JSON Metrics

We use four metrics related to the JSON responses coming back from LLMs

url = "https://openrouter.ai/api/v1/chat/completions"

headers = {
    "Authorization": f"Bearer {api_key}",
    "Content-Type": "application/json",
    "HTTP-Referer": "https://botflo.com/",  # Optional. Site URL for rankings on openrouter.ai.
    "X-Title": "LLM Accuracy Comparisons for Structured Outputs",
}

payload = {
    "model": model_name,
    "messages": [
        {"role": "system", "content": f'{system_prompt}'},
        {"role": "user", "content": f'{prompt}'}
    ],
    "reasoning": {
        "effort": "high"
    }

}

response_full = requests.post(url, headers=headers, data=json.dumps(payload))
response = response_full.json()
after = time.time()
elapsed = after - before
inner_response_text = response['choices'][0]['message']['content']
full_response_json = response_full.json()

api_error

If response_full.json() throws an error, that is considered an api_error

is_pure_json

If json.loads(inner_response_text) does not throw any error, then is_pure_json is true

contains_valid_json

Sometimes you have inner_response_text which looks like this:

"```json\n{\n  \"timeline\": {\n    \"date_of_vaccination\": {\n      \"year\": 1996,\n      \"month\": 5,\n      \"citations\": [\n        47\n      ],\n      \"explanation\": \"Extracted from Vax_date field.\"\n    },\n    \"regression_onset_date\": {\n      \"year\": 1996,\n      \"month\": 5,\n      \"citations\": [\n        47\n      ],\n      \"explanation\": \"Extracted from Onset_date field. Occurred on the same day as vaccination.\"\n    },\n    \"diagnosis_date\": null,\n    \"age_at_vaccination_months\": {\n      \"value\": 15,\n      \"citations\": [\n        3\n      ],\n      \"explanation\": \"Calculated from 'Age_yrs: 1.25' (1.25 * 12 = 15 months).\"\n    },\n    \"age_at_diagnosis_months\": {\n      \"value\": 45,\n      \"citations\": [\n        7\n      ],\n      \"explanation\": \"The follow-up report states the patient is a '3 year, 9 month old child with a diagnosis of Autism Spectrum Disorder', which is 45 months. This is the age at which the diagnosis is confirmed in the report, not necessarily the exact date of diagnosis.\"\n    }\n  },\n  \"developmental_milestones\": [],\n  \"regression_record\": {\n    \"pre_regression_language_level\": {\n      \"value\": \"babbling_single_words\",\n      \"citations\": [\n        5\n      ],\n      \"explanation\": \"Patient experienced 'loss of... language, comprehension' at 15 months old, which implies that some language skills, at least consistent with that age, were present prior to the regression.\"\n    },\n    \"pre_regression_social_communication_level\": {\n      \"value\": \"basic_engagement\",\n      \"citations\": [\n        5\n      ],\n      \"explanation\": \"Patient experienced a 'loss of skills' at 15 months, which implies that some social skills consistent with that age were present before the regression.\"\n    },\n    \"pre_regression_adaptive_behavior_level\": {\n      \"value\": \"basic_self_help\",\n      \"citations\": [\n        5\n      ],\n      \"explanation\": \"Patient experienced a 'loss of skills' at 15 months, which implies that some adaptive/play skills consistent with that age were present prior to the regression.\"\n    },\n    \"post_regression_language_level\": {\n      \"value\": \"babbling_single_words\",\n      \"citations\": [\n        12,\n        14\n      ],\n      \"explanation\": \"After regression, the patient has 'gotton some words' and uses 'mam, go, bye, and dada' with some consistency.\"\n    },\n    \"post_regression_social_communication_level\": {\n      \"value\": \"basic_engagement\",\n      \"citations\": [\n        18,\n        42,\n        43\n      ],\n      \"explanation\": \"While 'eye contact' has improved, the patient is 'still not using his language or words to initiate communication' and 'non-verbal communication appears to be somewhat sparse'.\"\n    },\n    \"post_regression_adaptive_behavior_level\": {\n      \"value\": \"basic_self_help\",\n      \"citations\": [\n        22\n      ],\n      \"explanation\": \"Patient 'is now able to take off his shoes and socks and is otherwise able to help with dressing'.\"\n    },\n    \"has_language_loss\": {\n      \"value\": true,\n      \"citations\": [\n        5\n      ],\n      \"explanation\": \"The report states the patient experienced 'loss of skills, language, comprehension etc.'\"\n    },\n    \"has_social_loss\": {\n      \"value\": true,\n      \"citations\": [\n        5,\n        18\n      ],\n      \"explanation\": \"The report mentions a general 'loss of skills' and that 'eye contact' had 'improved' in follow-up, implying a prior loss.\"\n    },\n    \"has_adaptive_loss\": {\n      \"value\": true,\n      \"citations\": [\n        5,\n        18\n      ],\n      \"explanation\": \"The report mentions a 'loss of skills' and that 'Play skills have like wise improved', implying a prior loss.\"\n    },\n    \"has_repetitive_behaviors\": {\n      \"value\": true,\n      \"citations\": [\n        19,\n        21,\n        39\n      ],\n      \"explanation\": \"The report notes a 'tendency to become fixated', 'perserverate behavior', 'self stimulatory behavior', and 'hand shaking behavior'.\"\n    }\n  },\n  \"early_vaccination_symptoms\": {\n    \"had_autism_features\": {\n      \"value\": true,\n      \"ongoing\": true,\n      \"days_to_symptom_onset\": 0,\n      \"citations\": [\n        5,\n        49,\n        \"Order: 1\"\n      ],\n      \"explanation\": \"Initial symptoms included 'loss of skills, language, comprehension'. The official symptom list also includes 'Autism' with an onset of day 0.\"\n    },\n    \"had_fever\": {\n      \"value\": true,\n      \"ongoing\": false,\n      \"days_to_symptom_onset\": 0,\n      \"citations\": [\n        5,\n        49\n      ],\n      \"explanation\": \"The report explicitly states 'The pt experienced a fever' as an initial symptom with an onset of day 0. It is not mentioned as ongoing.\"\n    },\n    \"had_speech_loss\": {\n      \"value\": true,\n      \"ongoing\": true,\n      \"days_to_symptom_onset\": 0,\n      \"citations\": [\n        5,\n        49,\n        \"Order: 1\"\n      ],\n      \"explanation\": \"Initial symptoms included 'loss of ... language, comprehension'. The symptom list includes 'Aphasia' with an onset of day 0.\"\n    },\n    \"had_irritability\": {\n      \"value\": true,\n      \"ongoing\": false,\n      \"days_to_symptom_onset\": 0,\n      \"citations\": [\n        5,\n        49\n      ],\n      \"explanation\": \"The report states the patient experienced 'fussiness, irritable' as an initial symptom. It is not mentioned as ongoing.\"\n    },\n    \"had_eye_contact_loss\": {\n      \"value\": false,\n      \"ongoing\": false,\n      \"explanation\": \"Loss of eye contact is implied by later improvement but not explicitly listed as an initial symptom within 30 days.\"\n    },\n    \"had_diarrhea\": {\n      \"value\": false,\n      \"ongoing\": false\n    },\n    \"had_seizures\": {\n      \"value\": false,\n      \"ongoing\": false\n    },\n    \"had_lethargy\": {\n      \"value\": false,\n      \"ongoing\": false\n    },\n    \"had_screaming\": {\n      \"value\": false,\n      \"ongoing\": false\n    },\n    \"had_behavioral_changes\": {\n      \"value\": true,\n      \"ongoing\": true,\n      \"days_to_symptom_onset\": 0,\n      \"citations\": [\n        5,\n        49\n      ],\n      \"explanation\": \"Patient exhibited 'fussiness, irritable, loss of skills' starting on the day of vaccination.\"\n    },\n    \"had_rash\": {\n      \"value\": false,\n      \"ongoing\": false\n    },\n    \"had_head_banging\": {\n      \"value\": false,\n      \"ongoing\": false\n    },\n    \"had_social_withdrawal\": {\n      \"value\": false,\n      \"ongoing\": false\n    },\n    \"had_injection_site_reaction\": {\n      \"value\": true,\n      \"ongoing\": false,\n      \"days_to_symptom_onset\": 0,\n      \"citations\": [\n        5,\n        49,\n        \"Order: 1\"\n      ],\n      \"explanation\": \"The patient had a 'knot at the injection site for an extended period'. 'Injection site mass' is on the symptom list with an onset of day 0. It is not described as currently ongoing.\"\n    },\n    \"had_balance_loss\": {\n      \"value\": false,\n      \"ongoing\": false\n    },\n    \"had_appetite_loss\": {\n      \"value\": false,\n      \"ongoing\": false\n    },\n    \"had_staring_spells\": {\n      \"value\": false,\n      \"ongoing\": false,\n      \"explanation\": \"Staring spells are mentioned [38] but not specified as an early symptom occurring within 30 days of vaccination.\"\n    },\n    \"had_hand_flapping\": {\n      \"value\": false,\n      \"ongoing\": false,\n      \"explanation\": \"'Hand shaking behavior' is mentioned [39] but not specified as an early symptom occurring within 30 days of vaccination.\"\n    },\n    \"had_toe_walking\": {\n      \"value\": false,\n      \"ongoing\": false\n    },\n    \"had_gastrointestinal_problems\": {\n      \"value\": true,\n      \"ongoing\": true,\n      \"days_to_symptom_onset\": 0,\n      \"citations\": [\n        6,\n        35,\n        49,\n        \"Order: 1\"\n      ],\n      \"explanation\": \"The symptom list includes 'Gastrointestinal disorder' with an onset of day 0. Follow-up text mentions ongoing 'GI issues' and gastrointestinal problems.\"\n    },\n    \"had_hyperactivity\": {\n      \"value\": false,\n      \"ongoing\": false\n    },\n    \"had_ear_infections\": {\n      \"value\": false,\n      \"ongoing\": false\n    },\n    \"had_vomiting\": {\n      \"value\": false,\n      \"ongoing\": false\n    },\n    \"had_sleep_problems\": {\n      \"value\": false,\n      \"ongoing\": false\n    },\n    \"had_encephalopathy\": {\n      \"value\": false,\n      \"ongoing\": false\n    }\n  },\n  \"diagnosis_record\": {\n    \"asd_severity\": {\n      \"value\": 2,\n      \"citations\": [\n        7,\n        14,\n        28,\n        29,\n        42\n      ],\n      \"explanation\": \"Severity level is not explicitly stated. Level 2 ('Requiring substantial support') is assigned based on the description of significant but not complete deficits: limited language to single words, sparse non-verbal communication, and need for multiple ongoing therapies (speech, OT, home program).\"\n    },\n    \"diagnosis_name\": [\n      {\n        \"value\": \"Autism Spectrum Disorder\",\n        \"citations\": [\n          7\n        ]\n      },\n      {\n        \"value\": \"Pervasive Developmental Disorder\",\n        \"citations\": [\n          6,\n          7\n        ]\n      },\n      {\n        \"value\": \"Autism\",\n        \"citations\": [\n          \"Order: 1\"\n        ]\n      }\n    ],\n    \"diagnosing_professional\": null\n  },\n  \"intervention_record\": {\n    \"interventions\": [\n      {\n        \"value\": \"speech_therapy\",\n        \"citations\": [\n          29,\n          32\n        ],\n        \"explanation\": \"Patient receives 'speech and language services' and is seen by a 'speech and language pathologist'.\"\n      },\n      {\n        \"value\": \"occupational_therapy\",\n        \"citations\": [\n          29,\n          31\n        ],\n        \"explanation\": \"Patient receives 'occupational therapy services' and his therapist is trained in 'sensory integration'.\"\n      },\n      {\n        \"value\": \"other\",\n        \"citations\": [\n          28\n        ],\n        \"explanation\": \"Patient 'continues to participate in a home program'.\"\n      }\n    ],\n    \"is_intervention_ongoing\": {\n      \"value\": true,\n      \"citations\": [\n        28,\n        29\n      ],\n      \"explanation\": \"The report states the patient 'continues to participate in a home program' and 'also receives speech and language services and occupational therapy services'.\"\n    },\n    \"has_recovery\": {\n      \"value\": false,\n      \"citations\": [\n        47\n      ],\n      \"explanation\": \"The 'Recovd' field is marked 'N' (No).\"\n    }\n  },\n  \"birth_record\": {\n    \"was_normal_pre_vaccination\": {\n      \"value\": true,\n      \"citations\": [\n        5\n      ],\n      \"explanation\": \"The report of a 'loss of skills, language, comprehension etc.' implies that development was progressing prior to the event.\"\n    },\n    \"apgar_score\": null\n  },\n  \"behavior_record\": {\n    \"repetitive_behaviors\": [\n      {\n        \"value\": \"Fixated interests\",\n        \"citations\": [\n          19\n        ],\n        \"explanation\": \"He has a tendency to become fixated on the same four viseo tapes.\"\n      },\n      {\n        \"value\": \"Perseverative behavior\",\n        \"citations\": [\n          21\n        ],\n        \"explanation\": \"SOme perserverate behavior and play behavior however, can be exhibited.\"\n      },\n      {\n        \"value\": \"Self-stimulatory behavior\",\n        \"citations\": [\n          39\n        ],\n        \"explanation\": \"he comes back with self stimulatory behavior.\"\n      },\n      {\n        \"value\": \"Hand shaking\",\n        \"citations\": [\n          39\n        ],\n        \"explanation\": \"has been known during around these times, to have hand shaking behavior.\"\n      },\n      {\n        \"value\": \"Auditory sensitivity\",\n        \"citations\": [\n          36\n        ],\n        \"explanation\": \"pt tends to be sensitive to noises and frequently cover his ears.\"\n      }\n    ]\n  },\n  \"heavy_metal_tests\": null,\n  \"comorbidities\": [\n    {\n      \"value\": \"eczema\",\n      \"citations\": [\n        25,\n        51\n      ],\n      \"explanation\": \"Patient has a history of eczema and 'continues to have eczema, which is 'itchy all of the time''.\"\n    },\n    {\n      \"value\": \"allergies\",\n      \"citations\": [\n        51\n      ],\n      \"explanation\": \"Patient has a history of allergies.\"\n    },\n    {\n      \"value\": \"other\",\n      \"citations\": [\n        6\n      ],\n      \"explanation\": \"Annual follow-up states the pt has metabolic disturbances, mitochondrial problems.\"\n    },\n    {\n      \"value\": \"other\",\n      \"citations\": [\n        6,\n        35\n      ],\n      \"explanation\": \"Patient has 'GI issues' / 'gastrointestinal problems'.\"\n    },\n    {\n      \"value\": \"other\",\n      \"citations\": [\n        26\n      ],\n      \"explanation\": \"Patient has 'elevated IGE immune titers'.\"\n    }\n  ],\n  \"environmental_exposures\": [],\n  \"legal_matter\": {\n    \"value\": false,\n    \"explanation\": \"No mention of a lawsuit or legal matter in the report.\"\n  },\n  \"diagnosis_reporting_delay_reason\": null\n}\n```"

This would be perfectly valid JSON once you remove the markdown prefix:

```json
{
  "timeline": {
    "date_of_vaccination": {
      "year": 1996,
      "month": 5,
      "citations": [
        47
      ],
      "explanation": "Extracted from Vax_date field."
    },
    "regression_onset_date": {
      "year": 1996,
      "month": 5,
      "citations": [
        47
      ],
      "explanation": "Extracted from Onset_date field. Occurred on the same day as vaccination."
    },
    "diagnosis_date": null,
    "age_at_vaccination_months": {
      "value": 15,
      "citations": [
        3
      ],
      "explanation": "Calculated from 'Age_yrs: 1.25' (1.25 * 12 = 15 months)."
    },
    "age_at_diagnosis_months": {
      "value": 45,
      "citations": [
        7
      ],
      "explanation": "The follow-up report states the patient is a '3 year, 9 month old child with a diagnosis of Autism Spectrum Disorder', which is 45 months. This is the age at which the diagnosis is confirmed in the report, not necessarily the exact date of diagnosis."
    }
  },
  "developmental_milestones": [],
  "regression_record": {
    "pre_regression_language_level": {
      "value": "babbling_single_words",
      "citations": [
        5
      ],
      "explanation": "Patient experienced 'loss of... language, comprehension' at 15 months old, which implies that some language skills, at least consistent with that age, were present prior to the regression."
    },
    "pre_regression_social_communication_level": {
      "value": "basic_engagement",
      "citations": [
        5
      ],
      "explanation": "Patient experienced a 'loss of skills' at 15 months, which implies that some social skills consistent with that age were present before the regression."
    },
    "pre_regression_adaptive_behavior_level": {
      "value": "basic_self_help",
      "citations": [
        5
      ],
      "explanation": "Patient experienced a 'loss of skills' at 15 months, which implies that some adaptive/play skills consistent with that age were present prior to the regression."
    },
    "post_regression_language_level": {
      "value": "babbling_single_words",
      "citations": [
        12,
        14
      ],
      "explanation": "After regression, the patient has 'gotton some words' and uses 'mam, go, bye, and dada' with some consistency."
    },
    "post_regression_social_communication_level": {
      "value": "basic_engagement",
      "citations": [
        18,
        42,
        43
      ],
      "explanation": "While 'eye contact' has improved, the patient is 'still not using his language or words to initiate communication' and 'non-verbal communication appears to be somewhat sparse'."
    },
    "post_regression_adaptive_behavior_level": {
      "value": "basic_self_help",
      "citations": [
        22
      ],
      "explanation": "Patient 'is now able to take off his shoes and socks and is otherwise able to help with dressing'."
    },
    "has_language_loss": {
      "value": true,
      "citations": [
        5
      ],
      "explanation": "The report states the patient experienced 'loss of skills, language, comprehension etc.'"
    },
    "has_social_loss": {
      "value": true,
      "citations": [
        5,
        18
      ],
      "explanation": "The report mentions a general 'loss of skills' and that 'eye contact' had 'improved' in follow-up, implying a prior loss."
    },
    "has_adaptive_loss": {
      "value": true,
      "citations": [
        5,
        18
      ],
      "explanation": "The report mentions a 'loss of skills' and that 'Play skills have like wise improved', implying a prior loss."
    },
    "has_repetitive_behaviors": {
      "value": true,
      "citations": [
        19,
        21,
        39
      ],
      "explanation": "The report notes a 'tendency to become fixated', 'perserverate behavior', 'self stimulatory behavior', and 'hand shaking behavior'."
    }
  },
  "early_vaccination_symptoms": {
    "had_autism_features": {
      "value": true,
      "ongoing": true,
      "days_to_symptom_onset": 0,
      "citations": [
        5,
        49,
        "Order: 1"
      ],
      "explanation": "Initial symptoms included 'loss of skills, language, comprehension'. The official symptom list also includes 'Autism' with an onset of day 0."
    },
    "had_fever": {
      "value": true,
      "ongoing": false,
      "days_to_symptom_onset": 0,
      "citations": [
        5,
        49
      ],
      "explanation": "The report explicitly states 'The pt experienced a fever' as an initial symptom with an onset of day 0. It is not mentioned as ongoing."
    },
    "had_speech_loss": {
      "value": true,
      "ongoing": true,
      "days_to_symptom_onset": 0,
      "citations": [
        5,
        49,
        "Order: 1"
      ],
      "explanation": "Initial symptoms included 'loss of ... language, comprehension'. The symptom list includes 'Aphasia' with an onset of day 0."
    },
    "had_irritability": {
      "value": true,
      "ongoing": false,
      "days_to_symptom_onset": 0,
      "citations": [
        5,
        49
      ],
      "explanation": "The report states the patient experienced 'fussiness, irritable' as an initial symptom. It is not mentioned as ongoing."
    },
    "had_eye_contact_loss": {
      "value": false,
      "ongoing": false,
      "explanation": "Loss of eye contact is implied by later improvement but not explicitly listed as an initial symptom within 30 days."
    },
    "had_diarrhea": {
      "value": false,
      "ongoing": false
    },
    "had_seizures": {
      "value": false,
      "ongoing": false
    },
    "had_lethargy": {
      "value": false,
      "ongoing": false
    },
    "had_screaming": {
      "value": false,
      "ongoing": false
    },
    "had_behavioral_changes": {
      "value": true,
      "ongoing": true,
      "days_to_symptom_onset": 0,
      "citations": [
        5,
        49
      ],
      "explanation": "Patient exhibited 'fussiness, irritable, loss of skills' starting on the day of vaccination."
    },
    "had_rash": {
      "value": false,
      "ongoing": false
    },
    "had_head_banging": {
      "value": false,
      "ongoing": false
    },
    "had_social_withdrawal": {
      "value": false,
      "ongoing": false
    },
    "had_injection_site_reaction": {
      "value": true,
      "ongoing": false,
      "days_to_symptom_onset": 0,
      "citations": [
        5,
        49,
        "Order: 1"
      ],
      "explanation": "The patient had a 'knot at the injection site for an extended period'. 'Injection site mass' is on the symptom list with an onset of day 0. It is not described as currently ongoing."
    },
    "had_balance_loss": {
      "value": false,
      "ongoing": false
    },
    "had_appetite_loss": {
      "value": false,
      "ongoing": false
    },
    "had_staring_spells": {
      "value": false,
      "ongoing": false,
      "explanation": "Staring spells are mentioned [38] but not specified as an early symptom occurring within 30 days of vaccination."
    },
    "had_hand_flapping": {
      "value": false,
      "ongoing": false,
      "explanation": "'Hand shaking behavior' is mentioned [39] but not specified as an early symptom occurring within 30 days of vaccination."
    },
    "had_toe_walking": {
      "value": false,
      "ongoing": false
    },
    "had_gastrointestinal_problems": {
      "value": true,
      "ongoing": true,
      "days_to_symptom_onset": 0,
      "citations": [
        6,
        35,
        49,
        "Order: 1"
      ],
      "explanation": "The symptom list includes 'Gastrointestinal disorder' with an onset of day 0. Follow-up text mentions ongoing 'GI issues' and gastrointestinal problems."
    },
    "had_hyperactivity": {
      "value": false,
      "ongoing": false
    },
    "had_ear_infections": {
      "value": false,
      "ongoing": false
    },
    "had_vomiting": {
      "value": false,
      "ongoing": false
    },
    "had_sleep_problems": {
      "value": false,
      "ongoing": false
    },
    "had_encephalopathy": {
      "value": false,
      "ongoing": false
    }
  },
  "diagnosis_record": {
    "asd_severity": {
      "value": 2,
      "citations": [
        7,
        14,
        28,
        29,
        42
      ],
      "explanation": "Severity level is not explicitly stated. Level 2 ('Requiring substantial support') is assigned based on the description of significant but not complete deficits: limited language to single words, sparse non-verbal communication, and need for multiple ongoing therapies (speech, OT, home program)."
    },
    "diagnosis_name": [
      {
        "value": "Autism Spectrum Disorder",
        "citations": [
          7
        ]
      },
      {
        "value": "Pervasive Developmental Disorder",
        "citations": [
          6,
          7
        ]
      },
      {
        "value": "Autism",
        "citations": [
          "Order: 1"
        ]
      }
    ],
    "diagnosing_professional": null
  },
  "intervention_record": {
    "interventions": [
      {
        "value": "speech_therapy",
        "citations": [
          29,
          32
        ],
        "explanation": "Patient receives 'speech and language services' and is seen by a 'speech and language pathologist'."
      },
      {
        "value": "occupational_therapy",
        "citations": [
          29,
          31
        ],
        "explanation": "Patient receives 'occupational therapy services' and his therapist is trained in 'sensory integration'."
      },
      {
        "value": "other",
        "citations": [
          28
        ],
        "explanation": "Patient 'continues to participate in a home program'."
      }
    ],
    "is_intervention_ongoing": {
      "value": true,
      "citations": [
        28,
        29
      ],
      "explanation": "The report states the patient 'continues to participate in a home program' and 'also receives speech and language services and occupational therapy services'."
    },
    "has_recovery": {
      "value": false,
      "citations": [
        47
      ],
      "explanation": "The 'Recovd' field is marked 'N' (No)."
    }
  },
  "birth_record": {
    "was_normal_pre_vaccination": {
      "value": true,
      "citations": [
        5
      ],
      "explanation": "The report of a 'loss of skills, language, comprehension etc.' implies that development was progressing prior to the event."
    },
    "apgar_score": null
  },
  "behavior_record": {
    "repetitive_behaviors": [
      {
        "value": "Fixated interests",
        "citations": [
          19
        ],
        "explanation": "He has a tendency to become fixated on the same four viseo tapes."
      },
      {
        "value": "Perseverative behavior",
        "citations": [
          21
        ],
        "explanation": "SOme perserverate behavior and play behavior however, can be exhibited."
      },
      {
        "value": "Self-stimulatory behavior",
        "citations": [
          39
        ],
        "explanation": "he comes back with self stimulatory behavior."
      },
      {
        "value": "Hand shaking",
        "citations": [
          39
        ],
        "explanation": "has been known during around these times, to have hand shaking behavior."
      },
      {
        "value": "Auditory sensitivity",
        "citations": [
          36
        ],
        "explanation": "pt tends to be sensitive to noises and frequently cover his ears."
      }
    ]
  },
  "heavy_metal_tests": null,
  "comorbidities": [
    {
      "value": "eczema",
      "citations": [
        25,
        51
      ],
      "explanation": "Patient has a history of eczema and 'continues to have eczema, which is 'itchy all of the time''."
    },
    {
      "value": "allergies",
      "citations": [
        51
      ],
      "explanation": "Patient has a history of allergies."
    },
    {
      "value": "other",
      "citations": [
        6
      ],
      "explanation": "Annual follow-up states the pt has metabolic disturbances, mitochondrial problems."
    },
    {
      "value": "other",
      "citations": [
        6,
        35
      ],
      "explanation": "Patient has 'GI issues' / 'gastrointestinal problems'."
    },
    {
      "value": "other",
      "citations": [
        26
      ],
      "explanation": "Patient has 'elevated IGE immune titers'."
    }
  ],
  "environmental_exposures": [],
  "legal_matter": {
    "value": false,
    "explanation": "No mention of a lawsuit or legal matter in the report."
  },
  "diagnosis_reporting_delay_reason": null
}
```

is_valid_schema

This will be set to true if you can validate the JSON that you extracted against the given Pydantic schema