{
  "synthetic": true,
  "patient_id": "PAT-00001",
  "beneficiary_id": null,
  "care_period_id": null,
  "clinical_track": "CKM",
  "protocol_version": "CKM-v2.1",
  "checkin_date": "2026-07-15",

  "execution_log": {
    "protocol_completed": true,
    "completion_time": "08:15:00",
    "duration_minutes": 45,
    "body_areas_completed": ["Kidney axis", "Liver axis"],
    "steps_completed": ["Kidney meridian brushing", "Liver meridian brushing", "TCM thermal therapy"],
    "steps_skipped": [],
    "skipped_reason": null,
    "unusual_reaction": null
  },

  "daily_status": {
    "symptom_changes": [
      {
        "symptom": "Energy level",
        "change": "Improved — felt more energetic after protocol",
        "severity_change": "down"
      },
      {
        "symptom": "Sleep quality",
        "change": "Slightly better — fell asleep in ~20 minutes vs usual 40+",
        "severity_change": "down"
      }
    ],
    "new_or_worsening_symptoms": [],
    "pain_score_0_10": 4,
    "pain_locations": ["Lower back (mild)"],
    "fatigue_level": "Moderate",
    "sleep_hours": 6.5,
    "dizziness": false,
    "shortness_of_breath": false,
    "chest_pain": false,
    "fever": false,
    "swelling": false,
    "bleeding": false,
    "skin_reaction": false,
    "gi_reaction": false,
    "urination_change": false
  },

  "ckm_daily_fields": {
    "home_bp_systolic": 148,
    "home_bp_diastolic": 92,
    "home_bp_time": "07:45:00",
    "home_bp_notes": "Taken seated, rested 5 minutes, left arm",
    "home_weight_lbs": 201,
    "home_weight_time": "07:50:00",
    "blood_glucose_mg_dl": null,
    "medication_changes": false,
    "medication_change_details": null
  },

  "safety_signal": {
    "level": "green",
    "triggered_rules": [],
    "requires_review": false
  },

  "free_text": "Felt good today overall. A bit more energy after the kidney meridian work.",

  "metadata": {
    "source_system": "healthie",
    "submission_method": "patient_portal",
    "device": "iOS app v2.4.1",
    "submitted_at": "2026-07-15T08:20:00Z"
  }
}