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Megan Ellis — full workflow

Every regulated step generates an event + artifact. Hard-fail gates write AuditLog rows.

Events

27

Artifacts

19

Hard-fail gate audits

5

  1. 1

    QR signup → consent

    Patient

    Megan scans the white-labeled QR code in her doctor's office. Identity, contact, and consent captured.

    Event: patient_seeded
  2. 2

    Health record import + normalization

    AI agents (deterministic)

    Patient intake conversation completes. Source manifest + normalized patient graph follow. Real-LLM intake handoff is on the roadmap; current build runs deterministically for predictable demo replay.

    Artifact: intake_transcript
  3. 3

    AI patient summary

    Agents::PatientSummary (clinical)

    Real LLM (gpt-5.5, JSON mode) generated the one-page brief. Output strictly schema-validated.

    Event: ai_brief_generated Artifact: physician_brief
  4. 4

    Treatment options + evidence packet

    AI agents (clinical)

    Lab recommendation memo + treatment option drafts + evidence packet generated for the doctor.

  5. 5

    Doctor approves

    Dr. Voss

    Hard-fail gate: ai_never_makes_final_prescribing_decision. Doctor signs the plan with reasoning capture. Prescription generated. AuditLog row written.

    Gate: ai_never_makes_final_prescribing_decision
  6. 6

    Pharmacy intake + safety screen

    AI agents (deterministic)

    Hard-fail gate: doctor_approval_required_before_pharmacy. Formulation feasibility, safety screen, pharmacist packet all drafted.

    Event: pharmacy_intake_started Gate: doctor_approval_required_before_pharmacy
  7. 7

    Pharmacist signs review

    Doctor Shah

    Pharmacist review packet approved with counseling notes.

    Event: pharmacist_released
  8. 8

    Compounding starts

    Lab/ops

    Hard-fail gate: compounding_requires_patient_specific_prescription. Compounding work record + label proof draft generated.

    Event: compounding_task_created Gate: compounding_requires_patient_specific_prescription
  9. 9

    QA released

    Doctor Shah

    Hard-fail gate: pharmacist_release_required. Independent QA verification before shipping. Signature hash anchors the release.

    Event: quality_release_created Gate: pharmacist_release_required
  10. 10

    Shipment dispatched

    Lab/ops

    Hard-fail gate: shipment_requires_pharmacist_release. Tracking VAL-290B8BD8A93E. M-Th + Saturday dispatch logic.

    Event: shipment_created Gate: shipment_requires_pharmacist_release
  11. 11

    Delivery + refill scheduled

    Patient

    Patient confirms receipt. First refill scheduled May 30. First outcome check-in scheduled May 9.

    Event: shipment_delivered

Patient view (Megan's order page with lot trace + trust chips) · Doctor view (Daniel's pending case) · API examples