{
  "id": "AIBD-0582",
  "title": "AI flags Julie Knichel's brain hemorrhage before aneurysm treatment and her return to nursing",
  "summary": "Julie Knichel’s doctors received an alert after software, apparently Viz.ai, detected her brain bleed.",
  "date_observed": "2024-02-02",
  "date_basis": "event",
  "date_precision": "day",
  "benefit_status": "reported",
  "source_collection": null,
  "source_entry": null,
  "account": "Julie Knichel, a 57-year-old nurse, suffered a ruptured brain aneurysm. At Baptist Health's Marcus Neuroscience Institute, AI reviewed her scan and alerted clinicians to the bleeding. They sealed the aneurysm with coils delivered through a catheter. After about three weeks in hospital, she recovered and returned to full-time nursing. Her symptoms began on 2 February 2024. Baptist Health gives the day and month, and Jan Engoren’s subsequent interviews with Knichel and Snelling establish the year. The surgeon names Viz.ai in a later interview and describes an unnamed ICU nurse whose circumstances match Knichel’s. The product attribution is therefore inferred. Neither account identifies the module or release.",
  "category": "harm prevented",
  "unexpected": false,
  "purpose": "Detect brain hemorrhage and alert clinicians.",
  "system": "Viz.ai stroke detection and care coordination (attribution inferred)",
  "model_version": null,
  "developer": "Viz.ai (inferred)",
  "deployer": "Baptist Health, Marcus Neuroscience Institute",
  "location": "Boca Raton, Florida, United States",
  "domain": "Stroke care",
  "segment": "Emergency patients with brain hemorrhage",
  "benefit_type": "Improved Physical Health",
  "taxonomy_note": null,
  "registry_ids": {},
  "ratings": [
    {
      "group": "personal",
      "depth": 5,
      "reason": "Knichel survived a life-threatening hemorrhage and resumed her work and activities."
    }
  ],
  "ai_role": {
    "status": "assessed",
    "statement": "AI flagged the bleeding and notified the stroke team, according to her treating surgeon. Clinicians treated the aneurysm. Viz.ai is an inferred identification from his separate interview. The sources do not isolate the software’s effect on survival."
  },
  "evidence": [
    {
      "kind": "report",
      "citation": "Adrienne Sylver, Baptist Health, November 25, 2024.",
      "title": "Stroke Nurse Shares Her Experience After Brain Aneurysm",
      "url": "https://baptisthealth.net/baptist-health-news/stroke-nurse-shares-her-experience-after-brain-aneurysm",
      "date": "2024-11-25",
      "written_by": "deployer",
      "quote": "Ms. Knichel is happy to have returned to work full time and to her previous activities"
    },
    {
      "kind": "news report",
      "citation": "Brian Snelling and Felipe De Los Rios. “Incorporating AI Into Stroke Triage,” NeurologyLive, October 22, 2025. Original video, 2:29–2:36 and 5:03–5:36; edited transcript, Snelling’s responses.",
      "title": "Incorporating AI Into Stroke Triage",
      "url": "https://www.neurologylive.com/view/incorporating-ai-into-stroke-triage",
      "date": "2025-10-22",
      "written_by": "deployer",
      "quote": null
    },
    {
      "kind": "news report",
      "citation": "Jan Engoren. “Health & Harmony: Fast action, expert surgeon empower nurse’s recovery from stroke,” The Coastal Star, April 29, 2025. Paragraphs describing February 2024 treatment, subarachnoid hemorrhage, and recovery.",
      "title": "Health & Harmony: Fast action, expert surgeon empower nurse’s recovery from stroke",
      "url": "https://thecoastalstar.com/profiles/blogs/fast-action-expert-surgeon-empowers-nurse-to-recover",
      "date": "2025-04-29",
      "written_by": "independent",
      "quote": null
    },
    {
      "kind": "news report",
      "citation": "Kara Duffy. “From caregiver to cared for: How an ICU nurse’s training saved her own life.” CBS12/WPEC, October 29, 2024.",
      "title": "From caregiver to cared for: How an ICU nurse’s training saved her own life",
      "url": "https://cbs12.com/news/local/from-caregiver-to-cared-for-how-an-icu-nurses-training-saved-her-own-life",
      "date": "2024-10-29",
      "written_by": "independent",
      "quote": null
    },
    {
      "kind": "report",
      "citation": "Viz.ai. “Viz.ai Trust Center Privacy Notice.” Section 14, “Viz.ai Head Office.” Undated.",
      "title": "Viz.ai Trust Center Privacy Notice",
      "url": "https://www.viz.ai/trust-center-privacy-notice",
      "date": null,
      "written_by": "makers",
      "quote": null
    }
  ],
  "replication": {
    "produced_by": [
      "AI-assisted imaging and specialist treatment."
    ],
    "must_hold": [
      "Prompt clinical review and access to aneurysm treatment."
    ],
    "echoes": []
  },
  "paired_incident": null,
  "headline": "Doctors found a nurse’s brain bleed with help from AI",
  "metric": null,
  "comparator": null,
  "later": null,
  "value": null,
  "developer_country": "United States",
  "deployer_country": "United States",
  "unrated_because": null,
  "brief_notes": null,
  "brief": null,
  "revisions": [
    {
      "date": "2026-10-23",
      "change": "Added the case.",
      "source": "https://baptisthealth.net/baptist-health-news/stroke-nurse-shares-her-experience-after-brain-aneurysm",
      "editor": "AIBD"
    },
    {
      "date": "2026-10-24",
      "change": "Read Baptist Health's original patient and clinician account, including the surrounding video reference and stroke background. Kept one institutional source and preserved the absence of a named system, measured time saving or patient-specific comparison.",
      "source": "https://baptisthealth.net/baptist-health-news/stroke-nurse-shares-her-experience-after-brain-aneurysm",
      "editor": "AIBD"
    },
    {
      "date": "2026-10-24",
      "change": "Rewrote the short title and summary in plain language, preserving the reported benefit and material limits. Added the named publication or institution to the reviewed lead source for homepage display.",
      "source": "https://baptisthealth.net/baptist-health-news/stroke-nurse-shares-her-experience-after-brain-aneurysm",
      "editor": "AIBD"
    },
    {
      "date": "2026-10-24",
      "change": "Identified the AI system or feature in the supporting summary, or stated that the source does not name the software. Preserved the reported benefit and material qualifications.",
      "source": "https://baptisthealth.net/baptist-health-news/stroke-nurse-shares-her-experience-after-brain-aneurysm",
      "editor": "AIBD"
    },
    {
      "date": "2026-10-24",
      "change": "Traced the system identity beyond the original case report. Added product names and supporting original sources, preserving historical-version limits and any inference in the source notes.",
      "source": "https://www.neurologylive.com/view/incorporating-ai-into-stroke-triage",
      "editor": "AIBD"
    },
    {
      "date": "2026-10-24",
      "change": "Shortened the homepage supporting statement to one sentence naming the system and its contribution; retained detailed outcomes and qualifications in the case account and source notes.",
      "source": "https://baptisthealth.net/baptist-health-news/stroke-nurse-shares-her-experience-after-brain-aneurysm",
      "editor": "AIBD"
    },
    {
      "date": "2026-10-24",
      "change": "Revised the title and subtitle for natural phrasing, with named researchers, shorter dependencies, and less compressed terminology; preserved the system identities and evidence qualifications.",
      "source": "https://baptisthealth.net/baptist-health-news/stroke-nurse-shares-her-experience-after-brain-aneurysm",
      "editor": "AIBD"
    },
    {
      "date": "2026-10-24",
      "change": "Placed the beneficiary’s personal name in the subtitle and kept the display headline focused on the reported benefit.",
      "source": "https://baptisthealth.net/baptist-health-news/stroke-nurse-shares-her-experience-after-brain-aneurysm",
      "editor": "AIBD"
    },
    {
      "date": "2026-10-24",
      "change": "Marked Viz.ai as inferred in the system and developer fields and qualified the AI-role statement. Added earlier original CBS12 interviews, preserved the clinical testimony, and recorded the absence of a confirmed module or release.",
      "source": "https://cbs12.com/news/local/from-caregiver-to-cared-for-how-an-icu-nurses-training-saved-her-own-life",
      "editor": "AIBD"
    },
    {
      "date": "2026-10-24",
      "change": "Revised the homepage subtitle for concise database prose, with courtesy titles for named beneficiaries and numbered clauses for the Coates drug-selection account. Preserved the reported evidence and material uncertainty.",
      "source": null,
      "editor": "AIBD"
    },
    {
      "date": "2026-10-24",
      "change": "Removed the editorial parenthetical and unconfirmed product name from the subtitle. Preserved the inferred Viz.ai identification and its supporting evidence in the case account, system assessment, and source notes.",
      "source": null,
      "editor": "AIBD"
    },
    {
      "date": "2026-10-24",
      "change": "Restored Viz.ai in the subtitle with an explicit qualification and numbered the two reported clauses. Preserved the inferred system identification and the existing source assessments.",
      "source": null,
      "editor": "AIBD"
    },
    {
      "date": "2026-10-24",
      "change": "Shortened the subtitle to the alert and detection sequence while retaining the qualified Viz.ai identification.",
      "source": null,
      "editor": "AIBD"
    },
    {
      "date": "2026-10-25",
      "change": "Added the United States as the jurisdiction of the inferred developer, Viz.ai, using its own headquarters statement. Preserved the inferred product attribution and existing clinical chronology, account, and ratings. The corporate notice is not evidence that Viz.ai was used for this patient.",
      "source": "https://www.viz.ai/trust-center-privacy-notice",
      "editor": "AIBD"
    }
  ],
  "confidence": "reported",
  "shade": "medium",
  "claim_status": "Independently reported",
  "claim_basis": "Sources: two independent news reports, the makers' report, the deployer's report and the deployer's news report. The cited evidence includes no independent study or report and no finding by a regulator or court.",
  "profile": {
    "case_id": "AIBD-0582",
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      "actors[]": {
        "state": "value_present",
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            "developer": "Viz.ai (inferred)",
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        "review_state": "reviewed",
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        "display": {
          "answer": "Baptist Health’s Marcus Neuroscience Institute treated Knichel. Viz.ai probably supplied the detection software.",
          "editor_note": ""
        }
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            }
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        "provenance": {
          "kind": "source_review",
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            "AIBD-0582-source-0001",
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        "review_state": "reviewed",
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          "answer": "The surgeon reported that software detected the bleeding and alerted the stroke team. Clinicians treated the aneurysm. The sources do not separately measure the software’s effect on survival.",
          "editor_note": ""
        }
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              "status": "assessed",
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            }
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        "provenance": {
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          "source_refs": [
            "AIBD-0582-source-0001",
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          "reviewed_on": "2026-10-24"
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        "review_state": "reviewed",
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      },
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        "state": "not_assessed",
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      "assessments[].depth": {
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            "ratings": [
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              }
            ]
          }
        },
        "provenance": {
          "kind": "legacy_record",
          "basis": "Preserved from the existing AIBD record; external sources were not rechecked.",
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        "review_state": "record_mapped",
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            "basis": "Baptist Health, CBS12/WPEC, The Coastal Star, and NeurologyLive provide patient or treating-clinician accounts. No independent study measures the AI contribution, and no finding by a regulator or court is cited.",
            "interpretation": "Independent interviews corroborate the patient outcome and event year. The product attribution follows the treating clinician’s account and is not independently verified.",
            "system_identity_review": "Additional sources clarify technical identity or chronology. They do not establish the AI contribution independently of the original investigators or witnesses."
          }
        },
        "provenance": {
          "kind": "source_review",
          "basis": "Recomputed the existing display rule after adding the reviewed sources. Source independence remains claim-specific.",
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            "AIBD-0582-source-0002",
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      "evaluations[].reproduction_materials": {
        "state": "not_assessed",
        "review_state": "not_assessed",
        "coverage": "partial",
        "family": "evaluations"
      },
      "evaluations[].setting_sample": {
        "state": "not_assessed",
        "review_state": "not_assessed",
        "coverage": "partial",
        "family": "evaluations"
      },
      "evaluations[].uncertainty_limitations": {
        "state": "not_assessed",
        "review_state": "not_assessed",
        "coverage": "partial",
        "family": "evaluations"
      },
      "external_references[]": {
        "state": "not_assessed",
        "review_state": "not_assessed",
        "coverage": "partial"
      },
      "follow_up[]": {
        "state": "not_assessed",
        "review_state": "not_assessed",
        "coverage": "partial"
      },
      "human_oversight": {
        "state": "not_assessed",
        "review_state": "not_assessed",
        "coverage": "partial"
      },
      "id": {
        "state": "value_present",
        "value": {
          "kind": "record_fields",
          "fields": {
            "id": "AIBD-0582"
          }
        },
        "provenance": {
          "kind": "legacy_record",
          "basis": "Preserved from the existing AIBD record; external sources were not rechecked.",
          "record_fields": [
            "id"
          ],
          "source_refs": []
        },
        "review_state": "record_mapped",
        "coverage": "partial"
      },
      "infrastructure_dependencies[]": {
        "state": "not_assessed",
        "review_state": "not_assessed",
        "coverage": "partial"
      },
      "outcomes[].beneficiaries": {
        "state": "not_assessed",
        "review_state": "not_assessed",
        "coverage": "partial"
      },
      "outcomes[].beneficiary_count": {
        "state": "not_assessed",
        "review_state": "not_assessed",
        "coverage": "partial"
      },
      "outcomes[].benefit_type": {
        "state": "value_present",
        "value": {
          "kind": "record_fields",
          "fields": {
            "benefit_type": "Improved Physical Health"
          }
        },
        "provenance": {
          "kind": "legacy_record",
          "basis": "Preserved from the existing AIBD record; external sources were not rechecked.",
          "record_fields": [
            "benefit_type"
          ],
          "source_refs": []
        },
        "review_state": "record_mapped",
        "coverage": "partial"
      },
      "outcomes[].claim": {
        "state": "value_present",
        "value": {
          "kind": "record_fields",
          "fields": {
            "account": "Julie Knichel, a 57-year-old nurse, suffered a ruptured brain aneurysm. At Baptist Health's Marcus Neuroscience Institute, AI reviewed her scan and alerted clinicians to the bleeding. They sealed the aneurysm with coils delivered through a catheter. After about three weeks in hospital, she recovered and returned to full-time nursing. Her symptoms began on 2 February 2024. Baptist Health gives the day and month, and Jan Engoren’s subsequent interviews with Knichel and Snelling establish the year. The surgeon names Viz.ai in a later interview and describes an unnamed ICU nurse whose circumstances match Knichel’s. The product attribution is therefore inferred. Neither account identifies the module or release.",
            "benefit_type": "Improved Physical Health"
          }
        },
        "provenance": {
          "kind": "source_review",
          "basis": "Updated the mapped values after reviewing system identity and distinguishing product, hardware, and model versions.",
          "record_fields": [
            "account",
            "benefit_type"
          ],
          "source_refs": [
            "AIBD-0582-source-0001",
            "AIBD-0582-source-0002",
            "AIBD-0582-source-0003"
          ],
          "reviewed_on": "2026-10-24"
        },
        "review_state": "reviewed",
        "coverage": "partial"
      },
      "outcomes[].distribution": {
        "state": "not_assessed",
        "review_state": "not_assessed",
        "coverage": "partial"
      },
      "outcomes[].duration": {
        "state": "not_assessed",
        "review_state": "not_assessed",
        "coverage": "partial"
      },
      "outcomes[].id": {
        "state": "not_assessed",
        "review_state": "not_assessed",
        "coverage": "partial"
      },
      "outcomes[].stakeholder_group": {
        "state": "value_present",
        "value": {
          "kind": "record_fields",
          "fields": {
            "ratings": [
              {
                "group": "personal",
                "depth": 5,
                "reason": "Knichel survived a life-threatening hemorrhage and resumed her work and activities."
              }
            ]
          }
        },
        "provenance": {
          "kind": "legacy_record",
          "basis": "Preserved from the existing AIBD record; external sources were not rechecked.",
          "record_fields": [
            "ratings"
          ],
          "source_refs": []
        },
        "review_state": "record_mapped",
        "coverage": "partial"
      },
      "outcomes[].status": {
        "state": "value_present",
        "value": {
          "kind": "record_fields",
          "fields": {
            "benefit_status": "reported"
          }
        },
        "provenance": {
          "kind": "legacy_record",
          "basis": "Preserved from the existing AIBD record; external sources were not rechecked.",
          "record_fields": [
            "benefit_status"
          ],
          "source_refs": []
        },
        "review_state": "record_mapped",
        "coverage": "partial"
      },
      "outcomes[].tradeoffs": {
        "state": "not_assessed",
        "review_state": "not_assessed",
        "coverage": "partial"
      },
      "outcomes[].unexpected": {
        "state": "value_present",
        "value": {
          "kind": "record_fields",
          "fields": {
            "unexpected": false,
            "purpose": "Detect brain hemorrhage and alert clinicians."
          }
        },
        "provenance": {
          "kind": "legacy_record",
          "basis": "Preserved from the existing AIBD record; external sources were not rechecked.",
          "record_fields": [
            "unexpected",
            "purpose"
          ],
          "source_refs": []
        },
        "review_state": "record_mapped",
        "coverage": "partial"
      },
      "places[]": {
        "state": "value_present",
        "value": {
          "kind": "structured",
          "data": {
            "location": "Boca Raton, Florida, United States",
            "developer_country": "United States",
            "deployer_country": "United States",
            "developer_jurisdictions": [
              "United States"
            ],
            "case_jurisdictions": [
              "United States"
            ],
            "developer_jurisdiction_inferred": true,
            "developer_note": "Viz.ai is the inferred developer. Its U.S. headquarters is documented, but its involvement in this patient’s care remains inferred."
          }
        },
        "provenance": {
          "kind": "source_review",
          "basis": "Section 14 of Viz.ai’s own Trust Center Privacy Notice explicitly identifies U.S. headquarters and a San Francisco address. The system and developer attribution to Knichel remain inferred, so the developer jurisdiction is conditional on that attribution. The notice supplies no patient-specific evidence and has no stated publication date. The existing U.S. hospital and benefit location are preserved from the reviewed hospital account.",
          "record_fields": [
            "location",
            "developer_country",
            "deployer_country"
          ],
          "source_refs": [
            "AIBD-0582-source-0001",
            "AIBD-0582-source-0002",
            "AIBD-0582-source-0005"
          ],
          "reviewed_on": "2026-10-25"
        },
        "review_state": "reviewed",
        "coverage": "partial",
        "display": {
          "answer": "Knichel received care in Boca Raton, Florida, United States. Both Baptist Health and the inferred provider, Viz.ai, are based in the United States.",
          "editor_note": ""
        }
      },
      "purpose": {
        "state": "value_present",
        "value": {
          "kind": "record_fields",
          "fields": {
            "purpose": "Detect brain hemorrhage and alert clinicians."
          }
        },
        "provenance": {
          "kind": "legacy_record",
          "basis": "Preserved from the existing AIBD record; external sources were not rechecked.",
          "record_fields": [
            "purpose"
          ],
          "source_refs": []
        },
        "review_state": "record_mapped",
        "coverage": "partial"
      },
      "record_dates": {
        "state": "value_present",
        "value": {
          "kind": "record_fields",
          "fields": {
            "date_observed": "2024-02-02",
            "date_basis": "event",
            "date_precision": "day",
            "revisions": [
              {
                "date": "2026-10-23",
                "change": "Added the case.",
                "source": "https://baptisthealth.net/baptist-health-news/stroke-nurse-shares-her-experience-after-brain-aneurysm",
                "editor": "AIBD"
              },
              {
                "date": "2026-10-24",
                "change": "Read Baptist Health's original patient and clinician account, including the surrounding video reference and stroke background. Kept one institutional source and preserved the absence of a named system, measured time saving or patient-specific comparison.",
                "source": "https://baptisthealth.net/baptist-health-news/stroke-nurse-shares-her-experience-after-brain-aneurysm",
                "editor": "AIBD"
              },
              {
                "date": "2026-10-24",
                "change": "Rewrote the short title and summary in plain language, preserving the reported benefit and material limits. Added the named publication or institution to the reviewed lead source for homepage display.",
                "source": "https://baptisthealth.net/baptist-health-news/stroke-nurse-shares-her-experience-after-brain-aneurysm",
                "editor": "AIBD"
              },
              {
                "date": "2026-10-24",
                "change": "Identified the AI system or feature in the supporting summary, or stated that the source does not name the software. Preserved the reported benefit and material qualifications.",
                "source": "https://baptisthealth.net/baptist-health-news/stroke-nurse-shares-her-experience-after-brain-aneurysm",
                "editor": "AIBD"
              },
              {
                "date": "2026-10-24",
                "change": "Traced the system identity beyond the original case report. Added product names and supporting original sources, preserving historical-version limits and any inference in the source notes.",
                "source": "https://www.neurologylive.com/view/incorporating-ai-into-stroke-triage",
                "editor": "AIBD"
              },
              {
                "date": "2026-10-24",
                "change": "Shortened the homepage supporting statement to one sentence naming the system and its contribution; retained detailed outcomes and qualifications in the case account and source notes.",
                "source": "https://baptisthealth.net/baptist-health-news/stroke-nurse-shares-her-experience-after-brain-aneurysm",
                "editor": "AIBD"
              },
              {
                "date": "2026-10-24",
                "change": "Revised the title and subtitle for natural phrasing, with named researchers, shorter dependencies, and less compressed terminology; preserved the system identities and evidence qualifications.",
                "source": "https://baptisthealth.net/baptist-health-news/stroke-nurse-shares-her-experience-after-brain-aneurysm",
                "editor": "AIBD"
              },
              {
                "date": "2026-10-24",
                "change": "Placed the beneficiary’s personal name in the subtitle and kept the display headline focused on the reported benefit.",
                "source": "https://baptisthealth.net/baptist-health-news/stroke-nurse-shares-her-experience-after-brain-aneurysm",
                "editor": "AIBD"
              },
              {
                "date": "2026-10-24",
                "change": "Marked Viz.ai as inferred in the system and developer fields and qualified the AI-role statement. Added earlier original CBS12 interviews, preserved the clinical testimony, and recorded the absence of a confirmed module or release.",
                "source": "https://cbs12.com/news/local/from-caregiver-to-cared-for-how-an-icu-nurses-training-saved-her-own-life",
                "editor": "AIBD"
              },
              {
                "date": "2026-10-24",
                "change": "Revised the homepage subtitle for concise database prose, with courtesy titles for named beneficiaries and numbered clauses for the Coates drug-selection account. Preserved the reported evidence and material uncertainty.",
                "editor": "AIBD"
              },
              {
                "date": "2026-10-24",
                "change": "Removed the editorial parenthetical and unconfirmed product name from the subtitle. Preserved the inferred Viz.ai identification and its supporting evidence in the case account, system assessment, and source notes.",
                "editor": "AIBD"
              },
              {
                "date": "2026-10-24",
                "change": "Restored Viz.ai in the subtitle with an explicit qualification and numbered the two reported clauses. Preserved the inferred system identification and the existing source assessments.",
                "editor": "AIBD"
              },
              {
                "date": "2026-10-24",
                "change": "Shortened the subtitle to the alert and detection sequence while retaining the qualified Viz.ai identification.",
                "editor": "AIBD"
              },
              {
                "date": "2026-10-25",
                "change": "Added the United States as the jurisdiction of the inferred developer, Viz.ai, using its own headquarters statement. Preserved the inferred product attribution and existing clinical chronology, account, and ratings. The corporate notice is not evidence that Viz.ai was used for this patient.",
                "source": "https://www.viz.ai/trust-center-privacy-notice",
                "editor": "AIBD"
              }
            ]
          }
        },
        "provenance": {
          "kind": "source_review",
          "basis": "Added the geography review to the revision history and preserved the previously assessed event chronology and its evidence.",
          "record_fields": [
            "date_observed",
            "date_basis",
            "date_precision",
            "revisions"
          ],
          "source_refs": [
            "AIBD-0582-source-0001",
            "AIBD-0582-source-0002",
            "AIBD-0582-source-0003",
            "AIBD-0582-source-0005"
          ],
          "reviewed_on": "2026-10-25"
        },
        "review_state": "reviewed",
        "coverage": "partial"
      },
      "replication.attempts[]": {
        "state": "not_assessed",
        "review_state": "not_assessed",
        "coverage": "partial"
      },
      "replication.conditions": {
        "state": "value_present",
        "value": {
          "kind": "record_fields",
          "fields": {
            "replication": {
              "produced_by": [
                "AI-assisted imaging and specialist treatment."
              ],
              "must_hold": [
                "Prompt clinical review and access to aneurysm treatment."
              ],
              "echoes": []
            }
          }
        },
        "provenance": {
          "kind": "legacy_record",
          "basis": "Preserved from the existing AIBD record; external sources were not rechecked.",
          "record_fields": [
            "replication"
          ],
          "source_refs": []
        },
        "review_state": "record_mapped",
        "coverage": "partial"
      },
      "revision_history[]": {
        "state": "value_present",
        "value": {
          "kind": "record_fields",
          "fields": {
            "revisions": [
              {
                "date": "2026-10-23",
                "change": "Added the case.",
                "source": "https://baptisthealth.net/baptist-health-news/stroke-nurse-shares-her-experience-after-brain-aneurysm",
                "editor": "AIBD"
              },
              {
                "date": "2026-10-24",
                "change": "Read Baptist Health's original patient and clinician account, including the surrounding video reference and stroke background. Kept one institutional source and preserved the absence of a named system, measured time saving or patient-specific comparison.",
                "source": "https://baptisthealth.net/baptist-health-news/stroke-nurse-shares-her-experience-after-brain-aneurysm",
                "editor": "AIBD"
              },
              {
                "date": "2026-10-24",
                "change": "Rewrote the short title and summary in plain language, preserving the reported benefit and material limits. Added the named publication or institution to the reviewed lead source for homepage display.",
                "source": "https://baptisthealth.net/baptist-health-news/stroke-nurse-shares-her-experience-after-brain-aneurysm",
                "editor": "AIBD"
              },
              {
                "date": "2026-10-24",
                "change": "Identified the AI system or feature in the supporting summary, or stated that the source does not name the software. Preserved the reported benefit and material qualifications.",
                "source": "https://baptisthealth.net/baptist-health-news/stroke-nurse-shares-her-experience-after-brain-aneurysm",
                "editor": "AIBD"
              },
              {
                "date": "2026-10-24",
                "change": "Traced the system identity beyond the original case report. Added product names and supporting original sources, preserving historical-version limits and any inference in the source notes.",
                "source": "https://www.neurologylive.com/view/incorporating-ai-into-stroke-triage",
                "editor": "AIBD"
              },
              {
                "date": "2026-10-24",
                "change": "Shortened the homepage supporting statement to one sentence naming the system and its contribution; retained detailed outcomes and qualifications in the case account and source notes.",
                "source": "https://baptisthealth.net/baptist-health-news/stroke-nurse-shares-her-experience-after-brain-aneurysm",
                "editor": "AIBD"
              },
              {
                "date": "2026-10-24",
                "change": "Revised the title and subtitle for natural phrasing, with named researchers, shorter dependencies, and less compressed terminology; preserved the system identities and evidence qualifications.",
                "source": "https://baptisthealth.net/baptist-health-news/stroke-nurse-shares-her-experience-after-brain-aneurysm",
                "editor": "AIBD"
              },
              {
                "date": "2026-10-24",
                "change": "Placed the beneficiary’s personal name in the subtitle and kept the display headline focused on the reported benefit.",
                "source": "https://baptisthealth.net/baptist-health-news/stroke-nurse-shares-her-experience-after-brain-aneurysm",
                "editor": "AIBD"
              },
              {
                "date": "2026-10-24",
                "change": "Marked Viz.ai as inferred in the system and developer fields and qualified the AI-role statement. Added earlier original CBS12 interviews, preserved the clinical testimony, and recorded the absence of a confirmed module or release.",
                "source": "https://cbs12.com/news/local/from-caregiver-to-cared-for-how-an-icu-nurses-training-saved-her-own-life",
                "editor": "AIBD"
              },
              {
                "date": "2026-10-24",
                "change": "Revised the homepage subtitle for concise database prose, with courtesy titles for named beneficiaries and numbered clauses for the Coates drug-selection account. Preserved the reported evidence and material uncertainty.",
                "editor": "AIBD"
              },
              {
                "date": "2026-10-24",
                "change": "Removed the editorial parenthetical and unconfirmed product name from the subtitle. Preserved the inferred Viz.ai identification and its supporting evidence in the case account, system assessment, and source notes.",
                "editor": "AIBD"
              },
              {
                "date": "2026-10-24",
                "change": "Restored Viz.ai in the subtitle with an explicit qualification and numbered the two reported clauses. Preserved the inferred system identification and the existing source assessments.",
                "editor": "AIBD"
              },
              {
                "date": "2026-10-24",
                "change": "Shortened the subtitle to the alert and detection sequence while retaining the qualified Viz.ai identification.",
                "editor": "AIBD"
              },
              {
                "date": "2026-10-25",
                "change": "Added the United States as the jurisdiction of the inferred developer, Viz.ai, using its own headquarters statement. Preserved the inferred product attribution and existing clinical chronology, account, and ratings. The corporate notice is not evidence that Viz.ai was used for this patient.",
                "source": "https://www.viz.ai/trust-center-privacy-notice",
                "editor": "AIBD"
              }
            ]
          }
        },
        "provenance": {
          "kind": "source_review",
          "basis": "Added the geography review to the revision history and preserved the previously assessed event chronology and its evidence.",
          "record_fields": [
            "revisions"
          ],
          "source_refs": [
            "AIBD-0582-source-0001",
            "AIBD-0582-source-0002",
            "AIBD-0582-source-0003",
            "AIBD-0582-source-0005"
          ],
          "reviewed_on": "2026-10-25"
        },
        "review_state": "reviewed",
        "coverage": "partial"
      },
      "sector": {
        "state": "value_present",
        "value": {
          "kind": "record_fields",
          "fields": {
            "domain": "Stroke care",
            "segment": "Emergency patients with brain hemorrhage"
          }
        },
        "provenance": {
          "kind": "legacy_record",
          "basis": "Preserved from the existing AIBD record; external sources were not rechecked.",
          "record_fields": [
            "domain",
            "segment"
          ],
          "source_refs": []
        },
        "review_state": "record_mapped",
        "coverage": "partial"
      },
      "sources[].access_version": {
        "state": "value_present",
        "value": {
          "kind": "structured",
          "data": {
            "reviewed_on": "2026-10-25",
            "versions_and_access": [
              {
                "source_url": "https://baptisthealth.net/baptist-health-news/stroke-nurse-shares-her-experience-after-brain-aneurysm",
                "published_on": "2024-11-25",
                "status": "Complete article and outgoing links inspected."
              },
              {
                "source_url": "https://www.neurologylive.com/view/incorporating-ai-into-stroke-triage",
                "status": "Original source inspected.",
                "locator": "Original video 2:29–2:36, 5:03–5:36. The edited transcript omits the pointer to the earlier press release.",
                "reviewed_on": "2026-10-24"
              },
              {
                "source_url": "https://thecoastalstar.com/profiles/blogs/fast-action-expert-surgeon-empowers-nurse-to-recover",
                "status": "Original source inspected.",
                "locator": "Paragraph beginning “Knichel came under Snelling’s care in February 2024”; treatment and recovery paragraphs.",
                "reviewed_on": "2026-10-24"
              },
              {
                "source_url": "https://players.brightcove.net/10203567001/wf0hzDVjW_default/index.html?videoId=6383528276112",
                "source_ref": "AIBD-0582-source-0002",
                "status": "Original interview captions inspected; same work as the edited transcript.",
                "locator": "2:29–2:36 and 5:03–5:36."
              },
              {
                "source_url": "https://baptisthealth.net/baptist-health-news/stroke-nurse-shares-her-experience-after-brain-aneurysm",
                "source_ref": "AIBD-0582-source-0001",
                "status": "Embedded hospital-video transcript and frames inspected. No product brand appears in the AI passage.",
                "locator": "1:42–2:19."
              },
              {
                "source_url": "https://cbs12.com/news/local/from-caregiver-to-cared-for-how-an-icu-nurses-training-saved-her-own-life",
                "source_ref": "AIBD-0582-source-0004",
                "publication_date": "2024-10-29",
                "accessed_on": "2026-10-24",
                "status": "Original publisher text inspected.",
                "locator": "Opening patient account, Snelling’s first response, and the video caption."
              },
              {
                "source_ref": "AIBD-0582-source-0001",
                "source_url": "https://baptisthealth.net/baptist-health-news/stroke-nurse-shares-her-experience-after-brain-aneurysm",
                "access_url": "https://physicianresources.baptisthealth.net/videos/ai-saves-the-day",
                "captions_url": "https://s7d9.scene7.com/is/content/bhsf/Transcript-English-AI%20Saves%20the%20Day",
                "accessed_on": "2026-10-24",
                "locator": "1:42–2:19",
                "status": "Original hospital video and publisher-supplied captions inspected. Snelling describes the AI alert in Julie’s case without naming the product. This is the same video as the embedded hospital article, not another source."
              },
              {
                "source_url": "https://www.viz.ai/trust-center-privacy-notice",
                "source_ref": "AIBD-0582-source-0005",
                "accessed_on": "2026-10-25",
                "language": "English",
                "status": "Original developer webpage inspected for corporate geography.",
                "locator": "Section 14, “Viz.ai Head Office”: U.S. headquarters and San Francisco address."
              }
            ],
            "limitations": [
              "Snelling names Viz.ai as software used by the hospital, then discusses workflows and an unnamed ICU nurse whose circumstances match Knichel’s. The original video does not explicitly connect her name to the product. The attribution remains inferred.",
              "No reviewed source identifies the exact Viz.ai module or model version, or supplies a patient-specific measured comparison of AI against manual review."
            ]
          }
        },
        "provenance": {
          "kind": "source_review",
          "basis": "Inspected the additional corporate-geography source and retained prior access and identity limitations.",
          "record_fields": [
            "evidence"
          ],
          "source_refs": [
            "AIBD-0582-source-0001",
            "AIBD-0582-source-0002",
            "AIBD-0582-source-0003",
            "AIBD-0582-source-0004",
            "AIBD-0582-source-0005"
          ],
          "reviewed_on": "2026-10-25"
        },
        "review_state": "reviewed",
        "coverage": "complete",
        "display": {
          "answer": "The hospital’s patient story and the surgeon’s interviews describe detection and treatment. They provide no scan-specific processing record or comparison of the software with manual review.",
          "editor_note": ""
        }
      },
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                "kind": "report",
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              },
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                "title": "Incorporating AI Into Stroke Triage",
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                "date": "2025-10-22",
                "written_by": "deployer"
              },
              {
                "kind": "news report",
                "citation": "Jan Engoren. “Health & Harmony: Fast action, expert surgeon empower nurse’s recovery from stroke,” The Coastal Star, April 29, 2025. Paragraphs describing February 2024 treatment, subarachnoid hemorrhage, and recovery.",
                "title": "Health & Harmony: Fast action, expert surgeon empower nurse’s recovery from stroke",
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              },
              {
                "kind": "news report",
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                "title": "From caregiver to cared for: How an ICU nurse’s training saved her own life",
                "url": "https://cbs12.com/news/local/from-caregiver-to-cared-for-how-an-icu-nurses-training-saved-her-own-life",
                "date": "2024-10-29",
                "written_by": "independent"
              },
              {
                "kind": "report",
                "citation": "Viz.ai. “Viz.ai Trust Center Privacy Notice.” Section 14, “Viz.ai Head Office.” Undated.",
                "title": "Viz.ai Trust Center Privacy Notice",
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              }
            ]
          }
        },
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          ],
          "role": "Retained evidence sources in reviewed order"
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          "kind": "source_review",
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          "record_fields": [
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          ],
          "source_refs": [
            "AIBD-0582-source-0001",
            "AIBD-0582-source-0002",
            "AIBD-0582-source-0003",
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        "state": "value_present",
        "value": {
          "kind": "record_fields",
          "fields": {
            "evidence": [
              {
                "kind": "report",
                "citation": "Adrienne Sylver, Baptist Health, November 25, 2024.",
                "title": "Stroke Nurse Shares Her Experience After Brain Aneurysm",
                "url": "https://baptisthealth.net/baptist-health-news/stroke-nurse-shares-her-experience-after-brain-aneurysm",
                "date": "2024-11-25",
                "written_by": "deployer",
                "quote": "Ms. Knichel is happy to have returned to work full time and to her previous activities"
              },
              {
                "kind": "news report",
                "citation": "Brian Snelling and Felipe De Los Rios. “Incorporating AI Into Stroke Triage,” NeurologyLive, October 22, 2025. Original video, 2:29–2:36 and 5:03–5:36; edited transcript, Snelling’s responses.",
                "title": "Incorporating AI Into Stroke Triage",
                "url": "https://www.neurologylive.com/view/incorporating-ai-into-stroke-triage",
                "date": "2025-10-22",
                "written_by": "deployer"
              },
              {
                "kind": "news report",
                "citation": "Jan Engoren. “Health & Harmony: Fast action, expert surgeon empower nurse’s recovery from stroke,” The Coastal Star, April 29, 2025. Paragraphs describing February 2024 treatment, subarachnoid hemorrhage, and recovery.",
                "title": "Health & Harmony: Fast action, expert surgeon empower nurse’s recovery from stroke",
                "url": "https://thecoastalstar.com/profiles/blogs/fast-action-expert-surgeon-empowers-nurse-to-recover",
                "date": "2025-04-29",
                "written_by": "independent"
              },
              {
                "kind": "news report",
                "citation": "Kara Duffy. “From caregiver to cared for: How an ICU nurse’s training saved her own life.” CBS12/WPEC, October 29, 2024.",
                "title": "From caregiver to cared for: How an ICU nurse’s training saved her own life",
                "url": "https://cbs12.com/news/local/from-caregiver-to-cared-for-how-an-icu-nurses-training-saved-her-own-life",
                "date": "2024-10-29",
                "written_by": "independent"
              },
              {
                "kind": "report",
                "citation": "Viz.ai. “Viz.ai Trust Center Privacy Notice.” Section 14, “Viz.ai Head Office.” Undated.",
                "title": "Viz.ai Trust Center Privacy Notice",
                "url": "https://www.viz.ai/trust-center-privacy-notice",
                "written_by": "makers"
              }
            ]
          }
        },
        "provenance": {
          "kind": "source_review",
          "basis": "Appended an original corporate-geography source while preserving the existing evidence, ordering, and clinical or system-identity qualifications.",
          "record_fields": [
            "evidence"
          ],
          "source_refs": [
            "AIBD-0582-source-0001",
            "AIBD-0582-source-0002",
            "AIBD-0582-source-0003",
            "AIBD-0582-source-0004",
            "AIBD-0582-source-0005"
          ],
          "reviewed_on": "2026-10-25"
        },
        "review_state": "reviewed",
        "coverage": "partial"
      },
      "sources[].upstream_sources": {
        "state": "value_present",
        "value": {
          "kind": "structured",
          "data": {
            "reviewed_on": "2026-10-25",
            "lead_source_ref": "AIBD-0582-source-0001",
            "retained_source_order": [
              "AIBD-0582-source-0001",
              "AIBD-0582-source-0002",
              "AIBD-0582-source-0003",
              "AIBD-0582-source-0004",
              "AIBD-0582-source-0005"
            ],
            "origins": [
              {
                "url": "https://baptisthealth.net/baptist-health-news/stroke-nurse-shares-her-experience-after-brain-aneurysm",
                "contribution": "Original patient and treating-team interviews describe the brain bleed, scan review, coiling, three-week admission and return to work.",
                "locator": "Unique stroke services; Colleagues who care.",
                "relationship": "Treating institution's account. The accompanying video is part of the same publication, not corroboration.",
                "source_refs": [
                  "AIBD-0582-source-0001"
                ],
                "display_name": "Baptist Health"
              },
              {
                "url": "https://www.neurologylive.com/view/incorporating-ai-into-stroke-triage",
                "contribution": "Snelling names Viz.ai as a hospital system and later recounts an unnamed nurse’s case that matches Knichel’s circumstances.",
                "locator": "Original video 2:29–2:36, 5:03–5:36. The edited transcript omits the pointer to the earlier press release.",
                "relationship": "Original clinician testimony. The product attribution and matching of the unnamed patient remain inferences; the video is less explicit than the edited transcript.",
                "source_refs": [
                  "AIBD-0582-source-0002"
                ],
                "display_name": "NeurologyLive",
                "access_url": "https://players.brightcove.net/10203567001/wf0hzDVjW_default/index.html?videoId=6383528276112"
              },
              {
                "url": "https://thecoastalstar.com/profiles/blogs/fast-action-expert-surgeon-empowers-nurse-to-recover",
                "contribution": "Patient and clinician interviews establish February 2024, subarachnoid hemorrhage, treatment, and return to work.",
                "locator": "Paragraph beginning “Knichel came under Snelling’s care in February 2024”; treatment and recovery paragraphs.",
                "relationship": "Original reporting corroborates the patient outcome and chronology, not the AI product or its separate effect.",
                "source_refs": [
                  "AIBD-0582-source-0003"
                ],
                "display_name": "The Coastal Star"
              },
              {
                "url": "https://cbs12.com/news/local/from-caregiver-to-cared-for-how-an-icu-nurses-training-saved-her-own-life",
                "source_refs": [
                  "AIBD-0582-source-0004"
                ],
                "locator": "Opening patient account, Snelling’s first response, and the video caption.",
                "display_name": "CBS12/WPEC",
                "contribution": "Earlier original interviews name Knichel, date the episode to February 2024, and quote Snelling’s account of AI detecting the bleed before clinicians.",
                "relationship": "Separate reporting from the same patient and treating surgeon. It establishes an earlier public account but supplies no brand identification, clinical record, or independent measurement of the AI contribution."
              },
              {
                "url": "https://www.viz.ai/trust-center-privacy-notice",
                "contribution": "Establishes Viz.ai’s U.S. headquarters. The attribution of Viz.ai to Knichel remains inferred.",
                "locator": "Section 14, “Viz.ai Head Office”: U.S. headquarters and San Francisco address.",
                "relationship": "Original developer statement about corporate geography. It does not identify the software used for this patient or independently corroborate her clinical outcome.",
                "source_refs": [
                  "AIBD-0582-source-0005"
                ],
                "display_name": "Viz.ai"
              }
            ],
            "claim_chains": [
              {
                "claim": "AI-assisted care and recovery",
                "path": [
                  "https://baptisthealth.net/baptist-health-news/stroke-nurse-shares-her-experience-after-brain-aneurysm",
                  "https://cbs12.com/news/local/from-caregiver-to-cared-for-how-an-icu-nurses-training-saved-her-own-life"
                ],
                "finding": "The hospital account and an earlier CBS12 interview directly report AI assistance through the treating surgeon. Neither supplies a scan record, model evaluation, or software brand."
              },
              {
                "claim": "System identity",
                "path": [
                  "https://baptisthealth.net/baptist-health-news/stroke-nurse-shares-her-experience-after-brain-aneurysm",
                  "https://www.neurologylive.com/view/incorporating-ai-into-stroke-triage",
                  "https://thecoastalstar.com/profiles/blogs/fast-action-expert-surgeon-empowers-nurse-to-recover"
                ],
                "finding": "Snelling names Viz.ai as software used by the hospital, then discusses workflows and an unnamed ICU nurse whose circumstances match Knichel’s. The original video does not explicitly connect her name to the product. The attribution remains inferred."
              },
              {
                "claim": "System attribution",
                "path": [
                  "https://baptisthealth.net/baptist-health-news/stroke-nurse-shares-her-experience-after-brain-aneurysm",
                  "https://www.neurologylive.com/view/incorporating-ai-into-stroke-triage",
                  "https://players.brightcove.net/10203567001/wf0hzDVjW_default/index.html?videoId=6383528276112"
                ],
                "finding": "Snelling names Viz.ai as software used by the hospital, then discusses workflows and an unnamed ICU nurse whose circumstances match Knichel’s. The original video does not explicitly connect her name to the product. The attribution remains inferred."
              },
              {
                "claim": "Event chronology",
                "path": [
                  "https://baptisthealth.net/baptist-health-news/stroke-nurse-shares-her-experience-after-brain-aneurysm",
                  "https://thecoastalstar.com/profiles/blogs/fast-action-expert-surgeon-empowers-nurse-to-recover"
                ],
                "finding": "The hospital gives February 2. The subsequent patient and clinician interviews establish February 2024, supporting 2 February 2024."
              },
              {
                "claim": "Developer jurisdiction and geographic scope",
                "path": [
                  "https://www.viz.ai/trust-center-privacy-notice"
                ],
                "finding": "Section 14 of Viz.ai’s own Trust Center Privacy Notice explicitly identifies U.S. headquarters and a San Francisco address. The system and developer attribution to Knichel remain inferred, so the developer jurisdiction is conditional on that attribution. The notice supplies no patient-specific evidence and has no stated publication date. The existing U.S. hospital and benefit location are preserved from the reviewed hospital account."
              }
            ],
            "limitations": [
              "Snelling names Viz.ai as software used by the hospital, then discusses workflows and an unnamed ICU nurse whose circumstances match Knichel’s. The original video does not explicitly connect her name to the product. The attribution remains inferred.",
              "No reviewed source identifies the exact Viz.ai module or model version, or supplies a patient-specific measured comparison of AI against manual review."
            ],
            "excluded_or_consolidated_sources": [],
            "review_scope": "Reviewed the earlier CBS12 report, original hospital video and captions, NeurologyLive video, and additional patient interviews. AI involvement is directly reported by the treating surgeon; the product, module, and release remain unconfirmed for this patient. Additional review on October 25, 2026, establishes developer jurisdiction and clarifies geographic scope; prior clinical and attribution limitations remain unchanged.",
            "homepage_source_refs": [
              "AIBD-0582-source-0001",
              "AIBD-0582-source-0002"
            ],
            "earlier_reporting": [
              {
                "url": "https://cbs12.com/news/local/from-caregiver-to-cared-for-how-an-icu-nurses-training-saved-her-own-life",
                "publication_date": "2024-10-29",
                "finding": "Original named-patient and surgeon interviews precede the retained hospital article."
              }
            ],
            "additional_interviews_checked": [
              {
                "url": "https://www.theeducatedpatient.com/view/hear-my-journey-from-neuro-icu-nurse-to-brain-aneurysm-survivor",
                "title": "Hear My Journey: From Neuro ICU Nurse to Brain Aneurysm Survivor",
                "author": "Lana Pine",
                "publication_date": "2025-08-06",
                "format_inspected": "Complete original interview audio, approximately 9 minutes, reviewed through a local automated transcription; the webpage is an edited account.",
                "finding": "The interview describes the hemorrhage, treatment, hospitalization, and return to work but does not discuss AI. It does not resolve the system identity.",
                "relationship": "Additional testimony from the same patient and clinician; retained as a checked source note, not a separate confirmation."
              },
              {
                "url": "https://www.wpbf.com/article/on-the-record-knowing-the-signs-of-a-stroke/71263276",
                "title": "On the Record: Knowing the signs of a stroke",
                "author": "Malcolm Shields",
                "publication_date": "2026-05-10",
                "format_inspected": "Complete original interview audio, approximately 20 minutes, reviewed through a local automated transcription. No publisher transcript was available.",
                "locators": [
                  "1:04–1:10: Knichel dates the episode to February 2, 2024",
                  "5:15–6:02: Snelling describes the AI alert",
                  "8:33–8:59: return to work"
                ],
                "finding": "The patient and treating surgeon confirm the reported course and AI alert. No product, module, or release is named.",
                "relationship": "Follow-up testimony from the same witnesses; retained as a checked source note, not an independent evaluation."
              }
            ]
          }
        },
        "provenance": {
          "kind": "source_review",
          "basis": "Added corporate geography and its original source without repeating or replacing the prior clinical and system-identity assessments.",
          "record_fields": [
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            "location"
          ],
          "source_refs": [
            "AIBD-0582-source-0001",
            "AIBD-0582-source-0002",
            "AIBD-0582-source-0003",
            "AIBD-0582-source-0004",
            "AIBD-0582-source-0005"
          ],
          "reviewed_on": "2026-10-25"
        },
        "review_state": "reviewed",
        "coverage": "complete",
        "display": {
          "answer": "Baptist Health, CBS12, and The Coastal Star interview Knichel and her surgeon. NeurologyLive separately interviews the surgeon about Viz.ai. These accounts support the treatment history but do not independently measure the software’s contribution.",
          "editor_note": ""
        }
      },
      "strategic_assessments[]": {
        "state": "not_assessed",
        "review_state": "not_assessed",
        "coverage": "partial",
        "family": "strategic assessments"
      },
      "summary": {
        "state": "value_present",
        "value": {
          "kind": "record_fields",
          "fields": {
            "summary": "Julie Knichel’s doctors received an alert after software, apparently Viz.ai, detected her brain bleed.",
            "account": "Julie Knichel, a 57-year-old nurse, suffered a ruptured brain aneurysm. At Baptist Health's Marcus Neuroscience Institute, AI reviewed her scan and alerted clinicians to the bleeding. They sealed the aneurysm with coils delivered through a catheter. After about three weeks in hospital, she recovered and returned to full-time nursing. Her symptoms began on 2 February 2024. Baptist Health gives the day and month, and Jan Engoren’s subsequent interviews with Knichel and Snelling establish the year. The surgeon names Viz.ai in a later interview and describes an unnamed ICU nurse whose circumstances match Knichel’s. The product attribution is therefore inferred. Neither account identifies the module or release."
          }
        },
        "provenance": {
          "kind": "curatorial",
          "basis": "Updated the displayed wording and revision history without changing the reviewed facts, sources, or assessments.",
          "record_fields": [
            "summary",
            "account"
          ],
          "source_refs": [
            "AIBD-0582-source-0001",
            "AIBD-0582-source-0002",
            "AIBD-0582-source-0003"
          ],
          "reviewed_on": "2026-10-24"
        },
        "review_state": "reviewed",
        "coverage": "partial"
      },
      "systems[].autonomy_permissions": {
        "state": "not_assessed",
        "review_state": "not_assessed",
        "coverage": "partial"
      },
      "systems[].component_role": {
        "state": "not_assessed",
        "review_state": "not_assessed",
        "coverage": "partial"
      },
      "systems[].deployment_configuration": {
        "state": "value_present",
        "value": {
          "kind": "structured",
          "data": {
            "clinical_setting": "Marcus Neuroscience Institute, Baptist Health, Boca Raton.",
            "reported_workflow": "AI reviewed brain imaging and alerted clinicians before their own review, according to the treating surgeon.",
            "unreported_details": [
              "Confirmed product and module for this patient",
              "Model and software release",
              "Scan-specific processing record"
            ]
          }
        },
        "provenance": {
          "kind": "source_review",
          "basis": "Patient and treating-clinician accounts establish the clinical workflow but not the exact technical configuration.",
          "record_fields": [
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            "model_version"
          ],
          "source_refs": [
            "AIBD-0582-source-0001",
            "AIBD-0582-source-0002",
            "AIBD-0582-source-0004"
          ],
          "reviewed_on": "2026-10-24"
        },
        "review_state": "reviewed",
        "coverage": "partial",
        "display": {
          "answer": "Software analyzed brain images and alerted the treating team before its review, according to the surgeon.",
          "editor_note": ""
        }
      },
      "systems[].inputs_outputs": {
        "state": "not_assessed",
        "review_state": "not_assessed",
        "coverage": "partial"
      },
      "systems[].model_name": {
        "state": "not_reported",
        "provenance": {
          "kind": "source_review",
          "basis": "The named-patient accounts do not identify the software brand, module, underlying model, or release. The Viz.ai attribution relies on a separate interview and remains inferred.",
          "record_fields": [
            "system",
            "model_version"
          ],
          "source_refs": [
            "AIBD-0582-source-0001",
            "AIBD-0582-source-0002",
            "AIBD-0582-source-0003",
            "AIBD-0582-source-0004"
          ],
          "reviewed_on": "2026-10-24"
        },
        "reason": "The named-patient accounts do not identify the software brand, module, underlying model, or release. The Viz.ai attribution relies on a separate interview and remains inferred.",
        "review_state": "reviewed",
        "coverage": "complete",
        "display": {
          "answer": "The detector for brain bleeding is not separately named.",
          "editor_note": ""
        }
      },
      "systems[].model_version": {
        "state": "not_reported",
        "provenance": {
          "kind": "source_review",
          "basis": "The named-patient accounts do not identify the software brand, module, underlying model, or release. The Viz.ai attribution relies on a separate interview and remains inferred.",
          "record_fields": [
            "system",
            "model_version"
          ],
          "source_refs": [
            "AIBD-0582-source-0001",
            "AIBD-0582-source-0002",
            "AIBD-0582-source-0003",
            "AIBD-0582-source-0004"
          ],
          "reviewed_on": "2026-10-24"
        },
        "reason": "The named-patient accounts do not identify the software brand, module, underlying model, or release. The Viz.ai attribution relies on a separate interview and remains inferred.",
        "review_state": "reviewed",
        "coverage": "complete",
        "display": {
          "answer": "The sources do not identify the installed release.",
          "editor_note": ""
        }
      },
      "systems[].product_name": {
        "state": "value_present",
        "value": {
          "kind": "record_fields",
          "fields": {
            "system": "Viz.ai stroke detection and care coordination (attribution inferred)"
          }
        },
        "provenance": {
          "kind": "derivation",
          "basis": "Updated the mapped values after reviewing system identity and distinguishing product, hardware, and model versions.",
          "record_fields": [
            "system"
          ],
          "source_refs": [
            "AIBD-0582-source-0001",
            "AIBD-0582-source-0002",
            "AIBD-0582-source-0003",
            "AIBD-0582-source-0004"
          ],
          "reviewed_on": "2026-10-24"
        },
        "review_state": "reviewed",
        "coverage": "partial",
        "display": {
          "answer": "Apparently Viz.ai.",
          "editor_note": "In a separate interview, the surgeon names Viz.ai and describes an unnamed ICU nurse whose circumstances match Knichel’s hospital story. He does not explicitly connect her name to the product (references 1–3)."
        }
      },
      "systems[].provider": {
        "state": "value_present",
        "value": {
          "kind": "structured",
          "data": {
            "provider": "Viz.ai",
            "attribution": "inferred",
            "basis": "Snelling names Viz.ai as software used by the hospital, then discusses workflows and an unnamed ICU nurse whose circumstances match Knichel’s. The original video does not explicitly connect her name to the product. The attribution remains inferred."
          }
        },
        "provenance": {
          "kind": "derivation",
          "basis": "Snelling names Viz.ai as software used by the hospital, then discusses workflows and an unnamed ICU nurse whose circumstances match Knichel’s. The original video does not explicitly connect her name to the product. The attribution remains inferred.",
          "record_fields": [
            "developer",
            "system"
          ],
          "source_refs": [
            "AIBD-0582-source-0001",
            "AIBD-0582-source-0002",
            "AIBD-0582-source-0004"
          ],
          "reviewed_on": "2026-10-24"
        },
        "review_state": "reviewed",
        "coverage": "partial",
        "display": {
          "answer": "Viz.ai, inferred from the surgeon’s separate interview.",
          "editor_note": ""
        }
      },
      "taxonomy_crosswalks[]": {
        "state": "not_assessed",
        "review_state": "not_assessed",
        "coverage": "partial"
      },
      "title": {
        "state": "value_present",
        "value": {
          "kind": "record_fields",
          "fields": {
            "title": "AI flags Julie Knichel's brain hemorrhage before aneurysm treatment and her return to nursing",
            "headline": "Doctors found a nurse’s brain bleed with help from AI"
          }
        },
        "provenance": {
          "kind": "legacy_record",
          "basis": "Preserved from the existing AIBD record; external sources were not rechecked.",
          "record_fields": [
            "title",
            "headline"
          ],
          "source_refs": []
        },
        "review_state": "record_mapped",
        "coverage": "partial"
      },
      "version": {
        "state": "value_present",
        "value": {
          "kind": "identifiers",
          "identifiers": [
            "2e3e3df9046689dd81d56e536fd692f7e4e834745f330a46e124736af5bf6e5f"
          ],
          "role": "SHA-256 of normalized original case data"
        },
        "provenance": {
          "kind": "curatorial",
          "basis": "Recomputed the fingerprint after the homepage copy revision.",
          "record_fields": [
            "summary",
            "revisions"
          ],
          "source_refs": [
            "AIBD-0582-source-0001",
            "AIBD-0582-source-0002",
            "AIBD-0582-source-0003"
          ],
          "reviewed_on": "2026-10-24"
        },
        "review_state": "record_mapped",
        "coverage": "complete"
      },
      "workflow": {
        "state": "value_present",
        "value": {
          "kind": "record_fields",
          "fields": {
            "account": "Julie Knichel, a 57-year-old nurse, suffered a ruptured brain aneurysm. At Baptist Health's Marcus Neuroscience Institute, AI reviewed her scan and alerted clinicians to the bleeding. They sealed the aneurysm with coils delivered through a catheter. After about three weeks in hospital, she recovered and returned to full-time nursing. Her symptoms began on 2 February 2024. Baptist Health gives the day and month, and Jan Engoren’s subsequent interviews with Knichel and Snelling establish the year. The surgeon names Viz.ai in a later interview and describes an unnamed ICU nurse whose circumstances match Knichel’s. The product attribution is therefore inferred. Neither account identifies the module or release.",
            "replication": {
              "produced_by": [
                "AI-assisted imaging and specialist treatment."
              ],
              "must_hold": [
                "Prompt clinical review and access to aneurysm treatment."
              ],
              "echoes": []
            }
          }
        },
        "provenance": {
          "kind": "source_review",
          "basis": "Updated the mapped values after reviewing system identity and distinguishing product, hardware, and model versions.",
          "record_fields": [
            "account",
            "replication"
          ],
          "source_refs": [
            "AIBD-0582-source-0001",
            "AIBD-0582-source-0002",
            "AIBD-0582-source-0003"
          ],
          "reviewed_on": "2026-10-24"
        },
        "review_state": "reviewed",
        "coverage": "partial",
        "display": {
          "answer": "Software detected bleeding in brain images and alerted clinicians. The treating team investigated and treated the aneurysm.",
          "editor_note": ""
        }
      }
    },
    "summary": {
      "total": 91,
      "addressed": 91,
      "known": 32,
      "reviewed": 20,
      "record_mapped": 14,
      "not_assessed": 57,
      "complete": false,
      "by_state": {
        "value_present": 32,
        "not_reported": 2,
        "unresolved": 0,
        "not_assessed": 57,
        "not_applicable": 0,
        "withheld": 0,
        "source_unavailable": 0
      }
    }
  }
}
