{
  "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": "routine-order-to-acknowledgment",
    "name": "Routine imaging order through final report and provider acknowledgment",
    "area": "imaging-order-queue",
    "viewPermission": "rip.order.view",
    "actPermission": "rip.order.run-synthetic",
    "expectedOutcome": "final-report-released-and-acknowledged",
    "fixture": "RIP-ORD-0001",
    "steps": [
      "Order placed as EnterpriseOrder (COO-FAM-RAD-001)",
      "Validated and scheduled",
      "Patient/study identity verified",
      "Acquired via synthetic modality",
      "Preliminary report (not final)",
      "Radiologist finalizes report",
      "Routed to provider",
      "Provider acknowledges"
    ]
  },
  "message": "Read-only by default. To execute the synthetic scenario \"Routine imaging order through final report and provider acknowledgment\", re-request with explicit confirmation (confirm=confirm-synthetic-radiology). No action has been taken."
}