Patient Operations Record

Patient Operations Record helps hospital teams track unfinished work across shifts and departments. This working synthetic U.S. inpatient prototype was motivated by my ICU experience in India; it has no hospital deployment. A patient-first board shows unfinished work, its owner and the next recorded step. Staff can enter an unsigned synthetic handover that persists in the shared record, propose an operational task linked to an existing order and source, assign a department owner and add a prerequisite. A person reviews the exact proposal before it changes the worklist. The assigned owner or Charge nurse separately confirms permitted completion. Ten demo personas cover nursing, medicine, laboratory, imaging, pharmacy, OR, transport, case management and environmental services; these are demonstration roles, not hospital authentication. Meta Muse Spark reconciles sign-out context with structured facts and stages cited proposals. In a fresh live test, it read a newly typed family-pickup handover, cited that exact source and proposed a Case management task; a Charge nurse accepted it. Existing orders also form dependency chains with supplied planned durations. An OR reschedule invalidates stale proposals. Preliminary results stay preliminary, while pending-test drafts retain supplied follow-up owners. Try it: https://patient-operations-record.vercel.app (keyless RECORDED META with genuine captured API output). Revised v3 demo (2:23): https://www.youtube.com/watch?v=nzKb5DuErFw. New handover wording cannot silently reuse an unrelated recording; a rules check must be explicitly selected, or fresh LIVE Meta requires operator-enabled credentials and current funding. Latest verification: 263 tests in 25 files, typecheck, production build and independent CI pass; 33 local staff-workflow HTTP assertions across 58 requests pass. All 12 registered Meta evaluation trials remain published: 6 staged, 4 exhausted, 2 context-bound failures, plus 4 rules baselines. Official comparison metrics are unavailable because the frozen scorer does not match the untouched gold contract. The new workflow extensions are prospective and are not validated by that earlier evaluation. Synthetic only. No clinical advice, new clinical orders, model-completed tasks or final EHR notes. No EHR, SSO or hospital-system connection; no clinical-benefit, accuracy, time-saving or HIPAA-certification claim.