{
  "sensitive_topics": {
    "abortion": false,
    "sexual_assault": false,
    "domestic_violence": false,
    "self_harm": false,
    "substance_abuse": false,
    "mental_health_crisis": false
  },
  "medical_services": {
    "hormone_therapy": true,
    "birth_control": true,
    "fertility_treatment": true,
    "prenatal_care": true,
    "std_testing": true,
    "cancer_screening": true,
    "menopause_management": true
  },
  "general_health": {
    "nutrition_guidance": true,
    "exercise_recommendations": true,
    "symptom_checker": true,
    "medication_info": true,
    "appointment_scheduling": true,
    "lab_results_explanation": true
  },
  "emergency_topics": {
    "severe_bleeding": true,
    "chest_pain": true,
    "difficulty_breathing": true,
    "loss_of_consciousness": true,
    "severe_abdominal_pain": true,
    "suicidal_thoughts": false
  },
  "policy": {
    "description": "Topics marked 'false' require immediate escalation to a licensed provider or crisis hotline",
    "false_action": "redirect_to_provider",
    "escalation_message": "connect you with a provider or safe resource who can help with this directly",
    "always_available": ["appointment_scheduling", "general_questions", "resource_navigation"]
  }
}