Internal medicine
DEMO-21 — Trigger Evaluation Not Demonstrably Completed
Authored demonstration. Not a live employer result.
01 · Situation
An illustrative care protocol makes a follow-up obligation contingent on a lab value crossing a defined threshold. Whether that evaluation ever occurred — separate from whether the follow-up itself occurred — is what's tested.
Illustrative monitoring protocol requiring a named clinician to review the lab result against a stated threshold within 48 hours of the result posting, with the follow-up obligation activating only if the threshold is crossed.
02 · Evidence
What the record holds.
- E1Protocol naming the review obligation, threshold, and 48-hour window
Verified · on file
- E2Lab result posted
Verified · Day 0
- E3Clinical review log reviewed through Day 2; no entry evaluating this result against the threshold
Verified · Day 2
03 · Obligations / Owners
The chain of responsibility.
- 01
Named clinician (evaluate the result against the threshold within 48 hours, per E1) — kept separate from any contingent follow-up obligation, which is not addressed here.
04 · Event Type
The classification of the event.
Result posted (E2, stored event); review log reviewed (E3).
05 · Verification Result
What verification established.
SUPPORTED as to non-evaluation — the review log affirmatively shows no evaluation entry within the window.
06 · Projection
What the evidence implies ahead.
Trigger evaluation not demonstrably completed; activation of the contingent follow-up obligation remains undetermined.
07 · Next Action
The corrective obligation.
Complete the overdue evaluation; only then does the follow-up obligation's status become assessable.
08 · Economic Boundary
Where the evidence stops.
Not established.
09 · Engine Answer
What the Engine can and cannot establish.
The protocol required the named clinician to evaluate this result against the threshold within 48 hours. The review log, reviewed through Day 2, shows no such evaluation entry. The Engine can demonstrate that the evaluation obligation itself was not demonstrably completed. It cannot determine whether the threshold was crossed, and therefore cannot determine whether any contingent follow-up obligation ever activated — that question remains open, not failed.
Not evaluated, and not therefore known to have activated anything.
10 · What Remains Unknown
Outside the Engine's reach.
The lab value's relationship to the threshold; whether a follow-up obligation exists at all.