video1.0<iframe src="https://www.loom.com/embed/a66a86a3320543f39047421484a6690b" frameborder="0" width="1668" height="1251" webkitallowfullscreen mozallowfullscreen allowfullscreen></iframe>12511668Loomhttps://www.loom.com12511668https://cdn.loom.com/sessions/thumbnails/a66a86a3320543f39047421484a6690b-e7fb13cd72dae9af.gif108.139This Loom explains how OSTI protected a clinical referral workflow by enforcing correct patient context and one-time approvals. Dr. Lin opened Maya Patel’s chest pain referral, then switched to Jordan Rooks while Maya’s workflow continued in the background. A red banner indicated a clinical context mismatch; OSTI restored Maya and also opened a sanitized engineering incident for the vendor. The cardiology referral to UCSF was drafted, then reviewed and signed with an exact one-time approval that was invalidated due to the destination changing, prompting restoration and revalidation. A duplicate submission was rejected, with decisions recorded for two approvals and one execution.