Replay FRUN-00051 specificity check (heart failure type, kidney stage, nutrition)
Live recomputation (nothing written): identical hash
- Stored replay hash
e089013f4263df0c457178df31ed9ae20d924efe06a78eeca0cb32f1a95615f0- Recomputed replay hash
e089013f4263df0c457178df31ed9ae20d924efe06a78eeca0cb32f1a95615f0- Measurement-side replay hash
8c46ecd057ec732ae7dc49a576028a3d84b702c8b2ac4c603d75af6eb3721e5a- Inputs intact
- yes
- Engine
- front-engine 1.2
- Trigger
- warm · Fri Nov 13, 2026 04:55 PM · after kidney check RUN-00051
| Definition | Logic sha256 |
|---|---|
front_hf_acuity_indicators@1.0 | 2647432cae17be10… |
front_hf_ef_type@1.0 | be92b91e27da3935… |
front_kidney_stage_wording@1.0 | 0396e74755da2be2… |
front_malnutrition_global_consensus@1.0 | 7437cd4db83f9c08… |
front_malnutrition_us_consensus@1.0 | 0e5568fbd1769203… |
Stored inputs (exactly what the definitions read)
{
"as_of": "2026-11-13T16:55:00-05:00",
"encounter": {
"admit_dt": "2026-11-12T15:00:00-05:00",
"encounter_id": "KE-P43",
"setting": "outpatient"
},
"items": [
{
"data": {
"author": "Dr. Ines Varga (cardiology)",
"method": "transthoracic, right-heart study, report text only",
"text": "Transthoracic echocardiogram focused on the right heart. Right ventricular fractional area change 30%. Tricuspid annular plane systolic excursion 14 mm. Estimated pulmonary artery systolic pressure 48 mmHg. Left ventricle not assessed in this study."
},
"item_id": "ECHO-P43-1",
"kind": "echo",
"time": "2026-10-13T13:10:00-04:00"
},
{
"data": {
"kg": 79.5
},
"item_id": "WT-P43-1",
"kind": "weight",
"time": "2026-11-12T15:05:00-05:00"
},
{
"data": {
"ai": {
"faults": [],
"model": "openai/gpt-6.1-terra",
"model_version": "openai/gpt-6.1-terra",
"provider": "openrouter",
"status": "agree",
"task": "exactdx.echo_ef@1"
},
"author": "Dr. Ines Varga (cardiology)",
"date": "2026-10-13",
"label": "the report text states no left-ventricular ejection fraction",
"method": "transthoracic, right-heart study, report text only",
"report_sha256": "d1e89e6bec496d6831d11897f2d81841530fb09d3190c88f6224ad9bef70aa5d",
"rule": {
"found": false
},
"source_item": "ECHO-P43-1",
"status": "not_stated"
},
"item_id": "ECHO-P43-1.text",
"kind": "echo_text",
"time": "2026-10-13T13:10:00-04:00"
}
],
"kidney": {
"acr": [],
"acute_change": {
"flag": false,
"latest": "L-0101",
"latest_value": 1.02,
"lookback_days": 365,
"lowest": "L-0100",
"lowest_value": 1.02,
"ratio": 1.0
},
"albuminuria": {
"met": false
},
"direction": "NONE",
"e21": {
"direction": "NONE",
"direction_why": "",
"latest": {
"confirmed": true,
"date": "2026-11-12",
"g": "G2",
"lab_id": "L-0101",
"value": 82.6
},
"met": false,
"normal_pair": [
"L-0100",
"L-0101"
],
"persistence": {
"days_apart": null,
"latest": null,
"met": false,
"pair": null,
"pair_values": null,
"persistent_value": null,
"reason": "no qualifying value"
},
"reason": "two values of 60 or more 200 days apart, none below 60 after them",
"reason_code": "persistent_normal",
"route": null,
"stage": null,
"status": "not_met"
},
"egfr": [
{
"date": "2026-04-26",
"egfr_2021": 82.6,
"g_2021": "G2",
"lab_id": "L-0100"
},
{
"date": "2026-11-12",
"egfr_2021": 82.6,
"g_2021": "G2",
"lab_id": "L-0101"
}
],
"stated_stage": null
},
"note": {
"note_id": "KN-P43-1",
"reading": {
"ai": {
"families": {
"heart_failure": {
"faults": [],
"spans": [
[
121,
126
]
],
"status": "agree"
},
"malnutrition": {
"faults": [],
"spans": [],
"status": "agree"
}
},
"faults": [],
"model": "openai/gpt-6.1-terra",
"model_version": "openai/gpt-6.1-terra",
"provider": "openrouter",
"sent_sha256": "bdfbeadf01d061ad5a209d67b9f19323d5af10539e0932478102417e02213759",
"status": "ok",
"task": "exactdx.front_statements@1"
},
"mentions": [
{
"assertion": "affirmed",
"category": "reduced",
"context": null,
"end": 126,
"family": "heart_failure",
"quote": "HFrEF",
"start": 121,
"words": []
}
],
"reader": "front-lexicon 1.0",
"text_sha256": "bdfbeadf01d061ad5a209d67b9f19323d5af10539e0932478102417e02213759"
}
},
"patient": {
"birth_date": "1962-11-17",
"patient_id": "P43",
"sex": "M"
}
}Stored output
{
"engine": "front-engine 1.2",
"families": {
"heart_failure": {
"acuity_words": [],
"definition": "front_hf_ef_type@1.0",
"direction": "NOT_ASSESSABLE",
"measurement": {
"acuity": {
"admissions": [],
"iv_diuretic": [],
"natriuretic": null,
"symptoms": [],
"weight": {
"latest": {
"date": "2026-11-12",
"id": "WT-P43-1",
"kg": 79.5
},
"reference": null
}
},
"baseline": null,
"category": null,
"efs": [],
"improved": null,
"latest": null,
"option_status": {
"improved": {
"shows": "no ejection fraction on file",
"status": "not_assessable"
},
"mildly_reduced": {
"shows": "no ejection fraction on file",
"status": "not_assessable"
},
"preserved": {
"shows": "no ejection fraction on file",
"status": "not_assessable"
},
"reduced": {
"shows": "no ejection fraction on file",
"status": "not_assessable"
}
},
"reports_without_ef": [
{
"author": "Dr. Ines Varga (cardiology)",
"date": "2026-10-13",
"id": "ECHO-P43-1",
"label": "the report text states no left-ventricular ejection fraction",
"method": "transthoracic, right-heart study, report text only",
"time": "2026-10-13T13:10:00-04:00"
}
]
},
"mention": {
"assertion": "affirmed",
"category": "reduced",
"context": null,
"end": 126,
"family": "heart_failure",
"quote": "HFrEF",
"start": 121,
"words": []
},
"options": [
{
"key": "reduced",
"kind": "wording",
"requires": "latest ejection fraction 40% or lower",
"shows": "no ejection fraction on file",
"status": "not_assessable",
"status_label": "not assessable",
"wording": "Heart failure with reduced ejection fraction (HFrEF)"
},
{
"key": "mildly_reduced",
"kind": "wording",
"requires": "latest ejection fraction 41% to 49%",
"shows": "no ejection fraction on file",
"status": "not_assessable",
"status_label": "not assessable",
"wording": "Heart failure with mildly reduced ejection fraction (HFmrEF)"
},
{
"key": "preserved",
"kind": "wording",
"requires": "latest ejection fraction 50% or higher",
"shows": "no ejection fraction on file",
"status": "not_assessable",
"status_label": "not assessable",
"wording": "Heart failure with preserved ejection fraction (HFpEF)"
},
{
"key": "improved",
"kind": "wording",
"requires": "an earlier ejection fraction of 40% or lower, the latest above 40%, and a rise of at least 10 points",
"shows": "no ejection fraction on file",
"status": "not_assessable",
"status_label": "not assessable",
"wording": "Heart failure with improved ejection fraction (HFimpEF)"
},
{
"key": "other",
"kind": "fixed",
"wording": "Other (I will write it)"
},
{
"key": "unable",
"kind": "fixed",
"wording": "Clinically unable to determine"
},
{
"key": "not_supported",
"kind": "fixed",
"wording": "Not clinically supported (I will revise the note myself)"
}
],
"stated": "reduced",
"why": "no_ef"
},
"kidney": {
"definition": "front_kidney_stage_wording@1.0",
"direction": "NONE",
"measurement": {
"acr": [],
"acute_change": {
"flag": false,
"latest": "L-0101",
"latest_value": 1.02,
"lookback_days": 365,
"lowest": "L-0100",
"lowest_value": 1.02,
"ratio": 1.0
},
"albuminuria_persistent": false,
"direction": "NONE",
"option_status": {
"G1": {
"shows": "filtering rate 60 or above; needs a kidney damage marker (no persistent albuminuria on file)",
"status": "not_assessable"
},
"G2": {
"shows": "filtering rate 60 or above; needs a kidney damage marker (no persistent albuminuria on file)",
"status": "not_assessable"
},
"G3a": {
"shows": "results at least 90 days apart are 60 or above",
"status": "not_met"
},
"G3b": {
"shows": "results at least 90 days apart are 60 or above",
"status": "not_met"
},
"G4": {
"shows": "results at least 90 days apart are 60 or above",
"status": "not_met"
},
"G5": {
"shows": "results at least 90 days apart are 60 or above",
"status": "not_met"
}
},
"pair": [],
"route": null,
"stage": null,
"stated_stage": null,
"status": "not_met"
},
"options": [
{
"key": "G1",
"kind": "wording",
"requires": "filtering rate 90 or above with a kidney damage marker (for example albuminuria on two tests at least 90 days apart)",
"shows": "filtering rate 60 or above; needs a kidney damage marker (no persistent albuminuria on file)",
"status": "not_assessable",
"status_label": "not assessable",
"wording": "Chronic kidney disease stage 1"
},
{
"key": "G2",
"kind": "wording",
"requires": "filtering rate 60-89 with a kidney damage marker (for example albuminuria on two tests at least 90 days apart)",
"shows": "filtering rate 60 or above; needs a kidney damage marker (no persistent albuminuria on file)",
"status": "not_assessable",
"status_label": "not assessable",
"wording": "Chronic kidney disease stage 2"
},
{
"key": "G3a",
"kind": "wording",
"requires": "filtering rate 45-59 on two results at least 90 days apart",
"shows": "results at least 90 days apart are 60 or above",
"status": "not_met",
"status_label": "not met",
"wording": "Chronic kidney disease stage 3a"
},
{
"key": "G3b",
"kind": "wording",
"requires": "filtering rate 30-44 on two results at least 90 days apart",
"shows": "results at least 90 days apart are 60 or above",
"status": "not_met",
"status_label": "not met",
"wording": "Chronic kidney disease stage 3b"
},
{
"key": "G4",
"kind": "wording",
"requires": "filtering rate 15-29 on two results at least 90 days apart",
"shows": "results at least 90 days apart are 60 or above",
"status": "not_met",
"status_label": "not met",
"wording": "Chronic kidney disease stage 4"
},
{
"key": "G5",
"kind": "wording",
"requires": "filtering rate below 15 on two results at least 90 days apart",
"shows": "results at least 90 days apart are 60 or above",
"status": "not_met",
"status_label": "not met",
"wording": "Chronic kidney disease stage 5"
},
{
"key": "other",
"kind": "fixed",
"wording": "Other (I will write it)"
},
{
"key": "unable",
"kind": "fixed",
"wording": "Clinically unable to determine"
},
{
"key": "not_supported",
"kind": "fixed",
"wording": "Not clinically supported (I will revise the note myself)"
}
]
}
}
}