- Known state is information the persona knows about themselves. They reveal it selectively, depending on what the operator asks and how much trust the operator builds.
- Hidden state is information the persona genuinely cannot know. The operator discovers it through their own professional process.
The litmus test
For any fact you want to add, ask one question:Could the persona say “yes, I knew that”?
- Yes - it is known state. The persona has it; the question is when they share it.
- No - it is hidden state. The persona cannot have it: an exam finding, a test result, a record they have never seen.
- It is a textbook fact the operator should know from their training - it is not state at all. Domain knowledge belongs to the operator, not the scenario.
Known state
Each known state item carries a reveal trigger that controls when the persona shares it:
This is where skill shows. A strong operator asks the right direct questions and builds enough trust to surface what the persona is holding back. A weak operator leaves rapport-gated facts on the table and never knows they were there.
Revelation mechanics
Reveal triggers say when a fact can come out. Revelation mechanics set the overall difficulty of getting the persona to open up. There are five modes, forming a difficulty ladder:Hidden state
Hidden state is everything the persona cannot know. The operator reaches it by doing their job: ordering the test, pulling the record, running the analysis. Examples:- Investigation results - lab values, imaging findings, assessment scores
- Records - a prior claims history the persona has no access to
- Red flags - inconsistencies only visible through professional analysis
State over time in journeys
In journey simulations, state items can carry a recording frequency that controls how often the fact changes as simulated time advances:
Pain levels might move daily, work status weekly, and a formal review monthly. Between sessions, the state evolves in response to what the operator did, so the situation the operator returns to reflects their earlier choices.
Next steps
Personas
Who holds the known state, and how they respond to the operator.
Defining good
Turn “uncovered the right facts” into criteria a session is scored against.