LIAN Edge · Hospital Clinical·Clinical Governance · Medication · Surgery · Emergency · Interlink Bridge
LIANClinical HCBDAPEmergency
Patient · Active
Patient IDPAT-2026-3847
VitalsSTABLE
WardICU · Bed 7
AttendingDr. Hoffmann
STATUS: STABLE
Clinical State Graph
C0
Intake
C1
AI Assess
C2
Propose
C3
Physician HCB
C4
Administer
Awaiting case
LIAN · Clinical Admission Engine
Patient safety · 6 clinical checks
Q1Action in clinical taxonomy?—
Is this a recognized clinical action class?
Q2Clinical path admissible?—
Does pathway exist within clinical graph?
Q3Clinical authority valid?—
Requesting role authorized for this action?
Q4Contraindications clear?—
No known conflicts with patient record?
Q5Physician commit present?—
For irreversible actions: physician HCB required?
Q6Patient consent valid?—
Consent on file and within scope?
Clinical Authority
Dr. Hoffmann
Attending Physician · C4 authority
standby
Nurse Petersen
RN · C1–C2 authority
standby
AI Clinical Assistant
Advisory only · C1 · no C4
standby
Select a clinical scenario
Clinical Scenarios
💊
Medication Proposal + Administration
PHYSICIAN HCB
🩺
AI Diagnosis · Advisory Only
ADMITTED
⚕️
Nurse Attempts Prescription
BLOCKED · Q3
🚨
Contraindication Detected
BLOCKED · Q4
⚡
Emergency Protocol Override
EMERGENCY PATH
🤖
AI Attempts Direct Prescription
BLOCKED · Q1
Patient Record
Select a clinical scenario
Clinical Admission Pipeline
Clinical Audit Log
No clinical events
Absolute Restrictions
AI prescribingnot in taxonomy Nurse C4 actionsauthority blocked Contraindicationstructurally blocked No-consent adminQ6 fails
AI is advisory only (C1). Medication administration (C4) always requires physician HCB. AI cannot write prescriptions. This is structural — not a policy rule.
Clinical Doctrine
AI role: advisory + diagnosis support
C4 (administration): physician only
HCB: required before any medication
Consent: always checked (Q6)
Contraindications: structurally blocked
The AI cannot administer medication.
Not "it refused."
Not "guardrail."
It has no C4 authority path.