Educational companion dossier · Fact, interpretation, lived experience, clinical education, fiction, and mechanics are labeled separately. Scope & safety
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GAME MECHANIC

EVIDENCE INTEGRITY // PLAYER PROTOCOL

Clinical Evidence Chain

Preserve who observed what, when it was recorded, how language changed, and whether clinical data were merged, copied, redacted, or repurposed.

OBJECTIVEMake the chart auditable without treating it as objective reality.
GAME MECHANIC

Operational sequence

  1. Preserve the original note and author.
  2. Track every copy, summary, code change, and redaction.
  3. Distinguish direct observation from patient report and institutional inference.
  4. Compare medication, identity, laboratory, and access records for merges.
  5. Attach corrections without erasing the contaminated record.

Failure states

  • Overwriting original notes
  • Assuming identical wording is independent corroboration
  • Hiding chart access behind clinical privilege
  • Deleting evidence after correction