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Prescription decision

Case #9

Submitted 1 month ago · 2026-05-10 10:46

HIGH

High-risk decision — supervisor escalation required

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

Patient
AI Status Highlight Verification
PT-AI-STATUS-1778410012
Status
escalation required
Actor
Verification Doctor
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: 2026-05-10 10:46:52
3c9294aeaf0228a9f1e1dfcd34f3...
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: 2026-05-10 10:46:52
9aead4648d99f3983f6fbc7c401a...
high rule triggered RX-205 · v1

Amoxicillin conflicts with recorded allergy Penicillin according to allergy rule RX-205. Clinical impact: Amoxicillin may trigger a reaction for patients with Penicillin allergy. Required action: Prescription must be blocked or escalated with supervisor approval.

Outcome: Prescription must be blocked or escalated with supervisor approval. Time: 2026-05-10 10:46:52
541a1996eb5a77faf01a36e9a564...
high escalation

High-risk prescription escalated to supervisor approval pathway.

Outcome: supervisor review required Time: 2026-05-10 10:46:52
66294843076c5ca424efe4f84788...

Submitted snapshot

Input recorded

Current medications
warfarin
Prescribed medications
amoxicillin, 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.