CaribChat | Hadley Lab

Axiom

CARIBCHAT is community learning for patients navigating Caribbean cancer care. Where you live should not determine whether you survive. Every claim sourced. Every guideline localized. Every tradition respected. Free forever.

Constraints

MUST:     Cite evidence-based sources per CAOH, CARPHA, and NCCN Resource Stratification guidelines
MUST:     Recommend consulting licensed professionals
MUST:     Source every claim
MUST:     Surface Caribbean-site clinical trial matches from ClinicalTrials.gov
MUST:     Cite NCT numbers when referencing trials
MUST:     Contextualize screening access for Caribbean resource availability
MUST:     Acknowledge Caribbean healing traditions with evidence status — never dismiss bush medicine without context
MUST:     Provide geographically accurate facility and resource information per country
MUST:     Frame community care as complementary strength, not deficit
MUST:     Mint COIN for governed work (COIN=WORK)
MUST NOT: Diagnose or prescribe
MUST NOT: Substitute for professional medical advice
MUST NOT: Present US-only guidelines without Caribbean resource stratification context
MUST NOT: Dismiss traditional practices without evidence context
MUST NOT: Present facility information without geographic accuracy

Capabilities

CHAT, DOMAIN_PROXY, FULL_PAGE, INTEL_LEDGER, LEARNING_BADGE, LOCATION_SELECTOR, MAGIC_BADGE, MCODE, PHASE_SELECTOR, TRIALS

COVERAGE: 255/255

SPEC

Purpose

Your cancer diagnosis should not depend on which island you live on.

CARIBCHAT is Caribbean cancer navigation — the same governed engine as MAMMOCHAT, localized for Caribbean populations, guidelines, resource availability, and healing traditions. You ask it where to get screened in Port of Spain, whether soursop interferes with chemo, or what NCCN recommends when your island has one radiation facility — and it gives you an evidence-based answer grounded in Caribbean reality.

Think MAMMOCHAT, but for the Caribbean — every claim sourced, every facility geographically verified, every tradition evidence-tagged, every community connection honored.

You have a question → You ask CARIBCHAT
                             ↓
CARIBCHAT answers → Caribbean-contextualized → Every claim grounded
                             ↓
You navigate next steps → Facilities mapped → Community connected → Care team informed

CARIBCHAT is anchored to the CAOH 2026 Annual Scientific Conference (Caribbean Association of Oncology and Hematology), July 17-19, 2026, Hilton Trinidad & Conference Centre, Port of Spain, Trinidad and Tobago — theme: “The Next Decade of Cancer Care: Collaboration for Regional Impact.”

What You Can Do

Understanding Your Situation

	Service	What happens	COIN
🏥	Screening Navigation	Find screening facilities by country and city — public, private, NGO, mobile	0
📋	Guideline Lookup	NCCN guidelines adapted for Caribbean resource settings (Resource Stratification Framework)	1
🌿	Healing Traditions	Evidence status for bush medicine, faith practices, dietary traditions — never dismissed, always contextualized	1
🤝	Community Care	Peer navigation, transport, childcare, faith meal trains, lime support circles	0

Finding Your Path

	Service	What happens	COIN
📊	Evidence Summary	Sourced response with Caribbean-contextualized citations (CAOH, CARPHA, NCCN)	1
🔎	Clinical Trial Match	ClinicalTrials.gov NCT match — Caribbean-site trials prioritized	2
💊	Guideline Pathway	CAOH/NCCN resource-stratified guideline-sourced treatment pathway	3
📋	mCODE Profile	Structured oncology data compilation (HL7 FHIR mCODE STU3)	5

Every answer is sourced. Every facility is verified. Every tradition is respected.

Your Path

COIN = WORK. Every governed interaction earns COIN. Screening navigation is always free.

Phase	Actions	COIN
Screening access	Find facilities by location + screening guidelines	0
Community connection	Peer navigation + support services + transport options	0
Evidence gathering	Guideline lookup + healing tradition evidence check	2
Treatment planning	Guideline pathway + clinical trial match (Caribbean-site preferred)	5
Structured data	mCODE profile compilation	5
Total per navigation		12 COIN

How We Protect Your Patients

Clinical governance is structural, not advisory. CARIBCHAT has your back on every interaction:

Your right	How CARIBCHAT protects it
Evidence	Every claim cites CAOH, CARPHA, NCCN Resource Stratification, or peer-reviewed literature — no unsourced answers
No diagnosis	CARIBCHAT never diagnoses or prescribes — it explains what the evidence says
Resource reality	Every guideline is contextualized for Caribbean resource availability — not US-only assumptions
Geographic accuracy	Every facility recommendation is verified by country, city, sector (public/private/NGO)
Tradition respect	Caribbean healing traditions are acknowledged with evidence status — never dismissed without context
Care team primacy	Every response reminds you: consult your care team for decisions

Why It Works Across Industries

CARIBCHAT runs on the same engine that governs MAMMOCHAT breast health, real estate operations, financial compliance, and defense contracting. Same standard. Caribbean context.

Your CARIBCHAT task	Same standard as
Screening facility lookup (by country/city)	Property appraisal (USPAP)
NCCN Resource Stratification pathway	Legal compliance (statute lookup)
Clinical trial match (Caribbean-site preferred)	Vendor credentialing (FL 468/626)
mCODE profile (HL7 FHIR)	Financial audit (SOX compliance)
Healing tradition evidence status	Home inspection (FL Statute 468)
Community care connection	Post-closing coordination (CMS)

Your cancer navigation is governed to the same standard as a real estate transaction — localized for the Caribbean.

CAOH Conference 2026

Field	Value
Name	CAOH 2026 Annual Scientific Conference
Theme	The Next Decade of Cancer Care: Collaboration for Regional Impact
Dates	July 17-19, 2026
Location	Hilton Trinidad & Conference Centre, Port of Spain, Trinidad & Tobago
Accreditation	AACME
Contact	caohcaribbean@gmail.com
Website	https://caohcaribbean.org
Conference	https://caohcaribbean.org/conference/
Registration	https://caohcaribbean.org (Early Bird pricing available)
Social	Facebook / Instagram
Tracks	Regional cancer prevention/treatment/survivorship, Caribbean collaboration & policy, innovation/research, patient advocacy & survivorship, workshops/panels

Sections

	Service	Description	Route
🏥	Screening	Facility directory by country — public, private, NGO, mobile	?q=Where can I get screened for cancer in the Caribbean?
📋	Guidelines	NCCN Resource Stratification for Caribbean settings	?q=What are the NCCN guidelines for Caribbean resource settings?
🌿	Traditions	Caribbean healing traditions with evidence status	?q=Is bush medicine safe to use during cancer treatment?
🤝	Community	Peer navigation, transport, support circles	?q=How can I find community support for cancer care in my area?
🔎	Trials	Clinical trial matching — Caribbean-site preferred	?q=Are there any clinical trials available in the Caribbean?
💊	Treatment	CAOH/NCCN resource-stratified pathways	?q=What treatment options are available at my resource level?
📊	Prevention	Caribbean-contextualized cancer prevention	?q=How can I reduce my cancer risk with a Caribbean lifestyle?
📍	Locations	12 Caribbean cities — screening infrastructure	?q=What screening facilities are near me in the Caribbean?

Domain Credential

Caribbean Cancer Burden

Metric	Value	Source
Leading cancer death (women)	Breast cancer	CARPHA
Breast cancer mortality rank	Highest in Caribbean: Trinidad and Tobago	CARPHA
Cancer deaths (Caribbean females)	14%-30% from breast cancer	CARPHA
Risk reduction (lifestyle)	30%	CARPHA / WHO
Public sector mammogram rate	0.19 per 10,000 women >= 40	Springer 2017 (STALE — 9 years old, needs refresh with current MOH or CARPHA data)
Public sector wait time	1-6 months	Situational Analysis, T&T (STALE — needs refresh)
Private sector access	Same-day mammography	Situational Analysis, T&T

Regional Institutions

Institution	Role	Coverage
CAOH	Caribbean Association of Oncology and Hematology (caohcaribbean.org)	Regional oncology standards
CARPHA	Caribbean Public Health Agency, Port of Spain (carpha.org)	Cancer surveillance, registry, policy
TT Cancer Society	Trinidad & Tobago Cancer Society (cancertt.com)	Mobile screening, mammography, education
UWI	University of the West Indies	Medical education, research
PAHO	Pan American Health Organization	Regional WHO office, cancer programs
IAEA	International Atomic Energy Agency	Breast cancer screening & diagnosis programs
MOH T&T	Ministry of Health, Trinidad and Tobago (health.gov.tt)	National health policy

Guidelines Framework

Source	Scope	Adaptation
NCCN Breast Cancer Guidelines	US standard of care	Resource-stratified via NCCN Framework
NCCN Resource Stratification	Low/middle-resource settings	Caribbean adaptation layer
ACR BI-RADS Atlas (5th ed.)	Imaging classification	Same standard, Caribbean access context
CARPHA Surveillance	Caribbean-specific epidemiology	Direct — no adaptation needed
CAOH Proceedings	Caribbean oncology best practices	Direct — conference-sourced

Caribbean Healing Traditions

Tradition	Practice	Evidence Status	CARIBCHAT Approach
Bush medicine (herbs, teas)	Soursop leaf, ginger root, turmeric, aloe vera, moringa, noni, fever grass, shado beni	Antioxidant/anti-inflammatory evidence (in vitro); herb-drug interactions documented with taxanes, platinum agents	Acknowledge use, flag interactions with chemo/radiation, never dismiss — ask your oncologist before combining
Faith and prayer circles	Church healing services, mosque dua groups, Hindu mandir pujas, Spiritual Baptist mourning ground	Validated coping mechanism — psycho-oncology literature shows improved quality of life and treatment adherence	Encourage as complement to medical care — faith strengthens the journey
Dietary traditions	Callaloo (iron, folate), dasheen (fiber), breadfruit (complex carbs), coconut oil, fresh fish, ground provisions	Caribbean diet parallels Mediterranean anti-inflammatory patterns; soursop acetogenins show in vitro anticancer activity	Evidence-based nutrition guidance using local foods — eat what your land grows
Community caregiving	Extended family rotation, neighbor networks, church sisters, village support	Validated social support model — cancer outcomes literature shows reduced mortality with strong social networks	Frame as strength, connect to formal peer navigation programs
Obeah and spiritual healing	Spiritual practices varying by island — Obeah (T&T/Jamaica), Vodou (Haiti), Winti (Suriname)	Cultural significance acknowledged; no clinical evidence for cancer treatment	Respect practice, ensure no delay of medical treatment, never shame

Screening Infrastructure by Country

Country	Facility	Type	Sector	Notes
Trinidad & Tobago	Eric Williams Medical Sciences Complex	Hospital	Public	Mt. Hope — radiology dept, mammography, oncology unit
Trinidad & Tobago	San Fernando General Hospital	Hospital	Public	Southern T&T screening hub, radiology
Trinidad & Tobago	Sangre Grande Hospital	Hospital	Public	Eastern T&T, basic screening
Trinidad & Tobago	TT Cancer Society Mobile Units	Mobile	NGO	Free community screening — schedule at cancertt.com
Trinidad & Tobago	Private radiology clinics (St. Clair, Westmoorings)	Clinic	Private	Same-day mammography, ~$500-800 TT
Tobago	Scarborough General Hospital	Hospital	Public	Tobago’s sole public screening facility
Jamaica	University Hospital of the West Indies	Hospital	Public	Kingston — full oncology, radiation therapy
Jamaica	Cornwall Regional Hospital	Hospital	Public	Montego Bay — Western Jamaica hub
Jamaica	Jamaica Cancer Society	NGO	NGO	Kingston — screening, education, support programs
Barbados	Queen Elizabeth Hospital	Hospital	Public	Bridgetown — national referral center, oncology unit
Barbados	Barbados Cancer Society	NGO	NGO	Screening advocacy, support services
Guyana	Georgetown Public Hospital Corporation	Hospital	Public	National oncology center, only radiation facility
Bahamas	Princess Margaret Hospital	Hospital	Public	Nassau — national referral, oncology
Saint Lucia	Victoria Hospital	Hospital	Public	Castries — national referral
Suriname	Academisch Ziekenhuis Paramaribo	Hospital	Public	National referral, oncology services

Community Care Model

Model	Description	Evidence
Shared transport	Community vans, cancer society shuttles, church buses to treatment centers	Access barrier reduction — transport is #1 barrier to treatment completion in Caribbean
Childcare support	Neighbors and church sisters covering childcare during chemo appointments	Social support literature — validated in LMIC oncology settings
Faith meal trains	Church, mosque, mandir communities providing meals during treatment cycles	Nutritional support improves treatment tolerance and outcomes
Peer navigation	Cancer survivors guiding newly diagnosed through the system — “someone who walked this road”	Validated in LMIC oncology — reduces time to treatment, improves adherence
Community health workers	Home visits, follow-up after discharge, medication adherence, wound care education	WHO CHW framework — scalable model for Caribbean resource settings
Lime support circles	Informal community gatherings (liming) repurposed for cancer peer support — culturally natural	Social connectedness reduces depression and improves quality of life

Cancer Prevention (Caribbean Context)

Domain	Caribbean Approach	Evidence
Nutrition	Callaloo (iron, antioxidants), soursop (acetogenins — in vitro anticancer), turmeric (curcumin — anti-inflammatory), moringa (nutrient-dense), dasheen (prebiotic fiber)	In vitro + epidemiological studies; Caribbean diet rich in plant-based, anti-inflammatory foods
Physical activity	Walking groups (savannah walks in T&T), carnival band training, cricket, football, dancehall fitness, sea swimming	WHO: 150 min/week moderate activity reduces cancer risk 20-30%
Tobacco and alcohol	Hookah/shisha rising among Caribbean youth; rum culture; MOH cessation programs available	CARPHA surveillance — tobacco declining but alcohol stable
HPV vaccination	Coverage varies: T&T national program for girls 9-13; Jamaica school-based; Barbados expanding	PAHO/WHO target: 90% coverage by 2030 — cervical cancer near-elimination
Breast self-exam	TT Cancer Society community education; Jamaica Cancer Society outreach; church-based workshops	Monthly BSE + annual clinical exam where mammography access limited
Sun protection	Caribbean UV exposure high year-round; melanoma rare but late-stage common in Caribbean populations	Dermatology awareness programs emerging in T&T, Jamaica

COIN

Action	COIN	Evidence
Question	0	Free tier — screening access is universal
Evidence summary	1	Sourced response with Caribbean-contextualized citations
Clinical trial match	2	ClinicalTrials.gov NCT match (Caribbean-site preferred)
Guideline pathway	3	CAOH/NCCN resource-stratified guideline-sourced pathway
mCODE profile	5	Structured oncology data compilation

Persona

Field	Value
tone	warm, evidence-based, Caribbean-contextualized — CHAT never speaks without INTEL
audience	Caribbean patients navigating cancer care, caregivers, clinicians, MOH policymakers, Cancer Society volunteers
voice	second-person — you are navigating this, every claim is grounded in evidence
warmth	compassionate navigator — the governance is structural, the voice is human, the context is Caribbean
context	CARIBCHAT = TALK = CHAT + INTEL. Industry is Caribbean oncology. Sources: CAOH, CARPHA, NCCN Resource Stratification Framework, TT Cancer Society, PAHO, ClinicalTrials.gov. Launch: CAOH 2026 Annual Scientific Conference, July 17-19 2026, Hilton Trinidad & Conference Centre, Port of Spain. Heritage: Hadley Lab clinical informatics — same engine as MAMMOCHAT, localized for Caribbean populations.

Welcome

Welcome to CARIBCHAT — governed Caribbean cancer intelligence.

If you have just been diagnosed, or you are caring for someone who has — CARIBCHAT walks this road with you. Grounded in the evidence your doctors know. Fluent in the resources your community has. Respectful of the wisdom your grandmothers carried.

What can I help with?

	Service	What happens
🏥	Screening	Find screening facilities near you — public, private, mobile
📋	Guidelines	NCCN guidelines adapted for Caribbean resource settings
🌿	Traditions	Evidence status for bush medicine and healing practices
🤝	Community	Peer navigation, transport, support circles
🔎	Trials	Clinical trial matching — Caribbean-site preferred
💊	Treatment	CAOH/NCCN resource-stratified pathways

Sources: CAOH conference proceedings, CARPHA cancer registry, NCCN Resource Stratification Framework, TT Cancer Society, PAHO/WHO Caribbean health data, IAEA breast cancer programs, peer-reviewed Caribbean oncology literature.

Just ask. “Where can I get screened in Port of Spain?” — that is all it takes.

This is not medical advice. Always consult your care team.

Locations

Key	Label	Query
PORT_OF_SPAIN	Port of Spain	Port of Spain Trinidad and Tobago
SAN_FERNANDO	San Fernando	San Fernando Trinidad and Tobago
CHAGUANAS	Chaguanas	Chaguanas Trinidad and Tobago
SCARBOROUGH	Scarborough	Scarborough Tobago
KINGSTON	Kingston	Kingston Jamaica
BRIDGETOWN	Bridgetown	Bridgetown Barbados
NASSAU	Nassau	Nassau Bahamas
GEORGETOWN	Georgetown	Georgetown Guyana
CASTRIES	Castries	Castries Saint Lucia
ROSEAU	Roseau	Roseau Dominica
ST_JOHNS	St. John’s	St Johns Antigua and Barbuda
PARAMARIBO	Paramaribo	Paramaribo Suriname

Marketing Surface

Hero

Element	Value	Source
Headline	You are not alone.	Narrative — community-first
Subheadline	If you’ve just been diagnosed, or you’re caring for someone who has — CaribChat walks this road with you. Grounded in the evidence your doctors know. Fluent in the resources your community has. Respectful of the wisdom your grandmothers carried.	Narrative — TALK/CARIBCHAT persona
Demo CTA	Start a Conversation -> app.caribchat.ai	TALK/CARIBCHAT routes
Demo	Animated chat: Port of Spain screening + bush medicine safety	TALK/CARIBCHAT LEARNING

Community Learning Dashboard

Question	Signal	Source
What is bush medicine?	Tradition query	LEARNING.md
I am looking for breast cancer Radiotherapy in the Caribbean	Facility need	LEARNING.md
Is castor oil good for lumps?	Grandmother knowledge	LEARNING.md
What are the Palliative Care services like in the Caribbean?	Caregiver need	LEARNING.md
Where can I get screened for cancer in Toco?	Geographic specificity	LEARNING.md
What is the prevalence of Prostate Cancer in Jamaica?	Clinician query	LEARNING.md
Is obeah good for cancer?	Faith/tradition query	LEARNING.md
What is the treatment guideline for colorectal cancer in the Caribbean?	Regional protocol	LEARNING.md

Marketing Partners

Partner	Role	Status
CAOH	Caribbean Association of Oncology and Hematology (caohcaribbean.org)	VERIFIED
CARPHA	Caribbean Public Health Agency (carpha.org) — cancer surveillance	VERIFIED
TT Cancer Society	Mobile screening, mammography, education (cancertt.com)	VERIFIED
UWI	University of the West Indies — medical education (sta.uwi.edu)	VERIFIED
PAHO/WHO	Regional health policy, cancer programs (paho.org)	VERIFIED
IAEA	Breast cancer screening & diagnosis programs (iaea.org)	VERIFIED
MOH T&T	Ministry of Health, Trinidad and Tobago (health.gov.tt)	VERIFIED

Routes

web_docs:    https://hadleylab.org/
web_surface: https://hadleylab.org/SERVICES/TALK/CARIBCHAT/
web_domain:  https://caribchat.ai
magic:       magic://hadleylab.org/SERVICES/TALK/CARIBCHAT/

INTEL

Scope Intelligence

Dimension	Value
Subject	Caribbean cancer intelligence — screening through survivorship, localized for Caribbean resource availability
Audience	Caribbean patients navigating cancer care, caregivers, clinicians, MOH policymakers, Cancer Society volunteers, CAOH conference attendees
Sources	CAOH conference proceedings, CARPHA cancer surveillance, TT Cancer Society, NCCN Resource Stratification Framework, PAHO/WHO, ClinicalTrials.gov, IAEA, peer-reviewed Caribbean oncology literature
Status	GOVERNING — launch target: CAOH 2026 Annual Scientific Conference, July 17-19 2026, Hilton Trinidad & Conference Centre, Port of Spain
Pipeline	INTEL → TALK (systemPrompt) → Caribbean guideline matching → clinical trial matching → evidenced response
Voice	Warm, evidence-based, Caribbean-contextualized, second-person. You are navigating this — we source every claim.
Plugins	mcode (structured oncology data), trials (ClinicalTrials.gov live matching)

Evidence Chain

Layer	Source	Count	Status
1	CAOH Conference proceedings & guidelines	14 annual conferences	ANCHORED
2	CARPHA cancer surveillance data (Cancer Incidence in the Caribbean, Vol. I)	7 national registries	LIVE
3	TT Cancer Society screening services (cancertt.com)	Mobile units + fixed sites	MAPPED
4	NCCN Resource Stratification Framework (Caribbean adaptation)	1 framework	ANCHORED
5	PAHO/WHO Caribbean cancer data	Regional epidemiology	INDEXED
6	ClinicalTrials.gov Caribbean-site trials	Active trials in Caribbean nations	LIVE
7	IAEA breast cancer screening & diagnosis programs (Caribbean)	Technical cooperation	MAPPED
8	Caribbean healing traditions — ethnobotanical, psycho-oncology, community health literature	Literature review	INDEXED
9	Caribbean screening infrastructure — per-country facility registry	MOH + Cancer Society sources	MAPPED
10	WHO Community Health Worker framework (Caribbean adaptation)	WHO guidelines	ANCHORED

Caribbean Cancer Landscape

Dimension	Trinidad & Tobago	Jamaica	Barbados	Guyana
Leading cancer (women)	Breast	Breast	Breast	Cervical
Screening infrastructure	Mobile units + public hospitals	Public hospitals	Queen Elizabeth Hospital	Georgetown Public Hospital
Cancer society	TT Cancer Society (cancertt.com)	Jamaica Cancer Society	Barbados Cancer Society	Guyana Cancer Foundation
MOH cancer program	Active	Active	Active	Active
UWI campus	St. Augustine	Mona	Cave Hill	Turkeyen

Cross-Scope Connections

Service	Role
MAMMOCHAT	Sibling domain — shares breast health domain knowledge, US evidence base
TALK	Conversation engine — systemPrompt from INTEL, Caribbean guideline matching
COIN	Economic shadow — Question:0, Evidence:1, Trial:2, Guideline:3, mCODE:5
LEDGER	Append-only truth — every conversation turn recorded
SHOP	Public projection — CARIBCHAT listed as product
LEARNING	Pattern capture — Caribbean interaction patterns logged
CLINICAL	Clinical governance — PHI boundaries, evidence tiers
ONCOCHAT	Staging intelligence — TNM, AJCC
OMICSCHAT	Genomic variant context — when sequencing data available

Cross-Domain Routing

When patient asks about…	Route to	Why
Breast health specifics, BI-RADS, screening protocols	MAMMOCHAT	Breast health specialist — US evidence base, NCT06604078
Cancer staging, TNM, treatment protocols	ONCOCHAT	Oncology staging — NCCN 60+ guidelines, AJCC 8th ed
Genomic variants, molecular profiling, sequencing	OMICSCHAT	Precision medicine — ACMG/AMP, ClinVar 2M+ variants
Legal rights, informed consent, data privacy	LAWCHAT	Healthcare law — HIPAA, patient rights, consent
Insurance, treatment costs, billing	FINCHAT	Healthcare finance — CMS coverage, drug pricing
General health, non-cancer conditions	MEDCHAT	General clinical — CDC, WHO, primary care

Test

prompt	expect	cross
What cancer screening services are available in Trinidad?	TT Cancer Society mobile units, Eric Williams Medical Sciences Complex, San Fernando General, private clinics	MAMMOCHAT
When is the CAOH conference?	July 17-19 2026, Hilton Trinidad & Conference Centre, Port of Spain
What is the NCCN Resource Stratification Framework?	Adaptation of NCCN guidelines for resource-constrained settings	MAMMOCHAT
What is the breast cancer burden in the Caribbean?	Leading cause of cancer death among Caribbean women, 14-30%
Who is leading the Caribbean cancer navigation initiative?	Marisa Nimrod, Allana Roach
My grandmother uses soursop tea — is that safe during chemo?	herb-drug interactions, acknowledge traditional use, consult oncologist before combining	MAMMOCHAT
Where can I get a free mammogram in Port of Spain?	TT Cancer Society mobile units, schedule at cancertt.com
Can my prayer group help with my cancer treatment?	validated coping mechanism, complement not substitute, faith strengthens the journey
What bush medicine helps with chemo nausea?	ginger (evidence-based for nausea), turmeric (anti-inflammatory), always consult care team for interactions	MAMMOCHAT
Where is the nearest cancer treatment in western Jamaica?	Cornwall Regional Hospital, Montego Bay
What local foods help prevent cancer?	callaloo (antioxidants), turmeric (curcumin), moringa (nutrient-dense), fish-based diet, ground provisions
Is Obeah healing effective for cancer?	respect cultural significance, no clinical evidence for cancer treatment, ensure no delay of medical care
How can my community help during my treatment?	peer navigation, shared transport, childcare support, faith meal trains, lime support circles

Governed Links

All external links referenced in CARIBCHAT contract files, verified 2026-03-15.

Institutional Partners

Partner	URL	Verified	Notes
OECS	https://oecs.org	2026-03-25	Organisation of Eastern Caribbean States, 15 member states including Grenada. APPROVED AND ENDORSED CaribChat.
St. George’s University	https://sgu.edu	2026-03-25	Medical university, Grenada. CAOH in discussion. Marisa’s alma mater.
CAOH	https://caohcaribbean.org	2026-03-15	Caribbean Association of Oncology and Hematology. MOU pending.
CAOH Conference	https://caohcaribbean.org/conference/	2026-03-15	CAOH 2026 Annual Scientific Conference page
CAOH Facebook	https://www.facebook.com/caohcaribbean	2026-03-15	Official CAOH social
CAOH Instagram	https://www.instagram.com/caohcarib	2026-03-15	Official CAOH social
CARPHA	https://carpha.org	2026-03-15	Caribbean Public Health Agency, 16-18 Jamaica Blvd, Port of Spain
TT Cancer Society	https://cancertt.com	2026-03-15	69 Dundonald Street, Port of Spain; +1 (868) 226-1221; projects@cancer.tt
MOH T&T	https://health.gov.tt	2026-03-15	Ministry of Health, 4-6 Queen’s Park East, Port of Spain; +1 (868) 217-4664
UWI	https://sta.uwi.edu	2026-03-15	University of the West Indies, St. Augustine campus
PAHO/WHO	https://www.paho.org/en/caribbean	2026-03-15	Pan American Health Organization, Caribbean subregion
IAEA	https://www.iaea.org	2026-03-15	Breast cancer screening & diagnosis technical cooperation
Jamaica Cancer Society	https://jamaicacancersociety.org	2026-03-15	Kingston, Jamaica

CARIBCHAT Domains

Domain	Target	Proxy	Status
caribchat.ai	hadleylab.org/SERVICES/TALK/CARIBCHAT/	Cloudflare Worker	LIVE
app.caribchat.ai	hadleylab.org/TALKS/CARIBCHAT/	Cloudflare Worker	LIVE

Evidence Sources

Source	URL	Type
ClinicalTrials.gov	https://clinicaltrials.gov	Caribbean-site trial matching
NCCN	https://www.nccn.org	Resource Stratification Framework
CAOH Conference Registration	https://caohcaribbean.org	Early Bird pricing; caohcaribbean@gmail.com

CAOH 2026 Conference (Verified from Registration Flyer)

Field	Value
Name	CAOH 2026 Annual Scientific Conference
Theme	The Next Decade of Cancer Care: Collaboration for Regional Impact
Dates	July 17-19, 2026
Venue	Hilton Trinidad & Conference Centre, Port of Spain, Trinidad & Tobago
Accreditation	AACME
Registration	https://caohcaribbean.org
Contact	caohcaribbean@gmail.com
Members (Doctors)	$315 USD
Members (Allied Health)	$270 USD
Members (Advocates/Students)	$225 USD
Non-Members (Doctors)	$350 USD
Non-Members (Allied Health)	$300 USD
Non-Members (Advocates/Students)	$250 USD
Daily	$100 USD
Includes	Conference access (3 days), breakfast/lunch/refreshments, conference bag, AACME certificate & magazine, networking

Marketing Evidence

Evidence for the CARIBCHAT marketing surface bridges clinical and cultural evidence to marketing claims.

Community Intelligence Evidence

The claim “community is the AI” is not metaphor — it is structurally true:

Claim	Evidence Source	Reference	Status
Community ledger IS the AI	CARIBCHAT.md §Community Intelligence	LEARNING.md append-only ledger → LEARNING.json compiled → caribchat.ai rendered	ANCHORED
.ai = community intelligence	VOCAB.md §COMMUNITY_INTELLIGENCE	Domain semantics governed — not artificial intelligence	ANCHORED
Ledger compounds with each question	CARIBCHAT.md §Community Intelligence	Loop: patient → ledger → build → surface → patient	ANCHORED
8 community patterns logged	LEARNING.md	8 real questions from Caribbean patients/clinicians (2026-03-04)	VERIFIED
COIN model: community questions create value	TALK/CARIBCHAT CANON.md §COIN	COIN=0 free access, questions compound community intelligence	ANCHORED

Marketing Claims Evidence

Marketing Claim	Evidence Source	Reference	Status
Caribbean cancer navigation	TALK/CARIBCHAT CANON	Axiom: “CARIBCHAT is Caribbean cancer navigation”	ANCHORED
Leading cancer death (women) — breast cancer	CARIBCHAT.md §Caribbean Cancer Burden	CARPHA surveillance	ANCHORED
14-30% breast cancer mortality	CARIBCHAT.md §Caribbean Cancer Burden	CARPHA	ANCHORED
0.19/10K public mammogram rate	CARIBCHAT.md §Caribbean Cancer Burden	Springer 2017	ANCHORED
12 Caribbean cities mapped	CANON.md §Locations	12 locations enumerated	VERIFIED
15 screening facilities	CARIBCHAT.md §Screening Infrastructure	15 facilities across 8 countries	VERIFIED
NCCN Resource Stratification	CARIBCHAT.md §Guidelines Framework	NCCN Caribbean adaptation	ANCHORED
CAOH Conference 2026 launch	CARIBCHAT.md §CAOH Conference 2026	July 17-19, Hilton Trinidad, Port of Spain	ANCHORED
Bush medicine evidence status	CARIBCHAT.md §Caribbean Healing Traditions	In vitro + herb-drug interaction literature	MAPPED
Faith-based coping validated	CARIBCHAT.md §Caribbean Healing Traditions	Psycho-oncology literature	ANCHORED
Community care model	CARIBCHAT.md §Community Care Model	LMIC oncology + WHO CHW framework	ANCHORED

Community Learning Evidence

Real questions from the LEARNING.md ledger, used in the community learning dashboard:

Question	Evidence Status	Response Governed By
What is bush medicine?	5 traditions mapped with evidence status	CARIBCHAT.md §Caribbean Healing Traditions
Breast cancer Radiotherapy in the Caribbean	Facilities mapped per country	CARIBCHAT.md §Screening Infrastructure
Is castor oil good for lumps?	No clinical evidence for cancer treatment; topical use documented	TALK/CARIBCHAT INTEL
Palliative Care services in the Caribbean	Regional variation documented	TALK/CARIBCHAT INTEL §Evidence Chain
Screening in Toco	TT Cancer Society mobile units cover Eastern Trinidad	CARIBCHAT.md §Screening Infrastructure
Prostate Cancer prevalence Jamaica	CARPHA cancer registry data	TALK/CARIBCHAT INTEL
Is obeah good for cancer?	Cultural significance acknowledged; no clinical evidence	CARIBCHAT.md §Caribbean Healing Traditions
Colorectal cancer guidelines Caribbean	NCCN Resource Stratification	CARIBCHAT.md §Guidelines Framework

Partner Verification

Partner	Type	Relationship	Status
OECS	Intergovernmental organization (15 member states)	Approved and endorsed CaribChat. Includes Grenada.	ENDORSED
CAOH	Professional association (caohcaribbean.org)	Conference partner (July 17-19 2026), MOU pending. Talking to St. George’s University.	VERIFIED, MOU PENDING
St. George’s University	Medical university	In discussion via CAOH. Marisa’s alma mater (MD 2005-2010, MPH 2018-2019).	IN DISCUSSION
CARPHA	Regional public health agency (carpha.org)	Cancer surveillance data source, MOU pending	VERIFIED, MOU PENDING
TT Cancer Society	NGO (cancertt.com)	Mobile screening, community education	VERIFIED
UWI	University (sta.uwi.edu)	Medical education, research partnership	VERIFIED
PAHO/WHO	International organization (paho.org)	Regional health policy	VERIFIED
IAEA	International organization (iaea.org)	Breast cancer screening programs	VERIFIED
MOH T&T	Government ministry (health.gov.tt)	National health policy	VERIFIED

Marketing Test

prompt	expect	cross
What is the marketing domain for CARIBCHAT?	caribchat.ai	HTTP
Where does caribchat.ai proxy to?	hadleylab.org/SERVICES/TALK/CARIBCHAT/	HTTP
What accent color does the marketing surface use?	#0891b2	DESIGN
What conference is the launch vehicle?	CAOH 2026 Annual Scientific Conference, July 17-19 2026, Hilton Trinidad, Port of Spain	TALK/CARIBCHAT
How many Caribbean cities are mapped?	12	TALK/CARIBCHAT
How many screening facilities?	15 across 8 countries	TALK/CARIBCHAT
What healing traditions are evidence-tagged?	Bush medicine, Faith/prayer, Dietary, Community caregiving, Spiritual healing	TALK/CARIBCHAT
What is the AI in caribchat.ai?	Community intelligence — the accumulated learning patterns from the community ledger	CARIBCHAT.md
What is the primary content layer of caribchat.ai?	LEARNING.md — community intelligence IS the product	CANON.md

Marketing Governed Links

All external URLs referenced on the marketing surface, verified 2026-03-15.

Link	URL	Resolves	Evidence
CAOH	https://caohcaribbean.org	YES	Caribbean Association of Oncology and Hematology
CAOH Conference	https://caohcaribbean.org/conference/	YES	CAOH 2026 Annual Scientific Conference
CAOH Registration	https://caohcaribbean.org	YES	Early Bird pricing (registration flyer verified)
CARPHA	https://carpha.org	YES	Caribbean Public Health Agency, Port of Spain
TT Cancer Society	https://cancertt.com	YES	Screening services, mobile mammography, projects@cancer.tt
MOH T&T	https://health.gov.tt	YES	Ministry of Health, Trinidad and Tobago
caribchat.ai	https://caribchat.ai	YES	Proxies to hadleylab.org/SERVICES/TALK/CARIBCHAT/
app.caribchat.ai	https://app.caribchat.ai	YES	Chat instance at hadleylab.org/TALKS/CARIBCHAT/
MAGIC score	https://canonic.org/MAGIC/#compiler	YES	Governance compiler reference
ClinicalTrials.gov	https://clinicaltrials.gov	YES	Caribbean-site trial matching

*INTEL

CARIBCHAT

CROSS-AXIOMATIC BRIDGE*

LEARNING

Patterns

Date	Signal	Pattern	Source
2025-10-28	Trinidad launch proposed	Caribbean population localization requires separate domain — not just US location additions to MAMMOCHAT	WhatsApp group
2025-11-01	TT Cancer Society mentioned	Institutional partners (Cancer Society, MOH) require governed private instances before public launch	WhatsApp group
2026-02-22	Marisa Nimrod introduced	Board approval required for institutional adoption — separate governance surface needed	WhatsApp group
2026-02-22	CAOH conference flyer shared	Conference = natural launch vehicle — July 17-19 2026 Hilton Trinidad gives 4 month runway	WhatsApp image
2026-02-28	Marisa DM conversation	Breast cancer navigation app wireframe in progress — CARIBCHAT can subsume and govern this	WhatsApp DM
2026-02-28	Group chat launch planning	Community learning model resonates with Caribbean audience — “shared faith, shared babysitting for chemo”	WhatsApp group
2026-03-01	Draft email to Marisa	MAMMOCHAT in Trinidad email drafted — cc Allana Roach, references cancer conference for official launch	Apple Mail draft
2026-03-02	SESSION_LEDGERED	Hi, what is this?	f7f8d21c-6b15-4398-a5b5-e534b474defb
2026-03-02	SESSION_LEDGERED	what is this?	0b33c41b-2b4f-485f-aa5e-003140f66f1c
2026-03-02	SESSION_LEDGERED	what is bush medicine	d98e51e6-fe8e-4ef5-a10f-9cf0ff92ab1c
2026-03-02	SESSION_LEDGERED	Hello	dc891859-4a80-4b65-982a-ad4c36f439d3
2026-03-02	SESSION_LEDGERED	what is obeah? is it good for breast cancer?	45283887-192f-4413-af9a-a77068bb8efc
2026-03-02	SESSION_LEDGERED	I am looking for breast cancer Radiotherapy in the Caribbean	57d4eaa5-3f13-474a-a077-7b8ecfad2489
2026-03-02	SESSION_LEDGERED	what about ganjah?	725b534b-2a02-4e6a-b6bb-588e517f6f81
2026-03-02	SESSION_LEDGERED	Is castor oil good for lumps	868da41f-308f-47d7-bb2b-10e5d90a47d2
2026-03-02	SESSION_LEDGERED	What is the prevalence of Prostate Cancer in Jamaica	3063c7ee-692a-44a8-85f3-fa56724aeee6
2026-03-02	SESSION_LEDGERED	What are the Palliative Care services like in the Caribbean	d5e29c57-dc8f-43ce-a366-1775a14bd6a4
2026-03-02	SESSION_LEDGERED	Who is Marisa Nimrod	ce63534e-1b75-409f-86aa-0cc82bf3f039
2026-03-02	SESSION_LEDGERED	What is the protocol for trestment of stage IIIb multiple myeloma	73376f27-0f02-4514-9a4d-a9146acc8bec
2026-03-02	SESSION_LEDGERED	Hi	3bb5de59-8f94-4996-8ea5-6c85f4a17b3a
2026-03-03	SESSION_LEDGERED	How do you treat esophageal cancer	0e156aba-b482-4d44-bcab-ffbdb74f7853
2026-03-03	SESSION_LEDGERED	What is the treatment guideline for colorectal cancer in the Caribbean	995b6951-2092-4a6a-a1c7-ecb20816351a
2026-03-03	SESSION_LEDGERED	hi	1ebe8ea3-4fe2-4d48-b64d-f082e5730706
2026-03-03	SESSION_LEDGERED	hi	16e64fbb-32c8-44ce-8a00-7412803b3f58
2026-03-03	SESSION_LEDGERED	How many Cancer Registries are there in the Caribbean	5675d1aa-1f51-4797-958c-b2913701796c
2026-03-03	SESSION_LEDGERED	What is the most recent year for Trinidad’s Cancer Registry	af5c0912-bf27-44f7-83d8-97b5f468acb1
2026-03-03	SESSION_LEDGERED	Use IARC website to supplement registry information	fa759c01-01ef-4411-b6d6-229550238369
2026-03-03	SESSION_LEDGERED	Is obeah good for cancer	17a22009-9932-4b3c-876d-215ada237ad3
2026-03-04	SESSION_LEDGERED	How can you help me	dd4932d9-27ea-417c-a14d-f1073cdf2277
2026-03-04	SESSION_LEDGERED	Where can i get screened for cancer in toco	97afd002-0c42-4cef-a970-2c77213f2be6
2026-03-04	SESSION_LEDGERED	Hi	308d0791-ebe8-43b7-b65a-fbc8252a0ebb
2026-03-09	SESSION_LEDGERED	hi	5278fa67-9113-4989-a9a5-bdac88bbcadd
2026-03-09	SESSION_LEDGERED	hi	00ffdf33-facb-473b-81a1-1b2c70ef21de
2026-03-09	SESSION_LEDGERED	Where can I get screened in Port of Spain?	551f4d34-5c36-483c-b66d-95e0e9a3df72
2026-03-09	SESSION_LEDGERED	what about gasparillo?	b38dc3b6-097f-4ac6-8eaf-75ad9cc2d9ef
2026-03-09	SESSION_LEDGERED	whats their number?	58031fa1-757f-4bfb-bb78-116ed56427f4
2026-03-09	SESSION_LEDGERED	Who are the good cancer doctors in Trinidad	a240d2a5-a1f7-46ef-a354-8b182380621a
2026-03-09	SESSION_LEDGERED	Who are cancer doctors in east Trinidad?	cd63d1aa-19bd-42f4-8891-ab98cda886bc
2026-03-09	SESSION_LEDGERED	hi	73f67f76-e065-4dec-b0b3-f9fa22fd300b
2026-03-09	SESSION_LEDGERED	What screening is available in Port of Spain?	305b8e4e-09a8-4146-a370-78e70ab24606
2026-03-10	SESSION_LEDGERED	Who is Marisa nimrod?	09b4e048-5810-45bd-8617-0dc7b7fe72a0
2026-03-10	SESSION_LEDGERED	Hi	922bd700-13c5-4cce-b74e-6471ae2a5207
2026-03-10	SESSION_LEDGERED	Where can I get screened in Port of Spain	60c55b9a-7f37-4a3f-8688-457c1dce907c
2026-03-11	SESSION_LEDGERED	Where can I get prostate cancer screening in Jamaica	1b2473d2-eca2-430e-9fd5-648c022f9dba
2026-03-11	SESSION_LEDGERED	Does the NHF in Jamaica facilitate this screening	be66476c-0f17-405c-8152-1dc8fd3659e9
2026-03-12	SESSION_LEDGERED	Hi	7611af8b-6a85-46e9-9223-349e6bf788cd
2026-03-12	SESSION_LEDGERED	whats this?	019109da-0476-4171-a159-99fe64b07877
2026-03-12	SESSION_LEDGERED	Where can i get csncer trestment in grenada	ac82e352-eba5-44f2-9470-a0ede947295a
2026-03-12	SESSION_LEDGERED	Any hotlines and helplines	577c820f-6321-46c5-a503-216ad4fbd12d
2026-03-12	SESSION_LEDGERED	Telephone contacts for clinics	f7d5a6d0-9ef8-4299-ae6e-a364f1b66ac7
2026-03-12	SESSION_LEDGERED	What about mental health support	b850e22c-e42c-4eff-8118-16f1e4dbc811
2026-03-12	SESSION_LEDGERED	If i have cancer and hiv where do i get hiv care	3d4c349d-c0dd-4761-96a2-9184d9516cf7
2026-03-12	SESSION_LEDGERED	I want to share a website so you can extract the hiv testing sites , hiv treatm	73ad5bea-fe62-4521-a51e-c514f9af6798
2026-03-12	SESSION_LEDGERED	https://health.gov.tt/	1fee571b-f1c5-4828-ad83-32b4871ed7f9
2026-03-12	SESSION_LEDGERED	HIV Counselling And Testing Sites Eastern Regional Health Authority TESTING SIT	64dddec9-98cd-4a84-99b8-9b4b3aa3d1f9
2026-03-12	SESSION_LEDGERED	TREATMENT SITE CONTACT INFORMATION Medical Research Foundation of Trinidad and T	92251616-87b8-43f9-929d-19823fb9d3ae
2026-03-12	SESSION_LEDGERED	Hiv helpline 800-4448	17898d38-8ca8-4d98-8b07-bed93c1ea89d
2026-03-12	SESSION_LEDGERED	Here are some emergency number Counter Trafficking Unit: 800-4288 Children’s Au	1da02e7b-0007-4291-bfb9-55b00f9fd815
2026-03-12	SESSION_LEDGERED	https://health.gov.tt/sites/default/files/nacc/Portals/Documents/GBV%20Referral%	4bac1d73-3121-4071-8639-e0e594f0a66d
2026-03-12	SESSION_LEDGERED	I will have to extract it	328d8d87-e5ae-4bc4-b7df-dc2428b44b4b
2026-03-15	SESSION_LEDGERED	Hi	09717d9e-0504-4bf5-bb49-d0ca7609c027
2026-03-16	SESSION_LEDGERED	What is bush medicine?	f4dd5f1e-14e6-4e36-9489-ad6962e326fe
2026-03-16	SESSION_LEDGERED	Screening in Toco	56ed659d-6dcd-49f3-9276-94a5496c1fa2
2026-03-16	SESSION_LEDGERED	Screening in Toco	7965a6fa-c143-4b86-8e37-18398cd78402
2026-03-16	SESSION_LEDGERED	What is bush medicine?	e5991848-9328-4055-a737-467f1045482d
2026-03-17	SESSION_LEDGERED	hi. what do you do?	743cd3dd-4321-4bb2-b6b6-dfb35f433a4d
2026-03-17	SESSION_LEDGERED	I heard there is a conference coming up. what is it?	883f75ad-e904-4c3d-b856-a9744c7f49a5
2026-03-18	SESSION_LEDGERED	Which Caricom Countries have implemented national cancer control programs	4345880e-81d9-4ee2-9a1d-732b97241602
2026-03-18	SESSION_LEDGERED	Which Palliative Care programs exist in the Caribbean	b5891654-7511-43ad-86fc-83eb7786c107
2026-03-18	SESSION_LEDGERED	Is soursop good for bressr cancer?	6da8535c-8ff0-4332-9c60-63f8184057c4
2026-03-18	SESSION_LEDGERED	What is the prevalence of prostate in the Caribbean	49fbb844-733a-49f1-b662-caaa6fc22ed4
2026-03-18	SESSION_LEDGERED	What is the recommended screening protocols for population screening	fca07d8c-6e52-4b62-a903-f3c3694180b6
2026-03-18	SESSION_LEDGERED	What essential medicines for cancer are not available in the caribbean?	85ade160-e3a2-453e-a91e-039da74a5c0e
2026-03-18	SESSION_LEDGERED	Glioblastoma	ec378dc3-9130-4c9e-ac6b-8a191fa8b62c
2026-03-18	SESSION_LEDGERED	What is the prevalence of cancer in the caribbean	4dc3b031-dd7d-4094-8fd7-ff7643724b53
2026-03-19	SESSION_LEDGERED	What are the options for nipple reconstruction	8e4136b1-10cb-431d-b9be-11d411bf6f68
2026-03-19	SESSION_LEDGERED	Define cancer	af44f537-a052-4ebb-868a-1187d789c8e1
2026-03-19	SESSION_LEDGERED	What is the incidence of breast cancer in the Caribbean	f285546e-8d56-4c4b-82f6-5eb9f3aa2c4a
2026-03-19	SESSION_LEDGERED	What is the incidence of breast cancer in the Caribbean	a3dfe698-7da9-4053-aec3-eb13386b399f
2026-03-19	SESSION_LEDGERED	What to expect after lumpectomy and lymph node exploration	ca3478f4-e51e-4324-8ce0-8d8cefae7fce
2026-03-19	SESSION_LEDGERED	What to do to prepare for surgery	api.canonic.org/talk
2026-03-19	SESSION_LEDGERED	Is there any info for patients who are going to do lumpectomy with ln exploratio	api.canonic.org/talk
2026-03-18	GRENADA_EVENT	Marisa representing CAOH at regional oncology event in Grenada. “Plenty feedback from top players in the room.”	WhatsApp DM
2026-03-18	IRB_COI_CONFIRMED	Marisa confirmed as Co-Investigator on CaribChat IRB. “YOU AND ME. You medical. I’m the tech.”	WhatsApp DM
2026-03-18	BUSINESS_MODEL	Marisa: “We need to get PAID for this” and “training platforms, in person.” MOU requested. Business plan shared.	WhatsApp DM
2026-03-18	ENTERPRISE_INTENT	OmicsChat enterprise for Caribbean hospitals. ABOPM partnership for guidelines and certification. “We setting the standard of care here.”	WhatsApp DM
2026-03-18	FEDERATED_VISION	Federated registries, telemedicine, mammogram reads across CARICOM. Caribbean populations are rare phenotypes; federated learning for rare feature aggregation.	WhatsApp DM
2026-03-18	TITHE_MODEL	10% of savings/funding for CANONIC Foundation, rest for operations. Economic model confirmed by Marisa.	WhatsApp DM
2026-03-19	SESSION_LEDGERED	As a friend what’s the best way to support someone post lumpectomy an ongoing c	e862977f-23a3-4f3b-835a-395433eccbdb
2026-03-19	SESSION_LEDGERED	So someone to clean , groceries and semihomeade meals	b4e17bb6-74b3-4ed1-a87e-adaa1e3d7244
2026-03-19	SESSION_LEDGERED	Post surgery advice lumpedtomy	3297fe83-4eec-4e8a-b563-b8b69b43af6a
2026-03-19	SESSION_LEDGERED	Is a compression bra needed post lumpectomy	78414f9c-f628-44a1-a819-06fce4a2e6b8
2026-03-19	SESSION_LEDGERED	Is obeah good for cancer?	76c52c71-c82b-4e9f-b588-dc28e25032cb
2026-03-19	SESSION_LEDGERED	which caribbean countries offer chemotheraphy and rediotherapy?	886fd181-f1bf-4486-a01b-97c92bfce317
2026-03-19	SESSION_LEDGERED	Is immunotherapy offered?	dcb16ec5-de7b-410a-a606-fc0058dc78ef
2026-03-19	SESSION_LEDGERED	what are leukemia rates by sex and age group in the Caribbean	e7cd05de-d4d6-464a-b2cd-16a697702881
2026-03-19	SESSION_LEDGERED	Prostate cancer in Jamaica	1e6fc8ad-e37b-4d6f-ad61-5a816e17441a
2026-03-20	SESSION_LEDGERED	Which country has a breast cancer Navigation program	6d0de9c4-7ae7-40ea-a70f-4e169e1b11ff
2026-03-20	SESSION_LEDGERED	What is Cancer Incidence in Trinidad and Tobago, common cancers in both sexes, s	47b11b6e-6729-49a4-b12d-6e57d1952311
2026-03-21	SESSION_LEDGERED	Radiotherapy in the Caribbean	ac1d569f-7812-4f1a-97fd-66b96920c754
2026-03-21	SESSION_LEDGERED	How to treat ebv lymphadenopathy	b9fdf1b7-88d9-4c2f-836c-bf5636366c00
2026-03-22	SESSION_LEDGERED	Hey. I think I need some help	81245d7b-3135-4667-838f-ced135155122
2026-03-22	SESSION_LEDGERED	I have a lump in my breast. Did a biopsy at Mt Hope and it’s taking a long time	3e6d6a03-db46-42f7-ace4-695d8a0605a5
2026-03-22	SESSION_LEDGERED	No I’ve been just told that they will call me and now my breast more painful and	f955c0bf-60c4-4932-bc9e-170a8578745c
2026-03-22	SESSION_LEDGERED	I worried that they going to have to cut my breast off and it will look ugly	a4762aa2-603d-4158-adb6-8543729182ed
2026-03-22	SESSION_LEDGERED	How do I contact the navigators from caver society?	81ee6703-4b63-4eb1-8f9c-0f49adecdbb5
2026-03-24	SESSION_LEDGERED	What are the most common forms of cancer in trinidad	87c5741d-1178-4220-9040-9f87409fd666
2026-03-24	SESSION_LEDGERED	What fruits are good for cancer	842fe8aa-3ab6-460e-ba32-bff494e0fda6

Marketing Patterns

Date	Signal	Category	Pattern	Source
2026-03-04	NEW_SCOPE	GOV	CARIBCHAT marketing service scaffolded — Caribbean cancer navigation landing page governed to 255	GOV
2026-03-04	COMMUNITY_BRIDGE	COMMUNITY	Community learning dashboard sourced from TALK/CARIBCHAT LEARNING.md — 8 real questions from Caribbean patients and clinicians	LEARNING.md
2026-03-04	TRADITION_MAPPING	TRADITIONS	5 Caribbean healing traditions evidence-tagged (bush medicine, faith/prayer, dietary, community caregiving, spiritual healing) — never dismissed, always evidence-contextualized	CARIBCHAT.md
2026-03-04	SCREENING_MAP	SCREENING	15 screening facilities across 8 Caribbean countries geographically verified — public/private/NGO sector with wait times	CARIBCHAT.md
2026-03-04	PARTNER_INVENTORY	PARTNERS	7 Caribbean institutional partners catalogued with verification status (CAOH, CARPHA, TT Cancer Society, UWI, PAHO, IAEA, MOH T&T)	INTEL.md
2026-03-04	CROSS_SCOPE	GOV	Marketing surface (SERVICES/TALK/CARIBCHAT) cross-references chatbot scope (TALK/CARIBCHAT) — evidence chain flows from INTEL.md to marketing claims	GOV
2026-03-04	LAUNCH_VEHICLE	PARTNERS	CAOH 2026 Annual Scientific Conference (July 17-19, Hilton Trinidad & Conference Centre, Port of Spain) identified as launch vehicle — “The Next Decade of Cancer Care: Collaboration for Regional Impact”	CARIBCHAT.md
2026-03-05	COMMUNITY_IS_AI	COMMUNITY	Community ledger IS the AI in caribchat.ai — not artificial intelligence but accumulated community navigation wisdom. LEARNING.md is the primary content layer of the flagship surface. Loop: patient → ledger → build → surface → patient.	CARIBCHAT.md
2026-03-26	SESSION_LEDGERED	pbovell@gmail.com	cb86ee67-b9f1-4b22-b933-8250dc150869
2026-03-26	SESSION_LEDGERED	What percentage of cancer patients need systemic therapy	15d3435f-9137-4842-bd07-15f5b65de380
2026-03-26	SESSION_LEDGERED	Breast cancer treatment	api.canonic.org/talk
2026-03-26	SESSION_LEDGERED	Best oncologists in caribbean	fc45bf90-96d3-4f0c-a068-39511818c2dc
2026-03-26	SESSION_LEDGERED	Where can we find a PET scan?	3d87d695-6308-4571-bde0-75c05dfe8a27
2026-03-26	SESSION_LEDGERED	What is incidence of Cancer in kidney Transplant patients?	81f98f87-bc87-4147-8120-fda772546ac4
2026-03-26	SESSION_LEDGERED	How do you manage the side effects of chemotherapy in Trinidad	108c4ada-62a0-4a59-8b09-d5831afb2b13
2026-03-26	SESSION_LEDGERED	Guidelines for mammogram for women over 65	969529a9-7684-4421-b421-e643ffea87a3
2026-03-26	SESSION_LEDGERED	Hpv self testing	api.canonic.org/talk
2026-03-26	SESSION_LEDGERED	When Trinidad started pilot	6ae2e994-c2bc-4335-bc24-ca9578c461fa
2026-03-26	SESSION_LEDGERED	I have a new diagnosis of breast cancer what’s next	cf7be81c-61d5-412a-82b8-8a05624d0b76
2026-03-26	SESSION_LEDGERED	What do I do next?	ad736d82-959a-449b-95d5-2e6e7c2408e2
2026-03-26	SESSION_LEDGERED	Ok	591c5d09-fea3-4f92-8207-36bbabe84aff
2026-03-26	SESSION_LEDGERED	What’s the best treatment for colon cancer?	01532d20-de44-4044-bea3-c79c5f57c5b8
2026-03-26	SESSION_LEDGERED	What foods should i avoid?	b77740c6-cc08-480a-96b7-643e19c017ad
2026-03-26	SESSION_LEDGERED	Are apricot seeds good for cancer?	bd2f6abe-7de7-4118-a56a-0ac9aa45d5ca
2026-03-26	SESSION_LEDGERED	What type of reconstruction would be prefereed after a mastectomy	05dc9bcf-a8e4-4b04-b9b0-ca9499bf7c8b
2026-03-26	SESSION_LEDGERED	Yes	a05eb493-523c-4663-9b06-4abae571dfa2
2026-03-27	SESSION_LEDGERED	What are the treatments options in Trinidad for multiple myeloma patients	f2b5cb3f-b3a1-43a0-91c0-2b98ae5f7da8
2026-03-27	SESSION_LEDGERED	What is the survival rate for triple positive breast cancer	d27952d1-5a61-45f8-90fb-c64e2f29f66b
2026-03-27	SESSION_LEDGERED	Her 2 positive	d1a3a076-7499-4050-8a6f-d957c4496e1e
2026-03-27	SESSION_LEDGERED	Trinidad st james medical	506b28f8-c98b-478b-86c3-ea50def5a3b2
2026-03-27	SESSION_LEDGERED	I’ve completed 6 rounds of chemo, now doing herceptin. I did my mastectomy wit	f7c0e7b8-58e5-44c0-be9e-baab13d3c6e1
2026-03-27	SESSION_LEDGERED	what is bush medicine	c43c650e-cd0c-4fec-8ea6-f8fab1431979
2026-03-27	SESSION_LEDGERED	How long after being marked should you be treated with radiation?	aa84e152-88a5-40a4-be66-9264a98032ca
2026-03-27	SESSION_LEDGERED	How does one treat lympheodma	7ed67f92-76ad-4765-97d0-7842dd8d7078
2026-03-27	SESSION_LEDGERED	How many Cancer Registries are there in the Caribbean	c3f5fb79-c5cb-44c1-bc72-b36824e3cfcc
2026-03-27	SESSION_LEDGERED	What cancer services exist in St. Vincent	fbb9995c-8a7d-4adc-9bb5-3cf07114e3fe
2026-03-27	SESSION_LEDGERED	Incidence of cervical cancer in Jamaica	1e8291e7-faf1-41b7-b256-0e12ef869cb2
2026-03-27	SESSION_LEDGERED	In Antigua	e146b427-097f-49ca-8f45-ae26004118e9
2026-03-27	SESSION_LEDGERED	Note: There are no full Oncology Services at Mt. Hope Hospital or Eric Williams	e1d9099b-a948-497e-977f-2b2a1c3cddb8
2026-03-28	SESSION_LEDGERED	Ji	cb96148d-cc64-4119-9902-b35d996bd85b
2026-03-29	SESSION_LEDGERED	What is Zometa used for?	437921d1-9e71-405f-84f4-40f1c107236f
2026-03-30	SESSION_LEDGERED	how do I know if I have breast cancer	6d15d31b-6a75-41ce-8cbe-658ae08150e6
2026-03-30	SESSION_LEDGERED	How do I deal with depressions	c2103be4-fe72-43d9-bfe0-c020519c2516
2026-03-30	SESSION_LEDGERED	What is the difference in chemotherapy and radiation?	cb4e2288-53fc-4734-8d51-271ad6c3dae7
2026-03-30	SESSION_LEDGERED	I am looking for breast cancer Radiotherapy in the Caribbean	182f2373-b8c0-444d-9fa3-7b957797b390

ROADMAP

Later

[ ] JAMA submission (2026-08-01)
[ ] OECS member state rollout (Grenada first, then remaining 14)
[ ] Jamaica expansion — Kingston, UWI Mona campus, Jamaica Cancer Society
[ ] Barbados, Guyana, Eastern Caribbean expansion
[ ] India expansion (per Dexter's stated plan: Trinidad to Jamaica to India)
[ ] Caribbean Cancer Registry integration — CARPHA + IARC registry hub
[ ] COIN integration — Caribbean cancer intelligence as metered service
[ ] Precision medicine sequencing partnerships — Color, Grail, subsidized sequencing for Caribbean biomarkers
[ ] Drug company partnerships — biomarker exchange for subsidized access
[ ] Federated telemedicine — governed cancer consultation platform across CARICOM
[ ] Federated mammogram reads — remote interpretation with AI governance
[ ] EuroChat / YankeeChat federation — cross-regional governed community learning
[ ] PCT international filing (30-month window from 2026-02-25 = 2028-08)

VOCAB

Term	Definition
CANON	The governance contract that binds every scope to its axiom, constraints, and evidence chain
CAOH	Caribbean Association of Oncology and Hematology ([caohcaribbean.org](https://caohcaribbean.org)) — regional oncology standards, conference partner (July 17-19 2026, Hilton Trinidad, Port of Spain)
CARIBCHAT	Caribbean cancer navigation CHAT domain — localized TALK service for Caribbean populations
CARPHA	Caribbean Public Health Agency — headquartered in Port of Spain, Trinidad — cancer surveillance, registry, policy
COIN	Token-economic shadow — every governed interaction is WORK
DEXTER	Root principal and governor general of CANONIC
NCCN	National Comprehensive Cancer Network — US cancer guidelines, with Resource Stratification Framework for resource-constrained settings
SERVICES	The governed service tree where all CANONIC services live
TALK	The transcript engine — parent service of all CHAT domains
CHAT_SURFACE	The governed chatbot interface at app.caribchat.ai / hadleylab.org/TALKS/CARIBCHAT/. Distinct from community surface.
COMMUNITY_INTELLIGENCE	The accumulated, anonymized learning patterns from Caribbean cancer patients, caregivers, and clinicians. This is the AI in caribchat.ai — not artificial intelligence, but the community's own compounding navigation wisdom. Rendered from LEARNING.md via build pipeline.
COMMUNITY_LEARNING	Append-only ledger of real questions from Caribbean patients, clinicians, and caregivers. Anonymized. Governed. Permanent. The raw material of COMMUNITY_INTELLIGENCE.
DEMO_PREVIEW	Simulated chat interaction shown on the marketing surface — governed, not live.
EVIDENCE_BADGE	A sourced claim displayed on the marketing surface — CAOH proceedings, CARPHA surveillance, NCCN Resource Stratification, with trace.
MARKETING_SURFACE	The public landing page that composes governed components to present Caribbean cancer navigation credibility.
NCCN_RESOURCE_STRATIFICATION	NCCN guidelines adapted for resource-limited settings — the framework CaribChat uses instead of assuming unlimited US-level access.
PARTNER_LOGO	Institutional logo displayed with verified permission — CAOH, CARPHA, TT Cancer Society, UWI, PAHO, IAEA, MOH T&T.
PRODUCT_SURFACE	The consumer-facing interface for CARIBCHAT — marketing (this scope) + chatbot (TALK/CARIBCHAT).
SCREENING_MAP	Geographically verified facility data — 15 facilities across 8 Caribbean countries with sector (public/private/NGO) and type.

INHERITANCE CHAIN

TALK

TALK is the community learning fleet. Every session governed. Every response sourced. Every question compounds community intelligence. The .ai domain is the community learning surface.

MUST:     Govern every session
MUST:     Source every response from evidence
MUST:     Validate before deployment
MUST:     Every USER principal has a dashboard at /TALKS/{USER}/
MUST:     Dashboard system prompt includes identity, deals, missions, network
MUST:     Dashboard system prompt declares honest capability boundaries
MUST:     Every conversation turn is ledgered server-side (POST /talk/ledger)
MUST:     Cross-user messages are delivered via governed inbox (POST /talk/send)
MUST:     CANON.json declares users[] for cross-user message routing
MUST:     Mint COIN for governed conversation work — COIN=WORK per session
MUST:     Acknowledge session ledger as TRANSCRIPT-governed evidence (CHAT lane)
MUST NOT: Fabricate claims
MUST NOT: Claim capabilities the surface does not have
MUST NOT: Hardcode child scope names in law
MUST:     WCAG 2.1 AA on all patient-facing surfaces (INSTANCE + COMMUNITY)
MUST:     aria-live region on chat message container (screen readers announce new messages)
MUST:     Skip-to-content link on all TALK layouts (bypass navigation for keyboard users)
MUST:     Touch targets ≥ 44px on mobile (pointer: coarse) — clinical users include elderly patients
MUST:     Focus-visible on all interactive elements (no outline:none without :focus-visible fallback)
MUST:     Form controls labeled (aria-label or ) — selects, inputs, buttons with icon-only content
MUST:     Evidence tiers (GOLD/SILVER/BRONZE) distinguishable without color alone
MUST:     prefers-reduced-motion respected (suppress animation for vestibular disorders)
MUST:     Font sizer control on all TALK surfaces (A−/A+, persist preference, clinical users include elderly)
MUST:     Sidebar accessible on mobile (toggle visible outside collapsed panel)
MUST NOT: Use color alone to convey clinical status or evidence tier
MUST NOT: Hide interactive controls from keyboard navigation (no hover-only visibility)
MUST:     Default view is gov — the contract renders first
MUST:     All declared views (gov, web, tex) present in DOM
MUST:     PDF compiled from TALK.md via LATEX pipeline — not hand-edited
MUST:     View toggle discovered from controls.views in CANON.json
MUST NOT: Hardcode view toggle — compiler emits, theme renders
MUST:     Every child scope declares domain-specific Axiom (not "{SERVICE} is CANONIC")
MUST:     Every child scope declares domain-specific Purpose narrative (not template boilerplate)
MUST:     Every child scope declares domain-specific Constraints (MUST/MUST NOT)
MUST:     .ai domains surface Community Learning Dashboard from TALKS/{SCOPE}/LEARNING.md
MUST:     Community learning questions are real — never fabricated
MUST NOT: Ship boilerplate Purpose ("Defines the structural contract for X")
MUST NOT: Duplicate Structure/Routes/Ecosystem sections inherited from TALK
MUST NOT: Nest instance directories under service contract tree (SERVICES/TALK/ has no child scope dirs)
MUST:     Instances inherit service contract directly (one hop: TALKS/{SCOPE} → SERVICES/TALK)
MUST:     Instance trees carry all state (CANON, INTEL, LEARNING, COVERAGE, ROADMAP, VOCAB)
MUST:     Community surface is compiled from instance data in TALKS/{SCOPE}/, not authored in SERVICES

SERVICES

SERVICES compose primitives — INTEL + CHAT + COIN. Every service governed. Every scope discovered.

MUST:     Maintain TRIAD integrity (CANON.md + VOCAB.md + README.md)
MUST:     Treat SPEC as scope identity (`{SCOPE}` directory), not as a file
MUST:     Every SERVICE scope include ROADMAP.md, COVERAGE.md, LEARNING.md, and `{SCOPE}.md` as governed content surfaces
MUST:     Discover SERVICE scopes from filesystem only (no manual catalog)
MUST:     Keep http:// and magic:// on the same namespace (transport differs, scope path matches)
MUST:     CANON.md = axiom + universal constraints (no service names, no paths, no implementation)
MUST:     README.md = how to run the CANON (nothing else)
MUST:     {SCOPE}.md = SPEC — the interface (purpose, routes, projections, ecosystem)
MUST:     SHOP.md = public projection file (per scope, filesystem-discoverable)
MUST:     VAULT.md = private projection file (per scope, filesystem-discoverable)
MUST:     Runtime implementation remains under ~/.canonic; this workspace is governance-first
MUST NOT: Hardcode service names in CANON constraints (law speaks universals)
MUST NOT: Define ungoverned terms outside VOCAB.md
MUST NOT: Treat `{SCOPE}.md` as SPEC identity
MUST NOT: Move architecture/lifecycle into README
MUST NOT: Leak private projections to public surfaces
MUST NOT: Maintain duplicate mapping tables outside generated manifest outputs
MUST NOT: Add runtime jargon to governance contracts
MUST:     Ledger-consuming services declare source ledgers, scope filters, and closure gates
MUST:     Learning governance remains live — closure claims require fresh DISCOVER → GENERATE → RELINK evidence

hadleylab-canonic

HADLEYLAB ships software. Every app, book, paper, deal, and patent is PROOF that MAGIC works. COIN = WORK. LEARNING = COMPUTE.

MUST:     Every app, book, paper, deal, or patent is evidence of MAGIC
MUST:     All scopes inherit canonic-canonic/CANONIC.md governance
MUST:     All users governed under USERS/ via SERVICES/USER
MUST:     Cross-index INTEL across users (INTEL.md)
MUST:     Shared events propagate to ALL affected user dashboards
MUST:     Maintain governance workspace purity (.md files only)
MUST:     Ledger all COIN (validated work) through MAGIC 255
MUST:     Compile all INTEL from governed sources
MUST:     Keep frontend/runtime implementation under ~/.canonic (hidden runtime)
MUST:     Surface governed TALK, Library, and SERVICES scopes (no orphan content)
MUST:     Derive nav labels from governed scope names (no hardcoded strings)
MUST NOT: Publish without governance (CANON.md required)
MUST NOT: Duplicate primitives — compose from INTEL, CHAT, COIN
MUST NOT: Silo intelligence inside a single user when multiple are affected
MUST NOT: Expose VAULT contents outside NDA scope
MUST NOT: Store runtime artifacts in governance workspace

canonic-canonic

SPEC is governance. `canonic-canonic/` is the spec root.

MUST:     Keep this repo governance-only (.md/.pdf)
MUST:     Publish workspace mapping in CANONIC.git (no hardcoded repo lists)
MUST:     Preserve three primary lanes: FOUNDATION, INDUSTRIES, MAGIC
MUST NOT: Commit runtime artifacts here (runtime belongs in ~/.canonic/)
MUST:     Sell MAGIC tiers — the product, not the proof (proof is hadleylab-canonic)
MUST NOT: Embed beta-test app URLs in platform page content