Home health
DEMO-11 — Accepted But Not Executed: Home Health Visit Order
Authored demonstration. Not a live employer result.
01 · Situation
A home health agency explicitly accepts a referred nursing visit order. Acceptance is unambiguous. Execution never occurs before the order's closure date.
Illustrative referral order specifying a required visit within a 7-day window, issued under the referring physician's ordering authority (verified, Day 0).
02 · Evidence
What the record holds.
- E1Referral order, 7-day visit window
Verified · Day 0
- E2Agency acceptance of the order, signed
Verified · Day 1
- E3Authoritative visit/closure record — the agency's own scheduling-and-closure system, reviewed through Day 7 — shows the order status as "closed, no visit completed"
Verified · Day 7
03 · Obligations / Owners
The chain of responsibility.
- 01
Agency (execute the accepted visit within 7 days, per E1)
04 · Event Type
The classification of the event.
ObligationAccepted (E2); closure record attached as evidence (E3).
05 · Verification Result
What verification established.
SUPPORTED — the authoritative closure record affirmatively supports the finding that no visit was completed; this is not an absence-only inference.
06 · Projection
What the evidence implies ahead.
Accepted but not executed.
07 · Next Action
The corrective obligation.
Escalate the closed-without-execution order for review; require closure reason codes distinct from "completed."
08 · Economic Boundary
Where the evidence stops.
Not established.
09 · Engine Answer
What the Engine can and cannot establish.
The agency accepted this order on Day 1, so ownership is not in dispute. The agency's own authoritative closure record, reviewed through Day 7, affirmatively states the order closed with no visit completed — this is not merely a missing note, but the system of record's own statement of nonperformance. The Engine can demonstrate that an accepted obligation was not executed by its closure condition, evidenced affirmatively rather than by absence alone.
Accepted once. Not executed by the closure condition — and the record says so affirmatively.
10 · What Remains Unknown
Outside the Engine's reach.
Why the visit wasn't performed after acceptance; whether the closure reason reflects a legitimate operational cause not captured in this record.