THE SIGNAL A previous KYOTEN analysis established that deployment and normalized operation are not the same event. The question now is different. Where does that separation become visible from outside? The U.S. Department of Veterans Affairs operates the largest integrated healthcare system in the United States. It serves approximately nine million veterans across 150 medical centers. In 2018, it committed to replacing its legacy electronic health record system with a commercial platform from Oracle Health. The contract was signed. The budget was allocated. Initial deployments began in 2020. By June 2026, the U.S. Government Accountability Office documented the following condition: Oracle Health facilities operate their scheduling and referral management across a multi-system environment that includes Oracle applications, additional scheduling systems, and some of the same tools used by facilities still running the legacy VistA platform. The system is live. It performs core functions. But ordinary scheduling work at deployed facilities has not consolidated into a single operational platform. This is the signal. SIGNAL CONFIRMED — CONDITIONED CONFIRMED: Post-go-live operational fragmentation is documented by the highest U.S. government audit authority. CONDITIONED: The root cause is mixed. GAO identifies technical issues, patient-safety concerns, usability challenges, configuration problems, and organizational change-management shortcomings. This Radar does not isolate a single cause. It identifies the observable condition. WHAT GAO ACTUALLY DOCUMENTS The evidence base rests primarily on GAO-26-109213, published June 2026, titled Veterans Health Care: Scheduling Systems and Related Challenges. Additional context comes from GAO-26-108812 and verified public reporting from Federal News Network, Nextgov, Becker's Hospital Review, and official VA communications. The factual timeline: May 2018. VA awarded a contract to replace its VistA electronic health record with a commercial system from Cerner, now Oracle Health. The original contract value was reported at sixteen billion dollars. The projected completion was 2028.