{
  "architecture": {
    "accessDate": "2026-08-10",
    "sourceUrl": "https://guides.ohie.org/arch-spec/",
    "title": "OpenHIE Architecture Specification",
    "version": "5.2 (August 2024)"
  },
  "demoModelVersion": "1.0.0",
  "disclaimer": "This is an independent, OpenHIE-inspired educational simulation built from synthetic fixtures. It is not an OpenHIE product or endorsed reference implementation. It is not a deployable HIE, clinical system, security control, certification, or demonstration of legal compliance, production security, scalability, clinical safety, or standards conformance.",
  "scenario": "commit-ack-lost",
  "seed": 1105,
  "synthetic": true,
  "trace": {
    "attempts": [],
    "audit": [
      {
        "actorRef": "SYN-WRK-0148",
        "artifactRefs": [
          "SYN-ART-REG-00417-V1"
        ],
        "attempt": 1,
        "demoTimestamp": "2026-02-03T09:02:00.000Z",
        "detail": "Illustrative envelope references the immutable payload rather than copying it.",
        "id": "SYN-AUDIT-1-1105",
        "operation": "exchange-envelope-created",
        "outcome": "success",
        "purpose": "care-delivery-demo",
        "systemRef": "iol",
        "traceId": "SYN-TRACE-COMMIT-ACK-LOST-1105"
      },
      {
        "actorRef": "SYN-WRK-0148",
        "artifactRefs": [],
        "attempt": 1,
        "decision": "permit",
        "demoTimestamp": "2026-02-03T09:03:00.000Z",
        "detail": "Sender, facility, worker, relationship, and toy policy checks passed.",
        "id": "SYN-AUDIT-2-1105",
        "operation": "trust-check-join",
        "outcome": "success",
        "purpose": "care-delivery-demo",
        "systemRef": "iol",
        "traceId": "SYN-TRACE-COMMIT-ACK-LOST-1105"
      },
      {
        "actorRef": "SYN-WRK-0148",
        "artifactRefs": [
          "SYN-LINK-LCC-00417",
          "SYN-LINK-EBD-00261"
        ],
        "attempt": 1,
        "demoTimestamp": "2026-02-03T09:04:00.000Z",
        "detail": "Identity evidence resolves to enterprise identity SYN-CR-000184.",
        "id": "SYN-AUDIT-3-1105",
        "operation": "identity-linkage-resolved",
        "outcome": "success",
        "purpose": "care-delivery-demo",
        "systemRef": "client-registry",
        "traceId": "SYN-TRACE-COMMIT-ACK-LOST-1105"
      },
      {
        "actorRef": "SYN-WRK-0148",
        "artifactRefs": [
          "SYN-SHR-SUMMARY-000184-V1"
        ],
        "attempt": 1,
        "demoTimestamp": "2026-02-03T09:05:00.000Z",
        "detail": "Only the permitted normalized subset was returned; missing information remains explicit.",
        "id": "SYN-AUDIT-4-1105",
        "operation": "limited-summary-disclosed",
        "outcome": "success",
        "purpose": "care-delivery-demo",
        "systemRef": "shared-health-record",
        "traceId": "SYN-TRACE-COMMIT-ACK-LOST-1105"
      },
      {
        "actorRef": "SYN-WRK-0148",
        "artifactRefs": [
          "SYN-ART-ORDER-HB-V1",
          "SYN-CANONICAL-ORDER-HB-V1"
        ],
        "attempt": 1,
        "demoTimestamp": "2026-02-03T09:20:00.000Z",
        "detail": "Order transformed with mediator 1.0.0 and mapping version 1.2.0.",
        "id": "SYN-AUDIT-5-1105",
        "operation": "structural-and-semantic-normalization",
        "outcome": "success",
        "purpose": "care-delivery-demo",
        "systemRef": "terminology-service",
        "traceId": "SYN-TRACE-COMMIT-ACK-LOST-1105"
      },
      {
        "actorRef": "SYN-WRK-0148",
        "artifactRefs": [
          "SYN-ART-RESULT-HB-V1",
          "SYN-SHR-RESULT-HB-V1"
        ],
        "attempt": 1,
        "demoTimestamp": "2026-02-03T10:10:00.000Z",
        "detail": "One normalized result version committed; audit excludes the clinical value.",
        "id": "SYN-AUDIT-6-1105",
        "operation": "clinical-result-commit",
        "outcome": "success",
        "purpose": "care-delivery-demo",
        "systemRef": "shared-health-record",
        "traceId": "SYN-TRACE-COMMIT-ACK-LOST-1105"
      },
      {
        "actorRef": "SYN-WRK-0148",
        "artifactRefs": [
          "SYN-ART-RESULT-HB-V1",
          "SYN-SHR-RESULT-HB-V1"
        ],
        "attempt": 1,
        "demoTimestamp": "2026-02-03T10:10:00.000Z",
        "detail": "The acknowledgement was lost after the SHR commit.",
        "id": "SYN-AUDIT-7-1105",
        "operation": "failure-at-iol",
        "outcome": "serious-failure",
        "purpose": "care-delivery-demo",
        "systemRef": "iol",
        "traceId": "SYN-TRACE-COMMIT-ACK-LOST-1105"
      }
    ],
    "envelopes": [
      {
        "attempt": 1,
        "correlationId": "SYN-CORR-COMMIT-ACK-LOST-1105",
        "declaredPurpose": "care-delivery-demo",
        "demoTimestamp": "2026-02-03T09:02:00.000Z",
        "idempotencyKey": "SYN-IDEM-HISTORY-001",
        "interaction": "find-shared-history",
        "messageId": "SYN-MSG-SCENE-2-1-1-1105",
        "payloadRef": "SYN-ART-REG-00417-V1",
        "receiver": "iol",
        "schema": "demo-exchange-envelope-v1",
        "sender": "clinic-ehr",
        "status": "acknowledged",
        "synthetic": true,
        "traceId": "SYN-TRACE-COMMIT-ACK-LOST-1105"
      },
      {
        "attempt": 1,
        "correlationId": "SYN-CORR-COMMIT-ACK-LOST-1105",
        "declaredPurpose": "care-delivery-demo",
        "demoTimestamp": "2026-02-03T09:20:00.000Z",
        "idempotencyKey": "SYN-IDEM-ORDER-HB-001",
        "interaction": "submit-laboratory-order",
        "messageId": "SYN-MSG-SCENE-6-1-2-1105",
        "payloadRef": "SYN-ART-ORDER-HB-V1",
        "receiver": "laboratory",
        "schema": "demo-exchange-envelope-v1",
        "sender": "clinic-ehr",
        "status": "validated",
        "synthetic": true,
        "traceId": "SYN-TRACE-COMMIT-ACK-LOST-1105"
      },
      {
        "attempt": 1,
        "correlationId": "SYN-CORR-COMMIT-ACK-LOST-1105",
        "declaredPurpose": "care-delivery-demo",
        "demoTimestamp": "2026-02-03T10:10:00.000Z",
        "idempotencyKey": "SYN-IDEM-RESULT-HB-001",
        "interaction": "submit-laboratory-result",
        "messageId": "SYN-MSG-SCENE-7-1-3-1105",
        "payloadRef": "SYN-ART-RESULT-HB-V1",
        "receiver": "shared-health-record",
        "schema": "demo-exchange-envelope-v1",
        "sender": "laboratory",
        "status": "committed",
        "synthetic": true,
        "traceId": "SYN-TRACE-COMMIT-ACK-LOST-1105"
      }
    ],
    "events": [
      {
        "artifactRefs": [],
        "demoTimestamp": "2026-02-03T09:00:00.000Z",
        "detail": "Loaded authored scenario commit-ack-lost with seed 1105.",
        "sequence": 1,
        "status": "idle",
        "stepId": "scene-0",
        "type": "SCENARIO_LOADED"
      },
      {
        "artifactRefs": [
          "SYN-ART-REG-00417-V1"
        ],
        "componentId": "clinic-ehr",
        "demoTimestamp": "2026-02-03T09:01:00.000Z",
        "detail": "Immutable local registration source displayed before exchange.",
        "sequence": 2,
        "status": "received",
        "stepId": "scene-1",
        "type": "SOURCE_ARTIFACT_SHOWN"
      },
      {
        "artifactRefs": [],
        "componentId": "clinic-ehr",
        "demoTimestamp": "2026-02-03T09:01:00.000Z",
        "detail": "The Clinic EHR shows immutable source artifact SYN-ART-REG-00417-V1 before exchange.",
        "sequence": 3,
        "status": "acknowledged",
        "stepId": "scene-1",
        "type": "SCENE_COMPLETED"
      },
      {
        "artifactRefs": [
          "SYN-ART-REG-00417-V1"
        ],
        "componentId": "iol",
        "demoTimestamp": "2026-02-03T09:02:00.000Z",
        "detail": "clinic-ehr called iol for find-shared-history.",
        "sequence": 4,
        "status": "received",
        "stepId": "scene-2",
        "type": "ORCHESTRATION_CALL_RECORDED"
      },
      {
        "artifactRefs": [
          "SYN-ART-REG-00417-V1"
        ],
        "componentId": "iol",
        "demoTimestamp": "2026-02-03T09:02:00.000Z",
        "detail": "Created demo envelope for find-shared-history.",
        "sequence": 5,
        "status": "received",
        "stepId": "scene-2",
        "type": "ENVELOPE_CREATED"
      },
      {
        "artifactRefs": [
          "SYN-ART-REG-00417-V1"
        ],
        "componentId": "audit-evidence",
        "demoTimestamp": "2026-02-03T09:02:00.000Z",
        "detail": "iol called audit-evidence for record-redacted-audit-evidence.",
        "sequence": 6,
        "status": "acknowledged",
        "stepId": "scene-2",
        "type": "ORCHESTRATION_CALL_RECORDED"
      },
      {
        "artifactRefs": [
          "SYN-ART-REG-00417-V1"
        ],
        "componentId": "audit-evidence",
        "demoTimestamp": "2026-02-03T09:02:00.000Z",
        "detail": "Illustrative envelope references the immutable payload rather than copying it.",
        "sequence": 7,
        "status": "acknowledged",
        "stepId": "scene-2",
        "type": "AUDIT_RECORDED"
      },
      {
        "artifactRefs": [],
        "componentId": "clinic-ehr",
        "demoTimestamp": "2026-02-03T09:02:00.000Z",
        "detail": "The IOL creates illustrative demo-exchange-envelope-v1 with a payload reference and deterministic attempt metadata.",
        "sequence": 8,
        "status": "acknowledged",
        "stepId": "scene-2",
        "type": "SCENE_COMPLETED"
      },
      {
        "artifactRefs": [
          "SYN-ART-REG-00417-V1"
        ],
        "componentId": "authentication",
        "demoTimestamp": "2026-02-03T09:03:00.000Z",
        "detail": "iol called authentication for authenticate-sender.",
        "sequence": 9,
        "status": "acknowledged",
        "stepId": "scene-3",
        "type": "ORCHESTRATION_CALL_RECORDED"
      },
      {
        "artifactRefs": [
          "SYN-ART-REG-00417-V1"
        ],
        "componentId": "facility-registry",
        "demoTimestamp": "2026-02-03T09:03:00.000Z",
        "detail": "iol called facility-registry for verify-active-facility.",
        "sequence": 10,
        "status": "acknowledged",
        "stepId": "scene-3",
        "type": "ORCHESTRATION_CALL_RECORDED"
      },
      {
        "artifactRefs": [
          "SYN-ART-REG-00417-V1"
        ],
        "componentId": "health-worker-registry",
        "demoTimestamp": "2026-02-03T09:03:00.000Z",
        "detail": "iol called health-worker-registry for verify-active-worker.",
        "sequence": 11,
        "status": "acknowledged",
        "stepId": "scene-3",
        "type": "ORCHESTRATION_CALL_RECORDED"
      },
      {
        "artifactRefs": [
          "SYN-ART-REG-00417-V1"
        ],
        "componentId": "interlinking",
        "demoTimestamp": "2026-02-03T09:03:00.000Z",
        "detail": "iol called interlinking for verify-worker-facility-relationship.",
        "sequence": 12,
        "status": "acknowledged",
        "stepId": "scene-3",
        "type": "ORCHESTRATION_CALL_RECORDED"
      },
      {
        "artifactRefs": [
          "SYN-ART-REG-00417-V1"
        ],
        "componentId": "policy",
        "demoTimestamp": "2026-02-03T09:03:00.000Z",
        "detail": "iol called policy for evaluate-disclosure-policy.",
        "sequence": 13,
        "status": "acknowledged",
        "stepId": "scene-3",
        "type": "ORCHESTRATION_CALL_RECORDED"
      },
      {
        "artifactRefs": [],
        "componentId": "audit-evidence",
        "demoTimestamp": "2026-02-03T09:03:00.000Z",
        "detail": "iol called audit-evidence for record-redacted-audit-evidence.",
        "sequence": 14,
        "status": "acknowledged",
        "stepId": "scene-3",
        "type": "ORCHESTRATION_CALL_RECORDED"
      },
      {
        "artifactRefs": [],
        "componentId": "audit-evidence",
        "demoTimestamp": "2026-02-03T09:03:00.000Z",
        "detail": "Sender, facility, worker, relationship, and toy policy checks passed.",
        "sequence": 15,
        "status": "acknowledged",
        "stepId": "scene-3",
        "type": "AUDIT_RECORDED"
      },
      {
        "artifactRefs": [],
        "componentId": "iol",
        "demoTimestamp": "2026-02-03T09:03:00.000Z",
        "detail": "The IOL fans out simulated authentication, facility, worker, interlinking, and policy checks, then joins their outcomes.",
        "sequence": 16,
        "status": "acknowledged",
        "stepId": "scene-3",
        "type": "SCENE_COMPLETED"
      },
      {
        "artifactRefs": [
          "SYN-LINK-LCC-00417",
          "SYN-LINK-EBD-00261"
        ],
        "componentId": "client-registry",
        "demoTimestamp": "2026-02-03T09:04:00.000Z",
        "detail": "iol called client-registry for resolve-enterprise-identity.",
        "sequence": 17,
        "status": "acknowledged",
        "stepId": "scene-4",
        "type": "ORCHESTRATION_CALL_RECORDED"
      },
      {
        "artifactRefs": [
          "SYN-LINK-LCC-00417",
          "SYN-LINK-EBD-00261"
        ],
        "componentId": "entity-matching",
        "demoTimestamp": "2026-02-03T09:04:00.000Z",
        "detail": "iol called entity-matching for evaluate-identity-candidates.",
        "sequence": 18,
        "status": "acknowledged",
        "stepId": "scene-4",
        "type": "ORCHESTRATION_CALL_RECORDED"
      },
      {
        "artifactRefs": [
          "SYN-LINK-LCC-00417",
          "SYN-LINK-EBD-00261"
        ],
        "componentId": "audit-evidence",
        "demoTimestamp": "2026-02-03T09:04:00.000Z",
        "detail": "iol called audit-evidence for record-redacted-audit-evidence.",
        "sequence": 19,
        "status": "acknowledged",
        "stepId": "scene-4",
        "type": "ORCHESTRATION_CALL_RECORDED"
      },
      {
        "artifactRefs": [
          "SYN-LINK-LCC-00417",
          "SYN-LINK-EBD-00261"
        ],
        "componentId": "audit-evidence",
        "demoTimestamp": "2026-02-03T09:04:00.000Z",
        "detail": "Identity evidence resolves to enterprise identity SYN-CR-000184.",
        "sequence": 20,
        "status": "acknowledged",
        "stepId": "scene-4",
        "type": "AUDIT_RECORDED"
      },
      {
        "artifactRefs": [],
        "componentId": "iol",
        "demoTimestamp": "2026-02-03T09:04:00.000Z",
        "detail": "The Client Registry and entity-matching capability return linkage evidence for SYN-CR-000184.",
        "sequence": 21,
        "status": "acknowledged",
        "stepId": "scene-4",
        "type": "SCENE_COMPLETED"
      },
      {
        "artifactRefs": [
          "SYN-SHR-SUMMARY-000184-V1"
        ],
        "componentId": "shared-health-record",
        "demoTimestamp": "2026-02-03T09:05:00.000Z",
        "detail": "iol called shared-health-record for query-limited-shared-summary.",
        "sequence": 22,
        "status": "acknowledged",
        "stepId": "scene-5",
        "type": "ORCHESTRATION_CALL_RECORDED"
      },
      {
        "artifactRefs": [
          "SYN-SHR-SUMMARY-000184-V1"
        ],
        "componentId": "clinic-ehr",
        "demoTimestamp": "2026-02-03T09:05:00.000Z",
        "detail": "iol called clinic-ehr for return-limited-shared-summary.",
        "sequence": 23,
        "status": "acknowledged",
        "stepId": "scene-5",
        "type": "ORCHESTRATION_CALL_RECORDED"
      },
      {
        "artifactRefs": [
          "SYN-SHR-SUMMARY-000184-V1"
        ],
        "componentId": "audit-evidence",
        "demoTimestamp": "2026-02-03T09:05:00.000Z",
        "detail": "iol called audit-evidence for record-redacted-audit-evidence.",
        "sequence": 24,
        "status": "acknowledged",
        "stepId": "scene-5",
        "type": "ORCHESTRATION_CALL_RECORDED"
      },
      {
        "artifactRefs": [
          "SYN-SHR-SUMMARY-000184-V1"
        ],
        "componentId": "audit-evidence",
        "demoTimestamp": "2026-02-03T09:05:00.000Z",
        "detail": "Only the permitted normalized subset was returned; missing information remains explicit.",
        "sequence": 25,
        "status": "acknowledged",
        "stepId": "scene-5",
        "type": "AUDIT_RECORDED"
      },
      {
        "artifactRefs": [],
        "componentId": "clinic-ehr",
        "demoTimestamp": "2026-02-03T09:05:00.000Z",
        "detail": "The IOL queries the SHR by enterprise identity; clinical content and acknowledgement remain separate artifacts.",
        "sequence": 26,
        "status": "acknowledged",
        "stepId": "scene-5",
        "type": "SCENE_COMPLETED"
      },
      {
        "artifactRefs": [
          "SYN-ART-ORDER-HB-V1"
        ],
        "componentId": "iol",
        "demoTimestamp": "2026-02-03T09:20:00.000Z",
        "detail": "clinic-ehr called iol for submit-laboratory-order.",
        "sequence": 27,
        "status": "validated",
        "stepId": "scene-6",
        "type": "ORCHESTRATION_CALL_RECORDED"
      },
      {
        "artifactRefs": [
          "SYN-ART-ORDER-HB-V1",
          "SYN-CANONICAL-ORDER-HB-V1"
        ],
        "componentId": "terminology-service",
        "demoTimestamp": "2026-02-03T09:20:00.000Z",
        "detail": "iol called terminology-service for validate-and-map-code.",
        "sequence": 28,
        "status": "validated",
        "stepId": "scene-6",
        "type": "ORCHESTRATION_CALL_RECORDED"
      },
      {
        "artifactRefs": [
          "SYN-ART-ORDER-HB-V1"
        ],
        "componentId": "iol",
        "demoTimestamp": "2026-02-03T09:20:00.000Z",
        "detail": "Created demo envelope for submit-laboratory-order.",
        "sequence": 29,
        "status": "validated",
        "stepId": "scene-6",
        "type": "ENVELOPE_CREATED"
      },
      {
        "artifactRefs": [
          "SYN-ART-ORDER-HB-V1",
          "SYN-CANONICAL-ORDER-HB-V1"
        ],
        "componentId": "audit-evidence",
        "demoTimestamp": "2026-02-03T09:20:00.000Z",
        "detail": "iol called audit-evidence for record-redacted-audit-evidence.",
        "sequence": 30,
        "status": "acknowledged",
        "stepId": "scene-6",
        "type": "ORCHESTRATION_CALL_RECORDED"
      },
      {
        "artifactRefs": [
          "SYN-ART-ORDER-HB-V1",
          "SYN-CANONICAL-ORDER-HB-V1"
        ],
        "componentId": "audit-evidence",
        "demoTimestamp": "2026-02-03T09:20:00.000Z",
        "detail": "Order transformed with mediator 1.0.0 and mapping version 1.2.0.",
        "sequence": 31,
        "status": "acknowledged",
        "stepId": "scene-6",
        "type": "AUDIT_RECORDED"
      },
      {
        "artifactRefs": [],
        "componentId": "clinic-ehr",
        "demoTimestamp": "2026-02-03T09:20:00.000Z",
        "detail": "Mediator SYN-MEDIATOR-1.0.0 creates demo-canonical-v1; ConceptMap SYN-CM-LUMENBANK-LAB version 1.2.0 maps LUM-HB to LOINC 718-7.",
        "sequence": 32,
        "status": "acknowledged",
        "stepId": "scene-6",
        "type": "SCENE_COMPLETED"
      },
      {
        "artifactRefs": [
          "SYN-ART-RESULT-HB-V1"
        ],
        "componentId": "iol",
        "demoTimestamp": "2026-02-03T10:10:00.000Z",
        "detail": "laboratory called iol for submit-laboratory-result.",
        "sequence": 33,
        "status": "validated",
        "stepId": "scene-7",
        "type": "ORCHESTRATION_CALL_RECORDED"
      },
      {
        "artifactRefs": [
          "SYN-ART-RESULT-HB-V1",
          "SYN-SHR-RESULT-HB-V1"
        ],
        "componentId": "terminology-service",
        "demoTimestamp": "2026-02-03T10:10:00.000Z",
        "detail": "iol called terminology-service for validate-result-meaning.",
        "sequence": 34,
        "status": "validated",
        "stepId": "scene-7",
        "type": "ORCHESTRATION_CALL_RECORDED"
      },
      {
        "artifactRefs": [
          "SYN-ART-RESULT-HB-V1",
          "SYN-SHR-RESULT-HB-V1"
        ],
        "componentId": "shared-health-record",
        "demoTimestamp": "2026-02-03T10:10:00.000Z",
        "detail": "iol called shared-health-record for commit-normalized-result.",
        "sequence": 35,
        "status": "committed",
        "stepId": "scene-7",
        "type": "ORCHESTRATION_CALL_RECORDED"
      },
      {
        "artifactRefs": [
          "SYN-SHR-RESULT-HB-V1"
        ],
        "componentId": "clinic-ehr",
        "demoTimestamp": "2026-02-03T10:10:00.000Z",
        "detail": "iol called clinic-ehr for acknowledge-result-commit.",
        "sequence": 36,
        "status": "acknowledged",
        "stepId": "scene-7",
        "type": "ORCHESTRATION_CALL_RECORDED"
      },
      {
        "artifactRefs": [
          "SYN-ART-RESULT-HB-V1"
        ],
        "componentId": "iol",
        "demoTimestamp": "2026-02-03T10:10:00.000Z",
        "detail": "Created demo envelope for submit-laboratory-result.",
        "sequence": 37,
        "status": "committed",
        "stepId": "scene-7",
        "type": "ENVELOPE_CREATED"
      },
      {
        "artifactRefs": [
          "SYN-ART-RESULT-HB-V1",
          "SYN-SHR-RESULT-HB-V1"
        ],
        "componentId": "audit-evidence",
        "demoTimestamp": "2026-02-03T10:10:00.000Z",
        "detail": "iol called audit-evidence for record-redacted-audit-evidence.",
        "sequence": 38,
        "status": "acknowledged",
        "stepId": "scene-7",
        "type": "ORCHESTRATION_CALL_RECORDED"
      },
      {
        "artifactRefs": [
          "SYN-ART-RESULT-HB-V1",
          "SYN-SHR-RESULT-HB-V1"
        ],
        "componentId": "audit-evidence",
        "demoTimestamp": "2026-02-03T10:10:00.000Z",
        "detail": "One normalized result version committed; audit excludes the clinical value.",
        "sequence": 39,
        "status": "acknowledged",
        "stepId": "scene-7",
        "type": "AUDIT_RECORDED"
      },
      {
        "artifactRefs": [
          "SYN-ART-RESULT-HB-V1",
          "SYN-SHR-RESULT-HB-V1"
        ],
        "componentId": "iol",
        "demoTimestamp": "2026-02-03T10:10:00.000Z",
        "detail": "shared-health-record called iol for failed-at-iol.",
        "sequence": 40,
        "status": "failed",
        "stepId": "scene-7",
        "type": "ORCHESTRATION_CALL_RECORDED"
      },
      {
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    ],
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      {
        "actorRef": "SYN-WRK-0148",
        "dataCategory": "limited-shared-summary",
        "demoTimestamp": "2026-02-03T09:03:00.000Z",
        "directiveInput": "SYN-DIRECTIVE-CARE-001",
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    ],
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    ],
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    "scenarioSlug": "commit-ack-lost",
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    "traceId": "SYN-TRACE-COMMIT-ACK-LOST-1105",
    "transactionGroups": [
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        "hopSequences": [
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          11,
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          13,
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          15
        ],
        "id": "find-shared-history",
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      },
      {
        "hopSequences": [
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        "id": "laboratory-order-result",
        "title": "Laboratory Order Result"
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    ],
    "transformations": [
      {
        "changedFields": [
          {
            "field": "schema",
            "from": "demo-clinic-v1",
            "kind": "mapped",
            "reason": "Structural mediation by the IOL mediator",
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            "kind": "added",
            "reason": "Source code, display, and unit are retained beside the derivative",
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        ],
        "demoTimestamp": "2026-02-03T09:20:00.000Z",
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        "transformerVersion": "SYN-MEDIATOR-1.0.0"
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  "warning": "SYNTHETIC-NOT-FOR-CLINICAL-USE"
}