DesignedWorkflow integration depth
Each Epic/Cerner deployment takes 60-120 days and meaningful clinician trust. Once installed, switching cost is high. Eventually, Pause becomes 'the way menopause care is done here.'
Today: Estimate based on industry deployment timelines for SMART-on-FHIR + Epic/Cerner App Orchard installs. No live deployment time observed yet.
JupyterHealth integration brief →Wired in prototypeOutcomes registry
Continuous accumulation of structured outcomes data tied to specific recommendations. After 18 months of customer deployment, the registry is unreplicable by a new entrant.
Today: Trace plane records inputs/outputs/model per recommendation today. Registry as a customer-facing product is gated on customer-deployment time.
Agent Fabric brief →DesignedClinical advisory network
A who's-who of MSCP-credentialed and NAMS-affiliated clinicians and researchers as advisors and design partners. Each adds credibility and slows competitive entry.
Today: Advisory network at pre-recruit stage. MSCP-credentialed routing graph design is documented; the partnership-with-The-Menopause-Society path is explicit.
Menopause Society brief →Wired in prototypeGuideline grounding library
A curated, structured, retrievable corpus of menopause guidelines maintained as evidence evolves. The work of building and maintaining it is more durable than the AI models themselves.
Today: Live in the prototype: NAMS / Menopause Society + ACOG + IMS + AACE position statements are wired into the federated grounding store, and every Care Router decision cites the corpus (verifiable on /demo/intake and /demo/agent-fabric). Continuous-update pipeline as evidence evolves is Phase 2 work.
Data inventory brief →Wired in prototypeSanction-filtered, menopause-scored provider graph
Vendor provider graphs (Definitive Healthcare, IQVIA OneKey, etc.) are excellent for general healthcare but don't score for menopause and don't run a build-time sanction filter against state license registries. Pause's directory unions CMS NPPES + The Menopause Society MSCP overlay + multi-state license-sanction overlays + Census ZCTA centroids for distance ranking. Each refresh recompounds the moat without requiring a paid feed.
Today: Live today (see /provider). 2,015 menopause-relevant providers across all 50 states + DC / 930 ZIP-3 prefixes (a coverage-aware selection spreads the non-certified budget across prefixes; non-US/garbage postals are gated out). Three state license-sanction overlays at build time (CA Medi-Cal, NY OPMC, TX TMB) — 1,720 sanctioned candidates dropped in the June 2026 build, verifiable per response under provenance.dataset.sanctionedFilteredBySource. The Care Router consumes the same query function the agent and /provider use, so triage and the directory stay in lockstep. National coverage via a paid multi-state license-status feed (Verisys, ProviderTrust) is the Phase-3 hardening path.
Provider graph brief →FutureBrand and category leadership
Owning 'menopause AI for providers' as a category. First in market, loudest voice in clinical conferences, deepest evidence base.
Today: Pre-market. The investor brief, the demo, and the architecture-honesty posture (LIVE / MOCKED tagging across the deck) are the early proof points.
