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feature: Console Replay Simulator

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voltsrage
2026-06-19 15:22:14 +08:00
parent 835311dffc
commit abc781c9c0
50 changed files with 11158 additions and 612 deletions
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VigilCare.Simulator/Scenarios/List/cardiac-arrest-post-mi-01.json
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VigilCare.Simulator/Scenarios/List/dka-electrolyte-01.json
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VigilCare.Simulator/Scenarios/List/hypothermia-elderly-01.json
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{
"scenario": {
"id": "hypothermia-elderly-01",
"name": "Elderly Hypothermia with Bradycardia \u2014 Rewarming Recovery",
"description": "81-year-old female found outdoors in winter with core temp 33.5\u00b0C on arrival. Presents with hypothermia-induced bradycardia, hypotension, and altered mentation. Gradual active rewarming over 4 hours with warm IV fluids and warming blankets leads to full recovery of vitals and consciousness.",
"durationMinutes": 240,
"tags": [
"hypothermia",
"bradycardia",
"elderly",
"rewarming",
"recovery",
"emergency",
"winter"
]
},
"patient": {
"firstName": "Margaret",
"lastName": "Thornton",
"dateOfBirth": "1945-01-14",
"gender": "Female"
},
"encounter": {
"department": "Emergency",
"encounterType": "Emergency",
"attendingPhysician": "Dr. Elena Vasquez",
"roomBed": "ED-03A",
"admissionReason": "Found unresponsive outdoors in winter, hypothermia, bradycardia"
},
"events": [
{
"offsetMinutes": 0,
"type": "observation",
"data": {
"code": "HEART_RATE",
"value": 48,
"unit": "bpm",
"source": "Device"
},
"note": "Arrival \u2014 severe hypothermia, bradycardia, altered mentation. NEWS2=14 (EMERGENCY)"
},
{
"offsetMinutes": 0,
"type": "observation",
"data": {
"code": "RESP_RATE",
"value": 10,
"unit": "/min",
"source": "Device"
}
},
{
"offsetMinutes": 0,
"type": "observation",
"data": {
"code": "SYSTOLIC_BP",
"value": 96,
"unit": "mmHg",
"source": "Device"
}
},
{
"offsetMinutes": 0,
"type": "observation",
"data": {
"code": "DIASTOLIC_BP",
"value": 54,
"unit": "mmHg",
"source": "Device"
}
},
{
"offsetMinutes": 0,
"type": "observation",
"data": {
"code": "TEMP_C",
"value": 33.5,
"unit": "\u00b0C",
"source": "Manual"
}
},
{
"offsetMinutes": 0,
"type": "observation",
"data": {
"code": "SPO2",
"value": 93,
"unit": "%",
"source": "Device"
}
},
{
"offsetMinutes": 0,
"type": "observation",
"data": {
"code": "AVPU",
"value": 1,
"unit": "score",
"source": "Manual"
}
},
{
"offsetMinutes": 0,
"type": "observation",
"data": {
"code": "SUPPLEMENTAL_O2",
"value": 1,
"unit": "flag",
"source": "Manual"
},
"note": "Nasal cannula 2L/min started on arrival"
},
{
"offsetMinutes": 0,
"type": "order",
"data": {
"orderType": "Procedure",
"description": "Active warming protocol \u2014 forced-air warming blanket",
"orderedBy": "Dr. Elena Vasquez"
}
},
{
"offsetMinutes": 5,
"type": "order_result",
"data": {
"orderDescription": "Active warming protocol \u2014 forced-air warming blanket",
"resultSummary": "Bair Hugger warming blanket applied, set to 43\u00b0C"
},
"note": "Warming blanket order initiated"
},
{
"offsetMinutes": 8,
"type": "medication",
"data": {
"drugName": "sodium chloride 0.9% (warmed to 40\u00b0C)",
"dose": 1000,
"doseUnit": "mL",
"route": "IV",
"administeredBy": "nurse-rn-2"
},
"note": "Warm IV fluids \u2014 first bolus for active core rewarming and volume support"
},
{
"offsetMinutes": 15,
"type": "observation",
"data": {
"code": "GLUCOSE_MG_DL",
"value": 74,
"unit": "mg/dL",
"source": "Lab"
},
"note": "Initial labs \u2014 glucose low-normal, potassium borderline high (hypothermia shifts K+ extracellularly)"
},
{
"offsetMinutes": 15,
"type": "observation",
"data": {
"code": "POTASSIUM_MEQ_L",
"value": 5.4,
"unit": "mEq/L",
"source": "Lab"
}
},
{
"offsetMinutes": 15,
"type": "observation",
"data": {
"code": "LACTATE_MMOL_L",
"value": 2.3,
"unit": "mmol/L",
"source": "Lab"
}
},
{
"offsetMinutes": 20,
"type": "observation",
"data": {
"code": "HEART_RATE",
"value": 47,
"unit": "bpm",
"source": "Device"
},
"note": "Minimal change \u2014 rewarming just started. NEWS2=14 (EMERGENCY)"
},
{
"offsetMinutes": 20,
"type": "observation",
"data": {
"code": "RESP_RATE",
"value": 10,
"unit": "/min",
"source": "Device"
}
},
{
"offsetMinutes": 20,
"type": "observation",
"data": {
"code": "SYSTOLIC_BP",
"value": 94,
"unit": "mmHg",
"source": "Device"
}
},
{
"offsetMinutes": 20,
"type": "observation",
"data": {
"code": "DIASTOLIC_BP",
"value": 53,
"unit": "mmHg",
"source": "Device"
}
},
{
"offsetMinutes": 20,
"type": "observation",
"data": {
"code": "TEMP_C",
"value": 33.7,
"unit": "\u00b0C",
"source": "Manual"
}
},
{
"offsetMinutes": 20,
"type": "observation",
"data": {
"code": "SPO2",
"value": 93,
"unit": "%",
"source": "Device"
}
},
{
"offsetMinutes": 20,
"type": "observation",
"data": {
"code": "AVPU",
"value": 1,
"unit": "score",
"source": "Manual"
}
},
{
"offsetMinutes": 20,
"type": "observation",
"data": {
"code": "SUPPLEMENTAL_O2",
"value": 1,
"unit": "flag",
"source": "Manual"
}
},
{
"offsetMinutes": 45,
"type": "observation",
"data": {
"code": "HEART_RATE",
"value": 46,
"unit": "bpm",
"source": "Device"
},
"note": "Slow rewarming \u2014 temp barely above 34\u00b0C. SpO2 slightly improved with O2. NEWS2=13 (EMERGENCY)"
},
{
"offsetMinutes": 45,
"type": "observation",
"data": {
"code": "RESP_RATE",
"value": 11,
"unit": "/min",
"source": "Device"
}
},
{
"offsetMinutes": 45,
"type": "observation",
"data": {
"code": "SYSTOLIC_BP",
"value": 95,
"unit": "mmHg",
"source": "Device"
}
},
{
"offsetMinutes": 45,
"type": "observation",
"data": {
"code": "DIASTOLIC_BP",
"value": 55,
"unit": "mmHg",
"source": "Device"
}
},
{
"offsetMinutes": 45,
"type": "observation",
"data": {
"code": "TEMP_C",
"value": 34.0,
"unit": "\u00b0C",
"source": "Manual"
}
},
{
"offsetMinutes": 45,
"type": "observation",
"data": {
"code": "SPO2",
"value": 94,
"unit": "%",
"source": "Device"
}
},
{
"offsetMinutes": 45,
"type": "observation",
"data": {
"code": "AVPU",
"value": 1,
"unit": "score",
"source": "Manual"
}
},
{
"offsetMinutes": 45,
"type": "observation",
"data": {
"code": "SUPPLEMENTAL_O2",
"value": 1,
"unit": "flag",
"source": "Manual"
}
},
{
"offsetMinutes": 50,
"type": "medication",
"data": {
"drugName": "sodium chloride 0.9% (warmed to 40\u00b0C)",
"dose": 500,
"doseUnit": "mL",
"route": "IV",
"administeredBy": "nurse-rn-2"
},
"note": "Second warm IV fluid bolus \u2014 continued active rewarming"
},
{
"offsetMinutes": 60,
"type": "observation",
"data": {
"code": "HEART_RATE",
"value": 48,
"unit": "bpm",
"source": "Device"
},
"note": "One hour into rewarming \u2014 temp 34.3\u00b0C, still bradycardic. NEWS2=13 (EMERGENCY)"
},
{
"offsetMinutes": 60,
"type": "observation",
"data": {
"code": "RESP_RATE",
"value": 11,
"unit": "/min",
"source": "Device"
}
},
{
"offsetMinutes": 60,
"type": "observation",
"data": {
"code": "SYSTOLIC_BP",
"value": 97,
"unit": "mmHg",
"source": "Device"
}
},
{
"offsetMinutes": 60,
"type": "observation",
"data": {
"code": "DIASTOLIC_BP",
"value": 56,
"unit": "mmHg",
"source": "Device"
}
},
{
"offsetMinutes": 60,
"type": "observation",
"data": {
"code": "TEMP_C",
"value": 34.3,
"unit": "\u00b0C",
"source": "Manual"
}
},
{
"offsetMinutes": 60,
"type": "observation",
"data": {
"code": "SPO2",
"value": 94,
"unit": "%",
"source": "Device"
}
},
{
"offsetMinutes": 60,
"type": "observation",
"data": {
"code": "AVPU",
"value": 1,
"unit": "score",
"source": "Manual"
}
},
{
"offsetMinutes": 60,
"type": "observation",
"data": {
"code": "SUPPLEMENTAL_O2",
"value": 1,
"unit": "flag",
"source": "Manual"
}
},
{
"offsetMinutes": 90,
"type": "observation",
"data": {
"code": "HEART_RATE",
"value": 50,
"unit": "bpm",
"source": "Device"
},
"note": "Temp approaching 35\u00b0C \u2014 HR and RR beginning to improve. NEWS2=12 (EMERGENCY)"
},
{
"offsetMinutes": 90,
"type": "observation",
"data": {
"code": "RESP_RATE",
"value": 12,
"unit": "/min",
"source": "Device"
}
},
{
"offsetMinutes": 90,
"type": "observation",
"data": {
"code": "SYSTOLIC_BP",
"value": 100,
"unit": "mmHg",
"source": "Device"
}
},
{
"offsetMinutes": 90,
"type": "observation",
"data": {
"code": "DIASTOLIC_BP",
"value": 58,
"unit": "mmHg",
"source": "Device"
}
},
{
"offsetMinutes": 90,
"type": "observation",
"data": {
"code": "TEMP_C",
"value": 34.8,
"unit": "\u00b0C",
"source": "Manual"
}
},
{
"offsetMinutes": 90,
"type": "observation",
"data": {
"code": "SPO2",
"value": 95,
"unit": "%",
"source": "Device"
}
},
{
"offsetMinutes": 90,
"type": "observation",
"data": {
"code": "AVPU",
"value": 1,
"unit": "score",
"source": "Manual"
}
},
{
"offsetMinutes": 90,
"type": "observation",
"data": {
"code": "SUPPLEMENTAL_O2",
"value": 1,
"unit": "flag",
"source": "Manual"
}
},
{
"offsetMinutes": 120,
"type": "observation",
"data": {
"code": "HEART_RATE",
"value": 54,
"unit": "bpm",
"source": "Device"
},
"note": "Temp crosses 35\u00b0C threshold \u2014 major improvement. HR normalizing, BP improving. NEWS2=7 (EMERGENCY \u2014 AVPU still 3)"
},
{
"offsetMinutes": 120,
"type": "observation",
"data": {
"code": "RESP_RATE",
"value": 13,
"unit": "/min",
"source": "Device"
}
},
{
"offsetMinutes": 120,
"type": "observation",
"data": {
"code": "SYSTOLIC_BP",
"value": 104,
"unit": "mmHg",
"source": "Device"
}
},
{
"offsetMinutes": 120,
"type": "observation",
"data": {
"code": "DIASTOLIC_BP",
"value": 62,
"unit": "mmHg",
"source": "Device"
}
},
{
"offsetMinutes": 120,
"type": "observation",
"data": {
"code": "TEMP_C",
"value": 35.2,
"unit": "\u00b0C",
"source": "Manual"
}
},
{
"offsetMinutes": 120,
"type": "observation",
"data": {
"code": "SPO2",
"value": 96,
"unit": "%",
"source": "Device"
}
},
{
"offsetMinutes": 120,
"type": "observation",
"data": {
"code": "AVPU",
"value": 1,
"unit": "score",
"source": "Manual"
}
},
{
"offsetMinutes": 120,
"type": "observation",
"data": {
"code": "SUPPLEMENTAL_O2",
"value": 1,
"unit": "flag",
"source": "Manual"
}
},
{
"offsetMinutes": 125,
"type": "observation",
"data": {
"code": "GLUCOSE_MG_DL",
"value": 88,
"unit": "mg/dL",
"source": "Lab"
},
"note": "Repeat labs at T+120 \u2014 glucose normalizing, potassium trending down as rewarming drives K+ intracellularly"
},
{
"offsetMinutes": 125,
"type": "observation",
"data": {
"code": "POTASSIUM_MEQ_L",
"value": 4.6,
"unit": "mEq/L",
"source": "Lab"
}
},
{
"offsetMinutes": 125,
"type": "observation",
"data": {
"code": "LACTATE_MMOL_L",
"value": 1.7,
"unit": "mmol/L",
"source": "Lab"
}
},
{
"offsetMinutes": 150,
"type": "observation",
"data": {
"code": "HEART_RATE",
"value": 58,
"unit": "bpm",
"source": "Device"
},
"note": "Significant recovery \u2014 patient responding to name, temp 35.8\u00b0C. NEWS2=4 (below WARNING threshold)"
},
{
"offsetMinutes": 150,
"type": "observation",
"data": {
"code": "RESP_RATE",
"value": 14,
"unit": "/min",
"source": "Device"
}
},
{
"offsetMinutes": 150,
"type": "observation",
"data": {
"code": "SYSTOLIC_BP",
"value": 108,
"unit": "mmHg",
"source": "Device"
}
},
{
"offsetMinutes": 150,
"type": "observation",
"data": {
"code": "DIASTOLIC_BP",
"value": 65,
"unit": "mmHg",
"source": "Device"
}
},
{
"offsetMinutes": 150,
"type": "observation",
"data": {
"code": "TEMP_C",
"value": 35.8,
"unit": "\u00b0C",
"source": "Manual"
}
},
{
"offsetMinutes": 150,
"type": "observation",
"data": {
"code": "SPO2",
"value": 97,
"unit": "%",
"source": "Device"
}
},
{
"offsetMinutes": 150,
"type": "observation",
"data": {
"code": "AVPU",
"value": 0,
"unit": "score",
"source": "Manual"
}
},
{
"offsetMinutes": 150,
"type": "observation",
"data": {
"code": "SUPPLEMENTAL_O2",
"value": 1,
"unit": "flag",
"source": "Manual"
}
},
{
"offsetMinutes": 180,
"type": "observation",
"data": {
"code": "HEART_RATE",
"value": 62,
"unit": "bpm",
"source": "Device"
},
"note": "Temp in normal range \u2014 all vitals normalizing. O2 weaned off. NEWS2=0"
},
{
"offsetMinutes": 180,
"type": "observation",
"data": {
"code": "RESP_RATE",
"value": 15,
"unit": "/min",
"source": "Device"
}
},
{
"offsetMinutes": 180,
"type": "observation",
"data": {
"code": "SYSTOLIC_BP",
"value": 112,
"unit": "mmHg",
"source": "Device"
}
},
{
"offsetMinutes": 180,
"type": "observation",
"data": {
"code": "DIASTOLIC_BP",
"value": 68,
"unit": "mmHg",
"source": "Device"
}
},
{
"offsetMinutes": 180,
"type": "observation",
"data": {
"code": "TEMP_C",
"value": 36.2,
"unit": "\u00b0C",
"source": "Manual"
}
},
{
"offsetMinutes": 180,
"type": "observation",
"data": {
"code": "SPO2",
"value": 97,
"unit": "%",
"source": "Device"
}
},
{
"offsetMinutes": 180,
"type": "observation",
"data": {
"code": "AVPU",
"value": 0,
"unit": "score",
"source": "Manual"
}
},
{
"offsetMinutes": 210,
"type": "observation",
"data": {
"code": "HEART_RATE",
"value": 65,
"unit": "bpm",
"source": "Device"
},
"note": "Continued monitoring \u2014 stable, fully alert. NEWS2=0"
},
{
"offsetMinutes": 210,
"type": "observation",
"data": {
"code": "RESP_RATE",
"value": 15,
"unit": "/min",
"source": "Device"
}
},
{
"offsetMinutes": 210,
"type": "observation",
"data": {
"code": "SYSTOLIC_BP",
"value": 118,
"unit": "mmHg",
"source": "Device"
}
},
{
"offsetMinutes": 210,
"type": "observation",
"data": {
"code": "DIASTOLIC_BP",
"value": 70,
"unit": "mmHg",
"source": "Device"
}
},
{
"offsetMinutes": 210,
"type": "observation",
"data": {
"code": "TEMP_C",
"value": 36.4,
"unit": "\u00b0C",
"source": "Manual"
}
},
{
"offsetMinutes": 210,
"type": "observation",
"data": {
"code": "SPO2",
"value": 98,
"unit": "%",
"source": "Device"
}
},
{
"offsetMinutes": 210,
"type": "observation",
"data": {
"code": "AVPU",
"value": 0,
"unit": "score",
"source": "Manual"
}
},
{
"offsetMinutes": 240,
"type": "observation",
"data": {
"code": "HEART_RATE",
"value": 68,
"unit": "bpm",
"source": "Device"
},
"note": "End of scenario \u2014 near-normal vitals, temp 36.5\u00b0C. Full recovery. NEWS2=0"
},
{
"offsetMinutes": 240,
"type": "observation",
"data": {
"code": "RESP_RATE",
"value": 16,
"unit": "/min",
"source": "Device"
}
},
{
"offsetMinutes": 240,
"type": "observation",
"data": {
"code": "SYSTOLIC_BP",
"value": 122,
"unit": "mmHg",
"source": "Device"
}
},
{
"offsetMinutes": 240,
"type": "observation",
"data": {
"code": "DIASTOLIC_BP",
"value": 72,
"unit": "mmHg",
"source": "Device"
}
},
{
"offsetMinutes": 240,
"type": "observation",
"data": {
"code": "TEMP_C",
"value": 36.5,
"unit": "\u00b0C",
"source": "Manual"
}
},
{
"offsetMinutes": 240,
"type": "observation",
"data": {
"code": "SPO2",
"value": 98,
"unit": "%",
"source": "Device"
}
},
{
"offsetMinutes": 240,
"type": "observation",
"data": {
"code": "AVPU",
"value": 0,
"unit": "score",
"source": "Manual"
}
}
],
"expectedOutcomes": [
{
"afterOffsetMinutes": 0,
"type": "alert",
"alertType": "NEWS2_EMERGENCY",
"description": "NEWS2=14 on arrival: Temp 33.5\u21923, HR 48\u21921, SBP 96\u21922, RR 10\u21921, SpO2 93\u21922, AVPU 1\u21923, O2\u21922. Total \u22657 with multiple single-param 3s"
},
{
"afterOffsetMinutes": 0,
"type": "score",
"scoreType": "NEWS2",
"expectedMinimum": 14,
"description": "Initial NEWS2 of 14 \u2014 critically elevated due to severe hypothermia with multi-organ effects"
},
{
"afterOffsetMinutes": 0,
"type": "alert",
"alertType": "WARNING_HEART_RATE",
"description": "HR 48 bpm in warning range (41-50) \u2014 hypothermia-induced bradycardia"
},
{
"afterOffsetMinutes": 0,
"type": "alert",
"alertType": "WARNING_POTASSIUM",
"description": "Potassium 5.4 mEq/L \u2014 borderline high (warning range 5.1-5.5) due to hypothermic cellular shifts"
},
{
"afterOffsetMinutes": 90,
"type": "score",
"scoreType": "NEWS2",
"expectedMinimum": 12,
"description": "NEWS2 decreasing to 12 at T+90: Temp 34.8\u21923, HR 50\u21921, SBP 100\u21922, RR 12\u21920, SpO2 95\u21921, AVPU 1\u21923, O2\u21922. Still EMERGENCY"
},
{
"afterOffsetMinutes": 120,
"type": "score",
"scoreType": "NEWS2",
"expectedMinimum": 7,
"description": "NEWS2 drops to 7 at T+120: Temp 35.2\u21921, HR 54\u21920, SBP 104\u21921, RR 13\u21920, SpO2 96\u21920, AVPU 1\u21923, O2\u21922. Still EMERGENCY due to AVPU=3"
},
{
"afterOffsetMinutes": 120,
"type": "alert",
"alertType": "NEWS2_EMERGENCY",
"description": "NEWS2 still \u22657 at T+120 \u2014 AVPU single-param score of 3 alone triggers EMERGENCY even as other parameters normalize"
},
{
"afterOffsetMinutes": 150,
"type": "score",
"scoreType": "NEWS2",
"expectedMinimum": 0,
"description": "NEWS2 drops to 4 at T+150: Temp 35.8\u21921, HR 58\u21920, SBP 108\u21921, RR 14\u21920, SpO2 97\u21920, AVPU 0\u21920, O2\u21922. Below WARNING threshold \u2014 recovery evident"
},
{
"afterOffsetMinutes": 180,
"type": "score",
"scoreType": "NEWS2",
"expectedMinimum": 0,
"description": "NEWS2 drops to 0 at T+180: all vitals in normal range, O2 weaned off. Full recovery from hypothermia"
},
{
"afterOffsetMinutes": 240,
"type": "score",
"scoreType": "NEWS2",
"expectedMinimum": 0,
"description": "NEWS2 remains 0 at end of scenario \u2014 sustained normothermia at 36.5\u00b0C with normal hemodynamics"
}
]
}
VigilCare.Simulator/Scenarios/List/medication-false-alarm-01.json
+602
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@@ -0,0 +1,602 @@
{
"scenario": {
"id": "medication-false-alarm-01",
"name": "Medication-Induced False Alarm (Stable Patient on Beta-Blocker)",
"description": "45-year-old female on metoprolol (beta-blocker) with baseline low HR (~52 bpm) and controlled hypertension. Vitals fluctuate near warning thresholds but patient never truly deteriorates. Tests the system's alert behavior near boundaries and alert-fatigue patterns.",
"durationMinutes": 180,
"tags": ["false-alarm", "beta-blocker", "bradycardia", "boundary-testing", "alert-fatigue", "stable"]
},
"patient": {
"firstName": "Sandra",
"lastName": "Kowalski",
"dateOfBirth": "1981-03-14",
"gender": "Female"
},
"encounter": {
"department": "GeneralMedicine",
"encounterType": "Inpatient",
"attendingPhysician": "Dr. Helen Tranh",
"roomBed": "GM-214A",
"admissionReason": "Observation for controlled hypertension, medication titration"
},
"events": [
{
"offsetMinutes": 0,
"type": "observation",
"data": { "code": "HEART_RATE", "value": 54, "unit": "bpm", "source": "Device" },
"note": "Baseline vitals — patient on scheduled metoprolol, resting comfortably. NEWS2=0"
},
{
"offsetMinutes": 0,
"type": "observation",
"data": { "code": "RESP_RATE", "value": 14, "unit": "/min", "source": "Device" }
},
{
"offsetMinutes": 0,
"type": "observation",
"data": { "code": "SYSTOLIC_BP", "value": 136, "unit": "mmHg", "source": "Device" }
},
{
"offsetMinutes": 0,
"type": "observation",
"data": { "code": "DIASTOLIC_BP", "value": 78, "unit": "mmHg", "source": "Device" }
},
{
"offsetMinutes": 0,
"type": "observation",
"data": { "code": "TEMP_C", "value": 36.9, "unit": "°C", "source": "Manual" }
},
{
"offsetMinutes": 0,
"type": "observation",
"data": { "code": "SPO2", "value": 98, "unit": "%", "source": "Device" }
},
{
"offsetMinutes": 0,
"type": "observation",
"data": { "code": "AVPU", "value": 0, "unit": "score", "source": "Manual" }
},
{
"offsetMinutes": 0,
"type": "medication",
"data": {
"drugName": "metoprolol tartrate",
"dose": 25,
"doseUnit": "mg",
"route": "PO",
"administeredBy": "nurse-rn-12"
},
"note": "Scheduled beta-blocker dose — expected to maintain low HR"
},
{
"offsetMinutes": 15,
"type": "observation",
"data": { "code": "HEART_RATE", "value": 50, "unit": "bpm", "source": "Device" },
"note": "HR dips to lower boundary of warning range (41-50) post-dose. NEWS2=1 (HR=1)"
},
{
"offsetMinutes": 15,
"type": "observation",
"data": { "code": "RESP_RATE", "value": 15, "unit": "/min", "source": "Device" }
},
{
"offsetMinutes": 15,
"type": "observation",
"data": { "code": "SYSTOLIC_BP", "value": 134, "unit": "mmHg", "source": "Device" }
},
{
"offsetMinutes": 15,
"type": "observation",
"data": { "code": "DIASTOLIC_BP", "value": 76, "unit": "mmHg", "source": "Device" }
},
{
"offsetMinutes": 15,
"type": "observation",
"data": { "code": "TEMP_C", "value": 36.8, "unit": "°C", "source": "Manual" }
},
{
"offsetMinutes": 15,
"type": "observation",
"data": { "code": "SPO2", "value": 98, "unit": "%", "source": "Device" }
},
{
"offsetMinutes": 15,
"type": "observation",
"data": { "code": "AVPU", "value": 0, "unit": "score", "source": "Manual" }
},
{
"offsetMinutes": 30,
"type": "observation",
"data": { "code": "HEART_RATE", "value": 49, "unit": "bpm", "source": "Device" },
"note": "HR remains in warning range — metoprolol peak effect. NEWS2=1 (HR=1)"
},
{
"offsetMinutes": 30,
"type": "observation",
"data": { "code": "RESP_RATE", "value": 14, "unit": "/min", "source": "Device" }
},
{
"offsetMinutes": 30,
"type": "observation",
"data": { "code": "SYSTOLIC_BP", "value": 132, "unit": "mmHg", "source": "Device" }
},
{
"offsetMinutes": 30,
"type": "observation",
"data": { "code": "DIASTOLIC_BP", "value": 75, "unit": "mmHg", "source": "Device" }
},
{
"offsetMinutes": 30,
"type": "observation",
"data": { "code": "TEMP_C", "value": 37.0, "unit": "°C", "source": "Manual" }
},
{
"offsetMinutes": 30,
"type": "observation",
"data": { "code": "SPO2", "value": 97, "unit": "%", "source": "Device" }
},
{
"offsetMinutes": 30,
"type": "observation",
"data": { "code": "AVPU", "value": 0, "unit": "score", "source": "Manual" }
},
{
"offsetMinutes": 45,
"type": "observation",
"data": { "code": "HEART_RATE", "value": 52, "unit": "bpm", "source": "Device" },
"note": "HR recovers to normal range (51-90). NEWS2=0"
},
{
"offsetMinutes": 45,
"type": "observation",
"data": { "code": "RESP_RATE", "value": 15, "unit": "/min", "source": "Device" }
},
{
"offsetMinutes": 45,
"type": "observation",
"data": { "code": "SYSTOLIC_BP", "value": 130, "unit": "mmHg", "source": "Device" }
},
{
"offsetMinutes": 45,
"type": "observation",
"data": { "code": "DIASTOLIC_BP", "value": 74, "unit": "mmHg", "source": "Device" }
},
{
"offsetMinutes": 45,
"type": "observation",
"data": { "code": "TEMP_C", "value": 36.9, "unit": "°C", "source": "Manual" }
},
{
"offsetMinutes": 45,
"type": "observation",
"data": { "code": "SPO2", "value": 98, "unit": "%", "source": "Device" }
},
{
"offsetMinutes": 45,
"type": "observation",
"data": { "code": "AVPU", "value": 0, "unit": "score", "source": "Manual" }
},
{
"offsetMinutes": 60,
"type": "observation",
"data": { "code": "HEART_RATE", "value": 51, "unit": "bpm", "source": "Device" },
"note": "Routine check — all within normal limits. NEWS2=0"
},
{
"offsetMinutes": 60,
"type": "observation",
"data": { "code": "RESP_RATE", "value": 14, "unit": "/min", "source": "Device" }
},
{
"offsetMinutes": 60,
"type": "observation",
"data": { "code": "SYSTOLIC_BP", "value": 133, "unit": "mmHg", "source": "Device" }
},
{
"offsetMinutes": 60,
"type": "observation",
"data": { "code": "DIASTOLIC_BP", "value": 76, "unit": "mmHg", "source": "Device" }
},
{
"offsetMinutes": 60,
"type": "observation",
"data": { "code": "TEMP_C", "value": 37.0, "unit": "°C", "source": "Manual" }
},
{
"offsetMinutes": 60,
"type": "observation",
"data": { "code": "SPO2", "value": 97, "unit": "%", "source": "Device" }
},
{
"offsetMinutes": 60,
"type": "observation",
"data": { "code": "AVPU", "value": 0, "unit": "score", "source": "Manual" }
},
{
"offsetMinutes": 75,
"type": "observation",
"data": { "code": "HEART_RATE", "value": 48, "unit": "bpm", "source": "Device" },
"note": "HR dips again after position change — back into warning range. NEWS2=1 (HR=1)"
},
{
"offsetMinutes": 75,
"type": "observation",
"data": { "code": "RESP_RATE", "value": 16, "unit": "/min", "source": "Device" }
},
{
"offsetMinutes": 75,
"type": "observation",
"data": { "code": "SYSTOLIC_BP", "value": 128, "unit": "mmHg", "source": "Device" }
},
{
"offsetMinutes": 75,
"type": "observation",
"data": { "code": "DIASTOLIC_BP", "value": 73, "unit": "mmHg", "source": "Device" }
},
{
"offsetMinutes": 75,
"type": "observation",
"data": { "code": "TEMP_C", "value": 36.8, "unit": "°C", "source": "Manual" }
},
{
"offsetMinutes": 75,
"type": "observation",
"data": { "code": "SPO2", "value": 98, "unit": "%", "source": "Device" }
},
{
"offsetMinutes": 75,
"type": "observation",
"data": { "code": "AVPU", "value": 0, "unit": "score", "source": "Manual" }
},
{
"offsetMinutes": 90,
"type": "observation",
"data": { "code": "HEART_RATE", "value": 53, "unit": "bpm", "source": "Device" },
"note": "HR recovers again — normal range. NEWS2=0"
},
{
"offsetMinutes": 90,
"type": "observation",
"data": { "code": "RESP_RATE", "value": 15, "unit": "/min", "source": "Device" }
},
{
"offsetMinutes": 90,
"type": "observation",
"data": { "code": "SYSTOLIC_BP", "value": 131, "unit": "mmHg", "source": "Device" }
},
{
"offsetMinutes": 90,
"type": "observation",
"data": { "code": "DIASTOLIC_BP", "value": 75, "unit": "mmHg", "source": "Device" }
},
{
"offsetMinutes": 90,
"type": "observation",
"data": { "code": "TEMP_C", "value": 37.0, "unit": "°C", "source": "Manual" }
},
{
"offsetMinutes": 90,
"type": "observation",
"data": { "code": "SPO2", "value": 97, "unit": "%", "source": "Device" }
},
{
"offsetMinutes": 90,
"type": "observation",
"data": { "code": "AVPU", "value": 0, "unit": "score", "source": "Manual" }
},
{
"offsetMinutes": 105,
"type": "observation",
"data": { "code": "HEART_RATE", "value": 55, "unit": "bpm", "source": "Device" },
"note": "Stable — metoprolol wearing off slightly before next dose. NEWS2=0"
},
{
"offsetMinutes": 105,
"type": "observation",
"data": { "code": "RESP_RATE", "value": 14, "unit": "/min", "source": "Device" }
},
{
"offsetMinutes": 105,
"type": "observation",
"data": { "code": "SYSTOLIC_BP", "value": 130, "unit": "mmHg", "source": "Device" }
},
{
"offsetMinutes": 105,
"type": "observation",
"data": { "code": "DIASTOLIC_BP", "value": 74, "unit": "mmHg", "source": "Device" }
},
{
"offsetMinutes": 105,
"type": "observation",
"data": { "code": "TEMP_C", "value": 36.9, "unit": "°C", "source": "Manual" }
},
{
"offsetMinutes": 105,
"type": "observation",
"data": { "code": "SPO2", "value": 98, "unit": "%", "source": "Device" }
},
{
"offsetMinutes": 105,
"type": "observation",
"data": { "code": "AVPU", "value": 0, "unit": "score", "source": "Manual" }
},
{
"offsetMinutes": 120,
"type": "medication",
"data": {
"drugName": "metoprolol tartrate",
"dose": 25,
"doseUnit": "mg",
"route": "PO",
"administeredBy": "nurse-rn-12"
},
"note": "Second scheduled metoprolol dose"
},
{
"offsetMinutes": 120,
"type": "observation",
"data": { "code": "HEART_RATE", "value": 52, "unit": "bpm", "source": "Device" },
"note": "Pre-dose vitals taken with medication. NEWS2=0"
},
{
"offsetMinutes": 120,
"type": "observation",
"data": { "code": "RESP_RATE", "value": 15, "unit": "/min", "source": "Device" }
},
{
"offsetMinutes": 120,
"type": "observation",
"data": { "code": "SYSTOLIC_BP", "value": 126, "unit": "mmHg", "source": "Device" }
},
{
"offsetMinutes": 120,
"type": "observation",
"data": { "code": "DIASTOLIC_BP", "value": 72, "unit": "mmHg", "source": "Device" }
},
{
"offsetMinutes": 120,
"type": "observation",
"data": { "code": "TEMP_C", "value": 37.0, "unit": "°C", "source": "Manual" }
},
{
"offsetMinutes": 120,
"type": "observation",
"data": { "code": "SPO2", "value": 97, "unit": "%", "source": "Device" }
},
{
"offsetMinutes": 120,
"type": "observation",
"data": { "code": "AVPU", "value": 0, "unit": "score", "source": "Manual" }
},
{
"offsetMinutes": 135,
"type": "observation",
"data": { "code": "HEART_RATE", "value": 48, "unit": "bpm", "source": "Device" },
"note": "Post-dose HR dip — second metoprolol taking effect. NEWS2=1 (HR=1)"
},
{
"offsetMinutes": 135,
"type": "observation",
"data": { "code": "RESP_RATE", "value": 14, "unit": "/min", "source": "Device" }
},
{
"offsetMinutes": 135,
"type": "observation",
"data": { "code": "SYSTOLIC_BP", "value": 112, "unit": "mmHg", "source": "Device" }
},
{
"offsetMinutes": 135,
"type": "observation",
"data": { "code": "DIASTOLIC_BP", "value": 68, "unit": "mmHg", "source": "Device" }
},
{
"offsetMinutes": 135,
"type": "observation",
"data": { "code": "TEMP_C", "value": 36.8, "unit": "°C", "source": "Manual" }
},
{
"offsetMinutes": 135,
"type": "observation",
"data": { "code": "SPO2", "value": 98, "unit": "%", "source": "Device" }
},
{
"offsetMinutes": 135,
"type": "observation",
"data": { "code": "AVPU", "value": 0, "unit": "score", "source": "Manual" }
},
{
"offsetMinutes": 150,
"type": "observation",
"data": { "code": "HEART_RATE", "value": 47, "unit": "bpm", "source": "Device" },
"note": "Lowest HR of scenario — SBP also drifts near warning boundary. NEWS2=2 (HR=1, SBP=1)"
},
{
"offsetMinutes": 150,
"type": "observation",
"data": { "code": "RESP_RATE", "value": 15, "unit": "/min", "source": "Device" }
},
{
"offsetMinutes": 150,
"type": "observation",
"data": { "code": "SYSTOLIC_BP", "value": 110, "unit": "mmHg", "source": "Device" }
},
{
"offsetMinutes": 150,
"type": "observation",
"data": { "code": "DIASTOLIC_BP", "value": 66, "unit": "mmHg", "source": "Device" }
},
{
"offsetMinutes": 150,
"type": "observation",
"data": { "code": "TEMP_C", "value": 36.9, "unit": "°C", "source": "Manual" }
},
{
"offsetMinutes": 150,
"type": "observation",
"data": { "code": "SPO2", "value": 97, "unit": "%", "source": "Device" }
},
{
"offsetMinutes": 150,
"type": "observation",
"data": { "code": "AVPU", "value": 0, "unit": "score", "source": "Manual" }
},
{
"offsetMinutes": 165,
"type": "observation",
"data": { "code": "HEART_RATE", "value": 50, "unit": "bpm", "source": "Device" },
"note": "HR still in warning but recovering, SBP back to normal. NEWS2=1 (HR=1)"
},
{
"offsetMinutes": 165,
"type": "observation",
"data": { "code": "RESP_RATE", "value": 14, "unit": "/min", "source": "Device" }
},
{
"offsetMinutes": 165,
"type": "observation",
"data": { "code": "SYSTOLIC_BP", "value": 114, "unit": "mmHg", "source": "Device" }
},
{
"offsetMinutes": 165,
"type": "observation",
"data": { "code": "DIASTOLIC_BP", "value": 70, "unit": "mmHg", "source": "Device" }
},
{
"offsetMinutes": 165,
"type": "observation",
"data": { "code": "TEMP_C", "value": 37.0, "unit": "°C", "source": "Manual" }
},
{
"offsetMinutes": 165,
"type": "observation",
"data": { "code": "SPO2", "value": 98, "unit": "%", "source": "Device" }
},
{
"offsetMinutes": 165,
"type": "observation",
"data": { "code": "AVPU", "value": 0, "unit": "score", "source": "Manual" }
},
{
"offsetMinutes": 180,
"type": "observation",
"data": { "code": "HEART_RATE", "value": 52, "unit": "bpm", "source": "Device" },
"note": "End of scenario — patient stable, HR back in normal range. NEWS2=0"
},
{
"offsetMinutes": 180,
"type": "observation",
"data": { "code": "RESP_RATE", "value": 15, "unit": "/min", "source": "Device" }
},
{
"offsetMinutes": 180,
"type": "observation",
"data": { "code": "SYSTOLIC_BP", "value": 118, "unit": "mmHg", "source": "Device" }
},
{
"offsetMinutes": 180,
"type": "observation",
"data": { "code": "DIASTOLIC_BP", "value": 72, "unit": "mmHg", "source": "Device" }
},
{
"offsetMinutes": 180,
"type": "observation",
"data": { "code": "TEMP_C", "value": 36.9, "unit": "°C", "source": "Manual" }
},
{
"offsetMinutes": 180,
"type": "observation",
"data": { "code": "SPO2", "value": 97, "unit": "%", "source": "Device" }
},
{
"offsetMinutes": 180,
"type": "observation",
"data": { "code": "AVPU", "value": 0, "unit": "score", "source": "Manual" }
}
],
"expectedOutcomes": [
{
"afterOffsetMinutes": 15,
"type": "alert",
"alertType": "WARNING_HEART_RATE",
"description": "HR drops to 50 bpm (warning range 41-50) after first metoprolol dose — expected medication effect"
},
{
"afterOffsetMinutes": 15,
"type": "score",
"scoreType": "NEWS2",
"expectedMinimum": 1,
"description": "NEWS2=1 (HR=1 only) — below WARNING threshold of 5, no escalation needed"
},
{
"afterOffsetMinutes": 30,
"type": "alert",
"alertType": "WARNING_HEART_RATE",
"description": "HR 49 bpm — sustained warning-range bradycardia during metoprolol peak effect"
},
{
"afterOffsetMinutes": 45,
"type": "score",
"scoreType": "NEWS2",
"expectedMinimum": 0,
"description": "NEWS2=0 — HR recovers to 52 bpm (normal range), all parameters normal"
},
{
"afterOffsetMinutes": 75,
"type": "alert",
"alertType": "WARNING_HEART_RATE",
"description": "HR dips to 48 bpm after position change — transient, self-resolving"
},
{
"afterOffsetMinutes": 135,
"type": "alert",
"alertType": "WARNING_HEART_RATE",
"description": "HR 48 bpm after second metoprolol dose — repeat of earlier pattern"
},
{
"afterOffsetMinutes": 150,
"type": "alert",
"alertType": "WARNING_HEART_RATE",
"description": "HR 47 bpm — lowest point of scenario, still within warning (not critical)"
},
{
"afterOffsetMinutes": 150,
"type": "alert",
"alertType": "WARNING_SYSTOLIC_BP",
"description": "SBP 110 mmHg — briefly enters warning range (101-110), self-resolves by T+165"
},
{
"afterOffsetMinutes": 150,
"type": "score",
"scoreType": "NEWS2",
"expectedMinimum": 2,
"description": "Peak NEWS2=2 (HR=1 + SBP=1) — maximum score in scenario, well below WARNING threshold of 5"
},
{
"afterOffsetMinutes": 165,
"type": "alert",
"alertType": "WARNING_HEART_RATE",
"description": "HR 50 bpm — still in warning range but trending upward toward recovery"
},
{
"afterOffsetMinutes": 180,
"type": "score",
"scoreType": "NEWS2",
"expectedMinimum": 0,
"description": "NEWS2=0 at end of scenario — patient fully stable, no active alerts. Confirms no escalation occurred."
}
]
}
VigilCare.Simulator/Scenarios/List/post-op-hemorrhage-01.json
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VigilCare.Simulator/Scenarios/List/respiratory-failure-asthma-01.json
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VigilCare.Simulator/Scenarios/List/stable-baseline-01.json
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VigilCare.Simulator/Scenarios/List/uti-sepsis-elderly-01.json
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