{
"scope": "Educational software trace; no real administration",
"rate_units": {
"Dexmedetomidine": "mcg/kg/hour",
"Ketamine": "mg/kg/hour",
"Lidocaine": "mg/kg/hour"
},
"examples": [
{
"label": "M1",
"fictional": true,
"narrative_metadata": {
"sex": "male",
"height_cm": 180,
"sex_and_height_used_by_model": false
},
"model_inputs": {
"age": 40,
"weight_kg": 80,
"asa_class": 2,
"egfr": 90,
"allergies": [],
"comorbidities": []
},
"lockouts": [],
"starting": {
"Lidocaine": 1.5,
"Ketamine": 0.2,
"Dexmedetomidine": 0.5,
"Ketorolac Adjunct": "No configured lockout; administration is not modeled"
},
"starting_mass_per_hour": {
"Dexmedetomidine_mcg": 40.0,
"Ketamine_mg": 16.0,
"Lidocaine_mg": 120.0
},
"trace": [
{
"step": 1,
"hr": 80,
"map_mmHg": 80,
"rates_before": {
"Lidocaine": 1.5,
"Ketamine": 0.2,
"Dexmedetomidine": 0.5
},
"rates_after": {
"Lidocaine": 1.5,
"Ketamine": 0.2,
"Dexmedetomidine": 0.5
},
"status": "GREEN",
"hold_latched": false,
"Cp_ng_mL": 0.0001736111111111111,
"Ce_ng_mL": 2.8935185185185185e-07,
"events": []
},
{
"step": 2,
"hr": 40,
"map_mmHg": 50,
"rates_before": {
"Lidocaine": 1.5,
"Ketamine": 0.2,
"Dexmedetomidine": 0.5
},
"rates_after": {
"Lidocaine": 0.0,
"Ketamine": 0.2,
"Dexmedetomidine": 0.0
},
"status": "RED",
"hold_latched": true,
"Cp_ng_mL": 0.00034710648148148144,
"Ce_ng_mL": 8.673804012345679e-07,
"events": [
{
"t_sec": 1,
"code": "hr_low",
"status": "RED",
"drugs": [
"Dexmedetomidine"
],
"message": "HR 40 < 48 \u2192 Dexmedetomidine set to zero; hold latched"
},
{
"t_sec": 1,
"code": "map_low",
"status": "RED",
"drugs": [
"Dexmedetomidine",
"Lidocaine"
],
"message": "MAP 50 < 60 \u2192 Dexmedetomidine, Lidocaine set to zero; hold latched"
}
]
},
{
"step": 3,
"hr": 80,
"map_mmHg": 80,
"rates_before": {
"Lidocaine": 0.0,
"Ketamine": 0.2,
"Dexmedetomidine": 0.0
},
"rates_after": {
"Lidocaine": 0.0,
"Ketamine": 0.2,
"Dexmedetomidine": 0.0
},
"status": "HOLD",
"hold_latched": true,
"Cp_ng_mL": 0.0003468750771604938,
"Ce_ng_mL": 1.4440598958333332e-06,
"events": []
}
],
"after_explicit_regeneration": {
"Lidocaine": 0.0,
"Ketamine": 0.0,
"Dexmedetomidine": 0.0,
"Ketorolac Adjunct": "No configured lockout; administration is not modeled"
},
"unsupported_drugs": {
"Propofol": [
false,
"UNASSESSED: no simulation rule for this drug"
],
"Rocuronium": [
false,
"UNASSESSED: no simulation rule for this drug"
],
"Fentanyl": [
false,
"UNASSESSED: no simulation rule for this drug"
]
}
},
{
"label": "F1",
"fictional": true,
"narrative_metadata": {
"sex": "female",
"height_cm": 165,
"sex_and_height_used_by_model": false
},
"model_inputs": {
"age": 40,
"weight_kg": 60,
"asa_class": 2,
"egfr": 90,
"allergies": [],
"comorbidities": []
},
"lockouts": [],
"starting": {
"Lidocaine": 1.5,
"Ketamine": 0.2,
"Dexmedetomidine": 0.5,
"Ketorolac Adjunct": "No configured lockout; administration is not modeled"
},
"starting_mass_per_hour": {
"Dexmedetomidine_mcg": 30.0,
"Ketamine_mg": 12.0,
"Lidocaine_mg": 90.0
},
"trace": [
{
"step": 1,
"hr": 80,
"map_mmHg": 80,
"rates_before": {
"Lidocaine": 1.5,
"Ketamine": 0.2,
"Dexmedetomidine": 0.5
},
"rates_after": {
"Lidocaine": 1.5,
"Ketamine": 0.2,
"Dexmedetomidine": 0.5
},
"status": "GREEN",
"hold_latched": false,
"Cp_ng_mL": 0.00017361111111111112,
"Ce_ng_mL": 2.8935185185185185e-07,
"events": []
},
{
"step": 2,
"hr": 40,
"map_mmHg": 50,
"rates_before": {
"Lidocaine": 1.5,
"Ketamine": 0.2,
"Dexmedetomidine": 0.5
},
"rates_after": {
"Lidocaine": 0.0,
"Ketamine": 0.2,
"Dexmedetomidine": 0.0
},
"status": "RED",
"hold_latched": true,
"Cp_ng_mL": 0.00034710648148148144,
"Ce_ng_mL": 8.673804012345679e-07,
"events": [
{
"t_sec": 1,
"code": "hr_low",
"status": "RED",
"drugs": [
"Dexmedetomidine"
],
"message": "HR 40 < 48 \u2192 Dexmedetomidine set to zero; hold latched"
},
{
"t_sec": 1,
"code": "map_low",
"status": "RED",
"drugs": [
"Dexmedetomidine",
"Lidocaine"
],
"message": "MAP 50 < 60 \u2192 Dexmedetomidine, Lidocaine set to zero; hold latched"
}
]
},
{
"step": 3,
"hr": 80,
"map_mmHg": 80,
"rates_before": {
"Lidocaine": 0.0,
"Ketamine": 0.2,
"Dexmedetomidine": 0.0
},
"rates_after": {
"Lidocaine": 0.0,
"Ketamine": 0.2,
"Dexmedetomidine": 0.0
},
"status": "HOLD",
"hold_latched": true,
"Cp_ng_mL": 0.00034687507716049383,
"Ce_ng_mL": 1.4440598958333332e-06,
"events": []
}
],
"after_explicit_regeneration": {
"Lidocaine": 0.0,
"Ketamine": 0.0,
"Dexmedetomidine": 0.0,
"Ketorolac Adjunct": "No configured lockout; administration is not modeled"
},
"unsupported_drugs": {
"Propofol": [
false,
"UNASSESSED: no simulation rule for this drug"
],
"Rocuronium": [
false,
"UNASSESSED: no simulation rule for this drug"
],
"Fentanyl": [
false,
"UNASSESSED: no simulation rule for this drug"
]
}
},
{
"label": "M2",
"fictional": true,
"narrative_metadata": {
"sex": "male",
"height_cm": 180,
"sex_and_height_used_by_model": false
},
"model_inputs": {
"age": 78,
"weight_kg": 80,
"asa_class": 3,
"egfr": 24,
"allergies": [],
"comorbidities": [
"Heart Block"
]
},
"lockouts": [
"Ketorolac",
"Dexmedetomidine"
],
"starting": {
"Lidocaine": 1.5,
"Ketamine": 0.2,
"Dexmedetomidine": 0.0,
"Ketorolac Adjunct": "LOCKED OUT (CI)"
},
"starting_mass_per_hour": {
"Dexmedetomidine_mcg": 0.0,
"Ketamine_mg": 16.0,
"Lidocaine_mg": 120.0
},
"trace": [
{
"step": 1,
"hr": 80,
"map_mmHg": 80,
"rates_before": {
"Lidocaine": 1.5,
"Ketamine": 0.2,
"Dexmedetomidine": 0.0
},
"rates_after": {
"Lidocaine": 1.5,
"Ketamine": 0.2,
"Dexmedetomidine": 0.0
},
"status": "GREEN",
"hold_latched": false,
"Cp_ng_mL": 0.0,
"Ce_ng_mL": 0.0,
"events": []
},
{
"step": 2,
"hr": 40,
"map_mmHg": 50,
"rates_before": {
"Lidocaine": 1.5,
"Ketamine": 0.2,
"Dexmedetomidine": 0.0
},
"rates_after": {
"Lidocaine": 0.0,
"Ketamine": 0.2,
"Dexmedetomidine": 0.0
},
"status": "RED",
"hold_latched": true,
"Cp_ng_mL": 0.0,
"Ce_ng_mL": 0.0,
"events": [
{
"t_sec": 1,
"code": "hr_low",
"status": "RED",
"drugs": [
"Dexmedetomidine"
],
"message": "HR 40 < 48 \u2192 Dexmedetomidine set to zero; hold latched"
},
{
"t_sec": 1,
"code": "map_low",
"status": "RED",
"drugs": [
"Dexmedetomidine",
"Lidocaine"
],
"message": "MAP 50 < 60 \u2192 Dexmedetomidine, Lidocaine set to zero; hold latched"
}
]
},
{
"step": 3,
"hr": 80,
"map_mmHg": 80,
"rates_before": {
"Lidocaine": 0.0,
"Ketamine": 0.2,
"Dexmedetomidine": 0.0
},
"rates_after": {
"Lidocaine": 0.0,
"Ketamine": 0.2,
"Dexmedetomidine": 0.0
},
"status": "HOLD",
"hold_latched": true,
"Cp_ng_mL": 0.0,
"Ce_ng_mL": 0.0,
"events": []
}
],
"after_explicit_regeneration": {
"Lidocaine": 0.0,
"Ketamine": 0.0,
"Dexmedetomidine": 0.0,
"Ketorolac Adjunct": "LOCKED OUT (CI)"
},
"unsupported_drugs": {
"Propofol": [
false,
"UNASSESSED: no simulation rule for this drug"
],
"Rocuronium": [
false,
"UNASSESSED: no simulation rule for this drug"
],
"Fentanyl": [
false,
"UNASSESSED: no simulation rule for this drug"
]
}
},
{
"label": "F2",
"fictional": true,
"narrative_metadata": {
"sex": "female",
"height_cm": 165,
"sex_and_height_used_by_model": false
},
"model_inputs": {
"age": 78,
"weight_kg": 60,
"asa_class": 3,
"egfr": 24,
"allergies": [],
"comorbidities": [
"Heart Block"
]
},
"lockouts": [
"Ketorolac",
"Dexmedetomidine"
],
"starting": {
"Lidocaine": 1.5,
"Ketamine": 0.2,
"Dexmedetomidine": 0.0,
"Ketorolac Adjunct": "LOCKED OUT (CI)"
},
"starting_mass_per_hour": {
"Dexmedetomidine_mcg": 0.0,
"Ketamine_mg": 12.0,
"Lidocaine_mg": 90.0
},
"trace": [
{
"step": 1,
"hr": 80,
"map_mmHg": 80,
"rates_before": {
"Lidocaine": 1.5,
"Ketamine": 0.2,
"Dexmedetomidine": 0.0
},
"rates_after": {
"Lidocaine": 1.5,
"Ketamine": 0.2,
"Dexmedetomidine": 0.0
},
"status": "GREEN",
"hold_latched": false,
"Cp_ng_mL": 0.0,
"Ce_ng_mL": 0.0,
"events": []
},
{
"step": 2,
"hr": 40,
"map_mmHg": 50,
"rates_before": {
"Lidocaine": 1.5,
"Ketamine": 0.2,
"Dexmedetomidine": 0.0
},
"rates_after": {
"Lidocaine": 0.0,
"Ketamine": 0.2,
"Dexmedetomidine": 0.0
},
"status": "RED",
"hold_latched": true,
"Cp_ng_mL": 0.0,
"Ce_ng_mL": 0.0,
"events": [
{
"t_sec": 1,
"code": "hr_low",
"status": "RED",
"drugs": [
"Dexmedetomidine"
],
"message": "HR 40 < 48 \u2192 Dexmedetomidine set to zero; hold latched"
},
{
"t_sec": 1,
"code": "map_low",
"status": "RED",
"drugs": [
"Dexmedetomidine",
"Lidocaine"
],
"message": "MAP 50 < 60 \u2192 Dexmedetomidine, Lidocaine set to zero; hold latched"
}
]
},
{
"step": 3,
"hr": 80,
"map_mmHg": 80,
"rates_before": {
"Lidocaine": 0.0,
"Ketamine": 0.2,
"Dexmedetomidine": 0.0
},
"rates_after": {
"Lidocaine": 0.0,
"Ketamine": 0.2,
"Dexmedetomidine": 0.0
},
"status": "HOLD",
"hold_latched": true,
"Cp_ng_mL": 0.0,
"Ce_ng_mL": 0.0,
"events": []
}
],
"after_explicit_regeneration": {
"Lidocaine": 0.0,
"Ketamine": 0.0,
"Dexmedetomidine": 0.0,
"Ketorolac Adjunct": "LOCKED OUT (CI)"
},
"unsupported_drugs": {
"Propofol": [
false,
"UNASSESSED: no simulation rule for this drug"
],
"Rocuronium": [
false,
"UNASSESSED: no simulation rule for this drug"
],
"Fentanyl": [
false,
"UNASSESSED: no simulation rule for this drug"
]
}
}
],
"exact_boundary": {
"age": 65,
"egfr": 30,
"hr": 48,
"map_mmHg": 60,
"starting": {
"Lidocaine": 1.5,
"Ketamine": 0.2,
"Dexmedetomidine": 0.5,
"Ketorolac Adjunct": "No configured lockout; administration is not modeled"
},
"status": "GREEN",
"explanation": "Strict comparisons: exact boundary values do not trigger these configured rules; clinical acceptability remains unassessed."
},
"audit_examples": [
{
"label": "acknowledged_release",
"fictional": true,
"ops": [
{
"op": "vitals",
"readings": [
[
80,
80
],
[
80,
55
],
[
80,
80
]
]
},
{
"op": "resume",
"by": "clinician"
},
{
"op": "acknowledge",
"by": "clinician",
"note": "MAP cause reviewed"
},
{
"op": "vitals",
"readings": [
[
80,
80
]
]
},
{
"op": "resume",
"by": "clinician"
},
{
"op": "vitals",
"readings": [
[
80,
80
],
[
80,
80
]
]
}
],
"refusals": [
{
"t_sec": 3,
"op": "resume",
"message": "Acknowledge the hold first: review the cause (MAP 55 < 60), then resume"
}
],
"events": [
{
"t_sec": 1,
"code": "map_low",
"status": "RED",
"drugs": [
"Dexmedetomidine",
"Lidocaine"
],
"message": "MAP 55 < 60 \u2192 Dexmedetomidine, Lidocaine set to zero; hold latched"
},
{
"t_sec": 3,
"code": "hold_acknowledged",
"status": "HOLD",
"drugs": [
"Dexmedetomidine",
"Lidocaine"
],
"message": "Hold #1 acknowledged by clinician (reasons: MAP 55 < 60; held: Dexmedetomidine, Lidocaine); note: MAP cause reviewed"
},
{
"t_sec": 4,
"code": "hold_released",
"status": "HOLD",
"drugs": [
"Dexmedetomidine",
"Lidocaine"
],
"message": "Hold #1 released by clinician (held: Dexmedetomidine, Lidocaine; reasons: MAP 55 < 60) \u2192 held infusions stay at zero; no automatic restart"
}
],
"final": {
"status": "GREEN",
"hold_latched": false,
"infusions": {
"Lidocaine": 0.0,
"Ketamine": 0.2,
"Dexmedetomidine": 0.0
},
"suspended": false,
"hold_reasons": []
}
},
{
"label": "stale_and_consumed_acknowledgment",
"fictional": true,
"ops": [
{
"op": "vitals",
"readings": [
[
80,
80
],
[
46,
80
]
]
},
{
"op": "acknowledge",
"by": "clinician",
"note": ""
},
{
"op": "vitals",
"readings": [
[
80,
55
]
]
},
{
"op": "resume",
"by": "clinician"
},
{
"op": "acknowledge",
"by": "clinician",
"note": ""
},
{
"op": "resume",
"by": "clinician"
},
{
"op": "vitals",
"readings": [
[
80,
80
],
[
46,
80
]
]
},
{
"op": "resume",
"by": "clinician"
}
],
"refusals": [
{
"t_sec": 3,
"op": "resume",
"message": "Acknowledge the hold first: review the cause (HR 46 < 48; MAP 55 < 60), then resume"
},
{
"t_sec": 5,
"op": "resume",
"message": "Acknowledge the hold first: review the cause (HR 46 < 48), then resume"
}
],
"events": [
{
"t_sec": 1,
"code": "hr_low",
"status": "RED",
"drugs": [
"Dexmedetomidine"
],
"message": "HR 46 < 48 \u2192 Dexmedetomidine set to zero; hold latched"
},
{
"t_sec": 2,
"code": "hold_acknowledged",
"status": "RED",
"drugs": [
"Dexmedetomidine"
],
"message": "Hold #1 acknowledged by clinician (reasons: HR 46 < 48; held: Dexmedetomidine)"
},
{
"t_sec": 2,
"code": "map_low",
"status": "RED",
"drugs": [
"Dexmedetomidine",
"Lidocaine"
],
"message": "MAP 55 < 60 \u2192 Dexmedetomidine, Lidocaine set to zero; hold latched"
},
{
"t_sec": 2,
"code": "acknowledgment_invalidated",
"status": "RED",
"drugs": [
"Dexmedetomidine",
"Lidocaine"
],
"message": "Acknowledgment of hold #1 invalidated by a new latch event (reasons: HR 46 < 48; MAP 55 < 60); acknowledge again before release"
},
{
"t_sec": 3,
"code": "hold_acknowledged",
"status": "RED",
"drugs": [
"Dexmedetomidine",
"Lidocaine"
],
"message": "Hold #1 acknowledged by clinician (reasons: HR 46 < 48; MAP 55 < 60; held: Dexmedetomidine, Lidocaine)"
},
{
"t_sec": 3,
"code": "hold_released",
"status": "RED",
"drugs": [
"Dexmedetomidine",
"Lidocaine"
],
"message": "Hold #1 released by clinician (held: Dexmedetomidine, Lidocaine; reasons: HR 46 < 48; MAP 55 < 60) \u2192 held infusions stay at zero; no automatic restart"
},
{
"t_sec": 4,
"code": "hr_low",
"status": "RED",
"drugs": [
"Dexmedetomidine"
],
"message": "HR 46 < 48 \u2192 Dexmedetomidine set to zero; hold latched"
}
],
"final": {
"status": "RED",
"hold_latched": true,
"infusions": {
"Lidocaine": 0.0,
"Ketamine": 0.2,
"Dexmedetomidine": 0.0
},
"suspended": false,
"hold_reasons": [
"HR 46 < 48"
]
}
},
{
"label": "unusable_readings",
"fictional": true,
"ops": [
{
"op": "vitals",
"readings": [
[
80,
80
],
[
null,
80
],
[
80,
80
],
[
350,
80
],
[
80,
80
],
[
80,
81
],
[
30,
80
],
[
80,
80
],
[
80,
40.5
],
[
true,
80
],
[
"80",
80
],
[
80
]
]
}
],
"refusals": [],
"events": [
{
"t_sec": 1,
"code": "sensor_fault",
"status": "RED",
"drugs": [
"Dexmedetomidine",
"Ketamine",
"Lidocaine"
],
"message": "Invalid sensor reading (HR=unusable, MAP=80) \u2192 all controlled infusions set to zero; hold latched"
},
{
"t_sec": 3,
"code": "sensor_fault",
"status": "RED",
"drugs": [
"Dexmedetomidine",
"Ketamine",
"Lidocaine"
],
"message": "HR 350 outside simulation plausibility limits 0\u2013300: unusable \u2192 all controlled infusions set to zero; hold latched"
},
{
"t_sec": 6,
"code": "sensor_fault",
"status": "RED",
"drugs": [
"Dexmedetomidine",
"Ketamine",
"Lidocaine"
],
"message": "HR drop \u221250 /min in 1 s (80 \u2192 30) above the simulation rate-of-change limit 40: unusable \u2192 all controlled infusions set to zero; hold latched"
},
{
"t_sec": 8,
"code": "sensor_fault",
"status": "RED",
"drugs": [
"Dexmedetomidine",
"Ketamine",
"Lidocaine"
],
"message": "MAP drop \u221239.5 mmHg in 1 s (80 \u2192 40.5) above the simulation rate-of-change limit 30: unusable \u2192 all controlled infusions set to zero; hold latched"
},
{
"t_sec": 9,
"code": "sensor_fault",
"status": "RED",
"drugs": [
"Dexmedetomidine",
"Ketamine",
"Lidocaine"
],
"message": "Invalid sensor reading (HR=unusable, MAP=80) \u2192 all controlled infusions set to zero; hold latched"
},
{
"t_sec": 10,
"code": "sensor_fault",
"status": "RED",
"drugs": [
"Dexmedetomidine",
"Ketamine",
"Lidocaine"
],
"message": "Invalid sensor reading (HR=unusable, MAP=80) \u2192 all controlled infusions set to zero; hold latched"
},
{
"t_sec": 11,
"code": "sensor_fault",
"status": "RED",
"drugs": [
"Dexmedetomidine",
"Ketamine",
"Lidocaine"
],
"message": "Invalid sensor reading (HR=unusable, MAP=unusable) \u2192 all controlled infusions set to zero; hold latched"
}
],
"final": {
"status": "RED",
"hold_latched": true,
"infusions": {
"Lidocaine": 0.0,
"Ketamine": 0.0,
"Dexmedetomidine": 0.0
},
"suspended": false,
"hold_reasons": [
"invalid sensor (HR=unusable)",
"implausible HR 350 (limits 0\u2013300)",
"implausible HR jump \u221250 /min in 1 s",
"implausible MAP jump \u221239.5 mmHg in 1 s",
"invalid sensor (HR=unusable, MAP=unusable)"
]
}
},
{
"label": "rate_faults",
"fictional": true,
"ops": [
{
"op": "vitals",
"readings": [
[
80,
80
]
]
},
{
"op": "set_rate",
"drug": "Ketamine",
"rate": 999
},
{
"op": "vitals",
"readings": [
[
80,
80
]
]
},
{
"op": "set_rate",
"drug": "Lidocaine",
"rate": -1
},
{
"op": "vitals",
"readings": [
[
80,
80
],
[
80,
80
]
]
}
],
"refusals": [],
"events": [
{
"t_sec": 1,
"code": "rate_fault",
"status": "RED",
"drugs": [
"Ketamine"
],
"message": "Rate outside simulation ceiling (Ketamine) \u2192 set to zero; hold latched"
},
{
"t_sec": 2,
"code": "rate_fault",
"status": "RED",
"drugs": [
"Lidocaine"
],
"message": "Rate outside simulation ceiling (Lidocaine) \u2192 set to zero; hold latched"
}
],
"final": {
"status": "HOLD",
"hold_latched": true,
"infusions": {
"Lidocaine": 0.0,
"Ketamine": 0.0,
"Dexmedetomidine": 0.5
},
"suspended": false,
"hold_reasons": [
"rate outside simulation ceiling (Ketamine)",
"rate outside simulation ceiling (Lidocaine)"
]
}
},
{
"label": "suspension",
"fictional": true,
"ops": [
{
"op": "vitals",
"readings": [
[
80,
80
]
]
},
{
"op": "suspend",
"seconds": 5,
"by": "clinician",
"reason": " \"planned\" vagal test \u2014 \u00e9 \u2713 "
},
{
"op": "suspend",
"seconds": 5,
"by": "clinician",
"reason": "second"
},
{
"op": "vitals",
"readings": [
[
46,
80
],
[
80,
55
],
[
80,
80
],
[
null,
80
],
[
80,
80
],
[
80,
80
],
[
46,
80
]
]
},
{
"op": "acknowledge",
"by": "clinician",
"note": ""
},
{
"op": "suspend",
"seconds": 3,
"by": "clinician",
"reason": "during a hold"
},
{
"op": "vitals",
"readings": [
[
80,
80
]
]
},
{
"op": "end_suspension",
"by": "clinician"
},
{
"op": "end_suspension",
"by": "clinician"
},
{
"op": "suspend",
"seconds": 0,
"by": "clinician",
"reason": "too short"
},
{
"op": "suspend",
"seconds": 301,
"by": "clinician",
"reason": "too long"
},
{
"op": "suspend",
"seconds": 60,
"by": "clinician",
"reason": " "
}
],
"refusals": [
{
"t_sec": 1,
"op": "suspend",
"message": "Interlocks are already suspended; end the suspension first"
},
{
"t_sec": 9,
"op": "end_suspension",
"message": "No interlock suspension is active"
},
{
"t_sec": 9,
"op": "suspend",
"message": "Suspension duration must be a whole number of seconds from 1 to 300"
},
{
"t_sec": 9,
"op": "suspend",
"message": "Suspension duration must be a whole number of seconds from 1 to 300"
},
{
"t_sec": 9,
"op": "suspend",
"message": "reason must be a non-empty string"
}
],
"events": [
{
"t_sec": 1,
"code": "suspension_started",
"status": "GREEN",
"drugs": [],
"message": "Interlocks SUSPENDED by clinician for 5 s (reason: \"planned\" vagal test \u2014 \u00e9 \u2713 ): HR/MAP holds will not latch; sensor fail-safe, rate faults, hard lockouts and any latched hold stay active"
},
{
"t_sec": 1,
"code": "breach_suppressed",
"status": "GREEN",
"drugs": [
"Dexmedetomidine"
],
"message": "HR 46 < 48 \u2192 interlock SUSPENDED by clinician (00:05 left): no hold latched"
},
{
"t_sec": 2,
"code": "breach_suppressed",
"status": "GREEN",
"drugs": [
"Dexmedetomidine",
"Lidocaine"
],
"message": "MAP 55 < 60 \u2192 interlock SUSPENDED by clinician (00:04 left): no hold latched"
},
{
"t_sec": 4,
"code": "sensor_fault",
"status": "RED",
"drugs": [
"Dexmedetomidine",
"Ketamine",
"Lidocaine"
],
"message": "Invalid sensor reading (HR=unusable, MAP=80) \u2192 all controlled infusions set to zero; hold latched"
},
{
"t_sec": 6,
"code": "suspension_expired",
"status": "HOLD",
"drugs": [],
"message": "Suspension expired after 5 s \u2192 HR/MAP interlocks active"
},
{
"t_sec": 7,
"code": "hr_low",
"status": "RED",
"drugs": [
"Dexmedetomidine"
],
"message": "HR 46 < 48 \u2192 Dexmedetomidine set to zero; hold latched"
},
{
"t_sec": 8,
"code": "hold_acknowledged",
"status": "RED",
"drugs": [
"Dexmedetomidine",
"Ketamine",
"Lidocaine"
],
"message": "Hold #1 acknowledged by clinician (reasons: invalid sensor (HR=unusable); HR 46 < 48; held: Dexmedetomidine, Ketamine, Lidocaine)"
},
{
"t_sec": 8,
"code": "suspension_started",
"status": "RED",
"drugs": [],
"message": "Interlocks SUSPENDED by clinician for 3 s (reason: during a hold): HR/MAP holds will not latch; sensor fail-safe, rate faults, hard lockouts and any latched hold stay active"
},
{
"t_sec": 9,
"code": "suspension_ended",
"status": "HOLD",
"drugs": [],
"message": "Suspension ended by clinician (00:02 left) \u2192 HR/MAP interlocks active"
}
],
"final": {
"status": "HOLD",
"hold_latched": true,
"infusions": {
"Lidocaine": 0.0,
"Ketamine": 0.0,
"Dexmedetomidine": 0.0
},
"suspended": false,
"hold_reasons": [
"invalid sensor (HR=unusable)",
"HR 46 < 48"
]
}
},
{
"label": "long_hold_advisory",
"fictional": true,
"ops": [
{
"op": "vitals",
"readings": [
[
46,
80
]
]
},
{
"op": "steady",
"reading": [
80,
80
],
"seconds": 1201
}
],
"refusals": [],
"events": [
{
"t_sec": 0,
"code": "hr_low",
"status": "RED",
"drugs": [
"Dexmedetomidine"
],
"message": "HR 46 < 48 \u2192 Dexmedetomidine set to zero; hold latched"
},
{
"t_sec": 600,
"code": "hold_long",
"status": "HOLD",
"drugs": [
"Dexmedetomidine"
],
"message": "Hold has been active for 10 min (reasons: HR 46 < 48)"
},
{
"t_sec": 1200,
"code": "hold_long",
"status": "HOLD",
"drugs": [
"Dexmedetomidine"
],
"message": "Hold has been active for 20 min (reasons: HR 46 < 48)"
}
],
"final": {
"status": "HOLD",
"hold_latched": true,
"infusions": {
"Lidocaine": 1.5,
"Ketamine": 0.2,
"Dexmedetomidine": 0.0
},
"suspended": false,
"hold_reasons": [
"HR 46 < 48"
]
}
}
]
}