{
  "model": "jev-1.13.0",
  "state": {
    "context": "Review each extracted medication instruction independently for an obvious quantity, unit or frequency transcription problem. Use the stated medicine, strength, route, dose, frequency and notes. The dose column is the amount taken each time, not the supply quantity. A plausible-looking instruction does not establish that treatment is clinically appropriate for this patient. Do not assess interactions, allergies, contraindications, dispensing authorization or image quality. Do not propose a corrected prescription. This check supports a pharmacist reviewing the source document.",
    "careContext": "Age 52 Adult outpatient medication reconciliation Draft list for pharmacist review · Dose column means amount taken each time",
    "medications": [
      {
        "id": "row-1",
        "medicine": "Amlodipine 5 mg tablet",
        "dose": "1 tablet",
        "frequency": "Once daily",
        "route": "Oral",
        "instructions": "Take in the morning."
      },
      {
        "id": "row-2",
        "medicine": "Atorvastatin 20 mg tablet",
        "dose": "1 tablet",
        "frequency": "Once daily",
        "route": "Oral",
        "instructions": "Take in the evening."
      },
      {
        "id": "row-3",
        "medicine": "Ibuprofen 200 mg tablet",
        "dose": "10 tablets",
        "frequency": "Three times daily",
        "route": "Oral",
        "instructions": "As needed for pain. Take with food."
      },
      {
        "id": "row-4",
        "medicine": "Omeprazole 20 mg capsule",
        "dose": "1 capsule",
        "frequency": "Once daily",
        "route": "Oral",
        "instructions": "Take before breakfast. Swallow whole."
      },
      {
        "id": "row-5",
        "medicine": "Cetirizine 10 mg tablet",
        "dose": "1 tablet",
        "frequency": "Once daily as needed",
        "route": "Oral",
        "instructions": "For allergy symptoms."
      },
      {
        "id": "row-6",
        "medicine": "Metformin 500 mg tablet",
        "dose": "1 tablet",
        "frequency": "Twice daily",
        "route": "Oral",
        "instructions": "Take with the morning and evening meals."
      }
    ]
  },
  "questions": {
    "row-1": {
      "type": "noul",
      "instructions": {
        "question": "Is the extracted dose and frequency plausible on its face for this medicine and strength in the stated adult outpatient context, without an obvious quantity or frequency transcription error?",
        "row_id": "row-1"
      },
      "criteria": {
        "true": "The stated dose, dosage form and frequency are plausible on their face for routine adult use of the named medicine and strength, with no obvious quantity, unit or frequency transcription error. This does not confirm safety or patient-specific appropriateness.",
        "false": "The stated dose or frequency is clearly implausible for the named medicine and strength, such as an apparent extra zero in the number taken at each dose or an obvious unit mismatch. It warrants pharmacist review of the original prescription."
      }
    },
    "row-2": {
      "type": "noul",
      "instructions": {
        "question": "Is the extracted dose and frequency plausible on its face for this medicine and strength in the stated adult outpatient context, without an obvious quantity or frequency transcription error?",
        "row_id": "row-2"
      },
      "criteria": {
        "true": "The stated dose, dosage form and frequency are plausible on their face for routine adult use of the named medicine and strength, with no obvious quantity, unit or frequency transcription error. This does not confirm safety or patient-specific appropriateness.",
        "false": "The stated dose or frequency is clearly implausible for the named medicine and strength, such as an apparent extra zero in the number taken at each dose or an obvious unit mismatch. It warrants pharmacist review of the original prescription."
      }
    },
    "row-3": {
      "type": "noul",
      "instructions": {
        "question": "Is the extracted dose and frequency plausible on its face for this medicine and strength in the stated adult outpatient context, without an obvious quantity or frequency transcription error?",
        "row_id": "row-3"
      },
      "criteria": {
        "true": "The stated dose, dosage form and frequency are plausible on their face for routine adult use of the named medicine and strength, with no obvious quantity, unit or frequency transcription error. This does not confirm safety or patient-specific appropriateness.",
        "false": "The stated dose or frequency is clearly implausible for the named medicine and strength, such as an apparent extra zero in the number taken at each dose or an obvious unit mismatch. It warrants pharmacist review of the original prescription."
      }
    },
    "row-4": {
      "type": "noul",
      "instructions": {
        "question": "Is the extracted dose and frequency plausible on its face for this medicine and strength in the stated adult outpatient context, without an obvious quantity or frequency transcription error?",
        "row_id": "row-4"
      },
      "criteria": {
        "true": "The stated dose, dosage form and frequency are plausible on their face for routine adult use of the named medicine and strength, with no obvious quantity, unit or frequency transcription error. This does not confirm safety or patient-specific appropriateness.",
        "false": "The stated dose or frequency is clearly implausible for the named medicine and strength, such as an apparent extra zero in the number taken at each dose or an obvious unit mismatch. It warrants pharmacist review of the original prescription."
      }
    },
    "row-5": {
      "type": "noul",
      "instructions": {
        "question": "Is the extracted dose and frequency plausible on its face for this medicine and strength in the stated adult outpatient context, without an obvious quantity or frequency transcription error?",
        "row_id": "row-5"
      },
      "criteria": {
        "true": "The stated dose, dosage form and frequency are plausible on their face for routine adult use of the named medicine and strength, with no obvious quantity, unit or frequency transcription error. This does not confirm safety or patient-specific appropriateness.",
        "false": "The stated dose or frequency is clearly implausible for the named medicine and strength, such as an apparent extra zero in the number taken at each dose or an obvious unit mismatch. It warrants pharmacist review of the original prescription."
      }
    },
    "row-6": {
      "type": "noul",
      "instructions": {
        "question": "Is the extracted dose and frequency plausible on its face for this medicine and strength in the stated adult outpatient context, without an obvious quantity or frequency transcription error?",
        "row_id": "row-6"
      },
      "criteria": {
        "true": "The stated dose, dosage form and frequency are plausible on their face for routine adult use of the named medicine and strength, with no obvious quantity, unit or frequency transcription error. This does not confirm safety or patient-specific appropriateness.",
        "false": "The stated dose or frequency is clearly implausible for the named medicine and strength, such as an apparent extra zero in the number taken at each dose or an obvious unit mismatch. It warrants pharmacist review of the original prescription."
      }
    }
  }
}