{
  "id": "synthetic-two-page-medical-intake-2026-07",
  "measuredAt": "2026-07-28",
  "source": {
    "type": "synthetic",
    "license": "CC0-1.0",
    "containsPersonalData": false,
    "containsRealPatientData": false,
    "containsRealCustomerData": false,
    "file": "/samples/medical-intake-data-extraction/synthetic-two-page-medical-intake-form.pdf",
    "sha256": "1effd351b1ee42d04ba3babebe9749b719abfa1ab7831aae309c75e36623dada",
    "pageCount": 2,
    "layout": "two-page-administrative-medical-intake-form"
  },
  "previews": [
    {
      "file": "/samples/medical-intake-data-extraction/synthetic-two-page-medical-intake-form-page-1.png",
      "sha256": "7b7918a8f62c9fce84a1e1ece6388eadb00a419450bcf313727d6233dafd38c9",
      "width": 1241,
      "height": 1754
    },
    {
      "file": "/samples/medical-intake-data-extraction/synthetic-two-page-medical-intake-form-page-2.png",
      "sha256": "3383e46627cfd2f07a4eb73ddf0cc5a2f20628de6c1fd37b18cb15d73a9a391f",
      "width": 1241,
      "height": 1754
    }
  ],
  "referenceWorkbook": {
    "file": "/samples/medical-intake-data-extraction/synthetic-two-page-medical-intake-reference.xlsx",
    "sha256": "0f8fa2ba622ef7692f794f1169a92f8d75d36736d37f26da06ca782fd06487a6",
    "sheets": [
      "Intake register",
      "Concerns and history",
      "Medications allergies",
      "Review checklist"
    ],
    "referenceWorkbookOnly": true,
    "measuredAIResult": false,
    "savedProductionAIResult": false,
    "preview": {
      "file": "/samples/medical-intake-data-extraction/synthetic-two-page-medical-intake-reference-preview.png",
      "sha256": "bb430b3bcde8f3149b627a1be3add018c9141432f69b6365e0e3990109a13ad5",
      "width": 4205,
      "height": 432
    }
  },
  "coverage": {
    "intakeCount": 1,
    "concernAndHistoryRows": 4,
    "medicationAndAllergyRows": 3,
    "reviewCheckCount": 6,
    "fields": [
      "form reference",
      "source page",
      "submitted date",
      "preferred name",
      "birth year",
      "contact details",
      "language",
      "contact method",
      "visit reason",
      "symptom onset",
      "self-reported concern",
      "self-reported history",
      "self-reported medication",
      "self-reported allergy",
      "emergency contact",
      "reviewer status"
    ]
  },
  "boundaries": [
    "not a real patient, clinic, authorization or customer record",
    "not a saved production AI result",
    "uploader authorization must be confirmed in the real workflow",
    "minimum necessary fields only",
    "no diagnosis or triage",
    "no treatment or prescribing recommendation",
    "no risk, eligibility or insurance decision",
    "no claim of HIPAA or other regulatory certification",
    "authorized human source review remains required"
  ],
  "publicationGate": {
    "status": "indexed-boundary-reviewed",
    "sensitiveDataReview": "passed-synthetic-only",
    "duplicateIntentReview": "passed-distinct-from-generic-handwritten-form-and-insurance-policy",
    "indexingDecision": "index",
    "reason": "The page answers a distinct medical-intake administrative extraction intent using only synthetic evidence and explicit non-clinical boundaries."
  }
}