{
  "format": "usim-scenario",
  "formatVersion": "2.0",
  "scenarioId": "usim-reference-1",
  "metadata": {
    "revision": 1,
    "license": {
      "identifier": "All rights reserved"
    },
    "review": {
      "status": "draft",
      "reviewerIds": [],
      "sourceIds": []
    },
    "sources": [],
    "title": "A clear handoff",
    "summary": "Fictional team communication practice with a delayed result and two approaches to clarifying the situation.",
    "contributors": [
      {
        "id": "contributor-author",
        "roles": [
          "author"
        ],
        "name": "u-sim example team"
      }
    ],
    "diagnosis": "Communication rehearsal",
    "specialty": "Simulation education",
    "level": "Intermediate",
    "durationMinutes": 10
  },
  "patients": [
    {
      "id": "patient-primary",
      "name": "Alex Morgan (fictional)",
      "context": "A fictional adult is awaiting handoff. The incoming team needs a shared understanding of the situation and who will follow up an outstanding result.",
      "demographics": {
        "age": {
          "value": 40,
          "unit": "years"
        },
        "gender": "Not specified",
        "weight": {
          "value": 70,
          "unit": "kg"
        },
        "height": {
          "value": 170,
          "unit": "cm"
        }
      },
      "monitor": {
        "connections": {}
      },
      "variables": [
        {
          "id": "patient-primary-hr",
          "concept": "usim:hr",
          "value": 80,
          "unit": "beats/min"
        },
        {
          "id": "patient-primary-sbp",
          "concept": "usim:sbp",
          "value": 120,
          "unit": "mmHg"
        },
        {
          "id": "patient-primary-dbp",
          "concept": "usim:dbp",
          "value": 75,
          "unit": "mmHg"
        },
        {
          "id": "patient-primary-rr",
          "concept": "usim:rr",
          "value": 16,
          "unit": "breaths/min"
        },
        {
          "id": "patient-primary-spo2",
          "concept": "usim:spo2",
          "value": 98,
          "unit": "%"
        },
        {
          "id": "patient-primary-temperature",
          "concept": "usim:temperature",
          "value": 37,
          "unit": "Cel"
        },
        {
          "id": "patient-primary-etco2",
          "concept": "usim:etco2",
          "value": 35,
          "unit": "mmHg"
        }
      ],
      "history": [
        {
          "id": "patient-primary-history-chief-complaint-1",
          "content": "Awaiting a team handoff",
          "disclosure": {
            "audience": [
              "learner",
              "facilitator"
            ],
            "mode": "initial"
          },
          "category": "chief-complaint"
        },
        {
          "id": "patient-primary-history-present-illness-1",
          "content": "The current care summary is incomplete in this fictional exercise.",
          "disclosure": {
            "audience": [
              "learner",
              "facilitator"
            ],
            "mode": "initial"
          },
          "category": "present-illness"
        },
        {
          "id": "patient-primary-history-medical-1",
          "content": "No additional history authored",
          "disclosure": {
            "audience": [
              "learner",
              "facilitator"
            ],
            "mode": "initial"
          },
          "category": "medical"
        },
        {
          "id": "patient-primary-history-allergy-1",
          "content": "Example substance — Reaction: Authored rash — Reaction severity: mild",
          "disclosure": {
            "audience": [
              "learner",
              "facilitator"
            ],
            "mode": "initial"
          },
          "category": "allergy",
          "allergy": {
            "substance": "Example substance",
            "reaction": "Authored rash",
            "severity": "mild"
          }
        },
        {
          "id": "patient-primary-history-family-1",
          "content": "Not part of this exercise",
          "disclosure": {
            "audience": [
              "learner",
              "facilitator"
            ],
            "mode": "initial"
          },
          "category": "family"
        },
        {
          "id": "patient-primary-history-social-1",
          "content": "Fictional training context",
          "disclosure": {
            "audience": [
              "learner",
              "facilitator"
            ],
            "mode": "initial"
          },
          "category": "social"
        }
      ]
    }
  ],
  "environment": {
    "setting": "A simulated handoff space",
    "requirements": [
      {
        "id": "requirement-1",
        "description": "Facilitator brief reviewed"
      },
      {
        "id": "requirement-2",
        "description": "Learner roles assigned"
      }
    ],
    "equipment": [
      "Handoff note"
    ],
    "actors": [
      {
        "id": "outgoing-team",
        "name": "Outgoing colleague",
        "role": "Facilitator",
        "brief": "Reveal missing context when the learner asks a focused question."
      }
    ]
  },
  "education": {
    "objectives": [
      {
        "id": "objective-1",
        "statement": "Clarify missing information"
      },
      {
        "id": "objective-2",
        "statement": "Agree on ownership of the next step"
      }
    ],
    "debriefPrompts": [
      {
        "id": "debrief-1",
        "question": "How did you establish a shared understanding? Who took responsibility for the outstanding result?"
      }
    ],
    "preparation": [
      {
        "id": "preparation-handoff",
        "audience": "learner",
        "instructions": "Familiarity with a local handoff framework",
        "assetIds": []
      }
    ],
    "rationale": "Practice explicit communication and follow-up ownership."
  },
  "events": {
    "states": [
      {
        "id": "baseline",
        "title": "Receive the handoff",
        "kind": "baseline",
        "key": true,
        "learnerBrief": "The outgoing colleague is ready. How will you establish the shared picture?",
        "facilitatorBrief": "Offer incomplete context, then respond to the learner’s approach."
      },
      {
        "id": "assessment",
        "title": "Clarify the context",
        "kind": "phase",
        "key": true,
        "learnerBrief": "You have clarified the missing information. Agree on the next step.",
        "facilitatorBrief": "Ask the learner to make ownership explicit."
      },
      {
        "id": "waiting",
        "title": "Await the update",
        "kind": "phase",
        "learnerBrief": "A result is pending. Agree who will review it while the simulated clock advances.",
        "facilitatorBrief": "Advance simulated time to allow the update."
      },
      {
        "id": "update",
        "title": "The update arrives",
        "kind": "phase",
        "learnerBrief": "The pending update is available. Confirm who will communicate the result.",
        "facilitatorBrief": "Ask for a closed-loop confirmation.",
        "onEnterEffectIds": [
          "update-hr"
        ]
      },
      {
        "id": "conclusion",
        "title": "Handoff complete",
        "kind": "conclusion",
        "key": true,
        "learnerBrief": "The team has confirmed the situation and the next step. Pause for reflection.",
        "facilitatorBrief": "Use the debrief prompts to compare both approaches."
      }
    ],
    "effects": [
      {
        "id": "update-hr",
        "targetId": "patient-primary-hr",
        "value": 82,
        "unit": "beats/min",
        "kind": "set-variable"
      }
    ],
    "actions": [
      {
        "id": "clarify",
        "label": "Ask for missing context",
        "availableInStateIds": [
          "baseline"
        ],
        "outcomes": [
          {
            "id": "clarify-outcome",
            "effectIds": [],
            "nextStateId": "assessment"
          }
        ]
      },
      {
        "id": "review",
        "label": "Review the summary and pending result",
        "availableInStateIds": [
          "baseline"
        ],
        "outcomes": [
          {
            "id": "review-outcome",
            "effectIds": [],
            "nextStateId": "waiting"
          }
        ],
        "resourceId": "handoff-result"
      },
      {
        "id": "confirm",
        "label": "Confirm responsibilities with a read-back",
        "availableInStateIds": [
          "assessment"
        ],
        "outcomes": [
          {
            "id": "confirm-outcome",
            "effectIds": [],
            "nextStateId": "conclusion"
          }
        ]
      },
      {
        "id": "close",
        "label": "Confirm who will communicate the result",
        "availableInStateIds": [
          "update"
        ],
        "outcomes": [
          {
            "id": "close-outcome",
            "effectIds": [],
            "nextStateId": "conclusion"
          }
        ]
      }
    ],
    "schedules": [
      {
        "id": "update-due",
        "label": "Receive the scheduled update",
        "anchor": {
          "kind": "state-entry",
          "refId": "waiting"
        },
        "delaySeconds": 30,
        "priority": 0,
        "effectIds": [],
        "nextStateId": "update",
        "onAnchorStateExit": "continue"
      }
    ]
  },
  "resources": [
    {
      "id": "handoff-result",
      "kind": "information",
      "name": "Pending handoff update",
      "description": "A fictional delayed update used to rehearse follow-up ownership.",
      "source": "Authored fictional documentation example",
      "results": [
        {
          "id": "handoff-result-result",
          "content": "The requested handoff information is now available. Confirm that the incoming colleague has received it.",
          "observationIds": [],
          "assetIds": [],
          "disclosure": {
            "audience": [
              "learner",
              "facilitator"
            ],
            "mode": "on-resource-response",
            "resourceId": "handoff-result"
          }
        }
      ],
      "response": {
        "delaySeconds": 30
      }
    }
  ],
  "observations": [
    {
      "id": "patient-primary-examination-general",
      "patientId": "patient-primary",
      "code": "usim:examination:general",
      "kind": "finding",
      "disclosure": {
        "audience": [
          "learner",
          "facilitator"
        ],
        "mode": "initial"
      },
      "status": "known",
      "value": "Comfortable and speaking with the team"
    },
    {
      "id": "patient-primary-ros-general",
      "patientId": "patient-primary",
      "code": "usim:ros:general",
      "kind": "symptom",
      "disclosure": {
        "audience": [
          "learner",
          "facilitator"
        ],
        "mode": "initial"
      },
      "status": "known",
      "value": "No additional symptoms authored"
    }
  ]
}