TRUST RECEIPT 2.0 · TR2-2026-0912-0002Decision ALC-2026-0912-0002 · issued Sep 12, 2026, 1:41:50 p.m. UTC · synthetic demonstration record
BLOCK BLOCK
PHI is outside the envelope (PUBLIC, INTERNAL).
DATA_NOT_PERMITTED
Request & decision
- Purpose · workflow
- clinical-summarization · inpatient-discharge
- Human
- Hospitalist, Internal Medicine · verified via Hospital SSO (synthetic) (role only; no individual is named)
- Agent
- Staff Drafting Assistant · autonomy L1 · owner Chief Information Officer
- Data classification
- PHI
- Residency
- No model executed
- Model requested → selected
- External cloud assistant → none
- Tools
- none
- Action
- Summarize a patient chart with the external cloud model
- Policies
- Data Sovereignty Policy · Autonomy Cap for Unverified Inventory (GOV-04 gap)
Human review & outcome
- Human review
- Not required
- 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).
Evidence
- Evidence
- Policy decision record · PHI request blocked from external model sha256:cb584987561c…
Decision evidence (13 checks)
- Identity verified PASS
IDENTITY_VERIFIED - Agent registered PASS
AGENT_REGISTERED - Purpose approved REVIEW
PURPOSE_NOT_APPROVED - Business workflow recognized REVIEW
WORKFLOW_UNREGISTERED - Data permitted FAIL
DATA_NOT_PERMITTED - Model eligible FAIL
PHI_REQUIRES_SOVEREIGN_EXECUTION - Tools permitted NOT APPLICABLE
NO_TOOLS_REQUESTED - Action within envelope REVIEW
RISK_AT_THRESHOLD - Policy · Data Sovereignty Policy FAIL
PHI_EXTERNAL_NETWORK - Policy · Autonomy Cap for Unverified Inventory (GOV-04 gap) REVIEW
INVENTORY_UNVERIFIED_CAP - Approval requirement PASS
WITHIN_AUTONOMY - Evaluation on file REVIEW
EVAL_NOT_RUN - Runtime context PASS
RUNTIME_OK
Integrity & identifiers
- Audit integrity
- ✓ Integrity verified recomputed from the hash chain on load
- Chain event
- #6 · self 5d6a5d6b897f8dcb… · prev b5af52efed6f…
- Re-verify
- Open the audit chain and re-verify →
DEMONSTRATION · SYNTHETICNO PHI · NO PROMPTS · NO OUTPUTSVERDICT BY THE NEXUS DECISION ENGINESEALED BY THE NEXUS AUDIT HASH CHAIN