The Virtual Patient - a common standard for medical simulations
The Virtual Patient specification was developed to take advantage of the natural affinity for the branching narrative style of much of medical education. The Virtual Patient is a common standard by which patient cases can be structured in a manner that can be read by many game and simulation systems.
A virtual patient represents whichever characteristics of the patient are relevant to the current educational context.
The VP format contains these segments:
- Patient History
- Investigations
- Differential Diagnosis
- Final Diagnosis
This is specified using a standardized document structure for the description of the patient called CaseML .
What software can utilize Virtual Patients?

The Labyrinth system, developed at University of Edinburgh is one example of an elegant use of the standard without attempting high fidelity realism.
The Labyrinth system uses mostly text-based interaction, along with beeper windows, test results and various other messages and alerts that pop up to provide a realistic experience (See below).
Moving up the realism scale a little, is this first phase of a project from the Imperial College of Medicine.
- Begg, Michael, et. al. Transforming Professional Healthcare Narratives into Structured Game-Informed-Learning Activities. Innovate, Aug/Sept. 2007 (The Labyrinth Virtual Patient-based project)
- Working with the Medbiquitous Virtual Patient Standard
- eViP Project Team. Case studies of the use of virtual patients
- Imperial College of London: Virtual Patients
- Toro-Troconis, Maria. Imperial College of London. Virtual World Watch Blog Archive
- Imperial College of London: Game-based Learning for Virtual Patients in Second Life
Sections in this article:
- What is a game?
- Attributes of games
- Terminology
- The Virtual Knee Surgery game as a window onto some gaming concepts
- The Virtual Patient specification
- Why use games for training?
- Potential problems with using serious games
- Keys to Success
- Effectiveness: Tying learning outcomes to game attributes
- Simulations: how real is real enough?
- Role-playing games
- Edutainment Examples
- Games for Patients (to come)
- References, Resources and Templates

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