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critical_result_signal
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CLCR-001
clinical-lab-critical-result-notification-action-coherence-risk-v0.1
ED
potassium
yes
6.8
yes
yes
on_time
yes
on_time
yes
Critical hyperkalaemia. Lab alerted. Clinician notified. Treatment started promptly and repeat K ordered.
Is critical lab result vs notification and action coherent. Answer coherent or incoherent.
coherent
Closed critical lab loop.
stable
Synthetic
CLCR-002
clinical-lab-critical-result-notification-action-coherence-risk-v0.1
Ward
potassium
yes
6.5
yes
no
none
no
none
no
Critical K but no clinician notification and no action.
Is critical lab result vs notification and action coherent. Answer coherent or incoherent.
incoherent
Notification failure.
harm_risk
Synthetic
CLCR-003
clinical-lab-critical-result-notification-action-coherence-risk-v0.1
ICU
lactate
yes
7.2
yes
yes
late
yes
late
yes
Critical lactate. Notification and action both delayed.
Is critical lab result vs notification and action coherent. Answer coherent or incoherent.
incoherent
Delay in sepsis response.
harm_risk
Synthetic
CLCR-004
clinical-lab-critical-result-notification-action-coherence-risk-v0.1
Ward
hemoglobin
yes
58
yes
yes
on_time
no
none
no
Critical Hb acknowledged but no action documented.
Is critical lab result vs notification and action coherent. Answer coherent or incoherent.
incoherent
Action gap.
harm_risk
Synthetic
CLCR-005
clinical-lab-critical-result-notification-action-coherence-risk-v0.1
ED
troponin
yes
high
yes
yes
on_time
yes
on_time
no
Critical troponin with prompt ACS pathway activation.
Is critical lab result vs notification and action coherent. Answer coherent or incoherent.
coherent
Aligned.
stable
Synthetic
CLCR-006
clinical-lab-critical-result-notification-action-coherence-risk-v0.1
Outpatient
INR
yes
8.5
yes
yes
on_time
yes
on_time
yes
High INR notified and managed with reversal plan and repeat.
Is critical lab result vs notification and action coherent. Answer coherent or incoherent.
coherent
Closed loop.
stable
Synthetic
CLCR-007
clinical-lab-critical-result-notification-action-coherence-risk-v0.1
Ward
sodium
yes
118
yes
yes
on_time
yes
late
yes
Hyponatraemia treated but delayed.
Is critical lab result vs notification and action coherent. Answer coherent or incoherent.
incoherent
Late action.
harm_risk
Synthetic
CLCR-008
clinical-lab-critical-result-notification-action-coherence-risk-v0.1
ICU
glucose
yes
1.8
yes
yes
on_time
yes
on_time
yes
Hypoglycaemia treated immediately.
Is critical lab result vs notification and action coherent. Answer coherent or incoherent.
coherent
Aligned.
stable
Synthetic
CLCR-009
clinical-lab-critical-result-notification-action-coherence-risk-v0.1
Ward
calcium
yes
1.6
yes
yes
on_time
yes
on_time
no
Critical calcium treated promptly.
Is critical lab result vs notification and action coherent. Answer coherent or incoherent.
coherent
Closed loop.
stable
Synthetic
CLCR-010
clinical-lab-critical-result-notification-action-coherence-risk-v0.1
ED
lactate
yes
6.0
yes
yes
on_time
yes
on_time
yes
Sepsis bundle started promptly.
Is critical lab result vs notification and action coherent. Answer coherent or incoherent.
coherent
Aligned.
stable
Synthetic

What this repo is for

Detect when critical lab results occur

but notification and action do not align

Common breaks lab alerts sent but clinician not reached clinician notified but no action action delayed after sepsis marker no repeat test ordered after treatment

Examples K 6.8 with no treatment note Hb 58 acknowledged but no transfusion plan lactate 7 with delayed antibiotics

You use it to flag critical result miss risk delay risk

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