| { |
| "audio": null, |
| "events": [ |
| "input captured", |
| "rules evaluated", |
| "cards retrieved", |
| "navigator output generated", |
| "validation complete" |
| ], |
| "input_captured": { |
| "confirmed_intake_hash": "94f1030ca30b2ee3", |
| "structured_intake": { |
| "allergies": "unknown", |
| "available_supplies": "phone, transport contact", |
| "chief_concern": "bleeding and severe headache", |
| "confirmed": true, |
| "medications": "prenatal vitamin reported", |
| "patient_age": "29", |
| "pregnancy_status": "pregnant", |
| "responder_note": "Patient is pregnant and reports bleeding.", |
| "setting": "rural clinic", |
| "symptoms": "vaginal bleeding, severe headache, dizziness", |
| "vitals": "blood pressure not available" |
| } |
| }, |
| "model_route": { |
| "fallback_reason": null, |
| "fallback_tier": "canned", |
| "model_backend": "canned", |
| "model_id": "nvidia/Nemotron-3-Nano-Omni-30B-A3B-Reasoning-BF16", |
| "model_stack": "omni_native" |
| }, |
| "navigator_output": { |
| "candidate_protocol_pathways": [ |
| { |
| "card_id": "PREG-DANGER-SIGNS-v1", |
| "reason_relevant": "Retrieved from the confirmed intake and deterministic rule context." |
| }, |
| { |
| "card_id": "REFERRAL-SBAR-v1", |
| "reason_relevant": "Retrieved from the confirmed intake and deterministic rule context." |
| }, |
| { |
| "card_id": "SAFETY-BOUNDARIES-v1", |
| "reason_relevant": "Retrieved from the confirmed intake and deterministic rule context." |
| } |
| ], |
| "conflicts_or_uncertainties": [ |
| "Prototype output; responder must verify all observations." |
| ], |
| "do_not_do": [ |
| "Do not assign a condition label.", |
| "Do not add medication instructions beyond cited local protocol text.", |
| "Do not downgrade red flags." |
| ], |
| "handoff_note_sbar": { |
| "assessment_observations_only": "Observed/reported: vaginal bleeding, severe headache, dizziness. Vitals: blood pressure not available.", |
| "background": "Setting: rural clinic. Pregnancy danger sign.", |
| "handoff_request": "Request review/escalation per cited local protocol cards.", |
| "situation": "bleeding and severe headache" |
| }, |
| "intake_facts": [ |
| { |
| "fact": "Concern: bleeding and severe headache", |
| "source": "structured_field", |
| "status": "reported" |
| }, |
| { |
| "fact": "Vitals: blood pressure not available", |
| "source": "structured_field", |
| "status": "reported" |
| } |
| ], |
| "missing_info_to_collect": [ |
| "repeat vitals", |
| "time course", |
| "available referral route" |
| ], |
| "next_observations_to_collect": [ |
| "level of alertness", |
| "work of breathing", |
| "hydration/perfusion signs" |
| ], |
| "protocol_urgency": "emergency", |
| "red_flags": [ |
| { |
| "card_id": "PREG-DANGER-SIGNS-v1", |
| "evidence": "vaginal bleeding", |
| "label": "Pregnancy danger sign", |
| "rule_id": "PREG-001", |
| "urgency": "emergency" |
| } |
| ], |
| "responder_checklist": [ |
| "Keep deterministic red-flag result visible.", |
| "Collect the missing observations before relying on protocol guidance.", |
| "Use local escalation pathway if the case worsens or protocol cards do not fit." |
| ], |
| "responder_plain_language_script": "I am going to check the next protocol observations and escalate if the danger signs remain present.", |
| "safety_boundary": "Prototype protocol navigation only; no condition label, medication order, or autonomous routing.", |
| "source_cards": [ |
| "PREG-DANGER-SIGNS-v1", |
| "REFERRAL-SBAR-v1", |
| "SAFETY-BOUNDARIES-v1", |
| "RESP-DISTRESS-RED-FLAGS-v1", |
| "AMS-RED-FLAGS-v1", |
| "CHEST-PAIN-ESCALATION-v1" |
| ] |
| }, |
| "prompt_template_hash": "9a176778efcd60ba", |
| "raw_audio_stored": false, |
| "red_flags": [ |
| { |
| "card_id": "PREG-DANGER-SIGNS-v1", |
| "evidence": "vaginal bleeding", |
| "label": "Pregnancy danger sign", |
| "rule_id": "PREG-001", |
| "urgency": "emergency" |
| } |
| ], |
| "retrieved_card_ids": [ |
| "PREG-DANGER-SIGNS-v1", |
| "REFERRAL-SBAR-v1", |
| "SAFETY-BOUNDARIES-v1", |
| "RESP-DISTRESS-RED-FLAGS-v1", |
| "AMS-RED-FLAGS-v1", |
| "CHEST-PAIN-ESCALATION-v1" |
| ], |
| "validator_result": { |
| "failures": [], |
| "passed": true |
| } |
| } |
|
|
