Clinical workflow proof
readyLive path showing provenance, confidence flags, and safe decline behavior.
Evidence: Clinical safety patterns + degraded-mode guardrails (P0-019 / docs evidence)
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Pilot Visibility
This page is evidence-first: each trust claim links back to operational tasks and evidence artifacts in this repository.
Pilot posture
No open P0 blockers from parsed backlog
Clear
P0 open (top-level)
Blocking items in repo-backed priority list
0/28
P4 open (top-level)
Strategic work available after pilot
19/20
Evidence artifacts
Repository evidence paths discovered
175
These are the externally demonstrable lanes we should highlight today.
Live path showing provenance, confidence flags, and safe decline behavior.
Evidence: Clinical safety patterns + degraded-mode guardrails (P0-019 / docs evidence)
Open scenarioImport, reconcile, and rollback with artifact logs for each stage.
Evidence: OpenEHR dry-run + round-trip + rollback evidence pack
Open scenarioFailover, restore, escalation and response timelines captured in evidence bundle.
Evidence: P0-025 / P0-026 / P0-027 evidence packages
Open scenarioNo open P0 items were found in parsed checklist.
Live Backend Snapshot
Backend readiness probe is not running.
Backlog snapshot generated: 12 Apr 2026, 1:31 am · Source updated: 12 Apr 2026, 1:29 am.
Source file: tasks/09_master_change_backlog_p0_p4.md
.env.example
Related work: P0-010
Updated: 12 Apr 2026, 1:29 am
046_unify_temporality_enum.py
Related work: P1-038
Updated: No file timestamp
admin UI
Related work: P3-007
Updated: No file timestamp
analytics/UI
Related work: P2-011
Updated: No file timestamp
API and UI confidence fields
Related work: P1-002
Updated: No file timestamp
P4-001
Evaluate federated learning only after stable single-site production maturity.
Owner: VP ML + CTO
P4-002
Evaluate full TEFCA productionization path and partner strategy.
Owner: Interop + CIO
P4-003
Build full ONC certification roadmap if target market requires it.
Owner: Compliance + Interop
P4-004
Evaluate managed graph platform migration options for HA and operations.
Owner: CTO + Ops
P4-005
Evaluate multi-region architecture for AU resilience and residency constraints.
Owner: CTO + CISO
Simulation fallback — last updated 2026-02-16T17:00:00Z. All drills executed against local/simulated infrastructure.
PASS
SEV-1: 52m response, SEV-2: 45m response
Evidence: docs/evidence/p0-025/p0-025-escalation-drill-evidence.md
PASS
RTO: 30.42s
Evidence: docs/evidence/p0-026/p0-026-restore-drill-evidence.md
PASS
MTTR: 15.2s, zero data loss
Evidence: docs/evidence/p0-027/p0-027-failover-evidence.md
PostgreSQL RTO
30.42s
PostgreSQL MTTR
15.2s
Data Loss
Zero
SEV-1 Response
52 min
HIPAA 60-day discovery clock documented per P0-025-B evidence. SEV-1 breach notification SLA starts from moment of discovery, not from escalation drill timestamp.
Evidence: docs/evidence/p0-025/p0-025-escalation-drill-evidence.md (breach clock section)
Simulation fallback — signoff template captured 2026-02-16T17:00:00Z.
Evidence: docs/evidence/p0-028/p0-028-signoff-template.md
30-day expiry window from signoff date. Evidence: docs/evidence/p0-028/p0-028-signoff-template.md
Simulation fallback — data captured 2026-02-16T17:00:00Z
28/28
5
15.2s
Zero
P0/P1/P2/P3 are fully closed. P4 decision is 20/20 complete. P4 I/V are 15/20 with 5 ADR deferred. ROL-08/ROL-09 are PASS; posture remains CONDITIONAL GO until 5 staging conditions are cleared.
Concrete product paths to show during meetings. Each card maps to an evidence anchor and an operational gate.
Confidence scoring, provenance links, and safe decline path for unsafe assertions.
Evidence: P0-019 + clinical safety controls
Open scenarioEnd-to-end import, reconcile, and rollback with audit evidence.
Evidence: P0-019 evidence and operations runbook
Open scenarioEscalation drills, restore/failover metrics, and conditional-go posture.
Evidence: P0-025 / P0-026 / P0-027 records
Open scenariodocs/evidence/p0-019/p0-019-evidence-20260216T162723Z.json
HIPAA breach clock documented for SEV-1
docs/evidence/p0-025/p0-025-escalation-drill-evidence.md
Neo4j deferred (mock_mode, non-critical)
docs/evidence/p0-026/p0-026-restore-drill-evidence.md
Zero data loss confirmed
docs/evidence/p0-027/p0-027-failover-evidence.md
5 staging conditions, 30-day expiry
docs/evidence/p0-028/p0-028-signoff-template.md
All P0 items closed as of 2026-02-16. Signoff decision: CONDITIONAL GO with 5 staging conditions and 30-day expiry.
Keeps the product story honest while we still finish staging dependency hardening.
| Route | Status | Notes |
|---|---|---|
| /api/v1/clinical-agent/query/{patient_id} | canonical | Hybrid query path for production-facing reasoning. |
| /api/v1/clinical-agent/import | canonical | Canonical ingest + extraction path with evidence provenance. |
| /api/v1/clinical-agent/build-graph | canonical | Knowledge graph construction for downstream reasoning. |
| /api/v1/nlp/analyze | deprecated | Use clinical-agent/query as the canonical replacement. |
| /api/v1/nlp/extract | deprecated | Use clinical-agent/import to keep evidence lineage aligned. |
Use these links to show capabilities without claiming proof that is not yet executed.
Full guided walkthrough of platform capabilities
Evidence anchor: Backed by open tasks: P4-018
Open scenarioClinical agent with degraded mode and confidence policy
Evidence anchor: Backed by open tasks: P4-018
Open scenarioOpenEHR composition import, export, and archetype mapping
Evidence anchor: Backed by open tasks: P4-018
Open scenarioDry-run import, reconciliation, and batch rollback
Evidence anchor: Backed by open tasks: P4-018
Open scenario