SCORE2, GRACE, and CHA₂DS₂-VASc: Why Risk Calculators Belong in Your EMR
Cardiovascular risk scores are only useful when they're computed consistently at every visit. Clinit embeds SCORE2, GRACE, CHA₂DS₂-VASc, and six other validated scores into the cardiology workflow.
The Consistency Problem
Every cardiologist knows these scores. Few compute them consistently at every relevant visit. The barrier is not knowledge — it's friction. Opening a separate calculator app, manually entering the same demographics already in the chart, and then manually recording the result somewhere in the notes is a workflow no one sustains under pressure.
Scores Embedded in Clinit Cardiology
| Score | Purpose | Guideline |
|---|---|---|
| SCORE2 | 10-year CVD risk, <70 years | ESC 2021 |
| SCORE2-OP | 10-year CVD risk, ≥70 years | ESC 2021 |
| GRACE 2.0 | ACS 6-month/1-year mortality | AHA/ACC 2014 |
| TIMI (UA/NSTEMI) | Short-term ischaemic risk | — |
| CHA₂DS₂-VASc | AF stroke risk | ESC 2020 |
| HAS-BLED | Bleeding risk on anticoagulation | ESC 2020 |
| NYHA | Heart failure functional class | — |
| LVEF Mortality | Systolic HF risk stratification | — |
Each calculation pulls demographics and vitals already in the chart. The clinician confirms the result and adds a narrative; AI generates a plain-language ESC-aligned summary.
GDMT Tracker
For heart failure patients, the Guideline-Directed Medical Therapy tracker shows at a glance whether ACEi/ARB/ARNI, beta-blocker, MRA, and SGLT2 inhibitor are prescribed at target doses. Missing or sub-target medications are highlighted.
Device Registry
Pacemakers, ICDs, CRT-D, and loop recorders are registered with device type, manufacturer, model, serial number, and implant date. The registry sends alerts 3 months before warranty expiry and tracks remote monitoring follow-up dates.
