The Engine doesn’t ask any of them to act for the employer’s benefit. It gives each one what they already want — and turns their action into evidence the next participant can use. A patient’s completed step becomes the physician’s confirmation. A physician’s documented order becomes the administrator’s evidence base. An administrator’s proof of performance becomes what the fiduciary monitors. An adviser’s tracked recommendation becomes what the fiduciary reviews. A fiduciary’s documented decision becomes part of the record the employer governs by.

Patient

What was supposed to happen for you, and what remains unresolved.

What do I gain?

You can inspect what was required, what was carried out, who must act next, and exactly where a handoff stalled.

What does The Engine ask me to do?

Choose among informed options, provide what’s needed, complete the step — or say what’s blocking you.

Who benefits from my action?

Your physician sees what happened after the visit instead of losing the thread. The system captures the fact that starts the next clock.

What proof does my action create?

The choice you made, the cost you were shown, what you did, and — if something stalled — exactly where.

See how it works for everyone

Active situations in The Engine

Patient portal · #25 Occupational Medicine

Open the perspective-neutral case record →

Accepted work restriction, not carried into floor operations

A lifting restriction (max 7 kg) was issued, delivered to the employer, and acknowledged — but it was not carried into floor operations, and the associate was assigned tasks that exceeded it.

Occupational health (first implementation domain) · A regional distribution center. Manual palletizing and order picking. · A six-week window from the date of the restriction.

Full operating episode with proven economics

Perspective

Same case · facts preserved

Neutral record

The person the process is supposed to serve.

One action, every portal updates

Carry the accepted restriction into floor operations — held by Shift supervisor / operations scheduling. Set the modified-duty flag on the assignment sheet and align tasks to the 7 kg restriction for the remaining period.

Obligation open — all six portals reflect the departure.

Patientviewing
Modified duty not yet confirmed on the floor.
Physician
Restriction accepted but not yet carried into operations.
Employer
Prospective exposure active; loss pattern continues.
Administrator
Obligation open: modified-duty flag not set.
Benefits Adviser
Delay exposure is still accruing.
Fiduciary / Legal
Execution not yet evidenced; departure stands on the record.

The $17,500 demonstrable avoidable cost is already incurred and does not change when the action completes. What changes is forward status: the prospective exposure stops accruing.

Patient asks

What happens next?

Your lifting restriction was set by your clinician and your employer agreed to it. It was not put into practice on the floor. The next step is for your employer to actually assign you only to work within your 7 kg limit — and to show that it happened.

Current status

Accepted restriction NOT carried into floor operations. Obligation open and overdue on the floor.

Timing / delay

Delay elapsed: from Day 4 (first non-compliant assignment) through Day 39 (incident).

What matters now

The restriction protecting you exists on paper and was accepted, but it was not followed in your day-to-day assignments.

Responsible party or process

Your employer’s scheduling / floor operations — not you, and not your clinician.

Economic consequence

Demonstrable avoidable cost: $17,500 (fixed, already incurred). Prospective exposure continues while the obligation stays open.

No dollar figure is surfaced for this question at this perspective.

Next action

You do not need to fix this yourself. You can ask your HR contact to confirm your modified-duty assignment in writing.

Relevant beneficiary

You — the restriction exists to protect you.

Evidence (3)

E1 · Work-restriction note

verified

Day 0, 10:42

Signed restriction: no lifting over 7 kg, 6 weeks, copy to employer HR.

E3 · Email reply from HR

verified

Day 0, 14:19

HR email acknowledging receipt and stating intent to accommodate.

E5 · Shift task-assignment sheet

verified

Day 4, 06:00 (recurring)

Shift assignment sheet — palletizing 20–25 kg, no modified-duty flag.

Inspect the full evidence record →

Boundary

This explains what the record shows about your restriction. It is not medical advice about your recovery.

Authority boundary

May inspect the obligation and relevant evidence.

Limit: Does not adjudicate clinical correctness, employer attribution, or verified employer savings.

Actions not available to this participant (9)

accept
verify
assign
escalate
determine
approve
adjudicate
close
recover

Where evidence is insufficient

When evidence does not establish whether execution occurred, say so directly.

Inspect the evidence →The flagship record →The specialty catalogue →Compare perspectives →