The platform manages clinical visit cadences across complex longitudinal treatment plans, dynamically alternating visit types based on dosing stabilization and regulatory jurisdictions.
AS A: Patient enrolled in active medical weight management
I WANT: My monthly check-in to alternate between asynchronous questionnaires and synchronous video consultations
SO THAT: My provider can monitor side effects while minimizing unnecessary clinical office visits.
Scenario: Active titration visit scheduling
GIVEN a patient is in active dose titration (Steady_State_Flag = False)
AND the last completed visit was "Synchronous_Video" at Day 0
WHEN the 30-day follow-up encounter is triggered
THEN the system generates an "Asynchronous_Clinical_Intake" work item
AND dispatches a reminder email to the patient with the questionnaire link.
Scenario: Transition to steady-state maintenance
GIVEN a provider marks a patient's prescription as "Steady_State_Achieved"
WHEN the subsequent visit schedule is calculated
THEN the system updates the visit frequency from 30-day alternation to 90-day Synchronous visits
AND logs the cadence update in the patient audit ledger.AS A: Compliance Officer
I WANT: State-level prescribing restriction changes to generate immutable audit entries
SO THAT: The platform maintains 100% adherence to state medical board statutory guidelines.
Scenario: Key rotation audit logging
GIVEN an administrator updates medication prescribing logic tables
WHEN the new policy key is committed to the database
THEN the system creates an immutable audit record capturing:
| Field Name | Value Description |
| Old_Key_ID | Pre-change cryptographic version hash |
| New_Key_ID | Post-change cryptographic version hash |
| Rotation_Date | ISO 8601 UTC timestamp |
| Vendor_ID | Integrated pharmacy partner identifier |
| Rotated_By | Authenticated Administrator Profile ID |