Every decision on an AI draft, in one table.
Who or what drafted the document, what the physician decided, who decided it by role and licence state, when, and the receipt anyone can check. Never a reviewer’s name or NPI, never patient data.
Recorded decisions
Read live from the public decision record each time this page opens. Real rows appear here as documents are signed, revised or declined.
| Document | Drafted by | Decision | Signed or declined by | Date | Receipt |
|---|---|---|---|---|---|
| The start-this-week habit list is up for a decision. It reads as a draft until this table shows a signature for the version on the page. Its record. | |||||
Patient decisions (letters of medical necessity) run on synthetic cases until go-live. Their fingerprints are on hashcare.com, labelled as synthetic.
What a row looks like
These four rows are illustrative, not real cases. They match the four worked cases on the home page.
| Document | Drafted by | Decision | Signed or declined by | Date | Receipt |
|---|---|---|---|---|---|
| Letter of medical necessity: general fitness membershipIllustrative, not a real case | AI model, named with its version on a real row Saved preferences: each rule by id and version on a real row, or none | Declined | Licensed physician, licence state of the case | Date of the decision | None: illustrative |
| Home-care determinationIllustrative, not a real case | AI model, named with its version on a real row Saved preferences: each rule by id and version on a real row, or none | Revised | Licensed physician, licence state of the case | Date of the decision | None: illustrative |
| Letter of medical necessity: strength program for low bone densityIllustrative, not a real case | AI model, named with its version on a real row Saved preferences: each rule by id and version on a real row, or none | Signed | Licensed physician, licence state of the case | Date of the decision | None: illustrative |
| Letter of medical necessity: resistance trainingIllustrative, not a real case | AI model, named with its version on a real row Saved preferences: each rule by id and version on a real row, or none | Signed | Licensed physician, licence state of the case | Date of the decision | None: illustrative |
How to read it
Drafted by names the AI model and its version, or says a person wrote it. When the drafting software did not say, the row says “not recorded”; it is never guessed.
Saved preferences sit under the drafter. Some drafting tools turn a clinician’s earlier edit into a saved rule that shapes every later draft without showing it again. The receipt names each rule and its version, says none applied, or says “not recorded” when the drafting software did not say. A new version of a rule makes a new receipt.
Decision is signed, revised or declined. A revised document comes back as a new version and needs its own decision. A row is never edited or removed after it is recorded.
Signed or declined by is a role and a licence state. The receipt binds the physician’s NPI in a one-way fingerprint, so it can be checked without being shown.
Receipt opens the fingerprint on hashcare.com, where anyone can check it exists and is unchanged without trusting ClinicalSwipe.