Context

A clinical assistant drafts non-final triage notes from patient-record data, current encounter notes, and approved medical guidelines. Clinicians remain responsible for final decisions, but unsupported patient facts or guideline claims can still create safety risks.

Trigger

A clinician requests a triage recommendation draft for a patient encounter.

Acceptance Criteria

• Patient-fact grounding: 100% of patient-specific facts in the draft are present in the patient record, current encounter notes, or clinician-provided input; source: source-span validation report; horizon: each release and monthly audit.
• Guideline grounding: 100% of guideline-based statements cite an approved guideline identifier and version; source: guideline citation validator; horizon: each release and monthly audit.
• Uncertainty behavior: if required source data is missing, contradictory, or older than the configured clinical freshness threshold, the draft explicitly lists the uncertainty and does not infer missing facts; source: clinical scenario test suite; horizon: each release.
• High-risk unsupported recommendations: in a monthly clinical review of at least 300 drafts, unsupported high-risk recommendations occur in 0 cases; source: clinical review report; horizon: monthly.
• Export guard: if source-span validation fails for any patient fact or guideline statement, the draft is marked unverified and cannot be copied into the final clinical note without clinician override and reason capture; source: audit log and UI telemetry; horizon: continuous monitoring.

Monitoring Artifact

Clinical groundedness review report with source-span coverage, guideline citation coverage, uncertainty cases, overrides, and unsupported-recommendation findings.