One week,
run by the engine.

A referral arrives. Promising, but thin — enough to act on, not enough to glide.

• Referral receivedreferral.receivedslice handler
• Missing diagnosis chasedreferral.gap_chase_requestedslice handler

Triage, then the front door: the record opens through the engine's command seam. The referrer's attestation is recorded — and kept separate from the patient's own consent.

• Referrer attestation recordedreferral.attestation_recordedslice handler
• Patient identity createdpatient.createdcommand seam · authorised + tenant-checked
• Referral acceptedreferral.acceptedslice handler
• Episode openedepisode.openedcommand seam · authorised + tenant-checked

Coordination. Consent, caregiver access for Elena's husband, the worklist, a booking.

• Consent profile recordedconsent_profile.createdcommand seam · authorised + tenant-checked
• Caregiver relationship createdcaregiver_relationship.createdslice handler
• Caregiver relationship verifiedcaregiver_relationship.verifiedslice handler
• Coordinator task openedcoordinator_task.createdslice handler
• Coordinator task advanced to send_formscoordinator_task.stage_advancedslice handler
• Assessment appointment bookedappointment.scheduledslice handler

The session. A screen is scored, the recommender proposes, and the AI's finding arrives the only way it can — as a proposal. Then someone tries to publish too early.

• Functional screen recordedfunctional_screen.recordedslice handler
• Assessment battery recommendedassessment.recommendedslice handler
• AI finding proposed through advisory membranefinding.createdadvisory membrane · AI may only propose
• Care plan draftedcare_plan.createdcommand seam · authorised + tenant-checked
• Clinician confirms findingfinding.review_completedcommand seam · authorised + tenant-checked
• Timed Up & Go recordedmeasure.recordedslice handler
• Assessment recordedassessment.recordedcommand seam · authorised + tenant-checked
• Assessment releasedassessment.releasedcommand seam · authorised + tenant-checked

Confirmed by a named clinician, planned, reported, released. The family portal shows only what has been released — everything else is structurally absent.

• Care plan publishedcare_plan.publishedcommand seam · authorised + tenant-checked
• Report draftedreport.draftedslice handler
• Report QC annotatedreport.qc_annotatedslice handler
• Report publishedreport.publishedslice handler
• Report-writing encounter recordedencounter.recordedslice handler