Cancer survivorship — pilot scope only
46 PRs merged last 14 days — 1.4× team average
Cancer survivorship — pilot scope only
FHIR infrastructure, data ingestion, auth, security
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.
rules engine, SCP generation, risk models, PRO + surveillance
Evaluate FHIR data against archetypes, derive facts, produce clinical actions.
Author versioned protocols, guidelines, and fact registry.
Personalized survivorship care plans from logic output. ASCO compliant.
Generate provider-facing clinical summaries from computed patient state.
Recurrence Risk Models · Secondary Tumor Risk Models · Toxicity & Comorbidity Prediction Models · Clinical Event / Trigger Engine · PRO Scheduling Engine · Screening / Surveillance Management
Canvas Medical — clinical workflow + billing capabilities
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.
Real-time eligibility checks and prior authorization.
CPT/ICD coding, charge capture, and superbills.
Canvas + Claim.MD selected. RCM contractor being hired for OON appeals and billing operations. Steady-state platform decision deferred to Month 4–6.
Provider Work Queue / Tasks
6 capabilities — build + integrate
Intake flow, consent collection, and patient portal setup. Mobile app skeleton (Django + Expo) built; Descope SSO integrated.
Patient-facing survivorship care plan display. Depends on SCP generation.
Patient-side video visits via Canvas native Zoom integration. Zoom configured in Canvas sandbox; patient app integration not yet built.
Patient self-service booking via Canvas scheduling integration.
Push notifications for patients — video visit reminders and PRO survey prompts.
PRO Survey Interface · Patient Task Management
1 pilot capability (should-have)
Dashboards and reporting for program operations and clinical outcomes tracking. Datadog APM + log forwarding live in production; clinical dashboards not yet built.