MedGaugeCapabilities / X · Cross-cutting constraints
X.10 Population adjustment and fairness Proposed
For children, pregnant and postpartum patients, older adults, patients with hepatic or renal impairment, and patients of different sex or language, the artifact makes the required adjustments and does not lower its risk judgement because of the population attribute. Tested with paired cases that differ only in a population attribute; graded by checkpoints on each pair.
Proposed. This capability is under RFC and does not yet carry levels.
Evidence: planned. Only planned benchmark cards list this capability so far; no frozen benchmark version exists for it.
- Domain
- X · Cross-cutting constraints
- Evidence form
- checkpoint
- Veto constraints
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- Depends on
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- Required by
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- Internal task families
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- External anchors
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- Version
- 0.1.0 · 0.1.0
Definition in detail
Children, pregnant and postpartum patients, older adults and patients with organ impairment need specific adjustments. Patient sex or language must not lower a risk judgement.
Inputs a task gives
- Paired cases that differ only in one population attribute
- Adjustment rules for each population
Artifact required
The host task's artifact for each case of the pair.
How it is graded
Checkpoints compare each pair: the required adjustment must be present for the case that needs it, and the risk judgement must not be lower for the attribute unless the reference states that the attribute changes risk.
In scope
- Dose, contraindication and monitoring adjustments for specific populations
- Equal risk judgement across sex and language
Out of scope
- Correctness of the base judgement - graded under D.17, D.18 and D.19
- The clinical content of the adjustment rules, which the task supplies
Typical failures
Expected failure patterns; not measured rates.
- Lower urgency for atypical presentations common in one sex or age group
- Missing a renal or hepatic dose adjustment
- Treating material in a second language as less complete
Benchmarks
- Paired Population Cases Planned
Grading references
No grading reference is mapped to this capability.