ShimmerFrame · Quiet Signal

Governance Receipt

Portable proof of a governed AI-assisted act preserved unchanged under human review.

A governed AI-assisted clinical act occurred in a standards-based clinical context. AI execution was authorized under validated human authority and credentials before draft generation. The original AI draft was preserved, the authorized human reviewer examined it, made no textual modifications, and finalized the draft unchanged. Review is recorded even when the machine-originated draft is accepted as-is, and the governed act was bound into a portable, auditable signed receipt.

Trust Summary

✓AI Execution Authorization Granted

✓AI Executed

✓Human Reviewed

✓No Human Text Modification

✓Finalized by Human

✓Source Context Bound

✓Policy State Bound

✓Signature Valid at Export

Governed Act

Workflow

Patient Message Draft

Role

Clinic Nurse

Authorized User

RN-2047

Invoker Context

Bound from SMART clinical launch

Authorized Model

llama3.1

Model Version

v1.0 (2026-04)

Model State

Approved at decision time under bound policy

Decision Time

2026-04-17 · 18:00 UTC

Receipt Type

Portable signed governance receipt

Original AI Draft

Text generated by the authorized AI system at the time of invocation Preserved unaltered

Hello Mr. Reyes, Your appointment with Dr. Smith is confirmed for Tuesday at 10:30 AM. Please arrive 15 minutes early for check-in and bring your insurance card. If you need to reschedule, reply to this message or call the office. We look forward to seeing you.

Final Human-Approved Version

Human reviewer accepted the draft as-is; no text modification before finalization

Approved for use by RN-2047 after human review Accepted unchanged

Source Evidence Manifest

Source Evidence

1 Patient, 5 Conditions, 5 Observations bound at generation

Policy State

Bound at decision

Cryptographic Signature Profile

Applied to bound payload

Portable Bundle

Generated · export logged in governance chain

Integrity Statement

This receipt is a tamper-evident, auditable proof object. It binds the execution decision, authorized user context, source evidence manifest, policy state, model state, original AI draft, and the human-approved outcome, which in this instance is the AI draft accepted without modification, into a signed canonical payload. Human review is recorded in the signed chain whether or not text modification occurred. Subsequent changes are recorded as new linked events rather than overwriting the original proof object. Unauthorized alteration of a bound field invalidates verification.

Companion artifacts Allowed · reviewed · revised · Denied · no execution