TRUST RECEIPT 2.0 · TR2-2026-0912-0012Decision ALC-2026-0912-0012 · issued Sep 12, 2026, 4:45:09 p.m. UTC · synthetic demonstration record
REVIEW REVIEW
Action risk MEDIUM meets the envelope's review threshold (MEDIUM).
RISK_AT_THRESHOLD
Request & decision
- Purpose · workflow
- discharge-summary · inpatient-discharge
- Human
- Hospitalist, Internal Medicine · verified via Hospital SSO (synthetic) (role only; no individual is named)
- Agent
- Discharge Summary Assistant · autonomy L1 · owner Chief Medical Information Officer
- Data classification
- PHI
- Residency
- Canada · hospital-controlled infrastructure
- Model requested → selected
- Sovereign clinical model → Sovereign clinical model
- Tools
- chart-read
- Action
- Draft a second discharge summary for clinician sign-off
- Policies
- None beyond the envelope
Human review & outcome
- Human review
- Attending physician · approved · Sep 12, 2026, 4:52:02 p.m. UTC
- Outcome
- Draft approved and signed by the attending physician.
Evidence
- Evidence
- Model card · Sovereign clinical model 2026.06 sha256:1d05b83c5434…
- Clinician approval record · discharge summary draft sha256:68f5903d93ea…
Decision evidence (12 checks)
- Identity verified PASS
IDENTITY_VERIFIED - Agent registered PASS
AGENT_REGISTERED - Purpose approved PASS
PURPOSE_APPROVED - Business workflow recognized PASS
WORKFLOW_RECOGNIZED - Data permitted PASS
DATA_PERMITTED - Model eligible PASS
MODEL_ELIGIBLE - Tools permitted PASS
TOOLS_PERMITTED - Action within envelope REVIEW
RISK_AT_THRESHOLD - Policy triggered PASS
NO_POLICY_TRIGGERED - Approval requirement REVIEW
APPROVAL_REQUIRED - Evaluation on file PASS
EVAL_PASSED - Runtime context PASS
RUNTIME_OK
Integrity & identifiers
- Audit integrity
- ✓ Integrity verified recomputed from the hash chain on load
- Chain event
- #15 · self 6d4d97496ac73640… · prev 2ef3de316fb5…
- 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