polyguard-openenv / data /scenarios /medium /medium_0040.json
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{
"patient_id": "medium_0040",
"age": 63,
"sex": "F",
"comorbidities": [
"ckd",
"htn",
"afib"
],
"medications": [
{
"drug": "metformin_like",
"dose_bucket": "LOW",
"indication": "indication_0",
"class_name": "glucose_lowering",
"requires_taper": false
},
{
"drug": "ssri_like",
"dose_bucket": "MEDIUM",
"indication": "indication_1",
"class_name": "antidepressant",
"requires_taper": false
},
{
"drug": "ace_inhibitor_like",
"dose_bucket": "MEDIUM",
"indication": "indication_2",
"class_name": "antihypertensive",
"requires_taper": false
},
{
"drug": "opioid_like",
"dose_bucket": "HIGH",
"indication": "indication_3",
"class_name": "analgesic",
"requires_taper": true
},
{
"drug": "benzodiazepine_like",
"dose_bucket": "LOW",
"indication": "indication_4",
"class_name": "sedative",
"requires_taper": true
},
{
"drug": "nsaid_like",
"dose_bucket": "LOW",
"indication": "indication_5",
"class_name": "analgesic",
"requires_taper": false
},
{
"drug": "beta_blocker_like",
"dose_bucket": "MEDIUM",
"indication": "indication_6",
"class_name": "antihypertensive",
"requires_taper": false
},
{
"drug": "warfarin_like",
"dose_bucket": "HIGH",
"indication": "indication_7",
"class_name": "anticoagulant",
"requires_taper": false
}
],
"labs": {
"egfr": 80.7,
"ast": 94.9,
"alt": 19.6,
"inr": 3.91,
"glucose": 245.9
},
"vitals": {
"sbp": 130.0,
"dbp": 82.0,
"hr": 88.0,
"egfr_trend": -7.7,
"inr_trend": -0.06,
"glucose_trend": 28.71
},
"specialist_conflicts": [
"duplicate_analgesic_strategy",
"cardio_vs_pain_med_conflict"
],
"prior_ade_history": [],
"frailty_score": 0.75,
"adherence_estimate": 0.63,
"latent_confounders": {
"metabolism_variability": 0.332,
"social_support_risk": 0.393,
"polyprovider_fragmentation": 0.921
},
"monitoring_gaps": [
"missing_followup_bp"
]
}