Provenance: what was offered, and how it was answered

Every card the side panel showed (the evidence, the definition version, which readers read the note and whether they agreed, the model and any fault, the options) and every response to it: an inserted option, other, unable to determine, not clinically supported, a dismissal with its reason, no response before signing, or signing anyway with a reason. Demonstration data on synthetic patients. Rows are append-only, like the audit trail they mirror.