LighthouseTrauma Care Systems
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UNDER CONSTRUCTIONLighthouse Demo. Requirement alignment in progress.

Demo content only. No PHI. Production runs in a FedRAMP authorized cloud with software only communications integration. No covered telecom equipment is purchased or leased.

Status chips: Complete In progress Planned

Lighthouse Merchant Mariner Wellness

Reference flows for high reliability environments.

Reference stack: Cloud hosting in a FedRAMP authorized environment. Software only communications integration. Data remains exportable through standards and adapters. GovCloud and other providers are available per contract.
How it fits: Participant portal is a standalone journaling app with biofeedback options. Portable app for phones and smart watches. Supports daily check ins and self-care with very low friction and advanced self-care options.

Mariner Participant app

In progress

Plain language consent. Self check. Referral request. Clear next steps. Built for global secure coverage, on shore or at sea. Biosensing and neuroscience integration modules.

Walkthrough

  • Welcome and consent
  • Privacy reminder (who sees what)
  • Daily reminders
  • Beacon Log diary with self recording option
  • Biofeedback modules (cognitive and emotional monitoring)
  • Self check with save or skip options
  • Self-care pathways
  • Referral request with contact and safe time window
  • Printable receipt. No PHI

What gets logged

  • Consent decision and version
  • Assessment timestamps,values redacted
  • Contact preferences and safe time
  • Receipt created

Compliance notes

  • Section 508 ACR
  • 42 CFR Part 2 explainer
  • Security statement for transport and at rest
  • No PHI in demo

Team Console

In progress

Role appropriate access. Triage. Care plans. Warm transfer request. Auditable disclosures.

Walkthrough

  • Least privilege sign in
  • Triage queue with consent filter
  • Request time boxed access to sensitive data
  • Care plan update and referral
  • Warm transfer request
  • Close loop with outcome
  • Audit view

What gets logged

  • Access requests and approvals
  • CarePlan create and update
  • Referral create and close
  • Disclosure basis tags
  • Role and session mapping

Compliance notes

  • 42 CFR Part 2 gating and warnings
  • DFARS and CMMC posture summary
  • Interop adapters with sample payloads

Coverage Console

Planned

Escalation handling. Time boxed elevated access. Clinical governance. Service continuity.

Walkthrough

  • 24×7 clinician global coverage
  • On call login with scoped access
  • Escalation inbox receives handoff
  • Confirm time boxed elevated access
  • Guided note and disposition and safety steps
  • Structured disposition back to team
  • Coverage handoff recorded
  • Peer review trigger

What gets logged

  • Elevated access with justification
  • Note template version
  • Disposition and safety plan
  • Handoff chain
  • Peer review flag

Compliance notes

  • Clinical governance for peer review and QA
  • Auditability across steps
  • Availability statement

Compliance alignment

The checklist mirrors contracting requirements. Each item links to an artifact. Some links point to placeholders while final documents are prepared.

SAM and UEI and CAGE

In progress

Activate SAM registration and publish identifiers here.

Add link when available

Cloud and ATO

In progress

Production is hosted in a FedRAMP authorized environment. The ATO path is documented. GovCloud is available per contract.

Hosting and ATO overview (PDF)

DFARS 252.204-7012 and CMMC 2.0

In progress

Incident reporting protocol and Level 2 readiness posture.

DFARS and CMMC summary (PDF)

Section 508 accessibility

Planned

ACR and VPAT for the participant app and the clinician console.

VPAT for participant app (PDF)

Section 889 telecom supply chain

Complete

Company Section 889 resolution is posted. Provider attestations are on file. Communications are software only.

Company 889 resolution (PDF)

42 CFR Part 2 data handling

In progress

Segregation and redisclosure controls and access logging are documented.

Part 2 policy summary (PDF)

Interoperability alignment

Planned

Adapters for EHR FHIR APIs and federal APIs such as VA Lighthouse.

Interop mapping notes (PDF)

Interoperability lanes

A simple depiction of demo data flow. Buttons open static examples. No live PHI.

Participant app

  • Self check for screening
  • Referral request
  • Consent update
View example payload

FHIR store and rules

  • Create and update through FHIR API
  • AuditEvent for actions
  • Disclosure policy checks
View AuditEvent example

Federal and EHR adapters

  • EHR FHIR
  • VA Lighthouse APIs
  • FEHRM Joint HIE and JLV
View adapter sample

Evidence and documents

Printable references. Some items are placeholders while final artifacts are produced.

Open documents list

Compliance in the open. Demos without the risk.