| { |
| "product_name": "Dental SOAP", |
| "artifact_label": "Dentist Visit Handoff", |
| "patient_name": "Sarah (demo)", |
| "patient_age": 42, |
| "chief_concern": "Severe pain and swelling after root canal", |
| "concise_summary": "Four days after a root canal on my lower right molar, I now have severe throbbing pain that wakes me up.", |
| "timeline": [ |
| "Reported duration: Four days, worsening since the procedure.", |
| "Four days after a root canal on my lower right molar, I now have severe throbbing pain that wakes me up.", |
| "My gum is swollen and there is a pimple on my gum with a bad taste.", |
| "I felt feverish last night.", |
| "I am not having trouble breathing or swallowing." |
| ], |
| "current_symptoms": [ |
| "Pain score reported as 9/10.", |
| "Swelling reported.", |
| "Fever or feeling unwell reported." |
| ], |
| "dental_history": [ |
| "Area: Lower right molar", |
| "Recent dental work: Root canal completed four days ago" |
| ], |
| "medical_safety_notes": [ |
| "Medications/supplements to verify: Ibuprofen as directed on package", |
| "Allergies/adverse reactions to verify: Penicillin allergy - rash" |
| ], |
| "patient_goals": [ |
| "Get the swelling and pain assessed urgently and know what needs to happen today", |
| "Leave the visit understanding what the dentist checked.", |
| "Know what to monitor after the visit and when to seek urgent care." |
| ], |
| "dentist_questions": [ |
| "Which tooth or area should we prioritize examining first based on my history?", |
| "What findings on exam or imaging would help separate tooth, crown, bite, and jaw-muscle causes?", |
| "What should I track after today's visit so we can tell whether symptoms are improving?", |
| "Should this tooth have an endodontic reassessment, and what records or X-rays would help?", |
| "What warning signs of spreading infection should send me to urgent care before our next appointment?", |
| "Do any of my current medications change what is safe or recommended at this visit?" |
| ], |
| "after_visit_tracker": [ |
| "What was examined: tooth/area, bite, crown margin, gums, TMJ, imaging reviewed.", |
| "What changed today: adjustment, medication advice, referral, imaging request, or watchful waiting.", |
| "Pain score before/after visit and whether biting, temperature, or jaw symptoms changed.", |
| "Next step, owner, and follow-up date." |
| ], |
| "bring_checklist": [ |
| "Your medication list with doses (or the boxes themselves): Ibuprofen as directed on package.", |
| "Exact allergy names and the reaction you had: Penicillin allergy - rash.", |
| "Dates of recent dental procedures and the treating clinic's contact details.", |
| "A short pain log: when it hurts, what triggers it, what helps, and a 0-10 score per day.", |
| "This handoff, printed or on your phone." |
| ], |
| "evidence": [ |
| { |
| "source": "free_text", |
| "quote": "Four days after a root canal on my lower right molar, I now have severe throbbing pain that wakes me up. My gum is swollen and there is a pimple on my gum with a bad taste. I felt feverish last night. I am not having trouble breathing or swallowing." |
| } |
| ], |
| "red_flags": [ |
| { |
| "rule_id": "facial_swelling_fever_abscess", |
| "title": "Swelling or systemic infection signs", |
| "tier": "same_day_urgent", |
| "patient_message": "Facial or gum swelling, fever, feeling very unwell, or a gum pimple/drainage with dental pain should be evaluated urgently by a dental or medical professional.", |
| "clinician_question": "Please assess for acute apical abscess, spreading infection, and systemic involvement.", |
| "evidence": [ |
| { |
| "source": "free_text", |
| "quote": "en and there is a pimple on my gum with a bad taste. I felt feverish last night. I am not having trouble breathing or swallowing." |
| }, |
| { |
| "source": "structured_input", |
| "quote": "Checked or inferred from structured intake: facial_or_gum_swelling, fever, malaise, gum_pimple_or_drainage" |
| } |
| ] |
| }, |
| { |
| "rule_id": "severe_uncontrolled_pain", |
| "title": "Severe uncontrolled pain", |
| "tier": "urgent_dental", |
| "patient_message": "Severe dental pain that is worsening, prevents sleep, or is not controlled with usual over-the-counter measures should be assessed urgently by a dentist or urgent dental service.", |
| "clinician_question": "Please assess severe pain pattern, thermal sensitivity, percussion/biting pain, and need for urgent dental intervention.", |
| "evidence": [ |
| { |
| "source": "free_text", |
| "quote": "my lower right molar, I now have severe throbbing pain that wakes me up. My gum is swollen and there is a pimple on my gum with a bad taste. I felt fev" |
| }, |
| { |
| "source": "structured_input", |
| "quote": "Checked or inferred from structured intake: pain_score_8_or_more, pain_prevents_sleep, severe_pain_not_relieved" |
| } |
| ] |
| }, |
| { |
| "rule_id": "bleeding_or_allergy_medication_prompt", |
| "title": "Medication or allergy detail to bring to the visit", |
| "tier": "dentist_discussion", |
| "patient_message": "Blood thinners, steroid/immunosuppressive medicines, and drug allergies can change dental care. Bring exact medication names, doses, and allergy reactions to the dentist.", |
| "clinician_question": "Please review anticoagulants, immunosuppression, steroid use, and drug allergy reaction type before treatment.", |
| "evidence": [ |
| { |
| "source": "structured_input", |
| "quote": "Checked or inferred from structured intake: drug_allergy" |
| } |
| ] |
| }, |
| { |
| "rule_id": "facial_swelling_with_fever", |
| "title": "Facial swelling together with fever", |
| "tier": "emergency_or_same_day", |
| "patient_message": "Facial or cheek swelling together with fever or feeling unwell can mean a dental infection is spreading through the body. Seek urgent same-day dental or medical care — go to emergency care if the swelling spreads quickly, reaches the eye or neck, or breathing or swallowing becomes difficult.", |
| "clinician_question": "Please assess for spreading odontogenic infection with systemic involvement and the need for urgent drainage, antibiotics, or referral.", |
| "evidence": [ |
| { |
| "source": "free_text", |
| "quote": "en and there is a pimple on my gum with a bad taste. I felt feverish last night. I am not having trouble breathing or swallowing." |
| }, |
| { |
| "source": "structured_input", |
| "quote": "Checked or inferred from structured intake: facial_or_gum_swelling, fever" |
| } |
| ] |
| } |
| ], |
| "limitations": [ |
| "This is not a diagnosis.", |
| "This does not interpret X-rays, CBCT, photos, or scans.", |
| "This organizes patient-reported history to bring to a licensed dentist." |
| ] |
| } |
