The institutional move is easy to see: documentation tools are sold as relief for clinicians, then routed through systems that patients experience as ordinary care. The proposed case against Sutter Health and MemorialCare attacks that handoff directly by alleging private consultations were recorded without patient consent patients has filed a proposed class-action lawsuit. Once the tool enters the exam room, the hospital cannot keep treating consent as a procurement detail; the patient becomes the governed party, not the edge case.