Nordic Hackathon 2026 · Uppsala → Paris, and back
Andrea: diabetes and a mental-health crisis abroad
A Swedish exchange student with type 1 diabetes and ADHD reaches a Paris emergency department after a slow slide.
Andrea Lindqvist, 24 · synthetic patient.
Andrea, 24, is registered in Uppsala and has been studying in Paris for six months. She has type 1 diabetes with a CGM sensor, ADHD treated with lisdexamfetamine, and earlier depressive episodes; psychiatry in Uppsala holds a safety plan. After a break-up, study stress and money worries, her routines collapse: she skips meals, insulin and ADHD medication, cancels her diabetes follow-up, and her sensor stops uploading. A classmate brings her to a Paris emergency department with high blood sugar and confusion. The team must treat ketoacidosis and assess suicide risk the same day.
- The June signals reach no one. The cancelled visit and the silent CGM are in the data but not in the views.
- The ED lacks her history, which she gives incoherently in a foreign language.
- Responsibility is split between the Paris ED, student health and Uppsala.
- Consent: the safety plan covers clinicians; the family needs separate consent; the discharge notice to Uppsala has no channel.
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- What this page implements
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The overview marks lab results by age (the reference labs are months old) and flags the cancelled follow-up as a silent signal. Psychiatric items are held back as a restricted category (EHDS Art. 8 and 11); a clinician can open them with a stated vital-interest reason, and the access is written to the exchange layer as a break-glass AuditEvent.
Data and sources
- Reference Patient Summary: view in Provbana · FHIR Bundle
- The organisers' case description
- All hackathon resources, including the medical comments.
The synthetic patient data is published for the Nordic Hackathon 2026 by Provbana (Peretokin Consulting). It does not come from any real system, record or person.