Physical therapy
DEMO-13 — Execution Evidenced, Verification Fails: PT Strength Goal
Authored demonstration. Not a live employer result.
01 · Situation
A physical therapy discharge note documents a completed strength-goal assessment and explicitly closes the goal as achieved. The referring order specifies a numeric threshold. The recorded measurement falls below it.
Illustrative PT referral order, issued under the referring physician's ordering authority, stating a specific numeric strength threshold required for discharge-goal completion (verified, Day 0).
02 · Evidence
What the record holds.
- E1Referral order stating the numeric threshold
Verified · Day 0
- E2PT discharge note recording a completed assessment, a specific measured value, and the goal explicitly closed as "achieved"
Verified · Day 30
- E3Comparison of the recorded value in E2 against the threshold in E1: the recorded value is below the stated threshold
Verified · Day 30
03 · Obligations / Owners
The chain of responsibility.
- 01
PT provider (assess and document the measurement, and do not close the stated discharge goal as achieved unless the recorded value meets the threshold in E1)
04 · Event Type
The classification of the event.
ExecutionClaimed — the note claims the goal was achieved. EvidenceAttached — E2 is attached to that claim. VerificationCompleted — the attached measurement is evaluated against the threshold in E1.
05 · Verification Result
What verification established.
CONTRADICTED — the note affirmatively closes the goal as achieved; the recorded value, compared directly against E1's threshold, is below it. This is a direct numeric comparison between two artifacts, not a clinical judgment.
06 · Projection
What the evidence implies ahead.
Goal claimed achieved; verification contradicts.
07 · Next Action
The corrective obligation.
Flag threshold-shortfall discharges for review before the episode closes.
08 · Economic Boundary
Where the evidence stops.
Not established.
09 · Engine Answer
What the Engine can and cannot establish.
The PT provider's obligation was to assess, document, and not close the goal as achieved unless the value met the threshold. The note both records a below-threshold value and closes the goal as achieved anyway. The Engine can demonstrate that this specific claim is CONTRADICTED by the note's own recorded figure, verified against E1's stated criterion — a direct comparison of stored figures, not an independent clinical determination of whether the outcome was sufficient.
The note claims the goal was achieved. Its own recorded number says otherwise.
10 · What Remains Unknown
Outside the Engine's reach.
Whether the threshold itself was later waived or adjusted by the referring physician outside this reviewed record; the clinical significance of the shortfall.