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| "partial_pressure_of_oxygen_mmhg": null, |
| "partial_pressure_of_carbon_dioxide_mmhg": null, |
| "oxygen_saturation": null, |
| "bicarbonate_meq_per_l": null, |
| "lactate_mg_per_dl": null, |
| "base_excess_meq_per_l": null, |
| "base_deficit_meq_per_l": null |
| }, |
| "cbc_result": { |
| "hemoglobin_g_per_dl": null, |
| "hematocrit_fraction": null, |
| "white_blood_cell_count_per_u_l": null, |
| "platelet_count_per_u_l": null, |
| "red_blood_cell_count_per_u_l": null |
| }, |
| "bmp_result": { |
| "sodium_mmol_per_l": null, |
| "potassium_mmol_per_l": null, |
| "calcium_mmol_per_l": null, |
| "creatinine_mg_per_dl": null, |
| "glucose_mg_per_dl": null |
| }, |
| "pending_diagnostics": {}, |
| "active_infusions": {}, |
| "active_hemorrhages": {}, |
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| "tool_result": null, |
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| "done": false, |
| "metadata": {} |
| }, |
| "tool_result": { |
| "tool_name": "advance_time", |
| "success": true, |
| "message": "Advanced simulation by 30 seconds.", |
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| "sim_time_s", |
| "heart_rate_bpm", |
| "systolic_bp_mmhg", |
| "diastolic_bp_mmhg", |
| "spo2", |
| "respiration_rate_bpm" |
| ] |
| }, |
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| }, |
| { |
| "step_index": 7, |
| "action": { |
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| "arguments": { |
| "seconds": 30 |
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| "reasoning": null |
| }, |
| "reward": 0.16, |
| "done": false, |
| "observation": { |
| "scenario_id": "baseline_stable", |
| "patient_id": "standard_male", |
| "sim_time_s": 150.0, |
| "heart_rate_bpm": 74.5, |
| "systolic_bp_mmhg": 111.5, |
| "diastolic_bp_mmhg": 72.50000000000001, |
| "mean_arterial_pressure_mmhg": null, |
| "cardiac_output_l_per_min": null, |
| "spo2": 0.964, |
| "respiration_rate_bpm": 12.999999999999996, |
| "blood_volume_ml": 5489.0, |
| "mental_status": "alert", |
| "active_alerts": [], |
| "etco2_mmhg": null, |
| "tidal_volume_ml": null, |
| "breath_sounds": "present bilateral", |
| "core_temperature_c": null, |
| "shock_index": null, |
| "lactate_trend": "stable", |
| "position": "supine", |
| "oxygen_device": null, |
| "oxygen_flow_lpm": null, |
| "airway_support": null, |
| "intubated": false, |
| "abg_result": { |
| "ph": null, |
| "partial_pressure_of_oxygen_mmhg": null, |
| "partial_pressure_of_carbon_dioxide_mmhg": null, |
| "oxygen_saturation": null, |
| "bicarbonate_meq_per_l": null, |
| "lactate_mg_per_dl": null, |
| "base_excess_meq_per_l": null, |
| "base_deficit_meq_per_l": null |
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| "hemoglobin_g_per_dl": null, |
| "hematocrit_fraction": null, |
| "white_blood_cell_count_per_u_l": null, |
| "platelet_count_per_u_l": null, |
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| "bmp_result": { |
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| "potassium_mmol_per_l": null, |
| "calcium_mmol_per_l": null, |
| "creatinine_mg_per_dl": null, |
| "glucose_mg_per_dl": null |
| }, |
| "pending_diagnostics": {}, |
| "active_infusions": {}, |
| "active_hemorrhages": {}, |
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| "done": false, |
| "metadata": {} |
| }, |
| "tool_result": { |
| "tool_name": "advance_time", |
| "success": true, |
| "message": "Advanced simulation by 30 seconds.", |
| "state_changed": true, |
| "changed_fields": [ |
| "sim_time_s", |
| "heart_rate_bpm", |
| "systolic_bp_mmhg", |
| "diastolic_bp_mmhg", |
| "spo2", |
| "respiration_rate_bpm" |
| ] |
| }, |
| "error": null |
| } |
| ] |
| } |
