Evidence cards

{
  "model": "aug-evidence",
  "messages": [{"role": "user", "content": "Starting ibuprofen for knee osteoarthritis — any concerns?"}],
  "augsidius": {
    "audience": "clinician",
    "context": {
      "patient": {"age": 58, "sex": "male"},
      "conditions": [{"text": "bipolar disorder"}, {"text": "knee osteoarthritis"}],
      "medications": [{"text": "lithium carbonate 400 mg twice daily"}],
      "draft_orders": [{"text": "ibuprofen 400 mg three times daily"}],
      "observations": [{"text": "eGFR", "value": 62, "unit": "mL/min/1.73m2"}]
    },
    "instructions": {"focus": ["interactions", "contraindications"], "max_items": 5, "min_certainty": "low"}
  }
}

{
  "resolved_context": {"medications": [{"text": "lithium carbonate", "concept_id": "…"}]},
  "cards": [{
    "uuid": "c1",
    "summary": "Ibuprofen may raise lithium levels (toxicity risk)",
    "indicator": "warning",
    "detail": "NSAIDs reduce renal lithium clearance. Consider paracetamol, or check lithium levels within 5 days of starting.",
    "decision": {"type": "interaction", "severity": "major", "confidence": 0.91, "certainty": "moderate", "abstain": false},
    "source": {"label": "Augsidius Evidence Graph", "concepts": ["…", "…"], "references": [{"pmid": "…"}]},
    "suggestions": [
      {"uuid": "s1", "label": "Use paracetamol instead",
       "actions": [{"type": "delete", "resource": "draft_orders[0]"}, {"type": "create", "resource": {"text": "paracetamol 1 g four times daily"}}]},
      {"uuid": "s2", "label": "Keep and monitor lithium level in 5 days",
       "actions": [{"type": "create", "resource": {"text": "serum lithium level, day 5"}}]}
    ],
    "selection_behavior": "at-most-one",
    "override_reasons": [{"code": "benefit-outweighs", "display": "Benefit outweighs risk"},
                         {"code": "already-monitored", "display": "Levels already monitored"}]
  }],
  "unsupported": []
}