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

Alice AI governance

Alice · Decision · ALC-2026-0912-0002

Summarize a patient chart with the external cloud model

Sep 12, 2026, 9:41 a.m. ET · Hospitalist, Internal Medicine via Staff Drafting Assistant. Refused. Re-submit with Sovereign clinical model is eligible for this request inside the envelope.

BLOCK

The request

Human
Hospitalist, Internal Medicine · verified via Hospital SSO (synthetic)
Agent
Staff Drafting Assistant L1 · Human with assistant
Purpose · workflow
clinical-summarization · inpatient-discharge
Data
PHI
Model requested
External cloud assistant DEMO-MDL-EXT-01 · External · cloud provider, outside the organization's boundary
Model selected
None
Tools
none
Action
Summarize · risk MEDIUM · reversible
Runtime
governed-production · external network · session verified

The verdict

Final verdict
BLOCK
Primary reason
DATA_NOT_PERMITTED — PHI is outside the envelope (PUBLIC, INTERNAL).
Policies triggered
Data Sovereignty PolicyAutonomy Cap for Unverified Inventory (GOV-04 gap)
Approval
Not required
Eligible alternative
Sovereign clinical model is eligible for this request inside the envelope.
Required next action
Refused. Re-submit with Sovereign clinical model is eligible for this request inside the envelope.
Outcome
External model refused for PHI. The clinician re-submitted through the Discharge Summary Assistant on the sovereign clinical model (next decision at 16:45).
Trust Receipt
TR2-2026-0912-0002 · chain event #6 →

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 PASSStaff Drafting Assistant · active · owner Chief Information Officer · autonomy L1 (Human with assistant).AGENT_REGISTERED
  3. Purpose approved REVIEW"clinical-summarization" is not on the agent's approved purposes; a human must decide.PURPOSE_NOT_APPROVED
  4. Business workflow recognized REVIEWWorkflow "inpatient-discharge" is not registered for this agent.WORKFLOW_UNREGISTERED
  5. Data permitted FAILPHI is outside the envelope (PUBLIC, INTERNAL).DATA_NOT_PERMITTED
  6. Model eligible FAILExternal cloud assistant: PHI_REQUIRES_SOVEREIGN_EXECUTION, CLASSIFICATION_NOT_ALLOWED.PHI_REQUIRES_SOVEREIGN_EXECUTION
  7. Tools permitted NOT APPLICABLENo tools requested.NO_TOOLS_REQUESTED
  8. Action within envelope REVIEWAction risk MEDIUM meets the envelope's review threshold (MEDIUM).RISK_AT_THRESHOLD
  9. Policy · Data Sovereignty Policy FAILPHI cannot traverse an external network under the Data Sovereignty Policy.PHI_EXTERNAL_NETWORK
  10. Policy · Autonomy Cap for Unverified Inventory (GOV-04 gap) REVIEWHost system was discovered, not approved; non-public requests are reviewed until GOV-04 closes.INVENTORY_UNVERIFIED_CAP
  11. Approval requirement PASSHuman with assistant (L1): Summarize is inside the autonomy envelope.WITHIN_AUTONOMY
  12. Evaluation on file REVIEWalice-eval-v1 · drafting-quality has not been run; non-public use is reviewed until it is.EVAL_NOT_RUN
  13. Runtime context PASSgoverned-production · external 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.