This control plane turns specimen custody snapshots into one operator surface: labeling integrity, cold-chain posture, handoff signoff, storage alignment, consent packet freshness, and release-safe remediation.
| Risk | Owner | Control family | Subject | Message |
|---|---|---|---|---|
| high stale-specimen-snapshot | Clinical Lab Operations | — | /specimens/regional-courier/custody-posture | Specimen snapshot for "Regional courier handoff cohort" is stale and should be refreshed before release posture is trusted. |
| high labeling-integrity-gap | Clinical Lab Operations | Labeling | oncology-biopsy / accession relabel lane | Labeling integrity is too weak on "oncology-biopsy / accession relabel lane" for a clean custody posture. |
| high temperature-excursion | Pathology Logistics | Temperature | regional-courier / cold-chain tote 7 | Temperature posture is incomplete on "regional-courier / cold-chain tote 7". |
| high custody-signoff-missing | Pathology Logistics | Custody | regional-courier / courier-to-lab transfer packet | Custody signoff is incomplete on "regional-courier / courier-to-lab transfer packet". |
| high storage-release-mismatch | Biorepository Operations | Storage | oncology-biopsy / freezer shelf B12 | Storage and release posture are misaligned on "oncology-biopsy / freezer shelf B12". |
| medium consent-packet-stale | Quality Systems | Consent | oncology-biopsy / patient-consent attachment packet | Consent packet coverage is stale on "oncology-biopsy / patient-consent attachment packet". |
| medium transport-seal-gap | Pathology Logistics | Transport | regional-courier / tamper-seal verification lane | Transport custody is drifting on "regional-courier / tamper-seal verification lane". |
| low stale-gap-window | Clinical Lab Operations | Custody | regional-courier / courier-to-lab transfer packet | Gap on "regional-courier / courier-to-lab transfer packet" has remained unresolved for 33 hours. |
| low stale-gap-window | Clinical Lab Operations | Consent | oncology-biopsy / patient-consent attachment packet | Gap on "oncology-biopsy / patient-consent attachment packet" has remained unresolved for 27 hours. |