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Implementation, evidence and next work

A working foundation.
A developer preview next.

The protocol has executable end-to-end workflows. The current goal is a reproducible public developer release; it is not a production healthcare service or certification.

125 tests verified on 2026-10-05. 0.1.0-dev.11 is the current source version. Read the detailed verification record.

AreaStatusWhat this means
Core exchangeWorking prototypeBidirectional encrypted payloads, signed credentials, discovery, scoped Host tokens and conditional approval.
Clinical data & synchronizationWorking prototypeSix expanded clinical types, versions/history, ordered queues, paged reads and durable client mirrors.
Portability & notificationsWorking prototypeEncrypted backups, atomic restore, coordinated Host transfer and durable protected callbacks.
SDK interoperabilityVerified in three runtimesTypeScript, Python and .NET packages and authenticated negative cases.
Clinical validationFinite coveragePinned offline HL7 validation and durable jobs; broad licensed clinical vocabularies remain open.
Host operationsDeveloper labReplaceable SQLite-compatible storage boundary, private snapshots and health checks. Production infrastructure remains open.
Public developer releasePublication in progressApache 2.0 license and versioned SDK downloads are available. Public Git source and custom-domain setup remain open.
Production readinessOpen release gatesIndependent security assessment, real vendor interoperability, approval/evidence integrations and operational hardening.

What remains, in order

  1. Finish the public Git release and connect oprp.convey.care.
  2. Broaden clinical profiles and licensed terminology; add attachments and larger transfer workflows.
  3. Complete deployment operations, secure key custody and patient/representative approval integrations.
  4. Validate with independent implementers and real healthcare vendors; complete external security review.
  5. Freeze the interoperable protocol baseline before building Convey’s EMR.