data/protocol_cards/pregnancy_danger_signs_v1.json

{
  "card_id": "PREG-DANGER-SIGNS-v1",
  "title": "Pregnancy danger signs",
  "applies_to": [
    "pregnancy",
    "postpartum",
    "field clinic",
    "disaster response"
  ],
  "required_observations": [
    "pregnancy or postpartum status",
    "bleeding report",
    "abdominal pain report",
    "headache or vision symptoms",
    "seizure or fainting report",
    "fever report",
    "available vital signs"
  ],
  "red_flags": [
    "vaginal bleeding during pregnancy or postpartum",
    "seizure, fainting, or altered mental status",
    "severe headache or vision changes",
    "severe abdominal pain",
    "fever with pregnancy or postpartum concern",
    "marked swelling of face or hands"
  ],
  "escalation_criteria": [
    "Pregnancy or postpartum bleeding requires emergency escalation.",
    "Seizure, severe headache with vision changes, or altered mental status requires emergency escalation."
  ],
  "local_actions": [
    "Escalate through the local obstetric, emergency, or clinician-supervisor pathway.",
    "Document pregnancy status, gestational estimate if known, bleeding description, pain, vital signs, and timeline for handoff."
  ],
  "forbidden_actions": [
    "Do not diagnose pregnancy complications.",
    "Do not provide medication, dosing, delivery, or procedure instructions unless a local clinician or protocol explicitly provides them."
  ],
  "safety_boundary": "Prototype protocol navigation card for trained-responder review only. It is not a clinical guideline and cannot diagnose, prescribe, dose, triage autonomously, or override local protocol.",
  "source_note": "Prototype protocol card derived from public guideline concepts. Not a clinical guideline."
}