Blood Bank & Transfusion · Synthetic Review

Private · Enterprise Owner only · Read-only · Synthetic

Prototype / Synthetic Review Environment

Blood Bank, Transfusion & Blood Product Management — Synthetic Review Environment

A private, Enterprise-Owner-only, read-only, synthetic review surface for the MaxArc Enterprise Blood Bank, Transfusion & Blood Product Management Platform (CAP-BBT-001). It reuses the Enterprise Operations Center, the MaxArc design system, the enterprise authorization model, and the synthetic-event and audit-tray presentation. Nothing here is production: no Blood Establishment Computer System (BECS), immunohematology analyzer, blood inventory, or external supplier connection exists, no live patient/donor data is present, and no production command can be executed.

Security posture: Read-only by default. A synthetic scenario executes only after explicit confirmation, and every confirmed run emits an attributable synthetic audit event. Viewing and acting are separate permissions; this surface cannot bypass module authorization; no production data is present.

Review areas21

Each shown with an honest maturity status.

Synthetic scenarios15

Preview → confirm → visible resulting state + audit event.

Production gateDEBT-18

Open & blocking; no production activation.

Status legend

Implemented — Present and working in this prototype surface.
Synthetic Prototype — Working against bounded synthetic data only; not production.
Monitor Only — Read-only visibility; no action can be taken from this surface.
Planned — Declared for extensibility; not implemented here and not shown as active.
Deferred — Explicitly deferred to a future directive.
Production Blocked — Blocked by the DEBT-18 production gate until implemented, tested, reviewed, and accepted.

Review areas

Blood Bank Operations Overview

Synthetic Prototype

Synthetic blood-bank operations snapshot: open orders, specimens awaiting typing, pending crossmatches, units reserved, units issued-not-transfused, expiring units, open reactions.

view bbt.overview.view · act bbt.overview.none

Transfusion Order Queue

Synthetic Prototype

Transfusion orders as specializations of EnterpriseOrder (family COO-FAM-BBT-001); each shows lifecycle state; an order is never treated as crossmatched or issued.

view bbt.order.view · act bbt.order.none

Donor and Donation

Synthetic Prototype

Synthetic donor eligibility and collection events; collection is never treated as released. No production donor registry.

view bbt.donor.view · act bbt.donor.none

Component Processing and Modification

Synthetic Prototype

Component separation and modification (irradiation, leukoreduction, washing) preserve provenance. No production component processing.

view bbt.processing.view · act bbt.processing.none

Inventory and Cold Chain

Synthetic Prototype

Synthetic inventory, storage temperature, and expiry; an expired unit is not issuable and a cold-chain excursion fails to a governed state. No production inventory integration.

view bbt.inventory.view · act bbt.inventory.none

Patient and Specimen Identity

Synthetic Prototype

Patient/specimen identity integrity; mismatch fails closed and routes to governed exception review. No silent specimen reattachment; two-person verification modelled.

view bbt.identity.view · act bbt.identity.none

Blood Typing and Antibody Screen

Synthetic Prototype

ABO/Rh typing and antibody screen precede crossmatch; type-and-screen is not crossmatch-complete. No production immunohematology analyzer.

view bbt.typing.view · act bbt.typing.none

Crossmatch and Compatibility

Synthetic Prototype

Crossmatch/compatibility determination; ABO/Rh or antibody incompatibility fails closed. No production compatibility determination.

view bbt.crossmatch.view · act bbt.crossmatch.none

Unit Reservation

Synthetic Prototype

Reservation precedes issue; reserved is never treated as issued. No production inventory reservation.

view bbt.reservation.view · act bbt.reservation.none

Issue and Dispatch

Synthetic Prototype

Crossmatch and reservation precede issue; issued is never treated as transfused. No production issue.

view bbt.issue.view · act bbt.issue.none

Bedside Verification

Synthetic Prototype

Two-person bedside verification is required before transfusion; the issuer may not be the sole bedside verifier.

view bbt.bedside.view · act bbt.bedside.none

Transfusion Administration

Synthetic Prototype

A human transfusionist is the final authority; administration records preserve verifier, times, volume, and monitoring. AI may not administer.

view bbt.transfusion.view · act bbt.transfusion.none

Transfusion Reactions

Synthetic Prototype

Suspected reactions stop the transfusion and require workup, escalation, and acknowledgment; notification is not acknowledgment; a reaction is not closed until worked up, acknowledged, and followed up.

view bbt.reaction.view · act bbt.reaction.none

Hemovigilance and Lookback

Synthetic Prototype

Hemovigilance reports, lookback, and product recall preserve traceability from donor to recipient. No live reaction reporting.

view bbt.hemovigilance.view · act bbt.hemovigilance.none

Provider Acknowledgment

Synthetic Prototype

Provider acknowledgment is explicit and attributable and distinct from routing/dispatch.

view bbt.ack.view · act bbt.ack.none

Follow-up Required

Synthetic Prototype

Post-transfusion follow-up-required findings remain open until explicitly resolved.

view bbt.followup.view · act bbt.followup.none

Blood Bank Audit Tray

Synthetic Prototype

Append-only synthetic audit tray with prior/new state, actor, role, reason, approvals, workflow, correlation/causation IDs, enterprise event, and provenance.

view bbt.audit.view · act bbt.audit.none

Enterprise Events

Monitor Only

Normalized Enterprise Operations Events (blood-bank families). Reuses the enterprise event architecture; no parallel event bus.

view bbt.events.view · act bbt.events.none

Exceptions and Overrides

Synthetic Prototype

Governed exceptions, emergency uncrossmatched release, and massive transfusion protocol require reason, authorization, audit, and later review.

view bbt.exception.view · act bbt.exception.none

Operations Center Health

Monitor Only

Read-only synthetic service-health signals for the blood-bank review surface. No live telemetry.

view bbt.health.view · act bbt.health.none

Deferred Production Integrations

Production Blocked

Production BECS, immunohematology analyzers, live blood inventory, production component processing, production compatibility determination, and production issue/transfusion are blocked by DEBT-18 until implemented, tested, reviewed, and accepted.

view bbt.deferred.view · act bbt.deferred.none

Synthetic testing scenarios

Read-only by default. Preview plans a scenario without executing it; running requires explicit confirmation (confirm=confirm-synthetic-blood-bank) and emits an attributable synthetic audit event. No real patient/donor data, no live blood unit, no production command.

Blood bank audit tray synthetic

Append-only synthetic audit tray. Corrections preserve the original record; nothing is silently overwritten.

Event	Changed	Prior → New	Actor / role	Reason	Approval	Workflow	Correlation / event	Provenance
`AUD-BBT-0001`	Order state	`TypeAndScreenComplete` → `Crossmatched`	Synthetic Technologist blood-bank-technologist	Crossmatch compatible	technologist-release	`CAP-CWE-001:bbt-crossmatch`	cor COR-BBT-0001 · cau CAU-BBT-0001 `bloodbank.crossmatch.completed`	synthetic
`AUD-BBT-0002`	Unit issue	`UnitsReserved` → `Issued`	Synthetic Technologist blood-bank-technologist	Unit issued after crossmatch and reservation	issue-authorization	`CAP-CWE-001:bbt-issue`	cor COR-BBT-0002 · cau CAU-BBT-0002 `bloodbank.unit.issued`	synthetic
`AUD-BBT-0003`	Bedside verification	`Issued` → `BedsideVerified`	Synthetic Nurse transfusionist	Two-person bedside verification completed	bedside-verifier-1 2nd: bedside-verifier-2	`CAP-CWE-001:bbt-bedside`	cor COR-BBT-0003 · cau CAU-BBT-0003 `bloodbank.bedside.verified`	synthetic
`AUD-BBT-0004`	Transfusion record correction	`TransfusionComplete` → `Corrected`	Dr. Synthetic Transfusionist transfusionist	Correction added; original preserved	transfusionist-final-authority	`CAP-CWE-001:bbt-administration`	cor COR-BBT-0004 · cau CAU-BBT-0004 `bloodbank.transfusion.completed`	synthetic
`AUD-BBT-0005`	Identity check	`PendingVerification` → `ExceptionReview`	System (fail-closed) system	Patient/specimen identity mismatch — fail closed	n/a	`CAP-CWE-001:bbt-identity`	cor COR-BBT-0005 · cau CAU-BBT-0005 `bloodbank.identity.mismatch`	synthetic

Enterprise events

Blood bank emits normalized Enterprise Operations Events; it reuses the enterprise event architecture and introduces no parallel event bus.

bloodbank.order — Transfusion order lifecycle transitions (specializes EnterpriseOrder).
bloodbank.specimen — Specimen collection events (order ≠ collected).
bloodbank.typing — ABO/Rh typing and antibody screen (type-and-screen ≠ crossmatch).
bloodbank.crossmatch — Crossmatch/compatibility events (crossmatched ≠ issued).
bloodbank.unit — Reservation and issue events (issued ≠ transfused).
bloodbank.bedside — Two-person bedside verification events.
bloodbank.transfusion — Transfusion administration events.
bloodbank.reaction — Transfusion reaction escalation and acknowledgment.
bloodbank.lookback — Hemovigilance, lookback, and recall (fail closed).

Operations Center health

Review surfaceSynthetic

Prototype / Synthetic Review Environment — fixture-backed.

info

Production integrationsBlocked

BECS/analyzer/inventory/processing/compatibility/issue blocked by DEBT-18.

high

Audit trayAppend-only

Prior/new state, actor, role, reason, approvals, provenance.

healthy

Deferred production integrations · DEBT-18

Production gate DEBT-18 is open and blocking. Until implemented, tested, reviewed, and accepted by the Enterprise Owner, the following remain blocked:

production BECS
production immunohematology analyzers
live blood inventory
production component processing
production compatibility determination
production issue and transfusion
deployment