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Prescription decision

Case #5

Submitted 1 month ago · 2026-05-09 18:18

HIGH

High-risk decision — supervisor escalation required

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

Patient
Demo Patient
PT-181754
Status
escalation required
Actor
Dr. Trial User
Doctor
Decisions logged
3
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 18:18:17
28a5a2cc7829871b7f8fad9583f8...
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 18:18:17
189f1017c4d61395735ef874a1d6...
high escalation

High-risk prescription escalated to supervisor approval pathway.

Outcome: supervisor review required Time: 2026-05-09 18:18:17
3328f8cc6a9579efe221dcf0f591...

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.

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.