Preventive care
DEMO-19 — Explicit Refusal: Vaccination Offered and Declined
Authored demonstration. Not a live employer result.
01 · Situation
A patient is offered a recommended vaccination. The patient declines. The refusal is documented.
Illustrative preventive-care offering protocol, requiring the provider to offer the vaccination and document the patient's disposition — not requiring the patient to accept it.
02 · Evidence
What the record holds.
- E1Preventive-care offering protocol, stating the provider's obligation is to offer and document disposition
verified · on file
- E2Clinical note: vaccination offered, patient declined, reason documented, signed by the offering provider, Day 0
verified · Day 0
03 · Obligations / Owners
The chain of responsibility.
- 01
Provider (offer the vaccination and document the patient's disposition, per E1) — fulfilled by E2. No obligation is assigned to the patient; the protocol does not create one.
04 · Event Type
The classification of the event.
ExecutionClaimed, EvidenceAttached, and VerificationCompleted — E2 claims the offer-and-disposition steps were completed, is attached as evidence, and is evaluated against E1's stated obligation.
05 · Verification Result
What verification established.
SUPPORTED.
06 · Projection
What the evidence implies ahead.
Provider obligation fulfilled through documented disposition.
07 · Next Action
The corrective obligation.
None — proper disposition reached.
08 · Economic Boundary
Where the evidence stops.
Not applicable.
09 · Engine Answer
What the Engine can and cannot establish.
The governing protocol in E1 assigns the provider one obligation: offer the vaccination and document the patient's disposition. It does not assign the patient an obligation to accept. The clinical note in E2 shows the vaccination was offered and the patient's decline was documented with a reason, by the responsible provider. The Engine can demonstrate that the provider's actual obligation was fulfilled. The vaccination not being administered is an affirmatively documented patient choice, not an unaddressed gap or a failure by anyone.
Offered, declined, documented. The provider's obligation was to do exactly that.
10 · What Remains Unknown
Outside the Engine's reach.
Whether the decline was later revisited at a subsequent visit; this record covers only this offering event.