Platform status — week of 8 Jun 2026

Cancer survivorship — pilot scope only

13 PRs merged last 14 days

Bios Life PD

Pilot Go-Live

Early July 2026

At risk

Canvas contract + payer credentialing on critical path

Patient App Launch

July 2026

On track

Foundation in progress; feature build pending Unnamed design delivery

Workstreams

Platform Engineering

In progress

Patient records now flow automatically from Canvas into the platform — clinical data pipeline is live and production-ready

Clinical Logic

In progress

Engine that personalizes care plans is under active development — the protocol library it runs on is complete

Provider App

In progress

Canvas configuration underway — provider credentials being collected, Hyperscribe AI scribe live in sandbox

Patient App

In progress

App infrastructure and login are live — feature build starts as soon as Unnamed delivers the component library

Enterprise Services

Not started

Monitoring and observability live in production — clinical and operational dashboards scoped for pilot

This week

Patient flyer landing page live; QR code flyer being finalized for print — sending to MCA (Felice)
Canvas configuration underway — collecting provider NPI, signature, bio to set up scheduling (Felice)
Zoom telehealth set up in Canvas sandbox (Felice)

Next up

Clinical rules engine: test patients and AI summaries for clinical validation
Patient summary PDF + FHIR document output
Canvas provider schedule live — pending NPI + credential collection

Decisions needed

RED Friendly PC formation + payer credentialing owner — 90–180 day lead time, blocks Y1 billing and Canvas config

AMBER Pilot billing approach — Canvas + Claim.MD approval, shadow vs. live billing, RCM staffing model

AMBER NP hire — gates scheduling and clinical workflow configuration

Status: On trackIn progressAt riskBlockedNot started Updated 8 Jun 2026

Platform status — week of 8 Jun 2026

Cancer survivorship — pilot scope only

Bios Life PD

Pilot Go-Live Early July 2026 29 days At risk

Patient App Launch July 2026 23 days On track

7 done 6 in progress 11 not started 24 pilot capabilities across 5 platform areas

Platform Engineering

In progress

3 done · 3 active · 1 remaining

Clinical Logic

In progress

1 done · 1 active · 2 remaining

Provider App

In progress

2 done · 1 active · 5 remaining

Patient App

In progress

1 done · 1 active · 2 remaining

Enterprise Services

Not started

0 done · 0 active · 1 remaining

This week

Patient flyer landing page live; QR code flyer being finalized for print — sending to MCA (Felice)
Canvas configuration underway — collecting provider NPI, signature, bio to set up scheduling (Felice)
Zoom telehealth set up in Canvas sandbox (Felice)
Metriport HIE upload triggered from Canvas sync events; patient record merge logic live (Adrienne)
Hyperscribe AI scribe live in Canvas sandbox; lambda logs to Datadog (Adrienne)

Next up

Clinical rules engine: test patients and AI summaries for clinical validation
Patient summary PDF + FHIR document output
Canvas provider schedule live — pending NPI + credential collection

Decisions needed

RED Friendly PC formation + payer credentialing owner — 90–180 day lead time, blocks Y1 billing and Canvas config

AMBER Pilot billing approach — Canvas + Claim.MD approval, shadow vs. live billing, RCM staffing model

AMBER NP hire — gates scheduling and clinical workflow configuration

External dependencies

Canvas contract execution Geoff and Zach

Medicare PECOS enrollment Ops / Clinical leadership

App design + component library delivery Unnamed (design agency)

Status: DoneIn progressInvestigatingNot startedBlocked Updated 8 Jun 2026

Platform Engineering

FHIR infrastructure, data ingestion, auth, security

Bios Life PD

FHIR Server

FHIR platform for clinical data storage and retrieval.

2 done · 1 to do

Build Medplum

Clinical Data Ingestion (FHIR/CCD)

Ingest clinical data from HIE networks and partner EHRs via Metriport. Write-back basic implementation exists, needs revision post Canvas→Medplum sync. Pipeline health monitoring not yet built.

1 done · 1 in progress · 1 to do

Track ingestion pipeline health and data provenance

Buy Metriport

Patient Identity Matching

Match patient identities across external data sources and HIE networks.

2 done

Buy Metriport

Structured Clinical Data Extraction

AI-assisted extraction of structured clinical facts from unstructured documents. AI team exploring best approach.

3 to do

Build + buy Vendor TBD

Clinical Data Validation

FHIR profile validation and data quality checks across ingested records.

2 to do

Build

Role-Based Access Control (RBAC)

Descope auth live in patient and provider apps. No known gaps.

2 done

Build + buy Descope

Audit Logging & PHI Monitoring

HIPAA-compliant access logging and PHI monitoring across all services.

1 done · 1 to do

Build + buy Datadog

Status

Canvas→Medplum sync worker live — 13 PRs merged; clinical data flowing (Adrienne, BIOSPD-44)
FHIR server + Medplum batch writes shipped
Metriport done; paused until NPI + Carequality in place
Datadog APM + log forwarding live in prod (BIOSPD-136)
Descope auth integrated into mobile app
Data extraction + validation blocked until real clinical data available

Open questions

Data extraction: Medical Comprehend + LLM combo likely
Validation rule format: FHIR profiles vs. custom?
Audit logging: which logs actively queryable? Drives cost.
NPI credentialing owner — needed to activate Metriport

Status: DoneIn progressInvestigatingNot startedBlocked Sourcing: Build Buy Build + buy Week of 8 Jun 2026

Clinical Logic

rules engine, SCP generation, risk models, PRO + surveillance

Bios Life PD

Clinical Rules & Fact Engine

Evaluate FHIR data against archetypes, derive facts, produce clinical actions.

5 done · 6 to do

Build

Clinical Protocol & Rules Management

Author versioned protocols, guidelines, and fact registry.

3 done

Build

Dynamic Survivorship Care Plan Generation

Personalized survivorship care plans from logic output. ASCO compliant.

3 to do

Build

Provider Summary Artifact Generation

Generate provider-facing clinical summaries from computed patient state.

2 to do

Build

Post-pilot

Recurrence Risk Models · Secondary Tumor Risk Models · Toxicity & Comorbidity Prediction Models · Clinical Event / Trigger Engine · PRO Scheduling Engine · Screening / Surveillance Management

Status

Clinical logic & fact engine in flight — Cycle 2 (BIOSPD-64 next)
Protocol management foundation complete (BIOSPD-60/61/62 all done)
SCP generation, risk models, event engine, PRO + surveillance not yet started

Milestones — next 2 weeks

Execute rules to produce clinical actions and derived facts (Adam — BIOSPD-64)
Output patient summaries as PDF and FHIR documents (Adam — BIOSPD-76)

Status: DoneIn progressInvestigatingNot startedBlocked Sourcing: Build Buy Build + buy Week of 8 Jun 2026

Provider App

Canvas Medical — clinical workflow + billing capabilities

Bios Life PD

Clinical Encounter Documentation

Structured clinical notes and visit documentation. Hyperscribe (Canvas AI scribe) live in sandbox.

1 done · 1 to do

Buy Canvas + Hyperscribe

Orders & Referrals Management

Order entry, referral tracking, and coordination.

2 to do

Buy Canvas

Scheduling Engine

Provider availability, appointments, and calendar management.

2 to do

Buy Canvas

Telehealth Visit Interface (Provider)

Provider-side video visit interface via Canvas native Zoom integration. Live in Canvas sandbox.

2 to do

Buy Canvas + Zoom

Communications & Notifications

Messaging, reminders, and clinical alerts.

3 to do

Buy Canvas

Eligibility & Prior Authorization

Real-time eligibility checks and prior authorization.

2 to do

Buy Canvas

Clinical Billing & Coding

CPT/ICD coding, charge capture, and superbills.

2 to do

Buy Canvas

Revenue Cycle Management

Y1: Canvas native billing + Claim.MD + contract billers or service wrap for OON appeals. Steady-state platform decision deferred to Month 4–6 once pilot data is in hand.

No issues yet

Buy Canvas + Claim.MD

Post-pilot

Provider Work Queue / Tasks

Status

Canvas configuration underway — collecting provider NPI, signature, bio for scheduling setup
Hyperscribe AI scribe live in Canvas sandbox
RCM: pilot recommendation Canvas + Claim.MD — zero integration risk, 90%+ touchless claims
Payer credentialing NOT STARTED — 90–180 day lead time, critical path

Milestones — next 2 weeks

Complete Canvas contracting
Set up Canvas for patient onboarding

Status: DoneIn progressInvestigatingNot startedBlocked Sourcing: Build Buy Build + buy Week of 8 Jun 2026

Patient App

6 capabilities — build + integrate

Bios Life PD

Patient Onboarding & Consent

Intake flow, consent collection, and patient portal setup. Mobile app skeleton (Django + Expo) built; Descope SSO integrated.

3 done · 1 in progress · 4 to do

Patient registration page — my.bioslife.ai/register

Build Descope + Expo

Patient Care Plan View

Patient-facing survivorship care plan display. Depends on SCP generation.

2 to do

Build

Telehealth Visit Interface (Patient)

Patient-side video visits via Canvas native Zoom integration. Zoom live in Canvas sandbox.

2 to do

Build + buy Canvas + Zoom

Visit Scheduling Interface

Patient self-service booking via Canvas scheduling integration.

2 to do

Build + buy Canvas

Post-pilot

PRO Survey Interface · Patient Task Management

Status

Mobile app bootstrapped: Django + Expo + GraphQL codegen + Docker (BIOSPD-142, 143)
Descope JWT auth integrated — magic-link SSO live (BIOSPD-144)
Remaining capabilities dependent on clinical logic layer + Canvas decisions

Open questions

Canvas integration approach for scheduling and telehealth
Full patient onboarding flow pending Metriport integration

Status: DoneIn progressInvestigatingNot startedBlocked Sourcing: Build Buy Build + buy Week of 8 Jun 2026

Enterprise Services

1 pilot capability (should-have)

Bios Life PD

Operational & Clinical Analytics

Dashboards and reporting for program operations and clinical outcomes tracking. Datadog APM + log forwarding live in production; clinical dashboards not yet built.

2 to do

Buy Datadog

Status

Datadog selected — APM + log forwarding already live in prod (BIOSPD-136)
Operational and clinical dashboards not yet built

Open questions

What reporting does BIOS and MCA need on day one?
Which metrics and dashboards to build first in Datadog?

Status: DoneIn progressInvestigatingNot startedBlocked Sourcing: Build Buy Build + buy Week of 8 Jun 2026