This control plane turns synthetic clinical-event narratives into one review surface: chronology quality, seriousness framing, causality language, follow-up closure, physician addenda, and submission readiness before medical review hardens around weak packets.
| Lane | Owner | Status | Focus | Next action |
|---|---|---|---|---|
| Narrative intake lane Intake quality is currently the biggest narrative-risk pressure point. |
Case Processing | red | Readable case chronology, reporter framing, and event-sequence integrity | Close the missing onset details before another serious packet reaches medical review with a broken chronology. |
| Medical review lane Medical review posture is not signoff-safe yet. |
Medical Review | red | Seriousness framing, physician addendum quality, and medically readable summaries | Close the seriousness alignment and physician addendum before the next safety review pass. |
| Follow-up narrative lane Follow-up posture is recoverable if the next outreach lands on time. |
Patient Safety | yellow | Outcome closure, symptom progression details, and affiliate handoff timing | Close the overdue follow-up narratives before the next review cycle hardens the open unknowns. |
| Submission packet lane Submission posture is not yet outbound-safe. |
Regulatory Affairs | red | Submission-ready narrative quality, literature linkage, and named signoff ownership | Close the missing narrative revision and literature reconciliation before another hepatic packet reaches outbound review. |