{
  "title": "Physician office referral and follow-up records for AI",
  "source_page": "https://fiund.com/industries/physician-referral-closure-data",
  "authorship": "Original fictional Fiund editorial exercise. No actual operating records or third-party source assets are included.",
  "example": {
    "title": "A specialist acknowledgment leaves referral closure unproven",
    "context": "An original administrative referral fixture uses inert IDs and no patient, portal message, scheduling export or clinical care narrative.",
    "records": [
      [
        "RF1",
        "Referral R-A",
        "Sent from fictional office O to desk D. Acknowledgment A-A explicitly says R-A received for review."
      ],
      [
        "RF2",
        "Later note",
        "Note C-A2 says referral R-A2 closed. No relationship between R-A2 and R-A supplied."
      ],
      [
        "RF3",
        "Closure rubric",
        "For this invented documentation task, closure requires a reviewer-approved closure event naming the exact referral. None supplied for R-A."
      ]
    ],
    "question": "What state is supported for R-A, and what source would be needed to mark it closed under the practice rubric?",
    "answer": "RF1 supports that R-A was sent and acknowledged as received for review. RF2 closes R-A2, a different referral, and cannot advance R-A merely through a similar identifier. RF3 requires an exact, reviewer-approved R-A closure event, which is absent. Keep R-A open in this documentation fixture and identify the missing source instead of inferring completed care or closure from an acknowledgment.",
    "failureModes": [
      "Treating referral receipt as a completed referral or care outcome.",
      "Using a near-matching referral's closure note to satisfy the exact-ID rule."
    ],
    "fields": [
      [
        "Referral and sending/receiving desk",
        "Defines the transaction."
      ],
      [
        "Acknowledgment type and target",
        "Supports the documented stage."
      ],
      [
        "Closure-event authority and missingness",
        "Limits the status change."
      ]
    ],
    "holdout": "Add an unsigned R-A closure draft. Require it to be recognized without satisfying the rubric's reviewer-approval condition.",
    "boundary": "Use original mock records reviewed by a clinician for scoring design. Exclude charts, messages, voices and actual schedules; clinical decisions remain outside the task."
  }
}