Cardiology
DEMO-01 — Ambulatory Cardiac Monitor Finding
Authored demonstration. Not a live employer result.
01 · Situation
The report was classified. The reviewed record does not show it was acknowledged.
An illustrative ambulatory cardiac monitor generates an automated report. The monitor vendor's illustrative escalation protocol (a named artifact, not a clinical standard the Engine applies itself) classifies certain rhythm patterns as requiring same-day physician acknowledgement. This report is classified "escalation-required" by that protocol.
02 · Evidence
What the record holds.
- E1Monitor report, classified escalation-required under the illustrative vendor escalation protocol
Verified · Day 0
- E2Illustrative escalation protocol document defining the classification and the same-day acknowledgement requirement
Verified · Day 0
- E3Physician EHR inbox log reviewed through Day 3; no acknowledgement entry found
Verified · Day 3
- E4Patient's next scheduled visit is Day 30, unchanged
Verified · Day 3
03 · Obligations / Owners
The chain of responsibility.
- 01
Interpreting physician (acknowledge same-day, per the illustrative protocol)
- 02
Care team (act on acknowledgement, per the same protocol, Section 2)
04 · Accountability Break
Where the chain broke.
The physician inbox log, reviewed through Day 3, contains no acknowledgement entry for a report the named protocol classified as same-day.
05 · Next Action
The corrective obligation.
Escalate the unacknowledged report directly to the care team; require an acknowledgement artifact before any report can age past its protocol-defined window.
06 · Economic Boundary
Where the evidence stops.
Not established.
07 · Engine Answer
What the Engine can and cannot establish.
The interpreting physician was required, under the illustrative vendor escalation protocol named in E2, to acknowledge this report the same day it was classified escalation-required. The physician inbox log was reviewed through Day 3 with no acknowledgement entry found, and the patient's next scheduled visit remains Day 30. The Engine can demonstrate that the classification and the protocol both exist, and that acknowledgement is not demonstrably fulfilled as of Day 3. It cannot establish why no acknowledgement occurred, whether the physician saw the report outside the reviewed inbox, or what clinical significance the finding carries — that determination belongs to the protocol and the physician, not the Engine.
The report was classified. The reviewed record does not show it was acknowledged.