{
  "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": "identity-site-procedure-blocked",
    "name": "Surgery blocked without identity, site, and procedure confirmation",
    "area": "patient-procedure-identity",
    "viewPermission": "spa.identity.view",
    "actPermission": "spa.identity.run-synthetic",
    "expectedOutcome": "fail-closed-identity-not-confirmed",
    "fixture": "SPA-CASE-0003",
    "steps": [
      "Identity/site/procedure not confirmed",
      "Safety check fails (fail closed)",
      "Routed to governed exception review",
      "No silent site reattachment"
    ]
  },
  "message": "Read-only by default. To execute the synthetic scenario \"Surgery blocked without identity, site, and procedure confirmation\", re-request with explicit confirmation (confirm=confirm-synthetic-surgery). No action has been taken."
}