Cognitive Decline Alert
CriticalFlags patients whose cognitive assessment trend crosses an approved deterministic decline threshold. Requires clinician review and acknowledgement before the alert can be resolved.
neuro
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Monin Modi
Monin Modithis is the requirement doc
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Medical Director • Rule Governance
Deterministic Rule List
Review, edit, and approve the deterministic rules that drive CRITICAL, ELEVATED, and WATCH alert tiers across the neuro platform. Edits and approvals recorded here apply to this working session only.
RuleAlert TierStatusLast ModifiedActions
RULE-001Critical NEURO DeteriorationCognitive trajectory crosses the approved deterministic critical threshold.
Critical
Approved
Aug 12, 2026
RULE-002CRITICAL Alert AcknowledgementA CRITICAL-tier alert requires clinician review and acknowledgement before it can resolve.
Critical
Approved
Aug 10, 2026
RULE-003Elevated Risk Score ChangeRisk-changing new patient data is detected across monitored clinical or wearable sources.
Elevated
Pending Review
Aug 18, 2026
RULE-004Missed Clinical ActionAn assigned clinical action remains incomplete beyond the care-team follow-up window.
Elevated
Pending Review
Aug 19, 2026
RULE-005Cognitive Follow-up TriggerA follow-up assessment chain condition is met following a prior evaluation.
Watch
Approved
Aug 05, 2026
RULE-006Consent Change Follow-upPatient consent or data-permission status changes and requires downstream review.
Watch
Draft
Aug 20, 2026
Final alert thresholds and the complete permission matrix remain pending clinical confirmation. Only authorized Medical Director accounts may approve rule changes shown here.
Rule Governance
Rule Details
Review the selected deterministic rule and adjust its configuration and thresholds. Changes are kept as a local draft until submitted through clinical governance review.
Cognitive Trajectory
Configuration & Thresholds
Numeric threshold values are withheld pending clinical governance confirmation. Parameters below are governed by this rule but cannot be edited until approved values are published.
Score Drop ThresholdPending Confirmation
Evaluation WindowPending Confirmation
Confirming Data Points RequiredPending Confirmation
Rule History
Every deterministic rule revision and clinician action is recorded here, preserving a complete version lineage and audit trail for CRITICAL, ELEVATED, and WATCH tier rules.
Version History
6 revisions| Version | Rule | Tier | Change | Changed By | Date | Status |
|---|---|---|---|---|---|---|
| v3.2 | Critical Cognitive Decline Threshold | CRITICAL | Threshold Updated | Dr. Amara OkaforMedical Director | 2026-08-14 | Active |
| v3.1 | Elevated Missed Medication Adherence | ELEVATED | Rule Modified | Dr. Marcus ChenMedical Director | 2026-07-29 | Superseded |
| v3.0 | Wearable Data Gap Detection | WATCH | New Rule Created | Dr. Amara OkaforMedical Director | 2026-07-02 | Active |
| v2.4 | Critical Fall Risk Composite Score | CRITICAL | Threshold Updated | Dr. Priya NandakumarMedical Director | 2026-06-18 | Superseded |
| v2.3 | Elevated Sleep Disruption Pattern | ELEVATED | Rule Approved | Dr. Marcus ChenMedical Director | 2026-05-27 | Active |
| v2.2 | Watch: NEURO Engagement Drop-off | WATCH | Rule Rolled Back | Dr. Priya NandakumarMedical Director | 2026-05-09 | Superseded |
Audit Log
Critical Cognitive Decline Threshold moved from v3.1 to v3.2.
Dr. Amara OkaforAdjusted deterministic threshold inputs for Critical Cognitive Decline Threshold.
Dr. Amara OkaforElevated Missed Medication Adherence updated to v3.1.
Dr. Marcus ChenWearable Data Gap Detection published as v3.0.
Dr. Amara OkaforCritical Fall Risk Composite Score revised to v2.4.
Dr. Priya NandakumarElevated Sleep Disruption Pattern approved as v2.3.
Dr. Marcus ChenWatch: NEURO Engagement Drop-off reverted to prior configuration after review.
Dr. Priya Nandakumar
AI-Assisted Care Guidance
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