{"abstract":"Level 4 patients with abnormal vitals are reported as upgraded.","category":"Clinical triage scoring","checks":10,"contract":"Input {lifesaving, high_risk, confused, pain (0-10), resources, age_years, hr, rr, spo2}. Toy algorithm: lifesaving intervention -> 1; high risk, confusion or pain >= 7 -> 2; otherwise resources 0 -> 5, 1 -> 4, >= 2 -> 3, except that patients needing >= 2 resources with danger-zone vitals are upgraded to 2. Danger zone: spo2 < 92 or hr/rr above age limits (age < 1: 180/50; 1-2: 160/40; 3-7: 140/30; 8+: 100/20). Return {level, upgraded}.","evaluation_group":"w2-triage-acuity-level","failed_approach":"Restricting the flag to one-resource patients still reports a phantom upgrade.","family":"w2-triage-acuity-level-upgrade-flag-on-lower-acuity","id":"FA-64436","implementations":{"attempt":{"sha256":"d1805009cfb5efdd931e753863851c2dd771782533318c6f7616035a364df3c0","source":"\"\"\"Failure Map reference implementation. Python standard library only.\"\"\"\nimport json\n\nN = 1\nobservations = []\ndef solve(x):\n    if x['lifesaving']:\n        return {'level': 1, 'upgraded': False}\n    if x['high_risk'] or x['confused'] or x['pain'] >= 7:\n        return {'level': 2, 'upgraded': False}\n    r, a = x['resources'], x['age_years']\n    if a < 1:\n        hr_lim, rr_lim = 180, 50\n    elif a < 3:\n        hr_lim, rr_lim = 160, 40\n    elif a < 8:\n        hr_lim, rr_lim = 140, 30\n    else:\n        hr_lim, rr_lim = 100, 20\n    danger = x['hr'] > hr_lim or x['rr'] > rr_lim or x['spo2'] < 92\n    if r >= 2 and danger:\n        return {'level': 2, 'upgraded': True}\n    return {'level': 3 if r >= 2 else 4 if r == 1 else 5, 'upgraded': danger and r >= 1}\ndef check(label, actual, expected):\n    observations.append({\"check\": label, \"actual\": actual, \"expected\": expected, \"passed\": actual == expected})\nfixtures = [[('lifesaving',\n   {'lifesaving': True,\n    'high_risk': True,\n    'confused': False,\n    'pain': 3,\n    'resources': 3,\n    'age_years': 41,\n    'hr': 130,\n    'rr': 30,\n    'spo2': 85},\n   {'level': 1, 'upgraded': False}),\n  ('severe pain exactly 7',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 7,\n    'resources': 1,\n    'age_years': 30,\n    'hr': 90,\n    'rr': 18,\n    'spo2': 98},\n   {'level': 2, 'upgraded': False}),\n  ('two resources normal vitals',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 4,\n    'resources': 3,\n    'age_years': 35,\n    'hr': 88,\n    'rr': 18,\n    'spo2': 97},\n   {'level': 3, 'upgraded': False}),\n  ('one resource tachycardic stays 4',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 2,\n    'resources': 1,\n    'age_years': 25,\n    'hr': 106,\n    'rr': 18,\n    'spo2': 97},\n   {'level': 4, 'upgraded': False}),\n  ('no resources hypoxic stays 5',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 0,\n    'resources': 0,\n    'age_years': 50,\n    'hr': 80,\n    'rr': 18,\n    'spo2': 89},\n   {'level': 5, 'upgraded': False}),\n  ('eight-year-old uses adult limits',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 2,\n    'age_years': 8,\n    'hr': 111,\n    'rr': 22,\n    'spo2': 97},\n   {'level': 2, 'upgraded': True}),\n  ('twelve-year-old uses adult limits',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 3,\n    'age_years': 12,\n    'hr': 116,\n    'rr': 18,\n    'spo2': 98},\n   {'level': 2, 'upgraded': True}),\n  ('preschool child within limits',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 2,\n    'age_years': 4,\n    'hr': 131,\n    'rr': 28,\n    'spo2': 97},\n   {'level': 3, 'upgraded': False}),\n  ('saturation exactly 92',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 2,\n    'age_years': 61,\n    'hr': 80,\n    'rr': 18,\n    'spo2': 92},\n   {'level': 3, 'upgraded': False}),\n  ('hypoxic child with two resources',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 2,\n    'age_years': 1,\n    'hr': 120,\n    'rr': 25,\n    'spo2': 90},\n   {'level': 2, 'upgraded': True})],\n [('lifesaving',\n   {'lifesaving': True,\n    'high_risk': True,\n    'confused': False,\n    'pain': 3,\n    'resources': 3,\n    'age_years': 42,\n    'hr': 130,\n    'rr': 30,\n    'spo2': 85},\n   {'level': 1, 'upgraded': False}),\n  ('severe pain exactly 7',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 7,\n    'resources': 0,\n    'age_years': 30,\n    'hr': 90,\n    'rr': 18,\n    'spo2': 98},\n   {'level': 2, 'upgraded': False}),\n  ('two resources normal vitals',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 4,\n    'resources': 2,\n    'age_years': 35,\n    'hr': 88,\n    'rr': 18,\n    'spo2': 97},\n   {'level': 3, 'upgraded': False}),\n  ('one resource tachycardic stays 4',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 2,\n    'resources': 1,\n    'age_years': 25,\n    'hr': 107,\n    'rr': 18,\n    'spo2': 97},\n   {'level': 4, 'upgraded': False}),\n  ('no resources hypoxic stays 5',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 0,\n    'resources': 0,\n    'age_years': 50,\n    'hr': 80,\n    'rr': 18,\n    'spo2': 90},\n   {'level': 5, 'upgraded': False}),\n  ('eight-year-old uses adult limits',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 2,\n    'age_years': 8,\n    'hr': 112,\n    'rr': 22,\n    'spo2': 97},\n   {'level': 2, 'upgraded': True}),\n  ('twelve-year-old uses adult limits',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 3,\n    'age_years': 12,\n    'hr': 117,\n    'rr': 18,\n    'spo2': 98},\n   {'level': 2, 'upgraded': True}),\n  ('preschool child within limits',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 2,\n    'age_years': 4,\n    'hr': 132,\n    'rr': 28,\n    'spo2': 97},\n   {'level': 3, 'upgraded': False}),\n  ('saturation exactly 92',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 2,\n    'age_years': 62,\n    'hr': 80,\n    'rr': 18,\n    'spo2': 92},\n   {'level': 3, 'upgraded': False}),\n  ('hypoxic child with two resources',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 2,\n    'age_years': 2,\n    'hr': 120,\n    'rr': 25,\n    'spo2': 90},\n   {'level': 2, 'upgraded': True})],\n [('lifesaving',\n   {'lifesaving': True,\n    'high_risk': True,\n    'confused': False,\n    'pain': 3,\n    'resources': 3,\n    'age_years': 43,\n    'hr': 130,\n    'rr': 30,\n    'spo2': 85},\n   {'level': 1, 'upgraded': False}),\n  ('severe pain exactly 7',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 7,\n    'resources': 1,\n    'age_years': 30,\n    'hr': 90,\n    'rr': 18,\n    'spo2': 98},\n   {'level': 2, 'upgraded': False}),\n  ('two resources normal vitals',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 4,\n    'resources': 3,\n    'age_years': 35,\n    'hr': 88,\n    'rr': 18,\n    'spo2': 97},\n   {'level': 3, 'upgraded': False}),\n  ('one resource tachycardic stays 4',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 2,\n    'resources': 1,\n    'age_years': 25,\n    'hr': 108,\n    'rr': 18,\n    'spo2': 97},\n   {'level': 4, 'upgraded': False}),\n  ('no resources hypoxic stays 5',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 0,\n    'resources': 0,\n    'age_years': 50,\n    'hr': 80,\n    'rr': 18,\n    'spo2': 89},\n   {'level': 5, 'upgraded': False}),\n  ('eight-year-old uses adult limits',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 2,\n    'age_years': 8,\n    'hr': 113,\n    'rr': 22,\n    'spo2': 97},\n   {'level': 2, 'upgraded': True}),\n  ('twelve-year-old uses adult limits',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 3,\n    'age_years': 12,\n    'hr': 118,\n    'rr': 18,\n    'spo2': 98},\n   {'level': 2, 'upgraded': True}),\n  ('preschool child within limits',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 2,\n    'age_years': 4,\n    'hr': 133,\n    'rr': 28,\n    'spo2': 97},\n   {'level': 3, 'upgraded': False}),\n  ('saturation exactly 92',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 2,\n    'age_years': 63,\n    'hr': 80,\n    'rr': 18,\n    'spo2': 92},\n   {'level': 3, 'upgraded': False}),\n  ('hypoxic child with two resources',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 2,\n    'age_years': 3,\n    'hr': 120,\n    'rr': 25,\n    'spo2': 90},\n   {'level': 2, 'upgraded': True})],\n [('lifesaving',\n   {'lifesaving': True,\n    'high_risk': True,\n    'confused': False,\n    'pain': 3,\n    'resources': 3,\n    'age_years': 44,\n    'hr': 130,\n    'rr': 30,\n    'spo2': 85},\n   {'level': 1, 'upgraded': False}),\n  ('severe pain exactly 7',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 7,\n    'resources': 0,\n    'age_years': 30,\n    'hr': 90,\n    'rr': 18,\n    'spo2': 98},\n   {'level': 2, 'upgraded': False}),\n  ('two resources normal vitals',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 4,\n    'resources': 2,\n    'age_years': 35,\n    'hr': 88,\n    'rr': 18,\n    'spo2': 97},\n   {'level': 3, 'upgraded': False}),\n  ('one resource tachycardic stays 4',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 2,\n    'resources': 1,\n    'age_years': 25,\n    'hr': 109,\n    'rr': 18,\n    'spo2': 97},\n   {'level': 4, 'upgraded': False}),\n  ('no resources hypoxic stays 5',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 0,\n    'resources': 0,\n    'age_years': 50,\n    'hr': 80,\n    'rr': 18,\n    'spo2': 90},\n   {'level': 5, 'upgraded': False}),\n  ('eight-year-old uses adult limits',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 2,\n    'age_years': 8,\n    'hr': 114,\n    'rr': 22,\n    'spo2': 97},\n   {'level': 2, 'upgraded': True}),\n  ('twelve-year-old uses adult limits',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 3,\n    'age_years': 12,\n    'hr': 119,\n    'rr': 18,\n    'spo2': 98},\n   {'level': 2, 'upgraded': True}),\n  ('preschool child within limits',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 2,\n    'age_years': 4,\n    'hr': 134,\n    'rr': 28,\n    'spo2': 97},\n   {'level': 3, 'upgraded': False}),\n  ('saturation exactly 92',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 2,\n    'age_years': 64,\n    'hr': 80,\n    'rr': 18,\n    'spo2': 92},\n   {'level': 3, 'upgraded': False}),\n  ('hypoxic child with two resources',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 2,\n    'age_years': 4,\n    'hr': 120,\n    'rr': 25,\n    'spo2': 90},\n   {'level': 2, 'upgraded': True})],\n [('lifesaving',\n   {'lifesaving': True,\n    'high_risk': True,\n    'confused': False,\n    'pain': 3,\n    'resources': 3,\n    'age_years': 45,\n    'hr': 130,\n    'rr': 30,\n    'spo2': 85},\n   {'level': 1, 'upgraded': False}),\n  ('severe pain exactly 7',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 7,\n    'resources': 1,\n    'age_years': 30,\n    'hr': 90,\n    'rr': 18,\n    'spo2': 98},\n   {'level': 2, 'upgraded': False}),\n  ('two resources normal vitals',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 4,\n    'resources': 3,\n    'age_years': 35,\n    'hr': 88,\n    'rr': 18,\n    'spo2': 97},\n   {'level': 3, 'upgraded': False}),\n  ('one resource tachycardic stays 4',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 2,\n    'resources': 1,\n    'age_years': 25,\n    'hr': 110,\n    'rr': 18,\n    'spo2': 97},\n   {'level': 4, 'upgraded': False}),\n  ('no resources hypoxic stays 5',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 0,\n    'resources': 0,\n    'age_years': 50,\n    'hr': 80,\n    'rr': 18,\n    'spo2': 89},\n   {'level': 5, 'upgraded': False}),\n  ('eight-year-old uses adult limits',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 2,\n    'age_years': 8,\n    'hr': 115,\n    'rr': 22,\n    'spo2': 97},\n   {'level': 2, 'upgraded': True}),\n  ('twelve-year-old uses adult limits',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 3,\n    'age_years': 12,\n    'hr': 120,\n    'rr': 18,\n    'spo2': 98},\n   {'level': 2, 'upgraded': True}),\n  ('preschool child within limits',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 2,\n    'age_years': 4,\n    'hr': 135,\n    'rr': 28,\n    'spo2': 97},\n   {'level': 3, 'upgraded': False}),\n  ('saturation exactly 92',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 2,\n    'age_years': 65,\n    'hr': 80,\n    'rr': 18,\n    'spo2': 92},\n   {'level': 3, 'upgraded': False}),\n  ('hypoxic child with two resources',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 2,\n    'age_years': 5,\n    'hr': 120,\n    'rr': 25,\n    'spo2': 90},\n   {'level': 2, 'upgraded': True})]]\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":"3698976edeb84d5cf8fc70dae683723bd87bf51029c7af74403e73d32d09a97c","source":"\"\"\"Failure Map reference implementation. Python standard library only.\"\"\"\nimport json\n\nN = 1\nobservations = []\ndef solve(x):\n    if x['lifesaving']:\n        return {'level': 1, 'upgraded': False}\n    if x['high_risk'] or x['confused'] or x['pain'] >= 7:\n        return {'level': 2, 'upgraded': False}\n    r, a = x['resources'], x['age_years']\n    if a < 1:\n        hr_lim, rr_lim = 180, 50\n    elif a < 3:\n        hr_lim, rr_lim = 160, 40\n    elif a < 8:\n        hr_lim, rr_lim = 140, 30\n    else:\n        hr_lim, rr_lim = 100, 20\n    danger = x['hr'] > hr_lim or x['rr'] > rr_lim or x['spo2'] < 92\n    if r >= 2 and danger:\n        return {'level': 2, 'upgraded': True}\n    return {'level': 3 if r >= 2 else 4 if r == 1 else 5, 'upgraded': danger}\ndef check(label, actual, expected):\n    observations.append({\"check\": label, \"actual\": actual, \"expected\": expected, \"passed\": actual == expected})\nfixtures = [[('lifesaving',\n   {'lifesaving': True,\n    'high_risk': True,\n    'confused': False,\n    'pain': 3,\n    'resources': 3,\n    'age_years': 41,\n    'hr': 130,\n    'rr': 30,\n    'spo2': 85},\n   {'level': 1, 'upgraded': False}),\n  ('severe pain exactly 7',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 7,\n    'resources': 1,\n    'age_years': 30,\n    'hr': 90,\n    'rr': 18,\n    'spo2': 98},\n   {'level': 2, 'upgraded': False}),\n  ('two resources normal vitals',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 4,\n    'resources': 3,\n    'age_years': 35,\n    'hr': 88,\n    'rr': 18,\n    'spo2': 97},\n   {'level': 3, 'upgraded': False}),\n  ('one resource tachycardic stays 4',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 2,\n    'resources': 1,\n    'age_years': 25,\n    'hr': 106,\n    'rr': 18,\n    'spo2': 97},\n   {'level': 4, 'upgraded': False}),\n  ('no resources hypoxic stays 5',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 0,\n    'resources': 0,\n    'age_years': 50,\n    'hr': 80,\n    'rr': 18,\n    'spo2': 89},\n   {'level': 5, 'upgraded': False}),\n  ('eight-year-old uses adult limits',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 2,\n    'age_years': 8,\n    'hr': 111,\n    'rr': 22,\n    'spo2': 97},\n   {'level': 2, 'upgraded': True}),\n  ('twelve-year-old uses adult limits',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 3,\n    'age_years': 12,\n    'hr': 116,\n    'rr': 18,\n    'spo2': 98},\n   {'level': 2, 'upgraded': True}),\n  ('preschool child within limits',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 2,\n    'age_years': 4,\n    'hr': 131,\n    'rr': 28,\n    'spo2': 97},\n   {'level': 3, 'upgraded': False}),\n  ('saturation exactly 92',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 2,\n    'age_years': 61,\n    'hr': 80,\n    'rr': 18,\n    'spo2': 92},\n   {'level': 3, 'upgraded': False}),\n  ('hypoxic child with two resources',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 2,\n    'age_years': 1,\n    'hr': 120,\n    'rr': 25,\n    'spo2': 90},\n   {'level': 2, 'upgraded': True})],\n [('lifesaving',\n   {'lifesaving': True,\n    'high_risk': True,\n    'confused': False,\n    'pain': 3,\n    'resources': 3,\n    'age_years': 42,\n    'hr': 130,\n    'rr': 30,\n    'spo2': 85},\n   {'level': 1, 'upgraded': False}),\n  ('severe pain exactly 7',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 7,\n    'resources': 0,\n    'age_years': 30,\n    'hr': 90,\n    'rr': 18,\n    'spo2': 98},\n   {'level': 2, 'upgraded': False}),\n  ('two resources normal vitals',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 4,\n    'resources': 2,\n    'age_years': 35,\n    'hr': 88,\n    'rr': 18,\n    'spo2': 97},\n   {'level': 3, 'upgraded': False}),\n  ('one resource tachycardic stays 4',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 2,\n    'resources': 1,\n    'age_years': 25,\n    'hr': 107,\n    'rr': 18,\n    'spo2': 97},\n   {'level': 4, 'upgraded': False}),\n  ('no resources hypoxic stays 5',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 0,\n    'resources': 0,\n    'age_years': 50,\n    'hr': 80,\n    'rr': 18,\n    'spo2': 90},\n   {'level': 5, 'upgraded': False}),\n  ('eight-year-old uses adult limits',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 2,\n    'age_years': 8,\n    'hr': 112,\n    'rr': 22,\n    'spo2': 97},\n   {'level': 2, 'upgraded': True}),\n  ('twelve-year-old uses adult limits',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 3,\n    'age_years': 12,\n    'hr': 117,\n    'rr': 18,\n    'spo2': 98},\n   {'level': 2, 'upgraded': True}),\n  ('preschool child within limits',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 2,\n    'age_years': 4,\n    'hr': 132,\n    'rr': 28,\n    'spo2': 97},\n   {'level': 3, 'upgraded': False}),\n  ('saturation exactly 92',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 2,\n    'age_years': 62,\n    'hr': 80,\n    'rr': 18,\n    'spo2': 92},\n   {'level': 3, 'upgraded': False}),\n  ('hypoxic child with two resources',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 2,\n    'age_years': 2,\n    'hr': 120,\n    'rr': 25,\n    'spo2': 90},\n   {'level': 2, 'upgraded': True})],\n [('lifesaving',\n   {'lifesaving': True,\n    'high_risk': True,\n    'confused': False,\n    'pain': 3,\n    'resources': 3,\n    'age_years': 43,\n    'hr': 130,\n    'rr': 30,\n    'spo2': 85},\n   {'level': 1, 'upgraded': False}),\n  ('severe pain exactly 7',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 7,\n    'resources': 1,\n    'age_years': 30,\n    'hr': 90,\n    'rr': 18,\n    'spo2': 98},\n   {'level': 2, 'upgraded': False}),\n  ('two resources normal vitals',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 4,\n    'resources': 3,\n    'age_years': 35,\n    'hr': 88,\n    'rr': 18,\n    'spo2': 97},\n   {'level': 3, 'upgraded': False}),\n  ('one resource tachycardic stays 4',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 2,\n    'resources': 1,\n    'age_years': 25,\n    'hr': 108,\n    'rr': 18,\n    'spo2': 97},\n   {'level': 4, 'upgraded': False}),\n  ('no resources hypoxic stays 5',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 0,\n    'resources': 0,\n    'age_years': 50,\n    'hr': 80,\n    'rr': 18,\n    'spo2': 89},\n   {'level': 5, 'upgraded': False}),\n  ('eight-year-old uses adult limits',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 2,\n    'age_years': 8,\n    'hr': 113,\n    'rr': 22,\n    'spo2': 97},\n   {'level': 2, 'upgraded': True}),\n  ('twelve-year-old uses adult limits',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 3,\n    'age_years': 12,\n    'hr': 118,\n    'rr': 18,\n    'spo2': 98},\n   {'level': 2, 'upgraded': True}),\n  ('preschool child within limits',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 2,\n    'age_years': 4,\n    'hr': 133,\n    'rr': 28,\n    'spo2': 97},\n   {'level': 3, 'upgraded': False}),\n  ('saturation exactly 92',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 2,\n    'age_years': 63,\n    'hr': 80,\n    'rr': 18,\n    'spo2': 92},\n   {'level': 3, 'upgraded': False}),\n  ('hypoxic child with two resources',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 2,\n    'age_years': 3,\n    'hr': 120,\n    'rr': 25,\n    'spo2': 90},\n   {'level': 2, 'upgraded': True})],\n [('lifesaving',\n   {'lifesaving': True,\n    'high_risk': True,\n    'confused': False,\n    'pain': 3,\n    'resources': 3,\n    'age_years': 44,\n    'hr': 130,\n    'rr': 30,\n    'spo2': 85},\n   {'level': 1, 'upgraded': False}),\n  ('severe pain exactly 7',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 7,\n    'resources': 0,\n    'age_years': 30,\n    'hr': 90,\n    'rr': 18,\n    'spo2': 98},\n   {'level': 2, 'upgraded': False}),\n  ('two resources normal vitals',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 4,\n    'resources': 2,\n    'age_years': 35,\n    'hr': 88,\n    'rr': 18,\n    'spo2': 97},\n   {'level': 3, 'upgraded': False}),\n  ('one resource tachycardic stays 4',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 2,\n    'resources': 1,\n    'age_years': 25,\n    'hr': 109,\n    'rr': 18,\n    'spo2': 97},\n   {'level': 4, 'upgraded': False}),\n  ('no resources hypoxic stays 5',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 0,\n    'resources': 0,\n    'age_years': 50,\n    'hr': 80,\n    'rr': 18,\n    'spo2': 90},\n   {'level': 5, 'upgraded': False}),\n  ('eight-year-old uses adult limits',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 2,\n    'age_years': 8,\n    'hr': 114,\n    'rr': 22,\n    'spo2': 97},\n   {'level': 2, 'upgraded': True}),\n  ('twelve-year-old uses adult limits',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 3,\n    'age_years': 12,\n    'hr': 119,\n    'rr': 18,\n    'spo2': 98},\n   {'level': 2, 'upgraded': True}),\n  ('preschool child within limits',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 2,\n    'age_years': 4,\n    'hr': 134,\n    'rr': 28,\n    'spo2': 97},\n   {'level': 3, 'upgraded': False}),\n  ('saturation exactly 92',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 2,\n    'age_years': 64,\n    'hr': 80,\n    'rr': 18,\n    'spo2': 92},\n   {'level': 3, 'upgraded': False}),\n  ('hypoxic child with two resources',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 2,\n    'age_years': 4,\n    'hr': 120,\n    'rr': 25,\n    'spo2': 90},\n   {'level': 2, 'upgraded': True})],\n [('lifesaving',\n   {'lifesaving': True,\n    'high_risk': True,\n    'confused': False,\n    'pain': 3,\n    'resources': 3,\n    'age_years': 45,\n    'hr': 130,\n    'rr': 30,\n    'spo2': 85},\n   {'level': 1, 'upgraded': False}),\n  ('severe pain exactly 7',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 7,\n    'resources': 1,\n    'age_years': 30,\n    'hr': 90,\n    'rr': 18,\n    'spo2': 98},\n   {'level': 2, 'upgraded': False}),\n  ('two resources normal vitals',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 4,\n    'resources': 3,\n    'age_years': 35,\n    'hr': 88,\n    'rr': 18,\n    'spo2': 97},\n   {'level': 3, 'upgraded': False}),\n  ('one resource tachycardic stays 4',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 2,\n    'resources': 1,\n    'age_years': 25,\n    'hr': 110,\n    'rr': 18,\n    'spo2': 97},\n   {'level': 4, 'upgraded': False}),\n  ('no resources hypoxic stays 5',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 0,\n    'resources': 0,\n    'age_years': 50,\n    'hr': 80,\n    'rr': 18,\n    'spo2': 89},\n   {'level': 5, 'upgraded': False}),\n  ('eight-year-old uses adult limits',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 2,\n    'age_years': 8,\n    'hr': 115,\n    'rr': 22,\n    'spo2': 97},\n   {'level': 2, 'upgraded': True}),\n  ('twelve-year-old uses adult limits',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 3,\n    'age_years': 12,\n    'hr': 120,\n    'rr': 18,\n    'spo2': 98},\n   {'level': 2, 'upgraded': True}),\n  ('preschool child within limits',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 2,\n    'age_years': 4,\n    'hr': 135,\n    'rr': 28,\n    'spo2': 97},\n   {'level': 3, 'upgraded': False}),\n  ('saturation exactly 92',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 2,\n    'age_years': 65,\n    'hr': 80,\n    'rr': 18,\n    'spo2': 92},\n   {'level': 3, 'upgraded': False}),\n  ('hypoxic child with two resources',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 2,\n    'age_years': 5,\n    'hr': 120,\n    'rr': 25,\n    'spo2': 90},\n   {'level': 2, 'upgraded': True})]]\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":"d56ef2dc4053ec6dc69f342367be6cefe0bf0fe0ff5cc59c9af54d0ea4202ac4","source":"\"\"\"Failure Map reference implementation. Python standard library only.\"\"\"\nimport json\n\nN = 1\nobservations = []\ndef solve(x):\n    if x['lifesaving']:\n        return {'level': 1, 'upgraded': False}\n    if x['high_risk'] or x['confused'] or x['pain'] >= 7:\n        return {'level': 2, 'upgraded': False}\n    r, a = x['resources'], x['age_years']\n    if a < 1:\n        hr_lim, rr_lim = 180, 50\n    elif a < 3:\n        hr_lim, rr_lim = 160, 40\n    elif a < 8:\n        hr_lim, rr_lim = 140, 30\n    else:\n        hr_lim, rr_lim = 100, 20\n    danger = x['hr'] > hr_lim or x['rr'] > rr_lim or x['spo2'] < 92\n    if r >= 2 and danger:\n        return {'level': 2, 'upgraded': True}\n    return {'level': 3 if r >= 2 else 4 if r == 1 else 5, 'upgraded': False}\ndef check(label, actual, expected):\n    observations.append({\"check\": label, \"actual\": actual, \"expected\": expected, \"passed\": actual == expected})\nfixtures = [[('lifesaving',\n   {'lifesaving': True,\n    'high_risk': True,\n    'confused': False,\n    'pain': 3,\n    'resources': 3,\n    'age_years': 41,\n    'hr': 130,\n    'rr': 30,\n    'spo2': 85},\n   {'level': 1, 'upgraded': False}),\n  ('severe pain exactly 7',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 7,\n    'resources': 1,\n    'age_years': 30,\n    'hr': 90,\n    'rr': 18,\n    'spo2': 98},\n   {'level': 2, 'upgraded': False}),\n  ('two resources normal vitals',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 4,\n    'resources': 3,\n    'age_years': 35,\n    'hr': 88,\n    'rr': 18,\n    'spo2': 97},\n   {'level': 3, 'upgraded': False}),\n  ('one resource tachycardic stays 4',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 2,\n    'resources': 1,\n    'age_years': 25,\n    'hr': 106,\n    'rr': 18,\n    'spo2': 97},\n   {'level': 4, 'upgraded': False}),\n  ('no resources hypoxic stays 5',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 0,\n    'resources': 0,\n    'age_years': 50,\n    'hr': 80,\n    'rr': 18,\n    'spo2': 89},\n   {'level': 5, 'upgraded': False}),\n  ('eight-year-old uses adult limits',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 2,\n    'age_years': 8,\n    'hr': 111,\n    'rr': 22,\n    'spo2': 97},\n   {'level': 2, 'upgraded': True}),\n  ('twelve-year-old uses adult limits',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 3,\n    'age_years': 12,\n    'hr': 116,\n    'rr': 18,\n    'spo2': 98},\n   {'level': 2, 'upgraded': True}),\n  ('preschool child within limits',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 2,\n    'age_years': 4,\n    'hr': 131,\n    'rr': 28,\n    'spo2': 97},\n   {'level': 3, 'upgraded': False}),\n  ('saturation exactly 92',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 2,\n    'age_years': 61,\n    'hr': 80,\n    'rr': 18,\n    'spo2': 92},\n   {'level': 3, 'upgraded': False}),\n  ('hypoxic child with two resources',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 2,\n    'age_years': 1,\n    'hr': 120,\n    'rr': 25,\n    'spo2': 90},\n   {'level': 2, 'upgraded': True})],\n [('lifesaving',\n   {'lifesaving': True,\n    'high_risk': True,\n    'confused': False,\n    'pain': 3,\n    'resources': 3,\n    'age_years': 42,\n    'hr': 130,\n    'rr': 30,\n    'spo2': 85},\n   {'level': 1, 'upgraded': False}),\n  ('severe pain exactly 7',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 7,\n    'resources': 0,\n    'age_years': 30,\n    'hr': 90,\n    'rr': 18,\n    'spo2': 98},\n   {'level': 2, 'upgraded': False}),\n  ('two resources normal vitals',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 4,\n    'resources': 2,\n    'age_years': 35,\n    'hr': 88,\n    'rr': 18,\n    'spo2': 97},\n   {'level': 3, 'upgraded': False}),\n  ('one resource tachycardic stays 4',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 2,\n    'resources': 1,\n    'age_years': 25,\n    'hr': 107,\n    'rr': 18,\n    'spo2': 97},\n   {'level': 4, 'upgraded': False}),\n  ('no resources hypoxic stays 5',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 0,\n    'resources': 0,\n    'age_years': 50,\n    'hr': 80,\n    'rr': 18,\n    'spo2': 90},\n   {'level': 5, 'upgraded': False}),\n  ('eight-year-old uses adult limits',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 2,\n    'age_years': 8,\n    'hr': 112,\n    'rr': 22,\n    'spo2': 97},\n   {'level': 2, 'upgraded': True}),\n  ('twelve-year-old uses adult limits',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 3,\n    'age_years': 12,\n    'hr': 117,\n    'rr': 18,\n    'spo2': 98},\n   {'level': 2, 'upgraded': True}),\n  ('preschool child within limits',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 2,\n    'age_years': 4,\n    'hr': 132,\n    'rr': 28,\n    'spo2': 97},\n   {'level': 3, 'upgraded': False}),\n  ('saturation exactly 92',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 2,\n    'age_years': 62,\n    'hr': 80,\n    'rr': 18,\n    'spo2': 92},\n   {'level': 3, 'upgraded': False}),\n  ('hypoxic child with two resources',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 2,\n    'age_years': 2,\n    'hr': 120,\n    'rr': 25,\n    'spo2': 90},\n   {'level': 2, 'upgraded': True})],\n [('lifesaving',\n   {'lifesaving': True,\n    'high_risk': True,\n    'confused': False,\n    'pain': 3,\n    'resources': 3,\n    'age_years': 43,\n    'hr': 130,\n    'rr': 30,\n    'spo2': 85},\n   {'level': 1, 'upgraded': False}),\n  ('severe pain exactly 7',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 7,\n    'resources': 1,\n    'age_years': 30,\n    'hr': 90,\n    'rr': 18,\n    'spo2': 98},\n   {'level': 2, 'upgraded': False}),\n  ('two resources normal vitals',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 4,\n    'resources': 3,\n    'age_years': 35,\n    'hr': 88,\n    'rr': 18,\n    'spo2': 97},\n   {'level': 3, 'upgraded': False}),\n  ('one resource tachycardic stays 4',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 2,\n    'resources': 1,\n    'age_years': 25,\n    'hr': 108,\n    'rr': 18,\n    'spo2': 97},\n   {'level': 4, 'upgraded': False}),\n  ('no resources hypoxic stays 5',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 0,\n    'resources': 0,\n    'age_years': 50,\n    'hr': 80,\n    'rr': 18,\n    'spo2': 89},\n   {'level': 5, 'upgraded': False}),\n  ('eight-year-old uses adult limits',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 2,\n    'age_years': 8,\n    'hr': 113,\n    'rr': 22,\n    'spo2': 97},\n   {'level': 2, 'upgraded': True}),\n  ('twelve-year-old uses adult limits',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 3,\n    'age_years': 12,\n    'hr': 118,\n    'rr': 18,\n    'spo2': 98},\n   {'level': 2, 'upgraded': True}),\n  ('preschool child within limits',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 2,\n    'age_years': 4,\n    'hr': 133,\n    'rr': 28,\n    'spo2': 97},\n   {'level': 3, 'upgraded': False}),\n  ('saturation exactly 92',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 2,\n    'age_years': 63,\n    'hr': 80,\n    'rr': 18,\n    'spo2': 92},\n   {'level': 3, 'upgraded': False}),\n  ('hypoxic child with two resources',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 2,\n    'age_years': 3,\n    'hr': 120,\n    'rr': 25,\n    'spo2': 90},\n   {'level': 2, 'upgraded': True})],\n [('lifesaving',\n   {'lifesaving': True,\n    'high_risk': True,\n    'confused': False,\n    'pain': 3,\n    'resources': 3,\n    'age_years': 44,\n    'hr': 130,\n    'rr': 30,\n    'spo2': 85},\n   {'level': 1, 'upgraded': False}),\n  ('severe pain exactly 7',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 7,\n    'resources': 0,\n    'age_years': 30,\n    'hr': 90,\n    'rr': 18,\n    'spo2': 98},\n   {'level': 2, 'upgraded': False}),\n  ('two resources normal vitals',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 4,\n    'resources': 2,\n    'age_years': 35,\n    'hr': 88,\n    'rr': 18,\n    'spo2': 97},\n   {'level': 3, 'upgraded': False}),\n  ('one resource tachycardic stays 4',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 2,\n    'resources': 1,\n    'age_years': 25,\n    'hr': 109,\n    'rr': 18,\n    'spo2': 97},\n   {'level': 4, 'upgraded': False}),\n  ('no resources hypoxic stays 5',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 0,\n    'resources': 0,\n    'age_years': 50,\n    'hr': 80,\n    'rr': 18,\n    'spo2': 90},\n   {'level': 5, 'upgraded': False}),\n  ('eight-year-old uses adult limits',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 2,\n    'age_years': 8,\n    'hr': 114,\n    'rr': 22,\n    'spo2': 97},\n   {'level': 2, 'upgraded': True}),\n  ('twelve-year-old uses adult limits',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 3,\n    'age_years': 12,\n    'hr': 119,\n    'rr': 18,\n    'spo2': 98},\n   {'level': 2, 'upgraded': True}),\n  ('preschool child within limits',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 2,\n    'age_years': 4,\n    'hr': 134,\n    'rr': 28,\n    'spo2': 97},\n   {'level': 3, 'upgraded': False}),\n  ('saturation exactly 92',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 2,\n    'age_years': 64,\n    'hr': 80,\n    'rr': 18,\n    'spo2': 92},\n   {'level': 3, 'upgraded': False}),\n  ('hypoxic child with two resources',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 2,\n    'age_years': 4,\n    'hr': 120,\n    'rr': 25,\n    'spo2': 90},\n   {'level': 2, 'upgraded': True})],\n [('lifesaving',\n   {'lifesaving': True,\n    'high_risk': True,\n    'confused': False,\n    'pain': 3,\n    'resources': 3,\n    'age_years': 45,\n    'hr': 130,\n    'rr': 30,\n    'spo2': 85},\n   {'level': 1, 'upgraded': False}),\n  ('severe pain exactly 7',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 7,\n    'resources': 1,\n    'age_years': 30,\n    'hr': 90,\n    'rr': 18,\n    'spo2': 98},\n   {'level': 2, 'upgraded': False}),\n  ('two resources normal vitals',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 4,\n    'resources': 3,\n    'age_years': 35,\n    'hr': 88,\n    'rr': 18,\n    'spo2': 97},\n   {'level': 3, 'upgraded': False}),\n  ('one resource tachycardic stays 4',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 2,\n    'resources': 1,\n    'age_years': 25,\n    'hr': 110,\n    'rr': 18,\n    'spo2': 97},\n   {'level': 4, 'upgraded': False}),\n  ('no resources hypoxic stays 5',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 0,\n    'resources': 0,\n    'age_years': 50,\n    'hr': 80,\n    'rr': 18,\n    'spo2': 89},\n   {'level': 5, 'upgraded': False}),\n  ('eight-year-old uses adult limits',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 2,\n    'age_years': 8,\n    'hr': 115,\n    'rr': 22,\n    'spo2': 97},\n   {'level': 2, 'upgraded': True}),\n  ('twelve-year-old uses adult limits',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 3,\n    'age_years': 12,\n    'hr': 120,\n    'rr': 18,\n    'spo2': 98},\n   {'level': 2, 'upgraded': True}),\n  ('preschool child within limits',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 2,\n    'age_years': 4,\n    'hr': 135,\n    'rr': 28,\n    'spo2': 97},\n   {'level': 3, 'upgraded': False}),\n  ('saturation exactly 92',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 2,\n    'age_years': 65,\n    'hr': 80,\n    'rr': 18,\n    'spo2': 92},\n   {'level': 3, 'upgraded': False}),\n  ('hypoxic child with two resources',\n   {'lifesaving': False,\n    'high_risk': False,\n    'confused': False,\n    'pain': 3,\n    'resources': 2,\n    'age_years': 5,\n    'hr': 120,\n    'rr': 25,\n    'spo2': 90},\n   {'level': 2, 'upgraded': True})]]\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-acuity-level-upgrade-flag-on-lower-acuity","generated_at":"2026-09-29T14:47:24.531738+00:00","license":"CC0-1.0","python":"3.12.14","seed":1,"split":"open-access"},"relevance":"Acuity algorithms are ordered decision trees with age-dependent vital limits; each branch condition is a separate defect site.","repair":"Report upgraded only when the level-2 upgrade branch is taken.","root_cause":"The final return reports the danger-zone flag even though no upgrade happened.","sha256":"bf3817ebe8afe567f5330b4249e68790013ae8a6972254588b95a84b5cfebd87","title":"Five-level emergency acuity assignment: upgrade flag on lower acuity · case 01","variant":1,"variant_policy":"Five numbered records share a model and may reuse boundary fixtures.","verification":{"attempt":{"elapsed_ms":42.518,"exit_code":1,"observations":[{"actual":{"level":1,"upgraded":false},"check":"lifesaving","expected":{"level":1,"upgraded":false},"passed":true},{"actual":{"level":2,"upgraded":false},"check":"severe pain exactly 7","expected":{"level":2,"upgraded":false},"passed":true},{"actual":{"level":3,"upgraded":false},"check":"two resources normal vitals","expected":{"level":3,"upgraded":false},"passed":true},{"actual":{"level":4,"upgraded":true},"check":"one resource tachycardic stays 4","expected":{"level":4,"upgraded":false},"passed":false},{"actual":{"level":5,"upgraded":false},"check":"no resources hypoxic stays 5","expected":{"level":5,"upgraded":false},"passed":true},{"actual":{"level":2,"upgraded":true},"check":"eight-year-old uses adult limits","expected":{"level":2,"upgraded":true},"passed":true},{"actual":{"level":2,"upgraded":true},"check":"twelve-year-old uses adult limits","expected":{"level":2,"upgraded":true},"passed":true},{"actual":{"level":3,"upgraded":false},"check":"preschool child within limits","expected":{"level":3,"upgraded":false},"passed":true},{"actual":{"level":3,"upgraded":false},"check":"saturation exactly 92","expected":{"level":3,"upgraded":false},"passed":true},{"actual":{"level":2,"upgraded":true},"check":"hypoxic child with two resources","expected":{"level":2,"upgraded":true},"passed":true}],"passed":false,"stderr":"","stdout":"{\"observations\": [{\"check\": \"lifesaving\", \"actual\": {\"level\": 1, \"upgraded\": false}, \"expected\": {\"level\": 1, \"upgraded\": false}, \"passed\": true}, {\"check\": \"severe pain exactly 7\", \"actual\": {\"level\": 2, \"upgraded\": false}, \"expected\": {\"level\": 2, \"upgraded\": false}, \"passed\": true}, {\"check\": \"two resources normal vitals\", \"actual\": {\"level\": 3, \"upgraded\": false}, \"expected\": {\"level\": 3, \"upgraded\": false}, \"passed\": true}, {\"check\": \"one resource tachycardic stays 4\", \"actual\": {\"level\": 4, \"upgraded\": true}, \"expected\": {\"level\": 4, \"upgraded\": false}, \"passed\": false}, {\"check\": \"no resources hypoxic stays 5\", \"actual\": {\"level\": 5, \"upgraded\": false}, \"expected\": {\"level\": 5, \"upgraded\": false}, \"passed\": true}, {\"check\": \"eight-year-old uses adult limits\", \"actual\": {\"level\": 2, \"upgraded\": true}, \"expected\": {\"level\": 2, \"upgraded\": true}, \"passed\": true}, {\"check\": \"twelve-year-old uses adult limits\", \"actual\": {\"level\": 2, \"upgraded\": true}, \"expected\": {\"level\": 2, \"upgraded\": true}, \"passed\": true}, {\"check\": \"preschool child within limits\", \"actual\": {\"level\": 3, \"upgraded\": false}, \"expected\": {\"level\": 3, \"upgraded\": false}, \"passed\": true}, {\"check\": \"saturation exactly 92\", \"actual\": {\"level\": 3, \"upgraded\": false}, \"expected\": {\"level\": 3, \"upgraded\": false}, \"passed\": true}, {\"check\": \"hypoxic child with two resources\", \"actual\": {\"level\": 2, \"upgraded\": true}, \"expected\": {\"level\": 2, \"upgraded\": true}, \"passed\": true}], \"passed\": false}\n"},"broken":{"elapsed_ms":40.921,"exit_code":1,"observations":[{"actual":{"level":1,"upgraded":false},"check":"lifesaving","expected":{"level":1,"upgraded":false},"passed":true},{"actual":{"level":2,"upgraded":false},"check":"severe pain exactly 7","expected":{"level":2,"upgraded":false},"passed":true},{"actual":{"level":3,"upgraded":false},"check":"two resources normal vitals","expected":{"level":3,"upgraded":false},"passed":true},{"actual":{"level":4,"upgraded":true},"check":"one resource tachycardic stays 4","expected":{"level":4,"upgraded":false},"passed":false},{"actual":{"level":5,"upgraded":true},"check":"no resources hypoxic stays 5","expected":{"level":5,"upgraded":false},"passed":false},{"actual":{"level":2,"upgraded":true},"check":"eight-year-old uses adult limits","expected":{"level":2,"upgraded":true},"passed":true},{"actual":{"level":2,"upgraded":true},"check":"twelve-year-old uses adult limits","expected":{"level":2,"upgraded":true},"passed":true},{"actual":{"level":3,"upgraded":false},"check":"preschool child within limits","expected":{"level":3,"upgraded":false},"passed":true},{"actual":{"level":3,"upgraded":false},"check":"saturation exactly 92","expected":{"level":3,"upgraded":false},"passed":true},{"actual":{"level":2,"upgraded":true},"check":"hypoxic child with two resources","expected":{"level":2,"upgraded":true},"passed":true}],"passed":false,"stderr":"","stdout":"{\"observations\": [{\"check\": \"lifesaving\", \"actual\": {\"level\": 1, \"upgraded\": false}, \"expected\": {\"level\": 1, \"upgraded\": false}, \"passed\": true}, {\"check\": \"severe pain exactly 7\", \"actual\": {\"level\": 2, \"upgraded\": false}, \"expected\": {\"level\": 2, \"upgraded\": false}, \"passed\": true}, {\"check\": \"two resources normal vitals\", \"actual\": {\"level\": 3, \"upgraded\": false}, \"expected\": {\"level\": 3, \"upgraded\": false}, \"passed\": true}, {\"check\": \"one resource tachycardic stays 4\", \"actual\": {\"level\": 4, \"upgraded\": true}, \"expected\": {\"level\": 4, \"upgraded\": false}, \"passed\": false}, {\"check\": \"no resources hypoxic stays 5\", \"actual\": {\"level\": 5, \"upgraded\": true}, \"expected\": {\"level\": 5, \"upgraded\": false}, \"passed\": false}, {\"check\": \"eight-year-old uses adult limits\", \"actual\": {\"level\": 2, \"upgraded\": true}, \"expected\": {\"level\": 2, \"upgraded\": true}, \"passed\": true}, {\"check\": \"twelve-year-old uses adult limits\", \"actual\": {\"level\": 2, \"upgraded\": true}, \"expected\": {\"level\": 2, \"upgraded\": true}, \"passed\": true}, {\"check\": \"preschool child within limits\", \"actual\": {\"level\": 3, \"upgraded\": false}, \"expected\": {\"level\": 3, \"upgraded\": false}, \"passed\": true}, {\"check\": \"saturation exactly 92\", \"actual\": {\"level\": 3, \"upgraded\": false}, \"expected\": {\"level\": 3, \"upgraded\": false}, \"passed\": true}, {\"check\": \"hypoxic child with two resources\", \"actual\": {\"level\": 2, \"upgraded\": true}, \"expected\": {\"level\": 2, \"upgraded\": true}, \"passed\": true}], \"passed\": false}\n"},"fixed":{"elapsed_ms":45.351,"exit_code":0,"observations":[{"actual":{"level":1,"upgraded":false},"check":"lifesaving","expected":{"level":1,"upgraded":false},"passed":true},{"actual":{"level":2,"upgraded":false},"check":"severe pain exactly 7","expected":{"level":2,"upgraded":false},"passed":true},{"actual":{"level":3,"upgraded":false},"check":"two resources normal vitals","expected":{"level":3,"upgraded":false},"passed":true},{"actual":{"level":4,"upgraded":false},"check":"one resource tachycardic stays 4","expected":{"level":4,"upgraded":false},"passed":true},{"actual":{"level":5,"upgraded":false},"check":"no resources hypoxic stays 5","expected":{"level":5,"upgraded":false},"passed":true},{"actual":{"level":2,"upgraded":true},"check":"eight-year-old uses adult limits","expected":{"level":2,"upgraded":true},"passed":true},{"actual":{"level":2,"upgraded":true},"check":"twelve-year-old uses adult limits","expected":{"level":2,"upgraded":true},"passed":true},{"actual":{"level":3,"upgraded":false},"check":"preschool child within limits","expected":{"level":3,"upgraded":false},"passed":true},{"actual":{"level":3,"upgraded":false},"check":"saturation exactly 92","expected":{"level":3,"upgraded":false},"passed":true},{"actual":{"level":2,"upgraded":true},"check":"hypoxic child with two resources","expected":{"level":2,"upgraded":true},"passed":true}],"passed":true,"stderr":"","stdout":"{\"observations\": [{\"check\": \"lifesaving\", \"actual\": {\"level\": 1, \"upgraded\": false}, \"expected\": {\"level\": 1, \"upgraded\": false}, \"passed\": true}, {\"check\": \"severe pain exactly 7\", \"actual\": {\"level\": 2, \"upgraded\": false}, \"expected\": {\"level\": 2, \"upgraded\": false}, \"passed\": true}, {\"check\": \"two resources normal vitals\", \"actual\": {\"level\": 3, \"upgraded\": false}, \"expected\": {\"level\": 3, \"upgraded\": false}, \"passed\": true}, {\"check\": \"one resource tachycardic stays 4\", \"actual\": {\"level\": 4, \"upgraded\": false}, \"expected\": {\"level\": 4, \"upgraded\": false}, \"passed\": true}, {\"check\": \"no resources hypoxic stays 5\", \"actual\": {\"level\": 5, \"upgraded\": false}, \"expected\": {\"level\": 5, \"upgraded\": false}, \"passed\": true}, {\"check\": \"eight-year-old uses adult limits\", \"actual\": {\"level\": 2, \"upgraded\": true}, \"expected\": {\"level\": 2, \"upgraded\": true}, \"passed\": true}, {\"check\": \"twelve-year-old uses adult limits\", \"actual\": {\"level\": 2, \"upgraded\": true}, \"expected\": {\"level\": 2, \"upgraded\": true}, \"passed\": true}, {\"check\": \"preschool child within limits\", \"actual\": {\"level\": 3, \"upgraded\": false}, \"expected\": {\"level\": 3, \"upgraded\": false}, \"passed\": true}, {\"check\": \"saturation exactly 92\", \"actual\": {\"level\": 3, \"upgraded\": false}, \"expected\": {\"level\": 3, \"upgraded\": false}, \"passed\": true}, {\"check\": \"hypoxic child with two resources\", \"actual\": {\"level\": 2, \"upgraded\": true}, \"expected\": {\"level\": 2, \"upgraded\": true}, \"passed\": true}], \"passed\": true}\n"}},"verified":true,"visibility":"public"}