Immutable Audit Trail
Every governance decision, rule change and override is sealed with a SHA-256 hash. There are no edit or delete controls in this pilot — the trail is forward-only by design.
| Time | Event | Risk | Prescription | Explanation | Hash |
|---|---|---|---|---|---|
|
2026-05-10
16:32:30
|
ai settings updated | info | Rule change | AI-ready provider settings changed. API key value was not written to the audit trail. | 15dd040b5896d9… |
|
2026-05-10
10:54:31
|
prescription submitted | high | #10 Live API Verify Patient | Prescription submitted for governance evaluation. | d9fc1fc3d60f63… |
|
2026-05-10
10:54:31
|
rule triggered RX-104 · v1 | high | #10 Live API Verify Patient | Warfarin and Aspirin together may significantly increase bleeding risk according to interaction rule RX-104. Clinical impact: Aspirin and Warfarin together may significantly increase bleeding risk. Required action: Supervisor authorization required before continuing prescription. | 2caeaa1899bd64… |
|
2026-05-10
10:54:31
|
escalation | high | #10 Live API Verify Patient | High-risk prescription escalated to supervisor approval pathway. | f950ee595baa7b… |
|
2026-05-10
10:46:52
|
prescription submitted | high | #9 AI Status Highlight Verification | Prescription submitted for governance evaluation. | 3c9294aeaf0228… |
|
2026-05-10
10:46:52
|
rule triggered RX-104 · v1 | high | #9 AI Status Highlight Verification | Warfarin and Aspirin together may significantly increase bleeding risk according to interaction rule RX-104. Clinical impact: Aspirin and Warfarin together may significantly increase bleeding risk. Required action: Supervisor authorization required before continuing prescription. | 9aead4648d99f3… |
|
2026-05-10
10:46:52
|
rule triggered RX-205 · v1 | high | #9 AI Status Highlight Verification | Amoxicillin conflicts with recorded allergy Penicillin according to allergy rule RX-205. Clinical impact: Amoxicillin may trigger a reaction for patients with Penicillin allergy. Required action: Prescription must be blocked or escalated with supervisor approval. | 541a1996eb5a77… |
|
2026-05-10
10:46:52
|
escalation | high | #9 AI Status Highlight Verification | High-risk prescription escalated to supervisor approval pathway. | 66294843076c5c… |
|
2026-05-10
10:46:33
|
prescription submitted | info | #8 AI Integration Verification | Prescription submitted for governance evaluation. | d042664b959716… |
|
2026-05-10
10:46:33
|
decision allowed | info | #8 AI Integration Verification | No active governance rule was triggered. Prescription can proceed. | 9e0e4e97e246a2… |
|
2026-05-10
10:10:15
|
ai settings updated | info | Rule change | AI-ready provider settings changed. API key value was not written to the audit trail. | ced2e0c5d71eba… |
|
2026-05-09
18:19:04
|
prescription submitted | high | #7 Demo Patient | Prescription submitted for governance evaluation. | ddb86b276fff60… |
|
2026-05-09
18:19:04
|
rule triggered RX-104 · v1 | high | #7 Demo Patient | Warfarin and Aspirin together may significantly increase bleeding risk according to interaction rule RX-104. Clinical impact: Aspirin and Warfarin together may significantly increase bleeding risk. Required action: Supervisor authorization required before continuing prescription. | efeff7f1bc00f9… |
|
2026-05-09
18:19:04
|
escalation | high | #7 Demo Patient | High-risk prescription escalated to supervisor approval pathway. | bd945082ff94ac… |
|
2026-05-09
18:18:49
|
prescription submitted | high | #6 Demo Patient | Prescription submitted for governance evaluation. | a8865fc9c7b6f4… |
|
2026-05-09
18:18:49
|
rule triggered RX-104 · v1 | high | #6 Demo Patient | Warfarin and Aspirin together may significantly increase bleeding risk according to interaction rule RX-104. Clinical impact: Aspirin and Warfarin together may significantly increase bleeding risk. Required action: Supervisor authorization required before continuing prescription. | 64773b1900af61… |
|
2026-05-09
18:18:49
|
escalation | high | #6 Demo Patient | High-risk prescription escalated to supervisor approval pathway. | 1629cefdea085e… |
|
2026-05-09
18:18:17
|
prescription submitted | high | #5 Demo Patient | Prescription submitted for governance evaluation. | 28a5a2cc782987… |
|
2026-05-09
18:18:17
|
rule triggered RX-104 · v1 | high | #5 Demo Patient | Warfarin and Aspirin together may significantly increase bleeding risk according to interaction rule RX-104. Clinical impact: Aspirin and Warfarin together may significantly increase bleeding risk. Required action: Supervisor authorization required before continuing prescription. | 189f1017c4d613… |
|
2026-05-09
18:18:17
|
escalation | high | #5 Demo Patient | High-risk prescription escalated to supervisor approval pathway. | 3328f8cc6a9579… |
|
2026-05-09
17:27:04
|
prescription submitted | high | #4 Demo Patient | Prescription submitted for governance evaluation. | 7c99414f52f627… |
|
2026-05-09
17:27:04
|
rule triggered RX-104 · v1 | high | #4 Demo Patient | Warfarin and Aspirin together may significantly increase bleeding risk according to interaction rule RX-104. Clinical impact: Aspirin and Warfarin together may significantly increase bleeding risk. Required action: Supervisor authorization required before continuing prescription. | a30420640246fb… |
|
2026-05-09
17:27:04
|
escalation | high | #4 Demo Patient | High-risk prescription escalated to supervisor approval pathway. | 3050bedbcdb0bd… |
|
2026-05-09
17:17:20
|
prescription submitted | high | #3 Demo Patient | Prescription submitted for governance evaluation. | cf978b592282e5… |
|
2026-05-09
17:17:20
|
rule triggered RX-104 · v1 | high | #3 Demo Patient | Warfarin and Aspirin together may significantly increase bleeding risk according to interaction rule RX-104. Clinical impact: Aspirin and Warfarin together may significantly increase bleeding risk. Required action: Supervisor authorization required before continuing prescription. | 1e4f1781c41ada… |
|
2026-05-09
17:17:20
|
escalation | high | #3 Demo Patient | High-risk prescription escalated to supervisor approval pathway. | 36fc74473fdb84… |
|
2026-05-09
17:13:41
|
prescription submitted | high | #2 Demo Patient | Prescription submitted for governance evaluation. | 5a7c827e2c5589… |
|
2026-05-09
17:13:41
|
rule triggered RX-104 · v1 | high | #2 Demo Patient | Warfarin and Aspirin together may significantly increase bleeding risk according to interaction rule RX-104. Clinical impact: Aspirin and Warfarin together may significantly increase bleeding risk. Required action: Supervisor authorization required before continuing prescription. | 321d56b20996a0… |
|
2026-05-09
17:13:41
|
escalation | high | #2 Demo Patient | High-risk prescription escalated to supervisor approval pathway. | 6fed6d1f372219… |
|
2026-05-09
13:39:59
|
ai settings updated | info | Rule change | AI-ready provider settings changed. API key value was not written to the audit trail. | 3bf605b605ced8… |
2026-05-10 16:32:30
AI-ready provider settings changed. API key value was not written to the audit trail.
2026-05-10 10:54:31
Prescription submitted for governance evaluation.
#10 — Live API Verify Patient2026-05-10 10:54:31
Warfarin and Aspirin together may significantly increase bleeding risk according to interaction rule RX-104. Clinical impact: Aspirin and Warfarin together may significantly increase bleeding risk. Required action: Supervisor authorization required before continuing prescription.
#10 — Live API Verify Patient2026-05-10 10:54:31
High-risk prescription escalated to supervisor approval pathway.
#10 — Live API Verify Patient2026-05-10 10:46:52
Prescription submitted for governance evaluation.
#9 — AI Status Highlight Verification2026-05-10 10:46:52
Warfarin and Aspirin together may significantly increase bleeding risk according to interaction rule RX-104. Clinical impact: Aspirin and Warfarin together may significantly increase bleeding risk. Required action: Supervisor authorization required before continuing prescription.
#9 — AI Status Highlight Verification2026-05-10 10:46:52
Amoxicillin conflicts with recorded allergy Penicillin according to allergy rule RX-205. Clinical impact: Amoxicillin may trigger a reaction for patients with Penicillin allergy. Required action: Prescription must be blocked or escalated with supervisor approval.
#9 — AI Status Highlight Verification2026-05-10 10:46:52
High-risk prescription escalated to supervisor approval pathway.
#9 — AI Status Highlight Verification2026-05-10 10:46:33
Prescription submitted for governance evaluation.
#8 — AI Integration Verification2026-05-10 10:46:33
No active governance rule was triggered. Prescription can proceed.
#8 — AI Integration Verification2026-05-10 10:10:15
AI-ready provider settings changed. API key value was not written to the audit trail.
2026-05-09 18:19:04
Prescription submitted for governance evaluation.
#7 — Demo Patient2026-05-09 18:19:04
Warfarin and Aspirin together may significantly increase bleeding risk according to interaction rule RX-104. Clinical impact: Aspirin and Warfarin together may significantly increase bleeding risk. Required action: Supervisor authorization required before continuing prescription.
#7 — Demo Patient2026-05-09 18:19:04
High-risk prescription escalated to supervisor approval pathway.
#7 — Demo Patient2026-05-09 18:18:49
Prescription submitted for governance evaluation.
#6 — Demo Patient2026-05-09 18:18:49
Warfarin and Aspirin together may significantly increase bleeding risk according to interaction rule RX-104. Clinical impact: Aspirin and Warfarin together may significantly increase bleeding risk. Required action: Supervisor authorization required before continuing prescription.
#6 — Demo Patient2026-05-09 18:18:49
High-risk prescription escalated to supervisor approval pathway.
#6 — Demo Patient2026-05-09 18:18:17
Prescription submitted for governance evaluation.
#5 — Demo Patient2026-05-09 18:18:17
Warfarin and Aspirin together may significantly increase bleeding risk according to interaction rule RX-104. Clinical impact: Aspirin and Warfarin together may significantly increase bleeding risk. Required action: Supervisor authorization required before continuing prescription.
#5 — Demo Patient2026-05-09 18:18:17
High-risk prescription escalated to supervisor approval pathway.
#5 — Demo Patient2026-05-09 17:27:04
Prescription submitted for governance evaluation.
#4 — Demo Patient2026-05-09 17:27:04
Warfarin and Aspirin together may significantly increase bleeding risk according to interaction rule RX-104. Clinical impact: Aspirin and Warfarin together may significantly increase bleeding risk. Required action: Supervisor authorization required before continuing prescription.
#4 — Demo Patient2026-05-09 17:27:04
High-risk prescription escalated to supervisor approval pathway.
#4 — Demo Patient2026-05-09 17:17:20
Prescription submitted for governance evaluation.
#3 — Demo Patient2026-05-09 17:17:20
Warfarin and Aspirin together may significantly increase bleeding risk according to interaction rule RX-104. Clinical impact: Aspirin and Warfarin together may significantly increase bleeding risk. Required action: Supervisor authorization required before continuing prescription.
#3 — Demo Patient2026-05-09 17:17:20
High-risk prescription escalated to supervisor approval pathway.
#3 — Demo Patient2026-05-09 17:13:41
Prescription submitted for governance evaluation.
#2 — Demo Patient2026-05-09 17:13:41
Warfarin and Aspirin together may significantly increase bleeding risk according to interaction rule RX-104. Clinical impact: Aspirin and Warfarin together may significantly increase bleeding risk. Required action: Supervisor authorization required before continuing prescription.
#2 — Demo Patient2026-05-09 17:13:41
High-risk prescription escalated to supervisor approval pathway.
#2 — Demo Patient2026-05-09 13:39:59
AI-ready provider settings changed. API key value was not written to the audit trail.
Phase A validates governance architecture, explainability, controlled escalation and audit integrity. Decisions are deterministic and rule-based — not AI-driven. Every critical action is sealed in the immutable audit trail.