FA-64793 / Clinical triage scoring / Member archive
Four-item dehydration scale with weight-loss override: override never downgrades · case 03
A severely dehydrated child with 4% weight loss is downgraded to SOME.
Case contract
Input {appearance (normal|thirsty_restless|drowsy_limp), eyes (normal|slightly_sunken|very_sunken), mucous (moist|sticky|dry), tears (present|decreased|absent), weight_loss_pct (or null)}. Items score 0/1/2 in the listed order. Category: 0 NONE, 1-4 SOME, 5-8 MODERATE_SEVERE. A measured weight loss >= 10% forces MODERATE_SEVERE; >= 3% raises NONE to SOME but never lowers a category. Return {score, category}.
Why this case matters
Ordinal clinical scales combined with an objective override can fail in item mapping, band edges and override direction.
One recorded failure
Sample boundary fixtureThis sample comes from the broken implementation of a controlled reproducer.
| Boundary fixture | Actual | Expected | Outcome |
|---|---|---|---|
| weight loss 4 percent with severe signs | {"category": "SOME", "score": 8} | {"category": "MODERATE_SEVERE", "score": 8} | Failed |
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