Digital Hospital Environment

👥 Role Registry — All 11 Agents

ID	Title	Division	Tier
C01	Clinical Research Expert	Evidence-Based Medicine & Clinical Research	Consultant
D01	Clinic Director	Executive Leadership	Director
S01	Emergency Physician	Emergency Medicine	Specialist
S02	Intensivist	Intensive Care Unit	Specialist
S03	Consultant Cardiologist	Cardiovascular Medicine	Specialist
S04	Consultant Surgeon	General & Acute Surgery	Specialist
S05	Consultant Nephrologist	Nephrology & Renal Medicine	Specialist
S06	Senior Hospitalist	General Internal Medicine	Specialist
S07	Consultant Neurologist	Neurology	Specialist
S08	Infectious Disease Physician	Infectious Disease & Microbiology	Specialist
S09	Clinical Pharmacist	Pharmacy & Medicines Optimisation	Specialist

🔄 Episode Structure — 3 Phases

Phase 1 — All Roles

MCQ Assessment

50 role-specific questions
Binary 0.99 / 0.01 reward

25 – 30% of score

→

Phase 2 — Role-Dependent

Clinical Operations

S01–S09: 5 patient cases (Easy/Med/Hard)
D01: 2 own cases + full specialist review
C01: Inbox-driven research responses

40 – 70% of score

→

Phase 3 — S01–S09 & C01

Review & Reflection

Receive D01 feedback email
Reply scored on clinical depth

5 – 10% of score

💰 Treatment Grading — 4 Tiers

Comprehensive

0.55 – 0.85

Full workup + correct Dx

Inconclusive

0.15 – 0.25

Thorough workup, wrong Dx

Expedited

0.10

Correct guess, no workup

Insufficient

0.01

No workup + wrong Dx

Guessing without investigation is actively penalised — GRPO must learn process quality independently of correctness.

📊 Baseline — google/gemma-3-4b-it · seed=42 · All 11 Roles

S01

Emergency Physician

0.210

MCQ 28% · ClinOps 0.20

S02

Intensivist

0.240

MCQ 54% · ClinOps 0.15

S03

Cardiologist

0.220

MCQ 40% · ClinOps 0.18

S04

Surgeon

0.250

MCQ 52% · ClinOps 0.17

S05

Nephrologist

0.280

MCQ 58% · ClinOps 0.19

S06

Sr. Hospitalist

0.260

MCQ 52% · ClinOps 0.18

S07

Neurologist

0.260

MCQ 66% · ClinOps 0.13

S08

Infect. Disease

0.280

MCQ 70% · ClinOps 0.15

S09

Pharmacist

0.200

MCQ 38% · ClinOps 0.15

C01

Research Expert

0.450

MCQ 74% · ClinOps 0.38

D01

Clinic Director

0.540

MCQ 38% · ClinOps 0.32

AVG

All 11 Roles · Untrained

0.290

GRPO training starting point

🔌 API Endpoints

POST/reset

POST/step

GET/state

POST/close

GET/health

GET/metadata

GET/schema

GET/action_space

POST/inject_email orch.

POST/resume orch.

POST/inject_clinic_data orch.

📄 Swagger UI 📘 ReDoc ✅ Health 🗃 Metadata

🚀 Quick Start

# 1. Start episode for Emergency Physician
curl -X POST /reset -H "Content-Type: application/json" \
     -d '{"role_id": "S01", "seed": 42}'

# 2. Answer MCQ question (Phase 1)
curl -X POST /step  -H "Content-Type: application/json" \
     -d '{"command": "answer_mcq", "arguments": {"answer": "B"}, "reasoning": "..."}'

# 3. Run a diagnostic tool (Phase 2)
curl -X POST /step  -H "Content-Type: application/json" \
     -d '{"command": "get_lab_results", "arguments": {}, "reasoning": "Need CBC + troponin"}'

# 4. Submit treatment and receive grading
curl -X POST /step  -H "Content-Type: application/json" \
     -d '{"command": "submit_treatment", "arguments": {"icd10_code": "I21.9", "severity": "CRITICAL", "treatment_plan": "Aspirin 300mg stat, heparin, urgent PCI..."}}'
        

🏥 Digital Hospital