Audit and Traceability¶
Goal¶
Every significant decision and operational action should be attributable to:
- a person, system, or provider
- a timestamp
- an order, prescription, or patient reference
- a clear status transition
Clinical audit trail¶
Typically owned by Phensys:
- consultation created
- clinician reviewed case
- prescription approved or rejected
- further information requested
- provider selected for fulfilment
Pharmacy audit trail¶
Typically owned by Pharmetra:
- prescription accepted for fulfilment
- hard copy received
- stock allocated
- ordered from wholesaler
- dispensed
- packed
- dispatched
- delivered
Communication audit trail¶
Typically surfaced by LoveMyLife:
- confirmation email sent
- dispatch SMS sent
- delivery email sent
Rule¶
Patient communications should be generated from authoritative status changes, not inferred from assumptions in the frontend.