{ "iss": "spiffe://example.com/agent/clinical", "sub": "spiffe://example.com/agent/clinical", "aud": "spiffe://example.com/agent/safety", "iat": 1772064150, "exp": 1772064750, "jti": "7f3a8b2c-d1e4-4f56-9a0b-c3d4e5f6a7b8", "wid": "a0b1c2d3-e4f5-6789-abcd-ef0123456789", "tid": "550e8400-e29b-41d4-a716-446655440001", "exec_act": "recommend_treatment", "par": [], "pol": "clinical_reasoning_policy_v2", "pol_decision": "approved" }