{"total":28,"offset":0,"limit":50,"filters":{"trajectory":null,"institution":null,"record_type":null},"records":[{"reference":"TRT-COH-20160315-001","record_type":"treatment_episode","record_type_label":"Treatment Episode","trajectory":"Stable","conditions":["PUBLISHED_DOCUMENT_CONTEXT"],"system_state":"Treatment Episode record created from Published document context.","institution_type":"COH","exported_at":"2026-08-03T06:30:54.106073+00:00","version":1,"verification_hash":"c34db4818503a3fdc944acca3d284c30755906ec421996a90631b0554f3c6327","finding":"Operation Record documenting a pain intervention procedure performed on 15 March 2016. The form records procedural details, theatre checklist, local anaesthetic section, and post-procedure observations. Handwritten clinical notes are present on the original record.","generated_at":"2016-03-15T00:00:00Z","language":"en","supersedes":null,"generated_by":"Civic Decision Engine"},{"reference":"CLE-CH-20151027-001","record_type":"clinical_episode","record_type_label":"Clinical Episode","trajectory":"Stable","conditions":["PUBLISHED_DOCUMENT_CONTEXT"],"system_state":"Clinical Episode record created from Published document context.","institution_type":"CH","exported_at":"2026-08-03T06:30:11.977525+00:00","version":1,"verification_hash":"c741f45274a263cb6f8941e31543e4e0f5932e05024b308d457afd16a4665866","finding":"Croom Hospital in-patient admission form documenting a planned public admission on 27 October 2015 under Professor D. Harmon. The record includes patient details, GP details, admission and discharge information, referral details, and the signed declaration for hospital services.","generated_at":"2015-10-27T00:00:00Z","language":"en","supersedes":null,"generated_by":"Civic Decision Engine"},{"reference":"CLE-UHL-20180619-001","record_type":"clinical_episode","record_type_label":"Clinical Episode","trajectory":"Stable","conditions":["PUBLISHED_DOCUMENT_CONTEXT"],"system_state":"Clinical Episode record created from Published document context.","institution_type":"UHL","exported_at":"2026-08-02T18:07:08.642749+00:00","version":1,"verification_hash":"5f8c6f8efd1eecae5ea66dfdf2287a701a1eff0ba2169b73d1119eef40c8580e","finding":"University Hospital Limerick in-patient admission form recording admission on 19 June 2018 for an elective public day-case admission under Professor Dominic Harmon at the CH Day Ward. Includes patient details, GP details, admission information, referral information and admission declaration.","generated_at":"2018-06-19T00:00:00Z","language":"en","supersedes":null,"generated_by":"Civic Decision Engine"},{"reference":"Research-CDE-20260725-001","record_type":"research_record","record_type_label":"Research Record","trajectory":"Stable","conditions":["PUBLISHED_DOCUMENT_CONTEXT"],"system_state":"Canonical record established for the Civic Decision Engine User Handbook v2.0 from its governed Published Document.","institution_type":"CDE","exported_at":"2026-07-25T11:45:39.704148+00:00","version":1,"verification_hash":"107ef2ec8f144b154707fed33a7a6567434b1862a5ce269edb218c0b7bc8e01e","finding":"Civic Decision Engine User Handbook, Version 2.0. A practical operational handbook documenting the governed CDE workflow for document intake, review, approval, publication, record-document association, communication context, evidence boundaries, corrections, and quality control. Version 2.0 is the first operational edition and corresponds to Civic Decision Engine platform version v13.","generated_at":"2026-07-25T00:00:00Z","language":"en","supersedes":null,"generated_by":"Civic Decision Engine"},{"reference":"CMP-MC-20191202-001","record_type":"complaint","record_type_label":"Complaint","trajectory":"Submitted","conditions":["FORMAL_COMPLAINT_SUBMITTED"],"system_state":"Complaint record created from Published document context.","institution_type":"MC","exported_at":"2026-07-17T12:05:37.825594+00:00","version":1,"verification_hash":"a1886eb8fdd43d2738bd1951f2510480ce487335b2af9c843195de18aae6d232","finding":"Formal complaint submitted to the Medical Council of Ireland on 2 December 2019, accompanied by an initial evidence package and supporting material.","generated_at":"2019-12-02T00:00:00Z","language":"en","supersedes":null,"generated_by":"Civic Decision Engine"},{"reference":"Strike-LA-20260710-004","record_type":"strike","record_type_label":"Strike","trajectory":"Stable","conditions":["Escalation Without Response"],"system_state":"PERSISTENT_RESISTANCE_WITHOUT_ADAPTATION","institution_type":"LA","exported_at":"2026-06-15T12:32:41.212709+00:00","version":1,"verification_hash":"fcb4f0a01834c2b0360fbd7de6dbd6366a21f73afd070b31a25f82ee0fd83b11","finding":"Trajectory recorded as: Stable.","generated_at":"2026-06-15T12:28:20.918Z","language":"en","supersedes":null,"generated_by":"Civic Decision Engine"},{"reference":"Strike-LA-20260606-040","record_type":"strike","record_type_label":"Strike","trajectory":"Stable","conditions":["INSTITUTIONAL_DELAY","PROCEDURAL_DEFLECTION","REPEATED_CONTACT_WITHOUT_RESOLUTION","Transfer of Burden","Escalation Without Response"],"system_state":"DOMINANT_RESISTANCE_PATTERN","institution_type":"LA","exported_at":"2026-06-06T17:09:37.280877+00:00","version":1,"verification_hash":"b30944b47d11d4d249d0f189f099fd4d39cdbaf99d1a2f13125acbac48148234","finding":"Trajectory recorded as: Stable.","generated_at":"2026-06-06T17:08:48.236Z","language":"en","supersedes":null,"generated_by":"Civic Decision Engine"},{"reference":"Strike-LA-20260606-039","record_type":"strike","record_type_label":"Strike","trajectory":"Stable","conditions":["Escalation Without Response"],"system_state":"PERSISTENT_RESISTANCE_WITHOUT_ADAPTATION","institution_type":"LA","exported_at":"2026-06-06T16:22:29.900606+00:00","version":1,"verification_hash":"f05647b09d23e42a667030f64334ad352bb99196cc6afe6e2dc301a6394e5a77","finding":"Trajectory recorded as: Stable.","generated_at":"2026-06-06T16:22:21.211Z","language":"en","supersedes":null,"generated_by":"Civic Decision Engine"},{"reference":"Strike-LA-20260606-038","record_type":"strike","record_type_label":"Strike","trajectory":"Stable","conditions":["Escalation Without Response"],"system_state":"PERSISTENT_RESISTANCE_WITHOUT_ADAPTATION","institution_type":"LA","exported_at":"2026-06-06T16:20:02.228057+00:00","version":1,"verification_hash":"16ae39456a993c90a1648901c38b53aa31531f40b6a38fff05cf949263302535","finding":"Trajectory recorded as: Stable.","generated_at":"2026-06-06T16:19:14.396Z","language":"en","supersedes":null,"generated_by":"Civic Decision Engine"},{"reference":"Strike-LA-20260602-001","record_type":"strike","record_type_label":"Strike","trajectory":"Deteriorating","conditions":["Transfer of Burden","Escalation Without Response"],"system_state":"Transition to Escalation","institution_type":"LA","exported_at":"2026-06-02T12:24:42.498615+00:00","version":1,"verification_hash":"7c9d86a6dbbe57a3034efc6c09f205fa47504fe25c46915917df75ab72dd9d56","finding":"The sequence has transitioned into escalation.\n\nEarlier delay has developed into escalation without response.","generated_at":"2026-06-02T12:24:24.254Z","language":"en","supersedes":null,"generated_by":"Civic Decision Engine"},{"reference":"Strike-LA-20260529-001","record_type":"strike","record_type_label":"Strike","trajectory":"Deteriorating","conditions":["Transfer of Burden","Escalation Without Response"],"system_state":"Transition to Escalation","institution_type":"LA","exported_at":"2026-05-29T20:39:19.338335+00:00","version":1,"verification_hash":"9934c3e2514b8b02ecd18f82b7480d7cbb23c188443c6fe3a995f600c290a6f4","finding":"The sequence has transitioned into escalation.\n\nEarlier delay has developed into escalation without response.","generated_at":"2026-05-29T20:38:58.323Z","language":"en","supersedes":null,"generated_by":"Civic Decision Engine"},{"reference":"Strike-OT-20260519-037","record_type":"strike","record_type_label":"Strike","trajectory":"Deteriorating","conditions":["Transfer of Burden","Escalation Without Response"],"system_state":"Transition to Escalation","institution_type":"OT","exported_at":"2026-05-19T11:59:27.731486+00:00","version":1,"verification_hash":"295181fefe1c95a779e69ea73e9fd34d008e5da26a7083d947781a4f3604f81c","finding":"The sequence has transitioned into escalation.\n\nEarlier delay has developed into escalation without response.","generated_at":"2026-05-19T11:59:16.513Z","language":"en","supersedes":null,"generated_by":"Civic Decision Engine"},{"reference":"Strike-LG-20260516-036","record_type":"strike","record_type_label":"Strike","trajectory":"Deteriorating","conditions":["Transfer of Burden","Escalation Without Response"],"system_state":"Transition to Escalation","institution_type":"LG","exported_at":"2026-05-16T17:31:23.924075+00:00","version":1,"verification_hash":"aa1a2099ab5f8dfe0a25bb6b79b075234f04d758a593610aadc569e512fa20d5","finding":"The sequence has transitioned into escalation.\n\nEarlier delay has developed into escalation without response.","generated_at":"2026-05-16T17:31:11.976Z","language":"en","supersedes":null,"generated_by":"Civic Decision Engine"},{"reference":"Strike-FS-20260516-035","record_type":"strike","record_type_label":"Strike","trajectory":"Deteriorating","conditions":["Transfer of Burden","Escalation Without Response"],"system_state":"Transition to Escalation","institution_type":"FS","exported_at":"2026-05-16T17:07:35.993037+00:00","version":1,"verification_hash":"32ef33abc27e4cc9c0a845c07c10695efde9b8f363f3afa1b68e2568bd6e8926","finding":"The sequence has transitioned into escalation.\n\nEarlier delay has developed into escalation without response.","generated_at":"2026-05-16T17:07:23.547Z","language":"en","supersedes":null,"generated_by":"Civic Decision Engine"},{"reference":"Strike-HO-20260513-001","record_type":"strike","record_type_label":"Strike","trajectory":"Deteriorating","conditions":["Transfer of Burden","Escalation Without Response"],"system_state":"Transition to Escalation","institution_type":"HO","exported_at":"2026-05-13T17:25:49.406931+00:00","version":1,"verification_hash":"2417f0bcc9306b3eabbcf1234da96a14a7aac36344f1b9254792d6965459ba13","finding":"The sequence has transitioned into escalation.\n\nEarlier delay has developed into escalation without response.","generated_at":"2026-05-13T17:25:25.572Z","language":"en","supersedes":null,"generated_by":"Civic Decision Engine"},{"reference":"Strike-OT-20260511-013","record_type":"strike","record_type_label":"Strike","trajectory":"Deteriorating","conditions":["Transfer of Burden","Escalation Without Response"],"system_state":"Transition to Escalation","institution_type":"OT","exported_at":"2026-05-11T11:15:57.011371+00:00","version":1,"verification_hash":"64c28f474c4b627bb04b219cc01d63d4718c788e4ce2d78751d99e51f42f2df4","finding":"The sequence has transitioned into escalation.\n\nEarlier delay has developed into escalation without response.","generated_at":"2026-05-11T11:15:48.064Z","language":"en","supersedes":null,"generated_by":"Civic Decision Engine"},{"reference":"Strike-FS-20260511-012","record_type":"strike","record_type_label":"Strike","trajectory":"Deteriorating","conditions":["Transfer of Burden","Escalation Without Response"],"system_state":"Transition to Escalation","institution_type":"FS","exported_at":"2026-05-11T09:13:50.733524+00:00","version":2,"verification_hash":"cbb6745770f5d7e737d8d2d44688151a26087c875cdf6f6dc68898a3311b39a7","finding":"The sequence has transitioned into escalation.\n\nEarlier delay has developed into escalation without response.","generated_at":"2026-05-11T09:10:22.466Z","language":"en","supersedes":"Strike-FS-20260511-012:v1","generated_by":"Civic Decision Engine"},{"reference":"Strike-OT-20260510-011","record_type":"strike","record_type_label":"Strike","trajectory":"Deteriorating","conditions":["Transfer of Burden","Escalation Without Response"],"system_state":"Transition to Escalation","institution_type":"OT","exported_at":"2026-05-10T19:32:55.199032+00:00","version":1,"verification_hash":"da037e58226519ea0c9a15220f14da7bc6d659176c548251962d995c35c7ad0b","finding":"The sequence has transitioned into escalation.\n\nEarlier delay has developed into escalation without response.","generated_at":"2026-05-10T19:31:11.070Z","language":"en","supersedes":null,"generated_by":"Civic Decision Engine"},{"reference":"Strike-GV-20260510-010","record_type":"strike","record_type_label":"Strike","trajectory":"Deteriorating","conditions":["Transfer of Burden","Escalation Without Response"],"system_state":"Transition to Escalation","institution_type":"GV","exported_at":"2026-05-10T19:32:43.550243+00:00","version":1,"verification_hash":"d35286d6303cb3eecf02f564677e1a831b3d40e9e6ec317bf8881095f90cca51","finding":"The sequence has transitioned into escalation.\n\nEarlier delay has developed into escalation without response.","generated_at":"2026-05-10T19:31:11.070Z","language":"en","supersedes":null,"generated_by":"Civic Decision Engine"},{"reference":"Strike-PL-20260510-009","record_type":"strike","record_type_label":"Strike","trajectory":"Deteriorating","conditions":["Transfer of Burden","Escalation Without Response"],"system_state":"Transition to Escalation","institution_type":"PL","exported_at":"2026-05-10T19:32:33.068554+00:00","version":1,"verification_hash":"5da3ea1e8755e5864cc1ca0aa66f90125b6e59cbd7dd7c553e20ab9b9696edbc","finding":"The sequence has transitioned into escalation.\n\nEarlier delay has developed into escalation without response.","generated_at":"2026-05-10T19:31:11.070Z","language":"en","supersedes":null,"generated_by":"Civic Decision Engine"},{"reference":"Strike-HO-20260510-007","record_type":"strike","record_type_label":"Strike","trajectory":"Deteriorating","conditions":["Transfer of Burden","Escalation Without Response"],"system_state":"Transition to Escalation","institution_type":"HO","exported_at":"2026-05-10T19:32:24.159260+00:00","version":1,"verification_hash":"98c351c80d42bc1cd2302bd9628cf248e1877feda42a87fc8fd0375f38c3d214","finding":"The sequence has transitioned into escalation.\n\nEarlier delay has developed into escalation without response.","generated_at":"2026-05-10T19:31:11.070Z","language":"en","supersedes":null,"generated_by":"Civic Decision Engine"},{"reference":"Strike-ED-20260510-006","record_type":"strike","record_type_label":"Strike","trajectory":"Deteriorating","conditions":["Transfer of Burden","Escalation Without Response"],"system_state":"Transition to Escalation","institution_type":"ED","exported_at":"2026-05-10T19:32:14.753393+00:00","version":1,"verification_hash":"79f30ac9e958113271ff6f128fc35beb045dfb590c6cf4347ce13839ae48e3de","finding":"The sequence has transitioned into escalation.\n\nEarlier delay has developed into escalation without response.","generated_at":"2026-05-10T19:31:11.070Z","language":"en","supersedes":null,"generated_by":"Civic Decision Engine"},{"reference":"Strike-LG-20260510-005","record_type":"strike","record_type_label":"Strike","trajectory":"Deteriorating","conditions":["Transfer of Burden","Escalation Without Response"],"system_state":"Transition to Escalation","institution_type":"LG","exported_at":"2026-05-10T19:32:03.359182+00:00","version":1,"verification_hash":"a5a4d83c3eee6ae216307b79e284151ed94332921543384f1025806c8325f0e3","finding":"The sequence has transitioned into escalation.\n\nEarlier delay has developed into escalation without response.","generated_at":"2026-05-10T19:31:11.070Z","language":"en","supersedes":null,"generated_by":"Civic Decision Engine"},{"reference":"Strike-LE-20260510-004","record_type":"strike","record_type_label":"Strike","trajectory":"Deteriorating","conditions":["Transfer of Burden","Escalation Without Response"],"system_state":"Transition to Escalation","institution_type":"LE","exported_at":"2026-05-10T19:31:54.071684+00:00","version":1,"verification_hash":"db24b7ccfb94dfb62eaa808ed8be9b74d489636311e7692022792896e821a585","finding":"The sequence has transitioned into escalation.\n\nEarlier delay has developed into escalation without response.","generated_at":"2026-05-10T19:31:11.070Z","language":"en","supersedes":null,"generated_by":"Civic Decision Engine"},{"reference":"Strike-FS-20260510-003","record_type":"strike","record_type_label":"Strike","trajectory":"Deteriorating","conditions":["Transfer of Burden","Escalation Without Response"],"system_state":"Transition to Escalation","institution_type":"FS","exported_at":"2026-05-10T19:31:44.945081+00:00","version":1,"verification_hash":"f974790c0519f2724021f3ebd80c64ecbe22a9fcfe1b21f08b316794d6f9f551","finding":"The sequence has transitioned into escalation.\n\nEarlier delay has developed into escalation without response.","generated_at":"2026-05-10T19:31:11.070Z","language":"en","supersedes":null,"generated_by":"Civic Decision Engine"},{"reference":"Strike-HS-20260510-002","record_type":"strike","record_type_label":"Strike","trajectory":"Deteriorating","conditions":["Transfer of Burden","Escalation Without Response"],"system_state":"Transition to Escalation","institution_type":"HS","exported_at":"2026-05-10T19:31:35.186882+00:00","version":1,"verification_hash":"09bd28b6bd417d4453cc96ad569ee62454b4ad8c8db4bd3ed0855ea00e8af707","finding":"The sequence has transitioned into escalation.\n\nEarlier delay has developed into escalation without response.","generated_at":"2026-05-10T19:31:11.070Z","language":"en","supersedes":null,"generated_by":"Civic Decision Engine"},{"reference":"Strike-LA-20260510-001","record_type":"strike","record_type_label":"Strike","trajectory":"Deteriorating","conditions":["Transfer of Burden","Escalation Without Response"],"system_state":"Transition to Escalation","institution_type":"LA","exported_at":"2026-05-10T19:31:15.044088+00:00","version":1,"verification_hash":"5e61cc6f5750a726fd0174db0b7cb371e5eddb8e7c681107914a39ae7b0dc5cc","finding":"The sequence has transitioned into escalation.\n\nEarlier delay has developed into escalation without response.","generated_at":"2026-05-10T19:31:11.070Z","language":"en","supersedes":null,"generated_by":"Civic Decision Engine"},{"reference":"Strike-OT-20260510-024","record_type":"strike","record_type_label":"Strike","trajectory":"Pogarszający się","conditions":["Przeniesienie ciężaru","Eskalacja bez odpowiedzi"],"system_state":"Przejście do eskalacji","institution_type":"OT","exported_at":"2026-05-10T19:28:34.628166+00:00","version":1,"verification_hash":"ebfb8d15c53516db2ca9a68b16d51fe1754c4355f549c187272873e41843c42f","finding":"Sekwencja przeszła w eskalację.\n\nWcześniejsze opóźnienie przekształciło się w eskalację bez odpowiedzi.","generated_at":"2026-05-10T19:28:22.488Z","language":"pl","supersedes":null,"generated_by":"Civic Decision Engine"}]}