FHIR platform for clinical data storage and retrieval.

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.

Match patient identities across external data sources and HIE networks.

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

FHIR profile validation and data quality checks across ingested records.

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

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

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

Clinician-facing rule review and approval — guideline provenance, rule authoring UI (Bios Intelligence Studio), AI team rule and document ingest pipeline.

• Rule ingest endpoint
• Vocabulary definitions: constants and occurrence collections

Personalized survivorship care plans from logic output. ASCO compliant.

Generate provider-facing clinical summaries from computed patient state.

Evidence-based recurrence prediction from treatment history and patient factors.

Predict secondary malignancy risk from treatment exposures.

Late-effects and comorbidity prediction from treatment history.

React to clinical data changes and fire downstream workflows via FHIR subscriptions.

Schedule patient-reported outcome surveys based on protocol logic and risk tier.

• PRO: Canvas plugin — send, withdraw and administer care-plan questionnaires; record clinician-administered responses
• PRO instruments: assignment engine — generate assignments from order cadence, place orders via service surface
• PRO instruments: scoring registry — score into scales, support unscored instruments

Orchestrate risk-stratified screening schedules per NCCN guidelines.

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

Order entry, referral tracking, and coordination.

Provider availability, appointments, and calendar management.

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

Clinician-facing care plan authoring and editing surface embedded in Canvas encounters via Bios Canvas plugin.

• Care plan viewer: one drug reads as two treatments in the treatment summary

Task management, inbox, and action items.

Real-time eligibility checks and prior authorization.

• Verify insurance eligibility and submit prior authorizations

CPT/ICD coding, charge capture, and superbills.

• Generate codes and submit claims from encounter documentation

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

Native mobile onboarding — account creation, demographics, HIE consent, waitlist routing. Descope SSO integrated; ToS acceptance and treatment consent not yet collected.

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

Patient-side video visits via Canvas native Zoom integration. Per-visit Zoom provisioning and in-app join complete. Legally cleared and live on TestFlight.

Patient self-service booking via Canvas scheduling integration.

• Set per-provider booking lead times in Canvas; close the bookVisit past-instant gap

Patient-reported outcomes collection. Depends on PRO engine.

• PRO survey interface: serve outstanding questionnaires, save progress, submit and write response to Medplum
• Render and collect PRO surveys on mobile

Push notifications for patients — video visit reminders and PRO survey prompts.

Action items, reminders, and follow-ups for patients.

In-app patient↔staff messaging via Canvas. Thread UI, patient→staff writes, and support desk declaration all shipped.

• Datadog monitors for messaging reads

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