CDS Review As Code

A clinical recommendation through a lossless review queue with an audited trail

CDS Review As Code A clinical recommendation through a lossless review queue with an audited trail 01 / CDS Engine 02 / Human Review 03 / Outcome 04 / Audit Trail CDS · recommendation · CDS Engine · AI CDS recommendation AI Review Queue · lossless on reject · Human Review · durable Review Queue lossless on reject durable Reviewer · approve or reject · Human Review · human Reviewer approve or reject human Approved · released to clinician · Outcome Approved released to clinician Rejected · kept with rationale · Outcome Rejected kept with rationale Audit Log · append-only · Audit Trail · immutable Audit Log append-only immutable reject + rationale logged logged Legend User UI Agent logic Policy Tool action Context / trace

Review Queue

  • • Recommendations enter a durable queue
  • • A reject never deletes the item
  • • Retained items stay available for re-review

Recorded Rationale

  • • Reviewer approves or rejects explicitly
  • • Every reject carries a written rationale
  • • Approval releases the recommendation

Audit Trail

  • • Each transition writes to an append-only log
  • • The trail is immutable evidence
  • • Cures Act intent is encoded, not assumed

Workflow diagram • Built with Archify • Create yours ↗ • Hover to trace • R route • Click to focus • +/− zoom • M radar • [/] views • P play story • T theme • E export