On this page
Field notes from Shriram IT Ventures delivery work on Hospitals: Data Model Guide: the constraints that matter, the shortcuts that haunt you, and a checklist we still use.
Who this is for
Ship a thin vertical slice, measure, then widen. Big-bang rewrites rarely survive the first month of real traffic.
Decisions that still look smart in 18 months
Instrument the happy path and the ugly path. Silent failures are what turn a launch into a weekend incident.
Build checklist we actually use
Teams that write trade-offs down before coding burn fewer sprints when a stakeholder changes their mind mid-build. We keep ADRs short on purpose.
Failure modes we keep seeing
Ignore the buzzwords. For Hospitals: Data Model Guide, the hard constraint is usually data ownership or ops capacity — not how many features fit on a roadmap slide.
How we measure rollout
Ship a thin vertical slice, measure, then widen. Big-bang rewrites rarely survive the first month of real traffic.
We update this when delivery patterns change on live client work.