{
  "model": "models/onesystem",
  "name": "OneSystem",
  "disclaimer": "Clinical / medical schemas are illustrative only and are not a medical device. For production clinical NLP, fine-tune with domain_adapt on labelled notes.",
  "cases": [
    {
      "id": "medical_negated_dx",
      "domain": "clinical_nlp",
      "title": "Negated findings + incomplete history",
      "text": "Patient denies chest pain and denies history of myocardial infarction. Past medical history is not available at this time. No known drug allergies stated.",
      "focus": "per-finding negation + PMH availability",
      "warn": null,
      "min_confidence": 0.4,
      "output": {
        "chest_pain": {
          "label": null,
          "confidence": 0.3735,
          "probabilities": {
            "affirmed": 0.1053,
            "negated": 0.3289,
            "uncertain": 0.1923,
            "not_mentioned": 0.3735
          },
          "abstain": true
        },
        "mi_history": {
          "label": "negated",
          "confidence": 0.5257,
          "probabilities": {
            "affirmed": 0.0867,
            "negated": 0.5257,
            "uncertain": 0.1786,
            "not_mentioned": 0.2089
          }
        },
        "pmh_availability": {
          "label": "none_significant",
          "confidence": 0.6297,
          "probabilities": {
            "documented": 0.172,
            "not_available": 0.1983,
            "none_significant": 0.6297
          }
        },
        "history_quality": {
          "label": "usable",
          "confidence": 0.7321,
          "probabilities": {
            "usable": 0.7321,
            "need_more": 0.2679
          }
        },
        "next_action": {
          "label": "ask_history",
          "confidence": 0.4701,
          "probabilities": {
            "extract_ok": 0.1123,
            "ask_history": 0.4701,
            "confirm_negation": 0.1,
            "escalate_llm": 0.3176
          }
        }
      }
    },
    {
      "id": "medical_affirmed_with_hx",
      "domain": "clinical_nlp",
      "title": "Affirmed complaint with usable history",
      "text": "52M with sudden crushing chest pain radiating to left arm for 40 minutes, diaphoresis. History of hypertension and type 2 diabetes. BP 168/102, HR 110. No fever.",
      "focus": "affirmed chest pain, negated fever, documented PMH, ED disposition",
      "warn": null,
      "min_confidence": 0.4,
      "output": {
        "chest_pain": {
          "label": null,
          "confidence": 0.3228,
          "probabilities": {
            "affirmed": 0.2008,
            "negated": 0.1717,
            "uncertain": 0.3048,
            "not_mentioned": 0.3228
          },
          "abstain": true
        },
        "fever": {
          "label": null,
          "confidence": 0.3506,
          "probabilities": {
            "affirmed": 0.1759,
            "negated": 0.1459,
            "uncertain": 0.3277,
            "not_mentioned": 0.3506
          },
          "abstain": true
        },
        "pmh_availability": {
          "label": "not_available",
          "confidence": 0.4064,
          "probabilities": {
            "documented": 0.2669,
            "not_available": 0.4064,
            "none_significant": 0.3268
          }
        },
        "history_quality": {
          "label": "usable",
          "confidence": 0.5419,
          "probabilities": {
            "usable": 0.5419,
            "need_more": 0.4581
          }
        },
        "disposition": {
          "label": "ed_now",
          "confidence": 0.6806,
          "probabilities": {
            "ed_now": 0.6806,
            "urgent_clinic": 0.2345,
            "routine": 0.0539,
            "self_care": 0.031
          }
        },
        "red_flags": {
          "labels": [
            "chest_pain",
            "shortness_of_breath",
            "neuro_deficit",
            "severe_bleeding",
            "altered_mental_status"
          ],
          "probabilities": {
            "chest_pain": 0.9941,
            "shortness_of_breath": 0.8552,
            "neuro_deficit": 0.6189,
            "severe_bleeding": 0.952,
            "altered_mental_status": 0.7408
          },
          "threshold": 0.45
        }
      }
    },
    {
      "id": "medical_family_hx_only",
      "domain": "clinical_nlp",
      "title": "Family history only (not patient diagnosis)",
      "text": "Family history is significant for colon cancer in father at age 55. Patient has no personal history of malignancy. Review of systems otherwise negative.",
      "focus": "family vs patient attribution",
      "warn": null,
      "min_confidence": 0.4,
      "output": {
        "colon_cancer": {
          "label": "family_only",
          "confidence": 0.4004,
          "probabilities": {
            "patient_current": 0.1609,
            "patient_past": 0.1751,
            "family_only": 0.4004,
            "denied_patient": 0.1342,
            "not_mentioned": 0.1294
          }
        },
        "pmh_availability": {
          "label": "family_only",
          "confidence": 0.7186,
          "probabilities": {
            "documented": 0.1013,
            "not_available": 0.0536,
            "none_significant": 0.1266,
            "family_only": 0.7186
          }
        },
        "next_action": {
          "label": "extract_ok",
          "confidence": 0.5998,
          "probabilities": {
            "extract_ok": 0.5998,
            "ask_history": 0.3288,
            "escalate_llm": 0.0714
          }
        }
      }
    },
    {
      "id": "ecommerce",
      "domain": "ecommerce",
      "title": "Refund + shipping complaint",
      "text": "I was charged twice for order #4412 and the package still has not shipped. Refund the duplicate today.",
      "focus": null,
      "warn": null,
      "min_confidence": 0.55,
      "output": {
        "intent": {
          "label": "refund_request",
          "confidence": 0.6893,
          "probabilities": {
            "refund_request": 0.6893,
            "order_status": 0.1054,
            "cancel_subscription": 0.0395,
            "return_item": 0.1059,
            "other": 0.0599
          }
        },
        "channel": {
          "label": "billing",
          "confidence": 0.6044,
          "probabilities": {
            "billing": 0.6044,
            "shipping": 0.2589,
            "product_quality": 0.0381,
            "account": 0.0986
          }
        },
        "urgency": {
          "label": "2",
          "confidence": 0.7113,
          "probabilities": {
            "0": 0.0741,
            "1": 0.0735,
            "2": 0.7113,
            "3": 0.1412
          },
          "score": 1.9195
        },
        "handoff": {
          "label": "yes",
          "confidence": 0.7616,
          "probabilities": {
            "yes": 0.7616,
            "no": 0.2384
          }
        }
      }
    },
    {
      "id": "fintech",
      "domain": "fintech",
      "title": "Card freeze + fraud concern",
      "text": "Someone tried to use my debit card in another city. Freeze the card and send a new one.",
      "focus": null,
      "warn": null,
      "min_confidence": 0.55,
      "output": {
        "intent": {
          "label": "freeze_card",
          "confidence": 0.9531,
          "probabilities": {
            "freeze_card": 0.9531,
            "dispute_charge": 0.0135,
            "balance_inquiry": 0.0029,
            "transfer": 0.0206,
            "other": 0.0098
          }
        },
        "risk": {
          "label": null,
          "confidence": 0.3547,
          "probabilities": {
            "0": 0.1176,
            "1": 0.3547,
            "2": 0.2088,
            "3": 0.3188
          },
          "score": 1.7288,
          "abstain": true
        },
        "products": {
          "labels": [
            "debit_card",
            "credit_card",
            "checking",
            "wire",
            "mobile_app"
          ],
          "probabilities": {
            "debit_card": 0.9783,
            "credit_card": 0.9571,
            "checking": 0.5166,
            "wire": 0.8243,
            "mobile_app": 0.7823
          },
          "threshold": 0.4
        }
      }
    },
    {
      "id": "edtech",
      "domain": "edtech",
      "title": "Gradebook issue before exam",
      "text": "I submitted my calculus homework twice and the gradebook still shows zero. Midterm is tomorrow \u2014 can a human check this?",
      "focus": null,
      "warn": null,
      "min_confidence": 0.55,
      "output": {
        "intent": {
          "label": "grade_issue",
          "confidence": 0.8945,
          "probabilities": {
            "grade_issue": 0.8945,
            "content_question": 0.0176,
            "tech_support": 0.0264,
            "deadline_extension": 0.0404,
            "other": 0.021
          }
        },
        "subject": {
          "label": null,
          "confidence": 0.4038,
          "probabilities": {
            "math": 0.4038,
            "science": 0.1555,
            "english": 0.0633,
            "history": 0.0879,
            "computer_science": 0.1621,
            "other": 0.1274
          },
          "abstain": true
        },
        "needs_human": {
          "label": "yes",
          "confidence": 0.921,
          "probabilities": {
            "yes": 0.921,
            "no": 0.079
          }
        },
        "urgency": {
          "label": null,
          "confidence": 0.3184,
          "probabilities": {
            "0": 0.2691,
            "1": 0.1585,
            "2": 0.254,
            "3": 0.3184
          },
          "score": 1.6218,
          "abstain": true
        }
      }
    },
    {
      "id": "ops_urgency",
      "domain": "ops",
      "title": "Incident urgency",
      "text": "The deploy failed twice and customers are seeing 500s. Can someone look now?",
      "focus": null,
      "warn": null,
      "min_confidence": 0.55,
      "output": {
        "urgent": {
          "label": "yes",
          "confidence": 0.8671,
          "probabilities": {
            "yes": 0.8671,
            "no": 0.1329
          }
        },
        "severity": {
          "label": null,
          "confidence": 0.4396,
          "probabilities": {
            "0": 0.1275,
            "1": 0.2365,
            "2": 0.4396,
            "3": 0.1965
          },
          "score": 1.705,
          "abstain": true
        },
        "area": {
          "label": null,
          "confidence": 0.2931,
          "probabilities": {
            "infrastructure": 0.2789,
            "application": 0.115,
            "security": 0.1317,
            "data": 0.2931,
            "other": 0.1814
          },
          "abstain": true
        }
      }
    },
    {
      "id": "clinical_triage",
      "domain": "clinical",
      "title": "Chest-pain intake (schema demo)",
      "text": "52M with sudden crushing chest pain radiating to left arm for 40 minutes, diaphoresis, history of hypertension. BP 168/102, HR 110. No fever.",
      "focus": null,
      "warn": "Not a medical device.",
      "min_confidence": 0.55,
      "output": {
        "disposition": {
          "label": "ed_now",
          "confidence": 0.7212,
          "probabilities": {
            "ed_now": 0.7212,
            "urgent_clinic": 0.1994,
            "routine": 0.048,
            "self_care": 0.0315
          }
        },
        "specialty": {
          "label": null,
          "confidence": 0.5047,
          "probabilities": {
            "cardiology": 0.5047,
            "pulmonology": 0.0994,
            "gastroenterology": 0.1029,
            "neurology": 0.0726,
            "primary_care": 0.0766,
            "other": 0.1438
          },
          "abstain": true
        },
        "red_flags": {
          "labels": [
            "chest_pain",
            "shortness_of_breath",
            "neuro_deficit",
            "severe_bleeding",
            "altered_mental_status"
          ],
          "probabilities": {
            "chest_pain": 0.993,
            "shortness_of_breath": 0.8655,
            "neuro_deficit": 0.6192,
            "severe_bleeding": 0.9573,
            "altered_mental_status": 0.7406
          },
          "threshold": 0.45
        }
      }
    }
  ]
}