Nice effort, and its something. But something may not be good enough to solve hard problems.

Can simulated hospital simulate efforts by staff to quickly add into many charts a medication Rx - by taking one patient note and copying 1 note, then pasting that into several?

Does it simulate staff forgetting the dosage was not edited after pasting into all those charts ?

Or staff not logging out of their userID, to avoid the need to log in every time someone needs to add a note/document into a chart? So that , in fact, the doc added by Dr Smith, was actually done by his assistant Tully?

Life is complicated. People use systems in wild and unexpected ways.

Real solutions require real data.