SNI-FU-2026-0005outcome unknown handoff
Practice communication documented; outcome outside practice visibility.
Downstream completion is not asserted when it sits outside the practice visibility boundary.
Graphite Command · Synthetic follow-up room
Operate the complete synthetic loop locally: source recommendation, two-tier review, practice follow-up assignee, communication or handoff, one of the three follow-up states, Follow-Up Evidence Pack preview, and fixture-backed verification. No changes are written to the database.
Exception register
Practice communication documented; outcome outside practice visibility.
Downstream completion is not asserted when it sits outside the practice visibility boundary.
Open exception remains visible until external timing context is available.
Downstream completion is not asserted when it sits outside the practice visibility boundary.
Known limitations and hard cases
Conditional, negative, amended, and handoff wording is flagged for human review and kept honest, never auto-classified.
Negative wording
SNI-FU-2026-0004
No follow-up imaging is required for this benign appearance.
Amended report
SNI-FU-2026-0007
The report is amended to clarify that CT follow-up is not required.
Conditional wording
SNI-FU-2026-0003
Correlation with the referrer and repeat MRI in 12 months can be considered if symptoms persist.
Handoff, outcome unknown
SNI-FU-2026-0005
The previously recommended mammogram follow-up should be arranged through the referrer.
Public verifier boundary
The verifier proves hash metadata only. It does not return report text, source sentence, accession reference, subject reference, referrer identity, radiologist identity, or patient data.
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