What evidence should a health system preserve when AI makes or influences a consequential decision?
When AI makes or influences a consequential decision, a health system should preserve the minimum fields of a Governed Decision Record: decision; authorized remit; model or agent; institutional context; standards evaluated; verification state; evidence provenance; accountable authority; timestamp; seal. Evidence provenance means the traceable origin of every input the decision relied on: who or what supplied it, when, and under what authentication.
Decision; authorized remit; model or agent; institutional context; standards evaluated; verification state; evidence provenance; accountable authority; timestamp; seal — per Medigram's own definitions page, these are the fields a Governed Decision Record must carry.
Evidence provenance is the traceable origin of every input a decision relied on: who or what supplied it, when, and under what authentication. Verification state is the recorded status of whether a system's observed behavior conformed to its documentation and remit, determined by behavioral testing rather than configuration review.
When verification fails, the decision path fails closed: the action is blocked or withheld, a sealed record of the failure is produced, and the matter escalates to the accountable authority. Absence of verification is treated as failure, never as permission.
Every term above is defined once, at Medigram's definitions page, and quoted verbatim wherever it appears. The independent verification behind these claims is documented in full on the evidence page.
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