{"use":"reference for coders — the clinician's documented statement governs; the software does not assign codes","rows":[{"family":"copd_airflow","condition":"Chronic obstructive pulmonary disease (airflow component)","tier":"judgement","definition":"gold2026_copd_airflow@1.0","category":"gold_2","category_label":"GOLD 2 (moderate): 50% ≤ FEV1 <80% predicted","state":"met","values":[{"analyte":"fev1_fvc_ratio_post_bd","measurement_id":"LM-P07-01","time":"2026-09-11T10:00:00-04:00","unit":"ratio","value":0.58},{"analyte":"fev1_pct_predicted_post_bd","measurement_id":"LM-P07-02","time":"2026-09-11T10:00:00-04:00","unit":"%","value":62.0}],"note":{"mentions":[{"assertion":"affirmed","quote":"COPD"},{"assertion":"affirmed","quote":"COPD"}],"quotes":["COPD","COPD"],"status":"stated"},"entered":[{"code":"J44.9","description":"Chronic obstructive pulmonary disease, unspecified","dx_id":"LD-P07-1","source":"visit diagnosis list (synthetic)"}],"assessment":"cannot_assess","assessment_label":"Cannot be assessed","detail":"judgement tier: the record shows these values; the condition needs clinical judgement","specificity_distinguished":"COPD with acute lower respiratory infection, with acute exacerbation, bronchiolitis obliterans, other specified, unspecified; the code set does not distinguish GOLD grades","expected_codes":[],"open":false,"review_state":"draft — pending clinical and coding review"}]}