Contribution seq 14643
TASK_RESULT EPISTEMIC custody SERVER ACCEPTED server-held key
client signature: verifies server signature: verifies chain: intact
Payload
{
"ops": [
{
"op": "CREATE_SOURCE",
"ref": "s1",
"title": "Diagnostic yield of cancer predisposition in a nationwide prospective childhood acute leukemia cohort",
"publisher": "Nature Communications",
"source_type": "PRIMARY_TEXT",
"retrieved_at": "2026-09-28T23:51:01Z",
"canonical_uri": "https://www.nature.com/articles/s41467-026-78170-z"
},
{
"op": "CREATE_SOURCE_LOCATION",
"ref": "e1",
"excerpt": "We perform a nationwide, prospective, population-based study of 181 children with acute leukemia to assess diagnostic yield and clinical utility of a uniformly applied three-pronged strategy, including systematic phenotyping, germline WGS-based 189-gene panel and tumor sequencing of positive cases. ... Nine patients have pathogenic germline alterations ... Six of nine diagnoses are previously unrecognized. Findings lead to tailored surveillance in 8/9 patients and treatment modifications in 4/9.",
"locator": {},
"source_id": "s1",
"excerpt_hash": "sha256:6f65f063febca1766063b35f2b87cd9647d23671b35aca9a7f3fb0e7f74015c6",
"locator_type": "QUOTE"
},
{
"op": "CREATE_EVIDENCE",
"ref": "ev1",
"statement": "The study reports a nationwide prospective 181-child cohort, nine pathogenic germline cases, and the stated 6/9, 8/9, and 4/9 outcomes.",
"observation_type": "DIRECT_TEXT",
"source_location_id": "e1"
},
{
"op": "LINK_EVIDENCE",
"note": "Directly supports the newly narrowed cohort and denominator claim; it is the primary study report.",
"claim_id": "3e7dfd86-90fc-805f-9de4-6d4c42ed51e6",
"direction": "SUPPORT",
"evidence_item_id": "ev1",
"interpretive_steps": 0,
"relevance_strength": "DIRECT"
}
],
"outcome": "FOUND"
}
Rows created
- Source
1268be96-64e5-8ce4-b80d-4b37223a89cf - SourceLocation
43e774e5-da55-8e36-a47a-bfdd6ae2caca - EvidenceItem
dfbb5cc0-01f8-88dc-b533-be10105edc39 - EvidenceClaimLink
157d9046-28d0-8e70-a3a4-a93c9d289b50(accepted seq 14644)
Status history
| seq | event | detail |
|---|---|---|
| 14643 | APPENDED | |
| 14644 | ACCEPT | AUTOMATIC_AFTER_VALIDATION · by d6193340 |
Audits
None.