{
  "symptom_follow_ups": {
    "cramps": {
      "message": "Let me know how you're feeling tomorrow, honey — cramps can change fast.",
      "check_in_hours": 24,
      "escalation_triggers": [
        "severe pain",
        "not improving",
        "getting worse",
        "can't function"
      ],
      "escalation_message": "If the pain gets worse or you can't manage it, let's get you connected with a provider right away, dear.",
      "resource_links": ["pain_management", "emergency_signs"]
    },
    "discharge": {
      "message": "Keep an eye on it, sweetheart. If anything else changes, I'll help you get seen.",
      "check_in_hours": 48,
      "escalation_triggers": [
        "odor",
        "increased",
        "color change",
        "itching",
        "burning"
      ],
      "escalation_message": "Those changes could mean an infection, boo. Let me help you schedule an appointment to get that checked out.",
      "resource_links": ["vaginal_health", "infection_signs"]
    },
    "fatigue": {
      "message": "Be gentle with yourself, honey. Want me to nudge you to rest later?",
      "check_in_hours": 48,
      "escalation_triggers": [
        "extreme tiredness",
        "can't get out of bed",
        "dizzy",
        "fainting"
      ],
      "escalation_message": "That level of exhaustion isn't normal, dear. Let's get you checked for anemia or other causes.",
      "resource_links": ["energy_tips", "anemia_info"]
    },
    "mood": {
      "message": "You're not alone, love — your feelings are valid. I'm here if you need me.",
      "check_in_hours": 24,
      "escalation_triggers": [
        "can't stop crying",
        "hurting myself",
        "suicidal",
        "hopeless",
        "can't function"
      ],
      "escalation_message": "What you're feeling sounds really hard, sweetheart. I want to connect you with someone who can really help — would that be okay?",
      "crisis_hotline": "988",
      "resource_links": ["mental_health_support", "crisis_resources"]
    },
    "missed_period": {
      "message": "Keep track of any symptoms, boo. I can check back with you in a few days.",
      "check_in_hours": 72,
      "escalation_triggers": [
        "two months",
        "pregnant",
        "test positive",
        "severe symptoms"
      ],
      "escalation_message": "Let's get you scheduled with a provider to figure out what's going on, honey.",
      "resource_links": ["pregnancy_testing", "cycle_tracking"]
    },
    "bleeding": {
      "message": "I'll check in with you tomorrow, dear. Heavy bleeding can be concerning.",
      "check_in_hours": 24,
      "escalation_triggers": [
        "soaking through",
        "clots larger than quarter",
        "dizzy",
        "very heavy",
        "hemorrhaging"
      ],
      "escalation_message": "That sounds like heavy bleeding, honey. If you're soaking through pads every hour, you need to be seen right away or go to the ER.",
      "emergency": true,
      "resource_links": ["heavy_bleeding", "emergency_signs"]
    },
    "nausea": {
      "message": "Hope you're feeling better soon, sweetheart. Let me know if it keeps up.",
      "check_in_hours": 48,
      "escalation_triggers": [
        "can't keep food down",
        "dehydrated",
        "vomiting blood",
        "severe"
      ],
      "escalation_message": "If you can't keep anything down, you might need IV fluids, boo. Let's get you seen.",
      "resource_links": ["nausea_relief", "dehydration_signs"]
    },
    "pain": {
      "message": "I'm here if the pain doesn't ease up, dear. Take care of yourself.",
      "check_in_hours": 24,
      "escalation_triggers": [
        "severe",
        "unbearable",
        "sharp pain",
        "sudden pain",
        "emergency"
      ],
      "escalation_message": "Severe pain always needs attention, honey. Let me help you get seen quickly.",
      "emergency_threshold": "severe_or_sudden",
      "resource_links": ["pain_management", "when_to_worry"]
    }
  },
  "appointment_follow_ups": {
    "post_appointment": {
      "message": "Hey honey! How did your appointment go? I'm here if you have any questions about what the provider said.",
      "check_in_hours": 24,
      "suggested_actions": [
        "review_instructions",
        "schedule_follow_up",
        "fill_prescriptions"
      ]
    },
    "test_results_pending": {
      "message": "Just checking in, dear. Have your test results come back yet? I can help you understand them.",
      "check_in_hours": 72,
      "suggested_actions": [
        "check_patient_portal",
        "call_office",
        "schedule_results_discussion"
      ]
    },
    "medication_start": {
      "message": "How are you doing with the new medication, sweetheart? Any side effects I should know about?",
      "check_in_hours": 48,
      "suggested_actions": [
        "track_side_effects",
        "report_concerns",
        "refill_reminder"
      ]
    }
  },
  "general_support": {
    "check_in": {
      "message": "Hey boo, just checking in! How are you feeling today?",
      "check_in_hours": 168,
      "purpose": "wellness_check"
    },
    "resource_sent": {
      "message": "Did those resources I shared help you out, honey? Let me know if you need anything else.",
      "check_in_hours": 48,
      "purpose": "resource_effectiveness"
    },
    "appointment_reminder": {
      "message": "Hey dear! Just a reminder you've got an appointment coming up. Need any help preparing?",
      "check_in_hours": 24,
      "suggested_actions": [
        "write_questions",
        "bring_medications_list",
        "fasting_if_needed"
      ]
    }
  },
  "follow_up_settings": {
    "max_follow_ups": 3,
    "respect_do_not_disturb": true,
    "preferred_contact_hours": {
      "start": "09:00",
      "end": "20:00"
    },
    "timezone": "America/New_York",
    "allow_user_snooze": true,
    "snooze_duration_hours": 12
  }
}