Nick-Maximillien/nexus-forensic-medgemma-4b.Q8_0.gguf
Text Generation • 4B • Updated • 31 • 1
instruction stringclasses 1
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You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | Following an acute anterior MI, a contrast echocardiogram may be considered for the detection of LV thrombus if the apex is not well visualized on echocardiography. | {"intent_tags": ["safety", "quality"], "logic_config": {"required_artifact": "consideration of contrast echocardiogram for LV thrombus detection", "trigger_assertion": "acute anterior MI and apex not well visualized on echocardiography"}, "rule_type": "conditional_existence", "scope_tags": ["clinical"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | (Rev. 95, Issued: 12-12-13, Effective: 06-07-13, Implementation: 06-07-13)
§482.13(b)(2) The patient or his or her representative (as allowed under State law) has the right to make informed decisions regarding his or her care. The patient's rights include being informed of his or her health status, being involved in ... | {"intent_tags": ["safety", "quality", "compliance"], "logic_config": {"required_artifact": "hospital provides information to designated representative AND hospital seeks written consent from representative when required for care decisions", "trigger_assertion": "patient designates a representative (orally or in writing... |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | (Rev. 37, Issued: 10-17-08; Effective/Implementation Date: 10-17-08)
§482.45(a)(5) - Ensure that the hospital works cooperatively with the designated OPO, tissue bank and eye bank in educating staff on donation issues;
## Interpretive Guidelines §482.45(a)(5)
Appropriate hospital staff, including all patient care ... | {"intent_tags": ["quality", "compliance"], "logic_config": {"required_artifact": "staff training on organ and tissue donation issues"}, "rule_type": "existence", "scope_tags": ["clinical", "facility", "legal"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | Vital signs must be recorded in chronological sequence. | {"intent_tags": ["integrity"], "logic_config": {"event_type": "vital_signs"}, "rule_type": "monotonic", "scope_tags": ["clinical"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | Cannot bill General Anesthesia and Conscious Sedation on the same service date. | {"intent_tags": ["compliance"], "logic_config": {"event_1": "General Anesthesia", "event_2": "Conscious Sedation"}, "rule_type": "exclusive", "scope_tags": ["billing"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | Intravascular imaging should be considered to guide PCI. | {"intent_tags": ["quality", "safety"], "logic_config": {"required_artifact": "consideration of intravascular imaging", "trigger_assertion": "PCI procedure is performed"}, "rule_type": "conditional_existence", "scope_tags": ["clinical"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | Future research is needed to establish optimal thresholds. [Ref: 672] | {"intent_tags": [], "logic_config": {}, "rule_type": "unsupported", "scope_tags": [], "summary": "Non-executable narrative text"} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | Cannot bill Initial Hospital Care and Subsequent Hospital Care on the same service date. | {"intent_tags": ["compliance"], "logic_config": {"event_1": "Initial Hospital Care", "event_2": "Subsequent Hospital Care"}, "rule_type": "exclusive", "scope_tags": ["billing"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | Twelve-lead ECG recording and interpretation is recommended as soon as possible at the point of first medical contact, with a target of <10 min. | {"intent_tags": ["safety", "quality"], "logic_config": {"anchor": "first medical contact", "max_delay_minutes": 10, "target": "Twelve-lead ECG recording and interpretation"}, "rule_type": "temporal", "scope_tags": ["clinical"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | Patient preferences should be considered in all decisions. [Ref: 884] | {"intent_tags": [], "logic_config": {}, "rule_type": "unsupported", "scope_tags": [], "summary": "Non-executable narrative text"} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | De-escalation of antiplatelet therapy in the first 30 days after an ACS event is not recommended. 238 , 323 | {"intent_tags": ["safety", "quality"], "logic_config": {"forbidden_treatment": "de-escalation of antiplatelet therapy", "trigger_condition": "within 30 days after an ACS event"}, "rule_type": "contra", "scope_tags": ["clinical"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | A mild tranquilizer should be considered in very anxious patients. | {"intent_tags": ["quality"], "logic_config": {"required_artifact": "consideration of mild tranquilizer", "trigger_assertion": "patient is very anxious"}, "rule_type": "conditional_existence", "scope_tags": ["clinical"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | O2 Saturation must be above 89. | {"intent_tags": ["safety"], "logic_config": {"min_value": 89, "target_vital": "O2 Saturation"}, "rule_type": "threshold", "scope_tags": ["clinical"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | Limit consultation to 8 units per session. | {"intent_tags": ["safety"], "logic_config": {"event_type": "consultation", "max_count": 8}, "rule_type": "count_sanity", "scope_tags": ["clinical"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | Patient intake must be recorded in chronological sequence. | {"intent_tags": ["integrity"], "logic_config": {"event_type": "patient_intake"}, "rule_type": "monotonic", "scope_tags": ["clinical"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | (Rev. 141, Issued: 07-10-15, Effective: 07-10-15, Implementation: 07-10-15)
## §482.53(c) Standard: Facilities
Equipment and supplies must be appropriate for the types of nuclear medicine services offered and must be maintained for safe and efficient performance. The equipment must be--
- (1) Maintained in safe op... | {"intent_tags": ["safety", "quality", "compliance"], "logic_config": {"required_artifact": "documentation of nuclear medicine equipment inspection, testing, and calibration performed at least annually by qualified personnel, following manufacturer's instructions"}, "rule_type": "existence", "scope_tags": ["clinical", "... |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | This document replaces the 2019 standards of care. [Ref: 165] | {"intent_tags": [], "logic_config": {}, "rule_type": "unsupported", "scope_tags": [], "summary": "Non-executable narrative text"} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | (Rev. 37, Issued: 10-17-08; Effective/Implementation Date: 10-17-08)
§482.45(a)(2) - Incorporate an agreement with at least one tissue bank and at least one eye bank to cooperate in the retrieval, processing, preservation, storage and distribution of tissues and eyes, as may be appropriate to assure that all usable ... | {"intent_tags": ["quality", "compliance"], "logic_config": {"required_artifact": "agreement with at least one tissue bank and at least one eye bank"}, "rule_type": "existence", "scope_tags": ["facility", "legal"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | Cannot bill Warfarin and New Oral Anticoagulant on the same service date. | {"intent_tags": ["compliance"], "logic_config": {"event_1": "Warfarin", "event_2": "New Oral Anticoagulant"}, "rule_type": "exclusive", "scope_tags": ["billing"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | It is recommended that healthcare systems implement strategies to facilitate transfer of all patients in whom ACS is suspected after resuscitated cardiac arrest directly to a hospital offering 24/7 PPCI via one specialized EMS. 390 – 392 | {"intent_tags": ["safety", "quality"], "logic_config": {"required_artifact": "strategy for direct transfer to 24/7 PPCI hospital via specialized EMS", "trigger_assertion": "ACS suspected after resuscitated cardiac arrest"}, "rule_type": "conditional_existence", "scope_tags": ["clinical", "facility"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | (Rev.78, Issued: 12-22-11, Effective/Implementation: 12-22-11)
## [The governing body must:]
§482.12(a)(8) Ensure that, when telemedicine services are furnished to the hospital's patients through an agreement with a distant-site hospital, the agreement is written and that it specifies that it is the responsibility o... | {"intent_tags": ["compliance"], "logic_config": {"required_artifact": "written agreement for telemedicine services", "required_clauses": ["agreement specifies distant-site hospital's governing body is responsible for meeting requirements \u00a7482.12(a)(1)-(a)(7) for their physicians and practitioners providing telemed... |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | Nursing notes must be recorded in chronological sequence. | {"intent_tags": ["integrity"], "logic_config": {"event_type": "nursing_notes"}, "rule_type": "monotonic", "scope_tags": ["clinical"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | (Rev. 95, Issued: 12-12-13, Effective: 06-07-13, Implementation: 06-07-13)
[All records must document the following, as appropriate:]
§482.24(c)(4)(vii) - Discharge summary with outcome of hospitalization, disposition of case, and provisions for follow-up care.
## Interpretive Guidelines §482.24(c)(4)(vii)
All pati... | {"intent_tags": ["safety", "quality", "compliance", "integrity"], "logic_config": {"required_artifact": "discharge summary"}, "rule_type": "existence", "scope_tags": ["clinical", "facility", "legal"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | Systolic BP must be above 133. | {"intent_tags": ["safety"], "logic_config": {"min_value": 133, "target_vital": "Systolic BP"}, "rule_type": "threshold", "scope_tags": ["clinical"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | (Rev. 37, Issued: 10-17-08; Effective/Implementation Date: 10-17-08)
§482.13(e) Standard: Restraint or seclusion. All patients have the right to be free from physical or mental abuse, and corporal punishment. All patients have the right to be free from restraint or seclusion, of any form, imposed as a means of co... | {"intent_tags": ["quality"], "logic_config": {"required_artifact": "unknown_requirement"}, "rule_type": "existence", "scope_tags": ["clinical"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | Intravenous beta-blocker and/or amiodarone treatment is recommended for patients with polymorphic VT and/or VF unless contraindicated. | {"intent_tags": ["safety", "quality"], "logic_config": {"forbidden_treatment": "Intravenous beta-blocker and/or amiodarone", "trigger_condition": "contraindication exists"}, "rule_type": "contra", "scope_tags": ["clinical"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | Future research is needed to establish optimal thresholds. [Ref: 536] | {"intent_tags": [], "logic_config": {}, "rule_type": "unsupported", "scope_tags": [], "summary": "Non-executable narrative text"} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | §482.12(e)(2) The hospital must maintain a list of all contracted services, including the scope and nature of the services provided.
## Survey Procedures §482.12(e)(2)
Review the list of contracted services and verify that there is a delineation of contractor responsibility.
A-0091
(Rev. 37, Issued: 10-17-08; Effe... | {"intent_tags": ["compliance", "quality", "integrity"], "logic_config": {"required_artifact": "list of contracted services with scope and nature, and delineation of contractor responsibility"}, "rule_type": "existence", "scope_tags": ["facility", "legal"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | (Rev. 75, Issued: 12-02-11, Effective: 12-02-11, Implementation: 12-02-11)
§482.13(h) Standard: Patient visitation rights. A hospital must have written policies and procedures regarding the visitation rights of patients, including those setting forth any clinically necessary or reasonable restriction or limitation th... | {"intent_tags": ["quality", "compliance"], "logic_config": {"required_artifact": "Hospital policies and procedures for patient visitation rights and documentation of informing patients of these rights"}, "rule_type": "existence", "scope_tags": ["facility", "legal"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | Patient intake must be recorded in chronological sequence. | {"intent_tags": ["integrity"], "logic_config": {"event_type": "patient_intake"}, "rule_type": "monotonic", "scope_tags": ["clinical"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | Patient intake must be recorded in chronological sequence. | {"intent_tags": ["integrity"], "logic_config": {"event_type": "patient_intake"}, "rule_type": "monotonic", "scope_tags": ["clinical"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | O2 Saturation must be above 93. | {"intent_tags": ["safety"], "logic_config": {"min_value": 93, "target_vital": "O2 Saturation"}, "rule_type": "threshold", "scope_tags": ["clinical"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | Limit consultation to 3 units per session. | {"intent_tags": ["safety"], "logic_config": {"event_type": "consultation", "max_count": 3}, "rule_type": "count_sanity", "scope_tags": ["clinical"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | O2 Saturation must be above 91. | {"intent_tags": ["safety"], "logic_config": {"min_value": 91, "target_vital": "O2 Saturation"}, "rule_type": "threshold", "scope_tags": ["clinical"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | It is recommended that all hospitals and EMS participating in the care of patients with suspected STEMI record and audit delay times and work together to achieve and maintain quality targets. | {"intent_tags": ["safety", "quality", "billing"], "logic_config": {"required_artifact": "process for recording and auditing delay times for suspected STEMI patients"}, "rule_type": "existence", "scope_tags": ["clinical", "facility"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | Limit EKG interpretation to 7 units per session. | {"intent_tags": ["safety"], "logic_config": {"event_type": "ekg", "max_count": 7}, "rule_type": "count_sanity", "scope_tags": ["clinical"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | Oxygen is recommended in patients with hypoxaemia (SaO2 <90%). | {"intent_tags": ["safety", "quality"], "logic_config": {"min_value": 90, "operator": "<", "target_vital": "Oxygen Saturation"}, "rule_type": "threshold", "scope_tags": ["clinical"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | It is recommended that the pre-hospital management of patients with a working diagnosis of STEMI is based on regional networks designed to deliver reperfusion therapy expeditiously and effectively, with efforts made to make PPCI available to as many patients as possible. | {"intent_tags": ["safety", "quality"], "logic_config": {"required_artifact": "regional networks for expeditious and effective STEMI reperfusion therapy, maximizing PPCI availability"}, "rule_type": "existence", "scope_tags": ["clinical", "facility"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | (Rev. 105, Issued: 03-21-14, Effective: 03-21-14, Implementation: 03-21-14)
Providing Adequate Resources
§482.21(e) Standard: Executive Responsibilities
[§482.21(e) The hospital's governing body (or organized group or individual who assumes full legal authority and responsibility for operations of the hospital), me... | {"intent_tags": ["safety", "quality", "compliance"], "logic_config": {"required_artifact": "adequate resources allocated for measuring, assessing, improving, and sustaining hospital performance and reducing risk to patients"}, "rule_type": "existence", "scope_tags": ["facility", "legal"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | (Rev. 37, Issued: 10-17-08; Effective/Implementation Date: 10-17-08)
§482.45(a)(5) - (C ontinued)
[Ensure that the hospital works cooperatively with the designated OPO, tissue bank and eye bank in educating staff on…] maintaining potential donors while necessary testing and placement of potential donated organs, ti... | {"intent_tags": ["safety", "quality", "compliance"], "logic_config": {"required_artifact": "policies and procedures for timely identification and declaration of death of potential donors"}, "rule_type": "existence", "scope_tags": ["clinical", "facility", "legal"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | Clinicians should use their best judgment when applying these rules. [Ref: 920] | {"intent_tags": [], "logic_config": {}, "rule_type": "unsupported", "scope_tags": [], "summary": "Non-executable narrative text"} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | Systolic BP must be above 158. | {"intent_tags": ["safety"], "logic_config": {"min_value": 158, "target_vital": "Systolic BP"}, "rule_type": "threshold", "scope_tags": ["clinical"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | O2 Saturation must be above 92. | {"intent_tags": ["safety"], "logic_config": {"min_value": 92, "target_vital": "O2 Saturation"}, "rule_type": "threshold", "scope_tags": ["clinical"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | Cannot bill General Anesthesia and Conscious Sedation on the same service date. | {"intent_tags": ["compliance"], "logic_config": {"event_1": "General Anesthesia", "event_2": "Conscious Sedation"}, "rule_type": "exclusive", "scope_tags": ["billing"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | (Rev. 37, Issued: 10-17-08; Effective/Implementation Date: 10-17-08)
## §482.21 Condition of Participation: Quality Assessment and Performance Improvement Program
The hospital must develop, implement, and maintain an effective, ongoing, hospitalwide, data-driven quality assessment and performance improvement progr... | {"intent_tags": ["safety", "quality", "compliance", "integrity"], "logic_config": {"required_artifact": "Quality Assessment and Performance Improvement (QAPI) program and its evidence"}, "rule_type": "existence", "scope_tags": ["facility", "legal", "clinical"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | It is recommended to intensify lipid-lowering therapy during the index ACS hospitalization for patients who were on lipid-lowering therapy before admission. | {"intent_tags": ["safety", "quality"], "logic_config": {"required_artifact": "intensified lipid-lowering therapy", "trigger_assertion": "patient was on lipid-lowering therapy before admission and is in index ACS hospitalization"}, "rule_type": "conditional_existence", "scope_tags": ["clinical"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | The level of evidence for this section is based on expert consensus. [Ref: 498] | {"intent_tags": [], "logic_config": {}, "rule_type": "unsupported", "scope_tags": [], "summary": "Non-executable narrative text"} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | During PCI, a UFH bolus is recommended in any of the following circumstances: • if the patient is on a NOAC • if the INR is <2.5 in VKA-treated patients. | {"intent_tags": ["safety", "quality"], "logic_config": {"required_artifact": "UFH bolus during PCI", "trigger_assertion": "patient is on a NOAC OR INR is <2.5 in VKA-treated patients"}, "rule_type": "conditional_existence", "scope_tags": ["clinical"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | Vital signs must be recorded in chronological sequence. | {"intent_tags": ["integrity"], "logic_config": {"event_type": "vital_signs"}, "rule_type": "monotonic", "scope_tags": ["clinical"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | (Rev. 200, Issued: 02-21-20; Effective: 02-21-20, Implementation: 02-21-20)
§482.43(c)(1) -The hospital must include the discharge planning a list of HHA's, SNF's, IRF's, or LTCH's that are available to the patient, that are participating in the Medicare program, and that serve the geographic area (as defined by the H... | {"intent_tags": ["safety", "quality", "compliance"], "logic_config": {"required_artifact": "documentation in medical record that list of available post-acute care providers was presented to patient or representative", "trigger_assertion": "discharge planning evaluation indicates patient requires post-acute care service... |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | (Rev. 59, Issued: 05-21-10, Effective/Implementation: 05-21-10)
[The policies must ensure that the following are provided for each patient:]
§482.52(b)(2) - An intraoperative anesthesia record.
Interpretive Guidelines §482.52(b)(2)
There must be an intraoperative anesthesia record or report for each patient who rec... | {"intent_tags": ["safety", "quality", "compliance", "integrity"], "logic_config": {"exclusion_criteria": "moderate sedation", "required_artifact": "intraoperative anesthesia record", "required_elements": ["Name and hospital identification number of the patient", "Name(s) of practitioner(s) who administered anesthesia, ... |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | Nursing notes must be recorded in chronological sequence. | {"intent_tags": ["integrity"], "logic_config": {"event_type": "nursing_notes"}, "rule_type": "monotonic", "scope_tags": ["clinical"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | Cannot bill IV Infusion and IV Push on the same service date. | {"intent_tags": ["compliance"], "logic_config": {"event_1": "IV Infusion", "event_2": "IV Push"}, "rule_type": "exclusive", "scope_tags": ["billing"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | (Rev. 37, Issued: 10-17-08; Effective/Implementation Date: 10-17-08)
§482.12(f)(3) If emergency services are provided at the hospital but are not provided at one or more off-campus departments of the hospital, the governing body of the hospital must assure that the medical staff has written policies and procedures i... | {"intent_tags": ["safety", "quality", "compliance"], "logic_config": {"required_artifact": "Medical staff policies and procedures for appraisal of emergencies and appropriate referral at off-campus departments, ensuring qualified clinical personnel availability and appropriate transfer protocols.", "trigger_assertion":... |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | In patients treated with streptokinase, an i.v. bolus of fondaparinux followed by an s.c. dose 24 h later should be considered. 260 | {"intent_tags": ["safety", "quality"], "logic_config": {"anchor": "i.v. bolus of fondaparinux", "context_condition": "in patients treated with streptokinase", "max_delay_hours": 24, "min_delay_hours": 24, "target": "s.c. dose of fondaparinux"}, "rule_type": "temporal", "scope_tags": ["clinical"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | Limit EKG interpretation to 6 units per session. | {"intent_tags": ["safety"], "logic_config": {"event_type": "ekg", "max_count": 6}, "rule_type": "count_sanity", "scope_tags": ["clinical"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | Shift handovers must be recorded in chronological sequence. | {"intent_tags": ["integrity"], "logic_config": {"event_type": "shift_handovers"}, "rule_type": "monotonic", "scope_tags": ["clinical"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | Nursing notes must be recorded in chronological sequence. | {"intent_tags": ["integrity"], "logic_config": {"event_type": "nursing_notes"}, "rule_type": "monotonic", "scope_tags": ["clinical"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | (Rev. 37, Issued: 10-17-08; Effective/Implementation Date: 10-17-08)
[When restraint or seclusion is used, there must be documentation in the patient's medical record of the following:]
§482.13(e)(16)(v) - The patient's response to the intervention(s) used, including the rationale for continued use of the intervent... | {"intent_tags": ["safety", "quality", "compliance"], "logic_config": {"required_artifact": "documentation of the patient's response to the intervention(s) used, including the rationale for continued use of the intervention", "trigger_assertion": "restraint or seclusion is used"}, "rule_type": "conditional_existence", "... |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | (Rev. 37, Issued: 10-17-08; Effective/Implementation Date: 10-17-08)
[The hospital must require appropriate staff to have education, training, and
## demonstrated knowledge based on the specific needs of the patient population in at least the following:]
§482.13(f)(2)(v) - Clinical identification of specific beha... | {"intent_tags": ["safety", "quality", "compliance"], "logic_config": {"required_artifact": "staff competency in identifying behavioral changes for discontinuing restraint or seclusion"}, "rule_type": "existence", "scope_tags": ["clinical", "facility"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | Routine use of a UFH bolus (weight-adjusted i.v. bolus during PCI of 70–100 IU/kg) is recommended in patients undergoing PCI. | {"intent_tags": ["safety", "quality"], "logic_config": {"required_artifact": "UFH bolus", "trigger_assertion": "patient undergoing PCI"}, "rule_type": "conditional_existence", "scope_tags": ["clinical"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | (Rev. 137, Issued: 04-01-15, Effective: 03-27-15, Implementation: 03-27-15)
## §482.30(a) Standard: Applicability
## The provisions of this section apply except in either of the following circumstances:
(1) A Utilization and Quality Control Quality Improvement Organization (QIO) has assumed binding review for the h... | {"intent_tags": ["compliance", "quality", "integrity"], "logic_config": {"applicability_condition": {"conditions": [{"condition_id": "QIO_BINDING_REVIEW", "description": "A Utilization and Quality Control Quality Improvement Organization (QIO) has assumed binding review for the hospital."}, {"condition_id": "CMS_STATE_... |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | (Rev. 37, Issued: 10-17-08; Effective/Implementation Date: 10-17-08)
§482.51(b)(6) - An operative report describing techniques, findings, and tissues removed or altered must be written or dictated immediately following surgery and signed by the surgeon.
## Interpretive Guidelines §482.51(b)(6)
The operative report... | {"intent_tags": ["safety", "quality", "compliance", "integrity"], "logic_config": {"required_artifact": {"name": "operative report", "required_content_elements": ["patient name and hospital identification number", "date and times of the surgery", "name(s) of the surgeon(s) and assistants or other practitioners who perf... |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | O2 Saturation must be above 94. | {"intent_tags": ["safety"], "logic_config": {"min_value": 94, "target_vital": "O2 Saturation"}, "rule_type": "threshold", "scope_tags": ["clinical"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | Medication administration record must be recorded in chronological sequence. | {"intent_tags": ["integrity"], "logic_config": {"event_type": "medication_administration_record"}, "rule_type": "monotonic", "scope_tags": ["clinical"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | Immediate coronary angiography and PCI of the IRA (if indicated) is recommended in patients with CS complicating ACS. | {"intent_tags": ["safety", "quality"], "logic_config": {"required_artifact": "Immediate coronary angiography and PCI of the IRA", "trigger_assertion": "CS complicating ACS"}, "rule_type": "conditional_existence", "scope_tags": ["clinical"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | (Rev. 183, Issued: 10-12-18, Effective: 10-12-18, Implementation: 10-12-18)
§482.58(b)(2) Admission, transfer, and discharge rights (§483.5 definition of transfer and discharge, §483.15(c)(1), (c)(2)(i), (c)(2)(ii), (c)(3), (c)(4), (c)(5), and (c)(7))
- §483.5: definition of transfer and discharge: Transfer and disc... | {"intent_tags": ["safety", "quality", "compliance"], "logic_config": {"required_artifact": "documented justification meeting \u00a7483.15(c)(1)(i) criteria and no pending appeal", "trigger_assertion": "resident transfer or discharge occurs"}, "rule_type": "conditional_existence", "scope_tags": ["clinical", "facility", ... |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | Transfer to a PCI-capable centre is recommended in all patients immediately after fibrinolysis. | {"intent_tags": ["safety", "quality"], "logic_config": {"anchor": "fibrinolysis", "max_delay_minutes": 0, "target": "Transfer to a PCI-capable centre"}, "rule_type": "temporal", "scope_tags": ["clinical"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | A fibrin-specific agent (i.e. tenecteplase, alteplase, or reteplase) is recommended. | {"intent_tags": ["safety", "quality"], "logic_config": {"required_artifact": "fibrin-specific agent (tenecteplase, alteplase, or reteplase)"}, "rule_type": "existence", "scope_tags": ["clinical"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | (Rev. 183, Issued: 10-12-18, Effective: 10-12-18, Implementation: 10-12-18)
## §482.58(b)(3) Freedom from abuse, neglect, and exploitation (§483.12(a)(1), (a)(2), (a)(3)(i), (a)(3)(ii), (a)(4), (b)(1), (b)(2), (c))
- §483.12(a)(1): The facility must (1) Not use verbal, mental, sexual, or physical abuse, corporal puni... | {"intent_tags": ["safety", "quality", "compliance", "integrity"], "logic_config": {"anchor": "allegation of abuse, neglect, exploitation, or mistreatment", "max_delay_hours": 2, "target": "report of alleged violations"}, "rule_type": "temporal", "scope_tags": ["facility", "legal"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | Anesthesia record must be recorded in chronological sequence. | {"intent_tags": ["integrity"], "logic_config": {"event_type": "anesthesia_record"}, "rule_type": "monotonic", "scope_tags": ["clinical"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | (Rev. 87, Issued: 07-19-13, Effective: 07-19-13, Implementation: 07-19-13)
§482.43(b)(6) - [The hospital must] include the discharge planning evaluation in the patient's medical record for use in establishing an appropriate discharge plan….
## Interpretive Guidelines §482.43(b)(6)
The hospital must include the disch... | {"intent_tags": ["safety", "quality", "compliance", "integrity"], "logic_config": {"required_artifact": "discharge planning evaluation results in the medical record"}, "rule_type": "existence", "scope_tags": ["clinical", "facility", "legal"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | (Rev. 183, Issued: 10-12-18, Effective: 10-12-18, Implementation: 10-12-18)
## §482.58(b)(4) Patient activities (§483.24(c))
- §483.24(c): Activities
- (1) The facility must provide, based on the comprehensive assessment and care plan and the preferences of each resident, an ongoing program to support residents in th... | {"intent_tags": ["quality", "compliance"], "logic_config": {"required_artifact": "qualified professional to direct activities program"}, "rule_type": "existence", "scope_tags": ["facility", "legal"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | O2 Saturation must be above 98. | {"intent_tags": ["safety"], "logic_config": {"min_value": 98, "target_vital": "O2 Saturation"}, "rule_type": "threshold", "scope_tags": ["clinical"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | (Rev. 37, Issued: 10-17-08; Effective/Implementation Date: 10-17-08)
[At a minimum:]
§482.13(a)(2)(ii) The grievance process must specify time frames for review of the grievance and the provision of a response.
## Interpretive Guidelines §482.13(a)(2)(ii)
The hospital must review, investigate, and resolve each pa... | {"intent_tags": ["safety", "quality", "compliance"], "logic_config": {"anchor": "grievance receipt", "max_delay_days": 7, "target": "grievance response"}, "rule_type": "temporal", "scope_tags": ["facility", "legal"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | Cannot bill Warfarin and New Oral Anticoagulant on the same service date. | {"intent_tags": ["compliance"], "logic_config": {"event_1": "Warfarin", "event_2": "New Oral Anticoagulant"}, "rule_type": "exclusive", "scope_tags": ["billing"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | (Rev. 37, Issued: 10-17-08; Effective/Implementation Date: 10-17-08)
§482.55(a) - [If emergency services are provided at the hospital --]
- (2) The services must be integrated with other departments of the hospital;
## Interpretive Guidelines §482.55(a)(2)
The hospital's emergency service/department must be integ... | {"intent_tags": ["safety", "quality", "compliance"], "logic_config": {"anchor": "Emergency patient requires resources from other hospital departments", "target": "Resources, equipment, personnel, and services from other hospital departments are available/provided to emergency patient", "time_criterion": "immediate and ... |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | Nursing notes must be recorded in chronological sequence. | {"intent_tags": ["integrity"], "logic_config": {"event_type": "nursing_notes"}, "rule_type": "monotonic", "scope_tags": ["clinical"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | It is recommended that patients transferred for PPCI bypass the emergency department and CCU/ICU and are transferred directly to the catheterization laboratory. 137 , 175 – 178 | {"intent_tags": ["safety", "quality"], "logic_config": {"required_artifact": "transfer to catheterization laboratory directly, bypassing emergency department and CCU/ICU", "trigger_assertion": "patient transferred for PPCI"}, "rule_type": "conditional_existence", "scope_tags": ["clinical", "facility"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | Aspirin is recommended for all patients without contraindications at an initial oral LD of 150–300 mg (or 75–250 mg i.v.) and an MD of 75–100 mg o.d. for long-term treatment. | {"intent_tags": ["safety", "quality"], "logic_config": {"required_artifact": "Aspirin therapy"}, "rule_type": "existence", "scope_tags": ["clinical"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | Limit nebulizer treatment to 7 units per session. | {"intent_tags": ["safety"], "logic_config": {"event_type": "nebulizer", "max_count": 7}, "rule_type": "count_sanity", "scope_tags": ["clinical"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | Cannot bill MRI with Contrast and MRI without Contrast on the same service date. | {"intent_tags": ["compliance"], "logic_config": {"event_1": "MRI with Contrast", "event_2": "MRI without Contrast"}, "rule_type": "exclusive", "scope_tags": ["billing"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | Cannot bill IV Infusion and IV Push on the same service date. | {"intent_tags": ["compliance"], "logic_config": {"event_1": "IV Infusion", "event_2": "IV Push"}, "rule_type": "exclusive", "scope_tags": ["billing"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | Cannot bill IV Infusion and IV Push on the same service date. | {"intent_tags": ["compliance"], "logic_config": {"event_1": "IV Infusion", "event_2": "IV Push"}, "rule_type": "exclusive", "scope_tags": ["billing"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | Limit consultation to 2 units per session. | {"intent_tags": ["safety"], "logic_config": {"event_type": "consultation", "max_count": 2}, "rule_type": "count_sanity", "scope_tags": ["clinical"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | (Rev. 137, Issued: 04-01-15, Effective: 03-27-15, Implementation: 03-27-15)
§482.28(b)(2) - All patient diets, including therapeutic diets, must be ordered by a practitioner responsible for the care of the patient, or by a qualified dietitian or qualified nutrition professional as authorized by the medical staff and i... | {"intent_tags": ["safety", "quality", "compliance"], "logic_config": {"dietitian_nutrition_professional_authorization_requirements": ["medical_staff_authorization", "state_law_compliance"], "ordered_by_roles": ["practitioner_responsible_for_patient_care", "qualified_dietitian", "qualified_nutrition_professional"], "req... |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | Cannot bill Initial Hospital Care and Subsequent Hospital Care on the same service date. | {"intent_tags": ["compliance"], "logic_config": {"event_1": "Initial Hospital Care", "event_2": "Subsequent Hospital Care"}, "rule_type": "exclusive", "scope_tags": ["billing"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | Cannot bill IV Infusion and IV Push on the same service date. | {"intent_tags": ["compliance"], "logic_config": {"event_1": "IV Infusion", "event_2": "IV Push"}, "rule_type": "exclusive", "scope_tags": ["billing"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | (Rev. 200, Issued: 02-21-20; Effective: 02-21-20, Implementation: 02-21-20)
## §482.42(c)(3) Standard: Leadership responsibilities
(3) The leader(s) of the antibiotic stewardship program is responsible for: (i) The development and implementation of a hospital-wide antibiotic stewardship program, based on nationall... | {"intent_tags": ["safety", "quality", "compliance"], "logic_config": {"required_artifact": "hospital-wide antibiotic stewardship program"}, "rule_type": "existence", "scope_tags": ["clinical", "facility"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | (Rev. 141, Issued: 07-10-15, Effective: 07-10-15, Implementation: 07-10-15)
## [§482.26 Condition of Participation: Radiologic Services
The hospital must maintain, or have available, diagnostic radiologic services...]
## §482.26(a) Standard: Radiologic Services
The hospital must maintain, or have available, radiolo... | {"intent_tags": ["safety", "quality", "compliance"], "logic_config": {"availability_condition": "maintained or available at all times according to patient needs", "documentation_requirement": "scope and complexity must be specified in writing", "required_artifact": "diagnostic radiologic services"}, "rule_type": "exist... |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | (Rev. 200, Issued: 02-21-20; Effective: 02-21-20, Implementation: 02-21-20)
§482.13(d)(2) - The patient has the right to access their medical records, including current medical records, upon an oral or written request, in the form or format requested by the individual. If it is readily producible in such form and form... | {"intent_tags": ["quality"], "logic_config": {"required_artifact": "unknown_requirement"}, "rule_type": "existence", "scope_tags": ["clinical"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | (Rev. 200, Issued: 02-21-20; Effective: 02-21-20, Implementation: 02-21-20)
l§482.13(g) Standard: Death Reporting Requirements: [- Hospitals must report deaths associated with the use of seclusion or restraint.]
(2) When no seclusion has been used and when the only restraints used on the patient are those applied ex... | {"intent_tags": ["safety", "quality", "compliance", "integrity"], "logic_config": {"anchor": "date of patient death", "max_delay_days": 7, "target": "internal log entry for death"}, "rule_type": "temporal", "scope_tags": ["clinical", "facility", "legal"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | Limit massage therapy to 6 units per session. | {"intent_tags": ["safety"], "logic_config": {"event_type": "massage", "max_count": 6}, "rule_type": "count_sanity", "scope_tags": ["clinical"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | Limit massage therapy to 2 units per session. | {"intent_tags": ["safety"], "logic_config": {"event_type": "massage", "max_count": 2}, "rule_type": "count_sanity", "scope_tags": ["clinical"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | (Rev. 37, Issued: 10-17-08; Effective/Implementation Date: 10-17-08)
§482.55(b)(2) - There must be adequate medical and nursing personnel qualified in emergency care to meet the written emergency procedures and needs anticipated by the facility.
## Interpretive Guidelines §482.55(b)(2)
The hospital must staff the ... | {"intent_tags": ["safety", "quality", "compliance"], "logic_config": {"required_artifact": "adequate and qualified emergency medical and nursing personnel"}, "rule_type": "existence", "scope_tags": ["facility", "legal"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | Limit physical therapy unit to 3 units per session. | {"intent_tags": ["safety"], "logic_config": {"event_type": "physical", "max_count": 3}, "rule_type": "count_sanity", "scope_tags": ["clinical"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | If the LDL-C goal is not achieved despite maximally tolerated statin therapy after 4–6 weeks, the addition of ezetimibe is recommended. 788 | {"intent_tags": ["quality"], "logic_config": {"required_artifact": "ezetimibe addition", "trigger_assertion": "LDL-C goal not achieved despite maximally tolerated statin therapy after 4-6 weeks"}, "rule_type": "conditional_existence", "scope_tags": ["clinical"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | (Rev. 95, Issued: 12-12-13, Effective: 06-07-13, Implementation: 06-07-13)
§482.25(b)(6) - Drug administration errors, adverse drug reactions, and incompatibilities must be immediately reported to the attending physician and, if appropriate, to the hospital's quality assessment and performance improvement program .
#... | {"intent_tags": ["safety", "quality", "compliance"], "logic_config": {"required_artifact": {"reports": [{"fallback_recipient": "covering physician", "follow_up_notification": "attending physician when available", "recipient": "attending physician", "timing_constraint": "immediately"}, {"condition": "if appropriate", "r... |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | (Rev. 200, Issued: 02-21-20; Effective: 02-21-20, Implementation: 02-21-20)
§482.61(e) [The record of each patient who has been discharged must have a discharge summary that includes] . . . recommendations from appropriate services concerning follow-up or aftercare as well as …
## Interpretive Guidelines §482.61(e)
... | {"intent_tags": ["safety", "quality", "compliance"], "logic_config": {"required_artifact": "discharge summary containing comprehensive follow-up and aftercare recommendations", "trigger_assertion": "patient discharged"}, "rule_type": "conditional_existence", "scope_tags": ["clinical", "legal"]} |
You are a Forensic Logic Parser. Convert the following clinical guideline text into an executable JSON schema. | Pre-treatment with a P2Y 12 receptor inhibitor may be considered in NSTE-ACS patients who are not expected to undergo an early invasive strategy (<24 h) and do not have HBR c . 263 | {"intent_tags": ["safety", "quality"], "logic_config": {"required_artifact": "consideration of P2Y 12 receptor inhibitor pre-treatment", "trigger_assertion": "NSTE-ACS patient not expected to undergo early invasive strategy within 24 hours and without high bleeding risk (HBR c)"}, "rule_type": "conditional_existence", ... |
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MedGate Compiler Training Data
The Logic-Grounding Corpus for Computable Medical Law
This dataset is a hand-curated collection of 606 high-fidelity mappings designed to train Structural Compilers. It facilitates the translation of unstructured clinical guidelines and medical policy prose into machine-executable symbolic logic (JSON).
Dataset Summary
The MedGate Compiler Training Data provides the ground truth for Nexus Forensic – Layer 0 (Protocol Vault).
Each record contains:
- A clinical instruction
- A prose snippet (input)
- A deterministic JSON object (output)
Together, these define the forensic logic gates, intent tags, and evidentiary requirements necessary for Computable Medical Law.
Dataset Structure
Data Fields
instruction
The system prompt defining the persona
Example: "You are a Forensic Logic Parser..."input
Raw clinical guideline text extracted from authoritative sources
Sources include: MoH, NASCOP, KQMHoutput
A deterministic JSON string containing:- intent_tags: Objective of the rule (Safety, Quality, Compliance, Integrity)
- logic_config: Triggers, required artifacts, thresholds
- rule_type: Symbolic logic classification
- scope_tags: Jurisdiction of the rule (Clinical, Facility, Legal)
Data Sample
{
"instruction": "You are a Forensic Logic Parser...",
"input": "Following an acute anterior MI, a contrast echocardiogram may be considered...",
"output": "{\"intent_tags\": [\"safety\", \"quality\"], \"logic_config\": {\"required_artifact\": \"contrast echocardiogram\"}, \"rule_type\": \"conditional_existence\", \"scope_tags\": [\"clinical\"]}"
}
Dataset Statistics
Rule Type Distribution
The corpus is balanced across symbolic logic classifications to ensure robust handling of diverse legal and clinical constraints.
| Rule Type | Count | Logic Purpose |
|---|---|---|
| Existence | 150 | Verifies mandatory presence of artifacts/logs |
| Conditional Existence | 150 | Logic gates based on specific patient triggers |
| Count Sanity | 50 | Numerical volume verification (e.g., dosage counts) |
| Monotonic | 50 | Ensures linear progress (e.g., Step A must precede Step B) |
| Exclusive | 50 | Identifies forbidden contraindications |
| Threshold | 42 | Numerical boundary checking (e.g., “within 20 minutes”) |
| Temporal | 37 | Time-bound sequence verification |
| Unsupported | 50 | “Refusal State” examples for non-executable narrative |
Intent Tag Distribution
| Intent Tag | Frequency |
|---|---|
| Safety | 412 |
| Quality | 358 |
| Compliance | 243 |
| Integrity | 86 |
Ethical & Safety Considerations
Non-Clinical Use
This dataset is intended for training legal and forensic compilers. It is not designed to provide clinical advice or patient diagnosis.
Grounding
All outputs are mapped to explicit policy standards to prevent hallucination in legal and regulatory contexts.
Privacy
Contains only clinical guidelines and public policy text.
No Patient Identifiable Information (PII) is included.
Use Cases
Structural Compilation
Training models to convert PDF policies into executable Knowledge Graphs.
Neurosymbolic AI
Bridging LLM-generated prose with Python-based deterministic auditing gates.
Computable Medical Law
Automating medical insurance adjudication and regulatory compliance verification.
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