diff --git a/Git提交准备清单.md b/Git提交准备清单.md
new file mode 100644
index 00000000..8175c9e4
--- /dev/null
+++ b/Git提交准备清单.md
@@ -0,0 +1,476 @@
+# Git 提交准备清单
+
+> **创建时间：** 2025-11-15  
+> **目的：** 整理未被 Git 管理的文件，准备提交到远程仓库
+
+---
+
+## 📊 未追踪文件统计
+
+| 类别 | 数量 | 操作建议 |
+|------|------|----------|
+| **✅ 应该提交的文件** | ~350 个 | 需要添加 |
+| **⚠️ 需要确认的文件** | ~30 个 | 人工判断 |
+| **❌ 不应提交的文件** | ~20 个 | 忽略或删除 |
+
+---
+
+## ✅ 第一类：应该提交的文件（高优先级）
+
+### 1. 配置文件（2 个）⭐
+```
+.editorconfig           ← 编辑器统一配置（UTF-8）
+.gitattributes          ← Git 行尾配置
+```
+**理由**：防止中文乱码，统一团队开发规范
+
+### 2. 后端核心代码（~60 个文件）⭐⭐⭐
+```
+backend/src/common/            ← 通用能力层（新架构）
+├── document/ExtractionClient.ts
+├── llm/adapters/
+│   ├── DeepSeekAdapter.ts
+│   ├── QwenAdapter.ts
+│   ├── LLMFactory.ts
+│   └── types.ts
+├── middleware/validateProject.ts
+├── rag/DifyClient.ts
+└── utils/jsonParser.ts
+
+backend/src/legacy/            ← 业务代码（新架构）
+├── controllers/  (8 个文件)
+├── routes/       (7 个文件)
+├── services/     (8 个文件)
+└── templates/    (1 个文件)
+```
+**理由**：Task 19 后端架构重构的核心成果
+
+### 3. 前端新架构（frontend-v2，~30 个文件）⭐⭐⭐
+```
+frontend-v2/                   ← 新前端架构（React 19）
+├── package.json
+├── src/framework/             ← 模块注册、权限、路由
+│   ├── modules/               ← 模块注册机制
+│   ├── permission/            ← 权限管理
+│   └── router/                ← 路由守卫
+├── src/modules/               ← 6 个业务模块占位符
+│   ├── aia/
+│   ├── asl/
+│   ├── pkb/
+│   ├── dc/
+│   ├── ssa/
+│   └── st/
+└── src/pages/HomePage.tsx
+```
+**理由**：Task 17 前端模块注册机制的成果
+
+### 4. 前端扩展功能（~40 个文件）⭐⭐
+```
+frontend/src/api/
+├── batchApi.ts               ← 批量处理 API
+└── reviewApi.ts              ← 稿件审查 API
+
+frontend/src/components/chat/
+├── BatchMode.tsx             ← 批量处理模式
+├── DeepReadMode.tsx          ← 深度阅读模式
+├── FullTextMode.tsx          ← 全文模式
+├── DocumentSelector.tsx      ← 文档选择器
+└── ...（共 20+ 个组件）
+
+frontend/src/components/review/
+├── EditorialReview.tsx       ← 编辑规范评估
+├── MethodologyReview.tsx     ← 方法学评估
+└── ScoreCard.tsx
+
+frontend/src/pages/
+├── ReviewPage.tsx            ← 稿件审查页面
+├── ChatPage.backup.tsx       ← 备份文件（可删除）
+└── ChatPage.new.tsx          ← 备份文件（可删除）
+```
+**理由**：Phase 2-3 的重要功能扩展
+
+### 5. 文档体系（~250 个文件）⭐⭐⭐
+```
+docs/00-系统总体设计/         ← 系统架构文档（12 个文件）
+docs/00-项目概述/             ← PRD 和白皮书（6 个文件）
+docs/01-平台基础层/           ← 平台层文档（10 个文件）
+docs/02-通用能力层/           ← 通用能力文档（9 个文件）
+docs/03-业务模块/             ← 业务模块文档（~150 个文件）
+├── ASL-AI智能文献/           ← 新增的 ASL 模块文档 ⭐
+│   ├── 01-需求分析/
+│   ├── 02-技术设计/
+│   │   ├── 06-质量保障与可追溯策略.md
+│   │   └── 07-文献处理技术选型.md
+│   ├── 03-UI设计/
+│   ├── 04-开发计划/
+│   └── 05-测试文档/
+│       └── 03-测试数据/
+│           ├── README.md
+│           ├── Test Cases.xlsx
+│           └── 测试案例的PICOS、纳入标准、排除标准.txt
+docs/04-开发规范/             ← 开发规范（6 个文件）
+docs/05-部署文档/             ← 部署文档（2 个文件）
+docs/06-测试文档/
+docs/07-运维文档/             ← 运维文档（3 个文件）
+docs/08-项目管理/             ← 项目管理文档（14 个文件）
+docs/09-架构实施/             ← 架构实施文档（21 个文件）
+docs/_templates/              ← 文档模板（5 个文件）
+```
+**理由**：完整的文档体系，团队协作必需
+
+### 6. 后端配置和脚本（~15 个文件）
+```
+backend/CLOSEAI-CONFIG.md
+backend/check-api-config.js
+backend/database-validation-simple.sql
+backend/database-validation.sql
+backend/prisma/migrations/20251012124747_add_batch_processing_module/
+backend/prisma/migrations/20251014120128_add_review_tasks/
+backend/prisma/seed.ts
+backend/prompts/
+├── review_editorial_system.txt
+└── review_methodology_system.txt
+backend/update-env-closeai.ps1
+backend/初始化测试用户.bat
+backend/测试用户说明.md
+```
+**理由**：数据库迁移、配置脚本、提示词模板
+
+### 7. 项目根目录文档（~15 个文件）
+```
+START-HERE-FOR-AI.md           ← AI 上手指南
+PHASE1-测试指南.md
+Phase2-UI优化总结.md
+Phase2-全文阅读模式-真实实现.md
+Phase2-快速测试清单.md
+Phase2-测试指南.md
+Phase3-快速参考.md
+Phase3-最终收尾-测试指南.md
+README-Phase2测试.md
+README-里程碑1.5完成.md
+如何测试Phase2.md
+智能引用功能-测试指南.md
+检查测试环境.bat
+稿件审查功能-最终完成报告.md
+测试记录/
+```
+**理由**：阶段性成果总结和测试指南
+
+---
+
+## ⚠️ 第二类：需要确认的文件
+
+### 1. 测试脚本（可选）
+```
+backend/test-batch-api.js      ← 批量处理测试
+backend/test-review-api.js     ← 审查 API 测试
+backend/temp-migration/        ← 临时迁移脚本
+```
+**建议**：如果还需要，可以提交；如果是一次性测试，可以删除
+
+### 2. 前端备份文件
+```
+frontend/src/pages/ChatPage.backup.tsx
+frontend/src/pages/ChatPage.new.tsx
+```
+**建议**：**删除**（已有正式的 `ChatPage.tsx`）
+
+### 3. Phase 测试文档（根目录）
+```
+PHASE1-测试指南.md
+Phase2-*.md
+Phase3-*.md
+README-Phase2测试.md
+```
+**建议**：考虑是否移到 `docs/06-测试文档/` 或 `docs/08-项目管理/`，然后提交
+
+---
+
+## ❌ 第三类：不应提交的文件（应该被忽略）
+
+### 1. 乱码文件夹（手动删除）❌
+```
+docs/03-涓氬姟妯″潡/       ← 已确认是 "03-业务模块" 的乱码版本
+```
+**操作**：**手动删除**（您已确认）
+
+### 2. 停止服务脚本（根目录）
+```
+stop-all-services.bat         ← 重复文件（已有正式版本）
+```
+**建议**：检查是否与其他启动脚本重复，如重复则删除
+
+---
+
+## 🎯 提交策略建议
+
+### 方案 A：一次性全部提交（快速但风险较高）
+
+```bash
+# 添加所有应该提交的文件
+git add .editorconfig .gitattributes
+git add backend/src/common/ backend/src/legacy/
+git add backend/prisma/migrations/ backend/prisma/seed.ts
+git add backend/prompts/ backend/CLOSEAI-CONFIG.md
+git add frontend-v2/
+git add frontend/src/api/batchApi.ts frontend/src/api/reviewApi.ts
+git add frontend/src/components/chat/ frontend/src/components/review/
+git add frontend/src/pages/ReviewPage.tsx
+git add "docs/00-系统总体设计/" "docs/03-业务模块/"
+git add START-HERE-FOR-AI.md
+
+# 一次性提交
+git commit -m "feat: 提交 Week 2 完整成果
+
+- ✅ 后端架构重构（legacy + common 分层）
+- ✅ 前端模块注册机制（frontend-v2）
+- ✅ 批量处理和稿件审查功能
+- ✅ 完整文档体系（250+ 文档）
+- ✅ ASL 模块设计文档
+- ✅ 编码规范配置（.editorconfig, .gitattributes）
+"
+```
+
+### 方案 B：分批提交（推荐，更清晰）⭐
+
+#### 批次 1：配置文件和编码规范
+```bash
+git add .editorconfig .gitattributes
+git commit -m "chore: 添加编码规范配置，防止中文乱码"
+```
+
+#### 批次 2：后端架构重构
+```bash
+git add backend/src/common/ backend/src/legacy/
+git add backend/prisma/schema.prisma backend/src/index.ts
+git commit -m "refactor(backend): 后端架构增量演进（Task 19）
+
+- 新增 common/ 通用能力层
+- 新增 legacy/ 业务代码层
+- 更新 index.ts 路由注册
+- 保持系统正常运行"
+```
+
+#### 批次 3：数据库迁移和配置
+```bash
+git add backend/prisma/migrations/
+git add backend/prisma/seed.ts
+git add backend/prompts/
+git add backend/CLOSEAI-CONFIG.md
+git commit -m "feat(backend): 添加批量处理和稿件审查模块
+
+- Prisma 迁移：批量处理表
+- Prisma 迁移：稿件审查表
+- 新增提示词模板
+- CloseAI 配置文档"
+```
+
+#### 批次 4：前端新架构（frontend-v2）
+```bash
+git add frontend-v2/
+git commit -m "feat(frontend): 新增 frontend-v2 模块化架构（Task 17）
+
+- React 19 + TypeScript + Vite
+- 模块注册机制
+- 权限管理系统
+- 路由守卫
+- 6 个业务模块占位符（AIA/ASL/PKB/DC/SSA/ST）"
+```
+
+#### 批次 5：前端功能扩展
+```bash
+git add frontend/src/api/batchApi.ts
+git add frontend/src/api/reviewApi.ts
+git add frontend/src/components/chat/
+git add frontend/src/components/review/
+git add frontend/src/pages/ReviewPage.tsx
+git add frontend/src/hooks/
+git add frontend/src/types/chat.ts
+git commit -m "feat(frontend): 添加批量处理和稿件审查功能
+
+- 批量处理模式（BatchMode）
+- 深度阅读模式（DeepReadMode）
+- 全文模式（FullTextMode）
+- 稿件审查页面（ReviewPage）
+- 文档选择器组件"
+```
+
+#### 批次 6：文档体系
+```bash
+git add "docs/00-系统总体设计/"
+git add "docs/00-项目概述/"
+git add "docs/01-平台基础层/"
+git add "docs/02-通用能力层/"
+git add "docs/03-业务模块/"
+git add "docs/04-开发规范/"
+git add "docs/05-部署文档/"
+git add "docs/06-测试文档/"
+git add "docs/07-运维文档/"
+git add "docs/08-项目管理/"
+git add "docs/09-架构实施/"
+git add "docs/_templates/"
+git commit -m "docs: 完善文档体系（250+ 文档）
+
+- 系统总体设计（12 个文档）
+- 业务模块文档（ASL/AIA/PKB/RVW 等）
+- ASL 模块完整设计（质量保障策略、技术选型）
+- 架构实施报告
+- 项目管理文档
+- 开发规范和模板"
+```
+
+#### 批次 7：测试和指南文档
+```bash
+git add START-HERE-FOR-AI.md
+git add PHASE1-测试指南.md
+git add Phase2*.md Phase3*.md
+git add README-*.md
+git add 如何测试Phase2.md
+git add 智能引用功能-测试指南.md
+git add 检查测试环境.bat
+git add 稿件审查功能-最终完成报告.md
+git add 测试记录/
+git commit -m "docs: 添加测试指南和阶段性总结文档
+
+- AI 快速上手指南
+- Phase 1-3 测试指南和总结
+- 功能测试文档
+- 检查脚本"
+```
+
+#### 批次 8：清理和最终检查
+```bash
+# 删除备份文件
+git rm frontend/src/pages/ChatPage.backup.tsx
+git rm frontend/src/pages/ChatPage.new.tsx
+
+# 删除临时脚本（如果不需要）
+git rm backend/test-batch-api.js
+git rm backend/test-review-api.js
+git rm -r backend/temp-migration/
+
+git commit -m "chore: 清理备份文件和临时测试脚本"
+```
+
+---
+
+## 📋 执行前检查清单
+
+在提交前，请确认：
+
+### ✅ 必做项
+- [ ] **删除乱码文件夹**：`docs/03-涓氬姟妯″潡/`
+- [ ] **确认 .env 文件未被追踪**（包含敏感信息）
+- [ ] **确认 node_modules/ 未被追踪**
+- [ ] **确认 venv/ 未被追踪**
+- [ ] **后端服务正常运行**
+- [ ] **前端服务正常运行**
+- [ ] **数据库连接正常**
+
+### ⚠️ 建议项
+- [ ] 删除前端备份文件：`ChatPage.backup.tsx`, `ChatPage.new.tsx`
+- [ ] 整理根目录测试文档：考虑移到 `docs/` 目录
+- [ ] 检查是否有个人配置文件（如 `.vscode/settings.json`）
+- [ ] 运行一次完整测试
+
+---
+
+## 🚀 推荐执行步骤
+
+### 步骤 1：清理不需要的文件
+```bash
+# 1. 手动删除乱码文件夹
+删除：D:\MyCursor\AIclinicalresearch\docs\03-涓氬姟妯″潡
+
+# 2. 删除前端备份文件（可选）
+cd D:\MyCursor\AIclinicalresearch\frontend\src\pages
+del ChatPage.backup.tsx
+del ChatPage.new.tsx
+
+# 3. 删除临时测试脚本（可选）
+cd D:\MyCursor\AIclinicalresearch\backend
+del test-batch-api.js
+del test-review-api.js
+```
+
+### 步骤 2：验证系统正常运行
+```bash
+# 启动后端
+cd backend
+npm run dev
+
+# 启动前端（新窗口）
+cd frontend-v2
+npm run dev
+
+# 测试几个核心功能
+```
+
+### 步骤 3：分批提交（按方案 B 执行）
+```bash
+# 按照上面"方案 B"的 7 个批次依次执行
+# 每个批次提交后，检查 git log 确认无误
+```
+
+### 步骤 4：推送到远程仓库
+```bash
+# 查看所有提交
+git log --oneline -10
+
+# 推送到远程
+git push origin master
+```
+
+---
+
+## 📊 预期结果
+
+提交完成后，远程仓库将包含：
+
+| 项目 | 数量 | 状态 |
+|------|------|------|
+| **后端代码** | ~60 个文件 | ✅ 新架构 |
+| **前端代码（v2）** | ~30 个文件 | ✅ 模块化 |
+| **前端扩展功能** | ~40 个文件 | ✅ 批量/审查 |
+| **文档** | ~250 个文件 | ✅ 完整体系 |
+| **配置文件** | 2 个 | ✅ 编码规范 |
+| **数据库迁移** | 2 个 | ✅ 新表结构 |
+| **测试数据** | 2 个 | ✅ ASL 测试 |
+
+**总计：约 400 个文件**
+
+---
+
+## ⚠️ 注意事项
+
+1. **不要一次性 `git add .`**  
+   - 可能会误提交 `.env`、`node_modules/` 等敏感/大文件
+
+2. **分批提交的好处**  
+   - ✅ 提交历史清晰
+   - ✅ 易于回滚
+   - ✅ 代码审查方便
+   - ✅ 便于追踪问题
+
+3. **推送前确认**  
+   - 检查是否有敏感信息（API Key、密码）
+   - 确认 `.gitignore` 已生效
+   - 运行一次完整测试
+
+---
+
+**准备好后，请告诉我您想使用哪种方案（A 或 B），我来帮您执行！** 🚀
+
+
+
+
+
+
+
+
+
+
+
+
+
+
diff --git a/backend/baseline-e2e-after-guardtype-apply.json b/backend/baseline-e2e-after-guardtype-apply.json
new file mode 100644
index 00000000..ec9353ef
--- /dev/null
+++ b/backend/baseline-e2e-after-guardtype-apply.json
@@ -0,0 +1,2900 @@
+[dotenv@17.2.3] injecting env (0) from .env -- tip: ⚙️  suppress all logs with { quiet: true }
+[Config] Loaded .env file for development
+[JobFactory] Using PgBossQueue (Postgres-Only架构)
+[PgBossQueue] Initialized with schema: platform_schema
+2026-03-08 19:29:24.433 [aiclinical-backend] info: ✅ 企业微信服务初始化成功
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "corpId": "ww6ab493470ab4f377",
+  "agentId": "1000002"
+}
+2026-03-08 19:29:24.437 [aiclinical-backend] warn: [DifyClient] Dify 已废弃，请使用 pgvector RAG 引擎。Legacy 代码需要迁移到新的 ragService。
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668
+}
+2026-03-08 19:29:24.440 [aiclinical-backend] info: [SessionMemory] 会话记忆管理器已启动
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "maxHistory": 3,
+  "timeout": "1小时"
+}
+2026-03-08 19:29:24.614 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+[PgBossQueue] Started successfully
+2026-03-08 19:29:25.137 [aiclinical-backend] info: REDCap: getEvents success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "eventCount": 5
+}
+2026-03-08 19:29:25.140 [aiclinical-backend] info: REDCap API: exportMetadata success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "fieldCount": 74,
+  "duration": "525ms"
+}
+2026-03-08 19:29:25.292 [aiclinical-backend] info: REDCap: getEvents success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "eventCount": 5
+}
+2026-03-08 19:29:25.292 [aiclinical-backend] info: REDCap: getFormEventMapping success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "mappingCount": 19
+}
+2026-03-08 19:29:25.294 [aiclinical-backend] info: REDCap: getEvents success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "eventCount": 5
+}
+2026-03-08 19:29:25.294 [aiclinical-backend] info: REDCap: getFormEventMapping success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "mappingCount": 19
+}
+2026-03-08 19:29:25.821 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "recordCount": 37,
+  "duration": "529ms"
+}
+2026-03-08 19:29:25.828 [aiclinical-backend] info: REDCap: getAllRecordsByEvent success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "recordCount": 37,
+  "eventCount": 5
+}
+2026-03-08 19:29:25.833 [aiclinical-backend] info: [QcExecutor] executeBatch start
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "triggeredBy": "manual"
+}
+2026-03-08 19:29:25.833 [aiclinical-backend] info: [SkillRunner] Starting execution
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "triggerType": "manual",
+  "options": {
+    "skipSoftRules": true
+  }
+}
+2026-03-08 19:29:25.850 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:29:26.463 [aiclinical-backend] info: REDCap: getEvents success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "eventCount": 5
+}
+2026-03-08 19:29:26.463 [aiclinical-backend] info: REDCap: getFormEventMapping success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "mappingCount": 19
+}
+2026-03-08 19:29:26.803 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "recordCount": 37,
+  "duration": "340ms"
+}
+2026-03-08 19:29:26.803 [aiclinical-backend] info: REDCap: getAllRecordsByEvent success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "recordCount": 37,
+  "eventCount": 5
+}
+2026-03-08 19:29:26.820 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:29:26.822 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "mappingCount": 0
+}
+2026-03-08 19:29:26.833 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:29:26.835 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "mappingCount": 0
+}
+2026-03-08 19:29:26.842 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:29:26.844 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "mappingCount": 0
+}
+2026-03-08 19:29:26.844 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:29:26.845 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:29:26.845 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:29:26.899 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:29:26.900 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "mappingCount": 0
+}
+2026-03-08 19:29:26.910 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:29:26.912 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "mappingCount": 0
+}
+2026-03-08 19:29:26.923 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:29:26.924 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "mappingCount": 0
+}
+2026-03-08 19:29:26.932 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:29:26.934 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "mappingCount": 0
+}
+2026-03-08 19:29:26.943 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:29:26.944 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "mappingCount": 0
+}
+2026-03-08 19:29:26.945 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:29:26.945 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:29:26.945 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:29:27.002 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:29:27.004 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "mappingCount": 0
+}
+2026-03-08 19:29:27.013 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:29:27.014 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "mappingCount": 0
+}
+2026-03-08 19:29:27.025 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:29:27.027 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "mappingCount": 0
+}
+2026-03-08 19:29:27.028 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:29:27.028 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:29:27.028 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:29:27.081 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:29:27.083 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "mappingCount": 0
+}
+2026-03-08 19:29:27.084 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:29:27.084 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:29:27.084 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:29:27.143 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:29:27.144 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "mappingCount": 0
+}
+2026-03-08 19:29:27.145 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:29:27.145 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:29:27.145 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:29:27.201 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:29:27.203 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "mappingCount": 0
+}
+2026-03-08 19:29:27.204 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:29:27.205 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:29:27.205 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:29:27.262 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:29:27.264 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "mappingCount": 0
+}
+2026-03-08 19:29:27.265 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:29:27.265 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:29:27.265 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:29:27.322 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:29:27.324 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "mappingCount": 0
+}
+2026-03-08 19:29:27.325 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:29:27.325 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:29:27.325 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:29:27.382 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:29:27.384 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "mappingCount": 0
+}
+2026-03-08 19:29:27.385 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:29:27.385 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:29:27.386 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:29:27.446 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:29:27.447 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "mappingCount": 0
+}
+2026-03-08 19:29:27.448 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:29:27.448 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:29:27.448 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:29:27.504 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:29:27.506 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "mappingCount": 0
+}
+2026-03-08 19:29:27.507 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:29:27.507 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:29:27.507 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:29:27.560 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:29:27.562 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "mappingCount": 0
+}
+2026-03-08 19:29:27.563 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:29:27.563 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:29:27.563 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:29:27.624 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:29:27.626 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "mappingCount": 0
+}
+2026-03-08 19:29:27.627 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:29:27.627 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:29:27.627 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:29:27.686 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:29:27.688 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "mappingCount": 0
+}
+2026-03-08 19:29:27.689 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:29:27.689 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:29:27.689 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:29:27.746 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:29:27.748 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "mappingCount": 0
+}
+2026-03-08 19:29:27.749 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:29:27.749 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:29:27.750 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:29:27.805 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:29:27.807 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "mappingCount": 0
+}
+2026-03-08 19:29:27.808 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:29:27.808 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:29:27.808 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:29:27.863 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:29:27.865 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "mappingCount": 0
+}
+2026-03-08 19:29:27.866 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:29:27.866 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:29:27.866 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:29:27.927 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:29:27.929 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "mappingCount": 0
+}
+2026-03-08 19:29:27.937 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:29:27.939 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "mappingCount": 0
+}
+2026-03-08 19:29:27.948 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:29:27.951 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "mappingCount": 0
+}
+2026-03-08 19:29:27.952 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:29:27.952 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:29:27.952 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:29:28.010 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:29:28.012 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "mappingCount": 0
+}
+2026-03-08 19:29:28.019 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:29:28.021 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "mappingCount": 0
+}
+2026-03-08 19:29:28.028 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:29:28.029 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "mappingCount": 0
+}
+2026-03-08 19:29:28.037 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:29:28.038 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "mappingCount": 0
+}
+2026-03-08 19:29:28.046 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:29:28.047 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "mappingCount": 0
+}
+2026-03-08 19:29:28.048 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:29:28.048 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:29:28.048 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:29:28.102 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:29:28.104 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "mappingCount": 0
+}
+2026-03-08 19:29:28.113 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:29:28.116 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "mappingCount": 0
+}
+2026-03-08 19:29:28.127 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:29:28.130 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "mappingCount": 0
+}
+2026-03-08 19:29:28.130 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:29:28.130 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:29:28.131 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:29:28.142 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:29:28.144 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "mappingCount": 0
+}
+2026-03-08 19:29:28.145 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:29:28.145 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:29:28.145 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:29:28.153 [aiclinical-backend] info: [SkillRunner] Execution completed
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "triggerType": "manual",
+  "recordEventCount": 37,
+  "totalTimeMs": 2320
+}
+2026-03-08 19:29:34.730 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:29:35.894 [aiclinical-backend] info: REDCap API: exportMetadata success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "fieldCount": 74,
+  "duration": "1164ms"
+}
+2026-03-08 19:29:35.895 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "recordCount": 1
+}
+2026-03-08 19:29:36.717 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "recordCount": 5,
+  "duration": "822ms"
+}
+2026-03-08 19:29:37.647 [aiclinical-backend] info: REDCap: getEvents success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "eventCount": 5
+}
+2026-03-08 19:29:37.648 [aiclinical-backend] info: REDCap: getFormEventMapping success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "mappingCount": 19
+}
+2026-03-08 19:29:37.648 [aiclinical-backend] info: [CompletenessEngine] calculateMissingRate
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "1",
+  "denominator": 26,
+  "numerator": 1,
+  "rate": 3.8,
+  "activeEvents": [
+    "ce46f241ae_arm_1",
+    "65a64dbbd9_arm_1",
+    "9b510b5ce7_arm_1",
+    "4cfb49c5ec_arm_1",
+    "3fea1c25e6_arm_1"
+  ]
+}
+2026-03-08 19:29:37.717 [aiclinical-backend] info: [ProtocolDeviationEngine] No visitWindows configured, D6 will be skipped
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c"
+}
+2026-03-08 19:29:37.718 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:29:37.718 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "recordCount": 1
+}
+2026-03-08 19:29:38.025 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "recordCount": 5,
+  "duration": "307ms"
+}
+2026-03-08 19:29:38.026 [aiclinical-backend] info: [ProtocolDeviationEngine] checkVisitWindows
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "1",
+  "checkedVisits": 0,
+  "deviationCount": 0,
+  "passedCount": 0
+}
+2026-03-08 19:29:38.028 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:29:38.277 [aiclinical-backend] info: REDCap API: exportMetadata success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "fieldCount": 74,
+  "duration": "249ms"
+}
+2026-03-08 19:29:38.277 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "recordCount": 1
+}
+2026-03-08 19:29:38.664 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "recordCount": 5,
+  "duration": "387ms"
+}
+2026-03-08 19:29:39.135 [aiclinical-backend] info: REDCap: getEvents success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "eventCount": 5
+}
+2026-03-08 19:29:39.135 [aiclinical-backend] info: REDCap: getFormEventMapping success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "mappingCount": 19
+}
+2026-03-08 19:29:39.135 [aiclinical-backend] info: [CompletenessEngine] calculateMissingRate
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "2",
+  "denominator": 26,
+  "numerator": 0,
+  "rate": 0,
+  "activeEvents": [
+    "ce46f241ae_arm_1",
+    "65a64dbbd9_arm_1",
+    "9b510b5ce7_arm_1",
+    "4cfb49c5ec_arm_1",
+    "3fea1c25e6_arm_1"
+  ]
+}
+2026-03-08 19:29:39.189 [aiclinical-backend] info: [ProtocolDeviationEngine] No visitWindows configured, D6 will be skipped
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c"
+}
+2026-03-08 19:29:39.190 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:29:39.190 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "recordCount": 1
+}
+2026-03-08 19:29:39.494 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "recordCount": 5,
+  "duration": "304ms"
+}
+2026-03-08 19:29:39.494 [aiclinical-backend] info: [ProtocolDeviationEngine] checkVisitWindows
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "2",
+  "checkedVisits": 0,
+  "deviationCount": 0,
+  "passedCount": 0
+}
+2026-03-08 19:29:39.496 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:29:39.771 [aiclinical-backend] info: REDCap API: exportMetadata success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "fieldCount": 74,
+  "duration": "275ms"
+}
+2026-03-08 19:29:39.771 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "recordCount": 1
+}
+2026-03-08 19:29:40.093 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "recordCount": 3,
+  "duration": "322ms"
+}
+2026-03-08 19:29:40.841 [aiclinical-backend] info: REDCap: getEvents success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "eventCount": 5
+}
+2026-03-08 19:29:40.841 [aiclinical-backend] info: REDCap: getFormEventMapping success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "mappingCount": 19
+}
+2026-03-08 19:29:40.841 [aiclinical-backend] info: [CompletenessEngine] calculateMissingRate
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "3",
+  "denominator": 26,
+  "numerator": 0,
+  "rate": 0,
+  "activeEvents": [
+    "ce46f241ae_arm_1",
+    "65a64dbbd9_arm_1",
+    "9b510b5ce7_arm_1"
+  ]
+}
+2026-03-08 19:29:40.893 [aiclinical-backend] info: [ProtocolDeviationEngine] No visitWindows configured, D6 will be skipped
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c"
+}
+2026-03-08 19:29:40.893 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:29:40.893 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "recordCount": 1
+}
+2026-03-08 19:29:41.211 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "recordCount": 3,
+  "duration": "318ms"
+}
+2026-03-08 19:29:41.211 [aiclinical-backend] info: [ProtocolDeviationEngine] checkVisitWindows
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "3",
+  "checkedVisits": 0,
+  "deviationCount": 0,
+  "passedCount": 0
+}
+2026-03-08 19:29:41.213 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:29:41.451 [aiclinical-backend] info: REDCap API: exportMetadata success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "fieldCount": 74,
+  "duration": "238ms"
+}
+2026-03-08 19:29:41.451 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "recordCount": 1
+}
+2026-03-08 19:29:41.817 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "recordCount": 2,
+  "duration": "366ms"
+}
+2026-03-08 19:29:42.293 [aiclinical-backend] info: REDCap: getEvents success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "eventCount": 5
+}
+2026-03-08 19:29:42.293 [aiclinical-backend] info: REDCap: getFormEventMapping success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "mappingCount": 19
+}
+2026-03-08 19:29:42.293 [aiclinical-backend] info: [CompletenessEngine] calculateMissingRate
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "4",
+  "denominator": 26,
+  "numerator": 0,
+  "rate": 0,
+  "activeEvents": [
+    "ce46f241ae_arm_1",
+    "65a64dbbd9_arm_1"
+  ]
+}
+2026-03-08 19:29:42.347 [aiclinical-backend] info: [ProtocolDeviationEngine] No visitWindows configured, D6 will be skipped
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c"
+}
+2026-03-08 19:29:42.347 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:29:42.348 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "recordCount": 1
+}
+2026-03-08 19:29:42.641 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "recordCount": 2,
+  "duration": "293ms"
+}
+2026-03-08 19:29:42.641 [aiclinical-backend] info: [ProtocolDeviationEngine] checkVisitWindows
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "4",
+  "checkedVisits": 0,
+  "deviationCount": 0,
+  "passedCount": 0
+}
+2026-03-08 19:29:42.644 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:29:42.883 [aiclinical-backend] info: REDCap API: exportMetadata success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "fieldCount": 74,
+  "duration": "239ms"
+}
+2026-03-08 19:29:42.884 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "recordCount": 1
+}
+2026-03-08 19:29:43.209 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "recordCount": 2,
+  "duration": "325ms"
+}
+2026-03-08 19:29:43.971 [aiclinical-backend] info: REDCap: getEvents success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "eventCount": 5
+}
+2026-03-08 19:29:43.971 [aiclinical-backend] info: REDCap: getFormEventMapping success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "mappingCount": 19
+}
+2026-03-08 19:29:43.971 [aiclinical-backend] info: [CompletenessEngine] calculateMissingRate
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "5",
+  "denominator": 26,
+  "numerator": 0,
+  "rate": 0,
+  "activeEvents": [
+    "ce46f241ae_arm_1",
+    "65a64dbbd9_arm_1"
+  ]
+}
+2026-03-08 19:29:44.036 [aiclinical-backend] info: [ProtocolDeviationEngine] No visitWindows configured, D6 will be skipped
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c"
+}
+2026-03-08 19:29:44.036 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:29:44.037 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "recordCount": 1
+}
+2026-03-08 19:29:44.384 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "recordCount": 2,
+  "duration": "347ms"
+}
+2026-03-08 19:29:44.384 [aiclinical-backend] info: [ProtocolDeviationEngine] checkVisitWindows
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "5",
+  "checkedVisits": 0,
+  "deviationCount": 0,
+  "passedCount": 0
+}
+2026-03-08 19:29:44.386 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:29:44.624 [aiclinical-backend] info: REDCap API: exportMetadata success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "fieldCount": 74,
+  "duration": "238ms"
+}
+2026-03-08 19:29:44.625 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "recordCount": 1
+}
+2026-03-08 19:29:44.935 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "recordCount": 2,
+  "duration": "310ms"
+}
+2026-03-08 19:29:45.403 [aiclinical-backend] info: REDCap: getEvents success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "eventCount": 5
+}
+2026-03-08 19:29:45.403 [aiclinical-backend] info: REDCap: getFormEventMapping success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "mappingCount": 19
+}
+2026-03-08 19:29:45.403 [aiclinical-backend] info: [CompletenessEngine] calculateMissingRate
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "6",
+  "denominator": 26,
+  "numerator": 0,
+  "rate": 0,
+  "activeEvents": [
+    "ce46f241ae_arm_1",
+    "65a64dbbd9_arm_1"
+  ]
+}
+2026-03-08 19:29:45.465 [aiclinical-backend] info: [ProtocolDeviationEngine] No visitWindows configured, D6 will be skipped
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c"
+}
+2026-03-08 19:29:45.466 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:29:45.466 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "recordCount": 1
+}
+2026-03-08 19:29:45.826 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "recordCount": 2,
+  "duration": "360ms"
+}
+2026-03-08 19:29:45.826 [aiclinical-backend] info: [ProtocolDeviationEngine] checkVisitWindows
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "6",
+  "checkedVisits": 0,
+  "deviationCount": 0,
+  "passedCount": 0
+}
+2026-03-08 19:29:45.828 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:29:46.140 [aiclinical-backend] info: REDCap API: exportMetadata success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "fieldCount": 74,
+  "duration": "312ms"
+}
+2026-03-08 19:29:46.140 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "recordCount": 1
+}
+2026-03-08 19:29:46.807 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "recordCount": 3,
+  "duration": "667ms"
+}
+2026-03-08 19:29:47.280 [aiclinical-backend] info: REDCap: getEvents success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "eventCount": 5
+}
+2026-03-08 19:29:47.280 [aiclinical-backend] info: REDCap: getFormEventMapping success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "mappingCount": 19
+}
+2026-03-08 19:29:47.280 [aiclinical-backend] info: [CompletenessEngine] calculateMissingRate
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "7",
+  "denominator": 26,
+  "numerator": 0,
+  "rate": 0,
+  "activeEvents": [
+    "ce46f241ae_arm_1",
+    "65a64dbbd9_arm_1",
+    "9b510b5ce7_arm_1"
+  ]
+}
+2026-03-08 19:29:47.342 [aiclinical-backend] info: [ProtocolDeviationEngine] No visitWindows configured, D6 will be skipped
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c"
+}
+2026-03-08 19:29:47.342 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:29:47.342 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "recordCount": 1
+}
+2026-03-08 19:29:47.731 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "recordCount": 3,
+  "duration": "389ms"
+}
+2026-03-08 19:29:47.731 [aiclinical-backend] info: [ProtocolDeviationEngine] checkVisitWindows
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "7",
+  "checkedVisits": 0,
+  "deviationCount": 0,
+  "passedCount": 0
+}
+2026-03-08 19:29:47.733 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:29:47.974 [aiclinical-backend] info: REDCap API: exportMetadata success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "fieldCount": 74,
+  "duration": "241ms"
+}
+2026-03-08 19:29:47.974 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "recordCount": 1
+}
+2026-03-08 19:29:48.326 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "recordCount": 3,
+  "duration": "352ms"
+}
+2026-03-08 19:29:48.789 [aiclinical-backend] info: REDCap: getEvents success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "eventCount": 5
+}
+2026-03-08 19:29:48.789 [aiclinical-backend] info: REDCap: getFormEventMapping success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "mappingCount": 19
+}
+2026-03-08 19:29:48.789 [aiclinical-backend] info: [CompletenessEngine] calculateMissingRate
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "8",
+  "denominator": 26,
+  "numerator": 0,
+  "rate": 0,
+  "activeEvents": [
+    "ce46f241ae_arm_1",
+    "65a64dbbd9_arm_1",
+    "9b510b5ce7_arm_1"
+  ]
+}
+2026-03-08 19:29:48.846 [aiclinical-backend] info: [ProtocolDeviationEngine] No visitWindows configured, D6 will be skipped
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c"
+}
+2026-03-08 19:29:48.846 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:29:48.846 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "recordCount": 1
+}
+2026-03-08 19:29:49.163 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "recordCount": 3,
+  "duration": "317ms"
+}
+2026-03-08 19:29:49.163 [aiclinical-backend] info: [ProtocolDeviationEngine] checkVisitWindows
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "8",
+  "checkedVisits": 0,
+  "deviationCount": 0,
+  "passedCount": 0
+}
+2026-03-08 19:29:49.165 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:29:49.742 [aiclinical-backend] info: REDCap API: exportMetadata success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "fieldCount": 74,
+  "duration": "577ms"
+}
+2026-03-08 19:29:49.742 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "recordCount": 1
+}
+2026-03-08 19:29:50.050 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "recordCount": 5,
+  "duration": "308ms"
+}
+2026-03-08 19:29:50.542 [aiclinical-backend] info: REDCap: getEvents success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "eventCount": 5
+}
+2026-03-08 19:29:50.542 [aiclinical-backend] info: REDCap: getFormEventMapping success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "mappingCount": 19
+}
+2026-03-08 19:29:50.543 [aiclinical-backend] info: [CompletenessEngine] calculateMissingRate
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "9",
+  "denominator": 26,
+  "numerator": 0,
+  "rate": 0,
+  "activeEvents": [
+    "ce46f241ae_arm_1",
+    "65a64dbbd9_arm_1",
+    "9b510b5ce7_arm_1",
+    "4cfb49c5ec_arm_1",
+    "3fea1c25e6_arm_1"
+  ]
+}
+2026-03-08 19:29:50.598 [aiclinical-backend] info: [ProtocolDeviationEngine] No visitWindows configured, D6 will be skipped
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c"
+}
+2026-03-08 19:29:50.599 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:29:50.599 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "recordCount": 1
+}
+2026-03-08 19:29:50.974 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "recordCount": 5,
+  "duration": "375ms"
+}
+2026-03-08 19:29:50.974 [aiclinical-backend] info: [ProtocolDeviationEngine] checkVisitWindows
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "9",
+  "checkedVisits": 0,
+  "deviationCount": 0,
+  "passedCount": 0
+}
+2026-03-08 19:29:50.976 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:29:51.224 [aiclinical-backend] info: REDCap API: exportMetadata success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "fieldCount": 74,
+  "duration": "247ms"
+}
+2026-03-08 19:29:51.224 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "recordCount": 1
+}
+2026-03-08 19:29:51.546 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "recordCount": 5,
+  "duration": "321ms"
+}
+2026-03-08 19:29:51.996 [aiclinical-backend] info: REDCap: getEvents success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "eventCount": 5
+}
+2026-03-08 19:29:51.997 [aiclinical-backend] info: REDCap: getFormEventMapping success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "mappingCount": 19
+}
+2026-03-08 19:29:51.997 [aiclinical-backend] info: [CompletenessEngine] calculateMissingRate
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "10",
+  "denominator": 26,
+  "numerator": 0,
+  "rate": 0,
+  "activeEvents": [
+    "ce46f241ae_arm_1",
+    "65a64dbbd9_arm_1",
+    "9b510b5ce7_arm_1",
+    "4cfb49c5ec_arm_1",
+    "3fea1c25e6_arm_1"
+  ]
+}
+2026-03-08 19:29:52.052 [aiclinical-backend] info: [ProtocolDeviationEngine] No visitWindows configured, D6 will be skipped
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c"
+}
+2026-03-08 19:29:52.052 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:29:52.052 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "recordCount": 1
+}
+2026-03-08 19:29:52.662 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "recordCount": 5,
+  "duration": "610ms"
+}
+2026-03-08 19:29:52.662 [aiclinical-backend] info: [ProtocolDeviationEngine] checkVisitWindows
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "10",
+  "checkedVisits": 0,
+  "deviationCount": 0,
+  "passedCount": 0
+}
+2026-03-08 19:29:52.664 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:29:52.905 [aiclinical-backend] info: REDCap API: exportMetadata success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "fieldCount": 74,
+  "duration": "241ms"
+}
+2026-03-08 19:29:52.905 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "recordCount": 1
+}
+2026-03-08 19:29:53.234 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "recordCount": 1,
+  "duration": "329ms"
+}
+2026-03-08 19:29:53.691 [aiclinical-backend] info: REDCap: getEvents success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "eventCount": 5
+}
+2026-03-08 19:29:53.691 [aiclinical-backend] info: REDCap: getFormEventMapping success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "mappingCount": 19
+}
+2026-03-08 19:29:53.692 [aiclinical-backend] info: [CompletenessEngine] calculateMissingRate
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "11",
+  "denominator": 26,
+  "numerator": 19,
+  "rate": 73.1,
+  "activeEvents": [
+    "65a64dbbd9_arm_1"
+  ]
+}
+2026-03-08 19:29:53.754 [aiclinical-backend] info: [ProtocolDeviationEngine] No visitWindows configured, D6 will be skipped
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c"
+}
+2026-03-08 19:29:53.754 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:29:53.755 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "recordCount": 1
+}
+2026-03-08 19:29:54.149 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "recordCount": 1,
+  "duration": "394ms"
+}
+2026-03-08 19:29:54.150 [aiclinical-backend] info: [ProtocolDeviationEngine] checkVisitWindows
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "11",
+  "checkedVisits": 0,
+  "deviationCount": 0,
+  "passedCount": 0
+}
+2026-03-08 19:29:54.151 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:29:54.383 [aiclinical-backend] info: REDCap API: exportMetadata success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "fieldCount": 74,
+  "duration": "232ms"
+}
+2026-03-08 19:29:54.383 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "recordCount": 1
+}
+2026-03-08 19:29:54.693 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "recordCount": 1,
+  "duration": "310ms"
+}
+2026-03-08 19:29:55.152 [aiclinical-backend] info: REDCap: getEvents success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "eventCount": 5
+}
+2026-03-08 19:29:55.153 [aiclinical-backend] info: REDCap: getFormEventMapping success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "mappingCount": 19
+}
+2026-03-08 19:29:55.153 [aiclinical-backend] info: [CompletenessEngine] calculateMissingRate
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "12",
+  "denominator": 26,
+  "numerator": 19,
+  "rate": 73.1,
+  "activeEvents": [
+    "65a64dbbd9_arm_1"
+  ]
+}
+2026-03-08 19:29:55.213 [aiclinical-backend] info: [ProtocolDeviationEngine] No visitWindows configured, D6 will be skipped
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c"
+}
+2026-03-08 19:29:55.214 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:29:55.214 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "recordCount": 1
+}
+2026-03-08 19:29:55.896 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "recordCount": 1,
+  "duration": "682ms"
+}
+2026-03-08 19:29:55.896 [aiclinical-backend] info: [ProtocolDeviationEngine] checkVisitWindows
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "12",
+  "checkedVisits": 0,
+  "deviationCount": 0,
+  "passedCount": 0
+}
+2026-03-08 19:29:55.940 [aiclinical-backend] info: [HealthScoreEngine] calculate done
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "healthScore": 79.5,
+  "healthGrade": "B"
+}
+2026-03-08 19:29:55.941 [aiclinical-backend] info: [QcAggregator] HealthScore refreshed
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "healthScore": 79.5,
+  "healthGrade": "B"
+}
+2026-03-08 19:29:55.941 [aiclinical-backend] info: [QcAggregator] aggregateDeferred done
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "eventStatusRows": 37,
+  "recordSummaryRows": 12,
+  "durationMs": 45
+}
+2026-03-08 19:29:55.941 [aiclinical-backend] info: [QcExecutor] Batch aggregation completed
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "eventStatusRows": 37,
+  "recordSummaryRows": 12,
+  "aggDurationMs": 45
+}
+2026-03-08 19:29:55.941 [aiclinical-backend] info: [QcExecutor] executeBatch done
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "totalRecordEvents": 37,
+  "fieldStatusWrites": 1682,
+  "durationMs": 30108
+}
+2026-03-08 19:29:55.941 [aiclinical-backend] info: [DailyQcOrchestrator] Starting orchestration
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c"
+}
+2026-03-08 19:29:55.941 [aiclinical-backend] info: [QcReportService] Generating new report
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "reportType": "daily"
+}
+2026-03-08 19:29:56.018 [aiclinical-backend] info: [QcReportService] Report generated
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "reportType": "daily",
+  "duration": "77ms",
+  "criticalCount": 167,
+  "warningCount": 743,
+  "topIssuesCount": 5,
+  "groupedRecordCount": 12
+}
+2026-03-08 19:29:56.224 [aiclinical-backend] debug: [QcReportService] Report cached
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "reportType": "daily"
+}
+2026-03-08 19:29:56.393 [aiclinical-backend] info: eQuery batch created
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "count": 14
+}
+2026-03-08 19:29:56.426 [aiclinical-backend] info: 📤 发送企业微信 Markdown 消息
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "userId": "FengZhiBo",
+  "contentLength": 218
+}
+2026-03-08 19:29:56.427 [aiclinical-backend] info: 🔄 请求新的企业微信 Access Token...
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668
+}
+2026-03-08 19:29:58.191 [aiclinical-backend] info: ✅ Access Token 获取成功
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "expiresIn": 7200
+}
+2026-03-08 19:29:58.608 [aiclinical-backend] error: ❌ 发送 Markdown 消息失败
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "errcode": 60020,
+  "errmsg": "not allow to access from your ip, hint: [1772969398356210336578276], from ip: 154.17.225.224, more info at https://open.work.weixin.qq.com/devtool/query?e=60020"
+}
+2026-03-08 19:29:58.608 [aiclinical-backend] error: ❌ 发送 Markdown 消息异常
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "error": "企业微信发送失败: not allow to access from your ip, hint: [1772969398356210336578276], from ip: 154.17.225.224, more info at https://open.work.weixin.qq.com/devtool/query?e=60020 (60020)",
+  "userId": "FengZhiBo"
+}
+2026-03-08 19:29:58.608 [aiclinical-backend] warn: [DailyQcOrchestrator] Push notification failed (non-fatal)
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "error": "Error: 企业微信发送失败: not allow to access from your ip, hint: [1772969398356210336578276], from ip: 154.17.225.224, more info at https://open.work.weixin.qq.com/devtool/query?e=60020 (60020)"
+}
+2026-03-08 19:29:58.609 [aiclinical-backend] info: [DailyQcOrchestrator] Orchestration completed
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "reportId": "73d05bda-9cfc-4c4d-a52c-728c7cf5296d",
+  "equeriesCreated": 14,
+  "criticalEventsArchived": 0,
+  "newIssues": 0,
+  "resolvedIssues": 0,
+  "pushSent": false,
+  "durationMs": 2667
+}
+2026-03-08 19:29:58.655 [aiclinical-backend] info: [QcReportService] Generating new report
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "reportType": "on_demand"
+}
+2026-03-08 19:29:58.656 [aiclinical-backend] info: [ToolsService] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "count": 0
+}
+2026-03-08 19:29:58.659 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:29:58.660 [aiclinical-backend] info: [ToolsService] REDCap adapter created
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668
+}
+2026-03-08 19:29:58.660 [aiclinical-backend] debug: [ToolsService] Tool registered
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "name": "read_report"
+}
+2026-03-08 19:29:58.660 [aiclinical-backend] debug: [ToolsService] Tool registered
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "name": "look_up_data"
+}
+2026-03-08 19:29:58.660 [aiclinical-backend] debug: [ToolsService] Tool registered
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "name": "check_quality"
+}
+2026-03-08 19:29:58.660 [aiclinical-backend] debug: [ToolsService] Tool registered
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "name": "search_knowledge"
+}
+2026-03-08 19:29:58.660 [aiclinical-backend] info: [ToolsService] Initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "toolCount": 4
+}
+2026-03-08 19:29:58.686 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:29:58.689 [aiclinical-backend] info: [QcCockpitService] 获取驾驶舱数据成功
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "totalRecords": 12,
+  "durationMs": 62
+}
+2026-03-08 19:29:58.692 [aiclinical-backend] info: [QcReportService] Report generated
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "reportType": "on_demand",
+  "duration": "37ms",
+  "criticalCount": 167,
+  "warningCount": 743,
+  "topIssuesCount": 5,
+  "groupedRecordCount": 12
+}
+2026-03-08 19:29:58.901 [aiclinical-backend] debug: [QcReportService] Report cached
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "reportType": "on_demand"
+}
+2026-03-08 19:29:58.925 [aiclinical-backend] debug: [QcReportService] Returning cached report
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "reportType": "on_demand",
+  "generatedAt": "2026-03-08T19:29:58+08:00"
+}
+2026-03-08 19:29:58.925 [aiclinical-backend] info: [ToolsService] Tool executed
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 4668,
+  "toolName": "read_report",
+  "success": true,
+  "executionTime": "23ms"
+}
+{
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "withChat": false,
+  "startedAt": "2026-03-08T11:29:24.442Z",
+  "stages": [
+    {
+      "name": "Stage1_REDCap",
+      "ok": true,
+      "checks": [
+        {
+          "name": "metadata_non_empty",
+          "ok": true,
+          "value": 74
+        },
+        {
+          "name": "records_by_event_non_empty",
+          "ok": true,
+          "value": 37
+        },
+        {
+          "name": "unique_records_non_empty",
+          "ok": true,
+          "value": 12
+        },
+        {
+          "name": "events_loaded_or_non_longitudinal",
+          "ok": true,
+          "value": {
+            "events": 5,
+            "formEventMapping": 19
+          }
+        }
+      ],
+      "detail": {
+        "metadataCount": 74,
+        "eventCount": 5,
+        "formEventMappingCount": 19,
+        "recordEventRows": 37,
+        "uniqueRecordCount": 12
+      }
+    },
+    {
+      "name": "Stage2_Rules",
+      "ok": true,
+      "checks": [
+        {
+          "name": "active_qc_rules_exists",
+          "ok": true,
+          "value": 79
+        },
+        {
+          "name": "multi_field_rules_exists",
+          "ok": true,
+          "value": 29
+        },
+        {
+          "name": "has_D1_or_legacy_inclusion_exclusion",
+          "ok": true,
+          "value": [
+            "D6",
+            "D3",
+            "D1",
+            "D5"
+          ]
+        }
+      ],
+      "detail": {
+        "ruleCount": 79,
+        "multiFieldRuleCount": 29,
+        "categories": [
+          "D1",
+          "D3",
+          "D5",
+          "D6"
+        ]
+      }
+    },
+    {
+      "name": "Stage3_Execution",
+      "ok": true,
+      "checks": [
+        {
+          "name": "batch_has_records",
+          "ok": true,
+          "value": 12
+        },
+        {
+          "name": "field_status_written",
+          "ok": true,
+          "value": 1233
+        },
+        {
+          "name": "event_status_written",
+          "ok": true,
+          "value": 37
+        },
+        {
+          "name": "record_summary_written",
+          "ok": true,
+          "value": 12
+        },
+        {
+          "name": "project_stats_exists",
+          "ok": true,
+          "value": true
+        }
+      ],
+      "detail": {
+        "batch": {
+          "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+          "totalRecords": 12,
+          "totalEvents": 37,
+          "passed": 0,
+          "failed": 21,
+          "warnings": 16,
+          "fieldStatusWrites": 1682,
+          "executionTimeMs": 30108
+        },
+        "orchestrate": {
+          "reportId": "73d05bda-9cfc-4c4d-a52c-728c7cf5296d",
+          "equeriesCreated": 14,
+          "criticalEventsArchived": 0,
+          "newIssues": 0,
+          "resolvedIssues": 0,
+          "pushSent": false
+        },
+        "db": {
+          "fieldStatusCount": 1233,
+          "eventStatusCount": 37,
+          "recordSummaryCount": 12,
+          "projectStats": {
+            "totalRecords": 12,
+            "passedRecords": 0,
+            "failedRecords": 12
+          }
+        }
+      }
+    },
+    {
+      "name": "Stage4_Consumption",
+      "ok": true,
+      "checks": [
+        {
+          "name": "report_summary_exists",
+          "ok": true,
+          "value": 12
+        },
+        {
+          "name": "cockpit_stats_exists",
+          "ok": true,
+          "value": 12
+        },
+        {
+          "name": "equery_log_summary_exists",
+          "ok": true,
+          "value": 1129
+        },
+        {
+          "name": "pass_rate_consistent_report_cockpit_tool",
+          "ok": true,
+          "value": {
+            "reportPassRate": 0,
+            "cockpitPassRate": 0,
+            "toolPassRate": 0
+          }
+        },
+        {
+          "name": "chat_has_conclusion_or_skipped",
+          "ok": true,
+          "value": "skipped"
+        }
+      ],
+      "detail": {
+        "reportPassRate": 0,
+        "cockpitPassRate": 0,
+        "toolPassRate": 0,
+        "chatResult": "skipped"
+      }
+    }
+  ],
+  "endedAt": "2026-03-08T11:29:58.925Z"
+}
diff --git a/backend/baseline-e2e-after-unify.json b/backend/baseline-e2e-after-unify.json
new file mode 100644
index 00000000..7de25846
--- /dev/null
+++ b/backend/baseline-e2e-after-unify.json
@@ -0,0 +1,2892 @@
+[dotenv@17.2.3] injecting env (0) from .env -- tip: 🔐 encrypt with Dotenvx: https://dotenvx.com
+[Config] Loaded .env file for development
+[JobFactory] Using PgBossQueue (Postgres-Only架构)
+[PgBossQueue] Initialized with schema: platform_schema
+2026-03-08 19:25:42.895 [aiclinical-backend] info: ✅ 企业微信服务初始化成功
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "corpId": "ww6ab493470ab4f377",
+  "agentId": "1000002"
+}
+2026-03-08 19:25:42.898 [aiclinical-backend] warn: [DifyClient] Dify 已废弃，请使用 pgvector RAG 引擎。Legacy 代码需要迁移到新的 ragService。
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208
+}
+2026-03-08 19:25:42.901 [aiclinical-backend] info: [SessionMemory] 会话记忆管理器已启动
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "maxHistory": 3,
+  "timeout": "1小时"
+}
+2026-03-08 19:25:43.083 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+[PgBossQueue] Started successfully
+2026-03-08 19:25:43.627 [aiclinical-backend] info: REDCap API: exportMetadata success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "fieldCount": 74,
+  "duration": "543ms"
+}
+2026-03-08 19:25:43.631 [aiclinical-backend] info: REDCap: getEvents success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "eventCount": 5
+}
+2026-03-08 19:25:43.778 [aiclinical-backend] info: REDCap: getEvents success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "eventCount": 5
+}
+2026-03-08 19:25:43.778 [aiclinical-backend] info: REDCap: getFormEventMapping success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "mappingCount": 19
+}
+2026-03-08 19:25:43.780 [aiclinical-backend] info: REDCap: getEvents success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "eventCount": 5
+}
+2026-03-08 19:25:43.781 [aiclinical-backend] info: REDCap: getFormEventMapping success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "mappingCount": 19
+}
+2026-03-08 19:25:44.264 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "recordCount": 37,
+  "duration": "485ms"
+}
+2026-03-08 19:25:44.270 [aiclinical-backend] info: REDCap: getAllRecordsByEvent success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "recordCount": 37,
+  "eventCount": 5
+}
+2026-03-08 19:25:44.275 [aiclinical-backend] info: [QcExecutor] executeBatch start
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "triggeredBy": "manual"
+}
+2026-03-08 19:25:44.275 [aiclinical-backend] info: [SkillRunner] Starting execution
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "triggerType": "manual",
+  "options": {
+    "skipSoftRules": true
+  }
+}
+2026-03-08 19:25:44.293 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:25:44.762 [aiclinical-backend] info: REDCap: getEvents success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "eventCount": 5
+}
+2026-03-08 19:25:44.762 [aiclinical-backend] info: REDCap: getFormEventMapping success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "mappingCount": 19
+}
+2026-03-08 19:25:45.054 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "recordCount": 37,
+  "duration": "292ms"
+}
+2026-03-08 19:25:45.055 [aiclinical-backend] info: REDCap: getAllRecordsByEvent success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "recordCount": 37,
+  "eventCount": 5
+}
+2026-03-08 19:25:45.070 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:25:45.072 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "mappingCount": 0
+}
+2026-03-08 19:25:45.083 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:25:45.085 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "mappingCount": 0
+}
+2026-03-08 19:25:45.092 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:25:45.093 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "mappingCount": 0
+}
+2026-03-08 19:25:45.093 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:25:45.094 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:25:45.094 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:25:45.146 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:25:45.147 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "mappingCount": 0
+}
+2026-03-08 19:25:45.153 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:25:45.154 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "mappingCount": 0
+}
+2026-03-08 19:25:45.160 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:25:45.161 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "mappingCount": 0
+}
+2026-03-08 19:25:45.166 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:25:45.168 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "mappingCount": 0
+}
+2026-03-08 19:25:45.173 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:25:45.174 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "mappingCount": 0
+}
+2026-03-08 19:25:45.175 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:25:45.175 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:25:45.175 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:25:45.229 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:25:45.230 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "mappingCount": 0
+}
+2026-03-08 19:25:45.237 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:25:45.238 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "mappingCount": 0
+}
+2026-03-08 19:25:45.245 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:25:45.248 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "mappingCount": 0
+}
+2026-03-08 19:25:45.249 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:25:45.249 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:25:45.249 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:25:45.302 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:25:45.304 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "mappingCount": 0
+}
+2026-03-08 19:25:45.305 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:25:45.305 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:25:45.305 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:25:45.357 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:25:45.358 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "mappingCount": 0
+}
+2026-03-08 19:25:45.358 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:25:45.358 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:25:45.358 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:25:45.409 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:25:45.410 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "mappingCount": 0
+}
+2026-03-08 19:25:45.410 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:25:45.410 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:25:45.410 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:25:45.461 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:25:45.462 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "mappingCount": 0
+}
+2026-03-08 19:25:45.463 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:25:45.463 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:25:45.463 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:25:45.514 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:25:45.515 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "mappingCount": 0
+}
+2026-03-08 19:25:45.516 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:25:45.516 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:25:45.516 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:25:45.574 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:25:45.576 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "mappingCount": 0
+}
+2026-03-08 19:25:45.577 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:25:45.577 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:25:45.577 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:25:45.639 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:25:45.641 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "mappingCount": 0
+}
+2026-03-08 19:25:45.642 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:25:45.643 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:25:45.644 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:25:45.703 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:25:45.706 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "mappingCount": 0
+}
+2026-03-08 19:25:45.707 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:25:45.708 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:25:45.708 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:25:45.761 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:25:45.763 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "mappingCount": 0
+}
+2026-03-08 19:25:45.763 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:25:45.763 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:25:45.763 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:25:45.818 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:25:45.820 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "mappingCount": 0
+}
+2026-03-08 19:25:45.821 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:25:45.821 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:25:45.821 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:25:45.880 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:25:45.882 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "mappingCount": 0
+}
+2026-03-08 19:25:45.883 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:25:45.883 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:25:45.883 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:25:45.942 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:25:45.944 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "mappingCount": 0
+}
+2026-03-08 19:25:45.945 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:25:45.945 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:25:45.945 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:25:45.997 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:25:45.999 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "mappingCount": 0
+}
+2026-03-08 19:25:45.999 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:25:45.999 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:25:45.999 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:25:46.054 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:25:46.055 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "mappingCount": 0
+}
+2026-03-08 19:25:46.055 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:25:46.055 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:25:46.055 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:25:46.109 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:25:46.110 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "mappingCount": 0
+}
+2026-03-08 19:25:46.117 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:25:46.118 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "mappingCount": 0
+}
+2026-03-08 19:25:46.125 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:25:46.126 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "mappingCount": 0
+}
+2026-03-08 19:25:46.127 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:25:46.127 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:25:46.127 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:25:46.182 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:25:46.183 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "mappingCount": 0
+}
+2026-03-08 19:25:46.189 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:25:46.190 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "mappingCount": 0
+}
+2026-03-08 19:25:46.197 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:25:46.198 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "mappingCount": 0
+}
+2026-03-08 19:25:46.205 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:25:46.207 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "mappingCount": 0
+}
+2026-03-08 19:25:46.215 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:25:46.216 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "mappingCount": 0
+}
+2026-03-08 19:25:46.217 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:25:46.217 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:25:46.217 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:25:46.270 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:25:46.275 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "mappingCount": 0
+}
+2026-03-08 19:25:46.289 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:25:46.291 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "mappingCount": 0
+}
+2026-03-08 19:25:46.302 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:25:46.304 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "mappingCount": 0
+}
+2026-03-08 19:25:46.305 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:25:46.305 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:25:46.305 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:25:46.319 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:25:46.321 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "mappingCount": 0
+}
+2026-03-08 19:25:46.322 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:25:46.323 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:25:46.323 [aiclinical-backend] error: [HardRuleEngine] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:25:46.335 [aiclinical-backend] info: [SkillRunner] Execution completed
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "triggerType": "manual",
+  "recordEventCount": 37,
+  "totalTimeMs": 2060
+}
+2026-03-08 19:25:51.166 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:25:52.326 [aiclinical-backend] info: REDCap API: exportMetadata success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "fieldCount": 74,
+  "duration": "1159ms"
+}
+2026-03-08 19:25:52.326 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "recordCount": 1
+}
+2026-03-08 19:25:52.842 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "recordCount": 5,
+  "duration": "516ms"
+}
+2026-03-08 19:25:53.357 [aiclinical-backend] info: REDCap: getEvents success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "eventCount": 5
+}
+2026-03-08 19:25:53.357 [aiclinical-backend] info: REDCap: getFormEventMapping success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "mappingCount": 19
+}
+2026-03-08 19:25:53.357 [aiclinical-backend] info: [CompletenessEngine] calculateMissingRate
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "1",
+  "denominator": 26,
+  "numerator": 1,
+  "rate": 3.8,
+  "activeEvents": [
+    "ce46f241ae_arm_1",
+    "65a64dbbd9_arm_1",
+    "9b510b5ce7_arm_1",
+    "4cfb49c5ec_arm_1",
+    "3fea1c25e6_arm_1"
+  ]
+}
+2026-03-08 19:25:53.444 [aiclinical-backend] info: [ProtocolDeviationEngine] No visitWindows configured, D6 will be skipped
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c"
+}
+2026-03-08 19:25:53.445 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:25:53.445 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "recordCount": 1
+}
+2026-03-08 19:25:53.753 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "recordCount": 5,
+  "duration": "308ms"
+}
+2026-03-08 19:25:53.754 [aiclinical-backend] info: [ProtocolDeviationEngine] checkVisitWindows
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "1",
+  "checkedVisits": 0,
+  "deviationCount": 0,
+  "passedCount": 0
+}
+2026-03-08 19:25:53.757 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:25:53.985 [aiclinical-backend] info: REDCap API: exportMetadata success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "fieldCount": 74,
+  "duration": "228ms"
+}
+2026-03-08 19:25:53.985 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "recordCount": 1
+}
+2026-03-08 19:25:54.337 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "recordCount": 5,
+  "duration": "351ms"
+}
+2026-03-08 19:25:55.117 [aiclinical-backend] info: REDCap: getEvents success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "eventCount": 5
+}
+2026-03-08 19:25:55.117 [aiclinical-backend] info: REDCap: getFormEventMapping success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "mappingCount": 19
+}
+2026-03-08 19:25:55.117 [aiclinical-backend] info: [CompletenessEngine] calculateMissingRate
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "2",
+  "denominator": 26,
+  "numerator": 0,
+  "rate": 0,
+  "activeEvents": [
+    "ce46f241ae_arm_1",
+    "65a64dbbd9_arm_1",
+    "9b510b5ce7_arm_1",
+    "4cfb49c5ec_arm_1",
+    "3fea1c25e6_arm_1"
+  ]
+}
+2026-03-08 19:25:55.178 [aiclinical-backend] info: [ProtocolDeviationEngine] No visitWindows configured, D6 will be skipped
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c"
+}
+2026-03-08 19:25:55.178 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:25:55.178 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "recordCount": 1
+}
+2026-03-08 19:25:55.668 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "recordCount": 5,
+  "duration": "490ms"
+}
+2026-03-08 19:25:55.668 [aiclinical-backend] info: [ProtocolDeviationEngine] checkVisitWindows
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "2",
+  "checkedVisits": 0,
+  "deviationCount": 0,
+  "passedCount": 0
+}
+2026-03-08 19:25:55.670 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:25:55.964 [aiclinical-backend] info: REDCap API: exportMetadata success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "fieldCount": 74,
+  "duration": "293ms"
+}
+2026-03-08 19:25:55.964 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "recordCount": 1
+}
+2026-03-08 19:25:56.290 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "recordCount": 3,
+  "duration": "325ms"
+}
+2026-03-08 19:25:56.851 [aiclinical-backend] info: REDCap: getEvents success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "eventCount": 5
+}
+2026-03-08 19:25:56.852 [aiclinical-backend] info: REDCap: getFormEventMapping success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "mappingCount": 19
+}
+2026-03-08 19:25:56.852 [aiclinical-backend] info: [CompletenessEngine] calculateMissingRate
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "3",
+  "denominator": 26,
+  "numerator": 0,
+  "rate": 0,
+  "activeEvents": [
+    "ce46f241ae_arm_1",
+    "65a64dbbd9_arm_1",
+    "9b510b5ce7_arm_1"
+  ]
+}
+2026-03-08 19:25:56.918 [aiclinical-backend] info: [ProtocolDeviationEngine] No visitWindows configured, D6 will be skipped
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c"
+}
+2026-03-08 19:25:56.918 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:25:56.918 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "recordCount": 1
+}
+2026-03-08 19:25:57.240 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "recordCount": 3,
+  "duration": "322ms"
+}
+2026-03-08 19:25:57.240 [aiclinical-backend] info: [ProtocolDeviationEngine] checkVisitWindows
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "3",
+  "checkedVisits": 0,
+  "deviationCount": 0,
+  "passedCount": 0
+}
+2026-03-08 19:25:57.242 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:25:57.790 [aiclinical-backend] info: REDCap API: exportMetadata success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "fieldCount": 74,
+  "duration": "548ms"
+}
+2026-03-08 19:25:57.790 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "recordCount": 1
+}
+2026-03-08 19:25:58.143 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "recordCount": 2,
+  "duration": "353ms"
+}
+2026-03-08 19:25:58.648 [aiclinical-backend] info: REDCap: getEvents success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "eventCount": 5
+}
+2026-03-08 19:25:58.648 [aiclinical-backend] info: REDCap: getFormEventMapping success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "mappingCount": 19
+}
+2026-03-08 19:25:58.648 [aiclinical-backend] info: [CompletenessEngine] calculateMissingRate
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "4",
+  "denominator": 26,
+  "numerator": 0,
+  "rate": 0,
+  "activeEvents": [
+    "ce46f241ae_arm_1",
+    "65a64dbbd9_arm_1"
+  ]
+}
+2026-03-08 19:25:58.719 [aiclinical-backend] info: [ProtocolDeviationEngine] No visitWindows configured, D6 will be skipped
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c"
+}
+2026-03-08 19:25:58.720 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:25:58.720 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "recordCount": 1
+}
+2026-03-08 19:25:59.246 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "recordCount": 2,
+  "duration": "526ms"
+}
+2026-03-08 19:25:59.246 [aiclinical-backend] info: [ProtocolDeviationEngine] checkVisitWindows
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "4",
+  "checkedVisits": 0,
+  "deviationCount": 0,
+  "passedCount": 0
+}
+2026-03-08 19:25:59.248 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:25:59.550 [aiclinical-backend] info: REDCap API: exportMetadata success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "fieldCount": 74,
+  "duration": "301ms"
+}
+2026-03-08 19:25:59.550 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "recordCount": 1
+}
+2026-03-08 19:25:59.879 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "recordCount": 2,
+  "duration": "328ms"
+}
+2026-03-08 19:26:00.669 [aiclinical-backend] info: REDCap: getEvents success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "eventCount": 5
+}
+2026-03-08 19:26:00.670 [aiclinical-backend] info: REDCap: getFormEventMapping success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "mappingCount": 19
+}
+2026-03-08 19:26:00.670 [aiclinical-backend] info: [CompletenessEngine] calculateMissingRate
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "5",
+  "denominator": 26,
+  "numerator": 0,
+  "rate": 0,
+  "activeEvents": [
+    "ce46f241ae_arm_1",
+    "65a64dbbd9_arm_1"
+  ]
+}
+2026-03-08 19:26:00.729 [aiclinical-backend] info: [ProtocolDeviationEngine] No visitWindows configured, D6 will be skipped
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c"
+}
+2026-03-08 19:26:00.729 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:26:00.729 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "recordCount": 1
+}
+2026-03-08 19:26:01.052 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "recordCount": 2,
+  "duration": "322ms"
+}
+2026-03-08 19:26:01.052 [aiclinical-backend] info: [ProtocolDeviationEngine] checkVisitWindows
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "5",
+  "checkedVisits": 0,
+  "deviationCount": 0,
+  "passedCount": 0
+}
+2026-03-08 19:26:01.054 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:26:01.283 [aiclinical-backend] info: REDCap API: exportMetadata success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "fieldCount": 74,
+  "duration": "228ms"
+}
+2026-03-08 19:26:01.283 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "recordCount": 1
+}
+2026-03-08 19:26:01.674 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "recordCount": 2,
+  "duration": "391ms"
+}
+2026-03-08 19:26:02.141 [aiclinical-backend] info: REDCap: getEvents success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "eventCount": 5
+}
+2026-03-08 19:26:02.141 [aiclinical-backend] info: REDCap: getFormEventMapping success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "mappingCount": 19
+}
+2026-03-08 19:26:02.141 [aiclinical-backend] info: [CompletenessEngine] calculateMissingRate
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "6",
+  "denominator": 26,
+  "numerator": 0,
+  "rate": 0,
+  "activeEvents": [
+    "ce46f241ae_arm_1",
+    "65a64dbbd9_arm_1"
+  ]
+}
+2026-03-08 19:26:02.196 [aiclinical-backend] info: [ProtocolDeviationEngine] No visitWindows configured, D6 will be skipped
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c"
+}
+2026-03-08 19:26:02.196 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:26:02.197 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "recordCount": 1
+}
+2026-03-08 19:26:02.513 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "recordCount": 2,
+  "duration": "316ms"
+}
+2026-03-08 19:26:02.513 [aiclinical-backend] info: [ProtocolDeviationEngine] checkVisitWindows
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "6",
+  "checkedVisits": 0,
+  "deviationCount": 0,
+  "passedCount": 0
+}
+2026-03-08 19:26:02.516 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:26:02.753 [aiclinical-backend] info: REDCap API: exportMetadata success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "fieldCount": 74,
+  "duration": "236ms"
+}
+2026-03-08 19:26:02.754 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "recordCount": 1
+}
+2026-03-08 19:26:03.072 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "recordCount": 3,
+  "duration": "318ms"
+}
+2026-03-08 19:26:03.858 [aiclinical-backend] info: REDCap: getEvents success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "eventCount": 5
+}
+2026-03-08 19:26:03.858 [aiclinical-backend] info: REDCap: getFormEventMapping success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "mappingCount": 19
+}
+2026-03-08 19:26:03.858 [aiclinical-backend] info: [CompletenessEngine] calculateMissingRate
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "7",
+  "denominator": 26,
+  "numerator": 0,
+  "rate": 0,
+  "activeEvents": [
+    "ce46f241ae_arm_1",
+    "65a64dbbd9_arm_1",
+    "9b510b5ce7_arm_1"
+  ]
+}
+2026-03-08 19:26:03.921 [aiclinical-backend] info: [ProtocolDeviationEngine] No visitWindows configured, D6 will be skipped
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c"
+}
+2026-03-08 19:26:03.921 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:26:03.921 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "recordCount": 1
+}
+2026-03-08 19:26:04.243 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "recordCount": 3,
+  "duration": "322ms"
+}
+2026-03-08 19:26:04.243 [aiclinical-backend] info: [ProtocolDeviationEngine] checkVisitWindows
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "7",
+  "checkedVisits": 0,
+  "deviationCount": 0,
+  "passedCount": 0
+}
+2026-03-08 19:26:04.245 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:26:04.477 [aiclinical-backend] info: REDCap API: exportMetadata success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "fieldCount": 74,
+  "duration": "232ms"
+}
+2026-03-08 19:26:04.477 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "recordCount": 1
+}
+2026-03-08 19:26:04.854 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "recordCount": 3,
+  "duration": "376ms"
+}
+2026-03-08 19:26:05.365 [aiclinical-backend] info: REDCap: getEvents success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "eventCount": 5
+}
+2026-03-08 19:26:05.365 [aiclinical-backend] info: REDCap: getFormEventMapping success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "mappingCount": 19
+}
+2026-03-08 19:26:05.365 [aiclinical-backend] info: [CompletenessEngine] calculateMissingRate
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "8",
+  "denominator": 26,
+  "numerator": 0,
+  "rate": 0,
+  "activeEvents": [
+    "ce46f241ae_arm_1",
+    "65a64dbbd9_arm_1",
+    "9b510b5ce7_arm_1"
+  ]
+}
+2026-03-08 19:26:05.425 [aiclinical-backend] info: [ProtocolDeviationEngine] No visitWindows configured, D6 will be skipped
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c"
+}
+2026-03-08 19:26:05.425 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:26:05.426 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "recordCount": 1
+}
+2026-03-08 19:26:05.722 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "recordCount": 3,
+  "duration": "296ms"
+}
+2026-03-08 19:26:05.722 [aiclinical-backend] info: [ProtocolDeviationEngine] checkVisitWindows
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "8",
+  "checkedVisits": 0,
+  "deviationCount": 0,
+  "passedCount": 0
+}
+2026-03-08 19:26:05.724 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:26:06.068 [aiclinical-backend] info: REDCap API: exportMetadata success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "fieldCount": 74,
+  "duration": "344ms"
+}
+2026-03-08 19:26:06.068 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "recordCount": 1
+}
+2026-03-08 19:26:06.993 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "recordCount": 5,
+  "duration": "925ms"
+}
+2026-03-08 19:26:07.488 [aiclinical-backend] info: REDCap: getEvents success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "eventCount": 5
+}
+2026-03-08 19:26:07.488 [aiclinical-backend] info: REDCap: getFormEventMapping success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "mappingCount": 19
+}
+2026-03-08 19:26:07.488 [aiclinical-backend] info: [CompletenessEngine] calculateMissingRate
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "9",
+  "denominator": 26,
+  "numerator": 0,
+  "rate": 0,
+  "activeEvents": [
+    "ce46f241ae_arm_1",
+    "65a64dbbd9_arm_1",
+    "9b510b5ce7_arm_1",
+    "4cfb49c5ec_arm_1",
+    "3fea1c25e6_arm_1"
+  ]
+}
+2026-03-08 19:26:07.544 [aiclinical-backend] info: [ProtocolDeviationEngine] No visitWindows configured, D6 will be skipped
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c"
+}
+2026-03-08 19:26:07.544 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:26:07.544 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "recordCount": 1
+}
+2026-03-08 19:26:07.920 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "recordCount": 5,
+  "duration": "376ms"
+}
+2026-03-08 19:26:07.920 [aiclinical-backend] info: [ProtocolDeviationEngine] checkVisitWindows
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "9",
+  "checkedVisits": 0,
+  "deviationCount": 0,
+  "passedCount": 0
+}
+2026-03-08 19:26:07.923 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:26:08.190 [aiclinical-backend] info: REDCap API: exportMetadata success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "fieldCount": 74,
+  "duration": "267ms"
+}
+2026-03-08 19:26:08.191 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "recordCount": 1
+}
+2026-03-08 19:26:08.518 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "recordCount": 5,
+  "duration": "327ms"
+}
+2026-03-08 19:26:08.991 [aiclinical-backend] info: REDCap: getEvents success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "eventCount": 5
+}
+2026-03-08 19:26:08.991 [aiclinical-backend] info: REDCap: getFormEventMapping success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "mappingCount": 19
+}
+2026-03-08 19:26:08.991 [aiclinical-backend] info: [CompletenessEngine] calculateMissingRate
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "10",
+  "denominator": 26,
+  "numerator": 0,
+  "rate": 0,
+  "activeEvents": [
+    "ce46f241ae_arm_1",
+    "65a64dbbd9_arm_1",
+    "9b510b5ce7_arm_1",
+    "4cfb49c5ec_arm_1",
+    "3fea1c25e6_arm_1"
+  ]
+}
+2026-03-08 19:26:09.058 [aiclinical-backend] info: [ProtocolDeviationEngine] No visitWindows configured, D6 will be skipped
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c"
+}
+2026-03-08 19:26:09.059 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:26:09.059 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "recordCount": 1
+}
+2026-03-08 19:26:09.691 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "recordCount": 5,
+  "duration": "632ms"
+}
+2026-03-08 19:26:09.691 [aiclinical-backend] info: [ProtocolDeviationEngine] checkVisitWindows
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "10",
+  "checkedVisits": 0,
+  "deviationCount": 0,
+  "passedCount": 0
+}
+2026-03-08 19:26:09.693 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:26:09.924 [aiclinical-backend] info: REDCap API: exportMetadata success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "fieldCount": 74,
+  "duration": "231ms"
+}
+2026-03-08 19:26:09.924 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "recordCount": 1
+}
+2026-03-08 19:26:10.260 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "recordCount": 1,
+  "duration": "335ms"
+}
+2026-03-08 19:26:10.706 [aiclinical-backend] info: REDCap: getEvents success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "eventCount": 5
+}
+2026-03-08 19:26:10.706 [aiclinical-backend] info: REDCap: getFormEventMapping success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "mappingCount": 19
+}
+2026-03-08 19:26:10.707 [aiclinical-backend] info: [CompletenessEngine] calculateMissingRate
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "11",
+  "denominator": 26,
+  "numerator": 19,
+  "rate": 73.1,
+  "activeEvents": [
+    "65a64dbbd9_arm_1"
+  ]
+}
+2026-03-08 19:26:10.764 [aiclinical-backend] info: [ProtocolDeviationEngine] No visitWindows configured, D6 will be skipped
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c"
+}
+2026-03-08 19:26:10.765 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:26:10.765 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "recordCount": 1
+}
+2026-03-08 19:26:11.144 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "recordCount": 1,
+  "duration": "378ms"
+}
+2026-03-08 19:26:11.144 [aiclinical-backend] info: [ProtocolDeviationEngine] checkVisitWindows
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "11",
+  "checkedVisits": 0,
+  "deviationCount": 0,
+  "passedCount": 0
+}
+2026-03-08 19:26:11.146 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:26:11.408 [aiclinical-backend] info: REDCap API: exportMetadata success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "fieldCount": 74,
+  "duration": "262ms"
+}
+2026-03-08 19:26:11.408 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "recordCount": 1
+}
+2026-03-08 19:26:11.729 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "recordCount": 1,
+  "duration": "321ms"
+}
+2026-03-08 19:26:12.192 [aiclinical-backend] info: REDCap: getEvents success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "eventCount": 5
+}
+2026-03-08 19:26:12.192 [aiclinical-backend] info: REDCap: getFormEventMapping success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "mappingCount": 19
+}
+2026-03-08 19:26:12.192 [aiclinical-backend] info: [CompletenessEngine] calculateMissingRate
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "12",
+  "denominator": 26,
+  "numerator": 19,
+  "rate": 73.1,
+  "activeEvents": [
+    "65a64dbbd9_arm_1"
+  ]
+}
+2026-03-08 19:26:12.251 [aiclinical-backend] info: [ProtocolDeviationEngine] No visitWindows configured, D6 will be skipped
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c"
+}
+2026-03-08 19:26:12.251 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:26:12.252 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "recordCount": 1
+}
+2026-03-08 19:26:12.889 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "recordCount": 1,
+  "duration": "637ms"
+}
+2026-03-08 19:26:12.889 [aiclinical-backend] info: [ProtocolDeviationEngine] checkVisitWindows
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "12",
+  "checkedVisits": 0,
+  "deviationCount": 0,
+  "passedCount": 0
+}
+2026-03-08 19:26:12.933 [aiclinical-backend] info: [HealthScoreEngine] calculate done
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "healthScore": 79.5,
+  "healthGrade": "B"
+}
+2026-03-08 19:26:12.933 [aiclinical-backend] info: [QcAggregator] HealthScore refreshed
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "healthScore": 79.5,
+  "healthGrade": "B"
+}
+2026-03-08 19:26:12.933 [aiclinical-backend] info: [QcAggregator] aggregateDeferred done
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "eventStatusRows": 37,
+  "recordSummaryRows": 12,
+  "durationMs": 43
+}
+2026-03-08 19:26:12.933 [aiclinical-backend] info: [QcExecutor] Batch aggregation completed
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "eventStatusRows": 37,
+  "recordSummaryRows": 12,
+  "aggDurationMs": 43
+}
+2026-03-08 19:26:12.934 [aiclinical-backend] info: [QcExecutor] executeBatch done
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "totalRecordEvents": 37,
+  "fieldStatusWrites": 1710,
+  "durationMs": 28659
+}
+2026-03-08 19:26:12.934 [aiclinical-backend] info: [DailyQcOrchestrator] Starting orchestration
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c"
+}
+2026-03-08 19:26:12.935 [aiclinical-backend] info: [QcReportService] Generating new report
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "reportType": "daily"
+}
+2026-03-08 19:26:13.003 [aiclinical-backend] info: [QcReportService] Report generated
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "reportType": "daily",
+  "duration": "68ms",
+  "criticalCount": 167,
+  "warningCount": 743,
+  "topIssuesCount": 5,
+  "groupedRecordCount": 12
+}
+2026-03-08 19:26:13.191 [aiclinical-backend] debug: [QcReportService] Report cached
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "reportType": "daily"
+}
+2026-03-08 19:26:13.395 [aiclinical-backend] info: 📤 发送企业微信 Markdown 消息
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "userId": "FengZhiBo",
+  "contentLength": 217
+}
+2026-03-08 19:26:13.396 [aiclinical-backend] info: 🔄 请求新的企业微信 Access Token...
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208
+}
+2026-03-08 19:26:15.165 [aiclinical-backend] info: ✅ Access Token 获取成功
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "expiresIn": 7200
+}
+2026-03-08 19:26:15.582 [aiclinical-backend] error: ❌ 发送 Markdown 消息失败
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "errcode": 60020,
+  "errmsg": "not allow to access from your ip, hint: [1772969175390122294852465], from ip: 154.17.225.224, more info at https://open.work.weixin.qq.com/devtool/query?e=60020"
+}
+2026-03-08 19:26:15.582 [aiclinical-backend] error: ❌ 发送 Markdown 消息异常
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "error": "企业微信发送失败: not allow to access from your ip, hint: [1772969175390122294852465], from ip: 154.17.225.224, more info at https://open.work.weixin.qq.com/devtool/query?e=60020 (60020)",
+  "userId": "FengZhiBo"
+}
+2026-03-08 19:26:15.582 [aiclinical-backend] warn: [DailyQcOrchestrator] Push notification failed (non-fatal)
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "error": "Error: 企业微信发送失败: not allow to access from your ip, hint: [1772969175390122294852465], from ip: 154.17.225.224, more info at https://open.work.weixin.qq.com/devtool/query?e=60020 (60020)"
+}
+2026-03-08 19:26:15.583 [aiclinical-backend] info: [DailyQcOrchestrator] Orchestration completed
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "reportId": "836895fe-6799-414a-8a47-013fabd2678b",
+  "equeriesCreated": 0,
+  "criticalEventsArchived": 0,
+  "newIssues": 0,
+  "resolvedIssues": 0,
+  "pushSent": false,
+  "durationMs": 2649
+}
+2026-03-08 19:26:15.648 [aiclinical-backend] info: [ToolsService] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "count": 0
+}
+2026-03-08 19:26:15.649 [aiclinical-backend] info: [QcReportService] Generating new report
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "reportType": "on_demand"
+}
+2026-03-08 19:26:15.653 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:26:15.654 [aiclinical-backend] info: [ToolsService] REDCap adapter created
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208
+}
+2026-03-08 19:26:15.654 [aiclinical-backend] debug: [ToolsService] Tool registered
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "name": "read_report"
+}
+2026-03-08 19:26:15.655 [aiclinical-backend] debug: [ToolsService] Tool registered
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "name": "look_up_data"
+}
+2026-03-08 19:26:15.655 [aiclinical-backend] debug: [ToolsService] Tool registered
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "name": "check_quality"
+}
+2026-03-08 19:26:15.655 [aiclinical-backend] debug: [ToolsService] Tool registered
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "name": "search_knowledge"
+}
+2026-03-08 19:26:15.655 [aiclinical-backend] info: [ToolsService] Initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "toolCount": 4
+}
+2026-03-08 19:26:15.687 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:26:15.701 [aiclinical-backend] info: [QcReportService] Report generated
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "reportType": "on_demand",
+  "duration": "52ms",
+  "criticalCount": 167,
+  "warningCount": 743,
+  "topIssuesCount": 5,
+  "groupedRecordCount": 12
+}
+2026-03-08 19:26:15.721 [aiclinical-backend] info: [QcCockpitService] 获取驾驶舱数据成功
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "totalRecords": 12,
+  "durationMs": 109
+}
+2026-03-08 19:26:15.991 [aiclinical-backend] debug: [QcReportService] Report cached
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "reportType": "on_demand"
+}
+2026-03-08 19:26:16.045 [aiclinical-backend] debug: [QcReportService] Returning cached report
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "reportType": "on_demand",
+  "generatedAt": "2026-03-08T19:26:15+08:00"
+}
+2026-03-08 19:26:16.045 [aiclinical-backend] info: [ToolsService] Tool executed
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 23208,
+  "toolName": "read_report",
+  "success": true,
+  "executionTime": "53ms"
+}
+{
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "withChat": false,
+  "startedAt": "2026-03-08T11:25:42.903Z",
+  "stages": [
+    {
+      "name": "Stage1_REDCap",
+      "ok": true,
+      "checks": [
+        {
+          "name": "metadata_non_empty",
+          "ok": true,
+          "value": 74
+        },
+        {
+          "name": "records_by_event_non_empty",
+          "ok": true,
+          "value": 37
+        },
+        {
+          "name": "unique_records_non_empty",
+          "ok": true,
+          "value": 12
+        },
+        {
+          "name": "events_loaded_or_non_longitudinal",
+          "ok": true,
+          "value": {
+            "events": 5,
+            "formEventMapping": 19
+          }
+        }
+      ],
+      "detail": {
+        "metadataCount": 74,
+        "eventCount": 5,
+        "formEventMappingCount": 19,
+        "recordEventRows": 37,
+        "uniqueRecordCount": 12
+      }
+    },
+    {
+      "name": "Stage2_Rules",
+      "ok": true,
+      "checks": [
+        {
+          "name": "active_qc_rules_exists",
+          "ok": true,
+          "value": 79
+        },
+        {
+          "name": "multi_field_rules_exists",
+          "ok": true,
+          "value": 29
+        },
+        {
+          "name": "has_D1_or_legacy_inclusion_exclusion",
+          "ok": true,
+          "value": [
+            "D6",
+            "D3",
+            "D1",
+            "D5"
+          ]
+        }
+      ],
+      "detail": {
+        "ruleCount": 79,
+        "multiFieldRuleCount": 29,
+        "categories": [
+          "D1",
+          "D3",
+          "D5",
+          "D6"
+        ]
+      }
+    },
+    {
+      "name": "Stage3_Execution",
+      "ok": true,
+      "checks": [
+        {
+          "name": "batch_has_records",
+          "ok": true,
+          "value": 12
+        },
+        {
+          "name": "field_status_written",
+          "ok": true,
+          "value": 1233
+        },
+        {
+          "name": "event_status_written",
+          "ok": true,
+          "value": 37
+        },
+        {
+          "name": "record_summary_written",
+          "ok": true,
+          "value": 12
+        },
+        {
+          "name": "project_stats_exists",
+          "ok": true,
+          "value": true
+        }
+      ],
+      "detail": {
+        "batch": {
+          "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+          "totalRecords": 12,
+          "totalEvents": 37,
+          "passed": 0,
+          "failed": 21,
+          "warnings": 16,
+          "fieldStatusWrites": 1710,
+          "executionTimeMs": 28659
+        },
+        "orchestrate": {
+          "reportId": "836895fe-6799-414a-8a47-013fabd2678b",
+          "equeriesCreated": 0,
+          "criticalEventsArchived": 0,
+          "newIssues": 0,
+          "resolvedIssues": 0,
+          "pushSent": false
+        },
+        "db": {
+          "fieldStatusCount": 1233,
+          "eventStatusCount": 37,
+          "recordSummaryCount": 12,
+          "projectStats": {
+            "totalRecords": 12,
+            "passedRecords": 0,
+            "failedRecords": 12
+          }
+        }
+      }
+    },
+    {
+      "name": "Stage4_Consumption",
+      "ok": true,
+      "checks": [
+        {
+          "name": "report_summary_exists",
+          "ok": true,
+          "value": 12
+        },
+        {
+          "name": "cockpit_stats_exists",
+          "ok": true,
+          "value": 12
+        },
+        {
+          "name": "equery_log_summary_exists",
+          "ok": true,
+          "value": 1115
+        },
+        {
+          "name": "pass_rate_consistent_report_cockpit_tool",
+          "ok": true,
+          "value": {
+            "reportPassRate": 0,
+            "cockpitPassRate": 0,
+            "toolPassRate": 0
+          }
+        },
+        {
+          "name": "chat_has_conclusion_or_skipped",
+          "ok": true,
+          "value": "skipped"
+        }
+      ],
+      "detail": {
+        "reportPassRate": 0,
+        "cockpitPassRate": 0,
+        "toolPassRate": 0,
+        "chatResult": "skipped"
+      }
+    }
+  ],
+  "endedAt": "2026-03-08T11:26:16.046Z"
+}
diff --git a/backend/baseline-e2e-before-unify.json b/backend/baseline-e2e-before-unify.json
new file mode 100644
index 00000000..6a74f08f
--- /dev/null
+++ b/backend/baseline-e2e-before-unify.json
@@ -0,0 +1,17006 @@
+[dotenv@17.2.3] injecting env (0) from .env -- tip: 🔑 add access controls to secrets: https://dotenvx.com/ops
+[Config] Loaded .env file for development
+[JobFactory] Using PgBossQueue (Postgres-Only架构)
+[PgBossQueue] Initialized with schema: platform_schema
+2026-03-08 19:10:33.141 [aiclinical-backend] info: ✅ 企业微信服务初始化成功
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "corpId": "ww6ab493470ab4f377",
+  "agentId": "1000002"
+}
+2026-03-08 19:10:33.145 [aiclinical-backend] warn: [DifyClient] Dify 已废弃，请使用 pgvector RAG 引擎。Legacy 代码需要迁移到新的 ragService。
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212
+}
+2026-03-08 19:10:33.148 [aiclinical-backend] info: [SessionMemory] 会话记忆管理器已启动
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "maxHistory": 3,
+  "timeout": "1小时"
+}
+2026-03-08 19:10:33.355 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+[PgBossQueue] Started successfully
+2026-03-08 19:10:33.876 [aiclinical-backend] info: REDCap: getEvents success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "eventCount": 5
+}
+2026-03-08 19:10:33.878 [aiclinical-backend] info: REDCap API: exportMetadata success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "fieldCount": 74,
+  "duration": "522ms"
+}
+2026-03-08 19:10:34.065 [aiclinical-backend] info: REDCap: getEvents success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "eventCount": 5
+}
+2026-03-08 19:10:34.065 [aiclinical-backend] info: REDCap: getFormEventMapping success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "mappingCount": 19
+}
+2026-03-08 19:10:34.069 [aiclinical-backend] info: REDCap: getEvents success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "eventCount": 5
+}
+2026-03-08 19:10:34.070 [aiclinical-backend] info: REDCap: getFormEventMapping success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "mappingCount": 19
+}
+2026-03-08 19:10:34.782 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "recordCount": 37,
+  "duration": "716ms"
+}
+2026-03-08 19:10:34.791 [aiclinical-backend] info: REDCap: getAllRecordsByEvent success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "recordCount": 37,
+  "eventCount": 5
+}
+2026-03-08 19:10:34.798 [aiclinical-backend] info: [QcExecutor] executeBatch start
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "triggeredBy": "manual"
+}
+2026-03-08 19:10:34.799 [aiclinical-backend] info: [SkillRunner] Starting execution
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "triggerType": "manual",
+  "options": {
+    "skipSoftRules": true
+  }
+}
+2026-03-08 19:10:34.833 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:10:35.402 [aiclinical-backend] info: REDCap: getEvents success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "eventCount": 5
+}
+2026-03-08 19:10:35.402 [aiclinical-backend] info: REDCap: getFormEventMapping success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "mappingCount": 19
+}
+2026-03-08 19:10:35.741 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "recordCount": 37,
+  "duration": "339ms"
+}
+2026-03-08 19:10:35.741 [aiclinical-backend] info: REDCap: getAllRecordsByEvent success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "recordCount": 37,
+  "eventCount": 5
+}
+2026-03-08 19:10:35.757 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:10:35.760 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "mappingCount": 0
+}
+2026-03-08 19:10:35.761 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_0_hr2q1opmw",
+  "field": "visiting_date",
+  "recordId": "1"
+}
+2026-03-08 19:10:35.761 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_1_sdim7iks9",
+  "field": [
+    "check_date",
+    "visiting_date"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.761 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_3_utmkeahm6",
+  "field": [
+    "date_of_assessment_sf_mpq_scale",
+    "visiting_date"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.761 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_4_3j2aozbms",
+  "field": [
+    "date_of_signature",
+    "date_of_first_consultation"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.761 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_5_ux8721fut",
+  "field": [
+    "enrollment_status",
+    "sign_informed_consent_form"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.761 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_6_res5lvb6g",
+  "field": [
+    "visiting_date",
+    "date_of_signature"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.761 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_7_wpzbvli56",
+  "field": [
+    "date_of_first_consultation",
+    "visiting_date"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.761 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_0_424mnnlv0",
+  "field": "educational_level",
+  "recordId": "1"
+}
+2026-03-08 19:10:35.761 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_1_qiy3gde3a",
+  "field": "marital_status",
+  "recordId": "1"
+}
+2026-03-08 19:10:35.761 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_2_hc1jjvymo",
+  "field": "sex",
+  "recordId": "1"
+}
+2026-03-08 19:10:35.762 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_32_a2cxjf9tb",
+  "field": "sign_informed_consent_form",
+  "recordId": "1"
+}
+2026-03-08 19:10:35.762 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_41_eahuliyh0",
+  "field": "alcohol_consumption_history",
+  "recordId": "1"
+}
+2026-03-08 19:10:35.762 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_42_m8cptozxk",
+  "field": "smoking_history",
+  "recordId": "1"
+}
+2026-03-08 19:10:35.762 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_0_96ftk49kx",
+  "field": [
+    "age",
+    "inclusion_criteria2"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.762 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_1_zw7ja89ei",
+  "field": [
+    "sign_informed_consent_form",
+    "inclusion_criteria5"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.762 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_2_44m45t6m6",
+  "field": "inclusion_criteria1",
+  "recordId": "1"
+}
+2026-03-08 19:10:35.762 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_3_zfn62bs40",
+  "field": "exclusion_criteria2",
+  "recordId": "1"
+}
+2026-03-08 19:10:35.762 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_4_vgyy51zou",
+  "field": "exclusion_criteria3",
+  "recordId": "1"
+}
+2026-03-08 19:10:35.762 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_5_pbkwsnx0n",
+  "field": [
+    "exclusion_criteria4",
+    "inclusion_criteria3"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.762 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_6_9ygdecsca",
+  "field": "exclusion_criteria5",
+  "recordId": "1"
+}
+2026-03-08 19:10:35.762 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_7_9sugwpwcf",
+  "field": "sex",
+  "recordId": "1"
+}
+2026-03-08 19:10:35.762 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_8_u079bu08z",
+  "field": [
+    "enrollment_status",
+    "exclusion_criteria1",
+    "exclusion_criteria2",
+    "exclusion_criteria3",
+    "exclusion_criteria4",
+    "exclusion_criteria5"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.762 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_9_ufkub1swe",
+  "field": [
+    "inclusion_criteria1",
+    "inclusion_criteria2",
+    "inclusion_criteria3",
+    "inclusion_criteria4",
+    "inclusion_criteria5"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.762 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_0_r79gvdu3h",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.762 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_1_2uns9t23g",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.762 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_2_os5ccvicv",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.762 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_3_k2nlyk3q4",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.762 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_4_8atbe12pb",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.762 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_5_h62ympca8",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.762 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_6_0m5vg872v",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.762 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_7_4rvkpn2sq",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.762 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_8_7s1fygjji",
+  "field": [
+    "sign_informed_consent_form",
+    "date_of_signature"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.762 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_9_qd6pse9gj",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.762 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_0_2fjs3h1t2",
+  "field": "visiting_date",
+  "recordId": "1"
+}
+2026-03-08 19:10:35.762 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "field": [
+    "date_of_signature",
+    "visiting_date"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.762 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_3_otk3muqgy",
+  "field": [
+    "date_of_assessment_sf_mpq_scale",
+    "visiting_date"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.762 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_4_3e0g4h3xt",
+  "field": [
+    "check_date",
+    "visiting_date"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.762 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "field": [
+    "date_of_first_consultation",
+    "visiting_date"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.762 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_6_eoavacbfk",
+  "field": [
+    "enrollment_status",
+    "sign_informed_consent_form"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.762 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "field": [
+    "visiting_date",
+    "date_of_birth"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.770 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:10:35.772 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "mappingCount": 0
+}
+2026-03-08 19:10:35.772 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_0_hr2q1opmw",
+  "field": "visiting_date",
+  "recordId": "1"
+}
+2026-03-08 19:10:35.772 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_1_sdim7iks9",
+  "field": [
+    "check_date",
+    "visiting_date"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.772 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_3_utmkeahm6",
+  "field": [
+    "date_of_assessment_sf_mpq_scale",
+    "visiting_date"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.772 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_4_3j2aozbms",
+  "field": [
+    "date_of_signature",
+    "date_of_first_consultation"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.772 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_5_ux8721fut",
+  "field": [
+    "enrollment_status",
+    "sign_informed_consent_form"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.772 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_6_res5lvb6g",
+  "field": [
+    "visiting_date",
+    "date_of_signature"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.772 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_7_wpzbvli56",
+  "field": [
+    "date_of_first_consultation",
+    "visiting_date"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.772 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_0_424mnnlv0",
+  "field": "educational_level",
+  "recordId": "1"
+}
+2026-03-08 19:10:35.772 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_1_qiy3gde3a",
+  "field": "marital_status",
+  "recordId": "1"
+}
+2026-03-08 19:10:35.772 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_2_hc1jjvymo",
+  "field": "sex",
+  "recordId": "1"
+}
+2026-03-08 19:10:35.772 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_32_a2cxjf9tb",
+  "field": "sign_informed_consent_form",
+  "recordId": "1"
+}
+2026-03-08 19:10:35.772 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_41_eahuliyh0",
+  "field": "alcohol_consumption_history",
+  "recordId": "1"
+}
+2026-03-08 19:10:35.772 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_42_m8cptozxk",
+  "field": "smoking_history",
+  "recordId": "1"
+}
+2026-03-08 19:10:35.772 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_0_96ftk49kx",
+  "field": [
+    "age",
+    "inclusion_criteria2"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.772 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_1_zw7ja89ei",
+  "field": [
+    "sign_informed_consent_form",
+    "inclusion_criteria5"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.772 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_2_44m45t6m6",
+  "field": "inclusion_criteria1",
+  "recordId": "1"
+}
+2026-03-08 19:10:35.772 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_3_zfn62bs40",
+  "field": "exclusion_criteria2",
+  "recordId": "1"
+}
+2026-03-08 19:10:35.772 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_4_vgyy51zou",
+  "field": "exclusion_criteria3",
+  "recordId": "1"
+}
+2026-03-08 19:10:35.772 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_5_pbkwsnx0n",
+  "field": [
+    "exclusion_criteria4",
+    "inclusion_criteria3"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.772 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_6_9ygdecsca",
+  "field": "exclusion_criteria5",
+  "recordId": "1"
+}
+2026-03-08 19:10:35.772 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_7_9sugwpwcf",
+  "field": "sex",
+  "recordId": "1"
+}
+2026-03-08 19:10:35.772 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_8_u079bu08z",
+  "field": [
+    "enrollment_status",
+    "exclusion_criteria1",
+    "exclusion_criteria2",
+    "exclusion_criteria3",
+    "exclusion_criteria4",
+    "exclusion_criteria5"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.773 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_9_ufkub1swe",
+  "field": [
+    "inclusion_criteria1",
+    "inclusion_criteria2",
+    "inclusion_criteria3",
+    "inclusion_criteria4",
+    "inclusion_criteria5"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.773 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_0_r79gvdu3h",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.773 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_1_2uns9t23g",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.773 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_2_os5ccvicv",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.773 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_3_k2nlyk3q4",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.773 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_4_8atbe12pb",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.773 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_5_h62ympca8",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.773 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_6_0m5vg872v",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.773 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_7_4rvkpn2sq",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.773 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_8_7s1fygjji",
+  "field": [
+    "sign_informed_consent_form",
+    "date_of_signature"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.773 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_9_qd6pse9gj",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.773 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_0_2fjs3h1t2",
+  "field": "visiting_date",
+  "recordId": "1"
+}
+2026-03-08 19:10:35.773 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "field": [
+    "date_of_signature",
+    "visiting_date"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.773 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_3_otk3muqgy",
+  "field": [
+    "date_of_assessment_sf_mpq_scale",
+    "visiting_date"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.773 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_4_3e0g4h3xt",
+  "field": [
+    "check_date",
+    "visiting_date"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.773 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "field": [
+    "date_of_first_consultation",
+    "visiting_date"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.773 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_6_eoavacbfk",
+  "field": [
+    "enrollment_status",
+    "sign_informed_consent_form"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.773 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "field": [
+    "visiting_date",
+    "date_of_birth"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.779 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:10:35.780 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "mappingCount": 0
+}
+2026-03-08 19:10:35.780 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_0_hr2q1opmw",
+  "field": "visiting_date",
+  "recordId": "1"
+}
+2026-03-08 19:10:35.780 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_1_sdim7iks9",
+  "field": [
+    "check_date",
+    "visiting_date"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.780 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_0_2fjs3h1t2",
+  "field": "visiting_date",
+  "recordId": "1"
+}
+2026-03-08 19:10:35.781 [aiclinical-backend] warn: [SkillRunner] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:10:35.781 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_4_3e0g4h3xt",
+  "field": [
+    "check_date",
+    "visiting_date"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.781 [aiclinical-backend] warn: [SkillRunner] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:10:35.781 [aiclinical-backend] warn: [SkillRunner] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:10:35.789 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:10:35.791 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "mappingCount": 0
+}
+2026-03-08 19:10:35.791 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_0_hr2q1opmw",
+  "field": "visiting_date",
+  "recordId": "1"
+}
+2026-03-08 19:10:35.791 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_1_sdim7iks9",
+  "field": [
+    "check_date",
+    "visiting_date"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.791 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_4_3j2aozbms",
+  "field": [
+    "date_of_signature",
+    "date_of_first_consultation"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.791 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_5_ux8721fut",
+  "field": [
+    "enrollment_status",
+    "sign_informed_consent_form"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.791 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_6_res5lvb6g",
+  "field": [
+    "visiting_date",
+    "date_of_signature"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.791 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_7_wpzbvli56",
+  "field": [
+    "date_of_first_consultation",
+    "visiting_date"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.791 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_0_424mnnlv0",
+  "field": "educational_level",
+  "recordId": "1"
+}
+2026-03-08 19:10:35.791 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_1_qiy3gde3a",
+  "field": "marital_status",
+  "recordId": "1"
+}
+2026-03-08 19:10:35.791 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_2_hc1jjvymo",
+  "field": "sex",
+  "recordId": "1"
+}
+2026-03-08 19:10:35.791 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_32_a2cxjf9tb",
+  "field": "sign_informed_consent_form",
+  "recordId": "1"
+}
+2026-03-08 19:10:35.791 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_41_eahuliyh0",
+  "field": "alcohol_consumption_history",
+  "recordId": "1"
+}
+2026-03-08 19:10:35.791 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_42_m8cptozxk",
+  "field": "smoking_history",
+  "recordId": "1"
+}
+2026-03-08 19:10:35.791 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_0_96ftk49kx",
+  "field": [
+    "age",
+    "inclusion_criteria2"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.791 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_1_zw7ja89ei",
+  "field": [
+    "sign_informed_consent_form",
+    "inclusion_criteria5"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.791 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_2_44m45t6m6",
+  "field": "inclusion_criteria1",
+  "recordId": "1"
+}
+2026-03-08 19:10:35.791 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_3_zfn62bs40",
+  "field": "exclusion_criteria2",
+  "recordId": "1"
+}
+2026-03-08 19:10:35.791 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_4_vgyy51zou",
+  "field": "exclusion_criteria3",
+  "recordId": "1"
+}
+2026-03-08 19:10:35.791 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_5_pbkwsnx0n",
+  "field": [
+    "exclusion_criteria4",
+    "inclusion_criteria3"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.792 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_6_9ygdecsca",
+  "field": "exclusion_criteria5",
+  "recordId": "1"
+}
+2026-03-08 19:10:35.792 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_7_9sugwpwcf",
+  "field": "sex",
+  "recordId": "1"
+}
+2026-03-08 19:10:35.792 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_8_u079bu08z",
+  "field": [
+    "enrollment_status",
+    "exclusion_criteria1",
+    "exclusion_criteria2",
+    "exclusion_criteria3",
+    "exclusion_criteria4",
+    "exclusion_criteria5"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.792 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_9_ufkub1swe",
+  "field": [
+    "inclusion_criteria1",
+    "inclusion_criteria2",
+    "inclusion_criteria3",
+    "inclusion_criteria4",
+    "inclusion_criteria5"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.792 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_0_r79gvdu3h",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.792 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_1_2uns9t23g",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.792 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_2_os5ccvicv",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.792 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_3_k2nlyk3q4",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.792 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_4_8atbe12pb",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.792 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_5_h62ympca8",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.792 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_6_0m5vg872v",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.792 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_7_4rvkpn2sq",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.792 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_8_7s1fygjji",
+  "field": [
+    "sign_informed_consent_form",
+    "date_of_signature"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.792 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_9_qd6pse9gj",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.792 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_0_2fjs3h1t2",
+  "field": "visiting_date",
+  "recordId": "1"
+}
+2026-03-08 19:10:35.792 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "field": [
+    "date_of_signature",
+    "visiting_date"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.792 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_4_3e0g4h3xt",
+  "field": [
+    "check_date",
+    "visiting_date"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.792 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "field": [
+    "date_of_first_consultation",
+    "visiting_date"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.792 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_6_eoavacbfk",
+  "field": [
+    "enrollment_status",
+    "sign_informed_consent_form"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.792 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "field": [
+    "visiting_date",
+    "date_of_birth"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.798 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:10:35.799 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "mappingCount": 0
+}
+2026-03-08 19:10:35.799 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_0_hr2q1opmw",
+  "field": "visiting_date",
+  "recordId": "1"
+}
+2026-03-08 19:10:35.799 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_1_sdim7iks9",
+  "field": [
+    "check_date",
+    "visiting_date"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.800 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_4_3j2aozbms",
+  "field": [
+    "date_of_signature",
+    "date_of_first_consultation"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.800 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_5_ux8721fut",
+  "field": [
+    "enrollment_status",
+    "sign_informed_consent_form"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.800 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_6_res5lvb6g",
+  "field": [
+    "visiting_date",
+    "date_of_signature"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.800 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_7_wpzbvli56",
+  "field": [
+    "date_of_first_consultation",
+    "visiting_date"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.800 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_0_424mnnlv0",
+  "field": "educational_level",
+  "recordId": "1"
+}
+2026-03-08 19:10:35.800 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_1_qiy3gde3a",
+  "field": "marital_status",
+  "recordId": "1"
+}
+2026-03-08 19:10:35.800 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_2_hc1jjvymo",
+  "field": "sex",
+  "recordId": "1"
+}
+2026-03-08 19:10:35.800 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_32_a2cxjf9tb",
+  "field": "sign_informed_consent_form",
+  "recordId": "1"
+}
+2026-03-08 19:10:35.800 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_41_eahuliyh0",
+  "field": "alcohol_consumption_history",
+  "recordId": "1"
+}
+2026-03-08 19:10:35.800 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_42_m8cptozxk",
+  "field": "smoking_history",
+  "recordId": "1"
+}
+2026-03-08 19:10:35.800 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_0_96ftk49kx",
+  "field": [
+    "age",
+    "inclusion_criteria2"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.800 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_1_zw7ja89ei",
+  "field": [
+    "sign_informed_consent_form",
+    "inclusion_criteria5"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.800 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_2_44m45t6m6",
+  "field": "inclusion_criteria1",
+  "recordId": "1"
+}
+2026-03-08 19:10:35.800 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_3_zfn62bs40",
+  "field": "exclusion_criteria2",
+  "recordId": "1"
+}
+2026-03-08 19:10:35.800 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_4_vgyy51zou",
+  "field": "exclusion_criteria3",
+  "recordId": "1"
+}
+2026-03-08 19:10:35.800 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_5_pbkwsnx0n",
+  "field": [
+    "exclusion_criteria4",
+    "inclusion_criteria3"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.800 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_6_9ygdecsca",
+  "field": "exclusion_criteria5",
+  "recordId": "1"
+}
+2026-03-08 19:10:35.800 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_7_9sugwpwcf",
+  "field": "sex",
+  "recordId": "1"
+}
+2026-03-08 19:10:35.800 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_8_u079bu08z",
+  "field": [
+    "enrollment_status",
+    "exclusion_criteria1",
+    "exclusion_criteria2",
+    "exclusion_criteria3",
+    "exclusion_criteria4",
+    "exclusion_criteria5"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.800 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_9_ufkub1swe",
+  "field": [
+    "inclusion_criteria1",
+    "inclusion_criteria2",
+    "inclusion_criteria3",
+    "inclusion_criteria4",
+    "inclusion_criteria5"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.800 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_0_r79gvdu3h",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.800 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_1_2uns9t23g",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.800 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_2_os5ccvicv",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.800 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_3_k2nlyk3q4",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.800 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_4_8atbe12pb",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.800 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_5_h62ympca8",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.800 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_6_0m5vg872v",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.800 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_7_4rvkpn2sq",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.800 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_8_7s1fygjji",
+  "field": [
+    "sign_informed_consent_form",
+    "date_of_signature"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.800 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_9_qd6pse9gj",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.800 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_0_2fjs3h1t2",
+  "field": "visiting_date",
+  "recordId": "1"
+}
+2026-03-08 19:10:35.800 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "field": [
+    "date_of_signature",
+    "visiting_date"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.800 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_4_3e0g4h3xt",
+  "field": [
+    "check_date",
+    "visiting_date"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.800 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "field": [
+    "date_of_first_consultation",
+    "visiting_date"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.800 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_6_eoavacbfk",
+  "field": [
+    "enrollment_status",
+    "sign_informed_consent_form"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.800 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "field": [
+    "visiting_date",
+    "date_of_birth"
+  ],
+  "recordId": "1"
+}
+2026-03-08 19:10:35.806 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:10:35.808 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "mappingCount": 0
+}
+2026-03-08 19:10:35.808 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_0_hr2q1opmw",
+  "field": "visiting_date",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.808 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_1_sdim7iks9",
+  "field": [
+    "check_date",
+    "visiting_date"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.808 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_2_1r0huss46",
+  "field": [
+    "date_of_assessment_cmss",
+    "visiting_date"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.808 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_3_utmkeahm6",
+  "field": [
+    "date_of_assessment_sf_mpq_scale",
+    "visiting_date"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.808 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_4_3j2aozbms",
+  "field": [
+    "date_of_signature",
+    "date_of_first_consultation"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.808 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_5_ux8721fut",
+  "field": [
+    "enrollment_status",
+    "sign_informed_consent_form"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.808 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_6_res5lvb6g",
+  "field": [
+    "visiting_date",
+    "date_of_signature"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.808 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_7_wpzbvli56",
+  "field": [
+    "date_of_first_consultation",
+    "visiting_date"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.808 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_0_424mnnlv0",
+  "field": "educational_level",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.808 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_1_qiy3gde3a",
+  "field": "marital_status",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.808 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_2_hc1jjvymo",
+  "field": "sex",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.808 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_3_delac4edo",
+  "field": "absolute_value_of_basophilic_cells",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.808 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_4_8tcnwi9gg",
+  "field": "absolute_value_of_lymphocytes",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.808 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_5_4k7227d38",
+  "field": "absolute_value_of_monocytes",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.808 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_6_2e6slhi9p",
+  "field": "absolute_value_of_neutrophils",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.808 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_7_u8z0d18gb",
+  "field": "eosinophil_absolute_count",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.808 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_8_hculwqhyk",
+  "field": "eosinophil_count_ratio",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.808 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_9_ftk4426nd",
+  "field": "eosinophil_countratio",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.808 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_10_vcciaxxuk",
+  "field": "hematocrit",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.808 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_11_tk5gliucf",
+  "field": "hemoglobin",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.808 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_12_abhqvjmg5",
+  "field": "high_platelet_ratio",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.808 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_13_p8j624iv2",
+  "field": "mean_corpuscular_volume",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.808 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_14_rwum2cw2u",
+  "field": "mean_hemoglobin_concentratin",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.808 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_15_f056yvtme",
+  "field": "mean_hemoglobin_concentration",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.808 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_16_5o2al7oyz",
+  "field": "mean_platelet_volume",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.808 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_17_zcd5zxn3u",
+  "field": "platelet_count",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.808 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_18_skojo7cru",
+  "field": "platelet_volume",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.808 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_19_5iin73wva",
+  "field": "platelet_volume_distribution_width",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.808 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_20_4lxpihy8o",
+  "field": "rbc_volume_distribution_width_cv",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.808 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_21_gl7d8n5si",
+  "field": "rbc_volume_distribution_width_sd",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.808 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_22_1fnjktj7v",
+  "field": "red_blood_cell_count",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.808 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_23_zrt2ixskp",
+  "field": "relative_value_of_lymphocytes",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.809 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_24_a5oovpadb",
+  "field": "relative_value_of_monocytes",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.809 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_25_rr9uk1but",
+  "field": "relative_value_of_neutrophils",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.809 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_26_f9hez0b4k",
+  "field": "white_blood_cell_count",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.809 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_32_a2cxjf9tb",
+  "field": "sign_informed_consent_form",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.809 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_41_eahuliyh0",
+  "field": "alcohol_consumption_history",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.809 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_42_m8cptozxk",
+  "field": "smoking_history",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.809 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_0_96ftk49kx",
+  "field": [
+    "age",
+    "inclusion_criteria2"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.809 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_1_zw7ja89ei",
+  "field": [
+    "sign_informed_consent_form",
+    "inclusion_criteria5"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.809 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_2_44m45t6m6",
+  "field": "inclusion_criteria1",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.809 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_3_zfn62bs40",
+  "field": "exclusion_criteria2",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.809 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_4_vgyy51zou",
+  "field": "exclusion_criteria3",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.809 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_5_pbkwsnx0n",
+  "field": [
+    "exclusion_criteria4",
+    "inclusion_criteria3"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.809 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_6_9ygdecsca",
+  "field": "exclusion_criteria5",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.809 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_7_9sugwpwcf",
+  "field": "sex",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.809 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_8_u079bu08z",
+  "field": [
+    "enrollment_status",
+    "exclusion_criteria1",
+    "exclusion_criteria2",
+    "exclusion_criteria3",
+    "exclusion_criteria4",
+    "exclusion_criteria5"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.809 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_9_ufkub1swe",
+  "field": [
+    "inclusion_criteria1",
+    "inclusion_criteria2",
+    "inclusion_criteria3",
+    "inclusion_criteria4",
+    "inclusion_criteria5"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.809 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_0_r79gvdu3h",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.809 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_1_2uns9t23g",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.809 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_2_os5ccvicv",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.809 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_3_k2nlyk3q4",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.809 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_4_8atbe12pb",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.809 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_5_h62ympca8",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.809 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_6_0m5vg872v",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.809 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_7_4rvkpn2sq",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.809 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_8_7s1fygjji",
+  "field": [
+    "sign_informed_consent_form",
+    "date_of_signature"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.809 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_9_qd6pse9gj",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.809 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_0_2fjs3h1t2",
+  "field": "visiting_date",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.809 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "field": [
+    "date_of_signature",
+    "visiting_date"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.809 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_2_a8k2wend3",
+  "field": [
+    "date_of_assessment_cmss",
+    "visiting_date"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.809 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_3_otk3muqgy",
+  "field": [
+    "date_of_assessment_sf_mpq_scale",
+    "visiting_date"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.809 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_4_3e0g4h3xt",
+  "field": [
+    "check_date",
+    "visiting_date"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.809 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "field": [
+    "date_of_first_consultation",
+    "visiting_date"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.809 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_6_eoavacbfk",
+  "field": [
+    "enrollment_status",
+    "sign_informed_consent_form"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.809 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "field": [
+    "visiting_date",
+    "date_of_birth"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.814 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:10:35.816 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "mappingCount": 0
+}
+2026-03-08 19:10:35.816 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_0_hr2q1opmw",
+  "field": "visiting_date",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.816 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_1_sdim7iks9",
+  "field": [
+    "check_date",
+    "visiting_date"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.816 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_2_1r0huss46",
+  "field": [
+    "date_of_assessment_cmss",
+    "visiting_date"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.816 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_3_utmkeahm6",
+  "field": [
+    "date_of_assessment_sf_mpq_scale",
+    "visiting_date"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.816 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_4_3j2aozbms",
+  "field": [
+    "date_of_signature",
+    "date_of_first_consultation"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.816 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_5_ux8721fut",
+  "field": [
+    "enrollment_status",
+    "sign_informed_consent_form"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.816 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_6_res5lvb6g",
+  "field": [
+    "visiting_date",
+    "date_of_signature"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.816 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_7_wpzbvli56",
+  "field": [
+    "date_of_first_consultation",
+    "visiting_date"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.816 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_0_424mnnlv0",
+  "field": "educational_level",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.816 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_1_qiy3gde3a",
+  "field": "marital_status",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.816 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_2_hc1jjvymo",
+  "field": "sex",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.816 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_3_delac4edo",
+  "field": "absolute_value_of_basophilic_cells",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.816 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_4_8tcnwi9gg",
+  "field": "absolute_value_of_lymphocytes",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.816 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_5_4k7227d38",
+  "field": "absolute_value_of_monocytes",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.816 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_6_2e6slhi9p",
+  "field": "absolute_value_of_neutrophils",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.816 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_7_u8z0d18gb",
+  "field": "eosinophil_absolute_count",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.816 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_8_hculwqhyk",
+  "field": "eosinophil_count_ratio",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.816 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_9_ftk4426nd",
+  "field": "eosinophil_countratio",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.816 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_10_vcciaxxuk",
+  "field": "hematocrit",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.816 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_11_tk5gliucf",
+  "field": "hemoglobin",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.816 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_12_abhqvjmg5",
+  "field": "high_platelet_ratio",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.816 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_13_p8j624iv2",
+  "field": "mean_corpuscular_volume",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.816 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_14_rwum2cw2u",
+  "field": "mean_hemoglobin_concentratin",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.816 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_15_f056yvtme",
+  "field": "mean_hemoglobin_concentration",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.816 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_16_5o2al7oyz",
+  "field": "mean_platelet_volume",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.816 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_17_zcd5zxn3u",
+  "field": "platelet_count",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.816 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_18_skojo7cru",
+  "field": "platelet_volume",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.816 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_19_5iin73wva",
+  "field": "platelet_volume_distribution_width",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.816 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_20_4lxpihy8o",
+  "field": "rbc_volume_distribution_width_cv",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.816 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_21_gl7d8n5si",
+  "field": "rbc_volume_distribution_width_sd",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.816 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_22_1fnjktj7v",
+  "field": "red_blood_cell_count",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.816 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_23_zrt2ixskp",
+  "field": "relative_value_of_lymphocytes",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.816 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_24_a5oovpadb",
+  "field": "relative_value_of_monocytes",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.816 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_25_rr9uk1but",
+  "field": "relative_value_of_neutrophils",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.816 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_26_f9hez0b4k",
+  "field": "white_blood_cell_count",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.816 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_32_a2cxjf9tb",
+  "field": "sign_informed_consent_form",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.816 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_41_eahuliyh0",
+  "field": "alcohol_consumption_history",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.816 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_42_m8cptozxk",
+  "field": "smoking_history",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.816 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_0_96ftk49kx",
+  "field": [
+    "age",
+    "inclusion_criteria2"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.816 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_1_zw7ja89ei",
+  "field": [
+    "sign_informed_consent_form",
+    "inclusion_criteria5"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.817 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_2_44m45t6m6",
+  "field": "inclusion_criteria1",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.817 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_3_zfn62bs40",
+  "field": "exclusion_criteria2",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.817 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_4_vgyy51zou",
+  "field": "exclusion_criteria3",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.817 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_5_pbkwsnx0n",
+  "field": [
+    "exclusion_criteria4",
+    "inclusion_criteria3"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.817 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_6_9ygdecsca",
+  "field": "exclusion_criteria5",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.817 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_7_9sugwpwcf",
+  "field": "sex",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.817 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_8_u079bu08z",
+  "field": [
+    "enrollment_status",
+    "exclusion_criteria1",
+    "exclusion_criteria2",
+    "exclusion_criteria3",
+    "exclusion_criteria4",
+    "exclusion_criteria5"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.817 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_9_ufkub1swe",
+  "field": [
+    "inclusion_criteria1",
+    "inclusion_criteria2",
+    "inclusion_criteria3",
+    "inclusion_criteria4",
+    "inclusion_criteria5"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.817 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_0_r79gvdu3h",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.817 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_1_2uns9t23g",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.817 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_2_os5ccvicv",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.817 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_3_k2nlyk3q4",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.817 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_4_8atbe12pb",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.817 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_5_h62ympca8",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.817 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_6_0m5vg872v",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.817 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_7_4rvkpn2sq",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.817 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_8_7s1fygjji",
+  "field": [
+    "sign_informed_consent_form",
+    "date_of_signature"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.817 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_9_qd6pse9gj",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.817 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_0_2fjs3h1t2",
+  "field": "visiting_date",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.817 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "field": [
+    "date_of_signature",
+    "visiting_date"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.817 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_2_a8k2wend3",
+  "field": [
+    "date_of_assessment_cmss",
+    "visiting_date"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.817 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_3_otk3muqgy",
+  "field": [
+    "date_of_assessment_sf_mpq_scale",
+    "visiting_date"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.817 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_4_3e0g4h3xt",
+  "field": [
+    "check_date",
+    "visiting_date"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.817 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "field": [
+    "date_of_first_consultation",
+    "visiting_date"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.817 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_6_eoavacbfk",
+  "field": [
+    "enrollment_status",
+    "sign_informed_consent_form"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.817 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "field": [
+    "visiting_date",
+    "date_of_birth"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.821 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:10:35.823 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "mappingCount": 0
+}
+2026-03-08 19:10:35.823 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_3_delac4edo",
+  "field": "absolute_value_of_basophilic_cells",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.823 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_4_8tcnwi9gg",
+  "field": "absolute_value_of_lymphocytes",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.823 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_5_4k7227d38",
+  "field": "absolute_value_of_monocytes",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.823 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_6_2e6slhi9p",
+  "field": "absolute_value_of_neutrophils",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.823 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_7_u8z0d18gb",
+  "field": "eosinophil_absolute_count",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.823 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_8_hculwqhyk",
+  "field": "eosinophil_count_ratio",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.823 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_9_ftk4426nd",
+  "field": "eosinophil_countratio",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.823 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_10_vcciaxxuk",
+  "field": "hematocrit",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.823 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_11_tk5gliucf",
+  "field": "hemoglobin",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.823 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_12_abhqvjmg5",
+  "field": "high_platelet_ratio",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.823 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_13_p8j624iv2",
+  "field": "mean_corpuscular_volume",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.823 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_14_rwum2cw2u",
+  "field": "mean_hemoglobin_concentratin",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.823 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_15_f056yvtme",
+  "field": "mean_hemoglobin_concentration",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.823 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_16_5o2al7oyz",
+  "field": "mean_platelet_volume",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.823 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_17_zcd5zxn3u",
+  "field": "platelet_count",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.823 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_18_skojo7cru",
+  "field": "platelet_volume",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.823 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_19_5iin73wva",
+  "field": "platelet_volume_distribution_width",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.823 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_20_4lxpihy8o",
+  "field": "rbc_volume_distribution_width_cv",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.823 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_21_gl7d8n5si",
+  "field": "rbc_volume_distribution_width_sd",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.823 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_22_1fnjktj7v",
+  "field": "red_blood_cell_count",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.823 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_23_zrt2ixskp",
+  "field": "relative_value_of_lymphocytes",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.823 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_24_a5oovpadb",
+  "field": "relative_value_of_monocytes",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.823 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_25_rr9uk1but",
+  "field": "relative_value_of_neutrophils",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.823 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_26_f9hez0b4k",
+  "field": "white_blood_cell_count",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.824 [aiclinical-backend] warn: [SkillRunner] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:10:35.824 [aiclinical-backend] warn: [SkillRunner] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:10:35.824 [aiclinical-backend] warn: [SkillRunner] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:10:35.831 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:10:35.832 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "mappingCount": 0
+}
+2026-03-08 19:10:35.832 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_0_hr2q1opmw",
+  "field": "visiting_date",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.832 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_1_sdim7iks9",
+  "field": [
+    "check_date",
+    "visiting_date"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.832 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_2_1r0huss46",
+  "field": [
+    "date_of_assessment_cmss",
+    "visiting_date"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.832 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_3_utmkeahm6",
+  "field": [
+    "date_of_assessment_sf_mpq_scale",
+    "visiting_date"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.832 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_4_3j2aozbms",
+  "field": [
+    "date_of_signature",
+    "date_of_first_consultation"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.832 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_5_ux8721fut",
+  "field": [
+    "enrollment_status",
+    "sign_informed_consent_form"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.832 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_6_res5lvb6g",
+  "field": [
+    "visiting_date",
+    "date_of_signature"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.832 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_7_wpzbvli56",
+  "field": [
+    "date_of_first_consultation",
+    "visiting_date"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.832 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_0_424mnnlv0",
+  "field": "educational_level",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.832 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_1_qiy3gde3a",
+  "field": "marital_status",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.832 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_2_hc1jjvymo",
+  "field": "sex",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.832 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_3_delac4edo",
+  "field": "absolute_value_of_basophilic_cells",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.833 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_4_8tcnwi9gg",
+  "field": "absolute_value_of_lymphocytes",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.833 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_5_4k7227d38",
+  "field": "absolute_value_of_monocytes",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.833 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_6_2e6slhi9p",
+  "field": "absolute_value_of_neutrophils",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.833 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_7_u8z0d18gb",
+  "field": "eosinophil_absolute_count",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.833 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_8_hculwqhyk",
+  "field": "eosinophil_count_ratio",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.833 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_9_ftk4426nd",
+  "field": "eosinophil_countratio",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.833 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_10_vcciaxxuk",
+  "field": "hematocrit",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.833 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_11_tk5gliucf",
+  "field": "hemoglobin",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.833 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_12_abhqvjmg5",
+  "field": "high_platelet_ratio",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.833 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_13_p8j624iv2",
+  "field": "mean_corpuscular_volume",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.833 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_14_rwum2cw2u",
+  "field": "mean_hemoglobin_concentratin",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.833 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_15_f056yvtme",
+  "field": "mean_hemoglobin_concentration",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.833 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_16_5o2al7oyz",
+  "field": "mean_platelet_volume",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.833 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_17_zcd5zxn3u",
+  "field": "platelet_count",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.833 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_18_skojo7cru",
+  "field": "platelet_volume",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.833 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_19_5iin73wva",
+  "field": "platelet_volume_distribution_width",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.834 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_20_4lxpihy8o",
+  "field": "rbc_volume_distribution_width_cv",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.834 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_21_gl7d8n5si",
+  "field": "rbc_volume_distribution_width_sd",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.834 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_22_1fnjktj7v",
+  "field": "red_blood_cell_count",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.834 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_23_zrt2ixskp",
+  "field": "relative_value_of_lymphocytes",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.834 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_24_a5oovpadb",
+  "field": "relative_value_of_monocytes",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.834 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_25_rr9uk1but",
+  "field": "relative_value_of_neutrophils",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.834 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_26_f9hez0b4k",
+  "field": "white_blood_cell_count",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.834 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_32_a2cxjf9tb",
+  "field": "sign_informed_consent_form",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.834 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_41_eahuliyh0",
+  "field": "alcohol_consumption_history",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.834 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_42_m8cptozxk",
+  "field": "smoking_history",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.834 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_0_96ftk49kx",
+  "field": [
+    "age",
+    "inclusion_criteria2"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.835 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_1_zw7ja89ei",
+  "field": [
+    "sign_informed_consent_form",
+    "inclusion_criteria5"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.835 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_2_44m45t6m6",
+  "field": "inclusion_criteria1",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.835 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_3_zfn62bs40",
+  "field": "exclusion_criteria2",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.835 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_4_vgyy51zou",
+  "field": "exclusion_criteria3",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.835 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_5_pbkwsnx0n",
+  "field": [
+    "exclusion_criteria4",
+    "inclusion_criteria3"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.835 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_6_9ygdecsca",
+  "field": "exclusion_criteria5",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.835 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_7_9sugwpwcf",
+  "field": "sex",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.835 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_8_u079bu08z",
+  "field": [
+    "enrollment_status",
+    "exclusion_criteria1",
+    "exclusion_criteria2",
+    "exclusion_criteria3",
+    "exclusion_criteria4",
+    "exclusion_criteria5"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.835 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_9_ufkub1swe",
+  "field": [
+    "inclusion_criteria1",
+    "inclusion_criteria2",
+    "inclusion_criteria3",
+    "inclusion_criteria4",
+    "inclusion_criteria5"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.835 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_0_r79gvdu3h",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.835 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_1_2uns9t23g",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.835 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_2_os5ccvicv",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.835 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_3_k2nlyk3q4",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.835 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_4_8atbe12pb",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.835 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_5_h62ympca8",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.835 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_6_0m5vg872v",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.835 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_7_4rvkpn2sq",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.835 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_8_7s1fygjji",
+  "field": [
+    "sign_informed_consent_form",
+    "date_of_signature"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.835 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_9_qd6pse9gj",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.835 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_0_2fjs3h1t2",
+  "field": "visiting_date",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.835 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "field": [
+    "date_of_signature",
+    "visiting_date"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.835 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_2_a8k2wend3",
+  "field": [
+    "date_of_assessment_cmss",
+    "visiting_date"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.835 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_3_otk3muqgy",
+  "field": [
+    "date_of_assessment_sf_mpq_scale",
+    "visiting_date"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.835 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_4_3e0g4h3xt",
+  "field": [
+    "check_date",
+    "visiting_date"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.835 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "field": [
+    "date_of_first_consultation",
+    "visiting_date"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.835 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_6_eoavacbfk",
+  "field": [
+    "enrollment_status",
+    "sign_informed_consent_form"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.835 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "field": [
+    "visiting_date",
+    "date_of_birth"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.840 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:10:35.842 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "mappingCount": 0
+}
+2026-03-08 19:10:35.842 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_0_hr2q1opmw",
+  "field": "visiting_date",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.842 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_1_sdim7iks9",
+  "field": [
+    "check_date",
+    "visiting_date"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.842 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_2_1r0huss46",
+  "field": [
+    "date_of_assessment_cmss",
+    "visiting_date"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.842 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_3_utmkeahm6",
+  "field": [
+    "date_of_assessment_sf_mpq_scale",
+    "visiting_date"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.842 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_4_3j2aozbms",
+  "field": [
+    "date_of_signature",
+    "date_of_first_consultation"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.842 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_5_ux8721fut",
+  "field": [
+    "enrollment_status",
+    "sign_informed_consent_form"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.842 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_6_res5lvb6g",
+  "field": [
+    "visiting_date",
+    "date_of_signature"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.842 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_7_wpzbvli56",
+  "field": [
+    "date_of_first_consultation",
+    "visiting_date"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.842 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_0_424mnnlv0",
+  "field": "educational_level",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.842 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_1_qiy3gde3a",
+  "field": "marital_status",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.842 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_2_hc1jjvymo",
+  "field": "sex",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.842 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_3_delac4edo",
+  "field": "absolute_value_of_basophilic_cells",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.842 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_4_8tcnwi9gg",
+  "field": "absolute_value_of_lymphocytes",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.842 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_5_4k7227d38",
+  "field": "absolute_value_of_monocytes",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.842 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_6_2e6slhi9p",
+  "field": "absolute_value_of_neutrophils",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.842 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_7_u8z0d18gb",
+  "field": "eosinophil_absolute_count",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.842 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_8_hculwqhyk",
+  "field": "eosinophil_count_ratio",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.842 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_9_ftk4426nd",
+  "field": "eosinophil_countratio",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.842 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_10_vcciaxxuk",
+  "field": "hematocrit",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.842 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_11_tk5gliucf",
+  "field": "hemoglobin",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.842 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_12_abhqvjmg5",
+  "field": "high_platelet_ratio",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.842 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_13_p8j624iv2",
+  "field": "mean_corpuscular_volume",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.842 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_14_rwum2cw2u",
+  "field": "mean_hemoglobin_concentratin",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.842 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_15_f056yvtme",
+  "field": "mean_hemoglobin_concentration",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.842 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_16_5o2al7oyz",
+  "field": "mean_platelet_volume",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.842 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_17_zcd5zxn3u",
+  "field": "platelet_count",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.842 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_18_skojo7cru",
+  "field": "platelet_volume",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.842 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_19_5iin73wva",
+  "field": "platelet_volume_distribution_width",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.842 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_20_4lxpihy8o",
+  "field": "rbc_volume_distribution_width_cv",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.842 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_21_gl7d8n5si",
+  "field": "rbc_volume_distribution_width_sd",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.842 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_22_1fnjktj7v",
+  "field": "red_blood_cell_count",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.842 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_23_zrt2ixskp",
+  "field": "relative_value_of_lymphocytes",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.842 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_24_a5oovpadb",
+  "field": "relative_value_of_monocytes",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.842 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_25_rr9uk1but",
+  "field": "relative_value_of_neutrophils",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.842 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_26_f9hez0b4k",
+  "field": "white_blood_cell_count",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.842 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_32_a2cxjf9tb",
+  "field": "sign_informed_consent_form",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.842 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_41_eahuliyh0",
+  "field": "alcohol_consumption_history",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.842 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_42_m8cptozxk",
+  "field": "smoking_history",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.842 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_0_96ftk49kx",
+  "field": [
+    "age",
+    "inclusion_criteria2"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.842 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_1_zw7ja89ei",
+  "field": [
+    "sign_informed_consent_form",
+    "inclusion_criteria5"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.842 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_2_44m45t6m6",
+  "field": "inclusion_criteria1",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.842 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_3_zfn62bs40",
+  "field": "exclusion_criteria2",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.842 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_4_vgyy51zou",
+  "field": "exclusion_criteria3",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.843 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_5_pbkwsnx0n",
+  "field": [
+    "exclusion_criteria4",
+    "inclusion_criteria3"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.843 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_6_9ygdecsca",
+  "field": "exclusion_criteria5",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.843 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_7_9sugwpwcf",
+  "field": "sex",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.843 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_8_u079bu08z",
+  "field": [
+    "enrollment_status",
+    "exclusion_criteria1",
+    "exclusion_criteria2",
+    "exclusion_criteria3",
+    "exclusion_criteria4",
+    "exclusion_criteria5"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.843 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_9_ufkub1swe",
+  "field": [
+    "inclusion_criteria1",
+    "inclusion_criteria2",
+    "inclusion_criteria3",
+    "inclusion_criteria4",
+    "inclusion_criteria5"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.843 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_0_r79gvdu3h",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.843 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_1_2uns9t23g",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.843 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_2_os5ccvicv",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.843 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_3_k2nlyk3q4",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.843 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_4_8atbe12pb",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.843 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_5_h62ympca8",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.843 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_6_0m5vg872v",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.843 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_7_4rvkpn2sq",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.843 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_8_7s1fygjji",
+  "field": [
+    "sign_informed_consent_form",
+    "date_of_signature"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.843 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_9_qd6pse9gj",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.843 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_0_2fjs3h1t2",
+  "field": "visiting_date",
+  "recordId": "2"
+}
+2026-03-08 19:10:35.843 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "field": [
+    "date_of_signature",
+    "visiting_date"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.843 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_2_a8k2wend3",
+  "field": [
+    "date_of_assessment_cmss",
+    "visiting_date"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.843 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_3_otk3muqgy",
+  "field": [
+    "date_of_assessment_sf_mpq_scale",
+    "visiting_date"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.843 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_4_3e0g4h3xt",
+  "field": [
+    "check_date",
+    "visiting_date"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.843 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "field": [
+    "date_of_first_consultation",
+    "visiting_date"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.843 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_6_eoavacbfk",
+  "field": [
+    "enrollment_status",
+    "sign_informed_consent_form"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.843 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "field": [
+    "visiting_date",
+    "date_of_birth"
+  ],
+  "recordId": "2"
+}
+2026-03-08 19:10:35.848 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:10:35.849 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "mappingCount": 0
+}
+2026-03-08 19:10:35.849 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_3_delac4edo",
+  "field": "absolute_value_of_basophilic_cells",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.849 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_4_8tcnwi9gg",
+  "field": "absolute_value_of_lymphocytes",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.849 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_5_4k7227d38",
+  "field": "absolute_value_of_monocytes",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.849 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_6_2e6slhi9p",
+  "field": "absolute_value_of_neutrophils",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.849 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_7_u8z0d18gb",
+  "field": "eosinophil_absolute_count",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.849 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_8_hculwqhyk",
+  "field": "eosinophil_count_ratio",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.849 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_9_ftk4426nd",
+  "field": "eosinophil_countratio",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.849 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_10_vcciaxxuk",
+  "field": "hematocrit",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.849 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_11_tk5gliucf",
+  "field": "hemoglobin",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.849 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_12_abhqvjmg5",
+  "field": "high_platelet_ratio",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.849 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_13_p8j624iv2",
+  "field": "mean_corpuscular_volume",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.849 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_14_rwum2cw2u",
+  "field": "mean_hemoglobin_concentratin",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.849 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_15_f056yvtme",
+  "field": "mean_hemoglobin_concentration",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.849 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_16_5o2al7oyz",
+  "field": "mean_platelet_volume",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.849 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_17_zcd5zxn3u",
+  "field": "platelet_count",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.849 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_18_skojo7cru",
+  "field": "platelet_volume",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.849 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_19_5iin73wva",
+  "field": "platelet_volume_distribution_width",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.849 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_20_4lxpihy8o",
+  "field": "rbc_volume_distribution_width_cv",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.849 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_21_gl7d8n5si",
+  "field": "rbc_volume_distribution_width_sd",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.849 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_22_1fnjktj7v",
+  "field": "red_blood_cell_count",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.849 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_23_zrt2ixskp",
+  "field": "relative_value_of_lymphocytes",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.850 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_24_a5oovpadb",
+  "field": "relative_value_of_monocytes",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.850 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_25_rr9uk1but",
+  "field": "relative_value_of_neutrophils",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.850 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_26_f9hez0b4k",
+  "field": "white_blood_cell_count",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.850 [aiclinical-backend] warn: [SkillRunner] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:10:35.850 [aiclinical-backend] warn: [SkillRunner] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:10:35.850 [aiclinical-backend] warn: [SkillRunner] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:10:35.857 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:10:35.858 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "mappingCount": 0
+}
+2026-03-08 19:10:35.858 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_3_delac4edo",
+  "field": "absolute_value_of_basophilic_cells",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.858 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_4_8tcnwi9gg",
+  "field": "absolute_value_of_lymphocytes",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.858 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_5_4k7227d38",
+  "field": "absolute_value_of_monocytes",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.858 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_6_2e6slhi9p",
+  "field": "absolute_value_of_neutrophils",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.858 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_7_u8z0d18gb",
+  "field": "eosinophil_absolute_count",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.858 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_8_hculwqhyk",
+  "field": "eosinophil_count_ratio",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.858 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_9_ftk4426nd",
+  "field": "eosinophil_countratio",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.858 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_10_vcciaxxuk",
+  "field": "hematocrit",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.858 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_11_tk5gliucf",
+  "field": "hemoglobin",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.858 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_12_abhqvjmg5",
+  "field": "high_platelet_ratio",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.858 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_13_p8j624iv2",
+  "field": "mean_corpuscular_volume",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.858 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_14_rwum2cw2u",
+  "field": "mean_hemoglobin_concentratin",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.858 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_15_f056yvtme",
+  "field": "mean_hemoglobin_concentration",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.858 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_16_5o2al7oyz",
+  "field": "mean_platelet_volume",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.858 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_17_zcd5zxn3u",
+  "field": "platelet_count",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.858 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_18_skojo7cru",
+  "field": "platelet_volume",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.858 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_19_5iin73wva",
+  "field": "platelet_volume_distribution_width",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.858 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_20_4lxpihy8o",
+  "field": "rbc_volume_distribution_width_cv",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.858 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_21_gl7d8n5si",
+  "field": "rbc_volume_distribution_width_sd",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.858 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_22_1fnjktj7v",
+  "field": "red_blood_cell_count",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.858 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_23_zrt2ixskp",
+  "field": "relative_value_of_lymphocytes",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.858 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_24_a5oovpadb",
+  "field": "relative_value_of_monocytes",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.858 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_25_rr9uk1but",
+  "field": "relative_value_of_neutrophils",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.858 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_26_f9hez0b4k",
+  "field": "white_blood_cell_count",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.859 [aiclinical-backend] warn: [SkillRunner] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:10:35.859 [aiclinical-backend] warn: [SkillRunner] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:10:35.859 [aiclinical-backend] warn: [SkillRunner] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:10:35.865 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:10:35.867 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "mappingCount": 0
+}
+2026-03-08 19:10:35.867 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_3_delac4edo",
+  "field": "absolute_value_of_basophilic_cells",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.867 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_4_8tcnwi9gg",
+  "field": "absolute_value_of_lymphocytes",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.867 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_5_4k7227d38",
+  "field": "absolute_value_of_monocytes",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.867 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_6_2e6slhi9p",
+  "field": "absolute_value_of_neutrophils",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.867 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_7_u8z0d18gb",
+  "field": "eosinophil_absolute_count",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.867 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_8_hculwqhyk",
+  "field": "eosinophil_count_ratio",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.867 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_9_ftk4426nd",
+  "field": "eosinophil_countratio",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.867 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_10_vcciaxxuk",
+  "field": "hematocrit",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.867 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_11_tk5gliucf",
+  "field": "hemoglobin",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.867 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_12_abhqvjmg5",
+  "field": "high_platelet_ratio",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.867 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_13_p8j624iv2",
+  "field": "mean_corpuscular_volume",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.867 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_14_rwum2cw2u",
+  "field": "mean_hemoglobin_concentratin",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.867 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_15_f056yvtme",
+  "field": "mean_hemoglobin_concentration",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.867 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_16_5o2al7oyz",
+  "field": "mean_platelet_volume",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.867 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_17_zcd5zxn3u",
+  "field": "platelet_count",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.867 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_18_skojo7cru",
+  "field": "platelet_volume",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.867 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_19_5iin73wva",
+  "field": "platelet_volume_distribution_width",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.867 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_20_4lxpihy8o",
+  "field": "rbc_volume_distribution_width_cv",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.867 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_21_gl7d8n5si",
+  "field": "rbc_volume_distribution_width_sd",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.867 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_22_1fnjktj7v",
+  "field": "red_blood_cell_count",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.867 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_23_zrt2ixskp",
+  "field": "relative_value_of_lymphocytes",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.867 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_24_a5oovpadb",
+  "field": "relative_value_of_monocytes",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.867 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_25_rr9uk1but",
+  "field": "relative_value_of_neutrophils",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.867 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_26_f9hez0b4k",
+  "field": "white_blood_cell_count",
+  "recordId": "3"
+}
+2026-03-08 19:10:35.867 [aiclinical-backend] warn: [SkillRunner] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:10:35.867 [aiclinical-backend] warn: [SkillRunner] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:10:35.867 [aiclinical-backend] warn: [SkillRunner] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:10:35.874 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:10:35.875 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "mappingCount": 0
+}
+2026-03-08 19:10:35.875 [aiclinical-backend] warn: [SkillRunner] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:10:35.875 [aiclinical-backend] warn: [SkillRunner] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:10:35.875 [aiclinical-backend] warn: [SkillRunner] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:10:35.882 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:10:35.883 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "mappingCount": 0
+}
+2026-03-08 19:10:35.883 [aiclinical-backend] warn: [SkillRunner] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:10:35.884 [aiclinical-backend] warn: [SkillRunner] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:10:35.884 [aiclinical-backend] warn: [SkillRunner] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:10:35.890 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:10:35.891 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "mappingCount": 0
+}
+2026-03-08 19:10:35.891 [aiclinical-backend] warn: [SkillRunner] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:10:35.891 [aiclinical-backend] warn: [SkillRunner] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:10:35.891 [aiclinical-backend] warn: [SkillRunner] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:10:35.898 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:10:35.899 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "mappingCount": 0
+}
+2026-03-08 19:10:35.900 [aiclinical-backend] warn: [SkillRunner] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:10:35.900 [aiclinical-backend] warn: [SkillRunner] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:10:35.900 [aiclinical-backend] warn: [SkillRunner] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:10:35.906 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:10:35.907 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "mappingCount": 0
+}
+2026-03-08 19:10:35.908 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_3_delac4edo",
+  "field": "absolute_value_of_basophilic_cells",
+  "recordId": "6"
+}
+2026-03-08 19:10:35.908 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_4_8tcnwi9gg",
+  "field": "absolute_value_of_lymphocytes",
+  "recordId": "6"
+}
+2026-03-08 19:10:35.908 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_5_4k7227d38",
+  "field": "absolute_value_of_monocytes",
+  "recordId": "6"
+}
+2026-03-08 19:10:35.908 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_6_2e6slhi9p",
+  "field": "absolute_value_of_neutrophils",
+  "recordId": "6"
+}
+2026-03-08 19:10:35.908 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_7_u8z0d18gb",
+  "field": "eosinophil_absolute_count",
+  "recordId": "6"
+}
+2026-03-08 19:10:35.908 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_8_hculwqhyk",
+  "field": "eosinophil_count_ratio",
+  "recordId": "6"
+}
+2026-03-08 19:10:35.908 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_9_ftk4426nd",
+  "field": "eosinophil_countratio",
+  "recordId": "6"
+}
+2026-03-08 19:10:35.908 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_10_vcciaxxuk",
+  "field": "hematocrit",
+  "recordId": "6"
+}
+2026-03-08 19:10:35.908 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_11_tk5gliucf",
+  "field": "hemoglobin",
+  "recordId": "6"
+}
+2026-03-08 19:10:35.908 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_12_abhqvjmg5",
+  "field": "high_platelet_ratio",
+  "recordId": "6"
+}
+2026-03-08 19:10:35.908 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_13_p8j624iv2",
+  "field": "mean_corpuscular_volume",
+  "recordId": "6"
+}
+2026-03-08 19:10:35.908 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_14_rwum2cw2u",
+  "field": "mean_hemoglobin_concentratin",
+  "recordId": "6"
+}
+2026-03-08 19:10:35.908 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_15_f056yvtme",
+  "field": "mean_hemoglobin_concentration",
+  "recordId": "6"
+}
+2026-03-08 19:10:35.908 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_16_5o2al7oyz",
+  "field": "mean_platelet_volume",
+  "recordId": "6"
+}
+2026-03-08 19:10:35.908 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_17_zcd5zxn3u",
+  "field": "platelet_count",
+  "recordId": "6"
+}
+2026-03-08 19:10:35.908 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_18_skojo7cru",
+  "field": "platelet_volume",
+  "recordId": "6"
+}
+2026-03-08 19:10:35.908 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_19_5iin73wva",
+  "field": "platelet_volume_distribution_width",
+  "recordId": "6"
+}
+2026-03-08 19:10:35.908 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_20_4lxpihy8o",
+  "field": "rbc_volume_distribution_width_cv",
+  "recordId": "6"
+}
+2026-03-08 19:10:35.908 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_21_gl7d8n5si",
+  "field": "rbc_volume_distribution_width_sd",
+  "recordId": "6"
+}
+2026-03-08 19:10:35.908 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_22_1fnjktj7v",
+  "field": "red_blood_cell_count",
+  "recordId": "6"
+}
+2026-03-08 19:10:35.908 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_23_zrt2ixskp",
+  "field": "relative_value_of_lymphocytes",
+  "recordId": "6"
+}
+2026-03-08 19:10:35.908 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_24_a5oovpadb",
+  "field": "relative_value_of_monocytes",
+  "recordId": "6"
+}
+2026-03-08 19:10:35.908 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_25_rr9uk1but",
+  "field": "relative_value_of_neutrophils",
+  "recordId": "6"
+}
+2026-03-08 19:10:35.908 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_26_f9hez0b4k",
+  "field": "white_blood_cell_count",
+  "recordId": "6"
+}
+2026-03-08 19:10:35.908 [aiclinical-backend] warn: [SkillRunner] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:10:35.908 [aiclinical-backend] warn: [SkillRunner] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:10:35.908 [aiclinical-backend] warn: [SkillRunner] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:10:35.914 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:10:35.915 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "mappingCount": 0
+}
+2026-03-08 19:10:35.915 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_3_delac4edo",
+  "field": "absolute_value_of_basophilic_cells",
+  "recordId": "6"
+}
+2026-03-08 19:10:35.916 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_4_8tcnwi9gg",
+  "field": "absolute_value_of_lymphocytes",
+  "recordId": "6"
+}
+2026-03-08 19:10:35.916 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_5_4k7227d38",
+  "field": "absolute_value_of_monocytes",
+  "recordId": "6"
+}
+2026-03-08 19:10:35.916 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_6_2e6slhi9p",
+  "field": "absolute_value_of_neutrophils",
+  "recordId": "6"
+}
+2026-03-08 19:10:35.916 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_7_u8z0d18gb",
+  "field": "eosinophil_absolute_count",
+  "recordId": "6"
+}
+2026-03-08 19:10:35.916 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_8_hculwqhyk",
+  "field": "eosinophil_count_ratio",
+  "recordId": "6"
+}
+2026-03-08 19:10:35.916 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_9_ftk4426nd",
+  "field": "eosinophil_countratio",
+  "recordId": "6"
+}
+2026-03-08 19:10:35.916 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_10_vcciaxxuk",
+  "field": "hematocrit",
+  "recordId": "6"
+}
+2026-03-08 19:10:35.916 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_11_tk5gliucf",
+  "field": "hemoglobin",
+  "recordId": "6"
+}
+2026-03-08 19:10:35.916 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_12_abhqvjmg5",
+  "field": "high_platelet_ratio",
+  "recordId": "6"
+}
+2026-03-08 19:10:35.916 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_13_p8j624iv2",
+  "field": "mean_corpuscular_volume",
+  "recordId": "6"
+}
+2026-03-08 19:10:35.916 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_14_rwum2cw2u",
+  "field": "mean_hemoglobin_concentratin",
+  "recordId": "6"
+}
+2026-03-08 19:10:35.916 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_15_f056yvtme",
+  "field": "mean_hemoglobin_concentration",
+  "recordId": "6"
+}
+2026-03-08 19:10:35.916 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_16_5o2al7oyz",
+  "field": "mean_platelet_volume",
+  "recordId": "6"
+}
+2026-03-08 19:10:35.916 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_17_zcd5zxn3u",
+  "field": "platelet_count",
+  "recordId": "6"
+}
+2026-03-08 19:10:35.916 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_18_skojo7cru",
+  "field": "platelet_volume",
+  "recordId": "6"
+}
+2026-03-08 19:10:35.916 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_19_5iin73wva",
+  "field": "platelet_volume_distribution_width",
+  "recordId": "6"
+}
+2026-03-08 19:10:35.916 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_20_4lxpihy8o",
+  "field": "rbc_volume_distribution_width_cv",
+  "recordId": "6"
+}
+2026-03-08 19:10:35.916 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_21_gl7d8n5si",
+  "field": "rbc_volume_distribution_width_sd",
+  "recordId": "6"
+}
+2026-03-08 19:10:35.916 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_22_1fnjktj7v",
+  "field": "red_blood_cell_count",
+  "recordId": "6"
+}
+2026-03-08 19:10:35.916 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_23_zrt2ixskp",
+  "field": "relative_value_of_lymphocytes",
+  "recordId": "6"
+}
+2026-03-08 19:10:35.916 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_24_a5oovpadb",
+  "field": "relative_value_of_monocytes",
+  "recordId": "6"
+}
+2026-03-08 19:10:35.916 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_25_rr9uk1but",
+  "field": "relative_value_of_neutrophils",
+  "recordId": "6"
+}
+2026-03-08 19:10:35.916 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_26_f9hez0b4k",
+  "field": "white_blood_cell_count",
+  "recordId": "6"
+}
+2026-03-08 19:10:35.916 [aiclinical-backend] warn: [SkillRunner] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:10:35.916 [aiclinical-backend] warn: [SkillRunner] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:10:35.916 [aiclinical-backend] warn: [SkillRunner] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:10:35.924 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:10:35.925 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "mappingCount": 0
+}
+2026-03-08 19:10:35.925 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_3_delac4edo",
+  "field": "absolute_value_of_basophilic_cells",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.925 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_4_8tcnwi9gg",
+  "field": "absolute_value_of_lymphocytes",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.925 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_5_4k7227d38",
+  "field": "absolute_value_of_monocytes",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.925 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_6_2e6slhi9p",
+  "field": "absolute_value_of_neutrophils",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.925 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_7_u8z0d18gb",
+  "field": "eosinophil_absolute_count",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.925 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_8_hculwqhyk",
+  "field": "eosinophil_count_ratio",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.925 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_9_ftk4426nd",
+  "field": "eosinophil_countratio",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.925 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_10_vcciaxxuk",
+  "field": "hematocrit",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.925 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_11_tk5gliucf",
+  "field": "hemoglobin",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.925 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_12_abhqvjmg5",
+  "field": "high_platelet_ratio",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.925 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_13_p8j624iv2",
+  "field": "mean_corpuscular_volume",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.925 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_14_rwum2cw2u",
+  "field": "mean_hemoglobin_concentratin",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.925 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_15_f056yvtme",
+  "field": "mean_hemoglobin_concentration",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.925 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_16_5o2al7oyz",
+  "field": "mean_platelet_volume",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.925 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_17_zcd5zxn3u",
+  "field": "platelet_count",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.925 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_18_skojo7cru",
+  "field": "platelet_volume",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.925 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_19_5iin73wva",
+  "field": "platelet_volume_distribution_width",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.925 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_20_4lxpihy8o",
+  "field": "rbc_volume_distribution_width_cv",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.926 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_21_gl7d8n5si",
+  "field": "rbc_volume_distribution_width_sd",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.926 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_22_1fnjktj7v",
+  "field": "red_blood_cell_count",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.926 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_23_zrt2ixskp",
+  "field": "relative_value_of_lymphocytes",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.926 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_24_a5oovpadb",
+  "field": "relative_value_of_monocytes",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.926 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_25_rr9uk1but",
+  "field": "relative_value_of_neutrophils",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.926 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_26_f9hez0b4k",
+  "field": "white_blood_cell_count",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.926 [aiclinical-backend] warn: [SkillRunner] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:10:35.926 [aiclinical-backend] warn: [SkillRunner] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:10:35.926 [aiclinical-backend] warn: [SkillRunner] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:10:35.932 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:10:35.934 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "mappingCount": 0
+}
+2026-03-08 19:10:35.934 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_3_delac4edo",
+  "field": "absolute_value_of_basophilic_cells",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.934 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_4_8tcnwi9gg",
+  "field": "absolute_value_of_lymphocytes",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.934 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_5_4k7227d38",
+  "field": "absolute_value_of_monocytes",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.934 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_6_2e6slhi9p",
+  "field": "absolute_value_of_neutrophils",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.934 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_7_u8z0d18gb",
+  "field": "eosinophil_absolute_count",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.934 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_8_hculwqhyk",
+  "field": "eosinophil_count_ratio",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.934 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_9_ftk4426nd",
+  "field": "eosinophil_countratio",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.934 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_10_vcciaxxuk",
+  "field": "hematocrit",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.934 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_11_tk5gliucf",
+  "field": "hemoglobin",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.934 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_12_abhqvjmg5",
+  "field": "high_platelet_ratio",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.934 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_13_p8j624iv2",
+  "field": "mean_corpuscular_volume",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.934 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_14_rwum2cw2u",
+  "field": "mean_hemoglobin_concentratin",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.934 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_15_f056yvtme",
+  "field": "mean_hemoglobin_concentration",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.934 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_16_5o2al7oyz",
+  "field": "mean_platelet_volume",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.934 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_17_zcd5zxn3u",
+  "field": "platelet_count",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.934 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_18_skojo7cru",
+  "field": "platelet_volume",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.934 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_19_5iin73wva",
+  "field": "platelet_volume_distribution_width",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.934 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_20_4lxpihy8o",
+  "field": "rbc_volume_distribution_width_cv",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.934 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_21_gl7d8n5si",
+  "field": "rbc_volume_distribution_width_sd",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.934 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_22_1fnjktj7v",
+  "field": "red_blood_cell_count",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.934 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_23_zrt2ixskp",
+  "field": "relative_value_of_lymphocytes",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.934 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_24_a5oovpadb",
+  "field": "relative_value_of_monocytes",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.934 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_25_rr9uk1but",
+  "field": "relative_value_of_neutrophils",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.934 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_26_f9hez0b4k",
+  "field": "white_blood_cell_count",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.934 [aiclinical-backend] warn: [SkillRunner] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:10:35.934 [aiclinical-backend] warn: [SkillRunner] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:10:35.935 [aiclinical-backend] warn: [SkillRunner] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:10:35.941 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:10:35.942 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "mappingCount": 0
+}
+2026-03-08 19:10:35.943 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_3_delac4edo",
+  "field": "absolute_value_of_basophilic_cells",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.943 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_4_8tcnwi9gg",
+  "field": "absolute_value_of_lymphocytes",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.943 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_5_4k7227d38",
+  "field": "absolute_value_of_monocytes",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.943 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_6_2e6slhi9p",
+  "field": "absolute_value_of_neutrophils",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.943 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_7_u8z0d18gb",
+  "field": "eosinophil_absolute_count",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.943 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_8_hculwqhyk",
+  "field": "eosinophil_count_ratio",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.943 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_9_ftk4426nd",
+  "field": "eosinophil_countratio",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.943 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_10_vcciaxxuk",
+  "field": "hematocrit",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.943 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_11_tk5gliucf",
+  "field": "hemoglobin",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.943 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_12_abhqvjmg5",
+  "field": "high_platelet_ratio",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.943 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_13_p8j624iv2",
+  "field": "mean_corpuscular_volume",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.943 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_14_rwum2cw2u",
+  "field": "mean_hemoglobin_concentratin",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.943 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_15_f056yvtme",
+  "field": "mean_hemoglobin_concentration",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.943 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_16_5o2al7oyz",
+  "field": "mean_platelet_volume",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.943 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_17_zcd5zxn3u",
+  "field": "platelet_count",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.943 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_18_skojo7cru",
+  "field": "platelet_volume",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.943 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_19_5iin73wva",
+  "field": "platelet_volume_distribution_width",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.943 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_20_4lxpihy8o",
+  "field": "rbc_volume_distribution_width_cv",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.943 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_21_gl7d8n5si",
+  "field": "rbc_volume_distribution_width_sd",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.943 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_22_1fnjktj7v",
+  "field": "red_blood_cell_count",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.943 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_23_zrt2ixskp",
+  "field": "relative_value_of_lymphocytes",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.943 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_24_a5oovpadb",
+  "field": "relative_value_of_monocytes",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.943 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_25_rr9uk1but",
+  "field": "relative_value_of_neutrophils",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.943 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_26_f9hez0b4k",
+  "field": "white_blood_cell_count",
+  "recordId": "7"
+}
+2026-03-08 19:10:35.943 [aiclinical-backend] warn: [SkillRunner] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:10:35.943 [aiclinical-backend] warn: [SkillRunner] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:10:35.943 [aiclinical-backend] warn: [SkillRunner] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:10:35.950 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:10:35.951 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "mappingCount": 0
+}
+2026-03-08 19:10:35.951 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_3_delac4edo",
+  "field": "absolute_value_of_basophilic_cells",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.951 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_4_8tcnwi9gg",
+  "field": "absolute_value_of_lymphocytes",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.951 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_5_4k7227d38",
+  "field": "absolute_value_of_monocytes",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.951 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_6_2e6slhi9p",
+  "field": "absolute_value_of_neutrophils",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.951 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_7_u8z0d18gb",
+  "field": "eosinophil_absolute_count",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.951 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_8_hculwqhyk",
+  "field": "eosinophil_count_ratio",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.951 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_9_ftk4426nd",
+  "field": "eosinophil_countratio",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.951 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_10_vcciaxxuk",
+  "field": "hematocrit",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.951 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_11_tk5gliucf",
+  "field": "hemoglobin",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.951 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_12_abhqvjmg5",
+  "field": "high_platelet_ratio",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.951 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_13_p8j624iv2",
+  "field": "mean_corpuscular_volume",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.951 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_14_rwum2cw2u",
+  "field": "mean_hemoglobin_concentratin",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.951 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_15_f056yvtme",
+  "field": "mean_hemoglobin_concentration",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.951 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_16_5o2al7oyz",
+  "field": "mean_platelet_volume",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.951 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_17_zcd5zxn3u",
+  "field": "platelet_count",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.951 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_18_skojo7cru",
+  "field": "platelet_volume",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.951 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_19_5iin73wva",
+  "field": "platelet_volume_distribution_width",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.951 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_20_4lxpihy8o",
+  "field": "rbc_volume_distribution_width_cv",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.951 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_21_gl7d8n5si",
+  "field": "rbc_volume_distribution_width_sd",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.951 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_22_1fnjktj7v",
+  "field": "red_blood_cell_count",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.951 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_23_zrt2ixskp",
+  "field": "relative_value_of_lymphocytes",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.951 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_24_a5oovpadb",
+  "field": "relative_value_of_monocytes",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.951 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_25_rr9uk1but",
+  "field": "relative_value_of_neutrophils",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.951 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_26_f9hez0b4k",
+  "field": "white_blood_cell_count",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.952 [aiclinical-backend] warn: [SkillRunner] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:10:35.952 [aiclinical-backend] warn: [SkillRunner] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:10:35.952 [aiclinical-backend] warn: [SkillRunner] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:10:35.959 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:10:35.960 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "mappingCount": 0
+}
+2026-03-08 19:10:35.960 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_3_delac4edo",
+  "field": "absolute_value_of_basophilic_cells",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.960 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_4_8tcnwi9gg",
+  "field": "absolute_value_of_lymphocytes",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.960 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_5_4k7227d38",
+  "field": "absolute_value_of_monocytes",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.960 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_6_2e6slhi9p",
+  "field": "absolute_value_of_neutrophils",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.960 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_7_u8z0d18gb",
+  "field": "eosinophil_absolute_count",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.960 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_8_hculwqhyk",
+  "field": "eosinophil_count_ratio",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.960 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_9_ftk4426nd",
+  "field": "eosinophil_countratio",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.960 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_10_vcciaxxuk",
+  "field": "hematocrit",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.960 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_11_tk5gliucf",
+  "field": "hemoglobin",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.960 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_12_abhqvjmg5",
+  "field": "high_platelet_ratio",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.960 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_13_p8j624iv2",
+  "field": "mean_corpuscular_volume",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.960 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_14_rwum2cw2u",
+  "field": "mean_hemoglobin_concentratin",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.960 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_15_f056yvtme",
+  "field": "mean_hemoglobin_concentration",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.960 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_16_5o2al7oyz",
+  "field": "mean_platelet_volume",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.960 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_17_zcd5zxn3u",
+  "field": "platelet_count",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.960 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_18_skojo7cru",
+  "field": "platelet_volume",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.960 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_19_5iin73wva",
+  "field": "platelet_volume_distribution_width",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.960 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_20_4lxpihy8o",
+  "field": "rbc_volume_distribution_width_cv",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.960 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_21_gl7d8n5si",
+  "field": "rbc_volume_distribution_width_sd",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.961 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_22_1fnjktj7v",
+  "field": "red_blood_cell_count",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.961 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_23_zrt2ixskp",
+  "field": "relative_value_of_lymphocytes",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.961 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_24_a5oovpadb",
+  "field": "relative_value_of_monocytes",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.961 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_25_rr9uk1but",
+  "field": "relative_value_of_neutrophils",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.961 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_26_f9hez0b4k",
+  "field": "white_blood_cell_count",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.961 [aiclinical-backend] warn: [SkillRunner] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:10:35.961 [aiclinical-backend] warn: [SkillRunner] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:10:35.961 [aiclinical-backend] warn: [SkillRunner] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:10:35.967 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:10:35.968 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "mappingCount": 0
+}
+2026-03-08 19:10:35.969 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_3_delac4edo",
+  "field": "absolute_value_of_basophilic_cells",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.969 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_4_8tcnwi9gg",
+  "field": "absolute_value_of_lymphocytes",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.969 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_5_4k7227d38",
+  "field": "absolute_value_of_monocytes",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.969 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_6_2e6slhi9p",
+  "field": "absolute_value_of_neutrophils",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.969 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_7_u8z0d18gb",
+  "field": "eosinophil_absolute_count",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.969 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_8_hculwqhyk",
+  "field": "eosinophil_count_ratio",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.969 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_9_ftk4426nd",
+  "field": "eosinophil_countratio",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.969 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_10_vcciaxxuk",
+  "field": "hematocrit",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.969 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_11_tk5gliucf",
+  "field": "hemoglobin",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.969 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_12_abhqvjmg5",
+  "field": "high_platelet_ratio",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.969 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_13_p8j624iv2",
+  "field": "mean_corpuscular_volume",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.969 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_14_rwum2cw2u",
+  "field": "mean_hemoglobin_concentratin",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.969 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_15_f056yvtme",
+  "field": "mean_hemoglobin_concentration",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.969 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_16_5o2al7oyz",
+  "field": "mean_platelet_volume",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.969 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_17_zcd5zxn3u",
+  "field": "platelet_count",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.969 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_18_skojo7cru",
+  "field": "platelet_volume",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.969 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_19_5iin73wva",
+  "field": "platelet_volume_distribution_width",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.969 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_20_4lxpihy8o",
+  "field": "rbc_volume_distribution_width_cv",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.969 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_21_gl7d8n5si",
+  "field": "rbc_volume_distribution_width_sd",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.969 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_22_1fnjktj7v",
+  "field": "red_blood_cell_count",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.969 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_23_zrt2ixskp",
+  "field": "relative_value_of_lymphocytes",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.969 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_24_a5oovpadb",
+  "field": "relative_value_of_monocytes",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.969 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_25_rr9uk1but",
+  "field": "relative_value_of_neutrophils",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.969 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_26_f9hez0b4k",
+  "field": "white_blood_cell_count",
+  "recordId": "8"
+}
+2026-03-08 19:10:35.969 [aiclinical-backend] warn: [SkillRunner] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:10:35.969 [aiclinical-backend] warn: [SkillRunner] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:10:35.969 [aiclinical-backend] warn: [SkillRunner] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:10:35.975 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:10:35.976 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "mappingCount": 0
+}
+2026-03-08 19:10:35.976 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_0_hr2q1opmw",
+  "field": "visiting_date",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.976 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_1_sdim7iks9",
+  "field": [
+    "check_date",
+    "visiting_date"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:35.976 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_2_1r0huss46",
+  "field": [
+    "date_of_assessment_cmss",
+    "visiting_date"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:35.976 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_3_utmkeahm6",
+  "field": [
+    "date_of_assessment_sf_mpq_scale",
+    "visiting_date"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:35.976 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_4_3j2aozbms",
+  "field": [
+    "date_of_signature",
+    "date_of_first_consultation"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:35.976 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_5_ux8721fut",
+  "field": [
+    "enrollment_status",
+    "sign_informed_consent_form"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:35.976 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_6_res5lvb6g",
+  "field": [
+    "visiting_date",
+    "date_of_signature"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:35.976 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_7_wpzbvli56",
+  "field": [
+    "date_of_first_consultation",
+    "visiting_date"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:35.976 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_0_424mnnlv0",
+  "field": "educational_level",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.976 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_1_qiy3gde3a",
+  "field": "marital_status",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.976 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_2_hc1jjvymo",
+  "field": "sex",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.977 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_3_delac4edo",
+  "field": "absolute_value_of_basophilic_cells",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.977 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_4_8tcnwi9gg",
+  "field": "absolute_value_of_lymphocytes",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.977 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_5_4k7227d38",
+  "field": "absolute_value_of_monocytes",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.977 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_6_2e6slhi9p",
+  "field": "absolute_value_of_neutrophils",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.977 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_7_u8z0d18gb",
+  "field": "eosinophil_absolute_count",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.977 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_8_hculwqhyk",
+  "field": "eosinophil_count_ratio",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.977 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_9_ftk4426nd",
+  "field": "eosinophil_countratio",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.977 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_10_vcciaxxuk",
+  "field": "hematocrit",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.977 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_11_tk5gliucf",
+  "field": "hemoglobin",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.977 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_12_abhqvjmg5",
+  "field": "high_platelet_ratio",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.977 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_13_p8j624iv2",
+  "field": "mean_corpuscular_volume",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.977 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_14_rwum2cw2u",
+  "field": "mean_hemoglobin_concentratin",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.977 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_15_f056yvtme",
+  "field": "mean_hemoglobin_concentration",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.977 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_16_5o2al7oyz",
+  "field": "mean_platelet_volume",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.977 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_17_zcd5zxn3u",
+  "field": "platelet_count",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.977 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_18_skojo7cru",
+  "field": "platelet_volume",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.977 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_19_5iin73wva",
+  "field": "platelet_volume_distribution_width",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.977 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_20_4lxpihy8o",
+  "field": "rbc_volume_distribution_width_cv",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.977 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_21_gl7d8n5si",
+  "field": "rbc_volume_distribution_width_sd",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.977 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_22_1fnjktj7v",
+  "field": "red_blood_cell_count",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.977 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_23_zrt2ixskp",
+  "field": "relative_value_of_lymphocytes",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.977 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_24_a5oovpadb",
+  "field": "relative_value_of_monocytes",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.977 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_25_rr9uk1but",
+  "field": "relative_value_of_neutrophils",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.977 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_26_f9hez0b4k",
+  "field": "white_blood_cell_count",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.977 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_32_a2cxjf9tb",
+  "field": "sign_informed_consent_form",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.977 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_41_eahuliyh0",
+  "field": "alcohol_consumption_history",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.977 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_42_m8cptozxk",
+  "field": "smoking_history",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.977 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_0_96ftk49kx",
+  "field": [
+    "age",
+    "inclusion_criteria2"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:35.977 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_1_zw7ja89ei",
+  "field": [
+    "sign_informed_consent_form",
+    "inclusion_criteria5"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:35.977 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_2_44m45t6m6",
+  "field": "inclusion_criteria1",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.977 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_3_zfn62bs40",
+  "field": "exclusion_criteria2",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.977 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_4_vgyy51zou",
+  "field": "exclusion_criteria3",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.977 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_5_pbkwsnx0n",
+  "field": [
+    "exclusion_criteria4",
+    "inclusion_criteria3"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:35.977 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_6_9ygdecsca",
+  "field": "exclusion_criteria5",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.977 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_7_9sugwpwcf",
+  "field": "sex",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.977 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_8_u079bu08z",
+  "field": [
+    "enrollment_status",
+    "exclusion_criteria1",
+    "exclusion_criteria2",
+    "exclusion_criteria3",
+    "exclusion_criteria4",
+    "exclusion_criteria5"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:35.977 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_9_ufkub1swe",
+  "field": [
+    "inclusion_criteria1",
+    "inclusion_criteria2",
+    "inclusion_criteria3",
+    "inclusion_criteria4",
+    "inclusion_criteria5"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:35.977 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_0_r79gvdu3h",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:35.977 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_1_2uns9t23g",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:35.977 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_2_os5ccvicv",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:35.977 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_3_k2nlyk3q4",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:35.977 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_4_8atbe12pb",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:35.977 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_5_h62ympca8",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:35.977 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_6_0m5vg872v",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:35.977 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_7_4rvkpn2sq",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:35.977 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_8_7s1fygjji",
+  "field": [
+    "sign_informed_consent_form",
+    "date_of_signature"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:35.977 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_9_qd6pse9gj",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:35.977 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_0_2fjs3h1t2",
+  "field": "visiting_date",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.977 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "field": [
+    "date_of_signature",
+    "visiting_date"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:35.977 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_2_a8k2wend3",
+  "field": [
+    "date_of_assessment_cmss",
+    "visiting_date"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:35.977 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_3_otk3muqgy",
+  "field": [
+    "date_of_assessment_sf_mpq_scale",
+    "visiting_date"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:35.977 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_4_3e0g4h3xt",
+  "field": [
+    "check_date",
+    "visiting_date"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:35.977 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "field": [
+    "date_of_first_consultation",
+    "visiting_date"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:35.977 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_6_eoavacbfk",
+  "field": [
+    "enrollment_status",
+    "sign_informed_consent_form"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:35.977 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "field": [
+    "visiting_date",
+    "date_of_birth"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:35.982 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:10:35.984 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "mappingCount": 0
+}
+2026-03-08 19:10:35.984 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_0_hr2q1opmw",
+  "field": "visiting_date",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.984 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_1_sdim7iks9",
+  "field": [
+    "check_date",
+    "visiting_date"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:35.984 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_2_1r0huss46",
+  "field": [
+    "date_of_assessment_cmss",
+    "visiting_date"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:35.984 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_3_utmkeahm6",
+  "field": [
+    "date_of_assessment_sf_mpq_scale",
+    "visiting_date"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:35.984 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_4_3j2aozbms",
+  "field": [
+    "date_of_signature",
+    "date_of_first_consultation"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:35.984 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_5_ux8721fut",
+  "field": [
+    "enrollment_status",
+    "sign_informed_consent_form"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:35.984 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_6_res5lvb6g",
+  "field": [
+    "visiting_date",
+    "date_of_signature"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:35.984 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_7_wpzbvli56",
+  "field": [
+    "date_of_first_consultation",
+    "visiting_date"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:35.984 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_0_424mnnlv0",
+  "field": "educational_level",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.984 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_1_qiy3gde3a",
+  "field": "marital_status",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.984 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_2_hc1jjvymo",
+  "field": "sex",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.984 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_3_delac4edo",
+  "field": "absolute_value_of_basophilic_cells",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.984 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_4_8tcnwi9gg",
+  "field": "absolute_value_of_lymphocytes",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.984 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_5_4k7227d38",
+  "field": "absolute_value_of_monocytes",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.984 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_6_2e6slhi9p",
+  "field": "absolute_value_of_neutrophils",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.984 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_7_u8z0d18gb",
+  "field": "eosinophil_absolute_count",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.984 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_8_hculwqhyk",
+  "field": "eosinophil_count_ratio",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.984 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_9_ftk4426nd",
+  "field": "eosinophil_countratio",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.984 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_10_vcciaxxuk",
+  "field": "hematocrit",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.984 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_11_tk5gliucf",
+  "field": "hemoglobin",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.984 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_12_abhqvjmg5",
+  "field": "high_platelet_ratio",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.984 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_13_p8j624iv2",
+  "field": "mean_corpuscular_volume",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.984 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_14_rwum2cw2u",
+  "field": "mean_hemoglobin_concentratin",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.984 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_15_f056yvtme",
+  "field": "mean_hemoglobin_concentration",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.985 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_16_5o2al7oyz",
+  "field": "mean_platelet_volume",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.985 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_17_zcd5zxn3u",
+  "field": "platelet_count",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.985 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_18_skojo7cru",
+  "field": "platelet_volume",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.985 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_19_5iin73wva",
+  "field": "platelet_volume_distribution_width",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.985 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_20_4lxpihy8o",
+  "field": "rbc_volume_distribution_width_cv",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.985 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_21_gl7d8n5si",
+  "field": "rbc_volume_distribution_width_sd",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.985 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_22_1fnjktj7v",
+  "field": "red_blood_cell_count",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.985 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_23_zrt2ixskp",
+  "field": "relative_value_of_lymphocytes",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.985 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_24_a5oovpadb",
+  "field": "relative_value_of_monocytes",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.985 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_25_rr9uk1but",
+  "field": "relative_value_of_neutrophils",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.985 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_26_f9hez0b4k",
+  "field": "white_blood_cell_count",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.985 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_32_a2cxjf9tb",
+  "field": "sign_informed_consent_form",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.985 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_41_eahuliyh0",
+  "field": "alcohol_consumption_history",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.985 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_42_m8cptozxk",
+  "field": "smoking_history",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.985 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_0_96ftk49kx",
+  "field": [
+    "age",
+    "inclusion_criteria2"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:35.985 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_1_zw7ja89ei",
+  "field": [
+    "sign_informed_consent_form",
+    "inclusion_criteria5"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:35.985 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_2_44m45t6m6",
+  "field": "inclusion_criteria1",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.985 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_3_zfn62bs40",
+  "field": "exclusion_criteria2",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.985 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_4_vgyy51zou",
+  "field": "exclusion_criteria3",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.985 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_5_pbkwsnx0n",
+  "field": [
+    "exclusion_criteria4",
+    "inclusion_criteria3"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:35.985 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_6_9ygdecsca",
+  "field": "exclusion_criteria5",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.985 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_7_9sugwpwcf",
+  "field": "sex",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.985 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_8_u079bu08z",
+  "field": [
+    "enrollment_status",
+    "exclusion_criteria1",
+    "exclusion_criteria2",
+    "exclusion_criteria3",
+    "exclusion_criteria4",
+    "exclusion_criteria5"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:35.985 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_9_ufkub1swe",
+  "field": [
+    "inclusion_criteria1",
+    "inclusion_criteria2",
+    "inclusion_criteria3",
+    "inclusion_criteria4",
+    "inclusion_criteria5"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:35.985 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_0_r79gvdu3h",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:35.985 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_1_2uns9t23g",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:35.985 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_2_os5ccvicv",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:35.985 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_3_k2nlyk3q4",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:35.985 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_4_8atbe12pb",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:35.985 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_5_h62ympca8",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:35.985 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_6_0m5vg872v",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:35.985 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_7_4rvkpn2sq",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:35.985 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_8_7s1fygjji",
+  "field": [
+    "sign_informed_consent_form",
+    "date_of_signature"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:35.985 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_9_qd6pse9gj",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:35.985 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_0_2fjs3h1t2",
+  "field": "visiting_date",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.985 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "field": [
+    "date_of_signature",
+    "visiting_date"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:35.985 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_2_a8k2wend3",
+  "field": [
+    "date_of_assessment_cmss",
+    "visiting_date"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:35.985 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_3_otk3muqgy",
+  "field": [
+    "date_of_assessment_sf_mpq_scale",
+    "visiting_date"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:35.985 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_4_3e0g4h3xt",
+  "field": [
+    "check_date",
+    "visiting_date"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:35.985 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "field": [
+    "date_of_first_consultation",
+    "visiting_date"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:35.985 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_6_eoavacbfk",
+  "field": [
+    "enrollment_status",
+    "sign_informed_consent_form"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:35.985 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "field": [
+    "visiting_date",
+    "date_of_birth"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:35.990 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:10:35.991 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "mappingCount": 0
+}
+2026-03-08 19:10:35.991 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_3_delac4edo",
+  "field": "absolute_value_of_basophilic_cells",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.991 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_4_8tcnwi9gg",
+  "field": "absolute_value_of_lymphocytes",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.991 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_5_4k7227d38",
+  "field": "absolute_value_of_monocytes",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.991 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_6_2e6slhi9p",
+  "field": "absolute_value_of_neutrophils",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.991 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_7_u8z0d18gb",
+  "field": "eosinophil_absolute_count",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.991 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_8_hculwqhyk",
+  "field": "eosinophil_count_ratio",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.991 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_9_ftk4426nd",
+  "field": "eosinophil_countratio",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.991 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_10_vcciaxxuk",
+  "field": "hematocrit",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.991 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_11_tk5gliucf",
+  "field": "hemoglobin",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.991 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_12_abhqvjmg5",
+  "field": "high_platelet_ratio",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.991 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_13_p8j624iv2",
+  "field": "mean_corpuscular_volume",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.991 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_14_rwum2cw2u",
+  "field": "mean_hemoglobin_concentratin",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.991 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_15_f056yvtme",
+  "field": "mean_hemoglobin_concentration",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.991 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_16_5o2al7oyz",
+  "field": "mean_platelet_volume",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.991 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_17_zcd5zxn3u",
+  "field": "platelet_count",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.991 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_18_skojo7cru",
+  "field": "platelet_volume",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.991 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_19_5iin73wva",
+  "field": "platelet_volume_distribution_width",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.991 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_20_4lxpihy8o",
+  "field": "rbc_volume_distribution_width_cv",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.991 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_21_gl7d8n5si",
+  "field": "rbc_volume_distribution_width_sd",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.991 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_22_1fnjktj7v",
+  "field": "red_blood_cell_count",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.991 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_23_zrt2ixskp",
+  "field": "relative_value_of_lymphocytes",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.991 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_24_a5oovpadb",
+  "field": "relative_value_of_monocytes",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.992 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_25_rr9uk1but",
+  "field": "relative_value_of_neutrophils",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.992 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_26_f9hez0b4k",
+  "field": "white_blood_cell_count",
+  "recordId": "9"
+}
+2026-03-08 19:10:35.992 [aiclinical-backend] warn: [SkillRunner] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:10:35.992 [aiclinical-backend] warn: [SkillRunner] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:10:35.992 [aiclinical-backend] warn: [SkillRunner] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:10:35.999 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:10:36.000 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "mappingCount": 0
+}
+2026-03-08 19:10:36.000 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_0_hr2q1opmw",
+  "field": "visiting_date",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.000 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_1_sdim7iks9",
+  "field": [
+    "check_date",
+    "visiting_date"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:36.000 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_2_1r0huss46",
+  "field": [
+    "date_of_assessment_cmss",
+    "visiting_date"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:36.000 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_3_utmkeahm6",
+  "field": [
+    "date_of_assessment_sf_mpq_scale",
+    "visiting_date"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:36.000 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_4_3j2aozbms",
+  "field": [
+    "date_of_signature",
+    "date_of_first_consultation"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:36.000 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_5_ux8721fut",
+  "field": [
+    "enrollment_status",
+    "sign_informed_consent_form"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:36.000 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_6_res5lvb6g",
+  "field": [
+    "visiting_date",
+    "date_of_signature"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:36.000 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_7_wpzbvli56",
+  "field": [
+    "date_of_first_consultation",
+    "visiting_date"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:36.000 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_0_424mnnlv0",
+  "field": "educational_level",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.000 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_1_qiy3gde3a",
+  "field": "marital_status",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.000 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_2_hc1jjvymo",
+  "field": "sex",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.000 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_3_delac4edo",
+  "field": "absolute_value_of_basophilic_cells",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.000 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_4_8tcnwi9gg",
+  "field": "absolute_value_of_lymphocytes",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.000 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_5_4k7227d38",
+  "field": "absolute_value_of_monocytes",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.000 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_6_2e6slhi9p",
+  "field": "absolute_value_of_neutrophils",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.000 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_7_u8z0d18gb",
+  "field": "eosinophil_absolute_count",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.000 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_8_hculwqhyk",
+  "field": "eosinophil_count_ratio",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.000 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_9_ftk4426nd",
+  "field": "eosinophil_countratio",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.000 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_10_vcciaxxuk",
+  "field": "hematocrit",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.000 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_11_tk5gliucf",
+  "field": "hemoglobin",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.000 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_12_abhqvjmg5",
+  "field": "high_platelet_ratio",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.000 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_13_p8j624iv2",
+  "field": "mean_corpuscular_volume",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.000 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_14_rwum2cw2u",
+  "field": "mean_hemoglobin_concentratin",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.000 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_15_f056yvtme",
+  "field": "mean_hemoglobin_concentration",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.000 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_16_5o2al7oyz",
+  "field": "mean_platelet_volume",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.000 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_17_zcd5zxn3u",
+  "field": "platelet_count",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.000 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_18_skojo7cru",
+  "field": "platelet_volume",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.000 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_19_5iin73wva",
+  "field": "platelet_volume_distribution_width",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.000 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_20_4lxpihy8o",
+  "field": "rbc_volume_distribution_width_cv",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.000 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_21_gl7d8n5si",
+  "field": "rbc_volume_distribution_width_sd",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.000 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_22_1fnjktj7v",
+  "field": "red_blood_cell_count",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.000 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_23_zrt2ixskp",
+  "field": "relative_value_of_lymphocytes",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.000 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_24_a5oovpadb",
+  "field": "relative_value_of_monocytes",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.000 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_25_rr9uk1but",
+  "field": "relative_value_of_neutrophils",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.000 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_26_f9hez0b4k",
+  "field": "white_blood_cell_count",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.000 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_32_a2cxjf9tb",
+  "field": "sign_informed_consent_form",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.000 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_41_eahuliyh0",
+  "field": "alcohol_consumption_history",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.000 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_42_m8cptozxk",
+  "field": "smoking_history",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.000 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_0_96ftk49kx",
+  "field": [
+    "age",
+    "inclusion_criteria2"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:36.000 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_1_zw7ja89ei",
+  "field": [
+    "sign_informed_consent_form",
+    "inclusion_criteria5"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:36.000 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_2_44m45t6m6",
+  "field": "inclusion_criteria1",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.000 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_3_zfn62bs40",
+  "field": "exclusion_criteria2",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.000 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_4_vgyy51zou",
+  "field": "exclusion_criteria3",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.000 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_5_pbkwsnx0n",
+  "field": [
+    "exclusion_criteria4",
+    "inclusion_criteria3"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:36.000 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_6_9ygdecsca",
+  "field": "exclusion_criteria5",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.000 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_7_9sugwpwcf",
+  "field": "sex",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.000 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_8_u079bu08z",
+  "field": [
+    "enrollment_status",
+    "exclusion_criteria1",
+    "exclusion_criteria2",
+    "exclusion_criteria3",
+    "exclusion_criteria4",
+    "exclusion_criteria5"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:36.000 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_9_ufkub1swe",
+  "field": [
+    "inclusion_criteria1",
+    "inclusion_criteria2",
+    "inclusion_criteria3",
+    "inclusion_criteria4",
+    "inclusion_criteria5"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:36.000 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_0_r79gvdu3h",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:36.000 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_1_2uns9t23g",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:36.000 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_2_os5ccvicv",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:36.000 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_3_k2nlyk3q4",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:36.000 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_4_8atbe12pb",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:36.000 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_5_h62ympca8",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:36.000 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_6_0m5vg872v",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:36.000 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_7_4rvkpn2sq",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:36.000 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_8_7s1fygjji",
+  "field": [
+    "sign_informed_consent_form",
+    "date_of_signature"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:36.000 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_9_qd6pse9gj",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:36.001 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_0_2fjs3h1t2",
+  "field": "visiting_date",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.001 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "field": [
+    "date_of_signature",
+    "visiting_date"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:36.001 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_2_a8k2wend3",
+  "field": [
+    "date_of_assessment_cmss",
+    "visiting_date"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:36.001 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_3_otk3muqgy",
+  "field": [
+    "date_of_assessment_sf_mpq_scale",
+    "visiting_date"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:36.001 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_4_3e0g4h3xt",
+  "field": [
+    "check_date",
+    "visiting_date"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:36.001 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "field": [
+    "date_of_first_consultation",
+    "visiting_date"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:36.001 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_6_eoavacbfk",
+  "field": [
+    "enrollment_status",
+    "sign_informed_consent_form"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:36.001 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "field": [
+    "visiting_date",
+    "date_of_birth"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:36.004 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:10:36.005 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "mappingCount": 0
+}
+2026-03-08 19:10:36.005 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_0_hr2q1opmw",
+  "field": "visiting_date",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.006 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_1_sdim7iks9",
+  "field": [
+    "check_date",
+    "visiting_date"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:36.006 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_2_1r0huss46",
+  "field": [
+    "date_of_assessment_cmss",
+    "visiting_date"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:36.006 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_3_utmkeahm6",
+  "field": [
+    "date_of_assessment_sf_mpq_scale",
+    "visiting_date"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:36.006 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_4_3j2aozbms",
+  "field": [
+    "date_of_signature",
+    "date_of_first_consultation"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:36.006 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_5_ux8721fut",
+  "field": [
+    "enrollment_status",
+    "sign_informed_consent_form"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:36.006 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_6_res5lvb6g",
+  "field": [
+    "visiting_date",
+    "date_of_signature"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:36.006 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_7_wpzbvli56",
+  "field": [
+    "date_of_first_consultation",
+    "visiting_date"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:36.006 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_0_424mnnlv0",
+  "field": "educational_level",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.006 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_1_qiy3gde3a",
+  "field": "marital_status",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.006 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_2_hc1jjvymo",
+  "field": "sex",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.006 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_3_delac4edo",
+  "field": "absolute_value_of_basophilic_cells",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.006 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_4_8tcnwi9gg",
+  "field": "absolute_value_of_lymphocytes",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.006 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_5_4k7227d38",
+  "field": "absolute_value_of_monocytes",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.006 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_6_2e6slhi9p",
+  "field": "absolute_value_of_neutrophils",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.006 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_7_u8z0d18gb",
+  "field": "eosinophil_absolute_count",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.006 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_8_hculwqhyk",
+  "field": "eosinophil_count_ratio",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.006 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_9_ftk4426nd",
+  "field": "eosinophil_countratio",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.006 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_10_vcciaxxuk",
+  "field": "hematocrit",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.006 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_11_tk5gliucf",
+  "field": "hemoglobin",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.006 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_12_abhqvjmg5",
+  "field": "high_platelet_ratio",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.006 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_13_p8j624iv2",
+  "field": "mean_corpuscular_volume",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.006 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_14_rwum2cw2u",
+  "field": "mean_hemoglobin_concentratin",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.006 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_15_f056yvtme",
+  "field": "mean_hemoglobin_concentration",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.006 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_16_5o2al7oyz",
+  "field": "mean_platelet_volume",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.006 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_17_zcd5zxn3u",
+  "field": "platelet_count",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.006 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_18_skojo7cru",
+  "field": "platelet_volume",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.006 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_19_5iin73wva",
+  "field": "platelet_volume_distribution_width",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.006 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_20_4lxpihy8o",
+  "field": "rbc_volume_distribution_width_cv",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.006 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_21_gl7d8n5si",
+  "field": "rbc_volume_distribution_width_sd",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.006 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_22_1fnjktj7v",
+  "field": "red_blood_cell_count",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.006 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_23_zrt2ixskp",
+  "field": "relative_value_of_lymphocytes",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.006 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_24_a5oovpadb",
+  "field": "relative_value_of_monocytes",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.006 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_25_rr9uk1but",
+  "field": "relative_value_of_neutrophils",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.006 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_26_f9hez0b4k",
+  "field": "white_blood_cell_count",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.006 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_32_a2cxjf9tb",
+  "field": "sign_informed_consent_form",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.006 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_41_eahuliyh0",
+  "field": "alcohol_consumption_history",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.006 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_42_m8cptozxk",
+  "field": "smoking_history",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.006 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_0_96ftk49kx",
+  "field": [
+    "age",
+    "inclusion_criteria2"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:36.006 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_1_zw7ja89ei",
+  "field": [
+    "sign_informed_consent_form",
+    "inclusion_criteria5"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:36.006 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_2_44m45t6m6",
+  "field": "inclusion_criteria1",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.006 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_3_zfn62bs40",
+  "field": "exclusion_criteria2",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.006 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_4_vgyy51zou",
+  "field": "exclusion_criteria3",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.006 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_5_pbkwsnx0n",
+  "field": [
+    "exclusion_criteria4",
+    "inclusion_criteria3"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:36.006 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_6_9ygdecsca",
+  "field": "exclusion_criteria5",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.006 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_7_9sugwpwcf",
+  "field": "sex",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.006 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_8_u079bu08z",
+  "field": [
+    "enrollment_status",
+    "exclusion_criteria1",
+    "exclusion_criteria2",
+    "exclusion_criteria3",
+    "exclusion_criteria4",
+    "exclusion_criteria5"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:36.006 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_9_ufkub1swe",
+  "field": [
+    "inclusion_criteria1",
+    "inclusion_criteria2",
+    "inclusion_criteria3",
+    "inclusion_criteria4",
+    "inclusion_criteria5"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:36.006 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_0_r79gvdu3h",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:36.006 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_1_2uns9t23g",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:36.006 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_2_os5ccvicv",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:36.006 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_3_k2nlyk3q4",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:36.006 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_4_8atbe12pb",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:36.006 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_5_h62ympca8",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:36.006 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_6_0m5vg872v",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:36.006 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_7_4rvkpn2sq",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:36.006 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_8_7s1fygjji",
+  "field": [
+    "sign_informed_consent_form",
+    "date_of_signature"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:36.006 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_9_qd6pse9gj",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:36.006 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_0_2fjs3h1t2",
+  "field": "visiting_date",
+  "recordId": "9"
+}
+2026-03-08 19:10:36.006 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "field": [
+    "date_of_signature",
+    "visiting_date"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:36.006 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_2_a8k2wend3",
+  "field": [
+    "date_of_assessment_cmss",
+    "visiting_date"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:36.006 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_3_otk3muqgy",
+  "field": [
+    "date_of_assessment_sf_mpq_scale",
+    "visiting_date"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:36.006 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_4_3e0g4h3xt",
+  "field": [
+    "check_date",
+    "visiting_date"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:36.006 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "field": [
+    "date_of_first_consultation",
+    "visiting_date"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:36.006 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_6_eoavacbfk",
+  "field": [
+    "enrollment_status",
+    "sign_informed_consent_form"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:36.006 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "field": [
+    "visiting_date",
+    "date_of_birth"
+  ],
+  "recordId": "9"
+}
+2026-03-08 19:10:36.011 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:10:36.012 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "mappingCount": 0
+}
+2026-03-08 19:10:36.012 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_0_hr2q1opmw",
+  "field": "visiting_date",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.012 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_1_sdim7iks9",
+  "field": [
+    "check_date",
+    "visiting_date"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.012 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_2_1r0huss46",
+  "field": [
+    "date_of_assessment_cmss",
+    "visiting_date"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.012 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_3_utmkeahm6",
+  "field": [
+    "date_of_assessment_sf_mpq_scale",
+    "visiting_date"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.012 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_4_3j2aozbms",
+  "field": [
+    "date_of_signature",
+    "date_of_first_consultation"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.012 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_5_ux8721fut",
+  "field": [
+    "enrollment_status",
+    "sign_informed_consent_form"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.012 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_6_res5lvb6g",
+  "field": [
+    "visiting_date",
+    "date_of_signature"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.012 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_7_wpzbvli56",
+  "field": [
+    "date_of_first_consultation",
+    "visiting_date"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.012 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_0_424mnnlv0",
+  "field": "educational_level",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.012 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_1_qiy3gde3a",
+  "field": "marital_status",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.012 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_2_hc1jjvymo",
+  "field": "sex",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.012 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_3_delac4edo",
+  "field": "absolute_value_of_basophilic_cells",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.012 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_4_8tcnwi9gg",
+  "field": "absolute_value_of_lymphocytes",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.012 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_5_4k7227d38",
+  "field": "absolute_value_of_monocytes",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.012 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_6_2e6slhi9p",
+  "field": "absolute_value_of_neutrophils",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.012 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_7_u8z0d18gb",
+  "field": "eosinophil_absolute_count",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.012 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_8_hculwqhyk",
+  "field": "eosinophil_count_ratio",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.012 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_9_ftk4426nd",
+  "field": "eosinophil_countratio",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.012 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_10_vcciaxxuk",
+  "field": "hematocrit",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.012 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_11_tk5gliucf",
+  "field": "hemoglobin",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.012 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_12_abhqvjmg5",
+  "field": "high_platelet_ratio",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.012 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_13_p8j624iv2",
+  "field": "mean_corpuscular_volume",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.012 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_14_rwum2cw2u",
+  "field": "mean_hemoglobin_concentratin",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.012 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_15_f056yvtme",
+  "field": "mean_hemoglobin_concentration",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.012 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_16_5o2al7oyz",
+  "field": "mean_platelet_volume",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.012 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_17_zcd5zxn3u",
+  "field": "platelet_count",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.012 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_18_skojo7cru",
+  "field": "platelet_volume",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.012 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_19_5iin73wva",
+  "field": "platelet_volume_distribution_width",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.012 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_20_4lxpihy8o",
+  "field": "rbc_volume_distribution_width_cv",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.012 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_21_gl7d8n5si",
+  "field": "rbc_volume_distribution_width_sd",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.012 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_22_1fnjktj7v",
+  "field": "red_blood_cell_count",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.012 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_23_zrt2ixskp",
+  "field": "relative_value_of_lymphocytes",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.012 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_24_a5oovpadb",
+  "field": "relative_value_of_monocytes",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.012 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_25_rr9uk1but",
+  "field": "relative_value_of_neutrophils",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.012 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_26_f9hez0b4k",
+  "field": "white_blood_cell_count",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.012 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_32_a2cxjf9tb",
+  "field": "sign_informed_consent_form",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.012 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_41_eahuliyh0",
+  "field": "alcohol_consumption_history",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.012 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_42_m8cptozxk",
+  "field": "smoking_history",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.012 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_0_96ftk49kx",
+  "field": [
+    "age",
+    "inclusion_criteria2"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.012 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_1_zw7ja89ei",
+  "field": [
+    "sign_informed_consent_form",
+    "inclusion_criteria5"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.012 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_2_44m45t6m6",
+  "field": "inclusion_criteria1",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.012 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_3_zfn62bs40",
+  "field": "exclusion_criteria2",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.012 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_4_vgyy51zou",
+  "field": "exclusion_criteria3",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.012 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_5_pbkwsnx0n",
+  "field": [
+    "exclusion_criteria4",
+    "inclusion_criteria3"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.012 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_6_9ygdecsca",
+  "field": "exclusion_criteria5",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.012 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_7_9sugwpwcf",
+  "field": "sex",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.012 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_8_u079bu08z",
+  "field": [
+    "enrollment_status",
+    "exclusion_criteria1",
+    "exclusion_criteria2",
+    "exclusion_criteria3",
+    "exclusion_criteria4",
+    "exclusion_criteria5"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.012 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_9_ufkub1swe",
+  "field": [
+    "inclusion_criteria1",
+    "inclusion_criteria2",
+    "inclusion_criteria3",
+    "inclusion_criteria4",
+    "inclusion_criteria5"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.012 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_0_r79gvdu3h",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.012 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_1_2uns9t23g",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.012 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_2_os5ccvicv",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.012 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_3_k2nlyk3q4",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.012 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_4_8atbe12pb",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.012 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_5_h62ympca8",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.012 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_6_0m5vg872v",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.012 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_7_4rvkpn2sq",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.012 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_8_7s1fygjji",
+  "field": [
+    "sign_informed_consent_form",
+    "date_of_signature"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.012 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_9_qd6pse9gj",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.012 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_0_2fjs3h1t2",
+  "field": "visiting_date",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.012 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "field": [
+    "date_of_signature",
+    "visiting_date"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.012 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_2_a8k2wend3",
+  "field": [
+    "date_of_assessment_cmss",
+    "visiting_date"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.012 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_3_otk3muqgy",
+  "field": [
+    "date_of_assessment_sf_mpq_scale",
+    "visiting_date"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.012 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_4_3e0g4h3xt",
+  "field": [
+    "check_date",
+    "visiting_date"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.012 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "field": [
+    "date_of_first_consultation",
+    "visiting_date"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.013 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_6_eoavacbfk",
+  "field": [
+    "enrollment_status",
+    "sign_informed_consent_form"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.013 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "field": [
+    "visiting_date",
+    "date_of_birth"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.017 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:10:36.018 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "mappingCount": 0
+}
+2026-03-08 19:10:36.018 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_0_hr2q1opmw",
+  "field": "visiting_date",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.018 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_1_sdim7iks9",
+  "field": [
+    "check_date",
+    "visiting_date"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.018 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_2_1r0huss46",
+  "field": [
+    "date_of_assessment_cmss",
+    "visiting_date"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.018 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_3_utmkeahm6",
+  "field": [
+    "date_of_assessment_sf_mpq_scale",
+    "visiting_date"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.018 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_4_3j2aozbms",
+  "field": [
+    "date_of_signature",
+    "date_of_first_consultation"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.018 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_5_ux8721fut",
+  "field": [
+    "enrollment_status",
+    "sign_informed_consent_form"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.018 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_6_res5lvb6g",
+  "field": [
+    "visiting_date",
+    "date_of_signature"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.018 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_7_wpzbvli56",
+  "field": [
+    "date_of_first_consultation",
+    "visiting_date"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.018 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_0_424mnnlv0",
+  "field": "educational_level",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.018 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_1_qiy3gde3a",
+  "field": "marital_status",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.018 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_2_hc1jjvymo",
+  "field": "sex",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.018 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_3_delac4edo",
+  "field": "absolute_value_of_basophilic_cells",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.018 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_4_8tcnwi9gg",
+  "field": "absolute_value_of_lymphocytes",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.018 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_5_4k7227d38",
+  "field": "absolute_value_of_monocytes",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.018 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_6_2e6slhi9p",
+  "field": "absolute_value_of_neutrophils",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.018 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_7_u8z0d18gb",
+  "field": "eosinophil_absolute_count",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.018 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_8_hculwqhyk",
+  "field": "eosinophil_count_ratio",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.018 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_9_ftk4426nd",
+  "field": "eosinophil_countratio",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.018 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_10_vcciaxxuk",
+  "field": "hematocrit",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.018 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_11_tk5gliucf",
+  "field": "hemoglobin",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.019 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_12_abhqvjmg5",
+  "field": "high_platelet_ratio",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.019 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_13_p8j624iv2",
+  "field": "mean_corpuscular_volume",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.019 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_14_rwum2cw2u",
+  "field": "mean_hemoglobin_concentratin",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.019 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_15_f056yvtme",
+  "field": "mean_hemoglobin_concentration",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.019 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_16_5o2al7oyz",
+  "field": "mean_platelet_volume",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.019 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_17_zcd5zxn3u",
+  "field": "platelet_count",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.019 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_18_skojo7cru",
+  "field": "platelet_volume",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.019 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_19_5iin73wva",
+  "field": "platelet_volume_distribution_width",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.019 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_20_4lxpihy8o",
+  "field": "rbc_volume_distribution_width_cv",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.019 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_21_gl7d8n5si",
+  "field": "rbc_volume_distribution_width_sd",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.019 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_22_1fnjktj7v",
+  "field": "red_blood_cell_count",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.019 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_23_zrt2ixskp",
+  "field": "relative_value_of_lymphocytes",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.019 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_24_a5oovpadb",
+  "field": "relative_value_of_monocytes",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.019 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_25_rr9uk1but",
+  "field": "relative_value_of_neutrophils",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.019 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_26_f9hez0b4k",
+  "field": "white_blood_cell_count",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.019 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_32_a2cxjf9tb",
+  "field": "sign_informed_consent_form",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.019 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_41_eahuliyh0",
+  "field": "alcohol_consumption_history",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.019 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_42_m8cptozxk",
+  "field": "smoking_history",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.019 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_0_96ftk49kx",
+  "field": [
+    "age",
+    "inclusion_criteria2"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.019 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_1_zw7ja89ei",
+  "field": [
+    "sign_informed_consent_form",
+    "inclusion_criteria5"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.019 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_2_44m45t6m6",
+  "field": "inclusion_criteria1",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.019 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_3_zfn62bs40",
+  "field": "exclusion_criteria2",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.019 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_4_vgyy51zou",
+  "field": "exclusion_criteria3",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.019 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_5_pbkwsnx0n",
+  "field": [
+    "exclusion_criteria4",
+    "inclusion_criteria3"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.019 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_6_9ygdecsca",
+  "field": "exclusion_criteria5",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.019 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_7_9sugwpwcf",
+  "field": "sex",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.019 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_8_u079bu08z",
+  "field": [
+    "enrollment_status",
+    "exclusion_criteria1",
+    "exclusion_criteria2",
+    "exclusion_criteria3",
+    "exclusion_criteria4",
+    "exclusion_criteria5"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.019 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_9_ufkub1swe",
+  "field": [
+    "inclusion_criteria1",
+    "inclusion_criteria2",
+    "inclusion_criteria3",
+    "inclusion_criteria4",
+    "inclusion_criteria5"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.019 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_0_r79gvdu3h",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.019 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_1_2uns9t23g",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.019 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_2_os5ccvicv",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.019 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_3_k2nlyk3q4",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.019 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_4_8atbe12pb",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.019 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_5_h62ympca8",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.019 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_6_0m5vg872v",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.019 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_7_4rvkpn2sq",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.019 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_8_7s1fygjji",
+  "field": [
+    "sign_informed_consent_form",
+    "date_of_signature"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.019 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_9_qd6pse9gj",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.019 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_0_2fjs3h1t2",
+  "field": "visiting_date",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.019 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "field": [
+    "date_of_signature",
+    "visiting_date"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.019 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_2_a8k2wend3",
+  "field": [
+    "date_of_assessment_cmss",
+    "visiting_date"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.019 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_3_otk3muqgy",
+  "field": [
+    "date_of_assessment_sf_mpq_scale",
+    "visiting_date"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.019 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_4_3e0g4h3xt",
+  "field": [
+    "check_date",
+    "visiting_date"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.019 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "field": [
+    "date_of_first_consultation",
+    "visiting_date"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.019 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_6_eoavacbfk",
+  "field": [
+    "enrollment_status",
+    "sign_informed_consent_form"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.019 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "field": [
+    "visiting_date",
+    "date_of_birth"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.023 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:10:36.024 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "mappingCount": 0
+}
+2026-03-08 19:10:36.024 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_3_delac4edo",
+  "field": "absolute_value_of_basophilic_cells",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.024 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_4_8tcnwi9gg",
+  "field": "absolute_value_of_lymphocytes",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.025 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_5_4k7227d38",
+  "field": "absolute_value_of_monocytes",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.025 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_6_2e6slhi9p",
+  "field": "absolute_value_of_neutrophils",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.025 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_7_u8z0d18gb",
+  "field": "eosinophil_absolute_count",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.025 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_8_hculwqhyk",
+  "field": "eosinophil_count_ratio",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.025 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_9_ftk4426nd",
+  "field": "eosinophil_countratio",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.025 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_10_vcciaxxuk",
+  "field": "hematocrit",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.025 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_11_tk5gliucf",
+  "field": "hemoglobin",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.025 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_12_abhqvjmg5",
+  "field": "high_platelet_ratio",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.025 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_13_p8j624iv2",
+  "field": "mean_corpuscular_volume",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.025 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_14_rwum2cw2u",
+  "field": "mean_hemoglobin_concentratin",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.025 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_15_f056yvtme",
+  "field": "mean_hemoglobin_concentration",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.025 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_16_5o2al7oyz",
+  "field": "mean_platelet_volume",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.025 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_17_zcd5zxn3u",
+  "field": "platelet_count",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.025 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_18_skojo7cru",
+  "field": "platelet_volume",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.025 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_19_5iin73wva",
+  "field": "platelet_volume_distribution_width",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.025 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_20_4lxpihy8o",
+  "field": "rbc_volume_distribution_width_cv",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.025 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_21_gl7d8n5si",
+  "field": "rbc_volume_distribution_width_sd",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.025 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_22_1fnjktj7v",
+  "field": "red_blood_cell_count",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.025 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_23_zrt2ixskp",
+  "field": "relative_value_of_lymphocytes",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.025 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_24_a5oovpadb",
+  "field": "relative_value_of_monocytes",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.025 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_25_rr9uk1but",
+  "field": "relative_value_of_neutrophils",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.025 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_26_f9hez0b4k",
+  "field": "white_blood_cell_count",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.025 [aiclinical-backend] warn: [SkillRunner] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:10:36.025 [aiclinical-backend] warn: [SkillRunner] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:10:36.025 [aiclinical-backend] warn: [SkillRunner] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:10:36.033 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:10:36.034 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "mappingCount": 0
+}
+2026-03-08 19:10:36.034 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_0_hr2q1opmw",
+  "field": "visiting_date",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.034 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_1_sdim7iks9",
+  "field": [
+    "check_date",
+    "visiting_date"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.034 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_2_1r0huss46",
+  "field": [
+    "date_of_assessment_cmss",
+    "visiting_date"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.034 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_3_utmkeahm6",
+  "field": [
+    "date_of_assessment_sf_mpq_scale",
+    "visiting_date"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.034 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_4_3j2aozbms",
+  "field": [
+    "date_of_signature",
+    "date_of_first_consultation"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.034 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_5_ux8721fut",
+  "field": [
+    "enrollment_status",
+    "sign_informed_consent_form"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.034 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_6_res5lvb6g",
+  "field": [
+    "visiting_date",
+    "date_of_signature"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.034 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_7_wpzbvli56",
+  "field": [
+    "date_of_first_consultation",
+    "visiting_date"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.034 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_0_424mnnlv0",
+  "field": "educational_level",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.034 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_1_qiy3gde3a",
+  "field": "marital_status",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.034 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_2_hc1jjvymo",
+  "field": "sex",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.034 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_3_delac4edo",
+  "field": "absolute_value_of_basophilic_cells",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.034 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_4_8tcnwi9gg",
+  "field": "absolute_value_of_lymphocytes",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.034 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_5_4k7227d38",
+  "field": "absolute_value_of_monocytes",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.034 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_6_2e6slhi9p",
+  "field": "absolute_value_of_neutrophils",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.034 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_7_u8z0d18gb",
+  "field": "eosinophil_absolute_count",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.034 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_8_hculwqhyk",
+  "field": "eosinophil_count_ratio",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.034 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_9_ftk4426nd",
+  "field": "eosinophil_countratio",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.034 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_10_vcciaxxuk",
+  "field": "hematocrit",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.034 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_11_tk5gliucf",
+  "field": "hemoglobin",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.034 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_12_abhqvjmg5",
+  "field": "high_platelet_ratio",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.034 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_13_p8j624iv2",
+  "field": "mean_corpuscular_volume",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.034 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_14_rwum2cw2u",
+  "field": "mean_hemoglobin_concentratin",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.034 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_15_f056yvtme",
+  "field": "mean_hemoglobin_concentration",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.034 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_16_5o2al7oyz",
+  "field": "mean_platelet_volume",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.034 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_17_zcd5zxn3u",
+  "field": "platelet_count",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.034 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_18_skojo7cru",
+  "field": "platelet_volume",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.034 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_19_5iin73wva",
+  "field": "platelet_volume_distribution_width",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.034 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_20_4lxpihy8o",
+  "field": "rbc_volume_distribution_width_cv",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.034 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_21_gl7d8n5si",
+  "field": "rbc_volume_distribution_width_sd",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.034 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_22_1fnjktj7v",
+  "field": "red_blood_cell_count",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.035 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_23_zrt2ixskp",
+  "field": "relative_value_of_lymphocytes",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.035 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_24_a5oovpadb",
+  "field": "relative_value_of_monocytes",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.035 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_25_rr9uk1but",
+  "field": "relative_value_of_neutrophils",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.035 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_26_f9hez0b4k",
+  "field": "white_blood_cell_count",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.035 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_32_a2cxjf9tb",
+  "field": "sign_informed_consent_form",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.035 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_41_eahuliyh0",
+  "field": "alcohol_consumption_history",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.035 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_42_m8cptozxk",
+  "field": "smoking_history",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.035 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_0_96ftk49kx",
+  "field": [
+    "age",
+    "inclusion_criteria2"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.035 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_1_zw7ja89ei",
+  "field": [
+    "sign_informed_consent_form",
+    "inclusion_criteria5"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.035 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_2_44m45t6m6",
+  "field": "inclusion_criteria1",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.035 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_3_zfn62bs40",
+  "field": "exclusion_criteria2",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.035 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_4_vgyy51zou",
+  "field": "exclusion_criteria3",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.035 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_5_pbkwsnx0n",
+  "field": [
+    "exclusion_criteria4",
+    "inclusion_criteria3"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.035 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_6_9ygdecsca",
+  "field": "exclusion_criteria5",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.035 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_7_9sugwpwcf",
+  "field": "sex",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.035 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_8_u079bu08z",
+  "field": [
+    "enrollment_status",
+    "exclusion_criteria1",
+    "exclusion_criteria2",
+    "exclusion_criteria3",
+    "exclusion_criteria4",
+    "exclusion_criteria5"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.035 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_9_ufkub1swe",
+  "field": [
+    "inclusion_criteria1",
+    "inclusion_criteria2",
+    "inclusion_criteria3",
+    "inclusion_criteria4",
+    "inclusion_criteria5"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.035 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_0_r79gvdu3h",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.035 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_1_2uns9t23g",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.035 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_2_os5ccvicv",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.035 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_3_k2nlyk3q4",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.035 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_4_8atbe12pb",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.035 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_5_h62ympca8",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.035 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_6_0m5vg872v",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.035 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_7_4rvkpn2sq",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.035 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_8_7s1fygjji",
+  "field": [
+    "sign_informed_consent_form",
+    "date_of_signature"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.035 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_9_qd6pse9gj",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.035 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_0_2fjs3h1t2",
+  "field": "visiting_date",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.035 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "field": [
+    "date_of_signature",
+    "visiting_date"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.035 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_2_a8k2wend3",
+  "field": [
+    "date_of_assessment_cmss",
+    "visiting_date"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.035 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_3_otk3muqgy",
+  "field": [
+    "date_of_assessment_sf_mpq_scale",
+    "visiting_date"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.035 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_4_3e0g4h3xt",
+  "field": [
+    "check_date",
+    "visiting_date"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.035 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "field": [
+    "date_of_first_consultation",
+    "visiting_date"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.035 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_6_eoavacbfk",
+  "field": [
+    "enrollment_status",
+    "sign_informed_consent_form"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.035 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "field": [
+    "visiting_date",
+    "date_of_birth"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.040 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:10:36.041 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "mappingCount": 0
+}
+2026-03-08 19:10:36.041 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_0_hr2q1opmw",
+  "field": "visiting_date",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.041 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_1_sdim7iks9",
+  "field": [
+    "check_date",
+    "visiting_date"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.041 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_2_1r0huss46",
+  "field": [
+    "date_of_assessment_cmss",
+    "visiting_date"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.041 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_3_utmkeahm6",
+  "field": [
+    "date_of_assessment_sf_mpq_scale",
+    "visiting_date"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.041 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_4_3j2aozbms",
+  "field": [
+    "date_of_signature",
+    "date_of_first_consultation"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.041 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_5_ux8721fut",
+  "field": [
+    "enrollment_status",
+    "sign_informed_consent_form"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.041 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_6_res5lvb6g",
+  "field": [
+    "visiting_date",
+    "date_of_signature"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.041 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_7_wpzbvli56",
+  "field": [
+    "date_of_first_consultation",
+    "visiting_date"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.041 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_0_424mnnlv0",
+  "field": "educational_level",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.041 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_1_qiy3gde3a",
+  "field": "marital_status",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.041 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_2_hc1jjvymo",
+  "field": "sex",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.041 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_3_delac4edo",
+  "field": "absolute_value_of_basophilic_cells",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.041 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_4_8tcnwi9gg",
+  "field": "absolute_value_of_lymphocytes",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.041 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_5_4k7227d38",
+  "field": "absolute_value_of_monocytes",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.041 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_6_2e6slhi9p",
+  "field": "absolute_value_of_neutrophils",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.041 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_7_u8z0d18gb",
+  "field": "eosinophil_absolute_count",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.041 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_8_hculwqhyk",
+  "field": "eosinophil_count_ratio",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.041 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_9_ftk4426nd",
+  "field": "eosinophil_countratio",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.041 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_10_vcciaxxuk",
+  "field": "hematocrit",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.041 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_11_tk5gliucf",
+  "field": "hemoglobin",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.041 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_12_abhqvjmg5",
+  "field": "high_platelet_ratio",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.041 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_13_p8j624iv2",
+  "field": "mean_corpuscular_volume",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.041 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_14_rwum2cw2u",
+  "field": "mean_hemoglobin_concentratin",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.041 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_15_f056yvtme",
+  "field": "mean_hemoglobin_concentration",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.041 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_16_5o2al7oyz",
+  "field": "mean_platelet_volume",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.041 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_17_zcd5zxn3u",
+  "field": "platelet_count",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.041 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_18_skojo7cru",
+  "field": "platelet_volume",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.042 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_19_5iin73wva",
+  "field": "platelet_volume_distribution_width",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.042 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_20_4lxpihy8o",
+  "field": "rbc_volume_distribution_width_cv",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.042 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_21_gl7d8n5si",
+  "field": "rbc_volume_distribution_width_sd",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.042 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_22_1fnjktj7v",
+  "field": "red_blood_cell_count",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.042 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_23_zrt2ixskp",
+  "field": "relative_value_of_lymphocytes",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.042 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_24_a5oovpadb",
+  "field": "relative_value_of_monocytes",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.042 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_25_rr9uk1but",
+  "field": "relative_value_of_neutrophils",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.042 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_26_f9hez0b4k",
+  "field": "white_blood_cell_count",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.042 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_32_a2cxjf9tb",
+  "field": "sign_informed_consent_form",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.042 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_41_eahuliyh0",
+  "field": "alcohol_consumption_history",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.042 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_42_m8cptozxk",
+  "field": "smoking_history",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.042 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_0_96ftk49kx",
+  "field": [
+    "age",
+    "inclusion_criteria2"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.042 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_1_zw7ja89ei",
+  "field": [
+    "sign_informed_consent_form",
+    "inclusion_criteria5"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.042 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_2_44m45t6m6",
+  "field": "inclusion_criteria1",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.042 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_3_zfn62bs40",
+  "field": "exclusion_criteria2",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.042 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_4_vgyy51zou",
+  "field": "exclusion_criteria3",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.042 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_5_pbkwsnx0n",
+  "field": [
+    "exclusion_criteria4",
+    "inclusion_criteria3"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.042 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_6_9ygdecsca",
+  "field": "exclusion_criteria5",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.042 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_7_9sugwpwcf",
+  "field": "sex",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.042 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_8_u079bu08z",
+  "field": [
+    "enrollment_status",
+    "exclusion_criteria1",
+    "exclusion_criteria2",
+    "exclusion_criteria3",
+    "exclusion_criteria4",
+    "exclusion_criteria5"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.042 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_9_ufkub1swe",
+  "field": [
+    "inclusion_criteria1",
+    "inclusion_criteria2",
+    "inclusion_criteria3",
+    "inclusion_criteria4",
+    "inclusion_criteria5"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.042 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_0_r79gvdu3h",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.042 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_1_2uns9t23g",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.042 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_2_os5ccvicv",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.042 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_3_k2nlyk3q4",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.042 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_4_8atbe12pb",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.042 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_5_h62ympca8",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.042 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_6_0m5vg872v",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.042 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_7_4rvkpn2sq",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.042 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_8_7s1fygjji",
+  "field": [
+    "sign_informed_consent_form",
+    "date_of_signature"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.042 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_9_qd6pse9gj",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.042 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_0_2fjs3h1t2",
+  "field": "visiting_date",
+  "recordId": "10"
+}
+2026-03-08 19:10:36.042 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "field": [
+    "date_of_signature",
+    "visiting_date"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.042 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_2_a8k2wend3",
+  "field": [
+    "date_of_assessment_cmss",
+    "visiting_date"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.042 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_3_otk3muqgy",
+  "field": [
+    "date_of_assessment_sf_mpq_scale",
+    "visiting_date"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.042 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_4_3e0g4h3xt",
+  "field": [
+    "check_date",
+    "visiting_date"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.042 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "field": [
+    "date_of_first_consultation",
+    "visiting_date"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.042 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_6_eoavacbfk",
+  "field": [
+    "enrollment_status",
+    "sign_informed_consent_form"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.042 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "field": [
+    "visiting_date",
+    "date_of_birth"
+  ],
+  "recordId": "10"
+}
+2026-03-08 19:10:36.046 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:10:36.047 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "mappingCount": 0
+}
+2026-03-08 19:10:36.047 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_4_3j2aozbms",
+  "field": [
+    "date_of_signature",
+    "date_of_first_consultation"
+  ],
+  "recordId": "11"
+}
+2026-03-08 19:10:36.047 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_5_ux8721fut",
+  "field": [
+    "enrollment_status",
+    "sign_informed_consent_form"
+  ],
+  "recordId": "11"
+}
+2026-03-08 19:10:36.048 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_3_delac4edo",
+  "field": "absolute_value_of_basophilic_cells",
+  "recordId": "11"
+}
+2026-03-08 19:10:36.048 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_4_8tcnwi9gg",
+  "field": "absolute_value_of_lymphocytes",
+  "recordId": "11"
+}
+2026-03-08 19:10:36.048 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_5_4k7227d38",
+  "field": "absolute_value_of_monocytes",
+  "recordId": "11"
+}
+2026-03-08 19:10:36.048 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_6_2e6slhi9p",
+  "field": "absolute_value_of_neutrophils",
+  "recordId": "11"
+}
+2026-03-08 19:10:36.048 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_7_u8z0d18gb",
+  "field": "eosinophil_absolute_count",
+  "recordId": "11"
+}
+2026-03-08 19:10:36.048 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_8_hculwqhyk",
+  "field": "eosinophil_count_ratio",
+  "recordId": "11"
+}
+2026-03-08 19:10:36.048 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_9_ftk4426nd",
+  "field": "eosinophil_countratio",
+  "recordId": "11"
+}
+2026-03-08 19:10:36.048 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_10_vcciaxxuk",
+  "field": "hematocrit",
+  "recordId": "11"
+}
+2026-03-08 19:10:36.048 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_11_tk5gliucf",
+  "field": "hemoglobin",
+  "recordId": "11"
+}
+2026-03-08 19:10:36.048 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_12_abhqvjmg5",
+  "field": "high_platelet_ratio",
+  "recordId": "11"
+}
+2026-03-08 19:10:36.048 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_13_p8j624iv2",
+  "field": "mean_corpuscular_volume",
+  "recordId": "11"
+}
+2026-03-08 19:10:36.048 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_14_rwum2cw2u",
+  "field": "mean_hemoglobin_concentratin",
+  "recordId": "11"
+}
+2026-03-08 19:10:36.048 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_15_f056yvtme",
+  "field": "mean_hemoglobin_concentration",
+  "recordId": "11"
+}
+2026-03-08 19:10:36.048 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_16_5o2al7oyz",
+  "field": "mean_platelet_volume",
+  "recordId": "11"
+}
+2026-03-08 19:10:36.048 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_17_zcd5zxn3u",
+  "field": "platelet_count",
+  "recordId": "11"
+}
+2026-03-08 19:10:36.048 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_18_skojo7cru",
+  "field": "platelet_volume",
+  "recordId": "11"
+}
+2026-03-08 19:10:36.048 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_19_5iin73wva",
+  "field": "platelet_volume_distribution_width",
+  "recordId": "11"
+}
+2026-03-08 19:10:36.048 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_20_4lxpihy8o",
+  "field": "rbc_volume_distribution_width_cv",
+  "recordId": "11"
+}
+2026-03-08 19:10:36.048 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_21_gl7d8n5si",
+  "field": "rbc_volume_distribution_width_sd",
+  "recordId": "11"
+}
+2026-03-08 19:10:36.048 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_22_1fnjktj7v",
+  "field": "red_blood_cell_count",
+  "recordId": "11"
+}
+2026-03-08 19:10:36.048 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_23_zrt2ixskp",
+  "field": "relative_value_of_lymphocytes",
+  "recordId": "11"
+}
+2026-03-08 19:10:36.048 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_24_a5oovpadb",
+  "field": "relative_value_of_monocytes",
+  "recordId": "11"
+}
+2026-03-08 19:10:36.048 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_25_rr9uk1but",
+  "field": "relative_value_of_neutrophils",
+  "recordId": "11"
+}
+2026-03-08 19:10:36.048 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_26_f9hez0b4k",
+  "field": "white_blood_cell_count",
+  "recordId": "11"
+}
+2026-03-08 19:10:36.048 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_27_f1wj9nsuz",
+  "field": "overall_frequency_evaluation1",
+  "recordId": "11"
+}
+2026-03-08 19:10:36.048 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_28_xo702x4ux",
+  "field": "total_frequency2",
+  "recordId": "11"
+}
+2026-03-08 19:10:36.048 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_29_ryxlijfkj",
+  "field": "total_frequency3",
+  "recordId": "11"
+}
+2026-03-08 19:10:36.048 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_30_d25wcd5e1",
+  "field": "total_frequency4",
+  "recordId": "11"
+}
+2026-03-08 19:10:36.048 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_31_9gxyqilt1",
+  "field": "total_frequency5",
+  "recordId": "11"
+}
+2026-03-08 19:10:36.048 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_32_a2cxjf9tb",
+  "field": "sign_informed_consent_form",
+  "recordId": "11"
+}
+2026-03-08 19:10:36.048 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_33_yfnbeyvq6",
+  "field": "boredom",
+  "recordId": "11"
+}
+2026-03-08 19:10:36.048 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_34_vl2t5xk5j",
+  "field": "cutting_pain",
+  "recordId": "11"
+}
+2026-03-08 19:10:36.048 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_35_0qhoc3v2h",
+  "field": "fear",
+  "recordId": "11"
+}
+2026-03-08 19:10:36.048 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_36_9h85wsvqm",
+  "field": "painful_sensation",
+  "recordId": "11"
+}
+2026-03-08 19:10:36.048 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_37_l4p2w7b1u",
+  "field": "pain_in_the_joints",
+  "recordId": "11"
+}
+2026-03-08 19:10:36.048 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_38_j5pn8te75",
+  "field": "sense_of_punishment",
+  "recordId": "11"
+}
+2026-03-08 19:10:36.048 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_39_j31le4eik",
+  "field": "severe_pain",
+  "recordId": "11"
+}
+2026-03-08 19:10:36.048 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_40_ctyrqgcng",
+  "field": "weak_and_powerless",
+  "recordId": "11"
+}
+2026-03-08 19:10:36.048 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_41_eahuliyh0",
+  "field": "alcohol_consumption_history",
+  "recordId": "11"
+}
+2026-03-08 19:10:36.048 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_42_m8cptozxk",
+  "field": "smoking_history",
+  "recordId": "11"
+}
+2026-03-08 19:10:36.048 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_0_96ftk49kx",
+  "field": [
+    "age",
+    "inclusion_criteria2"
+  ],
+  "recordId": "11"
+}
+2026-03-08 19:10:36.048 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_1_zw7ja89ei",
+  "field": [
+    "sign_informed_consent_form",
+    "inclusion_criteria5"
+  ],
+  "recordId": "11"
+}
+2026-03-08 19:10:36.048 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_2_44m45t6m6",
+  "field": "inclusion_criteria1",
+  "recordId": "11"
+}
+2026-03-08 19:10:36.048 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_3_zfn62bs40",
+  "field": "exclusion_criteria2",
+  "recordId": "11"
+}
+2026-03-08 19:10:36.048 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_4_vgyy51zou",
+  "field": "exclusion_criteria3",
+  "recordId": "11"
+}
+2026-03-08 19:10:36.048 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_5_pbkwsnx0n",
+  "field": [
+    "exclusion_criteria4",
+    "inclusion_criteria3"
+  ],
+  "recordId": "11"
+}
+2026-03-08 19:10:36.048 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_6_9ygdecsca",
+  "field": "exclusion_criteria5",
+  "recordId": "11"
+}
+2026-03-08 19:10:36.048 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_8_u079bu08z",
+  "field": [
+    "enrollment_status",
+    "exclusion_criteria1",
+    "exclusion_criteria2",
+    "exclusion_criteria3",
+    "exclusion_criteria4",
+    "exclusion_criteria5"
+  ],
+  "recordId": "11"
+}
+2026-03-08 19:10:36.048 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_9_ufkub1swe",
+  "field": [
+    "inclusion_criteria1",
+    "inclusion_criteria2",
+    "inclusion_criteria3",
+    "inclusion_criteria4",
+    "inclusion_criteria5"
+  ],
+  "recordId": "11"
+}
+2026-03-08 19:10:36.048 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_0_r79gvdu3h",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "11"
+}
+2026-03-08 19:10:36.048 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_1_2uns9t23g",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "11"
+}
+2026-03-08 19:10:36.048 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_2_os5ccvicv",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "11"
+}
+2026-03-08 19:10:36.048 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_3_k2nlyk3q4",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "11"
+}
+2026-03-08 19:10:36.048 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_4_8atbe12pb",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "11"
+}
+2026-03-08 19:10:36.048 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_5_h62ympca8",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "11"
+}
+2026-03-08 19:10:36.048 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_6_0m5vg872v",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "11"
+}
+2026-03-08 19:10:36.048 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_7_4rvkpn2sq",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "11"
+}
+2026-03-08 19:10:36.048 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_8_7s1fygjji",
+  "field": [
+    "sign_informed_consent_form",
+    "date_of_signature"
+  ],
+  "recordId": "11"
+}
+2026-03-08 19:10:36.048 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_9_qd6pse9gj",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "11"
+}
+2026-03-08 19:10:36.048 [aiclinical-backend] warn: [SkillRunner] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:10:36.049 [aiclinical-backend] warn: [SkillRunner] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:10:36.049 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_6_eoavacbfk",
+  "field": [
+    "enrollment_status",
+    "sign_informed_consent_form"
+  ],
+  "recordId": "11"
+}
+2026-03-08 19:10:36.049 [aiclinical-backend] warn: [SkillRunner] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:10:36.055 [aiclinical-backend] info: [HardRuleEngine] Rules loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "ruleCount": 79
+}
+2026-03-08 19:10:36.056 [aiclinical-backend] info: [HardRuleEngine] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "mappingCount": 0
+}
+2026-03-08 19:10:36.056 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_4_3j2aozbms",
+  "field": [
+    "date_of_signature",
+    "date_of_first_consultation"
+  ],
+  "recordId": "12"
+}
+2026-03-08 19:10:36.057 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772425592200_5_ux8721fut",
+  "field": [
+    "enrollment_status",
+    "sign_informed_consent_form"
+  ],
+  "recordId": "12"
+}
+2026-03-08 19:10:36.057 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_3_delac4edo",
+  "field": "absolute_value_of_basophilic_cells",
+  "recordId": "12"
+}
+2026-03-08 19:10:36.057 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_4_8tcnwi9gg",
+  "field": "absolute_value_of_lymphocytes",
+  "recordId": "12"
+}
+2026-03-08 19:10:36.057 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_5_4k7227d38",
+  "field": "absolute_value_of_monocytes",
+  "recordId": "12"
+}
+2026-03-08 19:10:36.057 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_6_2e6slhi9p",
+  "field": "absolute_value_of_neutrophils",
+  "recordId": "12"
+}
+2026-03-08 19:10:36.057 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_7_u8z0d18gb",
+  "field": "eosinophil_absolute_count",
+  "recordId": "12"
+}
+2026-03-08 19:10:36.057 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_8_hculwqhyk",
+  "field": "eosinophil_count_ratio",
+  "recordId": "12"
+}
+2026-03-08 19:10:36.057 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_9_ftk4426nd",
+  "field": "eosinophil_countratio",
+  "recordId": "12"
+}
+2026-03-08 19:10:36.057 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_10_vcciaxxuk",
+  "field": "hematocrit",
+  "recordId": "12"
+}
+2026-03-08 19:10:36.057 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_11_tk5gliucf",
+  "field": "hemoglobin",
+  "recordId": "12"
+}
+2026-03-08 19:10:36.057 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_12_abhqvjmg5",
+  "field": "high_platelet_ratio",
+  "recordId": "12"
+}
+2026-03-08 19:10:36.057 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_13_p8j624iv2",
+  "field": "mean_corpuscular_volume",
+  "recordId": "12"
+}
+2026-03-08 19:10:36.057 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_14_rwum2cw2u",
+  "field": "mean_hemoglobin_concentratin",
+  "recordId": "12"
+}
+2026-03-08 19:10:36.057 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_15_f056yvtme",
+  "field": "mean_hemoglobin_concentration",
+  "recordId": "12"
+}
+2026-03-08 19:10:36.057 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_16_5o2al7oyz",
+  "field": "mean_platelet_volume",
+  "recordId": "12"
+}
+2026-03-08 19:10:36.057 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_17_zcd5zxn3u",
+  "field": "platelet_count",
+  "recordId": "12"
+}
+2026-03-08 19:10:36.057 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_18_skojo7cru",
+  "field": "platelet_volume",
+  "recordId": "12"
+}
+2026-03-08 19:10:36.057 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_19_5iin73wva",
+  "field": "platelet_volume_distribution_width",
+  "recordId": "12"
+}
+2026-03-08 19:10:36.057 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_20_4lxpihy8o",
+  "field": "rbc_volume_distribution_width_cv",
+  "recordId": "12"
+}
+2026-03-08 19:10:36.057 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_21_gl7d8n5si",
+  "field": "rbc_volume_distribution_width_sd",
+  "recordId": "12"
+}
+2026-03-08 19:10:36.057 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_22_1fnjktj7v",
+  "field": "red_blood_cell_count",
+  "recordId": "12"
+}
+2026-03-08 19:10:36.057 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_23_zrt2ixskp",
+  "field": "relative_value_of_lymphocytes",
+  "recordId": "12"
+}
+2026-03-08 19:10:36.057 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_24_a5oovpadb",
+  "field": "relative_value_of_monocytes",
+  "recordId": "12"
+}
+2026-03-08 19:10:36.057 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_25_rr9uk1but",
+  "field": "relative_value_of_neutrophils",
+  "recordId": "12"
+}
+2026-03-08 19:10:36.057 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_26_f9hez0b4k",
+  "field": "white_blood_cell_count",
+  "recordId": "12"
+}
+2026-03-08 19:10:36.057 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_27_f1wj9nsuz",
+  "field": "overall_frequency_evaluation1",
+  "recordId": "12"
+}
+2026-03-08 19:10:36.057 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_28_xo702x4ux",
+  "field": "total_frequency2",
+  "recordId": "12"
+}
+2026-03-08 19:10:36.058 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_29_ryxlijfkj",
+  "field": "total_frequency3",
+  "recordId": "12"
+}
+2026-03-08 19:10:36.058 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_30_d25wcd5e1",
+  "field": "total_frequency4",
+  "recordId": "12"
+}
+2026-03-08 19:10:36.058 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_31_9gxyqilt1",
+  "field": "total_frequency5",
+  "recordId": "12"
+}
+2026-03-08 19:10:36.058 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_32_a2cxjf9tb",
+  "field": "sign_informed_consent_form",
+  "recordId": "12"
+}
+2026-03-08 19:10:36.058 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_33_yfnbeyvq6",
+  "field": "boredom",
+  "recordId": "12"
+}
+2026-03-08 19:10:36.058 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_34_vl2t5xk5j",
+  "field": "cutting_pain",
+  "recordId": "12"
+}
+2026-03-08 19:10:36.058 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_35_0qhoc3v2h",
+  "field": "fear",
+  "recordId": "12"
+}
+2026-03-08 19:10:36.058 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_36_9h85wsvqm",
+  "field": "painful_sensation",
+  "recordId": "12"
+}
+2026-03-08 19:10:36.058 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_37_l4p2w7b1u",
+  "field": "pain_in_the_joints",
+  "recordId": "12"
+}
+2026-03-08 19:10:36.058 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_38_j5pn8te75",
+  "field": "sense_of_punishment",
+  "recordId": "12"
+}
+2026-03-08 19:10:36.058 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_39_j31le4eik",
+  "field": "severe_pain",
+  "recordId": "12"
+}
+2026-03-08 19:10:36.058 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_40_ctyrqgcng",
+  "field": "weak_and_powerless",
+  "recordId": "12"
+}
+2026-03-08 19:10:36.058 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_41_eahuliyh0",
+  "field": "alcohol_consumption_history",
+  "recordId": "12"
+}
+2026-03-08 19:10:36.058 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426067914_42_m8cptozxk",
+  "field": "smoking_history",
+  "recordId": "12"
+}
+2026-03-08 19:10:36.058 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_1_zw7ja89ei",
+  "field": [
+    "sign_informed_consent_form",
+    "inclusion_criteria5"
+  ],
+  "recordId": "12"
+}
+2026-03-08 19:10:36.058 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_2_44m45t6m6",
+  "field": "inclusion_criteria1",
+  "recordId": "12"
+}
+2026-03-08 19:10:36.058 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_3_zfn62bs40",
+  "field": "exclusion_criteria2",
+  "recordId": "12"
+}
+2026-03-08 19:10:36.058 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_4_vgyy51zou",
+  "field": "exclusion_criteria3",
+  "recordId": "12"
+}
+2026-03-08 19:10:36.058 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_5_pbkwsnx0n",
+  "field": [
+    "exclusion_criteria4",
+    "inclusion_criteria3"
+  ],
+  "recordId": "12"
+}
+2026-03-08 19:10:36.058 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_6_9ygdecsca",
+  "field": "exclusion_criteria5",
+  "recordId": "12"
+}
+2026-03-08 19:10:36.058 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_8_u079bu08z",
+  "field": [
+    "enrollment_status",
+    "exclusion_criteria1",
+    "exclusion_criteria2",
+    "exclusion_criteria3",
+    "exclusion_criteria4",
+    "exclusion_criteria5"
+  ],
+  "recordId": "12"
+}
+2026-03-08 19:10:36.058 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426144420_9_ufkub1swe",
+  "field": [
+    "inclusion_criteria1",
+    "inclusion_criteria2",
+    "inclusion_criteria3",
+    "inclusion_criteria4",
+    "inclusion_criteria5"
+  ],
+  "recordId": "12"
+}
+2026-03-08 19:10:36.058 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_0_r79gvdu3h",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "12"
+}
+2026-03-08 19:10:36.058 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_1_2uns9t23g",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "12"
+}
+2026-03-08 19:10:36.058 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_2_os5ccvicv",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "12"
+}
+2026-03-08 19:10:36.058 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_3_k2nlyk3q4",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "12"
+}
+2026-03-08 19:10:36.058 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_4_8atbe12pb",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "12"
+}
+2026-03-08 19:10:36.058 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_5_h62ympca8",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "12"
+}
+2026-03-08 19:10:36.058 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_6_0m5vg872v",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "12"
+}
+2026-03-08 19:10:36.058 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_7_4rvkpn2sq",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "12"
+}
+2026-03-08 19:10:36.058 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_8_7s1fygjji",
+  "field": [
+    "sign_informed_consent_form",
+    "date_of_signature"
+  ],
+  "recordId": "12"
+}
+2026-03-08 19:10:36.058 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426222135_9_qd6pse9gj",
+  "field": [
+    "date_of_signature"
+  ],
+  "recordId": "12"
+}
+2026-03-08 19:10:36.058 [aiclinical-backend] warn: [SkillRunner] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_1_i81le4vme",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:10:36.058 [aiclinical-backend] warn: [SkillRunner] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_5_7bhp9x9ge",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:10:36.059 [aiclinical-backend] debug: [SkillRunner] Skipping rule - field not available
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_6_eoavacbfk",
+  "field": [
+    "enrollment_status",
+    "sign_informed_consent_form"
+  ],
+  "recordId": "12"
+}
+2026-03-08 19:10:36.059 [aiclinical-backend] warn: [SkillRunner] Rule execution error
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "ruleId": "rule_1772426295819_7_f3bbtkmrr",
+  "error": "Unrecognized operation date"
+}
+2026-03-08 19:10:36.064 [aiclinical-backend] info: [SkillRunner] Execution completed
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "triggerType": "manual",
+  "recordEventCount": 37,
+  "totalTimeMs": 1265
+}
+2026-03-08 19:10:38.493 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:10:39.079 [aiclinical-backend] info: REDCap API: exportMetadata success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "fieldCount": 74,
+  "duration": "586ms"
+}
+2026-03-08 19:10:39.079 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "recordCount": 1
+}
+2026-03-08 19:10:39.469 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "recordCount": 5,
+  "duration": "390ms"
+}
+2026-03-08 19:10:39.965 [aiclinical-backend] info: REDCap: getEvents success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "eventCount": 5
+}
+2026-03-08 19:10:39.966 [aiclinical-backend] info: REDCap: getFormEventMapping success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "mappingCount": 19
+}
+2026-03-08 19:10:39.966 [aiclinical-backend] info: [CompletenessEngine] calculateMissingRate
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "1",
+  "denominator": 26,
+  "numerator": 1,
+  "rate": 3.8,
+  "activeEvents": [
+    "ce46f241ae_arm_1",
+    "65a64dbbd9_arm_1",
+    "9b510b5ce7_arm_1",
+    "4cfb49c5ec_arm_1",
+    "3fea1c25e6_arm_1"
+  ]
+}
+2026-03-08 19:10:40.055 [aiclinical-backend] info: [ProtocolDeviationEngine] No visitWindows configured, D6 will be skipped
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c"
+}
+2026-03-08 19:10:40.055 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:10:40.056 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "recordCount": 1
+}
+2026-03-08 19:10:40.382 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "recordCount": 5,
+  "duration": "326ms"
+}
+2026-03-08 19:10:40.383 [aiclinical-backend] info: [ProtocolDeviationEngine] checkVisitWindows
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "1",
+  "checkedVisits": 0,
+  "deviationCount": 0,
+  "passedCount": 0
+}
+2026-03-08 19:10:40.385 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:10:40.610 [aiclinical-backend] info: REDCap API: exportMetadata success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "fieldCount": 74,
+  "duration": "225ms"
+}
+2026-03-08 19:10:40.610 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "recordCount": 1
+}
+2026-03-08 19:10:40.951 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "recordCount": 5,
+  "duration": "340ms"
+}
+2026-03-08 19:10:41.728 [aiclinical-backend] info: REDCap: getEvents success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "eventCount": 5
+}
+2026-03-08 19:10:41.728 [aiclinical-backend] info: REDCap: getFormEventMapping success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "mappingCount": 19
+}
+2026-03-08 19:10:41.729 [aiclinical-backend] info: [CompletenessEngine] calculateMissingRate
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "2",
+  "denominator": 26,
+  "numerator": 0,
+  "rate": 0,
+  "activeEvents": [
+    "ce46f241ae_arm_1",
+    "65a64dbbd9_arm_1",
+    "9b510b5ce7_arm_1",
+    "4cfb49c5ec_arm_1",
+    "3fea1c25e6_arm_1"
+  ]
+}
+2026-03-08 19:10:41.784 [aiclinical-backend] info: [ProtocolDeviationEngine] No visitWindows configured, D6 will be skipped
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c"
+}
+2026-03-08 19:10:41.785 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:10:41.785 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "recordCount": 1
+}
+2026-03-08 19:10:42.111 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "recordCount": 5,
+  "duration": "326ms"
+}
+2026-03-08 19:10:42.111 [aiclinical-backend] info: [ProtocolDeviationEngine] checkVisitWindows
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "2",
+  "checkedVisits": 0,
+  "deviationCount": 0,
+  "passedCount": 0
+}
+2026-03-08 19:10:42.113 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:10:42.370 [aiclinical-backend] info: REDCap API: exportMetadata success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "fieldCount": 74,
+  "duration": "257ms"
+}
+2026-03-08 19:10:42.371 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "recordCount": 1
+}
+2026-03-08 19:10:42.751 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "recordCount": 3,
+  "duration": "380ms"
+}
+2026-03-08 19:10:43.284 [aiclinical-backend] info: REDCap: getEvents success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "eventCount": 5
+}
+2026-03-08 19:10:43.284 [aiclinical-backend] info: REDCap: getFormEventMapping success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "mappingCount": 19
+}
+2026-03-08 19:10:43.284 [aiclinical-backend] info: [CompletenessEngine] calculateMissingRate
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "3",
+  "denominator": 26,
+  "numerator": 0,
+  "rate": 0,
+  "activeEvents": [
+    "ce46f241ae_arm_1",
+    "65a64dbbd9_arm_1",
+    "9b510b5ce7_arm_1"
+  ]
+}
+2026-03-08 19:10:43.350 [aiclinical-backend] info: [ProtocolDeviationEngine] No visitWindows configured, D6 will be skipped
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c"
+}
+2026-03-08 19:10:43.350 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:10:43.351 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "recordCount": 1
+}
+2026-03-08 19:10:43.671 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "recordCount": 3,
+  "duration": "320ms"
+}
+2026-03-08 19:10:43.671 [aiclinical-backend] info: [ProtocolDeviationEngine] checkVisitWindows
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "3",
+  "checkedVisits": 0,
+  "deviationCount": 0,
+  "passedCount": 0
+}
+2026-03-08 19:10:43.673 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:10:43.944 [aiclinical-backend] info: REDCap API: exportMetadata success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "fieldCount": 74,
+  "duration": "271ms"
+}
+2026-03-08 19:10:43.944 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "recordCount": 1
+}
+2026-03-08 19:10:44.280 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "recordCount": 2,
+  "duration": "336ms"
+}
+2026-03-08 19:10:45.168 [aiclinical-backend] info: REDCap: getEvents success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "eventCount": 5
+}
+2026-03-08 19:10:45.169 [aiclinical-backend] info: REDCap: getFormEventMapping success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "mappingCount": 19
+}
+2026-03-08 19:10:45.169 [aiclinical-backend] info: [CompletenessEngine] calculateMissingRate
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "4",
+  "denominator": 26,
+  "numerator": 0,
+  "rate": 0,
+  "activeEvents": [
+    "ce46f241ae_arm_1",
+    "65a64dbbd9_arm_1"
+  ]
+}
+2026-03-08 19:10:45.241 [aiclinical-backend] info: [ProtocolDeviationEngine] No visitWindows configured, D6 will be skipped
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c"
+}
+2026-03-08 19:10:45.241 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:10:45.241 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "recordCount": 1
+}
+2026-03-08 19:10:45.639 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "recordCount": 2,
+  "duration": "398ms"
+}
+2026-03-08 19:10:45.639 [aiclinical-backend] info: [ProtocolDeviationEngine] checkVisitWindows
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "4",
+  "checkedVisits": 0,
+  "deviationCount": 0,
+  "passedCount": 0
+}
+2026-03-08 19:10:45.641 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:10:45.880 [aiclinical-backend] info: REDCap API: exportMetadata success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "fieldCount": 74,
+  "duration": "239ms"
+}
+2026-03-08 19:10:45.880 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "recordCount": 1
+}
+2026-03-08 19:10:46.227 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "recordCount": 2,
+  "duration": "347ms"
+}
+2026-03-08 19:10:46.709 [aiclinical-backend] info: REDCap: getEvents success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "eventCount": 5
+}
+2026-03-08 19:10:46.710 [aiclinical-backend] info: REDCap: getFormEventMapping success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "mappingCount": 19
+}
+2026-03-08 19:10:46.710 [aiclinical-backend] info: [CompletenessEngine] calculateMissingRate
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "5",
+  "denominator": 26,
+  "numerator": 0,
+  "rate": 0,
+  "activeEvents": [
+    "ce46f241ae_arm_1",
+    "65a64dbbd9_arm_1"
+  ]
+}
+2026-03-08 19:10:46.768 [aiclinical-backend] info: [ProtocolDeviationEngine] No visitWindows configured, D6 will be skipped
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c"
+}
+2026-03-08 19:10:46.769 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:10:46.769 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "recordCount": 1
+}
+2026-03-08 19:10:47.102 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "recordCount": 2,
+  "duration": "333ms"
+}
+2026-03-08 19:10:47.102 [aiclinical-backend] info: [ProtocolDeviationEngine] checkVisitWindows
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "5",
+  "checkedVisits": 0,
+  "deviationCount": 0,
+  "passedCount": 0
+}
+2026-03-08 19:10:47.104 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:10:47.688 [aiclinical-backend] info: REDCap API: exportMetadata success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "fieldCount": 74,
+  "duration": "583ms"
+}
+2026-03-08 19:10:47.688 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "recordCount": 1
+}
+2026-03-08 19:10:47.998 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "recordCount": 2,
+  "duration": "309ms"
+}
+2026-03-08 19:10:48.490 [aiclinical-backend] info: REDCap: getEvents success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "eventCount": 5
+}
+2026-03-08 19:10:48.490 [aiclinical-backend] info: REDCap: getFormEventMapping success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "mappingCount": 19
+}
+2026-03-08 19:10:48.490 [aiclinical-backend] info: [CompletenessEngine] calculateMissingRate
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "6",
+  "denominator": 26,
+  "numerator": 0,
+  "rate": 0,
+  "activeEvents": [
+    "ce46f241ae_arm_1",
+    "65a64dbbd9_arm_1"
+  ]
+}
+2026-03-08 19:10:48.548 [aiclinical-backend] info: [ProtocolDeviationEngine] No visitWindows configured, D6 will be skipped
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c"
+}
+2026-03-08 19:10:48.549 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:10:48.549 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "recordCount": 1
+}
+2026-03-08 19:10:48.918 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "recordCount": 2,
+  "duration": "369ms"
+}
+2026-03-08 19:10:48.918 [aiclinical-backend] info: [ProtocolDeviationEngine] checkVisitWindows
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "6",
+  "checkedVisits": 0,
+  "deviationCount": 0,
+  "passedCount": 0
+}
+2026-03-08 19:10:48.920 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:10:49.166 [aiclinical-backend] info: REDCap API: exportMetadata success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "fieldCount": 74,
+  "duration": "246ms"
+}
+2026-03-08 19:10:49.166 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "recordCount": 1
+}
+2026-03-08 19:10:49.500 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "recordCount": 3,
+  "duration": "334ms"
+}
+2026-03-08 19:10:49.969 [aiclinical-backend] info: REDCap: getEvents success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "eventCount": 5
+}
+2026-03-08 19:10:49.970 [aiclinical-backend] info: REDCap: getFormEventMapping success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "mappingCount": 19
+}
+2026-03-08 19:10:49.970 [aiclinical-backend] info: [CompletenessEngine] calculateMissingRate
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "7",
+  "denominator": 26,
+  "numerator": 0,
+  "rate": 0,
+  "activeEvents": [
+    "ce46f241ae_arm_1",
+    "65a64dbbd9_arm_1",
+    "9b510b5ce7_arm_1"
+  ]
+}
+2026-03-08 19:10:50.024 [aiclinical-backend] info: [ProtocolDeviationEngine] No visitWindows configured, D6 will be skipped
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c"
+}
+2026-03-08 19:10:50.024 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:10:50.025 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "recordCount": 1
+}
+2026-03-08 19:10:50.666 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "recordCount": 3,
+  "duration": "641ms"
+}
+2026-03-08 19:10:50.666 [aiclinical-backend] info: [ProtocolDeviationEngine] checkVisitWindows
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "7",
+  "checkedVisits": 0,
+  "deviationCount": 0,
+  "passedCount": 0
+}
+2026-03-08 19:10:50.668 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:10:50.898 [aiclinical-backend] info: REDCap API: exportMetadata success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "fieldCount": 74,
+  "duration": "229ms"
+}
+2026-03-08 19:10:50.898 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "recordCount": 1
+}
+2026-03-08 19:10:51.228 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "recordCount": 3,
+  "duration": "330ms"
+}
+2026-03-08 19:10:51.705 [aiclinical-backend] info: REDCap: getEvents success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "eventCount": 5
+}
+2026-03-08 19:10:51.705 [aiclinical-backend] info: REDCap: getFormEventMapping success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "mappingCount": 19
+}
+2026-03-08 19:10:51.706 [aiclinical-backend] info: [CompletenessEngine] calculateMissingRate
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "8",
+  "denominator": 26,
+  "numerator": 0,
+  "rate": 0,
+  "activeEvents": [
+    "ce46f241ae_arm_1",
+    "65a64dbbd9_arm_1",
+    "9b510b5ce7_arm_1"
+  ]
+}
+2026-03-08 19:10:51.762 [aiclinical-backend] info: [ProtocolDeviationEngine] No visitWindows configured, D6 will be skipped
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c"
+}
+2026-03-08 19:10:51.762 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:10:51.762 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "recordCount": 1
+}
+2026-03-08 19:10:52.152 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "recordCount": 3,
+  "duration": "390ms"
+}
+2026-03-08 19:10:52.152 [aiclinical-backend] info: [ProtocolDeviationEngine] checkVisitWindows
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "8",
+  "checkedVisits": 0,
+  "deviationCount": 0,
+  "passedCount": 0
+}
+2026-03-08 19:10:52.154 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:10:52.393 [aiclinical-backend] info: REDCap API: exportMetadata success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "fieldCount": 74,
+  "duration": "239ms"
+}
+2026-03-08 19:10:52.393 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "recordCount": 1
+}
+2026-03-08 19:10:52.724 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "recordCount": 5,
+  "duration": "331ms"
+}
+2026-03-08 19:10:53.204 [aiclinical-backend] info: REDCap: getEvents success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "eventCount": 5
+}
+2026-03-08 19:10:53.204 [aiclinical-backend] info: REDCap: getFormEventMapping success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "mappingCount": 19
+}
+2026-03-08 19:10:53.205 [aiclinical-backend] info: [CompletenessEngine] calculateMissingRate
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "9",
+  "denominator": 26,
+  "numerator": 0,
+  "rate": 0,
+  "activeEvents": [
+    "ce46f241ae_arm_1",
+    "65a64dbbd9_arm_1",
+    "9b510b5ce7_arm_1",
+    "4cfb49c5ec_arm_1",
+    "3fea1c25e6_arm_1"
+  ]
+}
+2026-03-08 19:10:53.262 [aiclinical-backend] info: [ProtocolDeviationEngine] No visitWindows configured, D6 will be skipped
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c"
+}
+2026-03-08 19:10:53.263 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:10:53.263 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "recordCount": 1
+}
+2026-03-08 19:10:53.917 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "recordCount": 5,
+  "duration": "654ms"
+}
+2026-03-08 19:10:53.917 [aiclinical-backend] info: [ProtocolDeviationEngine] checkVisitWindows
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "9",
+  "checkedVisits": 0,
+  "deviationCount": 0,
+  "passedCount": 0
+}
+2026-03-08 19:10:53.920 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:10:54.153 [aiclinical-backend] info: REDCap API: exportMetadata success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "fieldCount": 74,
+  "duration": "233ms"
+}
+2026-03-08 19:10:54.153 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "recordCount": 1
+}
+2026-03-08 19:10:54.555 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "recordCount": 5,
+  "duration": "402ms"
+}
+2026-03-08 19:10:55.088 [aiclinical-backend] info: REDCap: getEvents success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "eventCount": 5
+}
+2026-03-08 19:10:55.088 [aiclinical-backend] info: REDCap: getFormEventMapping success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "mappingCount": 19
+}
+2026-03-08 19:10:55.088 [aiclinical-backend] info: [CompletenessEngine] calculateMissingRate
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "10",
+  "denominator": 26,
+  "numerator": 0,
+  "rate": 0,
+  "activeEvents": [
+    "ce46f241ae_arm_1",
+    "65a64dbbd9_arm_1",
+    "9b510b5ce7_arm_1",
+    "4cfb49c5ec_arm_1",
+    "3fea1c25e6_arm_1"
+  ]
+}
+2026-03-08 19:10:55.188 [aiclinical-backend] info: [ProtocolDeviationEngine] No visitWindows configured, D6 will be skipped
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c"
+}
+2026-03-08 19:10:55.188 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:10:55.188 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "recordCount": 1
+}
+2026-03-08 19:10:55.525 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "recordCount": 5,
+  "duration": "337ms"
+}
+2026-03-08 19:10:55.525 [aiclinical-backend] info: [ProtocolDeviationEngine] checkVisitWindows
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "10",
+  "checkedVisits": 0,
+  "deviationCount": 0,
+  "passedCount": 0
+}
+2026-03-08 19:10:55.527 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:10:55.788 [aiclinical-backend] info: REDCap API: exportMetadata success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "fieldCount": 74,
+  "duration": "261ms"
+}
+2026-03-08 19:10:55.788 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "recordCount": 1
+}
+2026-03-08 19:10:56.118 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "recordCount": 1,
+  "duration": "330ms"
+}
+2026-03-08 19:10:56.911 [aiclinical-backend] info: REDCap: getEvents success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "eventCount": 5
+}
+2026-03-08 19:10:56.911 [aiclinical-backend] info: REDCap: getFormEventMapping success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "mappingCount": 19
+}
+2026-03-08 19:10:56.912 [aiclinical-backend] info: [CompletenessEngine] calculateMissingRate
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "11",
+  "denominator": 26,
+  "numerator": 19,
+  "rate": 73.1,
+  "activeEvents": [
+    "65a64dbbd9_arm_1"
+  ]
+}
+2026-03-08 19:10:56.971 [aiclinical-backend] info: [ProtocolDeviationEngine] No visitWindows configured, D6 will be skipped
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c"
+}
+2026-03-08 19:10:56.972 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:10:56.972 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "recordCount": 1
+}
+2026-03-08 19:10:57.374 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "recordCount": 1,
+  "duration": "402ms"
+}
+2026-03-08 19:10:57.374 [aiclinical-backend] info: [ProtocolDeviationEngine] checkVisitWindows
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "11",
+  "checkedVisits": 0,
+  "deviationCount": 0,
+  "passedCount": 0
+}
+2026-03-08 19:10:57.376 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:10:57.612 [aiclinical-backend] info: REDCap API: exportMetadata success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "fieldCount": 74,
+  "duration": "236ms"
+}
+2026-03-08 19:10:57.612 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "recordCount": 1
+}
+2026-03-08 19:10:57.931 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "recordCount": 1,
+  "duration": "319ms"
+}
+2026-03-08 19:10:58.421 [aiclinical-backend] info: REDCap: getEvents success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "eventCount": 5
+}
+2026-03-08 19:10:58.421 [aiclinical-backend] info: REDCap: getFormEventMapping success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "mappingCount": 19
+}
+2026-03-08 19:10:58.421 [aiclinical-backend] info: [CompletenessEngine] calculateMissingRate
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "12",
+  "denominator": 26,
+  "numerator": 19,
+  "rate": 73.1,
+  "activeEvents": [
+    "65a64dbbd9_arm_1"
+  ]
+}
+2026-03-08 19:10:58.479 [aiclinical-backend] info: [ProtocolDeviationEngine] No visitWindows configured, D6 will be skipped
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c"
+}
+2026-03-08 19:10:58.479 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:10:58.479 [aiclinical-backend] debug: Exporting specific records
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "recordCount": 1
+}
+2026-03-08 19:10:58.801 [aiclinical-backend] info: REDCap API: exportRecords success
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "recordCount": 1,
+  "duration": "322ms"
+}
+2026-03-08 19:10:58.801 [aiclinical-backend] info: [ProtocolDeviationEngine] checkVisitWindows
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "recordId": "12",
+  "checkedVisits": 0,
+  "deviationCount": 0,
+  "passedCount": 0
+}
+2026-03-08 19:10:58.847 [aiclinical-backend] info: [HealthScoreEngine] calculate done
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "healthScore": 78.3,
+  "healthGrade": "B"
+}
+2026-03-08 19:10:58.847 [aiclinical-backend] info: [QcAggregator] HealthScore refreshed
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "healthScore": 78.3,
+  "healthGrade": "B"
+}
+2026-03-08 19:10:58.847 [aiclinical-backend] info: [QcAggregator] aggregateDeferred done
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "eventStatusRows": 25,
+  "recordSummaryRows": 12,
+  "durationMs": 45
+}
+2026-03-08 19:10:58.847 [aiclinical-backend] info: [QcExecutor] Batch aggregation completed
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "eventStatusRows": 25,
+  "recordSummaryRows": 12,
+  "aggDurationMs": 45
+}
+2026-03-08 19:10:58.847 [aiclinical-backend] info: [QcExecutor] executeBatch done
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "totalRecordEvents": 37,
+  "fieldStatusWrites": 1015,
+  "durationMs": 24049
+}
+2026-03-08 19:10:58.848 [aiclinical-backend] info: [DailyQcOrchestrator] Starting orchestration
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c"
+}
+2026-03-08 19:10:58.848 [aiclinical-backend] info: [QcReportService] Generating new report
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "reportType": "daily"
+}
+2026-03-08 19:10:58.907 [aiclinical-backend] info: [QcReportService] Report generated
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "reportType": "daily",
+  "duration": "59ms",
+  "criticalCount": 187,
+  "warningCount": 204,
+  "topIssuesCount": 5,
+  "groupedRecordCount": 12
+}
+2026-03-08 19:10:59.019 [aiclinical-backend] debug: [QcReportService] Report cached
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "reportType": "daily"
+}
+2026-03-08 19:10:59.153 [aiclinical-backend] info: 📤 发送企业微信 Markdown 消息
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "userId": "FengZhiBo",
+  "contentLength": 217
+}
+2026-03-08 19:10:59.153 [aiclinical-backend] info: 🔄 请求新的企业微信 Access Token...
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212
+}
+2026-03-08 19:10:59.480 [aiclinical-backend] info: ✅ Access Token 获取成功
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "expiresIn": 7200
+}
+2026-03-08 19:10:59.694 [aiclinical-backend] info: ✅ Markdown 消息发送成功
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "userId": "FengZhiBo",
+  "contentLength": 217
+}
+2026-03-08 19:10:59.694 [aiclinical-backend] info: [DailyQcOrchestrator] Orchestration completed
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "reportId": "76ecda5c-66be-4650-bfaf-b9c89dedc252",
+  "equeriesCreated": 0,
+  "criticalEventsArchived": 0,
+  "newIssues": 0,
+  "resolvedIssues": 0,
+  "pushSent": true,
+  "durationMs": 846
+}
+2026-03-08 19:10:59.734 [aiclinical-backend] info: [QcReportService] Generating new report
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "reportType": "on_demand"
+}
+2026-03-08 19:10:59.735 [aiclinical-backend] info: [ToolsService] Field mappings loaded
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "count": 0
+}
+2026-03-08 19:10:59.738 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:10:59.738 [aiclinical-backend] info: [ToolsService] REDCap adapter created
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212
+}
+2026-03-08 19:10:59.738 [aiclinical-backend] debug: [ToolsService] Tool registered
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "name": "read_report"
+}
+2026-03-08 19:10:59.738 [aiclinical-backend] debug: [ToolsService] Tool registered
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "name": "look_up_data"
+}
+2026-03-08 19:10:59.738 [aiclinical-backend] debug: [ToolsService] Tool registered
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "name": "check_quality"
+}
+2026-03-08 19:10:59.738 [aiclinical-backend] debug: [ToolsService] Tool registered
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "name": "search_knowledge"
+}
+2026-03-08 19:10:59.738 [aiclinical-backend] info: [ToolsService] Initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "toolCount": 4
+}
+2026-03-08 19:10:59.776 [aiclinical-backend] info: [QcReportService] Report generated
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "reportType": "on_demand",
+  "duration": "41ms",
+  "criticalCount": 187,
+  "warningCount": 204,
+  "topIssuesCount": 5,
+  "groupedRecordCount": 12
+}
+2026-03-08 19:10:59.787 [aiclinical-backend] info: RedcapAdapter initialized
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "baseUrl": "http://localhost:8080",
+  "timeout": 30000
+}
+2026-03-08 19:10:59.788 [aiclinical-backend] info: [QcCockpitService] 获取驾驶舱数据成功
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "totalRecords": 12,
+  "durationMs": 73
+}
+2026-03-08 19:10:59.921 [aiclinical-backend] debug: [QcReportService] Report cached
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "reportType": "on_demand"
+}
+2026-03-08 19:10:59.944 [aiclinical-backend] debug: [QcReportService] Returning cached report
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "reportType": "on_demand",
+  "generatedAt": "2026-03-08T19:10:59+08:00"
+}
+2026-03-08 19:10:59.944 [aiclinical-backend] info: [ToolsService] Tool executed
+  {
+  "env": "development",
+  "instance": "LAPTOP-UH2VURTB",
+  "pid": 42212,
+  "toolName": "read_report",
+  "success": true,
+  "executionTime": "23ms"
+}
+{
+  "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+  "withChat": false,
+  "startedAt": "2026-03-08T11:10:33.151Z",
+  "stages": [
+    {
+      "name": "Stage1_REDCap",
+      "ok": true,
+      "checks": [
+        {
+          "name": "metadata_non_empty",
+          "ok": true,
+          "value": 74
+        },
+        {
+          "name": "records_by_event_non_empty",
+          "ok": true,
+          "value": 37
+        },
+        {
+          "name": "unique_records_non_empty",
+          "ok": true,
+          "value": 12
+        },
+        {
+          "name": "events_loaded_or_non_longitudinal",
+          "ok": true,
+          "value": {
+            "events": 5,
+            "formEventMapping": 19
+          }
+        }
+      ],
+      "detail": {
+        "metadataCount": 74,
+        "eventCount": 5,
+        "formEventMappingCount": 19,
+        "recordEventRows": 37,
+        "uniqueRecordCount": 12
+      }
+    },
+    {
+      "name": "Stage2_Rules",
+      "ok": true,
+      "checks": [
+        {
+          "name": "active_qc_rules_exists",
+          "ok": true,
+          "value": 79
+        },
+        {
+          "name": "multi_field_rules_exists",
+          "ok": true,
+          "value": 29
+        },
+        {
+          "name": "has_D1_or_legacy_inclusion_exclusion",
+          "ok": true,
+          "value": [
+            "D6",
+            "D3",
+            "D1",
+            "D5"
+          ]
+        }
+      ],
+      "detail": {
+        "ruleCount": 79,
+        "multiFieldRuleCount": 29,
+        "categories": [
+          "D1",
+          "D3",
+          "D5",
+          "D6"
+        ]
+      }
+    },
+    {
+      "name": "Stage3_Execution",
+      "ok": true,
+      "checks": [
+        {
+          "name": "batch_has_records",
+          "ok": true,
+          "value": 12
+        },
+        {
+          "name": "field_status_written",
+          "ok": true,
+          "value": 713
+        },
+        {
+          "name": "event_status_written",
+          "ok": true,
+          "value": 25
+        },
+        {
+          "name": "record_summary_written",
+          "ok": true,
+          "value": 12
+        },
+        {
+          "name": "project_stats_exists",
+          "ok": true,
+          "value": true
+        }
+      ],
+      "detail": {
+        "batch": {
+          "projectId": "1d80f270-6a02-4b58-9db3-6af176e91f3c",
+          "totalRecords": 12,
+          "totalEvents": 37,
+          "passed": 12,
+          "failed": 21,
+          "warnings": 4,
+          "fieldStatusWrites": 1015,
+          "executionTimeMs": 24049
+        },
+        "orchestrate": {
+          "reportId": "76ecda5c-66be-4650-bfaf-b9c89dedc252",
+          "equeriesCreated": 0,
+          "criticalEventsArchived": 0,
+          "newIssues": 0,
+          "resolvedIssues": 0,
+          "pushSent": true
+        },
+        "db": {
+          "fieldStatusCount": 713,
+          "eventStatusCount": 25,
+          "recordSummaryCount": 12,
+          "projectStats": {
+            "totalRecords": 12,
+            "passedRecords": 0,
+            "failedRecords": 12
+          }
+        }
+      }
+    },
+    {
+      "name": "Stage4_Consumption",
+      "ok": true,
+      "checks": [
+        {
+          "name": "report_summary_exists",
+          "ok": true,
+          "value": 12
+        },
+        {
+          "name": "cockpit_stats_exists",
+          "ok": true,
+          "value": 12
+        },
+        {
+          "name": "equery_log_summary_exists",
+          "ok": true,
+          "value": 579
+        },
+        {
+          "name": "pass_rate_consistent_report_cockpit_tool",
+          "ok": true,
+          "value": {
+            "reportPassRate": 0,
+            "cockpitPassRate": 0,
+            "toolPassRate": 0
+          }
+        },
+        {
+          "name": "chat_has_conclusion_or_skipped",
+          "ok": true,
+          "value": "skipped"
+        }
+      ],
+      "detail": {
+        "reportPassRate": 0,
+        "cockpitPassRate": 0,
+        "toolPassRate": 0,
+        "chatResult": "skipped"
+      }
+    }
+  ],
+  "endedAt": "2026-03-08T11:10:59.944Z"
+}
diff --git a/backend/check-docs-api.ps1 b/backend/check-docs-api.ps1
index 740c9bb9..73c86164 100644
--- a/backend/check-docs-api.ps1
+++ b/backend/check-docs-api.ps1
@@ -69,3 +69,4 @@ try {
 }
 
 
+
diff --git a/backend/check-documents.js b/backend/check-documents.js
index 305dbb34..bdfc3b1d 100644
--- a/backend/check-documents.js
+++ b/backend/check-documents.js
@@ -63,3 +63,4 @@ async function checkDocuments() {
 checkDocuments();
 
 
+
diff --git a/backend/migrations/add_general_chat.sql b/backend/migrations/add_general_chat.sql
index 91330c21..55c701d5 100644
--- a/backend/migrations/add_general_chat.sql
+++ b/backend/migrations/add_general_chat.sql
@@ -44,3 +44,4 @@ WHERE EXISTS (SELECT 1 FROM information_schema.tables WHERE table_name = 'genera
 SELECT 'general_messages表已创建' AS status 
 WHERE EXISTS (SELECT 1 FROM information_schema.tables WHERE table_name = 'general_messages');
 
+
diff --git a/backend/package.json b/backend/package.json
index d647b2da..fbe743e4 100644
--- a/backend/package.json
+++ b/backend/package.json
@@ -12,6 +12,11 @@
     "prisma:migrate": "prisma migrate dev",
     "prisma:studio": "prisma studio",
     "prisma:seed": "tsx prisma/seed.ts",
+    "iit:equery:dedupe": "tsx scripts/dedupe_open_equeries.ts",
+    "iit:equery:dedupe:apply": "tsx scripts/dedupe_open_equeries.ts --apply",
+    "iit:guard:check": "tsx scripts/validate_guard_types_for_project.ts",
+    "iit:guard:check:all": "tsx scripts/validate_guard_types_all_active_projects.ts --strict",
+    "iit:e2e:strict": "tsx scripts/e2e_iit_full_flow.ts",
     "test": "echo \"Error: no test specified\" && exit 1"
   },
   "prisma": {
diff --git a/backend/prisma/migrations/20260308_add_iit_equery_open_dedupe_guard/migration.sql b/backend/prisma/migrations/20260308_add_iit_equery_open_dedupe_guard/migration.sql
new file mode 100644
index 00000000..31347416
--- /dev/null
+++ b/backend/prisma/migrations/20260308_add_iit_equery_open_dedupe_guard/migration.sql
@@ -0,0 +1,48 @@
+-- 1) 先收敛历史 open 重复，避免唯一索引创建失败
+WITH ranked AS (
+  SELECT
+    id,
+    ROW_NUMBER() OVER (
+      PARTITION BY
+        project_id,
+        record_id,
+        COALESCE(event_id, ''),
+        COALESCE(category, '')
+      ORDER BY
+        CASE status
+          WHEN 'reviewing' THEN 4
+          WHEN 'responded' THEN 3
+          WHEN 'reopened' THEN 2
+          WHEN 'pending' THEN 1
+          ELSE 0
+        END DESC,
+        updated_at DESC NULLS LAST,
+        created_at DESC NULLS LAST,
+        id DESC
+    ) AS rn
+  FROM iit_schema.equery
+  WHERE status IN ('pending', 'responded', 'reviewing', 'reopened')
+)
+UPDATE iit_schema.equery e
+SET
+  status = 'auto_closed',
+  closed_at = COALESCE(e.closed_at, NOW()),
+  closed_by = COALESCE(e.closed_by, 'system_dedupe_migration'),
+  resolution = COALESCE(
+    NULLIF(e.resolution, ''),
+    '自动去重收敛：同一受试者/事件/规则已存在未关闭 eQuery'
+  ),
+  updated_at = NOW()
+FROM ranked r
+WHERE e.id = r.id
+  AND r.rn > 1;
+
+-- 2) 为 open 集合建立唯一去重键，防止未来重复写入
+CREATE UNIQUE INDEX IF NOT EXISTS uq_iit_equery_open_dedupe_key
+ON iit_schema.equery (
+  project_id,
+  record_id,
+  (COALESCE(event_id, '')),
+  (COALESCE(category, ''))
+)
+WHERE status IN ('pending', 'responded', 'reviewing', 'reopened');
diff --git a/backend/run-migration.ps1 b/backend/run-migration.ps1
index 4b24f383..fc442e64 100644
--- a/backend/run-migration.ps1
+++ b/backend/run-migration.ps1
@@ -43,3 +43,4 @@ Write-Host ""
 Write-Host "按任意键退出..."
 $null = $Host.UI.RawUI.ReadKey("NoEcho,IncludeKeyDown")
 
+
diff --git a/backend/scripts/analyze_missing_equery_context.ts b/backend/scripts/analyze_missing_equery_context.ts
new file mode 100644
index 00000000..a45b94c5
--- /dev/null
+++ b/backend/scripts/analyze_missing_equery_context.ts
@@ -0,0 +1,97 @@
+import { PrismaClient } from '@prisma/client';
+
+const prisma = new PrismaClient();
+
+async function main() {
+  const projectId = process.argv[2];
+  if (!projectId) {
+    throw new Error('Usage: npx tsx scripts/analyze_missing_equery_context.ts <projectId>');
+  }
+
+  const reasonStats = await prisma.$queryRawUnsafe<Array<{ reason: string; cnt: bigint }>>(`
+    WITH missing AS (
+      SELECT
+        e.id,
+        e.record_id,
+        e.category,
+        e.field_name,
+        e.event_id,
+        e.form_name,
+        e.created_at
+      FROM iit_schema.equery e
+      WHERE e.project_id = $1
+        AND (COALESCE(e.event_id, '') = '' OR COALESCE(e.form_name, '') = '')
+    ),
+    flags AS (
+      SELECT
+        m.*,
+        EXISTS (
+          SELECT 1
+          FROM iit_schema.qc_field_status fs
+          WHERE fs.project_id = $1
+            AND fs.record_id = m.record_id
+        ) AS has_record_match,
+        EXISTS (
+          SELECT 1
+          FROM iit_schema.qc_field_status fs
+          WHERE fs.project_id = $1
+            AND fs.record_id = m.record_id
+            AND COALESCE(fs.rule_name, '') = COALESCE(m.category, '')
+        ) AS has_rule_match,
+        EXISTS (
+          SELECT 1
+          FROM iit_schema.qc_field_status fs
+          WHERE fs.project_id = $1
+            AND fs.record_id = m.record_id
+            AND COALESCE(fs.rule_name, '') = COALESCE(m.category, '')
+            AND COALESCE(fs.field_name, '') = COALESCE(m.field_name, '')
+        ) AS has_rule_field_match
+      FROM missing m
+    )
+    SELECT
+      CASE
+        WHEN has_rule_field_match THEN 'A_RULE_FIELD_MATCH_BUT_EVENT_FORM_EMPTY'
+        WHEN has_rule_match THEN 'B_RULE_MATCH_FIELD_MISMATCH'
+        WHEN has_record_match THEN 'C_RECORD_MATCH_ONLY'
+        ELSE 'D_NO_RECORD_MATCH'
+      END AS reason,
+      COUNT(*)::bigint AS cnt
+    FROM flags
+    GROUP BY 1
+    ORDER BY 2 DESC
+  `, projectId);
+
+  const sample = await prisma.$queryRawUnsafe<Array<{
+    id: string;
+    record_id: string;
+    category: string | null;
+    field_name: string | null;
+    event_id: string | null;
+    form_name: string | null;
+    created_at: Date;
+  }>>(`
+    SELECT
+      id, record_id, category, field_name, event_id, form_name, created_at
+    FROM iit_schema.equery
+    WHERE project_id = $1
+      AND (COALESCE(event_id, '') = '' OR COALESCE(form_name, '') = '')
+    ORDER BY created_at DESC
+    LIMIT 20
+  `, projectId);
+
+  console.log(JSON.stringify({
+    projectId,
+    reasonStats: reasonStats.map((r) => ({ reason: r.reason, cnt: Number(r.cnt) })),
+    sample,
+  }, null, 2));
+}
+
+main()
+  .catch((e) => {
+    console.error(e);
+    process.exit(1);
+  })
+  .finally(async () => {
+    await prisma.$disconnect();
+  });
+
diff --git a/backend/scripts/backfill_equery_context.ts b/backend/scripts/backfill_equery_context.ts
new file mode 100644
index 00000000..741a3b03
--- /dev/null
+++ b/backend/scripts/backfill_equery_context.ts
@@ -0,0 +1,111 @@
+import { PrismaClient } from '@prisma/client';
+
+const prisma = new PrismaClient();
+
+async function main() {
+  const projectId = process.argv[2];
+  if (!projectId) {
+    throw new Error('Usage: npx tsx scripts/backfill_equery_context.ts <projectId>');
+  }
+
+  const beforeRows = await prisma.$queryRawUnsafe<Array<{ total: bigint; missing: bigint }>>(`
+    SELECT
+      COUNT(*)::bigint AS total,
+      COUNT(*) FILTER (
+        WHERE COALESCE(event_id, '') = '' OR COALESCE(form_name, '') = ''
+      )::bigint AS missing
+    FROM iit_schema.equery
+    WHERE project_id = $1
+  `, projectId);
+
+  // Phase 1: 严格匹配（record + rule + field）
+  const strictUpdated = await prisma.$executeRawUnsafe(`
+    WITH matched AS (
+      SELECT
+        e.id,
+        fs.event_id,
+        fs.form_name,
+        ROW_NUMBER() OVER (
+          PARTITION BY e.id
+          ORDER BY fs.last_qc_at DESC NULLS LAST, fs.updated_at DESC NULLS LAST
+        ) AS rn
+      FROM iit_schema.equery e
+      JOIN iit_schema.qc_field_status fs
+        ON fs.project_id = e.project_id
+       AND fs.record_id = e.record_id
+       AND COALESCE(fs.rule_name, '') = COALESCE(e.category, '')
+       AND COALESCE(fs.field_name, '') = COALESCE(e.field_name, '')
+      WHERE e.project_id = $1
+        AND (COALESCE(e.event_id, '') = '' OR COALESCE(e.form_name, '') = '')
+    )
+    UPDATE iit_schema.equery e
+    SET
+      event_id = COALESCE(NULLIF(e.event_id, ''), matched.event_id),
+      form_name = COALESCE(NULLIF(e.form_name, ''), matched.form_name),
+      updated_at = NOW()
+    FROM matched
+    WHERE e.id = matched.id
+      AND matched.rn = 1
+  `, projectId);
+
+  // Phase 2: 容错匹配（record + rule），用于历史“拆字段”eQuery
+  const relaxedUpdated = await prisma.$executeRawUnsafe(`
+    WITH matched AS (
+      SELECT
+        e.id,
+        fs.event_id,
+        fs.form_name,
+        ROW_NUMBER() OVER (
+          PARTITION BY e.id
+          ORDER BY fs.last_qc_at DESC NULLS LAST, fs.updated_at DESC NULLS LAST
+        ) AS rn
+      FROM iit_schema.equery e
+      JOIN iit_schema.qc_field_status fs
+        ON fs.project_id = e.project_id
+       AND fs.record_id = e.record_id
+       AND COALESCE(fs.rule_name, '') = COALESCE(e.category, '')
+      WHERE e.project_id = $1
+        AND (COALESCE(e.event_id, '') = '' OR COALESCE(e.form_name, '') = '')
+    )
+    UPDATE iit_schema.equery e
+    SET
+      event_id = COALESCE(NULLIF(e.event_id, ''), matched.event_id),
+      form_name = COALESCE(NULLIF(e.form_name, ''), matched.form_name),
+      updated_at = NOW()
+    FROM matched
+    WHERE e.id = matched.id
+      AND matched.rn = 1
+  `, projectId);
+
+  const afterRows = await prisma.$queryRawUnsafe<Array<{ total: bigint; missing: bigint }>>(`
+    SELECT
+      COUNT(*)::bigint AS total,
+      COUNT(*) FILTER (
+        WHERE COALESCE(event_id, '') = '' OR COALESCE(form_name, '') = ''
+      )::bigint AS missing
+    FROM iit_schema.equery
+    WHERE project_id = $1
+  `, projectId);
+
+  const before = beforeRows[0];
+  const after = afterRows[0];
+  console.log(JSON.stringify({
+    projectId,
+    total: Number(before.total),
+    missingBefore: Number(before.missing),
+    strictUpdatedRows: strictUpdated,
+    relaxedUpdatedRows: relaxedUpdated,
+    updatedRows: Number(strictUpdated) + Number(relaxedUpdated),
+    missingAfter: Number(after.missing),
+  }, null, 2));
+}
+
+main()
+  .catch((e) => {
+    console.error(e);
+    process.exit(1);
+  })
+  .finally(async () => {
+    await prisma.$disconnect();
+  });
+
diff --git a/backend/scripts/dedupe_open_equeries.ts b/backend/scripts/dedupe_open_equeries.ts
new file mode 100644
index 00000000..79f8e679
--- /dev/null
+++ b/backend/scripts/dedupe_open_equeries.ts
@@ -0,0 +1,145 @@
+import { PrismaClient } from '@prisma/client';
+
+const prisma = new PrismaClient();
+
+function parseArgs() {
+  const args = process.argv.slice(2);
+  const apply = args.includes('--apply');
+  const projectId = args.find((a) => !a.startsWith('--'));
+  if (!projectId) {
+    throw new Error('Usage: npx tsx scripts/dedupe_open_equeries.ts <projectId> [--apply]');
+  }
+  return { projectId, apply };
+}
+
+async function main() {
+  const { projectId, apply } = parseArgs();
+
+  const summaryRows = await prisma.$queryRawUnsafe<Array<{
+    open_total: bigint;
+    duplicate_groups: bigint;
+    duplicate_rows: bigint;
+  }>>(
+    `
+    WITH grouped AS (
+      SELECT
+        record_id,
+        COALESCE(event_id, '') AS event_id_norm,
+        COALESCE(category, '') AS category_norm,
+        COUNT(*)::bigint AS cnt
+      FROM iit_schema.equery
+      WHERE project_id = $1
+        AND status IN ('pending', 'responded', 'reviewing', 'reopened')
+      GROUP BY 1,2,3
+    )
+    SELECT
+      (
+        SELECT COUNT(*)::bigint
+        FROM iit_schema.equery
+        WHERE project_id = $1
+          AND status IN ('pending', 'responded', 'reviewing', 'reopened')
+      ) AS open_total,
+      COUNT(*) FILTER (WHERE cnt > 1)::bigint AS duplicate_groups,
+      COALESCE(SUM(cnt - 1) FILTER (WHERE cnt > 1), 0)::bigint AS duplicate_rows
+    FROM grouped
+    `,
+    projectId,
+  );
+
+  const sample = await prisma.$queryRawUnsafe<Array<{
+    record_id: string;
+    event_id_norm: string;
+    category_norm: string;
+    cnt: bigint;
+  }>>(
+    `
+    SELECT
+      record_id,
+      COALESCE(event_id, '') AS event_id_norm,
+      COALESCE(category, '') AS category_norm,
+      COUNT(*)::bigint AS cnt
+    FROM iit_schema.equery
+    WHERE project_id = $1
+      AND status IN ('pending', 'responded', 'reviewing', 'reopened')
+    GROUP BY 1,2,3
+    HAVING COUNT(*) > 1
+    ORDER BY cnt DESC, record_id ASC
+    LIMIT 20
+    `,
+    projectId,
+  );
+
+  let updatedRows = 0;
+  if (apply) {
+    const updated = await prisma.$executeRawUnsafe(
+      `
+      WITH ranked AS (
+        SELECT
+          id,
+          ROW_NUMBER() OVER (
+            PARTITION BY
+              project_id,
+              record_id,
+              COALESCE(event_id, ''),
+              COALESCE(category, '')
+            ORDER BY
+              CASE status
+                WHEN 'reviewing' THEN 4
+                WHEN 'responded' THEN 3
+                WHEN 'reopened' THEN 2
+                WHEN 'pending' THEN 1
+                ELSE 0
+              END DESC,
+              updated_at DESC NULLS LAST,
+              created_at DESC NULLS LAST,
+              id DESC
+          ) AS rn
+        FROM iit_schema.equery
+        WHERE project_id = $1
+          AND status IN ('pending', 'responded', 'reviewing', 'reopened')
+      )
+      UPDATE iit_schema.equery e
+      SET
+        status = 'auto_closed',
+        closed_at = COALESCE(e.closed_at, NOW()),
+        closed_by = COALESCE(e.closed_by, 'system_dedupe_script'),
+        resolution = COALESCE(
+          NULLIF(e.resolution, ''),
+          '自动去重收敛：同一受试者/事件/规则已存在未关闭 eQuery'
+        ),
+        updated_at = NOW()
+      FROM ranked r
+      WHERE e.id = r.id
+        AND r.rn > 1
+      `,
+      projectId,
+    );
+    updatedRows = Number(updated);
+  }
+
+  const result = {
+    projectId,
+    mode: apply ? 'apply' : 'dry-run',
+    openTotal: Number(summaryRows[0]?.open_total || 0),
+    duplicateGroups: Number(summaryRows[0]?.duplicate_groups || 0),
+    duplicateRows: Number(summaryRows[0]?.duplicate_rows || 0),
+    updatedRows,
+    sampleTopGroups: sample.map((x) => ({
+      recordId: x.record_id,
+      eventId: x.event_id_norm || '(empty)',
+      category: x.category_norm || '(empty)',
+      count: Number(x.cnt),
+    })),
+  };
+
+  console.log(JSON.stringify(result, null, 2));
+}
+
+main()
+  .catch((e) => {
+    console.error(e);
+    process.exit(1);
+  })
+  .finally(async () => {
+    await prisma.$disconnect();
+  });
diff --git a/backend/scripts/e2e_iit_full_flow.ts b/backend/scripts/e2e_iit_full_flow.ts
new file mode 100644
index 00000000..eefa83fb
--- /dev/null
+++ b/backend/scripts/e2e_iit_full_flow.ts
@@ -0,0 +1,261 @@
+import { PrismaClient } from '@prisma/client';
+import { RedcapAdapter } from '../src/modules/iit-manager/adapters/RedcapAdapter.js';
+import { QcExecutor } from '../src/modules/iit-manager/engines/QcExecutor.js';
+import { dailyQcOrchestrator } from '../src/modules/iit-manager/services/DailyQcOrchestrator.js';
+import { QcReportService } from '../src/modules/iit-manager/services/QcReportService.js';
+import { createToolsService } from '../src/modules/iit-manager/services/ToolsService.js';
+import { iitQcCockpitService } from '../src/modules/admin/iit-projects/iitQcCockpitService.js';
+import { getChatOrchestrator } from '../src/modules/iit-manager/services/ChatOrchestrator.js';
+
+const prisma = new PrismaClient();
+
+type StageResult = {
+  name: string;
+  ok: boolean;
+  checks: Array<{ name: string; ok: boolean; value?: unknown }>;
+  detail?: Record<string, unknown>;
+};
+
+function check(name: string, condition: boolean, value?: unknown) {
+  return { name, ok: condition, value };
+}
+
+function assertStage(stage: StageResult) {
+  const failed = stage.checks.filter((c) => !c.ok);
+  if (failed.length > 0) {
+    const reason = failed.map((f) => f.name).join(', ');
+    throw new Error(`[${stage.name}] 断言失败: ${reason}`);
+  }
+}
+
+async function main() {
+  const projectId = process.argv[2];
+  const withChat = process.argv.includes('--with-chat') || process.env.E2E_WITH_CHAT === '1';
+  const strictGuards = process.argv.includes('--strict-guards') || process.env.E2E_REQUIRE_GUARD_TYPES === '1';
+  if (!projectId) {
+    throw new Error('Usage: npx tsx scripts/e2e_iit_full_flow.ts <projectId> [--with-chat] [--strict-guards]');
+  }
+
+  const summary: {
+    projectId: string;
+    withChat: boolean;
+    strictGuards: boolean;
+    startedAt: string;
+    stages: StageResult[];
+    endedAt?: string;
+  } = {
+    projectId,
+    withChat,
+    strictGuards,
+    startedAt: new Date().toISOString(),
+    stages: [],
+  };
+
+  // Stage 1: REDCap 结构 + 数据同步能力
+  {
+    const project = await prisma.iitProject.findUnique({
+      where: { id: projectId },
+      select: { redcapUrl: true, redcapApiToken: true },
+    });
+    if (!project?.redcapUrl || !project?.redcapApiToken) {
+      throw new Error('项目未配置 REDCap 连接信息');
+    }
+    const adapter = new RedcapAdapter(project.redcapUrl, project.redcapApiToken);
+    const [metadata, events, formEventMapping, recordsByEvent] = await Promise.all([
+      adapter.exportMetadata(),
+      adapter.getEvents(),
+      adapter.getFormEventMapping(),
+      adapter.getAllRecordsByEvent(),
+    ]);
+
+    const uniqueRecords = new Set(recordsByEvent.map((r) => r.recordId));
+    const stage: StageResult = {
+      name: 'Stage1_REDCap',
+      ok: true,
+      checks: [
+        check('metadata_non_empty', metadata.length > 0, metadata.length),
+        check('records_by_event_non_empty', recordsByEvent.length > 0, recordsByEvent.length),
+        check('unique_records_non_empty', uniqueRecords.size > 0, uniqueRecords.size),
+        check('events_loaded_or_non_longitudinal', events.length > 0 || formEventMapping.length === 0, {
+          events: events.length,
+          formEventMapping: formEventMapping.length,
+        }),
+      ],
+      detail: {
+        metadataCount: metadata.length,
+        eventCount: events.length,
+        formEventMappingCount: formEventMapping.length,
+        recordEventRows: recordsByEvent.length,
+        uniqueRecordCount: uniqueRecords.size,
+      },
+    };
+    assertStage(stage);
+    summary.stages.push(stage);
+  }
+
+  // Stage 2: 规则配置加载与覆盖
+  {
+    const skill = await prisma.iitSkill.findFirst({
+      where: { projectId, skillType: 'qc_process', isActive: true },
+      select: { config: true },
+    });
+    const rules = ((skill?.config as any)?.rules || []) as Array<{
+      id: string;
+      name?: string;
+      category?: string;
+      field?: string | string[];
+      metadata?: Record<string, unknown>;
+    }>;
+    const multiFieldRules = rules.filter((r) => Array.isArray(r.field)).length;
+    const categorySet = new Set(rules.map((r) => String(r.category || '')).filter(Boolean));
+    const guardCandidates = rules.filter((r) =>
+      /访视日期.*知情同意|早于知情同意|SF-?MPQ.*CMSS.*不一致|评估日期.*访视日期.*不一致|所有纳入标准.*检查|纳入标准.*满足|入组状态.*排除标准.*冲突/i.test(String(r.name || '')),
+    );
+    const guardConfigured = guardCandidates.filter((r) => String((r.metadata as any)?.guardType || '').trim().length > 0);
+
+    const stage: StageResult = {
+      name: 'Stage2_Rules',
+      ok: true,
+      checks: [
+        check('active_qc_rules_exists', rules.length > 0, rules.length),
+        check('multi_field_rules_exists', multiFieldRules > 0, multiFieldRules),
+        check('has_D1_or_legacy_inclusion_exclusion', categorySet.has('D1') || categorySet.has('inclusion') || categorySet.has('exclusion'), Array.from(categorySet)),
+        check(
+          strictGuards ? 'guardtype_coverage_required' : 'guardtype_coverage_info',
+          strictGuards ? guardConfigured.length === guardCandidates.length : true,
+          { configured: guardConfigured.length, candidates: guardCandidates.length },
+        ),
+      ],
+      detail: {
+        ruleCount: rules.length,
+        multiFieldRuleCount: multiFieldRules,
+        categories: Array.from(categorySet).sort(),
+        guardTypeCoverage: {
+          strictMode: strictGuards,
+          configured: guardConfigured.length,
+          candidates: guardCandidates.length,
+        },
+      },
+    };
+    assertStage(stage);
+    summary.stages.push(stage);
+  }
+
+  // Stage 3: 质控执行 + 报告编排
+  {
+    const executor = new QcExecutor(projectId);
+    const batch = await executor.executeBatch({ triggeredBy: 'manual', skipSoftRules: true });
+    const orchestrate = await dailyQcOrchestrator.orchestrate(projectId, { skipPush: true });
+
+    const [fieldCountRows, eventCountRows, summaryCountRows, projectStats] = await Promise.all([
+      prisma.$queryRaw<Array<{ cnt: bigint }>>`
+        SELECT COUNT(*)::bigint AS cnt FROM iit_schema.qc_field_status WHERE project_id = ${projectId}
+      `,
+      prisma.$queryRaw<Array<{ cnt: bigint }>>`
+        SELECT COUNT(*)::bigint AS cnt FROM iit_schema.qc_event_status WHERE project_id = ${projectId}
+      `,
+      prisma.$queryRaw<Array<{ cnt: bigint }>>`
+        SELECT COUNT(*)::bigint AS cnt FROM iit_schema.record_summary WHERE project_id = ${projectId}
+      `,
+      prisma.iitQcProjectStats.findUnique({ where: { projectId } }),
+    ]);
+
+    const fieldStatusCount = Number(fieldCountRows[0]?.cnt || 0n);
+    const eventStatusCount = Number(eventCountRows[0]?.cnt || 0n);
+    const recordSummaryCount = Number(summaryCountRows[0]?.cnt || 0n);
+
+    const stage: StageResult = {
+      name: 'Stage3_Execution',
+      ok: true,
+      checks: [
+        check('batch_has_records', batch.totalRecords > 0, batch.totalRecords),
+        check('field_status_written', fieldStatusCount > 0, fieldStatusCount),
+        check('event_status_written', eventStatusCount > 0, eventStatusCount),
+        check('record_summary_written', recordSummaryCount > 0, recordSummaryCount),
+        check('project_stats_exists', !!projectStats, projectStats ? true : false),
+      ],
+      detail: {
+        batch,
+        orchestrate,
+        db: {
+          fieldStatusCount,
+          eventStatusCount,
+          recordSummaryCount,
+          projectStats: projectStats
+            ? {
+                totalRecords: projectStats.totalRecords,
+                passedRecords: projectStats.passedRecords,
+                failedRecords: projectStats.failedRecords,
+              }
+            : null,
+        },
+      },
+    };
+    assertStage(stage);
+    summary.stages.push(stage);
+  }
+
+  // Stage 4: 多消费者一致性（驾驶舱 / 报告 / 工具 / 可选Chat）
+  {
+    const [report, cockpitData, equeryLog, tools] = await Promise.all([
+      QcReportService.getReport(projectId),
+      iitQcCockpitService.getCockpitData(projectId),
+      iitQcCockpitService.getEqueryLogReport(projectId),
+      createToolsService(projectId),
+    ]);
+
+    const toolSummary = await tools.execute('read_report', { section: 'summary' }, 'e2e-script');
+    const toolPassRate = Number((toolSummary as any)?.data?.passRate ?? NaN);
+    const reportPassRate = Number(report.summary.passRate);
+    const cockpitPassRate = Number(cockpitData.stats.passRate);
+    const passRateConsistent =
+      Number.isFinite(toolPassRate) &&
+      Math.abs(reportPassRate - cockpitPassRate) < 0.0001 &&
+      Math.abs(reportPassRate - toolPassRate) < 0.0001;
+
+    let chatResult: string | null = null;
+    if (withChat) {
+      const orchestrator = await getChatOrchestrator(projectId);
+      chatResult = await orchestrator.handleMessage('e2e-user', '当前项目总体通过率是多少？');
+    }
+
+    const stage: StageResult = {
+      name: 'Stage4_Consumption',
+      ok: true,
+      checks: [
+        check('report_summary_exists', report.summary.totalRecords >= 0, report.summary.totalRecords),
+        check('cockpit_stats_exists', cockpitData.stats.totalRecords >= 0, cockpitData.stats.totalRecords),
+        check('equery_log_summary_exists', equeryLog.summary.total >= 0, equeryLog.summary.total),
+        check('pass_rate_consistent_report_cockpit_tool', passRateConsistent, {
+          reportPassRate,
+          cockpitPassRate,
+          toolPassRate,
+        }),
+        check('chat_has_conclusion_or_skipped', !withChat || !!chatResult, chatResult || 'skipped'),
+      ],
+      detail: {
+        reportPassRate,
+        cockpitPassRate,
+        toolPassRate,
+        chatResult: withChat ? chatResult : 'skipped',
+      },
+    };
+    assertStage(stage);
+    summary.stages.push(stage);
+  }
+
+  summary.endedAt = new Date().toISOString();
+  console.log(JSON.stringify(summary, null, 2));
+}
+
+main()
+  .then(async () => {
+    await prisma.$disconnect();
+    process.exit(0);
+  })
+  .catch(async (e) => {
+    console.error(e);
+    await prisma.$disconnect();
+    process.exit(1);
+  });
+
diff --git a/backend/scripts/iit_chat_regression.py b/backend/scripts/iit_chat_regression.py
new file mode 100644
index 00000000..03c833f3
--- /dev/null
+++ b/backend/scripts/iit_chat_regression.py
@@ -0,0 +1,126 @@
+import json
+import sys
+from typing import List, Dict
+
+import requests
+
+
+BASE = "http://localhost:3001"
+PROJECT_ID = "1d80f270-6a02-4b58-9db3-6af176e91f3c"
+USER_ID = "diag-user-p1-regression"
+
+
+def login() -> str:
+    resp = requests.post(
+        f"{BASE}/api/v1/auth/login/password",
+        json={"phone": "13800000001", "password": "123456"},
+        timeout=10,
+    )
+    resp.raise_for_status()
+    return resp.json()["data"]["tokens"]["accessToken"]
+
+
+def ask(question: str) -> Dict:
+    resp = requests.post(
+        f"{BASE}/api/v1/iit/chat",
+        json={"message": question, "projectId": PROJECT_ID, "userId": USER_ID},
+        timeout=80,
+    )
+    resp.raise_for_status()
+    return resp.json()
+
+
+def must_contain(text: str, keywords: List[str]) -> bool:
+    return all(k in text for k in keywords)
+
+def must_not_contain(text: str, keywords: List[str]) -> bool:
+    return all(k not in text for k in keywords)
+
+
+def main() -> int:
+    # Ensure backend is alive and creds are valid before running chat checks.
+    _ = login()
+
+    cases = [
+        {
+            "name": "知情统计",
+            "q": "目前已经有几个患者签署知情了？",
+            "must": ["结论", "证据", "签署", "12"],
+        },
+        {
+            "name": "纳排合规",
+            "q": "3号患者的纳入排除标准都符合要求吗？",
+            "must": ["结论", "证据", "3号", "规则"],
+        },
+        {
+            "name": "项目总览",
+            "q": "最新质控报告怎么样？",
+            "must": ["结论", "通过率", "严重问题"],
+        },
+        {
+            "name": "患者明细",
+            "q": "查询一下患者ID为2的患者数据",
+            "must": ["结论", "证据", "2"],
+        },
+        {
+            "name": "访视进度",
+            "q": "4号患者到第几次访视了",
+            "must": ["结论", "证据", "4号", "访视"],
+        },
+        {
+            "name": "eQuery状态",
+            "q": "目前eQuery总体状态如何？",
+            "must": ["结论", "待处理", "证据"],
+        },
+        {
+            "name": "通过率口径",
+            "q": "现在通过率是多少，怎么算出来的？",
+            "must": ["结论", "证据", "通过率", "计算方法"],
+        },
+        {
+            "name": "D6风险",
+            "q": "现在方案偏离风险大吗？",
+            "must": ["结论", "D6"],
+            "must_not": ["156条严重问题", "284条警告问题"],
+        },
+        {
+            "name": "D1维度风险",
+            "q": "D1数据一致性风险现在怎么样？",
+            "must": ["结论", "D1", "证据"],
+            "must_not": ["D6问题总数"],
+        },
+        {
+            "name": "D2维度风险",
+            "q": "D2数据完整性现在风险大吗？",
+            "must": ["结论", "D2", "证据"],
+            "must_not": ["D1问题总数", "D6问题总数"],
+        },
+    ]
+
+    failed = 0
+    print("IIT Chat Regression Start\n")
+    for idx, c in enumerate(cases, 1):
+        try:
+            out = ask(c["q"])
+            reply = out.get("reply", "")
+            ok = must_contain(reply, c["must"])
+            if ok and c.get("must_not"):
+                ok = must_not_contain(reply, c["must_not"])
+            status = "PASS" if ok else "FAIL"
+            print(f"[{idx}] {status} {c['name']}")
+            print(f"Q: {c['q']}")
+            print(f"A: {reply[:220].replace(chr(10), ' | ')}")
+            print("")
+            if not ok:
+                failed += 1
+        except Exception as exc:
+            failed += 1
+            print(f"[{idx}] FAIL {c['name']}: {exc}\n")
+
+    print(f"Done. total={len(cases)} failed={failed}")
+    return 1 if failed else 0
+
+
+if __name__ == "__main__":
+    sys.exit(main())
+
diff --git a/backend/scripts/regression_hardrule_guards.ts b/backend/scripts/regression_hardrule_guards.ts
new file mode 100644
index 00000000..f3893b47
--- /dev/null
+++ b/backend/scripts/regression_hardrule_guards.ts
@@ -0,0 +1,114 @@
+/**
+ * 引擎级 guard smoke test（与项目配置无关）
+ *
+ * 注意：
+ * - 本脚本只验证 HardRuleEngine 的通用 guard 机制是否生效
+ * - 不代表任何具体项目规则配置
+ * - 项目级回归请使用 regression_hardrule_guards_by_project.ts
+ */
+
+import assert from 'node:assert';
+import { HardRuleEngine, type QCRule } from '../src/modules/iit-manager/engines/HardRuleEngine.js';
+
+function runCase(name: string, rules: QCRule[], data: Record<string, any>, expectedStatus: 'PASS' | 'FAIL' | 'WARNING') {
+  const engine = new HardRuleEngine('regression-project');
+  const result = engine.executeWithRules('R1', data, rules);
+  assert.strictEqual(result.overallStatus, expectedStatus, `${name} 期望 ${expectedStatus}，实际 ${result.overallStatus}`);
+  console.log(`✅ ${name}: ${result.overallStatus}`);
+}
+
+async function main() {
+  const rules: QCRule[] = [
+    {
+      id: 'r1',
+      name: 'date consistency check A',
+      field: ['visiting_date', 'date_of_signature'],
+      logic: { '<': [{ var: 'visiting_date' }, { var: 'date_of_signature' }] },
+      message: 'date ordering failed',
+      severity: 'error',
+      category: 'D1',
+      metadata: { guardType: 'date_not_before_or_equal' },
+    },
+    {
+      id: 'r2',
+      name: 'date consistency check B',
+      field: ['date_of_assessment_sf_mpq_scale', 'visiting_date'],
+      logic: { '!=': [{ var: 'date_of_assessment_sf_mpq_scale' }, { var: 'visiting_date' }] },
+      message: 'date mismatch',
+      severity: 'warning',
+      category: 'D3',
+      metadata: { guardType: 'skip_if_any_missing' },
+    },
+    {
+      id: 'r3',
+      name: 'all inclusion criteria check',
+      field: ['inclusion_criteria1', 'inclusion_criteria2', 'inclusion_criteria3', 'inclusion_criteria4', 'inclusion_criteria5'],
+      logic: { '==': [1, 0] }, // 故意构造为失败，验证 guard 能兜底
+      message: 'inclusion not all met',
+      severity: 'warning',
+      category: 'D1',
+      metadata: { guardType: 'pass_if_all_ones' },
+    },
+    {
+      id: 'r4',
+      name: 'enrollment exclusion conflict check',
+      field: ['enrollment_status', 'exclusion_criteria1', 'exclusion_criteria2'],
+      logic: { '==': [1, 0] }, // 故意构造为失败，验证 guard 能兜底
+      message: 'enrollment conflict',
+      severity: 'error',
+      category: 'D1',
+      metadata: { guardType: 'pass_if_exclusion_all_zero' },
+    },
+  ];
+
+  runCase(
+    '同日访视不应误判早于',
+    [rules[0]],
+    { visiting_date: '2024-03-27', date_of_signature: '2024-03-27' },
+    'PASS',
+  );
+
+  runCase(
+    '评估日期缺失不应判不一致',
+    [rules[1]],
+    { date_of_assessment_sf_mpq_scale: '', visiting_date: '2024-03-27' },
+    'PASS',
+  );
+
+  runCase(
+    '纳入标准全1应通过',
+    [rules[2]],
+    { inclusion_criteria1: 1, inclusion_criteria2: 1, inclusion_criteria3: 1, inclusion_criteria4: 1, inclusion_criteria5: 1 },
+    'PASS',
+  );
+
+  runCase(
+    '排除标准全0应通过',
+    [rules[3]],
+    { enrollment_status: 1, exclusion_criteria1: 0, exclusion_criteria2: 0 },
+    'PASS',
+  );
+
+  runCase(
+    '无guard普通规则失败应保持失败',
+    [
+      {
+        id: 'r5',
+        name: 'plain range check',
+        field: 'age',
+        logic: { '>=': [{ var: 'age' }, 18] },
+        message: 'age too small',
+        severity: 'error',
+        category: 'D1',
+      },
+    ],
+    { age: 10 },
+    'FAIL',
+  );
+}
+
+main().catch((e) => {
+  console.error(e);
+  process.exit(1);
+});
+
diff --git a/backend/scripts/regression_hardrule_guards_by_project.ts b/backend/scripts/regression_hardrule_guards_by_project.ts
new file mode 100644
index 00000000..69f94026
--- /dev/null
+++ b/backend/scripts/regression_hardrule_guards_by_project.ts
@@ -0,0 +1,119 @@
+import assert from 'node:assert';
+import { PrismaClient } from '@prisma/client';
+import { HardRuleEngine, type QCRule } from '../src/modules/iit-manager/engines/HardRuleEngine.js';
+
+const prisma = new PrismaClient();
+
+type Status = 'PASS' | 'FAIL' | 'WARNING';
+
+function fieldsOf(rule: QCRule): string[] {
+  return Array.isArray(rule.field) ? rule.field : [rule.field];
+}
+
+function findRule(rules: QCRule[], patterns: RegExp[]): QCRule | null {
+  return rules.find((r) => patterns.some((p) => p.test(r.name || ''))) || null;
+}
+
+function findRuleByGuardType(rules: QCRule[], guardType: string): QCRule | null {
+  return rules.find((r) => String((r.metadata as any)?.guardType || '') === guardType) || null;
+}
+
+function runCase(name: string, rule: QCRule, data: Record<string, any>, expectedStatus: Status) {
+  const engine = new HardRuleEngine('regression-project');
+  const result = engine.executeWithRules('R1', data, [rule]);
+  assert.strictEqual(result.overallStatus, expectedStatus, `${name} 期望 ${expectedStatus}，实际 ${result.overallStatus}`);
+  console.log(`✅ ${name}: ${result.overallStatus}`);
+}
+
+async function main() {
+  const projectId = process.argv[2];
+  if (!projectId) {
+    throw new Error('Usage: npx tsx scripts/regression_hardrule_guards_by_project.ts <projectId>');
+  }
+
+  const skill = await prisma.iitSkill.findFirst({
+    where: { projectId, skillType: 'qc_process', isActive: true },
+    select: { config: true },
+  });
+
+  const rules = (((skill?.config as any)?.rules || []) as QCRule[]);
+  if (rules.length === 0) {
+    throw new Error(`项目 ${projectId} 未找到可用 qc_process 规则`);
+  }
+
+  const dateRule = findRuleByGuardType(rules, 'date_not_before_or_equal');
+  const assessRule = findRuleByGuardType(rules, 'skip_if_any_missing');
+  const inclusionRule = findRuleByGuardType(rules, 'pass_if_all_ones');
+  const exclusionRule = findRuleByGuardType(rules, 'pass_if_exclusion_all_zero');
+
+  const skipped: string[] = [];
+
+  if (dateRule) {
+    const f = fieldsOf(dateRule);
+    if (f.length >= 2) {
+      runCase('同日访视不应误判早于', dateRule, { [f[0]]: '2024-03-27', [f[1]]: '2024-03-27' }, 'PASS');
+    } else {
+      skipped.push('dateRule(字段数不足2)');
+    }
+  } else {
+    const legacy = findRule(rules, [/访视日期.*知情同意/i, /早于知情同意/i]);
+    skipped.push(legacy ? 'dateRule(规则存在但未配置 guardType=date_not_before_or_equal)' : 'dateRule(未匹配)');
+  }
+
+  if (assessRule) {
+    const f = fieldsOf(assessRule);
+    if (f.length >= 2) {
+      runCase('评估日期缺失不应判不一致', assessRule, { [f[0]]: '', [f[1]]: '2024-03-27' }, 'PASS');
+    } else {
+      skipped.push('assessRule(字段数不足2)');
+    }
+  } else {
+    const legacy = findRule(rules, [/SF-?MPQ.*CMSS.*不一致/i, /评估日期.*访视日期.*不一致/i]);
+    skipped.push(legacy ? 'assessRule(规则存在但未配置 guardType=skip_if_any_missing)' : 'assessRule(未匹配)');
+  }
+
+  if (inclusionRule) {
+    const f = fieldsOf(inclusionRule);
+    if (f.length >= 2) {
+      const payload: Record<string, any> = {};
+      for (const field of f) payload[field] = 1;
+      runCase('纳入标准全1应通过', inclusionRule, payload, 'PASS');
+    } else {
+      skipped.push('inclusionRule(字段数不足2)');
+    }
+  } else {
+    const legacy = findRule(rules, [/所有纳入标准.*检查/i, /纳入标准.*满足/i]);
+    skipped.push(legacy ? 'inclusionRule(规则存在但未配置 guardType=pass_if_all_ones)' : 'inclusionRule(未匹配)');
+  }
+
+  if (exclusionRule) {
+    const f = fieldsOf(exclusionRule);
+    if (f.length >= 2) {
+      const payload: Record<string, any> = {};
+      payload[f[0]] = 1;
+      for (const field of f.slice(1)) payload[field] = 0;
+      runCase('排除标准全0应通过', exclusionRule, payload, 'PASS');
+    } else {
+      skipped.push('exclusionRule(字段数不足2)');
+    }
+  } else {
+    const legacy = findRule(rules, [/入组状态.*排除标准.*冲突/i]);
+    skipped.push(legacy ? 'exclusionRule(规则存在但未配置 guardType=pass_if_exclusion_all_zero)' : 'exclusionRule(未匹配)');
+  }
+
+  console.log(JSON.stringify({
+    projectId,
+    totalRules: rules.length,
+    skipped,
+  }, null, 2));
+}
+
+main()
+  .catch((e) => {
+    console.error(e);
+    process.exit(1);
+  })
+  .finally(async () => {
+    await prisma.$disconnect();
+  });
+
diff --git a/backend/scripts/run_iit_qc_once.ts b/backend/scripts/run_iit_qc_once.ts
new file mode 100644
index 00000000..9250463a
--- /dev/null
+++ b/backend/scripts/run_iit_qc_once.ts
@@ -0,0 +1,39 @@
+import { QcExecutor } from '../src/modules/iit-manager/engines/QcExecutor.js';
+import { dailyQcOrchestrator } from '../src/modules/iit-manager/services/DailyQcOrchestrator.js';
+
+async function main() {
+  const projectId = process.argv[2];
+  const skipPush = process.argv.includes('--skip-push');
+  if (!projectId) {
+    throw new Error('Usage: npx tsx scripts/run_iit_qc_once.ts <projectId> [--skip-push]');
+  }
+
+  const executor = new QcExecutor(projectId);
+  const batch = await executor.executeBatch({
+    triggeredBy: 'manual',
+    skipSoftRules: true,
+  });
+
+  const orchestrate = await dailyQcOrchestrator.orchestrate(projectId, { skipPush });
+
+  console.log(JSON.stringify({
+    projectId,
+    batch: {
+      totalRecords: batch.totalRecords,
+      totalEvents: batch.totalEvents,
+      passed: batch.passed,
+      failed: batch.failed,
+      warnings: batch.warnings,
+      fieldStatusWrites: batch.fieldStatusWrites,
+      executionTimeMs: batch.executionTimeMs,
+    },
+    orchestrate,
+    skipPush,
+  }, null, 2));
+}
+
+main().catch((e) => {
+  console.error(e);
+  process.exit(1);
+});
+
diff --git a/backend/scripts/suggest_guard_types_for_project.ts b/backend/scripts/suggest_guard_types_for_project.ts
new file mode 100644
index 00000000..b93f9108
--- /dev/null
+++ b/backend/scripts/suggest_guard_types_for_project.ts
@@ -0,0 +1,73 @@
+import { PrismaClient } from '@prisma/client';
+
+const prisma = new PrismaClient();
+
+type RuleLike = {
+  id: string;
+  name: string;
+  metadata?: Record<string, any>;
+};
+
+function inferGuardTypeByName(name: string): string | null {
+  if (/访视日期.*知情同意|早于知情同意/i.test(name)) return 'date_not_before_or_equal';
+  if (/SF-?MPQ.*CMSS.*不一致|评估日期.*访视日期.*不一致/i.test(name)) return 'skip_if_any_missing';
+  if (/所有纳入标准.*检查|纳入标准.*满足/i.test(name)) return 'pass_if_all_ones';
+  if (/入组状态.*排除标准.*冲突/i.test(name)) return 'pass_if_exclusion_all_zero';
+  return null;
+}
+
+async function main() {
+  const projectId = process.argv[2];
+  const apply = process.argv.includes('--apply');
+  if (!projectId) {
+    throw new Error('Usage: npx tsx scripts/suggest_guard_types_for_project.ts <projectId> [--apply]');
+  }
+
+  const skill = await prisma.iitSkill.findFirst({
+    where: { projectId, skillType: 'qc_process', isActive: true },
+    select: { id: true, config: true },
+  });
+  if (!skill) throw new Error(`项目 ${projectId} 未找到启用的 qc_process skill`);
+
+  const config = (skill.config as any) || {};
+  const rules: RuleLike[] = Array.isArray(config.rules) ? config.rules : [];
+
+  let candidates = 0;
+  const updates: Array<{ id: string; name: string; guardType: string }> = [];
+
+  for (const r of rules) {
+    const current = String((r.metadata as any)?.guardType || '').trim();
+    if (current) continue;
+    const inferred = inferGuardTypeByName(r.name || '');
+    if (!inferred) continue;
+    candidates++;
+    updates.push({ id: r.id, name: r.name, guardType: inferred });
+    r.metadata = { ...(r.metadata || {}), guardType: inferred };
+  }
+
+  if (apply && updates.length > 0) {
+    await prisma.iitSkill.update({
+      where: { id: skill.id },
+      data: { config: config as any, updatedAt: new Date() },
+    });
+  }
+
+  console.log(JSON.stringify({
+    projectId,
+    apply,
+    totalRules: rules.length,
+    candidates,
+    updated: apply ? updates.length : 0,
+    updates,
+  }, null, 2));
+}
+
+main()
+  .catch((e) => {
+    console.error(e);
+    process.exit(1);
+  })
+  .finally(async () => {
+    await prisma.$disconnect();
+  });
+
diff --git a/backend/scripts/validate_guard_types_all_active_projects.ts b/backend/scripts/validate_guard_types_all_active_projects.ts
new file mode 100644
index 00000000..c6b43fc6
--- /dev/null
+++ b/backend/scripts/validate_guard_types_all_active_projects.ts
@@ -0,0 +1,92 @@
+import { PrismaClient } from '@prisma/client';
+
+const prisma = new PrismaClient();
+
+type RuleLike = {
+  id: string;
+  name: string;
+  metadata?: Record<string, unknown>;
+};
+
+function expectedGuardType(name: string): string | null {
+  if (/访视日期.*知情同意|早于知情同意/i.test(name)) return 'date_not_before_or_equal';
+  if (/SF-?MPQ.*CMSS.*不一致|评估日期.*访视日期.*不一致/i.test(name)) return 'skip_if_any_missing';
+  if (/所有纳入标准.*检查|纳入标准.*满足/i.test(name)) return 'pass_if_all_ones';
+  if (/入组状态.*排除标准.*冲突/i.test(name)) return 'pass_if_exclusion_all_zero';
+  return null;
+}
+
+async function main() {
+  const strict = process.argv.includes('--strict');
+
+  const projects = await prisma.iitProject.findMany({
+    where: { status: 'active', deletedAt: null },
+    select: { id: true, name: true },
+  });
+
+  const report: Array<{
+    projectId: string;
+    projectName: string;
+    totalRules: number;
+    checkedRules: number;
+    missingCount: number;
+    mismatchCount: number;
+  }> = [];
+  let totalMissing = 0;
+  let totalMismatch = 0;
+
+  for (const p of projects) {
+    const skill = await prisma.iitSkill.findFirst({
+      where: { projectId: p.id, skillType: 'qc_process', isActive: true },
+      select: { config: true },
+    });
+    const rules: RuleLike[] = Array.isArray((skill?.config as any)?.rules) ? (skill!.config as any).rules : [];
+
+    let checkedRules = 0;
+    let missingCount = 0;
+    let mismatchCount = 0;
+    for (const r of rules) {
+      const expected = expectedGuardType(r.name || '');
+      if (!expected) continue;
+      checkedRules++;
+      const actual = String((r.metadata as any)?.guardType || '').trim();
+      if (!actual) missingCount++;
+      else if (actual !== expected) mismatchCount++;
+    }
+
+    totalMissing += missingCount;
+    totalMismatch += mismatchCount;
+    report.push({
+      projectId: p.id,
+      projectName: p.name,
+      totalRules: rules.length,
+      checkedRules,
+      missingCount,
+      mismatchCount,
+    });
+  }
+
+  const summary = {
+    strict,
+    projectCount: report.length,
+    totalMissing,
+    totalMismatch,
+    projects: report,
+  };
+
+  console.log(JSON.stringify(summary, null, 2));
+
+  if (strict && (totalMissing > 0 || totalMismatch > 0)) {
+    process.exit(2);
+  }
+}
+
+main()
+  .catch((e) => {
+    console.error(e);
+    process.exit(1);
+  })
+  .finally(async () => {
+    await prisma.$disconnect();
+  });
+
diff --git a/backend/scripts/validate_guard_types_for_project.ts b/backend/scripts/validate_guard_types_for_project.ts
new file mode 100644
index 00000000..bcf0f3dc
--- /dev/null
+++ b/backend/scripts/validate_guard_types_for_project.ts
@@ -0,0 +1,74 @@
+import { PrismaClient } from '@prisma/client';
+
+const prisma = new PrismaClient();
+
+type RuleLike = {
+  id: string;
+  name: string;
+  metadata?: Record<string, unknown>;
+};
+
+function expectedGuardType(name: string): string | null {
+  if (/访视日期.*知情同意|早于知情同意/i.test(name)) return 'date_not_before_or_equal';
+  if (/SF-?MPQ.*CMSS.*不一致|评估日期.*访视日期.*不一致/i.test(name)) return 'skip_if_any_missing';
+  if (/所有纳入标准.*检查|纳入标准.*满足/i.test(name)) return 'pass_if_all_ones';
+  if (/入组状态.*排除标准.*冲突/i.test(name)) return 'pass_if_exclusion_all_zero';
+  return null;
+}
+
+async function main() {
+  const projectId = process.argv[2];
+  const strict = process.argv.includes('--strict');
+  if (!projectId) {
+    throw new Error('Usage: npx tsx scripts/validate_guard_types_for_project.ts <projectId> [--strict]');
+  }
+
+  const skill = await prisma.iitSkill.findFirst({
+    where: { projectId, skillType: 'qc_process', isActive: true },
+    select: { config: true },
+  });
+  const rules: RuleLike[] = Array.isArray((skill?.config as any)?.rules) ? (skill!.config as any).rules : [];
+
+  const missing: Array<{ id: string; name: string; expectedGuardType: string }> = [];
+  const mismatch: Array<{ id: string; name: string; expectedGuardType: string; actualGuardType: string }> = [];
+
+  for (const r of rules) {
+    const expected = expectedGuardType(r.name || '');
+    if (!expected) continue;
+    const actual = String((r.metadata as any)?.guardType || '').trim();
+    if (!actual) {
+      missing.push({ id: r.id, name: r.name, expectedGuardType: expected });
+      continue;
+    }
+    if (actual !== expected) {
+      mismatch.push({ id: r.id, name: r.name, expectedGuardType: expected, actualGuardType: actual });
+    }
+  }
+
+  const result = {
+    projectId,
+    strict,
+    totalRules: rules.length,
+    checkedRules: missing.length + mismatch.length + (rules.filter((r) => expectedGuardType(r.name || '') && String((r.metadata as any)?.guardType || '').trim() === expectedGuardType(r.name || '')).length),
+    missingCount: missing.length,
+    mismatchCount: mismatch.length,
+    missing,
+    mismatch,
+  };
+
+  console.log(JSON.stringify(result, null, 2));
+
+  if (strict && (missing.length > 0 || mismatch.length > 0)) {
+    process.exit(2);
+  }
+}
+
+main()
+  .catch((e) => {
+    console.error(e);
+    process.exit(1);
+  })
+  .finally(async () => {
+    await prisma.$disconnect();
+  });
+
diff --git a/backend/src/modules/admin/iit-projects/iitEqueryController.ts b/backend/src/modules/admin/iit-projects/iitEqueryController.ts
index 46bcf497..19502691 100644
--- a/backend/src/modules/admin/iit-projects/iitEqueryController.ts
+++ b/backend/src/modules/admin/iit-projects/iitEqueryController.ts
@@ -136,3 +136,23 @@ export async function closeEquery(
     return reply.status(400).send({ success: false, error: msg });
   }
 }
+
+export async function reopenEquery(
+  request: FastifyRequest<{
+    Params: EqueryIdParams;
+    Body: { reviewNote?: string };
+  }>,
+  reply: FastifyReply
+) {
+  try {
+    const { equeryId } = request.params;
+    const { reviewNote } = request.body || {};
+    const service = getIitEqueryService(prisma);
+    const updated = await service.reopen(equeryId, { reviewNote });
+    return reply.send({ success: true, data: updated });
+  } catch (error) {
+    const msg = error instanceof Error ? error.message : String(error);
+    logger.error('eQuery 重开失败', { error: msg });
+    return reply.status(400).send({ success: false, error: msg });
+  }
+}
diff --git a/backend/src/modules/admin/iit-projects/iitEqueryRoutes.ts b/backend/src/modules/admin/iit-projects/iitEqueryRoutes.ts
index 80e141c5..2c254ee4 100644
--- a/backend/src/modules/admin/iit-projects/iitEqueryRoutes.ts
+++ b/backend/src/modules/admin/iit-projects/iitEqueryRoutes.ts
@@ -23,4 +23,7 @@ export async function iitEqueryRoutes(fastify: FastifyInstance) {
 
   // 手动关闭 eQuery
   fastify.post('/:projectId/equeries/:equeryId/close', controller.closeEquery);
+
+  // 手动重开 eQuery
+  fastify.post('/:projectId/equeries/:equeryId/reopen', controller.reopenEquery);
 }
diff --git a/backend/src/modules/admin/iit-projects/iitEqueryService.ts b/backend/src/modules/admin/iit-projects/iitEqueryService.ts
index c65445d3..8144ae4d 100644
--- a/backend/src/modules/admin/iit-projects/iitEqueryService.ts
+++ b/backend/src/modules/admin/iit-projects/iitEqueryService.ts
@@ -38,6 +38,10 @@ export interface ReviewEqueryInput {
   reviewNote?: string;
 }
 
+export interface ReopenEqueryInput {
+  reviewNote?: string;
+}
+
 export interface EqueryListParams {
   projectId: string;
   status?: string;
@@ -101,30 +105,91 @@ export class IitEqueryService {
   async createBatch(inputs: CreateEqueryInput[]) {
     if (inputs.length === 0) return { count: 0 };
 
-    const data = inputs.map((input) => ({
-      projectId: input.projectId,
-      recordId: input.recordId,
-      eventId: input.eventId,
-      formName: input.formName,
-      fieldName: input.fieldName,
-      qcLogId: input.qcLogId,
-      reportId: input.reportId,
-      queryText: input.queryText,
-      expectedAction: input.expectedAction,
+    const payload = inputs.map((input) => ({
+      project_id: input.projectId,
+      record_id: input.recordId,
+      event_id: input.eventId ?? null,
+      form_name: input.formName ?? null,
+      field_name: input.fieldName ?? null,
+      qc_log_id: input.qcLogId ?? null,
+      report_id: input.reportId ?? null,
+      query_text: input.queryText,
+      expected_action: input.expectedAction ?? null,
       severity: input.severity || 'warning',
-      category: input.category,
-      status: 'pending' as const,
-      assignedTo: input.assignedTo,
+      category: input.category ?? null,
+      status: 'pending',
+      assigned_to: input.assignedTo ?? null,
     }));
 
-    const result = await this.prisma.iitEquery.createMany({ data });
+    const inserted = await this.prisma.$executeRawUnsafe(
+      `
+      WITH payload AS (
+        SELECT *
+        FROM jsonb_to_recordset($1::jsonb) AS x(
+          project_id text,
+          record_id text,
+          event_id text,
+          form_name text,
+          field_name text,
+          qc_log_id text,
+          report_id text,
+          query_text text,
+          expected_action text,
+          severity text,
+          category text,
+          status text,
+          assigned_to text
+        )
+      )
+      INSERT INTO iit_schema.equery (
+        project_id,
+        record_id,
+        event_id,
+        form_name,
+        field_name,
+        qc_log_id,
+        report_id,
+        query_text,
+        expected_action,
+        severity,
+        category,
+        status,
+        assigned_to
+      )
+      SELECT
+        project_id,
+        record_id,
+        event_id,
+        form_name,
+        field_name,
+        qc_log_id,
+        report_id,
+        query_text,
+        expected_action,
+        severity,
+        category,
+        status,
+        assigned_to
+      FROM payload
+      ON CONFLICT (
+        project_id,
+        record_id,
+        (COALESCE(event_id, '')),
+        (COALESCE(category, ''))
+      )
+      WHERE status IN ('pending', 'responded', 'reviewing', 'reopened')
+      DO NOTHING
+      `,
+      JSON.stringify(payload),
+    );
 
     logger.info('eQuery batch created', {
       projectId: inputs[0].projectId,
-      count: result.count,
+      count: Number(inserted),
+      skipped: inputs.length - Number(inserted),
     });
 
-    return { count: result.count };
+    return { count: Number(inserted) };
   }
 
   /**
@@ -139,7 +204,7 @@ export class IitEqueryService {
     if (severity) where.severity = severity;
     if (assignedTo) where.assignedTo = assignedTo;
 
-    const [items, total] = await Promise.all([
+    const [items, total, eventRows] = await Promise.all([
       this.prisma.iitEquery.findMany({
         where,
         orderBy: [{ status: 'asc' }, { createdAt: 'desc' }],
@@ -147,9 +212,28 @@ export class IitEqueryService {
         take: pageSize,
       }),
       this.prisma.iitEquery.count({ where }),
+      this.prisma.$queryRaw<Array<{ event_id: string; event_label: string | null }>>`
+        SELECT event_id, MAX(event_label) AS event_label
+        FROM iit_schema.qc_event_status
+        WHERE project_id = ${projectId}
+          AND event_id IS NOT NULL
+        GROUP BY event_id
+      `.catch(() => [] as Array<{ event_id: string; event_label: string | null }>),
     ]);
 
-    return { items, total, page, pageSize };
+    const eventLabelMap = new Map<string, string>();
+    for (const row of eventRows) {
+      if (row.event_id && row.event_label) {
+        eventLabelMap.set(row.event_id, row.event_label);
+      }
+    }
+
+    const itemsWithLabels = items.map((item) => ({
+      ...item,
+      eventLabel: item.eventId ? (eventLabelMap.get(item.eventId) || null) : null,
+    }));
+
+    return { items: itemsWithLabels, total, page, pageSize };
   }
 
   /**
@@ -253,6 +337,31 @@ export class IitEqueryService {
     return updated;
   }
 
+  /**
+   * 手动重开 eQuery（closed → reopened）
+   */
+  async reopen(id: string, input?: ReopenEqueryInput) {
+    const equery = await this.prisma.iitEquery.findUnique({ where: { id } });
+    if (!equery) throw new Error('eQuery 不存在');
+    if (equery.status !== 'closed') {
+      throw new Error(`当前状态 ${equery.status} 不允许重开`);
+    }
+
+    const updated = await this.prisma.iitEquery.update({
+      where: { id },
+      data: {
+        status: 'reopened',
+        closedAt: null,
+        closedBy: null,
+        resolution: null,
+        reviewNote: input?.reviewNote || equery.reviewNote,
+      },
+    });
+
+    logger.info('eQuery reopened', { id, recordId: equery.recordId });
+    return updated;
+  }
+
   /**
    * 获取统计
    */
diff --git a/backend/src/modules/admin/iit-projects/iitQcCockpitController.ts b/backend/src/modules/admin/iit-projects/iitQcCockpitController.ts
index 8178c05b..c1543388 100644
--- a/backend/src/modules/admin/iit-projects/iitQcCockpitController.ts
+++ b/backend/src/modules/admin/iit-projects/iitQcCockpitController.ts
@@ -15,6 +15,45 @@ import { logger } from '../../../common/logging/index.js';
 import { prisma } from '../../../config/database.js';
 
 class IitQcCockpitController {
+  private fallbackEventLabel(eventId: string): string {
+    if (!eventId) return '—';
+    return `访视(${eventId})`;
+  }
+
+  private async buildEventLabelMap(projectId: string): Promise<Map<string, string>> {
+    const map = new Map<string, string>();
+    const [project, rows] = await Promise.all([
+      prisma.iitProject.findUnique({
+        where: { id: projectId },
+        select: { cachedRules: true },
+      }),
+      prisma.$queryRaw<Array<{ event_id: string; event_label: string | null }>>`
+        SELECT event_id, MAX(event_label) AS event_label
+        FROM iit_schema.qc_event_status
+        WHERE project_id = ${projectId}
+          AND event_id IS NOT NULL
+        GROUP BY event_id
+      `.catch(() => [] as Array<{ event_id: string; event_label: string | null }>),
+    ]);
+
+    for (const row of rows) {
+      if (row.event_id && row.event_label) {
+        map.set(row.event_id, row.event_label);
+      }
+    }
+
+    const cached = project?.cachedRules as any;
+    if (cached?.eventLabels && typeof cached.eventLabels === 'object') {
+      for (const [eventId, label] of Object.entries(cached.eventLabels)) {
+        if (typeof label === 'string' && label.trim() && !map.has(eventId)) {
+          map.set(eventId, label.trim());
+        }
+      }
+    }
+
+    return map;
+  }
+
   /**
    * 获取质控驾驶舱数据
    */
@@ -196,7 +235,7 @@ class IitQcCockpitController {
   async getTimeline(
     request: FastifyRequest<{
       Params: { projectId: string };
-      Querystring: { page?: string; pageSize?: string; date?: string };
+      Querystring: { page?: string; pageSize?: string; date?: string; startDate?: string; endDate?: string };
     }>,
     reply: FastifyReply
   ) {
@@ -205,12 +244,36 @@ class IitQcCockpitController {
     const page = query.page ? parseInt(query.page) : 1;
     const pageSize = query.pageSize ? parseInt(query.pageSize) : 20;
     const dateFilter = query.date;
+    const startDate = query.startDate;
+    const endDate = query.endDate;
 
     try {
-      let dateClause = '';
+      const dateConditions: string[] = [];
+      const dateParams: string[] = [];
+      let dateParamIdx = 2;
+
+      // 兼容旧参数 date，同时支持区间参数 startDate/endDate
       if (dateFilter) {
-        dateClause = `AND fs.last_qc_at >= '${dateFilter}'::date AND fs.last_qc_at < ('${dateFilter}'::date + INTERVAL '1 day')`;
+        dateConditions.push(
+          `fs.last_qc_at >= $${dateParamIdx}::date AND fs.last_qc_at < ($${dateParamIdx}::date + INTERVAL '1 day')`,
+        );
+        dateParams.push(dateFilter);
+        dateParamIdx += 1;
+      } else {
+        if (startDate) {
+          dateConditions.push(`fs.last_qc_at >= $${dateParamIdx}::date`);
+          dateParams.push(startDate);
+          dateParamIdx += 1;
+        }
+        if (endDate) {
+          dateConditions.push(`fs.last_qc_at < ($${dateParamIdx}::date + INTERVAL '1 day')`);
+          dateParams.push(endDate);
+          dateParamIdx += 1;
+        }
       }
+      const dateClause = dateConditions.length > 0 ? ` AND ${dateConditions.join(' AND ')}` : '';
+      const limitPlaceholder = `$${dateParamIdx}`;
+      const offsetPlaceholder = `$${dateParamIdx + 1}`;
 
       // 1. 获取有问题的受试者摘要（分页）
       const recordSummaries = await prisma.$queryRawUnsafe<Array<{
@@ -233,23 +296,24 @@ class IitQcCockpitController {
          ${dateClause}
          GROUP BY fs.record_id
          ORDER BY MAX(fs.last_qc_at) DESC
-         LIMIT $2 OFFSET $3`,
-        projectId, pageSize, (page - 1) * pageSize
+         LIMIT ${limitPlaceholder} OFFSET ${offsetPlaceholder}`,
+        projectId, ...dateParams, pageSize, (page - 1) * pageSize
       );
 
       // 2. 总受试者数
       const countResult = await prisma.$queryRawUnsafe<Array<{ cnt: bigint }>>(
         `SELECT COUNT(DISTINCT record_id) AS cnt
-         FROM iit_schema.qc_field_status
-         WHERE project_id = $1 AND status IN ('FAIL', 'WARNING')
+         FROM iit_schema.qc_field_status fs
+         WHERE fs.project_id = $1 AND fs.status IN ('FAIL', 'WARNING')
          ${dateClause}`,
-        projectId
+        projectId, ...dateParams
       );
       const totalRecords = Number(countResult[0]?.cnt || 0);
 
       // 3. 获取这些受试者的问题详情（LEFT JOIN 获取字段/事件中文名）
       const recordIds = recordSummaries.map(r => r.record_id);
       let issues: any[] = [];
+      const eventLabelMap = await this.buildEventLabelMap(projectId);
       if (recordIds.length > 0) {
         issues = await prisma.$queryRawUnsafe<any[]>(
           `SELECT
@@ -280,7 +344,7 @@ class IitQcCockpitController {
         issuesByRecord.get(key)!.push(issue);
       }
 
-      // 5. 同时获取通过的受试者（无问题的），补充到时间线
+      // 5. 同时获取通过的受试者（按同一时间窗）
       const passedRecords = await prisma.$queryRawUnsafe<Array<{
         record_id: string;
         total_fields: bigint;
@@ -294,15 +358,12 @@ class IitQcCockpitController {
            MAX(fs.triggered_by) AS triggered_by
          FROM iit_schema.qc_field_status fs
          WHERE fs.project_id = $1
-           AND fs.record_id NOT IN (
-             SELECT DISTINCT record_id FROM iit_schema.qc_field_status
-             WHERE project_id = $1 AND status IN ('FAIL', 'WARNING')
-           )
          ${dateClause}
          GROUP BY fs.record_id
+         HAVING COUNT(*) FILTER (WHERE fs.status IN ('FAIL', 'WARNING')) = 0
          ORDER BY MAX(fs.last_qc_at) DESC
          LIMIT 10`,
-        projectId
+        projectId, ...dateParams
       );
 
       const items = recordSummaries.map(rec => {
@@ -328,7 +389,7 @@ class IitQcCockpitController {
               field: i.field_name || '',
               fieldLabel: i.field_label || '',
               eventId: i.event_id || '',
-              eventLabel: i.event_label || '',
+              eventLabel: i.event_label || eventLabelMap.get(i.event_id || '') || this.fallbackEventLabel(i.event_id || ''),
               formName: i.form_name || '',
               message: i.message || '',
               severity: i.severity || 'warning',
@@ -429,28 +490,34 @@ class IitQcCockpitController {
       const since = new Date();
       since.setDate(since.getDate() - days);
 
-      const logs = await prisma.iitQcLog.findMany({
-        where: { projectId, createdAt: { gte: since } },
-        select: { createdAt: true, status: true },
-        orderBy: { createdAt: 'asc' },
-      });
+      // 使用与 Dashboard/Report 一致的主口径（qc_project_stats）返回当前快照趋势点
+      const [projectStats, lastQcRow] = await Promise.all([
+        prisma.iitQcProjectStats.findUnique({
+          where: { projectId },
+          select: {
+            totalRecords: true,
+            passedRecords: true,
+          },
+        }),
+        prisma.$queryRaw<Array<{ last_qc_at: Date | null }>>`
+          SELECT MAX(last_qc_at) AS last_qc_at
+          FROM iit_schema.qc_field_status
+          WHERE project_id = ${projectId}
+        `,
+      ]);
 
-      // Group by date
-      const dailyMap = new Map<string, { total: number; passed: number }>();
-      for (const log of logs) {
-        const dateKey = log.createdAt.toISOString().split('T')[0];
-        const entry = dailyMap.get(dateKey) || { total: 0, passed: 0 };
-        entry.total++;
-        if (log.status === 'PASS') entry.passed++;
-        dailyMap.set(dateKey, entry);
-      }
+      const lastQcAt = lastQcRow?.[0]?.last_qc_at ? new Date(lastQcRow[0].last_qc_at) : null;
+      const total = projectStats?.totalRecords ?? 0;
+      const passed = projectStats?.passedRecords ?? 0;
 
-      const trend = Array.from(dailyMap.entries()).map(([date, { total, passed }]) => ({
-        date,
-        total,
-        passed,
-        passRate: total > 0 ? Math.round((passed / total) * 100) : 0,
-      }));
+      const trend = (lastQcAt && lastQcAt >= since)
+        ? [{
+            date: lastQcAt.toISOString().split('T')[0],
+            total,
+            passed,
+            passRate: total > 0 ? Math.round((passed / total) * 100) : 0,
+          }]
+        : [];
 
       return reply.send({ success: true, data: trend });
     } catch (error: any) {
diff --git a/backend/src/modules/admin/iit-projects/iitQcCockpitService.ts b/backend/src/modules/admin/iit-projects/iitQcCockpitService.ts
index 92f7adcd..948a2277 100644
--- a/backend/src/modules/admin/iit-projects/iitQcCockpitService.ts
+++ b/backend/src/modules/admin/iit-projects/iitQcCockpitService.ts
@@ -142,6 +142,47 @@ export interface RecordDetail {
 // ============================================================
 
 class IitQcCockpitService {
+  /**
+   * 统一构建 event_id -> event_label 映射
+   * 优先级：project.cachedRules.eventLabels > REDCap events > fallback 格式化
+   */
+  private async buildEventLabelMap(projectId: string): Promise<Map<string, string>> {
+    const map = new Map<string, string>();
+    const project = await prisma.iitProject.findUnique({
+      where: { id: projectId },
+      select: { cachedRules: true, redcapUrl: true, redcapApiToken: true },
+    });
+
+    const cached = project?.cachedRules as any;
+    if (cached?.eventLabels && typeof cached.eventLabels === 'object') {
+      for (const [eid, label] of Object.entries(cached.eventLabels)) {
+        if (typeof label === 'string' && label.trim()) {
+          map.set(eid, label.trim());
+        }
+      }
+    }
+
+    if (project?.redcapUrl && project?.redcapApiToken) {
+      try {
+        const redcap = new RedcapAdapter(project.redcapUrl, project.redcapApiToken);
+        const events = await redcap.getEvents();
+        for (const ev of events) {
+          if (ev.unique_event_name && ev.event_name && !map.has(ev.unique_event_name)) {
+            map.set(ev.unique_event_name, ev.event_name);
+          }
+        }
+      } catch {
+        // non-fatal: keep fallback mapping
+      }
+    }
+
+    return map;
+  }
+
+  private resolveEventLabel(eventId: string, eventLabelMap: Map<string, string>): string {
+    return eventLabelMap.get(eventId) || formatFormName(eventId);
+  }
+
   /**
    * 获取质控驾驶舱完整数据
    */
@@ -179,7 +220,7 @@ class IitQcCockpitService {
    * V3.1: 从 qc_project_stats + qc_field_status 获取统计
    */
   async getStats(projectId: string): Promise<QcStats> {
-    const [projectStats, fieldIssues, pendingEqs, d6Count] = await Promise.all([
+    const [projectStats, fieldIssues, fieldSeverityTotals, pendingEqs, d6Count] = await Promise.all([
       prisma.iitQcProjectStats.findUnique({ where: { projectId } }),
       prisma.$queryRaw<Array<{ rule_name: string; severity: string; cnt: bigint }>>`
         SELECT rule_name, severity, COUNT(*) AS cnt
@@ -189,6 +230,12 @@ class IitQcCockpitService {
         ORDER BY cnt DESC
         LIMIT 10
       `,
+      prisma.$queryRaw<Array<{ severity: string; cnt: bigint }>>`
+        SELECT COALESCE(severity, 'warning') AS severity, COUNT(*) AS cnt
+        FROM iit_schema.qc_field_status
+        WHERE project_id = ${projectId} AND status IN ('FAIL', 'WARNING')
+        GROUP BY COALESCE(severity, 'warning')
+      `,
       prisma.iitEquery.count({ where: { projectId, status: { in: ['pending', 'reopened'] } } }),
       prisma.$queryRaw<[{ cnt: bigint }]>`
         SELECT COUNT(*) AS cnt FROM iit_schema.qc_field_status
@@ -204,7 +251,7 @@ class IitQcCockpitService {
 
     const healthScore = ((projectStats as any)?.healthScore as number) ?? 0;
     const healthGrade = ((projectStats as any)?.healthGrade as string) ?? 'N/A';
-    const passRate = totalRecords > 0 ? Math.round((passedRecords / totalRecords) * 1000) / 10 : 100;
+    const passRate = totalRecords > 0 ? Math.round((passedRecords / totalRecords) * 1000) / 10 : 0;
     const qualityScore = Math.round(healthScore);
 
     const DIMENSION_LABELS: Record<string, string> = {
@@ -223,12 +270,17 @@ class IitQcCockpitService {
     }
 
     let criticalCount = 0;
+    for (const row of fieldSeverityTotals) {
+      if ((row.severity || '').toLowerCase() === 'critical') {
+        criticalCount += Number(row.cnt);
+      }
+    }
+
     const topIssues: QcStats['topIssues'] = [];
 
     for (const row of fieldIssues) {
       const cnt = Number(row.cnt);
       const sev: 'critical' | 'warning' | 'info' = row.severity === 'critical' ? 'critical' : 'warning';
-      if (sev === 'critical') criticalCount += cnt;
       if (topIssues.length < 5) {
         topIssues.push({ issue: row.rule_name || 'Unknown', count: cnt, severity: sev });
       }
@@ -376,7 +428,7 @@ class IitQcCockpitService {
         form_name: string; status: string; detected_at: Date | null;
       }>>`
         SELECT field_name, rule_name, message, severity, rule_category,
-               event_id, form_name, status, detected_at
+               event_id, form_name, status, last_qc_at AS detected_at
         FROM iit_schema.qc_field_status
         WHERE project_id = ${projectId}
           AND record_id = ${recordId}
@@ -491,14 +543,14 @@ class IitQcCockpitService {
    */
   async getDeviations(projectId: string): Promise<Array<{
     recordId: string; eventId: string; fieldName: string; fieldLabel: string;
-    message: string; severity: string; dimensionCode: string; detectedAt: string | null;
+    eventLabel: string; message: string; severity: string; dimensionCode: string; detectedAt: string | null;
   }>> {
-    const [rows, semanticRows] = await Promise.all([
+    const [rows, semanticRows, eventLabelMap] = await Promise.all([
       prisma.$queryRaw<Array<{
         record_id: string; event_id: string; field_name: string;
         message: string; severity: string; rule_category: string; detected_at: Date | null;
       }>>`
-        SELECT record_id, event_id, field_name, message, severity, rule_category, detected_at
+        SELECT record_id, event_id, field_name, message, severity, rule_category, last_qc_at AS detected_at
         FROM iit_schema.qc_field_status
         WHERE project_id = ${projectId} AND rule_category = 'D6' AND status IN ('FAIL', 'WARNING')
         ORDER BY record_id, event_id
@@ -507,6 +559,7 @@ class IitQcCockpitService {
         SELECT actual_name, semantic_label FROM iit_schema.field_mapping
         WHERE project_id = ${projectId} AND semantic_label IS NOT NULL
       `.catch(() => [] as any[]),
+      this.buildEventLabelMap(projectId),
     ]);
 
     const semanticMap = new Map<string, string>();
@@ -517,6 +570,7 @@ class IitQcCockpitService {
     return rows.map(r => ({
       recordId: r.record_id,
       eventId: r.event_id,
+      eventLabel: this.resolveEventLabel(r.event_id, eventLabelMap),
       fieldName: r.field_name,
       fieldLabel: semanticMap.get(r.field_name) || r.field_name,
       message: r.message,
@@ -549,7 +603,7 @@ class IitQcCockpitService {
       }>>`
         SELECT record_id, rule_id, rule_name, field_name, status, actual_value, expected_value, message
         FROM iit_schema.qc_field_status
-        WHERE project_id = ${projectId} AND rule_category = 'D1'
+        WHERE project_id = ${projectId} AND rule_category = 'D1' AND status IN ('PASS', 'FAIL', 'WARNING')
         ORDER BY record_id, rule_id
       `,
       prisma.$queryRaw<Array<{ record_id: string }>>`
@@ -568,32 +622,69 @@ class IitQcCockpitService {
     const d1Rules = rules.filter(r =>
       r.category === 'D1' || r.category === 'inclusion' || r.category === 'exclusion',
     );
+    const d1RuleById = new Map<string, { id: string; name: string; field: string }>();
+    for (const rule of d1Rules) {
+      d1RuleById.set(rule.id, { id: rule.id, name: rule.name, field: rule.field });
+    }
 
     const ruleType = (ruleId: string): 'inclusion' | 'exclusion' =>
       ruleId.startsWith('exc_') ? 'exclusion' : 'inclusion';
 
-    const subjectIssueMap = new Map<string, Map<string, { status: string; actualValue: string | null; expectedValue: string | null; message: string | null }>>();
+    const subjectIssueMap = new Map<string, Map<string, Array<{
+      status: string;
+      actualValue: string | null;
+      expectedValue: string | null;
+      message: string | null;
+    }>>>();
+    const discoveredRuleMap = new Map<string, { ruleId: string; ruleName: string; fieldName: string }>();
 
     for (const row of d1Rows) {
+      if (!row.rule_id) continue;
       if (!subjectIssueMap.has(row.record_id)) subjectIssueMap.set(row.record_id, new Map());
-      subjectIssueMap.get(row.record_id)!.set(row.rule_id, {
+      const recMap = subjectIssueMap.get(row.record_id)!;
+      if (!recMap.has(row.rule_id)) recMap.set(row.rule_id, []);
+      recMap.get(row.rule_id)!.push({
         status: row.status,
         actualValue: row.actual_value,
         expectedValue: row.expected_value,
         message: row.message,
       });
+
+      if (!discoveredRuleMap.has(row.rule_id)) {
+        discoveredRuleMap.set(row.rule_id, {
+          ruleId: row.rule_id,
+          ruleName: row.rule_name || row.rule_id,
+          fieldName: row.field_name || '',
+        });
+      }
     }
 
-    const allRecordIds = allRecordRows.map(r => r.record_id);
+    const allRecordIds = Array.from(new Set([
+      ...allRecordRows.map(r => r.record_id),
+      ...d1Rows.map(r => r.record_id),
+    ])).sort((a, b) => a.localeCompare(b, undefined, { numeric: true }));
     const totalSubjects = allRecordIds.length;
 
-    const criteria = d1Rules.map(rule => {
+    const ruleUniverse = discoveredRuleMap.size > 0
+      ? Array.from(discoveredRuleMap.values()).map(r => ({
+          id: r.ruleId,
+          name: d1RuleById.get(r.ruleId)?.name || r.ruleName,
+          field: d1RuleById.get(r.ruleId)?.field || r.fieldName,
+        }))
+      : d1Rules.map(r => ({ id: r.id, name: r.name, field: r.field }));
+
+    const criteria = ruleUniverse.map(rule => {
       let passCount = 0;
       let failCount = 0;
+      let warningOrUncheckedCount = 0;
       for (const recordId of allRecordIds) {
-        const issues = subjectIssueMap.get(recordId);
-        const res = issues?.get(rule.id);
-        if (res && res.status === 'FAIL') failCount++;
+        const issueRows = subjectIssueMap.get(recordId)?.get(rule.id) || [];
+        const hasFail = issueRows.some(r => r.status === 'FAIL');
+        const hasWarning = issueRows.some(r => r.status === 'WARNING');
+        const hasPass = issueRows.some(r => r.status === 'PASS');
+
+        if (hasFail) failCount++;
+        else if (hasWarning || !hasPass) warningOrUncheckedCount++;
         else passCount++;
       }
       return {
@@ -603,27 +694,49 @@ class IitQcCockpitService {
         fieldName: rule.field,
         fieldLabel: labelMap.get(rule.field) || rule.field,
         passCount,
-        failCount,
+        failCount: failCount + warningOrUncheckedCount,
       };
     });
 
     const subjects = allRecordIds.map(recordId => {
-      const issues = subjectIssueMap.get(recordId) || new Map();
-      const criteriaResults = d1Rules.map(rule => {
-        const res = issues.get(rule.id);
+      const issues = subjectIssueMap.get(recordId) || new Map<string, Array<{
+        status: string;
+        actualValue: string | null;
+        expectedValue: string | null;
+        message: string | null;
+      }>>();
+      const criteriaResults = ruleUniverse.map(rule => {
+        const resRows = issues.get(rule.id) || [];
+        const hasFail = resRows.some(r => r.status === 'FAIL');
+        const hasWarning = resRows.some(r => r.status === 'WARNING');
+        const hasPass = resRows.some(r => r.status === 'PASS');
+        const firstRes = resRows[0];
+
+        const status: 'PASS' | 'FAIL' | 'NOT_CHECKED' = hasFail
+          ? 'FAIL'
+          : hasWarning
+            ? 'NOT_CHECKED'
+            : hasPass
+              ? 'PASS'
+              : 'NOT_CHECKED';
+
         return {
           ruleId: rule.id,
           ruleName: rule.name,
           type: ruleType(rule.id),
-          status: (res?.status === 'FAIL' ? 'FAIL' : 'PASS') as 'PASS' | 'FAIL' | 'NOT_CHECKED',
-          actualValue: res?.actualValue || null,
-          expectedValue: res?.expectedValue || null,
-          message: res?.message || null,
+          status,
+          actualValue: firstRes?.actualValue || null,
+          expectedValue: firstRes?.expectedValue || null,
+          message: firstRes?.message || null,
         };
       });
       const failedCriteria = criteriaResults.filter(c => c.status === 'FAIL').map(c => c.ruleId);
-      const overallStatus: 'eligible' | 'ineligible' | 'incomplete' =
-        failedCriteria.length > 0 ? 'ineligible' : 'eligible';
+      const unchecked = criteriaResults.filter(c => c.status === 'NOT_CHECKED').map(c => c.ruleId);
+      const overallStatus: 'eligible' | 'ineligible' | 'incomplete' = failedCriteria.length > 0
+        ? 'ineligible'
+        : unchecked.length > 0
+          ? 'incomplete'
+          : 'eligible';
       return { recordId, overallStatus, failedCriteria, criteriaResults };
     });
 
@@ -635,7 +748,7 @@ class IitQcCockpitService {
         totalScreened: totalSubjects,
         eligible,
         ineligible,
-        incomplete: 0,
+        incomplete: subjects.filter(s => s.overallStatus === 'incomplete').length,
         eligibilityRate: totalSubjects > 0 ? Math.round((eligible / totalSubjects) * 10000) / 100 : 0,
       },
       criteria,
@@ -647,7 +760,7 @@ class IitQcCockpitService {
    * D2 完整性总览 — L1 项目 + L2 受试者 + L3 事件级统计
    */
   async getCompletenessReport(projectId: string) {
-    const [byRecord, byRecordEvent, eventLabelRows] = await Promise.all([
+    const [byRecord, byRecordEvent, eventLabelRows, activeEventRows, resolvedEventLabelMap] = await Promise.all([
       prisma.$queryRaw<Array<{
         record_id: string; total: bigint; missing: bigint;
       }>>`
@@ -672,10 +785,20 @@ class IitQcCockpitService {
         SELECT DISTINCT event_id, event_label FROM iit_schema.qc_event_status
         WHERE project_id = ${projectId} AND event_label IS NOT NULL
       `.catch(() => [] as any[]),
+      prisma.$queryRaw<Array<{ record_id: string; event_id: string }>>`
+        SELECT DISTINCT record_id, event_id
+        FROM iit_schema.qc_event_status
+        WHERE project_id = ${projectId}
+      `.catch(() => [] as any[]),
+      this.buildEventLabelMap(projectId),
     ]);
 
-    const eventLabelMap = new Map<string, string>();
-    for (const r of eventLabelRows) if (r.event_label) eventLabelMap.set(r.event_id, r.event_label);
+    const eventLabelMap = new Map<string, string>(resolvedEventLabelMap);
+    for (const r of eventLabelRows) {
+      if (r.event_label && !eventLabelMap.has(r.event_id)) {
+        eventLabelMap.set(r.event_id, r.event_label);
+      }
+    }
 
     const eventsByRecord = new Map<string, Array<{ eventId: string; eventLabel: string; fieldsTotal: number; fieldsMissing: number; missingRate: number }>>();
     for (const r of byRecordEvent) {
@@ -684,7 +807,7 @@ class IitQcCockpitService {
       if (!eventsByRecord.has(r.record_id)) eventsByRecord.set(r.record_id, []);
       eventsByRecord.get(r.record_id)!.push({
         eventId: r.event_id,
-        eventLabel: eventLabelMap.get(r.event_id) || r.event_id,
+        eventLabel: this.resolveEventLabel(r.event_id, eventLabelMap),
         fieldsTotal: total,
         fieldsMissing: missing,
         missingRate: total > 0 ? Math.round((missing / total) * 10000) / 100 : 0,
@@ -694,6 +817,14 @@ class IitQcCockpitService {
     let totalRequired = 0;
     let totalMissing = 0;
     const uniqueEvents = new Set<string>();
+    const d2UniqueEvents = new Set<string>();
+    const activeEventsByRecord = new Map<string, Set<string>>();
+
+    for (const row of activeEventRows) {
+      if (!activeEventsByRecord.has(row.record_id)) activeEventsByRecord.set(row.record_id, new Set());
+      activeEventsByRecord.get(row.record_id)!.add(row.event_id);
+      uniqueEvents.add(row.event_id);
+    }
 
     const bySubject = byRecord.map(r => {
       const total = Number(r.total);
@@ -701,14 +832,16 @@ class IitQcCockpitService {
       totalRequired += total;
       totalMissing += missing;
       const events = eventsByRecord.get(r.record_id) || [];
-      events.forEach(e => uniqueEvents.add(e.eventId));
+      events.forEach(e => d2UniqueEvents.add(e.eventId));
+      const activeEventCount = activeEventsByRecord.get(r.record_id)?.size || 0;
       return {
         recordId: r.record_id,
         fieldsTotal: total,
         fieldsFilled: total - missing,
         fieldsMissing: missing,
         missingRate: total > 0 ? Math.round((missing / total) * 10000) / 100 : 0,
-        activeEvents: events.length,
+        activeEvents: activeEventCount,
+        d2CoveredEvents: events.length,
         byEvent: events,
       };
     });
@@ -724,6 +857,7 @@ class IitQcCockpitService {
         overallMissingRate: totalRequired > 0 ? Math.round((totalMissing / totalRequired) * 10000) / 100 : 0,
         subjectsChecked: byRecord.length,
         eventsChecked: uniqueEvents.size,
+        d2EventsChecked: d2UniqueEvents.size,
         isStale,
       },
       bySubject,
@@ -734,7 +868,7 @@ class IitQcCockpitService {
    * D2 字段级懒加载 — 按 recordId + eventId 返回 L4 表单 + L5 字段清单
    */
   async getCompletenessFields(projectId: string, recordId: string, eventId: string) {
-    const [missingRows, fieldMappingRows] = await Promise.all([
+    const [missingRows, fieldMappingRows, resolvedEventLabelMap] = await Promise.all([
       prisma.$queryRaw<Array<{
         form_name: string; field_name: string; message: string | null;
       }>>`
@@ -749,6 +883,7 @@ class IitQcCockpitService {
         SELECT actual_name, semantic_label, form_name, field_type FROM iit_schema.field_mapping
         WHERE project_id = ${projectId} AND semantic_label IS NOT NULL
       `.catch(() => [] as any[]),
+      this.buildEventLabelMap(projectId),
     ]);
 
     const labelMap = new Map<string, string>();
@@ -780,12 +915,7 @@ class IitQcCockpitService {
     const totalByForm = new Map<string, number>();
     for (const r of allFieldsCount) totalByForm.set(r.form_name, Number(r.cnt));
 
-    const eventLabelRows = await prisma.$queryRaw<Array<{ event_label: string | null }>>`
-      SELECT event_label FROM iit_schema.qc_event_status
-      WHERE project_id = ${projectId} AND event_id = ${eventId}
-      LIMIT 1
-    `.catch(() => [] as any[]);
-    const eventLabel = (eventLabelRows as any)[0]?.event_label || eventId;
+    const eventLabel = this.resolveEventLabel(eventId, resolvedEventLabelMap);
 
     const byForm = [...formGroups.entries()].map(([formName, missingFields]) => ({
       formName,
@@ -802,7 +932,7 @@ class IitQcCockpitService {
    * D3/D4 eQuery 全生命周期跟踪
    */
   async getEqueryLogReport(projectId: string) {
-    const [equeries, fieldRows] = await Promise.all([
+    const [equeries, fieldRows, eventLabelMap] = await Promise.all([
       prisma.iitEquery.findMany({
         where: { projectId },
         orderBy: { createdAt: 'desc' },
@@ -811,6 +941,7 @@ class IitQcCockpitService {
         SELECT actual_name, semantic_label FROM iit_schema.field_mapping
         WHERE project_id = ${projectId} AND semantic_label IS NOT NULL
       `.catch(() => [] as any[]),
+      this.buildEventLabelMap(projectId),
     ]);
 
     const labelMap = new Map<string, string>();
@@ -850,6 +981,7 @@ class IitQcCockpitService {
         id: eq.id,
         recordId: eq.recordId,
         eventId: eq.eventId || null,
+        eventLabel: eq.eventId ? this.resolveEventLabel(eq.eventId, eventLabelMap) : null,
         formName: eq.formName || null,
         fieldName: eq.fieldName || null,
         fieldLabel: eq.fieldName ? (labelMap.get(eq.fieldName) || eq.fieldName) : null,
@@ -902,13 +1034,13 @@ class IitQcCockpitService {
    * D6 方案偏离报表 — 结构化超窗数据
    */
   async getDeviationReport(projectId: string) {
-    const [rows, fieldRows] = await Promise.all([
+    const [rows, fieldRows, eventLabelMap] = await Promise.all([
       prisma.$queryRaw<Array<{
         id: string; record_id: string; event_id: string; field_name: string;
         rule_name: string | null; message: string | null; severity: string | null;
         actual_value: string | null; detected_at: Date | null;
       }>>`
-        SELECT id, record_id, event_id, field_name, rule_name, message, severity, actual_value, detected_at
+        SELECT id, record_id, event_id, field_name, rule_name, message, severity, actual_value, last_qc_at AS detected_at
         FROM iit_schema.qc_field_status
         WHERE project_id = ${projectId} AND rule_category = 'D6' AND status IN ('FAIL', 'WARNING')
         ORDER BY record_id, event_id
@@ -917,6 +1049,7 @@ class IitQcCockpitService {
         SELECT actual_name, semantic_label FROM iit_schema.field_mapping
         WHERE project_id = ${projectId} AND semantic_label IS NOT NULL
       `.catch(() => [] as any[]),
+      this.buildEventLabelMap(projectId),
     ]);
 
     const labelMap = new Map<string, string>();
@@ -943,7 +1076,7 @@ class IitQcCockpitService {
         id: r.id,
         recordId: r.record_id,
         eventId: r.event_id,
-        eventLabel: parsed.eventLabel || r.event_id,
+        eventLabel: parsed.eventLabel || this.resolveEventLabel(r.event_id, eventLabelMap),
         fieldName: r.field_name,
         fieldLabel: labelMap.get(r.field_name) || r.field_name,
         deviationType,
diff --git a/backend/src/modules/iit-manager/controllers/WechatCallbackController.ts b/backend/src/modules/iit-manager/controllers/WechatCallbackController.ts
index 88091fb7..6bc3728a 100644
--- a/backend/src/modules/iit-manager/controllers/WechatCallbackController.ts
+++ b/backend/src/modules/iit-manager/controllers/WechatCallbackController.ts
@@ -496,11 +496,23 @@ export class WechatCallbackController {
     details: any;
   }): Promise<void> {
     try {
+      // audit_logs 受 project_id 外键约束；无项目上下文时跳过 DB 审计
+      if (!data.projectId) return;
+
       await prisma.$executeRaw`
         INSERT INTO iit_schema.audit_logs 
-          (project_id, action, details, created_at)
+          (project_id, user_id, action_type, entity_type, entity_id, details, trace_id, created_at)
         VALUES 
-          (${data.projectId}, ${data.action}, ${JSON.stringify(data.details)}::jsonb, NOW())
+          (
+            ${data.projectId},
+            ${'system'},
+            ${data.action},
+            ${'wechat_callback'},
+            ${String(data.details?.fromUserName || data.details?.toUserName || 'unknown')},
+            ${JSON.stringify(data.details)}::jsonb,
+            ${crypto.randomUUID()},
+            NOW()
+          )
       `;
     } catch (error: any) {
       logger.warn('⚠️ 记录审计日志失败（非致命）', {
diff --git a/backend/src/modules/iit-manager/engines/CompletenessEngine.ts b/backend/src/modules/iit-manager/engines/CompletenessEngine.ts
index 8dcdaeb7..6f830fa1 100644
--- a/backend/src/modules/iit-manager/engines/CompletenessEngine.ts
+++ b/backend/src/modules/iit-manager/engines/CompletenessEngine.ts
@@ -43,6 +43,12 @@ interface FieldMeta {
   branching_logic: string;
 }
 
+interface FormEventMapItem {
+  eventName: string;
+  eventLabel: string;
+  formName: string;
+}
+
 // ============================================================
 // Helpers
 // ============================================================
@@ -99,7 +105,7 @@ export class CompletenessEngine {
         .map((r: any) => r.redcap_event_name || 'default'),
     );
 
-    let formEventMapping: Array<{ eventName: string; formName: string }>;
+    let formEventMapping: FormEventMapItem[];
     try {
       formEventMapping = await this.adapter.getFormEventMapping();
     } catch {
@@ -136,7 +142,8 @@ export class CompletenessEngine {
               fieldName: field.field_name,
             });
           } else {
-            issues.push(this.buildIssue(field, event, recordId));
+            const eventLabel = formEventMapping.find(m => m.eventName === event)?.eventLabel || event;
+            issues.push(this.buildIssue(field, event, eventLabel, recordId));
           }
         }
       }
@@ -156,7 +163,7 @@ export class CompletenessEngine {
             fieldName: field.field_name,
           });
         } else {
-          issues.push(this.buildIssue(field, 'default', recordId));
+          issues.push(this.buildIssue(field, 'default', 'default', recordId));
         }
       }
     }
@@ -211,13 +218,13 @@ export class CompletenessEngine {
     return results;
   }
 
-  private buildIssue(field: FieldMeta, eventId: string, recordId: string): SkillIssue {
+  private buildIssue(field: FieldMeta, eventId: string, eventLabel: string, recordId: string): SkillIssue {
     return {
       ruleId: `D2_missing_${field.field_name}`,
       ruleName: `必填字段缺失: ${field.field_label || field.field_name}`,
       field: field.field_name,
-      message: `字段 ${field.field_name} (${field.field_label || '无标签'}) 在事件 ${eventId} 中为空`,
-      llmMessage: `必填字段"${field.field_label || field.field_name}"在 ${eventId} 中未填写，请检查。`,
+      message: `字段 ${field.field_name} (${field.field_label || '无标签'}) 在事件 ${eventLabel} 中为空`,
+      llmMessage: `必填字段"${field.field_label || field.field_name}"在 ${eventLabel} 中未填写，请检查。`,
       severity: 'warning',
       actualValue: null,
       expectedValue: '非空值',
diff --git a/backend/src/modules/iit-manager/engines/HardRuleEngine.ts b/backend/src/modules/iit-manager/engines/HardRuleEngine.ts
index 8202c70f..addc5217 100644
--- a/backend/src/modules/iit-manager/engines/HardRuleEngine.ts
+++ b/backend/src/modules/iit-manager/engines/HardRuleEngine.ts
@@ -17,6 +17,17 @@ import { PrismaClient } from '@prisma/client';
 import { logger } from '../../../common/logging/index.js';
 
 const prisma = new PrismaClient();
+let jsonLogicOpsRegistered = false;
+
+function registerJsonLogicCustomOps() {
+  if (jsonLogicOpsRegistered) return;
+  jsonLogic.add_operation('date', (input: any) => {
+    if (input === null || input === undefined || input === '') return null;
+    const d = new Date(String(input));
+    return Number.isNaN(d.getTime()) ? null : d.getTime();
+  });
+  jsonLogicOpsRegistered = true;
+}
 
 // ============================================================
 // 类型定义
@@ -136,9 +147,14 @@ export class HardRuleEngine {
   private projectId: string;
   private rules: QCRule[] = [];
   private fieldMappings: Map<string, string> = new Map();
+  private legacyNameFallbackEnabled: boolean;
 
   constructor(projectId: string) {
     this.projectId = projectId;
+    // 默认关闭规则名兜底，避免“隐式硬编码”长期存在。
+    // 如需兼容老项目，可显式设置 IIT_GUARD_LEGACY_NAME_FALLBACK=1。
+    this.legacyNameFallbackEnabled = process.env.IIT_GUARD_LEGACY_NAME_FALLBACK === '1';
+    registerJsonLogicCustomOps();
   }
 
   /**
@@ -274,6 +290,52 @@ export class HardRuleEngine {
     return records.map(r => this.execute(r.recordId, r.data));
   }
 
+  /**
+   * 使用外部传入规则执行质控（单路径复用 executeRule 逻辑）
+   *
+   * 用于 SkillRunner 在完成事件/表单过滤后执行，避免重复实现规则计算逻辑。
+   */
+  executeWithRules(
+    recordId: string,
+    data: Record<string, any>,
+    rules: QCRule[],
+  ): QCResult {
+    const normalizedData = this.normalizeData(data);
+    const results: RuleResult[] = [];
+    const errors: RuleResult[] = [];
+    const warnings: RuleResult[] = [];
+
+    for (const rule of rules) {
+      const result = this.executeRule(rule, normalizedData);
+      results.push(result);
+
+      if (!result.passed && !result.skipped) {
+        if (result.severity === 'error') errors.push(result);
+        else if (result.severity === 'warning') warnings.push(result);
+      }
+    }
+
+    let overallStatus: 'PASS' | 'FAIL' | 'WARNING' = 'PASS';
+    if (errors.length > 0) overallStatus = 'FAIL';
+    else if (warnings.length > 0) overallStatus = 'WARNING';
+
+    return {
+      recordId,
+      projectId: this.projectId,
+      timestamp: new Date().toISOString(),
+      overallStatus,
+      summary: {
+        totalRules: rules.length,
+        passed: results.filter(r => r.passed).length,
+        failed: errors.length,
+        warnings: warnings.length,
+      },
+      results,
+      errors,
+      warnings,
+    };
+  }
+
   /**
    * V3.2: 检查规则所需字段是否在数据中可用
    * 
@@ -292,6 +354,69 @@ export class HardRuleEngine {
    * 
    * V3.2: 字段缺失时标记为 SKIP 而非 FAIL
    */
+  private parseDateValue(value: any): Date | null {
+    if (value === null || value === undefined || value === '') return null;
+    const d = new Date(String(value));
+    return Number.isNaN(d.getTime()) ? null : d;
+  }
+
+  private toNumberLike(value: any): number | null {
+    if (value === null || value === undefined || value === '') return null;
+    const n = Number(value);
+    return Number.isFinite(n) ? n : null;
+  }
+
+  private forcePassByBusinessGuard(rule: QCRule, fieldValue: any): boolean {
+    const ruleName = rule.name || '';
+    const guardType = String((rule.metadata as any)?.guardType || '').trim();
+    const useLegacyNameFallback = this.legacyNameFallbackEnabled;
+    const values = Array.isArray(fieldValue) ? fieldValue : [fieldValue];
+
+    // 1) 同日不应被判定“早于”
+    if (
+      guardType === 'date_not_before_or_equal'
+      || (useLegacyNameFallback && ruleName.includes('访视日期早于知情同意书签署日期'))
+    ) {
+      const d1 = this.parseDateValue(values[0]);
+      const d2 = this.parseDateValue(values[1]);
+      if (d1 && d2) {
+        return d1.getTime() >= d2.getTime();
+      }
+    }
+
+    // 2) 评估日期缺失时，不应判定“日期不一致”
+    if (
+      guardType === 'skip_if_any_missing'
+      || (useLegacyNameFallback && ruleName.includes('SF-MPQ和CMSS评估日期与访视日期不一致'))
+    ) {
+      const hasAnyMissing = values.some(v => v === null || v === undefined || v === '');
+      if (hasAnyMissing) return true;
+    }
+
+    // 3) 纳入标准全满足（全 1）不应告警
+    if (
+      guardType === 'pass_if_all_ones'
+      || (useLegacyNameFallback && ruleName.includes('所有纳入标准完整性检查'))
+    ) {
+      const nums = values.map(v => this.toNumberLike(v)).filter((n): n is number => n !== null);
+      if (nums.length > 0 && nums.every(n => n === 1)) return true;
+    }
+
+    // 4) 排除标准全未触发（全 0）不应判定入组冲突
+    if (
+      guardType === 'pass_if_exclusion_all_zero'
+      || (useLegacyNameFallback && ruleName.includes('入组状态与排除标准冲突检查'))
+    ) {
+      // 约定多字段顺序为 [enrollment_status, exclusion_1, exclusion_2, ...]
+      // 这里仅看排除标准字段，避免 enrollment_status=1 干扰“全未触发排除标准”判断
+      const exclusionValues = values.length > 1 ? values.slice(1) : values;
+      const nums = exclusionValues.map(v => this.toNumberLike(v)).filter((n): n is number => n !== null);
+      if (nums.length > 0 && nums.every(n => n === 0)) return true;
+    }
+
+    return false;
+  }
+
   private executeRule(rule: QCRule, data: Record<string, any>): RuleResult {
     try {
       const fieldValue = this.getFieldValue(rule.field, data);
@@ -311,7 +436,8 @@ export class HardRuleEngine {
         };
       }
 
-      const passed = jsonLogic.apply(rule.logic, data) as boolean;
+      const guardedPass = this.forcePassByBusinessGuard(rule, fieldValue);
+      const passed = guardedPass ? true : (jsonLogic.apply(rule.logic, data) as boolean);
       const expectedValue = this.extractExpectedValue(rule.logic);
       const expectedCondition = this.describeLogic(rule.logic);
       const llmMessage = passed 
@@ -361,6 +487,40 @@ export class HardRuleEngine {
   /**
    * V2.1: 从 JSON Logic 中提取期望值
    */
+  private formatLogicLiteral(value: any): string {
+    if (value === null || value === undefined) return '';
+    if (typeof value === 'object') {
+      if ('var' in value) return '';
+      // JSON Logic 日期表达式，转换为可读文案，避免直接暴露对象结构
+      if ('date' in value && Array.isArray((value as any).date)) {
+        const fmt = (value as any).date[1];
+        return fmt ? `日期格式(${fmt})` : '日期';
+      }
+      if (Array.isArray(value)) {
+        const arr = value.map(v => this.formatLogicLiteral(v)).filter(Boolean);
+        return arr.join(', ');
+      }
+      return JSON.stringify(value);
+    }
+    return String(value);
+  }
+
+  private formatDisplayValue(actualValue: any): string {
+    if (actualValue === undefined || actualValue === null || actualValue === '') {
+      return '**空**';
+    }
+    if (Array.isArray(actualValue)) {
+      const values = actualValue
+        .map(v => (v === undefined || v === null || v === '' ? null : String(v)))
+        .filter((v): v is string => Boolean(v));
+      return values.length > 0 ? `**${values.join(', ')}**` : '**空**';
+    }
+    if (typeof actualValue === 'object') {
+      return `**${JSON.stringify(actualValue)}**`;
+    }
+    return `**${String(actualValue)}**`;
+  }
+
   private extractExpectedValue(logic: Record<string, any>): string {
     const operator = Object.keys(logic)[0];
     const args = logic[operator];
@@ -372,9 +532,11 @@ export class HardRuleEngine {
       case '<':
       case '==':
       case '!=':
-        return String(args[1]);
+        if (!Array.isArray(args)) return '';
+        return this.formatLogicLiteral(args[1]) || this.formatLogicLiteral(args[0]);
       case 'and':
         // 对于 and 逻辑，尝试提取范围
+        if (!Array.isArray(args)) return '';
         const values = args.map((a: any) => this.extractExpectedValue(a)).filter(Boolean);
         if (values.length === 2) {
           return `${values[0]}-${values[1]}`;
@@ -394,9 +556,7 @@ export class HardRuleEngine {
    */
   private buildLlmMessage(rule: QCRule, actualValue: any, expectedValue: string): string {
     const fieldName = Array.isArray(rule.field) ? rule.field.join(', ') : rule.field;
-    const displayValue = actualValue !== undefined && actualValue !== null && actualValue !== ''
-      ? `**${actualValue}**`
-      : '**空**';
+    const displayValue = this.formatDisplayValue(actualValue);
     
     const dim = toDimensionCode(rule.category);
     switch (dim) {
diff --git a/backend/src/modules/iit-manager/engines/QcAggregator.ts b/backend/src/modules/iit-manager/engines/QcAggregator.ts
index fff3f3ee..486b86f3 100644
--- a/backend/src/modules/iit-manager/engines/QcAggregator.ts
+++ b/backend/src/modules/iit-manager/engines/QcAggregator.ts
@@ -173,25 +173,36 @@ async function aggregateRecordSummary(
     : Prisma.sql`WHERE es.project_id = ${projectId}`;
 
   const rows: number = await prisma.$executeRaw`
-    UPDATE iit_schema.record_summary rs
-    SET
-      events_total   = agg.events_total,
-      events_passed  = agg.events_passed,
-      events_failed  = agg.events_failed,
-      events_warning = agg.events_warning,
-      fields_total   = agg.fields_total,
-      fields_passed  = agg.fields_passed,
-      fields_failed  = agg.fields_failed,
-      d1_issues      = agg.d1_issues,
-      d2_issues      = agg.d2_issues,
-      d3_issues      = agg.d3_issues,
-      d5_issues      = agg.d5_issues,
-      d6_issues      = agg.d6_issues,
-      d7_issues      = agg.d7_issues,
-      top_issues     = agg.top_issues,
-      latest_qc_status = agg.worst_status,
-      latest_qc_at     = NOW(),
-      updated_at       = NOW()
+    INSERT INTO iit_schema.record_summary (
+      id, project_id, record_id,
+      last_updated_at, updated_at,
+      events_total, events_passed, events_failed, events_warning,
+      fields_total, fields_passed, fields_failed,
+      d1_issues, d2_issues, d3_issues, d5_issues, d6_issues, d7_issues,
+      top_issues, latest_qc_status, latest_qc_at
+    )
+    SELECT
+      gen_random_uuid(),
+      agg.project_id,
+      agg.record_id,
+      agg.last_qc_at,
+      NOW(),
+      agg.events_total,
+      agg.events_passed,
+      agg.events_failed,
+      agg.events_warning,
+      agg.fields_total,
+      agg.fields_passed,
+      agg.fields_failed,
+      agg.d1_issues,
+      agg.d2_issues,
+      agg.d3_issues,
+      agg.d5_issues,
+      agg.d6_issues,
+      agg.d7_issues,
+      agg.top_issues,
+      agg.worst_status,
+      agg.last_qc_at
     FROM (
       SELECT
         es.project_id,
@@ -223,13 +234,32 @@ async function aggregateRecordSummary(
             )
           ) FILTER (WHERE es.status IN ('FAIL', 'WARNING')),
           '[]'::jsonb
-        )                                                     AS top_issues
+        )                                                     AS top_issues,
+        COALESCE(MAX(es.last_qc_at), NOW())                  AS last_qc_at
       FROM iit_schema.qc_event_status es
       ${whereClause}
       GROUP BY es.project_id, es.record_id
     ) agg
-    WHERE rs.project_id = agg.project_id
-      AND rs.record_id  = agg.record_id
+    ON CONFLICT (project_id, record_id)
+    DO UPDATE SET
+      events_total      = EXCLUDED.events_total,
+      events_passed     = EXCLUDED.events_passed,
+      events_failed     = EXCLUDED.events_failed,
+      events_warning    = EXCLUDED.events_warning,
+      fields_total      = EXCLUDED.fields_total,
+      fields_passed     = EXCLUDED.fields_passed,
+      fields_failed     = EXCLUDED.fields_failed,
+      d1_issues         = EXCLUDED.d1_issues,
+      d2_issues         = EXCLUDED.d2_issues,
+      d3_issues         = EXCLUDED.d3_issues,
+      d5_issues         = EXCLUDED.d5_issues,
+      d6_issues         = EXCLUDED.d6_issues,
+      d7_issues         = EXCLUDED.d7_issues,
+      top_issues        = EXCLUDED.top_issues,
+      latest_qc_status  = EXCLUDED.latest_qc_status,
+      latest_qc_at      = EXCLUDED.latest_qc_at,
+      last_updated_at   = EXCLUDED.latest_qc_at,
+      updated_at        = NOW()
   `;
 
   return rows;
diff --git a/backend/src/modules/iit-manager/engines/SkillRunner.ts b/backend/src/modules/iit-manager/engines/SkillRunner.ts
index 8f43046e..69af3d9f 100644
--- a/backend/src/modules/iit-manager/engines/SkillRunner.ts
+++ b/backend/src/modules/iit-manager/engines/SkillRunner.ts
@@ -18,7 +18,6 @@ import { logger } from '../../../common/logging/index.js';
 import { HardRuleEngine, createHardRuleEngine, QCResult, QCRule } from './HardRuleEngine.js';
 import { SoftRuleEngine, createSoftRuleEngine, SoftRuleCheck, SoftRuleEngineResult } from './SoftRuleEngine.js';
 import { RedcapAdapter } from '../adapters/RedcapAdapter.js';
-import jsonLogic from 'json-logic-js';
 
 const prisma = new PrismaClient();
 
@@ -490,9 +489,25 @@ export class SkillRunner {
           const applicableRules = this.filterApplicableRules(allRules, eventName, forms);
           
           if (applicableRules.length > 0) {
-            const result = this.executeHardRulesDirectly(applicableRules, recordId, data);
-            issues.push(...result.issues);
-            status = result.status;
+            const hardResult = engine.executeWithRules(recordId, data, applicableRules);
+            for (const r of [...hardResult.errors, ...hardResult.warnings]) {
+              issues.push({
+                ruleId: r.ruleId,
+                ruleName: r.ruleName,
+                field: r.field,
+                message: r.message,
+                llmMessage: r.llmMessage,
+                severity: r.severity === 'error' ? 'critical' : 'warning',
+                actualValue: r.actualValue,
+                expectedValue: r.expectedValue,
+                evidence: r.evidence ? {
+                  ...r.evidence,
+                  category: r.category,
+                  subType: r.category,
+                } : undefined,
+              });
+            }
+            status = hardResult.overallStatus;
             (skill as any)._rulesCount = applicableRules.length;
           }
         }
@@ -577,150 +592,6 @@ export class SkillRunner {
     };
   }
 
-  /**
-   * 直接执行硬规则（不通过 HardRuleEngine 初始化）
-   * 
-   * V2.1 优化：添加 expectedValue, llmMessage, evidence 字段
-   */
-  /**
-   * V3.2: 检查规则所需字段是否在数据中可用
-   */
-  private isFieldAvailable(field: string | string[], data: Record<string, any>): boolean {
-    const fields = Array.isArray(field) ? field : [field];
-    return fields.some(f => {
-      const val = data[f];
-      return val !== undefined && val !== null && val !== '';
-    });
-  }
-
-  private executeHardRulesDirectly(
-    rules: QCRule[],
-    recordId: string,
-    data: Record<string, any>
-  ): { status: 'PASS' | 'FAIL' | 'WARNING'; issues: SkillIssue[] } {
-    const issues: SkillIssue[] = [];
-    let hasFail = false;
-    let hasWarning = false;
-
-    for (const rule of rules) {
-      try {
-        // V3.2: 字段缺失预检查 - 缺失时跳过而非判定失败
-        if (!this.isFieldAvailable(rule.field, data)) {
-          logger.debug('[SkillRunner] Skipping rule - field not available', {
-            ruleId: rule.id,
-            field: rule.field,
-            recordId,
-          });
-          continue;
-        }
-
-        const passed = jsonLogic.apply(rule.logic, data);
-
-        if (!passed) {
-          const severity = rule.severity === 'error' ? 'critical' : 'warning';
-          const actualValue = this.getFieldValue(rule.field, data);
-          const expectedValue = this.extractExpectedValue(rule.logic);
-          const llmMessage = this.buildLlmMessage(rule, actualValue, expectedValue);
-          
-          issues.push({
-            ruleId: rule.id,
-            ruleName: rule.name,
-            field: rule.field,
-            message: rule.message,
-            llmMessage,
-            severity,
-            actualValue,
-            expectedValue,
-            evidence: {
-              value: actualValue,
-              threshold: expectedValue,
-              unit: (rule.metadata as any)?.unit,
-              category: rule.category,
-              subType: rule.category,
-            },
-          });
-
-          if (severity === 'critical') {
-            hasFail = true;
-          } else {
-            hasWarning = true;
-          }
-        }
-      } catch (error: any) {
-        logger.warn('[SkillRunner] Rule execution error', {
-          ruleId: rule.id,
-          error: error.message,
-        });
-      }
-    }
-
-    let status: 'PASS' | 'FAIL' | 'WARNING' = 'PASS';
-    if (hasFail) {
-      status = 'FAIL';
-    } else if (hasWarning) {
-      status = 'WARNING';
-    }
-
-    return { status, issues };
-  }
-
-  /**
-   * V2.1: 从 JSON Logic 中提取期望值
-   */
-  private extractExpectedValue(logic: Record<string, any>): string {
-    const operator = Object.keys(logic)[0];
-    const args = logic[operator];
-
-    switch (operator) {
-      case '>=':
-      case '<=':
-      case '>':
-      case '<':
-      case '==':
-      case '!=':
-        return String(args[1]);
-      case 'and':
-        // 对于 and 逻辑，尝试提取范围
-        if (Array.isArray(args)) {
-          const values = args.map((a: any) => this.extractExpectedValue(a)).filter(Boolean);
-          if (values.length === 2) {
-            return `${values[0]}-${values[1]}`;
-          }
-          return values.join(', ');
-        }
-        return '';
-      case '!!':
-        return '非空/必填';
-      default:
-        return '';
-    }
-  }
-
-  /**
-   * V2.1: 构建 LLM 友好的自包含消息
-   */
-  private buildLlmMessage(rule: QCRule, actualValue: any, expectedValue: string): string {
-    const displayValue = actualValue !== undefined && actualValue !== null && actualValue !== ''
-      ? `**${actualValue}**`
-      : '**空**';
-    
-    if (expectedValue) {
-      return `**${rule.name}**: 当前值 ${displayValue} (标准: ${expectedValue})`;
-    }
-    
-    return `**${rule.name}**: 当前值 ${displayValue}`;
-  }
-
-  /**
-   * 获取字段值
-   */
-  private getFieldValue(field: string | string[], data: Record<string, any>): any {
-    if (Array.isArray(field)) {
-      return field.map(f => data[f]);
-    }
-    return data[field];
-  }
-
   /**
    * V3.1: 过滤适用于当前事件/表单的规则
    * 
diff --git a/backend/src/modules/iit-manager/services/ChatOrchestrator.ts b/backend/src/modules/iit-manager/services/ChatOrchestrator.ts
index f3e26bf4..2455250a 100644
--- a/backend/src/modules/iit-manager/services/ChatOrchestrator.ts
+++ b/backend/src/modules/iit-manager/services/ChatOrchestrator.ts
@@ -51,6 +51,13 @@ Tool selection guide:
 - check_quality → on-demand QC re-check (only when user explicitly asks to "re-check" or "run QC now")
 - search_knowledge → protocol documents, inclusion/exclusion criteria, study design
 
+Special routing:
+- If user asks consent/signature count, use read_report(section="consent_stats")
+- If user asks a specific patient's inclusion/exclusion compliance or visit progress, use read_report(section="patient_summary", record_id=...)
+- If user asks specific patient field values, use look_up_data(record_id=...)
+- If user asks protocol deviation risk / D6 risk, use read_report(section="d6_risk") and avoid citing global issue counts from other dimensions.
+- If user asks risk/status for a specific dimension (D1-D7), use read_report(section="dimension_risk", dimension="Dx"), and only cite that dimension's evidence.
+
 Rules:
 1. All answers MUST be based on tool results. Never fabricate clinical data.
 2. If the report already has the answer, cite report data directly — do not call look_up_data redundantly.
@@ -58,6 +65,12 @@ Rules:
 4. Always respond in Chinese (Simplified).
 5. NEVER modify any clinical data. If asked to change data, politely decline and explain why.
 6. When citing numbers, be precise (e.g. "通过率 85.7%", "3 条严重违规").
+7. Patient-level conclusions MUST cite record_id and event evidence from tool results.
+
+Output format (mandatory when data is available):
+- First line: "结论：..."
+- Then: "证据："
+- Evidence bullets should include at least one concrete source item (受试者编号 / 访视名称 / 规则名称 / 指标口径).
 `;
 
 export class ChatOrchestrator {
@@ -121,7 +134,12 @@ export class ChatOrchestrator {
         });
 
         if (!response.toolCalls?.length || response.finishReason === 'stop') {
-          const answer = stripToolCallXml(response.content || '') || '抱歉，我暂时无法回答这个问题。';
+          const rawAnswer = stripToolCallXml(response.content || '') || '抱歉，我暂时无法回答这个问题。';
+          const safeAnswer = this.sanitizeReadableAnswer(rawAnswer);
+          const fallbackAnswer = this.isPlaceholderAnswer(safeAnswer)
+            ? this.buildFallbackFromToolMessages(messages) || '结论：已完成查询，但当前未返回可展示结果。\n证据：\n- 请换一个更具体的问题（如“2号受试者筛选期有哪些失败规则？”）'
+            : safeAnswer;
+          const answer = this.enforceEvidenceFormat(userMessage, fallbackAnswer, messages);
           this.saveConversation(userId, userMessage, answer, startTime);
           return answer;
         }
@@ -155,7 +173,12 @@ export class ChatOrchestrator {
         maxTokens: 1000,
       });
 
-      const answer = stripToolCallXml(finalResponse.content || '') || '抱歉，处理超时，请简化问题后重试。';
+      const rawAnswer = stripToolCallXml(finalResponse.content || '') || '抱歉，处理超时，请简化问题后重试。';
+      const safeAnswer = this.sanitizeReadableAnswer(rawAnswer);
+      const fallbackAnswer = this.isPlaceholderAnswer(safeAnswer)
+        ? this.buildFallbackFromToolMessages(messages) || '结论：已完成查询，但当前未返回可展示结果。\n证据：\n- 请换一个更具体的问题（如“2号受试者筛选期有哪些失败规则？”）'
+        : safeAnswer;
+      const answer = this.enforceEvidenceFormat(userMessage, fallbackAnswer, messages);
       this.saveConversation(userId, userMessage, answer, startTime);
       return answer;
     } catch (error: any) {
@@ -193,6 +216,198 @@ export class ChatOrchestrator {
       duration: `${Date.now() - startTime}ms`,
     });
   }
+
+  private enforceEvidenceFormat(userMessage: string, answer: string, messages: Message[]): string {
+    const patientLike = /(患者|受试者|访视|纳入|排除|知情|record|方案偏离|依从|数据一致性|数据完整性|数据准确性|时效性|安全性|D[1-7])/i.test(userMessage);
+    const hasEvidenceHeader = /(^|\n)证据[:：]/.test(answer);
+    if (!patientLike && !hasEvidenceHeader) return answer;
+    const dimIntent = this.detectDimensionIntent(userMessage);
+    if (dimIntent) {
+      const normalized = this.enforceDimensionEvidence(answer, messages, dimIntent);
+      if (normalized) return normalized;
+    }
+    const hasEvidenceBullets = /(^|\n)\s*[-*]\s+/.test(answer) || /(^|\n)\s*\d+[.)、]\s+/.test(answer);
+    if (hasEvidenceHeader && hasEvidenceBullets) {
+      return answer;
+    }
+
+    const evidenceLines = this.collectEvidenceLines(messages);
+
+    if (evidenceLines.length === 0) {
+      if (hasEvidenceHeader) {
+        return `${answer}\n- 未检索到可展示明细，请继续指定受试者编号或访视点。`;
+      }
+      return answer;
+    }
+
+    if (hasEvidenceHeader && !hasEvidenceBullets) {
+      return `${answer}\n${evidenceLines.join('\n')}`;
+    }
+    if (!/(^|\n)结论[:：]/.test(answer)) {
+      return `结论：${answer}\n证据：\n${evidenceLines.join('\n')}`;
+    }
+    return `${answer}\n证据：\n${evidenceLines.join('\n')}`;
+  }
+
+  private collectEvidenceLines(messages: Message[]): string[] {
+    const evidenceLines: string[] = [];
+    for (let i = messages.length - 1; i >= 0; i--) {
+      const m = messages[i] as any;
+      if (m.role !== 'tool' || !m.content) continue;
+      try {
+        const payload = JSON.parse(m.content);
+        const data = payload?.data;
+        if (!data) continue;
+
+        if (data.recordId) {
+          evidenceLines.push(`- 受试者编号：${data.recordId}`);
+        }
+        if (data.visitProgress?.events?.length) {
+          const labels = data.visitProgress.events
+            .slice(0, 3)
+            .map((e: any) => e.eventLabel || e.eventId)
+            .filter(Boolean);
+          if (labels.length) evidenceLines.push(`- 访视点：${labels.join('、')}`);
+        }
+        if (Array.isArray(data?.d1EligibilityCompliance?.failedRules) && data.d1EligibilityCompliance.failedRules.length) {
+          const ruleNames = data.d1EligibilityCompliance.failedRules
+            .slice(0, 3)
+            .map((r: any) => r.ruleName || r.ruleId)
+            .filter(Boolean);
+          if (ruleNames.length) evidenceLines.push(`- 失败规则：${ruleNames.join('；')}`);
+        }
+        if (Array.isArray(data?.byEvent) && data.byEvent.length > 0) {
+          const eventDetails = data.byEvent
+            .slice(0, 3)
+            .map((e: any) => `${e.eventLabel || e.eventName || '未知访视'}(${e.nonEmptyFieldCount || 0}项非空字段)`);
+          evidenceLines.push(`- 已检索访视明细：${eventDetails.join('；')}`);
+        }
+        if (data?.merged && typeof data.merged === 'object') {
+          const keys = Object.keys(data.merged)
+            .filter((k) => !k.startsWith('redcap_') && !k.startsWith('_'))
+            .slice(0, 5);
+          if (keys.length) evidenceLines.push(`- 已返回字段样例：${keys.join('、')}`);
+        }
+        if (data?.ssot?.passRate) {
+          evidenceLines.push(`- 通过率口径：${data.ssot.passRate}`);
+        }
+        if (typeof data?.healthScore === 'number' || typeof data?.healthGrade === 'string') {
+          const score = typeof data.healthScore === 'number' ? `${data.healthScore}` : '—';
+          const grade = typeof data.healthGrade === 'string' ? data.healthGrade : '—';
+          evidenceLines.push(`- 项目健康度：${grade}级（${score}分）`);
+        }
+        if (
+          typeof data?.totalRecords === 'number' ||
+          typeof data?.criticalIssues === 'number' ||
+          typeof data?.warningIssues === 'number'
+        ) {
+          const total = typeof data.totalRecords === 'number' ? data.totalRecords : 0;
+          const critical = typeof data.criticalIssues === 'number' ? data.criticalIssues : 0;
+          const warning = typeof data.warningIssues === 'number' ? data.warningIssues : 0;
+          evidenceLines.push(`- 质控总览：受试者${total}例，严重问题${critical}条，警告${warning}条`);
+        }
+        if (typeof data?.passRate === 'number') {
+          evidenceLines.push(`- 当前通过率：${data.passRate}%`);
+        }
+      } catch {
+        // ignore unparsable tool content
+      }
+      if (evidenceLines.length >= 3) break;
+    }
+    return Array.from(new Set(evidenceLines));
+  }
+
+  private sanitizeReadableAnswer(answer: string): string {
+    return answer
+      .replace(/iit_schema\.(qc_project_stats|qc_field_status|qc_event_status)/gi, '质控统计表')
+      .replace(/\b(record_id|event_id|rule_id)\s*=\s*/gi, '')
+      .replace(/\(rule_[^)]+\)/gi, '')
+      .replace(/\s{2,}/g, ' ')
+      .trim();
+  }
+
+  private isPlaceholderAnswer(answer: string): boolean {
+    if (!answer.trim()) return true;
+    return /(让我查看|我来查看|请稍等|稍等|正在查询|正在查看|查询中)[:：]?\s*$/i.test(answer.trim());
+  }
+
+  private buildFallbackFromToolMessages(messages: Message[]): string | null {
+    for (let i = messages.length - 1; i >= 0; i--) {
+      const m = messages[i] as any;
+      if (m.role !== 'tool' || !m.content) continue;
+      try {
+        const payload = JSON.parse(m.content);
+        const data = payload?.data;
+        if (!data) continue;
+        if (data.recordId && data.d1EligibilityCompliance) {
+          const failed = Number(data.d1EligibilityCompliance.failedCount || 0);
+          const events = Number(data.visitProgress?.eventCount || 0);
+          const topRules = (data.d1EligibilityCompliance.failedRules || [])
+            .slice(0, 3)
+            .map((r: any) => r.ruleName || r.ruleId)
+            .filter(Boolean);
+          return [
+            `结论：受试者 ${data.recordId} 当前存在 ${failed} 项纳排相关失败，已检索到 ${events} 个访视点质控结果。`,
+            '证据：',
+            `- 受试者编号：${data.recordId}`,
+            `- 纳排失败项：${failed}`,
+            topRules.length ? `- 主要失败规则：${topRules.join('；')}` : '- 主要失败规则：暂无',
+          ].join('\n');
+        }
+      } catch {
+        // ignore invalid tool payload
+      }
+    }
+    return null;
+  }
+
+  private detectDimensionIntent(userMessage: string): string | null {
+    const s = userMessage.toUpperCase();
+    const explicit = s.match(/\bD([1-7])\b/);
+    if (explicit) return `D${explicit[1]}`;
+    if (/方案偏离|依从/.test(userMessage)) return 'D6';
+    if (/数据一致性/.test(userMessage)) return 'D1';
+    if (/数据完整性|缺失率/.test(userMessage)) return 'D2';
+    if (/数据准确性|准确率/.test(userMessage)) return 'D3';
+    if (/时效性|及时/.test(userMessage)) return 'D5';
+    if (/安全性/.test(userMessage)) return 'D7';
+    return null;
+  }
+
+  private enforceDimensionEvidence(answer: string, messages: Message[], dimension: string): string | null {
+    for (let i = messages.length - 1; i >= 0; i--) {
+      const m = messages[i] as any;
+      if (m.role !== 'tool' || !m.content) continue;
+      try {
+        const payload = JSON.parse(m.content);
+        const data = payload?.data;
+        if (!data) continue;
+
+        // 兼容 d6_risk 旧结构
+        const dim = data.dimension || 'D6';
+        if (dim !== dimension) continue;
+
+        const passRate = data.passRate ?? data.d6PassRate ?? 0;
+        const issueCount = data.issueCount ?? data.d6IssueCount ?? 0;
+        const critical = data.criticalIssues ?? data.d6CriticalIssues ?? 0;
+        const warning = data.warningIssues ?? data.d6WarningIssues ?? 0;
+        const affectedSubjects = data.affectedSubjects ?? 0;
+        const affectedRate = data.affectedRate ?? 0;
+
+        return [
+          `结论：当前${dimension}维度风险${issueCount > 0 ? '存在' : '较低'}，${dimension}通过率为${passRate}%。`,
+          '证据：',
+          `- ${dimension}通过率：${passRate}%`,
+          `- ${dimension}问题总数：${issueCount}（critical=${critical}, warning=${warning}）`,
+          `- 受影响受试者：${affectedSubjects}（占比${affectedRate}%）`,
+          `- 证据范围：仅 ${dimension} 维度（不混用其他维度总问题数）`,
+        ].join('\n');
+      } catch {
+        // ignore
+      }
+    }
+    return null;
+  }
 }
 
 // Per-project orchestrator cache
diff --git a/backend/src/modules/iit-manager/services/DailyQcOrchestrator.ts b/backend/src/modules/iit-manager/services/DailyQcOrchestrator.ts
index b1befd57..10bce98d 100644
--- a/backend/src/modules/iit-manager/services/DailyQcOrchestrator.ts
+++ b/backend/src/modules/iit-manager/services/DailyQcOrchestrator.ts
@@ -23,14 +23,61 @@ export interface OrchestratorResult {
   criticalEventsArchived: number;
   newIssues: number;
   resolvedIssues: number;
+  pushStatus: 'sent' | 'skipped' | 'failed';
   pushSent: boolean;
 }
 
 class DailyQcOrchestratorClass {
+  private shouldSuppressIssue(issue: ReportIssue): boolean {
+    const ruleName = issue.ruleName || '';
+    const msg = issue.message || '';
+    const actual = String(issue.actualValue ?? '');
+
+    // 1) 暂时抑制已知噪音规则（缺少 AE 起始变量上下文时会高频误报）
+    if (ruleName.includes('不良事件记录与知情同意状态一致性检查')) {
+      return true;
+    }
+
+    // 2) "所有纳入标准完整性检查" 当实际为全 1 时不应告警
+    if (ruleName.includes('所有纳入标准完整性检查') && /^1(,1)+$/.test(actual.replace(/\s+/g, ''))) {
+      return true;
+    }
+
+    // 3) 同日日期不应触发“早于”告警（兼容 "2024-03-26,2024-03-26" 文本）
+    if (ruleName.includes('访视日期早于知情同意书签署日期')) {
+      const datePair = msg.match(/(\d{4}-\d{2}-\d{2}).*?(\d{4}-\d{2}-\d{2})/);
+      if (datePair && datePair[1] === datePair[2]) return true;
+    }
+
+    return false;
+  }
+
+  private normalizeQueryText(issue: ReportIssue): string {
+    const severityLabel = issue.severity === 'critical' ? '严重' : '警告';
+    let body = issue.message || '';
+
+    // 清理 [object Object] 噪音
+    body = body.replace(/\(标准:\s*\[object Object\]\)/g, '').trim();
+    body = body.replace(/\(\s*方案偏离:\s*\{"date":[^)]+\}\s*\)/g, '(方案偏离: 日期格式校验)').trim();
+
+    // 入组-排除规则文案改为业务可读
+    if ((issue.ruleName || '').includes('入组状态与排除标准冲突检查')) {
+      body = '入组状态与排除标准存在冲突：当前为“未触发排除标准”，但规则判定为异常，请核实入组状态与排除标准映射。';
+    }
+
+    // 统一 markdown 星号，避免列表可读性差
+    body = body.replace(/\*\*/g, '');
+
+    return `[${severityLabel}] ${body}`;
+  }
+
   /**
    * 主方法：质控后编排全部后续动作
    */
-  async orchestrate(projectId: string): Promise<OrchestratorResult> {
+  async orchestrate(
+    projectId: string,
+    options?: { skipPush?: boolean },
+  ): Promise<OrchestratorResult> {
     const startTime = Date.now();
     logger.info('[DailyQcOrchestrator] Starting orchestration', { projectId });
 
@@ -67,7 +114,10 @@ class DailyQcOrchestratorClass {
     const { newIssues, resolvedIssues } = await this.compareWithPrevious(projectId, report);
 
     // Step 5: Push notification
-    const pushSent = await this.pushNotification(projectId, report, equeriesCreated, newIssues, resolvedIssues);
+    const skipPush = options?.skipPush || process.env.IIT_SKIP_WECHAT_PUSH === '1';
+    const pushResult = skipPush
+      ? { pushStatus: 'skipped' as const, pushSent: false }
+      : await this.pushNotification(projectId, report, equeriesCreated, newIssues, resolvedIssues);
 
     const duration = Date.now() - startTime;
     logger.info('[DailyQcOrchestrator] Orchestration completed', {
@@ -77,7 +127,8 @@ class DailyQcOrchestratorClass {
       criticalEventsArchived,
       newIssues,
       resolvedIssues,
-      pushSent,
+      pushStatus: pushResult.pushStatus,
+      pushSent: pushResult.pushSent,
       durationMs: duration,
     });
 
@@ -87,7 +138,8 @@ class DailyQcOrchestratorClass {
       criticalEventsArchived,
       newIssues,
       resolvedIssues,
-      pushSent,
+      pushStatus: pushResult.pushStatus,
+      pushSent: pushResult.pushSent,
     };
   }
 
@@ -98,29 +150,38 @@ class DailyQcOrchestratorClass {
     const issues = [...report.criticalIssues, ...report.warningIssues];
     if (issues.length === 0) return 0;
 
-    // Deduplicate: skip if there's already an open eQuery for the same record+field
+    // Deduplicate: skip if there's already an open eQuery for the same record+event+rule
     const existingEqueries = await prisma.iitEquery.findMany({
       where: {
         projectId,
         status: { in: ['pending', 'responded', 'reviewing', 'reopened'] },
       },
-      select: { recordId: true, fieldName: true },
+      select: { recordId: true, eventId: true, category: true },
     });
-    const existingKeys = new Set(existingEqueries.map((e: { recordId: string; fieldName: string | null }) => `${e.recordId}:${e.fieldName || ''}`));
+    const existingKeys = new Set(
+      existingEqueries.map(
+        (e: { recordId: string; eventId: string | null; category: string | null }) =>
+          `${e.recordId}:${e.eventId || ''}:${e.category || ''}`,
+      ),
+    );
 
     const newEqueries: CreateEqueryInput[] = [];
     for (const issue of issues) {
-      const key = `${issue.recordId}:${issue.field || ''}`;
+      if (this.shouldSuppressIssue(issue)) continue;
+
+      const key = `${issue.recordId}:${issue.eventId || ''}:${issue.ruleName || ''}`;
       if (existingKeys.has(key)) continue;
       existingKeys.add(key);
 
       newEqueries.push({
         projectId,
         recordId: issue.recordId,
+        eventId: issue.eventId,
+        formName: issue.formName,
         fieldName: issue.field,
         reportId,
-        queryText: `[${issue.severity === 'critical' ? '严重' : '警告'}] ${issue.message}`,
-        expectedAction: `请核实受试者 ${issue.recordId} 的 ${issue.field || '相关'} 数据并修正或提供说明`,
+        queryText: this.normalizeQueryText(issue),
+        expectedAction: `请核实受试者 ${issue.recordId}${issue.eventId ? `（事件 ${issue.eventId}）` : ''} 的 ${issue.field || '相关'} 数据并修正或提供说明`,
         severity: issue.severity === 'critical' ? 'error' : 'warning',
         category: issue.ruleName,
       });
@@ -234,7 +295,7 @@ class DailyQcOrchestratorClass {
     equeriesCreated: number,
     newIssues: number,
     resolvedIssues: number
-  ): Promise<boolean> {
+  ): Promise<{ pushStatus: 'sent' | 'failed'; pushSent: boolean }> {
     try {
       const project = await prisma.iitProject.findUnique({
         where: { id: projectId },
@@ -265,13 +326,13 @@ class DailyQcOrchestratorClass {
       const piUserId = process.env.WECHAT_TEST_USER_ID || 'FengZhiBo';
       await wechatService.sendMarkdownMessage(piUserId, markdown);
 
-      return true;
+      return { pushStatus: 'sent', pushSent: true };
     } catch (err) {
       logger.warn('[DailyQcOrchestrator] Push notification failed (non-fatal)', {
         projectId,
         error: String(err),
       });
-      return false;
+      return { pushStatus: 'failed', pushSent: false };
     }
   }
 }
diff --git a/backend/src/modules/iit-manager/services/QcReportService.ts b/backend/src/modules/iit-manager/services/QcReportService.ts
index 6418558b..f2bbdab8 100644
--- a/backend/src/modules/iit-manager/services/QcReportService.ts
+++ b/backend/src/modules/iit-manager/services/QcReportService.ts
@@ -213,6 +213,17 @@ class QcReportServiceClass {
         return null;
       }
 
+      // 若缓存早于最新质控时间，则视为过期，触发重算
+      const latestQcRows = await prisma.$queryRaw<Array<{ last_qc_at: Date | null }>>`
+        SELECT MAX(last_qc_at) AS last_qc_at
+        FROM iit_schema.qc_field_status
+        WHERE project_id = ${projectId}
+      `;
+      const latestQcAt = latestQcRows?.[0]?.last_qc_at;
+      if (latestQcAt && cached.generatedAt < latestQcAt) {
+        return null;
+      }
+
       const issuesData = cached.issues as any || {};
 
       return {
diff --git a/backend/src/modules/iit-manager/services/ToolsService.ts b/backend/src/modules/iit-manager/services/ToolsService.ts
index 854758f8..bf0bf7eb 100644
--- a/backend/src/modules/iit-manager/services/ToolsService.ts
+++ b/backend/src/modules/iit-manager/services/ToolsService.ts
@@ -327,9 +327,9 @@ export class ToolsService {
         {
           name: 'section',
           type: 'string',
-          description: '要查阅的报告章节。summary=概览, critical_issues=严重问题, warning_issues=警告, form_stats=表单通过率, dimension_summary=D1-D7维度通过率, event_overview=事件概览, trend=趋势, equery_stats=eQuery统计, full=完整报告',
+          description: '要查阅的报告章节。summary=概览, critical_issues=严重问题, warning_issues=警告, form_stats=表单通过率, dimension_summary=D1-D7维度通过率, event_overview=事件概览, trend=趋势, equery_stats=eQuery统计, consent_stats=知情同意统计, patient_summary=单患者纳排与访视摘要, d6_risk=方案偏离专用风险证据, dimension_risk=通用维度风险证据(D1-D7), full=完整报告',
           required: false,
-          enum: ['summary', 'critical_issues', 'warning_issues', 'form_stats', 'dimension_summary', 'event_overview', 'trend', 'equery_stats', 'full'],
+          enum: ['summary', 'critical_issues', 'warning_issues', 'form_stats', 'dimension_summary', 'event_overview', 'trend', 'equery_stats', 'consent_stats', 'patient_summary', 'd6_risk', 'dimension_risk', 'full'],
         },
         {
           name: 'record_id',
@@ -337,20 +337,119 @@ export class ToolsService {
           description: '可选。如果用户问的是特定受试者的问题，传入 record_id 筛选该受试者的 issues',
           required: false,
         },
+        {
+          name: 'dimension',
+          type: 'string',
+          description: '当 section=dimension_risk 时指定维度代码，支持 D1-D7（默认 D1）',
+          required: false,
+          enum: ['D1', 'D2', 'D3', 'D4', 'D5', 'D6', 'D7'],
+        },
       ],
       execute: async (params, context) => {
         try {
           const report = await QcReportService.getReport(context.projectId);
           const section = params.section || 'summary';
           const recordId = params.record_id;
+          const requestedDimension = String(params.dimension || 'D1').toUpperCase();
 
           const filterByRecord = (issues: any[]) =>
             recordId ? issues.filter((i: any) => i.recordId === recordId) : issues;
 
+          const buildDimensionRisk = async (dimension: string) => {
+            const dim = String(dimension || 'D1').toUpperCase();
+            const [projectStats, issueRows, affectedRows, totals] = await Promise.all([
+              prisma.iitQcProjectStats.findUnique({
+                where: { projectId: context.projectId },
+                select: {
+                  totalRecords: true,
+                  d1PassRate: true,
+                  d2PassRate: true,
+                  d3PassRate: true,
+                  d5PassRate: true,
+                  d6PassRate: true,
+                  d7PassRate: true,
+                },
+              }),
+              prisma.$queryRaw<Array<{ severity: string | null; cnt: bigint }>>`
+                SELECT severity, COUNT(*) AS cnt
+                FROM iit_schema.qc_field_status
+                WHERE project_id = ${context.projectId}
+                  AND rule_category = ${dim}
+                  AND status IN ('FAIL', 'WARNING')
+                GROUP BY severity
+              `,
+              prisma.$queryRaw<Array<{ record_id: string }>>`
+                SELECT DISTINCT record_id
+                FROM iit_schema.qc_field_status
+                WHERE project_id = ${context.projectId}
+                  AND rule_category = ${dim}
+                  AND status IN ('FAIL', 'WARNING')
+              `,
+              prisma.$queryRaw<Array<{ total: bigint; failed: bigint }>>`
+                SELECT
+                  COUNT(*) AS total,
+                  COUNT(*) FILTER (WHERE status = 'FAIL') AS failed
+                FROM iit_schema.qc_field_status
+                WHERE project_id = ${context.projectId}
+                  AND rule_category = ${dim}
+              `,
+            ]);
+
+            let critical = 0;
+            let warning = 0;
+            for (const row of issueRows) {
+              const n = Number(row.cnt);
+              if ((row.severity || '').toLowerCase() === 'critical') critical += n;
+              else warning += n;
+            }
+
+            const totalRecords = projectStats?.totalRecords ?? 0;
+            const affectedSubjects = affectedRows.length;
+            const totalChecks = Number(totals?.[0]?.total ?? 0);
+            const failedChecks = Number(totals?.[0]?.failed ?? 0);
+            const computedPassRate = totalChecks > 0
+              ? Math.round(((totalChecks - failedChecks) / totalChecks) * 1000) / 10
+              : 100;
+
+            const statField = `${dim.toLowerCase()}PassRate` as
+              | 'd1PassRate'
+              | 'd2PassRate'
+              | 'd3PassRate'
+              | 'd5PassRate'
+              | 'd6PassRate'
+              | 'd7PassRate';
+
+            const passRateFromStats = (projectStats as any)?.[statField];
+            const passRate = typeof passRateFromStats === 'number'
+              ? passRateFromStats
+              : computedPassRate;
+
+            return {
+              dimension: dim,
+              passRate,
+              issueCount: critical + warning,
+              criticalIssues: critical,
+              warningIssues: warning,
+              affectedSubjects,
+              affectedRate: totalRecords > 0 ? Math.round((affectedSubjects / totalRecords) * 1000) / 10 : 0,
+              checkScope: {
+                totalChecks,
+                failedChecks,
+              },
+              evidenceScope: `仅统计 ${dim} 维度问题，不含其他维度`,
+            };
+          };
+
           let data: any;
           switch (section) {
             case 'summary':
-              data = report.summary;
+              data = {
+                ...report.summary,
+                ssot: {
+                  passRate: 'passedRecords / totalRecords',
+                  source: '项目质控汇总统计 + 字段级质控结果（统一口径）',
+                },
+              };
               break;
             case 'critical_issues':
               data = filterByRecord(report.criticalIssues);
@@ -368,10 +467,216 @@ export class ToolsService {
               data = report.eventOverview || [];
               break;
             case 'trend':
-              data = report.topIssues;
+              {
+                const [projectStats, latestQcRows] = await Promise.all([
+                  prisma.iitQcProjectStats.findUnique({
+                    where: { projectId: context.projectId },
+                    select: { totalRecords: true, passedRecords: true, failedRecords: true, warningRecords: true },
+                  }),
+                  prisma.$queryRaw<Array<{ last_qc_at: Date | null }>>`
+                    SELECT MAX(last_qc_at) AS last_qc_at
+                    FROM iit_schema.qc_field_status
+                    WHERE project_id = ${context.projectId}
+                  `,
+                ]);
+                const total = projectStats?.totalRecords ?? 0;
+                const passed = projectStats?.passedRecords ?? 0;
+                const failed = projectStats?.failedRecords ?? 0;
+                const warning = projectStats?.warningRecords ?? 0;
+                const lastQcAt = latestQcRows?.[0]?.last_qc_at || null;
+                data = {
+                  snapshot: {
+                    date: lastQcAt ? new Date(lastQcAt).toISOString().split('T')[0] : null,
+                    total,
+                    passed,
+                    failed,
+                    warning,
+                    passRate: total > 0 ? Math.round((passed / total) * 1000) / 10 : 0,
+                  },
+                };
+              }
               break;
             case 'equery_stats':
-              data = { pendingQueries: report.summary.pendingQueries };
+              {
+                const rows = await prisma.$queryRaw<Array<{ status: string; cnt: bigint }>>`
+                  SELECT status, COUNT(*) AS cnt
+                  FROM iit_schema.equery
+                  WHERE project_id = ${context.projectId}
+                  GROUP BY status
+                `;
+                const stats = {
+                  total: 0,
+                  pending: 0,
+                  responded: 0,
+                  reviewing: 0,
+                  closed: 0,
+                  reopened: 0,
+                  auto_closed: 0,
+                };
+                for (const row of rows) {
+                  const n = Number(row.cnt);
+                  stats.total += n;
+                  const key = row.status as keyof typeof stats;
+                  if (Object.prototype.hasOwnProperty.call(stats, key)) {
+                    stats[key] = n;
+                  }
+                }
+                data = stats;
+              }
+              break;
+            case 'consent_stats':
+              {
+                const [subjectRows, consentIssueRows] = await Promise.all([
+                  prisma.$queryRaw<Array<{ record_id: string }>>`
+                    SELECT DISTINCT record_id
+                    FROM iit_schema.qc_field_status
+                    WHERE project_id = ${context.projectId}
+                  `,
+                  prisma.$queryRaw<Array<{ record_id: string }>>`
+                    SELECT DISTINCT record_id
+                    FROM iit_schema.qc_field_status
+                    WHERE project_id = ${context.projectId}
+                      AND rule_category = 'D1'
+                      AND status = 'FAIL'
+                      AND (
+                        COALESCE(rule_name, '') LIKE '%知情%'
+                        OR COALESCE(message, '') LIKE '%知情%'
+                        OR COALESCE(field_name, '') LIKE '%consent%'
+                        OR COALESCE(field_name, '') LIKE '%informed%'
+                      )
+                  `,
+                ]);
+                const totalSubjects = subjectRows.length;
+                const consentMissingSubjects = consentIssueRows.length;
+                const signedSubjects = Math.max(0, totalSubjects - consentMissingSubjects);
+                const unsignedRecordIds = consentIssueRows.map(r => r.record_id).slice(0, 20);
+                data = {
+                  totalSubjects,
+                  signedSubjects,
+                  unsignedOrInconsistentSubjects: consentMissingSubjects,
+                  signedRate: totalSubjects > 0 ? Math.round((signedSubjects / totalSubjects) * 1000) / 10 : 0,
+                  unsignedRecordIds,
+                  evidence: '根据 D1（知情相关）FAIL 问题反推未签署/不一致受试者数',
+                };
+              }
+              break;
+            case 'patient_summary':
+              if (!recordId) {
+                return {
+                  success: false,
+                  error: 'patient_summary 需要 record_id 参数',
+                };
+              }
+              {
+                const [eventRows, d1Rows, merged, eventLabelMap, fieldMetaRows] = await Promise.all([
+                  prisma.$queryRaw<Array<{
+                    event_id: string;
+                    event_label: string | null;
+                    status: string;
+                    fields_total: number;
+                    fields_failed: number;
+                    fields_warning: number;
+                  }>>`
+                    SELECT event_id, event_label, status, fields_total, fields_failed, fields_warning
+                    FROM iit_schema.qc_event_status
+                    WHERE project_id = ${context.projectId} AND record_id = ${recordId}
+                    ORDER BY event_id
+                  `,
+                  prisma.$queryRaw<Array<{
+                    rule_id: string | null;
+                    rule_name: string | null;
+                    field_name: string | null;
+                    actual_value: string | null;
+                    expected_value: string | null;
+                    status: string;
+                    message: string | null;
+                  }>>`
+                    SELECT rule_id, rule_name, field_name, actual_value, expected_value, status, message
+                    FROM iit_schema.qc_field_status
+                    WHERE project_id = ${context.projectId}
+                      AND record_id = ${recordId}
+                      AND rule_category = 'D1'
+                    ORDER BY rule_id NULLS LAST, rule_name NULLS LAST
+                  `,
+                  context.redcapAdapter?.getRecordById(recordId) || Promise.resolve(null),
+                  this.getEventLabelMap(context),
+                  prisma.iitFieldMetadata.findMany({
+                    where: { projectId: context.projectId },
+                    select: { fieldName: true, fieldLabel: true, choices: true },
+                  }),
+                ]);
+
+                const fieldLabelMap = new Map<string, string>();
+                const fieldChoiceMap = new Map<string, Map<string, string>>();
+                for (const row of fieldMetaRows) {
+                  fieldLabelMap.set(row.fieldName, row.fieldLabel || row.fieldName);
+                  fieldChoiceMap.set(row.fieldName, this.parseChoices(row.choices));
+                }
+
+                const d1Failed = d1Rows.filter(r => r.status === 'FAIL');
+                const d1Summary = {
+                  compliant: d1Failed.length === 0,
+                  failedCount: d1Failed.length,
+                  failedRules: d1Failed.slice(0, 10).map(r => ({
+                    ruleId: r.rule_id,
+                    ruleName: r.rule_name,
+                    message: this.buildReadableRuleMessage({
+                      ruleName: r.rule_name,
+                      fieldName: r.field_name,
+                      actualValue: r.actual_value,
+                      expectedValue: r.expected_value,
+                      fallbackMessage: r.message,
+                      fieldLabelMap,
+                      fieldChoiceMap,
+                    }),
+                  })),
+                };
+
+                data = {
+                  recordId,
+                  d1EligibilityCompliance: d1Summary,
+                  visitProgress: {
+                    eventCount: eventRows.length,
+                    events: eventRows.map(e => ({
+                      eventId: e.event_id,
+                      eventLabel: e.event_label || eventLabelMap.get(e.event_id) || this.fallbackEventLabel(e.event_id),
+                      status: e.status,
+                      fieldsTotal: e.fields_total,
+                      fieldsFailed: e.fields_failed,
+                      fieldsWarning: e.fields_warning,
+                    })),
+                  },
+                  evidence: {
+                    source: '单患者事件质控结果 + 字段级规则判定',
+                    recordId,
+                    events: eventRows.map(e => e.event_label || eventLabelMap.get(e.event_id) || this.fallbackEventLabel(e.event_id)),
+                    failedD1RuleCount: d1Failed.length,
+                  },
+                  rawRecord: merged ? {
+                    record_id: merged.record_id,
+                    _event_count: merged._event_count,
+                    _events: merged._events,
+                  } : null,
+                };
+              }
+              break;
+            case 'd6_risk':
+              {
+                const d6 = await buildDimensionRisk('D6');
+                data = {
+                  dimension: 'D6',
+                  d6PassRate: d6.passRate,
+                  d6IssueCount: d6.issueCount,
+                  d6CriticalIssues: d6.criticalIssues,
+                  d6WarningIssues: d6.warningIssues,
+                  affectedSubjects: d6.affectedSubjects,
+                  affectedRate: d6.affectedRate,
+                  evidenceScope: d6.evidenceScope,
+                };
+              }
+              break;
+            case 'dimension_risk':
+              data = await buildDimensionRisk(requestedDimension);
               break;
             case 'full':
             default:
@@ -420,6 +725,9 @@ export class ToolsService {
         }
         try {
           const record = await context.redcapAdapter.getRecordById(params.record_id);
+          const byEventRecords = await context.redcapAdapter.getAllRecordsByEvent({
+            recordId: params.record_id,
+          });
           if (!record) {
             return { success: false, error: `未找到记录 ID: ${params.record_id}` };
           }
@@ -431,6 +739,24 @@ export class ToolsService {
               if (record[f] !== undefined) data[f] = record[f];
             }
             data.record_id = params.record_id;
+            data._events = record._events;
+            data._event_count = record._event_count;
+          } else {
+            data = {
+              merged: record,
+              byEvent: byEventRecords.map(e => ({
+                recordId: e.recordId,
+                eventName: e.eventName,
+                eventLabel: e.eventLabel,
+                nonEmptyFieldCount: Object.entries(e.data).filter(([k, v]) =>
+                  k !== 'record_id' &&
+                  !k.startsWith('redcap_') &&
+                  v !== null &&
+                  v !== undefined &&
+                  v !== ''
+                ).length,
+              })),
+            };
           }
 
           return {
@@ -656,6 +982,101 @@ export class ToolsService {
 
     return properties;
   }
+
+  private parseChoices(choices: string | null | undefined): Map<string, string> {
+    const map = new Map<string, string>();
+    if (!choices) return map;
+    const items = choices.split('|').map(item => item.trim()).filter(Boolean);
+    for (const item of items) {
+      const m = item.match(/^([^,]+),\s*(.+)$/);
+      if (!m) continue;
+      map.set(m[1].trim(), m[2].trim());
+    }
+    return map;
+  }
+
+  private toValueList(raw: string | null | undefined): string[] {
+    if (!raw) return [];
+    return raw
+      .split(',')
+      .map(v => v.trim())
+      .filter(Boolean);
+  }
+
+  private buildReadableRuleMessage(input: {
+    ruleName: string | null;
+    fieldName: string | null;
+    actualValue: string | null;
+    expectedValue: string | null;
+    fallbackMessage: string | null;
+    fieldLabelMap: Map<string, string>;
+    fieldChoiceMap: Map<string, Map<string, string>>;
+  }): string {
+    const ruleName = input.ruleName || '规则';
+    const fallback = (input.fallbackMessage || '').replace(/\*\*/g, '').trim();
+    const fields = (input.fieldName || '')
+      .split(',')
+      .map(f => f.trim())
+      .filter(Boolean);
+    const actualParts = this.toValueList(input.actualValue);
+    const expectedParts = this.toValueList(input.expectedValue);
+
+    const toReadable = (value: string, field: string | undefined): string => {
+      if (!field) return value;
+      const choiceMap = input.fieldChoiceMap.get(field);
+      if (!choiceMap || !choiceMap.size) return value;
+      return choiceMap.get(value) || value;
+    };
+
+    const actualReadable = actualParts.map((v, idx) => toReadable(v, fields[idx] || fields[0]));
+    const expectedReadable = expectedParts.map((v, idx) => toReadable(v, fields[idx] || fields[0]));
+    const fieldReadable = fields.map(f => input.fieldLabelMap.get(f) || f).join('、');
+
+    if (actualReadable.length > 0 || expectedReadable.length > 0) {
+      const left = actualReadable.length > 0 ? actualReadable.join('，') : '空';
+      const right = expectedReadable.length > 0 ? expectedReadable.join('，') : '未配置';
+      return `${ruleName}：${fieldReadable ? `${fieldReadable}，` : ''}当前值“${left}”，标准“${right}”`;
+    }
+
+    return fallback || ruleName;
+  }
+
+  private async getEventLabelMap(context: ToolContext): Promise<Map<string, string>> {
+    const map = new Map<string, string>();
+    const project = await prisma.iitProject.findUnique({
+      where: { id: context.projectId },
+      select: { cachedRules: true },
+    });
+    const cached = project?.cachedRules as any;
+    if (cached?.eventLabels && typeof cached.eventLabels === 'object') {
+      for (const [eid, label] of Object.entries(cached.eventLabels)) {
+        if (typeof label === 'string' && label.trim()) {
+          map.set(eid, label.trim());
+        }
+      }
+    }
+
+    if (context.redcapAdapter) {
+      try {
+        const events = await context.redcapAdapter.getEvents();
+        for (const ev of events) {
+          if (ev.unique_event_name && ev.event_name && !map.has(ev.unique_event_name)) {
+            map.set(ev.unique_event_name, ev.event_name);
+          }
+        }
+      } catch {
+        // non-fatal
+      }
+    }
+    return map;
+  }
+
+  private fallbackEventLabel(eventId: string): string {
+    return eventId
+      .replace(/_arm_\d+$/i, '')
+      .replace(/[_-]/g, ' ')
+      .replace(/\b\w/g, c => c.toUpperCase());
+  }
 }
 
 // ============================================================
diff --git a/backend/src/modules/iit-manager/services/WechatService.ts b/backend/src/modules/iit-manager/services/WechatService.ts
index 9a2ef634..d51410e5 100644
--- a/backend/src/modules/iit-manager/services/WechatService.ts
+++ b/backend/src/modules/iit-manager/services/WechatService.ts
@@ -284,11 +284,23 @@ export class WechatService {
     details: any;
   }): Promise<void> {
     try {
+      // iit_schema.audit_logs 需要 project_id 外键；无项目上下文时跳过 DB 审计，保留应用日志即可
+      if (!data.projectId) return;
+
       await prisma.$executeRaw`
         INSERT INTO iit_schema.audit_logs 
-          (project_id, action, details, created_at)
+          (project_id, user_id, action_type, entity_type, entity_id, details, trace_id, created_at)
         VALUES 
-          (${data.projectId}, ${data.action}, ${JSON.stringify(data.details)}::jsonb, NOW())
+          (
+            ${data.projectId},
+            ${'system'},
+            ${data.action},
+            ${'wechat'},
+            ${String(data.details?.userId || 'unknown')},
+            ${JSON.stringify(data.details)}::jsonb,
+            ${`wechat-${Date.now()}`},
+            NOW()
+          )
       `;
     } catch (error: any) {
       // 审计日志失败不应影响主流程
diff --git a/backend/test-dify-search.js b/backend/test-dify-search.js
index a15f12a3..1e6a5311 100644
--- a/backend/test-dify-search.js
+++ b/backend/test-dify-search.js
@@ -75,3 +75,4 @@ const query = process.argv[3] || '阿尔兹海默症的症状';
 testDifySearch(datasetId, query);
 
 
+
diff --git a/docs/03-业务模块/ASL-AI智能文献/05-测试文档/03-测试数据/pdf-extraction/.gitkeep b/docs/03-业务模块/ASL-AI智能文献/05-测试文档/03-测试数据/pdf-extraction/.gitkeep
index e69de29b..8305d2fb 100644
--- a/docs/03-业务模块/ASL-AI智能文献/05-测试文档/03-测试数据/pdf-extraction/.gitkeep
+++ b/docs/03-业务模块/ASL-AI智能文献/05-测试文档/03-测试数据/pdf-extraction/.gitkeep
@@ -0,0 +1,23 @@
+# 请将 PDF 样本文件放在此目录
+
+## 建议准备：
+- sample-01-rct.pdf
+- sample-02-cohort.pdf
+- sample-03-with-tables.pdf
+- sample-04-with-formulas.pdf
+- sample-05-chinese.pdf
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
diff --git a/docs/03-业务模块/ASL-AI智能文献/05-测试文档/03-测试数据/screening/.gitkeep b/docs/03-业务模块/ASL-AI智能文献/05-测试文档/03-测试数据/screening/.gitkeep
index 13fe2536..bfdf6b7a 100644
--- a/docs/03-业务模块/ASL-AI智能文献/05-测试文档/03-测试数据/screening/.gitkeep
+++ b/docs/03-业务模块/ASL-AI智能文献/05-测试文档/03-测试数据/screening/.gitkeep
@@ -7,3 +7,15 @@
 
 
 
+
+
+
+
+
+
+
+
+
+
+
+
diff --git a/docs/03-业务模块/IIT Manager Agent/00-模块当前状态与开发指南.md b/docs/03-业务模块/IIT Manager Agent/00-模块当前状态与开发指南.md
index 7c6f81e8..977043b0 100644
--- a/docs/03-业务模块/IIT Manager Agent/00-模块当前状态与开发指南.md	
+++ b/docs/03-业务模块/IIT Manager Agent/00-模块当前状态与开发指南.md	
@@ -1,10 +1,11 @@
 # IIT Manager Agent模块 - 当前状态与开发指南
 
-> **文档版本：** v3.2  
+> **文档版本：** v3.3  
 > **创建日期：** 2026-01-01  
 > **维护者：** IIT Manager开发团队  
-> **最后更新：** 2026-03-02 **数据一致性修复 + 项目隔离 + 管理端配置流重设计 + 中文显示名！**  
+> **最后更新：** 2026-03-08 **IIT 回归修复收口（事件名中文化、D1 规则名友好显示、AI 证据兜底）**  
 > **重大里程碑：**  
+> - **2026-03-08：IIT 回归修复收口！** 实时工作流事件名友好化（含兜底）、D1 不合规条目显示规则名称、AI 对话新增“证据不为空”补齐逻辑
 > - **2026-03-02：QC 数据一致性修复！** AI 时间线 + 警告详情 统一从 qc_field_status（SSOT）读取，与热力图数据一致
 > - **2026-03-02：字段/事件中文显示名！** LEFT JOIN field_metadata + qc_event_status，消除 REDCap 技术标识符
 > - **2026-03-02：警告详情可查看！** 新增 field-issues 分页 API + ReportsPage 严重问题/警告数字可点击弹出详情 Modal
@@ -66,7 +67,7 @@ CRA Agent 是一个**替代 CRA 岗位的自主 AI Agent**，而非辅助 CRA 
   - AI能力：DeepSeek/Qwen + 自研 RAG（pgvector）+ LLM Tool Use
 
 ### 当前状态
-- **开发阶段**：**V3.2 数据一致性 + 项目隔离 + 管理端重设计 + 中文显示名 → 待部署验证**
+- **开发阶段**：**V3.3 回归修复收口（可读性 + 证据兜底）→ 待部署验证**
 - **V3.2 数据一致性 + 项目隔离已完成**（2026-03-02）：
   - AI 时间线改为从 qc_field_status（SSOT）聚合，与风险热力图数据一致
   - 新增 field-issues 分页查询 API（支持按维度/严重程度/受试者筛选）
@@ -152,6 +153,18 @@ CRA Agent 是一个**替代 CRA 岗位的自主 AI Agent**，而非辅助 CRA 
   - iitBatchController 执行 QcExecutor.executeBatch 后调用 DailyQcOrchestrator.orchestrate
   - 返回 equeriesCreated 计数
 
+#### ✅ 已完成功能（V3.3 回归修复收口 - 2026-03-08）
+- ✅ **AI 实时工作流事件名友好化补强**：
+  - `getTimeline` 增加事件标签聚合映射（`qc_event_status` + `cachedRules.eventLabels`）
+  - 无标签时采用 `访视(eventId)` 兜底，避免裸露技术 ID
+- ✅ **D1 筛选入选表“不合规条目”友好显示**：
+  - 前端由 `ruleId` 改为优先显示 `ruleName`
+- ✅ **AI 对话“证据为空”结构性兜底**：
+  - 对话编排层改为“只要回答中出现 `证据：` 且无条目，即强制补齐”
+  - 新增项目级 summary 证据抽取（健康度、总受试者、严重/警告问题数、通过率）
+- ⚠️ **当前风险提示**：
+  - 用户反馈“问题仍在”，需在线上运行态做最终复核（可能涉及服务未重启或旧进程实例）
+
 #### ✅ 已完成功能（GCP 业务报表 + AI 时间线 + Bug 修复 - 2026-03-01）
 - ✅ **GCP 标准报表（阶段 A 4 张）**：
   - D1 筛选入选表（getEligibilityReport：record_summary 全量 + qc_field_status D1 叠加）
@@ -796,11 +809,24 @@ npx ts-node src/modules/iit-manager/test-wechat-push.ts
 ### 9.4 开发记录文档
 
 - [V1.1更新完成报告](./06-开发记录/V1.1更新完成报告.md) - 技术方案更新记录
+- [2026-03-08-IIT-CRA-回归修复与发布收口记录](./06-开发记录/2026-03-08-IIT-CRA-回归修复与发布收口记录.md) - 今日收口与发布前状态
 
 ---
 
 ## 🔄 十、更新日志
 
+### 2026-03-08：IIT 回归修复收口（可读性 + AI 证据兜底） ⚙️
+
+**完成内容**：
+- ✅ AI 实时工作流详情事件名增强：数据库标签 + 规则缓存标签 + 可读兜底
+- ✅ D1 受试者逐条判定“不合规条目”改为规则名称优先显示
+- ✅ AI 对话“结论有、证据空”补齐逻辑加强（覆盖项目级问句）
+- ✅ 文档同步：新增当日开发记录，更新模块状态与待部署清单
+
+**状态结论**：
+- 代码侧修复已完成并通过静态检查
+- 仍需部署后结合线上进程状态完成最终验收
+
 ### 2026-01-04：Dify知识库集成完成 - 混合检索实现 ✅
 
 **完成内容**：
diff --git a/docs/03-业务模块/IIT Manager Agent/06-开发记录/2026-03-08-IIT-CRA-回归修复与发布收口记录.md b/docs/03-业务模块/IIT Manager Agent/06-开发记录/2026-03-08-IIT-CRA-回归修复与发布收口记录.md
new file mode 100644
index 00000000..64cc7315
--- /dev/null
+++ b/docs/03-业务模块/IIT Manager Agent/06-开发记录/2026-03-08-IIT-CRA-回归修复与发布收口记录.md	
@@ -0,0 +1,90 @@
+# 2026-03-08 IIT CRA 回归修复与发布收口记录
+
+> 日期：2026-03-08  
+> 范围：IIT Manager Agent（IIT 质控驾驶舱 + 报告与关键事件 + AI 对话助手）  
+> 关联项目：`原发性痛经0302`（projectId: `1d80f270-6a02-4b58-9db3-6af176e91f3c`）
+
+---
+
+## 1. 今日目标
+
+围绕用户反馈的三类问题做回归修复并准备发布收口：
+
+1. AI 实时工作流详情中事件名仍出现技术 ID。  
+2. D1 筛选入选表中“不合规条目”显示 `rule_xxx`，不可读。  
+3. AI 对话助手出现“结论有、证据空”的回答。
+
+---
+
+## 2. 今日已完成变更
+
+### 2.1 AI 实时工作流事件名中文化增强
+
+- 文件：`backend/src/modules/admin/iit-projects/iitQcCockpitController.ts`
+- 变更：
+  - 新增 `buildEventLabelMap()`：聚合 `qc_event_status.event_label`，并兼容 `cachedRules.eventLabels`。
+  - 新增 `fallbackEventLabel()`：无标签时以 `访视(eventId)` 兜底，避免裸技术 ID。
+  - 在 `getTimeline` 组装 issue 时，`eventLabel` 采用“数据库标签 -> 规则缓存标签 -> 友好兜底”的顺序。
+
+### 2.2 D1 不合规条目友好显示
+
+- 文件：`frontend-v2/src/modules/iit/components/reports/EligibilityTable.tsx`
+- 变更：
+  - 前端构建 `ruleId -> ruleName` 映射。
+  - “不合规条目”列改为优先显示规则名称，缺失时才回退 `ruleId`。
+
+### 2.3 AI 对话证据块兜底修复
+
+- 文件：`backend/src/modules/iit-manager/services/ChatOrchestrator.ts`
+- 变更：
+  - 调整证据补齐触发条件：不再仅限“患者类问题”；只要出现 `证据：` 且无明细，就尝试自动补齐。
+  - 扩展证据抽取：支持项目级 summary（`healthScore`、`healthGrade`、`totalRecords`、`criticalIssues`、`warningIssues`、`passRate`）与患者级细节共同兜底。
+
+---
+
+## 3. 结果与现状
+
+### 已确认改善
+
+- 实时工作流详情中的事件名显示链路已具备中文化能力与可读兜底。
+- D1 表格“不合规条目”已由规则 ID 显示改为规则名称优先。
+- AI 对话“证据为空”逻辑已在编排层增加强制补齐策略。
+
+### 仍待现场验证
+
+- 用户最新反馈“问题依然存在”，说明线上/当前运行进程可能仍受以下因素影响：
+  1. 服务进程未重启，旧实例（缓存 orchestrator）未加载新逻辑；
+  2. 生产/测试环境并非本地当前分支镜像；
+  3. 某些对话路径绕过了已补齐分支（需加会话级 trace 验证）。
+
+---
+
+## 4. 根因判断（针对“证据为空”）
+
+本次定位到的核心根因是：
+
+- 旧逻辑把证据补齐限制在“患者类意图”，导致“最新质控报告怎么样”这类项目级问句可能跳过补齐分支；
+- 当 LLM 输出了 `结论 + 证据：` 但未附条目时，前端看到的就是空证据块。
+
+本次已在编排层做“证据头存在即补齐”的保护，属于结构性修复方向。
+
+---
+
+## 5. 待办与明日计划
+
+1. 以线上真实环境复现同一问句：`最新质控报告怎么样？`，抓取完整请求链路日志。  
+2. 在 `ChatOrchestrator` 增加一次性 debug 日志（tool payload 摘要 + 证据补齐命中标记），用于确认分支命中率。  
+3. 对“证据模板”加最低保障：当工具返回成功且 answer 含 `证据：` 时，至少输出 1 条结构化证据（不允许空块）。  
+4. 完成本轮发布后，补一份“AI 问答回归用例清单（项目级/患者级/维度级）”纳入日常回归。
+
+---
+
+## 6. 关联文档
+
+- 技术评审与回归看板：  
+  `docs/03-业务模块/IIT Manager Agent/09-技术评审报告/2026-03-08-IIT-CRA-最小复现项目对账结果-Phase1-原发性痛经0302.md`
+- 模块总览与开发指南：  
+  `docs/03-业务模块/IIT Manager Agent/00-模块当前状态与开发指南.md`
+- 待部署变更清单：  
+  `docs/05-部署文档/03-待部署变更清单.md`
+
diff --git a/docs/03-业务模块/IIT Manager Agent/09-技术评审报告/2026-03-08-IIT-CRA-指标口径与SSOT对照表-Phase0.md b/docs/03-业务模块/IIT Manager Agent/09-技术评审报告/2026-03-08-IIT-CRA-指标口径与SSOT对照表-Phase0.md
new file mode 100644
index 00000000..42e8ec9f
--- /dev/null
+++ b/docs/03-业务模块/IIT Manager Agent/09-技术评审报告/2026-03-08-IIT-CRA-指标口径与SSOT对照表-Phase0.md	
@@ -0,0 +1,141 @@
+# IIT / CRA Agent 指标口径与 SSOT 对照表（Phase 0）
+
+> 文档版本：v1.0  
+> 创建日期：2026-03-08  
+> 适用范围：IIT 业务端大盘 / 报告与关键事件 / AI 实时工作流水 / AI 对话  
+> 目标：先统一“同名指标”的定义和数据源，再进入修复，避免反复打补丁
+
+---
+
+## 1. 背景与问题定义
+
+当前线上/测试反馈的核心不是单点报错，而是同一指标在多个页面口径不一致，例如：
+
+- 大盘通过率与趋势通过率不一致
+- 报告页健康分与大盘健康分不一致
+- 时间线问题数与待处理 eQuery 不一致
+- 报告中 D1/D2/D3D4/D6 与下方维度评分对不上
+
+这些问题在工程上属于**口径漂移（metric drift）**，必须先冻结 SSOT（Single Source of Truth），再排查数据同步、规则执行、前端展示。
+
+---
+
+## 2. 指标分层模型（必须统一）
+
+IIT 指标按 4 层定义，禁止跨层混算：
+
+1. **事实层（Raw Facts）**：REDCap 原始记录与事件数据
+2. **执行层（QC Results）**：`qc_field_status` / `qc_event_status` 的规则执行结果
+3. **聚合层（Project Stats）**：`iit_qc_project_stats`、`iit_record_summary` 的聚合快照
+4. **呈现层（UI/API）**：Dashboard/Reports/AiStream/AiChat
+
+约束：
+
+- 呈现层不允许重新发明计算公式，只消费聚合层或执行层
+- 同一名称指标只能有一个“主口径”
+- 不同用途的指标必须显式命名（例如“按受试者通过率”与“按事件通过率”）
+
+---
+
+## 3. 核心指标 SSOT 对照表（冻结版）
+
+## 3.1 项目健康度与通过率
+
+| 指标名 | 业务定义 | SSOT 来源 | 当前代码入口 | 备注 |
+|---|---|---|---|---|
+| healthScore | 健康度总分（0-100） | `iit_qc_project_stats.health_score` | `iitQcCockpitService.getStats()` | 不允许前端 fallback 推导 |
+| healthGrade | 健康度等级 | `iit_qc_project_stats.health_grade` | `iitQcCockpitService.getStats()` | 同上 |
+| passRate (大盘) | 按受试者通过率 | `passed_records / total_records` | `iitQcCockpitService.getStats()` | 保留 1 位小数 |
+| passRate (趋势) | 按日志条目通过率（旧） | `iit_qc_logs` 分组计算 | `iitQcCockpitController.getTrend()` | 与大盘不是同一口径，必须重命名或替换 |
+
+结论：
+
+- 当前“通过率”至少有两种口径，UI 未标注，必然引发“100% vs 33%”类问题。
+
+## 3.2 D1/D2/D3D4/D6 报表
+
+| 报表 | 业务定义 | SSOT 来源 | 当前查询入口 |
+|---|---|---|---|
+| D1 筛选入选 | 入排规则是否通过 | `qc_field_status`（D1） + `record_summary`（受试者全集） | `iitQcCockpitService.getEligibilityReport()` |
+| D2 完整性 | 缺失字段率 | `qc_field_status`（D2） | `iitQcCockpitService.getCompletenessReport()` |
+| D3/D4 质疑跟踪 | eQuery 生命周期 | `iit_equeries` | `iitQcCockpitService.getEqueryLogReport()` |
+| D6 方案偏离 | 访视超窗等偏离 | `qc_field_status`（D6） | `iitQcCockpitService.getDeviationReport()` |
+
+结论：
+
+- D 类报表与大盘维度评分来自不同聚合路径时，必须明确“时点一致性”（同一批次同一时刻）。
+
+## 3.3 AI 实时工作流水
+
+| 指标 | 业务定义 | SSOT 来源 | 当前入口 | 风险 |
+|---|---|---|---|---|
+| timeline total | 时间线受试者总数 | `qc_field_status` 聚合 + pass 补充 | `iitQcCockpitController.getTimeline()` | 与 eQuery 总数不是同一概念 |
+| red/yellow 问题数 | 每受试者 FAIL/WARNING 汇总 | `qc_field_status` | `getTimeline()` | 应与 field-issues 可对账 |
+| 事件中文名 | event display label | `qc_event_status.event_label` | `getTimeline()` LEFT JOIN | 空值时会回退技术名 |
+
+## 3.4 AI 对话
+
+| 语义工具 | 主要数据源 | 适用问题 | 当前实现 |
+|---|---|---|---|
+| `read_report` | `QcReportService` 缓存报告 | 通过率、问题统计、趋势摘要 | `ToolsService` |
+| `look_up_data` | REDCap 原始数据 | 单患者字段值、原始记录核查 | `ToolsService` |
+| `check_quality` | `QcExecutor` 实时执行 | 用户明确要求“重跑质控” | `ToolsService` |
+| `search_knowledge` | 项目知识库（RAG） | 方案文本、入排标准文本 | `ToolsService` |
+
+结论：
+
+- 对话错误不等于“模型幻觉”，优先排查是否选错工具或工具查询不完整。
+
+---
+
+## 4. 现存口径漂移点（已识别）
+
+1. **趋势口径漂移**  
+   - 趋势接口仍从 `iit_qc_logs` 计算通过率；大盘通过率来自 `iit_qc_project_stats`。  
+   - 导致“卡片 100%，趋势 33%”。
+
+2. **健康分 fallback 风险**  
+   - 大盘前端在 `healthScore` 缺失时回退为 `Math.round(passRate)`。  
+   - 数据未准备好时会把通过率误当健康分，造成“待处理质疑很多但仍 100 分”。
+
+3. **报告缓存时点风险**  
+   - `read_report` 优先读缓存报告（默认有效期 24h），若未及时刷新会滞后于大盘/流水。
+
+4. **“总数”语义混淆**  
+   - 时间线问题数、eQuery 待处理数、D3D4 报表数本质是不同对象，UI 文案未区分。
+
+5. **展示字段名兼容风险**  
+   - 若 `eventLabel/fieldLabel` 空，前端回退技术字段名；用户会误判为“事件名错误”。
+
+---
+
+## 5. 冻结规则（修复期强制执行）
+
+1. 页面上所有“通过率”必须标注口径：
+   - 按受试者（record）
+   - 按事件（record-event）
+   - 按规则检查条目（field-level checks）
+
+2. 健康度评分只允许来自 `healthScoreEngine` 落库结果，不允许前端推算。
+
+3. 报告页、大盘、AI 对话必须显示“统计快照时间”，便于用户识别时点差异。
+
+4. UI 文案新增说明：
+   - “待处理质疑”来自 `iit_equeries`
+   - “时间线问题总数”来自 `qc_field_status`
+
+5. 涉及 D1/D2/D3D4/D6 的变更，必须附带“口径回归测试”记录。
+
+---
+
+## 6. Phase 1 进入条件
+
+满足以下条件后，才进入根因排查与代码修复：
+
+- [ ] 本文“SSOT 对照表”已被团队确认（产品/研发/质控）
+- [ ] 每个页面核心指标已标注口径
+- [ ] 已选定“最小复现项目”与冻结时间窗口
+
+Phase 1 执行手册见：  
+`docs/03-业务模块/IIT Manager Agent/09-技术评审报告/2026-03-08-IIT-CRA-最小复现项目对账执行手册-Phase1.md`
+
diff --git a/docs/03-业务模块/IIT Manager Agent/09-技术评审报告/2026-03-08-IIT-CRA-最小复现项目对账执行手册-Phase1.md b/docs/03-业务模块/IIT Manager Agent/09-技术评审报告/2026-03-08-IIT-CRA-最小复现项目对账执行手册-Phase1.md
new file mode 100644
index 00000000..898bea27
--- /dev/null
+++ b/docs/03-业务模块/IIT Manager Agent/09-技术评审报告/2026-03-08-IIT-CRA-最小复现项目对账执行手册-Phase1.md	
@@ -0,0 +1,225 @@
+# IIT / CRA Agent 最小复现项目对账执行手册（Phase 1）
+
+> 文档版本：v1.0  
+> 创建日期：2026-03-08  
+> 目标：用最小复现项目定位根因，不做盲修  
+> 适用问题：报告与事件不一致、AI 实时流水不一致、AI 对话结论错误
+
+---
+
+## 1. 执行原则
+
+1. **先对账，后修复**：每个异常必须先确认“错在数据、规则、聚合、还是展示”。  
+2. **单项目封闭验证**：只使用“纳入排除标准测试”项目，不混其他项目。  
+3. **同一时间窗口**：所有 API / SQL 在同一时段采样，避免时间漂移。  
+4. **一条问题一条证据链**：必须保留“输入 -> 处理中间态 -> 输出”。
+
+---
+
+## 2. 最小复现项目准备
+
+项目：`纳入排除标准测试`  
+固定对象：
+
+- 患者：`2 / 3 / 4`（至少包含不完整录入与违规样本）
+- 事件：筛选期 + 第一次月经周期结束时（若项目定义如此）
+- 规则：D1/D2/D3/D4/D6 至少各有 1 条命中场景
+
+冻结窗口：
+
+- 执行前停止自动批任务（避免数据持续变化）
+- 手动执行一次“一键全量质控”，记录触发时间 T0
+- 所有采样以 T0 后 1-3 分钟为准
+
+---
+
+## 3. 四层对账流程（按顺序）
+
+## 3.1 事实层（REDCap 是否联通）
+
+目标：确认“源头有数据”。
+
+检查项：
+
+- REDCap 中是否存在目标患者/事件数据
+- `record_summary` 是否包含对应 `record_id`
+- `SyncManager` 最近同步时间是否晚于 T0
+
+判定：
+
+- REDCap 有、平台无 -> 联通/同步问题
+- REDCap 无 -> 上游录入问题，不是质控引擎问题
+
+## 3.2 执行层（规则是否正确执行）
+
+目标：确认“规则判断是否符合临床预期”。
+
+检查项：
+
+- `qc_field_status` 是否有该患者对应 D1/D2/D3/D6 记录
+- `status/severity/message/actual_value/expected_value` 是否合理
+- `qc_event_status` 是否与字段级状态一致
+
+判定：
+
+- 执行结果本身错 -> 规则定义/引擎问题
+- 执行结果正确、展示错 -> 聚合/前端问题
+
+## 3.3 聚合层（报表和大盘是否同口径）
+
+目标：确认“同名指标是否来自同一口径与同一快照”。
+
+检查项：
+
+- 大盘：`getQcCockpitData`  
+- 报告：`getQcReport` / `refreshQcReport`  
+- 趋势：`getTrend`  
+- D1/D2/D3D4/D6：各报表 API
+
+重点看：
+
+- 通过率口径（按受试者 vs 按日志）
+- 健康分是否来自 `healthScore` 真实值
+- 报告缓存是否过期/未刷新
+
+## 3.4 对话层（AI 工具链路是否选对）
+
+目标：确认“AI 回答错误是查询错还是推理错”。
+
+检查项：
+
+- 问题触发了哪个工具（`read_report` / `look_up_data` / `check_quality` / `search_knowledge`）
+- 工具返回数据是否完整（如实验室检查字段是否缺失）
+- 最终回答是否与工具结果一致
+
+判定：
+
+- 工具返回错 -> 数据查询/映射/项目隔离问题
+- 工具返回对、回答错 -> Prompt/回答策略问题
+
+---
+
+## 4. 针对当前三大类问题的定位矩阵
+
+## 4.1 第一大类：报告与关键事件
+
+| 现象 | 优先怀疑 | 第一检查点 |
+|---|---|---|
+| D1/D2/D3D4/D6 与维度评分不一致 | 聚合口径漂移 | `getStats()` vs 各报表 SQL |
+| 质控 0 个受试者 | 执行未落库或 projectId 错 | `qc_field_status` 是否有该项目数据 |
+| 待处理 252 但健康分 100 | 健康分 fallback / 评分权重缺陷 | 前端 `healthScore` fallback、HealthScoreEngine 维度权重 |
+| 上方通过率 100，下方趋势 33 | 趋势口径不同 | `getTrend()` 当前读 `iit_qc_logs` |
+| 质控完成无热力图 | `qc_event_status` 空或事件列构建失败 | `getHeatmapData()` 查询结果 |
+| 执行摘要无信息 | 报告缓存旧 / 生成失败 | `iit_qc_reports` 最新记录 + refresh |
+| 报告分 64 vs 大盘 100 | 报告快照与实时不一致 | `report.generatedAt` vs cockpit now |
+| D1 无数据 | D1 规则缺失或 rule_category 错 | `qc_field_status where D1` |
+| D2 事件数=1 且明细异常 | D2 统计规则/activeEvents定义不清 | `getCompletenessReport()` 的 byRecordEvent |
+| 已回复仍显示 0 | 状态机未推进或统计口径错 | `iit_equeries.status` 分布 |
+| 无“重开质疑”操作 | 前端缺动作入口（后端有状态） | EQueryPage 操作列 |
+
+## 4.2 第二大类：AI 实时工作流水
+
+| 现象 | 优先怀疑 | 第一检查点 |
+|---|---|---|
+| 流水问题总数 444 vs 待处理 252 | 指标对象不同 | 时间线来自 `qc_field_status`，待处理来自 `iit_equeries` |
+| 事件编码生成逻辑不明 | 事件标签映射缺失 | `eventLabel` 来源：`qc_event_status` / fallback |
+| 日期筛选按钮无效 | API 过滤未生效或前端未传 | `getTimeline(date=YYYY-MM-DD)` 返回是否变化 |
+
+## 4.3 第三大类：AI 对话助手
+
+| 现象 | 优先怀疑 | 第一检查点 |
+|---|---|---|
+| 已签署知情显示 0 | 工具选路错误或字段未映射 | `look_up_data` 查询字段覆盖 |
+| 3号患者严重问题被说成无问题 | read_report 缓存滞后或筛选逻辑错 | `QcReportService` 缓存时间与 issue 列表 |
+| 总体通过率异常（分项非0，总体0） | 聚合口径错误 | 报告 summary.passRate 公式 |
+| 查询患者2信息不全 | 工具默认返回字段不完整 | `look_up_data` 默认 data 结构 |
+| 4号患者访视名错误/状态描述偏差 | eventLabel 回退技术ID + 业务叙述模板粗糙 | `eventLabel` 链路与回答模板 |
+
+---
+
+## 5. 执行清单（逐项打勾）
+
+## 5.1 一次完整排查（建议 2-3 小时）
+
+- [ ] 执行 `batch-qc`，记录 T0、返回 `totalRecords/totalEventCombinations/passRate`
+- [ ] 拉取驾驶舱：`qc-cockpit`
+- [ ] 拉取报告：`qc-cockpit/report`（先读缓存，再 refresh）
+- [ ] 拉取趋势：`qc-cockpit/trend`
+- [ ] 拉取时间线：`qc-cockpit/timeline`
+- [ ] 拉取 D1/D2/D3D4/D6 报表
+- [ ] 拉取 `field-issues`（critical + warning）
+- [ ] 拉取 eQuery stats 与 list
+- [ ] 对 5 条 AI 问答样例做工具链路记录
+
+## 5.2 SQL 对账模板（只读）
+
+> 以下为只读核对 SQL，请在测试库或只读会话执行。
+
+```sql
+-- 1) 项目级统计快照
+SELECT project_id, total_records, passed_records, failed_records, warning_records,
+       health_score, health_grade, d1_pass_rate, d2_pass_rate, d3_pass_rate, d5_pass_rate, d6_pass_rate, d7_pass_rate
+FROM iit_schema.qc_project_stats
+WHERE project_id = :project_id;
+```
+
+```sql
+-- 2) 字段级问题总量（SSOT）
+SELECT status, severity, rule_category, COUNT(*) AS cnt
+FROM iit_schema.qc_field_status
+WHERE project_id = :project_id
+GROUP BY status, severity, rule_category
+ORDER BY rule_category, status, severity;
+```
+
+```sql
+-- 3) 事件级状态
+SELECT record_id, event_id, event_label, status, fields_total, fields_passed, fields_failed, fields_warning
+FROM iit_schema.qc_event_status
+WHERE project_id = :project_id
+ORDER BY record_id, event_id;
+```
+
+```sql
+-- 4) eQuery 状态分布
+SELECT status, COUNT(*) AS cnt
+FROM iit_schema.iit_equeries
+WHERE project_id = :project_id
+GROUP BY status
+ORDER BY status;
+```
+
+---
+
+## 6. 修复优先级建议（按风险）
+
+P0（先修）：
+
+1. 通过率口径统一（大盘/趋势/报告明确区分）
+2. 健康分来源统一（禁前端 fallback 推算）
+3. 报告缓存刷新策略（批量质控后强制刷新并透出快照时间）
+4. 时间线与 eQuery 统计文案区分（避免同名误读）
+
+P1（随后）：
+
+1. EQuery “重开”前端操作入口（后端状态机已支持）
+2. D2“活跃事件/缺失字段”定义可视化说明
+3. AI 对话输出模板升级（访视表格化 + 证据引用）
+
+P2（优化）：
+
+1. 工具调用 trace 可视化（问题 -> 工具 -> 结果 -> 回答）
+2. 指标字典落地到接口 schema，前后端共享类型
+
+---
+
+## 7. 本阶段交付物要求
+
+完成 Phase 1 后，必须输出：
+
+1. `问题-根因对照表`（你列出的每条问题都要有结论）  
+2. `证据包`（API 返回 + SQL 结果 + 截图）  
+3. `修复方案分批计划`（P0/P1/P2 + 影响面 + 回归用例）
+
+没有这三项，不进入大规模代码修改。
+
diff --git a/docs/03-业务模块/IIT Manager Agent/09-技术评审报告/2026-03-08-IIT-CRA-最小复现项目对账结果-Phase1-原发性痛经0302.md b/docs/03-业务模块/IIT Manager Agent/09-技术评审报告/2026-03-08-IIT-CRA-最小复现项目对账结果-Phase1-原发性痛经0302.md
new file mode 100644
index 00000000..12d57a04
--- /dev/null
+++ b/docs/03-业务模块/IIT Manager Agent/09-技术评审报告/2026-03-08-IIT-CRA-最小复现项目对账结果-Phase1-原发性痛经0302.md	
@@ -0,0 +1,486 @@
+# IIT / CRA Agent 最小复现项目对账结果（Phase 1）
+
+> 执行日期：2026-03-08  
+> 环境：本地开发环境（backend + postgres docker + local REDCap）  
+> 目标：验证“报告/大盘/流水/对话”异常是否来自 REDCap 联通、规则执行、聚合链路或展示口径。
+
+---
+
+## 1. 本次对账对象
+
+- IIT 项目名称：`原发性痛经0302`
+- IIT 项目 ID：`1d80f270-6a02-4b58-9db3-6af176e91f3c`
+- 项目 REDCap PID：`18`
+- 项目 REDCap URL：`http://localhost:8080`
+- 数据库：`ai_clinical_research`（`ai-clinical-postgres`）
+
+项目映射校验结果：
+
+- `iit_schema.projects` 中存在且唯一：
+  - `id=1d80f270-6a02-4b58-9db3-6af176e91f3c`
+  - `name=原发性痛经0302`
+  - `redcap_project_id=18`
+  - `status=active`
+
+---
+
+## 2. 第一轮 SQL 证据（核心）
+
+### 2.1 聚合结果与原始质控事实明显不一致
+
+- `iit_schema.qc_project_stats`（该项目）：
+  - `total_records=0`
+  - `passed_records=0`
+  - `failed_records=0`
+  - `warning_records=0`
+  - `health_score=82.3`
+  - `d1_pass_rate=41.2`, `d2=100`, `d3=100`, `d5=100`, `d6=69.6`, `d7=100`
+- `iit_schema.record_summary`（该项目）：
+  - `COUNT(DISTINCT record_id)=0`
+- `iit_schema.qc_field_status`（该项目）：
+  - `COUNT(*)=713`
+  - `COUNT(DISTINCT record_id)=12`
+  - 存在 FAIL/WARNING/PASS 混合状态，且 D1/D2/D3/D5/D6 均有数据
+- `iit_schema.qc_event_status`（该项目）：
+  - `COUNT(*)=25`
+- `iit_schema.equery`（该项目）：
+  - `pending=262`
+
+判定：`qc_field_status/qc_event_status/equery` 已有大量有效数据，但 `record_summary` 为空，导致项目级统计口径断裂。
+
+### 2.2 历史项目残留与项目隔离异常迹象
+
+- `record_summary` 总表仅有 14 行，且全部属于旧项目 ID：`test0102-pd-study`
+- 当前项目（UUID）在 `record_summary` 无行
+
+判定：当前项目未建立或未插入 `record_summary` 基础行，后续“仅 UPDATE 的聚合语句”无法生效。
+
+---
+
+## 3. 第一轮 API 证据（核心）
+
+使用管理员账号登录后，调用 `/api/v1/admin/iit-projects/:projectId/...`。
+
+### 3.1 Dashboard / Report / Trend 三口径冲突
+
+- `qc-cockpit` 返回：
+  - `qualityScore=82`
+  - `totalRecords=0`
+  - `passRate=100`
+  - `criticalCount=137`
+  - `queryCount=262`
+- `qc-cockpit/report` 返回：
+  - `totalRecords=0`
+  - `criticalIssues=156`
+  - `warningIssues=284`
+  - `passRate=0`
+- `qc-cockpit/trend` 返回：
+  - 最新点：`total=148`, `passed=48`, `passRate=32`
+
+判定：同一项目同一时间，`passRate` 至少出现 `100 / 0 / 32` 三个版本，属于 P0 级口径漂移。
+
+### 3.2 时间线日期筛选无效（复现）
+
+调用 `qc-cockpit/timeline`：
+
+- 不带日期：`total=12`
+- `startDate=2026-03-01&endDate=2026-03-02`：`total=12`
+- `startDate=2026-03-08&endDate=2026-03-08`：`total=12`
+
+判定：前端传 `startDate/endDate` 未在后端生效，日期筛选失效可稳定复现。
+
+---
+
+## 4. 对话层冒烟（第一轮）
+
+调用 `/api/v1/iit/chat` 的典型问答可得到答复，但存在“解释与口径不稳定”的风险：
+
+- “签署知情人数”问题：答复给出“表单通过数 10/12”，但承认无法直接给出人数。
+- “最新质控报告”问题：引用了健康分、严重问题、警告问题、待处理 eQuery，整体和 `qc_report` 可对齐。
+- “患者访视次数”问题：返回“第2次访视”，但需和 REDCap 事件表进一步逐条对账（Phase 2 再做字段级真值核验）。
+
+判定：对话层主要风险当前不是“工具不可用”，而是上游口径漂移会向下传导。
+
+---
+
+## 5. 根因初判（带代码入口）
+
+### 根因 A（P0）：`record_summary` 聚合是“仅 UPDATE”，无 UPSERT
+
+- 代码入口：`backend/src/modules/iit-manager/engines/QcAggregator.ts`
+- `aggregateRecordSummary()` 当前逻辑：
+  - 只执行 `UPDATE iit_schema.record_summary rs ... FROM agg`
+  - 依赖 `rs` 预先存在
+- 当项目没有预写 `record_summary` 行时：
+  - 聚合更新行数为 0
+  - `HealthScoreEngine.queryRecordStats()` 基于 `record_summary` 得到 `totalRecords=0`
+  - Dashboard/Report 中基于该数据的统计出现“0记录 + 非0问题”的冲突
+
+### 根因 B（P0）：时间线接口参数约定不一致
+
+- 代码入口：`backend/src/modules/admin/iit-projects/iitQcCockpitController.ts`
+- `getTimeline` 仅读取 `query.date`，未处理 `startDate/endDate`
+- 前端使用区间筛选时，后端实际不生效
+
+### 根因 C（P1）：同名指标多来源并行，无统一冻结口径
+
+- `passRate` 在 cockpit/report/trend 来源不一致
+- 导致用户看到“同一页不同值”的信任问题
+
+---
+
+## 6. 与三大类问题的对应关系（第一轮）
+
+- 第一大类（报告/关键事件）：
+  - 已确认强相关于根因 A + 根因 C
+- 第二大类（AI 实时工作流水）：
+  - 已确认日期筛选问题由根因 B 直接导致
+  - 总问题数差异与根因 C 强相关
+- 第三大类（AI 对话助手）：
+  - 目前更像“上游口径漂移传导”而非对话工具不可用
+  - 仍需在 Phase 2 做患者级真值核验
+
+---
+
+## 7. 下一步（建议立即执行）
+
+1. P0 修复 `QcAggregator.aggregateRecordSummary`：改为 UPSERT（或先补齐 record_summary 基础行再 UPDATE）。  
+2. P0 修复 `getTimeline`：支持 `startDate/endDate`，并与 `date` 兼容。  
+3. P0 统一 `passRate` 口径（按 Phase0 SSOT），至少先让 cockpit/report/trend 展示同一主口径。  
+4. 修复后回归本项目 3 个关键断言：
+   - `record_summary` 记录数应为 `12`
+   - Dashboard/Report/Trend 的主通过率在同一时间窗内一致
+   - 时间线区间筛选对 `2026-03-08` 返回 `0`（当前数据下）
+
+---
+
+## 8. 第二轮回归看板（18 问题闭环状态）
+
+> 执行日期：2026-03-08（第二轮）  
+> 结论口径：  
+> - `已闭环`：问题已修复并复测通过  
+> - `部分闭环`：核心问题缓解，但仍有体验/口径尾项  
+> - `未闭环`：仍存在明确缺陷或未完成验证
+
+### 8.1 第一大类：报告与关键事件（11 项）
+
+| # | 问题 | 当前状态 | 证据 / 说明 |
+|---|---|---|---|
+| 1 | D1/D2/D3D4/D6 与维度评分不一致 | **部分闭环** | 主通过率口径已统一；但 D2 的 `eventsChecked=1` 仍需继续核验业务定义。 |
+| 2 | 质控 0 个受试者 | **已闭环** | `record_summary` 已恢复 `12` 条，`qc_project_stats.total_records=12`。 |
+| 3 | 健康分与问题规模冲突（如健康分高但问题多） | **部分闭环** | 评分与问题计数可同时存在（不同公式）；需补“评分解释文案”避免误读。 |
+| 4 | 上方通过率 100 / 下方趋势 33 | **已闭环** | 当前 cockpit/report/trend 均为 `passRate=0`（同一快照）。 |
+| 5 | 质控完成无热力图 | **已闭环** | cockpit 返回 heatmap `rows/columns` 非空。 |
+| 6 | 执行摘要无信息 | **已闭环** | report summary 可稳定返回 `totalRecords/criticalIssues/warningIssues/pendingQueries`。 |
+| 7 | 报告分数 vs 大盘分数冲突 | **部分闭环** | 主指标已一致；健康分展示仍建议增加“更新时间+公式说明”。 |
+| 8 | D1 无数据 | **已闭环** | D1 报表已恢复：`eligible=0, ineligible=11, incomplete=1`。 |
+| 9 | D2 事件数=1、明细异常 | **部分闭环** | 已修复 `eventsChecked=5`（按活跃事件）；同时新增 `d2EventsChecked=1` 标识 D2 覆盖事件数，避免误读。 |
+| 10 | 已回复仍显示 0 | **已闭环** | 已执行 `pending -> responded -> closed(ai_review)` 实流回归，`equeries/stats` 与 D3D4 报表最终一致。 |
+| 11 | 无“重开质疑”操作 | **未闭环** | 前端仍缺 reopen 操作入口（后端状态机支持）。 |
+
+### 8.2 第二大类：AI 实时工作流水（3 项）
+
+| # | 问题 | 当前状态 | 证据 / 说明 |
+|---|---|---|---|
+| 12 | 流水问题总数 vs 待处理总数不一致 | **部分闭环** | 已在口径上解释为“字段问题数 vs eQuery 数”；需在 UI 文案继续强化区分。 |
+| 13 | 事件编码生成逻辑不明 | **部分闭环** | 已补齐后端 `event_id -> event_label` 统一映射（报表/对话可显示“筛选期”等）；仍保留 event_id 作为证据辅助。 |
+| 14 | 日期筛选按钮无效 | **已闭环** | timeline 支持 `startDate/endDate`，`2026-03-01~03-02` 返回 `0`。 |
+
+### 8.3 第三大类：AI 对话助手（5 项）
+
+| # | 问题 | 当前状态 | 证据 / 说明 |
+|---|---|---|---|
+| 15 | 已签署知情显示 0 | **已闭环** | 回归问答返回 `11/12`（签署率 91.7%）。 |
+| 16 | 3号患者被误判为无问题 | **已闭环** | 回归问答已返回“不符合”并列出 rule 证据。 |
+| 17 | 总体通过率答复异常 | **已闭环** | 回归问答返回 `0%`，并给出公式 `passedRecords/totalRecords`。 |
+| 18 | 患者2信息不全 / 患者4访视描述偏差 | **已闭环** | 患者2信息完整度提升；患者4访视描述已优先输出业务事件名（保留 event_id 仅作证据）。 |
+
+---
+
+## 9. 严重未闭环问题（当前 P0/P1）
+
+### P0（必须优先清零）
+
+1. ~~**D2 统计口径残留问题**：`eventsChecked=1` 与多事件现实不一致。~~（已完成：`eventsChecked` 修复 + `d2EventsChecked` 解释字段）  
+2. ~~**“已回复仍为0”缺少场景化回归**：需要构造 responded/reviewing/closed 数据流转验证。~~（已完成：状态流转回归通过）  
+
+### P1（应在下一轮完成）
+
+1. ~~**事件标签可读性**：technical event_id 需稳定映射到 eventLabel（报表 + 对话统一）。~~（已完成第一阶段：后端统一映射，前端显示可读事件名）  
+2. **EQuery 重开操作入口**：前端补 `reopen` 按钮与状态回流。  
+3. **评分解释文案**：健康分与问题数量并存时给出公式与更新时间提示。  
+
+---
+
+## 10. 下一步执行计划（建议）
+
+1. **P0-A：D2 口径修复**  
+   - 明确 activeEvents 定义（按患者真实到访事件）  
+   - 修正 `getCompletenessReport()` 的 `eventsChecked` 计算  
+   - 回归断言：`eventsChecked` 与 `qc_event_status` 的 D2 事件集合一致
+
+2. **P0-B：eQuery 状态流转回归**  
+   - 构造一条 `pending -> responded -> reviewing/closed` 流程  
+   - 验证：eQuery 列表、stats、D3D4 报表、对话回答四处一致
+
+3. **P1：事件标签统一**  
+   - 补全 `event_id -> event_label` 映射策略（优先 metadata，其次兜底格式化）  
+   - 前端与 AI 对话统一使用 `eventLabel`，避免技术 ID 直出
+
+---
+
+## 11. 本轮执行证据（新增）
+
+### 11.1 D2 口径修复结果
+
+- 接口：`GET /api/v1/admin/iit-projects/:projectId/qc-cockpit/report/completeness`
+- 修复后结果：
+  - `eventsChecked=5`（项目活跃事件数）
+  - `d2EventsChecked=1`（D2 当前覆盖事件数）
+  - 受试者样例 `recordId=1`：`activeEvents=5`，`d2CoveredEvents=1`
+
+### 11.2 eQuery 状态流转回归结果
+
+- 操作：选取一条 pending eQuery，调用 `POST /equeries/:id/respond`
+- 实际状态流：
+  - `pending -> responded -> closed (ai_review)`（异步作业触发）
+- 最终一致性（等待异步稳定后）：
+  - `GET /equeries/stats`: `pending=261, closed=1, responded=0`
+  - `GET /qc-cockpit/report/equery-log`: 同步为 `pending=261, closed=1, responded=0`
+
+
+---
+
+## 12. eQuery 专项 P0 修复（2026-03-08 夜间增量）
+
+### 12.1 已落地代码改动
+
+1. **eQuery 生成去重策略升级（后端）**  
+   - 文件：`backend/src/modules/iit-manager/services/DailyQcOrchestrator.ts`  
+   - 从原来的 `recordId + fieldName` 去重，升级为 `recordId + eventId + ruleName` 去重。  
+   - 目的：减少“同一业务问题因不同字段重复建单”（对应问题 9）。
+
+2. **高噪音规则抑制（后端）**  
+   - 文件：`backend/src/modules/iit-manager/services/DailyQcOrchestrator.ts`  
+   - 新增 `shouldSuppressIssue()`，当前先抑制三类已确认噪音：
+     - `不良事件记录与知情同意状态一致性检查`（缺上下文时高频误报）
+     - `所有纳入标准完整性检查` 且实际值为全 `1,1,...` 的错误告警
+     - `访视日期早于知情同意书签署日期` 但两日期相同的误报文本
+
+3. **eQuery 文案可读性增强（后端）**  
+   - 文件：`backend/src/modules/iit-manager/services/DailyQcOrchestrator.ts`  
+   - 新增 `normalizeQueryText()`：
+     - 清理 `(标准: [object Object])`
+     - 去掉 markdown `**` 噪音
+     - 对“入组状态与排除标准冲突检查”改写为业务可读提示语
+
+4. **eQuery 上下文字段补齐（后端）**  
+   - 文件：`backend/src/modules/iit-manager/services/DailyQcOrchestrator.ts`  
+   - 创建 eQuery 时补写 `eventId/formName`，并在 `expectedAction` 中带出事件上下文。  
+   - 目的：缓解“详情中表单/访视点显示不全（-）”。
+
+5. **规则消息层通用序列化修复（后端）**  
+   - 文件：
+     - `backend/src/modules/iit-manager/engines/HardRuleEngine.ts`
+     - `backend/src/modules/iit-manager/engines/SkillRunner.ts`
+   - 新增逻辑字面量与实际值格式化，避免 `expectedValue`/`actualValue` 落成 `[object Object]` 或不可读数组。
+
+6. **eQuery 列表可用性增强（前端）**  
+   - 文件：`frontend-v2/src/modules/iit/pages/EQueryPage.tsx`
+   - 新增：
+     - 质疑序号列
+     - 访视点列（eventId）
+     - 按严重程度过滤
+     - 按受试者号过滤
+     - 前端默认排序：按受试者号升序、同受试者按创建时间降序
+
+### 12.2 状态评估（对应 14 条中的关键项）
+
+- **部分闭环（需复测）**
+  - #4 排序混乱 / 建议增加序号：已实现前端排序+序号
+  - #9 同一目的重复记录：已增强去重键
+  - #10/#14 事件/表单显示不足：新单已补上下文，历史单仍需数据回填
+  - #12 告警文案与全 1 误报：已在派单前抑制
+
+- **仍需继续（下一轮 P0）**
+  - #3/#7/#11 的“规则本体逻辑”仍建议在规则配置层做根因修正（当前先做了派单层防噪）
+  - #5 纳入标准检查覆盖不全：仍需补齐规则集合与事件适用范围
+  - #13 缺少访视定位的业务解释：需在报表与详情页增加 eventLabel 映射显示
+
+### 12.3 第二批 P0（规则执行层护栏）已落地
+
+1. **规则执行层新增业务护栏（HardRuleEngine / SkillRunner 双端一致）**  
+   - 文件：
+     - `backend/src/modules/iit-manager/engines/HardRuleEngine.ts`
+     - `backend/src/modules/iit-manager/engines/SkillRunner.ts`
+   - 新增 `forcePassByBusinessGuard()`，在规则命中前做语义纠偏：
+     - `访视日期早于知情同意书签署日期`：当访视日期 >= 签署日期（含同日）直接判通过  
+     - `SF-MPQ和CMSS评估日期与访视日期不一致`：存在缺失值时不判“不一致”  
+     - `所有纳入标准完整性检查`：实际值全 1 时直接判通过  
+     - `入组状态与排除标准冲突检查`：实际值全 0 时直接判通过
+
+2. **D2 缺失告警事件名可读化**  
+   - 文件：`backend/src/modules/iit-manager/engines/CompletenessEngine.ts`
+   - 告警文案从技术事件码切换为 `eventLabel`（如“筛选期”），减少 `65a64dbbd9_arm_1` 直接暴露。
+
+> 注：以上为执行层兜底，能立即压误报；下一步仍建议在规则配置（skill.config.rules）层做同名规则逻辑重构，避免长期依赖护栏。
+
+### 12.4 同步完成 P1：eQuery 重开入口
+
+- 后端新增 `POST /api/v1/admin/iit-projects/:projectId/equeries/:equeryId/reopen`  
+  - 文件：
+    - `backend/src/modules/admin/iit-projects/iitEqueryService.ts`
+    - `backend/src/modules/admin/iit-projects/iitEqueryController.ts`
+    - `backend/src/modules/admin/iit-projects/iitEqueryRoutes.ts`
+  - 状态流：`closed -> reopened`
+
+- 前端已接入“重开”按钮  
+  - 文件：
+    - `frontend-v2/src/modules/iit/api/iitProjectApi.ts`
+    - `frontend-v2/src/modules/iit/pages/EQueryPage.tsx`
+  - 仅在 `closed` 状态显示“重开”操作，执行后刷新列表。
+
+---
+
+## 13. 执行验证与卡点结论（2026-03-08 晚）
+
+### 13.1 复跑验证结论
+
+- 脚本：`backend/scripts/run_iit_qc_once.ts`
+- 项目：`1d80f270-6a02-4b58-9db3-6af176e91f3c`（原发性痛经0302）
+- 结果（成功）：
+  - `batch.totalRecords=12`
+  - `batch.totalEvents=37`
+  - `batch.fieldStatusWrites=1015`
+  - `orchestrate.pushSent=true`
+  - `orchestrate.equeriesCreated=0`
+
+### 13.2 “卡在哪里”的根因
+
+- 本次并非主流程卡死，`QcExecutor -> DailyQcOrchestrator` 已完整跑通并返回结果。
+- 之前观察到的告警根因是：
+  - 审计日志 SQL 使用了旧列 `action`
+  - 当前表 `iit_schema.audit_logs` 实际列为 `action_type`
+- 已修复后复跑，相关 `audit_logs.action` 报错未再出现。
+
+### 13.3 历史 eQuery 上下文回填结果
+
+- 脚本：`backend/scripts/backfill_equery_context.ts`
+- 回填结果：
+  - `missingBefore=262`
+  - `updatedRows=203`
+  - `missingAfter=59`
+
+### 13.4 剩余 59 条未回填原因
+
+- 脚本：`backend/scripts/analyze_missing_equery_context.ts`
+- 统计：`B_RULE_MATCH_FIELD_MISMATCH = 59`（100%）
+- 含义：
+  - 能匹配到同受试者 + 同规则名
+  - 但匹配不到同字段名（历史 eQuery 以 `exclusion_criteria2/3/4/5` 多字段拆条，现有 `qc_field_status` 粒度/字段记录不一致）
+- 代表样例：`category=入组状态与排除标准冲突检查` 且 `event_id/form_name` 为空。
+
+### 13.5 容错回填（二阶段）执行结果
+
+- 已升级脚本：`backend/scripts/backfill_equery_context.ts`
+  - Phase 1：严格匹配（`record + rule + field`）
+  - Phase 2：容错匹配（`record + rule`，取最近 QC 事件/表单）
+- 本次执行结果：
+  - `missingBefore=59`
+  - `strictUpdatedRows=0`
+  - `relaxedUpdatedRows=59`
+  - `missingAfter=0`
+- 复核脚本：`backend/scripts/analyze_missing_equery_context.ts`
+  - `reasonStats=[]`
+  - `sample=[]`
+  - 结论：历史 eQuery 的 `event_id/form_name` 缺失已清零。
+
+---
+
+## 14. 新增端到端脚本（四流程一体）
+
+- 脚本：`backend/scripts/e2e_iit_full_flow.ts`
+- 运行方式：
+  - `npx tsx scripts/e2e_iit_full_flow.ts 1d80f270-6a02-4b58-9db3-6af176e91f3c`
+  - 可选：`--with-chat`（增加 LLM 问答链路）
+
+### 14.1 覆盖的 4 个流程
+
+1. REDCap 结构与真实数据拉取（metadata/events/form-event/records-by-event）
+2. 规则配置加载与覆盖校验（`qc_process` 活跃规则）
+3. 执行质控与报告编排（`QcExecutor` + `DailyQcOrchestrator`）
+4. 多消费端一致性校验（Cockpit / Report / Tools 的通过率一致）
+
+### 14.2 本次执行结果（通过）
+
+- Stage1_REDCap：通过
+  - `metadata=74`, `events=5`, `formEventMapping=19`, `recordEventRows=37`, `uniqueRecords=12`
+- Stage2_Rules：通过
+  - `ruleCount=79`, `multiFieldRules=29`, `categories={D1,D3,D5,D6}`
+- Stage3_Execution：通过
+  - `totalRecords=12`, `totalEvents=37`, `fieldStatusWrites=1015`
+  - DB：`qc_field_status=713`, `qc_event_status=25`, `record_summary=12`
+- Stage4_Consumption：通过
+  - `reportPassRate=0`, `cockpitPassRate=0`, `toolPassRate=0`（一致）
+
+---
+
+## 15. 元数据驱动护栏落地（去硬编码）
+
+### 15.1 执行内核收敛
+
+- 已完成：`SkillRunner` 的 HARD_RULE 执行改为单路径复用 `HardRuleEngine.executeWithRules()`。
+- 价值：删除重复实现，避免“同一规则两套行为”。
+
+### 15.2 guardType 元数据写回（项目级）
+
+- 脚本：`backend/scripts/suggest_guard_types_for_project.ts`
+- 运行：`npx tsx scripts/suggest_guard_types_for_project.ts 1d80f270-6a02-4b58-9db3-6af176e91f3c --apply`
+- 结果：`updated=5`
+  - `date_not_before_or_equal` ×1
+  - `pass_if_exclusion_all_zero` ×1
+  - `pass_if_all_ones` ×1
+  - `skip_if_any_missing` ×2
+
+### 15.3 回归脚本拆分（职责清晰）
+
+- 引擎机制 smoke：`backend/scripts/regression_hardrule_guards.ts`（可写死样例）
+- 项目动态回归：`backend/scripts/regression_hardrule_guards_by_project.ts`（从 `qc_process` 读取规则）
+- 项目动态回归结果：`skipped=[]`，核心 guard 断言全部通过。
+
+### 15.4 复跑端到端验证
+
+- 脚本：`backend/scripts/e2e_iit_full_flow.ts`
+- 结果：Stage1~Stage4 全部通过（口径一致性维持）。
+- 备注：本次编排阶段 `pushSent=false`（非主流程阻断项），不影响质控执行与报告一致性断言。
+
+---
+
+## 16. 守护门禁与兼容开关（新增）
+
+### 16.1 guardType 门禁脚本
+
+- 新增：`backend/scripts/validate_guard_types_for_project.ts`
+- 用法：
+  - 检查：`npx tsx scripts/validate_guard_types_for_project.ts <projectId>`
+  - 严格失败：`npx tsx scripts/validate_guard_types_for_project.ts <projectId> --strict`
+- 本项目执行结果（strict）：`missingCount=0`, `mismatchCount=0`
+
+### 16.2 E2E 增加严格 guard 覆盖断言
+
+- 脚本：`backend/scripts/e2e_iit_full_flow.ts`
+- 新增参数：
+  - `--strict-guards`
+  - 或环境变量 `E2E_REQUIRE_GUARD_TYPES=1`
+- 严格模式下，Stage2 会校验 guardType 候选规则的覆盖率（未覆盖即 fail）。
+
+### 16.3 兼容兜底可控下线
+
+- 文件：`backend/src/modules/iit-manager/engines/HardRuleEngine.ts`
+- 新增开关：`IIT_GUARD_LEGACY_NAME_FALLBACK`
+  - 默认开启（兼容历史规则名）
+  - 设为 `0` 可关闭规则名兜底，仅按 `metadata.guardType` 生效
+- 目的：支持“先迁移配置，再逐步下线兼容逻辑”的平滑策略。
+
+
+
diff --git a/docs/04-开发规范/13-Cursor防丢失与保存规范.md b/docs/04-开发规范/13-Cursor防丢失与保存规范.md
new file mode 100644
index 00000000..f17ed502
--- /dev/null
+++ b/docs/04-开发规范/13-Cursor防丢失与保存规范.md
@@ -0,0 +1,55 @@
+# Cursor 防丢失与保存规范
+
+> 目的：降低“已编辑但未落盘”的风险，避免文档/代码丢失。  
+> 适用范围：本仓库所有开发成员。
+
+---
+
+## 1. 强制设置（已建议统一）
+
+- 开启自动保存：`files.autoSave = afterDelay`
+- 自动保存延迟：`files.autoSaveDelay = 800`
+- 开启热退出恢复：`files.hotExit = onExitAndWindowClose`
+- 重启自动恢复窗口：`window.restoreWindows = all`
+
+---
+
+## 2. 每日开发最小动作
+
+1. 启动开发前先执行一次 `Ctrl+K S`（全部保存）
+2. 每次运行脚本/切分支前执行一次 `Ctrl+K S`
+3. 每 30-60 分钟做一次本地 checkpoint（Git 提交）
+4. 收工前执行：
+   - `Ctrl+K S`
+   - `git status`
+   - 必要时提交 `WIP`（仅本地）
+
+---
+
+## 3. 文档类文件专项要求
+
+- 长文档编辑时，至少每 10 分钟手动 `Ctrl+S` 一次
+- 批量修改文档后，立即执行 `git status` 确认改动被识别
+- 对关键文档（部署/规范/评审报告）建议单次编辑后立即提交
+
+---
+
+## 4. 故障应急（出现“疑似丢失”时）
+
+1. 先不要继续编辑，先 `Ctrl+K S`
+2. 查看 `git status` 是否有改动痕迹
+3. 查看文件时间戳是否更新
+4. 如果未落盘，优先检查：
+   - 是否在另一个 Cursor 窗口编辑了同名文件
+   - 是否被同步盘/杀毒软件锁文件
+   - 是否发生异常退出（查看恢复提示）
+
+---
+
+## 5. 发布前防丢失检查
+
+- [ ] 所有编辑器标签页已保存
+- [ ] `git status` 与预期一致
+- [ ] 核心文档改动已提交到仓库
+- [ ] 迁移/部署类文档已更新（如适用）
+
diff --git a/docs/05-每日进度/Day21-22-知识库前端开发与问题修复.md b/docs/05-每日进度/Day21-22-知识库前端开发与问题修复.md
new file mode 100644
index 00000000..2999512f
--- /dev/null
+++ b/docs/05-每日进度/Day21-22-知识库前端开发与问题修复.md
@@ -0,0 +1,232 @@
+# Day 21-22：知识库前端开发与问题修复
+
+> **日期：** 2025-10-11  
+> **状态：** ✅ 已完成  
+> **里程碑：** 里程碑1 - Week 3
+
+---
+
+## 📋 任务概述
+
+完成知识库前端页面开发，并解决前后端集成过程中遇到的3个关键问题。
+
+---
+
+## ✅ 完成的功能
+
+### 1. 知识库前端页面（已完成）
+- ✅ 知识库列表页面
+- ✅ 知识库详情页面
+- ✅ 文档上传组件
+- ✅ 文档列表显示
+- ✅ 文档状态管理
+
+---
+
+## 🐛 发现并修复的问题
+
+### 问题1：删除知识库失败 - CORS错误
+
+**现象：**
+```
+Access to XMLHttpRequest at 'http://localhost:3001/api/v1/knowledge-bases/xxx' 
+has been blocked by CORS policy: Method DELETE is not allowed by 
+Access-Control-Allow-Methods in preflight response.
+```
+
+**原因：**
+后端CORS配置不完整，没有明确允许DELETE方法
+
+**修复：**
+```typescript
+// backend/src/index.ts
+await fastify.register(cors, {
+  origin: true,
+  credentials: true,
+  methods: ['GET', 'POST', 'PUT', 'DELETE', 'PATCH', 'OPTIONS', 'HEAD'],
+  allowedHeaders: ['Content-Type', 'Authorization', 'X-Requested-With', 'Accept', 'Origin'],
+  exposedHeaders: ['Content-Range', 'X-Content-Range'],
+  maxAge: 600,
+  preflightContinue: false,
+});
+```
+
+**验收：** ✅ 删除知识库成功，无CORS错误
+
+---
+
+### 问题2：编辑知识库失败 - CORS错误
+
+**现象：**
+```
+Access to XMLHttpRequest at 'http://localhost:3001/api/v1/knowledge-bases/xxx' 
+has been blocked by CORS policy: Method PUT is not allowed by 
+Access-Control-Allow-Methods in preflight response.
+```
+
+**原因：**
+与问题1相同，CORS配置没有明确允许PUT方法
+
+**修复：**
+同上，统一修复CORS配置
+
+**验收：** ✅ 编辑知识库成功，保存正常
+
+---
+
+### 问题3：文件上传无响应
+
+**现象：**
+- 点击上传按钮完全没有反应
+- 前端无错误提示
+- 后端无请求日志
+- 浏览器控制台无日志输出
+
+**排查过程：**
+
+#### 步骤1：添加调试日志
+在前端组件中添加详细的console.log，发现：
+- `beforeUpload` 被调用 ✅
+- `customRequest` 没有被调用 ❌
+
+#### 步骤2：发现浏览器缓存问题
+- 浏览器Sources中显示两个同名文件
+- 实际运行的是旧版本代码
+- 清除缓存后解决
+
+#### 步骤3：发现组件被禁用
+调试日志显示：
+```javascript
+{
+  disabled: true,
+  组件是否被禁用: true
+}
+```
+
+**原因1：** 组件被 `disabled={loading}` 禁用，loading状态一直为true
+
+**修复1：**
+```typescript
+// frontend/src/pages/KnowledgePage.tsx
+<DocumentUpload
+  disabled={false}  // 临时改为false，后续优化loading状态管理
+  ...
+/>
+```
+
+**原因2：** `beforeUpload` 返回 `false` 阻止了 `customRequest` 执行
+
+根据Ant Design Upload组件的机制：
+- `return false` → 完全阻止上传，包括customRequest
+- `return Upload.LIST_IGNORE` → 忽略该文件
+- 不返回任何值（undefined）→ 允许customRequest执行
+
+**修复2：**
+```typescript
+// frontend/src/components/knowledge/DocumentUpload.tsx
+const beforeUpload = (file: File) => {
+  // 验证逻辑...
+  
+  // 不返回任何值，让 customRequest 处理上传
+  // 之前: return false; ❌
+};
+```
+
+**验收：** ✅ 文件上传成功，能看到上传进度，后端正确接收文件
+
+---
+
+## 🔧 技术要点总结
+
+### 1. CORS配置要点
+- 必须明确列出所有需要的HTTP方法
+- 开发环境可以 `origin: true` 允许所有来源
+- 生产环境应该指定具体的域名列表
+- `maxAge` 可以减少preflight请求频率
+
+### 2. Ant Design Upload组件要点
+- `beforeUpload` 返回值决定是否继续上传
+  - `false` 或 `Upload.LIST_IGNORE` → 阻止上传
+  - `undefined`（不返回）→ 允许customRequest
+  - `true` → 默认上传行为（需要action）
+- 使用 `customRequest` 可以完全控制上传逻辑
+- `disabled` 属性会阻止所有交互
+
+### 3. 前端缓存问题处理
+- 开发时遇到代码不更新，优先考虑缓存问题
+- 解决方案：
+  1. 使用无痕模式测试
+  2. 清除浏览器缓存（Ctrl+Shift+Delete）
+  3. 删除 `node_modules/.vite` 和 `dist` 文件夹
+  4. 硬刷新（Ctrl+F5）
+
+### 4. 调试技巧
+- 在关键位置添加console.log
+- 使用浏览器Sources查看实际运行的代码
+- 检查组件状态（props、state）
+- 对比文件内容和浏览器中的代码
+
+---
+
+## 📊 成果物
+
+### 后端
+- `backend/src/index.ts` - 完整的CORS配置
+- `backend/src/controllers/documentController.ts` - 文档上传日志增强
+
+### 前端
+- `frontend/src/pages/KnowledgePage.tsx` - 知识库管理主页面
+- `frontend/src/components/knowledge/DocumentUpload.tsx` - 文档上传组件（已清理调试日志）
+- `frontend/src/components/knowledge/KnowledgeBaseList.tsx` - 知识库列表组件
+- `frontend/src/components/knowledge/DocumentList.tsx` - 文档列表组件
+
+---
+
+## 🎯 下一步计划
+
+### Day 23-24：知识库检索 + @引用功能 ⭐⭐⭐
+这是里程碑1的核心功能！
+
+**任务：**
+1. 实现知识库检索API（调用Dify）
+2. 前端实现 `@知识库` 触发器
+3. 对话中集成知识库检索
+4. AI回答中显示溯源引用
+
+**验收标准：**
+- ✅ 能在对话输入框输入 `@` 触发知识库选择
+- ✅ 选择知识库后能检索相关内容
+- ✅ AI回答包含明确的引用来源（如：`[📄 文献.pdf]`）
+- ✅ 基于知识库的回答质量可接受
+
+---
+
+## 💡 经验教训
+
+### 1. 问题排查要系统化
+- ❌ 不要反复确认"服务是否启动"
+- ✅ 应该分析根本原因：代码逻辑？配置？缓存？
+
+### 2. 缓存问题很常见
+- 前端开发时，缓存是高频问题
+- 建立清除缓存的标准流程
+- 优先使用无痕模式验证
+
+### 3. 添加日志要有策略
+- 关键节点添加日志
+- 完成后及时清理，避免污染
+- 保留error级别的日志
+
+### 4. CORS配置要完整
+- 一次性配置所有可能用到的HTTP方法
+- 避免后续反复修改
+
+---
+
+**文档维护：** 2025-10-11  
+**作者：** AI助手 + 开发者  
+**Git提交：** feat(frontend): Day 21-22 - 知识库前端开发完成，修复3个关键问题
+
+
+
+
diff --git a/docs/05-每日进度/Day23-24-知识库检索与@引用功能完成.md b/docs/05-每日进度/Day23-24-知识库检索与@引用功能完成.md
new file mode 100644
index 00000000..ef1c268b
--- /dev/null
+++ b/docs/05-每日进度/Day23-24-知识库检索与@引用功能完成.md
@@ -0,0 +1,420 @@
+# Day 23-24：知识库检索 + @引用功能完成 ✅
+
+**开发时间**: Day 23-24  
+**开发人员**: AI助手  
+**任务状态**: ✅ 已完成（里程碑1核心功能完成！）
+
+---
+
+## 📋 任务概述
+
+实现对话中引用知识库的完整功能，用户可以通过 `@知识库` 引用已上传的文献，AI基于文献内容进行精准回答。
+
+---
+
+## ✅ 已完成功能
+
+### 1. 知识库检索API（后端）
+**文件**: `backend/src/services/knowledgeBaseService.ts`
+
+- ✅ Day 20已实现Dify检索API集成
+- ✅ 支持语义检索，返回最相关的文档片段
+- ✅ 返回相似度分数，便于质量评估
+
+**API接口**:
+```
+GET /api/v1/knowledge-bases/:id/search?query=骨质疏松&top_k=3
+```
+
+**返回数据**:
+```json
+{
+  "success": true,
+  "data": {
+    "query": { "content": "骨质疏松" },
+    "records": [
+      {
+        "segment": {
+          "id": "xxx",
+          "content": "相关文档内容...",
+          "document_id": "xxx"
+        },
+        "score": 0.85
+      }
+    ]
+  }
+}
+```
+
+---
+
+### 2. 前端@知识库选择器
+**文件**: `frontend/src/pages/AgentChatPage.tsx`
+
+**核心改动**:
+```typescript
+// 1. 引入知识库Store
+import { useKnowledgeBaseStore } from '../stores/useKnowledgeBaseStore'
+
+// 2. 加载知识库列表
+const { knowledgeBases, fetchKnowledgeBases } = useKnowledgeBaseStore()
+
+useEffect(() => {
+  fetchKnowledgeBases()
+}, [])
+
+// 3. 传递给MessageInput组件
+<MessageInput
+  onSend={handleSendMessage}
+  loading={sending}
+  knowledgeBases={knowledgeBases}  // ✅ 知识库列表
+  placeholder={`向${agent.name}提问...`}
+/>
+```
+
+**UI功能**:
+- ✅ 点击"@知识库"按钮弹出下拉菜单
+- ✅ 显示用户所有知识库列表
+- ✅ 支持多选知识库（蓝色标签显示）
+- ✅ 可移除已选择的知识库
+
+---
+
+### 3. 对话集成知识库检索（后端）
+**文件**: `backend/src/services/conversationService.ts`
+
+**核心实现**:
+```typescript
+// 1. 导入知识库服务
+import * as knowledgeBaseService from './knowledgeBaseService.js';
+
+// 2. 发送消息时检索知识库
+if (knowledgeBaseIds && knowledgeBaseIds.length > 0) {
+  const knowledgeResults: string[] = [];
+  
+  // 对每个知识库进行检索
+  for (const kbId of knowledgeBaseIds) {
+    const searchResult = await knowledgeBaseService.searchKnowledgeBase(
+      userId,
+      kbId,
+      content,  // 用户问题作为检索query
+      3         // 每个知识库返回3个最相关段落
+    );
+
+    // 格式化检索结果
+    if (searchResult.records && searchResult.records.length > 0) {
+      const kbInfo = await prisma.knowledgeBase.findUnique({
+        where: { id: kbId },
+        select: { name: true },
+      });
+
+      knowledgeResults.push(
+        `【知识库：${kbInfo?.name || '未命名'}】\n` +
+        searchResult.records
+          .map((record: any, index: number) => {
+            const score = (record.score * 100).toFixed(1);
+            return `${index + 1}. [相关度${score}%] ${record.segment.content}`;
+          })
+          .join('\n\n')
+      );
+    }
+  }
+
+  if (knowledgeResults.length > 0) {
+    knowledgeBaseContext = knowledgeResults.join('\n\n---\n\n');
+  }
+}
+```
+
+**工作流程**:
+1. 用户选择知识库并发送问题
+2. 后端对每个知识库调用Dify检索API
+3. 获取最相关的文档片段（top_k=3）
+4. 格式化检索结果（包含知识库名称和相关度）
+5. 将检索结果注入到LLM上下文
+6. LLM基于文献内容生成回答
+
+---
+
+### 4. 上下文组装优化
+**文件**: `backend/src/services/conversationService.ts` - `assembleContext()`
+
+**智能上下文注入**:
+```typescript
+// 第一条消息：使用完整模板（包含项目背景 + 知识库上下文）
+if (isFirstMessage) {
+  userPromptContent = agentService.renderUserPrompt(agentId, {
+    projectBackground,
+    userInput,
+    knowledgeBaseContext,
+  });
+} 
+// 后续消息：只发送用户输入 + 知识库上下文
+else {
+  if (knowledgeBaseContext) {
+    userPromptContent = `${userInput}\n\n## 参考文献（来自知识库）\n${knowledgeBaseContext}`;
+  } else {
+    userPromptContent = userInput;
+  }
+}
+```
+
+**优势**:
+- ✅ 节省token消耗（避免重复发送项目背景）
+- ✅ 动态注入知识库内容（只在需要时添加）
+- ✅ 保持对话上下文连贯性
+
+---
+
+## 🔄 完整工作流程
+
+```
+用户操作流程:
+1. 进入智能体对话页面
+2. 点击"@知识库"按钮
+3. 选择一个或多个知识库
+4. 输入问题（如"AI在临床研究中有哪些应用？"）
+5. 点击发送
+
+系统处理流程:
+[前端] 发送消息 + knowledgeBaseIds[]
+    ↓
+[后端] 接收消息请求
+    ↓
+[后端] 对每个知识库调用Dify检索API
+    ↓
+[Dify] 语义检索返回最相关文档片段
+    ↓
+[后端] 格式化检索结果（知识库名 + 相关度 + 内容）
+    ↓
+[后端] 组装上下文：系统提示 + 历史消息 + 用户问题 + 文献内容
+    ↓
+[LLM] DeepSeek-V3基于文献生成回答
+    ↓
+[后端] 流式返回AI回答
+    ↓
+[前端] 实时显示流式输出
+```
+
+---
+
+## 🎯 核心技术亮点
+
+### 1. RAG（检索增强生成）完整实现
+- ✅ 用户问题 → 语义检索 → 相关文档 → LLM生成
+- ✅ 提高AI回答的准确性和可信度
+- ✅ 支持引用来源追溯
+
+### 2. 多知识库联合检索
+- ✅ 支持同时选择多个知识库
+- ✅ 分别检索后合并结果
+- ✅ 标注知识库来源
+
+### 3. 相关度评分展示
+- ✅ Dify返回0-1的相似度分数
+- ✅ 转换为百分比展示（如"相关度85.3%"）
+- ✅ 帮助用户评估引用质量
+
+### 4. 错误容错机制
+- ✅ 单个知识库检索失败不影响其他知识库
+- ✅ 检索失败不阻断对话（降级为无文献回答）
+- ✅ 详细的错误日志记录
+
+---
+
+## 📊 数据流示例
+
+**用户输入**:
+```
+问题: "AI在临床研究中有哪些应用？"
+选择知识库: ["我的研究文献"]
+```
+
+**检索结果（注入LLM上下文）**:
+```
+## 参考文献（来自知识库）
+
+【知识库：我的研究文献】
+
+1. [相关度92.3%] AI临床研究文献解决方案主要包括以下几个方向：
+   - 智能诊断：利用深度学习分析医学影像...
+   - 药物研发：通过AI预测药物分子结构...
+   
+2. [相关度87.5%] 在临床试验设计中，AI可以优化患者招募...
+
+3. [相关度81.2%] AI辅助的临床决策支持系统能够...
+```
+
+**LLM回答**（基于检索内容）:
+```
+根据您上传的文献，AI在临床研究中主要有以下应用：
+
+1. **智能诊断**: 利用深度学习分析医学影像，可以提高诊断准确率...
+2. **药物研发**: 通过AI预测药物分子结构，加速新药研发...
+3. **临床试验优化**: AI可以优化患者招募流程...
+...
+
+📄 以上内容来自您的知识库"我的研究文献"
+```
+
+---
+
+## 🧪 测试建议
+
+### 1. 基础功能测试
+- [ ] 点击"@知识库"能否正常显示知识库列表
+- [ ] 选择知识库后是否出现蓝色标签
+- [ ] 能否移除已选择的知识库
+- [ ] 发送消息后AI是否基于文献回答
+
+### 2. 多知识库测试
+- [ ] 同时选择2-3个知识库
+- [ ] 验证AI回答是否整合多个来源
+
+### 3. 相关性测试
+- [ ] 问与文献相关的问题（应精准回答）
+- [ ] 问与文献无关的问题（应说明文献中无相关内容）
+
+### 4. 边界情况测试
+- [ ] 知识库为空时的处理
+- [ ] 不选择知识库的普通对话
+- [ ] 检索失败时的降级处理
+
+---
+
+## 📁 涉及文件清单
+
+### 后端修改
+- `backend/src/services/conversationService.ts` - 集成知识库检索
+  - 添加 `knowledgeBaseService` 导入
+  - 实现检索逻辑（流式和非流式）
+  - 格式化检索结果注入上下文
+
+### 前端修改
+- `frontend/src/pages/AgentChatPage.tsx` - 加载知识库列表
+  - 引入 `useKnowledgeBaseStore`
+  - 添加 `fetchKnowledgeBases()` 调用
+  - 传递 `knowledgeBases` 给 `MessageInput`
+
+### 前端已有组件（Day 18-19已实现）
+- `frontend/src/components/chat/MessageInput.tsx` - @知识库UI
+- `frontend/src/stores/useKnowledgeBaseStore.ts` - 知识库状态管理
+
+---
+
+## 🎉 里程碑1 - 完成度评估
+
+### ✅ 已完成核心功能（100%）
+1. ✅ 用户认证与项目管理
+2. ✅ 12个AI智能体配置与调用
+3. ✅ 多轮对话上下文管理
+4. ✅ 流式输出（打字机效果）
+5. ✅ 模型切换（DeepSeek-V3/Qwen3-72b/Gemini-Pro）
+6. ✅ 个人知识库管理（创建/上传/删除）
+7. ✅ @知识库检索与RAG集成 ⭐ **今日完成**
+
+### 🚀 下一步工作
+
+**里程碑2预览**（预计2-3天）:
+1. 项目协作功能（成员管理、权限控制）
+2. 对话历史管理（查看、搜索、导出）
+3. AI回答评价与反馈
+4. 引用溯源优化（点击引用查看原文）
+
+---
+
+## 💡 技术收获
+
+### 1. RAG系统设计经验
+- 检索质量直接影响AI回答质量
+- top_k参数需要平衡相关性和上下文长度
+- 多知识库检索需要合并策略
+
+### 2. LLM上下文管理
+- 第一条消息注入完整背景
+- 后续消息动态添加知识库内容
+- 控制token消耗同时保持连贯性
+
+### 3. 错误处理最佳实践
+- 外部API调用必须有容错
+- 降级策略保证基础功能可用
+- 详细日志便于问题排查
+
+---
+
+## 📝 用户测试指南
+
+### 前置条件
+1. 确保Dify服务运行正常
+2. 已创建知识库并上传至少1个文档
+3. 文档已完成索引（Dify后台显示"已完成"）
+
+### 测试步骤
+
+**Step 1: 清空浏览器缓存**
+```
+1. 按 Ctrl+F5 硬刷新页面
+2. 或使用无痕模式访问 http://localhost:3000
+```
+
+**Step 2: 进入对话页面**
+```
+1. 访问首页
+2. 选择任意智能体（推荐"话题评估专家"）
+```
+
+**Step 3: 使用@知识库**
+```
+1. 点击输入框下方的"@知识库"按钮
+2. 从下拉菜单选择知识库（如"我的研究文献"）
+3. 看到蓝色标签显示已选择
+4. 输入问题，例如：
+   - "AI在临床研究中有哪些应用？"
+   - "这篇文献的主要结论是什么？"
+   - "请总结文献中的研究方法"
+5. 点击发送
+```
+
+**Step 4: 观察AI回答**
+```
+✅ 正常情况：
+- AI回答与文档内容高度相关
+- 引用文档中的具体信息
+- 回答比不@知识库更精准
+
+❌ 异常情况请反馈：
+- AI回答完全不相关
+- 提示"检索失败"
+- 页面报错
+```
+
+**Step 5: 查看后端日志**
+```
+后端控制台应能看到：
+- 检索知识库的日志
+- 返回的相关文档数量
+```
+
+---
+
+## 🐛 已知问题
+
+无
+
+---
+
+## 🔗 相关文档
+
+- [Day 18: Dify部署完成](./Day18-Dify部署完成.md)
+- [Day 19-20: 知识库API完成](./Day19-20-知识库API完成.md)
+- [Day 21-22: 知识库前端开发与问题修复](./Day21-22-知识库前端开发与问题修复.md)
+- [产品需求文档](../00-项目概述/产品需求文档\(PRD\).md)
+- [开发里程碑](../04-开发计划/开发里程碑.md)
+
+---
+
+**文档创建时间**: 2025-10-11  
+**最后更新**: 2025-10-11
+
+
+
diff --git a/docs/05-每日进度/Day25-智能问答功能完成.md b/docs/05-每日进度/Day25-智能问答功能完成.md
new file mode 100644
index 00000000..95a43cad
--- /dev/null
+++ b/docs/05-每日进度/Day25-智能问答功能完成.md
@@ -0,0 +1,598 @@
+# Day 25：智能问答功能完成 ✅
+
+**开发时间**: Day 25  
+**开发人员**: AI助手  
+**任务状态**: ✅ 已完成
+
+---
+
+## 📋 任务概述
+
+实现无项目、无智能体概念的纯AI对话功能，支持可选的@知识库引用。用户可以像在ChatGPT官网一样自由对话，同时可以通过@知识库引用个人文献获得更精准的回答。
+
+---
+
+## ✅ 已完成功能
+
+### 1. 数据库Schema扩展
+
+**文件**: `backend/prisma/schema.prisma`
+
+新增两个数据表：
+
+#### GeneralConversation（通用对话表）
+```prisma
+model GeneralConversation {
+  id            String   @id @default(uuid())
+  userId        String   @map("user_id")
+  title         String
+  modelName     String?  @map("model_name")
+  createdAt     DateTime @default(now()) @map("created_at")
+  updatedAt     DateTime @default(now()) @updatedAt @map("updated_at")
+  deletedAt     DateTime? @map("deleted_at")
+  
+  user          User     @relation(fields: [userId], references: [id], onDelete: Cascade)
+  messages      GeneralMessage[]
+}
+```
+
+#### GeneralMessage（通用消息表）
+```prisma
+model GeneralMessage {
+  id             String   @id @default(uuid())
+  conversationId String   @map("conversation_id")
+  role           String
+  content        String   @db.Text
+  model          String?
+  metadata       Json?
+  tokens         Int?
+  createdAt      DateTime @default(now()) @map("created_at")
+  
+  conversation   GeneralConversation @relation(...)
+}
+```
+
+**特点**：
+- ✅ 与项目对话完全独立
+- ✅ 不依赖智能体配置
+- ✅ 支持元数据存储（如知识库IDs）
+
+---
+
+### 2. 后端API实现
+
+**文件**: `backend/src/controllers/chatController.ts`
+
+#### API接口列表
+
+| 接口 | 方法 | 功能 | 参数 |
+|------|------|------|------|
+| `/api/v1/chat/stream` | POST | 发送消息（流式） | content, modelType, knowledgeBaseIds?, conversationId? |
+| `/api/v1/chat/conversations` | GET | 获取对话列表 | - |
+| `/api/v1/chat/conversations/:id` | DELETE | 删除对话 | id |
+
+#### 核心实现逻辑
+
+```typescript
+async sendMessageStream(request, reply) {
+  // 1. 获取或创建对话（无需项目/智能体）
+  if (conversationId) {
+    // 续接已有对话
+  } else {
+    // 创建新对话
+    conversation = await prisma.generalConversation.create({
+      userId,
+      title: content.substring(0, 50),
+      modelName: modelType,
+    });
+  }
+
+  // 2. 检索知识库（如果有）
+  if (knowledgeBaseIds && knowledgeBaseIds.length > 0) {
+    for (const kbId of knowledgeBaseIds) {
+      const searchResult = await knowledgeBaseService.searchKnowledgeBase(
+        userId, kbId, content, 3
+      );
+      // 格式化检索结果
+      knowledgeBaseContext += formatResults(searchResult);
+    }
+  }
+
+  // 3. 组装上下文（极简）
+  const messages = [
+    { role: 'system', content: '你是一个专业、友好的AI助手...' },
+    ...historyMessages,  // 最近20条
+    { 
+      role: 'user', 
+      content: knowledgeBaseContext 
+        ? `${content}\n\n## 参考资料\n${knowledgeBaseContext}`
+        : content
+    }
+  ];
+
+  // 4. 流式调用LLM
+  for await (const chunk of adapter.chatStream(messages)) {
+    reply.raw.write(`data: ${JSON.stringify(chunk)}\n\n`);
+  }
+
+  // 5. 保存消息到数据库
+}
+```
+
+**特点**：
+- ✅ 无需agentId和projectId
+- ✅ 自动管理对话历史
+- ✅ 集成知识库检索
+- ✅ 极简的System Prompt
+
+---
+
+### 3. 前端页面实现
+
+**文件**: `frontend/src/pages/ChatPage.tsx`
+
+**核心特性**：
+- ✅ 完全独立的对话页面
+- ✅ 复用现有组件（MessageList, MessageInput, ModelSelector）
+- ✅ 支持@知识库功能
+- ✅ 自动创建和续接对话
+
+**页面结构**：
+```tsx
+<ChatPage>
+  <Header>
+    💬 智能问答 | [模型选择器]
+  </Header>
+  
+  <MessageArea>
+    {messages.length === 0 ? (
+      <EmptyState>
+        💬 与AI自由对话
+        直接提问，或使用@知识库引用文献
+      </EmptyState>
+    ) : (
+      <MessageList />
+    )}
+  </MessageArea>
+  
+  <MessageInput 
+    knowledgeBases={knowledgeBases}
+    onSend={(content, kbIds) => sendMessage(...)}
+  />
+</ChatPage>
+```
+
+---
+
+### 4. 前端API封装
+
+**文件**: `frontend/src/api/chatApi.ts`
+
+**接口方法**：
+```typescript
+// 发送消息（流式）
+sendMessageStream(
+  data: {
+    content: string,
+    modelType: string,
+    knowledgeBaseIds?: string[],
+    conversationId?: string
+  },
+  onChunk: (content) => void,
+  onComplete: (conversationId) => void,
+  onError: (error) => void
+)
+
+// 获取对话列表
+getConversations(): Promise<GeneralConversation[]>
+
+// 删除对话
+deleteConversation(id: string): Promise<void>
+```
+
+---
+
+### 5. 路由和导航
+
+**修改文件**：
+- `frontend/src/App.tsx` - 添加 `/chat` 路由
+- `frontend/src/layouts/MainLayout.tsx` - 添加"智能问答"菜单项
+
+**导航顺序**：
+1. 🏠 首页
+2. 💬 **智能问答** ⭐ 新增
+3. 🧪 智能体
+4. 📁 知识库管理
+5. 📜 历史记录
+
+---
+
+## 🔄 完整工作流程
+
+### 场景1：纯对话（无知识库）
+
+```
+用户访问 /chat
+    ↓
+空白对话界面
+    ↓
+输入："介绍一下自己"
+    ↓
+[后端] 创建新对话
+    ↓
+[后端] 组装上下文：
+  - System Prompt: "你是一个专业的AI助手"
+  - User: "介绍一下自己"
+    ↓
+[LLM] DeepSeek-V3 回答
+    ↓
+[前端] 流式显示回答
+```
+
+### 场景2：基于知识库对话
+
+```
+用户访问 /chat
+    ↓
+点击 @知识库 → 选择"骨质疏松知识库"
+    ↓
+输入："这个知识库讲的是什么？"
+    ↓
+[后端] 调用Dify检索API
+    ↓
+[后端] 检索到3条相关文档片段
+    ↓
+[后端] 组装上下文：
+  - System Prompt
+  - User: "这个知识库讲的是什么？"
+  - 参考资料: 【知识库：骨质疏松知识库】...
+    ↓
+[LLM] 基于文档内容回答
+    ↓
+[前端] 显示基于文献的精准回答
+```
+
+---
+
+## 🎯 技术亮点
+
+### 1. 极简架构
+- 无需项目背景
+- 无需智能体配置
+- 直达核心：用户 ↔ AI ↔ 知识库
+
+### 2. 灵活的知识库集成
+- 完全可选（不@知识库 = 纯对话）
+- 多知识库支持（同时选择多个）
+- 实时检索（每次发送时检索最新内容）
+
+### 3. 代码复用率高
+- ✅ 复用 MessageList 组件
+- ✅ 复用 MessageInput 组件
+- ✅ 复用 ModelSelector 组件
+- ✅ 复用 knowledgeBaseService
+- ✅ 复用 LLM适配器
+
+### 4. 独立的数据隔离
+- 通用对话存储在独立的表
+- 不影响项目对话数据
+- 便于后续统计和分析
+
+---
+
+## 📊 数据流示例
+
+**请求示例**：
+```json
+POST /api/v1/chat/stream
+{
+  "content": "这个知识库讲的是什么？",
+  "modelType": "deepseek-v3",
+  "knowledgeBaseIds": ["7d1e08ae-7a40-4e62-8654-bb631dc47293"]
+}
+```
+
+**知识库检索**：
+```
+🔍 检索 → Dify API
+    ↓
+返回3条记录（相关度50.8%, 46.3%, 43.9%）
+    ↓
+格式化:
+【知识库：骨质疏松知识库】
+1. [相关度50.8%] 文档上传与处理：支持在知识库...
+2. [相关度46.3%] AI科研助手产品需求文档(PRD)
+3. [相关度43.9%] 知识库融合对话功能...
+```
+
+**发送给LLM**：
+```
+System: 你是一个专业、友好的AI助手...
+
+User: 这个知识库讲的是什么？
+
+## 参考资料（来自知识库）
+【知识库：骨质疏松知识库】
+1. [相关度50.8%] 文档上传与处理...
+...
+```
+
+**AI回答**：
+```
+根据您的知识库内容，这是一份关于"AI科研助手"的产品需求文档(PRD)。
+
+主要内容包括：
+1. 文档管理功能...
+2. 知识库融合对话功能...
+...
+
+【文献来源】骨质疏松知识库
+```
+
+---
+
+## 🐛 已知问题
+
+### 1. 问题描述不当导致检索质量差
+**现象**：问"这个文档里有什么？"检索到的内容相关度低
+
+**原因**：
+- 问题太宽泛，语义模糊
+- Dify检索需要具体的关键词或概念
+
+**建议**：
+- 使用具体问题："骨质疏松的治疗方法有哪些？"
+- 使用文档中的关键词提问
+
+### 2. 英文文档 vs 中文问题
+**现象**：阿尔兹海默症知识库检索到英文片段
+
+**原因**：
+- 文档是英文的
+- 中文问题匹配度相对较低
+
+**建议**：
+- 使用英文提问
+- 或者在问题中包含文档中的专业术语
+
+---
+
+## 📁 涉及文件清单
+
+### 后端新增
+- `backend/src/controllers/chatController.ts` - 通用对话Controller
+- `backend/src/routes/chatRoutes.ts` - 通用对话路由
+- `backend/prisma/schema.prisma` - 新增通用对话表
+- `backend/migrations/add_general_chat.sql` - 数据库迁移SQL
+
+### 后端修改
+- `backend/src/index.ts` - 注册chatRoutes
+
+### 前端新增
+- `frontend/src/pages/ChatPage.tsx` - 智能问答页面
+- `frontend/src/api/chatApi.ts` - 通用对话API封装
+
+### 前端修改
+- `frontend/src/App.tsx` - 添加 /chat 路由
+- `frontend/src/layouts/MainLayout.tsx` - 添加"智能问答"菜单项
+
+---
+
+## 🧪 测试验证
+
+### ✅ 已验证功能
+
+1. **纯对话功能**
+   - ✅ 无需项目/智能体
+   - ✅ 直接与AI对话
+   - ✅ 流式输出正常
+   - ✅ 模型切换正常
+
+2. **@知识库功能**
+   - ✅ 下拉菜单选择知识库
+   - ✅ 检索功能正常（调用Dify API）
+   - ✅ 知识库内容成功注入到AI上下文
+   - ✅ AI基于知识库内容回答
+
+3. **对话历史**
+   - ✅ 自动创建对话
+   - ✅ 续接已有对话
+   - ✅ 上下文连贯（最近20条消息）
+
+---
+
+## 🎯 关键技术实现
+
+### 1. 无依赖的对话架构
+
+**传统模式（项目对话）**：
+```
+用户 → 选择项目 → 选择智能体 → 对话
+依赖：projectId + agentId
+```
+
+**智能问答模式**：
+```
+用户 → 对话
+依赖：无
+```
+
+### 2. 知识库检索集成
+
+```typescript
+// 检索知识库
+if (knowledgeBaseIds && knowledgeBaseIds.length > 0) {
+  for (const kbId of knowledgeBaseIds) {
+    const searchResult = await knowledgeBaseService.searchKnowledgeBase(
+      userId, kbId, content, 3
+    );
+    // 格式化并追加到上下文
+  }
+}
+
+// 组装最终Prompt
+const userContent = knowledgeBaseContext
+  ? `${content}\n\n## 参考资料（来自知识库）\n${knowledgeBaseContext}`
+  : content;
+```
+
+### 3. 对话续接机制
+
+**首次发送**：
+```json
+{ "content": "你好", "modelType": "deepseek-v3" }
+→ 创建新对话，返回 conversationId
+```
+
+**后续发送**：
+```json
+{ 
+  "content": "继续聊",
+  "modelType": "deepseek-v3",
+  "conversationId": "xxx"
+}
+→ 续接对话，加载历史消息
+```
+
+---
+
+## 💡 设计亮点
+
+### 1. 用户体验优化
+
+**问题**：传统智能体模式需要选择项目和智能体，流程复杂
+**解决**：智能问答直达对话，0步骤开始
+
+**问题**：用户可能不知道如何使用知识库
+**解决**：@知识库完全可选，不影响基础使用
+
+### 2. 架构清晰性
+
+```
+应用架构：
+┌─────────────────────────┐
+│ 项目-智能体模式          │
+│ - 结构化的研究流程      │
+│ - 专业领域AI            │
+│ - 项目背景上下文        │
+└─────────────────────────┘
+
+┌─────────────────────────┐
+│ 智能问答模式            │
+│ - 自由对话              │
+│ - 通用AI助手            │
+│ - 可选知识库辅助        │
+└─────────────────────────┘
+```
+
+两种模式互不干扰，满足不同场景需求。
+
+### 3. 代码复用率
+
+**新增代码**：~400行
+**复用代码**：~2000行（组件、服务、适配器）
+**复用率**：83%
+
+---
+
+## 📝 用户使用指南
+
+### 快速开始
+
+1. 访问 `http://localhost:3000`
+2. 点击左侧导航"💬 智能问答"
+3. 输入问题，开始对话
+
+### 使用@知识库
+
+1. 点击输入框下方的"@知识库"按钮
+2. 选择一个或多个知识库
+3. 输入问题（建议具体问题，如："治疗方法有哪些？"）
+4. 点击发送
+5. AI会基于知识库内容回答
+
+### 最佳实践
+
+**✅ 推荐的问题类型**：
+- 具体问题："骨质疏松的病因是什么？"
+- 概念解释："什么是阿尔兹海默症？"
+- 信息提取："文献中提到了哪些治疗方法？"
+
+**❌ 不推荐的问题**：
+- 太宽泛："这个文档有什么？"（检索效果差）
+- 无关问题："今天天气怎么样？"（浪费检索资源）
+
+---
+
+## 🔗 与Day 23-24的关系
+
+**Day 23-24**：在项目智能体对话中实现@知识库
+- ✅ 功能完整
+- ⚠️ 但受限于智能体角色（如"选题评价"会忽略知识库内容）
+
+**Day 25**：独立的智能问答
+- ✅ 无角色限制
+- ✅ 专注于基于知识库回答问题
+- ✅ 提供最纯粹的测试环境
+
+---
+
+## 🎉 里程碑1 - 100%完成！
+
+### 核心功能清单
+
+1. ✅ 用户认证与项目管理
+2. ✅ 12个AI智能体配置与调用
+3. ✅ 多轮对话上下文管理
+4. ✅ 流式输出（打字机效果）
+5. ✅ 模型切换（DeepSeek-V3/Qwen3/Gemini）
+6. ✅ 个人知识库管理
+7. ✅ @知识库检索与RAG集成（Day 23-24）
+8. ✅ **智能问答功能**（Day 25）⭐ 今日完成
+
+---
+
+## 🚀 下一步规划
+
+### 里程碑2预览（预计3-4天）
+
+1. **对话历史增强**
+   - 对话列表展示
+   - 搜索和筛选
+   - 导出为Markdown
+
+2. **引用溯源优化**
+   - 点击引用查看原文
+   - 高亮显示相关片段
+   - 文档来源追踪
+
+3. **项目协作功能**
+   - 成员管理
+   - 权限控制
+   - 共享知识库
+
+---
+
+## 📊 技术收获
+
+### 1. 架构设计
+- 通过"通用对话"补充"项目对话"的不足
+- 两种模式并存，互不干扰
+- 代码高度复用
+
+### 2. API设计
+- RESTful风格
+- 可选参数灵活性（conversationId?, knowledgeBaseIds?）
+- 流式输出性能优化
+
+### 3. 前端组件化
+- MessageList、MessageInput高度解耦
+- 易于在不同场景复用
+- Props设计合理
+
+---
+
+**文档创建时间**: 2025-10-11  
+**最后更新**: 2025-10-11
+
+
diff --git a/docs/05-部署文档/03-待部署变更清单.md b/docs/05-部署文档/03-待部署变更清单.md
index c899cf46..488eed15 100644
--- a/docs/05-部署文档/03-待部署变更清单.md
+++ b/docs/05-部署文档/03-待部署变更清单.md
@@ -20,6 +20,7 @@
 | DB-3 | ReviewTask 表新增 `error_details` JSONB 字段（存储 Skill 级失败详情） | `prisma/migrations/20260307_add_error_details_to_review_task/migration.sql` | 高 | 支持 partial_completed 状态，记录每个失败/超时 Skill 的名称和原因 |
 | DB-4 | SSA execution_mode 默认值改为 `agent` + 已有 session 全部更新 | `prisma/migrations/20260308_default_agent_mode/migration.sql` | 高 | ALTER DEFAULT + UPDATE 旧数据；QPER UI 入口已移除 |
 | DB-5 | SSA Agent Prompt 种子数据（SSA_AGENT_PLANNER / SSA_AGENT_CODER） | `prisma/seed-ssa-agent-prompts.ts` | 高 | 部署后执行 `npx tsx prisma/seed-ssa-agent-prompts.ts`；幂等可重复执行 |
+| DB-6 | IIT eQuery open 集合去重护栏（历史收敛 + open 唯一索引） | `prisma/migrations/20260308_add_iit_equery_open_dedupe_guard/migration.sql` | 高 | 先自动将历史重复 open eQuery 收敛为 `auto_closed`，再建立部分唯一索引防止未来重复 |
 
 ### 后端变更 (Node.js)
 
@@ -35,6 +36,8 @@
 | BE-8 | SSA Agent 通道体验优化（方案 B 左右职责分离 + 10 项 Bug 修复） | `ChatHandlerService.ts`, `AgentCoderService.ts`, `chat.routes.ts` | 重新构建镜像 | 视线牵引 Prompt + maxTokens 8000 + 重试流式生成 + consoleOutput 类型防御 + Prompt 铁律 + parseCode 健壮化 |
 | BE-9 | Phase 5A：CoderAgent 防错护栏（4 项改动） | `AgentCoderService.ts`, `TokenTruncationService.ts`, `chat.routes.ts` | 重新构建镜像 | XML 标签提取 + 防御性编程 Prompt + 高保真 Schema 注入 + token 配额 2500 + 后端强制 Agent 模式 |
 | BE-10 | SSA Agent 核心 Prompt 接入运营管理端（PlannerAgent + CoderAgent） | `AgentPlannerService.ts`, `AgentCoderService.ts`, `prompt.fallbacks.ts` | 重新构建镜像 | 硬编码 → `PromptService.get()` 动态加载；三级容灾：DB → 缓存 → fallback；需先完成 DB-5 |
+| BE-11 | IIT eQuery 幂等写入 + 安全去重工具脚本 | `iitEqueryService.ts`, `scripts/dedupe_open_equeries.ts`, `package.json` | 重新构建镜像 | `createBatch` 改为 `ON CONFLICT DO NOTHING`（open 集合），新增 `npx tsx scripts/dedupe_open_equeries.ts <projectId> [--apply]` |
+| BE-12 | IIT 实时工作流事件名称友好化兜底 + AI 对话证据块强制补齐 | `iitQcCockpitController.ts`, `ChatOrchestrator.ts` | 重新构建镜像 | 时间线事件名采用 event_label/cachedRules/fallback 三层映射；回答含“证据：”时若无明细则自动补齐，避免空证据块 |
 
 ### 前端变更
 
@@ -48,6 +51,7 @@
 | FE-6 | RVW 前端支持 partial_completed 状态（部分完成） | `TaskDetail.tsx`, `TaskTable.tsx`, `rvw/types/index.ts` | 重新构建镜像 | 琥珀色警告横幅展示失败模块详情，列表页显示"部分完成"标签，支持查看已完成模块的报告 |
 | FE-7 | SSA Agent 通道体验优化（方案 B + 动态 UI） | `AgentCodePanel.tsx`, `SSAChatPane.tsx`, `SSAWorkspacePane.tsx`, `SSACodeModal.tsx`, `useSSAChat.ts`, `ssaStore.ts`, `ssa.css` | 重新构建镜像 | 左右职责分离 + JWT 刷新 + 重试代码展示 + 错误信息展示 + 进度条同步 + 导出/查看代码按钮恢复 + ExecutingProgress 组件 |
 | FE-8 | SSA 默认 Agent 模式 + 查看代码修复 + 分析历史卡片 | `SSAChatPane.tsx`, `SSAWorkspacePane.tsx`, `useSSAChat.ts`, `ssaStore.ts` | 重新构建镜像 | 移除 ModeToggle + 默认 agent + 查看代码走 Modal + 分析完成后对话插入可点击结果卡片 + ChatIntentType 扩展 system |
+| FE-9 | IIT D1 筛选入选表“不合规条目”规则名称友好显示 | `EligibilityTable.tsx` | 重新构建镜像 | 不合规条目由 ruleId 显示改为 ruleName 优先，减少技术标识符暴露 |
 
 ### Python 微服务变更
 
diff --git a/frontend-v2/src/modules/iit/api/iitProjectApi.ts b/frontend-v2/src/modules/iit/api/iitProjectApi.ts
index 9a9ff9a2..9fdac839 100644
--- a/frontend-v2/src/modules/iit/api/iitProjectApi.ts
+++ b/frontend-v2/src/modules/iit/api/iitProjectApi.ts
@@ -220,6 +220,7 @@ export interface Equery {
   projectId: string;
   recordId: string;
   eventId?: string;
+  eventLabel?: string | null;
   formName?: string;
   fieldName?: string;
   queryText: string;
@@ -308,6 +309,16 @@ export async function closeEquery(
   return response.data.data;
 }
 
+/** 手动重开 eQuery */
+export async function reopenEquery(
+  projectId: string,
+  equeryId: string,
+  data?: { reviewNote?: string }
+): Promise<Equery> {
+  const response = await apiClient.post(`${BASE_URL}/${projectId}/equeries/${equeryId}/reopen`, data || {});
+  return response.data.data;
+}
+
 // ==================== 用户映射 ====================
 
 /** 获取角色选项 */
@@ -743,6 +754,7 @@ export interface EqueryLogEntry {
   id: string;
   recordId: string;
   eventId: string | null;
+  eventLabel?: string | null;
   formName: string | null;
   fieldName: string | null;
   fieldLabel: string | null;
diff --git a/frontend-v2/src/modules/iit/components/reports/EligibilityTable.tsx b/frontend-v2/src/modules/iit/components/reports/EligibilityTable.tsx
index 3fe0668f..5c979935 100644
--- a/frontend-v2/src/modules/iit/components/reports/EligibilityTable.tsx
+++ b/frontend-v2/src/modules/iit/components/reports/EligibilityTable.tsx
@@ -49,6 +49,7 @@ const EligibilityTable: React.FC<Props> = ({ projectId }) => {
   if (!data || data.subjects.length === 0) return <Empty description="暂无 D1 筛选入选数据" />;
 
   const { summary, criteria, subjects } = data;
+  const ruleNameMap = new Map(criteria.map(c => [c.ruleId, c.ruleName]));
 
   const criteriaColumns = [
     { title: '规则 ID', dataIndex: 'ruleId', width: 100 },
@@ -86,7 +87,13 @@ const EligibilityTable: React.FC<Props> = ({ projectId }) => {
       title: '不合规条目',
       dataIndex: 'failedCriteria',
       render: (arr: string[]) =>
-        arr.length > 0 ? arr.map(id => <Tag key={id} color="error">{id}</Tag>) : <Text type="secondary">—</Text>,
+        arr.length > 0
+          ? arr.map(id => (
+            <Tag key={id} color="error">
+              {ruleNameMap.get(id) || id}
+            </Tag>
+          ))
+          : <Text type="secondary">—</Text>,
     },
   ];
 
diff --git a/frontend-v2/src/modules/iit/components/reports/EqueryLogTable.tsx b/frontend-v2/src/modules/iit/components/reports/EqueryLogTable.tsx
index c4348bd6..64ea9dc3 100644
--- a/frontend-v2/src/modules/iit/components/reports/EqueryLogTable.tsx
+++ b/frontend-v2/src/modules/iit/components/reports/EqueryLogTable.tsx
@@ -164,7 +164,13 @@ const EqueryLogTable: React.FC<Props> = ({ projectId }) => {
           expandable={{ expandedRowRender: expandedRow }}
           columns={[
             { title: '受试者', dataIndex: 'recordId', width: 80 },
-            { title: '事件', dataIndex: 'eventId', width: 120, ellipsis: true, render: (v: string | null) => v || '—' },
+            {
+              title: '事件',
+              dataIndex: 'eventLabel',
+              width: 140,
+              ellipsis: true,
+              render: (_: string | null, row: EqueryLogEntry) => row.eventLabel || row.eventId || '—',
+            },
             { title: '字段', dataIndex: 'fieldLabel', width: 120, ellipsis: true, render: (v: string | null) => v || '—' },
             { title: '质疑内容', dataIndex: 'queryText', ellipsis: true },
             {
diff --git a/frontend-v2/src/modules/iit/pages/AiChatPage.tsx b/frontend-v2/src/modules/iit/pages/AiChatPage.tsx
index dbe87030..b9bde14a 100644
--- a/frontend-v2/src/modules/iit/pages/AiChatPage.tsx
+++ b/frontend-v2/src/modules/iit/pages/AiChatPage.tsx
@@ -1,5 +1,5 @@
 import React, { useState, useRef, useEffect } from 'react';
-import { Input, Button, Spin, Typography, Avatar } from 'antd';
+import { Input, Button, Spin, Typography, Avatar, Tag } from 'antd';
 import {
   SendOutlined,
   RobotOutlined,
@@ -32,6 +32,86 @@ function stripToolCallXml(text: string): string {
   return text;
 }
 
+interface StructuredAssistantContent {
+  conclusion?: string;
+  evidence: string[];
+  remainder?: string;
+}
+
+interface EvidenceTokenized {
+  tags: string[];
+  text: string;
+}
+
+function parseStructuredAssistantContent(raw: string): StructuredAssistantContent {
+  const text = stripToolCallXml(raw).trim();
+  if (!text) return { evidence: [] };
+
+  const lines = text.split(/\r?\n/).map(l => l.trim());
+  const conclusionLine = lines.find(l => /^结论[:：]/.test(l));
+  const evidenceStart = lines.findIndex(l => /^证据[:：]/.test(l));
+
+  let conclusion: string | undefined;
+  if (conclusionLine) {
+    conclusion = conclusionLine.replace(/^结论[:：]\s*/, '').trim();
+  }
+
+  const evidence: string[] = [];
+  if (evidenceStart >= 0) {
+    for (let i = evidenceStart + 1; i < lines.length; i++) {
+      const ln = lines[i];
+      if (!ln) continue;
+      if (/^结论[:：]/.test(ln)) continue;
+      if (/^[-*]\s+/.test(ln)) {
+        evidence.push(ln.replace(/^[-*]\s+/, '').trim());
+      } else if (/^\d+[.)、]\s+/.test(ln)) {
+        evidence.push(ln.replace(/^\d+[.)、]\s+/, '').trim());
+      }
+    }
+  }
+
+  // 没命中结构化格式时，回退为 markdown 渲染
+  if (!conclusion && evidence.length === 0) {
+    return { evidence: [], remainder: text };
+  }
+
+  const remainderParts: string[] = [];
+  for (const ln of lines) {
+    if (!ln) continue;
+    if (/^结论[:：]/.test(ln) || /^证据[:：]/.test(ln)) continue;
+    if (/^[-*]\s+/.test(ln) || /^\d+[.)、]\s+/.test(ln)) continue;
+    // 避免把结论正文重复放进 remainder
+    if (conclusion && ln === conclusion) continue;
+    remainderParts.push(ln);
+  }
+
+  return {
+    conclusion,
+    evidence,
+    remainder: remainderParts.length > 0 ? remainderParts.join('\n') : undefined,
+  };
+}
+
+function tokenizeEvidenceLine(line: string): EvidenceTokenized {
+  const tags: string[] = [];
+  const patterns = [
+    /\brecord_id\s*=\s*([A-Za-z0-9_-]+)/gi,
+    /\bevent_id\s*=\s*([A-Za-z0-9_,.-]+)/gi,
+    /\brule_id\s*=\s*([A-Za-z0-9_,.-]+)/gi,
+    /\bD[1-7]\b/g,
+  ];
+
+  for (const pattern of patterns) {
+    let match: RegExpExecArray | null;
+    while ((match = pattern.exec(line)) !== null) {
+      tags.push(match[0]);
+    }
+  }
+
+  const uniqueTags = Array.from(new Set(tags));
+  return { tags: uniqueTags, text: line };
+}
+
 interface ChatMessage {
   id: string;
   role: 'user' | 'assistant';
@@ -163,11 +243,66 @@ const AiChatPage: React.FC = () => {
                 }}
               >
                 {msg.role === 'assistant' ? (
-                  <div className="chat-md-content">
-                    <ReactMarkdown remarkPlugins={[remarkGfm]}>
-                      {stripToolCallXml(msg.content)}
-                    </ReactMarkdown>
-                  </div>
+                  (() => {
+                    const structured = parseStructuredAssistantContent(msg.content);
+                    return (
+                      <div className="chat-md-content">
+                        {structured.conclusion && (
+                          <div style={{ marginBottom: 8 }}>
+                            <Text strong style={{ color: '#0f172a' }}>
+                              结论：
+                            </Text>
+                            <span style={{ marginLeft: 6 }}>{structured.conclusion}</span>
+                          </div>
+                        )}
+
+                        {structured.evidence.length > 0 && (
+                          <div
+                            style={{
+                              marginBottom: structured.remainder ? 8 : 0,
+                              background: '#ffffff',
+                              border: '1px solid #dbeafe',
+                              borderRadius: 10,
+                              padding: '8px 10px',
+                            }}
+                          >
+                            <Text strong style={{ color: '#1d4ed8' }}>证据</Text>
+                            <ul style={{ margin: '6px 0 0 18px', padding: 0 }}>
+                              {structured.evidence.map((ev, idx) => (
+                                <li key={`${msg.id}-evi-${idx}`} style={{ marginBottom: 4 }}>
+                                  {(() => {
+                                    const tokenized = tokenizeEvidenceLine(ev);
+                                    return (
+                                      <div style={{ display: 'flex', flexWrap: 'wrap', gap: 6, alignItems: 'center' }}>
+                                        {tokenized.tags.map((t, ti) => (
+                                          <Tag key={`${msg.id}-evi-tag-${idx}-${ti}`} color="blue" style={{ marginInlineEnd: 0 }}>
+                                            {t}
+                                          </Tag>
+                                        ))}
+                                        <span>{tokenized.text}</span>
+                                      </div>
+                                    );
+                                  })()}
+                                </li>
+                              ))}
+                            </ul>
+                          </div>
+                        )}
+
+                        {structured.remainder && (
+                          <ReactMarkdown remarkPlugins={[remarkGfm]}>
+                            {structured.remainder}
+                          </ReactMarkdown>
+                        )}
+
+                        {!structured.conclusion && !structured.remainder && structured.evidence.length === 0 && (
+                          <ReactMarkdown remarkPlugins={[remarkGfm]}>
+                            {stripToolCallXml(msg.content)}
+                          </ReactMarkdown>
+                        )}
+                      </div>
+                    );
+                  })()
                 ) : (
                   <span style={{ whiteSpace: 'pre-wrap' }}>{msg.content}</span>
                 )}
diff --git a/frontend-v2/src/modules/iit/pages/EQueryPage.tsx b/frontend-v2/src/modules/iit/pages/EQueryPage.tsx
index a814a761..b43e4765 100644
--- a/frontend-v2/src/modules/iit/pages/EQueryPage.tsx
+++ b/frontend-v2/src/modules/iit/pages/EQueryPage.tsx
@@ -62,6 +62,8 @@ const EQueryPage: React.FC = () => {
   const [stats, setStats] = useState<EqueryStats | null>(null);
   const [loading, setLoading] = useState(false);
   const [statusFilter, setStatusFilter] = useState<string | undefined>(undefined);
+  const [severityFilter, setSeverityFilter] = useState<string | undefined>(undefined);
+  const [recordIdFilter, setRecordIdFilter] = useState<string>('');
   const [page, setPage] = useState(1);
 
   // Respond modal
@@ -79,10 +81,25 @@ const EQueryPage: React.FC = () => {
     setLoading(true);
     try {
       const [listResult, statsResult] = await Promise.all([
-        iitProjectApi.listEqueries(projectId, { status: statusFilter, page, pageSize: 20 }),
+        iitProjectApi.listEqueries(projectId, {
+          status: statusFilter,
+          severity: severityFilter,
+          recordId: recordIdFilter.trim() || undefined,
+          page,
+          pageSize: 20,
+        }),
         iitProjectApi.getEqueryStats(projectId),
       ]);
-      setEqueries(listResult.items);
+      const sorted = [...listResult.items].sort((a, b) => {
+        const aNum = Number(a.recordId);
+        const bNum = Number(b.recordId);
+        const aValid = Number.isFinite(aNum);
+        const bValid = Number.isFinite(bNum);
+        if (aValid && bValid && aNum !== bNum) return aNum - bNum;
+        if (a.recordId !== b.recordId) return a.recordId.localeCompare(b.recordId, 'zh-CN', { numeric: true });
+        return new Date(b.createdAt).getTime() - new Date(a.createdAt).getTime();
+      });
+      setEqueries(sorted);
       setTotal(listResult.total);
       setStats(statsResult);
     } catch {
@@ -90,7 +107,7 @@ const EQueryPage: React.FC = () => {
     } finally {
       setLoading(false);
     }
-  }, [projectId, statusFilter, page]);
+  }, [projectId, statusFilter, severityFilter, recordIdFilter, page]);
 
   useEffect(() => {
     fetchData();
@@ -125,7 +142,23 @@ const EQueryPage: React.FC = () => {
     }
   };
 
+  const handleReopen = async (equery: Equery) => {
+    try {
+      await iitProjectApi.reopenEquery(projectId, equery.id);
+      message.success('已重开');
+      fetchData();
+    } catch (err: any) {
+      message.error(err.message || '重开失败');
+    }
+  };
+
   const columns: ColumnsType<Equery> = [
+    {
+      title: '序号',
+      key: 'index',
+      width: 72,
+      render: (_: unknown, __: Equery, index: number) => (page - 1) * 20 + index + 1,
+    },
     {
       title: '受试者',
       dataIndex: 'recordId',
@@ -133,6 +166,13 @@ const EQueryPage: React.FC = () => {
       width: 100,
       render: (id: string) => <Text strong>{id}</Text>,
     },
+    {
+      title: '访视点',
+      dataIndex: 'eventLabel',
+      key: 'eventId',
+      width: 180,
+      render: (_: string | undefined, row: Equery) => row.eventLabel || row.eventId || '—',
+    },
     {
       title: '状态',
       dataIndex: 'status',
@@ -211,6 +251,15 @@ const EQueryPage: React.FC = () => {
               关闭
             </Button>
           )}
+          {record.status === 'closed' && (
+            <Button
+              type="link"
+              size="small"
+              onClick={() => handleReopen(record)}
+            >
+              重开
+            </Button>
+          )}
         </Space>
       ),
     },
@@ -269,6 +318,21 @@ const EQueryPage: React.FC = () => {
             onChange={(v) => { setStatusFilter(v); setPage(1); }}
             options={Object.entries(STATUS_CONFIG).map(([value, { label }]) => ({ value, label }))}
           />
+          <Select
+            placeholder="按严重程度过滤"
+            allowClear
+            style={{ width: 160 }}
+            value={severityFilter}
+            onChange={(v) => { setSeverityFilter(v); setPage(1); }}
+            options={Object.entries(SEVERITY_CONFIG).map(([value, { label }]) => ({ value, label }))}
+          />
+          <Input
+            placeholder="按受试者号过滤"
+            style={{ width: 180 }}
+            value={recordIdFilter}
+            onChange={(e) => { setRecordIdFilter(e.target.value); setPage(1); }}
+            allowClear
+          />
           <Badge count={total} overflowCount={9999} style={{ backgroundColor: '#1677ff' }}>
             <Text type="secondary">条 eQuery</Text>
           </Badge>
@@ -333,6 +397,9 @@ const EQueryPage: React.FC = () => {
               <Col span={8}><Text type="secondary">受试者:</Text> <Text strong>{detailTarget.recordId}</Text></Col>
               <Col span={8}><Text type="secondary">字段:</Text> <Text code>{detailTarget.fieldName || '—'}</Text></Col>
               <Col span={8}><Text type="secondary">表单:</Text> {detailTarget.formName || '—'}</Col>
+              <Col span={8}>
+                <Text type="secondary">访视点:</Text> {detailTarget.eventLabel || detailTarget.eventId || '—'}
+              </Col>
               <Col span={8}>
                 <Text type="secondary">状态:</Text>{' '}
                 <Tag color={STATUS_CONFIG[detailTarget.status]?.color}>{STATUS_CONFIG[detailTarget.status]?.label}</Tag>
diff --git a/frontend-v2/tsconfig.tsbuildinfo b/frontend-v2/tsconfig.tsbuildinfo
index 37cf7711..0fd52701 100644
--- a/frontend-v2/tsconfig.tsbuildinfo
+++ b/frontend-v2/tsconfig.tsbuildinfo
@@ -1 +1 @@
-{"root":["./src/app.tsx","./src/main.tsx","./src/vite-env.d.ts","./src/common/api/axios.ts","./src/framework/auth/authcontext.tsx","./src/framework/auth/api.ts","./src/framework/auth/index.ts","./src/framework/auth/moduleapi.ts","./src/framework/auth/types.ts","./src/framework/layout/adminlayout.tsx","./src/framework/layout/mainlayout.tsx","./src/framework/layout/orglayout.tsx","./src/framework/layout/topnavigation.tsx","./src/framework/modules/errorboundary.tsx","./src/framework/modules/moduleerrorfallback.tsx","./src/framework/modules/moduleregistry.ts","./src/framework/modules/types.ts","./src/framework/permission/permissioncontext.tsx","./src/framework/permission/index.ts","./src/framework/permission/types.ts","./src/framework/permission/usepermission.ts","./src/framework/router/permissiondenied.tsx","./src/framework/router/routeguard.tsx","./src/framework/router/index.ts","./src/modules/admin/index.tsx","./src/modules/admin/api/statsapi.ts","./src/modules/admin/api/userapi.ts","./src/modules/admin/components/assigntenantmodal.tsx","./src/modules/admin/components/importusermodal.tsx","./src/modules/admin/components/modulepermissionmodal.tsx","./src/modules/admin/pages/statsdashboardpage.tsx","./src/modules/admin/pages/userdetailpage.tsx","./src/modules/admin/pages/userformpage.tsx","./src/modules/admin/pages/userlistpage.tsx","./src/modules/admin/types/user.ts","./src/modules/aia/constants.ts","./src/modules/aia/index.tsx","./src/modules/aia/types.ts","./src/modules/aia/components/agentcard.tsx","./src/modules/aia/components/agenthub.tsx","./src/modules/aia/components/chatworkspace.tsx","./src/modules/aia/components/index.ts","./src/modules/aia/protocol-agent/protocolagentpage.tsx","./src/modules/aia/protocol-agent/index.ts","./src/modules/aia/protocol-agent/types.ts","./src/modules/aia/protocol-agent/components/actioncard.tsx","./src/modules/aia/protocol-agent/components/chatarea.tsx","./src/modules/aia/protocol-agent/components/documentpanel.tsx","./src/modules/aia/protocol-agent/components/markdowncontent.tsx","./src/modules/aia/protocol-agent/components/reflexionmessage.tsx","./src/modules/aia/protocol-agent/components/resizablesplitpane.tsx","./src/modules/aia/protocol-agent/components/stagecard.tsx","./src/modules/aia/protocol-agent/components/stageeditmodal.tsx","./src/modules/aia/protocol-agent/components/statepanel.tsx","./src/modules/aia/protocol-agent/components/syncbutton.tsx","./src/modules/aia/protocol-agent/components/viewswitcher.tsx","./src/modules/aia/protocol-agent/components/index.ts","./src/modules/aia/protocol-agent/hooks/index.ts","./src/modules/aia/protocol-agent/hooks/useprotocolcontext.ts","./src/modules/aia/protocol-agent/hooks/useprotocolconversations.ts","./src/modules/aia/protocol-agent/hooks/useprotocolgeneration.ts","./src/modules/asl/index.tsx","./src/modules/asl/api/index.ts","./src/modules/asl/components/asllayout.tsx","./src/modules/asl/components/conclusiontag.tsx","./src/modules/asl/components/detailreviewdrawer.tsx","./src/modules/asl/components/fulltextdetaildrawer.tsx","./src/modules/asl/components/judgmentbadge.tsx","./src/modules/asl/hooks/usefulltextresults.ts","./src/modules/asl/hooks/usefulltexttask.ts","./src/modules/asl/hooks/usescreeningresults.ts","./src/modules/asl/hooks/usescreeningtask.ts","./src/modules/asl/pages/fulltextprogress.tsx","./src/modules/asl/pages/fulltextresults.tsx","./src/modules/asl/pages/fulltextsettings.tsx","./src/modules/asl/pages/fulltextworkbench.tsx","./src/modules/asl/pages/researchsearch.tsx","./src/modules/asl/pages/screeningresults.tsx","./src/modules/asl/pages/screeningworkbench.tsx","./src/modules/asl/pages/titlescreeningsettings.tsx","./src/modules/asl/types/index.ts","./src/modules/asl/utils/excelexport.ts","./src/modules/asl/utils/excelutils.ts","./src/modules/asl/utils/tabletransform.ts","./src/modules/dc/index.tsx","./src/modules/dc/api/toolb.ts","./src/modules/dc/api/toolc.ts","./src/modules/dc/components/assetlibrary.tsx","./src/modules/dc/components/tasklist.tsx","./src/modules/dc/components/toolcard.tsx","./src/modules/dc/hooks/useassets.ts","./src/modules/dc/hooks/userecenttasks.ts","./src/modules/dc/pages/portal.tsx","./src/modules/dc/pages/tool-b/step1upload.tsx","./src/modules/dc/pages/tool-b/step2schema.tsx","./src/modules/dc/pages/tool-b/step3processing.tsx","./src/modules/dc/pages/tool-b/step4verify.tsx","./src/modules/dc/pages/tool-b/step5result.tsx","./src/modules/dc/pages/tool-b/index.tsx","./src/modules/dc/pages/tool-b/components/stepindicator.tsx","./src/modules/dc/pages/tool-c/index.tsx","./src/modules/dc/pages/tool-c/components/binningdialog.tsx","./src/modules/dc/pages/tool-c/components/binningdialog_improved.tsx","./src/modules/dc/pages/tool-c/components/computedialog.tsx","./src/modules/dc/pages/tool-c/components/conditionaldialog.tsx","./src/modules/dc/pages/tool-c/components/datagrid.tsx","./src/modules/dc/pages/tool-c/components/dropnadialog.tsx","./src/modules/dc/pages/tool-c/components/filterdialog.tsx","./src/modules/dc/pages/tool-c/components/header.tsx","./src/modules/dc/pages/tool-c/components/metrictimepanel.tsx","./src/modules/dc/pages/tool-c/components/missingvaluedialog.tsx","./src/modules/dc/pages/tool-c/components/multimetricpanel.tsx","./src/modules/dc/pages/tool-c/components/pivotdialog.tsx","./src/modules/dc/pages/tool-c/components/pivotpanel.tsx","./src/modules/dc/pages/tool-c/components/recodedialog.tsx","./src/modules/dc/pages/tool-c/components/sidebar.tsx","./src/modules/dc/pages/tool-c/components/streamingsteps.tsx","./src/modules/dc/pages/tool-c/components/toolbar.tsx","./src/modules/dc/pages/tool-c/components/transformdialog.tsx","./src/modules/dc/pages/tool-c/components/unpivotpanel.tsx","./src/modules/dc/pages/tool-c/hooks/usesessionstatus.ts","./src/modules/dc/pages/tool-c/types/index.ts","./src/modules/dc/types/portal.ts","./src/modules/pkb/index.tsx","./src/modules/pkb/api/knowledgebaseapi.ts","./src/modules/pkb/components/createkbdialog.tsx","./src/modules/pkb/components/documentlist.tsx","./src/modules/pkb/components/documentupload.tsx","./src/modules/pkb/components/editkbdialog.tsx","./src/modules/pkb/components/knowledgebaselist.tsx","./src/modules/pkb/components/workspace/batchmode.tsx","./src/modules/pkb/components/workspace/batchmodecomplete.tsx","./src/modules/pkb/components/workspace/deepreadmode.tsx","./src/modules/pkb/components/workspace/fulltextmode.tsx","./src/modules/pkb/components/workspace/workmodeselector.tsx","./src/modules/pkb/hooks/useworkmode.ts","./src/modules/pkb/pages/dashboardpage.tsx","./src/modules/pkb/pages/knowledgepage.tsx","./src/modules/pkb/pages/workspacepage.tsx","./src/modules/pkb/stores/useknowledgebasestore.ts","./src/modules/pkb/types/workspace.ts","./src/modules/rvw/index.tsx","./src/modules/rvw/api/index.ts","./src/modules/rvw/components/agentmodal.tsx","./src/modules/rvw/components/batchtoolbar.tsx","./src/modules/rvw/components/editorialreport.tsx","./src/modules/rvw/components/filterchips.tsx","./src/modules/rvw/components/header.tsx","./src/modules/rvw/components/methodologyreport.tsx","./src/modules/rvw/components/reportdetail.tsx","./src/modules/rvw/components/scorering.tsx","./src/modules/rvw/components/sidebar.tsx","./src/modules/rvw/components/taskdetail.tsx","./src/modules/rvw/components/tasktable.tsx","./src/modules/rvw/components/index.ts","./src/modules/rvw/pages/dashboard.tsx","./src/modules/rvw/types/index.ts","./src/modules/ssa/index.tsx","./src/modules/st/index.tsx","./src/pages/homepage.tsx","./src/pages/loginpage.tsx","./src/pages/admin/admindashboard.tsx","./src/pages/admin/prompteditorpage.tsx","./src/pages/admin/promptlistpage.tsx","./src/pages/admin/api/promptapi.ts","./src/pages/admin/components/prompteditor.tsx","./src/pages/admin/tenants/tenantdetailpage.tsx","./src/pages/admin/tenants/tenantlistpage.tsx","./src/pages/admin/tenants/api/tenantapi.ts","./src/pages/org/orgdashboard.tsx","./src/shared/components/placeholder.tsx","./src/shared/components/index.ts","./src/shared/components/chat/aistreamchat.tsx","./src/shared/components/chat/chatcontainer.tsx","./src/shared/components/chat/codeblockrenderer.tsx","./src/shared/components/chat/conversationlist.tsx","./src/shared/components/chat/messagerenderer.tsx","./src/shared/components/chat/thinkingblock.tsx","./src/shared/components/chat/index.ts","./src/shared/components/chat/types.ts","./src/shared/components/chat/hooks/index.ts","./src/shared/components/chat/hooks/useaistream.ts","./src/shared/components/chat/hooks/useconversations.ts"],"errors":true,"version":"5.9.3"}
\ No newline at end of file
+{"root":["./src/app.tsx","./src/main.tsx","./src/vite-env.d.ts","./src/common/api/axios.ts","./src/framework/auth/authcontext.tsx","./src/framework/auth/api.ts","./src/framework/auth/index.ts","./src/framework/auth/moduleapi.ts","./src/framework/auth/types.ts","./src/framework/layout/adminlayout.tsx","./src/framework/layout/mainlayout.tsx","./src/framework/layout/orglayout.tsx","./src/framework/layout/topnavigation.tsx","./src/framework/modules/errorboundary.tsx","./src/framework/modules/moduleerrorfallback.tsx","./src/framework/modules/moduleregistry.ts","./src/framework/modules/types.ts","./src/framework/permission/permissioncontext.tsx","./src/framework/permission/index.ts","./src/framework/permission/types.ts","./src/framework/permission/usepermission.ts","./src/framework/router/permissiondenied.tsx","./src/framework/router/routeguard.tsx","./src/framework/router/index.ts","./src/modules/admin/index.tsx","./src/modules/admin/api/iitprojectapi.ts","./src/modules/admin/api/statsapi.ts","./src/modules/admin/api/systemkbapi.ts","./src/modules/admin/api/userapi.ts","./src/modules/admin/components/assigntenantmodal.tsx","./src/modules/admin/components/importusermodal.tsx","./src/modules/admin/components/modulepermissionmodal.tsx","./src/modules/admin/components/qc-cockpit/qcdetaildrawer.tsx","./src/modules/admin/components/qc-cockpit/qcreportdrawer.tsx","./src/modules/admin/components/qc-cockpit/qcstatcards.tsx","./src/modules/admin/components/qc-cockpit/riskheatmap.tsx","./src/modules/admin/components/qc-cockpit/index.ts","./src/modules/admin/pages/iitmembermanagepage.tsx","./src/modules/admin/pages/iitprojectdetailpage.tsx","./src/modules/admin/pages/iitprojectlistpage.tsx","./src/modules/admin/pages/iitqccockpitpage.tsx","./src/modules/admin/pages/statsdashboardpage.tsx","./src/modules/admin/pages/systemkbdetailpage.tsx","./src/modules/admin/pages/systemkblistpage.tsx","./src/modules/admin/pages/userdetailpage.tsx","./src/modules/admin/pages/userformpage.tsx","./src/modules/admin/pages/userlistpage.tsx","./src/modules/admin/types/iitproject.ts","./src/modules/admin/types/qccockpit.ts","./src/modules/admin/types/systemkb.ts","./src/modules/admin/types/user.ts","./src/modules/aia/constants.ts","./src/modules/aia/index.tsx","./src/modules/aia/types.ts","./src/modules/aia/components/agentcard.tsx","./src/modules/aia/components/agenthub.tsx","./src/modules/aia/components/chatworkspace.tsx","./src/modules/aia/components/index.ts","./src/modules/aia/protocol-agent/protocolagentpage.tsx","./src/modules/aia/protocol-agent/index.ts","./src/modules/aia/protocol-agent/types.ts","./src/modules/aia/protocol-agent/components/actioncard.tsx","./src/modules/aia/protocol-agent/components/chatarea.tsx","./src/modules/aia/protocol-agent/components/documentpanel.tsx","./src/modules/aia/protocol-agent/components/markdowncontent.tsx","./src/modules/aia/protocol-agent/components/reflexionmessage.tsx","./src/modules/aia/protocol-agent/components/resizablesplitpane.tsx","./src/modules/aia/protocol-agent/components/stagecard.tsx","./src/modules/aia/protocol-agent/components/stageeditmodal.tsx","./src/modules/aia/protocol-agent/components/statepanel.tsx","./src/modules/aia/protocol-agent/components/syncbutton.tsx","./src/modules/aia/protocol-agent/components/viewswitcher.tsx","./src/modules/aia/protocol-agent/components/index.ts","./src/modules/aia/protocol-agent/hooks/index.ts","./src/modules/aia/protocol-agent/hooks/useprotocolcontext.ts","./src/modules/aia/protocol-agent/hooks/useprotocolconversations.ts","./src/modules/aia/protocol-agent/hooks/useprotocolgeneration.ts","./src/modules/asl/index.tsx","./src/modules/asl/api/index.ts","./src/modules/asl/components/asllayout.tsx","./src/modules/asl/components/conclusiontag.tsx","./src/modules/asl/components/detailreviewdrawer.tsx","./src/modules/asl/components/fulltextdetaildrawer.tsx","./src/modules/asl/components/judgmentbadge.tsx","./src/modules/asl/components/charting/baselinetable.tsx","./src/modules/asl/components/charting/datasourceselector.tsx","./src/modules/asl/components/charting/prismaflowdiagram.tsx","./src/modules/asl/components/deep-research/agentterminal.tsx","./src/modules/asl/components/deep-research/landingview.tsx","./src/modules/asl/components/deep-research/resultsview.tsx","./src/modules/asl/components/deep-research/setuppanel.tsx","./src/modules/asl/components/deep-research/strategyconfirm.tsx","./src/modules/asl/components/extraction/extractiondrawer.tsx","./src/modules/asl/components/extraction/extractionstatusbadge.tsx","./src/modules/asl/components/extraction/fieldgroup.tsx","./src/modules/asl/components/extraction/processingterminal.tsx","./src/modules/asl/components/extraction/quoteblock.tsx","./src/modules/asl/components/meta/resultspanel.tsx","./src/modules/asl/hooks/usedeepresearchtask.ts","./src/modules/asl/hooks/useextractionlogs.ts","./src/modules/asl/hooks/usefulltextresults.ts","./src/modules/asl/hooks/usefulltexttask.ts","./src/modules/asl/hooks/usescreeningresults.ts","./src/modules/asl/hooks/usescreeningtask.ts","./src/modules/asl/pages/deepresearchpage.tsx","./src/modules/asl/pages/extractionpage.tsx","./src/modules/asl/pages/extractionprogress.tsx","./src/modules/asl/pages/extractionsetup.tsx","./src/modules/asl/pages/extractionworkbench.tsx","./src/modules/asl/pages/fulltextprogress.tsx","./src/modules/asl/pages/fulltextresults.tsx","./src/modules/asl/pages/fulltextsettings.tsx","./src/modules/asl/pages/fulltextworkbench.tsx","./src/modules/asl/pages/metaanalysisengine.tsx","./src/modules/asl/pages/researchsearch.tsx","./src/modules/asl/pages/srchartgenerator.tsx","./src/modules/asl/pages/screeningresults.tsx","./src/modules/asl/pages/screeningworkbench.tsx","./src/modules/asl/pages/titlescreeningsettings.tsx","./src/modules/asl/types/deepresearch.ts","./src/modules/asl/types/index.ts","./src/modules/asl/utils/chartingexcelutils.ts","./src/modules/asl/utils/excelexport.ts","./src/modules/asl/utils/excelutils.ts","./src/modules/asl/utils/metaexcelutils.ts","./src/modules/asl/utils/tabletransform.ts","./src/modules/dc/index.tsx","./src/modules/dc/api/toolb.ts","./src/modules/dc/api/toolc.ts","./src/modules/dc/components/assetlibrary.tsx","./src/modules/dc/components/tasklist.tsx","./src/modules/dc/components/toolcard.tsx","./src/modules/dc/hooks/useassets.ts","./src/modules/dc/hooks/userecenttasks.ts","./src/modules/dc/pages/portal.tsx","./src/modules/dc/pages/tool-b/step1upload.tsx","./src/modules/dc/pages/tool-b/step2schema.tsx","./src/modules/dc/pages/tool-b/step3processing.tsx","./src/modules/dc/pages/tool-b/step4verify.tsx","./src/modules/dc/pages/tool-b/step5result.tsx","./src/modules/dc/pages/tool-b/index.tsx","./src/modules/dc/pages/tool-b/components/stepindicator.tsx","./src/modules/dc/pages/tool-c/index.tsx","./src/modules/dc/pages/tool-c/components/binningdialog.tsx","./src/modules/dc/pages/tool-c/components/binningdialog_improved.tsx","./src/modules/dc/pages/tool-c/components/computedialog.tsx","./src/modules/dc/pages/tool-c/components/conditionaldialog.tsx","./src/modules/dc/pages/tool-c/components/datagrid.tsx","./src/modules/dc/pages/tool-c/components/dropnadialog.tsx","./src/modules/dc/pages/tool-c/components/filterdialog.tsx","./src/modules/dc/pages/tool-c/components/header.tsx","./src/modules/dc/pages/tool-c/components/metrictimepanel.tsx","./src/modules/dc/pages/tool-c/components/missingvaluedialog.tsx","./src/modules/dc/pages/tool-c/components/multimetricpanel.tsx","./src/modules/dc/pages/tool-c/components/pivotdialog.tsx","./src/modules/dc/pages/tool-c/components/pivotpanel.tsx","./src/modules/dc/pages/tool-c/components/recodedialog.tsx","./src/modules/dc/pages/tool-c/components/sidebar.tsx","./src/modules/dc/pages/tool-c/components/streamingsteps.tsx","./src/modules/dc/pages/tool-c/components/toolbar.tsx","./src/modules/dc/pages/tool-c/components/transformdialog.tsx","./src/modules/dc/pages/tool-c/components/unpivotpanel.tsx","./src/modules/dc/pages/tool-c/hooks/usesessionstatus.ts","./src/modules/dc/pages/tool-c/types/index.ts","./src/modules/dc/types/portal.ts","./src/modules/iit/iitlayout.tsx","./src/modules/iit/index.tsx","./src/modules/iit/api/iitprojectapi.ts","./src/modules/iit/components/ruletemplatebuilder.tsx","./src/modules/iit/components/variablepicker.tsx","./src/modules/iit/components/reports/completenesstable.tsx","./src/modules/iit/components/reports/deviationlogtable.tsx","./src/modules/iit/components/reports/eligibilitytable.tsx","./src/modules/iit/components/reports/equerylogtable.tsx","./src/modules/iit/config/projectdetailpage.tsx","./src/modules/iit/config/projectlistpage.tsx","./src/modules/iit/context/iitprojectcontext.tsx","./src/modules/iit/pages/aichatpage.tsx","./src/modules/iit/pages/aistreampage.tsx","./src/modules/iit/pages/dashboardpage.tsx","./src/modules/iit/pages/equerypage.tsx","./src/modules/iit/pages/reportspage.tsx","./src/modules/iit/pages/variablelistpage.tsx","./src/modules/iit/types/iitproject.ts","./src/modules/iit/types/qccockpit.ts","./src/modules/legacy/legacysystempage.tsx","./src/modules/legacy/researchmanagement.tsx","./src/modules/legacy/statisticaltools.tsx","./src/modules/pkb/index.tsx","./src/modules/pkb/api/knowledgebaseapi.ts","./src/modules/pkb/components/createkbdialog.tsx","./src/modules/pkb/components/documentlist.tsx","./src/modules/pkb/components/documentupload.tsx","./src/modules/pkb/components/editkbdialog.tsx","./src/modules/pkb/components/knowledgebaselist.tsx","./src/modules/pkb/components/workspace/batchmode.tsx","./src/modules/pkb/components/workspace/batchmodecomplete.tsx","./src/modules/pkb/components/workspace/deepreadmode.tsx","./src/modules/pkb/components/workspace/fulltextmode.tsx","./src/modules/pkb/components/workspace/workmodeselector.tsx","./src/modules/pkb/hooks/useworkmode.ts","./src/modules/pkb/pages/dashboardpage.tsx","./src/modules/pkb/pages/knowledgepage.tsx","./src/modules/pkb/pages/workspacepage.tsx","./src/modules/pkb/stores/useknowledgebasestore.ts","./src/modules/pkb/types/workspace.ts","./src/modules/rvw/index.tsx","./src/modules/rvw/api/index.ts","./src/modules/rvw/components/agentmodal.tsx","./src/modules/rvw/components/batchtoolbar.tsx","./src/modules/rvw/components/clinicalreport.tsx","./src/modules/rvw/components/editorialreport.tsx","./src/modules/rvw/components/filterchips.tsx","./src/modules/rvw/components/forensicsreport.tsx","./src/modules/rvw/components/header.tsx","./src/modules/rvw/components/methodologyreport.tsx","./src/modules/rvw/components/reportdetail.tsx","./src/modules/rvw/components/scorering.tsx","./src/modules/rvw/components/sidebar.tsx","./src/modules/rvw/components/taskdetail.tsx","./src/modules/rvw/components/tasktable.tsx","./src/modules/rvw/components/index.ts","./src/modules/rvw/pages/dashboard.tsx","./src/modules/rvw/types/index.ts","./src/modules/ssa/ssaworkspace.tsx","./src/modules/ssa/index.tsx","./src/modules/ssa/components/agentcodepanel.tsx","./src/modules/ssa/components/askusercard.tsx","./src/modules/ssa/components/clarificationcard.tsx","./src/modules/ssa/components/conclusionreport.tsx","./src/modules/ssa/components/datacontextcard.tsx","./src/modules/ssa/components/dataprofilecard.tsx","./src/modules/ssa/components/dataprofilemodal.tsx","./src/modules/ssa/components/dynamicreport.tsx","./src/modules/ssa/components/modetoggle.tsx","./src/modules/ssa/components/ssachatpane.tsx","./src/modules/ssa/components/ssacodemodal.tsx","./src/modules/ssa/components/ssasidebar.tsx","./src/modules/ssa/components/ssatoast.tsx","./src/modules/ssa/components/ssaworkspacepane.tsx","./src/modules/ssa/components/stepprogresscard.tsx","./src/modules/ssa/components/typewriter.tsx","./src/modules/ssa/components/variabledetailpanel.tsx","./src/modules/ssa/components/variabledictionarypanel.tsx","./src/modules/ssa/components/workflowtimeline.tsx","./src/modules/ssa/components/index.ts","./src/modules/ssa/hooks/index.ts","./src/modules/ssa/hooks/useanalysis.ts","./src/modules/ssa/hooks/useartifactparser.ts","./src/modules/ssa/hooks/usessachat.ts","./src/modules/ssa/hooks/useworkflow.ts","./src/modules/ssa/stores/ssastore.ts","./src/modules/ssa/types/index.ts","./src/modules/ssa/utils/exportblockstoword.ts","./src/modules/st/index.tsx","./src/pages/homepage.tsx","./src/pages/loginpage.tsx","./src/pages/admin/activitylogspage.tsx","./src/pages/admin/admindashboard.tsx","./src/pages/admin/prompteditorpage.tsx","./src/pages/admin/promptlistpage.tsx","./src/pages/admin/api/activityapi.ts","./src/pages/admin/api/promptapi.ts","./src/pages/admin/components/prompteditor.tsx","./src/pages/admin/tenants/tenantdetailpage.tsx","./src/pages/admin/tenants/tenantlistpage.tsx","./src/pages/admin/tenants/api/tenantapi.ts","./src/pages/org/orgdashboard.tsx","./src/pages/user/profilepage.tsx","./src/shared/components/placeholder.tsx","./src/shared/components/index.ts","./src/shared/components/chat/aistreamchat.tsx","./src/shared/components/chat/chatcontainer.tsx","./src/shared/components/chat/codeblockrenderer.tsx","./src/shared/components/chat/conversationlist.tsx","./src/shared/components/chat/messagerenderer.tsx","./src/shared/components/chat/thinkingblock.tsx","./src/shared/components/chat/index.ts","./src/shared/components/chat/types.ts","./src/shared/components/chat/hooks/index.ts","./src/shared/components/chat/hooks/useaistream.ts","./src/shared/components/chat/hooks/useconversations.ts","./src/shared/components/layout/resizablesplitpane.tsx","./src/shared/components/layout/index.ts"],"errors":true,"version":"5.9.3"}
\ No newline at end of file
diff --git a/一键启动前后端.bat b/一键启动前后端.bat
new file mode 100644
index 00000000..e2e76188
--- /dev/null
+++ b/一键启动前后端.bat
@@ -0,0 +1,30 @@
+@echo off
+chcp 65001 >nul
+echo ========================================
+echo   AI临床研究平台 - 一键启动
+echo ========================================
+echo.
+
+echo [1/2] 启动后端服务...
+cd /d "%~dp0backend"
+start "后端服务 - 端口3001" cmd /k "npm run dev"
+timeout /t 3 /nobreak >nul
+
+echo [2/2] 启动前端服务...
+cd /d "%~dp0frontend"
+start "前端服务 - 端口3000" cmd /k "npm run dev"
+
+echo.
+echo ========================================
+echo   ✅ 服务启动中，请等待15-20秒
+echo ========================================
+echo.
+echo 📍 前端地址: http://localhost:3000
+echo 📍 后端地址: http://localhost:3001
+echo.
+echo 提示：会打开2个新窗口，请不要关闭！
+echo.
+pause
+
+
+
diff --git a/重启所有服务.bat b/重启所有服务.bat
new file mode 100644
index 00000000..994fe394
--- /dev/null
+++ b/重启所有服务.bat
@@ -0,0 +1,37 @@
+@echo off
+chcp 65001 >nul
+echo ========================================
+echo   停止所有服务并重新启动
+echo ========================================
+echo.
+
+echo [1/3] 停止所有Node进程...
+taskkill /F /IM node.exe >nul 2>&1
+timeout /t 2 /nobreak >nul
+
+echo [2/3] 启动后端服务（端口3001）...
+cd /d "%~dp0backend"
+start "【后端服务】端口3001" cmd /k "npm run dev"
+timeout /t 5 /nobreak >nul
+
+echo [3/3] 启动前端服务（端口3000）...
+cd /d "%~dp0frontend"
+start "【前端服务】端口3000" cmd /k "npm run dev"
+
+echo.
+echo ========================================
+echo   ✅ 服务重启完成！
+echo ========================================
+echo.
+echo 📍 前端地址: http://localhost:3000
+echo 📍 后端地址: http://localhost:3001
+echo.
+echo 提示：
+echo - 已打开2个新窗口，请不要关闭
+echo - 请等待15-20秒让服务完全启动
+echo - 然后访问 http://localhost:3000
+echo.
+pause
+
+
+