Run initial test for Climate Resilience Verification Suite

Add first part of Alert Quality Analytics
2026-06-24 03:01:00 +08:00
parent 032cd1d240
commit 185dc93fa1
50 changed files with 4116 additions and 55 deletions
@@ -0,0 +1,92 @@
+{
+  "scenario": {
+    "id": "ward-outage-reconnect-01",
+    "name": "ICU Ward Isolation — Critical Potassium During Uplink Loss",
+    "description": "Post-surgical ICU patient with stable vitals, then critical hyperkalemia during simulated central link loss. Nurse acknowledges on ward gateway. Reconnect syncs to central without duplicate pages.",
+    "durationMinutes": 90,
+    "tags": ["climate-resilience", "gateway", "critical-value", "sync", "potassium"]
+  },
+  "patient": {
+    "firstName": "James",
+    "lastName": "Wu",
+    "dateOfBirth": "1968-11-02",
+    "gender": "Male"
+  },
+  "encounter": {
+    "department": "Icu",
+    "encounterType": "Inpatient",
+    "attendingPhysician": "Dr. Elena Park",
+    "roomBed": "ICU-3B-12",
+    "admissionReason": "Post-op monitoring — abdominal surgery"
+  },
+  "events": [
+    {
+      "offsetMinutes": 0,
+      "type": "observation",
+      "data": { "code": "HEART_RATE", "value": 82, "unit": "bpm", "source": "Device" },
+      "note": "Baseline vitals — stable post-op ICU admission"
+    },
+    {
+      "offsetMinutes": 0,
+      "type": "observation",
+      "data": { "code": "TEMP_C", "value": 36.8, "unit": "°C", "source": "Manual" }
+    },
+    {
+      "offsetMinutes": 0,
+      "type": "observation",
+      "data": { "code": "SPO2", "value": 98, "unit": "%", "source": "Device" }
+    },
+    {
+      "offsetMinutes": 0,
+      "type": "observation",
+      "data": { "code": "POTASSIUM_MEQ_L", "value": 4.2, "unit": "mEq/L", "source": "Lab" }
+    },
+    {
+      "offsetMinutes": 45,
+      "type": "observation",
+      "data": { "code": "POTASSIUM_MEQ_L", "value": 6.8, "unit": "mEq/L", "source": "Lab" },
+      "note": "Critical hyperkalemia — must alert locally even if central is down"
+    },
+    {
+      "offsetMinutes": 50,
+      "type": "alert_ack",
+      "data": {
+        "alertType": "CRITICAL_POTASSIUM_MEQ_L",
+        "clinicianId": "RN-Wu",
+        "note": "Calcium gluconate ordered, ECG at bedside"
+      }
+    },
+    {
+      "offsetMinutes": 60,
+      "type": "observation",
+      "data": { "code": "HEART_RATE", "value": 78, "unit": "bpm", "source": "Device" }
+    },
+    {
+      "offsetMinutes": 75,
+      "type": "observation",
+      "data": { "code": "POTASSIUM_MEQ_L", "value": 5.4, "unit": "mEq/L", "source": "Lab" },
+      "note": "Repeat lab — improving after treatment"
+    }
+  ],
+  "expectedOutcomes": [
+    {
+      "afterOffsetMinutes": 45,
+      "type": "alert",
+      "alertType": "CRITICAL_POTASSIUM_MEQ_L",
+      "description": "Critical potassium alert fires at K+ 6.8 mEq/L — locally on gateway during outage"
+    },
+    {
+      "afterOffsetMinutes": 50,
+      "type": "alert",
+      "alertType": "CRITICAL_POTASSIUM_MEQ_L",
+      "description": "Alert acknowledged by RN-Wu — buffered for sync to central"
+    },
+    {
+      "afterOffsetMinutes": 75,
+      "type": "score",
+      "scoreType": "NEWS2",
+      "expectedMinimum": 0,
+      "description": "NEWS2 unavailable on gateway during outage — replays on central after sync (Tier 3 deferred)"
+    }
+  ]
+}