Deep Persona Test Report

Generated: 2026-05-05 13:41:08

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: 108.4s

Notes

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

Transcript

Turn 1 (11348 ms, status 200)

Patient: I've had a really bad headache for the last two hours. (rationale: User asked about pregnancy, and I need to state I'm not pregnant and provide relevant context about contraception and last period.)

Olly: I'm sorry to hear you've had such a bad headache today. I'll need to ask a few questions to see how we can best help you.

Is there any chance you might be pregnant?

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

Turn 2 (26570 ms, status 200)

Patient: No. No, I'm on the pill and my last period was about 12 days ago, which was normal. (rationale: Not pregnant and last baby was 3 years ago.)

Olly: That's helpful to know. 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 (5871 ms, status 200)

Patient: No. No, my son is 3, and I'm not pregnant. My last period was about 12 days ago.

Olly: Thank you. 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 (5797 ms, status 200)

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

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

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

Turn 5 (12008 ms, status 200)

Patient: No (rationale: My headache is severe (7/10) with associated symptoms (photophobia, nausea) which makes me feel ill and restricts my activities, but I was able to drive home.)

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 6 (11811 ms, status 200)

Patient: I feel ill, but can do some of my usual activities. I had to drive myself home from a meeting early because of it, and I've drawn the curtains as the light is bothering me. (rationale: The patient does not have any of the listed neurological symptoms.)

Olly: I'm sorry the light is bothering you. That sounds very uncomfortable.

In the last 7 days, have you had any of these symptoms:

• Your face suddenly dropping on one side
• Not being able to lift both your arms up and keep them there
• New problems speaking, understanding, or slurring your words?
  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. No
  5. I'm not sure
  6. I'd rather speak to someone

Turn 7 (4555 ms, status 200)

Patient: No. No, I don't have any of those, it's just this headache. (rationale: Patient does not have leg weakness.)

Olly: 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 (6024 ms, status 200)

Patient: No. No, I don't have any weakness in my legs or arms. (rationale: Patient does not have vision loss, but does have photophobia.)

Olly: In the last 24 hours, did you suddenly lose some or all of your sight?

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

Turn 9 (10563 ms, status 200)

Patient: No. No, my vision is okay. It's just that the light is bothering my eyes.

Olly: Call 999 now

You need to call 999 immediately and ask for an ambulance. Your symptoms need to be assessed by a doctor right away.

Tell the operator:

• You have a very bad headache that started suddenly about two hours ago.
• You're finding it painful to look at light.

While you wait for help:

• Stay where you are and try to remain calm.
• Do not drive yourself or let anyone else drive you; an ambulance is the safest way.
• Leave your front door unlocked if you're alone.
• If you start to feel more unwell, feel sleepy, or have a seizure, make sure the 999 operator knows.

[TERMINAL]