{"abstract":"Scale 2 patients on oxygen do not receive the oxygen points.","category":"Clinical triage scoring","checks":11,"contract":"Input {rr, spo2, on_o2, scale2, temp (1 dp), sbp, hr, avpu}. Toy points: RR <=8:3, 9-11:1, 12-20:0, 21-24:2, >=25:3. SpO2 scale 1: <=91:3, 92-93:2, 94-95:1, >=96:0. Scale 2: <=83:3, 84-85:2, 86-87:1, 88-92:0, and >=93 scores 0 on air but on oxygen 93-94:1, 95-96:2, >=97:3. Oxygen +2. Temp <=35.0:3, 35.1-36.0:1, 36.1-38.0:0, 38.1-39.0:1, >=39.1:2. SBP <=90:3, 91-100:2, 101-110:1, 111-219:0, >=220:3. HR <=40:3, 41-50:1, 51-90:0, 91-110:1, 111-130:2, >=131:3. AVPU \"A\" 0, any other (C new confusion, V, P, U) 3. Risk: total >=7 HIGH, >=5 MEDIUM, else LOW_MEDIUM if any single parameter scores 3, else LOW. Return {score, risk}.","evaluation_group":"w2-triage-early-warning-score","failed_approach":"Waiving the points when saturation is 96% or higher hides the oxygen requirement.","family":"w2-triage-early-warning-score-supplemental-oxygen-points","id":"FA-64351","implementations":{"attempt":{"sha256":"8ea7059b37397ffb8cee1296ea766a5da5d96ea385602a8d54e876d3a02cf6d3","source":"\"\"\"Failure Map reference implementation. Python standard library only.\"\"\"\nimport json\nimport math\nfrom fractions import Fraction\nN = 1\nobservations = []\ndef solve(x):\n    rr = x['rr']\n    s_rr = 3 if rr <= 8 else 1 if rr <= 11 else 0 if rr <= 20 else 2 if rr <= 24 else 3\n    sp = x['spo2']\n    if x['scale2']:\n        if sp <= 83:\n            s_sp = 3\n        elif sp <= 85:\n            s_sp = 2\n        elif sp <= 87:\n            s_sp = 1\n        elif sp <= 92 or not x['on_o2']:\n            s_sp = 0\n        elif sp <= 94:\n            s_sp = 1\n        elif sp <= 96:\n            s_sp = 2\n        else:\n            s_sp = 3\n    else:\n        s_sp = 3 if sp <= 91 else 2 if sp <= 93 else 1 if sp <= 95 else 0\n    s_o2 = 2 if x['on_o2'] and sp < 96 else 0\n    t = Fraction(str(x['temp'])) * 10\n    s_t = 3 if t <= 350 else 1 if t <= 360 else 0 if t <= 380 else 1 if t <= 390 else 2\n    bp = x['sbp']\n    s_bp = 3 if bp <= 90 else 2 if bp <= 100 else 1 if bp <= 110 else 0 if bp <= 219 else 3\n    hr = x['hr']\n    s_hr = 3 if hr <= 40 else 1 if hr <= 50 else 0 if hr <= 90 else 1 if hr <= 110 else 2 if hr <= 130 else 3\n    s_c = 0 if x['avpu'] == 'A' else 3\n    parts = [s_rr, s_sp, s_o2, s_t, s_bp, s_hr, s_c]\n    total = sum(parts)\n    if total >= 7:\n        risk = 'HIGH'\n    elif total >= 5:\n        risk = 'MEDIUM'\n    elif 3 in parts:\n        risk = 'LOW_MEDIUM'\n    else:\n        risk = 'LOW'\n    return {'score': total, 'risk': risk}\ndef check(label, actual, expected):\n    observations.append({\"check\": label, \"actual\": actual, \"expected\": expected, \"passed\": actual == expected})\nfixtures = [[('healthy control',\n   {'rr': 16, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '37.0', 'sbp': 120, 'hr': 71, 'avpu': 'A'},\n   {'score': 0, 'risk': 'LOW'}),\n  ('new confusion scores three',\n   {'rr': 22, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '37.1', 'sbp': 120, 'hr': 80, 'avpu': 'C'},\n   {'score': 5, 'risk': 'MEDIUM'}),\n  ('responds to voice only',\n   {'rr': 18, 'spo2': 96, 'on_o2': False, 'scale2': False, 'temp': '37.2', 'sbp': 126, 'hr': 85, 'avpu': 'V'},\n   {'score': 3, 'risk': 'LOW_MEDIUM'}),\n  ('scale 2 high saturation on air',\n   {'rr': 18, 'spo2': 95, 'on_o2': False, 'scale2': True, 'temp': '37.0', 'sbp': 130, 'hr': 80, 'avpu': 'A'},\n   {'score': 0, 'risk': 'LOW'}),\n  ('scale 2 target range on oxygen',\n   {'rr': 18, 'spo2': 89, 'on_o2': True, 'scale2': True, 'temp': '37.0', 'sbp': 130, 'hr': 80, 'avpu': 'A'},\n   {'score': 2, 'risk': 'LOW'}),\n  ('scale 2 above target on oxygen',\n   {'rr': 18, 'spo2': 95, 'on_o2': True, 'scale2': True, 'temp': '37.0', 'sbp': 130, 'hr': 81, 'avpu': 'A'},\n   {'score': 4, 'risk': 'LOW'}),\n  ('saturating well on oxygen',\n   {'rr': 18, 'spo2': 98, 'on_o2': True, 'scale2': False, 'temp': '37.0', 'sbp': 130, 'hr': 80, 'avpu': 'A'},\n   {'score': 2, 'risk': 'LOW'}),\n  ('temperature exactly 36.0',\n   {'rr': 18, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '36.0', 'sbp': 135, 'hr': 76, 'avpu': 'A'},\n   {'score': 1, 'risk': 'LOW'}),\n  ('temperature 36.x scores zero',\n   {'rr': 18, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '36.3', 'sbp': 135, 'hr': 75, 'avpu': 'A'},\n   {'score': 0, 'risk': 'LOW'}),\n  ('aggregate three without red parameter',\n   {'rr': 22, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '37.0', 'sbp': 140, 'hr': 96, 'avpu': 'A'},\n   {'score': 3, 'risk': 'LOW'}),\n  ('pain-only response is red parameter',\n   {'rr': 16, 'spo2': 98, 'on_o2': False, 'scale2': False, 'temp': '37.0', 'sbp': 120, 'hr': 61, 'avpu': 'P'},\n   {'score': 3, 'risk': 'LOW_MEDIUM'})],\n [('healthy control',\n   {'rr': 16, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '37.0', 'sbp': 120, 'hr': 72, 'avpu': 'A'},\n   {'score': 0, 'risk': 'LOW'}),\n  ('new confusion scores three',\n   {'rr': 22, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '37.2', 'sbp': 120, 'hr': 80, 'avpu': 'C'},\n   {'score': 5, 'risk': 'MEDIUM'}),\n  ('responds to voice only',\n   {'rr': 18, 'spo2': 96, 'on_o2': False, 'scale2': False, 'temp': '37.2', 'sbp': 127, 'hr': 85, 'avpu': 'V'},\n   {'score': 3, 'risk': 'LOW_MEDIUM'}),\n  ('scale 2 high saturation on air',\n   {'rr': 18, 'spo2': 96, 'on_o2': False, 'scale2': True, 'temp': '37.0', 'sbp': 130, 'hr': 80, 'avpu': 'A'},\n   {'score': 0, 'risk': 'LOW'}),\n  ('scale 2 target range on oxygen',\n   {'rr': 18, 'spo2': 90, 'on_o2': True, 'scale2': True, 'temp': '37.0', 'sbp': 130, 'hr': 80, 'avpu': 'A'},\n   {'score': 2, 'risk': 'LOW'}),\n  ('scale 2 above target on oxygen',\n   {'rr': 18, 'spo2': 95, 'on_o2': True, 'scale2': True, 'temp': '37.0', 'sbp': 130, 'hr': 82, 'avpu': 'A'},\n   {'score': 4, 'risk': 'LOW'}),\n  ('saturating well on oxygen',\n   {'rr': 18, 'spo2': 99, 'on_o2': True, 'scale2': False, 'temp': '37.0', 'sbp': 130, 'hr': 80, 'avpu': 'A'},\n   {'score': 2, 'risk': 'LOW'}),\n  ('temperature exactly 36.0',\n   {'rr': 18, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '36.0', 'sbp': 135, 'hr': 77, 'avpu': 'A'},\n   {'score': 1, 'risk': 'LOW'}),\n  ('temperature 36.x scores zero',\n   {'rr': 18, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '36.4', 'sbp': 135, 'hr': 75, 'avpu': 'A'},\n   {'score': 0, 'risk': 'LOW'}),\n  ('aggregate three without red parameter',\n   {'rr': 22, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '37.0', 'sbp': 140, 'hr': 97, 'avpu': 'A'},\n   {'score': 3, 'risk': 'LOW'}),\n  ('pain-only response is red parameter',\n   {'rr': 16, 'spo2': 98, 'on_o2': False, 'scale2': False, 'temp': '37.0', 'sbp': 120, 'hr': 62, 'avpu': 'P'},\n   {'score': 3, 'risk': 'LOW_MEDIUM'})],\n [('healthy control',\n   {'rr': 16, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '37.0', 'sbp': 120, 'hr': 73, 'avpu': 'A'},\n   {'score': 0, 'risk': 'LOW'}),\n  ('new confusion scores three',\n   {'rr': 22, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '37.3', 'sbp': 120, 'hr': 80, 'avpu': 'C'},\n   {'score': 5, 'risk': 'MEDIUM'}),\n  ('responds to voice only',\n   {'rr': 18, 'spo2': 96, 'on_o2': False, 'scale2': False, 'temp': '37.2', 'sbp': 128, 'hr': 85, 'avpu': 'V'},\n   {'score': 3, 'risk': 'LOW_MEDIUM'}),\n  ('scale 2 high saturation on air',\n   {'rr': 18, 'spo2': 94, 'on_o2': False, 'scale2': True, 'temp': '37.0', 'sbp': 130, 'hr': 80, 'avpu': 'A'},\n   {'score': 0, 'risk': 'LOW'}),\n  ('scale 2 target range on oxygen',\n   {'rr': 18, 'spo2': 91, 'on_o2': True, 'scale2': True, 'temp': '37.0', 'sbp': 130, 'hr': 80, 'avpu': 'A'},\n   {'score': 2, 'risk': 'LOW'}),\n  ('scale 2 above target on oxygen',\n   {'rr': 18, 'spo2': 95, 'on_o2': True, 'scale2': True, 'temp': '37.0', 'sbp': 130, 'hr': 83, 'avpu': 'A'},\n   {'score': 4, 'risk': 'LOW'}),\n  ('saturating well on oxygen',\n   {'rr': 18, 'spo2': 97, 'on_o2': True, 'scale2': False, 'temp': '37.0', 'sbp': 130, 'hr': 80, 'avpu': 'A'},\n   {'score': 2, 'risk': 'LOW'}),\n  ('temperature exactly 36.0',\n   {'rr': 18, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '36.0', 'sbp': 135, 'hr': 78, 'avpu': 'A'},\n   {'score': 1, 'risk': 'LOW'}),\n  ('temperature 36.x scores zero',\n   {'rr': 18, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '36.5', 'sbp': 135, 'hr': 75, 'avpu': 'A'},\n   {'score': 0, 'risk': 'LOW'}),\n  ('aggregate three without red parameter',\n   {'rr': 22, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '37.0', 'sbp': 140, 'hr': 98, 'avpu': 'A'},\n   {'score': 3, 'risk': 'LOW'}),\n  ('pain-only response is red parameter',\n   {'rr': 16, 'spo2': 98, 'on_o2': False, 'scale2': False, 'temp': '37.0', 'sbp': 120, 'hr': 63, 'avpu': 'P'},\n   {'score': 3, 'risk': 'LOW_MEDIUM'})],\n [('healthy control',\n   {'rr': 16, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '37.0', 'sbp': 120, 'hr': 74, 'avpu': 'A'},\n   {'score': 0, 'risk': 'LOW'}),\n  ('new confusion scores three',\n   {'rr': 22, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '37.4', 'sbp': 120, 'hr': 80, 'avpu': 'C'},\n   {'score': 5, 'risk': 'MEDIUM'}),\n  ('responds to voice only',\n   {'rr': 18, 'spo2': 96, 'on_o2': False, 'scale2': False, 'temp': '37.2', 'sbp': 129, 'hr': 85, 'avpu': 'V'},\n   {'score': 3, 'risk': 'LOW_MEDIUM'}),\n  ('scale 2 high saturation on air',\n   {'rr': 18, 'spo2': 95, 'on_o2': False, 'scale2': True, 'temp': '37.0', 'sbp': 130, 'hr': 80, 'avpu': 'A'},\n   {'score': 0, 'risk': 'LOW'}),\n  ('scale 2 target range on oxygen',\n   {'rr': 18, 'spo2': 92, 'on_o2': True, 'scale2': True, 'temp': '37.0', 'sbp': 130, 'hr': 80, 'avpu': 'A'},\n   {'score': 2, 'risk': 'LOW'}),\n  ('scale 2 above target on oxygen',\n   {'rr': 18, 'spo2': 95, 'on_o2': True, 'scale2': True, 'temp': '37.0', 'sbp': 130, 'hr': 84, 'avpu': 'A'},\n   {'score': 4, 'risk': 'LOW'}),\n  ('saturating well on oxygen',\n   {'rr': 18, 'spo2': 98, 'on_o2': True, 'scale2': False, 'temp': '37.0', 'sbp': 130, 'hr': 80, 'avpu': 'A'},\n   {'score': 2, 'risk': 'LOW'}),\n  ('temperature exactly 36.0',\n   {'rr': 18, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '36.0', 'sbp': 135, 'hr': 79, 'avpu': 'A'},\n   {'score': 1, 'risk': 'LOW'}),\n  ('temperature 36.x scores zero',\n   {'rr': 18, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '36.6', 'sbp': 135, 'hr': 75, 'avpu': 'A'},\n   {'score': 0, 'risk': 'LOW'}),\n  ('aggregate three without red parameter',\n   {'rr': 22, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '37.0', 'sbp': 140, 'hr': 99, 'avpu': 'A'},\n   {'score': 3, 'risk': 'LOW'}),\n  ('pain-only response is red parameter',\n   {'rr': 16, 'spo2': 98, 'on_o2': False, 'scale2': False, 'temp': '37.0', 'sbp': 120, 'hr': 64, 'avpu': 'P'},\n   {'score': 3, 'risk': 'LOW_MEDIUM'})],\n [('healthy control',\n   {'rr': 16, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '37.0', 'sbp': 120, 'hr': 75, 'avpu': 'A'},\n   {'score': 0, 'risk': 'LOW'}),\n  ('new confusion scores three',\n   {'rr': 22, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '37.5', 'sbp': 120, 'hr': 80, 'avpu': 'C'},\n   {'score': 5, 'risk': 'MEDIUM'}),\n  ('responds to voice only',\n   {'rr': 18, 'spo2': 96, 'on_o2': False, 'scale2': False, 'temp': '37.2', 'sbp': 130, 'hr': 85, 'avpu': 'V'},\n   {'score': 3, 'risk': 'LOW_MEDIUM'}),\n  ('scale 2 high saturation on air',\n   {'rr': 18, 'spo2': 96, 'on_o2': False, 'scale2': True, 'temp': '37.0', 'sbp': 130, 'hr': 80, 'avpu': 'A'},\n   {'score': 0, 'risk': 'LOW'}),\n  ('scale 2 target range on oxygen',\n   {'rr': 18, 'spo2': 88, 'on_o2': True, 'scale2': True, 'temp': '37.0', 'sbp': 130, 'hr': 80, 'avpu': 'A'},\n   {'score': 2, 'risk': 'LOW'}),\n  ('scale 2 above target on oxygen',\n   {'rr': 18, 'spo2': 95, 'on_o2': True, 'scale2': True, 'temp': '37.0', 'sbp': 130, 'hr': 85, 'avpu': 'A'},\n   {'score': 4, 'risk': 'LOW'}),\n  ('saturating well on oxygen',\n   {'rr': 18, 'spo2': 99, 'on_o2': True, 'scale2': False, 'temp': '37.0', 'sbp': 130, 'hr': 80, 'avpu': 'A'},\n   {'score': 2, 'risk': 'LOW'}),\n  ('temperature exactly 36.0',\n   {'rr': 18, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '36.0', 'sbp': 135, 'hr': 80, 'avpu': 'A'},\n   {'score': 1, 'risk': 'LOW'}),\n  ('temperature 36.x scores zero',\n   {'rr': 18, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '36.7', 'sbp': 135, 'hr': 75, 'avpu': 'A'},\n   {'score': 0, 'risk': 'LOW'}),\n  ('aggregate three without red parameter',\n   {'rr': 22,\n    'spo2': 97,\n    'on_o2': False,\n    'scale2': False,\n    'temp': '37.0',\n    'sbp': 140,\n    'hr': 100,\n    'avpu': 'A'},\n   {'score': 3, 'risk': 'LOW'}),\n  ('pain-only response is red parameter',\n   {'rr': 16, 'spo2': 98, 'on_o2': False, 'scale2': False, 'temp': '37.0', 'sbp': 120, 'hr': 65, 'avpu': 'P'},\n   {'score': 3, 'risk': 'LOW_MEDIUM'})]]\nfor label, args, expected in fixtures[N-1]:\n    check(label, solve(args), expected)\nprint(json.dumps({\"observations\": observations, \"passed\": all(x[\"passed\"] for x in observations)}, ensure_ascii=False))\nraise SystemExit(0 if all(x[\"passed\"] for x in observations) else 1)\n"},"broken":{"sha256":"b8098b1c0f73b0f99af16ff651df95f4c8b243bde4810432dbe1a044ef5299f3","source":"\"\"\"Failure Map reference implementation. Python standard library only.\"\"\"\nimport json\nimport math\nfrom fractions import Fraction\nN = 1\nobservations = []\ndef solve(x):\n    rr = x['rr']\n    s_rr = 3 if rr <= 8 else 1 if rr <= 11 else 0 if rr <= 20 else 2 if rr <= 24 else 3\n    sp = x['spo2']\n    if x['scale2']:\n        if sp <= 83:\n            s_sp = 3\n        elif sp <= 85:\n            s_sp = 2\n        elif sp <= 87:\n            s_sp = 1\n        elif sp <= 92 or not x['on_o2']:\n            s_sp = 0\n        elif sp <= 94:\n            s_sp = 1\n        elif sp <= 96:\n            s_sp = 2\n        else:\n            s_sp = 3\n    else:\n        s_sp = 3 if sp <= 91 else 2 if sp <= 93 else 1 if sp <= 95 else 0\n    s_o2 = 2 if x['on_o2'] and not x['scale2'] else 0\n    t = Fraction(str(x['temp'])) * 10\n    s_t = 3 if t <= 350 else 1 if t <= 360 else 0 if t <= 380 else 1 if t <= 390 else 2\n    bp = x['sbp']\n    s_bp = 3 if bp <= 90 else 2 if bp <= 100 else 1 if bp <= 110 else 0 if bp <= 219 else 3\n    hr = x['hr']\n    s_hr = 3 if hr <= 40 else 1 if hr <= 50 else 0 if hr <= 90 else 1 if hr <= 110 else 2 if hr <= 130 else 3\n    s_c = 0 if x['avpu'] == 'A' else 3\n    parts = [s_rr, s_sp, s_o2, s_t, s_bp, s_hr, s_c]\n    total = sum(parts)\n    if total >= 7:\n        risk = 'HIGH'\n    elif total >= 5:\n        risk = 'MEDIUM'\n    elif 3 in parts:\n        risk = 'LOW_MEDIUM'\n    else:\n        risk = 'LOW'\n    return {'score': total, 'risk': risk}\ndef check(label, actual, expected):\n    observations.append({\"check\": label, \"actual\": actual, \"expected\": expected, \"passed\": actual == expected})\nfixtures = [[('healthy control',\n   {'rr': 16, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '37.0', 'sbp': 120, 'hr': 71, 'avpu': 'A'},\n   {'score': 0, 'risk': 'LOW'}),\n  ('new confusion scores three',\n   {'rr': 22, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '37.1', 'sbp': 120, 'hr': 80, 'avpu': 'C'},\n   {'score': 5, 'risk': 'MEDIUM'}),\n  ('responds to voice only',\n   {'rr': 18, 'spo2': 96, 'on_o2': False, 'scale2': False, 'temp': '37.2', 'sbp': 126, 'hr': 85, 'avpu': 'V'},\n   {'score': 3, 'risk': 'LOW_MEDIUM'}),\n  ('scale 2 high saturation on air',\n   {'rr': 18, 'spo2': 95, 'on_o2': False, 'scale2': True, 'temp': '37.0', 'sbp': 130, 'hr': 80, 'avpu': 'A'},\n   {'score': 0, 'risk': 'LOW'}),\n  ('scale 2 target range on oxygen',\n   {'rr': 18, 'spo2': 89, 'on_o2': True, 'scale2': True, 'temp': '37.0', 'sbp': 130, 'hr': 80, 'avpu': 'A'},\n   {'score': 2, 'risk': 'LOW'}),\n  ('scale 2 above target on oxygen',\n   {'rr': 18, 'spo2': 95, 'on_o2': True, 'scale2': True, 'temp': '37.0', 'sbp': 130, 'hr': 81, 'avpu': 'A'},\n   {'score': 4, 'risk': 'LOW'}),\n  ('saturating well on oxygen',\n   {'rr': 18, 'spo2': 98, 'on_o2': True, 'scale2': False, 'temp': '37.0', 'sbp': 130, 'hr': 80, 'avpu': 'A'},\n   {'score': 2, 'risk': 'LOW'}),\n  ('temperature exactly 36.0',\n   {'rr': 18, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '36.0', 'sbp': 135, 'hr': 76, 'avpu': 'A'},\n   {'score': 1, 'risk': 'LOW'}),\n  ('temperature 36.x scores zero',\n   {'rr': 18, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '36.3', 'sbp': 135, 'hr': 75, 'avpu': 'A'},\n   {'score': 0, 'risk': 'LOW'}),\n  ('aggregate three without red parameter',\n   {'rr': 22, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '37.0', 'sbp': 140, 'hr': 96, 'avpu': 'A'},\n   {'score': 3, 'risk': 'LOW'}),\n  ('pain-only response is red parameter',\n   {'rr': 16, 'spo2': 98, 'on_o2': False, 'scale2': False, 'temp': '37.0', 'sbp': 120, 'hr': 61, 'avpu': 'P'},\n   {'score': 3, 'risk': 'LOW_MEDIUM'})],\n [('healthy control',\n   {'rr': 16, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '37.0', 'sbp': 120, 'hr': 72, 'avpu': 'A'},\n   {'score': 0, 'risk': 'LOW'}),\n  ('new confusion scores three',\n   {'rr': 22, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '37.2', 'sbp': 120, 'hr': 80, 'avpu': 'C'},\n   {'score': 5, 'risk': 'MEDIUM'}),\n  ('responds to voice only',\n   {'rr': 18, 'spo2': 96, 'on_o2': False, 'scale2': False, 'temp': '37.2', 'sbp': 127, 'hr': 85, 'avpu': 'V'},\n   {'score': 3, 'risk': 'LOW_MEDIUM'}),\n  ('scale 2 high saturation on air',\n   {'rr': 18, 'spo2': 96, 'on_o2': False, 'scale2': True, 'temp': '37.0', 'sbp': 130, 'hr': 80, 'avpu': 'A'},\n   {'score': 0, 'risk': 'LOW'}),\n  ('scale 2 target range on oxygen',\n   {'rr': 18, 'spo2': 90, 'on_o2': True, 'scale2': True, 'temp': '37.0', 'sbp': 130, 'hr': 80, 'avpu': 'A'},\n   {'score': 2, 'risk': 'LOW'}),\n  ('scale 2 above target on oxygen',\n   {'rr': 18, 'spo2': 95, 'on_o2': True, 'scale2': True, 'temp': '37.0', 'sbp': 130, 'hr': 82, 'avpu': 'A'},\n   {'score': 4, 'risk': 'LOW'}),\n  ('saturating well on oxygen',\n   {'rr': 18, 'spo2': 99, 'on_o2': True, 'scale2': False, 'temp': '37.0', 'sbp': 130, 'hr': 80, 'avpu': 'A'},\n   {'score': 2, 'risk': 'LOW'}),\n  ('temperature exactly 36.0',\n   {'rr': 18, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '36.0', 'sbp': 135, 'hr': 77, 'avpu': 'A'},\n   {'score': 1, 'risk': 'LOW'}),\n  ('temperature 36.x scores zero',\n   {'rr': 18, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '36.4', 'sbp': 135, 'hr': 75, 'avpu': 'A'},\n   {'score': 0, 'risk': 'LOW'}),\n  ('aggregate three without red parameter',\n   {'rr': 22, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '37.0', 'sbp': 140, 'hr': 97, 'avpu': 'A'},\n   {'score': 3, 'risk': 'LOW'}),\n  ('pain-only response is red parameter',\n   {'rr': 16, 'spo2': 98, 'on_o2': False, 'scale2': False, 'temp': '37.0', 'sbp': 120, 'hr': 62, 'avpu': 'P'},\n   {'score': 3, 'risk': 'LOW_MEDIUM'})],\n [('healthy control',\n   {'rr': 16, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '37.0', 'sbp': 120, 'hr': 73, 'avpu': 'A'},\n   {'score': 0, 'risk': 'LOW'}),\n  ('new confusion scores three',\n   {'rr': 22, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '37.3', 'sbp': 120, 'hr': 80, 'avpu': 'C'},\n   {'score': 5, 'risk': 'MEDIUM'}),\n  ('responds to voice only',\n   {'rr': 18, 'spo2': 96, 'on_o2': False, 'scale2': False, 'temp': '37.2', 'sbp': 128, 'hr': 85, 'avpu': 'V'},\n   {'score': 3, 'risk': 'LOW_MEDIUM'}),\n  ('scale 2 high saturation on air',\n   {'rr': 18, 'spo2': 94, 'on_o2': False, 'scale2': True, 'temp': '37.0', 'sbp': 130, 'hr': 80, 'avpu': 'A'},\n   {'score': 0, 'risk': 'LOW'}),\n  ('scale 2 target range on oxygen',\n   {'rr': 18, 'spo2': 91, 'on_o2': True, 'scale2': True, 'temp': '37.0', 'sbp': 130, 'hr': 80, 'avpu': 'A'},\n   {'score': 2, 'risk': 'LOW'}),\n  ('scale 2 above target on oxygen',\n   {'rr': 18, 'spo2': 95, 'on_o2': True, 'scale2': True, 'temp': '37.0', 'sbp': 130, 'hr': 83, 'avpu': 'A'},\n   {'score': 4, 'risk': 'LOW'}),\n  ('saturating well on oxygen',\n   {'rr': 18, 'spo2': 97, 'on_o2': True, 'scale2': False, 'temp': '37.0', 'sbp': 130, 'hr': 80, 'avpu': 'A'},\n   {'score': 2, 'risk': 'LOW'}),\n  ('temperature exactly 36.0',\n   {'rr': 18, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '36.0', 'sbp': 135, 'hr': 78, 'avpu': 'A'},\n   {'score': 1, 'risk': 'LOW'}),\n  ('temperature 36.x scores zero',\n   {'rr': 18, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '36.5', 'sbp': 135, 'hr': 75, 'avpu': 'A'},\n   {'score': 0, 'risk': 'LOW'}),\n  ('aggregate three without red parameter',\n   {'rr': 22, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '37.0', 'sbp': 140, 'hr': 98, 'avpu': 'A'},\n   {'score': 3, 'risk': 'LOW'}),\n  ('pain-only response is red parameter',\n   {'rr': 16, 'spo2': 98, 'on_o2': False, 'scale2': False, 'temp': '37.0', 'sbp': 120, 'hr': 63, 'avpu': 'P'},\n   {'score': 3, 'risk': 'LOW_MEDIUM'})],\n [('healthy control',\n   {'rr': 16, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '37.0', 'sbp': 120, 'hr': 74, 'avpu': 'A'},\n   {'score': 0, 'risk': 'LOW'}),\n  ('new confusion scores three',\n   {'rr': 22, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '37.4', 'sbp': 120, 'hr': 80, 'avpu': 'C'},\n   {'score': 5, 'risk': 'MEDIUM'}),\n  ('responds to voice only',\n   {'rr': 18, 'spo2': 96, 'on_o2': False, 'scale2': False, 'temp': '37.2', 'sbp': 129, 'hr': 85, 'avpu': 'V'},\n   {'score': 3, 'risk': 'LOW_MEDIUM'}),\n  ('scale 2 high saturation on air',\n   {'rr': 18, 'spo2': 95, 'on_o2': False, 'scale2': True, 'temp': '37.0', 'sbp': 130, 'hr': 80, 'avpu': 'A'},\n   {'score': 0, 'risk': 'LOW'}),\n  ('scale 2 target range on oxygen',\n   {'rr': 18, 'spo2': 92, 'on_o2': True, 'scale2': True, 'temp': '37.0', 'sbp': 130, 'hr': 80, 'avpu': 'A'},\n   {'score': 2, 'risk': 'LOW'}),\n  ('scale 2 above target on oxygen',\n   {'rr': 18, 'spo2': 95, 'on_o2': True, 'scale2': True, 'temp': '37.0', 'sbp': 130, 'hr': 84, 'avpu': 'A'},\n   {'score': 4, 'risk': 'LOW'}),\n  ('saturating well on oxygen',\n   {'rr': 18, 'spo2': 98, 'on_o2': True, 'scale2': False, 'temp': '37.0', 'sbp': 130, 'hr': 80, 'avpu': 'A'},\n   {'score': 2, 'risk': 'LOW'}),\n  ('temperature exactly 36.0',\n   {'rr': 18, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '36.0', 'sbp': 135, 'hr': 79, 'avpu': 'A'},\n   {'score': 1, 'risk': 'LOW'}),\n  ('temperature 36.x scores zero',\n   {'rr': 18, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '36.6', 'sbp': 135, 'hr': 75, 'avpu': 'A'},\n   {'score': 0, 'risk': 'LOW'}),\n  ('aggregate three without red parameter',\n   {'rr': 22, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '37.0', 'sbp': 140, 'hr': 99, 'avpu': 'A'},\n   {'score': 3, 'risk': 'LOW'}),\n  ('pain-only response is red parameter',\n   {'rr': 16, 'spo2': 98, 'on_o2': False, 'scale2': False, 'temp': '37.0', 'sbp': 120, 'hr': 64, 'avpu': 'P'},\n   {'score': 3, 'risk': 'LOW_MEDIUM'})],\n [('healthy control',\n   {'rr': 16, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '37.0', 'sbp': 120, 'hr': 75, 'avpu': 'A'},\n   {'score': 0, 'risk': 'LOW'}),\n  ('new confusion scores three',\n   {'rr': 22, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '37.5', 'sbp': 120, 'hr': 80, 'avpu': 'C'},\n   {'score': 5, 'risk': 'MEDIUM'}),\n  ('responds to voice only',\n   {'rr': 18, 'spo2': 96, 'on_o2': False, 'scale2': False, 'temp': '37.2', 'sbp': 130, 'hr': 85, 'avpu': 'V'},\n   {'score': 3, 'risk': 'LOW_MEDIUM'}),\n  ('scale 2 high saturation on air',\n   {'rr': 18, 'spo2': 96, 'on_o2': False, 'scale2': True, 'temp': '37.0', 'sbp': 130, 'hr': 80, 'avpu': 'A'},\n   {'score': 0, 'risk': 'LOW'}),\n  ('scale 2 target range on oxygen',\n   {'rr': 18, 'spo2': 88, 'on_o2': True, 'scale2': True, 'temp': '37.0', 'sbp': 130, 'hr': 80, 'avpu': 'A'},\n   {'score': 2, 'risk': 'LOW'}),\n  ('scale 2 above target on oxygen',\n   {'rr': 18, 'spo2': 95, 'on_o2': True, 'scale2': True, 'temp': '37.0', 'sbp': 130, 'hr': 85, 'avpu': 'A'},\n   {'score': 4, 'risk': 'LOW'}),\n  ('saturating well on oxygen',\n   {'rr': 18, 'spo2': 99, 'on_o2': True, 'scale2': False, 'temp': '37.0', 'sbp': 130, 'hr': 80, 'avpu': 'A'},\n   {'score': 2, 'risk': 'LOW'}),\n  ('temperature exactly 36.0',\n   {'rr': 18, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '36.0', 'sbp': 135, 'hr': 80, 'avpu': 'A'},\n   {'score': 1, 'risk': 'LOW'}),\n  ('temperature 36.x scores zero',\n   {'rr': 18, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '36.7', 'sbp': 135, 'hr': 75, 'avpu': 'A'},\n   {'score': 0, 'risk': 'LOW'}),\n  ('aggregate three without red parameter',\n   {'rr': 22,\n    'spo2': 97,\n    'on_o2': False,\n    'scale2': False,\n    'temp': '37.0',\n    'sbp': 140,\n    'hr': 100,\n    'avpu': 'A'},\n   {'score': 3, 'risk': 'LOW'}),\n  ('pain-only response is red parameter',\n   {'rr': 16, 'spo2': 98, 'on_o2': False, 'scale2': False, 'temp': '37.0', 'sbp': 120, 'hr': 65, 'avpu': 'P'},\n   {'score': 3, 'risk': 'LOW_MEDIUM'})]]\nfor label, args, expected in fixtures[N-1]:\n    check(label, solve(args), expected)\nprint(json.dumps({\"observations\": observations, \"passed\": all(x[\"passed\"] for x in observations)}, ensure_ascii=False))\nraise SystemExit(0 if all(x[\"passed\"] for x in observations) else 1)\n"},"fixed":{"sha256":"d78417ebd750465ec07230ebd67e27e958ee566cebc3f1064cdcb11ec42f22c5","source":"\"\"\"Failure Map reference implementation. Python standard library only.\"\"\"\nimport json\nimport math\nfrom fractions import Fraction\nN = 1\nobservations = []\ndef solve(x):\n    rr = x['rr']\n    s_rr = 3 if rr <= 8 else 1 if rr <= 11 else 0 if rr <= 20 else 2 if rr <= 24 else 3\n    sp = x['spo2']\n    if x['scale2']:\n        if sp <= 83:\n            s_sp = 3\n        elif sp <= 85:\n            s_sp = 2\n        elif sp <= 87:\n            s_sp = 1\n        elif sp <= 92 or not x['on_o2']:\n            s_sp = 0\n        elif sp <= 94:\n            s_sp = 1\n        elif sp <= 96:\n            s_sp = 2\n        else:\n            s_sp = 3\n    else:\n        s_sp = 3 if sp <= 91 else 2 if sp <= 93 else 1 if sp <= 95 else 0\n    s_o2 = 2 if x['on_o2'] else 0\n    t = Fraction(str(x['temp'])) * 10\n    s_t = 3 if t <= 350 else 1 if t <= 360 else 0 if t <= 380 else 1 if t <= 390 else 2\n    bp = x['sbp']\n    s_bp = 3 if bp <= 90 else 2 if bp <= 100 else 1 if bp <= 110 else 0 if bp <= 219 else 3\n    hr = x['hr']\n    s_hr = 3 if hr <= 40 else 1 if hr <= 50 else 0 if hr <= 90 else 1 if hr <= 110 else 2 if hr <= 130 else 3\n    s_c = 0 if x['avpu'] == 'A' else 3\n    parts = [s_rr, s_sp, s_o2, s_t, s_bp, s_hr, s_c]\n    total = sum(parts)\n    if total >= 7:\n        risk = 'HIGH'\n    elif total >= 5:\n        risk = 'MEDIUM'\n    elif 3 in parts:\n        risk = 'LOW_MEDIUM'\n    else:\n        risk = 'LOW'\n    return {'score': total, 'risk': risk}\ndef check(label, actual, expected):\n    observations.append({\"check\": label, \"actual\": actual, \"expected\": expected, \"passed\": actual == expected})\nfixtures = [[('healthy control',\n   {'rr': 16, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '37.0', 'sbp': 120, 'hr': 71, 'avpu': 'A'},\n   {'score': 0, 'risk': 'LOW'}),\n  ('new confusion scores three',\n   {'rr': 22, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '37.1', 'sbp': 120, 'hr': 80, 'avpu': 'C'},\n   {'score': 5, 'risk': 'MEDIUM'}),\n  ('responds to voice only',\n   {'rr': 18, 'spo2': 96, 'on_o2': False, 'scale2': False, 'temp': '37.2', 'sbp': 126, 'hr': 85, 'avpu': 'V'},\n   {'score': 3, 'risk': 'LOW_MEDIUM'}),\n  ('scale 2 high saturation on air',\n   {'rr': 18, 'spo2': 95, 'on_o2': False, 'scale2': True, 'temp': '37.0', 'sbp': 130, 'hr': 80, 'avpu': 'A'},\n   {'score': 0, 'risk': 'LOW'}),\n  ('scale 2 target range on oxygen',\n   {'rr': 18, 'spo2': 89, 'on_o2': True, 'scale2': True, 'temp': '37.0', 'sbp': 130, 'hr': 80, 'avpu': 'A'},\n   {'score': 2, 'risk': 'LOW'}),\n  ('scale 2 above target on oxygen',\n   {'rr': 18, 'spo2': 95, 'on_o2': True, 'scale2': True, 'temp': '37.0', 'sbp': 130, 'hr': 81, 'avpu': 'A'},\n   {'score': 4, 'risk': 'LOW'}),\n  ('saturating well on oxygen',\n   {'rr': 18, 'spo2': 98, 'on_o2': True, 'scale2': False, 'temp': '37.0', 'sbp': 130, 'hr': 80, 'avpu': 'A'},\n   {'score': 2, 'risk': 'LOW'}),\n  ('temperature exactly 36.0',\n   {'rr': 18, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '36.0', 'sbp': 135, 'hr': 76, 'avpu': 'A'},\n   {'score': 1, 'risk': 'LOW'}),\n  ('temperature 36.x scores zero',\n   {'rr': 18, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '36.3', 'sbp': 135, 'hr': 75, 'avpu': 'A'},\n   {'score': 0, 'risk': 'LOW'}),\n  ('aggregate three without red parameter',\n   {'rr': 22, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '37.0', 'sbp': 140, 'hr': 96, 'avpu': 'A'},\n   {'score': 3, 'risk': 'LOW'}),\n  ('pain-only response is red parameter',\n   {'rr': 16, 'spo2': 98, 'on_o2': False, 'scale2': False, 'temp': '37.0', 'sbp': 120, 'hr': 61, 'avpu': 'P'},\n   {'score': 3, 'risk': 'LOW_MEDIUM'})],\n [('healthy control',\n   {'rr': 16, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '37.0', 'sbp': 120, 'hr': 72, 'avpu': 'A'},\n   {'score': 0, 'risk': 'LOW'}),\n  ('new confusion scores three',\n   {'rr': 22, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '37.2', 'sbp': 120, 'hr': 80, 'avpu': 'C'},\n   {'score': 5, 'risk': 'MEDIUM'}),\n  ('responds to voice only',\n   {'rr': 18, 'spo2': 96, 'on_o2': False, 'scale2': False, 'temp': '37.2', 'sbp': 127, 'hr': 85, 'avpu': 'V'},\n   {'score': 3, 'risk': 'LOW_MEDIUM'}),\n  ('scale 2 high saturation on air',\n   {'rr': 18, 'spo2': 96, 'on_o2': False, 'scale2': True, 'temp': '37.0', 'sbp': 130, 'hr': 80, 'avpu': 'A'},\n   {'score': 0, 'risk': 'LOW'}),\n  ('scale 2 target range on oxygen',\n   {'rr': 18, 'spo2': 90, 'on_o2': True, 'scale2': True, 'temp': '37.0', 'sbp': 130, 'hr': 80, 'avpu': 'A'},\n   {'score': 2, 'risk': 'LOW'}),\n  ('scale 2 above target on oxygen',\n   {'rr': 18, 'spo2': 95, 'on_o2': True, 'scale2': True, 'temp': '37.0', 'sbp': 130, 'hr': 82, 'avpu': 'A'},\n   {'score': 4, 'risk': 'LOW'}),\n  ('saturating well on oxygen',\n   {'rr': 18, 'spo2': 99, 'on_o2': True, 'scale2': False, 'temp': '37.0', 'sbp': 130, 'hr': 80, 'avpu': 'A'},\n   {'score': 2, 'risk': 'LOW'}),\n  ('temperature exactly 36.0',\n   {'rr': 18, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '36.0', 'sbp': 135, 'hr': 77, 'avpu': 'A'},\n   {'score': 1, 'risk': 'LOW'}),\n  ('temperature 36.x scores zero',\n   {'rr': 18, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '36.4', 'sbp': 135, 'hr': 75, 'avpu': 'A'},\n   {'score': 0, 'risk': 'LOW'}),\n  ('aggregate three without red parameter',\n   {'rr': 22, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '37.0', 'sbp': 140, 'hr': 97, 'avpu': 'A'},\n   {'score': 3, 'risk': 'LOW'}),\n  ('pain-only response is red parameter',\n   {'rr': 16, 'spo2': 98, 'on_o2': False, 'scale2': False, 'temp': '37.0', 'sbp': 120, 'hr': 62, 'avpu': 'P'},\n   {'score': 3, 'risk': 'LOW_MEDIUM'})],\n [('healthy control',\n   {'rr': 16, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '37.0', 'sbp': 120, 'hr': 73, 'avpu': 'A'},\n   {'score': 0, 'risk': 'LOW'}),\n  ('new confusion scores three',\n   {'rr': 22, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '37.3', 'sbp': 120, 'hr': 80, 'avpu': 'C'},\n   {'score': 5, 'risk': 'MEDIUM'}),\n  ('responds to voice only',\n   {'rr': 18, 'spo2': 96, 'on_o2': False, 'scale2': False, 'temp': '37.2', 'sbp': 128, 'hr': 85, 'avpu': 'V'},\n   {'score': 3, 'risk': 'LOW_MEDIUM'}),\n  ('scale 2 high saturation on air',\n   {'rr': 18, 'spo2': 94, 'on_o2': False, 'scale2': True, 'temp': '37.0', 'sbp': 130, 'hr': 80, 'avpu': 'A'},\n   {'score': 0, 'risk': 'LOW'}),\n  ('scale 2 target range on oxygen',\n   {'rr': 18, 'spo2': 91, 'on_o2': True, 'scale2': True, 'temp': '37.0', 'sbp': 130, 'hr': 80, 'avpu': 'A'},\n   {'score': 2, 'risk': 'LOW'}),\n  ('scale 2 above target on oxygen',\n   {'rr': 18, 'spo2': 95, 'on_o2': True, 'scale2': True, 'temp': '37.0', 'sbp': 130, 'hr': 83, 'avpu': 'A'},\n   {'score': 4, 'risk': 'LOW'}),\n  ('saturating well on oxygen',\n   {'rr': 18, 'spo2': 97, 'on_o2': True, 'scale2': False, 'temp': '37.0', 'sbp': 130, 'hr': 80, 'avpu': 'A'},\n   {'score': 2, 'risk': 'LOW'}),\n  ('temperature exactly 36.0',\n   {'rr': 18, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '36.0', 'sbp': 135, 'hr': 78, 'avpu': 'A'},\n   {'score': 1, 'risk': 'LOW'}),\n  ('temperature 36.x scores zero',\n   {'rr': 18, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '36.5', 'sbp': 135, 'hr': 75, 'avpu': 'A'},\n   {'score': 0, 'risk': 'LOW'}),\n  ('aggregate three without red parameter',\n   {'rr': 22, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '37.0', 'sbp': 140, 'hr': 98, 'avpu': 'A'},\n   {'score': 3, 'risk': 'LOW'}),\n  ('pain-only response is red parameter',\n   {'rr': 16, 'spo2': 98, 'on_o2': False, 'scale2': False, 'temp': '37.0', 'sbp': 120, 'hr': 63, 'avpu': 'P'},\n   {'score': 3, 'risk': 'LOW_MEDIUM'})],\n [('healthy control',\n   {'rr': 16, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '37.0', 'sbp': 120, 'hr': 74, 'avpu': 'A'},\n   {'score': 0, 'risk': 'LOW'}),\n  ('new confusion scores three',\n   {'rr': 22, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '37.4', 'sbp': 120, 'hr': 80, 'avpu': 'C'},\n   {'score': 5, 'risk': 'MEDIUM'}),\n  ('responds to voice only',\n   {'rr': 18, 'spo2': 96, 'on_o2': False, 'scale2': False, 'temp': '37.2', 'sbp': 129, 'hr': 85, 'avpu': 'V'},\n   {'score': 3, 'risk': 'LOW_MEDIUM'}),\n  ('scale 2 high saturation on air',\n   {'rr': 18, 'spo2': 95, 'on_o2': False, 'scale2': True, 'temp': '37.0', 'sbp': 130, 'hr': 80, 'avpu': 'A'},\n   {'score': 0, 'risk': 'LOW'}),\n  ('scale 2 target range on oxygen',\n   {'rr': 18, 'spo2': 92, 'on_o2': True, 'scale2': True, 'temp': '37.0', 'sbp': 130, 'hr': 80, 'avpu': 'A'},\n   {'score': 2, 'risk': 'LOW'}),\n  ('scale 2 above target on oxygen',\n   {'rr': 18, 'spo2': 95, 'on_o2': True, 'scale2': True, 'temp': '37.0', 'sbp': 130, 'hr': 84, 'avpu': 'A'},\n   {'score': 4, 'risk': 'LOW'}),\n  ('saturating well on oxygen',\n   {'rr': 18, 'spo2': 98, 'on_o2': True, 'scale2': False, 'temp': '37.0', 'sbp': 130, 'hr': 80, 'avpu': 'A'},\n   {'score': 2, 'risk': 'LOW'}),\n  ('temperature exactly 36.0',\n   {'rr': 18, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '36.0', 'sbp': 135, 'hr': 79, 'avpu': 'A'},\n   {'score': 1, 'risk': 'LOW'}),\n  ('temperature 36.x scores zero',\n   {'rr': 18, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '36.6', 'sbp': 135, 'hr': 75, 'avpu': 'A'},\n   {'score': 0, 'risk': 'LOW'}),\n  ('aggregate three without red parameter',\n   {'rr': 22, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '37.0', 'sbp': 140, 'hr': 99, 'avpu': 'A'},\n   {'score': 3, 'risk': 'LOW'}),\n  ('pain-only response is red parameter',\n   {'rr': 16, 'spo2': 98, 'on_o2': False, 'scale2': False, 'temp': '37.0', 'sbp': 120, 'hr': 64, 'avpu': 'P'},\n   {'score': 3, 'risk': 'LOW_MEDIUM'})],\n [('healthy control',\n   {'rr': 16, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '37.0', 'sbp': 120, 'hr': 75, 'avpu': 'A'},\n   {'score': 0, 'risk': 'LOW'}),\n  ('new confusion scores three',\n   {'rr': 22, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '37.5', 'sbp': 120, 'hr': 80, 'avpu': 'C'},\n   {'score': 5, 'risk': 'MEDIUM'}),\n  ('responds to voice only',\n   {'rr': 18, 'spo2': 96, 'on_o2': False, 'scale2': False, 'temp': '37.2', 'sbp': 130, 'hr': 85, 'avpu': 'V'},\n   {'score': 3, 'risk': 'LOW_MEDIUM'}),\n  ('scale 2 high saturation on air',\n   {'rr': 18, 'spo2': 96, 'on_o2': False, 'scale2': True, 'temp': '37.0', 'sbp': 130, 'hr': 80, 'avpu': 'A'},\n   {'score': 0, 'risk': 'LOW'}),\n  ('scale 2 target range on oxygen',\n   {'rr': 18, 'spo2': 88, 'on_o2': True, 'scale2': True, 'temp': '37.0', 'sbp': 130, 'hr': 80, 'avpu': 'A'},\n   {'score': 2, 'risk': 'LOW'}),\n  ('scale 2 above target on oxygen',\n   {'rr': 18, 'spo2': 95, 'on_o2': True, 'scale2': True, 'temp': '37.0', 'sbp': 130, 'hr': 85, 'avpu': 'A'},\n   {'score': 4, 'risk': 'LOW'}),\n  ('saturating well on oxygen',\n   {'rr': 18, 'spo2': 99, 'on_o2': True, 'scale2': False, 'temp': '37.0', 'sbp': 130, 'hr': 80, 'avpu': 'A'},\n   {'score': 2, 'risk': 'LOW'}),\n  ('temperature exactly 36.0',\n   {'rr': 18, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '36.0', 'sbp': 135, 'hr': 80, 'avpu': 'A'},\n   {'score': 1, 'risk': 'LOW'}),\n  ('temperature 36.x scores zero',\n   {'rr': 18, 'spo2': 97, 'on_o2': False, 'scale2': False, 'temp': '36.7', 'sbp': 135, 'hr': 75, 'avpu': 'A'},\n   {'score': 0, 'risk': 'LOW'}),\n  ('aggregate three without red parameter',\n   {'rr': 22,\n    'spo2': 97,\n    'on_o2': False,\n    'scale2': False,\n    'temp': '37.0',\n    'sbp': 140,\n    'hr': 100,\n    'avpu': 'A'},\n   {'score': 3, 'risk': 'LOW'}),\n  ('pain-only response is red parameter',\n   {'rr': 16, 'spo2': 98, 'on_o2': False, 'scale2': False, 'temp': '37.0', 'sbp': 120, 'hr': 65, 'avpu': 'P'},\n   {'score': 3, 'risk': 'LOW_MEDIUM'})]]\nfor label, args, expected in fixtures[N-1]:\n    check(label, solve(args), expected)\nprint(json.dumps({\"observations\": observations, \"passed\": all(x[\"passed\"] for x in observations)}, ensure_ascii=False))\nraise SystemExit(0 if all(x[\"passed\"] for x in observations) else 1)\n"}},"limitations":"A deterministic toy software model with explicitly stipulated thresholds and formulas; it is not clinical guidance, not a validated medical calculator, and makes no claim of conformance to any published protocol. Numbered variants vary patient and order inputs. This reproducer isolates one failure mechanism. Results cover the supplied fixtures. Variants within a family share a test contract and should remain grouped when constructing evaluation splits. Related mechanisms with a shared evaluation_group must also remain together; these controlled models are not independent production incidents.","method":"Deterministic executable model with adversarial boundary fixtures.","provenance":{"created_by":"Failure Map","dependencies":"Python standard library","family":"w2-triage-early-warning-score-supplemental-oxygen-points","generated_at":"2026-09-29T14:47:23.539748+00:00","license":"CC0-1.0","python":"3.12.14","seed":1,"split":"open-access"},"relevance":"Aggregate early warning scores drive escalation; each parameter table, the oxygen scale switch and the single-parameter trigger are separate failure points.","repair":"Add 2 points whenever supplemental oxygen is in use.","root_cause":"The oxygen points are suppressed on scale 2, conflating the saturation scale with oxygen use.","sha256":"c6bbb1fd5fd8396759e7ba1dfa6950019fc66182bd7fff975bcbcf8cd6bbb1f0","title":"Aggregate early warning score with oxygen scale: supplemental oxygen points · case 01","variant":1,"variant_policy":"Five numbered records share a model and may reuse boundary fixtures.","verification":{"attempt":{"elapsed_ms":46.824,"exit_code":1,"observations":[{"actual":{"risk":"LOW","score":0},"check":"healthy control","expected":{"risk":"LOW","score":0},"passed":true},{"actual":{"risk":"MEDIUM","score":5},"check":"new confusion scores three","expected":{"risk":"MEDIUM","score":5},"passed":true},{"actual":{"risk":"LOW_MEDIUM","score":3},"check":"responds to voice only","expected":{"risk":"LOW_MEDIUM","score":3},"passed":true},{"actual":{"risk":"LOW","score":0},"check":"scale 2 high saturation on air","expected":{"risk":"LOW","score":0},"passed":true},{"actual":{"risk":"LOW","score":2},"check":"scale 2 target range on oxygen","expected":{"risk":"LOW","score":2},"passed":true},{"actual":{"risk":"LOW","score":4},"check":"scale 2 above target on oxygen","expected":{"risk":"LOW","score":4},"passed":true},{"actual":{"risk":"LOW","score":0},"check":"saturating well on oxygen","expected":{"risk":"LOW","score":2},"passed":false},{"actual":{"risk":"LOW","score":1},"check":"temperature exactly 36.0","expected":{"risk":"LOW","score":1},"passed":true},{"actual":{"risk":"LOW","score":0},"check":"temperature 36.x scores zero","expected":{"risk":"LOW","score":0},"passed":true},{"actual":{"risk":"LOW","score":3},"check":"aggregate three without red parameter","expected":{"risk":"LOW","score":3},"passed":true},{"actual":{"risk":"LOW_MEDIUM","score":3},"check":"pain-only response is red parameter","expected":{"risk":"LOW_MEDIUM","score":3},"passed":true}],"passed":false,"stderr":"","stdout":"{\"observations\": [{\"check\": \"healthy control\", \"actual\": {\"score\": 0, \"risk\": \"LOW\"}, \"expected\": {\"score\": 0, \"risk\": \"LOW\"}, \"passed\": true}, {\"check\": \"new confusion scores three\", \"actual\": {\"score\": 5, \"risk\": \"MEDIUM\"}, \"expected\": {\"score\": 5, \"risk\": \"MEDIUM\"}, \"passed\": true}, {\"check\": \"responds to voice only\", \"actual\": {\"score\": 3, \"risk\": \"LOW_MEDIUM\"}, \"expected\": {\"score\": 3, \"risk\": \"LOW_MEDIUM\"}, \"passed\": true}, {\"check\": \"scale 2 high saturation on air\", \"actual\": {\"score\": 0, \"risk\": \"LOW\"}, \"expected\": {\"score\": 0, \"risk\": \"LOW\"}, \"passed\": true}, {\"check\": \"scale 2 target range on oxygen\", \"actual\": {\"score\": 2, \"risk\": \"LOW\"}, \"expected\": {\"score\": 2, \"risk\": \"LOW\"}, \"passed\": true}, {\"check\": \"scale 2 above target on oxygen\", \"actual\": {\"score\": 4, \"risk\": \"LOW\"}, \"expected\": {\"score\": 4, \"risk\": \"LOW\"}, \"passed\": true}, {\"check\": \"saturating well on oxygen\", \"actual\": {\"score\": 0, \"risk\": \"LOW\"}, \"expected\": {\"score\": 2, \"risk\": \"LOW\"}, \"passed\": false}, {\"check\": \"temperature exactly 36.0\", \"actual\": {\"score\": 1, \"risk\": \"LOW\"}, \"expected\": {\"score\": 1, \"risk\": \"LOW\"}, \"passed\": true}, {\"check\": \"temperature 36.x scores zero\", \"actual\": {\"score\": 0, \"risk\": \"LOW\"}, \"expected\": {\"score\": 0, \"risk\": \"LOW\"}, \"passed\": true}, {\"check\": \"aggregate three without red parameter\", \"actual\": {\"score\": 3, \"risk\": \"LOW\"}, \"expected\": {\"score\": 3, \"risk\": \"LOW\"}, \"passed\": true}, {\"check\": \"pain-only response is red parameter\", \"actual\": {\"score\": 3, \"risk\": \"LOW_MEDIUM\"}, \"expected\": {\"score\": 3, \"risk\": \"LOW_MEDIUM\"}, \"passed\": true}], \"passed\": false}\n"},"broken":{"elapsed_ms":44.301,"exit_code":1,"observations":[{"actual":{"risk":"LOW","score":0},"check":"healthy control","expected":{"risk":"LOW","score":0},"passed":true},{"actual":{"risk":"MEDIUM","score":5},"check":"new confusion scores three","expected":{"risk":"MEDIUM","score":5},"passed":true},{"actual":{"risk":"LOW_MEDIUM","score":3},"check":"responds to voice only","expected":{"risk":"LOW_MEDIUM","score":3},"passed":true},{"actual":{"risk":"LOW","score":0},"check":"scale 2 high saturation on air","expected":{"risk":"LOW","score":0},"passed":true},{"actual":{"risk":"LOW","score":0},"check":"scale 2 target range on oxygen","expected":{"risk":"LOW","score":2},"passed":false},{"actual":{"risk":"LOW","score":2},"check":"scale 2 above target on oxygen","expected":{"risk":"LOW","score":4},"passed":false},{"actual":{"risk":"LOW","score":2},"check":"saturating well on oxygen","expected":{"risk":"LOW","score":2},"passed":true},{"actual":{"risk":"LOW","score":1},"check":"temperature exactly 36.0","expected":{"risk":"LOW","score":1},"passed":true},{"actual":{"risk":"LOW","score":0},"check":"temperature 36.x scores zero","expected":{"risk":"LOW","score":0},"passed":true},{"actual":{"risk":"LOW","score":3},"check":"aggregate three without red parameter","expected":{"risk":"LOW","score":3},"passed":true},{"actual":{"risk":"LOW_MEDIUM","score":3},"check":"pain-only response is red parameter","expected":{"risk":"LOW_MEDIUM","score":3},"passed":true}],"passed":false,"stderr":"","stdout":"{\"observations\": [{\"check\": \"healthy control\", \"actual\": {\"score\": 0, \"risk\": \"LOW\"}, \"expected\": {\"score\": 0, \"risk\": \"LOW\"}, \"passed\": true}, {\"check\": \"new confusion scores three\", \"actual\": {\"score\": 5, \"risk\": \"MEDIUM\"}, \"expected\": {\"score\": 5, \"risk\": \"MEDIUM\"}, \"passed\": true}, {\"check\": \"responds to voice only\", \"actual\": {\"score\": 3, \"risk\": \"LOW_MEDIUM\"}, \"expected\": {\"score\": 3, \"risk\": \"LOW_MEDIUM\"}, \"passed\": true}, {\"check\": \"scale 2 high saturation on air\", \"actual\": {\"score\": 0, \"risk\": \"LOW\"}, \"expected\": {\"score\": 0, \"risk\": \"LOW\"}, \"passed\": true}, {\"check\": \"scale 2 target range on oxygen\", \"actual\": {\"score\": 0, \"risk\": \"LOW\"}, \"expected\": {\"score\": 2, \"risk\": \"LOW\"}, \"passed\": false}, {\"check\": \"scale 2 above target on oxygen\", \"actual\": {\"score\": 2, \"risk\": \"LOW\"}, \"expected\": {\"score\": 4, \"risk\": \"LOW\"}, \"passed\": false}, {\"check\": \"saturating well on oxygen\", \"actual\": {\"score\": 2, \"risk\": \"LOW\"}, \"expected\": {\"score\": 2, \"risk\": \"LOW\"}, \"passed\": true}, {\"check\": \"temperature exactly 36.0\", \"actual\": {\"score\": 1, \"risk\": \"LOW\"}, \"expected\": {\"score\": 1, \"risk\": \"LOW\"}, \"passed\": true}, {\"check\": \"temperature 36.x scores zero\", \"actual\": {\"score\": 0, \"risk\": \"LOW\"}, \"expected\": {\"score\": 0, \"risk\": \"LOW\"}, \"passed\": true}, {\"check\": \"aggregate three without red parameter\", \"actual\": {\"score\": 3, \"risk\": \"LOW\"}, \"expected\": {\"score\": 3, \"risk\": \"LOW\"}, \"passed\": true}, {\"check\": \"pain-only response is red parameter\", \"actual\": {\"score\": 3, \"risk\": \"LOW_MEDIUM\"}, \"expected\": {\"score\": 3, \"risk\": \"LOW_MEDIUM\"}, \"passed\": true}], \"passed\": false}\n"},"fixed":{"elapsed_ms":46.985,"exit_code":0,"observations":[{"actual":{"risk":"LOW","score":0},"check":"healthy control","expected":{"risk":"LOW","score":0},"passed":true},{"actual":{"risk":"MEDIUM","score":5},"check":"new confusion scores three","expected":{"risk":"MEDIUM","score":5},"passed":true},{"actual":{"risk":"LOW_MEDIUM","score":3},"check":"responds to voice only","expected":{"risk":"LOW_MEDIUM","score":3},"passed":true},{"actual":{"risk":"LOW","score":0},"check":"scale 2 high saturation on air","expected":{"risk":"LOW","score":0},"passed":true},{"actual":{"risk":"LOW","score":2},"check":"scale 2 target range on oxygen","expected":{"risk":"LOW","score":2},"passed":true},{"actual":{"risk":"LOW","score":4},"check":"scale 2 above target on oxygen","expected":{"risk":"LOW","score":4},"passed":true},{"actual":{"risk":"LOW","score":2},"check":"saturating well on oxygen","expected":{"risk":"LOW","score":2},"passed":true},{"actual":{"risk":"LOW","score":1},"check":"temperature exactly 36.0","expected":{"risk":"LOW","score":1},"passed":true},{"actual":{"risk":"LOW","score":0},"check":"temperature 36.x scores zero","expected":{"risk":"LOW","score":0},"passed":true},{"actual":{"risk":"LOW","score":3},"check":"aggregate three without red parameter","expected":{"risk":"LOW","score":3},"passed":true},{"actual":{"risk":"LOW_MEDIUM","score":3},"check":"pain-only response is red parameter","expected":{"risk":"LOW_MEDIUM","score":3},"passed":true}],"passed":true,"stderr":"","stdout":"{\"observations\": [{\"check\": \"healthy control\", \"actual\": {\"score\": 0, \"risk\": \"LOW\"}, \"expected\": {\"score\": 0, \"risk\": \"LOW\"}, \"passed\": true}, {\"check\": \"new confusion scores three\", \"actual\": {\"score\": 5, \"risk\": \"MEDIUM\"}, \"expected\": {\"score\": 5, \"risk\": \"MEDIUM\"}, \"passed\": true}, {\"check\": \"responds to voice only\", \"actual\": {\"score\": 3, \"risk\": \"LOW_MEDIUM\"}, \"expected\": {\"score\": 3, \"risk\": \"LOW_MEDIUM\"}, \"passed\": true}, {\"check\": \"scale 2 high saturation on air\", \"actual\": {\"score\": 0, \"risk\": \"LOW\"}, \"expected\": {\"score\": 0, \"risk\": \"LOW\"}, \"passed\": true}, {\"check\": \"scale 2 target range on oxygen\", \"actual\": {\"score\": 2, \"risk\": \"LOW\"}, \"expected\": {\"score\": 2, \"risk\": \"LOW\"}, \"passed\": true}, {\"check\": \"scale 2 above target on oxygen\", \"actual\": {\"score\": 4, \"risk\": \"LOW\"}, \"expected\": {\"score\": 4, \"risk\": \"LOW\"}, \"passed\": true}, {\"check\": \"saturating well on oxygen\", \"actual\": {\"score\": 2, \"risk\": \"LOW\"}, \"expected\": {\"score\": 2, \"risk\": \"LOW\"}, \"passed\": true}, {\"check\": \"temperature exactly 36.0\", \"actual\": {\"score\": 1, \"risk\": \"LOW\"}, \"expected\": {\"score\": 1, \"risk\": \"LOW\"}, \"passed\": true}, {\"check\": \"temperature 36.x scores zero\", \"actual\": {\"score\": 0, \"risk\": \"LOW\"}, \"expected\": {\"score\": 0, \"risk\": \"LOW\"}, \"passed\": true}, {\"check\": \"aggregate three without red parameter\", \"actual\": {\"score\": 3, \"risk\": \"LOW\"}, \"expected\": {\"score\": 3, \"risk\": \"LOW\"}, \"passed\": true}, {\"check\": \"pain-only response is red parameter\", \"actual\": {\"score\": 3, \"risk\": \"LOW_MEDIUM\"}, \"expected\": {\"score\": 3, \"risk\": \"LOW_MEDIUM\"}, \"passed\": true}], \"passed\": true}\n"}},"verified":true,"visibility":"public"}