Deep Persona Test Report

Generated: 2026-04-29 10:07:16

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: 9 • Wall time: 88.0s

Notes

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

Transcript

Turn 1 (7606 ms, status 200)

Patient: I've had a really bad headache for the last two hours. (rationale: User is not pregnant.)

Olly: I'm sorry you're dealing with a bad headache. To make sure I give you the right advice, is there a chance you're pregnant?

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

Turn 2 (15213 ms, status 200)

Patient: No. No, I'm on the pill and my last period was about 12 days ago, which was normal. (rationale: My persona does not have a recent head injury.)

Olly: Thanks for clarifying. 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 3 (12855 ms, status 200)

Patient: No. No, I haven't. (rationale: The ground truth states no fainting or seizure.)

Olly: Got it. 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 4 (5621 ms, status 200)

Patient: No. No, I haven't had any of those. (rationale: Headache is severe (7/10), light sensitive, and she's feeling nauseous, indicating it's stopping her from usual activities.)

Olly: Is this headache stopping you from doing all of your simple everyday tasks, like concentrating on the TV or reading a book?

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 5 (11727 ms, status 200)

Patient: Yes - I have stopped doing everything I usually do. Yes, I had to come home from work early and draw the curtains because the light was bothering me so much. I'm just lying down now. (rationale: The patient does not have a rash or any new spots/marks.)

Olly: That sounds very uncomfortable, especially with the light bothering you so much. 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 6 (5545 ms, status 200)

Patient: No. No, no new spots or marks at all. I don't have a rash. (rationale: Patient does not have any stroke symptoms based on brief.)

Olly: I'm glad there's no rash. Have you had any symptoms of a stroke in the last 7 days? These include your face dropping on one side, new trouble speaking or understanding, or one arm dropping when you try to lift both.

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 7 (6188 ms, status 200)

Patient: No. I don't have any of those things, thank goodness. My arms and face are fine. (rationale: The patient does not have weakness in arms or legs.)

Olly: That's good to hear. Has one leg 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 8 (4683 ms, status 200)

Patient: No. No, I don't have any weakness in my legs. (rationale: The patient does not have vision loss or double vision.)

Olly: Okay. 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 9 (6911 ms, status 200)

Patient: No. No, I haven't lost any sight. And I'm not seeing double or anything like that.

Olly: Call 999 now

[Dx0121]

[TERMINAL]