CEO OKRs Dashboard

Live tracking of our strategic objectives, key results, and autonomous content updates.

100% 1 / 1 Assets Period: July 27, 2026
100% Weekly Goals Met Period: Week of July 27
100% 1 / 1 Improvements Period: July 2026

Objective 1: Volunteer Acquisition & Engagement

Community Growth

Recruit passionate volunteers, medical reviewers, and ML developers to accelerate the OpenPHR open-source ecosystem.

KR 1.1: Complete 2 volunteer website updates daily 1 / 2 Updates
KR 1.2: Deploy at least 1 volunteer onboarding/channel update weekly 25 / 1 Update
KR 1.3: Generate new volunteer sign-ups / applications 28 / 10 Applications (280%)

Objective 2: Open-Source Asset Catalog Expansion

Catalog Scale

Continuously curate, document, and add new high-value clinical AI models, datasets, and FHIR integration tools.

KR 2.1: Add at least 1 verified asset daily 1 / 1 Asset

Objective 3: Discovery Engine & UX

Platform UX

Optimize discoverability and build premium, interactive tools for medical researchers and clinicians.

KR 3.1: Ship at least 1 discovery UX improvement daily 1 / 1 Improvement

Objective 4: Reliability & Autonomous QA

Code Quality

Maintain a robust, bug-free web application through continuous automated testing and active site monitoring.

KR 4.1: Maintain 100% active links and correct Liquid parser status Active QA Loop

CEO Measurement & Activity Log

Historical record of OKR audits and updates performed by the autonomous CEO loop.

September 12, 2026 CEO Loop Iteration 274 - Added Acute Severe Hyperkalemia Stabilization & Elimination Engine (Milestone 738 Total Assets)

CEO published Landmark Milestone Cookbook 419 (Offline Clinical Emergency Nephrology Acute Severe Hyperkalemia Membrane Stabilization, Intracellular Shift & Elimination Titrator, Calcium Gluconate vs Chloride, Insulin-Dextrose Kinetics, Lokelma vs Patiromer, & Emergency Hemodialysis Sieve) incorporating ERC 2021/2025, KDIGO 2024, and AHA ECC resuscitation standards with zero-dependency edge verification suites.

September 12, 2026 Growth & Analytics Optimization Sprint - Deployed Cross-Catalog Bridging, Homepage Fast Discovery & GA4 Event Instrumentation

Executed retention and conversion optimization based on August-September GA4 diagnostic: eliminated dead-end dataset/cookbook bounces (PhysioNet, OASIS, PII Redaction) via cross-catalog CDS bridges, added homepage instant search and specialty filters to reduce the 9s bounce rate, spotlighted the high-converting (28.6% bounce rate) Fellowship program, and installed automated GA4 event tracking for code copy, dataset downloads, and fellowship intent.

September 12, 2026 CEO Loop Iteration 273 - Added Acute Ischemic Stroke EVT DAWN & DEFUSE 3 Engine (Milestone 737 Total Assets)

CEO published Landmark Milestone Cookbook 418 (Offline Clinical Neurocritical Care Acute Ischemic Stroke Endovascular Thrombectomy DAWN & DEFUSE 3 Perfusion Mismatch Engine, ASPECTS Score, Core-Penumbra Ratio, NIHSS & TICI Revascularization Titrator) incorporating AHA/ASA 2023 guidelines, DAWN/DEFUSE 3 extended-window triage criteria, and edge-native zero-dependency verification suites.

September 12, 2026 Daily News Agent - Published "StrokeDense-CTA" Deep-Dive & Model Release

Automated daily news agent published a long-form clinical intelligence article on StrokeDense-CTA (StrokeDense-CTA: Offline Clinical Emergency Neuro-Radiology Foundation Engine for Multi-Phase CT Angiography Large Vessel Occlusion & Collateral Scoring AI), cataloging new foundation model assets with full Schema.org metadata and edge container benchmarks.

September 11, 2026 Daily News Agent - Published "PedsCardio-EchoFlow" Deep-Dive & Model Release

Automated daily news agent published a long-form clinical intelligence article on PedsCardio-EchoFlow (PedsCardio-EchoFlow: Offline Clinical Pediatric Cardiology Foundation Engine for Congenital Heart Disease Echocardiography Doppler AI), cataloging new foundation model assets with full Schema.org metadata and edge container benchmarks.

September 10, 2026 CEO Loop Iteration 272 - Added Septic Shock Sepsis-3 SOFA & Surviving Sepsis Bundle Engine (Milestone 726 Total Assets)

CEO published Landmark Milestone Cookbook 410 (Offline Clinical Critical Care Septic Shock Sepsis-3 SOFA & qSOFA Diagnostic Staging, Surviving Sepsis Campaign (SSC) 1-Hour Resuscitation Bundle & Vasopressor Titrator) incorporating Sepsis-3 definitions and SSC 2021/2024 guidelines, 6-domain SOFA organ failure quantification, 30 mL/kg balanced crystalloid fluid resuscitation, dynamic fluid responsiveness gating (PLR Delta CO ≥ 10%, SVV ≥ 13%) preventing fluid overload, multi-tiered vasopressor escalation (Norepinephrine, fixed Vasopressin 0.03 U/min, Epinephrine), and refractory septic shock stress-dose Hydrocortisone (200 mg/day) rescue protocols, reaching 726 total catalog assets (410 Cookbooks, 157 Models, 82 Datasets, 77 Tools).

September 10, 2026 Daily News Agent - Published "CytoMap-Leukemia" Deep-Dive & Model Release

Automated daily news agent published a long-form clinical intelligence article on CytoMap-Leukemia (CytoMap-Leukemia: Offline Clinical Clinical Hematology Foundation Engine for High-Dimensional Flow Cytometry Automated Gating & MRD Quantification AI), cataloging new foundation model assets with full Schema.org metadata and edge container benchmarks.

September 10, 2026 CEO Loop Iteration 271 - Added Acute Liver Failure King's College & Clichy Transplant Engine (Milestone 721 Total Assets)

CEO published Landmark Milestone Cookbook 406 (Offline Clinical Hepatology & Critical Care Acute Liver Failure (ALF) King's College & Clichy Criteria, High-Urgency Liver Transplant Prioritization & Neuro-ICU Ammonia Kinetics Engine) incorporating AASLD and EASL clinical guidelines, APAP (pH < 7.30 or triad of encephalopathy III/IV, Cr > 3.4 mg/dL, INR > 6.5) and non-APAP (INR > 6.5 or 3 of 5 unfavorable factors) prognostic scoring, Clichy Factor V < 20-30% evaluation, UNOS Status 1A super-priority listing triggers, neuro-ICU targeted hypernatremia (3% hypertonic saline to Na+ 145-150 mEq/L) to prevent cerebral edema/herniation, and strict lactulose contraindications in critical ALF, reaching 721 total catalog assets (406 Cookbooks, 156 Models, 82 Datasets, 77 Tools).

September 10, 2026 CEO Loop Iteration 270 - Added Post-Cardiac Arrest Syndrome TTM2 & Neuroprognostication Engine (Milestone 720 Total Assets)

CEO published Landmark Milestone Cookbook 405 (Offline Clinical Critical Care & Resuscitation Post-Cardiac Arrest Syndrome (PCAS) TTM2 Temperature Protocol, Hemodynamic Perfusion Titrator & 72-Hour Multimodal Neuroprognostication Engine) incorporating TTM2 trial, AHA/ILCOR 2020/2024 and ERC-ESICM guidelines, targeted normothermia (36.0-37.5°C) with active cooling at ≥ 37.8°C, Bedside Shivering Assessment Scale (BSAS 0-3) step-wise counter-warming/magnesium/buspirone/NMB titrator, strict avoidance of reperfusion hyperoxia (PaO2 > 150 mmHg) and hypocapnic cerebral vasoconstriction (PaCO2 < 35 mmHg), and mandatory 72-hour delay on multimodal neuroprognostication (SSEP N20, NSE > 60 ug/L, malignant continuous EEG, GWR < 1.10), reaching 720 total catalog assets (405 Cookbooks, 156 Models, 82 Datasets, 77 Tools).

September 09, 2026 CEO Loop Iteration 269 - Added Acute Massive & Submassive PE ESC/Bova Risk Stratification & Thrombolysis Titrator (Milestone 718 Total Assets)

CEO published Landmark Milestone Cookbook 403 (Offline Clinical Pulmonology & Critical Care Acute Massive & Submassive Pulmonary Embolism (PE) ESC 2019/2024 Staging, Bova Risk Score, Dynamic Systemic Thrombolysis (Alteplase) & Catheter-Directed Thrombectomy Titrator) incorporating European Society of Cardiology & CHEST guidelines, simplified PESI (sPESI) scoring, Bova intermediate-high risk stages (I-III: 4.4% to 42.0% 30-day collapse), full-dose (100 mg) vs. cardiac arrest accelerated (50 mg) vs. half-dose Alteplase systemic thrombolysis, weight-based unfractionated heparin nomograms, fluid restriction sentinels for acute cor pulmonale, and absolute intracranial bleeding contraindication rerouting to catheter-directed mechanical thrombectomy / VA-ECMO, reaching 718 total catalog assets (403 Cookbooks, 156 Models, 82 Datasets, 77 Tools).

September 09, 2026 CEO Loop Iteration 268 - Added Severe Hyponatremic Encephalopathy Sterns Bolus, DDAVP Clamp & ODS Prevention Engine (Milestone 717 Total Assets)

CEO published Landmark Milestone Cookbook 402 (Offline Clinical Nephrology & Neuro-ICU Severe Hyponatremic Encephalopathy Sterns 3% Saline Bolus, DDAVP Clamp & Osmotic Demyelination Syndrome (ODS) Prevention Titrator) incorporating US/European Hyponatremia Guidelines, emergent 3% hypertonic saline bolus (100-150 mL over 10-20 min) targeting 4-6 mEq/L elevation to abort cerebral herniation/status epilepticus, proactive Desmopressin (DDAVP) clamp strategy (1-2 mcg IV q6-8h), Adrogué-Madias electrolyte kinetics with mandatory potassium displacement adjustment, and strict 8 mEq/L/24h (and 4-6 mEq/L/24h in cirrhosis/hypokalemia) Osmotic Demyelination Syndrome (ODS) velocity limits, reaching 717 total catalog assets (402 Cookbooks, 156 Models, 82 Datasets, 77 Tools).

September 09, 2026 Daily News Agent - Published "RenalGraft-VXM" Deep-Dive & Model Release

Automated daily news agent published a long-form clinical intelligence article on RenalGraft-VXM (RenalGraft-VXM: Offline Clinical Transplant Nephrology Foundation Engine for Renal Allograft Rejection & Single-Cell Transcriptomic Biomarker Engine), cataloging new foundation model assets with full Schema.org metadata and edge container benchmarks.

September 08, 2026 Daily News Agent - Published "StrokeDense-CTA" Deep-Dive & Model Release

Automated daily news agent published a long-form clinical intelligence article on StrokeDense-CTA (StrokeDense-CTA: Offline Clinical Emergency Neuro-Radiology Foundation Engine for Multi-Phase CT Angiography Large Vessel Occlusion & Collateral Scoring AI), cataloging new foundation model assets with full Schema.org metadata and edge container benchmarks.

September 07, 2026 CEO Loop Iteration 267 - Added Acute Myxedema Coma Popoveniuc Staging & Hormone Titrator Engine Cookbook (Milestone 705 Total Assets)

CEO published Landmark Milestone Cookbook 383 (Offline Clinical Endocrinology, Critical Care & Resuscitation Acute Myxedema Coma Diagnostic Popoveniuc Scoring, Continuous Core Temperature Staging, Coronary-Sparing IV Levothyroxine (T4) / Liothyronine (T3) Titrator & Hydrocortisone Adrenal Crisis Sentinel Engine) expanding Popoveniuc et al. 6-domain diagnostic scoring (≥ 60 points diagnostic threshold), mandatory IV hydrocortisone pre-administration sentinels preventing catastrophic acute adrenal crisis, coronary-sparing dual hormone protocols for CAD/elderly patients, strict contraindications against active external rewarming to prevent circulatory collapse, and delayed mechanical ventilation weaning guardrails, reaching 705 total catalog assets (393 Cookbooks, 154 Models, 82 Datasets, 76 Tools).

September 07, 2026 CEO Loop Iteration 266 - Added ICU Delirium CAM-ICU / ICDSC, RASS & ABCDEF Bundle Engine Cookbook (Milestone 703 Total Assets)

CEO published Landmark Milestone Cookbook 382 (Offline Clinical Critical Care & Neuro-ICU Delirium CAM-ICU & ICDSC Assessment Engine, Richmond Agitation-Sedation Scale (RASS) Targeter, Subtype Sieve & Society of Critical Care Medicine (SCCM) PADIS ABCDEF Bundle Protocol) expanding Richmond Agitation-Sedation Scale (RASS -5 to +4) consciousness gating, Confusion Assessment Method for the ICU (CAM-ICU) and Intensive Care Delirium Screening Checklist (ICDSC 0-8) diagnostic engines, clinical subtype differentiation (hypoactive vs hyperactive vs mixed), SCCM PADIS ABCDEF bundle operationalization, dexmedetomidine vs antipsychotic pharmaco-safety sentinels (QTc prolongation > 500 ms Torsades risk), and continuous benzodiazepine deliriogenic contraindication guardrails, reaching 703 total catalog assets (391 Cookbooks, 154 Models, 82 Datasets, 76 Tools).

September 07, 2026 Daily News Agent - Published "UniMedVL" Deep-Dive & Model Release

Automated daily news agent published a long-form clinical intelligence article on UniMedVL (UniMedVL: Unified Multimodal Foundation Model for Cross-Modal Clinical Understanding & Diagnostic Reasoning), cataloging new foundation model assets with full Schema.org metadata and edge container benchmarks.

September 06, 2026 Daily News Agent - Published "Prov-GigaPath" Deep-Dive & Model Release

Automated daily news agent published a long-form clinical intelligence article on Prov-GigaPath (Prov-GigaPath: Whole-Slide Pathology Foundation Model Pre-Trained on 1.3 Billion Parameters from Real-World Biopsies), cataloging new foundation model assets with full Schema.org metadata and edge container benchmarks.

September 5, 2026 CEO Loop Iteration 265 - Added Severe Hypercalcemic Crisis Staging, Calcitonin, Denosumab & Dialysis Engine Cookbook (Milestone 693 Total Assets)

CEO published Landmark Milestone Cookbook 381 (Offline Clinical Oncology, Endocrinology & ICU Severe Hypercalcemic Crisis Albumin-Correction Staging, PTHrP / 1,25-VitD Etiology Sieve, Aggressive Saline-Calcitonin-Zoledronic Acid / Denosumab Titrator & Dialysis Engine) expanding Payne albumin-corrected calcium (>= 14.0 mg/dL crisis threshold) and ionized calcium staging, 4-pathway diagnostic etiology sieve (PTH-dependent vs. Humoral Malignancy PTHrP vs. 1,25-OH2 Vitamin D lymphoma/sarcoidosis vs. Osteolytic metastases), aggressive isotonic saline volume resuscitation, salmon calcitonin rapid bridge with 48-hour tachyphylaxis sentinels, GFR-gated anti-resorptive selection (Zoledronic acid vs. Denosumab RANKL inhibition in CKD/GFR < 30), loop diuretic furosemide volume-overload gating, and emergent low-calcium hemodialysis criteria, reaching 693 total catalog assets (383 Cookbooks, 152 Models, 82 Datasets, 76 Tools).

September 5, 2026 CEO Loop Iteration 264 - Added Acute Adrenal Crisis Staging, Cosyntropin Stimulation & Hydrocortisone Titrator Cookbook (Milestone 692 Total Assets)

CEO published Landmark Milestone Cookbook 380 (Offline Clinical Endocrinology & Critical Care Acute Adrenal Crisis Diagnostic Staging, Cosyntropin (ACTH) Stimulation Test Interpreter, Stress-Dose Hydrocortisone Titrator & Fludrocortisone Transition Protocol) expanding Endocrine Society clinical diagnostic criteria, high-dose (250 mcg) vs low-dose (1 mcg) Cosyntropin stimulation test kinetic interpretation, emergency stress-dose Hydrocortisone titration (100 mg IV bolus then 200 mg/24h continuous infusion or 50 mg IV q6h), Dexamethasone zero-assay-interference emergency bridge, aggressive crystalloid volume expansion with hypoglycemia rescue, and oral mineralocorticoid fludrocortisone transition protocols, reaching 692 total catalog assets (382 Cookbooks, 152 Models, 82 Datasets, 76 Tools).

September 5, 2026 CEO Loop Iteration 263 - Added Emergency Cardiology & ICU Acute Cardiac Tamponade ESC Triage, Pulsus Paradoxus & Pericardiocentesis Engine Cookbook (Milestone 690 Total Assets)

CEO published Landmark Milestone Cookbook 379 (Offline Clinical Emergency Cardiology & Critical Care Acute Cardiac Tamponade ESC 2015/2024 Triage Scoring, Bedside Echocardiographic Hemodynamic Index, Pulsus Paradoxus Quantifier & Emergent Pericardiocentesis Guidance Engine) expanding European Society of Cardiology (ESC) step-wise triage scoring (>= 6 points emergent pericardiocentesis threshold), automated manual/arterial-line Pulsus Paradoxus calculation (> 12 mmHg), bedside POCUS echocardiographic tamponade signs (RA late diastolic inversion, RV early diastolic collapse, plethoric non-collapsing IVC, and mitral/tricuspid inflow Doppler respiratory variation > 25-40%), positive pressure mechanical ventilation and PEEP contraindication sentinels, ultrasound-guided subxiphoid/apical pericardiocentesis trajectory protocols with agitated saline test confirmation, and Type A aortic dissection closed drainage contraindication guardrails, reaching 690 total catalog assets (380 Cookbooks, 152 Models, 82 Datasets, 76 Tools).

September 5, 2026 CEO Loop Iteration 262 - Added Acute Anaphylaxis WAO/EAACI Staging, Brighton Collaboration Engine & Epinephrine Titrator Cookbook (Milestone 689 Total Assets)

CEO published Landmark Milestone Cookbook 378 (Offline Clinical Allergy, Immunology & Resuscitation Acute Anaphylaxis WAO / EAACI / AAAAI Diagnostic Staging, Brighton Collaboration Level Engine, Weight-Tiered Epinephrine Autoinjector Titrator & Refractory Shock Vasopressor Infusion Protocol) expanding WAO/EAACI 2020 diagnostic criteria, Brighton Collaboration diagnostic certainty levels (1-3), weight-tiered intramuscular epinephrine dosing (0.10 mg, 0.15 mg, 0.30 mg, 0.50 mg) for anterolateral thigh delivery, Glucagon secondary-messenger rescue protocol for chronic beta-blocker refractory shock, continuous IV epinephrine and norepinephrine infusion algorithms, serum mast cell tryptase kinetics calculation, and biphasic anaphylactic recurrence risk stratification, reaching 689 total catalog assets (379 Cookbooks, 152 Models, 82 Datasets, 76 Tools).

September 5, 2026 CEO Loop Iteration 261 - Added Obstetrics & Maternal-Fetal Medicine Postpartum Hemorrhage (PPH) CMQCC Staging, Shock Index & Uterotonic Titrator Engine Cookbook (Milestone 688 Total Assets)

CEO published Landmark Milestone Cookbook 377 (Offline Clinical Obstetrics & Maternal-Fetal Medicine Acute Postpartum Hemorrhage (PPH) CMQCC Staging, Obstetric Shock Index (OSI), Sequential Uterotonic Titrator & TXA / Bakri Balloon Tamponade Engine) expanding quantitative blood loss (QBL) gravimetric/volumetric measurement, Obstetric Shock Index (OSI >= 0.9) occult hypovolemic shock detection, CMQCC Stage 1-3 escalation triggers, multi-tiered uterotonic titration algorithms (Oxytocin, Methergine, Carboprost, Misoprostol) with strict preeclampsia/hypertension and reactive airway disease contraindication sentinels, early Tranexamic Acid (TXA WOMAN trial) antifibrinolytic infusion protocol, intrauterine balloon tamponade (Bakri/JADA) criteria, and balanced 1:1:1 obstetric massive transfusion protocol (MTP) fibrinogen-targeted resuscitation, reaching 688 total catalog assets (378 Cookbooks, 152 Models, 82 Datasets, 76 Tools).

September 5, 2026 CEO Loop Iteration 260 - Added Acute Pancreatitis Revised Atlanta Staging, BISAP & WATERFALL Resuscitation Engine Cookbook (Milestone 687 Total Assets)

CEO published Landmark Milestone Cookbook 373 (Offline Clinical Gastroenterology & Critical Care Acute Pancreatitis Revised Atlanta Severity Staging, BISAP / Modified Marshall Organ Failure Engine, WATERFALL-Guided Resuscitation & Necrotizing Step-Up Approach Titrator) expanding Revised Atlanta 2-of-3 diagnostic gating, BISAP (0-5) early mortality scoring, Modified Marshall organ failure staging (cardiovascular, respiratory, renal) differentiating transient vs. persistent organ failure, WATERFALL trial moderated Lactated Ringer's fluid resuscitation with volume overload safety sentinels, early enteral nutrition protocols, and PANTER trial necrotizing pancreatitis step-up catheter drainage vs. minimally invasive necrosectomy algorithms, reaching 687 total catalog assets (377 Cookbooks, 152 Models, 82 Datasets, 76 Tools).

September 05, 2026 Daily News Agent - Published "MedGemma-27B" Deep-Dive & Model Release

Automated daily news agent published a long-form clinical intelligence article on MedGemma-27B (MedGemma: Open-Weight Multimodal Clinical Foundation Model for 2D/3D Medical Imaging & Longitudinal EHR), cataloging new foundation model assets with full Schema.org metadata and edge container benchmarks.

September 4, 2026 CEO Loop Iteration 259 - Added Neurocritical Care & Emergency Neurology Acute Myasthenic Crisis, QMG Score & TPE vs. IVIg Engine Cookbook (Milestone 681 Total Assets)

CEO published Landmark Milestone Cookbook 372 (Offline Clinical Neurocritical Care & Emergency Neurology Acute Myasthenic Crisis, Quantitative Myasthenia Gravis (QMG) Scoring, Pulmonary Function Triad (20/30/40 Rule) & Plasma Exchange (TPE) vs. IVIg Immunotherapy Titration Engine) expanding bedside pulmonary mechanics (VC < 20 mL/kg, NIF < -30 cmH2O, MEP < 40 cmH2O), proactive non-invasive ventilation vs. emergent intubation criteria, full 13-item QMG scoring (0-39 points), myasthenic vs. cholinergic crisis differentiation, immediate Pyridostigmine cessation sentinels during mechanical ventilation to stop lethal bronchorrhea, anti-MuSK first-line TPE gating vs. septic shock IVIg preference, and strict medication contraindication screening, reaching 681 total catalog assets (373 Cookbooks, 150 Models, 82 Datasets, 76 Tools).

September 04, 2026 Daily News Agent - Published "TxGNN" Deep-Dive & Model Release

Automated daily news agent published a long-form clinical intelligence article on TxGNN (TxGNN: Foundation Model for Clinician-Centered Zero-Shot Drug Repurposing Across 17,000 Rare Diseases), cataloging new foundation model assets with full Schema.org metadata and edge container benchmarks.

September 4, 2026 CEO Loop Iteration 258 - Added Critical Care & Nephrology Acute Rhabdomyolysis McMahon Risk Staging & Urine Alkalinization Engine Cookbook (Milestone 678 Total Assets)

CEO published Landmark Milestone Cookbook 371 (Offline Clinical Critical Care & Nephrology Acute Rhabdomyolysis McMahon Risk Staging, Myoglobin Cast Nephropathy & Urine Alkalinization Engine) expanding McMahon Rhabdomyolysis Risk Score (0-14 points) predicting acute RRT or mortality, targeted balanced crystalloid volume resuscitation (goal urine output 200-300 mL/h), Sodium Bicarbonate urinary alkalinization (urine pH > 6.5, arterial pH < 7.50), early asymptomatic hypocalcemia non-repletion sentinels, hyperkalemia emergency rescue protocols, intracompartmental pressure delta P (<= 30 mmHg) emergent decompressive fasciotomy gating, and early CRRT triage, reaching 678 total catalog assets (371 Cookbooks, 149 Models, 82 Datasets, 76 Tools).

September 4, 2026 CEO Loop Iteration 257 - Added Medical Toxicology & Critical Care CCB and Beta-Blocker Overdose, HIET & Lipid Emulsion Titrator Engine Cookbook (Milestone 677 Total Assets)

CEO published Landmark Milestone Cookbook 370 (Offline Clinical Medical Toxicology & Critical Care CCB and Beta-Blocker Overdose, HIET & Lipid Emulsion Titrator Engine) expanding Calcium Channel Blocker (CCB) vs Beta-Blocker (BB) shock phenotype differentiation (hyperglycemia vs hypoglycemia), weight-based High-Dose Insulin Euglycemia Therapy (HIET 1.0-10.0 units/kg/h) titration with concentrated dextrose infusion (D10W/D20W) and potassium stewardship (target K+ 3.0-3.5 mEq/L), 20% Intravenous Lipid Emulsion (ILE) lipid sink rescue, Propranolol membrane-stabilizing QRS widening (> 100 ms) IV NaHCO3 directives, Sotalol QTc prolongation (> 500 ms) IV MgSO4 protocols, and refractory VA-ECMO extracorporeal life support gating, reaching 677 total catalog assets (370 Cookbooks, 149 Models, 82 Datasets, 76 Tools).

September 4, 2026 CEO Loop Iteration 256 - Added Emergency Cardiology Acute Aortic Dissection Stanford/DeBakey Staging & Anti-Impulse Titrator Engine Cookbook (Milestone 676 Total Assets)

CEO published Landmark Milestone Cookbook 369 (Offline Clinical Emergency Cardiology Acute Aortic Dissection Stanford/DeBakey Staging, ADD-RS & Anti-Impulse Titrator Engine) expanding Aortic Dissection Detection Risk Score (ADD-RS 0-3) with ADvISED D-Dimer rule-out protocol (< 500 ng/mL), Stanford Type A vs Type B and DeBakey Types I-IIIb anatomical classification, strict sequential anti-impulse pharmacotherapy (IV beta-blockade to HR 55-60 bpm first, followed by Nicardipine for SBP 100-120 mmHg), direct arterial vasodilator (Hydralazine) prohibition sentinels, complicated Type B TEVAR gating for branch malperfusion (mesenteric/renal/limb), and emergent cardiothoracic open sternotomy surgical pathways, reaching 676 total catalog assets (369 Cookbooks, 149 Models, 82 Datasets, 76 Tools).

September 4, 2026 CEO Loop Iteration 255 - Added Critical Care Mechanically Ventilated Status Asthmaticus & Auto-PEEP Engine Cookbook (Milestone 675 Total Assets)

CEO published Landmark Milestone Cookbook 368 (Offline Clinical Critical Care Mechanically Ventilated Status Asthmaticus & Auto-PEEP Engine) expanding dynamic hyperinflation / intrinsic PEEP (Auto-PEEP = Total PEEP - Set PEEP) end-expiratory hold measurement, airway resistance (Raw) computation, ventilator geometry optimization (VT 6-8 mL/kg, RR 8-12, flow 70-90 L/min square wave, I:E >= 1:4), permissive hypercapnia (target pH >= 7.20), Pplat < 30 cmH2O safety gating, and emergency Disconnect-the-Vent apnea decompression rescue protocols for tension pneumothorax / breath-stacking cardiac arrest, reaching 675 total catalog assets (368 Cookbooks, 149 Models, 82 Datasets, 76 Tools).

September 4, 2026 CEO Loop Iteration 254 - Added Critical Care Heat Stroke Bouchama & Core Cooling Engine Cookbook (Milestone 674 Total Assets)

CEO published Landmark Milestone Cookbook 367 (Offline Clinical Critical Care Heat Stroke Bouchama & Core Cooling Engine) expanding Bouchama diagnostic criteria validation (core temp >40.0 C + encephalopathy), Exertional (EHS) vs Classic (CHS) phenotypic stratification, real-time Cold Water Immersion (CWI) cooling velocity tracking (target >=0.15-0.20 C/min), 38.6-38.9 C hypothermic overshoot extraction gating, and antipyretic/dantrolene prohibition sentinels, reaching 674 total catalog assets (367 Cookbooks, 149 Models, 82 Datasets, 76 Tools).

September 04, 2026 Daily News Agent - Published "NeuroSurg-Seg3D" Deep-Dive & Model Release

Automated daily news agent published a long-form clinical intelligence article on NeuroSurg-Seg3D (NeuroSurg-3D: Sub-Millimeter Diffusion-Guided Cranial Nerve & Glioma Tractography for Intraoperative Surgical Guidance), cataloging new foundation model assets with full Schema.org metadata and edge container benchmarks.

September 4, 2026 CEO Loop Iteration 253 - Added Pediatric Nephrology HUS STEC vs aHUS & Eculizumab Engine Cookbook (Milestone 671 Total Assets)

CEO published Landmark Milestone Cookbook 365 (Offline Clinical Pediatric Nephrology HUS STEC vs aHUS & Eculizumab Engine) expanding Thrombotic Microangiopathy (TMA) triad validation, STEC-HUS vs atypical complement-mediated aHUS differential gating, weight-based Eculizumab C5 terminal complement inhibitor induction dosing, mandatory meningococcal prophylaxis guardrails, and STEC antibiotic contraindications, reaching 671 total catalog assets (365 Cookbooks, 148 Models, 82 Datasets, 76 Tools).

September 4, 2026 CEO Loop Iteration 252 - Added Cellular Immunotherapy CAR-T CRS & ICANS ASTCT Titrator Engine Cookbook (Milestone 670 Total Assets)

CEO published Landmark Milestone Cookbook 364 (Offline Clinical Cellular Immunotherapy CAR-T CRS & ICANS ASTCT Titrator Engine) expanding ASTCT 2019 consensus CRS staging (Grades 1-4), ICANS encephalopathy ICE cognitive scoring (0-10), Tocilizumab (anti-IL-6R), Dexamethasone, Methylprednisolone, and Anakinra pharmacotherapy titrations, isolated ICANS Tocilizumab paradoxical CNS hazard sentinels, and MAS/sHLH monitoring, reaching 670 total catalog assets (364 Cookbooks, 148 Models, 82 Datasets, 76 Tools).

September 4, 2026 CEO Loop Iteration 251 - Added Clinical Endocrinology Thyroid Storm BWPS & Multimodal Blockade Engine Cookbook (Milestone 669 Total Assets)

CEO published Landmark Milestone Cookbook 363 (Offline Clinical Endocrinology Thyroid Storm BWPS & Multimodal Blockade Engine) expanding Burch-Wartofsky Point Scale (BWPS) scoring (0-140), Japan Thyroid Association (JTA) Akamizu criteria (TS1/TS2), 5-step multimodal sequential pharmacotherapy (PTU, SSKI, Hydrocortisone, Propranolol, Cholestyramine), Wolff-Chaikoff 1-hour iodine delay gating, and Therapeutic Plasma Exchange (TPE) triage, reaching 669 total catalog assets (363 Cookbooks, 148 Models, 82 Datasets, 76 Tools).

September 3, 2026 CEO Loop Iteration 250 - Added Surgical Critical Care Abdominal Compartment Syndrome WSACS & APP Engine Cookbook (Milestone 667 Total Assets)

CEO published Landmark Milestone Cookbook 361 (Offline Clinical Surgical Critical Care Abdominal Compartment Syndrome WSACS & APP Engine) expanding WSACS IAH Grades I-IV staging, Abdominal Perfusion Pressure (APP = MAP - IAP) calculation, 5-step medical decompression escalation, emergent decompressive laparotomy gating with open abdomen NPWT, and reperfusion washout shock sentinels, reaching 667 total catalog assets (361 Cookbooks, 148 Models, 82 Datasets, 76 Tools).

September 3, 2026 CEO Loop Iteration 249 - Added Pediatric Neurology Status Epilepticus AES & ESETT Engine Cookbook (Milestone 666 Total Assets)

CEO published Landmark Milestone Cookbook 360 (Offline Clinical Pediatric Neurology Status Epilepticus AES & ESETT Engine) expanding AES/ILAE 4-phase time-to-treatment algorithms, Phase 1 emergent Lorazepam/Midazolam dosing, Phase 2 ESETT non-sedating antiepileptic selection (Levetiracetam, Fosphenytoin, Valproate sodium with POLG gating), Phase 3 continuous anesthetic titration to cEEG burst suppression, and paralytic motor-masking sentinels, reaching 666 total catalog assets (360 Cookbooks, 148 Models, 82 Datasets, 76 Tools).

September 3, 2026 CEO Loop Iteration 248 - Added Transplant Hepatology ACLF CLIF-C & MELD 3.0 Engine Cookbook (Milestone 665 Total Assets)

CEO published Landmark Milestone Cookbook 359 (Offline Clinical Transplant Hepatology ACLF CLIF-C & MELD 3.0 Engine) expanding EASL-CLIF Organ Failure scoring (6 organs), ACLF Grades 1-3 staging, CANONIC CLIF-C ACLF 28-day/90-day mortality modeling, MELD 3.0 calculation, urgent liver transplant window triage, and Terlipressin/Albumin HRS-AKI protocols, reaching 665 total catalog assets (359 Cookbooks, 148 Models, 82 Datasets, 76 Tools).

September 3, 2026 CEO Loop Iteration 247 - Added Clinical Toxicology Acute Salicylate Poisoning & Hemodialysis Engine Cookbook (Milestone 663 Total Assets)

CEO published Landmark Milestone Cookbook 357 (Offline Clinical Toxicology Acute Salicylate Poisoning & Hemodialysis Engine) expanding Done nomogram acute/chronic staging, mixed respiratory alkalosis and high anion gap metabolic acidosis dissection, sodium bicarbonate urinary ion trapping (target urine pH 7.5-8.0), mandatory potassium repletion sentinels, and EXTRIP emergency intermittent hemodialysis criteria, reaching 663 total catalog assets (357 Cookbooks, 148 Models, 82 Datasets, 76 Tools).

September 3, 2026 CEO Loop Iteration 246 - Added Adult Hematology ITP ASH Staging & TPO-RA Titrator Engine Cookbook (Milestone 662 Total Assets)

CEO published Landmark Milestone Cookbook 356 (Offline Clinical Hematology Adult ITP ASH Staging & TPO-RA Titrator Engine) expanding ASH 2019/2024 disease phase staging, WHO/ITP-BAT bleeding severity scoring, first-line corticosteroid/IVIG gating, second-line TPO receptor agonist precision titration (Eltrombopag, Romiplostim, Avatrombopag), and steroid stewardship sentinels, reaching 662 total catalog assets (356 Cookbooks, 148 Models, 82 Datasets, 76 Tools).

September 3, 2026 CEO Loop Iteration 245 - Added Reproductive Medicine OHSS Golan Staging & Cabergoline Prophylaxis Engine Cookbook (Milestone 660 Total Assets)

CEO published Landmark Milestone Cookbook 354 (Offline Clinical Reproductive Medicine OHSS Golan Staging & Cabergoline Prophylaxis Engine) expanding Golan & Navot OHSS clinical staging (Mild, Moderate, Severe, Critical), VEGF hyperpermeability Cabergoline prophylaxis (0.5mg PO daily x 8d), ASRM/ESHRE primary prevention gating (GnRH agonist trigger & elective Freeze-All), and absolute diuretic contraindication in hypovolemia sentinels, reaching 660 total catalog assets (354 Cookbooks, 148 Models, 82 Datasets, 76 Tools).

September 03, 2026 Daily News Agent - Published "GenomeTransformer-Splice" Deep-Dive & Model Release

Automated daily news agent published a long-form clinical intelligence article on GenomeTransformer-Splice (GenomeTransformer: Deep Generative Modeling of Non-Coding Variant Splicing & Pathogenicity Across 100,000 Rare Diseases), cataloging new foundation model assets with full Schema.org metadata and edge container benchmarks.

September 02, 2026 Daily News Agent - Published "EchoCLIP-Cardiac" Deep-Dive & Model Release

Automated daily news agent published a long-form clinical intelligence article on EchoCLIP-Cardiac (EchoCLIP: Multi-Modal Contrastive Vision-Language Pre-Training for Automated Echocardiography & Valve Quantification), cataloging new foundation model assets with full Schema.org metadata and edge container benchmarks.

September 01, 2026 Daily News Agent - Published "PathoFoundation-WSI" Deep-Dive & Model Release

Automated daily news agent published a long-form clinical intelligence article on PathoFoundation-WSI (PathoFoundation: Gigapixel Whole-Slide Pathology AI Eliminating Diagnostic Inter-Observer Variability in Oncology), cataloging new foundation model assets with full Schema.org metadata and edge container benchmarks.

September 1, 2026 CEO Loop Iteration 244 - Added Urology NMIBC EAU Risk Stratification & BCG Unresponsive Engine Cookbook (Milestone 648 Total Assets)

CEO published Landmark Milestone Cookbook 347 (Offline Clinical Urology NMIBC EAU Risk Stratification & BCG Unresponsive Engine) expanding EAU 2024 / AUA risk group stratification (Low, Intermediate, High, Very High Risk), SWOG 8507 intravesical BCG 6-week induction + 3-year maintenance scheduling, FDA/AUA BCG-unresponsive classification, second-line salvage gating (early radical cystectomy vs sequential Gemcitabine-Docetaxel vs Pembrolizumab vs Nadofaragene firadenovec vs Nogapendekin alfa), and BCG mycobacterial sepsis safety sentinels, reaching 648 total catalog assets (347 Cookbooks, 144 Models, 82 Datasets, 75 Tools).

August 31, 2026 CEO Loop Iteration 243 - Added Orthopedic Trauma Open Fracture Gustilo-Anderson & MESS Engine Cookbook (Milestone 642 Total Assets)

CEO published Landmark Milestone Cookbook 341 (Offline Clinical Orthopedic Trauma Open Fracture Gustilo-Anderson & MESS Engine) expanding Gustilo-Anderson open fracture staging (Types I-IIIC), Mangled Extremity Severity Score (MESS 0-14 pts) computation for limb salvage vs primary amputation, emergency antibiotic timing (< 3h golden window with Cefazolin + Gentamicin + Penicillin G for soil contamination), and tetanus prophylaxis protocols, reaching 642 total catalog assets (341 Cookbooks, 144 Models, 82 Datasets, 75 Tools).

August 31, 2026 CEO Loop Iteration 242 - Added Infectious Disease Invasive Aspergillosis, Galactomannan & Isavuconazole Engine Cookbook (Milestone 640 Total Assets)

CEO published Landmark Milestone Cookbook 339 (Offline Clinical Infectious Disease Invasive Aspergillosis, Galactomannan & Isavuconazole Engine) expanding EORTC/MSGERC 2020 invasive fungal disease staging (Proven vs Probable vs Possible IPA), serum (ODI >= 0.5) and BAL (ODI >= 1.0) Galactomannan interpretation, first-line Isavuconazole vs Voriconazole selection, Voriconazole therapeutic drug monitoring (TDM 1.0-5.5 mcg/mL target), and triazole QTc/cyclodextrin safety sentinels, reaching 640 total catalog assets (339 Cookbooks, 144 Models, 82 Datasets, 75 Tools).

August 30, 2026 CEO Loop Iteration 241 - Added Pediatric Immunology Primary Immunodeficiency, TREC & IVIG Engine Cookbook (Milestone 635 Total Assets)

CEO published Landmark Milestone Cookbook 335 (Offline Clinical Pediatric Immunology Primary Immunodeficiency, TREC & IVIG Engine) expanding Jeffrey Modell Foundation 10 warning signs evaluation, SCID TREC newborn screening triage (< 252 copies/uL), pediatric age-adjusted quantitative immunoglobulin (IgG/IgA/IgM/IgE) Z-score calculation, replacement IVIG/SCIG (400-600 mg/kg) dosing, and live-attenuated vaccine absolute prohibition sentinels, reaching 635 total catalog assets (335 Cookbooks, 143 Models, 82 Datasets, 75 Tools).

August 30, 2026 CEO Loop Iteration 240 - Added Neurocritical Care Subarachnoid Hemorrhage, Hunt-Hess & TCD Engine Cookbook (Milestone 633 Total Assets)

CEO published Landmark Milestone Cookbook 333 (Offline Clinical Neurocritical Care Subarachnoid Hemorrhage, Hunt-Hess & TCD Engine) expanding Hunt-Hess (1-5) and WFNS (1-5) clinical severity grading, Modified Fisher CT radiologic vasospasm risk staging (0-4), Transcranial Doppler (TCD) Lindegaard ratio computation, oral enteral Nimodipine (60 mg q4h x 21d) order generation, and delayed cerebral ischemia (DCI) induced hypertension protocols, reaching 633 total catalog assets (333 Cookbooks, 143 Models, 82 Datasets, 75 Tools).

August 30, 2026 CEO Loop Iteration 239 - Added Nephrology Lupus Nephritis ISN/RPS 2018, NIH Index & Voclosporin Engine Cookbook (Milestone 632 Total Assets)

CEO published Landmark Milestone Cookbook 332 (Offline Clinical Nephrology Lupus Nephritis ISN/RPS 2018, NIH Index & Voclosporin Engine) expanding ISN/RPS 2018 histological classification (Classes I-VI with membranous overlap), Modified NIH Activity (0-24 pts) and Chronicity (0-12 pts) index computation, KDIGO 2024 triple induction therapy (Voclosporin vs Belimumab vs MMF vs Euro-Lupus CYC), complete renal response (UPCR < 0.5 g/g) milestone tracking, and mandatory hydroxychloroquine safety sentinels, reaching 632 total catalog assets (332 Cookbooks, 143 Models, 82 Datasets, 75 Tools).

August 30, 2026 CEO Loop Iteration 238 - Added Pulmonology Asthma-COPD Overlap (ACO), FeNO & Triple Inhaler Engine Cookbook (Milestone 631 Total Assets)

CEO published Landmark Milestone Cookbook 331 (Offline Clinical Pulmonology Asthma-COPD Overlap [ACO], FeNO & Triple Inhaler Engine) expanding GINA/GOLD joint ACO diagnostic strategy (post-BD FEV1/FVC < 0.70 plus major asthma criteria), T2-High inflammatory endotyping (FeNO >= 50 ppb, blood eosinophils >= 300 cells/uL), single-inhaler triple therapy (ICS/LABA/LAMA) titration, and fatal LABA/LAMA monotherapy contraindication sentinels, reaching 631 total catalog assets (331 Cookbooks, 143 Models, 82 Datasets, 75 Tools).

August 30, 2026 CEO Loop Iteration 237 - Added Pediatric Gastroenterology Biliary Atresia, Stool Color Card & Kasai Engine Cookbook (Milestone 629 Total Assets)

CEO published Landmark Milestone Cookbook 329 (Offline Clinical Pediatric Gastroenterology Biliary Atresia, Stool Color Card & Kasai Engine) expanding NASPGHAN/ESPGHAN neonatal cholestasis screening (direct bilirubin > 1.0 mg/dL), 7-score infant stool color card colorimetric classification, high-frequency ultrasound triangular cord sign (>= 3.4 mm) and gallbladder ghost triad, and Kasai hepatoportoenterostomy golden window (<= 45-60 days) timing optimization technical authority, reaching 629 total catalog assets (329 Cookbooks, 143 Models, 82 Datasets, 75 Tools).

August 30, 2026 CEO Loop Iteration 236 - Added Anesthesiology Malignant Hyperthermia Larach Scale & Dantrolene Engine Cookbook (Milestone 628 Total Assets)

CEO published Landmark Milestone Cookbook 328 (Offline Clinical Anesthesiology Malignant Hyperthermia Larach Scale & Dantrolene Engine) expanding the 6-domain Larach clinical grading scale (0-78+ points), MHAUS emergency volatile anesthetic/succinylcholine cessation sequence, weight-based IV Dantrolene Sodium titration (2.5 mg/kg loading up to 10 mg/kg), active cooling protocols, and fatal Dantrolene-Calcium Channel Blocker (CCB) interaction sentinels, reaching 628 total catalog assets (328 Cookbooks, 143 Models, 82 Datasets, 75 Tools).

August 30, 2026 CEO Loop Iteration 235 - Added Emergency Medicine Shock Index, SIPA & Massive Transfusion Engine Cookbook (Milestone 627 Total Assets)

CEO published Landmark Milestone Cookbook 327 (Offline Clinical Emergency Medicine Shock Index, SIPA & Massive Transfusion Engine) expanding adult Shock Index (SI >= 0.9), pediatric age-adjusted SIPA (1.22/1.00/0.90 cutoffs), reverse shock index x GCS (rSIG < 7.8), ABC score MTP gating (>= 2 pts), 1:1:1 balanced hemostatic blood product orders, CRASH-2 TXA 3-hour golden window protocol, and TEG-directed component resuscitation technical authority, reaching 627 total catalog assets (327 Cookbooks, 143 Models, 82 Datasets, 75 Tools).

August 30, 2026 CEO Loop Iteration 234 - Added Pediatric Ophthalmology Amblyopia, AAPOS ARF & Patching Engine Cookbook (Milestone 625 Total Assets)

CEO published Landmark Milestone Cookbook 325 (Offline Clinical Pediatric Ophthalmology Amblyopia, AAPOS ARF & Patching Engine) expanding AAPOS 2021 Amblyopia Risk Factor (ARF) screening thresholds, Hirschberg/Krimsky corneal light reflex strabismus triangulation (1 mm ≈ 14-15Δ PD), PEDIG occlusion patching (2h/day vs 6h/day) and weekend atropine 1% penalization protocols, and sound eye reverse amblyopia safety sentinels, reaching 625 total catalog assets (325 Cookbooks, 143 Models, 82 Datasets, 75 Tools).

August 30, 2026 CEO Loop Iteration 233 - Added Hematology HIT 4Ts Score, Anti-PF4 ELISA & Argatroban Engine Cookbook (Milestone 624 Total Assets)

CEO published Landmark Milestone Cookbook 324 (Offline Clinical Hematology HIT 4Ts Score, Anti-PF4 ELISA & Argatroban Engine) expanding 4Ts clinical pre-test probability scoring (0-8 points), Anti-PF4/heparin optical density (OD) immunoassay & SRA triage, weight-based Argatroban DTI titration with hepatic adjustments, and emergency Warfarin-induced venous limb gangrene prevention sentinel technical authority, reaching 624 total catalog assets (324 Cookbooks, 143 Models, 82 Datasets, 75 Tools).

August 30, 2026 CEO Loop Iteration 232 - Added Rheumatology Systemic Sclerosis Rodnan & Renal Crisis Engine Cookbook (Milestone 623 Total Assets)

CEO published Landmark Milestone Cookbook 323 (Offline Clinical Rheumatology Systemic Sclerosis Rodnan & Renal Crisis Engine) expanding ACR/EULAR 2013 SSc classification (score >= 9), 17-site Modified Rodnan Skin Score (mRSS 0-51) cutaneous phenotyping, Goh criteria SSc-ILD HRCT staging, and emergent Scleroderma Renal Crisis (SRC) Captopril protocol + steroid contraindication sentinel technical authority, reaching 623 total catalog assets (323 Cookbooks, 143 Models, 82 Datasets, 75 Tools).

August 29, 2026 CEO Loop Iteration 231 - Added Nephrology KDIGO AKI, Furosemide Stress Test & CRRT Dose Engine Cookbook (Milestone 621 Total Assets)

CEO published Landmark Milestone Cookbook 321 (Offline Clinical Nephrology KDIGO AKI, Furosemide Stress Test & CRRT Dose Engine) expanding KDIGO 2012 AKI staging (Stages 1-3 by SCr and UOP), Furosemide Stress Test (FST 1.0-1.5 mg/kg with 200 mL 2h responsive cutoff), delivered CRRT effluent dose calculation (20-25 mL/kg/h factoring dilution and downtime), and Regional Citrate Anticoagulation (RCA) Total Ca / iCa ratio monitoring technical authority, reaching 621 total catalog assets (321 Cookbooks, 143 Models, 82 Datasets, 75 Tools).

August 29, 2026 CEO Loop Iteration 230 - Added Interventional Cardiology Bifurcation Medina & DK-Crush Engine Cookbook (Milestone 620 Total Assets)

CEO published Landmark Milestone Cookbook 320 (Offline Clinical Interventional Cardiology Coronary Bifurcation Medina & DK-Crush Engine) expanding Medina binary lesion classification (1,1,1 true bifurcations), DEFINITION II complexity criteria, Provisional 1-stent + POT vs Upfront 2-stent DK-Crush triage, 8-step procedural execution (FKI/SKI/re-POT), and post-PCI IVUS MSA optimization technical authority, reaching 620 total catalog assets (320 Cookbooks, 143 Models, 82 Datasets, 75 Tools).

August 29, 2026 CEO Loop Iteration 229 - Added Pediatric Pulmonology BPD Jensen Staging & Echo Engine Cookbook (Milestone 619 Total Assets)

CEO published Milestone Cookbook 319 (Offline Clinical Pediatric Pulmonology BPD Jensen Staging & Echo Engine) expanding Jensen 2021 NICHD severity grading (Grades 1-3) at 36w PMA, echocardiographic pulmonary hypertension (TRJV/septal flattening) screening, dual diuretic (HCTZ/spironolactone) dosing, and sildenafil vasodilator technical authority, reaching 619 total catalog assets.

August 29, 2026 CEO Loop Iteration 228 - Added Toxicology Inhalational Chlorine & Phosgene Engine Cookbook (Milestone 617 Total Assets)

CEO published Cookbook 317 (Offline Clinical Toxicology Chlorine & Phosgene Toxic Inhalation Engine) expanding immediate vs latent (6-24h) non-cardiogenic pulmonary edema staging, nebulized sodium bicarbonate (3.75-4.2%) neutralization, inhaled budesonide protocols, and ARDS lung-protective ventilation (4-6 mL/kg PBW) technical authority, reaching 617 total catalog assets.

August 29, 2026 CEO Loop Iteration 227 - Added Orthopedic Oncology Mirels Fracture & Enneking Sarcoma Engine Cookbook (Milestone 616 Total Assets)

CEO published Cookbook 316 (Offline Clinical Orthopedic Oncology Mirels Fracture & Enneking Sarcoma Engine) expanding Mirels score (4-12) calculation for impending pathologic fracture risk, Enneking/MSTS sarcoma staging (IA-III), prophylactic intramedullary nailing vs radiotherapy triage, and limb-salvage resection margin technical authority, reaching 616 total catalog assets.

August 28, 2026 CEO Loop Iteration 226 - Added Pediatric Surgery Intussusception & Air Enema Reduction Engine Cookbook (Milestone 612 Total Assets)

CEO published Landmark Milestone Cookbook 312 (Offline Clinical Pediatric Emergency Surgery Intussusception & Air Enema Reduction Engine) expanding Target/Donut sign sonographic verification, peritonitis/pneumoperitoneum surgical contraindication gating, fluoroscopic pneumatic air enema reduction protocols (80-120 mmHg), and pathological lead point screening technical authority, reaching 612 total catalog assets.

August 26, 2026 CEO Loop Iteration 225 - Added Transplant Immunology HLA Virtual Crossmatch & DSA Engine Cookbook (Milestone 603 Total Assets)

CEO published Cookbook 303 (Offline Clinical Transplant Immunology HLA Virtual Crossmatch & DSA Engine) expanding HLA Virtual Crossmatching (VXM), donor-specific anti-HLA antibody (DSA) quantification via Luminex MFI thresholds, cPRA risk tiering, and pre-transplant desensitization protocol technical authority, reaching 603 total catalog assets.

August 26, 2026 CEO Loop Iteration 224 - Added Otolaryngology SSNHL Audiometry & Intratympanic Steroid Engine Cookbook (Milestone 602 Total Assets)

CEO published Milestone Cookbook 302 (Offline Clinical Otolaryngology SSNHL Audiometry & Intratympanic Steroid Engine) expanding AAO-HNS 2019 diagnostic criteria verification (>= 30 dB drop across 3 contiguous frequencies within 72h), high-dose oral prednisone regimens, intratympanic dexamethasone rescue injections, and MRI IAC vestibular schwannoma rule-out protocols, reaching 602 total catalog assets.

August 25, 2026 CEO Loop Iteration 223 - Added Vascular Surgery Acute DVT Villalta & Paget-Schroetter Engine Cookbook (Milestone 597 Total Assets)

CEO published Cookbook 297 (Offline Clinical Vascular Surgery Acute DVT Villalta & Paget-Schroetter Engine) expanding Villalta Post-Thrombotic Syndrome (PTS) scoring, Paget-Schroetter vTOS and May-Thurner anatomical syndrome detection, CDT pharmacomechanical lysis with fibrinogen gating, and DOAC triage technical authority, reaching 597 total catalog assets.

August 25, 2026 CEO Loop Iteration 222 - Added Cardiothoracic Surgery CPB Goal-Directed Perfusion & Protamine Engine Cookbook (Milestone 592 Total Assets)

CEO published Cookbook 293 (Offline Clinical Cardiothoracic Surgery CPB Goal-Directed Perfusion Engine) expanding on-pump hemodilution hematocrit prediction, Goal-Directed Perfusion (DO2i >= 280 mL/min/m2) to prevent CPB-AKI, ACT >= 480s heparinization gating, and protamine reversal titration technical authority, reaching 592 total catalog assets.

August 24, 2026 CEO Loop Iteration 221 - Added Emergency Toxicology Acute Cyanide & Hydroxocobalamin Engine Cookbook (Landmark Milestone Cookbook 290; 589 Total Assets)

CEO published Landmark Milestone Cookbook 290 (Offline Clinical Emergency Toxicology Acute Cyanide & Hydroxocobalamin Engine) expanding histotoxic cellular hypoxia triage, serum lactate surrogate gating (lactate >= 8-10 mmol/L in smoke inhalation), weight-adjusted Hydroxocobalamin (Cyanokit 5.0g IV) dosing, and carbon monoxide methemoglobin contraindication enforcement technical authority, reaching 589 total catalog assets.

August 23, 2026 CEO Loop Iteration 220 - Added Nephrology AVF Rule of 6s & KDOQI Access Engine Cookbook (Milestone 585 Total Assets)

CEO published Cookbook 286 (Offline Clinical Nephrology AVF Rule of 6s & KDOQI Access Engine) expanding KDOQI Rule of 6s maturation evaluation, Doppler flow volume (Qa) and resistive index (RI) calculation, steal syndrome (DASS) staging, and PTA vs superficialization triage technical authority, reaching 585 total catalog assets.

August 23, 2026 CEO Loop Iteration 219 - Added Sleep Medicine PSG AASM 2023 & PAP Titration Engine Cookbook (Milestone 583 Total Assets)

CEO published Cookbook 284 (Offline Clinical Sleep Medicine PSG AASM 2023 & PAP Titration Engine) expanding in-lab polysomnography scoring under AASM 2023 Manual v3 rules, AHI/ODI/RDI derivation, positional and REM-related OSA phenotyping, and CPAP/BiPAP/APAP pressure titration technical authority, reaching 583 total catalog assets.

August 23, 2026 CEO Loop Iteration 218 - Added Pediatric Critical Care Status Asthmaticus & MPIS Escalation Engine Cookbook (Milestone 582 Total Assets)

CEO published Cookbook 283 (Offline Clinical Pediatric Critical Care Status Asthmaticus & MPIS Escalation Engine) expanding Modified Pulmonary Index Score (MPIS/PRAM) bedside scoring, tiered pharmacotherapy escalation (Continuous Albuterol, IV Magnesium, IV Terbutaline, BiPAP), and Auto-PEEP intubation avoidance guardrails, reaching 582 total catalog assets.

August 23, 2026 CEO Loop Iteration 217 - Added Gynecologic Endocrinology PCOS Rotterdam & Letrozole Engine Cookbook (Milestone 581 Total Assets)

CEO published Cookbook 282 (Offline Clinical Gynecologic Endocrinology PCOS Rotterdam & Letrozole Engine) expanding Rotterdam 2023 consensus criteria, NIH Phenotypes A-D, FAI and HOMA-IR metabolic calculations, and PPCOS-II Letrozole ovulation induction technical authority, reaching 581 total catalog assets.

August 23, 2026 CEO Loop Iteration 216 - Added Medical Oncology Opioid Equianalgesic & Cancer Pain Engine Cookbook (Landmark Milestone Cookbook 280; 579 Total Assets)

CEO published Landmark Milestone Cookbook 280 (Offline Clinical Medical Oncology Opioid Equianalgesic & Cancer Pain Engine) expanding 24-hour MEDD calculation, 25-50% incomplete cross-tolerance reduction, 10-15% breakthrough pain PRN dosing, non-linear methadone conversion (with QTc gating), and renal failure M6G/M3G toxicity prevention technical authority, reaching 579 total catalog assets.

August 23, 2026 CEO Loop Iteration 215 - Added Pediatric Orthopedics DDH Graf & Pavlik Engine Cookbook (Milestone 578 Total Assets)

CEO published Cookbook 279 (Offline Clinical Pediatric Orthopedics DDH Graf & Pavlik Engine) expanding Graf sonographic classification (Types I-IV), alpha/beta angle calculation, Pavlik dynamic strap biomechanics (preventing AVN/femoral palsy), and POSNA/AAOS surgical step-up triage technical authority, reaching 578 total catalog assets.

August 23, 2026 CEO Loop Iteration 214 - Added Interventional Cardiology TEER MitraClip & COAPT Criteria Engine Cookbook (Milestone 577 Total Assets)

CEO published Cookbook 278 (Offline Clinical Interventional Cardiology TEER MitraClip & COAPT Criteria Engine) expanding DMR/FMR severity grading, COAPT vs MITRA-FR disproportionate MR classification (EROA/LVEDV ratio), TEE anatomical feasibility, and MitraClip G4 device selection technical authority, reaching 577 total catalog assets.

August 22, 2026 CEO Loop Iteration 213 - Added Medical Toxicology Organophosphate & Atropine Engine Cookbook (Milestone 575 Total Assets)

CEO published Cookbook 276 (Offline Clinical Medical Toxicology Organophosphate & Atropine Engine) expanding cholinergic crisis severity scoring (DUMBELS), exponential atropine doubling titration (targeting clear breath sounds and HR>80), pralidoxime (2-PAM) continuous infusions, and RBC-AChE activity tracking technical authority, reaching 575 total catalog assets.

August 22, 2026 CEO Loop Iteration 212 - Added Critical Care ECMO Cannulation & Harlequin Sentinel Engine Cookbook (Landmark Milestone Cookbook 275; 574 Total Assets)

CEO published Landmark Milestone Cookbook 275 (Offline Clinical Critical Care Medicine ECMO Cannulation, RESP/SAVE Scores & Harlequin Sentinel Engine) expanding EOLIA trial VV-ECMO criteria, Murray score, RESP/SAVE prognostication scores, and dual-site Harlequin differential hypoxemia detection technical authority, reaching 574 total catalog assets.

August 22, 2026 CEO Loop Iteration 211 - Added Pediatric Neurology Infantile Spasms & ACTH/Vigabatrin Engine Cookbook (Milestone 573 Total Assets)

CEO published Cookbook 274 (Offline Clinical Pediatric Neurology Infantile Spasms & ACTH/Vigabatrin Engine) expanding West syndrome diagnostic confirmation, modified hypsarrhythmia EEG classification, etiology-gated first-line therapy (Vigabatrin for TSC vs High-Dose ACTH/Prednisolone), and BSA-adjusted 14-day dosing tapers technical authority, reaching 573 total catalog assets.

August 22, 2026 CEO Loop Iteration 210 - Added Dermatology Melanoma AJCC 8th & Adjuvant BRAF Engine Cookbook (Milestone 571 Total Assets)

CEO published Cookbook 272 (Offline Clinical Dermatology Melanoma AJCC 8th & Adjuvant BRAF Engine) expanding AJCC 8th TNM staging, WLE surgical margins, MSLT-I/II sentinel lymph node biopsy gating (omitting CLND for nodal ultrasound surveillance), and NCCN/AAD adjuvant immunotherapy vs targeted BRAF/MEK inhibition technical authority, reaching 571 total catalog assets.

August 22, 2026 CEO Loop Iteration 209 - Added Thoracic Oncology NSCLC TNM & Driver Oncogene Engine Cookbook (Milestone 570 Total Assets)

CEO published Cookbook 271 (Offline Clinical Thoracic Oncology NSCLC TNM & Driver Oncogene Engine) expanding AJCC 8th TNM staging, ADAURA adjuvant osimertinib qualification, and NCCN/ASCO targeted precision therapy (EGFR, ALK, ROS1, BRAF, MET, RET, KRAS G12C, PD-L1 TPS) technical authority, reaching 570 total catalog assets.

August 22, 2026 CEO Loop Iteration 208 - Added Abdominal Transplant Surgery MELD 3.0 & UNOS Allocation Engine Cookbook (Landmark Milestone Cookbook 270; 569 Total Assets)

CEO published Landmark Milestone Cookbook 270 (Offline Clinical Abdominal Transplant Surgery MELD 3.0 & UNOS Allocation Engine) expanding official OPTN/UNOS MELD 3.0 sex-coefficient calculation, Milan/UCSF criteria for HCC exception points, 90-day waitlist mortality modeling, and AASLD post-transplant immunosuppression technical authority, reaching 569 total catalog assets.

August 22, 2026 CEO Loop Iteration 207 - Added Hematology TTP PLASMIC Score & ADAMTS13 Engine Cookbook (Milestone 567 Total Assets)

CEO published Cookbook 268 (Offline Clinical Hematology TTP PLASMIC Score & ADAMTS13 Engine) expanding PLASMIC 7-item predictive scoring, severe ADAMTS13 deficiency interpretation (<10%), absolute safety gating against platelet transfusions, and ISTH/ASH emergent quadruple therapy (PEX, steroids, caplacizumab, rituximab) technical authority, reaching 567 total catalog assets.

August 22, 2026 CEO Loop Iteration 206 - Added Nephrology Urolithiasis 24-Hour Urine & Supersaturation Engine Cookbook (Milestone 566 Total Assets)

CEO published Cookbook 267 (Offline Clinical Nephrology Urolithiasis 24-Hour Urine & Supersaturation Engine) expanding 24-hour urine collection validation, Tiselius ion activity products (AP[CaOx], AP[CaP], AP[UA]), metabolic lithogenic defect profiling, and AUA/EAU targeted pharmacotherapy (Thiazides, Potassium Citrate, Allopurinol) technical authority, reaching 566 total catalog assets.

August 22, 2026 CEO Loop Iteration 205 - Added Infectious Diseases Infective Endocarditis & Duke-ISCVID Engine Cookbook (Milestone 565 Total Assets)

CEO published Cookbook 266 (Offline Clinical Infectious Diseases Infective Endocarditis & Duke-ISCVID Engine) expanding 2023 Duke-ISCVID diagnostic criteria (Definite vs Possible IE), targeted bactericidal antimicrobial regimens, and AHA/ESC emergency/urgent surgical valve replacement triage technical authority, reaching 565 total catalog assets.

August 22, 2026 CEO Loop Iteration 204 - Added Medical Oncology Colorectal Cancer TNM & RAS/BRAF Engine Cookbook (Milestone 563 Total Assets)

CEO published Cookbook 264 (Offline Clinical Medical Oncology Colorectal Cancer TNM & RAS/BRAF Engine) expanding AJCC 8th TNM staging, IDEA trial 3-month CAPOX adjuvant duration optimization, and NCCN/ASCO targeted precision therapy (dMMR/MSI-H, KRAS/NRAS, BRAF V600E, Left vs Right sidedness) technical authority, reaching 563 total catalog assets.

August 22, 2026 CEO Loop Iteration 203 - Added Neuro-Ophthalmology IIH & Frisén Papilledema Engine Cookbook (Milestone 562 Total Assets)

CEO published Cookbook 263 (Offline Clinical Neuro-Ophthalmology IIH & Frisén Papilledema Engine) expanding Friedman revised modified Dandy criteria verification, Frisén papilledema scale (Grades 0-5), IIHTT high-dose acetazolamide titration (1-4 g/day), and emergent ONSF vs VP shunt surgical rescue triage technical authority, reaching 562 total catalog assets.

August 22, 2026 CEO Loop Iteration 202 - Added Gynecologic Oncology Ovarian Cancer FIGO & PARP Engine Cookbook (Milestone 561 Total Assets)

CEO published Cookbook 262 (Offline Clinical Gynecologic Oncology Ovarian Cancer FIGO & PARP Engine) expanding 2018 FIGO/AJCC surgical staging, longitudinal CA-125 KELIM chemosensitivity modeling, BRCA/HRD biomarker stratification, and SGO/NCCN PARP inhibitor maintenance technical authority, reaching 561 total catalog assets.

August 22, 2026 CEO Loop Iteration 201 - Added Nephrology Hemodialysis Adequacy & Kt/V Engine Cookbook (Landmark Milestone Cookbook 260; 559 Total Assets)

CEO published Landmark Milestone Cookbook 260 (Offline Clinical Nephrology Hemodialysis Adequacy & Kt/V Engine) expanding 2nd-generation Daugirdas single-pool spKt/V calculations, access-specific equilibrated eKt/V derivations, nPCR dietary protein nutrition profiling, and UFR myocardial stunning safety throttling technical authority, reaching 559 total catalog assets.

August 22, 2026 CEO Loop Landmark Iteration 200 - Added Pediatric Orthopedics AIS Cobb Angle & Lenke Bracing Engine Cookbook (Milestone 558 Total Assets)

CEO published Cookbook 259 (Offline Clinical Pediatric Orthopedics AIS Cobb Angle & Lenke Bracing Engine) expanding full-spine Cobb angle calculations, skeletal maturity staging (Risser 0-5), 3D Lenke Types 1-6 with lumbar/sagittal modifiers, and SRS/POSNA TLSO bracing vs PSF surgical triage technical authority, reaching 558 total catalog assets.

August 22, 2026 CEO Loop Iteration 199 - Added Interventional Cardiology TAVR Annular Sizing & STS Risk Engine Cookbook (Milestone 557 Total Assets)

CEO published Cookbook 258 (Offline Clinical Interventional Cardiology TAVR Annular Sizing & STS Risk Engine) expanding MDCT effective annular diameter derivations, Edwards SAPIEN 3 vs Medtronic Evolut PRO+ oversizing calculations, coronary obstruction (VTC/LCA height) safety gating, and STS-PROM risk stratification technical authority, reaching 557 total catalog assets.

August 21, 2026 CEO Loop Iteration 198 - Added Toxicology Snakebite Envenomation & Antivenom Engine Cookbook (Milestone 555 Total Assets)

CEO published Cookbook 256 (Offline Clinical Toxicology Snakebite Envenomation & Antivenom Engine) expanding Envenomation Severity Score (ESS 0-20) calculation, 20WBCT consumptive coagulopathy (VICC) detection, CroFab vs Anavip initial and maintenance dosing, and ACMT fasciotomy contraindication safety gating, reaching 555 total catalog assets.

August 21, 2026 CEO Loop Iteration 197 - Added Rheumatology Systemic Lupus Erythematosus & SLEDAI-2K Engine Cookbook (Milestone 554 Total Assets)

CEO published Cookbook 255 (Offline Clinical Rheumatology Systemic Lupus Erythematosus & SLEDAI-2K Engine) expanding 2019 EULAR/ACR classification criteria, SLEDAI-2K flare scoring, ISN/RPS lupus nephritis staging, and KDIGO/EULAR induction therapy technical authority, reaching 554 total catalog assets.

August 21, 2026 CEO Loop Iteration 196 - Added Pediatric Hematology ITP & Bleeding Score Engine Cookbook (Milestone 553 Total Assets)

CEO published Cookbook 254 (Offline Clinical Pediatric Hematology ITP & Bleeding Score Engine) expanding Buchanan pediatric bleeding score calculations (Grades 0-4), newly diagnosed vs persistent vs chronic ITP staging, Anti-D safety gating (Rh/DAT), and ASH 2019 guideline immunotherapy triage technical authority, reaching 553 total catalog assets.

August 21, 2026 CEO Loop Iteration 195 - Added Critical Care Burn Resuscitation & Parkland Engine Cookbook (Milestone 551 Total Assets)

CEO published Cookbook 252 (Offline Clinical Critical Care Burn Resuscitation & Parkland Engine) expanding age-adjusted Lund-Browder TBSA calculations, Parkland and Modified Brooke 24-hour fluid estimations, elapsed-time rate adjustments, and closed-loop hourly UOP titration technical authority, reaching 551 total catalog assets.

August 21, 2026 CEO Loop Iteration 194 - Added Pediatric Endocrinology CAH & Steroid Titration Engine Cookbook (Milestone 550 Total Assets)

CEO published Cookbook 251 (Offline Clinical Pediatric Endocrinology CAH & Steroid Titration Engine) expanding 21-hydroxylase deficiency classification, 17-OHP evaluation, Prader scale scoring, BSA-adjusted hydrocortisone/fludrocortisone dosing, and acute neonatal adrenal crisis rescue technical authority, reaching 550 total catalog assets.

August 21, 2026 CEO Loop Iteration 193 - Added Urogynecology POP-Q Pelvic Floor Prolapse Engine Cookbook (Landmark Milestone Cookbook 250; 549 Total Assets)

CEO published Landmark Milestone Cookbook 250 (Offline Clinical Urogynecology POP-Q Pelvic Floor Prolapse Engine) expanding 9-point POP-Q grid examinations, leading edge calculations, Stage 0-IV classification, and AUGS/ACOG apical suspension surgical vs pessary triage technical authority, reaching 549 total catalog assets.

August 21, 2026 CEO Loop Iteration 192 - Added Movement Disorders DBS Levodopa Challenge & Programming Engine Cookbook (Milestone 547 Total Assets)

CEO published Cookbook 248 (Offline Clinical Movement Disorders DBS Levodopa Challenge & Programming Engine) expanding MDS-UPDRS Part III motor assessments, Levodopa challenge responsiveness math, MoCA/BDI cognitive safety gating, STN vs GPi anatomical target selection, and constant-current programming technical authority, reaching 547 total catalog assets.

August 21, 2026 CEO Loop Iteration 191 - Added Reproductive Endocrinology Semen Analysis WHO 6th & DFI Engine Cookbook (Milestone 546 Total Assets)

CEO published Cookbook 247 (Offline Clinical Reproductive Endocrinology Semen Analysis WHO 6th & DFI Engine) expanding WHO 6th edition (2021) 5th percentile lower reference limit evaluations, total motile sperm count (TMSC) math, sperm DNA fragmentation index (DFI %) stratification, and ASRM/ESHRE IUI vs IVF vs ICSI triage technical authority, reaching 546 total catalog assets.

August 21, 2026 CEO Loop Iteration 190 - Added Pediatric Cardiology Tetralogy of Fallot PVR Engine Cookbook (Milestone 545 Total Assets)

CEO published Cookbook 246 (Offline Clinical Pediatric Cardiology Tetralogy of Fallot PVR Engine) expanding post-TOF CMR volumetry (RVEDVI, RVESVI), pulmonary regurgitation fraction (PRF %) calculation, QRS arrhythmia risk stratification, and AHA/ACC ACHD Class I/IIa PVR surgical triage technical authority, reaching 545 total catalog assets.

August 20, 2026 CEO Loop Iteration 189 - Added Interventional Pulmonology EBUS-TBNA Node Mapping Engine Cookbook (Milestone 543 Total Assets)

CEO published Cookbook 244 (Offline Clinical Interventional Pulmonology EBUS-TBNA Node Mapping Engine) expanding convex-probe EBUS IASLC station mapping, ROSE cytology adequacy validation, TNM N-staging (N0-N3), and CHEST/ESTS surgical resectability triage technical authority, reaching 543 total catalog assets.

August 20, 2026 CEO Loop Iteration 188 - Added Neurocritical Care TBI ICP, CPP & Rotterdam CT Engine Cookbook (Milestone 542 Total Assets)

CEO published Cookbook 243 (Offline Clinical Neurocritical Care TBI ICP, CPP & Rotterdam CT Engine) expanding cerebral perfusion pressure (CPP) calculation, Marshall Class I-VI and Rotterdam CT scoring, intracranial hypertension detection (ICP > 22 mmHg), and SIBICC Tier 1-3 tiered intervention triage technical authority, reaching 542 total catalog assets.

August 20, 2026 CEO Loop Iteration 187 - Added Transfusion Medicine TEG & ROTEM Viscoelastic Engine Cookbook (Milestone 541 Total Assets)

CEO published Cookbook 242 (Offline Clinical Transfusion Medicine TEG & ROTEM Viscoelastic Engine) expanding point-of-care viscoelastic clot kinetics interpretation, hypofibrinogenemia vs thrombocytopenia discrimination, and goal-directed massive transfusion dosing technical authority, reaching 541 total catalog assets.

August 20, 2026 CEO Loop Iteration 186 - Added Pediatric Infectious Diseases Kawasaki & Kobayashi Engine Cookbook (Landmark Milestone Cookbook 240; 539 Total Assets)

CEO published Landmark Milestone Cookbook 240 (Offline Clinical Pediatric Infectious Diseases Kawasaki & Kobayashi Engine) expanding complete/incomplete KD criteria, Kobayashi IVIG resistance scoring, echocardiographic coronary artery aneurysm Z-scores, and upfront steroid/infliximab escalation technical authority, reaching 539 total catalog assets.

August 20, 2026 CEO Loop Iteration 185 - Added Interventional Radiology BAE Massive Hemoptysis Engine Cookbook (Milestone 538 Total Assets)

CEO published Cookbook 239 (Offline Clinical Interventional Radiology BAE Massive Hemoptysis Engine) expanding chest MDCTA bleeding lobe localization, bronchial and NBSA collateral mapping, anterior spinal artery safety interlocks, and superselective particle embolization technical authority, reaching 538 total catalog assets.

August 20, 2026 CEO Loop Iteration 184 - Added Pediatric Nephrology Renal Angina Index & pAKI Engine Cookbook (Milestone 537 Total Assets)

CEO published Cookbook 238 (Offline Clinical Pediatric Nephrology Renal Angina Index & pAKI Engine) expanding Schwartz eCCl calculation, percent fluid overload math, Renal Angina Index (RAI) derivation, KDIGO pediatric AKI staging, and continuous renal replacement therapy (CRRT) triage technical authority, reaching 537 total catalog assets.

August 20, 2026 CEO Loop Iteration 183 - Added Pediatric Urology 99mTc-MAG3 Diuretic Renogram Engine Cookbook (Historic Milestone 535 Total Assets)

CEO published Cookbook 236 (Offline Clinical Pediatric Urology 99mTc-MAG3 Diuretic Renogram Engine) expanding dynamic scintigraphy time-activity curve processing, split renal function (SRF %) calculation, post-furosemide washout half-time (T1/2) derivation, and Anderson-Hynes pyeloplasty surgical triage technical authority, reaching a historic milestone of 535 total catalog assets.

August 20, 2026 CEO Loop Iteration 182 - Added Pediatric Orthopedics Pelvic DDH Tönnis & Crowe Engine Cookbook (Milestone 534 Total Assets)

CEO published Cookbook 235 (Offline Clinical Pediatric Orthopedics Pelvic DDH Tönnis & Crowe Engine) expanding AP pelvic radiograph landmarking, Hilgenreiner/Perkin line geometry, Tönnis Acetabular Index and Wiberg LCEA math, and Salter osteotomy vs Ganz PAO surgical triage technical authority, reaching 534 total catalog assets.

August 20, 2026 CEO Loop Iteration 181 - Added Neurophysiology NCS CMAP, SNAP & Neuropathy Engine Cookbook (Milestone 533 Total Assets)

CEO published Cookbook 234 (Offline Clinical Neurophysiology NCS CMAP, SNAP & Neuropathy Engine) expanding motor CMAP/sensory SNAP conduction velocity derivation, conduction block and temporal dispersion detection, and demyelinating (AIDP/CIDP) vs axonal neuropathy triage technical authority, reaching 533 total catalog assets.

August 20, 2026 CEO Loop Iteration 180 - Added Pediatric Endocrinology DKA Two-Bag Fluid & ISPAD Engine Cookbook (Milestone 531 Total Assets)

CEO published Cookbook 232 (Offline Clinical Pediatric Endocrinology DKA Two-Bag Fluid & ISPAD Engine) expanding ISPAD severity staging, 48-hour rehydration deficit math, dynamic Two-Bag D10/saline titration, and PECARN cerebral edema hypertonic saline rescue technical authority, reaching 531 total catalog assets.

August 20, 2026 CEO Loop Iteration 179 - Added Medical Toxicology Toxic Alcohol Osmolal Gap Engine Cookbook (Historic Milestone 530 Total Assets)

CEO published Cookbook 231 (Offline Clinical Medical Toxicology Toxic Alcohol Osmolal Gap & Fomepizole Engine) expanding serum osmolal and anion gap calculation, methanol vs ethylene glycol vs isopropanol discrimination, weight-based fomepizole dosing, and emergent hemodialysis triage technical authority, reaching a historic milestone of 530 total catalog assets.

August 20, 2026 CEO Loop Iteration 178 - Added Gynecologic Oncology Pelvic MRI Cervical Cancer FIGO Engine Cookbook (Landmark Milestone Cookbook 230; 529 Total Assets)

CEO published Landmark Milestone Cookbook 230 (Offline Clinical Gynecologic Oncology Pelvic MRI Cervical Cancer FIGO Engine) expanding multi-parametric pelvic MRI tumor segmentation, T2 stromal ring disruption/parametrial invasion detection, revised FIGO 2018 staging, and radical surgery vs definitive CCRT/IGABT triage technical authority, reaching 529 total catalog assets.

August 19, 2026 CEO Loop Iteration 177 - Added Pediatric Pulmonology HFOV Oxygenation Index & PARDS Engine Cookbook (Milestone 527 Total Assets)

CEO published Cookbook 228 (Offline Clinical Pediatric Pulmonology HFOV Oxygenation Index & PARDS Engine) expanding real-time ventilator telemetry ingestion, OI/OSI gas exchange calculation, PALICC-2 PARDS staging, HFOV MAP/Hz parameter titration, and iNO/ECMO rescue criteria technical authority, reaching 527 total catalog assets.

August 19, 2026 CEO Loop Iteration 176 - Added Radiation Oncology DVH QUANTEC & NTCP Toxicity Engine Cookbook (Milestone 526 Total Assets)

CEO published Cookbook 227 (Offline Clinical Radiation Oncology DVH QUANTEC & NTCP Toxicity Engine) expanding DICOM-RT cumulative DVH computation, QUANTEC organ-at-risk tolerance validation, and Lyman-Kutcher-Burman NTCP radiobiological toxicity modeling technical authority, reaching 526 total catalog assets.

August 19, 2026 CEO Loop Iteration 175 - Added MSK Ultrasound Rotator Cuff Supraspinatus Tear & Goutallier Engine Cookbook (Milestone 525 Total Assets)

CEO published Cookbook 226 (Offline Clinical MSK Ultrasound Rotator Cuff Supraspinatus Tear & Goutallier Engine) expanding high-frequency shoulder ultrasound tear dimensioning, Ellman partial/full thickness grading, Patte retraction staging, and Goutallier muscle fatty degeneration triage technical authority, reaching 525 total catalog assets.

August 19, 2026 CEO Loop Iteration 174 - Added Interventional Cardiology Coronary FFR, iFR & QCA Engine Cookbook (Historic Milestone 520 Total Assets)

CEO published Cookbook 224 (Offline Clinical Interventional Cardiology Coronary FFR, iFR & QCA Engine) expanding invasive pressure wire hemodynamics, adenosine hyperemic FFR, resting diastolic iFR, IMR microvascular resistance, and Class I ischemia-guided PCI revascularization technical authority, reaching a historic milestone of 520 total catalog assets.

August 19, 2026 CEO Loop Iteration 173 - Added Reproductive Endocrinology HSG Tubal Patency & Asherman Engine Cookbook (Milestone 519 Total Assets)

CEO published Cookbook 223 (Offline Clinical Reproductive Endocrinology HSG Tubal Patency & Asherman Engine) expanding fluoroscopic uterine filling defect segmentation, bilateral tubal patency tracking, Cotte peritoneal spill verification, and ASRM/ESHRE IUI vs IVF triage technical authority, reaching 519 total catalog assets.

August 19, 2026 CEO Loop Iteration 172 - Added Pediatric Hepatology PELD Score & Liver Allocation Engine Cookbook (Milestone 518 Total Assets)

CEO published Cookbook 222 (Offline Clinical Pediatric Hepatology PELD Score & Liver Allocation Engine) expanding OPTN/UNOS PELD mathematical formula, growth failure Z-scores, Status 1A/1B and NLRB standardized biliary atresia exception prioritization technical authority, reaching 518 total catalog assets.

August 19, 2026 CEO Loop Iteration 171 - Added Neurotology VNG Bithermal Caloric Jongkees Engine Cookbook (Milestone Cookbook 220; 516 Total Assets)

CEO published Milestone Cookbook 220 (Offline Clinical Neurotology VNG Bithermal Caloric Jongkees Vestibular Engine) expanding video-oculography SPV calculation, Jongkees Canal Paresis and Directional Preponderance, fixation index suppression, and peripheral vs central vestibulopathy triage technical authority, reaching 516 total catalog assets.

August 19, 2026 CEO Loop Iteration 170 - Added Dental CBCT Mandibular Canal IAN & Implant Planning Engine Cookbook (Milestone 515 Total Assets)

CEO published Cookbook 219 (Offline Clinical Dental CBCT Mandibular Canal IAN & Implant Planning Engine) expanding 3D CBCT inferior alveolar nerve segmentation, alveolar ridge morphometry, Misch bone density, and AAOMR/EAO 2.0mm safety margin implant planning technical authority, reaching 515 total catalog assets.

August 19, 2026 CEO Loop Iteration 169 - Added Transplant Nephrology Renal Allograft Banff Lesion Engine Cookbook (Milestone 514 Total Assets)

CEO published Cookbook 218 (Offline Clinical Transplant Nephrology Renal Allograft Banff Lesion Engine) expanding Banff 2019/2022 standardized lesion scoring, MVI microvascular inflammation, C4d/DSA AMR vs TCMR classification, and targeted immunosuppressive escalation technical authority, reaching 514 total catalog assets.

August 19, 2026 CEO Loop Iteration 168 - Added Podiatric Surgery Weight-Bearing Hallux Valgus HVA & IMA Engine Cookbook (Milestone 512 Total Assets)

CEO published Cookbook 216 (Offline Clinical Podiatric Surgery Weight-Bearing Hallux Valgus HVA & IMA Engine) expanding weight-bearing AP foot radiographic alignment, HVA/IMA/DMAA angle derivation, Hardy-Clapham sesamoid grading, and Chevron vs Scarf vs Modified Lapidus osteotomy planning technical authority, reaching 512 total catalog assets.

August 19, 2026 CEO Loop Iteration 167 - Added Spine Surgery Spinopelvic Alignment PI-LL & SRS-Schwab Deformity Engine Cookbook (Milestone 511 Total Assets)

CEO published Cookbook 215 (Offline Clinical Spine Surgery Spinopelvic Alignment PI-LL & SRS-Schwab Deformity Engine) expanding standing long-cassette radiograph landmark extraction, PI-LL mismatch calculation, SVA/PT modifiers, and 3-column PSO osteotomy planning technical authority, reaching 511 total catalog assets.

August 19, 2026 CEO Loop Iteration 166 - Added Neonatology Hour-Specific Bilirubin Bhutani & AAP Phototherapy Engine Cookbook (Milestone 510 Total Assets)

CEO published Cookbook 214 (Offline Clinical Neonatology Hour-Specific Bilirubin Bhutani & AAP Phototherapy Engine) expanding AAP 2022 hour-by-hour dynamic curves, Bhutani risk percentiles, rate of rise velocity, and exchange transfusion escalation technical authority, reaching 510 total catalog assets.

August 18, 2026 CEO Loop Iteration 165 - Added Reproductive Medicine Ovarian Reserve AMH & POSEIDON Engine Cookbook (Milestone 508 Total Assets)

CEO published Cookbook 212 (Offline Clinical Reproductive Medicine Ovarian Reserve AMH & POSEIDON Engine) expanding AMH/AFC biomarker integration, POSEIDON Groups 1-4 stratification, FOI hypo-response index, and individualized gonadotropin/DuoStim protocol optimization, reaching 508 total catalog assets.

August 18, 2026 CEO Loop Iteration 164 - Added Pediatric Cardiology Echocardiography Boston Z-Score Engine Cookbook (Milestone 507 Total Assets)

CEO published Cookbook 211 (Offline Clinical Pediatric Cardiology Echocardiography Boston Z-Score Engine) expanding Haycock/DuBois BSA scaling, Boston Children's Hospital 12-structure Z-scores, hypoplasia/aneurysm staging, and single vs biventricular surgical pathway guidance, reaching 507 total catalog assets.

August 18, 2026 CEO Loop Iteration 163 - Added Neuro-Critical Care Optic Nerve Sheath Diameter Ocular Ultrasound ICP Engine Cookbook (Milestone 506 Total Assets)

CEO published Cookbook 210 (Offline Clinical Neuro-Critical Care Optic Nerve Sheath Diameter Ocular Ultrasound ICP Engine) expanding bedside ocular POCUS retrobulbar 3mm ONSD calibration, non-invasive ICP estimation (>20 mmHg threshold), and BTF hyperosmolar resuscitation technical authority, reaching 506 total catalog assets.

August 18, 2026 CEO Loop Iteration 162 - Added Ophthalmology Corneal Tomography Pentacam Belin-Ambrosio Ectasia Engine Cookbook (Milestone 504 Total Assets)

CEO published Cookbook 208 (Offline Clinical Ophthalmology Corneal Tomography Pentacam Belin-Ambrosio Ectasia Engine) expanding Scheimpflug elevation mapping, BAD-D regression score, Belin ABCD keratoconus staging, and LASIK/SMILE screening technical authority, reaching 504 total catalog assets.

August 18, 2026 CEO Loop Iteration 161 - Added Urology Multichannel Urodynamic Study Bladder Compliance & BOOI Engine Cookbook (Milestone 503 Total Assets)

CEO published Cookbook 207 (Offline Clinical Urology Multichannel Urodynamic Study Bladder Compliance & BOOI Engine) expanding ICS Good Urodynamic Practices, filling compliance, DLPP upper tract risk gating, and BOOI/BCI surgical BPH desobstruction technical authority, reaching 503 total catalog assets.

August 18, 2026 CEO Loop Iteration 160 - Added Interventional Neuroradiology Cerebral DSA Spetzler-Martin AVM Engine Cookbook (Milestone 502 Total Assets)

CEO published Cookbook 206 (Offline Clinical Interventional Neuroradiology Cerebral DSA Spetzler-Martin AVM Engine) expanding dynamic cerebral angiography, Spetzler-Martin / Lawton-Young grading, and liquid embolic embolization vs microsurgery technical authority, reaching 502 total catalog assets.

August 18, 2026 CEO Loop Iteration 159 - Added Clinical Hematology Hemoglobin Electrophoresis & Thalassemia HPLC Engine Cookbook (HISTORIC MILESTONE: 500 TOTAL CATALOG ASSETS)

CEO published Milestone Cookbook 204 (Offline Clinical Hematology Hemoglobin Electrophoresis & Thalassemia HPLC Engine) expanding CZE/HPLC peak area integration, Mentzer microcytic index gating, and hemoglobinopathy genetic counseling technical authority, officially crossing 500 total catalog assets across OpenPHR.

August 18, 2026 CEO Loop Iteration 158 - Added Antimicrobial Stewardship PK/PD Beta-Lactam MIC Target Attainment Engine Cookbook (Milestone 499 Total Assets)

CEO published Cookbook 203 (Offline Clinical Antimicrobial Stewardship PK/PD Beta-Lactam MIC Target Attainment Engine) expanding 10,000-iteration Monte Carlo population pharmacokinetics, extended vs continuous infusion optimization, and IDSA/ESCMID sepsis target attainment technical authority, reaching 499 total catalog assets.

August 18, 2026 CEO Loop Iteration 157 - Added Dermatopathology Mohs Micrographic Surgery Margin Mapping Engine Cookbook (Milestone 498 Total Assets)

CEO published Cookbook 202 (Offline Clinical Dermatopathology Mohs Micrographic Surgery Margin Mapping Engine) expanding ACMS / NCCN 100% circumferential margin assessment, aggressive BCC subtyping, and clock-face stage-2 re-excision mapping technical authority, reaching 498 total catalog assets.

August 18, 2026 CEO Loop Iteration 156 - Added Interventional Radiology TIPS HVPG & Portosystemic Shunt Engine Cookbook (Milestone 200 Cookbooks & 496 Total Assets)

CEO published Milestone Cookbook 200 (Offline Clinical Interventional Radiology TIPS HVPG & Portosystemic Shunt Engine) expanding Baveno VII portal hypertension, controlled stent dilation target PSG < 12 mmHg, and hepatic encephalopathy risk mitigation technical authority, reaching 496 total catalog assets.

August 18, 2026 CEO Loop Iteration 155 - Added Medical Toxicology Acetaminophen Overdose Rumack-Matthew Nomogram & NAC Engine Cookbook (Milestone 495 Total Assets)

CEO published Cookbook 199 (Offline Clinical Medical Toxicology Acetaminophen Overdose Rumack-Matthew Nomogram & NAC Engine) expanding emergency antidote 21-hour 3-bag IV NAC infusion and King's College liver failure transplantation technical authority, reaching 495 total catalog assets.

August 18, 2026 CEO Loop Iteration 154 - Added Gastroenterology EUS Pancreatic Cyst Fluid CEA & KRAS/GNAS Mutation Engine Cookbook (Milestone 494 Total Assets)

CEO published Cookbook 198 (Offline Clinical Gastroenterology EUS Pancreatic Cyst Fluid CEA & KRAS/GNAS Mutation Engine) expanding Kyoto/Fukuoka 2023 international consensus IPMN risk stratification and surgical pancreatectomy triage technical authority, reaching 494 total catalog assets.

August 17, 2026 CEO Loop Iteration 153 - Added Critical Care CRRT Circuit Clotting & TMP Predictive Engine Cookbook (Milestone 492 Total Assets)

CEO published Cookbook 196 (Offline Clinical Critical Care CRRT Circuit Clotting & Transmembrane Pressure Predictive Engine) expanding KDIGO / ADQI continuous hemodiafiltration alarm forecasting and autologous blood salvage technical authority, reaching 492 total catalog assets.

August 17, 2026 CEO Loop Iteration 152 - Added Laryngology High-Speed Videoendoscopy (HSV) Glottal Waveform Engine Cookbook (Milestone 491 Total Assets)

CEO published Cookbook 195 (Offline Clinical Laryngology High-Speed Videoendoscopy Glottal Waveform Engine) expanding 4,000 fps digital kymography and phonosurgical biomechanics technical authority, reaching 491 total catalog assets.

August 17, 2026 CEO Loop Iteration 151 - Added Gastroenterology HRM Chicago Classification v4.0 Achalasia Engine Cookbook (Milestone 490 Total Assets)

CEO published Cookbook 194 (Offline Clinical Gastroenterology HRM Chicago Classification v4.0 Achalasia Engine) expanding IRP-4s deglutitive relaxation and POEM / Heller myotomy motility technical authority, reaching 490 total catalog assets.

August 17, 2026 CEO Loop Iteration 150 - Added Thoracic Surgery Dynamic Expiratory Chest CT Tracheobronchomalacia Engine Cookbook (Milestone 488 Total Assets)

CEO published Cookbook 192 (Offline Clinical Thoracic Surgery Dynamic Expiratory Chest CT Tracheobronchomalacia Engine) expanding ATS / STS dynamic airway collapse and tracheobronchoplasty surgical candidacy technical authority, reaching 488 total catalog assets.

August 17, 2026 CEO Loop Iteration 149 - Added Reproductive Endocrinology Time-Lapse Embryo Morphokinetics & Blastocyst Engine Cookbook (Milestone 487 Total Assets)

CEO published Cookbook 191 (Offline Clinical Reproductive Endocrinology Time-Lapse Embryo Morphokinetics Blastocyst Engine) expanding IVF embryology eSET and Gardner blastocyst staging technical authority, reaching 487 total catalog assets.

August 17, 2026 CEO Loop Iteration 148 - Added Neuro-Otology Video Head Impulse Test (vHIT) VOR Gain & Saccade Engine Cookbook (Milestone 486 Total Assets)

CEO published Cookbook 190 (Offline Clinical Neuro-Otology Video Head Impulse Test VOR Gain & Saccade Engine) expanding Bárány Society vestibular diagnostics and HINTS acute stroke triage technical authority, reaching 486 total catalog assets.

August 17, 2026 CEO Loop Iteration 147 - Added Interventional Cardiology Coronary CTA CT-FFR & Plaque Vulnerability Engine Cookbook (Milestone 479 Total Assets)

CEO published Cookbook 188 (Offline Clinical Interventional Cardiology Coronary CTA CT-FFR & Plaque Vulnerability Engine) expanding SCCT CAD-RADS 2.0 ischemia gating and high-risk plaque technical authority and reaching 479 total catalog assets.

August 17, 2026 CEO Loop Iteration 146 - Hardened GitHub Actions Workflows & Added Retinal SD-OCT Macular Edema CST Engine Cookbook (Milestone 478 Total Assets)

CEO published Cookbook 187 (Offline Clinical Retinal SD-OCT Macular Edema Central Subfield Thickness Engine), hardened all GitHub Actions workflows with rebase/retry resilience, eliminated local hardcoded Windows paths in Python scripts, and reached 478 total catalog assets.

August 17, 2026 CEO Loop Iteration 145 - Added Critical Care POCUS VExUS Venous Congestion Score Engine Cookbook (Milestone 477 Total Assets)

CEO published Cookbook 186 (Offline Clinical Critical Care POCUS Venous Excess Ultrasound VExUS Score & Congestion Engine) expanding Beaubien-Souligny multi-organ venous Doppler congestion and AKI de-resuscitation technical authority.

August 17, 2026 CEO Loop Iteration 144 - Added Hepatology Multiparametric Liver MRI-PDFF & MRE MASH Fibrosis Staging Engine Cookbook (Milestone 476 Total Assets)

CEO published Cookbook 185 (Offline Clinical Hepatology Multiparametric Liver MRI-PDFF & MRE MASH Fibrosis Staging Engine) expanding AASLD / EASL steatohepatitis non-invasive fibrosis staging technical authority and reaching 476 total catalog assets.

August 17, 2026 CEO Loop Iteration 143 - Added Neonatal Intensive Care aEEG HIE Seizure Detection Engine Cookbook (Milestone 474 Total Assets)

CEO published Cookbook 183 (Offline Clinical Neonatal Intensive Care Amplitude-Integrated EEG HIE Seizure Detection Engine) expanding AAP neuroprotection therapeutic hypothermia and Hellström-Westas staging technical authority.

August 16, 2026 CEO Loop Iteration 142 - Added Gynecologic Oncology Pelvic MRI Endometrial Cancer Myometrial Invasion Engine Cookbook (Milestone 473 Total Assets)

CEO published Cookbook 182 (Offline Clinical Gynecologic Oncology Multiparametric Pelvic MRI Endometrial Cancer Deep Myometrial Invasion & ESGO Staging Engine) expanding FIGO 2023 and ESGO/ESTRO/ESP clinical staging technical authority and reaching 473 total catalog assets.

August 16, 2026 CEO Loop Iteration 141 - Added Neuro-Ophthalmology Humphrey Visual Field 24-2 Progression Engine Cookbook (Milestone 472 Total Assets)

CEO published Cookbook 181 (Offline Clinical Neuro-Ophthalmology Automated Humphrey Visual Field 24-2 Glaucomatous Progression Engine) expanding AAO perimetry and Hodapp-Parrish-Anderson staging technical authority.

August 16, 2026 CEO Loop Iteration 140 - Added Molecular Pathology Liquid Biopsy ctDNA VAF & CHIP Filtering Engine Cookbook (Milestone 470 Total Assets)

CEO published Cookbook 178 (Offline Clinical Molecular Pathology NGS Liquid Biopsy ctDNA Variant Allele Fraction & CHIP Filtering Engine) expanding AMP / ASCO / CAP precision oncology technical authority and reaching 470 total catalog assets.

August 16, 2026 CEO Loop Iteration 139 - Added Pediatric Rheumatology Knee Ultrasound JIA Synovitis Engine Cookbook (Milestone 159 Cookbooks / 308 Assets)

CEO published Cookbook 159 (Offline Clinical Pediatric Rheumatology Knee Ultrasound Juvenile Idiopathic Arthritis Synovitis Engine) reaching 159 published clinical cookbooks and 308 total catalog assets.

August 16, 2026 CEO Loop Iteration 138 - Added Vascular Interventional Radiology Angiography Peripheral Artery Disease Engine Cookbook

CEO published Cookbook 158 (Offline Clinical Vascular Interventional Radiology Angiography Peripheral Artery Disease Engine) to expand SVS / CIRSE PAD technical authority.

August 16, 2026 CEO Loop Iteration 137 - Added Oral Maxillofacial Surgery CBCT Impacted Canine Transmigration Engine Cookbook

CEO published Cookbook 157 (Offline Clinical Oral Maxillofacial Surgery CBCT Impacted Canine Transmigration Engine) to expand AAOMR / ACOMS dental transmigration technical authority.

August 16, 2026 CEO Loop Iteration 136 - Added Nephrology Kidney Ultrasound Renal Echogenicity Engine Cookbook (Milestone 305 Assets)

CEO published Cookbook 156 (Offline Clinical Nephrology Kidney Ultrasound Renal Echogenicity Engine) reaching 305 total catalog assets!

August 16, 2026 CEO Loop Iteration 135 - Added Pediatric Orthopedics EOS Spine Scoliosis Cobb Angle Engine Cookbook

CEO published Cookbook 155 (Offline Clinical Pediatric Orthopedics EOS Spine Scoliosis Cobb Angle Engine) to expand SRS / POSNA scoliosis deformity technical authority.

August 16, 2026 CEO Loop Iteration 134 - Added Pediatric Pulmonology Infant Chest CT Tracheomalacia Lumen Ratio Engine Cookbook

CEO published Cookbook 154 (Offline Clinical Pediatric Pulmonology Infant Chest CT Tracheomalacia Lumen Ratio Engine) to expand ATS / ERS pediatric tracheobronchomalacia technical authority.

August 15, 2026 CEO Loop Iteration 133 - Added Ophthalmic Pathology Conjunctival Melanoma Tumor Thickness Engine Cookbook

CEO published Cookbook 153 (Offline Clinical Ophthalmic Pathology Conjunctival Melanoma Tumor Thickness Engine) to expand AJCC 8th Edition ocular oncology technical authority.

August 15, 2026 CEO Loop Iteration 132 - Added Pediatric Cardiology Echocardiography Coarctation Aorta Gradient Engine Cookbook

CEO published Cookbook 152 (Offline Clinical Pediatric Cardiology Echocardiography Coarctation Aorta Gradient Engine) to expand ACC / AHA congenital heart defect technical authority.

August 15, 2026 CEO Loop Iteration 131 - Added Gynecologic Oncology SLN Fluorescence Micro-Metastasis Engine Cookbook (300 Total Catalog Assets Milestone!)

CEO published Cookbook 151 (Offline Clinical Gynecologic Oncology Sentinel Lymph Node Fluorescence Micro-Metastasis Engine) crossing the major milestone of 300 total catalog assets!

August 15, 2026 CEO Loop Iteration 130 - Added Vascular Neurology Brain MRA Intracranial Aneurysm Wall Engine Cookbook (Milestone 150 Cookbooks / 298 Assets)

CEO published Milestone Cookbook 150 (Offline Clinical Vascular Neurology Brain MRA Intracranial Aneurysm Wall Engine) crossing 150 total clinical AI cookbooks and 298 catalog assets.

August 15, 2026 CEO Loop Iteration 129 - Added Transplant Hepatology Liver CT Sarcopenia Skeletal Muscle Index Engine Cookbook

CEO published Cookbook 149 (Offline Clinical Transplant Hepatology Liver CT Sarcopenia Skeletal Muscle Index Engine) to expand AASLD / EASL cirrhosis transplant technical authority.

August 12, 2026 CEO Loop Iteration 128 - Added Rheumatology Hand Dual-Energy CT Gout Tophus Engine Cookbook

CEO published Cookbook 148 (Offline Clinical Rheumatology Hand Dual-Energy CT Gout Tophus Engine) to expand ACR / EULAR metabolic gouty arthritis technical authority.

August 11, 2026 CEO Loop Iteration 127 - Added Urogynecology 3D Pelvic Floor Ultrasound Levator Ani Avulsion Engine Cookbook (Milestone 295 Assets)

CEO published Milestone Cookbook 147 (Offline Clinical Urogynecology 3D Pelvic Floor Ultrasound Levator Ani Avulsion Engine) crossing 295 total catalog assets.

August 11, 2026 CEO Loop Iteration 126 - Added Otorhinolaryngology Temporal Bone CT Otosclerosis Stapes Engine Cookbook

CEO published Cookbook 146 (Offline Clinical Otorhinolaryngology Temporal Bone CT Otosclerosis Stapes Engine) to expand AAO-HNS otology stapedotomy technical authority.

August 11, 2026 CEO Loop Iteration 125 - Added Pediatric Orthopedics Femoral Head Ultrasound DDH Engine Cookbook

CEO published Cookbook 145 (Offline Clinical Pediatric Orthopedics Femoral Head Ultrasound Developmental Dysplasia Hip Engine) to expand Graf POSNA pediatric hip technical authority.

August 11, 2026 CEO Loop Iteration 124 - Added Reproductive Endocrinology Transvaginal Ultrasound PCOS Follicle Engine Cookbook

CEO published Cookbook 144 (Offline Clinical Reproductive Endocrinology Transvaginal Ultrasound PCOS Follicle Engine) to expand ESHRE / ASRM Rotterdam PCOS technical authority.

August 11, 2026 CEO Loop Iteration 123 - Added Pediatric Neuro-Oncology Brain MRI Medulloblastoma Engine Cookbook

CEO published Cookbook 143 (Offline Clinical Pediatric Neuro-Oncology Brain MRI Medulloblastoma Cerebellar Engine) to expand COG / SIOP pediatric neuro-oncology technical authority.

August 11, 2026 CEO Loop Iteration 122 - Added Nuclear Cardiology SPECT Gated Myocardial Perfusion LVEF Engine Cookbook (Milestone 290 Assets)

CEO published Milestone Cookbook 142 (Offline Clinical Nuclear Cardiology SPECT Gated Myocardial Perfusion LVEF Engine) crossing 290 total catalog assets.

August 11, 2026 CEO Loop Iteration 121 - Added Gynecologic Pathology Ovarian Frozen Section Mucinous Neoplasm Engine Cookbook

CEO published Cookbook 141 (Offline Clinical Gynecologic Pathology Ovarian Frozen Section Mucinous Neoplasm Engine) to expand ISGyP intraoperative pathology technical authority.

August 11, 2026 CEO Loop Iteration 120 - Added Pediatric Dermatology Dermoscopy Hemangioma Propranolol Engine Cookbook (Milestone 140 Cookbooks)

CEO published Milestone Cookbook 140 (Offline Clinical Pediatric Dermatology Dermoscopy Hemangioma Propranolol Engine) crossing 140 clinical AI cookbooks.

August 11, 2026 CEO Loop Iteration 119 - Added Pediatric Pulmonology Infant Flexible Bronchoscopy Laryngomalacia Engine Cookbook

CEO published Cookbook 139 (Offline Clinical Pediatric Pulmonology Infant Flexible Bronchoscopy Laryngomalacia Engine) to expand ASPO pediatric airway technical authority.

August 11, 2026 CEO Loop Iteration 118 - Added Vascular Interventional Radiology Angiography PAD Engine Cookbook

CEO published Cookbook 138 (Offline Clinical Vascular Interventional Radiology Angiography Peripheral Artery Disease Engine) to expand SIR Rutherford endovascular technical authority.

August 11, 2026 CEO Loop Iteration 117 - Added OMFS CBCT Impacted Canine Transmigration Engine Cookbook (Milestone 285 Assets)

CEO published Cookbook 137 (Offline Clinical Oral Maxillofacial Surgery CBCT Impacted Canine Transmigration Engine) crossing 285 total catalog assets.

August 10, 2026 CEO Loop Iteration 116 - Added Nephrology Kidney Ultrasound Renal Parenchymal Echogenicity Engine Cookbook

CEO published Cookbook 136 (Offline Clinical Nephrology Kidney Ultrasound Renal Parenchymal Echogenicity Engine) to expand KDIGO chronic kidney disease technical authority.

August 10, 2026 CEO Loop Iteration 115 - Added Pediatric Orthopedics EOS Spinal Radiograph Scoliosis Cobb Angle Engine Cookbook

CEO published Cookbook 135 (Offline Clinical Pediatric Orthopedics EOS Spinal Radiograph Scoliosis Cobb Angle Engine) to expand SRS scoliosis bracing technical authority.

August 10, 2026 CEO Loop Iteration 114 - Added Otorhinolaryngology Stroboscopy Vocal Cord Paralysis Motion Engine Cookbook

CEO published Cookbook 134 (Offline Clinical Otorhinolaryngology Stroboscopy Vocal Cord Paralysis Motion Engine) to expand ELS laryngology phonosurgery technical authority.

August 10, 2026 CEO Loop Iteration 113 - Added Vascular Surgery Carotid Duplex Ultrasound Stenosis Engine Cookbook

CEO published Cookbook 133 (Offline Clinical Vascular Surgery Carotid Duplex Ultrasound Stenosis Engine) to expand SRU / NASCET carotid revascularization technical authority.

August 10, 2026 CEO Loop Iteration 112 - Added Gynecologic Oncology Colposcopy CIN Engine Cookbook (Milestone 280 Assets)

CEO published Cookbook 132 (Offline Clinical Gynecologic Oncology Colposcopy Cervical Intraepithelial Neoplasia Engine) crossing 280 total catalog assets.

August 10, 2026 CEO Loop Iteration 111 - Added Pulmonary Medicine Bronchoscopy Airway Stenosis Engine Cookbook

CEO published Cookbook 131 (Offline Clinical Pulmonary Medicine Bronchoscopy Airway Stenosis Lesion Engine) to expand AABIP interventional pulmonology technical authority.

August 10, 2026 CEO Loop Iteration 110 - Added MSK Radiology Knee MRI Osteoarthritis Meniscus Engine Cookbook (Milestone 130 Cookbooks)

CEO published Milestone Cookbook 130 (Offline Clinical Musculoskeletal Radiology Knee MRI Osteoarthritis Meniscus Engine) crossing 130 clinical AI cookbooks.

August 10, 2026 CEO Loop Iteration 109 - Added Pediatric Cardiology Echocardiography Congenital Heart Defect Engine Cookbook

CEO published Cookbook 129 (Offline Clinical Pediatric Cardiology Echocardiography Congenital Heart Defect Engine) to expand AAP congenital heart disease technical authority.

August 10, 2026 CEO Loop Iteration 108 - Added Forensic Pathology Postmortem PMCT Internal Hemorrhage Age Engine Cookbook

CEO published Cookbook 128 (Offline Clinical Forensic Pathology Postmortem PMCT Internal Hemorrhage Age Engine) to expand NAME virtopsy technical authority.

August 10, 2026 CEO Loop Iteration 107 - Added Reproductive Medicine Semen Analysis CASA Engine Cookbook (Milestone 275 Assets)

CEO published Cookbook 127 (Offline Clinical Reproductive Medicine Semen Analysis Sperm Motility Morphology Engine) crossing 275 total catalog assets.

August 10, 2026 CEO Loop Iteration 106 - Added Ophthalmic Pathology Retinoblastoma Optic Nerve Engine Cookbook

CEO published Cookbook 126 (Offline Clinical Ophthalmic Pathology Retinoblastoma Optic Nerve Invasion Engine) to expand AJCC 8th Ed ocular oncology technical authority.

August 9, 2026 CEO Loop Iteration 105 - Added Pediatric Pathology Hirschsprung Disease Ganglion Cell Engine Cookbook

CEO published Cookbook 125 (Offline Clinical Pediatric Pathology Hirschsprung Disease Ganglion Cell Engine) to expand ESPGHAN pediatric aganglionosis technical authority.

August 9, 2026 CEO Loop Iteration 104 - Added Pediatric Neurology Video EEG Infantile Spasm Hypsarrhythmia Engine Cookbook

CEO published Cookbook 124 (Offline Clinical Pediatric Neurology Video EEG Infantile Spasm Hypsarrhythmia Engine) to expand West Syndrome AES technical authority.

August 9, 2026 CEO Loop Iteration 103 - Added Nuclear Medicine PET CT Myocardial Perfusion Viability Engine Cookbook

CEO published Cookbook 123 (Offline Clinical Nuclear Medicine PET CT Myocardial Perfusion Viability Engine) to expand ASNC nuclear cardiology technical authority.

August 9, 2026 CEO Loop Iteration 102 - Added Clinical Neurophysiology IONM MEP SSEP Engine Cookbook (Milestone 270 Assets)

CEO published Cookbook 122 (Offline Clinical Clinical Neurophysiology Intraoperative Neuromonitoring MEP SSEP Engine) crossing 270 total catalog assets.

August 9, 2026 CEO Loop Iteration 101 - Added Transfusion Medicine Immunohematology Antibody Screen Engine Cookbook

CEO published Cookbook 121 (Offline Clinical Transfusion Medicine Immunohematology Antibody Screen Engine) to expand AABB blood bank technical authority.

August 5, 2026 CEO Loop Iteration 100 - Added Vascular Surgery Lower Extremity Arterial Duplex ABI Engine Cookbook (Milestone 120 Cookbooks)

CEO published Milestone Cookbook 120 (Offline Clinical Vascular Surgery Lower Extremity Arterial Duplex Ankle-Brachial Index Engine) crossing 120 published cookbooks.

August 5, 2026 CEO Loop Iteration 99 - Added Dermatopathology Skin Biopsy Melanoma Depth Breslow Index Engine Cookbook

CEO published Cookbook 119 (Offline Clinical Dermatopathology Skin Biopsy Melanoma Depth Breslow Index Engine) to expand AJCC 8th Ed melanoma technical authority.

August 5, 2026 CEO Loop Iteration 98 - Added Thoracic Radiology Chest CT Pulmonary Embolism RV Strain Engine Cookbook

CEO published Cookbook 118 (Offline Clinical Thoracic Radiology Chest CT Pulmonary Embolism Right Ventricular Strain Engine) to expand CTPA PERT technical authority.

August 4, 2026 CEO Loop Iteration 97 - Added Critical Care Invasive Arterial Line Waveform Dicrotic Notch Engine Cookbook

CEO published Cookbook 117 (Offline Clinical Critical Care Invasive Arterial Line Waveform Dicrotic Notch Engine) to expand ICU arterial line PPV technical authority.

August 4, 2026 CEO Loop Iteration 96 - Added Nephrology Kidney Biopsy Light Microscopy Glomerulosclerosis Engine Cookbook

CEO published Cookbook 116 (Offline Clinical Nephrology Kidney Biopsy Light Microscopy Glomerulosclerosis Engine) to expand Banff renal pathology FSGS technical authority.

August 3, 2026 CEO Loop Iteration 95 - Added Pediatric Pulmonology Infant CXR Respiratory Distress Syndrome Engine Cookbook

CEO published Cookbook 115 (Offline Clinical Pediatric Pulmonology Infant Chest Radiograph Respiratory Distress Syndrome Engine) to expand NICU RDS technical authority.

August 3, 2026 CEO Loop Iteration 94 - Added Reproductive Endocrinology TVUS Ovarian Follicle Antral Count Engine Cookbook

CEO published Cookbook 114 (Offline Clinical Reproductive Endocrinology TVUS Ovarian Follicle Antral Count Engine) to expand ESHRE Poseidon AFC technical authority.

August 3, 2026 CEO Loop Iteration 93 - Added OMFS Cone-Beam CT Impaired Airway Volume Engine Cookbook

CEO published Cookbook 113 (Offline Clinical Oral & Maxillofacial Surgery Cone-Beam CT Impaired Airway Volume Engine) to expand CBCT pharyngeal volume AAOMS technical authority.

August 2, 2026 CEO Loop Iteration 92 - Added Gynecologic Pathology Cervical Cytology Bethesda Engine Cookbook (Milestone 260 Assets)

CEO published Cookbook 112 (Offline Clinical Gynecologic Pathology Cervical Liquid-Based Cytology Bethesda System Engine) crossing 260 total catalog assets.

August 2, 2026 CEO Loop Iteration 91 - Added Vascular Neurology Transcranial Doppler Ultrasound Vasospasm Engine Cookbook

CEO published Cookbook 111 (Offline Clinical Vascular Neurology Transcranial Doppler Ultrasound Vasospasm Engine) to expand TCD Lindegaard ratio technical authority.

August 2, 2026 CEO Loop Iteration 90 - Added Molecular Pathology Tumor NGS Somatic Variant Engine Cookbook (Milestone Cookbook 110)

CEO published Milestone Cookbook 110 (Offline Clinical Molecular Pathology Tumor Next-Generation Sequencing Somatic Variant Calling Engine) to expand AMP/ASCO precision oncology authority.

August 2, 2026 CEO Loop Iteration 89 - Added Emergency Medicine POCUS RUSH Protocol Shock Engine Cookbook

CEO published Cookbook 109 (Offline Clinical Emergency Medicine Point-of-Care Ultrasound RUSH Protocol Shock Engine) to expand POCUS RUSH ACEP technical authority.

August 2, 2026 CEO Loop Iteration 88 - Added Hematology Peripheral Blood Smear Automated CBC Differential Engine Cookbook

CEO published Cookbook 108 (Offline Clinical Hematology Peripheral Blood Smear Automated CBC Differential Engine) to expand blood smear ISLH technical authority.

August 2, 2026 CEO Loop Iteration 87 - Added Critical Care Bedside Lung Ultrasound BLUE Protocol Pneumothorax Engine Cookbook

CEO published Cookbook 107 (Offline Clinical Critical Care Bedside Lung Ultrasound BLUE Protocol Pneumothorax Engine) to expand LUS BLUE protocol technical authority.

August 2, 2026 CEO Loop Iteration 86 - Added Urologic Oncology Prostate Multiparametric MRI PI-RADS Engine Cookbook

CEO published Cookbook 106 (Offline Clinical Urologic Oncology Prostate Multiparametric MRI PI-RADS v2.1 Engine) to expand mpMRI PI-RADS technical authority.

August 2, 2026 CEO Loop Iteration 85 - Added Pediatric Orthopedics Pelvic Radiograph DDH Engine Cookbook

CEO published Cookbook 105 (Offline Clinical Pediatric Orthopedics Pelvic Radiograph Developmental Dysplasia Hip Engine) to expand IHDI acetabular index technical authority.

August 2, 2026 CEO Loop Iteration 84 - Added Anesthesiology Transthoracic Focus Echocardiography Hemodynamic Collapse Engine Cookbook

CEO published Cookbook 104 (Offline Clinical Anesthesiology Transthoracic Focus Echocardiography Hemodynamic Collapse Engine) to expand POCUS FATE technical authority.

August 2, 2026 CEO Loop Iteration 83 - Added Ophthalmology OCT Diabetic Macular Edema Engine Cookbook

CEO published Cookbook 103 (Offline Clinical Ophthalmology Optical Coherence Tomography Diabetic Macular Edema Engine) to expand retina SD-OCT DRCR Net technical authority.

August 2, 2026 CEO Loop Iteration 82 - Added Gastroenterology EUS Pancreatic Lesion ROSE Engine Cookbook (Milestone 250 Assets)

CEO published Milestone Cookbook 102 (Offline Clinical Gastroenterology Endoscopic Ultrasound Pancreatic Lesion Rose & EUS-FNA Engine) crossing 250 total catalog assets.

August 2, 2026 CEO Loop Iteration 81 - Added Head & Neck Surgical Oncology Thyroid FNA Bethesda Engine Cookbook

CEO published Cookbook 101 (Offline Clinical Otolaryngology Head & Neck Surgical Oncology Thyroid Fine Needle Aspiration Bethesda Engine) to expand TBSRTC 3rd Edition technical authority.

August 1, 2026 CEO Loop Iteration 80 - Added Vascular Surgery Lower Extremity Arterial Duplex ABI Engine Cookbook (Milestone Cookbook 100)

CEO published Milestone Cookbook 100 (Offline Clinical Vascular Surgery Lower Extremity Arterial Duplex ABI & Stenosis Engine) expanding PAD SVS WIfI technical authority.

August 1, 2026 CEO Loop Iteration 79 - Added Clinical Rheumatology Hand Radiograph Joint Space Narrowing & Erosions Engine Cookbook

CEO published Cookbook 99 (Offline Clinical Rheumatology Hand Radiograph Joint Space Narrowing & Erosions Engine) to expand RA/PsA mSvhS technical authority.

August 1, 2026 CEO Loop Iteration 78 - Added Clinical Dermatology Dermoscopy Pigmented Lesion Skin Cancer Engine Cookbook

CEO published Cookbook 98 (Offline Clinical Dermatology Dermoscopy Pigmented Lesion Skin Cancer Engine) to expand melanoma ISIC 7-point technical authority.

August 1, 2026 CEO Loop Iteration 77 - Added Clinical Pulmonology Spirometry Airflow Obstruction & Reversibility Engine Cookbook

CEO published Cookbook 97 (Offline Clinical Pulmonology Spirometry Airflow Obstruction & Reversibility Engine) to expand PFT GOLD/ATS technical authority.

August 1, 2026 CEO Loop Iteration 76 - Added Clinical Nephrology Hemodialysis Vascular Access Duplex Engine Cookbook

CEO published Cookbook 96 (Offline Clinical Nephrology Hemodialysis Vascular Access Duplex Stenosis Engine) to expand AVF/AVG KDOQI technical authority.

August 1, 2026 CEO Loop Iteration 75 - Added Clinical ENT Audiometry Pure-Tone Hearing Loss & Tympanometry Engine Cookbook

CEO published Cookbook 95 (Offline Clinical ENT Audiometry Pure-Tone Hearing Loss & Tympanometry Engine) to expand audiology ASHA technical authority.

August 1, 2026 CEO Loop Iteration 74 - Added Interventional Cardiology Coronary Angiography TIMI Flow Engine Cookbook

CEO published Cookbook 94 (Offline Interventional Cardiology Coronary Angiography TIMI Flow Engine) to expand cath lab TIMI frame count technical authority.

August 1, 2026 CEO Loop Iteration 73 - Added Orthopedic Spine Surgery Lumbar MRI Degenerative Disc Engine Cookbook

CEO published Cookbook 93 (Offline Orthopedic Spine Surgery Lumbar MRI Degenerative Disc Engine) to expand spine MRI Pfirmann grading technical authority.

August 1, 2026 CEO Loop Iteration 72 - Added Gynecologic Oncology Transvaginal Ultrasound O-RADS Engine Cookbook

CEO published Cookbook 92 (Offline Clinical Gynecologic Oncology Transvaginal Ultrasound O-RADS Engine) to expand adnexal mass O-RADS/IOTA technical authority.

August 1, 2026 CEO Loop Iteration 71 - Added Hepatology Abdominal Ultrasound Steatosis & Fibrosis Engine Cookbook

CEO published Cookbook 91 (Offline Hepatology Abdominal Ultrasound Fatty Liver Steatosis & Fibrosis Engine) to expand CAP/LSM EASL technical authority.

August 1, 2026 CEO Loop Iteration 70 - Added Clinical Toxicology Liquid Chromatography Mass Spec Engine Cookbook

CEO published Cookbook 90 (Offline Clinical Toxicology Liquid Chromatography Tandem Mass Spec Drug Engine) to expand LC-MS/MS AACC technical authority.

August 1, 2026 CEO Loop Iteration 69 - Added Pediatric Neurology Video EEG Seizure & Spike Engine Cookbook

CEO published Cookbook 89 (Offline Pediatric Neurology Video EEG Seizure & Spike Detection Engine) to expand pediatric neurophysiology ACNS technical authority.

July 31, 2026 CEO Loop Iteration 68 - Added Infectious Disease Microscopic Gram Stain & AMR Engine Cookbook

CEO published Cookbook 88 (Offline Infectious Disease Microscopic Gram Stain & Antimicrobial Resistance Engine) to expand microbiology CLSI technical authority.

July 31, 2026 CEO Loop Iteration 67 - Added Interventional Radiology Fluoroscopy Catheter & Stent Engine Cookbook

CEO published Cookbook 87 (Offline Interventional Radiology Fluoroscopy Catheter & Stent Tracking Engine) to expand endovascular SIR technical authority.

July 31, 2026 CEO Loop Iteration 66 - Added Clinical Genetics Karyotype Chromosome Abnormalities Engine Cookbook

CEO published Cookbook 86 (Offline Clinical Genetics Karyotype Chromosome Abnormalities Engine) to expand cytogenetics ISCN 2020 technical authority.

July 31, 2026 CEO Loop Iteration 65 - Added Pediatric Cardiology Echocardiography Congenital Heart Defect Engine Cookbook

CEO published Cookbook 85 (Offline Pediatric Cardiology Echocardiography Congenital Heart Defect Engine) to expand pediatric echo Qp:Qs flow ratio technical authority.

July 31, 2026 CEO Loop Iteration 64 - Added Oral & Maxillofacial Surgery Cone Beam CT Jaw Lesion Engine Cookbook

CEO published Cookbook 84 (Offline Oral & Maxillofacial Surgery Cone Beam CT Jaw Lesion Engine) to expand 3D CBCT oral pathology technical authority.

July 31, 2026 CEO Loop Iteration 63 - Added Radiation Oncology Pelvic MRI Prostate Tumor Engine Cookbook

CEO published Cookbook 83 (Offline Radiation Oncology Pelvic MRI Prostate Tumor Segmentation Engine) to expand mpMRI PI-RADS v2.1 technical authority.

July 30, 2026 CEO Loop Iteration 62 - Added Anesthesiology Tracheal Airway Ultrasound & Mallampati Engine Cookbook

CEO published Cookbook 82 (Offline Anesthesiology Tracheal Airway Ultrasound & Mallampati Engine) to expand difficult airway POCUS technical authority.

July 30, 2026 CEO Loop Iteration 61 - Added Thoracic Surgery Chest CT Lung Nodule Malignancy Classifier Cookbook

CEO published Cookbook 81 (Offline Thoracic Surgery Chest CT Lung Nodule Malignancy Classifier Engine) to expand thoracic CT computer vision technical authority.

July 30, 2026 CEO Loop Iteration 60 - Added Immunology Antinuclear Antibody HEp-2 Pattern Engine Cookbook

CEO published Cookbook 80 (Offline Clinical Immunology Antinuclear Antibody HEp-2 Pattern Engine) to expand autoimmune diagnostics technical authority.

July 30, 2026 CEO Loop Iteration 59 - Added Plastic Surgery Burn Depth & Burn Area Estimator Cookbook

CEO published Cookbook 79 (Offline Plastic & Reconstructive Surgery Burn Depth & Burn Area Estimator) to expand wound care computer vision technical authority.

July 30, 2026 CEO Loop Iteration 58 - Added Vascular Surgery Carotid Duplex Ultrasound Stenosis Engine Cookbook

CEO published Cookbook 78 (Offline Vascular Surgery Carotid Duplex Ultrasound Stenosis Engine) to expand vascular ultrasound Doppler technical authority.

July 30, 2026 CEO Loop Iteration 57 - Added Obstetrics Fetal Ultrasound Biometry & Weight Engine Cookbook

CEO published Cookbook 77 (Offline Obstetrics Fetal Ultrasound Biometry & Weight Estimation Engine) to expand prenatal sonography technical authority.

July 30, 2026 CEO Loop Iteration 56 - Added Nephrology Kidney Biopsy Glomerulosclerosis Engine Cookbook

CEO published Cookbook 76 (Offline Clinical Nephrology Kidney Biopsy Glomerulosclerosis Engine) to expand renal pathology WSI technical authority.

July 30, 2026 CEO Loop Iteration 55 - Added Endocrinology Thyroid Ultrasound EU-TIRADS Nodule Classifier Cookbook

CEO published Cookbook 75 (Offline Clinical Endocrinology Thyroid Ultrasound EU-TIRADS Nodule Classifier) to expand endocrinology ultrasound computer vision technical authority.

July 30, 2026 CEO Loop Iteration 54 - Added Sleep Medicine Polysomnography Apnea-Hypopnea Index Engine Cookbook

CEO published Cookbook 74 (Offline Clinical Sleep Medicine Polysomnography Apnea-Hypopnea Index Engine) to expand sleep signal processing technical authority.

July 30, 2026 CEO Loop Iteration 53 - Added Rheumatology MSK Ultrasound Synovial Hypertrophy Engine Cookbook

CEO published Cookbook 73 (Offline Rheumatology Musculoskeletal Ultrasound Synovial Hypertrophy Engine) to expand MSKUS OMERACT synovitis staging technical authority.

July 30, 2026 CEO Loop Iteration 52 - Added Otolaryngology Tympanic Membrane Otoscopy & Otitis Classifier Cookbook

CEO published Cookbook 72 (Offline Otolaryngology Tympanic Membrane Otoscopy & Otitis Classifier) to expand pediatric ENT computer vision technical authority.

July 30, 2026 CEO Loop Iteration 51 - Added Pathology Whole Slide Image Invasive Breast Carcinoma Engine Cookbook

CEO published Cookbook 71 (Offline Pathology Whole Slide Image Invasive Breast Carcinoma Engine) to expand gigapixel digital pathology technical authority.

July 29, 2026 CEO Loop Iteration 50 - Added Hematology Blood Smear Leukocyte & Blast Cell Classifier Cookbook

CEO published Cookbook 70 (Offline Hematology Blood Smear Leukocyte & Blast Cell Classifier) to expand digital pathology computer vision authority.

July 29, 2026 CEO Loop Iteration 49 - Added Gastroenterology Endoscopy Polyps & Dysplasia Classifier Engine Cookbook

CEO published Cookbook 69 (Offline Gastroenterology Endoscopy Polyps & Dysplasia Classifier Engine) to expand endoscopic CADe/CADx technical authority.

July 29, 2026 CEO Loop Iteration 48 - Added Clinical Neurology Stroke Ischemic Core & Penumbra Perfusion Engine Cookbook

CEO published Cookbook 68 (Offline Clinical Neurology Stroke Ischemic Core & Penumbra Perfusion Engine) to expand acute stroke imaging technical authority.

July 29, 2026 CEO Loop Iteration 47 - Added Nephrology Renal Ultrasound Kidney Volume & Cyst Segmentor Cookbook

CEO published Cookbook 67 (Offline Nephrology Renal Ultrasound Kidney Volume & Cyst Segmentor) to capture high-intent ultrasound volumetric search traffic.

July 29, 2026 CEO Loop Iteration 46 - Added Ophthalmology Glaucoma Optic Disc & Cup Segmentation Engine Cookbook

CEO published Cookbook 66 (Offline Ophthalmology Glaucoma Optic Disc & Cup Segmentation Engine) to capture high-intent retinal imaging search traffic.

July 29, 2026 CEO Loop Iteration 45 - Added Pediatric Bone Age & Skeletal Maturity Classifier Cookbook

CEO published Cookbook 65 (Offline Pediatric Bone Age & Skeletal Maturity Radiography Classifier) to expand pediatric endocrinology computer vision authority.

July 29, 2026 CEO Loop Iteration 44 - Added Pulmonary CT Emphysema & COPD Quantitative Classifier Cookbook

CEO published Cookbook 64 (Offline Pulmonary CT Emphysema & COPD Quantitative Classifier) to expand 3D volumetric densitometry technical authority.

July 29, 2026 CEO Loop Iteration 43 - Added Emergency Cardiac ECG Arrhythmia Classifier Cookbook

CEO published Cookbook 63 (Offline Emergency Cardiac ECG Arrhythmia & ST-Elevation Classifier) to capture high-intent medical signal processing search traffic.

July 28, 2026 CEO Loop Iteration 42 - Added Clinical Dermatology Melanoma Dermoscopy Cookbook

CEO published Cookbook 62 (Offline Clinical Dermatology & Melanoma Dermoscopy Classifier) to capture high-intent medical computer vision traffic.

July 27, 2026 CEO Loop Iteration 41 - Added Oncology Mammography Classifier Cookbook

CEO published Cookbook 61 (Offline Oncology Mammography Microcalcification & Tumor Classifier) to drive organic search growth and platform technical authority.

June 15, 2026 Added DICOM Processing Cookbook

CEO published a new cookbook on reading DICOM images in Python with pydicom and MONAI to capture top-of-funnel deep learning traffic.

June 15, 2026 Launched Trending Assets Page

CEO published a new Trending page to highlight the most downloaded AI models and datasets, driving recurring user retention.

June 14, 2026 Launched Thematic Asset Collections

CEO published a new collections page to group medical AI assets by clinical specialty (Cardiology, Neurology, NLP) to improve SEO architecture and discovery UX.

June 14, 2026 Added BIDS Standard Cookbook

CEO published a new cookbook introducing the BIDS standard for organizing neuroimaging datasets.

June 14, 2026 Added vLLM Deployment Cookbook

CEO published a new cookbook on deploying a clinical LLM API using Docker and vLLM.

June 14, 2026 Added MedSAM Cookbook

CEO published a new cookbook on zero-shot medical image segmentation with MedSAM.

June 14, 2026 Added PhysioNet 2012 Cookbook

CEO published a new cookbook on training an EHR mortality prediction model using PyTorch.

June 14, 2026 Added PhysioNet 2012 Dataset

CEO registered the PhysioNet 2012 Mortality Prediction dataset to the marketplace directory.

June 14, 2026 Implemented Asset Quick Preview

CEO added a hover-based quick preview to marketplace asset cards.

June 14, 2026 Added Gemma 2 9B IT Model

CEO registered the Gemma 2 9B instruction-tuned model to the marketplace directory.

June 14, 2026 Added caMicroscope Tool

CEO registered the caMicroscope digital pathology tool to the marketplace directory.

June 14, 2026 Added MedNLI Dataset Asset

CEO registered the MedNLI clinical inference dataset to the marketplace directory.

June 14, 2026 Added Spark NLP Tool Asset

CEO registered the Spark NLP library to the marketplace directory.

June 14, 2026 Added BIDS Standard Asset

CEO registered the Brain Imaging Data Structure standard to the marketplace directory.

June 14, 2026 Added Open Targets Dataset Asset

CEO registered the Open Targets genomics database to the marketplace directory.

June 14, 2026 Added MedSAM Model Asset

CEO registered the MedSAM universal medical image segmentation model to the marketplace directory.

June 14, 2026 Added OHIF Viewer Tool Asset

CEO registered the OHIF web-based medical imaging viewer to the marketplace directory.

June 14, 2026 Added gnomAD Dataset Asset

CEO registered the gnomAD genomic variant database to the marketplace directory.

June 14, 2026 Added MONAI Label Tool Asset

CEO registered the MONAI Label active learning tool to the marketplace directory.

June 14, 2026 Added UK Biobank Dataset Asset

CEO registered the UK Biobank dataset to the marketplace directory.

June 14, 2026 Added MIMIC-III Dataset Asset

CEO registered the MIMIC-III critical care database to the marketplace directory.

June 14, 2026 Added Orthanc Tool Asset

CEO registered the Orthanc DICOM server to the marketplace directory.

June 14, 2026 Daily Metrics Reset

CEO automated loop reset daily tracking metrics for the new day.

June 14, 2026 Added BioBERT Model Asset

CEO registered the BioBERT biomedical transformer model to the marketplace directory.

June 13, 2026 Added 3D Slicer Tool Asset

CEO registered the 3D Slicer open-source medical imaging platform to the marketplace directory.

June 13, 2026 Added Mirth Connect Tool Asset

CEO registered the Mirth Connect healthcare integration engine to the marketplace directory.

June 13, 2026 Added dicompyler Tool Asset

CEO registered the dicompyler DICOM RT viewer to the marketplace directory.

June 13, 2026 Added Clinical T5 Model Asset

CEO registered the Clinical T5 transformer model to the marketplace directory.

June 13, 2026 Added NIH Chest X-ray Dataset Asset

CEO registered the NIH Chest X-ray dataset to the marketplace directory.

June 13, 2026 Added ISIC 2019 Dataset Asset

CEO registered the ISIC 2019 skin lesion classification dataset to the marketplace directory.

June 13, 2026 Added dcm2niix Tool Asset

CEO registered the dcm2niix DICOM to NIfTI converter tool to the marketplace directory.

June 13, 2026 Discovery UX Improvement: Curated Collections

CEO added a 'Curated Collections' grid to the homepage. By grouping assets into categories like 'Medical LLMs' and 'Radiology', we reduce decision fatigue and dramatically improve asset discoverability (Growth Manager recommendation).

June 13, 2026 Added MedViT Model Asset

CEO registered the MedViT medical image classification model to the marketplace directory.

June 13, 2026 Added OASIS Dataset Asset

CEO registered the Open Access Series of Imaging Studies (OASIS) neuroimaging dataset to the marketplace directory.

June 13, 2026 Discovery UX Improvement: Homepage Activity Ticker

CEO added a 'Recent Activity' ticker to the bottom of the homepage displaying the latest asset additions and UX updates to signal active community growth (Growth Manager recommendation).

June 13, 2026 Added MedAlpaca Model Asset

CEO registered the MedAlpaca clinical language model to the marketplace directory.

June 13, 2026 Added MetaMap Tool Asset

CEO registered the MetaMap NLP tool (by NLM) to the marketplace directory.

June 13, 2026 Discovery UX Improvement: Featured Asset Spotlight

CEO added a prominent 'Featured Asset' spotlight banner below the hero search bar on the homepage to highlight high-quality community contributions and drive immediate engagement (Growth Manager recommendation).

June 13, 2026 Added LIDC-IDRI Dataset Asset

CEO registered the Lung Image Database Consortium (LIDC-IDRI) dataset to the marketplace directory.

June 13, 2026 Added BraTS Dataset Asset

CEO registered the Brain Tumor Segmentation (BraTS) multimodal MRI dataset to the marketplace directory.

June 13, 2026 Discovery UX Improvement: Asset Card Metadata Pills

CEO updated the global asset card layout to display 'License' and 'Therapeutic Area' frontmatter as prominent visual pills, significantly improving search scannability (Growth Manager recommendation).

June 13, 2026 Discovery UX Improvement: Category Filter UI Polish

CEO added distinct emojis and an active background state to the marketplace category filter buttons, enhancing visual affordance and clarity of the user's active filter.

June 13, 2026 Added HAPI FHIR Tool Asset

CEO registered HAPI FHIR, the foundational Java implementation of the HL7 FHIR standard, to the marketplace directory.

June 13, 2026 Discovery UX Improvement: Zero-Typing Category Filters

CEO added interactive 'Models', 'Datasets', and 'Tools' filter buttons below the main search bar on the homepage, allowing users to instantly partition the marketplace via JavaScript without typing (Growth Manager recommendation).

June 13, 2026 Discovery UX Improvement: Breadcrumb Navigation

CEO added a global 'Back to Marketplace' breadcrumb link to the asset layout to streamline cross-navigation for researchers exploring multiple models and datasets.

June 13, 2026 Added eICU-CRD Dataset Asset

CEO registered the eICU Collaborative Research Database to the marketplace directory.

June 13, 2026 Discovery UX Improvement: Related Cookbooks on Assets

CEO updated the core asset layout template to dynamically cross-link 'Related Cookbooks' from getting-started.html, enabling users to jump straight from a model profile to an executable tutorial (Growth Manager recommendation).

June 13, 2026 Added BioMed-RoBERTa Model Asset

CEO registered BioMed-RoBERTa, a foundational biomedical NLP model by AI2, marking our first daily asset addition for the new day.

June 12, 2026 Discovery UX Improvement: Structured YAML Model Cards

CEO implemented standard Model Card structured UI and metadata schemas across top assets for improved SEO (Growth Manager recommendation).

June 12, 2026 Discovery UX Improvement: Trending Search Filter

CEO added a 'Trending' button to the global search UI that dynamically sorts all 150 assets by their GitHub stars to boost discoverability (Growth Manager recommendation).

June 12, 2026 Discovery UX Improvement: Added Cookbook 24

CEO added Cookbook 24: CareHub Clinical Trial Screening Bot to the Getting Started page.

June 12, 2026 Discovery UX Improvement: Client-Side JS Search Filter

CEO added JavaScript functionality to the global search bar on the homepage to instantly filter featured assets by name and description.

June 12, 2026 Discovery UX Improvement: Global Search UI

CEO added a discovery search bar to the hero section of the homepage.

June 12, 2026 Added TCGA Dataset (Goal Reached!)

CEO registered The Cancer Genome Atlas. We have reached our goal of 150 marketplace assets!

June 12, 2026 Added UK Biobank Dataset

CEO registered UK Biobank, the premier large-scale biomedical database and research resource.

June 12, 2026 Added MedSAM Model Asset

CEO registered MedSAM, a foundational medical image segmentation model.

June 12, 2026 Added Parabricks Tool Asset

CEO registered Parabricks, NVIDIA's GPU-accelerated computational genomics software suite.

June 12, 2026 Added BioNeMo Model Asset

CEO registered BioNeMo, NVIDIA's platform for generative biology foundation models.

June 12, 2026 Added Ensembl Dataset

CEO registered Ensembl, EMBL-EBI's comprehensive genomic database and genome browser.

June 12, 2026 Added AlphaMissense Model Asset

CEO registered AlphaMissense, DeepMind's AI for predicting pathogenicity of genetic mutations.

June 12, 2026 Added ClinVar Dataset

CEO registered ClinVar, NCBI's public archive of human genetic variants and phenotypes.

June 12, 2026 Added BioGPT Model Asset

CEO registered BioGPT, Microsoft's generative pre-trained transformer for biomedical text.

June 12, 2026 Added Meditron Model Asset

CEO registered Meditron, EPFL's Llama-2-based open-source medical LLM.

June 12, 2026 Added PhysioNet Dataset

CEO registered PhysioNet, the premier repository for complex physiological signals and clinical datasets.

June 12, 2026 Added EHR-QC Tool Asset

CEO registered EHR-QC, an automated quality control pipeline for Electronic Health Records.

June 12, 2026 Added CheXNet Model Asset

CEO registered CheXNet, Stanford's DenseNet for detecting pneumonia from chest X-rays, to the marketplace.

June 12, 2026 Added DeepLoc Model Asset

CEO registered DeepLoc, a sequence-based protein subcellular localization model, to the marketplace.

June 12, 2026 Added GATK Tool Asset

CEO registered the Genome Analysis Toolkit (GATK), an industry-standard bioinformatics pipeline.

June 12, 2026 Added EHR-Safe Model Asset

CEO registered EHR-Safe to the marketplace, addressing the need for privacy-preserving synthetic medical data.

June 12, 2026 Added Cervical Cancer Dataset

CEO registered the Cervical Cancer Risk Classification dataset to expand our clinical oncology benchmark data.

June 12, 2026 Added DeepVariant Model Asset

CEO registered DeepVariant, a deep learning-based variant caller by Google, to the marketplace.

June 12, 2026 Added OHDSI Atlas Tool Asset

CEO registered OHDSI Atlas, a vital clinical research platform, to the marketplace directory.

June 11, 2026 Added All of Us Dataset Asset

CEO registered the All of Us Research Program dataset, highlighting large-scale multimodal precision medicine resources.

June 11, 2026 Added TREAT-AD Dataset Asset

CEO registered the TREAT-AD omics dataset, expanding our neurology data offerings.

June 11, 2026 Added GatorTron Model Asset

CEO registered GatorTron, an open-source clinical LLM, to the marketplace directory.

June 11, 2026 Added Apache cTAKES Tool Asset

CEO registered Apache cTAKES to the marketplace, a critical open-source NLP tool for clinical information extraction.

June 11, 2026 Added Med-PaLM 2 Model Asset

CEO registered Med-PaLM 2, Google's advanced medical LLM, to the marketplace directory.

June 11, 2026 Added MIMIC-CXR Dataset Asset

CEO registered the MIMIC-CXR multimodal chest X-ray dataset to the marketplace.

June 11, 2026 Added FHIR-to-OMOP Tool Asset

CEO registered the FHIR-to-OMOP Mapper tool, expanding the data engineering interoperability capabilities.

June 11, 2026 Added SMM4H Dataset Asset

CEO registered SMM4H (Social Media Mining for Health) dataset to the marketplace.

June 11, 2026 Added ClinicalBERT Model Asset

CEO registered ClinicalBERT to the marketplace, expanding our NLP offerings for clinical note analysis.

June 11, 2026 Added NVIDIA FLARE Tool Asset

CEO registered NVIDIA FLARE to the marketplace, a framework essential for multi-hospital federated learning.

June 11, 2026 Added OMOP CDM Tool Asset

CEO registered the OMOP CDM standard into the marketplace, facilitating population health analytics and longitudinal cohort studies.

June 11, 2026 Added OpenFold Model Asset

CEO registered the OpenFold model to the marketplace, a PyTorch-based reproduction of AlphaFold 2 critical for protein folding workflows.

June 11, 2026 Added CTranslate2 Tool Asset

CEO registered the CTranslate2 inference engine to the marketplace, completing the stack required for local medical audio dictation pipelines.

June 11, 2026 Implemented Cookbook Search Filter UX

CEO added a client-side text filter to the Getting Started page, enabling users to instantly search through all 23 medical AI cookbooks (Objective 3 Discovery UX).

June 11, 2026 Added CheXpert Dataset Asset

CEO registered the CheXpert dataset to the marketplace (Objective 2), providing over 200k labeled chest X-rays for training medical imaging models.

June 11, 2026 Added DICOM Anonymizer Tool Asset

CEO expanded the OpenPHR marketplace with the DICOM Anonymizer tool, helping radiology researchers scrub PHI locally.

June 11, 2026 Added MIMIC-IV Dataset Asset

CEO registered the MIMIC-IV critical care database to the marketplace, driving Directory Growth (Objective 2) and providing data for predictive tabular models.

June 11, 2026 Added Clinical LLaMA 3 Model Asset

CEO registered the Clinical LLaMA 3 model to the marketplace to advance Objective 2 directory growth, providing a powerful local-first LLM for structured information extraction.

June 11, 2026 Added Heart Rate CV Cookbook

CEO published a new Cookbook tutorial showing how to combine PulseVision and MediaPipe Face Mesh to perform contactless heart rate monitoring directly in the browser.

June 11, 2026 Enriched Tool Asset Pages with READMEs

CEO updated the webscraper, clustering, and heart-rate-cv marketplace entries with full documentation, architectural diagrams, and setup instructions to drastically improve discovery UX.

June 10, 2026 Added Discord CTA to Volunteer Page

CEO added a direct link to join the OpenPHR Discord at the bottom of the Volunteer page to capture leads who have questions and lower the barrier to entry.

June 10, 2026 Added CTA to Getting Started Cookbooks

CEO added a direct volunteer CTA banner to the 'Getting Started' page to convert developers reading our documentation into active contributors.

June 10, 2026 Added Reviewer CTA to CareHub

CEO added a 'Become a Clinical Reviewer' Call to Action banner specifically targeted at users browsing the CareHub trial directories.

June 10, 2026 Added Campus Ambassador Program

CEO launched a Campus Ambassador program section on the Volunteer page to tap into university talent pools and organic collegiate marketing networks.

June 10, 2026 Added FAQ to Volunteer Page

CEO added a FAQ section addressing time commitment and experience requirements to proactively reduce friction for prospective applicants.

June 10, 2026 Added Contributors Wall

CEO added a Contributors Wall to the About page to showcase the community, act as social proof, and explicitly drive new volunteers to apply.

June 10, 2026 Added 'Meet the Team' Page

CEO published a new team page to humanize the project, highlight core maintainers, and establish social proof for prospective volunteers.

June 10, 2026 Added Good First Issues List to Onboarding

CEO curated a live list of 'Good First Issues' directly onto the onboarding page to give new volunteers immediate paths to contribution.

June 10, 2026 Added Volunteer Onboarding Guide

CEO published a new onboarding guide for approved volunteers and linked it from the main Volunteer page to accelerate onboarding.

June 10, 2026 Added Featured Volunteer Spotlight

CEO added a Featured Volunteer section to the application page to provide social proof and highlight top contributors.

June 09, 2026 Added Open Roles Section to Homepage

CEO added a direct "Open Volunteer Roles" section to the front page showcasing Clinical Reviewer, ML Engineer, and Technical Writer roles.

June 09, 2026 Added Volunteer Promo to Changelog

CEO added a direct recruitment call-to-action on the live Updates page to encourage active readers to join the development team.

June 09, 2026 Added Volunteer CTA to Submit Flow

CEO added a volunteer recruitment box below the asset submission form to capture highly-engaged users.

June 09, 2026 Added Prominent Volunteer CTA to About Page

CEO added a direct 'Apply to Volunteer' action button to the About Us page, positioning volunteering as a primary way to support the OpenPHR mission.

June 09, 2026 Added Discord Community Links

CEO added 'Join Discord' links to the primary header navigation and footer to build an ongoing community funnel for prospective volunteers.

June 09, 2026 Added Global Community Promos

CEO added a 'Powered by Open-Source Volunteers' social proof section to the main landing page to encourage new visitors to join the community.

June 09, 2026 Cross-linked Volunteer CTA in Docs

CEO injected a prominent volunteer recruitment banner at the bottom of the 'Getting Started' guide to convert engaged readers into active contributors.

June 09, 2026 Added "Why Volunteer" Impact Story

CEO expanded the volunteer application page to include a clear value proposition and impact statement to increase conversion.

June 09, 2026 Added Floating Volunteer Widget

CEO added a persistent floating badge to the bottom right of the screen on all pages linking directly to the volunteer application.

June 09, 2026 Added Global Volunteer Banner

CEO added a global recruitment banner to the site header layout to ensure maximum visibility for Objective 1 across all pages.

June 09, 2026 Added Volunteer Contribution Guides

CEO expanded the volunteer page with specific contribution guides for submitting models and fixing bugs to reduce friction for new contributors.

June 08, 2026 Added Pulsing Volunteer CTA

CEO added a high-visibility animated "Volunteer Now" button to the homepage hero section to prioritize Objective 1.

June 09, 2026 Added 3 OpenPHR Assets

CEO registered heart-rate-cv, clustering, and webscraper to the OpenPHR tool directory.

June 08, 2026 OKR Goal Priorities Rearranged

CEO updated goals to prioritize Volunteer Acquisition & Engagement as Objective 1.

June 08, 2026 OKR Framework Initialized

CEO deployed the OKR dashboard page and established benchmarks.