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DEMONSTRATION ENVIRONMENTLAKEVIEW GENERAL HOSPITALSYNTHETIC DATA ONLYNOT FOR PHIFictional hospital · real Nexus governance logic

Alice AI governance

Alice · Decision · ALC-2026-0912-0001

Draft a discharge summary for clinician sign-off

Sep 12, 2026, 9:02 a.m. ET · Hospitalist, Internal Medicine via Discharge Summary Assistant. Hold for Attending physician. Nothing executes until the decision is recorded.

REVIEW

The request

Human
Hospitalist, Internal Medicine · verified via Hospital SSO (synthetic)
Agent
Discharge Summary Assistant L1 · Human with assistant
Purpose · workflow
discharge-summary · inpatient-discharge
Data
PHI
Model requested
Sovereign clinical model DEMO-MDL-SOV-01 · Sovereign · on-premise, Canada
Model selected
Sovereign clinical model DEMO-MDL-SOV-01
Tools
chart-read
Action
Draft content · risk MEDIUM · reversible
Runtime
governed-production · internal network · session verified

The verdict

Final verdict
REVIEW
Primary reason
RISK_AT_THRESHOLD — Action risk MEDIUM meets the envelope's review threshold (MEDIUM).
Policies triggered
None beyond the envelope
Approval
Attending physician · approved · Sep 12, 2026, 9:09 a.m. ET
Required next action
Hold for Attending physician. Nothing executes until the decision is recorded.
Outcome
Draft approved and signed by the attending physician; entered the record with the receipt attached.
Trust Receipt
TR2-2026-0912-0001 · chain event #4 →

Decision evidence

Every check Alice ran, in order, with its status and reason code. This is the whole reasoning; there is no hidden chain of thought.

  1. Identity verified PASSHospitalist, Internal Medicine authenticated via Hospital SSO (synthetic).IDENTITY_VERIFIED
  2. Agent registered PASSDischarge Summary Assistant · pilot · owner Chief Medical Information Officer · autonomy L1 (Human with assistant).AGENT_REGISTERED
  3. Purpose approved PASS"discharge-summary" is an approved purpose for Discharge Summary Assistant.PURPOSE_APPROVED
  4. Business workflow recognized PASSWorkflow "inpatient-discharge" is registered for this agent.WORKFLOW_RECOGNIZED
  5. Data permitted PASSPHI is inside the envelope (PUBLIC, INTERNAL, PHI).DATA_PERMITTED
  6. Model eligible PASSSovereign clinical model is eligible for PHI / discharge-summary and inside the envelope.MODEL_ELIGIBLE
  7. Tools permitted PASSRequested tools are inside the envelope: chart-read.TOOLS_PERMITTED
  8. Action within envelope REVIEWAction risk MEDIUM meets the envelope's review threshold (MEDIUM).RISK_AT_THRESHOLD
  9. Policy triggered PASSNo policy rule applies beyond the envelope.NO_POLICY_TRIGGERED
  10. Approval requirement REVIEWHuman with assistant (L1): Draft content requires approval by Attending physician.APPROVAL_REQUIRED
  11. Evaluation on file PASSalice-eval-v1 · clinical-summary-fidelity · pass · 2026-08-20 · 93%.EVAL_PASSED
  12. Runtime context PASSgoverned-production · internal network · session verified.RUNTIME_OK

← Decision stream

Alice on this site runs over the synthetic Lakeview General Hospital environment. Verdicts, checks, and receipts are computed by the Nexus decision engine on synthetic requests; nothing here is a customer, a patient, or a production deployment. Signed-in organizations see their own agents, decisions, and receipts.