{
  "card_id": "REFERRAL-SBAR-v1",
  "title": "Referral and SBAR format",
  "applies_to": [
    "all ages",
    "field clinic",
    "disaster response",
    "handoff"
  ],
  "required_observations": [
    "situation or reason for handoff",
    "relevant background and timeline",
    "objective observations only",
    "red flags already fired",
    "specific request or receiving pathway",
    "source protocol card IDs"
  ],
  "red_flags": [],
  "escalation_criteria": [
    "If any red-flag rule fired, the SBAR request must preserve the deterministic urgency floor.",
    "The SBAR note must not add facts that are absent from confirmed intake, rule results, or cited protocol cards."
  ],
  "local_actions": [
    "Use Situation, Background, Assessment observations only, and Request.",
    "Cite source protocol card IDs used for the handoff.",
    "State uncertainty and missing observations plainly."
  ],
  "forbidden_actions": [
    "Do not add a diagnosis as the assessment.",
    "Do not add treatment, medication, or dosing instructions unless a cited card explicitly contains them.",
    "Do not soften or downgrade deterministic red flags."
  ],
  "safety_boundary": "Prototype handoff-format card for trained-responder documentation support 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."
}