Assignment 7 Submission

Assignment 7 - Demo 4 Release Summary

Overview of This Release

Demo 4 marks the alpha validation phase for RailGuard. Building on the backend workflow automation pivot from Demo 3, this release focuses on validating that automating administrative workflows (lab requisitions, monitoring alerts, follow-up tasks) delivers measurable efficiency gains for clinicians. The prototype now supports end-to-end patient-context-driven automation, with internal testing confirming significant reductions in manual effort and task time.

Issue Summary

• Added Alpha Validation, Feature Lock, and Architecture Artifacts: #74, #75, #77, #78, #79

  • Alpha Validation Evidence
  • Feature Lock Justification
  • Architecture Rationale
  • Evolved Topology Diagram
  • Pivot Contract
  • Build Trap Postmortem
  • Product Review CUJ

• Strategic Focus: Backend Workflow Automation

  • Validated patient-context-driven automation for lab requisitions and monitoring
  • Demonstrated measurable reductions in task time and workflow steps
  • Maintained narrow feature scope for maximum impact

• Implemented Core Alpha Features:

  • End-to-end workflow execution with no placeholders
  • Administrative artifact generation and clinician approval

• Established Validation Framework & Kill Metrics:

  • Decided on GO decision based on validation evidence
  • Gained EPIC Frontend Access

Retrospective

Sprint completed as planned. All alpha validation, feature lock, and architecture documentation delivered on schedule.

In Progress

As of now, all tasks are wither completed, or in ready state for the next sprint.

Future Plan

• Complete Epic integration
• Refine Existing Features
• Optimize Workflow

Assignment 6 Submission

Overview of This Release

Demo 3 marks a critical strategic inflection point for RailGuard Health. After validating core FHIR integration and documentation capabilities in Demo 2, we conducted a comprehensive competitive analysis against leading AI scribe solutions (Abridge, Suki, Heidi Health, and Scope Health). This analysis revealed a significant market gap: no existing competitor automates patient-context-driven administrative workflows. This release pivots our value proposition from documentation assistance to backend workflow
automation,specifically automating lab requisitions, monitoring alerts, and follow-up procedures based on real-time patient context.
We implemented a working prototype that demonstrates context-aware requisition auto-fill and validated our differentiation hypothesis through internal testing. The kill metrics framework established in this sprint will determine whether we persevere with this automation-first strategy or pivot by March 26th, 2026.

Issue Summary

• Added Competitive Analysis, Evolved Architecture, and Backend Automation Strategy: #48 , #49 , #50

• Competitive Review CUJ

• Evolved Topology Diagram

• Architectural Rationale

• Feature Prioritization

• Pivot Contract

• Build Trap Post-Mortem

• Strategic Pivot: Documentation Assistant → Backend Workflow Automation - Approved in Last Demo #26

  • Competitive benchmarking against Abridge, Suki, Heidi Health, Scope Health
  • Identified market gap: no competitor automates administrative tasks beyond documentation
  • Defined patient-context-driven automation CUJ

• Implemented Core Backend Automation Features: #51 , #52

  • Patient context query system
  • Context-aware requisition auto-fill prototype
  • Administrative artifact generation (lab requisitions, monitoring tasks)
  • Clinician oversight and approval workflow

• Established Validation Framework & Kill Metrics: #50

• Context-aware automation threshold: ≥70% of encounters benefit from ≥1 automated task

• Epic integration checkpoint: March 26th, 2026 trigger date

• Persevere/pivot decision framework with fallback options

Retrospective

Sprint progressed as planned. All core competitive analysis and backend automation prototyping completed on schedule. Epic integration checkpoint and validation study scheduled for March 26th trigger date.

In Progress

• Need approval for GitHub Token for Project Board Automation #47
• Waiting on EPIC Frontend Access #31

Future Plan

• Test board automation after approval #44
• Add new features #34
• Decide Preserve/Pivot on March 26th

Assignment 5 Submission

Overview of the Release

• Added architecture diagram with rationale
• Added build trap postmortem
• Added product definition CUJ
• Added pivot contract
• Added feature-prioritization
• Under demo2 added README with access instructions, link to live application and Code Repository

Issue Summary

Resolved #35
Resolved #36
Resolved #37
Resolved #38
Resolved #26

Assignment 4 Submission

Overview of the Release

• Added architecture diagram
• Added proof of concept
• Added reflections
• Added baseline CUJ
• Under demo1 added README with access instructions, link to live application and Code Repository

Issue Summary

Resolved #25
Resolved #27
Resolved #28
Resolved #29

Assignment 3 Submission

Overview of the Release

• Added architecture diagram
• Added system topology & rationale
• Added reflections
• Added deployment workflow with direct link to GitHub Actions configuration
• Under rapid-mvp/architecture added README with link to live application and MVP Code Repository

Issue Summary

Resolved #12
Resolved #24

Assignment 2 Submission

Overview of the Release

• Added lessons learned
• Added team reflection
• Under rapid-mvp/cuj added README with link to MVP Code Repository and Interactive CUJ
• Fixed Team Profile Pictures

Issue Summary

Resolved #4
Resolved #8
Resolved #9
Resolved #10

No issues

Assignment 1 Submission

Overview of the Release

• Added logo
• Added team README
• Under team directory, added team-member introductions, team principles, diversity and bias analysis

Issue Summary

Resolved #3
No issues