Audit and governance layer
Every agent, source, prompt, connector, approval, and exception needs a trace.
SCRIMED audit surfaces are metadata-first and synthetic-safe today, with durable audit persistence required before production healthcare execution.
audit
Agent plan audit
Metadata-only for synthetic pilots; no raw PHI or live clinical payload capture.
Durable synthetic evidence and enterprise assessment trace.
- plan created
- route selected
- specialist assigned
- blocked capability recorded
audit
TrustQA audit
Capture source IDs, validation timestamps, reviewer disposition, and blocked reasons.
Versioned and reviewable by tenant governance.
- evidence checked
- confidence scored
- source attributed
- output held
audit
Human approval audit
Record reviewer role, checkpoint, timestamp, scope, and disposition.
Durable enterprise audit record when tenant retention is configured.
- approval requested
- approval granted
- approval denied
- override recorded
AI Asset Registry
Detect shadow AI across tools, models, prompts, integrations, workflows, and knowledge sources.
agent
Planner Agent
AgentOS control plane. Status: registered
Shadow AI signals
- unregistered planner prompt
- workflow plan generated outside audit trail
knowledge-source
Atlas Evidence Layer
Atlas Trust Systems Stack. Status: registered
Shadow AI signals
- uncited source used
- stale policy source
- tenant document missing owner
workflow
Prior Authorization Support Workflow
PayerIQ. Status: requires-review
Shadow AI signals
- payer packet drafted outside approved sandbox
- policy version missing
- manual submission unlogged
connector
MCP Connector Framework
Interoperability Agent. Status: planned
Shadow AI signals
- unregistered API token
- unapproved connector endpoint
- missing BAA control
Human approval checkpoints
Human review is a runtime control, not a final-page disclaimer.
Clinical review
Any output that may inform clinical judgment, care pathway review, or documentation finalization.
- Clinical decision, diagnosis, order entry, note signature, or patient-facing guidance.
Payer or RCM review
Any authorization packet, claim review, appeal draft, or denial-risk workflow.
- Payer submission, appeal submission, billing action, or coding disposition.
Governance review
New model, prompt, tool, connector, exception, or knowledge source.
- Production promotion, live connector enablement, or policy exception.
Executive sponsor review
Pilot scope, deployment phase change, ROI claim, or contract-ready assessment.
- Commercial handoff, protected pilot launch, or production planning.