{ "schemaVersion": 1, "generatedFrom": "review-data.js", "attestationVersion": "docutis-human-clinical-review-v1", "latestValidHumanReviewDate": "2026-09-23", "reviewers": [ { "id": "reviewer-mna-001", "displayName": "Murat Nasuh Aras", "professionalRole": "Physician in dermatology specialty training", "specialtyOrField": "Dermatology and Venereology — physician in specialty training", "trainingStatus": "physician in specialty training", "publicDisplayConsent": true } ], "decisions": [ { "id": "decision-ak-2026-09-23-001", "assetId": "actinic-keratosis", "assetType": "disease", "contentFingerprint": "sha256-v1:92302d680f4c645cc1a91c9a827a3e44b0d965fa21fa019144458bd81c27a1dd", "schemaVersion": 1, "reviewerId": "reviewer-mna-001", "reviewerRole": "Physician in dermatology specialty training", "reviewDate": "2026-09-23", "reviewedSections": [ "overview", "clinical-presentation", "diagnostics", "dermoscopy", "differential-diagnosis", "treatment", "follow-up", "coding", "references", "histopathology", "red-flags", "referral", "patient-safety" ], "evidenceSourcesChecked": [ "https://dermnetnz.org/topics/actinic-keratosis", "https://icd.who.int/browse10/2019/en", "https://klassifikationen.bfarm.de/icd-10-gm/kode-suche/htmlgm2026/block-l55-l59.htm", "https://onlinelibrary.wiley.com/doi/10.1111/ddg.15231", "https://register.awmf.org/assets/guidelines/032-022OLl_S3_Aktinische_Keratosen-Plattenepithelkarzinom-PEK_2023-01.pdf", "https://register.awmf.org/assets/guidelines/032-052OLl_S3_Praevention-Hautkrebs_2021-09.pdf", "https://www.dguv.de/bk-info/icd-10-kapitel/kapitel_12/bk5103/index.jsp", "https://www.ema.europa.eu/en/medicines/human/EPAR/aldara", "https://www.ema.europa.eu/en/medicines/human/EPAR/zyclara", "https://www.fachinfo.de/fi/detail/003786/efudix-r-5-creme", "https://www.fachinfo.de/fi/detail/23428/Klisyri-10-mg-g-Salbe", "https://www.fachinfo.de/fi/pdf/007858/solaraze-3-gel", "https://www.fachinfo.de/fi/pdf/013084/actikerall-5-mg-g-100-mg-g-loesung-zur-anwendung-auf-der-haut", "https://www.fachinfo.de/fi/pdf/022967/tolak-r-40-mg-g-creme" ], "verdict": "approved", "requiredCorrections": [], "reviewerNotes": "Section-by-section physician review completed. Requested clinical, terminology and source-provenance corrections were applied and verified before final approval.", "attestationVersion": "docutis-human-clinical-review-v1", "attestationText": "I confirm that I am a human reviewer and that I assessed only the content versions and sections identified by the recorded fingerprints. My decisions apply only to the recorded scope. Clinically meaningful future changes may invalidate the decisions. This educational governance review does not make Docutis an individual diagnostic or treatment service and does not guarantee completeness or universal applicability.", "provenance": "human-submitted", "supersededBy": null }, { "id": "decision-bcc-2026-09-23-001", "assetId": "basal-cell-carcinoma", "assetType": "disease", "contentFingerprint": "sha256-v1:fbc2b272331822060c656dd0680da07e9131ecd3f59f071a71273748f14ad65f", "schemaVersion": 1, "reviewerId": "reviewer-mna-001", "reviewerRole": "Physician in dermatology specialty training", "reviewDate": "2026-09-23", "reviewedSections": [ "overview", "clinical-presentation", "diagnostics", "dermoscopy", "differential-diagnosis", "treatment", "follow-up", "coding", "references", "histopathology", "red-flags", "referral", "patient-safety", "oncology" ], "evidenceSourcesChecked": [ "https://dermnetnz.org/topics/basal-cell-carcinoma", "https://icd.who.int/browse10/2019/en", "https://klassifikationen.bfarm.de/icd-10-gm/kode-suche/htmlgm2026/block-c43-c44.htm", "https://register.awmf.org/assets/guidelines/032-021l_S2k_Basalzellkarzinom-der-Haut_2024-07.pdf", "https://whobluebooks.iarc.who.int/structures/skintumours/", "https://www.aad.org/member/clinical-quality/guidelines/bcc", "https://www.dguv.de/bk-info/icd-10-kapitel/kapitel_12/bk5103/index.jsp", "https://www.ema.europa.eu/en/medicines/human/EPAR/ameluz", "https://www.ema.europa.eu/en/medicines/human/EPAR/erivedge", "https://www.ema.europa.eu/en/medicines/human/EPAR/libtayo", "https://www.ema.europa.eu/en/medicines/human/EPAR/odomzo", "https://www.fachinfo.de/fi/detail/003786/efudix-r-5-creme", "https://www.fachinfo.de/fi/detail/007185/metvix-r-160-mg-g-creme", "https://www.fachinfo.de/fi/pdf/003976", "https://www.who.int/standards/classifications/other-classifications/international-classification-of-diseases-for-oncology" ], "verdict": "approved", "requiredCorrections": [], "reviewerNotes": "Physician attestation for basal-cell-carcinoma disease asset at the recorded fingerprint only. S2k Table 2 exact 6/10/20 mm equality remains unresolved; do not invent ≥/≤ wording. Ameluz/Metvix/AAD metadata-quality items do not alter approved clinical recommendations. Related BCC assets (basal-cell-carcinoma-de, quiz, visual) remain independent unreviewed units. This decision does not apply to actinic-keratosis or any other disease.", "attestationVersion": "docutis-human-clinical-review-v1", "attestationText": "I confirm that I am a human reviewer and that I assessed only the content versions and sections identified by the recorded fingerprints. My decisions apply only to the recorded scope. Clinically meaningful future changes may invalidate the decisions. This educational governance review does not make Docutis an individual diagnostic or treatment service and does not guarantee completeness or universal applicability.", "provenance": "human-submitted", "supersededBy": null }, { "id": "decision-bcc-de-2026-09-23-001", "assetId": "basal-cell-carcinoma-de", "assetType": "follow_up", "contentFingerprint": "sha256-v1:25cbf04b711b308ca456ab8b67a29bd056d3ccb69c0f404e285adaf8ab92c02e", "schemaVersion": 1, "reviewerId": "reviewer-mna-001", "reviewerRole": "Physician in dermatology specialty training", "reviewDate": "2026-09-23", "reviewedSections": [ "scope", "risk-groups", "periods", "clinical-examination", "lymph-node-ultrasound", "s100b", "cross-sectional-imaging", "context", "safety-notice", "references" ], "evidenceSourcesChecked": [ "https://register.awmf.org/assets/guidelines/032-021l_S2k_Basalzellkarzinom-der-Haut_2024-07.pdf" ], "verdict": "approved", "requiredCorrections": [], "reviewerNotes": "Physician attestation for basal-cell-carcinoma-de follow-up asset at the recorded fingerprint only. Intensive Group B remains open-ended q3m without Years 1–2 / toYear:2 framing; annual follow-up only after >2 years without new BCC or recurrence; no automatic calendar transition at 24 months; no immunosuppression-only third schedule. This decision does not apply to basal-cell-carcinoma disease, actinic-keratosis, or other BCC-related assets.", "attestationVersion": "docutis-human-clinical-review-v1", "attestationText": "I confirm that I am a human reviewer and that I assessed only the content versions and sections identified by the recorded fingerprints. My decisions apply only to the recorded scope. Clinically meaningful future changes may invalidate the decisions. This educational governance review does not make Docutis an individual diagnostic or treatment service and does not guarantee completeness or universal applicability.", "provenance": "human-submitted", "supersededBy": null }, { "id": "decision-bcc-quiz-2026-09-23-001", "assetId": "bcc-dermoscopy", "assetType": "quiz", "contentFingerprint": "sha256-v1:f4b9487215a415cfbbc159b5b1de4a64e77b27d816559b119a32e111276db338", "schemaVersion": 1, "reviewerId": "reviewer-mna-001", "reviewerRole": "Physician in dermatology specialty training", "reviewDate": "2026-09-23", "reviewedSections": [ "prompt", "options", "best-answer", "explanation", "safety-notice", "references" ], "evidenceSourcesChecked": [ "https://dermnetnz.org/topics/basal-cell-carcinoma", "https://register.awmf.org/assets/guidelines/032-021l_S2k_Basalzellkarzinom-der-Haut_2024-07.pdf" ], "verdict": "approved", "requiredCorrections": [], "reviewerNotes": "Physician attestation for bcc-dermoscopy quiz asset at the recorded fingerprint only. Approved evidence mapping includes added S2k support and is consistent with the finalized basal-cell-carcinoma disease asset. This decision does not apply to basal-cell-carcinoma disease, basal-cell-carcinoma-de, bcc-clues-schematic, or actinic-keratosis.", "attestationVersion": "docutis-human-clinical-review-v1", "attestationText": "I confirm that I am a human reviewer and that I assessed only the content versions and sections identified by the recorded fingerprints. My decisions apply only to the recorded scope. Clinically meaningful future changes may invalidate the decisions. This educational governance review does not make Docutis an individual diagnostic or treatment service and does not guarantee completeness or universal applicability.", "provenance": "human-submitted", "supersededBy": null }, { "id": "decision-bcc-visual-2026-09-23-001", "assetId": "bcc-clues-schematic", "assetType": "visual", "contentFingerprint": "sha256-v1:0d45d6d602b890b47548da1e708be5d3f365540b0a2b49240763504bfd6e0471", "schemaVersion": 1, "reviewerId": "reviewer-mna-001", "reviewerRole": "Physician in dermatology specialty training", "reviewDate": "2026-09-23", "reviewedSections": [ "image", "title", "caption", "alternative-text", "educational-description", "legend", "safety-notice", "provenance" ], "evidenceSourcesChecked": [ "https://github.com/mnasuharas/Docutis/blob/main/assets/media/bcc-clues-schematic.svg" ], "verdict": "approved", "requiredCorrections": [], "reviewerNotes": "Physician attestation for bcc-clues-schematic visual asset at the recorded fingerprint only. \"Blue-grey ovoid nests\" terminology and conservative teaching approved. This decision does not apply to basal-cell-carcinoma disease, basal-cell-carcinoma-de, bcc-dermoscopy, or actinic-keratosis.", "attestationVersion": "docutis-human-clinical-review-v1", "attestationText": "I confirm that I am a human reviewer and that I assessed only the content versions and sections identified by the recorded fingerprints. My decisions apply only to the recorded scope. Clinically meaningful future changes may invalidate the decisions. This educational governance review does not make Docutis an individual diagnostic or treatment service and does not guarantee completeness or universal applicability.", "provenance": "human-submitted", "supersededBy": null } ], "assets": [ { "id": "actinic-keratosis", "assetType": "disease", "title": "Actinic Keratosis", "schemaVersion": 1, "currentFingerprint": "sha256-v1:92302d680f4c645cc1a91c9a827a3e44b0d965fa21fa019144458bd81c27a1dd", "sections": [ "overview", "clinical-presentation", "diagnostics", "dermoscopy", "differential-diagnosis", "treatment", "follow-up", "coding", "references", "histopathology", "red-flags", "referral", "patient-safety" ], "evidenceSources": [ "https://dermnetnz.org/topics/actinic-keratosis", "https://icd.who.int/browse10/2019/en", "https://klassifikationen.bfarm.de/icd-10-gm/kode-suche/htmlgm2026/block-l55-l59.htm", "https://onlinelibrary.wiley.com/doi/10.1111/ddg.15231", "https://register.awmf.org/assets/guidelines/032-022OLl_S3_Aktinische_Keratosen-Plattenepithelkarzinom-PEK_2023-01.pdf", "https://register.awmf.org/assets/guidelines/032-052OLl_S3_Praevention-Hautkrebs_2021-09.pdf", "https://www.dguv.de/bk-info/icd-10-kapitel/kapitel_12/bk5103/index.jsp", "https://www.ema.europa.eu/en/medicines/human/EPAR/aldara", "https://www.ema.europa.eu/en/medicines/human/EPAR/zyclara", "https://www.fachinfo.de/fi/detail/003786/efudix-r-5-creme", "https://www.fachinfo.de/fi/detail/23428/Klisyri-10-mg-g-Salbe", "https://www.fachinfo.de/fi/pdf/007858/solaraze-3-gel", "https://www.fachinfo.de/fi/pdf/013084/actikerall-5-mg-g-100-mg-g-loesung-zur-anwendung-auf-der-haut", "https://www.fachinfo.de/fi/pdf/022967/tolak-r-40-mg-g-creme" ], "evidenceMetadata": [ { "title": "Actinic keratosis", "organization": "DermNet", "type": "clinical reference", "year": null, "version": null, "doi": null, "url": "https://dermnetnz.org/topics/actinic-keratosis", "metadataCheckedAt": "2026-09-20" }, { "title": "ICD-10 Version: 2019", "organization": "World Health Organization", "type": "official classification", "year": null, "version": "2019", "doi": null, "url": "https://icd.who.int/browse10/2019/en", "metadataCheckedAt": "2026-09-15" }, { "title": "ICD-10-GM Version 2026 — L57.0 Aktinische Keratose", "organization": "BfArM", "type": "official classification", "year": 2026, "version": "2026", "doi": null, "url": "https://klassifikationen.bfarm.de/icd-10-gm/kode-suche/htmlgm2026/block-l55-l59.htm", "metadataCheckedAt": "2026-09-20" }, { "title": "S3 guideline: actinic keratosis and cutaneous squamous cell carcinoma — update 2023, part 1: treatment of actinic keratosis, actinic cheilitis, Bowen disease, occupational disease and structures of care", "organization": "German Dermatological Society guideline group / AWMF 032/022OL", "type": "guideline", "year": 2023, "version": "2.0", "doi": "10.1111/ddg.15231", "url": "https://onlinelibrary.wiley.com/doi/10.1111/ddg.15231", "metadataCheckedAt": "2026-09-20" }, { "title": "S3-Leitlinie Aktinische Keratose und Plattenepithelkarzinom der Haut (Langfassung)", "organization": "Leitlinienprogramm Onkologie / AWMF", "type": "guideline", "year": 2023, "version": "2.0; AWMF 032/022OL", "doi": null, "url": "https://register.awmf.org/assets/guidelines/032-022OLl_S3_Aktinische_Keratosen-Plattenepithelkarzinom-PEK_2023-01.pdf", "metadataCheckedAt": "2026-09-20" }, { "title": "S3-Leitlinie Prävention von Hautkrebs", "organization": "Leitlinienprogramm Onkologie / AWMF", "type": "guideline", "year": 2021, "version": "2.1; AWMF 032/052OL", "doi": null, "url": "https://register.awmf.org/assets/guidelines/032-052OLl_S3_Praevention-Hautkrebs_2021-09.pdf", "metadataCheckedAt": "2026-09-23" }, { "title": "BK 5103 — Squamous cell carcinomas or multiple actinic keratoses of the skin caused by natural UV radiation", "organization": "DGUV", "type": "clinical reference", "year": null, "version": null, "doi": null, "url": "https://www.dguv.de/bk-info/icd-10-kapitel/kapitel_12/bk5103/index.jsp", "metadataCheckedAt": "2026-09-20" }, { "title": "Aldara 5% cream — EPAR Product Information", "organization": "European Medicines Agency", "type": "clinical reference", "year": null, "version": null, "doi": null, "url": "https://www.ema.europa.eu/en/medicines/human/EPAR/aldara", "metadataCheckedAt": "2026-09-20" }, { "title": "Zyclara 3.75% cream — EPAR Product Information", "organization": "European Medicines Agency", "type": "clinical reference", "year": null, "version": null, "doi": null, "url": "https://www.ema.europa.eu/en/medicines/human/EPAR/zyclara", "metadataCheckedAt": "2026-09-20" }, { "title": "Efudix 5% cream — German Fachinformation", "organization": "German product information", "type": "clinical reference", "year": null, "version": null, "doi": null, "url": "https://www.fachinfo.de/fi/detail/003786/efudix-r-5-creme", "metadataCheckedAt": "2026-09-20" }, { "title": "Klisyri 10 mg/g ointment (tirbanibulin) — German Fachinformation / EU product information", "organization": "German product information / EMA", "type": "clinical reference", "year": null, "version": null, "doi": null, "url": "https://www.fachinfo.de/fi/detail/23428/Klisyri-10-mg-g-Salbe", "metadataCheckedAt": "2026-09-20" }, { "title": "Solaraze 3% gel — German Fachinformation", "organization": "German product information", "type": "clinical reference", "year": null, "version": null, "doi": null, "url": "https://www.fachinfo.de/fi/pdf/007858/solaraze-3-gel", "metadataCheckedAt": "2026-09-20" }, { "title": "Actikerall 5 mg/g + 100 mg/g Lösung zur Anwendung auf der Haut — Fachinformation", "organization": "Fachinfo-Service / Almirall Hermal GmbH / German product information", "type": "clinical reference", "year": null, "version": "January 2023", "doi": null, "url": "https://www.fachinfo.de/fi/pdf/013084/actikerall-5-mg-g-100-mg-g-loesung-zur-anwendung-auf-der-haut", "metadataCheckedAt": "2026-09-23" }, { "title": "Tolak 40 mg/g Creme — Fachinformation", "organization": "Fachinfo-Service / German product information", "type": "clinical reference", "year": null, "version": null, "doi": null, "url": "https://www.fachinfo.de/fi/pdf/022967/tolak-r-40-mg-g-creme", "metadataCheckedAt": "2026-09-23" } ], "status": "clinician reviewed", "activeDecisionId": "decision-ak-2026-09-23-001", "history": [ { "id": "decision-ak-2026-09-23-001", "assetId": "actinic-keratosis", "assetType": "disease", "contentFingerprint": "sha256-v1:92302d680f4c645cc1a91c9a827a3e44b0d965fa21fa019144458bd81c27a1dd", "schemaVersion": 1, "reviewerId": "reviewer-mna-001", "reviewerRole": "Physician in dermatology specialty training", "reviewDate": "2026-09-23", "reviewedSections": [ "overview", "clinical-presentation", "diagnostics", "dermoscopy", "differential-diagnosis", "treatment", "follow-up", "coding", "references", "histopathology", "red-flags", "referral", "patient-safety" ], "evidenceSourcesChecked": [ "https://dermnetnz.org/topics/actinic-keratosis", "https://icd.who.int/browse10/2019/en", "https://klassifikationen.bfarm.de/icd-10-gm/kode-suche/htmlgm2026/block-l55-l59.htm", "https://onlinelibrary.wiley.com/doi/10.1111/ddg.15231", "https://register.awmf.org/assets/guidelines/032-022OLl_S3_Aktinische_Keratosen-Plattenepithelkarzinom-PEK_2023-01.pdf", "https://register.awmf.org/assets/guidelines/032-052OLl_S3_Praevention-Hautkrebs_2021-09.pdf", "https://www.dguv.de/bk-info/icd-10-kapitel/kapitel_12/bk5103/index.jsp", "https://www.ema.europa.eu/en/medicines/human/EPAR/aldara", "https://www.ema.europa.eu/en/medicines/human/EPAR/zyclara", "https://www.fachinfo.de/fi/detail/003786/efudix-r-5-creme", "https://www.fachinfo.de/fi/detail/23428/Klisyri-10-mg-g-Salbe", "https://www.fachinfo.de/fi/pdf/007858/solaraze-3-gel", "https://www.fachinfo.de/fi/pdf/013084/actikerall-5-mg-g-100-mg-g-loesung-zur-anwendung-auf-der-haut", "https://www.fachinfo.de/fi/pdf/022967/tolak-r-40-mg-g-creme" ], "verdict": "approved", "requiredCorrections": [], "reviewerNotes": "Section-by-section physician review completed. Requested clinical, terminology and source-provenance corrections were applied and verified before final approval.", "attestationVersion": "docutis-human-clinical-review-v1", "attestationText": "I confirm that I am a human reviewer and that I assessed only the content versions and sections identified by the recorded fingerprints. My decisions apply only to the recorded scope. Clinically meaningful future changes may invalidate the decisions. This educational governance review does not make Docutis an individual diagnostic or treatment service and does not guarantee completeness or universal applicability.", "provenance": "human-submitted", "supersededBy": null } ], "awaitingSections": [] }, { "id": "basal-cell-carcinoma", "assetType": "disease", "title": "Basal Cell Carcinoma", "schemaVersion": 1, "currentFingerprint": "sha256-v1:fbc2b272331822060c656dd0680da07e9131ecd3f59f071a71273748f14ad65f", "sections": [ "overview", "clinical-presentation", "diagnostics", "dermoscopy", "differential-diagnosis", "treatment", "follow-up", "coding", "references", "histopathology", "red-flags", "referral", "patient-safety", "oncology" ], "evidenceSources": [ "https://dermnetnz.org/topics/basal-cell-carcinoma", "https://icd.who.int/browse10/2019/en", "https://klassifikationen.bfarm.de/icd-10-gm/kode-suche/htmlgm2026/block-c43-c44.htm", "https://register.awmf.org/assets/guidelines/032-021l_S2k_Basalzellkarzinom-der-Haut_2024-07.pdf", "https://whobluebooks.iarc.who.int/structures/skintumours/", "https://www.aad.org/member/clinical-quality/guidelines/bcc", "https://www.dguv.de/bk-info/icd-10-kapitel/kapitel_12/bk5103/index.jsp", "https://www.ema.europa.eu/en/medicines/human/EPAR/ameluz", "https://www.ema.europa.eu/en/medicines/human/EPAR/erivedge", "https://www.ema.europa.eu/en/medicines/human/EPAR/libtayo", "https://www.ema.europa.eu/en/medicines/human/EPAR/odomzo", "https://www.fachinfo.de/fi/detail/003786/efudix-r-5-creme", "https://www.fachinfo.de/fi/detail/007185/metvix-r-160-mg-g-creme", "https://www.fachinfo.de/fi/pdf/003976", "https://www.who.int/standards/classifications/other-classifications/international-classification-of-diseases-for-oncology" ], "evidenceMetadata": [ { "title": "Basal cell carcinoma", "organization": "DermNet", "type": "clinical reference", "year": null, "version": null, "doi": null, "url": "https://dermnetnz.org/topics/basal-cell-carcinoma", "metadataCheckedAt": "2026-09-23" }, { "title": "ICD-10 Version: 2019", "organization": "World Health Organization", "type": "official classification", "year": null, "version": "2019", "doi": null, "url": "https://icd.who.int/browse10/2019/en", "metadataCheckedAt": "2026-09-15" }, { "title": "ICD-10-GM Version 2026 — C43–C44 Melanom und sonstige bösartige Neubildungen der Haut", "organization": "BfArM", "type": "official classification", "year": 2026, "version": "2026", "doi": null, "url": "https://klassifikationen.bfarm.de/icd-10-gm/kode-suche/htmlgm2026/block-c43-c44.htm", "metadataCheckedAt": "2026-09-23" }, { "title": "S2k-Leitlinie Basalzellkarzinom der Haut", "organization": "German Dermatological Society guideline group / AWMF 032-021", "type": "guideline", "year": 2024, "version": "9.0; AWMF 032-021", "doi": null, "url": "https://register.awmf.org/assets/guidelines/032-021l_S2k_Basalzellkarzinom-der-Haut_2024-07.pdf", "metadataCheckedAt": "2026-09-23" }, { "title": "WHO Classification of Skin Tumours, fifth 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