SCRIMED Intelligence Platform

Governed healthcare intelligence infrastructure where models are routed, checked, traced, and review-gated.

This operating surface exposes the synthetic-only Intelligence Mesh, Clinical Memory Graph, provenance and confidence envelope, AI Flight Recorder, evaluation pipeline, Synthetic Patient Studio, outcome KPIs, provider-neutral model routing, and SCRIMED University readiness tracks.

Inspect Platform API Download Brief Evaluation Gate Build Roadmap TrustOps Robustness Lab

Statusscrimed-intelligence-platform-active-synthetic-only

Modules12

High risk5

Graph nodes9

Graph edges6

Eval checks7

Eval gate3

Synthetic cohort3

University tracks14

GO / NO-GO

SCRIMED can demonstrate governed intelligence now; live clinical authority remains blocked.

SCRIMED Intelligence Platform is synthetic-only, metadata-only infrastructure for governed healthcare AI orchestration. It does not process live PHI, log raw connector payloads, diagnose, treat, prescribe, make final imaging interpretations, submit payer transactions, write to EHRs, activate production customers, claim certification, or authorize customer go-live.

Research/demo use only. Not for diagnosis, treatment, prescribing, imaging interpretation, payer submission, EHR writeback, patient outreach, or live patient care.

Production approval: blocked. No-PHI confirmed: yes.

Intelligence Mesh

Every module has typed risk, data classification, allowed tools, blocked tools, and human-review routing.

high

clinical_intelligence

Synthetic clinical intelligence briefs with evidence, uncertainty, and reviewer gates.

synthetic_clinical_fixture

Human review required: yes
Allowed tools: synthetic_context_loader, schema_validator, provenance_hasher, flight_recorder, memory_graph_query, fhir_r4_stub_export, csv_json_export, human_review_queue
Blocked tools: external_model_call, ehr_writeback, payer_submission, patient_outreach, imaging_final_interpretation, prescribing_action, raw_connector_logger

moderate

rcm

Revenue cycle and denials intelligence with synthetic claims stubs only.

synthetic_metadata

Human review required: no
Allowed tools: synthetic_context_loader, schema_validator, provenance_hasher, flight_recorder, memory_graph_query, fhir_r4_stub_export, csv_json_export, human_review_queue
Blocked tools: external_model_call, ehr_writeback, payer_submission, patient_outreach, imaging_final_interpretation, prescribing_action, raw_connector_logger

moderate

research

Research synthesis simulation with public-reference metadata and human review.

public_reference_metadata

Human review required: no
Allowed tools: synthetic_context_loader, schema_validator, provenance_hasher, flight_recorder, memory_graph_query, fhir_r4_stub_export, csv_json_export, human_review_queue
Blocked tools: external_model_call, ehr_writeback, payer_submission, patient_outreach, imaging_final_interpretation, prescribing_action, raw_connector_logger

high

imaging

Imaging workflow metadata, routing, and QA gates without final medical interpretation.

synthetic_metadata

Human review required: yes
Allowed tools: synthetic_context_loader, schema_validator, provenance_hasher, flight_recorder, memory_graph_query, fhir_r4_stub_export, csv_json_export, human_review_queue
Blocked tools: external_model_call, ehr_writeback, payer_submission, patient_outreach, imaging_final_interpretation, prescribing_action, raw_connector_logger

high

genomics

Genomics knowledge graph metadata and research planning without patient-specific action.

synthetic_metadata

Human review required: yes
Allowed tools: synthetic_context_loader, schema_validator, provenance_hasher, flight_recorder, memory_graph_query, fhir_r4_stub_export, csv_json_export, human_review_queue
Blocked tools: external_model_call, ehr_writeback, payer_submission, patient_outreach, imaging_final_interpretation, prescribing_action, raw_connector_logger

high

ambient_scribe

Synthetic ambient note drafting metadata with clinician signoff required.

synthetic_clinical_fixture

Human review required: yes
Allowed tools: synthetic_context_loader, schema_validator, provenance_hasher, flight_recorder, memory_graph_query, fhir_r4_stub_export, csv_json_export, human_review_queue
Blocked tools: external_model_call, ehr_writeback, payer_submission, patient_outreach, imaging_final_interpretation, prescribing_action, raw_connector_logger

moderate

docutwin

Synthetic document intelligence with provenance and draft-only outputs.

synthetic_metadata

Human review required: no
Allowed tools: synthetic_context_loader, schema_validator, provenance_hasher, flight_recorder, memory_graph_query, fhir_r4_stub_export, csv_json_export, human_review_queue
Blocked tools: external_model_call, ehr_writeback, payer_submission, patient_outreach, imaging_final_interpretation, prescribing_action, raw_connector_logger

moderate

care_explain

Patient education drafts with readability checks and clinical disclaimer.

synthetic_clinical_fixture

Human review required: no
Allowed tools: synthetic_context_loader, schema_validator, provenance_hasher, flight_recorder, memory_graph_query, fhir_r4_stub_export, csv_json_export, human_review_queue
Blocked tools: external_model_call, ehr_writeback, payer_submission, patient_outreach, imaging_final_interpretation, prescribing_action, raw_connector_logger

high

trialcore

Clinical trial matching simulation with no enrollment or patient contact authority.

synthetic_clinical_fixture

Human review required: yes
Allowed tools: synthetic_context_loader, schema_validator, provenance_hasher, flight_recorder, memory_graph_query, fhir_r4_stub_export, csv_json_export, human_review_queue
Blocked tools: external_model_call, ehr_writeback, payer_submission, patient_outreach, imaging_final_interpretation, prescribing_action, raw_connector_logger

moderate

trust_engine

Trust, safety, provenance, and audit controls for module outputs.

synthetic_metadata

Human review required: no
Allowed tools: synthetic_context_loader, schema_validator, provenance_hasher, flight_recorder, memory_graph_query, fhir_r4_stub_export, csv_json_export, human_review_queue
Blocked tools: external_model_call, ehr_writeback, payer_submission, patient_outreach, imaging_final_interpretation, prescribing_action, raw_connector_logger

low

education

SCRIMED University curriculum metadata and non-certification learning paths.

synthetic_metadata

Human review required: no
Allowed tools: synthetic_context_loader, schema_validator, provenance_hasher, flight_recorder, memory_graph_query, fhir_r4_stub_export, csv_json_export, human_review_queue
Blocked tools: external_model_call, ehr_writeback, payer_submission, patient_outreach, imaging_final_interpretation, prescribing_action, raw_connector_logger

moderate

operations

Operational intelligence for staffing, scheduling, throughput, and burden KPIs.

synthetic_metadata

Human review required: no
Allowed tools: synthetic_context_loader, schema_validator, provenance_hasher, flight_recorder, memory_graph_query, fhir_r4_stub_export, csv_json_export, human_review_queue
Blocked tools: external_model_call, ehr_writeback, payer_submission, patient_outreach, imaging_final_interpretation, prescribing_action, raw_connector_logger

Clinical Memory Graph

Concepts preserve provenance and relationships without exposing raw schemas, PHI, or connector payloads.

guideline

Handoff safety guideline metadata

Synthetic guideline reference for safe handoffs and escalation criteria.

synthetic_metadata

Source: Handoff safety guideline metadata
Source type: synthetic_fixture
Steward: SCRIMED Trust Engine

sop

Human review SOP

Internal policy metadata requiring review before high-risk clinical, payer, or connector actions.

synthetic_metadata

Source: Human review SOP
Source type: synthetic_fixture
Steward: SCRIMED Trust Engine

research

Evidence ranking method

Research metadata for grading sources, contradictions, recency, and missing evidence.

public_reference_metadata

Source: Evidence ranking method
Source type: synthetic_fixture
Steward: SCRIMED Trust Engine

patient_education

Medication literacy education

Synthetic patient education scaffold requiring clinician review before use.

synthetic_metadata

Source: Medication literacy education
Source type: synthetic_fixture
Steward: SCRIMED Trust Engine

care_pathway

Diabetes care pathway

Synthetic care pathway metadata for follow-up planning and escalation simulation.

synthetic_metadata

Source: Diabetes care pathway
Source type: synthetic_fixture
Steward: SCRIMED Trust Engine

insurance_policy

Prior authorization policy metadata

Synthetic payer policy scaffold for packet drafting without submission.

synthetic_metadata

Source: Prior authorization policy metadata
Source type: synthetic_fixture
Steward: SCRIMED Trust Engine

drug

Metformin drug concept metadata

Synthetic drug concept node for education and interaction review scaffolds.

synthetic_metadata

Source: Metformin drug concept metadata
Source type: synthetic_fixture
Steward: SCRIMED Trust Engine

ontology

LOINC vitals ontology metadata

Synthetic terminology mapping node for vitals observations.

synthetic_metadata

Source: LOINC vitals ontology metadata
Source type: synthetic_fixture
Steward: SCRIMED Trust Engine

workflow

RCM denials workflow

Synthetic workflow node for denial triage and reviewer routing.

synthetic_metadata

Source: RCM denials workflow
Source type: synthetic_fixture
Steward: SCRIMED Trust Engine

Provenance

intel-output-synthetic-001

Synthetic context is incomplete and cannot represent live clinical conditions, patient preferences, current guideline updates, or organization-specific policy.

Confidence: 0.78
Validation: review_required
Audit hash: scrimed-intel-feced1b9

Flight Recorder

flight-synthetic-clinical-001

Generate synthetic clinical intelligence brief with provenance and human-review gate.

Model: scrimed_internal
Latency: 25 ms
Override: human_review_required

Model Router

Provider-neutral synthetic routing

Providers: openai, anthropic, gemini, local_open_weight, scrimed_internal.

synthetic_route_selected: Low-cost synthetic metadata route selects local/open-weight readiness path with no external provider call.
human_review_required: High-risk clinical or healthcare context can be prepared as synthetic metadata only and must route to human review.
blocked_phi: Live PHI routing is blocked until approved privacy, security, tenant, BAA/DPA, and connector controls exist.

Evaluation Pipeline

Release-blocking checks require provenance, confidence, PHI blocking, clinical-action blocking, and trace metadata.

pass

hallucination_guard

Every sample output includes sources, uncertainty, missing evidence, and clinical disclaimer.

release_blocking

Output asserts unsupported clinical, payer, or operational facts.

pass

provenance_required

AI output envelope requires non-empty sources and deterministic audit_hash.

release_blocking

Output lacks source attribution.

pass

confidence_required

AI output envelope requires confidence_score from 0 to 1 and uncertainty_reason.

release_blocking

Output omits confidence or uncertainty.

pass

blocked_phi

Guardrail evaluator blocks live PHI and raw connector payload logging.

release_blocking

Live PHI enters model, graph, flight record, or test fixture.

pass

blocked_autonomous_clinical_action

Diagnosis, treatment, prescribing, imaging final interpretation, outreach, payer submission, and EHR writeback are blocked.

release_blocking

High-risk action proceeds without human review or block.

pass

latency_budget_metadata

Flight recorder fixture includes latency_ms and tool-call latency metadata.

release_blocking

Trace omits latency budget metadata.

placeholder_pass

regression_eval_placeholder

Placeholder preserves CI contract until reviewer-calibrated regression datasets are added.

roadmap_placeholder

Regression suite removed or left untracked.

Evaluation Gate

Metadata-only evaluation requests return allowed, human-review-required, or blocked decisions before any model or workflow use.

Route: /api/scrimed-intelligence-platform/evaluate. The gate rejects raw notes, PHI, connector payloads, token-like values, blocked tools, and autonomous clinical or payer actions.

allowed

intel-eval-synthetic-allowed-001

Synthetic metadata-only action remains inside the SCRIMED demo and diligence boundary.

evaluation-allowed

HTTP status: 200
Failed checks: none
Required actions: none
Audit hash: scrimed-intel-cf2f6794

human_review_required

intel-eval-review-queued-001

High-risk healthcare context requires qualified human review before any operational use.

evaluation-human-review-required

HTTP status: 202
Failed checks: none
Required actions: Queue qualified human review before operational use.
Audit hash: scrimed-intel-34cba7f3

blocked

intel-eval-blocked-phi-001

Action crosses SCRIMED NO-GO boundaries for PHI, autonomous clinical authority, system-of-record mutation, production activation, or certification claims.

evaluation-blocked

HTTP status: 403
Failed checks: synthetic_only_required, live_phi_blocked, blocked_tool_requested, provenance_required, confidence_required, uncertainty_required, clinical_disclaimer_required, audit_hash_required, action_boundary_blocked, model_phi_route_blocked
Required actions: Remove blocked tools: external_model_call, ehr_writeback, Remove live PHI and route through approved privacy/security/customer gates., Queue qualified human review before operational use.
Audit hash: scrimed-intel-2b0bb1ec

deterministic-seeded-synthetic-only

Synthetic Patient Studio

Seed scrimed-synthetic-cohort-v1 generates 3 synthetic records and 12 FHIR R4 stub entries.

synthetic-patient-1: 65-79, synthetic-suburban
synthetic-patient-2: 18-34, synthetic-urban
synthetic-patient-3: 18-34, synthetic-urban

Outcome Intelligence

Dashboard-ready KPI schema

Clinical readmissions: 12.5
Financial denials: 8.4
Documentation time: 18
Patient engagement: 64

Human review

5 modules route to oversight

High-risk modules cannot promote to production behavior without qualified review and boundary release evidence.

clinical_intelligence
imaging
genomics
ambient_scribe
trialcore

SCRIMED University