AI governance

Control egress, models, budgets, aggregate usage, evaluations, and releases without opening clinical content.

Control plane ready for review

Policies and releases remain candidates until real authority is recorded.

CLAI-500

Automatic selects through policy. Fixed modes use one model and never fall back.

Selection, endpoint, and evaluation policies
Mode	Endpoint and contract	Requested / actual model	Safeguards	Evaluation	Status
FastFixed model · no fallback	Provider candidate AManaged inference candidateCandidate contract	Requested: fast-candidate-v4Actual: fast-candidate-v4	ZDRCollection deniedFallback off	Evaluation pendingeval-fast-2026q3	Candidate
BalancedFixed model · no fallback	Provider candidate BManaged inference candidateCandidate contract	Requested: balanced-candidate-v2Actual: balanced-candidate-v2	ZDRCollection deniedFallback off	Evaluation pendingeval-balanced-2026q3	Candidate
SpecializedFixed model · no fallback	Provider candidate CManaged inference candidateCandidate contract	Requested: specialized-candidate-v3Actual: specialized-candidate-v3	ZDRCollection deniedFallback off	Evaluation pendingeval-specialized-2026q3	Candidate
AutomaticPolicy router	Policy router candidateRouting control planeCandidate contract	Requested: automatic-policyActual: not-routed	ZDRCollection deniedFallback off	Evaluation pendingeval-router-2026q3	Candidate

CLAI-510

Monthly and per-run limits are evaluated before a call starts.

Budgets, consumption, and costing basis
Budget	Scope	Consumption	Cost basis	Posture	Actions
Organization Sierra · monthlybudget-org-sierra-monthly-r2	Monthly	$842.16of $1,500.00	Reconciledpricing-2026-07-r2	Within limit	Proposed: $1,800.00
Specialized mode · per runbudget-specialized-run-r1	Per run	$1.32of $4.50	Estimatedpricing-2026-07-r2	Within limit	Proposed: $5.00

PHI-free

Governance dimensions only. Small cells are suppressed to prevent reidentification.

Aggregate usage without clinical content
Dimension	Aggregate	Calls	Cost	Certainty / pricing
Organization	Organization Sierra	734	$458.22	Reconciledpricing-2026-07-r2
Physician · billing ref	Suppressed	—	—	Estimatedpricing-2026-07-r2
Actual model	balanced-candidate-v2	491	$281.06	Reconciledpricing-2026-07-r2
Tool category	Clinical engine	308	$129.04	Estimatedpricing-2026-07-r2

Cells with fewer than 5 observations hide label, volume, and cost.

CLAI-520

Protocol, build, and release are distinct objects. Quarantine and review do not enable consumption.

Release lineage and availability
Release	Lineage	Cohort	Review	Status	Consumable	Actions
release-outcomes-2026q3-r1Jul 31, 2026, 1:00 PM	Protocol: protocol-outcomes-v2Build: build-outcomes-20260731	Eligibility cohort 2026-Q3	Validity: CurrentPrivacy: ApprovedClinical: ApprovedPreview: Ready · previewPolicy: Allowed	In review	No	Release control: All controls approved

Only a current release is consumable.