When an insurer, board, regulator, or medico-legal reviewer asks, this is what Moirai produces. Every field is evidence. Every signature is cryptographic.
Every record in this pack maps to all five CAIOS evidentiary tiers. No gaps. No “we did our best.” Just coverage, domain by domain.
Every AI tool declared, versioned, and classified before use.
Named clinician, credentials, and attestation on every decision.
Modality, indication, patient context captured at point of use.
Why the clinician accepted, modified, or rejected the AI finding.
Cryptographic seal and hash chain — any tamper breaks the ledger.
This is a single record from the pack, exactly as an insurer, board, regulator, or medico-legal reviewer would see it. Every field is required. No free-text blobs.
High probability of right upper lobe consolidation.
Agree with right-sided infiltrate but clinical context (recent instrumentation) favours aspiration over infection. Ordered CT chest for confirmation.
AI finding accepted with modification. CT chest ordered. Patient booked for follow-up within 48 hours.
Clinical history and lab values inconsistent with bacterial pneumonia. Differential requires cross-sectional imaging before empirical antibiotic therapy.
Vendor, version, TGA class, and risk tier for every tool touching the decision.
Modality, indication, clinician, timestamp — captured at point of use.
The model's finding and confidence score, stored without modification.
Structured free-text capturing the clinician's rationale for their call.
Accepted, modified, rejected, or not used — with follow-up orders recorded.
Policy version, RANZCR section, TGA guidance — linked inline.
SHA-256 fingerprint plus the prior record's hash — a chained ledger.
PDF, HTML, and a verifiable JSON ledger — one click, on demand.
Every record gets a SHA-256 fingerprint the moment it's sealed. The hash covers every field — output, reasoning, timestamps, signatures.
Each new record references the previous record's hash. Tampering with any entry breaks every link downstream — and the break is visible.
Download the ledger. Anyone with the public key can independently verify the chain during an insurer, board, regulatory, or medico-legal review.
“When the reviewer asks how you governed your AI, you open this file.”
— The reviewer test Moirai was built against
Every Moirai practice exports one of these — the evidence is already being written.