{"service":"scrimed-execution-focus","status":"scrimed-execution-focus-active-synthetic-no-phi","apiRoute":"/api/scrimed-execution-focus","briefRoute":"/api/scrimed-execution-focus/brief","pageRoute":"/scrimed-execution-focus","boundary":"SCRIMED Execution Focus Engine is a synthetic/no-PHI prioritization control surface. It ranks safe next actions, proof routes, owner lanes, and retained gates without granting live patient-data authority, clinical authority, payer submission authority, EHR mutation authority, certification claims, investment advice, revenue guarantees, or customer go-live approval.","policyVersion":"scrimed-safety-governance-v2026-06-29","sourceSystems":[{"service":"scrimed-market-execution","status":"scrimed-market-execution-active-clean-room-no-phi","route":"/scrimed-market-execution"},{"service":"scrimed-enterprise-acceleration","status":"scrimed-enterprise-acceleration-active-synthetic-no-phi","route":"/scrimed-enterprise-acceleration"},{"service":"scrimed-guided-execution","status":"scrimed-guided-execution-active-synthetic-no-phi","route":"/scrimed-guided-execution"},{"service":"scrimed-operating-command-center","status":"scrimed-operating-command-center-ready-no-phi","route":"/scrimed-operating-command"}],"focusItems":[{"id":"buyer-proof-to-pilot","lane":"revenue","horizon":"now","sourceSystem":"scrimed-market-execution + pilot-demo-commercial-readiness","objective":"Convert clean-room market execution into a buyer proof-to-pilot path.","whyNow":"This is the shortest path from demo interest to scoped no-PHI revenue while preserving all production hard stops.","owner":"Revenue + Product","proofRoute":"/pilot-demo-commercial-readiness","apiRoute":"/api/pilot-demo-commercial-readiness","nextAction":"Package the top two no-PHI buyer demos with pricing band, proof packet, reviewer role, and pilot acceptance criteria.","valueScore":96,"riskScore":24,"effortScore":28,"retainedBoundary":"Commercial proof only; no contract approval, PHI authority, ROI guarantee, or customer go-live.","blockedActions":["No PHI or live patient data","No autonomous clinical care or final clinical authority","No treatment, prescribing, patient outreach, payer submission, billing submission, or EHR mutation","No production connector approval, certification claim, customer go-live approval, or revenue guarantee"],"focusScore":86,"humanReviewRequired":true,"policyVersion":"scrimed-safety-governance-v2026-06-29","syntheticOnly":true,"auditHash":"scrimed-intel-64e08308"},{"id":"security-diligence-trust-center","lane":"trust-safety","horizon":"now","sourceSystem":"scrimed-cyber-defense + trust-center","objective":"Make security, privacy, audit, and residual-risk posture easier for buyers and investors to diligence.","whyNow":"Trust proof reduces sales friction and prevents unsafe overclaiming as market interest increases.","owner":"Security + Trust","proofRoute":"/scrimed-cyber-defense","apiRoute":"/api/scrimed-cyber-defense","nextAction":"Surface token redaction, proxy sanitization, protected-route monitoring, incident lanes, and residual risks in the buyer proof packet.","valueScore":94,"riskScore":18,"effortScore":32,"retainedBoundary":"Security readiness only; not a certification, breach guarantee, or customer security approval.","blockedActions":["No PHI or live patient data","No autonomous clinical care or final clinical authority","No treatment, prescribing, patient outreach, payer submission, billing submission, or EHR mutation","No production connector approval, certification claim, customer go-live approval, or revenue guarantee"],"focusScore":86,"humanReviewRequired":true,"policyVersion":"scrimed-safety-governance-v2026-06-29","syntheticOnly":true,"auditHash":"scrimed-intel-8b4fc760"},{"id":"execution-hygiene-command-surface","lane":"operations","horizon":"now","sourceSystem":"scrimed-operating-command + navigation-audit","objective":"Keep the highest-impact lanes visible, ranked, and proof-linked so execution does not fragment.","whyNow":"The platform now has many modules; ranking reduces bottlenecks and protects build velocity.","owner":"Platform Operations","proofRoute":"/scrimed-operating-command","apiRoute":"/api/scrimed-operating-command","nextAction":"Use weekly operating review to advance only the top safe items and keep blocked items in approval-path workstreams.","valueScore":88,"riskScore":16,"effortScore":18,"retainedBoundary":"Planning and recommendation only; no protected execution, production deployment, or external communication authority.","blockedActions":["No PHI or live patient data","No autonomous clinical care or final clinical authority","No treatment, prescribing, patient outreach, payer submission, billing submission, or EHR mutation","No production connector approval, certification claim, customer go-live approval, or revenue guarantee"],"focusScore":86,"humanReviewRequired":true,"policyVersion":"scrimed-safety-governance-v2026-06-29","syntheticOnly":true,"auditHash":"scrimed-intel-2a8039c9"},{"id":"investor-diligence-narrative","lane":"investor","horizon":"now","sourceSystem":"investor-readiness + scrimed-enterprise-acceleration","objective":"Bind investor narrative to evidence artifacts, product surface, revenue motion, and retained boundaries.","whyNow":"Investor confidence depends on crisp proof and credible restraint, not broader claims.","owner":"Founder + Finance + Product","proofRoute":"/investor-readiness","apiRoute":"/api/investor-readiness/status","nextAction":"Prepare a five-part diligence snapshot: product proof, trust controls, commercial path, no-go boundaries, and next milestone.","valueScore":92,"riskScore":22,"effortScore":26,"retainedBoundary":"Investor diligence readiness only; not investment advice, securities material, valuation assurance, or audited financial reporting.","blockedActions":["No PHI or live patient data","No autonomous clinical care or final clinical authority","No treatment, prescribing, patient outreach, payer submission, billing submission, or EHR mutation","No production connector approval, certification claim, customer go-live approval, or revenue guarantee"],"focusScore":85,"humanReviewRequired":true,"policyVersion":"scrimed-safety-governance-v2026-06-29","syntheticOnly":true,"auditHash":"scrimed-intel-edbf60dc"},{"id":"validated-demo-pitch-runbooks","lane":"product","horizon":"next","sourceSystem":"scrimed-guided-execution + scrimed-proof-packet-studio","objective":"Turn demos into repeatable runbooks for buyers, investors, clinics, partners, and operators.","whyNow":"Repeatable proof increases sales consistency and lowers founder-dependent delivery overhead.","owner":"Product + Sales","proofRoute":"/scrimed-proof-packet-studio","apiRoute":"/api/scrimed-proof-packet-studio","nextAction":"Create one proof packet per audience with route-backed evidence, acceptance criteria, pricing motion, and next-step owner.","valueScore":84,"riskScore":26,"effortScore":36,"retainedBoundary":"Synthetic proof packaging only; no legal offer, customer activation, revenue guarantee, or production authority.","blockedActions":["No PHI or live patient data","No autonomous clinical care or final clinical authority","No treatment, prescribing, patient outreach, payer submission, billing submission, or EHR mutation","No production connector approval, certification claim, customer go-live approval, or revenue guarantee"],"focusScore":78,"humanReviewRequired":true,"policyVersion":"scrimed-safety-governance-v2026-06-29","syntheticOnly":true,"auditHash":"scrimed-intel-b8ea6147"},{"id":"interoperability-proof-catalog","lane":"platform","horizon":"next","sourceSystem":"clinical-data-fabric + patient-context-gateway","objective":"Create a proof catalog for FHIR, HL7, DICOM metadata, payer policy, consent, provenance, and no-writeback controls.","whyNow":"Enterprise buyers need interoperability confidence before technical pilots become serious.","owner":"Interoperability + Platform","proofRoute":"/clinical-data-fabric","apiRoute":"/api/clinical-data-fabric","nextAction":"Attach each connector concept to schema validation, provenance, PHI boundary, and writeback-denial evidence.","valueScore":86,"riskScore":38,"effortScore":44,"retainedBoundary":"Connector readiness metadata only; no production connector approval or live system-of-record mutation.","blockedActions":["No PHI or live patient data","No autonomous clinical care or final clinical authority","No treatment, prescribing, patient outreach, payer submission, billing submission, or EHR mutation","No production connector approval, certification claim, customer go-live approval, or revenue guarantee"],"focusScore":74,"humanReviewRequired":true,"policyVersion":"scrimed-safety-governance-v2026-06-29","syntheticOnly":true,"auditHash":"scrimed-intel-166343f3"},{"id":"clinical-production-approval-ladder","lane":"trust-safety","horizon":"next","sourceSystem":"clinical-production-readiness + boundary-release-approvals","objective":"Turn preserved clinical no-go boundaries into an explicit approval evidence ladder.","whyNow":"This creates the path to future permission without prematurely claiming readiness.","owner":"Clinical Safety + Compliance","proofRoute":"/clinical-production-readiness","apiRoute":"/api/clinical-production-readiness","nextAction":"Map each boundary to evidence, owner, reviewer credential, validation artifact, and external approval requirement.","valueScore":90,"riskScore":46,"effortScore":48,"retainedBoundary":"Approval path only; 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no token logging, no bypass, no role weakening, and no durable write if protected store is disabled.","blockedActions":["No PHI or live patient data","No autonomous clinical care or final clinical authority","No treatment, prescribing, patient outreach, payer submission, billing submission, or EHR mutation","No production connector approval, certification claim, customer go-live approval, or revenue guarantee"],"focusScore":45,"humanReviewRequired":true,"policyVersion":"scrimed-safety-governance-v2026-06-29","syntheticOnly":true,"auditHash":"scrimed-intel-e9553bff"},{"id":"live-phi-and-clinical-authority","lane":"trust-safety","horizon":"blocked","sourceSystem":"boundary-release-approvals","objective":"Preserve the highest-risk live data and clinical authority boundaries until evidence, legal, security, privacy, and clinical review are complete.","whyNow":"SCRIMED can sell governed synthetic pilots now while building the approval path for future clinical production.","owner":"Clinical Governance + Legal + Security","proofRoute":"/boundary-release-approvals","apiRoute":"/api/boundary-release-approvals","nextAction":"Keep live data, final clinical authority, patient outreach, payer submission, and record mutation blocked while collecting approval evidence.","valueScore":100,"riskScore":95,"effortScore":86,"retainedBoundary":"Boundary release requires qualified review, documented controls, external approvals where applicable, and human governance.","blockedActions":["No PHI or live patient data","No autonomous clinical care or final clinical authority","No treatment, prescribing, patient outreach, payer submission, billing submission, or EHR mutation","No production connector approval, certification claim, customer go-live approval, or revenue guarantee"],"focusScore":45,"humanReviewRequired":true,"policyVersion":"scrimed-safety-governance-v2026-06-29","syntheticOnly":true,"auditHash":"scrimed-intel-b8f8e142"}],"nowItems":[{"id":"buyer-proof-to-pilot","lane":"revenue","horizon":"now","sourceSystem":"scrimed-market-execution + pilot-demo-commercial-readiness","objective":"Convert clean-room market execution into a buyer proof-to-pilot path.","whyNow":"This is the shortest path from demo interest to scoped no-PHI revenue while preserving all production hard stops.","owner":"Revenue + Product","proofRoute":"/pilot-demo-commercial-readiness","apiRoute":"/api/pilot-demo-commercial-readiness","nextAction":"Package the top two no-PHI buyer demos with pricing band, proof packet, reviewer role, and pilot acceptance criteria.","valueScore":96,"riskScore":24,"effortScore":28,"retainedBoundary":"Commercial proof only; 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not a certification, breach guarantee, or customer security approval.","blockedActions":["No PHI or live patient data","No autonomous clinical care or final clinical authority","No treatment, prescribing, patient outreach, payer submission, billing submission, or EHR mutation","No production connector approval, certification claim, customer go-live approval, or revenue guarantee"],"focusScore":86,"humanReviewRequired":true,"policyVersion":"scrimed-safety-governance-v2026-06-29","syntheticOnly":true,"auditHash":"scrimed-intel-8b4fc760"},{"id":"execution-hygiene-command-surface","lane":"operations","horizon":"now","sourceSystem":"scrimed-operating-command + navigation-audit","objective":"Keep the highest-impact lanes visible, ranked, and proof-linked so execution does not fragment.","whyNow":"The platform now has many modules; ranking reduces bottlenecks and protects build velocity.","owner":"Platform Operations","proofRoute":"/scrimed-operating-command","apiRoute":"/api/scrimed-operating-command","nextAction":"Use weekly operating review to advance only the top safe items and keep blocked items in approval-path workstreams.","valueScore":88,"riskScore":16,"effortScore":18,"retainedBoundary":"Planning and recommendation only; 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not investment advice, securities material, valuation assurance, or audited financial reporting.","blockedActions":["No PHI or live patient data","No autonomous clinical care or final clinical authority","No treatment, prescribing, patient outreach, payer submission, billing submission, or EHR mutation","No production connector approval, certification claim, customer go-live approval, or revenue guarantee"],"focusScore":85,"humanReviewRequired":true,"policyVersion":"scrimed-safety-governance-v2026-06-29","syntheticOnly":true,"auditHash":"scrimed-intel-edbf60dc"}],"nextItems":[{"id":"validated-demo-pitch-runbooks","lane":"product","horizon":"next","sourceSystem":"scrimed-guided-execution + scrimed-proof-packet-studio","objective":"Turn demos into repeatable runbooks for buyers, investors, clinics, partners, and operators.","whyNow":"Repeatable proof increases sales consistency and lowers founder-dependent delivery overhead.","owner":"Product + Sales","proofRoute":"/scrimed-proof-packet-studio","apiRoute":"/api/scrimed-proof-packet-studio","nextAction":"Create one proof packet per audience with route-backed evidence, acceptance criteria, pricing motion, and next-step owner.","valueScore":84,"riskScore":26,"effortScore":36,"retainedBoundary":"Synthetic proof packaging only; 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no production connector approval or live system-of-record mutation.","blockedActions":["No PHI or live patient data","No autonomous clinical care or final clinical authority","No treatment, prescribing, patient outreach, payer submission, billing submission, or EHR mutation","No production connector approval, certification claim, customer go-live approval, or revenue guarantee"],"focusScore":74,"humanReviewRequired":true,"policyVersion":"scrimed-safety-governance-v2026-06-29","syntheticOnly":true,"auditHash":"scrimed-intel-166343f3"},{"id":"clinical-production-approval-ladder","lane":"trust-safety","horizon":"next","sourceSystem":"clinical-production-readiness + boundary-release-approvals","objective":"Turn preserved clinical no-go boundaries into an explicit approval evidence ladder.","whyNow":"This creates the path to future permission without prematurely claiming readiness.","owner":"Clinical Safety + Compliance","proofRoute":"/clinical-production-readiness","apiRoute":"/api/clinical-production-readiness","nextAction":"Map each boundary to evidence, owner, reviewer credential, validation artifact, and external approval requirement.","valueScore":90,"riskScore":46,"effortScore":48,"retainedBoundary":"Approval path only; live clinical authority remains blocked until qualified review and external approval.","blockedActions":["No PHI or live patient data","No autonomous clinical care or final clinical authority","No treatment, prescribing, patient outreach, payer submission, billing submission, or EHR mutation","No production connector approval, certification claim, customer go-live approval, or revenue guarantee"],"focusScore":73,"humanReviewRequired":true,"policyVersion":"scrimed-safety-governance-v2026-06-29","syntheticOnly":true,"auditHash":"scrimed-intel-ba07234c"}],"blockedItems":[{"id":"aal2-protected-smoke-operator","lane":"operations","horizon":"blocked","sourceSystem":"AAL2 durable-store protected smoke","objective":"Run protected authenticated evidence only when a fresh authorized AAL2 token and enabled target store are available.","whyNow":"Protected evidence strengthens diligence, but fail-closed behavior must remain stronger than convenience.","owner":"Authorized Tenant Admin / Pilot Lead / Reviewer","proofRoute":"/qa-aal2-run-evidence","apiRoute":"/api/qa-evidence/aal2-smoke-readiness","nextAction":"Use the documented local token helper, then run the strict smoke only against a target with protected writes enabled.","valueScore":78,"riskScore":62,"effortScore":42,"retainedBoundary":"Operator-run only; no token logging, no bypass, no role weakening, and no durable write if protected store is disabled.","blockedActions":["No PHI or live patient data","No autonomous clinical care or final clinical authority","No treatment, prescribing, patient outreach, payer submission, billing submission, or EHR mutation","No production connector approval, certification claim, customer go-live approval, or revenue guarantee"],"focusScore":45,"humanReviewRequired":true,"policyVersion":"scrimed-safety-governance-v2026-06-29","syntheticOnly":true,"auditHash":"scrimed-intel-e9553bff"},{"id":"live-phi-and-clinical-authority","lane":"trust-safety","horizon":"blocked","sourceSystem":"boundary-release-approvals","objective":"Preserve the highest-risk live data and clinical authority boundaries until evidence, legal, security, privacy, and clinical review are complete.","whyNow":"SCRIMED can sell governed synthetic pilots now while building the approval path for future clinical production.","owner":"Clinical Governance + Legal + Security","proofRoute":"/boundary-release-approvals","apiRoute":"/api/boundary-release-approvals","nextAction":"Keep live data, final clinical authority, patient outreach, payer submission, and record mutation blocked while collecting approval evidence.","valueScore":100,"riskScore":95,"effortScore":86,"retainedBoundary":"Boundary release requires qualified review, documented controls, external approvals where applicable, and human governance.","blockedActions":["No PHI or live patient data","No autonomous clinical care or final clinical authority","No treatment, prescribing, patient outreach, payer submission, billing submission, or EHR mutation","No production connector approval, certification claim, customer go-live approval, or revenue guarantee"],"focusScore":45,"humanReviewRequired":true,"policyVersion":"scrimed-safety-governance-v2026-06-29","syntheticOnly":true,"auditHash":"scrimed-intel-b8f8e142"}],"laneCounts":{"revenue":1,"product":1,"trust-safety":3,"investor":1,"operations":2,"platform":1},"operatingRules":["Prioritize revenue proof, trust proof, and buyer/investor clarity before adding broader surface area.","Every focus item must point to a proof route, API route, owner lane, retained boundary, and audit hash.","Blocked items remain visible, but the engine can only recommend approval-path workarounds.","All sensitive, clinical-facing, payer-facing, public, legal, or investor-facing use requires human review.","Execution focus is metadata-only; it does not mutate systems, contact patients, submit payer packets, or write records."],"scorecard":{"nowCount":4,"nextCount":3,"blockedCount":2,"averageNowFocusScore":86,"highestValueLane":"trust-safety","safetyPosture":"synthetic-human-reviewed","productionReadiness":false},"recommendedNextBuildStep":"Run SCRIMED from the now-focus queue: buyer proof-to-pilot, security diligence trust proof, investor evidence snapshot, and weekly operating hygiene before expanding more modules.","productionReadiness":false,"noPhiConfirmed":true,"humanReviewRequired":true}