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Signed in — Ryan Gomez · System Administrator
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Ivan Anatoly Gomez MRN-100235 · born 1975-07-13 ✦ AI Ask ✦ AI Ambient note Chart

← Release of information queue

ROI request — full review

The complete production, assembled for human review before anything is released. What follows is exactly what fulfilment would disclose — and, just as explicitly, what it would withhold and why.

AI core: ROI requirements validator v1.0 · classifier · how this model works
Ivan Anatoly Gomez MRN-100235 · DOB 1975-07-13 · Cigna open chart
Patient (self)
requester · patient · purpose: patient_request
115
records in the production
6
records withheld — itemized below, never silent

Release requirements — jurisdiction CA

Every requirement of the applicable jurisdiction, evaluated by the validator against this request's actual authorization. The validator can block a release; it can never approve one — the decision below remains yours, and every evaluation is recorded.

RequirementAuthorityVerdictBasis
Authorization signed and dated HARD 45 CFR §164.508(c)(1)(vi) met Signed 2026-07-28.
Authorization not expired HARD 45 CFR §164.508(c)(1)(v) met Valid through 2027-01-28.
Description of information with specificity 45 CFR §164.508(c)(1)(i) met Patient access request under §164.524 — this authorization element does not apply.
Right-to-revoke statement present HARD 45 CFR §164.508(c)(2)(i) met Patient access request under §164.524 — this authorization element does not apply.
Part 2-specific consent where SUD records are in scope HARD 42 CFR §2.31 met Patient access request under §164.524 — this authorization element does not apply.
Authorization meets CMIA form requirements (separate, clearly captioned) CA Civil Code §56.11 met Patient access request under §164.524 — this authorization element does not apply.

What fulfilment would release

Record classCountContents
Demographics1Name, MRN, DOB, sex, address, payer
Conditions15 Localised gingival recession; Chronic pain (finding); Chronic low back pain (finding); …
Medications6 12 HR Hydrocodone Bitartrate 10 MG Extended Release Oral Capsule; 72 HR Fentanyl 0.025 MG/HR Transdermal System; Abuse-Deterrent 12 HR Oxycodone Hydrochloride 10 MG Extended Release Oral Tablet [Oxycontin]; …
Encounters25 Visit history with dates, types, providers, facilities
Labs & vitals59 Result series with values, units and abnormal flags
Clinical notes1 Progress note · full text released
Imaging studies0 Modality, body site, report status
Claims & billing8 Claims with service lines and adjudication (in scope for this requester type)

What fulfilment would withhold

WithheldCountRule
Psychotherapy notes2 Never released through ROI — separate store, separate authorization lane (45 CFR §164.508(a)(2)).
Sensitive — mental_health3 Sensitive category: excluded absent specific consent for this disclosure.
Sensitive — sud_part21 42 CFR Part 2: released only with Part 2-specific consent for this disclosure.
Patient-request note. Part 2 restricts redisclosure to third parties; a patient's own access request is handled under the access right. Sensitive categories other than psychotherapy notes are releasable to the patient; the counts above reflect what this production includes.

Resolved: fulfilled on Aug 12, 2026

✦ AI Second-pass leakage review

Classification cleared this production set at the door; the reviewer is the second pass — it reads the full text of every cleared document hunting for sensitive content a classifier can miss: a Part 2 mention buried in an ordinary note, a psychotherapy reference in a discharge summary. It quotes every risky line. The release decision stays yours.