Five domains, twenty-five cohorts
The network is organized into five domains with five cohorts in each. The first three domains describe patients and get care maps. The last two describe the providers who serve them and get rosters. Every care map draws its people from domains four and five. The [structure page](/structure/) explains the format, the process for starting a cohort, and the naming conventions.
1. Complex disease
The patient who does not fit. Where is the signal, and how do we find it?
Patients. Care maps.
2. Treatable monogenic disease
A diagnosis would change treatment. Who is undiagnosed, and how do we recognize them?
Patients. Care maps.
3. Population genetics
The patient is well. What does the genome say about risk, and what do we do with it?
Patients. Care maps.
4. Diagnostic support
Who will run the study, the assay or the consult, at a published price?
Providers. Rosters.
5. Private practice
Who are the independent clinicians, and what do they bring to a care map?
Providers. Rosters.
All twenty-five cohorts
Five launch with the founding cohort. Five are forming, one per domain, opened 2026-10-29 and looking for leads. The other fifteen are seeking leads: the convener wrote and reviewed a first map or roster so every case and every referral has a home in the grid, and each one is waiting for a member to lead it. The structure page explains how a cohort moves from a first map to running.
- Launch
- Forming
- Seeking a lead
Patients, care maps
Patients, care maps
Patients, care maps
Providers, rosters
Providers, rosters
Private practice eligibility is specific: the clinician founded or co-founded the practice, and more than half of its revenue comes from patients rather than payers. Diagnostic centers qualify by publishing cash prices and running requested protocols.
Conditions still to place
Several adult-treatable conditions sit between cohorts and will be placed as the domains fill out: cystic fibrosis (CFTR modulators), hereditary angioedema, MODY, sickle cell disease, and atypical hemolytic uremic syndrome. Primary mitochondrial disease and Huntington disease stay with the neurogenetic cohort until a broadly approved disease-modifying therapy exists.