Table 2.
Examples of the Progression of the One-Liner to a Problem Representation
| One-liner | Problem representation |
|---|---|
| A 50-year-old woman with a new diagnosis of acute myeloid leukemia undergoing induction chemotherapy who presents with chills and malaise for 1 day. Her temperature was 101.8°F with labs showing a white blood cell count of 0.8 per mm3 and an absolute neutrophilic count of < 100 per mm3. Her urinalysis was normal and her chest x-ray was clear | A 50-year-old woman with AML undergoing induction chemotherapy presenting with acute, high-risk, non-localizing febrile neutropenia |
| A 35-year-old man with a history of diabetes, asthma and IV drug use presenting with 6 days of worsening right shoulder pain, tachycardia, fevers, leukocytosis, and thrombocytosis | A 35-year-old man with a history of injection drug use presenting with acute, progressive febrile monoarticular arthritis |
| An 85-year-old woman with a history of tobacco use, peripheral arterial disease, rheumatoid arthritis, hypertension, diabetes, chronic kidney disease presenting with 6 months of worsening shortness of breath and weight loss, 3 days of forgetfulness and decreased arousal, found to have a large, dense right lung opacity on CT chest, and elevated calcium | An 85-year-old woman with a 30-pack-year smoking history presenting with chronic, progressive dyspnea and acute altered mental status found to have hypercalcemia and a new right lung mass |
Context (who) in bold, timing (when) in italics, syndrome (what) underlined
Abbreviations: PR problem representation, IV intravenous