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chore: merge the 99 duplicated conditions that had a clear home

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Correcting the note this was tracked under: "114 tied conditions need a
human call" counted duplicated *names*, not ties. 99 of them had a clear
plurality and were merged; 15 are genuine even splits.

Same script and same safety property as the earlier pass — every moved
question gains a question_category_links row to the system folded away,
so filtering by that system still finds it. 786 categories to 662, 124
rows removed. Checked after: 0 questions with no category at all, 0
links pointing at a deleted row, and Pneumonia's questions still reach
Pulmonology and Allergy/Immunology.

The remaining 15 are written up in docs/tied-conditions.md as a decision
rather than left as a task: what each is tied between, and the note that
the choice only sets where a condition lives, since the other systems
survive as cross-links either way.

Backend 242/242.

Co-Authored-By: Claude Opus 5 <noreply@anthropic.com>
Claude-Session: https://claude.ai/code/session_01TqXevQJhxFrM7jJg82cgZN
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Daniel 2026-09-11 13:37:35 +02:00
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docs/TODO.md
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@ -252,11 +252,16 @@ Captured so nothing is lost while the article writing runs.
- [x] **Cross-system duplicate conditions merged** — done 2026-09-10. 216 names
folded to one home each (347 rows removed, 1075 → 786), keeping the other
systems as `question_category_links` rather than duplicate rows.
- [ ] **114 tied conditions need a human call** — an even split across systems
has no evidence-based winner, so nothing was merged. Run
`scripts/merge_duplicate_conditions.py` to list them; the largest are
Pneumonia, Behavioral Disorder, Intestinal Obstruction, Acute Rheumatic
Fever, Hypoxic-Ischemic Encephalopathy.
- [x] **99 of the 114 duplicated conditions merged** — done 2026-09-11. The
note above was wrong: 114 was the count of duplicated *names*, and 99 of
them had a clear plurality. Merged with the same script and the same
safety property as the earlier pass — each moved question keeps a
`question_category_links` row to the system it came from, so no filter
narrows. 786 categories to 662; 0 questions unfiled, 0 orphan links.
- [ ] **15 genuine ties need a human call.** An even split has no
evidence-based winner, so nothing was merged. Listed in
`docs/tied-conditions.md`; pick a home for each and the merge is one
command.
- [x] **Primary categories pushed down** — done 2026-09-10. 1,244 questions
promoted from system to condition; 2,730 → 1,486 filed at system level.
The system stays as a cross-link so no filter narrows.

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docs/tied-conditions.md Normal file
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@ -0,0 +1,38 @@
# The 15 conditions with no evidence-based home
Every other duplicated condition name had a clear plurality — one system held
most of its questions — and 99 were merged into it, keeping a cross-link to the
systems folded away so no filter narrows.
These fifteen are split evenly. There is no fact in the data that picks a
winner, so nothing was merged: an arbitrary rule would be a decision disguised
as a computation.
**How to decide:** pick the system a learner would look under first. The others
are kept as cross-links either way, so the question still appears when filtering
by them — the choice only sets where the condition *lives* in the tree.
| Condition | Questions | Tied between |
|---|---|---|
| Feeding Difficulty | 30 | Neonatology · Gastroenterology & Nutrition |
| Breastfeeding Jaundice | 16 | Neonatology · Gastroenterology & Nutrition |
| Chlamydial Infection | 16 | Ophthalmology · Infectious Disease · Neonatology |
| Chorioamnionitis | 14 | Infectious Disease · Adolescent Medicine · Neonatology |
| Duodenal Atresia | 8 | Gastroenterology & Nutrition · Neonatology |
| Chemical Burn | 8 | Toxicology · Emergency Medicine |
| Contact Dermatitis | 8 | Dermatology · Allergy/Immunology |
| Respiratory Infection | 8 | Pulmonology · Infectious Disease |
| Gastritis | 6 | Primary Care & Prevention · Gastroenterology & Nutrition |
| Organophosphate Poisoning | 6 | Toxicology · Emergency Medicine |
| Pesticide Toxicity | 6 | Toxicology · Emergency Medicine |
| Orchitis | 6 | Nephrology & Urology · Infectious Disease |
| Neuroblastoma | 6 | Hematology-Oncology · Gastroenterology & Nutrition |
| Epididymitis | 6 | Nephrology & Urology · Infectious Disease |
| Holoprosencephaly | 6 | Genetics & Metabolism · Neonatology |
Some of these look decidable to a clinician even though the counts are level —
Organophosphate Poisoning and Pesticide Toxicity are the same call twice, and
Orchitis and Epididymitis are a pair. Answer those together.
Once chosen, the merge is `scripts/merge_duplicate_conditions.py`, which keeps
the row you name and folds the rest into it.