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Infusion services

DEMO-18Dependency Failure: Infusion Blocked by Missing Lab Draw

Authored demonstration. Not a live employer result.

01 · Situation

An infusion cannot be scheduled because a required upstream pre-infusion lab draw was never completed.

Illustrative infusion protocol, requiring a completed pre-infusion lab draw as a prerequisite before scheduling can proceed.

02 · Evidence

What the record holds.

  1. E1Infusion order, contingent on a pre-infusion lab draw per the protocol

    verified · Day 0

  2. E2Lab order for the pre-infusion draw, assigned to the phlebotomy team

    verified · Day 0

  3. E3Lab repository reviewed through Day 14; no completed draw found for this order

    verified · Day 14

  4. E4Infusion scheduling system reviewed through Day 14; infusion remains unscheduled, status "pending prerequisite"

    verified · Day 14

03 · Obligations / Owners

The chain of responsibility.

  1. 01

    Phlebotomy team (complete the pre-infusion draw, per E2) — kept separate from Infusion scheduling (schedule upon a completed draw, per E1), which cannot act until the upstream obligation resolves.

04 · Event Type

The classification of the event.

upstream evidence reviewed (E3); downstream dependency status recorded (E4).

05 · Verification Result

What verification established.

Phlebotomy obligation — INSUFFICIENT (repository absence establishes non-demonstration, not affirmative nonperformance). Infusion-scheduling obligation — SUPPORTED (E4 affirmatively states the blocked status).

06 · Projection

What the evidence implies ahead.

Phlebotomy — not demonstrably fulfilled. Infusion scheduling — blocked.

07 · Next Action

The corrective obligation.

Escalate the upstream lab-draw obligation directly; do not route escalation to infusion scheduling, which has no ability to resolve it.

08 · Economic Boundary

Where the evidence stops.

Not established.

09 · Engine Answer

What the Engine can and cannot establish.

Two obligations exist here, owned by two different parties. The lab repository, reviewed through Day 14, does not demonstrate a completed draw — this establishes non-demonstration, not proof the draw never occurred. The infusion scheduling system's own record affirmatively states "pending prerequisite," which does support the projection that this obligation is blocked. The Engine keeps these two findings distinct in strength: the upstream finding is INSUFFICIENT to demonstrate fulfillment; the downstream finding is SUPPORTED as blocked.

One obligation is not demonstrably fulfilled. The other is affirmatively blocked by it. These are not the same finding.

10 · What Remains Unknown

Outside the Engine's reach.

Why the lab draw was never completed; whether the phlebotomy team attempted and failed, or never attempted.