{"abstract":"Every patient without a blood gas meets the respiratory criterion.","category":"Clinical triage scoring","checks":11,"contract":"Input {temp (1 dp), hr, rr, paco2 (or null), wbc, bands_pct, sbp, gcs, suspected_infection}. Toy inflammatory criteria (count): temp > 38.0 or < 36.0; hr > 90; rr > 20 or paco2 < 32 when measured; wbc > 12 or < 4 or bands > 10%. Bedside score: rr >= 22, sbp <= 100, gcs < 15. Without suspected infection the alert is NONE; otherwise SEPSIS_ALERT when the bedside score >= 2, else SIRS_ALERT when criteria >= 2, else NONE. Return {sirs, qsofa, alert}.","evaluation_group":"w2-triage-sepsis-screen","failed_approach":"Requiring a high rate as well turns the either/or respiratory criterion into both.","family":"w2-triage-sepsis-screen-optional-blood-gas","id":"FA-64371","implementations":{"attempt":{"sha256":"fefe2415f9e6bcb0195da218199564ddc20d72d5f87b4d93b758956d34a668cf","source":"\"\"\"Failure Map reference implementation. Python standard library only.\"\"\"\nimport json\nimport math\nfrom fractions import Fraction\nN = 1\nobservations = []\ndef solve(x):\n    t = Fraction(str(x['temp'])) * 10\n    w = Fraction(str(x['wbc']))\n    rr = x['rr']\n    s = 0\n    s += 1 if t > 380 or t < 360 else 0\n    s += 1 if x['hr'] > 90 else 0\n    s += 1 if rr > 20 or (x['paco2'] is None or x['paco2'] < 32) and rr > 20 else 0\n    s += 1 if w > 12 or w < 4 or x['bands_pct'] > 10 else 0\n    q = 0\n    q += 1 if rr >= 22 else 0\n    q += 1 if x['sbp'] <= 100 else 0\n    q += 1 if x['gcs'] < 15 else 0\n    if not x['suspected_infection']:\n        alert = 'NONE'\n    elif q >= 2:\n        alert = 'SEPSIS_ALERT'\n    elif s >= 2:\n        alert = 'SIRS_ALERT'\n    else:\n        alert = 'NONE'\n    return {'sirs': s, 'qsofa': q, 'alert': alert}\ndef check(label, actual, expected):\n    observations.append({\"check\": label, \"actual\": actual, \"expected\": expected, \"passed\": actual == expected})\nfixtures = [[('hypothermia counts',\n   {'temp': '35.5',\n    'hr': 95,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '8',\n    'bands_pct': 2,\n    'sbp': 120,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 2, 'qsofa': 0, 'alert': 'SIRS_ALERT'}),\n  ('temperature exactly 38.0 not counted',\n   {'temp': '38.0',\n    'hr': 96,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '8',\n    'bands_pct': 2,\n    'sbp': 120,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 1, 'qsofa': 0, 'alert': 'NONE'}),\n  ('missing blood gas not counted',\n   {'temp': '37.0',\n    'hr': 93,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 0,\n    'sbp': 125,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 1, 'qsofa': 0, 'alert': 'NONE'}),\n  ('low carbon dioxide with normal rate',\n   {'temp': '37.0',\n    'hr': 80,\n    'rr': 16,\n    'paco2': 29,\n    'wbc': '13',\n    'bands_pct': 0,\n    'sbp': 125,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 2, 'qsofa': 0, 'alert': 'SIRS_ALERT'}),\n  ('leukopenia counts',\n   {'temp': '38.5',\n    'hr': 80,\n    'rr': 16,\n    'paco2': None,\n    'wbc': '3.1',\n    'bands_pct': 0,\n    'sbp': 125,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 2, 'qsofa': 0, 'alert': 'SIRS_ALERT'}),\n  ('band forms count',\n   {'temp': '37.0',\n    'hr': 99,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 12,\n    'sbp': 125,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 2, 'qsofa': 0, 'alert': 'SIRS_ALERT'}),\n  ('respiratory rate exactly 22',\n   {'temp': '37.0',\n    'hr': 80,\n    'rr': 22,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 0,\n    'sbp': 97,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 1, 'qsofa': 2, 'alert': 'SEPSIS_ALERT'}),\n  ('rate 21 only meets inflammatory criterion',\n   {'temp': '37.0',\n    'hr': 80,\n    'rr': 21,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 0,\n    'sbp': 100,\n    'gcs': 14,\n    'suspected_infection': True},\n   {'sirs': 1, 'qsofa': 2, 'alert': 'SEPSIS_ALERT'}),\n  ('bedside positive without inflammatory criteria',\n   {'temp': '37.0',\n    'hr': 80,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 0,\n    'sbp': 91,\n    'gcs': 13,\n    'suspected_infection': True},\n   {'sirs': 0, 'qsofa': 2, 'alert': 'SEPSIS_ALERT'}),\n  ('both scores positive',\n   {'temp': '38.9',\n    'hr': 120,\n    'rr': 26,\n    'paco2': None,\n    'wbc': '15',\n    'bands_pct': 0,\n    'sbp': 88,\n    'gcs': 14,\n    'suspected_infection': True},\n   {'sirs': 4, 'qsofa': 3, 'alert': 'SEPSIS_ALERT'}),\n  ('no suspected infection',\n   {'temp': '38.9',\n    'hr': 120,\n    'rr': 26,\n    'paco2': None,\n    'wbc': '15',\n    'bands_pct': 0,\n    'sbp': 89,\n    'gcs': 14,\n    'suspected_infection': False},\n   {'sirs': 4, 'qsofa': 3, 'alert': 'NONE'})],\n [('hypothermia counts',\n   {'temp': '35.6',\n    'hr': 95,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '8',\n    'bands_pct': 2,\n    'sbp': 120,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 2, 'qsofa': 0, 'alert': 'SIRS_ALERT'}),\n  ('temperature exactly 38.0 not counted',\n   {'temp': '38.0',\n    'hr': 97,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '8',\n    'bands_pct': 2,\n    'sbp': 120,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 1, 'qsofa': 0, 'alert': 'NONE'}),\n  ('missing blood gas not counted',\n   {'temp': '37.0',\n    'hr': 94,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 0,\n    'sbp': 125,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 1, 'qsofa': 0, 'alert': 'NONE'}),\n  ('low carbon dioxide with normal rate',\n   {'temp': '37.0',\n    'hr': 80,\n    'rr': 16,\n    'paco2': 30,\n    'wbc': '13',\n    'bands_pct': 0,\n    'sbp': 125,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 2, 'qsofa': 0, 'alert': 'SIRS_ALERT'}),\n  ('leukopenia counts',\n   {'temp': '38.6',\n    'hr': 80,\n    'rr': 16,\n    'paco2': None,\n    'wbc': '3.2',\n    'bands_pct': 0,\n    'sbp': 125,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 2, 'qsofa': 0, 'alert': 'SIRS_ALERT'}),\n  ('band forms count',\n   {'temp': '37.0',\n    'hr': 99,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 13,\n    'sbp': 125,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 2, 'qsofa': 0, 'alert': 'SIRS_ALERT'}),\n  ('respiratory rate exactly 22',\n   {'temp': '37.0',\n    'hr': 80,\n    'rr': 22,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 0,\n    'sbp': 98,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 1, 'qsofa': 2, 'alert': 'SEPSIS_ALERT'}),\n  ('rate 21 only meets inflammatory criterion',\n   {'temp': '37.0',\n    'hr': 80,\n    'rr': 21,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 0,\n    'sbp': 100,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 1, 'qsofa': 1, 'alert': 'NONE'}),\n  ('bedside positive without inflammatory criteria',\n   {'temp': '37.0',\n    'hr': 80,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 0,\n    'sbp': 92,\n    'gcs': 13,\n    'suspected_infection': True},\n   {'sirs': 0, 'qsofa': 2, 'alert': 'SEPSIS_ALERT'}),\n  ('both scores positive',\n   {'temp': '38.9',\n    'hr': 120,\n    'rr': 26,\n    'paco2': None,\n    'wbc': '15',\n    'bands_pct': 0,\n    'sbp': 88,\n    'gcs': 14,\n    'suspected_infection': True},\n   {'sirs': 4, 'qsofa': 3, 'alert': 'SEPSIS_ALERT'}),\n  ('no suspected infection',\n   {'temp': '38.9',\n    'hr': 120,\n    'rr': 26,\n    'paco2': None,\n    'wbc': '15',\n    'bands_pct': 0,\n    'sbp': 90,\n    'gcs': 14,\n    'suspected_infection': False},\n   {'sirs': 4, 'qsofa': 3, 'alert': 'NONE'})],\n [('hypothermia counts',\n   {'temp': '35.7',\n    'hr': 95,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '8',\n    'bands_pct': 2,\n    'sbp': 120,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 2, 'qsofa': 0, 'alert': 'SIRS_ALERT'}),\n  ('temperature exactly 38.0 not counted',\n   {'temp': '38.0',\n    'hr': 98,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '8',\n    'bands_pct': 2,\n    'sbp': 120,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 1, 'qsofa': 0, 'alert': 'NONE'}),\n  ('missing blood gas not counted',\n   {'temp': '37.0',\n    'hr': 95,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 0,\n    'sbp': 125,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 1, 'qsofa': 0, 'alert': 'NONE'}),\n  ('low carbon dioxide with normal rate',\n   {'temp': '37.0',\n    'hr': 80,\n    'rr': 16,\n    'paco2': 28,\n    'wbc': '13',\n    'bands_pct': 0,\n    'sbp': 125,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 2, 'qsofa': 0, 'alert': 'SIRS_ALERT'}),\n  ('leukopenia counts',\n   {'temp': '38.7',\n    'hr': 80,\n    'rr': 16,\n    'paco2': None,\n    'wbc': '3.3',\n    'bands_pct': 0,\n    'sbp': 125,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 2, 'qsofa': 0, 'alert': 'SIRS_ALERT'}),\n  ('band forms count',\n   {'temp': '37.0',\n    'hr': 99,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 14,\n    'sbp': 125,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 2, 'qsofa': 0, 'alert': 'SIRS_ALERT'}),\n  ('respiratory rate exactly 22',\n   {'temp': '37.0',\n    'hr': 80,\n    'rr': 22,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 0,\n    'sbp': 99,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 1, 'qsofa': 2, 'alert': 'SEPSIS_ALERT'}),\n  ('rate 21 only meets inflammatory criterion',\n   {'temp': '37.0',\n    'hr': 80,\n    'rr': 21,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 0,\n    'sbp': 100,\n    'gcs': 14,\n    'suspected_infection': True},\n   {'sirs': 1, 'qsofa': 2, 'alert': 'SEPSIS_ALERT'}),\n  ('bedside positive without inflammatory criteria',\n   {'temp': '37.0',\n    'hr': 80,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 0,\n    'sbp': 93,\n    'gcs': 13,\n    'suspected_infection': True},\n   {'sirs': 0, 'qsofa': 2, 'alert': 'SEPSIS_ALERT'}),\n  ('both scores positive',\n   {'temp': '38.9',\n    'hr': 120,\n    'rr': 26,\n    'paco2': None,\n    'wbc': '15',\n    'bands_pct': 0,\n    'sbp': 88,\n    'gcs': 14,\n    'suspected_infection': True},\n   {'sirs': 4, 'qsofa': 3, 'alert': 'SEPSIS_ALERT'}),\n  ('no suspected infection',\n   {'temp': '38.9',\n    'hr': 120,\n    'rr': 26,\n    'paco2': None,\n    'wbc': '15',\n    'bands_pct': 0,\n    'sbp': 91,\n    'gcs': 14,\n    'suspected_infection': False},\n   {'sirs': 4, 'qsofa': 3, 'alert': 'NONE'})],\n [('hypothermia counts',\n   {'temp': '35.8',\n    'hr': 95,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '8',\n    'bands_pct': 2,\n    'sbp': 120,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 2, 'qsofa': 0, 'alert': 'SIRS_ALERT'}),\n  ('temperature exactly 38.0 not counted',\n   {'temp': '38.0',\n    'hr': 99,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '8',\n    'bands_pct': 2,\n    'sbp': 120,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 1, 'qsofa': 0, 'alert': 'NONE'}),\n  ('missing blood gas not counted',\n   {'temp': '37.0',\n    'hr': 96,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 0,\n    'sbp': 125,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 1, 'qsofa': 0, 'alert': 'NONE'}),\n  ('low carbon dioxide with normal rate',\n   {'temp': '37.0',\n    'hr': 80,\n    'rr': 16,\n    'paco2': 29,\n    'wbc': '13',\n    'bands_pct': 0,\n    'sbp': 125,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 2, 'qsofa': 0, 'alert': 'SIRS_ALERT'}),\n  ('leukopenia counts',\n   {'temp': '38.8',\n    'hr': 80,\n    'rr': 16,\n    'paco2': None,\n    'wbc': '3.4',\n    'bands_pct': 0,\n    'sbp': 125,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 2, 'qsofa': 0, 'alert': 'SIRS_ALERT'}),\n  ('band forms count',\n   {'temp': '37.0',\n    'hr': 99,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 15,\n    'sbp': 125,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 2, 'qsofa': 0, 'alert': 'SIRS_ALERT'}),\n  ('respiratory rate exactly 22',\n   {'temp': '37.0',\n    'hr': 80,\n    'rr': 22,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 0,\n    'sbp': 100,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 1, 'qsofa': 2, 'alert': 'SEPSIS_ALERT'}),\n  ('rate 21 only meets inflammatory criterion',\n   {'temp': '37.0',\n    'hr': 80,\n    'rr': 21,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 0,\n    'sbp': 100,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 1, 'qsofa': 1, 'alert': 'NONE'}),\n  ('bedside positive without inflammatory criteria',\n   {'temp': '37.0',\n    'hr': 80,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 0,\n    'sbp': 94,\n    'gcs': 13,\n    'suspected_infection': True},\n   {'sirs': 0, 'qsofa': 2, 'alert': 'SEPSIS_ALERT'}),\n  ('both scores positive',\n   {'temp': '38.9',\n    'hr': 120,\n    'rr': 26,\n    'paco2': None,\n    'wbc': '15',\n    'bands_pct': 0,\n    'sbp': 88,\n    'gcs': 14,\n    'suspected_infection': True},\n   {'sirs': 4, 'qsofa': 3, 'alert': 'SEPSIS_ALERT'}),\n  ('no suspected infection',\n   {'temp': '38.9',\n    'hr': 120,\n    'rr': 26,\n    'paco2': None,\n    'wbc': '15',\n    'bands_pct': 0,\n    'sbp': 92,\n    'gcs': 14,\n    'suspected_infection': False},\n   {'sirs': 4, 'qsofa': 3, 'alert': 'NONE'})],\n [('hypothermia counts',\n   {'temp': '35.9',\n    'hr': 95,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '8',\n    'bands_pct': 2,\n    'sbp': 120,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 2, 'qsofa': 0, 'alert': 'SIRS_ALERT'}),\n  ('temperature exactly 38.0 not counted',\n   {'temp': '38.0',\n    'hr': 100,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '8',\n    'bands_pct': 2,\n    'sbp': 120,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 1, 'qsofa': 0, 'alert': 'NONE'}),\n  ('missing blood gas not counted',\n   {'temp': '37.0',\n    'hr': 97,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 0,\n    'sbp': 125,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 1, 'qsofa': 0, 'alert': 'NONE'}),\n  ('low carbon dioxide with normal rate',\n   {'temp': '37.0',\n    'hr': 80,\n    'rr': 16,\n    'paco2': 30,\n    'wbc': '13',\n    'bands_pct': 0,\n    'sbp': 125,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 2, 'qsofa': 0, 'alert': 'SIRS_ALERT'}),\n  ('leukopenia counts',\n   {'temp': '38.9',\n    'hr': 80,\n    'rr': 16,\n    'paco2': None,\n    'wbc': '3.5',\n    'bands_pct': 0,\n    'sbp': 125,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 2, 'qsofa': 0, 'alert': 'SIRS_ALERT'}),\n  ('band forms count',\n   {'temp': '37.0',\n    'hr': 99,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 16,\n    'sbp': 125,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 2, 'qsofa': 0, 'alert': 'SIRS_ALERT'}),\n  ('respiratory rate exactly 22',\n   {'temp': '37.0',\n    'hr': 80,\n    'rr': 22,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 0,\n    'sbp': 101,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 1, 'qsofa': 1, 'alert': 'NONE'}),\n  ('rate 21 only meets inflammatory criterion',\n   {'temp': '37.0',\n    'hr': 80,\n    'rr': 21,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 0,\n    'sbp': 100,\n    'gcs': 14,\n    'suspected_infection': True},\n   {'sirs': 1, 'qsofa': 2, 'alert': 'SEPSIS_ALERT'}),\n  ('bedside positive without inflammatory criteria',\n   {'temp': '37.0',\n    'hr': 80,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 0,\n    'sbp': 95,\n    'gcs': 13,\n    'suspected_infection': True},\n   {'sirs': 0, 'qsofa': 2, 'alert': 'SEPSIS_ALERT'}),\n  ('both scores positive',\n   {'temp': '38.9',\n    'hr': 120,\n    'rr': 26,\n    'paco2': None,\n    'wbc': '15',\n    'bands_pct': 0,\n    'sbp': 88,\n    'gcs': 14,\n    'suspected_infection': True},\n   {'sirs': 4, 'qsofa': 3, 'alert': 'SEPSIS_ALERT'}),\n  ('no suspected infection',\n   {'temp': '38.9',\n    'hr': 120,\n    'rr': 26,\n    'paco2': None,\n    'wbc': '15',\n    'bands_pct': 0,\n    'sbp': 93,\n    'gcs': 14,\n    'suspected_infection': False},\n   {'sirs': 4, 'qsofa': 3, 'alert': 'NONE'})]]\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":"410dd17af5ec0a387072f7bd1a8d3fbfe40f4fd67e6176cccea516acb0429348","source":"\"\"\"Failure Map reference implementation. Python standard library only.\"\"\"\nimport json\nimport math\nfrom fractions import Fraction\nN = 1\nobservations = []\ndef solve(x):\n    t = Fraction(str(x['temp'])) * 10\n    w = Fraction(str(x['wbc']))\n    rr = x['rr']\n    s = 0\n    s += 1 if t > 380 or t < 360 else 0\n    s += 1 if x['hr'] > 90 else 0\n    s += 1 if rr > 20 or (x['paco2'] or 0) < 32 else 0\n    s += 1 if w > 12 or w < 4 or x['bands_pct'] > 10 else 0\n    q = 0\n    q += 1 if rr >= 22 else 0\n    q += 1 if x['sbp'] <= 100 else 0\n    q += 1 if x['gcs'] < 15 else 0\n    if not x['suspected_infection']:\n        alert = 'NONE'\n    elif q >= 2:\n        alert = 'SEPSIS_ALERT'\n    elif s >= 2:\n        alert = 'SIRS_ALERT'\n    else:\n        alert = 'NONE'\n    return {'sirs': s, 'qsofa': q, 'alert': alert}\ndef check(label, actual, expected):\n    observations.append({\"check\": label, \"actual\": actual, \"expected\": expected, \"passed\": actual == expected})\nfixtures = [[('hypothermia counts',\n   {'temp': '35.5',\n    'hr': 95,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '8',\n    'bands_pct': 2,\n    'sbp': 120,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 2, 'qsofa': 0, 'alert': 'SIRS_ALERT'}),\n  ('temperature exactly 38.0 not counted',\n   {'temp': '38.0',\n    'hr': 96,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '8',\n    'bands_pct': 2,\n    'sbp': 120,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 1, 'qsofa': 0, 'alert': 'NONE'}),\n  ('missing blood gas not counted',\n   {'temp': '37.0',\n    'hr': 93,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 0,\n    'sbp': 125,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 1, 'qsofa': 0, 'alert': 'NONE'}),\n  ('low carbon dioxide with normal rate',\n   {'temp': '37.0',\n    'hr': 80,\n    'rr': 16,\n    'paco2': 29,\n    'wbc': '13',\n    'bands_pct': 0,\n    'sbp': 125,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 2, 'qsofa': 0, 'alert': 'SIRS_ALERT'}),\n  ('leukopenia counts',\n   {'temp': '38.5',\n    'hr': 80,\n    'rr': 16,\n    'paco2': None,\n    'wbc': '3.1',\n    'bands_pct': 0,\n    'sbp': 125,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 2, 'qsofa': 0, 'alert': 'SIRS_ALERT'}),\n  ('band forms count',\n   {'temp': '37.0',\n    'hr': 99,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 12,\n    'sbp': 125,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 2, 'qsofa': 0, 'alert': 'SIRS_ALERT'}),\n  ('respiratory rate exactly 22',\n   {'temp': '37.0',\n    'hr': 80,\n    'rr': 22,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 0,\n    'sbp': 97,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 1, 'qsofa': 2, 'alert': 'SEPSIS_ALERT'}),\n  ('rate 21 only meets inflammatory criterion',\n   {'temp': '37.0',\n    'hr': 80,\n    'rr': 21,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 0,\n    'sbp': 100,\n    'gcs': 14,\n    'suspected_infection': True},\n   {'sirs': 1, 'qsofa': 2, 'alert': 'SEPSIS_ALERT'}),\n  ('bedside positive without inflammatory criteria',\n   {'temp': '37.0',\n    'hr': 80,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 0,\n    'sbp': 91,\n    'gcs': 13,\n    'suspected_infection': True},\n   {'sirs': 0, 'qsofa': 2, 'alert': 'SEPSIS_ALERT'}),\n  ('both scores positive',\n   {'temp': '38.9',\n    'hr': 120,\n    'rr': 26,\n    'paco2': None,\n    'wbc': '15',\n    'bands_pct': 0,\n    'sbp': 88,\n    'gcs': 14,\n    'suspected_infection': True},\n   {'sirs': 4, 'qsofa': 3, 'alert': 'SEPSIS_ALERT'}),\n  ('no suspected infection',\n   {'temp': '38.9',\n    'hr': 120,\n    'rr': 26,\n    'paco2': None,\n    'wbc': '15',\n    'bands_pct': 0,\n    'sbp': 89,\n    'gcs': 14,\n    'suspected_infection': False},\n   {'sirs': 4, 'qsofa': 3, 'alert': 'NONE'})],\n [('hypothermia counts',\n   {'temp': '35.6',\n    'hr': 95,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '8',\n    'bands_pct': 2,\n    'sbp': 120,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 2, 'qsofa': 0, 'alert': 'SIRS_ALERT'}),\n  ('temperature exactly 38.0 not counted',\n   {'temp': '38.0',\n    'hr': 97,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '8',\n    'bands_pct': 2,\n    'sbp': 120,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 1, 'qsofa': 0, 'alert': 'NONE'}),\n  ('missing blood gas not counted',\n   {'temp': '37.0',\n    'hr': 94,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 0,\n    'sbp': 125,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 1, 'qsofa': 0, 'alert': 'NONE'}),\n  ('low carbon dioxide with normal rate',\n   {'temp': '37.0',\n    'hr': 80,\n    'rr': 16,\n    'paco2': 30,\n    'wbc': '13',\n    'bands_pct': 0,\n    'sbp': 125,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 2, 'qsofa': 0, 'alert': 'SIRS_ALERT'}),\n  ('leukopenia counts',\n   {'temp': '38.6',\n    'hr': 80,\n    'rr': 16,\n    'paco2': None,\n    'wbc': '3.2',\n    'bands_pct': 0,\n    'sbp': 125,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 2, 'qsofa': 0, 'alert': 'SIRS_ALERT'}),\n  ('band forms count',\n   {'temp': '37.0',\n    'hr': 99,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 13,\n    'sbp': 125,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 2, 'qsofa': 0, 'alert': 'SIRS_ALERT'}),\n  ('respiratory rate exactly 22',\n   {'temp': '37.0',\n    'hr': 80,\n    'rr': 22,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 0,\n    'sbp': 98,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 1, 'qsofa': 2, 'alert': 'SEPSIS_ALERT'}),\n  ('rate 21 only meets inflammatory criterion',\n   {'temp': '37.0',\n    'hr': 80,\n    'rr': 21,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 0,\n    'sbp': 100,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 1, 'qsofa': 1, 'alert': 'NONE'}),\n  ('bedside positive without inflammatory criteria',\n   {'temp': '37.0',\n    'hr': 80,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 0,\n    'sbp': 92,\n    'gcs': 13,\n    'suspected_infection': True},\n   {'sirs': 0, 'qsofa': 2, 'alert': 'SEPSIS_ALERT'}),\n  ('both scores positive',\n   {'temp': '38.9',\n    'hr': 120,\n    'rr': 26,\n    'paco2': None,\n    'wbc': '15',\n    'bands_pct': 0,\n    'sbp': 88,\n    'gcs': 14,\n    'suspected_infection': True},\n   {'sirs': 4, 'qsofa': 3, 'alert': 'SEPSIS_ALERT'}),\n  ('no suspected infection',\n   {'temp': '38.9',\n    'hr': 120,\n    'rr': 26,\n    'paco2': None,\n    'wbc': '15',\n    'bands_pct': 0,\n    'sbp': 90,\n    'gcs': 14,\n    'suspected_infection': False},\n   {'sirs': 4, 'qsofa': 3, 'alert': 'NONE'})],\n [('hypothermia counts',\n   {'temp': '35.7',\n    'hr': 95,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '8',\n    'bands_pct': 2,\n    'sbp': 120,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 2, 'qsofa': 0, 'alert': 'SIRS_ALERT'}),\n  ('temperature exactly 38.0 not counted',\n   {'temp': '38.0',\n    'hr': 98,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '8',\n    'bands_pct': 2,\n    'sbp': 120,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 1, 'qsofa': 0, 'alert': 'NONE'}),\n  ('missing blood gas not counted',\n   {'temp': '37.0',\n    'hr': 95,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 0,\n    'sbp': 125,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 1, 'qsofa': 0, 'alert': 'NONE'}),\n  ('low carbon dioxide with normal rate',\n   {'temp': '37.0',\n    'hr': 80,\n    'rr': 16,\n    'paco2': 28,\n    'wbc': '13',\n    'bands_pct': 0,\n    'sbp': 125,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 2, 'qsofa': 0, 'alert': 'SIRS_ALERT'}),\n  ('leukopenia counts',\n   {'temp': '38.7',\n    'hr': 80,\n    'rr': 16,\n    'paco2': None,\n    'wbc': '3.3',\n    'bands_pct': 0,\n    'sbp': 125,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 2, 'qsofa': 0, 'alert': 'SIRS_ALERT'}),\n  ('band forms count',\n   {'temp': '37.0',\n    'hr': 99,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 14,\n    'sbp': 125,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 2, 'qsofa': 0, 'alert': 'SIRS_ALERT'}),\n  ('respiratory rate exactly 22',\n   {'temp': '37.0',\n    'hr': 80,\n    'rr': 22,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 0,\n    'sbp': 99,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 1, 'qsofa': 2, 'alert': 'SEPSIS_ALERT'}),\n  ('rate 21 only meets inflammatory criterion',\n   {'temp': '37.0',\n    'hr': 80,\n    'rr': 21,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 0,\n    'sbp': 100,\n    'gcs': 14,\n    'suspected_infection': True},\n   {'sirs': 1, 'qsofa': 2, 'alert': 'SEPSIS_ALERT'}),\n  ('bedside positive without inflammatory criteria',\n   {'temp': '37.0',\n    'hr': 80,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 0,\n    'sbp': 93,\n    'gcs': 13,\n    'suspected_infection': True},\n   {'sirs': 0, 'qsofa': 2, 'alert': 'SEPSIS_ALERT'}),\n  ('both scores positive',\n   {'temp': '38.9',\n    'hr': 120,\n    'rr': 26,\n    'paco2': None,\n    'wbc': '15',\n    'bands_pct': 0,\n    'sbp': 88,\n    'gcs': 14,\n    'suspected_infection': True},\n   {'sirs': 4, 'qsofa': 3, 'alert': 'SEPSIS_ALERT'}),\n  ('no suspected infection',\n   {'temp': '38.9',\n    'hr': 120,\n    'rr': 26,\n    'paco2': None,\n    'wbc': '15',\n    'bands_pct': 0,\n    'sbp': 91,\n    'gcs': 14,\n    'suspected_infection': False},\n   {'sirs': 4, 'qsofa': 3, 'alert': 'NONE'})],\n [('hypothermia counts',\n   {'temp': '35.8',\n    'hr': 95,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '8',\n    'bands_pct': 2,\n    'sbp': 120,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 2, 'qsofa': 0, 'alert': 'SIRS_ALERT'}),\n  ('temperature exactly 38.0 not counted',\n   {'temp': '38.0',\n    'hr': 99,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '8',\n    'bands_pct': 2,\n    'sbp': 120,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 1, 'qsofa': 0, 'alert': 'NONE'}),\n  ('missing blood gas not counted',\n   {'temp': '37.0',\n    'hr': 96,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 0,\n    'sbp': 125,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 1, 'qsofa': 0, 'alert': 'NONE'}),\n  ('low carbon dioxide with normal rate',\n   {'temp': '37.0',\n    'hr': 80,\n    'rr': 16,\n    'paco2': 29,\n    'wbc': '13',\n    'bands_pct': 0,\n    'sbp': 125,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 2, 'qsofa': 0, 'alert': 'SIRS_ALERT'}),\n  ('leukopenia counts',\n   {'temp': '38.8',\n    'hr': 80,\n    'rr': 16,\n    'paco2': None,\n    'wbc': '3.4',\n    'bands_pct': 0,\n    'sbp': 125,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 2, 'qsofa': 0, 'alert': 'SIRS_ALERT'}),\n  ('band forms count',\n   {'temp': '37.0',\n    'hr': 99,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 15,\n    'sbp': 125,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 2, 'qsofa': 0, 'alert': 'SIRS_ALERT'}),\n  ('respiratory rate exactly 22',\n   {'temp': '37.0',\n    'hr': 80,\n    'rr': 22,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 0,\n    'sbp': 100,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 1, 'qsofa': 2, 'alert': 'SEPSIS_ALERT'}),\n  ('rate 21 only meets inflammatory criterion',\n   {'temp': '37.0',\n    'hr': 80,\n    'rr': 21,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 0,\n    'sbp': 100,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 1, 'qsofa': 1, 'alert': 'NONE'}),\n  ('bedside positive without inflammatory criteria',\n   {'temp': '37.0',\n    'hr': 80,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 0,\n    'sbp': 94,\n    'gcs': 13,\n    'suspected_infection': True},\n   {'sirs': 0, 'qsofa': 2, 'alert': 'SEPSIS_ALERT'}),\n  ('both scores positive',\n   {'temp': '38.9',\n    'hr': 120,\n    'rr': 26,\n    'paco2': None,\n    'wbc': '15',\n    'bands_pct': 0,\n    'sbp': 88,\n    'gcs': 14,\n    'suspected_infection': True},\n   {'sirs': 4, 'qsofa': 3, 'alert': 'SEPSIS_ALERT'}),\n  ('no suspected infection',\n   {'temp': '38.9',\n    'hr': 120,\n    'rr': 26,\n    'paco2': None,\n    'wbc': '15',\n    'bands_pct': 0,\n    'sbp': 92,\n    'gcs': 14,\n    'suspected_infection': False},\n   {'sirs': 4, 'qsofa': 3, 'alert': 'NONE'})],\n [('hypothermia counts',\n   {'temp': '35.9',\n    'hr': 95,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '8',\n    'bands_pct': 2,\n    'sbp': 120,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 2, 'qsofa': 0, 'alert': 'SIRS_ALERT'}),\n  ('temperature exactly 38.0 not counted',\n   {'temp': '38.0',\n    'hr': 100,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '8',\n    'bands_pct': 2,\n    'sbp': 120,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 1, 'qsofa': 0, 'alert': 'NONE'}),\n  ('missing blood gas not counted',\n   {'temp': '37.0',\n    'hr': 97,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 0,\n    'sbp': 125,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 1, 'qsofa': 0, 'alert': 'NONE'}),\n  ('low carbon dioxide with normal rate',\n   {'temp': '37.0',\n    'hr': 80,\n    'rr': 16,\n    'paco2': 30,\n    'wbc': '13',\n    'bands_pct': 0,\n    'sbp': 125,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 2, 'qsofa': 0, 'alert': 'SIRS_ALERT'}),\n  ('leukopenia counts',\n   {'temp': '38.9',\n    'hr': 80,\n    'rr': 16,\n    'paco2': None,\n    'wbc': '3.5',\n    'bands_pct': 0,\n    'sbp': 125,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 2, 'qsofa': 0, 'alert': 'SIRS_ALERT'}),\n  ('band forms count',\n   {'temp': '37.0',\n    'hr': 99,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 16,\n    'sbp': 125,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 2, 'qsofa': 0, 'alert': 'SIRS_ALERT'}),\n  ('respiratory rate exactly 22',\n   {'temp': '37.0',\n    'hr': 80,\n    'rr': 22,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 0,\n    'sbp': 101,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 1, 'qsofa': 1, 'alert': 'NONE'}),\n  ('rate 21 only meets inflammatory criterion',\n   {'temp': '37.0',\n    'hr': 80,\n    'rr': 21,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 0,\n    'sbp': 100,\n    'gcs': 14,\n    'suspected_infection': True},\n   {'sirs': 1, 'qsofa': 2, 'alert': 'SEPSIS_ALERT'}),\n  ('bedside positive without inflammatory criteria',\n   {'temp': '37.0',\n    'hr': 80,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 0,\n    'sbp': 95,\n    'gcs': 13,\n    'suspected_infection': True},\n   {'sirs': 0, 'qsofa': 2, 'alert': 'SEPSIS_ALERT'}),\n  ('both scores positive',\n   {'temp': '38.9',\n    'hr': 120,\n    'rr': 26,\n    'paco2': None,\n    'wbc': '15',\n    'bands_pct': 0,\n    'sbp': 88,\n    'gcs': 14,\n    'suspected_infection': True},\n   {'sirs': 4, 'qsofa': 3, 'alert': 'SEPSIS_ALERT'}),\n  ('no suspected infection',\n   {'temp': '38.9',\n    'hr': 120,\n    'rr': 26,\n    'paco2': None,\n    'wbc': '15',\n    'bands_pct': 0,\n    'sbp': 93,\n    'gcs': 14,\n    'suspected_infection': False},\n   {'sirs': 4, 'qsofa': 3, 'alert': 'NONE'})]]\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":"6ce9d8421ec1e61df6bde2077aff8a8abc6697adc349c57547d97a4b2a2311d2","source":"\"\"\"Failure Map reference implementation. Python standard library only.\"\"\"\nimport json\nimport math\nfrom fractions import Fraction\nN = 1\nobservations = []\ndef solve(x):\n    t = Fraction(str(x['temp'])) * 10\n    w = Fraction(str(x['wbc']))\n    rr = x['rr']\n    s = 0\n    s += 1 if t > 380 or t < 360 else 0\n    s += 1 if x['hr'] > 90 else 0\n    s += 1 if rr > 20 or (x['paco2'] is not None and x['paco2'] < 32) else 0\n    s += 1 if w > 12 or w < 4 or x['bands_pct'] > 10 else 0\n    q = 0\n    q += 1 if rr >= 22 else 0\n    q += 1 if x['sbp'] <= 100 else 0\n    q += 1 if x['gcs'] < 15 else 0\n    if not x['suspected_infection']:\n        alert = 'NONE'\n    elif q >= 2:\n        alert = 'SEPSIS_ALERT'\n    elif s >= 2:\n        alert = 'SIRS_ALERT'\n    else:\n        alert = 'NONE'\n    return {'sirs': s, 'qsofa': q, 'alert': alert}\ndef check(label, actual, expected):\n    observations.append({\"check\": label, \"actual\": actual, \"expected\": expected, \"passed\": actual == expected})\nfixtures = [[('hypothermia counts',\n   {'temp': '35.5',\n    'hr': 95,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '8',\n    'bands_pct': 2,\n    'sbp': 120,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 2, 'qsofa': 0, 'alert': 'SIRS_ALERT'}),\n  ('temperature exactly 38.0 not counted',\n   {'temp': '38.0',\n    'hr': 96,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '8',\n    'bands_pct': 2,\n    'sbp': 120,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 1, 'qsofa': 0, 'alert': 'NONE'}),\n  ('missing blood gas not counted',\n   {'temp': '37.0',\n    'hr': 93,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 0,\n    'sbp': 125,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 1, 'qsofa': 0, 'alert': 'NONE'}),\n  ('low carbon dioxide with normal rate',\n   {'temp': '37.0',\n    'hr': 80,\n    'rr': 16,\n    'paco2': 29,\n    'wbc': '13',\n    'bands_pct': 0,\n    'sbp': 125,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 2, 'qsofa': 0, 'alert': 'SIRS_ALERT'}),\n  ('leukopenia counts',\n   {'temp': '38.5',\n    'hr': 80,\n    'rr': 16,\n    'paco2': None,\n    'wbc': '3.1',\n    'bands_pct': 0,\n    'sbp': 125,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 2, 'qsofa': 0, 'alert': 'SIRS_ALERT'}),\n  ('band forms count',\n   {'temp': '37.0',\n    'hr': 99,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 12,\n    'sbp': 125,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 2, 'qsofa': 0, 'alert': 'SIRS_ALERT'}),\n  ('respiratory rate exactly 22',\n   {'temp': '37.0',\n    'hr': 80,\n    'rr': 22,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 0,\n    'sbp': 97,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 1, 'qsofa': 2, 'alert': 'SEPSIS_ALERT'}),\n  ('rate 21 only meets inflammatory criterion',\n   {'temp': '37.0',\n    'hr': 80,\n    'rr': 21,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 0,\n    'sbp': 100,\n    'gcs': 14,\n    'suspected_infection': True},\n   {'sirs': 1, 'qsofa': 2, 'alert': 'SEPSIS_ALERT'}),\n  ('bedside positive without inflammatory criteria',\n   {'temp': '37.0',\n    'hr': 80,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 0,\n    'sbp': 91,\n    'gcs': 13,\n    'suspected_infection': True},\n   {'sirs': 0, 'qsofa': 2, 'alert': 'SEPSIS_ALERT'}),\n  ('both scores positive',\n   {'temp': '38.9',\n    'hr': 120,\n    'rr': 26,\n    'paco2': None,\n    'wbc': '15',\n    'bands_pct': 0,\n    'sbp': 88,\n    'gcs': 14,\n    'suspected_infection': True},\n   {'sirs': 4, 'qsofa': 3, 'alert': 'SEPSIS_ALERT'}),\n  ('no suspected infection',\n   {'temp': '38.9',\n    'hr': 120,\n    'rr': 26,\n    'paco2': None,\n    'wbc': '15',\n    'bands_pct': 0,\n    'sbp': 89,\n    'gcs': 14,\n    'suspected_infection': False},\n   {'sirs': 4, 'qsofa': 3, 'alert': 'NONE'})],\n [('hypothermia counts',\n   {'temp': '35.6',\n    'hr': 95,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '8',\n    'bands_pct': 2,\n    'sbp': 120,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 2, 'qsofa': 0, 'alert': 'SIRS_ALERT'}),\n  ('temperature exactly 38.0 not counted',\n   {'temp': '38.0',\n    'hr': 97,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '8',\n    'bands_pct': 2,\n    'sbp': 120,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 1, 'qsofa': 0, 'alert': 'NONE'}),\n  ('missing blood gas not counted',\n   {'temp': '37.0',\n    'hr': 94,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 0,\n    'sbp': 125,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 1, 'qsofa': 0, 'alert': 'NONE'}),\n  ('low carbon dioxide with normal rate',\n   {'temp': '37.0',\n    'hr': 80,\n    'rr': 16,\n    'paco2': 30,\n    'wbc': '13',\n    'bands_pct': 0,\n    'sbp': 125,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 2, 'qsofa': 0, 'alert': 'SIRS_ALERT'}),\n  ('leukopenia counts',\n   {'temp': '38.6',\n    'hr': 80,\n    'rr': 16,\n    'paco2': None,\n    'wbc': '3.2',\n    'bands_pct': 0,\n    'sbp': 125,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 2, 'qsofa': 0, 'alert': 'SIRS_ALERT'}),\n  ('band forms count',\n   {'temp': '37.0',\n    'hr': 99,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 13,\n    'sbp': 125,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 2, 'qsofa': 0, 'alert': 'SIRS_ALERT'}),\n  ('respiratory rate exactly 22',\n   {'temp': '37.0',\n    'hr': 80,\n    'rr': 22,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 0,\n    'sbp': 98,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 1, 'qsofa': 2, 'alert': 'SEPSIS_ALERT'}),\n  ('rate 21 only meets inflammatory criterion',\n   {'temp': '37.0',\n    'hr': 80,\n    'rr': 21,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 0,\n    'sbp': 100,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 1, 'qsofa': 1, 'alert': 'NONE'}),\n  ('bedside positive without inflammatory criteria',\n   {'temp': '37.0',\n    'hr': 80,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 0,\n    'sbp': 92,\n    'gcs': 13,\n    'suspected_infection': True},\n   {'sirs': 0, 'qsofa': 2, 'alert': 'SEPSIS_ALERT'}),\n  ('both scores positive',\n   {'temp': '38.9',\n    'hr': 120,\n    'rr': 26,\n    'paco2': None,\n    'wbc': '15',\n    'bands_pct': 0,\n    'sbp': 88,\n    'gcs': 14,\n    'suspected_infection': True},\n   {'sirs': 4, 'qsofa': 3, 'alert': 'SEPSIS_ALERT'}),\n  ('no suspected infection',\n   {'temp': '38.9',\n    'hr': 120,\n    'rr': 26,\n    'paco2': None,\n    'wbc': '15',\n    'bands_pct': 0,\n    'sbp': 90,\n    'gcs': 14,\n    'suspected_infection': False},\n   {'sirs': 4, 'qsofa': 3, 'alert': 'NONE'})],\n [('hypothermia counts',\n   {'temp': '35.7',\n    'hr': 95,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '8',\n    'bands_pct': 2,\n    'sbp': 120,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 2, 'qsofa': 0, 'alert': 'SIRS_ALERT'}),\n  ('temperature exactly 38.0 not counted',\n   {'temp': '38.0',\n    'hr': 98,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '8',\n    'bands_pct': 2,\n    'sbp': 120,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 1, 'qsofa': 0, 'alert': 'NONE'}),\n  ('missing blood gas not counted',\n   {'temp': '37.0',\n    'hr': 95,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 0,\n    'sbp': 125,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 1, 'qsofa': 0, 'alert': 'NONE'}),\n  ('low carbon dioxide with normal rate',\n   {'temp': '37.0',\n    'hr': 80,\n    'rr': 16,\n    'paco2': 28,\n    'wbc': '13',\n    'bands_pct': 0,\n    'sbp': 125,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 2, 'qsofa': 0, 'alert': 'SIRS_ALERT'}),\n  ('leukopenia counts',\n   {'temp': '38.7',\n    'hr': 80,\n    'rr': 16,\n    'paco2': None,\n    'wbc': '3.3',\n    'bands_pct': 0,\n    'sbp': 125,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 2, 'qsofa': 0, 'alert': 'SIRS_ALERT'}),\n  ('band forms count',\n   {'temp': '37.0',\n    'hr': 99,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 14,\n    'sbp': 125,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 2, 'qsofa': 0, 'alert': 'SIRS_ALERT'}),\n  ('respiratory rate exactly 22',\n   {'temp': '37.0',\n    'hr': 80,\n    'rr': 22,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 0,\n    'sbp': 99,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 1, 'qsofa': 2, 'alert': 'SEPSIS_ALERT'}),\n  ('rate 21 only meets inflammatory criterion',\n   {'temp': '37.0',\n    'hr': 80,\n    'rr': 21,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 0,\n    'sbp': 100,\n    'gcs': 14,\n    'suspected_infection': True},\n   {'sirs': 1, 'qsofa': 2, 'alert': 'SEPSIS_ALERT'}),\n  ('bedside positive without inflammatory criteria',\n   {'temp': '37.0',\n    'hr': 80,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 0,\n    'sbp': 93,\n    'gcs': 13,\n    'suspected_infection': True},\n   {'sirs': 0, 'qsofa': 2, 'alert': 'SEPSIS_ALERT'}),\n  ('both scores positive',\n   {'temp': '38.9',\n    'hr': 120,\n    'rr': 26,\n    'paco2': None,\n    'wbc': '15',\n    'bands_pct': 0,\n    'sbp': 88,\n    'gcs': 14,\n    'suspected_infection': True},\n   {'sirs': 4, 'qsofa': 3, 'alert': 'SEPSIS_ALERT'}),\n  ('no suspected infection',\n   {'temp': '38.9',\n    'hr': 120,\n    'rr': 26,\n    'paco2': None,\n    'wbc': '15',\n    'bands_pct': 0,\n    'sbp': 91,\n    'gcs': 14,\n    'suspected_infection': False},\n   {'sirs': 4, 'qsofa': 3, 'alert': 'NONE'})],\n [('hypothermia counts',\n   {'temp': '35.8',\n    'hr': 95,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '8',\n    'bands_pct': 2,\n    'sbp': 120,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 2, 'qsofa': 0, 'alert': 'SIRS_ALERT'}),\n  ('temperature exactly 38.0 not counted',\n   {'temp': '38.0',\n    'hr': 99,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '8',\n    'bands_pct': 2,\n    'sbp': 120,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 1, 'qsofa': 0, 'alert': 'NONE'}),\n  ('missing blood gas not counted',\n   {'temp': '37.0',\n    'hr': 96,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 0,\n    'sbp': 125,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 1, 'qsofa': 0, 'alert': 'NONE'}),\n  ('low carbon dioxide with normal rate',\n   {'temp': '37.0',\n    'hr': 80,\n    'rr': 16,\n    'paco2': 29,\n    'wbc': '13',\n    'bands_pct': 0,\n    'sbp': 125,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 2, 'qsofa': 0, 'alert': 'SIRS_ALERT'}),\n  ('leukopenia counts',\n   {'temp': '38.8',\n    'hr': 80,\n    'rr': 16,\n    'paco2': None,\n    'wbc': '3.4',\n    'bands_pct': 0,\n    'sbp': 125,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 2, 'qsofa': 0, 'alert': 'SIRS_ALERT'}),\n  ('band forms count',\n   {'temp': '37.0',\n    'hr': 99,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 15,\n    'sbp': 125,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 2, 'qsofa': 0, 'alert': 'SIRS_ALERT'}),\n  ('respiratory rate exactly 22',\n   {'temp': '37.0',\n    'hr': 80,\n    'rr': 22,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 0,\n    'sbp': 100,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 1, 'qsofa': 2, 'alert': 'SEPSIS_ALERT'}),\n  ('rate 21 only meets inflammatory criterion',\n   {'temp': '37.0',\n    'hr': 80,\n    'rr': 21,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 0,\n    'sbp': 100,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 1, 'qsofa': 1, 'alert': 'NONE'}),\n  ('bedside positive without inflammatory criteria',\n   {'temp': '37.0',\n    'hr': 80,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 0,\n    'sbp': 94,\n    'gcs': 13,\n    'suspected_infection': True},\n   {'sirs': 0, 'qsofa': 2, 'alert': 'SEPSIS_ALERT'}),\n  ('both scores positive',\n   {'temp': '38.9',\n    'hr': 120,\n    'rr': 26,\n    'paco2': None,\n    'wbc': '15',\n    'bands_pct': 0,\n    'sbp': 88,\n    'gcs': 14,\n    'suspected_infection': True},\n   {'sirs': 4, 'qsofa': 3, 'alert': 'SEPSIS_ALERT'}),\n  ('no suspected infection',\n   {'temp': '38.9',\n    'hr': 120,\n    'rr': 26,\n    'paco2': None,\n    'wbc': '15',\n    'bands_pct': 0,\n    'sbp': 92,\n    'gcs': 14,\n    'suspected_infection': False},\n   {'sirs': 4, 'qsofa': 3, 'alert': 'NONE'})],\n [('hypothermia counts',\n   {'temp': '35.9',\n    'hr': 95,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '8',\n    'bands_pct': 2,\n    'sbp': 120,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 2, 'qsofa': 0, 'alert': 'SIRS_ALERT'}),\n  ('temperature exactly 38.0 not counted',\n   {'temp': '38.0',\n    'hr': 100,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '8',\n    'bands_pct': 2,\n    'sbp': 120,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 1, 'qsofa': 0, 'alert': 'NONE'}),\n  ('missing blood gas not counted',\n   {'temp': '37.0',\n    'hr': 97,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 0,\n    'sbp': 125,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 1, 'qsofa': 0, 'alert': 'NONE'}),\n  ('low carbon dioxide with normal rate',\n   {'temp': '37.0',\n    'hr': 80,\n    'rr': 16,\n    'paco2': 30,\n    'wbc': '13',\n    'bands_pct': 0,\n    'sbp': 125,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 2, 'qsofa': 0, 'alert': 'SIRS_ALERT'}),\n  ('leukopenia counts',\n   {'temp': '38.9',\n    'hr': 80,\n    'rr': 16,\n    'paco2': None,\n    'wbc': '3.5',\n    'bands_pct': 0,\n    'sbp': 125,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 2, 'qsofa': 0, 'alert': 'SIRS_ALERT'}),\n  ('band forms count',\n   {'temp': '37.0',\n    'hr': 99,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 16,\n    'sbp': 125,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 2, 'qsofa': 0, 'alert': 'SIRS_ALERT'}),\n  ('respiratory rate exactly 22',\n   {'temp': '37.0',\n    'hr': 80,\n    'rr': 22,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 0,\n    'sbp': 101,\n    'gcs': 15,\n    'suspected_infection': True},\n   {'sirs': 1, 'qsofa': 1, 'alert': 'NONE'}),\n  ('rate 21 only meets inflammatory criterion',\n   {'temp': '37.0',\n    'hr': 80,\n    'rr': 21,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 0,\n    'sbp': 100,\n    'gcs': 14,\n    'suspected_infection': True},\n   {'sirs': 1, 'qsofa': 2, 'alert': 'SEPSIS_ALERT'}),\n  ('bedside positive without inflammatory criteria',\n   {'temp': '37.0',\n    'hr': 80,\n    'rr': 18,\n    'paco2': None,\n    'wbc': '9',\n    'bands_pct': 0,\n    'sbp': 95,\n    'gcs': 13,\n    'suspected_infection': True},\n   {'sirs': 0, 'qsofa': 2, 'alert': 'SEPSIS_ALERT'}),\n  ('both scores positive',\n   {'temp': '38.9',\n    'hr': 120,\n    'rr': 26,\n    'paco2': None,\n    'wbc': '15',\n    'bands_pct': 0,\n    'sbp': 88,\n    'gcs': 14,\n    'suspected_infection': True},\n   {'sirs': 4, 'qsofa': 3, 'alert': 'SEPSIS_ALERT'}),\n  ('no suspected infection',\n   {'temp': '38.9',\n    'hr': 120,\n    'rr': 26,\n    'paco2': None,\n    'wbc': '15',\n    'bands_pct': 0,\n    'sbp': 93,\n    'gcs': 14,\n    'suspected_infection': False},\n   {'sirs': 4, 'qsofa': 3, 'alert': 'NONE'})]]\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-sepsis-screen-optional-blood-gas","generated_at":"2026-09-29T14:47:23.979934+00:00","license":"CC0-1.0","python":"3.12.14","seed":1,"split":"open-access"},"relevance":"Screening rules count criteria with open and closed thresholds and combine two scores with precedence; each is a separable defect.","repair":"Only evaluate PaCO2 < 32 when a value was measured.","root_cause":"A missing PaCO2 is coerced to 0, which is below 32.","sha256":"7fcf3af6d45962091c409c0a7d99a43ef1aadbcdf08b89e76120898ae2387e70","title":"Sepsis screen from inflammatory criteria and bedside score: optional blood gas · case 01","variant":1,"variant_policy":"Five numbered records share a model and may reuse boundary fixtures.","verification":{"attempt":{"elapsed_ms":46.333,"exit_code":1,"observations":[{"actual":{"alert":"SIRS_ALERT","qsofa":0,"sirs":2},"check":"hypothermia counts","expected":{"alert":"SIRS_ALERT","qsofa":0,"sirs":2},"passed":true},{"actual":{"alert":"NONE","qsofa":0,"sirs":1},"check":"temperature exactly 38.0 not counted","expected":{"alert":"NONE","qsofa":0,"sirs":1},"passed":true},{"actual":{"alert":"NONE","qsofa":0,"sirs":1},"check":"missing blood gas not counted","expected":{"alert":"NONE","qsofa":0,"sirs":1},"passed":true},{"actual":{"alert":"NONE","qsofa":0,"sirs":1},"check":"low carbon dioxide with normal rate","expected":{"alert":"SIRS_ALERT","qsofa":0,"sirs":2},"passed":false},{"actual":{"alert":"SIRS_ALERT","qsofa":0,"sirs":2},"check":"leukopenia counts","expected":{"alert":"SIRS_ALERT","qsofa":0,"sirs":2},"passed":true},{"actual":{"alert":"SIRS_ALERT","qsofa":0,"sirs":2},"check":"band forms count","expected":{"alert":"SIRS_ALERT","qsofa":0,"sirs":2},"passed":true},{"actual":{"alert":"SEPSIS_ALERT","qsofa":2,"sirs":1},"check":"respiratory rate exactly 22","expected":{"alert":"SEPSIS_ALERT","qsofa":2,"sirs":1},"passed":true},{"actual":{"alert":"SEPSIS_ALERT","qsofa":2,"sirs":1},"check":"rate 21 only meets inflammatory criterion","expected":{"alert":"SEPSIS_ALERT","qsofa":2,"sirs":1},"passed":true},{"actual":{"alert":"SEPSIS_ALERT","qsofa":2,"sirs":0},"check":"bedside positive without inflammatory criteria","expected":{"alert":"SEPSIS_ALERT","qsofa":2,"sirs":0},"passed":true},{"actual":{"alert":"SEPSIS_ALERT","qsofa":3,"sirs":4},"check":"both scores positive","expected":{"alert":"SEPSIS_ALERT","qsofa":3,"sirs":4},"passed":true},{"actual":{"alert":"NONE","qsofa":3,"sirs":4},"check":"no suspected infection","expected":{"alert":"NONE","qsofa":3,"sirs":4},"passed":true}],"passed":false,"stderr":"","stdout":"{\"observations\": [{\"check\": \"hypothermia counts\", \"actual\": {\"sirs\": 2, \"qsofa\": 0, \"alert\": \"SIRS_ALERT\"}, \"expected\": {\"sirs\": 2, \"qsofa\": 0, \"alert\": \"SIRS_ALERT\"}, \"passed\": true}, {\"check\": \"temperature exactly 38.0 not counted\", \"actual\": {\"sirs\": 1, \"qsofa\": 0, \"alert\": \"NONE\"}, \"expected\": {\"sirs\": 1, \"qsofa\": 0, \"alert\": \"NONE\"}, \"passed\": true}, {\"check\": \"missing blood gas not counted\", \"actual\": {\"sirs\": 1, \"qsofa\": 0, \"alert\": \"NONE\"}, \"expected\": {\"sirs\": 1, \"qsofa\": 0, \"alert\": \"NONE\"}, \"passed\": true}, {\"check\": \"low carbon dioxide with normal rate\", \"actual\": {\"sirs\": 1, \"qsofa\": 0, \"alert\": \"NONE\"}, \"expected\": {\"sirs\": 2, \"qsofa\": 0, \"alert\": \"SIRS_ALERT\"}, \"passed\": false}, {\"check\": \"leukopenia counts\", \"actual\": {\"sirs\": 2, \"qsofa\": 0, \"alert\": \"SIRS_ALERT\"}, \"expected\": {\"sirs\": 2, \"qsofa\": 0, \"alert\": \"SIRS_ALERT\"}, \"passed\": true}, {\"check\": \"band forms count\", \"actual\": {\"sirs\": 2, \"qsofa\": 0, \"alert\": \"SIRS_ALERT\"}, \"expected\": {\"sirs\": 2, \"qsofa\": 0, \"alert\": \"SIRS_ALERT\"}, \"passed\": true}, {\"check\": \"respiratory rate exactly 22\", \"actual\": {\"sirs\": 1, \"qsofa\": 2, \"alert\": \"SEPSIS_ALERT\"}, \"expected\": {\"sirs\": 1, \"qsofa\": 2, \"alert\": \"SEPSIS_ALERT\"}, \"passed\": true}, {\"check\": \"rate 21 only meets inflammatory criterion\", \"actual\": {\"sirs\": 1, \"qsofa\": 2, \"alert\": \"SEPSIS_ALERT\"}, \"expected\": {\"sirs\": 1, \"qsofa\": 2, \"alert\": \"SEPSIS_ALERT\"}, \"passed\": true}, {\"check\": \"bedside positive without inflammatory criteria\", \"actual\": {\"sirs\": 0, \"qsofa\": 2, \"alert\": \"SEPSIS_ALERT\"}, \"expected\": {\"sirs\": 0, \"qsofa\": 2, \"alert\": \"SEPSIS_ALERT\"}, \"passed\": true}, {\"check\": \"both scores positive\", \"actual\": {\"sirs\": 4, \"qsofa\": 3, \"alert\": \"SEPSIS_ALERT\"}, \"expected\": {\"sirs\": 4, \"qsofa\": 3, \"alert\": \"SEPSIS_ALERT\"}, \"passed\": true}, {\"check\": \"no suspected infection\", \"actual\": {\"sirs\": 4, \"qsofa\": 3, \"alert\": \"NONE\"}, \"expected\": {\"sirs\": 4, \"qsofa\": 3, \"alert\": \"NONE\"}, \"passed\": true}], \"passed\": false}\n"},"broken":{"elapsed_ms":46.751,"exit_code":1,"observations":[{"actual":{"alert":"SIRS_ALERT","qsofa":0,"sirs":3},"check":"hypothermia counts","expected":{"alert":"SIRS_ALERT","qsofa":0,"sirs":2},"passed":false},{"actual":{"alert":"SIRS_ALERT","qsofa":0,"sirs":2},"check":"temperature exactly 38.0 not counted","expected":{"alert":"NONE","qsofa":0,"sirs":1},"passed":false},{"actual":{"alert":"SIRS_ALERT","qsofa":0,"sirs":2},"check":"missing blood gas not counted","expected":{"alert":"NONE","qsofa":0,"sirs":1},"passed":false},{"actual":{"alert":"SIRS_ALERT","qsofa":0,"sirs":2},"check":"low carbon dioxide with normal rate","expected":{"alert":"SIRS_ALERT","qsofa":0,"sirs":2},"passed":true},{"actual":{"alert":"SIRS_ALERT","qsofa":0,"sirs":3},"check":"leukopenia 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