surgicalcopilot-onco-27b

{
  "doc_type": "oncology_surveillance",
  "risk_level": "RED",
  "risk_score": 0.89,
  "progression_status": "recurrence_suspected",
  "recist_alignment": "PD",
  "trigger_reason": "Rising CEA + new liver lesions",
  "copilot_transfer": {
    "urgency": "urgent",
    "recommended_action": "Oncology referral within 48-72 hours",
    "imaging_recommendation": "Contrast-enhanced CT chest/abdomen/pelvis"
  },
  "recommended_actions": [
    "Urgent oncology consultation",
    "Repeat tumor markers in 2 weeks",
    "Consider PET scan for metastatic workup",
    "Tumor board discussion"
  ],
  "clinical_explanation": "Rising CEA from 3.2 to 12.8 over 3 months combined with new hepatic lesions on CT suggests hepatic recurrence. Patient reports new-onset fatigue and weight loss (5kg in 2 months). RECIST criteria consistent with progressive disease.",
  "safety_flags": {
    "tumor_marker_doubling_time": "45 days",
    "symptomatic_progression": true,
    "new_metastases": true
  },
  "phase1b_compat": {
    "red_flag_triggered": true
  }
}