Define Protocol

Protocol JSON

{
  "protocol_id": "SSC-SCREEN-2021",
  "name": "Sepsis Screening & Management Protocol",
  "version": "2021.1",
  "description": "Surviving Sepsis Campaign 2021 \u2014 rapid sepsis triage",
  "entry_node": "screen_sirs",
  "nodes": [
    {
      "node_id": "screen_sirs",
      "title": "SIRS Criteria Screening",
      "selectors": {
        "acuity": "urgent",
        "body_system": "infectious"
      },
      "is_terminal": false,
      "transitions": [
        {
          "condition": {
            "sirs_count": [
              "gte",
              2
            ]
          },
          "target_node": "assess_organ_dysfunction",
          "priority": 0,
          "label": "SIRS >= 2"
        },
        {
          "condition": {
            "sirs_count": [
              "lt",
              2
            ]
          },
          "target_node": "no_sepsis",
          "priority": 1,
          "label": "SIRS < 2"
        }
      ]
    },
    {
      "node_id": "assess_organ_dysfunction",
      "title": "Assess Organ Dysfunction (SOFA)",
      "selectors": {
        "acuity": "urgent"
      },
      "is_terminal": false,
      "transitions": [
        {
          "condition": {
            "sofa_delta": [
              "gte",
              2
            ]
          },
          "target_node": "assess_shock",
          "priority": 0,
          "label": "SOFA delta >= 2"
        },
        {
          "condition": {
            "sofa_delta": [
              "lt",
              2
            ]
          },
          "target_node": "monitor",
          "priority": 1,
          "label": "SOFA delta < 2"
        }
      ]
    },
    {
      "node_id": "assess_shock",
      "title": "Assess Septic Shock",
      "selectors": {
        "acuity": "emergent"
      },
      "is_terminal": false,
      "transitions": [
        {
          "condition": {
            "lactate": [
              "gte",
              4.0
            ]
          },
          "target_node": "septic_shock",
          "priority": 0,
          "label": "Lactate >= 4"
        },
        {
          "condition": {
            "map": [
              "lt",
              65
            ]
          },
          "target_node": "septic_shock",
          "priority": 1,
          "label": "MAP < 65"
        },
        {
          "condition": {
            "sofa_delta": [
              "gte",
              2
            ]
          },
          "target_node": "sepsis_no_shock",
          "priority": 2,
          "label": "Sepsis without shock"
        }
      ]
    },
    {
      "node_id": "septic_shock",
      "title": "Septic Shock \u2014 Aggressive Resuscitation",
      "selectors": {
        "acuity": "emergent",
        "severity": "critical"
      },
      "is_terminal": true,
      "recommendation": {
        "action": "aggressive_resuscitation",
        "details": [
          "ICU admission \u2014 activate sepsis bundle",
          "30 mL/kg IV crystalloid bolus within 3 hours",
          "Norepinephrine \u2014 titrate to MAP >= 65 mmHg",
          "Blood cultures x2 before antibiotics",
          "Broad-spectrum antibiotics within 1 hour",
          "Repeat lactate in 2 hours \u2014 target clearance >= 10%",
          "Central venous access \u2014 CVP monitoring"
        ],
        "evidence": "Surviving Sepsis Campaign 2021 \u2014 Hour-1 Bundle"
      }
    },
    {
      "node_id": "sepsis_no_shock",
      "title": "Sepsis \u2014 Standard Management",
      "selectors": {
        "acuity": "urgent",
        "severity": "severe"
      },
      "is_terminal": true,
      "recommendation": {
        "action": "standard_sepsis_treatment",
        "details": [
          "Step-down unit or monitored bed",
          "IV fluid resuscitation \u2014 assess responsiveness",
          "Blood cultures before antibiotics",
          "Antibiotics within 3 hours",
          "Serial lactate monitoring q4h",
          "Hourly urine output monitoring"
        ],
        "evidence": "Surviving Sepsis Campaign 2021"
      }
    },
    {
      "node_id": "monitor",
      "title": "Monitor & Reassess",
      "selectors": {
        "acuity": "acute",
        "severity": "moderate"
      },
      "is_terminal": true,
      "recommendation": {
        "action": "monitor",
        "details": [
          "Repeat SIRS assessment in 4 hours",
          "Monitor vitals q1h",
          "Obtain CBC, CMP, lactate",
          "Consider infection source workup"
        ],
        "evidence": "Institutional protocol"
      }
    },
    {
      "node_id": "no_sepsis",
      "title": "No Sepsis Criteria Met",
      "selectors": {
        "acuity": "chronic",
        "severity": "mild"
      },
      "is_terminal": true,
      "recommendation": {
        "action": "no_sepsis",
        "details": [
          "Sepsis criteria not met at this time",
          "Continue routine monitoring",
          "Reassess if clinical status changes"
        ],
        "evidence": "Sepsis-3 Definition 2016"
      }
    }
  ]
}

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Protocol Format

Supported formats: compiled node graph (with nodes + entry_node) or simple rule list (with rules). Both are compiled to a deterministic selector machine with an integrity fingerprint.