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[WIP] Enhance clinical safety and governance measures#63

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BigSimmo with Copilot wants to merge 2 commits into
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copilot/enhance-clinical-safety-governance
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[WIP] Enhance clinical safety and governance measures#63
BigSimmo with Copilot wants to merge 2 commits into
mainfrom
copilot/enhance-clinical-safety-governance

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Copilot AI commented Jun 23, 2026

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Thanks for asking me to work on this. I will get started on it and keep this PR's description up to date as I form a plan and make progress.


This section details on the original issue you should resolve

<issue_title>Enhance clinical safety and governance</issue_title>
<issue_description>### Problem

  • The ingestion pipeline assumes users will not upload documents containing patient identifiers. There is no automated check to detect names, dates or medical record numbers (MRNs), so identifiable information may be stored unredacted.
  • Functions such as assessClinicalImageUse and nonClinicalTableClassification classify images based on heuristics like table role or title. These heuristics may misclassify clinically relevant images as administrative or reference, causing important information to be skipped.
  • Search ranking relies on static boosts and fuzzy‑matching heuristics, but the weighting of fields (title, labels, metadata) is opaque. Without clear documentation or clinician oversight, the search may bias results unpredictably.

Proposed actions

  • Integrate a de‑identification scanning step for uploaded documents and images to detect patient identifiers. Require users to attest that files are de‑identified before processing.
  • Periodically audit and retrain image‑classification heuristics. Provide a mechanism for clinicians to flag misclassifications so the models and heuristics can be improved.
  • Document how search scores are computed and allow clinicians to tune relevance weights or filter results. Transparency in search weighting will support clinical safety and trust.
    </issue_description>
  • Closes Enhance clinical safety and governance #54

<agent_instructions>logical and efficiently implement these fixes. </agent_instructions>

Comments on the Issue (you are @copilot in this section)

Copilot AI review requested due to automatic review settings June 23, 2026 05:56

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Copilot was unable to review this pull request because the user who requested the review has reached their quota limit.

@BigSimmo BigSimmo closed this Jun 26, 2026
@BigSimmo
BigSimmo deleted the copilot/enhance-clinical-safety-governance branch June 26, 2026 12:18
BigSimmo added a commit that referenced this pull request Jul 25, 2026
Resolve docs/outstanding-issues.md by keeping main's ledger and re-applying closures for #9 #10 #32 #41 #63 into Resolved/archive.

Co-authored-by: Cursor <cursoragent@cursor.com>
cursor Bot pushed a commit that referenced this pull request Jul 25, 2026
* docs: close ledger #9 #10 #32 #41 #63

Record ops-only /api/jobs decision, coming-soon audit, governance
ranking REFUTED guardrail, Factsheets reading-model brief, and Current
Clinical Work privacy/persistence brief. Archive the five open items;
no RAG or application behavior changes.

Co-authored-by: BigSimmo <BigSimmo@users.noreply.github.com>

* fix(ci): prettier ledger docs and drop stale PR_POLICY_BODY

Static PR checks failed on Prettier for five docs files. Also remove
leftover PR_POLICY_BODY.md from merged #1134 so Sync PR policy body
stops overwriting this docs PR description.

Co-authored-by: BigSimmo <BigSimmo@users.noreply.github.com>

* docs: record PR #1175 review ledger outcome

Co-authored-by: BigSimmo <BigSimmo@users.noreply.github.com>

* chore: restore PR #1175 description via PR_POLICY_BODY sync

Temporary template so CI Sync PR policy body replaces the polluted
search-performance description left from merged #1134.

Co-authored-by: BigSimmo <BigSimmo@users.noreply.github.com>

* chore: remove temporary PR_POLICY_BODY after description sync

Keep the corrected PR #1175 description without leaving the sync
template on the branch for merge to main.

Co-authored-by: BigSimmo <BigSimmo@users.noreply.github.com>

* docs: supersede PR #1175 review ledger after body sync

Co-authored-by: BigSimmo <BigSimmo@users.noreply.github.com>

* style: prettier-format outstanding-issues after ledger merge

---------

Co-authored-by: Cursor Agent <cursoragent@cursor.com>
Co-authored-by: BigSimmo <BigSimmo@users.noreply.github.com>
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Enhance clinical safety and governance

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