{
  "checked": "2026-10-07",
  "scope": "Direct primary agency instructions, separate source dates; fictional data and original diagrams do not establish actual milk condition",
  "sources": [
    {
      "id": "C1",
      "publisher": "Centers for Disease Control and Prevention (CDC)",
      "title": "Breast Milk Storage and Preparation",
      "url": "https://www.cdc.gov/breastfeeding/breast-milk-preparation-and-storage/handling-breastmilk.html",
      "publishedDate": "2024-05-15",
      "updatedDate": "2026-08-14",
      "expertReviewedDate": "2026-03-25",
      "displayedDate": null,
      "checkedDate": "2026-10-07",
      "dateLine": "Published 15 May 2024; updated 14 Aug 2026; CDC expert review 25 Mar 2026; checked 7 Oct 2026.",
      "role": "Primary anchor instruction; main page still links the storage FAQ.",
      "referenceScope": "U.S. home-use lesson; CDC names the 2017 full-term-infant home-use protocol as upstream material.",
      "checkedEvidence": "Refrigerator-thaw 24-hour count starts at complete thaw, rather than freezer removal. Exact publisher metadata appears under Sources and Page Info.",
      "rightsTreatment": "Original concise factual summary and direct link; no reproduced source chart, icon, photograph or logo. Follow the separate CDC materials conditions."
    },
    {
      "id": "C2",
      "publisher": "Centers for Disease Control and Prevention (CDC)",
      "title": "Breast Milk Storage Questions and Answers",
      "url": "https://www.cdc.gov/breastfeeding/php/guidelines-recommendations/faqs.html",
      "publishedDate": "2024-05-15",
      "updatedDate": "2023-11-07",
      "expertReviewedDate": null,
      "displayedDate": "2023-12-15",
      "checkedDate": "2026-10-07",
      "dateLine": "Dated 15 Dec 2023; checked 7 Oct 2026. The current CDC main page links this FAQ.",
      "role": "Primary first-freezing and older-cooled-batch history instructions; temperature and handling context.",
      "referenceScope": "The optional cards use only the stated maintained-frozen and known-cooled premises; emergency, cooler and partial-thaw cases are not modeled.",
      "checkedEvidence": "Frozen-storage age counts from first freezing regardless of a freezer move. New milk is cooled before combining; cooled batches from different days use older first storage as the basis. Refrigerator 40°F or below; freezer 0°F or below.",
      "rightsTreatment": "Original concise factual summaries and direct source link under the CDC materials conditions.",
      "reviewedDate": "2023-12-15",
      "dateEvidence": "Displayed date remains 15 Dec 2023. Named CDC metadata separately gives first_published 15 May 2024, last_updated 7 Nov 2023 and last_reviewed 15 Dec 2023. These publisher fields are not chronological; preserve their exact labels without harmonizing them or inferring a newer clinical revision. No explicit expert-review descriptor identified."
    },
    {
      "id": "O1",
      "publisher": "Office on Women's Health (OWH), U.S. Department of Health and Human Services",
      "title": "Pumping and storing breastmilk",
      "url": "https://womenshealth.gov/breastfeeding/pumping-and-storing-breastmilk",
      "publishedDate": null,
      "updatedDate": "2025-10-23",
      "expertReviewedDate": null,
      "displayedDate": null,
      "checkedDate": "2026-10-07",
      "dateLine": "Updated 23 Oct 2025; checked 7 Oct 2026. No separate publication or expert-review date was identified.",
      "role": "Separately supports counting the 24 hours from when thawing finishes, within its healthy, full-term scope; not merged with CDC policy.",
      "checkedEvidence": "The refrigerator-thaw instruction distinguishes no-longer-frozen time from freezer removal; the page's storage guide identifies healthy, full-term babies. The footer supplies an update date and an express page-material reproduction statement.",
      "rightsTreatment": "Original wording with citation. The page's reproduction statement does not grant rights to other agencies' or ABM's materials."
    },
    {
      "id": "C1-P",
      "publisher": "Centers for Disease Control and Prevention (CDC)",
      "title": "Storage and Preparation of Breast Milk",
      "url": "https://www.cdc.gov/breastfeeding/pdf/preparation-of-breast-milk_H.pdf",
      "documentDate": "2024-10",
      "publishedDate": null,
      "updatedDate": null,
      "expertReviewedDate": null,
      "checkedDate": "2026-10-07",
      "dateLine": "Document dated October 2024; checked 7 Oct 2026. This is separate from the main webpage's August 2026 update.",
      "role": "Current linked CDC document supporting the nominal guideline pairs 40°F (4°C) and 0°F (-18°C), and the full-term home-use provenance.",
      "checkedEvidence": "The linked two-page document labels refrigerator 40°F (4°C), freezer 0°F (-18°C) or colder, and October 2024. The main page presently links it.",
      "rightsTreatment": "Link only. No full table, design, source illustrations or icons reproduced."
    },
    {
      "id": "A1",
      "publisher": "Academy of Breastfeeding Medicine (ABM)",
      "title": "Clinical Protocol #8: Human Milk Storage Information for Home Use for Full-Term Infants, Revised 2017",
      "url": "https://www.bfmed.org/assets/DOCUMENTS/PROTOCOLS/8-human-milk-storage-protocol-english.pdf",
      "documentDate": "2017",
      "publishedDate": null,
      "updatedDate": null,
      "expertReviewedDate": null,
      "checkedDate": "2026-10-07",
      "dateLine": "Revised 2017; provenance checked 7 Oct 2026. Not a newly reviewed 2026 protocol.",
      "role": "Upstream provenance and scope only, as identified by CDC. The protocol's own expiration statement prevents treating a fresh retrieval as a refreshed protocol.",
      "rightsTreatment": "Link only. No protocol text, table, structure, image, adaptation or translation is distributed. No ABM consent or endorsement is claimed."
    },
    {
      "id": "A1-I",
      "publisher": "Academy of Breastfeeding Medicine (ABM)",
      "title": "Protocols and Translation Policy",
      "url": "https://www.bfmed.org/protocols",
      "publishedDate": null,
      "updatedDate": null,
      "expertReviewedDate": null,
      "checkedDate": "2026-10-07",
      "dateLine": "No publisher update or review date identified; checked 7 Oct 2026.",
      "role": "Current index still lists protocol 8 as 2017; current translation policy is an item-level rights reference.",
      "checkedEvidence": "Protocol 8 remains Human Milk Storage for Home Use (2017). ABM requires prior written consent to translate, adapt or distribute its protected resources.",
      "rightsTreatment": "Do not translate or distribute ABM resources. Locale copies are original Ella explanations of the linked government facts and fictional lesson."
    },
    {
      "id": "R1",
      "publisher": "Centers for Disease Control and Prevention (CDC)",
      "title": "Use of Agency Materials",
      "url": "https://www.cdc.gov/other/agencymaterials.html",
      "publishedDate": "2019-10-07",
      "updatedDate": "2023-05-01",
      "expertReviewedDate": null,
      "checkedDate": "2026-10-07",
      "dateLine": "CDC metadata: first published 7 Oct 2019; updated and reviewed 1 May 2023; checked 7 Oct 2026.",
      "role": "Attribution, no-endorsement and free-availability requirements; source-link and item-level rights conditions.",
      "checkedEvidence": "Most CDC information is public domain, with contractor, third-party and international exceptions. Attribute CDC, preserve substantive meaning, state free source availability and make no endorsement implication. CDC links should open the agency site separately. Logos need express permission.",
      "rightsTreatment": "No borrowed agency assets. Agency links open a new context with an accessible new-window indication and noopener; no embedding or framing. No blanket worldwide public-domain claim.",
      "reviewedDate": "2023-05-01",
      "dateEvidence": "Named CDC metadata cdc:first_published, cdc:last_updated and cdc:last_reviewed, directly checked 7 Oct 2026. No explicit expert-review descriptor identified. Separate cdc:last_published is a publishing timestamp, not treated as a substantive revision date."
    }
  ]
}