Speaking after the league’s annual fall meeting, Goodell said the NFL’s chief medical officer, Dr. Allen Sills, had examined the steps taken and that the league believed its medical protocols were followed. He also said the union had the right to request a review.

“There was a medical evaluation, and I think our protocols were incredibly good there,” Goodell said. “Our process is to make sure that’s the case.”

Sills had defended the Eagles’ medical staff a day earlier. The league said it had been in contact with team doctors and trainers, as well as the Cleveland Clinic in London. NFL executive vice president Jeff Miller said the league had a clear understanding of events and disputed a report that Hurts had been awake for more than 30 hours before playing Jacksonville on Oct. 11. Miller said Hurts returned to the hotel and slept for about seven or eight hours.

The Eagles and Hurts’ agent, Nicole Lynn, said Monday that the quarterback had deep vein thrombosis and blood clots in both lungs. The clot in his left calf traveled to his lungs. Hurts has been placed on injured reserve and is expected to miss the remainder of the season.

Goodell played down the possible role of international travel in the medical situation, saying his primary concern was Hurts’ health. The case has prompted questions about medical decision-making and player safety, while the union’s requested review could bring additional scrutiny to how the league and team handled the events surrounding Hurts’ diagnosis.