{
  "case_id": "CLM-DEA-2026-001",
  "product_name": "某寿险产品",
  "insurance_type": "寿险",
  "coverage_module": "疾病身故",
  "death_type": "疾病身故",
  "death_date": "2026-02-06",
  "current_status": "审核中",
  "insured_role": "被保险人",
  "materials": [
    "居民死亡医学证明（推断）书",
    "抢救记录",
    "住院病历",
    "死亡记录",
    "火化证明",
    "受益人申请资料"
  ],
  "facts": {
    "pre_death_summary": "突发胸痛后送医抢救",
    "death_cause_text": "急性心肌梗死",
    "rescue_summary": "经抢救无效死亡",
    "hospital": "某市人民医院"
  },
  "policy_terms": {
    "waiting_period": "90天",
    "suicide_clause": "自合同成立或复效之日起两年内自杀不承担身故保险金责任",
    "exclusion_focus": "违法犯罪、酒驾毒驾、高风险行为等除外责任"
  },
  "user_focus": [
    "是否属于责任范围",
    "是否存在免责或限制",
    "当前材料是否足以支持判断"
  ]
}