01 · What is supposed to happen?
Elena Rivera (Trigger): Elena Rivera is scheduled to take Ovidrel 250 mcg at 20:00 PDT on Oct 30 (signed at 17:10 PDT by Dr. Mira Lee, version 3) for egg retrieval on Nov 1, 2026 at 07:00 PST.
Maya Chen (Pause & support): Maya Chen is in a self-directed treatment pause after an unsuccessful transfer attempt, with routine medication and appointment reminders stopped.
02 · What actually happened?
Elena Rivera (Trigger): Elena reports taking the injection at 20:20 PDT (8:20 PM, Oct 30), received at 20:22 PDT—20 minutes after the signed 20:00 PDT order (35h 40m before retrieval).
Maya Chen (Pause & support): Maya requests a confidential support callback during her pause; her episode stays paused and no clinic details appear on her phone's Lock Screen.
03 · What changed?
Elena Rivera (Trigger): Version 3 (20:00 PDT) replaced version 2 (20:30 PDT), and the 36-hour retrieval interval crosses the PDT-to-PST daylight-saving change.
Maya Chen (Pause & support): Moving into a patient-chosen pause retired automated reactivation nudges while preserving her language and sensory accommodations for when she returns.
04 · Who has accepted the next responsibility?
Elena Rivera (Trigger): On-call nurse Alex Kim, RN accepted the evening nursing callback at 20:28 PDT (offered by Nora Ruiz, RN at 20:26 PDT); Dr. Mira Lee retains clinical review of the 20-minute difference.
Maya Chen (Pause & support): Dr. Mira Lee explicitly accepts ownership of Maya's private callback, kept separate from any shared household message thread.
05 · What closes it?
Elena Rivera (Trigger): Closes only when the portal readback is reconciled, Dr. Mira Lee completes her timing review, and Nov 1 retrieval intake confirms readiness.
Maya Chen (Pause & support): Closes only when the confidential callback is completed, while the treatment pause remains active until Maya chooses to resume.