FYC LABS
Phase 2 / Patient Platform + EMR / 8.25.2026
For Kelly and the Menrva team

One app.
One record.
Your whole practice.

Bringing intake, scheduling, refills, reports, and the practitioner's whole clinical surface into the app your team already built, with Menrva as the system of record instead of Bright.

Phase 2 / Patient Platform + EMR 14 Weeks / From $95,000
The Situation

Your practice
runs on somebody
else's system.

Your app already works. Phenotype, symptoms, wearables, community, all of it shipped and running on iOS, Android, and web. Patients are in it daily. Bright still owns intake, scheduling, refills, and every screen your practitioners touch.

The original Phase 2 plan was to build seven sync points into Bright and leave your practitioners where they are. Kelly and Betty asked the better question: why build a bridge to a system you want to leave? So Phase 2 changes shape, and Menrva becomes the system of record.

That is 125 development hours of Bright integration coming out and a practitioner workspace going in. Patients get intake, scheduling, refills, and reports in the app they already have. Practitioners get charts, notes, and approvals in the same place. One system, one record, and no API you do not control sitting on the critical path.

The Investment
$104,000 Fixed price, four milestones.

Every optional feature is switched on. This is the top of the range.

Priced at your contracted rates. Approving the task list locks this number, and it bills across four milestones: half of design before we start, half at design handoff, half of development at kickoff, half at launch.

930 Hours of design + dev

Design and development, itemized on the scope pages. Project management, CTO oversight, design review, and QA break out separately so nothing is buried in a lump sum.

Kickoff: September 2026 Ship: January 2027
What We're Building

Six moves.
14 weeks.

01

Clinical Profile, Intake + Consent

Your patients are already registered and logged in. We extend that profile with a clinical baseline, then add full intake, an adaptive follow-up before each visit, and consent signed in the app.

02

Your Own EMR, Not Someone Else's

Medplum becomes the system of record, running on the same Postgres and TypeScript stack your app already uses, sharing one database instance, open source, forkable, and yours to white-label later.

03

The Practitioner Workspace

Practitioners get charts, encounters, clinical notes, and a working queue for refill approvals and orders, built inside Menrva so the whole practice runs on one system instead of two.

04

Scheduling, Refills + The Monthly Report

Patients book, reschedule, and request refills against live availability and their current prescription. Every month a single report carries Minerva score, symptom trend, sleep, and wearable data to their practitioner.

05

Getting Off Bright Cleanly

A full clinical export, charts and appointment history mapped into Medplum, reconciled record by record, then a dual-run window and a rehearsed cutover with a rollback path tested before the switch.

06

The Foundation Underneath

Clinical roles and permissions, wearables and lab pipelines, a HIPAA security baseline, environments, deploys, monitoring, and a WCAG AA pass across every new surface for a 40-plus audience.

The Timeline

14 weeks,
design and build overlap.

September 2026January 2027
Design
W1-6
EMR Foundation
W4-9
Clinical Surfaces
W6-13
Migration + Cutover
W11-14
QA + Accessibility
W8-14
Launch
W14

Design does not finish before development starts. Weeks 4 through 9 run both, which is how 14 weeks holds instead of 20. The tradeoff is that design decisions late in a track cost more to change.

The Scope / Front End

What your patients and practitioners touch.

Open any line for what's included
Interface Component Design Dev
  • Extends the profile your patients already have, with no second login
  • Medical history, current medications, and hormone therapy goals captured once
  • Becomes the patient record inside Medplum rather than a copy of one
  • Phase 1 authentication stays exactly as it is today
  • Full intake on first visit, saved and resumable across sessions
  • Adaptive follow-up fires before each visit, asking only what changed
  • Branching logic driven by phenotype and current symptom scores
  • Consent forms signed and timestamped in the app, not on paper
  • Signed documents file against the patient chart with no manual step
  • Patients book, reschedule, and cancel against live practitioner availability
  • Nothing double-books, because availability comes from one calendar
  • Refill requests run against the current prescription on file
  • Status moves through review, approval, and fulfillment where the patient sees it
  • Minerva score, symptom trend, sleep, and wearable data in one place
  • Generated monthly and delivered to the assigned practitioner
  • Trends read against the patient own baseline, not a population average
  • Patient sees the same report inside the app
  • The chart a practitioner opens first: history, medications, labs, wearables
  • Patient roster filtered by status, upcoming visit, or flag
  • Replaces the Bright screens your team works in today
  • Built for a practitioner who has eleven minutes, not thirty
  • Encounter capture with structured notes filed against the visit
  • Refill approvals, orders, and follow-up tasks in one working queue
  • Care plans assigned to a patient and tracked over time
  • Note templates for the hormone protocols your practitioners already run
  • Every action written to the audit trail as it happens
  • Panels read against Menrva reference ranges rather than lab defaults
  • Results in plain language with the clinical value alongside
  • Historical panels stack so change over time is visible
  • Deferrable to the phase where Menrva own testing replaces Cytobox
  • Supplements matched to symptoms the patient is already tracking
  • Store opens as a pop-up rather than a separate shopping trip
  • Recommendations update on their own as symptom scores move
  • A commerce surface, deferrable without touching any clinical scope
Front End Subtotal 106.75h 319.5h
The Scope / Back End

What runs underneath, and the team running it.

System Component Design Dev
  • Every EMR surface designed by us, not shipped as stock Medplum
  • Open source EMR on the Postgres and TypeScript you already run
  • Shares one database instance, so there is no second system to operate
  • FHIR resources modeled for hormone care, not generic primary care
  • Pre-audited and forkable, which is what makes Phase 3 possible
  • Full clinical export: charts, encounters, appointments, documents, prescriptions
  • Every record mapped and reconciled, then counted against the source
  • Dual-run window so both systems agree before anything is switched off
  • Cutover rehearsed with a rollback path tested before the date, not after
  • Patient, practitioner, and administrator roles with separate access rules
  • Practitioners see the patients assigned to them, and no others
  • Joins the patient authentication already shipped in Phase 1
  • Structured now so Phase 3 can add clinics without a rewrite
  • Oura and Withings data keeps flowing through Heads Up Health
  • Bioimpedance from Withings, InBody, and Tanita scales added
  • Apple Health and Android Health Connect wrapped once, not twice
  • Feeds the Minerva score and the monthly report directly
  • Panels pulled through the LabCorp and Quest connections in Heads Up
  • Direct API path where a provider supports one
  • Results normalized to Menrva reference ranges on the way in
  • Built so Menrva own testing drops in later without rework
  • Encryption at rest and in transit across every PHI surface
  • Audit logging on record access, not only on record changes
  • Session handling and timeout rules appropriate to clinical data
  • Not in the original SOW. Added because you are now the EMR
  • Development, staging, and production environments that actually match
  • Automated deploys with a rollback path tested before the deploy
  • Error tracking and uptime alerting from day one, not after launch
  • Database backup and restore rehearsed against real clinical data
  • Every new surface tested against WCAG AA, not spot-checked
  • Screen reader flow verified on the shipped iOS and Android apps
  • Contrast and tap targets checked for a 40-plus audience
  • Practitioner screens included, because clinicians work tired and fast
Back End Subtotal 37.25h 263h
+ Project Management Project Manager, $114/hr — 96h
+ CTO Oversight Systems Architect, $250/hr — 15h
+ Design Review Design Review, $98/hr 12h —
+ QA + Testing QA + Testing, $95/hr — 80h
Project Total 156h 773.5h
929.5 hours total $104,000
FYC LABS
Next Step

Excited to keep
building this
with you.

Ross, Luiz, and Brianne already know this product inside out, and this is the version Kelly and Betty asked for: Menrva as the system of record, not a bridge to Bright. Six moves, 843 hours before anything optional, live to your patients by January 2027, at your contracted rates across four milestones. Open any line in the scope for the detail. Whenever you are happy with it, just say the word.

Contact

Brian Hammond
VP of Sales, FYC Labs

Reach Me

bhammond@fyclabs.com
fyclabs.com

Proposal valid 14 days 8.25.2026
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