{
  "reviewed_on": "2026-10-16",
  "source_version": 43,
  "source_commit": "0b5e5199cd3b48fdec45d5dc81c340d02df3a023",
  "method": "Sequential review of canonical teaching, assessments, completion handlers, grant narratives, budgets and current primary sources. Prior full audio audit carried forward only after file-hash comparison.",
  "real_browser_tested": false,
  "human_listening_approved": false,
  "grant_submitted": false,
  "activities": [
    {
      "slug": "pregnancy-heart-history",
      "title": "Pregnancy Is Heart History",
      "budget": 73550,
      "educator_fee": 13200,
      "educator_percent": 17.95,
      "flow_checks": 14,
      "assessment": "3 baseline, 6 formative, 6 final; pass at 4/6; no required writing",
      "audio": "Full prior audio check retained; no priority pronunciation flag for this activity. Human listening remains unapproved.",
      "changes": [
        "Corrected Amgen financial documentation deadline in grant schedule, narratives and submission tracker.",
        "Expanded the shared-cost worksheet to include all six activities."
      ],
      "grant_pending": [
        "Accredited US provider/legal applicant and current W-9",
        "Named faculty and independent clinical/assessment review",
        "Final myCME statement of work; only this activity has the $20,000 quote",
        "Timed pilot, device and human listening approval"
      ],
      "official_sources": [
        "https://www.amgen.com/responsibility/healthy-people/community-investment/independent-medical-education-funding",
        "https://pmc.ncbi.nlm.nih.gov/articles/PMC10111091/",
        "https://professional.heart.org/en/science-news/2026-guideline-on-the-management-of-dyslipidemia",
        "https://www.novartis.com/news/media-releases/novartis-announces-lpahorizon-phase-iii-topline-results-pelacarsen-patients-elevated-lpa-and-established-cardiovascular-disease-cvd"
      ],
      "ready_for_partner_review": true,
      "approved_for_accredited_launch": false,
      "audio_mp3_count": 5,
      "video_mp4_count": 4,
      "priority_listening_flags": []
    },
    {
      "slug": "obesity-diabetes",
      "title": "Obesity and Diabetes Care in Women",
      "budget": 75650,
      "educator_fee": 13200,
      "educator_percent": 17.45,
      "flow_checks": 22,
      "assessment": "3 baseline, 6 required case decisions, 6 final; pass at 4/6; optional worked examples",
      "audio": "Prior complete pass and two peak corrections retained; three priority pronunciation passages remain open.",
      "changes": [
        "Added activity-specific monthly, quarterly and final grant-reporting responsibilities and a downloadable checklist.",
        "Expanded the shared-cost worksheet to include all six activities.",
        "Separated later outcomes analysis from agreement-specific financial closeout deadlines."
      ],
      "grant_pending": [
        "Current Lilly portal priority document and exact topic eligibility",
        "Separate activity-specific host quote; pregnancy quote does not apply",
        "Faculty/provider agreements and independent review",
        "Three priority pronunciation passages and device/timing pilot"
      ],
      "official_sources": [
        "https://grantoffice.lilly.com/areas-of-focus",
        "https://grantoffice.lilly.com/requirements",
        "https://onlinelibrary.wiley.com/doi/abs/10.1111/dme.70327",
        "https://pi.lilly.com/us/foundayo-uspi.pdf"
      ],
      "ready_for_partner_review": true,
      "approved_for_accredited_launch": false,
      "audio_mp3_count": 5,
      "video_mp4_count": 4,
      "priority_listening_flags": [
        {
          "label": "Obesity and diabetes · trial comparator",
          "path": "activities/obesity-diabetes/podcast/episode.mp3",
          "start": 439.92,
          "end": 475.92,
          "time": "7:20–7:56",
          "expected": "Tirzepatide versus dulaglutide met noninferiority; hazard ratio 0.92, 95.3% confidence interval 0.83–1.01. Superiority was not established.",
          "reason": "Confirm both medicine names and the word “noninferiority.” The recognizer returned a phonetic variant; this is a review flag, not a confirmed recording error."
        },
        {
          "label": "Obesity and diabetes · safety terminology",
          "path": "activities/obesity-diabetes/podcast/episode.mp3",
          "start": 639,
          "end": 679,
          "time": "10:39–11:19",
          "expected": "Check the spoken words “secretagogues,” “CYP3A4,” “OATP1B,” and “simvastatin” against the written transcript.",
          "reason": "Both the complete-file and isolated unprompted recognition passes returned unclear phonetic variants, particularly for secretagogues. This is a pronunciation review flag, not a confirmed clinical or recording error."
        },
        {
          "label": "Obesity and diabetes · reproductive counseling recap",
          "path": "activities/obesity-diabetes/assets/HEART_RESERVE_Clinical_Conversation.mp3",
          "start": 35,
          "end": 63,
          "time": "0:35–1:03",
          "expected": "Verify the medicine names Wegovy, tirzepatide and Zepbound in the clinical-conversation recap.",
          "reason": "The full-file and isolated recognition passes consistently rendered these names as phonetic variants. Listen to the original before accepting or rerecording the passage."
        }
      ]
    },
    {
      "slug": "glp1-pregnancy-planning",
      "title": "GLP-1 Medicines and Pregnancy Planning",
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      "educator_percent": 17.23,
      "flow_checks": 43,
      "assessment": "3 baseline, 6 required case decisions, 6 final; pass at 4/6; no required writing",
      "audio": "Prior complete audio pass retained; one lactation/drug-name pronunciation passage remains open.",
      "changes": [
        "Added activity-specific Lilly grant-reporting responsibilities, downloadable checklist and matching application narratives.",
        "Expanded the shared-cost worksheet to include all six activities.",
        "Separated later outcomes analysis from agreement-specific financial closeout deadlines."
      ],
      "grant_pending": [
        "Current Lilly portal priority and exact reproductive-health topic eligibility",
        "Separate host quote and confirmed applicant/provider roles",
        "Independent faculty review, one priority pronunciation passage and timed/device pilot"
      ],
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        "https://pi.lilly.com/us/zepbound-uspi.pdf",
        "https://www.novo-pi.com/wegovy.pdf",
        "https://pubmed.ncbi.nlm.nih.gov/42576647/",
        "https://pubmed.ncbi.nlm.nih.gov/42258827/"
      ],
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          "path": "activities/glp1-pregnancy-planning/podcast/episode.mp3",
          "start": 513.92,
          "end": 565.92,
          "time": "8:34–9:26",
          "expected": "The written passage distinguishes oral from injectable semaglutide, describes the limitations of tirzepatide lactation data, and gives separate Wegovy-tablet and Foundayo wording.",
          "reason": "The revised wording is present in the independent transcript. Check semaglutide, tirzepatide, Wegovy, SNAC and Foundayo pronunciation against the manuscript and approved clinical review."
        }
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      "audio": "Prior complete audio pass retained; Denise's blood-pressure passage requires human listening.",
      "changes": [
        "Added explicit Bayer reporting owners, date triggers and downloadable checklist; financial reconciliation within 60 days and data/outcomes within 30 days of availability.",
        "Expanded the shared-cost worksheet to include all six activities."
      ],
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        "Named faculty, recruitment plan and separate activity-specific host quote",
        "Independent review, one priority pronunciation passage and timed/device pilot"
      ],
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        "https://diabetesjournals.org/care/article/49/Supplement_1/S246/163914/11-Chronic-Kidney-Disease-and-Risk-Management",
        "https://www.nejm.org/doi/abs/10.1056/NEJMoa2410659",
        "https://pmc.ncbi.nlm.nih.gov/articles/PMC8740923/"
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      "approved_for_accredited_launch": false,
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          "path": "activities/kidney-heart-health/podcast/episode.mp3",
          "start": 48.58,
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          "time": "0:49–1:08",
          "expected": "A1C 6.7%; blood pressure 132/80 mm Hg; eGFR 78 mL/min/1.73 m².",
          "reason": "The recognizer wrote “130 to 80,” which may represent the homophone “thirty-two/eighty.” The intended systolic value is 132; listening must resolve clarity."
        }
      ]
    },
    {
      "slug": "hfpef-in-women",
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      "audio": "Prior complete audio/video pass retained; two Angela passages require human listening.",
      "changes": [
        "Aligned the live assessment import's revision with its current source edition; verified unchanged stems, options and keys.",
        "Updated verification to cover the current three-module companion and 18 live/enduring follow-up mappings.",
        "Expanded the shared-cost worksheet to include all six activities."
      ],
      "grant_pending": [
        "Confirm the saved November 3, 2026 RFP deadline and current call in the BIPI portal; the public RFP PDF could not be retrieved again today",
        "Confirm enduring-companion eligibility under the live/virtual call",
        "Eligible organizational applicant, named faculty, separate quotes and verified recruitment assumptions",
        "Independent assessment validation, timed pilot, two priority audio passages and real-device/accessibility QA"
      ],
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        "https://www.acc.org/latest-in-cardiology/journal-scans/2026/07/22/17/25/updated-acc-ecdp-addresses-management-of-hfpef",
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        "https://labeling.bayerhealthcare.com/html/products/pi/Kerendia_PI.pdf"
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          "time": "2:24–3:08",
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          "reason": "The recognizer joined the hazard ratio and the following 95% into one numeral. Confirm that their spoken separation is clear."
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        {
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}