{
  "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": "identity-mismatch-blocked",
    "name": "Incorrect patient or study identity blocked",
    "area": "patient-study-identity",
    "viewPermission": "rip.identity.view",
    "actPermission": "rip.identity.run-synthetic",
    "expectedOutcome": "fail-closed-no-state-change",
    "fixture": "RIP-ORD-0013",
    "steps": [
      "Identity mismatch detected",
      "Transition denied (fail closed)",
      "Routed to governed exception review",
      "No silent study reattachment"
    ]
  },
  "message": "Read-only by default. To execute the synthetic scenario \"Incorrect patient or study identity blocked\", re-request with explicit confirmation (confirm=confirm-synthetic-radiology). No action has been taken."
}