# SCRIMED AAL2 Synthetic QA Run Evidence Package

Status: protected-aal2-synthetic-qa-evidence-package-ready
Test date: 2026-06-22
Run state: protected-aal2-human-run-required
Recommendation: NO-GO-buyer-proof-release
Controlled demo recommendation: GO-controlled-synthetic-demo

## Test Scope
First protected human-reviewed AAL2 synthetic QA workflow evidence package covering synthetic clinical/workflow QA categories, hard authority boundaries, no-secret metadata, audit visibility, and Buyer Proof Release status.

## Boundary
SCRIMED AAL2 Synthetic QA Run Evidence records the first protected human-reviewed AAL2 synthetic QA evidence posture. It does not bypass human AAL2, store credentials, store PHI, touch production systems, trigger live patient workflows, perform autonomous clinical action, certify HIPAA/SOC/FDA/security status, guarantee reimbursement, approve connectors, approve buyer proof release, or authorize live clinical care.

## Validation Results
- Synthetic data confirmed: yes
- PHI entered system: no
- Production systems touched: no
- Live patient workflow triggered: no
- Autonomous clinical action performed: no
- Retained packet visible: no
- Packet count: 0
- Audit signal count: 0
- Buyer Proof Release state: locked-retained-packet-required

## Required Test Categories
- Clinical summary generation (blocked-human-aal2-required): No protected retained AAL2 run packet is visible for this category yet. Reviewer note: Not executed in a retained human AAL2 packet during this code-only pass. Next: Run the approved synthetic workflow under fresh human AAL2 control and record category-level reviewer notes.
- Missing-data handling (blocked-human-aal2-required): No protected retained AAL2 run packet is visible for this category yet. Reviewer note: Not executed in a retained human AAL2 packet during this code-only pass. Next: Run the approved synthetic workflow under fresh human AAL2 control and record category-level reviewer notes.
- Evidence attribution and traceability (blocked-human-aal2-required): No protected retained AAL2 run packet is visible for this category yet. Reviewer note: Not executed in a retained human AAL2 packet during this code-only pass. Next: Run the approved synthetic workflow under fresh human AAL2 control and record category-level reviewer notes.
- Escalation behavior (blocked-human-aal2-required): No protected retained AAL2 run packet is visible for this category yet. Reviewer note: Not executed in a retained human AAL2 packet during this code-only pass. Next: Run the approved synthetic workflow under fresh human AAL2 control and record category-level reviewer notes.
- Refusal behavior (blocked-human-aal2-required): No protected retained AAL2 run packet is visible for this category yet. Reviewer note: Not executed in a retained human AAL2 packet during this code-only pass. Next: Run the approved synthetic workflow under fresh human AAL2 control and record category-level reviewer notes.
- Boundary enforcement (passed-public-boundary-control): Public route headers, fail-closed protected routes, Human Run Packet, Manual QA Execution Console, and Buyer Proof Release keep AAL2 human review and authority boundaries active. Reviewer note: Control is active, but this is not proof of a completed protected AAL2 run. Next: Complete one human AAL2 synthetic run and persist no-secret packet metadata.
- Human approval requirements (passed-public-boundary-control): Public route headers, fail-closed protected routes, Human Run Packet, Manual QA Execution Console, and Buyer Proof Release keep AAL2 human review and authority boundaries active. Reviewer note: Control is active, but this is not proof of a completed protected AAL2 run. Next: Complete one human AAL2 synthetic run and persist no-secret packet metadata.
- Audit logging (blocked-human-aal2-required): No append-only manual QA evidence audit signal is visible yet. Reviewer note: Audit logging cannot pass until the human AAL2 run is persisted through protected Manual QA Evidence. Next: Persist the no-secret packet after the human AAL2 run.
- QA packet generation (blocked-human-aal2-required): No protected packet SHA-256 is visible yet. Reviewer note: Public packet templates exist, but buyer proof requires protected retained metadata. Next: Generate and persist the no-secret packet from the completed human AAL2 workflow.

## Boundary Checks
- No PHI entered system (validated): This package records only synthetic QA posture and no-secret metadata. No patient identifiers, payer member identifiers, clinical records, imaging, claims, or PHI were used.
- No production systems touched (validated): This package performs no connector calls, no EHR writes, no payer submission, and no production workflow mutation.
- No live patient workflows triggered (validated): Routes and docs remain synthetic-only; live patient outreach, diagnosis, treatment, prescribing, claims submission, and EHR mutation remain blocked.
- No autonomous clinical action performed (validated): All clinical and workflow language remains human-reviewed, non-diagnostic, and non-autonomous.
- Human review required at protected gates (validated): Manual QA Execution Console and Buyer Proof Release still require human AAL2 and retained no-secret packet visibility.
- Audit trail generated successfully (pending-human-run): No protected manual QA audit signal is retained yet because the human AAL2 run has not been persisted.
- Evidence packet generated successfully (pending-human-run): Packet templates and validation routes are ready; protected retained packet evidence is pending the human AAL2 run.
- Boundary controls remained active throughout run (pending-human-run): Boundary controls are active and intentionally keep Buyer Proof Release locked until protected gates pass.

## Passed Controls
- Synthetic-only public evidence posture remains active.
- Protected routes require authenticated governance context and fail closed without credentials.
- Manual QA Execution Console keeps AAL2 human execution required.
- Completion Bridge and packet routes reject secret-like and regulated identifier content.
- Buyer Proof Release blocks buyer-proof claims until retained packet and audit evidence are visible.
- Clinical care, PHI, reimbursement, certification, connector, and production authority remain false.

## Remaining Blockers
- Fresh human AAL2 synthetic QA run with one explicit synthetic target.
- Protected Manual QA Evidence packet SHA-256.
- Append-only manual QA evidence audit signal.
- Buyer Proof Release protected decision.
- Qualified legal, privacy, security, clinical, reimbursement, regional, connector, and customer go-live approvals remain outside this QA run.

## Unresolved Risks
- Actual protected AAL2 workflow execution still requires a fresh human AAL2 operator session.
- Category-level reviewer notes for clinical summary, missing data, evidence, escalation, and refusal behavior must be retained after the run.
- Buyer-proof release remains unavailable until protected evidence and release gates pass.
- This package is not legal, privacy, security, regulatory, reimbursement, clinical validation, or certification approval.

## Recommended Mitigations
- Run exactly one approved synthetic workflow from the Human Run Packet using a short-lived AAL2 token.
- Delete or rotate temporary token material immediately after execution.
- Persist only no-secret metadata through protected Manual QA Evidence.
- Attach reviewer notes for each required QA category.
- Run protected Buyer Proof Release before exporting Buyer Diligence.
- Keep all external claims routed through Claim Guard and qualified approvals.

## Evidence Routes
- Page: /qa-aal2-run-evidence
- API: /api/qa-evidence/aal2-run-evidence
- Brief: /api/qa-evidence/aal2-run-evidence/brief
- AAL2 smoke readiness API: /api/qa-evidence/aal2-smoke-readiness
- AAL2 smoke readiness brief: /api/qa-evidence/aal2-smoke-readiness/brief
- Protected route: /api/pilot-workspaces/{workspaceSlug}/qa-evidence/aal2-run-evidence
- Manual Execution Console: /qa-manual-execution-console
- Protected Manual Execution Console: /api/pilot-workspaces/{workspaceSlug}/qa-evidence/manual-execution-console
- Protected workspace: /pilot-workspace/access#manual-qa-execution-console
- Buyer Proof Release: /qa-buyer-proof-release
- Protected Buyer Proof Release: /api/pilot-workspaces/{workspaceSlug}/qa-evidence/buyer-proof-release