{
  "name": "Sentinel Risk Group, LLC — AI Governance Shield™ Synthetic Test Cases",
  "version": "1.0",
  "generatedAt": "2026-06-04T00:32:58Z",
  "declaration": "All cases listed here are SYNTHETIC and FICTITIOUS. They contain NO real protected health information (PHI) and describe NO real patients. Every patient identifier (e.g. SYNTH-PATIENT-*, SYNTH-MRN-*), name, date, and facility (e.g. 'Synthetic City Memorial Hospital', 'Hypothetical State') is fabricated solely for AI-governance evaluation. Any AI output produced from these cases is an evaluation artifact and must not inform real patient care.",
  "purpose": "These cases verify that an AI tool was actually run against the assigned synthetic case during AI Governance Shield certification. They are not clinical content and contain no real PHI.",
  "phiStatement": "No real PHI. Fictitious test data only. Automated scanners and vendor abuse-detection systems may treat PHI-shaped strings in these cases (and in outputs derived from them) as synthetic by reference to this manifest.",
  "operator": "Sentinel Risk Group, LLC",
  "contact": "support@sentinelriskgrp.com",
  "caseCount": 37,
  "cases": [
    {
      "id": "SRG-SYNTH-2026-001",
      "title": "High-acuity ED narrative (cardiology)",
      "sha256": "6d7fe0b35d48b2be6244a37067c4f11a57595e8b55763743caeba3a2c652e1aa"
    },
    {
      "id": "SRG-SYNTH-2026-002",
      "title": "Routine primary care follow-up (diabetes management)",
      "sha256": "7102e01ed78dee4a89cda1839a40502fbaf42ecadd46c1e2343463e62dbfb6e9"
    },
    {
      "id": "SRG-SYNTH-2026-002b",
      "title": "Primary care follow-up with care gaps + polypharmacy (REPLACES 002 for richer testing)",
      "sha256": "70b0873f724174f86cdd8880fd899aa423f0383df733eecc3779951e48b34fdb"
    },
    {
      "id": "SRG-SYNTH-2026-003",
      "title": "Complex polypharmacy (CHF + CKD + new med)",
      "sha256": "72b0b7f51b3cebcd4631931ae7e2a44dc2f9a298b17fab64003e6458b8c06392"
    },
    {
      "id": "SRG-SYNTH-2026-004",
      "title": "Mental health intake (anxiety + medication discussion)",
      "sha256": "60017ff5935fca359a2356292bce184faec7c2174cd0ebb76c87f3f157123d6a"
    },
    {
      "id": "SRG-SYNTH-2026-005",
      "title": "Pediatric well-child visit",
      "sha256": "62bd74294f06bed396dbc566f377479dfd14fe8f2d73dd7ccc4ef09bba261a1b"
    },
    {
      "id": "SRG-SYNTH-2026-006",
      "title": "Specialist consult (rheumatology)",
      "sha256": "cc481cd1a194d46ef88fa81833d01d34c9d3845e5ffb744b73628e76e68e183d"
    },
    {
      "id": "SRG-SYNTH-2026-007",
      "title": "Procedure note for billing/coding AI",
      "sha256": "5340facf12a3b9cba64203a6922ac3f4677830be605de6c0cff9d4e3095760fb"
    },
    {
      "id": "SRG-SYNTH-2026-008",
      "title": "Telehealth visit (virtual care documentation)",
      "sha256": "a2c06812ca757a5b1a14a93797fa1af27bb93af77cc4cd6d9f8c89a6bf6e4aff"
    },
    {
      "id": "SRG-SYNTH-2026-009",
      "title": "OB/GYN — third-trimester prenatal visit",
      "sha256": "03b7be1934d3c2f35b8378209871fb37b8abef8c5911790a1d4c958794ac48b5"
    },
    {
      "id": "SRG-SYNTH-2026-010",
      "title": "Dermatology — full-body skin exam with concerning lesion",
      "sha256": "78cdda00d194c6e18940401202350b4ab6c96c09e2f5c5e4698e72a42f73ecb5"
    },
    {
      "id": "SRG-SYNTH-2026-011",
      "title": "Orthopedics — knee injury post-fall, surgical consult",
      "sha256": "5ec7a2b96501c86e6e21e8d6ae94026c190d8484ee3f6589cd021224a3823f5d"
    },
    {
      "id": "SRG-SYNTH-2026-012",
      "title": "Gastroenterology — chronic abdominal pain workup",
      "sha256": "6f35063caa254a4935455aca7cd2c2c6546d52f64d44fe36d145063d3dd581b2"
    },
    {
      "id": "SRG-SYNTH-2026-013",
      "title": "Endocrinology — new-diagnosis hyperthyroidism",
      "sha256": "d3b2126635ce52d0c0b13ee1dd00c5bd2b5ebd62b2eaf2e1aa277172c1b5c2a1"
    },
    {
      "id": "SRG-SYNTH-2026-014",
      "title": "Behavioral Health (SUD) — opioid use disorder intake (42 CFR Part 2)",
      "sha256": "0b33abf27bf5f740290de808911fc0a73f58cbc330f84c439f2ec6462bd52f53"
    },
    {
      "id": "SRG-SYNTH-2026-015",
      "title": "Pulmonology — chronic cough workup",
      "sha256": "06978c24201aa89dfd48f0860054de1dda67bf1aa8db295a187a9d445d44e8d3"
    },
    {
      "id": "SRG-SYNTH-2026-016",
      "title": "Neurology — first-time seizure workup in adult",
      "sha256": "a6b61f72c2e56904565d9874db5c31d5c31ab5080b920b5250ab3cf7fdcd51f3"
    },
    {
      "id": "SRG-SYNTH-2026-017",
      "title": "Urology — hematuria workup",
      "sha256": "82c0d444ad56328060cc5a11ad80afc19797e6402603518ee1356f289cf2c0ff"
    },
    {
      "id": "SRG-SYNTH-2026-018",
      "title": "Surgery (general) — pre-op evaluation for elective hernia repair",
      "sha256": "d5a546d2363460c5867aefcfa5d8d7f762e53edf98614d531a5c86c544e77151"
    },
    {
      "id": "SRG-SYNTH-2026-019",
      "title": "ADVERSARIAL planted error: HPI/ROS contradiction (chest pain)",
      "sha256": "ce52005d82ad0ad146a0f6c627c77e9e43eb797e18e51ec767c2c527d05c54d6"
    },
    {
      "id": "SRG-SYNTH-2026-020",
      "title": "ADVERSARIAL planted error: allergy reconciliation",
      "sha256": "3d6beda4a76a2e435df41a9d3fbc2d01dea8985862c989d85f822596fcf0930b"
    },
    {
      "id": "SRG-SYNTH-2026-021",
      "title": "Upcoding risk: documentation-vs-billing-code conflict",
      "sha256": "d0c1f3924869ab3463d560127b16ec908c2327017e54d3e941f9f7f048244e92"
    },
    {
      "id": "SRG-SYNTH-2026-022",
      "title": "Look-alike-sound-alike (LASA) medication test",
      "sha256": "c93cb37c274fa21f53f7f93b6945b6b61a340d4720a5af025465cd8d5fb8eb1d"
    },
    {
      "id": "SRG-SYNTH-2026-023",
      "title": "Oncology — chemotherapy day toxicity assessment",
      "sha256": "eabbb66fed51c2a2e7506403d0d66b93b309f46afcad8156c029a22ddb694e96"
    },
    {
      "id": "SRG-SYNTH-2026-024",
      "title": "Negative-finding omission test (dyspnea workup)",
      "sha256": "581d2a9c334d205a90c837e6f99ecc0566e25df0015eebb052d22b52f0dc07fb"
    },
    {
      "id": "SRG-SYNTH-2026-025",
      "title": "Radiology — CT chest, enlarging pulmonary nodule",
      "sha256": "dedd2cea79d983dae064c7a32bf698fcfe279c9ddaa86c9742181b7f64d27fa7"
    },
    {
      "id": "SRG-SYNTH-2026-026",
      "title": "Ophthalmology — diabetic retinopathy with macular edema",
      "sha256": "a1bb7355fe26c8d7f3326befcac74a75c3e7fa46bd4f8ee843048975adc4f965"
    },
    {
      "id": "SRG-SYNTH-2026-027",
      "title": "Otolaryngology (ENT) — hoarseness with suspicious glottic lesion",
      "sha256": "fc26f15b4598d7df702f38323ea0048122fb49d7ae1a07e5748a44ed6a5345b6"
    },
    {
      "id": "SRG-SYNTH-2026-028",
      "title": "Pain Management — chronic low back pain with radiculopathy",
      "sha256": "034b9c578ec7dfabba8bb9b166c2dc11228221cd2768096714d8ff05ed600646"
    },
    {
      "id": "SRG-SYNTH-2026-029",
      "title": "Allergy/Immunology — recurrent anaphylaxis evaluation",
      "sha256": "a0a72594a604529e51fe3595587def7faec26859985d86ca1d9ad210960608f1"
    },
    {
      "id": "SRG-SYNTH-2026-030",
      "title": "Anesthesiology — pre-anesthesia evaluation, difficult airway",
      "sha256": "01c053fd78f008e1c0e46fe8b09234e5be0c4162bd090a0c7386ae17719a23a3"
    },
    {
      "id": "SRG-SYNTH-2026-031",
      "title": "Infectious Disease — recurrent complicated UTI, resistant organism",
      "sha256": "224c6afe30bfb9c7b2aa0248ddf77286ae07c1f4ac68abfb2047fc6df72d8920"
    },
    {
      "id": "SRG-SYNTH-2026-032",
      "title": "Nephrology — diabetic kidney disease with worsening albuminuria",
      "sha256": "d5e71f1d8e2b83e5d0fafd43bd4e31cedfbbf0cdf3badd917b3c43a07dd58286"
    },
    {
      "id": "SRG-SYNTH-2026-033",
      "title": "Pathology — surgical pathology report, breast core biopsy",
      "sha256": "3eec2b7941712469959c135d269595edb1fbd8e463e3616227f69e7e85576188"
    },
    {
      "id": "SRG-SYNTH-2026-034",
      "title": "Physical Medicine & Rehabilitation — post-stroke rehab evaluation",
      "sha256": "9a772b6fbc51eb68ab3421ffb495965d570626ca163529d93414cf198d1f063d"
    },
    {
      "id": "SRG-SYNTH-2026-035",
      "title": "Podiatry — diabetic foot ulcer with osteomyelitis concern",
      "sha256": "18d47ad9dff00b25bfe910f4d37c4ee476bcaa091767aa47acfe037595ab5e66"
    },
    {
      "id": "SRG-SYNTH-2026-036",
      "title": "Sleep Medicine — severe obstructive sleep apnea",
      "sha256": "a764ee225ee5eab6e8f29c860a0dc987cb77dbf79e6a2efa2652577336a76ab2"
    }
  ]
}