Platform status — 21–25 Sep 2026

Cancer survivorship — pilot scope only

87 PRs merged last 14 days — 1.4× team average

Bios Life PD

Pilot Go-Live

Mid-July 2026

On track

First patient onboarded into the system — in Canvas and Medplum. Patient app not yet live. PC formed, NPI in hand, RCM confirmed, Canvas kickoff complete.

Patient App Launch

End of September 2026

On track

App v0.2.2 submitted to Apple App Store for review. Video visits, messaging, care plan, When to Call, multi-provider scheduling, PRO completion, and account deletion all shipped.

10 projects done 13 in progress 3 not started 26 pilot capabilities across 5 platform areas

Platform Engineering

In progress

20 done · 0 active · 5 remaining

Clinical Logic

In progress

22 done · 1 active · 5 remaining

Provider App

In progress

11 done · 4 active · 5 remaining

Patient App

In progress

47 done · 1 active · 35 remaining

Enterprise Services

Not started

0 done · 0 active · 2 remaining

This week

App v0.2.2 submitted to Apple App Store for review (Tyler)
First patient records pulled via Metriport HIE — Carequality enrollment active, data gap analysis underway (Adrienne)
Account deletion shipped — Apple guideline 5.1.1(v) satisfied (Tyler, BIOSPD-409)

Next up

Patient Home screen (Tyler, BIOSPD-265)
Data gap closure — identify and resolve missing clinical data from HIE pull (Adrienne)
Canvas EHR: eligibility, billing, orders fully configured in production (Felice)

Decisions needed

None this week

Status: DoneIn progressInvestigatingNot startedBlocked Updated 21–25 Sep 2026

Platform status — 21–25 Sep 2026

Cancer survivorship — pilot scope only

Bios Life PD

Pilot Go-Live Mid-July 2026 67 days ago On track

Patient App Launch End of September 2026 7 days On track

10 projects done 13 in progress 3 not started 26 pilot capabilities across 5 platform areas

Platform Engineering

In progress

20 done · 0 active · 5 remaining

Clinical Logic

In progress

22 done · 1 active · 5 remaining

Provider App

In progress

11 done · 4 active · 5 remaining

Patient App

In progress

47 done · 1 active · 35 remaining

Enterprise Services

Not started

0 done · 0 active · 2 remaining

This week

App v0.2.2 submitted to Apple App Store for review (Tyler)
First patient records pulled via Metriport HIE — Carequality enrollment active, data gap analysis underway (Adrienne)
Account deletion shipped — Apple guideline 5.1.1(v) satisfied (Tyler, BIOSPD-409)
Community & support tab with care team roster live in app (Susan, BIOSPD-505)

Next up

Patient Home screen (Tyler, BIOSPD-265)
Data gap closure — identify and resolve missing clinical data from HIE pull (Adrienne)
Canvas EHR: eligibility, billing, orders fully configured in production (Felice)

Decisions needed

None this week

External dependencies

Payer credentialing contracts Marianne

Remaining screen designs delivery Unnamed (design agency)

Status: DoneIn progressInvestigatingNot startedBlocked Updated 21–25 Sep 2026

Platform Engineering

FHIR infrastructure, data ingestion, auth, security

Bios Life PD

FHIR Server

FHIR platform for clinical data storage and retrieval.

2 done

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.

8 done

Buy Metriport

Patient Identity Matching

Match patient identities across external data sources and HIE networks.

6 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.

2 done

Build + buy Datadog

Status

Metriport Carequality enrollment active — first patient records pulled via HIE, data gaps being assessed (Adrienne)
Canvas→Medplum sync hardened — patient writes now merged (not replaced), round-trip conflicts resolved (Adrienne)
Metriport HIE upload auto-triggered on Canvas→Medplum sync completion — medication data flowing (Adrienne)
Patient app Django API stack deployed to ECS; Datadog observability live (Adam)
Descope auth integrated into mobile app
Data extraction + validation in progress against first real clinical data

Open questions

Data extraction: Medical Comprehend + LLM combo likely
Validation rule format: FHIR profiles vs. custom?
Audit logging: which logs actively queryable? Drives cost.
Data gap closure — scope and timeline for completing missing clinical record fields

Status: DoneIn progressInvestigatingNot startedBlocked Sourcing: Build Buy Build + buy 21–25 Sep 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.

No issues yet

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.

19 done · 2 to do

Build

Provider Summary Artifact Generation

Generate provider-facing clinical summaries from computed patient state.

3 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

PRO engine active — PHQ-9 and GAD-7 authored, scored, assigned from order cadence, and administrable in Canvas (Adrienne — BIOSPD-359–365)
Care plan viewer restructured around clinical judgment — all five order-facet shapes rendering, rule attribution carried (Felice — BIOSPD-371–377)
Patient guidance output converted from prose to structured items matching design spec (Adam — BIOSPD-362)
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)
First real patient records available via HIE — data gap analysis underway against CRC rules (Adrienne)
Risk models, event engine, 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 21–25 Sep 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.

2 done

Buy Canvas + Hyperscribe

Orders & Referrals Management

Order entry, referral tracking, and coordination.

1 done · 1 in progress

Place and track clinical orders and referrals

Buy Canvas

Scheduling Engine

Provider availability, appointments, and calendar management.

2 done

Buy Canvas

Telehealth Visit Interface (Provider)

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

1 done

Buy Canvas + Zoom

Survivorship Care Plan (Canvas Plugin)

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

3 done · 1 in progress · 4 to do

Author and edit the survivorship care plan in a Canvas plugin

Build Canvas

Eligibility & Prior Authorization

Real-time eligibility checks and prior authorization.

1 in progress · 1 to do

Verify insurance eligibility and submit prior authorizations

Buy Canvas

Clinical Billing & Coding

CPT/ICD coding, charge capture, and superbills.

1 done · 1 in progress

Generate codes and submit claims from encounter documentation

Buy Canvas

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

Provider Work Queue / Tasks

Status

CCM/RPM billing configured in production — survivorship billing codes live (Felice — BIOSPD-81)
Standing orders automated and referral loop closed (Felice — BIOSPD-83)
Scheduling and appointment slots configured in Canvas production (Felice — BIOSPD-89)
Appointment API hardened — bookable note types, machine-readable error codes, rescheduled-from tracking (Tyler — BIOSPD-462)
Hyperscribe AI scribe live in Canvas sandbox
RCM model confirmed: Canvas + Claim.MD

Open questions

Eligibility checks — confirm Canvas handling covers pilot patient volume

Status: DoneIn progressInvestigatingNot startedBlocked Sourcing: Build Buy Build + buy 21–25 Sep 2026

Patient App

6 capabilities — build + integrate

Bios Life PD

Patient Onboarding & Consent

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

22 done · 17 to do

Build Descope + Expo

Patient Care Plan View

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

7 done · 1 in progress · 8 to do

Lifestyle plan screen

Build

Telehealth Visit Interface (Patient)

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

1 done · 1 to do

Build + buy Canvas + Zoom

Visit Scheduling Interface

Patient self-service booking via Canvas scheduling integration.

9 done · 4 to do

Build + buy Canvas

Communications & Notifications

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

1 done · 3 to do

Build

Patient Messaging

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

7 done · 2 to do

Build + buy Canvas

Post-pilot

PRO Survey Interface · Patient Task Management

Status

App v0.2.2 submitted to Apple App Store for review (Tyler)
Video visits live and legally cleared — per-visit Zoom provisioning and in-app join complete (Tyler — BIOSPD-258)
Patient messaging complete — thread UI, patient→staff writes, support desk wired (Tyler — BIOSPD-287/289, Adrienne — BIOSPD-461)
Care plan home screen and When to Call screen shipped (Susan — BIOSPD-299/304)
Multi-provider scheduling with slot search live (Tyler — BIOSPD-355)
PRO questionnaire patient completion flow active — serve, save, submit to Medplum (Adrienne — BIOSPD-366)
Account deletion shipped — Apple guideline 5.1.1(v) satisfied, identity review flow for returning patients included (Tyler — BIOSPD-409)
Community & support tab live — care team roster rendered from Canvas (Susan — BIOSPD-505)
Registration pipeline hardened — Medplum credentials live, WAF active, repair path added (Adam/Adrienne — BIOSPD-146/148/466)

Open questions

ToS and treatment consent collection — not yet in registration flow
Patient Home screen — next major screen milestone

Status: DoneIn progressInvestigatingNot startedBlocked Sourcing: Build Buy Build + buy 21–25 Sep 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 21–25 Sep 2026