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Stevan Fairburn's avatar

Intent debt maps cleanly to clinical AI because the missing artifact is not only why code exists. It is why a workflow is allowed to change state.

For an OR-adjacent agent, the chart, preference card, huddle update, equipment list, and room state need externalized rationale: source owner, freshness, constraint, allowed verb, and human exception owner.

If that intent is missing, the agent can only infer a plausible reason. In healthcare, plausible inferred intent is not enough to call something ready.

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