Evidence & limitations

Clear boundaries are part of the method.

Patient-Side should be judged not only by what it helps people see, but by how well it prevents structured language from masquerading as certainty.

Documented now

  • A capture → structure → longitudinalize → interpret → measure → handoff → human decision → update lifecycle
  • A PSLAI audit model for longitudinal integrity
  • Explicit evidence-state, contradiction, uncertainty, provenance, and burden checks
  • Purpose-specific framing without changing the underlying claims

Requires validation

  • Which people and settings benefit from added structure
  • When structure creates burden, false salience, or exclusion
  • How professionals use or ignore patient-generated context
  • Which measures fairly test usability, understanding, decision quality, and burden

Claims not made

  • Diagnosis, treatment, or standard-of-care determination
  • Clinically validated outcomes or universal usefulness
  • Validation of personal medical hypotheses
  • Clinician replacement or autonomous institutional representation

Noncompensable safeguards

Some failures require a hold—not an average.

Provenance, evidence-state separation, and human authority and safety are critical gates. Strength elsewhere should not cancel a serious failure in one of them.

A reader must be able to distinguish direct observation, patient report, documentary fact, machine inference, working hypothesis, and professional interpretation—and preserve a way back to the source.

See the governed material set