Product Console

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.

Statusboundary-resolution-register-active
Records120
Active controls27
Workarounds9
Human AAL211
External gates73
Blocked19
Categories14

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.

01active-control: 27
02safe-workaround-active: 9
03human-aal2-required: 11
04customer-specific-required: 16
05external-approval-required: 38
06blocked-before-approval: 19

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.

category

clinical-authority

8 boundary records are tracked for this source system.

Inspect register
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clinical-care-activation

16 boundary records are tracked for this source system.

Inspect register
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agent-workspace

8 boundary records are tracked for this source system.

Inspect register
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qa-evidence

7 boundary records are tracked for this source system.

Inspect register
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public-market-readiness

5 boundary records are tracked for this source system.

Inspect register
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global-certification-readiness

6 boundary records are tracked for this source system.

Inspect register
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continuous-review-audit

13 boundary records are tracked for this source system.

Inspect register
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health-records-safety-exchange

5 boundary records are tracked for this source system.

Inspect register
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product-service-offerings

6 boundary records are tracked for this source system.

Inspect register
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client-onboarding-communications

8 boundary records are tracked for this source system.

Inspect register
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enterprise-scalability-operations

10 boundary records are tracked for this source system.

Inspect register
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limitations-workaround-operations

12 boundary records are tracked for this source system.

Inspect register
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platform-power-operations

12 boundary records are tracked for this source system.

Inspect register
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enterprise-growth-operations

4 boundary records are tracked for this source system.

Inspect register

Priority 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.

blocked-before-approval

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.

No patient-impacting workflow until licensed clinical sign-off and customer go-live approval are recorded.
  • 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
customer-specific-required

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.

No PHI, ePHI, patient record, payer member data, or production credential enters SCRIMED until legal and privacy/security authorization is signed.
  • 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
customer-specific-required

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.

No public customer claim, live care claim, certified compliance claim, or production deployment claim without qualified release approval.
  • 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
external-approval-required

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.

No production regional launch, government program claim, or local clinical deployment claim until the region-specific authority path is approved.
  • 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
customer-specific-required

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.

No coverage determination, final coding, claim submission, denial appeal submission, or reimbursement claim without qualified 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
external-approval-required

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.

No security certification, procurement approval, or production security acceptance claim without issued evidence and customer acceptance.
  • 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
blocked-before-approval

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.

No production tenant go-live until customer, clinical, legal, privacy, security, support, and SCRIMED release authority sign off.
  • 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
external-approval-required

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.

No production connector read, write, order, referral, claim, imaging retrieval, or record mutation until customer and platform approval are complete.
  • 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
external-approval-required

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.

Any clinical decision-support, diagnostic, treatment, or medical-device-like deployment claim.
  • 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
blocked-before-approval

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.

Any care-team workflow that influences patient-specific clinical decisions.
  • 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
external-approval-required

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.

Prospective clinical pilots, patient-specific risk prompts, or human-reviewed clinical workflows.
  • 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
customer-specific-required

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.

Any customer-environment clinical pilot or production workflow.
  • 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
customer-specific-required

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.

Any PHI, ePHI, payer member data, live clinical record, or patient identifier enters SCRIMED systems.
  • 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
external-approval-required

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.

Any ePHI processing or production healthcare customer security review.
  • 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
blocked-before-approval

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.

Any live clinical data persistence, evidence vault upload, or production workspace memory.
  • 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
blocked-before-approval

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.

Any production connector reads, writes, orders, referrals, payer transactions, imaging retrieval, or record mutation.
  • 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.

01

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 Center
02

Boundary 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 Center
03

Boundary 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 Center
04

Boundary 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 Center
05

Boundary 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 Center
06

Boundary rule

Use Platform Power Operations before API, UI, AI, model-routing, agent-tool, evidence-retrieval, accessibility, or trillion-scale positioning claims expand.

Review Trust Center
07

Boundary 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 Center
08

Boundary 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 Center
09

Boundary 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 Center
10

Boundary 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 Center
11

Boundary rule

Do not present revenue, ROI, profit margin, valuation, fundraising, legal, accounting, or tax conclusions without qualified review and retained release authority.

Review Trust Center
12

Boundary rule

Use protected AAL2 workspaces and no-secret evidence packets for operator proof.

Review Trust Center
13

Boundary rule

Use synthetic fixtures, metadata-only references, and external evidence-room references while sensitive artifacts remain outside SCRIMED.

Review Trust Center
14

Boundary 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