{ "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." ] } ] }