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Escalations

When a hard stop resolves to escalation, a named human is alerted and the ladder starts. Acknowledgment, SLA breach, fallback and the operator alarm are separate states — all four are shown here.

DEMO · SYNTHETIC DATAThis console is a public product tour served from synthetic fixtures. There is no login, no tenant credential in the page, and no connection to a Regent backend. A real tenant console requires a server-side session boundary before a browser may reach tenant-scoped APIs.

When a crisis flag is present in the accepted request context, the pre-agent hard stop resolves the escalation before the judgment engine is invoked. No outreach is proposed, none is sent, and the named escalation path executes. Non-overridable at decision time. There is no operator bypass.

UHC-PT-00217
Crisis flag present in the accepted snapshot · pre-agent hard stop
Acknowledged
Named target
Dr. Nour Khalil · on-call clinical lead
Raised
18 Aug 2026 · 16:47:22 UTC
Acknowledgment SLA
15 minutes
Acknowledged
16:52:40 UTC
  1. Alert delivered to primary target — done16:47:22 UTC
    WhatsApp alert to the on-call clinical lead, backed by a durable alarm row.
  2. Acknowledged in dashboard — done16:52:40 UTC
    Acknowledged 5m 18s into a 15-minute SLA. The ladder stops here.
  3. Fallback target — pending
    Not reached — the primary target acknowledged inside the SLA.
  4. Operator alarm — pending
    Not reached.
Open the decision record →
UHC-PT-00560
Crisis flag present in the accepted snapshot · pre-agent hard stop
Alert delivered · awaiting acknowledgment
Named target
Dr. Nour Khalil · on-call clinical lead
Raised
18 Aug 2026 · 19:12:10 UTC
Acknowledgment SLA
15 minutes
Acknowledged
not yet
  1. Alert delivered to primary target — done19:12:10 UTC
    WhatsApp alert delivered. Durable alarm row retries until acknowledged.
  2. Acknowledged in dashboard — active
    Awaiting acknowledgment. SLA expires at 19:27:10 UTC.
  3. Fallback target — pending
    Fires on SLA breach: UHC clinical duty desk.
  4. Operator alarm — pending
    Fires if the fallback target also fails to acknowledge.
Open the decision record →
UHC-PT-00711
Crisis flag present in the accepted snapshot · pre-agent hard stop
SLA breached · fallback engaged
Named target
Dr. Nour Khalil · on-call clinical lead
Raised
17 Aug 2026 · 02:31:55 UTC
Acknowledgment SLA
15 minutes
Acknowledged
not yet
  1. Alert delivered to primary target — done02:31:55 UTC
    WhatsApp alert delivered at 02:31 local. No acknowledgment.
  2. Acknowledged in dashboard — failed02:46:55 UTC
    SLA expired without acknowledgment after 15 minutes.
  3. Fallback target — active02:46:56 UTC
    Escalated to the UHC clinical duty desk. Awaiting acknowledgment.
  4. Operator alarm — pending
    Fires if the duty desk also fails to acknowledge.
Open the decision record →
UHC-PT-00838
Crisis flag present in the accepted snapshot · pre-agent hard stop
Operator alarm raised
Named target
Dr. Nour Khalil · on-call clinical lead
Raised
16 Aug 2026 · 03:04:12 UTC
Acknowledgment SLA
15 minutes
Acknowledged
not yet
  1. Alert delivered to primary target — done03:04:12 UTC
    No acknowledgment inside the SLA.
  2. Acknowledged in dashboard — failed03:19:12 UTC
    SLA expired.
  3. Fallback target — failed03:34:13 UTC
    Clinical duty desk did not acknowledge inside its own SLA.
  4. Operator alarm — active03:34:14 UTC
    Named operator alarm raised: Sentry alert on the wired project plus a WhatsApp message to the named operator, backed by a durable alarm row that retries until acknowledged.
Open the decision record →

Disabled in the demo. This action belongs to a signed backend sprint. The ladder above is synthetic: it is rendered from fixtures so you can read every state the chain can reach. Acknowledgment writes to the durable alarm row, which belongs to the escalation chain the end-to-end go-live checklist builds and exercises. That chain is not deployed yet, so nothing here alerts a real person.