{
 "domain": "nih.gov",
 "week": "2026-W35",
 "generatedAt": "2026-08-28T22:37:21.657Z",
 "reports": [
  {
   "instance_id": "VS-2e6c599b",
   "pattern_id": "VS-9074b4dd",
   "a11y_pattern_fingerprint": "1a002fd4ab6a7d76adfb42c33e67c248aec055c9d3436a5b8a9626924cc8824c",
   "a11y_pattern_display_id": "A11Y-PAT-1A002FD4AB6A",
   "a11y_occurrence_fingerprint": "87efc4401ccc0a4a43c9cc144c608c3be5364f7ea4fd672e6220d0312b2162c1",
   "a11y_occurrence_display_id": "A11Y-OCC-87EFC4401CCC",
   "url": "https://www.nih.gov/news-events/nih-research-matters/research-in-context",
   "xpath": ".thumbnail-teaser:nth-child(3) > .thumbnail-teaser__link.link--no-tag[typeof=\"schema:WebPage\"] > .thumbnail-teaser__img > .field--name-field-thumbnail.field--type-entity-reference.field__item > .image-style-thumbnail-large[loading=\"lazy\"][width=\"200\"]",
   "html_snippet": "<img loading=\"lazy\" src=\"/sites/default/files/styles/thumbnail_large/public/2025-11/20251125-preg-.jpg?itok=5bGanDtb\" width=\"200\" height=\"auto\" class=\"image-style-thumbnail-large\">",
   "wcag_sc": "1.1.1",
   "wcag_name": "Non-text Content",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "image-alt",
   "rule_label": "Images must have alternative text",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/image-alt?application=axeAPI",
   "severity": "Critical",
   "frequency": {
    "instances": 2,
    "pages_affected": 1,
    "total_pages_scanned": 3333
   },
   "likely_source": "content",
   "summary": "Images must have alternative text (WCAG 1.1.1)",
   "description": "Images must have alternative text. Detected by axe-core rule image-alt on 1 of 3333 scanned pages (2 instances).",
   "examples": [
    {
     "url": "https://www.nih.gov/news-events/nih-research-matters/research-in-context",
     "xpath": ".thumbnail-teaser:nth-child(3) > .thumbnail-teaser__link.link--no-tag[typeof=\"schema:WebPage\"] > .thumbnail-teaser__img > .field--name-field-thumbnail.field--type-entity-reference.field__item > .image-style-thumbnail-large[loading=\"lazy\"][width=\"200\"]",
     "html_snippet": "<img loading=\"lazy\" src=\"/sites/default/files/styles/thumbnail_large/public/2025-11/20251125-preg-.jpg?itok=5bGanDtb\" width=\"200\" height=\"auto\" class=\"image-style-thumbnail-large\">"
    },
    {
     "url": "https://www.nih.gov/news-events/nih-research-matters/research-in-context",
     "xpath": ".thumbnail-teaser:nth-child(4) > .thumbnail-teaser__link.link--no-tag[typeof=\"schema:WebPage\"] > .thumbnail-teaser__img > .field--name-field-thumbnail.field--type-entity-reference.field__item > .image-style-thumbnail-large[loading=\"lazy\"][width=\"200\"]",
     "html_snippet": "<img loading=\"lazy\" src=\"/sites/default/files/styles/thumbnail_large/public/2025-07/20250722-image1.jpg?itok=md1TlnCU\" width=\"200\" height=\"auto\" class=\"image-style-thumbnail-large\">"
    }
   ],
   "example_pages": [
    "https://www.nih.gov/news-events/nih-research-matters/research-in-context"
   ],
   "affected_pages": [
    "https://www.nih.gov/news-events/nih-research-matters/research-in-context"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.nih.gov/news-events/nih-research-matters/research-in-context.",
    "Locate the element: .thumbnail-teaser:nth-child(3) > .thumbnail-teaser__link.link--no-tag[typeof=\"schema:WebPage\"] > .thumbnail-teaser__img > .field--name-field-thumbnail.field--type-entity-reference.field__item > .image-style-thumbnail-large[loading=\"lazy\"][width=\"200\"]",
    "Confirm the axe-core finding for rule image-alt against WCAG 1.1.1 Non-text Content."
   ],
   "remediation_tip": "Give every <img> a meaningful alt attribute. Use alt=\"\" only for decorative images so screen readers skip them.",
   "tech_name": "Drupal",
   "tech_remediation_tip": "In Drupal's Media Library, fill the \"Alternative text\" field when uploading or editing an image. For images in body fields, the CKEditor \"Image Properties\" dialog includes an Alt Text field.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/image-alt?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W29",
   "last_seen": "2026-W35",
   "weeks_seen": 6,
   "affected_pages_csv": "csv/axe-core__image-alt.csv"
  },
  {
   "instance_id": "VS-6cd33f8e",
   "pattern_id": "VS-a24eaa8c",
   "a11y_pattern_fingerprint": "210403ad88500d0454be33f35d1fb4f107389d5fe99afa10094b37e7837cfd6a",
   "a11y_pattern_display_id": "A11Y-PAT-210403AD8850",
   "a11y_occurrence_fingerprint": "2de1b77c0c7ffa4f971b3ce2eb5eb6160aa6fe073e071525d40c61353ab9105f",
   "a11y_occurrence_display_id": "A11Y-OCC-2DE1B77C0C7F",
   "url": "https://www.nih.gov/news-events/nih-research-matters/research-in-context",
   "xpath": "<img loading=\"lazy\" src=\"/sites/default/files/styles/thumbnail_large/public/2025-11/20251125-preg-.jpg?itok=5bGanDtb\" width=\"200\" height=\"auto\">",
   "html_snippet": null,
   "wcag_sc": "1.1.1",
   "wcag_name": "Non-text Content",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r2",
   "rule_label": "Image has accessible name",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r2",
   "severity": "Moderate",
   "frequency": {
    "instances": 2,
    "pages_affected": 1,
    "total_pages_scanned": 3333
   },
   "likely_source": "content",
   "summary": "Image has accessible name (WCAG 1.1.1)",
   "description": "Image has accessible name. Detected by Siteimprove Alfa rule sia-r2 on 1 of 3333 scanned pages (2 instances).",
   "examples": [
    {
     "url": "https://www.nih.gov/news-events/nih-research-matters/research-in-context",
     "xpath": "<img loading=\"lazy\" src=\"/sites/default/files/styles/thumbnail_large/public/2025-11/20251125-preg-.jpg?itok=5bGanDtb\" width=\"200\" height=\"auto\">",
     "html_snippet": null
    },
    {
     "url": "https://www.nih.gov/news-events/nih-research-matters/research-in-context",
     "xpath": "<img loading=\"lazy\" src=\"/sites/default/files/styles/thumbnail_large/public/2025-07/20250722-image1.jpg?itok=md1TlnCU\" width=\"200\" height=\"auto\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.nih.gov/news-events/nih-research-matters/research-in-context"
   ],
   "affected_pages": [
    "https://www.nih.gov/news-events/nih-research-matters/research-in-context"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.nih.gov/news-events/nih-research-matters/research-in-context.",
    "Locate the element: <img loading=\"lazy\" src=\"/sites/default/files/styles/thumbnail_large/public/2025-11/20251125-preg-.jpg?itok=5bGanDtb\" width=\"200\" height=\"auto\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r2 against WCAG 1.1.1 Non-text Content."
   ],
   "remediation_tip": "Give every <img> an accessible name (alt text), or alt=\"\" if purely decorative.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r2",
   "possible_duplicate_of": "VS-2e6c599b",
   "possible_duplicate_pattern": "VS-9074b4dd",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W29",
   "last_seen": "2026-W35",
   "weeks_seen": 5,
   "affected_pages_csv": "csv/alfa__sia-r2.csv"
  },
  {
   "instance_id": "VS-e4065d4d",
   "pattern_id": "VS-a0bdbdf6",
   "a11y_pattern_fingerprint": "1ee2f8b7544dd0a5ef19993fc161d33fa87aa99157b70acd4bd47b6c5da56c5f",
   "a11y_pattern_display_id": "A11Y-PAT-1EE2F8B7544D",
   "a11y_occurrence_fingerprint": "fd7787e5baca1fcbbb103a14ce1281a0d477fefd158bc8443f8c94548b13a174",
   "a11y_occurrence_display_id": "A11Y-OCC-FD7787E5BACA",
   "url": "https://nih.gov/news-events/nih-research-matters?page=84",
   "xpath": ".usa-pagination__list",
   "html_snippet": "<ul class=\"usa-pagination__list pager__items js-pager__items\">",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "list",
   "rule_label": "<ul> and <ol> must only directly contain <li>, <script> or <template> elements",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/list?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 3333
   },
   "likely_source": "content",
   "summary": "<ul> and <ol> must only directly contain <li>, <script> or <template> elements (WCAG 1.3.1)",
   "description": "<ul> and <ol> must only directly contain <li>, <script> or <template> elements. Detected by axe-core rule list on 1 of 3333 scanned pages (1 instances).",
   "examples": [
    {
     "url": "https://nih.gov/news-events/nih-research-matters?page=84",
     "xpath": ".usa-pagination__list",
     "html_snippet": "<ul class=\"usa-pagination__list pager__items js-pager__items\">"
    }
   ],
   "example_pages": [
    "https://nih.gov/news-events/nih-research-matters?page=84"
   ],
   "affected_pages": [
    "https://nih.gov/news-events/nih-research-matters?page=84"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://nih.gov/news-events/nih-research-matters?page=84.",
    "Locate the element: .usa-pagination__list",
    "Confirm the axe-core finding for rule list against WCAG 1.3.1 Info and Relationships."
   ],
   "remediation_tip": "Use <ul>/<ol> with only <li> children for lists; don't fake lists with <div>s.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/list?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W29",
   "last_seen": "2026-W35",
   "weeks_seen": 7,
   "affected_pages_csv": "csv/axe-core__list.csv"
  },
  {
   "instance_id": "VS-30194558",
   "pattern_id": "VS-3c632d31",
   "a11y_pattern_fingerprint": "b37cad20e0402b528b4116c3cc1131659d4068c9fa14d9b8ae2970f9558feb39",
   "a11y_pattern_display_id": "A11Y-PAT-B37CAD20E040",
   "a11y_occurrence_fingerprint": "540cf756fdb5becf1c73bd02ae2e66bef42d981dbaa5a43dfa693d0044b3849b",
   "a11y_occurrence_display_id": "A11Y-OCC-540CF756FDB5",
   "url": "https://nih.gov/news-events/news-releases/diuretic-therapy-extremely-preterm-infants-does-not-alleviate-respiratory-problems",
   "xpath": "<h3>",
   "html_snippet": null,
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r64",
   "rule_label": "Element has required owned roles",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r64",
   "severity": "Moderate",
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 3333
   },
   "likely_source": "content",
   "summary": "Element has required owned roles (WCAG 1.3.1)",
   "description": "Element has required owned roles. Detected by Siteimprove Alfa rule sia-r64 on 1 of 3333 scanned pages (1 instances).",
   "examples": [
    {
     "url": "https://nih.gov/news-events/news-releases/diuretic-therapy-extremely-preterm-infants-does-not-alleviate-respiratory-problems",
     "xpath": "<h3>",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://nih.gov/news-events/news-releases/diuretic-therapy-extremely-preterm-infants-does-not-alleviate-respiratory-problems"
   ],
   "affected_pages": [
    "https://nih.gov/news-events/news-releases/diuretic-therapy-extremely-preterm-infants-does-not-alleviate-respiratory-problems"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://nih.gov/news-events/news-releases/diuretic-therapy-extremely-preterm-infants-does-not-alleviate-respiratory-problems.",
    "Locate the element: <h3>",
    "Confirm the Siteimprove Alfa finding for rule sia-r64 against WCAG 1.3.1 Info and Relationships."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r64",
   "possible_duplicate_of": "VS-e4065d4d",
   "possible_duplicate_pattern": "VS-a0bdbdf6",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W25",
   "last_seen": "2026-W35",
   "weeks_seen": 7,
   "affected_pages_csv": "csv/alfa__sia-r64.csv"
  },
  {
   "instance_id": "VS-4efc24ce",
   "pattern_id": "VS-8ade3360",
   "a11y_pattern_fingerprint": "d9523da201828a72df3946878608c6e499b550309ebe7807a88a2027f118cad8",
   "a11y_pattern_display_id": "A11Y-PAT-D9523DA20182",
   "a11y_occurrence_fingerprint": "a6c89d95a6e3e76812b45eccd1a6f2fb1a9f53d393d3bbbfdb282cfff61d69c8",
   "a11y_occurrence_display_id": "A11Y-OCC-A6C89D95A6E3",
   "url": "https://nih.gov/news-events/news-releases/adults-prediabetes-lifestyle-intervention-lowered-risk-developing-multiple-chronic-conditions",
   "xpath": "p:nth-child(10) > a[href$=\"niddk.nih.gov/\"][data-extlink=\"\"][rel=\"noopener nofollow noreferrer\"]",
   "html_snippet": "<a href=\"https://www.niddk.nih.gov/\" class=\"ext\" data-extlink=\"\" target=\"_blank\" rel=\"noopener nofollow noreferrer\" title=\"(opens in a new window)\">https://www.niddk.nih.gov</a>",
   "wcag_sc": "1.4.1",
   "wcag_name": "Use of Color",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "link-in-text-block",
   "rule_label": "Links must be distinguishable without relying on color",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/link-in-text-block?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 122,
    "pages_affected": 20,
    "total_pages_scanned": 3333
   },
   "likely_source": "template",
   "summary": "Links must be distinguishable without relying on color (WCAG 1.4.1)",
   "description": "Links must be distinguishable without relying on color. Detected by axe-core rule link-in-text-block on 20 of 3333 scanned pages (122 instances).",
   "examples": [
    {
     "url": "https://nih.gov/news-events/news-releases/adults-prediabetes-lifestyle-intervention-lowered-risk-developing-multiple-chronic-conditions",
     "xpath": "p:nth-child(10) > a[href$=\"niddk.nih.gov/\"][data-extlink=\"\"][rel=\"noopener nofollow noreferrer\"]",
     "html_snippet": "<a href=\"https://www.niddk.nih.gov/\" class=\"ext\" data-extlink=\"\" target=\"_blank\" rel=\"noopener nofollow noreferrer\" title=\"(opens in a new window)\">https://www.niddk.nih.gov</a>"
    },
    {
     "url": "https://nih.gov/news-events/news-releases/adults-prediabetes-lifestyle-intervention-lowered-risk-developing-multiple-chronic-conditions",
     "xpath": "p:nth-child(11) > a[href$=\"nia.nih.gov/\"][data-extlink=\"\"][rel=\"noopener nofollow noreferrer\"]",
     "html_snippet": "<a href=\"https://www.nia.nih.gov/\" class=\"ext\" data-extlink=\"\" target=\"_blank\" rel=\"noopener nofollow noreferrer\" title=\"(opens in a new window)\">www.nia.nih.gov</a>"
    },
    {
     "url": "https://nih.gov/news-events/news-releases/adults-prediabetes-lifestyle-intervention-lowered-risk-developing-multiple-chronic-conditions",
     "xpath": "p:nth-child(12) > a[href=\"/\"]",
     "html_snippet": "<a href=\"/\">www.nih.gov</a>"
    },
    {
     "url": "https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care",
     "xpath": "li:nth-child(4) > a[data-extlink=\"\"][target=\"_blank\"][rel=\"noopener nofollow noreferrer\"]",
     "html_snippet": "<a href=\"https://www.nidcd.nih.gov/health/balance-disorders\" class=\"ext\" data-extlink=\"\" target=\"_blank\" rel=\"noopener nofollow noreferrer\" title=\"(opens in a new window)\">Balance Disorders</a>"
    },
    {
     "url": "https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care",
     "xpath": "a[href$=\"stride-study.org/\"]",
     "html_snippet": "<a href=\"http://www.stride-study.org/\" class=\"ext\" data-extlink=\"\" target=\"_blank\" rel=\"noopener nofollow noreferrer\" title=\"(opens in a new window)\">STRIDE study</a>"
    }
   ],
   "example_pages": [
    "https://nih.gov/news-events/news-releases/adults-prediabetes-lifestyle-intervention-lowered-risk-developing-multiple-chronic-conditions",
    "https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care",
    "https://nih.gov/news-events/nih-research-matters/preventing-organ-transplant-rejection"
   ],
   "affected_pages": [
    "https://nih.gov/news-events/news-releases/adults-prediabetes-lifestyle-intervention-lowered-risk-developing-multiple-chronic-conditions",
    "https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care",
    "https://nih.gov/news-events/nih-research-matters/preventing-organ-transplant-rejection",
    "https://www.nih.gov/news-events/nih-research-matters/research-in-context",
    "https://nih.gov/news-events/nih-research-matters/engineered-phages-treat-drug-resistant-infection",
    "https://nih.gov/news-events/nih-research-matters/trends-us-methamphetamine-use-associated-deaths",
    "https://www.nih.gov/news-events/nih-research-matters/some-brain-functions-may-improve-age",
    "https://nih.gov/news-events/nih-research-matters/blood-tests-show-promise-early-alzheimers-diagnosis",
    "https://nih.gov/news-events/news-releases/diuretic-therapy-extremely-preterm-infants-does-not-alleviate-respiratory-problems",
    "https://nih.gov/news-events/nih-research-matters/childhood-screen-detects-mental-health-risks",
    "https://www.nih.gov/nih-style-guide/autism",
    "https://nih.gov/about-nih/nih-almanac/katherine-l-bick-phd",
    "https://www.nih.gov/brain-initiative/research/neuroimaging-technologies-across-scales",
    "https://www.nih.gov/about-nih/what-we-do/nih-almanac/national-institute-aging-nia",
    "https://nih.gov/about-nih/nih-almanac/national-institute-environmental-health-sciences-niehs",
    "https://nih.gov/news-events/nih-research-matters?page=84",
    "https://nih.gov/institutes-nih/nih-office-director/olpa",
    "https://www.nih.gov/news-events/nih-research-matters/scientists-find-common-brain-network-substance-use-disorders",
    "https://nih.gov/about-nih/nih-turning-discovery-into-health/healthy-mind/traumatic-brain-injury-tbi",
    "https://nih.gov/news-events/nih-research-matters/old-tb-vaccine-may-work-better-when-delivered-intravenously"
   ],
   "impact": {
    "groups": [
     {
      "code": "WPC",
      "group": "Without color perception",
      "prevalence": 0.045,
      "percent": "4.5%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without color perception (4.5%), Limited vision (2.4%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://nih.gov/news-events/news-releases/adults-prediabetes-lifestyle-intervention-lowered-risk-developing-multiple-chronic-conditions.",
    "Locate the element: p:nth-child(10) > a[href$=\"niddk.nih.gov/\"][data-extlink=\"\"][rel=\"noopener nofollow noreferrer\"]",
    "Confirm the axe-core finding for rule link-in-text-block against WCAG 1.4.1 Use of Color."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/link-in-text-block?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W25",
   "last_seen": "2026-W35",
   "weeks_seen": 11,
   "affected_pages_csv": "csv/axe-core__link-in-text-block.csv"
  },
  {
   "instance_id": "VS-24fdb8ec",
   "pattern_id": "VS-efd91fdd",
   "a11y_pattern_fingerprint": "3197f8bc36b1ac40251a2e968dd26a4d7606e21f58696bb2765ea655d3e4e618",
   "a11y_pattern_display_id": "A11Y-PAT-3197F8BC36B1",
   "a11y_occurrence_fingerprint": "eb3c18d8c67b8a56618d97734bb674f36cfe39ba924a0f1804af36e6e8e2ac87",
   "a11y_occurrence_display_id": "A11Y-OCC-EB3C18D8C67B",
   "url": "https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care",
   "xpath": "<a href=\"https://pubmed.ncbi.nlm.nih.gov/32640131/\" class=\"ext\" data-extlink=\"\" target=\"_blank\">",
   "html_snippet": null,
   "wcag_sc": "1.4.1",
   "wcag_name": "Use of Color",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r62",
   "rule_label": "Link in text block is visually distinguishable without color",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r62",
   "severity": "Moderate",
   "frequency": {
    "instances": 22,
    "pages_affected": 8,
    "total_pages_scanned": 3333
   },
   "likely_source": "unknown",
   "summary": "Link in text block is visually distinguishable without color (WCAG 1.4.1)",
   "description": "Link in text block is visually distinguishable without color. Detected by Siteimprove Alfa rule sia-r62 on 8 of 3333 scanned pages (22 instances).",
   "examples": [
    {
     "url": "https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care",
     "xpath": "<a href=\"https://pubmed.ncbi.nlm.nih.gov/32640131/\" class=\"ext\" data-extlink=\"\" target=\"_blank\">",
     "html_snippet": null
    },
    {
     "url": "https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care",
     "xpath": "<a href=\"https://www.hhs.gov/\" class=\"ext\" data-extlink=\"\" target=\"_blank\">",
     "html_snippet": null
    },
    {
     "url": "https://nih.gov/news-events/nih-research-matters/preventing-organ-transplant-rejection",
     "xpath": "<a href=\"https://www.hhs.gov/\" class=\"ext\" data-extlink=\"\" target=\"_blank\">",
     "html_snippet": null
    },
    {
     "url": "https://nih.gov/news-events/nih-research-matters/preventing-organ-transplant-rejection",
     "xpath": "<a href=\"https://pubmed.ncbi.nlm.nih.gov/41739903/\" target=\"_blank\" class=\"ext\" data-extlink=\"\">",
     "html_snippet": null
    },
    {
     "url": "https://www.nih.gov/news-events/nih-research-matters/research-in-context",
     "xpath": "<a href=\"https://www.hhs.gov/\" class=\"ext\" data-extlink=\"\" target=\"_blank\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care",
    "https://nih.gov/news-events/nih-research-matters/preventing-organ-transplant-rejection",
    "https://www.nih.gov/news-events/nih-research-matters/research-in-context"
   ],
   "affected_pages": [
    "https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care",
    "https://nih.gov/news-events/nih-research-matters/preventing-organ-transplant-rejection",
    "https://www.nih.gov/news-events/nih-research-matters/research-in-context",
    "https://nih.gov/news-events/nih-research-matters/trends-us-methamphetamine-use-associated-deaths",
    "https://nih.gov/news-events/nih-research-matters/blood-tests-show-promise-early-alzheimers-diagnosis",
    "https://nih.gov/news-events/news-releases/diuretic-therapy-extremely-preterm-infants-does-not-alleviate-respiratory-problems",
    "https://nih.gov/institutes-nih/nih-office-director/olpa",
    "https://www.nih.gov/news-events/nih-research-matters/scientists-find-common-brain-network-substance-use-disorders"
   ],
   "impact": {
    "groups": [
     {
      "code": "WPC",
      "group": "Without color perception",
      "prevalence": 0.045,
      "percent": "4.5%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without color perception (4.5%), Limited vision (2.4%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care.",
    "Locate the element: <a href=\"https://pubmed.ncbi.nlm.nih.gov/32640131/\" class=\"ext\" data-extlink=\"\" target=\"_blank\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r62 against WCAG 1.4.1 Use of Color."
   ],
   "remediation_tip": "Make links visually distinguishable from surrounding text (not by color alone).",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r62",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W25",
   "last_seen": "2026-W35",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/alfa__sia-r62.csv"
  },
  {
   "instance_id": "VS-8d96b32d",
   "pattern_id": "VS-646b1e0b",
   "a11y_pattern_fingerprint": "b3601eaf6669ae08b4ea6d855c7d7284ba27d07f971a76e63ac4f9760986f2d4",
   "a11y_pattern_display_id": "A11Y-PAT-B3601EAF6669",
   "a11y_occurrence_fingerprint": "4d4c9c6237d8697d8a5d565b7c9a0731bb55cdc5907851bccfaaec12b5a452b8",
   "a11y_occurrence_display_id": "A11Y-OCC-4D4C9C6237D8",
   "url": "https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care",
   "xpath": "text: \"Get the Latest Updates and FAQs\"",
   "html_snippet": null,
   "wcag_sc": "1.4.6",
   "wcag_name": "Contrast (Enhanced)",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r66",
   "rule_label": "Text has enhanced contrast",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r66",
   "severity": "Moderate",
   "frequency": {
    "instances": 435,
    "pages_affected": 8,
    "total_pages_scanned": 3333
   },
   "likely_source": "unknown",
   "summary": "Text has enhanced contrast (WCAG 1.4.6)",
   "description": "Text has enhanced contrast. Detected by Siteimprove Alfa rule sia-r66 on 8 of 3333 scanned pages (435 instances).",
   "examples": [
    {
     "url": "https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care",
     "xpath": "text: \"Get the Latest Updates and FAQs\"",
     "html_snippet": null
    },
    {
     "url": "https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care",
     "xpath": "text: \"Health Information\"",
     "html_snippet": null
    },
    {
     "url": "https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care",
     "xpath": "text: \"Grants & Funding\"",
     "html_snippet": null
    },
    {
     "url": "https://nih.gov/news-events/nih-research-matters/preventing-organ-transplant-rejection",
     "xpath": "text: \"Get the Latest Updates and FAQs\"",
     "html_snippet": null
    },
    {
     "url": "https://nih.gov/news-events/nih-research-matters/preventing-organ-transplant-rejection",
     "xpath": "text: \"Health Information\"",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care",
    "https://nih.gov/news-events/nih-research-matters/preventing-organ-transplant-rejection",
    "https://www.nih.gov/news-events/nih-research-matters/research-in-context"
   ],
   "affected_pages": [
    "https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care",
    "https://nih.gov/news-events/nih-research-matters/preventing-organ-transplant-rejection",
    "https://www.nih.gov/news-events/nih-research-matters/research-in-context",
    "https://nih.gov/news-events/nih-research-matters/trends-us-methamphetamine-use-associated-deaths",
    "https://nih.gov/news-events/nih-research-matters/blood-tests-show-promise-early-alzheimers-diagnosis",
    "https://nih.gov/news-events/news-releases/diuretic-therapy-extremely-preterm-infants-does-not-alleviate-respiratory-problems",
    "https://nih.gov/institutes-nih/nih-office-director/olpa",
    "https://www.nih.gov/news-events/nih-research-matters/scientists-find-common-brain-network-substance-use-disorders"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care.",
    "Locate the element: text: \"Get the Latest Updates and FAQs\"",
    "Confirm the Siteimprove Alfa finding for rule sia-r66 against WCAG 1.4.6 Contrast (Enhanced)."
   ],
   "remediation_tip": "Increase text contrast to meet WCAG AAA (7:1).",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r66",
   "obligation": "aspirational",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W25",
   "last_seen": "2026-W35",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/alfa__sia-r66.csv"
  },
  {
   "instance_id": "VS-6312a8d9",
   "pattern_id": "VS-2208081b",
   "a11y_pattern_fingerprint": "05fd21e9a86fe0d606d55f7d4f3015704ae68b29f083ba3f9699fae5f425ec5b",
   "a11y_pattern_display_id": "A11Y-PAT-05FD21E9A86F",
   "a11y_occurrence_fingerprint": "08f8b2ece9167d2b15c3156538548cba44d6302aa8283b6a2c6ddfa4ecce1ce2",
   "a11y_occurrence_display_id": "A11Y-OCC-08F8B2ECE916",
   "url": "https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care",
   "xpath": "<p class=\"usa-banner__header-text\">",
   "html_snippet": null,
   "wcag_sc": "1.4.8",
   "wcag_name": "Visual Presentation",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r73",
   "rule_label": "Text has minimum contrast ratio of 4.5:1",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r73",
   "severity": "Moderate",
   "frequency": {
    "instances": 26,
    "pages_affected": 8,
    "total_pages_scanned": 3333
   },
   "likely_source": "unknown",
   "summary": "Text has minimum contrast ratio of 4.5:1 (WCAG 1.4.8)",
   "description": "Text has minimum contrast ratio of 4.5:1. Detected by Siteimprove Alfa rule sia-r73 on 8 of 3333 scanned pages (26 instances).",
   "examples": [
    {
     "url": "https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care",
     "xpath": "<p class=\"usa-banner__header-text\">",
     "html_snippet": null
    },
    {
     "url": "https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care",
     "xpath": "<p class=\"usa-identifier__identity-domain\">",
     "html_snippet": null
    },
    {
     "url": "https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care",
     "xpath": "<p class=\"usa-identifier__identity-disclaimer\" aria-label=\"Official website of the Department of Health and Human Services\">",
     "html_snippet": null
    },
    {
     "url": "https://nih.gov/news-events/nih-research-matters/preventing-organ-transplant-rejection",
     "xpath": "<p class=\"usa-banner__header-text\">",
     "html_snippet": null
    },
    {
     "url": "https://nih.gov/news-events/nih-research-matters/preventing-organ-transplant-rejection",
     "xpath": "<p class=\"usa-identifier__identity-domain\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care",
    "https://nih.gov/news-events/nih-research-matters/preventing-organ-transplant-rejection",
    "https://www.nih.gov/news-events/nih-research-matters/research-in-context"
   ],
   "affected_pages": [
    "https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care",
    "https://nih.gov/news-events/nih-research-matters/preventing-organ-transplant-rejection",
    "https://www.nih.gov/news-events/nih-research-matters/research-in-context",
    "https://nih.gov/news-events/nih-research-matters/trends-us-methamphetamine-use-associated-deaths",
    "https://nih.gov/news-events/nih-research-matters/blood-tests-show-promise-early-alzheimers-diagnosis",
    "https://nih.gov/news-events/news-releases/diuretic-therapy-extremely-preterm-infants-does-not-alleviate-respiratory-problems",
    "https://nih.gov/institutes-nih/nih-office-director/olpa",
    "https://www.nih.gov/news-events/nih-research-matters/scientists-find-common-brain-network-substance-use-disorders"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care.",
    "Locate the element: <p class=\"usa-banner__header-text\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r73 against WCAG 1.4.8 Visual Presentation."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r73",
   "obligation": "aspirational",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W25",
   "last_seen": "2026-W35",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/alfa__sia-r73.csv"
  },
  {
   "instance_id": "VS-898f502d",
   "pattern_id": "VS-cb53cc4d",
   "a11y_pattern_fingerprint": "8c9861c140170a56da3fa668af2f675defba1f9064a52254815f4aaf45171358",
   "a11y_pattern_display_id": "A11Y-PAT-8C9861C14017",
   "a11y_occurrence_fingerprint": "46d45c18fd42fd371c1c1e731d8d7d206cef7fe2badaad5cc991670d69d7ad09",
   "a11y_occurrence_display_id": "A11Y-OCC-46D45C18FD42",
   "url": "https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care",
   "xpath": "<a class=\"usa-button\" href=\"/web-modernization\">",
   "html_snippet": null,
   "wcag_sc": "2.5.5",
   "wcag_name": "Target Size (Enhanced)",
   "wcag_level": "AAA",
   "wcag_version": "2.1",
   "wcag_category": "WCAG 2.x AAA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r111",
   "rule_label": "Target size is at least 44×44 CSS pixels (Enhanced)",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r111",
   "severity": "Moderate",
   "frequency": {
    "instances": 228,
    "pages_affected": 8,
    "total_pages_scanned": 3333
   },
   "likely_source": "unknown",
   "summary": "Target size is at least 44×44 CSS pixels (Enhanced) (WCAG 2.5.5)",
   "description": "Target size is at least 44×44 CSS pixels (Enhanced). Detected by Siteimprove Alfa rule sia-r111 on 8 of 3333 scanned pages (228 instances).",
   "examples": [
    {
     "url": "https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care",
     "xpath": "<a class=\"usa-button\" href=\"/web-modernization\">",
     "html_snippet": null
    },
    {
     "url": "https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care",
     "xpath": "<button type=\"button\" aria-label=\"Ocultar alerta\" class=\"usa-alert__toggle icon-close\">",
     "html_snippet": null
    },
    {
     "url": "https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care",
     "xpath": "<a href=\"/virtual-tour\">",
     "html_snippet": null
    },
    {
     "url": "https://nih.gov/news-events/nih-research-matters/preventing-organ-transplant-rejection",
     "xpath": "<a class=\"usa-button\" href=\"/web-modernization\">",
     "html_snippet": null
    },
    {
     "url": "https://nih.gov/news-events/nih-research-matters/preventing-organ-transplant-rejection",
     "xpath": "<button type=\"button\" aria-label=\"Ocultar alerta\" class=\"usa-alert__toggle icon-close\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care",
    "https://nih.gov/news-events/nih-research-matters/preventing-organ-transplant-rejection",
    "https://www.nih.gov/news-events/nih-research-matters/research-in-context"
   ],
   "affected_pages": [
    "https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care",
    "https://nih.gov/news-events/nih-research-matters/preventing-organ-transplant-rejection",
    "https://www.nih.gov/news-events/nih-research-matters/research-in-context",
    "https://nih.gov/news-events/nih-research-matters/trends-us-methamphetamine-use-associated-deaths",
    "https://nih.gov/news-events/nih-research-matters/blood-tests-show-promise-early-alzheimers-diagnosis",
    "https://nih.gov/news-events/news-releases/diuretic-therapy-extremely-preterm-infants-does-not-alleviate-respiratory-problems",
    "https://nih.gov/institutes-nih/nih-office-director/olpa",
    "https://www.nih.gov/news-events/nih-research-matters/scientists-find-common-brain-network-substance-use-disorders"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care.",
    "Locate the element: <a class=\"usa-button\" href=\"/web-modernization\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r111 against WCAG 2.5.5 Target Size (Enhanced)."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r111",
   "obligation": "aspirational",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W25",
   "last_seen": "2026-W35",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/alfa__sia-r111.csv"
  },
  {
   "instance_id": "VS-36393994",
   "pattern_id": "VS-f18df681",
   "a11y_pattern_fingerprint": "e83dae4f9ef004adc0650e2751f00b21d3ccb4ea30a345f2c8a6be61ebfd975e",
   "a11y_pattern_display_id": "A11Y-PAT-E83DAE4F9EF0",
   "a11y_occurrence_fingerprint": "a252ccf8842ee966f29a85d4327369fd78d80df786eab7c550bfb4f7d9901118",
   "a11y_occurrence_display_id": "A11Y-OCC-A252CCF8842E",
   "url": "https://nih.gov/news-events/news-releases/adults-prediabetes-lifestyle-intervention-lowered-risk-developing-multiple-chronic-conditions",
   "xpath": ".usa-alert",
   "html_snippet": "<div class=\"usa-alert\">",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "region",
   "rule_label": "All page content should be contained by landmarks",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 40,
    "pages_affected": 20,
    "total_pages_scanned": 3333
   },
   "likely_source": "template",
   "summary": "All page content should be contained by landmarks (WCAG criterion undetermined)",
   "description": "All page content should be contained by landmarks. Detected by axe-core rule region on 20 of 3333 scanned pages (40 instances).",
   "examples": [
    {
     "url": "https://nih.gov/news-events/news-releases/adults-prediabetes-lifestyle-intervention-lowered-risk-developing-multiple-chronic-conditions",
     "xpath": ".usa-alert",
     "html_snippet": "<div class=\"usa-alert\">"
    },
    {
     "url": "https://nih.gov/news-events/news-releases/adults-prediabetes-lifestyle-intervention-lowered-risk-developing-multiple-chronic-conditions",
     "xpath": "#system-breadcrumb",
     "html_snippet": "<h2 id=\"system-breadcrumb\" class=\"visually-hidden\">Breadcrumb</h2>"
    },
    {
     "url": "https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care",
     "xpath": ".usa-alert",
     "html_snippet": "<div class=\"usa-alert\">"
    },
    {
     "url": "https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care",
     "xpath": "#system-breadcrumb",
     "html_snippet": "<h2 id=\"system-breadcrumb\" class=\"visually-hidden\">Breadcrumb</h2>"
    },
    {
     "url": "https://nih.gov/news-events/nih-research-matters/preventing-organ-transplant-rejection",
     "xpath": ".usa-alert",
     "html_snippet": "<div class=\"usa-alert\">"
    }
   ],
   "example_pages": [
    "https://nih.gov/news-events/news-releases/adults-prediabetes-lifestyle-intervention-lowered-risk-developing-multiple-chronic-conditions",
    "https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care",
    "https://nih.gov/news-events/nih-research-matters/preventing-organ-transplant-rejection"
   ],
   "affected_pages": [
    "https://nih.gov/news-events/news-releases/adults-prediabetes-lifestyle-intervention-lowered-risk-developing-multiple-chronic-conditions",
    "https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care",
    "https://nih.gov/news-events/nih-research-matters/preventing-organ-transplant-rejection",
    "https://www.nih.gov/news-events/nih-research-matters/research-in-context",
    "https://nih.gov/news-events/nih-research-matters/engineered-phages-treat-drug-resistant-infection",
    "https://nih.gov/news-events/nih-research-matters/trends-us-methamphetamine-use-associated-deaths",
    "https://www.nih.gov/news-events/nih-research-matters/some-brain-functions-may-improve-age",
    "https://nih.gov/news-events/nih-research-matters/blood-tests-show-promise-early-alzheimers-diagnosis",
    "https://nih.gov/news-events/news-releases/diuretic-therapy-extremely-preterm-infants-does-not-alleviate-respiratory-problems",
    "https://nih.gov/news-events/nih-research-matters/childhood-screen-detects-mental-health-risks",
    "https://www.nih.gov/nih-style-guide/autism",
    "https://nih.gov/about-nih/nih-almanac/katherine-l-bick-phd",
    "https://www.nih.gov/brain-initiative/research/neuroimaging-technologies-across-scales",
    "https://www.nih.gov/about-nih/what-we-do/nih-almanac/national-institute-aging-nia",
    "https://nih.gov/about-nih/nih-almanac/national-institute-environmental-health-sciences-niehs",
    "https://nih.gov/news-events/nih-research-matters?page=84",
    "https://nih.gov/institutes-nih/nih-office-director/olpa",
    "https://www.nih.gov/news-events/nih-research-matters/scientists-find-common-brain-network-substance-use-disorders",
    "https://nih.gov/about-nih/nih-turning-discovery-into-health/healthy-mind/traumatic-brain-injury-tbi",
    "https://nih.gov/news-events/nih-research-matters/old-tb-vaccine-may-work-better-when-delivered-intravenously"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://nih.gov/news-events/news-releases/adults-prediabetes-lifestyle-intervention-lowered-risk-developing-multiple-chronic-conditions.",
    "Locate the element: .usa-alert",
    "Confirm the axe-core finding for rule region."
   ],
   "remediation_tip": "Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region.",
   "tech_name": "Drupal",
   "tech_remediation_tip": "Use Drupal's region system (header, navigation, main, sidebar, footer) and map each to an HTML5 landmark element in your theme's page.html.twig.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W25",
   "last_seen": "2026-W35",
   "weeks_seen": 11,
   "affected_pages_csv": "csv/axe-core__region.csv"
  },
  {
   "instance_id": "VS-d0b1a01a",
   "pattern_id": "VS-d25f622d",
   "a11y_pattern_fingerprint": "6dd12473f8547e1da8f8f5c273afe925ab7f57172a5a7040ab8c39da2eaf3890",
   "a11y_pattern_display_id": "A11Y-PAT-6DD12473F854",
   "a11y_occurrence_fingerprint": "0a06cff34c3605d00852b7388c5692a8c765e05a30ed7bfd669d396713554e30",
   "a11y_occurrence_display_id": "A11Y-OCC-0A06CFF34C36",
   "url": "https://nih.gov/news-events/news-releases/adults-prediabetes-lifestyle-intervention-lowered-risk-developing-multiple-chronic-conditions",
   "xpath": "article > div > h3",
   "html_snippet": "<h3>Reference</h3>",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "heading-order",
   "rule_label": "Heading levels should only increase by one",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 14,
    "pages_affected": 14,
    "total_pages_scanned": 3333
   },
   "likely_source": "template",
   "summary": "Heading levels should only increase by one (WCAG criterion undetermined)",
   "description": "Heading levels should only increase by one. Detected by axe-core rule heading-order on 14 of 3333 scanned pages (14 instances).",
   "examples": [
    {
     "url": "https://nih.gov/news-events/news-releases/adults-prediabetes-lifestyle-intervention-lowered-risk-developing-multiple-chronic-conditions",
     "xpath": "article > div > h3",
     "html_snippet": "<h3>Reference</h3>"
    },
    {
     "url": "https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care",
     "xpath": ".callout__text > h3",
     "html_snippet": "<h3>At a Glance</h3>"
    },
    {
     "url": "https://nih.gov/news-events/nih-research-matters/preventing-organ-transplant-rejection",
     "xpath": ".callout__text > h3",
     "html_snippet": "<h3>At a Glance</h3>"
    },
    {
     "url": "https://www.nih.gov/news-events/nih-research-matters/research-in-context",
     "xpath": ".thumbnail-teaser:nth-child(1) > .thumbnail-teaser__link.link--no-tag[typeof=\"schema:WebPage\"] > .thumbnail-teaser__body > .thumbnail-teaser__heading",
     "html_snippet": "<h3 class=\"thumbnail-teaser__heading\"><span class=\"usa-tag usa-tag--gray margin-bottom-05\">Research in Context</span><br><span class=\"field field--name-title field--type-string field--label-hidden\">Un"
    },
    {
     "url": "https://nih.gov/news-events/nih-research-matters/engineered-phages-treat-drug-resistant-infection",
     "xpath": ".callout__text > h3",
     "html_snippet": "<h3>At a Glance</h3>"
    }
   ],
   "example_pages": [
    "https://nih.gov/news-events/news-releases/adults-prediabetes-lifestyle-intervention-lowered-risk-developing-multiple-chronic-conditions",
    "https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care",
    "https://nih.gov/news-events/nih-research-matters/preventing-organ-transplant-rejection"
   ],
   "affected_pages": [
    "https://nih.gov/news-events/news-releases/adults-prediabetes-lifestyle-intervention-lowered-risk-developing-multiple-chronic-conditions",
    "https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care",
    "https://nih.gov/news-events/nih-research-matters/preventing-organ-transplant-rejection",
    "https://www.nih.gov/news-events/nih-research-matters/research-in-context",
    "https://nih.gov/news-events/nih-research-matters/engineered-phages-treat-drug-resistant-infection",
    "https://nih.gov/news-events/nih-research-matters/trends-us-methamphetamine-use-associated-deaths",
    "https://www.nih.gov/news-events/nih-research-matters/some-brain-functions-may-improve-age",
    "https://nih.gov/news-events/nih-research-matters/blood-tests-show-promise-early-alzheimers-diagnosis",
    "https://nih.gov/news-events/news-releases/diuretic-therapy-extremely-preterm-infants-does-not-alleviate-respiratory-problems",
    "https://nih.gov/news-events/nih-research-matters/childhood-screen-detects-mental-health-risks",
    "https://nih.gov/institutes-nih/nih-office-director/olpa",
    "https://www.nih.gov/news-events/nih-research-matters/scientists-find-common-brain-network-substance-use-disorders",
    "https://nih.gov/about-nih/nih-turning-discovery-into-health/healthy-mind/traumatic-brain-injury-tbi",
    "https://nih.gov/news-events/nih-research-matters/old-tb-vaccine-may-work-better-when-delivered-intravenously"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://nih.gov/news-events/news-releases/adults-prediabetes-lifestyle-intervention-lowered-risk-developing-multiple-chronic-conditions.",
    "Locate the element: article > div > h3",
    "Confirm the axe-core finding for rule heading-order."
   ],
   "remediation_tip": "Use heading levels in order (h1 → h2 → h3) without skipping; structure, not size.",
   "tech_name": "Drupal",
   "tech_remediation_tip": "Drupal Views and blocks can insert headings at arbitrary levels. In the Views UI, set \"Title tag\" for each display. For block titles, configure the heading level in the block's layout settings.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W25",
   "last_seen": "2026-W35",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/axe-core__heading-order.csv"
  },
  {
   "instance_id": "VS-070ba14d",
   "pattern_id": "VS-8806389c",
   "a11y_pattern_fingerprint": "4bf2631a1974962c9ae529aa471bad16bfdc426a71a970cbb83b552ec809cf74",
   "a11y_pattern_display_id": "A11Y-PAT-4BF2631A1974",
   "a11y_occurrence_fingerprint": "b8b409caf710f642c77cc1780ac465e96dbb369a688aa177e29dbe948934e2d5",
   "a11y_occurrence_display_id": "A11Y-OCC-B8B409CAF710",
   "url": "https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care",
   "xpath": "#block-nih2-uswds-search",
   "html_snippet": "<div class=\"search-block-form usa-form block block-search container-inline\" data-drupal-selector=\"search-block-form\" id=\"block-nih2-uswds-search\" role=\"search\">",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "landmark-unique",
   "rule_label": "Landmarks should have a unique role or role/label/title (i.e. accessible name) c",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-unique?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 12,
    "pages_affected": 11,
    "total_pages_scanned": 3333
   },
   "likely_source": "template",
   "summary": "Landmarks should have a unique role or role/label/title (i.e. accessible name) c (WCAG criterion undetermined)",
   "description": "Landmarks should have a unique role or role/label/title (i.e. accessible name) c. Detected by axe-core rule landmark-unique on 11 of 3333 scanned pages (12 instances).",
   "examples": [
    {
     "url": "https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care",
     "xpath": "#block-nih2-uswds-search",
     "html_snippet": "<div class=\"search-block-form usa-form block block-search container-inline\" data-drupal-selector=\"search-block-form\" id=\"block-nih2-uswds-search\" role=\"search\">"
    },
    {
     "url": "https://nih.gov/news-events/nih-research-matters/preventing-organ-transplant-rejection",
     "xpath": "#block-nih2-uswds-search",
     "html_snippet": "<div class=\"search-block-form usa-form block block-search container-inline\" data-drupal-selector=\"search-block-form\" id=\"block-nih2-uswds-search\" role=\"search\">"
    },
    {
     "url": "https://www.nih.gov/news-events/nih-research-matters/research-in-context",
     "xpath": "#block-nih2-uswds-search",
     "html_snippet": "<div class=\"search-block-form usa-form block block-search container-inline\" data-drupal-selector=\"search-block-form\" id=\"block-nih2-uswds-search\" role=\"search\">"
    },
    {
     "url": "https://www.nih.gov/news-events/nih-research-matters/research-in-context",
     "xpath": ".sidenav",
     "html_snippet": "<aside class=\"sidenav tablet-lg:grid-col-3\">"
    },
    {
     "url": "https://nih.gov/news-events/nih-research-matters/engineered-phages-treat-drug-resistant-infection",
     "xpath": "#block-nih2-uswds-search",
     "html_snippet": "<div class=\"search-block-form usa-form block block-search container-inline\" data-drupal-selector=\"search-block-form\" id=\"block-nih2-uswds-search\" role=\"search\">"
    }
   ],
   "example_pages": [
    "https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care",
    "https://nih.gov/news-events/nih-research-matters/preventing-organ-transplant-rejection",
    "https://www.nih.gov/news-events/nih-research-matters/research-in-context"
   ],
   "affected_pages": [
    "https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care",
    "https://nih.gov/news-events/nih-research-matters/preventing-organ-transplant-rejection",
    "https://www.nih.gov/news-events/nih-research-matters/research-in-context",
    "https://nih.gov/news-events/nih-research-matters/engineered-phages-treat-drug-resistant-infection",
    "https://nih.gov/news-events/nih-research-matters/trends-us-methamphetamine-use-associated-deaths",
    "https://www.nih.gov/news-events/nih-research-matters/some-brain-functions-may-improve-age",
    "https://nih.gov/news-events/nih-research-matters/blood-tests-show-promise-early-alzheimers-diagnosis",
    "https://nih.gov/news-events/nih-research-matters/childhood-screen-detects-mental-health-risks",
    "https://nih.gov/news-events/nih-research-matters?page=84",
    "https://www.nih.gov/news-events/nih-research-matters/scientists-find-common-brain-network-substance-use-disorders",
    "https://nih.gov/news-events/nih-research-matters/old-tb-vaccine-may-work-better-when-delivered-intravenously"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care.",
    "Locate the element: #block-nih2-uswds-search",
    "Confirm the axe-core finding for rule landmark-unique."
   ],
   "remediation_tip": "When a landmark role/type repeats (e.g. two <nav>s), give each a distinct accessible name with aria-label or aria-labelledby (e.g. \"Primary\" and \"Footer\" navigation) so screen-reader users can tell them apart.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-unique?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W29",
   "last_seen": "2026-W35",
   "weeks_seen": 7,
   "affected_pages_csv": "csv/axe-core__landmark-unique.csv"
  },
  {
   "instance_id": "VS-a2074b15",
   "pattern_id": "VS-0066c67d",
   "a11y_pattern_fingerprint": "12ebd9ede5098a4c530dd715f6d1f3b0dd717ce4cbed41f58bc6bbd7bb7a6c9a",
   "a11y_pattern_display_id": "A11Y-PAT-12EBD9EDE509",
   "a11y_occurrence_fingerprint": "7c101d1b1c091174a0e80992aa6b3cf8ca7f051b53cf13d9a971956e49c3201b",
   "a11y_occurrence_display_id": "A11Y-OCC-7C101D1B1C09",
   "url": "https://nih.gov/news-events/news-releases/diuretic-therapy-extremely-preterm-infants-does-not-alleviate-respiratory-problems",
   "xpath": "article > div > h3",
   "html_snippet": "<h3></h3>",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "empty-heading",
   "rule_label": "Headings should not be empty",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/empty-heading?application=axeAPI",
   "severity": "Minor",
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 3333
   },
   "likely_source": "content",
   "summary": "Headings should not be empty (WCAG criterion undetermined)",
   "description": "Headings should not be empty. Detected by axe-core rule empty-heading on 1 of 3333 scanned pages (1 instances).",
   "examples": [
    {
     "url": "https://nih.gov/news-events/news-releases/diuretic-therapy-extremely-preterm-infants-does-not-alleviate-respiratory-problems",
     "xpath": "article > div > h3",
     "html_snippet": "<h3></h3>"
    }
   ],
   "example_pages": [
    "https://nih.gov/news-events/news-releases/diuretic-therapy-extremely-preterm-infants-does-not-alleviate-respiratory-problems"
   ],
   "affected_pages": [
    "https://nih.gov/news-events/news-releases/diuretic-therapy-extremely-preterm-infants-does-not-alleviate-respiratory-problems"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://nih.gov/news-events/news-releases/diuretic-therapy-extremely-preterm-infants-does-not-alleviate-respiratory-problems.",
    "Locate the element: article > div > h3",
    "Confirm the axe-core finding for rule empty-heading."
   ],
   "remediation_tip": "Remove empty headings or give them text. Don't use heading tags for spacing.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/empty-heading?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W25",
   "last_seen": "2026-W35",
   "weeks_seen": 8,
   "affected_pages_csv": "csv/axe-core__empty-heading.csv"
  },
  {
   "instance_id": "VS-91bc952b",
   "pattern_id": "VS-f054f4a4",
   "a11y_pattern_fingerprint": "a6bc27e60b79bb0aa52ad7afc529fbddd165e30dfa88f2ee6db9f75c3281b881",
   "a11y_pattern_display_id": "A11Y-PAT-A6BC27E60B79",
   "a11y_occurrence_fingerprint": "3156054925f325fa2e5d543db862931457ed375bb9860bd3ee4a65a55a7c3741",
   "a11y_occurrence_display_id": "A11Y-OCC-3156054925F3",
   "url": "https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care",
   "xpath": "<h3>",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r53",
   "rule_label": "Headings are structured hierarchically",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r53",
   "severity": "Moderate",
   "frequency": {
    "instances": 8,
    "pages_affected": 8,
    "total_pages_scanned": 3333
   },
   "likely_source": "unknown",
   "summary": "Headings are structured hierarchically (WCAG criterion undetermined)",
   "description": "Headings are structured hierarchically. Detected by Siteimprove Alfa rule sia-r53 on 8 of 3333 scanned pages (8 instances).",
   "examples": [
    {
     "url": "https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care",
     "xpath": "<h3>",
     "html_snippet": null
    },
    {
     "url": "https://nih.gov/news-events/nih-research-matters/preventing-organ-transplant-rejection",
     "xpath": "<h3>",
     "html_snippet": null
    },
    {
     "url": "https://www.nih.gov/news-events/nih-research-matters/research-in-context",
     "xpath": "<h3 class=\"thumbnail-teaser__heading\">",
     "html_snippet": null
    },
    {
     "url": "https://nih.gov/news-events/nih-research-matters/trends-us-methamphetamine-use-associated-deaths",
     "xpath": "<h3>",
     "html_snippet": null
    },
    {
     "url": "https://nih.gov/news-events/nih-research-matters/blood-tests-show-promise-early-alzheimers-diagnosis",
     "xpath": "<h3>",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care",
    "https://nih.gov/news-events/nih-research-matters/preventing-organ-transplant-rejection",
    "https://www.nih.gov/news-events/nih-research-matters/research-in-context"
   ],
   "affected_pages": [
    "https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care",
    "https://nih.gov/news-events/nih-research-matters/preventing-organ-transplant-rejection",
    "https://www.nih.gov/news-events/nih-research-matters/research-in-context",
    "https://nih.gov/news-events/nih-research-matters/trends-us-methamphetamine-use-associated-deaths",
    "https://nih.gov/news-events/nih-research-matters/blood-tests-show-promise-early-alzheimers-diagnosis",
    "https://nih.gov/news-events/news-releases/diuretic-therapy-extremely-preterm-infants-does-not-alleviate-respiratory-problems",
    "https://nih.gov/institutes-nih/nih-office-director/olpa",
    "https://www.nih.gov/news-events/nih-research-matters/scientists-find-common-brain-network-substance-use-disorders"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care.",
    "Locate the element: <h3>",
    "Confirm the Siteimprove Alfa finding for rule sia-r53."
   ],
   "remediation_tip": "Use headings in a logical, non-skipping order.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r53",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W25",
   "last_seen": "2026-W35",
   "weeks_seen": 8,
   "affected_pages_csv": "csv/alfa__sia-r53.csv"
  },
  {
   "instance_id": "VS-91030030",
   "pattern_id": "VS-e05344b9",
   "a11y_pattern_fingerprint": "00f0433ec019beedc42748faf67f85e1626b7aa5327d2dd41f66c6c247fff7f9",
   "a11y_pattern_display_id": "A11Y-PAT-00F0433EC019",
   "a11y_occurrence_fingerprint": "e30823e8a10c5f99416363be199dbae8572ceaffbf4ae0cf0350c14ee476811d",
   "a11y_occurrence_display_id": "A11Y-OCC-E30823E8A10C",
   "url": "https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care",
   "xpath": "@aria-label=\"Descripción de la agencia\"",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r18",
   "rule_label": "aria attribute is permitted for element role",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r18",
   "severity": "Moderate",
   "frequency": {
    "instances": 16,
    "pages_affected": 8,
    "total_pages_scanned": 3333
   },
   "likely_source": "unknown",
   "summary": "aria attribute is permitted for element role (WCAG criterion undetermined)",
   "description": "aria attribute is permitted for element role. Detected by Siteimprove Alfa rule sia-r18 on 8 of 3333 scanned pages (16 instances).",
   "examples": [
    {
     "url": "https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care",
     "xpath": "@aria-label=\"Descripción de la agencia\"",
     "html_snippet": null
    },
    {
     "url": "https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care",
     "xpath": "@aria-label=\"Official website of the Department of Health and Human Services\"",
     "html_snippet": null
    },
    {
     "url": "https://nih.gov/news-events/nih-research-matters/preventing-organ-transplant-rejection",
     "xpath": "@aria-label=\"Descripción de la agencia\"",
     "html_snippet": null
    },
    {
     "url": "https://nih.gov/news-events/nih-research-matters/preventing-organ-transplant-rejection",
     "xpath": "@aria-label=\"Official website of the Department of Health and Human Services\"",
     "html_snippet": null
    },
    {
     "url": "https://www.nih.gov/news-events/nih-research-matters/research-in-context",
     "xpath": "@aria-label=\"Descripción de la agencia\"",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care",
    "https://nih.gov/news-events/nih-research-matters/preventing-organ-transplant-rejection",
    "https://www.nih.gov/news-events/nih-research-matters/research-in-context"
   ],
   "affected_pages": [
    "https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care",
    "https://nih.gov/news-events/nih-research-matters/preventing-organ-transplant-rejection",
    "https://www.nih.gov/news-events/nih-research-matters/research-in-context",
    "https://nih.gov/news-events/nih-research-matters/trends-us-methamphetamine-use-associated-deaths",
    "https://nih.gov/news-events/nih-research-matters/blood-tests-show-promise-early-alzheimers-diagnosis",
    "https://nih.gov/news-events/news-releases/diuretic-therapy-extremely-preterm-infants-does-not-alleviate-respiratory-problems",
    "https://nih.gov/institutes-nih/nih-office-director/olpa",
    "https://www.nih.gov/news-events/nih-research-matters/scientists-find-common-brain-network-substance-use-disorders"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care.",
    "Locate the element: @aria-label=\"Descripción de la agencia\"",
    "Confirm the Siteimprove Alfa finding for rule sia-r18."
   ],
   "remediation_tip": "Only use ARIA states/properties that are allowed on this element/role.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r18",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W25",
   "last_seen": "2026-W35",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/alfa__sia-r18.csv"
  },
  {
   "instance_id": "VS-e4e5537b",
   "pattern_id": "VS-7118fead",
   "a11y_pattern_fingerprint": "4f939528d63402a02776370b12ebbd37d2553006db4211101f798ecb60e8b069",
   "a11y_pattern_display_id": "A11Y-PAT-4F939528D634",
   "a11y_occurrence_fingerprint": "eeefbec0d438946f491881dbbed76ed9643915309e7c74c8704f5faae5940697",
   "a11y_occurrence_display_id": "A11Y-OCC-EEEFBEC0D438",
   "url": "https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care",
   "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r61",
   "rule_label": "Form field label is visible",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r61",
   "severity": "Moderate",
   "frequency": {
    "instances": 8,
    "pages_affected": 8,
    "total_pages_scanned": 3333
   },
   "likely_source": "unknown",
   "summary": "Form field label is visible (WCAG criterion undetermined)",
   "description": "Form field label is visible. Detected by Siteimprove Alfa rule sia-r61 on 8 of 3333 scanned pages (8 instances).",
   "examples": [
    {
     "url": "https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://nih.gov/news-events/nih-research-matters/preventing-organ-transplant-rejection",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.nih.gov/news-events/nih-research-matters/research-in-context",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://nih.gov/news-events/nih-research-matters/trends-us-methamphetamine-use-associated-deaths",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://nih.gov/news-events/nih-research-matters/blood-tests-show-promise-early-alzheimers-diagnosis",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care",
    "https://nih.gov/news-events/nih-research-matters/preventing-organ-transplant-rejection",
    "https://www.nih.gov/news-events/nih-research-matters/research-in-context"
   ],
   "affected_pages": [
    "https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care",
    "https://nih.gov/news-events/nih-research-matters/preventing-organ-transplant-rejection",
    "https://www.nih.gov/news-events/nih-research-matters/research-in-context",
    "https://nih.gov/news-events/nih-research-matters/trends-us-methamphetamine-use-associated-deaths",
    "https://nih.gov/news-events/nih-research-matters/blood-tests-show-promise-early-alzheimers-diagnosis",
    "https://nih.gov/news-events/news-releases/diuretic-therapy-extremely-preterm-infants-does-not-alleviate-respiratory-problems",
    "https://nih.gov/institutes-nih/nih-office-director/olpa",
    "https://www.nih.gov/news-events/nih-research-matters/scientists-find-common-brain-network-substance-use-disorders"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care.",
    "Locate the element: {\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
    "Confirm the Siteimprove Alfa finding for rule sia-r61."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r61",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W25",
   "last_seen": "2026-W35",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/alfa__sia-r61.csv"
  },
  {
   "instance_id": "VS-172c3aec",
   "pattern_id": "VS-c18be945",
   "a11y_pattern_fingerprint": "5e9564dd770dcbb5488d67d692a5fc6802a0c1d746d3963648926ac4c6798e1d",
   "a11y_pattern_display_id": "A11Y-PAT-5E9564DD770D",
   "a11y_occurrence_fingerprint": "63ae5a1a49c4f5e3460ebce0385041c81c1454520dae91bb4ab45e57af6b2995",
   "a11y_occurrence_display_id": "A11Y-OCC-63AE5A1A49C4",
   "url": "https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care",
   "xpath": "text: \"NIH Websites Are Changing\"",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r57",
   "rule_label": "Scrolling content can be accessed by keyboard",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r57",
   "severity": "Moderate",
   "frequency": {
    "instances": 32,
    "pages_affected": 8,
    "total_pages_scanned": 3333
   },
   "likely_source": "unknown",
   "summary": "Scrolling content can be accessed by keyboard (WCAG criterion undetermined)",
   "description": "Scrolling content can be accessed by keyboard. Detected by Siteimprove Alfa rule sia-r57 on 8 of 3333 scanned pages (32 instances).",
   "examples": [
    {
     "url": "https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care",
     "xpath": "text: \"NIH Websites Are Changing\"",
     "html_snippet": null
    },
    {
     "url": "https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care",
     "xpath": "text: \"NIH is moving the launch of its new website to the fall to ensure the best possible experience for everyone who relies on our websites for health information, research, funding opportunities, a",
     "html_snippet": null
    },
    {
     "url": "https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care",
     "xpath": "text: \"Get the Latest Updates and FAQs\"",
     "html_snippet": null
    },
    {
     "url": "https://nih.gov/news-events/nih-research-matters/preventing-organ-transplant-rejection",
     "xpath": "text: \"NIH Websites Are Changing\"",
     "html_snippet": null
    },
    {
     "url": "https://nih.gov/news-events/nih-research-matters/preventing-organ-transplant-rejection",
     "xpath": "text: \"NIH is moving the launch of its new website to the fall to ensure the best possible experience for everyone who relies on our websites for health information, research, funding opportunities, a",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care",
    "https://nih.gov/news-events/nih-research-matters/preventing-organ-transplant-rejection",
    "https://www.nih.gov/news-events/nih-research-matters/research-in-context"
   ],
   "affected_pages": [
    "https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care",
    "https://nih.gov/news-events/nih-research-matters/preventing-organ-transplant-rejection",
    "https://www.nih.gov/news-events/nih-research-matters/research-in-context",
    "https://nih.gov/news-events/nih-research-matters/trends-us-methamphetamine-use-associated-deaths",
    "https://nih.gov/news-events/nih-research-matters/blood-tests-show-promise-early-alzheimers-diagnosis",
    "https://nih.gov/news-events/news-releases/diuretic-therapy-extremely-preterm-infants-does-not-alleviate-respiratory-problems",
    "https://nih.gov/institutes-nih/nih-office-director/olpa",
    "https://www.nih.gov/news-events/nih-research-matters/scientists-find-common-brain-network-substance-use-disorders"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.nih.gov/news-events/nih-research-matters/approach-prevent-fall-injuries-no-better-usual-care.",
    "Locate the element: text: \"NIH Websites Are Changing\"",
    "Confirm the Siteimprove Alfa finding for rule sia-r57."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r57",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W25",
   "last_seen": "2026-W35",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/alfa__sia-r57.csv"
  },
  {
   "instance_id": "VS-a0f2b2ca",
   "pattern_id": "VS-4c341c77",
   "a11y_pattern_fingerprint": "d524d0ba26d198d3908a94de2ed3f92485c8f292cdc19090e4f181c87e926a79",
   "a11y_pattern_display_id": "A11Y-PAT-D524D0BA26D1",
   "a11y_occurrence_fingerprint": "bf9622602156b97d03c5a9eaf942d8afd40c528d8d3d9291a1086b27a0a920ce",
   "a11y_occurrence_display_id": "A11Y-OCC-BF9622602156",
   "url": "https://nih.gov/news-events/news-releases/diuretic-therapy-extremely-preterm-infants-does-not-alleviate-respiratory-problems",
   "xpath": "<p class=\"nih-slogan\">",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r85",
   "rule_label": "Keyboard trap does not exist",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r85",
   "severity": "Moderate",
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 3333
   },
   "likely_source": "content",
   "summary": "Keyboard trap does not exist (WCAG criterion undetermined)",
   "description": "Keyboard trap does not exist. Detected by Siteimprove Alfa rule sia-r85 on 1 of 3333 scanned pages (1 instances).",
   "examples": [
    {
     "url": "https://nih.gov/news-events/news-releases/diuretic-therapy-extremely-preterm-infants-does-not-alleviate-respiratory-problems",
     "xpath": "<p class=\"nih-slogan\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://nih.gov/news-events/news-releases/diuretic-therapy-extremely-preterm-infants-does-not-alleviate-respiratory-problems"
   ],
   "affected_pages": [
    "https://nih.gov/news-events/news-releases/diuretic-therapy-extremely-preterm-infants-does-not-alleviate-respiratory-problems"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://nih.gov/news-events/news-releases/diuretic-therapy-extremely-preterm-infants-does-not-alleviate-respiratory-problems.",
    "Locate the element: <p class=\"nih-slogan\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r85."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r85",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W29",
   "last_seen": "2026-W35",
   "weeks_seen": 7,
   "affected_pages_csv": "csv/alfa__sia-r85.csv"
  }
 ],
 "policy": {
  "suppression": {
   "patterns": 0,
   "pages": 0,
   "occurrences": 0,
   "entries": []
  }
 }
}