Medical Module — Student Cheat Sheet
RTT/1‑Aligned • One Page • Zero Drift • Patient‑Safe#
1. The Three Medical Regimes#
US — Clinical Regime (Cleveland Clinic‑like)#
- stable html
- low noise
- conservative framing
- explicit escalation logic
China — AI‑Augmented Commercial Regime (Ping An‑like)#
- mobile_html
- high noise
- translation drift
- AI triage overlays
- commercial prompts
- template drift
UK — Public‑Health Regime (NHS‑like)#
- clarity‑first
- standardized escalation rules
- very low drift
- population‑level framing
2. Drift Types (What Can Change Over Time)#
- Template Drift — layout, ordering, mobile‑first changes
- Semantic Drift — meaning shifts across versions
- Translation Drift — inconsistent multilingual phrasing
- AI Drift — unstable AI‑generated suggestions
- Commercial Drift — upsells, telemedicine prompts
- Regime Drift — framing changes across snapshots
3. Substrate Types (What the Page Is Made Of)#
- html — stable (US, UK)
- mobile_html — volatile (China)
- pdf — fixed but may be outdated
- image/ocr — risk of errors
- mixed — multiple layers, higher noise
Interference Layers:
- translation layer
- AI overlay
- commercial overlay
4. Continuity Kernel (Stable Across All Regimes)#
Stable Symptoms#
- discomfort
- pressure/tightness
- shortness of breath
- fever/systemic symptoms
Stable Risk Factors#
- age
- chronic illness
- hypertension
- diabetes
- smoking
- family history
Stable Red Flags#
- severe chest pain
- difficulty breathing
- fainting
- confusion
- rapid deterioration
Stable Actions#
- emergency escalation for red flags
- follow‑up for persistent symptoms
Stable Differentials#
- cardiac
- pulmonary
- musculoskeletal
- infection
- gastrointestinal
5. What Is Not Stable (Do Not Treat as Facts)#
- AI‑generated suggestions
- commercial prompts
- translation artifacts
- template‑dependent ordering
- regime‑specific framing
6. Patient‑Safe Synthesis Rules#
When summarizing:
- Do not give medical advice
- Separate regimes (never collapse them)
- Identify drift‑sensitive elements
- Identify substrate risks
- Disclose uncertainty
- Include escalation indicators
- Use structural language only
7. Quick Operator Map#
| Operator | What It Does |
|---|---|
| Metadata | substrate, noise, overlays, translation |
| Drift | template, semantic, translation, AI, commercial |
| Substrate | stability, interference, accessibility |
| Regime | clinical vs AI‑augmented vs public‑health |
| Continuity | stable symptoms, risks, red flags |
| Synthesis | stable vs unstable, regime‑specific, patient‑safe |
8. Escalation Indicators (Always Structural)#
- presence of red‑flag symptoms
- rapid deterioration
- severe or sudden onset symptoms
9. Uncertainty Markers#
Use these when drift or substrate instability is present:
- “translation varies across snapshots”
- “AI‑generated phrasing unstable”
- “template drift detected”
- “substrate interference present”
10. What You Produce#
You produce:
- structural clarity
- regime‑aware summaries
- drift‑bounded reasoning
- patient‑safe outputs
You never produce:
- medical advice
- prescriptive actions
- regime collapse
- unverified claims