Urology
DEMO-08 — Temporary Stent Without a Documented Removal Plan
Authored demonstration. Not a live employer result.
01 · Situation
The placement itself created the obligation. The record shows nothing done.
An illustrative temporary ureteral stent is placed. The placement procedure itself creates the removal obligation, its owner, and its deadline.
02 · Evidence
What the record holds.
- E1Stent placement procedure note, explicitly stating the removal/exchange requirement, naming the placing urologist as responsible for scheduling it, and setting a 42-day window
Verified · Day 0
- E2Removal/exchange scheduling repository reviewed through the end of the 42-day window; no removal or exchange appointment found
Verified · Day 42
- E3Patient contact log reviewed through Day 42; no outreach attempt recorded — cited as evidence available in the record, not as evidence of an unmet outreach requirement, since no artifact establishes an outreach obligation here
Verified · Day 42
03 · Obligations / Owners
The chain of responsibility.
- 01
Placing urologist (schedule removal/exchange at placement, per E1)
- 02
Scheduling (book within the window)
04 · Accountability Break
Where the chain broke.
The obligation and its deadline were both created by the placement procedure itself — and the reviewed scheduling repository shows nothing done as that self-generated deadline passed.
05 · Next Action
The corrective obligation.
Time-bound device placements automatically generate a tracked removal obligation at the moment of the procedure, not dependent on a separate downstream referral.
06 · Economic Boundary
Where the evidence stops.
Not established.
07 · Engine Answer
What the Engine can and cannot establish.
E1 explicitly assigned the removal obligation, ownership, and the 42-day window at the time of placement — no separate referral was needed to create this obligation. The scheduling repository, reviewed through the end of that window, shows no removal or exchange appointment. The Engine can demonstrate that a self-generated, procedure-defined scheduling obligation was not demonstrably tracked to completion. The patient contact log's contents are noted as available evidence in the record, not as proof of an unmet outreach requirement, since nothing establishes that outreach was required here.
The procedure created its own deadline. Nothing in the reviewed record shows that deadline was tracked.