Deep Persona Test Report

Generated: 2026-04-29 10:00:37

Persona

Clare - Female, age 35 (clare_35 / olly-female-35)

Project manager in London. Lives with husband and 3-year-old son. Drove herself home from a meeting and started feeling unwell about two hours ago. It's a Tuesday afternoon, GP is open.

Voice: Speaks in short, clear sentences. Mild anxiety about wasting NHS time. Slightly apologetic. Will give specifics when asked but doesn't volunteer everything at once. Uses lay terms, not medical jargon. Will not exaggerate symptoms.

Baseline:

• chronic_conditions: ['mild eczema', 'occasional migraines (last one ~6 months ago)']
• regular_meds: ['combined oral contraceptive pill (Microgynon, 8 years)']
• allergies: ['nothing known']
• smoker: False
• alcohol: 1-2 glasses of wine on weekends
• pregnant: False
• last_period: 12 days ago, normal

Current presentation

I've had a really bad headache for the last two hours.

onset: Came on quite suddenly while at my desk, around 1pm.

character: A throbbing pain mostly on the right side of my head, behind the eye.

severity: Maybe 7 out of 10 - worse than my usual migraines.

associated_symptoms:

• Light is bothering me - I've drawn the curtains.
• Feeling a bit nauseous, haven't actually been sick.

DOES_NOT_HAVE:

• no neck stiffness
• no rash
• no fever
• no confusion or trouble speaking
• no weakness in arms or legs
• no vision loss or double vision
• no recent head injury
• no fainting or seizure
• took paracetamol 500mg an hour ago, no help

Expected band: self-care, pharmacy, gp, 111 Should NOT route to: 999, ambulance, a&e

Outcome

Judgement: FAIL_OVERESCALATEDFinal urgency: 999Final disposition: Call 999 nowTurns: 10 • Wall time: 76.3s

Notes

• ⚠ 7/10 throbbing migraine routed to 999 - likely a pathway data limitation, not a red-flag positive.

Transcript

Turn 1 (6793 ms, status 200)

Patient: I've had a really bad headache for the last two hours. (rationale: My persona states I am not pregnant.)

Olly: I'm sorry to hear you're dealing with a bad headache. To help me get the right advice for you, is there any chance you could be pregnant?

1. Yes
2. I'm not sure
3. No
4. I'd rather speak to someone

Turn 2 (6040 ms, status 200)

Patient: No (rationale: I haven't had a baby recently.)

Olly: Have you had a baby in the last 7 days?

1. Yes
2. I'm not sure
3. No
4. I'd rather speak to someone

Turn 3 (5967 ms, status 200)

Patient: No (rationale: I have not had a recent head injury.)

Olly: Have you hurt or banged your head in the last 4 weeks?

1. Within the last 7 days
2. Between 1 and 4 weeks ago
3. I'm not sure
4. No
5. I'd rather speak to someone

Turn 4 (10872 ms, status 200)

Patient: No (rationale: I do not have fainting or seizure.)

Olly: Have you fainted, lost consciousness or had a seizure in the last 24 hours?

1. Yes
2. I'm not sure
3. No
4. I'd rather speak to someone

Turn 5 (5515 ms, status 200)

Patient: No (rationale: The headache is severe, and associated symptoms like light sensitivity and nausea indicate she has stopped usual activities.)

Olly: Is this headache stopping you from doing simple everyday things, like reading or watching TV?

1. Yes - I have stopped doing everything I usually do
2. I feel ill, but can do some of my usual activities
3. No - I feel well enough to do most of my usual daily activities
4. I'd rather speak to someone

Turn 6 (5316 ms, status 200)

Patient: Yes - I have stopped doing everything I usually do (rationale: I do not have a rash or any new spots/marks.)

Olly: Do you have any new spots or marks, like bruises or bleeding, under your skin?

1. Yes
2. I'm not sure
3. No
4. I'd rather speak to someone

Turn 7 (6054 ms, status 200)

Patient: No (rationale: I do not have any of the listed stroke symptoms.)

Olly: Have you had any symptoms of a stroke in the last 7 days? These include:

• one side of your face dropping
• not being able to lift both arms and keep them there
• slurred speech or trouble understanding what people are saying
  1. I cannot lift my arms up without one dropping down
  2. I have new problems speaking, understanding or I'm slurring my words
  3. My face has suddenly dropped on one side
  4. I'm not sure
  5. No
  6. I'd rather speak to someone

Turn 8 (5903 ms, status 200)

Patient: No (rationale: I do not have weakness in my legs.)

Olly: Has one of your legs suddenly become weak in the last 7 days?

1. Yes
2. I'm not sure
3. No
4. I'd rather speak to someone

Turn 9 (5015 ms, status 200)

Patient: No (rationale: I do not have vision loss.)

Olly: Did you suddenly lose some or all of your sight in the last 24 hours?

1. Yes
2. I'm not sure
3. No
4. I'd rather speak to someone

Turn 10 (8645 ms, status 200)

Patient: No

Olly: Call 999 now

Tell the operator you have a severe headache that is preventing you from doing any daily activities.

Do not drive yourself to the hospital.

While you wait for the ambulance:

• stay still and rest
• do not eat or drink anything
• keep any medicine you have taken nearby to show the paramedics.

[TERMINAL]