Every synthetic patient journey this hospital can generate, and the exact HL7v2 messages each one puts on the wire as it flows through the interface engine, the EMR, and the fax plane. No real patient data anywhere.
24 pathways · the distribution sums to 100% · tune the rate with PATHWAYS_PER_HOUR
ed_chest_pain 11% Chest pain
aki_dialysis 9% Acute kidney injury
surgical_icu 7% Acute abdomen
peds_fever 5% Fever of unknown origin
maternity_delivery 4% In labour
onc_infusion 2% Chemotherapy
card_nstemi 5% Cardiology: NSTEMI workup, tele admission, cath
endo_dka 4% Endocrine: diabetic ketoacidosis
gi_upper_bleed 4% GI: upper GI bleed, surgical admission
id_urosepsis 4% Infectious disease: urosepsis
neph_ckd_exacerbation 4% Nephrology: CKD exacerbation with prior baseline trend
neuro_stroke 4% Neurology: acute ischemic stroke
onc_neutropenic_fever 4% Oncology: neutropenic fever during chemo cycle
ortho_hip_fracture 4% Orthopedics: hip fracture, ORIF
pulm_copd 4% Pulmonary: COPD exacerbation
bh_suicidal_ideation 3% Behavioral health: suicidal ideation, ED hold then medical floor
ed_anaphylaxis 3% ED: anaphylaxis, observation, discharge
ob_preeclampsia 3% OB: preeclampsia
peds_bronchiolitis 3% Pediatrics: bronchiolitis
fax_discharge_summary 3% discharge summary faxed to the patient's primary care provider.
fax_referral_cardiology 3% referral letter faxed to a specialist's office.
fax_results_to_referrer 3% lab/radiology report faxed back to the ordering/referring provider.
fax_pharmacy_script 2% prescription faxed to the patient's retail pharmacy.
fax_prior_auth 2% prior-authorization request faxed to the payer/insurer.
ref_dermatology on-demand referral letter faxed to a dermatologist for a skin lesion of concern.
ref_gastroenterology on-demand referral letter faxed to a GI specialist for evaluation.
ref_nephrology on-demand referral letter faxed to a nephrologist for CKD evaluation.
ref_neurology on-demand referral letter faxed to a neurologist for a new neurological finding.
neg_any_invalid on-demand Emits any one of the bundled invalid messages at random (matches both names).
neg_invalid_nhs on-demand Emits the InvalidNhsNum hardcoded message (malformed NHS number).
neg_missing_placer_filler on-demand Emits the InvalidOru_MissingPlacerAndFiller hardcoded message.
fhir_demo on-demand NOTE: intentionally NO `result`/lab steps. FHIR *Observation* generation hits a