SF
ShimmerFrame · Quiet Signal
Governance Receipt
Portable proof of a governed AI-assisted clinical act.
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, human review and revision were recorded, and the final human-approved version was bound into a portable, auditable signed receipt.
Trust Summary
✓Allowed
✓AI Execution Authorization Granted
✓AI Executed
✓Human Reviewed
✓Human Modified
✓Finalized by Human
✓Source Context Bound
✓Policy State Bound
✓Signature Valid at Export
✓Export Logged
Original AI Draft
Hello Ms. Carter,
Your recent lab results were within normal limits, and there are no urgent concerns at this time. Please continue your current medications and follow up as scheduled. If you have questions, please let us know.
Final Human-Approved Version
Clinically meaningful human correction before finalization
Hello Ms. Carter,
Although your blood count remains within the normal range, it has decreased compared with your recent prior result. Dr. Smith would like to see you in the office this week for further evaluation. Please contact our office to schedule that appointment. If you develop new or worsening symptoms before then, please let us know right away.
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 final human-approved outcome into a signed canonical payload. It preserves the governed act as it existed at that moment in time. Subsequent changes are recorded as new linked events in the chain rather than overwriting the original proof object. Unauthorized alteration of a bound field invalidates verification.