The question behind the term
Connectivity loss can interrupt operational work, but keeping a screen active is not enough. A healthcare workflow must say which reference data may be stale, which action can be staged and which decision requires live authority.
A reviewable approach
Model local state, expiry, provenance, queued commands, conflict types and review ownership. Design a reconnection workflow that preserves earlier versions and routes unsafe ambiguity to a qualified person.
- Classify actions by offline authority
- Display freshness and commit state
- Protect local devices and queued content
- Require human review for unsafe conflicts
The boundary to keep visible
Offline-first does not mean uninterrupted service or approved offline clinical editing. Dr. Livara explicitly treats offline chart editing as deferred safety-sensitive work.