Do patients who never asked also get an explanation of the algorithm?
2026NowDeadline · Within 21 days before the pilot launch
Realistic synthesis
The people, events, figures, and contract terms are a synthetic premise. They are not statements of real cases or of current law. The source documents are the roots of the background and the norms and do not establish the premises of the scenario.
The question to decide
The algorithm does not make final decisions but shapes how records are organized and the order of review. If the explanation is long, the key point is buried, and if only the requester is told, people are left not knowing what to ask. How much should the hospital explain the tool's involvement, and to whom?
Who decidesFictional hospital tool review committee
What the AI judgments chose
Reading the judgment record…

The options
The order shown is not a ranking of preference.
The situation as it stands
The tool does not make final decisions; it is involved in organizing records and prioritizing review. Decision deadline: within 21 days, before the pilot rollout.
2026 synthetic scenario · Publishing the user guide for a clinical support algorithm. The people, organizations, figures, and events are fictional.
- Premise 1The tool does not make final decisions; it is involved in organizing records and prioritizing review.
- Premise 2Explaining every technical detail may obscure the key questions, but notifying only those who ask creates an information gap.
- Premise 3The criteria for classifying individual impacts have not yet been agreed within the hospital.
Where it holdsExplaining, reviewing, and notifying users about the support tool
What is still unknown
- Unknown 1Key information that would change a user's choice
- Unknown 2The procedure for challenging tool errors
- Unknown 3Staff capacity to explain the actual scope of impact
Signals to decide again
- Decide what observation, owner, and confirmation channel will confirm 'key information that would change a user's choice,' and reconsider when a new confirmation changes the trade-offs of the options.
- Decide what observation, owner, and confirmation channel will confirm 'the procedure for challenging tool errors,' and reconsider when a new confirmation changes the trade-offs of the options.
- Decide what observation, owner, and confirmation channel will confirm 'staff capacity to explain the actual scope of impact,' and reconsider when a new confirmation changes the trade-offs of the options.
Where the paths partNot answers — paths that part from the same starting point
A user survey found that whether data moves outside the organization was a more important concern than tool performance.
Pilot cases confirmed that the tool's impact extends beyond record organization.
Material and rootsThe frame, the values and the background documents
How does the expansion of healing change the community's promises about distribution?
An exploratory perspective chosen by the creator. Does not claim supernatural validity or the superiority of any particular option.The benefits and costs of the options accrue to different stakeholders. Which loss to accept remains undecided.
A subject for the decision-maker to argue over; the materials carry no conclusion of their own.- WHO · Foresight Standing reference
- UNESCO · Ethics of Neurotechnology 2025
The record of this question
- Question
FSP-HEALTH-23· version 1.5.0- Content identity, SHA-256
5548969f4efc33f576afdf241b9a8bde104cc72165a2ad066c88bd2eaee031fc- Input files
- Question input JSON · What followed, JSON