{ "audio": null, "events": [ "input captured", "rules evaluated", "cards retrieved", "navigator output generated", "validation complete" ], "input_captured": { "confirmed_intake_hash": "63209e9146a5832d", "structured_intake": { "allergies": "unknown", "available_supplies": "oral rehydration solution, radio, transport team", "chief_concern": "vomiting and dehydration concern", "confirmed": true, "medications": "none reported", "patient_age": "7", "pregnancy_status": "not_applicable", "responder_note": "Child after flood cleanup cannot keep fluids down.", "setting": "shelter clinic", "symptoms": "lethargic, very dry mouth, no urine since morning", "vitals": "temperature and blood pressure missing" } }, "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": "PED-DEHYD-RED-FLAGS-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: lethargic, very dry mouth, no urine since morning. Vitals: temperature and blood pressure missing.", "background": "Setting: shelter clinic. Pediatric dehydration red flag.", "handoff_request": "Request review/escalation per cited local protocol cards.", "situation": "vomiting and dehydration concern" }, "intake_facts": [ { "fact": "Concern: vomiting and dehydration concern", "source": "structured_field", "status": "reported" }, { "fact": "Vitals: temperature and blood pressure missing", "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": "PED-DEHYD-RED-FLAGS-v1", "evidence": "lethargic", "label": "Pediatric dehydration red flag", "rule_id": "PED-DEHYD-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": [ "PED-DEHYD-RED-FLAGS-v1", "REFERRAL-SBAR-v1", "SAFETY-BOUNDARIES-v1", "AMS-RED-FLAGS-v1", "FEVER-RED-FLAGS-v1", "WOUND-INFECTION-ESCALATION-v1" ] }, "prompt_template_hash": "9a176778efcd60ba", "raw_audio_stored": false, "red_flags": [ { "card_id": "PED-DEHYD-RED-FLAGS-v1", "evidence": "lethargic", "label": "Pediatric dehydration red flag", "rule_id": "PED-DEHYD-001", "urgency": "emergency" } ], "retrieved_card_ids": [ "PED-DEHYD-RED-FLAGS-v1", "REFERRAL-SBAR-v1", "SAFETY-BOUNDARIES-v1", "AMS-RED-FLAGS-v1", "FEVER-RED-FLAGS-v1", "WOUND-INFECTION-ESCALATION-v1" ], "validator_result": { "failures": [], "passed": true } }