Audit: QRS - EMDR for Health & Longevity of the ER frontmatter
Audit conducted on 01/08/2026 15:11 using AI4L / Grok 4
Summary
| Items | Count |
|---|---|
| Total | 91 |
| Passed | 81 |
| Failed | 0 |
| N/A | 10 |
| Pass Rate | 100.00% |
- Total = Passed + Failed + N/A
- Pass Rate = Passed / (Passed + Failed) × 100
- N/A items are excluded from the pass rate calculation
1. General Rules
| # | Description | Result | Comments |
|---|---|---|---|
| 1.1 | Every claim, magnitude, label, recommendation, and statement in the QRS is literally supported by content in the source ER. | 🟢 | |
| 1.2 | Where the ER uses cautious phrasing (“not formally studied”, “None documented in human trials to date”, “theoretical concern”, “data are limited”), the QRS uses the same phrasing. | 🟢 | Speculative tier used for unproven CV/allostatic pathway; no overstatement of empty-state claims. |
| 1.3 | The QRS never strengthens an ER claim (e.g., “not formally studied” → “not required”) or softens one (e.g., “do not use during pregnancy” → “use with caution during pregnancy”). | 🟢 | |
| 1.4 | The QRS does not relabel an ER fact under a different decision category. A “Benefit-Modifying Factor” from ER section is not surfaced as a “Caution”; a “Risk-Modifying Factor” is not surfaced as a “Side Effect”; etc. | 🟢 | Stop items match ER avoid/defer populations; cautions match interaction bullets; benefits/risks match their ER sections. |
| 1.5 | PubMed IDs, study citations, expert names, clinical trial identifiers (NCT*), and brand names appear in the QRS only if they appear in the source ER for the same fact. | 🟢 | None of these appear in the QRS. |
| 1.6 | The QRS does not introduce new attributions. | 🟢 |
2. Focus, Tone & Audience
| # | Description | Result | Comments |
|---|---|---|---|
| 2.1 | The QRS follows the tone of the ER, which is determined by the ER’s own language, phrasing, and framing. | 🟢 | |
| 2.2 | The tone of the QRS is simultaneously expert, accessible, objective, and data-driven, but also empowering and encouraging | 🟢 | |
| 2.3 | The QRS reads as a trusted, knowledgeable guide rather than a prescriptive doctor | 🟢 | |
| 2.4 | The QRS avoids language that implies medical or clinical advice | 🟢 | |
| 2.5 | The QRS “presents information” instead of “providing guidance”, “recommending”, or “advising” | 🟢 | |
| 2.6 | The QRS never addresses “the reader” directly — it presents evidence, not guidance | 🟢 | |
| 2.7 | The QRS is written in plain language, avoiding unnecessary medical jargon | 🟢 | At-a-glance uses plain terms (left–right stimulation, post-traumatic stress); monitoring keeps ER scale names. |
| 2.8 | Information is presented in a concise and very compact manner | 🟢 | |
| 2.9 | It DOES NOT address the reader directly | 🟢 | |
| 2.10 | The target audience is health- and longevity-oriented adults who are risk-aware, proactive, and actively seeking to optimize health or apply the intervention under review. | 🟢 | |
| 2.11 | The target audience is willing to employ lifestyle and behavioral changes as well as follow protocols that may be inconvenient, costly, or require effort. | 🟢 | |
| 2.12 | The document is NOT written for the general population, who are unwilling to employ lifestyle and behavioral changes or follow protocols that may be inconvenient, costly, or require effort. | 🟢 | |
| 2.13 | Framing, takeaways, and risk/benefit weighting throughout the document reflect this audience, including where an intervention’s signal for the average person differs from its signal for this audience. | 🟢 | Strongest-role framing matches ER longevity conclusion. |
| 2.14 | The document’s own voice frames usage in longevity terms, not “anti-aging” (e.g., “anti-aging clinics”, “anti-aging community”, “anti-aging medicine”). Proper names that contain “anti-aging” (e.g., “American Academy of Anti-Aging Medicine”) are quoted verbatim. | 🟢 | |
| 2.15 | The document’s own voice uses formal clinical and scientific terminology, not colloquial or consumer-grade language (e.g., “oral medication” not “pill(s)”; “injection” not “shot”; “adverse event” not “bad reaction”). Direct quotes from sources are exempt. | 🟢 | “Talk therapy” matches ER usage. |
3. Template Integrity
| # | Description | Result | Comments |
|---|---|---|---|
| 3.1 | The following labels and headings on the QRS are fixed and not modified: Card and section headings: “Protocol”, “Time to effect”, “Benefits”, “Risk & Side Effects”, “Monitoring”, “Qualitative Assessment”; Gate headings: “Contraindications”, “Key Interactions”; Tier labels: “High”, “Medium”, “Low”, “Speculative”; Table column headers in Monitoring: “Marker”, “Target”, “Why” | 🟢 | All fixed labels match template wording. |
| 3.2 | All “…” from the [qrs_template] are present in the the QRS. | 🟢 | Template placeholders filled; marker_# / qualitative_item_# expanded to numbered spans. |
| 3.3 | Spans that are not addressed in a checklist item are left unchanged | 🟢 |
4. Formatting
| # | Description | Result | Comments |
|---|---|---|---|
| 4.1 | When the source ER section is empty, the QRS uses the ER’s own empty-state phrasing verbatim. Typical phrasings are “None documented in human trials to date” and “Not formally studied” | N/A | No source ER section mapped into the QRS is empty. |
| 4.2 | Where the ER presents a bulleted item as “Label: content”, the QRS uses the ER’s bold label verbatim as the cell or row label. | 🟢 | Interaction bold labels carried as caution items (parentheticals trimmed per 9.5). |
| 4.3 | Labels are not paraphrased, abbreviated, or invented. | 🟢 | Benefit/risk titles and interaction labels track ER wording; protocol cell labels are short descriptors of ER protocol aspects. |
| 4.4 | The QRS DOES NOT use emoji indicators (no 🟩, 🟥, 🟨, etc.). Color and emphasis are conveyed through CSS and bold labels. | 🟢 | |
| 4.5 | The QRS is designed to render on one A4 page. Any section that has more content in the ER than fits the per-section budget is condensed by the LLM, not extended onto a second page. | 🟢 | Multi-item tiers and elaborations condensed for one-page layout. |
5. Metadata
| # | Description | Result | Comments |
|---|---|---|---|
| 5.1 | The metadata is placed inside a single HTML comment that is the first element after “<!doctype html>” and before any other comment, head, or body content. | 🟢 | |
| 5.2 | Inside that HTML comment the YAML block is delimited by a line “—” opening and a line “—” closing. Text before the opening “—” is permitted but is not parsed as YAML. | 🟢 | |
| 5.3 | The metadata is not visible in any rendered view of the QRS and is not surfaced by any other element on the sheet. | 🟢 | |
| 5.4 | All frontmatter values are trimmed: no leading or trailing whitespace, no surrounding quotes unless the value contains a colon, bracket, or leading special character that requires YAML quoting. | 🟢 | duration quoted for colon. |
| 5.5 | The filename of the source ER is stated as “er_filename: [er_filename]” | 🟢 | er_filename: emdr_2026-0801-1404_Grok_ER.md |
| 5.6 | Version of the QRS.md file used to create the document is stated as “qrs_prompt_version: [Version of QRS.md]” | 🟢 | qrs_prompt_version: 26.7.02 |
| 5.7 | Creation date and time of the document is stated as “qrs_creation_date: [YYYY-MMDD-HHMM]” (e.g., 2026-0501-1430) | 🟢 | qrs_creation_date: 2026-0801-1432 |
| 5.8 | The nickname of the AI used to create the document is stated as “qrs_creator_ai_nickname: [qrs_creator_ai_nickname]” | 🟢 | Grok |
| 5.9 | The nickname of the AI is just a single word model name without version, etc. (e.g., Opus, Sonnet, Grok, Gemini, ChatGPT) | 🟢 | |
| 5.10 | The full name of the AI used to create the document is stated as “qrs_creator_ai_fullname: [qrs_creator_ai_fullname]” | 🟢 | Grok 4 |
| 5.11 | The full name of the AI consists of the [qrs_creator_ai_nickname] and the model version number and no additional qualifier (e.g., Opus 4.6, Sonnet 3.2, Grok 4.5, Gemini 3.1, ChatGPT 5.4) | 🟢 | |
| 5.12 | The filename of the document is stated as “qrs_filename: [filename of this document]” | 🟢 | emdr_2026-0801-1404_Grok_QRS.html |
| 5.13 | All frontmatter values are trimmed: no leading or trailing whitespace, no surrounding quotes unless the value contains a colon, bracket, or leading special character that requires YAML quoting. | 🟢 |
6. Page Title & Header
| # | Description | Result | Comments |
|---|---|---|---|
| 6.1 | [page_title] is set to the [canonical_topic] of the ER frontmatter followed by “ - Quick Reference Sheet” (e.g., “Intervention - Quick Reference Sheet”). The [canonical_topic] is HTML-entity-encoded as needed (e.g., & for &) |
🟢 | EMDR for Health & Longevity - Quick Reference Sheet |
| 6.2 | [header_topic] is set to the [canonical_topic] of the ER frontmatter, with HTML entities encoded as needed (e.g., & for &) |
🟢 | EMDR for Health & Longevity |
| 6.3 | [header_subline_date] is set to [qrs_creation_date reformatted as MM/DD/YYYY] | 🟢 | 08/01/2026 from 2026-0801-1432 |
| 6.4 | [header_subline_model] is set to [qrs_creator_ai_fullname] | 🟢 | Grok 4 |
| 6.5 | No additional header content appears: no badge, version stamp, AKA / alternate names line, source-AI attribution, audit date, or QRS variant marker. | 🟢 |
7. At-A-Glance Section
| # | Description | Result | Comments |
|---|---|---|---|
| 7.1 | [at_a_glance] is dense, execution-oriented summary of the ER Conclusion section | 🟢 | Captures mechanism, PTSD efficacy band, secondary gains, short-term risks, and longevity role framing. |
| 7.2 | [at_a_glance] is no longer than 60 words | 🟢 | 58 words. |
| 7.3 | Every fact in [at_a_glance] is supported by a distinct passage in the ER. | 🟢 | Mapped to Conclusion and aligned risk/benefit passages. |
| 7.4 | It DOES NOT use acronyms or technical classifications that require specialist knowledge, uses plain-language terms instead | 🟢 | Uses post-traumatic stress and left–right stimulation; EMDR is the intervention title. |
| 7.5 | It DOES NOT cite specific trials (names, years, sample sizes, p-values) | 🟢 | |
| 7.6 | It DOES NOT cite effect sizes, relative risks, or statistical results | 🟢 |
8. Contraindications
| # | Description | Result | Comments |
|---|---|---|---|
| 8.1 | The section is derived from the ER Key Interactions & Contraindications section | 🟢 | From ER avoid/defer populations list. |
| 8.2 | [stop_items] represent the Contraindications from the ER | 🟢 | All five avoid/defer populations represented. |
| 8.3 | Individual [stop_items] are formatted as <li></li> | 🟢 | |
| 8.4 | Items are as concise as possible. No trailing explanations, no elaborations, no mechanistic rationale, no attributions, no citations, no study details. No content after an em-dash, en-dash, or hyphen-dash (e.g., “— dose reduction required”, “— reduced efficacy”) — these trailing clauses are stripped. Just the key fact. | 🟢 | Trailing stabilize/protocol elaborations and post-em-dash cardiology notes stripped. |
| 8.5 | Parenthetical qualifiers from the ER bullet — time windows, severity classes, threshold values, clinical staging — ARE preserved as part of the item, kept as concise as possible (shortened or trimmed where needed to fit the one-page budget, but never dropped entirely). | 🟢 | e.g., unstable acute coronary syndrome retained. |
| 8.6 | When the ER uses ranking notation inside parens (e.g., “>” for severity ordering) that depends on an explanatory phrase to interpret, normalize the items to a plain comma-separated list rather than carrying through the bare symbol. | N/A | ER stop list has no ranking notation. |
| 8.7 | If no [stop_items] are present the section is left empty | N/A | stop_items are present. |
9. Key Interactions
| # | Description | Result | Comments |
|---|---|---|---|
| 9.1 | The section is derived from the ER Key Interactions & Contraindications section | 🟢 | |
| 9.2 | [caution_items] represent the Key Interactions from the ER, excluding any that are already listed as Contraindications | 🟢 | All five interaction bullets; none duplicated as stop items. |
| 9.3 | Individual [caution_items] are formatted as <li></li> | 🟢 | |
| 9.4 | Items are as concise as possible. No trailing explanations, no elaborations, no mechanistic rationale, no attributions, no citations, no study details. No content after an em-dash, en-dash, or hyphen-dash (e.g., “— dose reduction required”, “— reduced efficacy”) — these trailing clauses are stripped. Just the key fact. | 🟢 | Severity/consequence clauses stripped. |
| 9.5 | Parenthetical qualifiers from the ER bullet — example drug lists, time windows, severity classes, threshold values, clinical staging — ARE preserved as part of the item, kept as concise as possible (shortened or trimmed where needed to fit the one-page budget, but never dropped entirely). | 🟢 | Example drugs kept; class expansions trimmed. |
| 9.6 | When the ER uses ranking notation inside parens (e.g., “>” for severity ordering) that depends on an explanatory phrase to interpret, normalize the items to a plain comma-separated list rather than carrying through the bare symbol. | N/A | No ranking notation in interaction items. |
| 9.7 | If no [caution_items] are present the section is left empty | N/A | caution_items are present. |
10. Protocol
| # | Description | Result | Comments |
|---|---|---|---|
| 10.1 | The section is derived from the ER Protocol section | 🟢 | From Therapeutic Protocol (course, clinician delivery, BLS options). |
| 10.2 | The three sets of [action] items cover the three most important actionable implementation aspects from the ER Protocol section | 🟢 | Course (~6–12 sessions), Delivery (trained clinician / eight-phase), Stimulation (eye movements/taps/tones). |
| 10.3 | If less that three distinct actionable implementation aspects are mentioned in the ER the unused sets are left empty and made invisible, not filled with placeholder text or empty-state phrasing. | N/A | Three aspects used. |
| 10.4 | All used [action_#label], [action#value], [action#_sub] items are filled with meaningful content derived from the ER Protocol section. | 🟢 |
11. Time to Effect
| # | Description | Result | Comments |
|---|---|---|---|
| 11.1 | The three sets of [time] items cover the three most important time-to-effect aspects from the ER | 🟢 | Broader trauma symptoms, single target, complex trauma timelines. |
| 11.2 | The sets are picked and ordered by the magnitude of the related benefit | 🟢 | Primary PTSD/trauma-symptom outcome first (High benefit), then single-target processing, then complex-trauma course. |
| 11.3 | If less that three distinct time-to-effect aspects are mentioned in the ER the unused sets are left empty and made invisible, not filled with placeholder text or empty-state phrasing. | N/A | Three aspects used. |
| 11.4 | All used [time_#label], [time#value], [time#_sub] items are filled with meaningful content derived from the ER. | 🟢 | |
| 11.5 | If the ER does not provide any information on time to effect, the section is removed completely from the Protocol Panel | N/A | ER provides time-to-effect information. |
12. Benefits
| # | Description | Result | Comments |
|---|---|---|---|
| 12.1 | The section is derived from the ER Expected Benefits section | 🟢 | |
| 12.2 | Key variables are [benefits_high], [benefits_medium], [benefits_low], [benefits_speculative] | 🟢 | All four spans populated from corresponding ER tiers. |
| 12.3 | Items are as concise as possible. No explanations, no elaborations, no effect sizes, no qualifiers, no attributions, no citations, no study details, no mechanistic explanations, etc. Just the key fact. | 🟢 | Effect sizes and magnitude notes stripped; multi-item medium tier joined for one-line template slot. |
| 12.4 | Parenthetical content — including effect sizes, sample notes, mechanistic hints, and example studies — is stripped, NOT preserved. | 🟢 | |
| 12.5 | If no items of a specific sub-section (high, medium, low, speculative) are present the respective is set to “display=none”, not filled with “None documented in human trials to date” or similar empty-state phrasing. | N/A | All four benefit sub-sections have items. |
13. Risks
| # | Description | Result | Comments |
|---|---|---|---|
| 13.1 | The section is derived from the ER Potential Risks & Side Effects section | 🟢 | |
| 13.2 | Key variables are [risks_high], [risks_medium], [risks_low], [risks_speculative] | 🟢 | All four spans populated from corresponding ER tiers. |
| 13.3 | Items are as concise as possible. No explanations, no elaborations, no effect sizes, no qualifiers, no attributions, no citations, no study details, no mechanistic explanations, etc. Just the key fact. | 🟢 | Magnitude/frequency notes stripped; multi-item medium and low tiers joined. |
| 13.4 | Parenthetical content — including frequencies, severity grades, sample notes, mechanistic hints, and example studies — is stripped, NOT preserved. | 🟢 | |
| 13.5 | If no items of a specific sub-section (high, medium, low, speculative) are present the respective is set to “display=none”, not filled with “None documented in human trials to date” or similar empty-state phrasing. | N/A | All four risk sub-sections have items. |
14. Monitoring
| # | Description | Result | Comments |
|---|---|---|---|
| 14.1 | The section is derived from the ER Monitoring section | 🟢 | From Monitoring Protocol & Defining Success. |
| 14.2 | All measurable/quantifiable biomarkers from the Monitoring section are listed | 🟢 | All eight table biomarkers present with Target and Why. |
| 14.3 | [monitoring_cadence] is populated with the monitoring cadence/frequency derived from the ER Monitoring section. It is not left with placeholder text or empty. | 🟢 | Intake/mid/end/follow-up scales and in-session SUD/VOC cadence. |
15. Qualitative Assessment
| # | Description | Result | Comments |
|---|---|---|---|
| 15.1 | The section is derived from the ER Monitoring section | 🟢 | From qualitative markers of progress. |
| 15.2 | All subjective/qualitative biomarkers from the Monitoring section are listed | 🟢 | All six qualitative markers present and matching. |
Issues 01/08/2026 15:11
Pass rate 100.00%. No issues found.
Issues 01/08/2026 15:04
- 7.4 — Clinical-register At-A-Glance wording: At-a-glance uses “trauma-focused therapies” and “secondarily”; replace with plain-language equivalents (e.g., “other trauma therapies”, “as well”) per the specialist-knowledge test.
Fixes 01/08/2026 15:06
- 7.4 — Clinical-register At-A-Glance wording: Replaced “trauma-focused therapies” with “trauma therapies” and “secondarily” with “as well” in at_a_glance for plain-language wording.
Issues 01/08/2026 14:56
- 4.3 — Monitoring marker labels abbreviated: Marker names drop ER parentheticals: “PHQ-9 / GAD-7 (or equivalents)” → “PHQ-9 / GAD-7”; “Sleep quality (diary or validated scale)” → “Sleep quality”.
Fixes 01/08/2026 14:57
- 4.3 — Monitoring marker labels: Restored ER biomarker parentheticals on marker names: “PHQ-9 / GAD-7 (or equivalents)” and “Sleep quality (diary or validated scale)”.
Issues 01/08/2026 14:48
-
1.3 — Softened risk frequency: At-a-glance says “Short-term distress and fatigue can occur,” softening the ER’s High-tier temporary distress (common) and Medium-tier fatigue (frequently reported).
-
9.4 — Alcohol interaction elaboration: caution_items alcohol bullet includes “(defer intensive trauma sets when intoxicated),” which is severity/action elaboration beyond the ER key fact “Alcohol and recreational drugs.”
Fixes 01/08/2026 14:48
-
1.3 — Softened risk frequency: Changed at-a-glance from “Short-term distress and fatigue can occur” to “Short-term distress and fatigue are common” to match ER High/Medium risk frequency wording.
-
9.4 — Alcohol interaction elaboration: Stripped severity/action parenthetical from the alcohol caution item; now “Alcohol and recreational drugs” only, matching the ER bold-label key fact.
Issues 01/08/2026 14:39
-
1.1 / 7.3 — Unsupported “low mood”: At-a-glance says “Trauma-linked low mood”; ER Conclusion and Expected Benefits use “depression”, not “low mood”.
-
1.3 — Strengthened course length / softened depression: Protocol value “6–12 weekly sessions” drops ER “Often roughly”; at-a-glance softens “depression” to “low mood”.
-
2.15 — Colloquial “low mood”: At-a-glance uses consumer-grade “low mood” instead of formal “depression” as in the ER.
-
7.4 — Clinical-register at-a-glance phrasing: “trauma-memory focus” is specialist compound phrasing; needs plain-language wording.
-
10.4 — Protocol sub from wrong section: action_2_sub “not self-help apps alone” comes from Sourcing and Quality / Practical Considerations, not Therapeutic Protocol.
-
11.2 — Time-to-effect order: Sets ordered by speed (single target first) rather than related benefit magnitude (broader trauma symptoms should lead).
Fixes 01/08/2026 14:42
-
1.1 / 7.3 — Unsupported “low mood”: Replaced at-a-glance “low mood” with “depression” to match ER Conclusion and Expected Benefits.
-
1.3 — Course length hedging: Changed Protocol action_1_value from “6–12 weekly sessions” to “~6–12 weekly sessions” to preserve ER “Often roughly” approximation.
-
2.15 — Colloquial “low mood”: Same at-a-glance edit: “depression” now used instead of colloquial “low mood”.
-
7.4 — Clinical-register phrasing: Replaced “trauma-memory focus” with plain-language “focus on traumatic memories” in at-a-glance (58 words).
-
10.4 — Protocol-only delivery sub: Replaced action_2_sub “not self-help apps alone” with “Eight-phase, three-pronged model after preparation” from Therapeutic Protocol.
-
11.2 — Time-to-effect order: Reordered time sets so Trauma symptoms (High benefit) leads, then Single target, then Complex trauma.