E.4.DPF:5.5 - Empirical-grounding and use-frame stress slice

The intended-result description has a separately obtaining EpistemeEmpiricalGroundingRelation to MedicationReviewTeam@Hospital-A, an A.1-admitted holon, covering the exact supported claim subgraph. The holon is not an episteme identity slot. A request to rely instead on a consortium first rechecks the empirical-grounding relation and evidence, effective ReferenceScheme, ClaimScope, and any independently selected BoundedModelUseStructure. Changing only the empirical ground changes that relation; changing the ClaimGraph, EntityOfConcern, or effective scheme identifies another episteme. F.9 opens only if an exact cross-context local-sense translation is actually current, not merely because the maintaining organization changed.