SCRIMED Enterprise Healthcare Infrastructure Readiness

Map hospital IT reality into governed SCRIMED proof, pilots, and revenue paths.

SCRIMED Enterprise Healthcare Infrastructure Readiness maps hospital IT, interoperability, imaging, security, compute, data, agent, and sales readiness into original SCRIMED proof surfaces. It is synthetic/metadata-only and does not authorize live PHI, production EHR/PACS/RIS/HIS/VPN/database/firewall connector use, autonomous clinical care, final imaging interpretation, payer submission, EHR writeback, certification claims, customer go-live, or competitor proprietary copying.

Inspect API Download Brief Conformance Kits Cyber Defense Health Records Proof Packets

Statusenterprise-healthcare-infrastructure-readiness-active-no-phi

Capabilities10

Synthetic-ready4

Discovery required2

Buyer score89

Integration score84

Conformance kits5

Synthetic passes5

Security score88

Production authorityfalse

Operating Position

SCRIMED should meet enterprise buyers where their systems already live.

This layer organizes FHIR, HL7 ADT, DICOM, DICOMweb, PACS, RIS, HIS, X12, Integration Engines, VPNs, Virtual Machines, Client/Server Architecture, Databases, Firewalls, private runtime, and governed agent orchestration into one diligence-ready map.

SCRIMED can demonstrate how the platform understands healthcare infrastructure without asking for PHI or promising live connector authority.

No live PHI, no EHR writeback, no payer submission, no final imaging interpretation, and no production connector approval are preserved until qualified review and formal authorization.

Audit hash: scrimed-intel-d09eb985

Hospital Integration Conformance Control Pack

Executable synthetic evidence for FHIR, SMART, HL7 v2, DICOMweb, and X12, with every live lane blocked.

synthetic_evidence_ready

One governed integration surface

Fixed-scope Hospital Integration Conformance Readiness assessment with a synthetic evidence packet and human-reviewed pilot recommendation.

5/5 synthetic evaluations pass

Live lanes blocked: 5
Supported lanes: fhir-r4-us-core-intake, smart-app-launch-authorization, dicomweb-imaging-exchange, hl7-v2-adt-event-feed, x12-payer-rcm-evidence
Reviewers: interoperability architect, interface engine owner, imaging informatics owner, revenue cycle or payer operations owner, security and privacy reviewer, clinical governance reviewer
Evidence: /api/interoperability/conformance, /interoperability/evaluations, /integrations/fixture-validation, /api/enterprise-healthcare-infrastructure, /api/enterprise-healthcare-infrastructure/brief
Expansion: Assessment -> synthetic conformance sprint -> protected no-PHI pilot -> partner acceptance planning -> separately approved enterprise integration.
Human review required: true
Production authority: false
Audit hash: scrimed-intel-6361cea3

gate 01

Required before live partner testing

Every synthetic evaluation passes its deterministic checks.

Fail closed

Qualified human approval and retained evidence are required.

gate 02

Required before live partner testing

Deployment-specific profiles, versions, actors, transactions, and endpoint roles are selected.

Fail closed

Qualified human approval and retained evidence are required.

gate 03

Required before live partner testing

Partner acceptance covers errors, acknowledgements, retries, duplicates, replay, monitoring, and rollback.

Fail closed

Qualified human approval and retained evidence are required.

gate 04

Required before live partner testing

Tenant identity, purpose-of-use, consent, least privilege, retention, and durable audit are approved.

Fail closed

Qualified human approval and retained evidence are required.

gate 05

Required before live partner testing

Human owners approve the exact no-PHI pilot scope and retain all live connector, clinical, payer, and write boundaries.

Fail closed

Qualified human approval and retained evidence are required.

Competitive Architecture Intelligence

Public market patterns are applied independently, with SCRIMED governance as the differentiator.

Oracle Health

unified-data-workflow-intelligence

Leading healthcare platforms unify clinical, operational, and financial context before coordinating specialized AI workflows.

Bind SCRIMED context, interoperability, workflow, TrustOps, and revenue-cycle modules through one governed evidence envelope.

Differentiation: SCRIMED keeps every consequential action approval-gated and makes retained NO-GO boundaries machine-readable.
Boundary: Public architecture pattern only; no proprietary implementation, content, customer data, or claims are copied.
Public source

Aidoc

one-integration-governed-orchestration

Enterprise buyers value one integration surface that orchestrates workflows and exposes validation, drift, override, and impact signals.

Use one SCRIMED integration control pack across FHIR, SMART, HL7 v2, DICOMweb, X12, integration engines, and human review.

Differentiation: SCRIMED covers clinical, patient-access, payer, operational, and trust workflows while preserving no-authority defaults.
Boundary: No imaging algorithm, diagnostic claim, regulatory status, or proprietary workflow is mirrored.
Public source

Microsoft

grounded-healthcare-orchestrator

Healthcare-adapted orchestration is grounded in organization-controlled sources and connects through governed customer data interfaces.

Treat retrieved documents and connector data as untrusted evidence, validate them, attach provenance, and route only approved context to agents.

Differentiation: SCRIMED remains model-agnostic and supports cloud, customer VPC, air-gapped, and edge deployment planning.
Boundary: No vendor service is called and no provider compliance or availability is assumed.
Public source

IHE International

profile-based-procurement-language

Profiles, actors, transactions, test evidence, and integration statements give buyers precise language for multi-vendor interoperability procurement.

Express every SCRIMED connector lane as a versioned contract, synthetic fixture, deterministic evaluation, evidence list, and live blocker set.

Differentiation: The same conformance evidence is reused in buyer packets, approval queues, audit trails, and pilot acceptance criteria.
Boundary: Synthetic evaluation is not IHE conformance, certification, Connectathon testing, or partner acceptance.
Public source

Hospital Infrastructure Map

Each capability ties buyer pain, standards, proof route, revenue motion, and retained boundary together.

interoperability

HL7/FHIR Context Gateway

Health systems need SCRIMED to understand ADT, orders, observations, encounters, coverage, and clinical context without exposing raw schemas to agents.

ready_for_synthetic_demo

Systems: FHIR, HL7 v2 ADT, HL7 v2 ORM/ORU, SMART on FHIR, Integration Engines
SCRIMED asset: Clinical Context Gateway, Clinical Data Fabric, Patient Context Gateway, Interoperability route
Proof route: /clinical-context-gateway
Integration pattern: Route synthetic ADT/FHIR events through a governed context gateway before agents receive normalized concepts.
Validation: Schema contract, provenance check, PHI-blocking check, and human-reviewed integration worksheet.
Revenue motion: Paid interoperability readiness assessment followed by no-PHI pilot and protected connector discovery.
Competitive pattern: Mirrors the market shift from point tools toward a healthcare intelligence layer across systems.
Next build: Add customer-specific interface inventory template and synthetic ADT-to-FHIR transformation fixtures.
Human review required: true
Audit hash: scrimed-intel-8e3643c5

imaging

DICOM/PACS/RIS Imaging Workflow Readiness

Radiology leaders need imaging-to-action workflow visibility without SCRIMED claiming final medical interpretation.

implementation_ready_metadata

Systems: DICOM, DICOMweb, PACS, RIS, VNA, HL7 v2 ORM/ORU
SCRIMED asset: Compute Fabric, AI Infrastructure Watchtower, Market Execution imaging-to-action lane
Proof route: /scrimed-ai-infrastructure-watchtower
Integration pattern: Use DICOM metadata, accession status, and report-event fixtures to coordinate queue triage, follow-up, and operational alerts.
Validation: DICOM metadata conformance, no-diagnostic-output rule, and radiology-ops human review.
Revenue motion: Radiology operations assessment, imaging workflow pilot, and enterprise operational intelligence license.
Competitive pattern: Uses imaging AI category momentum while positioning SCRIMED as governed action infrastructure.
Next build: Add synthetic DICOM metadata packet and accession-status lifecycle examples.
Human review required: true
Audit hash: scrimed-intel-3d8140fc

patient_admin

HIS/RIS/ADT Operating Map

Hospitals need patient-administration state machines for arrivals, transfers, scheduling, service-line handoffs, and discharge planning.

ready_for_synthetic_demo

Systems: HIS, RIS, HL7 v2 ADT, Scheduling, Client/Server Architecture
SCRIMED asset: Guided Execution, Patient Context Gateway, Enterprise Scalability, Operational Efficiency
Proof route: /scrimed-guided-execution
Integration pattern: Convert synthetic ADT and scheduling events into a governed workflow-state map for agents and dashboards.
Validation: Event-sequence replay, duplicate-context detection, and no-writeback gate.
Revenue motion: Patient access workflow assessment and care-coordination operating pilot.
Competitive pattern: Adopts the agent-workforce pattern for patient access while preserving approvals.
Next build: Create synthetic ADT journey fixture for elderly/complex-care continuity and referral handoffs.
Human review required: true
Audit hash: scrimed-intel-a301909c

revenue_cycle

X12 / RCM / Payer Evidence Rail

Revenue-cycle teams need eligibility, documentation, prior-auth, denial, and appeal intelligence without automated payer submission.

implementation_ready_metadata

Systems: X12, RCM, Eligibility, Prior Authorization, Claims, Appeals
SCRIMED asset: Documentation-Before-Authorization, Market Execution payer-policy-evidence-loop, Business Ops
Proof route: /scrimed-market-execution
Integration pattern: Detect documentation-risk gaps and packet completeness using policy metadata, then route to human review before any payer action.
Validation: Documentation checklist, source-citation requirement, and no-submission contract smoke.
Revenue motion: RCM readiness assessment, prior-auth documentation pilot, denial prevention service, and enterprise license.
Competitive pattern: Turns automation-agent messaging into governed documentation-before-authorization proof.
Next build: Add payer-specific documentation risk templates with reviewer-required statuses.
Human review required: true
Audit hash: scrimed-intel-86a093e7

interoperability

Integration Engine Adapter Readiness

Implementation teams need a clean handoff between SCRIMED agents and existing interface engines without exposing raw systems directly.

requires_customer_discovery

Systems: Integration Engines, FHIR, HL7 v2, REST, Webhook, Queue
SCRIMED asset: Clinical Data Fabric, Secure MCP readiness, Agent Governance, Safety Stack
Proof route: /clinical-data-fabric
Integration pattern: Place a governed middleware adapter between agents and interface-engine channels with deny-by-default tools.
Validation: Tool-permission contract, replayable event envelope, audit hash, and connector authority gate.
Revenue motion: Integration architecture workshop and protected pilot scoping fee.
Competitive pattern: Strengthens SCRIMED's platform story beyond thin MCP connectors through ingest-time enrichment.
Next build: Create integration-engine discovery worksheet and synthetic channel manifest schema.
Human review required: true
Audit hash: scrimed-intel-0962179c

network_security

VPN / Firewall / Network Trust Readiness

Enterprise buyers expect network segmentation, allowlists, private connectivity, audit evidence, and least-privilege access before pilots.

implementation_ready_metadata

Systems: VPN, Firewalls, Private Link, Customer VPC, Zero Trust, Audit Ledger
SCRIMED asset: Cyber Defense, Security Assurance, Security Release Readiness, Deployment Drift Guard
Proof route: /scrimed-cyber-defense
Integration pattern: Package SCRIMED access boundaries, route headers, protected-fail-closed checks, and network assumptions into buyer-ready evidence.
Validation: No-secret smoke, protected-route fail-closed checks, token redaction, and firewall/VPN review worksheet.
Revenue motion: Security diligence packet, enterprise pilot security review, and compliance-prep services.
Competitive pattern: Converts cybersecurity posture into a sales accelerator rather than a late procurement blocker.
Next build: Add buyer security intake form and deployment-mode mapping for cloud, VPC, air-gapped, and edge.
Human review required: true
Audit hash: scrimed-intel-450f9026

compute_runtime

Virtual Machine / Edge Runtime Blueprint

Hospitals need private inference, local de-identification, and downtime-tolerant deployment options for sensitive workflows.

requires_customer_discovery

Systems: Virtual Machines, Kubernetes, Edge Runtime, GPU, Local Models, Air-gapped
SCRIMED asset: Compute Fabric, On-Device De-Identification, AI Infrastructure Watchtower
Proof route: /scrimed-compute-fabric
Integration pattern: Route PHI-heavy or air-gapped workflows to private/local model lanes with no external model call by default.
Validation: Deployment-mode matrix, model-router audit event, and provider-call kill switch.
Revenue motion: Private AI deployment design package, edge readiness audit, and future managed appliance subscription.
Competitive pattern: Matches buyer demand for private AI while remaining model-agnostic and safety-gated.
Next build: Add edge runtime sizing worksheet and synthetic de-identification benchmark fixture.
Human review required: true
Audit hash: scrimed-intel-9495864b

data_platform

Database / Audit Ledger Readiness

Healthcare reviewers need durable evidence that agent actions, decisions, provenance, costs, and boundaries are traceable.

ready_for_synthetic_demo

Systems: Databases, Postgres, RLS, Immutable Audit Logs, Data Lineage, Retention Policies
SCRIMED asset: Execution Attempt Durable Store, AI Flight Recorder, TrustOps, Investor Readiness
Proof route: /workflows/execution-attempts
Integration pattern: Bind every synthetic execution attempt to policy version, route, output hash, evidence hash, and human-review disposition.
Validation: Durable-store contract, AAL2 smoke path, no-token logging, and evidence envelope replay.
Revenue motion: Trust audit readiness subscription and enterprise diligence evidence packet.
Competitive pattern: Makes traceability a product moat and investor proof point.
Next build: Add audit-export manifest for buyer diligence packets without secrets or PHI.
Human review required: true
Audit hash: scrimed-intel-a4d4f98a

agent_orchestration

Agent Orchestration Command Layer

Buyers want automation speed, but hospitals need identity, approvals, scoped tools, escalation, and audit before agents touch operations.

implementation_ready_metadata

Systems: MCP, A2A, Agent Identity, Scoped Tools, Human Approval, Audit Trail
SCRIMED asset: Agent Governance, Governance Learning Loop, Safety Stack, Operating Command
Proof route: /scrimed-agent-governance
Integration pattern: Every agent action passes identity, contextual policy, permission, scoped-tool, execution, and audit layers.
Validation: Deny-by-default policy smoke, human-review requirements, and blocked-action contract checks.
Revenue motion: Agent governance assessment, departmental pilot, and per-workflow automation license.
Competitive pattern: Turns chatbot demand into a governed healthcare meta-harness.
Next build: Add work-order templates for patient access, referral, RCM, and imaging-ops agent workflows.
Human review required: true
Audit hash: scrimed-intel-b0489e59

market_motion

Buyer Proof / Investor Diligence Sales Path

SCRIMED needs a tight route from public trust messaging to demo, proof packet, pilot scope, security review, and priced expansion.

ready_for_synthetic_demo

Systems: Sales Operations, Proof Packet, Pricing, Investor Narrative, Trust Center
SCRIMED asset: Market Execution, Proof Packet Studio, Guided Execution, Pilot Demo Commercial Readiness
Proof route: /scrimed-proof-packet-studio
Integration pattern: Map every buyer path to one demo, one proof packet, one safety boundary, one pilot offer, and one next human action.
Validation: Proof-route contract, claims-safe copy review, and no-guarantee pricing boundary.
Revenue motion: Assessment fee, synthetic pilot, protected enterprise pilot, enterprise license, and strategic partnership path.
Competitive pattern: Makes enterprise purchasing easier by packaging outcomes, governance, and evidence together.
Next build: Add infrastructure-readiness proof packet to demo and investor packet sequences.
Human review required: true
Audit hash: scrimed-intel-87731681

Integration Paths

SCRIMED routes messy hospital infrastructure through governed middleware before agents can reason over it.

synthetic_event

adt-to-context

HL7 v2 ADT fixture to Patient Journey Memory and Human Oversight Queue through Clinical Context Gateway + Integration Engine Adapter

Synthetic replay, schema validation, workflow-state visualization, and audit hash generation.

Blocked: Live ADT feed, patient matching authority, source-chart ingestion, or EHR writeback.
Approvals: interface owner, privacy/security reviewer, clinical operations reviewer
Fallback: Manual CSV/FHIR fixture upload with PHI redaction and human review.
Observability: trace_id, policy_version, message_type, provenance_hash, review_status

metadata_only

dicom-metadata-to-action

DICOM/DICOMweb metadata fixture to Radiology operations follow-up dashboard through Imaging Workflow Readiness + Safety Queue

Operational queue readiness, turnaround-time signal, and follow-up routing recommendation.

Blocked: Final imaging interpretation, diagnosis, report release, or patient communication.
Approvals: radiology operations, clinical safety reviewer, security reviewer
Fallback: Static synthetic accession packet and manual radiology-ops worksheet.
Observability: accession_hash, modality, latency_class, safety_boundary, human_review_required

customer_discovery_artifact

payer-policy-to-documentation-risk

Payer policy and X12 workflow metadata to RCM reviewer packet through Documentation-Before-Authorization Engine

Documentation-risk checklist, missing-evidence flag, and human-reviewed draft packet.

Blocked: Claim filing, prior-auth submission, appeal submission, or reimbursement assurance.
Approvals: RCM owner, legal/compliance reviewer, payer workflow reviewer
Fallback: Manual documentation completeness checklist with source citations.
Observability: policy_hash, missing_evidence_count, reviewer_role, submission_blocked

metadata_only

private-runtime-route

Customer VPC / VPN / edge runtime discovery to Private inference architecture decision through Compute Fabric model-router policy

Deployment-mode scoring, cost/latency estimate, and private-model fallback plan.

Blocked: Processing PHI in public models, deploying credentials, or changing cloud IAM/firewall rules.
Approvals: security lead, infrastructure owner, privacy officer
Fallback: No-model synthetic runbook and offline de-identification readiness checklist.
Observability: deployment_mode, phi_policy, provider_calls_enabled, fallback_model_path

Revenue and Diligence

Infrastructure readiness becomes a sales asset when every pitch is tied to proof and review gates.

CIO, CMIO, Chief Digital Officer, and innovation sponsor

cio-cmio-platform-readiness

SCRIMED is a governed healthcare intelligence operating layer that prepares agents, evidence, context, and workflows before touching live systems.

Infrastructure readiness assessment, synthetic pilot, protected enterprise pilot, and enterprise license.

Proof route: /enterprise-healthcare-infrastructure
Expansion path: Interoperability, agent governance, TrustOps, workflow automation, and private AI deployment readiness.
Evidence required: Route smoke, safety headers, buyer discovery worksheet, no-PHI proof packet, and human-reviewed pilot scope.

Radiology operations, imaging service-line leader, and PACS/RIS owner

radiology-operations

SCRIMED coordinates imaging workflow signals and follow-up operations without making final interpretation claims.

Imaging workflow assessment, operational-intelligence pilot, and service-line expansion.

Proof route: /scrimed-ai-infrastructure-watchtower
Expansion path: DICOM metadata readiness, turnaround-time signals, referral follow-up, and safety-review queues.
Evidence required: Synthetic DICOM metadata fixture, no-interpretation boundary, and radiology-ops reviewer signoff.

Revenue cycle leader, prior-auth director, payer ops, and CFO sponsor

rcm-payer-intelligence

SCRIMED finds documentation and policy-risk gaps before teams submit, reducing avoidable friction while keeping humans in control.

RCM readiness assessment, documentation-before-authorization pilot, denial-prevention package, and enterprise license.

Proof route: /scrimed-market-execution
Expansion path: X12 workflow readiness, medical-necessity packet review, appeal readiness, and RCM operations intelligence.
Evidence required: No-submission smoke, policy citation packet, reviewer workflow, and outcome KPI definition.

Security, compliance, procurement, and legal reviewers

security-procurement

SCRIMED makes network, identity, audit, and connector boundaries visible early so enterprise review happens before risk expands.

Security diligence packet, protected pilot review, and enterprise readiness services.

Proof route: /scrimed-cyber-defense
Expansion path: VPN/firewall discovery, AAL2 protected evidence, audit exports, and deployment-mode approval planning.
Evidence required: No-secret checks, protected fail-closed results, token redaction, route headers, and human approvals.

No-PHI Discovery Intake

SCRIMED can scope the right pilot without collecting patient data, credentials, or raw connector payloads.

systems_inventory

systems-inventory

Which systems are in scope for the no-PHI readiness conversation: EHR, HIS, RIS, PACS, VNA, interface engine, RCM, scheduling, call center, data warehouse, or analytics?

SCRIMED can scope the right proof path only after the buyer's systems-of-record and systems-of-action are mapped.

Accepted: System names, owners, environments, and high-level workflow purpose without PHI, credentials, URLs, or raw payloads.
Forbidden: Patient identifiers, production exports, screenshots with PHI, VPN credentials, database credentials, API keys, or raw connector messages.
Maps to: hl7-fhir-context-gateway, his-ris-adt-operating-map, integration-engine-adapter
Human review required: true

interoperability

hl7-fhir-event-scope

Which synthetic HL7/FHIR events should the pilot mirror: ADT, ORM, ORU, encounters, observations, coverage, claims, appointments, referrals, or care plans?

This selects the minimum useful fixture set and keeps SCRIMED from overbuilding broad connectors before buyer proof exists.

Accepted: Message/resource names, event purpose, sample field labels, and desired workflow triggers using synthetic examples only.
Forbidden: Live HL7 messages, production FHIR bundles, MRNs, accession numbers tied to real patients, or source-chart extracts.
Maps to: hl7-fhir-context-gateway, integration-engine-adapter, database-audit-ledger
Human review required: true

imaging

imaging-workflow-scope

Which imaging workflow pain should be evaluated: turnaround time, follow-up leakage, unread queue visibility, report finalization delay, referral routing, or service-line capacity?

SCRIMED can sell imaging-to-action workflow value without crossing into final radiology interpretation.

Accepted: Operational issue, role owners, status vocabulary, modality categories, and synthetic accession lifecycle examples.
Forbidden: Images, DICOM studies from real patients, diagnostic reports, final interpretations, or patient outreach instructions.
Maps to: dicom-pacs-ris-workflow, his-ris-adt-operating-map, agent-orchestration-command
Human review required: true

payer_rcm

payer-rcm-risk-scope

Which RCM workflow needs evidence support: eligibility, prior authorization, documentation completeness, denial prevention, appeal readiness, or collections friction?

SCRIMED can position documentation-before-authorization while preserving no payer-submission authority.

Accepted: Policy labels, denial categories, documentation checklist examples, reviewer roles, and synthetic payer-policy snippets.
Forbidden: Claims submissions, member IDs, payer portal credentials, patient-specific medical necessity narratives, or payment-outcome promises.
Maps to: x12-payer-rcm-rail, agent-orchestration-command, buyer-proof-sales-path
Human review required: true

network_security

network-security-discovery

Which connectivity model is preferred for a future protected pilot: SCRIMED cloud, customer VPC, VPN, private link, air-gapped edge, or local VM?

Security readiness should become an early sales accelerator rather than a late procurement blocker.

Accepted: Preferred deployment mode, security review owner, firewall/allowlist process, and high-level network constraints.
Forbidden: Secrets, private keys, firewall rule exports, VPN credentials, production IP allowlists, or cloud IAM changes.
Maps to: secure-networking-vpn-firewall, vm-edge-runtime, database-audit-ledger
Human review required: true

compute_runtime

compute-runtime-discovery

Which runtime constraints matter most: low latency, private inference, local de-identification, GPU availability, offline mode, data residency, or cost ceiling?

SCRIMED can route future model and agent choices by privacy, cost, latency, and risk before any PHI is introduced.

Accepted: Runtime goals, deployment preference, non-PHI benchmark targets, and review owners.
Forbidden: Live PHI workloads, production credentials, direct model API keys, or approval to process patient data.
Maps to: vm-edge-runtime, secure-networking-vpn-firewall, agent-orchestration-command
Human review required: true

governance

governance-approval-map

Who must review future boundary changes: clinical safety, privacy, security, legal, reimbursement, IT, radiology, RCM, procurement, or executive sponsor?

Every high-stakes SCRIMED expansion must have a named human approval path before production work begins.

Accepted: Role names, approval lanes, meeting cadence, and evidence preferences without personal sensitive data.
Forbidden: Bearer tokens, signatures granting authority, patient examples, or instructions to bypass review.
Maps to: database-audit-ledger, agent-orchestration-command, buyer-proof-sales-path
Human review required: true

commercial_fit

commercial-fit

Which business outcome should the no-PHI pilot prove: time saved, denials avoided, leakage detected, follow-up completion, documentation quality, security readiness, or integration feasibility?

A pilot should have one measurable outcome, one proof packet, one review lane, and one paid expansion path.

Accepted: Target workflow, baseline estimate, stakeholder owner, pilot duration, and success metric definition.
Forbidden: Assured savings, payment-outcome promises, live patient cohort, signed production approval, or investor solicitation language.
Maps to: buyer-proof-sales-path, x12-payer-rcm-rail, dicom-pacs-ris-workflow
Human review required: true

Scoped Pilot Packages

Each pilot keeps one measurable outcome, one proof packet, one commercial motion, and one retained boundary.

no-PHI pilot

HL7/FHIR Context Sprint

The buyer needs to prove SCRIMED can understand encounter, ADT, observation, and coverage context before a protected connector review.

Paid readiness assessment followed by a fixed-scope no-PHI pilot.

Capabilities: hl7-fhir-context-gateway, integration-engine-adapter, database-audit-ledger
Synthetic inputs: synthetic ADT event matrix, synthetic FHIR resource bundle, interface inventory worksheet
Proof outputs: context-map brief, schema validation evidence, policy decision log, human-review checklist
Acceptance: No PHI or raw production messages are used; Every event has provenance, policy version, and audit hash; No writeback, patient matching authority, or connector approval is claimed
Price signal: Assessment/pilot pricing signal only; not a quote, procurement approval, or revenue guarantee.
Boundary: No live HL7/FHIR feed, production credentials, EHR writeback, or PHI processing.
Next action: Schedule integration-owner discovery and select the minimum synthetic event set.
Audit hash: scrimed-intel-747baa44

no-PHI pilot

DICOM/PACS/RIS Operations Sprint

Radiology operations wants workflow visibility, follow-up routing, or turnaround-time intelligence without final interpretation claims.

Radiology operations assessment with optional service-line workflow pilot.

Capabilities: dicom-pacs-ris-workflow, his-ris-adt-operating-map, agent-orchestration-command
Synthetic inputs: synthetic DICOM metadata packet, accession lifecycle fixture, radiology status vocabulary
Proof outputs: imaging workflow map, follow-up queue design, no-interpretation safety card, reviewer signoff packet
Acceptance: No images or real DICOM studies are ingested; Outputs are operational and never diagnostic; Radiology-ops human review is required before any external use
Price signal: Commercial planning signal only; not a quote, SLA, ROI guarantee, or clinical validation.
Boundary: No final imaging interpretation, report release, diagnosis, patient notification, or PACS/RIS mutation.
Next action: Choose one imaging workflow pain and confirm radiology operations reviewer.
Audit hash: scrimed-intel-ced95307

no-PHI pilot

X12 / RCM Evidence Sprint

Revenue cycle needs documentation-risk visibility before prior auth, denial, appeal, or claim work expands.

RCM readiness assessment, documentation-before-authorization pilot, and expansion package.

Capabilities: x12-payer-rcm-rail, agent-orchestration-command, buyer-proof-sales-path
Synthetic inputs: synthetic payer policy, documentation checklist, denial reason taxonomy, reviewer role map
Proof outputs: missing-evidence matrix, packet-readiness scorecard, submission-blocked safety log, RCM review workflow
Acceptance: No member IDs, payer credentials, or claims are submitted; Every recommendation is a human-reviewed documentation readiness signal; No reimbursement assurance is stated
Price signal: Planning range signal only; not a reimbursement promise, signed quote, or financial advice.
Boundary: No payer submission, claim filing, appeal filing, billing submission, or reimbursement guarantee.
Next action: Select one payer-policy workflow and define the reviewer-required packet checklist.
Audit hash: scrimed-intel-c6132bcd

no-PHI pilot

Private Runtime Readiness Sprint

Security or IT wants to understand cloud, customer VPC, VPN, VM, air-gapped, or edge options before sensitive workflow design.

Security/infrastructure diligence package and protected pilot architecture workshop.

Capabilities: secure-networking-vpn-firewall, vm-edge-runtime, database-audit-ledger
Synthetic inputs: deployment-mode worksheet, network review checklist, synthetic runtime benchmark goals
Proof outputs: private-runtime matrix, provider-call kill-switch plan, security-review checklist, cost/latency class estimate
Acceptance: No secrets, network rules, or production credentials are collected; No PHI workload is authorized; Deployment mode remains architecture readiness until formal approval
Price signal: Architecture planning signal only; not procurement approval, infrastructure deployment, or security certification.
Boundary: No cloud IAM change, firewall change, credential rotation, production deploy, or live PHI processing.
Next action: Confirm deployment preference and security review owner.
Audit hash: scrimed-intel-77fe9276

no-PHI pilot

Audit Ledger / Trust Evidence Sprint

Procurement, security, or investors need proof that SCRIMED can trace decisions, policies, outputs, costs, and review status.

Trust audit readiness package and enterprise diligence subscription path.

Capabilities: database-audit-ledger, agent-orchestration-command, buyer-proof-sales-path
Synthetic inputs: synthetic execution attempts, policy-decision fixtures, review disposition examples
Proof outputs: evidence ledger packet, audit hash inventory, review queue map, boundary-preservation report
Acceptance: All records are synthetic or metadata-only; No bearer tokens, secrets, or PHI appear in logs; Every sensitive expansion requires human review
Price signal: Diligence planning signal only; not a compliance certification, audit opinion, or legal assurance.
Boundary: No compliance certification, live patient audit trail, production retention approval, or security guarantee.
Next action: Select evidence recipients and agree on the no-secret/no-PHI packet format.
Audit hash: scrimed-intel-96bf60bb

Pilot Recommendation Engine

Metadata-only buyer signals route to one recommended pilot, two runner-ups, and a proof packet.

recommended

hl7-fhir-context-sprint

Metadata signals align most strongly to HL7/FHIR Context Sprint: The buyer needs to prove SCRIMED can understand encounter, ADT, observation, and coverage context before a protected connector review.

Paid readiness assessment followed by a fixed-scope no-PHI pilot.

Input: cio-integration-buyer
Score: 90
Runner-ups: audit-ledger-trust-sprint, dicom-pacs-ris-ops-sprint
Discovery questions: systems-inventory, hl7-fhir-event-scope, governance-approval-map
Proof packet items: no-phi-discovery-intake, standards-scope-map, boundary-and-approval-card
Human review required: true
NO-GO: No live HL7/FHIR feed, production credentials, EHR writeback, or PHI processing. No PHI, live connector, payer submission, EHR writeback, final imaging interpretation, or customer go-live authority.
Audit hash: scrimed-intel-3a703249

recommended

dicom-pacs-ris-ops-sprint

Metadata signals align most strongly to DICOM/PACS/RIS Operations Sprint: Radiology operations wants workflow visibility, follow-up routing, or turnaround-time intelligence without final interpretation claims.

Radiology operations assessment with optional service-line workflow pilot.

Input: radiology-ops-buyer
Score: 90
Runner-ups: audit-ledger-trust-sprint, hl7-fhir-context-sprint
Discovery questions: systems-inventory, imaging-workflow-scope, governance-approval-map
Proof packet items: no-phi-discovery-intake, standards-scope-map, pilot-acceptance-criteria, boundary-and-approval-card
Human review required: true
NO-GO: No final imaging interpretation, report release, diagnosis, patient notification, or PACS/RIS mutation. No PHI, live connector, payer submission, EHR writeback, final imaging interpretation, or customer go-live authority.
Audit hash: scrimed-intel-284c1344

recommended

x12-rcm-evidence-sprint

Metadata signals align most strongly to X12 / RCM Evidence Sprint: Revenue cycle needs documentation-risk visibility before prior auth, denial, appeal, or claim work expands.

RCM readiness assessment, documentation-before-authorization pilot, and expansion package.

Input: rcm-cfo-buyer
Score: 90
Runner-ups: audit-ledger-trust-sprint, dicom-pacs-ris-ops-sprint
Discovery questions: systems-inventory, payer-rcm-risk-scope, commercial-fit, governance-approval-map
Proof packet items: no-phi-discovery-intake, standards-scope-map, pilot-acceptance-criteria, boundary-and-approval-card
Human review required: true
NO-GO: No payer submission, claim filing, appeal filing, billing submission, or reimbursement guarantee. No PHI, live connector, payer submission, EHR writeback, final imaging interpretation, or customer go-live authority.
Audit hash: scrimed-intel-0e7197d2

recommended

private-runtime-readiness-sprint

Metadata signals align most strongly to Private Runtime Readiness Sprint: Security or IT wants to understand cloud, customer VPC, VPN, VM, air-gapped, or edge options before sensitive workflow design.

Security/infrastructure diligence package and protected pilot architecture workshop.

Input: security-private-ai-buyer
Score: 70
Runner-ups: audit-ledger-trust-sprint, dicom-pacs-ris-ops-sprint
Discovery questions: network-security-discovery, compute-runtime-discovery, governance-approval-map
Proof packet items: no-phi-discovery-intake, security-runtime-review, boundary-and-approval-card
Human review required: true
NO-GO: No cloud IAM change, firewall change, credential rotation, production deploy, or live PHI processing. No PHI, live connector, payer submission, EHR writeback, final imaging interpretation, or customer go-live authority.
Audit hash: scrimed-intel-d8f55936

recommended

audit-ledger-trust-sprint

Metadata signals align most strongly to Audit Ledger / Trust Evidence Sprint: Procurement, security, or investors need proof that SCRIMED can trace decisions, policies, outputs, costs, and review status.

Trust audit readiness package and enterprise diligence subscription path.

Input: investor-trust-reviewer
Score: 80
Runner-ups: dicom-pacs-ris-ops-sprint, private-runtime-readiness-sprint
Discovery questions: governance-approval-map, commercial-fit, network-security-discovery
Proof packet items: no-phi-discovery-intake, pilot-acceptance-criteria, boundary-and-approval-card
Human review required: true
NO-GO: No compliance certification, live patient audit trail, production retention approval, or security guarantee. No PHI, live connector, payer submission, EHR writeback, final imaging interpretation, or customer go-live authority.
Audit hash: scrimed-intel-30235670

Buyer Packet Composer

Every recommendation becomes a meeting agenda, demo path, follow-up outline, and claims-safe next action.

CIO and CMIO

hl7-fhir-context-sprint

Schedule integration-owner discovery and select the minimum synthetic event set.

Paid readiness assessment followed by a fixed-scope no-PHI pilot. Assessment/pilot pricing signal only; not a quote, procurement approval, or revenue guarantee.

Agenda: Confirm buyer role and target outcome: Prove SCRIMED can understand hospital context before protected connector review.; Review systems mentioned without PHI or credentials: EHR, interface engine, FHIR, HL7 ADT, coverage; Validate deployment constraints: no PHI, synthetic fixtures first; Select or revise the recommended no-PHI pilot: HL7/FHIR Context Sprint; Confirm human reviewers and retained NO-GO boundaries before any next step
Demo sequence: Open Enterprise Healthcare Infrastructure Readiness route; Show standards and systems coverage; Show No-PHI Discovery Intake; Show recommended pilot: HL7/FHIR Context Sprint; Show Proof Packet Checklist and Hard Stops
Decision criteria: Buyer agrees no PHI, credentials, raw connector payloads, or production exports are needed for first proof; Buyer can name one workflow owner and one reviewer; Pilot scope has one measurable synthetic outcome; Proof artifacts are sufficient for the next internal buyer review; No production connector, clinical, payer, security, certification, or customer go-live claim is required
Required artifacts: No-PHI infrastructure discovery intake; FHIR/HL7/DICOM/X12 standards scope map; Boundary and approval card; Which systems are in scope for the no-PHI readiness conversation: EHR, HIS, RIS, PACS, VNA, interface engine, RCM, scheduling, call center, data warehouse, or analytics?; Which synthetic HL7/FHIR events should the pilot mirror: ADT, ORM, ORU, encounters, observations, coverage, claims, appointments, referrals, or care plans?; Who must review future boundary changes: clinical safety, privacy, security, legal, reimbursement, IT, radiology, RCM, procurement, or executive sponsor?
Follow-up: Thank the buyer for reviewing HL7/FHIR Context Sprint; Restate that the first step is synthetic and metadata-only; List the accepted discovery inputs and explicitly exclude PHI, credentials, and raw payloads; Attach or link the proof packet checklist; Ask the buyer to confirm reviewer roles and one target success metric
Blocked claims: No live PHI authority; No autonomous clinical care or final imaging interpretation; No payer submission, claim filing, or billing submission; No EHR, PACS, RIS, HIS, database, VPN, firewall, or cloud mutation; No certification, clinical validation, customer go-live, revenue, payment, or security assurance claim
Human review required: true
Audit hash: scrimed-intel-dcd7184e

Radiology operations and PACS/RIS owner

dicom-pacs-ris-ops-sprint

Choose one imaging workflow pain and confirm radiology operations reviewer.

Radiology operations assessment with optional service-line workflow pilot. Commercial planning signal only; not a quote, SLA, ROI guarantee, or clinical validation.

Agenda: Confirm buyer role and target outcome: Prove imaging workflow coordination without diagnostic authority.; Review systems mentioned without PHI or credentials: PACS, RIS, DICOM, VNA; Validate deployment constraints: no images, no final interpretation; Select or revise the recommended no-PHI pilot: DICOM/PACS/RIS Operations Sprint; Confirm human reviewers and retained NO-GO boundaries before any next step
Demo sequence: Open Enterprise Healthcare Infrastructure Readiness route; Show standards and systems coverage; Show No-PHI Discovery Intake; Show recommended pilot: DICOM/PACS/RIS Operations Sprint; Show Proof Packet Checklist and Hard Stops
Decision criteria: Buyer agrees no PHI, credentials, raw connector payloads, or production exports are needed for first proof; Buyer can name one workflow owner and one reviewer; Pilot scope has one measurable synthetic outcome; Proof artifacts are sufficient for the next internal buyer review; No production connector, clinical, payer, security, certification, or customer go-live claim is required
Required artifacts: No-PHI infrastructure discovery intake; FHIR/HL7/DICOM/X12 standards scope map; Synthetic pilot acceptance criteria; Boundary and approval card; Which systems are in scope for the no-PHI readiness conversation: EHR, HIS, RIS, PACS, VNA, interface engine, RCM, scheduling, call center, data warehouse, or analytics?; Which imaging workflow pain should be evaluated: turnaround time, follow-up leakage, unread queue visibility, report finalization delay, referral routing, or service-line capacity?; Who must review future boundary changes: clinical safety, privacy, security, legal, reimbursement, IT, radiology, RCM, procurement, or executive sponsor?
Follow-up: Thank the buyer for reviewing DICOM/PACS/RIS Operations Sprint; Restate that the first step is synthetic and metadata-only; List the accepted discovery inputs and explicitly exclude PHI, credentials, and raw payloads; Attach or link the proof packet checklist; Ask the buyer to confirm reviewer roles and one target success metric
Blocked claims: No live PHI authority; No autonomous clinical care or final imaging interpretation; No payer submission, claim filing, or billing submission; No EHR, PACS, RIS, HIS, database, VPN, firewall, or cloud mutation; No certification, clinical validation, customer go-live, revenue, payment, or security assurance claim
Human review required: true
Audit hash: scrimed-intel-2c651959

CFO, RCM leader, and prior authorization director

x12-rcm-evidence-sprint

Select one payer-policy workflow and define the reviewer-required packet checklist.

RCM readiness assessment, documentation-before-authorization pilot, and expansion package. Planning range signal only; not a reimbursement promise, signed quote, or financial advice.

Agenda: Confirm buyer role and target outcome: Prove documentation-before-authorization value before submission workflows expand.; Review systems mentioned without PHI or credentials: X12, payer policy, claims, eligibility; Validate deployment constraints: no payer submission, reviewer-required packet; Select or revise the recommended no-PHI pilot: X12 / RCM Evidence Sprint; Confirm human reviewers and retained NO-GO boundaries before any next step
Demo sequence: Open Enterprise Healthcare Infrastructure Readiness route; Show standards and systems coverage; Show No-PHI Discovery Intake; Show recommended pilot: X12 / RCM Evidence Sprint; Show Proof Packet Checklist and Hard Stops
Decision criteria: Buyer agrees no PHI, credentials, raw connector payloads, or production exports are needed for first proof; Buyer can name one workflow owner and one reviewer; Pilot scope has one measurable synthetic outcome; Proof artifacts are sufficient for the next internal buyer review; No production connector, clinical, payer, security, certification, or customer go-live claim is required
Required artifacts: No-PHI infrastructure discovery intake; FHIR/HL7/DICOM/X12 standards scope map; Synthetic pilot acceptance criteria; Boundary and approval card; Which systems are in scope for the no-PHI readiness conversation: EHR, HIS, RIS, PACS, VNA, interface engine, RCM, scheduling, call center, data warehouse, or analytics?; Which RCM workflow needs evidence support: eligibility, prior authorization, documentation completeness, denial prevention, appeal readiness, or collections friction?; Who must review future boundary changes: clinical safety, privacy, security, legal, reimbursement, IT, radiology, RCM, procurement, or executive sponsor?; Which business outcome should the no-PHI pilot prove: time saved, denials avoided, leakage detected, follow-up completion, documentation quality, security readiness, or integration feasibility?
Follow-up: Thank the buyer for reviewing X12 / RCM Evidence Sprint; Restate that the first step is synthetic and metadata-only; List the accepted discovery inputs and explicitly exclude PHI, credentials, and raw payloads; Attach or link the proof packet checklist; Ask the buyer to confirm reviewer roles and one target success metric
Blocked claims: No live PHI authority; No autonomous clinical care or final imaging interpretation; No payer submission, claim filing, or billing submission; No EHR, PACS, RIS, HIS, database, VPN, firewall, or cloud mutation; No certification, clinical validation, customer go-live, revenue, payment, or security assurance claim
Human review required: true
Audit hash: scrimed-intel-3a7388ff

Security, infrastructure, and procurement reviewer

private-runtime-readiness-sprint

Confirm deployment preference and security review owner.

Security/infrastructure diligence package and protected pilot architecture workshop. Architecture planning signal only; not procurement approval, infrastructure deployment, or security certification.

Agenda: Confirm buyer role and target outcome: Prove private runtime feasibility before sensitive workflow design.; Review systems mentioned without PHI or credentials: VPN, firewall, customer VPC, Virtual Machines; Validate deployment constraints: air-gapped option, no secrets, no IAM changes; Select or revise the recommended no-PHI pilot: Private Runtime Readiness Sprint; Confirm human reviewers and retained NO-GO boundaries before any next step
Demo sequence: Open Enterprise Healthcare Infrastructure Readiness route; Show standards and systems coverage; Show No-PHI Discovery Intake; Show recommended pilot: Private Runtime Readiness Sprint; Show Proof Packet Checklist and Hard Stops
Decision criteria: Buyer agrees no PHI, credentials, raw connector payloads, or production exports are needed for first proof; Buyer can name one workflow owner and one reviewer; Pilot scope has one measurable synthetic outcome; Proof artifacts are sufficient for the next internal buyer review; No production connector, clinical, payer, security, certification, or customer go-live claim is required
Required artifacts: No-PHI infrastructure discovery intake; VPN/firewall/VM/private-runtime review worksheet; Boundary and approval card; Which connectivity model is preferred for a future protected pilot: SCRIMED cloud, customer VPC, VPN, private link, air-gapped edge, or local VM?; Which runtime constraints matter most: low latency, private inference, local de-identification, GPU availability, offline mode, data residency, or cost ceiling?; Who must review future boundary changes: clinical safety, privacy, security, legal, reimbursement, IT, radiology, RCM, procurement, or executive sponsor?
Follow-up: Thank the buyer for reviewing Private Runtime Readiness Sprint; Restate that the first step is synthetic and metadata-only; List the accepted discovery inputs and explicitly exclude PHI, credentials, and raw payloads; Attach or link the proof packet checklist; Ask the buyer to confirm reviewer roles and one target success metric
Blocked claims: No live PHI authority; No autonomous clinical care or final imaging interpretation; No payer submission, claim filing, or billing submission; No EHR, PACS, RIS, HIS, database, VPN, firewall, or cloud mutation; No certification, clinical validation, customer go-live, revenue, payment, or security assurance claim
Human review required: true
Audit hash: scrimed-intel-0a809933

Investor diligence and enterprise procurement reviewer

audit-ledger-trust-sprint

Select evidence recipients and agree on the no-secret/no-PHI packet format.

Trust audit readiness package and enterprise diligence subscription path. Diligence planning signal only; not a compliance certification, audit opinion, or legal assurance.

Agenda: Confirm buyer role and target outcome: Prove SCRIMED can trace policies, decisions, outputs, review status, and boundaries.; Review systems mentioned without PHI or credentials: audit ledger, database, review queue; Validate deployment constraints: metadata only, no certification claim; Select or revise the recommended no-PHI pilot: Audit Ledger / Trust Evidence Sprint; Confirm human reviewers and retained NO-GO boundaries before any next step
Demo sequence: Open Enterprise Healthcare Infrastructure Readiness route; Show standards and systems coverage; Show No-PHI Discovery Intake; Show recommended pilot: Audit Ledger / Trust Evidence Sprint; Show Proof Packet Checklist and Hard Stops
Decision criteria: Buyer agrees no PHI, credentials, raw connector payloads, or production exports are needed for first proof; Buyer can name one workflow owner and one reviewer; Pilot scope has one measurable synthetic outcome; Proof artifacts are sufficient for the next internal buyer review; No production connector, clinical, payer, security, certification, or customer go-live claim is required
Required artifacts: No-PHI infrastructure discovery intake; Synthetic pilot acceptance criteria; Boundary and approval card; Which connectivity model is preferred for a future protected pilot: SCRIMED cloud, customer VPC, VPN, private link, air-gapped edge, or local VM?; Who must review future boundary changes: clinical safety, privacy, security, legal, reimbursement, IT, radiology, RCM, procurement, or executive sponsor?; Which business outcome should the no-PHI pilot prove: time saved, denials avoided, leakage detected, follow-up completion, documentation quality, security readiness, or integration feasibility?
Follow-up: Thank the buyer for reviewing Audit Ledger / Trust Evidence Sprint; Restate that the first step is synthetic and metadata-only; List the accepted discovery inputs and explicitly exclude PHI, credentials, and raw payloads; Attach or link the proof packet checklist; Ask the buyer to confirm reviewer roles and one target success metric
Blocked claims: No live PHI authority; No autonomous clinical care or final imaging interpretation; No payer submission, claim filing, or billing submission; No EHR, PACS, RIS, HIS, database, VPN, firewall, or cloud mutation; No certification, clinical validation, customer go-live, revenue, payment, or security assurance claim
Human review required: true
Audit hash: scrimed-intel-08c95dd5

Decision Readiness Scorecards

SCRIMED turns buyer packets into measurable review evidence without expanding production authority.

evidence_collection_required

CIO and CMIO

Collect the missing no-PHI evidence for hl7-fhir-context-sprint, then rerun human review before buyer escalation.

Procurement readiness: 86

Recommended pilot: hl7-fhir-context-sprint
Buyer packet: cio-integration-buyer-buyer-packet
Security review: 82
Clinical safety: 90
Commercial readiness: 89
Evidence completeness: 84
Required next evidence: No-PHI infrastructure discovery intake; FHIR/HL7/DICOM/X12 standards scope map; Boundary and approval card; Which systems are in scope for the no-PHI readiness conversation: EHR, HIS, RIS, PACS, VNA, interface engine, RCM, scheduling, call center, data warehouse, or analytics?; Named buyer-side reviewer and SCRIMED reviewer; One measurable synthetic pilot success metric; Claims-safe follow-up packet with blocked-boundary card
Blocked reasons: No live PHI authority; No production connector authority; No autonomous clinical, payer, imaging, outreach, or writeback authority; No certification, clinical validation, customer go-live, reimbursement, revenue, or security assurance claim; Qualified human review is required before any protected pilot or procurement movement
Safe close plan: Restate the synthetic/metadata-only boundary in the meeting recap; Attach the buyer packet, proof checklist, and decision scorecard; Ask for one workflow owner, one security/procurement reviewer, and one measurable outcome; Keep production, clinical, payer, connector, certification, and go-live authority blocked until qualified approval
Production authority: false
Human review required: true
Audit hash: scrimed-intel-73e39e87

evidence_collection_required

Radiology operations and PACS/RIS owner

Collect the missing no-PHI evidence for dicom-pacs-ris-ops-sprint, then rerun human review before buyer escalation.

Procurement readiness: 85

Recommended pilot: dicom-pacs-ris-ops-sprint
Buyer packet: radiology-ops-buyer-buyer-packet
Security review: 82
Clinical safety: 86
Commercial readiness: 84
Evidence completeness: 86
Required next evidence: No-PHI infrastructure discovery intake; FHIR/HL7/DICOM/X12 standards scope map; Synthetic pilot acceptance criteria; Boundary and approval card; Named buyer-side reviewer and SCRIMED reviewer; One measurable synthetic pilot success metric; Claims-safe follow-up packet with blocked-boundary card
Blocked reasons: No live PHI authority; No production connector authority; No autonomous clinical, payer, imaging, outreach, or writeback authority; No certification, clinical validation, customer go-live, reimbursement, revenue, or security assurance claim; Qualified human review is required before any protected pilot or procurement movement
Safe close plan: Restate the synthetic/metadata-only boundary in the meeting recap; Attach the buyer packet, proof checklist, and decision scorecard; Ask for one workflow owner, one security/procurement reviewer, and one measurable outcome; Keep production, clinical, payer, connector, certification, and go-live authority blocked until qualified approval
Production authority: false
Human review required: true
Audit hash: scrimed-intel-b959a036

evidence_collection_required

CFO, RCM leader, and prior authorization director

Collect the missing no-PHI evidence for x12-rcm-evidence-sprint, then rerun human review before buyer escalation.

Procurement readiness: 84

Recommended pilot: x12-rcm-evidence-sprint
Buyer packet: rcm-cfo-buyer-buyer-packet
Security review: 82
Clinical safety: 83
Commercial readiness: 84
Evidence completeness: 88
Required next evidence: No-PHI infrastructure discovery intake; FHIR/HL7/DICOM/X12 standards scope map; Synthetic pilot acceptance criteria; Boundary and approval card; Named buyer-side reviewer and SCRIMED reviewer; One measurable synthetic pilot success metric; Claims-safe follow-up packet with blocked-boundary card
Blocked reasons: No live PHI authority; No production connector authority; No autonomous clinical, payer, imaging, outreach, or writeback authority; No certification, clinical validation, customer go-live, reimbursement, revenue, or security assurance claim; Qualified human review is required before any protected pilot or procurement movement
Safe close plan: Restate the synthetic/metadata-only boundary in the meeting recap; Attach the buyer packet, proof checklist, and decision scorecard; Ask for one workflow owner, one security/procurement reviewer, and one measurable outcome; Keep production, clinical, payer, connector, certification, and go-live authority blocked until qualified approval
Production authority: false
Human review required: true
Audit hash: scrimed-intel-41eb8e90

evidence_collection_required

Security, infrastructure, and procurement reviewer

Collect the missing no-PHI evidence for private-runtime-readiness-sprint, then rerun human review before buyer escalation.

Procurement readiness: 87

Recommended pilot: private-runtime-readiness-sprint
Buyer packet: security-private-ai-buyer-buyer-packet
Security review: 88
Clinical safety: 90
Commercial readiness: 84
Evidence completeness: 84
Required next evidence: No-PHI infrastructure discovery intake; VPN/firewall/VM/private-runtime review worksheet; Boundary and approval card; Which connectivity model is preferred for a future protected pilot: SCRIMED cloud, customer VPC, VPN, private link, air-gapped edge, or local VM?; Named buyer-side reviewer and SCRIMED reviewer; One measurable synthetic pilot success metric; Claims-safe follow-up packet with blocked-boundary card
Blocked reasons: No live PHI authority; No production connector authority; No autonomous clinical, payer, imaging, outreach, or writeback authority; No certification, clinical validation, customer go-live, reimbursement, revenue, or security assurance claim; Qualified human review is required before any protected pilot or procurement movement
Safe close plan: Restate the synthetic/metadata-only boundary in the meeting recap; Attach the buyer packet, proof checklist, and decision scorecard; Ask for one workflow owner, one security/procurement reviewer, and one measurable outcome; Keep production, clinical, payer, connector, certification, and go-live authority blocked until qualified approval
Production authority: false
Human review required: true
Audit hash: scrimed-intel-f797b114

evidence_collection_required

Investor diligence and enterprise procurement reviewer

Collect the missing no-PHI evidence for audit-ledger-trust-sprint, then rerun human review before buyer escalation.

Procurement readiness: 85

Recommended pilot: audit-ledger-trust-sprint
Buyer packet: investor-trust-reviewer-buyer-packet
Security review: 82
Clinical safety: 90
Commercial readiness: 84
Evidence completeness: 84
Required next evidence: No-PHI infrastructure discovery intake; Synthetic pilot acceptance criteria; Boundary and approval card; Which connectivity model is preferred for a future protected pilot: SCRIMED cloud, customer VPC, VPN, private link, air-gapped edge, or local VM?; Named buyer-side reviewer and SCRIMED reviewer; One measurable synthetic pilot success metric; Claims-safe follow-up packet with blocked-boundary card
Blocked reasons: No live PHI authority; No production connector authority; No autonomous clinical, payer, imaging, outreach, or writeback authority; No certification, clinical validation, customer go-live, reimbursement, revenue, or security assurance claim; Qualified human review is required before any protected pilot or procurement movement
Safe close plan: Restate the synthetic/metadata-only boundary in the meeting recap; Attach the buyer packet, proof checklist, and decision scorecard; Ask for one workflow owner, one security/procurement reviewer, and one measurable outcome; Keep production, clinical, payer, connector, certification, and go-live authority blocked until qualified approval
Production authority: false
Human review required: true
Audit hash: scrimed-intel-0fe4f722

Procurement Action Plans

Each decision scorecard becomes a concrete next-step plan with owners, gates, evidence, and escalation triggers.

3-5 business days for evidence collection before buyer escalation

CIO and CMIO

Escalate when the buyer requests PHI, live connector access, credentials, EHR/PACS/RIS/HIS changes, payer submission, clinical authority, certification claims, or customer go-live language.

hl7-fhir-context-sprint

Owners: SCRIMED founder/operator; buyer champion; workflow owner; implementation reviewer
Gate sequence: Confirm no-PHI buyer discovery scope; Collect only approved metadata and synthetic examples; Review the decision scorecard and blocked-decision reasons; Select one measurable synthetic pilot outcome; Prepare claims-safe follow-up and proof packet; Escalate to qualified review before any protected pilot or procurement movement
Evidence to collect: No-PHI infrastructure discovery intake; FHIR/HL7/DICOM/X12 standards scope map; Boundary and approval card; Which systems are in scope for the no-PHI readiness conversation: EHR, HIS, RIS, PACS, VNA, interface engine, RCM, scheduling, call center, data warehouse, or analytics?; Named buyer-side reviewer and SCRIMED reviewer; One measurable synthetic pilot success metric; Claims-safe follow-up packet with blocked-boundary card; Buyer-approved no-PHI meeting recap; Named reviewer roles and decision owner; Boundary card attached to buyer follow-up
Blockers to resolve: No live PHI authority; No production connector authority; No autonomous clinical, payer, imaging, outreach, or writeback authority; No certification, clinical validation, customer go-live, reimbursement, revenue, or security assurance claim; Qualified human review is required before any protected pilot or procurement movement
Completion criteria: No PHI, credentials, raw connector payloads, or production exports are present; All required evidence is present as metadata or synthetic examples; One buyer owner and one SCRIMED reviewer are named; The pilot outcome is measurable without live patient data; The buyer follow-up preserves all blocked authority claims
Safe operator script: Position hl7-fhir-context-sprint as a no-PHI readiness path, not production approval.; Ask for system names, workflow priorities, reviewer roles, and success metric only.; Decline requests to process patient data, submit to payers, mutate systems, or claim certification.; Offer a human-reviewed proof packet and protected-scope discovery call as the next step.
Handoff artifacts: cio-integration-buyer-buyer-packet; cio-integration-buyer-buyer-packet-decision-scorecard; no-phi-discovery-intake; boundary-and-approval-card; claims-safe-follow-up-outline
Production authority: false
Human review required: true
Audit hash: scrimed-intel-3ad5dce9

3-5 business days for evidence collection before buyer escalation

Radiology operations and PACS/RIS owner

Escalate when the buyer requests PHI, live connector access, credentials, EHR/PACS/RIS/HIS changes, payer submission, clinical authority, certification claims, or customer go-live language.

dicom-pacs-ris-ops-sprint

Owners: SCRIMED founder/operator; buyer champion; workflow owner; radiology operations reviewer
Gate sequence: Confirm no-PHI buyer discovery scope; Collect only approved metadata and synthetic examples; Review the decision scorecard and blocked-decision reasons; Select one measurable synthetic pilot outcome; Prepare claims-safe follow-up and proof packet; Escalate to qualified review before any protected pilot or procurement movement
Evidence to collect: No-PHI infrastructure discovery intake; FHIR/HL7/DICOM/X12 standards scope map; Synthetic pilot acceptance criteria; Boundary and approval card; Named buyer-side reviewer and SCRIMED reviewer; One measurable synthetic pilot success metric; Claims-safe follow-up packet with blocked-boundary card; Buyer-approved no-PHI meeting recap; Named reviewer roles and decision owner; Boundary card attached to buyer follow-up
Blockers to resolve: No live PHI authority; No production connector authority; No autonomous clinical, payer, imaging, outreach, or writeback authority; No certification, clinical validation, customer go-live, reimbursement, revenue, or security assurance claim; Qualified human review is required before any protected pilot or procurement movement
Completion criteria: No PHI, credentials, raw connector payloads, or production exports are present; All required evidence is present as metadata or synthetic examples; One buyer owner and one SCRIMED reviewer are named; The pilot outcome is measurable without live patient data; The buyer follow-up preserves all blocked authority claims
Safe operator script: Position dicom-pacs-ris-ops-sprint as a no-PHI readiness path, not production approval.; Ask for system names, workflow priorities, reviewer roles, and success metric only.; Decline requests to process patient data, submit to payers, mutate systems, or claim certification.; Offer a human-reviewed proof packet and protected-scope discovery call as the next step.
Handoff artifacts: radiology-ops-buyer-buyer-packet; radiology-ops-buyer-buyer-packet-decision-scorecard; no-phi-discovery-intake; boundary-and-approval-card; claims-safe-follow-up-outline
Production authority: false
Human review required: true
Audit hash: scrimed-intel-5e7a4b7a

3-5 business days for evidence collection before buyer escalation

CFO, RCM leader, and prior authorization director

Escalate when the buyer requests PHI, live connector access, credentials, EHR/PACS/RIS/HIS changes, payer submission, clinical authority, certification claims, or customer go-live language.

x12-rcm-evidence-sprint

Owners: SCRIMED founder/operator; buyer champion; workflow owner; RCM/reimbursement reviewer
Gate sequence: Confirm no-PHI buyer discovery scope; Collect only approved metadata and synthetic examples; Review the decision scorecard and blocked-decision reasons; Select one measurable synthetic pilot outcome; Prepare claims-safe follow-up and proof packet; Escalate to qualified review before any protected pilot or procurement movement
Evidence to collect: No-PHI infrastructure discovery intake; FHIR/HL7/DICOM/X12 standards scope map; Synthetic pilot acceptance criteria; Boundary and approval card; Named buyer-side reviewer and SCRIMED reviewer; One measurable synthetic pilot success metric; Claims-safe follow-up packet with blocked-boundary card; Buyer-approved no-PHI meeting recap; Named reviewer roles and decision owner; Boundary card attached to buyer follow-up
Blockers to resolve: No live PHI authority; No production connector authority; No autonomous clinical, payer, imaging, outreach, or writeback authority; No certification, clinical validation, customer go-live, reimbursement, revenue, or security assurance claim; Qualified human review is required before any protected pilot or procurement movement
Completion criteria: No PHI, credentials, raw connector payloads, or production exports are present; All required evidence is present as metadata or synthetic examples; One buyer owner and one SCRIMED reviewer are named; The pilot outcome is measurable without live patient data; The buyer follow-up preserves all blocked authority claims
Safe operator script: Position x12-rcm-evidence-sprint as a no-PHI readiness path, not production approval.; Ask for system names, workflow priorities, reviewer roles, and success metric only.; Decline requests to process patient data, submit to payers, mutate systems, or claim certification.; Offer a human-reviewed proof packet and protected-scope discovery call as the next step.
Handoff artifacts: rcm-cfo-buyer-buyer-packet; rcm-cfo-buyer-buyer-packet-decision-scorecard; no-phi-discovery-intake; boundary-and-approval-card; claims-safe-follow-up-outline
Production authority: false
Human review required: true
Audit hash: scrimed-intel-ed4b8d18

3-5 business days for evidence collection before buyer escalation

Security, infrastructure, and procurement reviewer

Escalate when the buyer requests PHI, live connector access, credentials, EHR/PACS/RIS/HIS changes, payer submission, clinical authority, certification claims, or customer go-live language.

private-runtime-readiness-sprint

Owners: SCRIMED founder/operator; buyer champion; security/procurement reviewer; implementation reviewer
Gate sequence: Confirm no-PHI buyer discovery scope; Collect only approved metadata and synthetic examples; Review the decision scorecard and blocked-decision reasons; Select one measurable synthetic pilot outcome; Prepare claims-safe follow-up and proof packet; Escalate to qualified review before any protected pilot or procurement movement
Evidence to collect: No-PHI infrastructure discovery intake; VPN/firewall/VM/private-runtime review worksheet; Boundary and approval card; Which connectivity model is preferred for a future protected pilot: SCRIMED cloud, customer VPC, VPN, private link, air-gapped edge, or local VM?; Named buyer-side reviewer and SCRIMED reviewer; One measurable synthetic pilot success metric; Claims-safe follow-up packet with blocked-boundary card; Buyer-approved no-PHI meeting recap; Named reviewer roles and decision owner; Boundary card attached to buyer follow-up
Blockers to resolve: No live PHI authority; No production connector authority; No autonomous clinical, payer, imaging, outreach, or writeback authority; No certification, clinical validation, customer go-live, reimbursement, revenue, or security assurance claim; Qualified human review is required before any protected pilot or procurement movement
Completion criteria: No PHI, credentials, raw connector payloads, or production exports are present; All required evidence is present as metadata or synthetic examples; One buyer owner and one SCRIMED reviewer are named; The pilot outcome is measurable without live patient data; The buyer follow-up preserves all blocked authority claims
Safe operator script: Position private-runtime-readiness-sprint as a no-PHI readiness path, not production approval.; Ask for system names, workflow priorities, reviewer roles, and success metric only.; Decline requests to process patient data, submit to payers, mutate systems, or claim certification.; Offer a human-reviewed proof packet and protected-scope discovery call as the next step.
Handoff artifacts: security-private-ai-buyer-buyer-packet; security-private-ai-buyer-buyer-packet-decision-scorecard; no-phi-discovery-intake; boundary-and-approval-card; claims-safe-follow-up-outline
Production authority: false
Human review required: true
Audit hash: scrimed-intel-82a4ed44

3-5 business days for evidence collection before buyer escalation

Investor diligence and enterprise procurement reviewer

Escalate when the buyer requests PHI, live connector access, credentials, EHR/PACS/RIS/HIS changes, payer submission, clinical authority, certification claims, or customer go-live language.

audit-ledger-trust-sprint

Owners: SCRIMED founder/operator; buyer champion; workflow owner; implementation reviewer
Gate sequence: Confirm no-PHI buyer discovery scope; Collect only approved metadata and synthetic examples; Review the decision scorecard and blocked-decision reasons; Select one measurable synthetic pilot outcome; Prepare claims-safe follow-up and proof packet; Escalate to qualified review before any protected pilot or procurement movement
Evidence to collect: No-PHI infrastructure discovery intake; Synthetic pilot acceptance criteria; Boundary and approval card; Which connectivity model is preferred for a future protected pilot: SCRIMED cloud, customer VPC, VPN, private link, air-gapped edge, or local VM?; Named buyer-side reviewer and SCRIMED reviewer; One measurable synthetic pilot success metric; Claims-safe follow-up packet with blocked-boundary card; Buyer-approved no-PHI meeting recap; Named reviewer roles and decision owner; Boundary card attached to buyer follow-up
Blockers to resolve: No live PHI authority; No production connector authority; No autonomous clinical, payer, imaging, outreach, or writeback authority; No certification, clinical validation, customer go-live, reimbursement, revenue, or security assurance claim; Qualified human review is required before any protected pilot or procurement movement
Completion criteria: No PHI, credentials, raw connector payloads, or production exports are present; All required evidence is present as metadata or synthetic examples; One buyer owner and one SCRIMED reviewer are named; The pilot outcome is measurable without live patient data; The buyer follow-up preserves all blocked authority claims
Safe operator script: Position audit-ledger-trust-sprint as a no-PHI readiness path, not production approval.; Ask for system names, workflow priorities, reviewer roles, and success metric only.; Decline requests to process patient data, submit to payers, mutate systems, or claim certification.; Offer a human-reviewed proof packet and protected-scope discovery call as the next step.
Handoff artifacts: investor-trust-reviewer-buyer-packet; investor-trust-reviewer-buyer-packet-decision-scorecard; no-phi-discovery-intake; boundary-and-approval-card; claims-safe-follow-up-outline
Production authority: false
Human review required: true
Audit hash: scrimed-intel-c507119e

Proof Packet Checklist

Every external packet should carry enough evidence to sell confidence without expanding authority.

Founder + implementation lead

No-PHI infrastructure discovery intake

Any pilot recommendation or buyer-facing workflow scope

Collect system names, owners, workflow purpose, and synthetic examples only.

Review gate: Implementation lead confirms no credentials, PHI, raw connector payloads, or production exports.

Interoperability lead

FHIR/HL7/DICOM/X12 standards scope map

Any integration architecture workshop

Use resource names, message types, and synthetic fixtures only.

Review gate: Interoperability reviewer confirms no live feed, source chart, or connector approval claim.

Security lead

VPN/firewall/VM/private-runtime review worksheet

Any protected pilot architecture or private inference discussion

Document constraints and review owners without secrets, keys, IP exports, or IAM changes.

Review gate: Security reviewer confirms architecture-readiness scope only.

Product + buyer champion

Synthetic pilot acceptance criteria

Any priced pilot proposal

Define success metrics without live patient cohorts, production claims, or guaranteed outcomes.

Review gate: Buyer champion and SCRIMED owner approve one measurable outcome and one retained boundary.

Trust Safety + legal/compliance reviewer

Boundary and approval card

Any external demo, packet, proposal, or investor diligence share

State preserved boundaries plainly and exclude customer secrets or regulated claims.

Review gate: Human reviewer verifies no certification, clinical validation, production connector, payer, or go-live claim.

Hard Stops