 4 days ago, 3.1 h in theatre, Peter Mac 6A Ward after recovery. Ward course: stable. Choose T2 on the confirm screen (surgery was 4 days ago, so T2 is suggested). Stable ward stay: normal vital signs throughout, so the placeholder early warning score stays near 0. Ward bloods (creatinine, urea, neutrophils, red cells, haemoglobin) are at about 3, 12, 24 and 30 hours after arrival on the unit (the T2 window ends about 35 to 50 hours after arrival, so each patient has at least three). The signals section shows the theatre charts and the ward charts titled 'ward admission to day 3'. The ward values are invented test data, so the length of stay checks the wiring and is not clinical. SPARSE WARD BLOODS: only 0 ward result(s) for each lab, so the T2 settings missingSeriesStatistics decides: impute fills them as in training, block stops Calculate. | Launch t2 |
nowcast-t2-p14-renal | Thompson, Alan (MRN 9000000014) | Male aged 76, Total Cystectomy (6761), Renal, ASA III. Operated 4 days ago, 6.5 h in theatre, RMH ICU first, then the ward. Ward course: fever. Choose T2 on the confirm screen (surgery was 4 days ago, so T2 is suggested). Fever and a fast pulse peaking on day 2 then settling: the score rises then falls. Bloods show mild inflammation. Ward bloods (creatinine, urea, neutrophils, red cells, haemoglobin) are at about 3, 12, 24 and 30 hours after arrival on the unit (the T2 window ends about 35 to 50 hours after arrival, so each patient has at least three). The signals section shows the theatre charts and the ward charts titled 'ward admission to day 3'. The ward values are invented test data, so the length of stay checks the wiring and is not clinical. | Launch t2 |
nowcast-t2-p15-upper-gi | Costa, Michael (MRN 9000000015) | Male aged 63, Laparoscopic Oesophagectomy (4977), Upper GI, ASA III. Operated 4 days ago, 7.6 h in theatre, RMH ICU first, then the ward. Ward course: deteriorating. Choose T2 on the confirm screen (surgery was 4 days ago, so T2 is suggested). Deteriorating: falling pressure and oxygen saturation, rising pulse, breathing and temperature, so the score climbs through the stay. Kidney function and white cells worsen. Ward bloods (creatinine, urea, neutrophils, red cells, haemoglobin) are at about 3, 12, 24 and 30 hours after arrival on the unit (the T2 window ends about 35 to 50 hours after arrival, so each patient has at least three). The signals section shows the theatre charts and the ward charts titled 'ward admission to day 3'. The ward values are invented test data, so the length of stay checks the wiring and is not clinical. | Launch t2 |
nowcast-t2-p16-ward-series-gap | Doe, Jane (MRN 1234567890) | Data edge: No ward vital signs recorded between about 12 and 33 hours after surgery. Choose T2. The ward charts mark a gap of about 22 hours without readings and show reduced coverage. | Launch t2 |
Post-operative T5 launches with an encounter.
| Scenario | Patient | Summary | |
|---|---|---|---|
nowcast-t5-p01-colorectal | Doe, Jane (MRN 1234567890) | Female aged 72, Open Rectosigmoidectomy (870), Colorectal, ASA III. Operated 7 days ago, 3.6 h in theatre, Peter Mac 6C ECU after recovery. Ward course: stable. Choose T5 on the confirm screen (surgery was 7 days ago, so T5 is suggested). Stable ward stay: normal vital signs throughout, so the placeholder early warning score stays near 0. Ward bloods (creatinine, urea, neutrophils, lymphocytes, monocytes, sodium) are at about 3, 24, 48, 72 and 96 hours after arrival on the unit (the T5 window ends about 105 to 130 hours after arrival, so each patient has at least three). The signals section shows the theatre charts and the ward charts titled 'ward admission to day 6'. The ward values are invented test data, so the length of stay checks the wiring and is not clinical. | Launch t5 |
nowcast-t5-p02-colorectal | Tran, David (MRN 9000000002) | Male aged 58, Peritonectomy (7189), Colorectal, ASA III. Operated 7 days ago, 8.4 h in theatre, RMH ICU first, then the ward. Ward course: fever. Choose T5 on the confirm screen (surgery was 7 days ago, so T5 is suggested). Fever and a fast pulse peaking on day 2 then settling: the score rises then falls. Bloods show mild inflammation. Ward bloods (creatinine, urea, neutrophils, lymphocytes, monocytes, sodium) are at about 3, 24, 48, 72 and 96 hours after arrival on the unit (the T5 window ends about 105 to 130 hours after arrival, so each patient has at least three). The signals section shows the theatre charts and the ward charts titled 'ward admission to day 6'. The ward values are invented test data, so the length of stay checks the wiring and is not clinical. | Launch t5 |
nowcast-t5-p03-head-and-neck | Walsh, Margaret (MRN 9000000003) | Female aged 66, Glossectomy (6936) with Anterolateral Thigh Free Flap (6897), Head and Neck, ASA III. Operated 7 days ago, 8.8 h in theatre, RMH ICU first, then the ward. Ward course: deteriorating. Choose T5 on the confirm screen (surgery was 7 days ago, so T5 is suggested). Deteriorating: falling pressure and oxygen saturation, rising pulse, breathing and temperature, so the score climbs through the stay. Kidney function and white cells worsen. Ward bloods (creatinine, urea, neutrophils, lymphocytes, monocytes, sodium) are at about 3, 24, 48, 72 and 96 hours after arrival on the unit (the T5 window ends about 105 to 130 hours after arrival, so each patient has at least three). The signals section shows the theatre charts and the ward charts titled 'ward admission to day 6'. The ward values are invented test data, so the length of stay checks the wiring and is not clinical. | Launch t5 |
nowcast-t5-p04-renal | Patel, Suresh (MRN 9000000004) | Male aged 74, Robotic Radical Nephrectomy (7281), Renal, ASA III. Operated 7 days ago, 3.2 h in theatre, Peter Mac 6C ECU after recovery. Ward course: recovering. Choose T5 on the confirm screen (surgery was 7 days ago, so T5 is suggested). Recovering after a rough start: abnormal on arrival, normalising over the stay, so the score falls. Bloods improve slightly. Ward bloods (creatinine, urea, neutrophils, lymphocytes, monocytes, sodium) are at about 3, 24, 48, 72 and 96 hours after arrival on the unit (the T5 window ends about 105 to 130 hours after arrival, so each patient has at least three). The signals section shows the theatre charts and the ward charts titled 'ward admission to day 6'. The ward values are invented test data, so the length of stay checks the wiring and is not clinical. | Launch t5 |
nowcast-t5-p05-plastics-reconstructive | Rossi, Emma (MRN 9000000005) | Female aged 45, Breast Reconstruction with Bilateral Abdominal Free Flap (6646), Plastics Reconstructive, ASA II. Operated 7 days ago, 7.9 h in theatre, Peter Mac 6C ECU after recovery. Ward course: stable. Choose T5 on the confirm screen (surgery was 7 days ago, so T5 is suggested). Stable ward stay: normal vital signs throughout, so the placeholder early warning score stays near 0. Ward bloods (creatinine, urea, neutrophils, lymphocytes, monocytes, sodium) are at about 3, 24, 48, 72 and 96 hours after arrival on the unit (the T5 window ends about 105 to 130 hours after arrival, so each patient has at least three). The signals section shows the theatre charts and the ward charts titled 'ward admission to day 6'. The ward values are invented test data, so the length of stay checks the wiring and is not clinical. | Launch t5 |
nowcast-t5-p06-upper-gi | Li, Wei (MRN 9000000006) | Male aged 69, Pancreaticoduodenectomy (7162), Upper GI, ASA III. Operated 7 days ago, 7.1 h in theatre, RMH ICU first, then the ward. Ward course: fever. Choose T5 on the confirm screen (surgery was 7 days ago, so T5 is suggested). Fever and a fast pulse peaking on day 2 then settling: the score rises then falls. Bloods show mild inflammation. Ward bloods (creatinine, urea, neutrophils, lymphocytes, monocytes, sodium) are at about 3, 24, 48, 72 and 96 hours after arrival on the unit (the T5 window ends about 105 to 130 hours after arrival, so each patient has at least three). The signals section shows the theatre charts and the ward charts titled 'ward admission to day 6'. The ward values are invented test data, so the length of stay checks the wiring and is not clinical. | Launch t5 |
nowcast-t5-p07-colorectal | Okafor, Susan (MRN 9000000007) | Female aged 61, Robotic High Anterior Resection (8199), Colorectal, ASA II. Operated 7 days ago, 4.3 h in theatre, Peter Mac 6C ECU after recovery. Ward course: deteriorating. Choose T5 on the confirm screen (surgery was 7 days ago, so T5 is suggested). Deteriorating: falling pressure and oxygen saturation, rising pulse, breathing and temperature, so the score climbs through the stay. Kidney function and white cells worsen. Ward bloods (creatinine, urea, neutrophils, lymphocytes, monocytes, sodium) are at about 3, 24, 48, 72 and 96 hours after arrival on the unit (the T5 window ends about 105 to 130 hours after arrival, so each patient has at least three). The signals section shows the theatre charts and the ward charts titled 'ward admission to day 6'. The ward values are invented test data, so the length of stay checks the wiring and is not clinical. SPARSE WARD BLOODS: only 2 ward result(s) for each lab, so the T5 settings missingSeriesStatistics decides: impute fills them as in training, block stops Calculate. | Launch t5 |
nowcast-t5-p08-plastics-reconstructive | Fitzgerald, Joan (MRN 9000000008) | Female aged 82, Abdominal Wall Reconstruction (1333), Plastics Reconstructive, ASA III. Operated 7 days ago, 1.8 h in theatre, Peter Mac 6A Ward after recovery. Ward course: recovering. Choose T5 on the confirm screen (surgery was 7 days ago, so T5 is suggested). Recovering after a rough start: abnormal on arrival, normalising over the stay, so the score falls. Bloods improve slightly. Ward bloods (creatinine, urea, neutrophils, lymphocytes, monocytes, sodium) are at about 3, 24, 48, 72 and 96 hours after arrival on the unit (the T5 window ends about 105 to 130 hours after arrival, so each patient has at least three). The signals section shows the theatre charts and the ward charts titled 'ward admission to day 6'. The ward values are invented test data, so the length of stay checks the wiring and is not clinical. | Launch t5 |
nowcast-t5-p09-colorectal | Haddad, George (MRN 9000000009) | Male aged 67, Open Rectosigmoidectomy (870), Colorectal, ASA IV. Operated 7 days ago, 3.4 h in theatre, RMH ICU first, then the ward. Ward course: stable. Choose T5 on the confirm screen (surgery was 7 days ago, so T5 is suggested). Stable ward stay: normal vital signs throughout, so the placeholder early warning score stays near 0. Ward bloods (creatinine, urea, neutrophils, lymphocytes, monocytes, sodium) are at about 3, 24, 48, 72 and 96 hours after arrival on the unit (the T5 window ends about 105 to 130 hours after arrival, so each patient has at least three). The signals section shows the theatre charts and the ward charts titled 'ward admission to day 6'. The ward values are invented test data, so the length of stay checks the wiring and is not clinical. | Launch t5 |
nowcast-t5-p10-colorectal | Mabo, Leilani (MRN 9000000010) | Female aged 52, Hyperthermic Intraperitoneal Chemotherapy (6975), Colorectal, ASA II. Operated 7 days ago, 8.6 h in theatre, RMH ICU first, then the ward. Ward course: fever. Choose T5 on the confirm screen (surgery was 7 days ago, so T5 is suggested). Fever and a fast pulse peaking on day 2 then settling: the score rises then falls. Bloods show mild inflammation. Ward bloods (creatinine, urea, neutrophils, lymphocytes, monocytes, sodium) are at about 3, 24, 48, 72 and 96 hours after arrival on the unit (the T5 window ends about 105 to 130 hours after arrival, so each patient has at least three). The signals section shows the theatre charts and the ward charts titled 'ward admission to day 6'. The ward values are invented test data, so the length of stay checks the wiring and is not clinical. SPARSE WARD BLOODS: only 1 ward result(s) for each lab, so the T5 settings missingSeriesStatistics decides: impute fills them as in training, block stops Calculate. | Launch t5 |
nowcast-t5-p11-head-and-neck | Kowalski, Anna (MRN 9000000011) | Female aged 38, Total Thyroidectomy (946), Head and Neck, ASA I. Operated 7 days ago, 2.6 h in theatre, Peter Mac 6A Ward after recovery. Ward course: deteriorating. Choose T5 on the confirm screen (surgery was 7 days ago, so T5 is suggested). Deteriorating: falling pressure and oxygen saturation, rising pulse, breathing and temperature, so the score climbs through the stay. Kidney function and white cells worsen. Ward bloods (creatinine, urea, neutrophils, lymphocytes, monocytes, sodium) are at about 3, 24, 48, 72 and 96 hours after arrival on the unit (the T5 window ends about 105 to 130 hours after arrival, so each patient has at least three). The signals section shows the theatre charts and the ward charts titled 'ward admission to day 6'. The ward values are invented test data, so the length of stay checks the wiring and is not clinical. | Launch t5 |
nowcast-t5-p12-head-and-neck | Brennan, Terence (MRN 9000000012) | Male aged 71, Total Laryngectomy (6909), Head and Neck, ASA III. Operated 7 days ago, 7.4 h in theatre, RMH ICU first, then the ward. Ward course: recovering. Choose T5 on the confirm screen (surgery was 7 days ago, so T5 is suggested). Recovering after a rough start: abnormal on arrival, normalising over the stay, so the score falls. Bloods improve slightly. Ward bloods (creatinine, urea, neutrophils, lymphocytes, monocytes, sodium) are at about 3, 24, 48, 72 and 96 hours after arrival on the unit (the T5 window ends about 105 to 130 hours after arrival, so each patient has at least three). The signals section shows the theatre charts and the ward charts titled 'ward admission to day 6'. The ward values are invented test data, so the length of stay checks the wiring and is not clinical. | Launch t5 |
nowcast-t5-p13-renal | Sharma, Rajesh (MRN 9000000013) | Male aged 55, Robotic Partial Nephrectomy (7276), Renal, ASA II. Operated 7 days ago, 3.1 h in theatre, Peter Mac 6A Ward after recovery. Ward course: stable. Choose T5 on the confirm screen (surgery was 7 days ago, so T5 is suggested). Stable ward stay: normal vital signs throughout, so the placeholder early warning score stays near 0. Ward bloods (creatinine, urea, neutrophils, lymphocytes, monocytes, sodium) are at about 3, 24, 48, 72 and 96 hours after arrival on the unit (the T5 window ends about 105 to 130 hours after arrival, so each patient has at least three). The signals section shows the theatre charts and the ward charts titled 'ward admission to day 6'. The ward values are invented test data, so the length of stay checks the wiring and is not clinical. SPARSE WARD BLOODS: only 0 ward result(s) for each lab, so the T5 settings missingSeriesStatistics decides: impute fills them as in training, block stops Calculate. | Launch t5 |
nowcast-t5-p14-renal | Thompson, Alan (MRN 9000000014) | Male aged 76, Total Cystectomy (6761), Renal, ASA III. Operated 7 days ago, 6.5 h in theatre, RMH ICU first, then the ward. Ward course: fever. Choose T5 on the confirm screen (surgery was 7 days ago, so T5 is suggested). Fever and a fast pulse peaking on day 2 then settling: the score rises then falls. Bloods show mild inflammation. Ward bloods (creatinine, urea, neutrophils, lymphocytes, monocytes, sodium) are at about 3, 24, 48, 72 and 96 hours after arrival on the unit (the T5 window ends about 105 to 130 hours after arrival, so each patient has at least three). The signals section shows the theatre charts and the ward charts titled 'ward admission to day 6'. The ward values are invented test data, so the length of stay checks the wiring and is not clinical. | Launch t5 |
nowcast-t5-p15-upper-gi | Costa, Michael (MRN 9000000015) | Male aged 63, Laparoscopic Oesophagectomy (4977), Upper GI, ASA III. Operated 7 days ago, 7.6 h in theatre, RMH ICU first, then the ward. Ward course: deteriorating. Choose T5 on the confirm screen (surgery was 7 days ago, so T5 is suggested). Deteriorating: falling pressure and oxygen saturation, rising pulse, breathing and temperature, so the score climbs through the stay. Kidney function and white cells worsen. Ward bloods (creatinine, urea, neutrophils, lymphocytes, monocytes, sodium) are at about 3, 24, 48, 72 and 96 hours after arrival on the unit (the T5 window ends about 105 to 130 hours after arrival, so each patient has at least three). The signals section shows the theatre charts and the ward charts titled 'ward admission to day 6'. The ward values are invented test data, so the length of stay checks the wiring and is not clinical. | Launch t5 |
nowcast-t5-p16-no-ward-readings | Doe, Jane (MRN 1234567890) | Data edge: No ward vital signs or bloods recorded after theatre. Choose T5. The theatre charts load; the ward charts and ward bloods show no readings and the early warning score cannot be worked out. | Launch t5 |
Epic read errors, session and token problems and refused flowsheet writes, across all workflows.
| Scenario | Patient | Summary | |
|---|---|---|---|
nowcast-t0-p20-series-channel-500 | Doe, Jane (MRN 1234567890) | Read error: The end-tidal carbon dioxide readings return 500; every other signal loads. Choose T0. The end-tidal CO2 signal reports a read failure while the other signals and inputs load normally. | Launch t0 |
nowcast-t0-p22-write-encounter-closed | Doe, Jane (MRN 1234567890) | Write error: Epic refuses every write because the encounter is no longer open (no inpatient contact). Choose T0. After Approve the filing reports that nothing was written and no success is shown. The writes page stays empty. | Launch t0 |
precast-p30-read-patient-404 | Doe, Jane (MRN 1234567890) | Read error: The Patient read returns 404 (not found). Launch stops at the confirm step with a read failure for the patient. No clinical data loads. | Launch precast |
precast-p31-read-observations-401 | Doe, Jane (MRN 1234567890) | Read error: Every Observation search returns 401 (invalid token), as when Epic has ended the session. After the surgery is confirmed the calculator reports that the Epic session has ended and asks for a relaunch from Epic. | Launch precast |
precast-p32-read-labs-403 | Doe, Jane (MRN 1234567890) | Read error: The laboratory Observation search returns 403 (insufficient scope). Labs report that the calculator is not allowed to read that part of the record. Vitals and everything else load normally. | Launch precast |
precast-p33-read-vitals-500 | Doe, Jane (MRN 1234567890) | Read error: The vital signs Observation search returns 500. Vitals report a read failure that can be retried. Labs, conditions and the rest load, and the missing values can be entered by hand. | Launch precast |
precast-p34-read-conditions-503 | Doe, Jane (MRN 1234567890) | Read error: The Condition search returns 503 (service unavailable). The calculator retries once, then the problem list reports a read failure. The mock log shows two Condition requests. | Launch precast |
precast-p35-read-labs-empty | Doe, Jane (MRN 1234567890) | Read error: The laboratory search returns an empty result although labs exist. Labs show no current value and are pre-filled with flagged defaults. Nothing is reported as a failure. | Launch precast |
precast-p36-read-appointments-500 | Doe, Jane (MRN 1234567890) | Read error: The Appointment search returns 500, so booked surgeries cannot be read. The confirm screen shows a notice that bookings could not be read, and offers the predefined procedure list. | Launch precast |
precast-p37-read-labs-not-json | Doe, Jane (MRN 1234567890) | Read error: The laboratory search answers 200 with an HTML error page instead of a bundle. An explicit failure is shown for labs. A blank screen or endless loading would break the rule that no failure is left unsurfaced. | Launch precast |
precast-p38-read-vitals-not-a-bundle | Doe, Jane (MRN 1234567890) | Read error: The vital signs search answers 200 with a JSON list instead of a bundle. Vitals report that the response was not a bundle. The rest of the data loads. | Launch precast |
precast-p39-read-vitals-slow | Doe, Jane (MRN 1234567890) | Read error: The vital signs search answers after 6 seconds, past the 3 second target. Vitals take about 6 seconds to arrive, then show normally. Timing is observed, nothing fails. | Launch precast |
precast-p40-read-vitals-timeout | Doe, Jane (MRN 1234567890) | Read error: The vital signs search answers after 35 seconds, past the calculator 30 second limit. After about 30 seconds vitals report a read failure that can be retried. The late answer is ignored. | Launch precast |
precast-p41-read-vitals-paged | Doe, Jane (MRN 1234567890) | Read error: The vital signs search returns two results per page, with a next link. All vitals arrive as in the happy path; the calculator follows the next links. The mock log shows several vital signs requests. | Launch precast |
precast-p43-session-ends-in-two-minutes | Doe, Jane (MRN 1234567890) | Session: The access token lasts 120 seconds. About two minutes after launch the session ends and the session ended screen replaces the page. Entered values are lost. | Launch precast |
precast-p44-id-token-already-expired | Doe, Jane (MRN 1234567890) | Session: The ID token is issued already expired. The backend refuses the session with 401 (token expired), or the calculator shows the session ended screen straight away. The calculator cannot continue and no clinical data is shown. | Launch precast |
precast-p45-launch-without-encounter | Doe, Jane (MRN 1234567890) | Session: The launch context carries no encounter. The confirm step is blocked because the launch carries no encounter, so no assessment can be started. | Launch precast |
precast-p46-clinician-not-on-access-list | Doe, Jane (MRN 1234567890) | Session: The launching clinician is not on the access list, whoever is picked on the menu. With the backend access list set as in the README, the backend refuses the session with 403 (not authorised) and the calculator says it cannot continue. Without the list set, it launches normally. | Launch precast |
precast-p47-write-row-refused | Doe, Jane (MRN 1234567890) | Write error: Epic refuses the eFrailty index row as an unknown flowsheet row; the other rows are accepted. After Approve the filing reports that not every result was written, and the writes page lists every row except the eFrailty index. | Launch precast |
precast-p48-write-duplicate-reading | Doe, Jane (MRN 1234567890) | Write error: Epic refuses the Charlson row as a reading that already exists; the other rows are accepted. After Approve the Charlson row is reported as refused (reading already exists). The writes page lists the other rows. | Launch precast |
precast-p49-write-unit-mismatch | Doe, Jane (MRN 1234567890) | Write error: Epic refuses the PhenoAge row as invalid flowsheet data (assumed shape for a unit mismatch). After Approve the PhenoAge row is reported as refused. The writes page lists the other rows. | Launch precast |
precast-p50-write-all-rows-refused | Doe, Jane (MRN 1234567890) | Write error: Epic refuses every row as an unknown flowsheet row. After Approve the filing reports that nothing was written and no success is shown. The writes page stays empty. | Launch precast |
precast-p51-write-server-error | Doe, Jane (MRN 1234567890) | Write error: Epic answers 500 to every write. After Approve the filing reports a failed write with no false success. The writes page stays empty. | Launch precast |
precast-p52-write-session-ended | Doe, Jane (MRN 1234567890) | Write error: Epic answers 401 (invalid token) to every write, as when the Epic session ended after launch. After Approve the calculator reports that the Epic session has ended and no write is shown as saved. | Launch precast |
precast-p53-write-no-response | Doe, Jane (MRN 1234567890) | Write error: Epic takes 35 seconds to answer a write, past the calculator 30 second limit, and then files it. After Approve the calculator reports an unknown outcome (not success, not failure) after about 30 seconds. The writes page then shows the rows Epic did file. | Launch precast |