Patient Profile & Clinical Indicators
Active Case: Custom
Load Clinical Preset Scenario
Observable Clinical Signs & Red Flags
5 Selected
Medical Decision-Making Capacity (Refusal Assessment)
Refusal Under Review
Assess 4 validated clinical capacity domains if the patient refuses evaluation or demands spiritual release only:
1. Understands condition & evaluation purpose
2. Appreciates consequences of refusal/delay
3. Reasons rationally about treatment choices
4. Expresses a consistent, voluntary choice
Evaluation Context & Onset
Diagnostic Probabilities & Consent Decision Pathway
Anti-NMDA Receptor Encephalitis
Calculated Differential Likelihoods
Validated Multi-Domain Scoring
Consent & Evaluation Decision Pathway
⚠️ Involuntary Medical/Psychiatric Emergency Hold Indicated
Patient exhibits zero intact capacity domains, rapid organic cognitive deterioration, and imminent life safety/autonomic risk. Emergency evaluation override applies under emergency medical doctrine and psychiatric hold statutes (e.g. 5150 / Baker Act criteria).
Cultural Liaison & Family Guidance
Engage family with collaborative cultural framing while establishing immediate medical stabilization and life safety boundaries.
Mandatory Medical Rule-Out Checklist
Organic Priority
Structured Consultation Memo (Live Handoff)
Generating triage memo...