{"abstract":"A normal BUN of 12 mg/dL counts as raised urea.","category":"Clinical triage scoring","checks":10,"contract":"Input {confusion, urea, urea_unit (\"mmol/L\" or \"mg/dL\" as BUN), rr, sbp, dbp, age}. Toy criteria: confusion; urea > 7 mmol/L or BUN > 19 mg/dL; rr >= 30; sbp < 90 or dbp <= 60; age >= 65. Disposition: 0-1 OUTPATIENT, 2 SHORT_STAY, >=3 INPATIENT; icu_review when score >= 4. Return {score, disposition, icu_review}.","contract_signature":"x","evaluation_group":"w2-triage-pneumonia-severity","failed_approach":"Swapping the unit branches applies each threshold to the other unit.","family":"w2-triage-pneumonia-severity-urea-unit-selection","id":"FA-64491","implementations":{"attempt":{"sha256":"d721e9dd9ccd3a29d3bae959cf8073b86abb2ee74d74cc84d195eeb887802a74","source":"\"\"\"Failure Map reference implementation. Python standard library only.\"\"\"\nimport json\nimport math\nfrom fractions import Fraction\nN = 1\nobservations = []\ndef solve(x):\n    u = Fraction(str(x['urea']))\n    high_urea = u > 7 if x['urea_unit'] == 'mg/dL' else u > 19\n    s = sum([bool(x['confusion']), high_urea, x['rr'] >= 30, x['sbp'] < 90 or x['dbp'] <= 60, x['age'] >= 65])\n    disp = 'OUTPATIENT' if s <= 1 else 'SHORT_STAY' if s == 2 else 'INPATIENT'\n    return {'score': s, 'disposition': disp, 'icu_review': s >= 4}\ndef check(label, actual, expected):\n    observations.append({\"check\": label, \"actual\": actual, \"expected\": expected, \"passed\": actual == expected})\nfixtures = [[('healthy control',\n   {'confusion': False, 'urea': '5', 'urea_unit': 'mmol/L', 'rr': 20, 'sbp': 120, 'dbp': 75, 'age': 31},\n   {'score': 0, 'disposition': 'OUTPATIENT', 'icu_review': False}),\n  ('BUN in mg/dL below threshold',\n   {'confusion': False, 'urea': '11', 'urea_unit': 'mg/dL', 'rr': 20, 'sbp': 120, 'dbp': 75, 'age': 70},\n   {'score': 1, 'disposition': 'OUTPATIENT', 'icu_review': False}),\n  ('BUN in mg/dL above threshold',\n   {'confusion': False, 'urea': '21', 'urea_unit': 'mg/dL', 'rr': 20, 'sbp': 120, 'dbp': 75, 'age': 50},\n   {'score': 1, 'disposition': 'OUTPATIENT', 'icu_review': False}),\n  ('urea in mmol/L above threshold',\n   {'confusion': False, 'urea': '7.1', 'urea_unit': 'mmol/L', 'rr': 20, 'sbp': 120, 'dbp': 75, 'age': 66},\n   {'score': 2, 'disposition': 'SHORT_STAY', 'icu_review': False}),\n  ('low diastolic only',\n   {'confusion': False, 'urea': '5', 'urea_unit': 'mmol/L', 'rr': 20, 'sbp': 110, 'dbp': 59, 'age': 50},\n   {'score': 1, 'disposition': 'OUTPATIENT', 'icu_review': False}),\n  ('systolic exactly 90',\n   {'confusion': False, 'urea': '5', 'urea_unit': 'mmol/L', 'rr': 20, 'sbp': 90, 'dbp': 66, 'age': 50},\n   {'score': 0, 'disposition': 'OUTPATIENT', 'icu_review': False}),\n  ('respiratory rate exactly 30',\n   {'confusion': False, 'urea': '5', 'urea_unit': 'mmol/L', 'rr': 30, 'sbp': 120, 'dbp': 75, 'age': 65},\n   {'score': 2, 'disposition': 'SHORT_STAY', 'icu_review': False}),\n  ('single criterion outpatient with confusion',\n   {'confusion': True, 'urea': '5', 'urea_unit': 'mmol/L', 'rr': 20, 'sbp': 120, 'dbp': 75, 'age': 41},\n   {'score': 1, 'disposition': 'OUTPATIENT', 'icu_review': False}),\n  ('three criteria inpatient',\n   {'confusion': True, 'urea': '5', 'urea_unit': 'mmol/L', 'rr': 32, 'sbp': 120, 'dbp': 75, 'age': 81},\n   {'score': 3, 'disposition': 'INPATIENT', 'icu_review': False}),\n  ('four criteria review',\n   {'confusion': True, 'urea': '9', 'urea_unit': 'mmol/L', 'rr': 32, 'sbp': 120, 'dbp': 75, 'age': 71},\n   {'score': 4, 'disposition': 'INPATIENT', 'icu_review': True})],\n [('healthy control',\n   {'confusion': False, 'urea': '5', 'urea_unit': 'mmol/L', 'rr': 20, 'sbp': 120, 'dbp': 75, 'age': 32},\n   {'score': 0, 'disposition': 'OUTPATIENT', 'icu_review': False}),\n  ('BUN in mg/dL below threshold',\n   {'confusion': False, 'urea': '12', 'urea_unit': 'mg/dL', 'rr': 20, 'sbp': 120, 'dbp': 75, 'age': 70},\n   {'score': 1, 'disposition': 'OUTPATIENT', 'icu_review': False}),\n  ('BUN in mg/dL above threshold',\n   {'confusion': False, 'urea': '22', 'urea_unit': 'mg/dL', 'rr': 20, 'sbp': 120, 'dbp': 75, 'age': 50},\n   {'score': 1, 'disposition': 'OUTPATIENT', 'icu_review': False}),\n  ('urea in mmol/L above threshold',\n   {'confusion': False, 'urea': '7.2', 'urea_unit': 'mmol/L', 'rr': 20, 'sbp': 120, 'dbp': 75, 'age': 66},\n   {'score': 2, 'disposition': 'SHORT_STAY', 'icu_review': False}),\n  ('low diastolic only',\n   {'confusion': False, 'urea': '5', 'urea_unit': 'mmol/L', 'rr': 20, 'sbp': 110, 'dbp': 60, 'age': 50},\n   {'score': 1, 'disposition': 'OUTPATIENT', 'icu_review': False}),\n  ('systolic exactly 90',\n   {'confusion': False, 'urea': '5', 'urea_unit': 'mmol/L', 'rr': 20, 'sbp': 90, 'dbp': 67, 'age': 50},\n   {'score': 0, 'disposition': 'OUTPATIENT', 'icu_review': False}),\n  ('respiratory rate exactly 30',\n   {'confusion': False, 'urea': '5', 'urea_unit': 'mmol/L', 'rr': 30, 'sbp': 120, 'dbp': 75, 'age': 64},\n   {'score': 1, 'disposition': 'OUTPATIENT', 'icu_review': False}),\n  ('single criterion outpatient with confusion',\n   {'confusion': True, 'urea': '5', 'urea_unit': 'mmol/L', 'rr': 20, 'sbp': 120, 'dbp': 75, 'age': 42},\n   {'score': 1, 'disposition': 'OUTPATIENT', 'icu_review': False}),\n  ('three criteria inpatient',\n   {'confusion': True, 'urea': '5', 'urea_unit': 'mmol/L', 'rr': 32, 'sbp': 120, 'dbp': 75, 'age': 82},\n   {'score': 3, 'disposition': 'INPATIENT', 'icu_review': False}),\n  ('four criteria review',\n   {'confusion': True, 'urea': '9', 'urea_unit': 'mmol/L', 'rr': 32, 'sbp': 120, 'dbp': 75, 'age': 72},\n   {'score': 4, 'disposition': 'INPATIENT', 'icu_review': True})],\n [('healthy control',\n   {'confusion': False, 'urea': '5', 'urea_unit': 'mmol/L', 'rr': 20, 'sbp': 120, 'dbp': 75, 'age': 33},\n   {'score': 0, 'disposition': 'OUTPATIENT', 'icu_review': False}),\n  ('BUN in mg/dL below threshold',\n   {'confusion': False, 'urea': '13', 'urea_unit': 'mg/dL', 'rr': 20, 'sbp': 120, 'dbp': 75, 'age': 70},\n   {'score': 1, 'disposition': 'OUTPATIENT', 'icu_review': False}),\n  ('BUN in mg/dL above threshold',\n   {'confusion': False, 'urea': '23', 'urea_unit': 'mg/dL', 'rr': 20, 'sbp': 120, 'dbp': 75, 'age': 50},\n   {'score': 1, 'disposition': 'OUTPATIENT', 'icu_review': False}),\n  ('urea in mmol/L above threshold',\n   {'confusion': False, 'urea': '7.3', 'urea_unit': 'mmol/L', 'rr': 20, 'sbp': 120, 'dbp': 75, 'age': 66},\n   {'score': 2, 'disposition': 'SHORT_STAY', 'icu_review': False}),\n  ('low diastolic only',\n   {'confusion': False, 'urea': '5', 'urea_unit': 'mmol/L', 'rr': 20, 'sbp': 110, 'dbp': 59, 'age': 50},\n   {'score': 1, 'disposition': 'OUTPATIENT', 'icu_review': False}),\n  ('systolic exactly 90',\n   {'confusion': False, 'urea': '5', 'urea_unit': 'mmol/L', 'rr': 20, 'sbp': 90, 'dbp': 68, 'age': 50},\n   {'score': 0, 'disposition': 'OUTPATIENT', 'icu_review': False}),\n  ('respiratory rate exactly 30',\n   {'confusion': False, 'urea': '5', 'urea_unit': 'mmol/L', 'rr': 30, 'sbp': 120, 'dbp': 75, 'age': 65},\n   {'score': 2, 'disposition': 'SHORT_STAY', 'icu_review': False}),\n  ('single criterion outpatient with confusion',\n   {'confusion': True, 'urea': '5', 'urea_unit': 'mmol/L', 'rr': 20, 'sbp': 120, 'dbp': 75, 'age': 43},\n   {'score': 1, 'disposition': 'OUTPATIENT', 'icu_review': False}),\n  ('three criteria inpatient',\n   {'confusion': True, 'urea': '5', 'urea_unit': 'mmol/L', 'rr': 32, 'sbp': 120, 'dbp': 75, 'age': 83},\n   {'score': 3, 'disposition': 'INPATIENT', 'icu_review': False}),\n  ('four criteria review',\n   {'confusion': True, 'urea': '9', 'urea_unit': 'mmol/L', 'rr': 32, 'sbp': 120, 'dbp': 75, 'age': 73},\n   {'score': 4, 'disposition': 'INPATIENT', 'icu_review': True})],\n [('healthy control',\n   {'confusion': False, 'urea': '5', 'urea_unit': 'mmol/L', 'rr': 20, 'sbp': 120, 'dbp': 75, 'age': 34},\n   {'score': 0, 'disposition': 'OUTPATIENT', 'icu_review': False}),\n  ('BUN in mg/dL below threshold',\n   {'confusion': False, 'urea': '14', 'urea_unit': 'mg/dL', 'rr': 20, 'sbp': 120, 'dbp': 75, 'age': 70},\n   {'score': 1, 'disposition': 'OUTPATIENT', 'icu_review': False}),\n  ('BUN in mg/dL above threshold',\n   {'confusion': False, 'urea': '24', 'urea_unit': 'mg/dL', 'rr': 20, 'sbp': 120, 'dbp': 75, 'age': 50},\n   {'score': 1, 'disposition': 'OUTPATIENT', 'icu_review': False}),\n  ('urea in mmol/L above threshold',\n   {'confusion': False, 'urea': '7.4', 'urea_unit': 'mmol/L', 'rr': 20, 'sbp': 120, 'dbp': 75, 'age': 66},\n   {'score': 2, 'disposition': 'SHORT_STAY', 'icu_review': False}),\n  ('low diastolic only',\n   {'confusion': False, 'urea': '5', 'urea_unit': 'mmol/L', 'rr': 20, 'sbp': 110, 'dbp': 60, 'age': 50},\n   {'score': 1, 'disposition': 'OUTPATIENT', 'icu_review': False}),\n  ('systolic exactly 90',\n   {'confusion': False, 'urea': '5', 'urea_unit': 'mmol/L', 'rr': 20, 'sbp': 90, 'dbp': 69, 'age': 50},\n   {'score': 0, 'disposition': 'OUTPATIENT', 'icu_review': False}),\n  ('respiratory rate exactly 30',\n   {'confusion': False, 'urea': '5', 'urea_unit': 'mmol/L', 'rr': 30, 'sbp': 120, 'dbp': 75, 'age': 64},\n   {'score': 1, 'disposition': 'OUTPATIENT', 'icu_review': False}),\n  ('single criterion outpatient with confusion',\n   {'confusion': True, 'urea': '5', 'urea_unit': 'mmol/L', 'rr': 20, 'sbp': 120, 'dbp': 75, 'age': 44},\n   {'score': 1, 'disposition': 'OUTPATIENT', 'icu_review': False}),\n  ('three criteria inpatient',\n   {'confusion': True, 'urea': '5', 'urea_unit': 'mmol/L', 'rr': 32, 'sbp': 120, 'dbp': 75, 'age': 84},\n   {'score': 3, 'disposition': 'INPATIENT', 'icu_review': False}),\n  ('four criteria review',\n   {'confusion': True, 'urea': '9', 'urea_unit': 'mmol/L', 'rr': 32, 'sbp': 120, 'dbp': 75, 'age': 74},\n   {'score': 4, 'disposition': 'INPATIENT', 'icu_review': True})],\n [('healthy control',\n   {'confusion': False, 'urea': '5', 'urea_unit': 'mmol/L', 'rr': 20, 'sbp': 120, 'dbp': 75, 'age': 35},\n   {'score': 0, 'disposition': 'OUTPATIENT', 'icu_review': False}),\n  ('BUN in mg/dL below threshold',\n   {'confusion': False, 'urea': '15', 'urea_unit': 'mg/dL', 'rr': 20, 'sbp': 120, 'dbp': 75, 'age': 70},\n   {'score': 1, 'disposition': 'OUTPATIENT', 'icu_review': False}),\n  ('BUN in mg/dL above threshold',\n   {'confusion': False, 'urea': '25', 'urea_unit': 'mg/dL', 'rr': 20, 'sbp': 120, 'dbp': 75, 'age': 50},\n   {'score': 1, 'disposition': 'OUTPATIENT', 'icu_review': False}),\n  ('urea in mmol/L above threshold',\n   {'confusion': False, 'urea': '7.5', 'urea_unit': 'mmol/L', 'rr': 20, 'sbp': 120, 'dbp': 75, 'age': 66},\n   {'score': 2, 'disposition': 'SHORT_STAY', 'icu_review': False}),\n  ('low diastolic only',\n   {'confusion': False, 'urea': '5', 'urea_unit': 'mmol/L', 'rr': 20, 'sbp': 110, 'dbp': 59, 'age': 50},\n   {'score': 1, 'disposition': 'OUTPATIENT', 'icu_review': False}),\n  ('systolic exactly 90',\n   {'confusion': False, 'urea': '5', 'urea_unit': 'mmol/L', 'rr': 20, 'sbp': 90, 'dbp': 70, 'age': 50},\n   {'score': 0, 'disposition': 'OUTPATIENT', 'icu_review': False}),\n  ('respiratory rate exactly 30',\n   {'confusion': False, 'urea': '5', 'urea_unit': 'mmol/L', 'rr': 30, 'sbp': 120, 'dbp': 75, 'age': 65},\n   {'score': 2, 'disposition': 'SHORT_STAY', 'icu_review': False}),\n  ('single criterion outpatient with confusion',\n   {'confusion': True, 'urea': '5', 'urea_unit': 'mmol/L', 'rr': 20, 'sbp': 120, 'dbp': 75, 'age': 45},\n   {'score': 1, 'disposition': 'OUTPATIENT', 'icu_review': False}),\n  ('three criteria inpatient',\n   {'confusion': True, 'urea': '5', 'urea_unit': 'mmol/L', 'rr': 32, 'sbp': 120, 'dbp': 75, 'age': 85},\n   {'score': 3, 'disposition': 'INPATIENT', 'icu_review': False}),\n  ('four criteria review',\n   {'confusion': True, 'urea': '9', 'urea_unit': 'mmol/L', 'rr': 32, 'sbp': 120, 'dbp': 75, 'age': 75},\n   {'score': 4, 'disposition': 'INPATIENT', 'icu_review': 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":"c53e8075fe5bb664d495efff9287bc87a51ab3b9b23b4df60ae9042f0ca5bb15","source":"\"\"\"Failure Map reference implementation. Python standard library only.\"\"\"\nimport json\nimport math\nfrom fractions import Fraction\nN = 1\nobservations = []\ndef solve(x):\n    u = Fraction(str(x['urea']))\n    high_urea = u > 7\n    s = sum([bool(x['confusion']), high_urea, x['rr'] >= 30, x['sbp'] < 90 or x['dbp'] <= 60, x['age'] >= 65])\n    disp = 'OUTPATIENT' if s <= 1 else 'SHORT_STAY' if s == 2 else 'INPATIENT'\n    return {'score': s, 'disposition': disp, 'icu_review': s >= 4}\ndef check(label, actual, expected):\n    observations.append({\"check\": label, \"actual\": actual, \"expected\": expected, \"passed\": actual == expected})\nfixtures = [[('healthy control',\n   {'confusion': False, 'urea': '5', 'urea_unit': 'mmol/L', 'rr': 20, 'sbp': 120, 'dbp': 75, 'age': 31},\n   {'score': 0, 'disposition': 'OUTPATIENT', 'icu_review': False}),\n  ('BUN in mg/dL below threshold',\n   {'confusion': False, 'urea': '11', 'urea_unit': 'mg/dL', 'rr': 20, 'sbp': 120, 'dbp': 75, 'age': 70},\n   {'score': 1, 'disposition': 'OUTPATIENT', 'icu_review': False}),\n  ('BUN in mg/dL above threshold',\n   {'confusion': False, 'urea': '21', 'urea_unit': 'mg/dL', 'rr': 20, 'sbp': 120, 'dbp': 75, 'age': 50},\n   {'score': 1, 'disposition': 'OUTPATIENT', 'icu_review': False}),\n  ('urea in mmol/L above threshold',\n   {'confusion': False, 'urea': '7.1', 'urea_unit': 'mmol/L', 'rr': 20, 'sbp': 120, 'dbp': 75, 'age': 66},\n   {'score': 2, 'disposition': 'SHORT_STAY', 'icu_review': False}),\n  ('low diastolic only',\n   {'confusion': False, 'urea': '5', 'urea_unit': 'mmol/L', 'rr': 20, 'sbp': 110, 'dbp': 59, 'age': 50},\n   {'score': 1, 'disposition': 'OUTPATIENT', 'icu_review': False}),\n  ('systolic exactly 90',\n   {'confusion': False, 'urea': '5', 'urea_unit': 'mmol/L', 'rr': 20, 'sbp': 90, 'dbp': 66, 'age': 50},\n   {'score': 0, 'disposition': 'OUTPATIENT', 'icu_review': False}),\n  ('respiratory rate exactly 30',\n   {'confusion': False, 'urea': '5', 'urea_unit': 'mmol/L', 'rr': 30, 'sbp': 120, 'dbp': 75, 'age': 65},\n   {'score': 2, 'disposition': 'SHORT_STAY', 'icu_review': False}),\n  ('single criterion outpatient with confusion',\n   {'confusion': True, 'urea': '5', 'urea_unit': 'mmol/L', 'rr': 20, 'sbp': 120, 'dbp': 75, 'age': 41},\n   {'score': 1, 'disposition': 'OUTPATIENT', 'icu_review': False}),\n  ('three criteria inpatient',\n   {'confusion': True, 'urea': '5', 'urea_unit': 'mmol/L', 'rr': 32, 'sbp': 120, 'dbp': 75, 'age': 81},\n   {'score': 3, 'disposition': 'INPATIENT', 'icu_review': False}),\n  ('four criteria review',\n   {'confusion': True, 'urea': '9', 'urea_unit': 'mmol/L', 'rr': 32, 'sbp': 120, 'dbp': 75, 'age': 71},\n   {'score': 4, 'disposition': 'INPATIENT', 'icu_review': True})],\n [('healthy control',\n   {'confusion': False, 'urea': '5', 'urea_unit': 'mmol/L', 'rr': 20, 'sbp': 120, 'dbp': 75, 'age': 32},\n   {'score': 0, 'disposition': 'OUTPATIENT', 'icu_review': False}),\n  ('BUN in mg/dL below threshold',\n   {'confusion': False, 'urea': '12', 'urea_unit': 'mg/dL', 'rr': 20, 'sbp': 120, 'dbp': 75, 'age': 70},\n   {'score': 1, 'disposition': 'OUTPATIENT', 'icu_review': False}),\n  ('BUN in mg/dL above threshold',\n   {'confusion': False, 'urea': '22', 'urea_unit': 'mg/dL', 'rr': 20, 'sbp': 120, 'dbp': 75, 'age': 50},\n   {'score': 1, 'disposition': 'OUTPATIENT', 'icu_review': False}),\n  ('urea in mmol/L above threshold',\n   {'confusion': False, 'urea': '7.2', 'urea_unit': 'mmol/L', 'rr': 20, 'sbp': 120, 'dbp': 75, 'age': 66},\n   {'score': 2, 'disposition': 'SHORT_STAY', 'icu_review': False}),\n  ('low diastolic only',\n   {'confusion': False, 'urea': '5', 'urea_unit': 'mmol/L', 'rr': 20, 'sbp': 110, 'dbp': 60, 'age': 50},\n   {'score': 1, 'disposition': 'OUTPATIENT', 'icu_review': False}),\n  ('systolic exactly 90',\n   {'confusion': False, 'urea': '5', 'urea_unit': 'mmol/L', 'rr': 20, 'sbp': 90, 'dbp': 67, 'age': 50},\n   {'score': 0, 'disposition': 'OUTPATIENT', 'icu_review': False}),\n  ('respiratory rate exactly 30',\n   {'confusion': False, 'urea': '5', 'urea_unit': 'mmol/L', 'rr': 30, 'sbp': 120, 'dbp': 75, 'age': 64},\n   {'score': 1, 'disposition': 'OUTPATIENT', 'icu_review': False}),\n  ('single criterion outpatient with confusion',\n   {'confusion': True, 'urea': '5', 'urea_unit': 'mmol/L', 'rr': 20, 'sbp': 120, 'dbp': 75, 'age': 42},\n   {'score': 1, 'disposition': 'OUTPATIENT', 'icu_review': False}),\n  ('three criteria inpatient',\n   {'confusion': True, 'urea': '5', 'urea_unit': 'mmol/L', 'rr': 32, 'sbp': 120, 'dbp': 75, 'age': 82},\n   {'score': 3, 'disposition': 'INPATIENT', 'icu_review': False}),\n  ('four criteria review',\n   {'confusion': True, 'urea': '9', 'urea_unit': 'mmol/L', 'rr': 32, 'sbp': 120, 'dbp': 75, 'age': 72},\n   {'score': 4, 'disposition': 'INPATIENT', 'icu_review': True})],\n [('healthy control',\n   {'confusion': False, 'urea': '5', 'urea_unit': 'mmol/L', 'rr': 20, 'sbp': 120, 'dbp': 75, 'age': 33},\n   {'score': 0, 'disposition': 'OUTPATIENT', 'icu_review': False}),\n  ('BUN in mg/dL below threshold',\n   {'confusion': False, 'urea': '13', 'urea_unit': 'mg/dL', 'rr': 20, 'sbp': 120, 'dbp': 75, 'age': 70},\n   {'score': 1, 'disposition': 'OUTPATIENT', 'icu_review': False}),\n  ('BUN in mg/dL above threshold',\n   {'confusion': False, 'urea': '23', 'urea_unit': 'mg/dL', 'rr': 20, 'sbp': 120, 'dbp': 75, 'age': 50},\n   {'score': 1, 'disposition': 'OUTPATIENT', 'icu_review': False}),\n  ('urea in mmol/L above threshold',\n   {'confusion': False, 'urea': '7.3', 'urea_unit': 'mmol/L', 'rr': 20, 'sbp': 120, 'dbp': 75, 'age': 66},\n   {'score': 2, 'disposition': 'SHORT_STAY', 'icu_review': False}),\n  ('low diastolic only',\n   {'confusion': False, 'urea': '5', 'urea_unit': 'mmol/L', 'rr': 20, 'sbp': 110, 'dbp': 59, 'age': 50},\n   {'score': 1, 'disposition': 'OUTPATIENT', 'icu_review': False}),\n  ('systolic exactly 90',\n   {'confusion': False, 'urea': '5', 'urea_unit': 'mmol/L', 'rr': 20, 'sbp': 90, 'dbp': 68, 'age': 50},\n   {'score': 0, 'disposition': 'OUTPATIENT', 'icu_review': False}),\n  ('respiratory rate exactly 30',\n   {'confusion': False, 'urea': '5', 'urea_unit': 'mmol/L', 'rr': 30, 'sbp': 120, 'dbp': 75, 'age': 65},\n   {'score': 2, 'disposition': 'SHORT_STAY', 'icu_review': False}),\n  ('single criterion outpatient with confusion',\n   {'confusion': True, 'urea': '5', 'urea_unit': 'mmol/L', 'rr': 20, 'sbp': 120, 'dbp': 75, 'age': 43},\n   {'score': 1, 'disposition': 'OUTPATIENT', 'icu_review': False}),\n  ('three criteria inpatient',\n   {'confusion': True, 'urea': '5', 'urea_unit': 'mmol/L', 'rr': 32, 'sbp': 120, 'dbp': 75, 'age': 83},\n   {'score': 3, 'disposition': 'INPATIENT', 'icu_review': False}),\n  ('four criteria review',\n   {'confusion': True, 'urea': '9', 'urea_unit': 'mmol/L', 'rr': 32, 'sbp': 120, 'dbp': 75, 'age': 73},\n   {'score': 4, 'disposition': 'INPATIENT', 'icu_review': True})],\n [('healthy control',\n   {'confusion': False, 'urea': '5', 'urea_unit': 'mmol/L', 'rr': 20, 'sbp': 120, 'dbp': 75, 'age': 34},\n   {'score': 0, 'disposition': 'OUTPATIENT', 'icu_review': False}),\n  ('BUN in mg/dL below threshold',\n   {'confusion': False, 'urea': '14', 'urea_unit': 'mg/dL', 'rr': 20, 'sbp': 120, 'dbp': 75, 'age': 70},\n   {'score': 1, 'disposition': 'OUTPATIENT', 'icu_review': False}),\n  ('BUN in mg/dL above threshold',\n   {'confusion': False, 'urea': '24', 'urea_unit': 'mg/dL', 'rr': 20, 'sbp': 120, 'dbp': 75, 'age': 50},\n   {'score': 1, 'disposition': 'OUTPATIENT', 'icu_review': False}),\n  ('urea in mmol/L above threshold',\n   {'confusion': False, 'urea': '7.4', 'urea_unit': 'mmol/L', 'rr': 20, 'sbp': 120, 'dbp': 75, 'age': 66},\n   {'score': 2, 'disposition': 'SHORT_STAY', 'icu_review': False}),\n  ('low diastolic only',\n   {'confusion': False, 'urea': '5', 'urea_unit': 'mmol/L', 'rr': 20, 'sbp': 110, 'dbp': 60, 'age': 50},\n   {'score': 1, 'disposition': 'OUTPATIENT', 'icu_review': False}),\n  ('systolic exactly 90',\n   {'confusion': False, 'urea': '5', 'urea_unit': 'mmol/L', 'rr': 20, 'sbp': 90, 'dbp': 69, 'age': 50},\n   {'score': 0, 'disposition': 'OUTPATIENT', 'icu_review': False}),\n  ('respiratory rate exactly 30',\n   {'confusion': False, 'urea': '5', 'urea_unit': 'mmol/L', 'rr': 30, 'sbp': 120, 'dbp': 75, 'age': 64},\n   {'score': 1, 'disposition': 'OUTPATIENT', 'icu_review': False}),\n  ('single criterion outpatient with confusion',\n   {'confusion': True, 'urea': '5', 'urea_unit': 'mmol/L', 'rr': 20, 'sbp': 120, 'dbp': 75, 'age': 44},\n   {'score': 1, 'disposition': 'OUTPATIENT', 'icu_review': False}),\n  ('three criteria inpatient',\n   {'confusion': True, 'urea': '5', 'urea_unit': 'mmol/L', 'rr': 32, 'sbp': 120, 'dbp': 75, 'age': 84},\n   {'score': 3, 'disposition': 'INPATIENT', 'icu_review': False}),\n  ('four criteria review',\n   {'confusion': True, 'urea': '9', 'urea_unit': 'mmol/L', 'rr': 32, 'sbp': 120, 'dbp': 75, 'age': 74},\n   {'score': 4, 'disposition': 'INPATIENT', 'icu_review': True})],\n [('healthy control',\n   {'confusion': False, 'urea': '5', 'urea_unit': 'mmol/L', 'rr': 20, 'sbp': 120, 'dbp': 75, 'age': 35},\n   {'score': 0, 'disposition': 'OUTPATIENT', 'icu_review': False}),\n  ('BUN in mg/dL below threshold',\n   {'confusion': False, 'urea': '15', 'urea_unit': 'mg/dL', 'rr': 20, 'sbp': 120, 'dbp': 75, 'age': 70},\n   {'score': 1, 'disposition': 'OUTPATIENT', 'icu_review': False}),\n  ('BUN in mg/dL above threshold',\n   {'confusion': False, 'urea': '25', 'urea_unit': 'mg/dL', 'rr': 20, 'sbp': 120, 'dbp': 75, 'age': 50},\n   {'score': 1, 'disposition': 'OUTPATIENT', 'icu_review': False}),\n  ('urea in mmol/L above threshold',\n   {'confusion': False, 'urea': '7.5', 'urea_unit': 'mmol/L', 'rr': 20, 'sbp': 120, 'dbp': 75, 'age': 66},\n   {'score': 2, 'disposition': 'SHORT_STAY', 'icu_review': False}),\n  ('low diastolic only',\n   {'confusion': False, 'urea': '5', 'urea_unit': 'mmol/L', 'rr': 20, 'sbp': 110, 'dbp': 59, 'age': 50},\n   {'score': 1, 'disposition': 'OUTPATIENT', 'icu_review': False}),\n  ('systolic exactly 90',\n   {'confusion': False, 'urea': '5', 'urea_unit': 'mmol/L', 'rr': 20, 'sbp': 90, 'dbp': 70, 'age': 50},\n   {'score': 0, 'disposition': 'OUTPATIENT', 'icu_review': False}),\n  ('respiratory rate exactly 30',\n   {'confusion': False, 'urea': '5', 'urea_unit': 'mmol/L', 'rr': 30, 'sbp': 120, 'dbp': 75, 'age': 65},\n   {'score': 2, 'disposition': 'SHORT_STAY', 'icu_review': False}),\n  ('single criterion outpatient with confusion',\n   {'confusion': True, 'urea': '5', 'urea_unit': 'mmol/L', 'rr': 20, 'sbp': 120, 'dbp': 75, 'age': 45},\n   {'score': 1, 'disposition': 'OUTPATIENT', 'icu_review': False}),\n  ('three criteria inpatient',\n   {'confusion': True, 'urea': '5', 'urea_unit': 'mmol/L', 'rr': 32, 'sbp': 120, 'dbp': 75, 'age': 85},\n   {'score': 3, 'disposition': 'INPATIENT', 'icu_review': False}),\n  ('four criteria review',\n   {'confusion': True, 'urea': '9', 'urea_unit': 'mmol/L', 'rr': 32, 'sbp': 120, 'dbp': 75, 'age': 75},\n   {'score': 4, 'disposition': 'INPATIENT', 'icu_review': 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-pneumonia-severity-urea-unit-selection","generated_at":"2026-09-29T14:47:25.330534+00:00","license":"CC0-1.0","python":"3.12.14","seed":1,"split":"open-access"},"relevance":"Severity scores with unit-dependent laboratory thresholds and paired blood pressure criteria are prone to unit and logic defects.","root_cause":"The mmol/L threshold is applied regardless of the reported unit.","sha256":"6970f6b44b2446ca47907570110344bc469db14daa7c23d639f65092792b7553","title":"Five-criterion pneumonia severity disposition: urea unit selection · case 01","variant":1,"variant_policy":"Five numbered records share a model and may reuse boundary fixtures.","verified":true,"visibility":"public","verification":{"attempt":{"elapsed_ms":46.691,"exit_code":1,"observations":[{"actual":{"disposition":"OUTPATIENT","icu_review":false,"score":0},"check":"healthy control","expected":{"disposition":"OUTPATIENT","icu_review":false,"score":0},"passed":true},{"actual":{"disposition":"SHORT_STAY","icu_review":false,"score":2},"check":"BUN in mg/dL below threshold","expected":{"disposition":"OUTPATIENT","icu_review":false,"score":1},"passed":false},{"actual":{"disposition":"OUTPATIENT","icu_review":false,"score":1},"check":"BUN in mg/dL above threshold","expected":{"disposition":"OUTPATIENT","icu_review":false,"score":1},"passed":true},{"actual":{"disposition":"OUTPATIENT","icu_review":false,"score":1},"check":"urea in mmol/L above threshold","expected":{"disposition":"SHORT_STAY","icu_review":false,"score":2},"passed":false},{"actual":{"disposition":"OUTPATIENT","icu_review":false,"score":1},"check":"low diastolic only","expected":{"disposition":"OUTPATIENT","icu_review":false,"score":1},"passed":true},{"actual":{"disposition":"OUTPATIENT","icu_review":false,"score":0},"check":"systolic exactly 90","expected":{"disposition":"OUTPATIENT","icu_review":false,"score":0},"passed":true},{"actual":{"disposition":"SHORT_STAY","icu_review":false,"score":2},"check":"respiratory rate exactly 30","expected":{"disposition":"SHORT_STAY","icu_review":false,"score":2},"passed":true},{"actual":{"disposition":"OUTPATIENT","icu_review":false,"score":1},"check":"single criterion outpatient with confusion","expected":{"disposition":"OUTPATIENT","icu_review":false,"score":1},"passed":true},{"actual":{"disposition":"INPATIENT","icu_review":false,"score":3},"check":"three criteria inpatient","expected":{"disposition":"INPATIENT","icu_review":false,"score":3},"passed":true},{"actual":{"disposition":"INPATIENT","icu_review":false,"score":3},"check":"four criteria review","expected":{"disposition":"INPATIENT","icu_review":true,"score":4},"passed":false}],"passed":false,"stderr":"","stdout":"{\"observations\": [{\"check\": \"healthy control\", \"actual\": {\"score\": 0, \"disposition\": \"OUTPATIENT\", \"icu_review\": false}, \"expected\": {\"score\": 0, \"disposition\": \"OUTPATIENT\", \"icu_review\": false}, \"passed\": true}, {\"check\": \"BUN in mg/dL below threshold\", \"actual\": {\"score\": 2, \"disposition\": \"SHORT_STAY\", \"icu_review\": false}, \"expected\": {\"score\": 1, \"disposition\": \"OUTPATIENT\", \"icu_review\": false}, \"passed\": false}, {\"check\": \"BUN in mg/dL above threshold\", \"actual\": {\"score\": 1, \"disposition\": \"OUTPATIENT\", \"icu_review\": false}, \"expected\": {\"score\": 1, \"disposition\": \"OUTPATIENT\", \"icu_review\": false}, \"passed\": true}, {\"check\": \"urea in mmol/L above threshold\", \"actual\": {\"score\": 1, \"disposition\": \"OUTPATIENT\", \"icu_review\": false}, \"expected\": {\"score\": 2, \"disposition\": \"SHORT_STAY\", \"icu_review\": false}, \"passed\": false}, {\"check\": \"low diastolic only\", \"actual\": {\"score\": 1, \"disposition\": \"OUTPATIENT\", \"icu_review\": false}, \"expected\": {\"score\": 1, \"disposition\": \"OUTPATIENT\", \"icu_review\": false}, \"passed\": true}, {\"check\": \"systolic exactly 90\", \"actual\": {\"score\": 0, \"disposition\": \"OUTPATIENT\", \"icu_review\": false}, \"expected\": {\"score\": 0, \"disposition\": \"OUTPATIENT\", \"icu_review\": false}, \"passed\": true}, {\"check\": \"respiratory rate exactly 30\", \"actual\": {\"score\": 2, \"disposition\": \"SHORT_STAY\", \"icu_review\": false}, \"expected\": {\"score\": 2, \"disposition\": \"SHORT_STAY\", \"icu_review\": false}, \"passed\": true}, {\"check\": \"single criterion outpatient with confusion\", \"actual\": {\"score\": 1, \"disposition\": \"OUTPATIENT\", \"icu_review\": false}, \"expected\": {\"score\": 1, \"disposition\": \"OUTPATIENT\", \"icu_review\": false}, \"passed\": true}, {\"check\": \"three criteria inpatient\", \"actual\": {\"score\": 3, \"disposition\": \"INPATIENT\", \"icu_review\": false}, \"expected\": {\"score\": 3, \"disposition\": \"INPATIENT\", \"icu_review\": false}, \"passed\": true}, {\"check\": \"four criteria review\", \"actual\": {\"score\": 3, \"disposition\": \"INPATIENT\", \"icu_review\": false}, \"expected\": {\"score\": 4, \"disposition\": \"INPATIENT\", \"icu_review\": true}, \"passed\": false}], \"passed\": false}\n"},"broken":{"elapsed_ms":47.405,"exit_code":1,"observations":[{"actual":{"disposition":"OUTPATIENT","icu_review":false,"score":0},"check":"healthy control","expected":{"disposition":"OUTPATIENT","icu_review":false,"score":0},"passed":true},{"actual":{"disposition":"SHORT_STAY","icu_review":false,"score":2},"check":"BUN in mg/dL below threshold","expected":{"disposition":"OUTPATIENT","icu_review":false,"score":1},"passed":false},{"actual":{"disposition":"OUTPATIENT","icu_review":false,"score":1},"check":"BUN in mg/dL above threshold","expected":{"disposition":"OUTPATIENT","icu_review":false,"score":1},"passed":true},{"actual":{"disposition":"SHORT_STAY","icu_review":false,"score":2},"check":"urea in mmol/L above threshold","expected":{"disposition":"SHORT_STAY","icu_review":false,"score":2},"passed":true},{"actual":{"disposition":"OUTPATIENT","icu_review":false,"score":1},"check":"low diastolic only","expected":{"disposition":"OUTPATIENT","icu_review":false,"score":1},"passed":true},{"actual":{"disposition":"OUTPATIENT","icu_review":false,"score":0},"check":"systolic exactly 90","expected":{"disposition":"OUTPATIENT","icu_review":false,"score":0},"passed":true},{"actual":{"disposition":"SHORT_STAY","icu_review":false,"score":2},"check":"respiratory rate exactly 30","expected":{"disposition":"SHORT_STAY","icu_review":false,"score":2},"passed":true},{"actual":{"disposition":"OUTPATIENT","icu_review":false,"score":1},"check":"single criterion outpatient with confusion","expected":{"disposition":"OUTPATIENT","icu_review":false,"score":1},"passed":true},{"actual":{"disposition":"INPATIENT","icu_review":false,"score":3},"check":"three criteria inpatient","expected":{"disposition":"INPATIENT","icu_review":false,"score":3},"passed":true},{"actual":{"disposition":"INPATIENT","icu_review":true,"score":4},"check":"four criteria review","expected":{"disposition":"INPATIENT","icu_review":true,"score":4},"passed":true}],"passed":false,"stderr":"","stdout":"{\"observations\": [{\"check\": \"healthy control\", \"actual\": {\"score\": 0, \"disposition\": \"OUTPATIENT\", \"icu_review\": false}, \"expected\": {\"score\": 0, \"disposition\": \"OUTPATIENT\", \"icu_review\": false}, \"passed\": true}, {\"check\": \"BUN in mg/dL below threshold\", \"actual\": {\"score\": 2, \"disposition\": \"SHORT_STAY\", \"icu_review\": false}, \"expected\": {\"score\": 1, \"disposition\": \"OUTPATIENT\", \"icu_review\": false}, \"passed\": false}, {\"check\": \"BUN in mg/dL above threshold\", \"actual\": {\"score\": 1, \"disposition\": \"OUTPATIENT\", \"icu_review\": false}, \"expected\": {\"score\": 1, \"disposition\": \"OUTPATIENT\", \"icu_review\": false}, \"passed\": true}, {\"check\": \"urea in mmol/L above threshold\", \"actual\": {\"score\": 2, \"disposition\": \"SHORT_STAY\", \"icu_review\": false}, \"expected\": {\"score\": 2, \"disposition\": \"SHORT_STAY\", \"icu_review\": false}, \"passed\": true}, {\"check\": \"low diastolic only\", \"actual\": {\"score\": 1, \"disposition\": \"OUTPATIENT\", \"icu_review\": false}, \"expected\": {\"score\": 1, \"disposition\": \"OUTPATIENT\", \"icu_review\": false}, \"passed\": true}, {\"check\": \"systolic exactly 90\", \"actual\": {\"score\": 0, \"disposition\": \"OUTPATIENT\", \"icu_review\": false}, \"expected\": {\"score\": 0, \"disposition\": \"OUTPATIENT\", \"icu_review\": false}, \"passed\": true}, {\"check\": \"respiratory rate exactly 30\", \"actual\": {\"score\": 2, \"disposition\": \"SHORT_STAY\", \"icu_review\": false}, \"expected\": {\"score\": 2, \"disposition\": \"SHORT_STAY\", \"icu_review\": false}, \"passed\": true}, {\"check\": \"single criterion outpatient with confusion\", \"actual\": {\"score\": 1, \"disposition\": \"OUTPATIENT\", \"icu_review\": false}, \"expected\": {\"score\": 1, \"disposition\": \"OUTPATIENT\", \"icu_review\": false}, \"passed\": true}, {\"check\": \"three criteria inpatient\", \"actual\": {\"score\": 3, \"disposition\": \"INPATIENT\", \"icu_review\": false}, \"expected\": {\"score\": 3, \"disposition\": \"INPATIENT\", \"icu_review\": false}, \"passed\": true}, {\"check\": \"four criteria review\", \"actual\": {\"score\": 4, \"disposition\": \"INPATIENT\", \"icu_review\": true}, \"expected\": {\"score\": 4, \"disposition\": \"INPATIENT\", \"icu_review\": true}, \"passed\": true}], \"passed\": false}\n"}},"member_only":{"stages":["fixed"],"fields":["implementations.fixed","verification.fixed","harness","repair"],"note":"The verified repair, its recorded checks, the repair description, and the scoring harness are available to members."}}