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2ac8bdd | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 | from app.models import BodySystem
CLINICAL_PATIENTS = [
{
"patient_id": "PT-001",
"age": 65,
"gender": "M",
"chief_complaint": "Crushing chest pain radiating to left arm",
"history": "Hypertension, Type 2 DM, chronic smoker",
"vitals": {"HR": "110", "BP": "165/95", "RR": "24", "SpO2": "94%", "Temp": "98.6F"},
"true_body_system": BodySystem.CARDIAC,
"true_esi_level": 1,
"true_triage_note": "Patient presents with classic symptoms of acute myocardial infarction (STEMI/NSTEMI). High risk due to cardiac history. Requires immediate EKG, IV access, and continuous cardiac monitoring in a resuscitation bay.",
},
{
"patient_id": "PT-002",
"age": 22,
"gender": "F",
"chief_complaint": "Twisted right ankle during soccer",
"history": "None",
"vitals": {"HR": "85", "BP": "110/70", "RR": "16", "SpO2": "99%", "Temp": "98.8F"},
"true_body_system": BodySystem.MUSCULOSKELETAL,
"true_esi_level": 4,
"true_triage_note": "Patient with isolated right ankle injury. Vitals stable. Pain is 6/10. Requires one resource (X-ray). Can safely wait in the lobby.",
},
{
"patient_id": "PT-003",
"age": 45,
"gender": "F",
"chief_complaint": "Severe right lower quadrant abdominal pain for 12 hours",
"history": "Appendectomy at age 12",
"vitals": {"HR": "105", "BP": "130/80", "RR": "18", "SpO2": "98%", "Temp": "101.4F"},
"true_body_system": BodySystem.GI,
"true_esi_level": 2,
"true_triage_note": "High-risk scenario: acute abdomen with systemic fever and tachycardia. Risk of bowel obstruction, perforation, or pelvic inflammatory disease. Place in acute bed, needs IV, labs, and CT scan.",
},
{
"patient_id": "PT-004",
"age": 8,
"gender": "M",
"chief_complaint": "Wheezing and shortness of breath",
"history": "Asthma",
"vitals": {"HR": "130", "BP": "100/60", "RR": "32", "SpO2": "90%", "Temp": "99.0F"},
"true_body_system": BodySystem.RESPIRATORY,
"true_esi_level": 2,
"true_triage_note": "Pediatric asthma exacerbation with hypoxia (SpO2 90%) and tachypnea. Potential for rapid decompensation. Requires immediate nebulizer treatment, steroids, and continuous oxygen.",
},
{
"patient_id": "PT-005",
"age": 30,
"gender": "M",
"chief_complaint": "Prescription refill for Lisinopril",
"history": "Hypertension",
"vitals": {"HR": "75", "BP": "125/80", "RR": "14", "SpO2": "100%", "Temp": "98.2F"},
"true_body_system": BodySystem.OTHER,
"true_esi_level": 5,
"true_triage_note": "Non-urgent request for medication refill. Vital signs are normal, asymptomatic. Zero resources required from the ED. Send to fast track.",
},
{
"patient_id": "PT-006",
"age": 75,
"gender": "F",
"chief_complaint": "Sudden onset left-sided weakness and slurred speech",
"history": "Atrial fibrillation",
"vitals": {"HR": "88", "BP": "180/100", "RR": "18", "SpO2": "95%", "Temp": "98.4F"},
"true_body_system": BodySystem.NEUROLOGIC,
"true_esi_level": 1,
"true_triage_note": "Acute stroke alert. Sudden onset neurological deficits (FAST positive) and severe hypertension. Requires immediate activation of stroke protocol, STAT head CT, and neurology consult.",
},
{
"patient_id": "PT-007",
"age": 19,
"gender": "M",
"chief_complaint": "Sore throat and mild fever for 3 days",
"history": "None",
"vitals": {"HR": "90", "BP": "115/75", "RR": "16", "SpO2": "99%", "Temp": "100.2F"},
"true_body_system": BodySystem.OTHER,
"true_esi_level": 4,
"true_triage_note": "Suspected pharyngitis or viral URI. Airway is intact, vitals stable. Requires point-of-care rapid strep swab (one resource).",
},
{
"patient_id": "PT-008",
"age": 55,
"gender": "M",
"chief_complaint": "Vomiting dark blood (coffee grounds)",
"history": "Cirrhosis, heavy alcohol use",
"vitals": {"HR": "125", "BP": "85/50", "RR": "22", "SpO2": "96%", "Temp": "97.8F"},
"true_body_system": BodySystem.GI,
"true_esi_level": 1,
"true_triage_note": "Upper GI bleed with hemorrhagic shock (hypotension, marked tachycardia). Imminent threat to life. Move to resuscitation room immediately for massive transfusion protocol and GI consult.",
},
{
"patient_id": "PT-009",
"age": 60,
"gender": "F",
"chief_complaint": "Chronic back pain, worse today",
"history": "Osteoarthritis",
"vitals": {"HR": "80", "BP": "140/90", "RR": "16", "SpO2": "98%", "Temp": "98.6F"},
"true_body_system": BodySystem.MUSCULOSKELETAL,
"true_esi_level": 3,
"true_triage_note": "Exacerbation of chronic back pain. Normal vitals. Requires multiple resources (pain meds, possible plain films, IM injection), but no high-risk features.",
},
{
"patient_id": "PT-010",
"age": 40,
"gender": "F",
"chief_complaint": "Shortness of breath for 1 week, leg swelling",
"history": "Recent long-haul flight",
"vitals": {"HR": "110", "BP": "120/80", "RR": "22", "SpO2": "93%", "Temp": "98.9F"},
"true_body_system": BodySystem.RESPIRATORY,
"true_esi_level": 2,
"true_triage_note": "High risk for Pulmonary Embolism given history of travel, tachycardia, and hypoxemia. Needs immediate workup (CT Angio, D-Dimer, EKG). Room in acute area.",
}
]
try:
from datasets import load_dataset
import random
_MED_DS = list(load_dataset("medical_questions_pairs", split="train", streaming=True).take(50))
for row in _MED_DS:
CLINICAL_PATIENTS.append({
"patient_id": f"PT-HF-{random.randint(1000,9999)}",
"age": random.randint(18, 80),
"gender": random.choice(["M", "F"]),
"chief_complaint": row.get("question_1", "Medical issue"),
"vitals": {"HR": "90", "BP": "120/80", "RR": "16", "SpO2": "98%", "Temp": "98.6F"},
"history": row.get("question_2", "None"),
"true_body_system": BodySystem.OTHER,
"true_esi_level": 4,
"true_triage_note": "Standard triage for generic complaint."
})
except Exception:
pass
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