Rebuild CCS case workflow
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@@ -1,25 +1,25 @@
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{
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"orders": [
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{ "code": "iv_access", "canonicalName": "Peripheral intravenous access", "category": "procedure", "aliases": ["iv", "intravenous line"], "defaultTurnaroundMinutes": 0, "availableLocations": ["emergency_department", "icu"] },
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{ "code": "cardiac_monitor", "canonicalName": "Continuous cardiac monitoring", "category": "monitoring", "aliases": ["telemetry", "cardiac monitor"], "defaultTurnaroundMinutes": 0, "availableLocations": ["emergency_department", "icu"] },
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{ "code": "pulse_oximetry", "canonicalName": "Continuous pulse oximetry", "category": "monitoring", "aliases": ["pulse ox", "oxygen saturation"], "defaultTurnaroundMinutes": 0, "availableLocations": ["emergency_department", "icu"] },
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{ "code": "normal_saline_bolus", "canonicalName": "0.9% sodium chloride intravenous bolus", "category": "medication", "aliases": ["normal saline", "isotonic saline", "fluid bolus"], "defaultTurnaroundMinutes": 0, "availableLocations": ["emergency_department", "icu"] },
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{ "code": "balanced_crystalloid_bolus", "canonicalName": "Balanced crystalloid intravenous bolus", "category": "medication", "aliases": ["lactated ringers", "ringer lactate", "iv fluids"], "defaultTurnaroundMinutes": 0, "availableLocations": ["emergency_department", "icu"] },
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{ "code": "bmp", "canonicalName": "Basic metabolic panel", "category": "laboratory", "aliases": ["electrolytes", "chemistry", "potassium", "creatinine"], "defaultTurnaroundMinutes": 12, "availableLocations": ["emergency_department", "icu", "ward"] },
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{ "code": "venous_blood_gas", "canonicalName": "Venous blood gas", "category": "laboratory", "aliases": ["vbg", "venous ph"], "defaultTurnaroundMinutes": 8, "availableLocations": ["emergency_department", "icu"] },
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{ "code": "beta_hydroxybutyrate", "canonicalName": "Serum beta-hydroxybutyrate", "category": "laboratory", "aliases": ["ketones", "serum ketones", "bohb"], "defaultTurnaroundMinutes": 15, "availableLocations": ["emergency_department", "icu", "ward"] },
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{ "code": "cbc", "canonicalName": "Complete blood count", "category": "laboratory", "aliases": ["cbc", "blood count"], "defaultTurnaroundMinutes": 12, "availableLocations": [] },
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{ "code": "urinalysis", "canonicalName": "Urinalysis", "category": "laboratory", "aliases": ["urine test", "ua"], "defaultTurnaroundMinutes": 15, "availableLocations": [] },
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{ "code": "pregnancy_test", "canonicalName": "Serum beta-hCG pregnancy test", "category": "laboratory", "aliases": ["pregnancy test", "hcg"], "defaultTurnaroundMinutes": 15, "availableLocations": [] },
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{ "code": "ecg", "canonicalName": "12-lead electrocardiogram", "category": "diagnostic", "aliases": ["ekg", "electrocardiogram"], "defaultTurnaroundMinutes": 10, "availableLocations": ["emergency_department", "icu", "ward"] },
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{ "code": "insulin_infusion", "canonicalName": "Regular insulin intravenous infusion", "category": "medication", "aliases": ["insulin drip", "iv insulin", "regular insulin"], "defaultTurnaroundMinutes": 0, "availableLocations": ["emergency_department", "icu"] },
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{ "code": "potassium_chloride_iv", "canonicalName": "Potassium chloride added to intravenous fluid", "category": "medication", "aliases": ["potassium replacement", "kcl", "replace potassium"], "defaultTurnaroundMinutes": 0, "availableLocations": ["emergency_department", "icu"] },
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{ "code": "dextrose_half_normal_saline", "canonicalName": "Dextrose 5% in 0.45% sodium chloride", "category": "medication", "aliases": ["d5 half normal", "dextrose fluid", "d5 0.45 saline"], "defaultTurnaroundMinutes": 0, "availableLocations": ["emergency_department", "icu"] },
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{ "code": "sodium_bicarbonate_iv", "canonicalName": "Intravenous sodium bicarbonate", "category": "medication", "aliases": ["bicarbonate", "bicarb"], "defaultTurnaroundMinutes": 0, "availableLocations": ["emergency_department", "icu"] },
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{ "code": "ceftriaxone", "canonicalName": "Intravenous ceftriaxone", "category": "medication", "aliases": ["rocephin", "antibiotic"], "defaultTurnaroundMinutes": 0, "availableLocations": [] },
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{ "code": "serial_bmp", "canonicalName": "Basic metabolic panel every 4 hours", "category": "laboratory", "aliases": ["repeat electrolytes", "serial chemistry", "monitor potassium"], "defaultTurnaroundMinutes": 0, "availableLocations": ["emergency_department", "icu"] },
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{ "code": "hourly_glucose", "canonicalName": "Capillary glucose every hour", "category": "monitoring", "aliases": ["hourly glucose", "fingerstick glucose", "poc glucose"], "defaultTurnaroundMinutes": 0, "availableLocations": ["emergency_department", "icu"] },
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{ "code": "icu_admission", "canonicalName": "Admit to intensive care unit", "category": "disposition", "aliases": ["icu", "intensive care admission"], "defaultTurnaroundMinutes": 0, "availableLocations": ["emergency_department"] }
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{ "code": "iv_access", "canonicalName": "Peripheral intravenous access", "category": "procedure", "aliases": ["iv", "intravenous line"], "defaultTurnaroundMinutes": 0, "availableLocations": ["emergency_department", "icu"], "displayRoute": "Peripheral IV", "displayFrequency": "Once", "resultSection": "treatment" },
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{ "code": "cardiac_monitor", "canonicalName": "Continuous cardiac monitoring", "category": "monitoring", "aliases": ["telemetry", "cardiac monitor"], "defaultTurnaroundMinutes": 0, "availableLocations": ["emergency_department", "icu"], "displayRoute": "", "displayFrequency": "Continuous", "resultSection": "treatment" },
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{ "code": "pulse_oximetry", "canonicalName": "Continuous pulse oximetry", "category": "monitoring", "aliases": ["pulse ox", "oxygen saturation"], "defaultTurnaroundMinutes": 0, "availableLocations": ["emergency_department", "icu"], "displayRoute": "", "displayFrequency": "Continuous", "resultSection": "treatment" },
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{ "code": "normal_saline_bolus", "canonicalName": "0.9% sodium chloride intravenous bolus", "category": "medication", "aliases": ["normal saline", "isotonic saline", "fluid bolus"], "defaultTurnaroundMinutes": 0, "availableLocations": ["emergency_department", "icu"], "displayRoute": "IV", "displayFrequency": "Bolus", "resultSection": "treatment" },
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{ "code": "balanced_crystalloid_bolus", "canonicalName": "Balanced crystalloid intravenous bolus", "category": "medication", "aliases": ["lactated ringers", "ringer lactate", "iv fluids"], "defaultTurnaroundMinutes": 0, "availableLocations": ["emergency_department", "icu"], "displayRoute": "IV", "displayFrequency": "Bolus", "resultSection": "treatment" },
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{ "code": "bmp", "canonicalName": "Basic metabolic panel", "category": "laboratory", "aliases": ["electrolytes", "chemistry", "potassium", "creatinine"], "defaultTurnaroundMinutes": 12, "availableLocations": ["emergency_department", "icu", "ward"], "displayRoute": "Blood", "displayFrequency": "Once", "resultSection": "lab" },
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{ "code": "venous_blood_gas", "canonicalName": "Venous blood gas", "category": "laboratory", "aliases": ["vbg", "venous ph"], "defaultTurnaroundMinutes": 8, "availableLocations": ["emergency_department", "icu"], "displayRoute": "Venous blood", "displayFrequency": "Once", "resultSection": "lab" },
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{ "code": "beta_hydroxybutyrate", "canonicalName": "Serum beta-hydroxybutyrate", "category": "laboratory", "aliases": ["ketones", "serum ketones", "bohb"], "defaultTurnaroundMinutes": 15, "availableLocations": ["emergency_department", "icu", "ward"], "displayRoute": "Blood", "displayFrequency": "Once", "resultSection": "lab" },
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{ "code": "cbc", "canonicalName": "Complete blood count", "category": "laboratory", "aliases": ["cbc", "blood count"], "defaultTurnaroundMinutes": 12, "availableLocations": [], "displayRoute": "Blood", "displayFrequency": "Once", "resultSection": "lab" },
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{ "code": "urinalysis", "canonicalName": "Urinalysis", "category": "laboratory", "aliases": ["urine test", "ua"], "defaultTurnaroundMinutes": 15, "availableLocations": [], "displayRoute": "Urine", "displayFrequency": "Once", "resultSection": "lab" },
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{ "code": "pregnancy_test", "canonicalName": "Serum beta-hCG pregnancy test", "category": "laboratory", "aliases": ["pregnancy test", "hcg"], "defaultTurnaroundMinutes": 15, "availableLocations": [], "displayRoute": "Blood", "displayFrequency": "Once", "resultSection": "lab" },
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{ "code": "ecg", "canonicalName": "12-lead electrocardiogram", "category": "diagnostic", "aliases": ["ekg", "electrocardiogram"], "defaultTurnaroundMinutes": 10, "availableLocations": ["emergency_department", "icu", "ward"], "displayRoute": "", "displayFrequency": "Once", "resultSection": "other_test" },
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{ "code": "insulin_infusion", "canonicalName": "Regular insulin intravenous infusion", "category": "medication", "aliases": ["insulin drip", "iv insulin", "regular insulin"], "defaultTurnaroundMinutes": 0, "availableLocations": ["emergency_department", "icu"], "displayRoute": "IV", "displayFrequency": "Continuous", "resultSection": "treatment" },
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{ "code": "potassium_chloride_iv", "canonicalName": "Potassium chloride added to intravenous fluid", "category": "medication", "aliases": ["potassium replacement", "kcl", "replace potassium"], "defaultTurnaroundMinutes": 0, "availableLocations": ["emergency_department", "icu"], "displayRoute": "IV", "displayFrequency": "Continuous", "resultSection": "treatment" },
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{ "code": "dextrose_half_normal_saline", "canonicalName": "Dextrose 5% in 0.45% sodium chloride", "category": "medication", "aliases": ["d5 half normal", "dextrose fluid", "d5 0.45 saline"], "defaultTurnaroundMinutes": 0, "availableLocations": ["emergency_department", "icu"], "displayRoute": "IV", "displayFrequency": "Continuous", "resultSection": "treatment" },
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{ "code": "sodium_bicarbonate_iv", "canonicalName": "Intravenous sodium bicarbonate", "category": "medication", "aliases": ["bicarbonate", "bicarb"], "defaultTurnaroundMinutes": 0, "availableLocations": ["emergency_department", "icu"], "displayRoute": "IV", "displayFrequency": "Once", "resultSection": "treatment" },
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{ "code": "ceftriaxone", "canonicalName": "Intravenous ceftriaxone", "category": "medication", "aliases": ["rocephin", "antibiotic"], "defaultTurnaroundMinutes": 0, "availableLocations": [], "displayRoute": "IV", "displayFrequency": "Once", "resultSection": "treatment" },
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{ "code": "serial_bmp", "canonicalName": "Basic metabolic panel every 4 hours", "category": "laboratory", "aliases": ["repeat electrolytes", "serial chemistry", "monitor potassium"], "defaultTurnaroundMinutes": 0, "availableLocations": ["emergency_department", "icu"], "displayRoute": "Blood", "displayFrequency": "Every 4 hours", "resultSection": "lab" },
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{ "code": "hourly_glucose", "canonicalName": "Capillary glucose every hour", "category": "monitoring", "aliases": ["hourly glucose", "fingerstick glucose", "poc glucose"], "defaultTurnaroundMinutes": 0, "availableLocations": ["emergency_department", "icu"], "displayRoute": "Capillary", "displayFrequency": "Every hour", "resultSection": "treatment" },
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{ "code": "icu_admission", "canonicalName": "Admit to intensive care unit", "category": "disposition", "aliases": ["icu", "intensive care admission"], "defaultTurnaroundMinutes": 0, "availableLocations": ["emergency_department"], "displayRoute": "", "displayFrequency": "Once", "resultSection": "treatment" }
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],
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"cases": [
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{
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@@ -36,7 +36,14 @@
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"reasonForEncounter": "Two days of vomiting, abdominal discomfort, and progressive lethargy after stopping insulin when oral intake declined.",
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"appearance": "She is lethargic but arousable. Mucous membranes are dry, and respirations are deep and rapid.",
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"history": "She uses basal-bolus insulin and has no known kidney disease. She reports no dysuria, cough, diarrhea, alcohol use, or pregnancy symptoms. She has taken no insulin for approximately 36 hours.",
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"vitals": { "temperature": "37.3 C (99.1 F)", "bloodPressure": "88/56 mm Hg", "pulse": "118/min", "respirations": "28/min", "oxygenSaturation": "98% on room air" },
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"historySections": [
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{ "code": "hpi", "title": "History of present illness", "text": "Two days of vomiting, abdominal discomfort, and progressive lethargy followed reduced oral intake. She stopped all insulin approximately 36 hours ago." },
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{ "code": "past_medical_history", "title": "Past medical history", "text": "Type 1 diabetes mellitus treated with a basal-bolus insulin regimen. No known kidney disease." },
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{ "code": "medications", "title": "Medications", "text": "Basal and mealtime insulin; no doses for approximately 36 hours." },
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{ "code": "allergies", "title": "Allergies", "text": "No known drug allergies." },
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{ "code": "review_of_systems", "title": "Review of systems", "text": "No dysuria, cough, diarrhea, alcohol use, or pregnancy symptoms." }
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],
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"vitals": { "temperature": "37.3 C (99.1 F)", "bloodPressure": "88/56 mm Hg", "pulse": "118/min", "respirations": "28/min", "oxygenSaturation": "98% on room air", "height": "165 cm (65 in)", "weight": "62 kg (137 lb)", "bmi": "22.8 kg/m²" },
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"simulatedStartUtc": "2026-07-15T08:00:00Z",
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"initialOrderCodes": []
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},
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