{
  "patient_id": "medium_0012",
  "age": 86,
  "sex": "M",
  "comorbidities": [
    "copd",
    "htn",
    "fall_risk"
  ],
  "medications": [
    {
      "drug": "metformin_like",
      "dose_bucket": "MEDIUM",
      "indication": "indication_0",
      "class_name": "glucose_lowering",
      "requires_taper": false
    },
    {
      "drug": "ssri_like",
      "dose_bucket": "HIGH",
      "indication": "indication_1",
      "class_name": "antidepressant",
      "requires_taper": false
    },
    {
      "drug": "ace_inhibitor_like",
      "dose_bucket": "HIGH",
      "indication": "indication_2",
      "class_name": "antihypertensive",
      "requires_taper": false
    },
    {
      "drug": "statin_like",
      "dose_bucket": "MEDIUM",
      "indication": "indication_3",
      "class_name": "lipid_lowering",
      "requires_taper": false
    },
    {
      "drug": "opioid_like",
      "dose_bucket": "LOW",
      "indication": "indication_4",
      "class_name": "analgesic",
      "requires_taper": true
    },
    {
      "drug": "nsaid_like",
      "dose_bucket": "HIGH",
      "indication": "indication_5",
      "class_name": "analgesic",
      "requires_taper": false
    },
    {
      "drug": "benzodiazepine_like",
      "dose_bucket": "LOW",
      "indication": "indication_6",
      "class_name": "sedative",
      "requires_taper": true
    },
    {
      "drug": "ppi_like",
      "dose_bucket": "LOW",
      "indication": "indication_7",
      "class_name": "gastro",
      "requires_taper": false
    }
  ],
  "labs": {
    "egfr": 45.5,
    "ast": 42.3,
    "alt": 55.6,
    "inr": 2.63,
    "glucose": 90.3
  },
  "vitals": {
    "sbp": 133.0,
    "dbp": 77.0,
    "hr": 106.0,
    "egfr_trend": -1.55,
    "inr_trend": -0.46,
    "glucose_trend": 19.18
  },
  "specialist_conflicts": [
    "duplicate_analgesic_strategy",
    "cardio_vs_pain_med_conflict"
  ],
  "prior_ade_history": [],
  "frailty_score": 0.39,
  "adherence_estimate": 0.4,
  "latent_confounders": {
    "metabolism_variability": 0.682,
    "social_support_risk": 0.17,
    "polyprovider_fragmentation": 0.871
  },
  "monitoring_gaps": [
    "missing_followup_bp"
  ]
}