nhs

NHS / healthcare vertical

This directory holds documentation for Open Foundry applied to NHS acute healthcare. It is a reference vertical, not part of the platform contract.

Nothing here is required to run or build on Open Foundry. The platform is domain-neutral: healthcare behaviour arrives through the nhs-acute domain pack and is opt-in at every level —

• The FHIR and FDP/CDM facades only mount when a loaded pack declares the capability (capabilities: [fhir, cdm] in pack.yaml). A deployment without such a pack returns 404 on those routes and omits the cdm* GraphQL fields.
• Governance roles default to generic (admin), not clinical roles.
• The consent purpose vocabulary is deployment policy (CONSENT_PURPOSES); the NHS preset is a default, not a requirement.
• The direct-care consent exemption is off by default.

Documents

Document	What it covers	Status
fdp-plan.md	NHS Federated Data Platform integration plan, conformance boundary, and stage roadmap.	Current as of v0.2.0
cdm-mapping-profile.md	FDP/CDM compatibility profile (S1.0) and the published gap register.	Current as of v0.2.0
mvp-nhs-pilot.md	Original NHS pilot design document.	Historical. Predates capability gating, the open consent vocabulary, and the v0.2.0 CDM work — read it as design background, not as a description of current behaviour.

Building a different vertical

If you are modelling a non-healthcare domain, ignore this directory entirely and start from ../external-domain-packs.md. The nhs-acute pack under ../../domain-packs/nhs-acute/ is useful as a worked example — it exercises most platform features — alongside the smaller aml and supply-chain packs.