data/example_cache/root_canal.json

{
  "product_name": "Dental SOAP",
  "artifact_label": "Dentist Visit Handoff",
  "patient_name": "Sarah (demo)",
  "patient_age": 42,
  "chief_concern": "Severe pain and swelling after root canal",
  "concise_summary": "Four days after a root canal on my lower right molar, I now have severe throbbing pain that wakes me up.",
  "timeline": [
    "Reported duration: Four days, worsening since the procedure.",
    "Four days after a root canal on my lower right molar, I now have severe throbbing pain that wakes me up.",
    "My gum is swollen and there is a pimple on my gum with a bad taste.",
    "I felt feverish last night.",
    "I am not having trouble breathing or swallowing."
  ],
  "current_symptoms": [
    "Pain score reported as 9/10.",
    "Swelling reported.",
    "Fever or feeling unwell reported."
  ],
  "dental_history": [
    "Area: Lower right molar",
    "Recent dental work: Root canal completed four days ago"
  ],
  "medical_safety_notes": [
    "Medications/supplements to verify: Ibuprofen as directed on package",
    "Allergies/adverse reactions to verify: Penicillin allergy - rash"
  ],
  "patient_goals": [
    "Get the swelling and pain assessed urgently and know what needs to happen today",
    "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?",
    "Should this tooth have an endodontic reassessment, and what records or X-rays would help?",
    "What warning signs of spreading infection should send me to urgent care before our next appointment?",
    "Do any of my current medications change what is safe or recommended at this visit?"
  ],
  "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): Ibuprofen as directed on package.",
    "Exact allergy names and the reaction you had: Penicillin allergy - rash.",
    "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": "Four days after a root canal on my lower right molar, I now have severe throbbing pain that wakes me up. My gum is swollen and there is a pimple on my gum with a bad taste. I felt feverish last night. I am not having trouble breathing or swallowing."
    }
  ],
  "red_flags": [
    {
      "rule_id": "facial_swelling_fever_abscess",
      "title": "Swelling or systemic infection signs",
      "tier": "same_day_urgent",
      "patient_message": "Facial or gum swelling, fever, feeling very unwell, or a gum pimple/drainage with dental pain should be evaluated urgently by a dental or medical professional.",
      "clinician_question": "Please assess for acute apical abscess, spreading infection, and systemic involvement.",
      "evidence": [
        {
          "source": "free_text",
          "quote": "en and there is a pimple on my gum with a bad taste. I felt feverish last night. I am not having trouble breathing or swallowing."
        },
        {
          "source": "structured_input",
          "quote": "Checked or inferred from structured intake: facial_or_gum_swelling, fever, malaise, gum_pimple_or_drainage"
        }
      ]
    },
    {
      "rule_id": "severe_uncontrolled_pain",
      "title": "Severe uncontrolled pain",
      "tier": "urgent_dental",
      "patient_message": "Severe dental pain that is worsening, prevents sleep, or is not controlled with usual over-the-counter measures should be assessed urgently by a dentist or urgent dental service.",
      "clinician_question": "Please assess severe pain pattern, thermal sensitivity, percussion/biting pain, and need for urgent dental intervention.",
      "evidence": [
        {
          "source": "free_text",
          "quote": "my lower right molar, I now have severe throbbing pain that wakes me up. My gum is swollen and there is a pimple on my gum with a bad taste. I felt fev"
        },
        {
          "source": "structured_input",
          "quote": "Checked or inferred from structured intake: pain_score_8_or_more, pain_prevents_sleep, severe_pain_not_relieved"
        }
      ]
    },
    {
      "rule_id": "bleeding_or_allergy_medication_prompt",
      "title": "Medication or allergy detail to bring to the visit",
      "tier": "dentist_discussion",
      "patient_message": "Blood thinners, steroid/immunosuppressive medicines, and drug allergies can change dental care. Bring exact medication names, doses, and allergy reactions to the dentist.",
      "clinician_question": "Please review anticoagulants, immunosuppression, steroid use, and drug allergy reaction type before treatment.",
      "evidence": [
        {
          "source": "structured_input",
          "quote": "Checked or inferred from structured intake: drug_allergy"
        }
      ]
    },
    {
      "rule_id": "facial_swelling_with_fever",
      "title": "Facial swelling together with fever",
      "tier": "emergency_or_same_day",
      "patient_message": "Facial or cheek swelling together with fever or feeling unwell can mean a dental infection is spreading through the body. Seek urgent same-day dental or medical care — go to emergency care if the swelling spreads quickly, reaches the eye or neck, or breathing or swallowing becomes difficult.",
      "clinician_question": "Please assess for spreading odontogenic infection with systemic involvement and the need for urgent drainage, antibiotics, or referral.",
      "evidence": [
        {
          "source": "free_text",
          "quote": "en and there is a pimple on my gum with a bad taste. I felt feverish last night. I am not having trouble breathing or swallowing."
        },
        {
          "source": "structured_input",
          "quote": "Checked or inferred from structured intake: facial_or_gum_swelling, fever"
        }
      ]
    }
  ],
  "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."
  ]
}