There is one key issue with your intended analogy,
@Cadence . The doctor is not just following the rules, she is actually explaining what the patient needs to know and doing so in a thorough manner. The one and only thing being concealed here is the looking up part. In all other ways, specifically including what is prescribed, why it should be taken, and what the patient should do both when taking the medication and in general, the doctor is required to be as transparent and explicit as possible or be liable for malpractice.
This is disanalogous with fudging, but entirely analogous with several of the non-fudging tools for addressing these issues. E.g., adding or removing intended participants to a combat that is lies in wait but has not been observed yet: the players are not notified about this, but that knowledge is outside what their characters could reasonably possess, and thus (so long as the change does not exceed what IS known to them) such changes may be acceptable. Or turning an incoming crit into a miss, and giving a fully diegetic explanation of why that happened, inviting players to investigate.
To address this problem, you would need to have the doctor intentionally conceal medical information from the patient. So, for example, if the doctor had misdiagnosed a problem in a previous visit, but then realized that the problem must be something else, then if she did not ever tell the patient that it was a misdiagnosis, but instead massaged the medical technobabble that most patients don't understand so that the misdiagnosis got corrected to the right diagnosis, then that would be analogous to fudging...and would be significantly more problematic, wouldn't you say? I don't expect doctors to be perfect, medicine is an extremely difficult profession, but concealing a misdiagnosis and "fudging" medical records so that the correct treatment was indicated all along sounds absolutely unacceptable and, if revealed, would almost certainly be grounds for a lawsuit and possibly getting the doctor's medical license revoked.