FAILURE MAP
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FA-64761 / Clinical triage scoring / Open access

Inpatient fall risk score: furniture-walking aid · case 01

Patients holding on to furniture score like cane users.

Verified by executionVariant 1 · 11 checks per implementationDownload source bundle ↓JSON ↗

ROOT CAUSE

Furniture walking is grouped with walking aids at 15 points.

THE FAILURE

Furniture walking is grouped with walking aids at 15 points.

Unsuccessful approach: Restoring furniture but omitting walker leaves walker users unscored.

Case contract

Input {last_fall_days (or null), secondary_dx, aid, iv, gait, mental}. Toy points: a fall within the last 90 days (inclusive) 25; secondary diagnosis 15; aid none/bedrest/nurse 0, crutches/cane/walker 15, furniture 30; IV access 20; gait normal/bedrest/immobile 0, weak 10, impaired 20; mental status "forgets" or "overestimates" (overestimates own ability) 15, "oriented" 0. Risk: 0-24 LOW, 25-44 MODERATE, >= 45 HIGH. Return {score, risk}.

Why this case matters

Nursing risk scores map categorical observations to weighted points; recency windows, category tables and band edges fail independently.

1 / The failure

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

N = 1
observations = []
def solve(x):
    d = x['last_fall_days']
    fell = d is not None and d <= 90
    s = 25 if fell else 0
    s += 15 if x['secondary_dx'] else 0
    aid = x['aid']
    s += 15 if aid in ('crutches', 'cane', 'walker', 'furniture') else 0
    s += 20 if x['iv'] else 0
    g = x['gait']
    s += 20 if g == 'impaired' else 10 if g == 'weak' else 0
    s += 15 if x['mental'] in ('forgets', 'overestimates') else 0
    risk = 'HIGH' if s >= 45 else 'MODERATE' if s >= 25 else 'LOW'
    return {'score': s, 'risk': risk}
def check(label, actual, expected):
    observations.append({"check": label, "actual": actual, "expected": expected, "passed": actual == expected})
fixtures = [[('no risk factors',
   {'last_fall_days': None,
    'secondary_dx': False,
    'aid': 'none',
    'iv': False,
    'gait': 'normal',
    'mental': 'oriented'},
   {'score': 0, 'risk': 'LOW'}),
  ('fall exactly 90 days ago',
   {'last_fall_days': 90,
    'secondary_dx': True,
    'aid': 'none',
    'iv': False,
    'gait': 'normal',
    'mental': 'oriented'},
   {'score': 40, 'risk': 'MODERATE'}),
  ('fall a year ago',
   {'last_fall_days': 301,
    'secondary_dx': False,
    'aid': 'none',
    'iv': True,
    'gait': 'normal',
    'mental': 'oriented'},
   {'score': 20, 'risk': 'LOW'}),
  ('furniture walking',
   {'last_fall_days': None,
    'secondary_dx': False,
    'aid': 'furniture',
    'iv': False,
    'gait': 'weak',
    'mental': 'oriented'},
   {'score': 40, 'risk': 'MODERATE'}),
  ('walker user',
   {'last_fall_days': None,
    'secondary_dx': True,
    'aid': 'walker',
    'iv': False,
    'gait': 'normal',
    'mental': 'forgets'},
   {'score': 45, 'risk': 'HIGH'}),
  ('weak gait',
   {'last_fall_days': None,
    'secondary_dx': False,
    'aid': 'cane',
    'iv': True,
    'gait': 'weak',
    'mental': 'oriented'},
   {'score': 45, 'risk': 'HIGH'}),
  ('impaired gait',
   {'last_fall_days': 10,
    'secondary_dx': True,
    'aid': 'none',
    'iv': False,
    'gait': 'impaired',
    'mental': 'oriented'},
   {'score': 60, 'risk': 'HIGH'}),
  ('score exactly 40',
   {'last_fall_days': None,
    'secondary_dx': True,
    'aid': 'cane',
    'iv': False,
    'gait': 'weak',
    'mental': 'oriented'},
   {'score': 40, 'risk': 'MODERATE'}),
  ('overestimates own ability',
   {'last_fall_days': None,
    'secondary_dx': True,
    'aid': 'none',
    'iv': False,
    'gait': 'normal',
    'mental': 'overestimates'},
   {'score': 30, 'risk': 'MODERATE'}),
  ('score exactly 25',
   {'last_fall_days': 31,
    'secondary_dx': False,
    'aid': 'none',
    'iv': False,
    'gait': 'normal',
    'mental': 'oriented'},
   {'score': 25, 'risk': 'MODERATE'}),
  ('score exactly 45',
   {'last_fall_days': 6,
    'secondary_dx': False,
    'aid': 'none',
    'iv': True,
    'gait': 'normal',
    'mental': 'oriented'},
   {'score': 45, 'risk': 'HIGH'})],
 [('no risk factors',
   {'last_fall_days': None,
    'secondary_dx': False,
    'aid': 'none',
    'iv': False,
    'gait': 'bedrest',
    'mental': 'oriented'},
   {'score': 0, 'risk': 'LOW'}),
  ('fall exactly 90 days ago',
   {'last_fall_days': 90,
    'secondary_dx': False,
    'aid': 'none',
    'iv': False,
    'gait': 'normal',
    'mental': 'oriented'},
   {'score': 25, 'risk': 'MODERATE'}),
  ('fall a year ago',
   {'last_fall_days': 302,
    'secondary_dx': False,
    'aid': 'none',
    'iv': True,
    'gait': 'normal',
    'mental': 'oriented'},
   {'score': 20, 'risk': 'LOW'}),
  ('furniture walking',
   {'last_fall_days': None,
    'secondary_dx': False,
    'aid': 'furniture',
    'iv': True,
    'gait': 'weak',
    'mental': 'oriented'},
   {'score': 60, 'risk': 'HIGH'}),
  ('walker user',
   {'last_fall_days': None,
    'secondary_dx': True,
    'aid': 'walker',
    'iv': False,
    'gait': 'normal',
    'mental': 'oriented'},
   {'score': 30, 'risk': 'MODERATE'}),
  ('weak gait',
   {'last_fall_days': None,
    'secondary_dx': False,
    'aid': 'cane',
    'iv': True,
    'gait': 'weak',
    'mental': 'oriented'},
   {'score': 45, 'risk': 'HIGH'}),
  ('impaired gait',
   {'last_fall_days': 20,
    'secondary_dx': True,
    'aid': 'none',
    'iv': False,
    'gait': 'impaired',
    'mental': 'oriented'},
   {'score': 60, 'risk': 'HIGH'}),
  ('score exactly 40',
   {'last_fall_days': None,
    'secondary_dx': True,
    'aid': 'walker',
    'iv': False,
    'gait': 'weak',
    'mental': 'oriented'},
   {'score': 40, 'risk': 'MODERATE'}),
  ('overestimates own ability',
   {'last_fall_days': None,
    'secondary_dx': True,
    'aid': 'none',
    'iv': True,
    'gait': 'normal',
    'mental': 'overestimates'},
   {'score': 50, 'risk': 'HIGH'}),
  ('score exactly 25',
   {'last_fall_days': 32,
    'secondary_dx': False,
    'aid': 'none',
    'iv': False,
    'gait': 'normal',
    'mental': 'oriented'},
   {'score': 25, 'risk': 'MODERATE'}),
  ('score exactly 45',
   {'last_fall_days': 7,
    'secondary_dx': False,
    'aid': 'none',
    'iv': True,
    'gait': 'normal',
    'mental': 'oriented'},
   {'score': 45, 'risk': 'HIGH'})],
 [('no risk factors',
   {'last_fall_days': None,
    'secondary_dx': False,
    'aid': 'none',
    'iv': False,
    'gait': 'immobile',
    'mental': 'oriented'},
   {'score': 0, 'risk': 'LOW'}),
  ('fall exactly 90 days ago',
   {'last_fall_days': 90,
    'secondary_dx': True,
    'aid': 'none',
    'iv': False,
    'gait': 'normal',
    'mental': 'oriented'},
   {'score': 40, 'risk': 'MODERATE'}),
  ('fall a year ago',
   {'last_fall_days': 303,
    'secondary_dx': False,
    'aid': 'none',
    'iv': True,
    'gait': 'normal',
    'mental': 'oriented'},
   {'score': 20, 'risk': 'LOW'}),
  ('furniture walking',
   {'last_fall_days': None,
    'secondary_dx': False,
    'aid': 'furniture',
    'iv': False,
    'gait': 'weak',
    'mental': 'oriented'},
   {'score': 40, 'risk': 'MODERATE'}),
  ('walker user',
   {'last_fall_days': None,
    'secondary_dx': True,
    'aid': 'walker',
    'iv': False,
    'gait': 'normal',
    'mental': 'forgets'},
   {'score': 45, 'risk': 'HIGH'}),
  ('weak gait',
   {'last_fall_days': None,
    'secondary_dx': False,
    'aid': 'cane',
    'iv': True,
    'gait': 'weak',
    'mental': 'oriented'},
   {'score': 45, 'risk': 'HIGH'}),
  ('impaired gait',
   {'last_fall_days': 30,
    'secondary_dx': True,
    'aid': 'none',
    'iv': False,
    'gait': 'impaired',
    'mental': 'oriented'},
   {'score': 60, 'risk': 'HIGH'}),
  ('score exactly 40',
   {'last_fall_days': None,
    'secondary_dx': True,
    'aid': 'crutches',
    'iv': False,
    'gait': 'weak',
    'mental': 'oriented'},
   {'score': 40, 'risk': 'MODERATE'}),
  ('overestimates own ability',
   {'last_fall_days': None,
    'secondary_dx': True,
    'aid': 'none',
    'iv': False,
    'gait': 'normal',
    'mental': 'overestimates'},
   {'score': 30, 'risk': 'MODERATE'}),
  ('score exactly 25',
   {'last_fall_days': 33,
    'secondary_dx': False,
    'aid': 'none',
    'iv': False,
    'gait': 'normal',
    'mental': 'oriented'},
   {'score': 25, 'risk': 'MODERATE'}),
  ('score exactly 45',
   {'last_fall_days': 8,
    'secondary_dx': False,
    'aid': 'none',
    'iv': True,
    'gait': 'normal',
    'mental': 'oriented'},
   {'score': 45, 'risk': 'HIGH'})],
 [('no risk factors',
   {'last_fall_days': None,
    'secondary_dx': False,
    'aid': 'none',
    'iv': False,
    'gait': 'normal',
    'mental': 'oriented'},
   {'score': 0, 'risk': 'LOW'}),
  ('fall exactly 90 days ago',
   {'last_fall_days': 90,
    'secondary_dx': False,
    'aid': 'none',
    'iv': False,
    'gait': 'normal',
    'mental': 'oriented'},
   {'score': 25, 'risk': 'MODERATE'}),
  ('fall a year ago',
   {'last_fall_days': 304,
    'secondary_dx': False,
    'aid': 'none',
    'iv': True,
    'gait': 'normal',
    'mental': 'oriented'},
   {'score': 20, 'risk': 'LOW'}),
  ('furniture walking',
   {'last_fall_days': None,
    'secondary_dx': False,
    'aid': 'furniture',
    'iv': True,
    'gait': 'weak',
    'mental': 'oriented'},
   {'score': 60, 'risk': 'HIGH'}),
  ('walker user',
   {'last_fall_days': None,
    'secondary_dx': True,
    'aid': 'walker',
    'iv': False,
    'gait': 'normal',
    'mental': 'oriented'},
   {'score': 30, 'risk': 'MODERATE'}),
  ('weak gait',
   {'last_fall_days': None,
    'secondary_dx': False,
    'aid': 'cane',
    'iv': True,
    'gait': 'weak',
    'mental': 'oriented'},
   {'score': 45, 'risk': 'HIGH'}),
  ('impaired gait',
   {'last_fall_days': 40,
    'secondary_dx': True,
    'aid': 'none',
    'iv': False,
    'gait': 'impaired',
    'mental': 'oriented'},
   {'score': 60, 'risk': 'HIGH'}),
  ('score exactly 40',
   {'last_fall_days': None,
    'secondary_dx': True,
    'aid': 'cane',
    'iv': False,
    'gait': 'weak',
    'mental': 'oriented'},
   {'score': 40, 'risk': 'MODERATE'}),
  ('overestimates own ability',
   {'last_fall_days': None,
    'secondary_dx': True,
    'aid': 'none',
    'iv': True,
    'gait': 'normal',
    'mental': 'overestimates'},
   {'score': 50, 'risk': 'HIGH'}),
  ('score exactly 25',
   {'last_fall_days': 34,
    'secondary_dx': False,
    'aid': 'none',
    'iv': False,
    'gait': 'normal',
    'mental': 'oriented'},
   {'score': 25, 'risk': 'MODERATE'}),
  ('score exactly 45',
   {'last_fall_days': 9,
    'secondary_dx': False,
    'aid': 'none',
    'iv': True,
    'gait': 'normal',
    'mental': 'oriented'},
   {'score': 45, 'risk': 'HIGH'})],
 [('no risk factors',
   {'last_fall_days': None,
    'secondary_dx': False,
    'aid': 'none',
    'iv': False,
    'gait': 'bedrest',
    'mental': 'oriented'},
   {'score': 0, 'risk': 'LOW'}),
  ('fall exactly 90 days ago',
   {'last_fall_days': 90,
    'secondary_dx': True,
    'aid': 'none',
    'iv': False,
    'gait': 'normal',
    'mental': 'oriented'},
   {'score': 40, 'risk': 'MODERATE'}),
  ('fall a year ago',
   {'last_fall_days': 305,
    'secondary_dx': False,
    'aid': 'none',
    'iv': True,
    'gait': 'normal',
    'mental': 'oriented'},
   {'score': 20, 'risk': 'LOW'}),
  ('furniture walking',
   {'last_fall_days': None,
    'secondary_dx': False,
    'aid': 'furniture',
    'iv': False,
    'gait': 'weak',
    'mental': 'oriented'},
   {'score': 40, 'risk': 'MODERATE'}),
  ('walker user',
   {'last_fall_days': None,
    'secondary_dx': True,
    'aid': 'walker',
    'iv': False,
    'gait': 'normal',
    'mental': 'forgets'},
   {'score': 45, 'risk': 'HIGH'}),
  ('weak gait',
   {'last_fall_days': None,
    'secondary_dx': False,
    'aid': 'cane',
    'iv': True,
    'gait': 'weak',
    'mental': 'oriented'},
   {'score': 45, 'risk': 'HIGH'}),
  ('impaired gait',
   {'last_fall_days': 50,
    'secondary_dx': True,
    'aid': 'none',
    'iv': False,
    'gait': 'impaired',
    'mental': 'oriented'},
   {'score': 60, 'risk': 'HIGH'}),
  ('score exactly 40',
   {'last_fall_days': None,
    'secondary_dx': True,
    'aid': 'walker',
    'iv': False,
    'gait': 'weak',
    'mental': 'oriented'},
   {'score': 40, 'risk': 'MODERATE'}),
  ('overestimates own ability',
   {'last_fall_days': None,
    'secondary_dx': True,
    'aid': 'none',
    'iv': False,
    'gait': 'normal',
    'mental': 'overestimates'},
   {'score': 30, 'risk': 'MODERATE'}),
  ('score exactly 25',
   {'last_fall_days': 35,
    'secondary_dx': False,
    'aid': 'none',
    'iv': False,
    'gait': 'normal',
    'mental': 'oriented'},
   {'score': 25, 'risk': 'MODERATE'}),
  ('score exactly 45',
   {'last_fall_days': 10,
    'secondary_dx': False,
    'aid': 'none',
    'iv': True,
    'gait': 'normal',
    'mental': 'oriented'},
   {'score': 45, 'risk': 'HIGH'})]]
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
no risk factors{'risk': 'LOW', 'score': 0}{'risk': 'LOW', 'score': 0}Passed
fall exactly 90 days ago{'risk': 'MODERATE', 'score': 40}{'risk': 'MODERATE', 'score': 40}Passed
fall a year ago{'risk': 'LOW', 'score': 20}{'risk': 'LOW', 'score': 20}Passed
furniture walking{'risk': 'MODERATE', 'score': 25}{'risk': 'MODERATE', 'score': 40}Failed
walker user{'risk': 'HIGH', 'score': 45}{'risk': 'HIGH', 'score': 45}Passed
weak gait{'risk': 'HIGH', 'score': 45}{'risk': 'HIGH', 'score': 45}Passed
impaired gait{'risk': 'HIGH', 'score': 60}{'risk': 'HIGH', 'score': 60}Passed
score exactly 40{'risk': 'MODERATE', 'score': 40}{'risk': 'MODERATE', 'score': 40}Passed
overestimates own ability{'risk': 'MODERATE', 'score': 30}{'risk': 'MODERATE', 'score': 30}Passed
score exactly 25{'risk': 'MODERATE', 'score': 25}{'risk': 'MODERATE', 'score': 25}Passed
score exactly 45{'risk': 'HIGH', 'score': 45}{'risk': 'HIGH', 'score': 45}Passed

SHA-256 / 513e6f6746d334a67e489e8d4a0f56c176d08cf3284e327f0487267ec9a7d172

2 / The unsuccessful fix

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

N = 1
observations = []
def solve(x):
    d = x['last_fall_days']
    fell = d is not None and d <= 90
    s = 25 if fell else 0
    s += 15 if x['secondary_dx'] else 0
    aid = x['aid']
    s += 30 if aid == 'furniture' else 15 if aid in ('crutches', 'cane') else 0
    s += 20 if x['iv'] else 0
    g = x['gait']
    s += 20 if g == 'impaired' else 10 if g == 'weak' else 0
    s += 15 if x['mental'] in ('forgets', 'overestimates') else 0
    risk = 'HIGH' if s >= 45 else 'MODERATE' if s >= 25 else 'LOW'
    return {'score': s, 'risk': risk}
def check(label, actual, expected):
    observations.append({"check": label, "actual": actual, "expected": expected, "passed": actual == expected})
fixtures = [[('no risk factors',
   {'last_fall_days': None,
    'secondary_dx': False,
    'aid': 'none',
    'iv': False,
    'gait': 'normal',
    'mental': 'oriented'},
   {'score': 0, 'risk': 'LOW'}),
  ('fall exactly 90 days ago',
   {'last_fall_days': 90,
    'secondary_dx': True,
    'aid': 'none',
    'iv': False,
    'gait': 'normal',
    'mental': 'oriented'},
   {'score': 40, 'risk': 'MODERATE'}),
  ('fall a year ago',
   {'last_fall_days': 301,
    'secondary_dx': False,
    'aid': 'none',
    'iv': True,
    'gait': 'normal',
    'mental': 'oriented'},
   {'score': 20, 'risk': 'LOW'}),
  ('furniture walking',
   {'last_fall_days': None,
    'secondary_dx': False,
    'aid': 'furniture',
    'iv': False,
    'gait': 'weak',
    'mental': 'oriented'},
   {'score': 40, 'risk': 'MODERATE'}),
  ('walker user',
   {'last_fall_days': None,
    'secondary_dx': True,
    'aid': 'walker',
    'iv': False,
    'gait': 'normal',
    'mental': 'forgets'},
   {'score': 45, 'risk': 'HIGH'}),
  ('weak gait',
   {'last_fall_days': None,
    'secondary_dx': False,
    'aid': 'cane',
    'iv': True,
    'gait': 'weak',
    'mental': 'oriented'},
   {'score': 45, 'risk': 'HIGH'}),
  ('impaired gait',
   {'last_fall_days': 10,
    'secondary_dx': True,
    'aid': 'none',
    'iv': False,
    'gait': 'impaired',
    'mental': 'oriented'},
   {'score': 60, 'risk': 'HIGH'}),
  ('score exactly 40',
   {'last_fall_days': None,
    'secondary_dx': True,
    'aid': 'cane',
    'iv': False,
    'gait': 'weak',
    'mental': 'oriented'},
   {'score': 40, 'risk': 'MODERATE'}),
  ('overestimates own ability',
   {'last_fall_days': None,
    'secondary_dx': True,
    'aid': 'none',
    'iv': False,
    'gait': 'normal',
    'mental': 'overestimates'},
   {'score': 30, 'risk': 'MODERATE'}),
  ('score exactly 25',
   {'last_fall_days': 31,
    'secondary_dx': False,
    'aid': 'none',
    'iv': False,
    'gait': 'normal',
    'mental': 'oriented'},
   {'score': 25, 'risk': 'MODERATE'}),
  ('score exactly 45',
   {'last_fall_days': 6,
    'secondary_dx': False,
    'aid': 'none',
    'iv': True,
    'gait': 'normal',
    'mental': 'oriented'},
   {'score': 45, 'risk': 'HIGH'})],
 [('no risk factors',
   {'last_fall_days': None,
    'secondary_dx': False,
    'aid': 'none',
    'iv': False,
    'gait': 'bedrest',
    'mental': 'oriented'},
   {'score': 0, 'risk': 'LOW'}),
  ('fall exactly 90 days ago',
   {'last_fall_days': 90,
    'secondary_dx': False,
    'aid': 'none',
    'iv': False,
    'gait': 'normal',
    'mental': 'oriented'},
   {'score': 25, 'risk': 'MODERATE'}),
  ('fall a year ago',
   {'last_fall_days': 302,
    'secondary_dx': False,
    'aid': 'none',
    'iv': True,
    'gait': 'normal',
    'mental': 'oriented'},
   {'score': 20, 'risk': 'LOW'}),
  ('furniture walking',
   {'last_fall_days': None,
    'secondary_dx': False,
    'aid': 'furniture',
    'iv': True,
    'gait': 'weak',
    'mental': 'oriented'},
   {'score': 60, 'risk': 'HIGH'}),
  ('walker user',
   {'last_fall_days': None,
    'secondary_dx': True,
    'aid': 'walker',
    'iv': False,
    'gait': 'normal',
    'mental': 'oriented'},
   {'score': 30, 'risk': 'MODERATE'}),
  ('weak gait',
   {'last_fall_days': None,
    'secondary_dx': False,
    'aid': 'cane',
    'iv': True,
    'gait': 'weak',
    'mental': 'oriented'},
   {'score': 45, 'risk': 'HIGH'}),
  ('impaired gait',
   {'last_fall_days': 20,
    'secondary_dx': True,
    'aid': 'none',
    'iv': False,
    'gait': 'impaired',
    'mental': 'oriented'},
   {'score': 60, 'risk': 'HIGH'}),
  ('score exactly 40',
   {'last_fall_days': None,
    'secondary_dx': True,
    'aid': 'walker',
    'iv': False,
    'gait': 'weak',
    'mental': 'oriented'},
   {'score': 40, 'risk': 'MODERATE'}),
  ('overestimates own ability',
   {'last_fall_days': None,
    'secondary_dx': True,
    'aid': 'none',
    'iv': True,
    'gait': 'normal',
    'mental': 'overestimates'},
   {'score': 50, 'risk': 'HIGH'}),
  ('score exactly 25',
   {'last_fall_days': 32,
    'secondary_dx': False,
    'aid': 'none',
    'iv': False,
    'gait': 'normal',
    'mental': 'oriented'},
   {'score': 25, 'risk': 'MODERATE'}),
  ('score exactly 45',
   {'last_fall_days': 7,
    'secondary_dx': False,
    'aid': 'none',
    'iv': True,
    'gait': 'normal',
    'mental': 'oriented'},
   {'score': 45, 'risk': 'HIGH'})],
 [('no risk factors',
   {'last_fall_days': None,
    'secondary_dx': False,
    'aid': 'none',
    'iv': False,
    'gait': 'immobile',
    'mental': 'oriented'},
   {'score': 0, 'risk': 'LOW'}),
  ('fall exactly 90 days ago',
   {'last_fall_days': 90,
    'secondary_dx': True,
    'aid': 'none',
    'iv': False,
    'gait': 'normal',
    'mental': 'oriented'},
   {'score': 40, 'risk': 'MODERATE'}),
  ('fall a year ago',
   {'last_fall_days': 303,
    'secondary_dx': False,
    'aid': 'none',
    'iv': True,
    'gait': 'normal',
    'mental': 'oriented'},
   {'score': 20, 'risk': 'LOW'}),
  ('furniture walking',
   {'last_fall_days': None,
    'secondary_dx': False,
    'aid': 'furniture',
    'iv': False,
    'gait': 'weak',
    'mental': 'oriented'},
   {'score': 40, 'risk': 'MODERATE'}),
  ('walker user',
   {'last_fall_days': None,
    'secondary_dx': True,
    'aid': 'walker',
    'iv': False,
    'gait': 'normal',
    'mental': 'forgets'},
   {'score': 45, 'risk': 'HIGH'}),
  ('weak gait',
   {'last_fall_days': None,
    'secondary_dx': False,
    'aid': 'cane',
    'iv': True,
    'gait': 'weak',
    'mental': 'oriented'},
   {'score': 45, 'risk': 'HIGH'}),
  ('impaired gait',
   {'last_fall_days': 30,
    'secondary_dx': True,
    'aid': 'none',
    'iv': False,
    'gait': 'impaired',
    'mental': 'oriented'},
   {'score': 60, 'risk': 'HIGH'}),
  ('score exactly 40',
   {'last_fall_days': None,
    'secondary_dx': True,
    'aid': 'crutches',
    'iv': False,
    'gait': 'weak',
    'mental': 'oriented'},
   {'score': 40, 'risk': 'MODERATE'}),
  ('overestimates own ability',
   {'last_fall_days': None,
    'secondary_dx': True,
    'aid': 'none',
    'iv': False,
    'gait': 'normal',
    'mental': 'overestimates'},
   {'score': 30, 'risk': 'MODERATE'}),
  ('score exactly 25',
   {'last_fall_days': 33,
    'secondary_dx': False,
    'aid': 'none',
    'iv': False,
    'gait': 'normal',
    'mental': 'oriented'},
   {'score': 25, 'risk': 'MODERATE'}),
  ('score exactly 45',
   {'last_fall_days': 8,
    'secondary_dx': False,
    'aid': 'none',
    'iv': True,
    'gait': 'normal',
    'mental': 'oriented'},
   {'score': 45, 'risk': 'HIGH'})],
 [('no risk factors',
   {'last_fall_days': None,
    'secondary_dx': False,
    'aid': 'none',
    'iv': False,
    'gait': 'normal',
    'mental': 'oriented'},
   {'score': 0, 'risk': 'LOW'}),
  ('fall exactly 90 days ago',
   {'last_fall_days': 90,
    'secondary_dx': False,
    'aid': 'none',
    'iv': False,
    'gait': 'normal',
    'mental': 'oriented'},
   {'score': 25, 'risk': 'MODERATE'}),
  ('fall a year ago',
   {'last_fall_days': 304,
    'secondary_dx': False,
    'aid': 'none',
    'iv': True,
    'gait': 'normal',
    'mental': 'oriented'},
   {'score': 20, 'risk': 'LOW'}),
  ('furniture walking',
   {'last_fall_days': None,
    'secondary_dx': False,
    'aid': 'furniture',
    'iv': True,
    'gait': 'weak',
    'mental': 'oriented'},
   {'score': 60, 'risk': 'HIGH'}),
  ('walker user',
   {'last_fall_days': None,
    'secondary_dx': True,
    'aid': 'walker',
    'iv': False,
    'gait': 'normal',
    'mental': 'oriented'},
   {'score': 30, 'risk': 'MODERATE'}),
  ('weak gait',
   {'last_fall_days': None,
    'secondary_dx': False,
    'aid': 'cane',
    'iv': True,
    'gait': 'weak',
    'mental': 'oriented'},
   {'score': 45, 'risk': 'HIGH'}),
  ('impaired gait',
   {'last_fall_days': 40,
    'secondary_dx': True,
    'aid': 'none',
    'iv': False,
    'gait': 'impaired',
    'mental': 'oriented'},
   {'score': 60, 'risk': 'HIGH'}),
  ('score exactly 40',
   {'last_fall_days': None,
    'secondary_dx': True,
    'aid': 'cane',
    'iv': False,
    'gait': 'weak',
    'mental': 'oriented'},
   {'score': 40, 'risk': 'MODERATE'}),
  ('overestimates own ability',
   {'last_fall_days': None,
    'secondary_dx': True,
    'aid': 'none',
    'iv': True,
    'gait': 'normal',
    'mental': 'overestimates'},
   {'score': 50, 'risk': 'HIGH'}),
  ('score exactly 25',
   {'last_fall_days': 34,
    'secondary_dx': False,
    'aid': 'none',
    'iv': False,
    'gait': 'normal',
    'mental': 'oriented'},
   {'score': 25, 'risk': 'MODERATE'}),
  ('score exactly 45',
   {'last_fall_days': 9,
    'secondary_dx': False,
    'aid': 'none',
    'iv': True,
    'gait': 'normal',
    'mental': 'oriented'},
   {'score': 45, 'risk': 'HIGH'})],
 [('no risk factors',
   {'last_fall_days': None,
    'secondary_dx': False,
    'aid': 'none',
    'iv': False,
    'gait': 'bedrest',
    'mental': 'oriented'},
   {'score': 0, 'risk': 'LOW'}),
  ('fall exactly 90 days ago',
   {'last_fall_days': 90,
    'secondary_dx': True,
    'aid': 'none',
    'iv': False,
    'gait': 'normal',
    'mental': 'oriented'},
   {'score': 40, 'risk': 'MODERATE'}),
  ('fall a year ago',
   {'last_fall_days': 305,
    'secondary_dx': False,
    'aid': 'none',
    'iv': True,
    'gait': 'normal',
    'mental': 'oriented'},
   {'score': 20, 'risk': 'LOW'}),
  ('furniture walking',
   {'last_fall_days': None,
    'secondary_dx': False,
    'aid': 'furniture',
    'iv': False,
    'gait': 'weak',
    'mental': 'oriented'},
   {'score': 40, 'risk': 'MODERATE'}),
  ('walker user',
   {'last_fall_days': None,
    'secondary_dx': True,
    'aid': 'walker',
    'iv': False,
    'gait': 'normal',
    'mental': 'forgets'},
   {'score': 45, 'risk': 'HIGH'}),
  ('weak gait',
   {'last_fall_days': None,
    'secondary_dx': False,
    'aid': 'cane',
    'iv': True,
    'gait': 'weak',
    'mental': 'oriented'},
   {'score': 45, 'risk': 'HIGH'}),
  ('impaired gait',
   {'last_fall_days': 50,
    'secondary_dx': True,
    'aid': 'none',
    'iv': False,
    'gait': 'impaired',
    'mental': 'oriented'},
   {'score': 60, 'risk': 'HIGH'}),
  ('score exactly 40',
   {'last_fall_days': None,
    'secondary_dx': True,
    'aid': 'walker',
    'iv': False,
    'gait': 'weak',
    'mental': 'oriented'},
   {'score': 40, 'risk': 'MODERATE'}),
  ('overestimates own ability',
   {'last_fall_days': None,
    'secondary_dx': True,
    'aid': 'none',
    'iv': False,
    'gait': 'normal',
    'mental': 'overestimates'},
   {'score': 30, 'risk': 'MODERATE'}),
  ('score exactly 25',
   {'last_fall_days': 35,
    'secondary_dx': False,
    'aid': 'none',
    'iv': False,
    'gait': 'normal',
    'mental': 'oriented'},
   {'score': 25, 'risk': 'MODERATE'}),
  ('score exactly 45',
   {'last_fall_days': 10,
    'secondary_dx': False,
    'aid': 'none',
    'iv': True,
    'gait': 'normal',
    'mental': 'oriented'},
   {'score': 45, 'risk': 'HIGH'})]]
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
no risk factors{'risk': 'LOW', 'score': 0}{'risk': 'LOW', 'score': 0}Passed
fall exactly 90 days ago{'risk': 'MODERATE', 'score': 40}{'risk': 'MODERATE', 'score': 40}Passed
fall a year ago{'risk': 'LOW', 'score': 20}{'risk': 'LOW', 'score': 20}Passed
furniture walking{'risk': 'MODERATE', 'score': 40}{'risk': 'MODERATE', 'score': 40}Passed
walker user{'risk': 'MODERATE', 'score': 30}{'risk': 'HIGH', 'score': 45}Failed
weak gait{'risk': 'HIGH', 'score': 45}{'risk': 'HIGH', 'score': 45}Passed
impaired gait{'risk': 'HIGH', 'score': 60}{'risk': 'HIGH', 'score': 60}Passed
score exactly 40{'risk': 'MODERATE', 'score': 40}{'risk': 'MODERATE', 'score': 40}Passed
overestimates own ability{'risk': 'MODERATE', 'score': 30}{'risk': 'MODERATE', 'score': 30}Passed
score exactly 25{'risk': 'MODERATE', 'score': 25}{'risk': 'MODERATE', 'score': 25}Passed
score exactly 45{'risk': 'HIGH', 'score': 45}{'risk': 'HIGH', 'score': 45}Passed

SHA-256 / 907ccc4034587d94e343858d70ed4e1c60bf900abeedcf05ea3055c32ca32c57

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This mechanism has 11 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 2026-09-29T14:47:27.891132+00:00.

Case digest / 021021a43da2ae4f3d3f53e8f1dce247c8141c691310e4191d6dd8be7326614e