{
  "notice": "Synthetic, non-identifiable data only. Prototype / Synthetic Review Environment. No production transfusion activation, no live patient/donor data, no BECS integration, no live immunohematology analyzer, no live blood inventory, no production component processing, no production compatibility determination, no live transfusion, no deployment. All live blood-bank behaviour is gated behind DEBT-18.",
  "readOnlyByDefault": true,
  "everyActionAudited": true,
  "ok": true,
  "executed": false,
  "requiresConfirmation": true,
  "scenario": {
    "id": "transfusion-reaction-escalation",
    "name": "Acute transfusion reaction requiring stop, escalation and acknowledgment",
    "area": "transfusion-reactions",
    "viewPermission": "bbt.reaction.view",
    "actPermission": "bbt.reaction.run-synthetic",
    "expectedOutcome": "reaction-escalated-and-acknowledged",
    "fixture": "BBT-RXN-0001",
    "steps": [
      "Suspected reaction raised",
      "Transfusion stopped",
      "Escalation triggered",
      "Notification sent (not acknowledgment)",
      "Provider acknowledges; workup and follow-up opened"
    ]
  },
  "message": "Read-only by default. To execute the synthetic scenario \"Acute transfusion reaction requiring stop, escalation and acknowledgment\", re-request with explicit confirmation (confirm=confirm-synthetic-blood-bank). No action has been taken."
}