02 · Medicine
Scribe notes, evidence prompts, radiology reads, risk assessments, operational workflows: each hands back a draft a clinician has to fix, and the fix carries the actual clinical judgment. Then it is discarded. Cognition captures the correction, puts it through human review, and brings it back the next time the context applies.
The governed correction loop
Deployment engineering and pilot validation · not clinical validation or institutional endorsement
An AI or workflow output comes back incomplete, inaccurate, or poorly contextualized.
The edit carries the actual judgment: what was missing, what was overstated, what changed the read.
The correction is kept with its provenance, its authority, and the context it applies to.
A responsible person decides whether it should become reusable memory. Nothing is automatic.
Future workflows retrieve it only when the relevant context actually applies.
Use decides whether the memory is reinforced, revised, or suppressed.
Versioned workflow packs
Each pack separates reusable workflow intelligence from site-specific implementation: template → specialty mode → adapter → site configuration.
A nurse-triage call copilot has emerged through workflow discovery and is developing as a seventh pattern.
Where the system stops
Cognition preserves clinician judgment around the systems physicians already use. It does not attempt to replace them or automate medical decision-making; the boundaries are architectural, not promised.
Start a scoped pilot on one workflow, around the scribes, evidence platforms, and EHRs you already use, never inside the decision.
