Preventive care / home testing
DEMO-25 — Provider Obligation Not Yet Activated by a Patient-Controlled Trigger
Authored demonstration. Not a live employer result.
01 · Situation
A provider's review obligation is contingent on the patient first completing an at-home step (returning a test kit). The kit has not been returned.
Illustrative home-testing program protocol, which assigns the provider several distinct obligations — issue the kit, communicate return instructions, and send a reminder at a stated interval — and separately states the review obligation activates only upon kit return; the protocol assigns the patient no obligation.
02 · Evidence
What the record holds.
- E1Program protocol naming the provider's issue/instruct/remind obligations and the review-obligation trigger condition
Verified · on file
- E2Kit issuance record
Verified · Day 0
- E3Return-instructions communication record
Verified · Day 0
- E4Reminder log reviewed through Day 21, the protocol's stated reminder interval; reminder sent as required
Verified · Day 21
- E5Kit-return repository reviewed through Day 30; no returned kit recorded
Verified · Day 30
03 · Obligations / Owners
The chain of responsibility.
- 01
Provider — issue the kit (E2, fulfilled), communicate instructions (E3, fulfilled), send reminder at the stated interval (E4, fulfilled). Review obligation: not yet activated, since its trigger (E5) has not occurred. No obligation is assigned to the patient.
04 · Event Type
The classification of the event.
Three provider-side stored events (E2, E3, E4), each independently supported; trigger-repository review (E5).
05 · Verification Result
What verification established.
SUPPORTED for each provider sub-obligation; SUPPORTED as to the trigger's non-occurrence (E5 is an affirmative repository review, not mere silence, since the return repository is the authoritative record of kit returns).
06 · Projection
What the evidence implies ahead.
All demonstrated provider obligations fulfilled; the review obligation has not activated because its governing trigger has not occurred. No provider clock has begun for review, and no patient failure is asserted.
07 · Next Action
The corrective obligation.
None indicated by this record beyond what the protocol already specifies (the reminder already sent per E4).
08 · Economic Boundary
Where the evidence stops.
Not applicable.
09 · Engine Answer
What the Engine can and cannot establish.
The protocol assigns the provider three distinct obligations — issuance, instruction, and a timed reminder — each independently demonstrated as fulfilled. The protocol separately states the review obligation activates only when the kit is returned. The return repository, reviewed through Day 30, shows no return. The Engine can demonstrate that every provider obligation this record can evaluate is fulfilled, and that the review obligation's trigger has not occurred — not that the patient is delinquent, since the protocol assigns the patient no obligation at all.
Every provider obligation this record can test is fulfilled. The one that depends on the patient has not yet begun
10 · What Remains Unknown
Outside the Engine's reach.
Why the kit has not been returned; whether the patient intends to return it.