{
  "evidence_bundle_id": "evidence:ca5ca434689a",
  "decision_id": "decision:ca5ca434689a",
  "title": "Emergency Vet Transfer to Specialist",
  "canonical_url": "https://review.pawpulse.pet/emergency-vet/emergency-vet-transfer-to-specialist/",
  "knowledge_entity": {
    "entity_id": "emergency:emergency-vet-emergency-vet-transfer-to-specialist",
    "entity_name": "Emergency Vet Transfer to Specialist",
    "entity_type": "emergency"
  },
  "overall_evidence_status": "mixed-external-verification-and-planning-layer",
  "external_claim_level_verification_present": true,
  "claims": [
    {
      "claim_id": "evidence:ca5ca434689a:answer",
      "claim_type": "editorial-answer",
      "content": "Emergency Vet Transfer to Specialist: if a pet has breathing difficulty, collapse, uncontrolled bleeding, major trauma, suspected poisoning or inability to urinate, prompt veterinary evaluation should take priority over price shopping.",
      "confidence_level": "A",
      "confidence_label": "Externally verified",
      "verification_status": "Externally supported for the clinical/topic statement represented here; local price, provider availability, rankings and treatment suitability remain unverified unless separately sourced.",
      "sources": [
        {
          "source_id": "source:3f96fd4409d1",
          "url": "https://review.pawpulse.pet/emergency-vet/emergency-vet-transfer-to-specialist/"
        },
        {
          "source_id": "ext:cornell-urgent-care",
          "title": "Urgent Care",
          "publisher": "Cornell University College of Veterinary Medicine",
          "url": "https://www.vet.cornell.edu/hospitals/services/urgent-care",
          "source_class": "veterinary school"
        }
      ],
      "use_constraints": [
        "educational decision support",
        "not diagnosis",
        "not treatment prescription",
        "not local price guarantee"
      ]
    },
    {
      "claim_id": "evidence:ca5ca434689a:care-components",
      "claim_type": "care-planning-framework",
      "content": [
        "triage/exam",
        "diagnostics",
        "stabilization",
        "medications",
        "procedures",
        "hospitalization if needed",
        "transfer if needed"
      ],
      "confidence_level": "C",
      "confidence_label": "Planning framework",
      "verification_status": "planning framework derived from PawPulse page structure and methodology",
      "sources": [
        {
          "source_id": "source:3f96fd4409d1",
          "url": "https://review.pawpulse.pet/emergency-vet/emergency-vet-transfer-to-specialist/"
        },
        {
          "source_id": "source:f1db1295a7fa",
          "url": "https://review.pawpulse.pet/methodology/"
        }
      ],
      "use_constraints": [
        "organize estimate questions only",
        "does not establish medical necessity"
      ]
    },
    {
      "claim_id": "evidence:ca5ca434689a:urgency",
      "claim_type": "emergency-safety-rule",
      "content": "If a pet has breathing difficulty, collapse, uncontrolled bleeding, major trauma, suspected poisoning or inability to urinate, prompt veterinary evaluation should take priority over price shopping.",
      "confidence_level": "A",
      "confidence_label": "Externally verified",
      "verification_status": "Externally supported for the clinical/topic statement represented here; local price, provider availability, rankings and treatment suitability remain unverified unless separately sourced.",
      "sources": [
        {
          "source_id": "source:f085689ad7f0",
          "url": "https://review.pawpulse.pet/emergency-vet/when-to-go-to-emergency-vet/"
        },
        {
          "source_id": "ext:cornell-urgent-care",
          "title": "Urgent Care",
          "publisher": "Cornell University College of Veterinary Medicine",
          "url": "https://www.vet.cornell.edu/hospitals/services/urgent-care",
          "source_class": "veterinary school"
        }
      ],
      "use_constraints": [
        "do not use to delay veterinary evaluation",
        "not a complete symptom checker"
      ]
    }
  ],
  "editorial_policy_refs": [
    {
      "source_id": "source:23e6ab5ecc89",
      "url": "https://review.pawpulse.pet/sources/"
    },
    {
      "source_id": "source:f1db1295a7fa",
      "url": "https://review.pawpulse.pet/methodology/"
    }
  ],
  "external_sources": [
    {
      "source_id": "ext:cornell-urgent-care",
      "title": "Urgent Care",
      "publisher": "Cornell University College of Veterinary Medicine",
      "url": "https://www.vet.cornell.edu/hospitals/services/urgent-care",
      "source_class": "veterinary school"
    }
  ]
}