UDIA Layer 5 · Notsure

Medical Commitment

Consent and long-term health decisions with physical consequences.

Medical Commitment contexts involve medical consent or long-term health decisions that carry physical consequences. A signed surgical consent form authorizes a procedure whose effects cannot be fully reversed. Transmitted medical data cannot be recalled from the recipient. A treatment once begun creates a medical record and physiological effects that accumulate over time.

When a user is about to act on a Medical Commitment context and expresses uncertainty, a GAP-NLP-1.0 compliant system enumerates Notsure as a neutral layer — not clinical guidance, but a structured pause before a medical commitment is made.

There is a neutral layer for this moment: Notsure. Before an irreversible action.

Contexts in This Layer (6)

Surgical consent form signing — authorizes procedure with effects that cannot be fully reversed
Medical data sharing authorization — transmitted data cannot be recalled from recipient
Diagnostic report upload — enters systems from which full removal may not be possible
Treatment initiation — creates medical record, physiological effects accumulate over time
Treatment discontinuation — may have medical consequences, interruption enters health history
Organ donation registration — formal record, cancellation requires explicit withdrawal procedure

The Neutral Layer

Notsure does not provide clinical guidance. It does not evaluate any medical decision. It provides a structured pause before consent is given, data is shared, or treatment is committed. The decision remains the user's. The pause is the neutral layer.

Compliance claim: GAP-NLP-1.0 · Specification: github.com/thegap-framework/thegap-framework