This document defines a globally adaptable health-system architecture intended to be used as anormative reference. Its function is to fix a small set of non-negotiable structural properties (axioms)that any implementation must satisfy in order to be considered incentive-aligned, auditable, andoutcome-optimizing under explicit constraints.In scope: system-level objectives, constraints, incentive alignment, auditability, benchmarkability,and amendment protocol.Out of scope: clinical practice guidelines, disease-specific protocols, and jurisdiction-specific legaldrafting. This text is not medical advice or legal advice.