1. 🎯 Sprint Summary
| Sprint | Sprint 9.4 · M20 Orthopaedics · Fracture AI + MSK Pathways |
| Duration | 11 - 31 Mar 2030 |
| Module | M20 Orthopaedics · Fracture AI + MSK Pathways · specialist HITL |
| Goal | M20 production-certified · Orthopaedic Surgeon HITL panel ≥ 5 active · zero missed Open fracture red-flag |
| Capacity | 6 FTE + Founder 0.7 + Doc Zam 0.4 + Orthopaedic Surgeon Advisor (Datuk Dr Chandran Pillay) 0.5 |
| Velocity | 92 SP |
| Demo | 31 Mar 2030 |
2. 🧩 Module Scope
- X-ray fracture AI — image recognition · fracture vs no-fracture · multiple fractures
- Open fracture red-flag — automated severity scoring · mandatory ortho surgeon escalation
- MSK rehab pathways — physiotherapy protocols · post-op rehabilitation
- Joint replacement long-term tracking — hip/knee replacement registry integration
- Orthopaedic Surgeon specialist HITL · panel rota · SLA tracking
- Open fracture red-flag workflow · mandatory specialist escalation
- MOH CPG alignment · validated clinical instruments
- Culturally adapted prompts (4 ASEAN contexts)
- Cross-module care plan integration (chronic comorbidities)
3. 🚦 Pre-Sprint Gate
- Sprint 9.3 closeout
- Orthopaedic Surgeon advisor onboarded
- Open fracture legal/clinical review complete
- Orthopaedic Surgeon panel ≥ 5 specialists committed
- MOH CPG sources licensed
4. 📅 Day-by-Day Plan
D1-3Mon-Wed · Kickoff + X-ray AI + MSK pathways
X-ray AI + MSK pathways integration · clinical workflow scoping.
X-ray AI + MSK pathways integration · clinical workflow scoping.
D4-5Thu-Fri · Open fracture Red-Flag Workflow
Open fracture scoring · mandatory escalation logic.
Open fracture scoring · mandatory escalation logic.
D6Fri · Mid-Sprint Demo #1
Screening end-to-end · advisor review.
Screening end-to-end · advisor review.
D7-8Mon-Tue · Specialist HITL + SLA
Orthopaedic Surgeon panel rota · SLA monitoring.
Orthopaedic Surgeon panel rota · SLA monitoring.
D9-10Wed-Thu · Cross-Module Care Plans
Composite care across specialties.
Composite care across specialties.
D11Fri · Mid-Sprint Demo #2
Full HITL workflow.
Full HITL workflow.
D12-13Mon-Tue · Cultural Prompts + CPG
4-culture prompt tuning · MOH CPG alignment.
4-culture prompt tuning · MOH CPG alignment.
D14Wed · Clinical Safety Audit
Orthopaedic Surgeon + Doc Zam clinical audit.
Orthopaedic Surgeon + Doc Zam clinical audit.
D15Thu-Fri · Stability + Production Test
Production load · 4-week stability run starts.
Production load · 4-week stability run starts.
+Mon (next) · Sprint Demo + Retro
Orthopaedic Surgeon attestation · sprint demo · 9.5 prep.
Orthopaedic Surgeon attestation · sprint demo · 9.5 prep.
5. 📦 Deliverables
| FR | Item | SP |
|---|---|---|
| FR-9.4.1 | X-ray AI + MSK pathways validated instruments | 13 |
| FR-9.4.2 | Open fracture red-flag workflow | 13 |
| FR-9.4.3 | Orthopaedic Surgeon HITL panel + SLA | 13 |
| FR-9.4.4 | MOH CPG alignment + validated workflows | 8 |
| FR-9.4.5 | Culturally adapted prompts (4 ASEAN cultures) | 8 |
| FR-9.4.6 | Cross-module care plan integration | 8 |
| FR-9.4.7 | Clinical safety audit by Orthopaedic Surgeon advisor | 5 |
| FR-9.4.8 | Production cert · stability proven | 8 |
| TOTAL | 76 SP |
6. 👥 Team Capacity
| Role | Allocation | Focus |
|---|---|---|
| Eng Lead / BE | 1.0 FTE | X-ray AI + MSK pathways · HITL SLA · CPG |
| BE Dev 2 | 1.0 FTE | Cross-module care plans · red-flag workflow |
| FE Dev | 1.0 FTE | Screening UX · specialist HITL UX |
| Prompt Eng | 0.5 FTE | 4-culture Orthopaedics · Fracture AI + MSK Pathways prompt tuning |
| DevOps | 0.5 FTE | HITL SLA monitoring · panel rota tooling |
| Founder | 0.7 FTE | Orthopaedic Surgeon advisor coordination |
| Doc Zam | 0.4 FTE | Clinical oversight · cultural adaptation |
| Orthopaedic Surgeon Advisor (Datuk Dr Chandran Pillay) | 0.5 FTE | Clinical sign-off · audit · 4-culture review |
7. 🔔 Sprint Ceremonies
- Mon 9am — Sprint Planning + Advisor Intro (90 min)
- Daily 9am — Standup
- Fri (week 1) + Fri (week 2) 4pm — Mid-sprint demos
- Wed (week 3) 2pm — CPG compliance walk (90 min)
- Thu (week 3) 2pm — Clinical safety audit (3 hours)
- Mon (week 4) 9am — Sprint Demo + Attestation (90 min)
- Mon (week 4) 11am — Retro + next sprint plan (60 min)
8. 🩺 Sign-off Items
- X-ray AI + MSK pathways validated · zero false-negative on test cases
- Open fracture red-flag: zero missed escalation
- Orthopaedic Surgeon HITL SLA met ≥ 95%
- MOH CPG alignment verified
- 4-culture prompt review clean
- Cross-module care plans tested with ≥ 20 patients
- External clinical safety audit clean
- Production cert · ≥ 4-week stability proven
9. 🎬 Demo Schedule — 31 Mar 2030
| Time | Segment |
|---|---|
| 0-10 | v3.5 update · M20 narrative · why orthopaedics · fracture ai + msk pathways matters |
| 10-25 | Live patient flow · X-ray AI + MSK pathways screening · severity stratification |
| 25-40 | Open fracture red-flag · mandatory escalation · specialist HITL |
| 40-55 | MOH CPG alignment · MOH-MY validated workflow walkthrough |
| 55-70 | Cross-module care plans · composite chronic disease management |
| 70-80 | Cultural prompts · 4 ASEAN contexts demo |
| 80-90 | Orthopaedic Surgeon Advisor Datuk Dr Chandran Pillay keynote · clinical attestation |
10. 🛡️ Contingency
| Risk | Trigger | Response |
|---|---|---|
| X-ray AI + MSK pathways false-negative | Missed red-flag in test | Conservative thresholds · mandatory dual-review |
| Specialist HITL SLA breach | Panel rota gaps | Backup panel · 24-hour escalation to Doc Zam |
| CPG misalignment | MOH-MY CPG update mid-sprint | Track CPG changes · iterative re-alignment |
| Cultural prompt rejection | Advisor flags insensitivity | Per-culture prompt overrides |