# Fictional acute asthma software practice

Version 1.0.0. This is a fictional source for practising OpenHealthSim import, human review, manual session control and debrief. It is not a treatment protocol, assessment instrument or clinically validated teaching case. Every observation is simulated. A clinician must review and adapt it before any educational use beyond a software demonstration.

## Scenario overview

Title: Acute asthma software practice. Setting: a simulated acute medical assessment unit. Suggested software rehearsal duration: 10 minutes, followed by a short debrief. Purpose: test a source document with paragraphs, an observation table and a simple three-state course. Run as an engineering rehearsal without clinical scoring.

## Fictional patient

Aisha Rahman is a fictional 29-year-old adult with asthma. She is sitting upright, breathless and speaking in short phrases. She reports worsening wheeze after a cold. The simulated patient record identifier is SIM-PRACTICE-001. No real patient data is included. This practice file does not prescribe medication, doses, oxygen targets or a clinical escalation threshold.

## Learning outcomes for the software rehearsal

- Locate the original source and compare its table with the parsed source.
- Review the three proposed states and their observation units before approving a local version.
- Create a session, then start it explicitly from the correct console.
- Move the course manually, take a new simulated reading, add a marker and pause/resume the same session.
- End the session and inspect the factual debrief and its selected export audience.

## Learner prebrief

This is a software rehearsal with a fictional patient. All displayed measurements and events are simulated. The facilitator controls the course manually. Do not use this practice file to make decisions about a real person. Learners may describe an assessment and report a simulated reading; they are not asked to administer real treatment.

## Patient course and observations

Start at Arrival. The facilitator moves manually from Arrival to Supported, then from Supported to Improving. These transitions stand in for a reviewed teaching scenario; they do not assert treatment efficacy or elapsed clinical timing. There are no automatic deterioration rules or calculated early-warning scores in this practice file.

| State | Respiratory rate /min | SpO2 % | Heart rate /min | Blood pressure mmHg | Temperature C |
| --- | --- | --- | --- | --- | --- |
| Arrival | 28 | 89 | 118 | 128/78 | 37.2 |
| Supported | 24 | 94 | 112 | 126/76 | 37.2 |
| Improving | 20 | 96 | 105 | 124/74 | 37.2 |

These illustrative values reuse the fictional reference fixture's Arrival, Oxygen applied and Improving vital rows. The shortened manual course deliberately omits the original treatments, scores, second track, deterioration branch and timing rules. Do not infer that those omitted features were reviewed or imported.

## Dialogue and outputs

At Arrival, the simulated patient says: I cannot catch my breath. At Supported: That is a little easier. At Improving: What happens next. Route patient dialogue to the selected patient-voice destination, or use the explicitly displayed console fallback. Show simulated observations on the selected monitor when one is configured. A facilitator must inspect actual output delivery.

## Facilitator procedure and end criteria

Create an engineering rehearsal and verify the selected scenario version. Open its saved console and choose Start session. Take an initial simulated reading. Move manually to Supported and take another reading. Add a marker labelled Source table checked. Pause the session, return to the same session link, inspect its status and resume it. Move manually to Improving, take a final reading and end the session explicitly. Completion means these software actions were inspected; it does not mean a clinical outcome was achieved.

## Debrief questions

- Did the parsed table preserve every simulated value and unit?
- Was creating a session kept separate from starting it?
- Did the same session retain its state across pause and browser reentry?
- Were attempted and delivered outputs distinguished?
- Does the chosen facilitator or learner export show only the intended content?

## Review notes

The original fictional observation values await clinical review. This new source intentionally supplies no clinical scoring scale, medication order or treatment instructions. Record human review of the extracted draft and unresolved findings before local approval. A local approval in the application is not clinical certification.