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Ryan GomezRole
Signed in — Ryan Gomez · System Administrator
You stay on this screen — each role sees it as their own permissions allow. The assistant thread and the patient in context start fresh.
Working archetypes — combinations people really hold
One role at a time — each role on its own
DocumentationDocs
System documentation Implementation & setup guide Feature documentation System architecture EMR connections Emulators & non-PHI setup Compliance & responsibility Attribution
Repository

Signature queue

Nothing the platform generates enters the record without a human signature — and nothing is signed from a list row. Each draft opens into a full review showing the complete text before the sign control appears. The blocked row is not styling: Epic exposes no REST write for MedicationRequest, so the platform refuses rather than degrades.

DraftPatientTarget write APIState Action
Ambient note — endocrinology follow-up
Structured from an 18m 41s recording; 3 candidate findings carry their transcript spans
 Vladimir Semyon Gomez DocumentReference create — api=1046 staged, unsigned Review & sign →
Vital signs from the ambient encounter
BP, weight, pulse — flowsheet row IDs mapped site-side
 Vladimir Semyon Gomez Observation create Vital Signs R4 — api=963 staged, unsigned Review & sign →
Problem-list addition — diabetic nephropathy
Raised by documentation-gap detection; supported by the cited lab pattern
 Mariana Gomez Condition create staged, unsigned Review & sign →
Medication change — metformin 1000mg → 500mg BID
Cannot be written. Epic exposes read and search only for MedicationRequest
Epic exposes MedicationRequest as read/search only over FHIR REST; order-shaped writes exist only as CDS Hooks 'unsigned order' suggestions
 Nikolai Gomez no REST create — CDS Hooks unsigned order blocked — no write path review →

Signing writes a signature.committed event to the audit trail.