surgicalcopilot-phase2-27b

{
  "doc_type": "safeguard_assessment",
  "risk_level": "RED",
  "risk_score": 0.87,
  "timeline_deviation": "behind_expected",
  "trajectory": "deteriorating",
  "trigger_reason": "Surgical site infection suspected",
  "domain_flags": {
    "wound": "moderate",
    "pain": "severe",
    "mobility": "impaired",
    "gi": "normal",
    "respiratory": "normal"
  },
  "patient_message": {
    "summary": "Your wound shows signs that need evaluation. Please contact your surgeon today.",
    "self_care": [
      "Take temperature every 4 hours",
      "Keep wound clean and dry",
      "Do not apply any creams"
    ],
    "next_checkin": "12 hours or if symptoms worsen"
  },
  "copilot_transfer": {
    "urgency": "same_day",
    "recommended_action": "Surgical clinic visit within 24 hours"
  },
  "followup_questions": [
    "Is there any drainage from the wound? What color?",
    "Have you noticed any foul odor?",
    "Are you able to keep food down?"
  ],
  "evidence": [
    {
      "source": "temperature",
      "domain": "infection",
      "snippet": "Temperature 38.6°C exceeds post-discharge threshold"
    }
  ],
  "safety": {
    "sepsis_screen": false,
    "immediate_911": false
  },
  "phase1b_compat": {
    "red_flag_triggered": true
  }
}