{
  "title": "Home health simulations for AI training and evaluation",
  "source_page": "https://fiund.com/industries/home-health-training-simulation-data",
  "authorship": "Original fictional Fiund editorial exercise. No actual operating records or third-party source assets are included.",
  "example": {
    "title": "A simulated documentation assistant must separate direct observation from an actor's report",
    "context": "An adult actor in a training room follows an original nonclinical script involving a blank folder. No patient, home, actual care interaction or clinical recommendation appears.",
    "records": [
      [
        "HH1",
        "Visible action annotation",
        "Actor places blank folder F on marked table T at second 10. Reviewer confirms the placement is visible."
      ],
      [
        "HH2",
        "Original scripted statement",
        "At second 15 actor says, 'I put the blue card inside yesterday.' Folder is closed; contents not shown or independently verified."
      ],
      [
        "HH3",
        "Draft summary",
        "Generated practice summary says reviewer observed the blue card inside F and that the actor completed every instruction. No instruction-completion checklist supplied."
      ]
    ],
    "question": "Which summary statements are directly observed, reported by the actor or unsupported by the supplied evidence?",
    "answer": "HH1 supports direct observation of folder F's placement on T at second ten. HH2 supports only that the actor reported putting a blue card inside yesterday; it does not show the contents or verify that earlier action. HH3 misattributes that report as a reviewer observation and adds unsupported overall completion. Correct the source attribution and retain the unknown contents without making any diagnosis, care decision or clinical interpretation.",
    "failureModes": [
      "Converting an actor's reported earlier action into a directly observed fact.",
      "Claiming complete task fulfillment without a checklist or sufficient observations."
    ],
    "fields": [
      [
        "Scripted event and timestamp",
        "Defines the evidence."
      ],
      [
        "Observed versus reported source",
        "Preserves attribution."
      ],
      [
        "Unknown state and reviewer correction",
        "Makes unsupported summaries repairable."
      ]
    ],
    "holdout": "Add a separate visible folder-opening clip showing a red card. Require the direct observation and earlier blue-card report to remain distinct with the discrepancy flagged.",
    "boundary": "Use consenting adults, an approved venue and original scripts with written reuse rights. Exclude real health information, addresses and live systems; real-data requests require separate review."
  }
}
