data/example_cache/ahmed.json

{
  "product_name": "Dental SOAP",
  "artifact_label": "Dentist Visit Handoff",
  "patient_name": "Ahmed (de-identified)",
  "patient_age": 38,
  "chief_concern": "Bite, jaw/TMJ, and sinus pain after extraction, root canal, and crown work",
  "concise_summary": "In March I had an upper molar extracted with an immediate sinus repair, plus a root canal and a new crown on the opposite side.",
  "timeline": [
    "Reported duration: Three months, evolving since March.",
    "In March I had an upper molar extracted with an immediate sinus repair, plus a root canal and a new crown on the opposite side.",
    "The crown felt high from day one, the molar behind it was adjusted five times, and my bite still feels wrong.",
    "In mid-May the crown was removed to let things settle, and that tooth is still uncovered.",
    "Since then I chew with a bruised feeling and get jaw/TMJ soreness that spreads toward the temple and ear, worst in the morning."
  ],
  "current_symptoms": [
    "Pain score reported as 6/10.",
    "Pain or bruised feeling with biting/chewing.",
    "Hot/cold sensitivity reported.",
    "Jaw/TMJ limitation or locking concern reported."
  ],
  "dental_history": [
    "Area: Upper molars, both sides; the crown side is upper left",
    "Recent dental work: Extraction with sinus repair, root canal, crown placement, five bite adjustments, crown removed mid-May"
  ],
  "medical_safety_notes": [
    "Medications/supplements to verify: Antibiotic course and a nasal spray for the sinus infection (started this week)"
  ],
  "patient_goals": [
    "Find out whether the bite, the uncovered tooth, the jaw muscles, or the sinus is driving the pain — and what must happen before a new crown",
    "Leave the visit understanding what the dentist checked.",
    "Know what to monitor after the visit and when to seek urgent care."
  ],
  "dentist_questions": [
    "Which tooth or area should we prioritize examining first based on my history?",
    "What findings on exam or imaging would help separate tooth, crown, bite, and jaw-muscle causes?",
    "What should I track after today's visit so we can tell whether symptoms are improving?",
    "Can you check the crown margin, contacts, cement seal, and whether the bite is high?",
    "Should this tooth have an endodontic reassessment, and what records or X-rays would help?",
    "Can you check the bite with articulating paper and compare both sides of contact?",
    "Could jaw muscles or the TMJ be contributing, and do I need referral or conservative jaw care?",
    "Could my sinus symptoms and tooth symptoms be related, and how would we tell which is driving which?"
  ],
  "after_visit_tracker": [
    "What was examined: tooth/area, bite, crown margin, gums, TMJ, imaging reviewed.",
    "What changed today: adjustment, medication advice, referral, imaging request, or watchful waiting.",
    "Pain score before/after visit and whether biting, temperature, or jaw symptoms changed.",
    "Next step, owner, and follow-up date."
  ],
  "bring_checklist": [
    "Your medication list with doses (or the boxes themselves): Antibiotic course and a nasal spray for the sinus infection (started this week).",
    "The actual imaging files (X-ray/CBCT) on USB or your phone — the files, not just the written report.",
    "Dates of recent dental procedures and the treating clinic's contact details.",
    "A short pain log: when it hurts, what triggers it, what helps, and a 0-10 score per day.",
    "This handoff, printed or on your phone."
  ],
  "evidence": [
    {
      "source": "free_text",
      "quote": "In March I had an upper molar extracted with an immediate sinus repair, plus a root canal and a new crown on the opposite side. The crown felt high from day one, the molar behind it was adjusted five times, and my bite still feels wrong. In mid-May the crown w"
    }
  ],
  "red_flags": [
    {
      "rule_id": "repeated_adjustments_without_relief",
      "title": "Repeated bite adjustments without lasting relief",
      "tier": "dentist_discussion",
      "patient_message": "When the same tooth needs repeated bite adjustments and still does not feel right, ask your dentist whether the bite itself could be shifting — for example from jaw-muscle or TMJ involvement — rather than one spot being high.",
      "clinician_question": "Please consider occlusal re-evaluation for a shifting bite, including jaw-muscle or TMJ compensation and whether stabilization should precede further irreversible adjustment.",
      "evidence": [
        {
          "source": "free_text",
          "quote": ". The crown felt high from day one, the molar behind it was adjusted five times, and my bite still feels wrong. In mid-May the crown was removed to let things "
        }
      ]
    }
  ],
  "limitations": [
    "This is not a diagnosis.",
    "This does not interpret X-rays, CBCT, photos, or scans.",
    "This organizes patient-reported history to bring to a licensed dentist."
  ]
}