Interactive Clinical Workbench
MedOrqis v2.1.1 Kernel
Clinical Playground
Test real clinical scenarios, run deterministic mathematical engines, and inspect step-by-step mathematical derivations without token hallucination.
Select Patient Scenario:
Cardiology & Nephrology
Elderly Diabetic Patient with Atrial Fibrillation & CKD
3 Calculators
Pediatrics & Infectious Diseases
Pediatric Acute Otitis Media Weight-Dose Capping
2 Calculators
Orthopedics & Vascular Surgery
Postoperative Knee Arthroplasty with Unilateral Calf Swelling
2 Calculators
Emergency Medicine & Pulmonology
Emergency Room Community-Acquired Pneumonia Assessment
2 Calculators
Cardiology & Health Policy
Cardiology Guidelines Divergence: ESC 2024 vs ACC/AHA 2023
2 Calculators
Cardiology & Nephrology
Elderly Diabetic Patient with Atrial Fibrillation & CKD
72-year-old male presenting with palpitation and fatigue. Medical history includes hypertension, type 2 diabetes mellitus, and a remote TIA 3 years ago. Baseline serum creatinine is 1.4 mg/dL, weight 78 kg, height 175 cm.
Recommended:
Active Calculator
2010
HAS-BLED Bleeding Risk Score
INTERMEDIATE RISK
Pisters R et al. A novel user-friendly score (HAS-BLED) to assess 1-year risk of major bleeding in patients with atrial fibrillation. Chest 2010;138:1093-1100; 2024 ESC AF Guidelines (2010)
HAS-BLED Bleeding Risk Score
Applicable Population: Adults with atrial fibrillation receiving anticoagulation
Calculated Score:
2
points
Clinical Interpretation
Moderate Bleeding Risk (2 points)
Guideline-Directed Recommendation
Moderate bleeding risk. Correct modifiable factors, schedule periodic review.
Clinical Alerts & Safety Warnings
- HAS-BLED should not be used in isolation to exclude patients from oral anticoagulation.
Deterministic Execution Trace
Zero-Token Arithmetic
Mathematical Formula
\text{HAS-BLED} = H + A_{\text{renal}} + A_{\text{liver}} + S + B + L + E + D_{\text{drugs}} + D_{\text{alcohol}} \quad (\text{Range: } 0-9)
Step-by-Step Formula Progression:
1
+1: Prior Stroke history
2
+1: Elderly (Age > 65 years)
Invariant Input Payload:
{
"age_years": 72,
"biological_sex": "MALE",
"hx_heart_failure": false,
"hx_hypertension": true,
"hx_diabetes": true,
"hx_stroke_tia_thromboembolism": true,
"hx_vascular_disease": false,
"serum_creatinine_mg_dl": 1.4,
"weight_kg": 78,
"height_cm": 175,
"uncontrolled_hypertension_sbp_gt_160": false,
"abnormal_renal_function": false,
"abnormal_liver_function": false,
"stroke_history": true,
"prior_major_bleeding_or_predisposition": false,
"labile_inr": false,
"medications_antiplatelets_nsaids": false,
"alcohol_excess": false
}