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FA-64561 / Clinical triage scoring / Open access

Waiting room queue ordering with overdue escalation: queue tie-break key · case 01

Patients at the same priority are ordered alphabetically instead of by arrival.

Verified by executionVariant 1 · 8 checks per implementationDownload source bundle ↓JSON ↗

ROOT CAUSE

The sort key places id before arrival time.

THE FAILURE

The sort key places id before arrival time.

Unsuccessful approach: Inserting the unescalated level before arrival puts escalated patients behind native ones.

Case contract

Input {now, patients [{id, level, arrival, retriage (or null)}]}. Effective level = retriage when present (up or down), else level. Target waits: 1:0, 2:10, 3:30, 4:60, 5:120 minutes. A patient whose wait strictly exceeds the target of the effective level is overdue and moves up one priority (never above 1). Order by (priority, arrival, id). Return {order, overdue (sorted ids)}.

Why this case matters

Queue ordering with re-triage and time escalation mixes several keys; the chosen level, comparison and tie-break are separate faults.

1 / The failure

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

N = 1
observations = []
def solve(x):
    target = {1: 0, 2: 10, 3: 30, 4: 60, 5: 120}
    rows, overdue = [], []
    for p in x['patients']:
        lvl = p['retriage'] if p['retriage'] is not None else p['level']
        wait = x['now'] - p['arrival']
        pr = lvl
        if wait > target[lvl]:
            overdue.append(p['id'])
            pr = max(1, lvl - 1)
        rows.append((pr, p['id'], p['arrival']))
    rows.sort()
    return {'order': [r[2] for r in rows], 'overdue': sorted(overdue)}
def check(label, actual, expected):
    observations.append({"check": label, "actual": actual, "expected": expected, "passed": actual == expected})
fixtures = [[('downgraded on re-triage',
   {'now': 100,
    'patients': [{'id': 'a', 'level': 2, 'arrival': 95, 'retriage': 4},
                 {'id': 'b', 'level': 3, 'arrival': 91, 'retriage': None}]},
   {'order': ['b', 'a'], 'overdue': []}),
  ('upgraded on re-triage',
   {'now': 100,
    'patients': [{'id': 'a', 'level': 4, 'arrival': 90, 'retriage': 2},
                 {'id': 'b', 'level': 3, 'arrival': 81, 'retriage': None}]},
   {'order': ['a', 'b'], 'overdue': []}),
  ('downgraded patient overdue by new target',
   {'now': 100,
    'patients': [{'id': 'a', 'level': 2, 'arrival': 79, 'retriage': 3},
                 {'id': 'b', 'level': 2, 'arrival': 95, 'retriage': None}]},
   {'order': ['b', 'a'], 'overdue': []}),
  ('wait exactly at target',
   {'now': 100,
    'patients': [{'id': 'a', 'level': 3, 'arrival': 70, 'retriage': None},
                 {'id': 'b', 'level': 2, 'arrival': 93, 'retriage': None},
                 {'id': 'c', 'level': 1, 'arrival': 100, 'retriage': None}]},
   {'order': ['c', 'b', 'a'], 'overdue': []}),
  ('level one waiting',
   {'now': 100,
    'patients': [{'id': 'a', 'level': 1, 'arrival': 98, 'retriage': None},
                 {'id': 'b', 'level': 2, 'arrival': 50, 'retriage': None}]},
   {'order': ['b', 'a'], 'overdue': ['a', 'b']}),
  ('escalated level two ties with level one',
   {'now': 100,
    'patients': [{'id': 'a', 'level': 1, 'arrival': 91, 'retriage': None},
                 {'id': 'b', 'level': 2, 'arrival': 80, 'retriage': None}]},
   {'order': ['b', 'a'], 'overdue': ['a', 'b']}),
  ('escalated three ties with native two',
   {'now': 200,
    'patients': [{'id': 'x', 'level': 2, 'arrival': 194, 'retriage': None},
                 {'id': 'y', 'level': 3, 'arrival': 150, 'retriage': None}]},
   {'order': ['y', 'x'], 'overdue': ['y']}),
  ('same arrival id tie-break',
   {'now': 60,
    'patients': [{'id': 'b1', 'level': 4, 'arrival': 30, 'retriage': None},
                 {'id': 'a1', 'level': 4, 'arrival': 30, 'retriage': None},
                 {'id': 'c', 'level': 4, 'arrival': 11, 'retriage': None}]},
   {'order': ['c', 'a1', 'b1'], 'overdue': []})],
 [('downgraded on re-triage',
   {'now': 100,
    'patients': [{'id': 'a', 'level': 2, 'arrival': 95, 'retriage': 4},
                 {'id': 'b', 'level': 3, 'arrival': 92, 'retriage': None}]},
   {'order': ['b', 'a'], 'overdue': []}),
  ('upgraded on re-triage',
   {'now': 100,
    'patients': [{'id': 'a', 'level': 4, 'arrival': 90, 'retriage': 2},
                 {'id': 'b', 'level': 3, 'arrival': 82, 'retriage': None}]},
   {'order': ['a', 'b'], 'overdue': []}),
  ('downgraded patient overdue by new target',
   {'now': 100,
    'patients': [{'id': 'a', 'level': 2, 'arrival': 78, 'retriage': 3},
                 {'id': 'b', 'level': 2, 'arrival': 95, 'retriage': None}]},
   {'order': ['b', 'a'], 'overdue': []}),
  ('wait exactly at target',
   {'now': 100,
    'patients': [{'id': 'a', 'level': 3, 'arrival': 70, 'retriage': None},
                 {'id': 'b', 'level': 2, 'arrival': 94, 'retriage': None},
                 {'id': 'c', 'level': 1, 'arrival': 100, 'retriage': None}]},
   {'order': ['c', 'b', 'a'], 'overdue': []}),
  ('level one waiting',
   {'now': 100,
    'patients': [{'id': 'a', 'level': 1, 'arrival': 97, 'retriage': None},
                 {'id': 'b', 'level': 2, 'arrival': 50, 'retriage': None}]},
   {'order': ['b', 'a'], 'overdue': ['a', 'b']}),
  ('escalated level two ties with level one',
   {'now': 100,
    'patients': [{'id': 'a', 'level': 1, 'arrival': 92, 'retriage': None},
                 {'id': 'b', 'level': 2, 'arrival': 80, 'retriage': None}]},
   {'order': ['b', 'a'], 'overdue': ['a', 'b']}),
  ('escalated three ties with native two',
   {'now': 200,
    'patients': [{'id': 'x', 'level': 2, 'arrival': 193, 'retriage': None},
                 {'id': 'y', 'level': 3, 'arrival': 150, 'retriage': None}]},
   {'order': ['y', 'x'], 'overdue': ['y']}),
  ('same arrival id tie-break',
   {'now': 60,
    'patients': [{'id': 'b2', 'level': 4, 'arrival': 30, 'retriage': None},
                 {'id': 'a2', 'level': 4, 'arrival': 30, 'retriage': None},
                 {'id': 'c', 'level': 4, 'arrival': 12, 'retriage': None}]},
   {'order': ['c', 'a2', 'b2'], 'overdue': []})],
 [('downgraded on re-triage',
   {'now': 100,
    'patients': [{'id': 'a', 'level': 2, 'arrival': 95, 'retriage': 4},
                 {'id': 'b', 'level': 3, 'arrival': 93, 'retriage': None}]},
   {'order': ['b', 'a'], 'overdue': []}),
  ('upgraded on re-triage',
   {'now': 100,
    'patients': [{'id': 'a', 'level': 4, 'arrival': 90, 'retriage': 2},
                 {'id': 'b', 'level': 3, 'arrival': 83, 'retriage': None}]},
   {'order': ['a', 'b'], 'overdue': []}),
  ('downgraded patient overdue by new target',
   {'now': 100,
    'patients': [{'id': 'a', 'level': 2, 'arrival': 77, 'retriage': 3},
                 {'id': 'b', 'level': 2, 'arrival': 95, 'retriage': None}]},
   {'order': ['b', 'a'], 'overdue': []}),
  ('wait exactly at target',
   {'now': 100,
    'patients': [{'id': 'a', 'level': 3, 'arrival': 70, 'retriage': None},
                 {'id': 'b', 'level': 2, 'arrival': 95, 'retriage': None},
                 {'id': 'c', 'level': 1, 'arrival': 100, 'retriage': None}]},
   {'order': ['c', 'b', 'a'], 'overdue': []}),
  ('level one waiting',
   {'now': 100,
    'patients': [{'id': 'a', 'level': 1, 'arrival': 96, 'retriage': None},
                 {'id': 'b', 'level': 2, 'arrival': 50, 'retriage': None}]},
   {'order': ['b', 'a'], 'overdue': ['a', 'b']}),
  ('escalated level two ties with level one',
   {'now': 100,
    'patients': [{'id': 'a', 'level': 1, 'arrival': 93, 'retriage': None},
                 {'id': 'b', 'level': 2, 'arrival': 80, 'retriage': None}]},
   {'order': ['b', 'a'], 'overdue': ['a', 'b']}),
  ('escalated three ties with native two',
   {'now': 200,
    'patients': [{'id': 'x', 'level': 2, 'arrival': 192, 'retriage': None},
                 {'id': 'y', 'level': 3, 'arrival': 150, 'retriage': None}]},
   {'order': ['y', 'x'], 'overdue': ['y']}),
  ('same arrival id tie-break',
   {'now': 60,
    'patients': [{'id': 'b3', 'level': 4, 'arrival': 30, 'retriage': None},
                 {'id': 'a3', 'level': 4, 'arrival': 30, 'retriage': None},
                 {'id': 'c', 'level': 4, 'arrival': 13, 'retriage': None}]},
   {'order': ['c', 'a3', 'b3'], 'overdue': []})],
 [('downgraded on re-triage',
   {'now': 100,
    'patients': [{'id': 'a', 'level': 2, 'arrival': 95, 'retriage': 4},
                 {'id': 'b', 'level': 3, 'arrival': 94, 'retriage': None}]},
   {'order': ['b', 'a'], 'overdue': []}),
  ('upgraded on re-triage',
   {'now': 100,
    'patients': [{'id': 'a', 'level': 4, 'arrival': 90, 'retriage': 2},
                 {'id': 'b', 'level': 3, 'arrival': 84, 'retriage': None}]},
   {'order': ['a', 'b'], 'overdue': []}),
  ('downgraded patient overdue by new target',
   {'now': 100,
    'patients': [{'id': 'a', 'level': 2, 'arrival': 76, 'retriage': 3},
                 {'id': 'b', 'level': 2, 'arrival': 95, 'retriage': None}]},
   {'order': ['b', 'a'], 'overdue': []}),
  ('wait exactly at target',
   {'now': 100,
    'patients': [{'id': 'a', 'level': 3, 'arrival': 70, 'retriage': None},
                 {'id': 'b', 'level': 2, 'arrival': 96, 'retriage': None},
                 {'id': 'c', 'level': 1, 'arrival': 100, 'retriage': None}]},
   {'order': ['c', 'b', 'a'], 'overdue': []}),
  ('level one waiting',
   {'now': 100,
    'patients': [{'id': 'a', 'level': 1, 'arrival': 95, 'retriage': None},
                 {'id': 'b', 'level': 2, 'arrival': 50, 'retriage': None}]},
   {'order': ['b', 'a'], 'overdue': ['a', 'b']}),
  ('escalated level two ties with level one',
   {'now': 100,
    'patients': [{'id': 'a', 'level': 1, 'arrival': 94, 'retriage': None},
                 {'id': 'b', 'level': 2, 'arrival': 80, 'retriage': None}]},
   {'order': ['b', 'a'], 'overdue': ['a', 'b']}),
  ('escalated three ties with native two',
   {'now': 200,
    'patients': [{'id': 'x', 'level': 2, 'arrival': 191, 'retriage': None},
                 {'id': 'y', 'level': 3, 'arrival': 150, 'retriage': None}]},
   {'order': ['y', 'x'], 'overdue': ['y']}),
  ('same arrival id tie-break',
   {'now': 60,
    'patients': [{'id': 'b4', 'level': 4, 'arrival': 30, 'retriage': None},
                 {'id': 'a4', 'level': 4, 'arrival': 30, 'retriage': None},
                 {'id': 'c', 'level': 4, 'arrival': 14, 'retriage': None}]},
   {'order': ['c', 'a4', 'b4'], 'overdue': []})],
 [('downgraded on re-triage',
   {'now': 100,
    'patients': [{'id': 'a', 'level': 2, 'arrival': 95, 'retriage': 4},
                 {'id': 'b', 'level': 3, 'arrival': 95, 'retriage': None}]},
   {'order': ['b', 'a'], 'overdue': []}),
  ('upgraded on re-triage',
   {'now': 100,
    'patients': [{'id': 'a', 'level': 4, 'arrival': 90, 'retriage': 2},
                 {'id': 'b', 'level': 3, 'arrival': 85, 'retriage': None}]},
   {'order': ['a', 'b'], 'overdue': []}),
  ('downgraded patient overdue by new target',
   {'now': 100,
    'patients': [{'id': 'a', 'level': 2, 'arrival': 75, 'retriage': 3},
                 {'id': 'b', 'level': 2, 'arrival': 95, 'retriage': None}]},
   {'order': ['b', 'a'], 'overdue': []}),
  ('wait exactly at target',
   {'now': 100,
    'patients': [{'id': 'a', 'level': 3, 'arrival': 70, 'retriage': None},
                 {'id': 'b', 'level': 2, 'arrival': 97, 'retriage': None},
                 {'id': 'c', 'level': 1, 'arrival': 100, 'retriage': None}]},
   {'order': ['c', 'b', 'a'], 'overdue': []}),
  ('level one waiting',
   {'now': 100,
    'patients': [{'id': 'a', 'level': 1, 'arrival': 94, 'retriage': None},
                 {'id': 'b', 'level': 2, 'arrival': 50, 'retriage': None}]},
   {'order': ['b', 'a'], 'overdue': ['a', 'b']}),
  ('escalated level two ties with level one',
   {'now': 100,
    'patients': [{'id': 'a', 'level': 1, 'arrival': 95, 'retriage': None},
                 {'id': 'b', 'level': 2, 'arrival': 80, 'retriage': None}]},
   {'order': ['b', 'a'], 'overdue': ['a', 'b']}),
  ('escalated three ties with native two',
   {'now': 200,
    'patients': [{'id': 'x', 'level': 2, 'arrival': 190, 'retriage': None},
                 {'id': 'y', 'level': 3, 'arrival': 150, 'retriage': None}]},
   {'order': ['y', 'x'], 'overdue': ['y']}),
  ('same arrival id tie-break',
   {'now': 60,
    'patients': [{'id': 'b5', 'level': 4, 'arrival': 30, 'retriage': None},
                 {'id': 'a5', 'level': 4, 'arrival': 30, 'retriage': None},
                 {'id': 'c', 'level': 4, 'arrival': 15, 'retriage': None}]},
   {'order': ['c', 'a5', 'b5'], 'overdue': []})]]
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
downgraded on re-triage{'order': [91, 95], 'overdue': []}{'order': ['b', 'a'], 'overdue': []}Failed
upgraded on re-triage{'order': [90, 81], 'overdue': []}{'order': ['a', 'b'], 'overdue': []}Failed
downgraded patient overdue by new target{'order': [95, 79], 'overdue': []}{'order': ['b', 'a'], 'overdue': []}Failed
wait exactly at target{'order': [100, 93, 70], 'overdue': []}{'order': ['c', 'b', 'a'], 'overdue': []}Failed
level one waiting{'order': [98, 50], 'overdue': ['a', 'b']}{'order': ['b', 'a'], 'overdue': ['a', 'b']}Failed
escalated level two ties with level one{'order': [91, 80], 'overdue': ['a', 'b']}{'order': ['b', 'a'], 'overdue': ['a', 'b']}Failed
escalated three ties with native two{'order': [194, 150], 'overdue': ['y']}{'order': ['y', 'x'], 'overdue': ['y']}Failed
same arrival id tie-break{'order': [30, 30, 11], 'overdue': []}{'order': ['c', 'a1', 'b1'], 'overdue': []}Failed

SHA-256 / 59e0fd4f6f3829ed6ccdd1f1dbd843edb8c43876506e3cd4f0806a38095ec8d0

2 / The unsuccessful fix

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

N = 1
observations = []
def solve(x):
    target = {1: 0, 2: 10, 3: 30, 4: 60, 5: 120}
    rows, overdue = [], []
    for p in x['patients']:
        lvl = p['retriage'] if p['retriage'] is not None else p['level']
        wait = x['now'] - p['arrival']
        pr = lvl
        if wait > target[lvl]:
            overdue.append(p['id'])
            pr = max(1, lvl - 1)
        rows.append((pr, lvl, p['arrival'], p['id']))
    rows.sort()
    return {'order': [r[2] for r in rows], 'overdue': sorted(overdue)}
def check(label, actual, expected):
    observations.append({"check": label, "actual": actual, "expected": expected, "passed": actual == expected})
fixtures = [[('downgraded on re-triage',
   {'now': 100,
    'patients': [{'id': 'a', 'level': 2, 'arrival': 95, 'retriage': 4},
                 {'id': 'b', 'level': 3, 'arrival': 91, 'retriage': None}]},
   {'order': ['b', 'a'], 'overdue': []}),
  ('upgraded on re-triage',
   {'now': 100,
    'patients': [{'id': 'a', 'level': 4, 'arrival': 90, 'retriage': 2},
                 {'id': 'b', 'level': 3, 'arrival': 81, 'retriage': None}]},
   {'order': ['a', 'b'], 'overdue': []}),
  ('downgraded patient overdue by new target',
   {'now': 100,
    'patients': [{'id': 'a', 'level': 2, 'arrival': 79, 'retriage': 3},
                 {'id': 'b', 'level': 2, 'arrival': 95, 'retriage': None}]},
   {'order': ['b', 'a'], 'overdue': []}),
  ('wait exactly at target',
   {'now': 100,
    'patients': [{'id': 'a', 'level': 3, 'arrival': 70, 'retriage': None},
                 {'id': 'b', 'level': 2, 'arrival': 93, 'retriage': None},
                 {'id': 'c', 'level': 1, 'arrival': 100, 'retriage': None}]},
   {'order': ['c', 'b', 'a'], 'overdue': []}),
  ('level one waiting',
   {'now': 100,
    'patients': [{'id': 'a', 'level': 1, 'arrival': 98, 'retriage': None},
                 {'id': 'b', 'level': 2, 'arrival': 50, 'retriage': None}]},
   {'order': ['b', 'a'], 'overdue': ['a', 'b']}),
  ('escalated level two ties with level one',
   {'now': 100,
    'patients': [{'id': 'a', 'level': 1, 'arrival': 91, 'retriage': None},
                 {'id': 'b', 'level': 2, 'arrival': 80, 'retriage': None}]},
   {'order': ['b', 'a'], 'overdue': ['a', 'b']}),
  ('escalated three ties with native two',
   {'now': 200,
    'patients': [{'id': 'x', 'level': 2, 'arrival': 194, 'retriage': None},
                 {'id': 'y', 'level': 3, 'arrival': 150, 'retriage': None}]},
   {'order': ['y', 'x'], 'overdue': ['y']}),
  ('same arrival id tie-break',
   {'now': 60,
    'patients': [{'id': 'b1', 'level': 4, 'arrival': 30, 'retriage': None},
                 {'id': 'a1', 'level': 4, 'arrival': 30, 'retriage': None},
                 {'id': 'c', 'level': 4, 'arrival': 11, 'retriage': None}]},
   {'order': ['c', 'a1', 'b1'], 'overdue': []})],
 [('downgraded on re-triage',
   {'now': 100,
    'patients': [{'id': 'a', 'level': 2, 'arrival': 95, 'retriage': 4},
                 {'id': 'b', 'level': 3, 'arrival': 92, 'retriage': None}]},
   {'order': ['b', 'a'], 'overdue': []}),
  ('upgraded on re-triage',
   {'now': 100,
    'patients': [{'id': 'a', 'level': 4, 'arrival': 90, 'retriage': 2},
                 {'id': 'b', 'level': 3, 'arrival': 82, 'retriage': None}]},
   {'order': ['a', 'b'], 'overdue': []}),
  ('downgraded patient overdue by new target',
   {'now': 100,
    'patients': [{'id': 'a', 'level': 2, 'arrival': 78, 'retriage': 3},
                 {'id': 'b', 'level': 2, 'arrival': 95, 'retriage': None}]},
   {'order': ['b', 'a'], 'overdue': []}),
  ('wait exactly at target',
   {'now': 100,
    'patients': [{'id': 'a', 'level': 3, 'arrival': 70, 'retriage': None},
                 {'id': 'b', 'level': 2, 'arrival': 94, 'retriage': None},
                 {'id': 'c', 'level': 1, 'arrival': 100, 'retriage': None}]},
   {'order': ['c', 'b', 'a'], 'overdue': []}),
  ('level one waiting',
   {'now': 100,
    'patients': [{'id': 'a', 'level': 1, 'arrival': 97, 'retriage': None},
                 {'id': 'b', 'level': 2, 'arrival': 50, 'retriage': None}]},
   {'order': ['b', 'a'], 'overdue': ['a', 'b']}),
  ('escalated level two ties with level one',
   {'now': 100,
    'patients': [{'id': 'a', 'level': 1, 'arrival': 92, 'retriage': None},
                 {'id': 'b', 'level': 2, 'arrival': 80, 'retriage': None}]},
   {'order': ['b', 'a'], 'overdue': ['a', 'b']}),
  ('escalated three ties with native two',
   {'now': 200,
    'patients': [{'id': 'x', 'level': 2, 'arrival': 193, 'retriage': None},
                 {'id': 'y', 'level': 3, 'arrival': 150, 'retriage': None}]},
   {'order': ['y', 'x'], 'overdue': ['y']}),
  ('same arrival id tie-break',
   {'now': 60,
    'patients': [{'id': 'b2', 'level': 4, 'arrival': 30, 'retriage': None},
                 {'id': 'a2', 'level': 4, 'arrival': 30, 'retriage': None},
                 {'id': 'c', 'level': 4, 'arrival': 12, 'retriage': None}]},
   {'order': ['c', 'a2', 'b2'], 'overdue': []})],
 [('downgraded on re-triage',
   {'now': 100,
    'patients': [{'id': 'a', 'level': 2, 'arrival': 95, 'retriage': 4},
                 {'id': 'b', 'level': 3, 'arrival': 93, 'retriage': None}]},
   {'order': ['b', 'a'], 'overdue': []}),
  ('upgraded on re-triage',
   {'now': 100,
    'patients': [{'id': 'a', 'level': 4, 'arrival': 90, 'retriage': 2},
                 {'id': 'b', 'level': 3, 'arrival': 83, 'retriage': None}]},
   {'order': ['a', 'b'], 'overdue': []}),
  ('downgraded patient overdue by new target',
   {'now': 100,
    'patients': [{'id': 'a', 'level': 2, 'arrival': 77, 'retriage': 3},
                 {'id': 'b', 'level': 2, 'arrival': 95, 'retriage': None}]},
   {'order': ['b', 'a'], 'overdue': []}),
  ('wait exactly at target',
   {'now': 100,
    'patients': [{'id': 'a', 'level': 3, 'arrival': 70, 'retriage': None},
                 {'id': 'b', 'level': 2, 'arrival': 95, 'retriage': None},
                 {'id': 'c', 'level': 1, 'arrival': 100, 'retriage': None}]},
   {'order': ['c', 'b', 'a'], 'overdue': []}),
  ('level one waiting',
   {'now': 100,
    'patients': [{'id': 'a', 'level': 1, 'arrival': 96, 'retriage': None},
                 {'id': 'b', 'level': 2, 'arrival': 50, 'retriage': None}]},
   {'order': ['b', 'a'], 'overdue': ['a', 'b']}),
  ('escalated level two ties with level one',
   {'now': 100,
    'patients': [{'id': 'a', 'level': 1, 'arrival': 93, 'retriage': None},
                 {'id': 'b', 'level': 2, 'arrival': 80, 'retriage': None}]},
   {'order': ['b', 'a'], 'overdue': ['a', 'b']}),
  ('escalated three ties with native two',
   {'now': 200,
    'patients': [{'id': 'x', 'level': 2, 'arrival': 192, 'retriage': None},
                 {'id': 'y', 'level': 3, 'arrival': 150, 'retriage': None}]},
   {'order': ['y', 'x'], 'overdue': ['y']}),
  ('same arrival id tie-break',
   {'now': 60,
    'patients': [{'id': 'b3', 'level': 4, 'arrival': 30, 'retriage': None},
                 {'id': 'a3', 'level': 4, 'arrival': 30, 'retriage': None},
                 {'id': 'c', 'level': 4, 'arrival': 13, 'retriage': None}]},
   {'order': ['c', 'a3', 'b3'], 'overdue': []})],
 [('downgraded on re-triage',
   {'now': 100,
    'patients': [{'id': 'a', 'level': 2, 'arrival': 95, 'retriage': 4},
                 {'id': 'b', 'level': 3, 'arrival': 94, 'retriage': None}]},
   {'order': ['b', 'a'], 'overdue': []}),
  ('upgraded on re-triage',
   {'now': 100,
    'patients': [{'id': 'a', 'level': 4, 'arrival': 90, 'retriage': 2},
                 {'id': 'b', 'level': 3, 'arrival': 84, 'retriage': None}]},
   {'order': ['a', 'b'], 'overdue': []}),
  ('downgraded patient overdue by new target',
   {'now': 100,
    'patients': [{'id': 'a', 'level': 2, 'arrival': 76, 'retriage': 3},
                 {'id': 'b', 'level': 2, 'arrival': 95, 'retriage': None}]},
   {'order': ['b', 'a'], 'overdue': []}),
  ('wait exactly at target',
   {'now': 100,
    'patients': [{'id': 'a', 'level': 3, 'arrival': 70, 'retriage': None},
                 {'id': 'b', 'level': 2, 'arrival': 96, 'retriage': None},
                 {'id': 'c', 'level': 1, 'arrival': 100, 'retriage': None}]},
   {'order': ['c', 'b', 'a'], 'overdue': []}),
  ('level one waiting',
   {'now': 100,
    'patients': [{'id': 'a', 'level': 1, 'arrival': 95, 'retriage': None},
                 {'id': 'b', 'level': 2, 'arrival': 50, 'retriage': None}]},
   {'order': ['b', 'a'], 'overdue': ['a', 'b']}),
  ('escalated level two ties with level one',
   {'now': 100,
    'patients': [{'id': 'a', 'level': 1, 'arrival': 94, 'retriage': None},
                 {'id': 'b', 'level': 2, 'arrival': 80, 'retriage': None}]},
   {'order': ['b', 'a'], 'overdue': ['a', 'b']}),
  ('escalated three ties with native two',
   {'now': 200,
    'patients': [{'id': 'x', 'level': 2, 'arrival': 191, 'retriage': None},
                 {'id': 'y', 'level': 3, 'arrival': 150, 'retriage': None}]},
   {'order': ['y', 'x'], 'overdue': ['y']}),
  ('same arrival id tie-break',
   {'now': 60,
    'patients': [{'id': 'b4', 'level': 4, 'arrival': 30, 'retriage': None},
                 {'id': 'a4', 'level': 4, 'arrival': 30, 'retriage': None},
                 {'id': 'c', 'level': 4, 'arrival': 14, 'retriage': None}]},
   {'order': ['c', 'a4', 'b4'], 'overdue': []})],
 [('downgraded on re-triage',
   {'now': 100,
    'patients': [{'id': 'a', 'level': 2, 'arrival': 95, 'retriage': 4},
                 {'id': 'b', 'level': 3, 'arrival': 95, 'retriage': None}]},
   {'order': ['b', 'a'], 'overdue': []}),
  ('upgraded on re-triage',
   {'now': 100,
    'patients': [{'id': 'a', 'level': 4, 'arrival': 90, 'retriage': 2},
                 {'id': 'b', 'level': 3, 'arrival': 85, 'retriage': None}]},
   {'order': ['a', 'b'], 'overdue': []}),
  ('downgraded patient overdue by new target',
   {'now': 100,
    'patients': [{'id': 'a', 'level': 2, 'arrival': 75, 'retriage': 3},
                 {'id': 'b', 'level': 2, 'arrival': 95, 'retriage': None}]},
   {'order': ['b', 'a'], 'overdue': []}),
  ('wait exactly at target',
   {'now': 100,
    'patients': [{'id': 'a', 'level': 3, 'arrival': 70, 'retriage': None},
                 {'id': 'b', 'level': 2, 'arrival': 97, 'retriage': None},
                 {'id': 'c', 'level': 1, 'arrival': 100, 'retriage': None}]},
   {'order': ['c', 'b', 'a'], 'overdue': []}),
  ('level one waiting',
   {'now': 100,
    'patients': [{'id': 'a', 'level': 1, 'arrival': 94, 'retriage': None},
                 {'id': 'b', 'level': 2, 'arrival': 50, 'retriage': None}]},
   {'order': ['b', 'a'], 'overdue': ['a', 'b']}),
  ('escalated level two ties with level one',
   {'now': 100,
    'patients': [{'id': 'a', 'level': 1, 'arrival': 95, 'retriage': None},
                 {'id': 'b', 'level': 2, 'arrival': 80, 'retriage': None}]},
   {'order': ['b', 'a'], 'overdue': ['a', 'b']}),
  ('escalated three ties with native two',
   {'now': 200,
    'patients': [{'id': 'x', 'level': 2, 'arrival': 190, 'retriage': None},
                 {'id': 'y', 'level': 3, 'arrival': 150, 'retriage': None}]},
   {'order': ['y', 'x'], 'overdue': ['y']}),
  ('same arrival id tie-break',
   {'now': 60,
    'patients': [{'id': 'b5', 'level': 4, 'arrival': 30, 'retriage': None},
                 {'id': 'a5', 'level': 4, 'arrival': 30, 'retriage': None},
                 {'id': 'c', 'level': 4, 'arrival': 15, 'retriage': None}]},
   {'order': ['c', 'a5', 'b5'], 'overdue': []})]]
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
downgraded on re-triage{'order': [91, 95], 'overdue': []}{'order': ['b', 'a'], 'overdue': []}Failed
upgraded on re-triage{'order': [90, 81], 'overdue': []}{'order': ['a', 'b'], 'overdue': []}Failed
downgraded patient overdue by new target{'order': [95, 79], 'overdue': []}{'order': ['b', 'a'], 'overdue': []}Failed
wait exactly at target{'order': [100, 93, 70], 'overdue': []}{'order': ['c', 'b', 'a'], 'overdue': []}Failed
level one waiting{'order': [98, 50], 'overdue': ['a', 'b']}{'order': ['b', 'a'], 'overdue': ['a', 'b']}Failed
escalated level two ties with level one{'order': [91, 80], 'overdue': ['a', 'b']}{'order': ['b', 'a'], 'overdue': ['a', 'b']}Failed
escalated three ties with native two{'order': [194, 150], 'overdue': ['y']}{'order': ['y', 'x'], 'overdue': ['y']}Failed
same arrival id tie-break{'order': [11, 30, 30], 'overdue': []}{'order': ['c', 'a1', 'b1'], 'overdue': []}Failed

SHA-256 / 4d6528e8b322773154dc7acb149cd10a24a625dcd06f2aff1712d34f7539e010

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This mechanism has 8 recorded checks per implementation. The open-access tier publishes the failure and the unsuccessful fix; the repaired source that passes every check, and the observations that prove it, are available to members.

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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 2026-09-29T14:47:25.593154+00:00.

Case digest / 9f6bd929bccadb0dd3b9b971cde31e88d7477546d960883ff21c0717feb06281