Command tier only ($50K/yr)
Self-Healing Pipeline
Inbound Message → Parse + Validate
↓ PASS → Deliver normally
↓ FAIL
Deviation Detection (compare against vendor profile)
↓ Active rule exists? → Apply rule, deliver, log
↓ No rule
Generate Micro-ETL Remediation Rule
↓
Playbook: Autonomous?
├── YES → Apply + deliver + queue review
└── NO → Queue for 1-click approval + hold message
Deviation Types
| Type | Example |
|---|
| Field format change | NDC-10 → NDC-11 format |
| Segment reorder | PV1 before PID (expected PID before PV1) |
| Missing segment | EVN segment dropped after vendor upgrade |
| New field | New OBX observation type added |
| Value set change | Gender code “MALE” instead of “M” |
| Rule Type | Description |
|---|
| FieldTransform | Map field values (e.g., “MALE” → “M”) |
| SegmentReorder | Reorder segments to expected sequence |
| FieldDefault | Insert default value for missing required fields |
| ValueMap | Map between code systems |
| FormatNormalize | Normalize date/ID formats |
Review Queue
Engineers disposition healed messages through the review queue:
- Approve permanently — Rule becomes permanent
- Accept temporarily (TTL) — Rule expires after N days, auto-escalates if unresolved
- Reject and investigate — Rule removed, held messages released for manual review
- Enquire with vendor — Pre-drafted email/ticket sent to vendor contact
Playbook Configuration
playbooks:
- interface: surescripts-pharmacy
self_heal: true
approval_mode: autonomous
default_ttl: 7d
max_concurrent_rules: 5
escalation:
- level: 1
notify: ["[email protected]"]
channel: slack
after: 0m
- level: 2
notify: ["[email protected]"]
channel: email
after: 4h
vendor:
name: "SureScripts"
contact: "[email protected]"
ROI
Without Command: 200 interfaces with weekly incidents = 200-800 engineer-hours/year diagnosing and fixing at 2am.
With Command: System heals autonomously, engineer reviews next business day = ~17 engineer-hours/year. The $50K subscription pays for itself.
