{
  "patient_id": "medium_0037",
  "age": 86,
  "sex": "M",
  "comorbidities": [
    "dm2",
    "ckd",
    "depression"
  ],
  "medications": [
    {
      "drug": "metformin_like",
      "dose_bucket": "HIGH",
      "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": "nsaid_like",
      "dose_bucket": "LOW",
      "indication": "indication_2",
      "class_name": "analgesic",
      "requires_taper": false
    },
    {
      "drug": "ace_inhibitor_like",
      "dose_bucket": "LOW",
      "indication": "indication_3",
      "class_name": "antihypertensive",
      "requires_taper": false
    },
    {
      "drug": "benzodiazepine_like",
      "dose_bucket": "MEDIUM",
      "indication": "indication_4",
      "class_name": "sedative",
      "requires_taper": true
    },
    {
      "drug": "ppi_like",
      "dose_bucket": "LOW",
      "indication": "indication_5",
      "class_name": "gastro",
      "requires_taper": false
    },
    {
      "drug": "opioid_like",
      "dose_bucket": "LOW",
      "indication": "indication_6",
      "class_name": "analgesic",
      "requires_taper": true
    },
    {
      "drug": "beta_blocker_like",
      "dose_bucket": "LOW",
      "indication": "indication_7",
      "class_name": "antihypertensive",
      "requires_taper": false
    }
  ],
  "labs": {
    "egfr": 82.1,
    "ast": 50.5,
    "alt": 99.9,
    "inr": 2.15,
    "glucose": 124.5
  },
  "vitals": {
    "sbp": 162.0,
    "dbp": 62.0,
    "hr": 92.0,
    "egfr_trend": -0.09,
    "inr_trend": 0.68,
    "glucose_trend": 24.96
  },
  "specialist_conflicts": [
    "duplicate_analgesic_strategy",
    "cardio_vs_pain_med_conflict"
  ],
  "prior_ade_history": [],
  "frailty_score": 0.82,
  "adherence_estimate": 0.65,
  "latent_confounders": {
    "metabolism_variability": 0.601,
    "social_support_risk": 0.24,
    "polyprovider_fragmentation": 0.442
  },
  "monitoring_gaps": [
    "missing_followup_bp"
  ]
}