// Your practice management software says "AI-powered." Your production says otherwise.
// This is the governance system that made AI board-defensible in DSOs.
// 17/21 to 21/21 end-to-end tested. HIPAA locked. Vendor-agnostic.
| # | GATE_NAME | DESCRIPTION | FAILURE_ACTION |
|---|---|---|---|
| 01 | PATIENT_DATA_VALIDATION | Patient records, imaging metadata, scheduling feeds verified at boundary. PHI exposure caught pre-inference. | BLOCK + ALERT |
| 02 | PRACTICE_INTEGRATION_TEST | Full test suite must pass against PMS, imaging, billing. No urgency exceptions. | BLOCK + LOG |
| 03 | CHANGE_VERIFY | Hash-verified artifact comparison. Output diff logged. | ROLLBACK |
| 04 | CLINICAL_APPROVAL | Risk-tiered: >85% auto. 70-85% validate. <70% escalate. Clinical always human dentist. | ESCALATE |
| 05 | PROOFPACKET | HMAC-signed audit trail. Cryptographic completion proof. | REQUIRE_SIGN |
| 06 | HIPAA_COMPLIANCE | HIPAA logging, drift detection, rollback, board reporting. Gates 6-12 in full download. | BLOCK + REPORT |
20 questions before buying another AI tool. Free. No email wall. 30-minute assessment included.
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