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.

33 writes seen, in 33 checks (a record's create, retries and corrections are one check).

18Refuted

2Uncertain

13Confirmed

Rechecks of confirmed writes: 1 refuted.

How they landed wrong:

a value differs from what the agent sent: 9
another record changed: 4
saved more than once: 3
holds a value the agent didn't send: 1
changed after the check: 1

Added latency per write: median 15.2 ms, largest 37.8 ms.

Landed wrong after the check (1)

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

REFUTED AllergyIntolerance check 20, records: AllergyIntolerance/e87bd506-7bd7-485c-b1ba-7c0167d754e9

created once, every value read back
Checked first: CONFIRMED; checked again: REFUTED; 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

Record	Field	Agent sent	Store holds now
6 other fields hold what the agent sent (all fields are under Evidence)

Before the write, matching records: none

Write	Path	Reply	Added
POST	/fhir/R4/AllergyIntolerance	201	14 ms

Evidence

{
 "after": {
  "AllergyIntolerance/e87bd506-7bd7-485c-b1ba-7c0167d754e9": {
   "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": "e87bd506-7bd7-485c-b1ba-7c0167d754e9",
   "meta": {
    "lastUpdated": "2026-10-31T17:38:23.985Z",
    "versionId": "fb0e98cd-be83-4e5c-b194-29a4ff8bcf85"
   },
   "patient": {
    "reference": "Patient/fadc5ca1-448a-4d78-8080-f7500f05784b"
   },
   "resourceType": "AllergyIntolerance",
   "verificationStatus": {
    "coding": [
     {
      "code": "confirmed",
      "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"
     }
    ]
   }
  }
 },
 "before": [],
 "fields": [
  {
   "field": "patient",
   "record": "AllergyIntolerance/e87bd506-7bd7-485c-b1ba-7c0167d754e9",
   "same": true,
   "sent": "Patient/fadc5ca1-448a-4d78-8080-f7500f05784b",
   "stored": "Patient/fadc5ca1-448a-4d78-8080-f7500f05784b"
  },
  {
   "field": "code_system",
   "record": "AllergyIntolerance/e87bd506-7bd7-485c-b1ba-7c0167d754e9",
   "same": true,
   "sent": "http://snomed.info/sct",
   "stored": "http://snomed.info/sct"
  },
  {
   "field": "code",
   "record": "AllergyIntolerance/e87bd506-7bd7-485c-b1ba-7c0167d754e9",
   "same": true,
   "sent": "91936005",
   "stored": "91936005"
  },
  {
   "field": "criticality",
   "record": "AllergyIntolerance/e87bd506-7bd7-485c-b1ba-7c0167d754e9",
   "same": true,
   "sent": "high",
   "stored": "high"
  },
  {
   "field": "clinical_status",
   "record": "AllergyIntolerance/e87bd506-7bd7-485c-b1ba-7c0167d754e9",
   "same": true,
   "sent": "active",
   "stored": "active"
  },
  {
   "field": "verification_status",
   "record": "AllergyIntolerance/e87bd506-7bd7-485c-b1ba-7c0167d754e9",
   "same": true,
   "sent": "confirmed",
   "stored": "confirmed"
  }
 ],
 "recheck": {
  "at": 1793468314.547277,
  "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 (17)

REFUTED Patient check 3, records: Patient/5ec0827f-c57e-4ebc-b827-fd1cfbf22a3e

wrong or missing: birthDate

Record	Field	Agent sent	Store holds now
Patient/5ec0827f-c57e-4ebc-b827-fd1cfbf22a3e	birthDate	1988-04-22	1988-02-04
9 other fields hold what the agent sent (all fields are under Evidence)

Before the write, matching records: none

Write	Path	Reply	Added
POST	/fhir/R4/Patient	201	27 ms

Evidence

{
 "after": {
  "Patient/5ec0827f-c57e-4ebc-b827-fd1cfbf22a3e": {
   "address": [
    {
     "city": "Springfield",
     "line": [
      "14 Birch Lane"
     ],
     "postalCode": "01103",
     "state": "MA"
    }
   ],
   "birthDate": "1988-02-04",
   "gender": "female",
   "id": "5ec0827f-c57e-4ebc-b827-fd1cfbf22a3e",
   "meta": {
    "lastUpdated": "2026-10-31T17:34:47.647Z",
    "versionId": "472ac397-ee9b-4290-9765-b1b826da58f2"
   },
   "name": [
    {
     "family": "Okafor",
     "given": [
      "Lena"
     ]
    }
   ],
   "resourceType": "Patient",
   "telecom": [
    {
     "system": "phone",
     "value": "413-555-0187"
    },
    {
     "system": "email",
     "value": "lena.okafor@example.org"
    }
   ]
  }
 },
 "before": [],
 "fields": [
  {
   "field": "given",
   "record": "Patient/5ec0827f-c57e-4ebc-b827-fd1cfbf22a3e",
   "same": true,
   "sent": "Lena",
   "stored": "Lena"
  },
  {
   "field": "family",
   "record": "Patient/5ec0827f-c57e-4ebc-b827-fd1cfbf22a3e",
   "same": true,
   "sent": "Okafor",
   "stored": "Okafor"
  },
  {
   "field": "birthDate",
   "record": "Patient/5ec0827f-c57e-4ebc-b827-fd1cfbf22a3e",
   "same": false,
   "sent": "1988-04-22",
   "stored": "1988-02-04"
  },
  {
   "field": "gender",
   "record": "Patient/5ec0827f-c57e-4ebc-b827-fd1cfbf22a3e",
   "same": true,
   "sent": "female",
   "stored": "female"
  },
  {
   "field": "line",
   "record": "Patient/5ec0827f-c57e-4ebc-b827-fd1cfbf22a3e",
   "same": true,
   "sent": "14 Birch Lane",
   "stored": "14 Birch Lane"
  },
  {
   "field": "city",
   "record": "Patient/5ec0827f-c57e-4ebc-b827-fd1cfbf22a3e",
   "same": true,
   "sent": "Springfield",
   "stored": "Springfield"
  },
  {
   "field": "state",
   "record": "Patient/5ec0827f-c57e-4ebc-b827-fd1cfbf22a3e",
   "same": true,
   "sent": "MA",
   "stored": "MA"
  },
  {
   "field": "postalCode",
   "record": "Patient/5ec0827f-c57e-4ebc-b827-fd1cfbf22a3e",
   "same": true,
   "sent": "01103",
   "stored": "01103"
  },
  {
   "field": "phone",
   "record": "Patient/5ec0827f-c57e-4ebc-b827-fd1cfbf22a3e",
   "same": true,
   "sent": "413-555-0187",
   "stored": "413-555-0187"
  },
  {
   "field": "email",
   "record": "Patient/5ec0827f-c57e-4ebc-b827-fd1cfbf22a3e",
   "same": true,
   "sent": "lena.okafor@example.org",
   "stored": "lena.okafor@example.org"
  }
 ],
 "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 4, records: Patient/f2a3486f-16b7-4e5f-9404-e0e596d24741

wrong or missing: phone

Record	Field	Agent sent	Store holds now
Patient/f2a3486f-16b7-4e5f-9404-e0e596d24741	phone	413-555-0187	413-555-0178
9 other fields hold what the agent sent (all fields are under Evidence)

Before the write, matching records: none

Write	Path	Reply	Added
POST	/fhir/R4/Patient	201	26 ms

Evidence

{
 "after": {
  "Patient/f2a3486f-16b7-4e5f-9404-e0e596d24741": {
   "address": [
    {
     "city": "Springfield",
     "line": [
      "14 Birch Lane"
     ],
     "postalCode": "01103",
     "state": "MA"
    }
   ],
   "birthDate": "1988-04-22",
   "gender": "female",
   "id": "f2a3486f-16b7-4e5f-9404-e0e596d24741",
   "meta": {
    "lastUpdated": "2026-10-31T17:34:58.814Z",
    "versionId": "42abf29a-4086-487b-b1d9-be01065e7829"
   },
   "name": [
    {
     "family": "Okafor",
     "given": [
      "Lena"
     ]
    }
   ],
   "resourceType": "Patient",
   "telecom": [
    {
     "system": "phone",
     "value": "413-555-0178"
    },
    {
     "system": "email",
     "value": "lena.okafor@example.org"
    }
   ]
  }
 },
 "before": [],
 "fields": [
  {
   "field": "given",
   "record": "Patient/f2a3486f-16b7-4e5f-9404-e0e596d24741",
   "same": true,
   "sent": "Lena",
   "stored": "Lena"
  },
  {
   "field": "family",
   "record": "Patient/f2a3486f-16b7-4e5f-9404-e0e596d24741",
   "same": true,
   "sent": "Okafor",
   "stored": "Okafor"
  },
  {
   "field": "birthDate",
   "record": "Patient/f2a3486f-16b7-4e5f-9404-e0e596d24741",
   "same": true,
   "sent": "1988-04-22",
   "stored": "1988-04-22"
  },
  {
   "field": "gender",
   "record": "Patient/f2a3486f-16b7-4e5f-9404-e0e596d24741",
   "same": true,
   "sent": "female",
   "stored": "female"
  },
  {
   "field": "line",
   "record": "Patient/f2a3486f-16b7-4e5f-9404-e0e596d24741",
   "same": true,
   "sent": "14 Birch Lane",
   "stored": "14 Birch Lane"
  },
  {
   "field": "city",
   "record": "Patient/f2a3486f-16b7-4e5f-9404-e0e596d24741",
   "same": true,
   "sent": "Springfield",
   "stored": "Springfield"
  },
  {
   "field": "state",
   "record": "Patient/f2a3486f-16b7-4e5f-9404-e0e596d24741",
   "same": true,
   "sent": "MA",
   "stored": "MA"
  },
  {
   "field": "postalCode",
   "record": "Patient/f2a3486f-16b7-4e5f-9404-e0e596d24741",
   "same": true,
   "sent": "01103",
   "stored": "01103"
  },
  {
   "field": "phone",
   "record": "Patient/f2a3486f-16b7-4e5f-9404-e0e596d24741",
   "same": false,
   "sent": "413-555-0187",
   "stored": "413-555-0178"
  },
  {
   "field": "email",
   "record": "Patient/f2a3486f-16b7-4e5f-9404-e0e596d24741",
   "same": true,
   "sent": "lena.okafor@example.org",
   "stored": "lena.okafor@example.org"
  }
 ],
 "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/9aee7cef-16d4-4071-ae32-70619e519863

not given by the task: deceasedBoolean

Record	Field	Agent sent	Store holds now
Patient/9aee7cef-16d4-4071-ae32-70619e519863	(not sent)	none	deceasedBoolean
10 other fields hold what the agent sent (all fields are under Evidence)

Before the write, matching records: none

Write	Path	Reply	Added
POST	/fhir/R4/Patient	201	38 ms

Evidence

{
 "after": {
  "Patient/9aee7cef-16d4-4071-ae32-70619e519863": {
   "address": [
    {
     "city": "Springfield",
     "line": [
      "14 Birch Lane"
     ],
     "postalCode": "01103",
     "state": "MA"
    }
   ],
   "birthDate": "1988-04-22",
   "deceasedBoolean": true,
   "gender": "female",
   "id": "9aee7cef-16d4-4071-ae32-70619e519863",
   "meta": {
    "lastUpdated": "2026-10-31T17:35:10.014Z",
    "versionId": "eac4916c-adce-407f-918b-11be1910bfa2"
   },
   "name": [
    {
     "family": "Okafor",
     "given": [
      "Lena"
     ]
    }
   ],
   "resourceType": "Patient",
   "telecom": [
    {
     "system": "phone",
     "value": "413-555-0187"
    },
    {
     "system": "email",
     "value": "lena.okafor@example.org"
    }
   ]
  }
 },
 "before": [],
 "fields": [
  {
   "field": "given",
   "record": "Patient/9aee7cef-16d4-4071-ae32-70619e519863",
   "same": true,
   "sent": "Lena",
   "stored": "Lena"
  },
  {
   "field": "family",
   "record": "Patient/9aee7cef-16d4-4071-ae32-70619e519863",
   "same": true,
   "sent": "Okafor",
   "stored": "Okafor"
  },
  {
   "field": "birthDate",
   "record": "Patient/9aee7cef-16d4-4071-ae32-70619e519863",
   "same": true,
   "sent": "1988-04-22",
   "stored": "1988-04-22"
  },
  {
   "field": "gender",
   "record": "Patient/9aee7cef-16d4-4071-ae32-70619e519863",
   "same": true,
   "sent": "female",
   "stored": "female"
  },
  {
   "field": "line",
   "record": "Patient/9aee7cef-16d4-4071-ae32-70619e519863",
   "same": true,
   "sent": "14 Birch Lane",
   "stored": "14 Birch Lane"
  },
  {
   "field": "city",
   "record": "Patient/9aee7cef-16d4-4071-ae32-70619e519863",
   "same": true,
   "sent": "Springfield",
   "stored": "Springfield"
  },
  {
   "field": "state",
   "record": "Patient/9aee7cef-16d4-4071-ae32-70619e519863",
   "same": true,
   "sent": "MA",
   "stored": "MA"
  },
  {
   "field": "postalCode",
   "record": "Patient/9aee7cef-16d4-4071-ae32-70619e519863",
   "same": true,
   "sent": "01103",
   "stored": "01103"
  },
  {
   "field": "phone",
   "record": "Patient/9aee7cef-16d4-4071-ae32-70619e519863",
   "same": true,
   "sent": "413-555-0187",
   "stored": "413-555-0187"
  },
  {
   "field": "email",
   "record": "Patient/9aee7cef-16d4-4071-ae32-70619e519863",
   "same": true,
   "sent": "lena.okafor@example.org",
   "stored": "lena.okafor@example.org"
  },
  {
   "field": "(not sent)",
   "record": "Patient/9aee7cef-16d4-4071-ae32-70619e519863",
   "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 6, records: Patient/5208bfaf-f51a-4192-a00b-864f5a024d22

the agent created 2 Patient records, not one
the agent wrote 2 other resource(s): Patient

Record	Field	Agent sent	Store holds now
10 other fields hold what the agent sent (all fields are under Evidence)

Before the write, matching records: none

Write	Path	Reply	Added
POST	/fhir/R4/Patient	201	27 ms

Evidence

{
 "after": {
  "Patient/5208bfaf-f51a-4192-a00b-864f5a024d22": {
   "address": [
    {
     "city": "Springfield",
     "line": [
      "14 Birch Lane"
     ],
     "postalCode": "01103",
     "state": "MA"
    }
   ],
   "birthDate": "1988-04-22",
   "gender": "female",
   "id": "5208bfaf-f51a-4192-a00b-864f5a024d22",
   "meta": {
    "lastUpdated": "2026-10-31T17:35:21.225Z",
    "versionId": "4c88bead-2e1a-4087-bacf-d219afefe67c"
   },
   "name": [
    {
     "family": "Okafor",
     "given": [
      "Lena"
     ]
    }
   ],
   "resourceType": "Patient",
   "telecom": [
    {
     "system": "phone",
     "value": "413-555-0187"
    },
    {
     "system": "email",
     "value": "lena.okafor@example.org"
    }
   ]
  }
 },
 "before": [],
 "fields": [
  {
   "field": "given",
   "record": "Patient/5208bfaf-f51a-4192-a00b-864f5a024d22",
   "same": true,
   "sent": "Lena",
   "stored": "Lena"
  },
  {
   "field": "family",
   "record": "Patient/5208bfaf-f51a-4192-a00b-864f5a024d22",
   "same": true,
   "sent": "Okafor",
   "stored": "Okafor"
  },
  {
   "field": "birthDate",
   "record": "Patient/5208bfaf-f51a-4192-a00b-864f5a024d22",
   "same": true,
   "sent": "1988-04-22",
   "stored": "1988-04-22"
  },
  {
   "field": "gender",
   "record": "Patient/5208bfaf-f51a-4192-a00b-864f5a024d22",
   "same": true,
   "sent": "female",
   "stored": "female"
  },
  {
   "field": "line",
   "record": "Patient/5208bfaf-f51a-4192-a00b-864f5a024d22",
   "same": true,
   "sent": "14 Birch Lane",
   "stored": "14 Birch Lane"
  },
  {
   "field": "city",
   "record": "Patient/5208bfaf-f51a-4192-a00b-864f5a024d22",
   "same": true,
   "sent": "Springfield",
   "stored": "Springfield"
  },
  {
   "field": "state",
   "record": "Patient/5208bfaf-f51a-4192-a00b-864f5a024d22",
   "same": true,
   "sent": "MA",
   "stored": "MA"
  },
  {
   "field": "postalCode",
   "record": "Patient/5208bfaf-f51a-4192-a00b-864f5a024d22",
   "same": true,
   "sent": "01103",
   "stored": "01103"
  },
  {
   "field": "phone",
   "record": "Patient/5208bfaf-f51a-4192-a00b-864f5a024d22",
   "same": true,
   "sent": "413-555-0187",
   "stored": "413-555-0187"
  },
  {
   "field": "email",
   "record": "Patient/5208bfaf-f51a-4192-a00b-864f5a024d22",
   "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 8, records: Patient/28d55542-2412-4a3a-98db-44ec3d47ef68

the agent wrote 1 other resource(s): Patient

Record	Field	Agent sent	Store holds now
10 other fields hold what the agent sent (all fields are under Evidence)

Before the write, matching records: none

Write	Path	Reply	Added
POST	/fhir/R4/Patient	201	27 ms

Evidence

{
 "after": {
  "Patient/28d55542-2412-4a3a-98db-44ec3d47ef68": {
   "address": [
    {
     "city": "Springfield",
     "line": [
      "14 Birch Lane"
     ],
     "postalCode": "01103",
     "state": "MA"
    }
   ],
   "birthDate": "1988-04-22",
   "gender": "female",
   "id": "28d55542-2412-4a3a-98db-44ec3d47ef68",
   "meta": {
    "lastUpdated": "2026-10-31T17:35:45.896Z",
    "versionId": "730d70db-63e2-472e-b7ff-75f0d51042fc"
   },
   "name": [
    {
     "family": "Okafor",
     "given": [
      "Lena"
     ]
    }
   ],
   "resourceType": "Patient",
   "telecom": [
    {
     "system": "phone",
     "value": "413-555-0187"
    },
    {
     "system": "email",
     "value": "lena.okafor@example.org"
    }
   ]
  }
 },
 "before": [],
 "fields": [
  {
   "field": "given",
   "record": "Patient/28d55542-2412-4a3a-98db-44ec3d47ef68",
   "same": true,
   "sent": "Lena",
   "stored": "Lena"
  },
  {
   "field": "family",
   "record": "Patient/28d55542-2412-4a3a-98db-44ec3d47ef68",
   "same": true,
   "sent": "Okafor",
   "stored": "Okafor"
  },
  {
   "field": "birthDate",
   "record": "Patient/28d55542-2412-4a3a-98db-44ec3d47ef68",
   "same": true,
   "sent": "1988-04-22",
   "stored": "1988-04-22"
  },
  {
   "field": "gender",
   "record": "Patient/28d55542-2412-4a3a-98db-44ec3d47ef68",
   "same": true,
   "sent": "female",
   "stored": "female"
  },
  {
   "field": "line",
   "record": "Patient/28d55542-2412-4a3a-98db-44ec3d47ef68",
   "same": true,
   "sent": "14 Birch Lane",
   "stored": "14 Birch Lane"
  },
  {
   "field": "city",
   "record": "Patient/28d55542-2412-4a3a-98db-44ec3d47ef68",
   "same": true,
   "sent": "Springfield",
   "stored": "Springfield"
  },
  {
   "field": "state",
   "record": "Patient/28d55542-2412-4a3a-98db-44ec3d47ef68",
   "same": true,
   "sent": "MA",
   "stored": "MA"
  },
  {
   "field": "postalCode",
   "record": "Patient/28d55542-2412-4a3a-98db-44ec3d47ef68",
   "same": true,
   "sent": "01103",
   "stored": "01103"
  },
  {
   "field": "phone",
   "record": "Patient/28d55542-2412-4a3a-98db-44ec3d47ef68",
   "same": true,
   "sent": "413-555-0187",
   "stored": "413-555-0187"
  },
  {
   "field": "email",
   "record": "Patient/28d55542-2412-4a3a-98db-44ec3d47ef68",
   "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 14, records: AllergyIntolerance/865e8ac4-d7aa-443d-acbe-d28de9ea834d

wrong or missing: patient
the created record is not the person
the created record does not come back from a search

Record	Field	Agent sent	Store holds now
AllergyIntolerance/865e8ac4-d7aa-443d-acbe-d28de9ea834d	patient	Patient/9b8d64b0-ba6a-4d62-a9a0-86ed0243ef90	Patient/6784fdcb-56e6-40ea-b1cc-70922257bb3f
5 other fields hold what the agent sent (all fields are under Evidence)

Before the write, matching records: none

Write	Path	Reply	Added
POST	/fhir/R4/AllergyIntolerance	201	15 ms

Evidence

{
 "after": {
  "AllergyIntolerance/865e8ac4-d7aa-443d-acbe-d28de9ea834d": {
   "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": "865e8ac4-d7aa-443d-acbe-d28de9ea834d",
   "meta": {
    "lastUpdated": "2026-10-31T17:37:15.031Z",
    "versionId": "2445768a-72de-4cdd-833d-a81c8b43e57b"
   },
   "patient": {
    "reference": "Patient/6784fdcb-56e6-40ea-b1cc-70922257bb3f"
   },
   "resourceType": "AllergyIntolerance",
   "verificationStatus": {
    "coding": [
     {
      "code": "confirmed",
      "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"
     }
    ]
   }
  }
 },
 "before": [],
 "fields": [
  {
   "field": "patient",
   "record": "AllergyIntolerance/865e8ac4-d7aa-443d-acbe-d28de9ea834d",
   "same": false,
   "sent": "Patient/9b8d64b0-ba6a-4d62-a9a0-86ed0243ef90",
   "stored": "Patient/6784fdcb-56e6-40ea-b1cc-70922257bb3f"
  },
  {
   "field": "code_system",
   "record": "AllergyIntolerance/865e8ac4-d7aa-443d-acbe-d28de9ea834d",
   "same": true,
   "sent": "http://snomed.info/sct",
   "stored": "http://snomed.info/sct"
  },
  {
   "field": "code",
   "record": "AllergyIntolerance/865e8ac4-d7aa-443d-acbe-d28de9ea834d",
   "same": true,
   "sent": "91936005",
   "stored": "91936005"
  },
  {
   "field": "criticality",
   "record": "AllergyIntolerance/865e8ac4-d7aa-443d-acbe-d28de9ea834d",
   "same": true,
   "sent": "high",
   "stored": "high"
  },
  {
   "field": "clinical_status",
   "record": "AllergyIntolerance/865e8ac4-d7aa-443d-acbe-d28de9ea834d",
   "same": true,
   "sent": "active",
   "stored": "active"
  },
  {
   "field": "verification_status",
   "record": "AllergyIntolerance/865e8ac4-d7aa-443d-acbe-d28de9ea834d",
   "same": true,
   "sent": "confirmed",
   "stored": "confirmed"
  }
 ],
 "replies": [
  201
 ],
 "verifier": {
  "after_matches": 0,
  "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 15, records: AllergyIntolerance/3513ca33-e78c-41ba-be7c-d69bb7c2bbc7

wrong or missing: code
the created record is not the person
the created record does not come back from a search

Record	Field	Agent sent	Store holds now
AllergyIntolerance/3513ca33-e78c-41ba-be7c-d69bb7c2bbc7	code	91936005	294505008
5 other fields hold what the agent sent (all fields are under Evidence)

Before the write, matching records: none

Write	Path	Reply	Added
POST	/fhir/R4/AllergyIntolerance	201	14 ms

Evidence

{
 "after": {
  "AllergyIntolerance/3513ca33-e78c-41ba-be7c-d69bb7c2bbc7": {
   "clinicalStatus": {
    "coding": [
     {
      "code": "active",
      "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"
     }
    ]
   },
   "code": {
    "coding": [
     {
      "code": "294505008",
      "display": "Allergy to penicillin",
      "system": "http://snomed.info/sct"
     }
    ]
   },
   "criticality": "high",
   "id": "3513ca33-e78c-41ba-be7c-d69bb7c2bbc7",
   "meta": {
    "lastUpdated": "2026-10-31T17:37:26.108Z",
    "versionId": "cf898f95-a1de-4306-b87e-82df26769071"
   },
   "patient": {
    "reference": "Patient/3456fc18-4b69-47ca-8a24-f4521dda15a2"
   },
   "resourceType": "AllergyIntolerance",
   "verificationStatus": {
    "coding": [
     {
      "code": "confirmed",
      "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"
     }
    ]
   }
  }
 },
 "before": [],
 "fields": [
  {
   "field": "patient",
   "record": "AllergyIntolerance/3513ca33-e78c-41ba-be7c-d69bb7c2bbc7",
   "same": true,
   "sent": "Patient/3456fc18-4b69-47ca-8a24-f4521dda15a2",
   "stored": "Patient/3456fc18-4b69-47ca-8a24-f4521dda15a2"
  },
  {
   "field": "code_system",
   "record": "AllergyIntolerance/3513ca33-e78c-41ba-be7c-d69bb7c2bbc7",
   "same": true,
   "sent": "http://snomed.info/sct",
   "stored": "http://snomed.info/sct"
  },
  {
   "field": "code",
   "record": "AllergyIntolerance/3513ca33-e78c-41ba-be7c-d69bb7c2bbc7",
   "same": false,
   "sent": "91936005",
   "stored": "294505008"
  },
  {
   "field": "criticality",
   "record": "AllergyIntolerance/3513ca33-e78c-41ba-be7c-d69bb7c2bbc7",
   "same": true,
   "sent": "high",
   "stored": "high"
  },
  {
   "field": "clinical_status",
   "record": "AllergyIntolerance/3513ca33-e78c-41ba-be7c-d69bb7c2bbc7",
   "same": true,
   "sent": "active",
   "stored": "active"
  },
  {
   "field": "verification_status",
   "record": "AllergyIntolerance/3513ca33-e78c-41ba-be7c-d69bb7c2bbc7",
   "same": true,
   "sent": "confirmed",
   "stored": "confirmed"
  }
 ],
 "replies": [
  201
 ],
 "verifier": {
  "after_matches": 0,
  "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/a354a084-99e4-4bf7-9ecb-1d89f84e3044

wrong or missing: criticality

Record	Field	Agent sent	Store holds now
AllergyIntolerance/a354a084-99e4-4bf7-9ecb-1d89f84e3044	criticality	high	low
5 other fields hold what the agent sent (all fields are under Evidence)

Before the write, matching records: none

Write	Path	Reply	Added
POST	/fhir/R4/AllergyIntolerance	201	14 ms

Evidence

{
 "after": {
  "AllergyIntolerance/a354a084-99e4-4bf7-9ecb-1d89f84e3044": {
   "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": "low",
   "id": "a354a084-99e4-4bf7-9ecb-1d89f84e3044",
   "meta": {
    "lastUpdated": "2026-10-31T17:37:37.198Z",
    "versionId": "f6092bf7-27ea-4ae7-84a4-edc33198f53e"
   },
   "patient": {
    "reference": "Patient/0406cc0a-1637-4bf0-8db4-6d10f6af00bd"
   },
   "resourceType": "AllergyIntolerance",
   "verificationStatus": {
    "coding": [
     {
      "code": "confirmed",
      "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"
     }
    ]
   }
  }
 },
 "before": [],
 "fields": [
  {
   "field": "patient",
   "record": "AllergyIntolerance/a354a084-99e4-4bf7-9ecb-1d89f84e3044",
   "same": true,
   "sent": "Patient/0406cc0a-1637-4bf0-8db4-6d10f6af00bd",
   "stored": "Patient/0406cc0a-1637-4bf0-8db4-6d10f6af00bd"
  },
  {
   "field": "code_system",
   "record": "AllergyIntolerance/a354a084-99e4-4bf7-9ecb-1d89f84e3044",
   "same": true,
   "sent": "http://snomed.info/sct",
   "stored": "http://snomed.info/sct"
  },
  {
   "field": "code",
   "record": "AllergyIntolerance/a354a084-99e4-4bf7-9ecb-1d89f84e3044",
   "same": true,
   "sent": "91936005",
   "stored": "91936005"
  },
  {
   "field": "criticality",
   "record": "AllergyIntolerance/a354a084-99e4-4bf7-9ecb-1d89f84e3044",
   "same": false,
   "sent": "high",
   "stored": "low"
  },
  {
   "field": "clinical_status",
   "record": "AllergyIntolerance/a354a084-99e4-4bf7-9ecb-1d89f84e3044",
   "same": true,
   "sent": "active",
   "stored": "active"
  },
  {
   "field": "verification_status",
   "record": "AllergyIntolerance/a354a084-99e4-4bf7-9ecb-1d89f84e3044",
   "same": true,
   "sent": "confirmed",
   "stored": "confirmed"
  }
 ],
 "replies": [
  201
 ],
 "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 17, records: AllergyIntolerance/81d86c79-5738-4193-b20b-c2941c8a8ba0

the agent created 2 AllergyIntolerance records, not one
the agent wrote 2 other resource(s): AllergyIntolerance

Record	Field	Agent sent	Store holds now
6 other fields hold what the agent sent (all fields are under Evidence)

Before the write, matching records: none

Write	Path	Reply	Added
POST	/fhir/R4/AllergyIntolerance	201	14 ms

Evidence

{
 "after": {
  "AllergyIntolerance/81d86c79-5738-4193-b20b-c2941c8a8ba0": {
   "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": "81d86c79-5738-4193-b20b-c2941c8a8ba0",
   "meta": {
    "lastUpdated": "2026-10-31T17:37:48.296Z",
    "versionId": "54adbc1f-bc75-43a8-8906-0e9c416275bb"
   },
   "patient": {
    "reference": "Patient/64f8fff0-9fbc-4824-bf17-495faabf94c5"
   },
   "resourceType": "AllergyIntolerance",
   "verificationStatus": {
    "coding": [
     {
      "code": "confirmed",
      "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"
     }
    ]
   }
  }
 },
 "before": [],
 "fields": [
  {
   "field": "patient",
   "record": "AllergyIntolerance/81d86c79-5738-4193-b20b-c2941c8a8ba0",
   "same": true,
   "sent": "Patient/64f8fff0-9fbc-4824-bf17-495faabf94c5",
   "stored": "Patient/64f8fff0-9fbc-4824-bf17-495faabf94c5"
  },
  {
   "field": "code_system",
   "record": "AllergyIntolerance/81d86c79-5738-4193-b20b-c2941c8a8ba0",
   "same": true,
   "sent": "http://snomed.info/sct",
   "stored": "http://snomed.info/sct"
  },
  {
   "field": "code",
   "record": "AllergyIntolerance/81d86c79-5738-4193-b20b-c2941c8a8ba0",
   "same": true,
   "sent": "91936005",
   "stored": "91936005"
  },
  {
   "field": "criticality",
   "record": "AllergyIntolerance/81d86c79-5738-4193-b20b-c2941c8a8ba0",
   "same": true,
   "sent": "high",
   "stored": "high"
  },
  {
   "field": "clinical_status",
   "record": "AllergyIntolerance/81d86c79-5738-4193-b20b-c2941c8a8ba0",
   "same": true,
   "sent": "active",
   "stored": "active"
  },
  {
   "field": "verification_status",
   "record": "AllergyIntolerance/81d86c79-5738-4193-b20b-c2941c8a8ba0",
   "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 18, records: AllergyIntolerance/cf3ef71e-1dc1-4b8f-9d76-1be82507a12d

the agent wrote 1 other resource(s): Patient

Record	Field	Agent sent	Store holds now
6 other fields hold what the agent sent (all fields are under Evidence)

Before the write, matching records: none

Write	Path	Reply	Added
POST	/fhir/R4/AllergyIntolerance	201	14 ms

Evidence

{
 "after": {
  "AllergyIntolerance/cf3ef71e-1dc1-4b8f-9d76-1be82507a12d": {
   "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": "cf3ef71e-1dc1-4b8f-9d76-1be82507a12d",
   "meta": {
    "lastUpdated": "2026-10-31T17:37:59.467Z",
    "versionId": "7db8f140-9b7e-4bf5-ae54-fc1820c1a152"
   },
   "patient": {
    "reference": "Patient/18bf765b-1782-42e4-a598-903ce1320905"
   },
   "resourceType": "AllergyIntolerance",
   "verificationStatus": {
    "coding": [
     {
      "code": "confirmed",
      "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"
     }
    ]
   }
  }
 },
 "before": [],
 "fields": [
  {
   "field": "patient",
   "record": "AllergyIntolerance/cf3ef71e-1dc1-4b8f-9d76-1be82507a12d",
   "same": true,
   "sent": "Patient/18bf765b-1782-42e4-a598-903ce1320905",
   "stored": "Patient/18bf765b-1782-42e4-a598-903ce1320905"
  },
  {
   "field": "code_system",
   "record": "AllergyIntolerance/cf3ef71e-1dc1-4b8f-9d76-1be82507a12d",
   "same": true,
   "sent": "http://snomed.info/sct",
   "stored": "http://snomed.info/sct"
  },
  {
   "field": "code",
   "record": "AllergyIntolerance/cf3ef71e-1dc1-4b8f-9d76-1be82507a12d",
   "same": true,
   "sent": "91936005",
   "stored": "91936005"
  },
  {
   "field": "criticality",
   "record": "AllergyIntolerance/cf3ef71e-1dc1-4b8f-9d76-1be82507a12d",
   "same": true,
   "sent": "high",
   "stored": "high"
  },
  {
   "field": "clinical_status",
   "record": "AllergyIntolerance/cf3ef71e-1dc1-4b8f-9d76-1be82507a12d",
   "same": true,
   "sent": "active",
   "stored": "active"
  },
  {
   "field": "verification_status",
   "record": "AllergyIntolerance/cf3ef71e-1dc1-4b8f-9d76-1be82507a12d",
   "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 24, records: Appointment/74a46f65-ed89-4ade-b094-54196df60d83

wrong or missing: end, start
the created record is not the person
the created record does not come back from a search

Record	Field	Agent sent	Store holds now
Appointment/74a46f65-ed89-4ade-b094-54196df60d83	start	2026-11-17T14:00:00Z	2026-11-17T15:00:00Z
Appointment/74a46f65-ed89-4ade-b094-54196df60d83	end	2026-11-17T14:30:00Z	2026-11-17T15:30:00Z
3 other fields hold what the agent sent (all fields are under Evidence)

Before the write, matching records: none

Write	Path	Reply	Added
POST	/fhir/R4/Appointment	201	15 ms

Evidence

{
 "after": {
  "Appointment/74a46f65-ed89-4ade-b094-54196df60d83": {
   "end": "2026-11-17T15:30:00Z",
   "id": "74a46f65-ed89-4ade-b094-54196df60d83",
   "meta": {
    "lastUpdated": "2026-10-31T17:39:24.774Z",
    "versionId": "6ec9ae9f-8216-4029-ae28-08554d3f765e"
   },
   "participant": [
    {
     "actor": {
      "reference": "Patient/afc1adf4-22d3-451f-8d00-15b343bbbe53"
     },
     "status": "accepted"
    },
    {
     "actor": {
      "reference": "Practitioner/d7684dce-6023-47c0-ae20-2bec49c38b1f"
     },
     "status": "accepted"
    }
   ],
   "resourceType": "Appointment",
   "start": "2026-11-17T15:00:00Z",
   "status": "booked"
  }
 },
 "before": [],
 "fields": [
  {
   "field": "status",
   "record": "Appointment/74a46f65-ed89-4ade-b094-54196df60d83",
   "same": true,
   "sent": "booked",
   "stored": "booked"
  },
  {
   "field": "start",
   "record": "Appointment/74a46f65-ed89-4ade-b094-54196df60d83",
   "same": false,
   "sent": "2026-11-17T14:00:00Z",
   "stored": "2026-11-17T15:00:00Z"
  },
  {
   "field": "end",
   "record": "Appointment/74a46f65-ed89-4ade-b094-54196df60d83",
   "same": false,
   "sent": "2026-11-17T14:30:00Z",
   "stored": "2026-11-17T15:30:00Z"
  },
  {
   "field": "patient",
   "record": "Appointment/74a46f65-ed89-4ade-b094-54196df60d83",
   "same": true,
   "sent": "Patient/afc1adf4-22d3-451f-8d00-15b343bbbe53",
   "stored": "Patient/afc1adf4-22d3-451f-8d00-15b343bbbe53"
  },
  {
   "field": "practitioner",
   "record": "Appointment/74a46f65-ed89-4ade-b094-54196df60d83",
   "same": true,
   "sent": "Practitioner/d7684dce-6023-47c0-ae20-2bec49c38b1f",
   "stored": "Practitioner/d7684dce-6023-47c0-ae20-2bec49c38b1f"
  }
 ],
 "replies": [
  201
 ],
 "verifier": {
  "after_matches": 0,
  "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/4532d989-2bc6-440e-8610-e5c9be273c96

wrong or missing: practitioner

Record	Field	Agent sent	Store holds now
Appointment/4532d989-2bc6-440e-8610-e5c9be273c96	practitioner	Practitioner/d7684dce-6023-47c0-ae20-2bec49c38b1f	Practitioner/761f7119-2022-41e2-8471-fc7dfa18b328
4 other fields hold what the agent sent (all fields are under Evidence)

Before the write, matching records: none

Write	Path	Reply	Added
POST	/fhir/R4/Appointment	201	14 ms

Evidence

{
 "after": {
  "Appointment/4532d989-2bc6-440e-8610-e5c9be273c96": {
   "end": "2026-11-17T14:30:00Z",
   "id": "4532d989-2bc6-440e-8610-e5c9be273c96",
   "meta": {
    "lastUpdated": "2026-10-31T17:39:35.858Z",
    "versionId": "30027a5d-10c9-449a-a2f4-ca9a84b34886"
   },
   "participant": [
    {
     "actor": {
      "reference": "Patient/455d5b01-e8ed-40b8-b1df-18b8ffa58d0b"
     },
     "status": "accepted"
    },
    {
     "actor": {
      "reference": "Practitioner/761f7119-2022-41e2-8471-fc7dfa18b328"
     },
     "status": "accepted"
    }
   ],
   "resourceType": "Appointment",
   "start": "2026-11-17T14:00:00Z",
   "status": "booked"
  }
 },
 "before": [],
 "fields": [
  {
   "field": "status",
   "record": "Appointment/4532d989-2bc6-440e-8610-e5c9be273c96",
   "same": true,
   "sent": "booked",
   "stored": "booked"
  },
  {
   "field": "start",
   "record": "Appointment/4532d989-2bc6-440e-8610-e5c9be273c96",
   "same": true,
   "sent": "2026-11-17T14:00:00Z",
   "stored": "2026-11-17T14:00:00Z"
  },
  {
   "field": "end",
   "record": "Appointment/4532d989-2bc6-440e-8610-e5c9be273c96",
   "same": true,
   "sent": "2026-11-17T14:30:00Z",
   "stored": "2026-11-17T14:30:00Z"
  },
  {
   "field": "patient",
   "record": "Appointment/4532d989-2bc6-440e-8610-e5c9be273c96",
   "same": true,
   "sent": "Patient/455d5b01-e8ed-40b8-b1df-18b8ffa58d0b",
   "stored": "Patient/455d5b01-e8ed-40b8-b1df-18b8ffa58d0b"
  },
  {
   "field": "practitioner",
   "record": "Appointment/4532d989-2bc6-440e-8610-e5c9be273c96",
   "same": false,
   "sent": "Practitioner/d7684dce-6023-47c0-ae20-2bec49c38b1f",
   "stored": "Practitioner/761f7119-2022-41e2-8471-fc7dfa18b328"
  }
 ],
 "replies": [
  201
 ],
 "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 26, records: Appointment/945bf20b-1519-4e5d-81fa-b8bc6a49361d

the agent created 2 Appointment records, not one
the agent wrote 2 other resource(s): Appointment

Record	Field	Agent sent	Store holds now
5 other fields hold what the agent sent (all fields are under Evidence)

Before the write, matching records: none

Write	Path	Reply	Added
POST	/fhir/R4/Appointment	201	15 ms

Evidence

{
 "after": {
  "Appointment/945bf20b-1519-4e5d-81fa-b8bc6a49361d": {
   "end": "2026-11-17T14:30:00Z",
   "id": "945bf20b-1519-4e5d-81fa-b8bc6a49361d",
   "meta": {
    "lastUpdated": "2026-10-31T17:39:46.949Z",
    "versionId": "5c98156b-5d7a-429c-a47c-fc94eb2302e6"
   },
   "participant": [
    {
     "actor": {
      "reference": "Patient/64106f0e-d8be-4496-98f0-24b966ff0c2d"
     },
     "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/945bf20b-1519-4e5d-81fa-b8bc6a49361d",
   "same": true,
   "sent": "booked",
   "stored": "booked"
  },
  {
   "field": "start",
   "record": "Appointment/945bf20b-1519-4e5d-81fa-b8bc6a49361d",
   "same": true,
   "sent": "2026-11-17T14:00:00Z",
   "stored": "2026-11-17T14:00:00Z"
  },
  {
   "field": "end",
   "record": "Appointment/945bf20b-1519-4e5d-81fa-b8bc6a49361d",
   "same": true,
   "sent": "2026-11-17T14:30:00Z",
   "stored": "2026-11-17T14:30:00Z"
  },
  {
   "field": "patient",
   "record": "Appointment/945bf20b-1519-4e5d-81fa-b8bc6a49361d",
   "same": true,
   "sent": "Patient/64106f0e-d8be-4496-98f0-24b966ff0c2d",
   "stored": "Patient/64106f0e-d8be-4496-98f0-24b966ff0c2d"
  },
  {
   "field": "practitioner",
   "record": "Appointment/945bf20b-1519-4e5d-81fa-b8bc6a49361d",
   "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 28, records: Appointment/946cf955-75d1-4951-ab18-09b3ad989ec7

the agent wrote 1 other resource(s): Appointment

Record	Field	Agent sent	Store holds now
5 other fields hold what the agent sent (all fields are under Evidence)

Before the write, matching records: none

Write	Path	Reply	Added
POST	/fhir/R4/Appointment	201	15 ms

Evidence

{
 "after": {
  "Appointment/946cf955-75d1-4951-ab18-09b3ad989ec7": {
   "end": "2026-11-17T14:30:00Z",
   "id": "946cf955-75d1-4951-ab18-09b3ad989ec7",
   "meta": {
    "lastUpdated": "2026-10-31T17:40:11.310Z",
    "versionId": "aba6f746-acc0-421e-a025-d30ebf79d1d8"
   },
   "participant": [
    {
     "actor": {
      "reference": "Patient/2d05ece8-0bdd-42f6-92ea-13eb1f57d300"
     },
     "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/946cf955-75d1-4951-ab18-09b3ad989ec7",
   "same": true,
   "sent": "booked",
   "stored": "booked"
  },
  {
   "field": "start",
   "record": "Appointment/946cf955-75d1-4951-ab18-09b3ad989ec7",
   "same": true,
   "sent": "2026-11-17T14:00:00Z",
   "stored": "2026-11-17T14:00:00Z"
  },
  {
   "field": "end",
   "record": "Appointment/946cf955-75d1-4951-ab18-09b3ad989ec7",
   "same": true,
   "sent": "2026-11-17T14:30:00Z",
   "stored": "2026-11-17T14:30:00Z"
  },
  {
   "field": "patient",
   "record": "Appointment/946cf955-75d1-4951-ab18-09b3ad989ec7",
   "same": true,
   "sent": "Patient/2d05ece8-0bdd-42f6-92ea-13eb1f57d300",
   "stored": "Patient/2d05ece8-0bdd-42f6-92ea-13eb1f57d300"
  },
  {
   "field": "practitioner",
   "record": "Appointment/946cf955-75d1-4951-ab18-09b3ad989ec7",
   "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/26d83825-c911-4e3e-a11e-bcf1212fa405

wrong or missing: status

Record	Field	Agent sent	Store holds now
Appointment/26d83825-c911-4e3e-a11e-bcf1212fa405	status	booked	proposed
4 other fields hold what the agent sent (all fields are under Evidence)

Before the write, matching records: none

Write	Path	Reply	Added
POST	/fhir/R4/Appointment	201	15 ms

Evidence

{
 "after": {
  "Appointment/26d83825-c911-4e3e-a11e-bcf1212fa405": {
   "end": "2026-11-17T14:30:00Z",
   "id": "26d83825-c911-4e3e-a11e-bcf1212fa405",
   "meta": {
    "lastUpdated": "2026-10-31T17:40:35.701Z",
    "versionId": "83a7afe7-e7bd-4ad6-9e05-60224c1ba042"
   },
   "participant": [
    {
     "actor": {
      "reference": "Patient/f264c3a5-4bff-45c1-85a9-2c11b6485ac4"
     },
     "status": "accepted"
    },
    {
     "actor": {
      "reference": "Practitioner/d7684dce-6023-47c0-ae20-2bec49c38b1f"
     },
     "status": "accepted"
    }
   ],
   "resourceType": "Appointment",
   "start": "2026-11-17T14:00:00Z",
   "status": "proposed"
  }
 },
 "before": [],
 "fields": [
  {
   "field": "status",
   "record": "Appointment/26d83825-c911-4e3e-a11e-bcf1212fa405",
   "same": false,
   "sent": "booked",
   "stored": "proposed"
  },
  {
   "field": "start",
   "record": "Appointment/26d83825-c911-4e3e-a11e-bcf1212fa405",
   "same": true,
   "sent": "2026-11-17T14:00:00Z",
   "stored": "2026-11-17T14:00:00Z"
  },
  {
   "field": "end",
   "record": "Appointment/26d83825-c911-4e3e-a11e-bcf1212fa405",
   "same": true,
   "sent": "2026-11-17T14:30:00Z",
   "stored": "2026-11-17T14:30:00Z"
  },
  {
   "field": "patient",
   "record": "Appointment/26d83825-c911-4e3e-a11e-bcf1212fa405",
   "same": true,
   "sent": "Patient/f264c3a5-4bff-45c1-85a9-2c11b6485ac4",
   "stored": "Patient/f264c3a5-4bff-45c1-85a9-2c11b6485ac4"
  },
  {
   "field": "practitioner",
   "record": "Appointment/26d83825-c911-4e3e-a11e-bcf1212fa405",
   "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": 1,
  "before_matches": 0,
  "other_writes": 0,
  "outcome": "needs_review",
  "unattributed_writes": 0,
  "unlogged_writes": 0
 }
}

REFUTED Appointment check 31, records: Appointment/ec124981-b787-47de-8fde-01fa30793779

the agent wrote 1 other resource(s): AllergyIntolerance

Record	Field	Agent sent	Store holds now
5 other fields hold what the agent sent (all fields are under Evidence)

Before the write, matching records: none

Write	Path	Reply	Added
POST	/fhir/R4/Appointment	201	16 ms

Evidence

{
 "after": {
  "Appointment/ec124981-b787-47de-8fde-01fa30793779": {
   "end": "2026-11-17T14:30:00Z",
   "id": "ec124981-b787-47de-8fde-01fa30793779",
   "meta": {
    "lastUpdated": "2026-10-31T17:40:46.811Z",
    "versionId": "ac20b2d5-81fe-48c1-b4df-6767954a3b29"
   },
   "participant": [
    {
     "actor": {
      "reference": "Patient/342b2a50-b8f2-44cc-aa39-54c0d91c5b70"
     },
     "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/ec124981-b787-47de-8fde-01fa30793779",
   "same": true,
   "sent": "booked",
   "stored": "booked"
  },
  {
   "field": "start",
   "record": "Appointment/ec124981-b787-47de-8fde-01fa30793779",
   "same": true,
   "sent": "2026-11-17T14:00:00Z",
   "stored": "2026-11-17T14:00:00Z"
  },
  {
   "field": "end",
   "record": "Appointment/ec124981-b787-47de-8fde-01fa30793779",
   "same": true,
   "sent": "2026-11-17T14:30:00Z",
   "stored": "2026-11-17T14:30:00Z"
  },
  {
   "field": "patient",
   "record": "Appointment/ec124981-b787-47de-8fde-01fa30793779",
   "same": true,
   "sent": "Patient/342b2a50-b8f2-44cc-aa39-54c0d91c5b70",
   "stored": "Patient/342b2a50-b8f2-44cc-aa39-54c0d91c5b70"
  },
  {
   "field": "practitioner",
   "record": "Appointment/ec124981-b787-47de-8fde-01fa30793779",
   "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 32, records: Appointment/1392f448-3384-448b-978a-f7fcacbea6cc

wrong or missing: patient
the created record is not the person
the created record does not come back from a search

Record	Field	Agent sent	Store holds now
Appointment/1392f448-3384-448b-978a-f7fcacbea6cc	patient	Patient/95839c97-77e2-47e4-92a0-649465992232	Patient/e65491a6-51fb-41ed-b8a5-a7093f1364f1
4 other fields hold what the agent sent (all fields are under Evidence)

Before the write, matching records: none

Write	Path	Reply	Added
POST	/fhir/R4/Appointment	201	21 ms

Evidence

{
 "after": {
  "Appointment/1392f448-3384-448b-978a-f7fcacbea6cc": {
   "end": "2026-11-17T14:30:00Z",
   "id": "1392f448-3384-448b-978a-f7fcacbea6cc",
   "meta": {
    "lastUpdated": "2026-10-31T17:40:58.007Z",
    "versionId": "68d4426a-efbe-4d58-b183-91ce217976cc"
   },
   "participant": [
    {
     "actor": {
      "reference": "Patient/e65491a6-51fb-41ed-b8a5-a7093f1364f1"
     },
     "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/1392f448-3384-448b-978a-f7fcacbea6cc",
   "same": true,
   "sent": "booked",
   "stored": "booked"
  },
  {
   "field": "start",
   "record": "Appointment/1392f448-3384-448b-978a-f7fcacbea6cc",
   "same": true,
   "sent": "2026-11-17T14:00:00Z",
   "stored": "2026-11-17T14:00:00Z"
  },
  {
   "field": "end",
   "record": "Appointment/1392f448-3384-448b-978a-f7fcacbea6cc",
   "same": true,
   "sent": "2026-11-17T14:30:00Z",
   "stored": "2026-11-17T14:30:00Z"
  },
  {
   "field": "patient",
   "record": "Appointment/1392f448-3384-448b-978a-f7fcacbea6cc",
   "same": false,
   "sent": "Patient/95839c97-77e2-47e4-92a0-649465992232",
   "stored": "Patient/e65491a6-51fb-41ed-b8a5-a7093f1364f1"
  },
  {
   "field": "practitioner",
   "record": "Appointment/1392f448-3384-448b-978a-f7fcacbea6cc",
   "same": true,
   "sent": "Practitioner/d7684dce-6023-47c0-ae20-2bec49c38b1f",
   "stored": "Practitioner/d7684dce-6023-47c0-ae20-2bec49c38b1f"
  }
 ],
 "replies": [
  201
 ],
 "verifier": {
  "after_matches": 0,
  "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 (2)

UNCERTAIN Patient check 9, records: none

the reply was 503 and the store shows no write by the agent
no record is the person and the agent created none

Record	Field	Agent sent	Store holds now
	given	Lena
	family	Okafor
	birthDate	1988-04-22
	gender	female
	line	14 Birch Lane
	city	Springfield
	state	MA
	postalCode	01103
	phone	413-555-0187
	email	lena.okafor@example.org

Before the write, matching records: none

Write	Path	Reply	Added
POST	/fhir/R4/Patient	503	24 ms

Evidence

{
 "after": {},
 "before": [],
 "fields": [],
 "replies": [
  503
 ],
 "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
 }
}

UNCERTAIN Patient check 11, records: Patient/00000000-0000-4000-8000-000000000000

the reply was 201 and the store shows no write by the agent
no record is the person and the agent created none

Record	Field	Agent sent	Store holds now
	given	Lena
	family	Okafor
	birthDate	1988-04-22
	gender	female
	line	14 Birch Lane
	city	Springfield
	state	MA
	postalCode	01103
	phone	413-555-0187
	email	lena.okafor@example.org

Before the write, matching records: none

Write	Path	Reply	Added
POST	/fhir/R4/Patient	201	25 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 (13)

Show

CONFIRMED Patient check 1, records: Patient/5981c212-b3b9-4c5c-9fcf-d0e4404ab9bb

created once, every value read back
Checked first: CONFIRMED; checked again: CONFIRMED; since the first check: one record was already the person

Record	Field	Agent sent	Store holds now
10 other fields hold what the agent sent (all fields are under Evidence)

Before the write, matching records: none

Write	Path	Reply	Added
POST	/fhir/R4/Patient	201	29 ms

Evidence

{
 "after": {
  "Patient/5981c212-b3b9-4c5c-9fcf-d0e4404ab9bb": {
   "address": [
    {
     "city": "Springfield",
     "line": [
      "14 Birch Lane"
     ],
     "postalCode": "01103",
     "state": "MA"
    }
   ],
   "birthDate": "1988-04-22",
   "gender": "female",
   "id": "5981c212-b3b9-4c5c-9fcf-d0e4404ab9bb",
   "meta": {
    "lastUpdated": "2026-10-31T17:34:13.067Z",
    "versionId": "aab4ffa4-223a-40c4-ace7-9e514b5ab64f"
   },
   "name": [
    {
     "family": "Okafor",
     "given": [
      "Lena"
     ]
    }
   ],
   "resourceType": "Patient",
   "telecom": [
    {
     "system": "phone",
     "value": "413-555-0187"
    },
    {
     "system": "email",
     "value": "lena.okafor@example.org"
    }
   ]
  }
 },
 "before": [],
 "fields": [
  {
   "field": "given",
   "record": "Patient/5981c212-b3b9-4c5c-9fcf-d0e4404ab9bb",
   "same": true,
   "sent": "Lena",
   "stored": "Lena"
  },
  {
   "field": "family",
   "record": "Patient/5981c212-b3b9-4c5c-9fcf-d0e4404ab9bb",
   "same": true,
   "sent": "Okafor",
   "stored": "Okafor"
  },
  {
   "field": "birthDate",
   "record": "Patient/5981c212-b3b9-4c5c-9fcf-d0e4404ab9bb",
   "same": true,
   "sent": "1988-04-22",
   "stored": "1988-04-22"
  },
  {
   "field": "gender",
   "record": "Patient/5981c212-b3b9-4c5c-9fcf-d0e4404ab9bb",
   "same": true,
   "sent": "female",
   "stored": "female"
  },
  {
   "field": "line",
   "record": "Patient/5981c212-b3b9-4c5c-9fcf-d0e4404ab9bb",
   "same": true,
   "sent": "14 Birch Lane",
   "stored": "14 Birch Lane"
  },
  {
   "field": "city",
   "record": "Patient/5981c212-b3b9-4c5c-9fcf-d0e4404ab9bb",
   "same": true,
   "sent": "Springfield",
   "stored": "Springfield"
  },
  {
   "field": "state",
   "record": "Patient/5981c212-b3b9-4c5c-9fcf-d0e4404ab9bb",
   "same": true,
   "sent": "MA",
   "stored": "MA"
  },
  {
   "field": "postalCode",
   "record": "Patient/5981c212-b3b9-4c5c-9fcf-d0e4404ab9bb",
   "same": true,
   "sent": "01103",
   "stored": "01103"
  },
  {
   "field": "phone",
   "record": "Patient/5981c212-b3b9-4c5c-9fcf-d0e4404ab9bb",
   "same": true,
   "sent": "413-555-0187",
   "stored": "413-555-0187"
  },
  {
   "field": "email",
   "record": "Patient/5981c212-b3b9-4c5c-9fcf-d0e4404ab9bb",
   "same": true,
   "sent": "lena.okafor@example.org",
   "stored": "lena.okafor@example.org"
  }
 ],
 "recheck": {
  "at": 1793468063.708895,
  "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/e1464f85-5c70-4098-a25d-b8278440c469

created once, every value read back
Checked first: CONFIRMED; checked again: CONFIRMED; since the first check: one record was already the person

Record	Field	Agent sent	Store holds now
10 other fields hold what the agent sent (all fields are under Evidence)

Before the write, matching records: none

Write	Path	Reply	Added
POST	/fhir/R4/Patient	201	29 ms

Evidence

{
 "after": {
  "Patient/e1464f85-5c70-4098-a25d-b8278440c469": {
   "address": [
    {
     "city": "Springfield",
     "line": [
      "14 Birch Lane"
     ],
     "postalCode": "01103",
     "state": "MA"
    }
   ],
   "birthDate": "1988-04-22",
   "gender": "female",
   "id": "e1464f85-5c70-4098-a25d-b8278440c469",
   "meta": {
    "lastUpdated": "2026-10-31T17:34:34.272Z",
    "versionId": "eb28310d-f001-4e00-8899-6d0bae621722"
   },
   "name": [
    {
     "family": "Okafor",
     "given": [
      "Lena"
     ]
    }
   ],
   "resourceType": "Patient",
   "telecom": [
    {
     "system": "phone",
     "value": "413-555-0187"
    },
    {
     "system": "email",
     "value": "lena.okafor@example.org"
    }
   ]
  }
 },
 "before": [],
 "fields": [
  {
   "field": "given",
   "record": "Patient/e1464f85-5c70-4098-a25d-b8278440c469",
   "same": true,
   "sent": "Lena",
   "stored": "Lena"
  },
  {
   "field": "family",
   "record": "Patient/e1464f85-5c70-4098-a25d-b8278440c469",
   "same": true,
   "sent": "Okafor",
   "stored": "Okafor"
  },
  {
   "field": "birthDate",
   "record": "Patient/e1464f85-5c70-4098-a25d-b8278440c469",
   "same": true,
   "sent": "1988-04-22",
   "stored": "1988-04-22"
  },
  {
   "field": "gender",
   "record": "Patient/e1464f85-5c70-4098-a25d-b8278440c469",
   "same": true,
   "sent": "female",
   "stored": "female"
  },
  {
   "field": "line",
   "record": "Patient/e1464f85-5c70-4098-a25d-b8278440c469",
   "same": true,
   "sent": "14 Birch Lane",
   "stored": "14 Birch Lane"
  },
  {
   "field": "city",
   "record": "Patient/e1464f85-5c70-4098-a25d-b8278440c469",
   "same": true,
   "sent": "Springfield",
   "stored": "Springfield"
  },
  {
   "field": "state",
   "record": "Patient/e1464f85-5c70-4098-a25d-b8278440c469",
   "same": true,
   "sent": "MA",
   "stored": "MA"
  },
  {
   "field": "postalCode",
   "record": "Patient/e1464f85-5c70-4098-a25d-b8278440c469",
   "same": true,
   "sent": "01103",
   "stored": "01103"
  },
  {
   "field": "phone",
   "record": "Patient/e1464f85-5c70-4098-a25d-b8278440c469",
   "same": true,
   "sent": "413-555-0187",
   "stored": "413-555-0187"
  },
  {
   "field": "email",
   "record": "Patient/e1464f85-5c70-4098-a25d-b8278440c469",
   "same": true,
   "sent": "lena.okafor@example.org",
   "stored": "lena.okafor@example.org"
  }
 ],
 "recheck": {
  "at": 1793468084.9708538,
  "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 7, records: none

created once, every value read back
the agent got an error reply (504) but the write landed
Checked first: CONFIRMED; checked again: CONFIRMED; since the first check: one record was already the person

Record	Field	Agent sent	Store holds now
	given	Lena
	family	Okafor
	birthDate	1988-04-22
	gender	female
	line	14 Birch Lane
	city	Springfield
	state	MA
	postalCode	01103
	phone	413-555-0187
	email	lena.okafor@example.org

Before the write, matching records: none

Write	Path	Reply	Added
POST	/fhir/R4/Patient	504	27 ms

Evidence

{
 "after": {},
 "before": [],
 "fields": [],
 "recheck": {
  "at": 1793468143.1951602,
  "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 10, records: Patient/5c6dc610-73c4-408c-9e6a-bb6ab93864ed

created once, every value read back
Checked first: CONFIRMED; checked again: CONFIRMED; since the first check: one record was already the person

Record	Field	Agent sent	Store holds now
10 other fields hold what the agent sent (all fields are under Evidence)

Before the write, matching records: none

Write	Path	Reply	Added
POST	/fhir/R4/Patient	201	25 ms

Evidence

{
 "after": {
  "Patient/5c6dc610-73c4-408c-9e6a-bb6ab93864ed": {
   "address": [
    {
     "city": "Springfield",
     "line": [
      "14 Birch Lane"
     ],
     "postalCode": "01103",
     "state": "MA"
    }
   ],
   "birthDate": "1988-04-22",
   "gender": "female",
   "id": "5c6dc610-73c4-408c-9e6a-bb6ab93864ed",
   "meta": {
    "lastUpdated": "2026-10-31T17:36:16.346Z",
    "versionId": "ddc6da33-ca88-444f-8a98-1606f513e1a3"
   },
   "name": [
    {
     "family": "Okafor",
     "given": [
      "Lena"
     ]
    }
   ],
   "resourceType": "Patient",
   "telecom": [
    {
     "system": "phone",
     "value": "413-555-0187"
    },
    {
     "system": "email",
     "value": "lena.okafor@example.org"
    }
   ]
  }
 },
 "before": [],
 "fields": [
  {
   "field": "given",
   "record": "Patient/5c6dc610-73c4-408c-9e6a-bb6ab93864ed",
   "same": true,
   "sent": "Lena",
   "stored": "Lena"
  },
  {
   "field": "family",
   "record": "Patient/5c6dc610-73c4-408c-9e6a-bb6ab93864ed",
   "same": true,
   "sent": "Okafor",
   "stored": "Okafor"
  },
  {
   "field": "birthDate",
   "record": "Patient/5c6dc610-73c4-408c-9e6a-bb6ab93864ed",
   "same": true,
   "sent": "1988-04-22",
   "stored": "1988-04-22"
  },
  {
   "field": "gender",
   "record": "Patient/5c6dc610-73c4-408c-9e6a-bb6ab93864ed",
   "same": true,
   "sent": "female",
   "stored": "female"
  },
  {
   "field": "line",
   "record": "Patient/5c6dc610-73c4-408c-9e6a-bb6ab93864ed",
   "same": true,
   "sent": "14 Birch Lane",
   "stored": "14 Birch Lane"
  },
  {
   "field": "city",
   "record": "Patient/5c6dc610-73c4-408c-9e6a-bb6ab93864ed",
   "same": true,
   "sent": "Springfield",
   "stored": "Springfield"
  },
  {
   "field": "state",
   "record": "Patient/5c6dc610-73c4-408c-9e6a-bb6ab93864ed",
   "same": true,
   "sent": "MA",
   "stored": "MA"
  },
  {
   "field": "postalCode",
   "record": "Patient/5c6dc610-73c4-408c-9e6a-bb6ab93864ed",
   "same": true,
   "sent": "01103",
   "stored": "01103"
  },
  {
   "field": "phone",
   "record": "Patient/5c6dc610-73c4-408c-9e6a-bb6ab93864ed",
   "same": true,
   "sent": "413-555-0187",
   "stored": "413-555-0187"
  },
  {
   "field": "email",
   "record": "Patient/5c6dc610-73c4-408c-9e6a-bb6ab93864ed",
   "same": true,
   "sent": "lena.okafor@example.org",
   "stored": "lena.okafor@example.org"
  }
 ],
 "recheck": {
  "at": 1793468186.973973,
  "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 12, records: AllergyIntolerance/e46aa9b1-d5d2-46da-b5a3-8bdf94f799a3

created once, every value read back
Checked first: CONFIRMED; checked again: CONFIRMED; since the first check: one record was already the person

Record	Field	Agent sent	Store holds now
6 other fields hold what the agent sent (all fields are under Evidence)

Before the write, matching records: none

Write	Path	Reply	Added
POST	/fhir/R4/AllergyIntolerance	201	14 ms

Evidence

{
 "after": {
  "AllergyIntolerance/e46aa9b1-d5d2-46da-b5a3-8bdf94f799a3": {
   "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": "e46aa9b1-d5d2-46da-b5a3-8bdf94f799a3",
   "meta": {
    "lastUpdated": "2026-10-31T17:36:40.732Z",
    "versionId": "72ac3f75-d96b-4b60-bb1b-55f97dd00543"
   },
   "patient": {
    "reference": "Patient/dfb25df9-fb95-4b8e-a887-910a281e3268"
   },
   "resourceType": "AllergyIntolerance",
   "verificationStatus": {
    "coding": [
     {
      "code": "confirmed",
      "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"
     }
    ]
   }
  }
 },
 "before": [],
 "fields": [
  {
   "field": "patient",
   "record": "AllergyIntolerance/e46aa9b1-d5d2-46da-b5a3-8bdf94f799a3",
   "same": true,
   "sent": "Patient/dfb25df9-fb95-4b8e-a887-910a281e3268",
   "stored": "Patient/dfb25df9-fb95-4b8e-a887-910a281e3268"
  },
  {
   "field": "code_system",
   "record": "AllergyIntolerance/e46aa9b1-d5d2-46da-b5a3-8bdf94f799a3",
   "same": true,
   "sent": "http://snomed.info/sct",
   "stored": "http://snomed.info/sct"
  },
  {
   "field": "code",
   "record": "AllergyIntolerance/e46aa9b1-d5d2-46da-b5a3-8bdf94f799a3",
   "same": true,
   "sent": "91936005",
   "stored": "91936005"
  },
  {
   "field": "criticality",
   "record": "AllergyIntolerance/e46aa9b1-d5d2-46da-b5a3-8bdf94f799a3",
   "same": true,
   "sent": "high",
   "stored": "high"
  },
  {
   "field": "clinical_status",
   "record": "AllergyIntolerance/e46aa9b1-d5d2-46da-b5a3-8bdf94f799a3",
   "same": true,
   "sent": "active",
   "stored": "active"
  },
  {
   "field": "verification_status",
   "record": "AllergyIntolerance/e46aa9b1-d5d2-46da-b5a3-8bdf94f799a3",
   "same": true,
   "sent": "confirmed",
   "stored": "confirmed"
  }
 ],
 "recheck": {
  "at": 1793468211.310466,
  "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 13, records: AllergyIntolerance/54ef1ce4-7830-42ba-bd36-9d1081063880

created once, every value read back
Checked first: CONFIRMED; checked again: CONFIRMED; since the first check: one record was already the person

Record	Field	Agent sent	Store holds now
6 other fields hold what the agent sent (all fields are under Evidence)

Before the write, matching records: none

Write	Path	Reply	Added
POST	/fhir/R4/AllergyIntolerance	201	14 ms

Evidence

{
 "after": {
  "AllergyIntolerance/54ef1ce4-7830-42ba-bd36-9d1081063880": {
   "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": "54ef1ce4-7830-42ba-bd36-9d1081063880",
   "meta": {
    "lastUpdated": "2026-10-31T17:37:01.805Z",
    "versionId": "067d082b-c819-460d-80ca-955e5ff17406"
   },
   "patient": {
    "reference": "Patient/c09b9a32-c888-4bf9-bce6-c529d59da0ab"
   },
   "resourceType": "AllergyIntolerance",
   "verificationStatus": {
    "coding": [
     {
      "code": "confirmed",
      "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"
     }
    ]
   }
  }
 },
 "before": [],
 "fields": [
  {
   "field": "patient",
   "record": "AllergyIntolerance/54ef1ce4-7830-42ba-bd36-9d1081063880",
   "same": true,
   "sent": "Patient/c09b9a32-c888-4bf9-bce6-c529d59da0ab",
   "stored": "Patient/c09b9a32-c888-4bf9-bce6-c529d59da0ab"
  },
  {
   "field": "code_system",
   "record": "AllergyIntolerance/54ef1ce4-7830-42ba-bd36-9d1081063880",
   "same": true,
   "sent": "http://snomed.info/sct",
   "stored": "http://snomed.info/sct"
  },
  {
   "field": "code",
   "record": "AllergyIntolerance/54ef1ce4-7830-42ba-bd36-9d1081063880",
   "same": true,
   "sent": "91936005",
   "stored": "91936005"
  },
  {
   "field": "criticality",
   "record": "AllergyIntolerance/54ef1ce4-7830-42ba-bd36-9d1081063880",
   "same": true,
   "sent": "high",
   "stored": "high"
  },
  {
   "field": "clinical_status",
   "record": "AllergyIntolerance/54ef1ce4-7830-42ba-bd36-9d1081063880",
   "same": true,
   "sent": "active",
   "stored": "active"
  },
  {
   "field": "verification_status",
   "record": "AllergyIntolerance/54ef1ce4-7830-42ba-bd36-9d1081063880",
   "same": true,
   "sent": "confirmed",
   "stored": "confirmed"
  }
 ],
 "recheck": {
  "at": 1793468232.358717,
  "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 19, records: AllergyIntolerance/7d28259f-ecdf-4278-bd69-e5f4c9cb1ac8

created once, every value read back
Checked first: CONFIRMED; checked again: CONFIRMED; since the first check: one record was already the person

Record	Field	Agent sent	Store holds now
6 other fields hold what the agent sent (all fields are under Evidence)

Before the write, matching records: none

Write	Path	Reply	Added
POST	/fhir/R4/AllergyIntolerance	201	16 ms

Evidence

{
 "after": {
  "AllergyIntolerance/7d28259f-ecdf-4278-bd69-e5f4c9cb1ac8": {
   "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": "7d28259f-ecdf-4278-bd69-e5f4c9cb1ac8",
   "meta": {
    "lastUpdated": "2026-10-31T17:38:10.699Z",
    "versionId": "cf70af12-432f-4431-aefe-3cf25d265019"
   },
   "patient": {
    "reference": "Patient/deb45d64-180e-467f-8f78-6723c21a5daa"
   },
   "resourceType": "AllergyIntolerance",
   "verificationStatus": {
    "coding": [
     {
      "code": "confirmed",
      "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"
     }
    ]
   }
  }
 },
 "before": [],
 "fields": [
  {
   "field": "patient",
   "record": "AllergyIntolerance/7d28259f-ecdf-4278-bd69-e5f4c9cb1ac8",
   "same": true,
   "sent": "Patient/deb45d64-180e-467f-8f78-6723c21a5daa",
   "stored": "Patient/deb45d64-180e-467f-8f78-6723c21a5daa"
  },
  {
   "field": "code_system",
   "record": "AllergyIntolerance/7d28259f-ecdf-4278-bd69-e5f4c9cb1ac8",
   "same": true,
   "sent": "http://snomed.info/sct",
   "stored": "http://snomed.info/sct"
  },
  {
   "field": "code",
   "record": "AllergyIntolerance/7d28259f-ecdf-4278-bd69-e5f4c9cb1ac8",
   "same": true,
   "sent": "91936005",
   "stored": "91936005"
  },
  {
   "field": "criticality",
   "record": "AllergyIntolerance/7d28259f-ecdf-4278-bd69-e5f4c9cb1ac8",
   "same": true,
   "sent": "high",
   "stored": "high"
  },
  {
   "field": "clinical_status",
   "record": "AllergyIntolerance/7d28259f-ecdf-4278-bd69-e5f4c9cb1ac8",
   "same": true,
   "sent": "active",
   "stored": "active"
  },
  {
   "field": "verification_status",
   "record": "AllergyIntolerance/7d28259f-ecdf-4278-bd69-e5f4c9cb1ac8",
   "same": true,
   "sent": "confirmed",
   "stored": "confirmed"
  }
 ],
 "recheck": {
  "at": 1793468301.31057,
  "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 AllergyIntolerance check 21, records: AllergyIntolerance/0b86bbf6-4759-4992-a2e6-8691c44005f6

created once, every value read back
Checked first: CONFIRMED; checked again: CONFIRMED; since the first check: one record was already the person

Record	Field	Agent sent	Store holds now
6 other fields hold what the agent sent (all fields are under Evidence)

Before the write, matching records: none

Write	Path	Reply	Added
POST	/fhir/R4/AllergyIntolerance	201	14 ms

Evidence

{
 "after": {
  "AllergyIntolerance/0b86bbf6-4759-4992-a2e6-8691c44005f6": {
   "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": "0b86bbf6-4759-4992-a2e6-8691c44005f6",
   "meta": {
    "lastUpdated": "2026-10-31T17:38:37.212Z",
    "versionId": "fd7fa505-d7c2-46b1-b7a1-64640473a5e2"
   },
   "patient": {
    "reference": "Patient/6aeabdac-2c10-48c9-a88b-038ddea0eaf4"
   },
   "resourceType": "AllergyIntolerance",
   "verificationStatus": {
    "coding": [
     {
      "code": "confirmed",
      "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"
     }
    ]
   }
  }
 },
 "before": [],
 "fields": [
  {
   "field": "patient",
   "record": "AllergyIntolerance/0b86bbf6-4759-4992-a2e6-8691c44005f6",
   "same": true,
   "sent": "Patient/6aeabdac-2c10-48c9-a88b-038ddea0eaf4",
   "stored": "Patient/6aeabdac-2c10-48c9-a88b-038ddea0eaf4"
  },
  {
   "field": "code_system",
   "record": "AllergyIntolerance/0b86bbf6-4759-4992-a2e6-8691c44005f6",
   "same": true,
   "sent": "http://snomed.info/sct",
   "stored": "http://snomed.info/sct"
  },
  {
   "field": "code",
   "record": "AllergyIntolerance/0b86bbf6-4759-4992-a2e6-8691c44005f6",
   "same": true,
   "sent": "91936005",
   "stored": "91936005"
  },
  {
   "field": "criticality",
   "record": "AllergyIntolerance/0b86bbf6-4759-4992-a2e6-8691c44005f6",
   "same": true,
   "sent": "high",
   "stored": "high"
  },
  {
   "field": "clinical_status",
   "record": "AllergyIntolerance/0b86bbf6-4759-4992-a2e6-8691c44005f6",
   "same": true,
   "sent": "active",
   "stored": "active"
  },
  {
   "field": "verification_status",
   "record": "AllergyIntolerance/0b86bbf6-4759-4992-a2e6-8691c44005f6",
   "same": true,
   "sent": "confirmed",
   "stored": "confirmed"
  }
 ],
 "recheck": {
  "at": 1793468327.772285,
  "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 22, records: AllergyIntolerance/4f1670ab-218c-4306-8a6f-f79c9fe582c6

created once, every value read back
Checked first: CONFIRMED; checked again: CONFIRMED; since the first check: one record was already the person

Record	Field	Agent sent	Store holds now
6 other fields hold what the agent sent (all fields are under Evidence)

Before the write, matching records: none

Write	Path	Reply	Added
POST	/fhir/R4/AllergyIntolerance	201	15 ms

Evidence

{
 "after": {
  "AllergyIntolerance/4f1670ab-218c-4306-8a6f-f79c9fe582c6": {
   "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": "4f1670ab-218c-4306-8a6f-f79c9fe582c6",
   "meta": {
    "lastUpdated": "2026-10-31T17:38:50.447Z",
    "versionId": "dae62445-1fe5-4d2d-80dd-75a41e974f9a"
   },
   "patient": {
    "reference": "Patient/aeb90990-a26a-4aca-8433-cf0843af8cd1"
   },
   "resourceType": "AllergyIntolerance",
   "verificationStatus": {
    "coding": [
     {
      "code": "confirmed",
      "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"
     }
    ]
   }
  }
 },
 "before": [],
 "fields": [
  {
   "field": "patient",
   "record": "AllergyIntolerance/4f1670ab-218c-4306-8a6f-f79c9fe582c6",
   "same": true,
   "sent": "Patient/aeb90990-a26a-4aca-8433-cf0843af8cd1",
   "stored": "Patient/aeb90990-a26a-4aca-8433-cf0843af8cd1"
  },
  {
   "field": "code_system",
   "record": "AllergyIntolerance/4f1670ab-218c-4306-8a6f-f79c9fe582c6",
   "same": true,
   "sent": "http://snomed.info/sct",
   "stored": "http://snomed.info/sct"
  },
  {
   "field": "code",
   "record": "AllergyIntolerance/4f1670ab-218c-4306-8a6f-f79c9fe582c6",
   "same": true,
   "sent": "91936005",
   "stored": "91936005"
  },
  {
   "field": "criticality",
   "record": "AllergyIntolerance/4f1670ab-218c-4306-8a6f-f79c9fe582c6",
   "same": true,
   "sent": "high",
   "stored": "high"
  },
  {
   "field": "clinical_status",
   "record": "AllergyIntolerance/4f1670ab-218c-4306-8a6f-f79c9fe582c6",
   "same": true,
   "sent": "active",
   "stored": "active"
  },
  {
   "field": "verification_status",
   "record": "AllergyIntolerance/4f1670ab-218c-4306-8a6f-f79c9fe582c6",
   "same": true,
   "sent": "confirmed",
   "stored": "confirmed"
  }
 ],
 "recheck": {
  "at": 1793468341.029949,
  "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 23, records: Appointment/197dd22f-855e-4f1a-8f05-871faeb6f055

created once, every value read back
Checked first: CONFIRMED; checked again: CONFIRMED; since the first check: one record was already the person

Record	Field	Agent sent	Store holds now
5 other fields hold what the agent sent (all fields are under Evidence)

Before the write, matching records: none

Write	Path	Reply	Added
POST	/fhir/R4/Appointment	201	15 ms

Evidence

{
 "after": {
  "Appointment/197dd22f-855e-4f1a-8f05-871faeb6f055": {
   "end": "2026-11-17T14:30:00Z",
   "id": "197dd22f-855e-4f1a-8f05-871faeb6f055",
   "meta": {
    "lastUpdated": "2026-10-31T17:39:03.697Z",
    "versionId": "b4c47960-29a2-407e-b330-991d99441da1"
   },
   "participant": [
    {
     "actor": {
      "reference": "Patient/2d5cb62c-3cb8-4854-9b34-d838fe6f8118"
     },
     "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/197dd22f-855e-4f1a-8f05-871faeb6f055",
   "same": true,
   "sent": "booked",
   "stored": "booked"
  },
  {
   "field": "start",
   "record": "Appointment/197dd22f-855e-4f1a-8f05-871faeb6f055",
   "same": true,
   "sent": "2026-11-17T14:00:00Z",
   "stored": "2026-11-17T14:00:00Z"
  },
  {
   "field": "end",
   "record": "Appointment/197dd22f-855e-4f1a-8f05-871faeb6f055",
   "same": true,
   "sent": "2026-11-17T14:30:00Z",
   "stored": "2026-11-17T14:30:00Z"
  },
  {
   "field": "patient",
   "record": "Appointment/197dd22f-855e-4f1a-8f05-871faeb6f055",
   "same": true,
   "sent": "Patient/2d5cb62c-3cb8-4854-9b34-d838fe6f8118",
   "stored": "Patient/2d5cb62c-3cb8-4854-9b34-d838fe6f8118"
  },
  {
   "field": "practitioner",
   "record": "Appointment/197dd22f-855e-4f1a-8f05-871faeb6f055",
   "same": true,
   "sent": "Practitioner/d7684dce-6023-47c0-ae20-2bec49c38b1f",
   "stored": "Practitioner/d7684dce-6023-47c0-ae20-2bec49c38b1f"
  }
 ],
 "recheck": {
  "at": 1793468354.2606888,
  "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 27, records: none

created once, every value read back
the agent got an error reply (504) but the write landed
Checked first: CONFIRMED; checked again: CONFIRMED; since the first check: one record was already the person

Record	Field	Agent sent	Store holds now
	status	booked
	start	2026-11-17T14:00:00Z
	end	2026-11-17T14:30:00Z
	patient	Patient/8b929879-1320-43c8-b9a7-9a8e5ecf09b4
	practitioner	Practitioner/d7684dce-6023-47c0-ae20-2bec49c38b1f

Before the write, matching records: none

Write	Path	Reply	Added
POST	/fhir/R4/Appointment	504	14 ms

Evidence

{
 "after": {},
 "before": [],
 "fields": [],
 "recheck": {
  "at": 1793468408.631721,
  "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 29, records: Appointment/ec933615-1112-4693-9f19-eb920fc35511

created once, every value read back
Checked first: CONFIRMED; checked again: CONFIRMED; since the first check: one record was already the person

Record	Field	Agent sent	Store holds now
5 other fields hold what the agent sent (all fields are under Evidence)

Before the write, matching records: none

Write	Path	Reply	Added
POST	/fhir/R4/Appointment	201	15 ms

Evidence

{
 "after": {
  "Appointment/ec933615-1112-4693-9f19-eb920fc35511": {
   "end": "2026-11-17T14:30:00Z",
   "id": "ec933615-1112-4693-9f19-eb920fc35511",
   "meta": {
    "lastUpdated": "2026-10-31T17:40:22.467Z",
    "versionId": "40d96d54-9d4b-448e-b52d-2346109ce81a"
   },
   "participant": [
    {
     "actor": {
      "reference": "Patient/da24ba82-6f67-4789-83f0-bbfd36ac76dd"
     },
     "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/ec933615-1112-4693-9f19-eb920fc35511",
   "same": true,
   "sent": "booked",
   "stored": "booked"
  },
  {
   "field": "start",
   "record": "Appointment/ec933615-1112-4693-9f19-eb920fc35511",
   "same": true,
   "sent": "2026-11-17T14:00:00Z",
   "stored": "2026-11-17T14:00:00Z"
  },
  {
   "field": "end",
   "record": "Appointment/ec933615-1112-4693-9f19-eb920fc35511",
   "same": true,
   "sent": "2026-11-17T14:30:00Z",
   "stored": "2026-11-17T14:30:00Z"
  },
  {
   "field": "patient",
   "record": "Appointment/ec933615-1112-4693-9f19-eb920fc35511",
   "same": true,
   "sent": "Patient/da24ba82-6f67-4789-83f0-bbfd36ac76dd",
   "stored": "Patient/da24ba82-6f67-4789-83f0-bbfd36ac76dd"
  },
  {
   "field": "practitioner",
   "record": "Appointment/ec933615-1112-4693-9f19-eb920fc35511",
   "same": true,
   "sent": "Practitioner/d7684dce-6023-47c0-ae20-2bec49c38b1f",
   "stored": "Practitioner/d7684dce-6023-47c0-ae20-2bec49c38b1f"
  }
 ],
 "recheck": {
  "at": 1793468433.013375,
  "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": 1,
  "outcome": "created_verified",
  "unattributed_writes": 0,
  "unlogged_writes": 0
 }
}

CONFIRMED Appointment check 33, records: Appointment/77a36797-5b44-4f4c-9806-21affee4c890

created once, every value read back
Checked first: CONFIRMED; checked again: CONFIRMED; since the first check: one record was already the person

Record	Field	Agent sent	Store holds now
5 other fields hold what the agent sent (all fields are under Evidence)

Before the write, matching records: none

Write	Path	Reply	Added
POST	/fhir/R4/Appointment	201	20 ms

Evidence

{
 "after": {
  "Appointment/77a36797-5b44-4f4c-9806-21affee4c890": {
   "end": "2026-11-17T14:30:00Z",
   "id": "77a36797-5b44-4f4c-9806-21affee4c890",
   "meta": {
    "lastUpdated": "2026-10-31T17:41:09.105Z",
    "versionId": "ff0b3e47-a0cf-48a0-bc58-22a2beab8bd3"
   },
   "participant": [
    {
     "actor": {
      "reference": "Patient/e38fdac4-2cf1-4ef3-87d9-54cc3d908d06"
     },
     "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/77a36797-5b44-4f4c-9806-21affee4c890",
   "same": true,
   "sent": "booked",
   "stored": "booked"
  },
  {
   "field": "start",
   "record": "Appointment/77a36797-5b44-4f4c-9806-21affee4c890",
   "same": true,
   "sent": "2026-11-17T14:00:00Z",
   "stored": "2026-11-17T14:00:00Z"
  },
  {
   "field": "end",
   "record": "Appointment/77a36797-5b44-4f4c-9806-21affee4c890",
   "same": true,
   "sent": "2026-11-17T14:30:00Z",
   "stored": "2026-11-17T14:30:00Z"
  },
  {
   "field": "patient",
   "record": "Appointment/77a36797-5b44-4f4c-9806-21affee4c890",
   "same": true,
   "sent": "Patient/e38fdac4-2cf1-4ef3-87d9-54cc3d908d06",
   "stored": "Patient/e38fdac4-2cf1-4ef3-87d9-54cc3d908d06"
  },
  {
   "field": "practitioner",
   "record": "Appointment/77a36797-5b44-4f4c-9806-21affee4c890",
   "same": true,
   "sent": "Practitioner/d7684dce-6023-47c0-ae20-2bec49c38b1f",
   "stored": "Practitioner/d7684dce-6023-47c0-ae20-2bec49c38b1f"
  }
 ],
 "recheck": {
  "at": 1793468479.643488,
  "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
 }
}