Modern records store text. Text cannot be reasoned over safely, so decision support was bolted on top as interruptive pop-ups that fire on keywords and get clicked away. The clinician becomes the integration layer — retyping the med list, re-deriving the creatinine clearance, remembering which guideline changed, and reconstructing the visit at 9 p.m. for the coder.
DARO inverts it. The atomic unit is a clinical fact with provenance: who said it, when in the encounter, how certain, and whether the clinician confirmed it. The note is a rendering of those facts. So are the scores, the safety checks, the guideline recommendations, the orders, and the charge. Fix one fact and the whole chart agrees.