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"patients": [
{
"id": "CB-001",
"display_name": "James Harrington",
"patient": {
"age": 65,
"gender": "male",
"dob": "1959-03-12"
},
"allergies": [
{
"substance": "Penicillin",
"severity": "severe",
"reaction": "anaphylaxis"
},
{
"substance": "Aspirin",
"severity": "moderate",
"reaction": "urticaria"
}
],
"medications": [
"Warfarin 5mg daily",
"Insulin glargine 20 units nightly",
"Metoprolol 50mg twice daily",
"Lisinopril 10mg daily"
],
"conditions": [
"Type 2 Diabetes",
"Coronary artery disease",
"Hypertension",
"Atrial fibrillation"
],
"labs": [
{
"name": "INR",
"value": 4.2,
"reference_range": { "low": 0.8, "high": 1.2 },
"flag": "critical high"
},
{
"name": "Glucose",
"value": 58,
"unit": "mg/dL",
"reference_range": { "low": 70, "high": 140 },
"flag": "low"
},
{
"name": "Troponin",
"value": 0.08,
"unit": "ng/mL",
"reference_range": { "low": 0, "high": 0.04 },
"flag": "critical high"
}
],
"vitals": {
"heart_rate": 138,
"SpO2": 88,
"blood_pressure": "188/124",
"temperature": 37.2,
"respiratory_rate": 22
},
"history": [
"Recent fall at home 3 days ago",
"ICU admission last year for cardiac event",
"CABG surgery 2019"
],
"clinical_notes": [
"High-risk emergency profile due to supratherapeutic anticoagulation and unstable vitals. HR: 138, SpO2: 88%, BP: 188/124. Patient presents with chest discomfort and confusion."
]
},
{
"id": "CB-002",
"display_name": "Maria Santos",
"patient": {
"age": 47,
"gender": "female",
"dob": "1977-08-22"
},
"allergies": [],
"medications": [
"Albuterol inhaler PRN",
"Montelukast 10mg daily",
"Prednisone 20mg short course"
],
"conditions": [
"Asthma",
"Allergic rhinitis"
],
"labs": [
{
"name": "WBC",
"value": 12.4,
"unit": "K/uL",
"reference_range": { "low": 4.5, "high": 11.0 },
"flag": "high"
}
],
"vitals": {
"respiratory_rate": 26,
"SpO2": 93,
"temperature": 38.6,
"heart_rate": 108,
"blood_pressure": "128/82"
},
"history": [
"Two ER visits for asthma exacerbation this year",
"No ICU history"
],
"clinical_notes": [
"Patient presenting with acute bronchospasm. RR: 26, SpO2: 93%, Temp: 38.6C. Audible wheezing bilaterally. Not responding to initial albuterol."
]
},
{
"id": "CB-003",
"display_name": "Robert Chen",
"patient": {
"age": 72,
"gender": "male",
"dob": "1952-11-05"
},
"allergies": [
{
"substance": "Iodinated contrast",
"severity": "moderate",
"reaction": "acute kidney injury"
}
],
"medications": [
"Furosemide 40mg daily",
"Digoxin 0.125mg daily",
"Carvedilol 6.25mg twice daily",
"Spironolactone 25mg"
],
"conditions": [
"Congestive heart failure (EF 25%)",
"Chronic kidney disease Stage 3",
"Hyperkalemia history"
],
"labs": [
{
"name": "Potassium",
"value": 5.9,
"unit": "mmol/L",
"reference_range": { "low": 3.5, "high": 5.1 },
"flag": "high"
},
{
"name": "BNP",
"value": 1420,
"unit": "pg/mL",
"reference_range": { "low": 0, "high": 100 },
"flag": "critical high"
},
{
"name": "Creatinine",
"value": 2.4,
"unit": "mg/dL",
"reference_range": { "low": 0.7, "high": 1.3 },
"flag": "high"
}
],
"vitals": {
"heart_rate": 58,
"blood_pressure": "95/62",
"SpO2": 91,
"respiratory_rate": 24,
"temperature": 36.8
},
"history": [
"Discharged 5 days ago after decompensated heart failure",
"3 prior hospitalizations for CHF this year",
"Dialysis evaluation pending"
],
"clinical_notes": [
"Presenting with worsening dyspnea and bilateral lower extremity edema. HR: 58 (bradycardic), BP: 95/62 (hypotensive). Digoxin toxicity must be ruled out given bradycardia + hyperkalemia."
]
},
{
"id": "CB-004",
"display_name": "Tyler Brooks",
"patient": {
"age": 34,
"gender": "male",
"dob": "1990-06-18"
},
"allergies": [
{
"substance": "Codeine",
"severity": "moderate",
"reaction": "respiratory depression"
}
],
"medications": [
"Oxycodone 10mg PRN",
"Cyclobenzaprine 5mg",
"Fentanyl patch 25mcg/hr"
],
"conditions": [
"Chronic back pain",
"Post-traumatic stress disorder",
"Mild traumatic brain injury"
],
"labs": [
{
"name": "Blood Alcohol",
"value": 0.18,
"unit": "g/dL",
"reference_range": { "low": 0, "high": 0.08 },
"flag": "critical high"
},
{
"name": "GCS",
"value": 11,
"reference_range": { "low": 15, "high": 15 },
"flag": "low"
}
],
"vitals": {
"heart_rate": 52,
"blood_pressure": "88/54",
"SpO2": 89,
"respiratory_rate": 8,
"temperature": 35.8
},
"history": [
"Motor vehicle accident 2 hours ago",
"Known polysubstance use",
"Fall from motorcycle at high speed"
],
"clinical_notes": [
"Trauma patient post-MVA. Multiple opioids on board including fentanyl patch. HR: 52, RR: 8, SpO2: 89%, BP: 88/54 — hemodynamically unstable. GCS 11. Risk of opioid-induced respiratory depression compounding traumatic injury. BAL: 0.18."
]
},
{
"id": "CB-005",
"display_name": "Eleanor Voss",
"patient": {
"age": 81,
"gender": "female",
"dob": "1943-02-14"
},
"allergies": [
{
"substance": "Sulfa drugs",
"severity": "severe",
"reaction": "Stevens-Johnson syndrome"
}
],
"medications": [
"Metformin 500mg twice daily",
"Amlodipine 5mg",
"Warfarin 2.5mg",
"Donepezil 10mg"
],
"conditions": [
"Type 2 Diabetes",
"Hypertension",
"Mild cognitive impairment",
"Chronic UTI history"
],
"labs": [
{
"name": "Lactate",
"value": 4.8,
"unit": "mmol/L",
"reference_range": { "low": 0.5, "high": 2.0 },
"flag": "critical high"
},
{
"name": "WBC",
"value": 18.2,
"unit": "K/uL",
"reference_range": { "low": 4.5, "high": 11.0 },
"flag": "critical high"
},
{
"name": "Procalcitonin",
"value": 12.4,
"unit": "ng/mL",
"reference_range": { "low": 0, "high": 0.25 },
"flag": "critical high"
}
],
"vitals": {
"heart_rate": 118,
"blood_pressure": "86/48",
"SpO2": 92,
"respiratory_rate": 28,
"temperature": 39.4
},
"history": [
"Lives alone, found by neighbor in altered mental status",
"No prior sepsis history",
"Refused hospitalization last month for UTI"
],
"clinical_notes": [
"Elderly patient with septic shock. Temp: 39.4C, HR: 118, BP: 86/48, RR: 28. Lactate 4.8 (critical), WBC 18.2, Procalcitonin 12.4. Suspected urosepsis. Sulfa allergy documented — avoid TMP-SMX. Antibiotic stewardship critical."
]
}
]
}
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