PROJECT FIONIGAN
PUBLIC DE-IDENTIFIED FLAT SOURCE FILE

SOURCE ID: SRC-CICP-RECORD-AUTHORIZATION-001
TITLE: De-identified compensation-record authorization / source-routing form
SOURCE TYPE: Private authorization / record-routing source

PUBLIC STATUS:
- This is a de-identified source-trace summary.
- The raw source document is held privately and is not deployed on the public website.
- This file is plain text. It has no Project Fionigan overlay.

WHAT THIS SOURCE SUPPORTS:
- This source supports the compensation-record and records-release routing lane.
- It can be used to show that record authorization and source routing existed without publishing the raw form.

WHAT WAS REMOVED OR GENERALIZED:
- person names
- direct email addresses
- phone numbers
- street addresses
- exact private dates and times
- private provider/staff/facility identifiers
- patient identifiers and record identifiers
- raw private document text, screenshots, images, signatures, and metadata

RAW SOURCE:
Private / not deployed.

END OF PUBLIC DE-IDENTIFIED FLAT SOURCE FILE