Orthopedic surgery
DEMO-06 — Postoperative Restriction Never Translated Into a Work Plan
Authored demonstration. Not a live employer result.
01 · Situation
Postoperative Restriction Never Translated Into a Work Plan
An illustrative postoperative lifting restriction is issued at surgical discharge. Translating a clinical restriction into an employer-facing work-capacity document is a distinct, separate step from issuing the restriction itself.
02 · Evidence
What the record holds.
- E1Discharge summary stating the lifting restriction and its duration
Verified · Day 0
- E2Case-management referral to translate the restriction into a work-capacity document and deliver it to HR, per the referral's own terms
Verified · Day 1
- E3Work-capacity document repository reviewed through Day 14; no completed document found
Verified · Day 14
- E4Employer HR record reviewed through Day 14; no restriction on file
Verified · Day 14
03 · Obligations / Owners
The chain of responsibility.
- 01
Surgeon (issue the clinical restriction)
- 02
Case manager (translate it into an employer-facing work-capacity document and deliver it to HR, per E2)
04 · Accountability Break
Where the chain broke.
The clinical restriction exists and was referred for translation and delivery, but neither the work-capacity document nor any employer-side record of it exists in either reviewed repository two weeks later.
05 · Next Action
The corrective obligation.
Case management confirms document delivery to HR as a closing step, not just document creation.
06 · Economic Boundary
Where the evidence stops.
Not established.
07 · Engine Answer
What the Engine can and cannot establish.
The case manager was required, per E2, to translate the documented clinical restriction into a work-capacity document and deliver it to HR. Both the document repository and the employer's HR record were reviewed independently through Day 14, and neither shows the translated document. The Engine can demonstrate that the documented clinical restriction did not demonstrably reach the employer in a usable form. It cannot establish at which step — translation or delivery — the process actually stopped.
The restriction was written once, clinically. It never became a document the employer could act on.