Shadow report

FHIR writes to http://127.0.0.1:9743. Each write was checked against the system of record. The shadow sent each one on as the agent sent it and blocked none.

42 writes seen, in 32 checks (a record's create, retries and corrections are one check).

13Refuted
1Uncertain
18Confirmed

Rechecks of confirmed writes: 1 refuted.

How they landed wrong:

Added latency per write: median 25.3 ms, largest 45.0 ms.

Landed wrong after the check (1)

Confirmed at first, then refuted when checked again: something changed after the write.

REFUTED AllergyIntolerance check 19, records: AllergyIntolerance/f6efe421-c750-4162-a8fb-a660629b87d3
RecordFieldAgent sentStore holds now
6 other fields hold what the agent sent (all fields are under Evidence)

Before the write, matching records: none

WritePathReplyAdded
POST/fhir/R4/AllergyIntolerance20141 ms
Evidence
{
 "after": {
  "AllergyIntolerance/f6efe421-c750-4162-a8fb-a660629b87d3": {
   "clinicalStatus": {
    "coding": [
     {
      "code": "active",
      "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"
     }
    ]
   },
   "code": {
    "coding": [
     {
      "code": "91936005",
      "system": "http://snomed.info/sct"
     }
    ]
   },
   "criticality": "high",
   "id": "f6efe421-c750-4162-a8fb-a660629b87d3",
   "meta": {
    "lastUpdated": "2026-10-31T17:54:41.735Z",
    "versionId": "95bc4c4c-b396-408f-b5d2-e6de4332c2b4"
   },
   "patient": {
    "reference": "Patient/0630c8ac-8d76-4cbd-87dd-2c696e2d050e"
   },
   "resourceType": "AllergyIntolerance",
   "verificationStatus": {
    "coding": [
     {
      "code": "confirmed",
      "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"
     }
    ]
   }
  }
 },
 "before": [],
 "fields": [
  {
   "field": "patient",
   "record": "AllergyIntolerance/f6efe421-c750-4162-a8fb-a660629b87d3",
   "same": true,
   "sent": "Patient/0630c8ac-8d76-4cbd-87dd-2c696e2d050e",
   "stored": "Patient/0630c8ac-8d76-4cbd-87dd-2c696e2d050e"
  },
  {
   "field": "code_system",
   "record": "AllergyIntolerance/f6efe421-c750-4162-a8fb-a660629b87d3",
   "same": true,
   "sent": "http://snomed.info/sct",
   "stored": "http://snomed.info/sct"
  },
  {
   "field": "code",
   "record": "AllergyIntolerance/f6efe421-c750-4162-a8fb-a660629b87d3",
   "same": true,
   "sent": "91936005",
   "stored": "91936005"
  },
  {
   "field": "criticality",
   "record": "AllergyIntolerance/f6efe421-c750-4162-a8fb-a660629b87d3",
   "same": true,
   "sent": "high",
   "stored": "high"
  },
  {
   "field": "clinical_status",
   "record": "AllergyIntolerance/f6efe421-c750-4162-a8fb-a660629b87d3",
   "same": true,
   "sent": "active",
   "stored": "active"
  },
  {
   "field": "verification_status",
   "record": "AllergyIntolerance/f6efe421-c750-4162-a8fb-a660629b87d3",
   "same": true,
   "sent": "confirmed",
   "stored": "confirmed"
  }
 ],
 "recheck": {
  "at": 1793469296.2015731,
  "reasons": [
   "since the first check: 1 record(s) were already the person, and the agent wrote anyway",
   "since the first check: wrong or missing: patient",
   "since the first check: the created record is not the person",
   "since the first check: 1 other record(s) are now also the person",
   "since the first check: the created record does not come back from a search"
  ],
  "verdict": "REFUTED"
 },
 "replies": [
  201
 ],
 "verifier": {
  "after_matches": 1,
  "agent_write_types": [
   "AllergyIntolerance"
  ],
  "agent_writes": 1,
  "before_matches": 0,
  "other_writes": 0,
  "outcome": "created_verified",
  "unattributed_writes": 0,
  "unlogged_writes": 0
 }
}

Landed wrong (12)

REFUTED Patient check 4, records: Patient/1b68619c-eeb7-4584-9f50-56b67a020ed8
RecordFieldAgent sentStore holds now
Patient/1b68619c-eeb7-4584-9f50-56b67a020ed8(not sent)nonedeceasedBoolean
10 other fields hold what the agent sent (all fields are under Evidence)

Before the write, matching records: none

WritePathReplyAdded
POST/fhir/R4/Patient20128 ms
Evidence
{
 "after": {
  "Patient/1b68619c-eeb7-4584-9f50-56b67a020ed8": {
   "address": [
    {
     "city": "Springfield",
     "line": [
      "14 Birch Lane"
     ],
     "postalCode": "01103",
     "state": "MA"
    }
   ],
   "birthDate": "1988-04-22",
   "deceasedBoolean": true,
   "gender": "female",
   "id": "1b68619c-eeb7-4584-9f50-56b67a020ed8",
   "meta": {
    "lastUpdated": "2026-10-31T17:44:19.423Z",
    "versionId": "16cadd8a-bfda-4d8e-9529-5dca8b54ab47"
   },
   "name": [
    {
     "family": "Okafor",
     "given": [
      "Lena"
     ]
    }
   ],
   "resourceType": "Patient",
   "telecom": [
    {
     "system": "phone",
     "use": "home",
     "value": "413-555-0187"
    },
    {
     "system": "email",
     "value": "lena.okafor@example.org"
    }
   ]
  }
 },
 "before": [],
 "fields": [
  {
   "field": "given",
   "record": "Patient/1b68619c-eeb7-4584-9f50-56b67a020ed8",
   "same": true,
   "sent": "Lena",
   "stored": "Lena"
  },
  {
   "field": "family",
   "record": "Patient/1b68619c-eeb7-4584-9f50-56b67a020ed8",
   "same": true,
   "sent": "Okafor",
   "stored": "Okafor"
  },
  {
   "field": "birthDate",
   "record": "Patient/1b68619c-eeb7-4584-9f50-56b67a020ed8",
   "same": true,
   "sent": "1988-04-22",
   "stored": "1988-04-22"
  },
  {
   "field": "gender",
   "record": "Patient/1b68619c-eeb7-4584-9f50-56b67a020ed8",
   "same": true,
   "sent": "female",
   "stored": "female"
  },
  {
   "field": "line",
   "record": "Patient/1b68619c-eeb7-4584-9f50-56b67a020ed8",
   "same": true,
   "sent": "14 Birch Lane",
   "stored": "14 Birch Lane"
  },
  {
   "field": "city",
   "record": "Patient/1b68619c-eeb7-4584-9f50-56b67a020ed8",
   "same": true,
   "sent": "Springfield",
   "stored": "Springfield"
  },
  {
   "field": "state",
   "record": "Patient/1b68619c-eeb7-4584-9f50-56b67a020ed8",
   "same": true,
   "sent": "MA",
   "stored": "MA"
  },
  {
   "field": "postalCode",
   "record": "Patient/1b68619c-eeb7-4584-9f50-56b67a020ed8",
   "same": true,
   "sent": "01103",
   "stored": "01103"
  },
  {
   "field": "phone",
   "record": "Patient/1b68619c-eeb7-4584-9f50-56b67a020ed8",
   "same": true,
   "sent": "413-555-0187",
   "stored": "413-555-0187"
  },
  {
   "field": "email",
   "record": "Patient/1b68619c-eeb7-4584-9f50-56b67a020ed8",
   "same": true,
   "sent": "lena.okafor@example.org",
   "stored": "lena.okafor@example.org"
  },
  {
   "field": "(not sent)",
   "record": "Patient/1b68619c-eeb7-4584-9f50-56b67a020ed8",
   "same": false,
   "sent": null,
   "stored": "deceasedBoolean"
  }
 ],
 "replies": [
  201
 ],
 "verifier": {
  "after_matches": 1,
  "agent_write_types": [
   "Patient"
  ],
  "agent_writes": 1,
  "before_matches": 0,
  "other_writes": 0,
  "outcome": "needs_review",
  "unattributed_writes": 0,
  "unlogged_writes": 0
 }
}
REFUTED Patient check 5, records: Patient/f39af25c-8aa8-4695-9cba-292a37859abb
RecordFieldAgent sentStore holds now
10 other fields hold what the agent sent (all fields are under Evidence)

Before the write, matching records: none

WritePathReplyAdded
POST/fhir/R4/Patient20128 ms
Evidence
{
 "after": {
  "Patient/f39af25c-8aa8-4695-9cba-292a37859abb": {
   "address": [
    {
     "city": "Springfield",
     "line": [
      "14 Birch Lane"
     ],
     "postalCode": "01103",
     "state": "MA"
    }
   ],
   "birthDate": "1988-04-22",
   "gender": "female",
   "id": "f39af25c-8aa8-4695-9cba-292a37859abb",
   "meta": {
    "lastUpdated": "2026-10-31T17:44:52.162Z",
    "versionId": "010235c3-2af1-4239-92b4-b7c5c9ce863c"
   },
   "name": [
    {
     "family": "Okafor",
     "given": [
      "Lena"
     ]
    }
   ],
   "resourceType": "Patient",
   "telecom": [
    {
     "system": "phone",
     "use": "home",
     "value": "413-555-0187"
    },
    {
     "system": "email",
     "value": "lena.okafor@example.org"
    }
   ]
  }
 },
 "before": [],
 "fields": [
  {
   "field": "given",
   "record": "Patient/f39af25c-8aa8-4695-9cba-292a37859abb",
   "same": true,
   "sent": "Lena",
   "stored": "Lena"
  },
  {
   "field": "family",
   "record": "Patient/f39af25c-8aa8-4695-9cba-292a37859abb",
   "same": true,
   "sent": "Okafor",
   "stored": "Okafor"
  },
  {
   "field": "birthDate",
   "record": "Patient/f39af25c-8aa8-4695-9cba-292a37859abb",
   "same": true,
   "sent": "1988-04-22",
   "stored": "1988-04-22"
  },
  {
   "field": "gender",
   "record": "Patient/f39af25c-8aa8-4695-9cba-292a37859abb",
   "same": true,
   "sent": "female",
   "stored": "female"
  },
  {
   "field": "line",
   "record": "Patient/f39af25c-8aa8-4695-9cba-292a37859abb",
   "same": true,
   "sent": "14 Birch Lane",
   "stored": "14 Birch Lane"
  },
  {
   "field": "city",
   "record": "Patient/f39af25c-8aa8-4695-9cba-292a37859abb",
   "same": true,
   "sent": "Springfield",
   "stored": "Springfield"
  },
  {
   "field": "state",
   "record": "Patient/f39af25c-8aa8-4695-9cba-292a37859abb",
   "same": true,
   "sent": "MA",
   "stored": "MA"
  },
  {
   "field": "postalCode",
   "record": "Patient/f39af25c-8aa8-4695-9cba-292a37859abb",
   "same": true,
   "sent": "01103",
   "stored": "01103"
  },
  {
   "field": "phone",
   "record": "Patient/f39af25c-8aa8-4695-9cba-292a37859abb",
   "same": true,
   "sent": "413-555-0187",
   "stored": "413-555-0187"
  },
  {
   "field": "email",
   "record": "Patient/f39af25c-8aa8-4695-9cba-292a37859abb",
   "same": true,
   "sent": "lena.okafor@example.org",
   "stored": "lena.okafor@example.org"
  }
 ],
 "replies": [
  201
 ],
 "verifier": {
  "after_matches": 2,
  "agent_write_types": [
   "Patient"
  ],
  "agent_writes": 2,
  "before_matches": 0,
  "other_writes": 0,
  "outcome": "needs_review",
  "unattributed_writes": 0,
  "unlogged_writes": 0
 }
}
REFUTED Patient check 7, records: Patient/1a5f5ad9-e8a4-41bc-82d2-8009ae2a893d
RecordFieldAgent sentStore holds now
10 other fields hold what the agent sent (all fields are under Evidence)

Before the write, matching records: none

WritePathReplyAdded
POST/fhir/R4/Patient20134 ms
Evidence
{
 "after": {
  "Patient/1a5f5ad9-e8a4-41bc-82d2-8009ae2a893d": {
   "address": [
    {
     "city": "Springfield",
     "line": [
      "14 Birch Lane"
     ],
     "postalCode": "01103",
     "state": "MA"
    }
   ],
   "birthDate": "1988-04-22",
   "gender": "female",
   "id": "1a5f5ad9-e8a4-41bc-82d2-8009ae2a893d",
   "meta": {
    "lastUpdated": "2026-10-31T17:46:26.392Z",
    "versionId": "b3439938-121b-424d-993e-e282979ebc84"
   },
   "name": [
    {
     "family": "Okafor",
     "given": [
      "Lena"
     ]
    }
   ],
   "resourceType": "Patient",
   "telecom": [
    {
     "system": "phone",
     "use": "home",
     "value": "413-555-0187"
    },
    {
     "system": "email",
     "value": "lena.okafor@example.org"
    }
   ]
  }
 },
 "before": [],
 "fields": [
  {
   "field": "given",
   "record": "Patient/1a5f5ad9-e8a4-41bc-82d2-8009ae2a893d",
   "same": true,
   "sent": "Lena",
   "stored": "Lena"
  },
  {
   "field": "family",
   "record": "Patient/1a5f5ad9-e8a4-41bc-82d2-8009ae2a893d",
   "same": true,
   "sent": "Okafor",
   "stored": "Okafor"
  },
  {
   "field": "birthDate",
   "record": "Patient/1a5f5ad9-e8a4-41bc-82d2-8009ae2a893d",
   "same": true,
   "sent": "1988-04-22",
   "stored": "1988-04-22"
  },
  {
   "field": "gender",
   "record": "Patient/1a5f5ad9-e8a4-41bc-82d2-8009ae2a893d",
   "same": true,
   "sent": "female",
   "stored": "female"
  },
  {
   "field": "line",
   "record": "Patient/1a5f5ad9-e8a4-41bc-82d2-8009ae2a893d",
   "same": true,
   "sent": "14 Birch Lane",
   "stored": "14 Birch Lane"
  },
  {
   "field": "city",
   "record": "Patient/1a5f5ad9-e8a4-41bc-82d2-8009ae2a893d",
   "same": true,
   "sent": "Springfield",
   "stored": "Springfield"
  },
  {
   "field": "state",
   "record": "Patient/1a5f5ad9-e8a4-41bc-82d2-8009ae2a893d",
   "same": true,
   "sent": "MA",
   "stored": "MA"
  },
  {
   "field": "postalCode",
   "record": "Patient/1a5f5ad9-e8a4-41bc-82d2-8009ae2a893d",
   "same": true,
   "sent": "01103",
   "stored": "01103"
  },
  {
   "field": "phone",
   "record": "Patient/1a5f5ad9-e8a4-41bc-82d2-8009ae2a893d",
   "same": true,
   "sent": "413-555-0187",
   "stored": "413-555-0187"
  },
  {
   "field": "email",
   "record": "Patient/1a5f5ad9-e8a4-41bc-82d2-8009ae2a893d",
   "same": true,
   "sent": "lena.okafor@example.org",
   "stored": "lena.okafor@example.org"
  }
 ],
 "replies": [
  201
 ],
 "verifier": {
  "after_matches": 1,
  "agent_write_types": [
   "Patient"
  ],
  "agent_writes": 2,
  "before_matches": 0,
  "other_writes": 0,
  "outcome": "needs_review",
  "unattributed_writes": 0,
  "unlogged_writes": 0
 }
}
REFUTED AllergyIntolerance check 13, records: AllergyIntolerance/02794b85-4b82-4c82-8482-68dc48e2f500
RecordFieldAgent sentStore holds now
6 other fields hold what the agent sent (all fields are under Evidence)

Before the write, matching records: none

WritePathReplyAdded
POST/fhir/R4/AllergyIntolerance20118 ms
PUT/fhir/R4/AllergyIntolerance/02794b85-4b82-4c82-8482-68dc48e2f5002000 ms
Evidence
{
 "after": {
  "AllergyIntolerance/02794b85-4b82-4c82-8482-68dc48e2f500": {
   "clinicalStatus": {
    "coding": [
     {
      "code": "active",
      "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"
     }
    ]
   },
   "code": {
    "coding": [
     {
      "code": "91936005",
      "display": "Allergy to penicillin",
      "system": "http://snomed.info/sct"
     }
    ]
   },
   "criticality": "high",
   "id": "02794b85-4b82-4c82-8482-68dc48e2f500",
   "meta": {
    "lastUpdated": "2026-10-31T17:50:47.285Z",
    "versionId": "aa79f6a5-47a3-4d1f-8422-657db2e372ce"
   },
   "patient": {
    "reference": "Patient/c1580976-4160-47e8-a22e-40e164205dff"
   },
   "resourceType": "AllergyIntolerance",
   "verificationStatus": {
    "coding": [
     {
      "code": "confirmed",
      "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"
     }
    ]
   }
  }
 },
 "before": [],
 "fields": [
  {
   "field": "patient",
   "record": "AllergyIntolerance/02794b85-4b82-4c82-8482-68dc48e2f500",
   "same": true,
   "sent": "Patient/c1580976-4160-47e8-a22e-40e164205dff",
   "stored": "Patient/c1580976-4160-47e8-a22e-40e164205dff"
  },
  {
   "field": "code_system",
   "record": "AllergyIntolerance/02794b85-4b82-4c82-8482-68dc48e2f500",
   "same": true,
   "sent": "http://snomed.info/sct",
   "stored": "http://snomed.info/sct"
  },
  {
   "field": "code",
   "record": "AllergyIntolerance/02794b85-4b82-4c82-8482-68dc48e2f500",
   "same": true,
   "sent": "91936005",
   "stored": "91936005"
  },
  {
   "field": "criticality",
   "record": "AllergyIntolerance/02794b85-4b82-4c82-8482-68dc48e2f500",
   "same": true,
   "sent": "high",
   "stored": "high"
  },
  {
   "field": "clinical_status",
   "record": "AllergyIntolerance/02794b85-4b82-4c82-8482-68dc48e2f500",
   "same": true,
   "sent": "active",
   "stored": "active"
  },
  {
   "field": "verification_status",
   "record": "AllergyIntolerance/02794b85-4b82-4c82-8482-68dc48e2f500",
   "same": true,
   "sent": "confirmed",
   "stored": "confirmed"
  }
 ],
 "replies": [
  201,
  200
 ],
 "verifier": {
  "after_matches": 1,
  "agent_write_types": [
   "AllergyIntolerance"
  ],
  "agent_writes": 1,
  "before_matches": 0,
  "other_writes": 0,
  "outcome": "needs_review",
  "unattributed_writes": 0,
  "unlogged_writes": 0
 }
}
REFUTED AllergyIntolerance check 14, records: AllergyIntolerance/5f6c42f4-7f1f-42e6-ae98-3930b8b0eb37
RecordFieldAgent sentStore holds now
6 other fields hold what the agent sent (all fields are under Evidence)

Before the write, matching records: none

WritePathReplyAdded
POST/fhir/R4/AllergyIntolerance20118 ms
PUT/fhir/R4/AllergyIntolerance/5f6c42f4-7f1f-42e6-ae98-3930b8b0eb372000 ms
Evidence
{
 "after": {
  "AllergyIntolerance/5f6c42f4-7f1f-42e6-ae98-3930b8b0eb37": {
   "clinicalStatus": {
    "coding": [
     {
      "code": "active",
      "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"
     }
    ]
   },
   "code": {
    "coding": [
     {
      "code": "91936005",
      "system": "http://snomed.info/sct"
     }
    ]
   },
   "criticality": "high",
   "id": "5f6c42f4-7f1f-42e6-ae98-3930b8b0eb37",
   "meta": {
    "lastUpdated": "2026-10-31T17:51:27.105Z",
    "versionId": "e3f81756-0989-4ce7-b9ea-223096e09d3f"
   },
   "patient": {
    "reference": "Patient/a18f44dd-c797-4d85-b79c-b980e0caae93"
   },
   "resourceType": "AllergyIntolerance",
   "verificationStatus": {
    "coding": [
     {
      "code": "confirmed",
      "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"
     }
    ]
   }
  }
 },
 "before": [],
 "fields": [
  {
   "field": "patient",
   "record": "AllergyIntolerance/5f6c42f4-7f1f-42e6-ae98-3930b8b0eb37",
   "same": true,
   "sent": "Patient/a18f44dd-c797-4d85-b79c-b980e0caae93",
   "stored": "Patient/a18f44dd-c797-4d85-b79c-b980e0caae93"
  },
  {
   "field": "code_system",
   "record": "AllergyIntolerance/5f6c42f4-7f1f-42e6-ae98-3930b8b0eb37",
   "same": true,
   "sent": "http://snomed.info/sct",
   "stored": "http://snomed.info/sct"
  },
  {
   "field": "code",
   "record": "AllergyIntolerance/5f6c42f4-7f1f-42e6-ae98-3930b8b0eb37",
   "same": true,
   "sent": "91936005",
   "stored": "91936005"
  },
  {
   "field": "criticality",
   "record": "AllergyIntolerance/5f6c42f4-7f1f-42e6-ae98-3930b8b0eb37",
   "same": true,
   "sent": "high",
   "stored": "high"
  },
  {
   "field": "clinical_status",
   "record": "AllergyIntolerance/5f6c42f4-7f1f-42e6-ae98-3930b8b0eb37",
   "same": true,
   "sent": "active",
   "stored": "active"
  },
  {
   "field": "verification_status",
   "record": "AllergyIntolerance/5f6c42f4-7f1f-42e6-ae98-3930b8b0eb37",
   "same": true,
   "sent": "confirmed",
   "stored": "confirmed"
  }
 ],
 "replies": [
  201,
  200
 ],
 "verifier": {
  "after_matches": 1,
  "agent_write_types": [
   "AllergyIntolerance"
  ],
  "agent_writes": 1,
  "before_matches": 0,
  "other_writes": 0,
  "outcome": "needs_review",
  "unattributed_writes": 0,
  "unlogged_writes": 0
 }
}
REFUTED AllergyIntolerance check 16, records: AllergyIntolerance/55ea2bda-29ba-4dc5-b9a9-869e3c5a2989
RecordFieldAgent sentStore holds now
6 other fields hold what the agent sent (all fields are under Evidence)

Before the write, matching records: none

WritePathReplyAdded
POST/fhir/R4/AllergyIntolerance20123 ms
Evidence
{
 "after": {
  "AllergyIntolerance/55ea2bda-29ba-4dc5-b9a9-869e3c5a2989": {
   "clinicalStatus": {
    "coding": [
     {
      "code": "active",
      "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"
     }
    ]
   },
   "code": {
    "coding": [
     {
      "code": "91936005",
      "system": "http://snomed.info/sct"
     }
    ]
   },
   "criticality": "high",
   "id": "55ea2bda-29ba-4dc5-b9a9-869e3c5a2989",
   "meta": {
    "lastUpdated": "2026-10-31T17:52:35.053Z",
    "versionId": "8cbe43b3-ec28-4cb2-aaea-6140481036cb"
   },
   "patient": {
    "reference": "Patient/cdd3a1a0-d8f4-46b6-86d7-370c6e206cbd"
   },
   "resourceType": "AllergyIntolerance",
   "verificationStatus": {
    "coding": [
     {
      "code": "confirmed",
      "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"
     }
    ]
   }
  }
 },
 "before": [],
 "fields": [
  {
   "field": "patient",
   "record": "AllergyIntolerance/55ea2bda-29ba-4dc5-b9a9-869e3c5a2989",
   "same": true,
   "sent": "Patient/cdd3a1a0-d8f4-46b6-86d7-370c6e206cbd",
   "stored": "Patient/cdd3a1a0-d8f4-46b6-86d7-370c6e206cbd"
  },
  {
   "field": "code_system",
   "record": "AllergyIntolerance/55ea2bda-29ba-4dc5-b9a9-869e3c5a2989",
   "same": true,
   "sent": "http://snomed.info/sct",
   "stored": "http://snomed.info/sct"
  },
  {
   "field": "code",
   "record": "AllergyIntolerance/55ea2bda-29ba-4dc5-b9a9-869e3c5a2989",
   "same": true,
   "sent": "91936005",
   "stored": "91936005"
  },
  {
   "field": "criticality",
   "record": "AllergyIntolerance/55ea2bda-29ba-4dc5-b9a9-869e3c5a2989",
   "same": true,
   "sent": "high",
   "stored": "high"
  },
  {
   "field": "clinical_status",
   "record": "AllergyIntolerance/55ea2bda-29ba-4dc5-b9a9-869e3c5a2989",
   "same": true,
   "sent": "active",
   "stored": "active"
  },
  {
   "field": "verification_status",
   "record": "AllergyIntolerance/55ea2bda-29ba-4dc5-b9a9-869e3c5a2989",
   "same": true,
   "sent": "confirmed",
   "stored": "confirmed"
  }
 ],
 "replies": [
  201
 ],
 "verifier": {
  "after_matches": 2,
  "agent_write_types": [
   "AllergyIntolerance"
  ],
  "agent_writes": 2,
  "before_matches": 0,
  "other_writes": 0,
  "outcome": "needs_review",
  "unattributed_writes": 0,
  "unlogged_writes": 0
 }
}
REFUTED AllergyIntolerance check 17, records: AllergyIntolerance/4ef678c4-837c-4e88-af5e-0df486ed3f44
RecordFieldAgent sentStore holds now
6 other fields hold what the agent sent (all fields are under Evidence)

Before the write, matching records: none

WritePathReplyAdded
POST/fhir/R4/AllergyIntolerance20123 ms
Evidence
{
 "after": {
  "AllergyIntolerance/4ef678c4-837c-4e88-af5e-0df486ed3f44": {
   "clinicalStatus": {
    "coding": [
     {
      "code": "active",
      "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"
     }
    ]
   },
   "code": {
    "coding": [
     {
      "code": "91936005",
      "system": "http://snomed.info/sct"
     }
    ]
   },
   "criticality": "high",
   "id": "4ef678c4-837c-4e88-af5e-0df486ed3f44",
   "meta": {
    "lastUpdated": "2026-10-31T17:53:18.359Z",
    "versionId": "4da5b723-95c1-4e9d-aea3-0f2ef502cebe"
   },
   "patient": {
    "reference": "Patient/bc2d5e37-08df-4aa1-a840-da514979e7d0"
   },
   "resourceType": "AllergyIntolerance",
   "verificationStatus": {
    "coding": [
     {
      "code": "confirmed",
      "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"
     }
    ]
   }
  }
 },
 "before": [],
 "fields": [
  {
   "field": "patient",
   "record": "AllergyIntolerance/4ef678c4-837c-4e88-af5e-0df486ed3f44",
   "same": true,
   "sent": "Patient/bc2d5e37-08df-4aa1-a840-da514979e7d0",
   "stored": "Patient/bc2d5e37-08df-4aa1-a840-da514979e7d0"
  },
  {
   "field": "code_system",
   "record": "AllergyIntolerance/4ef678c4-837c-4e88-af5e-0df486ed3f44",
   "same": true,
   "sent": "http://snomed.info/sct",
   "stored": "http://snomed.info/sct"
  },
  {
   "field": "code",
   "record": "AllergyIntolerance/4ef678c4-837c-4e88-af5e-0df486ed3f44",
   "same": true,
   "sent": "91936005",
   "stored": "91936005"
  },
  {
   "field": "criticality",
   "record": "AllergyIntolerance/4ef678c4-837c-4e88-af5e-0df486ed3f44",
   "same": true,
   "sent": "high",
   "stored": "high"
  },
  {
   "field": "clinical_status",
   "record": "AllergyIntolerance/4ef678c4-837c-4e88-af5e-0df486ed3f44",
   "same": true,
   "sent": "active",
   "stored": "active"
  },
  {
   "field": "verification_status",
   "record": "AllergyIntolerance/4ef678c4-837c-4e88-af5e-0df486ed3f44",
   "same": true,
   "sent": "confirmed",
   "stored": "confirmed"
  }
 ],
 "replies": [
  201
 ],
 "verifier": {
  "after_matches": 1,
  "agent_write_types": [
   "AllergyIntolerance",
   "Patient"
  ],
  "agent_writes": 2,
  "before_matches": 0,
  "other_writes": 0,
  "outcome": "needs_review",
  "unattributed_writes": 0,
  "unlogged_writes": 0
 }
}
REFUTED Appointment check 23, records: Appointment/74bef10b-6917-42c4-a3d2-ce82b71d3785
RecordFieldAgent sentStore holds now
5 other fields hold what the agent sent (all fields are under Evidence)

Before the write, matching records: none

WritePathReplyAdded
POST/fhir/R4/Appointment20128 ms
PUT/fhir/R4/Appointment/74bef10b-6917-42c4-a3d2-ce82b71d37852000 ms
Evidence
{
 "after": {
  "Appointment/74bef10b-6917-42c4-a3d2-ce82b71d3785": {
   "end": "2026-11-17T14:30:00Z",
   "id": "74bef10b-6917-42c4-a3d2-ce82b71d3785",
   "meta": {
    "lastUpdated": "2026-10-31T17:57:53.217Z",
    "versionId": "8102c195-e03a-4c9d-bb81-0fb98262389d"
   },
   "participant": [
    {
     "actor": {
      "reference": "Patient/a424b05d-5798-4ae3-a3b8-c3f40f385504"
     },
     "status": "accepted"
    },
    {
     "actor": {
      "reference": "Practitioner/d7684dce-6023-47c0-ae20-2bec49c38b1f"
     },
     "status": "accepted"
    }
   ],
   "resourceType": "Appointment",
   "start": "2026-11-17T14:00:00Z",
   "status": "booked"
  }
 },
 "before": [],
 "fields": [
  {
   "field": "status",
   "record": "Appointment/74bef10b-6917-42c4-a3d2-ce82b71d3785",
   "same": true,
   "sent": "booked",
   "stored": "booked"
  },
  {
   "field": "start",
   "record": "Appointment/74bef10b-6917-42c4-a3d2-ce82b71d3785",
   "same": true,
   "sent": "2026-11-17T14:00:00Z",
   "stored": "2026-11-17T14:00:00Z"
  },
  {
   "field": "end",
   "record": "Appointment/74bef10b-6917-42c4-a3d2-ce82b71d3785",
   "same": true,
   "sent": "2026-11-17T14:30:00Z",
   "stored": "2026-11-17T14:30:00Z"
  },
  {
   "field": "patient",
   "record": "Appointment/74bef10b-6917-42c4-a3d2-ce82b71d3785",
   "same": true,
   "sent": "Patient/a424b05d-5798-4ae3-a3b8-c3f40f385504",
   "stored": "Patient/a424b05d-5798-4ae3-a3b8-c3f40f385504"
  },
  {
   "field": "practitioner",
   "record": "Appointment/74bef10b-6917-42c4-a3d2-ce82b71d3785",
   "same": true,
   "sent": "Practitioner/d7684dce-6023-47c0-ae20-2bec49c38b1f",
   "stored": "Practitioner/d7684dce-6023-47c0-ae20-2bec49c38b1f"
  }
 ],
 "replies": [
  201,
  200
 ],
 "verifier": {
  "after_matches": 1,
  "agent_write_types": [
   "Appointment"
  ],
  "agent_writes": 1,
  "before_matches": 0,
  "other_writes": 0,
  "outcome": "needs_review",
  "unattributed_writes": 0,
  "unlogged_writes": 0
 }
}
REFUTED Appointment check 25, records: Appointment/e9f1af78-852a-4bb1-8c16-ef8cef0d1502
RecordFieldAgent sentStore holds now
5 other fields hold what the agent sent (all fields are under Evidence)

Before the write, matching records: none

WritePathReplyAdded
POST/fhir/R4/Appointment20132 ms
Evidence
{
 "after": {
  "Appointment/e9f1af78-852a-4bb1-8c16-ef8cef0d1502": {
   "end": "2026-11-17T14:30:00Z",
   "id": "e9f1af78-852a-4bb1-8c16-ef8cef0d1502",
   "meta": {
    "lastUpdated": "2026-10-31T17:58:51.670Z",
    "versionId": "22a16a4a-f3b6-4548-9702-5bb743646a9b"
   },
   "participant": [
    {
     "actor": {
      "reference": "Patient/6ba947da-1964-4a3f-acb7-6d323c537065"
     },
     "status": "accepted"
    },
    {
     "actor": {
      "reference": "Practitioner/d7684dce-6023-47c0-ae20-2bec49c38b1f"
     },
     "status": "accepted"
    }
   ],
   "resourceType": "Appointment",
   "start": "2026-11-17T14:00:00Z",
   "status": "booked"
  }
 },
 "before": [],
 "fields": [
  {
   "field": "status",
   "record": "Appointment/e9f1af78-852a-4bb1-8c16-ef8cef0d1502",
   "same": true,
   "sent": "booked",
   "stored": "booked"
  },
  {
   "field": "start",
   "record": "Appointment/e9f1af78-852a-4bb1-8c16-ef8cef0d1502",
   "same": true,
   "sent": "2026-11-17T14:00:00Z",
   "stored": "2026-11-17T14:00:00Z"
  },
  {
   "field": "end",
   "record": "Appointment/e9f1af78-852a-4bb1-8c16-ef8cef0d1502",
   "same": true,
   "sent": "2026-11-17T14:30:00Z",
   "stored": "2026-11-17T14:30:00Z"
  },
  {
   "field": "patient",
   "record": "Appointment/e9f1af78-852a-4bb1-8c16-ef8cef0d1502",
   "same": true,
   "sent": "Patient/6ba947da-1964-4a3f-acb7-6d323c537065",
   "stored": "Patient/6ba947da-1964-4a3f-acb7-6d323c537065"
  },
  {
   "field": "practitioner",
   "record": "Appointment/e9f1af78-852a-4bb1-8c16-ef8cef0d1502",
   "same": true,
   "sent": "Practitioner/d7684dce-6023-47c0-ae20-2bec49c38b1f",
   "stored": "Practitioner/d7684dce-6023-47c0-ae20-2bec49c38b1f"
  }
 ],
 "replies": [
  201
 ],
 "verifier": {
  "after_matches": 2,
  "agent_write_types": [
   "Appointment"
  ],
  "agent_writes": 2,
  "before_matches": 0,
  "other_writes": 0,
  "outcome": "needs_review",
  "unattributed_writes": 0,
  "unlogged_writes": 0
 }
}
REFUTED Appointment check 27, records: Appointment/ffe78f6c-1b13-4ff1-9420-93f8abf4410f
RecordFieldAgent sentStore holds now
5 other fields hold what the agent sent (all fields are under Evidence)

Before the write, matching records: none

WritePathReplyAdded
POST/fhir/R4/Appointment20133 ms
Evidence
{
 "after": {
  "Appointment/ffe78f6c-1b13-4ff1-9420-93f8abf4410f": {
   "end": "2026-11-17T14:30:00Z",
   "id": "ffe78f6c-1b13-4ff1-9420-93f8abf4410f",
   "meta": {
    "lastUpdated": "2026-10-31T17:59:47.817Z",
    "versionId": "40c82dad-5c5f-4900-b08e-ce6b463f8476"
   },
   "participant": [
    {
     "actor": {
      "reference": "Patient/153f34c0-2d59-4863-a5f4-397f7cd707a2"
     },
     "status": "accepted"
    },
    {
     "actor": {
      "reference": "Practitioner/d7684dce-6023-47c0-ae20-2bec49c38b1f"
     },
     "status": "accepted"
    }
   ],
   "resourceType": "Appointment",
   "start": "2026-11-17T14:00:00Z",
   "status": "booked"
  }
 },
 "before": [],
 "fields": [
  {
   "field": "status",
   "record": "Appointment/ffe78f6c-1b13-4ff1-9420-93f8abf4410f",
   "same": true,
   "sent": "booked",
   "stored": "booked"
  },
  {
   "field": "start",
   "record": "Appointment/ffe78f6c-1b13-4ff1-9420-93f8abf4410f",
   "same": true,
   "sent": "2026-11-17T14:00:00Z",
   "stored": "2026-11-17T14:00:00Z"
  },
  {
   "field": "end",
   "record": "Appointment/ffe78f6c-1b13-4ff1-9420-93f8abf4410f",
   "same": true,
   "sent": "2026-11-17T14:30:00Z",
   "stored": "2026-11-17T14:30:00Z"
  },
  {
   "field": "patient",
   "record": "Appointment/ffe78f6c-1b13-4ff1-9420-93f8abf4410f",
   "same": true,
   "sent": "Patient/153f34c0-2d59-4863-a5f4-397f7cd707a2",
   "stored": "Patient/153f34c0-2d59-4863-a5f4-397f7cd707a2"
  },
  {
   "field": "practitioner",
   "record": "Appointment/ffe78f6c-1b13-4ff1-9420-93f8abf4410f",
   "same": true,
   "sent": "Practitioner/d7684dce-6023-47c0-ae20-2bec49c38b1f",
   "stored": "Practitioner/d7684dce-6023-47c0-ae20-2bec49c38b1f"
  }
 ],
 "replies": [
  201
 ],
 "verifier": {
  "after_matches": 1,
  "agent_write_types": [
   "Appointment"
  ],
  "agent_writes": 2,
  "before_matches": 0,
  "other_writes": 0,
  "outcome": "needs_review",
  "unattributed_writes": 0,
  "unlogged_writes": 0
 }
}
REFUTED Appointment check 30, records: Appointment/dfe2b9d8-3bb2-4b2f-bf81-ac73345f54d9
RecordFieldAgent sentStore holds now
5 other fields hold what the agent sent (all fields are under Evidence)

Before the write, matching records: none

WritePathReplyAdded
POST/fhir/R4/Appointment20120 ms
Evidence
{
 "after": {
  "Appointment/dfe2b9d8-3bb2-4b2f-bf81-ac73345f54d9": {
   "end": "2026-11-17T14:30:00Z",
   "id": "dfe2b9d8-3bb2-4b2f-bf81-ac73345f54d9",
   "meta": {
    "lastUpdated": "2026-10-31T18:01:57.718Z",
    "versionId": "19f233cf-a4af-41ea-b140-8f2fbf193855"
   },
   "participant": [
    {
     "actor": {
      "reference": "Patient/d8324f65-4490-42db-bf39-16760e51bd2c"
     },
     "status": "accepted"
    },
    {
     "actor": {
      "reference": "Practitioner/d7684dce-6023-47c0-ae20-2bec49c38b1f"
     },
     "status": "accepted"
    }
   ],
   "resourceType": "Appointment",
   "start": "2026-11-17T14:00:00Z",
   "status": "booked"
  }
 },
 "before": [],
 "fields": [
  {
   "field": "status",
   "record": "Appointment/dfe2b9d8-3bb2-4b2f-bf81-ac73345f54d9",
   "same": true,
   "sent": "booked",
   "stored": "booked"
  },
  {
   "field": "start",
   "record": "Appointment/dfe2b9d8-3bb2-4b2f-bf81-ac73345f54d9",
   "same": true,
   "sent": "2026-11-17T14:00:00Z",
   "stored": "2026-11-17T14:00:00Z"
  },
  {
   "field": "end",
   "record": "Appointment/dfe2b9d8-3bb2-4b2f-bf81-ac73345f54d9",
   "same": true,
   "sent": "2026-11-17T14:30:00Z",
   "stored": "2026-11-17T14:30:00Z"
  },
  {
   "field": "patient",
   "record": "Appointment/dfe2b9d8-3bb2-4b2f-bf81-ac73345f54d9",
   "same": true,
   "sent": "Patient/d8324f65-4490-42db-bf39-16760e51bd2c",
   "stored": "Patient/d8324f65-4490-42db-bf39-16760e51bd2c"
  },
  {
   "field": "practitioner",
   "record": "Appointment/dfe2b9d8-3bb2-4b2f-bf81-ac73345f54d9",
   "same": true,
   "sent": "Practitioner/d7684dce-6023-47c0-ae20-2bec49c38b1f",
   "stored": "Practitioner/d7684dce-6023-47c0-ae20-2bec49c38b1f"
  }
 ],
 "replies": [
  201
 ],
 "verifier": {
  "after_matches": 1,
  "agent_write_types": [
   "AllergyIntolerance",
   "Appointment"
  ],
  "agent_writes": 2,
  "before_matches": 0,
  "other_writes": 0,
  "outcome": "needs_review",
  "unattributed_writes": 0,
  "unlogged_writes": 0
 }
}
REFUTED Appointment check 31, records: Appointment/6e4c2ea7-c505-4c8a-9e13-8cd2252520b4
RecordFieldAgent sentStore holds now
5 other fields hold what the agent sent (all fields are under Evidence)

Before the write, matching records: none

WritePathReplyAdded
POST/fhir/R4/Appointment20119 ms
PUT/fhir/R4/Appointment/6e4c2ea7-c505-4c8a-9e13-8cd2252520b42000 ms
Evidence
{
 "after": {
  "Appointment/6e4c2ea7-c505-4c8a-9e13-8cd2252520b4": {
   "end": "2026-11-17T14:30:00Z",
   "id": "6e4c2ea7-c505-4c8a-9e13-8cd2252520b4",
   "meta": {
    "lastUpdated": "2026-10-31T18:02:48.154Z",
    "versionId": "c1c1c93f-9812-499c-9afc-cce837a6e00f"
   },
   "participant": [
    {
     "actor": {
      "reference": "Patient/2c05058f-d242-4455-86e5-045830a74f9a"
     },
     "status": "accepted"
    },
    {
     "actor": {
      "reference": "Practitioner/d7684dce-6023-47c0-ae20-2bec49c38b1f"
     },
     "status": "accepted"
    }
   ],
   "resourceType": "Appointment",
   "start": "2026-11-17T14:00:00Z",
   "status": "booked"
  }
 },
 "before": [],
 "fields": [
  {
   "field": "status",
   "record": "Appointment/6e4c2ea7-c505-4c8a-9e13-8cd2252520b4",
   "same": true,
   "sent": "booked",
   "stored": "booked"
  },
  {
   "field": "start",
   "record": "Appointment/6e4c2ea7-c505-4c8a-9e13-8cd2252520b4",
   "same": true,
   "sent": "2026-11-17T14:00:00Z",
   "stored": "2026-11-17T14:00:00Z"
  },
  {
   "field": "end",
   "record": "Appointment/6e4c2ea7-c505-4c8a-9e13-8cd2252520b4",
   "same": true,
   "sent": "2026-11-17T14:30:00Z",
   "stored": "2026-11-17T14:30:00Z"
  },
  {
   "field": "patient",
   "record": "Appointment/6e4c2ea7-c505-4c8a-9e13-8cd2252520b4",
   "same": true,
   "sent": "Patient/2c05058f-d242-4455-86e5-045830a74f9a",
   "stored": "Patient/2c05058f-d242-4455-86e5-045830a74f9a"
  },
  {
   "field": "practitioner",
   "record": "Appointment/6e4c2ea7-c505-4c8a-9e13-8cd2252520b4",
   "same": true,
   "sent": "Practitioner/d7684dce-6023-47c0-ae20-2bec49c38b1f",
   "stored": "Practitioner/d7684dce-6023-47c0-ae20-2bec49c38b1f"
  }
 ],
 "replies": [
  201,
  200
 ],
 "verifier": {
  "after_matches": 1,
  "agent_write_types": [
   "Appointment"
  ],
  "agent_writes": 1,
  "before_matches": 0,
  "other_writes": 0,
  "outcome": "needs_review",
  "unattributed_writes": 0,
  "unlogged_writes": 0
 }
}

Couldn't be confirmed (1)

UNCERTAIN Patient check 10, records: Patient/00000000-0000-4000-8000-000000000000
RecordFieldAgent sentStore holds now
givenLena
familyOkafor
birthDate1988-04-22
genderfemale
line14 Birch Lane
citySpringfield
stateMA
postalCode01103
phone413-555-0187
emaillena.okafor@example.org

Before the write, matching records: none

WritePathReplyAdded
POST/fhir/R4/Patient20134 ms
Evidence
{
 "after": {
  "Patient/00000000-0000-4000-8000-000000000000": {
   "unreadable": "GET http://localhost:9740/fhir/R4/Patient/00000000-0000-4000-8000-000000000000 returned HTTP 404"
  }
 },
 "before": [],
 "fields": [],
 "replies": [
  201
 ],
 "verifier": {
  "after_matches": 0,
  "agent_write_types": [],
  "agent_writes": 0,
  "before_matches": 0,
  "other_writes": 0,
  "outcome": "needs_review",
  "unattributed_writes": 0,
  "unlogged_writes": 0
 }
}

Confirmed (18)

Show
CONFIRMED Patient check 1, records: Patient/4b121980-4909-455e-957a-3a432d6d4e79
RecordFieldAgent sentStore holds now
10 other fields hold what the agent sent (all fields are under Evidence)

Before the write, matching records: none

WritePathReplyAdded
POST/fhir/R4/Patient20129 ms
Evidence
{
 "after": {
  "Patient/4b121980-4909-455e-957a-3a432d6d4e79": {
   "address": [
    {
     "city": "Springfield",
     "line": [
      "14 Birch Lane"
     ],
     "postalCode": "01103",
     "state": "MA"
    }
   ],
   "birthDate": "1988-04-22",
   "gender": "female",
   "id": "4b121980-4909-455e-957a-3a432d6d4e79",
   "meta": {
    "lastUpdated": "2026-10-31T17:41:46.911Z",
    "versionId": "e808f63f-1525-4301-bacd-31a1cf2aa61a"
   },
   "name": [
    {
     "family": "Okafor",
     "given": [
      "Lena"
     ]
    }
   ],
   "resourceType": "Patient",
   "telecom": [
    {
     "system": "phone",
     "use": "home",
     "value": "413-555-0187"
    },
    {
     "system": "email",
     "value": "lena.okafor@example.org"
    }
   ]
  }
 },
 "before": [],
 "fields": [
  {
   "field": "given",
   "record": "Patient/4b121980-4909-455e-957a-3a432d6d4e79",
   "same": true,
   "sent": "Lena",
   "stored": "Lena"
  },
  {
   "field": "family",
   "record": "Patient/4b121980-4909-455e-957a-3a432d6d4e79",
   "same": true,
   "sent": "Okafor",
   "stored": "Okafor"
  },
  {
   "field": "birthDate",
   "record": "Patient/4b121980-4909-455e-957a-3a432d6d4e79",
   "same": true,
   "sent": "1988-04-22",
   "stored": "1988-04-22"
  },
  {
   "field": "gender",
   "record": "Patient/4b121980-4909-455e-957a-3a432d6d4e79",
   "same": true,
   "sent": "female",
   "stored": "female"
  },
  {
   "field": "line",
   "record": "Patient/4b121980-4909-455e-957a-3a432d6d4e79",
   "same": true,
   "sent": "14 Birch Lane",
   "stored": "14 Birch Lane"
  },
  {
   "field": "city",
   "record": "Patient/4b121980-4909-455e-957a-3a432d6d4e79",
   "same": true,
   "sent": "Springfield",
   "stored": "Springfield"
  },
  {
   "field": "state",
   "record": "Patient/4b121980-4909-455e-957a-3a432d6d4e79",
   "same": true,
   "sent": "MA",
   "stored": "MA"
  },
  {
   "field": "postalCode",
   "record": "Patient/4b121980-4909-455e-957a-3a432d6d4e79",
   "same": true,
   "sent": "01103",
   "stored": "01103"
  },
  {
   "field": "phone",
   "record": "Patient/4b121980-4909-455e-957a-3a432d6d4e79",
   "same": true,
   "sent": "413-555-0187",
   "stored": "413-555-0187"
  },
  {
   "field": "email",
   "record": "Patient/4b121980-4909-455e-957a-3a432d6d4e79",
   "same": true,
   "sent": "lena.okafor@example.org",
   "stored": "lena.okafor@example.org"
  }
 ],
 "recheck": {
  "at": 1793468520.601135,
  "reasons": [
   "since the first check: one record was already the person"
  ],
  "verdict": "CONFIRMED"
 },
 "replies": [
  201
 ],
 "verifier": {
  "after_matches": 1,
  "agent_write_types": [
   "Patient"
  ],
  "agent_writes": 1,
  "before_matches": 0,
  "other_writes": 0,
  "outcome": "created_verified",
  "unattributed_writes": 0,
  "unlogged_writes": 0
 }
}
CONFIRMED Patient check 2, records: Patient/7768f5c4-277b-4ea1-9c8c-1195136ae846
RecordFieldAgent sentStore holds now
10 other fields hold what the agent sent (all fields are under Evidence)

Before the write, matching records: none

WritePathReplyAdded
POST/fhir/R4/Patient20128 ms
PUT/fhir/R4/Patient/7768f5c4-277b-4ea1-9c8c-1195136ae8462000 ms
Evidence
{
 "after": {
  "Patient/7768f5c4-277b-4ea1-9c8c-1195136ae846": {
   "address": [
    {
     "city": "Springfield",
     "line": [
      "14 Birch Lane"
     ],
     "postalCode": "01103",
     "state": "MA"
    }
   ],
   "birthDate": "1988-04-22",
   "gender": "female",
   "id": "7768f5c4-277b-4ea1-9c8c-1195136ae846",
   "meta": {
    "lastUpdated": "2026-10-31T17:43:13.130Z",
    "versionId": "d472e811-6286-4dbd-a446-7c06705f19c9"
   },
   "name": [
    {
     "family": "Okafor",
     "given": [
      "Lena"
     ]
    }
   ],
   "resourceType": "Patient",
   "telecom": [
    {
     "system": "phone",
     "use": "home",
     "value": "413-555-0187"
    },
    {
     "system": "email",
     "value": "lena.okafor@example.org"
    }
   ]
  }
 },
 "before": [],
 "fields": [
  {
   "field": "given",
   "record": "Patient/7768f5c4-277b-4ea1-9c8c-1195136ae846",
   "same": true,
   "sent": "Lena",
   "stored": "Lena"
  },
  {
   "field": "family",
   "record": "Patient/7768f5c4-277b-4ea1-9c8c-1195136ae846",
   "same": true,
   "sent": "Okafor",
   "stored": "Okafor"
  },
  {
   "field": "birthDate",
   "record": "Patient/7768f5c4-277b-4ea1-9c8c-1195136ae846",
   "same": true,
   "sent": "1988-04-22",
   "stored": "1988-04-22"
  },
  {
   "field": "gender",
   "record": "Patient/7768f5c4-277b-4ea1-9c8c-1195136ae846",
   "same": true,
   "sent": "female",
   "stored": "female"
  },
  {
   "field": "line",
   "record": "Patient/7768f5c4-277b-4ea1-9c8c-1195136ae846",
   "same": true,
   "sent": "14 Birch Lane",
   "stored": "14 Birch Lane"
  },
  {
   "field": "city",
   "record": "Patient/7768f5c4-277b-4ea1-9c8c-1195136ae846",
   "same": true,
   "sent": "Springfield",
   "stored": "Springfield"
  },
  {
   "field": "state",
   "record": "Patient/7768f5c4-277b-4ea1-9c8c-1195136ae846",
   "same": true,
   "sent": "MA",
   "stored": "MA"
  },
  {
   "field": "postalCode",
   "record": "Patient/7768f5c4-277b-4ea1-9c8c-1195136ae846",
   "same": true,
   "sent": "01103",
   "stored": "01103"
  },
  {
   "field": "phone",
   "record": "Patient/7768f5c4-277b-4ea1-9c8c-1195136ae846",
   "same": true,
   "sent": "413-555-0187",
   "stored": "413-555-0187"
  },
  {
   "field": "email",
   "record": "Patient/7768f5c4-277b-4ea1-9c8c-1195136ae846",
   "same": true,
   "sent": "lena.okafor@example.org",
   "stored": "lena.okafor@example.org"
  }
 ],
 "recheck": {
  "at": 1793468607.523259,
  "reasons": [
   "since the first check: one record was already the person"
  ],
  "verdict": "CONFIRMED"
 },
 "replies": [
  201,
  200
 ],
 "verifier": {
  "after_matches": 1,
  "agent_write_types": [
   "Patient"
  ],
  "agent_writes": 1,
  "before_matches": 0,
  "corrected": true,
  "other_writes": 0,
  "outcome": "created_verified",
  "unattributed_writes": 0,
  "unlogged_writes": 0,
  "writes_to_record": 2
 }
}
CONFIRMED Patient check 3, records: Patient/f35663e7-da89-4b6d-b3a8-f8adab52b83e
RecordFieldAgent sentStore holds now
10 other fields hold what the agent sent (all fields are under Evidence)

Before the write, matching records: none

WritePathReplyAdded
POST/fhir/R4/Patient20126 ms
PUT/fhir/R4/Patient/f35663e7-da89-4b6d-b3a8-f8adab52b83e2000 ms
Evidence
{
 "after": {
  "Patient/f35663e7-da89-4b6d-b3a8-f8adab52b83e": {
   "address": [
    {
     "city": "Springfield",
     "line": [
      "14 Birch Lane"
     ],
     "postalCode": "01103",
     "state": "MA"
    }
   ],
   "birthDate": "1988-04-22",
   "gender": "female",
   "id": "f35663e7-da89-4b6d-b3a8-f8adab52b83e",
   "meta": {
    "lastUpdated": "2026-10-31T17:43:50.908Z",
    "versionId": "b2741223-986f-4b88-be45-0234a6e04ef7"
   },
   "name": [
    {
     "family": "Okafor",
     "given": [
      "Lena"
     ]
    }
   ],
   "resourceType": "Patient",
   "telecom": [
    {
     "system": "phone",
     "use": "home",
     "value": "413-555-0187"
    },
    {
     "system": "email",
     "value": "lena.okafor@example.org"
    }
   ]
  }
 },
 "before": [],
 "fields": [
  {
   "field": "given",
   "record": "Patient/f35663e7-da89-4b6d-b3a8-f8adab52b83e",
   "same": true,
   "sent": "Lena",
   "stored": "Lena"
  },
  {
   "field": "family",
   "record": "Patient/f35663e7-da89-4b6d-b3a8-f8adab52b83e",
   "same": true,
   "sent": "Okafor",
   "stored": "Okafor"
  },
  {
   "field": "birthDate",
   "record": "Patient/f35663e7-da89-4b6d-b3a8-f8adab52b83e",
   "same": true,
   "sent": "1988-04-22",
   "stored": "1988-04-22"
  },
  {
   "field": "gender",
   "record": "Patient/f35663e7-da89-4b6d-b3a8-f8adab52b83e",
   "same": true,
   "sent": "female",
   "stored": "female"
  },
  {
   "field": "line",
   "record": "Patient/f35663e7-da89-4b6d-b3a8-f8adab52b83e",
   "same": true,
   "sent": "14 Birch Lane",
   "stored": "14 Birch Lane"
  },
  {
   "field": "city",
   "record": "Patient/f35663e7-da89-4b6d-b3a8-f8adab52b83e",
   "same": true,
   "sent": "Springfield",
   "stored": "Springfield"
  },
  {
   "field": "state",
   "record": "Patient/f35663e7-da89-4b6d-b3a8-f8adab52b83e",
   "same": true,
   "sent": "MA",
   "stored": "MA"
  },
  {
   "field": "postalCode",
   "record": "Patient/f35663e7-da89-4b6d-b3a8-f8adab52b83e",
   "same": true,
   "sent": "01103",
   "stored": "01103"
  },
  {
   "field": "phone",
   "record": "Patient/f35663e7-da89-4b6d-b3a8-f8adab52b83e",
   "same": true,
   "sent": "413-555-0187",
   "stored": "413-555-0187"
  },
  {
   "field": "email",
   "record": "Patient/f35663e7-da89-4b6d-b3a8-f8adab52b83e",
   "same": true,
   "sent": "lena.okafor@example.org",
   "stored": "lena.okafor@example.org"
  }
 ],
 "recheck": {
  "at": 1793468644.917254,
  "reasons": [
   "since the first check: one record was already the person"
  ],
  "verdict": "CONFIRMED"
 },
 "replies": [
  201,
  200
 ],
 "verifier": {
  "after_matches": 1,
  "agent_write_types": [
   "Patient"
  ],
  "agent_writes": 1,
  "before_matches": 0,
  "corrected": true,
  "other_writes": 0,
  "outcome": "created_verified",
  "unattributed_writes": 0,
  "unlogged_writes": 0,
  "writes_to_record": 2
 }
}
CONFIRMED Patient check 6, records: none
RecordFieldAgent sentStore holds now
givenLena
familyOkafor
birthDate1988-04-22
genderfemale
line14 Birch Lane
citySpringfield
stateMA
postalCode01103
phone413-555-0187
emaillena.okafor@example.org

Before the write, matching records: none

WritePathReplyAdded
POST/fhir/R4/Patient50436 ms
Evidence
{
 "after": {},
 "before": [],
 "fields": [],
 "recheck": {
  "at": 1793468758.2523441,
  "reasons": [
   "since the first check: one record was already the person"
  ],
  "verdict": "CONFIRMED"
 },
 "replies": [
  504
 ],
 "verifier": {
  "after_matches": 1,
  "agent_write_types": [
   "Patient"
  ],
  "agent_writes": 1,
  "before_matches": 0,
  "other_writes": 0,
  "outcome": "created_verified",
  "unattributed_writes": 0,
  "unlogged_writes": 0
 }
}
CONFIRMED Patient check 8, records: Patient/31e5780b-ccd4-400e-84e6-9d6e823b57fd
RecordFieldAgent sentStore holds now
10 other fields hold what the agent sent (all fields are under Evidence)

Before the write, matching records: none

WritePathReplyAdded
POST/fhir/R4/Patient50332 ms
POST/fhir/R4/Patient2010 ms
Evidence
{
 "after": {
  "Patient/31e5780b-ccd4-400e-84e6-9d6e823b57fd": {
   "address": [
    {
     "city": "Springfield",
     "line": [
      "14 Birch Lane"
     ],
     "postalCode": "01103",
     "state": "MA"
    }
   ],
   "birthDate": "1988-04-22",
   "gender": "female",
   "id": "31e5780b-ccd4-400e-84e6-9d6e823b57fd",
   "meta": {
    "lastUpdated": "2026-10-31T17:47:14.151Z",
    "versionId": "49b43284-da97-4655-81b9-c08a48bf4019"
   },
   "name": [
    {
     "family": "Okafor",
     "given": [
      "Lena"
     ]
    }
   ],
   "resourceType": "Patient",
   "telecom": [
    {
     "system": "phone",
     "use": "home",
     "value": "413-555-0187"
    },
    {
     "system": "email",
     "value": "lena.okafor@example.org"
    }
   ]
  }
 },
 "before": [],
 "fields": [
  {
   "field": "given",
   "record": "Patient/31e5780b-ccd4-400e-84e6-9d6e823b57fd",
   "same": true,
   "sent": "Lena",
   "stored": "Lena"
  },
  {
   "field": "family",
   "record": "Patient/31e5780b-ccd4-400e-84e6-9d6e823b57fd",
   "same": true,
   "sent": "Okafor",
   "stored": "Okafor"
  },
  {
   "field": "birthDate",
   "record": "Patient/31e5780b-ccd4-400e-84e6-9d6e823b57fd",
   "same": true,
   "sent": "1988-04-22",
   "stored": "1988-04-22"
  },
  {
   "field": "gender",
   "record": "Patient/31e5780b-ccd4-400e-84e6-9d6e823b57fd",
   "same": true,
   "sent": "female",
   "stored": "female"
  },
  {
   "field": "line",
   "record": "Patient/31e5780b-ccd4-400e-84e6-9d6e823b57fd",
   "same": true,
   "sent": "14 Birch Lane",
   "stored": "14 Birch Lane"
  },
  {
   "field": "city",
   "record": "Patient/31e5780b-ccd4-400e-84e6-9d6e823b57fd",
   "same": true,
   "sent": "Springfield",
   "stored": "Springfield"
  },
  {
   "field": "state",
   "record": "Patient/31e5780b-ccd4-400e-84e6-9d6e823b57fd",
   "same": true,
   "sent": "MA",
   "stored": "MA"
  },
  {
   "field": "postalCode",
   "record": "Patient/31e5780b-ccd4-400e-84e6-9d6e823b57fd",
   "same": true,
   "sent": "01103",
   "stored": "01103"
  },
  {
   "field": "phone",
   "record": "Patient/31e5780b-ccd4-400e-84e6-9d6e823b57fd",
   "same": true,
   "sent": "413-555-0187",
   "stored": "413-555-0187"
  },
  {
   "field": "email",
   "record": "Patient/31e5780b-ccd4-400e-84e6-9d6e823b57fd",
   "same": true,
   "sent": "lena.okafor@example.org",
   "stored": "lena.okafor@example.org"
  }
 ],
 "recheck": {
  "at": 1793468848.459701,
  "reasons": [
   "since the first check: one record was already the person"
  ],
  "verdict": "CONFIRMED"
 },
 "replies": [
  503,
  201
 ],
 "verifier": {
  "after_matches": 1,
  "agent_write_types": [
   "Patient"
  ],
  "agent_writes": 1,
  "before_matches": 0,
  "other_writes": 0,
  "outcome": "created_verified",
  "unattributed_writes": 0,
  "unlogged_writes": 0
 }
}
CONFIRMED Patient check 9, records: Patient/3e5de50e-400c-4a1d-8be5-1e78dd43c9e4
RecordFieldAgent sentStore holds now
10 other fields hold what the agent sent (all fields are under Evidence)

Before the write, matching records: none

WritePathReplyAdded
POST/fhir/R4/Patient20136 ms
Evidence
{
 "after": {
  "Patient/3e5de50e-400c-4a1d-8be5-1e78dd43c9e4": {
   "address": [
    {
     "city": "Springfield",
     "line": [
      "14 Birch Lane"
     ],
     "postalCode": "01103",
     "state": "MA",
     "use": "home"
    }
   ],
   "birthDate": "1988-04-22",
   "gender": "female",
   "id": "3e5de50e-400c-4a1d-8be5-1e78dd43c9e4",
   "meta": {
    "lastUpdated": "2026-10-31T17:47:52.299Z",
    "versionId": "ae6eac6a-44c7-4f57-a779-0e9bd67f8f82"
   },
   "name": [
    {
     "family": "Okafor",
     "given": [
      "Lena"
     ],
     "use": "official"
    }
   ],
   "resourceType": "Patient",
   "telecom": [
    {
     "system": "phone",
     "use": "home",
     "value": "413-555-0187"
    },
    {
     "system": "email",
     "value": "lena.okafor@example.org"
    }
   ]
  }
 },
 "before": [],
 "fields": [
  {
   "field": "given",
   "record": "Patient/3e5de50e-400c-4a1d-8be5-1e78dd43c9e4",
   "same": true,
   "sent": "Lena",
   "stored": "Lena"
  },
  {
   "field": "family",
   "record": "Patient/3e5de50e-400c-4a1d-8be5-1e78dd43c9e4",
   "same": true,
   "sent": "Okafor",
   "stored": "Okafor"
  },
  {
   "field": "birthDate",
   "record": "Patient/3e5de50e-400c-4a1d-8be5-1e78dd43c9e4",
   "same": true,
   "sent": "1988-04-22",
   "stored": "1988-04-22"
  },
  {
   "field": "gender",
   "record": "Patient/3e5de50e-400c-4a1d-8be5-1e78dd43c9e4",
   "same": true,
   "sent": "female",
   "stored": "female"
  },
  {
   "field": "line",
   "record": "Patient/3e5de50e-400c-4a1d-8be5-1e78dd43c9e4",
   "same": true,
   "sent": "14 Birch Lane",
   "stored": "14 Birch Lane"
  },
  {
   "field": "city",
   "record": "Patient/3e5de50e-400c-4a1d-8be5-1e78dd43c9e4",
   "same": true,
   "sent": "Springfield",
   "stored": "Springfield"
  },
  {
   "field": "state",
   "record": "Patient/3e5de50e-400c-4a1d-8be5-1e78dd43c9e4",
   "same": true,
   "sent": "MA",
   "stored": "MA"
  },
  {
   "field": "postalCode",
   "record": "Patient/3e5de50e-400c-4a1d-8be5-1e78dd43c9e4",
   "same": true,
   "sent": "01103",
   "stored": "01103"
  },
  {
   "field": "phone",
   "record": "Patient/3e5de50e-400c-4a1d-8be5-1e78dd43c9e4",
   "same": true,
   "sent": "413-555-0187",
   "stored": "413-555-0187"
  },
  {
   "field": "email",
   "record": "Patient/3e5de50e-400c-4a1d-8be5-1e78dd43c9e4",
   "same": true,
   "sent": "lena.okafor@example.org",
   "stored": "lena.okafor@example.org"
  }
 ],
 "recheck": {
  "at": 1793468886.125221,
  "reasons": [
   "since the first check: one record was already the person"
  ],
  "verdict": "CONFIRMED"
 },
 "replies": [
  201
 ],
 "verifier": {
  "after_matches": 1,
  "agent_write_types": [
   "Patient"
  ],
  "agent_writes": 1,
  "before_matches": 0,
  "other_writes": 0,
  "outcome": "created_verified",
  "unattributed_writes": 0,
  "unlogged_writes": 0
 }
}
CONFIRMED AllergyIntolerance check 11, records: AllergyIntolerance/033b2015-ebf8-43f7-84a9-317413585fc5
RecordFieldAgent sentStore holds now
6 other fields hold what the agent sent (all fields are under Evidence)

Before the write, matching records: none

WritePathReplyAdded
POST/fhir/R4/AllergyIntolerance20117 ms
Evidence
{
 "after": {
  "AllergyIntolerance/033b2015-ebf8-43f7-84a9-317413585fc5": {
   "clinicalStatus": {
    "coding": [
     {
      "code": "active",
      "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"
     }
    ]
   },
   "code": {
    "coding": [
     {
      "code": "91936005",
      "display": "Allergy to penicillin",
      "system": "http://snomed.info/sct"
     }
    ]
   },
   "criticality": "high",
   "id": "033b2015-ebf8-43f7-84a9-317413585fc5",
   "meta": {
    "lastUpdated": "2026-10-31T17:48:55.243Z",
    "versionId": "87d69fb5-bbf9-44d2-b9a3-8465e95fac07"
   },
   "patient": {
    "reference": "Patient/87937296-fac8-47ce-9987-bffa06b4f393"
   },
   "resourceType": "AllergyIntolerance",
   "verificationStatus": {
    "coding": [
     {
      "code": "confirmed",
      "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"
     }
    ]
   }
  }
 },
 "before": [],
 "fields": [
  {
   "field": "patient",
   "record": "AllergyIntolerance/033b2015-ebf8-43f7-84a9-317413585fc5",
   "same": true,
   "sent": "Patient/87937296-fac8-47ce-9987-bffa06b4f393",
   "stored": "Patient/87937296-fac8-47ce-9987-bffa06b4f393"
  },
  {
   "field": "code_system",
   "record": "AllergyIntolerance/033b2015-ebf8-43f7-84a9-317413585fc5",
   "same": true,
   "sent": "http://snomed.info/sct",
   "stored": "http://snomed.info/sct"
  },
  {
   "field": "code",
   "record": "AllergyIntolerance/033b2015-ebf8-43f7-84a9-317413585fc5",
   "same": true,
   "sent": "91936005",
   "stored": "91936005"
  },
  {
   "field": "criticality",
   "record": "AllergyIntolerance/033b2015-ebf8-43f7-84a9-317413585fc5",
   "same": true,
   "sent": "high",
   "stored": "high"
  },
  {
   "field": "clinical_status",
   "record": "AllergyIntolerance/033b2015-ebf8-43f7-84a9-317413585fc5",
   "same": true,
   "sent": "active",
   "stored": "active"
  },
  {
   "field": "verification_status",
   "record": "AllergyIntolerance/033b2015-ebf8-43f7-84a9-317413585fc5",
   "same": true,
   "sent": "confirmed",
   "stored": "confirmed"
  }
 ],
 "recheck": {
  "at": 1793468949.770093,
  "reasons": [
   "since the first check: one record was already the person"
  ],
  "verdict": "CONFIRMED"
 },
 "replies": [
  201
 ],
 "verifier": {
  "after_matches": 1,
  "agent_write_types": [
   "AllergyIntolerance"
  ],
  "agent_writes": 1,
  "before_matches": 0,
  "other_writes": 0,
  "outcome": "created_verified",
  "unattributed_writes": 0,
  "unlogged_writes": 0
 }
}
CONFIRMED AllergyIntolerance check 12, records: AllergyIntolerance/bb08284d-407f-46b4-a9b0-5f0c192f779d
RecordFieldAgent sentStore holds now
6 other fields hold what the agent sent (all fields are under Evidence)

Before the write, matching records: none

WritePathReplyAdded
POST/fhir/R4/AllergyIntolerance20145 ms
Evidence
{
 "after": {
  "AllergyIntolerance/bb08284d-407f-46b4-a9b0-5f0c192f779d": {
   "clinicalStatus": {
    "coding": [
     {
      "code": "active",
      "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"
     }
    ]
   },
   "code": {
    "coding": [
     {
      "code": "91936005",
      "system": "http://snomed.info/sct"
     }
    ]
   },
   "criticality": "high",
   "id": "bb08284d-407f-46b4-a9b0-5f0c192f779d",
   "meta": {
    "lastUpdated": "2026-10-31T17:50:06.387Z",
    "versionId": "9fc5644b-6043-4469-88c0-481360399957"
   },
   "patient": {
    "reference": "Patient/84863d51-d495-42d9-ac10-f3989ba8fbae"
   },
   "resourceType": "AllergyIntolerance",
   "verificationStatus": {
    "coding": [
     {
      "code": "confirmed",
      "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"
     }
    ]
   }
  }
 },
 "before": [],
 "fields": [
  {
   "field": "patient",
   "record": "AllergyIntolerance/bb08284d-407f-46b4-a9b0-5f0c192f779d",
   "same": true,
   "sent": "Patient/84863d51-d495-42d9-ac10-f3989ba8fbae",
   "stored": "Patient/84863d51-d495-42d9-ac10-f3989ba8fbae"
  },
  {
   "field": "code_system",
   "record": "AllergyIntolerance/bb08284d-407f-46b4-a9b0-5f0c192f779d",
   "same": true,
   "sent": "http://snomed.info/sct",
   "stored": "http://snomed.info/sct"
  },
  {
   "field": "code",
   "record": "AllergyIntolerance/bb08284d-407f-46b4-a9b0-5f0c192f779d",
   "same": true,
   "sent": "91936005",
   "stored": "91936005"
  },
  {
   "field": "criticality",
   "record": "AllergyIntolerance/bb08284d-407f-46b4-a9b0-5f0c192f779d",
   "same": true,
   "sent": "high",
   "stored": "high"
  },
  {
   "field": "clinical_status",
   "record": "AllergyIntolerance/bb08284d-407f-46b4-a9b0-5f0c192f779d",
   "same": true,
   "sent": "active",
   "stored": "active"
  },
  {
   "field": "verification_status",
   "record": "AllergyIntolerance/bb08284d-407f-46b4-a9b0-5f0c192f779d",
   "same": true,
   "sent": "confirmed",
   "stored": "confirmed"
  }
 ],
 "recheck": {
  "at": 1793469021.155902,
  "reasons": [
   "since the first check: one record was already the person"
  ],
  "verdict": "CONFIRMED"
 },
 "replies": [
  201
 ],
 "verifier": {
  "after_matches": 1,
  "agent_write_types": [
   "AllergyIntolerance"
  ],
  "agent_writes": 1,
  "before_matches": 0,
  "other_writes": 0,
  "outcome": "created_verified",
  "unattributed_writes": 0,
  "unlogged_writes": 0
 }
}
CONFIRMED AllergyIntolerance check 15, records: AllergyIntolerance/355dd166-6a5a-4858-be99-101f52b48b04
RecordFieldAgent sentStore holds now
6 other fields hold what the agent sent (all fields are under Evidence)

Before the write, matching records: none

WritePathReplyAdded
POST/fhir/R4/AllergyIntolerance20124 ms
PUT/fhir/R4/AllergyIntolerance/355dd166-6a5a-4858-be99-101f52b48b042000 ms
Evidence
{
 "after": {
  "AllergyIntolerance/355dd166-6a5a-4858-be99-101f52b48b04": {
   "clinicalStatus": {
    "coding": [
     {
      "code": "active",
      "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"
     }
    ]
   },
   "code": {
    "coding": [
     {
      "code": "91936005",
      "system": "http://snomed.info/sct"
     }
    ]
   },
   "criticality": "high",
   "id": "355dd166-6a5a-4858-be99-101f52b48b04",
   "meta": {
    "lastUpdated": "2026-10-31T17:52:01.197Z",
    "versionId": "1ac644e0-f229-4af0-9e19-c80ae21d3898"
   },
   "patient": {
    "reference": "Patient/933cd60e-4756-45a6-bb0f-d19a332b586c"
   },
   "resourceType": "AllergyIntolerance",
   "verificationStatus": {
    "coding": [
     {
      "code": "confirmed",
      "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"
     }
    ]
   }
  }
 },
 "before": [],
 "fields": [
  {
   "field": "patient",
   "record": "AllergyIntolerance/355dd166-6a5a-4858-be99-101f52b48b04",
   "same": true,
   "sent": "Patient/933cd60e-4756-45a6-bb0f-d19a332b586c",
   "stored": "Patient/933cd60e-4756-45a6-bb0f-d19a332b586c"
  },
  {
   "field": "code_system",
   "record": "AllergyIntolerance/355dd166-6a5a-4858-be99-101f52b48b04",
   "same": true,
   "sent": "http://snomed.info/sct",
   "stored": "http://snomed.info/sct"
  },
  {
   "field": "code",
   "record": "AllergyIntolerance/355dd166-6a5a-4858-be99-101f52b48b04",
   "same": true,
   "sent": "91936005",
   "stored": "91936005"
  },
  {
   "field": "criticality",
   "record": "AllergyIntolerance/355dd166-6a5a-4858-be99-101f52b48b04",
   "same": true,
   "sent": "high",
   "stored": "high"
  },
  {
   "field": "clinical_status",
   "record": "AllergyIntolerance/355dd166-6a5a-4858-be99-101f52b48b04",
   "same": true,
   "sent": "active",
   "stored": "active"
  },
  {
   "field": "verification_status",
   "record": "AllergyIntolerance/355dd166-6a5a-4858-be99-101f52b48b04",
   "same": true,
   "sent": "confirmed",
   "stored": "confirmed"
  }
 ],
 "recheck": {
  "at": 1793469136.83149,
  "reasons": [
   "since the first check: one record was already the person"
  ],
  "verdict": "CONFIRMED"
 },
 "replies": [
  201,
  200
 ],
 "verifier": {
  "after_matches": 1,
  "agent_write_types": [
   "AllergyIntolerance"
  ],
  "agent_writes": 1,
  "before_matches": 0,
  "corrected": true,
  "other_writes": 0,
  "outcome": "created_verified",
  "unattributed_writes": 0,
  "unlogged_writes": 0,
  "writes_to_record": 2
 }
}
CONFIRMED AllergyIntolerance check 18, records: AllergyIntolerance/64ea78c9-0de8-450c-b773-9a23f8bbbd73
RecordFieldAgent sentStore holds now
6 other fields hold what the agent sent (all fields are under Evidence)

Before the write, matching records: none

WritePathReplyAdded
POST/fhir/R4/AllergyIntolerance20142 ms
Evidence
{
 "after": {
  "AllergyIntolerance/64ea78c9-0de8-450c-b773-9a23f8bbbd73": {
   "clinicalStatus": {
    "coding": [
     {
      "code": "active",
      "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"
     }
    ]
   },
   "code": {
    "coding": [
     {
      "code": "91936005",
      "display": "Allergy to penicillin",
      "system": "http://snomed.info/sct"
     }
    ]
   },
   "criticality": "high",
   "id": "64ea78c9-0de8-450c-b773-9a23f8bbbd73",
   "meta": {
    "lastUpdated": "2026-10-31T17:54:00.273Z",
    "versionId": "ef1baa1a-9023-4fe6-af5d-21f18bc1ea70"
   },
   "patient": {
    "reference": "Patient/8919a3b1-ccd2-47ae-9b12-de5fa1ff0a10"
   },
   "resourceType": "AllergyIntolerance",
   "verificationStatus": {
    "coding": [
     {
      "code": "confirmed",
      "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"
     }
    ]
   }
  }
 },
 "before": [],
 "fields": [
  {
   "field": "patient",
   "record": "AllergyIntolerance/64ea78c9-0de8-450c-b773-9a23f8bbbd73",
   "same": true,
   "sent": "Patient/8919a3b1-ccd2-47ae-9b12-de5fa1ff0a10",
   "stored": "Patient/8919a3b1-ccd2-47ae-9b12-de5fa1ff0a10"
  },
  {
   "field": "code_system",
   "record": "AllergyIntolerance/64ea78c9-0de8-450c-b773-9a23f8bbbd73",
   "same": true,
   "sent": "http://snomed.info/sct",
   "stored": "http://snomed.info/sct"
  },
  {
   "field": "code",
   "record": "AllergyIntolerance/64ea78c9-0de8-450c-b773-9a23f8bbbd73",
   "same": true,
   "sent": "91936005",
   "stored": "91936005"
  },
  {
   "field": "criticality",
   "record": "AllergyIntolerance/64ea78c9-0de8-450c-b773-9a23f8bbbd73",
   "same": true,
   "sent": "high",
   "stored": "high"
  },
  {
   "field": "clinical_status",
   "record": "AllergyIntolerance/64ea78c9-0de8-450c-b773-9a23f8bbbd73",
   "same": true,
   "sent": "active",
   "stored": "active"
  },
  {
   "field": "verification_status",
   "record": "AllergyIntolerance/64ea78c9-0de8-450c-b773-9a23f8bbbd73",
   "same": true,
   "sent": "confirmed",
   "stored": "confirmed"
  }
 ],
 "recheck": {
  "at": 1793469255.167888,
  "reasons": [
   "since the first check: one record was already the person"
  ],
  "verdict": "CONFIRMED"
 },
 "replies": [
  201
 ],
 "verifier": {
  "after_matches": 1,
  "agent_write_types": [
   "AllergyIntolerance"
  ],
  "agent_writes": 1,
  "before_matches": 0,
  "other_writes": 0,
  "outcome": "created_verified",
  "unattributed_writes": 0,
  "unlogged_writes": 0
 }
}
CONFIRMED AllergyIntolerance check 20, records: AllergyIntolerance/ea68955b-2f4e-488f-b92a-3e70f9a43d2a
RecordFieldAgent sentStore holds now
6 other fields hold what the agent sent (all fields are under Evidence)

Before the write, matching records: none

WritePathReplyAdded
POST/fhir/R4/AllergyIntolerance20118 ms
Evidence
{
 "after": {
  "AllergyIntolerance/ea68955b-2f4e-488f-b92a-3e70f9a43d2a": {
   "clinicalStatus": {
    "coding": [
     {
      "code": "active",
      "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"
     }
    ]
   },
   "code": {
    "coding": [
     {
      "code": "91936005",
      "display": "Allergy to penicillin",
      "system": "http://snomed.info/sct"
     }
    ]
   },
   "criticality": "high",
   "id": "ea68955b-2f4e-488f-b92a-3e70f9a43d2a",
   "meta": {
    "lastUpdated": "2026-10-31T17:55:16.252Z",
    "versionId": "77a02008-f721-4eac-b8e1-5b3699394977"
   },
   "patient": {
    "reference": "Patient/ebc9bb8b-a55a-48b6-aa65-6cce722cd364"
   },
   "resourceType": "AllergyIntolerance",
   "verificationStatus": {
    "coding": [
     {
      "code": "confirmed",
      "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"
     }
    ]
   }
  }
 },
 "before": [],
 "fields": [
  {
   "field": "patient",
   "record": "AllergyIntolerance/ea68955b-2f4e-488f-b92a-3e70f9a43d2a",
   "same": true,
   "sent": "Patient/ebc9bb8b-a55a-48b6-aa65-6cce722cd364",
   "stored": "Patient/ebc9bb8b-a55a-48b6-aa65-6cce722cd364"
  },
  {
   "field": "code_system",
   "record": "AllergyIntolerance/ea68955b-2f4e-488f-b92a-3e70f9a43d2a",
   "same": true,
   "sent": "http://snomed.info/sct",
   "stored": "http://snomed.info/sct"
  },
  {
   "field": "code",
   "record": "AllergyIntolerance/ea68955b-2f4e-488f-b92a-3e70f9a43d2a",
   "same": true,
   "sent": "91936005",
   "stored": "91936005"
  },
  {
   "field": "criticality",
   "record": "AllergyIntolerance/ea68955b-2f4e-488f-b92a-3e70f9a43d2a",
   "same": true,
   "sent": "high",
   "stored": "high"
  },
  {
   "field": "clinical_status",
   "record": "AllergyIntolerance/ea68955b-2f4e-488f-b92a-3e70f9a43d2a",
   "same": true,
   "sent": "active",
   "stored": "active"
  },
  {
   "field": "verification_status",
   "record": "AllergyIntolerance/ea68955b-2f4e-488f-b92a-3e70f9a43d2a",
   "same": true,
   "sent": "confirmed",
   "stored": "confirmed"
  }
 ],
 "recheck": {
  "at": 1793469330.796386,
  "reasons": [
   "since the first check: one record was already the person"
  ],
  "verdict": "CONFIRMED"
 },
 "replies": [
  201
 ],
 "verifier": {
  "after_matches": 1,
  "agent_write_types": [
   "AllergyIntolerance"
  ],
  "agent_writes": 1,
  "before_matches": 0,
  "other_writes": 0,
  "outcome": "created_verified",
  "unattributed_writes": 0,
  "unlogged_writes": 0
 }
}
CONFIRMED AllergyIntolerance check 21, records: AllergyIntolerance/dd311a99-7fe2-4b2c-bb3d-151a293a555e
RecordFieldAgent sentStore holds now
6 other fields hold what the agent sent (all fields are under Evidence)

Before the write, matching records: none

WritePathReplyAdded
POST/fhir/R4/AllergyIntolerance20138 ms
Evidence
{
 "after": {
  "AllergyIntolerance/dd311a99-7fe2-4b2c-bb3d-151a293a555e": {
   "clinicalStatus": {
    "coding": [
     {
      "code": "active",
      "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"
     }
    ]
   },
   "code": {
    "coding": [
     {
      "code": "91936005",
      "system": "http://snomed.info/sct"
     }
    ]
   },
   "criticality": "high",
   "id": "dd311a99-7fe2-4b2c-bb3d-151a293a555e",
   "meta": {
    "lastUpdated": "2026-10-31T17:56:00.765Z",
    "versionId": "9bb2318a-d91e-454c-a452-0e3cb3383c5b"
   },
   "patient": {
    "reference": "Patient/fb26ec12-0d5c-4494-ba85-1038de9af87d"
   },
   "resourceType": "AllergyIntolerance",
   "verificationStatus": {
    "coding": [
     {
      "code": "confirmed",
      "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"
     }
    ]
   }
  }
 },
 "before": [],
 "fields": [
  {
   "field": "patient",
   "record": "AllergyIntolerance/dd311a99-7fe2-4b2c-bb3d-151a293a555e",
   "same": true,
   "sent": "Patient/fb26ec12-0d5c-4494-ba85-1038de9af87d",
   "stored": "Patient/fb26ec12-0d5c-4494-ba85-1038de9af87d"
  },
  {
   "field": "code_system",
   "record": "AllergyIntolerance/dd311a99-7fe2-4b2c-bb3d-151a293a555e",
   "same": true,
   "sent": "http://snomed.info/sct",
   "stored": "http://snomed.info/sct"
  },
  {
   "field": "code",
   "record": "AllergyIntolerance/dd311a99-7fe2-4b2c-bb3d-151a293a555e",
   "same": true,
   "sent": "91936005",
   "stored": "91936005"
  },
  {
   "field": "criticality",
   "record": "AllergyIntolerance/dd311a99-7fe2-4b2c-bb3d-151a293a555e",
   "same": true,
   "sent": "high",
   "stored": "high"
  },
  {
   "field": "clinical_status",
   "record": "AllergyIntolerance/dd311a99-7fe2-4b2c-bb3d-151a293a555e",
   "same": true,
   "sent": "active",
   "stored": "active"
  },
  {
   "field": "verification_status",
   "record": "AllergyIntolerance/dd311a99-7fe2-4b2c-bb3d-151a293a555e",
   "same": true,
   "sent": "confirmed",
   "stored": "confirmed"
  }
 ],
 "recheck": {
  "at": 1793469375.285702,
  "reasons": [
   "since the first check: one record was already the person"
  ],
  "verdict": "CONFIRMED"
 },
 "replies": [
  201
 ],
 "verifier": {
  "after_matches": 1,
  "agent_write_types": [
   "AllergyIntolerance"
  ],
  "agent_writes": 1,
  "before_matches": 0,
  "other_writes": 1,
  "outcome": "created_verified",
  "unattributed_writes": 0,
  "unlogged_writes": 0
 }
}
CONFIRMED Appointment check 22, records: Appointment/7f6dbbb0-9e20-46c8-83a3-84f567d1de9e
RecordFieldAgent sentStore holds now
5 other fields hold what the agent sent (all fields are under Evidence)

Before the write, matching records: none

WritePathReplyAdded
POST/fhir/R4/Appointment20127 ms
Evidence
{
 "after": {
  "Appointment/7f6dbbb0-9e20-46c8-83a3-84f567d1de9e": {
   "end": "2026-11-17T14:30:00Z",
   "id": "7f6dbbb0-9e20-46c8-83a3-84f567d1de9e",
   "meta": {
    "lastUpdated": "2026-10-31T17:56:40.039Z",
    "versionId": "3f33023c-f9e4-4925-b85f-fb77d4697e12"
   },
   "participant": [
    {
     "actor": {
      "reference": "Patient/8df9fe89-fd79-43d0-bcc6-70362c212962"
     },
     "status": "accepted"
    },
    {
     "actor": {
      "reference": "Practitioner/d7684dce-6023-47c0-ae20-2bec49c38b1f"
     },
     "status": "accepted"
    }
   ],
   "resourceType": "Appointment",
   "start": "2026-11-17T14:00:00Z",
   "status": "booked"
  }
 },
 "before": [],
 "fields": [
  {
   "field": "status",
   "record": "Appointment/7f6dbbb0-9e20-46c8-83a3-84f567d1de9e",
   "same": true,
   "sent": "booked",
   "stored": "booked"
  },
  {
   "field": "start",
   "record": "Appointment/7f6dbbb0-9e20-46c8-83a3-84f567d1de9e",
   "same": true,
   "sent": "2026-11-17T14:00:00Z",
   "stored": "2026-11-17T14:00:00Z"
  },
  {
   "field": "end",
   "record": "Appointment/7f6dbbb0-9e20-46c8-83a3-84f567d1de9e",
   "same": true,
   "sent": "2026-11-17T14:30:00Z",
   "stored": "2026-11-17T14:30:00Z"
  },
  {
   "field": "patient",
   "record": "Appointment/7f6dbbb0-9e20-46c8-83a3-84f567d1de9e",
   "same": true,
   "sent": "Patient/8df9fe89-fd79-43d0-bcc6-70362c212962",
   "stored": "Patient/8df9fe89-fd79-43d0-bcc6-70362c212962"
  },
  {
   "field": "practitioner",
   "record": "Appointment/7f6dbbb0-9e20-46c8-83a3-84f567d1de9e",
   "same": true,
   "sent": "Practitioner/d7684dce-6023-47c0-ae20-2bec49c38b1f",
   "stored": "Practitioner/d7684dce-6023-47c0-ae20-2bec49c38b1f"
  }
 ],
 "recheck": {
  "at": 1793469415.134672,
  "reasons": [
   "since the first check: one record was already the person"
  ],
  "verdict": "CONFIRMED"
 },
 "replies": [
  201
 ],
 "verifier": {
  "after_matches": 1,
  "agent_write_types": [
   "Appointment"
  ],
  "agent_writes": 1,
  "before_matches": 0,
  "other_writes": 0,
  "outcome": "created_verified",
  "unattributed_writes": 0,
  "unlogged_writes": 0
 }
}
CONFIRMED Appointment check 24, records: Appointment/5d20f967-ab10-4ec9-93d6-922c7603070f
RecordFieldAgent sentStore holds now
5 other fields hold what the agent sent (all fields are under Evidence)

Before the write, matching records: none

WritePathReplyAdded
POST/fhir/R4/Appointment20124 ms
PUT/fhir/R4/Appointment/5d20f967-ab10-4ec9-93d6-922c7603070f2000 ms
Evidence
{
 "after": {
  "Appointment/5d20f967-ab10-4ec9-93d6-922c7603070f": {
   "end": "2026-11-17T14:30:00Z",
   "id": "5d20f967-ab10-4ec9-93d6-922c7603070f",
   "meta": {
    "lastUpdated": "2026-10-31T17:58:23.953Z",
    "versionId": "5ceb29a8-3c8b-4f22-a658-cf2ad08e992f"
   },
   "participant": [
    {
     "actor": {
      "reference": "Patient/9e276981-0730-4b92-be16-ccf8cfd163c1"
     },
     "status": "accepted"
    },
    {
     "actor": {
      "reference": "Practitioner/d7684dce-6023-47c0-ae20-2bec49c38b1f"
     },
     "status": "accepted"
    }
   ],
   "resourceType": "Appointment",
   "start": "2026-11-17T14:00:00Z",
   "status": "booked"
  }
 },
 "before": [],
 "fields": [
  {
   "field": "status",
   "record": "Appointment/5d20f967-ab10-4ec9-93d6-922c7603070f",
   "same": true,
   "sent": "booked",
   "stored": "booked"
  },
  {
   "field": "start",
   "record": "Appointment/5d20f967-ab10-4ec9-93d6-922c7603070f",
   "same": true,
   "sent": "2026-11-17T14:00:00Z",
   "stored": "2026-11-17T14:00:00Z"
  },
  {
   "field": "end",
   "record": "Appointment/5d20f967-ab10-4ec9-93d6-922c7603070f",
   "same": true,
   "sent": "2026-11-17T14:30:00Z",
   "stored": "2026-11-17T14:30:00Z"
  },
  {
   "field": "patient",
   "record": "Appointment/5d20f967-ab10-4ec9-93d6-922c7603070f",
   "same": true,
   "sent": "Patient/9e276981-0730-4b92-be16-ccf8cfd163c1",
   "stored": "Patient/9e276981-0730-4b92-be16-ccf8cfd163c1"
  },
  {
   "field": "practitioner",
   "record": "Appointment/5d20f967-ab10-4ec9-93d6-922c7603070f",
   "same": true,
   "sent": "Practitioner/d7684dce-6023-47c0-ae20-2bec49c38b1f",
   "stored": "Practitioner/d7684dce-6023-47c0-ae20-2bec49c38b1f"
  }
 ],
 "recheck": {
  "at": 1793469521.39901,
  "reasons": [
   "since the first check: one record was already the person"
  ],
  "verdict": "CONFIRMED"
 },
 "replies": [
  201,
  200
 ],
 "verifier": {
  "after_matches": 1,
  "agent_write_types": [
   "Appointment"
  ],
  "agent_writes": 1,
  "before_matches": 0,
  "corrected": true,
  "other_writes": 0,
  "outcome": "created_verified",
  "unattributed_writes": 0,
  "unlogged_writes": 0,
  "writes_to_record": 2
 }
}
CONFIRMED Appointment check 26, records: none
RecordFieldAgent sentStore holds now
statusbooked
start2026-11-17T14:00:00Z
end2026-11-17T14:30:00Z
patientPatient/7b44ac49-b88e-45d0-95b7-08118312a47d
practitionerPractitioner/d7684dce-6023-47c0-ae20-2bec49c38b1f

Before the write, matching records: none

WritePathReplyAdded
POST/fhir/R4/Appointment50429 ms
Evidence
{
 "after": {},
 "before": [],
 "fields": [],
 "recheck": {
  "at": 1793469574.956411,
  "reasons": [
   "since the first check: one record was already the person"
  ],
  "verdict": "CONFIRMED"
 },
 "replies": [
  504
 ],
 "verifier": {
  "after_matches": 1,
  "agent_write_types": [
   "Appointment"
  ],
  "agent_writes": 1,
  "before_matches": 0,
  "other_writes": 0,
  "outcome": "created_verified",
  "unattributed_writes": 0,
  "unlogged_writes": 0
 }
}
CONFIRMED Appointment check 28, records: Appointment/2f779ce5-948c-46c2-a18f-3cef786a7cff
RecordFieldAgent sentStore holds now
5 other fields hold what the agent sent (all fields are under Evidence)

Before the write, matching records: none

WritePathReplyAdded
POST/fhir/R4/Appointment20133 ms
Evidence
{
 "after": {
  "Appointment/2f779ce5-948c-46c2-a18f-3cef786a7cff": {
   "end": "2026-11-17T14:30:00Z",
   "id": "2f779ce5-948c-46c2-a18f-3cef786a7cff",
   "meta": {
    "lastUpdated": "2026-10-31T18:00:29.827Z",
    "versionId": "6ce98752-6f2d-4f26-b5c2-e31e6bb73ecd"
   },
   "participant": [
    {
     "actor": {
      "reference": "Patient/292f116d-479d-46c3-a9b4-f91280a65e1e"
     },
     "status": "accepted"
    },
    {
     "actor": {
      "reference": "Practitioner/d7684dce-6023-47c0-ae20-2bec49c38b1f"
     },
     "status": "accepted"
    }
   ],
   "resourceType": "Appointment",
   "start": "2026-11-17T14:00:00Z",
   "status": "booked"
  }
 },
 "before": [],
 "fields": [
  {
   "field": "status",
   "record": "Appointment/2f779ce5-948c-46c2-a18f-3cef786a7cff",
   "same": true,
   "sent": "booked",
   "stored": "booked"
  },
  {
   "field": "start",
   "record": "Appointment/2f779ce5-948c-46c2-a18f-3cef786a7cff",
   "same": true,
   "sent": "2026-11-17T14:00:00Z",
   "stored": "2026-11-17T14:00:00Z"
  },
  {
   "field": "end",
   "record": "Appointment/2f779ce5-948c-46c2-a18f-3cef786a7cff",
   "same": true,
   "sent": "2026-11-17T14:30:00Z",
   "stored": "2026-11-17T14:30:00Z"
  },
  {
   "field": "patient",
   "record": "Appointment/2f779ce5-948c-46c2-a18f-3cef786a7cff",
   "same": true,
   "sent": "Patient/292f116d-479d-46c3-a9b4-f91280a65e1e",
   "stored": "Patient/292f116d-479d-46c3-a9b4-f91280a65e1e"
  },
  {
   "field": "practitioner",
   "record": "Appointment/2f779ce5-948c-46c2-a18f-3cef786a7cff",
   "same": true,
   "sent": "Practitioner/d7684dce-6023-47c0-ae20-2bec49c38b1f",
   "stored": "Practitioner/d7684dce-6023-47c0-ae20-2bec49c38b1f"
  }
 ],
 "recheck": {
  "at": 1793469644.621291,
  "reasons": [
   "since the first check: one record was already the person"
  ],
  "verdict": "CONFIRMED"
 },
 "replies": [
  201
 ],
 "verifier": {
  "after_matches": 1,
  "agent_write_types": [
   "Appointment"
  ],
  "agent_writes": 1,
  "before_matches": 0,
  "other_writes": 0,
  "outcome": "created_verified",
  "unattributed_writes": 0,
  "unlogged_writes": 0
 }
}
CONFIRMED Appointment check 29, records: Appointment/b8324537-f357-4ae1-a350-2006597f71fe
RecordFieldAgent sentStore holds now
5 other fields hold what the agent sent (all fields are under Evidence)

Before the write, matching records: none

WritePathReplyAdded
POST/fhir/R4/Appointment20118 ms
PUT/fhir/R4/Appointment/b8324537-f357-4ae1-a350-2006597f71fe2000 ms
Evidence
{
 "after": {
  "Appointment/b8324537-f357-4ae1-a350-2006597f71fe": {
   "end": "2026-11-17T14:30:00Z",
   "id": "b8324537-f357-4ae1-a350-2006597f71fe",
   "meta": {
    "lastUpdated": "2026-10-31T18:01:16.905Z",
    "versionId": "36ea586c-7229-4b51-be53-bbb12e824904"
   },
   "participant": [
    {
     "actor": {
      "reference": "Patient/c4d0e4f8-55e3-433d-81e7-808eb99f01dc"
     },
     "status": "accepted"
    },
    {
     "actor": {
      "reference": "Practitioner/d7684dce-6023-47c0-ae20-2bec49c38b1f"
     },
     "status": "accepted"
    }
   ],
   "resourceType": "Appointment",
   "start": "2026-11-17T14:00:00Z",
   "status": "booked"
  }
 },
 "before": [],
 "fields": [
  {
   "field": "status",
   "record": "Appointment/b8324537-f357-4ae1-a350-2006597f71fe",
   "same": true,
   "sent": "booked",
   "stored": "booked"
  },
  {
   "field": "start",
   "record": "Appointment/b8324537-f357-4ae1-a350-2006597f71fe",
   "same": true,
   "sent": "2026-11-17T14:00:00Z",
   "stored": "2026-11-17T14:00:00Z"
  },
  {
   "field": "end",
   "record": "Appointment/b8324537-f357-4ae1-a350-2006597f71fe",
   "same": true,
   "sent": "2026-11-17T14:30:00Z",
   "stored": "2026-11-17T14:30:00Z"
  },
  {
   "field": "patient",
   "record": "Appointment/b8324537-f357-4ae1-a350-2006597f71fe",
   "same": true,
   "sent": "Patient/c4d0e4f8-55e3-433d-81e7-808eb99f01dc",
   "stored": "Patient/c4d0e4f8-55e3-433d-81e7-808eb99f01dc"
  },
  {
   "field": "practitioner",
   "record": "Appointment/b8324537-f357-4ae1-a350-2006597f71fe",
   "same": true,
   "sent": "Practitioner/d7684dce-6023-47c0-ae20-2bec49c38b1f",
   "stored": "Practitioner/d7684dce-6023-47c0-ae20-2bec49c38b1f"
  }
 ],
 "recheck": {
  "at": 1793469692.076894,
  "reasons": [
   "since the first check: one record was already the person"
  ],
  "verdict": "CONFIRMED"
 },
 "replies": [
  201,
  200
 ],
 "verifier": {
  "after_matches": 1,
  "agent_write_types": [
   "Appointment"
  ],
  "agent_writes": 1,
  "before_matches": 0,
  "corrected": true,
  "other_writes": 0,
  "outcome": "created_verified",
  "unattributed_writes": 0,
  "unlogged_writes": 0,
  "writes_to_record": 2
 }
}
CONFIRMED Appointment check 32, records: Appointment/94733b93-8a58-43f0-8cdd-d66871649c03
RecordFieldAgent sentStore holds now
5 other fields hold what the agent sent (all fields are under Evidence)

Before the write, matching records: none

WritePathReplyAdded
POST/fhir/R4/Appointment20127 ms
Evidence
{
 "after": {
  "Appointment/94733b93-8a58-43f0-8cdd-d66871649c03": {
   "end": "2026-11-17T14:30:00Z",
   "id": "94733b93-8a58-43f0-8cdd-d66871649c03",
   "meta": {
    "lastUpdated": "2026-10-31T18:03:29.672Z",
    "versionId": "0b48d7fe-3a37-4da1-ab77-985b87698266"
   },
   "participant": [
    {
     "actor": {
      "reference": "Patient/52c06423-0869-44e7-ac00-05195a33f737"
     },
     "status": "accepted"
    },
    {
     "actor": {
      "reference": "Practitioner/d7684dce-6023-47c0-ae20-2bec49c38b1f"
     },
     "status": "accepted"
    }
   ],
   "resourceType": "Appointment",
   "start": "2026-11-17T14:00:00Z",
   "status": "booked"
  }
 },
 "before": [],
 "fields": [
  {
   "field": "status",
   "record": "Appointment/94733b93-8a58-43f0-8cdd-d66871649c03",
   "same": true,
   "sent": "booked",
   "stored": "booked"
  },
  {
   "field": "start",
   "record": "Appointment/94733b93-8a58-43f0-8cdd-d66871649c03",
   "same": true,
   "sent": "2026-11-17T14:00:00Z",
   "stored": "2026-11-17T14:00:00Z"
  },
  {
   "field": "end",
   "record": "Appointment/94733b93-8a58-43f0-8cdd-d66871649c03",
   "same": true,
   "sent": "2026-11-17T14:30:00Z",
   "stored": "2026-11-17T14:30:00Z"
  },
  {
   "field": "patient",
   "record": "Appointment/94733b93-8a58-43f0-8cdd-d66871649c03",
   "same": true,
   "sent": "Patient/52c06423-0869-44e7-ac00-05195a33f737",
   "stored": "Patient/52c06423-0869-44e7-ac00-05195a33f737"
  },
  {
   "field": "practitioner",
   "record": "Appointment/94733b93-8a58-43f0-8cdd-d66871649c03",
   "same": true,
   "sent": "Practitioner/d7684dce-6023-47c0-ae20-2bec49c38b1f",
   "stored": "Practitioner/d7684dce-6023-47c0-ae20-2bec49c38b1f"
  }
 ],
 "recheck": {
  "at": 1793469824.305779,
  "reasons": [
   "since the first check: one record was already the person"
  ],
  "verdict": "CONFIRMED"
 },
 "replies": [
  201
 ],
 "verifier": {
  "after_matches": 1,
  "agent_write_types": [
   "Appointment"
  ],
  "agent_writes": 1,
  "before_matches": 0,
  "other_writes": 0,
  "outcome": "created_verified",
  "unattributed_writes": 0,
  "unlogged_writes": 0
 }
}