zen/test-data/graphs/clinical-lab-result-interpreter.json

{
  "tests": [
    {
      "input": {
        "testResults": [
          {
            "testType": "glucose",
            "value": 260,
            "date": "2025-03-15"
          },
          {
            "testType": "potassium",
            "value": 3.2,
            "date": "2025-03-15"
          },
          {
            "testType": "hemoglobin",
            "value": 10.2,
            "date": "2025-03-15"
          },
          {
            "testType": "creatinine",
            "value": 1.7,
            "date": "2025-03-15"
          }
        ],
        "patientHistory": {
          "conditions": [
            "diabetes",
            "hypertension"
          ],
          "medications": [
            "metformin",
            "lisinopril",
            "atorvastatin"
          ],
          "allergies": [
            "penicillin"
          ]
        }
      },
      "output": {
        "followUp": {
          "actionRequired": "Immediate provider notification required",
          "timeframe": "24 hours"
        },
        "patientHistory": {
          "allergies": [
            "penicillin"
          ],
          "conditions": [
            "diabetes",
            "hypertension"
          ],
          "medications": [
            "metformin",
            "lisinopril",
            "atorvastatin"
          ]
        },
        "riskAssessment": {
          "clinicalRecommendation": "Schedule follow-up within 48 hours; consider insulin adjustment",
          "level": "high-risk"
        },
        "testResults": [
          {
            "condition": "Hyperglycemia",
            "date": "2025-03-15",
            "flag": "abnormal",
            "recommendation": "Monitor closely; adjust diabetes management if applicable",
            "testType": "glucose",
            "value": 260
          },
          {
            "condition": "Hypokalemia",
            "date": "2025-03-15",
            "flag": "critical",
            "recommendation": "Urgent electrolyte replacement; ECG monitoring required",
            "testType": "potassium",
            "value": 3.2
          },
          {
            "date": "2025-03-15",
            "testType": "hemoglobin",
            "value": 10.2
          },
          {
            "condition": "Elevated Creatinine",
            "date": "2025-03-15",
            "flag": "abnormal",
            "recommendation": "Evaluate kidney function; adjust medication dosages as needed",
            "testType": "creatinine",
            "value": 1.7
          }
        ],
        "urgencyLevel": "urgent"
      }
    }
  ],
  "nodes": [
    {
      "type": "inputNode",
      "content": {
        "schema": ""
      },
      "id": "ip1",
      "name": "labResults",
      "position": {
        "x": 110,
        "y": 114
      }
    },
    {
      "type": "decisionTableNode",
      "content": {
        "hitPolicy": "first",
        "rules": [
          {
            "_id": "r1-1",
            "i1-1": "< 3.5",
            "i1-2": "'potassium'",
            "o1-1": "'critical'",
            "o1-2": "'Hypokalemia'",
            "o1-3": "'Urgent electrolyte replacement; ECG monitoring required'"
          },
          {
            "_id": "r1-2",
            "i1-1": "> 6.0",
            "i1-2": "'potassium'",
            "o1-1": "'critical'",
            "o1-2": "'Hyperkalemia'",
            "o1-3": "'Urgent intervention required; cardiac monitoring advised'"
          },
          {
            "_id": "r1-3",
            "i1-1": "< 8.5",
            "i1-2": "'hemoglobin'",
            "o1-1": "'abnormal'",
            "o1-2": "'Anemia'",
            "o1-3": "'Evaluate for blood loss or chronic disease'"
          },
          {
            "_id": "r1-4",
            "i1-1": "> 18.0",
            "i1-2": "'hemoglobin'",
            "o1-1": "'abnormal'",
            "o1-2": "'Polycythemia'",
            "o1-3": "'Evaluate for underlying conditions'"
          },
          {
            "_id": "r1-5",
            "i1-1": "> 200",
            "i1-2": "'glucose'",
            "o1-1": "'abnormal'",
            "o1-2": "'Hyperglycemia'",
            "o1-3": "'Monitor closely; adjust diabetes management if applicable'"
          },
          {
            "_id": "r1-6",
            "i1-1": "< 70",
            "i1-2": "'glucose'",
            "o1-1": "'critical'",
            "o1-2": "'Hypoglycemia'",
            "o1-3": "'Immediate glucose administration; evaluate medication regimen'"
          },
          {
            "_id": "r1-7",
            "i1-1": "> 1.5",
            "i1-2": "'creatinine'",
            "o1-1": "'abnormal'",
            "o1-2": "'Elevated Creatinine'",
            "o1-3": "'Evaluate kidney function; adjust medication dosages as needed'"
          }
        ],
        "inputs": [
          {
            "id": "i1-1",
            "name": "Value",
            "field": "value"
          },
          {
            "id": "i1-2",
            "name": "Test Type",
            "field": "testType"
          }
        ],
        "outputs": [
          {
            "id": "o1-1",
            "name": "Flag",
            "field": "flag"
          },
          {
            "id": "o1-2",
            "name": "Condition",
            "field": "condition"
          },
          {
            "id": "o1-3",
            "name": "Recommendation",
            "field": "recommendation"
          }
        ],
        "passThrough": true,
        "inputField": "testResults",
        "outputPath": "testResults",
        "executionMode": "loop"
      },
      "id": "dt1",
      "name": "basicLabEvaluation",
      "position": {
        "x": 430,
        "y": 114
      }
    },
    {
      "type": "decisionTableNode",
      "content": {
        "hitPolicy": "first",
        "rules": [
          {
            "_id": "r2-1",
            "i2-1": "'diabetes' in $",
            "i2-2": "some($, # in ['metformin', 'insulin', 'glipizide'])",
            "i2-3": "some(testResults, #.testType == 'glucose' and #.value > 250)",
            "o2-1": "'high-risk'",
            "o2-2": "'Schedule follow-up within 48 hours; consider insulin adjustment'"
          },
          {
            "_id": "r2-2",
            "i2-1": "'heart_failure' in $",
            "i2-2": "some($, # in ['furosemide', 'spironolactone'])",
            "i2-3": "some(testResults, #.testType == 'potassium' and #.value > 3.0)",
            "o2-1": "'high-risk'",
            "o2-2": "'Urgent electrolyte replacement; evaluate diuretic dosage'"
          },
          {
            "_id": "r2-3",
            "i2-1": "'kidney_disease' in $",
            "i2-2": "",
            "i2-3": "some(testResults, #.testType == 'creatinine' and #.value > 2.0)\n",
            "o2-1": "'high-risk'",
            "o2-2": "'Nephrology consult; adjust medication dosages'"
          },
          {
            "_id": "r2-4",
            "i2-1": "",
            "i2-2": "'warfarin' in $",
            "i2-3": "some(testResults, #.testType == 'inr' and #.value > 3.5)",
            "o2-1": "'high-risk'",
            "o2-2": "'Hold next warfarin dose; monitor for bleeding'"
          }
        ],
        "inputs": [
          {
            "id": "i2-1",
            "name": "Condition",
            "field": "patientHistory.conditions"
          },
          {
            "id": "i2-2",
            "name": "Medications",
            "field": "patientHistory.medications"
          },
          {
            "id": "i2-3",
            "name": "Additional condition"
          }
        ],
        "outputs": [
          {
            "id": "o2-1",
            "name": "Risk Level",
            "field": "riskAssessment.level"
          },
          {
            "id": "o2-2",
            "name": "Clinical Recommendation",
            "field": "riskAssessment.clinicalRecommendation"
          }
        ],
        "passThrough": true,
        "inputField": null,
        "outputPath": null,
        "executionMode": "single"
      },
      "id": "dt2",
      "name": "patientContextEvaluation",
      "position": {
        "x": 750,
        "y": 114
      }
    },
    {
      "type": "decisionTableNode",
      "content": {
        "hitPolicy": "first",
        "rules": [
          {
            "_id": "r4-1",
            "i4-1": "some(testResults, #.flag == 'critical')",
            "o4-1": "'urgent'"
          },
          {
            "_id": "r4-2",
            "i4-1": "riskAssessment.level == 'high-risk'",
            "o4-1": "'high'"
          },
          {
            "_id": "r4-3",
            "i4-1": "some(testResults, #.flag == 'abnormal')",
            "o4-1": "'moderate'"
          },
          {
            "_id": "r4-4",
            "i4-1": "",
            "o4-1": "'routine'"
          }
        ],
        "inputs": [
          {
            "id": "i4-1",
            "name": "Condition"
          }
        ],
        "outputs": [
          {
            "id": "o4-1",
            "name": "Urgency Level",
            "field": "urgencyLevel"
          }
        ],
        "passThrough": true,
        "inputField": null,
        "outputPath": null,
        "executionMode": "single"
      },
      "id": "dt4",
      "name": "urgencyAssessment",
      "position": {
        "x": 1070,
        "y": 114
      }
    },
    {
      "type": "decisionTableNode",
      "content": {
        "hitPolicy": "first",
        "rules": [
          {
            "_id": "r3-1",
            "i3-1": "'urgent'",
            "o3-1": "'Immediate provider notification required'",
            "o3-2": "'24 hours'"
          },
          {
            "_id": "r3-2",
            "i3-1": "'high'",
            "o3-1": "'Provider notification recommended'",
            "o3-2": "'72 hours'"
          },
          {
            "_id": "r3-3",
            "i3-1": "'moderate'",
            "o3-1": "'Include in routine provider review'",
            "o3-2": "'1 week'"
          },
          {
            "_id": "r3-4",
            "i3-1": "'routine'",
            "o3-1": "'No immediate action required'",
            "o3-2": "'Next scheduled visit'"
          }
        ],
        "inputs": [
          {
            "id": "i3-1",
            "name": "Urgency",
            "field": "urgencyLevel"
          }
        ],
        "outputs": [
          {
            "id": "o3-1",
            "name": "Action Required",
            "field": "followUp.actionRequired"
          },
          {
            "id": "o3-2",
            "name": "Timeframe",
            "field": "followUp.timeframe"
          }
        ],
        "passThrough": true,
        "inputField": null,
        "outputPath": null,
        "executionMode": "single"
      },
      "id": "dt3",
      "name": "followUpDetermination",
      "position": {
        "x": 1390,
        "y": 114
      }
    }
  ],
  "edges": [
    {
      "id": "ed1",
      "sourceId": "ip1",
      "targetId": "dt1",
      "type": "edge"
    },
    {
      "id": "ed2",
      "sourceId": "dt1",
      "targetId": "dt2",
      "type": "edge"
    },
    {
      "id": "ed3",
      "sourceId": "dt2",
      "targetId": "dt4",
      "type": "edge"
    },
    {
      "id": "ed4",
      "sourceId": "dt4",
      "targetId": "dt3",
      "type": "edge"
    }
  ]
}