// library
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If a PR changes an API endpoint/controller/route, assess current production health before adding heavier logic. - If a monitoring MCP is available (Datadog/Grafana): query current p95 latency and error rate for that endpoint. - If the endpoint is already degraded, warn against adding heavy queries, blocking I/O, or complex synchronous logic; require performance evidence or a safe rollout plan. To enable this check, the PR should reference the endpoint path (e.g., `POST /api/payments`) or the controller/action name.
For any handler that reads or writes ePHI, write an append-only audit record with user id, patient id, action (READ_PHI/WRITE_PHI), purpose-of-use, timestamp, and request id. Prevent deletion or mutation of audit entries.