{
  "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": "external-provenance-preserved",
    "name": "External image or report preserving external provenance",
    "area": "provider-routing",
    "viewPermission": "rip.routing.view",
    "actPermission": "rip.routing.run-synthetic",
    "expectedOutcome": "external-provenance-distinguishable",
    "fixture": "RIP-REF-0001",
    "steps": [
      "External referral/teleradiology item received",
      "External provenance recorded",
      "Distinguishable from internal",
      "Not treated as internally authored"
    ]
  },
  "message": "Read-only by default. To execute the synthetic scenario \"External image or report preserving external provenance\", re-request with explicit confirmation (confirm=confirm-synthetic-radiology). No action has been taken."
}