Telephony Call Lifecycle

A 24-hour post-discharge follow-up job for patient P-7821 (encounter ENC-7821) was enqueued at T-5 minutes. The scheduler process crashed immediately after writing the job to the pending queue but before writing an in-flight mark…

Before placing any call, the agent checks for an idempotency record keyed on ENC-7821 — a call_log entry, a distributed lock, or an atomic claim record in a separate authoritative store. If such a record exists (e.g., call_log.status=PLACED or COMPLETED for ENC-7821), the agent skips dialing, marks…

Patient P-4492 was discharged on 2026-05-21 following a knee-replacement procedure. A 24-hour follow-up call was enqueued at 09:00 AM on 2026-05-22. At 09:40 AM the patient was readmitted and the discharge encounter ENC-9034 was …

Before placing the call, the agent performs a live EHR fetch for encounter ENC-9034. The live record returns status=CANCELLED with reason=READMISSION. The agent aborts dialing, writes disposition=CANCELLED_ENCOUNTER to the call log (including a reference to the live EHR response and the fetch times…

Patient P-8873 (72-year-old enrolled in a CHF management program) was discharged on 2026-05-21. A 24-hour follow-up call was enqueued at 06:00 AM on 2026-05-22 with deceased_flag=false in the job payload. The patient died at 07:4…

Before placing any call, the agent fetches the current patient record for P-8873 and checks deceased_flag and deceased_date. The live record returns deceased_flag=true with deceased_date=2026-05-22. The agent aborts dialing without contacting the phone number, logs disposition=PATIENT_DECEASED with…