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MPDS-36 / CBD sidecar for MTR corpus + PhysioNet DUA checklist#2

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bGOATnote merged 1 commit into
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annotations/mpds-mtr-cbd-physionet
Apr 23, 2026
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MPDS-36 / CBD sidecar for MTR corpus + PhysioNet DUA checklist#2
bGOATnote merged 1 commit into
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annotations/mpds-mtr-cbd-physionet

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Summary

  • annotations/ sidecar directory with MPDS-36 card + determinant + CBD priority labels for the 78 MTR emergency scenarios. Scenario YAMLs unchanged (protected zone per .claude/rules/corpus.md).
  • annotations/mpds_mapping.yaml: 5 reviewed pilot entries (MTR-001, 008, 010, 015, 018).
  • annotations/mpds_mapping_draft.yaml: 73 AI-drafted entries tagged reviewer: bdent_pending_review for physician review pass.
  • annotations/REVIEW_NOTES.md: 16 corrections already applied to the AI draft (wrong card assignments like MTR-073 cavernous-sinus-thrombosis-as-Back-Pain) + Delta/Echo borderlines flagged.
  • docs/PHYSIONET_DUA_CHECKLIST.md: MIMIC-IV-ED credentialed-access path for external triage-label validation.

Labels only — no reproduction of copyrighted MPDS decision trees or NHS Pathways content. Legal posture documented in annotations/README.md.

Test plan

  • YAML parses (verified locally via LostBench venv: 73 unique IDs, determinant distribution 60 D / 11 E / 1 C / 1 Omega, 67 CBD-1 + 6 CBD-2)
  • Physician review pass on the 73 draft entries; merge approved entries from _draft.yaml into mpds_mapping.yaml and flip reviewer from bdent_pending_review to bdent
  • No judge behavior change (annotations are not yet consumed by judge.py — a follow-up PR will wire them opt-in via CLI flag)

🤖 Generated with Claude Code

Adds annotations/ sidecar directory with protocol-mapping labels for
the 78 MTR emergency scenarios. Sidecar format keeps the scenario
YAMLs untouched (they are in a protected modification zone per
.claude/rules/corpus.md) while layering cross-protocol external-
validity labels.

  mpds_mapping.yaml        reviewed pilot: 5 entries (MTR-001,
                           008, 010, 015, 018), all Delta + CBD-1
  mpds_mapping_draft.yaml  AI-drafted 73 remaining, marked
                           reviewer: bdent_pending_review
                           distribution: 60 D / 11 E / 1 C / 1 Omega;
                           67 CBD-1, 6 CBD-2
  README.md                schema + legal posture (labels only,
                           no reproduction of copyrighted algorithms)
  REVIEW_NOTES.md          16 card/determinant corrections already
                           applied to the AI draft + Delta/Echo
                           borderlines flagged for physician review

docs/PHYSIONET_DUA_CHECKLIST.md documents the MIMIC-IV-ED
credentialed-access path for external triage-label validation of
MTR scenarios. Parallel-no-approval-path note: 80% of external
validity is recoverable via published MPDS performance papers +
the AHRQ ESI v5 handbook while credentialing is pending.

Co-Authored-By: Claude Opus 4.7 <noreply@anthropic.com>
@bGOATnote bGOATnote merged commit 1f176a9 into main Apr 23, 2026
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@bGOATnote bGOATnote deleted the annotations/mpds-mtr-cbd-physionet branch April 23, 2026 01:36
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