{
  "ok": true,
  "scope": "MaxArc Impact Platform - advanced patient continuity and follow-up foundation (Task-005)",
  "notice": "Synthetic, non-identifiable sample data only. No real patients, identities, precise locations, contact details, or credentials. This is NOT a full EHR and remains separate from MaxTrax EHR. No public patient locator is created here; restricted patient locator capability is handled separately. Standalone-first with local sample data; optional integration with EHR/DHIS2/lab systems. AI is assistive only; authorized role-based human review, consent, and immutable audit remain required.",
  "summary": {
    "activeContinuityCases": 5,
    "missedFollowUps": 2,
    "highRiskTreatmentInterruptions": 2,
    "unresolvedReferrals": 2,
    "labFollowUpGaps": 2,
    "crossFacilityTransfers": 2,
    "outreachWorkload": 2,
    "escalatedCases": 2,
    "continuityCompletionRate": 33,
    "riskDistribution": {
      "high": 2,
      "medium": 2,
      "low": 1
    },
    "aiRiskSignalCount": 5,
    "boundaryReminder": {
      "impactDomain": "impact.maxarchealth.com",
      "impactPort": "3201",
      "medicalLibraryBoundary": "library.maxarchealth.com remains separate (port 3101, not used here)",
      "maxTraxEhrBoundary": "MaxTrax EHR remains separate; this is not a full EHR"
    }
  },
  "positioning": {
    "standaloneFirst": true,
    "integrationReady": true,
    "notAnEhr": true,
    "separateFromMaxTraxEhr": true,
    "optionalIntegrations": [
      "EHR/MaxTrax",
      "OpenELIS",
      "DHIS2",
      "FHIR"
    ],
    "audiences": [
      "Global Fund-style programs",
      "ministries of health",
      "national disease programs",
      "hospitals and health systems",
      "donors",
      "NGOs and implementing partners",
      "regional health organizations",
      "emergency response programs"
    ],
    "offlineCapable": true
  },
  "privacyPosture": {
    "sampleDataSynthetic": true,
    "publicPatientLocatorCreated": false,
    "patientIdentityProtected": true,
    "preciseLocationProtected": true,
    "authorizedRoleBasedAccessRequired": true,
    "restrictedLocatorHandledSeparately": true,
    "noAutonomousDisclosure": true,
    "noCrossFacilitySharingWithoutAuthorization": true,
    "statement": "Sample data is synthetic and non-identifiable. Patient identity and precise location must be protected. In a real deployment, authorized role-based access is required, restricted patient locator capability is handled separately, and there is no autonomous disclosure or cross-facility sharing without authorization."
  },
  "aiPosture": {
    "statement": "AI supports patient continuity review: it identifies patterns, flags risks, prioritizes outreach, reconciles records for review, and surfaces anomalies, but never diagnoses, changes treatment, closes cases, or discloses patient information on its own.",
    "assists": [
      "identify missed-follow-up patterns",
      "flag likely treatment interruption",
      "prioritize outreach queues",
      "reconcile referral and transfer records",
      "identify unresolved lab-result follow-through",
      "surface data-quality anomalies",
      "support authorized staff review"
    ],
    "mustNot": [
      "autonomously diagnose",
      "autonomously change treatment",
      "autonomously close cases",
      "autonomously disclose patient information",
      "bypass consent, privacy, authorization, or human review"
    ]
  },
  "humanControls": {
    "roles": [
      "hiv-continuity-nurse",
      "tb-program-officer",
      "clinical-officer",
      "mch-coordinator",
      "community-health-worker",
      "program-lead",
      "clinical-lead",
      "data-steward",
      "oversight-reviewer",
      "auditor-read-only"
    ],
    "requirements": [
      "authorized role-based access required to view patient continuity records",
      "consent on file required for continuity outreach and cross-facility sharing",
      "human review required before closing cases, acknowledging lab follow-up, or acting on AI risk signals",
      "immutable audit trail for every case, referral, transfer, outreach, and escalation action"
    ]
  },
  "boundary": {
    "impactDomain": "impact.maxarchealth.com",
    "impactPort": "3201",
    "medicalLibraryBoundary": "library.maxarchealth.com remains separate (port 3101, not used here)",
    "maxTraxEhrBoundary": "MaxTrax EHR remains separate; this foundation is not a full EHR and does not couple repositories"
  },
  "routes": [
    "/patient-continuity/cases",
    "/patient-continuity/enrollments",
    "/patient-continuity/referrals",
    "/patient-continuity/transfers",
    "/patient-continuity/appointments",
    "/patient-continuity/treatment-interruptions",
    "/patient-continuity/lab-follow-up",
    "/patient-continuity/outreach",
    "/patient-continuity/risk-signals",
    "/patient-continuity/escalations",
    "/patient-continuity/summary",
    "/patient-continuity-dashboard"
  ]
}