Competent, caring people can build the wrong software when the information reaching them has passed through a chain of handoffs. A nurse says, "I need to know which patients need my attention," and support, customer success, product, design, engineering and QA each do competent work on that sentence. Months later the nurse gets a status column and says, "This doesn't help me decide who to call." Nobody failed; the design is the problem. This fieldbook treats every internal function as a sensor that reports evidence about users and never a stand-in that speaks as the user, and gives teams the tools to tell the difference. You learn to label every claim about users by how strong the evidence is and how close it came to real use, tell QA from user acceptance testing, turn complaints into testable hypotheses, watch work instead of collecting opinions about it, and weigh a workflow by frequency, friction, economics and clinical consequence. It is for product, design and engineering teams that build B2B and healthcare software.