15. Track Operational Appointment Outcomes

Status

Accepted for the MVP working model; initial marking/correction authority is resolved by ADR 0028/0054, and no-show timing/consumption by ADR 0027/0028. Client-facing outcome history remains open.

Context

A booking system needs to distinguish a confirmed appointment that happened from one that was cancelled or not attended. Keeping every past appointment in confirmed makes reporting, notification cleanup, and cancellation/refund policy ambiguous. The system must not use this as a place for clinical content.

Decision

Appointment lifecycle includes these operational outcomes:

• confirmed — payment-gated scheduled commitment;
• cancelled — ended before the session under policy or admin action;
• completed — marked as operationally completed;
• no_show — marked as not attended according to policy.

Only authorized psychologist/admin actors may mark post-session outcomes. The outcome stores actor/time and allowed operational metadata, never clinical notes, diagnosis, assessment results, or treatment details.

Consequences

Positive:

• reports and policy evaluation have meaningful terminal states;
• notifications can stop or change after an outcome;
• no-show handling can be explicit without a clinical system;
• operational and clinical boundaries stay separate.

Costs and constraints:

• permissions and correction rules are required;
• no-show consumption and timing are defined by ADR 0027/0028; remaining policy questions concern correction/exception behavior;
• outcome changes must be audited;
• UI copy must avoid implying clinical judgment.

Open follow-up

Define the correction window/allowed transition matrix and whether client-facing history shows the outcome.