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Connect graphical CCS interviews to cases

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hz
2026-08-05 20:14:27 -05:00
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docs/CCS_CASE_AUTHORING.md
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@@ -7,6 +7,7 @@ Use `content/ccs/dka-emergency-001.json` as the canonical example. Set `validate
## Case structure
- `initialChart` defines the opening history, appearance, vitals, simulated start, and standing orders. Use ordered `historySections` (`code`, `title`, `text`) for the HPI, medical history, medications, allergies, family/social history, and review of systems. The legacy `history` field remains the fallback.
- `initialInterview` optionally defines the graphical office interview. It contains a `startNodeId` and an acyclic set of dialogue nodes. Each node has stable `id`, authored `patientText`, `isTerminal`, and clinician `choices` with globally unique IDs and valid `nextNodeId` references. Every branch must reach a terminal node.
- `allowedLocations` controls patient movement.
- `exams` defines selectable examination components and their simulated duration.
- Catalog orders may define `displayRoute`, `displayFrequency`, and `resultSection`. These are presentation defaults, not user-entered dosing instructions.
@@ -23,4 +24,6 @@ Valid result sections are `lab`, `imaging`, `other_test`, and `treatment`; progr
New CCS attempts are timed. `realTimeMinutes` is the total wall-clock allowance: the runtime reserves its final two minutes for final orders, so a 20-minute case has 18 minutes of active management plus two minutes of case-end orders. Opening dialogs count against this limit and reconnecting does not pause it.
Graphical interview choices are persisted as attempt actions and support reconnect/resume. They consume real deadline time but do not advance simulated time or contribute directly to scoring. Cases without `initialInterview` remain available in classic CCS and are omitted from CCS Cases 2.
Only the first completed timed attempt for each distinct case contributes to the CCS estimate. Legacy practice attempts remain reviewable but cannot be newly created. The combined provisional prediction uses the latest Day 1 simulation and a separately reported CCS estimate; it is not presented as an official USMLE scoring formula.