The scenario library
27 patient situations today, in two areas: medication safety review (23) and data integrity (4). Below is how each one fared in a real 3,000-patient run. Need situations that are not here? We write them for your domain.
25 met · 0 short · 2 not verifiable — From a real 3,000-patient run.
25 met · 2 not verifiable. Showing 27 of 27
| Scenario | Severity | Target | Found | Found against target | Status |
|---|---|---|---|---|---|
| SCN-MEDSAFE-001Medication prescribed despite documented allergy to it | critical | 50 | 110 | Met | |
| SCN-MEDSAFE-002Metformin active while the latest eGFR is below 30 | critical | 60 | 85 | Met | |
| SCN-MEDSAFE-003Potassium-raising drug with existing hyperkalaemia | critical | 40 | 40 | Met | |
| SCN-MEDSAFE-004Duplicate therapy: two active medications, same class40 built, 130 by chance | high | 40 | 170 | Met | |
| SCN-MEDSAFE-005Polypharmacy: eight or more concurrent active medications | high | 50 | 80 | Met | |
| SCN-MEDSAFE-006Five or more active chronic conditions | normal | 40 | 65 | Met | |
| SCN-MEDSAFE-007No allergy record of any kind exists60 built, 90 by chance | high | 60 | 150 | Met | |
| SCN-MEDSAFE-008Medication present with no supporting indication anywhere | high | 40 | Not counted | Not verifiable | |
| SCN-MEDSAFE-009Relevant monitoring lab never recorded for a monitored drug30 built, 90 by chance | normal | 30 | 120 | Met | |
| SCN-MEDSAFE-010Medication with no recorded dose | normal | 30 | 55 | Met | |
| SCN-MEDSAFE-011Same medication recorded twice with different doses30 built, 46 by chance | high | 30 | 76 | Met | |
| SCN-MEDSAFE-012Duplicate patient record with drifted demographics | normal | 25 | 25 | Met | |
| SCN-MEDSAFE-013Allergy recorded as both active and refuted | normal | 20 | 20 | Met | |
| SCN-MEDSAFE-014Allergy documented after the allergen was prescribed | high | 30 | 30 | Met | |
| SCN-MEDSAFE-015Medication started before its indication was diagnosed | normal | 25 | Not counted | Not verifiable | |
| SCN-MEDSAFE-016Long medication history: 10+ years of records25 built, 1,055 by chance | normal | 25 | 1,080 | Met | |
| SCN-MEDSAFE-017Age 85+ with three or more concurrent medications | high | 40 | 79 | Met | |
| SCN-MEDSAFE-018Latest HbA1c above 12 | critical | 40 | 40 | Met | |
| SCN-MEDSAFE-019Lab result recorded with no value | normal | 30 | 30 | Met | |
| SCN-MEDSAFE-020Active prescription whose recorded reason is marked resolved | normal | 25 | 25 | Met | |
| SCN-MEDSAFE-021Same test recorded twice at the same moment with different results | high | 25 | 25 | Met | |
| SCN-MEDSAFE-022Same allergy recorded twice, both active | normal | 20 | 20 | Met | |
| SCN-MEDSAFE-023Medication stopped and later started again25 built, 42 by chance | normal | 25 | 67 | Met | |
| SCN-DATAINT-001Observation references an encounter that does not exist | high | 20 | 20 | Met | |
| SCN-DATAINT-002Medication references an encounter that does not exist | high | 20 | 20 | Met | |
| SCN-DATAINT-003Medication cites an indication that is not in the record | normal | 20 | 20 | Met | |
| SCN-DATAINT-004Condition references an encounter that does not exist | normal | 20 | 20 | Met |
How to read this
- Met
- Present in the quantity asked for.
- Short
- Present, but in fewer patients than asked for.
- Not verifiable
- Depends on a clinical fact we have not established yet, so we do not count it. Today the two such situations need an indication list (which medicine treats which condition), which we are building.
- Built versus by chance
- The coverage report separates patients built for a situation from patients who match it by chance, so over-coverage cannot hide.
Met, but mostly by accident
“Met” does not always mean the population was tightly controlled. The report separates patients built for a scenario from patients who satisfy it by chance, so over-coverage cannot hide.
SCN-MEDSAFE-004Duplicate therapy: two active medications, same class
40 built (target 40) 130 by chance
SCN-MEDSAFE-007No allergy record of any kind exists
60 built (target 60) 90 by chance
SCN-MEDSAFE-009Relevant monitoring lab never recorded for a monitored drug
30 built (target 30) 90 by chance
SCN-MEDSAFE-011Same medication recorded twice with different doses
30 built (target 30) 46 by chance
SCN-MEDSAFE-016Long medication history: 10+ years of records
25 built (target 25) 1,055 by chance
SCN-MEDSAFE-023Medication stopped and later started again
25 built (target 25) 42 by chance
Clinical review
Clinical review is under way. Drug facts (91 drugs in 8 classes from the WHO drug classification, and monitoring requirements from US drug labels) are checked against those sources, and every Data Passport says they have not been reviewed by a clinician. A clinician is reviewing the clinical judgement calls: thresholds, urgency and definitions. Eight clinical situations are awaiting that sign-off before they are used in a release.
Need situations that are not in this library? We write them for your domain. Custom scenarios and data-quality sets
Bring the list of situations your software must handle.
We will turn it into a test specification and show you what a pilot would deliver. Already have FHIR test data? Send a sample and we will show you what it is missing. Or email us at [email protected].