Implementation Status
Overview
This document tracks the implementation status of CareHub features, comparing the original specification against what has been built.
Last Updated: 2026-01-17
Overall Completion: ~65%
Status Legend
| Badge |
Meaning |
| ✅ IMPLEMENTED |
Feature is live in codebase |
| 🚧 PARTIAL |
Partially implemented |
| 📋 PLANNED |
In specification, not yet built |
| 🔄 CHANGED |
Implementation differs from original spec |
Feature Completion Matrix
Infrastructure & Architecture
| Feature |
Status |
Notes |
| Azure Container Apps |
✅ |
Changed from Static Web Apps |
| PostgreSQL Flexible Server |
✅ |
VNet integrated |
| Blob Storage |
✅ |
Private endpoints |
| Key Vault |
✅ |
RBAC enabled |
| Log Analytics |
✅ |
30-day retention (dev) |
| App Insights |
✅ |
Integrated |
| Azure OpenAI |
✅ |
GPT-4o deployment |
| Azure Speech Services |
✅ |
Batch transcription |
| VNet + Private Endpoints |
✅ |
Full network isolation |
| GitHub Actions CI/CD |
✅ |
OIDC authentication |
| Terraform Modules |
✅ |
5 modules deployed |
| HIPAA Policies |
🚧 |
Enabled in QA/Prod |
| Multi-region DR |
📋 |
Not implemented |
User Portals
| Portal |
Status |
Completion |
Key Features |
| Admin |
✅ |
70% |
Dashboard, Cases, Users, Billing (partial), Workflows |
| Psych |
✅ |
75% |
Cases, Calendar, Time Blocks, RFA Review, North Star |
| LPCC |
✅ |
75% |
Cases, Calendar, Time Blocks, RFA Submit, North Star |
| Member |
🚧 |
50% |
Intake, Check-ins, Activities (partial), Profile |
Core Features
| Feature |
Status |
Notes |
| Case Management |
✅ |
Full CRUD, filtering, search |
| Intake Form |
✅ |
Multi-step, all sections |
| Session Management |
✅ |
Scheduling, notes, status |
| Care Plans |
🚧 |
Basic structure, no AI suggestions UI |
| Documents (PR-2, DFR, etc.) |
📋 |
Not implemented |
| GAF Scoring |
✅ |
Pre/Post/Current/Final |
| PHQ-9 / GAD-7 Scoring |
✅ |
Automated scoring |
| Risk Assessment |
✅ |
Keyword + AI analysis |
| Check-ins |
🚧 |
Basic structure, no trend visualization |
| Member Activities |
✅ |
Homework assignments |
| Case Feed |
✅ |
Activity/chatter system |
Calendar & Scheduling
| Feature |
Status |
Notes |
| Provider Calendar |
✅ |
FullCalendar integration |
| Time Blocks |
✅ |
Create, edit, delete |
| Working Hours |
✅ |
Per-day configuration |
| Multi-day Recurring Blocks |
✅ |
Weekdays/Weekends/All |
| Session Scheduling |
✅ |
From calendar or case |
| Availability Visualization |
✅ |
Working hours overlay |
| Non-working Day Blocking |
✅ |
Visual disabled styling |
| Calendar Color Coding |
✅ |
Scheduled vs completed |
Video Sessions
| Feature |
Status |
Notes |
| Twilio Video Integration |
✅ |
Room creation, tokens |
| Video Room UI |
✅ |
Join, leave, controls |
| Recording |
✅ |
Automatic recording |
| Recording Consent |
✅ |
Member must accept |
| Transcription |
✅ |
Azure Speech batch API |
| Speaker Diarization |
✅ |
Separate speakers |
| Post-session Workflow |
✅ |
Inngest automation |
Workflow Engine
| Feature |
Status |
Notes |
| Inngest Integration |
✅ |
Event-driven |
| Intake Complete Workflow |
✅ |
AI analysis, notification |
| Session Complete Workflow |
✅ |
AI summary, PR-2 draft |
| Session Reminder Workflow |
✅ |
24h + session-time |
| Video Complete Workflow |
✅ |
Transcription, chaining |
| Authorization Expiring |
✅ |
Alert when low |
| Risk Alert Workflow |
✅ |
High risk notification |
| Check-in Submitted |
✅ |
Process mood/pain data |
| Workflow Configuration UI |
✅ |
Admin can edit prompts |
| Workflow Run Tracking |
✅ |
Status, duration, errors |
| Staff Assignment |
📋 |
Not implemented |
| No-Show Follow-up |
📋 |
Not implemented |
| Discharge Workflow |
📋 |
Not implemented |
RFA (Request for Authorization)
| Feature |
Status |
Notes |
| LPCC Creates RFA |
✅ |
Form with clinical rationale |
| Psych Reviews RFA |
✅ |
Approve/Deny/Request Info |
| RFA Status Tracking |
✅ |
Full status flow |
| UR Submission |
📋 |
Not implemented |
| UR Response Handling |
📋 |
Not implemented |
Feedback System
| Feature |
Status |
Notes |
| In-app Feedback Button |
✅ |
All portals |
| Screenshot Capture |
✅ |
html-to-image |
| GitHub Issue Creation |
✅ |
Auto-labeling |
| Priority/Type Labels |
✅ |
Bug, enhancement, etc. |
| Feedback Processing Command |
✅ |
/process-feedback |
| Daily Standup Command |
✅ |
/daily-standup |
AI Integration
| Feature |
Status |
Notes |
| Azure OpenAI Setup |
✅ |
GPT-4o deployment |
| Intake Analysis |
✅ |
Risk, summary, recommendations |
| Session Summarization |
✅ |
Themes, progress, next steps |
| Care Plan Suggestions |
✅ |
ICD-10, goals, interventions |
| Risk Assessment |
✅ |
Immediate + AI analysis |
| Session Transcription |
✅ |
Azure Speech batch API |
| Configurable Prompts |
✅ |
Admin workflow configs |
| Progress Assessment |
📋 |
Not implemented |
North Star UI
| Feature |
Status |
Notes |
| Workflow Chevron System |
✅ |
Phase-based colors |
| Phase Progress Indicator |
✅ |
Visual progression |
| Phase-specific Content |
✅ |
Evaluation, Treatment, etc. |
| Quick Actions |
✅ |
Phase-appropriate |
| Alert Display |
✅ |
Safety, authorization |
Billing & Claims
| Feature |
Status |
Notes |
| Billing Entry Model |
✅ |
Database schema |
| Claim Submission Model |
✅ |
Database schema |
| Payer Configuration |
✅ |
Database schema |
| Billing UI |
🚧 |
Basic structure only |
| Claim Generation |
📋 |
Not implemented |
| Payer Integration |
📋 |
Not implemented |
Authentication
| Feature |
Status |
Notes |
| NextAuth.js Setup |
✅ |
Basic auth |
| Azure AD Provider |
✅ |
Staff portals |
| Role-based Access |
✅ |
Admin, Psych, LPCC, Member |
| Member Token Auth |
✅ |
Intake/portal access |
| Clerk (Alternative) |
🚧 |
Partial integration |
| MFA Enforcement |
📋 |
Not configured |
Compliance
| Feature |
Status |
Notes |
| Audit Logging |
✅ |
Activity model |
| PHI Encryption at Rest |
✅ |
Azure default |
| PHI Encryption in Transit |
✅ |
TLS 1.2+ |
| Network Isolation |
✅ |
VNet + private endpoints |
| 6-year Log Retention |
📋 |
Configured for prod only |
| BAA with Microsoft |
📋 |
Pending |
Completion by Area
| Area |
Implemented |
Partial |
Planned |
Total |
% Complete |
| Infrastructure |
12 |
1 |
1 |
14 |
86% |
| Admin Portal |
8 |
2 |
2 |
12 |
67% |
| Psych Portal |
10 |
1 |
2 |
13 |
77% |
| LPCC Portal |
10 |
1 |
2 |
13 |
77% |
| Member Portal |
4 |
3 |
3 |
10 |
40% |
| Workflows |
10 |
0 |
3 |
13 |
77% |
| AI Integration |
7 |
0 |
1 |
8 |
88% |
| Video Sessions |
7 |
0 |
0 |
7 |
100% |
| Calendar |
8 |
0 |
0 |
8 |
100% |
| Total |
76 |
8 |
14 |
98 |
78% |
Priority Implementation Roadmap
P0 - Critical (Required for MVP)
| Feature |
Status |
Effort |
Notes |
| Document Generation (PR-2) |
📋 |
M |
Required for compliance |
| Member Portal Check-in Trends |
🚧 |
S |
Complete visualization |
| Care Plan AI Suggestions UI |
🚧 |
M |
Wire up to UI |
| MFA Enforcement |
📋 |
S |
Security requirement |
| UR Submission Flow |
📋 |
L |
Complete RFA workflow |
P1 - High (Needed Soon)
| Feature |
Status |
Effort |
Notes |
| Progress Assessment AI |
📋 |
M |
Weekly reports |
| No-Show Follow-up Workflow |
📋 |
S |
Compliance |
| Discharge Workflow |
📋 |
M |
Case closure |
| Billing UI Completion |
🚧 |
M |
Revenue tracking |
| Staff Assignment Workflow |
📋 |
S |
Notifications |
P2 - Medium (Nice to Have)
| Feature |
Status |
Effort |
Notes |
| Multi-region DR |
📋 |
L |
High availability |
| Clerk Full Integration |
🚧 |
M |
Alternative auth |
| Advanced Reporting |
📋 |
L |
Analytics dashboard |
| Mobile Optimization |
📋 |
M |
Responsive improvements |
| Push Notifications |
📋 |
M |
Mobile alerts |
Technical Debt
| Item |
Severity |
Description |
| Unit Tests |
High |
No Jest tests configured |
| API Error Handling |
Medium |
Inconsistent error responses |
| Loading States |
Low |
Some pages missing loading UI |
| Form Validation |
Medium |
Some forms lack client validation |
| Database Indexes |
Medium |
May need optimization for scale |
| Component Refactoring |
Low |
Some large components to split |
Recent Changes
2026-01-17
- ✅ Workflow chevron system with phase-based colors
- ✅ Calendar color coding (scheduled vs completed)
- ✅ Working hours modal improvements
- ✅ Non-working day blocking
- ✅ Time block editing/deletion
- ✅ Multi-day recurring time blocks
- ✅ Feedback button repositioning
2026-01-16
- ✅ Feedback system deployment
- ✅ GitHub issue integration
- ✅ Screenshot capture functionality
- ✅ Slash commands for feedback processing
2026-01-15
- ✅ North Star UI implementation
- ✅ Psych portal case detail improvements
- ✅ Safety alert fixes
Known Issues
| Issue |
Severity |
Status |
| Calendar performance with many events |
Low |
Monitoring |
| Transcript sometimes missing speakers |
Medium |
Azure Speech limitation |
| Long intake forms may timeout |
Low |
Pagination planned |
Environment Status
| Environment |
Status |
Last Deploy |
Notes |
| Development |
✅ Active |
2026-01-17 |
All features |
| QA |
✅ Active |
2026-01-15 |
Testing feedback system |
| Production |
📋 Pending |
- |
Awaiting BAA completion |
Documentation Status
| Document |
Status |
Last Updated |
| 01-BUSINESS-OVERVIEW.md |
✅ Current |
2026-01-17 |
| 02-USER-ROLES.md |
✅ Current |
2026-01-17 |
| 03-DATABASE-SCHEMA.md |
✅ Updated |
2026-01-17 |
| 04-PORTALS-AND-FEATURES.md |
✅ Updated |
2026-01-17 |
| 05-WORKFLOWS-AND-AUTOMATION.md |
✅ Updated |
2026-01-17 |
| 06-AI-INTEGRATION.md |
✅ Updated |
2026-01-17 |
| 07-COMPLIANCE.md |
⚠️ Needs Review |
- |
| 08-AZURE-ARCHITECTURE.md |
✅ Updated |
2026-01-17 |
| 09-TECH-STACK.md |
✅ Updated |
2026-01-17 |
| 10-IMPLEMENTATION-STATUS.md |
✅ NEW |
2026-01-17 |
