Physical therapy
DEMO-16 — Obligation Superseded: PT Referral Replaced by Surgical Decision
Authored demonstration. Not a live employer result.
01 · Situation
A physical therapy referral is never completed because a later surgical decision changes the treatment plan entirely.
Illustrative treatment-planning protocol, empowering the attending surgeon to supersede a standing referral when a documented change in treatment plan makes it moot.
02 · Evidence
What the record holds.
- E1Original PT referral, Day 0
Verified · Day 0
- E2Surgical decision note, Day 20, explicitly stating the PT referral is superseded by the new surgical plan, signed by the attending surgeon acting under the authority named in the treatment-planning protocol
Verified · Day 20
03 · Obligations / Owners
The chain of responsibility.
- 01
PT provider (original referral, Day 0–20) — superseded by the attending surgeon's documented authority, per the protocol, effective Day 20.
04 · Event Type
The classification of the event.
EvidenceAttached (E1, the original obligation); EvidenceAttached (E2, the superseding decision); VerificationCompleted, evaluating the supersession against the authority named in the protocol.
05 · Verification Result
What verification established.
SUPPORTED — evidence supports supersession by an identified, protocol-empowered authority.
06 · Projection
What the evidence implies ahead.
Superseded, effective Day 20.
07 · Next Action
The corrective obligation.
None — this is the intended disposition, not a break requiring correction.
08 · Economic Boundary
Where the evidence stops.
Not applicable.
09 · Engine Answer
What the Engine can and cannot establish.
The PT referral in E1 was a valid obligation as of Day 0. On Day 20, the attending surgeon — acting under the authority the treatment-planning protocol assigns for exactly this purpose — explicitly documented that the referral was superseded by a new surgical plan. The Engine preserves both facts: the original obligation existed, and it was superseded by a later, identified, authorized decision. Its final disposition is neither fulfillment nor failure nor cancellation; the obligation was superseded effective Day 20.
Not fulfilled. Not failed. Not cancelled. Superseded, effective Day 20.
10 · What Remains Unknown
Outside the Engine's reach.
Nothing material to the supersession itself; whether the new surgical plan generated its own new obligations is outside this record's scope.