{
  "card_id": "FEVER-RED-FLAGS-v1",
  "title": "Fever escalation red flags",
  "applies_to": [
    "all ages",
    "field clinic",
    "disaster response"
  ],
  "required_observations": [
    "temperature if available",
    "age or pregnancy status",
    "mental status",
    "neck stiffness report",
    "rash report",
    "hydration observations",
    "available vital signs"
  ],
  "red_flags": [
    "fever with confusion or altered mental status",
    "fever with stiff neck",
    "fever with non-blanching or rapidly spreading rash",
    "fever in a very young infant",
    "fever during pregnancy or postpartum",
    "fever with severe dehydration signs"
  ],
  "escalation_criteria": [
    "Fever plus altered mental status, stiff neck, concerning rash, pregnancy, very young infant status, or severe dehydration signs requires urgent or emergency escalation according to local protocol."
  ],
  "local_actions": [
    "Document measured temperature if available, timing, associated danger signs, hydration observations, and pregnancy or age context.",
    "Keep the person under observation while escalation is arranged if danger signs are present."
  ],
  "forbidden_actions": [
    "Do not diagnose the source of fever.",
    "Do not provide medication or dosing instructions unless a local clinician or protocol explicitly provides them."
  ],
  "safety_boundary": "Prototype protocol navigation card for trained-responder review only. It is not a clinical guideline and cannot diagnose, prescribe, dose, triage autonomously, or override local protocol.",
  "source_note": "Prototype protocol card derived from public guideline concepts. Not a clinical guideline."
}