{
  "title": "Nairobi Health Grounded Narrative Demo",
  "city": "Nairobi",
  "synthetic_data": true,
  "record_count": 4,
  "grounding_mode": "GROUNDED / DERIVED only",
  "notice": "All records are synthetic. No record represents a real patient.",
  "documents": [
    {
      "demo_reference": "NRB-CLN-24928601",
      "demo_type": "emergency_clean",
      "label": "Emergency visit",
      "description": "A concise emergency encounter with diagnoses and vital signs.",
      "city": "Nairobi",
      "synthetic_resident": {
        "display_name": "Wetungu Macharia",
        "gender": "M",
        "dob": "2000-11-24"
      },
      "encounter": {
        "visit_type": "Emergency",
        "visit_date": "2025-08-19"
      },
      "structured_record": {
        "Age at Visit": "24",
        "Visit Type": "Emergency",
        "Visit Date": "2025-08-19",
        "Facility": "Makina Community Clinic (Level 2 Private-Clinic)",
        "Clinician": "Otiende Barasa (Registered-Nurse)",
        "Triage Level": "3",
        "Blood Pressure": "119/73 mmHg",
        "Heart Rate": "85 bpm",
        "Temperature": "37.5 C",
        "SpO2": "97%",
        "Diagnosis": "Plasmodium falciparum malaria (B50.9); Pneumonia unspecified (J18.9)",
        "Disposition": "No inpatient admission was recorded for this encounter"
      },
      "narrative": "24-year-old male presented to the emergency department at Makina Community Clinic (Level 2 Private-Clinic, Private) on 2025-08-19.\nAttended by Otiende Barasa, Registered-Nurse.\nTriage level 3.\nVitals: BP 119/73 mmHg, HR 85 bpm, Temp 37.5 C, RR 18/min, SpO2 97%, Weight 69.0 kg, Height 172.0 cm.\nDiagnosis: Plasmodium falciparum malaria (B50.9), Primary, confirmed.\nDiagnosis: Pneumonia unspecified (J18.9), Secondary, confirmed.\nNo inpatient admission was recorded for this encounter.",
      "grounding_summary": {
        "total_claims": 14,
        "grounded": 11,
        "derived": 3,
        "inferred": 0,
        "unsupported": 0,
        "grounding_pct": 100
      },
      "claims": [
        {
          "claim_reference": "c1",
          "text": "24-year-old",
          "status": "DERIVED",
          "derivation": "Age at the time of the visit",
          "inputs": {
            "Date of birth": "2000-11-24",
            "Visit date": "2025-08-19"
          }
        },
        {
          "claim_reference": "c2",
          "text": "Emergency",
          "status": "GROUNDED",
          "evidence_source": "Visit record",
          "evidence_fields": {
            "Visit type": "Emergency"
          }
        },
        {
          "claim_reference": "c2b",
          "text": "emergency department",
          "status": "DERIVED",
          "derivation": "Plain-language visit description",
          "inputs": {
            "Visit type": "Emergency"
          },
          "result": "emergency department"
        },
        {
          "claim_reference": "c3",
          "text": "2025-08-19",
          "status": "GROUNDED",
          "evidence_source": "Visit record",
          "evidence_fields": {
            "Visit date": "2025-08-19"
          }
        },
        {
          "claim_reference": "c4",
          "text": "Makina Community Clinic",
          "status": "GROUNDED",
          "evidence_source": "Care facility",
          "evidence_fields": {
            "Facility": "Makina Community Clinic",
            "Facility level": 2,
            "Facility type": "Private-Clinic",
            "Ownership": "Private"
          }
        },
        {
          "claim_reference": "c5",
          "text": "Otiende Barasa",
          "status": "GROUNDED",
          "evidence_source": "Care team",
          "evidence_fields": {
            "Clinician": "Otiende Barasa",
            "Role": "Registered-Nurse",
            "Specialization": null
          }
        },
        {
          "claim_reference": "c6",
          "text": "Triage level 3",
          "status": "GROUNDED",
          "evidence_source": "Visit record",
          "evidence_fields": {
            "Triage level": 3
          }
        },
        {
          "claim_reference": "c20",
          "text": "BP 119/73 mmHg",
          "status": "GROUNDED",
          "evidence_source": "Vital signs",
          "evidence_fields": {
            "Systolic blood pressure": 119,
            "Diastolic blood pressure": 73
          }
        },
        {
          "claim_reference": "c21",
          "text": "HR 85 bpm",
          "status": "GROUNDED",
          "evidence_source": "Vital signs",
          "evidence_fields": {
            "Heart rate": 85
          }
        },
        {
          "claim_reference": "c22",
          "text": "Temp 37.5 C",
          "status": "GROUNDED",
          "evidence_source": "Vital signs",
          "evidence_fields": {
            "Temperature": 37.5
          }
        },
        {
          "claim_reference": "c23",
          "text": "SpO2 97%",
          "status": "GROUNDED",
          "evidence_source": "Vital signs",
          "evidence_fields": {
            "Oxygen saturation": 97
          }
        },
        {
          "claim_reference": "c201",
          "text": "Plasmodium falciparum malaria (B50.9)",
          "status": "GROUNDED",
          "evidence_source": "Diagnosis record",
          "evidence_fields": {
            "Clinical code": "B50.9",
            "Diagnosis type": "Primary",
            "Confirmed": true
          }
        },
        {
          "claim_reference": "c202",
          "text": "Pneumonia unspecified (J18.9)",
          "status": "GROUNDED",
          "evidence_source": "Diagnosis record",
          "evidence_fields": {
            "Clinical code": "J18.9",
            "Diagnosis type": "Secondary",
            "Confirmed": true
          }
        },
        {
          "claim_reference": "c998",
          "text": "No inpatient admission was recorded for this encounter",
          "status": "DERIVED",
          "derivation": "No inpatient admission recorded",
          "inputs": {
            "Admission date": "null"
          }
        }
      ]
    },
    {
      "demo_reference": "NRB-CLN-16935603",
      "demo_type": "opd_clean",
      "label": "Outpatient visit",
      "description": "A richer outpatient encounter with history, laboratory evidence and a prescription.",
      "city": "Nairobi",
      "synthetic_resident": {
        "display_name": "Nasipan Mutai",
        "gender": "F",
        "dob": "1987-12-28"
      },
      "encounter": {
        "visit_type": "OPD",
        "visit_date": "2012-01-09"
      },
      "structured_record": {
        "Age at Visit": "24",
        "Visit Type": "OPD",
        "Visit Date": "2012-01-09",
        "Facility": "Dandora Area II Community Clinic (Level 2 Private-Clinic)",
        "Clinician": "Namakhwa Mukhwana (Medical-Officer, General Practice)",
        "Past Medical History": "Plasmodium falciparum malaria; Sickle-cell disease without crisis; Type 2 diabetes mellitus; Prediabetes",
        "Blood Pressure": "125/72 mmHg",
        "Heart Rate": "63 bpm",
        "Temperature": "37.3 C",
        "SpO2": "100%",
        "Diagnosis": "Plasmodium falciparum malaria (B50.9)",
        "Lab Results": "Haemoglobin A1c 4.040 %",
        "Prescription": "Artemether-Lumefantrine (Tablet), 7 days",
        "Disposition": "No inpatient admission was recorded for this encounter"
      },
      "narrative": "24-year-old female was seen at the outpatient clinic at Dandora Area II Community Clinic (Level 2 Private-Clinic, Private) on 2012-01-09.\nAttended by Namakhwa Mukhwana, Medical-Officer, General Practice.\nPast medical history: Plasmodium falciparum malaria (onset 2011-08-23, Resolved); Sickle-cell disease without crisis (onset 2008-01-05, Chronic); Type 2 diabetes mellitus (onset 2011-08-23, Chronic); Prediabetes (onset 2009-08-21, Chronic).\nVitals: BP 125/72 mmHg, HR 63 bpm, Temp 37.3 C, RR 19/min, SpO2 100%, Weight 65.0 kg, Height 154.0 cm.\nDiagnosis: Plasmodium falciparum malaria (B50.9), Primary, confirmed.\nLab: Haemoglobin A1c 4.040 % [flag:N] (2012-01-09).\nLaboratory report (2012-01-09): All results within normal limits.\nPrescribed: Artemether-Lumefantrine (Tablet), qty 5, 7 days.\nNo inpatient admission was recorded for this encounter.",
      "grounding_summary": {
        "total_claims": 19,
        "grounded": 16,
        "derived": 3,
        "inferred": 0,
        "unsupported": 0,
        "grounding_pct": 100
      },
      "claims": [
        {
          "claim_reference": "c1",
          "text": "24-year-old",
          "status": "DERIVED",
          "derivation": "Age at the time of the visit",
          "inputs": {
            "Date of birth": "1987-12-28",
            "Visit date": "2012-01-09"
          }
        },
        {
          "claim_reference": "c2",
          "text": "OPD",
          "status": "GROUNDED",
          "evidence_source": "Visit record",
          "evidence_fields": {
            "Visit type": "OPD"
          }
        },
        {
          "claim_reference": "c2b",
          "text": "outpatient clinic",
          "status": "DERIVED",
          "derivation": "Plain-language visit description",
          "inputs": {
            "Visit type": "OPD"
          },
          "result": "outpatient clinic"
        },
        {
          "claim_reference": "c3",
          "text": "2012-01-09",
          "status": "GROUNDED",
          "evidence_source": "Visit record",
          "evidence_fields": {
            "Visit date": "2012-01-09"
          }
        },
        {
          "claim_reference": "c4",
          "text": "Dandora Area II Community Clinic",
          "status": "GROUNDED",
          "evidence_source": "Care facility",
          "evidence_fields": {
            "Facility": "Dandora Area II Community Clinic",
            "Facility level": 2,
            "Facility type": "Private-Clinic",
            "Ownership": "Private"
          }
        },
        {
          "claim_reference": "c5",
          "text": "Namakhwa Mukhwana",
          "status": "GROUNDED",
          "evidence_source": "Care team",
          "evidence_fields": {
            "Clinician": "Namakhwa Mukhwana",
            "Role": "Medical-Officer",
            "Specialization": "General Practice"
          }
        },
        {
          "claim_reference": "c101",
          "text": "Plasmodium falciparum malaria (onset 2011-08-23, Resolved)",
          "status": "GROUNDED",
          "evidence_source": "Health history",
          "evidence_fields": {
            "Clinical code": "B50.9",
            "Condition": "Plasmodium falciparum malaria",
            "Onset date": "2011-08-23",
            "Status": "Resolved"
          }
        },
        {
          "claim_reference": "c102",
          "text": "Sickle-cell disease without crisis (onset 2008-01-05, Chronic)",
          "status": "GROUNDED",
          "evidence_source": "Health history",
          "evidence_fields": {
            "Clinical code": "D57.1",
            "Condition": "Sickle-cell disease without crisis",
            "Onset date": "2008-01-05",
            "Status": "Chronic"
          }
        },
        {
          "claim_reference": "c103",
          "text": "Type 2 diabetes mellitus (onset 2011-08-23, Chronic)",
          "status": "GROUNDED",
          "evidence_source": "Health history",
          "evidence_fields": {
            "Clinical code": "E11.9",
            "Condition": "Type 2 diabetes mellitus",
            "Onset date": "2011-08-23",
            "Status": "Chronic"
          }
        },
        {
          "claim_reference": "c104",
          "text": "Prediabetes (onset 2009-08-21, Chronic)",
          "status": "GROUNDED",
          "evidence_source": "Health history",
          "evidence_fields": {
            "Clinical code": "R73.03",
            "Condition": "Prediabetes",
            "Onset date": "2009-08-21",
            "Status": "Chronic"
          }
        },
        {
          "claim_reference": "c20",
          "text": "BP 125/72 mmHg",
          "status": "GROUNDED",
          "evidence_source": "Vital signs",
          "evidence_fields": {
            "Systolic blood pressure": 125,
            "Diastolic blood pressure": 72
          }
        },
        {
          "claim_reference": "c21",
          "text": "HR 63 bpm",
          "status": "GROUNDED",
          "evidence_source": "Vital signs",
          "evidence_fields": {
            "Heart rate": 63
          }
        },
        {
          "claim_reference": "c22",
          "text": "Temp 37.3 C",
          "status": "GROUNDED",
          "evidence_source": "Vital signs",
          "evidence_fields": {
            "Temperature": 37.3
          }
        },
        {
          "claim_reference": "c23",
          "text": "SpO2 100%",
          "status": "GROUNDED",
          "evidence_source": "Vital signs",
          "evidence_fields": {
            "Oxygen saturation": 100
          }
        },
        {
          "claim_reference": "c201",
          "text": "Plasmodium falciparum malaria (B50.9)",
          "status": "GROUNDED",
          "evidence_source": "Diagnosis record",
          "evidence_fields": {
            "Clinical code": "B50.9",
            "Diagnosis type": "Primary",
            "Confirmed": true
          }
        },
        {
          "claim_reference": "c202",
          "text": "Haemoglobin A1c 4.040 %",
          "status": "GROUNDED",
          "evidence_source": "Laboratory result",
          "evidence_fields": {
            "Test code": "HBA1C",
            "Result": 4.04,
            "Unit": "%",
            "Result flag": "N"
          }
        },
        {
          "claim_reference": "c203",
          "text": "All results within normal limits",
          "status": "GROUNDED",
          "evidence_source": "Laboratory report",
          "evidence_fields": {
            "Category": "Laboratory",
            "Conclusion": "All results within normal limits",
            "Issued date": "2012-01-09"
          }
        },
        {
          "claim_reference": "c204",
          "text": "Artemether-Lumefantrine (Tablet)",
          "status": "GROUNDED",
          "evidence_source": "Prescription record",
          "evidence_fields": {
            "Medication code": "ARTLUM",
            "Medication": "Artemether-Lumefantrine",
            "Quantity": 5,
            "Duration (days)": 7
          }
        },
        {
          "claim_reference": "c998",
          "text": "No inpatient admission was recorded for this encounter",
          "status": "DERIVED",
          "derivation": "No inpatient admission recorded",
          "inputs": {
            "Admission date": "null"
          }
        }
      ]
    },
    {
      "demo_reference": "NRB-CLN-15462627",
      "demo_type": "ipd_clean",
      "label": "Inpatient stay",
      "description": "A deeper admission with symptoms, laboratory results and discharge.",
      "city": "Nairobi",
      "synthetic_resident": {
        "display_name": "Namulumba Githongo",
        "gender": "F",
        "dob": "2001-02-26"
      },
      "encounter": {
        "visit_type": "IPD",
        "visit_date": "2022-09-04"
      },
      "structured_record": {
        "Age at Visit": "21",
        "Visit Type": "IPD",
        "Visit Date": "2022-09-04",
        "Facility": "Dandora Area I Mission Hospital (Level 3 Faith-Based)",
        "Clinician": "Nduta Nzomo (Medical-Officer, Public Health / Community Medicine)",
        "Symptoms": "Fatigue",
        "Blood Pressure": "122/75 mmHg",
        "Heart Rate": "96 bpm",
        "Temperature": "36.3 C",
        "SpO2": "97%",
        "Diagnosis": "Major depressive disorder, unspecified (F32.9)",
        "Lab Results": "Sodium 144.170 mmol/L; Potassium 4.877 mmol/L; Glucose 97.390 mg/dL; Estimated glomerular filtration rate 117.630 mL/min/1.73m2; Creatinine 1.241 mg/dL; Carbon dioxide, total 28.520 mmol/L; Chloride 105.190 mmol/L; Calcium 10.332 mg/dL; Urea nitrogen 18.882 mg/dL",
        "Admission": "2022-09-04 to 2022-09-07 (3 days)"
      },
      "narrative": "21-year-old female was admitted at Dandora Area I Mission Hospital (Level 3 Faith-Based, Faith-Based) on 2022-09-04.\nAttended by Nduta Nzomo, Medical-Officer, Public Health / Community Medicine.\nReported symptoms: Fatigue.\nVitals: BP 122/75 mmHg, HR 96 bpm, Temp 36.3 C, RR 19/min, SpO2 97%, Weight 67.0 kg, Height 178.0 cm.\nDiagnosis: Major depressive disorder, unspecified (F32.9), Primary, confirmed.\nLab: Sodium 144.170 mmol/L [flag:N] (2022-09-04).\nLab: Potassium 4.877 mmol/L [flag:N] (2022-09-04).\nLab: Glucose 97.390 mg/dL [flag:N] (2022-09-04).\nLab: Estimated glomerular filtration rate 117.630 mL/min/1.73m2 [flag:N] (2022-09-04).\nLab: Creatinine 1.241 mg/dL [flag:N] (2022-09-04).\nLab: Carbon dioxide, total 28.520 mmol/L [flag:N] (2022-09-04).\nLab: Chloride 105.190 mmol/L [flag:N] (2022-09-04).\nLab: Calcium 10.332 mg/dL [flag:N] (2022-09-04).\nLab: Urea nitrogen 18.882 mg/dL [flag:N] (2022-09-04).\nLaboratory report (2022-09-04): All results within normal limits.\nDischarged 2022-09-07 after 3 day(s).",
      "grounding_summary": {
        "total_claims": 23,
        "grounded": 20,
        "derived": 3,
        "inferred": 0,
        "unsupported": 0,
        "grounding_pct": 100
      },
      "claims": [
        {
          "claim_reference": "c1",
          "text": "21-year-old",
          "status": "DERIVED",
          "derivation": "Age at the time of the visit",
          "inputs": {
            "Date of birth": "2001-02-26",
            "Visit date": "2022-09-04"
          }
        },
        {
          "claim_reference": "c2",
          "text": "IPD",
          "status": "GROUNDED",
          "evidence_source": "Visit record",
          "evidence_fields": {
            "Visit type": "IPD"
          }
        },
        {
          "claim_reference": "c2b",
          "text": "admitted",
          "status": "DERIVED",
          "derivation": "Plain-language visit description",
          "inputs": {
            "Visit type": "IPD"
          },
          "result": "admitted"
        },
        {
          "claim_reference": "c3",
          "text": "2022-09-04",
          "status": "GROUNDED",
          "evidence_source": "Visit record",
          "evidence_fields": {
            "Visit date": "2022-09-04"
          }
        },
        {
          "claim_reference": "c4",
          "text": "Dandora Area I Mission Hospital",
          "status": "GROUNDED",
          "evidence_source": "Care facility",
          "evidence_fields": {
            "Facility": "Dandora Area I Mission Hospital",
            "Facility level": 3,
            "Facility type": "Faith-Based",
            "Ownership": "Faith-Based"
          }
        },
        {
          "claim_reference": "c5",
          "text": "Nduta Nzomo",
          "status": "GROUNDED",
          "evidence_source": "Care team",
          "evidence_fields": {
            "Clinician": "Nduta Nzomo",
            "Role": "Medical-Officer",
            "Specialization": "Public Health / Community Medicine"
          }
        },
        {
          "claim_reference": "c101",
          "text": "Fatigue",
          "status": "GROUNDED",
          "evidence_source": "Symptom record",
          "evidence_fields": {
            "Symptom Code": "FATIGUE",
            "Symptom": "Fatigue",
            "Onset date": "2022-07-20"
          }
        },
        {
          "claim_reference": "c20",
          "text": "BP 122/75 mmHg",
          "status": "GROUNDED",
          "evidence_source": "Vital signs",
          "evidence_fields": {
            "Systolic blood pressure": 122,
            "Diastolic blood pressure": 75
          }
        },
        {
          "claim_reference": "c21",
          "text": "HR 96 bpm",
          "status": "GROUNDED",
          "evidence_source": "Vital signs",
          "evidence_fields": {
            "Heart rate": 96
          }
        },
        {
          "claim_reference": "c22",
          "text": "Temp 36.3 C",
          "status": "GROUNDED",
          "evidence_source": "Vital signs",
          "evidence_fields": {
            "Temperature": 36.3
          }
        },
        {
          "claim_reference": "c23",
          "text": "SpO2 97%",
          "status": "GROUNDED",
          "evidence_source": "Vital signs",
          "evidence_fields": {
            "Oxygen saturation": 97
          }
        },
        {
          "claim_reference": "c201",
          "text": "Major depressive disorder, unspecified (F32.9)",
          "status": "GROUNDED",
          "evidence_source": "Diagnosis record",
          "evidence_fields": {
            "Clinical code": "F32.9",
            "Diagnosis type": "Primary",
            "Confirmed": true
          }
        },
        {
          "claim_reference": "c202",
          "text": "Sodium 144.170 mmol/L",
          "status": "GROUNDED",
          "evidence_source": "Laboratory result",
          "evidence_fields": {
            "Test code": "NA",
            "Result": 144.17,
            "Unit": "mmol/L",
            "Result flag": "N"
          }
        },
        {
          "claim_reference": "c203",
          "text": "Potassium 4.877 mmol/L",
          "status": "GROUNDED",
          "evidence_source": "Laboratory result",
          "evidence_fields": {
            "Test code": "K",
            "Result": 4.877,
            "Unit": "mmol/L",
            "Result flag": "N"
          }
        },
        {
          "claim_reference": "c204",
          "text": "Glucose 97.390 mg/dL",
          "status": "GROUNDED",
          "evidence_source": "Laboratory result",
          "evidence_fields": {
            "Test code": "GLU",
            "Result": 97.39,
            "Unit": "mg/dL",
            "Result flag": "N"
          }
        },
        {
          "claim_reference": "c205",
          "text": "Estimated glomerular filtration rate 117.630 mL/min/1.73m2",
          "status": "GROUNDED",
          "evidence_source": "Laboratory result",
          "evidence_fields": {
            "Test code": "EGFR",
            "Result": 117.63,
            "Unit": "mL/min/1.73m2",
            "Result flag": "N"
          }
        },
        {
          "claim_reference": "c206",
          "text": "Creatinine 1.241 mg/dL",
          "status": "GROUNDED",
          "evidence_source": "Laboratory result",
          "evidence_fields": {
            "Test code": "CREAT",
            "Result": 1.241,
            "Unit": "mg/dL",
            "Result flag": "N"
          }
        },
        {
          "claim_reference": "c207",
          "text": "Carbon dioxide, total 28.520 mmol/L",
          "status": "GROUNDED",
          "evidence_source": "Laboratory result",
          "evidence_fields": {
            "Test code": "CO2",
            "Result": 28.52,
            "Unit": "mmol/L",
            "Result flag": "N"
          }
        },
        {
          "claim_reference": "c208",
          "text": "Chloride 105.190 mmol/L",
          "status": "GROUNDED",
          "evidence_source": "Laboratory result",
          "evidence_fields": {
            "Test code": "CL",
            "Result": 105.19,
            "Unit": "mmol/L",
            "Result flag": "N"
          }
        },
        {
          "claim_reference": "c209",
          "text": "Calcium 10.332 mg/dL",
          "status": "GROUNDED",
          "evidence_source": "Laboratory result",
          "evidence_fields": {
            "Test code": "CA",
            "Result": 10.332,
            "Unit": "mg/dL",
            "Result flag": "N"
          }
        },
        {
          "claim_reference": "c210",
          "text": "Urea nitrogen 18.882 mg/dL",
          "status": "GROUNDED",
          "evidence_source": "Laboratory result",
          "evidence_fields": {
            "Test code": "BUN",
            "Result": 18.882,
            "Unit": "mg/dL",
            "Result flag": "N"
          }
        },
        {
          "claim_reference": "c211",
          "text": "All results within normal limits",
          "status": "GROUNDED",
          "evidence_source": "Laboratory report",
          "evidence_fields": {
            "Category": "Laboratory",
            "Conclusion": "All results within normal limits",
            "Issued date": "2022-09-04"
          }
        },
        {
          "claim_reference": "c999",
          "text": "Discharged 2022-09-07 after 3 day(s)",
          "status": "DERIVED",
          "derivation": "Length of stay",
          "inputs": {
            "Admission date": "2022-09-04",
            "Discharge date": "2022-09-07"
          }
        }
      ]
    },
    {
      "demo_reference": "NRB-CLN-27391804",
      "demo_type": "mch_thin",
      "label": "Trust demo",
      "description": "A deliberately sparse maternal & child health encounter that shows what FCTE refuses to invent.",
      "city": "Nairobi",
      "synthetic_resident": {
        "display_name": "Kavata Psiwa",
        "gender": "F",
        "dob": "2013-11-10"
      },
      "encounter": {
        "visit_type": "MCH",
        "visit_date": "2017-12-13"
      },
      "structured_record": {
        "Age at Visit": "4",
        "Visit Type": "MCH",
        "Visit Date": "2017-12-13",
        "Facility": "PHC Kiamaiko (Level 2 Health-Centre)",
        "Clinician": "Waweru Makokha (Medical-Officer, General Practice)",
        "Blood Pressure": "128/74 mmHg",
        "Heart Rate": "89 bpm",
        "Temperature": "37.0 C",
        "SpO2": "100%",
        "Diagnosis": "None recorded at this visit",
        "Disposition": "No inpatient admission was recorded for this encounter"
      },
      "narrative": "4-year-old female attended the maternal & child health clinic at PHC Kiamaiko (Level 2 Health-Centre, Public) on 2017-12-13.\nAttended by Waweru Makokha, Medical-Officer, General Practice.\nVitals: BP 128/74 mmHg, HR 89 bpm, Temp 37.0 C, RR 20/min, SpO2 100%, Weight 27.0 kg, Height 105.0 cm.\nNo inpatient admission was recorded for this encounter.",
      "grounding_summary": {
        "total_claims": 11,
        "grounded": 8,
        "derived": 3,
        "inferred": 0,
        "unsupported": 0,
        "grounding_pct": 100
      },
      "claims": [
        {
          "claim_reference": "c1",
          "text": "4-year-old",
          "status": "DERIVED",
          "derivation": "Age at the time of the visit",
          "inputs": {
            "Date of birth": "2013-11-10",
            "Visit date": "2017-12-13"
          }
        },
        {
          "claim_reference": "c2",
          "text": "MCH",
          "status": "GROUNDED",
          "evidence_source": "Visit record",
          "evidence_fields": {
            "Visit type": "MCH"
          }
        },
        {
          "claim_reference": "c2b",
          "text": "maternal & child health clinic",
          "status": "DERIVED",
          "derivation": "Plain-language visit description",
          "inputs": {
            "Visit type": "MCH"
          },
          "result": "maternal & child health clinic"
        },
        {
          "claim_reference": "c3",
          "text": "2017-12-13",
          "status": "GROUNDED",
          "evidence_source": "Visit record",
          "evidence_fields": {
            "Visit date": "2017-12-13"
          }
        },
        {
          "claim_reference": "c4",
          "text": "PHC Kiamaiko",
          "status": "GROUNDED",
          "evidence_source": "Care facility",
          "evidence_fields": {
            "Facility": "PHC Kiamaiko",
            "Facility level": 2,
            "Facility type": "Health-Centre",
            "Ownership": "Public"
          }
        },
        {
          "claim_reference": "c5",
          "text": "Waweru Makokha",
          "status": "GROUNDED",
          "evidence_source": "Care team",
          "evidence_fields": {
            "Clinician": "Waweru Makokha",
            "Role": "Medical-Officer",
            "Specialization": "General Practice"
          }
        },
        {
          "claim_reference": "c20",
          "text": "BP 128/74 mmHg",
          "status": "GROUNDED",
          "evidence_source": "Vital signs",
          "evidence_fields": {
            "Systolic blood pressure": 128,
            "Diastolic blood pressure": 74
          }
        },
        {
          "claim_reference": "c21",
          "text": "HR 89 bpm",
          "status": "GROUNDED",
          "evidence_source": "Vital signs",
          "evidence_fields": {
            "Heart rate": 89
          }
        },
        {
          "claim_reference": "c22",
          "text": "Temp 37.0 C",
          "status": "GROUNDED",
          "evidence_source": "Vital signs",
          "evidence_fields": {
            "Temperature": 37.0
          }
        },
        {
          "claim_reference": "c23",
          "text": "SpO2 100%",
          "status": "GROUNDED",
          "evidence_source": "Vital signs",
          "evidence_fields": {
            "Oxygen saturation": 100
          }
        },
        {
          "claim_reference": "c998",
          "text": "No inpatient admission was recorded for this encounter",
          "status": "DERIVED",
          "derivation": "No inpatient admission recorded",
          "inputs": {
            "Admission date": "null"
          }
        }
      ]
    }
  ]
}