{ "_meta": { "_note_family_letter": "R-A4-1/R-A4-2 (2026-09-21b) — family_letter asks what its paper prints", "version": "9.4.0", "previous_version": "9.3.0", "created": "2026-01-19", "updated": "2026-04-15", "description": "Sprint 52A: Anchors block (44 anchors with member_facing_label, elevation_copy, relevance_signals), dashboard config block, member_facing_label on all 107 fields, needs_someone_else and has_document flags, emotional_weight updates, journey member_facing metadata. Shared vocabulary layer for DOCKET-017 Guardian Dashboard + DOCKET-017-HCC-COMPANION Journey Card Specificity.", "architecture": "consolidated-journey", "compatibility": [ "7.x", "6.x" ], "backward_compatible": false, "governance": [ "GOV-003", "SCHEMA-002", "ARCH-001" ], "features": [ "consolidated_journeys", "philosophy_groups", "disclosure_groups", "tiered_unlocks", "multiple_entry_points", "six_dimensions", "visibility", "filter", "integration", "living_model", "advocacy_circle", "emotional_gradient", "signal_bridge", "narrative_builder", "intervention_guide", "decision_guide", "celebrations", "parking_lot", "proxy_invitation_flow", "view_model_lens" ], "migration_notes": "SCHEMA-002: Consolidated from 11 journeys to 6. Removed 15 low-value/redundant fields. Added 4 high-value fields (BLOOD_TYPE, L2, MAJOR_CONDITIONS, PP1). Added philosophy_group and disclosure_group properties. Philosophy-based pre-filling replaces individual _WHY fields. PRO_CPR removed (redundant with L0). Proxy invitation flow triggers post-seal. Seal fields (FINAL_BLUEPRINT, BLUEPRINT_SEALED, BLUEPRINT_SEALED_AT) moved to dedicated SealStateService. ARCH-001/002: Added my_everyday_needs journey with 5 logistics/support fields (TRANS_ACCESS, HOME_STAIRS, INTERNET_STABLE, INSURANCE_TYPE, DISABILITY_STATUS). Added 4 fields to my_health (PREFERRED_PHARMACY, RECENT_TRANSITION_LOG, PAIN_BASELINE_0_10, MOBILITY_STATUS). Supports new View Model architecture: CareContinuity, ClinicalIntervention, QualityOfLife, AdvocacyCompliance. ARCH-001 Phase 1: Added 4 new cultural/value integration fields to support View Model architecture. Fixed 10 orphan fields missing section assignments. New fields support Cultural Guardrail auto-promotion and family-consensus decision-making patterns.", "removed_fields": [ "D1C", "D16", "D17", "PRO_CPR", "PRO_CPR_WHY", "PRO_VENT_WHY", "PRO_FEED_WHY", "M6A", "M6B", "M6C", "M7", "Q5", "CS1", "B7", "B7B" ], "added_fields": [ "BLOOD_TYPE", "L2", "MAJOR_CONDITIONS", "PP1", "TRANS_ACCESS", "HOME_STAIRS", "INTERNET_STABLE", "INSURANCE_TYPE", "DISABILITY_STATUS", "PREFERRED_PHARMACY", "RECENT_TRANSITION_LOG", "PAIN_BASELINE_0_10", "MOBILITY_STATUS", "DECISION_STYLE", "CULTURAL_DIET_RESTRICTIONS", "RITUAL_PREFERENCES", "ADVOCACY_PRIORITY", "COMFORT_ENVIRONMENT", "MUSIC_PREFS", "CALMING_STRATEGIES", "HOSPICE_GOALS", "FINAL_PRESENCE", "LEGACY_LETTERS", "LEGACY_VALUES", "LEGACY_ITEMS", "FUNERAL_PREFS", "FAMILY_CONFLICT_GUIDANCE" ], "removed_journeys": [ "seal_share" ], "renamed_journeys": { "who_speaks": "who_speaks_for_me", "for_family": "for_my_loved_ones" }, "merged_journeys": { "my_care_wishes": [ "what_i_want", "treatments", "comfort" ], "my_life_story": [ "my_values", "my_story", "my_spirit" ] }, "workflow_notes": { "proxy_invitation": "After Blueprint is sealed, an invitation is sent to the designated healthcare proxy. The proxy can accept or reject. Rejection triggers a flow for the Member to select a new proxy." }, "seal_fields_note": "FINAL_BLUEPRINT, BLUEPRINT_SEALED, BLUEPRINT_SEALED_AT are retained but managed by dedicated SealStateService, not as intake journey fields", "field_count": 107, "journey_count": 38, "output_key_glossary": { "_purpose": "Authoritative reference for all output key types in this schema. Read this before authoring new fields or adding entries to outputs[] arrays. Confusion between key types has caused authoring errors — this glossary is the safeguard.", "_last_updated": "Sprint 89 — 2026-04-24", "outputs_array_string_keys": { "_description": "String values that are valid inside a field's outputs[] array. These are ACTIVE routed Care Guide keys. Each has a registered generator, a route, and renders to a member-facing document. Use ONLY these strings inside outputs[].", "_registry": [ "allergy_profile", "cap_card", "care_coordination_brief", "care_schedule", "clinical_summary", "code_status_badge", "comfort_care_plan", "emergency_contact_card", "emergency_quick_card", "family_caregiver_guide", "family_consensus_guide", "final_wishes", "hospice_intake_package", "language_communication_card", "legacy_package", "meet_me_brief", "nursing_assessment_card", "palliative_care_profile" ] }, "outputs_array_object_format": { "_description": "Alternative object format valid inside outputs[] when a field targets a specific section or prominence within a guide. Use this form when placement within the guide matters.", "_shape": { "deliverable": "string — the routed Care Guide key (must be in outputs_array_string_keys._registry)", "section": "string — section identifier within the guide", "prominence": "string — 'primary' | 'secondary' | 'tertiary'", "format": "string — rendering hint for the guide generator" } }, "deliverable_registry_only_keys": { "_description": "Keys that appear in the deliverable registry (ALL_DELIVERABLES, M1_DELIVERABLES) and are referenced via 'deliverable' in object-format outputs entries, but are NOT valid as plain strings inside outputs[]. These are resolved through the deliverable object system, not the simple string pipeline.", "_examples": [ "allergy_alert", "spiritual_cultural_guide", "personal_portrait", "nutrition_profile", "treatment_philosophy", "who_i_am" ] }, "reserved_object_keys": { "_description": "Top-level or field-level OBJECT keys that are NOT valid inside outputs[] arrays in any form. These are forward-declared metadata structures for future rendering passes. They have no generator, no route, and produce no rendered output today. Do NOT use these as outputs[] string values or as deliverable values.", "_registry": { "clinical_view": "Forward-declared object — future rich rendering pass for clinical data. No generator. No route. Not rendered today. Do not use as an outputs[] string key or deliverable value." } }, "key_confusion_history": { "_description": "Authoring errors caught in past sprints. Preserved as institutional memory.", "Sprint_85_FAM_fields": "FAM_ fields initially authored with 'unified_clinical_view' in outputs[]. No such key exists. Corrected to 'clinical_summary' before any DB write. Root cause: confusion between clinical_view reserved object and clinical_summary active string key." } } }, "philosophy_definitions": { "fight": { "label": "Fight for Every Moment", "short_label": "Fight", "description": "I want medical teams to do everything possible to keep me alive, even if treatments are aggressive or uncomfortable.", "icon": "💪", "color": "#ef4444", "implications": { "PRO_VENT": "yes", "PRO_FEED": "yes", "PRO_IV": "yes", "PRO_ICU": "yes", "PRO_DIALYSIS": "yes", "PRO_ANTIBIOTICS": "yes", "PRO_BLOOD": "yes", "END_PAIN": "balance" }, "reasoning_template": "I believe in fighting for every moment of life. I want my care team to use all available medical interventions to keep me alive." }, "comfort": { "label": "Comfort and Peace", "short_label": "Comfort", "description": "I want to focus on comfort and quality of life rather than aggressive treatments that may prolong suffering.", "icon": "🕊️", "color": "#8b5cf6", "implications": { "PRO_VENT": "no", "PRO_FEED": "no", "PRO_IV": "comfort_only", "PRO_ICU": "no", "PRO_DIALYSIS": "no", "PRO_ANTIBIOTICS": "comfort_only", "PRO_BLOOD": "no", "END_PAIN": "comfort_priority" }, "reasoning_template": "I value comfort and peace over prolonging life with aggressive treatments. I want my care to focus on keeping me comfortable." }, "try_then_comfort": { "label": "Try, Then Comfort", "short_label": "Try Then Comfort", "description": "I'm willing to try treatments that might help, but I want to stop if they're not working or causing too much suffering.", "icon": "⚖️", "color": "#f59e0b", "implications": { "PRO_VENT": "trial", "PRO_FEED": "temporary", "PRO_IV": "yes", "PRO_ICU": "trial", "PRO_DIALYSIS": "temporary", "PRO_ANTIBIOTICS": "yes", "PRO_BLOOD": "limited", "END_PAIN": "balance" }, "reasoning_template": "I'm open to trying treatments that might help, but I don't want to continue treatments that aren't working or are causing me to suffer." }, "custom": { "label": "My Own Path", "short_label": "Custom", "description": "I want to make each decision individually based on my specific values and circumstances.", "icon": "✨", "color": "#0d9488", "implications": null, "reasoning_template": null } }, "disclosure_groups": { "identity_core": { "name": "Core Identity", "description": "Basic information needed to identify you", "fields": [ "D1", "D1B", "D5", "D9", "BLOOD_TYPE" ], "disclosure_level": "emergency", "always_visible": true }, "identity_communication": { "name": "Communication Preferences", "description": "How you prefer to be addressed and communicated with", "fields": [ "D11", "D15" ], "disclosure_level": "clinical", "always_visible": false }, "advocacy_primary": { "name": "Primary Advocates", "description": "Your healthcare proxy and emergency contacts", "fields": [ "B1", "EC1", "EC2" ], "disclosure_level": "emergency", "always_visible": true }, "advocacy_backup": { "name": "Backup Advocates", "description": "Additional decision makers if primary unavailable", "fields": [ "B1_BACKUP" ], "disclosure_level": "clinical", "always_visible": false }, "directives_critical": { "name": "Critical Directives", "description": "Your most important medical wishes", "fields": [ "L0", "L0_WHY" ], "disclosure_level": "emergency", "always_visible": true }, "directives_interventions": { "name": "Treatment Preferences", "description": "Your preferences for specific medical interventions (grouped matrix)", "fields": [ "PROCEDURE_PREFERENCES" ], "disclosure_level": "clinical", "always_visible": false }, "directives_legal": { "name": "Legal Documents", "description": "Status of your advance directive and POLST", "fields": [ "DOC_AD", "DOC_POLST" ], "disclosure_level": "clinical", "always_visible": false }, "directives_comfort": { "name": "Comfort Preferences", "description": "Your preferences for end-of-life comfort", "fields": [ "END_LOCATION", "END_PAIN", "SYM_PRIORITY" ], "disclosure_level": "planning", "always_visible": false }, "health_safety": { "name": "Safety-Critical Health Info", "description": "Allergies, conditions, and medications that affect safe care", "fields": [ "M2A", "MAJOR_CONDITIONS", "M1" ], "disclosure_level": "emergency", "always_visible": true }, "health_devices": { "name": "Medical Devices", "description": "Implants and devices that affect treatment options", "fields": [ "M5B" ], "disclosure_level": "clinical", "always_visible": false }, "values_core": { "name": "Core Values", "description": "What matters most in your life", "fields": [ "Q1", "V1", "PP1", "DECISION_STYLE", "ADVOCACY_PRIORITY" ], "disclosure_level": "planning", "always_visible": false }, "story_narrative": { "name": "Life Story", "description": "Your personal narrative and achievements", "fields": [ "LIFE_ROLES", "LIFE_PROUDEST", "B3", "B4", "LIFE_REMEMBER" ], "disclosure_level": "full", "always_visible": false }, "spiritual": { "name": "Spiritual Needs", "description": "Your religious and spiritual preferences", "fields": [ "D13", "D14", "D14B", "SPIRITUAL_NEEDS", "CULTURAL_DIET_RESTRICTIONS", "RITUAL_PREFERENCES" ], "disclosure_level": "clinical", "always_visible": false }, "family_legacy": { "name": "Family & Legacy", "description": "Messages and wishes for your loved ones", "fields": [ "FAMILY_MESSAGE", "CAREGIVER_CONCERN", "END_ORGAN", "PET_CARE_PLAN" ], "disclosure_level": "full", "always_visible": false }, "support_logistics": { "name": "Support & Logistics", "description": "Transportation, home access, and technology availability", "fields": [ "TRANS_ACCESS", "HOME_STAIRS", "INTERNET_STABLE", "MOBILITY_STATUS" ], "disclosure_level": "clinical", "always_visible": false }, "financial_support": { "name": "Financial & Employment", "description": "Insurance coverage and employment status", "fields": [ "INSURANCE_TYPE", "DISABILITY_STATUS" ], "disclosure_level": "planning", "always_visible": false }, "health_context": { "name": "Extended Health Context", "description": "Pharmacy, recent care, and baseline measurements", "fields": [ "PREFERRED_PHARMACY", "RECENT_TRANSITION_LOG", "PAIN_BASELINE_0_10" ], "disclosure_level": "clinical", "always_visible": false } }, "tiers": { "essential": { "name": "Essential Protection", "order": 1, "target_minutes": 15, "unlocks": "emergency_card", "unlocks_label": "Emergency Card", "journeys": [ "who_i_am", "who_speaks_for_me", "my_care_wishes" ], "color": "#0d9488", "icon": "🛡️", "celebration": { "type": "tier_complete", "title": "Emergency Protection Active", "message": "Your family is now more protected than 85% of Americans. First responders can access your wishes in an emergency.", "animation": "confetti", "sound": "fanfare", "shareable": true, "share_message": "I just completed my Emergency Card with UzObi Sanctuary. My family is protected." } }, "enhanced": { "name": "Enhanced Protection", "order": 2, "target_minutes": 15, "unlocks": "clinical_view", "unlocks_label": "Clinical View", "journeys": [ "my_health", "my_everyday_needs" ], "color": "#f59e0b", "icon": "📋", "celebration": { "type": "tier_complete", "title": "Clinical View Ready", "message": "Your care team now has everything they need. No more guessing. No more confusion.", "animation": "confetti", "sound": "fanfare", "shareable": true } }, "complete": { "name": "Complete Blueprint", "order": 3, "target_minutes": 10, "unlocks": "full_blueprint", "unlocks_label": "Master Blueprint", "journeys": [ "my_life_story", "for_my_loved_ones" ], "color": "#8b5cf6", "icon": "✨", "celebration": { "type": "blueprint_complete", "title": "Your Blueprint is Complete", "message": "You've done something extraordinary. Your wishes, your values, your story—all preserved for the people who matter most.", "animation": "fireworks", "sound": "celebration", "shareable": true, "quote": { "text": "The greatest gift you can give your family is peace of mind.", "author": "Unknown" } } } }, "journeys": { "my_emergency_card": { "anchor_key": "cap_card", "tier": "essential", "order": 1, "name": "My Emergency Card", "description": "The card that carries your wishes in an emergency.", "long_description": "Your Emergency Card contains your name, code status, allergies, and contacts — everything ER staff need in 5 seconds.", "icon": "🛡️", "target_minutes": 3, "entry_prompt": "Let's build your emergency card", "emotional_weight": "light", "celebration": { "type": "anchor_ready", "title": "Your Emergency Card is ready", "message": "First responders can now see who you are and what matters in an emergency." }, "fields": [ "M2A", "B1", "BLOOD_TYPE", "D1", "D5", "EC1", "INTERPRETER_NEEDED", "L0", "L0_WHY", "M1", "M2_NONE", "D11", "D15", "EC2", "MAJOR_CONDITIONS", "SENS_ANESTHESIA", "TREATMENT_PHILOSOPHY" ], "member_facing_guide_name": "Your Emergency Card", "why_it_matters": "With this on record, your emergency team gets what they need before they can ask for it.", "effort_override": null }, "my_allergy_alert": { "anchor_key": "allergy_alert", "tier": "essential", "order": 2, "name": "My Allergy Alert", "description": "Your medication safety — always visible.", "long_description": "This alert prevents adverse drug events by making your allergies visible to every prescriber.", "icon": "💊", "target_minutes": 2, "entry_prompt": "Do you have any allergies?", "emotional_weight": "light", "celebration": { "type": "anchor_ready", "title": "Your Allergy Alert is ready", "message": "Your care team knows your allergies and can protect you." }, "fields": [ "MAJOR_CONDITIONS", "M2A", "M1", "SENS_PAST_REACTIONS", "SENS_MED_PREFERENCES", "SENS_ANESTHESIA", "M2_NONE", "M2" ], "member_facing_guide_name": "Your Allergy Alert", "why_it_matters": "With this on record, your care team avoids treatments that could harm you.", "effort_override": null }, "my_code_status": { "anchor_key": "code_status_directive", "tier": "essential", "order": 3, "name": "My Code Status", "description": "Your most important medical wish, made clear.", "long_description": "Your code status tells medical teams what to do if your heart stops.", "icon": "⚕️", "target_minutes": 3, "entry_prompt": "What should medical teams do if your heart stops?", "emotional_weight": "highest", "offer_breathing_before": true, "celebration": { "type": "anchor_ready", "title": "Your Code Status is ready", "message": "Your resuscitation wishes are unambiguous and immediately visible." }, "fields": [ "L0", "L0_WHY" ], "member_facing_guide_name": "Your Code Status", "why_it_matters": "With this on record, your emergency decisions are understood before a crisis.", "effort_override": null }, "my_health_summary": { "anchor_key": "clinical_summary", "tier": "enhanced", "order": 4, "name": "My Health Summary", "description": "Your complete health picture for every doctor.", "long_description": "Your health summary prevents the \"starting from scratch\" problem at every new appointment.", "icon": "🏥", "target_minutes": 8, "entry_prompt": "Let's capture your health information", "emotional_weight": "light", "celebration": { "type": "anchor_ready", "title": "Your Health Summary is ready", "message": "Every provider sees your full medical picture — no starting from scratch." }, "fields": [ "M2A", "B1", "BLOOD_TYPE", "D1", "D13", "D5", "EC1", "L0", "L0_WHY", "D15", "MAJOR_CONDITIONS", "M1", "PP1", "D1B", "D11", "Q1", "QUALITY_PRIORITIES", "D9", "TREATMENT_PHILOSOPHY", "M5", "COMM_CARE_EXPERIENCE", "COMM_DECISION_STYLE", "COMM_DIFFICULT_NEWS", "FAM_GENETIC_TESTING", "FAM_HISTORY_CONDITIONS", "FAM_HISTORY_NOTES", "SENS_ANESTHESIA" ], "member_facing_guide_name": "Your Health Summary", "why_it_matters": "With this complete, your full clinical picture travels with you.", "effort_override": null }, "my_coordination_brief": { "anchor_key": "care_coordination_brief", "tier": "enhanced", "order": 5, "name": "My Coordination Brief", "description": "Your everyday needs — so transitions go smoothly.", "long_description": "Your coordination brief helps social workers and discharge planners ensure safe transitions.", "icon": "📋", "target_minutes": 4, "entry_prompt": "Let's understand your daily support needs", "emotional_weight": "light", "celebration": { "type": "anchor_ready", "title": "Your Coordination Brief is ready", "message": "Care coordinators can now help remove barriers to your care." }, "fields": [], "member_facing_guide_name": "Your Care Coordination Brief", "why_it_matters": "With this complete, your care team stays coordinated across every setting.", "effort_override": null }, "my_decision_makers": { "anchor_key": "proxy_authorization", "tier": "essential", "order": 6, "name": "My Decision Makers", "description": "Who makes medical decisions for you when you can't.", "long_description": "Ensures the right person has legal authority to make healthcare decisions on your behalf.", "icon": "🤝", "target_minutes": 5, "entry_prompt": "Who do you trust to make decisions for you?", "emotional_weight": "moderate", "celebration": { "type": "anchor_ready", "title": "Your decision-maker is chosen", "message": "The person who can decide for you when you cannot is named — and so is a backup." }, "fields": [ "B1", "DOC_AD", "DOC_POLST", "B1_BACKUP" ], "member_facing_guide_name": "Your Healthcare Proxy", "why_it_matters": "With this on record, someone who knows you can make decisions for you if you can't.", "effort_override": null }, "my_emergency_contacts": { "anchor_key": "emergency_contact_card", "tier": "essential", "order": 7, "name": "My Emergency Contacts", "description": "The people to call — always reachable.", "long_description": "Ensures your loved ones can be reached when it matters most.", "icon": "📞", "target_minutes": 2, "entry_prompt": "Who should we call in an emergency?", "emotional_weight": "light", "celebration": { "type": "anchor_ready", "title": "Your Emergency Contacts are set", "message": "Your loved ones can be reached when it matters most." }, "fields": [ "B1", "EC1", "EC2", "PCP" ], "member_facing_guide_name": "Your Emergency Contacts", "why_it_matters": "With this on record, the right people are reached at the right moment.", "effort_override": null }, "who_i_am": { "anchor_key": "personal_portrait", "tier": "complete", "order": 8, "name": "Who I Am", "description": "You as a person, not a patient number.", "long_description": "Helps care teams see a person — your name, your values, how you make decisions.", "icon": "👤", "target_minutes": 8, "entry_prompt": "Tell us about yourself", "emotional_weight": "light", "celebration": { "type": "anchor_ready", "title": "Your personal portrait is captured", "message": "Your care team sees a person, not just a diagnosis." }, "fields": [ "B3", "B4", "D11", "D15", "D1B", "D5", "D9", "DECISION_STYLE", "LIFE_PROUDEST", "LIFE_REMEMBER", "LIFE_ROLES", "ROLE_CARING_NOW", "PP1", "Q1", "V1", "MEMBER_VOICE_STATEMENT", "MEMBER_PROFILE", "ASPIR_STILL_WORKING_TOWARD_AND_NOT_READY_TO_LOSE", "ASPIR_WHAT_I_LOOK_FORWARD_TO", "CULT_FAMILY_COMMUNITY_ROLE_IN_DECISIONS", "CULTURAL_DIET_RESTRICTIONS", "CULT_IDENTITY_AND_BACKGROUND", "INTERPRETER_NEEDED", "CULTURAL", "DALY_WHAT_CARE_TEAMS_GET_WRONG", "DALY_WHAT_INDEPENDENCE_MEANS", "FAMILY_MESSAGE", "SPRT_FAITH_TRADITION_AND_IDENTITY", "SPRT_SACRED_RITUALS_AND_TRADITIONS", "SPRT_SUPPORT_DURING_ILLNESS_OR_CRISIS", "SPRT_WHAT_FAITH_MEANS_IN_MY_CARE", "VALUES_FOUNDATION_AND_MEANING", "BG_CULTURAL_CONTEXT" ], "comfort_messages": [ "Great start! The basics are important.", "You're building your foundation." ], "legacy_section": "aboutMe", "legacy_journey": "who_i_am", "member_facing_guide_name": "Your Personal Portrait", "why_it_matters": "Once you share this, your care team sees you as a person, not just a diagnosis.", "effort_override": null }, "my_wishes": { "anchor_key": "wishes_directives_summary", "tier": "complete", "order": 10, "name": "My Wishes", "description": "Everything you want your care team to know.", "long_description": "Gives your proxy detailed guidance for every scenario — not just a code status.", "icon": "📜", "target_minutes": 10, "entry_prompt": "What matters most to you about your care?", "emotional_weight": "highest", "offer_breathing_before": true, "philosophy_enabled": true, "celebration": { "type": "anchor_ready", "title": "Your Wishes are recorded", "message": "No confusion. No guessing. Your care team will honor your wishes." }, "fields": [ "ADVOCACY_PRIORITY", "DOC_AD", "DOC_POLST", "END_LOCATION", "L0", "L0_WHY", "L1", "PROCEDURE_PREFERENCES", "SYM_PRIORITY", "LEGACY_ITEMS", "LEGACY_LETTERS", "LEGACY_VALUES", "HOSPICE_GOALS", "FINAL_PRESENCE", "CALMING_STRATEGIES", "COMFORT_ENVIRONMENT", "CULTURAL_DIET_RESTRICTIONS", "CULT_IDENTITY_AND_BACKGROUND", "INTERPRETER_NEEDED", "CULTURAL", "D13", "D14", "D14B", "D1B", "FUNERAL_PREFS", "FAMILY_MESSAGE", "LIFE_PROUDEST", "LIFE_REMEMBER", "MUSIC_PREFS", "PP1", "PRO_ANTIBIOTICS", "PRO_BLOOD", "PRO_DIALYSIS", "PRO_FEED", "PRO_ICU", "PRO_IV", "PRO_VENT", "SOCIAL_PREFS", "SPRT_FAITH_TRADITION_AND_IDENTITY", "SPRT_SACRED_RITUALS_AND_TRADITIONS", "SPRT_SUPPORT_DURING_ILLNESS_OR_CRISIS", "SPRT_WHAT_FAITH_MEANS_IN_MY_CARE", "TOUCH_PREFS", "V1", "RITUAL_PREFERENCES", "SPIRITUAL_NEEDS" ], "member_facing_guide_name": "Your Wishes & Directives", "why_it_matters": "Once you share this, your preferences travel with you wherever care happens.", "effort_override": "Takes ~5–10 minutes • Write freely • This is your story" }, "my_family_guide": { "anchor_key": "family_caregiver_guide", "tier": "complete", "order": 11, "name": "My Family Guide", "description": "What your loved ones need to hear from you.", "long_description": "Messages, concerns, organ donation wishes, pet care — only family needs.", "icon": "💌", "target_minutes": 4, "entry_prompt": "What do you want your family to know?", "emotional_weight": "higher", "gated_entry": true, "celebration": { "type": "anchor_ready", "title": "Your Family Guide is ready", "message": "You've given your family a gift." }, "fields": [ "B3", "B4", "CAREGIVER_CONCERN", "END_ORGAN", "FAMILY_MESSAGE", "PET_CARE_PLAN", "FAMILY_CONFLICT_GUIDANCE", "ASPIR_STILL_WORKING_TOWARD_AND_NOT_READY_TO_LOSE", "ASPIR_WHAT_I_LOOK_FORWARD_TO", "CULT_FAMILY_COMMUNITY_ROLE_IN_DECISIONS", "CULT_IDENTITY_AND_BACKGROUND", "D1B", "DALY_WHAT_CARE_TEAMS_GET_WRONG", "DALY_WHAT_INDEPENDENCE_MEANS", "LIFE_REMEMBER", "SPRT_SACRED_RITUALS_AND_TRADITIONS", "SPRT_WHAT_FAITH_MEANS_IN_MY_CARE", "TREATMENT_PHILOSOPHY", "V1" ], "member_facing_guide_name": "Your Family Caregiver Guide", "why_it_matters": "With this complete, your family caregiver knows exactly how to support you.", "effort_override": null }, "my_care_circle": { "anchor_key": "care_circle", "tier": "essential", "order": 12, "name": "My Care Village", "description": "The people in your corner — always ready to advocate for you.", "long_description": "Aggregates everyone who plays a role in your care into one connected network.", "icon": "🤝", "target_minutes": 2, "entry_prompt": "Who is in your care circle?", "emotional_weight": "light", "cross_pillar": true, "celebration": { "type": "anchor_ready", "title": "Your Care Circle is connected", "message": "Your care team, family, and advocates — connected and informed." }, "fields": [ "B1", "B1_BACKUP", "EC1", "EC2", "PP1", "D1B" ], "member_facing_guide_name": "My Village", "why_it_matters": "With this complete, everyone who supports your care is visible to your team.", "effort_override": null }, "my_comfort": { "anchor_key": "comfort_care_plan", "tier": "complete", "order": 12, "name": "My Comfort", "description": "What brings you comfort and calm.", "long_description": "Your care team needs to know how to keep you comfortable — what soothes you, what stresses you, and what environment helps you feel safe.", "icon": "🌿", "target_minutes": 5, "entry_prompt": "Let’s talk about what comfort means to you", "emotional_weight": "light", "celebration": { "type": "anchor_ready", "title": "Your Comfort Plan is ready", "message": "Your care team now knows how to keep you comfortable — from your music preferences to what calms you." }, "fields": [ "ANXIETY_TRIGGERS", "AROMATHERAPY", "CALMING_STRATEGIES", "COMFORT_ENVIRONMENT", "D1", "END_PAIN", "MUSIC_PREFS", "PAIN_BASELINE_0_10", "SOCIAL_PREFS", "TOUCH_PREFS", "L0_WHY", "ASPIR_STILL_WORKING_TOWARD_AND_NOT_READY_TO_LOSE", "ASPIR_WHAT_I_LOOK_FORWARD_TO", "CULTURAL_DIET_RESTRICTIONS", "CULT_IDENTITY_AND_BACKGROUND", "CULTURAL", "D13", "D14", "D14B", "DALY_WHAT_CARE_TEAMS_GET_WRONG", "DALY_WHAT_INDEPENDENCE_MEANS", "SPRT_FAITH_TRADITION_AND_IDENTITY", "SPRT_SACRED_RITUALS_AND_TRADITIONS", "SPRT_SUPPORT_DURING_ILLNESS_OR_CRISIS", "SPRT_WHAT_FAITH_MEANS_IN_MY_CARE", "V1", "RITUAL_PREFERENCES", "SPIRITUAL_NEEDS" ], "member_facing_guide_name": "My Comfort", "why_it_matters": "Once you share this, your care team knows how to honor your comfort — not just your condition.", "effort_override": null }, "my_mental_health": { "anchor_key": "mental_health_context_brief", "tier": "enhanced", "order": 14, "name": "My Mental Health", "description": "Share what helps your care team support your mental wellbeing.", "long_description": "Your mental health is an important part of your whole-person care. Sharing your experiences and coping strategies helps your care team provide compassionate, informed support.", "icon": "🧠", "target_minutes": 8, "entry_prompt": "Let’s talk about your mental health and what helps you cope", "emotional_weight": "higher", "celebration": { "type": "anchor_ready", "title": "Your Mental Health Brief is ready", "message": "Your care team now knows how to support your mental wellbeing — including what helps you cope and what to watch for." }, "fields": [ "MH_HISTORY", "COPING_STRATEGIES", "ASPIR_WHAT_I_LOOK_FORWARD_TO", "V1", "VALUES_FOUNDATION_AND_MEANING" ], "member_facing_guide_name": "Your Mental Health Context", "why_it_matters": "With this complete, your mental health context informs every aspect of your care.", "effort_override": "Takes ~3–5 minutes • Write freely or choose from prompts" }, "my_nutrition": { "anchor_key": "nutrition_profile", "tier": "enhanced", "order": 15, "name": "My Nutrition", "description": "Your dietary needs, restrictions, and food preferences.", "long_description": "Food connects to your health, your culture, and your comfort. Documenting your dietary needs ensures you are never served something that conflicts with your medical needs, religious practices, or personal values.", "icon": "🥗", "target_minutes": 5, "entry_prompt": "Let’s document your food and dietary needs", "emotional_weight": "light", "celebration": { "type": "anchor_ready", "title": "Your Nutrition Profile is ready", "message": "Your dietary needs and preferences are documented — from medical restrictions to cultural food traditions." }, "fields": [ "FOOD_PREFERENCES" ], "member_facing_guide_name": "Your Nutrition Profile", "why_it_matters": "With this complete, your dietary needs and preferences are honored across every care setting.", "effort_override": null }, "my_home_safety": { "anchor_key": "home_environment_profile", "tier": "enhanced", "order": 16, "name": "My Home & Safety", "description": "Details about your living situation for safe care transitions.", "long_description": "Your home environment matters for safe recovery and ongoing care. Discharge planners need to know about stairs, bathroom access, and your living situation to arrange the right support — documenting this ahead of time prevents delays.", "icon": "🏠", "target_minutes": 5, "entry_prompt": "Let’s capture some details about your home environment", "emotional_weight": "light", "celebration": { "type": "anchor_ready", "title": "Your Home Safety Profile is ready", "message": "Your care team now has the details they need to plan safe transitions home — from stairs to living arrangements." }, "fields": [ "HOME_ENVIRONMENT", "HOME_STAIRS", "MOBILITY_LEVEL" ], "member_facing_guide_name": "Your Home & Safety Profile", "why_it_matters": "With this complete, your care team understands your living situation to plan safe transitions.", "effort_override": null }, "my_emergency_quick_card": { "anchor_key": "emergency_quick_card", "order": 17, "name": "My Quick Card", "icon": "🏠", "description": "A simplified wallet reference for everyday emergencies.", "long_description": "Your quick card is a simplified version of your emergency information — designed for family members and caregivers to carry every day.", "target_minutes": 5, "emotional_weight": "light", "entry_prompt": "Let's review your quick card information", "celebration": { "type": "anchor_ready", "title": "Your Quick Card is ready", "message": "Your family now has a simplified emergency reference they can carry everywhere." }, "fields": [ "M2A", "B1", "D1", "EC1", "L0", "L0_WHY", "M1", "TREATMENT_PHILOSOPHY" ], "member_facing_guide_name": "Your Quick Reference Card", "why_it_matters": "With this on record, your most urgent information fits in any wallet or bedside folder.", "effort_override": "Takes ~1 minute • Uses information already in your blueprint" }, "my_dependents": { "anchor_key": "who_depends_on_me", "order": 66, "name": "If I Can't Be There", "icon": "🤝", "description": "Who depends on you, and who steps in when you can't be there.", "long_description": "A page for the person who steps in: who to look after, what a usual day looks like, how to get in, and whom to call.", "target_minutes": 8, "emotional_weight": "moderate", "entry_prompt": "Let's write down who depends on you", "celebration": { "type": "anchor_ready", "title": "Your page for the person who steps in is ready", "message": "If you can't be there, the person you chose knows who to look after and how you do it." }, "fields": [ "DEPENDS_ON_ME", "DEPENDS_ON_ME_NONE", "STAND_IN", "DEPENDENT_CARE_ROUTINE", "DEPENDENT_DAYTIME", "DEPENDENT_SEVERE_ALLERGY", "PET_CARE_PLAN", "HOME_ACCESS_FOR_STAND_IN", "DEPENDENT_OWN_CARE_CONTACT", "DEPENDENT_WISHES", "CAREGIVER_LIMITS" ], "member_facing_guide_name": "If I Can't Be There", "why_it_matters": "With this written, the person who steps in can do what you do.", "effort_override": null }, "my_medication_reconciliation": { "anchor_key": "medication_reconciliation", "order": 18, "name": "My Medications", "icon": "💊", "description": "Your complete medication list — always current.", "long_description": "Keeping your medication list accurate prevents dangerous interactions and ensures every provider sees the same information.", "target_minutes": 8, "emotional_weight": "light", "entry_prompt": "Let's review your current medications", "celebration": { "type": "anchor_ready", "title": "Your Medication List is ready", "message": "Every provider will see the same, accurate medication list — no gaps, no duplicates." }, "fields": [ "M2A", "L0", "M1", "MAJOR_CONDITIONS", "PREFERRED_PHARMACY" ], "member_facing_guide_name": "Your Medication Record", "why_it_matters": "With this complete, every provider sees the same accurate medication list.", "effort_override": null }, "my_post_op_medications": { "anchor_key": "post_op_medication_guide", "order": 19, "name": "My Post-Op Meds", "icon": "💉", "description": "Medication guidance for recovery after surgery.", "long_description": "Your post-op care team needs the complete medication picture to keep you safe during recovery.", "target_minutes": 5, "emotional_weight": "light", "entry_prompt": "Let's review your medications for post-surgical care", "celebration": { "type": "anchor_ready", "title": "Your Post-Op Med Guide is ready", "message": "Your surgical team has the complete medication picture for safe recovery." }, "fields": [ "M2A", "L0", "M1", "MAJOR_CONDITIONS" ], "member_facing_guide_name": "Your Post-Op Medication Guide", "why_it_matters": "With this complete, your recovery team knows exactly what you need when you go home.", "effort_override": null }, "my_functional_baseline": { "anchor_key": "functional_baseline_assessment", "order": 20, "name": "My Functional Baseline", "icon": "🦿", "description": "Your current mobility and functional capacity.", "long_description": "Your rehab team needs a clear starting point — documenting your current abilities helps them build a recovery plan that makes sense for your life.", "target_minutes": 5, "emotional_weight": "light", "entry_prompt": "Let's document your current functional level", "celebration": { "type": "anchor_ready", "title": "Your Functional Baseline is ready", "message": "Your rehab team now has a clear starting point for your recovery plan." }, "fields": [ "MOBILITY_LEVEL", "MOBILITY_STATUS", "PAIN_BASELINE_0_10", "MAJOR_CONDITIONS" ], "member_facing_guide_name": "Your Functional Baseline", "why_it_matters": "With this complete, your recovery team has a clear starting point for your rehabilitation.", "effort_override": null }, "my_rehab_goals": { "anchor_key": "rehabilitation_goals_statement", "order": 21, "name": "My Rehab Goals", "icon": "🎯", "description": "Your rehabilitation goals — built around your life.", "long_description": "Rehabilitation is about getting back to the life you want to live. Your goals guide your therapy team to focus on what matters most to you.", "target_minutes": 5, "emotional_weight": "light", "entry_prompt": "Let's set your rehabilitation goals", "celebration": { "type": "anchor_ready", "title": "Your Rehab Goals are set", "message": "Your therapy team will build a plan around your life, not just your diagnosis." }, "fields": [ "MOBILITY_LEVEL", "MAJOR_CONDITIONS" ], "member_facing_guide_name": "Your Rehabilitation Goals", "why_it_matters": "With this complete, your rehab team aligns around what recovery means to you.", "effort_override": null }, "my_coping_resilience": { "anchor_key": "coping_resilience_profile", "order": 22, "name": "My Coping & Resilience", "icon": "🛡️", "description": "Your coping strategies and resilience patterns.", "long_description": "Your care team needs to know what helps when things get hard — the strategies that actually work for you.", "target_minutes": 5, "emotional_weight": "moderate", "entry_prompt": "Let's talk about what helps you cope", "celebration": { "type": "anchor_ready", "title": "Your Coping Profile is ready", "message": "Your care team now knows how to support you in the ways that actually work." }, "fields": [ "COPING_STRATEGIES", "MH_HISTORY" ], "member_facing_guide_name": "Your Coping & Resilience Profile", "why_it_matters": "With this complete, your support team knows what helps you through hard moments.", "effort_override": "Takes ~2–3 minutes • Write freely or choose from prompts" }, "my_financial_profile": { "anchor_key": "financial_profile_summary", "order": 23, "name": "My Financial Profile", "icon": "💰", "description": "Your financial context for care planning.", "long_description": "Understanding your financial situation helps counselors connect you with the right assistance programs and coverage options.", "target_minutes": 5, "emotional_weight": "light", "entry_prompt": "Let's review your financial context", "celebration": { "type": "anchor_ready", "title": "Your Financial Profile is ready", "message": "Counselors can now connect you with the right assistance programs." }, "fields": [ "INSURANCE_TYPE", "DISABILITY_STATUS" ], "member_facing_guide_name": "Your Financial Profile", "why_it_matters": "With this complete, your care team can connect you with the right resources at the right time.", "effort_override": null }, "my_legal_documents": { "anchor_key": "legal_documents_status", "order": 24, "name": "My Legal Documents", "icon": "📋", "description": "Status of your advance directives and legal healthcare documents.", "long_description": "Knowing which legal documents are in place, in progress, or still needed ensures your wishes are legally protected.", "target_minutes": 5, "emotional_weight": "moderate", "entry_prompt": "Let's check your legal document status", "celebration": { "type": "anchor_ready", "title": "Your Legal Documents are tracked", "message": "Everyone now knows what documents are in place and what still needs attention." }, "fields": [ "DOC_AD", "DOC_POLST", "B1" ], "member_facing_guide_name": "Your Legal Documents Status", "why_it_matters": "With this on record, your legal wishes are documented and findable when they matter most.", "effort_override": null }, "my_language_communication": { "anchor_key": "language_communication_card", "order": 25, "name": "My Language & Communication", "icon": "🗣️", "description": "Your language and communication needs.", "long_description": "Language barriers can compromise care. Documenting your communication needs ensures interpreter services are arranged before clinical interactions.", "target_minutes": 3, "emotional_weight": "light", "entry_prompt": "Let's document your language and communication needs", "celebration": { "type": "anchor_ready", "title": "Your Communication Card is ready", "message": "Nothing will be lost in translation when it matters most." }, "fields": [ "INTERPRETER_NEEDED", "D9" ], "member_facing_guide_name": "Your Language & Communication Card", "why_it_matters": "With this complete, your care team communicates with you the way that works best for you.", "effort_override": null }, "care_experience": { "order": 50, "name": "My Care Experience", "icon": "🌟", "description": "How you experience care — your communication and sensory needs.", "long_description": "Good care is shaped by knowing how you experience it. This journey captures your sensory and communication preferences so every interaction with your care team works for you.", "target_minutes": 7, "emotional_weight": "light", "entry_prompt": "Let's capture how you experience care best", "celebration": { "type": "anchor_ready", "title": "Your care experience is documented", "message": "Your team now knows how to communicate with you in the way that works best." }, "fields": [ "COMM_HEARING_VISION", "COMM_INFO_STYLE", "COMM_DIFFICULT_NEWS", "COMM_DECISION_STYLE", "COMM_CARE_EXPERIENCE" ], "member_facing_guide_name": "Your Language & Communication Card", "why_it_matters": "With this complete, when your care team understands your communication and sensory needs, nothing important gets lost.", "sprint_note": "Sprint 84 MVP stub — expanded Sprint 85 Cluster B2 with COMM_DIFFICULT_NEWS, COMM_DECISION_STYLE, COMM_CARE_EXPERIENCE (Q2 authorized). Journey now complete at 5 fields.", "effort_override": null }, "family_health_history": { "order": 51, "name": "My Family Health History", "icon": "🧬", "description": "Health patterns in your family that may be relevant to your care.", "long_description": "Your family health history helps your care team understand hereditary conditions, genetic risk factors, and patterns that may affect your care decisions.", "target_minutes": 5, "emotional_weight": "light", "entry_prompt": "Let's capture your family health history", "celebration": { "type": "anchor_ready", "title": "Your family health history is documented", "message": "Your care team now has context about your family health background." }, "fields": [ "FAM_HISTORY_CONDITIONS", "FAM_GENETIC_TESTING", "FAM_HISTORY_NOTES" ], "member_facing_guide_name": "Family Health History", "why_it_matters": "With this complete, understanding your family's health history helps your care team anticipate risks and tailor your care.", "effort_override": null }, "my_care_schedule": { "anchor_key": "care_schedule", "order": 26, "name": "My Care Schedule", "icon": "📅", "description": "Daily care logistics and scheduling.", "long_description": "A clear care schedule ensures everyone on your team knows who is doing what and when — reducing confusion and preventing gaps in care.", "target_minutes": 8, "emotional_weight": "light", "entry_prompt": "Let's organize your daily care schedule", "celebration": { "type": "anchor_ready", "title": "Your Care Schedule is ready", "message": "Everyone on your team now knows who is doing what and when." }, "fields": [ "B1", "D1", "D1B", "EC1", "EC2", "M1", "M2A", "MAJOR_CONDITIONS", "PAIN_MANAGEMENT" ], "member_facing_guide_name": "Your Care Schedule", "why_it_matters": "With this complete, everyone who supports your care knows when and how to help.", "effort_override": null }, "my_advocacy_compliance": { "anchor_key": "advocacy_compliance_view", "order": 27, "name": "My Advocacy & Compliance", "icon": "⚖️", "description": "Your insurance, legal documents, and advocacy rights.", "long_description": "Having your insurance, legal documents, and advocacy rights in one place ensures the people navigating the system on your behalf have everything they need.", "target_minutes": 5, "emotional_weight": "light", "entry_prompt": "Let's review your advocacy and compliance information", "celebration": { "type": "anchor_ready", "title": "Your Advocacy Profile is ready", "message": "The people navigating the system on your behalf now have what they need." }, "fields": [ "INSURANCE_TYPE", "DOC_AD", "DOC_POLST", "B1" ], "member_facing_guide_name": "Your Advocacy & Compliance Record", "why_it_matters": "With this complete, your care team knows you're informed and engaged in your own protection.", "effort_override": null }, "my_cultural_context": { "anchor_key": "cultural_context_brief", "order": 28, "name": "My Cultural Context", "icon": "🌍", "description": "Your cultural and religious context for aligned care.", "long_description": "Your cultural and religious background shapes how you experience care. Documenting this helps your care team honor your traditions and communicate with respect.", "target_minutes": 5, "emotional_weight": "moderate", "entry_prompt": "Let's document your cultural and religious context", "celebration": { "type": "anchor_ready", "title": "Your Cultural Context is documented", "message": "Your care team will honor your traditions and communicate with respect." }, "fields": [ "D13", "D14", "D14B", "INTERPRETER_NEEDED" ], "member_facing_guide_name": "Your Cultural Context Brief", "why_it_matters": "Once you share this, your cultural identity shapes how your care is delivered.", "effort_override": null }, "my_transition_readiness": { "anchor_key": "transition_readiness_checklist", "order": 29, "name": "My Transition Checklist", "icon": "✅", "description": "Readiness assessment for safe care transitions.", "long_description": "Going home from the hospital is a critical moment. This checklist ensures you're truly ready — with housing, transportation, medications, and support all confirmed.", "target_minutes": 8, "emotional_weight": "light", "entry_prompt": "Let's check your transition readiness", "celebration": { "type": "anchor_ready", "title": "Your Transition Checklist is ready", "message": "You'll go home when you're truly ready — with nothing left to chance." }, "fields": [ "B1", "BARRIERS", "BARRIERS_NOTES", "D1", "D1B", "EC1", "HOME_STAIRS", "HOUSING_STATUS", "L0", "M1", "M2A", "MAJOR_CONDITIONS", "TRANS_ACCESS" ], "member_facing_guide_name": "Your Transition Checklist", "why_it_matters": "With this complete, your care team knows you're prepared for the next setting of care.", "effort_override": null }, "my_resource_connections": { "anchor_key": "resource_connection_plan", "order": 30, "name": "My Resource Plan", "icon": "🗺️", "description": "Community resources and support programs.", "long_description": "No one should navigate the healthcare system alone. Your resource plan maps the community programs, support services, and connections available to you.", "target_minutes": 8, "emotional_weight": "light", "entry_prompt": "Let's map your community resources", "celebration": { "type": "anchor_ready", "title": "Your Resource Plan is ready", "message": "Your map is drawn — no one navigates the system alone." }, "fields": [ "RESOURCE_CONNECTIONS", "B1", "BARRIERS", "BARRIERS_NOTES", "D1", "D15", "D1B", "EC1", "HOME_STAIRS", "HOUSING_STATUS", "INSURANCE_TYPE", "TRANS_ACCESS", "PEER_SUPPORT_INTEREST" ], "member_facing_guide_name": "Your Resource Connection Plan", "why_it_matters": "With this complete, your care team connects you with community support before you need it urgently.", "effort_override": null }, "my_barriers_assessment": { "anchor_key": "barriers_assessment_summary", "order": 31, "name": "My Barriers Assessment", "icon": "🚧", "description": "Access barriers identified and addressed.", "long_description": "Transportation, cost, language, housing — the barriers between you and your care are real. Identifying them is the first step to removing them.", "target_minutes": 8, "emotional_weight": "moderate", "entry_prompt": "Let's identify any barriers to your care", "celebration": { "type": "anchor_ready", "title": "Your Barriers Assessment is ready", "message": "The barriers are identified — your team is working to remove them." }, "fields": [ "B1", "BARRIERS", "BARRIERS_NOTES", "D1", "D15", "D1B", "EC1", "HOME_STAIRS", "HOUSING_STATUS", "INSURANCE_TYPE", "MAJOR_CONDITIONS", "MOBILITY_STATUS", "TRANS_ACCESS", "INTERNET_STABLE" ], "member_facing_guide_name": "Your Barriers Assessment", "why_it_matters": "With this complete, your care team understands what stands between you and your health.", "effort_override": null }, "my_treatment_philosophy": { "anchor_key": "treatment_philosophy_statement", "order": 32, "name": "My Treatment Philosophy", "icon": "📜", "description": "Your approach to medical treatment — in your own words.", "long_description": "Your treatment philosophy tells your care team how YOU want to be treated. Not what's standard — what's right for you.", "target_minutes": 10, "emotional_weight": "higher", "calming_ui": true, "entry_prompt": "Let's document your treatment philosophy", "celebration": { "type": "anchor_ready", "title": "Your Treatment Philosophy is documented", "message": "Your care team will treat you the way YOU want — no guesswork." }, "fields": [ "D1", "D5", "L0", "L0_WHY", "PROCEDURE_PREFERENCES", "QUALITY_PRIORITIES", "TREATMENT_PHILOSOPHY", "PRO_ANTIBIOTICS", "PRO_BLOOD", "PRO_DIALYSIS", "PRO_FEED", "PRO_ICU", "PRO_IV", "PRO_VENT", "DALY_WHAT_INDEPENDENCE_MEANS", "V1", "VALUES_FOUNDATION_AND_MEANING" ], "member_facing_guide_name": "Your Treatment Philosophy", "why_it_matters": "With this complete, your care team understands what matters most to you in treatment decisions.", "effort_override": null }, "my_patient_goals": { "anchor_key": "patient_goals_statement", "order": 33, "name": "My Goals", "icon": "🎯", "description": "What quality of life means to you.", "long_description": "Your goals define what makes life worth living — the activities, abilities, and experiences that matter most. Every care plan should serve these goals.", "target_minutes": 10, "emotional_weight": "higher", "calming_ui": true, "entry_prompt": "Let's define what quality of life means to you", "celebration": { "type": "anchor_ready", "title": "Your Goals are set", "message": "Every care plan will be built around what makes YOUR life worth living." }, "fields": [ "D1", "D5", "L0", "L0_WHY", "PROCEDURE_PREFERENCES", "QUALITY_PRIORITIES", "TREATMENT_PHILOSOPHY" ], "member_facing_guide_name": "Your Care Goals Statement", "why_it_matters": "With this complete, your care team builds a plan around what you're working toward.", "effort_override": null }, "my_meet_me_brief": { "anchor_key": "meet_me_brief", "order": 34, "name": "My Meet-Me Brief", "icon": "👤", "description": "A human-first introduction for your care team.", "long_description": "Before your care team sees your chart, they should see YOU — your values, your culture, what brings you joy, and how you want to be addressed.", "target_minutes": 8, "emotional_weight": "moderate", "entry_prompt": "Let's create your personal introduction", "celebration": { "type": "anchor_ready", "title": "Your Meet-Me Brief is ready", "message": "Your care team will see you as a person before they see you as a chart." }, "fields": [ "EC1", "Q1", "CULTURAL", "D1", "D5", "B1", "LIFE_REMEMBER", "LIFE_ROLES", "D1B", "D11", "QUALITY_PRIORITIES", "D13", "TREATMENT_PHILOSOPHY" ], "member_facing_guide_name": "Your Meet-Me Brief", "why_it_matters": "With this complete, new providers know the most important things about you before you say a word.", "effort_override": "Takes ~2–3 minutes • A few sentences about who you are" }, "my_nursing_assessment": { "anchor_key": "nursing_assessment_card", "order": 35, "name": "My Nursing Brief", "icon": "📋", "description": "A shift-start brief for every nurse who cares for you.", "long_description": "Every nurse who walks into your room should know your preferences, sensitivities, and what matters most — without having to ask again.", "target_minutes": 8, "emotional_weight": "light", "entry_prompt": "Let's prepare your nursing brief", "celebration": { "type": "anchor_ready", "title": "Your Nursing Brief is ready", "message": "Every nurse who cares for you will know your preferences from the start." }, "fields": [ "M2A", "B1", "D1", "D5", "EC1", "L0", "L0_WHY", "MAJOR_CONDITIONS", "M1", "TREATMENT_PHILOSOPHY", "M2_NONE", "M5", "CULTURAL_DIET_RESTRICTIONS", "CULTURAL", "DALY_WHAT_CARE_TEAMS_GET_WRONG", "SPRT_WHAT_FAITH_MEANS_IN_MY_CARE" ], "member_facing_guide_name": "Your Nursing Brief", "why_it_matters": "With this complete, your nursing team has the context to provide truly personalized care.", "effort_override": null }, "my_handoff_summary": { "anchor_key": "handoff_summary", "order": 36, "name": "My Handoff Summary", "icon": "🔄", "description": "Safe transition documentation between care teams.", "long_description": "When your care shifts from one team to another, nothing should fall through the cracks. Your handoff summary ensures continuity.", "target_minutes": 8, "emotional_weight": "light", "entry_prompt": "Let's prepare your care handoff documentation", "celebration": { "type": "anchor_ready", "title": "Your Handoff Summary is ready", "message": "Nothing falls through the cracks when your care shifts between teams." }, "fields": [ "M2A", "B1", "D1", "D15", "D5", "EC1", "L0", "L0_WHY", "MAJOR_CONDITIONS", "M1", "TRANS_ACCESS", "TREATMENT_PHILOSOPHY", "M2_NONE", "RECENT_TRANSITION_LOG" ], "member_facing_guide_name": "Your Handoff Summary", "why_it_matters": "With this complete, nothing about your care is lost when providers change.", "effort_override": null }, "my_transfer_summary": { "anchor_key": "transfer_summary", "order": 37, "name": "My Transfer Summary", "icon": "🚑", "description": "A one-page reference for care transport.", "long_description": "Your story should travel with you — even in an ambulance. This one-page summary gives transport teams everything they need.", "target_minutes": 8, "emotional_weight": "light", "entry_prompt": "Let's prepare your transfer documentation", "celebration": { "type": "anchor_ready", "title": "Your Transfer Summary is ready", "message": "Your story travels with you — even in an ambulance." }, "fields": [ "M2A", "B1", "D1", "D1B", "D5", "D9", "EC1", "EC2", "HOME_STAIRS", "L0", "M5B", "MAJOR_CONDITIONS", "M1", "TRANS_ACCESS", "TREATMENT_PHILOSOPHY" ], "member_facing_guide_name": "Your Transfer Summary", "why_it_matters": "With this complete, your information arrives before you do at every new care setting.", "effort_override": null }, "my_new_provider_briefing": { "anchor_key": "new_provider_briefing", "order": 38, "name": "My Provider Briefing", "icon": "🤝", "description": "A human-first introduction for your new care team.", "long_description": "Switching providers shouldn't mean starting from scratch. This briefing gives your new care team the complete picture — medical, personal, and practical.", "target_minutes": 12, "emotional_weight": "moderate", "entry_prompt": "Let's prepare your new provider briefing", "celebration": { "type": "anchor_ready", "title": "Your Provider Briefing is ready", "message": "Your new care team will meet you as a person from the very first moment." }, "fields": [ "B1", "BARRIERS", "BARRIERS_NOTES", "D1", "D11", "D13", "D14", "D15", "D1B", "D5", "D9", "DECISION_STYLE", "EC1", "EC2", "FAMILY_DYNAMICS", "HOME_STAIRS", "HOUSING_STATUS", "L0", "L0_WHY", "M1", "M2A", "MAJOR_CONDITIONS", "PP1", "Q1", "QUALITY_PRIORITIES", "TRANS_ACCESS", "TREATMENT_PHILOSOPHY" ], "member_facing_guide_name": "Your New Provider Briefing", "why_it_matters": "With this complete, your new provider gets everything they need on day one.", "effort_override": null }, "maternal_prenatal": { "tier": "complete", "order": 39, "name": "My Pregnancy Journey", "description": "Your birth preferences and pregnancy care context.", "long_description": "Captures your pregnancy timeline, care team, birth location preferences, and birth plan details — so every provider who cares for you understands your wishes for labor, delivery, and the newborn period.", "icon": "🌸", "target_minutes": 15, "entry_prompt": "Let's capture your birth preferences", "emotional_weight": "higher", "overlay": "MATERNAL", "overlay_phase": "prenatal", "celebration": { "type": "anchor_ready", "title": "Your Pregnancy Journey is set up", "message": "Your care team now has your birth preferences and pregnancy context in one place." }, "fields": [ "PREGNANCY_CONFIRMED_DATE", "ESTIMATED_DUE_DATE", "PREGNANCY_TYPE", "PREGNANCY_RISK_LEVEL", "PREVIOUS_PREGNANCIES", "RH_FACTOR", "PRENATAL_VITAMINS", "OB_PROVIDER", "DOULA", "PEDIATRICIAN_SELECTED", "BIRTH_LOCATION", "BIRTH_LOCATION_NAME", "DELIVERY_POSITION_PREF", "PAIN_MGMT_PREFERENCE", "SKIN_TO_SKIN", "CORD_CLAMPING", "WHO_IN_ROOM", "NEWBORN_FEEDING", "CIRCUMCISION", "NEWBORN_VITAMIN_K", "NEWBORN_HEP_B_BIRTH_DOSE", "PLACENTA_HANDLING", "CSECTION_PREFERENCES", "CSECTION_NOTES", "PREVIOUS_BIRTH_EXPERIENCE", "PREGNANCY_HOPES", "PREGNANCY_FEARS" ], "member_facing_guide_name": "Your Birth Preferences Plan", "why_it_matters": "With this complete, your birth team knows your wishes — so every decision respects what matters most to you.", "effort_override": "Takes ~10-15 minutes • Skip anything you haven't decided yet • You can update anytime" }, "my_aspirations": { "key": "my_aspirations", "pillar_key": "planning_ahead", "name": "My Aspirations", "tier": "essential", "order": 52, "label": "My Aspirations", "description": "What you're still working toward — and what you're not ready to give up.", "estimated_minutes": 6, "unlock_conditions": { "type": "journey_complete", "required_journey_keys": [ "who_i_am" ] }, "briefing": { "zone1Label": "What I'm Living For", "zone2Summary": "Captures what matters most to this member right now — what they are still hoping for, working toward, and not yet ready to release. Informs how care teams frame goals of care conversations." }, "fields": [ "ASPIR_WHAT_I_LOOK_FORWARD_TO", "ASPIR_STILL_WORKING_TOWARD_AND_NOT_READY_TO_LOSE", "CULT_FAMILY_COMMUNITY_ROLE_IN_DECISIONS", "D1B", "DALY_WHAT_INDEPENDENCE_MEANS", "LIFE_PROUDEST", "MEMBER_VOICE_STATEMENT", "V1", "VALUES_FOUNDATION_AND_MEANING" ], "why_it_matters": "Once you share this, every person who cares for you knows what you're reaching toward.", "emotional_weight": "highest", "anchor_key": "aspirations_portrait" }, "my_legacy": { "key": "my_legacy", "pillar_key": "planning_ahead", "name": "My Legacy", "tier": "essential", "order": 53, "label": "My Legacy", "description": "What you want to be remembered for — and the message you'd leave behind.", "estimated_minutes": 10, "unlock_conditions": { "type": "journey_complete", "required_journey_keys": [ "my_aspirations" ] }, "briefing": { "zone1Label": "Their Story", "zone2Summary": "Documents what this member wants to be remembered for, their proudest contributions, and — if they chose to share — a personal message for their loved ones. Humanizes care by reminding every team member who they are caring for." }, "fields": [ "LIFE_REMEMBER", "LIFE_PROUDEST", "FAMILY_MESSAGE" ], "why_it_matters": "Once you share this, every person who cares for you knows the story you want to leave behind.", "emotional_weight": "highest" }, "my_spiritual_life": { "key": "my_spiritual_life", "pillar_key": "planning_ahead", "name": "My Spiritual Life", "tier": "essential", "order": 54, "label": "My Spiritual Life", "description": "Your faith, your practices, and what spiritual support means to you.", "estimated_minutes": 10, "unlock_conditions": { "type": "journey_complete", "required_journey_keys": [ "who_i_am" ] }, "briefing": { "zone1Label": "Their Faith & Spirit", "zone2Summary": "Documents this member's spiritual identity, how their faith bears on their care, what spiritual support they want during illness and crisis, and sacred traditions that must be honored — especially at the end of life. Primary source for spiritual advisors. Informs all comfort care planning." }, "fields": [ "SPRT_FAITH_TRADITION_AND_IDENTITY", "SPRT_WHAT_FAITH_MEANS_IN_MY_CARE", "SPRT_SUPPORT_DURING_ILLNESS_OR_CRISIS", "SPRT_SACRED_RITUALS_AND_TRADITIONS", "D13", "D14", "D14B", "FUNERAL_PREFS", "D1B", "RITUAL_PREFERENCES", "SPIRITUAL_NEEDS", "CULTURAL_DIET_RESTRICTIONS" ], "why_it_matters": "Once you share this, every person who cares for you honors the spiritual life that sustains you.", "emotional_weight": "highest", "anchor_key": "spiritual_cultural_guide" }, "my_cultural_identity": { "key": "my_cultural_identity", "pillar_key": "planning_ahead", "name": "My Cultural Identity", "tier": "essential", "order": 55, "label": "My Cultural Identity", "description": "How your culture, community, and traditions shape the care you want.", "estimated_minutes": 12, "unlock_conditions": { "type": "journey_complete", "required_journey_keys": [ "who_i_am" ] }, "briefing": { "zone1Label": "Their Culture and Community", "zone2Summary": "Documents how this member's cultural background shapes their care expectations, which family and community members play a role in decisions, food and fasting practices to respect, and language or interpreter needs. Prevents cultural misalignment that erodes trust and causes harm." }, "fields": [ "CULT_IDENTITY_AND_BACKGROUND", "CULTURAL", "CULT_FAMILY_COMMUNITY_ROLE_IN_DECISIONS", "CULTURAL_DIET_RESTRICTIONS", "INTERPRETER_NEEDED", "BG_CULTURAL_CONTEXT", "COMM_HEARING_VISION", "COMM_INFO_STYLE" ], "why_it_matters": "Once you share this, every person who cares for you understands the culture that shapes who you are.", "emotional_weight": "highest", "anchor_key": "cultural_identity_brief" }, "my_daily_life": { "key": "my_daily_life", "pillar_key": "planning_ahead", "name": "My Daily Life", "tier": "essential", "order": 56, "label": "My Daily Life", "description": "Your routines, your independence, and what care teams need to know about you.", "estimated_minutes": 10, "unlock_conditions": { "type": "journey_complete", "required_journey_keys": [ "who_i_am" ] }, "briefing": { "zone1Label": "Their Daily Life", "zone2Summary": "Documents this member's daily rhythms, what independence means to them, what would make a care environment feel human, and — critically — what care teams have gotten wrong before. Read this before assuming anything about who this person is in a clinical setting." }, "fields": [ "DALY_RHYTHMS_AND_ROUTINES", "DALY_WHAT_INDEPENDENCE_MEANS", "DALY_WHAT_CARE_TEAMS_GET_WRONG" ], "why_it_matters": "Once you share this, every person who cares for you sees the rhythms that make your daily life meaningful.", "emotional_weight": "highest" }, "my_values": { "key": "my_values", "pillar_key": "planning_ahead", "name": "My Values", "tier": "essential", "order": 57, "label": "My Values", "description": "What you believe in, what gives your life meaning, and how they connect.", "estimated_minutes": 10, "unlock_conditions": { "type": "journey_complete", "required_journey_keys": [ "my_aspirations" ] }, "briefing": { "zone1Label": "What They Believe In", "zone2Summary": "Documents the principles this member lives by, what gives their life meaning, and — in their own words — how those two things connect or differ. The foundation for Treatment Philosophy, Goals of Care, and Mental Health context. Read this before any care goals conversation." }, "fields": [ "V1", "VALUES_FOUNDATION_AND_MEANING" ], "why_it_matters": "Once you share this, every person who cares for you knows what you stand for.", "emotional_weight": "highest" }, "goals_of_care": { "anchor_key": "goals_of_care", "tier": "essential", "order": 58, "name": "My Goals of Care", "description": "The values and aspirations that frame every care decision.", "long_description": "Your care team understands what you are working toward before presenting any options", "icon": "🎯", "target_minutes": 6, "entry_prompt": "Write your Goals of Care", "emotional_weight": "highest", "celebration": { "type": "gentle", "title": "My Goals of Care is ready to share", "message": "Your words are in place — every person who reads this guide hears you." }, "fields": [ "ASPIR_STILL_WORKING_TOWARD_AND_NOT_READY_TO_LOSE", "ASPIR_WHAT_I_LOOK_FORWARD_TO", "V1", "VALUES_FOUNDATION_AND_MEANING", "DALY_WHAT_INDEPENDENCE_MEANS", "CULT_FAMILY_COMMUNITY_ROLE_IN_DECISIONS", "MEMBER_VOICE_STATEMENT", "D1B", "D1" ], "comfort_messages": [ "Take your time — there is no rush." ], "member_facing_guide_name": "My Goals of Care", "why_it_matters": "Your care team understands what you are working toward before presenting any options", "effort_override": null }, "palliative_care_profile": { "anchor_key": "palliative_care_profile", "tier": "complete", "order": 59, "name": "My Palliative Profile", "description": "Comfort priorities and quality of life goals for your palliative team.", "long_description": "Your palliative team understands not just your pain — but what brings you peace", "icon": "💜", "target_minutes": 5, "entry_prompt": "Write your Palliative Profile", "emotional_weight": "light", "celebration": { "type": "anchor_ready", "title": "Your Comfort Plan is ready", "message": "Your care team now knows how to keep you comfortable — from your music preferences to what calms you." }, "fields": [ "L0", "ANXIETY_TRIGGERS", "AROMATHERAPY", "CALMING_STRATEGIES", "COMFORT_ENVIRONMENT", "END_PAIN", "HOSPICE_GOALS", "L0_WHY", "MAJOR_CONDITIONS", "MUSIC_PREFS", "PAIN_BASELINE_0_10", "QUALITY_PRIORITIES", "SOCIAL_PREFS", "SYM_PRIORITY", "TOUCH_PREFS", "TREATMENT_PHILOSOPHY" ], "comfort_messages": [ "Take your time — there is no rush." ], "member_facing_guide_name": "My Palliative Profile", "why_it_matters": "Your palliative team understands not just your pain — but what brings you peace", "effort_override": null }, "legacy_package": { "anchor_key": "legacy_package", "tier": "complete", "order": 60, "name": "My Legacy", "description": "Letters, values, memories, and treasures preserved for your loved ones.", "long_description": "Your words, wisdom, and treasures are preserved — a gift that lasts beyond you", "icon": "📖", "target_minutes": 4, "entry_prompt": "Write your Legacy", "emotional_weight": "higher", "celebration": { "type": "anchor_ready", "title": "Your Family Guide is ready", "message": "You've given your family a gift." }, "fields": [ "D1", "B3", "B4", "FAMILY_MESSAGE", "LEGACY_ITEMS", "LEGACY_LETTERS", "LEGACY_VALUES", "LIFE_PROUDEST", "LIFE_REMEMBER" ], "comfort_messages": [ "Take your time — there is no rush." ], "member_facing_guide_name": "My Legacy", "why_it_matters": "Your words, wisdom, and treasures are preserved — a gift that lasts beyond you", "effort_override": null }, "family_consensus_guide": { "anchor_key": "family_consensus_guide", "tier": "complete", "order": 61, "name": "My Family Guidance", "description": "Guidance for your family when they disagree about your care.", "long_description": "If your family disagrees, your own words will bring them back together", "icon": "🤝", "target_minutes": 4, "entry_prompt": "Write your Family Guidance", "emotional_weight": "higher", "celebration": { "type": "anchor_ready", "title": "Your Family Guide is ready", "message": "You've given your family a gift." }, "fields": [ "D1", "B1", "B1_BACKUP", "CAREGIVER_CONCERN", "DECISION_STYLE", "FAMILY_CONFLICT_GUIDANCE", "FAMILY_DYNAMICS" ], "comfort_messages": [ "Take your time — there is no rush." ], "member_facing_guide_name": "My Family Guidance", "why_it_matters": "If your family disagrees, your own words will bring them back together", "effort_override": null }, "spiritual_care_profile": { "anchor_key": "spiritual_care_profile", "tier": "essential", "order": 62, "name": "My Spiritual Care Profile", "description": "Your faith tradition, spiritual story, and care preferences for Spiritual Advisors and spiritual care teams.", "long_description": "Your spiritual care team knows your faith, your story, and your wishes before they arrive", "icon": "🕊️", "target_minutes": 10, "entry_prompt": "Write your Spiritual Care Profile", "emotional_weight": "highest", "celebration": { "type": "gentle", "title": "My Spiritual Care Profile is ready to share", "message": "Your words are in place — every person who reads this guide hears you." }, "fields": [ "D1", "D13", "D14", "D14B", "SPIRITUAL_NEEDS", "RITUAL_PREFERENCES", "SPRT_FAITH_TRADITION_AND_IDENTITY", "SPRT_WHAT_FAITH_MEANS_IN_MY_CARE", "SPRT_SUPPORT_DURING_ILLNESS_OR_CRISIS", "SPRT_SACRED_RITUALS_AND_TRADITIONS", "CULTURAL_DIET_RESTRICTIONS" ], "comfort_messages": [ "Take your time — there is no rush." ], "member_facing_guide_name": "My Spiritual Care Profile", "why_it_matters": "Your spiritual care team knows your faith, your story, and your wishes before they arrive", "effort_override": null }, "hospice_intake_package": { "anchor_key": "hospice_intake_package", "tier": "complete", "order": 63, "name": "My Hospice Package", "description": "Everything your hospice team needs to welcome you into their care.", "long_description": "Your hospice team walks in already knowing you — no cold introductions", "icon": "🏡", "target_minutes": 10, "entry_prompt": "Write your Hospice Package", "emotional_weight": "highest", "celebration": { "type": "anchor_ready", "title": "Your Wishes are recorded", "message": "No confusion. No guessing. Your care team will honor your wishes." }, "fields": [ "D1", "LIFE_PROUDEST", "LIFE_REMEMBER", "L0", "L0_WHY", "TOUCH_PREFS", "SOCIAL_PREFS", "COMFORT_ENVIRONMENT", "MUSIC_PREFS", "CALMING_STRATEGIES", "D13", "D14", "D14B", "SPIRITUAL_NEEDS", "RITUAL_PREFERENCES", "SPRT_FAITH_TRADITION_AND_IDENTITY", "SPRT_WHAT_FAITH_MEANS_IN_MY_CARE", "SPRT_SUPPORT_DURING_ILLNESS_OR_CRISIS", "SPRT_SACRED_RITUALS_AND_TRADITIONS", "CULTURAL_DIET_RESTRICTIONS", "CULT_IDENTITY_AND_BACKGROUND", "CULTURAL", "INTERPRETER_NEEDED", "FUNERAL_PREFS", "FAMILY_MESSAGE", "LEGACY_LETTERS" ], "comfort_messages": [ "Take your time — there is no rush." ], "member_facing_guide_name": "My Hospice Package", "why_it_matters": "Your hospice team walks in already knowing you — no cold introductions", "effort_override": null }, "final_wishes": { "anchor_key": "final_wishes", "tier": "complete", "order": 64, "name": "My Final Wishes", "description": "Your end-of-life wishes — location, donation, memorial, and final messages.", "long_description": "When the moment comes, there will be no confusion — only clarity and love", "icon": "🕊️", "target_minutes": 10, "entry_prompt": "Write your Final Wishes", "emotional_weight": "highest", "celebration": { "type": "anchor_ready", "title": "Your Wishes are recorded", "message": "No confusion. No guessing. Your care team will honor your wishes." }, "fields": [ "D1", "END_LOCATION", "END_ORGAN", "END_PAIN", "FAMILY_MESSAGE", "FINAL_PRESENCE", "FUNERAL_PREFS", "L0", "L0_WHY" ], "comfort_messages": [ "Take your time — there is no rush." ], "member_facing_guide_name": "My Final Wishes", "why_it_matters": "When the moment comes, there will be no confusion — only clarity and love", "effort_override": null }, "family_letter": { "anchor_key": "family_letter", "tier": "complete", "order": 65, "name": "My Family Letter", "description": "A personal letter in your own voice — who you are, what you want from your care, and what you need from the people who love you.", "long_description": "Your family understands your wishes, your values, and what you need from them — written in your own words", "icon": "💌", "target_minutes": 8, "entry_prompt": "Write your Family Letter", "emotional_weight": "light", "celebration": { "type": "anchor_ready", "title": "Your personal portrait is captured", "message": "Your care team sees a person, not just a diagnosis." }, "fields": [ "MEMBER_PROFILE", "FAMILY_MESSAGE", "Q1", "FAMILY_CONFLICT_GUIDANCE" ], "comfort_messages": [ "Great start! The basics are important.", "You're building your foundation." ], "member_facing_guide_name": "My Family Letter", "why_it_matters": "Your family understands your wishes, your values, and what you need from them — written in your own words", "effort_override": null } }, "entry_points": { "quick_protect": { "name": "Quick Protect", "icon": "⚡", "description": "Get emergency protection in 15 minutes", "long_description": "Start with the essentials: your identity, who makes decisions for you, and your care wishes. You'll have a working Emergency Card in about 15 minutes.", "starting_journey": "who_i_am", "journey_order": [ "who_i_am", "who_speaks_for_me", "my_care_wishes" ], "target_minutes": 15, "recommended_for": [ "first_time", "limited_time" ] }, "my_story_first": { "name": "Start with My Story", "icon": "💝", "description": "Share who you are before what you want", "long_description": "Some people prefer to start with their story—who they are, what they value, what they're proud of. This path builds your Blueprint around your identity.", "starting_journey": "my_life_story", "journey_order": [ "my_life_story", "who_i_am", "who_speaks_for_me", "my_care_wishes" ], "target_minutes": 25, "recommended_for": [ "reflective", "identity_first" ] }, "family_focus": { "name": "Family Focus", "icon": "👥", "description": "Build your support network first", "long_description": "Start by identifying the people who matter most—your advocates, your emergency contacts, your care team. Then share what you want them to know.", "starting_journey": "who_speaks_for_me", "journey_order": [ "who_speaks_for_me", "for_my_loved_ones", "my_care_wishes", "who_i_am" ], "target_minutes": 20, "recommended_for": [ "family_oriented" ] }, "medical_focus": { "name": "Medical Focus", "icon": "🏥", "description": "Focus on health information first", "long_description": "If you have a medical appointment coming up or want to focus on your health information and treatment preferences, start here.", "starting_journey": "my_health", "journey_order": [ "my_health", "my_everyday_needs", "my_care_wishes", "who_i_am", "who_speaks_for_me" ], "target_minutes": 20, "recommended_for": [ "medical_appointment", "health_focused" ] } }, "six_dimensions": { "identity_persona": { "name": "Identity, Culture & Living Persona", "description": "Who I am as a person — my story, my culture, my essence", "icon": "👤", "journeys": [ "who_i_am", "my_life_story" ], "fields": [ "D1", "D1B", "D5", "D9", "D11", "D13", "Q1", "V1", "PP1", "LIFE_ROLES", "LIFE_PROUDEST", "LIFE_REMEMBER" ] }, "advocacy_web": { "name": "Advocacy Web & Delegated Agency", "description": "Who makes decisions for me and supports me through my care journey", "icon": "👥", "journeys": [ "who_speaks_for_me", "for_my_loved_ones" ], "fields": [ "B1", "B1_BACKUP", "EC1", "EC2", "FAMILY_MESSAGE", "CAREGIVER_CONCERN" ] }, "ambient_environment": { "name": "Ambient Environment & Comfort", "description": "How my physical environment should be configured for comfort", "icon": "🏠", "journeys": [ "my_life_story", "my_care_wishes" ], "fields": [ "B3", "B4", "END_LOCATION", "END_PAIN", "SYM_PRIORITY" ] }, "clinical_narrative": { "name": "Clinical Narrative & Health Context", "description": "My medical experiences and what care teams need to know", "icon": "📋", "journeys": [ "my_health", "who_i_am" ], "fields": [ "M2A", "MAJOR_CONDITIONS", "M1", "M5B", "BLOOD_TYPE", "PREFERRED_PHARMACY", "RECENT_TRANSITION_LOG", "PAIN_BASELINE_0_10", "MOBILITY_STATUS" ] }, "ethical_guardrails": { "name": "High-Stakes Directives (Ethical Guardrails)", "description": "My non-negotiable wishes that must be honored", "icon": "🔒", "journeys": [ "my_care_wishes" ], "locked_fields": [ "L0" ], "fields": [ "L0", "L0_WHY", "PRO_VENT", "PRO_FEED", "PRO_IV", "PRO_ICU", "PRO_DIALYSIS", "PRO_ANTIBIOTICS", "PRO_BLOOD" ] }, "future_continuity": { "name": "Future-Facing Continuity", "description": "How my care should flow and my legacy wishes", "icon": "🔄", "journeys": [ "for_my_loved_ones" ], "fields": [ "END_ORGAN", "PET_CARE_PLAN" ] }, "support_logistics": { "name": "Support Context & Logistics", "description": "Barriers to care, transportation, and support resources", "icon": "🏠", "journeys": [ "my_everyday_needs" ], "fields": [ "TRANS_ACCESS", "HOME_STAIRS", "INTERNET_STABLE", "INSURANCE_TYPE", "DISABILITY_STATUS", "MOBILITY_STATUS" ] } }, "visibility_levels": { "emergency": { "level": 1, "name": "Emergency", "description": "Available to all in emergency situations", "typical_roles": [ "first_responder", "ed_staff", "trauma_team" ] }, "clinical": { "level": 2, "name": "Clinical", "description": "Available to clinical care providers", "typical_roles": [ "physician", "nurse", "pharmacist", "therapist" ] }, "planning": { "level": 3, "name": "Planning", "description": "Available for care planning and ethics discussions", "typical_roles": [ "social_worker", "case_manager", "palliative_care", "ethics" ] }, "full": { "level": 4, "name": "Full", "description": "Complete access for advocacy and personal care", "typical_roles": [ "healthcare_proxy", "family_designated", "patient_advocate" ] }, "owner": { "level": 5, "name": "Owner", "description": "Full access with edit permissions", "typical_roles": [ "patient", "proxy_editing" ] } }, "sections": { "lifeStory": { "label": "What Guides Your Life", "deprecated": true, "replacement_journeys": [ "my_life_story" ], "order": 1 }, "advocacyCircle": { "label": "Your Advocacy Circle", "deprecated": true, "replacement_journeys": [ "who_speaks_for_me" ], "order": 2 }, "aboutMe": { "label": "Identity & Essence", "deprecated": true, "replacement_journeys": [ "who_i_am" ], "order": 3 }, "medicalInfo": { "label": "Your Health Story", "deprecated": true, "replacement_journeys": [ "my_health" ], "order": 4 }, "carePreferences": { "label": "Your Care Preferences", "deprecated": true, "replacement_journeys": [ "my_care_wishes" ], "order": 5 }, "criticalDecisions": { "label": "Your Care Choices", "deprecated": true, "replacement_journeys": [ "my_care_wishes" ], "order": 6 }, "finalSeal": { "label": "Seal Your Blueprint", "deprecated": true, "replacement_journeys": [], "migration_note": "Seal functionality moved to UI layer, not schema-driven", "order": 7 } }, "fields": { "D1": { "type": "text", "label": "Full Legal Name", "placeholder": "Enter your full name as it appears on your ID", "cognitive_load": 1, "emotional_weight": "neutral", "estimated_seconds": 10, "grouping_key": "basic_identity", "order": 1, "pillar": "vitality", "visibility": { "level": "emergency", "emergency_access": true, "consent_required": false, "audit_level": "standard" }, "integration": { "fhir_resource": "Patient", "fhir_path": "name[0].text", "fhir_use": "official", "smart_room_relevant": true, "smart_room_use": "address_patient" }, "advocate_copy": { "preamble": "Let's start with the basics. These help us identify you in medical records.", "why_we_ask": "Your legal name ensures medical records match correctly across all healthcare systems.", "encouragement": "Great start!" }, "validation": { "min_length": 2, "max_length": 100 }, "parkable": false, "skip_allowed": false, "edit_component": "text-input", "interaction_style": "conversational", "outputs": [ { "deliverable": "cap_card", "tier": "SHOULD" }, { "deliverable": "clinical_summary", "tier": "SHOULD" }, "emergency_contact_card", { "deliverable": "emergency_quick_card", "tier": "SHOULD" }, { "deliverable": "aspirations_portrait", "tier": "SHOULD" }, { "deliverable": "barriers_assessment_summary", "tier": "SHOULD" }, { "deliverable": "care_schedule", "tier": "SHOULD" }, { "deliverable": "comfort_care_plan", "tier": "SHOULD" }, { "deliverable": "cultural_identity_brief", "tier": "SHOULD" }, { "deliverable": "family_caregiver_guide", "tier": "SHOULD" }, { "deliverable": "goals_of_care", "tier": "SHOULD" }, { "deliverable": "handoff_summary", "tier": "SHOULD" }, { "deliverable": "hospice_intake_package", "tier": "SHOULD" }, { "deliverable": "nursing_assessment_card", "tier": "SHOULD" }, { "deliverable": "palliative_care_profile", "tier": "SHOULD" }, { "deliverable": "patient_goals_statement", "tier": "SHOULD" }, { "deliverable": "resource_connection_plan", "tier": "SHOULD" }, { "deliverable": "spiritual_care_profile", "tier": "SHOULD" }, { "deliverable": "transfer_summary", "tier": "SHOULD" }, { "deliverable": "transition_readiness_checklist", "tier": "SHOULD" }, { "deliverable": "treatment_philosophy_statement", "tier": "SHOULD" } ], "anchors": [ "cap_card" ], "anchor_role": "required", "member_facing_label": "Your Full Legal Name", "data_shape": "atom", "composition": { "compose_strategy": "atoms", "blank_type": "text", "sentence_parts": [ "My full legal name is ", { "key": "value", "hint": "your name" }, "." ], "blank_options": [] } }, "D1B": { "type": "text", "label": "Preferred Name", "placeholder": "What do you like to be called?", "cognitive_load": 1, "emotional_weight": "light", "estimated_seconds": 5, "grouping_key": "basic_identity", "order": 2, "pillar": "essence", "visibility": { "level": "clinical", "emergency_access": true, "consent_required": false, "audit_level": "standard" }, "integration": { "fhir_resource": "Patient", "fhir_path": "name[1].text", "fhir_use": "nickname", "smart_room_relevant": true, "smart_room_use": "preferred_address" }, "advocate_copy": { "why_we_ask": "We want to address you by the name you prefer." }, "parkable": true, "skip_allowed": true, "edit_component": "text-input", "interaction_style": "conversational", "outputs": [ "cap_card", "clinical_summary", "emergency_quick_card", { "deliverable": "aspirations_portrait", "tier": "SHOULD" }, { "deliverable": "barriers_assessment_summary", "tier": "SHOULD" }, { "deliverable": "care_schedule", "tier": "SHOULD" }, { "deliverable": "family_caregiver_guide", "tier": "SHOULD" }, { "deliverable": "goals_of_care", "tier": "SHOULD" }, { "deliverable": "meet_me_brief", "tier": "SHOULD" }, { "deliverable": "new_provider_briefing", "tier": "SHOULD" }, { "deliverable": "personal_portrait", "tier": "SHOULD" }, { "deliverable": "resource_connection_plan", "tier": "SHOULD" }, { "deliverable": "transfer_summary", "tier": "SHOULD" }, { "deliverable": "transition_readiness_checklist", "tier": "SHOULD" } ], "anchors": [ "personal_portrait" ], "anchor_role": "enhancing", "member_facing_label": "Your Preferred Name", "data_shape": "atom", "composition": { "compose_strategy": "atoms", "blank_type": "text", "sentence_parts": [ "Most people call me ", { "key": "value", "hint": "your words" }, "." ], "blank_options": [] } }, "D5": { "type": "date", "label": "Date of Birth", "placeholder": "MM/DD/YYYY", "cognitive_load": 1, "emotional_weight": "light", "estimated_seconds": 10, "grouping_key": "basic_identity", "order": 3, "pillar": "vitality", "visibility": { "level": "emergency", "emergency_access": true, "consent_required": false, "audit_level": "standard" }, "integration": { "fhir_resource": "Patient", "fhir_path": "birthDate", "smart_room_relevant": false }, "advocate_copy": { "why_we_ask": "Your date of birth helps verify your identity in medical systems." }, "parkable": false, "skip_allowed": false, "edit_component": "date-input", "interaction_style": "conversational", "outputs": [ { "deliverable": "cap_card", "tier": "SHOULD" }, { "deliverable": "clinical_summary", "tier": "SHOULD" }, "emergency_contact_card", { "deliverable": "handoff_summary", "tier": "SHOULD" }, { "deliverable": "meet_me_brief", "tier": "SHOULD" }, { "deliverable": "new_provider_briefing", "tier": "SHOULD" }, { "deliverable": "nursing_assessment_card", "tier": "SHOULD" }, { "deliverable": "patient_goals_statement", "tier": "SHOULD" }, { "deliverable": "personal_portrait", "tier": "SHOULD" }, { "deliverable": "transfer_summary", "tier": "SHOULD" }, { "deliverable": "treatment_philosophy_statement", "tier": "SHOULD" } ], "anchors": [ "cap_card" ], "anchor_role": "enhancing", "member_facing_label": "Your Date of Birth", "data_shape": "atom", "composition": { "compose_strategy": "atoms", "blank_type": "date", "sentence_parts": [ "I was born on ", { "key": "value", "hint": "a date" }, "." ], "blank_options": [] } }, "D9": { "type": "select", "label": "Sex assigned at birth", "cognitive_load": 1, "emotional_weight": "light", "estimated_seconds": 5, "order": 4, "pillar": "vitality", "visibility": { "level": "clinical", "emergency_access": true, "consent_required": false, "audit_level": "standard" }, "integration": { "fhir_resource": "Patient", "fhir_path": "gender", "smart_room_relevant": false }, "options": [ { "key": "female", "label": "Female" }, { "key": "male", "label": "Male" }, { "key": "intersex", "label": "Intersex" }, { "key": "prefer_not", "label": "Prefer not to say" } ], "parkable": false, "skip_allowed": false, "edit_component": "select-input", "interaction_style": "conversational", "outputs": [ "clinical_summary", { "deliverable": "language_communication_card", "tier": "SHOULD" }, { "deliverable": "new_provider_briefing", "tier": "SHOULD" }, { "deliverable": "personal_portrait", "tier": "SHOULD" }, { "deliverable": "transfer_summary", "tier": "SHOULD" } ], "anchors": [ "cap_card" ], "anchor_role": "enhancing", "advocate_copy": "We ask about sex assigned at birth because some medical conditions, medication dosages, and screening recommendations differ based on biological sex. This helps your care team make safer, more personalized decisions.", "member_facing_label": "Sex Assigned at Birth", "data_shape": "single-select" }, "D11": { "type": "select", "label": "Pronouns", "cognitive_load": 1, "emotional_weight": "light", "estimated_seconds": 5, "order": 5, "pillar": "essence", "visibility": { "level": "clinical", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "integration": { "fhir_resource": "Patient", "fhir_path": "extension.pronouns", "smart_room_relevant": true, "smart_room_use": "communication" }, "options": [ { "key": "she_her", "label": "She/Her" }, { "key": "he_him", "label": "He/Him" }, { "key": "they_them", "label": "They/Them" }, { "key": "other", "label": "Other" } ], "parkable": true, "skip_allowed": true, "edit_component": "select-input", "interaction_style": "conversational", "outputs": [ { "deliverable": "clinical_summary", "tier": "SHOULD" }, { "deliverable": "meet_me_brief", "tier": "SHOULD" }, { "deliverable": "new_provider_briefing", "tier": "SHOULD" }, { "deliverable": "personal_portrait", "tier": "SHOULD" } ], "anchors": [ "personal_portrait" ], "anchor_role": "enhancing", "member_facing_label": "Your Pronouns", "data_shape": "single-select", "advocate_copy": { "preamble": "Your pronouns are part of how you're known.", "why_we_ask": "When your care team greets you correctly from the first hello, you never have to correct anyone from a hospital bed. A small line that sets the tone for every visit." } }, "D15": { "type": "select", "label": "What is your primary language?", "cognitive_load": 1, "emotional_weight": "light", "estimated_seconds": 10, "order": 6, "pillar": "essence", "visibility": { "level": "clinical", "emergency_access": true, "consent_required": false, "audit_level": "standard" }, "filter": { "decision_relevant": true, "impacts": [ "interpreter_services", "document_translation", "care_communication" ] }, "integration": { "fhir_resource": "Patient", "fhir_path": "communication[0].language", "smart_room_relevant": true, "smart_room_use": "communication_preference" }, "advocate_copy": { "why_we_ask": "Knowing your primary language helps us communicate effectively and arrange interpreter services if needed." }, "options": [ { "key": "english", "label": "English" }, { "key": "spanish", "label": "Spanish" }, { "key": "chinese", "label": "Chinese (Mandarin or Cantonese)" }, { "key": "vietnamese", "label": "Vietnamese" }, { "key": "tagalog", "label": "Tagalog" }, { "key": "korean", "label": "Korean" }, { "key": "russian", "label": "Russian" }, { "key": "arabic", "label": "Arabic" }, { "key": "french", "label": "French" }, { "key": "portuguese", "label": "Portuguese" }, { "key": "haitian_creole", "label": "Haitian Creole" }, { "key": "other", "label": "Other" } ], "parkable": false, "skip_allowed": false, "edit_component": "select-input", "interaction_style": "conversational", "outputs": [ { "deliverable": "clinical_summary", "tier": "SHOULD" }, { "deliverable": "barriers_assessment_summary", "tier": "SHOULD" }, { "deliverable": "handoff_summary", "tier": "SHOULD" }, { "deliverable": "new_provider_briefing", "tier": "SHOULD" }, { "deliverable": "personal_portrait", "tier": "SHOULD" }, { "deliverable": "resource_connection_plan", "tier": "SHOULD" }, { "deliverable": "emergency_quick_card", "tier": "COULD" }, { "deliverable": "care_coordination_brief", "tier": "COULD" } ], "anchors": [ "personal_portrait" ], "anchor_role": "enhancing", "member_facing_label": "Your Primary Language", "data_shape": "single-select" }, "BLOOD_TYPE": { "type": "select", "label": "What is your blood type?", "cognitive_load": 1, "emotional_weight": "light", "estimated_seconds": 10, "order": 7, "pillar": "vitality", "visibility": { "level": "emergency", "emergency_access": true, "consent_required": false, "audit_level": "high" }, "filter": { "decision_relevant": true, "impacts": [ "blood_transfusion", "emergency_surgery" ], "safety_critical": true }, "integration": { "fhir_resource": "Observation", "fhir_path": "valueCodeableConcept", "fhir_code": "blood-type", "smart_room_relevant": true, "smart_room_use": "transfusion_safety" }, "advocate_copy": { "preamble": "If you know your blood type, sharing it can help in emergencies.", "why_we_ask": "In emergency situations requiring blood transfusion, knowing your blood type can save critical time. If you don't know it, that's okay—just skip this question." }, "options": [ { "key": "a_positive", "label": "A+" }, { "key": "a_negative", "label": "A-" }, { "key": "b_positive", "label": "B+" }, { "key": "b_negative", "label": "B-" }, { "key": "ab_positive", "label": "AB+" }, { "key": "ab_negative", "label": "AB-" }, { "key": "o_positive", "label": "O+" }, { "key": "o_negative", "label": "O-" }, { "key": "unknown", "label": "I don't know my blood type" } ], "parkable": true, "skip_allowed": true, "edit_component": "select-input", "interaction_style": "conversational", "outputs": [ { "deliverable": "cap_card", "tier": "SHOULD" }, { "deliverable": "clinical_summary", "tier": "SHOULD" }, { "deliverable": "prenatal_emergency_card", "tier": "SHOULD" } ], "anchors": [ "cap_card", "clinical_summary" ], "anchor_role": "enhancing", "member_facing_label": "Your Blood Type", "data_shape": "single-select" }, "EC1": { "artifact_noun": "your primary emergency contact", "cardinality": "one", "type": "smart-contact", "label": "Primary Emergency Contact", "placeholder": "Name, phone, and relationship of your emergency contact", "cognitive_load": 1, "emotional_weight": "neutral", "estimated_seconds": 10, "grouping_key": "emergency_contact", "order": 1, "pillar": "vitality", "visibility": { "level": "emergency", "emergency_access": true, "consent_required": false, "audit_level": "high" }, "integration": { "fhir_resource": "RelatedPerson", "fhir_path": "name[0].text", "smart_room_relevant": false }, "advocate_copy": { "preamble": "Who should we contact in an emergency?", "why_we_ask": "This person will be notified and can advocate for you if you're unable to communicate." }, "parkable": false, "skip_allowed": false, "edit_component": "text-input", "interaction_style": "conversational", "outputs": [ { "deliverable": "cap_card", "tier": "MUST", "lead": true }, { "deliverable": "clinical_summary", "tier": "SHOULD" }, { "deliverable": "emergency_contact_card", "tier": "MUST", "lead": true }, { "deliverable": "emergency_quick_card", "tier": "MUST", "lead": true }, { "deliverable": "barriers_assessment_summary", "tier": "SHOULD" }, { "deliverable": "birth_team", "tier": "MUST" }, { "deliverable": "care_circle", "tier": "MUST" }, { "deliverable": "care_schedule", "tier": "SHOULD" }, { "deliverable": "handoff_summary", "tier": "SHOULD" }, { "deliverable": "meet_me_brief", "tier": "MUST" }, { "deliverable": "new_provider_briefing", "tier": "SHOULD" }, { "deliverable": "nursing_assessment_card", "tier": "SHOULD" }, { "deliverable": "prenatal_emergency_card", "tier": "SHOULD" }, { "deliverable": "resource_connection_plan", "tier": "MUST" }, { "deliverable": "transfer_summary", "tier": "SHOULD" }, { "deliverable": "transition_readiness_checklist", "tier": "SHOULD" } ], "anchors": [ "cap_card", "emergency_contact_card", "care_circle" ], "anchor_role": "required", "member_facing_label": "Primary Emergency Contact", "needs_someone_else": true, "data_shape": "contact", "vital_projection": { "section_label": "Who makes decisions for you", "normalizer": null, "clinical_rank": "supporting", "role_label": "First call" } }, "EC2": { "artifact_noun": "your second emergency contact", "cardinality": "one", "type": "smart-contact", "label": "Second Emergency Contact", "placeholder": "Name, phone, and relationship of your second emergency contact", "cognitive_load": 1, "emotional_weight": "neutral", "estimated_seconds": 10, "grouping_key": "emergency_contact", "order": 2, "pillar": "resilience", "visibility": { "level": "emergency", "emergency_access": true, "consent_required": false, "audit_level": "high" }, "integration": { "fhir_resource": "RelatedPerson", "fhir_path": "telecom[0].value", "fhir_telecom_system": "phone", "smart_room_relevant": false }, "parkable": false, "skip_allowed": false, "interaction_style": "conversational", "outputs": [ "cap_card", "clinical_summary", { "deliverable": "emergency_contact_card", "tier": "MUST" }, "emergency_quick_card", { "deliverable": "care_circle", "tier": "MUST" }, { "deliverable": "care_schedule", "tier": "SHOULD" }, { "deliverable": "new_provider_briefing", "tier": "SHOULD" }, { "deliverable": "transfer_summary", "tier": "SHOULD" } ], "anchors": [], "anchor_role": "none", "member_facing_label": "Second Emergency Contact", "needs_someone_else": true, "data_shape": "contact", "advocate_copy": { "preamble": "One backup can make all the difference.", "why_we_ask": "If your first contact can't pick up, care teams call the next name instead of pausing. A second contact means someone who knows you is always reachable." } }, "B1": { "artifact_noun": "your healthcare proxy", "cardinality": "one", "type": "smart-contact", "label": "Healthcare Proxy", "placeholder": "Name and contact details of your healthcare proxy", "cognitive_load": 2, "emotional_weight": "moderate", "estimated_seconds": 15, "grouping_key": "proxy", "order": 3, "pillar": "resilience", "visibility": { "level": "emergency", "emergency_access": true, "consent_required": false, "audit_level": "high" }, "filter": { "decision_relevant": true, "impacts": [ "all_decisions_when_incapacitated" ], "notify_on_conflict": true }, "integration": { "fhir_resource": "RelatedPerson", "fhir_path": "name[0].text", "fhir_relationship_code": "HPOWATT", "smart_room_relevant": true, "smart_room_use": "decision_maker_contact" }, "advocate_copy": { "preamble": "Who will make decisions for you if you cannot speak for yourself?", "why_we_ask": "Your healthcare proxy makes medical decisions on your behalf if you're unable to communicate." }, "parkable": false, "skip_allowed": false, "edit_component": "text-input", "interaction_style": "conversational", "outputs": [ { "deliverable": "cap_card", "tier": "SHOULD" }, { "deliverable": "clinical_summary", "tier": "SHOULD" }, { "deliverable": "emergency_contact_card", "tier": "MUST" }, { "deliverable": "advocacy_compliance_view", "tier": "SHOULD" }, { "deliverable": "barriers_assessment_summary", "tier": "SHOULD" }, { "deliverable": "birth_team", "tier": "MUST" }, { "deliverable": "care_circle", "tier": "MUST" }, { "deliverable": "care_schedule", "tier": "SHOULD" }, { "deliverable": "emergency_quick_card", "tier": "SHOULD" }, { "deliverable": "family_consensus_guide", "tier": "MUST" }, { "deliverable": "handoff_summary", "tier": "SHOULD" }, { "deliverable": "legal_documents_status", "tier": "MUST" }, { "deliverable": "meet_me_brief", "tier": "MUST" }, { "deliverable": "new_provider_briefing", "tier": "SHOULD" }, { "deliverable": "nursing_assessment_card", "tier": "SHOULD" }, { "deliverable": "prenatal_emergency_card", "tier": "SHOULD" }, { "deliverable": "proxy_authorization", "tier": "MUST", "lead": true }, { "deliverable": "resource_connection_plan", "tier": "MUST" }, { "deliverable": "transfer_summary", "tier": "SHOULD" }, { "deliverable": "transition_readiness_checklist", "tier": "SHOULD" }, { "deliverable": "code_status_directive", "tier": "COULD" } ], "anchors": [ "cap_card", "proxy_authorization", "care_circle" ], "anchor_role": "required", "member_facing_label": "Your Healthcare Proxy", "needs_someone_else": true, "default_proxy_designation": "PRIMARY", "data_shape": "contact", "vital_projection": { "section_label": "Who makes decisions for you", "normalizer": null, "clinical_rank": "supporting", "role_label": "Proxy", "merges_into": "EC1", "merged_role_label": "Proxy & first call" } }, "B1_BACKUP": { "artifact_noun": "your backup decision maker", "cardinality": "one", "type": "smart-contact", "label": "Backup Decision Maker", "placeholder": "Select your backup decision maker from your Village", "cognitive_load": 1, "emotional_weight": "neutral", "estimated_seconds": 20, "order": 6, "pillar": "resilience", "visibility": { "level": "emergency", "emergency_access": true, "consent_required": false }, "parkable": true, "skip_allowed": true, "interaction_style": "smart_contact", "edit_component": "smart-contact-input", "circle_sync": { "target_role": "secondary_voice", "sync_on_save": true }, "advocate_copy": { "preamble": "Sometimes your primary voice might not be reachable. Having a backup ensures someone can always make decisions for you.", "why_we_ask": "A backup decision maker provides redundancy in emergencies." }, "outputs": [ "clinical_summary", "emergency_contact_card", { "deliverable": "care_circle", "tier": "SHOULD" }, { "deliverable": "family_consensus_guide", "tier": "MUST" }, { "deliverable": "proxy_authorization", "tier": "SHOULD" } ], "anchors": [ "proxy_authorization" ], "anchor_role": "enhancing", "member_facing_label": "Your Backup Decision Maker", "needs_someone_else": true, "data_shape": "contact" }, "L0": { "type": "choice-card", "label": "If my heart stops or I stop breathing, should medical teams try CPR?", "cognitive_load": 5, "emotional_weight": "heavy", "estimated_seconds": 120, "isolate": true, "captured_inline": true, "grouping_key": "code_status_decision", "order": 1, "pillar": "vitality", "philosophy_group": { "cluster": "core_decision", "suggestions": { "fight": { "value": "full_code", "guidance": "People who want to fight for every moment typically choose full resuscitation, seeing CPR and life support as a chance to recover." }, "try": null, "comfort": { "value": "dnr", "guidance": "People focused on comfort often choose to allow natural death, seeing it as more peaceful than aggressive resuscitation." }, "individual": null }, "prefill_eligible": false, "can_override": true }, "visibility": { "level": "emergency", "emergency_access": true, "consent_required": false, "audit_level": "high" }, "filter": { "decision_relevant": true, "impacts": [ "cpr", "defibrillation", "intubation", "icu_admission", "vasopressors" ], "conflict_check": true, "surface_reasoning": true, "primary_directive": true }, "integration": { "fhir_resource": "Consent", "fhir_path": "provision.code", "fhir_scope": "adr", "smart_room_relevant": true, "smart_room_use": "code_status_display", "cds_trigger": true }, "advocate_copy": { "preamble": "This is one of the most important questions. Take your time — there is no wrong answer.", "why_we_ask": "This tells medical teams exactly what to do in an emergency, so your wishes are honored.", "skip_text": "Skip for now (we'll come back to this)" }, "calming_ui": { "enabled": true, "show_breathing": true, "background": "gradient" }, "offer_break_after": true, "options": [ { "key": "full_code", "label": "Yes — try CPR", "description": "Chest compressions, electric shocks, and a breathing tube if needed.", "icon": "💓", "filter_implications": { "cpr": "yes", "defibrillation": "yes", "intubation": "yes", "icu": "yes" } }, { "key": "dnr", "label": "No — do not try CPR", "description": "Teams will not try to restart my heart. I still get all the other care I've chosen.", "icon": "🕊️", "filter_implications": { "cpr": "no", "defibrillation": "no", "intubation": "no", "icu": "comfort_only" } }, { "key": "discuss_first", "label": "It depends — I'd want to talk it through first", "description": "This keeps the question for later. Until you decide, emergency teams give standard care, which usually means they try CPR.", "icon": "💬", "writes": "deferred", "park_note": "I'd want to talk it through first", "_note": "CPR-DEPENDS-PARKS-1 (2026-10-13): a way, not an answer. Choosing it parks L0 (typed absence 'deferred') with park_note as her editable note; the key is never stored. See _arch_notes.ARCH-NOTE-PARK-MAPPED-OPTION-001." } ], "legacy_journey": "what_i_want", "parkable": false, "skip_allowed": false, "edit_component": "choice-card-input", "interaction_style": "choice_cards", "outputs": [ { "deliverable": "cap_card", "tier": "SHOULD" }, { "deliverable": "clinical_summary", "tier": "MUST" }, { "deliverable": "emergency_quick_card", "tier": "SHOULD" }, { "deliverable": "code_status_directive", "tier": "MUST" }, { "deliverable": "final_wishes", "tier": "MUST" }, { "deliverable": "handoff_summary", "tier": "MUST" }, { "deliverable": "hospice_intake_package", "tier": "MUST" }, { "deliverable": "medication_reconciliation", "tier": "SHOULD" }, { "deliverable": "new_provider_briefing", "tier": "SHOULD" }, { "deliverable": "nursing_assessment_card", "tier": "MUST" }, { "deliverable": "palliative_care_profile", "tier": "MUST" }, { "deliverable": "patient_goals_statement", "tier": "COULD" }, { "deliverable": "post_op_medication_guide", "tier": "SHOULD" }, { "deliverable": "prenatal_emergency_card", "tier": "SHOULD" }, { "deliverable": "transfer_summary", "tier": "MUST" }, { "deliverable": "transition_readiness_checklist", "tier": "MUST" }, { "deliverable": "treatment_philosophy_statement", "tier": "MUST" }, { "deliverable": "wishes_directives_summary", "tier": "SHOULD" } ], "anchors": [ "cap_card", "code_status_directive", "wishes_directives_summary" ], "anchor_role": "required", "member_facing_label": "Life-Sustaining Treatment Wishes", "clinical_language_expected": true, "care_safety_pinned": true, "data_shape": "single-select", "asked_with": { "field": "TREATMENT_PHILOSOPHY", "position": "before" } }, "L0_WHY": { "loomConfig": { "doorways": [ { "key": "matters", "heading": "What matters most to me", "prompt": "The things I most want honored.", "themes": [ { "key": "quality", "label": "The quality of my days", "clause": "what matters most to me is the quality of my days, not their number" }, { "key": "family", "label": "Time with the people I love", "clause": "I want whatever time I have to be with the people I love" }, { "key": "dignity", "label": "Keeping my dignity", "clause": "keeping my dignity matters deeply to me" }, { "key": "comfort", "label": "Being comfortable", "clause": "staying comfortable and free of pain is my priority" }, { "key": "everymoment", "label": "Every moment counts", "clause": "every moment of life is precious to me" } ] }, { "key": "believe", "heading": "What I believe", "prompt": "The beliefs that guide me.", "themes": [ { "key": "natural", "label": "Letting nature take its course", "clause": "I believe in letting things take their natural course" }, { "key": "fight", "label": "Taking every chance to live", "clause": "I want to take every chance to keep living" }, { "key": "faith", "label": "My faith guides me", "clause": "my faith shapes how I want to face this" }, { "key": "peace", "label": "Meeting the end with peace", "clause": "I want to meet the end with peace rather than struggle" } ] }, { "key": "experience", "heading": "What I have seen and thought through", "prompt": "What brought me to this.", "themes": [ { "key": "lovedone", "label": "What a loved one went through", "clause": "I have seen what aggressive treatment did to someone I love" }, { "key": "ownhealth", "label": "My own health journey", "clause": "my own health journey taught me what I want" }, { "key": "clarity", "label": "I have thought about this", "clause": "I have thought about this for a long time and I am clear" }, { "key": "trust", "label": "I trust my care team", "clause": "I trust my care team to honor what I have decided" } ] } ], "weaveFrame": { "lead": "I made this choice because", "conjunction": "and", "oxford": true, "separator": ", ", "escalatedSeparator": "; ", "terminator": "." } }, "type": "textarea", "label": "Why did I make these choices?", "reflectionFrame": "Having chosen to {value} — in your words, why is that what you'd want?", "placeholder": "Help us understand your reasoning... (This appears in your Narrative View)", "cognitive_load": 4, "emotional_weight": "heavy", "estimated_seconds": 90, "grouping_key": "code_status_rationale", "order": 2, "captured_inline": true, "pillar": "vitality", "philosophy_group": { "cluster": "core_decision", "suggestions": { "fight": null, "try": null, "comfort": null, "individual": null }, "prefill_eligible": false, "can_override": true, "prompt_after_prefill": "Please share your reasoning in your own words" }, "visibility": { "level": "planning", "emergency_access": true, "consent_required": false, "audit_level": "high" }, "filter": { "decision_relevant": true, "patient_voice": true, "surface_on_conflict": true }, "integration": { "fhir_resource": "Consent", "fhir_path": "provision.data.meaning", "smart_room_relevant": false }, "advocate_copy": { "preamble": "Your reasons help everyone understand and honor your wishes.", "why_we_ask": "When your care team knows why you made this choice, they can speak up for you. Your reasons become part of your story." }, "conditional": { "show_when": { "field": "L0", "is_not_empty": true } }, "legacy_journey": "what_i_want", "parkable": true, "skip_allowed": true, "edit_component": "textarea-input", "interaction_style": "narrative", "outputs": [ { "deliverable": "clinical_summary", "tier": "SHOULD" }, { "deliverable": "cap_card", "tier": "SHOULD" }, { "deliverable": "code_status_directive", "tier": "MUST" }, { "deliverable": "comfort_care_plan", "tier": "MUST" }, { "deliverable": "emergency_quick_card", "tier": "SHOULD" }, { "deliverable": "final_wishes", "tier": "MUST" }, { "deliverable": "handoff_summary", "tier": "SHOULD" }, { "deliverable": "hospice_intake_package", "tier": "MUST" }, { "deliverable": "new_provider_briefing", "tier": "SHOULD" }, { "deliverable": "nursing_assessment_card", "tier": "SHOULD" }, { "deliverable": "palliative_care_profile", "tier": "MUST" }, { "deliverable": "patient_goals_statement", "tier": "COULD" }, { "deliverable": "treatment_philosophy_statement", "tier": "MUST" }, { "deliverable": "wishes_directives_summary", "tier": "SHOULD" } ], "anchors": [ "code_status_directive" ], "anchor_role": "enhancing", "member_facing_label": "Why You Made This Choice", "clinical_language_expected": true, "composition": { "type": "guided_voice", "default_mode": "starters", "allow_freeform": true, "joiner": " ", "min_completions": 1, "compose_strategy": "recognition" }, "displayLabel": "My Reasoning", "data_shape": "narrative" }, "TREATMENT_PHILOSOPHY": { "heavy": true, "type": "choice-card", "label": "If I'm seriously ill but my heart is still beating, how much treatment do I want?", "cognitive_load": 4, "emotional_weight": "moderate", "estimated_seconds": 90, "order": 1, "micro_journey_key": "care_philosophy", "pillar": "vitality", "philosophy_group": { "cluster": "treatment_approach", "suggestions": { "fight": { "value": "full_treatment", "guidance": "People who choose to fight want every available treatment option explored, even if it means side effects or longer hospital stays." }, "try": { "value": "balanced", "guidance": "A balanced approach means trying treatments that have a reasonable chance of helping, but stopping if the burden outweighs the benefit." }, "comfort": { "value": "comfort_focused", "guidance": "Comfort-focused care prioritizes quality of life and symptom relief over aggressive treatment, focusing on what makes each day better." }, "individual": null }, "prefill_eligible": true, "can_override": true }, "visibility": { "level": "clinical", "emergency_access": true, "consent_required": false, "audit_level": "high" }, "filter": { "decision_relevant": true, "impacts": [ "treatment_planning", "medication_selection", "surgical_decisions", "specialist_referrals" ], "conflict_check": true, "surface_reasoning": true }, "integration": { "fhir_resource": "Consent", "fhir_path": "provision.purpose", "smart_room_relevant": true, "smart_room_use": "treatment_philosophy_display" }, "advocate_copy": { "preamble": "This helps your care team understand your big-picture approach to treatment.", "why_we_ask": "When doctors face treatment decisions, knowing your overall philosophy helps them recommend options that align with what matters to you — not just what’s medically possible." }, "options": [ { "key": "full_treatment", "label": "Full treatment", "icon": "💪", "description": "Everything that might help, including intensive care and a breathing machine." }, { "key": "balanced", "label": "Selective treatment", "icon": "⚖️", "description": "Treat what can be reversed, like infections — but no breathing machine, and avoid intensive care." }, { "key": "comfort_focused", "label": "Comfort-focused treatment", "icon": "🌿", "description": "Relief from pain and other symptoms. Avoid treatments meant mainly to prolong life." }, { "key": "undecided", "label": "I'm not sure yet", "icon": "🤔", "description": "That's okay. I can come back to this, and talk it through with my doctor." } ], "outputs": [ { "deliverable": "clinical_summary", "section": "care_philosophy", "prominence": "secondary", "format": "badge", "tier": "SHOULD" }, { "deliverable": "cap_card", "section": "philosophy", "prominence": "tertiary", "format": "text", "tier": "SHOULD" }, { "deliverable": "emergency_quick_card", "tier": "SHOULD" }, { "deliverable": "wishes_directives_summary", "tier": "MUST" }, { "deliverable": "palliative_care_profile", "tier": "SHOULD" }, "hospice_intake_package", { "deliverable": "comfort_care_plan", "section": "treatment_philosophy", "prominence": "primary", "format": "badge-with-detail" }, { "deliverable": "nursing_assessment_card", "tier": "SHOULD" }, { "deliverable": "family_caregiver_guide", "tier": "SHOULD" }, { "deliverable": "handoff_summary", "tier": "SHOULD" }, { "deliverable": "meet_me_brief", "tier": "SHOULD" }, { "deliverable": "new_provider_briefing", "tier": "MUST" }, { "deliverable": "patient_goals_statement", "tier": "MUST" }, { "deliverable": "transfer_summary", "tier": "SHOULD" }, { "deliverable": "treatment_philosophy_statement", "tier": "SHOULD" } ], "view_models": [ { "view_model": "ClinicalIntervention", "property_path": "treatmentPhilosophy.approach", "transform": "option-label" }, { "view_model": "ClinicalIntervention", "property_path": "treatmentPhilosophy.rawValue", "transform": "direct" } ], "anchors": [ "palliative_care_profile" ], "edit_component": "choice-card-input", "interaction_style": "single_choice", "member_facing_label": "Your Approach to Medical Treatment", "frames": [ "L0", "PRO_VENT", "PRO_FEED", "PRO_IV", "PRO_ICU", "PRO_DIALYSIS", "PRO_BLOOD", "PRO_ANTIBIOTICS" ], "data_shape": "single-select" }, "L1": { "label": "Care Philosophy", "question": "In an emergency, what matters most to you?", "advocate_copy": { "preamble": "There is no right answer here — only yours. This is the big picture. The details can come later, and you can change your mind at any time.", "why_we_ask": "In an emergency, your care team has to make fast choices. When they know what matters most to you, every choice starts from your values — not from a guess." }, "type": "choice-card", "options": [ { "key": "fight", "value": "fight", "label": "Fight", "description": "I want all possible treatments to extend my life", "icon": "⚔️" }, { "key": "try", "value": "try", "label": "Try, Then Reassess", "description": "Try treatments, but reassess if they're not helping", "icon": "🔄" }, { "key": "comfort", "value": "comfort", "label": "Comfort First", "description": "Focus on my comfort and quality of life", "icon": "🕊️" }, { "key": "individual", "value": "individual", "label": "It Depends", "description": "My preferences vary by treatment — see my specific choices", "icon": "📋" } ], "m1_critical": false, "outputs": [ "clinical_summary", "cap_card", { "deliverable": "wishes_directives_summary", "tier": "COULD" } ], "helpText": "This helps your care team understand your overall approach. You can still customize individual treatment preferences.", "philosophy_cluster": true, "six_dimensions": { "dimension": "care_philosophy", "category": "should" }, "pillar": "essence", "anchors": [ "wishes_directives_summary" ], "anchor_role": "enhancing", "edit_component": "choice-card-input", "interaction_style": "single_choice", "member_facing_label": "Your Care Philosophy", "emotional_weight": "heavy", "clinical_language_expected": true, "frames": [ "TREATMENT_PHILOSOPHY", "PRO_VENT", "PRO_FEED", "PRO_IV", "PRO_ICU", "PRO_DIALYSIS", "PRO_BLOOD", "PRO_ANTIBIOTICS" ], "data_shape": "single-select" }, "L2": { "type": "choice-card", "label": "If I have a terminal illness with no hope of recovery, what matters most?", "cognitive_load": 5, "emotional_weight": "heavy", "estimated_seconds": 90, "isolate": true, "order": 3, "pillar": "essence", "philosophy_group": null, "visibility": { "level": "clinical", "emergency_access": false, "consent_required": false, "audit_level": "high" }, "filter": { "decision_relevant": true, "impacts": [ "hospice_referral", "palliative_care", "aggressive_treatment" ], "conflict_check": true }, "integration": { "fhir_resource": "CarePlan", "fhir_path": "goal[0].description", "smart_room_relevant": false }, "advocate_copy": { "preamble": "This is different from what happens if your heart stops. This asks: if doctors tell you there's no cure and your time is limited, how would you want to spend that time?", "why_we_ask": "Your answer helps guide whether care teams focus on extending your life as long as possible, or on keeping you comfortable and present with loved ones." }, "calming_ui": { "enabled": true, "show_breathing": true }, "options": [ { "key": "quantity", "label": "Extend My Life", "description": "Try every treatment available to extend my life as long as possible, even if it means more time in hospitals.", "icon": "⏰", "filter_implications": { "hospice": "no", "aggressive_treatment": "yes", "palliative_focus": "no" } }, { "key": "quality", "label": "Focus on Comfort", "description": "Stop treatments that won't cure me. Focus on managing pain so I can be present with loved ones.", "icon": "🌸", "filter_implications": { "hospice": "consider", "aggressive_treatment": "no", "palliative_focus": "yes" } }, { "key": "balanced", "label": "Balance Both", "description": "Try treatments that might help, but stop if they cause too much suffering or aren't working.", "icon": "⚖️", "filter_implications": { "hospice": "if_needed", "aggressive_treatment": "conditional", "palliative_focus": "concurrent" } } ], "legacy_journey": "what_i_want", "parkable": false, "skip_allowed": false, "edit_component": "choice-card-input", "interaction_style": "choice_cards", "member_facing_label": "Wishes for Terminal Illness", "clinical_language_expected": true, "deprecated": true, "deprecation_note": "Remapped to L1 in LensService. Sprint 71 My Wishes audit. Lens property terminalIllnessWishes now reads from L1.", "data_shape": "single-select" }, "DOC_AD": { "type": "radio", "label": "Do you have a written healthcare wishes document?", "cognitive_load": 2, "emotional_weight": "neutral", "estimated_seconds": 15, "order": 3, "pillar": "resilience", "philosophy_group": { "cluster": "documents", "suggestions": { "fight": null, "try": null, "comfort": null, "individual": null }, "prefill_eligible": false, "can_override": true, "prompt_after_prefill": "Upload your Advance Directive if you have one" }, "visibility": { "level": "clinical", "emergency_access": true, "consent_required": false, "audit_level": "high" }, "filter": { "decision_relevant": true, "impacts": [ "all_medical_decisions" ] }, "integration": { "fhir_resource": "DocumentReference", "fhir_path": "type.coding", "fhir_code": "advance-directive" }, "advocate_copy": { "preamble": "An healthcare wishes document is a legal document that outlines your healthcare wishes if you become unable to communicate.", "why_we_ask": "Knowing whether you have this document helps your care team access and honor your documented wishes." }, "options": [ { "key": "yes", "label": "Yes, I have one" }, { "key": "no", "label": "No, I don't have one" }, { "key": "in_progress", "label": "I'm working on it" }, { "key": "unsure", "label": "I'm not sure" } ], "legacy_journey": "what_i_want", "parkable": true, "skip_allowed": true, "edit_component": "radio-input", "interaction_style": "choice_cards", "outputs": [ "clinical_summary", { "deliverable": "advocacy_compliance_view", "tier": "SHOULD" }, { "deliverable": "legal_documents_status", "tier": "MUST" }, { "deliverable": "proxy_authorization", "tier": "MUST" }, { "deliverable": "wishes_directives_summary", "tier": "SHOULD" }, { "deliverable": "code_status_directive", "tier": "COULD" } ], "anchors": [ "proxy_authorization" ], "anchor_role": "enhancing", "member_facing_label": "Advance Directive Status", "has_document": true, "data_shape": "single-select" }, "DOC_POLST": { "type": "radio", "label": "Do you have a POLST/MOLST form?", "cognitive_load": 2, "emotional_weight": "neutral", "estimated_seconds": 15, "order": 4, "pillar": "resilience", "philosophy_group": { "cluster": "documents", "suggestions": { "fight": null, "try": null, "comfort": null, "individual": null }, "prefill_eligible": false, "can_override": true, "prompt_after_prefill": "Upload your POLST form if you have one" }, "visibility": { "level": "emergency", "emergency_access": true, "consent_required": false, "audit_level": "high" }, "filter": { "decision_relevant": true, "impacts": [ "emergency_treatment", "resuscitation" ] }, "integration": { "fhir_resource": "DocumentReference", "fhir_path": "type.coding", "fhir_code": "polst" }, "advocate_copy": { "preamble": "POLST (Physician Orders for Life-Sustaining Treatment) or MOLST (Medical Orders) is a doctor-signed form that becomes a medical order. It's especially important for people with serious illness.", "why_we_ask": "This form is legally binding and guides emergency responders. Knowing its status helps ensure your wishes are followed." }, "options": [ { "key": "yes", "label": "Yes, I have one" }, { "key": "no", "label": "No, I don't have one" }, { "key": "in_progress", "label": "I'm discussing with my doctor" }, { "key": "unsure", "label": "I'm not sure what this is" } ], "legacy_journey": "what_i_want", "parkable": true, "skip_allowed": true, "edit_component": "radio-input", "interaction_style": "choice_cards", "outputs": [ "clinical_summary", { "deliverable": "advocacy_compliance_view", "tier": "SHOULD" }, { "deliverable": "legal_documents_status", "tier": "MUST" }, { "deliverable": "proxy_authorization", "tier": "MUST" }, { "deliverable": "wishes_directives_summary", "tier": "SHOULD" }, { "deliverable": "code_status_directive", "tier": "COULD" } ], "anchors": [ "proxy_authorization" ], "anchor_role": "enhancing", "member_facing_label": "POLST/MOLST Status", "has_document": true, "data_shape": "single-select" }, "PRO_VENT": { "type": "choice-card", "label": "Mechanical Ventilation (Breathing Machine)", "cognitive_load": 5, "emotional_weight": "heavy", "estimated_seconds": 60, "isolate": true, "order": 5, "pillar": "essence", "philosophy_group": { "cluster": "treatment_preferences", "suggestions": { "fight": { "value": "yes_always", "guidance": "People who want to fight often choose ventilators when needed, viewing them as a bridge to recovery." }, "try": { "value": "yes_trial", "guidance": "Many prefer a trial period—use the ventilator for a set time, then reassess based on progress." }, "comfort": { "value": "no", "guidance": "People focused on comfort often decline ventilators, preferring natural breathing and presence of loved ones." }, "individual": null }, "prefill_eligible": false, "can_override": true }, "visibility": { "level": "clinical", "emergency_access": true, "consent_required": false, "audit_level": "high" }, "filter": { "decision_relevant": true, "impacts": [ "intubation", "mechanical_ventilation", "respiratory_failure" ], "conflict_check": true }, "integration": { "fhir_resource": "Consent", "fhir_path": "provision.action.coding", "fhir_code": "ventilator", "smart_room_relevant": true, "smart_room_use": "intervention_preferences", "cds_trigger": true }, "calming_ui": { "enabled": true }, "advocate_copy": { "preamble": "A ventilator is a machine that breathes for you when you can't breathe on your own. A tube is placed down your throat and connected to the machine. Some people recover and the ventilator is removed. Others may need it long-term or may not recover. This records your wish. It is not a physician order — your doctor can help you sign one. No one sees it until you choose to share it. This is one of the heavier ones: there is no right answer here — only your answer, and it can change whenever you do.", "why_we_ask": "Knowing your preference about ventilators helps doctors make decisions if you ever have a breathing emergency and can't speak for yourself." }, "options": [ { "key": "yes", "label": "Yes, use ventilator", "description": "Use breathing machine if needed to keep me alive", "icon": "🫁" }, { "key": "trial", "label": "Trial period only", "description": "Try it for a limited time to see if I improve", "icon": "⏱️" }, { "key": "no", "label": "No ventilator", "description": "Comfort care without the machine. For teams to honor this, a doctor signs an order with you. I still get all the other care I've chosen.", "icon": "🚫" }, { "key": "discuss_first", "label": "It depends — I'd want to talk it through first", "description": "This keeps the question for later. Until you decide, emergency teams give standard care, which usually means they use a breathing machine if one is needed.", "icon": "💬", "writes": "deferred", "park_note": "I'd want to talk it through first", "_note": "R-RULEB-24 (DECISION-JOURNEY-PROCEDURE-BATTERY rev 5, 2026-10-14): a way, not an answer — CPR-DEPENDS-PARKS-1 extended to every treatment. Choosing it parks this question (typed absence 'deferred') with park_note as her editable note; the key is never stored. PROVISIONAL clinical wording — clinical panel to confirm (Ben)." } ], "captured_inline": true, "legacy_journey": "treatments", "parkable": true, "skip_allowed": false, "edit_component": "choice-card-input", "interaction_style": "choice_cards", "outputs": [ "clinical_summary", { "deliverable": "treatment_philosophy_statement", "tier": "SHOULD" }, { "deliverable": "patient_goals_statement", "tier": "COULD" }, { "deliverable": "wishes_directives_summary", "tier": "SHOULD" } ], "anchors": [ "wishes_directives_summary" ], "anchor_role": "enhancing", "member_facing_label": "Mechanical Ventilation (Breathing Machine)", "clinical_language_expected": true, "data_shape": "single-select" }, "PRO_FEED": { "type": "choice-card", "label": "Feeding Tube", "cognitive_load": 5, "emotional_weight": "heavy", "estimated_seconds": 60, "isolate": true, "order": 6, "pillar": "essence", "philosophy_group": { "cluster": "treatment_preferences", "suggestions": { "fight": { "value": "yes_always", "guidance": "People who want to fight often accept feeding tubes to maintain nutrition during recovery." }, "try": { "value": "yes_trial", "guidance": "Many prefer trying a feeding tube for a limited time to see if recovery is possible." }, "comfort": { "value": "no", "guidance": "People focused on comfort often decline feeding tubes, preferring hand-feeding or comfort measures." }, "individual": null }, "prefill_eligible": false, "can_override": true }, "visibility": { "level": "clinical", "emergency_access": false, "consent_required": false, "audit_level": "high" }, "filter": { "decision_relevant": true, "impacts": [ "feeding_tube", "artificial_nutrition", "peg_placement" ], "conflict_check": true }, "integration": { "fhir_resource": "Consent", "fhir_path": "provision.action.coding", "fhir_code": "feeding_tube", "smart_room_relevant": false, "dietary_integration": true }, "offer_break_after": true, "calming_ui": { "enabled": true }, "advocate_copy": { "preamble": "A feeding tube provides nutrition when you can't eat or swallow on your own. It can be inserted through your nose or directly into your stomach. This records your wish. It is not a physician order — your doctor can help you sign one. No one sees it until you choose to share it. This is one of the heavier ones: there is no right answer here — only your answer, and it can change whenever you do.", "why_we_ask": "Your feeding tube preference helps doctors and family know what you want if you ever lose the ability to eat." }, "options": [ { "key": "yes", "label": "Yes, use feeding tube", "description": "Provide nutrition through a tube if I cannot eat", "icon": "🍽️" }, { "key": "temporary", "label": "Temporary only", "description": "Use temporarily to help recovery, not long-term", "icon": "⏳" }, { "key": "no", "label": "No feeding tube", "description": "Comfort feeding by mouth as tolerated. For teams to honor this, a doctor signs an order with you. I still get all the other care I've chosen.", "icon": "🚫" }, { "key": "discuss_first", "label": "It depends — I'd want to talk it through first", "description": "This keeps the question for later. Until you decide, teams give standard care, which usually means they provide nutrition by tube if you cannot eat.", "icon": "💬", "writes": "deferred", "park_note": "I'd want to talk it through first", "_note": "R-RULEB-24 (DECISION-JOURNEY-PROCEDURE-BATTERY rev 5, 2026-10-14): a way, not an answer — CPR-DEPENDS-PARKS-1 extended to every treatment. Choosing it parks this question (typed absence 'deferred') with park_note as her editable note; the key is never stored. PROVISIONAL clinical wording — clinical panel to confirm (Ben)." } ], "captured_inline": true, "legacy_journey": "treatments", "parkable": true, "skip_allowed": false, "edit_component": "choice-card-input", "interaction_style": "choice_cards", "outputs": [ "clinical_summary", { "deliverable": "treatment_philosophy_statement", "tier": "SHOULD" }, { "deliverable": "patient_goals_statement", "tier": "COULD" }, { "deliverable": "wishes_directives_summary", "tier": "SHOULD" } ], "anchors": [ "wishes_directives_summary" ], "anchor_role": "enhancing", "member_facing_label": "Feeding Tube", "clinical_language_expected": true, "data_shape": "single-select" }, "PRO_IV": { "type": "choice-card", "label": "IV Fluids (Intravenous Hydration)", "cognitive_load": 4, "emotional_weight": "moderate", "estimated_seconds": 45, "isolate": true, "order": 7, "pillar": "essence", "philosophy_group": { "cluster": "additional_treatments", "suggestions": { "fight": { "value": "yes_always", "guidance": "People who want to fight often accept IV fluids to maintain hydration and enable medications." }, "try": { "value": "yes_trial", "guidance": "Many prefer trying IV fluids for a period to support recovery attempts." }, "comfort": { "value": "comfort_only", "guidance": "People focused on comfort may accept IV fluids only for comfort (like medication delivery) but not aggressive hydration." }, "individual": null }, "prefill_eligible": false, "can_override": true }, "visibility": { "level": "clinical", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "filter": { "decision_relevant": true, "impacts": [ "iv_fluids", "hydration" ], "conflict_check": true }, "integration": { "fhir_resource": "Consent", "fhir_path": "provision.action.coding", "fhir_code": "iv_fluids", "smart_room_relevant": false }, "calming_ui": { "enabled": false }, "advocate_copy": { "preamble": "IV fluids provide hydration through a needle in your vein. They can help with dehydration, medication delivery, and nutrition. A lighter one — your call, simply. This records your wish. It is not a physician order. No one sees it until you choose to share it.", "why_we_ask": "Your preference helps guide care decisions, especially in situations where you cannot eat or drink normally." }, "options": [ { "key": "yes", "label": "Yes, use IV fluids", "description": "Provide hydration through IV if needed", "icon": "💧" }, { "key": "comfort_only", "label": "Comfort care only", "description": "Only if it improves my comfort", "icon": "🌸" }, { "key": "no", "label": "No IV fluids", "description": "Do not provide IV hydration. For teams to honor this, a doctor signs an order with you. I still get all the other care I've chosen.", "icon": "🚫" }, { "key": "discuss_first", "label": "It depends — I'd want to talk it through first", "description": "This keeps the question for later. Until you decide, teams give standard care, which usually means IV fluids if you need them.", "icon": "💬", "writes": "deferred", "park_note": "I'd want to talk it through first", "_note": "R-RULEB-24 (DECISION-JOURNEY-PROCEDURE-BATTERY rev 5, 2026-10-14): a way, not an answer — CPR-DEPENDS-PARKS-1 extended to every treatment. Choosing it parks this question (typed absence 'deferred') with park_note as her editable note; the key is never stored. PROVISIONAL clinical wording — clinical panel to confirm (Ben)." } ], "legacy_journey": "treatments", "parkable": true, "skip_allowed": false, "edit_component": "choice-card-input", "interaction_style": "choice_cards", "outputs": [ "clinical_summary", { "deliverable": "treatment_philosophy_statement", "tier": "SHOULD" }, { "deliverable": "patient_goals_statement", "tier": "COULD" }, { "deliverable": "wishes_directives_summary", "tier": "SHOULD" } ], "anchors": [ "wishes_directives_summary" ], "anchor_role": "enhancing", "member_facing_label": "IV Fluids", "data_shape": "single-select" }, "PRO_ICU": { "type": "choice-card", "label": "ICU Admission (Intensive Care Unit)", "cognitive_load": 5, "emotional_weight": "heavy", "estimated_seconds": 60, "isolate": true, "order": 8, "pillar": "essence", "philosophy_group": { "cluster": "treatment_preferences", "suggestions": { "fight": { "value": "yes_always", "guidance": "People who want to fight typically accept ICU admission for intensive monitoring and treatment." }, "try": { "value": "yes_trial", "guidance": "Many prefer ICU care with a defined reassessment point to evaluate progress." }, "comfort": { "value": "no", "guidance": "People focused on comfort often prefer to avoid the ICU, choosing a quieter setting with family present." }, "individual": null }, "prefill_eligible": false, "can_override": true }, "visibility": { "level": "clinical", "emergency_access": true, "consent_required": false, "audit_level": "high" }, "filter": { "decision_relevant": true, "impacts": [ "icu_admission", "critical_care" ], "conflict_check": true }, "integration": { "fhir_resource": "Consent", "fhir_path": "provision.action.coding", "fhir_code": "icu_admission", "smart_room_relevant": false, "cds_trigger": true }, "calming_ui": { "enabled": true }, "advocate_copy": { "preamble": "The ICU provides intensive monitoring and life support for critically ill patients. It can be lifesaving, but can also mean being connected to many machines with limited family visitation. This records your wish. It is not a physician order — your doctor can help you sign one. No one sees it until you choose to share it. This is one of the heavier ones: there is no right answer here — only your answer, and it can change whenever you do.", "why_we_ask": "Your ICU preference helps doctors understand how aggressively you want to be treated in a medical crisis." }, "options": [ { "key": "yes", "label": "Yes, admit to ICU", "description": "Use intensive care to give me the best chance", "icon": "🏥" }, { "key": "trial", "label": "Trial period", "description": "Try ICU care but stop if not improving", "icon": "⏱️" }, { "key": "comfort_only", "label": "Comfort-focused ICU", "description": "ICU only for comfort measures", "icon": "🌸" }, { "key": "no", "label": "No ICU", "description": "Care on a regular floor or at home. For teams to honor this, a doctor signs an order with you. I still get all the other care I've chosen.", "icon": "🚫" }, { "key": "discuss_first", "label": "It depends — I'd want to talk it through first", "description": "This keeps the question for later. Until you decide, teams give standard care, which usually means intensive care if you become critically ill.", "icon": "💬", "writes": "deferred", "park_note": "I'd want to talk it through first", "_note": "R-RULEB-24 (DECISION-JOURNEY-PROCEDURE-BATTERY rev 5, 2026-10-14): a way, not an answer — CPR-DEPENDS-PARKS-1 extended to every treatment. Choosing it parks this question (typed absence 'deferred') with park_note as her editable note; the key is never stored. PROVISIONAL clinical wording — clinical panel to confirm (Ben)." } ], "legacy_journey": "treatments", "parkable": true, "skip_allowed": false, "edit_component": "choice-card-input", "interaction_style": "choice_cards", "outputs": [ "clinical_summary", { "deliverable": "treatment_philosophy_statement", "tier": "SHOULD" }, { "deliverable": "patient_goals_statement", "tier": "COULD" }, { "deliverable": "wishes_directives_summary", "tier": "SHOULD" } ], "anchors": [ "wishes_directives_summary" ], "anchor_role": "enhancing", "member_facing_label": "ICU Admission", "clinical_language_expected": true, "data_shape": "single-select" }, "PRO_DIALYSIS": { "type": "choice-card", "label": "Dialysis (Kidney Machine)", "cognitive_load": 5, "emotional_weight": "heavy", "estimated_seconds": 60, "isolate": true, "order": 9, "pillar": "essence", "philosophy_group": { "cluster": "additional_treatments", "suggestions": { "fight": { "value": "yes_always", "guidance": "People who want to fight often accept dialysis to maintain kidney function during illness." }, "try": { "value": "yes_trial", "guidance": "Many prefer trying dialysis for a defined period to see if kidneys can recover." }, "comfort": { "value": "no", "guidance": "People focused on comfort often decline dialysis, as it can be burdensome without clear benefit." }, "individual": null }, "prefill_eligible": false, "can_override": true }, "visibility": { "level": "clinical", "emergency_access": false, "consent_required": false, "audit_level": "high" }, "filter": { "decision_relevant": true, "impacts": [ "dialysis", "renal_replacement" ], "conflict_check": true }, "integration": { "fhir_resource": "Consent", "fhir_path": "provision.action.coding", "fhir_code": "dialysis", "smart_room_relevant": false }, "calming_ui": { "enabled": true }, "advocate_copy": { "preamble": "Dialysis filters your blood when your kidneys can't. It typically requires 3-4 sessions per week, each lasting several hours. A lighter one — your call, simply. This records your wish. It is not a physician order. No one sees it until you choose to share it.", "why_we_ask": "Understanding your dialysis preference helps guide decisions if you develop kidney failure." }, "options": [ { "key": "yes", "label": "Yes, use dialysis", "description": "Use dialysis if my kidneys fail", "icon": "🩺" }, { "key": "temporary", "label": "Temporary only", "description": "Only if my kidneys might recover", "icon": "⏳" }, { "key": "no", "label": "No dialysis", "description": "Do not use dialysis. For teams to honor this, a doctor signs an order with you. I still get all the other care I've chosen.", "icon": "🚫" }, { "key": "discuss_first", "label": "It depends — I'd want to talk it through first", "description": "This keeps the question for later. Until you decide, teams give standard care, which usually means dialysis if your kidneys fail.", "icon": "💬", "writes": "deferred", "park_note": "I'd want to talk it through first", "_note": "R-RULEB-24 (DECISION-JOURNEY-PROCEDURE-BATTERY rev 5, 2026-10-14): a way, not an answer — CPR-DEPENDS-PARKS-1 extended to every treatment. Choosing it parks this question (typed absence 'deferred') with park_note as her editable note; the key is never stored. PROVISIONAL clinical wording — clinical panel to confirm (Ben)." } ], "legacy_journey": "treatments", "parkable": true, "skip_allowed": false, "edit_component": "choice-card-input", "interaction_style": "choice_cards", "outputs": [ "clinical_summary", { "deliverable": "treatment_philosophy_statement", "tier": "SHOULD" }, { "deliverable": "patient_goals_statement", "tier": "COULD" }, { "deliverable": "wishes_directives_summary", "tier": "SHOULD" } ], "anchors": [ "wishes_directives_summary" ], "anchor_role": "enhancing", "member_facing_label": "Dialysis (Kidney Machine)", "clinical_language_expected": true, "data_shape": "single-select" }, "PRO_ANTIBIOTICS": { "type": "choice-card", "label": "Antibiotics for Infections", "cognitive_load": 3, "emotional_weight": "moderate", "estimated_seconds": 45, "isolate": true, "order": 10, "pillar": "essence", "philosophy_group": { "cluster": "additional_treatments", "suggestions": { "fight": { "value": "yes_always", "guidance": "People who want to fight typically accept antibiotics to treat any infections." }, "try": { "value": "yes_trial", "guidance": "Many prefer antibiotics when there's a reasonable chance of recovery from infection." }, "comfort": { "value": "comfort_only", "guidance": "People focused on comfort may accept antibiotics only to ease symptoms (like pneumonia discomfort) but not to prolong dying." }, "individual": null }, "prefill_eligible": false, "can_override": true }, "visibility": { "level": "clinical", "emergency_access": true, "consent_required": false, "audit_level": "high" }, "advocate_copy": { "preamble": "Antibiotics treat bacterial infections. In serious illness, infections like pneumonia are common. A lighter one — your call, simply. This records your wish. It is not a physician order. No one sees it until you choose to share it.", "why_we_ask": "This helps your care team know whether to treat infections aggressively or focus on comfort." }, "options": [ { "key": "yes", "label": "Yes, treat infections", "description": "Use antibiotics to fight infections", "icon": "💊" }, { "key": "comfort_only", "label": "Comfort-focused only", "description": "Keep me comfortable; no antibiotics to treat the infection. A doctor signs an order with you for teams to honor this.", "icon": "🌸" }, { "key": "no", "label": "No antibiotics", "description": "Allow infections to take their natural course. For teams to honor this, a doctor signs an order with you. I still get all the other care I've chosen.", "icon": "🍃" }, { "key": "discuss_first", "label": "It depends — I'd want to talk it through first", "description": "This keeps the question for later. Until you decide, teams give standard care, which usually means antibiotics.", "icon": "💬", "writes": "deferred", "park_note": "I'd want to talk it through first", "_note": "R-RULEB-24 (DECISION-JOURNEY-PROCEDURE-BATTERY rev 5, 2026-10-14): a way, not an answer — CPR-DEPENDS-PARKS-1 extended to every treatment. Choosing it parks this question (typed absence 'deferred') with park_note as her editable note; the key is never stored. PROVISIONAL clinical wording — clinical panel to confirm (Ben)." } ], "legacy_journey": "treatments", "parkable": true, "skip_allowed": false, "edit_component": "choice-card-input", "interaction_style": "choice_cards", "outputs": [ "clinical_summary", { "deliverable": "treatment_philosophy_statement", "tier": "SHOULD" }, { "deliverable": "patient_goals_statement", "tier": "COULD" }, { "deliverable": "wishes_directives_summary", "tier": "SHOULD" } ], "anchors": [ "wishes_directives_summary" ], "anchor_role": "enhancing", "member_facing_label": "Antibiotics for Infections", "data_shape": "single-select" }, "PRO_BLOOD": { "type": "choice-card", "label": "Blood Transfusions", "cognitive_load": 3, "emotional_weight": "moderate", "estimated_seconds": 45, "isolate": true, "order": 11, "pillar": "essence", "philosophy_group": { "cluster": "additional_treatments", "suggestions": { "fight": { "value": "yes_always", "guidance": "People who want to fight typically accept blood transfusions to maintain strength during treatment." }, "try": { "value": "yes_trial", "guidance": "Many prefer transfusions when they could meaningfully support recovery." }, "comfort": { "value": "no", "guidance": "People focused on comfort often decline transfusions when they would only briefly extend life without improving quality." }, "individual": null }, "prefill_eligible": false, "can_override": true }, "visibility": { "level": "emergency", "emergency_access": true, "consent_required": false, "audit_level": "high" }, "related_from": { "fields": [ "D13", "D14B" ], "context_note": "Based on your earlier answers about religious beliefs, you may want to review this question carefully." }, "advocate_copy": { "preamble": "Blood transfusions can be life-saving after blood loss or for certain conditions. Some people have religious or personal reasons for declining blood products. A lighter one — your call, simply. This records your wish. It is not a physician order. No one sees it until you choose to share it.", "why_we_ask": "Knowing your transfusion preferences helps prevent unwanted interventions, especially in emergencies.", "religious_note": "If your faith tradition has guidance about blood transfusions, this is a good place to document your wishes." }, "options": [ { "key": "yes", "label": "Yes, accept transfusions", "description": "Use blood transfusions when medically necessary", "icon": "🩸" }, { "key": "limited", "label": "Limited circumstances", "description": "Only if absolutely necessary to save my life", "icon": "⚖️" }, { "key": "no", "label": "No blood products", "description": "Do not transfuse blood or blood products. For teams to honor this, a doctor signs an order with you. I still get all the other care I've chosen.", "icon": "🚫" }, { "key": "discuss", "label": "I want to discuss options", "description": "I'd like to talk with a doctor or spiritual advisor about alternatives", "icon": "💬" }, { "key": "discuss_first", "label": "It depends — I'd want to talk it through first", "description": "This keeps the question for later. Until you decide, teams give standard care, which usually means a blood transfusion if you need one.", "icon": "💬", "writes": "deferred", "park_note": "I'd want to talk it through first", "_note": "R-RULEB-24 (DECISION-JOURNEY-PROCEDURE-BATTERY rev 5, 2026-10-14): a way, not an answer — CPR-DEPENDS-PARKS-1 extended to every treatment. Choosing it parks this question (typed absence 'deferred') with park_note as her editable note; the key is never stored. PROVISIONAL clinical wording — clinical panel to confirm (Ben)." } ], "legacy_journey": "treatments", "parkable": true, "skip_allowed": false, "edit_component": "choice-card-input", "interaction_style": "choice_cards", "outputs": [ "clinical_summary", { "deliverable": "treatment_philosophy_statement", "tier": "SHOULD" }, { "deliverable": "patient_goals_statement", "tier": "COULD" }, { "deliverable": "wishes_directives_summary", "tier": "SHOULD" } ], "anchors": [ "wishes_directives_summary" ], "anchor_role": "enhancing", "member_facing_label": "Blood Transfusions", "data_shape": "single-select" }, "END_LOCATION": { "type": "choice-card", "label": "Where I prefer to be at the end of life", "cognitive_load": 4, "emotional_weight": "heavy", "estimated_seconds": 60, "isolate": true, "order": 12, "pillar": "essence", "philosophy_group": { "cluster": "comfort_location", "suggestions": { "fight": { "value": "hospital", "guidance": "People who want to fight often prefer being in a hospital where all medical resources are available." }, "try": { "value": null, "guidance": "Location preference varies—some want hospital access, others prefer home. Consider what feels right for you." }, "comfort": { "value": "home", "guidance": "People focused on comfort often prefer to be at home, surrounded by loved ones and familiar things." }, "individual": null }, "prefill_eligible": false, "can_override": true }, "visibility": { "level": "planning", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "calming_ui": { "enabled": true }, "advocate_copy": { "preamble": "Many people have a preference for where they want to spend their final days. There's no right or wrong answer—what matters is what feels right for you and your family.", "why_we_ask": "Knowing your preference helps your family and care team plan ahead and honor your wishes." }, "options": [ { "key": "home", "label": "At home", "description": "In my own home with family", "icon": "🏠" }, { "key": "hospice", "label": "Hospice facility", "description": "In a specialized comfort care facility", "icon": "🏥" }, { "key": "hospital", "label": "Hospital", "description": "In a hospital setting", "icon": "🏨" }, { "key": "flexible", "label": "Discuss with family", "description": "I want my family to decide based on circumstances at the time", "icon": "👨‍👩‍👧" } ], "legacy_journey": "comfort", "parkable": true, "skip_allowed": true, "edit_component": "choice-card-input", "interaction_style": "choice_cards", "outputs": [ "clinical_summary", "hospice_intake_package", { "deliverable": "final_wishes", "tier": "MUST" }, { "deliverable": "wishes_directives_summary", "tier": "SHOULD" } ], "anchors": [ "wishes_directives_summary", "hospice_intake_package", "final_wishes" ], "anchor_role": "enhancing", "member_facing_label": "Where You Want to Be at End of Life", "clinical_language_expected": true, "data_shape": "single-select" }, "END_PAIN": { "type": "choice-card", "label": "Pain management at end of life", "cognitive_load": 4, "emotional_weight": "heavy", "estimated_seconds": 60, "isolate": true, "order": 13, "pillar": "essence", "philosophy_group": { "cluster": "comfort_location", "suggestions": { "fight": { "value": "balanced", "guidance": "People who want to fight often balance pain control with alertness to participate in decisions." }, "try": { "value": "balanced", "guidance": "Many prefer balancing comfort with awareness, adjusting as the situation evolves." }, "comfort": { "value": "maximum_comfort", "guidance": "People focused on comfort often prioritize complete pain relief, even if it affects alertness." }, "individual": null }, "prefill_eligible": false, "can_override": true }, "visibility": { "level": "clinical", "emergency_access": true, "consent_required": false, "audit_level": "high" }, "calming_ui": { "enabled": true }, "advocate_copy": { "preamble": "Pain management is a key part of comfort care. Strong pain medications can provide relief but may also cause drowsiness.", "why_we_ask": "Understanding your priorities helps your care team balance pain relief with alertness according to your values." }, "options": [ { "key": "comfort_priority", "label": "Comfort is priority", "description": "Keep me as comfortable as possible, even if I'm less alert", "icon": "🛋️" }, { "key": "balance", "label": "Balance comfort and alertness", "description": "Manage pain but try to keep me alert enough to interact", "icon": "⚖️" }, { "key": "alertness_priority", "label": "Alertness is priority", "description": "I want to be as alert as possible, even with some discomfort", "icon": "👁️" } ], "legacy_journey": "comfort", "parkable": true, "skip_allowed": true, "edit_component": "choice-card-input", "interaction_style": "choice_cards", "outputs": [ "clinical_summary", { "deliverable": "palliative_care_profile", "tier": "SHOULD" }, "comfort_care_plan", "hospice_intake_package", { "deliverable": "final_wishes", "tier": "MUST" } ], "anchors": [ "wishes_directives_summary", "palliative_care_profile" ], "anchor_role": "enhancing", "member_facing_label": "Pain Management at End of Life", "clinical_language_expected": true, "deprecated": true, "deprecation_note": "Remapped to SYM_PRIORITY in LensService. Sprint 71 My Wishes audit. Lens property painManagement now reads from SYM_PRIORITY.", "data_shape": "single-select" }, "SYM_PRIORITY": { "type": "priority-cards", "label": "When managing your symptoms, what matters most?", "cognitive_load": 3, "emotional_weight": "moderate", "estimated_seconds": 60, "order": 14, "pillar": "essence", "philosophy_group": { "cluster": "comfort_location", "suggestions": { "fight": { "value": [ "alert", "functional" ], "guidance": "People who want to fight often prioritize staying alert and functional to participate in care decisions." }, "try": { "value": null, "guidance": "Symptom priorities are personal—consider what matters most to your quality of life." }, "comfort": { "value": [ "pain_free", "peaceful" ], "guidance": "People focused on comfort often prioritize being pain-free and peaceful above all else." }, "individual": null }, "prefill_eligible": true, "can_override": true }, "visibility": { "level": "clinical", "emergency_access": false, "consent_required": false }, "parkable": true, "skip_allowed": true, "interaction_style": "priority_cards", "edit_component": "priority-cards", "options": [ { "key": "pain_free", "label": "Being pain-free", "description": "I want to be comfortable, even if it means feeling drowsy", "icon": "😌" }, { "key": "alertness", "label": "Staying alert", "description": "I want to be present, even if it means some discomfort", "icon": "🧠" }, { "key": "breathing", "label": "Breathing comfortably", "description": "Feeling like I can breathe is essential to me", "icon": "💨" }, { "key": "calm", "label": "Feeling calm and peaceful", "description": "Anxiety is harder for me than physical symptoms", "icon": "🕊️" } ], "advocate_copy": { "preamble": "Everyone experiences symptoms differently. Some people prioritize staying alert; others prioritize comfort. There's no wrong answer.", "why_we_ask": "Your symptom priorities help your care team make medication decisions that align with what matters most to you." }, "help_escape": { "enabled": true, "label": "This is hard to decide", "action": "pairwise_comparison" }, "legacy_journey": "comfort", "outputs": [ "clinical_summary", { "deliverable": "palliative_care_profile", "tier": "SHOULD" }, "hospice_intake_package", { "deliverable": "wishes_directives_summary", "tier": "SHOULD" } ], "anchors": [ "wishes_directives_summary", "palliative_care_profile", "hospice_intake_package" ], "anchor_role": "enhancing", "member_facing_label": "What Matters Most in Managing Symptoms", "data_shape": "ranking" }, "M2": { "type": "radio", "label": "Do you have any allergies?", "cognitive_load": 2, "emotional_weight": "neutral", "estimated_seconds": 10, "order": 1, "pillar": "navigation", "visibility": { "level": "emergency", "emergency_access": true, "consent_required": false, "audit_level": "high" }, "filter": { "decision_relevant": true, "impacts": [ "medication_order", "contrast", "anesthesia" ], "conflict_check": true }, "integration": { "fhir_resource": "AllergyIntolerance", "fhir_path": "clinicalStatus", "smart_room_relevant": false, "cds_trigger": true }, "advocate_copy": { "preamble": "Your safety is our top priority. Let's capture any allergies.", "why_we_ask": "Knowing your allergies helps prevent dangerous reactions during medical care." }, "options": [ { "key": "yes", "label": "Yes, I have allergies" }, { "key": "no", "label": "No known allergies" } ], "parkable": false, "skip_allowed": false, "edit_component": "radio-input", "interaction_style": "choice_cards", "outputs": [ "cap_card", "clinical_summary", "emergency_quick_card", { "deliverable": "allergy_alert", "tier": "COULD" } ], "anchors": [ "clinical_summary" ], "anchor_role": "enhancing", "member_facing_label": "Allergies", "data_shape": "single-select" }, "M2A": { "type": "dynamic-list", "label": "Your allergies", "cognitive_load": 3, "emotional_weight": "neutral", "estimated_seconds": 60, "order": 2, "pillar": "vitality", "visibility": { "level": "emergency", "emergency_access": true, "consent_required": false, "audit_level": "high" }, "filter": { "decision_relevant": true, "impacts": [ "medication_order", "contrast", "anesthesia", "blood_products" ], "conflict_check": true, "safety_critical": true }, "integration": { "fhir_resource": "AllergyIntolerance", "fhir_path": "", "fhir_array": true, "smart_room_relevant": false, "cds_trigger": true, "pharmacy_integration": true }, "list_config": { "item_label": "Allergy", "add_button_text": "+ Add another allergy", "fields": [ { "key": "substance", "label": "What are you allergic to?", "type": "allergen-autocomplete", "required": true, "placeholder": "Start typing or select from common allergens...", "fhir_path": "code.coding[0].code", "terminology_binding": "allergens", "allow_free_text": true, "free_text_label": "Other allergen not listed", "display_role": "primary" }, { "key": "categories", "label": "What kind of allergy is this?", "type": "multiselect-panel", "required": false, "fhir_path": "category", "help": "One tap tells your care team where to look. Not sure is okay.", "options": [ { "key": "food", "label": "Food", "description": "Something eaten or ingested" }, { "key": "medication", "label": "Medication", "description": "A drug or medicine" }, { "key": "environment", "label": "Environment", "description": "Pollen, latex, insects, chemicals" }, { "key": "biologic", "label": "Biologic", "description": "Vaccines, blood products, biologic therapies" }, { "key": "other", "label": "Something else / not sure", "description": "A known danger whose class is not recorded — never guessed" } ], "_ddr": "DDR-ALLERGY-CLASS-AXIS-001 R-1: FHIR AllergyIntolerance.category verbatim, ARRAY-shaped, MEMBER-DECLARED (ratify-assist is UX only; system never records an unconfirmed class)" }, { "key": "severity", "label": "Severity", "type": "button-panel", "required": true, "fhir_path": "reaction[0].severity", "options": [ { "key": "mild", "label": "Mild", "icon": "😐", "description": "Minor discomfort" }, { "key": "moderate", "label": "Moderate", "icon": "😟", "description": "Significant reaction" }, { "key": "severe", "label": "Severe", "icon": "🚨", "description": "Life-threatening" }, { "key": "unknown", "label": "Unknown", "icon": "❓", "description": "I'm not sure how severe" } ], "display_role": "secondary" }, { "key": "reaction", "label": "What type of reaction do you experience?", "type": "multiselect-panel", "fhir_path": "reaction[0].manifestation[0].text", "options": [ { "key": "rash", "label": "Skin Rash", "icon": "🔴" }, { "key": "hives", "label": "Hives", "icon": "⭕" }, { "key": "itching", "label": "Itching", "icon": "👆" }, { "key": "swelling", "label": "Swelling", "icon": "💫" }, { "key": "breathing", "label": "Difficulty Breathing", "icon": "😮‍💨" }, { "key": "nausea", "label": "Nausea/Vomiting", "icon": "🤢" }, { "key": "anaphylaxis", "label": "Anaphylaxis", "icon": "🚨" }, { "key": "other", "label": "Other", "icon": "📝" } ] } ], "none_option": "No known allergies (NKA)" }, "parkable": false, "skip_allowed": false, "edit_component": "allergen-autocomplete-list", "interaction_style": "dynamic_list", "terminology_source": { "name": "allergens", "description": "Curated list of common allergens for patient safety", "categories": [ { "category": "Medications", "icon": "💊", "allergens": [ { "code": "91936005", "label": "Penicillin", "snomed": "91936005" }, { "code": "372687004", "label": "Amoxicillin", "snomed": "372687004" }, { "code": "387170002", "label": "Sulfa drugs (Sulfonamides)", "snomed": "387170002" }, { "code": "387207008", "label": "Aspirin", "snomed": "387207008" }, { "code": "372756006", "label": "Ibuprofen / NSAIDs", "snomed": "372756006" }, { "code": "387517004", "label": "Codeine", "snomed": "387517004" }, { "code": "373270004", "label": "Morphine", "snomed": "373270004" }, { "code": "372664007", "label": "Erythromycin", "snomed": "372664007" }, { "code": "372840008", "label": "Cephalosporins", "snomed": "372840008" }, { "code": "387562000", "label": "Tetracycline", "snomed": "387562000" }, { "code": "387458008", "label": "Fluoroquinolones (Cipro, Levaquin)", "snomed": "387458008" }, { "code": "372877000", "label": "Lidocaine / Local anesthetics", "snomed": "372877000" }, { "code": "387480006", "label": "ACE Inhibitors", "snomed": "387480006" }, { "code": "372912004", "label": "Statins", "snomed": "372912004" }, { "code": "387264003", "label": "Metformin", "snomed": "387264003" } ] }, { "category": "Foods", "icon": "🥜", "allergens": [ { "code": "91935009", "label": "Peanuts", "snomed": "91935009" }, { "code": "227493005", "label": "Tree nuts (almonds, walnuts, etc.)", "snomed": "227493005" }, { "code": "226934003", "label": "Shellfish", "snomed": "226934003" }, { "code": "226029005", "label": "Fish", "snomed": "226029005" }, { "code": "3718001", "label": "Cow's milk / Dairy", "snomed": "3718001" }, { "code": "102263004", "label": "Eggs", "snomed": "102263004" }, { "code": "412071004", "label": "Wheat / Gluten", "snomed": "412071004" }, { "code": "256350002", "label": "Soy", "snomed": "256350002" }, { "code": "227388008", "label": "Sesame", "snomed": "227388008" } ] }, { "category": "Environmental", "icon": "🌿", "allergens": [ { "code": "256259004", "label": "Pollen (hay fever)", "snomed": "256259004" }, { "code": "256417003", "label": "Dust mites", "snomed": "256417003" }, { "code": "256277009", "label": "Mold", "snomed": "256277009" }, { "code": "35331000", "label": "Pet dander (cats)", "snomed": "35331000" }, { "code": "29736007", "label": "Pet dander (dogs)", "snomed": "29736007" }, { "code": "710980008", "label": "Bee stings", "snomed": "710980008" }, { "code": "710981007", "label": "Wasp stings", "snomed": "710981007" } ] }, { "category": "Medical Materials", "icon": "🏥", "allergens": [ { "code": "111088007", "label": "Latex", "snomed": "111088007" }, { "code": "418038007", "label": "Iodine / Contrast dye", "snomed": "418038007" }, { "code": "256440004", "label": "Adhesive tape", "snomed": "256440004" }, { "code": "421747003", "label": "Nickel (jewelry, implants)", "snomed": "421747003" } ] } ], "other_option": { "enabled": true, "label": "Other allergen not listed", "placeholder": "Type the allergen name" } }, "component_requirements": { "type": "allergen-autocomplete-list", "features": [ "searchable_dropdown", "category_grouping", "common_allergens_quick_select", "snomed_ct_binding", "free_text_fallback", "offline_common_allergens" ], "similar_to": "condition-autocomplete-list", "design_notes": "Mirror the condition component UX. Patient safety critical - ensure clear severity capture." }, "analytics": { "track": true, "metrics": [ "allergen_prevalence", "severity_distribution", "cross_reactivity_patterns" ], "report_category": "patient_safety" }, "outputs": [ { "deliverable": "cap_card", "tier": "MUST" }, { "deliverable": "clinical_summary", "tier": "MUST" }, { "deliverable": "emergency_quick_card", "tier": "MUST" }, { "deliverable": "allergy_alert", "tier": "MUST", "lead": true }, { "deliverable": "care_schedule", "tier": "SHOULD" }, { "deliverable": "handoff_summary", "tier": "SHOULD" }, { "deliverable": "medication_reconciliation", "tier": "SHOULD" }, { "deliverable": "new_provider_briefing", "tier": "SHOULD" }, { "deliverable": "nursing_assessment_card", "tier": "SHOULD" }, { "deliverable": "post_op_medication_guide", "tier": "SHOULD" }, { "deliverable": "pregnancy_medication_safety", "tier": "MUST" }, { "deliverable": "prenatal_emergency_card", "tier": "SHOULD" }, { "deliverable": "transfer_summary", "tier": "SHOULD" }, { "deliverable": "transition_readiness_checklist", "tier": "SHOULD" } ], "anchors": [ "cap_card", "allergy_alert", "clinical_summary" ], "anchor_role": "required", "member_facing_label": "Your Allergies", "data_shape": "collection", "composition": { "compose_strategy": "composite", "beats": [ { "key": "substance", "sentence": [ "I am allergic to ", { "blank": "the substance" }, "." ], "counsel": "What are you allergic to?", "chips": [ "Penicillin", "Sulfa drugs", "Latex", "Seafood/Shellfish", "Peanuts" ], "write": true, "counsel_variant": "autocomplete", "terminology_source": "allergens" }, { "key": "severity", "sentence": [ "My reaction to ", { "ref": "substance" }, " is ", { "blank": "how serious" }, "." ], "counsel": "How serious is it?", "chips": [ "mild", "moderate", "severe", { "key": "life_threatening", "label": "Life-threatening" }, { "key": "not_sure", "label": "Not sure" } ], "write": false }, { "key": "reaction", "sentence": [ "What happens is ", { "blank": "what you experience" }, "." ], "counsel": "What do you experience?", "pre_pop": { "from": "commonReactions", "banner": "Common reactions to {name} — does this match your experience?", "divider": "Or describe your reaction" }, "chips": [ "hives", "swelling", "breathing difficulty", "anaphylaxis", "rash" ], "write": true }, { "key": "categories", "sentence": [ "This is a ", { "blank": "kind of allergy" }, " allergy." ], "counsel": "What kind of allergy is this? One tap tells your care team where to look — not sure is okay.", "chips": [ "food", "medication", "environment", "biologic", { "key": "not_sure", "label": "Not sure", "exclusive": true } ], "write": false, "multi": true, "suggest": { "lead_by_class": { "food": "Sounds like a food allergy \u2014 is that right?", "medication": "Sounds like a medication allergy \u2014 is that right?", "environment": "Sounds like an environmental allergy \u2014 is that right?", "biologic": "Sounds like a biologic allergy \u2014 is that right?" }, "lead_tail": "Choose the one that fits, or tell us it\u2019s something else.", "hint": "suggested", "none_chosen": "Nothing is chosen until you choose it.", "_ddr": "R-RULEB-12 (MOCKUP-ALLERGY-CATEGORY-RATIFY-001 rev 3, 2026-10-14): Sanctuary suggests, only she declares. The suggestion is a sentence and a word, never a chosen chip." }, "_ddr": "DDR-ALLERGY-CLASS-AXIS-001 R-1/R-2: FHIR category, MEMBER-DECLARED via one-tap chip (LOCKED MOCKUP-ALLERGY-CATEGORY-RATIFY-001); 'not sure' normalizes to 'other' at the boundary and renders the class-not-recorded chip — never guessed. DDR-COMPOSITE-MULTICLASS-CAPTURE-001 R-1: multi:true, member selects any number of classes." }, { "key": "criticality", "sentence": [ "If I’m exposed again, it ", { "blank": "could be life-threatening" }, "." ], "counsel": "Could a future exposure be life-threatening? — only you can answer this.", "chips": [ { "key": "high", "label": "could be life-threatening" }, { "key": "low", "label": "would be serious, not life-threatening" }, { "key": "not_sure", "label": "Not sure", "exclusive": true } ], "write": false, "derive": { "rule": "criticality-from-anaphylaxis" }, "_derive_ruling": "ALLERGY-CRIT-DERIVED-1 (operator 2026-10-13 10:46, Option B; CARE-GUIDE-ALLERGY-ALERT rev 16): when this record's reaction is anaphylaxis (or her severity is life_threatening) the beat is NOT asked -- the papers read high, DERIVED and attributed ('from your last reaction'). Nothing is stored for it; she can still answer, and her answer always wins. The rule's body: criticality.vocabulary.ts BEAT_DERIVATION_RULES (one home). Supersedes 'never derived' below for this one rule only.", "_ddr": "CONSTRUCT-COMPOSITE-ALLERGY-CONFORM-MOCKUP-001 rev 3 (1) THE FIFTH BEAT, ratified at the lock 2026-08-15c. FHIR AllergyIntolerance.criticality high|low|unable-to-assess; MEMBER-DECLARED, never derived (DDR-CLINICAL-PAPER-VOICE-001 §2.4). Position per (5): flow order == sentence order, last. not_sure -> unable-to-assess at the render boundary (the categories->other precedent, R-7). (3): rows written before this beat carry NO criticality — absence stays absence." } ], "compose_template": "Allergic to {substance} ({severity}) — {reaction}. Class: {categories}.[ If I’m exposed again, it {criticality}.]", "record_noun": "allergy" }, "display_mode": "full-list", "vital_projection": { "section_label": "Allergies & sensitivities", "normalizer": "allergy", "clinical_rank": "load_bearing", "negative_assertion": { "field": "M2_NONE", "label": "No known allergies (drugs, foods, or anything else) — confirmed by you" } }, "advocate_copy": { "preamble": "This is one of the first things any care team checks.", "why_we_ask": "Your allergy list follows you into every emergency room and pharmacy. Naming each reaction here means no one has to guess what's safe to give you." } }, "M2_NONE": { "label": "No known allergies (drugs, foods, or anything else)", "question": "I confirm I have no known allergies", "type": "checkbox", "mutual_exclusive_with": "M2A", "m1_critical": false, "outputs": [ "cap_card", "clinical_summary", { "deliverable": "allergy_alert", "tier": "COULD" } ], "helpText": "Checking this tells your care team you have no known allergies of any kind: drugs, foods, or anything else.", "six_dimensions": { "dimension": "clinical_baseline", "category": "must" }, "pillar": "navigation", "anchors": [], "anchor_role": "none", "captured_inline": true, "edit_component": "checkbox-input", "interaction_style": "single_choice", "member_facing_label": "No Known Allergies", "advocate_copy": { "why_we_ask": "Saying you have no known allergies is an answer too — it tells care teams they can act without waiting to rule anything out." }, "visibility": { "emergency_access": true } }, "SENS_PAST_REACTIONS": { "type": "dynamic-list", "label": "Past reactions or sensitivities", "cognitive_load": 3, "emotional_weight": "neutral", "estimated_seconds": 90, "order": 3, "pillar": "vitality", "visibility": { "level": "clinical", "emergency_access": true, "consent_required": false, "audit_level": "high" }, "filter": { "decision_relevant": true, "impacts": [ "medication_order", "treatment_planning", "anesthesia" ], "safety_critical": false }, "integration": { "fhir_resource": "AdverseEvent", "fhir_path": "", "fhir_array": true, "smart_room_relevant": false }, "advocate_copy": { "preamble": "Not every bad experience is an allergy, but it still matters.", "why_we_ask": "Knowing what hasn't worked well helps your team choose better alternatives. A sensitivity is different from an allergy — it means 'be careful with this,' not 'never give me this.'" }, "list_config": { "item_label": "Sensitivity", "add_button_text": "+ Add another sensitivity", "none_option": "I don't have any past reactions or sensitivities", "min_items": 0, "max_items": 20, "fields": [ { "key": "treatment_name", "label": "Treatment or medication", "type": "text", "required": true, "placeholder": "What treatment or medication caused issues?", "data_shape": "narrative" }, { "key": "reaction", "label": "What happened", "type": "text", "required": false, "placeholder": "Describe the reaction or side effect", "data_shape": "narrative" }, { "key": "avoidance", "label": "How should providers handle this?", "type": "select", "required": true, "options": [ { "key": "avoid_entirely", "label": "Avoid entirely" }, { "key": "use_with_caution", "label": "Use with caution" }, { "key": "try_alternatives_first", "label": "Try alternatives first" }, { "key": "didnt_work_well", "label": "It just didn't work well" } ], "data_shape": "single-select" } ] }, "parkable": true, "skip_allowed": true, "edit_component": "dynamic-list-input", "interaction_style": "structured", "outputs": [ "clinical_summary", { "deliverable": "allergy_alert", "tier": "SHOULD" } ], "anchors": [ "allergy_alert", "clinical_summary" ], "anchor_role": "enhancing", "member_facing_label": "Your Past Reactions & Sensitivities", "data_shape": "collection", "composition": { "compose_strategy": "composite", "beats": [ { "key": "treatment", "sentence": [ "I had a reaction to ", { "blank": "the treatment or substance" }, "." ], "counsel": "What caused the reaction?", "chips": [], "write": true }, { "key": "reaction", "sentence": [ "What happened was ", { "blank": "what you experienced" }, "." ], "counsel": "What did you experience?", "chips": [ "nausea", "rash", "dizziness", "swelling" ], "write": true }, { "key": "avoidance", "sentence": [ "My care team should ", { "blank": "avoid or watch for" }, "." ], "counsel": "Should it be avoided entirely?", "chips": [ "avoid entirely", "use with caution", "monitor closely" ], "write": false } ], "compose_template": "Reacted to {treatment} ({reaction}) — {avoidance}.", "record_noun": "sensitivity" } }, "SENS_MED_PREFERENCES": { "type": "textarea", "label": "Are there medications you'd prefer to avoid if possible?", "placeholder": "For example: 'I'd rather not take opioids if there are alternatives' or 'Steroids make me feel terrible'", "cognitive_load": 2, "emotional_weight": "neutral", "estimated_seconds": 60, "order": 4, "pillar": "vitality", "visibility": { "level": "clinical", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "filter": { "decision_relevant": true, "impacts": [ "medication_order", "treatment_planning" ], "patient_voice": true, "safety_critical": false }, "integration": { "fhir_resource": "Flag", "fhir_path": "code.text", "smart_room_relevant": false }, "advocate_copy": { "preamble": "Your preferences matter — even when there isn't a medical reason.", "why_we_ask": "If there are medications you'd rather avoid, your care team can look for alternatives when possible. This is about your comfort and your voice in your own care." }, "parkable": true, "skip_allowed": true, "edit_component": "textarea-input", "interaction_style": "conversational", "outputs": [ "clinical_summary", { "deliverable": "allergy_alert", "tier": "SHOULD" } ], "anchors": [ "allergy_alert" ], "anchor_role": "enhancing", "member_facing_label": "Your Medication Preferences", "data_shape": "narrative", "composition": { "compose_strategy": "category", "type": "category-browse", "compose_prefix": "Medications I prefer to avoid:", "allow_other": true, "categories": [ { "label": "Pain Relievers", "items": [ { "key": "aspirin", "label": "Aspirin" }, { "key": "ibuprofen", "label": "Ibuprofen (Advil, Motrin)" }, { "key": "naproxen", "label": "Naproxen (Aleve)" }, { "key": "acetaminophen", "label": "Acetaminophen (Tylenol)" } ] }, { "label": "Opioids", "items": [ { "key": "morphine", "label": "Morphine" }, { "key": "oxycodone", "label": "Oxycodone" }, { "key": "fentanyl", "label": "Fentanyl" }, { "key": "hydrocodone", "label": "Hydrocodone" }, { "key": "codeine", "label": "Codeine" } ] }, { "label": "Blood Thinners", "items": [ { "key": "warfarin", "label": "Warfarin (Coumadin)" }, { "key": "heparin", "label": "Heparin" }, { "key": "aspirin-blood", "label": "Aspirin (as blood thinner)" } ] }, { "label": "Antibiotics", "items": [ { "key": "penicillin", "label": "Penicillin" }, { "key": "amoxicillin", "label": "Amoxicillin" }, { "key": "sulfa", "label": "Sulfa drugs" }, { "key": "ciprofloxacin", "label": "Ciprofloxacin" } ] }, { "label": "Other", "items": [ { "key": "nsaids-general", "label": "All NSAIDs" }, { "key": "steroids", "label": "Steroids" }, { "key": "statins", "label": "Statins" }, { "key": "benzodiazepines", "label": "Benzodiazepines" }, { "key": "none_to_avoid", "label": "None — there are no medications I'd avoid", "exclusive": true, "compose_text": "There are no medications I'd prefer to avoid." } ] } ] } }, "SENS_ANESTHESIA": { "type": "select", "label": "Have you ever had a reaction to anesthesia?", "cognitive_load": 2, "emotional_weight": "light", "estimated_seconds": 30, "order": 5, "pillar": "vitality", "visibility": { "level": "emergency", "emergency_access": true, "consent_required": false, "audit_level": "high" }, "filter": { "decision_relevant": true, "impacts": [ "anesthesia", "intubation", "surgical_planning" ], "conflict_check": true, "safety_critical": true }, "integration": { "fhir_resource": "AllergyIntolerance", "fhir_path": "code.coding[0].code", "smart_room_relevant": true, "smart_room_use": "anesthesia_alert", "cds_trigger": true }, "options": [ { "key": "none", "label": "No, never had a reaction" }, { "key": "mild_reaction", "label": "Yes, mild reaction (nausea, prolonged drowsiness)" }, { "key": "severe_reaction", "label": "Yes, severe reaction (breathing difficulty, cardiac event)" }, { "key": "malignant_hyperthermia", "label": "Malignant hyperthermia (personal or family history)" }, { "key": "unknown", "label": "I'm not sure / never had anesthesia" } ], "advocate_copy": { "preamble": "Anesthesia reactions can be life-threatening. This is critical safety information.", "why_we_ask": "Malignant hyperthermia and other anesthesia reactions are genetic and can be fatal. If you or a family member has ever had a reaction, your anesthesia team must know before any procedure." }, "parkable": false, "skip_allowed": false, "edit_component": "select-input", "interaction_style": "conversational", "outputs": [ { "deliverable": "cap_card", "tier": "SHOULD" }, { "deliverable": "clinical_summary", "tier": "SHOULD" }, { "deliverable": "allergy_alert", "tier": "MUST" } ], "anchors": [ "cap_card", "allergy_alert", "clinical_summary" ], "anchor_role": "required", "member_facing_label": "Anesthesia Reaction History", "data_shape": "single-select" }, "MAJOR_CONDITIONS": { "type": "dynamic-list", "label": "What major health conditions do you have?", "cognitive_load": 3, "emotional_weight": "neutral", "estimated_seconds": 90, "order": 3, "pillar": "navigation", "visibility": { "level": "clinical", "emergency_access": true, "consent_required": false, "audit_level": "standard" }, "filter": { "decision_relevant": true, "impacts": [ "treatment_planning", "medication_selection", "care_coordination" ], "conflict_check": true }, "integration": { "fhir_resource": "Condition", "fhir_path": "", "fhir_array": true, "fhir_code_system": "http://snomed.info/sct", "smart_room_relevant": true, "smart_room_use": "condition_awareness" }, "advocate_copy": { "preamble": "Understanding your health conditions helps your care team make better decisions.", "why_we_ask": "Conditions like diabetes, heart disease, COPD, or dementia affect treatment options and care planning. Sharing this helps ensure your care is tailored to your whole health picture." }, "list_config": { "item_label": "Condition", "add_button_text": "+ Add another condition", "none_option": "I don't have any major health conditions", "min_items": 0, "max_items": 20, "fields": [ { "key": "condition_code", "label": "Condition", "type": "condition-autocomplete", "required": true, "placeholder": "Start typing to search conditions...", "fhir_path": "code.coding[0].code", "terminology": "conditions_common", "allow_other": true, "other_fhir_path": "code.text", "display_role": "primary" }, { "key": "severity", "label": "How does it affect your daily life?", "type": "button-panel", "required": false, "fhir_path": "severity.coding[0].code", "options": [ { "key": "mild", "label": "Mild", "icon": "😐", "description": "Minimal impact on daily activities" }, { "key": "moderate", "label": "Moderate", "icon": "😟", "description": "Some limitations or regular management needed" }, { "key": "severe", "label": "Severe", "icon": "🚨", "description": "Significant impact, major accommodations needed" } ], "display_role": "secondary" }, { "key": "notes", "label": "Anything else care teams should know?", "type": "text", "required": false, "placeholder": "Optional: medications, triggers, accommodations", "fhir_path": "note[0].text", "data_shape": "narrative" } ], "progression": { "simplify_after_n": 3, "rapid_mode_after_n": 5 } }, "terminology_source": { "name": "conditions_common", "description": "Curated list of common chronic conditions for advance care planning", "categories": [ { "category": "Heart & Circulation", "icon": "❤️", "conditions": [ { "code": "CHF", "label": "Heart Failure (CHF)", "snomed": "84114007" }, { "code": "CAD", "label": "Coronary Artery Disease", "snomed": "53741008" }, { "code": "AFIB", "label": "Atrial Fibrillation (AFib)", "snomed": "49436004" }, { "code": "HTN", "label": "High Blood Pressure (Hypertension)", "snomed": "38341003" }, { "code": "PAD", "label": "Peripheral Artery Disease", "snomed": "840580004" }, { "code": "VALVE", "label": "Heart Valve Disease", "snomed": "368009" } ] }, { "category": "Lungs & Breathing", "icon": "🫁", "conditions": [ { "code": "COPD", "label": "COPD (Chronic Obstructive Pulmonary Disease)", "snomed": "13645005" }, { "code": "ASTHMA", "label": "Asthma", "snomed": "195967001" }, { "code": "IPF", "label": "Pulmonary Fibrosis", "snomed": "51615001" }, { "code": "OSA", "label": "Sleep Apnea", "snomed": "78275009" }, { "code": "LUNG_CA", "label": "Lung Cancer", "snomed": "254637007" } ] }, { "category": "Diabetes & Metabolism", "icon": "🩸", "conditions": [ { "code": "DM1", "label": "Type 1 Diabetes", "snomed": "46635009" }, { "code": "DM2", "label": "Type 2 Diabetes", "snomed": "44054006" }, { "code": "THYROID_HYPO", "label": "Hypothyroidism (Underactive Thyroid)", "snomed": "40930008" }, { "code": "THYROID_HYPER", "label": "Hyperthyroidism (Overactive Thyroid)", "snomed": "34486009" }, { "code": "OBESITY", "label": "Obesity", "snomed": "414916001" } ] }, { "category": "Kidneys & Liver", "icon": "🫘", "conditions": [ { "code": "CKD", "label": "Chronic Kidney Disease", "snomed": "709044004" }, { "code": "ESRD", "label": "End-Stage Renal Disease (on dialysis)", "snomed": "46177005" }, { "code": "CIRRHOSIS", "label": "Liver Cirrhosis", "snomed": "19943007" }, { "code": "HEPATITIS", "label": "Hepatitis (Chronic)", "snomed": "128302006" } ] }, { "category": "Brain & Nervous System", "icon": "🧠", "conditions": [ { "code": "ALZHEIMERS", "label": "Alzheimer's Disease", "snomed": "26929004" }, { "code": "DEMENTIA_OTHER", "label": "Dementia (Other Types)", "snomed": "52448006" }, { "code": "PARKINSONS", "label": "Parkinson's Disease", "snomed": "49049000" }, { "code": "MS", "label": "Multiple Sclerosis (MS)", "snomed": "24700007" }, { "code": "ALS", "label": "ALS (Lou Gehrig's Disease)", "snomed": "86044005" }, { "code": "STROKE_HISTORY", "label": "History of Stroke", "snomed": "230690007" }, { "code": "EPILEPSY", "label": "Epilepsy / Seizure Disorder", "snomed": "84757009" }, { "code": "NEUROPATHY", "label": "Neuropathy (Nerve Damage)", "snomed": "386033004" } ] }, { "category": "Cancer", "icon": "🎗️", "conditions": [ { "code": "CANCER_ACTIVE", "label": "Cancer (Active Treatment)", "snomed": "363346000" }, { "code": "CANCER_REMISSION", "label": "Cancer (In Remission)", "snomed": "277022003" }, { "code": "CANCER_ADVANCED", "label": "Cancer (Advanced/Metastatic)", "snomed": "405843009" } ] }, { "category": "Bones & Joints", "icon": "🦴", "conditions": [ { "code": "ARTHRITIS_OA", "label": "Osteoarthritis", "snomed": "396275006" }, { "code": "ARTHRITIS_RA", "label": "Rheumatoid Arthritis", "snomed": "69896004" }, { "code": "OSTEOPOROSIS", "label": "Osteoporosis", "snomed": "64859006" }, { "code": "FIBROMYALGIA", "label": "Fibromyalgia", "snomed": "203082005" } ] }, { "category": "Mental Health", "icon": "💚", "conditions": [ { "code": "DEPRESSION", "label": "Depression", "snomed": "35489007" }, { "code": "ANXIETY", "label": "Anxiety Disorder", "snomed": "197480006" }, { "code": "BIPOLAR", "label": "Bipolar Disorder", "snomed": "13746004" }, { "code": "PTSD", "label": "PTSD (Post-Traumatic Stress)", "snomed": "47505003" }, { "code": "SCHIZOPHRENIA", "label": "Schizophrenia", "snomed": "58214004" } ] }, { "category": "Immune System", "icon": "🛡️", "conditions": [ { "code": "HIV", "label": "HIV/AIDS", "snomed": "86406008" }, { "code": "LUPUS", "label": "Lupus (SLE)", "snomed": "55464009" }, { "code": "IMMUNOCOMPROMISED", "label": "Immunocompromised (Other)", "snomed": "370388006" } ] }, { "category": "Digestive System", "icon": "🫃", "conditions": [ { "code": "IBD_CROHNS", "label": "Crohn's Disease", "snomed": "34000006" }, { "code": "IBD_UC", "label": "Ulcerative Colitis", "snomed": "64766004" }, { "code": "GERD", "label": "GERD (Chronic Acid Reflux)", "snomed": "235595009" } ] }, { "category": "Blood Disorders", "icon": "🩸", "conditions": [ { "code": "ANEMIA", "label": "Anemia (Chronic)", "snomed": "271737000" }, { "code": "BLOOD_CLOT_HISTORY", "label": "History of Blood Clots", "snomed": "439127006" }, { "code": "BLEEDING_DISORDER", "label": "Bleeding Disorder", "snomed": "64779008" } ] } ], "other_option": { "enabled": true, "label": "Other condition not listed", "placeholder": "Type the condition name" } }, "component_notes": { "implementation": "condition-autocomplete", "behavior": "Shows categorized list on focus. User can browse by category or type to search. Selecting a condition captures both the standardized code and display label. 'Other' option allows free-text with no code.", "analytics": "Track condition codes for population health metrics. Free-text 'other' entries should be reviewed periodically for additions to standard list.", "accessibility": "Categories collapsible. Keyboard navigation supported. Screen reader announces category and condition." }, "parkable": true, "skip_allowed": true, "edit_component": "condition-autocomplete-list", "interaction_style": "guided_selection", "outputs": [ { "deliverable": "clinical_summary", "tier": "MUST", "lead": true, "prominence": "primary", "format": "structured-list", "section": "conditions" }, { "deliverable": "allergy_alert", "tier": "COULD" }, { "deliverable": "barriers_assessment_summary", "tier": "SHOULD" }, { "deliverable": "care_schedule", "tier": "SHOULD" }, { "deliverable": "functional_baseline_assessment", "tier": "MUST" }, { "deliverable": "handoff_summary", "tier": "SHOULD" }, { "deliverable": "medication_reconciliation", "tier": "SHOULD" }, { "deliverable": "new_provider_briefing", "tier": "SHOULD" }, { "deliverable": "nursing_assessment_card", "tier": "SHOULD" }, { "deliverable": "palliative_care_profile", "tier": "MUST" }, { "deliverable": "post_op_medication_guide", "tier": "SHOULD" }, { "deliverable": "rehabilitation_goals_statement", "tier": "MUST" }, { "deliverable": "transfer_summary", "tier": "SHOULD" }, { "deliverable": "transition_readiness_checklist", "tier": "SHOULD" } ], "anchors": [ "clinical_summary" ], "anchor_role": "required", "view_models": [ { "view_model": "ClinicalIntervention", "property_path": "conditions.list", "transform": "structured-list" } ], "member_facing_label": "Your Major Health Conditions", "display_mode": "full-list", "condition_code_labels": { "CHF": "Heart Failure (CHF)", "CAD": "Coronary Artery Disease", "AFIB": "Atrial Fibrillation (AFib)", "HTN": "High Blood Pressure (Hypertension)", "PAD": "Peripheral Artery Disease", "VALVE": "Heart Valve Disease", "COPD": "COPD (Chronic Obstructive Pulmonary Disease)", "ASTHMA": "Asthma", "IPF": "Pulmonary Fibrosis", "OSA": "Sleep Apnea", "LUNG_CA": "Lung Cancer", "DM1": "Type 1 Diabetes", "DM2": "Type 2 Diabetes", "THYROID_HYPO": "Hypothyroidism (Underactive Thyroid)", "THYROID_HYPER": "Hyperthyroidism (Overactive Thyroid)", "OBESITY": "Obesity", "CKD": "Chronic Kidney Disease", "ESRD": "End-Stage Renal Disease (on dialysis)", "CIRRHOSIS": "Liver Cirrhosis", "HEPATITIS": "Hepatitis (Chronic)", "ALZHEIMERS": "Alzheimer's Disease", "DEMENTIA_OTHER": "Dementia (Other Types)", "PARKINSONS": "Parkinson's Disease", "MS": "Multiple Sclerosis (MS)", "ALS": "ALS (Lou Gehrig's Disease)", "STROKE_HISTORY": "History of Stroke", "EPILEPSY": "Epilepsy / Seizure Disorder", "NEUROPATHY": "Neuropathy (Nerve Damage)", "CANCER_ACTIVE": "Cancer (Active Treatment)", "CANCER_REMISSION": "Cancer (In Remission)", "CANCER_ADVANCED": "Cancer (Advanced/Metastatic)", "ARTHRITIS_OA": "Osteoarthritis", "ARTHRITIS_RA": "Rheumatoid Arthritis", "OSTEOPOROSIS": "Osteoporosis", "FIBROMYALGIA": "Fibromyalgia", "DEPRESSION": "Depression", "ANXIETY": "Anxiety Disorder", "BIPOLAR": "Bipolar Disorder", "PTSD": "PTSD (Post-Traumatic Stress)", "SCHIZOPHRENIA": "Schizophrenia", "HIV": "HIV/AIDS", "LUPUS": "Lupus (SLE)", "IMMUNOCOMPROMISED": "Immunocompromised (Other)", "IBD_CROHNS": "Crohn's Disease", "IBD_UC": "Ulcerative Colitis", "GERD": "GERD (Chronic Acid Reflux)", "ANEMIA": "Anemia (Chronic)", "BLOOD_CLOT_HISTORY": "History of Blood Clots", "BLEEDING_DISORDER": "Bleeding Disorder" }, "data_shape": "collection", "composition": { "compose_strategy": "composite", "beats": [ { "key": "condition", "sentence": [ "I live with ", { "blank": "the condition" }, "." ], "counsel": "What condition?", "chips": [ "Diabetes", "Heart disease", "COPD", "Arthritis", "Cancer" ], "write": true, "counsel_variant": "autocomplete", "terminology_source": "conditions", "legacy_keys": [ "condition_code" ], "_legacy_keys_note": "2026-09-02e: the key the classic intake stored this beat under (measured: blueprint_answers legacy arrays). The codec reads beat.key first, then legacy_keys, never anything else (composite-answer.codec.ts). Remove when no legacy rows remain." }, { "key": "severity", "sentence": [ { "ref": "condition" }, " is ", { "blank": "how it affects you" }, " right now." ], "counsel": "How does it affect you day to day?", "chips": [ "well-managed", "stable with medication", "moderate impact", "newly diagnosed", "getting worse", "in remission", "significant challenge", "affects my daily life" ], "write": true }, { "key": "notes", "sentence": [ "Something my care team should know: ", { "blank": "anything important" }, "." ], "counsel": "Anything else about this condition?", "chips": [ "on daily medication", "diet controlled", "requires regular monitoring", "affects my mobility", "managing with lifestyle changes", "seeing a specialist" ], "write": true } ], "compose_template": "I live with {condition} ({severity}). {notes}", "record_noun": "condition" }, "vital_projection": { "section_label": "Major conditions", "normalizer": null, "clinical_rank": "supporting", "primary_key": "condition", "detail_key": "notes" } }, "M1": { "type": "dynamic-list", "label": "What medications do you currently take?", "cognitive_load": 4, "emotional_weight": "neutral", "estimated_seconds": 90, "order": 3, "pillar": "vitality", "visibility": { "level": "clinical", "emergency_access": true, "consent_required": false, "audit_level": "standard" }, "filter": { "decision_relevant": true, "impacts": [ "medication_order", "drug_interactions" ], "conflict_check": true }, "integration": { "fhir_resource": "MedicationStatement", "fhir_path": "", "fhir_array": true, "smart_room_relevant": false, "pharmacy_integration": true }, "advocate_copy": { "preamble": "Tell us about your current medications." }, "list_config": { "item_label": "Medication", "add_button_text": "+ Add another medication", "none_option": "I don't take any medications", "min_items": 0, "max_items": 50, "fields": [ { "key": "medication_code", "label": "Medication Name", "type": "medication-autocomplete", "required": true, "placeholder": "Start typing medication name...", "fhir_path": "medicationCodeableConcept.coding[0].code", "terminology_binding": "medications", "allow_free_text": true, "free_text_label": "Other medication not listed", "display_role": "primary" }, { "key": "dosage", "label": "Dosage (if known)", "type": "text", "required": false, "placeholder": "e.g., 10mg, 500mg twice daily", "fhir_path": "dosageInstruction[0].text", "display_role": "secondary", "data_shape": "narrative" }, { "key": "frequency", "label": "How often?", "type": "button-panel", "required": false, "fhir_path": "dosageInstruction[0].timing.code", "options": [ { "key": "daily", "label": "Daily", "icon": "☀️" }, { "key": "twice_daily", "label": "Twice daily", "icon": "🌓" }, { "key": "weekly", "label": "Weekly", "icon": "📅" }, { "key": "as_needed", "label": "As needed", "icon": "❓" }, { "key": "other", "label": "Other", "icon": "📝" } ] }, { "key": "purpose", "label": "What is it for? (optional)", "type": "text", "required": false, "placeholder": "e.g., blood pressure, diabetes, pain", "fhir_path": "reasonCode[0].text", "data_shape": "narrative" } ], "progression": { "simplify_after_n": 3, "rapid_mode_after_n": 5 } }, "parkable": false, "skip_allowed": false, "edit_component": "medication-autocomplete-list", "interaction_style": "dynamic_list", "terminology_source": { "name": "medications", "description": "Common medications organized by therapeutic category", "note": "This is a curated subset. Full RxNorm integration recommended for production.", "categories": [ { "category": "Heart & Blood Pressure", "icon": "❤️", "medications": [ { "code": "RX_LISINOPRIL", "label": "Lisinopril (Zestril, Prinivil)", "rxnorm": "203644" }, { "code": "RX_AMLODIPINE", "label": "Amlodipine (Norvasc)", "rxnorm": "17767" }, { "code": "RX_METOPROLOL", "label": "Metoprolol (Lopressor, Toprol)", "rxnorm": "866924" }, { "code": "RX_LOSARTAN", "label": "Losartan (Cozaar)", "rxnorm": "979492" }, { "code": "RX_ATORVASTATIN", "label": "Atorvastatin (Lipitor)", "rxnorm": "259255" }, { "code": "RX_SIMVASTATIN", "label": "Simvastatin (Zocor)", "rxnorm": "312961" }, { "code": "RX_ASPIRIN", "label": "Aspirin (low-dose/baby)", "rxnorm": "1191" }, { "code": "RX_WARFARIN", "label": "Warfarin (Coumadin)", "rxnorm": "855318" }, { "code": "RX_ELIQUIS", "label": "Apixaban (Eliquis)", "rxnorm": "1364435" }, { "code": "RX_XARELTO", "label": "Rivaroxaban (Xarelto)", "rxnorm": "1114195" }, { "code": "RX_FUROSEMIDE", "label": "Furosemide (Lasix)", "rxnorm": "197730" }, { "code": "RX_HCTZ", "label": "Hydrochlorothiazide (HCTZ)", "rxnorm": "310798" } ] }, { "category": "Diabetes", "icon": "💉", "medications": [ { "code": "RX_METFORMIN", "label": "Metformin (Glucophage)", "rxnorm": "861007" }, { "code": "RX_GLIPIZIDE", "label": "Glipizide (Glucotrol)", "rxnorm": "310488" }, { "code": "RX_JANUVIA", "label": "Sitagliptin (Januvia)", "rxnorm": "665033" }, { "code": "RX_JARDIANCE", "label": "Empagliflozin (Jardiance)", "rxnorm": "1545653" }, { "code": "RX_OZEMPIC", "label": "Semaglutide (Ozempic, Wegovy)", "rxnorm": "1991302" }, { "code": "RX_TRULICITY", "label": "Dulaglutide (Trulicity)", "rxnorm": "1551295" }, { "code": "RX_INSULIN", "label": "Insulin (various types)", "rxnorm": "253182" } ] }, { "category": "Pain & Inflammation", "icon": "💊", "medications": [ { "code": "RX_IBUPROFEN", "label": "Ibuprofen (Advil, Motrin)", "rxnorm": "197806" }, { "code": "RX_NAPROXEN", "label": "Naproxen (Aleve)", "rxnorm": "849574" }, { "code": "RX_ACETAMINOPHEN", "label": "Acetaminophen (Tylenol)", "rxnorm": "313782" }, { "code": "RX_TRAMADOL", "label": "Tramadol (Ultram)", "rxnorm": "835603" }, { "code": "RX_GABAPENTIN", "label": "Gabapentin (Neurontin)", "rxnorm": "310430" }, { "code": "RX_PREGABALIN", "label": "Pregabalin (Lyrica)", "rxnorm": "483426" }, { "code": "RX_PREDNISONE", "label": "Prednisone", "rxnorm": "312617" } ] }, { "category": "Mental Health", "icon": "🧠", "medications": [ { "code": "RX_SERTRALINE", "label": "Sertraline (Zoloft)", "rxnorm": "312938" }, { "code": "RX_ESCITALOPRAM", "label": "Escitalopram (Lexapro)", "rxnorm": "351249" }, { "code": "RX_FLUOXETINE", "label": "Fluoxetine (Prozac)", "rxnorm": "312940" }, { "code": "RX_BUPROPION", "label": "Bupropion (Wellbutrin)", "rxnorm": "993687" }, { "code": "RX_DULOXETINE", "label": "Duloxetine (Cymbalta)", "rxnorm": "596926" }, { "code": "RX_TRAZODONE", "label": "Trazodone", "rxnorm": "313123" }, { "code": "RX_ALPRAZOLAM", "label": "Alprazolam (Xanax)", "rxnorm": "197321" }, { "code": "RX_LORAZEPAM", "label": "Lorazepam (Ativan)", "rxnorm": "311700" }, { "code": "RX_BUSPIRONE", "label": "Buspirone (Buspar)", "rxnorm": "197517" }, { "code": "RX_QUETIAPINE", "label": "Quetiapine (Seroquel)", "rxnorm": "312800" } ] }, { "category": "Thyroid", "icon": "🦋", "medications": [ { "code": "RX_LEVOTHYROXINE", "label": "Levothyroxine (Synthroid)", "rxnorm": "966247" }, { "code": "RX_METHIMAZOLE", "label": "Methimazole (Tapazole)", "rxnorm": "310555" } ] }, { "category": "Breathing & Allergies", "icon": "🫁", "medications": [ { "code": "RX_ALBUTEROL", "label": "Albuterol (ProAir, Ventolin)", "rxnorm": "197319" }, { "code": "RX_FLUTICASONE", "label": "Fluticasone inhaler (Flovent)", "rxnorm": "896188" }, { "code": "RX_MONTELUKAST", "label": "Montelukast (Singulair)", "rxnorm": "997221" }, { "code": "RX_CETIRIZINE", "label": "Cetirizine (Zyrtec)", "rxnorm": "997488" }, { "code": "RX_LORATADINE", "label": "Loratadine (Claritin)", "rxnorm": "311715" }, { "code": "RX_SYMBICORT", "label": "Budesonide/formoterol (Symbicort)", "rxnorm": "896188" } ] }, { "category": "Stomach & Digestion", "icon": "🍽️", "medications": [ { "code": "RX_OMEPRAZOLE", "label": "Omeprazole (Prilosec)", "rxnorm": "311701" }, { "code": "RX_PANTOPRAZOLE", "label": "Pantoprazole (Protonix)", "rxnorm": "311702" }, { "code": "RX_FAMOTIDINE", "label": "Famotidine (Pepcid)", "rxnorm": "310282" }, { "code": "RX_ONDANSETRON", "label": "Ondansetron (Zofran)", "rxnorm": "312707" } ] }, { "category": "Sleep", "icon": "😴", "medications": [ { "code": "RX_ZOLPIDEM", "label": "Zolpidem (Ambien)", "rxnorm": "836674" }, { "code": "RX_MELATONIN", "label": "Melatonin", "rxnorm": "727559" }, { "code": "RX_HYDROXYZINE", "label": "Hydroxyzine (Vistaril)", "rxnorm": "197797" } ] }, { "category": "Vitamins & Supplements", "icon": "🌟", "medications": [ { "code": "RX_VITAMIN_D", "label": "Vitamin D", "rxnorm": "11253" }, { "code": "RX_VITAMIN_B12", "label": "Vitamin B12", "rxnorm": "11254" }, { "code": "RX_CALCIUM", "label": "Calcium supplement", "rxnorm": "11289" }, { "code": "RX_IRON", "label": "Iron supplement", "rxnorm": "11259" }, { "code": "RX_FISH_OIL", "label": "Fish oil / Omega-3", "rxnorm": "259096" }, { "code": "RX_MULTIVITAMIN", "label": "Multivitamin", "rxnorm": "217013" } ] } ], "other_option": { "enabled": true, "label": "Other medication not listed", "placeholder": "Type the medication name" } }, "component_requirements": { "type": "medication-autocomplete-list", "features": [ "searchable_dropdown", "category_grouping", "common_medications_quick_select", "rxnorm_binding", "free_text_fallback", "offline_common_medications", "brand_generic_matching" ], "similar_to": "condition-autocomplete-list", "design_notes": "Include both brand and generic names in labels. Consider future RxNorm API integration for comprehensive drug database.", "future_enhancements": [ "drug_interaction_checking", "pharmacy_integration", "refill_reminders" ] }, "analytics": { "track": true, "metrics": [ "medication_prevalence", "polypharmacy_rates", "category_distribution" ], "report_category": "medication_management" }, "outputs": [ { "deliverable": "clinical_summary", "tier": "MUST" }, { "deliverable": "emergency_quick_card", "tier": "MUST" }, { "deliverable": "allergy_alert", "tier": "COULD" }, { "deliverable": "cap_card", "tier": "MUST" }, { "deliverable": "care_schedule", "tier": "MUST" }, { "deliverable": "handoff_summary", "tier": "SHOULD" }, { "deliverable": "medication_reconciliation", "tier": "MUST", "lead": true }, { "deliverable": "new_provider_briefing", "tier": "SHOULD" }, { "deliverable": "nursing_assessment_card", "tier": "SHOULD" }, { "deliverable": "post_op_medication_guide", "tier": "MUST" }, { "deliverable": "pregnancy_medication_safety", "tier": "MUST" }, { "deliverable": "transfer_summary", "tier": "SHOULD" }, { "deliverable": "transition_readiness_checklist", "tier": "SHOULD" } ], "anchors": [ "allergy_alert", "clinical_summary" ], "anchor_role": "enhancing", "member_facing_label": "Your Current Medications", "display_mode": "full-list", "data_shape": "collection", "composition": { "compose_strategy": "composite", "beats": [ { "key": "name", "sentence": [ "I take ", { "blank": "the medication name" }, "." ], "counsel": "Which medication?", "chips": [ "Metformin", "Lisinopril", "Atorvastatin", "Omeprazole" ], "write": true, "counsel_variant": "autocomplete", "terminology_source": "medications", "legacy_keys": [ "medication_code" ], "_legacy_keys_note": "2026-09-02e: the key the classic intake stored this beat under (measured: blueprint_answers legacy arrays). The codec reads beat.key first, then legacy_keys, never anything else (composite-answer.codec.ts). Remove when no legacy rows remain." }, { "key": "dose", "sentence": [ { "ref": "name" }, " — my dose is ", { "blank": "the strength" }, "." ], "counsel": "Strength on the label", "chips": [], "write": true, "write_label": "Type it exactly as the label says", "write_label_with_chips": "Not listed? Type it exactly as the label says", "write_placeholder": "e.g., 10 mg", "counsel_variant": "dependent", "depends_on": "name", "terminology_source": "medications", "legacy_keys": [ "dosage" ], "_legacy_keys_note": "2026-09-02e: the key the classic intake stored this beat under (measured: blueprint_answers legacy arrays). The codec reads beat.key first, then legacy_keys, never anything else (composite-answer.codec.ts). Remove when no legacy rows remain." }, { "key": "amount", "sentence": [ "I take ", { "blank": "how much" }, " each time." ], "counsel": "How much each time", "chips": [ "1 tablet", "½ tablet", "2 tablets", "1 puff", "2 puffs", { "key": "__other", "label": "Other", "opens": "write" } ], "write": true, "write_label": "Type how much you take each time", "write_placeholder": "e.g., 1 capsule" }, { "key": "frequency", "sentence": [ "I take it ", { "blank": "how often" }, "." ], "counsel": "How often, as the label says", "chips": [ { "key": "once daily", "label": "Once daily" }, { "key": "twice daily", "label": "Twice daily" }, { "key": "three times daily", "label": "Three times daily" }, { "key": "at bedtime", "label": "At bedtime" }, { "key": "every other day", "label": "Every other day" }, { "key": "weekly", "label": "Once a week" }, { "key": "as needed", "label": "As needed", "opens": "follow-on" }, { "key": "__other", "label": "Other — as the label says", "opens": "write" } ], "write": true, "write_label": "Type it exactly as the label says", "write_placeholder": "e.g., every 8 hours", "follow_on": { "key": "as_needed_for", "when": "as needed", "prefix": "as needed for ", "label": "As needed for", "placeholder": "e.g., wheezing" }, "_stored_note": "S2 2026-09-30: chip KEYS are the tokens already stored (baseline rows M1 frequency); only the labels changed. 'weekly' is labelled 'Once a week'." }, { "key": "purpose", "sentence": [ "It helps with ", { "blank": "what it treats" }, "." ], "counsel": "What is it for?", "chips": [ "blood pressure", "type 2 diabetes", "high cholesterol", "pain", "heart health", "thyroid", "acid reflux", "anxiety", "depression", "breathing", "infection", "sleep", "seizures", "blood clots", "inflammation", "asthma" ], "write": true, "write_label": "Type what it is for", "write_placeholder": "e.g., migraine" }, { "key": "status", "sentence": [ "Right now I am ", { "blank": "still taking?" }, "." ], "counsel": "Am I still taking it?", "chips": [ "Still taking", "Stopped", "Paused", "Not sure" ], "write": false, "intent": "set-status" } ], "compose_template": "I take {name} {dose}, {amount}[, {frequency}][, for {purpose}].", "template_variants": [ { "when": { "amount": "" }, "template": "I take {name} at a dose of {dose}[ ({frequency})][ for {purpose}]." }, { "when": { "status": "Stopped" }, "template": "I took {name} {dose}, {amount}[, {frequency}][, for {purpose}]." } ], "status_line": "Right now: {status}", "seat_noun": "medications", "record_card": { "rows": [ { "keys": ["name", "dose"], "join": " " }, { "keys": ["amount", "frequency"], "join": " · " }, { "keys": ["purpose"], "prefix": "For: ", "class": "class" }, { "keys": ["status"] } ], "told_name": ["name", "dose"], "told_tag": { "key": "status", "omit": "Still taking" }, "gaps": [ { "key": "amount", "label": "How much" }, { "key": "frequency", "label": "How often" }, { "key": "purpose", "label": "What it’s for" } ], "gap_suffix": "not yet said" }, "record_noun": "medication" }, "vital_projection": { "section_label": "Active medications", "normalizer": "medication", "clinical_rank": "load_bearing" } }, "M5": { "type": "multiselect", "label": "Do you have any medical implants or devices?", "cognitive_load": 3, "emotional_weight": "neutral", "estimated_seconds": 30, "order": 4, "pillar": "navigation", "visibility": { "level": "clinical", "emergency_access": true, "consent_required": false, "audit_level": "standard" }, "filter": { "decision_relevant": true, "impacts": [ "mri_scan", "surgery", "defibrillation" ], "conflict_check": true, "safety_critical": true }, "integration": { "fhir_resource": "Device", "fhir_path": "", "fhir_array": true, "smart_room_relevant": true, "smart_room_use": "safety_alerts" }, "advocate_copy": { "why_we_ask": "Some implants affect treatment options. For example, certain implants are not safe for MRI scans." }, "options": [ { "key": "pacemaker", "label": "Pacemaker", "safety_flag": "mri_incompatible" }, { "key": "defibrillator", "label": "Implantable Defibrillator (ICD)", "safety_flag": "mri_incompatible" }, { "key": "insulin_pump", "label": "Insulin Pump", "safety_flag": "medication_device" }, { "key": "cochlear", "label": "Cochlear Implant", "safety_flag": "mri_conditional" }, { "key": "joint_hip", "label": "Hip Replacement" }, { "key": "joint_knee", "label": "Knee Replacement" }, { "key": "joint_shoulder", "label": "Shoulder Replacement" }, { "key": "stent_cardiac", "label": "Cardiac Stent" }, { "key": "stent_other", "label": "Other Stent" }, { "key": "spinal_stimulator", "label": "Spinal Cord Stimulator", "safety_flag": "mri_incompatible" }, { "key": "port", "label": "Port-a-Cath / Medication Port" }, { "key": "shunt", "label": "VP Shunt (brain)" }, { "key": "other", "label": "Other implant or device" }, { "key": "none", "label": "None - I don't have any implants", "exclusive": true } ], "parkable": true, "skip_allowed": true, "edit_component": "multiselect-input", "interaction_style": "chips", "outputs": [ "clinical_summary", { "deliverable": "cap_card", "tier": "COULD" }, { "deliverable": "emergency_quick_card", "tier": "COULD" }, { "deliverable": "code_status_directive", "tier": "COULD" }, { "deliverable": "comfort_care_plan", "tier": "COULD" }, { "deliverable": "hospice_intake_package", "tier": "COULD" }, { "deliverable": "palliative_care_profile", "tier": "COULD" }, { "deliverable": "final_wishes", "tier": "COULD" } ], "anchors": [ "clinical_summary" ], "anchor_role": "enhancing", "member_facing_label": "Medical Implants or Devices", "data_shape": "narrative", "composition": { "compose_strategy": "category", "allow_other": true, "compose_prefix": "I have", "categories": [ { "key": "heart_circulation", "label": "Heart & circulation", "items": [ { "key": "pacemaker", "label": "a pacemaker" }, { "key": "defibrillator", "label": "an implanted defibrillator (ICD)" }, { "key": "stent_cardiac", "label": "a cardiac stent" }, { "key": "stent_other", "label": "another stent" } ] }, { "key": "bones_joints", "label": "Bones & joints", "items": [ { "key": "joint_hip", "label": "a hip replacement" }, { "key": "joint_knee", "label": "a knee replacement" }, { "key": "joint_shoulder", "label": "a shoulder replacement" } ] }, { "key": "nerves_senses", "label": "Nerves & senses", "items": [ { "key": "spinal_stimulator", "label": "a spinal cord stimulator" }, { "key": "shunt", "label": "a VP shunt" }, { "key": "cochlear", "label": "a cochlear implant" } ] }, { "key": "pumps_ports", "label": "Pumps & ports", "items": [ { "key": "insulin_pump", "label": "an insulin pump" }, { "key": "port", "label": "a medication port" }, { "key": "none", "label": "None — I don’t have any implants or devices", "exclusive": true, "compose_text": "I don’t have any implants or devices." } ] } ] } }, "M5B": { "type": "dynamic-list", "label": "Your medical devices & implants", "cognitive_load": 3, "emotional_weight": "neutral", "estimated_seconds": 60, "order": 5, "pillar": "navigation", "visibility": { "level": "clinical", "emergency_access": true, "consent_required": false, "audit_level": "standard" }, "filter": { "decision_relevant": true, "impacts": [ "mri_scan", "surgery", "emergency_care", "medication_management" ], "safety_critical": true }, "advocate_copy": { "preamble": "Having details about your medical devices helps your care team make safe decisions, especially in emergencies.", "why_we_ask": "Information like when a device was implanted, its brand, and any special instructions can be critical for your safety during procedures." }, "list_config": { "item_label": "Device", "add_button_text": "Add another device", "min_items": 1, "fields": [ { "key": "device_type", "label": "Device Type", "type": "text", "required": true, "placeholder": "e.g., Pacemaker, Insulin Pump", "data_shape": "narrative" }, { "key": "implant_date", "label": "When Implanted (approximate)", "type": "text", "placeholder": "e.g., March 2020, 5 years ago", "data_shape": "narrative" }, { "key": "brand_model", "label": "Brand/Model (if known)", "type": "text", "placeholder": "e.g., Medtronic, Boston Scientific", "data_shape": "narrative" }, { "key": "location", "label": "Location in Body", "type": "text", "placeholder": "e.g., Chest, Left hip", "data_shape": "narrative" }, { "key": "special_instructions", "label": "Special Care Instructions", "type": "text", "placeholder": "e.g., Check battery every 6 months", "data_shape": "narrative" }, { "key": "mr_status", "label": "Is it safe for MRI scans?", "type": "select", "data_shape": "single-select", "options": [ { "key": "mr_conditional", "label": "Yes, under conditions (MR conditional)" }, { "key": "not_mr_conditional", "label": "No (not MR conditional)" }, { "key": "dont_know", "label": "I don't know" } ] }, { "key": "managing_clinic", "label": "Who looks after it (clinic and phone)", "type": "text", "placeholder": "e.g., City Heart Device Clinic, 555-0100", "data_shape": "narrative" } ], "none_option": "No medical devices or implants" }, "integration": { "fhir_resource": "Device", "fhir_array": true, "smart_room_relevant": true, "smart_room_use": "safety_alerts" }, "parkable": true, "skip_allowed": true, "edit_component": "dynamic-list-input", "interaction_style": "dynamic_list", "outputs": [ "clinical_summary", { "deliverable": "transfer_summary", "tier": "SHOULD" } ], "anchors": [ "clinical_summary" ], "anchor_role": "enhancing", "member_facing_label": "Your Medical Devices & Implants", "data_shape": "collection", "composition": { "compose_strategy": "composite", "beats": [ { "key": "device", "sentence": [ "I have a ", { "blank": "the device or implant" }, "." ], "counsel": "What device or implant?", "chips": [ "pacemaker", "insulin pump", "joint replacement", "hearing aid", "CPAP" ], "write": true }, { "key": "location", "sentence": [ "It is in my ", { "blank": "where in your body" }, "." ], "counsel": "Where is it?", "chips": [ "chest", "left knee", "right hip", "left ear", "right ear" ], "write": true }, { "key": "instructions", "sentence": [ "For ", { "ref": "device" }, ", my care team should know: ", { "blank": "special instructions" }, "." ], "counsel": "Any special instructions?", "chips": [ "no MRI", "battery check needed", "waterproof" ], "write": true } ], "compose_template": "{device} ({location}) — {instructions}.", "record_noun": "device" } }, "Q1": { "type": "text", "label": "What does quality of life mean to you?", "placeholder": "Example: Life is worth living if I can recognize my family, have conversations, and enjoy my favorite music...", "cognitive_load": 5, "emotional_weight": "heavy", "estimated_seconds": 120, "isolate": true, "captured_inline": true, "order": 1, "pillar": "essence", "visibility": { "level": "planning", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "filter": { "decision_relevant": true, "patient_voice": true, "impacts": [ "all_major_decisions" ], "surface_on_conflict": true, "primary_values_statement": true }, "integration": { "fhir_resource": "Goal", "fhir_path": "description.text", "smart_room_relevant": false }, "advocate_copy": { "preamble": "This is perhaps the most important question in your entire Blueprint. There are no right or wrong answers—only YOUR answers.", "why_we_ask": "When doctors and family know what 'quality of life' means to YOU personally, they can make decisions that truly honor your values." }, "calming_ui": { "enabled": true, "show_breathing": true }, "legacy_journey": "my_values", "parkable": true, "skip_allowed": true, "edit_component": "guided-voice", "interaction_style": "guided-voice", "outputs": [ { "deliverable": "clinical_summary", "tier": "COULD" }, { "deliverable": "meet_me_brief", "tier": "SHOULD" }, { "deliverable": "new_provider_briefing", "tier": "SHOULD" }, { "deliverable": "personal_portrait", "tier": "SHOULD" }, { "deliverable": "pregnancy_story", "tier": "SHOULD" }, { "deliverable": "family_letter", "tier": "SHOULD" }, { "deliverable": "spiritual_cultural_guide", "tier": "COULD" } ], "anchors": [ "personal_portrait" ], "anchor_role": "enhancing", "member_facing_label": "What Quality of Life Means to You", "clinical_language_expected": true, "composition": { "compose_strategy": "recognition", "type": "guided_voice", "default_mode": "starters", "allow_freeform": true, "joiner": " ", "min_completions": 1 }, "displayLabel": "Quality of Life", "data_shape": "narrative", "loomConfig": { "doorways": [ { "key": "daily", "heading": "The everyday things", "prompt": "What makes a day worth getting up for.", "themes": [ { "key": "recognize", "label": "Recognizing the people I love", "clause": "I can still recognize the people I love" }, { "key": "conversation", "label": "Having a real conversation", "clause": "I can have a real conversation" }, { "key": "outdoors", "label": "Getting outside", "clause": "I can get outside and feel the air" }, { "key": "food", "label": "Enjoying a good meal", "clause": "I can enjoy a good meal" }, { "key": "music", "label": "Listening to music", "clause": "I can still enjoy music" } ] }, { "key": "dignity", "heading": "What dignity means to me", "prompt": "The lines you would draw.", "themes": [ { "key": "independent", "label": "Taking care of myself", "clause": "I can still take care of myself" }, { "key": "lucid", "label": "Knowing who I am", "clause": "I know who I am and where I am" }, { "key": "no_machines", "label": "Not being kept alive by machines", "clause": "I am not being kept alive by machines alone" }, { "key": "no_pain", "label": "Being free of constant pain", "clause": "I am not in constant pain" }, { "key": "home", "label": "Being in my own home", "clause": "I can be in my own home" } ] }, { "key": "connection", "heading": "What makes life meaningful", "prompt": "The deeper things that matter.", "themes": [ { "key": "family_near", "label": "My family close by", "clause": "my family is close by" }, { "key": "purpose", "label": "Having a sense of purpose", "clause": "I still have a sense of purpose" }, { "key": "faith_active", "label": "Practicing my faith", "clause": "I can still practice my faith" }, { "key": "laugh", "label": "Still being able to laugh", "clause": "I can still laugh" } ] } ], "weaveFrame": { "lead": "Life is worth living when", "conjunction": "and", "oxford": true, "separator": ", ", "escalatedSeparator": "; ", "terminator": "." } } }, "QUALITY_PRIORITIES": { "type": "multiselect", "label": "What matters most to you in your daily life?", "cognitive_load": 3, "emotional_weight": "moderate", "estimated_seconds": 60, "order": 6, "micro_journey_key": "my_values", "pillar": "essence", "visibility": { "level": "team", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "filter": { "decision_relevant": true, "impacts": [ "treatment_planning", "care_coordination", "goals_of_care" ], "conflict_check": false }, "integration": { "fhir_resource": "Goal", "fhir_path": "description.text", "fhir_array": true, "smart_room_relevant": true, "smart_room_use": "patient_priorities_display" }, "advocate_copy": { "preamble": "Choose up to five things that matter most. There are no wrong answers.", "why_we_ask": "Understanding your priorities helps your care team make recommendations that support the life you want to live — not just the medical outcomes they can measure." }, "max_selections": 5, "options": [ { "key": "independence", "label": "Independence", "icon": "🦅", "description": "Being able to care for myself and make my own decisions" }, { "key": "pain_free", "label": "Being Pain-Free", "icon": "🌸", "description": "Staying comfortable and free from pain" }, { "key": "mental_clarity", "label": "Mental Clarity", "icon": "💡", "description": "Being able to think clearly and recognize my loved ones" }, { "key": "family_time", "label": "Time with Family", "icon": "👨‍👩‍👧‍👦", "description": "Spending meaningful time with people I love" }, { "key": "dignity", "label": "Dignity", "icon": "👑", "description": "Being treated with respect and maintaining my sense of self" }, { "key": "faith_practice", "label": "Faith & Spiritual Practice", "icon": "🕊️", "description": "Continuing my spiritual or religious practices" }, { "key": "mobility", "label": "Mobility & Activity", "icon": "🚶", "description": "Being able to move around and stay active" }, { "key": "home", "label": "Being at Home", "icon": "🏠", "description": "Staying in my own home as long as possible" }, { "key": "longevity", "label": "Living as Long as Possible", "icon": "⏳", "description": "Extending my life, even if it means more medical intervention" }, { "key": "purpose", "label": "Sense of Purpose", "icon": "🎯", "description": "Continuing to contribute and feel useful" }, { "key": "none_of_these", "label": "None of these are priorities for me", "exclusive": true } ], "outputs": [ { "deliverable": "personal_portrait", "section": "priorities", "prominence": "primary", "format": "tag-list" }, { "deliverable": "family_caregiver_guide", "section": "what_matters", "prominence": "primary", "format": "tag-list" }, { "deliverable": "palliative_care_profile", "tier": "SHOULD" }, { "deliverable": "clinical_summary", "tier": "COULD", "prominence": "primary", "format": "tag-list", "section": "patient_goals" }, { "deliverable": "meet_me_brief", "tier": "SHOULD" }, { "deliverable": "new_provider_briefing", "tier": "SHOULD" }, { "deliverable": "patient_goals_statement", "tier": "SHOULD" }, { "deliverable": "treatment_philosophy_statement", "tier": "SHOULD" }, { "deliverable": "wishes_directives_summary", "tier": "COULD", "prominence": "secondary", "format": "tag-list", "section": "quality_priorities" } ], "view_models": [ { "view_model": "ClinicalIntervention", "property_path": "patientGoals.priorities", "transform": "option-labels" }, { "view_model": "ClinicalIntervention", "property_path": "patientGoals.rawValues", "transform": "direct" } ], "edit_component": "multiselect-input", "interaction_style": "multiselect", "member_facing_label": "What Matters Most in Daily Life", "data_shape": "narrative", "composition": { "compose_strategy": "category", "allow_other": true, "compose_prefix": "What matters most to me is", "categories": [ { "key": "priorities", "label": "What matters", "items": [ { "key": "independence", "label": "my independence" }, { "key": "pain_free", "label": "being pain-free" }, { "key": "mental_clarity", "label": "mental clarity" }, { "key": "family_time", "label": "time with family" }, { "key": "dignity", "label": "dignity" }, { "key": "faith_practice", "label": "faith and spiritual practice" }, { "key": "mobility", "label": "mobility and activity" }, { "key": "home", "label": "being at home" }, { "key": "longevity", "label": "living as long as possible" }, { "key": "purpose", "label": "a sense of purpose" }, { "key": "none_of_these", "label": "None of these quite fit", "exclusive": true, "compose_text": "None of these are priorities for me — my priorities are my own." } ] } ] } }, "V1": { "lede": { "label": "What you value most", "pools": ["ordinary", "season", "quiet"] }, "type": "text", "label": "What do you value most in life?", "cognitive_load": 3, "emotional_weight": "neutral", "estimated_seconds": 45, "isolate": true, "captured_inline": true, "order": 2, "pillar": "essence", "visibility": { "level": "planning", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "filter": { "decision_relevant": true, "impacts": [ "care_goals", "treatment_decisions" ], "values_context": true }, "integration": { "fhir_resource": "Goal", "fhir_path": "category", "smart_room_relevant": false }, "allow_other": true, "options": [ { "key": "family", "label": "Family", "filter_hint": "prioritize_family_involvement" }, { "key": "independence", "label": "Independence", "filter_hint": "preserve_autonomy" }, { "key": "faith", "label": "Faith / Spirituality", "filter_hint": "spiritual_care_important" }, { "key": "dignity", "label": "Dignity", "filter_hint": "preserve_dignity" }, { "key": "comfort", "label": "Comfort", "filter_hint": "prioritize_comfort" }, { "key": "connection", "label": "Connection with Others", "filter_hint": "social_needs" }, { "key": "purpose", "label": "Sense of Purpose", "filter_hint": "meaningful_activities" }, { "key": "nature", "label": "Being in Nature", "filter_hint": "environment_matters" }, { "key": "other", "label": "Other (please specify)" }, { "key": "none_of_these", "label": "None of these apply to me", "exclusive": true } ], "legacy_journey": "my_values", "parkable": true, "skip_allowed": true, "edit_component": "guided-voice", "interaction_style": "guided-voice", "outputs": [ "clinical_summary", { "deliverable": "personal_portrait", "tier": "SHOULD" }, { "deliverable": "goals_of_care", "tier": "MUST" } ], "anchors": [ "personal_portrait" ], "anchor_role": "enhancing", "member_facing_label": "What You Value Most", "composition": { "compose_strategy": "offered-words", "type": "guided_voice", "default_mode": "starters", "allow_freeform": true, "starters": [ { "id": "s-001", "display_order": 1, "text": "What I value most in life is...", "completions": [ { "key": "v1s1-family", "text": "the people who know me best and love me anyway." }, { "key": "v1s1-faith", "text": "my faith — it’s the ground I stand on." }, { "key": "v1s1-freedom", "text": "my independence — being able to live on my own terms." }, { "key": "v1s1-purpose", "text": "knowing that what I do matters to someone." }, { "key": "v1s1-peace", "text": "peace — in my home, in my heart, in my days." } ] }, { "id": "s-002", "display_order": 2, "text": "The things that matter most to me are...", "completions": [ { "key": "v1s2-together", "text": "the moments we spend together, even the quiet ones." }, { "key": "v1s2-honest", "text": "honesty and being treated with respect." }, { "key": "v1s2-nature", "text": "being outdoors — feeling the sun, hearing the birds." }, { "key": "v1s2-laugh", "text": "laughter — I need it like I need air." }, { "key": "v1s2-learn", "text": "learning something new, even now." } ] }, { "id": "s-003", "display_order": 3, "text": "I believe in...", "completions": [ { "key": "v1s3-kind", "text": "treating people the way I want to be treated." }, { "key": "v1s3-strong", "text": "staying strong, no matter what comes." }, { "key": "v1s3-god", "text": "God’s plan, even when I can’t see it." }, { "key": "v1s3-second", "text": "second chances — for me and for everyone." }, { "key": "v1s3-truth", "text": "telling the truth, even when it’s hard." } ] }, { "id": "s-004", "display_order": 4, "text": "My life is built around...", "completions": [ { "key": "v1s4-kids", "text": "my children — everything I do is for them." }, { "key": "v1s4-work", "text": "my work — it gives me pride and purpose." }, { "key": "v1s4-comm", "text": "my community — church, neighbors, the people who show up." }, { "key": "v1s4-routine", "text": "my routines — they keep me grounded." }, { "key": "v1s4-partner", "text": "my partner — we built this life together." } ] } ], "joiner": " ", "min_completions": 1 }, "displayLabel": "What I Value Most", "data_shape": "narrative", "loomConfig": { "doorways": [ { "key": "relationships", "heading": "People and connection", "prompt": "What matters in how you relate to others.", "themes": [ { "key": "family", "label": "Family above all", "clause": "family comes first" }, { "key": "loyalty", "label": "Loyalty and trust", "clause": "loyalty and trust are everything" }, { "key": "kindness", "label": "Kindness to others", "clause": "being kind to others matters deeply" }, { "key": "honesty", "label": "Honesty and truth", "clause": "honesty is non-negotiable for me" } ] }, { "key": "principles", "heading": "How I live", "prompt": "The principles that guide your choices.", "themes": [ { "key": "independence", "label": "Independence", "clause": "my independence" }, { "key": "faith_values", "label": "My faith and beliefs", "clause": "living by my faith" }, { "key": "dignity", "label": "Dignity and respect", "clause": "dignity and respect for everyone" }, { "key": "hard_work", "label": "Hard work and perseverance", "clause": "working hard and never giving up" }, { "key": "gratitude", "label": "Gratitude for what I have", "clause": "being grateful for what I have" } ] } ], "weaveFrame": { "lead": "The values that guide my care decisions are", "conjunction": "and", "oxford": true, "separator": ", ", "escalatedSeparator": "; ", "terminator": "." } }, "advocate_copy": { "preamble": "What you value is the compass for your care.", "why_we_ask": "When hard choices come, the people caring for you can weigh them against what matters most to you — not what they'd assume." } }, "PP1": { "type": "text", "label": "In one sentence, how would you describe yourself?", "placeholder": "Example: I am a devoted grandmother who loves gardening and never misses Sunday dinner with family.", "cognitive_load": 4, "emotional_weight": "moderate", "estimated_seconds": 60, "isolate": true, "captured_inline": true, "order": 3, "pillar": "essence", "visibility": { "level": "clinical", "emergency_access": true, "consent_required": false, "audit_level": "standard" }, "filter": { "decision_relevant": false, "patient_voice": true, "surface_always": true }, "integration": { "fhir_resource": "Patient", "fhir_path": "extension.personal_statement", "smart_room_relevant": true, "smart_room_use": "personalization" }, "advocate_copy": { "preamble": "This becomes your personal introduction—the first thing care providers see about you.", "why_we_ask": "This personal phrase helps care providers see you as a whole person from the very first moment. It reminds them they're caring for someone with a rich life story.", "tips": "Think about: What roles define you (parent, teacher, veteran)? What passions drive you? What would someone need to know to truly understand who you are?" }, "legacy_journey": "my_values", "parkable": true, "skip_allowed": true, "edit_component": "guided-voice", "interaction_style": "guided-voice", "outputs": [ { "deliverable": "clinical_summary", "tier": "COULD" }, { "deliverable": "care_circle", "tier": "SHOULD" }, { "deliverable": "new_provider_briefing", "tier": "SHOULD" }, { "deliverable": "personal_portrait", "tier": "MUST" }, { "deliverable": "pregnancy_story", "tier": "SHOULD" }, { "deliverable": "meet_me_brief", "tier": "COULD" } ], "anchors": [ "personal_portrait", "care_circle" ], "anchor_role": "required", "member_facing_label": "About You", "clinical_language_expected": true, "composition": { "type": "guided_voice", "default_mode": "starters", "allow_freeform": true, "starters": [ { "id": "s-001", "display_order": 1, "text": "If you met me, you'd notice that...", "completions": [ { "key": "s001-warm", "text": "I light up when I talk about the people I love." }, { "key": "s001-quiet", "text": "I'm quiet at first, but I listen to everything." }, { "key": "s001-humor", "text": "I'll probably try to make you laugh." }, { "key": "s001-steady", "text": "I'm steady — not much rattles me." }, { "key": "s001-curious", "text": "I ask a lot of questions — I'm genuinely curious about people." } ] }, { "id": "s-002", "display_order": 2, "text": "The first thing people usually say about me is...", "completions": [ { "key": "s002-kind", "text": "that I'm kind and easy to talk to." }, { "key": "s002-strong", "text": "that I'm stronger than I look." }, { "key": "s002-funny", "text": "that I always know how to lighten the mood." }, { "key": "s002-reliable", "text": "that I'm the person they call when things get hard." }, { "key": "s002-determined", "text": "that once I set my mind to something, it's happening." } ] }, { "id": "s-003", "display_order": 3, "text": "I'm someone who...", "completions": [ { "key": "s003-family", "text": "puts family before everything else." }, { "key": "s003-faith", "text": "draws strength from my faith." }, { "key": "s003-independent", "text": "values my independence deeply." }, { "key": "s003-caretaker", "text": "has spent most of my life taking care of others." }, { "key": "s003-learner", "text": "is always learning something new." } ] }, { "id": "s-004", "display_order": 4, "text": "What makes me, me, is...", "completions": [ { "key": "s004-perseverance", "text": "that I don't give up, even when it's hard." }, { "key": "s004-love", "text": "how deeply I love the people in my life." }, { "key": "s004-principles", "text": "my principles — I know what I stand for." }, { "key": "s004-joy", "text": "my ability to find joy in small things." }, { "key": "s004-story", "text": "everything I've been through to get here." } ] } ], "joiner": " ", "min_completions": 1, "compose_strategy": "offered-words" }, "displayLabel": "How I See Myself", "data_shape": "narrative", "loomConfig": { "doorways": [ { "key": "roles", "heading": "The roles I live", "prompt": "How you show up for the people around you.", "themes": [ { "key": "parent", "label": "A devoted parent", "clause": "I am a devoted parent" }, { "key": "partner", "label": "A loving partner", "clause": "I am a loving partner" }, { "key": "grandparent", "label": "A proud grandparent", "clause": "I am a proud grandparent" }, { "key": "friend", "label": "A loyal friend", "clause": "I am a loyal friend" }, { "key": "caregiver", "label": "Someone who takes care of others", "clause": "I take care of the people around me" } ] }, { "key": "passions", "heading": "What lights me up", "prompt": "The things that make you you.", "themes": [ { "key": "outdoors", "label": "I love being outdoors", "clause": "I love being outdoors" }, { "key": "creative", "label": "I'm a creative person", "clause": "I'm a creative person" }, { "key": "faith", "label": "My faith is central to who I am", "clause": "my faith is central to who I am" }, { "key": "learner", "label": "I'm always learning something new", "clause": "I'm always learning something new" }, { "key": "community", "label": "My community matters deeply", "clause": "my community matters deeply to me" } ] } ], "weaveFrame": { "lead": "", "conjunction": "and", "oxford": true, "separator": ", ", "escalatedSeparator": "; ", "terminator": "." } } }, "ROLE_CARING_NOW": { "type": "select", "label": "Are you caring for someone now?", "description": "You chose Caregiver. This tells us whether it's now or in the past.", "cognitive_load": 1, "emotional_weight": "moderate", "estimated_seconds": 10, "order": 4, "pillar": "essence", "data_shape": "single-select", "options": [ { "key": "now", "label": "Yes, now" }, { "key": "before", "label": "In the past" }, { "key": "prefer_not", "label": "I'd rather not say" } ], "conditional": { "show_when": { "field": "LIFE_ROLES", "operator": "contains", "value": "caregiver" } }, "visibility": { "level": "standard", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "parkable": true, "skip_allowed": true, "interaction_style": "chips", "edit_component": "choice-card-input", "member_facing_label": "Caring for someone now", "advocate_copy": { "preamble": "The roles question asks what has defined your life. This one asks about now.", "why_we_ask": "So a backup carer is asked about only when someone relies on you today." }, "outputs": [ { "deliverable": "who_depends_on_me", "tier": "COULD", "validation": { "verdict": "ADD", "reader": "stand_in", "act": "know a carer is needed now", "evidence": "docs/ddr/DDR-LIFE-ROLES-AND-DEPENDENTS-001.md §5.2, §16 Q-1", "method": "provisional", "date": "2026-10-12" } } ], "_ddr": "§5.2 + Q-1 (ruled yes): the Caregiver chip is past tense ('have defined'); only 'now' here sets is_caregiver. Scene 2." }, "DEPENDENTS_SOLE_CARER": { "type": "select", "label": "Is there another adult at home who looks after them day to day?", "description": "This helps us know who would be there first. Skip it if you like.", "cognitive_load": 1, "emotional_weight": "moderate", "estimated_seconds": 10, "order": 5, "pillar": "essence", "data_shape": "single-select", "options": [ { "key": "shared", "label": "Yes, we share it" }, { "key": "mostly_me", "label": "It's mostly me" }, { "key": "prefer_not", "label": "I'd rather not say" } ], "declined_values": [ "prefer_not" ], "asked_after": "the first minor DEPENDS_ON_ME entry is saved", "visibility": { "level": "standard", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "parkable": true, "skip_allowed": true, "interaction_style": "chips", "edit_component": "choice-card-input", "member_facing_label": "Who shares their care", "never_inferred": true, "outputs": [ { "deliverable": "who_depends_on_me", "tier": "COULD", "validation": { "verdict": "ADD", "reader": "stand_in", "act": "know who would be there first", "evidence": "docs/ddr/DDR-LIFE-ROLES-AND-DEPENDENTS-001.md §5.2, §10 D-3", "method": "provisional", "date": "2026-10-12" } }, { "deliverable": "care_coordination_brief", "tier": "COULD" }, { "deliverable": "new_provider_briefing", "tier": "COULD" } ], "_ddr": "§5.2 + §10 D-3: stated only, never inferred from marital status, a missing spouse in the village or 'lives alone'. Scene 2a." }, "LIFE_ROLES": { "type": "multiselect", "label": "What roles have defined your life?", "cognitive_load": 2, "emotional_weight": "reflective", "estimated_seconds": 30, "order": 3, "pillar": "essence", "visibility": { "level": "full", "emergency_access": false, "consent_required": false }, "parkable": true, "skip_allowed": true, "interaction_style": "chips", "edit_component": "multiselect-chips", "options": [ { "key": "parent", "label": "Parent", "icon": "👨‍👩‍👧" }, { "key": "grandparent", "label": "Grandparent", "icon": "👴" }, { "key": "spouse", "label": "Spouse/Partner", "icon": "💑" }, { "key": "child", "label": "Son/Daughter", "icon": "👶" }, { "key": "sibling", "label": "Brother/Sister", "icon": "👫" }, { "key": "friend", "label": "Friend", "icon": "🤝" }, { "key": "mentor", "label": "Mentor/Teacher", "icon": "🎓" }, { "key": "professional", "label": "Professional", "icon": "💼" }, { "key": "artist", "label": "Artist/Creator", "icon": "🎨" }, { "key": "volunteer", "label": "Volunteer", "icon": "🤲" }, { "key": "caregiver", "label": "Caregiver", "icon": "💝" }, { "key": "veteran", "label": "Veteran", "icon": "🎖️" }, { "key": "athlete", "label": "Athlete", "icon": "⚽" }, { "key": "other", "label": "Other", "icon": "✨" }, { "key": "none_of_these", "label": "None of these apply to me", "exclusive": true } ], "allow_other": true, "advocate_copy": { "preamble": "We are more than our health. These roles are who you are.", "why_we_ask": "When your care team knows your roles, they see you as a whole person—not just a patient." }, "legacy_journey": "my_story", "outputs": [ { "deliverable": "meet_me_brief", "tier": "MUST" }, { "deliverable": "personal_portrait", "tier": "SHOULD" }, { "deliverable": "care_coordination_brief", "tier": "COULD" }, { "deliverable": "new_provider_briefing", "tier": "COULD" } ], "loss_is_a_season": true, "follow_up": "roles", "_follow_up": "DDR-LIFE-ROLES-AND-DEPENDENTS-001 §10 D-2/D-3: under this step, once a chip that can mean someone relies on her is chosen, the one card \"Does anyone rely on you day to day?\" (uz-roles-follow-up). It asks DEPENDENTS_SOLE_CARER inside the card, after the first minor is listed.", "anchors": [ "personal_portrait" ], "anchor_role": "enhancing", "member_facing_label": "Roles That Have Defined Your Life", "data_shape": "narrative", "composition": { "compose_strategy": "category", "allow_other": true, "compose_prefix": "My life has been shaped by being", "categories": [ { "key": "family_home", "label": "Family & home", "items": [ { "key": "parent", "label": "a parent" }, { "key": "grandparent", "label": "a grandparent" }, { "key": "spouse", "label": "a spouse or partner" }, { "key": "child", "label": "a son or daughter" }, { "key": "sibling", "label": "a brother or sister" }, { "key": "caregiver", "label": "a caregiver" } ] }, { "key": "work_service", "label": "Work & service", "items": [ { "key": "professional", "label": "a professional" }, { "key": "veteran", "label": "a veteran" }, { "key": "volunteer", "label": "a volunteer" }, { "key": "mentor", "label": "a mentor or teacher" } ] }, { "key": "personal", "label": "Friendship & pursuits", "items": [ { "key": "friend", "label": "a friend" }, { "key": "artist", "label": "an artist or creator" }, { "key": "athlete", "label": "an athlete" }, { "key": "none_of_these", "label": "None of these quite fit my story", "exclusive": true, "compose_text": "The roles that defined my life are my own to tell." } ] } ] } }, "LIFE_PROUDEST": { "lede": { "label": "What you are proudest of", "pools": ["ordinary", "season"] }, "type": "textarea", "label": "What are you most proud of in your life?", "placeholder": "It could be something you built, someone you raised, a challenge you overcame, or a difference you made...", "cognitive_load": 4, "emotional_weight": "reflective", "estimated_seconds": 120, "order": 4, "pillar": "essence", "visibility": { "level": "full", "emergency_access": false, "consent_required": false }, "parkable": true, "skip_allowed": true, "interaction_style": "narrative_builder", "edit_component": "narrative-builder", "starter_chips": [ { "key": "family", "label": "Family I raised", "icon": "👨‍👩‍👧" }, { "key": "career", "label": "Career/Work", "icon": "💼" }, { "key": "relationships", "label": "Relationships", "icon": "🤝" }, { "key": "accomplishments", "label": "Accomplishments", "icon": "🏆" }, { "key": "growth", "label": "Personal growth", "icon": "🌱" }, { "key": "kindness", "label": "Acts of kindness", "icon": "💝" } ], "advocate_copy": { "preamble": "Your proudest moments tell your story better than any medical record.", "why_we_ask": "When care teams know what you're proud of, they see you as a whole person with a rich life." }, "comfort_category": "reflection", "legacy_journey": "my_story", "outputs": [ { "deliverable": "legacy_package", "tier": "MUST" }, { "deliverable": "hospice_intake_package", "tier": "MUST" }, { "deliverable": "personal_portrait", "tier": "SHOULD" }, { "deliverable": "aspirations_portrait", "tier": "COULD" } ], "anchors": [ "legacy_package" ], "anchor_role": "none", "composition": { "starters": [ { "id": "lp-s-001", "display_order": 1, "text": "What I am most proud of is...", "completions": [ { "key": "lp-s001-c1", "text": "raising a family that loves and supports each other" }, { "key": "lp-s001-c2", "text": "the way I showed up for the people I love" }, { "key": "lp-s001-c3", "text": "staying true to my values even when it was hard" }, { "key": "lp-s001-c4", "text": "building a life that reflected who I really am" } ] }, { "id": "lp-s-002", "display_order": 2, "text": "The moment that defined me was...", "completions": [ { "key": "lp-s002-c1", "text": "when I chose to start over and try again" }, { "key": "lp-s002-c2", "text": "the day I realized I could face anything" }, { "key": "lp-s002-c3", "text": "when I stood up for what I believed in" }, { "key": "lp-s002-c4", "text": "the time I put someone else's needs before my own" } ] }, { "id": "lp-s-003", "display_order": 3, "text": "Looking back, I am most proud that...", "completions": [ { "key": "lp-s003-c1", "text": "I never gave up on the people I love" }, { "key": "lp-s003-c2", "text": "I lived with integrity and kept my word" }, { "key": "lp-s003-c3", "text": "I made a difference in someone's life" }, { "key": "lp-s003-c4", "text": "I chose courage over comfort when it mattered" } ] }, { "id": "lp-s-004", "display_order": 4, "text": "The work I am proudest of is...", "completions": [ { "key": "lp-s004-c1", "text": "the home and family I helped build" }, { "key": "lp-s004-c2", "text": "the relationships I nurtured over a lifetime" }, { "key": "lp-s004-c3", "text": "the way I served my community" }, { "key": "lp-s004-c4", "text": "the example I set for those who came after me" } ] }, { "id": "lp-s-005", "display_order": 5, "text": "The people who shaped who I became were...", "completions": [ { "key": "lp-s005-c1", "text": "my parents, who taught me what matters" }, { "key": "lp-s005-c2", "text": "my partner, who believed in me always" }, { "key": "lp-s005-c3", "text": "the friends who stood by me through everything" }, { "key": "lp-s005-c4", "text": "the mentors who saw more in me than I saw in myself" } ] } ], "joiner": " ", "min_completions": 1, "type": "guided_voice", "compose_strategy": "offered-words" }, "member_facing_label": "What You're Most Proud Of", "displayLabel": "What I'm Proud Of", "data_shape": "narrative", "loomConfig": { "doorways": [ { "key": "built", "heading": "What I built", "prompt": "The things you created or accomplished.", "themes": [ { "key": "family_raised", "label": "The family I raised", "clause": "the family I raised" }, { "key": "career", "label": "A career I worked hard for", "clause": "a career I built through hard work" }, { "key": "home", "label": "A home full of love", "clause": "creating a home full of love" }, { "key": "business", "label": "A business or livelihood", "clause": "building something from nothing" } ] }, { "key": "overcome", "heading": "What I overcame", "prompt": "The challenges that showed your strength.", "themes": [ { "key": "illness", "label": "Facing illness with courage", "clause": "facing illness with courage" }, { "key": "adversity", "label": "Overcoming adversity", "clause": "overcoming the obstacles life put in my path" }, { "key": "immigration", "label": "Starting over in a new place", "clause": "starting over in a new country and making a life" }, { "key": "others", "label": "Helping others through hard times", "clause": "being there for others when they needed me" } ] } ], "weaveFrame": { "lead": "What I am most proud of is", "conjunction": "and", "oxford": true, "separator": ", ", "escalatedSeparator": "; ", "terminator": "." } } }, "B3": { "lede": { "label": "Music you love", "pools": ["ordinary", "season", "quiet"] }, "type": "textarea", "label": "What kind of music brings you joy?", "cognitive_load": 2, "emotional_weight": "neutral", "estimated_seconds": 20, "order": 5, "pillar": "essence", "visibility": { "level": "full", "emergency_access": false, "consent_required": false, "audit_level": "low" }, "filter": { "decision_relevant": false, "comfort_relevant": true }, "integration": { "fhir_resource": "Patient", "fhir_path": "extension.music_preferences", "smart_room_relevant": true, "smart_room_use": "entertainment", "dietary_integration": false }, "allow_other": true, "advocate_copy": { "preamble": "Now for something lighter! Tell us what brings you joy. Select all that apply." }, "options": [ { "key": "classical", "label": "Classical" }, { "key": "jazz", "label": "Jazz" }, { "key": "country", "label": "Country" }, { "key": "rock", "label": "Rock" }, { "key": "gospel", "label": "Gospel" }, { "key": "oldies", "label": "Oldies" }, { "key": "rnb", "label": "R&B / Soul" }, { "key": "pop", "label": "Pop" }, { "key": "hip_hop", "label": "Hip hop" }, { "key": "latin", "label": "Latin" }, { "key": "afrobeats", "label": "Afrobeats" }, { "key": "blues", "label": "Blues" }, { "key": "reggae", "label": "Reggae" }, { "key": "spirituals", "label": "Spirituals and hymns" }, { "key": "decade_1940s", "label": "Music from the 1940s" }, { "key": "decade_1950s", "label": "Music from the 1950s" }, { "key": "decade_1960s", "label": "Music from the 1960s" }, { "key": "decade_1970s", "label": "Music from the 1970s" }, { "key": "decade_1980s", "label": "Music from the 1980s" }, { "key": "decade_1990s", "label": "Music from the 1990s" }, { "key": "decade_2000s", "label": "Music from the 2000s" }, { "key": "decade_2010s", "label": "Music from the 2010s" }, { "key": "decade_today", "label": "Today’s music" }, { "key": "other", "label": "Other (please specify)" } ], "legacy_journey": "my_story", "parkable": true, "skip_allowed": true, "edit_component": "multiselect-input", "interaction_style": "chips", "outputs": [ { "deliverable": "legacy_package", "tier": "MUST" }, { "deliverable": "family_caregiver_guide", "tier": "SHOULD" }, { "deliverable": "personal_portrait", "tier": "SHOULD" } ], "anchors": [ "legacy_package" ], "anchor_role": "none", "composition": { "compose_strategy": "offered-words", "type": "guided_voice", "default_mode": "starters", "allow_freeform": true, "starters": [ { "id": "s-001", "display_order": 1, "text": "I love listening to...", "completions": [ { "key": "b3s1-gospel", "text": "gospel — it lifts me up every time." }, { "key": "b3s1-oldies", "text": "the oldies — Motown, doo-wop, the good stuff." }, { "key": "b3s1-country", "text": "country music — the stories feel like mine." }, { "key": "b3s1-jazz", "text": "jazz — something about it just calms me." }, { "key": "b3s1-classical", "text": "classical music — it fills a room beautifully." } ] }, { "id": "s-002", "display_order": 2, "text": "Music that brings me joy is...", "completions": [ { "key": "b3s2-dance", "text": "anything I can dance to." }, { "key": "b3s2-sing", "text": "the kind I can sing along with." }, { "key": "b3s2-quiet", "text": "soft and quiet — piano, acoustic guitar." }, { "key": "b3s2-memory", "text": "whatever reminds me of good times." }, { "key": "b3s2-hymns", "text": "hymns — the ones I’ve known my whole life." } ] }, { "id": "s-003", "display_order": 3, "text": "When I need to feel better, I turn to...", "completions": [ { "key": "b3s3-worship", "text": "worship music — it centers me." }, { "key": "b3s3-mama", "text": "the songs my mama used to play." }, { "key": "b3s3-upbeat", "text": "something upbeat — I need the energy." }, { "key": "b3s3-nature", "text": "nature sounds — rain, birds, ocean waves." }, { "key": "b3s3-silence", "text": "silence, actually — that’s my music." } ] }, { "id": "s-004", "display_order": 4, "text": "The soundtrack of my life is...", "completions": [ { "key": "b3s4-era", "text": "the hits from when I was young." }, { "key": "b3s4-mix", "text": "a mix of everything — I love it all." }, { "key": "b3s4-soul", "text": "soul music — Aretha, Stevie, Marvin." }, { "key": "b3s4-rock", "text": "classic rock — it never gets old." }, { "key": "b3s4-folk", "text": "folk songs from where I grew up." } ] } ], "joiner": " ", "min_completions": 1 }, "member_facing_label": "Music That Brings You Joy", "displayLabel": "Music That Brings Joy", "data_shape": "narrative", "loomConfig": { "doorways": [ { "key": "genres", "heading": "What I love to hear", "prompt": "The sounds that bring you comfort.", "themes": [ { "key": "gospel", "label": "Gospel and hymns", "clause": "gospel music and hymns" }, { "key": "classical", "label": "Classical music", "clause": "classical music" }, { "key": "jazz", "label": "Jazz and blues", "clause": "jazz and blues" }, { "key": "country", "label": "Country music", "clause": "country music" }, { "key": "oldies", "label": "Oldies and standards", "clause": "oldies and classic standards" }, { "key": "latin", "label": "Latin music", "clause": "Latin music" }, { "key": "hip_hop", "label": "Hip hop", "clause": "hip hop" }, { "key": "rnb", "label": "R&B and soul", "clause": "R&B and soul" }, { "key": "pop", "label": "Pop", "clause": "pop music" }, { "key": "rock", "label": "Rock", "clause": "rock music" }, { "key": "afrobeats", "label": "Afrobeats", "clause": "Afrobeats" }, { "key": "reggae", "label": "Reggae", "clause": "reggae" }, { "key": "spirituals", "label": "Spirituals", "clause": "spirituals" } ] }, { "key": "decades", "heading": "The years it takes me back to", "prompt": "The decades whose music is yours.", "themes": [ { "key": "decade_1940s", "label": "The 1940s", "clause": "music from the 1940s" }, { "key": "decade_1950s", "label": "The 1950s", "clause": "music from the 1950s" }, { "key": "decade_1960s", "label": "The 1960s", "clause": "music from the 1960s" }, { "key": "decade_1970s", "label": "The 1970s", "clause": "music from the 1970s" }, { "key": "decade_1980s", "label": "The 1980s", "clause": "music from the 1980s" }, { "key": "decade_1990s", "label": "The 1990s", "clause": "music from the 1990s" }, { "key": "decade_2000s", "label": "The 2000s", "clause": "music from the 2000s" }, { "key": "decade_2010s", "label": "The 2010s", "clause": "music from the 2010s" }, { "key": "decade_today", "label": "Today’s music", "clause": "the music of today" } ] }, { "key": "moments", "heading": "When music matters most", "prompt": "How music fits into your life.", "themes": [ { "key": "calming", "label": "It calms me down", "clause": "it calms me when I'm anxious" }, { "key": "energy", "label": "It gives me energy", "clause": "it gives me energy and lifts my spirits" }, { "key": "memories", "label": "It brings back memories", "clause": "it brings back the best memories" }, { "key": "prayer", "label": "It's part of my prayer life", "clause": "it's part of how I pray and reflect" } ] } ], "weaveFrame": { "lead": "The music that brings me joy is", "conjunction": "and", "oxford": true, "separator": ", ", "escalatedSeparator": "; ", "terminator": "." } } }, "B4": { "type": "textarea", "label": "Favorite foods or comfort foods?", "placeholder": "e.g., Chicken pot pie, chocolate chip cookies", "cognitive_load": 2, "emotional_weight": "neutral", "estimated_seconds": 20, "order": 6, "pillar": "essence", "visibility": { "level": "full", "emergency_access": false, "consent_required": false, "audit_level": "low" }, "filter": { "decision_relevant": false, "comfort_relevant": true }, "integration": { "fhir_resource": "Patient", "fhir_path": "extension.food_preferences", "smart_room_relevant": true, "smart_room_use": "dietary_preferences", "dietary_integration": true }, "legacy_journey": "my_story", "parkable": true, "skip_allowed": true, "edit_component": "text-input", "interaction_style": "conversational", "outputs": [ { "deliverable": "legacy_package", "tier": "MUST" }, { "deliverable": "family_caregiver_guide", "tier": "SHOULD" }, { "deliverable": "personal_portrait", "tier": "SHOULD" } ], "anchors": [ "legacy_package" ], "anchor_role": "none", "composition": { "compose_strategy": "offered-words", "type": "guided_voice", "default_mode": "starters", "allow_freeform": true, "starters": [ { "id": "s-001", "display_order": 1, "text": "My comfort food is...", "completions": [ { "key": "b4s1-mama", "text": "the meal my mama always made — nothing else compares." }, { "key": "b4s1-holiday", "text": "holiday food — Thanksgiving, Christmas, the big table." }, { "key": "b4s1-simple", "text": "simple comfort food — soup, bread, something warm." }, { "key": "b4s1-sweet", "text": "something sweet — cake, pie, ice cream." }, { "key": "b4s1-home", "text": "anything homemade — it tastes like love." } ] }, { "id": "s-002", "display_order": 2, "text": "Nothing makes me feel at home like...", "completions": [ { "key": "b4s2-cook", "text": "I love to cook — it’s how I show love." }, { "key": "b4s2-garden", "text": "fresh from the garden — tomatoes, herbs, greens." }, { "key": "b4s2-gather", "text": "it’s not the food, it’s who I eat with." }, { "key": "b4s2-culture", "text": "the dishes from my culture — they connect me to home." }, { "key": "b4s2-treat", "text": "my little treat — everyone has one." } ] }, { "id": "s-003", "display_order": 3, "text": "The meal I could eat every day is...", "completions": [ { "key": "b4s3-warm", "text": "warm drinks — tea, coffee, cocoa." }, { "key": "b4s3-child", "text": "the snacks I loved as a kid." }, { "key": "b4s3-spice", "text": "bold flavors — spicy, savory, full of life." }, { "key": "b4s3-bread", "text": "fresh bread — the smell alone is medicine." }, { "key": "b4s3-fruit", "text": "fresh fruit — it makes me feel good." } ] }, { "id": "s-004", "display_order": 4, "text": "Food that reminds me of family is...", "completions": [ { "key": "b4s4-bbq", "text": "barbecue — slow-cooked, smoky, falling apart." }, { "key": "b4s4-fish", "text": "fish and seafood — reminds me of water and weekends." }, { "key": "b4s4-pasta", "text": "pasta — any kind, any sauce, any day." }, { "key": "b4s4-rice", "text": "rice and beans — the foundation of everything." }, { "key": "b4s4-choc", "text": "chocolate — I’m not sorry." } ] } ], "joiner": " ", "min_completions": 1 }, "member_facing_label": "Comfort Foods", "displayLabel": "Comfort Foods", "data_shape": "narrative", "loomConfig": { "doorways": [ { "key": "foods", "heading": "Foods that feel like home", "prompt": "The meals and treats that comfort you.", "themes": [ { "key": "homecooking", "label": "Home-cooked meals", "clause": "home-cooked meals" }, { "key": "soup", "label": "A warm bowl of soup", "clause": "a warm bowl of soup" }, { "key": "baking", "label": "Fresh-baked bread or cookies", "clause": "anything fresh-baked" }, { "key": "chocolate", "label": "Chocolate", "clause": "chocolate" }, { "key": "tea_coffee", "label": "Tea or coffee, just right", "clause": "a perfect cup of tea or coffee" }, { "key": "cultural", "label": "Foods from my culture", "clause": "traditional foods from my culture" } ] } ], "weaveFrame": { "lead": "The foods that comfort me most are", "conjunction": "and", "oxford": true, "separator": ", ", "escalatedSeparator": "; ", "terminator": "." } }, "advocate_copy": { "preamble": "Comfort is part of care.", "why_we_ask": "A familiar meal on a hard day does real work. Your family and caregivers can bring the food that feels like home instead of guessing." } }, "LIFE_REMEMBER": { "type": "textarea", "label": "How do you want to be remembered?", "placeholder": "What would you want people to say about you? What legacy matters most?", "cognitive_load": 5, "emotional_weight": "heavy", "estimated_seconds": 120, "order": 7, "pillar": "essence", "visibility": { "level": "full", "emergency_access": false, "consent_required": false }, "parkable": true, "skip_allowed": true, "interaction_style": "narrative_builder", "edit_component": "narrative-builder", "gated_entry": true, "gate_config": { "preamble": "This is a meaningful question. Some people find it helpful to reflect on their legacy. Others prefer to skip it.", "options": [ { "key": "yes", "label": "I'd like to share", "action": "proceed" }, { "key": "later", "label": "Maybe later", "action": "park" }, { "key": "skip", "label": "Skip this", "action": "skip" } ] }, "advocate_copy": { "preamble": "Your legacy is the mark you leave on the world.", "why_we_ask": "This becomes part of your Story View—a portrait of who you are that your family and care team can cherish." }, "comfort_category": "legacy", "offer_break_after": true, "legacy_journey": "my_story", "outputs": [ { "deliverable": "legacy_package", "tier": "MUST" }, { "deliverable": "hospice_intake_package", "tier": "SHOULD" }, { "deliverable": "meet_me_brief", "tier": "SHOULD" }, { "deliverable": "personal_portrait", "tier": "SHOULD" } ], "anchors": [ "legacy_package" ], "anchor_role": "none", "composition": { "type": "guided_voice", "default_mode": "starters", "allow_freeform": true, "starters": [ { "id": "lrem-s-001", "display_order": 1, "text": "I want to be remembered as someone who...", "completions": [ { "key": "lrem-s001-c1", "text": "loved fiercely and without condition" }, { "key": "lrem-s001-c2", "text": "always tried to do the right thing" }, { "key": "lrem-s001-c3", "text": "made people feel seen and valued" }, { "key": "lrem-s001-c4", "text": "faced life with courage and grace" } ] }, { "id": "lrem-s-002", "display_order": 2, "text": "One moment I never want forgotten is...", "completions": [ { "key": "lrem-s002-c1", "text": "the day our family came together" }, { "key": "lrem-s002-c2", "text": "a quiet evening when everything felt right" }, { "key": "lrem-s002-c3", "text": "the time we laughed until we cried" }, { "key": "lrem-s002-c4", "text": "when someone told me I had changed their life" } ] }, { "id": "lrem-s-003", "display_order": 3, "text": "The story that best captures who I am is...", "completions": [ { "key": "lrem-s003-c1", "text": "how I never stopped trying even when things were hard" }, { "key": "lrem-s003-c2", "text": "the way I always made room at the table" }, { "key": "lrem-s003-c3", "text": "my habit of putting others at ease" }, { "key": "lrem-s003-c4", "text": "the small kindnesses I tried to offer every day" } ] }, { "id": "lrem-s-004", "display_order": 4, "text": "Something that defined who I am was...", "completions": [ { "key": "lrem-s004-c1", "text": "learning to forgive, including myself" }, { "key": "lrem-s004-c2", "text": "choosing family over everything else" }, { "key": "lrem-s004-c3", "text": "my faith and the strength it gave me" }, { "key": "lrem-s004-c4", "text": "the hardship that taught me what really matters" } ] }, { "id": "lrem-s-005", "display_order": 5, "text": "If there is one chapter of my life that matters most, it is...", "completions": [ { "key": "lrem-s005-c1", "text": "the years I spent raising my children" }, { "key": "lrem-s005-c2", "text": "the time I dedicated to the people I love" }, { "key": "lrem-s005-c3", "text": "the season when I finally found peace" }, { "key": "lrem-s005-c4", "text": "the journey that brought me to who I am today" } ] } ], "joiner": " ", "min_completions": 1, "compose_strategy": "offered-words" }, "member_facing_label": "How You Want to Be Remembered", "clinical_language_expected": true, "displayLabel": "How I Want to Be Remembered", "data_shape": "narrative", "loomConfig": { "doorways": [ { "key": "character", "heading": "The kind of person I was", "prompt": "How you want people to think of you.", "themes": [ { "key": "loving", "label": "Someone who loved deeply", "clause": "I loved the people in my life deeply" }, { "key": "generous", "label": "Someone who gave freely", "clause": "I gave freely to others" }, { "key": "strong", "label": "Someone who was strong", "clause": "I was strong even when things were hard" }, { "key": "funny", "label": "Someone who made people laugh", "clause": "I could always make people laugh" }, { "key": "faithful", "label": "Someone who kept their faith", "clause": "I kept my faith through everything" } ] }, { "key": "impact", "heading": "The difference I made", "prompt": "What you gave the world.", "themes": [ { "key": "raised_well", "label": "I raised good people", "clause": "I raised good people who will carry on" }, { "key": "helped", "label": "I helped when I could", "clause": "I helped whenever I could" }, { "key": "stood_up", "label": "I stood up for what was right", "clause": "I stood up for what was right" }, { "key": "created", "label": "I created something that lasts", "clause": "I created something that will outlast me" } ] } ], "weaveFrame": { "lead": "I want to be remembered as someone who", "conjunction": "and", "oxford": true, "separator": ", ", "escalatedSeparator": "; ", "terminator": "." } } }, "D13": { "type": "select", "label": "Religious or Spiritual Preference", "cognitive_load": 2, "emotional_weight": "neutral", "estimated_seconds": 15, "order": 8, "pillar": "essence", "visibility": { "level": "clinical", "emergency_access": false, "consent_required": true, "audit_level": "standard" }, "filter": { "decision_relevant": true, "impacts": [ "end_of_life_care", "chaplain_referral", "dietary_restrictions", "blood_transfusion" ], "cultural_context": true }, "integration": { "fhir_resource": "Patient", "fhir_path": "extension.religion", "smart_room_relevant": true, "smart_room_use": "spiritual_care" }, "advocate_copy": { "preamble": "Your spiritual beliefs may be important to your healthcare decisions.", "why_we_ask": "Some religions have specific healthcare preferences. Sharing this helps us respect your beliefs and connect you with spiritual care services if desired." }, "options": [ { "key": "christian", "label": "Christian" }, { "key": "catholic", "label": "Catholic" }, { "key": "jewish", "label": "Jewish" }, { "key": "muslim", "label": "Muslim" }, { "key": "buddhist", "label": "Buddhist" }, { "key": "hindu", "label": "Hindu" }, { "key": "jehovah_witness", "label": "Jehovah's Witness" }, { "key": "mormon", "label": "Latter-day Saint (Mormon)" }, { "key": "orthodox", "label": "Eastern Orthodox" }, { "key": "spiritual", "label": "Spiritual but not religious" }, { "key": "other", "label": "Other faith tradition" }, { "key": "none", "label": "No religious preference" }, { "key": "private", "label": "Prefer not to say" } ], "legacy_journey": "my_spirit", "parkable": true, "skip_allowed": true, "edit_component": "select-input", "interaction_style": "conversational", "outputs": [ { "deliverable": "clinical_summary", "tier": "COULD" }, { "deliverable": "hospice_intake_package", "tier": "SHOULD" }, { "deliverable": "comfort_care_plan", "tier": "SHOULD" }, { "deliverable": "cultural_birth_practices", "tier": "MUST" }, { "deliverable": "cultural_context_brief", "tier": "MUST" }, { "deliverable": "meet_me_brief", "tier": "SHOULD" }, { "deliverable": "new_provider_briefing", "tier": "SHOULD" }, { "deliverable": "spiritual_care_profile", "tier": "SHOULD" }, { "deliverable": "spiritual_cultural_guide", "tier": "MUST", "lead": true } ], "anchors": [ "spiritual_cultural_guide" ], "anchor_role": "required", "member_facing_label": "Religious or Spiritual Preference", "data_shape": "single-select" }, "D14": { "lede": { "label": "Your faith, in your words", "pools": ["ordinary", "season", "quiet"] }, "type": "textarea", "label": "Day to day, are there religious or spiritual practices your care should make room for?", "placeholder": "e.g., prayer times, dietary laws, last rites, meditation, specific end-of-life rituals...", "cognitive_load": 2, "emotional_weight": "neutral", "estimated_seconds": 30, "order": 9, "conditional": { "show_when": { "field": "D13", "operator": "not_in", "value": [ "none", "private" ] } }, "pillar": "essence", "visibility": { "level": "clinical", "emergency_access": false, "consent_required": true, "audit_level": "standard" }, "filter": { "decision_relevant": true, "impacts": [ "end_of_life_care", "chaplain_referral", "care_scheduling", "blood_transfusion", "dietary_needs" ], "cultural_context": true }, "integration": { "fhir_resource": "Patient", "fhir_path": "extension.spiritual_practices", "smart_room_relevant": true, "smart_room_use": "spiritual_care" }, "advocate_copy": { "preamble": "Understanding your spiritual practices helps us provide care that honors your beliefs.", "why_we_ask": "Your care team can accommodate prayer times, dietary requirements, arrange for spiritual support, or note any treatment preferences tied to your faith." }, "related_questions": { "note": "Your answers here may relate to questions about blood transfusions and end-of-life care in the Care Preferences section.", "links": [ "PRO_BLOOD", "END_LOCATION" ] }, "legacy_journey": "my_spirit", "parkable": true, "skip_allowed": true, "edit_component": "textarea-input", "interaction_style": "narrative", "outputs": [ "clinical_summary", { "deliverable": "comfort_care_plan", "tier": "SHOULD" }, { "deliverable": "cultural_birth_practices", "tier": "SHOULD" }, { "deliverable": "cultural_context_brief", "tier": "SHOULD" }, { "deliverable": "hospice_intake_package", "tier": "SHOULD" }, { "deliverable": "new_provider_briefing", "tier": "SHOULD" }, { "deliverable": "spiritual_care_profile", "tier": "SHOULD" }, { "deliverable": "spiritual_cultural_guide", "tier": "SHOULD" }, { "deliverable": "meet_me_brief", "tier": "COULD" } ], "anchors": [ "spiritual_cultural_guide" ], "anchor_role": "enhancing", "composition": { "compose_strategy": "offered-words", "type": "guided_voice", "default_mode": "starters", "allow_freeform": true, "starters": [ { "id": "s-001", "display_order": 1, "text": "An important part of my daily life is...", "completions": [ { "key": "d14s1-pray", "text": "prayer — it’s how I start and end my day." }, { "key": "d14s1-meditate", "text": "meditation — it keeps me centered." }, { "key": "d14s1-scripture", "text": "reading scripture — it grounds me." }, { "key": "d14s1-nature", "text": "time in nature — that’s where I feel closest to something bigger." }, { "key": "d14s1-none", "text": "I’m not religious, but I have my own quiet rituals." } ] }, { "id": "s-002", "display_order": 2, "text": "My faith means...", "completions": [ { "key": "d14s2-church", "text": "going to church — the community matters as much as the service." }, { "key": "d14s2-sabbath", "text": "keeping the sabbath — rest is sacred to me." }, { "key": "d14s2-gratitude", "text": "gratitude practice — naming what I’m thankful for." }, { "key": "d14s2-music", "text": "worship music or chanting — it lifts my spirit." }, { "key": "d14s2-journal", "text": "journaling — writing is how I process." } ] }, { "id": "s-003", "display_order": 3, "text": "A practice my care team should know about is...", "completions": [ { "key": "d14s3-meal", "text": "sharing meals — the table is where we connect." }, { "key": "d14s3-fasting", "text": "fasting — it’s a practice that resets me." }, { "key": "d14s3-rosary", "text": "the rosary or prayer beads — the rhythm calms me." }, { "key": "d14s3-walk", "text": "walking — movement is my meditation." }, { "key": "d14s3-serve", "text": "service to others — that’s my practice." } ] }, { "id": "s-004", "display_order": 4, "text": "What sustains me spiritually is...", "completions": [ { "key": "d14s4-candle", "text": "lighting a candle — a small ritual that means a lot." }, { "key": "d14s4-gather", "text": "gathering with my faith community — we hold each other up." }, { "key": "d14s4-ancestors", "text": "honoring my ancestors — they’re still with me." }, { "key": "d14s4-breath", "text": "breathwork — just breathing with intention." }, { "key": "d14s4-silence", "text": "silence — I need it to hear myself think." } ] } ], "joiner": " ", "min_completions": 1 }, "member_facing_label": "Religious Practices That Matter to You", "displayLabel": "Spiritual Practices in My Care", "data_shape": "narrative", "loomConfig": { "doorways": [ { "key": "daily", "heading": "Daily practices", "prompt": "What you do every day that feeds your spirit.", "themes": [ { "key": "prayer", "label": "Daily prayer", "clause": "daily prayer is essential to me" }, { "key": "meditation", "label": "Meditation or quiet reflection", "clause": "meditation and quiet reflection ground me" }, { "key": "scripture", "label": "Reading scripture or sacred texts", "clause": "I read scripture or sacred texts regularly" }, { "key": "sabbath", "label": "Sabbath or day of rest", "clause": "observing a day of rest is important" } ] }, { "key": "care", "heading": "In my healthcare", "prompt": "What your care team should honor.", "themes": [ { "key": "dietary", "label": "Dietary requirements", "clause": "I follow religious dietary requirements" }, { "key": "modesty", "label": "Modesty and same-gender care", "clause": "modesty and same-gender providers matter to me" }, { "key": "rituals", "label": "End-of-life rituals", "clause": "specific end-of-life rituals must be honored" }, { "key": "clergy", "label": "Access to clergy or spiritual advisor", "clause": "I need access to my clergy or spiritual advisor" }, { "key": "anointing", "label": "Anointing or last rites", "clause": "anointing of the sick or last rites is important to me" } ] } ], "weaveFrame": { "lead": "In my daily life and healthcare,", "conjunction": "and", "oxford": true, "separator": ", ", "escalatedSeparator": "; ", "terminator": "." } } }, "D14B": { "type": "radio", "label": "Do your religious beliefs affect any medical treatments you would accept or decline?", "cognitive_load": 2, "emotional_weight": "moderate", "estimated_seconds": 15, "order": 10, "pillar": "essence", "visibility": { "level": "clinical", "emergency_access": true, "consent_required": false, "audit_level": "high" }, "filter": { "decision_relevant": true, "impacts": [ "blood_transfusion", "organ_donation", "life_support", "end_of_life_care" ], "cultural_context": true }, "advocate_copy": { "preamble": "Some people's faith guides their decisions about certain medical treatments.", "why_we_ask": "This helps us understand if there are treatments you would want to discuss further, and ensures we respect your beliefs in emergency situations." }, "options": [ { "key": "yes", "label": "Yes, my faith affects some treatment decisions", "follow_up": "PRO_BLOOD" }, { "key": "no", "label": "No, my faith doesn't affect treatment choices" }, { "key": "unsure", "label": "I'm not sure / I'd like to discuss with a spiritual advisor" } ], "legacy_journey": "my_spirit", "parkable": true, "skip_allowed": true, "edit_component": "radio-input", "interaction_style": "choice_cards", "outputs": [ "clinical_summary", { "deliverable": "comfort_care_plan", "tier": "SHOULD" }, { "deliverable": "cultural_birth_practices", "tier": "SHOULD" }, { "deliverable": "cultural_context_brief", "tier": "SHOULD" }, { "deliverable": "hospice_intake_package", "tier": "SHOULD" }, { "deliverable": "spiritual_care_profile", "tier": "SHOULD" }, { "deliverable": "spiritual_cultural_guide", "tier": "SHOULD" } ], "anchors": [ "spiritual_cultural_guide" ], "anchor_role": "enhancing", "member_facing_label": "Religion & Medical Treatment", "data_shape": "single-select" }, "SPIRITUAL_NEEDS": { "type": "textarea", "label": "What spiritual or emotional support would be meaningful to you?", "cognitive_load": 2, "emotional_weight": "reflective", "estimated_seconds": 45, "order": 11, "pillar": "essence", "visibility": { "level": "clinical", "emergency_access": false, "consent_required": false }, "parkable": true, "skip_allowed": true, "interaction_style": "reflection_first", "edit_component": "reflection-first-multiselect", "reflection_prompt": "Spirituality means different things to different people. For some, it's their faith tradition. For others, it's connection to nature, family, or something they can't quite name. What brings you a sense of peace or meaning?", "options": [ { "key": "chaplain", "label": "Conversations with a spiritual care provider", "icon": "🙏" }, { "key": "own_clergy", "label": "Visits from my own religious community", "icon": "⛪" }, { "key": "presence", "label": "Simply having someone present with me", "icon": "🤝" }, { "key": "nature", "label": "Connection to the outdoors or natural world", "icon": "🌳" }, { "key": "life_review", "label": "Reflecting on my life and what it meant", "icon": "📖" }, { "key": "music", "label": "Sacred or meaningful music", "icon": "🎵" }, { "key": "reconciliation", "label": "Working through unresolved relationships", "icon": "💔" }, { "key": "meditation", "label": "Meditation or quiet time", "icon": "🧘" }, { "key": "prayer", "label": "Prayer", "icon": "🕊️" }, { "key": "other", "label": "Something else", "icon": "✨" }, { "key": "none_needed", "label": "I don’t need spiritual support right now", "exclusive": true } ], "allow_other": true, "advocate_copy": { "preamble": "Based on what matters to you, which of these might be meaningful?", "why_we_ask": "Knowing your spiritual needs helps your care team support your whole self—not just your body." }, "comfort_category": "spiritual", "legacy_journey": "my_spirit", "outputs": [ "clinical_summary", { "deliverable": "hospice_intake_package", "tier": "SHOULD" }, { "deliverable": "comfort_care_plan", "tier": "SHOULD" }, { "deliverable": "cultural_birth_practices", "tier": "SHOULD" }, { "deliverable": "spiritual_care_profile", "tier": "MUST" }, { "deliverable": "spiritual_cultural_guide", "tier": "SHOULD" } ], "anchors": [ "spiritual_cultural_guide" ], "anchor_role": "enhancing", "member_facing_label": "Spiritual & Emotional Support Needs", "clinical_language_expected": true, "composition": { "compose_strategy": "recognition", "type": "guided_voice", "default_mode": "starters", "allow_freeform": true, "joiner": " ", "min_completions": 1 }, "displayLabel": "Spiritual and Emotional Support", "data_shape": "narrative", "loomConfig": { "doorways": [ { "key": "support", "heading": "What would help my spirit", "prompt": "The kinds of support that matter to you.", "themes": [ { "key": "chaplain", "label": "Visits from a spiritual advisor", "clause": "visits from a spiritual advisor" }, { "key": "prayer", "label": "Someone to pray with me", "clause": "having someone to pray with me" }, { "key": "scripture", "label": "Sacred readings or texts at my bedside", "clause": "sacred readings or texts at my bedside" }, { "key": "silence", "label": "Quiet time for reflection", "clause": "quiet time for personal reflection" }, { "key": "community", "label": "Connection to my faith community", "clause": "staying connected to my faith community" } ] }, { "key": "emotional", "heading": "Emotional care", "prompt": "Support beyond the medical.", "themes": [ { "key": "listen", "label": "Someone who will just listen", "clause": "someone who will simply listen without trying to fix things" }, { "key": "presence", "label": "A calm presence nearby", "clause": "a calm, steady presence nearby" }, { "key": "nature", "label": "Connection to nature", "clause": "a connection to nature — a window, fresh air, plants" }, { "key": "music_spirit", "label": "Music that feeds my soul", "clause": "music that feeds my soul" } ] } ], "weaveFrame": { "lead": "What would be most meaningful to me is", "conjunction": "and", "oxford": true, "separator": ", ", "escalatedSeparator": "; ", "terminator": "." } } }, "FAMILY_MESSAGE": { "type": "textarea", "label": "Is there anything you want your family to know?", "placeholder": "This could be words of love, important memories, or anything you want them to have from you...", "cognitive_load": 5, "emotional_weight": "heavy", "estimated_seconds": 180, "order": 1, "pillar": "continuity", "visibility": { "level": "full", "emergency_access": false, "consent_required": true }, "parkable": true, "skip_allowed": true, "interaction_style": "narrative_builder", "edit_component": "narrative-builder", "gated_entry": true, "gate_config": { "preamble": "Some people want to leave a message for their family—words of love, gratitude, or guidance. This is completely optional.", "options": [ { "key": "yes", "label": "I'd like to leave a message", "action": "proceed" }, { "key": "later", "label": "Maybe later", "action": "park" }, { "key": "private", "label": "I'll share privately", "action": "skip" }, { "key": "skip", "label": "Skip this", "action": "skip" } ] }, "advocate_copy": { "preamble": "This message will be available to your family through your Blueprint.", "why_we_ask": "These words become a treasured gift for your loved ones." }, "enable_voice_recording": true, "comfort_category": "legacy", "offer_break_after": true, "legacy_journey": "for_family", "outputs": [ { "deliverable": "legacy_package", "tier": "MUST" }, { "deliverable": "final_wishes", "tier": "MUST" }, { "deliverable": "family_caregiver_guide", "tier": "MUST" }, { "deliverable": "family_letter", "tier": "MUST" }, { "deliverable": "hospice_intake_package", "tier": "COULD" } ], "anchors": [ "family_caregiver_guide", "legacy_package" ], "anchor_role": "required", "composition": { "type": "guided_voice", "default_mode": "tones", "allow_freeform": true, "starters": [ { "id": "want_you_know", "text": "What I most want you to know is...", "completions": [ { "key": "fms1-proud", "text": "I’m proud of every one of you." }, { "key": "fms1-safe", "text": "I want you to know you’re going to be okay." }, { "key": "fms1-love", "text": "I love you more than I’ve ever been able to say." }, { "key": "fms1-sorry", "text": "I’m sorry for the times I wasn’t at my best." }, { "key": "fms1-thx", "text": "thank you for being there, even when it was hard." } ] }, { "id": "reading_this", "text": "If you're reading this, please remember...", "completions": [ { "key": "fms2-fight", "text": "don’t fight over things that don’t matter." }, { "key": "fms2-close", "text": "stay close to each other — that’s what I want most." }, { "key": "fms2-joy", "text": "find joy — even in the small things." }, { "key": "fms2-strong", "text": "you’re stronger than you think." }, { "key": "fms2-live", "text": "live your life fully — don’t hold back for me." } ] }, { "id": "always_believed", "text": "I have always believed that...", "completions": [ { "key": "fms3-guilt", "text": "don’t carry guilt — you did everything right." }, { "key": "fms3-let", "text": "when it’s time, let me go — I’ll be okay." }, { "key": "fms3-trust", "text": "trust the decisions we’ve made together." }, { "key": "fms3-laugh", "text": "remember me laughing, not hurting." }, { "key": "fms3-legacy", "text": "carry our family’s story forward." } ] }, { "id": "most_for_you", "text": "The thing I want most for you is...", "completions": [ { "key": "fms4-kids", "text": "take care of the little ones — they need you." }, { "key": "fms4-faith", "text": "hold onto your faith — it’s real." }, { "key": "fms4-forgive", "text": "forgive each other quickly — life is too short." }, { "key": "fms4-gather", "text": "keep gathering — holidays, birthdays, just because." }, { "key": "fms4-help", "text": "ask for help when you need it — I wish I had more." } ] }, { "id": "thank_you", "text": "Thank you for...", "completions": [ { "key": "fms5-here", "text": "I’m still here, even if I can’t show it." }, { "key": "fms5-peace", "text": "I’m at peace — please be at peace, too." }, { "key": "fms5-story", "text": "tell my grandchildren about me." }, { "key": "fms5-music", "text": "play my music — you know the songs." }, { "key": "fms5-smile", "text": "when you think of me, smile — that’s what I want." } ] } ], "tones": [ { "key": "reassuring", "label": "Reassuring", "icon": "🤗", "color": "#3AAFA9", "template": "I want you to know that I've thought carefully about my wishes, and I'm at peace. The most important thing to me is {blank}. Please don't feel guilty about {blank}. I love you and {blank}.", "blanks": [ { "key": "fm-reassuring-b1", "placeholder": "what matters most", "options": [ { "key": "fm-reassuring-b1-o1", "text": "that I am at peace with my decisions" }, { "key": "fm-reassuring-b1-o2", "text": "that our family stays close" }, { "key": "fm-reassuring-b1-o3", "text": "that you keep living fully" }, { "key": "fm-reassuring-b1-o4", "text": "that I felt loved every single day" } ] }, { "key": "fm-reassuring-b2", "placeholder": "something you want them to let go of", "options": [ { "key": "fm-reassuring-b2-o1", "text": "any decision you made on my behalf" }, { "key": "fm-reassuring-b2-o2", "text": "not being able to fix everything" }, { "key": "fm-reassuring-b2-o3", "text": "the times you had to say no" }, { "key": "fm-reassuring-b2-o4", "text": "wishing you had done more" } ] }, { "key": "fm-reassuring-b3", "placeholder": "how you feel about them", "options": [ { "key": "fm-reassuring-b3-o1", "text": "I am grateful for every moment we shared" }, { "key": "fm-reassuring-b3-o2", "text": "I am proud of the person you are" }, { "key": "fm-reassuring-b3-o3", "text": "you gave me more comfort than you know" }, { "key": "fm-reassuring-b3-o4", "text": "you never have to carry this alone" } ] } ], "id": "reassuring" }, { "key": "practical", "label": "Practical", "icon": "📋", "color": "#4A90D9", "template": "Here's what I need you to know about my care: {blank}. My top priority is {blank}. If decisions get hard, remember that {blank}.", "blanks": [ { "key": "fm-practical-b1", "placeholder": "key information", "options": [ { "key": "fm-practical-b1-o1", "text": "who to call first and in what order" }, { "key": "fm-practical-b1-o2", "text": "where my important documents are kept" }, { "key": "fm-practical-b1-o3", "text": "to follow the advance directive I have on file" }, { "key": "fm-practical-b1-o4", "text": "which of my wishes matter most to me" } ] }, { "key": "fm-practical-b2", "placeholder": "your #1 wish", "options": [ { "key": "fm-practical-b2-o1", "text": "that I am not in unnecessary pain" }, { "key": "fm-practical-b2-o2", "text": "that my care matches what I asked for" }, { "key": "fm-practical-b2-o3", "text": "that my family is not left to guess" }, { "key": "fm-practical-b2-o4", "text": "that decisions get made without delay" } ] }, { "key": "fm-practical-b3", "placeholder": "your guiding principle", "options": [ { "key": "fm-practical-b3-o1", "text": "I already thought this through with a clear head" }, { "key": "fm-practical-b3-o2", "text": "quality of life matters more to me than length" }, { "key": "fm-practical-b3-o3", "text": "you are following my wishes, not making a new choice" }, { "key": "fm-practical-b3-o4", "text": "asking my care team is always the right move" } ] } ], "id": "practical" }, { "key": "loving", "label": "Loving", "icon": "💝", "color": "#D4AF37", "template": "If you're reading this, it means I want you to hear something important. I want you to remember {blank}. You have meant {blank} to me, and I hope you know {blank}.", "blanks": [ { "key": "fm-loving-b1", "placeholder": "a cherished memory", "options": [ { "key": "fm-loving-b1-o1", "text": "the ordinary afternoons, not just the big days" }, { "key": "fm-loving-b1-o2", "text": "how hard we used to laugh together" }, { "key": "fm-loving-b1-o3", "text": "the way you always showed up for me" }, { "key": "fm-loving-b1-o4", "text": "the quiet moments, just the two of us" } ] }, { "key": "fm-loving-b2", "placeholder": "how much they mean", "options": [ { "key": "fm-loving-b2-o1", "text": "every single moment we shared together" }, { "key": "fm-loving-b2-o2", "text": "more than words can hold" }, { "key": "fm-loving-b2-o3", "text": "the reason so many of my good days were good" }, { "key": "fm-loving-b2-o4", "text": "one of the great gifts of my life" } ] }, { "key": "fm-loving-b3", "placeholder": "something you've never said", "options": [ { "key": "fm-loving-b3-o1", "text": "how proud I am of who you've become" }, { "key": "fm-loving-b3-o2", "text": "that loving you has been easy, every day" }, { "key": "fm-loving-b3-o3", "text": "that you never had anything to prove to me" }, { "key": "fm-loving-b3-o4", "text": "how much lighter you made this life" } ] } ], "id": "loving" }, { "key": "honest", "label": "Honest", "icon": "💬", "color": "#7B8A8E", "template": "I know this isn't easy to talk about. The truth is {blank}. What I'm most worried about is {blank}. But what gives me peace is {blank}.", "blanks": [ { "key": "fm-honest-b1", "placeholder": "your honest feeling", "options": [ { "key": "fm-honest-b1-o1", "text": "I am scared sometimes, but I know this is right" }, { "key": "fm-honest-b1-o2", "text": "I don't have this all figured out either" }, { "key": "fm-honest-b1-o3", "text": "this is hard for me to write, too" }, { "key": "fm-honest-b1-o4", "text": "I wish we had talked about this sooner" } ] }, { "key": "fm-honest-b2", "placeholder": "your concern", "options": [ { "key": "fm-honest-b2-o1", "text": "that you'll carry more than your share" }, { "key": "fm-honest-b2-o2", "text": "that this will change how you see me" }, { "key": "fm-honest-b2-o3", "text": "that I won't get to say a proper goodbye" }, { "key": "fm-honest-b2-o4", "text": "how this will land on the people I love" } ] }, { "key": "fm-honest-b3", "placeholder": "what brings you comfort", "options": [ { "key": "fm-honest-b3-o1", "text": "knowing I told you the truth now, while I could" }, { "key": "fm-honest-b3-o2", "text": "knowing you won't be guessing what I wanted" }, { "key": "fm-honest-b3-o3", "text": "knowing we said the hard things out loud" }, { "key": "fm-honest-b3-o4", "text": "trusting you to make the call when it counts" } ] } ], "id": "honest" } ], "greeting": "Dear family,", "closing": "With love,", "compose_strategy": "offered-words" }, "member_facing_label": "Message for Your Family", "clinical_language_expected": true, "displayLabel": "Message for Your Family", "data_shape": "narrative", "loomConfig": { "doorways": [ { "key": "love", "heading": "Words of love", "prompt": "What your heart wants them to hear.", "themes": [ { "key": "proud", "label": "I am so proud of you", "clause": "I am so proud of each of you" }, { "key": "grateful", "label": "I am grateful for our time", "clause": "I am grateful for every moment we shared" }, { "key": "loved", "label": "You are deeply loved", "clause": "you are loved more than you will ever know" }, { "key": "forgive", "label": "I forgive, and I ask forgiveness", "clause": "I forgive everything, and I hope you forgive me too" } ] }, { "key": "guidance", "heading": "What I want for you", "prompt": "Your hopes for their future.", "themes": [ { "key": "together", "label": "Stay close to each other", "clause": "please stay close to each other" }, { "key": "live_fully", "label": "Live your life fully", "clause": "live your lives fully and without regret" }, { "key": "be_happy", "label": "Find happiness", "clause": "find your happiness, whatever that looks like" }, { "key": "dont_worry", "label": "Don't carry guilt", "clause": "don't carry guilt about anything -- you did everything right" } ] } ], "weaveFrame": { "lead": "To my family:", "conjunction": "and", "oxford": true, "separator": ", ", "escalatedSeparator": "; ", "terminator": "." } } }, "CAREGIVER_CONCERN": { "type": "textarea", "label": "Do you have any concerns about your caregivers?", "placeholder": "Are you worried about someone caring for you? About the burden on your family? Anything we should know?", "cognitive_load": 3, "emotional_weight": "heavy", "estimated_seconds": 90, "order": 2, "pillar": "continuity", "visibility": { "level": "clinical", "emergency_access": false, "consent_required": false }, "parkable": true, "skip_allowed": true, "interaction_style": "validation_first", "edit_component": "validation-first-textarea", "validation_prompt": "Caring for someone can be exhausting. If you're worried about how this is affecting your family or caregivers, we want to know—so your care team can help them too.", "advocate_copy": { "preamble": "Your care team can only support your caregivers if they know there's a concern.", "why_we_ask": "Unaddressed caregiver burnout is the #1 cause of care plan disruption. Sharing concerns helps everyone." }, "clinical_alert": true, "alert_to": [ "social_worker", "case_manager" ], "comfort_category": "acknowledgment", "legacy_journey": "for_family", "outputs": [ { "deliverable": "family_consensus_guide", "tier": "MUST" }, { "deliverable": "family_caregiver_guide", "tier": "SHOULD" } ], "anchors": [ "family_caregiver_guide", "family_consensus_guide" ], "anchor_role": "enhancing", "composition": { "type": "guided_voice", "default_mode": "starters", "allow_freeform": true, "starters": [ { "id": "worries_most", "text": "The thing that worries me most is...", "completions": [ { "key": "ccs1-burn", "text": "I worry you’re taking on too much." }, { "key": "ccs1-own", "text": "I need you to take care of yourself, too." }, { "key": "ccs1-burden", "text": "I don’t want to be a burden — be honest if it’s too much." }, { "key": "ccs1-choice", "text": "I want to keep making my own choices as long as I can." }, { "key": "ccs1-help", "text": "please don’t be afraid to ask for help from others." } ] }, { "id": "help_most", "text": "What would help me most is...", "completions": [ { "key": "ccs2-honest", "text": "be honest with me — even if it’s hard to hear." }, { "key": "ccs2-space", "text": "give me space when I need it — I’ll ask when I’m ready." }, { "key": "ccs2-respect", "text": "respect my privacy, even when you’re worried." }, { "key": "ccs2-routine", "text": "help me keep my routines — they matter more than you think." }, { "key": "ccs2-listen", "text": "just listen sometimes — I don’t always need a solution." } ] }, { "id": "please_dont", "text": "Please don't...", "completions": [ { "key": "ccs3-team", "text": "let’s be a team — I don’t want to feel managed." }, { "key": "ccs3-visit", "text": "don’t feel like you have to visit every day — quality over quantity." }, { "key": "ccs3-fun", "text": "we can still have fun together — don’t treat me like I’m fragile." }, { "key": "ccs3-tired", "text": "it’s okay to be tired — I understand." }, { "key": "ccs3-decide", "text": "when the time comes, trust your judgment — I trust you." } ] }, { "id": "hardest", "text": "I find it hardest when...", "completions": [ { "key": "ccs4-pro", "text": "don’t be afraid of the professionals — they’re here to help both of us." }, { "key": "ccs4-relief", "text": "take breaks — I’ll still be here when you get back." }, { "key": "ccs4-feel", "text": "don’t hide your feelings from me — we’re in this together." }, { "key": "ccs4-plan", "text": "let’s plan ahead while we still can." }, { "key": "ccs4-enough", "text": "you’re doing enough — I mean it." } ] }, { "id": "need_from_you", "text": "What I really need from you is...", "completions": [ { "key": "ccs5-after", "text": "promise me you’ll take care of yourself after — that’s what I want." }, { "key": "ccs5-talk", "text": "talk to someone if you need to — don’t carry this alone." }, { "key": "ccs5-know", "text": "know that everything you’ve done has mattered." }, { "key": "ccs5-love", "text": "I see how much you do — and I love you for it." }, { "key": "ccs5-okay", "text": "it’s okay to cry — I do too." } ] } ], "tones": [ { "key": "reassuring", "label": "Reassuring", "icon": "🤗", "color": "#3AAFA9", "template": "I know caregiving is hard, and I want you to know {blank}. Please take care of yourself by {blank}. The thing I most appreciate about having you here is {blank}.", "id": "reassuring", "blanks": [ { "key": "cc-reassuring-b1", "placeholder": "what matters most", "options": [ { "key": "cc-r-b1-o1", "text": "that your care matters more than you realize" }, { "key": "cc-r-b1-o2", "text": "that I chose you because I trust you deeply" }, { "key": "cc-r-b1-o3", "text": "that no one could do this better than you" }, { "key": "cc-r-b1-o4", "text": "that having you here brings me peace" } ] }, { "key": "cc-reassuring-b2", "placeholder": "self-care", "options": [ { "key": "cc-r-b2-o1", "text": "taking breaks when you need them" }, { "key": "cc-r-b2-o2", "text": "asking for help without feeling guilty" }, { "key": "cc-r-b2-o3", "text": "making time for the things that restore you" }, { "key": "cc-r-b2-o4", "text": "not carrying this burden alone" } ] }, { "key": "cc-reassuring-b3", "placeholder": "appreciation", "options": [ { "key": "cc-r-b3-o1", "text": "your patience when things get difficult" }, { "key": "cc-r-b3-o2", "text": "the way you treat me with dignity" }, { "key": "cc-r-b3-o3", "text": "your steady presence, even in the hardest moments" }, { "key": "cc-r-b3-o4", "text": "knowing I am not facing this alone" } ] } ] }, { "key": "practical", "label": "Practical", "icon": "📋", "color": "#4A90D9", "template": "There are a few things that will make my daily care easier: {blank}. When I seem uncomfortable, what usually helps is {blank}. If you're unsure about something, please {blank}.", "id": "practical", "blanks": [ { "key": "cc-practical-b1", "placeholder": "daily care tips", "options": [ { "key": "cc-p-b1-o1", "text": "following the routine we've established" }, { "key": "cc-p-b1-o2", "text": "keeping my space quiet and comfortable" }, { "key": "cc-p-b1-o3", "text": "giving me time to do things at my own pace" }, { "key": "cc-p-b1-o4", "text": "writing things down so nothing gets forgotten" } ] }, { "key": "cc-practical-b2", "placeholder": "comfort measures", "options": [ { "key": "cc-p-b2-o1", "text": "adjusting my position or pillows" }, { "key": "cc-p-b2-o2", "text": "quiet music or a calm presence" }, { "key": "cc-p-b2-o3", "text": "a gentle touch or holding my hand" }, { "key": "cc-p-b2-o4", "text": "simply asking me what I need" } ] }, { "key": "cc-practical-b3", "placeholder": "when unsure", "options": [ { "key": "cc-p-b3-o1", "text": "ask the care team — they expect your questions" }, { "key": "cc-p-b3-o2", "text": "check the notes we've written together" }, { "key": "cc-p-b3-o3", "text": "trust your instincts — you know me well" }, { "key": "cc-p-b3-o4", "text": "don't be afraid to speak up on my behalf" } ] } ] }, { "key": "loving", "label": "Loving", "icon": "💝", "color": "#D4AF37", "template": "I may not always be able to say this, so I want to say it now: {blank}. The small things that matter most to me are {blank}. Please never forget that {blank}.", "id": "loving", "blanks": [ { "key": "cc-loving-b1", "placeholder": "what you want to say", "options": [ { "key": "cc-l-b1-o1", "text": "you are the most generous person I know" }, { "key": "cc-l-b1-o2", "text": "your love is the greatest gift in my life" }, { "key": "cc-l-b1-o3", "text": "I am so grateful you are here with me" }, { "key": "cc-l-b1-o4", "text": "you have made this journey bearable" } ] }, { "key": "cc-loving-b2", "placeholder": "small things that matter", "options": [ { "key": "cc-l-b2-o1", "text": "hearing your voice when you enter the room" }, { "key": "cc-l-b2-o2", "text": "the way you remember what I like" }, { "key": "cc-l-b2-o3", "text": "being treated like myself, not just a patient" }, { "key": "cc-l-b2-o4", "text": "knowing someone truly sees me" } ] }, { "key": "cc-loving-b3", "placeholder": "never forget", "options": [ { "key": "cc-l-b3-o1", "text": "you gave me more comfort than you know" }, { "key": "cc-l-b3-o2", "text": "your presence here is an act of love" }, { "key": "cc-l-b3-o3", "text": "I am proud to have you in my life" }, { "key": "cc-l-b3-o4", "text": "what you are doing matters deeply" } ] } ] }, { "key": "honest", "label": "Honest", "icon": "💬", "color": "#7B8A8E", "template": "I want to be honest about what worries me: {blank}. I'm concerned that {blank}. But I trust you because {blank}.", "id": "honest", "blanks": [ { "key": "cc-honest-b1", "placeholder": "what worries you", "options": [ { "key": "cc-h-b1-o1", "text": "that this is taking too much from you" }, { "key": "cc-h-b1-o2", "text": "that you might neglect your own health" }, { "key": "cc-h-b1-o3", "text": "that the hard days feel endless" }, { "key": "cc-h-b1-o4", "text": "that you might burn out before asking for help" } ] }, { "key": "cc-honest-b2", "placeholder": "concerns", "options": [ { "key": "cc-h-b2-o1", "text": "you feel you have to do everything yourself" }, { "key": "cc-h-b2-o2", "text": "no one is checking in on how you're doing" }, { "key": "cc-h-b2-o3", "text": "the emotional weight is more than anyone should carry alone" }, { "key": "cc-h-b2-o4", "text": "you may not tell me when you're struggling" } ] }, { "key": "cc-honest-b3", "placeholder": "why you trust them", "options": [ { "key": "cc-h-b3-o1", "text": "you have always shown up when it matters" }, { "key": "cc-h-b3-o2", "text": "you are honest with me even when it's hard" }, { "key": "cc-h-b3-o3", "text": "I know you will ask for help when you need it" }, { "key": "cc-h-b3-o4", "text": "your care comes from a place of real love" } ] } ] } ], "greeting": "To whoever is caring for me,", "closing": "Thank you,", "compose_strategy": "offered-words" }, "member_facing_label": "Concerns About Your Caregivers", "displayLabel": "Caregiver Concerns", "data_shape": "narrative", "loomConfig": { "doorways": [ { "key": "worries", "heading": "What worries me", "prompt": "The concerns you carry.", "themes": [ { "key": "burden", "label": "I don't want to be a burden", "clause": "I worry about being a burden on my family" }, { "key": "burnout", "label": "Caregiver burnout", "clause": "I worry about my caregiver burning out" }, { "key": "financial", "label": "The financial strain", "clause": "the financial strain on my family concerns me" }, { "key": "children", "label": "Impact on my children", "clause": "I worry about how this affects my children" }, { "key": "alone", "label": "Being alone without help", "clause": "I worry about being alone when I need help" } ] } ], "weaveFrame": { "lead": "What concerns me most about my care situation is that", "conjunction": "and", "oxford": true, "separator": ", ", "escalatedSeparator": "; ", "terminator": "." } } }, "END_ORGAN": { "type": "radio", "label": "Organ and tissue donation", "cognitive_load": 3, "emotional_weight": "heavy", "estimated_seconds": 30, "order": 3, "pillar": "continuity", "visibility": { "level": "clinical", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "advocate_copy": { "preamble": "Organ donation can save lives after death. Your wishes will be honored regardless of your choice.", "why_we_ask": "Documenting your wishes helps your family and care team honor your decision." }, "related_questions": { "note": "Your organ donation choice may relate to end-of-life decisions in the Care Wishes section.", "links": [ "L0", "DOC_AD", "DOC_POLST" ], "see_also": "Your answer here will appear in the Critical Care View alongside your other end-of-life preferences." }, "options": [ { "key": "yes_all", "label": "Yes, donate anything that can help others" }, { "key": "yes_limited", "label": "Yes, but only certain organs/tissues (discuss with family)" }, { "key": "no", "label": "No, I do not wish to donate" }, { "key": "undecided", "label": "I haven't decided / let my family decide" } ], "legacy_journey": "treatments", "parkable": true, "skip_allowed": true, "edit_component": "radio-input", "interaction_style": "choice_cards", "outputs": [ "clinical_summary", { "deliverable": "final_wishes", "tier": "MUST" }, { "deliverable": "family_caregiver_guide", "tier": "SHOULD" } ], "anchors": [ "family_caregiver_guide", "final_wishes" ], "anchor_role": "enhancing", "member_facing_label": "Organ & Tissue Donation", "clinical_language_expected": true, "data_shape": "single-select" }, "DEPENDS_ON_ME": { "type": "dynamic-list", "label": "Who depends on you day to day?", "description": "People and animals who rely on you. Write only what the person stepping in needs.", "cognitive_load": 2, "emotional_weight": "moderate", "estimated_seconds": 60, "order": 1, "pillar": "continuity", "data_shape": "collection", "mutual_exclusive_with": "DEPENDS_ON_ME_NONE", "list_config": { "item_label": "Person or animal", "add_button_text": "Add someone else", "min_items": 1, "entry_id": "entry_id", "fields": [ { "key": "entry_id", "label": "Entry", "type": "text", "system": true, "data_shape": "narrative" }, { "key": "kind", "label": "Is this a person or an animal?", "type": "select", "required": true, "data_shape": "single-select", "options": [ { "key": "person", "label": "A person" }, { "key": "animal", "label": "An animal" } ] }, { "key": "contact_id", "label": "Who in My Village", "type": "contact-ref", "kinds": [ "person" ], "required_kinds": [ "person" ], "data_shape": "contact", "source": "circle_contacts", "_ddr": "DDR-LIFE-ROLES-AND-DEPENDENTS-001 §5.1: a pointer to circle_contacts.id. A person's name, relationship and pronoun are read from the contact, never stored here (one list of people)." }, { "key": "age_band", "label": "About how old?", "type": "select", "data_shape": "single-select", "kinds": [ "person" ], "options": [ { "key": "under_5", "label": "Under 5" }, { "key": "5_12", "label": "5–12" }, { "key": "13_17", "label": "13–17" }, { "key": "adult", "label": "Adult" }, { "key": "prefer_not", "label": "Rather not say" } ], "minor_bands": [ "under_5", "5_12", "13_17", "minor_unbanded" ], "migration_only_values": [ "minor_unbanded" ], "_ddr": "§5.1 + S-5: bands, not birthdays. minor_unbanded exists only for answers migrated from under_18 = yes (§11.3); the page asks her once, 'About how old?'." }, { "key": "dob", "label": "Birthday", "type": "date", "data_shape": "atom", "kinds": [ "person" ], "optional": true, "off_by_default": true, "reveal_label": "Add a birthday instead (optional)", "reveal_note": "Only you will see it.", "derives": "age_band", "audience": "member_only", "export": false, "_ddr": "§5.1 + S-10: off by default; when set it derives age_band, is shown only on her own screen and never leaves in a briefing." }, { "key": "name", "label": "Their name", "type": "text", "required": true, "kinds": [ "animal" ], "_ddr": "§5.1: kept for an animal only. A person's name is read from the contact; a typed person name from before is read only by the migration shim (§11).", "placeholder": "e.g., Eleanor, Biscuit", "data_shape": "narrative" }, { "key": "relationship", "label": "How are they connected to you?", "type": "text", "kinds": [ "animal" ], "placeholder": "e.g., my mother, my dog", "data_shape": "narrative" }, { "key": "pronoun", "label": "Which pronouns do they use?", "type": "select", "read_from_contact": true, "_ddr": "§5.1: a fact about the person, so it lives on the contact (circle_contacts.pronoun); this sub-field is read only for entries from before.", "data_shape": "single-select", "default": "they", "kinds": [ "person" ], "options": [ { "key": "she", "label": "She / her" }, { "key": "he", "label": "He / him" }, { "key": "they", "label": "They / them" } ] }, { "key": "under_18", "label": "Are they under 18?", "type": "select", "derived_from": "age_band", "derive": { "under_5": "yes", "5_12": "yes", "13_17": "yes", "minor_unbanded": "yes", "adult": "no", "prefer_not": "prefer_not" }, "read_only": true, "_ddr": "§5.1: derived from age_band and never written directly again; it stays readable so dependent-loop.ts P-REG-15 keeps working.", "data_shape": "single-select", "kinds": [ "person" ], "options": [ { "key": "yes", "label": "Yes" }, { "key": "no", "label": "No" }, { "key": "prefer_not", "label": "Prefer not to say" } ] }, { "key": "on_card", "label": "Show on my Emergency Card", "type": "checkbox", "default": true, "data_shape": "atom" } ] }, "visibility": { "level": "standard", "emergency_access": true, "consent_required": false, "audit_level": "standard" }, "parkable": true, "skip_allowed": true, "edit_component": "dynamic-list-input", "interaction_style": "conversational", "member_facing_label": "Who depends on you", "advocate_copy": { "preamble": "This is about someone else. Write only what the person stepping in needs.", "why_we_ask": "So the person who steps in for you knows who to look after." }, "outputs": [ { "deliverable": "who_depends_on_me", "tier": "MUST", "lead": true, "validation": { "verdict": "ADD", "reader": "stand_in", "act": "know who to look after", "evidence": "docs/discoveries/S-CARE-0-FIELD-DESIGN-001.md §2.1", "method": "provisional", "date": "2026-10-08" } }, { "deliverable": "cap_card", "tier": "COULD" }, { "deliverable": "emergency_quick_card", "tier": "COULD" }, { "deliverable": "care_coordination_brief", "tier": "COULD" }, { "deliverable": "new_provider_briefing", "tier": "COULD" } ] }, "DEPENDS_ON_ME_NONE": { "label": "No one depends on me day to day", "question": "No one depends on me day to day", "type": "checkbox", "mutual_exclusive_with": "DEPENDS_ON_ME", "cognitive_load": 1, "emotional_weight": "neutral", "estimated_seconds": 5, "order": 2, "pillar": "continuity", "visibility": { "level": "standard", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "edit_component": "checkbox-input", "interaction_style": "single_choice", "member_facing_label": "No one depends on me day to day", "captured_inline": true, "data_shape": "atom", "outputs": [ { "deliverable": "who_depends_on_me", "tier": "COULD" } ] }, "STAND_IN": { "artifact_noun": "the person who steps in", "cardinality": "one", "type": "smart-contact", "label": "Who steps in for {name}?", "placeholder": "Choose someone from My Village", "per_entry": { "of": "DEPENDS_ON_ME", "kinds": [ "person", "animal" ] }, "cognitive_load": 2, "emotional_weight": "moderate", "estimated_seconds": 20, "order": 3, "pillar": "continuity", "data_shape": "contact", "visibility": { "level": "emergency", "emergency_access": true, "consent_required": false, "audit_level": "high" }, "integration": { "fhir_resource": "RelatedPerson", "fhir_path": "name[0].text", "smart_room_relevant": false }, "advocate_copy": { "preamble": "Choose an adult.", "why_we_ask": "So your card can say whom to call, and they know it is them." }, "parkable": true, "skip_allowed": true, "edit_component": "text-input", "interaction_style": "conversational", "member_facing_label": "Who steps in", "outputs": [ { "deliverable": "who_depends_on_me", "tier": "MUST", "validation": { "verdict": "ADD", "reader": "stand_in", "act": "know it is them", "evidence": "docs/discoveries/S-CARE-0-FIELD-DESIGN-001.md §2.1", "method": "provisional", "date": "2026-10-08" } }, { "deliverable": "cap_card", "tier": "COULD" }, { "deliverable": "emergency_quick_card", "tier": "COULD" }, { "deliverable": "care_coordination_brief", "tier": "COULD" } ] }, "DEPENDENT_CARE_ROUTINE": { "type": "textarea", "label": "What does a usual day look like for {name}?", "placeholder": "The when, not the medicines: e.g., out at 7 and 6", "per_entry": { "of": "DEPENDS_ON_ME", "kinds": [ "person", "animal" ] }, "cognitive_load": 2, "emotional_weight": "moderate", "estimated_seconds": 60, "order": 4, "pillar": "continuity", "data_shape": "narrative", "visibility": { "level": "standard", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "parkable": true, "skip_allowed": true, "interaction_style": "conversational", "edit_component": "textarea-input", "member_facing_label": "A usual day", "advocate_copy": { "preamble": "Write only what the person stepping in needs.", "why_we_ask": "So the person who steps in can do what you do." }, "outputs": [ { "deliverable": "who_depends_on_me", "tier": "SHOULD", "validation": { "verdict": "ADD", "reader": "stand_in", "act": "do what she does", "evidence": "docs/discoveries/S-CARE-0-FIELD-DESIGN-001.md §2.1", "method": "provisional", "date": "2026-10-08" } } ] }, "DEPENDENT_DAYTIME": { "artifact_noun": "where they are during the day", "type": "textarea", "label": "Where are they during the day, and who there should be told?", "placeholder": "Lincoln Elementary — the front office, ask for Mrs Ortiz", "per_entry": { "of": "DEPENDS_ON_ME", "kinds": [ "person" ], "age_bands": [ "under_5", "5_12", "13_17", "minor_unbanded" ] }, "cognitive_load": 2, "emotional_weight": "neutral", "estimated_seconds": 40, "order": 4, "pillar": "continuity", "data_shape": "narrative", "visibility": { "level": "standard", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "parkable": true, "skip_allowed": true, "interaction_style": "conversational", "edit_component": "textarea-input", "member_facing_label": "Where they are during the day", "advocate_copy": { "preamble": "Her note of where, not a record from the school.", "why_we_ask": "So the person who steps in knows where to collect them, and who there to tell." }, "never_collect": [ "student_id", "grades", "teacher_evaluation" ], "outputs": [ { "deliverable": "who_depends_on_me", "tier": "COULD", "validation": { "verdict": "ADD", "reader": "stand_in", "act": "collect them and tell the right person", "evidence": "docs/ddr/DDR-LIFE-ROLES-AND-DEPENDENTS-001.md §5.1", "method": "provisional", "date": "2026-10-12" } } ], "_ddr": "DDR-LIFE-ROLES-AND-DEPENDENTS-001 §5.1 + S-14: minors only; it serves the stand-in who collects a child at 3 p.m. DEPENDENT_CARE_ROUTINE covers when; this covers where." }, "DEPENDENT_SEVERE_ALLERGY": { "artifact_noun": "a severe allergy", "type": "text", "label": "Is there a severe allergy the person stepping in must know?", "placeholder": "One line, in your words: e.g., peanuts: EpiPen in the blue school bag", "per_entry": { "of": "DEPENDS_ON_ME", "kinds": [ "person" ], "age_bands": [ "under_5", "5_12", "13_17", "minor_unbanded" ] }, "max_length": 140, "cognitive_load": 2, "emotional_weight": "moderate", "estimated_seconds": 20, "order": 5, "pillar": "continuity", "data_shape": "narrative", "visibility": { "level": "standard", "emergency_access": false, "consent_required": false, "audit_level": "high" }, "parkable": true, "skip_allowed": true, "interaction_style": "conversational", "edit_component": "text-input", "member_facing_label": "A severe allergy", "advocate_copy": { "preamble": "Only a severe allergy, and only what the person feeding them must know.", "why_we_ask": "So the person who steps in can keep them safe at meals." }, "verbatim_only": true, "review": "PROPOSED", "review_by": [ "ben", "mike", "nneka" ], "review_ruling": "DDR-LIFE-ROLES-AND-DEPENDENTS-001 §16 Q-8", "outputs": [ { "deliverable": "who_depends_on_me", "tier": "COULD", "validation": { "verdict": "ADD", "reader": "stand_in", "act": "keep them safe at meals", "evidence": "docs/ddr/DDR-LIFE-ROLES-AND-DEPENDENTS-001.md §12 S-11, §16 Q-8", "method": "provisional", "date": "2026-10-12" } } ], "_ddr": "S-11's one exception (Q-8, ruled: drawn as expected). One line in her words on the stand-in page; never a diagnosis, never on the card, the Hub or My Day. Review state is in this data and the management log, never in the app." }, "DEPENDENT_OWN_CARE_CONTACT": { "type": "select", "label": "Who looks after {name}'s health?", "placeholder": "Their own care team, a practice or vet, or ask you", "per_entry": { "of": "DEPENDS_ON_ME", "kinds": [ "person", "animal" ] }, "cognitive_load": 2, "emotional_weight": "neutral", "estimated_seconds": 30, "order": 5, "pillar": "continuity", "data_shape": "contact", "options": [ { "key": "pointer", "label": "Their own Sanctuary" }, { "key": "contact", "label": "A practice or vet I can name" }, { "key": "ask_me", "label": "Ask me" } ], "visibility": { "level": "standard", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "parkable": true, "skip_allowed": true, "interaction_style": "conversational", "edit_component": "text-input", "member_facing_label": "Who looks after their health", "advocate_copy": { "preamble": "Write only what the person stepping in needs.", "why_we_ask": "So the person who steps in can reach the right professionals." }, "outputs": [ { "deliverable": "who_depends_on_me", "tier": "SHOULD", "validation": { "verdict": "ADD", "reader": "stand_in", "act": "reach the right professionals", "evidence": "docs/discoveries/S-CARE-0-FIELD-DESIGN-001.md §2.1", "method": "provisional", "date": "2026-10-08" } } ] }, "HOME_ACCESS_FOR_STAND_IN": { "type": "textarea", "label": "How does the person who steps in get in?", "placeholder": "Say where the key is. Don't write a door code here.", "per_entry": { "of": "DEPENDS_ON_ME", "kinds": [ "person", "animal" ] }, "cognitive_load": 2, "emotional_weight": "moderate", "estimated_seconds": 30, "order": 6, "pillar": "continuity", "data_shape": "narrative", "visibility": { "level": "standard", "emergency_access": false, "consent_required": true, "audit_level": "high" }, "parkable": true, "skip_allowed": true, "interaction_style": "conversational", "edit_component": "textarea-input", "member_facing_label": "How to get in", "advocate_copy": { "preamble": "Say where the key is. Don't write a door code here.", "why_we_ask": "So the person who steps in can reach them." }, "outputs": [ { "deliverable": "who_depends_on_me", "tier": "SHOULD", "validation": { "verdict": "ADD", "reader": "stand_in", "act": "get to them", "evidence": "docs/discoveries/S-CARE-0-FIELD-DESIGN-001.md §2.1", "method": "provisional", "date": "2026-10-08" } } ] }, "DEPENDENT_WISHES": { "type": "textarea", "label": "What would {name} want you to know?", "placeholder": "In their words, if they can say. Not written yet is a complete answer.", "per_entry": { "of": "DEPENDS_ON_ME", "kinds": [ "person" ] }, "bound": { "while": "is_caregiver", "on_close": "offer_withdraw", "on_reopen": "ask_still_true" }, "provenance": [ { "key": "voice", "label": "In their words or yours", "options": [ "their_words", "my_words" ] }, { "key": "asked_on", "label": "Asked on", "type": "date" } ], "cognitive_load": 3, "emotional_weight": "heavy", "estimated_seconds": 90, "order": 7, "pillar": "continuity", "data_shape": "narrative", "visibility": { "level": "standard", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "parkable": true, "skip_allowed": true, "interaction_style": "conversational", "edit_component": "textarea-input", "member_facing_label": "What they want you to know", "advocate_copy": { "preamble": "Ask them what they want written here, if they can say.", "why_we_ask": "So the person who steps in can care as they would want." }, "outputs": [ { "deliverable": "who_depends_on_me", "tier": "COULD", "validation": { "verdict": "ADD", "reader": "stand_in", "act": "care as they would want", "evidence": "docs/discoveries/S-CARE-0-FIELD-DESIGN-001.md §2.1", "method": "provisional", "date": "2026-10-08" } } ] }, "CAREGIVER_LIMITS": { "type": "textarea", "label": "What have you agreed to do for {name}, and what can't you take on?", "placeholder": "e.g., the weekly shop and appointments; not nights", "per_entry": { "of": "DEPENDS_ON_ME", "kinds": [ "person" ] }, "bound": { "while": "is_caregiver", "on_close": "offer_withdraw", "on_reopen": "ask_still_true" }, "cognitive_load": 2, "emotional_weight": "moderate", "estimated_seconds": 60, "order": 8, "pillar": "continuity", "data_shape": "narrative", "visibility": { "level": "standard", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "parkable": true, "skip_allowed": true, "interaction_style": "conversational", "edit_component": "textarea-input", "member_facing_label": "What you have agreed to", "advocate_copy": { "preamble": "Write only what the person stepping in needs.", "why_we_ask": "So the person who steps in knows what you covered and what someone else covers." }, "outputs": [ { "deliverable": "who_depends_on_me", "tier": "COULD", "validation": { "verdict": "ADD", "reader": "stand_in", "act": "respect what she covers", "evidence": "docs/discoveries/S-CARE-0-FIELD-DESIGN-001.md §2.1", "method": "provisional", "date": "2026-10-08" } } ] }, "CAREGIVER_HELP_WANTED": { "type": "multiselect", "label": "What help would you welcome?", "description": "Choose any that would help while you are caring for someone.", "options": [ { "key": "cover_rest", "label": "Cover so I can rest" }, { "key": "meal", "label": "A meal" }, { "key": "errands", "label": "Errands or shopping" }, { "key": "sit_with", "label": "Sitting with the person I care for" }, { "key": "check_in", "label": "A call to check on me" }, { "key": "paperwork", "label": "Help with paperwork" }, { "key": "other", "label": "Something else" } ], "bound": { "while": "is_caregiver", "on_close": "offer_withdraw", "on_reopen": "ask_still_true" }, "cognitive_load": 1, "emotional_weight": "moderate", "estimated_seconds": 20, "order": 9, "pillar": "continuity", "data_shape": "narrative", "visibility": { "level": "standard", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "parkable": true, "skip_allowed": true, "interaction_style": "multiselect", "edit_component": "multiselect-input", "member_facing_label": "Help you would welcome", "outputs": [ { "deliverable": "care_circle", "tier": "COULD", "validation": { "verdict": "ADD", "reader": "family_caregiver", "act": "give the help she would welcome", "evidence": "docs/discoveries/S-CARE-0-FIELD-DESIGN-001.md §2.1", "method": "provisional", "date": "2026-10-08" } } ] }, "PET_CARE_PLAN": { "type": "textarea", "label": "What should someone caring for your animals know?", "placeholder": "Include pet names, types, who should care for them, and any special instructions...", "cognitive_load": 2, "emotional_weight": "moderate", "estimated_seconds": 60, "order": 4, "pillar": "continuity", "visibility": { "level": "full", "emergency_access": false, "consent_required": false }, "parkable": true, "skip_allowed": true, "interaction_style": "conversational", "edit_component": "textarea-input", "advocate_copy": { "preamble": "Your pets are family too. Knowing they'll be cared for brings peace of mind.", "why_we_ask": "Having a plan for your pets means one less worry for you and your family." }, "legacy_journey": "for_family", "outputs": [ { "deliverable": "family_caregiver_guide", "tier": "COULD" }, { "deliverable": "who_depends_on_me", "tier": "SHOULD" } ], "anchors": [ "family_caregiver_guide" ], "anchor_role": "enhancing", "composition": { "greeting": "About my beloved companion(s),", "closing": "They mean the world to me.", "tones": [ { "key": "reassuring", "label": "Reassuring", "icon": "🤗", "color": "#3AAFA9", "template": "If I can't care for my pet(s), I want you to know they need {blank}. The person I'd trust most with them is {blank}. What makes them happiest is {blank}.", "blanks": [ { "key": "pc-reassuring-b1", "placeholder": "what they need", "options": [ { "key": "pc-r-b1-o1", "text": "a calm and loving home" }, { "key": "pc-r-b1-o2", "text": "someone who will keep their routine" }, { "key": "pc-r-b1-o3", "text": "patience while they adjust to change" }, { "key": "pc-r-b1-o4", "text": "the same gentleness they've always known" } ] }, { "key": "pc-reassuring-b2", "placeholder": "trusted person", "options": [ { "key": "pc-r-b2-o1", "text": "someone who already knows and loves them" }, { "key": "pc-r-b2-o2", "text": "a family member they are comfortable with" }, { "key": "pc-r-b2-o3", "text": "a friend who has cared for animals before" }, { "key": "pc-r-b2-o4", "text": "whoever can give them the most stability" } ] }, { "key": "pc-reassuring-b3", "placeholder": "what makes them happy", "options": [ { "key": "pc-r-b3-o1", "text": "their daily walk or outdoor time" }, { "key": "pc-r-b3-o2", "text": "being close to the people they love" }, { "key": "pc-r-b3-o3", "text": "a quiet spot and a regular feeding time" }, { "key": "pc-r-b3-o4", "text": "affection and a familiar voice" } ] } ] }, { "key": "practical", "label": "Practical", "icon": "📋", "color": "#4A90D9", "template": "My pet's daily routine includes {blank}. Their vet is {blank}. Important health information: {blank}.", "blanks": [ { "key": "pc-practical-b1", "placeholder": "daily routine", "options": [ { "key": "pc-p-b1-o1", "text": "feeding at specific times with their usual food" }, { "key": "pc-p-b1-o2", "text": "a morning walk or outdoor time" }, { "key": "pc-p-b1-o3", "text": "medication or supplements with their meals" }, { "key": "pc-p-b1-o4", "text": "a bedtime routine they count on" } ] }, { "key": "pc-practical-b2", "placeholder": "vet info", "options": [ { "key": "pc-p-b2-o1", "text": "listed in my care documents" }, { "key": "pc-p-b2-o2", "text": "at the clinic we've always used" }, { "key": "pc-p-b2-o3", "text": "someone who knows their full history" }, { "key": "pc-p-b2-o4", "text": "available for urgent questions" } ] }, { "key": "pc-practical-b3", "placeholder": "health info", "options": [ { "key": "pc-p-b3-o1", "text": "they take daily medication — details in my records" }, { "key": "pc-p-b3-o2", "text": "they have allergies to certain foods" }, { "key": "pc-p-b3-o3", "text": "they are due for annual checkups" }, { "key": "pc-p-b3-o4", "text": "they have a condition that requires monitoring" } ] } ] }, { "key": "loving", "label": "Loving", "icon": "💝", "color": "#D4AF37", "template": "My pet is more than a pet — they are {blank}. What I want their future caretaker to know is {blank}. Please give them {blank}.", "blanks": [ { "key": "pc-loving-b1", "placeholder": "what they mean to you", "options": [ { "key": "pc-l-b1-o1", "text": "my constant companion through everything" }, { "key": "pc-l-b1-o2", "text": "a source of comfort on the hardest days" }, { "key": "pc-l-b1-o3", "text": "part of this family in every way" }, { "key": "pc-l-b1-o4", "text": "the one who never asked anything but to be near me" } ] }, { "key": "pc-loving-b2", "placeholder": "for the caretaker", "options": [ { "key": "pc-l-b2-o1", "text": "they grieve too — please be patient with them" }, { "key": "pc-l-b2-o2", "text": "they respond best to a gentle voice" }, { "key": "pc-l-b2-o3", "text": "they need time to trust someone new" }, { "key": "pc-l-b2-o4", "text": "they have been my greatest comfort" } ] }, { "key": "pc-loving-b3", "placeholder": "what to give them", "options": [ { "key": "pc-l-b3-o1", "text": "the same love they gave me" }, { "key": "pc-l-b3-o2", "text": "time outdoors and room to play" }, { "key": "pc-l-b3-o3", "text": "patience as they adjust to their new life" }, { "key": "pc-l-b3-o4", "text": "a home where they feel safe" } ] } ] }, { "key": "honest", "label": "Honest", "icon": "💬", "color": "#7B8A8E", "template": "I worry about what will happen to my pet if {blank}. My biggest concern is {blank}. The arrangement I'd like to make is {blank}.", "blanks": [ { "key": "pc-honest-b1", "placeholder": "what worries you", "options": [ { "key": "pc-h-b1-o1", "text": "no one steps forward to take them" }, { "key": "pc-h-b1-o2", "text": "they end up somewhere unfamiliar" }, { "key": "pc-h-b1-o3", "text": "they are separated from their companion" }, { "key": "pc-h-b1-o4", "text": "their needs become too much for one person" } ] }, { "key": "pc-honest-b2", "placeholder": "biggest concern", "options": [ { "key": "pc-h-b2-o1", "text": "that they will be confused without me" }, { "key": "pc-h-b2-o2", "text": "that their routine will be disrupted" }, { "key": "pc-h-b2-o3", "text": "that no one will know their quirks and needs" }, { "key": "pc-h-b2-o4", "text": "that they will end up in a shelter" } ] }, { "key": "pc-honest-b3", "placeholder": "arrangement preferred", "options": [ { "key": "pc-h-b3-o1", "text": "for a specific person to take them home" }, { "key": "pc-h-b3-o2", "text": "for my family to decide together" }, { "key": "pc-h-b3-o3", "text": "for them to stay in a familiar environment" }, { "key": "pc-h-b3-o4", "text": "for a rescue organization I trust to find them a home" } ] } ] } ], "type": "guided_voice", "compose_strategy": "offered-words" }, "member_facing_label": "Pet Care Plan", "displayLabel": "Pet Care Plan", "data_shape": "narrative", "loomConfig": { "doorways": [ { "key": "needs", "heading": "What they need", "prompt": "What someone caring for your pets should know.", "themes": [ { "key": "medication", "label": "They take medication", "clause": "my pet takes medication that must be continued" }, { "key": "special_diet", "label": "They have a special diet", "clause": "they have a special diet that matters for their health" }, { "key": "anxiety", "label": "They get anxious with strangers", "clause": "they get anxious around strangers and need patience" }, { "key": "routine", "label": "Routine is important", "clause": "their daily routine is very important to keep them calm" } ] }, { "key": "plan", "heading": "Who will care for them", "prompt": "Your plan if you can't be there.", "themes": [ { "key": "family", "label": "A family member will take them", "clause": "a family member has agreed to take them" }, { "key": "friend", "label": "A trusted friend will help", "clause": "a trusted friend has offered to care for them" }, { "key": "no_plan", "label": "I haven't figured this out yet", "clause": "I haven't made a firm plan yet and I need help with this" }, { "key": "together", "label": "They must stay together", "clause": "my pets must stay together -- please don't separate them" } ] } ], "weaveFrame": { "lead": "About my pets:", "conjunction": "and", "oxford": true, "separator": ", ", "escalatedSeparator": "; ", "terminator": "." } } }, "TRANS_ACCESS": { "type": "select", "label": "Transportation Access", "cognitive_load": 1, "emotional_weight": "neutral", "estimated_seconds": 15, "order": 1, "pillar": "navigation", "visibility": { "level": "clinical", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "filter": { "decision_relevant": true, "impacts": [ "appointment_scheduling", "care_coordination", "social_work_referral" ] }, "advocate_copy": { "preamble": "Let's talk about how you get to your medical appointments.", "why_we_ask": "Understanding your transportation situation helps us schedule appointments at convenient times and connect you with transportation assistance if needed." }, "options": [ { "key": "own_vehicle", "label": "I drive myself" }, { "key": "family_drives", "label": "Family or friends drive me" }, { "key": "public_transit", "label": "I use public transportation" }, { "key": "rideshare", "label": "I use rideshare services (Uber, Lyft)" }, { "key": "medical_transport", "label": "I use medical transportation services" }, { "key": "limited", "label": "I have limited or unreliable transportation" }, { "key": "none", "label": "I don't have transportation access" } ], "parkable": true, "skip_allowed": true, "edit_component": "select-input", "interaction_style": "conversational", "view_models": [ "CareContinuity" ], "clinical_alert": true, "alert_to": [ "social_worker", "care_coordinator" ], "alert_condition": { "values": [ "limited", "none" ] }, "outputs": [ { "deliverable": "barriers_assessment_summary", "tier": "SHOULD" }, { "deliverable": "care_coordination_brief", "tier": "MUST" }, { "deliverable": "handoff_summary", "tier": "SHOULD" }, { "deliverable": "new_provider_briefing", "tier": "SHOULD" }, { "deliverable": "resource_connection_plan", "tier": "SHOULD" }, { "deliverable": "transfer_summary", "tier": "SHOULD" }, { "deliverable": "transition_readiness_checklist", "tier": "SHOULD" } ], "anchors": [ "care_coordination_brief" ], "anchor_role": "required", "member_facing_label": "Transportation Access", "data_shape": "single-select" }, "HOME_STAIRS": { "type": "select", "label": "Home Entry", "cognitive_load": 1, "emotional_weight": "neutral", "estimated_seconds": 10, "order": 2, "pillar": "navigation", "visibility": { "level": "clinical", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "filter": { "decision_relevant": true, "impacts": [ "home_health_planning", "dme_delivery", "rehabilitation_therapy" ] }, "advocate_copy": { "preamble": "This helps us plan for home health visits and equipment needs.", "why_we_ask": "Knowing about stairs helps us plan for home health visits, equipment delivery, and rehabilitation therapy." }, "options": [ { "key": "no_stairs", "label": "No stairs - ground level entry" }, { "key": "few_stairs", "label": "A few stairs (1-5 steps)" }, { "key": "many_stairs", "label": "Many stairs (6+ steps)" }, { "key": "elevator", "label": "Elevator available" }, { "key": "ramp", "label": "Wheelchair ramp available" } ], "parkable": true, "skip_allowed": true, "edit_component": "select-input", "interaction_style": "conversational", "view_models": [ "CareContinuity" ], "outputs": [ { "deliverable": "barriers_assessment_summary", "tier": "SHOULD" }, { "deliverable": "care_coordination_brief", "tier": "SHOULD" }, { "deliverable": "home_environment_profile", "tier": "SHOULD" }, { "deliverable": "new_provider_briefing", "tier": "SHOULD" }, { "deliverable": "resource_connection_plan", "tier": "SHOULD" }, { "deliverable": "transfer_summary", "tier": "SHOULD" }, { "deliverable": "transition_readiness_checklist", "tier": "SHOULD" } ], "anchors": [ "care_coordination_brief" ], "anchor_role": "enhancing", "member_facing_label": "Home Entry & Accessibility", "data_shape": "single-select" }, "INTERNET_STABLE": { "type": "select", "label": "Telehealth Access", "cognitive_load": 1, "emotional_weight": "neutral", "estimated_seconds": 10, "order": 3, "pillar": "navigation", "visibility": { "level": "clinical", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "filter": { "decision_relevant": true, "impacts": [ "telehealth_scheduling", "remote_monitoring", "digital_communication" ] }, "advocate_copy": { "preamble": "Many doctors now offer video visits. Let's see if that's an option for you.", "why_we_ask": "Knowing your internet access helps us determine if telehealth appointments are a good option for you." }, "options": [ { "key": "yes_reliable", "label": "Yes, reliable high-speed internet" }, { "key": "yes_sometimes", "label": "Yes, but connection is sometimes unreliable" }, { "key": "mobile_only", "label": "Mobile/cellular data only" }, { "key": "limited", "label": "Limited or shared access" }, { "key": "no", "label": "No internet access" } ], "parkable": true, "skip_allowed": true, "edit_component": "select-input", "interaction_style": "conversational", "view_models": [ "CareContinuity" ], "outputs": [ { "deliverable": "care_coordination_brief", "tier": "SHOULD" } ], "anchors": [ "care_coordination_brief" ], "anchor_role": "enhancing", "member_facing_label": "Telehealth Access", "data_shape": "single-select" }, "INSURANCE_TYPE": { "type": "select", "label": "Insurance Coverage", "cognitive_load": 1, "emotional_weight": "neutral", "estimated_seconds": 15, "order": 4, "pillar": "navigation", "visibility": { "level": "planning", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "filter": { "decision_relevant": true, "impacts": [ "referral_routing", "financial_counseling", "benefits_assistance" ] }, "advocate_copy": { "preamble": "Understanding your insurance helps us connect you with the right resources.", "why_we_ask": "Your insurance type affects which services are covered and helps us connect you with financial assistance programs if needed." }, "options": [ { "key": "medicare", "label": "Medicare" }, { "key": "medicaid", "label": "Medicaid" }, { "key": "medicare_medicaid", "label": "Both Medicare and Medicaid" }, { "key": "private", "label": "Private insurance (employer or marketplace)" }, { "key": "va", "label": "VA / Military" }, { "key": "uninsured", "label": "Currently uninsured" }, { "key": "other", "label": "Other" } ], "parkable": true, "skip_allowed": true, "edit_component": "select-input", "interaction_style": "conversational", "view_models": [ "CareContinuity", "AdvocacyCompliance" ], "clinical_alert": true, "alert_to": [ "financial_counselor", "social_worker" ], "alert_condition": { "values": [ "uninsured" ] }, "outputs": [ { "deliverable": "advocacy_compliance_view", "tier": "MUST" }, { "deliverable": "barriers_assessment_summary", "tier": "SHOULD" }, { "deliverable": "care_coordination_brief", "tier": "SHOULD" }, { "deliverable": "financial_profile_summary", "tier": "MUST" }, { "deliverable": "resource_connection_plan", "tier": "SHOULD" } ], "anchors": [ "care_coordination_brief" ], "anchor_role": "enhancing", "member_facing_label": "Insurance Coverage", "data_shape": "single-select" }, "DISABILITY_STATUS": { "type": "select", "label": "Employment Status", "cognitive_load": 1, "emotional_weight": "neutral", "estimated_seconds": 10, "order": 5, "pillar": "navigation", "visibility": { "level": "planning", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "filter": { "decision_relevant": true, "impacts": [ "benefits_counseling", "disability_assistance", "employer_protections" ] }, "advocate_copy": { "preamble": "This helps us understand what benefits and protections may apply to you.", "why_we_ask": "Your employment status helps us connect you with appropriate benefits, disability assistance, or employer protections." }, "options": [ { "key": "employed_full", "label": "Employed full-time" }, { "key": "employed_part", "label": "Employed part-time" }, { "key": "retired", "label": "Retired" }, { "key": "disability", "label": "On disability" }, { "key": "unemployed", "label": "Unemployed" }, { "key": "caregiver", "label": "Full-time caregiver" }, { "key": "student", "label": "Student" } ], "parkable": true, "skip_allowed": true, "edit_component": "select-input", "interaction_style": "conversational", "view_models": [ "AdvocacyCompliance" ], "outputs": [ { "deliverable": "care_coordination_brief", "tier": "SHOULD" }, { "deliverable": "financial_profile_summary", "tier": "SHOULD" } ], "anchors": [ "care_coordination_brief" ], "anchor_role": "enhancing", "member_facing_label": "Employment Status", "data_shape": "single-select" }, "PREFERRED_PHARMACY": { "type": "text", "label": "Preferred Pharmacy", "placeholder": "e.g., CVS on Main Street, Walgreens #1234", "cognitive_load": 1, "emotional_weight": "light", "estimated_seconds": 15, "order": 7, "pillar": "navigation", "visibility": { "level": "clinical", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "integration": { "fhir_resource": "Organization", "fhir_path": "name", "fhir_type": "pharmacy" }, "advocate_copy": { "preamble": "Knowing your pharmacy helps coordinate your medications.", "why_we_ask": "Your care team can send prescriptions directly to your preferred pharmacy and coordinate medication changes." }, "parkable": true, "skip_allowed": true, "edit_component": "text-input", "interaction_style": "conversational", "view_models": [ "ClinicalIntervention" ], "outputs": [ "clinical_summary", { "deliverable": "care_coordination_brief", "tier": "COULD" } ], "anchors": [ "clinical_summary" ], "anchor_role": "enhancing", "member_facing_label": "Preferred Pharmacy", "data_shape": "atom", "composition": { "compose_strategy": "atoms", "blank_type": "text", "sentence_parts": [ "My preferred pharmacy is ", { "key": "value", "hint": "pharmacy name" }, "." ], "blank_options": [ "CVS", "Walgreens", "Rite Aid", "Walmart Pharmacy", "Costco Pharmacy", "local pharmacy" ] } }, "RECENT_TRANSITION_LOG": { "type": "dynamic-list", "label": "Recent Hospitalizations", "placeholder": null, "cognitive_load": 2, "emotional_weight": "light", "estimated_seconds": 45, "order": 8, "pillar": "navigation", "visibility": { "level": "clinical", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "advocate_copy": { "preamble": "Recent hospital stays help your care team understand your current health journey.", "why_we_ask": "Knowing about recent hospitalizations helps your care team understand where you are in your health journey and coordinate follow-up care." }, "parkable": true, "skip_allowed": true, "edit_component": "dynamic-list-input", "interaction_style": "dynamic_list", "view_models": [ "ClinicalIntervention" ], "outputs": [ "clinical_summary", { "deliverable": "care_coordination_brief", "tier": "COULD" } ], "anchors": [ "clinical_summary" ], "anchor_role": "enhancing", "list_config": { "item_label": "Hospitalization", "add_button_text": "+ Add another hospitalization", "none_option": "No recent hospitalizations", "fields": [ { "key": "facility", "label": "Hospital or Facility", "type": "text", "required": true, "placeholder": "e.g., Mass General, Mayo Clinic", "data_shape": "narrative" }, { "key": "date", "label": "When (approximate)", "type": "text", "required": true, "placeholder": "e.g., October 2025, 3 months ago", "data_shape": "narrative" }, { "key": "reason", "label": "Reason for Stay", "type": "text", "required": true, "placeholder": "e.g., Heart surgery, Pneumonia", "data_shape": "narrative" }, { "key": "duration", "label": "How Long", "type": "text", "placeholder": "e.g., 3 days, 1 week", "data_shape": "narrative" }, { "key": "notes", "label": "Anything your care team should know?", "type": "text", "placeholder": "e.g., Complications, follow-up needed", "data_shape": "narrative" } ] }, "member_facing_label": "Recent Hospitalizations", "data_shape": "collection", "composition": { "compose_strategy": "composite", "beats": [ { "key": "facility", "sentence": [ "I was at ", { "blank": "the hospital or facility" }, "." ], "counsel": "Which hospital or facility?", "chips": [], "write": true }, { "key": "date", "sentence": [ "That was ", { "blank": "when, approximately" }, "." ], "counsel": "When was it?", "chips": [ "this month", "last month", "a few months ago" ], "write": true }, { "key": "reason", "sentence": [ "I was there for ", { "blank": "the reason" }, "." ], "counsel": "What was the reason?", "chips": [], "write": true }, { "key": "duration", "sentence": [ "I stayed for ", { "blank": "how long" }, "." ], "counsel": "How long?", "chips": [ "a day", "a few days", "about a week", "more than a week" ], "write": true }, { "key": "notes", "sentence": [ "Something my care team should know: ", { "blank": "anything important" }, "." ], "counsel": "Anything else about this stay?", "chips": [], "write": true } ], "compose_template": "{facility} ({date}) for {reason}, stayed {duration}. {notes}", "record_noun": "hospitalization" } }, "PAIN_BASELINE_0_10": { "type": "slider", "label": "Current Pain Level", "cognitive_load": 1, "emotional_weight": "light", "estimated_seconds": 10, "order": 9, "pillar": "navigation", "visibility": { "level": "clinical", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "slider_config": { "min": 0, "max": 10, "step": 1, "labels": { "0": "No pain", "5": "Moderate", "10": "Worst pain" }, "show_value": true }, "advocate_copy": { "preamble": "Understanding your current pain helps us track how treatments are working.", "why_we_ask": "Recording your typical pain level helps your care team monitor whether treatments are improving your comfort over time." }, "parkable": true, "skip_allowed": true, "edit_component": "slider-input", "interaction_style": "conversational", "view_models": [ "QualityOfLife" ], "outputs": [ "clinical_summary", { "deliverable": "palliative_care_profile", "tier": "SHOULD" }, "comfort_care_plan", { "deliverable": "functional_baseline_assessment", "tier": "SHOULD" } ], "anchors": [ "clinical_summary", "palliative_care_profile" ], "anchor_role": "enhancing", "member_facing_label": "Current Pain Level" }, "MOBILITY_STATUS": { "type": "select", "label": "Current Mobility", "cognitive_load": 1, "emotional_weight": "neutral", "estimated_seconds": 10, "order": 10, "pillar": "navigation", "visibility": { "level": "clinical", "emergency_access": true, "consent_required": false, "audit_level": "standard" }, "filter": { "decision_relevant": true, "impacts": [ "home_health_planning", "dme_needs", "fall_risk_assessment", "rehabilitation_therapy" ] }, "advocate_copy": { "preamble": "This helps us plan for your care needs and any equipment you might need.", "why_we_ask": "Understanding how you get around helps us plan for safe care, recommend equipment, and assess fall risk." }, "options": [ { "key": "independent", "label": "I walk independently without assistance" }, { "key": "cane", "label": "I use a cane" }, { "key": "walker", "label": "I use a walker" }, { "key": "wheelchair", "label": "I use a wheelchair" }, { "key": "bedbound", "label": "I am mostly bedbound" }, { "key": "variable", "label": "It varies day to day" } ], "parkable": true, "skip_allowed": true, "edit_component": "select-input", "interaction_style": "conversational", "view_models": [ "QualityOfLife", "CareContinuity" ], "outputs": [ "clinical_summary", { "deliverable": "barriers_assessment_summary", "tier": "SHOULD" }, { "deliverable": "functional_baseline_assessment", "tier": "SHOULD" }, { "deliverable": "care_coordination_brief", "tier": "COULD" } ], "anchors": [ "clinical_summary" ], "anchor_role": "enhancing", "member_facing_label": "Current Mobility", "data_shape": "single-select" }, "DECISION_STYLE": { "type": "radio", "label": "How do you prefer to make important healthcare decisions?", "cognitive_load": 2, "emotional_weight": "moderate", "estimated_seconds": 30, "order": 12, "pillar": "essence", "visibility": { "level": "clinical", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "filter": { "decision_relevant": true, "impacts": [ "family_involvement", "care_meetings", "consent_process" ], "cultural_context": true }, "advocate_copy": { "preamble": "Different families make decisions in different ways. Some people prefer to decide on their own, while others want their whole family involved.", "why_we_ask": "Understanding your decision-making style helps your care team involve the right people at the right time, especially when important decisions need to be made." }, "options": [ { "key": "individual", "label": "I prefer to make decisions on my own", "icon": "👤", "description": "I'll consult others but the final decision is mine" }, { "key": "family_consensus", "label": "I prefer to involve my family in major decisions", "icon": "👨‍👩‍👧‍👦", "description": "Important healthcare decisions should include my family's input" }, { "key": "designated_proxy", "label": "I prefer my healthcare proxy to decide for me", "icon": "🤝", "description": "I trust my designated person to make decisions on my behalf" } ], "legacy_journey": "my_values", "parkable": true, "skip_allowed": true, "edit_component": "radio-input", "interaction_style": "choice_cards", "view_models": [ "CareContinuity", "QualityOfLife", "AdvocacyCompliance" ], "outputs": [ "clinical_summary", { "deliverable": "family_consensus_guide", "tier": "MUST" }, { "deliverable": "new_provider_briefing", "tier": "SHOULD" }, { "deliverable": "personal_portrait", "tier": "SHOULD" } ], "anchors": [ "personal_portrait", "family_consensus_guide" ], "anchor_role": "enhancing", "member_facing_label": "How You Make Healthcare Decisions", "data_shape": "single-select" }, "CULTURAL_DIET_RESTRICTIONS": { "type": "textarea", "label": "Do you have any cultural or religious dietary needs?", "placeholder": "e.g., Halal, Kosher, vegetarian for religious reasons, fasting during Ramadan...", "cognitive_load": 2, "emotional_weight": "neutral", "estimated_seconds": 45, "order": 13, "pillar": "essence", "visibility": { "level": "clinical", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "filter": { "decision_relevant": true, "impacts": [ "meal_planning", "nutrition_support", "hospital_diet_orders" ], "cultural_context": true }, "integration": { "fhir_resource": "Patient", "fhir_path": "extension.cultural_diet", "smart_room_relevant": true, "smart_room_use": "dietary_alerts", "dietary_integration": true }, "advocate_copy": { "preamble": "Beyond comfort foods, some people have dietary requirements based on their faith or cultural traditions.", "why_we_ask": "This ensures your nutrition support team provides meals that honor your beliefs, not just your medical needs. Hospital kitchens can accommodate most religious dietary requirements when they know about them." }, "conditional": { "show_when": { "field": "D13", "operator": "not_in", "value": [ "none", "private" ] } }, "legacy_journey": "my_spirit", "parkable": true, "skip_allowed": true, "edit_component": "textarea-input", "interaction_style": "narrative", "view_models": [ "ClinicalIntervention", "QualityOfLife" ], "outputs": [ "clinical_summary", { "deliverable": "comfort_care_plan", "tier": "SHOULD" }, { "deliverable": "cultural_identity_brief", "tier": "SHOULD" }, { "deliverable": "hospice_intake_package", "tier": "SHOULD" }, { "deliverable": "spiritual_care_profile", "tier": "SHOULD" }, { "deliverable": "spiritual_cultural_guide", "tier": "COULD" } ], "anchors": [ "spiritual_cultural_guide" ], "anchor_role": "enhancing", "composition": { "compose_strategy": "category", "type": "category-browse", "compose_prefix": "My dietary needs and restrictions:", "allow_other": true, "categories": [ { "label": "Religious", "items": [ { "key": "halal", "label": "Halal" }, { "key": "kosher", "label": "Kosher" }, { "key": "hindu-vegetarian", "label": "Hindu vegetarian" }, { "key": "jain", "label": "Jain (strict vegetarian)" }, { "key": "no-pork", "label": "No pork" }, { "key": "no-beef", "label": "No beef" } ] }, { "label": "Lifestyle", "items": [ { "key": "vegetarian", "label": "Vegetarian" }, { "key": "vegan", "label": "Vegan" }, { "key": "pescatarian", "label": "Pescatarian" }, { "key": "plant-based", "label": "Plant-based" } ] }, { "label": "Medical / Allergy", "items": [ { "key": "gluten-free", "label": "Gluten-free" }, { "key": "dairy-free", "label": "Dairy-free" }, { "key": "nut-free", "label": "Nut-free" }, { "key": "low-sodium", "label": "Low-sodium" }, { "key": "diabetic", "label": "Diabetic diet" }, { "key": "renal", "label": "Renal diet" }, { "key": "none_needed", "label": "None — I have no cultural or religious dietary needs", "exclusive": true, "compose_text": "I have no cultural or religious dietary needs." } ] } ] }, "member_facing_label": "Cultural or Religious Dietary Needs", "displayLabel": "Dietary Needs", "data_shape": "narrative" }, "RITUAL_PREFERENCES": { "type": "textarea", "label": "At the end of life, are there religious or cultural practices you want observed?", "placeholder": "e.g., last rites, body washing traditions, presence of faith leader, specific prayers, no autopsy unless required by law...", "cognitive_load": 3, "emotional_weight": "heavy", "estimated_seconds": 90, "order": 14, "pillar": "essence", "visibility": { "level": "clinical", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "filter": { "decision_relevant": true, "impacts": [ "end_of_life_care", "hospice_planning", "chaplain_referral", "body_disposition" ], "cultural_context": true }, "integration": { "fhir_resource": "CarePlan", "fhir_path": "activity.detail.description", "smart_room_relevant": false }, "advocate_copy": { "preamble": "Many faith traditions have specific practices that should be observed at the end of life. Sharing these helps ensure your wishes are honored.", "why_we_ask": "Your hospice and spiritual care teams need to know these preferences to honor your traditions during your final moments. Some rituals need advance preparation." }, "gated_entry": true, "gate_config": { "preamble": "Some people have specific rituals or practices they want observed at the end of life. Would you like to share yours?", "options": [ { "key": "yes", "label": "Yes, I have specific wishes", "action": "proceed" }, { "key": "later", "label": "I'd like to think about this", "action": "park" }, { "key": "skip", "label": "Skip this question", "action": "skip" } ] }, "legacy_journey": "my_spirit", "parkable": true, "skip_allowed": true, "edit_component": "textarea-input", "interaction_style": "narrative", "view_models": [ "QualityOfLife", "AdvocacyCompliance" ], "outputs": [ "clinical_summary", { "deliverable": "comfort_care_plan", "tier": "SHOULD" }, { "deliverable": "cultural_birth_practices", "tier": "SHOULD" }, { "deliverable": "hospice_intake_package", "tier": "SHOULD" }, { "deliverable": "spiritual_care_profile", "tier": "SHOULD" }, { "deliverable": "spiritual_cultural_guide", "tier": "SHOULD" } ], "anchors": [ "spiritual_cultural_guide" ], "anchor_role": "enhancing", "composition": { "compose_strategy": "recognition", "type": "guided_voice", "default_mode": "starters", "allow_freeform": true, "joiner": " ", "min_completions": 1 }, "member_facing_label": "Religious & Cultural Practices", "clinical_language_expected": true, "displayLabel": "End-of-Life Practices", "data_shape": "narrative", "loomConfig": { "doorways": [ { "key": "endoflife", "heading": "At the end of life", "prompt": "Practices that must be honored.", "themes": [ { "key": "last_rites", "label": "Last rites or anointing", "clause": "last rites or anointing of the sick must be performed" }, { "key": "prayers", "label": "Specific prayers or recitations", "clause": "specific prayers or recitations should be spoken" }, { "key": "facing", "label": "Body positioned facing a specific direction", "clause": "my body should be positioned facing the correct direction" }, { "key": "family_present", "label": "Family must be present", "clause": "my family must be present" }, { "key": "faith_leader", "label": "Faith leader must be called", "clause": "my faith leader must be called" } ] }, { "key": "afterdeath", "heading": "After death", "prompt": "What should happen with my body.", "themes": [ { "key": "washing", "label": "Ritual washing by family or community", "clause": "ritual washing by family or community members" }, { "key": "no_autopsy", "label": "No autopsy unless legally required", "clause": "no autopsy unless legally required" }, { "key": "burial_timing", "label": "Burial within a specific timeframe", "clause": "burial must happen within the required timeframe" }, { "key": "cremation_no", "label": "No cremation", "clause": "cremation is not permitted by my faith" }, { "key": "shroud", "label": "Simple shroud, not a casket", "clause": "a simple shroud rather than a casket" } ] } ], "weaveFrame": { "lead": "The religious and cultural practices that must be observed are:", "conjunction": "and", "oxford": true, "separator": ", ", "escalatedSeparator": "; ", "terminator": "." } } }, "BG_CULTURAL_CONTEXT": { "type": "textarea", "label": "Is there anything about your cultural background or traditions that your care team should know?", "placeholder": "Share anything about your cultural background, traditions, or practices that matters to your care", "cognitive_load": 2, "emotional_weight": "moderate", "estimated_seconds": 60, "order": 7, "pillar": "essence", "advocate_copy": { "preamble": "Your cultural background shapes what feels respectful and safe in a care setting.", "why_we_ask": "Cultural practices, traditions, and beliefs can affect how care is best delivered. Sharing this helps your team honor your background in every interaction." }, "visibility": { "level": "standard", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "parkable": true, "skip_allowed": true, "edit_component": "textarea-input", "interaction_style": "narrative", "outputs": [ { "deliverable": "spiritual_cultural_guide", "section": "cultural_context", "prominence": "secondary" }, { "deliverable": "cultural_identity_brief", "tier": "SHOULD" } ], "member_facing_label": "Cultural Background & Traditions", "data_shape": "narrative", "composition": { "compose_strategy": "recognition", "type": "guided_voice", "default_mode": "starters", "allow_freeform": true, "joiner": " ", "min_completions": 1 }, "loomConfig": { "doorways": [ { "key": "identity", "heading": "Where I come from", "prompt": "The background that shapes who you are.", "themes": [ { "key": "immigrant", "label": "I am an immigrant — this shapes my care experience", "clause": "I am an immigrant and this shapes how I experience healthcare" }, { "key": "language", "label": "English is not my first language", "clause": "English is not my first language — please be patient" }, { "key": "community_tight", "label": "My community is tightly knit", "clause": "my community is tightly knit and deeply involved" }, { "key": "elders", "label": "Elders are respected and consulted", "clause": "in my culture, elders are respected and consulted on important decisions" } ] }, { "key": "care", "heading": "In my healthcare", "prompt": "What your care team should understand.", "themes": [ { "key": "family_decides", "label": "My family is part of every decision", "clause": "my family is part of every healthcare decision" }, { "key": "modesty_culture", "label": "Modesty is important in my culture", "clause": "modesty is very important in my culture" }, { "key": "traditional", "label": "I use traditional remedies alongside medicine", "clause": "I use traditional remedies alongside Western medicine" }, { "key": "distrust", "label": "My community has reasons to distrust healthcare", "clause": "my community has historical reasons to be cautious with healthcare systems" } ] } ], "weaveFrame": { "lead": "About my cultural background:", "conjunction": "and", "oxford": true, "separator": ", ", "escalatedSeparator": "; ", "terminator": "." } } }, "FAM_HISTORY_CONDITIONS": { "type": "dynamic-list", "label": "Do any health conditions run in your family?", "cognitive_load": 2, "emotional_weight": "light", "estimated_seconds": 90, "order": 1, "pillar": "staying_healthy", "advocate_copy": { "preamble": "Family health history gives your care team important context.", "why_we_ask": "Knowing about conditions that run in your family helps your care team understand your risk factors and tailor your preventive care. If nothing comes to mind, that's fine too." }, "visibility": { "level": "clinical", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "parkable": true, "skip_allowed": true, "edit_component": "dynamic-list-input", "interaction_style": "guided_list", "list_config": { "item_label": "Family condition", "add_button_text": "+ Add another condition", "none_option": "FAM_NONE", "none_option_label": "No known family history", "min_items": 0, "max_items": 20, "fields": [ { "key": "condition", "label": "Condition", "type": "text", "required": true, "placeholder": "e.g. Heart disease, Type 2 diabetes, Breast cancer", "data_shape": "narrative" }, { "key": "relationship", "label": "Relationship", "type": "select", "required": true, "options": [ "Mother", "Father", "Maternal grandmother", "Maternal grandfather", "Paternal grandmother", "Paternal grandfather", "Sibling", "Other" ], "data_shape": "single-select" }, { "key": "age_of_onset", "label": "Age of onset (approximate)", "type": "text", "required": false, "placeholder": "e.g. 50s, early 60s", "data_shape": "narrative" } ] }, "outputs": [ "clinical_summary" ], "anchors": [ "clinical_summary" ], "anchor_role": "enhancing", "sprint": "sprint85", "gov": "GOV-004", "member_facing_label": "Family Medical History", "data_shape": "collection", "composition": { "compose_strategy": "composite", "beats": [ { "key": "condition", "sentence": [ "In my family, ", { "blank": "the condition" }, " is something we know about." ], "counsel": "What condition runs in your family?", "chips": [ "heart disease", "diabetes", "cancer", "high blood pressure", "stroke" ], "write": true }, { "key": "relationship", "sentence": [ "It affected my ", { "blank": "who in your family" }, "." ], "counsel": "Who had this condition?", "chips": [ "mother", "father", "sibling", "grandparent" ], "write": true }, { "key": "onset", "sentence": [ "It started around ", { "blank": "when it began" }, "." ], "counsel": "At what age, roughly?", "chips": [ "young", "middle-aged", "later in life" ], "write": true } ], "compose_template": "{condition} — my {relationship}, onset {onset}.", "record_noun": "family condition" } }, "FAM_GENETIC_TESTING": { "type": "select", "label": "Have you ever had genetic testing?", "cognitive_load": 1, "emotional_weight": "light", "estimated_seconds": 20, "order": 2, "pillar": "staying_healthy", "advocate_copy": { "preamble": "Genetic test results can inform your care team's approach.", "why_we_ask": "If you've had genetic testing, sharing the results helps your team understand your hereditary risk profile and plan proactive care." }, "visibility": { "level": "clinical", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "options": [ { "key": "none", "label": "No genetic testing" }, { "key": "completed", "label": "Completed" }, { "key": "in_progress", "label": "In progress" }, { "key": "recommended_not_done", "label": "Recommended but not yet done" } ], "default": "none", "parkable": true, "skip_allowed": true, "edit_component": "select-input", "interaction_style": "single_choice", "outputs": [ "clinical_summary" ], "anchors": [ "clinical_summary" ], "anchor_role": "enhancing", "sprint": "sprint85", "gov": "GOV-004", "member_facing_label": "Genetic Testing", "data_shape": "single-select" }, "FAM_HISTORY_NOTES": { "type": "textarea", "label": "Any other family health context your care team should know?", "placeholder": "Any other family health context your care team should know — conditions that were never formally diagnosed, patterns you've noticed, or anything that feels relevant.", "cognitive_load": 1, "emotional_weight": "light", "estimated_seconds": 60, "order": 3, "pillar": "staying_healthy", "advocate_copy": { "preamble": "Sometimes the most important family health information isn't a diagnosis.", "why_we_ask": "Patterns you've noticed — even without a formal diagnosis — can be valuable context for your care team." }, "visibility": { "level": "clinical", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "parkable": true, "skip_allowed": true, "edit_component": "textarea-input", "interaction_style": "narrative", "outputs": [ "clinical_summary" ], "anchors": [ "clinical_summary" ], "anchor_role": "enhancing", "sprint": "sprint85", "gov": "GOV-004", "member_facing_label": "Additional Family Health Context", "data_shape": "narrative", "composition": { "compose_strategy": "recognition", "type": "guided_voice", "default_mode": "starters", "allow_freeform": true, "joiner": " ", "min_completions": 1 }, "loomConfig": { "doorways": [ { "key": "patterns", "heading": "What runs in my family", "prompt": "Patterns your care team should know about.", "themes": [ { "key": "heart", "label": "Heart disease", "clause": "heart disease runs in my family" }, { "key": "cancer", "label": "Cancer", "clause": "there is a history of cancer in my family" }, { "key": "diabetes", "label": "Diabetes", "clause": "diabetes runs in my family" }, { "key": "mental_health", "label": "Mental health conditions", "clause": "there is a history of mental health conditions" }, { "key": "autoimmune", "label": "Autoimmune conditions", "clause": "autoimmune conditions run in my family" } ] }, { "key": "context", "heading": "Things that were never diagnosed", "prompt": "Patterns you've noticed, even without a formal diagnosis.", "themes": [ { "key": "undiagnosed", "label": "Conditions that went undiagnosed", "clause": "there were conditions in my family that were never formally diagnosed" }, { "key": "early_death", "label": "Early or unexpected deaths", "clause": "there have been early or unexpected deaths that concern me" }, { "key": "sensitivity", "label": "Drug sensitivities that seem inherited", "clause": "there seem to be inherited drug sensitivities in my family" } ] } ], "weaveFrame": { "lead": "What my care team should know about my family health:", "conjunction": "and", "oxford": true, "separator": ", ", "escalatedSeparator": "; ", "terminator": "." } } }, "ADVOCACY_PRIORITY": { "type": "radio", "label": "When there's tension between safety and honoring your values, which matters more?", "cognitive_load": 3, "emotional_weight": "moderate", "estimated_seconds": 45, "order": 15, "pillar": "essence", "visibility": { "level": "planning", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "filter": { "decision_relevant": true, "impacts": [ "care_planning", "risk_discussions", "legal_advocacy" ], "values_context": true }, "advocate_copy": { "preamble": "Sometimes there's tension between what's medically safest and what honors your personal values. For example, staying in a hospital might be safer, but being home with family might matter more to you.", "why_we_ask": "This helps your legal and advocacy team know how to represent your wishes when difficult trade-offs arise. There's no wrong answer—it depends on what matters most to you." }, "options": [ { "key": "safety_clinical", "label": "I prioritize what's safest, even if it limits my choices", "icon": "🛡️", "description": "Medical safety is my top priority" }, { "key": "autonomy_values", "label": "I prioritize honoring my values, even with some medical risk", "icon": "⭐", "description": "Living according to my values matters more than maximum safety" } ], "legacy_journey": "my_values", "parkable": true, "skip_allowed": true, "edit_component": "radio-input", "interaction_style": "choice_cards", "view_models": [ "QualityOfLife", "AdvocacyCompliance" ], "outputs": [ "clinical_summary", { "deliverable": "wishes_directives_summary", "tier": "SHOULD" } ], "anchors": [], "anchor_role": "none", "composition": { "pole_low": "Prioritize my safety — even if it limits my choices", "pole_mid": "Balance safety with respecting my wishes case by case", "pole_high": "Honor my values and autonomy — even if there is risk", "tags": [ { "text": "Respect my DNR even if family disagrees", "icon": "📜", "pole_affinity": "high" }, { "text": "Let me eat foods I enjoy even with restrictions", "icon": "🍽️", "pole_affinity": "high" }, { "text": "Allow me to refuse medication", "icon": "💊", "pole_affinity": "high" }, { "text": "Keep me informed about all options", "icon": "📊", "pole_affinity": "mid" }, { "text": "Involve my proxy in all decisions", "icon": "🤝", "pole_affinity": "mid" }, { "text": "Err on the side of caution", "icon": "🛡️", "pole_affinity": "low" }, { "text": "Respect my spiritual practices in care", "icon": "🙏", "pole_affinity": "high" }, { "text": "Prevent falls even if it limits mobility", "icon": "🧍", "pole_affinity": "low" } ], "compose_strategy": "spectrum" }, "member_facing_label": "When Safety and Values Conflict", "displayLabel": "Safety and Values", "data_shape": "narrative" }, "FAMILY_DYNAMICS": { "heavy": true, "type": "textarea", "label": "Tell us about your family and the people closest to you", "placeholder": "For example: who lives with you, who helps with daily care, important family relationships or dynamics your care team should know about...", "cognitive_load": 3, "emotional_weight": "moderate", "estimated_seconds": 90, "order": 15, "pillar": "continuity", "visibility": { "level": "care_team", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "advocate_copy": { "preamble": "Understanding your family helps your care team communicate better and involve the right people at the right time.", "why_we_ask": "Family dynamics affect care decisions, communication preferences, and support planning. This helps coordinators and social workers understand your support network." }, "parkable": true, "skip_allowed": true, "edit_component": "textarea-input", "interaction_style": "conversational", "view_models": [ "CareContinuity", "QualityOfLife" ], "outputs": [ { "deliverable": "family_consensus_guide", "tier": "MUST" }, { "deliverable": "new_provider_briefing", "tier": "SHOULD" } ], "anchors": [ "family_caregiver_guide", "care_coordination_brief", "family_consensus_guide" ], "anchor_role": "enhancing", "composition": { "starters": [ { "text": "My family is best described as", "icon": "👨‍👩‍👧‍👦", "placeholder": "your family's character", "id": "fd-s-001", "completions": [ { "key": "fd-s001-c1", "text": "close-knit and always there for each other" }, { "key": "fd-s001-c2", "text": "spread out but deeply connected at heart" }, { "key": "fd-s001-c3", "text": "complicated but bound by real love" }, { "key": "fd-s001-c4", "text": "a mix of personalities that somehow works" } ], "display_order": 1 }, { "text": "When it comes to big decisions, we", "icon": "🤝", "placeholder": "how your family handles decisions", "id": "fd-s-002", "completions": [ { "key": "fd-s002-c1", "text": "talk things through as a family" }, { "key": "fd-s002-c2", "text": "lean on the person we trust most to lead" }, { "key": "fd-s002-c3", "text": "take our time and try to find common ground" }, { "key": "fd-s002-c4", "text": "sometimes struggle but always come back together" } ], "display_order": 2 }, { "text": "The most important thing to understand about us is", "icon": "💡", "placeholder": "what makes your family unique", "id": "fd-s-003", "completions": [ { "key": "fd-s003-c1", "text": "we care deeply even when we disagree" }, { "key": "fd-s003-c2", "text": "we show love in different ways" }, { "key": "fd-s003-c3", "text": "loyalty runs deep in this family" }, { "key": "fd-s003-c4", "text": "we are stronger together than apart" } ], "display_order": 3 }, { "text": "In difficult times, my family", "icon": "💪", "placeholder": "how your family copes together", "id": "fd-s-004", "completions": [ { "key": "fd-s004-c1", "text": "pulls together and supports each other" }, { "key": "fd-s004-c2", "text": "needs someone to take the first step" }, { "key": "fd-s004-c3", "text": "relies on faith and shared values" }, { "key": "fd-s004-c4", "text": "may need outside help to find their way" } ], "display_order": 4 } ], "joiner": " ", "min_completions": 1, "compose_strategy": "offered-words" }, "member_facing_label": "About Your Family", "displayLabel": "My Family and Loved Ones", "data_shape": "narrative", "loomConfig": { "doorways": [ { "key": "structure", "heading": "Who my family is", "prompt": "The people in your daily world.", "themes": [ { "key": "spouse", "label": "I live with my spouse/partner", "clause": "I live with my spouse or partner" }, { "key": "alone", "label": "I live alone", "clause": "I live alone" }, { "key": "children", "label": "My children are close by", "clause": "my children are actively involved" }, { "key": "extended", "label": "Extended family is very involved", "clause": "my extended family is very involved in my life" }, { "key": "chosen", "label": "My closest people aren't blood relatives", "clause": "my chosen family -- close friends -- are my people" } ] }, { "key": "dynamics", "heading": "What to know about us", "prompt": "Things that help your care team understand.", "themes": [ { "key": "close", "label": "We are very close", "clause": "we are a very close family" }, { "key": "complicated", "label": "It's complicated", "clause": "our family relationships are complicated" }, { "key": "one_person", "label": "One person handles everything", "clause": "one family member handles most of the decisions" }, { "key": "team", "label": "We decide things together", "clause": "we make decisions as a team" } ] } ], "weaveFrame": { "lead": "About my family:", "conjunction": "and", "oxford": true, "separator": ", ", "escalatedSeparator": "; ", "terminator": "." } } }, "HOUSING_STATUS": { "type": "radio", "label": "What is your current living situation?", "cognitive_load": 1, "emotional_weight": "light", "estimated_seconds": 15, "order": 16, "pillar": "navigation", "visibility": { "level": "care_team", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "filter": { "social_determinant": true, "impacts": [ "discharge_planning", "home_health", "resource_connection" ] }, "advocate_copy": { "preamble": "Your living situation helps your care team plan safe discharges and connect you with the right resources.", "why_we_ask": "Housing status is a critical social determinant of health. It affects discharge planning, home health eligibility, medication storage, and follow-up care access." }, "options": [ { "key": "own_home", "label": "I live in my own home or apartment", "icon": "🏠" }, { "key": "family_home", "label": "I live with family", "icon": "👨‍👩‍👧" }, { "key": "assisted_living", "label": "I live in an assisted living facility", "icon": "🏢" }, { "key": "skilled_nursing", "label": "I live in a skilled nursing facility", "icon": "🏥" }, { "key": "group_home", "label": "I live in a group home or shared residence", "icon": "🏘️" }, { "key": "temporary", "label": "My housing situation is temporary or unstable", "icon": "⚠️" }, { "key": "other", "label": "Other", "icon": "📋" } ], "parkable": true, "skip_allowed": true, "edit_component": "radio-input", "interaction_style": "choice_cards", "view_models": [ "CareContinuity", "AdvocacyCompliance" ], "outputs": [ { "deliverable": "barriers_assessment_summary", "tier": "MUST" }, { "deliverable": "new_provider_briefing", "tier": "SHOULD" }, { "deliverable": "resource_connection_plan", "tier": "MUST" }, { "deliverable": "transition_readiness_checklist", "tier": "SHOULD" } ], "anchors": [ "care_coordination_brief" ], "anchor_role": "enhancing", "member_facing_label": "Current Living Situation", "data_shape": "single-select" }, "BARRIERS": { "type": "dynamic-list", "label": "Barriers to Care", "placeholder": null, "cognitive_load": 2, "emotional_weight": "moderate", "estimated_seconds": 60, "order": 17, "pillar": "navigation", "visibility": { "level": "care_team", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "advocate_copy": { "preamble": "Sometimes things outside of your health get in the way of getting the care you need. There's no judgment here — knowing about these helps us connect you with the right support.", "why_we_ask": "Care barriers are the invisible walls between you and the care you deserve. Identifying them helps coordinators and social workers build a plan to remove or work around them." }, "parkable": true, "skip_allowed": true, "edit_component": "multiselect", "interaction_style": "multiselect", "view_models": [ "CareContinuity", "AdvocacyCompliance" ], "outputs": [ { "deliverable": "barriers_assessment_summary", "tier": "SHOULD" }, { "deliverable": "new_provider_briefing", "tier": "SHOULD" }, { "deliverable": "resource_connection_plan", "tier": "SHOULD" }, { "deliverable": "transition_readiness_checklist", "tier": "SHOULD" } ], "anchors": [ "care_coordination_brief" ], "anchor_role": "enhancing", "options": [ { "key": "physical_mobility", "label": "Physical / Mobility" }, { "key": "transportation", "label": "Transportation" }, { "key": "financial_cost", "label": "Financial / Cost" }, { "key": "language_communication", "label": "Language / Communication" }, { "key": "housing_instability", "label": "Housing instability" }, { "key": "food_insecurity", "label": "Food insecurity" }, { "key": "caregiver_availability", "label": "Caregiver availability" }, { "key": "technology_internet", "label": "Technology / Internet access" }, { "key": "health_literacy", "label": "Health literacy" }, { "key": "insurance_coverage", "label": "Insurance / Coverage gaps" }, { "key": "mental_health_emotional", "label": "Mental health / Emotional" }, { "key": "cultural_religious", "label": "Cultural / Religious" }, { "key": "work_schedule", "label": "Work schedule / Employment" }, { "key": "other", "label": "Other" }, { "key": "none_identified", "label": "None of these apply to me", "exclusive": true } ], "member_facing_label": "Barriers to Care", "data_shape": "collection", "composition": { "compose_strategy": "composite", "beats": [ { "key": "barrier", "sentence": [ "Something that gets in my way is ", { "blank": "the barrier" }, "." ], "counsel": "What gets in the way of your care?", "chips": [ "transportation", "cost", "language", "work schedule", "childcare" ], "write": true }, { "key": "help", "sentence": [ "What would help is ", { "blank": "what would help" }, "." ], "counsel": "What would make it easier?", "chips": [ "a ride service", "a translator", "evening appointments", "telehealth" ], "write": true } ], "compose_template": "{barrier} gets in my way — {help} would help.", "record_noun": "barrier" } }, "TOUCH_PREFS": { "type": "textarea", "label": "What are your preferences for physical touch and comfort?", "cognitive_load": 2, "emotional_weight": "moderate", "estimated_seconds": 45, "order": 15, "micro_journey_key": "comfort_environment", "pillar": "essence", "composition": { "pole_low": "Please minimize physical contact", "pole_high": "I find physical touch very comforting", "pole_mid": "It depends on the situation", "tags": [ { "text": "Hand holding", "icon": "🤝", "pole_affinity": "high" }, { "text": "Back rub", "icon": "💆", "pole_affinity": "high" }, { "text": "Foot massage", "icon": "🦶", "pole_affinity": "high" }, { "text": "Hair brushing", "icon": "💇", "pole_affinity": "high" }, { "text": "Warm blanket tuck-in", "icon": "🛏️", "pole_affinity": "high" }, { "text": "Hugs from family", "icon": "🤗", "pole_affinity": "high" } ], "compose_template": "Regarding physical touch: I {position}. I welcome: {selected_tags}. I prefer not to have: {unselected_tags}.", "compose_strategy": "spectrum" }, "outputs": [ { "deliverable": "palliative_care_profile", "tier": "SHOULD" }, { "deliverable": "comfort_care_plan", "tier": "SHOULD" }, { "deliverable": "hospice_intake_package", "tier": "SHOULD" } ], "anchors": [ "comfort_care_plan" ], "view_models": [ { "view_model": "QualityOfLife", "property_path": "comfort.touchPreferences", "transform": "text" } ], "edit_component": "textarea-input", "interaction_style": "freeform", "member_facing_label": "Preferences for Physical Touch", "displayLabel": "Touch and Comfort Preferences", "data_shape": "narrative", "advocate_copy": { "preamble": "Everyone's comfort with touch is different.", "why_we_ask": "Care involves close contact — helping you move, checking vitals, offering comfort. Knowing what feels right to you lets your care team be gentle in the way you'd choose." } }, "ANXIETY_TRIGGERS": { "heavy": true, "type": "text", "label": "What situations or things tend to cause you anxiety?", "cognitive_load": 3, "emotional_weight": "moderate", "estimated_seconds": 60, "order": 16, "micro_journey_key": "emotional_wellbeing", "pillar": "essence", "outputs": [ { "deliverable": "palliative_care_profile", "tier": "SHOULD" }, "comfort_care_plan" ], "anchors": [ "comfort_care_plan" ], "view_models": [ { "view_model": "QualityOfLife", "property_path": "emotional.anxietyTriggers", "transform": "list-items" } ], "composition": { "compose_strategy": "category", "type": "category-browse", "compose_prefix": "Things that tend to cause me anxiety:", "allow_other": true, "categories": [ { "label": "Procedures", "items": [ { "key": "needles", "label": "Needles or injections" }, { "key": "blood-draws", "label": "Blood draws" }, { "key": "sedation", "label": "Being sedated" }, { "key": "surgery", "label": "Surgery" }, { "key": "intubation", "label": "Breathing tubes" } ] }, { "label": "Environment", "items": [ { "key": "hospitals", "label": "Hospitals or clinical settings" }, { "key": "confined-spaces", "label": "Confined spaces (MRI, elevators)" }, { "key": "loud-noise", "label": "Loud noises or alarms" }, { "key": "being-alone", "label": "Being alone" }, { "key": "crowds", "label": "Crowds or busy rooms" } ] }, { "label": "Situational", "items": [ { "key": "waiting", "label": "Waiting without information" }, { "key": "bad-news", "label": "Receiving bad news" }, { "key": "loss-of-control", "label": "Loss of control or autonomy" }, { "key": "strangers", "label": "Unfamiliar staff" }, { "key": "decision-pressure", "label": "Pressure to decide quickly" }, { "key": "nothing_in_particular", "label": "Nothing in particular causes me anxiety", "exclusive": true, "compose_text": "Nothing in particular tends to cause me anxiety." } ] } ] }, "edit_component": "guided-voice", "interaction_style": "guided-voice", "member_facing_label": "What Causes You Anxiety", "displayLabel": "What Causes Anxiety", "data_shape": "narrative", "advocate_copy": { "preamble": "Naming what unsettles you helps others steady you.", "why_we_ask": "When your care team knows what tends to raise your anxiety, they can prepare you before it happens — or avoid it altogether." } }, "SOCIAL_PREFS": { "type": "textarea", "label": "What are your preferences for visitors and social interaction?", "cognitive_load": 2, "emotional_weight": "low", "estimated_seconds": 45, "order": 17, "micro_journey_key": "emotional_wellbeing", "pillar": "essence", "composition": { "pole_low": "I prefer quiet and solitude", "pole_high": "I want people around me", "pole_mid": "A balance of company and quiet time", "tags": [ { "text": "Family visits", "icon": "👨‍👩‍👧", "pole_affinity": "high" }, { "text": "Friends dropping by", "icon": "👋", "pole_affinity": "high" }, { "text": "Music playing", "icon": "🎵", "pole_affinity": "high" }, { "text": "TV on for background", "icon": "📺", "pole_affinity": "mid" }, { "text": "Reading time alone", "icon": "📖", "pole_affinity": "low" }, { "text": "Quiet meditation", "icon": "🧘", "pole_affinity": "low" } ], "compose_template": "Regarding social interaction: I prefer {position}. I enjoy: {selected_tags}. I'd rather not have: {unselected_tags}.", "compose_strategy": "spectrum" }, "outputs": [ { "deliverable": "palliative_care_profile", "tier": "SHOULD" }, { "deliverable": "comfort_care_plan", "tier": "SHOULD" }, { "deliverable": "hospice_intake_package", "tier": "SHOULD" } ], "anchors": [ "comfort_care_plan" ], "view_models": [ { "view_model": "QualityOfLife", "property_path": "emotional.socialPreferences", "transform": "text" } ], "edit_component": "textarea-input", "interaction_style": "freeform", "member_facing_label": "Visitor & Social Preferences", "displayLabel": "Visitors and Social Needs", "data_shape": "narrative", "advocate_copy": { "preamble": "Your room, your rhythm.", "why_we_ask": "Some people heal in company; some need quiet. Your care team and family can honor your wishes for visitors instead of deciding for you." } }, "AROMATHERAPY": { "type": "textarea", "label": "Do you have preferences for scents or aromatherapy?", "cognitive_load": 1, "emotional_weight": "low", "estimated_seconds": 30, "order": 18, "micro_journey_key": "comfort_environment", "pillar": "essence", "composition": { "pole_low": "I'm sensitive to smells — please avoid fragrances", "pole_high": "I find certain scents comforting and therapeutic", "pole_mid": "I'm okay with some gentle scents", "tags": [ { "text": "Lavender", "icon": "💜", "pole_affinity": "high" }, { "text": "Eucalyptus", "icon": "🌿", "pole_affinity": "high" }, { "text": "Peppermint", "icon": "🍃", "pole_affinity": "high" }, { "text": "Vanilla", "icon": "🍦", "pole_affinity": "high" }, { "text": "Citrus", "icon": "🍊", "pole_affinity": "high" }, { "text": "Fresh flowers", "icon": "🌸", "pole_affinity": "mid" } ], "compose_template": "Regarding aromatherapy and scents: {position}. Scents I enjoy: {selected_tags}. Scents to avoid: {unselected_tags}.", "compose_strategy": "spectrum" }, "outputs": [ "comfort_care_plan", { "deliverable": "palliative_care_profile", "tier": "SHOULD" } ], "anchors": [ "comfort_care_plan" ], "view_models": [ { "view_model": "QualityOfLife", "property_path": "comfort.aromatherapy", "transform": "text" } ], "edit_component": "textarea-input", "interaction_style": "freeform", "member_facing_label": "Aromatherapy Preferences", "displayLabel": "Scent and Aromatherapy Preferences", "data_shape": "narrative", "advocate_copy": { "preamble": "Small comforts count.", "why_we_ask": "A scent you love can calm a hard moment — and one you dislike can make it worse. This helps your caregivers choose well." } }, "PCP": { "artifact_noun": "your primary care provider", "cardinality": "one", "type": "smart-contact", "label": "Who is your primary care provider?", "cognitive_load": 2, "emotional_weight": "low", "estimated_seconds": 45, "order": 5, "micro_journey_key": "care_team", "pillar": "vitality", "circle_sync": { "target_role": "primary_physician", "sync_on_save": true }, "outputs": [ "clinical_summary", "care_coordination_brief", "hospice_intake_package", { "deliverable": "care_circle", "tier": "SHOULD" }, { "deliverable": "emergency_contact_card", "tier": "COULD" } ], "anchors": [ "clinical_summary", "care_coordination_brief", "care_circle" ], "edit_component": "smart-contact-input", "interaction_style": "smart_contact", "member_facing_label": "Your Primary Care Provider", "needs_someone_else": true, "data_shape": "contact", "advocate_copy": { "preamble": "Your primary care provider is your care team's home base.", "why_we_ask": "In an emergency or a transfer, the first call is often to the doctor who knows your history. Having their name here saves precious time." } }, "COMFORT_ENVIRONMENT": { "lede": { "label": "What makes a room feel right", "pools": ["ordinary", "season", "quiet"] }, "type": "textarea", "label": "What makes your surroundings comforting?", "placeholder": "Think about lighting, temperature, sounds, colors, objects...", "cognitive_load": 2, "emotional_weight": "light", "estimated_seconds": 60, "order": 38, "pillar": "essence", "visibility": { "level": "care_team", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "filter": { "decision_relevant": false }, "advocate_copy": { "preamble": "Your environment matters. Think about what makes a space feel right for you.", "why_we_ask": "When you're in a hospital or care setting, your team can adjust lighting, temperature, and surroundings to keep you comfortable." }, "parkable": true, "skip_allowed": true, "edit_component": "textarea-input", "interaction_style": "freeform", "outputs": [ { "deliverable": "palliative_care_profile", "tier": "SHOULD" }, { "deliverable": "comfort_care_plan", "tier": "SHOULD" }, { "deliverable": "hospice_intake_package", "tier": "SHOULD" } ], "anchors": [ "comfort_care_plan" ], "anchor_role": "enhancing", "view_models": [ { "view_model": "QualityOfLife", "property_path": "comfort.environmentPreferences", "transform": "text" } ], "composition": { "pole_low": "I prefer a very quiet, dim, minimal environment", "pole_high": "I like a lively atmosphere with light and activity", "pole_mid": "A balanced environment with some activity is fine", "tags": [ { "text": "Dim lighting", "icon": "low-light", "pole_affinity": "low" }, { "text": "Natural light", "icon": "sun", "pole_affinity": "mid" }, { "text": "Window open", "icon": "window", "pole_affinity": "mid" }, { "text": "Personal photos nearby", "icon": "frame", "pole_affinity": "mid" }, { "text": "TV on low", "icon": "tv", "pole_affinity": "high" }, { "text": "Fresh air", "icon": "leaf", "pole_affinity": "mid" } ], "compose_template": "Regarding my care environment: I {position}. I appreciate: {selected_tags}. Please avoid: {unselected_tags}.", "compose_strategy": "spectrum" }, "member_facing_label": "What Makes Your Surroundings Comfortable", "displayLabel": "My Comfort Environment", "data_shape": "narrative" }, "MUSIC_PREFS": { "lede": { "label": "Music that comforts you", "pools": ["ordinary", "season", "quiet"] }, "type": "textarea", "label": "What music, sounds, or silence do you find comforting?", "placeholder": "Favorite songs, genres, nature sounds, or preference for quiet...", "cognitive_load": 1, "emotional_weight": "light", "estimated_seconds": 45, "order": 39, "pillar": "essence", "visibility": { "level": "care_team", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "filter": { "decision_relevant": false }, "advocate_copy": { "preamble": "Music and sound can be powerful comfort tools.", "why_we_ask": "Care teams can play your preferred music or ensure quiet when that’s what you need." }, "parkable": true, "skip_allowed": true, "edit_component": "textarea-input", "interaction_style": "freeform", "outputs": [ { "deliverable": "palliative_care_profile", "tier": "SHOULD" }, { "deliverable": "comfort_care_plan", "tier": "SHOULD" }, { "deliverable": "hospice_intake_package", "tier": "SHOULD" } ], "anchors": [ "comfort_care_plan" ], "anchor_role": "enhancing", "view_models": [ { "view_model": "QualityOfLife", "property_path": "comfort.musicPreferences", "transform": "text" } ], "composition": { "pole_low": "I prefer silence - music is distracting when I'm unwell", "pole_high": "Music is very important to my comfort and healing", "pole_mid": "Soft background music is sometimes nice", "tags": [ { "text": "Classical", "icon": "violin", "pole_affinity": "high" }, { "text": "Jazz", "icon": "saxophone", "pole_affinity": "high" }, { "text": "Gospel/Hymns", "icon": "church", "pole_affinity": "high" }, { "text": "Nature sounds", "icon": "wave", "pole_affinity": "mid" }, { "text": "Oldies", "icon": "mic", "pole_affinity": "high" }, { "text": "Soft pop", "icon": "music", "pole_affinity": "mid" } ], "compose_template": "Regarding music during care: I {position}. Genres I enjoy: {selected_tags}. I'd rather not hear: {unselected_tags}.", "compose_strategy": "spectrum" }, "member_facing_label": "Comforting Music & Sounds", "displayLabel": "Sounds and Silence", "data_shape": "narrative" }, "CALMING_STRATEGIES": { "type": "multiselect", "label": "What helps you feel calm when you’re anxious or in pain?", "cognitive_load": 2, "emotional_weight": "light", "estimated_seconds": 45, "order": 40, "pillar": "essence", "visibility": { "level": "care_team", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "filter": { "decision_relevant": false }, "advocate_copy": { "preamble": "Everyone has different ways of finding calm.", "why_we_ask": "When you can’t advocate for yourself, your care team will know exactly how to help you feel settled." }, "options": [ { "key": "deep_breathing", "label": "Deep breathing exercises" }, { "key": "music", "label": "Listening to music" }, { "key": "prayer_meditation", "label": "Prayer or meditation" }, { "key": "hand_holding", "label": "Someone holding my hand" }, { "key": "quiet_room", "label": "A quiet, dimly lit room" }, { "key": "familiar_voice", "label": "Hearing a familiar voice" }, { "key": "reading_aloud", "label": "Being read to" }, { "key": "nature_sounds", "label": "Nature sounds" }, { "key": "warm_blanket", "label": "A warm blanket" }, { "key": "distraction", "label": "TV or other distraction" }, { "key": "other", "label": "Something else (say what)" } ], "allow_other": true, "parkable": true, "skip_allowed": true, "edit_component": "multiselect-input", "interaction_style": "freeform", "outputs": [ { "deliverable": "palliative_care_profile", "tier": "SHOULD" }, { "deliverable": "comfort_care_plan", "tier": "SHOULD" }, { "deliverable": "hospice_intake_package", "tier": "SHOULD" } ], "anchors": [ "comfort_care_plan" ], "anchor_role": "enhancing", "view_models": [ { "view_model": "QualityOfLife", "property_path": "emotional.calmingStrategies", "transform": "multiselect-labels" } ], "composition": { "pole_low": "I prefer to be left alone to calm down on my own", "pole_high": "Active calming support from others really helps me", "pole_mid": "Gentle support helps, but I need some space too", "tags": [ { "text": "Deep breathing together", "icon": "wind", "pole_affinity": "high" }, { "text": "Prayer or meditation", "icon": "pray", "pole_affinity": "high" }, { "text": "Guided imagery", "icon": "mountain", "pole_affinity": "high" }, { "text": "Gentle conversation", "icon": "chat", "pole_affinity": "mid" }, { "text": "Distraction (TV, books)", "icon": "books", "pole_affinity": "mid" }, { "text": "Reassuring presence", "icon": "hug", "pole_affinity": "mid" } ], "compose_template": "Regarding calming strategies: I {position}. What helps me: {selected_tags}. What doesn't help: {unselected_tags}.", "compose_strategy": "spectrum" }, "member_facing_label": "What Helps You Feel Calm", "displayLabel": "What Calms Me", "data_shape": "narrative" }, "HOSPICE_GOALS": { "type": "multiselect", "label": "If you choose hospice care, what would you most hope it provides?", "cognitive_load": 3, "emotional_weight": "heavy", "estimated_seconds": 90, "order": 41, "pillar": "essence", "visibility": { "level": "care_team", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "filter": { "decision_relevant": true, "impacts": [ "hospice_planning", "comfort_care" ] }, "advocate_copy": { "preamble": "Hospice is about living as fully and comfortably as possible. There are no wrong answers here.", "why_we_ask": "Understanding your goals helps a hospice team focus on what matters most to you." }, "calming_ui": { "enabled": true, "show_breathing": false, "background": "soft" }, "options": [ { "key": "pain_free", "label": "Being as pain-free as possible" }, { "key": "home_comfort", "label": "Staying in a comfortable, familiar place" }, { "key": "family_near", "label": "Having family and loved ones near" }, { "key": "dignity", "label": "Being treated with dignity and respect" }, { "key": "spiritual_support", "label": "Spiritual or emotional support" }, { "key": "no_burden", "label": "Not being a burden on my family" }, { "key": "clear_mind", "label": "Keeping my mind as clear as possible" }, { "key": "closure", "label": "Time to say goodbye and find closure" }, { "key": "legacy", "label": "Leaving something meaningful behind" } ], "parkable": true, "skip_allowed": true, "edit_component": "multiselect-input", "interaction_style": "conversational", "outputs": [ "hospice_intake_package", { "deliverable": "palliative_care_profile", "tier": "SHOULD" } ], "anchors": [ "hospice_intake_package" ], "anchor_role": "required", "member_facing_label": "Your Hopes for Hospice Care", "clinical_language_expected": true, "data_shape": "narrative", "composition": { "compose_strategy": "category", "allow_other": true, "compose_prefix": "I would hope for", "categories": [ { "key": "hopes", "label": "What matters", "items": [ { "key": "pain_free", "label": "being as pain-free as possible" }, { "key": "home_comfort", "label": "staying in a comfortable, familiar place" }, { "key": "family_near", "label": "having family and loved ones near" }, { "key": "dignity", "label": "being treated with dignity and respect" }, { "key": "spiritual_support", "label": "spiritual or emotional support" }, { "key": "no_burden", "label": "not being a burden on my family" }, { "key": "clear_mind", "label": "keeping my mind as clear as possible" }, { "key": "closure", "label": "time to say goodbye and find closure" }, { "key": "legacy", "label": "leaving something meaningful behind" }, { "key": "not_sure_yet", "label": "I'm not sure yet", "exclusive": true, "compose_text": "I'm not sure yet what I'd hope hospice provides." } ] } ] } }, "FINAL_PRESENCE": { "type": "dynamic-list", "label": "Who would you want by your side at the end of your life?", "cognitive_load": 3, "emotional_weight": "heavy", "estimated_seconds": 90, "order": 42, "pillar": "essence", "visibility": { "level": "family", "emergency_access": false, "consent_required": true, "audit_level": "high" }, "filter": { "decision_relevant": true, "impacts": [ "end_of_life_planning" ] }, "advocate_copy": { "preamble": "This is a deeply personal question. Take your time, or skip it for now.", "why_we_ask": "Your family and care team want to honor your wishes about who is present during your final moments." }, "calming_ui": { "enabled": true, "show_breathing": true, "background": "gradient" }, "offer_break_after": true, "list_config": { "item_label": "Person", "add_button_text": "+ Add another person", "none_option": "I’d prefer not to specify", "min_items": 0, "max_items": 10, "fields": [ { "key": "name", "label": "Name", "type": "text", "required": true, "placeholder": "Who is this person?", "data_shape": "narrative" }, { "key": "relationship", "label": "Relationship", "type": "text", "required": false, "placeholder": "e.g., spouse, daughter, pastor", "data_shape": "narrative" }, { "key": "notes", "label": "Any special instructions?", "type": "text", "required": false, "placeholder": "e.g., please call even if it’s late", "data_shape": "narrative" } ] }, "parkable": true, "skip_allowed": true, "edit_component": "dynamic-list-input", "interaction_style": "guided_selection", "outputs": [ "hospice_intake_package", { "deliverable": "final_wishes", "tier": "MUST" } ], "anchors": [ "hospice_intake_package", "final_wishes" ], "anchor_role": "enhancing", "member_facing_label": "Who You Want Nearby at End of Life", "clinical_language_expected": true, "data_shape": "collection", "composition": { "compose_strategy": "composite", "beats": [ { "key": "name", "sentence": [ "I would want ", { "blank": "their name" }, " by my side." ], "counsel": "Who comes to mind?", "chips": [], "write": true }, { "key": "relationship", "sentence": [ { "ref": "name" }, " is my ", { "blank": "who they are to you" }, "." ], "counsel": "Who are they to you?", "chips": [ "spouse", "child", "sibling", "closest friend", "pastor" ], "write": true }, { "key": "notes", "sentence": [ "What matters to me about having them there: ", { "blank": "why they matter" }, "." ], "counsel": "Why is their presence important?", "chips": [], "write": true } ], "compose_template": "{name} (my {relationship}) — {notes}.", "record_noun": "person" } }, "LEGACY_LETTERS": { "type": "dynamic-list", "label": "Would you like to write letters or messages for specific people?", "cognitive_load": 4, "emotional_weight": "heavy", "estimated_seconds": 300, "order": 43, "pillar": "continuity", "visibility": { "level": "family", "emergency_access": false, "consent_required": true, "audit_level": "high" }, "filter": { "decision_relevant": false }, "advocate_copy": { "preamble": "These letters are entirely optional and deeply personal. They’ll only be shared with the people you name.", "why_we_ask": "Many people find peace in leaving personal messages for the people who matter most." }, "calming_ui": { "enabled": true, "show_breathing": false, "background": "soft" }, "offer_break_after": true, "list_config": { "item_label": "Letter", "add_button_text": "+ Write another letter", "none_option": "I’d rather not write letters right now", "min_items": 0, "max_items": 20, "fields": [ { "key": "recipient", "label": "To whom?", "type": "text", "required": true, "placeholder": "Name or relationship", "data_shape": "narrative" }, { "key": "message", "label": "Your message", "type": "textarea", "required": true, "placeholder": "What would you like them to know?", "data_shape": "narrative" }, { "key": "deliver_when", "label": "When should this be shared?", "type": "select", "required": false, "options": [ { "key": "after_passing", "label": "After I pass" }, { "key": "anytime", "label": "They can read it anytime" }, { "key": "specific_event", "label": "On a specific occasion" } ], "data_shape": "single-select" } ] }, "parkable": true, "skip_allowed": true, "edit_component": "dynamic-list-input", "interaction_style": "guided_selection", "outputs": [ { "deliverable": "legacy_package", "tier": "MUST" }, { "deliverable": "hospice_intake_package", "tier": "SHOULD" } ], "anchors": [ "legacy_package" ], "anchor_role": "required", "composition": { "compose_strategy": "composite", "beats": [ { "key": "recipient", "sentence": [ "This letter is for ", { "blank": "their name" }, "." ], "counsel": "Who is this letter for?", "chips": [], "write": true }, { "key": "message", "sentence": [ "What I want to say: ", { "blank": "your message" }, "." ], "counsel": "What do you want them to know?", "chips": [], "write": true }, { "key": "deliver_when", "sentence": [ "Please share this ", { "blank": "when to deliver it" }, "." ], "counsel": "When should they receive it?", "chips": [ "after I pass", "on a special occasion", "when they need it most", "right away" ], "write": true } ], "compose_template": "To {recipient}: {message} (deliver {deliver_when}).", "record_noun": "letter" }, "member_facing_label": "Letters to Loved Ones", "displayLabel": "Legacy Letters", "data_shape": "collection" }, "LEGACY_VALUES": { "type": "textarea", "label": "What values or life lessons would you most want to pass on?", "placeholder": "Think about what you’ve learned, what matters most, what you’d tell the next generation...", "cognitive_load": 3, "emotional_weight": "heavy", "estimated_seconds": 120, "order": 44, "pillar": "essence", "visibility": { "level": "family", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "filter": { "decision_relevant": false }, "advocate_copy": { "preamble": "Your wisdom and values are part of your legacy.", "why_we_ask": "These words become a lasting gift — your family can return to them for years to come." }, "parkable": true, "skip_allowed": true, "edit_component": "textarea-input", "interaction_style": "conversational", "outputs": [ { "deliverable": "legacy_package", "tier": "MUST" } ], "anchors": [ "legacy_package" ], "anchor_role": "enhancing", "view_models": [ { "view_model": "QualityOfLife", "property_path": "legacy.unfinishedBusiness", "transform": "text" } ], "composition": { "type": "guided_voice", "default_mode": "starters", "allow_freeform": true, "starters": [ { "id": "hope_remember", "text": "More than anything, I hope people remember that I...", "completions": [ { "key": "lv-hr-c1", "text": "tried to leave the world a little better" }, { "key": "lv-hr-c2", "text": "loved my family with everything I had" }, { "key": "lv-hr-c3", "text": "stood for something bigger than myself" }, { "key": "lv-hr-c4", "text": "treated everyone with respect and kindness" } ], "display_order": 1 }, { "id": "values", "text": "The values I tried to live by were...", "completions": [ { "key": "lv-val-c1", "text": "honesty, kindness, and hard work" }, { "key": "lv-val-c2", "text": "faith, family, and service to others" }, { "key": "lv-val-c3", "text": "courage, compassion, and integrity" }, { "key": "lv-val-c4", "text": "gratitude, generosity, and forgiveness" } ], "display_order": 2 }, { "id": "leaving_behind", "text": "What I care most about leaving behind is...", "completions": [ { "key": "lv-lb-c1", "text": "a family that knows how much they are loved" }, { "key": "lv-lb-c2", "text": "the lessons I learned from my mistakes" }, { "key": "lv-lb-c3", "text": "a legacy of kindness and decency" }, { "key": "lv-lb-c4", "text": "the stories that tell who I really was" } ], "display_order": 3 }, { "id": "stood_for", "text": "I want my life to have stood for...", "completions": [ { "key": "lv-sf-c1", "text": "the belief that every person matters" }, { "key": "lv-sf-c2", "text": "love that endures beyond any hardship" }, { "key": "lv-sf-c3", "text": "the courage to live honestly" }, { "key": "lv-sf-c4", "text": "making room for others to be their best" } ], "display_order": 4 }, { "id": "pass_on", "text": "If I could pass one thing on, it would be...", "completions": [ { "key": "lv-po-c1", "text": "the importance of showing up for each other" }, { "key": "lv-po-c2", "text": "that love is the only thing that lasts" }, { "key": "lv-po-c3", "text": "the strength to face hard things with grace" }, { "key": "lv-po-c4", "text": "never be too proud to ask for help" } ], "display_order": 5 } ], "joiner": " ", "min_completions": 1, "compose_strategy": "offered-words" }, "member_facing_label": "Values & Life Lessons", "clinical_language_expected": true, "displayLabel": "Values to Pass On", "data_shape": "narrative", "loomConfig": { "doorways": [ { "key": "lessons", "heading": "What life taught me", "prompt": "The wisdom you earned along the way.", "themes": [ { "key": "kindness_matters", "label": "Kindness matters more than being right", "clause": "kindness matters more than being right" }, { "key": "family_first", "label": "Family comes first, always", "clause": "family comes first, always" }, { "key": "hard_things", "label": "Hard things make you stronger", "clause": "the hard things in life make you stronger" }, { "key": "be_honest", "label": "Always be honest", "clause": "honesty is the foundation of everything" }, { "key": "show_up", "label": "Show up for people", "clause": "showing up for the people you love is what matters" } ] }, { "key": "hopes", "heading": "What I hope they carry forward", "prompt": "The legacy you want to leave.", "themes": [ { "key": "faith_pass", "label": "Hold onto faith", "clause": "I hope they hold onto their faith" }, { "key": "each_other", "label": "Take care of each other", "clause": "I hope they always take care of each other" }, { "key": "courage", "label": "Have courage", "clause": "I hope they face life with courage" }, { "key": "joy", "label": "Find joy in the small things", "clause": "I hope they find joy in the small things" } ] } ], "weaveFrame": { "lead": "The values I most want to pass on are these:", "conjunction": "and", "oxford": true, "separator": ", ", "escalatedSeparator": "; ", "terminator": "." } } }, "LEGACY_ITEMS": { "type": "dynamic-list", "label": "Are there meaningful possessions you’d like to go to specific people?", "cognitive_load": 2, "emotional_weight": "medium", "estimated_seconds": 120, "order": 45, "pillar": "continuity", "visibility": { "level": "family", "emergency_access": false, "consent_required": true, "audit_level": "standard" }, "filter": { "decision_relevant": false }, "advocate_copy": { "preamble": "This isn’t about legal wills — it’s about the personal meaning behind objects.", "why_we_ask": "Knowing which items carry special meaning helps your family honor your wishes and share stories." }, "list_config": { "item_label": "Item", "add_button_text": "+ Add another item", "none_option": "I’d rather not specify", "min_items": 0, "max_items": 30, "fields": [ { "key": "item", "label": "What is the item?", "type": "text", "required": true, "placeholder": "e.g., grandmother’s ring, photo album", "data_shape": "narrative" }, { "key": "recipient", "label": "Who should receive it?", "type": "text", "required": true, "placeholder": "Name or relationship", "data_shape": "narrative" }, { "key": "story", "label": "Why is it meaningful?", "type": "text", "required": false, "placeholder": "The story behind it (optional)", "data_shape": "narrative" } ] }, "parkable": true, "skip_allowed": true, "edit_component": "dynamic-list-input", "interaction_style": "guided_selection", "outputs": [ { "deliverable": "legacy_package", "tier": "MUST" } ], "anchors": [ "legacy_package" ], "anchor_role": "enhancing", "composition": { "compose_strategy": "composite", "beats": [ { "key": "item", "sentence": [ "I want to pass on my ", { "blank": "the item" }, "." ], "counsel": "What possession?", "chips": [], "write": true }, { "key": "recipient", "sentence": [ "It should go to ", { "blank": "who should receive it" }, "." ], "counsel": "Who should receive it?", "chips": [], "write": true }, { "key": "story", "sentence": [ "The story behind it: ", { "blank": "why it matters" }, "." ], "counsel": "Why is it meaningful?", "chips": [], "write": true } ], "compose_template": "My {item} goes to {recipient} — {story}.", "record_noun": "keepsake" }, "member_facing_label": "Meaningful Possessions", "displayLabel": "Meaningful Possessions", "data_shape": "collection" }, "FUNERAL_PREFS": { "type": "textarea", "label": "Do you have preferences for your funeral, memorial, or celebration of life?", "placeholder": "Think about location, music, readings, tone, attendees, traditions...", "cognitive_load": 3, "emotional_weight": "heavy", "estimated_seconds": 120, "order": 46, "pillar": "essence", "visibility": { "level": "family", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "filter": { "decision_relevant": false }, "advocate_copy": { "preamble": "This is about how you want to be remembered and celebrated.", "why_we_ask": "Your wishes take the guesswork away from your family during a difficult time." }, "calming_ui": { "enabled": true, "show_breathing": false, "background": "soft" }, "parkable": true, "skip_allowed": true, "edit_component": "textarea-input", "interaction_style": "conversational", "outputs": [ { "deliverable": "final_wishes", "tier": "MUST" }, { "deliverable": "hospice_intake_package", "tier": "SHOULD" }, { "deliverable": "spiritual_cultural_guide", "tier": "SHOULD" } ], "anchors": [ "final_wishes" ], "anchor_role": "enhancing", "view_models": [ { "view_model": "QualityOfLife", "property_path": "legacy.funeralPreferences", "transform": "text" } ], "composition": { "type": "category-browse", "compose_prefix": "My preferences for my memorial or celebration of life:", "allow_other": true, "categories": [ { "label": "Type of Service", "icon": "🕊️", "items": [ { "key": "traditional-funeral", "label": "Traditional funeral" }, { "key": "memorial-service", "label": "Memorial service" }, { "key": "celebration-of-life", "label": "Celebration of life" }, { "key": "graveside-service", "label": "Graveside service" }, { "key": "green-or-natural-burial", "label": "Green or natural burial" }, { "key": "no-formal-service", "label": "No formal service" } ], "key": "type-of-service" }, { "label": "Location & Setting", "icon": "🏛️", "items": [ { "key": "place-of-worship", "label": "Place of worship" }, { "key": "funeral-home", "label": "Funeral home" }, { "key": "outdoors-or-garden", "label": "Outdoors or garden" }, { "key": "family-home", "label": "Family home" }, { "key": "community-hall", "label": "Community hall" }, { "key": "virtual-or-hybrid", "label": "Virtual or hybrid" } ], "key": "location-setting" }, { "label": "Music & Readings", "icon": "🎵", "items": [ { "key": "hymns-or-religious-music", "label": "Hymns or religious music" }, { "key": "secular-or-favorite-songs", "label": "Secular or favorite songs" }, { "key": "live-music", "label": "Live music" }, { "key": "poetry-readings", "label": "Poetry readings" }, { "key": "scripture-or-sacred-texts", "label": "Scripture or sacred texts" }, { "key": "eulogies-from-loved-ones", "label": "Eulogies from loved ones" }, { "key": "moments-of-silence", "label": "Moments of silence" } ], "key": "music-readings" }, { "label": "Tone & Atmosphere", "icon": "✨", "items": [ { "key": "solemn-and-traditional", "label": "Solemn and traditional" }, { "key": "joyful-celebration", "label": "Joyful celebration" }, { "key": "intimate-and-small", "label": "Intimate and small" }, { "key": "large-gathering", "label": "Large gathering" }, { "key": "casual-and-relaxed", "label": "Casual and relaxed" }, { "key": "formal", "label": "Formal" } ], "key": "tone-atmosphere" }, { "label": "Special Touches", "icon": "🌸", "items": [ { "key": "specific-flowers-or-plants", "label": "Specific flowers or plants" }, { "key": "photo-slideshow-or-video", "label": "Photo slideshow or video" }, { "key": "memory-table-or-display", "label": "Memory table or display" }, { "key": "charitable-donations-in-lieu-of-flowers", "label": "Charitable donations in lieu of flowers" }, { "key": "specific-dress-code-or-colors", "label": "Specific dress code or colors" }, { "key": "reception-or-gathering-after", "label": "Reception or gathering after" }, { "key": "release-of-doves-butterflies-or-lanterns", "label": "Release of doves, butterflies, or lanterns" }, { "key": "family_decides", "label": "I'd leave this to my family", "exclusive": true, "compose_text": "I'd like my family to decide these things." } ], "key": "special-touches" } ], "compose_strategy": "category" }, "member_facing_label": "Funeral & Memorial Preferences", "clinical_language_expected": true, "displayLabel": "Memorial Preferences", "data_shape": "narrative" }, "FAMILY_CONFLICT_GUIDANCE": { "type": "textarea", "label": "If your family disagrees about your care, what guidance would you give them?", "placeholder": "Think about who should have the final say, how you’d want them to resolve disagreements...", "cognitive_load": 4, "emotional_weight": "heavy", "estimated_seconds": 120, "order": 47, "pillar": "continuity", "visibility": { "level": "family", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "filter": { "decision_relevant": true, "impacts": [ "family_decision_making" ] }, "advocate_copy": { "preamble": "Families don’t always agree, especially under stress. Your words can help them find common ground.", "why_we_ask": "Clear guidance from you prevents conflict, protects relationships, and ensures your wishes are followed." }, "calming_ui": { "enabled": true, "show_breathing": false, "background": "soft" }, "parkable": true, "skip_allowed": true, "edit_component": "textarea-input", "interaction_style": "conversational", "outputs": [ { "deliverable": "family_consensus_guide", "tier": "MUST" }, { "deliverable": "family_letter", "tier": "SHOULD" } ], "anchors": [ "family_consensus_guide" ], "anchor_role": "required", "composition": { "type": "sentence-starters", "compose_join": " ", "starters": [ { "text": "If my family disagrees about my care, the most important thing to remember is...", "icon": "❤️", "placeholder": "What's the guiding principle you'd want them to hold onto?", "id": "fcg-s-001", "completions": [ { "key": "fcg-s001-c1", "text": "what I would want, not what feels easiest" }, { "key": "fcg-s001-c2", "text": "that no one is wrong for being afraid" }, { "key": "fcg-s001-c3", "text": "my wishes are written down for a reason" }, { "key": "fcg-s001-c4", "text": "we are all on the same team" } ], "display_order": 1 }, { "text": "I trust this person to help guide the conversation...", "icon": "🤝", "placeholder": "Who should be the voice of reason?", "id": "fcg-s-002", "completions": [ { "key": "fcg-s002-c1", "text": "because they know me best and will speak for my values" }, { "key": "fcg-s002-c2", "text": "because they can stay calm when emotions are high" }, { "key": "fcg-s002-c3", "text": "because I have talked with them about my wishes" }, { "key": "fcg-s002-c4", "text": "because they will put my needs above their own feelings" } ], "display_order": 2 }, { "text": "When in doubt, please choose the option that...", "icon": "💬", "placeholder": "e.g., keeps me comfortable, respects my dignity, gives me the most time...", "id": "fcg-s-003", "completions": [ { "key": "fcg-s003-c1", "text": "gives me the most comfort and dignity" }, { "key": "fcg-s003-c2", "text": "keeps me closest to the people I love" }, { "key": "fcg-s003-c3", "text": "my care team recommends based on my wishes" }, { "key": "fcg-s003-c4", "text": "I would have chosen for myself" } ], "display_order": 3 }, { "text": "I want my family to know that...", "icon": "💬", "placeholder": "Any words of reassurance or permission you'd offer them?", "id": "fcg-s-004", "completions": [ { "key": "fcg-s004-c1", "text": "whatever they decide, I trust them" }, { "key": "fcg-s004-c2", "text": "disagreement does not mean anyone loves me less" }, { "key": "fcg-s004-c3", "text": "they have my permission to let go when it is time" }, { "key": "fcg-s004-c4", "text": "I do not want them to carry guilt over any decision" } ], "display_order": 4 } ], "joiner": " ", "min_completions": 1, "compose_strategy": "offered-words" }, "member_facing_label": "Guidance for Family Disagreements", "clinical_language_expected": true, "displayLabel": "Family Guidance", "data_shape": "narrative", "loomConfig": { "doorways": [ { "key": "principles", "heading": "My guiding principle", "prompt": "The rule you'd want them to follow.", "themes": [ { "key": "proxy_decides", "label": "My healthcare proxy has the final say", "clause": "my healthcare proxy has the final say -- please respect that" }, { "key": "together", "label": "Work it out together", "clause": "I want them to work it out together, with love" }, { "key": "wishes_first", "label": "My wishes come first", "clause": "what I wrote down here is what I want, even if they disagree" }, { "key": "doctor_help", "label": "Ask the doctor to help mediate", "clause": "if they can't agree, I want them to ask my doctor to help mediate" } ] }, { "key": "tone", "heading": "How I want them to handle it", "prompt": "The spirit you'd want them to bring.", "themes": [ { "key": "no_guilt", "label": "No guilt -- they did their best", "clause": "no one should feel guilty -- they are doing their best" }, { "key": "love", "label": "Lead with love, not fear", "clause": "I want them to lead with love, not fear" }, { "key": "peace", "label": "Don't fight over me", "clause": "please don't fight over me -- I want peace" } ] } ], "weaveFrame": { "lead": "If my family disagrees about my care,", "conjunction": "and", "oxford": true, "separator": ", ", "escalatedSeparator": "; ", "terminator": "." } } }, "MOBILITY_LEVEL": { "type": "select", "label": "Current Mobility Level", "description": "Your current ability to move around independently", "cognitive_load": 2, "emotional_weight": "neutral", "estimated_seconds": 20, "order": 1, "pillar": "navigation", "advocate_copy": { "preamble": "Understanding your mobility helps your care team plan safe transitions and recovery.", "why_we_ask": "Mobility level affects discharge planning, home safety, and rehabilitation goals. Sharing this helps ensure your care transitions are smooth and safe." }, "options": [ { "key": "independent", "label": "Fully independent — no assistance needed" }, { "key": "independent_aids", "label": "Independent with aids (cane, walker, wheelchair)" }, { "key": "assisted", "label": "Need help from another person" }, { "key": "dependent", "label": "Fully dependent on others for mobility" } ], "visibility": { "level": "clinical", "emergency_access": true, "consent_required": false, "audit_level": "standard" }, "edit_component": "select-input", "interaction_style": "single_choice", "member_facing_label": "Current Mobility Level", "data_shape": "single-select", "outputs": [ { "deliverable": "functional_baseline_assessment", "tier": "MUST" }, { "deliverable": "home_environment_profile", "tier": "SHOULD" }, { "deliverable": "rehabilitation_goals_statement", "tier": "MUST" } ] }, "MH_HISTORY": { "type": "structured", "label": "Mental Health Background", "description": "Any mental health conditions you'd like your care team to know about", "cognitive_load": 4, "emotional_weight": "heavy", "calming_ui": true, "estimated_seconds": 120, "isolate": true, "order": 2, "pillar": "navigation", "advocate_copy": { "preamble": "Your mental health is an important part of your overall care. Sharing this helps your team support you as a whole person.", "why_we_ask": "Mental health conditions affect how you experience care, respond to treatments, and cope with challenges. Your care team can provide better, more compassionate support when they understand your full picture." }, "structured_fields": [ { "key": "conditions", "type": "multiselect", "label": "Conditions", "options": [ { "key": "depression", "label": "Depression" }, { "key": "anxiety", "label": "Anxiety" }, { "key": "ptsd", "label": "PTSD" }, { "key": "bipolar", "label": "Bipolar Disorder" }, { "key": "ocd", "label": "OCD" }, { "key": "adhd", "label": "ADHD" }, { "key": "eating_disorder", "label": "Eating Disorder" }, { "key": "substance_use", "label": "Substance Use" }, { "key": "psychosis", "label": "I have experienced psychosis" }, { "key": "recovery", "label": "I am in recovery from addiction" }, { "key": "eating", "label": "I manage an eating disorder" }, { "key": "grief", "label": "I am navigating grief or loss" }, { "key": "no_label", "label": "I prefer not to label it" }, { "key": "other", "label": "Other" } ], "data_shape": "multi-select" }, { "key": "current_treatment", "type": "text", "label": "Current treatment or support", "data_shape": "narrative" }, { "key": "provider_name", "type": "text", "label": "Mental health provider name", "data_shape": "narrative" }, { "key": "coping_notes", "type": "text", "label": "Things that help or make things harder", "data_shape": "narrative" }, { "key": "currentSupport", "type": "text", "label": "Are you currently working with a therapist, counselor, or support group?", "placeholder": "e.g., I see a therapist every two weeks, or I attend a grief group...", "data_shape": "narrative" }, { "key": "whatHelps", "type": "text", "label": "What helps you when things feel hard?", "placeholder": "e.g., Walking outside, calling my sister, journaling...", "data_shape": "narrative" }, { "key": "whatDoesntHelp", "type": "text", "label": "Is there anything that tends to make things worse?", "placeholder": "e.g., Loud environments, being rushed, not knowing what’s happening...", "data_shape": "narrative" }, { "key": "teamShouldKnow", "type": "text", "label": "What would you like your care team to know about your mental health?", "placeholder": "Anything that would help them support you well...", "data_shape": "narrative" } ], "visibility": { "level": "sensitive", "emergency_access": false, "consent_required": true, "audit_level": "enhanced" }, "edit_component": "dynamic-list-input", "interaction_style": "dynamic_list", "member_facing_label": "Mental Health Background", "outputs": [ { "deliverable": "coping_resilience_profile", "tier": "SHOULD" }, { "deliverable": "mental_health_context_brief", "tier": "MUST" } ] }, "COPING_STRATEGIES": { "type": "multiselect", "label": "What Helps You Cope", "description": "Strategies that help you manage stress or difficult times", "cognitive_load": 2, "emotional_weight": "moderate", "estimated_seconds": 30, "order": 3, "pillar": "navigation", "advocate_copy": { "preamble": "Everyone copes differently. Knowing what works for you helps your team support you in the ways that matter most.", "why_we_ask": "When you are going through a health challenge, your care team can incorporate your coping strategies into your care plan — whether that means arranging a quiet room, scheduling a spiritual advisor visit, or making sure you can take a walk." }, "options": [ { "key": "exercise", "label": "Physical exercise or movement" }, { "key": "meditation", "label": "Meditation or mindfulness" }, { "key": "faith", "label": "Prayer or spiritual practice" }, { "key": "social", "label": "Talking with friends or family" }, { "key": "professional", "label": "Therapy or counseling" }, { "key": "creative", "label": "Creative activities (art, music, writing)" }, { "key": "nature", "label": "Spending time in nature" }, { "key": "routine", "label": "Maintaining routines" }, { "key": "other", "label": "Something else" }, { "key": "none_helpful", "label": "None of these help me", "exclusive": true } ], "visibility": { "level": "standard", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "edit_component": "multiselect-input", "interaction_style": "multiselect", "member_facing_label": "What Helps You Cope", "data_shape": "narrative", "composition": { "compose_strategy": "category", "allow_other": true, "compose_prefix": "What helps me cope is", "categories": [ { "key": "coping", "label": "What helps", "items": [ { "key": "exercise", "label": "physical exercise or movement" }, { "key": "meditation", "label": "meditation or mindfulness" }, { "key": "faith", "label": "prayer or spiritual practice" }, { "key": "social", "label": "talking with friends or family" }, { "key": "professional", "label": "therapy or counseling" }, { "key": "creative", "label": "creative activities" }, { "key": "nature", "label": "spending time in nature" }, { "key": "routine", "label": "keeping my routines" }, { "key": "none_helpful", "label": "None of these help me", "exclusive": true, "compose_text": "None of the usual strategies help me — what I need is different." } ] } ] }, "outputs": [ { "deliverable": "coping_resilience_profile", "tier": "MUST" }, { "deliverable": "mental_health_context_brief", "tier": "SHOULD" } ] }, "FOOD_PREFERENCES": { "type": "structured", "label": "Food & Dietary Needs", "description": "Your dietary requirements, restrictions, and preferences", "cognitive_load": 3, "emotional_weight": "neutral", "estimated_seconds": 60, "order": 4, "pillar": "vitality", "advocate_copy": { "preamble": "Food is deeply personal — it connects to your health, your culture, and your comfort.", "why_we_ask": "Hospitals and care facilities need to know your dietary needs to keep you safe and comfortable. Documenting this means you will never be served something that conflicts with your medical needs, religious practices, or personal values." }, "structured_fields": [ { "key": "restrictions", "type": "multiselect", "label": "Dietary Restrictions", "options": [ { "key": "vegetarian", "label": "Vegetarian" }, { "key": "vegan", "label": "Vegan" }, { "key": "halal", "label": "Halal" }, { "key": "kosher", "label": "Kosher" }, { "key": "gluten_free", "label": "Gluten-Free" }, { "key": "dairy_free", "label": "Dairy-Free" }, { "key": "nut_free", "label": "Nut-Free" }, { "key": "low_sodium", "label": "Low Sodium" }, { "key": "diabetic_diet", "label": "Diabetic Diet" }, { "key": "renal_diet", "label": "Renal Diet" }, { "key": "other", "label": "Other" } ], "data_shape": "multi-select" }, { "key": "cultural_foods", "type": "text", "label": "Cultural or traditional foods important to you", "data_shape": "narrative" }, { "key": "texture_needs", "type": "select", "label": "Texture requirements", "options": [ { "key": "regular", "label": "Regular texture" }, { "key": "soft", "label": "Soft foods only" }, { "key": "pureed", "label": "Pureed foods" }, { "key": "liquid", "label": "Liquid only" } ], "data_shape": "single-select" }, { "key": "feeding_assistance", "type": "select", "label": "Feeding assistance needed", "options": [ { "key": "none", "label": "No assistance needed" }, { "key": "setup_help", "label": "Help setting up (opening containers, cutting food)" }, { "key": "partial_assistance", "label": "Some help during meals" }, { "key": "full_assistance", "label": "Full assistance needed" } ], "data_shape": "single-select" } ], "visibility": { "level": "standard", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "edit_component": "dynamic-list-input", "interaction_style": "dynamic_list", "member_facing_label": "Food & Dietary Needs", "outputs": [ { "deliverable": "nutrition_profile", "tier": "MUST" } ] }, "INTERPRETER_NEEDED": { "type": "radio", "label": "Interpreter Needed", "description": "Do you need an interpreter for medical appointments?", "cognitive_load": 1, "emotional_weight": "light", "estimated_seconds": 10, "order": 5, "pillar": "vitality", "advocate_copy": { "preamble": "Clear communication with your care team is essential for safe care.", "why_we_ask": "Under federal law, healthcare facilities must provide interpreter services. Documenting this ensures an interpreter is arranged before your visit — not scrambled for after you arrive." }, "options": [ { "key": "yes", "label": "Yes, I need an interpreter" }, { "key": "no", "label": "No interpreter needed" } ], "visibility": { "level": "standard", "emergency_access": true, "consent_required": false, "audit_level": "standard" }, "edit_component": "radio-input", "interaction_style": "single_choice", "member_facing_label": "Interpreter Needed", "data_shape": "single-select", "outputs": [ { "deliverable": "cap_card", "tier": "SHOULD" }, { "deliverable": "cultural_context_brief", "tier": "SHOULD" }, { "deliverable": "language_communication_card", "tier": "MUST" }, { "deliverable": "emergency_quick_card", "tier": "COULD" }, { "deliverable": "hospice_intake_package", "tier": "COULD" }, { "deliverable": "cultural_identity_brief", "tier": "COULD" } ] }, "COMM_HEARING_VISION": { "type": "select", "label": "Do you have any hearing or vision needs your care team should know about?", "description": "Hearing or vision conditions that affect how care is delivered", "cognitive_load": 2, "emotional_weight": "light", "estimated_seconds": 20, "order": 1, "pillar": "vitality", "advocate_copy": { "preamble": "Knowing your hearing and vision needs helps your care team communicate effectively.", "why_we_ask": "Hearing aids, visual impairments, and sensory differences directly affect how care is delivered. This information is shared only with the team members who need it to communicate safely with you." }, "options": [ { "key": "none", "label": "No hearing or vision concerns" }, { "key": "hearing_aid", "label": "I use a hearing aid" }, { "key": "hard_of_hearing", "label": "Hard of hearing (without a hearing aid)" }, { "key": "deaf", "label": "Deaf or no functional hearing" }, { "key": "vision_impaired", "label": "I have a vision impairment (glasses or contacts)" }, { "key": "low_vision", "label": "Low vision (beyond glasses correction)" }, { "key": "legally_blind", "label": "Legally blind" }, { "key": "dual_sensory", "label": "Both hearing and vision concerns" } ], "visibility": { "level": "standard", "emergency_access": true, "consent_required": false, "audit_level": "standard" }, "edit_component": "select-input", "interaction_style": "single_choice", "outputs": [ { "deliverable": "language_communication_card", "tier": "SHOULD" }, { "deliverable": "cultural_identity_brief", "tier": "SHOULD" }, { "deliverable": "emergency_quick_card", "tier": "COULD" } ], "member_facing_label": "Hearing & Vision Needs", "data_shape": "single-select" }, "COMM_INFO_STYLE": { "type": "select", "label": "How do you best receive medical information?", "description": "Your preferred format for receiving health information and care instructions", "cognitive_load": 1, "emotional_weight": "light", "estimated_seconds": 15, "order": 2, "pillar": "vitality", "advocate_copy": { "preamble": "Everyone processes health information differently.", "why_we_ask": "Knowing how you best receive information helps your care team present it in a way that works for you — whether that is a spoken explanation, a written summary, or a visual diagram." }, "options": [ { "key": "verbal", "label": "Verbal explanations (spoken)" }, { "key": "written", "label": "Written materials or handouts" }, { "key": "visual", "label": "Visual aids or diagrams" }, { "key": "digital", "label": "Digital or electronic format" }, { "key": "large_print", "label": "Large print materials" }, { "key": "combination", "label": "A combination of methods" } ], "visibility": { "level": "standard", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "edit_component": "select-input", "interaction_style": "single_choice", "outputs": [ { "deliverable": "language_communication_card", "tier": "SHOULD" }, { "deliverable": "cultural_identity_brief", "tier": "SHOULD" } ], "member_facing_label": "Preferred Information Style", "data_shape": "single-select" }, "COMM_DIFFICULT_NEWS": { "type": "select", "label": "Receiving difficult news", "description": "How do you prefer to receive difficult or serious medical information?", "cognitive_load": 2, "emotional_weight": "moderate", "estimated_seconds": 20, "order": 3, "pillar": "vitality", "advocate_copy": { "preamble": "Difficult news lands differently for everyone.", "why_we_ask": "Knowing how you prefer to receive serious information helps your care team approach those conversations in a way that feels right for you." }, "options": [ { "key": "direct_complete", "label": "Direct and complete — tell me everything, even if it's hard" }, { "key": "essentials_only", "label": "Essentials only — spare me the details" }, { "key": "tell_family_first", "label": "Tell my designated person first" }, { "key": "depends", "label": "Depends on the situation" } ], "visibility": { "level": "standard", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "edit_component": "select-input", "interaction_style": "single_choice", "outputs": [ { "deliverable": "language_communication_card", "tier": "SHOULD" }, "clinical_summary" ], "member_facing_label": "Receiving Difficult News", "data_shape": "single-select" }, "COMM_DECISION_STYLE": { "type": "select", "label": "How I make decisions", "description": "When facing an important healthcare decision, how do you prefer to approach it?", "cognitive_load": 2, "emotional_weight": "moderate", "estimated_seconds": 20, "order": 4, "pillar": "vitality", "advocate_copy": { "preamble": "Healthcare decisions can be complex, and everyone approaches them differently.", "why_we_ask": "Understanding how you make decisions helps your care team support you in the way that feels most comfortable and respectful." }, "options": [ { "key": "independently", "label": "I decide independently" }, { "key": "with_family", "label": "I decide with my family" }, { "key": "guided_by_care_team", "label": "I want my care team's strong guidance" }, { "key": "full_consensus", "label": "I want consensus among everyone involved" } ], "visibility": { "level": "standard", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "edit_component": "select-input", "interaction_style": "single_choice", "outputs": [ { "deliverable": "language_communication_card", "tier": "SHOULD" }, "clinical_summary" ], "member_facing_label": "Decision-Making Style", "data_shape": "single-select" }, "COMM_CARE_EXPERIENCE": { "type": "textarea", "label": "What good care looks and feels like for me", "description": "Describe what good care looks and feels like for you — and what you wish your providers understood about you.", "placeholder": "For example: I need time to process before responding. I have white coat anxiety — my clinic readings are never accurate. Good care feels like being spoken to directly, not around.", "cognitive_load": 3, "emotional_weight": "reflective", "estimated_seconds": 90, "order": 5, "pillar": "vitality", "advocate_copy": { "preamble": "You know what good care feels like for you — this is your chance to tell your team directly.", "why_we_ask": "This open reflection helps your care team understand not just what you need, but how you experience care. It travels with you wherever care happens." }, "visibility": { "level": "standard", "emergency_access": true, "consent_required": false, "audit_level": "standard" }, "parkable": true, "skip_allowed": true, "edit_component": "textarea-input", "interaction_style": "narrative", "outputs": [ { "deliverable": "language_communication_card", "tier": "SHOULD" }, "clinical_summary" ], "member_facing_label": "What Good Care Looks Like for Me", "data_shape": "narrative", "composition": { "compose_strategy": "recognition", "type": "guided_voice", "default_mode": "starters", "allow_freeform": true, "joiner": " ", "min_completions": 1 }, "loomConfig": { "doorways": [ { "key": "good", "heading": "What good care looks like", "prompt": "When healthcare works for you.", "themes": [ { "key": "direct", "label": "Speak to me directly and honestly", "clause": "good care means speaking to me directly and honestly" }, { "key": "time", "label": "Give me time to process", "clause": "I need time to process information before making decisions" }, { "key": "explain", "label": "Explain things in plain language", "clause": "I need things explained in plain language, not medical jargon" }, { "key": "ask_me", "label": "Ask me what I think", "clause": "good care means asking me what I think, not just telling me" }, { "key": "whole_person", "label": "See me as a whole person", "clause": "the best care I've received treated me as a whole person" } ] }, { "key": "challenges", "heading": "What hasn't worked", "prompt": "Things your care team should avoid.", "themes": [ { "key": "white_coat", "label": "I have white coat anxiety", "clause": "I have white coat anxiety — my readings in clinic are never accurate" }, { "key": "rushed", "label": "Being rushed makes me shut down", "clause": "being rushed makes me shut down" }, { "key": "dismissed", "label": "I've been dismissed before", "clause": "I've been dismissed by providers before and it's hard to trust again" }, { "key": "needles", "label": "I'm afraid of needles", "clause": "I have a real fear of needles — I need extra patience" } ] } ], "weaveFrame": { "lead": "What good care looks and feels like for me:", "conjunction": "and", "oxford": true, "separator": ", ", "escalatedSeparator": "; ", "terminator": "." } } }, "PEER_SUPPORT_INTEREST": { "type": "radio", "label": "Interest in Peer Support", "description": "Would you like to be connected with others who share similar experiences?", "cognitive_load": 1, "emotional_weight": "neutral", "estimated_seconds": 10, "order": 6, "pillar": "resilience", "advocate_copy": { "preamble": "Sometimes the best support comes from someone who truly understands what you are going through.", "why_we_ask": "Peer support programs connect you with people who have navigated similar health challenges. This is entirely optional — just let us know if you are interested and we can help make the connection." }, "options": [ { "key": "yes", "label": "Yes, I'm interested" }, { "key": "not_now", "label": "Not right now" } ], "visibility": { "level": "standard", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "edit_component": "radio-input", "interaction_style": "single_choice", "member_facing_label": "Interest in Peer Support", "data_shape": "single-select" }, "HOME_ENVIRONMENT": { "type": "structured", "data_shape": "collection", "composition": { "compose_strategy": "composite", "compose_template": "I live in {dwelling} with {company}. Getting in and out: {access}. What keeps it safe: {safety}.", "record_noun": "home", "beats": [ { "key": "dwelling", "sentence": [ "I live in ", { "blank": "your type of home" }, "." ], "counsel": "What kind of home do you live in?", "chips": [ "a house", "an apartment or condo", "an assisted living facility", "a nursing facility", "a group home" ], "write": true }, { "key": "company", "sentence": [ "At home, ", { "blank": "who is there with you" }, "." ], "counsel": "Who is there with you?", "chips": [ "I live alone", "my spouse or partner is with me", "I live with family", "a caregiver visits regularly" ], "write": true }, { "key": "access", "sentence": [ "Getting around involves ", { "blank": "stairs, bathroom access" }, "." ], "counsel": "Stairs, bathroom — what should your care team know?", "chips": [ "no stairs at all", "a few steps at the entry", "a full flight of stairs", "a bathroom on my main floor", "a bathroom up a flight of stairs" ], "write": true }, { "key": "safety", "sentence": [ "My care team should also know ", { "blank": "anything about safety at home" }, "." ], "counsel": "Any safety concerns at home?", "chips": [ "about trip hazards like loose rugs", "the lighting is poor at night", "I have grab bars installed", "nothing else comes to mind" ], "write": true } ] }, "label": "Home Environment", "description": "Details about your living situation that help your care team plan safe transitions", "cognitive_load": 3, "emotional_weight": "neutral", "estimated_seconds": 45, "order": 7, "pillar": "resilience", "advocate_copy": { "preamble": "Your home environment matters for safe recovery and ongoing care.", "why_we_ask": "Discharge planners need to know about stairs, bathroom access, and whether you live alone to arrange the right support. Documenting this ahead of time prevents delays when you are ready to go home." }, "structured_fields": [ { "key": "dwelling_type", "type": "select", "label": "Type of home", "options": [ { "key": "house", "label": "House" }, { "key": "apartment", "label": "Apartment or condo" }, { "key": "assisted_living", "label": "Assisted living facility" }, { "key": "nursing_facility", "label": "Nursing facility" }, { "key": "group_home", "label": "Group home" }, { "key": "other", "label": "Other" } ], "data_shape": "single-select" }, { "key": "stairs", "type": "select", "label": "Stairs at home", "options": [ { "key": "none", "label": "No stairs" }, { "key": "few_steps", "label": "A few steps (1-3)" }, { "key": "one_flight", "label": "One flight of stairs" }, { "key": "multiple_flights", "label": "Multiple flights" } ], "data_shape": "single-select" }, { "key": "bathroom_accessible", "type": "radio", "label": "Bathroom accessible without stairs", "options": [ { "key": "yes", "label": "Yes" }, { "key": "no", "label": "No" } ], "data_shape": "single-select" }, { "key": "lives_alone", "type": "radio", "label": "Lives alone", "options": [ { "key": "yes", "label": "Yes, I live alone" }, { "key": "no", "label": "No, I live with others" } ], "data_shape": "single-select" }, { "key": "safety_concerns", "type": "text", "label": "Any safety concerns about your home", "data_shape": "narrative" } ], "visibility": { "level": "standard", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "edit_component": "dynamic-list-input", "interaction_style": "dynamic_list", "member_facing_label": "Your Home Environment", "outputs": [ { "deliverable": "home_environment_profile", "tier": "MUST" } ] }, "MEMBER_PROFILE": { "key": "MEMBER_PROFILE", "label": "My Profile", "type": "structured", "pillar": "vitality", "description": "Your personal contact details — the information your care team needs to reach you and address you properly.", "member_facing_description": "Your name, contact details, and how you'd like to be addressed.", "sub_fields": [ { "key": "title", "label": "Title", "type": "select", "options": [ "Mr.", "Mrs.", "Ms.", "Dr.", "Rev.", "Prof.", "Mx.", "" ], "placeholder": "Select title", "data_shape": "single-select" }, { "key": "legalName", "label": "Full Legal Name", "type": "text", "required": true, "placeholder": "Your full legal name", "data_shape": "narrative" }, { "key": "preferredName", "label": "Preferred Name", "type": "text", "placeholder": "What should we call you?", "data_shape": "narrative" }, { "key": "jobTitle", "label": "Job Title / Occupation", "type": "text", "placeholder": "What do you do?", "data_shape": "narrative" }, { "key": "dateOfBirth", "label": "Date of Birth", "type": "date", "required": true }, { "key": "sex", "label": "Sex Assigned at Birth", "type": "select", "options": [ "male", "female", "intersex", "prefer_not_to_say" ], "data_shape": "single-select" }, { "key": "pronouns", "label": "Pronouns", "type": "select", "options": [ "she_her", "he_him", "they_them", "ze_zir", "xe_xem", "prefer_not_to_say" ], "data_shape": "single-select" }, { "key": "primaryLanguage", "label": "Primary Language", "type": "text", "placeholder": "Your primary language", "data_shape": "narrative" }, { "key": "mobilePhone", "label": "Mobile Phone", "type": "phone", "placeholder": "(___) ___-____" }, { "key": "email", "label": "Email Address", "type": "email", "placeholder": "your@email.com" } ], "profile_field": true, "editable_outside_journey": true, "member_facing_label": "Your Profile", "advocate_copy": { "preamble": "This is the front page of your story.", "why_we_ask": "Your profile travels with every guide you share — it's how anyone who reads your care documents meets you as a person first." }, "outputs": [ { "deliverable": "family_letter", "tier": "SHOULD" } ] }, "RESOURCE_CONNECTIONS": { "type": "dynamic-list", "label": "What help do you use, or want?", "description": "Places and people that help you day to day: food, a ride, care at home, someone to talk to.", "cognitive_load": 2, "emotional_weight": "light", "estimated_seconds": 60, "order": 1, "pillar": "navigation", "visibility": { "level": "care_team", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "advocate_copy": { "preamble": "List the help you use, or would like. Your care coordinator can sign you up, keep it going, or find you more.", "why_we_ask": "When your coordinator knows what helps you, they can act for you." }, "parkable": true, "skip_allowed": true, "edit_component": "dynamic-list-input", "interaction_style": "dynamic_list", "member_facing_label": "Help I use and help I want", "data_shape": "collection", "list_config": { "item_label": "Help", "add_button_text": "Add another", "none_option": "I don't use or want help like this", "fields": [ { "key": "name", "label": "What is it called?", "type": "text", "required": true, "placeholder": "e.g., Meals on Wheels, the church food bank", "data_shape": "narrative" }, { "key": "helps_with", "label": "What does it help with?", "type": "select", "required": true, "data_shape": "single-select", "options": [ { "key": "food", "label": "food" }, { "key": "housing", "label": "housing" }, { "key": "transport", "label": "getting around" }, { "key": "money", "label": "money" }, { "key": "care_at_home", "label": "care at home" }, { "key": "company", "label": "company" }, { "key": "faith_community", "label": "faith or community" }, { "key": "other", "label": "something else" } ] }, { "key": "state", "label": "Do you use it, want it, or did you try it?", "type": "select", "required": true, "data_shape": "single-select", "options": [ { "key": "use", "label": "I use this" }, { "key": "want", "label": "I'd like this" }, { "key": "tried", "label": "I tried this" } ] }, { "key": "reach", "label": "How do you reach them?", "type": "text", "data_shape": "narrative", "placeholder": "e.g., a phone number, a website, or a person", "none_key": "skip" } ] }, "composition": { "compose_strategy": "composite", "beats": [ { "key": "name", "sentence": ["The help is called ", { "blank": "its name" }, "."], "counsel": "What is it called?", "chips": [], "write": true, "write_label": "Its name", "write_placeholder": "e.g., Meals on Wheels" }, { "key": "helps_with", "sentence": ["It helps me with ", { "blank": "what it helps with" }, "."], "counsel": "What does it help with?", "chips": [ { "key": "food", "label": "food" }, { "key": "housing", "label": "housing" }, { "key": "transport", "label": "getting around" }, { "key": "money", "label": "money" }, { "key": "care_at_home", "label": "care at home" }, { "key": "company", "label": "company" }, { "key": "faith_community", "label": "faith or community" }, { "key": "other", "label": "something else" } ], "write": false }, { "key": "state", "sentence": [{ "blank": "do you use it?" }, "."], "counsel": "Do you use it, want it, or did you try it?", "chips": [ { "key": "use", "label": "I use this" }, { "key": "want", "label": "I'd like this" }, { "key": "tried", "label": "I tried this" } ], "write": false }, { "key": "reach", "sentence": ["To reach them: ", { "blank": "a phone, a place, or a person" }, "."], "counsel": "How do you reach them? You can skip this part.", "chips": [ { "key": "skip", "label": "Skip this part" } ], "write": true, "write_label": "How to reach them" } ], "compose_template": "{name} helps me with {helps_with}. {state}. To reach them: {reach}.", "template_variants": [ { "when": { "reach": "skip" }, "template": "{name} helps me with {helps_with}. {state}." } ], "record_noun": "help", "record_noun_plural": "kinds of help", "seat_noun": "the help I use and want", "record_card": { "rows": [{ "keys": ["name"] }], "told_name": ["name"] }, "record_row": { "name": "name", "about": ["helps_with", "state"], "reach": "reach", "omit": ["skip"] } }, "composition_authored": "2026-10-14 WAVE7 draft under D-081 V2 (C-4 follow-up) — PROPOSED, template-only, plain words (grade <= 6); operator may re-author (GOV-004).", "outputs": [ { "deliverable": "resource_connection_plan", "tier": "COULD", "lead": true } ], "registered_from": "D-081 V2 (operator 2026-10-14; GUIDES-CENSUS-RULINGS-001 C-4 follow-up, WAVE7) — her own resource list. Reader: the care coordinator or social worker who acts on her behalf (connect, renew, refer). Coordinator-authored suggestions stay out (C-4 (a)). The helps-with vocabulary follows the social-needs domains the schema already asks about (BARRIERS: food insecurity, housing instability, transportation, financial cost, caregiver availability; SOCIAL_PREFS; faith)." }, "BARRIERS_NOTES": { "type": "textarea", "label": "Tell Us More About Your Barriers", "placeholder": "If you'd like to share more about any of the barriers you selected, you can do so here. This is completely optional.", "cognitive_load": 1, "emotional_weight": "moderate", "estimated_seconds": 45, "order": 18, "pillar": "navigation", "visibility": { "level": "care_team", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "advocate_copy": { "preamble": "You don't have to explain — but if you want to, this is a safe space to share more context about what gets in the way of your care.", "why_we_ask": "The more context your care team has, the better they can connect you with the right support. But only share what feels comfortable." }, "companion_to": "BARRIERS", "parkable": true, "skip_allowed": true, "edit_component": "textarea-input", "interaction_style": "freeform", "view_models": [ "CareContinuity", "AdvocacyCompliance" ], "outputs": [], "anchors": [ "care_coordination_brief" ], "anchor_role": "enhancing", "member_facing_label": "More About Your Barriers", "data_shape": "narrative", "composition": { "compose_strategy": "category", "type": "category-browse", "compose_prefix": "Barriers I face in getting care:", "allow_other": true, "categories": [ { "label": "Access", "items": [ { "key": "transportation", "label": "Transportation" }, { "key": "insurance-cost", "label": "Insurance or cost" }, { "key": "distance", "label": "Distance to provider" }, { "key": "tech-access", "label": "Technology access" } ] }, { "label": "Schedule", "items": [ { "key": "work-conflicts", "label": "Work schedule conflicts" }, { "key": "childcare", "label": "Childcare needs" }, { "key": "caregiver-duties", "label": "Caregiver responsibilities" } ] }, { "label": "Communication", "items": [ { "key": "language", "label": "Language barrier" }, { "key": "health-literacy", "label": "Understanding medical information" }, { "key": "hearing-vision", "label": "Hearing or vision difficulty" } ] }, { "label": "Physical", "items": [ { "key": "mobility", "label": "Mobility limitations" }, { "key": "housing", "label": "Housing instability" }, { "key": "fatigue", "label": "Fatigue or energy" }, { "key": "none_apply", "label": "None of these apply to me", "exclusive": true, "compose_text": "None of these barriers apply to me." } ] } ] } }, "PREGNANCY_CONFIRMED_DATE": { "heavy": true, "type": "date", "label": "When was your pregnancy confirmed?", "description": "The date your pregnancy was confirmed by a healthcare provider.", "cognitive_load": 1, "emotional_weight": "moderate", "estimated_seconds": 15, "pillar": "vitality", "edit_component": "date-input", "interaction_style": "single_choice", "advocate_copy": { "preamble": "This helps us track your pregnancy timeline and ensure your care is on schedule.", "why_we_ask": "Your pregnancy confirmation date helps calculate gestational age and schedule important milestones like screenings and prenatal visits." }, "visibility": { "level": "care_team", "emergency_access": true, "consent_required": false, "audit_level": "standard" }, "overlay": "MATERNAL", "overlay_phase": "prenatal", "member_facing_label": "Pregnancy Confirmed Date", "data_shape": "atom", "composition": { "compose_strategy": "atoms", "blank_type": "date", "sentence_parts": [ "My pregnancy was confirmed on ", { "key": "value", "hint": "a date" }, "." ], "blank_options": [] }, "outputs": [ { "deliverable": "prenatal_emergency_card", "tier": "SHOULD" } ] }, "ESTIMATED_DUE_DATE": { "type": "date", "label": "Estimated due date", "description": "Your expected due date as determined by your provider.", "cognitive_load": 1, "emotional_weight": "light", "estimated_seconds": 15, "pillar": "vitality", "edit_component": "date-input", "interaction_style": "single_choice", "advocate_copy": { "preamble": "This date helps your entire care team prepare for your baby's arrival.", "why_we_ask": "Your due date drives your prenatal milestone schedule and helps your care team know which trimester-specific screenings and preparations to focus on." }, "visibility": { "level": "care_team", "emergency_access": true, "consent_required": false, "audit_level": "standard" }, "overlay": "MATERNAL", "overlay_phase": "prenatal", "member_facing_label": "Estimated Due Date", "data_shape": "atom", "composition": { "compose_strategy": "atoms", "blank_type": "date", "sentence_parts": [ "My baby is due on ", { "key": "value", "hint": "a date" }, "." ], "blank_options": [] }, "outputs": [ { "deliverable": "pregnancy_medication_safety", "tier": "SHOULD" }, { "deliverable": "pregnancy_story", "tier": "MUST" }, { "deliverable": "prenatal_emergency_card", "tier": "MUST" } ] }, "PREGNANCY_TYPE": { "heavy": true, "type": "select", "label": "What type of pregnancy is this?", "cognitive_load": 1, "emotional_weight": "light", "estimated_seconds": 10, "pillar": "vitality", "edit_component": "select-input", "interaction_style": "single_choice", "options": [ { "key": "singleton", "label": "Single baby" }, { "key": "twins", "label": "Twins" }, { "key": "multiples", "label": "Multiples (triplets or more)" }, { "key": "ivf", "label": "IVF / Assisted reproduction" }, { "key": "surrogate", "label": "Surrogate pregnancy" } ], "advocate_copy": { "preamble": "Every pregnancy is unique. This helps your care team tailor their approach.", "why_we_ask": "The type of pregnancy affects your care plan, monitoring schedule, and which specialists may be involved." }, "visibility": { "level": "care_team", "emergency_access": true, "consent_required": false, "audit_level": "standard" }, "overlay": "MATERNAL", "overlay_phase": "prenatal", "member_facing_label": "Type of Pregnancy", "data_shape": "single-select", "outputs": [ { "deliverable": "pregnancy_story", "tier": "SHOULD" }, { "deliverable": "prenatal_emergency_card", "tier": "SHOULD" } ] }, "PREGNANCY_RISK_LEVEL": { "heavy": true, "type": "select", "label": "How has your provider classified your pregnancy risk?", "cognitive_load": 2, "emotional_weight": "moderate", "estimated_seconds": 15, "pillar": "vitality", "edit_component": "select-input", "interaction_style": "single_choice", "options": [ { "key": "low", "label": "Low risk" }, { "key": "moderate", "label": "Moderate risk" }, { "key": "high", "label": "High risk" }, { "key": "unknown", "label": "Not sure yet" } ], "advocate_copy": { "preamble": "There's no judgment here — risk classification helps your team provide the right level of monitoring.", "why_we_ask": "Risk level determines your visit frequency, specialist referrals, and monitoring plan. It can change over the course of pregnancy, and that's normal." }, "visibility": { "level": "care_team", "emergency_access": true, "consent_required": false, "audit_level": "standard" }, "overlay": "MATERNAL", "overlay_phase": "prenatal", "member_facing_label": "Pregnancy Risk Level", "data_shape": "single-select", "outputs": [ { "deliverable": "pregnancy_medication_safety", "tier": "SHOULD" }, { "deliverable": "pregnancy_story", "tier": "SHOULD" }, { "deliverable": "prenatal_emergency_card", "tier": "SHOULD" } ] }, "PREVIOUS_PREGNANCIES": { "type": "structured", "label": "Previous pregnancy history", "description": "Your pregnancy history helps your care team understand your unique needs.", "cognitive_load": 3, "emotional_weight": "heavy", "calming_ui": true, "estimated_seconds": 90, "pillar": "vitality", "edit_component": "dynamic-list-input", "interaction_style": "dynamic_list", "advocate_copy": { "preamble": "You don't have to share anything you're not comfortable with. Every pregnancy is its own story.", "why_we_ask": "Previous pregnancy experiences — including losses — help your care team provide informed, sensitive care. You are in control of what you share." }, "visibility": { "level": "care_team", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "overlay": "MATERNAL", "overlay_phase": "prenatal", "member_facing_label": "Previous Pregnancy History" }, "RH_FACTOR": { "type": "select", "label": "What is your Rh factor?", "cognitive_load": 1, "emotional_weight": "light", "estimated_seconds": 10, "pillar": "vitality", "edit_component": "select-input", "interaction_style": "single_choice", "options": [ { "key": "positive", "label": "Rh positive (+)" }, { "key": "negative", "label": "Rh negative (−)" }, { "key": "unknown", "label": "I don't know" } ], "advocate_copy": { "preamble": "This is usually part of your early blood work.", "why_we_ask": "If you're Rh negative, your care team may recommend a RhoGAM injection to protect your baby. This is routine and safe." }, "visibility": { "level": "care_team", "emergency_access": true, "consent_required": false, "audit_level": "standard" }, "overlay": "MATERNAL", "overlay_phase": "prenatal", "member_facing_label": "Rh Factor", "data_shape": "single-select", "outputs": [ { "deliverable": "prenatal_emergency_card", "tier": "SHOULD" } ] }, "PRENATAL_VITAMINS": { "type": "text", "label": "What prenatal vitamins or supplements are you taking?", "placeholder": "Brand name or description", "cognitive_load": 1, "emotional_weight": "light", "estimated_seconds": 20, "pillar": "vitality", "edit_component": "text-input", "interaction_style": "freeform", "advocate_copy": { "preamble": "Prenatal vitamins are an important part of your and your baby's health.", "why_we_ask": "Your care team wants to ensure you're getting the right nutrients, especially folic acid, iron, and DHA." }, "visibility": { "level": "care_team", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "overlay": "MATERNAL", "overlay_phase": "prenatal", "member_facing_label": "Prenatal Vitamins & Supplements", "data_shape": "atom", "composition": { "compose_strategy": "atoms", "blank_type": "text", "sentence_parts": [ "I am taking ", { "key": "value", "hint": "supplement names" }, "." ], "blank_options": [ "prenatal multivitamin", "folic acid", "iron supplement", "vitamin D", "DHA/omega-3" ] }, "outputs": [ { "deliverable": "pregnancy_medication_safety", "tier": "SHOULD" } ] }, "OB_PROVIDER": { "artifact_noun": "your OB/GYN or midwife", "cardinality": "one", "type": "smart-contact", "label": "Who is your OB/GYN or midwife?", "cognitive_load": 2, "emotional_weight": "light", "estimated_seconds": 45, "pillar": "vitality", "edit_component": "smart-contact-input", "interaction_style": "smart_contact", "circle_sync": { "target_role": "obstetrician", "sync_on_save": true }, "advocate_copy": { "preamble": "Your OB or midwife is the captain of your pregnancy care team.", "why_we_ask": "This ensures your OB or midwife is reachable in an emergency and connected to all your care guides." }, "visibility": { "level": "care_team", "emergency_access": true, "consent_required": false, "audit_level": "standard" }, "overlay": "MATERNAL", "overlay_phase": "prenatal", "member_facing_label": "OB/GYN or Midwife", "data_shape": "contact", "outputs": [ { "deliverable": "birth_preferences", "tier": "SHOULD" }, { "deliverable": "birth_team", "tier": "MUST" }, { "deliverable": "pregnancy_medication_safety", "tier": "SHOULD" }, { "deliverable": "prenatal_emergency_card", "tier": "SHOULD" }, { "deliverable": "care_circle", "tier": "SHOULD" } ] }, "DOULA": { "artifact_noun": "your doula", "cardinality": "one", "type": "smart-contact", "label": "Do you have a doula?", "cognitive_load": 2, "emotional_weight": "light", "estimated_seconds": 45, "pillar": "vitality", "edit_component": "smart-contact-input", "interaction_style": "smart_contact", "circle_sync": { "target_role": "doula", "sync_on_save": true }, "advocate_copy": { "preamble": "A doula provides continuous emotional and physical support during labor.", "why_we_ask": "If you have a doula, adding them to your Care Circle ensures they're connected to your birth plan and care team." }, "visibility": { "level": "care_team", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "overlay": "MATERNAL", "overlay_phase": "prenatal", "member_facing_label": "Doula", "data_shape": "contact", "outputs": [ { "deliverable": "birth_team", "tier": "SHOULD" }, { "deliverable": "care_circle", "tier": "SHOULD" } ] }, "PEDIATRICIAN_SELECTED": { "artifact_noun": "your baby's pediatrician", "cardinality": "one", "type": "smart-contact", "label": "Have you chosen a pediatrician for your baby?", "cognitive_load": 2, "emotional_weight": "light", "estimated_seconds": 45, "pillar": "vitality", "edit_component": "smart-contact-input", "interaction_style": "smart_contact", "circle_sync": { "target_role": "primary_physician", "sync_on_save": true }, "advocate_copy": { "preamble": "It's helpful to have a pediatrician lined up before your baby arrives.", "why_we_ask": "Your baby's first check-up happens within days of birth. Having a pediatrician selected means one less thing to worry about." }, "visibility": { "level": "care_team", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "overlay": "MATERNAL", "overlay_phase": "prenatal", "member_facing_label": "Pediatrician", "data_shape": "contact", "outputs": [ { "deliverable": "birth_team", "tier": "SHOULD" }, { "deliverable": "care_circle", "tier": "SHOULD" } ] }, "BIRTH_LOCATION": { "type": "select", "label": "Where are you planning to give birth?", "cognitive_load": 1, "emotional_weight": "light", "estimated_seconds": 10, "pillar": "vitality", "edit_component": "select-input", "interaction_style": "single_choice", "options": [ { "key": "hospital", "label": "Hospital" }, { "key": "birth_center", "label": "Birth center" }, { "key": "home", "label": "Home birth" }, { "key": "undecided", "label": "Haven't decided yet" } ], "advocate_copy": { "preamble": "There's no wrong answer — the best place to give birth is wherever you feel safest.", "why_we_ask": "Your birth location determines which care team resources are available and helps with logistics planning as your due date approaches." }, "visibility": { "level": "care_team", "emergency_access": true, "consent_required": false, "audit_level": "standard" }, "overlay": "MATERNAL", "overlay_phase": "prenatal", "member_facing_label": "Birth Location", "data_shape": "single-select", "outputs": [ { "deliverable": "birth_preferences", "tier": "MUST" }, { "deliverable": "birth_team", "tier": "SHOULD" }, { "deliverable": "prenatal_emergency_card", "tier": "SHOULD" } ] }, "BIRTH_LOCATION_NAME": { "type": "text", "label": "Hospital or birth center name", "placeholder": "Name of the facility", "cognitive_load": 1, "emotional_weight": "light", "estimated_seconds": 15, "pillar": "vitality", "edit_component": "text-input", "interaction_style": "freeform", "advocate_copy": { "preamble": "If you've chosen a specific facility, we'll include it in your care guides.", "why_we_ask": "Emergency responders and your care team need to know where to take you if something happens before your due date." }, "visibility": { "level": "care_team", "emergency_access": true, "consent_required": false, "audit_level": "standard" }, "overlay": "MATERNAL", "overlay_phase": "prenatal", "member_facing_label": "Hospital or Birth Center", "data_shape": "atom", "composition": { "compose_strategy": "atoms", "blank_type": "text", "sentence_parts": [ "I plan to deliver at ", { "key": "value", "hint": "hospital or birth center" }, "." ], "blank_options": [] }, "outputs": [ { "deliverable": "birth_team", "tier": "SHOULD" }, { "deliverable": "prenatal_emergency_card", "tier": "SHOULD" } ] }, "PREGNANCY_FEARS": { "type": "textarea", "label": "What worries you about this pregnancy?", "placeholder": "You don't have to share anything you're not comfortable with.", "cognitive_load": 3, "emotional_weight": "heavy", "calming_ui": true, "estimated_seconds": 60, "pillar": "essence", "edit_component": "textarea-input", "interaction_style": "freeform", "advocate_copy": { "preamble": "It's completely normal to have fears. Naming them helps your care team support you better.", "why_we_ask": "When your care team knows what worries you, they can address those concerns directly — with information, reassurance, or a plan." }, "visibility": { "level": "care_team", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "overlay": "MATERNAL", "overlay_phase": "prenatal", "member_facing_label": "Pregnancy Concerns", "clinical_language_expected": true, "data_shape": "narrative", "composition": { "compose_strategy": "offered-words", "type": "guided_voice", "default_mode": "starters", "allow_freeform": true, "starters": [ { "id": "s-001", "display_order": 1, "text": "What worries me most is..." }, { "id": "s-002", "display_order": 2, "text": "I sometimes feel anxious about..." }, { "id": "s-003", "display_order": 3, "text": "A fear I want my care team to understand is..." }, { "id": "s-004", "display_order": 4, "text": "What would help me feel safer is..." } ], "joiner": " ", "min_completions": 1 }, "loomConfig": { "doorways": [ { "key": "health", "heading": "Health worries", "prompt": "Concerns about you or the baby.", "themes": [ { "key": "complications", "label": "Complications during delivery", "clause": "I worry about complications during delivery" }, { "key": "baby_health", "label": "My baby's health", "clause": "I worry about my baby's health" }, { "key": "pain", "label": "Pain and pain management", "clause": "I'm afraid of the pain" }, { "key": "csection", "label": "Needing a C-section", "clause": "I'm worried about needing a C-section" } ] }, { "key": "support", "heading": "Support concerns", "prompt": "Worries beyond the medical.", "themes": [ { "key": "alone", "label": "Feeling alone during this", "clause": "I worry about feeling alone during labor and delivery" }, { "key": "not_heard", "label": "Not being listened to", "clause": "I'm afraid my concerns won't be taken seriously" }, { "key": "postpartum", "label": "What happens after", "clause": "I worry about postpartum recovery and mental health" }, { "key": "finances", "label": "Financial pressure", "clause": "the financial pressure of this pregnancy worries me" } ] } ], "weaveFrame": { "lead": "What worries me most about this pregnancy is that", "conjunction": "and", "oxford": true, "separator": ", ", "escalatedSeparator": "; ", "terminator": "." } }, "outputs": [ { "deliverable": "pregnancy_story", "tier": "SHOULD" } ] }, "PREGNANCY_HOPES": { "heavy": true, "type": "textarea", "label": "What are you most looking forward to?", "placeholder": "The little things and the big things.", "cognitive_load": 2, "emotional_weight": "light", "estimated_seconds": 45, "pillar": "essence", "edit_component": "textarea-input", "interaction_style": "freeform", "advocate_copy": { "preamble": "Your hopes and dreams for this pregnancy are part of your story.", "why_we_ask": "Knowing what brings you joy helps your care team understand what matters most — beyond the medical picture." }, "visibility": { "level": "care_team", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "overlay": "MATERNAL", "overlay_phase": "prenatal", "member_facing_label": "What You're Looking Forward To", "data_shape": "narrative", "composition": { "compose_strategy": "offered-words", "type": "guided_voice", "default_mode": "starters", "allow_freeform": true, "starters": [ { "id": "s-001", "display_order": 1, "text": "What I'm most looking forward to is..." }, { "id": "s-002", "display_order": 2, "text": "I dream about..." }, { "id": "s-003", "display_order": 3, "text": "The moment I can't wait for is..." }, { "id": "s-004", "display_order": 4, "text": "This pregnancy means to me..." } ], "joiner": " ", "min_completions": 1 }, "loomConfig": { "doorways": [ { "key": "birth", "heading": "For the birth", "prompt": "What you're dreaming about.", "themes": [ { "key": "healthy", "label": "A healthy baby", "clause": "holding a healthy baby" }, { "key": "natural", "label": "A natural birth experience", "clause": "having the natural birth experience I've hoped for" }, { "key": "partner", "label": "Sharing this with my partner", "clause": "sharing this moment with my partner" }, { "key": "skin_to_skin", "label": "That first skin-to-skin moment", "clause": "that first skin-to-skin moment" } ] }, { "key": "future", "heading": "For what comes next", "prompt": "The life you're looking forward to.", "themes": [ { "key": "family_grow", "label": "Watching my family grow", "clause": "watching my family grow" }, { "key": "first_moments", "label": "All the firsts", "clause": "all the little firsts -- first smile, first word" }, { "key": "bonding", "label": "Bonding with my baby", "clause": "the quiet bonding moments" }, { "key": "stronger", "label": "Becoming stronger through this", "clause": "coming through this stronger than before" } ] } ], "weaveFrame": { "lead": "What I'm most looking forward to is", "conjunction": "and", "oxford": true, "separator": ", ", "escalatedSeparator": "; ", "terminator": "." } }, "outputs": [ { "deliverable": "pregnancy_story", "tier": "SHOULD" } ] }, "PREVIOUS_BIRTH_EXPERIENCE": { "type": "textarea", "label": "Is there anything from a previous birth you'd like your care team to know?", "placeholder": "What went well, what you'd change, what you need this time.", "cognitive_load": 3, "emotional_weight": "heavy", "calming_ui": true, "estimated_seconds": 60, "pillar": "essence", "edit_component": "textarea-input", "interaction_style": "freeform", "advocate_copy": { "preamble": "Every birth experience shapes the next one. Your care team wants to honor what you've been through.", "why_we_ask": "Previous birth experiences — positive or difficult — inform how your care team approaches this pregnancy. You decide what to share." }, "visibility": { "level": "care_team", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "overlay": "MATERNAL", "overlay_phase": "prenatal", "member_facing_label": "Previous Birth Experience", "clinical_language_expected": true, "data_shape": "narrative", "composition": { "compose_strategy": "offered-words", "type": "guided_voice", "default_mode": "starters", "allow_freeform": true, "starters": [ { "id": "s-001", "display_order": 1, "text": "Something I want my care team to know is..." }, { "id": "s-002", "display_order": 2, "text": "In my previous birth, I experienced..." }, { "id": "s-003", "display_order": 3, "text": "What I want to be different this time is..." }, { "id": "s-004", "display_order": 4, "text": "What went well last time was..." } ], "joiner": " ", "min_completions": 1 }, "loomConfig": { "doorways": [ { "key": "positives", "heading": "What went well", "prompt": "Things you'd want again.", "themes": [ { "key": "supported", "label": "I felt supported by my team", "clause": "I felt well supported by my care team" }, { "key": "control", "label": "I felt in control", "clause": "I felt in control of my experience" }, { "key": "partner_present", "label": "My partner was present and involved", "clause": "having my partner present made all the difference" } ] }, { "key": "concerns", "heading": "What I'd change", "prompt": "Things you need different this time.", "themes": [ { "key": "not_heard", "label": "I didn't feel heard", "clause": "I didn't feel heard last time and I need that to change" }, { "key": "pain_mgmt", "label": "Pain management was inadequate", "clause": "pain management was not adequate last time" }, { "key": "rushed", "label": "Everything felt rushed", "clause": "everything felt rushed and I need more time and patience" }, { "key": "trauma", "label": "It was traumatic", "clause": "my previous experience was traumatic and I need extra care and sensitivity" } ] } ], "weaveFrame": { "lead": "About my previous birth experience:", "conjunction": "and", "oxford": true, "separator": ", ", "escalatedSeparator": "; ", "terminator": "." } }, "outputs": [ { "deliverable": "pregnancy_story", "tier": "SHOULD" } ] }, "SCAFFOLDING_INTENSITY": { "type": "select", "label": "How much guidance do you want?", "journey": "member_profile", "emotional_weight": "light", "required": false, "placeholder": "Choose your preference", "options": [ { "key": "light", "value": "light", "label": "Less guidance — I prefer to work on my own" }, { "key": "default", "value": "default", "label": "Standard guidance" }, { "key": "maximum", "value": "maximum", "label": "More support — show me extra encouragement" } ], "member_facing_label": "Guidance preference", "calming_ui": { "enabled": false }, "data_shape": "single-select" }, "PAIN_MANAGEMENT": { "type": "textarea", "label": "How is your pain managed day-to-day?", "placeholder": "e.g., medications, non-medication strategies, what works and what doesn't...", "cognitive_load": 2, "emotional_weight": "moderate", "estimated_seconds": 60, "order": 9, "pillar": "agency", "visibility": { "level": "clinical", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "advocate_copy": { "preamble": "Knowing how you manage pain helps your care team support you effectively.", "why_we_ask": "Your care team can coordinate pain management strategies that respect your preferences and continue approaches that work for you." }, "parkable": true, "skip_allowed": true, "edit_component": "textarea-input", "interaction_style": "freeform", "view_models": [ "ClinicalIntervention" ], "outputs": [ { "deliverable": "care_schedule", "tier": "SHOULD" } ], "anchors": [ "care_schedule" ], "anchor_role": "enhancing", "member_facing_label": "Pain Management", "data_shape": "narrative", "composition": { "compose_strategy": "category", "type": "category-browse", "compose_prefix": "How my pain is managed day to day:", "allow_other": true, "categories": [ { "label": "Medications", "items": [ { "key": "otc-pain", "label": "Over-the-counter pain relievers" }, { "key": "rx-pain", "label": "Prescription pain medication" }, { "key": "topical", "label": "Topical creams or patches" }, { "key": "muscle-relaxants", "label": "Muscle relaxants" } ] }, { "label": "Therapies", "items": [ { "key": "physical-therapy", "label": "Physical therapy" }, { "key": "acupuncture", "label": "Acupuncture" }, { "key": "massage", "label": "Massage" }, { "key": "chiropractic", "label": "Chiropractic care" } ] }, { "label": "Self-Care", "items": [ { "key": "heat-cold", "label": "Heat or cold therapy" }, { "key": "exercise", "label": "Exercise or stretching" }, { "key": "meditation", "label": "Meditation or breathing" }, { "key": "rest", "label": "Rest and pacing" } ] }, { "label": "Devices", "items": [ { "key": "tens", "label": "TENS unit" }, { "key": "braces", "label": "Braces or supports" }, { "key": "assistive", "label": "Assistive devices" }, { "key": "no_regular_pain", "label": "I don't live with regular pain", "exclusive": true, "compose_text": "I don't live with regular pain." } ] } ] } }, "CULTURAL": { "type": "textarea", "label": "Are there cultural considerations your care team should know?", "placeholder": "e.g., customs around touch, family decision-making, rituals, care practices important to you...", "cognitive_load": 2, "emotional_weight": "moderate", "estimated_seconds": 60, "order": 14, "pillar": "essence", "visibility": { "level": "clinical", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "advocate_copy": { "preamble": "Every person brings a cultural background that shapes how they experience care.", "why_we_ask": "Sharing this helps your care team honor the customs and practices that matter to you — from how decisions are made to how care is delivered." }, "parkable": true, "skip_allowed": true, "edit_component": "textarea-input", "interaction_style": "narrative", "view_models": [ "ClinicalIntervention", "QualityOfLife" ], "outputs": [ { "deliverable": "meet_me_brief", "tier": "SHOULD" }, "clinical_summary", { "deliverable": "hospice_intake_package", "tier": "COULD" }, { "deliverable": "cultural_identity_brief", "tier": "COULD" } ], "anchors": [ "spiritual_cultural_guide", "personal_portrait" ], "anchor_role": "enhancing", "member_facing_label": "Cultural Considerations", "data_shape": "narrative", "composition": { "compose_strategy": "recognition", "type": "guided_voice", "default_mode": "starters", "allow_freeform": true, "joiner": " ", "min_completions": 1 }, "loomConfig": { "doorways": [ { "key": "practices", "heading": "Practices that matter", "prompt": "Customs your care team should respect.", "themes": [ { "key": "touch", "label": "Customs around touch", "clause": "there are customs around physical touch that must be respected" }, { "key": "family_role", "label": "Family plays a specific role in decisions", "clause": "my family plays a specific role in healthcare decisions" }, { "key": "gender_care", "label": "Same-gender care providers preferred", "clause": "I prefer same-gender care providers" }, { "key": "eye_contact", "label": "Eye contact norms differ", "clause": "eye contact norms in my culture may differ from what you expect" }, { "key": "food_customs", "label": "Food customs and restrictions", "clause": "I follow food customs and restrictions that must be honored" } ] }, { "key": "communication", "heading": "How to communicate with me", "prompt": "What helps the conversation go well.", "themes": [ { "key": "interpreter", "label": "I may need an interpreter", "clause": "I may need an interpreter for important conversations" }, { "key": "slow_down", "label": "Please speak slowly", "clause": "please speak slowly and check that I understand" }, { "key": "written", "label": "Written instructions help me", "clause": "written instructions in my language help me follow through" }, { "key": "family_translate", "label": "My family helps me understand", "clause": "my family helps me understand — include them" } ] } ], "weaveFrame": { "lead": "Cultural considerations my care team should know:", "conjunction": "and", "oxford": true, "separator": ", ", "escalatedSeparator": "; ", "terminator": "." } } }, "PROCEDURE_PREFERENCES": { "key": "PROCEDURE_PREFERENCES", "label": "Medical Intervention Preferences", "type": "procedure-matrix", "interaction_style": "procedure-matrix", "cognitive_load": 5, "emotional_weight": "heavy", "estimated_seconds": 120, "order": 0, "clinical_language_expected": true, "procedure_keys": [ "PRO_VENT", "PRO_FEED", "PRO_IV", "PRO_ICU", "PRO_DIALYSIS", "PRO_ANTIBIOTICS", "PRO_BLOOD" ], "data_shape": "matrix", "advocate_copy": { "preamble": "These are your decisions to make, ahead of the moment.", "why_we_ask": "Recording how you feel about specific interventions means your voice is in the room even when you can't speak — and your family never has to guess alone." }, "outputs": [ { "deliverable": "patient_goals_statement", "tier": "SHOULD" }, { "deliverable": "treatment_philosophy_statement", "tier": "SHOULD" }, { "deliverable": "wishes_directives_summary", "tier": "SHOULD" } ] }, "PAIN_MGMT_PREFERENCE": { "type": "select", "label": "How do you prefer to manage pain during labor?", "cognitive_load": 1, "emotional_weight": "neutral", "estimated_seconds": 15, "pillar": "vitality", "edit_component": "select-input", "interaction_style": "single_choice", "options": [ { "key": "epidural", "label": "Epidural" }, { "key": "nitrous_oxide", "label": "Nitrous oxide" }, { "key": "natural", "label": "Natural / unmedicated" }, { "key": "water_birth", "label": "Water birth" }, { "key": "combination", "label": "Combination approach" }, { "key": "undecided", "label": "Haven't decided yet" } ], "advocate_copy": { "preamble": "There are many ways to manage labor pain — and your preference matters.", "why_we_ask": "Your pain management preference helps your OB and L&D team prepare and ensures your wishes are documented before you arrive." }, "visibility": { "level": "care_team", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "overlay": "MATERNAL", "overlay_phase": "prenatal", "member_facing_label": "Pain Management Preference", "data_shape": "single-select", "outputs": [ { "deliverable": "birth_preferences", "tier": "SHOULD" } ] }, "DELIVERY_POSITION_PREF": { "type": "select", "label": "What delivery position do you prefer?", "cognitive_load": 1, "emotional_weight": "neutral", "estimated_seconds": 10, "pillar": "vitality", "edit_component": "select-input", "interaction_style": "single_choice", "options": [ { "key": "upright", "label": "Upright / walking" }, { "key": "squatting", "label": "Squatting" }, { "key": "hands_and_knees", "label": "Hands and knees" }, { "key": "side_lying", "label": "Side-lying" }, { "key": "traditional", "label": "Traditional (lying back)" }, { "key": "undecided", "label": "No preference" } ], "advocate_copy": { "preamble": "Many positions are possible during labor and delivery — your comfort and instincts guide this.", "why_we_ask": "Knowing your preferred position helps your L&D nurse and midwife support you without interruption during active labor." }, "visibility": { "level": "care_team", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "overlay": "MATERNAL", "overlay_phase": "prenatal", "member_facing_label": "Delivery Position Preference", "data_shape": "single-select", "outputs": [ { "deliverable": "birth_preferences", "tier": "SHOULD" } ] }, "SKIN_TO_SKIN": { "type": "select", "label": "Would you like skin-to-skin contact immediately after birth?", "cognitive_load": 1, "emotional_weight": "light", "estimated_seconds": 10, "pillar": "vitality", "edit_component": "select-input", "interaction_style": "single_choice", "options": [ { "key": "yes_immediately", "label": "Yes, immediately after birth" }, { "key": "yes_when_stable", "label": "Yes, when baby is stable" }, { "key": "no_preference", "label": "No preference" }, { "key": "no", "label": "No" } ], "advocate_copy": { "preamble": "Skin-to-skin contact after birth has well-documented benefits — but what matters most is what feels right for you.", "why_we_ask": "This lets your L&D and NICU teams know your preference so they can support immediate bonding when the birth allows." }, "visibility": { "level": "care_team", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "overlay": "MATERNAL", "overlay_phase": "prenatal", "member_facing_label": "Skin-to-Skin Preference", "data_shape": "single-select", "outputs": [ { "deliverable": "birth_preferences", "tier": "SHOULD" } ] }, "CORD_CLAMPING": { "type": "select", "label": "When would you like the umbilical cord clamped?", "cognitive_load": 1, "emotional_weight": "neutral", "estimated_seconds": 10, "pillar": "vitality", "edit_component": "select-input", "interaction_style": "single_choice", "options": [ { "key": "immediate", "label": "Immediate clamping" }, { "key": "delayed_60s", "label": "Delayed (at least 60 seconds)" }, { "key": "delayed_3min", "label": "Delayed (3+ minutes)" }, { "key": "no_preference", "label": "No preference" } ], "advocate_copy": { "preamble": "Delayed cord clamping is increasingly common and supported by many providers — ask your OB if you have questions.", "why_we_ask": "Your preference is documented in your birth plan so the care team can honor it in the delivery room." }, "visibility": { "level": "care_team", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "overlay": "MATERNAL", "overlay_phase": "prenatal", "member_facing_label": "Cord Clamping Preference", "data_shape": "single-select", "outputs": [ { "deliverable": "birth_preferences", "tier": "SHOULD" } ] }, "CSECTION_PREFERENCES": { "type": "select", "label": "If a C-section becomes necessary, what are your preferences?", "cognitive_load": 2, "emotional_weight": "heavy", "estimated_seconds": 15, "pillar": "vitality", "edit_component": "select-input", "interaction_style": "single_choice", "options": [ { "key": "vaginal_preferred", "label": "Vaginal birth preferred, open to C-section if medically necessary" }, { "key": "scheduled_csection", "label": "Scheduled C-section" }, { "key": "vbac", "label": "VBAC (vaginal birth after C-section)" }, { "key": "no_preference", "label": "No strong preference" }, { "key": "other", "label": "Other (please describe)" } ], "advocate_copy": { "preamble": "Having a backup plan — even if you hope not to need it — helps your whole care team support your wishes under pressure.", "why_we_ask": "Your OB and L&D team use this to understand your wishes if an unplanned C-section becomes necessary during labor." }, "visibility": { "level": "care_team", "emergency_access": true, "consent_required": false, "audit_level": "standard" }, "overlay": "MATERNAL", "overlay_phase": "prenatal", "member_facing_label": "C-Section Preferences", "data_shape": "single-select", "outputs": [ { "deliverable": "birth_preferences", "tier": "SHOULD" } ] }, "CSECTION_NOTES": { "type": "textarea", "label": "Any additional notes about your C-section preferences?", "cognitive_load": 2, "emotional_weight": "heavy", "estimated_seconds": 30, "pillar": "vitality", "edit_component": "textarea", "interaction_style": "free_text", "advocate_copy": { "preamble": "Optional — only if your CSECTION_PREFERENCES selection needs more context.", "why_we_ask": "Your care team reads this alongside your preference selection to fully understand your wishes." }, "visibility": { "level": "care_team", "emergency_access": true, "consent_required": false, "audit_level": "standard" }, "skip_allowed": true, "overlay": "MATERNAL", "overlay_phase": "prenatal", "member_facing_label": "C-Section Notes", "data_shape": "narrative", "composition": { "compose_strategy": "offered-words", "type": "guided_voice", "default_mode": "starters", "allow_freeform": true, "starters": [ { "id": "s-001", "display_order": 1, "text": "Regarding a C-section, I want my team to know..." }, { "id": "s-002", "display_order": 2, "text": "My preference is..." }, { "id": "s-003", "display_order": 3, "text": "If a C-section is needed, what matters most is..." }, { "id": "s-004", "display_order": 4, "text": "What would help me feel prepared is..." } ], "joiner": " ", "min_completions": 1 }, "loomConfig": { "doorways": [ { "key": "preferences", "heading": "My preferences", "prompt": "What matters to you if a C-section is needed.", "themes": [ { "key": "partner", "label": "My partner in the room", "clause": "I want my partner in the operating room with me" }, { "key": "skin", "label": "Immediate skin-to-skin", "clause": "I want immediate skin-to-skin contact if the baby is healthy" }, { "key": "narrate", "label": "Tell me what's happening", "clause": "please tell me what's happening during the procedure" }, { "key": "music", "label": "Play my music", "clause": "I'd like my own music playing if possible" }, { "key": "gentle", "label": "Gentle/family-centered C-section", "clause": "I want a gentle or family-centered C-section approach if available" } ] } ], "weaveFrame": { "lead": "If I need a C-section,", "conjunction": "and", "oxford": true, "separator": ", ", "escalatedSeparator": "; ", "terminator": "." } } }, "WHO_IN_ROOM": { "type": "text", "label": "Who would you like in the room during labor and delivery?", "cognitive_load": 1, "emotional_weight": "neutral", "estimated_seconds": 20, "pillar": "vitality", "edit_component": "text-input", "interaction_style": "free_text", "advocate_copy": { "preamble": "Your birth experience is yours — you decide who supports you in the room.", "why_we_ask": "L&D nurses use this to manage room access and make sure the right people are present and unwanted visitors are respectfully redirected." }, "visibility": { "level": "care_team", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "skip_allowed": true, "overlay": "MATERNAL", "overlay_phase": "prenatal", "member_facing_label": "Who Is in the Room", "data_shape": "atom", "composition": { "compose_strategy": "atoms", "blank_type": "text", "sentence_parts": [ "I would like ", { "key": "value", "hint": "names or roles" }, " in the room during delivery." ], "blank_options": [ "my partner", "my mother", "my doula", "my midwife", "family members only" ] }, "outputs": [ { "deliverable": "birth_preferences", "tier": "SHOULD" } ] }, "NEWBORN_FEEDING": { "type": "select", "label": "How do you plan to feed your baby?", "cognitive_load": 1, "emotional_weight": "neutral", "estimated_seconds": 10, "pillar": "vitality", "edit_component": "select-input", "interaction_style": "single_choice", "options": [ { "key": "breastfeeding", "label": "Breastfeeding" }, { "key": "formula", "label": "Formula" }, { "key": "combination", "label": "Combination" }, { "key": "not_sure", "label": "Not sure yet" } ], "advocate_copy": { "preamble": "There is no wrong answer — fed is fed. This just helps your care team have the right support ready.", "why_we_ask": "Your feeding plan determines which lactation resources, formula supplies, and nursing staff are coordinated for your postpartum care." }, "visibility": { "level": "care_team", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "overlay": "MATERNAL", "overlay_phase": "prenatal", "member_facing_label": "Newborn Feeding Plan", "data_shape": "single-select", "outputs": [ { "deliverable": "birth_preferences", "tier": "SHOULD" } ] }, "CIRCUMCISION": { "type": "select", "label": "Have you made a decision about circumcision?", "cognitive_load": 2, "emotional_weight": "moderate", "estimated_seconds": 10, "pillar": "vitality", "edit_component": "select-input", "interaction_style": "single_choice", "options": [ { "key": "yes", "label": "Yes" }, { "key": "no", "label": "No" }, { "key": "undecided", "label": "Haven't decided yet" }, { "key": "not_applicable", "label": "Not applicable" } ], "advocate_copy": { "preamble": "This is entirely your family's decision — we document your preference so the right team is notified.", "why_we_ask": "Your preference is shared with the pediatric care team so they do not proceed without your explicit consent." }, "visibility": { "level": "care_team", "emergency_access": false, "consent_required": true, "audit_level": "standard" }, "overlay": "MATERNAL", "overlay_phase": "prenatal", "member_facing_label": "Circumcision Decision", "data_shape": "single-select", "outputs": [ { "deliverable": "birth_preferences", "tier": "SHOULD" } ] }, "NEWBORN_VITAMIN_K": { "type": "select", "label": "Do you want your baby to have vitamin K at birth?", "cognitive_load": 2, "emotional_weight": "moderate", "estimated_seconds": 15, "pillar": "vitality", "edit_component": "select-input", "interaction_style": "single_choice", "options": [ { "key": "yes", "label": "Yes" }, { "key": "no", "label": "No" }, { "key": "talk_first", "label": "I want to talk it over first" }, { "key": "undecided", "label": "Not decided yet" } ], "advocate_copy": { "preamble": "Vitamin K is offered as a shot soon after birth. This records your decision; your birth team acts on it.", "why_we_ask": "Your birth team asks about this around the birth. With your decision here, they hear it from you — including if you want to talk it over first." }, "visibility": { "level": "care_team", "emergency_access": false, "consent_required": true, "audit_level": "standard" }, "overlay": "MATERNAL", "overlay_phase": "prenatal", "member_facing_label": "Vitamin K at Birth", "data_shape": "single-select", "outputs": [ { "deliverable": "birth_preferences", "tier": "COULD" } ], "registered_from": "GUIDES-CENSUS-RULINGS-001 C-5 (2026-10-14, WAVE6) — her decision as parent, recorded in neutral words; the birth team acts on it. Standard behind the question: AAP (vitamin K at birth). The guide records her decision, never a recommendation. Clinical panel to confirm the wording." }, "NEWBORN_HEP_B_BIRTH_DOSE": { "type": "select", "label": "Do you want your baby to have the first hepatitis B vaccine at birth?", "cognitive_load": 2, "emotional_weight": "moderate", "estimated_seconds": 15, "pillar": "vitality", "edit_component": "select-input", "interaction_style": "single_choice", "options": [ { "key": "yes", "label": "Yes" }, { "key": "no", "label": "No" }, { "key": "talk_first", "label": "I want to talk it over first" }, { "key": "undecided", "label": "Not decided yet" } ], "advocate_copy": { "preamble": "The first dose of the hepatitis B vaccine may be offered soon after birth. This records your decision; your birth team acts on it.", "why_we_ask": "Your birth team asks about this around the birth. With your decision here, they hear it from you — including if you want to talk it over first." }, "visibility": { "level": "care_team", "emergency_access": false, "consent_required": true, "audit_level": "standard" }, "overlay": "MATERNAL", "overlay_phase": "prenatal", "member_facing_label": "Hepatitis B Vaccine at Birth", "data_shape": "single-select", "outputs": [ { "deliverable": "birth_preferences", "tier": "COULD" } ], "registered_from": "GUIDES-CENSUS-RULINGS-001 C-5 (2026-10-14, WAVE6) — her decision as parent, recorded in neutral words; the birth team acts on it. Standard behind the question: CDC / ACIP (hepatitis B birth dose). The guide records her decision, never a recommendation. Clinical panel to confirm the wording." }, "PLACENTA_HANDLING": { "type": "select", "label": "What are your preferences for placenta handling after delivery?", "cognitive_load": 1, "emotional_weight": "neutral", "estimated_seconds": 10, "pillar": "vitality", "edit_component": "select-input", "interaction_style": "single_choice", "options": [ { "key": "hospital_disposes", "label": "Hospital disposes" }, { "key": "encapsulation", "label": "Encapsulation" }, { "key": "burial", "label": "Burial or planting" }, { "key": "lotus_birth", "label": "Lotus birth" }, { "key": "other", "label": "Other (please specify)" } ], "advocate_copy": { "preamble": "Many families have meaningful traditions around the placenta — your preference is honored.", "why_we_ask": "The delivery team needs advance notice for non-standard placenta handling to ensure proper preparation and chain of custody." }, "visibility": { "level": "care_team", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "skip_allowed": true, "overlay": "MATERNAL", "overlay_phase": "prenatal", "member_facing_label": "Placenta Handling", "data_shape": "single-select", "outputs": [ { "deliverable": "birth_preferences", "tier": "SHOULD" }, { "deliverable": "cultural_birth_practices", "tier": "SHOULD" } ] }, "MEMBER_VOICE_STATEMENT": { "type": "textarea", "journey": "member_profile", "label": "Before anyone reads anything else about you, what do you want them to know?", "helpText": "One or two sentences in your own words. This appears at the top of every document your care team receives — it sets the tone for how they understand everything else.", "placeholder": "The most important thing about me is...", "required": false, "maxLength": 300, "briefingZone": 0, "outputs": [ { "deliverable": "aspirations_portrait", "tier": "SHOULD" }, { "deliverable": "goals_of_care", "tier": "SHOULD" }, { "deliverable": "personal_portrait", "tier": "SHOULD" } ], "routing": "universal", "temporalClass": "always_active", "member_facing_label": "Your opening statement", "data_shape": "narrative", "composition": { "compose_strategy": "offered-words", "type": "guided_voice", "default_mode": "starters", "allow_freeform": true, "starters": [ { "id": "s-001", "display_order": 1, "text": "Before anything else, I want you to know...", "completions": [ { "key": "mvs1-love", "text": "the people I love know I’d do anything for them." }, { "key": "mvs1-dig", "text": "being treated with dignity, no matter what." }, { "key": "mvs1-voice", "text": "having a say in what happens to me." }, { "key": "mvs1-peace", "text": "peace — I’ve worked hard for it." }, { "key": "mvs1-whole", "text": "being seen as a whole person, not just a patient." } ] }, { "id": "s-002", "display_order": 2, "text": "The most important thing about me is...", "completions": [ { "key": "mvs2-fam", "text": "my family is taken care of, no matter what happens to me." }, { "key": "mvs2-pain", "text": "I’m not in pain — that’s the line I draw." }, { "key": "mvs2-honest", "text": "people are honest with me about what’s happening." }, { "key": "mvs2-home", "text": "I can be at home, with the people I love." }, { "key": "mvs2-legacy", "text": "the life I’ve built means something." } ] }, { "id": "s-003", "display_order": 3, "text": "If we only have a moment, please understand that...", "completions": [ { "key": "mvs3-strong", "text": "I’m stronger than people think." }, { "key": "mvs3-spirit", "text": "my spirit is what carries me, not my body." }, { "key": "mvs3-laugh", "text": "life is too short not to laugh." }, { "key": "mvs3-kind", "text": "kindness matters more than anything else." }, { "key": "mvs3-fight", "text": "I’m not done yet — I’ve got more to do." } ] }, { "id": "s-004", "display_order": 4, "text": "I am more than my chart — I am...", "completions": [ { "key": "mvs4-story", "text": "my story is mine to tell." }, { "key": "mvs4-choice", "text": "I want to make my own choices, even the hard ones." }, { "key": "mvs4-faith", "text": "my faith will carry me through whatever comes." }, { "key": "mvs4-grat", "text": "I’m grateful for what I’ve had, and I’m ready for what’s next." }, { "key": "mvs4-together", "text": "we get through this together — I can’t do it alone." } ] } ], "joiner": " ", "min_completions": 1 }, "loomConfig": { "doorways": [ { "key": "identity", "heading": "Who I am", "prompt": "The first thing anyone should know.", "themes": [ { "key": "person_first", "label": "I am a person, not a diagnosis", "clause": "I am a person first -- not a diagnosis or a chart number" }, { "key": "fighter", "label": "I am a fighter", "clause": "I am a fighter and I don't give up easily" }, { "key": "family_person", "label": "My family is everything", "clause": "my family is everything to me" }, { "key": "independent", "label": "My independence matters", "clause": "my independence matters deeply to me" }, { "key": "faith_person", "label": "My faith carries me", "clause": "my faith carries me through everything" } ] }, { "key": "care_request", "heading": "How I want to be treated", "prompt": "What you need from the people caring for you.", "themes": [ { "key": "talk_to_me", "label": "Talk to me, not about me", "clause": "please talk to me, not about me" }, { "key": "listen", "label": "Listen before you act", "clause": "please listen to what I'm telling you before you act" }, { "key": "dignity", "label": "Treat me with dignity", "clause": "treat me with dignity, always" }, { "key": "include_me", "label": "Include me in decisions", "clause": "include me in every decision about my care" } ] } ], "weaveFrame": { "lead": "Before anything else, I want you to know that", "conjunction": "and", "oxford": true, "separator": ", ", "escalatedSeparator": "; ", "terminator": "." } }, "advocate_copy": { "preamble": "This is the first thing anyone reads about you.", "why_we_ask": "In your own words, before any chart or checklist — it reminds everyone who touches your care that they're caring for a person, not a file." } }, "VALUES_FOUNDATION_AND_MEANING": { "key": "VALUES_FOUNDATION_AND_MEANING", "type": "textarea", "label": "If you had to describe what you believe in and what makes your life meaningful — what would you say?", "placeholder": "What I believe in, and what makes my life meaningful, is...", "required": false, "cognitive_load": 5, "emotional_weight": "heavy", "estimated_seconds": 360, "order": 3, "maxLength": 1000, "outputs": [ { "deliverable": "goals_of_care", "tier": "SHOULD" }, "legacy_package", "comfort_care_plan", { "deliverable": "mental_health_context_brief", "tier": "SHOULD" }, { "deliverable": "personal_portrait", "tier": "SHOULD" }, { "deliverable": "treatment_philosophy_statement", "tier": "SHOULD" }, { "deliverable": "hospice_intake_package", "tier": "COULD" } ], "interaction_style": "guided-voice", "edit_component": "guided-voice", "suppress_progress_indicator": true, "intakePath": 4, "promoted_sprint": 101, "promoted_ddr": "DDR-MH-BUILDER-001", "advocate_copy": { "preamble": "What you believe shapes what good care means for you.", "why_we_ask": "When your care team understands what gives your life meaning, they can protect it — in the plans they make and the choices they bring to you." }, "data_shape": "narrative", "composition": { "compose_strategy": "offered-words", "type": "guided_voice", "default_mode": "starters", "allow_freeform": true, "joiner": " ", "min_completions": 1, "starters": [ { "id": "vf-s-001", "display_order": 1, "text": "What I believe in is...", "completions": [ { "key": "vfs1-god", "text": "God, and a purpose larger than myself." }, { "key": "vfs1-kindness", "text": "kindness — it costs nothing and changes everything." }, { "key": "vfs1-family", "text": "family, first and last." }, { "key": "vfs1-honesty", "text": "telling the truth and keeping my word." }, { "key": "vfs1-hard-work", "text": "hard work, and finishing what I start." } ] }, { "id": "vf-s-002", "display_order": 2, "text": "What makes my life meaningful is...", "completions": [ { "key": "vfs2-people", "text": "the people I love and the people who love me." }, { "key": "vfs2-useful", "text": "being useful — to my family, my community, anyone who needs me." }, { "key": "vfs2-learning", "text": "still learning something every day." }, { "key": "vfs2-nature", "text": "time outdoors, in the world I did not make." }, { "key": "vfs2-faith", "text": "living my faith, not just holding it." } ] }, { "id": "vf-s-003", "display_order": 3, "text": "The part of this I most want my care team to protect is...", "completions": [ { "key": "vfs3-role", "text": "my ability to keep being who I am to the people around me." }, { "key": "vfs3-choices", "text": "my say in decisions that touch what I believe." }, { "key": "vfs3-practice", "text": "the practices that keep me steady." }, { "key": "vfs3-dignity", "text": "my dignity, whatever else changes." }, { "key": "vfs3-time", "text": "time with the people who give my days their meaning." } ] } ] }, "composition_authored": "2026-09-02c test data — deliberation layer at operator instruction; operator may re-author (GOV-004)" }, "ASPIR_WHAT_I_LOOK_FORWARD_TO": { "lede": { "label": "What you look forward to", "pools": ["ordinary"] }, "type": "textarea", "label": "What do you most look forward to?", "placeholder": "I most look forward to...", "required": false, "maxLength": 500, "intakePath": 1, "outputs": [ { "deliverable": "aspirations_portrait", "tier": "MUST" }, { "deliverable": "personal_portrait", "tier": "SHOULD" }, { "deliverable": "family_caregiver_guide", "tier": "SHOULD" }, { "deliverable": "comfort_care_plan", "tier": "SHOULD" }, { "deliverable": "goals_of_care", "tier": "SHOULD" }, { "deliverable": "mental_health_context_brief", "tier": "SHOULD" } ], "data_shape": "narrative", "registered_from": "inline HDL definition — 2026-09-02c (TD-SCHEMA-JOURNEY-LISTS-UNDEFINED-FIELD-KEYS-001 amd c)", "edit_component": "guided-voice", "interaction_style": "guided-voice", "composition": { "compose_strategy": "offered-words", "type": "guided_voice", "default_mode": "starters", "allow_freeform": true, "joiner": " ", "min_completions": 1, "starters": [ { "id": "al-s-001", "display_order": 1, "text": "What I most look forward to is...", "completions": [ { "key": "als1-mornings", "text": "quiet mornings with a cup of coffee and no hurry." }, { "key": "als1-grandkids", "text": "watching the grandchildren grow into who they are becoming." }, { "key": "als1-garden", "text": "spring in the garden — the first green after winter." }, { "key": "als1-travel", "text": "one more trip to a place I have always wanted to see." }, { "key": "als1-table", "text": "the whole family around one table, talking over each other." } ] }, { "id": "al-s-002", "display_order": 2, "text": "Something I am counting the days until is...", "completions": [ { "key": "als2-wedding", "text": "a wedding I have promised to dance at." }, { "key": "als2-birthday", "text": "a birthday I intend to be present for." }, { "key": "als2-season", "text": "the next season of the year I love most." }, { "key": "als2-home", "text": "getting back home, to my own bed and my own routine." }, { "key": "als2-visit", "text": "a visit from someone I do not see nearly enough." } ] }, { "id": "al-s-003", "display_order": 3, "text": "Even on hard days, I look forward to...", "completions": [ { "key": "als3-laugh", "text": "a good laugh with someone who knows me." }, { "key": "als3-music", "text": "the music that has carried me my whole life." }, { "key": "als3-walk", "text": "a walk outside, however short." }, { "key": "als3-call", "text": "a phone call from a voice I love." }, { "key": "als3-prayer", "text": "a quiet moment of prayer or reflection." } ] } ] }, "composition_authored": "2026-09-02c test data — deliberation layer at operator instruction; operator may re-author (GOV-004)", "advocate_copy": { "preamble": "The small things count as much as the big ones — a morning ritual, a visit, a goal you are quietly chasing.", "why_we_ask": "What you look forward to tells your care team what recovery is for. It helps them plan around the days that matter to you, not just the appointments." } }, "ASPIR_STILL_WORKING_TOWARD_AND_NOT_READY_TO_LOSE": { "type": "textarea", "label": "What are you still working toward — and what are you not ready to give up?", "placeholder": "I'm still working toward...", "required": false, "maxLength": 800, "intakePath": 2, "compositeRole": "composite", "lensTransform": { "pattern": "PATH_2_COMPOSITE", "audienceMap": { "goals_of_care": "clinical_goal_framing", "comfort_care_plan": "protective_framing", "aspirations_portrait": "humanizing_framing", "hospice_intake_package": "meaning_framing", "family_caregiver_guide": "practical_framing" } }, "outputs": [ { "deliverable": "aspirations_portrait", "tier": "SHOULD" }, { "deliverable": "goals_of_care", "tier": "SHOULD" }, { "deliverable": "comfort_care_plan", "tier": "SHOULD" }, { "deliverable": "hospice_intake_package", "tier": "SHOULD" }, { "deliverable": "family_caregiver_guide", "tier": "SHOULD" }, { "deliverable": "personal_portrait", "tier": "SHOULD" } ], "data_shape": "narrative", "registered_from": "inline HDL definition — 2026-09-02c (TD-SCHEMA-JOURNEY-LISTS-UNDEFINED-FIELD-KEYS-001 amd c)", "edit_component": "guided-voice", "interaction_style": "guided-voice", "composition": { "compose_strategy": "offered-words", "type": "guided_voice", "default_mode": "starters", "allow_freeform": true, "joiner": " ", "min_completions": 1, "starters": [ { "id": "as-s-001", "display_order": 1, "text": "I am still working toward...", "completions": [ { "key": "ass1-independent", "text": "living in my own home, on my own terms, as long as I can." }, { "key": "ass1-strength", "text": "getting my strength back so I can do the things I used to do." }, { "key": "ass1-project", "text": "finishing a project I started and have not let go of." }, { "key": "ass1-mend", "text": "mending a relationship that matters to me." }, { "key": "ass1-faith", "text": "growing in my faith and passing it on." } ] }, { "id": "as-s-002", "display_order": 2, "text": "What I am not ready to lose is...", "completions": [ { "key": "ass2-mind", "text": "my mind — my memory, my words, my sense of humor." }, { "key": "ass2-driving", "text": "driving myself where I need to go." }, { "key": "ass2-say", "text": "having a say in my own care." }, { "key": "ass2-hands", "text": "the use of my hands for the work and the hobbies I love." }, { "key": "ass2-people", "text": "time with the people who make my life feel like mine." } ] }, { "id": "as-s-003", "display_order": 3, "text": "If I could keep only one thing, it would be...", "completions": [ { "key": "ass3-dignity", "text": "my dignity — being treated as a whole person." }, { "key": "ass3-voice", "text": "my voice in every decision about me." }, { "key": "ass3-home", "text": "the feeling of being at home." }, { "key": "ass3-connection", "text": "my connection to the people I love." }, { "key": "ass3-purpose", "text": "a reason to get up in the morning." } ] } ] }, "composition_authored": "2026-09-02c test data — deliberation layer at operator instruction; operator may re-author (GOV-004)", "advocate_copy": { "preamble": "What you are working toward and what you are not ready to release may be the same thing — or entirely different. Hold both gently.", "why_we_ask": "This is how your care team learns what is worth fighting for and what to protect first when choices get hard." } }, "SPRT_FAITH_TRADITION_AND_IDENTITY": { "lede": { "label": "Your faith, in your words", "pools": ["ordinary", "season", "quiet"] }, "type": "textarea", "label": "Do you have a faith tradition, spiritual practice, or way of understanding the world that matters to you?", "placeholder": "My faith or spiritual practice is...", "required": false, "maxLength": 300, "intakePath": 1, "outputs": [ { "deliverable": "spiritual_care_profile", "tier": "SHOULD" }, { "deliverable": "personal_portrait", "tier": "SHOULD" }, { "deliverable": "hospice_intake_package", "tier": "SHOULD" }, { "deliverable": "family_caregiver_guide", "tier": "SHOULD" }, { "deliverable": "comfort_care_plan", "tier": "SHOULD" }, { "deliverable": "spiritual_cultural_guide", "tier": "SHOULD" } ], "data_shape": "narrative", "registered_from": "inline HDL definition — 2026-09-02c (TD-SCHEMA-JOURNEY-LISTS-UNDEFINED-FIELD-KEYS-001 amd c)", "edit_component": "guided-voice", "interaction_style": "guided-voice", "composition": { "compose_strategy": "offered-words", "type": "guided_voice", "default_mode": "starters", "allow_freeform": true, "joiner": " ", "min_completions": 1, "starters": [ { "id": "sf-s-001", "display_order": 1, "text": "My faith or spiritual tradition is...", "completions": [ { "key": "sfs1-christian", "text": "Christian — my church community is part of my family." }, { "key": "sfs1-muslim", "text": "Muslim — prayer and the rhythm of the day are important to me." }, { "key": "sfs1-jewish", "text": "Jewish — tradition and family observance matter to me." }, { "key": "sfs1-spiritual", "text": "spiritual but not religious — nature, stillness, and gratitude." }, { "key": "sfs1-none", "text": "not something I practice, and I would rather it not be assumed." } ] }, { "id": "sf-s-002", "display_order": 2, "text": "The part of it that is most mine is...", "completions": [ { "key": "sfs2-prayer", "text": "prayer — I speak to God in my own words." }, { "key": "sfs2-scripture", "text": "the scriptures and songs I learned as a child." }, { "key": "sfs2-service", "text": "serving others; that is how I live what I believe." }, { "key": "sfs2-silence", "text": "silence — I find what I need when things are quiet." }, { "key": "sfs2-community", "text": "the community — the people I worship alongside." } ] }, { "id": "sf-s-003", "display_order": 3, "text": "If you want to understand me, you should know...", "completions": [ { "key": "sfs3-guides", "text": "my faith guides how I make decisions, including about my health." }, { "key": "sfs3-private", "text": "my beliefs are private and I share them carefully." }, { "key": "sfs3-changed", "text": "my beliefs have changed over my life, and that is fine with me." }, { "key": "sfs3-family", "text": "my family and I do not all believe the same things." }, { "key": "sfs3-peace", "text": "my beliefs are where my peace comes from." } ] } ] }, "composition_authored": "2026-09-02c test data — deliberation layer at operator instruction; operator may re-author (GOV-004)", "advocate_copy": { "preamble": "A religion, a practice, a philosophy, or a way of seeing the world. If your answer is 'not really', that is a complete answer.", "why_we_ask": "Naming your tradition lets your care team honor it without guessing — and lets them not assume one you do not hold." } }, "SPRT_WHAT_FAITH_MEANS_IN_MY_CARE": { "type": "textarea", "label": "How does your faith or spirituality show up in how you want to be cared for?", "placeholder": "When I'm receiving care, my faith shows up as...", "required": false, "maxLength": 600, "intakePath": 1, "outputs": [ { "deliverable": "spiritual_care_profile", "tier": "SHOULD" }, { "deliverable": "nursing_assessment_card", "tier": "SHOULD" }, { "deliverable": "comfort_care_plan", "tier": "SHOULD" }, { "deliverable": "hospice_intake_package", "tier": "SHOULD" }, { "deliverable": "family_caregiver_guide", "tier": "SHOULD" }, { "deliverable": "personal_portrait", "tier": "SHOULD" }, { "deliverable": "spiritual_cultural_guide", "tier": "SHOULD" } ], "data_shape": "narrative", "registered_from": "inline HDL definition — 2026-09-02c (TD-SCHEMA-JOURNEY-LISTS-UNDEFINED-FIELD-KEYS-001 amd c)", "edit_component": "guided-voice", "interaction_style": "guided-voice", "composition": { "compose_strategy": "offered-words", "type": "guided_voice", "default_mode": "starters", "allow_freeform": true, "joiner": " ", "min_completions": 1, "starters": [ { "id": "sm-s-001", "display_order": 1, "text": "When I am receiving care, my faith shows up as...", "completions": [ { "key": "sms1-pray-before", "text": "wanting to pray before anything major happens." }, { "key": "sms1-visits", "text": "wanting visits from my pastor, imam, rabbi, or spiritual advisor." }, { "key": "sms1-calm", "text": "a calm that helps me and, I think, helps my care team." }, { "key": "sms1-questions", "text": "questions about what treatment means for my beliefs." }, { "key": "sms1-nothing", "text": "very little — I keep it separate from my medical care." } ] }, { "id": "sm-s-002", "display_order": 2, "text": "Please make room for...", "completions": [ { "key": "sms2-prayer-times", "text": "prayer at set times of day, even in the hospital." }, { "key": "sms2-objects", "text": "the objects I keep near me — a book, beads, a small picture." }, { "key": "sms2-music", "text": "the hymns or devotional music that settle me." }, { "key": "sms2-fasting", "text": "fasting days, as long as it is safe." }, { "key": "sms2-blessing", "text": "a blessing or ritual at the important moments." } ] }, { "id": "sm-s-003", "display_order": 3, "text": "What I would ask of my care team is...", "completions": [ { "key": "sms3-ask", "text": "to ask, not assume, what my faith needs." }, { "key": "sms3-respect", "text": "to respect my practices even if they are unfamiliar." }, { "key": "sms3-advisor", "text": "to call my spiritual advisor when things get serious." }, { "key": "sms3-no-preach", "text": "to care for me without preaching to me." }, { "key": "sms3-include", "text": "to include my faith in the plan, not treat it as an extra." } ] } ] }, "composition_authored": "2026-09-02c test data — deliberation layer at operator instruction; operator may re-author (GOV-004)", "advocate_copy": { "preamble": "Some people have specific requests. Others simply want their care team to know that their faith matters to them.", "why_we_ask": "Prayer before a procedure, a faith leader present for a decision, an observance kept in hospital — your care team can make room for these only if they know." } }, "SPRT_SUPPORT_DURING_ILLNESS_OR_CRISIS": { "type": "textarea", "label": "When you’re ill or in crisis, what kind of spiritual support would be meaningful to you?", "placeholder": "When I'm ill or going through something hard, I find comfort in...", "required": false, "maxLength": 500, "intakePath": 1, "outputs": [ { "deliverable": "spiritual_care_profile", "tier": "SHOULD" }, { "deliverable": "cap_card", "tier": "SHOULD" }, { "deliverable": "comfort_care_plan", "tier": "SHOULD" }, { "deliverable": "hospice_intake_package", "tier": "SHOULD" }, { "deliverable": "personal_portrait", "tier": "SHOULD" }, { "deliverable": "spiritual_cultural_guide", "tier": "SHOULD" } ], "data_shape": "narrative", "registered_from": "inline HDL definition — 2026-09-02c (TD-SCHEMA-JOURNEY-LISTS-UNDEFINED-FIELD-KEYS-001 amd c)", "edit_component": "guided-voice", "interaction_style": "guided-voice", "composition": { "compose_strategy": "offered-words", "type": "guided_voice", "default_mode": "starters", "allow_freeform": true, "joiner": " ", "min_completions": 1, "starters": [ { "id": "ss-s-001", "display_order": 1, "text": "When I am ill or in crisis, the support I want is...", "completions": [ { "key": "sss1-advisor", "text": "a visit from my spiritual advisor." }, { "key": "sss1-family-pray", "text": "my family praying with me, in the room." }, { "key": "sss1-alone", "text": "some time alone to sit with it before people arrive." }, { "key": "sss1-friend", "text": "one particular friend who knows how to be with me." }, { "key": "sss1-community", "text": "my faith community gathered around me, even from afar." } ] }, { "id": "ss-s-002", "display_order": 2, "text": "What helps me most in the hardest moments is...", "completions": [ { "key": "sss2-scripture", "text": "hearing scripture or words I know by heart." }, { "key": "sss2-touch", "text": "a hand to hold." }, { "key": "sss2-honesty", "text": "honesty — tell me what is happening." }, { "key": "sss2-music", "text": "music, quietly, in the background." }, { "key": "sss2-humor", "text": "someone who can still make me laugh." } ] }, { "id": "ss-s-003", "display_order": 3, "text": "Please do not...", "completions": [ { "key": "sss3-rush", "text": "rush me through the moment." }, { "key": "sss3-assume", "text": "assume I want a spiritual advisor of a faith that is not mine." }, { "key": "sss3-exclude", "text": "keep my family or my advisor out of the room." }, { "key": "sss3-platitudes", "text": "offer platitudes; sit with me instead." }, { "key": "sss3-decide", "text": "make spiritual decisions on my behalf." } ] } ] }, "composition_authored": "2026-09-02c test data — deliberation layer at operator instruction; operator may re-author (GOV-004)", "advocate_copy": { "preamble": "Think about a difficult time you have been through. What helped you feel held?", "why_we_ask": "In a crisis there is no time to ask. This tells your care team who to call and what to bring into the room." } }, "SPRT_SACRED_RITUALS_AND_TRADITIONS": { "type": "textarea", "label": "When you are seriously ill, which sacred rituals or traditions matter most to you?", "placeholder": "Rituals and traditions that matter to me include...", "required": false, "maxLength": 600, "sensitivity": "moderate", "intakePath": 1, "outputs": [ { "deliverable": "spiritual_care_profile", "tier": "SHOULD" }, { "deliverable": "hospice_intake_package", "tier": "SHOULD" }, { "deliverable": "legacy_package", "tier": "SHOULD" }, { "deliverable": "family_caregiver_guide", "tier": "SHOULD" }, { "deliverable": "comfort_care_plan", "tier": "SHOULD" }, { "deliverable": "personal_portrait", "tier": "SHOULD" }, { "deliverable": "spiritual_cultural_guide", "tier": "SHOULD" } ], "data_shape": "narrative", "registered_from": "inline HDL definition — 2026-09-02c (TD-SCHEMA-JOURNEY-LISTS-UNDEFINED-FIELD-KEYS-001 amd c)", "edit_component": "guided-voice", "interaction_style": "guided-voice", "composition": { "compose_strategy": "offered-words", "type": "guided_voice", "default_mode": "starters", "allow_freeform": true, "joiner": " ", "min_completions": 1, "starters": [ { "id": "sr-s-001", "display_order": 1, "text": "A ritual or tradition that matters to me is...", "completions": [ { "key": "srs1-communion", "text": "receiving communion or the sacraments." }, { "key": "srs1-sabbath", "text": "keeping the Sabbath or a weekly day of rest." }, { "key": "srs1-prayer-beads", "text": "praying with beads, a rosary, or a tasbih." }, { "key": "srs1-candles", "text": "lighting candles at set times." }, { "key": "srs1-anointing", "text": "anointing or a blessing of the sick." } ] }, { "id": "sr-s-002", "display_order": 2, "text": "At important moments, I would want...", "completions": [ { "key": "srs2-clergy", "text": "clergy or my spiritual advisor present." }, { "key": "srs2-rites", "text": "the rites of my tradition performed, in order." }, { "key": "srs2-family-present", "text": "my family present for the ritual." }, { "key": "srs2-words", "text": "specific words or prayers spoken aloud." }, { "key": "srs2-quiet", "text": "quiet and privacy for it." } ] }, { "id": "sr-s-003", "display_order": 3, "text": "If I cannot speak for myself, please...", "completions": [ { "key": "srs3-advisor-knows", "text": "ask my spiritual advisor — they know what I would want." }, { "key": "srs3-proxy-knows", "text": "ask my healthcare proxy; we have talked about this." }, { "key": "srs3-continue", "text": "continue my daily practices on my behalf." }, { "key": "srs3-no-improvise", "text": "do not improvise rituals from a tradition that is not mine." }, { "key": "srs3-objects-stay", "text": "keep my sacred objects with me." } ] } ] }, "composition_authored": "2026-09-02c test data — deliberation layer at operator instruction; operator may re-author (GOV-004)", "advocate_copy": { "preamble": "Who would you want with you, and what would you want them to do?", "why_we_ask": "Rites and traditions have an order and a right moment. Your care team can protect both when you have named them here." } }, "CULT_IDENTITY_AND_BACKGROUND": { "lede": { "label": "Where you come from", "pools": ["ordinary", "season", "quiet"] }, "type": "textarea", "label": "How would you describe your cultural background or identity — and does it shape how you think about your health and care?", "placeholder": "My cultural background includes...", "required": false, "maxLength": 400, "intakePath": 1, "complementaryFields": [ "BG_CULTURAL_CONTEXT" ], "outputs": [ { "deliverable": "cultural_identity_brief", "tier": "MUST" }, { "deliverable": "personal_portrait", "tier": "SHOULD" }, { "deliverable": "family_caregiver_guide", "tier": "SHOULD" }, { "deliverable": "care_coordination_brief", "tier": "SHOULD" }, { "deliverable": "comfort_care_plan", "tier": "SHOULD" }, { "deliverable": "hospice_intake_package", "tier": "SHOULD" } ], "data_shape": "narrative", "registered_from": "inline HDL definition — 2026-09-02c (TD-SCHEMA-JOURNEY-LISTS-UNDEFINED-FIELD-KEYS-001 amd c)", "edit_component": "guided-voice", "interaction_style": "guided-voice", "composition": { "compose_strategy": "offered-words", "type": "guided_voice", "default_mode": "starters", "allow_freeform": true, "joiner": " ", "min_completions": 1, "starters": [ { "id": "ci-s-001", "display_order": 1, "text": "My cultural background is...", "completions": [ { "key": "cis1-immigrant", "text": "immigrant — I was born somewhere else and carry both places with me." }, { "key": "cis1-generations", "text": "many generations here, and proud of where my family came from." }, { "key": "cis1-mixed", "text": "mixed — more than one culture shaped who I am." }, { "key": "cis1-indigenous", "text": "Indigenous — my people and my land are part of my identity." }, { "key": "cis1-language", "text": "tied to a language other than English that I still think in." } ] }, { "id": "ci-s-002", "display_order": 2, "text": "The part of my culture I hold closest is...", "completions": [ { "key": "cis2-food", "text": "the food — it is how we care for each other." }, { "key": "cis2-family-first", "text": "family first, always; decisions are made together." }, { "key": "cis2-elders", "text": "respect for elders and their word." }, { "key": "cis2-celebrations", "text": "the celebrations and holidays that mark the year." }, { "key": "cis2-stories", "text": "the stories and history passed down to me." } ] }, { "id": "ci-s-003", "display_order": 3, "text": "It helps my care team to know that...", "completions": [ { "key": "cis3-directness", "text": "directness can feel disrespectful in my culture." }, { "key": "cis3-modesty", "text": "modesty matters to me, including who examines me." }, { "key": "cis3-interpreter", "text": "I may want an interpreter even if my English is good." }, { "key": "cis3-healing", "text": "traditional healing practices are part of how I stay well." }, { "key": "cis3-no-assume", "text": "I would rather be asked than have things assumed about me." } ] } ] }, "composition_authored": "2026-09-02c test data — deliberation layer at operator instruction; operator may re-author (GOV-004)", "advocate_copy": { "preamble": "This goes beyond ethnicity or nationality — how you were raised, the communities you belong to, the values handed down to you.", "why_we_ask": "It helps your care team see you as a person, not a category — and to ask rather than assume." } }, "CULT_FAMILY_COMMUNITY_ROLE_IN_DECISIONS": { "type": "textarea", "label": "In your culture or family, what role do family members or community play in healthcare decisions?", "placeholder": "When it comes to healthcare decisions, my family...", "required": false, "maxLength": 600, "intakePath": 1, "outputs": [ { "deliverable": "cultural_identity_brief", "tier": "SHOULD" }, { "deliverable": "goals_of_care", "tier": "SHOULD" }, { "deliverable": "family_caregiver_guide", "tier": "SHOULD" }, { "deliverable": "care_coordination_brief", "tier": "SHOULD" }, { "deliverable": "personal_portrait", "tier": "SHOULD" } ], "data_shape": "narrative", "registered_from": "inline HDL definition — 2026-09-02c (TD-SCHEMA-JOURNEY-LISTS-UNDEFINED-FIELD-KEYS-001 amd c)", "edit_component": "guided-voice", "interaction_style": "guided-voice", "composition": { "compose_strategy": "offered-words", "type": "guided_voice", "default_mode": "starters", "allow_freeform": true, "joiner": " ", "min_completions": 1, "starters": [ { "id": "cf-s-001", "display_order": 1, "text": "In my family, healthcare decisions are made...", "completions": [ { "key": "cfs1-together", "text": "together — we talk it through as a family." }, { "key": "cfs1-eldest", "text": "with the eldest or the head of the family having the final say." }, { "key": "cfs1-me", "text": "by me; I will listen, but the decision is mine." }, { "key": "cfs1-spouse", "text": "with my spouse or partner — we decide as one." }, { "key": "cfs1-community", "text": "with input from community or religious leaders I trust." } ] }, { "id": "cf-s-002", "display_order": 2, "text": "Please include...", "completions": [ { "key": "cfs2-children", "text": "my children — they expect to be part of this." }, { "key": "cfs2-sibling", "text": "a particular sibling who speaks for our family." }, { "key": "cfs2-elder", "text": "an elder whose blessing matters to me." }, { "key": "cfs2-nobody-else", "text": "only the people I have named; the rest is private." }, { "key": "cfs2-proxy-first", "text": "my healthcare proxy before anyone else." } ] }, { "id": "cf-s-003", "display_order": 3, "text": "The thing to understand about my family is...", "completions": [ { "key": "cfs3-protect", "text": "they may want to protect me from bad news; tell me anyway." }, { "key": "cfs3-translate", "text": "someone in the family usually translates or explains for me." }, { "key": "cfs3-disagree", "text": "we may disagree — my wishes come first." }, { "key": "cfs3-far", "text": "they are far away and need to be reached by phone." }, { "key": "cfs3-trust", "text": "we trust each other, and they will follow what I have written here." } ] } ] }, "composition_authored": "2026-09-02c test data — deliberation layer at operator instruction; operator may re-author (GOV-004)", "advocate_copy": { "preamble": "Some people decide on their own. Others involve family, or an elder whose word matters. Both are completely valid.", "why_we_ask": "When a decision has to be made, your care team needs to know who belongs in the room — and whose voice comes first." } }, "DALY_RHYTHMS_AND_ROUTINES": { "type": "textarea", "label": "What does a typical day look like for you?", "placeholder": "A typical day for me usually includes...", "required": false, "maxLength": 600, "intakePath": 1, "outputs": [ { "deliverable": "personal_portrait", "tier": "COULD" }, { "deliverable": "family_caregiver_guide", "tier": "COULD" }, { "deliverable": "comfort_care_plan", "tier": "COULD" }, { "deliverable": "nursing_assessment_card", "tier": "COULD" } ], "data_shape": "narrative", "member_facing_label": "My daily rhythms and routines", "artifact_noun": "your typical day", "registered_from": "GUIDES-CENSUS-RULINGS-001 C-5 (2026-10-14, WAVE6) — restored: evicted 2026-09-02c with no owner; the legacy Who I Am, Family Caregiver, Comfort and Nursing readers already read it as one narrative string. Owner: my_daily_life. IHI 4Ms (What Matters: daily routines).", "edit_component": "guided-voice", "interaction_style": "guided-voice", "composition": { "compose_strategy": "offered-words", "type": "guided_voice", "default_mode": "starters", "allow_freeform": true, "joiner": " ", "min_completions": 1, "starters": [ { "id": "dr-s-001", "display_order": 1, "text": "My day usually starts...", "completions": [ { "key": "drs1-early", "text": "early, before anyone else is up." }, { "key": "drs1-slow", "text": "slowly — I need a little time before I talk to anyone." }, { "key": "drs1-drink", "text": "with coffee or tea, before anything else." }, { "key": "drs1-quiet", "text": "with prayer or a quiet moment." }, { "key": "drs1-others", "text": "by getting others out the door." } ] }, { "id": "dr-s-002", "display_order": 2, "text": "What keeps my day steady is...", "completions": [ { "key": "drs2-meals", "text": "meals at regular times." }, { "key": "drs2-outside", "text": "a walk or some time outside." }, { "key": "drs2-rest", "text": "a rest in the afternoon." }, { "key": "drs2-people", "text": "time with family or friends." }, { "key": "drs2-plan", "text": "knowing what is coming next." } ] }, { "id": "dr-s-003", "display_order": 3, "text": "I wind down by...", "completions": [ { "key": "drs3-read", "text": "reading or listening to something." }, { "key": "drs3-shows", "text": "watching my programs." }, { "key": "drs3-wash", "text": "washing up before bed." }, { "key": "drs3-talk", "text": "talking with someone I love." }, { "key": "drs3-bedtime", "text": "going to bed at the same time each night." } ] } ] }, "composition_authored": "2026-10-14 WAVE6 draft under GUIDES-CENSUS-RULINGS-001 C-5; operator may re-author (GOV-004)", "advocate_copy": { "preamble": "Your morning, how you like to spend your time, how you wind down — the rhythms that make your day yours.", "why_we_ask": "The people who help you — at home or in a care setting — can keep to your routines when they know them." } }, "DALY_WHAT_INDEPENDENCE_MEANS": { "lede": { "label": "What independence means to you", "pools": ["ordinary"] }, "type": "textarea", "label": "What does independence mean to you — and what matters most to you about maintaining it?", "placeholder": "Independence, for me, means being able to...", "required": false, "maxLength": 600, "intakePath": 1, "outputs": [ { "deliverable": "personal_portrait", "tier": "SHOULD" }, { "deliverable": "goals_of_care", "tier": "SHOULD" }, { "deliverable": "comfort_care_plan", "tier": "SHOULD" }, { "deliverable": "family_caregiver_guide", "tier": "SHOULD" }, { "deliverable": "treatment_philosophy_statement", "tier": "SHOULD" } ], "data_shape": "narrative", "registered_from": "inline HDL definition — 2026-09-02c (TD-SCHEMA-JOURNEY-LISTS-UNDEFINED-FIELD-KEYS-001 amd c)", "edit_component": "guided-voice", "interaction_style": "guided-voice", "composition": { "compose_strategy": "offered-words", "type": "guided_voice", "default_mode": "starters", "allow_freeform": true, "joiner": " ", "min_completions": 1, "starters": [ { "id": "di-s-001", "display_order": 1, "text": "Independence, to me, means...", "completions": [ { "key": "dis1-own-home", "text": "living in my own home." }, { "key": "dis1-choices", "text": "making my own choices, even small ones." }, { "key": "dis1-routine", "text": "keeping my own routine and my own pace." }, { "key": "dis1-driving", "text": "getting myself where I need to go." }, { "key": "dis1-privacy", "text": "privacy — doing things for myself without an audience." } ] }, { "id": "di-s-002", "display_order": 2, "text": "I can accept help with...", "completions": [ { "key": "dis2-chores", "text": "the heavy chores." }, { "key": "dis2-meals", "text": "meals, if the food is still mine to choose." }, { "key": "dis2-meds", "text": "keeping track of medications." }, { "key": "dis2-bathing", "text": "bathing, from someone I trust and with dignity." }, { "key": "dis2-anything", "text": "anything — as long as I am asked first." } ] }, { "id": "di-s-003", "display_order": 3, "text": "What would feel like losing myself is...", "completions": [ { "key": "dis3-told", "text": "being told what to do all day." }, { "key": "dis3-moved", "text": "being moved out of my home without a say." }, { "key": "dis3-spoken-for", "text": "being spoken about instead of spoken to." }, { "key": "dis3-schedule", "text": "living on someone else's schedule." }, { "key": "dis3-decisions", "text": "having decisions made for me while I can still make them." } ] } ] }, "composition_authored": "2026-09-02c test data — deliberation layer at operator instruction; operator may re-author (GOV-004)", "advocate_copy": { "preamble": "Independence looks different for everyone. Think about what you would find hardest to give up.", "why_we_ask": "Care plans can protect independence or quietly erode it. This tells your care team which choices to leave in your hands." } }, "DALY_WHAT_CARE_TEAMS_GET_WRONG": { "type": "textarea", "label": "What do care teams tend to get wrong about what you need?", "placeholder": "What care teams often miss is...", "required": false, "maxLength": 600, "sensitivity": "moderate", "intakePath": 1, "excludedFrom": [ "coordination_brief", "financial_profile", "legal_documents_status", "benefits_checklist" ], "outputs": [ { "deliverable": "personal_portrait", "tier": "SHOULD" }, { "deliverable": "nursing_assessment_card", "tier": "SHOULD" }, { "deliverable": "family_caregiver_guide", "tier": "SHOULD" }, { "deliverable": "comfort_care_plan", "tier": "SHOULD" } ], "data_shape": "narrative", "registered_from": "inline HDL definition — 2026-09-02c (TD-SCHEMA-JOURNEY-LISTS-UNDEFINED-FIELD-KEYS-001 amd c)", "edit_component": "guided-voice", "interaction_style": "guided-voice", "composition": { "compose_strategy": "offered-words", "type": "guided_voice", "default_mode": "starters", "allow_freeform": true, "joiner": " ", "min_completions": 1, "starters": [ { "id": "dw-s-001", "display_order": 1, "text": "What care teams often get wrong about me is...", "completions": [ { "key": "dws1-age", "text": "assuming my age says what I can and cannot do." }, { "key": "dws1-quiet", "text": "reading my quiet as agreement." }, { "key": "dws1-pain", "text": "underestimating my pain because I do not complain." }, { "key": "dws1-capable", "text": "underestimating how much I understand." }, { "key": "dws1-family", "text": "talking to my family instead of to me." } ] }, { "id": "dw-s-002", "display_order": 2, "text": "What I wish they would do instead is...", "completions": [ { "key": "dws2-ask", "text": "ask me first." }, { "key": "dws2-explain", "text": "explain things in plain words, and wait for my questions." }, { "key": "dws2-time", "text": "give me a moment to answer." }, { "key": "dws2-name", "text": "use my name, the one I go by." }, { "key": "dws2-whole", "text": "see the whole of me, not just the chart." } ] }, { "id": "dw-s-003", "display_order": 3, "text": "One thing that would make care feel like mine is...", "completions": [ { "key": "dws3-knock", "text": "a knock before entering." }, { "key": "dws3-options", "text": "being offered options, not orders." }, { "key": "dws3-history", "text": "knowing a little of my story before we start." }, { "key": "dws3-consistency", "text": "the same faces, so I do not have to explain myself again." }, { "key": "dws3-humor", "text": "a bit of humor — I am still me." } ] } ] }, "composition_authored": "2026-09-02c test data — deliberation layer at operator instruction; operator may re-author (GOV-004)", "advocate_copy": { "preamble": "If it is hard to think of something specific, start with: 'I wish people understood that I...'", "why_we_ask": "This is your chance to head off the assumptions before they happen. Your care team reads it first." } }, "CROSSROADS_CPR_NO_MACHINE": { "type": "choice-card", "label": "If CPR restarts your heart, you may need a breathing machine for a while afterwards. Which should the person who acts for you hold to?", "member_facing_label": "Where two wishes meet", "cognitive_load": 3, "emotional_weight": "heavy", "estimated_seconds": 45, "pillar": "essence", "data_shape": "single-select", "options": [ { "key": "cpr_and_machine", "label": "CPR, and a breathing machine for a short while to see if I recover" }, { "key": "cpr_no_machine", "label": "CPR, but no breathing machine, even if that means I may not live" }, { "key": "no_cpr", "label": "If a breathing machine would be needed, no CPR" }, { "key": "decide_then", "label": "Let the person who acts for me and my doctors decide then" } ], "allow_own_words": true, "asked_after": "L0 is full_code and PRO_VENT is no (WISH-CROSSROADS2-001 CPR_NO_MACHINE)", "never_inferred": true, "visibility": { "level": "standard", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "parkable": true, "skip_allowed": true, "edit_component": "crossroads-step", "interaction_style": "crossroads", "outputs": [ { "deliverable": "treatment_philosophy_statement", "tier": "COULD", "reader_carries": true } ], "_source": "GENERATED from docs/registries/WISH-CROSSROADS2-001.json by scripts/crossroads/gen-wish-crossroads.py (D-070.C1) — edit the registry, never this field. Her answer: an option key, or her own words verbatim (any other string)." }, "CROSSROADS_LONGEVITY_ICU": { "type": "choice-card", "label": "If more time meant a stay in intensive care, which should the person who acts for you hold to?", "member_facing_label": "Where two wishes meet", "cognitive_load": 3, "emotional_weight": "heavy", "estimated_seconds": 45, "pillar": "essence", "data_shape": "single-select", "options": [ { "key": "more_time", "label": "More time, even if it means intensive care" }, { "key": "no_icu", "label": "No intensive care, even if it means less time" }, { "key": "decide_then", "label": "Let the person who acts for me and my doctors decide then" } ], "allow_own_words": true, "asked_after": "QUALITY_PRIORITIES is longevity and PRO_ICU is no (WISH-CROSSROADS2-001 LONGEVITY_ICU)", "never_inferred": true, "visibility": { "level": "standard", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "parkable": true, "skip_allowed": true, "edit_component": "crossroads-step", "interaction_style": "crossroads", "outputs": [ { "deliverable": "treatment_philosophy_statement", "tier": "COULD", "reader_carries": true } ], "_source": "GENERATED from docs/registries/WISH-CROSSROADS2-001.json by scripts/crossroads/gen-wish-crossroads.py (D-070.C1) — edit the registry, never this field. Her answer: an option key, or her own words verbatim (any other string)." }, "CROSSROADS_HOME_FULL_TREATMENT": { "type": "choice-card", "label": "If a treatment that might help can only be given in hospital, which matters more to you then?", "member_facing_label": "Where two wishes meet", "cognitive_load": 3, "emotional_weight": "heavy", "estimated_seconds": 45, "pillar": "essence", "data_shape": "single-select", "options": [ { "key": "treatment_in_hospital", "label": "The treatment, even if it means hospital" }, { "key": "stay_home", "label": "Being at home, even without that treatment" }, { "key": "decide_then", "label": "Let the person who acts for me and my doctors decide then" } ], "allow_own_words": true, "asked_after": "END_LOCATION is home and TREATMENT_PHILOSOPHY is full_treatment (WISH-CROSSROADS2-001 HOME_FULL_TREATMENT)", "never_inferred": true, "visibility": { "level": "standard", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "parkable": true, "skip_allowed": true, "edit_component": "crossroads-step", "interaction_style": "crossroads", "outputs": [ { "deliverable": "treatment_philosophy_statement", "tier": "COULD", "reader_carries": true } ], "_source": "GENERATED from docs/registries/WISH-CROSSROADS2-001.json by scripts/crossroads/gen-wish-crossroads.py (D-070.C1) — edit the registry, never this field. Her answer: an option key, or her own words verbatim (any other string)." }, "CROSSROADS_DONATION_NO_MACHINE": { "type": "choice-card", "label": "Giving organs can mean a breathing machine for a few hours at the end, so the organs can be used. Is that all right with you?", "member_facing_label": "Where two wishes meet", "cognitive_load": 3, "emotional_weight": "heavy", "estimated_seconds": 45, "pillar": "essence", "data_shape": "single-select", "options": [ { "key": "machine_for_donation", "label": "Yes, a machine for a few hours so my organs can help others" }, { "key": "no_machine", "label": "No machine, even if it means my organs can't be given" }, { "key": "decide_then", "label": "Let the person who acts for me and my doctors decide then" } ], "allow_own_words": true, "asked_after": "END_ORGAN is yes_all or yes_limited and PRO_VENT is no (WISH-CROSSROADS2-001 DONATION_NO_MACHINE)", "never_inferred": true, "visibility": { "level": "standard", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "parkable": true, "skip_allowed": true, "edit_component": "crossroads-step", "interaction_style": "crossroads", "outputs": [ { "deliverable": "treatment_philosophy_statement", "tier": "COULD", "reader_carries": true } ], "_source": "GENERATED from docs/registries/WISH-CROSSROADS2-001.json by scripts/crossroads/gen-wish-crossroads.py (D-070.C1) — edit the registry, never this field. Her answer: an option key, or her own words verbatim (any other string)." }, "CROSSROADS_COMFORT_CLARITY": { "type": "choice-card", "label": "If easing your pain makes you sleepier or less clear, which comes first?", "member_facing_label": "Where two wishes meet", "cognitive_load": 3, "emotional_weight": "heavy", "estimated_seconds": 45, "pillar": "essence", "data_shape": "single-select", "options": [ { "key": "comfort_first", "label": "Comfort, even if I'm sleepier" }, { "key": "clarity_first", "label": "Being clear, even with some pain" }, { "key": "decide_then", "label": "Let the person who acts for me and my doctors decide then" } ], "allow_own_words": true, "asked_after": "QUALITY_PRIORITIES is mental_clarity and END_PAIN is comfort_priority (WISH-CROSSROADS2-001 COMFORT_CLARITY)", "never_inferred": true, "visibility": { "level": "standard", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "parkable": true, "skip_allowed": true, "edit_component": "crossroads-step", "interaction_style": "crossroads", "outputs": [ { "deliverable": "treatment_philosophy_statement", "tier": "COULD", "reader_carries": true } ], "_source": "GENERATED from docs/registries/WISH-CROSSROADS2-001.json by scripts/crossroads/gen-wish-crossroads.py (D-070.C1) — edit the registry, never this field. Her answer: an option key, or her own words verbatim (any other string)." }, "CROSSROADS_NEWS_DECIDE": { "type": "choice-card", "label": "If a big decision can't wait, how should your care team tell you what you need to decide?", "member_facing_label": "Where two wishes meet", "cognitive_load": 3, "emotional_weight": "heavy", "estimated_seconds": 45, "pillar": "essence", "data_shape": "single-select", "options": [ { "key": "all_i_need", "label": "Tell me everything I need to decide it myself" }, { "key": "essentials_still", "label": "Still only the essentials, and I'll decide with what I'm told" }, { "key": "my_person_first", "label": "Tell the person who acts for me first, and we'll decide together" } ], "allow_own_words": true, "asked_after": "COMM_DIFFICULT_NEWS is essentials_only and COMM_DECISION_STYLE is independently (WISH-CROSSROADS2-001 NEWS_DECIDE)", "never_inferred": true, "visibility": { "level": "standard", "emergency_access": false, "consent_required": false, "audit_level": "standard" }, "parkable": true, "skip_allowed": true, "edit_component": "crossroads-step", "interaction_style": "crossroads", "outputs": [ { "deliverable": "treatment_philosophy_statement", "tier": "COULD", "reader_carries": true } ], "_source": "GENERATED from docs/registries/WISH-CROSSROADS2-001.json by scripts/crossroads/gen-wish-crossroads.py (D-070.C1) — edit the registry, never this field. Her answer: an option key, or her own words verbatim (any other string)." } }, "deliverables": { "cap_card": { "key": "cap_card", "name": "CAP Card", "description": "Clinician Access Protocol card for emergency responders.", "type": "document", "formats": [ "pdf", "html", "wallet" ], "stakeholders": [ "first_responders", "er_team", "family_caregiver", "healthcare_proxy" ], "required_fields": [ "L0", "HEALTHCARE_PROXY" ], "optional_fields": [ "L0_WHY", "D1", "D5", "ALLERGIES", "MEDS", "BLOOD_TYPE", "CONTACT_1", "CONTACT_2" ], "generation_timing": "immediate" }, "emergency_quick_card": { "key": "emergency_quick_card", "name": "Emergency Quick Card", "description": "Family-friendly reference card.", "type": "document", "formats": [ "pdf", "wallet" ], "stakeholders": [ "family_caregiver", "healthcare_proxy" ], "required_fields": [ "HEALTHCARE_PROXY" ], "optional_fields": [ "D1", "L0", "CONTACT_1", "CONTACT_2", "ALLERGIES" ], "generation_timing": "immediate" }, "allergy_profile": { "key": "allergy_profile", "name": "Allergy & Reaction Profile", "description": "Comprehensive allergy record.", "type": "document", "formats": [ "pdf", "html" ], "stakeholders": [ "pharmacist", "nursing", "er_team" ], "required_fields": [ "ALLERGIES" ], "optional_fields": [ "D1", "D5", "MEDS", "CONDITIONS" ], "generation_timing": "immediate" }, "code_status_badge": { "key": "code_status_badge", "name": "Code Status Badge", "description": "Visual code status indicator.", "type": "component", "formats": [ "html" ], "stakeholders": [ "er_team", "nursing", "pcp", "specialist" ], "required_fields": [ "L0" ], "optional_fields": [ "L0_WHY" ], "generation_timing": "immediate" }, "emergency_contact_card": { "key": "emergency_contact_card", "name": "Emergency Contact Card", "description": "Quick reference for emergency contacts.", "type": "document", "formats": [ "pdf", "html", "wallet" ], "stakeholders": [ "er_team", "nursing", "care_coordinator" ], "required_fields": [ "CONTACT_1" ], "optional_fields": [ "D1", "HEALTHCARE_PROXY", "CONTACT_2" ], "generation_timing": "immediate" }, "proxy_authorization": { "key": "proxy_authorization", "name": "Proxy Authorization Document", "description": "Formal healthcare proxy documentation.", "type": "document", "formats": [ "pdf" ], "stakeholders": [ "patient_advocate", "healthcare_proxy" ], "required_fields": [ "HEALTHCARE_PROXY" ], "optional_fields": [ "D1", "CONTACT_1", "CONTACT_2" ], "generation_timing": "on_demand" }, "medication_guide": { "key": "medication_guide", "name": "Medication Guide", "description": "Medication guide for caregivers.", "type": "document", "formats": [ "pdf", "html" ], "stakeholders": [ "family_caregiver" ], "required_fields": [ "MEDS" ], "optional_fields": [ "D1", "ALLERGIES", "CONDITIONS" ], "generation_timing": "on_demand" } }, "version": "2.0.0-dict-migration", "m1_enhanced": true, "_m1_metadata": { "version": "1.0.0", "integrated_at": "2026-01-23T16:57:25.651Z", "statistics": { "philosophy_clusters": 0, "philosophies": 0, "deliverables": 8, "micro_journeys": 7, "completion_triggers": 21 } }, "field_affinities": { "core_decisions": { "key": "core_decisions", "label": "Your Core Decisions", "description": "Code status and reasoning.", "fields": [ "L0", "L0_WHY" ], "cohesion": "atomic", "preferred_renderer": "decision-guide", "field_clusters": [] }, "intervention_preferences": { "key": "intervention_preferences", "label": "Intervention Preferences", "description": "Specific medical intervention preferences.", "fields": [ "PRO_VENT", "PRO_FEED", "PRO_ICU", "PRO_IV", "PRO_DIALYSIS", "PRO_ANTIBIOTICS", "PRO_BLOOD" ], "cohesion": "strong", "preferred_renderer": "intervention-guide", "field_clusters": [ { "fields": [ "PRO_VENT", "PRO_FEED", "PRO_ICU", "PRO_IV", "PRO_DIALYSIS", "PRO_ANTIBIOTICS", "PRO_BLOOD" ], "renderer": "intervention-guide", "entry_field": "PRO_VENT" } ] }, "personal_narrative": { "key": "personal_narrative", "label": "Who You Are", "description": "Personal statement, quality of life, and values.", "fields": [ "PP1", "Q1", "V1" ], "cohesion": "strong" }, "basic_identity": { "key": "basic_identity", "label": "Basic Information", "description": "Name, date of birth, and essential identity fields.", "fields": [ "D1", "D1B", "D5" ], "cohesion": "moderate", "preferred_renderer": "standard" }, "safety_essentials": { "key": "safety_essentials", "label": "Safety Essentials", "description": "Allergies and medications.", "fields": [ "M2A", "M1" ], "cohesion": "strong", "preferred_renderer": "standard" }, "healthcare_proxy": { "key": "healthcare_proxy", "label": "Your Healthcare Proxy", "description": "Who makes decisions for you.", "fields": [ "B1", "B1_BACKUP" ], "cohesion": "strong", "preferred_renderer": "standard" }, "emergency_contacts": { "key": "emergency_contacts", "label": "Emergency Contacts", "description": "The people to call in an emergency.", "fields": [ "EC1", "EC2" ], "cohesion": "moderate", "preferred_renderer": "standard" }, "life_narrative": { "label": "Your Life Story", "field_clusters": [ { "fields": [ "LIFE_PROUDEST", "LIFE_REMEMBER" ], "renderer": "sentence-starters", "entry_field": "LIFE_PROUDEST" } ], "fields": [ "LIFE_PROUDEST", "LIFE_REMEMBER" ] }, "family_context": { "label": "Your Family", "field_clusters": [ { "fields": [ "FAMILY_DYNAMICS" ], "renderer": "sentence-starters", "entry_field": "FAMILY_DYNAMICS" } ], "fields": [ "FAMILY_DYNAMICS" ] }, "family_messages": { "label": "Messages for Your Family", "field_clusters": [ { "fields": [ "FAMILY_MESSAGE", "CAREGIVER_CONCERN", "PET_CARE_PLAN" ], "renderer": "letter-template", "entry_field": "FAMILY_MESSAGE" } ], "fields": [ "FAMILY_MESSAGE", "CAREGIVER_CONCERN", "PET_CARE_PLAN" ] }, "comfort_preferences": { "label": "Your Comfort Preferences", "field_clusters": [ { "fields": [ "TOUCH_PREFS", "SOCIAL_PREFS", "AROMATHERAPY", "COMFORT_ENVIRONMENT", "MUSIC_PREFS", "CALMING_STRATEGIES" ], "renderer": "preference-spectrum", "entry_field": "TOUCH_PREFS" } ], "fields": [ "TOUCH_PREFS", "SOCIAL_PREFS", "AROMATHERAPY", "COMFORT_ENVIRONMENT", "MUSIC_PREFS", "CALMING_STRATEGIES" ] }, "spiritual_cultural": { "label": "Spiritual & Cultural Preferences", "field_clusters": [ { "fields": [ "D14", "CULTURAL_DIET_RESTRICTIONS", "RITUAL_PREFERENCES" ], "renderer": "category-browse", "entry_field": "D14" } ], "fields": [ "D14", "CULTURAL_DIET_RESTRICTIONS", "RITUAL_PREFERENCES" ] }, "hospice_planning": { "label": "Hospice Planning", "fields": [ "HOSPICE_GOALS", "FINAL_PRESENCE" ] }, "legacy_preservation": { "label": "Your Legacy", "field_clusters": [ { "fields": [ "LEGACY_LETTERS", "LEGACY_VALUES", "LEGACY_ITEMS" ], "renderer": "letter-template", "entry_field": "LEGACY_LETTERS" } ], "fields": [ "LEGACY_LETTERS", "LEGACY_VALUES", "LEGACY_ITEMS" ] }, "end_of_life_wishes": { "key": "end_of_life_wishes", "label": "End-of-Life Wishes", "fields": [ "FUNERAL_PREFS" ], "field_clusters": [ { "fields": [ "FUNERAL_PREFS" ], "renderer": "category-browse", "entry_field": "FUNERAL_PREFS" } ] }, "family_guidance": { "key": "family_guidance", "label": "Family Guidance", "fields": [ "FAMILY_CONFLICT_GUIDANCE" ], "field_clusters": [ { "fields": [ "FAMILY_CONFLICT_GUIDANCE" ], "renderer": "sentence-starters", "entry_field": "FAMILY_CONFLICT_GUIDANCE" } ] }, "advocacy_values": { "label": "Your Advocacy Priorities", "field_clusters": [ { "fields": [ "ADVOCACY_PRIORITY" ], "renderer": "preference-spectrum", "entry_field": "ADVOCACY_PRIORITY" } ], "fields": [ "ADVOCACY_PRIORITY" ] }, "emotional_wellbeing": { "label": "Your Emotional Wellbeing", "fields": [ "ANXIETY_TRIGGERS" ] }, "comfort_foods": { "label": "Your Comfort Foods", "field_clusters": [ { "fields": [ "B4" ], "renderer": "category-browse", "entry_field": "B4" } ], "fields": [ "B4" ] } }, "_UX_PILLAR_INTROS_SEEN": { "type": "array", "items": { "type": "string" }, "label": "", "system": true, "excludeFromProgress": true, "excludeFromGenerators": true, "_comment": "UX-ONBOARD-001: Tracks which pillar intros the member has seen" }, "_UX_GUIDE_INTROS_SEEN": { "type": "array", "items": { "type": "string" }, "label": "", "system": true, "excludeFromProgress": true, "excludeFromGenerators": true, "_comment": "UX-ONBOARD-002: Tracks which guide intros the member has seen" }, "_UX_TOUR_SEEN": { "key": "_UX_TOUR_SEEN", "type": "text", "label": "Tour Completion Flag", "system": true, "excludeFromProgress": true, "excludeFromGenerators": true, "section": "system", "description": "Tracks whether the onboarding tour has been completed", "data_shape": "narrative" }, "_schema_cleanup": { "date": "2026-02-28T08:14:33.407071", "changes": "66 remapped, 64 stripped, 2 added, 8 orphaned", "active_pillars": [ "vitality", "continuity", "navigation", "essence", "resilience" ], "stripped_properties": [ "section", "pillar_path", "pillar_category", "disclosure_group" ] }, "migration_notes": " M3-STEP91 (20260309_210500): Added FAMILY_DYNAMICS (textarea), HOUSING_STATUS (radio), BARRIERS (dynamic-list). Schema 1.1.0-m2-clinical → 1.2.0-m3-coordination. FAMILY_CONSENSUS wiring: DECISION_STYLE field already captures this as option value \"family_consensus\" — LensService updated to read it.\n M4-SCHEMA-001 (20260323_143413): Added 10 M4 fields (COMFORT_ENVIRONMENT, MUSIC_PREFS, CALMING_STRATEGIES, HOSPICE_GOALS, FINAL_PRESENCE, LEGACY_LETTERS, LEGACY_VALUES, LEGACY_ITEMS, FUNERAL_PREFS, FAMILY_CONFLICT_GUIDANCE). Added my_comfort journey (resolves orphan reference). Updated my_wishes (+3 fields) and my_family_guide (+4 fields). Wired 9 fields with M4 outputs. Appended M4 outputs to 17 existing fields.", "anchors": { "cap_card": { "key": "cap_card", "member_facing_label": "Your Emergency Card", "elevation_copy": { "action": "Record your emergency information so it's ready when it matters most.", "why": "Your emergency team gets what they need before they can ask for it.", "expect": "Takes ~5 minutes • Your basic health and contact information" }, "relevance_signals": { "has_conditions": 0.2, "age_signal_over_60": 0.3, "eol_pillar_active": 0.1, "proxy_absent": 0.1, "caregiver_role": 0.1, "code_status_dnr": 0.1 }, "grammatical_number": "singular" }, "allergy_alert": { "key": "allergy_alert", "member_facing_label": "Your Allergy Alert", "elevation_copy": { "action": "Document your allergies and medication reactions.", "why": "Your care team avoids treatments that could harm you.", "expect": "Takes ~2 minutes • Your allergy list, if you know it" }, "relevance_signals": { "has_conditions": 0.4, "age_signal_over_60": 0.2, "eol_pillar_active": 0.1, "proxy_absent": 0, "caregiver_role": 0.1, "code_status_dnr": 0.1 }, "grammatical_number": "singular" }, "code_status_directive": { "key": "code_status_directive", "member_facing_label": "Your Code Status", "elevation_copy": { "action": "Decide what doctors should do in a life-threatening emergency.", "why": "So your emergency team knows your wishes before they need them.", "expect": "Takes ~1–2 minutes • A few yes/no questions about CPR and life support" }, "relevance_signals": { "has_conditions": 0.3, "age_signal_over_60": 0.5, "eol_pillar_active": 1, "proxy_absent": 0.2, "caregiver_role": 0.1, "code_status_dnr": 0.8 }, "grammatical_number": "singular" }, "emergency_quick_card": { "key": "emergency_quick_card", "member_facing_label": "Your Quick Reference Card", "elevation_copy": { "action": "Create a wallet-sized summary of your most urgent medical information.", "why": "Your critical details are available anywhere care happens.", "expect": "Takes ~1 minute • Uses information already in your blueprint" }, "relevance_signals": { "has_conditions": 0.2, "age_signal_over_60": 0.3, "eol_pillar_active": 0.1, "proxy_absent": 0.1, "caregiver_role": 0.1, "code_status_dnr": 0.1 }, "grammatical_number": "singular" }, "transfer_summary": { "key": "transfer_summary", "member_facing_label": "Your Transfer Summary", "elevation_copy": { "action": "Build the document that travels with you between care settings.", "why": "Nothing about your care is lost in a handoff.", "expect": "Takes ~3–5 minutes • Your care history and current situation" }, "relevance_signals": { "has_conditions": 0.5, "age_signal_over_60": 0.4, "eol_pillar_active": 0.3, "proxy_absent": 0.1, "caregiver_role": 0.2, "code_status_dnr": 0.2 }, "grammatical_number": "singular" }, "language_communication_card": { "key": "language_communication_card", "member_facing_label": "Your Language & Communication Card", "elevation_copy": { "action": "Document how your care team should communicate with you.", "why": "Your care team knows how to reach you in the way that works best.", "expect": "Takes ~2 minutes • Your language, interpreter needs, and communication preferences" }, "relevance_signals": { "has_conditions": 0.1, "age_signal_over_60": 0.2, "eol_pillar_active": 0.1, "proxy_absent": 0, "caregiver_role": 0.1, "code_status_dnr": 0 }, "grammatical_number": "singular" }, "clinical_summary": { "key": "clinical_summary", "member_facing_label": "Your Health Summary", "elevation_copy": { "action": "Build your clinical summary for your healthcare team.", "why": "Your providers have your full clinical picture in one place.", "expect": "Takes ~5–10 minutes • Your conditions, medications, and care history" }, "relevance_signals": { "has_conditions": 0.6, "age_signal_over_60": 0.4, "eol_pillar_active": 0.3, "proxy_absent": 0.1, "caregiver_role": 0.2, "code_status_dnr": 0.2 }, "grammatical_number": "singular" }, "care_coordination_brief": { "key": "care_coordination_brief", "member_facing_label": "Your Care Coordination Brief", "elevation_copy": { "action": "Document how your care is coordinated across your team.", "why": "Your providers stay aligned even when they're not in the same room.", "expect": "Takes ~3–5 minutes • Your providers and care coordination needs" }, "relevance_signals": { "has_conditions": 0.5, "age_signal_over_60": 0.3, "eol_pillar_active": 0.2, "proxy_absent": 0.1, "caregiver_role": 0.3, "code_status_dnr": 0.1 }, "grammatical_number": "singular" }, "medication_reconciliation": { "key": "medication_reconciliation", "member_facing_label": "Your Medication Record", "elevation_copy": { "action": "Create a complete, accurate list of your medications.", "why": "Every provider sees the same medication list — preventing dangerous overlaps.", "expect": "Takes ~3–5 minutes • Your current medications and dosages" }, "relevance_signals": { "has_conditions": 0.5, "age_signal_over_60": 0.5, "eol_pillar_active": 0.2, "proxy_absent": 0, "caregiver_role": 0.2, "code_status_dnr": 0.1 }, "grammatical_number": "singular" }, "meet_me_brief": { "key": "meet_me_brief", "member_facing_label": "Your Meet-Me Brief", "elevation_copy": { "action": "Write a brief that introduces you to any new provider.", "why": "New providers know the most important things about you before you say a word.", "expect": "Takes ~2–3 minutes • A few sentences about who you are and what matters to you" }, "relevance_signals": { "has_conditions": 0.3, "age_signal_over_60": 0.2, "eol_pillar_active": 0.2, "proxy_absent": 0, "caregiver_role": 0.1, "code_status_dnr": 0.1 }, "grammatical_number": "singular" }, "nursing_assessment_card": { "key": "nursing_assessment_card", "member_facing_label": "Your Nursing Brief", "elevation_copy": { "action": "Build the brief your nursing team needs to care for you well.", "why": "Your nursing team has the context to provide truly personalized care.", "expect": "Takes ~3–5 minutes • Your preferences, needs, and nursing priorities" }, "relevance_signals": { "has_conditions": 0.5, "age_signal_over_60": 0.4, "eol_pillar_active": 0.2, "proxy_absent": 0, "caregiver_role": 0.1, "code_status_dnr": 0.2 }, "grammatical_number": "singular" }, "handoff_summary": { "key": "handoff_summary", "member_facing_label": "Your Handoff Summary", "elevation_copy": { "action": "Document what every new provider needs to know about your care.", "why": "Your care continues seamlessly when providers change.", "expect": "Takes ~3–5 minutes • Your care status and ongoing needs" }, "relevance_signals": { "has_conditions": 0.5, "age_signal_over_60": 0.3, "eol_pillar_active": 0.2, "proxy_absent": 0, "caregiver_role": 0.2, "code_status_dnr": 0.1 }, "grammatical_number": "singular" }, "treatment_philosophy_statement": { "key": "treatment_philosophy_statement", "member_facing_label": "Your Treatment Philosophy", "elevation_copy": { "action": "Describe your approach to medical treatment and care decisions.", "why": "Your care team understands how you want to make treatment decisions.", "expect": "Takes ~2–3 minutes • Your values and treatment preferences" }, "relevance_signals": { "has_conditions": 0.4, "age_signal_over_60": 0.4, "eol_pillar_active": 0.6, "proxy_absent": 0.2, "caregiver_role": 0.1, "code_status_dnr": 0.4 }, "grammatical_number": "singular" }, "patient_goals_statement": { "key": "patient_goals_statement", "member_facing_label": "Your Care Goals Statement", "elevation_copy": { "action": "State your healthcare goals in your own words.", "why": "Your care team builds a plan around what you're working toward.", "expect": "Takes ~2–3 minutes • What you're hoping for from your care" }, "relevance_signals": { "has_conditions": 0.4, "age_signal_over_60": 0.3, "eol_pillar_active": 0.5, "proxy_absent": 0.1, "caregiver_role": 0.2, "code_status_dnr": 0.3 }, "grammatical_number": "singular" }, "post_op_medication_guide": { "key": "post_op_medication_guide", "member_facing_label": "Your Post-Op Medication Guide", "elevation_copy": { "action": "Document your medications and instructions for after a procedure.", "why": "Your recovery team knows exactly what you need when you go home.", "expect": "Takes ~2–3 minutes • Your post-op medications and instructions" }, "relevance_signals": { "has_conditions": 0.4, "age_signal_over_60": 0.3, "eol_pillar_active": 0.1, "proxy_absent": 0, "caregiver_role": 0.1, "code_status_dnr": 0.1 }, "grammatical_number": "singular" }, "new_provider_briefing": { "key": "new_provider_briefing", "member_facing_label": "Your New Provider Briefing", "elevation_copy": { "action": "Build the introduction document for a new provider.", "why": "Your new provider gets everything they need on day one.", "expect": "Takes ~3–5 minutes • Your health history and what matters most to you" }, "relevance_signals": { "has_conditions": 0.4, "age_signal_over_60": 0.3, "eol_pillar_active": 0.2, "proxy_absent": 0, "caregiver_role": 0.1, "code_status_dnr": 0.1 }, "grammatical_number": "singular" }, "transition_readiness_checklist": { "key": "transition_readiness_checklist", "member_facing_label": "Your Transition Checklist", "elevation_copy": { "action": "Confirm you're ready for your next setting of care.", "why": "Your care team knows you're prepared for what comes next.", "expect": "Takes ~2–3 minutes • A few questions about your readiness and support" }, "relevance_signals": { "has_conditions": 0.5, "age_signal_over_60": 0.3, "eol_pillar_active": 0.2, "proxy_absent": 0, "caregiver_role": 0.3, "code_status_dnr": 0.1 }, "grammatical_number": "singular" }, "resource_connection_plan": { "key": "resource_connection_plan", "member_facing_label": "Your Resource Connection Plan", "elevation_copy": { "action": "Document the community resources you need and use.", "why": "Your care team connects you with support before you need it urgently.", "expect": "Takes ~2–3 minutes • Your community support needs and current resources" }, "relevance_signals": { "has_conditions": 0.4, "age_signal_over_60": 0.3, "eol_pillar_active": 0.1, "proxy_absent": 0, "caregiver_role": 0.3, "code_status_dnr": 0.1 }, "grammatical_number": "singular" }, "barriers_assessment_summary": { "key": "barriers_assessment_summary", "member_facing_label": "Your Barriers Assessment", "elevation_copy": { "action": "Share the barriers that make it hard to stay healthy.", "why": "Your care team addresses what stands between you and your health.", "expect": "Takes ~2–3 minutes • Housing, transport, insurance, and other needs" }, "relevance_signals": { "has_conditions": 0.3, "age_signal_over_60": 0.2, "eol_pillar_active": 0.1, "proxy_absent": 0, "caregiver_role": 0.2, "code_status_dnr": 0.1 }, "grammatical_number": "singular" }, "mental_health_context_brief": { "key": "mental_health_context_brief", "member_facing_label": "Your Mental Health Context", "elevation_copy": { "action": "Share your mental health context with your care team.", "why": "Your mental health informs every aspect of your care.", "expect": "Takes ~3–5 minutes • Write freely or choose from prompts" }, "relevance_signals": { "has_conditions": 0.4, "age_signal_over_60": 0.2, "eol_pillar_active": 0.3, "proxy_absent": 0, "caregiver_role": 0.2, "code_status_dnr": 0.2 }, "grammatical_number": "singular" }, "functional_baseline_assessment": { "key": "functional_baseline_assessment", "member_facing_label": "Your Functional Baseline", "elevation_copy": { "action": "Document your current functional abilities and limitations.", "why": "Your recovery team has a clear baseline to measure your progress against.", "expect": "Takes ~2–3 minutes • Your mobility, daily activities, and functional status" }, "relevance_signals": { "has_conditions": 0.5, "age_signal_over_60": 0.5, "eol_pillar_active": 0.2, "proxy_absent": 0, "caregiver_role": 0.2, "code_status_dnr": 0.1 }, "grammatical_number": "singular" }, "rehabilitation_goals_statement": { "key": "rehabilitation_goals_statement", "member_facing_label": "Your Rehabilitation Goals", "elevation_copy": { "action": "Describe what you want to accomplish in your rehabilitation.", "why": "Your rehab team aligns around what recovery means to you.", "expect": "Takes ~2 minutes • Your goals and what matters most to your recovery" }, "relevance_signals": { "has_conditions": 0.5, "age_signal_over_60": 0.4, "eol_pillar_active": 0.1, "proxy_absent": 0, "caregiver_role": 0.2, "code_status_dnr": 0.1 }, "grammatical_number": "plural" }, "nutrition_profile": { "key": "nutrition_profile", "member_facing_label": "Your Nutrition Profile", "elevation_copy": { "action": "Document your dietary needs, restrictions, and preferences.", "why": "Your nutrition needs are honored across every care setting.", "expect": "Takes ~2–3 minutes • Your diet, restrictions, and food preferences" }, "relevance_signals": { "has_conditions": 0.4, "age_signal_over_60": 0.2, "eol_pillar_active": 0.1, "proxy_absent": 0, "caregiver_role": 0.2, "code_status_dnr": 0 }, "grammatical_number": "singular" }, "home_environment_profile": { "key": "home_environment_profile", "member_facing_label": "Your Home & Safety Profile", "elevation_copy": { "action": "Describe your home environment and safety situation.", "why": "Your care team understands your living situation to plan safe transitions.", "expect": "Takes ~2–3 minutes • Your home setup, mobility, and safety needs" }, "relevance_signals": { "has_conditions": 0.4, "age_signal_over_60": 0.4, "eol_pillar_active": 0.2, "proxy_absent": 0, "caregiver_role": 0.3, "code_status_dnr": 0.1 }, "grammatical_number": "singular" }, "proxy_authorization": { "key": "proxy_authorization", "member_facing_label": "Your Healthcare Proxy", "elevation_copy": { "action": "Choose someone you trust to make medical decisions for you.", "why": "So someone who knows you can make decisions for you if you can't.", "expect": "Takes ~2 minutes • No documents needed" }, "relevance_signals": { "has_conditions": 0.3, "age_signal_over_60": 0.5, "eol_pillar_active": 0.8, "proxy_absent": 1, "caregiver_role": 0.1, "code_status_dnr": 0.5 }, "grammatical_number": "singular" }, "emergency_contact_card": { "key": "emergency_contact_card", "member_facing_label": "Your Emergency Contacts", "elevation_copy": { "action": "Add the people who should be contacted in an emergency.", "why": "The right people are reached at the right moment.", "expect": "Takes ~2–3 minutes • Names and contact information" }, "relevance_signals": { "has_conditions": 0.2, "age_signal_over_60": 0.2, "eol_pillar_active": 0.2, "proxy_absent": 0.3, "caregiver_role": 0.1, "code_status_dnr": 0.1 }, "grammatical_number": "plural" }, "family_caregiver_guide": { "key": "family_caregiver_guide", "member_facing_label": "Your Family Caregiver Guide", "elevation_copy": { "action": "Create a guide for the family member supporting your care.", "why": "Your family caregiver knows exactly how to support you.", "expect": "Takes ~3–5 minutes • What your caregiver needs to know" }, "relevance_signals": { "has_conditions": 0.3, "age_signal_over_60": 0.4, "eol_pillar_active": 0.4, "proxy_absent": 0.2, "caregiver_role": 0.8, "code_status_dnr": 0.2 }, "grammatical_number": "singular" }, "family_consensus_guide": { "key": "family_consensus_guide", "member_facing_label": "Your Family Consensus Guide", "elevation_copy": { "action": "Document your family's shared understanding of your wishes.", "why": "Your family stays aligned — even in moments of stress.", "expect": "Takes ~3–5 minutes • Your family's role and how decisions get made" }, "relevance_signals": { "has_conditions": 0.2, "age_signal_over_60": 0.4, "eol_pillar_active": 0.6, "proxy_absent": 0.3, "caregiver_role": 0.4, "code_status_dnr": 0.3 }, "grammatical_number": "singular" }, "care_circle": { "key": "care_circle", "member_facing_label": "My Village", "elevation_copy": { "action": "Add the people who are involved in your care.", "why": "Your full support network is visible to everyone who needs it.", "expect": "Takes ~2–3 minutes • Names and how they're connected to you" }, "relevance_signals": { "has_conditions": 0.2, "age_signal_over_60": 0.2, "eol_pillar_active": 0.3, "proxy_absent": 0.2, "caregiver_role": 0.4, "code_status_dnr": 0.1 }, "grammatical_number": "singular" }, "care_schedule": { "key": "care_schedule", "member_facing_label": "Your Care Schedule", "elevation_copy": { "action": "Document your care appointments and schedule.", "why": "Everyone who supports your care knows when and how to help.", "expect": "Takes ~2–3 minutes • Your appointments and care schedule" }, "relevance_signals": { "has_conditions": 0.4, "age_signal_over_60": 0.3, "eol_pillar_active": 0.1, "proxy_absent": 0, "caregiver_role": 0.5, "code_status_dnr": 0.1 }, "grammatical_number": "singular" }, "advocacy_compliance_view": { "key": "advocacy_compliance_view", "member_facing_label": "Your Advocacy & Compliance Record", "elevation_copy": { "action": "Document your informed consent and patient rights awareness.", "why": "Your care team knows you're informed and engaged in your own protection.", "expect": "Takes ~2 minutes • Your rights and advocacy preferences" }, "relevance_signals": { "has_conditions": 0.2, "age_signal_over_60": 0.2, "eol_pillar_active": 0.2, "proxy_absent": 0, "caregiver_role": 0.3, "code_status_dnr": 0.1 }, "grammatical_number": "singular" }, "financial_profile_summary": { "key": "financial_profile_summary", "member_facing_label": "Your Financial Profile", "elevation_copy": { "action": "Document your financial situation and insurance coverage.", "why": "Your care team connects you with financial resources before you need them urgently.", "expect": "Takes ~2–3 minutes • Your insurance and financial situation" }, "relevance_signals": { "has_conditions": 0.3, "age_signal_over_60": 0.3, "eol_pillar_active": 0.1, "proxy_absent": 0, "caregiver_role": 0.3, "code_status_dnr": 0.1 }, "grammatical_number": "singular" }, "personal_portrait": { "key": "personal_portrait", "member_facing_label": "Your Personal Portrait", "elevation_copy": { "action": "Share who you are as a person with your care team.", "why": "Your care team sees you as a whole person — not just a diagnosis.", "expect": "Takes ~2–3 minutes • Write freely — a few sentences about what makes you you" }, "relevance_signals": { "has_conditions": 0.2, "age_signal_over_60": 0.3, "eol_pillar_active": 0.5, "proxy_absent": 0, "caregiver_role": 0.2, "code_status_dnr": 0.3 }, "grammatical_number": "singular" }, "spiritual_cultural_guide": { "key": "spiritual_cultural_guide", "member_facing_label": "Your Spiritual & Cultural Guide", "elevation_copy": { "action": "Share your spiritual and cultural traditions with your care team.", "why": "Your faith and cultural identity are honored in your care.", "expect": "Takes ~2–3 minutes • Your traditions, practices, and spiritual needs" }, "relevance_signals": { "has_conditions": 0.1, "age_signal_over_60": 0.3, "eol_pillar_active": 0.6, "proxy_absent": 0, "caregiver_role": 0.1, "code_status_dnr": 0.2 }, "grammatical_number": "singular" }, "comfort_care_plan": { "key": "comfort_care_plan", "member_facing_label": "My Comfort", "elevation_copy": { "action": "Share what brings you comfort when you're not feeling well.", "why": "So your care team can honor what matters to you — not just your condition.", "expect": "Takes ~2 minutes • Write a few sentences or choose from simple prompts" }, "relevance_signals": { "has_conditions": 0.3, "age_signal_over_60": 0.4, "eol_pillar_active": 0.7, "proxy_absent": 0, "caregiver_role": 0.2, "code_status_dnr": 0.4 }, "grammatical_number": "singular" }, "palliative_care_profile": { "key": "palliative_care_profile", "member_facing_label": "Your Palliative Care Profile", "elevation_copy": { "action": "Document your palliative care wishes and comfort priorities.", "why": "Your comfort care team knows what matters most to you.", "expect": "Takes ~3–5 minutes • Your comfort priorities and care wishes" }, "relevance_signals": { "has_conditions": 0.4, "age_signal_over_60": 0.5, "eol_pillar_active": 1, "proxy_absent": 0.1, "caregiver_role": 0.2, "code_status_dnr": 0.6 }, "grammatical_number": "singular" }, "coping_resilience_profile": { "key": "coping_resilience_profile", "member_facing_label": "Your Coping & Resilience Profile", "elevation_copy": { "action": "Share what helps you through difficult times.", "why": "Your support team knows how to help you through hard moments.", "expect": "Takes ~2–3 minutes • Write freely or choose from prompts" }, "relevance_signals": { "has_conditions": 0.3, "age_signal_over_60": 0.3, "eol_pillar_active": 0.4, "proxy_absent": 0, "caregiver_role": 0.3, "code_status_dnr": 0.2 }, "grammatical_number": "singular" }, "cultural_context_brief": { "key": "cultural_context_brief", "member_facing_label": "Your Cultural Context Brief", "elevation_copy": { "action": "Share how your cultural background shapes your care preferences.", "why": "Your cultural identity shapes how your care is delivered.", "expect": "Takes ~2–3 minutes • Your cultural context and care preferences" }, "relevance_signals": { "has_conditions": 0.1, "age_signal_over_60": 0.2, "eol_pillar_active": 0.4, "proxy_absent": 0, "caregiver_role": 0.1, "code_status_dnr": 0.2 }, "grammatical_number": "singular" }, "hospice_intake_package": { "key": "hospice_intake_package", "member_facing_label": "Your Hospice Intake Package", "elevation_copy": { "action": "Give your palliative team what they need to honor your comfort.", "why": "Your hospice team can focus on your wishes from the first day.", "expect": "Takes ~5–10 minutes • Your comfort priorities and end-of-life wishes" }, "relevance_signals": { "has_conditions": 0.3, "age_signal_over_60": 0.5, "eol_pillar_active": 1, "proxy_absent": 0, "caregiver_role": 0.1, "code_status_dnr": 0.8 }, "grammatical_number": "singular" }, "final_wishes": { "key": "final_wishes", "member_facing_label": "Your Final Wishes", "elevation_copy": { "action": "Share your wishes for your final chapter.", "why": "The people you love know exactly how to honor you.", "expect": "Takes ~5–10 minutes • Write freely • This is your story" }, "relevance_signals": { "has_conditions": 0.2, "age_signal_over_60": 0.5, "eol_pillar_active": 1, "proxy_absent": 0.1, "caregiver_role": 0.1, "code_status_dnr": 0.6 }, "grammatical_number": "plural" }, "wishes_directives_summary": { "key": "wishes_directives_summary", "member_facing_label": "Your Wishes & Directives", "elevation_copy": { "action": "Create a document summarizing all your care wishes and directives.", "why": "Your preferences travel with you wherever care happens.", "expect": "Takes ~5–10 minutes • Guided questions • Downloadable document" }, "relevance_signals": { "has_conditions": 0.2, "age_signal_over_60": 0.5, "eol_pillar_active": 0.9, "proxy_absent": 0.2, "caregiver_role": 0.1, "code_status_dnr": 0.7 }, "grammatical_number": "plural" }, "legacy_package": { "key": "legacy_package", "member_facing_label": "Your Legacy Package", "elevation_copy": { "action": "Build a legacy package for the people who matter most to you.", "why": "Your voice carries forward — even when you're not there to speak.", "expect": "Takes ~10–15 minutes • Letters, values, memories • Write freely" }, "relevance_signals": { "has_conditions": 0.1, "age_signal_over_60": 0.5, "eol_pillar_active": 0.9, "proxy_absent": 0, "caregiver_role": 0.1, "code_status_dnr": 0.4 }, "grammatical_number": "singular" }, "legal_documents_status": { "key": "legal_documents_status", "member_facing_label": "Your Legal Documents", "elevation_copy": { "action": "Document your legal documents and where they are kept.", "why": "Your legal wishes are findable when they matter most.", "expect": "Takes ~2–3 minutes • Which documents you have and where they're stored" }, "relevance_signals": { "has_conditions": 0.1, "age_signal_over_60": 0.5, "eol_pillar_active": 0.7, "proxy_absent": 0.2, "caregiver_role": 0.1, "code_status_dnr": 0.4 }, "grammatical_number": "plural" }, "aspirations_portrait": { "key": "aspirations_portrait", "member_facing_label": "Your Aspirations", "elevation_copy": { "action": "Share the hopes and dreams you're holding for your future.", "why": "The people who love you get to understand what you're reaching for, not just what you're facing.", "expect": "Takes ~5 minutes • Aspirations" }, "relevance_signals": {}, "grammatical_number": "singular" }, "birth_preferences": { "key": "birth_preferences", "member_facing_label": "Your Birth Preferences", "elevation_copy": { "action": "Describe how you'd like your birth to go, from pain relief to who's in the room.", "why": "Your care team can support the birth you want instead of guessing at it.", "expect": "Takes ~5 minutes • Birth Preferences" }, "relevance_signals": {}, "grammatical_number": "plural" }, "birth_team": { "key": "birth_team", "member_facing_label": "Your Birth Team", "elevation_copy": { "action": "List who you want with you and what role each person plays.", "why": "Everyone shows up knowing their part, so you can focus on labor, not logistics.", "expect": "Takes ~5 minutes • Birth Team" }, "relevance_signals": {}, "grammatical_number": "singular" }, "cultural_birth_practices": { "key": "cultural_birth_practices", "member_facing_label": "Your Cultural Birth Practices", "elevation_copy": { "action": "Note the cultural or spiritual practices you want honored during birth.", "why": "Your care team can make space for traditions that matter to you, without you having to explain them in the moment.", "expect": "Takes ~5 minutes • Cultural Birth Practices" }, "relevance_signals": {}, "grammatical_number": "plural" }, "cultural_identity_brief": { "key": "cultural_identity_brief", "member_facing_label": "Your Cultural Identity", "elevation_copy": { "action": "Describe the cultural background and identity that shape how you want to be cared for.", "why": "Anyone caring for you can meet you as who you are, not a generic default.", "expect": "Takes ~5 minutes • Cultural Identity" }, "relevance_signals": {}, "grammatical_number": "singular" }, "family_letter": { "key": "family_letter", "member_facing_label": "Your Letter to Family", "elevation_copy": { "action": "Write a letter to the family you want to reach.", "why": "Your words stay with them in your own voice, whenever they need them.", "expect": "Takes ~5 minutes • Letter to Family" }, "relevance_signals": {}, "grammatical_number": "singular" }, "goals_of_care": { "key": "goals_of_care", "member_facing_label": "Your Goals of Care", "elevation_copy": { "action": "Describe what matters most to you in your medical care.", "why": "Your clinical team can align treatment decisions with what you actually value.", "expect": "Takes ~5 minutes • Goals of Care" }, "relevance_signals": {}, "grammatical_number": "singular" }, "pregnancy_medication_safety": { "key": "pregnancy_medication_safety", "member_facing_label": "Your Pregnancy Medication Safety", "elevation_copy": { "action": "Record the medications and safety concerns relevant to your pregnancy.", "why": "Anyone treating you during pregnancy has the full picture before they prescribe anything.", "expect": "Takes ~5 minutes • Pregnancy Medication Safety" }, "relevance_signals": {}, "grammatical_number": "singular" }, "pregnancy_story": { "key": "pregnancy_story", "member_facing_label": "Your Pregnancy Story", "elevation_copy": { "action": "Tell the story of this pregnancy in your own words.", "why": "This chapter is recorded the way you experienced it, not just the way it was charted.", "expect": "Takes ~5 minutes • Pregnancy Story" }, "relevance_signals": {}, "grammatical_number": "singular" }, "prenatal_emergency_card": { "key": "prenatal_emergency_card", "member_facing_label": "Your Prenatal Emergency Card", "elevation_copy": { "action": "Record the essential information responders need if a pregnancy emergency happens.", "why": "Emergency responders get what they need before they can ask for it.", "expect": "Takes ~5 minutes • Prenatal Emergency Card" }, "relevance_signals": {}, "grammatical_number": "singular" }, "spiritual_care_profile": { "key": "spiritual_care_profile", "member_facing_label": "Your Spiritual Care Profile", "elevation_copy": { "action": "Describe the spiritual or religious practices that bring you comfort.", "why": "Your care team can support your spiritual needs alongside your medical ones.", "expect": "Takes ~5 minutes • Spiritual Care Profile" }, "relevance_signals": {}, "grammatical_number": "singular" } }, "dashboard": { "vitals_by_life_stage": { "default": [ "L0", "BLOOD_TYPE", "M2A", "M1", "MAJOR_CONDITIONS", "EC1", "B1" ], "managing_condition": [ "L0", "BLOOD_TYPE", "M2A", "M1", "MAJOR_CONDITIONS", "EC1", "B1" ], "family_formation": [ "L0", "BLOOD_TYPE", "M2A", "M1", "MAJOR_CONDITIONS", "EC1", "B1" ] }, "ras_threshold": 0.4, "effectiveness": { "wRequired": 0.7, "wEnhancing": 0.3, "tSeal": 0.8, "relevanceFloorN": 3 }, "tier_thresholds": [ 0, 0.2, 0.4, 0.65, 0.85 ], "about_invitation": { "tier_phrases": { "I": { "primary": "You're Getting Started", "reinforcement": "You've taken the first step." }, "II": { "primary": "Your Story Is Taking Shape", "reinforcement": "More of you is being seen." }, "III": { "primary": "Your Voice Is Clear", "reinforcement": "Others can make decisions for you." }, "IV": { "primary": "You're Ready for What Comes", "reinforcement": "Your wishes are understood." }, "V": { "primary": "Your Voice Carries Forward", "reinforcement": "Your voice will be honored." } }, "situation_phrases": { "arriving": "Your Guardian has just arrived.", "early": "Your first protections are taking shape.", "mid": "Your voice is reaching your care team.", "mature": "Your voice speaks in the moments that matter.", "deep": "Your Guardian stands ready for whatever comes." }, "next_path_phrases": { "proxy_authority": { "action": "Choose someone you trust to make medical decisions for you.", "why": "So someone who knows you can make decisions for you if you can't.", "expect": "Takes ~2 minutes • No documents needed" }, "code_status": { "action": "Decide what doctors should do in a life-threatening emergency.", "why": "So your emergency team knows your wishes before they need them.", "expect": "Takes ~1–2 minutes • A few yes/no questions" }, "care_circle": { "action": "Add the people who should be contacted and involved in your care.", "why": "So the right people are reached at the right moment.", "expect": "Takes ~2–3 minutes • Names and how they're connected to you" }, "comfort": { "action": "Share what brings you comfort when you're not feeling well.", "why": "So your care team can honor what matters to you — not just your condition.", "expect": "Takes ~2 minutes • Write a few sentences or choose from prompts" }, "advance_directive": { "action": "Create a document that records your care wishes.", "why": "So your preferences travel with you wherever care happens.", "expect": "Takes ~5–10 minutes • Guided questions • Downloadable document" }, "mature_no_urgent": { "action": "Review and update your information as life changes.", "why": "So your voice stays current as your story deepens.", "expect": "Check in anytime • New doctor, new preferences, new people" }, "mature_tier_v": { "action": "Your protection is complete", "why": "You've documented your wishes across every area of care. The people who matter most have exactly what they need — whenever they need it.", "expect": "Your guides are ready to view, share, or print anytime" }, "mature_mid_tier": { "action": "You're well protected — and there's more ahead", "why": "You've covered your most important areas. A few more conversations could extend your protection — at your own pace, whenever you're ready.", "expect": "Continue when you're ready • No urgency, just possibility" } }, "promise_phrase": "Your fullest protection grows with every chapter.", "synthesis_phrases": { "arriving": "Your Guardian has just arrived — your story is safe here from its first word.", "early": "Your first protections are taking shape, and each one speaks in your voice.", "mid": "Your voice is reaching your care team, and your protection deepens with every chapter.", "mature": "Your voice speaks in the moments that matter — and your village can hear it.", "deep": "Everything has been said — and your village can hear it." } }, "morning_briefing": { "headlines": { "arriving": "Your story begins today — I will keep it safe as it grows.", "early": "Your first protections are alive — one gentle step is ready when you are.", "mid": "Your voice is reaching your care team — one step this week would deepen it.", "mature": "Your story is strong and current — a small step is ready if you want it.", "deep": "Everything is in place — I am watching over it with you." } } }, "_arch_notes": { "ARCH-NOTE-001": { "status": "ACTIVE", "title": "Schema journeys are metadata only — navigation SSOT is safety-anchor.registry.ts", "detail": "Journey definitions in schema.journeys are used for display metadata (names, icons, field lists for traditional intake layout). They are NOT used for JXE navigation routing. The JXE reads fields directly from SafetyAnchorDefinition.requiredFields and .enhancingFields in safety-anchor.registry.ts. Any future navigation analysis must start from the registry.", "navigation_ssot": "src/app/core/models/safety-anchor.registry.ts", "confirmed": "Sprint 62, 2026-04-17", "impact": "my_coordination_brief journey has 0 fields — this does not block JXE navigation for care_coordination_brief because that anchor has requiredFields: [] and enhancingFields: [] (content authoring gap, not a bug)" }, "ARCH-NOTE-PARK-MAPPED-OPTION-001": { "status": "ACTIVE", "title": "An option may be a way through, not an answer: \"writes\": \"deferred\"", "detail": "An option carrying \"writes\": \"deferred\" is shown among the field's options in her words, but choosing it writes the park (IntakeStateService.setParked → typed absence 'deferred', REQ-INTAKE-035) with \"park_note\" as her pre-filled, editable park note (REQ-INTAKE-027). Its key is never a stored answer: the field stays unaddressed, readiness is unchanged, and every reader reads the field as not recorded. The construct reads the flag (park-mapped-option.ts); nothing is hardcoded to a field. Closed set: \"deferred\" only. At most one per field, park_note required, no filter_implications (guard-schema-park-mapped-option.py). The backend refuses the key as a value (AnswerValidationService).", "ruling": "CPR-DEPENDS-PARKS-1 (operator 2026-10-13)", "reader": "src/app/core/models/park-mapped-option.ts" } }, "jxe_composition_rules": { "heavy_field_threshold": 3, "rest_invitation_after_minutes": 20, "max_consecutive_heavy_fields": 2, "pacing_envelope": { "offer_rest_after_heavy_streak": 2, "rest_message": "You've shared something important. Take a moment before continuing.", "rest_cta": "Continue when ready →", "rest_dismiss": "I'm ready to continue" } }, "reflection_interstitials": [ { "id": "ri-001", "trigger": "after_field", "field_key": "L0_WHY", "message": "Thank you for sharing that. Your words will help your care team understand what matters most to you.", "display_duration_ms": 4000, "dismissible": true }, { "id": "ri-002", "trigger": "after_field", "field_key": "FAMILY_MESSAGE", "message": "That is a gift to your family. Take a breath.", "display_duration_ms": 3000, "dismissible": true }, { "id": "ri-003", "trigger": "after_field", "field_key": "LEGACY_VALUES", "message": "The values you’ve named will guide the people who care for you.", "display_duration_ms": 3000, "dismissible": true }, { "id": "ri-004", "trigger": "heavy_streak", "streak_count": 2, "message": "You’ve answered some important questions. There is no rush. Continue when you’re ready.", "display_duration_ms": 0, "dismissible": true, "show_continue_cta": true }, { "id": "ri-005", "trigger": "session_minutes", "minutes": 20, "message": "You’ve been thoughtful today. It’s okay to save your progress and come back.", "display_duration_ms": 0, "dismissible": true, "show_save_cta": true } ], "dashboard_copy": { "pulse": { "arc_template": "{n} moments prepared · across {d} areas of care · {t}", "arc_separator": " · ", "moments_singular": "{n} moment prepared", "moments_plural": "{n} moments prepared", "dimensions_singular": "across {d} area of care", "dimensions_plural": "across {d} areas of care", "updated_today": "updated today", "updated_days": "updated {t} days ago", "updated_unknown": "Your protection is growing", "invitation_singular": "1 more moment could deepen your protection", "invitation_plural": "{n} more moments could deepen your protection", "invitation_cta": "→", "new_member_arc": "Your protection begins here · keep building" }, "hero": { "greeting_morning": "Good morning, {name}", "greeting_afternoon": "Good afternoon, {name}", "greeting_evening": "Good evening, {name}", "greeting_fallback": "Welcome back, {name}", "platform_statement": "Your Medical BLUEPRINT is building." }, "next_step": { "resume_prefix": "Continue building your", "start_prefix": "Your", "start_suffix": "is ready to grow", "cta_label": "Continue" }, "highlights_fallback": [ "Every guide you build is a promise kept to yourself.", "Your voice is being held, ready for the moments that matter.", "Your Sanctuary grows with every answer.", "The people who care for you will know you." ], "about_copy": { "heading": "Your Guardian", "essential_body_1": "The world you see is your Sanctuary — a place built around your protection. The Guardian at its center stands for you in every healthcare moment: holding your wishes, your values, and your voice so they are present even when you cannot be.", "essential_body_2": "As your Medical BLUEPRINT grows, your Sanctuary comes alive. The path behind your Guardian illuminates first — you are on a journey. The pillars, the gateway, and the castle beyond each light in turn as your voice reaches further into your care.", "guides_para": "Your Care Guides are documents tailored for specific people in your care network — your ER doctor, your family, your care team. Each one carries your wishes in the language that person needs. The scrolling strip shows your guides as they come alive — each one a named protection working on your behalf.", "cta_label": "Take your next step ›", "toggle_expand": "Learn more about Sanctuary ›", "toggle_collapse": "Show less", "deep_heading_surfaces": "The four surfaces", "deep_surface_dashboard_name": "Dashboard", "deep_surface_dashboard_desc": "your Guardian and your Sanctuary world. Where your protection lives and grows.", "deep_surface_blueprint_name": "My Blueprint", "deep_surface_blueprint_desc": "your Care Guides, all in one place. View, print, or share them directly with your care team.", "deep_surface_village_name": "My Village", "deep_surface_village_desc": "the people in your corner. Your care circle, your advocates, your emergency contacts.", "deep_surface_hub_name": "Care Team Hub", "deep_surface_hub_desc": "a dedicated view for your care team. Coming soon.", "deep_heading_changes": "How your Sanctuary changes", "deep_body_changes": "The world around your Guardian responds to your protection. Each part of the Sanctuary — the path, the pillars, the golden gateway, the castle in the distance — illuminates as your voice grows stronger. Your shield carries your wishes. It is never fully dim, and never fully complete — because life keeps writing new chapters.", "deep_heading_shield": "Your shield", "deep_body_shield": "The shield your Guardian carries holds your most important wishes — your code status, your emergency plan, your voice when you cannot speak. As your BLUEPRINT deepens, the shield's light grows with it.", "deep_heading_sharing": "Sharing your guides", "deep_body_sharing": "From My Blueprint, every Care Guide can be printed, downloaded, or shared directly with a provider. Your voice travels with every guide." }, "tier_synthesis": { "stewardship": { "primary": "Your Sanctuary is well-tended. Reviewed regularly, kept current.", "stale_addendum": "Some dimensions are due for a fresh look." } }, "review_line": { "template": "Reviewed {ago}", "null_label": null }, "my_village": { "_note": "Village-specialized voice-state labels. The Village is a roster construct, not a true care dimension — the DEFAULT field-based Five Voice model is AnchorVoice (src/app/core/models/anchor-enrichment.types.ts, computeVoice). Do not treat these labels as the canonical voice lexicon; the Village variant CircleVoiceState (circle.models.ts) renames 'started' → 'finding_voice'.", "synthesis": { "actions": { "decision_makers": { "singular": "makes decisions for you", "plural": "make decisions for you" }, "care_team": { "singular": "cares for you", "plural": "care for you" }, "supporters": { "singular": "stands with you", "plural": "stand with you" } } }, "essentials": { "signal_complete": "Your essentials are in place.", "signal_zero": "Start with three essentials: your voice, your contact, your physician.", "signal_remaining": "Your Village is taking shape — {remaining} more essential{s} to add" }, "next_step": { "essentials": { "healthcare_proxy": "Add a Healthcare Proxy to complete your essentials.", "contact_1": "Add an Emergency Contact to complete your essentials.", "primary_physician": "Add a Primary Physician to complete your essentials." }, "recommended": { "contact_2": "Add a backup Emergency Contact for stronger coverage." } }, "status_label": { "not_started": "Coming soon", "building": "Taking shape", "speaks_for_you": "Ready when you are", "tells_your_story": "Telling your story" }, "utility_links": { "grow_village": "Grow your Village →" }, "status_definition": { "not_started": "Your Village hasn't begun yet — start by adding your first villager", "building": "You've started building your Village; add more essentials when you're ready", "speaks_for_you": "Your Village's essentials are in place — your decisions, contacts, and primary care are covered", "tells_your_story": "Your Village fully represents you — essentials are met and depth is here" }, "tier_summary": { "empty_state": "Your Village awaits the people who matter most to you.", "exist_verb": "exist", "await_singular": "awaits", "await_plural": "await", "all_filled_tail": " — and your Village can keep growing as needs change.", "tiers": { "_ring_names": "not here - RING_DEFINITIONS in circle.models.ts is the one home (CIRCLE-ROLES-AND-RINGS-SSOT-001 R-1, act 4b-iii)" } } }, "villager_home": { "_doc": "VILLAGERROLE (ACT-014, D-234; VILLAGER-HOME-MOCKUP-001 F2/F4): the villager home (house/villager) and the one line on My Day for a person who also writes a book. {name} is the name the person who shared asked to be called; no pronoun stands in for it. The line under a guide is its reader line in `guides` (title only when it has none); the 911 line is read from the front door's copy (open-page.copy.json). No sentence here makes a promise (PROMISEGUARD). Plain first: reading grade 6 or lower.", "room": "Shared with you", "shared_one": "{name} shared 1 guide with you.", "shared_many": "{name} shared {count} guides with you.", "see_note": "You see the guides {name} chose to share with you.", "see_note_many": "You see the guides each person chose to share with you.", "list_aria": "Guides {name} shared with you", "shared_on": "Shared {when}", "today": "today", "yesterday": "yesterday", "open": "Open", "open_aria": "Open {guide}, shared by {name}", "nothing_title": "Nothing has been shared with you yet.", "nothing_note": "When someone shares a guide with you, it appears here. You do not need to do anything.", "no_longer": "This is no longer available.", "own_prompt": "Want to write your own plan?", "own_act": "Start one", "own_act_aria": "Start one: write a plan of your own", "own_failed": "We could not start that just now. Try again.", "unreadable": "What was shared with you could not be read just now.", "retry": "Try again", "reading": "Reading what was shared with you.", "both_one": "{name} shared {count} guide with you.", "both_many": "{name} shared {count} guides with you.", "both_people": "{people} people shared guides with you.", "both_open_one": "Open what {name} shared", "both_open_many": "Open what was shared with you", "titles": { "emergency_contact_card": "{name}'s Emergency Contacts", "emergency_quick_card": "{name}'s Quick Card", "allergy_alert": "{name}'s Allergy Alert", "code_status_directive": "{name}'s Code Status", "care_schedule": "{name}'s Care Schedule", "final_wishes": "{name}'s Final Wishes", "comfort_care_plan": "{name}'s Comfort Care Plan", "personal_portrait": "Who {name} is" }, "guides": { "_doc": "VILLAGERROLE RECUT3 (D-247): the reader-voice line under a guide's title on the villager home. Third person, {name} is the person who shared. Each line states only what the guide's generator holds: `facts` names the schema fields behind it, and a spec holds every fact to the guide's MUST or SHOULD list (what a reader receives). A guide with no entry here shows its title only; the registry description is written for its author and is not used for a reader. `withheld` marks a guide that shows its title only until COUNSEL words its line.", "emergency_contact_card": { "for": "Who to call for {name}, and how to reach them.", "facts": ["EC1", "EC2", "B1"] }, "care_schedule": { "for": "{name}'s medicine, and how pain is handled.", "facts": ["M1", "PAIN_MANAGEMENT"] }, "final_wishes": { "for": "Where {name} wants to be at the end of life, and who {name} wants near.", "facts": ["END_LOCATION", "FINAL_PRESENCE"] }, "comfort_care_plan": { "for": "What comforts {name}: touch, music, and visits.", "facts": ["TOUCH_PREFS", "MUSIC_PREFS", "SOCIAL_PREFS"] }, "personal_portrait": { "for": "In {name}'s own words: who {name} is, and what {name} is proud of.", "facts": ["PP1", "LIFE_PROUDEST"] }, "code_status_directive": { "withheld": "COUNSEL" }, "emergency_quick_card": { "withheld": "COUNSEL" }, "allergy_alert": { "withheld": "COUNSEL" } } }, "about_sanctuary": { "_doc": "FRONTDOOR (D-179): the About Sanctuary sheet (shared/components/about-sanctuary-modal) and its doors on My Day and in the You list. A section renders only when it has words. why_it_matters (Your privacy) is WITHHELD until the product keeps its sentence (FRONTDOOR RESULT, RED).", "title": "About Sanctuary", "subtitle": "Your care, planned. Your people, ready.", "definition": "Sanctuary helps you plan and manage your health care. You do it with the people you choose, in every season of your life.", "what_this_covers": { "label": "What you can do", "lines": [ "Plan your care for every season of your life: {seasons}.", "Choose who is asked first, and who helps with each step.", "Give each person the page written for their part: your doctor, your daughter, your spiritual advisor.", "Manage the care you choose together: steps, days and updates in one place." ] }, "who_this_serves": { "label": "Who it's for", "items": [ "You, planning and managing your own care", "The family and friends you choose to help", "Your doctors and care team, when you share with them" ] }, "doors": { "new_here_tag": "New here", "new_here_text": "Sanctuary keeps your care wishes and shares them with the people you choose.", "new_here_link": "About Sanctuary ›", "new_here_link_aria": "About Sanctuary", "new_here_got_it": "Got it", "new_here_got_it_aria": "Dismiss the New here note", "footer_label": "About, privacy and help", "footer_about": "About Sanctuary", "footer_privacy": "Privacy", "footer_help": "Help", "you_menu": "About Sanctuary" }, "aria": "About Sanctuary" } }, "marquee_copy": { "ready_suffix": "ready", "ready_separator": "·", "building_suffix": "complete yours", "building_separator": "·", "scroll_speed_px_per_s": 40, "pause_on_hover": true, "guides": { "cap_card": { "ready_phrase": "first responders know your wishes and who to call", "building_phrase": "give first responders what they need in your most critical moment" }, "allergy_alert": { "ready_phrase": "your pharmacist knows every sensitivity and what to avoid", "building_phrase": "protect yourself from dangerous reactions — document your allergies now" }, "code_status_directive": { "ready_phrase": "your resuscitation wishes are clearly stated for every clinical team", "building_phrase": "the most important medical decision you can make — state it in your own words" }, "care_circle": { "ready_phrase": "your care team knows exactly who surrounds you with support", "building_phrase": "let your care team know who is in your corner" }, "emergency_contact_card": { "ready_phrase": "the right people are a phone call away when seconds count", "building_phrase": "make sure the right people can be reached when it matters most" }, "clinical_summary": { "ready_phrase": "every provider sees your complete health picture at a glance", "building_phrase": "give every doctor your full health picture — one document, every visit" }, "meet_me_brief": { "ready_phrase": "your care team sees the whole person, not just a chart", "building_phrase": "let your caregivers know who you really are beyond your diagnosis" }, "wishes_directives_summary": { "ready_phrase": "your end-of-life wishes are documented in your own voice", "building_phrase": "capture what matters most before it matters most" }, "family_caregiver_guide": { "ready_phrase": "the people who love you most know exactly how to help", "building_phrase": "give your family a guide so they can care with confidence" }, "care_coordination_brief": { "ready_phrase": "your care logistics are documented for every navigator", "building_phrase": "connect the logistics that keep your care flowing smoothly" }, "nursing_assessment_card": { "ready_phrase": "your nursing team starts every shift knowing you", "building_phrase": "help your nursing team care for you the way you deserve" }, "language_communication_card": { "ready_phrase": "your communication needs are clear to every provider", "building_phrase": "ensure every provider knows how to reach you effectively" }, "spiritual_cultural_guide": { "ready_phrase": "your faith and traditions are honored in every care setting", "building_phrase": "ensure your spiritual and cultural needs are never overlooked" }, "personal_portrait": { "ready_phrase": "your story, your roles, and what quality of life means to you is documented", "building_phrase": "share who you are so your care team can honor your whole self" } }, "default_ready_phrase": "is ready to share", "default_building_phrase": "add your voice to this protection" }, "review_config": { "stale_threshold_days": 42, "_meta": { "introduced": "F1C / TD-MAINTENANCE-MODE-IMPLEMENTATION-001", "consumer": "DimensionReviewService", "rationale": "Days since dimension last edited beyond which review-line shows muted Wisdom Gold stale signal" } }, "village_contact_roles": { "_meta": { "introduced": "S141 village panel refactor", "consumer": "uz-one-seat (concentration_counsel), circle.rulebook-parity.spec, CirclesService (backend)" }, "max_per_contact": 2, "max_per_contact_message": "Maximum 2 roles per person — uncheck one to choose another.", "max_per_contact_violation_error": "Each contact can have at most 2 roles.", "grandfathering_notice": "This contact currently has {n} roles. The new limit is 2 — please choose which 2 to keep.", "role_rulebook": { "_meta": { "marker": "ROLE-RULEBOOK-9K", "introduced": "DDR-MY-VILLAGE-MASTER-GRAMMAR-001-AMENDMENT-010 (2026-09-23)", "rule": "Roles are constrained by PRINCIPLE (registry, combinability, exclusivity, relationship), never by COUNT. A write may not introduce a new violation; it never has to repair an old one.", "consumers": "backend CirclesService (canonicalise + judge every write, canonicalise every read) · frontend circle.rulebook-parity.spec.ts (ROLE_DEFINITIONS + COMBINABLE_ROLES must equal this block)", "generated_by": "scripts/patches/role-rulebook/build_rulebook.py --emit (from circle.models.ts)", "retires": "max_per_contact, max_per_contact_message, max_per_contact_violation_error, grandfathering_notice — kept only until the add-contact modal stops reading them; removed from BOTH copies in the same act that removes that consumer" }, "jurisdiction": "*", "jurisdiction_rules": { "_note": "Shape reserved, deliberately empty. Pending, each needing data Sanctuary does not yet capture: MA c.201D §2 (a named agent may not witness the proxy -> needs the proxy's witnesses); MA c.201D §3 (a facility operator/administrator/employee may not be agent unless related by blood, marriage or adoption -> needs the agent's employer and the member's facility). A rule with no data to judge is a promise the product cannot keep." }, "aliases": { "healthcare_proxy": "primary_voice" }, "messages": { "unknown_role": "Sanctuary doesn't know the role \"{role}\" — nothing was changed.", "not_combinable": "One person can't be both your {a} and your {b} — nothing was changed.", "exclusive": "One person can't be both your {a} and your {b}: one is the backup for the other. Nothing was changed.", "invalid_relationship": "Your {relationship} can't also be your {role} — nothing was changed." }, "roles": { "primary_voice": { "label": "First to ask", "group": "voice", "limit": 1, "exclusive": [ "secondary_voice" ], "invalid_relationships": [], "combinable": [ "emergency_contact", "care_partner", "caregiver" ], "fhir": { "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode", "code": "HPOWATT" } }, "secondary_voice": { "label": "Next to ask", "group": "voice", "limit": 1, "exclusive": [ "primary_voice" ], "invalid_relationships": [], "combinable": [ "emergency_contact", "care_partner", "caregiver" ], "fhir": { "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode", "code": "HPOWATT" } }, "legal_guardian": { "label": "Legal Guardian", "group": "voice", "limit": 1, "exclusive": [], "invalid_relationships": [ "colleague", "neighbor", "community_member" ], "combinable": [ "emergency_contact", "care_partner", "caregiver" ], "fhir": null }, "financial_proxy": { "label": "Financial Proxy", "group": "voice", "limit": 1, "exclusive": [], "invalid_relationships": [], "combinable": [ "emergency_contact", "care_partner", "caregiver" ], "fhir": { "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode", "code": "POWATT" } }, "clinical_interpreter": { "label": "Clinical Interpreter", "group": "voice", "limit": 2, "exclusive": [], "invalid_relationships": [], "combinable": [ "emergency_contact", "care_partner", "caregiver" ], "fhir": null }, "care_partner": { "label": "Care Partner", "group": "personal", "limit": 5, "exclusive": [], "invalid_relationships": [], "combinable": [ "primary_voice", "secondary_voice", "legal_guardian", "financial_proxy", "clinical_interpreter", "emergency_contact", "caregiver" ], "fhir": null }, "caregiver": { "label": "Caregiver", "group": "personal", "limit": 3, "exclusive": [], "invalid_relationships": [], "combinable": [ "primary_voice", "secondary_voice", "legal_guardian", "financial_proxy", "clinical_interpreter", "emergency_contact", "care_partner" ], "fhir": null }, "emergency_contact": { "label": "Emergency Contact", "group": "personal", "limit": 3, "exclusive": [ "primary_physician" ], "invalid_relationships": [], "combinable": [ "primary_voice", "secondary_voice", "legal_guardian", "financial_proxy", "clinical_interpreter", "care_partner", "caregiver" ], "fhir": { "system": "http://terminology.hl7.org/CodeSystem/v3-RoleClass", "code": "ECON" } }, "trusted_observer": { "label": "Trusted Observer", "group": "logistics", "limit": 10, "exclusive": [], "invalid_relationships": [], "combinable": [], "fhir": null }, "primary_physician": { "label": "Primary Care Physician", "group": "clinical", "limit": 1, "exclusive": [ "emergency_contact" ], "invalid_relationships": [ "spouse", "partner", "parent", "child", "sibling" ], "combinable": [], "fhir": null }, "physician": { "label": "Physician", "group": "clinical", "limit": 5, "exclusive": [], "invalid_relationships": [], "combinable": [], "fhir": null }, "specialist": { "label": "Specialist", "group": "clinical", "limit": 10, "exclusive": [], "invalid_relationships": [], "combinable": [], "fhir": null }, "nurse": { "label": "Nurse", "group": "clinical", "limit": 5, "exclusive": [], "invalid_relationships": [], "combinable": [], "fhir": null }, "nurse_practitioner": { "label": "Nurse Practitioner", "group": "clinical", "limit": 3, "exclusive": [], "invalid_relationships": [], "combinable": [], "fhir": null }, "therapist": { "label": "Therapist", "group": "clinical", "limit": 5, "exclusive": [], "invalid_relationships": [], "combinable": [], "fhir": null }, "pharmacist": { "label": "Pharmacist", "group": "clinical", "limit": 3, "exclusive": [], "invalid_relationships": [], "combinable": [], "fhir": null }, "care_coordinator": { "label": "Care Coordinator", "group": "coordination", "limit": 3, "exclusive": [], "invalid_relationships": [], "combinable": [], "fhir": null }, "case_manager": { "label": "Case Manager", "group": "coordination", "limit": 2, "exclusive": [], "invalid_relationships": [], "combinable": [], "fhir": null }, "social_worker": { "label": "Social Worker", "group": "coordination", "limit": 3, "exclusive": [], "invalid_relationships": [], "combinable": [], "fhir": null }, "patient_advocate": { "label": "Patient Advocate", "group": "coordination", "limit": 2, "exclusive": [], "invalid_relationships": [], "combinable": [], "fhir": null }, "spiritual_advisor": { "label": "Spiritual Advisor", "group": "spiritual", "limit": 2, "exclusive": [], "invalid_relationships": [], "combinable": [], "fhir": null }, "clergy": { "label": "Clergy / Faith Leader", "group": "spiritual", "limit": 3, "exclusive": [], "invalid_relationships": [], "combinable": [], "fhir": null }, "palliative_care_specialist": { "label": "Palliative Care Specialist", "group": "end_of_life", "limit": 3, "exclusive": [], "invalid_relationships": [], "combinable": [], "fhir": null }, "hospice_provider": { "label": "Hospice Provider", "group": "end_of_life", "limit": 3, "exclusive": [], "invalid_relationships": [], "combinable": [], "fhir": null }, "insurance_representative": { "label": "Insurance Representative", "group": "administrative", "limit": 3, "exclusive": [], "invalid_relationships": [], "combinable": [], "fhir": null }, "professional_advisor": { "label": "Professional Advisor", "group": "administrative", "limit": 5, "exclusive": [], "invalid_relationships": [], "combinable": [], "fhir": null }, "attorney": { "label": "Attorney", "group": "administrative", "limit": 2, "exclusive": [], "invalid_relationships": [], "combinable": [], "fhir": null }, "financial_advisor": { "label": "Financial Advisor", "group": "administrative", "limit": 2, "exclusive": [], "invalid_relationships": [], "combinable": [], "fhir": null }, "transportation_support": { "label": "Transportation Support", "group": "logistics", "limit": 3, "exclusive": [], "invalid_relationships": [], "combinable": [], "fhir": null }, "health_record_manager": { "label": "Health Record Manager", "group": "logistics", "limit": 2, "exclusive": [], "invalid_relationships": [], "combinable": [], "fhir": null }, "obstetrician": { "label": "OB/GYN", "group": "clinical", "limit": 2, "exclusive": [], "invalid_relationships": [], "combinable": [ "specialist", "primary_physician" ], "fhir": null }, "midwife": { "label": "Midwife", "group": "clinical", "limit": 2, "exclusive": [], "invalid_relationships": [], "combinable": [ "obstetrician" ], "fhir": null }, "doula": { "label": "Doula", "group": "coordination", "limit": 2, "exclusive": [], "invalid_relationships": [], "combinable": [ "care_partner" ], "fhir": null }, "lactation_consultant": { "label": "Lactation Consultant", "group": "clinical", "limit": 2, "exclusive": [], "invalid_relationships": [], "combinable": [], "fhir": null }, "maternal_mental_health": { "label": "Maternal Mental Health Provider", "group": "clinical", "limit": 2, "exclusive": [], "invalid_relationships": [], "combinable": [ "therapist" ], "fhir": null } } }, "reach_failures": { "_meta": { "marker": "SPEAK-THE-FAILURE-1", "introduced": "TELREACH (D-317, 2026-10-16): every control that cannot go on says why: every validation failure says WHAT is wrong, in her own value, and HOW to go on (WCAG 2.2 SC 3.3.1, 3.3.3, 4.1.3, 3.3.7).", "rule": "One plain sentence per failure, in a quiet voice; the placeholders {area} {country} {code} are filled from what she typed.", "consumer": "uz-one-seat reach beat (reach-check.ts)" }, "phone": { "too_short": "This number is too short to call. Add the missing digits.", "too_long": "This number is too long to call. Remove the extra digits.", "not_a_number": "This doesn't look like a phone number. Use digits, with the area code.", "invalid_country": "We don't recognise {code} as a country code. Check the number, or keep it as typed.", "not_recognised_area": "We don't recognise {area} as a {country} area code. Check the number, or keep it as typed.", "not_recognised": "We don't recognise this as a {country} phone number. Check the number, or keep it as typed." }, "email": { "no_at": "This email is missing the @ sign. It looks like name@example.com.", "no_local": "This email is missing the part before @.", "no_domain": "This email is missing the part after @.", "many_at": "This email has more than one @. Keep just one.", "space": "This email has a space in it. Remove the space.", "no_dot": "The part after @ needs a dot, like example.com.", "dot_edge": "The part after @ can't start or end with a dot." }, "reason": { "add_one": "Add a phone or an email to go on.", "fix_phone": "Fix the phone number, or clear it, to go on.", "fix_phone_keepable": "Check the phone number, or keep it as typed, to go on.", "fix_email": "Fix the email, or clear it, to go on." }, "keep_as_typed": "Keep it as typed", "kept_status": "Kept as typed. It will show as not confirmed.", "unconfirmed_label": "not confirmed" }, "concentration_counsel": { "_meta": { "marker": "ROLE-RULEBOOK-9K", "introduced": "DDR-MY-VILLAGE-MASTER-GRAMMAR-001-AMENDMENT-010 §4 (2026-09-23)", "rule": "Advice, never a wall. Sanctuary names a single point of failure; the member decides.", "consumer": "uz-one-seat counsel at the sealed beat (frontend)" }, "threshold": 3, "concentration": "{name} would carry {count} roles for you: {roles}. That's common for someone this close. If {name} couldn't be reached, {fallback}", "fallback_named": "{backup}, the next person to ask, is who you would turn to.", "fallback_unnamed": "no one is named as the next person to ask yet — you can name someone next.", "no_backup": "No one is named as the next person to ask after {name} yet — you can name one next.", "no_backup_roles": [ "primary_voice" ] } }, "legal_proxy_designation": { "values": { "primary": { "key": "PRIMARY", "label": "Primary Healthcare Proxy", "label_member": "Primary Voice", "label_clinical": "Primary Healthcare Proxy", "icon": "⚖️", "card_description": "First authority for medical decisions when you cannot speak for yourself. Your hospital and care team contact this person first.", "selector_descriptor": "The person who decides first. Your care team contacts them when a medical decision needs to be made and you cannot make it yourself." }, "alternate": { "key": "ALTERNATE", "label": "Alternate Healthcare Proxy", "label_member": "Backup Voice", "label_clinical": "Alternate Healthcare Proxy", "icon": "🤝", "card_description": "Steps in if your Primary is unavailable, has declined, or cannot decide for you.", "selector_descriptor": "Steps in if your Primary cannot be reached, has declined, or cannot decide for you." }, "none": { "key": "NONE", "label": "Not a healthcare proxy", "label_member": "Not a healthcare proxy", "label_clinical": "Not a healthcare proxy" } }, "selector": { "section_header": "Healthcare Proxy Designation", "helper_text": "You can designate up to two healthcare proxies — a Primary who decides first, and an Alternate who decides in their place if needed." }, "conflict": { "title": "Reassign Healthcare Proxy Designation", "body": "You've already designated {existingContactName} as {designationLabel}. To assign {newContactName} to a Healthcare Proxy role, choose one:", "option_replace": "Make {newContactName} your new {designationLabel} ({existingContactName} becomes unassigned)", "option_assign_other": "Make {newContactName} your {otherDesignationLabel}", "cancel_label": "Cancel" }, "validation": { "max_primary_per_member": 1, "max_alternate_per_member": 1, "uniqueness_violation_error": "Each member can have only one Primary Healthcare Proxy and one Alternate Healthcare Proxy." }, "grandfathering_notice": "You have {count} contacts marked as Healthcare Proxy. To follow your wishes precisely, your care team needs to know who decides first. Please choose your Primary Healthcare Proxy and your Alternate.", "output": { "section_header": "HEALTHCARE PROXY", "primary_prefix": "Primary", "alternate_prefix": "Alternate", "alternate_clinical_note": "Contact if Primary cannot be reached.", "no_alternate_notice": "No Alternate designated." } }, "role_display_order": { "ordered_keys": [ "primary_voice", "secondary_voice", "legal_guardian", "emergency_contact", "care_coordinator", "case_manager", "social_worker", "patient_advocate", "care_partner", "caregiver", "trusted_observer", "financial_proxy", "clinical_interpreter", "primary_physician", "physician", "specialist", "nurse", "nurse_practitioner", "therapist", "pharmacist", "spiritual_advisor", "clergy", "palliative_care_specialist", "hospice_provider", "insurance_representative", "professional_advisor", "attorney", "financial_advisor", "transportation_support", "health_record_manager", "obstetrician", "midwife", "doula", "lactation_consultant", "maternal_mental_health" ] }, "jxe_emotional_copy": { "MOBILITY_STATUS": { "context_message": "How you move through your day shapes the care that fits you. There's no right answer — just yours." }, "TRANS_ACCESS": { "context_message": "Getting to appointments is half the battle. Your team can help more when they know how you travel." }, "HOME_STAIRS": { "context_message": "Stairs matter, especially after a hospital stay. This helps your team plan a safe homecoming." }, "PREFERRED_PHARMACY": { "context_message": "Naming your pharmacy means prescriptions are waiting where you already go." }, "INTERNET_STABLE": { "context_message": "A steady connection opens doors like video visits. If yours isn't steady, your team plans around it." }, "DISABILITY_STATUS": { "context_message": "This helps your team honor what support looks like for you — on your terms." }, "RECENT_TRANSITION_LOG": { "context_message": "Recent stays tell your team where you've been, so they can plan where you're going." }, "B1": { "context_message": "Choosing who makes decisions for you is one of the most important decisions here.", "reflection_message": "Knowing who you trust to make decisions for you brings real peace." }, "D13": { "context_message": "Your faith and culture deserve to be honored in your care." }, "FAMILY_MESSAGE": { "context_message": "Your words to loved ones are a gift — take your time.", "reflection_message": "What you've written here will mean the world to them.", "calming_header": "Speaking from the heart takes courage. Take all the time you need." }, "L0": { "context_message": "This is about what matters most to you. There are no wrong answers.", "reflection_message": "Take a moment. This choice reflects your deepest values.", "calming_header": "Take your time with this question. There's no rush, and there are no wrong answers.", "calming_footer": "Whatever you decide, your care team will support you." }, "L1": { "context_message": "Your care philosophy helps your team understand your values.", "reflection_message": "Your philosophy will guide the people who care for you." }, "PRO_FEED": { "context_message": "Your preferences about nutrition support are deeply personal." }, "PRO_ICU": { "context_message": "This helps your team know how you feel about intensive interventions." }, "PRO_VENT": { "context_message": "Understanding your feelings about ventilation helps your team respect your wishes." }, "Q1": { "context_message": "What makes life meaningful to you guides every care decision." }, "default": { "calming_header": "Take your time with this question. There's no rush.", "calming_footer": "Your answers help your care team understand what matters to you." }, "my_code_status": { "context_message": "Code status is one of the most important conversations you'll have with your care team. Take your time here.", "reflection_message": "There is no rush. Write what feels right to you, in this moment.", "calming_header": "Your wishes matter and your voice matters.", "calming_footer": "You are writing your own story." }, "my_allergy_alert": { "context_message": "Your allergy alert protects you when you can't speak for yourself. Include everything.", "reflection_message": "Take your time. What they don't know can hurt you.", "calming_header": "This is your protection.", "calming_footer": "Every allergy you document could save your life." } }, "protection_tier_copy": { "awareness": { "advisor_sentence": "You see your story clearly.", "opens_when": "Opens when you share your name and birth date.", "requirement_keys": [ "D1", "D5" ] }, "reachability": { "advisor_sentence": "The right people can be reached when it matters.", "opens_when": "Opens when you add your first emergency contact.", "requirement_keys": [ "EC1" ] }, "advocacy": { "advisor_sentence": "Someone can advocate for you.", "opens_when": "Opens when you name someone who can make decisions for you.", "requirement_keys": [ "B1" ] }, "clarity": { "advisor_sentence": "Your circle understands your wishes.", "opens_when": "Opens when you share your allergies, conditions, and code status.", "requirement_keys": [ "M2", "MAJOR_CONDITIONS", "L0" ] }, "intent": { "advisor_sentence": "Your wishes are written in your own voice.", "opens_when": "Opens when you share how you want your care to feel.", "requirement_keys": [ "TREATMENT_PHILOSOPHY", "QUALITY_PRIORITIES" ] }, "sanctuary": { "advisor_sentence": "Your protection is complete — and it travels with you.", "opens_when": "Opens when your reasons and values are written in your voice.", "requirement_keys": [ "L0_WHY", "V1", "Q1" ] } }, "jxe_meta_column_copy": { "my_code_status": { "salutation": [ "{memberFirstName},", "this is yours", "to decide." ], "sub_copy_by_weight": { "light": [ "No wrong answer —", "only your answer." ], "higher": [ "There is no rush.", "Write what feels true." ], "highest": [ "Write what you want.", "Come back anytime." ] } }, "my_allergy_alert": { "salutation": [ "{memberFirstName},", "this protects you", "in a crisis." ], "sub_copy_by_weight": { "light": [ "This is the safety net.", "Anything they need to know." ], "higher": [ "Take your time.", "Include what matters." ], "highest": [ "Write what you want.", "Come back anytime." ] } } }, "jxe_guide_state_copy": { "_doc": "SPRINT-2B-1. AnchorVoice-state -> guide-voice copy. ONE SSOT for every surface that narrates the guide's voice: the verso guide-state slot (honesty line), the top-right build-state chip (terse chip label), and the close screen (2B-2 migrates its hardcoded copy here). Keyed by AnchorVoice (src/app/core/models/anchor-enrichment.types.ts): not_started|started|building|speaks_for_you|tells_your_story. Copy says 'guide', NEVER 'page' (operator ruling 2026-07-09 — the artifact is the guide; it may span pages, but the goal is to complete the guide and enhance the Medical BLUEPRINT). Supersedes the mockup placeholder 'your page' (REQUIRED-FIELD-CONTRACT-007). chip=null hides the build-state chip.", "not_started": { "chip": null, "honesty": "Your guide is ready when you are." }, "started": { "chip": "Started", "honesty": "You've begun your guide." }, "building": { "chip": "Building", "honesty": "Still building your guide." }, "speaks_for_you": { "chip": "Ready to share", "honesty": "Your guide is ready to share." }, "tells_your_story": { "chip": "Tells your story", "honesty": "Your guide tells your story." } }, "protection_tiers": { "PRE_AWARENESS": { "image_path": "", "text_zone_strategy": "adjacent-band", "text_zone_coordinates": null, "text_zone_foreground": null, "diegetic_anchor": null, "greeting_template": null, "eyebrow_label": "", "state_phrasings": { "complete": null, "in_progress": null, "not_started": "Your story is ready to begin." }, "continuation_affordances": { "complete": null, "in_progress": null, "not_started": [ { "label": "Begin your story", "route": "/homebase" } ] } }, "SANCTUARY": { "image_path": "assets/images/tiers/SANCTUARY.webp", "text_zone_strategy": "adjacent-band", "text_zone_coordinates": null, "text_zone_foreground": null, "diegetic_anchor": null, "greeting_template": "{memberFirstName}, welcome home.", "eyebrow_label": "SANCTUARY", "state_phrasings": { "complete": "Your story is complete and ready.", "in_progress": null, "not_started": null }, "continuation_affordances": { "complete": [ { "label": "Review what you've built", "route": "/homebase" }, { "label": "Share with your village", "route": "/village" } ], "in_progress": null, "not_started": null } }, "INTENT": { "image_path": "assets/images/tiers/INTENT.webp", "text_zone_strategy": "adjacent-band", "text_zone_coordinates": null, "text_zone_foreground": null, "diegetic_anchor": null, "greeting_template": "{memberFirstName}, your wishes are honored.", "eyebrow_label": "INTENT", "state_phrasings": { "complete": "Your intentions are known, and your village will honor them.", "in_progress": "Your wishes are nearly documented.", "not_started": "Your hardest wishes are waiting to be spoken." }, "continuation_affordances": { "complete": [ { "label": "Deepen your wishes", "route": "/homebase" }, { "label": "Share with your village", "route": "/village" } ], "in_progress": [ { "label": "Continue documenting your wishes", "route": "/homebase" }, { "label": "Visit your village", "route": "/village" } ], "not_started": [ { "label": "Share your hardest wishes", "route": "/homebase" }, { "label": "Visit your village", "route": "/village" } ] } }, "CLARITY": { "image_path": "assets/images/tiers/CLARITY.webp", "text_zone_strategy": "adjacent-band", "text_zone_coordinates": null, "text_zone_foreground": null, "diegetic_anchor": null, "greeting_template": "{memberFirstName}, you are seen.", "eyebrow_label": "CLARITY", "state_phrasings": { "complete": "Your wishes are on record and your picture is whole.", "in_progress": "Your care picture is coming together.", "not_started": "Your wishes are ready to take shape." }, "continuation_affordances": { "complete": [ { "label": "Refine your wishes", "route": "/homebase" }, { "label": "Share with your village", "route": "/village" } ], "in_progress": [ { "label": "Continue shaping your care picture", "route": "/homebase" }, { "label": "Visit your village", "route": "/village" } ], "not_started": [ { "label": "Begin sharing your care wishes", "route": "/homebase" }, { "label": "Meet your village", "route": "/village" } ] } }, "ADVOCACY": { "image_path": "assets/images/tiers/ADVOCACY.webp", "text_zone_strategy": "adjacent-band", "text_zone_coordinates": null, "text_zone_foreground": null, "diegetic_anchor": null, "greeting_template": "{memberFirstName}, your voice is heard.", "eyebrow_label": "ADVOCACY", "state_phrasings": { "complete": "Your voice is represented and your village is briefed.", "in_progress": "Your voice is being captured.", "not_started": "Your voice is ready to be carried." }, "continuation_affordances": { "complete": [ { "label": "Brief your village", "route": "/village" }, { "label": "Return to your homebase", "route": "/homebase" } ], "in_progress": [ { "label": "Continue capturing your voice", "route": "/homebase" }, { "label": "Visit your village", "route": "/village" } ], "not_started": [ { "label": "Share your voice", "route": "/homebase" }, { "label": "Meet your decision makers", "route": "/village" } ] } }, "REACHABILITY": { "image_path": "assets/images/tiers/REACHABILITY.webp", "text_zone_strategy": "adjacent-band", "text_zone_coordinates": null, "text_zone_foreground": null, "diegetic_anchor": null, "greeting_template": "{memberFirstName}, you can be found.", "eyebrow_label": "REACHABILITY", "state_phrasings": { "complete": "Your village is here, and they can find you.", "in_progress": "Your village is taking shape.", "not_started": "Your village is waiting to gather." }, "continuation_affordances": { "complete": [ { "label": "Strengthen your reach", "route": "/homebase" }, { "label": "Visit your village", "route": "/village" } ], "in_progress": [ { "label": "Continue building your village", "route": "/village" }, { "label": "Return to your homebase", "route": "/homebase" } ], "not_started": [ { "label": "Start building your village", "route": "/village" }, { "label": "Explore your homebase", "route": "/homebase" } ] } }, "AWARENESS": { "image_path": "assets/images/tiers/AWARENESS.webp", "text_zone_strategy": "adjacent-band", "text_zone_coordinates": null, "text_zone_foreground": null, "diegetic_anchor": null, "greeting_template": "{memberFirstName}, we're glad you're here.", "eyebrow_label": "AWARENESS", "state_phrasings": { "complete": "Your story is ready to grow.", "in_progress": "Your story is taking its first shape.", "not_started": "Your story is waiting for you." }, "continuation_affordances": { "complete": [ { "label": "See what's next", "route": "/homebase" }, { "label": "Meet your village", "route": "/village" } ], "in_progress": [ { "label": "Pick up where you left off", "route": "/homebase" }, { "label": "Meet your village", "route": "/village" } ], "not_started": [ { "label": "Begin your story", "route": "/homebase" }, { "label": "Meet your village", "route": "/village" } ] } } }, "jxe_threshold_copy": { "_doc": "GUIDE-THRESHOLD-FULL-SPREAD-PROJECTION-MOCKUP-001 rev 3 ★ LOCKED 2026-09-02e — the threshold act's STATE copy, verbatim (GOV-004: copy lives here, never in a component). {name} = member first name, {n} = unanswered question count, {minutes} = estimate, {question} = the first/next question's ask. Per-guide HEADLINES are not authored yet (TD-GUIDE-THRESHOLD-HEADLINES-UNAUTHORED-001): the recto wears the guide's purpose line until they are. rev 3.4 R3-18: the gate names the POSITION ({k} = the next question’s ordinal, {n} = the count) — one line for every guide.", "required_chip": "Required · your guide needs this before it’s ready to share", "part_rail_suffix": "{n} gentle questions · about {minutes} minutes", "ready": { "counsel": "A good place to begin, {name}.", "body": "Most members write this guide in about {minutes} minutes. You can skip anything, park it, and change any answer whenever life reshapes it.", "para": "Your care team never sees a question you skipped as a gap — only the things you chose to tell them.", "invite": "A short guide — gentle questions, answered in your own words, kept in your book.", "meta": "About {minutes} minutes · pause anytime", "gate": "First of {n} questions", "primary": "Start this guide →" }, "building": { "counsel": "Picking up right where you paused, {name}.", "body": "A few answers remain, and you can park this again anytime.", "para": "", "invite": "Your earlier answers are saved exactly as you left them.", "meta": "About {minutes} minutes remain", "gate": "Next: question {k} of {n}", "primary": "Continue this guide →" } }, "jxe_close_copy": { "_paper": "GUIDE-CLOSE-PART-CLOSER-MOCKUP-001 rev 1 ★ LOCKED 2026-09-03(g) · AMD-001 R7 ★ LOCKED 09-03(m) · AMD-002 R8 ★ LOCKED 09-04 · AMD-003 2026-09-17(a): seal→publish, wax retired from prose, declare-into-publish collapsed (R1 amended). Placeholders: {name} {n} {k} {waiting} {unsigned} {changed} {minutes} {guide} {date}. A count is never typed; neither is its plural.", "face-a": { "counsel": "You’ve told most of it, {name}.", "body": "{waiting} questions are waiting whenever you’re ready — your answers so far are kept exactly as they are.", "headline": "You’ve told most of it.", "invite": "{waiting} questions still need you before this can be published.", "meta": "", "gate": "Then: {guide} opens", "primary": "Add the rest of my story →", "part_state": "in progress", "rail": "{k} of {n} questions answered", "wax": "unpressed", "escapes": [ { "key": "add", "label": "Add the rest of my story", "counsel": "Back into the work — your answers so far are kept exactly as they are." }, { "key": "done", "label": "Done for now", "counsel": "Nothing is published. You can come back any time; the guide follows you." } ] }, "face-b": { "counsel": "That’s the whole of it, {name} — every question, in your own words.", "body": "Publish it and your care team reads it exactly this way. You can unlock and change it any time; the guide follows you.", "headline": "Your guide is up to date.", "invite": "Publish it, and it’s ready to share exactly as you wrote it.", "meta": "You can unlock and change a published guide at any time.", "gate": "Then: {guide} opens", "primary": "Publish this guide →", "part_state": "written", "rail": "{n} of {n} questions answered · {minutes} minutes", "wax": "ready", "escapes": [ { "key": "refine", "label": "Keep refining", "counsel": "Back into the work; nothing is published until you say so." } ] }, "face-b-held": { "counsel": "Almost, {name} — {unsigned} answers are waiting for your signature.", "body": "A guide publishes only what you’ve signed. Sign them, or set them aside, and it’s ready to publish and share.", "headline": "Your guide is up to date.", "invite": "{unsigned} answers aren’t signed yet.", "invite_singular": "{unsigned} answer isn’t signed yet.", "meta": "You can unlock and change a published guide at any time.", "gate": "it’s ready to publish and share", "primary": "Sign what’s waiting →", "part_state": "written", "rail": "{n} of {n} questions answered · {unsigned} unsigned", "wax": "held", "escapes": [ { "key": "refine", "label": "Keep refining", "counsel": "Back into the work — nothing is published until you say so." } ] }, "face-b-changed": { "counsel": "You’ve changed your story, {name} — here is what your guide will say once published.", "body": "Publish it and your care team reads the new version exactly this way.", "headline": "Your guide is up to date.", "invite": "Changed since you published it:", "meta": "You can unlock and change a published guide at any time.", "gate": "Then: {guide} opens", "primary": "Publish these changes →", "part_state": "written", "rail": "{n} of {n} questions answered · {changed} changed", "wax": "ready", "escapes": [ { "key": "refine", "label": "Keep refining", "counsel": "Back into the work — nothing is published until you say so." } ] }, "sealed": { "counsel": "It’s in your book now, {name}.", "body": "Everyone you’ve chosen reads it the way you wrote it. If life changes it, unlock it and the guide follows.", "headline": "{guide} is published.", "invite": "Published {date}. It’s ready to share exactly as you wrote it.", "meta": "", "gate": "Now: read it the way your care team will", "primary": "Open the guide →", "part_state": "sealed", "rail": "{n} of {n} questions answered · published {date}", "wax": "pressed", "escapes": [ { "key": "unlock", "label": "Unlock and update", "counsel": "Every answer stays until you change it." } ] }, "sealed-changed": { "counsel": "Your book has moved on, {name} — it hasn’t been published yet.", "body": "What your care team sees is the published version. Publish the changes and they hear the new one.", "headline": "{guide} is published.", "invite": "Changed since published — {changed} answers", "invite_new_questions": "Still current. We've added {n} new questions since you last looked — answer them whenever you like.", "meta": "", "meta_new_questions": "Still shared as you wrote it. {n} new questions need you before the next update can be published.", "gate": "Then: the new version opens", "primary": "Publish the changes →", "part_state": "sealed · changed", "rail": "{n} of {n} questions answered · published · {changed} changed since", "wax": "pressed", "escapes": [ { "key": "keep", "label": "Keep it as published", "counsel": "The published version stands; your changes wait in the work." } ] } }, "core_class": { "_doc": "Q1'' (RECONCILIATION-MEMBER-JOURNEY-ENGINE-001, ruled 2026-09-21): the core class — guides whose fields can never be deferred or not_applicable, whose tier presence no rule can remove. Moves here from the hand list (output.registry.ts alwaysRelevant, 5 of 7 marked). AMD-002 §5 'floors'.", "version": "1", "guides": [ "cap_card", "clinical_summary", "code_status_directive", "allergy_alert", "proxy_authorization", "emergency_contact_card", "emergency_quick_card" ] }, "context_declarations": { "_doc": "AMD-002 §2a rule 5: HOUSING_STATUS declares its 'insecure' set in the schema; registry row housing_insecure reads it. Values, not code.", "HOUSING_STATUS": { "insecure_values": [ "temporary" ] }, "TRANS_ACCESS": { "insecure_values": [ "limited", "none" ], "dependent_values": [ "medical_transport" ] }, "INTERNET_STABLE": { "limited_values": [ "no", "limited", "mobile_only" ] }, "INSURANCE_TYPE": { "gap_values": [ "uninsured" ] } }, "guide_relevance_rules": { "_doc": "Guide-level relevance rules (AMD-001 §4.1), grammar: docs/registries/relevance-grammar.schema.json. A guide with no rule is relevant to everyone. Two rules in R-0: the one live predicate migrated, and the P-S rule of AMD-002 §1. EXPECTGAP (D-174, ruling ENGINE-F2-SOFIA-1): the Expecting-season rule on the four end-of-life guides.", "language_communication_card": { "applies_when": { "all": [ { "attr": "needs_interpreter", "is": true } ] }, "reason_key": "relevance.language", "_migrates": "output.registry.ts notApplicableWhen {INTERPRETER_NEEDED eq 'no'}. BEHAVIOUR CHANGE to rule on: unknown INTERPRETER_NEEDED was 'relevant' today; under AMD-001 §3 it is 'deferred'. The source sits in cap_card (core), so it settles early." }, "spiritual_cultural_guide": { "applies_when": { "all": [ { "attr": "faith_tradition", "not_in": [ "none" ] } ] }, "reason_key": "relevance.faith", "_note": "D13 'none' => not_applicable by her declaration (R-5). D13 is NOT in a core guide, so it stays deferred until she answers (Q-6 interim) — recorded in scripts/checks/relevance-core-reachability.baseline. ENGINEFIX2 §D-3 (ruled 2026-10-09): while deferred the guide is ON HOLD — its rung does not pass and the next step asks D13.", "require_when": { "SPIRITUAL_NEEDS": { "all": [ { "attr": "faith_tradition", "not_in": [ "none" ] } ] } }, "_proposed": "ENGINEFIX2 §D-12 (ruled 2026-10-09 21:32): when she names a tradition, SPIRITUAL_NEEDS becomes REQUIRED in this guide, so naming a tradition alone does not reach Intent. FIELD CHOICE PROPOSED pending Ben's clinical/spiritual-care review: the guide's primary reader is spiritual care (audit second-pass-20260927), and SPIRITUAL_NEEDS is what that reader acts on (it drives the guide's support plan); it is already required in spiritual_care_profile. Unknown or declined never raises it." }, "who_depends_on_me": { "promote_when": { "any": [ { "attr": "has_minor_dependents", "is": true }, { "attr": "cares_for_adult", "is": true }, { "attr": "is_caregiver", "is": true } ] }, "reason_key": "relevance.dependents", "_ddr": "DDR-LIFE-ROLES-AND-DEPENDENTS-001 §7 P-1 (RULED 2026-10-12): someone relies on her day to day, so 'If I Can't Be There' moves from later to now. promote_when only, NO applies_when: the guide stays universal (S-CARE §9.2) and relevant to everyone exactly as before; a member who has told us nothing changes state nowhere. R-DEP (P-2/P-3) is the engine's per-entry clause (K-ROLES-ENGINE), not a rule here. role_identity appears in no rule (it promotes nothing)." }, "comfort_care_plan": { "applies_when": { "any": [ { "attr": "expecting_season", "known": false }, { "attr": "expecting_season", "is": false } ] }, "promote_when": { "any": [ { "attr": "end_of_life_wishes_stated", "is": true } ] }, "reason_key": "relevance.expecting_season", "_ruling": "ENGINE-F2-SOFIA-1 (operator 2026-10-12 22:2xZ, \"Switch on, fix by Wed\"; D-174 EXPECTGAP): end-of-life guides are not in a clinician's plan for her in an Expecting season, so while her MATERNAL season is open this guide is not_applicable — set aside by the season she opened, never by an inference. applies_when is TRUE for everyone else: no open season is unknown, and {known:false} reads unknown as 'not in the season', so no member outside the season changes state (guard-relevance-rules-name-registered-attributes law 2 holds: all-unknown and all-declined both give TRUE). promote_when puts it back on her own act: a DNR choice, any answer to an end-of-life question, or opening Planning Ahead (end_of_life_wishes_stated). wishes_directives_summary carries no rule: it is in every adult's plan (same ruling). The four rules are one rule; keep them identical." }, "palliative_care_profile": { "applies_when": { "any": [ { "attr": "expecting_season", "known": false }, { "attr": "expecting_season", "is": false } ] }, "promote_when": { "any": [ { "attr": "end_of_life_wishes_stated", "is": true } ] }, "reason_key": "relevance.expecting_season", "_ruling": "ENGINE-F2-SOFIA-1 (operator 2026-10-12 22:2xZ, \"Switch on, fix by Wed\"; D-174 EXPECTGAP): end-of-life guides are not in a clinician's plan for her in an Expecting season, so while her MATERNAL season is open this guide is not_applicable — set aside by the season she opened, never by an inference. applies_when is TRUE for everyone else: no open season is unknown, and {known:false} reads unknown as 'not in the season', so no member outside the season changes state (guard-relevance-rules-name-registered-attributes law 2 holds: all-unknown and all-declined both give TRUE). promote_when puts it back on her own act: a DNR choice, any answer to an end-of-life question, or opening Planning Ahead (end_of_life_wishes_stated). wishes_directives_summary carries no rule: it is in every adult's plan (same ruling). The four rules are one rule; keep them identical." }, "final_wishes": { "applies_when": { "any": [ { "attr": "expecting_season", "known": false }, { "attr": "expecting_season", "is": false } ] }, "promote_when": { "any": [ { "attr": "end_of_life_wishes_stated", "is": true } ] }, "reason_key": "relevance.expecting_season", "_ruling": "ENGINE-F2-SOFIA-1 (operator 2026-10-12 22:2xZ, \"Switch on, fix by Wed\"; D-174 EXPECTGAP): end-of-life guides are not in a clinician's plan for her in an Expecting season, so while her MATERNAL season is open this guide is not_applicable — set aside by the season she opened, never by an inference. applies_when is TRUE for everyone else: no open season is unknown, and {known:false} reads unknown as 'not in the season', so no member outside the season changes state (guard-relevance-rules-name-registered-attributes law 2 holds: all-unknown and all-declined both give TRUE). promote_when puts it back on her own act: a DNR choice, any answer to an end-of-life question, or opening Planning Ahead (end_of_life_wishes_stated). wishes_directives_summary carries no rule: it is in every adult's plan (same ruling). The four rules are one rule; keep them identical." }, "legacy_package": { "applies_when": { "any": [ { "attr": "expecting_season", "known": false }, { "attr": "expecting_season", "is": false } ] }, "promote_when": { "any": [ { "attr": "end_of_life_wishes_stated", "is": true } ] }, "reason_key": "relevance.expecting_season", "_ruling": "ENGINE-F2-SOFIA-1 (operator 2026-10-12 22:2xZ, \"Switch on, fix by Wed\"; D-174 EXPECTGAP): end-of-life guides are not in a clinician's plan for her in an Expecting season, so while her MATERNAL season is open this guide is not_applicable — set aside by the season she opened, never by an inference. applies_when is TRUE for everyone else: no open season is unknown, and {known:false} reads unknown as 'not in the season', so no member outside the season changes state (guard-relevance-rules-name-registered-attributes law 2 holds: all-unknown and all-declined both give TRUE). promote_when puts it back on her own act: a DNR choice, any answer to an end-of-life question, or opening Planning Ahead (end_of_life_wishes_stated). wishes_directives_summary carries no rule: it is in every adult's plan (same ruling). The four rules are one rule; keep them identical." } } }