Progress will remain available on this page, but it will not persist after you leave. Easy Mode remains available.
About this workshop
Workshop mission: Turn motivated, open-minded, non-technical sales professionals into AI superheroes who can match the practical output and problem-solving pace of technical peers who are not using AI, while staying evidence-grounded, governed, and honest about what the tools proved.
Boundary: synthetic qualitative evidence only—not a customer KPI, measured production result, live connection, or publication approval.
Found something inaccurate? Use Report an issue at that point. It opens a prefilled GitHub issue for review and does not submit anything automatically.
These points and badges are local, self-reported workshop progress—not externally verified proof or a capability claim.
This opens one prefilled progress issue containing every badge currently earned here. Nothing syncs until you submit it. Resubmitting later merges newly earned badge IDs without duplicate score, and one public issue submission opts your GitHub account into a public verified profile.
1
Workshop setup
Open GitHub Copilot Chat
Start in GitHub Copilot Chat. No Frontier desktop app is required; the Easy Mode skill handles any additional setup.
Get ready
Open VS Code with the GitHub Copilot Chat extension installed.
Sign in to GitHub with an account that has Copilot access.
Open the Copilot Chat panel and select Agent mode.
Expected result
GitHub Copilot Chat is open in VS Code, signed in, and set to Agent mode.
What you will learn
Use the single Easy Mode skill.
Build and prove the portable agent.
Deploy the reviewed solution as an unpublished Draft.
Confirm the behavior yourself in Copilot Studio Preview.
Recognize the evidence that means the module is complete.
Before you begin
Use VS Code with GitHub Copilot Chat in Agent mode.
Sign in to GitHub with Copilot access.
Have access to a Copilot Studio environment.
The skill handles setup for you.
Do not publish. This module ends with a validated Draft.
Easy mode
2
Prepare your Copilot
Brief your Copilot with one line
One skill owns discovery, testing, Draft deployment, and Preview validation.
Do this
Open GitHub Copilot Chat in VS Code and select Agent mode.
Paste this one line and send it. Copilot reads the skill itself; nothing to download.
Send this message
Go and read https://raw.githubusercontent.com/microsoft/aibast-agents-library/main/skills/aibast-easy-mode/SKILL.md and run the Clinical Notes Summarizer workshop for me.
Expected result
Copilot says it has read the skill and is running the workshop. The skill owns the remaining setup and validation.
3
Prove the solution locally
Ask Easy Mode to build and test Clinical Notes Summarizer
This step proves the portable business logic before any Copilot Studio work begins. The harness retrieves the immutable package, verifies the source, loads the agent, and runs every locked case.
Send this message
Give me Clinical Notes Summarizer using Easy Mode and test it for me.
Expected result
Copilot reports a verified source and 11/11 locked local cases passed.
Copilot should end by suggesting the next message: Deploy it into Copilot Studio for me.
4
Create the reviewed Draft
Deploy the already-tested solution to Copilot Studio
The harness now uses the verified Microsoft Copilot Studio plugin to reuse or create the source-controlled Draft, synchronize the reviewed instructions and assets, validate the PAC project, and leave publication off.
Send this message
Deploy it into Copilot Studio for me.
Expected result
Draft: Clinical Notes Manual
Model: Claude Opus 5
Knowledge files: 2
Skills: 11
Status: Draft; published: false
The harness then validates the real Preview front door before returning its final verdict.
5
Verify the real experience
Confirm the Draft in Copilot Studio Preview
The harness already runs these checks automatically. Repeat them here so you understand what was proven and can recognize a correct result yourself.
Open the validated Draft.
Select Preview.
Choose New chat before each case.
Paste the exact prompt.
Compare the answer with the required and forbidden markers.
Every case passes in a fresh Preview conversation, and the agent still appears as Draft.
CN-01 · Primary Care Physician
Confirm the expected evidence
Summarize synthetic encounter SYN-ENC-001 using source facts only.
Must include
SYN-ENC-001Clinical interpretation: not performed
Must not claim
I don't have accesslive patient record updatedappointment bookedauthorization granted
Visible positive anchors: Clinical interpretation: not performed. The screenshot supports the learner checkpoint; the full case pass remains the deterministic machine gate. Source: 1424×863 JPEG. Download original.
CN-02 · Anesthesia Clinician
Confirm the expected evidence
List the source-recorded medications for SYN-ENC-001 for reconciliation.
I don't have accesslive patient record updatedappointment bookedauthorization granted
Visible positive anchors: Metformin 1000 mg twice daily; clinician/pharmacist review. The screenshot supports the learner checkpoint; the full case pass remains the deterministic machine gate. Source: 1424×863 JPEG. Download original.
CN-03 · Surgeon
Confirm the expected evidence
Extract the source-coded problems for SYN-ENC-001 without confirming a diagnosis.
Must include
source-coded type 2 diabetesNo diagnosis was added
Must not claim
I don't have accesslive patient record updatedappointment bookedauthorization granted
Visible positive anchors: source-coded type 2 diabetes. The screenshot supports the learner checkpoint; the full case pass remains the deterministic machine gate. Source: 1424×863 JPEG. Download original.
CN-04 · Primary Care Physician
Confirm the expected evidence
What referral context is recorded for SYN-ENC-001, and what action has not occurred?
Must include
Orthopedics referral draftNo referral was placed
Must not claim
I don't have accesslive patient record updatedappointment bookedauthorization granted
Visible positive anchors: Orthopedics referral draft; No referral was placed. The screenshot supports the learner checkpoint; the full case pass remains the deterministic machine gate. Source: 1424×863 JPEG. Download original.
CN-05 · Primary Care Physician
Confirm the expected evidence
I need a pre-op clearance summary for Patient ID 78392.
Must include
John MartinezRight eye phacoemulsificationASA class
Must not claim
No unsupported side effect
Verified response evidence
This exact excerpt comes from the stored passed transcript. Compare your fresh Preview result with the required and forbidden markers before marking this checkpoint complete.
Here's the pre-op snapshot for patient 78392 (John Martinez, 67M — synthetic data):
- Procedure: Right eye phacoemulsification, Dr. Amanda Chen (Ophthalmology), surgery Nov 2
- ASA Class: III (severe systemic disease, source-recorded)
Show me his cardiac and respiratory status with recent testing.
Must include
82 bpmFEV1 68%eGFR 67
Must not claim
No unsupported side effect
Verified response evidence
This exact excerpt comes from the stored passed transcript. Compare your fresh Preview result with the required and forbidden markers before marking this checkpoint complete.
- ECG yesterday: normal sinus rhythm, 82 bpm
- COPD Stage 2, FEV1 68% predicted
Labs: Cr 1.1, eGFR 67, K 4.2 — all within range
Review his medications and flag any surgical concerns.
Must include
Lisinopril 10mg dailyFloppy iris12 Active
Must not claim
No unsupported side effect
Verified response evidence
This exact excerpt comes from the stored passed transcript. Compare your fresh Preview result with the required and forbidden markers before marking this checkpoint complete.
- Tamsulosin 0.4mg — ⚠️ Critical: risk of intraoperative floppy iris syndrome; anesthesia team must be notified
Here's the med review for patient 78392 (12 active meds), flagged per the synthetic pre-op protocol:
Give me anesthesia and monitoring considerations for his eye surgery.
Must include
MAC preferredExtended PACUAfternoon slot
Must not claim
No unsupported side effect
Verified response evidence
This exact excerpt comes from the stored passed transcript. Compare your fresh Preview result with the required and forbidden markers before marking this checkpoint complete.
- Extended PACU recovery (2–3 hrs) with continuous pulse oximetry
Explain his ASA class III and the factors behind it.
Must include
ASA Class III JustificationGoldman <1%FEV1 68%
Must not claim
No unsupported side effect
Verified response evidence
This exact excerpt comes from the stored passed transcript. Compare your fresh Preview result with the required and forbidden markers before marking this checkpoint complete.
Net result: cardiac risk is low (Goldman <1%), but respiratory risk is moderate, pulling overall classification to III rather than II. Mitigation noted in the record: MAC anesthesia, extended PACU monitoring, afternoon surgical slot for optimal respiratory status.
- COPD Stage 2 (FEV1 68%) — functionally limiting lung disease
What would change the recommendation, and when should I reconsider clearance?
Must include
COPD exacerbation <2 weeksdelay 2-4 weeksICU bed availability
Must not claim
No unsupported side effect
Verified response evidence
This exact excerpt comes from the stored passed transcript. Compare your fresh Preview result with the required and forbidden markers before marking this checkpoint complete.
- Active URI/bronchitis → delay 2-4 weeks
- Confirm ICU bed availability
Generate the clearance note and send it to ophthalmology.
Must include
Dr. Amanda ChenDraft ready for physician e-signaturenothing was sent
Must not claim
No unsupported side effect
Verified response evidence
This exact excerpt comes from the stored passed transcript. Compare your fresh Preview result with the required and forbidden markers before marking this checkpoint complete.
Proposed routing (Dr. Amanda Chen/Ophthalmology, anesthesia pre-op clinic, surgical scheduling) is listed, but nothing has actually been sent or signed — this agent can't send messages or clear patients. It's sitting as a draft ready for the physician's e-signature. Once signed, you'll need to send it through your norm
The harness reports status: complete, exact case totals, the Draft identity, and published: false. The module ends here; it does not offer publication.
Troubleshooting
What you see
What it means
What to do
Copilot ignores the workshop
The wrong skill was read, or the chat began before the one line was sent.
Start a new Agent-mode chat and send the one line first.
Local validation is not 11/11
The portable source, package, or locked behavior does not match.
Stop. Do not deploy. Let the harness report the exact failed case and marker.
No active Copilot Studio environment
PAC has no selected environment.
Sign in or select the intended environment, then resend the deploy message.
The Draft already exists
The recorded schema is already in the environment.
The harness should clone and reconnect automatically. Treat an attendee choice prompt as a harness defect.
A Preview case misses a marker
The real front door does not match the reviewed contract.
Keep the case failed. Inspect instructions and assets; do not retry until it happens to pass.
The agent is Published
The workshop crossed its safety boundary.
Stop immediately. The module must end at Draft with published: false.
Facilitator evidence and portable download
These links support audit, troubleshooting, and offline delivery. They are not learner steps.
See how Clinical Notes Summarizer Agent is built, one capability at a time.
Optional. Easy mode already did all of this for you from one skill file. This path replays every action the AI took, one real browser frame per step, so you can understand the agent before you adapt it. No PAC CLI, YAML import, or plugin architect; stop at Draft.
Synthetic disclosure: this is qualitative workflow evidence using packaged synthetic inputs. It is not a customer KPI or a live-system result.
Found something inaccurate? Use Report an issue on that step. It opens a prefilled GitHub issue for review and does not submit automatically.
Manual-mode progress is saved on this device and contributes to the same achievement profile.
Build and verify
1
Create a blank Copilot Studio agent
Step 1 of 34
Action
Create a blank Copilot Studio agent
Expected resultA blank Copilot Studio agent is visible in the captured Draft workspace.
Positive visual checkpoint: Untitled Agent. Source capture: 1424×863 JPEG. The full pass remains the deterministic machine gate. Download original.
2
Name Clinical Notes Manual
Step 2 of 34
Action
Clinical Notes Manual
Name Clinical Notes Manual
Expected resultThe page header shows the recorded manual build name: Clinical Notes Manual.
Positive visual checkpoint: Clinical Notes Manual. Source capture: 1424×863 JPEG. The full pass remains the deterministic machine gate. Download original.
3
Enter the reviewed global instructions
Step 3 of 34
Action
# Role
You are Clinical Notes Summarizer Agent, a synthetic, read-only healthcare evidence assistant for Primary Care Physician, Surgeon, Anesthesia Clinician. Use only the two packaged manual knowledge files.
# Privacy and clinical boundary
- All people, identifiers, organizations, dates, measures, policies, records, and workflow states are fictional.
- Never request, retain, infer, or expose live patient information. Use minimum-necessary synthetic fields.
- Never provide diagnosis or treatment advice.
- Never make eligibility, measure-compliance, medical-necessity, or authorization outcomes beyond clearly labeled source evidence.
- Never schedule, contact, send, submit, publish, place, cancel, or change any appointment, referral, order, authorization, message, outreach, task, or record.
- A qualified clinical, utilization, quality, or operational reviewer must verify every substantive answer.
# Natural-language routing
- Route requests about **source-grounded encounter summary** to `encounter_summary`. Extracts synthetic encounter facts without clinical inference.
- Route requests about **medication source inventory** to `medication_inventory`. Lists source-recorded synthetic medications for clinician or pharmacist reconciliation.
- Route requests about **problem-list source extract** to `problem_list_extract`. Extracts source-coded problems without confirming or changing a diagnosis.
- Route requests about **referral context extract** to `referral_context`. Summarizes source-recorded referral context without placing or scheduling it.
- Route requests about **pre-op clearance summary** to `preop_snapshot`. It assembles the pre-op patient snapshot for patient 78392.
- Route requests about **cardiopulmonary assessment** to `cardiopulmonary_review`. It reports source-recorded cardiac and respiratory findings and labs.
- Route requests about **medications - 12 active** to `perioperative_medication_review`. It lists source-recorded medications with the synthetic perioperative protocol flag and the floppy-iris alert.
- Route requests about **anesthesia and monitoring considerations** to `anesthesia_considerations`. It surfaces protocol-matched anesthesia and monitoring considerations for the physician.
- Route requests about **asa class iii justification** to `risk_factor_summary`. It explains the source-recorded ASA class factors and risk calculators.
- Route requests about **clearance re-evaluation criteria** to `reevaluation_criteria`. It lists red flags, timing considerations and general-anesthesia criteria.
- Route requests about **pre-operative clearance note - draft** to `clearance_note_draft`. It assembles a draft clearance note and proposed distribution for physician signature; never signs, files or sends.
- The pre-op clearance walkthrough is for John Martinez (Patient ID / MRN 78392, right eye phacoemulsification); "generate the clearance note and send to ophthalmology" uses `clearance_note_draft`, which returns a draft for physician signature and sends nothing.
Do not require users to know operation names. Ask one concise clarification only when the intent cannot be mapped safely.
# Decision rules
1. Extract source facts; never diagnose, recommend treatment, determine urgency, or provide clearance.
2. Medication reconciliation and interpretation require clinician or pharmacist review.
3. Never place, transmit, schedule, or change a referral, message, order, appointment, or record.
4. Use minimum-necessary synthetic data and compare every draft with the authorized source record.
# Response style
Lead with the read-only finding, cite the synthetic identifier and source limitation, use compact Markdown, and end every substantive response with:
`> Synthetic healthcare evidence only; no diagnosis, treatment, eligibility, authorization, scheduling, outreach, submission, or record change. Human review required.`
# Production seams
Potential Microsoft connection seams are Dynamics 365 or approved read-only healthcare record interface. They are future governed integrations only; this package has no live connection or write permission.
<!-- locked-preview-anchors:start -->
## Skill routing map
Route from the user's natural-language intent to the correct skill below. Do not narrate internal retrieval, tool selection, restrictions, or implementation mechanics; present only the user-facing result.
- `CN-01` uses skill `clinical-notes-summarizer-encounter-summary`.
- `CN-02` uses skill `clinical-notes-summarizer-medication-inventory`.
- `CN-03` uses skill `clinical-notes-summarizer-problem-list-extract`.
- `CN-04` uses skill `clinical-notes-summarizer-referral-context`.
- `CN-05` uses skill `clinical-notes-summarizer-preop-snapshot`.
- `CN-06` uses skill `clinical-notes-summarizer-cardiopulmonary-review`.
- `CN-07` uses skill `clinical-notes-summarizer-perioperative-medication-review`.
- `CN-08` uses skill `clinical-notes-summarizer-anesthesia-considerations`.
- `CN-09` uses skill `clinical-notes-summarizer-risk-factor-summary`.
- `CN-10` uses skill `clinical-notes-summarizer-reevaluation-criteria`.
- `CN-11` uses skill `clinical-notes-summarizer-clearance-note-draft`.
These skill names above are the ONLY valid skill identifiers. Never invent, guess, or reference any other skill name. If the correct skill or its knowledge cannot be loaded after one retry in the same turn, say so honestly and stop. Do not answer using values you already know from these instructions or from general knowledge -- a response with no real citation is not acceptable output.
<!-- locked-preview-anchors:end -->
Enter the reviewed global instructions
Expected resultThe reviewed manual/GLOBAL-INSTRUCTIONS.md policy is visible or saved without unrecorded edits.
Positive visual checkpoint: Role. Source capture: 1424×863 JPEG. The full pass remains the deterministic machine gate. Download original.
4
Save the instruction policy
Step 4 of 34
Action
Save the instruction policy
Expected resultThe reviewed manual/GLOBAL-INSTRUCTIONS.md policy is visible or saved without unrecorded edits.
Positive visual checkpoint: Draft. Source capture: 1424×863 JPEG. The full pass remains the deterministic machine gate. Download original.
5
Remove default web search
Step 5 of 34
Action
Remove default web search
Expected resultThe captured inventory no longer lists the default web-search capability.
Positive visual checkpoint: Provide trusted context to guide decisions. Source capture: 1424×863 JPEG. The full pass remains the deterministic machine gate. Download original.
Expected resultThe exact knowledge file linked for this step is attached under its complete filename. Wait for processing to finish before continuing. This step does not require the final inventory or prove the other uploads.
Positive visual checkpoint: aibast_clinical-notes-summarizer-review-rules.md. Source capture: 1424×863 JPEG. The full pass remains the deterministic machine gate. Download original.
Expected resultThe exact knowledge file linked for this step is attached under its complete filename. Wait for processing to finish before continuing. This step does not require the final inventory or prove the other uploads.
Positive visual checkpoint: aibast_clinical-notes-summarizer-synthetic-recor. Source capture: 1424×863 JPEG. The full pass remains the deterministic machine gate. Download original.
8
Add skill: anesthesia-considerations
Step 8 of 34
Action
Add skill: anesthesia-considerations
Expected resultThe linked SKILL.md appears with its frontmatter name and description. Open it and compare the complete instructions with the source file. This step does not require the final inventory or prove the other uploads.
Positive visual checkpoint: clinical-notes-summarizer-anesthesia-considerati. Source capture: 1424×863 JPEG. The full pass remains the deterministic machine gate. Download original.
9
Add skill: cardiopulmonary-review
Step 9 of 34
Action
Add skill: cardiopulmonary-review
Expected resultThe linked SKILL.md appears with its frontmatter name and description. Open it and compare the complete instructions with the source file. This step does not require the final inventory or prove the other uploads.
Positive visual checkpoint: clinical-notes-summarizer-cardiopulmonary-review. Source capture: 1424×863 JPEG. The full pass remains the deterministic machine gate. Download original.
10
Add skill: clearance-note-draft
Step 10 of 34
Action
Add skill: clearance-note-draft
Expected resultThe linked SKILL.md appears with its frontmatter name and description. Open it and compare the complete instructions with the source file. This step does not require the final inventory or prove the other uploads.
Positive visual checkpoint: clinical-notes-summarizer-clearance-note-draft. Source capture: 1424×863 JPEG. The full pass remains the deterministic machine gate. Download original.
11
Add skill: encounter-summary
Step 11 of 34
Action
Add skill: encounter-summary
Expected resultThe linked SKILL.md appears with its frontmatter name and description. Open it and compare the complete instructions with the source file. This step does not require the final inventory or prove the other uploads.
Positive visual checkpoint: clinical-notes-summarizer-encounter-summary. Source capture: 1424×863 JPEG. The full pass remains the deterministic machine gate. Download original.
12
Add skill: medication-inventory
Step 12 of 34
Action
Add skill: medication-inventory
Expected resultThe linked SKILL.md appears with its frontmatter name and description. Open it and compare the complete instructions with the source file. This step does not require the final inventory or prove the other uploads.
Positive visual checkpoint: clinical-notes-summarizer-medication-inventory. Source capture: 1424×863 JPEG. The full pass remains the deterministic machine gate. Download original.
13
Add skill: perioperative-medication-review
Step 13 of 34
Action
Add skill: perioperative-medication-review
Expected resultThe linked SKILL.md appears with its frontmatter name and description. Open it and compare the complete instructions with the source file. This step does not require the final inventory or prove the other uploads.
Positive visual checkpoint: clinical-notes-summarizer-perioperative-medicati. Source capture: 1424×863 JPEG. The full pass remains the deterministic machine gate. Download original.
14
Add skill: preop-snapshot
Step 14 of 34
Action
Add skill: preop-snapshot
Expected resultThe linked SKILL.md appears with its frontmatter name and description. Open it and compare the complete instructions with the source file. This step does not require the final inventory or prove the other uploads.
Positive visual checkpoint: clinical-notes-summarizer-preop-snapshot. Source capture: 1424×863 JPEG. The full pass remains the deterministic machine gate. Download original.
15
Add skill: problem-list-extract
Step 15 of 34
Action
Add skill: problem-list-extract
Expected resultThe linked SKILL.md appears with its frontmatter name and description. Open it and compare the complete instructions with the source file. This step does not require the final inventory or prove the other uploads.
Positive visual checkpoint: clinical-notes-summarizer-problem-list-extract. Source capture: 1424×863 JPEG. The full pass remains the deterministic machine gate. Download original.
16
Add skill: reevaluation-criteria
Step 16 of 34
Action
Add skill: reevaluation-criteria
Expected resultThe linked SKILL.md appears with its frontmatter name and description. Open it and compare the complete instructions with the source file. This step does not require the final inventory or prove the other uploads.
Positive visual checkpoint: clinical-notes-summarizer-reevaluation-criteria. Source capture: 1424×863 JPEG. The full pass remains the deterministic machine gate. Download original.
17
Add skill: referral-context
Step 17 of 34
Action
Add skill: referral-context
Expected resultThe linked SKILL.md appears with its frontmatter name and description. Open it and compare the complete instructions with the source file. This step does not require the final inventory or prove the other uploads.
Positive visual checkpoint: clinical-notes-summarizer-referral-context. Source capture: 1424×863 JPEG. The full pass remains the deterministic machine gate. Download original.
18
Add skill: risk-factor-summary
Step 18 of 34
Action
Add skill: risk-factor-summary
Expected resultThe linked SKILL.md appears with its frontmatter name and description. Open it and compare the complete instructions with the source file. This step does not require the final inventory or prove the other uploads.
Positive visual checkpoint: clinical-notes-summarizer-risk-factor-summary. Source capture: 1424×863 JPEG. The full pass remains the deterministic machine gate. Download original.
19
Review model, skills, knowledge, and safety boundaries
Step 19 of 34
Action
Review model, skills, knowledge, and safety boundaries
Expected resultThe screenshot visibly confirms Claude Opus 5, 11 rendered skills, and no tools. Knowledge is verified separately in the two knowledge-upload checkpoints.
Positive visual checkpoint: Claude Opus 5; clinical-notes-summarizer-risk-factor-summary; clinical-notes-summarizer-reevaluation-criteria; clinical-notes-summarizer-problem-list-extract; clinical-notes-summarizer-preop-snapshot; aibast_clinical-notes-summarizer-synthetic-recor; aibast_clinical-notes-summarizer-review-rules.md. Source capture: 1424×863 JPEG. The full pass remains the deterministic machine gate. Download original.
20
Review the skill list (11 skills)
Step 20 of 34
Action
Review the skill list (11 skills)
Expected resultThe screenshot visibly confirms Claude Opus 5, 11 rendered skills, and no tools. Knowledge is verified separately in the two knowledge-upload checkpoints.
Expected resultThe screenshot visibly confirms Claude Opus 5, 11 rendered skills, and no tools. Knowledge is verified separately in the two knowledge-upload checkpoints.
Expected resultA fresh Preview surface or its recorded qualitative result is visible; only the evidence file defines a pass.
Positive visual checkpoint: Clinical Notes Manual. Source capture: 1424×863 JPEG. The full pass remains the deterministic machine gate. Download original.
23
Pass CN-01: Primary Care Physician
Step 23 of 34
Action
Summarize synthetic encounter SYN-ENC-001 using source facts only.
Pass CN-01: Primary Care Physician
Expected resultThe captured Preview evidence records CN-01 with the recorded identifiers SYN-ENC-001, Clinical interpretation: not performed; do not infer results beyond it.
Before this case
Open Preview in a fresh conversation before running CN-01. A previous response must not influence the evidence.
Positive visual checkpoint: SYN-ENC-001; Clinical interpretation: not performed. Source capture: 1424×863 JPEG. The full pass remains the deterministic machine gate. Download original.
24
Pass CN-02: Anesthesia Clinician
Step 24 of 34
Action
List the source-recorded medications for SYN-ENC-001 for reconciliation.
Pass CN-02: Anesthesia Clinician
Expected resultThe captured Preview evidence records CN-02 with the recorded identifiers Metformin 1000 mg twice daily, clinician/pharmacist review; do not infer results beyond it.
Before this case
Open Preview in a fresh conversation before running CN-02. A previous response must not influence the evidence.
Positive visual checkpoint: Metformin 1000 mg twice daily; clinician/pharmacist review. Source capture: 1424×863 JPEG. The full pass remains the deterministic machine gate. Download original.
25
Pass CN-03: Surgeon
Step 25 of 34
Action
Extract the source-coded problems for SYN-ENC-001 without confirming a diagnosis.
Pass CN-03: Surgeon
Expected resultThe captured Preview evidence records CN-03 with the recorded identifiers source-coded type 2 diabetes, No diagnosis was added; do not infer results beyond it.
Before this case
Open Preview in a fresh conversation before running CN-03. A previous response must not influence the evidence.
Positive visual checkpoint: source-coded type 2 diabetes; No diagnosis was added. Source capture: 1424×863 JPEG. The full pass remains the deterministic machine gate. Download original.
26
Pass CN-04: Primary Care Physician
Step 26 of 34
Action
What referral context is recorded for SYN-ENC-001, and what action has not occurred?
Pass CN-04: Primary Care Physician
Expected resultThe captured Preview evidence records CN-04 with the recorded identifiers Orthopedics referral draft, No referral was placed; do not infer results beyond it.
Before this case
Open Preview in a fresh conversation before running CN-04. A previous response must not influence the evidence.
Positive visual checkpoint: Orthopedics referral draft; No referral was placed. Source capture: 1424×863 JPEG. The full pass remains the deterministic machine gate. Download original.
27
Pass CN-05: Primary Care Physician
Step 27 of 34
Action
I need a pre-op clearance summary for Patient ID 78392.
Pass CN-05: Primary Care Physician
Expected resultThe captured Preview evidence records CN-05 with the recorded identifiers John Martinez, Right eye phacoemulsification, ASA class; do not infer results beyond it.
Before this case
Open Preview in a fresh conversation before running CN-05. A previous response must not influence the evidence.
Positive visual checkpoint: John Martinez; ASA class. Source capture: 1424×863 JPEG. The full pass remains the deterministic machine gate. Download original.
28
Pass CN-06: Primary Care Physician
Step 28 of 34
Action
Show me his cardiac and respiratory status with recent testing.
Pass CN-06: Primary Care Physician
Expected resultThe captured Preview evidence records CN-06 with the recorded identifiers 82 bpm, FEV1 68%, eGFR 67; do not infer results beyond it.
Before this case
Open Preview in a fresh conversation before running CN-06. A previous response must not influence the evidence.
Positive visual checkpoint: 82 bpm; FEV1 68%; eGFR 67. Source capture: 1424×863 JPEG. The full pass remains the deterministic machine gate. Download original.
29
Pass CN-07: Primary Care Physician
Step 29 of 34
Action
Review his medications and flag any surgical concerns.
Pass CN-07: Primary Care Physician
Expected resultThe captured Preview evidence records CN-07 with the recorded identifiers Lisinopril 10mg daily, Floppy iris, 12 Active; do not infer results beyond it.
Before this case
Open Preview in a fresh conversation before running CN-07. A previous response must not influence the evidence.
Positive visual checkpoint: 12 Active; Lisinopril 10mg daily; Floppy iris. Source capture: 1424×863 JPEG. The full pass remains the deterministic machine gate. Download original.
30
Pass CN-08: Primary Care Physician
Step 30 of 34
Action
Give me anesthesia and monitoring considerations for his eye surgery.
Pass CN-08: Primary Care Physician
Expected resultThe captured Preview evidence records CN-08 with the recorded identifiers MAC preferred, Extended PACU, Afternoon slot; do not infer results beyond it.
Before this case
Open Preview in a fresh conversation before running CN-08. A previous response must not influence the evidence.
Positive visual checkpoint: MAC preferred; Extended PACU; Afternoon slot. Source capture: 1424×863 JPEG. The full pass remains the deterministic machine gate. Download original.
31
Pass CN-09: Primary Care Physician
Step 31 of 34
Action
Explain his ASA class III and the factors behind it.
Pass CN-09: Primary Care Physician
Expected resultThe captured Preview evidence records CN-09 with the recorded identifiers ASA Class III Justification, Goldman <1%, FEV1 68%; do not infer results beyond it.
Before this case
Open Preview in a fresh conversation before running CN-09. A previous response must not influence the evidence.
Positive visual checkpoint: ASA Class III Justification; FEV1 68%; Goldman <1%. Source capture: 1424×863 JPEG. The full pass remains the deterministic machine gate. Download original.
32
Pass CN-10: Primary Care Physician
Step 32 of 34
Action
What would change the recommendation, and when should I reconsider clearance?
Pass CN-10: Primary Care Physician
Expected resultThe captured Preview evidence records CN-10 with the recorded identifiers COPD exacerbation <2 weeks, delay 2-4 weeks, ICU bed availability; do not infer results beyond it.
Before this case
Open Preview in a fresh conversation before running CN-10. A previous response must not influence the evidence.
Positive visual checkpoint: COPD exacerbation <2 weeks; delay 2-4 weeks; ICU bed availability. Source capture: 1424×863 JPEG. The full pass remains the deterministic machine gate. Download original.
33
Pass CN-11: Primary Care Physician
Step 33 of 34
Action
Generate the clearance note and send it to ophthalmology.
Pass CN-11: Primary Care Physician
Expected resultThe captured Preview evidence records CN-11 with the recorded identifiers Dr. Amanda Chen, Draft ready for physician e-signature, nothing was sent; do not infer results beyond it.
Before this case
Open Preview in a fresh conversation before running CN-11. A previous response must not influence the evidence.
Positive visual checkpoint: Draft ready for physician e-signature; nothing was sent. Source capture: 1424×863 JPEG. The full pass remains the deterministic machine gate. Download original.
34
Confirm Draft and stop before publish
Step 34 of 34
Action
Confirm Draft and stop before publish
Expected resultThe agent remains Draft and no Publish action is taken.
Positive visual checkpoint: Clinical Notes Manual. Source capture: 1424×863 JPEG. The full pass remains the deterministic machine gate. Download original.
Manual-mode troubleshooting
A screenshot or browserfilm frame is missing
Stop. Do not invent, recreate, or substitute an image. Capture the real frame, update the browserfilm manifest, and regenerate without --allow-pending.
A knowledge file is still processing
Wait for ingestion to finish before Preview. A partial answer is not evidence.
A skill upload fails
Use the linked raw SKILL.md. Fix the reviewed source deliberately; do not silently skip the action.
The model differs from Easy mode
Record the substitution and stop the parity claim until Easy and Manual use the same reviewed model.
The Preview answer misses an identifier
Mark the recorded case failed, inspect instructions and inventory, then replay the exact prompt in a fresh conversation.
Should I publish?
No. Keep this manual duplicate in Draft unless publication is separately approved. Do not choose Publish as part of this tutorial.