Healthcare Delivery
Layer-2 domain pack: descriptive invariants about consent, metrics, throughput, and time horizons in care systems.
Layer-2
descriptive
grounded
L2-HC-01 — Clinical Metrics Compress Patient Lived Reality
Statement
Standardized clinical metrics compress patient health states and do not fully model lived experience.
Primitives
P4 P5 P10 P6Composites
C3 C4Notes
Metrics represent a compressed state; optimizing them can miss lived outcomes.
L2-HC-02 — Treatment Effects Can Cross Institutional Boundaries
Statement
Medical interventions often produce downstream effects outside the treating institution’s accounting boundary.
Primitives
P1 P5 P9 P6Composites
C5Notes
Hospital boundary ≠ patient life boundary; long-term effects may be untracked.
L2-HC-03 — Consent Conditions Vary with Capacity and Context
Statement
Consent conditions vary with cognitive capacity, informational asymmetry, urgency, and reversibility.
Primitives
P2 P3 P4 P8 P9Composites
C6Notes
Emergency vs elective; language barriers; pediatrics; urgency shifts consent gradient.
L2-HC-04 — Throughput Optimization Alters Care Dynamics
Statement
Operational optimization for throughput shifts care dynamics through altered gradients and feedback loops.
Primitives
P7 P6 P10 P1Composites
C1 C10Notes
Time becomes dominant gradient; local KPI choices shift system behavior.
L2-HC-05 — Risk Accounting Differs Across Time Horizons
Statement
Short-term risk comparators and long-term health outcomes operate on different feedback timelines.
Primitives
P6 P10 P5Composites
C9 C10Notes
Acute safety vs chronic progression; insurance cycles vs lifetime outcomes.
L2-HC-06 — Public Attribution Simplifies Systemic Causality
Statement
Failures are often attributed to individuals despite systemic feedback structures.
Primitives
P6 P7 P10Composites
C8 C4Notes
Narratives simplify multi-causal loops; affects governance responses.
Use this pack to map real artifacts (policies, configs, incidents) into the spine. Then run a gap-check: what grounding effects are missing?