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Scope Locked. Constraints Non-Negotiable.

One clinic. One protocol. One on-call DVM. Full audit trail. No phone porting. Live in one week.

Enable a single independent 3–10 DVM small-animal clinic to go live with branded, protocol-driven after-hours triage in ≤ 1 week — with zero phone porting, no PMS integration required, a complete audit trail on every interaction, and on-call DVM pages only when configured escalation criteria are met.

1

Clinic Brand Profile Setup

Name, logo, colors, hours, ER partners, on-call schedule

2

Protocol Builder

DVM-configurable question sequences, symptom weights, urgency criteria, version history

3

Red-Flag Hard Stops

7 symptoms that always bypass triage and route directly to ER — unconfigurable

4

Pet Owner Triage Flow

Clinic-branded mobile URL, consent capture, structured intake, 3-tier classification

5

Urgency Classification

🔴 URGENT / 🟡 MONITOR / 🟢 ROUTINE / 🆘 EMERGENCY with transparent DVM criteria

6

On-Call DVM Pager

Structured case summary delivered via push + SMS; DVM response logged with timestamp

7

Failover Escalation

If DVM unacknowledged in 10 min → backup contact triggered automatically

8

ER Partner Routing

Partner card with address, maps link, phone — for EMERGENCY and URGENT outcomes

9

Audit Trail

Every session: UUID, timestamps, consent, answers, classification, DVM actions — immutable

10

SMS Confirmation

A2P/TCPA-compliant; outcome summary delivered to pet owner within 60s

11

Morning Handoff Report

Delivered to practice manager email at 7:30 a.m. — tiered overnight summary

12

Practice Admin Dashboard

Protocol management, on-call scheduling, ER partners, audit log search + export

PMS/PIMS Integration

4–8 week integration cycle; blocks fast go-live; no-PMS is the differentiator

Automated PMS Appointment Booking

Requires PMS API; v2 or v3

Species beyond Dog/Cat/Rabbit

Scope creep risk; exotics have distinct liability surface

Video/Voice Triage

Increases tech complexity and HIPAA surface area

Custom Clinic Domain

afterhoursally.com/[slug] sufficient for MVP

Multi-language (non-English)

Important but not MVP-blocking

AI/LLM Symptom Inference

Conservative liability posture requires DVM-reviewed protocols; AI layer is v2

Multi-clinic / Enterprise Admin

Single clinic focus for MVP

Direct Payment Collection

Out of scope for triage flow

Liability

Every session MUST capture explicit timestamped consent before any clinical content is displayed — no exceptions.

Liability

Red-flag symptoms MUST always bypass classification and route directly to ER. Hard-coded. Not configurable.

Liability

System MUST NOT provide specific diagnostic conclusions — only urgency tier classification with DVM-defined criteria.

Liability

All protocol content MUST be clinic-configured and carry a named DVM approval record.

Liability

Audit trail MUST be immutable — clinic admins cannot delete or modify session records.

Compliance

All SMS MUST use a 10DLC-registered sender ID. Pet owner SMS consent MUST be captured at intake.

Compliance

Session logs MUST be retained for a minimum of 7 years.

Compliance

Pet owner phone numbers MUST be encrypted at rest and masked in display views.

Operational

Product MUST NOT require phone number porting. Port-free / call-forward architecture only.

Operational

If DVM does not acknowledge a page within 10 minutes, backup escalation MUST trigger. No silent drops.

Operational

Uptime ≥ 99.9% required. 24/7 monitoring with automated failover before production launch.

Operational

A clinic MUST be able to go live within 7 days with no PMS integration of any kind.

Clinic Onboarding

  • Practice manager can create account, upload logo, set hours, publish triage link in < 30 min
  • At least one protocol and one ER partner required before triage link goes public
  • On-call DVM assignment visible on dashboard before 6 p.m. each day

Pet Owner Triage

  • Pet owner can complete intake and receive classification in < 5 min on mobile
  • Consent captured and logged before any symptom questions are shown
  • Every red-flag symptom routes directly to ER card regardless of other inputs
  • SMS confirmation delivered within 60 seconds of session completion
  • Session audit log created within 5 seconds of session completion

On-Call DVM Pager

  • URGENT classification triggers DVM page within 30 seconds
  • DVM page includes: pet name, species, age, symptoms, classification rationale
  • DVM can acknowledge from mobile without desktop login
  • If DVM unacknowledged within 10 min, backup escalation triggers automatically

Audit Trail

  • Full session log accessible in admin dashboard within 5 min of session completion
  • Log includes: session UUID, all timestamps, consent, answers, classification, DVM actions
  • Log exportable as PDF by practice admin
  • Logs from past 7 years searchable by date and classification tier

System Reliability

  • Triage console HTTP 200 < 2s TTFB on mobile; Lighthouse ≥ 85 mobile
  • Uptime ≥ 99.9% over any 30-day period
  • DVM page delivery confirmed within 30 seconds via push + SMS
  • All Playwright E2E tests pass on deployed production URL

Starter

$149/mo

1–3 DVM clinic

Break-even vs. answering service ($235–$625/mo)

Practice

$249/mo

3–6 DVM clinic

Primary ICP; ROI clear vs. $18K/yr uncompensated labor

Multi-DVM

$399/mo

6–10 DVM clinic

Higher volume; protocol complexity warrants premium

Annual billing: 2 months free (16% discount). 30-day free trial, full-featured, no credit card required.