Practice OSLiving system map
← Executive dashboard

Manifest-driven platform instrument

Practice OS living system map

Sources → ingestion → shared data spine → operating modules → governed agents → operator surfaces. Node state is committed in system_map.yaml.

Manifest reviewed: 2026-08-22
Live — verified current capabilityBuilding — not yet proven end-to-end todayPlanned — roadmap only
SOURCES6 nodesINGESTION4 nodesSPINE5 nodesMODULES12 nodesAGENTS6 nodesSURFACES4 nodesQuickBooks Online — Live: One active sandbox realm is connected today; the operating target is 11 QBO entities.LIVEQuickBooks OnlineOne active sandbox realm is connected today; the operating target i…ERA 835 — Live: Demo remittance data loaded; hourly inbox ingestion healthy (green since Aug 24 fix).LIVEERA 835Demo remittance data loaded; hourly inbox ingestion healthy (green …eClinicalWorks EMR — Planned: Palm's EMR; named in 24 of 25 discovery interviews. Access route (eBO/FHIR/exports) determined during Sep on-site.PLANNEDeClinicalWorks EMRPalm's EMR; named in 24 of 25 discovery interviews. Access route (e…PM and 837 claims — Planned: Practice-management and claim-submission feeds are not connected.PLANNEDPM and 837 claimsPractice-management and claim-submission feeds are not connected.Fleet capture agent — Planned: Consent-first field capture is reserved for a future workflow.PLANNEDFleet capture agentConsent-first field capture is reserved for a future workflow.Payer public data — Planned: CMS-0057 denial metrics and MRF rates through Serif or Turquoise are not connected.PLANNEDPayer public dataCMS-0057 denial metrics and MRF rates through Serif or Turquoise ar…QBO sync — Live: Nightly 02:15 UTC Cloud Run sync completed successfully on 2026-08-22.LIVEQBO syncNightly 02:15 UTC Cloud Run sync completed successfully on 2026-08-…ERA ingest — Live: Hourly 835 Cloud Run job running green after image and env repair (Aug 24).LIVEERA ingestHourly 835 Cloud Run job running green after image and env repair (…QBO transform — Live: Nightly 02:30 UTC transform ran green unattended (verified Sep 1); approval-gated QBO promotion.LIVEQBO transformNightly 02:30 UTC transform ran green unattended (verified Sep 1); …Fleet ingestion — Planned: Consent-aware capture ingestion has not been implemented.PLANNEDFleet ingestionConsent-aware capture ingestion has not been implemented.Raw landing zone — Live: Append-only QBO and ERA landing records retain source provenance.LIVERaw landing zoneAppend-only QBO and ERA landing records retain source provenance.Core canonical models — Live: Canonical entity, finance, claim, remit, contract, and payer records are available.LIVECore canonical modelsCanonical entity, finance, claim, remit, contract, and payer record…Decision marts — Live: Executive metrics and tie-out marts show seven entities and 72 passing demo periods.LIVEDecision martsExecutive metrics and tie-out marts show seven entities and 72 pass…De-identified zone — Planned: The dataset exists but no de-identification pipeline or governed consumer contract is live.PLANNEDDe-identified zoneThe dataset exists but no de-identification pipeline or governed co…Governance operations — Live: Proposal decisions, audit events, connection registry, and metric definitions are recorded.LIVEGovernance operationsProposal decisions, audit events, connection registry, and metric d…Denials and underpayments — Live: Denial Sentinel produces evidence-linked appeal and underpayment review proposals.LIVEDenials and underpaymentsDenial Sentinel produces evidence-linked appeal and underpayment re…Finance OS — Live: The live executive board reports seven entities with finance-only QBO treatment.LIVEFinance OSThe live executive board reports seven entities with finance-only Q…Procedural Readiness Gate — Building: Sprint 1 wedge from Palm discovery — continuous note/code-form/upload/auth/laterality verification per scheduled case.BUILDINGProcedural Readiness GateSprint 1 wedge from Palm discovery — continuous note/code-form/uplo…Auth pipeline and payer rules — Building: Auth aging vs payer clocks, digital-first status waterfall, PCP-gating workflow; FHIR CRD/DTR/PAS chassis for the 2027 mandate.BUILDINGAuth pipeline and payerrulesAuth aging vs payer clocks, digital-first status waterfall, PCP-gat…Morning brief and unified worklist — Building: Per-person stateful 'waiting on you' brief deduplicating TEs, Teams, auth clocks, and readiness blockers.BUILDINGMorning brief and unifiedworklistPer-person stateful 'waiting on you' brief deduplicating TEs, Teams…Eligibility at booking — Planned: Live 270/271 plus plan-pack lookup at scheduling, human-confirmed; feeds the readiness gate.PLANNEDEligibility at bookingLive 270/271 plus plan-pack lookup at scheduling, human-confirmed; …Credentialing — Planned: Provider credential workflow is not implemented.PLANNEDCredentialingProvider credential workflow is not implemented.Referral CRM — Planned: Referral intake, attribution, and outreach are not implemented.PLANNEDReferral CRMReferral intake, attribution, and outreach are not implemented.Cost per case — Planned: Cost allocation and case-margin calculations are not implemented.PLANNEDCost per caseCost allocation and case-margin calculations are not implemented.Workforce — Planned: Staffing, productivity, and labor forecasting are not implemented.PLANNEDWorkforceStaffing, productivity, and labor forecasting are not implemented.Compliance and audit — Live: Partial live capability records approval decisions and human or agent audit events.LIVECompliance and auditPartial live capability records approval decisions and human or age…Patient engagement — Planned: Patient-facing engagement and outreach are not implemented.PLANNEDPatient engagementPatient-facing engagement and outreach are not implemented.Denial Sentinel — Live: Drafts evidence-linked recovery proposals; human approval remains required for every action.LIVEDenial SentinelDrafts evidence-linked recovery proposals; human approval remains r…AUTONOMY · APPROVE-REQUIREDQBO onboarding — Live: Chained OAuth wizard proven end-to-end; sandbox realm connected, synced nightly, mapping approved.LIVEQBO onboardingChained OAuth wizard proven end-to-end; sandbox realm connected, sy…AUTONOMY · APPROVE-REQUIREDEntity mapping — Live: Human reviewers approve or reject a proposed QBO realm-to-entity mapping in the worklist.LIVEEntity mappingHuman reviewers approve or reject a proposed QBO realm-to-entity ma…AUTONOMY · APPROVE-REQUIREDEligibility navigator — Planned: Would observe eligibility and prior-auth requirements before suggesting next steps.PLANNEDEligibility navigatorWould observe eligibility and prior-auth requirements before sugges…AUTONOMY · SUGGESTCredentialing monitor — Planned: Would notify operators about credential expiry and filing changes.PLANNEDCredentialing monitorWould notify operators about credential expiry and filing changes.AUTONOMY · NOTIFY-ONLYReferral coordinator — Planned: Would draft outreach and routing recommendations without autonomous referral changes.PLANNEDReferral coordinatorWould draft outreach and routing recommendations without autonomous…AUTONOMY · DRAFTExecutive dashboard — Live: Public Cloud Run dashboard serves health, overview, entity, audit, and worklist APIs.LIVEExecutive dashboardPublic Cloud Run dashboard serves health, overview, entity, audit, …Approval worklist — Live: Reviewers can inspect evidence and approve or reject governed proposals.LIVEApproval worklistReviewers can inspect evidence and approve or reject governed propo…Connect wizard — Building: The QBO route is deployed but cannot read required OAuth secrets in the dashboard service.BUILDINGConnect wizardThe QBO route is deployed but cannot read required OAuth secrets in…Contracts and validators — Live: Versioned contracts and offline validation run from the repository command line.LIVEContracts and validatorsVersioned contracts and offline validation run from the repository …