# 📖 Annotation Guide: Health Literacy
Welcome! Your task is to determine which pieces of information (subclaims) belong in different versions of a health text based on **Health Literacy levels**.
## * **Pre-selections:** Some boxes are checked by default—these are the "minimum required" facts.
## Sometimes, generated summaries with different labels contain all the information present in the gold summary.
## In the case of full text, the amount of information included depends on the readability level. Texts with a low readability label contain less information than those with a proficient readability label.
## Consistency: Any information listed under 'Low' should automatically also appear under 'Intermediate' and 'Proficient.
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### 🟢 Step 1: Identify the Source
Check the top of the interface. You are working with either:
* **Full Text:** The original clinical document.
* **Gold Summary:** A condensed version of the facts.

### 🔍 Step 2: Review the Subclaims
Subclaims are individual facts extracted from the text. 
> *Example: "The patient is 62 years old" or "The X-ray shows pneumonia."*

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### ⚖️ Step 3: Annotate by Literacy Level
You must select checkboxes for **three different audiences**. The goal is to create a "ladder" of information:

| Level | Goal | Inclusion Strategy |
| :--- | :--- | :--- |
| **🟢 Low** | **Basic Survival** | Only the absolute essentials. What must they know to stay safe? |
| **🔵 Intermediate** | **Clear Context** | Core info + helpful context. Explain the "what" and "why." |
| **🟣 Proficient** | **Full Detail** | Everything. Include clinical findings, ages, and specific test data. |

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### 📊 Step 4: The Golden Rule (Check Your Percentages)
To ensure high-quality data, your selections **must** follow this hierarchy:
# **Low % < Intermediate % < Proficient %**

⚠️ **Wait for the Green Light:** If the **Low** level contains more information than **Intermediate**, the system will show a warning. Adjust your checkboxes until the percentages flow from lowest to highest.

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### 💡 Quick Tips

* **Clinical Relevance:** For **Proficient**, include specific numbers (e.g., "140/90 mmHg") that might be too technical for **Low**.

**Ready to start?** Scroll down to begin your first annotation.