✅ DOC ZAM APPROVED · 26 April 2026 · Hospital Agentic AI Eco-System Execution Hub · Internal Working Document
APPROVED EXECUTION HUB v1.0 · Phase 0 Foundation 14 sections · modular delivery

MediEco — Execution Blueprint

Hospital Agentic AI Eco-System untuk Doc Zam (Mohd Shuhaizam Zain). Pitch dah disetujui — sekarang masa execute. Modul-by-modul, gate-by-gate, tak terlepas 1 pun.

Modul
9
M1-M9 (modular)
Personal Assistants
4
Patient · Doctor · Pharmacy · Admin
Timeline
~6
bulan ke MVP pilot
Quality Gates
6
Q1-Q6 ALESA + MOH-equivalent
PRIMARY · PM VIEW
Project Blueprint

Charter · scope · stakeholders · RACI · timeline · milestones · quality gates · risks · budget · governance · compliance roadmap.

Buka Project Blueprint →
PRIMARY · ENGINEERING VIEW
Development Blueprint

Tech stack · repo structure · API contracts · database schema · agent specs · DevOps · observability · security · testing strategy · sprint cadence.

Buka Development Blueprint →

🖥️ Dashboard Mockups (4 Persona)

BARU · Mei 2026

Mockup interaktif untuk setiap pengguna utama MediEco — Patient · Doctor · Pharmacy · Admin. Sample data Malaysian context · BM rojak · pematuhan MOH/PDPA · sedia untuk pitch & demo.

Untuk Doc Zam: Dashboard untuk Doctor (M4 DRPA) dan Pharmacy (M5 PHPA) — yang sebelum ini hanya teks dalam /modules — sekarang ada mockup penuh dengan sample data realistik (Mediviron Group 12 cawangan, 48 doktor, 24 farmasis). Sila review dan beri feedback sebelum hi-fi mockup tahap seterusnya.

📑 Doc Zam Mock System (HIS) Alignment

Berdasarkan 6-slide PPTX yang Doc Zam (Mohd Shuhaizam Zain) hantar 26 Apr 2026 — workflow diagram + 5 mock screens. Hampir 100% align dgn 4-PA × 9-modul kita. Detail terperinci akan dimasukkan dlm setiap modul spec.

📑 Doc Zam Mock
✅ Our Modul
Patient Mobile App + AI Triage
Acute → notify physician · Non-acute → AI guidance
M1 PSPA · Patient Symptom PA
Built-in 3-warna triage + escalate logic
Registration Counter
Demographics · Insurance · Consent · Today's Queue
M7 ADPA · Admin PA
Smart queue + appointment + check-in flow
Doctor Consultation
6-tab Quick Access · Encounter ID · SOAP doc
M4 DRPA · Doctor PA + M2 PCBP
Pre-consult briefing + ambient SOAP scribe + 6-tab UI
Pharmacy Dispensing
Verification · Stock · Substitution · Print Label
M5 PHPA · Pharmacy PA
DDI + allergy + halal + dose-by-weight
Digital Referral Letter + 1st Responder
"Guided to Nearest Hospital"
M3 CLOC · Clinic Locator + M4
GPS routing + auto-generated referral
HIS Support & Governance bottom layer
8 modules: Audit · Ops · Profiling · Records · Accounting · Pharmacy Stock · Coordination · Emergency Response
M9 AUCM · Audit + Compliance
Cross-cutting layer covers all 8 governance items
Patient Profile Form (11 sections)
Master · Contact · Emergency · Primary Care · Insurance · Clinical Snapshot · Allergies · Medication · Vitals · Encounter History · Care Plan
M4/M1/M5 shared data model
Exact 11-section schema akan diadopsi sebagai canonical Patient model
Photo/Biometric ID
Patient Master Profile (face)
NEW: leverage Skool2U Face Scan
face-api.js client-side · cosine match · existing tech
Encounter ID format · ENC-2026-0425-001
Adopted as canonical · ENC-{YYYY}-{MMDD}-{NNN}
MRN format · 2026-001245
Adopted as canonical · {YYYY}-{6-digit sequential}
Verdict: Doc Zam vision = our 4-PA × 9-modul architecture, validated dari kedua-dua belah. Kita extend dgn (a) modular adoption flexibility (b) Malaysia-context (BM rojak, halal, MOH CPG) (c) on-prem AI server option (d) cross-clinic continuity network (M8). Doc Zam mock = excellent UI reference yang akan diadopsi as canonical UX pattern.

🗂️ Blueprint Sections (14)

Modular structure — setiap seksyen standalone, boleh dikerjakan parallel oleh team berbeza. Click untuk masuk.

FOUNDATION · LIVE
1. Project Charter

Vision, scope, success criteria, exit criteria, key principles.

FOUNDATION · LIVE
2. Stakeholders & RACI

Doc Zam · Rosli ALESA · Klinik partners · Patients · MOH · regulator. RACI per phase.

FOUNDATION · LIVE
3. Timeline & Phases

Phase 0 Foundation → 1 MVP → 2 Pilot → 3 Scale. Milestones + dates.

FOUNDATION · LIVE
4. Quality Gates Q1-Q6

ALESA framework gates + MOH-equivalent compliance checkpoints per phase.

FOUNDATION · LIVE
5. Risk Register

Clinical safety · medication error · PDPA · skill decay · audit gap · cost. Mitigation per item.

FOUNDATION · LIVE
6. Budget & Resources

Capex (server) + OpEx (colo + maintenance + cloud burst) + manpower allocation.

FOUNDATION · LIVE
7. Tech Stack & Repo

Laravel 11 + Filament 3 + Python LangGraph + MCP SDK + Llama/Qwen + pgvector.

FOUNDATION · LIVE
8. API & MCP Contracts

REST · MCP server (mcp-medix) · webhooks · FHIR R4 · HL7 v2 · DICOMweb · e-Invoice LHDN.

FOUNDATION · LIVE
9. Database Schema

11-section Patient profile (Doc Zam canonical) · Encounter · Prescription · Audit · Vector Memory.

FOUNDATION · LIVE
10. Agent Specifications

Per-PA: tools, memory tier, prompt strategy, guardrails, escalation thresholds.

PHASE 2 · PENDING
11. Module Specs (M1-M9)

Per-modul deep spec: user stories · API · data model · state machine · test plan · acceptance criteria.

FOUNDATION · LIVE
12. Gantt & Sprint Plan

2-week sprints · 9 sprint detail pages live · velocity · dependency graph · critical path.

PHASE 2 · PENDING
13. Risk Register Detail

Full register · likelihood × impact matrix · mitigation owner · trigger conditions · contingency plans.

PHASE 2 · PENDING
14. Budget Detail

Per-line capex · monthly opex profile · 5-year TCO · sensitivity analysis · funding plan.

🗺️ Full Execution Catalog · 35 Pages LIVE

Setiap fasa + sprint ada page lengkap — Phase 0 Foundation (26 Apr 2026) hingga Phase 7 v2.0 Insurance/Pharma Channel closeout (23 Apr 2028 · 100+ tenants). Day-by-day plan, deliverables, capacity, ceremonies, Doc Zam sign-off, demo agenda, contingency. 4-year roadmap end-to-end.

PHASE 0 · LIVE
Foundation Setup

26 Apr-10 May · blueprint · repo · CI/CD · staging · pilot LOI · hires · Q1 Preflight

SPRINT 1.1 · LIVE
M9 · Audit Foundation

11-24 May · audit log · auth/RBAC · 11-section Patient model · feature flags · Q1 gate

SPRINT 1.2 · LIVE
M1 · Patient Symptom PA

25 May-7 Jun · 3-tier triage · BM/EN chat · pre-arrival chart · HITL review

SPRINT 1.3 · LIVE
M4 · Doctor PA SOAP

8-21 Jun · ambient SOAP · CPG RAG · Rx draft · 6-tab UI · MVP CLOSE · Q2/Q3

SPRINT 2.1 · LIVE
M2 + M5 · Briefing + Pharmacy

5-18 Jul · dual-track · pre-consult briefing + DDI/halal/dose-by-weight

SPRINT 2.2 · LIVE
M7 · Admin PA

19 Jul-1 Aug · queue · registration · insurance · billing · MyInvois · pilot-ready

PILOT RUN · LIVE
8-Week Clinic Pilot

3 Aug-30 Sep · M1+M2+M4+M5+M7+M9 deployed · 10 metrics · Q4/Q5 gate

SPRINT 3.1 · LIVE
M3 · Clinic Locator

1-14 Oct · GPS routing · referral letter · HL7 v2 · first-responder mode

SPRINT 3.2 · LIVE
M6 · Adverse Reaction Loop

15-28 Oct · Naranjo/WHO-UMC · cross-PA broadcast · NPRA Form ADR-1

SPRINT 3.3 · LIVE
M8 · Continuity Network

29 Oct-11 Nov · multi-tenant · consent · cross-clinic FHIR · pen-test · Phase 3 closeout

ONBOARDING · LIVE
3-5 Group Clinics

12 Nov-23 Dec · 7-stage playbook · 4 cohorts · network effect · 50+ cross-clinic fetches

HI-END · LIVE
4× H100 / L40S Upgrade

24 Dec-6 Jan · on-prem inference · ends OpenAI dependency · capacity for 10+ tenants

MOH AUDIT · LIVE
Compliance + Pen-Test

7 Jan-28 Feb · 14-doc pack · CREST pen-test · MOH walkthrough · Q6 gate

GO LIVE · LIVE
Production · 1 Mar 2027

Q6 cert · 5-6 tenants · all 9 modules · 309 days from approval · scale roadmap

PHASE 4 · LIVE
v1.1 Post-Production

5 Apr-27 Jun 2027 · 4 sprints · scale 5→10 tenants · 4 themes · phase overview

SPRINT 4.1 · LIVE
M1+M4 Production Deepening

5-25 Apr · triage 90→95% · SOAP override 12→8% · CPG +500 · doctor preference layer

SPRINT 4.2 · LIVE
M10 Wearables + IoT

26 Apr-16 May · BP cuff · CGM · Apple Watch · Samsung Health · 30%+ patients linked

SPRINT 4.3 · LIVE
Self-Service Onboarding

17 May-6 Jun · 7-step wizard · 10-day → 2-day cycle · Tenant 7 onboarded

SPRINT 4.4 · LIVE
M4+ Telehealth Video

7-27 Jun · WebRTC · ambient SOAP on video · Lalamove · 10 tenants · v1.1 closeout

PHASE 5 · LIVE
v1.2 Multi-Ethnic + Chronic + DICOM

5 Jul-26 Sep 2027 · 4 sprints · scale 10→20 tenants · 4 themes

SPRINT 5.1 · LIVE
M11 Chronic Care Plans

5-25 Jul · DM · HTN · asthma · adherence · seasonal reminders

SPRINT 5.2 · LIVE
Mandarin + Tamil Patient PAs

26 Jul-15 Aug · native UX · idiom corpora · TCM/traditional medicine handling

SPRINT 5.3 · LIVE
MyKad + KKM eHIS Bridge

16 Aug-5 Sep · NRIC verify · FHIR read+write · gov partnership

SPRINT 5.4 · LIVE
DICOM Viewer + Radiology

6-26 Sep · OHIF · ultrasound · AI flag · 3 radiologist clinics · v1.2 closeout

PHASE 6 · LIVE
v1.3 Multi-State Expansion

4 Oct-26 Dec 2027 · 4 sprints · scale 20→40 · Penang+Kuching+KK+MOH

SPRINT 6.1 · LIVE
Penang Pilot

4-24 Oct · 5 cohort clinics · Hokkien corpus · field rep

SPRINT 6.2 · LIVE
Kuching + KK Pilot

25 Oct-14 Nov · East Malaysia · offline-first PWA · Iban + Kadazan-Dusun

SPRINT 6.3 · LIVE
Federation + 2nd Hi-End Server

15 Nov-5 Dec · Cyberjaya cluster · cross-region · failover < 30s

SPRINT 6.4 · LIVE
MOH Partnership Pilot

6-26 Dec · 2 KKM klinik kesihatan · CDR · panel hospital · v1.3 closeout

PHASE 7 · LIVE
v2.0 Specialty + Marketplace

3 Jan-23 Apr 2028 · 5 sprints · scale 40→100+ · 3 specialties + platform

SPRINT 7.1 · LIVE
M12 Paediatrics-Deep

3-23 Jan · weight-band dosing · WHO growth charts · MOH NIP · paeds HITL

SPRINT 7.2 · LIVE
M13 OG-Deep

24 Jan-13 Feb · ANC tracker · pregnancy Rx safety · birth plan · OG HITL

SPRINT 7.3 · LIVE
M14 Cardiology-Deep

14 Feb-5 Mar · ECG AI flag · CHA2DS2-VASc/HAS-BLED/TIMI/GRACE · cardio HITL

SPRINT 7.4 · PLATFORM LAUNCH
M15 API + Marketplace

6 Mar-2 Apr · REST + GraphQL · OAuth · SDKs · 3rd-party marketplace · Stripe Connect

SPRINT 7.5 · v2.0 CLOSE
M16 Insurance + Pharma Channel

3-23 Apr · 6 carriers · 20 pharma reps · pen-test full audit · 100+ tenants live

PHASE 8 · v3.0 ASEAN
🌏 ASEAN Regional Expansion

1 Jul - 3 Nov 2029 · 18 weeks · 6 sprints · 300+ tenants across 4 countries (MY/ID/TH/VN)

SPRINT 8.1 · INDONESIA
🇮🇩 Jakarta + Surabaya Pilot

1-21 Jul 2029 · 10 clinics · BPJS Kesehatan · UU PDP · Rupiah · QRIS/GoPay/DANA

SPRINT 8.2 · THAILAND
🇹🇭 Bangkok + Chiang Mai

22 Jul-11 Aug 2029 · 8 clinics · NHSO · PDPA Thai · Baht · PromptPay/TrueMoney

SPRINT 8.3 · VIETNAM
🇻🇳 HCMC + Hanoi

12 Aug-1 Sep 2029 · 6 clinics · VSS · Decree 13 · VND · MoMo/ZaloPay/VNPay

SPRINT 8.4 · LOCALISATION
🌐 Localisation Deepening

2-22 Sep 2029 · Cultural conventions · 4-lang prompts · pharmacopeia · QR aggregator

SPRINT 8.5 · M8 INTL
🌉 Cross-Border M8

23 Sep-13 Oct 2029 · Medical tourism · insurance roaming · cross-border specialist · M8 Intl

SPRINT 8.6 · v3.0 CLOSE
🏛️ Regulators + v3.0 Closeout

14 Oct-3 Nov 2029 · ASEAN advisory · WHO · 4 MOH MOUs · 300-tenant celebration

PHASE 9 · v3.5 SPECIALTY
🩺 Specialty Deepening

7 Jan-21 Apr 2030 · 15 weeks · 5 specialties (M17-M21) · 500+ tenants

SPRINT 9.1 · MENTAL HEALTH
🧠 M17 PHQ-9 + GAD-7 + Suicide Risk

7-27 Jan 2030 · C-SSRS · psychiatrist HITL · MHA 2001 · Prof Mohanraj

SPRINT 9.2 · DERMATOLOGY
🎨 M18 Image AI + Teledermatology

28 Jan-17 Feb 2030 · DermAI · biopsy referral · skin cancer red-flag · Dr Tang

SPRINT 9.3 · ENDOCRINOLOGY
🩸 M19 DM-1 + Thyroid + Adrenal

18 Feb-10 Mar 2030 · Insulin pump · DKA red-flag · thyroid storm · Prof Nor Azmi

SPRINT 9.4 · ORTHOPAEDICS
🦴 M20 Fracture AI + MSK Pathways

11-31 Mar 2030 · X-ray AI · open fracture red-flag · MSK rehab · Datuk Chandran

SPRINT 9.5 · v3.5 CLOSE
🎗️ M21 Oncology + v3.5 Closeout

1-21 Apr 2030 · TNM · chemo · febrile neutropenia · palliative · 500-tenant celebration

PHASE 10 · v4.0 PLUS
🚀 Consumer + Enterprise Plus

8 Jul-20 Oct 2030 · 15 weeks · B2C app + B2B wellness + Research + Pharma · 1,000+ tenants

SPRINT 10.1 · CONSUMER B2C
📱 Consumer Mobile App

8-28 Jul 2030 · iOS + Android · App Store + Play Store · self-triage · premium tier

SPRINT 10.2 · EMPLOYER B2B
🏢 Employer Wellness Program

29 Jul-18 Aug 2030 · Khazanah · Petronas · Maybank · CIMB · MOH · 10K+ employees

SPRINT 10.3 · RESEARCH B2B
🔬 Clinical Research Platform

19 Aug-8 Sep 2030 · UM · UKM · USM · IRB · NMRR · GCP · 3 RCTs live

SPRINT 10.4 · PHARMA
💊 Pharma Trial Network

9-29 Sep 2030 · Pfizer · Roche · Novartis · AstraZeneca · MOH-MY · 5 trials

SPRINT 10.5 · v4.0 CLOSE
🌐 ASEAN AI Standard + v4.0 Closeout

30 Sep-20 Oct 2030 · ASEAN AI Standard v1.0 · MOH-MY adoption · WHO · 1,000-tenant celebration

🚀 Current Phase Status

Phase 0 · NOW
Foundation
Hub + Project + Dev blueprint LIVE. Module specs pending.
Phase 1
MVP Build
M1+M4+M9 (Patient PA + Doctor PA + Audit). Target: 4-6 minggu.
Phase 2
Pilot
+ M2+M5+M7. Deploy 1 klinik pilot. 3 bulan run-in.
Phase 3
Scale
+ M3+M6+M8. Rollout 5-50 cawangan. Network effect activated.
📌 Today (26 Apr 2026): Phase 0 Foundation — Hub + Project + Dev blueprint LIVE. Next session: Module M1-M9 deep specs + Gantt + Risk register detail + Budget breakdown.

📚 Reference Documents