Specialist Referral Reliability Ledger for Independent Veterinary Practices

A lightweight commitment ledger that independent vet practice owners use to track what specialty hospitals and referral partners actually deliver versus what they promised. Each time the owner refers a case, they record three fields: specialist, commitment (appointment date, discharge date, follow-up communication, treatment plan summary), and case ID. When the case closes, they tag the outcome. AE's structured constraint language stores each commitment with lifecycle states (active → resolved → pattern-flagged), adversarial multi-model debate adjudicates ambiguous slips (was 'Friday discharge' a hard promise or aspirational?), and scored retrieval surfaces patterns like 'Specialist Hospital A slips 40% on orthopedic discharge dates.' At the NEXT referral decision, the owner sees a reliability score per specialist for that case type. Pain removed: vet owners absorb client anger when specialists slip ('you told me he'd be home Friday'); today they pick referrals by gut. AE is uniquely suited because lifecycle-state constraint tracking + reality-graded outcomes + adversarial slip-interpretation are exactly its core machinery, applied to clinical commitments rather than capital-allocation forecasts.

AE's constraint-lifecycle + adversarial-adjudication stack is a natural fit for tracking specialist referral reliability — a pain independents feel weekly, with an actively forming adjacent market and no incumbent owning the GP-side ledger.

Still in evaluation (phase: ranked). No verdict yet.