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intended_use_handoff_template.json

83 lines · skills/treatment-plans/assets/intended_use_handoff_template.json at 5f2bc03

1{
2 "schema_version": "2.0",
3 "document_type": "intended_use_handoff_record",
4 "document_id": "INTENDED-USE-HANDOFF-TEMPLATE",
5 "subject_ref": "SYNTHETIC-CASE-001",
6 "data_classification": "synthetic",
7 "status": "DRAFT_NOT_FOR_CLINICAL_USE",
8 "notice": "DRAFT — NOT MEDICAL ADVICE — DOCUMENTATION-ONLY — AUTHORIZED CLINICIAN SIGN-OFF REQUIRED",
9 "created_at": null,
10 "intended_use": {
11 "purpose": "format_and_validate_clinician_supplied_plan_documentation",
12 "intended_users": [],
13 "intended_setting": "",
14 "output_role": "documentation_only",
15 "prohibited_uses": [
16 "diagnosis_or_assessment",
17 "therapy_selection_or_recommendation",
18 "medication_or_dose_decision",
19 "start_stop_hold_resume_titrate_or_taper_decision",
20 "interaction_allergy_or_contraindication_check",
21 "triage_or_urgency_determination",
22 "emergency_advice_or_safety_plan",
23 "prognosis_or_outcome_prediction",
24 "patient_specific_recommendation",
25 "replacement_of_authorized_professional_review"
26 ]
27 },
28 "privacy_process": {
29 "data_classification": "synthetic",
30 "local_authorization_confirmed": false,
31 "authorized_environment_reference": "",
32 "minimum_necessary_confirmed": false,
33 "no_external_tools_confirmed": false,
34 "no_prompt_log_example_copy_confirmed": false,
35 "privacy_review_status": "pending",
36 "privacy_reviewer_role": "",
37 "reviewed_at": null,
38 "retention_policy_reference": "",
39 "data_disposition_status": "pending"
40 },
41 "local_governance": {
42 "institution_or_organization_reference": "",
43 "clinical_owner_role": "",
44 "policy_references": [],
45 "records_owner_role": "",
46 "change_control_owner_role": ""
47 },
48 "emergency_routing": {
49 "statement": "If a concern may be urgent or emergent, stop this documentation workflow and use the institution's current clinical escalation or emergency process; this package does not determine urgency or provide emergency instructions.",
50 "local_process_reference": "",
51 "verified_by_role": ""
52 },
53 "reporting_routes": {
54 "local_patient_safety_route": "",
55 "product_event_route": "",
56 "privacy_incident_route": "",
57 "responsible_role": ""
58 },
59 "handoff": {
60 "sender_role": "",
61 "recipient_role": "",
62 "sent_at": null,
63 "acknowledgment_status": "pending",
64 "unresolved_items_routed": false
65 },
66 "clinician_signoff": {
67 "status": "pending",
68 "signer_role": "",
69 "credential_authority_reference": "",
70 "signed_at": null,
71 "attestation": "The signer attests only that this package accurately transcribes clinician-supplied and verified decisions for authorized documentation handoff; it is not stand-alone medical advice."
72 },
73 "release_gate": {
74 "status": "blocked",
75 "released_by_role": "",
76 "released_at": null,
77 "blocker_codes": [
78 "CLINICIAN_SIGNOFF_PENDING",
79 "PRIVACY_PROCESS_PENDING",
80 "LOCAL_GOVERNANCE_PENDING"
81 ]
82 }