{
  "notice": "Synthetic, non-identifiable data only. Prototype / Synthetic Review Environment. No production imaging activation, no live patient or study data, no PACS/RIS integration, no live DICOM, no production image acquisition, no production AI interpretation, no routing to production, no deployment. All live radiology behaviour is gated behind DEBT-17.",
  "readOnlyByDefault": true,
  "everyActionAudited": true,
  "ok": true,
  "executed": false,
  "requiresConfirmation": true,
  "scenario": {
    "id": "contrast-risk-confirmation",
    "name": "Contrast-risk review requiring human confirmation",
    "area": "contrast-review",
    "viewPermission": "rip.contrast.view",
    "actPermission": "rip.contrast.run-synthetic",
    "expectedOutcome": "contraindication-hold-until-human-confirmation",
    "fixture": "RIP-ORD-0003",
    "steps": [
      "Contraindication check runs before contrast",
      "Risk surfaced",
      "ContraindicationHold applied",
      "Human confirmation required before proceeding"
    ]
  },
  "message": "Read-only by default. To execute the synthetic scenario \"Contrast-risk review requiring human confirmation\", re-request with explicit confirmation (confirm=confirm-synthetic-radiology). No action has been taken."
}