{
  "title": "Hospital discharge packet version and handoff data for AI",
  "source_page": "https://fiund.com/industries/hospital-discharge-packet-version-data",
  "authorship": "Original fictional Fiund editorial exercise. No actual operating records or third-party source assets are included.",
  "example": {
    "title": "Acknowledgment of an earlier packet does not acknowledge its approved replacement",
    "context": "A fictional administrative handoff has two original packet covers and inert destination aliases. It contains no stay details, discharge instructions, patient conversation or hospital export.",
    "records": [
      [
        "HD1",
        "Packet versions",
        "Episode DEMO-E: V1 approved day 1; V2 approved day 2 and explicitly supersedes V1. Administrative field ROOM-LABEL changes from A to B."
      ],
      [
        "HD2",
        "Receiving acknowledgment",
        "Destination D acknowledges DEMO-E/V1 on day 1. No V2 acknowledgment supplied."
      ],
      [
        "HD3",
        "Delivery note",
        "V2 sent to D on day 2. Separate draft V3 unsigned; no supersession authority."
      ]
    ],
    "question": "Which packet is the current approved version, and has the receiving team acknowledged that exact version?",
    "answer": "HD1 identifies V2 as the current approved replacement for V1, while HD3's unsigned V3 does not supersede it. HD2 acknowledges only V1. HD3 documents sending V2 to D but supplies no matching receiving acknowledgment, so receipt of the current version remains unverified. Keep approval, dispatch and acknowledgment as separate states rather than transfer an earlier receipt to a changed packet or infer a clinical handoff outcome.",
    "failureModes": [
      "Treating a prior-version acknowledgment as receipt of a replacement packet.",
      "Selecting an unsigned draft or equating dispatch with confirmed receipt."
    ],
    "fields": [
      [
        "Episode and approved packet version",
        "Defines the current source."
      ],
      [
        "Supersedes reference and changed field",
        "Limits the amendment."
      ],
      [
        "Destination, sent event and acknowledged version",
        "Supports the handoff state."
      ]
    ],
    "holdout": "Add a V2 acknowledgment from destination D2 instead of D. Require a destination mismatch rather than complete the intended handoff.",
    "boundary": "Use original administrative covers only. Exclude patients, instructions and actual stays; hospital privacy and clinical staff review any later real-data proposal."
  }
}