| Field | Type | Notes |
|---|---|---|
outcome_type | enum | validated, contradicted, partial, or unknown. |
occurred_at | date-time | When the outcome was observed. |
description | string | Description of the action or result. |
evidence_uri | uri | Pointer to supporting evidence. |
Fields appended later
Outcomes
Records of clinical actions or patient outcomes linked to the model recommendation.
When feasible, records of clinical actions or patient outcomes linked to the model recommendation, for
example, whether a suggested therapy was administered and the observed clinical result. Capturing
outcomes faces three constraints: the link between recommendation and action is often indirect, outcomes
may become observable only after a substantial delay, and relevant data may reside outside the immediate
AI workflow.
Even when outcome data are incomplete, partial linkage remains valuable for post-deployment surveillance,
epidemiological analysis, and iterative model improvement. Outcomes may also include traces of how
patients or clinicians interact with the EHR after viewing AI outputs, as recorded in EHR audit logs.
Retrospective outcome data may be linked to the appropriate MedLog record identifier using provider
attestations, temporal proximity, trial emulations, or other automated queries. This field may also
record the strength of each linkage to support tiered evidence standards for outcome attribution.