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Messaging, Memo Desk and alert requirements · C0995

What happens if a critical result is not acknowledged?

In the pilot (v0.2.0, synthetic data)

Short answer

How would it be tested? The specification says simulated no-ack escalates. That is the check for REQ-4206: Critical lab/imaging/blood alerts must reach the responsible clinician with acknowledgment tracking and escalation to an alternate if not acknowledged within the configured time (still an open decision). The pilot covers part of this. The rest is designed, not built. Where the code stands: Critical result alert with ack + escalation works; 422 no_recipients if patient has no care assignment. Parts of it are explicitly marked as open in the specification.

This exists in the synthetic-data pilot only.

Specification item
REQ-4206
Specification priority
P0 (of P0 to P3)
Tiers
Small, Medium, Large

Status as of September 30, 2026. Version 0.2.0, synthetic data only. See what's built today. Not legal, medical or security advice.

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