Boundary Resolution Register
SCRIMED addresses known boundaries with controls, workarounds, owners, and hard gates.
This register unifies clinical authority, PHI, legal, regional, reimbursement, security certification, QA evidence, global certification, continuous review, innovation, enterprise finance, public-market, and production-readiness boundaries without pretending external approvals are complete.
Operating boundary
Every known boundary is managed; not every boundary is externally cleared.
SCRIMED Boundary Resolution Register organizes known product, service-packaging, client-onboarding, communications, calendar, demo, presentation, scalability, SLO/SLA, managed-service, support, incident, regional hosting, API, UI, AI model-routing, agent execution, evidence retrieval, accessibility, limitation-workaround, clinical, PHI, health-records, legal, regional, reimbursement, security, QA, public-market, global certification, continuous review, innovation, enterprise legal/finance, revenue, and production-readiness boundaries into owned controls, safe workarounds, proof routes, and remaining gates. It does not authorize live clinical care, PHI processing, legal approval, regional regulatory approval, reimbursement certainty, security certification, accessibility certification, production clinical authorization, autonomous clinical decisions, live autonomous AI, production model routing, public API SLAs, patient outreach, autonomous email send, autonomous calendar invite creation, contract approval, procurement approval, contractual SLAs, uptime guarantees, managed service commitments, production support guarantees, data-residency approval, payer submission, EHR writeback, public customer claims, audited financial reporting, revenue or profit guarantees, managed 24/7 SOC/MDR coverage, public quantum capability claims, trillion-dollar-scale equivalence claims, or securities offering material.
Coverage
Boundary coverage spans product, clinical, trust, QA, global approval, audit, commercial, finance, and investor-readiness systems.
Every known boundary in this register has an owner, proof route, safe workaround, and remaining gate. Boundaries that require licensed clinicians, counsel, customer approval, security certification, reimbursement review, regional approval, or human AAL2 evidence remain explicitly unresolved until the right external evidence exists.
clinical-authority
8 boundary records are tracked for this source system.
Inspect registerclinical-care-activation
16 boundary records are tracked for this source system.
Inspect registeragent-workspace
8 boundary records are tracked for this source system.
Inspect registerqa-evidence
7 boundary records are tracked for this source system.
Inspect registerpublic-market-readiness
5 boundary records are tracked for this source system.
Inspect registerglobal-certification-readiness
6 boundary records are tracked for this source system.
Inspect registercontinuous-review-audit
13 boundary records are tracked for this source system.
Inspect registerhealth-records-safety-exchange
5 boundary records are tracked for this source system.
Inspect registerproduct-service-offerings
6 boundary records are tracked for this source system.
Inspect registerclient-onboarding-communications
8 boundary records are tracked for this source system.
Inspect registerenterprise-scalability-operations
10 boundary records are tracked for this source system.
Inspect registerlimitations-workaround-operations
12 boundary records are tracked for this source system.
Inspect registerplatform-power-operations
12 boundary records are tracked for this source system.
Inspect registerenterprise-growth-operations
4 boundary records are tracked for this source system.
Inspect registerPriority gates
These records are not approved yet; they stay controlled until the retained gate is satisfied.
SCRIMED remains sellable as a governed synthetic pilot, workflow intelligence assessment, AI readiness and governance audit, and clinical operations automation blueprint while live clinical care, PHI processing, production connectors, public claims, and reimbursement actions stay gated.
Live clinical care authority
SCRIMED may demonstrate synthetic workflow intelligence and readiness planning, but it may not deliver care, triage emergencies, diagnose, treat, prescribe, order, or communicate patient instructions.
- Owner: Clinical governance, Product, Legal, Customer clinical sponsor
- Workaround: Sell synthetic pilot evaluation, workflow intelligence assessment, and draft-only clinician-reviewed planning.
- Proof: /clinical-care-activation, /pilot-workspace/access, /trust-os
PHI and ePHI processing authority
Public routes, demos, smoke checks, and readiness packets remain synthetic-only or metadata-only. No live patient identifiers, payer member records, or production clinical records are authorized.
- Owner: Privacy, Security, Legal, Customer compliance
- Workaround: Use synthetic fixtures, de-identified data only when contract-approved, and no-sensitive-artifact evidence links.
- Proof: /trust-center, /public-market-readiness, /pilot-workspace/access
Legal approval and contracting authority
SCRIMED materials can describe readiness, pilots, and retained gates. They are not legal advice, executed contracting authority, certification, or production authorization.
- Owner: Legal, Sales, Founder, Customer executive sponsor
- Workaround: Use controlled buyer packets with explicit boundaries and no public customer or certification claims.
- Proof: /trust-center, /public-market-readiness, /global-reach
Regional regulatory approval
Global Reach maps priority regions and localization requirements, but it does not create regional legal, procurement, privacy, data-residency, or clinical authorization.
- Owner: Regional counsel, Global partnerships, Security, Customer sponsor
- Workaround: Run synthetic executive evaluations and partner qualification without live data, public authority claims, or production integrations.
- Proof: /global-reach, /deployment-profiles, /market-activation
Reimbursement, coverage, coding, and payer policy approval
SCRIMED can support draft operational intelligence for prior authorization, denial risk, and revenue-cycle review, but it cannot guarantee reimbursement or submit claims without authorized human review.
- Owner: Revenue cycle, Finance, Legal, Customer operations
- Workaround: Deliver denial-risk review, prior-authorization packet drafting, and revenue leakage analysis as human-reviewed draft support.
- Proof: /public-market-readiness, /pricing, /pilot-deal-room
Security certification and procurement approval
SCRIMED has security-ready architecture evidence and protected review workflows, but it does not claim SOC 2, ISO, HITRUST, FedRAMP, penetration-test approval, or customer vendor-risk approval unless those artifacts are actually issued.
- Owner: Security, Procurement, Compliance, Customer vendor-risk team
- Workaround: Present readiness posture, control inventory, and no-sensitive-artifact evidence links while independent certification remains pending.
- Proof: /trust-safety-operations, /public-market-readiness, /pilot-workspace/access
Production clinical authorization
Production clinical execution is denied. No live workflow may write records, message patients, submit payer transactions, or affect clinical operations without final authorization.
- Owner: Operations, Security, Clinical governance, Customer executive sponsor
- Workaround: Use protected pilot rooms, command snapshots, and readiness packets to prepare the go-live decision without activating production care.
- Proof: /pilot-workspace/access, /clinical-care-activation, /operations
Certified health IT and connector approval
SCRIMED can demonstrate synthetic FHIR, HL7, DICOM, X12, and EHR-readiness concepts, but it does not claim ONC certification, EHR marketplace approval, payer connection approval, or live connector certification.
- Owner: Interoperability, Security, Customer integration, Platform partner
- Workaround: Use synthetic conformance tests, fixture validation, and connector contracts with live connector actions denied.
- Proof: /interoperability, /interoperability/evaluations, /integrations/fixture-validation
Intended-use and regulatory classification review
Intended-use and regulatory classification review is external-review-required; blocked capabilities: clinical decision support claims, diagnosis support, treatment recommendations.
- Owner: Regulatory counsel and clinical governance
- Workaround: Keep outputs framed as operational intelligence, synthetic evaluation, draft support, or clinician-reviewed planning until classification is approved.
- Proof: /clinical-care-activation, /api/clinical-care-activation
Licensed clinical governance board and accountable medical director
Licensed clinical governance board and accountable medical director is blocked; blocked capabilities: live patient triage, care-plan recommendation, clinical safety scoring.
- Owner: Clinical governance
- Workaround: Run buyer demos and synthetic workflow reviews with clear non-clinical boundary language.
- Proof: /clinical-care-activation, /api/clinical-care-activation
Clinical safety case, hazard analysis, and escalation model
Clinical safety case, hazard analysis, and escalation model is external-review-required; blocked capabilities: patient-specific risk horizon prompts, emergency guidance, clinical escalation automation.
- Owner: Clinical safety, legal, privacy, security, and product leadership
- Workaround: Use TrustOS blocked-action traces and synthetic risk examples without patient-specific execution.
- Proof: /clinical-care-activation, /api/clinical-care-activation
Signed customer clinical scope and care-setting authorization
Signed customer clinical scope and care-setting authorization is customer-specific; blocked capabilities: customer production pilot, site-specific workflow execution, customer go-live.
- Owner: Enterprise sales, legal, customer sponsor, and clinical operations
- Workaround: Sell and deliver synthetic pilot evaluation, readiness assessment, governance audit, and implementation blueprint packages.
- Proof: /clinical-care-activation, /api/clinical-care-activation
BAA/DPA path, privacy notices, retention, residency, and processing register
BAA/DPA path, privacy notices, retention, residency, and processing register is customer-specific; blocked capabilities: PHI processing, patient identifiers, payer member data, live clinical records.
- Owner: Privacy, legal, security, and customer compliance
- Workaround: Keep public and pilot routes synthetic-only and metadata-only until the customer-specific data path is signed.
- Proof: /clinical-care-activation, /api/clinical-care-activation
HIPAA Security Rule safeguard mapping
HIPAA Security Rule safeguard mapping is external-review-required; blocked capabilities: ePHI workflows, clinical data storage, production tenant PHI processing.
- Owner: Security, privacy, compliance, and qualified external reviewer
- Workaround: Use current TrustOS, protected workspace, audit, rate-limit, passkey/AAL2, and no-PHI controls as readiness evidence, not compliance certification.
- Proof: /clinical-care-activation, /api/clinical-care-activation
PHI-ready data architecture, encryption, deletion, legal hold, and regional controls
PHI-ready data architecture, encryption, deletion, legal hold, and regional controls is blocked; blocked capabilities: clinical memory persistence, medical-record storage, evidence vault PHI upload.
- Owner: Security architecture, privacy, platform engineering, and customer compliance
- Workaround: Keep evidence vault readiness metadata-only and disable sensitive document upload until signed controls exist.
- Proof: /clinical-care-activation, /api/clinical-care-activation
FHIR, HL7, DICOM, X12, payer, and EHR connector validation
FHIR, HL7, DICOM, X12, payer, and EHR connector validation is blocked; blocked capabilities: EHR writeback, order entry, referral submission, claim submission, imaging retrieval.
- Owner: Interoperability engineering, customer integration team, and clinical operations
- Workaround: Use deterministic synthetic conformance kits, integration fixtures, and connector contracts until a customer sandbox is approved.
- Proof: /clinical-care-activation, /api/clinical-care-activation
Operator rules
SCRIMED keeps moving by using safe evidence instead of crossing hard gates early.
Boundary rule
Do not enter PHI, payer member data, production credentials, source contracts, medical records, or patient identifiers into current public or synthetic pilot workflows.
Review Trust CenterBoundary rule
Use Health Records Safety Exchange for no-PHI extraction planning, patient-safety lint, source attribution, and live-data workaround routing before any record workflow expands.
Review Trust CenterBoundary rule
Use Product and Services Portfolio before pricing, pilots, diligence, implementation, or enterprise-license work expands so every opportunity has one package, one offer, one proof route, one margin control, and one retained boundary.
Review Trust CenterBoundary rule
Use Client Onboarding and Communications before buyer meetings, demo follow-up, pilot workshops, decks, emails, and calendar-ready agendas leave SCRIMED; humans must approve sends and events.
Review Trust CenterBoundary rule
Use Enterprise Scalability Operations before enterprise traffic, tenant scale, support tiers, SLO/SLA language, regional hosting, disaster recovery, or cost commitments expand.
Review Trust CenterBoundary rule
Use Platform Power Operations before API, UI, AI, model-routing, agent-tool, evidence-retrieval, accessibility, or trillion-scale positioning claims expand.
Review Trust CenterBoundary rule
Use Limitations and Workaround Operations when an issue is blocked so every safe alternative has a packet, owner, proof route, escalation trigger, expiration rule, and graduation gate.
Review Trust CenterBoundary rule
Do not claim live clinical authority, legal approval, reimbursement certainty, security certification, regional regulatory approval, or production go-live before signed external evidence exists.
Review Trust CenterBoundary rule
Do not claim HIPAA, SOC 2, HITRUST, ISO, FDA, ONC, EU AI Act, GDPR, NHS, MHRA, Essential Eight, or other certification/approval status before the qualified external authority exists.
Review Trust CenterBoundary rule
Do not position 24/7 review agents as managed SOC/MDR coverage, autonomous remediation, error-free AI review, clinical validation, or public quantum capability.
Review Trust CenterBoundary rule
Do not present revenue, ROI, profit margin, valuation, fundraising, legal, accounting, or tax conclusions without qualified review and retained release authority.
Review Trust CenterBoundary rule
Use protected AAL2 workspaces and no-secret evidence packets for operator proof.
Review Trust CenterBoundary rule
Use synthetic fixtures, metadata-only references, and external evidence-room references while sensitive artifacts remain outside SCRIMED.
Review Trust CenterBoundary rule
Escalate high-risk clinical, legal, privacy, security, payer, public-claims, or production connector requests to the retained owner instead of improvising.
Review Trust Center