One value
A performance score is present.
A sparse assessment and a complete negative looked identical to the first engine. One explicit review-scope field became the permission required before software could emit a confident negative.
A synthetic score with every other field blank might reflect a complete assessment or a failed extraction. The facts alone cannot tell those states apart.
A performance score is present.
No provenance explains why.
A confident negative would manufacture certainty.
PARTIAL is the safe default. It returns YELLOW with review_incomplete. Only a defined COMPLETE review permits the rules to consider RED.
Missing means an applicable field has no usable value. Not applicable means the criterion does not belong to this clinical context.
Expected for the assessment, absent or unusable.
Irrelevant to the selected diagnosis or rule family.
Completeness and user-facing explanations remain honest.
The synthetic facts remain identical. Only review scope changes what the engine is permitted to say.
YELLOW · review incomplete
Completeness is explicit provenance, not inference.
Configured rules may evaluate a negative band.
CMS states that Medicare hospice certification depends on physician clinical judgment and current clinically relevant information. CareFlow organizes evidence; it does not certify terminal illness.
A narrated walkthrough of the sparse assessment, review-scope gate, missing versus not applicable states, twin test, and clinician authority boundary.