case-updatelisted

# Konsil Case Update (Longitudinal Mode) The board's memory is the case folder. When new documents arrive for an existing case: ## Step 1 — Delta intake Run `case-intake` steps 1–3 on the new documents only, then merge into `case.md`: - New rows in the timeline table (never overwrite old rows — corrections are new rows flagged `[CORRECTS <date>]`). - **Computed deltas:** for every measurement that now has ≥2 dated values, compute the change and rate (e.g., mm/year, eGFR slope). These go in a `## Interval Changes` section — this is the single highest-value output of longitudinal mode. - New inconsistency flags, including cross-time ones (a finding described in an old report that the new report silently drops = **orphaned finding**, flagged). ## Step 2 — Delta gate Ask only the questions the new data raises (new symptoms since last board? treatments started?). Update `intake_status`. ## Step 3 — Re-convene in delta mode Run `board-orchestrator` with the delta framing: prior minutes are provided to Round-1 specialists **as history** (this is a follow-up, not a fresh case — the prior board's positions are data, marked as such), and the Round-1 task adds: "state explicitly which prior recommendations were followed, which are pending, and whether the interval changes alter the prior assessment." ## Step 4 — Delta minutes Same template; the Executive section leads with **What changed / What it means / What was recommended last time vs what happened**. Time-sensitive escalations