Download the Proposal

NHID-Clinical v1.3 is published as a free PDF under Creative Commons Attribution 4.0. Download, share, and adapt freely.

Note: This is an early-stage open proposal by Brianna Baynard — not an official standard, certification program, or regulatory requirement.

NHID-Clinical Playbook — Evaluation, Implementation & Evidence

The comprehensive operational reference: the five canonical controls in detail, the observe-only shadow-evaluation method, implementation architecture with maturity labels, and the full evidence and regulatory-mapping picture including what is not established. Start here if you are actually going to do this.

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NHID-Clinical v1.3 — Full Proposal

The complete open proposal document: the impersonation latency problem, the five canonical controls for AI voice agents in healthcare payer–provider workflows, scope and rationale, and background context.

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v1.3 Core Specification

The normative reference: the five canonical controls (IDG-01, PDX-01, DBC-01, EIT-01, ATR-01) plus the supplemental bot‑to‑bot rule, the 18-case CTS conformance suite, and the scoring rubric used to evaluate an agent's behavioral trace.

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Evidence Pack

A procurement- and security-facing summary of the deterministic guarantees, real-corpus detection evidence, an anonymized failure trace, and the audit-readiness model behind the reference implementation. Everything is self-attested and open for community review.

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Operational Blueprint

A deployment-oriented walkthrough for engineering and compliance teams: integration tiers, adapter coverage, the CAS scoring model, and the FHIR AuditEvent export.

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Shadow Evaluation Guide

A practical guide for running NHID-Clinical's conformance checks alongside an existing voice AI deployment without changing production behavior — observe first, enforce later.

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NHID-Auth v2 Technical Reference

The reference implementation guide for NHID-Auth v2: Ed25519 agent passports, NPI binding, scoped delegation, and how it composes with the v1.3 behavioral baseline.

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Knowledge Archive

A public-safe distillation of the project's full knowledge base: executive vision, governance, identity and trust, technical architecture, and regulatory alignment in one document.

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Questions about the proposal: contact@nhid-clinical.org

Get involved

Feedback welcome.

Read the proposal and share what you think — including if you think it is wrong or missing something important.

Run a shadow evaluation →