Platform status — 27–31 Jul 2026

Cancer survivorship — pilot scope only

Bios Life PD

Pilot Go-Live Mid-July 2026 10 days ago On track

Patient App Launch Late July – Early Aug 2026 4 days At risk

6 projects done 0 in progress 0 not started 6 pilot capabilities across 5 platform areas

Platform Engineering

Done

6 done · 0 active · 0 remaining

Clinical Logic

Done

3 done · 0 active · 0 remaining

Provider App

Done

2 done · 0 active · 0 remaining

Patient App

Not started

0 done · 0 active · 0 remaining

Enterprise Services

Not started

0 done · 0 active · 0 remaining

This week

Breast Cancer survivorship rules complete — mammography, MRI, DEXA, echo, and follow-up cadences seeded (Adam, BIOSPD-236)
FHIRPath model routing shipped — hard facts route to Gemini 3.6-flash, simple facts on flash-lite (Adam, BIOSPD-239)
Care plan viewer: review-by-exception UX and multi-phase reschedule shipped in Canvas plugin (Adrienne, Felice)
Mobile E2E harness live with Maestro — registration and waitlist flows covered (Tyler, BIOSPD-228)

Next up

Care plan editing surface in Canvas — clinician can edit and publish from encounter
Video visit join flow end-to-end in patient app — Zoom SDK integrated, UX next
Patient care plan view in mobile app — data is in backend, patient-facing display next

Decisions needed

RED Website still not live — blocking Metriport HIE enrollment, Apple Developer account, and Epic developer account. Who owns this and what is the launch date?

RED Finance decision on Canvas contract payment — blocking Canvas implementation kickoff and all EHR configuration.

AMBER MCA referring provider on 2-week vacation — no patients on platform yet. Logan exploring alternative provider.

External dependencies

Public website launch — blocking Metriport/HIE enrollment, Apple Developer account, Epic developer account TBD

Finance approval on Canvas contract payment — blocking implementation kickoff and EHR configuration Finance / Leadership

Payer credentialing contracts Marianne

Remaining screen designs delivery Unnamed (design agency)

Status: DoneIn progressInvestigatingNot startedBlocked Updated 27–31 Jul 2026

Platform Engineering

FHIR infrastructure, data ingestion, auth, security

Bios Life PD

Patient Identity Matching

Match patient identities across external data sources and HIE networks.

2 done

Buy Metriport

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.

2 done

Build + buy Datadog

Post-pilot

FHIR Server · Clinical Data Ingestion (FHIR/CCD) · Structured Clinical Data Extraction · Clinical Data Validation

Status

Canvas→Medplum sync hardened — patient writes now merged (not replaced), round-trip conflicts resolved (Adrienne)
Metriport HIE upload now auto-triggered on Canvas→Medplum sync completion — medication data flowing (Adrienne)
Patient app Django API stack deployed to ECS; Datadog observability live (Adam)
Metriport HIE enrollment blocked — Carequality requires a live public website. Website launch is a hard dependency.
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.
Carequality enrollment — needed to fully activate Metriport HIE access

Status: DoneIn progressInvestigatingNot startedBlocked Sourcing: Build Buy Build + buy 27–31 Jul 2026

Clinical Logic

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

Bios Life PD

Clinical Protocol & Rules Management

Author versioned protocols, guidelines, and fact registry.

3 done

Build

Post-pilot

Clinical Rules & Fact Engine · Dynamic Survivorship Care Plan Generation · Provider Summary Artifact Generation · Recurrence Risk Models · Secondary Tumor Risk Models · Toxicity & Comorbidity Prediction Models · Clinical Event / Trigger Engine · PRO Scheduling Engine · Screening / Surveillance Management

Status

Surveillance schedule generation complete — personalized NCCN-aligned schedules from clinical rules (Adam — BIOSPD-73)
Care plan foundation complete — treatment summary, guidance items, M2M API, stable identities (Adam — BIOSPD-72, BIOSPD-178)
Canvas care plan viewer integrated with backend — live data rendering in encounters (Adrienne — BIOSPD-160)
CRC survivorship seed complete — rules executing against clinical data (Adam — BIOSPD-165)
Protocol management foundation complete (BIOSPD-60/61/62 all done)
Risk models, event engine, PRO + surveillance orchestration 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 27–31 Jul 2026

Provider App

Canvas Medical — clinical workflow + billing capabilities

Bios Life PD

Telehealth Visit Interface (Provider)

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

1 done

Buy Canvas + Zoom

Revenue Cycle Management

Canvas + Claim.MD selected. RCM contractor being hired for OON appeals and billing operations. Steady-state platform decision deferred to Month 4–6.

No issues yet

Buy Canvas + Claim.MD

Post-pilot

Clinical Encounter Documentation · Orders & Referrals Management · Scheduling Engine · Survivorship Care Plan (Canvas Plugin) · Provider Work Queue / Tasks · Eligibility & Prior Authorization · Clinical Billing & Coding

Status

Canvas configuration underway — collecting provider NPI, signature, bio for scheduling setup
Hyperscribe AI scribe live in Canvas sandbox
RCM model confirmed: Canvas + Claim.MD
Friendly PC formed, NPI in hand — payer credentialing owner TBD, 90–180 day lead time

Milestones — next 2 weeks

Complete Canvas contracting
Set up Canvas for patient onboarding

Status: DoneIn progressInvestigatingNot startedBlocked Sourcing: Build Buy Build + buy 27–31 Jul 2026

Patient App

6 capabilities — build + integrate

Bios Life PD

Post-pilot

Patient Onboarding & Consent · Patient Care Plan View · Telehealth Visit Interface (Patient) · Visit Scheduling Interface · PRO Survey Interface · Communications & Notifications · Patient Task Management

Status

Native patient signup shipped — authenticated registration flow live (Tyler — BIOSPD-66)
Design system live — @bios-ai/ui-native vendored, app screens rendering from DS (Tyler)
Expo SDK upgraded to 57, Zoom Video SDK plumbing merged (Tyler — BIOSPD-216, BIOSPD-92)
Care plan data in mobile backend — patient-facing view layer next (Adrienne — BIOSPD-161)
Unnamed delivered registration + additional screens — feature build underway
Push notifications planned — video visit reminders and PRO survey prompts

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 27–31 Jul 2026

Enterprise Services

1 pilot capability (should-have)

Bios Life PD

Post-pilot

Operational & Clinical Analytics

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 27–31 Jul 2026