9. Weak vs. strong documentation
Weak — does not survive | Why it fails | Strong — defensible |
|---|---|---|
“Vitals stable. T 98.4, P 74, R 18, BP 124/76.” | Numbers with no parameter, no comparison, no interpretation — a routine task, not skilled observation. | The surveillance model note in §3: the values against the ordered parameters, the trend versus prior, and the reason parameter-based interpretation was required for the diagnosis. |
“VSS.” | No values at all; nothing to trend or defend. | Document the actual values against parameters with the interpretation and any action. |
“BP 88/50.” | A value with no context, no notification, no action. | The out-of-parameter model note in §4: the value against the notify threshold, the context, the notification, and the monitoring/fall precautions. |