All fields

Identifies the .usim scenario document used by all consumers.

• Required when the containing object is present.

Identifies the document format used for validation.

• Required when the containing object is present.

Stable content identity. Publication revisions and delivery instances remain separate records.

• Required when the containing object is present.

Declares required and optional execution capabilities. Consumers also inspect populated behavioral fields before running a document.

• Optional; omitted values remain unspecified.

Stable identifier for this entry. Keep it unchanged when editing its content.

• Required when the containing object is present.

The version for this entry. Omit optional information that has not been specified.

• Required when the containing object is present.

Entries for required capabilities. An empty list means no entries have been authored.

• Required when the containing object is present.

The required capabilities for this entry. Omit optional information that has not been specified.

• Required when the containing object is present.

Entries for optional capabilities. An empty list means no entries have been authored.

• Required when the containing object is present.

The optional capabilities for this entry. Omit optional information that has not been specified.

• Required when the containing object is present.

Namespaced vendor or profile additions. The namespace is the lookup key; version and required status determine whether a consumer can safely ignore, preserve, or reject the extension.

• Optional; omitted values remain unspecified.

Entries for vocabularies. An empty list means no entries have been authored.

• Optional; omitted values remain unspecified.

Pins the concept, value-type, unit, or dimensional definitions used by the document. Definitions must be bundled or resolved by a trusted profile; execution never fetches an untrusted URL.

• Required when the containing object is present.

Stable identifier for this entry. Keep it unchanged when editing its content.

• Required when the containing object is present.

The version for this entry. Omit optional information that has not been specified.

• Required when the containing object is present.

Select one of the declared kind alternatives; use the fields belonging to that alternative.

• Required when the containing object is present.

The sha256 for this entry. Omit optional information that has not been specified.

• Required when the containing object is present.

Identifier of an existing assets entry. Preserve the referenced entry when editing this field.

• Optional; omitted values remain unspecified.

Entries for dependencies. An empty list means no entries have been authored.

• Optional; omitted values remain unspecified.

Pinned library content; digest is 64 lowercase hex characters. Floating latest dependencies are prohibited.

• Required when the containing object is present.

Stable identifier for this entry. Keep it unchanged when editing its content.

• Required when the containing object is present.

The Identifier for this entry. Omit optional information that has not been specified.

• Required when the containing object is present.

Numeric revision, at least 1. Do not infer an omitted value.

• Required when the containing object is present.

The sha256 for this entry. Omit optional information that has not been specified.

• Required when the containing object is present.

Structured composition details. Omitted optional values remain unspecified.

• Optional; omitted values remain unspecified.

Entries for overrides. An empty list means no entries have been authored.

• Required when the containing object is present.

Explicit overrides against a resolved dependency. Paths must exist; object/array values replace in full. No inferred deep merge.

• Required when the containing object is present.

The Identifier for this entry. Omit optional information that has not been specified.

• Required when the containing object is present.

The path for this entry. Omit optional information that has not been specified.

• Required when the containing object is present.

Select one of the declared value alternatives; use the fields belonging to that alternative.

• Required when the containing object is present.

Structured outputs details. Omitted optional values remain unspecified.

• Optional; omitted values remain unspecified.

Entries for views. An empty list means no entries have been authored.

• Required when the containing object is present.

Explicit content selection filtered by audience. Learner views exclude facilitator-only content even when named in includeIds.

• Required when the containing object is present.

Stable identifier for this entry. Keep it unchanged when editing its content.

• Required when the containing object is present.

Select one of the declared Audience alternatives; use the fields belonging to that alternative.

• Required when the containing object is present.

Select one of the declared kind alternatives; use the fields belonging to that alternative.

• Required when the containing object is present.

Entries for include ids. An empty list means no entries have been authored.

• Required when the containing object is present.

Identifier of an existing * entry. Preserve the referenced entry when editing this field.

• Required when the containing object is present.

Case identification, authorship, and the teaching context used to find and select this scenario.

• Required when the containing object is present.

The internal case title used by authors. Campus uses the separate learner title.

• Required when the containing object is present.

The internal scenario premise, scope, and intended learning activity. This summary is not shown in Campus.

• Required when the containing object is present.

People and organizations credited for authorship, review, or other contributions.

• Required when the containing object is present.

A named contributor with stable identity and credited roles.

• Required when the containing object is present.

Stable contributor identifier used by review attribution.

• Required when the containing object is present.

The person or team credited with creating this scenario.

• Required when the containing object is present.

The roles this contributor performed for this content.

• Required when the containing object is present.

One credited contribution role.

• Required when the containing object is present.

The contributor’s organization or institutional affiliation.

• Optional; omitted values remain unspecified.

The authored content revision, independent of a storage revision identifier.

• Required when the containing object is present.

The terms under which this scenario may be reused.

• Required when the containing object is present.

The license identifier or explicit rights statement. Suggested reuse licenses are advisory; preserve custom terms.

• Required when the containing object is present.

An optional asset containing the complete license text.

• Optional; omitted values remain unspecified.

Clinical review status, attribution, date, and supporting sources.

• Required when the containing object is present.

Review state stored as draft, reviewed, or needs-review. Builder displays Draft, Reviewed, and Needs review.

• Required when the containing object is present.

The date and time the recorded review was completed. Builder displays local date and time and stores the selected instant as a UTC ISO 8601 timestamp; omission means unspecified.

• Optional; omitted values remain unspecified.

Contributor identifiers for the reviewers.

• Required when the containing object is present.

A contributor credited with reviewing this revision.

• Required when the containing object is present.

Stable metadata.sources IDs selected as evidence for the recorded review. Citation edits and source reordering preserve these links.

• Required when the containing object is present.

A source cited by this review.

• Required when the containing object is present.

Citations supporting the scenario and its clinical content.

• Required when the containing object is present.

A source citation with stable identity and optional web location.

• Required when the containing object is present.

Stable source identifier used by review references.

• Required when the containing object is present.

The complete bibliographic citation or source attribution.

• Required when the containing object is present.

An HTTPS location where this source can be found.

• Optional; omitted values remain unspecified.

The date the linked source was accessed.

• Optional; omitted values remain unspecified.

The main diagnosis or case theme that guides the scenario.

• Optional; omitted values remain unspecified.

The clinical specialty or specialties relevant to this scenario.

• Optional; omitted values remain unspecified.

The intended learner level and experience.

• Optional; omitted values remain unspecified.

The suggested scenario duration in minutes; this does not control the simulation clock.

• Optional; omitted values remain unspecified.

Spoiler-free title shown on Campus cards and in the scenario preview. For example: Penetrating chest injury. Copy chief complaint copies the first patient's complaint once; you can edit it without changing patient history. If omitted or blank, Campus shows Practice scenario.

• Optional; omitted values remain unspecified.

Brief introduction shown to learners before starting. Include only what they should know initially; omit diagnoses, expected actions, outcomes, and facilitator guidance. For example: A patient arrives after a penetrating injury to the right chest. If omitted, Campus shows no description.

• Optional; omitted values remain unspecified.

Optional learner-facing cover photo for Campus cards and scenario preview, separate from the patient portrait. Upload PNG, JPEG, or WebP; avoid images that reveal a diagnosis or expected action. Embedded bytes travel with the .usim file.

• Optional; omitted values remain unspecified.

Embedded PNG, JPEG, or WebP data URL populated by the cover photo upload control.

• Required when the containing object is present.

Accessible description of the cover photo for learners who cannot see it. Describe visible content without revealing the teaching point.

• Required when the containing object is present.

The fictional patient's presentation, history, examination, and starting observations.

• Required when the containing object is present.

One fictional patient and their authored presentation, history, examination, and observations.

• Required when the containing object is present.

Stable patient identifier used by observations, actions, and other scenario references.

• Required when the containing object is present.

The fictional patient's display name.

• Required when the containing object is present.

The name the patient asks others to use, when different from their display name. Omitted means unspecified. Builder displays this field in Communication while retaining its patient-level storage path.

• Optional; omitted values remain unspecified.

Usual mobility, cognition, self-care, and support. Distinguish baseline function from acute changes. Builder displays this field in expanded Demographics while retaining its patient-level storage path.

• Optional; omitted values remain unspecified.

Authored language, communication methods, interpreter needs, and accessibility supports. Do not infer these from identity or appearance. Builder places preferred name first, then preferred language and communication method together, followed by interpreter needs and communication supports. Rows stack at narrow widths.

• Optional; omitted values remain unspecified.

The patient's preferred language for this encounter. Do not infer fluency from ethnicity or name.

• Optional; omitted values remain unspecified.

Whether and how a qualified interpreter is needed, including spoken or signed language. Omitted means unspecified.

• Optional; omitted values remain unspecified.

How the patient communicates, such as speech, ASL, writing, or an augmentative device.

• Optional; omitted values remain unspecified.

Specific supports and interaction preferences, such as hearing aids, facing the patient, or caregiver participation.

• Optional; omitted values remain unspecified.

Optional age, gender, pronouns, sexual orientation, sex assigned at birth, height, and weight. Unspecified fields remain unknown; identity does not determine clinical behavior.

• Optional; omitted values remain unspecified.

Patient age with an explicit unit. Retain days or months for young infants.

• Optional; omitted values remain unspecified.

The authored age in the selected unit.

• Required when the containing object is present.

Age unit; preserve days or months when appropriate.

• Required when the containing object is present.

Patient weight, stored in kilograms. The editor can also display pounds.

• Optional; omitted values remain unspecified.

Authored weight in kilograms.

• Required when the containing object is present.

Canonical mass unit.

• Required when the containing object is present.

Patient height, stored in centimeters. The editor can also display feet and inches.

• Optional; omitted values remain unspecified.

Authored height in centimeters.

• Required when the containing object is present.

Canonical length unit.

• Required when the containing object is present.

The patient's authored gender description.

• Optional; omitted values remain unspecified.

The patient's authored pronouns. Never infer these from name, appearance, gender, or sex assigned at birth.

• Optional; omitted values remain unspecified.

Optional self-described sexual orientation. This does not specify sexual practices, anatomy, relationships, or pregnancy potential.

• Optional; omitted values remain unspecified.

Optional authored sex assigned at birth, separate from gender. Does not establish current anatomy, reproductive history, or treatment.

• Optional; omitted values remain unspecified.

Preferred height display unit in the scenario editor; the measurement remains stored in centimeters.

• Optional; omitted values remain unspecified.

Preferred weight display unit in the scenario editor; the measurement remains stored in kilograms.

• Optional; omitted values remain unspecified.

The history available about this patient, including symptoms, background, medications, and allergies.

• Optional; omitted values remain unspecified.

Separate entries for chief-complaint, present-illness, medical, surgical, medication, allergy, family, and social history.

• Required when the containing object is present.

Stable identifier for this entry. Keep it unchanged when editing its content.

• Required when the containing object is present.

The Content for this entry. Omit optional information that has not been specified.

• Required when the containing object is present.

Select one of the declared Disclosure alternatives; use the fields belonging to that alternative.

• Required when the containing object is present.

Authorized output audiences. UI hints do not replace output filtering.

• Required when the containing object is present.

Select one of the declared Audience alternatives; use the fields belonging to that alternative.

• Required when the containing object is present.

Initial reveals at baseline; other modes require an action, condition, or facilitator release.

• Required when the containing object is present.

Identifier of an existing resources entry. Preserve the referenced entry when editing this field.

• Optional; omitted values remain unspecified.

Successful completion of this action reveals the entry.

• Optional; omitted values remain unspecified.

Reveal when the condition first becomes true; reject unrelated trigger fields.

• Optional; omitted values remain unspecified.

Time relative to scenario start; negative values describe pre-arrival events.

• Optional; omitted values remain unspecified.

Select one of the declared Category alternatives; use the fields belonging to that alternative.

• Required when the containing object is present.

Structured allergy detail for category allergy only. Substance identifies the authored allergen; reaction describes the manifestation; severity describes that reaction, not future risk. Omitted reaction or severity remains unspecified.

• Optional; omitted values remain unspecified.

The Substance for this entry. Omit optional information that has not been specified.

• Required when the containing object is present.

The Reaction for this entry. Omit optional information that has not been specified.

• Optional; omitted values remain unspecified.

Select one of the declared Severity alternatives; use the fields belonging to that alternative.

• Optional; omitted values remain unspecified.

Entries for Structured system references. An empty list means no entries have been authored.

• Optional; omitted values remain unspecified.

Groups symptom observations by authored system heading without duplicating their values.

• Required when the containing object is present.

The System for this entry. Omit optional information that has not been specified.

• Required when the containing object is present.

Entries for Observation ids. An empty list means no entries have been authored.

• Required when the containing object is present.

Identifier of an existing observations entry. Preserve the referenced entry when editing this field.

• Required when the containing object is present.

Numeric physiologic state with explicit concepts and units; observations describe when values are measured or disclosed.

• Optional; omitted values remain unspecified.

One numeric physiologic variable belonging to this patient.

• Required when the containing object is present.

Stable variable identifier used by effects and observations.

• Required when the containing object is present.

The meaning of the variable, such as usim:hr for heart rate.

• Required when the containing object is present.

The initial numeric value in the declared unit.

• Optional; omitted values remain unspecified.

The unit of this value; core concepts use the standard unit defined by the specification.

• Required when the containing object is present.

The monitor configuration used to present patient observations.

• Optional; omitted values remain unspecified.

The ECG rhythm displayed on the monitor. Select the rhythm separately from whether the patient has a palpable pulse.

• Optional; omitted values remain unspecified.

Whether a palpable pulse is present. Use this to distinguish perfusing and pulseless presentations of the displayed rhythm.

• Optional; omitted values remain unspecified.

Connected channels expose available measurements without changing physiology. An explicit empty patient connection map starts disconnected. Omitted event channels inherit their preceding connection. Omitting the patient connection map makes available channels connected.

• Optional; omitted values remain unspecified.

ECG: connected exposes the available measurement; disconnected hides it without changing physiology.

• Optional; omitted values remain unspecified.

Blood pressure cuff: connected exposes the available measurement; disconnected hides it without changing physiology.

• Optional; omitted values remain unspecified.

Pulse oximetry: connected exposes the available measurement; disconnected hides it without changing physiology.

• Optional; omitted values remain unspecified.

Respiratory monitoring: connected exposes the available measurement; disconnected hides it without changing physiology.

• Optional; omitted values remain unspecified.

Temperature probe: connected exposes the available measurement; disconnected hides it without changing physiology.

• Optional; omitted values remain unspecified.

Capnography: connected exposes the available measurement; disconnected hides it without changing physiology.

• Optional; omitted values remain unspecified.

Arterial pressure: connected exposes the available measurement; disconnected hides it without changing physiology.

• Optional; omitted values remain unspecified.

Non-natural airway requires a device reference; presence does not imply correct placement or function.

• Optional; omitted values remain unspecified.

The required literal value "natural".

• Required when the containing object is present.

Identifier of an existing resources entry. Preserve the referenced entry when editing this field.

• Optional; omitted values remain unspecified.

The patient's opening situation and the context available at the start of the scenario.

• Required when the containing object is present.

An optional embedded patient photo that travels with the scenario. Upload a PNG, JPEG, or WebP image.

• Optional; omitted values remain unspecified.

The patient photo encoded as a data URL. Use the photo upload control to populate it.

• Required when the containing object is present.

Describe the patient's appearance for readers who cannot see the photo.

• Required when the containing object is present.

Portable media manifest referenced by diagnostics and role outputs.

• Optional; omitted values remain unspecified.

Select one of the declared assets alternatives; use the fields belonging to that alternative.

• Required when the containing object is present.

Stable asset reference used by results and outputs.

• Required when the containing object is present.

Declared content type must match decoded asset type; unsupported active content is rejected.

• Required when the containing object is present.

Accessible description of the learner-visible content without hidden diagnostic explanation.

• Required when the containing object is present.

Reuse terms for this asset, with attribution in a separate field.

• Required when the containing object is present.

Creator and source credit.

• Required when the containing object is present.

The label for this entry. Omit optional information that has not been specified.

• Optional; omitted values remain unspecified.

Packaged accessible transcript; role filtering matches the original media.

• Optional; omitted values remain unspecified.

Path under assets/ within the package. Reject absolute paths, .. segments, symlinks, duplicate paths, and external fetches.

• Optional; omitted values remain unspecified.

Digest verified against bytes before use; integrity does not prove safety or authorship.

• Optional; omitted values remain unspecified.

The data url for this entry. Omit optional information that has not been specified.

• Optional; omitted values remain unspecified.

The uri for this entry. Omit optional information that has not been specified.

• Optional; omitted values remain unspecified.

Authored symptoms, findings, and measurements with provenance, visibility, and availability.

• Optional; omitted values remain unspecified.

Select one of the declared observations alternatives; use the fields belonging to that alternative.

• Required when the containing object is present.

Stable finding or measurement identity; a repeat collection creates a new observation ID.

• Required when the containing object is present.

Patient to whom the observation belongs.

• Required when the containing object is present.

Namespaced concept, such as usim:general-appearance; codes do not imply external terminology certification.

• Required when the containing object is present.

Separates reported experience, observed findings, and measured values.

• Required when the containing object is present.

Time of authored assessment or acquisition, possibly before baseline.

• Optional; omitted values remain unspecified.

Earliest simulated time for release; disclosure conditions must also be satisfied.

• Optional; omitted values remain unspecified.

Method, location, or equipment used to obtain the finding.

• Optional; omitted values remain unspecified.

Select one of the declared Disclosure alternatives; use the fields belonging to that alternative.

• Required when the containing object is present.

Authorized output audiences. UI hints do not replace output filtering.

• Required when the containing object is present.

Select one of the declared Audience alternatives; use the fields belonging to that alternative.

• Required when the containing object is present.

Initial reveals at baseline; other modes require an action, condition, or facilitator release.

• Required when the containing object is present.

Identifier of an existing resources entry. Preserve the referenced entry when editing this field.

• Optional; omitted values remain unspecified.

Successful completion of this action reveals the entry.

• Optional; omitted values remain unspecified.

Reveal when the condition first becomes true; reject unrelated trigger fields.

• Optional; omitted values remain unspecified.

Identifies the patient actor, relative, or colleague supplying the history.

• Optional; omitted values remain unspecified.

Facilitator context on conflicting or incomplete history; visibility follows the observation's disclosure policy.

• Optional; omitted values remain unspecified.

On collection, snapshot this variable's current value into a new measurement; later trends do not rewrite past results.

• Optional; omitted values remain unspecified.

At least one bound or text description; numeric bounds require the observation's unit and low must not exceed high. Context describes the authored population/method.

• Optional; omitted values remain unspecified.

Numeric low. Do not infer an omitted value.

• Optional; omitted values remain unspecified.

Numeric high. Do not infer an omitted value.

• Optional; omitted values remain unspecified.

The text for this entry. Omit optional information that has not been specified.

• Optional; omitted values remain unspecified.

The unit for this entry. Omit optional information that has not been specified.

• Optional; omitted values remain unspecified.

The context for this entry. Omit optional information that has not been specified.

• Required when the containing object is present.

Explicit authored flag, never inferred from a generic source default.

• Optional; omitted values remain unspecified.

Known requires a value. Other statuses prohibit a value rather than using zero or an empty string as a sentinel.

• Required when the containing object is present.

Type must match the registered concept. Qualitative findings can be text or explicit booleans.

• Optional; omitted values remain unspecified.

Fixed by the concept definition; no inferred conversions.

• Optional; omitted values remain unspecified.

The location, preparation, equipment, and people needed to deliver the simulation.

• Required when the containing object is present.

Where the scenario takes place and the relevant features of the care environment.

• Required when the containing object is present.

Entries for Team roles. An empty list means no entries have been authored.

• Optional; omitted values remain unspecified.

Portable learner role requirements. Counts are nonnegative with maxCount ≥ minCount; actual assignments belong to delivery records.

• Required when the containing object is present.

Stable identifier for this entry. Keep it unchanged when editing its content.

• Required when the containing object is present.

The Name for this entry. Omit optional information that has not been specified.

• Required when the containing object is present.

Numeric Min count, at least 0. Do not infer an omitted value.

• Required when the containing object is present.

Numeric Max count, at least 0. Do not infer an omitted value.

• Required when the containing object is present.

The Brief for this entry. Omit optional information that has not been specified.

• Required when the containing object is present.

Pre-session tasks for the simulation center, each with a concrete action and setup outcome. Equipment and supplies belong in equipment.

• Required when the containing object is present.

One pre-session setup task with a concrete outcome, such as programming initial manikin observations or briefing an actor.

• Required when the containing object is present.

Stable identifier for this entry. Keep it unchanged when editing its content.

• Required when the containing object is present.

One pre-session setup task with a concrete outcome, such as programming initial manikin observations or briefing an actor.

• Required when the containing object is present.

Entries for Resources. An empty list means no entries have been authored.

• Optional; omitted values remain unspecified.

Identifier of an existing resources entry. Preserve the referenced entry when editing this field.

• Required when the containing object is present.

Entries for Substitutions. An empty list means no entries have been authored.

• Optional; omitted values remain unspecified.

The substitutions for this entry. Omit optional information that has not been specified.

• Required when the containing object is present.

Whether Required applies. Omitted optional values remain unspecified.

• Optional; omitted values remain unspecified.

The people portraying scenario roles, with their names, roles, and briefing instructions.

• Optional; omitted values remain unspecified.

One role-player's identity, role in the case, and instructions for responding to learners.

• Required when the containing object is present.

A stable identifier used to reference this entry. Keep it unchanged when editing the entry's name or content.

• Required when the containing object is present.

The character's name or role-player label used to identify this actor.

• Required when the containing object is present.

The character's relationship to the patient or care team, such as parent, bedside nurse, or consultant.

• Required when the containing object is present.

The Opening line for this entry. Omit optional information that has not been specified.

• Optional; omitted values remain unspecified.

Entries for Known information. An empty list means no entries have been authored.

• Optional; omitted values remain unspecified.

The knowledge for this entry. Omit optional information that has not been specified.

• Required when the containing object is present.

The Affect for this entry. Omit optional information that has not been specified.

• Optional; omitted values remain unspecified.

Entries for Authored cues. An empty list means no entries have been authored.

• Optional; omitted values remain unspecified.

Explicit trigger and repeat bound. Display sends authored text; facilitator means a prompt for a human actor.

• Required when the containing object is present.

Stable identifier for this entry. Keep it unchanged when editing its content.

• Required when the containing object is present.

Identifier of an existing events.conditions entry. Preserve the referenced entry when editing this field.

• Required when the containing object is present.

The Line for this entry. Omit optional information that has not been specified.

• Required when the containing object is present.

Select one of the declared Delivery alternatives; use the fields belonging to that alternative.

• Required when the containing object is present.

Numeric Max uses, at least 1. Do not infer an omitted value.

• Required when the containing object is present.

Tell the actor what they know, how to behave, what to disclose, and how to respond to likely learner actions.

• Required when the containing object is present.

Optional authored age and gender for voice casting. Omit unknown details; voice uses a neutral adult default.

• Optional; omitted values remain unspecified.

The character's authored age quantity, used to guide natural voice delivery without exaggeration.

• Optional; omitted values remain unspecified.

The authored age in the selected unit.

• Required when the containing object is present.

Age unit; preserve days or months when appropriate.

• Required when the containing object is present.

The character's authored gender, used for default voice selection. Never inferred from their name or occupation.

• Optional; omitted values remain unspecified.

Ordered steps to restore equipment, media, supplies, and actor starting conditions.

• Optional; omitted values remain unspecified.

The reset steps for this entry. Omit optional information that has not been specified.

• Required when the containing object is present.

The equipment and supplies needed to run the scenario.

• Optional; omitted values remain unspecified.

One item of equipment or supplies needed for the session, with configuration or an acceptable substitute when useful.

• Required when the containing object is present.

The patient model and scene configuration shown during the simulation.

• Optional; omitted values remain unspecified.

The URL of the patient model to load in the 3D scene. Use a model accessible to the simulation viewer.

• Required when the containing object is present.

Credit the model creator and record the source and license or permission to use it.

• Required when the containing object is present.

Clickable locations on the patient model, each linked to an existing learner interaction.

• Required when the containing object is present.

One interaction hotspot with an action, a model-space position, and an outward-facing direction.

• Required when the containing object is present.

The existing learner action to invoke when this hotspot is selected; scheduled transitions cannot be selected.

• Required when the containing object is present.

Hotspot location as three space-separated model-space coordinates (x y z), for example 0m 1m 0m.

• Required when the containing object is present.

Hotspot surface direction as three space-separated vector components (x y z), for example 0 0 1.

• Required when the containing object is present.

Learning goals, learner preparation, assessment criteria, and guidance for reflection after the case.

• Required when the containing object is present.

Explain why this case is educationally useful and how its decisions and challenges support the learning objectives.

• Optional; omitted values remain unspecified.

Preparation activities and learner or facilitator materials. Asset references retain the source documents. Builder groups prerequisite instructions and documents in Teaching context alongside the educational rationale.

• Optional; omitted values remain unspecified.

Preparation activities and packaged resources, with an explicit audience for each item. Instructions may use Markdown for formatted module directions and links; assetIds reference packaged learning documents. This describes preparation, not completion tracking or an enforced start gate. Builder presents prerequisite instructions and documents in Teaching context alongside the educational rationale.

• Required when the containing object is present.

Stable identifier for this entry. Keep it unchanged when editing its content.

• Required when the containing object is present.

Select one of the declared Audience alternatives; use the fields belonging to that alternative.

• Required when the containing object is present.

Rich-text instructions stored as Markdown for knowledge, skills, modules, or preparation learners should complete before starting.

• Required when the containing object is present.

Entries for Supporting materials. An empty list means no entries have been authored.

• Required when the containing object is present.

Identifier of an existing assets entry. Preserve the referenced entry when editing this field.

• Required when the containing object is present.

The observable knowledge, skills, or behaviors learners should demonstrate.

• Required when the containing object is present.

One observable learning goal, using an action verb such as recognize, assess, communicate, or initiate.

• Required when the containing object is present.

A stable objective identifier. Preserve it when editing or reordering the objective.

• Required when the containing object is present.

An observable learning outcome, using an action verb such as recognize, assess, communicate, or initiate.

• Required when the containing object is present.

Entries for Evidence actions. An empty list means no entries have been authored.

• Optional; omitted values remain unspecified.

Identifier of an existing events.actions entry. Preserve the referenced entry when editing this field.

• Required when the containing object is present.

Optional author-selected ACGME core competency codes. Omitted or empty means unmapped. This is not a Milestone level or a judgment of competence. Do not infer mappings from source text that does not explicitly supply them.

• Optional; omitted values remain unspecified.

One of the six ACGME core domain codes: PC, MK, PBLI, ICS, PROF, or SBP. Each code may appear only once per objective.

• Required when the containing object is present.

Optional classification for discovery; it does not select a scoring algorithm.

• Optional; omitted values remain unspecified.

Observable behavior, conditions of performance, and acceptable standard. Team evidence cannot be attributed automatically to each individual.

• Optional; omitted values remain unspecified.

The Context for this entry. Omit optional information that has not been specified.

• Required when the containing object is present.

The Expected behavior for this entry. Omit optional information that has not been specified.

• Required when the containing object is present.

The Success criteria for this entry. Omit optional information that has not been specified.

• Required when the containing object is present.

Select one of the declared Scope alternatives; use the fields belonging to that alternative.

• Required when the containing object is present.

Entries for Curriculum mappings. An empty list means no entries have been authored.

• Optional; omitted values remain unspecified.

Curriculum or competency references; mappings are author assertions, not accreditation or equivalence. ACGME core competency mappings use framework https://www.acgme.org/programs-and-institutions/programs/common-program-requirements/, version core-competencies-2026-09, and codes PC, MK, PBLI, ICS, PROF, SBP. Specialty-specific Milestones require their own framework and version; do not infer levels from scenario scores.

• Required when the containing object is present.

The Framework for this entry. Omit optional information that has not been specified.

• Required when the containing object is present.

The Version for this entry. Omit optional information that has not been specified.

• Required when the containing object is present.

The Code for this entry. Omit optional information that has not been specified.

• Required when the containing object is present.

The Label for this entry. Omit optional information that has not been specified.

• Required when the containing object is present.

Learner-facing statement of the task or objective. Facilitator success criteria may contain spoilers and are not included implicitly.

• Optional; omitted values remain unspecified.

Reflection prompts stored as a canonical array supporting multiple records. Builder provides a single primary Debrief prompt editor without add/remove controls. Additional existing records retain their IDs, questions, objective references, and facilitator notes; these additional details are preserved in scenario data and are not displayed in the Builder.

• Required when the containing object is present.

One reflection prompt with a stable ID and optional objective references and facilitator notes. Builder edits the primary question in the single Debrief prompt field and preserves additional existing questions and notes in scenario data without displaying them in the Builder.

• Required when the containing object is present.

Stable identifier for this entry. Keep it unchanged when editing its content.

• Required when the containing object is present.

Entries for Learning objectives. An empty list means no entries have been authored.

• Optional; omitted values remain unspecified.

Identifier of an existing education.objectives entry. Preserve the referenced entry when editing this field.

• Required when the containing object is present.

A prompt for facilitated reflection after the scenario. Formatting is stored as Markdown.

• Required when the containing object is present.

The Facilitator rationale for this entry. Omit optional information that has not been specified.

• Optional; omitted values remain unspecified.

The authored criteria used to assess learner performance.

• Optional; omitted values remain unspecified.

One scored criterion linking an observable skill to a recorded action, with points and debrief feedback.

• Required when the containing object is present.

Optional link to the stable ID of a structured learning objective. Multiple criteria may support one objective. No link means unspecified, never a failed objective.

• Optional; omitted values remain unspecified.

A stable identifier used to reference this entry. Keep it unchanged when editing the entry's name or content.

• Required when the containing object is present.

Name the observable skill or objective being assessed, such as recognizing deterioration.

• Required when the containing object is present.

Select the learner action that earns credit for this criterion. Scheduled transitions cannot earn action credit.

• Required when the containing object is present.

Single equivalent resource. Used when objectIds is omitted; the required action's linked resource is used when both are omitted.

• Optional; omitted values remain unspecified.

Alternative learner-requestable resources that earn credit for this criterion. Any selected request qualifies, using the earliest request time regardless of result delay. Points are awarded once. Omit to use objectId or the required action's linked resource when present.

• Optional; omitted values remain unspecified.

The identifier of a learner-requestable resource accepted as an alternative for this assessment criterion.

• Required when the containing object is present.

The weight of this criterion in the total score, from 1 to 100. Credit is awarded once when the criterion is met.

• Required when the containing object is present.

Latest qualifying action time in seconds from the start of the run, inclusive. Omit to assess the action without a deadline.

• Optional; omitted values remain unspecified.

Explain the expected behavior, why it matters, and what to discuss when the action is completed or missed.

• Required when the containing object is present.

An HTTPS link to learning material relevant to this criterion, such as a guideline or teaching resource.

• Optional; omitted values remain unspecified.

Medications, tests, procedures, and other resources available in the case. Each resource can be used once per run; use separate entries for repeat doses or serial results.

• Optional; omitted values remain unspecified.

One resource with learner-facing information, release timing, and any authored response or patient changes.

• Required when the containing object is present.

A stable identifier used to reference this entry. Keep it unchanged when editing the entry's name or content.

• Required when the containing object is present.

Categorize the resource for selection and display. Choosing a type alone does not define its physiologic effects.

• Required when the containing object is present.

The neutral title learners use to identify or request this resource. Include the dose or study details needed to distinguish similar choices.

• Required when the containing object is present.

An optional explanatory title for Builder selection and authoring, such as XR Pediatric Neck (2 Views): Esophageal Button Battery. Never use it as a learner label or spoken title. Omission uses name in Builder; name remains the learner title.

• Optional; omitted values remain unspecified.

A named request with explicit result references. Laboratory requests require an authored specimen description.

• Optional; omitted values remain unspecified.

Required only for diagnostic resources: lab for specimen-based tests, imaging for images and reports, or physiologic for recordings and functional measurements such as ECG, EEG, and spirometry.

• Required when the containing object is present.

The specimen for this entry. Omit optional information that has not been specified.

• Optional; omitted values remain unspecified.

The collection instructions for this entry. Omit optional information that has not been specified.

• Optional; omitted values remain unspecified.

Entries for result ids. An empty list means no entries have been authored.

• Optional; omitted values remain unspecified.

Identifier of an existing resources.*.results entry. Preserve the referenced entry when editing this field.

• Required when the containing object is present.

Study-specific context independent of report interpretation.

• Optional; omitted values remain unspecified.

The body region for this entry. Omit optional information that has not been specified.

• Optional; omitted values remain unspecified.

The view for this entry. Omit optional information that has not been specified.

• Optional; omitted values remain unspecified.

The technique for this entry. Omit optional information that has not been specified.

• Optional; omitted values remain unspecified.

Report standing BP relative to current resting BP when requested, without changing resting physiology. An authored learner result takes precedence.

• Optional; omitted values remain unspecified.

Identifier of an existing patients entry. Preserve the referenced entry when editing this field.

• Optional; omitted values remain unspecified.

Identifier of an existing patients.*.variables entry. Preserve the referenced entry when editing this field.

• Optional; omitted values remain unspecified.

Identifier of an existing patients.*.variables entry. Preserve the referenced entry when editing this field.

• Optional; omitted values remain unspecified.

Subtract this many mmHg from the request-time resting systolic BP for the standing result.

• Required when the containing object is present.

Subtract this many mmHg from the request-time resting diastolic BP for the standing result.

• Required when the containing object is present.

Acquisition context plus independent rhythm and morphology findings; all supplied scale numbers must be positive.

• Optional; omitted values remain unspecified.

The lead configuration for this entry. Omit optional information that has not been specified.

• Required when the containing object is present.

Numeric paper speed mm per second. Do not infer an omitted value.

• Optional; omitted values remain unspecified.

Numeric gain mm per mv. Do not infer an omitted value.

• Optional; omitted values remain unspecified.

Identifier of an existing observations entry. Preserve the referenced entry when editing this field.

• Optional; omitted values remain unspecified.

Entries for finding observation ids. An empty list means no entries have been authored.

• Required when the containing object is present.

Identifier of an existing observations entry. Preserve the referenced entry when editing this field.

• Required when the containing object is present.

ECG image, signal, or video manifest entry with an accessible description.

• Required when the containing object is present.

Optional context about the resource and why it is available. Leave blank when the name is sufficient. Put findings released after use in Learner result.

• Optional; omitted values remain unspecified.

Covers vascular access, urinary/gastric tubes, invasive monitoring, and other authored devices.

• Optional; omitted values remain unspecified.

The type for this entry. Omit optional information that has not been specified.

• Optional; omitted values remain unspecified.

Select one of the declared status alternatives; use the fields belonging to that alternative.

• Optional; omitted values remain unspecified.

Identifier of an existing patients entry. Preserve the referenced entry when editing this field.

• Optional; omitted values remain unspecified.

The site for this entry. Omit optional information that has not been specified.

• Optional; omitted values remain unspecified.

The size for this entry. Omit optional information that has not been specified.

• Optional; omitted values remain unspecified.

Entries for measurement ids. An empty list means no entries have been authored.

• Optional; omitted values remain unspecified.

Identifier of an existing observations entry. Preserve the referenced entry when editing this field.

• Required when the containing object is present.

Separate placement time and authored confirmation from mere presence.

• Optional; omitted values remain unspecified.

Numeric placed at seconds. Do not infer an omitted value.

• Optional; omitted values remain unspecified.

Select one of the declared confirmation alternatives; use the fields belonging to that alternative.

• Required when the containing object is present.

The note for this entry. Omit optional information that has not been specified.

• Optional; omitted values remain unspecified.

Named capabilities referenced by procedure prerequisites or environment requirements.

• Optional; omitted values remain unspecified.

The capabilities for this entry. Omit optional information that has not been specified.

• Required when the containing object is present.

Connect or disconnect an equipment channel when this resource response is released.

• Optional; omitted values remain unspecified.

The monitor channel controlled by this equipment resource; all controls every channel; standard controls ECG, SpO2, NIBP, temperature, and respiratory rate.

• Required when the containing object is present.

True connects this channel; false disconnects it.

• Required when the containing object is present.

Setting is { name: string, value: number, unit: string }; settings and observations remain distinct.

• Optional; omitted values remain unspecified.

The mode for this entry. Omit optional information that has not been specified.

• Required when the containing object is present.

Entries for settings. An empty list means no entries have been authored.

• Required when the containing object is present.

Structured settings details. Omitted optional values remain unspecified.

• Required when the containing object is present.

The name for this entry. Omit optional information that has not been specified.

• Required when the containing object is present.

Numeric value. Do not infer an omitted value.

• Required when the containing object is present.

The unit for this entry. Omit optional information that has not been specified.

• Required when the containing object is present.

Entries for measurement ids. An empty list means no entries have been authored.

• Required when the containing object is present.

Identifier of an existing observations entry. Preserve the referenced entry when editing this field.

• Required when the containing object is present.

Entries for alarms. An empty list means no entries have been authored.

• Required when the containing object is present.

Authored alarm conditions and visible messages, evaluated from explicit conditions.

• Required when the containing object is present.

Stable identifier for this entry. Keep it unchanged when editing its content.

• Required when the containing object is present.

Identifier of an existing events.conditions entry. Preserve the referenced entry when editing this field.

• Required when the containing object is present.

The message for this entry. Omit optional information that has not been specified.

• Required when the containing object is present.

Select one of the declared severity alternatives; use the fields belonging to that alternative.

• Required when the containing object is present.

Credit the source of the resource content, including a citation or URL when available. Attribution alone does not verify clinical accuracy.

• Optional; omitted values remain unspecified.

Structured Resource response details. Omitted optional values remain unspecified.

• Optional; omitted values remain unspecified.

Choose when this resource result is released. With no linked event, learners request it in chat or from the bedside menu, and the response delay starts when the request is recorded. A linked event releases the result when that step starts, after any response delay; requests for non-diagnostic resources are checked against the action instructions. Diagnostic requests return only the requested test: completing an action does not order other tests linked to the same step. Timed or facilitator-delivered steps can still release their linked results automatically. If a step waits for required results, configure that link in Events.

• Optional; omitted values remain unspecified.

Numeric delay seconds, at least 0. Do not infer an omitted value.

• Optional; omitted values remain unspecified.

Entries for effect ids. An empty list means no entries have been authored.

• Optional; omitted values remain unspecified.

Identifier of an existing events.effects entry. Preserve the referenced entry when editing this field.

• Required when the containing object is present.

Identifier of an existing events.states entry. Preserve the referenced entry when editing this field.

• Optional; omitted values remain unspecified.

Entries for source ids. An empty list means no entries have been authored.

• Optional; omitted values remain unspecified.

Identifier of an existing metadata.sources entry. Preserve the referenced entry when editing this field.

• Required when the containing object is present.

Reusable product definition. QuantityRatio is numerator Quantity / denominator Quantity; positive denominator is required.

• Optional; omitted values remain unspecified.

The ingredient for this entry. Omit optional information that has not been specified.

• Required when the containing object is present.

The formulation for this entry. Omit optional information that has not been specified.

• Required when the containing object is present.

Structured concentration details. Omitted optional values remain unspecified.

• Optional; omitted values remain unspecified.

Structured numerator details. Omitted optional values remain unspecified.

• Required when the containing object is present.

Numeric value. Do not infer an omitted value.

• Required when the containing object is present.

The unit for this entry. Omit optional information that has not been specified.

• Required when the containing object is present.

Structured numerator details. Omitted optional values remain unspecified.

• Required when the containing object is present.

Numeric value. Do not infer an omitted value.

• Required when the containing object is present.

The unit for this entry. Omit optional information that has not been specified.

• Required when the containing object is present.

Entries for allowed routes. An empty list means no entries have been authored.

• Required when the containing object is present.

The allowed routes for this entry. Omit optional information that has not been specified.

• Required when the containing object is present.

A structured exchange with authored requests and responses rather than a one-line result.

• Optional; omitted values remain unspecified.

The service for this entry. Omit optional information that has not been specified.

• Required when the containing object is present.

Identifier of an existing environment.actors entry. Preserve the referenced entry when editing this field.

• Required when the containing object is present.

Entries for requested information. An empty list means no entries have been authored.

• Required when the containing object is present.

The requested information for this entry. Omit optional information that has not been specified.

• Required when the containing object is present.

Entries for response result ids. An empty list means no entries have been authored.

• Required when the containing object is present.

Identifier of an existing resources.*.results entry. Preserve the referenced entry when editing this field.

• Required when the containing object is present.

Preparation and performance content with an explicit action deciding the authored result.

• Optional; omitted values remain unspecified.

The indication for this entry. Omit optional information that has not been specified.

• Required when the containing object is present.

Entries for required resource ids. An empty list means no entries have been authored.

• Required when the containing object is present.

Identifier of an existing resources entry. Preserve the referenced entry when editing this field.

• Required when the containing object is present.

Entries for steps. An empty list means no entries have been authored.

• Required when the containing object is present.

Ordered observable steps. Action evidence requires actionId; facilitator evidence is recorded during the run.

• Required when the containing object is present.

Stable identifier for this entry. Keep it unchanged when editing its content.

• Required when the containing object is present.

The instruction for this entry. Omit optional information that has not been specified.

• Required when the containing object is present.

The required literal value "facilitator".

• Required when the containing object is present.

Whether critical applies. Omitted optional values remain unspecified.

• Required when the containing object is present.

Identifier of an existing events.actions entry. Preserve the referenced entry when editing this field.

• Optional; omitted values remain unspecified.

Identifier of an existing events.actions entry. Preserve the referenced entry when editing this field.

• Required when the containing object is present.

Entries for complications. An empty list means no entries have been authored.

• Optional; omitted values remain unspecified.

Conditional authored consequences evaluated once at procedure completion, in listed order.

• Required when the containing object is present.

Stable identifier for this entry. Keep it unchanged when editing its content.

• Required when the containing object is present.

The description for this entry. Omit optional information that has not been specified.

• Required when the containing object is present.

Identifier of an existing events.conditions entry. Preserve the referenced entry when editing this field.

• Required when the containing object is present.

Entries for effect ids. An empty list means no entries have been authored.

• Required when the containing object is present.

Identifier of an existing events.effects entry. Preserve the referenced entry when editing this field.

• Required when the containing object is present.

Entries for results. An empty list means no entries have been authored.

• Optional; omitted values remain unspecified.

Named result combines authored report text, structured observations, media, and audience rules.

• Required when the containing object is present.

Stable identifier for this entry. Keep it unchanged when editing its content.

• Required when the containing object is present.

The content for this entry. Omit optional information that has not been specified.

• Required when the containing object is present.

Entries for observation ids. An empty list means no entries have been authored.

• Required when the containing object is present.

Identifier of an existing observations entry. Preserve the referenced entry when editing this field.

• Required when the containing object is present.

Entries for asset ids. An empty list means no entries have been authored.

• Required when the containing object is present.

Identifier of an existing assets entry. Preserve the referenced entry when editing this field.

• Required when the containing object is present.

Select one of the declared Disclosure alternatives; use the fields belonging to that alternative.

• Required when the containing object is present.

Authorized output audiences. UI hints do not replace output filtering.

• Required when the containing object is present.

Select one of the declared Audience alternatives; use the fields belonging to that alternative.

• Required when the containing object is present.

Initial reveals at baseline; other modes require an action, condition, or facilitator release.

• Required when the containing object is present.

Identifier of an existing resources entry. Preserve the referenced entry when editing this field.

• Optional; omitted values remain unspecified.

Successful completion of this action reveals the entry.

• Optional; omitted values remain unspecified.

Reveal when the condition first becomes true; reject unrelated trigger fields.

• Optional; omitted values remain unspecified.

Separate diagnostic or teaching explanation from the raw learner result.

• Optional; omitted values remain unspecified.

The learner for this entry. Omit optional information that has not been specified.

• Optional; omitted values remain unspecified.

The facilitator for this entry. Omit optional information that has not been specified.

• Required when the containing object is present.

Human-readable panel grouping; does not inject assumed analytes.

• Optional; omitted values remain unspecified.

Allows rejected or unavailable specimens to drive a repeat-collection branch.

• Optional; omitted values remain unspecified.

The patient phases, transitions, and requestable resources that define how the scenario progresses.

• Required when the containing object is present.

Entries for flags. An empty list means no entries have been authored.

• Optional; omitted values remain unspecified.

Concurrent facts such as ownership-agreed; flags coexist independently of the single active phase.

• Required when the containing object is present.

Stable identifier for this entry. Keep it unchanged when editing its content.

• Required when the containing object is present.

Whether initial value applies. Omitted optional values remain unspecified.

• Required when the containing object is present.

Named, bounded predicates referenced by actions, states, and cues.

• Optional; omitted values remain unspecified.

All predicates must be true; empty all is explicitly true. No recursive or executable expression text.

• Required when the containing object is present.

Stable identifier for this entry. Keep it unchanged when editing its content.

• Required when the containing object is present.

Entries for all. An empty list means no entries have been authored.

• Required when the containing object is present.

Operand types must match the target. Boolean flags support only eq/ne; numeric comparisons use the variable's declared unit.

• Required when the containing object is present.

The Identifier for this entry. Omit optional information that has not been specified.

• Required when the containing object is present.