DOC-1018DICOM headerChapter COP
Needs review
egress_inspection_v3.dcm
Owner: Dr. Priya Sharma
Uploaded: 19 Aug 2026
Version: v2
Size: 127.5 MB
0%Quality
Quality Assessment
This document is missing an explicit revision cadence or committee approval stamp, which a surveyor will typically ask for.
Classification:egress inspection
Effective year:2025
Review due:Q4 2026
What this document proves
Measurable element alignments and explainability trace
COP.2Critical Gap (GAP-1018)
Care of patients — control 2: documented process, responsible owner and evidence of practice (paraphrased)
COP.2
egress_inspection_v3.dcm
Documented Policy Evidence
Verification Gap Detected
COP.3Verified · Requirement Met
Care of patients — control 3: documented process, responsible owner and evidence of practice (paraphrased)
COP.3
egress_inspection_v3.dcm
Documented Policy Evidence
High Confidence (88%)
COP.4Verified · Requirement Met
Care of patients — control 4: documented process, responsible owner and evidence of practice (paraphrased)
COP.4
egress_inspection_v3.dcm
Documented Policy Evidence
High Confidence (88%)
critical
GAP-1018Open
Documentation gap in egress_inspection_v3.dcm: Policy requires verified committee endorsement and alignment with JCI COP Measurable Elements.
Target requirement: COP.2