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Prescription decision

Case #1

Submitted 1 month ago · 2026-05-09 13:38

HIGH

High-risk decision — supervisor escalation required

Action is blocked until an authorized supervisor records a controlled override with mandatory clinical justification.

Patient
MySQL Flow
PT-MYSQL-FLOW
Status
overridden
Actor
Dr MySQL
Doctor
Decisions logged
4
Sealed audit events

Explainable governance findings

Decision timeline

Each entry shows the triggered rule, severity, plain-language explanation, outcome, and immutable hash.

high prescription submitted

Prescription submitted for governance evaluation.

Outcome: escalation required Time: 2026-05-09 13:38:22
0bd1051755cb3fe523043cb7d4b7...
high rule triggered RX-104 · v1

Warfarin and Aspirin together may significantly increase bleeding risk according to interaction rule RX-104. Clinical impact: Aspirin and Warfarin together may significantly increase bleeding risk. Required action: Supervisor authorization required before continuing prescription.

Outcome: Supervisor authorization required before continuing prescription. Time: 2026-05-09 13:38:22
819802fea50093f69fe62da99599...
high escalation

High-risk prescription escalated to supervisor approval pathway.

Outcome: supervisor review required Time: 2026-05-09 13:38:22
2bbab7017b18c722cb8c61e6673f...
high governance override

Authorized override recorded by Governance Admin (Admin). Reason: Approved after governance verification on MySQL deployment.

Outcome: overridden with reason Time: 2026-05-09 13:38:22
f78ae798c9e8e6415947ff05631e...

Submitted snapshot

Input recorded

Current medications
Warfarin
Prescribed medications
Aspirin
Allergies
Penicillin
Sign in required. Login as Admin or Supervisor to record an override or acknowledgement.

Override recorded

Authorized override

Governance Admin (Admin)

Approved after governance verification on MySQL deployment.

Phase A validates governance architecture, explainability, controlled escalation and audit integrity. Decisions are deterministic and rule-based — not AI-driven. Every critical action is sealed in the immutable audit trail.