{"cases":[{"alternative_route_blocks":[],"case_id":"E15A025__DIRECT","case_type":"DIRECT_POSITIVE","domain":"Emergency medicine","intended_route_id":"B3","omitted_condition_id":null,"remedy_leakage_audit":"The statement presents the diagnostic dispute and its operational consequences without recommending any intervention or corrective procedure.","route_evidence":[{"condition_id":"b004_a10_c1","intended_status":"SATISFIED","scenario_evidence":"Clinicians interpret the new presentation as another instance of a well-known occult-sepsis presentation seen in prior cases."},{"condition_id":"b004_a10_c5","intended_status":"SATISFIED","scenario_evidence":"The classification determines whether the patient enters the sepsis pathway, receives immediate treatment, and is admitted to intensive care."},{"condition_id":"b004_a10_c6","intended_status":"SATISFIED","scenario_evidence":"The hospital maintains a searchable case atlas, but its entries lack exclusions and staff use resemblance to retrieve and apply them."}],"scenario_text":"At a regional hospital, an older patient arrives with confusion, low blood pressure, and mildly elevated lactate but no fever or identified infection. Several clinicians say the presentation resembles a well-known set of prior cases in which sepsis was initially missed because symptoms were atypical. That reading would place the patient on the sepsis pathway, trigger immediate antibiotics and fluid resuscitation, and strongly influence the intensive-care admission decision. The hospital maintains a searchable atlas of diagnostic cases assembled from morbidity conferences and teaching rounds. Staff commonly consult it during handoffs, yet its entries emphasize memorable presentations and rarely specify exclusion criteria, minimum feature combinations, or circumstances in which a resemblance should be ignored. In this case, the team has begun treating the atlas entry as the organizing explanation even though renal medication effects, dehydration, and a recent dosage change could account for several findings. The dispute is consequential because the chosen classification will determine the next orders, monitoring level, and bed assignment.","scenario_title":"An Atypical Emergency Presentation","vocabulary_separation_audit":"The case uses clinical findings, diagnostic teaching materials, treatment orders, monitoring, and hospital disposition language."},{"alternative_route_blocks":[],"case_id":"E15A025__TRANSFER","case_type":"TRANSFER_POSITIVE","domain":"Marine cargo insurance","intended_route_id":"B3","omitted_condition_id":null,"remedy_leakage_audit":"The statement describes an unresolved classification problem and resulting claim-handling consequences without proposing a remedy.","route_evidence":[{"condition_id":"b004_a10_c1","intended_status":"SATISFIED","scenario_evidence":"Adjusters recognize the shipment loss as resembling a familiar phantom-container fraud scheme."},{"condition_id":"b004_a10_c5","intended_status":"SATISFIED","scenario_evidence":"Assigning the fraud category changes payment, referral, reserve, and communication decisions."},{"condition_id":"b004_a10_c6","intended_status":"SATISFIED","scenario_evidence":"A searchable loss-scheme catalog is available, but its broad narrative entries lack thresholds and exclusions."}],"scenario_text":"A marine insurer is reviewing a claim for refrigerated electronics that supposedly vanished after a container was transferred between two ports. The seal number was re-entered by hand, a subcontracted hauler cannot produce complete GPS records, and the consignee reported the loss two days late. Senior adjusters recognize the story as resembling the company’s familiar “phantom container” scheme, in which paperwork creates the appearance of cargo that was diverted before delivery. Applying that claim category would halt routine payment, send the file to the investigations unit, increase the reserve, and alter communications with the broker. The insurer has a searchable catalog of historical loss schemes used by adjusters across regions. Its summaries are written as broad narratives, however, with few thresholds, exclusions, or instructions for distinguishing ordinary logistics failures from deliberate diversion. Several details in the file also have mundane explanations, including a port-system outage and a hauler whose tracking equipment failed on other jobs. Nevertheless, the catalog entry is becoming the main basis for deciding how the claim should proceed.","scenario_title":"The Missing Refrigerated Container","vocabulary_separation_audit":"This domain is substantially separated from the direct case through cargo logistics, claims handling, reserves, brokers, shipping records, and fraud-review terminology."},{"alternative_route_blocks":[{"blocked_by_condition_id":"b004_a10_c2","condition_set_id":"B1","how_blocked":"The file has no deadline or workload pressure, and reviewers have several weeks for examination."},{"blocked_by_condition_id":"b004_a10_c3","condition_set_id":"B1","how_blocked":"No single striking resemblance controls attention; the possible classification rests on several modest indicators."},{"blocked_by_condition_id":"b004_a10_c3","condition_set_id":"B2","how_blocked":"Reviewers explicitly report that no vivid detail dominates the file."},{"blocked_by_condition_id":"b004_a10_c4","condition_set_id":"B2","how_blocked":"The category is an obscure technical code with no prestige, blame value, executive attention, or organizational campaign behind it."}],"case_id":"E15A025__NEAR_MISS","case_type":"ONE_LITERAL_NEAR_MISS","domain":"Marine cargo insurance","intended_route_id":"B3","omitted_condition_id":"b004_a10_c6","remedy_leakage_audit":"The statement records existing review conditions and the unresolved stakes; it does not recommend changing any process or taking a corrective action.","route_evidence":[{"condition_id":"b004_a10_c1","intended_status":"SATISFIED","scenario_evidence":"The shipment facts appear to fit a familiar false-shortage claim category."},{"condition_id":"b004_a10_c5","intended_status":"SATISFIED","scenario_evidence":"Using that category would change payment, investigation, reserve, and broker-notification decisions."},{"condition_id":"b004_a10_c6","intended_status":"CONTRADICTED","scenario_evidence":"The handbook has precise entry and exclusion rules, reviewers document each threshold, and prior audits confirm consistent enforcement."}],"scenario_text":"A marine insurer is examining a claim alleging that several pallets of specialty glass disappeared between a bonded warehouse and the export terminal. The weight ticket, gate timestamp, and later inventory correction collectively resemble a familiar false-shortage claim seen by the cargo unit. Assigning that claim category would suspend payment, open a formal investigation, raise the reserve, and require notice to the broker. The classification does not rest on one striking fact; reviewers describe several modest indicators, none of which dominates the file. There is also no deadline or workload pressure, because the policy allows several weeks for examination. The category is an obscure technical code rather than a prestigious initiative or blame-laden label, and senior management has not promoted it. Unlike many informal reference collections, the insurer’s claims handbook states exact entry thresholds, required corroboration, and explicit exclusions for inventory reconciliations and terminal scanning errors. Reviewers must document every criterion before using a code, and recent audit samples show that they consistently reject classifications falling outside those limits. Even with those boundaries actively enforced, the file’s combined records still appear capable of supporting the familiar category, with material consequences for how the claim is handled.","scenario_title":"The Bonded-Warehouse Shortage","vocabulary_separation_audit":"The near miss retains the transfer domain’s specialized cargo-claim vocabulary and comparable evidentiary complexity while changing the shipment facts and explicitly establishing disciplined catalog boundaries."}],"experiment_id":"eoa_inverse_innovation_exp15_route_aware_retrieval40_20260814","sample_id":"E15A025","schema_version":1}