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FA-64456 / Clinical triage scoring / Open access

Newborn five-sign score and repeat schedule: repeat assessment trigger · case 01

Newborns scoring 4-6 are not scheduled for reassessment.

Verified by executionVariant 1 · 10 checks per implementationDownload source bundle ↓JSON ↗

ROOT CAUSE

Repeat scoring is only scheduled for low totals below 4.

VERIFIED REPAIR

Schedule a repeat whenever the total is below 7.

Unsuccessful approach: Using <= 7 also schedules repeats for reassuring scores of exactly 7.

Case contract

Input {hr, resp (absent|weak|good), tone (limp|some|active), reflex (none|grimace|cry), color (blue|acro|pink), minute}. Heart rate: 0 scores 0, 1-99 scores 1, >= 100 scores 2; the other signs score 0/1/2 in the listed order. Category: 7-10 REASSURING, 4-6 MODERATE, 0-3 LOW. repeat_at is 5 after any 1-minute score; after later scores it is minute + 5 when the total is below 7 and minute < 20, else null. Return {score, category, repeat_at}.

Why this case matters

Newborn scoring sums ordinal signs and schedules reassessment; the absent-heart-rate rule, bands and repeat stop condition are distinct.

1 / The failure

Exit 1
"""Failure Map reference implementation. Python standard library only."""
import json

N = 1
observations = []
def solve(x):
    hr = x['hr']
    pts = 0 if hr == 0 else 1 if hr < 100 else 2
    pts += ['absent', 'weak', 'good'].index(x['resp'])
    pts += ['limp', 'some', 'active'].index(x['tone'])
    pts += ['none', 'grimace', 'cry'].index(x['reflex'])
    pts += ['blue', 'acro', 'pink'].index(x['color'])
    cat = 'REASSURING' if pts >= 7 else 'MODERATE' if pts >= 4 else 'LOW'
    rep = 5 if x['minute'] == 1 else x['minute'] + 5 if pts < 4 and x['minute'] < 20 else None
    return {'score': pts, 'category': cat, 'repeat_at': rep}
def check(label, actual, expected):
    observations.append({"check": label, "actual": actual, "expected": expected, "passed": actual == expected})
fixtures = [[('vigorous newborn',
   {'hr': 140, 'resp': 'good', 'tone': 'active', 'reflex': 'cry', 'color': 'pink', 'minute': 1},
   {'score': 10, 'category': 'REASSURING', 'repeat_at': 5}),
  ('absent heart rate',
   {'hr': 0, 'resp': 'absent', 'tone': 'limp', 'reflex': 'none', 'color': 'blue', 'minute': 5},
   {'score': 0, 'category': 'LOW', 'repeat_at': 10}),
  ('slow heart rate 50',
   {'hr': 51, 'resp': 'weak', 'tone': 'some', 'reflex': 'grimace', 'color': 'blue', 'minute': 1},
   {'score': 4, 'category': 'MODERATE', 'repeat_at': 5}),
  ('total exactly 7',
   {'hr': 120, 'resp': 'good', 'tone': 'some', 'reflex': 'grimace', 'color': 'acro', 'minute': 5},
   {'score': 7, 'category': 'REASSURING', 'repeat_at': None}),
  ('total exactly 4',
   {'hr': 90, 'resp': 'weak', 'tone': 'some', 'reflex': 'grimace', 'color': 'blue', 'minute': 10},
   {'score': 4, 'category': 'MODERATE', 'repeat_at': 15}),
  ('total 7 with slow heart rate',
   {'hr': 65, 'resp': 'good', 'tone': 'active', 'reflex': 'cry', 'color': 'blue', 'minute': 5},
   {'score': 7, 'category': 'REASSURING', 'repeat_at': None}),
  ('total exactly 3',
   {'hr': 41, 'resp': 'weak', 'tone': 'some', 'reflex': 'none', 'color': 'blue', 'minute': 1},
   {'score': 3, 'category': 'LOW', 'repeat_at': 5}),
  ('low score at 15 minutes',
   {'hr': 80, 'resp': 'weak', 'tone': 'limp', 'reflex': 'none', 'color': 'blue', 'minute': 15},
   {'score': 2, 'category': 'LOW', 'repeat_at': 20}),
  ('low score at 20 minutes stops',
   {'hr': 81, 'resp': 'weak', 'tone': 'limp', 'reflex': 'none', 'color': 'blue', 'minute': 20},
   {'score': 2, 'category': 'LOW', 'repeat_at': None}),
  ('moderate at one minute',
   {'hr': 110, 'resp': 'weak', 'tone': 'some', 'reflex': 'grimace', 'color': 'blue', 'minute': 1},
   {'score': 5, 'category': 'MODERATE', 'repeat_at': 5})],
 [('vigorous newborn',
   {'hr': 140, 'resp': 'good', 'tone': 'active', 'reflex': 'cry', 'color': 'acro', 'minute': 1},
   {'score': 9, 'category': 'REASSURING', 'repeat_at': 5}),
  ('absent heart rate',
   {'hr': 0, 'resp': 'absent', 'tone': 'limp', 'reflex': 'none', 'color': 'blue', 'minute': 10},
   {'score': 0, 'category': 'LOW', 'repeat_at': 15}),
  ('slow heart rate 50',
   {'hr': 52, 'resp': 'weak', 'tone': 'some', 'reflex': 'grimace', 'color': 'blue', 'minute': 1},
   {'score': 4, 'category': 'MODERATE', 'repeat_at': 5}),
  ('total exactly 7',
   {'hr': 120, 'resp': 'good', 'tone': 'some', 'reflex': 'grimace', 'color': 'acro', 'minute': 5},
   {'score': 7, 'category': 'REASSURING', 'repeat_at': None}),
  ('total exactly 4',
   {'hr': 90, 'resp': 'weak', 'tone': 'some', 'reflex': 'grimace', 'color': 'blue', 'minute': 5},
   {'score': 4, 'category': 'MODERATE', 'repeat_at': 10}),
  ('total 7 with slow heart rate',
   {'hr': 70, 'resp': 'good', 'tone': 'active', 'reflex': 'cry', 'color': 'blue', 'minute': 5},
   {'score': 7, 'category': 'REASSURING', 'repeat_at': None}),
  ('total exactly 3',
   {'hr': 42, 'resp': 'weak', 'tone': 'some', 'reflex': 'none', 'color': 'blue', 'minute': 1},
   {'score': 3, 'category': 'LOW', 'repeat_at': 5}),
  ('low score at 15 minutes',
   {'hr': 80, 'resp': 'weak', 'tone': 'limp', 'reflex': 'none', 'color': 'blue', 'minute': 15},
   {'score': 2, 'category': 'LOW', 'repeat_at': 20}),
  ('low score at 20 minutes stops',
   {'hr': 82, 'resp': 'weak', 'tone': 'limp', 'reflex': 'none', 'color': 'blue', 'minute': 20},
   {'score': 2, 'category': 'LOW', 'repeat_at': None}),
  ('moderate at one minute',
   {'hr': 110, 'resp': 'weak', 'tone': 'some', 'reflex': 'grimace', 'color': 'blue', 'minute': 1},
   {'score': 5, 'category': 'MODERATE', 'repeat_at': 5})],
 [('vigorous newborn',
   {'hr': 140, 'resp': 'good', 'tone': 'active', 'reflex': 'cry', 'color': 'pink', 'minute': 1},
   {'score': 10, 'category': 'REASSURING', 'repeat_at': 5}),
  ('absent heart rate',
   {'hr': 0, 'resp': 'absent', 'tone': 'limp', 'reflex': 'none', 'color': 'blue', 'minute': 15},
   {'score': 0, 'category': 'LOW', 'repeat_at': 20}),
  ('slow heart rate 50',
   {'hr': 53, 'resp': 'weak', 'tone': 'some', 'reflex': 'grimace', 'color': 'blue', 'minute': 1},
   {'score': 4, 'category': 'MODERATE', 'repeat_at': 5}),
  ('total exactly 7',
   {'hr': 120, 'resp': 'good', 'tone': 'some', 'reflex': 'grimace', 'color': 'acro', 'minute': 5},
   {'score': 7, 'category': 'REASSURING', 'repeat_at': None}),
  ('total exactly 4',
   {'hr': 90, 'resp': 'weak', 'tone': 'some', 'reflex': 'grimace', 'color': 'blue', 'minute': 10},
   {'score': 4, 'category': 'MODERATE', 'repeat_at': 15}),
  ('total 7 with slow heart rate',
   {'hr': 75, 'resp': 'good', 'tone': 'active', 'reflex': 'cry', 'color': 'blue', 'minute': 5},
   {'score': 7, 'category': 'REASSURING', 'repeat_at': None}),
  ('total exactly 3',
   {'hr': 43, 'resp': 'weak', 'tone': 'some', 'reflex': 'none', 'color': 'blue', 'minute': 1},
   {'score': 3, 'category': 'LOW', 'repeat_at': 5}),
  ('low score at 15 minutes',
   {'hr': 80, 'resp': 'weak', 'tone': 'limp', 'reflex': 'none', 'color': 'blue', 'minute': 15},
   {'score': 2, 'category': 'LOW', 'repeat_at': 20}),
  ('low score at 20 minutes stops',
   {'hr': 83, 'resp': 'weak', 'tone': 'limp', 'reflex': 'none', 'color': 'blue', 'minute': 20},
   {'score': 2, 'category': 'LOW', 'repeat_at': None}),
  ('moderate at one minute',
   {'hr': 110, 'resp': 'weak', 'tone': 'some', 'reflex': 'grimace', 'color': 'blue', 'minute': 1},
   {'score': 5, 'category': 'MODERATE', 'repeat_at': 5})],
 [('vigorous newborn',
   {'hr': 140, 'resp': 'good', 'tone': 'active', 'reflex': 'cry', 'color': 'acro', 'minute': 1},
   {'score': 9, 'category': 'REASSURING', 'repeat_at': 5}),
  ('absent heart rate',
   {'hr': 0, 'resp': 'absent', 'tone': 'limp', 'reflex': 'none', 'color': 'blue', 'minute': 20},
   {'score': 0, 'category': 'LOW', 'repeat_at': None}),
  ('slow heart rate 50',
   {'hr': 54, 'resp': 'weak', 'tone': 'some', 'reflex': 'grimace', 'color': 'blue', 'minute': 1},
   {'score': 4, 'category': 'MODERATE', 'repeat_at': 5}),
  ('total exactly 7',
   {'hr': 120, 'resp': 'good', 'tone': 'some', 'reflex': 'grimace', 'color': 'acro', 'minute': 5},
   {'score': 7, 'category': 'REASSURING', 'repeat_at': None}),
  ('total exactly 4',
   {'hr': 90, 'resp': 'weak', 'tone': 'some', 'reflex': 'grimace', 'color': 'blue', 'minute': 5},
   {'score': 4, 'category': 'MODERATE', 'repeat_at': 10}),
  ('total 7 with slow heart rate',
   {'hr': 80, 'resp': 'good', 'tone': 'active', 'reflex': 'cry', 'color': 'blue', 'minute': 5},
   {'score': 7, 'category': 'REASSURING', 'repeat_at': None}),
  ('total exactly 3',
   {'hr': 44, 'resp': 'weak', 'tone': 'some', 'reflex': 'none', 'color': 'blue', 'minute': 1},
   {'score': 3, 'category': 'LOW', 'repeat_at': 5}),
  ('low score at 15 minutes',
   {'hr': 80, 'resp': 'weak', 'tone': 'limp', 'reflex': 'none', 'color': 'blue', 'minute': 15},
   {'score': 2, 'category': 'LOW', 'repeat_at': 20}),
  ('low score at 20 minutes stops',
   {'hr': 84, 'resp': 'weak', 'tone': 'limp', 'reflex': 'none', 'color': 'blue', 'minute': 20},
   {'score': 2, 'category': 'LOW', 'repeat_at': None}),
  ('moderate at one minute',
   {'hr': 110, 'resp': 'weak', 'tone': 'some', 'reflex': 'grimace', 'color': 'blue', 'minute': 1},
   {'score': 5, 'category': 'MODERATE', 'repeat_at': 5})],
 [('vigorous newborn',
   {'hr': 140, 'resp': 'good', 'tone': 'active', 'reflex': 'cry', 'color': 'pink', 'minute': 1},
   {'score': 10, 'category': 'REASSURING', 'repeat_at': 5}),
  ('absent heart rate',
   {'hr': 0, 'resp': 'absent', 'tone': 'limp', 'reflex': 'none', 'color': 'blue', 'minute': 25},
   {'score': 0, 'category': 'LOW', 'repeat_at': None}),
  ('slow heart rate 50',
   {'hr': 55, 'resp': 'weak', 'tone': 'some', 'reflex': 'grimace', 'color': 'blue', 'minute': 1},
   {'score': 4, 'category': 'MODERATE', 'repeat_at': 5}),
  ('total exactly 7',
   {'hr': 120, 'resp': 'good', 'tone': 'some', 'reflex': 'grimace', 'color': 'acro', 'minute': 5},
   {'score': 7, 'category': 'REASSURING', 'repeat_at': None}),
  ('total exactly 4',
   {'hr': 90, 'resp': 'weak', 'tone': 'some', 'reflex': 'grimace', 'color': 'blue', 'minute': 10},
   {'score': 4, 'category': 'MODERATE', 'repeat_at': 15}),
  ('total 7 with slow heart rate',
   {'hr': 85, 'resp': 'good', 'tone': 'active', 'reflex': 'cry', 'color': 'blue', 'minute': 5},
   {'score': 7, 'category': 'REASSURING', 'repeat_at': None}),
  ('total exactly 3',
   {'hr': 45, 'resp': 'weak', 'tone': 'some', 'reflex': 'none', 'color': 'blue', 'minute': 1},
   {'score': 3, 'category': 'LOW', 'repeat_at': 5}),
  ('low score at 15 minutes',
   {'hr': 80, 'resp': 'weak', 'tone': 'limp', 'reflex': 'none', 'color': 'blue', 'minute': 15},
   {'score': 2, 'category': 'LOW', 'repeat_at': 20}),
  ('low score at 20 minutes stops',
   {'hr': 85, 'resp': 'weak', 'tone': 'limp', 'reflex': 'none', 'color': 'blue', 'minute': 20},
   {'score': 2, 'category': 'LOW', 'repeat_at': None}),
  ('moderate at one minute',
   {'hr': 110, 'resp': 'weak', 'tone': 'some', 'reflex': 'grimace', 'color': 'blue', 'minute': 1},
   {'score': 5, 'category': 'MODERATE', 'repeat_at': 5})]]
for label, args, expected in fixtures[N-1]:
    check(label, solve(args), expected)
print(json.dumps({"observations": observations, "passed": all(x["passed"] for x in observations)}, ensure_ascii=False))
raise SystemExit(0 if all(x["passed"] for x in observations) else 1)
Boundary fixtureActualExpectedOutcome
vigorous newborn{'category': 'REASSURING', 'repeat_at': 5, 'score': 10}{'category': 'REASSURING', 'repeat_at': 5, 'score': 10}Passed
absent heart rate{'category': 'LOW', 'repeat_at': 10, 'score': 0}{'category': 'LOW', 'repeat_at': 10, 'score': 0}Passed
slow heart rate 50{'category': 'MODERATE', 'repeat_at': 5, 'score': 4}{'category': 'MODERATE', 'repeat_at': 5, 'score': 4}Passed
total exactly 7{'category': 'REASSURING', 'repeat_at': None, 'score': 7}{'category': 'REASSURING', 'repeat_at': None, 'score': 7}Passed
total exactly 4{'category': 'MODERATE', 'repeat_at': None, 'score': 4}{'category': 'MODERATE', 'repeat_at': 15, 'score': 4}Failed
total 7 with slow heart rate{'category': 'REASSURING', 'repeat_at': None, 'score': 7}{'category': 'REASSURING', 'repeat_at': None, 'score': 7}Passed
total exactly 3{'category': 'LOW', 'repeat_at': 5, 'score': 3}{'category': 'LOW', 'repeat_at': 5, 'score': 3}Passed
low score at 15 minutes{'category': 'LOW', 'repeat_at': 20, 'score': 2}{'category': 'LOW', 'repeat_at': 20, 'score': 2}Passed
low score at 20 minutes stops{'category': 'LOW', 'repeat_at': None, 'score': 2}{'category': 'LOW', 'repeat_at': None, 'score': 2}Passed
moderate at one minute{'category': 'MODERATE', 'repeat_at': 5, 'score': 5}{'category': 'MODERATE', 'repeat_at': 5, 'score': 5}Passed

SHA-256 / 76fedd127ce8574e63e7a0fe26f35466c8859302bde3e4ac4b6e1e5558cc8728

2 / The unsuccessful fix

Exit 1
"""Failure Map reference implementation. Python standard library only."""
import json

N = 1
observations = []
def solve(x):
    hr = x['hr']
    pts = 0 if hr == 0 else 1 if hr < 100 else 2
    pts += ['absent', 'weak', 'good'].index(x['resp'])
    pts += ['limp', 'some', 'active'].index(x['tone'])
    pts += ['none', 'grimace', 'cry'].index(x['reflex'])
    pts += ['blue', 'acro', 'pink'].index(x['color'])
    cat = 'REASSURING' if pts >= 7 else 'MODERATE' if pts >= 4 else 'LOW'
    rep = 5 if x['minute'] == 1 else x['minute'] + 5 if pts <= 7 and x['minute'] < 20 else None
    return {'score': pts, 'category': cat, 'repeat_at': rep}
def check(label, actual, expected):
    observations.append({"check": label, "actual": actual, "expected": expected, "passed": actual == expected})
fixtures = [[('vigorous newborn',
   {'hr': 140, 'resp': 'good', 'tone': 'active', 'reflex': 'cry', 'color': 'pink', 'minute': 1},
   {'score': 10, 'category': 'REASSURING', 'repeat_at': 5}),
  ('absent heart rate',
   {'hr': 0, 'resp': 'absent', 'tone': 'limp', 'reflex': 'none', 'color': 'blue', 'minute': 5},
   {'score': 0, 'category': 'LOW', 'repeat_at': 10}),
  ('slow heart rate 50',
   {'hr': 51, 'resp': 'weak', 'tone': 'some', 'reflex': 'grimace', 'color': 'blue', 'minute': 1},
   {'score': 4, 'category': 'MODERATE', 'repeat_at': 5}),
  ('total exactly 7',
   {'hr': 120, 'resp': 'good', 'tone': 'some', 'reflex': 'grimace', 'color': 'acro', 'minute': 5},
   {'score': 7, 'category': 'REASSURING', 'repeat_at': None}),
  ('total exactly 4',
   {'hr': 90, 'resp': 'weak', 'tone': 'some', 'reflex': 'grimace', 'color': 'blue', 'minute': 10},
   {'score': 4, 'category': 'MODERATE', 'repeat_at': 15}),
  ('total 7 with slow heart rate',
   {'hr': 65, 'resp': 'good', 'tone': 'active', 'reflex': 'cry', 'color': 'blue', 'minute': 5},
   {'score': 7, 'category': 'REASSURING', 'repeat_at': None}),
  ('total exactly 3',
   {'hr': 41, 'resp': 'weak', 'tone': 'some', 'reflex': 'none', 'color': 'blue', 'minute': 1},
   {'score': 3, 'category': 'LOW', 'repeat_at': 5}),
  ('low score at 15 minutes',
   {'hr': 80, 'resp': 'weak', 'tone': 'limp', 'reflex': 'none', 'color': 'blue', 'minute': 15},
   {'score': 2, 'category': 'LOW', 'repeat_at': 20}),
  ('low score at 20 minutes stops',
   {'hr': 81, 'resp': 'weak', 'tone': 'limp', 'reflex': 'none', 'color': 'blue', 'minute': 20},
   {'score': 2, 'category': 'LOW', 'repeat_at': None}),
  ('moderate at one minute',
   {'hr': 110, 'resp': 'weak', 'tone': 'some', 'reflex': 'grimace', 'color': 'blue', 'minute': 1},
   {'score': 5, 'category': 'MODERATE', 'repeat_at': 5})],
 [('vigorous newborn',
   {'hr': 140, 'resp': 'good', 'tone': 'active', 'reflex': 'cry', 'color': 'acro', 'minute': 1},
   {'score': 9, 'category': 'REASSURING', 'repeat_at': 5}),
  ('absent heart rate',
   {'hr': 0, 'resp': 'absent', 'tone': 'limp', 'reflex': 'none', 'color': 'blue', 'minute': 10},
   {'score': 0, 'category': 'LOW', 'repeat_at': 15}),
  ('slow heart rate 50',
   {'hr': 52, 'resp': 'weak', 'tone': 'some', 'reflex': 'grimace', 'color': 'blue', 'minute': 1},
   {'score': 4, 'category': 'MODERATE', 'repeat_at': 5}),
  ('total exactly 7',
   {'hr': 120, 'resp': 'good', 'tone': 'some', 'reflex': 'grimace', 'color': 'acro', 'minute': 5},
   {'score': 7, 'category': 'REASSURING', 'repeat_at': None}),
  ('total exactly 4',
   {'hr': 90, 'resp': 'weak', 'tone': 'some', 'reflex': 'grimace', 'color': 'blue', 'minute': 5},
   {'score': 4, 'category': 'MODERATE', 'repeat_at': 10}),
  ('total 7 with slow heart rate',
   {'hr': 70, 'resp': 'good', 'tone': 'active', 'reflex': 'cry', 'color': 'blue', 'minute': 5},
   {'score': 7, 'category': 'REASSURING', 'repeat_at': None}),
  ('total exactly 3',
   {'hr': 42, 'resp': 'weak', 'tone': 'some', 'reflex': 'none', 'color': 'blue', 'minute': 1},
   {'score': 3, 'category': 'LOW', 'repeat_at': 5}),
  ('low score at 15 minutes',
   {'hr': 80, 'resp': 'weak', 'tone': 'limp', 'reflex': 'none', 'color': 'blue', 'minute': 15},
   {'score': 2, 'category': 'LOW', 'repeat_at': 20}),
  ('low score at 20 minutes stops',
   {'hr': 82, 'resp': 'weak', 'tone': 'limp', 'reflex': 'none', 'color': 'blue', 'minute': 20},
   {'score': 2, 'category': 'LOW', 'repeat_at': None}),
  ('moderate at one minute',
   {'hr': 110, 'resp': 'weak', 'tone': 'some', 'reflex': 'grimace', 'color': 'blue', 'minute': 1},
   {'score': 5, 'category': 'MODERATE', 'repeat_at': 5})],
 [('vigorous newborn',
   {'hr': 140, 'resp': 'good', 'tone': 'active', 'reflex': 'cry', 'color': 'pink', 'minute': 1},
   {'score': 10, 'category': 'REASSURING', 'repeat_at': 5}),
  ('absent heart rate',
   {'hr': 0, 'resp': 'absent', 'tone': 'limp', 'reflex': 'none', 'color': 'blue', 'minute': 15},
   {'score': 0, 'category': 'LOW', 'repeat_at': 20}),
  ('slow heart rate 50',
   {'hr': 53, 'resp': 'weak', 'tone': 'some', 'reflex': 'grimace', 'color': 'blue', 'minute': 1},
   {'score': 4, 'category': 'MODERATE', 'repeat_at': 5}),
  ('total exactly 7',
   {'hr': 120, 'resp': 'good', 'tone': 'some', 'reflex': 'grimace', 'color': 'acro', 'minute': 5},
   {'score': 7, 'category': 'REASSURING', 'repeat_at': None}),
  ('total exactly 4',
   {'hr': 90, 'resp': 'weak', 'tone': 'some', 'reflex': 'grimace', 'color': 'blue', 'minute': 10},
   {'score': 4, 'category': 'MODERATE', 'repeat_at': 15}),
  ('total 7 with slow heart rate',
   {'hr': 75, 'resp': 'good', 'tone': 'active', 'reflex': 'cry', 'color': 'blue', 'minute': 5},
   {'score': 7, 'category': 'REASSURING', 'repeat_at': None}),
  ('total exactly 3',
   {'hr': 43, 'resp': 'weak', 'tone': 'some', 'reflex': 'none', 'color': 'blue', 'minute': 1},
   {'score': 3, 'category': 'LOW', 'repeat_at': 5}),
  ('low score at 15 minutes',
   {'hr': 80, 'resp': 'weak', 'tone': 'limp', 'reflex': 'none', 'color': 'blue', 'minute': 15},
   {'score': 2, 'category': 'LOW', 'repeat_at': 20}),
  ('low score at 20 minutes stops',
   {'hr': 83, 'resp': 'weak', 'tone': 'limp', 'reflex': 'none', 'color': 'blue', 'minute': 20},
   {'score': 2, 'category': 'LOW', 'repeat_at': None}),
  ('moderate at one minute',
   {'hr': 110, 'resp': 'weak', 'tone': 'some', 'reflex': 'grimace', 'color': 'blue', 'minute': 1},
   {'score': 5, 'category': 'MODERATE', 'repeat_at': 5})],
 [('vigorous newborn',
   {'hr': 140, 'resp': 'good', 'tone': 'active', 'reflex': 'cry', 'color': 'acro', 'minute': 1},
   {'score': 9, 'category': 'REASSURING', 'repeat_at': 5}),
  ('absent heart rate',
   {'hr': 0, 'resp': 'absent', 'tone': 'limp', 'reflex': 'none', 'color': 'blue', 'minute': 20},
   {'score': 0, 'category': 'LOW', 'repeat_at': None}),
  ('slow heart rate 50',
   {'hr': 54, 'resp': 'weak', 'tone': 'some', 'reflex': 'grimace', 'color': 'blue', 'minute': 1},
   {'score': 4, 'category': 'MODERATE', 'repeat_at': 5}),
  ('total exactly 7',
   {'hr': 120, 'resp': 'good', 'tone': 'some', 'reflex': 'grimace', 'color': 'acro', 'minute': 5},
   {'score': 7, 'category': 'REASSURING', 'repeat_at': None}),
  ('total exactly 4',
   {'hr': 90, 'resp': 'weak', 'tone': 'some', 'reflex': 'grimace', 'color': 'blue', 'minute': 5},
   {'score': 4, 'category': 'MODERATE', 'repeat_at': 10}),
  ('total 7 with slow heart rate',
   {'hr': 80, 'resp': 'good', 'tone': 'active', 'reflex': 'cry', 'color': 'blue', 'minute': 5},
   {'score': 7, 'category': 'REASSURING', 'repeat_at': None}),
  ('total exactly 3',
   {'hr': 44, 'resp': 'weak', 'tone': 'some', 'reflex': 'none', 'color': 'blue', 'minute': 1},
   {'score': 3, 'category': 'LOW', 'repeat_at': 5}),
  ('low score at 15 minutes',
   {'hr': 80, 'resp': 'weak', 'tone': 'limp', 'reflex': 'none', 'color': 'blue', 'minute': 15},
   {'score': 2, 'category': 'LOW', 'repeat_at': 20}),
  ('low score at 20 minutes stops',
   {'hr': 84, 'resp': 'weak', 'tone': 'limp', 'reflex': 'none', 'color': 'blue', 'minute': 20},
   {'score': 2, 'category': 'LOW', 'repeat_at': None}),
  ('moderate at one minute',
   {'hr': 110, 'resp': 'weak', 'tone': 'some', 'reflex': 'grimace', 'color': 'blue', 'minute': 1},
   {'score': 5, 'category': 'MODERATE', 'repeat_at': 5})],
 [('vigorous newborn',
   {'hr': 140, 'resp': 'good', 'tone': 'active', 'reflex': 'cry', 'color': 'pink', 'minute': 1},
   {'score': 10, 'category': 'REASSURING', 'repeat_at': 5}),
  ('absent heart rate',
   {'hr': 0, 'resp': 'absent', 'tone': 'limp', 'reflex': 'none', 'color': 'blue', 'minute': 25},
   {'score': 0, 'category': 'LOW', 'repeat_at': None}),
  ('slow heart rate 50',
   {'hr': 55, 'resp': 'weak', 'tone': 'some', 'reflex': 'grimace', 'color': 'blue', 'minute': 1},
   {'score': 4, 'category': 'MODERATE', 'repeat_at': 5}),
  ('total exactly 7',
   {'hr': 120, 'resp': 'good', 'tone': 'some', 'reflex': 'grimace', 'color': 'acro', 'minute': 5},
   {'score': 7, 'category': 'REASSURING', 'repeat_at': None}),
  ('total exactly 4',
   {'hr': 90, 'resp': 'weak', 'tone': 'some', 'reflex': 'grimace', 'color': 'blue', 'minute': 10},
   {'score': 4, 'category': 'MODERATE', 'repeat_at': 15}),
  ('total 7 with slow heart rate',
   {'hr': 85, 'resp': 'good', 'tone': 'active', 'reflex': 'cry', 'color': 'blue', 'minute': 5},
   {'score': 7, 'category': 'REASSURING', 'repeat_at': None}),
  ('total exactly 3',
   {'hr': 45, 'resp': 'weak', 'tone': 'some', 'reflex': 'none', 'color': 'blue', 'minute': 1},
   {'score': 3, 'category': 'LOW', 'repeat_at': 5}),
  ('low score at 15 minutes',
   {'hr': 80, 'resp': 'weak', 'tone': 'limp', 'reflex': 'none', 'color': 'blue', 'minute': 15},
   {'score': 2, 'category': 'LOW', 'repeat_at': 20}),
  ('low score at 20 minutes stops',
   {'hr': 85, 'resp': 'weak', 'tone': 'limp', 'reflex': 'none', 'color': 'blue', 'minute': 20},
   {'score': 2, 'category': 'LOW', 'repeat_at': None}),
  ('moderate at one minute',
   {'hr': 110, 'resp': 'weak', 'tone': 'some', 'reflex': 'grimace', 'color': 'blue', 'minute': 1},
   {'score': 5, 'category': 'MODERATE', 'repeat_at': 5})]]
for label, args, expected in fixtures[N-1]:
    check(label, solve(args), expected)
print(json.dumps({"observations": observations, "passed": all(x["passed"] for x in observations)}, ensure_ascii=False))
raise SystemExit(0 if all(x["passed"] for x in observations) else 1)
Boundary fixtureActualExpectedOutcome
vigorous newborn{'category': 'REASSURING', 'repeat_at': 5, 'score': 10}{'category': 'REASSURING', 'repeat_at': 5, 'score': 10}Passed
absent heart rate{'category': 'LOW', 'repeat_at': 10, 'score': 0}{'category': 'LOW', 'repeat_at': 10, 'score': 0}Passed
slow heart rate 50{'category': 'MODERATE', 'repeat_at': 5, 'score': 4}{'category': 'MODERATE', 'repeat_at': 5, 'score': 4}Passed
total exactly 7{'category': 'REASSURING', 'repeat_at': 10, 'score': 7}{'category': 'REASSURING', 'repeat_at': None, 'score': 7}Failed
total exactly 4{'category': 'MODERATE', 'repeat_at': 15, 'score': 4}{'category': 'MODERATE', 'repeat_at': 15, 'score': 4}Passed
total 7 with slow heart rate{'category': 'REASSURING', 'repeat_at': 10, 'score': 7}{'category': 'REASSURING', 'repeat_at': None, 'score': 7}Failed
total exactly 3{'category': 'LOW', 'repeat_at': 5, 'score': 3}{'category': 'LOW', 'repeat_at': 5, 'score': 3}Passed
low score at 15 minutes{'category': 'LOW', 'repeat_at': 20, 'score': 2}{'category': 'LOW', 'repeat_at': 20, 'score': 2}Passed
low score at 20 minutes stops{'category': 'LOW', 'repeat_at': None, 'score': 2}{'category': 'LOW', 'repeat_at': None, 'score': 2}Passed
moderate at one minute{'category': 'MODERATE', 'repeat_at': 5, 'score': 5}{'category': 'MODERATE', 'repeat_at': 5, 'score': 5}Passed

SHA-256 / 58ab6d3c6ece44b464c8ef6c9372b9f03ef13016298ee8cd43815995dd6ceb9f

3 / The verified repair

Exit 0
"""Failure Map reference implementation. Python standard library only."""
import json

N = 1
observations = []
def solve(x):
    hr = x['hr']
    pts = 0 if hr == 0 else 1 if hr < 100 else 2
    pts += ['absent', 'weak', 'good'].index(x['resp'])
    pts += ['limp', 'some', 'active'].index(x['tone'])
    pts += ['none', 'grimace', 'cry'].index(x['reflex'])
    pts += ['blue', 'acro', 'pink'].index(x['color'])
    cat = 'REASSURING' if pts >= 7 else 'MODERATE' if pts >= 4 else 'LOW'
    rep = 5 if x['minute'] == 1 else x['minute'] + 5 if pts < 7 and x['minute'] < 20 else None
    return {'score': pts, 'category': cat, 'repeat_at': rep}
def check(label, actual, expected):
    observations.append({"check": label, "actual": actual, "expected": expected, "passed": actual == expected})
fixtures = [[('vigorous newborn',
   {'hr': 140, 'resp': 'good', 'tone': 'active', 'reflex': 'cry', 'color': 'pink', 'minute': 1},
   {'score': 10, 'category': 'REASSURING', 'repeat_at': 5}),
  ('absent heart rate',
   {'hr': 0, 'resp': 'absent', 'tone': 'limp', 'reflex': 'none', 'color': 'blue', 'minute': 5},
   {'score': 0, 'category': 'LOW', 'repeat_at': 10}),
  ('slow heart rate 50',
   {'hr': 51, 'resp': 'weak', 'tone': 'some', 'reflex': 'grimace', 'color': 'blue', 'minute': 1},
   {'score': 4, 'category': 'MODERATE', 'repeat_at': 5}),
  ('total exactly 7',
   {'hr': 120, 'resp': 'good', 'tone': 'some', 'reflex': 'grimace', 'color': 'acro', 'minute': 5},
   {'score': 7, 'category': 'REASSURING', 'repeat_at': None}),
  ('total exactly 4',
   {'hr': 90, 'resp': 'weak', 'tone': 'some', 'reflex': 'grimace', 'color': 'blue', 'minute': 10},
   {'score': 4, 'category': 'MODERATE', 'repeat_at': 15}),
  ('total 7 with slow heart rate',
   {'hr': 65, 'resp': 'good', 'tone': 'active', 'reflex': 'cry', 'color': 'blue', 'minute': 5},
   {'score': 7, 'category': 'REASSURING', 'repeat_at': None}),
  ('total exactly 3',
   {'hr': 41, 'resp': 'weak', 'tone': 'some', 'reflex': 'none', 'color': 'blue', 'minute': 1},
   {'score': 3, 'category': 'LOW', 'repeat_at': 5}),
  ('low score at 15 minutes',
   {'hr': 80, 'resp': 'weak', 'tone': 'limp', 'reflex': 'none', 'color': 'blue', 'minute': 15},
   {'score': 2, 'category': 'LOW', 'repeat_at': 20}),
  ('low score at 20 minutes stops',
   {'hr': 81, 'resp': 'weak', 'tone': 'limp', 'reflex': 'none', 'color': 'blue', 'minute': 20},
   {'score': 2, 'category': 'LOW', 'repeat_at': None}),
  ('moderate at one minute',
   {'hr': 110, 'resp': 'weak', 'tone': 'some', 'reflex': 'grimace', 'color': 'blue', 'minute': 1},
   {'score': 5, 'category': 'MODERATE', 'repeat_at': 5})],
 [('vigorous newborn',
   {'hr': 140, 'resp': 'good', 'tone': 'active', 'reflex': 'cry', 'color': 'acro', 'minute': 1},
   {'score': 9, 'category': 'REASSURING', 'repeat_at': 5}),
  ('absent heart rate',
   {'hr': 0, 'resp': 'absent', 'tone': 'limp', 'reflex': 'none', 'color': 'blue', 'minute': 10},
   {'score': 0, 'category': 'LOW', 'repeat_at': 15}),
  ('slow heart rate 50',
   {'hr': 52, 'resp': 'weak', 'tone': 'some', 'reflex': 'grimace', 'color': 'blue', 'minute': 1},
   {'score': 4, 'category': 'MODERATE', 'repeat_at': 5}),
  ('total exactly 7',
   {'hr': 120, 'resp': 'good', 'tone': 'some', 'reflex': 'grimace', 'color': 'acro', 'minute': 5},
   {'score': 7, 'category': 'REASSURING', 'repeat_at': None}),
  ('total exactly 4',
   {'hr': 90, 'resp': 'weak', 'tone': 'some', 'reflex': 'grimace', 'color': 'blue', 'minute': 5},
   {'score': 4, 'category': 'MODERATE', 'repeat_at': 10}),
  ('total 7 with slow heart rate',
   {'hr': 70, 'resp': 'good', 'tone': 'active', 'reflex': 'cry', 'color': 'blue', 'minute': 5},
   {'score': 7, 'category': 'REASSURING', 'repeat_at': None}),
  ('total exactly 3',
   {'hr': 42, 'resp': 'weak', 'tone': 'some', 'reflex': 'none', 'color': 'blue', 'minute': 1},
   {'score': 3, 'category': 'LOW', 'repeat_at': 5}),
  ('low score at 15 minutes',
   {'hr': 80, 'resp': 'weak', 'tone': 'limp', 'reflex': 'none', 'color': 'blue', 'minute': 15},
   {'score': 2, 'category': 'LOW', 'repeat_at': 20}),
  ('low score at 20 minutes stops',
   {'hr': 82, 'resp': 'weak', 'tone': 'limp', 'reflex': 'none', 'color': 'blue', 'minute': 20},
   {'score': 2, 'category': 'LOW', 'repeat_at': None}),
  ('moderate at one minute',
   {'hr': 110, 'resp': 'weak', 'tone': 'some', 'reflex': 'grimace', 'color': 'blue', 'minute': 1},
   {'score': 5, 'category': 'MODERATE', 'repeat_at': 5})],
 [('vigorous newborn',
   {'hr': 140, 'resp': 'good', 'tone': 'active', 'reflex': 'cry', 'color': 'pink', 'minute': 1},
   {'score': 10, 'category': 'REASSURING', 'repeat_at': 5}),
  ('absent heart rate',
   {'hr': 0, 'resp': 'absent', 'tone': 'limp', 'reflex': 'none', 'color': 'blue', 'minute': 15},
   {'score': 0, 'category': 'LOW', 'repeat_at': 20}),
  ('slow heart rate 50',
   {'hr': 53, 'resp': 'weak', 'tone': 'some', 'reflex': 'grimace', 'color': 'blue', 'minute': 1},
   {'score': 4, 'category': 'MODERATE', 'repeat_at': 5}),
  ('total exactly 7',
   {'hr': 120, 'resp': 'good', 'tone': 'some', 'reflex': 'grimace', 'color': 'acro', 'minute': 5},
   {'score': 7, 'category': 'REASSURING', 'repeat_at': None}),
  ('total exactly 4',
   {'hr': 90, 'resp': 'weak', 'tone': 'some', 'reflex': 'grimace', 'color': 'blue', 'minute': 10},
   {'score': 4, 'category': 'MODERATE', 'repeat_at': 15}),
  ('total 7 with slow heart rate',
   {'hr': 75, 'resp': 'good', 'tone': 'active', 'reflex': 'cry', 'color': 'blue', 'minute': 5},
   {'score': 7, 'category': 'REASSURING', 'repeat_at': None}),
  ('total exactly 3',
   {'hr': 43, 'resp': 'weak', 'tone': 'some', 'reflex': 'none', 'color': 'blue', 'minute': 1},
   {'score': 3, 'category': 'LOW', 'repeat_at': 5}),
  ('low score at 15 minutes',
   {'hr': 80, 'resp': 'weak', 'tone': 'limp', 'reflex': 'none', 'color': 'blue', 'minute': 15},
   {'score': 2, 'category': 'LOW', 'repeat_at': 20}),
  ('low score at 20 minutes stops',
   {'hr': 83, 'resp': 'weak', 'tone': 'limp', 'reflex': 'none', 'color': 'blue', 'minute': 20},
   {'score': 2, 'category': 'LOW', 'repeat_at': None}),
  ('moderate at one minute',
   {'hr': 110, 'resp': 'weak', 'tone': 'some', 'reflex': 'grimace', 'color': 'blue', 'minute': 1},
   {'score': 5, 'category': 'MODERATE', 'repeat_at': 5})],
 [('vigorous newborn',
   {'hr': 140, 'resp': 'good', 'tone': 'active', 'reflex': 'cry', 'color': 'acro', 'minute': 1},
   {'score': 9, 'category': 'REASSURING', 'repeat_at': 5}),
  ('absent heart rate',
   {'hr': 0, 'resp': 'absent', 'tone': 'limp', 'reflex': 'none', 'color': 'blue', 'minute': 20},
   {'score': 0, 'category': 'LOW', 'repeat_at': None}),
  ('slow heart rate 50',
   {'hr': 54, 'resp': 'weak', 'tone': 'some', 'reflex': 'grimace', 'color': 'blue', 'minute': 1},
   {'score': 4, 'category': 'MODERATE', 'repeat_at': 5}),
  ('total exactly 7',
   {'hr': 120, 'resp': 'good', 'tone': 'some', 'reflex': 'grimace', 'color': 'acro', 'minute': 5},
   {'score': 7, 'category': 'REASSURING', 'repeat_at': None}),
  ('total exactly 4',
   {'hr': 90, 'resp': 'weak', 'tone': 'some', 'reflex': 'grimace', 'color': 'blue', 'minute': 5},
   {'score': 4, 'category': 'MODERATE', 'repeat_at': 10}),
  ('total 7 with slow heart rate',
   {'hr': 80, 'resp': 'good', 'tone': 'active', 'reflex': 'cry', 'color': 'blue', 'minute': 5},
   {'score': 7, 'category': 'REASSURING', 'repeat_at': None}),
  ('total exactly 3',
   {'hr': 44, 'resp': 'weak', 'tone': 'some', 'reflex': 'none', 'color': 'blue', 'minute': 1},
   {'score': 3, 'category': 'LOW', 'repeat_at': 5}),
  ('low score at 15 minutes',
   {'hr': 80, 'resp': 'weak', 'tone': 'limp', 'reflex': 'none', 'color': 'blue', 'minute': 15},
   {'score': 2, 'category': 'LOW', 'repeat_at': 20}),
  ('low score at 20 minutes stops',
   {'hr': 84, 'resp': 'weak', 'tone': 'limp', 'reflex': 'none', 'color': 'blue', 'minute': 20},
   {'score': 2, 'category': 'LOW', 'repeat_at': None}),
  ('moderate at one minute',
   {'hr': 110, 'resp': 'weak', 'tone': 'some', 'reflex': 'grimace', 'color': 'blue', 'minute': 1},
   {'score': 5, 'category': 'MODERATE', 'repeat_at': 5})],
 [('vigorous newborn',
   {'hr': 140, 'resp': 'good', 'tone': 'active', 'reflex': 'cry', 'color': 'pink', 'minute': 1},
   {'score': 10, 'category': 'REASSURING', 'repeat_at': 5}),
  ('absent heart rate',
   {'hr': 0, 'resp': 'absent', 'tone': 'limp', 'reflex': 'none', 'color': 'blue', 'minute': 25},
   {'score': 0, 'category': 'LOW', 'repeat_at': None}),
  ('slow heart rate 50',
   {'hr': 55, 'resp': 'weak', 'tone': 'some', 'reflex': 'grimace', 'color': 'blue', 'minute': 1},
   {'score': 4, 'category': 'MODERATE', 'repeat_at': 5}),
  ('total exactly 7',
   {'hr': 120, 'resp': 'good', 'tone': 'some', 'reflex': 'grimace', 'color': 'acro', 'minute': 5},
   {'score': 7, 'category': 'REASSURING', 'repeat_at': None}),
  ('total exactly 4',
   {'hr': 90, 'resp': 'weak', 'tone': 'some', 'reflex': 'grimace', 'color': 'blue', 'minute': 10},
   {'score': 4, 'category': 'MODERATE', 'repeat_at': 15}),
  ('total 7 with slow heart rate',
   {'hr': 85, 'resp': 'good', 'tone': 'active', 'reflex': 'cry', 'color': 'blue', 'minute': 5},
   {'score': 7, 'category': 'REASSURING', 'repeat_at': None}),
  ('total exactly 3',
   {'hr': 45, 'resp': 'weak', 'tone': 'some', 'reflex': 'none', 'color': 'blue', 'minute': 1},
   {'score': 3, 'category': 'LOW', 'repeat_at': 5}),
  ('low score at 15 minutes',
   {'hr': 80, 'resp': 'weak', 'tone': 'limp', 'reflex': 'none', 'color': 'blue', 'minute': 15},
   {'score': 2, 'category': 'LOW', 'repeat_at': 20}),
  ('low score at 20 minutes stops',
   {'hr': 85, 'resp': 'weak', 'tone': 'limp', 'reflex': 'none', 'color': 'blue', 'minute': 20},
   {'score': 2, 'category': 'LOW', 'repeat_at': None}),
  ('moderate at one minute',
   {'hr': 110, 'resp': 'weak', 'tone': 'some', 'reflex': 'grimace', 'color': 'blue', 'minute': 1},
   {'score': 5, 'category': 'MODERATE', 'repeat_at': 5})]]
for label, args, expected in fixtures[N-1]:
    check(label, solve(args), expected)
print(json.dumps({"observations": observations, "passed": all(x["passed"] for x in observations)}, ensure_ascii=False))
raise SystemExit(0 if all(x["passed"] for x in observations) else 1)
Boundary fixtureActualExpectedOutcome
vigorous newborn{'category': 'REASSURING', 'repeat_at': 5, 'score': 10}{'category': 'REASSURING', 'repeat_at': 5, 'score': 10}Passed
absent heart rate{'category': 'LOW', 'repeat_at': 10, 'score': 0}{'category': 'LOW', 'repeat_at': 10, 'score': 0}Passed
slow heart rate 50{'category': 'MODERATE', 'repeat_at': 5, 'score': 4}{'category': 'MODERATE', 'repeat_at': 5, 'score': 4}Passed
total exactly 7{'category': 'REASSURING', 'repeat_at': None, 'score': 7}{'category': 'REASSURING', 'repeat_at': None, 'score': 7}Passed
total exactly 4{'category': 'MODERATE', 'repeat_at': 15, 'score': 4}{'category': 'MODERATE', 'repeat_at': 15, 'score': 4}Passed
total 7 with slow heart rate{'category': 'REASSURING', 'repeat_at': None, 'score': 7}{'category': 'REASSURING', 'repeat_at': None, 'score': 7}Passed
total exactly 3{'category': 'LOW', 'repeat_at': 5, 'score': 3}{'category': 'LOW', 'repeat_at': 5, 'score': 3}Passed
low score at 15 minutes{'category': 'LOW', 'repeat_at': 20, 'score': 2}{'category': 'LOW', 'repeat_at': 20, 'score': 2}Passed
low score at 20 minutes stops{'category': 'LOW', 'repeat_at': None, 'score': 2}{'category': 'LOW', 'repeat_at': None, 'score': 2}Passed
moderate at one minute{'category': 'MODERATE', 'repeat_at': 5, 'score': 5}{'category': 'MODERATE', 'repeat_at': 5, 'score': 5}Passed

SHA-256 / 945211d5dbdd98967aadec1e58cfae3a876c734a7ebe06ea221e86c6425ed1cf

Verification & scope

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.

Observations recorded using Python 3.12.14 at 2026-09-29T14:47:24.686534+00:00.

Case digest / 3d7f264c4077bdcc14adef44911bd89557f9e541acec9dad75339756f14dbdfa