{"service":"scrimed-intelligence-platform","status":"scrimed-intelligence-platform-active-synthetic-only","route":"/scrimed-intelligence-platform","apiRoute":"/api/scrimed-intelligence-platform","briefRoute":"/api/scrimed-intelligence-platform/brief","updated":"2026-07-04","noPhiConfirmed":true,"syntheticOnly":true,"productionApproval":false,"intelligenceMesh":{"moduleCount":12,"highRiskModuleCount":5,"modules":[{"module":"clinical_intelligence","purpose":"Synthetic clinical intelligence briefs with evidence, uncertainty, and reviewer gates.","risk_level":"high","data_classification":"synthetic_clinical_fixture","allowed_tools":["synthetic_context_loader","schema_validator","provenance_hasher","flight_recorder","memory_graph_query","fhir_r4_stub_export","csv_json_export","human_review_queue"],"blocked_tools":["external_model_call","ehr_writeback","payer_submission","patient_outreach","imaging_final_interpretation","prescribing_action","raw_connector_logger"],"human_review_required":true},{"module":"rcm","purpose":"Revenue cycle and denials intelligence with synthetic claims stubs only.","risk_level":"moderate","data_classification":"synthetic_metadata","allowed_tools":["synthetic_context_loader","schema_validator","provenance_hasher","flight_recorder","memory_graph_query","fhir_r4_stub_export","csv_json_export","human_review_queue"],"blocked_tools":["external_model_call","ehr_writeback","payer_submission","patient_outreach","imaging_final_interpretation","prescribing_action","raw_connector_logger"],"human_review_required":false},{"module":"research","purpose":"Research synthesis simulation with public-reference metadata and human review.","risk_level":"moderate","data_classification":"public_reference_metadata","allowed_tools":["synthetic_context_loader","schema_validator","provenance_hasher","flight_recorder","memory_graph_query","fhir_r4_stub_export","csv_json_export","human_review_queue"],"blocked_tools":["external_model_call","ehr_writeback","payer_submission","patient_outreach","imaging_final_interpretation","prescribing_action","raw_connector_logger"],"human_review_required":false},{"module":"imaging","purpose":"Imaging workflow metadata, routing, and QA gates without final medical interpretation.","risk_level":"high","data_classification":"synthetic_metadata","allowed_tools":["synthetic_context_loader","schema_validator","provenance_hasher","flight_recorder","memory_graph_query","fhir_r4_stub_export","csv_json_export","human_review_queue"],"blocked_tools":["external_model_call","ehr_writeback","payer_submission","patient_outreach","imaging_final_interpretation","prescribing_action","raw_connector_logger"],"human_review_required":true},{"module":"genomics","purpose":"Genomics knowledge graph metadata and research planning without patient-specific action.","risk_level":"high","data_classification":"synthetic_metadata","allowed_tools":["synthetic_context_loader","schema_validator","provenance_hasher","flight_recorder","memory_graph_query","fhir_r4_stub_export","csv_json_export","human_review_queue"],"blocked_tools":["external_model_call","ehr_writeback","payer_submission","patient_outreach","imaging_final_interpretation","prescribing_action","raw_connector_logger"],"human_review_required":true},{"module":"ambient_scribe","purpose":"Synthetic ambient note drafting metadata with clinician signoff required.","risk_level":"high","data_classification":"synthetic_clinical_fixture","allowed_tools":["synthetic_context_loader","schema_validator","provenance_hasher","flight_recorder","memory_graph_query","fhir_r4_stub_export","csv_json_export","human_review_queue"],"blocked_tools":["external_model_call","ehr_writeback","payer_submission","patient_outreach","imaging_final_interpretation","prescribing_action","raw_connector_logger"],"human_review_required":true},{"module":"docutwin","purpose":"Synthetic document intelligence with provenance and draft-only outputs.","risk_level":"moderate","data_classification":"synthetic_metadata","allowed_tools":["synthetic_context_loader","schema_validator","provenance_hasher","flight_recorder","memory_graph_query","fhir_r4_stub_export","csv_json_export","human_review_queue"],"blocked_tools":["external_model_call","ehr_writeback","payer_submission","patient_outreach","imaging_final_interpretation","prescribing_action","raw_connector_logger"],"human_review_required":false},{"module":"care_explain","purpose":"Patient education drafts with readability checks and clinical disclaimer.","risk_level":"moderate","data_classification":"synthetic_clinical_fixture","allowed_tools":["synthetic_context_loader","schema_validator","provenance_hasher","flight_recorder","memory_graph_query","fhir_r4_stub_export","csv_json_export","human_review_queue"],"blocked_tools":["external_model_call","ehr_writeback","payer_submission","patient_outreach","imaging_final_interpretation","prescribing_action","raw_connector_logger"],"human_review_required":false},{"module":"trialcore","purpose":"Clinical trial matching simulation with no enrollment or patient contact authority.","risk_level":"high","data_classification":"synthetic_clinical_fixture","allowed_tools":["synthetic_context_loader","schema_validator","provenance_hasher","flight_recorder","memory_graph_query","fhir_r4_stub_export","csv_json_export","human_review_queue"],"blocked_tools":["external_model_call","ehr_writeback","payer_submission","patient_outreach","imaging_final_interpretation","prescribing_action","raw_connector_logger"],"human_review_required":true},{"module":"trust_engine","purpose":"Trust, safety, provenance, and audit controls for module outputs.","risk_level":"moderate","data_classification":"synthetic_metadata","allowed_tools":["synthetic_context_loader","schema_validator","provenance_hasher","flight_recorder","memory_graph_query","fhir_r4_stub_export","csv_json_export","human_review_queue"],"blocked_tools":["external_model_call","ehr_writeback","payer_submission","patient_outreach","imaging_final_interpretation","prescribing_action","raw_connector_logger"],"human_review_required":false},{"module":"education","purpose":"SCRIMED University curriculum metadata and non-certification learning paths.","risk_level":"low","data_classification":"synthetic_metadata","allowed_tools":["synthetic_context_loader","schema_validator","provenance_hasher","flight_recorder","memory_graph_query","fhir_r4_stub_export","csv_json_export","human_review_queue"],"blocked_tools":["external_model_call","ehr_writeback","payer_submission","patient_outreach","imaging_final_interpretation","prescribing_action","raw_connector_logger"],"human_review_required":false},{"module":"operations","purpose":"Operational intelligence for staffing, scheduling, throughput, and burden KPIs.","risk_level":"moderate","data_classification":"synthetic_metadata","allowed_tools":["synthetic_context_loader","schema_validator","provenance_hasher","flight_recorder","memory_graph_query","fhir_r4_stub_export","csv_json_export","human_review_queue"],"blocked_tools":["external_model_call","ehr_writeback","payer_submission","patient_outreach","imaging_final_interpretation","prescribing_action","raw_connector_logger"],"human_review_required":false}]},"clinicalMemoryGraph":{"nodeCount":9,"edgeCount":6,"nodes":[{"id":"guideline-handoff-safety","type":"guideline","label":"Handoff safety guideline metadata","summary":"Synthetic guideline reference for safe handoffs and escalation criteria.","data_classification":"synthetic_metadata","provenance":{"source_id":"source-guideline-handoff-safety","source_label":"Handoff safety guideline metadata","source_type":"synthetic_fixture","synthetic":true,"captured_at":"2026-07-04","steward":"SCRIMED Trust Engine"}},{"id":"sop-human-review","type":"sop","label":"Human review SOP","summary":"Internal policy metadata requiring review before high-risk clinical, payer, or connector actions.","data_classification":"synthetic_metadata","provenance":{"source_id":"source-sop-human-review","source_label":"Human review SOP","source_type":"synthetic_fixture","synthetic":true,"captured_at":"2026-07-04","steward":"SCRIMED Trust Engine"}},{"id":"research-evidence-ranking","type":"research","label":"Evidence ranking method","summary":"Research metadata for grading sources, contradictions, recency, and missing evidence.","data_classification":"public_reference_metadata","provenance":{"source_id":"source-research-evidence-ranking","source_label":"Evidence ranking method","source_type":"synthetic_fixture","synthetic":true,"captured_at":"2026-07-04","steward":"SCRIMED Trust Engine"}},{"id":"education-medication-literacy","type":"patient_education","label":"Medication literacy education","summary":"Synthetic patient education scaffold requiring clinician review before use.","data_classification":"synthetic_metadata","provenance":{"source_id":"source-education-medication-literacy","source_label":"Medication literacy education","source_type":"synthetic_fixture","synthetic":true,"captured_at":"2026-07-04","steward":"SCRIMED Trust Engine"}},{"id":"care-pathway-diabetes","type":"care_pathway","label":"Diabetes care pathway","summary":"Synthetic care pathway metadata for follow-up planning and escalation simulation.","data_classification":"synthetic_metadata","provenance":{"source_id":"source-care-pathway-diabetes","source_label":"Diabetes care pathway","source_type":"synthetic_fixture","synthetic":true,"captured_at":"2026-07-04","steward":"SCRIMED Trust Engine"}},{"id":"insurance-policy-prior-auth","type":"insurance_policy","label":"Prior authorization policy metadata","summary":"Synthetic payer policy scaffold for packet drafting without submission.","data_classification":"synthetic_metadata","provenance":{"source_id":"source-insurance-policy-prior-auth","source_label":"Prior authorization policy metadata","source_type":"synthetic_fixture","synthetic":true,"captured_at":"2026-07-04","steward":"SCRIMED Trust Engine"}},{"id":"drug-metformin","type":"drug","label":"Metformin drug concept metadata","summary":"Synthetic drug concept node for education and interaction review scaffolds.","data_classification":"synthetic_metadata","provenance":{"source_id":"source-drug-metformin","source_label":"Metformin drug concept metadata","source_type":"synthetic_fixture","synthetic":true,"captured_at":"2026-07-04","steward":"SCRIMED Trust Engine"}},{"id":"ontology-loinc-vitals","type":"ontology","label":"LOINC vitals ontology metadata","summary":"Synthetic terminology mapping node for vitals observations.","data_classification":"synthetic_metadata","provenance":{"source_id":"source-ontology-loinc-vitals","source_label":"LOINC vitals ontology metadata","source_type":"synthetic_fixture","synthetic":true,"captured_at":"2026-07-04","steward":"SCRIMED Trust Engine"}},{"id":"workflow-rcm-denials","type":"workflow","label":"RCM denials workflow","summary":"Synthetic workflow node for denial triage and reviewer routing.","data_classification":"synthetic_metadata","provenance":{"source_id":"source-workflow-rcm-denials","source_label":"RCM denials workflow","source_type":"synthetic_fixture","synthetic":true,"captured_at":"2026-07-04","steward":"SCRIMED Trust Engine"}}],"edges":[{"id":"edge-human-review-clinical","source_node_id":"sop-human-review","target_node_id":"guideline-handoff-safety","relationship":"constrains","confidence_score":0.94,"provenance":{"source_id":"source-edge-human-review-clinical","source_label":"sop-human-review constrains guideline-handoff-safety","source_type":"synthetic_fixture","synthetic":true,"captured_at":"2026-07-04","steward":"SCRIMED Trust Engine"}},{"id":"edge-guideline-carepath","source_node_id":"guideline-handoff-safety","target_node_id":"care-pathway-diabetes","relationship":"supports","confidence_score":0.86,"provenance":{"source_id":"source-edge-guideline-carepath","source_label":"guideline-handoff-safety supports care-pathway-diabetes","source_type":"synthetic_fixture","synthetic":true,"captured_at":"2026-07-04","steward":"SCRIMED Trust Engine"}},{"id":"edge-education-drug","source_node_id":"education-medication-literacy","target_node_id":"drug-metformin","relationship":"educates","confidence_score":0.82,"provenance":{"source_id":"source-edge-education-drug","source_label":"education-medication-literacy educates drug-metformin","source_type":"synthetic_fixture","synthetic":true,"captured_at":"2026-07-04","steward":"SCRIMED Trust Engine"}},{"id":"edge-ontology-vitals","source_node_id":"ontology-loinc-vitals","target_node_id":"care-pathway-diabetes","relationship":"maps_to","confidence_score":0.88,"provenance":{"source_id":"source-edge-ontology-vitals","source_label":"ontology-loinc-vitals maps_to care-pathway-diabetes","source_type":"synthetic_fixture","synthetic":true,"captured_at":"2026-07-04","steward":"SCRIMED Trust Engine"}},{"id":"edge-policy-workflow","source_node_id":"insurance-policy-prior-auth","target_node_id":"workflow-rcm-denials","relationship":"routes_to","confidence_score":0.8,"provenance":{"source_id":"source-edge-policy-workflow","source_label":"insurance-policy-prior-auth routes_to workflow-rcm-denials","source_type":"synthetic_fixture","synthetic":true,"captured_at":"2026-07-04","steward":"SCRIMED Trust Engine"}},{"id":"edge-research-guideline","source_node_id":"research-evidence-ranking","target_node_id":"guideline-handoff-safety","relationship":"references","confidence_score":0.84,"provenance":{"source_id":"source-edge-research-guideline","source_label":"research-evidence-ranking references guideline-handoff-safety","source_type":"synthetic_fixture","synthetic":true,"captured_at":"2026-07-04","steward":"SCRIMED Trust Engine"}}]},"provenanceConfidence":{"output":{"output_id":"intel-output-synthetic-001","module":"clinical_intelligence","output_type":"brief","sources":[{"source_id":"guideline-handoff-safety","source_type":"memory_node","label":"Handoff safety guideline metadata","route":"/api/scrimed-intelligence-platform"},{"source_id":"sop-human-review","source_type":"policy_rule","label":"Human review SOP","route":"/api/scrimed-intelligence-platform"}],"confidence_score":0.78,"uncertainty_reason":"Synthetic context is incomplete and cannot represent live clinical conditions, patient preferences, current guideline updates, or organization-specific policy.","missing_evidence":["qualified clinician validation","organization policy approval","current guideline review","live patient context intentionally absent"],"model_version":"scrimed-internal-synthetic-router-v1","human_validation_status":"review_required","synthetic_only":true,"timestamp":"2026-07-04","clinical_disclaimer":"Research/demo use only. Not for diagnosis, treatment, prescribing, imaging interpretation, payer submission, EHR writeback, patient outreach, or live patient care.","audit_hash":"scrimed-intel-feced1b9"},"requiredFields":["sources","confidence_score","uncertainty_reason","missing_evidence","model_version","timestamp","human_validation_status","clinical_disclaimer","audit_hash"]},"flightRecorder":{"recordCount":1,"records":[{"request_id":"flight-synthetic-clinical-001","user_intent":"Generate synthetic clinical intelligence brief with provenance and human-review gate.","retrieved_context_ids":["guideline-handoff-safety","sop-human-review","care-pathway-diabetes"],"tool_calls":[{"tool_id":"synthetic_context_loader","status":"allowed","latency_ms":12},{"tool_id":"schema_validator","status":"allowed","latency_ms":8},{"tool_id":"human_review_queue","status":"human_review_required","latency_ms":5}],"latency_ms":25,"model_used":"scrimed_internal","model_cost_estimate":0,"safety_flags":["synthetic_only","human_review_required","no_phi"],"reviewer_notes":"Synthetic fixture requires reviewer validation before any operational use.","override_status":"human_review_required","synthetic_only":true,"audit_hash":"scrimed-intel-0bba29cc"}]},"evaluationPipeline":{"checkCount":7,"releaseBlockingCount":6,"checks":[{"id":"hallucination_guard","status":"pass","enforcement":"release_blocking","evidence":"Every sample output includes sources, uncertainty, missing evidence, and clinical disclaimer.","failure_mode":"Output asserts unsupported clinical, payer, or operational facts."},{"id":"provenance_required","status":"pass","enforcement":"release_blocking","evidence":"AI output envelope requires non-empty sources and deterministic audit_hash.","failure_mode":"Output lacks source attribution."},{"id":"confidence_required","status":"pass","enforcement":"release_blocking","evidence":"AI output envelope requires confidence_score from 0 to 1 and uncertainty_reason.","failure_mode":"Output omits confidence or uncertainty."},{"id":"blocked_phi","status":"pass","enforcement":"release_blocking","evidence":"Guardrail evaluator blocks live PHI and raw connector payload logging.","failure_mode":"Live PHI enters model, graph, flight record, or test fixture."},{"id":"blocked_autonomous_clinical_action","status":"pass","enforcement":"release_blocking","evidence":"Diagnosis, treatment, prescribing, imaging final interpretation, outreach, payer submission, and EHR writeback are blocked.","failure_mode":"High-risk action proceeds without human review or block."},{"id":"latency_budget_metadata","status":"pass","enforcement":"release_blocking","evidence":"Flight recorder fixture includes latency_ms and tool-call latency metadata.","failure_mode":"Trace omits latency budget metadata."},{"id":"regression_eval_placeholder","status":"placeholder_pass","enforcement":"roadmap_placeholder","evidence":"Placeholder preserves CI contract until reviewer-calibrated regression datasets are added.","failure_mode":"Regression suite removed or left untracked."}]},"syntheticPatientStudio":{"seed":"scrimed-synthetic-cohort-v1","generator":"deterministic-seeded-synthetic-only","cohort":[{"synthetic_patient_id":"synthetic-patient-1","age_band":"65-79","geography":"synthetic-suburban","vitals":{"systolic_bp":145,"diastolic_bp":87,"heart_rate":91,"bmi":31.4},"conditions":["chronic kidney disease","heart failure"],"medications":["furosemide"],"encounters":[{"encounter_id":"synthetic-encounter-1-1","encounter_type":"specialty","synthetic_date":"2026-01-15","reason":"care gap review"}],"claims_stub":[{"claim_id":"synthetic-claim-1-1","status":"approved_stub","amount_usd":688}]},{"synthetic_patient_id":"synthetic-patient-2","age_band":"18-34","geography":"synthetic-urban","vitals":{"systolic_bp":112,"diastolic_bp":69,"heart_rate":64,"bmi":23.7},"conditions":["type 2 diabetes"],"medications":["metformin"],"encounters":[{"encounter_id":"synthetic-encounter-2-1","encounter_type":"primary_care","synthetic_date":"2026-02-15","reason":"follow-up"}],"claims_stub":[{"claim_id":"synthetic-claim-2-1","status":"draft_stub","amount_usd":221}]},{"synthetic_patient_id":"synthetic-patient-3","age_band":"18-34","geography":"synthetic-urban","vitals":{"systolic_bp":118,"diastolic_bp":71,"heart_rate":68,"bmi":24.3},"conditions":["hypertension"],"medications":["lisinopril","metformin"],"encounters":[{"encounter_id":"synthetic-encounter-3-1","encounter_type":"primary_care","synthetic_date":"2026-03-15","reason":"follow-up"}],"claims_stub":[{"claim_id":"synthetic-claim-3-1","status":"draft_stub","amount_usd":232}]}],"fhir_r4_bundle_stub":{"resourceType":"Bundle","type":"collection","entry":[{"fullUrl":"urn:uuid:synthetic-patient-1","resource":{"resourceType":"Patient","id":"synthetic-patient-1","meta":{"tag":[{"system":"https://scrimed.example/synthetic","code":"synthetic-only","display":"Synthetic only"}]}}},{"fullUrl":"urn:uuid:synthetic-patient-1-vitals","resource":{"resourceType":"Observation","id":"synthetic-patient-1-vitals","meta":{"tag":[{"system":"https://scrimed.example/synthetic","code":"synthetic-only","display":"Synthetic only"}]}}},{"fullUrl":"urn:uuid:synthetic-encounter-1-1","resource":{"resourceType":"Encounter","id":"synthetic-encounter-1-1","meta":{"tag":[{"system":"https://scrimed.example/synthetic","code":"synthetic-only","display":"Synthetic only"}]}}},{"fullUrl":"urn:uuid:synthetic-claim-1-1","resource":{"resourceType":"Claim","id":"synthetic-claim-1-1","meta":{"tag":[{"system":"https://scrimed.example/synthetic","code":"synthetic-only","display":"Synthetic only"}]}}},{"fullUrl":"urn:uuid:synthetic-patient-2","resource":{"resourceType":"Patient","id":"synthetic-patient-2","meta":{"tag":[{"system":"https://scrimed.example/synthetic","code":"synthetic-only","display":"Synthetic only"}]}}},{"fullUrl":"urn:uuid:synthetic-patient-2-vitals","resource":{"resourceType":"Observation","id":"synthetic-patient-2-vitals","meta":{"tag":[{"system":"https://scrimed.example/synthetic","code":"synthetic-only","display":"Synthetic only"}]}}},{"fullUrl":"urn:uuid:synthetic-encounter-2-1","resource":{"resourceType":"Encounter","id":"synthetic-encounter-2-1","meta":{"tag":[{"system":"https://scrimed.example/synthetic","code":"synthetic-only","display":"Synthetic only"}]}}},{"fullUrl":"urn:uuid:synthetic-claim-2-1","resource":{"resourceType":"Claim","id":"synthetic-claim-2-1","meta":{"tag":[{"system":"https://scrimed.example/synthetic","code":"synthetic-only","display":"Synthetic only"}]}}},{"fullUrl":"urn:uuid:synthetic-patient-3","resource":{"resourceType":"Patient","id":"synthetic-patient-3","meta":{"tag":[{"system":"https://scrimed.example/synthetic","code":"synthetic-only","display":"Synthetic only"}]}}},{"fullUrl":"urn:uuid:synthetic-patient-3-vitals","resource":{"resourceType":"Observation","id":"synthetic-patient-3-vitals","meta":{"tag":[{"system":"https://scrimed.example/synthetic","code":"synthetic-only","display":"Synthetic only"}]}}},{"fullUrl":"urn:uuid:synthetic-encounter-3-1","resource":{"resourceType":"Encounter","id":"synthetic-encounter-3-1","meta":{"tag":[{"system":"https://scrimed.example/synthetic","code":"synthetic-only","display":"Synthetic only"}]}}},{"fullUrl":"urn:uuid:synthetic-claim-3-1","resource":{"resourceType":"Claim","id":"synthetic-claim-3-1","meta":{"tag":[{"system":"https://scrimed.example/synthetic","code":"synthetic-only","display":"Synthetic only"}]}}}]},"json_export":[{"synthetic_patient_id":"synthetic-patient-1","age_band":"65-79","geography":"synthetic-suburban","vitals":{"systolic_bp":145,"diastolic_bp":87,"heart_rate":91,"bmi":31.4},"conditions":["chronic kidney disease","heart failure"],"medications":["furosemide"],"encounters":[{"encounter_id":"synthetic-encounter-1-1","encounter_type":"specialty","synthetic_date":"2026-01-15","reason":"care gap review"}],"claims_stub":[{"claim_id":"synthetic-claim-1-1","status":"approved_stub","amount_usd":688}]},{"synthetic_patient_id":"synthetic-patient-2","age_band":"18-34","geography":"synthetic-urban","vitals":{"systolic_bp":112,"diastolic_bp":69,"heart_rate":64,"bmi":23.7},"conditions":["type 2 diabetes"],"medications":["metformin"],"encounters":[{"encounter_id":"synthetic-encounter-2-1","encounter_type":"primary_care","synthetic_date":"2026-02-15","reason":"follow-up"}],"claims_stub":[{"claim_id":"synthetic-claim-2-1","status":"draft_stub","amount_usd":221}]},{"synthetic_patient_id":"synthetic-patient-3","age_band":"18-34","geography":"synthetic-urban","vitals":{"systolic_bp":118,"diastolic_bp":71,"heart_rate":68,"bmi":24.3},"conditions":["hypertension"],"medications":["lisinopril","metformin"],"encounters":[{"encounter_id":"synthetic-encounter-3-1","encounter_type":"primary_care","synthetic_date":"2026-03-15","reason":"follow-up"}],"claims_stub":[{"claim_id":"synthetic-claim-3-1","status":"draft_stub","amount_usd":232}]}],"csv_export":"synthetic_patient_id,age_band,geography,systolic_bp,diastolic_bp,heart_rate,bmi,conditions,medications\nsynthetic-patient-1,65-79,synthetic-suburban,145,87,91,31.4,chronic kidney disease|heart failure,furosemide\nsynthetic-patient-2,18-34,synthetic-urban,112,69,64,23.7,type 2 diabetes,metformin\nsynthetic-patient-3,18-34,synthetic-urban,118,71,68,24.3,hypertension,lisinopril|metformin"},"outcomeIntelligence":{"schema":{"clinical":{"readmissions":0,"los":0,"complications":0},"financial":{"denials":0,"authorization_time":0,"collections":0},"operational":{"documentation_time":0,"scheduling_capacity":0,"provider_burden":0},"patient":{"health_literacy":0,"engagement":0,"accessibility":0}},"dashboardSample":{"clinical":{"readmissions":12.5,"los":4.2,"complications":2.1},"financial":{"denials":8.4,"authorization_time":36,"collections":91.3},"operational":{"documentation_time":18,"scheduling_capacity":72,"provider_burden":41},"patient":{"health_literacy":76,"engagement":64,"accessibility":82}}},"modelRouter":{"providers":["openai","anthropic","gemini","local_open_weight","scrimed_internal"],"decisions":[{"provider":"local_open_weight","fallback_provider":"scrimed_internal","route_status":"synthetic_route_selected","human_review_required":false,"rationale":"Low-cost synthetic metadata route selects local/open-weight readiness path with no external provider call.","no_external_call_performed":true},{"provider":"scrimed_internal","fallback_provider":"local_open_weight","route_status":"human_review_required","human_review_required":true,"rationale":"High-risk clinical or healthcare context can be prepared as synthetic metadata only and must route to human review.","no_external_call_performed":true},{"provider":"scrimed_internal","fallback_provider":"local_open_weight","route_status":"blocked_phi","human_review_required":true,"rationale":"Live PHI routing is blocked until approved privacy, security, tenant, BAA/DPA, and connector controls exist.","no_external_call_performed":true}]},"evaluationGate":{"route":"/api/scrimed-intelligence-platform/evaluate","sampleCount":3,"sampleResults":[{"service":"scrimed-intelligence-platform-evaluator","route":"/api/scrimed-intelligence-platform/evaluate","request_id":"intel-eval-synthetic-allowed-001","module":"operations","decision":"allowed","status":"evaluation-allowed","http_status":200,"passed_checks":["synthetic_only_attested","no_live_phi_classification","tool_scope_allowed","provenance_required","confidence_required","uncertainty_required","clinical_disclaimer_required","audit_hash_required","action_boundary_checked","model_route_checked"],"failed_checks":[],"safety_flags":["metadata_only","no_external_call_performed"],"required_actions":[],"guardrail_decision":{"action":"synthetic operations metadata summary","status":"allowed","reason":"Synthetic metadata-only action remains inside the SCRIMED demo and diligence boundary."},"model_routing":{"provider":"local_open_weight","fallback_provider":"scrimed_internal","route_status":"synthetic_route_selected","human_review_required":false,"rationale":"Low-cost synthetic metadata route selects local/open-weight readiness path with no external provider call.","no_external_call_performed":true},"no_external_call_performed":true,"no_phi_confirmed":true,"synthetic_only":true,"audit_hash":"scrimed-intel-cf2f6794","boundary":"SCRIMED Intelligence Platform is synthetic-only, metadata-only infrastructure for governed healthcare AI orchestration. It does not process live PHI, log raw connector payloads, diagnose, treat, prescribe, make final imaging interpretations, submit payer transactions, write to EHRs, activate production customers, claim certification, or authorize customer go-live."},{"service":"scrimed-intelligence-platform-evaluator","route":"/api/scrimed-intelligence-platform/evaluate","request_id":"intel-eval-review-queued-001","module":"clinical_intelligence","decision":"human_review_required","status":"evaluation-human-review-required","http_status":202,"passed_checks":["synthetic_only_attested","no_live_phi_classification","tool_scope_allowed","provenance_required","confidence_required","uncertainty_required","clinical_disclaimer_required","audit_hash_required","action_boundary_checked","model_route_checked"],"failed_checks":[],"safety_flags":["metadata_only","no_external_call_performed","human_review_required","action_requires_human_review"],"required_actions":["Queue qualified human review before operational use."],"guardrail_decision":{"action":"clinical education draft","status":"human_review_required","reason":"High-risk healthcare context requires qualified human review before any operational use."},"model_routing":{"provider":"scrimed_internal","fallback_provider":"local_open_weight","route_status":"human_review_required","human_review_required":true,"rationale":"High-risk clinical or healthcare context can be prepared as synthetic metadata only and must route to human review.","no_external_call_performed":true},"no_external_call_performed":true,"no_phi_confirmed":true,"synthetic_only":true,"audit_hash":"scrimed-intel-34cba7f3","boundary":"SCRIMED Intelligence Platform is synthetic-only, metadata-only infrastructure for governed healthcare AI orchestration. It does not process live PHI, log raw connector payloads, diagnose, treat, prescribe, make final imaging interpretations, submit payer transactions, write to EHRs, activate production customers, claim certification, or authorize customer go-live."},{"service":"scrimed-intelligence-platform-evaluator","route":"/api/scrimed-intelligence-platform/evaluate","request_id":"intel-eval-blocked-phi-001","module":"clinical_intelligence","decision":"blocked","status":"evaluation-blocked","http_status":403,"passed_checks":[],"failed_checks":["synthetic_only_required","live_phi_blocked","blocked_tool_requested","provenance_required","confidence_required","uncertainty_required","clinical_disclaimer_required","audit_hash_required","action_boundary_blocked","model_phi_route_blocked"],"safety_flags":["metadata_only","no_external_call_performed","phi_blocked","human_review_required"],"required_actions":["Remove blocked tools: external_model_call, ehr_writeback","Remove live PHI and route through approved privacy/security/customer gates.","Queue qualified human review before operational use."],"guardrail_decision":{"action":"diagnose live patient and write to EHR","status":"blocked","reason":"Action crosses SCRIMED NO-GO boundaries for PHI, autonomous clinical authority, system-of-record mutation, production activation, or certification claims."},"model_routing":{"provider":"scrimed_internal","fallback_provider":"local_open_weight","route_status":"blocked_phi","human_review_required":true,"rationale":"Live PHI routing is blocked until approved privacy, security, tenant, BAA/DPA, and connector controls exist.","no_external_call_performed":true},"no_external_call_performed":true,"no_phi_confirmed":false,"synthetic_only":true,"audit_hash":"scrimed-intel-2b0bb1ec","boundary":"SCRIMED Intelligence Platform is synthetic-only, metadata-only infrastructure for governed healthcare AI orchestration. It does not process live PHI, log raw connector payloads, diagnose, treat, prescribe, make final imaging interpretations, submit payer transactions, write to EHRs, activate production customers, claim certification, or authorize customer go-live."}]},"scrimedUniversity":{"trackCount":14,"tracks":[{"id":"foundations","name":"Foundations","audience":"All SCRIMED users","status":"curriculum-ready-synthetic","completion_artifact":"metadata-only learning completion record; not regulatory certification","disclaimer":"SCRIMED University tracks are educational readiness materials only and do not grant legal, clinical, security, regulatory, partner, or hospital certification."},{"id":"clinical-ai","name":"Clinical AI","audience":"Clinicians and clinical operations leaders","status":"curriculum-ready-synthetic","completion_artifact":"metadata-only learning completion record; not regulatory certification","disclaimer":"SCRIMED University tracks are educational readiness materials only and do not grant legal, clinical, security, regulatory, partner, or hospital certification."},{"id":"responsible-ai","name":"Responsible AI","audience":"Governance, legal, security, and product teams","status":"curriculum-ready-synthetic","completion_artifact":"metadata-only learning completion record; not regulatory certification","disclaimer":"SCRIMED University tracks are educational readiness materials only and do not grant legal, clinical, security, regulatory, partner, or hospital certification."},{"id":"fhir","name":"FHIR","audience":"Interoperability teams","status":"curriculum-ready-synthetic","completion_artifact":"metadata-only learning completion record; not regulatory certification","disclaimer":"SCRIMED University tracks are educational readiness materials only and do not grant legal, clinical, security, regulatory, partner, or hospital certification."},{"id":"hl7","name":"HL7","audience":"Interface and integration teams","status":"curriculum-ready-synthetic","completion_artifact":"metadata-only learning completion record; not regulatory certification","disclaimer":"SCRIMED University tracks are educational readiness materials only and do not grant legal, clinical, security, regulatory, partner, or hospital certification."},{"id":"medical-imaging-ai","name":"Medical Imaging AI","audience":"Imaging operations and radiology review teams","status":"curriculum-ready-synthetic","completion_artifact":"metadata-only learning completion record; not regulatory certification","disclaimer":"SCRIMED University tracks are educational readiness materials only and do not grant legal, clinical, security, regulatory, partner, or hospital certification."},{"id":"rcm-ai","name":"RCM AI","audience":"Revenue cycle teams","status":"curriculum-ready-synthetic","completion_artifact":"metadata-only learning completion record; not regulatory certification","disclaimer":"SCRIMED University tracks are educational readiness materials only and do not grant legal, clinical, security, regulatory, partner, or hospital certification."},{"id":"governance","name":"Governance","audience":"Compliance and oversight teams","status":"curriculum-ready-synthetic","completion_artifact":"metadata-only learning completion record; not regulatory certification","disclaimer":"SCRIMED University tracks are educational readiness materials only and do not grant legal, clinical, security, regulatory, partner, or hospital certification."},{"id":"implementation","name":"Implementation","audience":"Deployment and customer success teams","status":"curriculum-ready-synthetic","completion_artifact":"metadata-only learning completion record; not regulatory certification","disclaimer":"SCRIMED University tracks are educational readiness materials only and do not grant legal, clinical, security, regulatory, partner, or hospital certification."},{"id":"research","name":"Research","audience":"Research operations teams","status":"curriculum-ready-synthetic","completion_artifact":"metadata-only learning completion record; not regulatory certification","disclaimer":"SCRIMED University tracks are educational readiness materials only and do not grant legal, clinical, security, regulatory, partner, or hospital certification."},{"id":"executive-leadership","name":"Executive Leadership","audience":"Executives and board stakeholders","status":"curriculum-ready-synthetic","completion_artifact":"metadata-only learning completion record; not regulatory certification","disclaimer":"SCRIMED University tracks are educational readiness materials only and do not grant legal, clinical, security, regulatory, partner, or hospital certification."},{"id":"developer-certification","name":"Developer Certification","audience":"Developers and integration builders","status":"curriculum-ready-synthetic","completion_artifact":"metadata-only learning completion record; not regulatory certification","disclaimer":"SCRIMED University tracks are educational readiness materials only and do not grant legal, clinical, security, regulatory, partner, or hospital certification."},{"id":"partner-certification","name":"Partner Certification","audience":"Implementation partners","status":"curriculum-ready-synthetic","completion_artifact":"metadata-only learning completion record; not regulatory certification","disclaimer":"SCRIMED University tracks are educational readiness materials only and do not grant legal, clinical, security, regulatory, partner, or hospital certification."},{"id":"hospital-certification","name":"Hospital Certification","audience":"Hospital pilot leadership","status":"curriculum-ready-synthetic","completion_artifact":"metadata-only learning completion record; not regulatory certification","disclaimer":"SCRIMED University tracks are educational readiness materials only and do not grant legal, clinical, security, regulatory, partner, or hospital certification."}]},"guardrails":{"noGoBoundaries":["no live PHI","no raw connector payload logging","no autonomous diagnosis","no treatment or prescribing decisions","no imaging interpretation as final medical decision","no payer submission","no EHR writeback","no production customer activation","no regulatory certification claims"],"sampleDecisions":[{"action":"synthetic operations metadata summary","status":"allowed","reason":"Synthetic metadata-only action remains inside the SCRIMED demo and diligence boundary."},{"action":"clinical education draft","status":"human_review_required","reason":"High-risk healthcare context requires qualified human review before any operational use."},{"action":"diagnose live patient and write to EHR","status":"blocked","reason":"Action crosses SCRIMED NO-GO boundaries for PHI, autonomous clinical authority, system-of-record mutation, production activation, or certification claims."}]},"boundary":"SCRIMED Intelligence Platform is synthetic-only, metadata-only infrastructure for governed healthcare AI orchestration. It does not process live PHI, log raw connector payloads, diagnose, treat, prescribe, make final imaging interpretations, submit payer transactions, write to EHRs, activate production customers, claim certification, or authorize customer go-live."}