{
  "notice": "Synthetic, non-identifiable data only. Prototype / Synthetic Review Environment. No production surgery scheduling, no production theatre activation, no live anesthesia integration, no live patient data, no device/monitor integration, no production medication administration, no production implant tracking, no production blood-product issue, no deployment. All live perioperative behaviour is gated behind DEBT-19.",
  "readOnlyByDefault": true,
  "everyActionAudited": true,
  "ok": true,
  "executed": false,
  "requiresConfirmation": true,
  "scenario": {
    "id": "adverse-event-escalation",
    "name": "Adverse event requiring escalation and acknowledgment",
    "area": "adverse-events",
    "viewPermission": "spa.adverse.view",
    "actPermission": "spa.adverse.run-synthetic",
    "expectedOutcome": "adverse-event-escalated-and-acknowledged",
    "fixture": "SPA-CASE-0010",
    "steps": [
      "Suspected adverse event raised",
      "Escalation triggered",
      "Notification sent (not acknowledgment)",
      "Provider acknowledges; workup and follow-up opened"
    ]
  },
  "message": "Read-only by default. To execute the synthetic scenario \"Adverse event requiring escalation and acknowledgment\", re-request with explicit confirmation (confirm=confirm-synthetic-surgery). No action has been taken."
}