{ "artifact": "reviewed-national-aggregate-reports", "claim_boundary": "Candidate-network travel burdens use modelled aggregate expected courses and verified OSRM routes. Sites are plausible public-source locations, not confirmed anti-HER2 services; results do not establish eligibility, capacity, feasibility, or policy.", "reports": { "capacity-cost-perspective": { "analysis_population": "aggregate_expected_course_cells", "capacity_assumptions": { "active_nursing_fraction_of_on_site_time": 0.45, "chair_utilisation_target": 0.8, "peak_to_mean_factor": 1.25, "productive_hours_per_fte_year": 1500.0, "working_days_per_year": 240.0 }, "capacity_status": "not_estimable_observed_capacity_and_staffing_unknown", "claim_boundary": "Expected courses are aggregate model cells, not patients or observed workload. Per-site values are arithmetic workload envelopes, not staffing requirements or capacity. Vehicle costs are a source-backed private-vehicle resource scenario; omitted cost components remain unpriced and no operational or policy recommendation is made. Treatment pathway envelopes use synthetic clinical fixtures and are not estimates of actual treatment mix, staffing, capacity, or service workload.", "configurations": [ { "candidate_site_count": 1, "configuration_id": "candidate_network_01", "expected_annual_courses": 322.1696699999999, "expected_annual_round_trip_km": 270694.5423690633, "expected_courses_per_candidate_site": 322.1696699999999, "vehicle_resource_cost_nzd": 100156.98067655342 }, { "candidate_site_count": 3, "configuration_id": "candidate_network_03", "expected_annual_courses": 322.1696699999999, "expected_annual_round_trip_km": 95352.00030071873, "expected_courses_per_candidate_site": 107.38988999999997, "vehicle_resource_cost_nzd": 35280.24011126593 }, { "candidate_site_count": 5, "configuration_id": "candidate_network_05", "expected_annual_courses": 322.1696699999999, "expected_annual_round_trip_km": 56327.19005558126, "expected_courses_per_candidate_site": 64.43393399999998, "vehicle_resource_cost_nzd": 20841.060320565066 }, { "candidate_site_count": 10, "configuration_id": "candidate_network_10", "expected_annual_courses": 322.1696699999999, "expected_annual_round_trip_km": 30828.60366582433, "expected_courses_per_candidate_site": 32.21696699999999, "vehicle_resource_cost_nzd": 11406.583356355002 }, { "candidate_site_count": 19, "configuration_id": "candidate_network_19", "expected_annual_courses": 322.1696699999999, "expected_annual_round_trip_km": 19752.46228718199, "expected_courses_per_candidate_site": 16.956298421052626, "vehicle_resource_cost_nzd": 7308.411046257335 } ], "cost_ledgers": { "facility": { "components": [ "facility_overhead", "chair_capacity" ], "reason": "Observed capacity and facility cost data are unavailable.", "status": "not_estimated" }, "patient_direct": { "components": [ "treatment_drug_and_administration_cost", "patient_out_of_pocket_cost" ], "reason": "No national treatment mix or tariff receipt is available in the frozen public inputs.", "status": "not_estimated" }, "patient_other_transport": { "components": [ "public_transport_fares", "parking" ], "reason": "No national mode split or fare/parking receipt is available.", "source_context": { "boundary": "This source does not provide observed national uptake, mode split, fares, parking costs, or patient-level eligibility; no transport cost is calculated.", "scope": "official National Travel Assistance reimbursement and eligibility metadata", "source_ids": [ "candidate.healthnz-nta" ] }, "status": "not_estimated" }, "patient_vehicle_resource": { "basis": "travel_cost_parameters.json", "components": [ "private_vehicle_distance_resource_cost" ], "status": "source_backed_scenario" }, "provider": { "components": [ "provider_travel", "provider_time" ], "reason": "Provider capability, staffing, and travel are unknown.", "status": "not_estimated" }, "whanau_time": { "components": [ "whanau_travel_time", "caregiving_time" ], "reason": "No source-backed national time valuation has been selected.", "status": "not_estimated" } }, "cost_scope": "private_vehicle_resource_cost_scenario_only", "generated_at": "derived_from_frozen_national_inputs", "observed_capacity": "unknown", "operational_recommendation": false, "schema_version": "1.0.0", "source_inputs": { "national_demand_cells": "C:/Users/60217257/OneDrive - Flinders/repos/closer-to-home/reports/national-demand-cells.json", "national_demand_cells_sha256": "2c3a76ed68ecf1d4228b7cad6a1b7fdf43be4445b114f030f9d56d659f5a3e0e", "pathway_source_id": "synthetic.clinical-fixture", "patient_other_transport_context_source_ids": [ "candidate.healthnz-nta" ], "scenario_summary": "C:/Users/60217257/OneDrive - Flinders/repos/closer-to-home/reports/national-analysis/scenario_summary.json", "scenario_summary_sha256": "d2387152b897d70479c4e6b13f195156161ee7e47448ad4c18dd3a701027c3a8", "travel_cost_parameters": "C:/Users/60217257/OneDrive - Flinders/repos/closer-to-home/reports/travel-cost-parameters.json", "travel_cost_parameters_sha256": "eaf6b3c9bc0a5bd369c509727bc327ebefa6567e0a2622958bc5e83cc915560d" }, "status": "materialized_implied_workload_and_partial_travel_resource_perspective", "treatment_pathway_envelopes": [ { "annual_active_nursing_hours": 5219.148653999998, "annual_administrations": 5799.054059999998, "annual_chair_hours": 11598.108119999995, "annual_expected_courses": 322.1696699999999, "annual_on_site_minutes": 695886.4871999997, "annual_patient_visits": 5799.054059999998, "formulation": "trastuzumab_iv", "implied_chair_fte_equivalent": 9.665090099999997, "implied_nursing_fte": 3.4794324359999984, "pathway_id": "early_trastuzumab_iv_demo", "peak_equivalent_visits_per_day": 30.20340656249999, "profile_status": "synthetic_clinical_fixture_envelope_only" }, { "annual_active_nursing_hours": 1522.2516907499996, "annual_administrations": 5799.054059999998, "annual_chair_hours": 3382.781534999999, "annual_expected_courses": 322.1696699999999, "annual_on_site_minutes": 202966.89209999994, "annual_patient_visits": 5799.054059999998, "formulation": "trastuzumab_sc", "implied_chair_fte_equivalent": 2.818984612499999, "implied_nursing_fte": 1.0148344604999997, "pathway_id": "early_trastuzumab_sc_demo", "peak_equivalent_visits_per_day": 30.20340656249999, "profile_status": "synthetic_clinical_fixture_envelope_only" }, { "annual_active_nursing_hours": 1070.4087285749995, "annual_administrations": 3866.0360399999986, "annual_chair_hours": 2378.686063499999, "annual_expected_courses": 322.1696699999999, "annual_on_site_minutes": 142721.16380999994, "annual_patient_visits": 3866.0360399999986, "formulation": "phesgo_sc", "implied_chair_fte_equivalent": 1.982238386249999, "implied_nursing_fte": 0.7136058190499996, "pathway_id": "metastatic_phesgo_demo", "peak_equivalent_visits_per_day": 20.135604374999993, "profile_status": "synthetic_clinical_fixture_envelope_only" } ], "unpriced_cost_components": [ "treatment_drug_and_administration_cost", "facility_overhead", "provider_travel", "public_transport_fares", "parking" ] }, "distributional-equity": { "analysis_population": "aggregate_expected_course_cells", "claim_boundary": "These are area-level ecological access summaries of modelled aggregate expected courses. They are not individual attributes, patient outcomes, observed journeys, realised access, ethnicity effects, or evidence of service capability or capacity. 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