query_claude_4_sonnet_20250514_c2d263b02de1bbec.sql

WITH threshold_calc AS (
    SELECT AVG("aCL IgM") + AVG("aCL IgM") * 0.2 as acl_igm_threshold
    FROM Examination 
    WHERE "aCL IgM" IS NOT NULL
),
core_patients AS (
    SELECT DISTINCT ID 
    FROM Examination
)
SELECT DISTINCT e.Symptoms
FROM Examination e
CROSS JOIN threshold_calc t
WHERE e.ID IN (SELECT ID FROM core_patients)
  AND e."Examination Date" >= '1995-01-01' 
  AND e."Examination Date" <= '1999-12-31'
  AND e.Thrombosis IN ('limited', 'partial', 'segmental', 'non-occlusive', '2')
  AND e."ANA Pattern" LIKE '%S%'
  AND e."aCL IgM" < t.acl_igm_threshold
  AND e.Symptoms IS NOT NULL;