{
  "schema": "dxx-content-material-review-v15",
  "completedAt": "2026-10-18T16:52:26+08:00",
  "reviewType": "sequential_agent_content_material_review",
  "roundsCompleted": 4,
  "reviewerRole": "AI content/material reviewer; not a professional teacher signoff",
  "professionalTeacherSignoff": false,
  "clinicalValidation": false,
  "assessmentValidation": false,
  "runtimeIntegrationVerified": false,
  "objectiveFile": "learning/objectives-v15.json",
  "documentationCopy": "clinic3d/docs/objectives-v15.json",
  "finalVersion": "15.0.4",
  "finalSha256": "a147eb81d53f7373686073b3485bec2acad80c06265d05a1eed068f8e362aed1",
  "objectiveCount": 8,
  "itemCount": 16,
  "sourceCount": 19,
  "rounds": [
    {
      "round": 1,
      "title": "学习目标与八幕对齐",
      "reportPath": "clinic3d/docs/review-v15-round-1.md",
      "inputVersion": "15.0.0",
      "outputVersion": "15.0.1",
      "beforeSha256": "46bfdcebe2afebc4e54ef1704a1f57ff99758db030632771162929a3ddd78524",
      "afterSha256": "486b408fb54bb6b6d0133602252d709ac252403e765ad3749da1c545127be3a8",
      "changes": [
        "逐目标写可观察考点",
        "区分两题抽样与整幕技能"
      ]
    },
    {
      "round": 2,
      "title": "医学概念与来源核对",
      "reportPath": "clinic3d/docs/review-v15-round-2.md",
      "inputVersion": "15.0.1",
      "outputVersion": "15.0.2",
      "beforeSha256": "486b408fb54bb6b6d0133602252d709ac252403e765ad3749da1c545127be3a8",
      "afterSha256": "95b99e9c04b620f2a050e762bef7035b8e5a7f58a1a4179219bef4dffd885a18",
      "changes": [
        "步态加入平地成人及通常等限定",
        "MPP加入直接一手格式来源并限制其用途"
      ]
    },
    {
      "round": 3,
      "title": "数据、方法与评分推断边界",
      "reportPath": "clinic3d/docs/review-v15-round-3.md",
      "inputVersion": "15.0.2",
      "outputVersion": "15.0.3",
      "beforeSha256": "95b99e9c04b620f2a050e762bef7035b8e5a7f58a1a4179219bef4dffd885a18",
      "afterSha256": "811e46e6c9fde020e895a6283175bf7a360c548f79aedd5bf5492b62f65bafa4",
      "changes": [
        "病例14月史与虚构示例明确",
        "MRC0—5不混量表",
        "达成口径标为课程原创而非验证量表"
      ]
    },
    {
      "round": 4,
      "title": "修订后逐题与文件关联复核",
      "reportPath": "clinic3d/docs/review-v15-round-4.md",
      "inputVersion": "15.0.3",
      "outputVersion": "15.0.4",
      "beforeSha256": "811e46e6c9fde020e895a6283175bf7a360c548f79aedd5bf5492b62f65bafa4",
      "afterSha256": "a147eb81d53f7373686073b3485bec2acad80c06265d05a1eed068f8e362aed1",
      "changes": [
        "加载后改为初始接触后的加载反应",
        "打散显示位置周期，答案ID保持不变",
        "结构、题源、双副本一致性18项检查通过"
      ]
    }
  ],
  "checks": {
    "topLevelSchema": true,
    "eightObjectives": true,
    "eightActMapping": true,
    "sixteenUniqueItems": true,
    "twoLinkedItemsPerObjective": true,
    "itemObjectiveOwnership": true,
    "threeDistinctOptions": true,
    "oneCanonicalCorrectOption": true,
    "stableIdsAndAnswers": true,
    "allHaveExplanations": true,
    "allSourcesResolve": true,
    "sourceIdsUniqueAndUrls": true,
    "knowledgeScopeOnly": true,
    "criteriaTwoCorrect": true,
    "copiesIdentical": true,
    "caseIdentityAnd14Months": true,
    "explicitFictionalMMTAndBalance": true,
    "gaitContextAndLoading": true
  },
  "contentChecksPassed": true,
  "criterion": {
    "perObjective": "Both linked knowledge items correct in the current valid assessment; not an operation receipt, playback or AI endorsement.",
    "scope": "knowledge_and_reasoning",
    "notClinicalSkill": true,
    "knowledgeGoalRateVsItemAccuracy": "Achieved objectives / 8 differs from correct items / 16; e.g.8 correct first items yields0 achieved objectives."
  },
  "sourceReview": {
    "newlyOpened": [
      "gottschall_com_2006",
      "nhs_flatfeet",
      "mmt_mrc",
      "novel_mpp_definition"
    ],
    "officialIndexed": [
      "apta_cai_2021"
    ],
    "otherSourceEvidence": "Retained v14-clinical-sources.json and v14-rom-mmt-sources.json records; direct/full-text vs index access remains distinguished.",
    "novelScope": "First-party format/operation explanation only, not a diagnostic or efficacy source.",
    "copiedSourceFigures": false,
    "newExternalModels": false,
    "importedPatientMeasurements": false
  },
  "remaining": [
    "Professional teacher review of script, item wording and educational fit",
    "Assessment validity/reliability and standard-setting if used beyond formative self-study",
    "Root integration tests: server-authoritative grading, version/current attempts and cohort denominator",
    "Actual DeepSeek requests, teacher discussions/feedback and browser/ZIP checks"
  ],
  "summary": "四轮内容资料审查按版本顺序完成并实际修订；不声称教师签审、临床验证或国家申报成品。"
}