Adding layers of intelligence to Healthcare

One patient. Multiple perspectives. A network of specialized AI agents continuously adds layers of insight to reveal the complete clinical picture.

See How It Works →
Clinical Decision Support — Active Case
Orchestrator initializing...
EHR Synced
Agent Swarm
Orchestrator
Dx Agent
ECG Agent
Risk Agent
Pharm Agent
Doc Agent
Knowledge graph: loading...
Agent Harness
Patient Context
M. Rodriguez
67M | MRN: 458291 | ED Bay 4
BP
168/94
HR
94
SpO2
96%
Troponin
0.06
Active Problems
Click any problem to see agent analysis
  • Chest pain, atypicalR07.89
  • Type 2 DM, uncontrolledE11.65
  • Prior PCI (2019)Z95.5
  • CKD Stage 3aN18.31
Knowledge graph — patient nodes
Multi-Agent Reasoning Stream
ECG
Risk
Dx
Pharm
Clinical Query — Auto-triggered by troponin delta + pattern recognition
 
1
ECG Analysis Agent
Awaiting activation...
2
Risk Stratification Agent
Awaiting ECG consensus...
3
Diagnostic Agent — Differential Generation
Awaiting risk stratification...
4
Pharmacy Agent — Safety Intercept
Awaiting diagnostic consensus...
Orchestrator — Agent Consensus Reached HIGH RISK ACS
Activate ACS protocol. Serial troponins at 3h and 6h. Emergent cath lab consult — delta troponin 0.16 exceeds threshold. HEART Score 5 = high-risk disposition. Metformin: hold (eGFR 42 + contrast risk).
Guidelines Click to expand
2022 AHA/ACC Chest Pain Guideline
Class I — Serial troponin for high-risk patients
European Society of Cardiology
0/1-hour rapid rule-out algorithm — rule-in met
ADA Diabetes Standards 2024
Atypical ACS presentation — diabetic patients
Drug Interactions Scanning...
Metformin — Hold (eGFR <45 + contrast risk)
Aspirin 81mg — Continue (post-PCI antiplatelet)
Atorvastatin 40mg — Load to high-intensity
Heparin (UFH) — Weight-based dosing needed
Click any drug for clinical rationale
Similar Cases — Clinical Memory
Case #2847 — 64M, DM, prior PCI
Stress positive → Cath → DES ×2
Case #2901 — 58F, atypical pain
Troponin negative → Outpatient stress
Case #3012 — 71M, CKD + DM
Silent NSTEMI → RCA occlusion → PCI
Knowledge Graph — Clinical Reasoning Infrastructure
All
Conditions
Meds
Evidence
Click node · Hover for detail
Patient center
Domain cluster
Entity node
Natural language query
Anticoagulation + CKD
Drug interactions
ACS risk pathway
Graph traversal
Agent recommendation
Scroll to explore

Built for physicians

For clinicians committed to better outcomes—because patients trust you to use the best of what's available, from medicine to technology.

Evidence

Built on evidence that holds up in real clinical decisions—drawing from sources like New England Journal of Medicine, JAMA, National Comprehensive Cancer Network, and hundreds of peer-reviewed journals worldwide.

Available at no cost for verified physicians.

Workflow

Get to the right evidence in seconds—automatically tailored to the patient's condition, clinical context, and your practice patterns. No fragmented tabs. No chasing papers across PubMed.

The right insight surfaces when you need it—within your workflow, not outside it. Because in critical moments, it's not about searching for answers—it's about having clarity already in front of you.

This isn't another tool to use. It's intelligence that works alongside you.

This is what practicing at the highest standard looks like now.

Access as a Verified Physician → Free for verified physicians · No credit card required

You have felt the gap.

Between information and intelligence. Between data and decision. Between a CDS alert firing and a clinical insight that actually helps. That is where medical errors happen — and where we live.

200+
Data points per patient requiring synthesis
100+
CDS alerts per shift — 90% overridden
17–45%
Hallucination rate in general-purpose AI
2 hrs
Documentation per day of care
In plain terms

Every tool you use today gives you pieces — your EHR gives you data, UpToDate gives you literature, scribes capture your words. But none of them actually help you think through a patient. That cognitive gap remains yours, every single time.

UpToDate gives facts.

You still build the differential. You still synthesize the decision. The cognitive load hasn't changed — it's just moved.

Scribes capture words.

They don't think clinically. They don't flag the troponin trend you might have missed at 3am.

CDS systems alert.

They don't reason. Alert fatigue is real. When everything fires, nothing matters.

ChatGPT hallucinates.

17–45% error rate in clinical contexts. You cannot trust it with a patient's life.

Between information and intelligence. Between data and decision.
That is where we live.

Your Autonomous clinical reasoning Agent.

A team of specialist agents that monitor, reason, and act — continuously. Like having a attending for every specialty who never sleeps, never misses a lab, and never forgets a guideline. They think before you ask.

01
Continuous Context Ingestion
The system maintains a real-time patient vector — a living picture of your patient's clinical state, updated continuously.

Unlike AI chatbots that start fresh each time you open a window, our agents maintain persistent awareness of your patients. Think of it like having a dedicated resident who has reviewed everything about your patient and is always watching for changes.

EHR
EHR Monitor
Active
Scans for new orders, lab results, notes, and medication changes. Maintains continuity across your entire encounter.
HL7 FHIREpic/CernerReal-time sync
Lab
Lab Stream
Listening
Processes incoming lab results, trends values over time, flags critical changes in direction before they become emergencies.
Trend analysisCritical valuesDelta checks
Vital
Vitals Monitor
Listening
Continuous monitoring of bedside devices. Detects subtle trends — like a slowly dropping MAP — before they become critical events.
Waveform analysisEarly warningPattern detection
02
Autonomous Pattern Recognition
When data forms a concerning pattern, the system activates specialist agents automatically — no prompting required.

You don't need to ask. When your patient's troponin starts trending up alongside tachycardia, the system notices. When a post-op patient's blood pressure slowly drops overnight while nursing notes say "stable," the system catches the trend no single vital sign would reveal.

01
Context Ingestion
System continuously reads EHR, labs, vitals, and imaging in real time.
EHR Monitor
New troponin: 0.08 → 0.24 ng/mL
Vitals Stream
HR trending up: 72 → 94 bpm
02
Pattern Detected
Orchestrator identifies the pattern and activates specialist agents automatically.
Orchestrator Troponin delta >0.04 + tachycardia → Activating ACS protocol agents
03
Agent Consensus
Multiple specialist agents reason in parallel and reach consensus before generating any recommendation.
04
Recommendation Delivered
You see a clear, evidence-linked recommendation. One click to act, one click to dismiss. You remain in control.
03
The Agent Swarm
Not one AI. A clinical team. Each agent is a specialist with domain-specific training and evidence grounding.

Think of each agent as a specialist colleague you can silently consult — your cardiologist, your pharmacist, your intensivist. They work together on every case, share findings, and only surface a recommendation when they've reached consensus.

Dx
Diagnostic Agent
Generates ranked differentials with confidence levels. Suggests which history and exam findings would distinguish between competing diagnoses.
Differential generationPre-test probabilityRed flag detection
Ev
Evidence Agent
Real-time literature synthesis. Queries guidelines, landmark trials, and institutional protocols. Cites a source for every recommendation it makes.
Guideline alignmentTrial synthesisSource citation
Risk
Risk Agent
Automatically calculates validated scores — HEART, Wells, CURB-65, qSOFA, and more — using live patient data without any data entry from you.
Risk stratificationOutcome predictionPrognostication
Pharm
Pharmacy Agent
Checks interactions, contraindications, and dose adjustments for kidney/liver function in under a second. Catches problems before you order, not after.
Drug interactionsRenal dosingStewardship
Doc
Documentation Agent
Generates structured notes with your clinical reasoning embedded. Captures the complexity of your decision-making automatically. Saves hours each shift.
Note generationMDM captureBilling optimization
Co
Coordination Agent
Spots discharge barriers early. Suggests consults before they become bottlenecks. Generates patient instructions in any language and appropriate reading level.
Discharge planningConsult routingMultilingual

The Orchestrator — What coordinates everything

The Orchestrator is the "attending physician" of the agent team. It reads the clinical situation, decides which agents to activate, resolves conflicts when agents disagree, and determines when consensus is strong enough to surface a recommendation. It uses 65× less compute than single-model systems while handling up to 80 simultaneous clinical tasks.

04
You Control the Autonomy
Choose how much the system does independently. You can change this at any time, for any patient.
Key principle

The system never takes action on a patient without your approval. It provides intelligence, not authority. You are always the final decision maker — this is designed into the architecture, not just a policy.

Mode 1

Monitor Only

Agents watch silently. Alert only for critical safety issues. You drive all decisions. Ideal for getting started.

Mode 3

Automate Low-Risk

Routine low-risk actions (documentation, standard orders) execute automatically. High-risk actions always require your approval.

How It Connects to Your Hospital

Doctorassist.AI sits as a layer between your data sources and your interface. It does not replace your EHR — it sits alongside it, reading data in and returning recommendations through a panel you already use.

Data Sources
EHR (HL7 FHIR)
Labs (LIS)
Imaging (PACS)
Bedside Devices
Clinical Notes (NLP)
Context Engine
Patient Vector (live)
Temporal Trend Analysis
Clinical State Model
Agent Swarm
Diagnostic
Risk
Pharmacy
Protocol
Documentation
Coordination
How You See It
Embedded in EHR
Standalone Interface
Mobile App
Voice

The cognitive architecture behind the intelligence.

Five systems working in concert — a living library of clinical protocols, a catalogue of known pitfalls, dual-speed reasoning, a second brain for every physician, and a knowledge graph connecting your patient to every relevant piece of evidence.

A living library of clinical intelligence.

Every guideline, template, decision tree, and institutional protocol — version-controlled, specialty-tagged, and continuously updated. Every agent draws from the same authoritative source. When AHA updates a guideline, the system updates automatically.

TPL

Clinical Templates

Admission notes, discharge summaries, H&P structures — pre-loaded with evidence-based clinical reasoning scaffolding.

847 templates · 42 specialties
SCR

Decision Scripts

Branching logic for ACS workup, sepsis evaluation, PE risk stratification, and 200+ clinical pathways with embedded guideline citations.

214 scripts · Updated monthly
CFG

Institution Configs

Your hospital's formulary, antibiogram, preferred imaging protocols, and paging trees — encoded once, applied everywhere.

Per-institution · Auto-sync
PRX

Prompt Protocols

Optimized triggers built from real physician workflows. Invoke complex multi-agent reasoning with a single sentence.

1,200+ prompts · 94% first-pass accuracy
Repository Browser
Emergency Medicine
ACS Workup Protocol
T
Chest Pain Template
S
HEART Score Script
Cardiology
AFib Management
T
Cath Lab Prep Note
ICU / Critical Care
Sepsis Bundle
C
Ventilator Settings
acs-workup-protocol.yaml v3.2 · AHA/ACC 2022 · Last updated 14d ago
1# ACS Workup Protocol — Emergency Medicine
2protocol: acs-workup-v3
3guideline: AHA/ACC Chest Pain 2022 Class I
4agents_required: [ecg, troponin, risk, pharmacy, documentation]
5 
6triggers:
7  - troponin_delta: > 0.04 ng/mL
8  - st_changes: any
9  - clinical_query: "rule out ACS"
10steps:
11  1: 12-lead ECG within 10 min MANDATORY
12  2: Serial troponins 0h, 3h (High-sensitivity preferred)
13  3: HEART score → risk stratification
14override_requires: attending_attestation + reason_documented

We learn from every decision — so you don’t repeat the same mistakes.

We continuously monitor wrong assumptions, missed patterns, and best practices from real clinical cases. Whenever you encounter a similar situation, the system instantly brings back those insights — helping you make more accurate, confident decisions every time.

Diagnostic miss

Silent NSTEMI in diabetic patients

Atypical presentation without chest pain occurs in 23% of diabetic patients. Previous systems over-weighted "no chest pain = low ACS risk."

Before
Low priority — no chest pain
After
Troponin + HR + DM = mandatory ACS screen
EMCardiology
Wrong assumption

Stable vitals ≠ stable patient

Post-op patients can compensate hemodynamically until abrupt decompensation. Trend analysis over 4h outperforms single-point snapshots by 3.4×.

Before
Vitals "within range" → no alert
After
Delta MAP >15mmHg in 4h triggers review
ICUPost-op
Missed data point

eGFR not checked before contrast

Contrast-induced nephropathy risk was routinely missed when eGFR wasn't surfaced alongside CT orders. Now cross-referenced automatically.

Before
CT ordered without renal check
After
eGFR flagged at order entry <60
RadiologyNephrology
Best practice

Antibiotic de-escalation at 72h

Culture results available at 72h but empirical broad-spectrum antibiotics continued. Proactive culture review reduces resistance risk and length of stay.

Pattern
Broad-spectrum past culture results
Fixed
Auto-flag at 72h with de-escalation suggestion
IDStewardship
Rework reduction

MDM complexity undercoding

Physicians consistently underdocumented decision-making complexity, leaving billing on the table and misrepresenting clinical effort in records.

Before
MDM complexity manually assessed
After
Auto-calculated from encounter data
DocumentationBilling
Wrong assumption

INR "within range" with new drug interactions

A baseline INR of 2.4 read as acceptable — but new amiodarone initiation predicted to push it to 3.8+ within 2 weeks. Static values without trajectory modeling cause preventable bleeds.

Before
INR 2.4 → acceptable, no action
After
Drug interaction → predicted INR 3.8 → reduce warfarin
PharmacologyCardiology

System 1 thinking speed. System 2 thinking depth. Both, simultaneously.

Based on how human experts think: fast intuitive pattern recognition for time-critical emergencies, and slow deliberate reasoning for complex clinical questions. The system knows which mode to use — and switches seamlessly between them.

System 1 thinking — Fast

Intuitive Pattern Recognition

"Something is wrong. Act now."

  • 1
    Sub-second anomaly detection
    Pre-computed patient profiles enable instant deviation detection — no re-querying all data needed.
  • 2
    Hard-coded safety overrides
    Rules that fire before agent consensus: STEMI criteria, septic shock physiology, anaphylaxis patterns.
  • 3
    Drug interaction scan at order entry
    Under 0.3 seconds. CYP450 interactions, allergy conflicts, renal contraindications — before the order saves.
  • 4
    Threshold-based critical alerts
    Vital sign ranges, lab critical values, ECG morphology — fast decisions with known error margins.
System 2 thinking— Slow

Deliberative Clinical Reasoning

"Let's think through this carefully."

  • 1
    Multi-agent differential generation
    Full reasoning across symptom clusters, temporal patterns, and population data. Generates ranked differentials with confidence intervals.
  • 2
    Evidence synthesis and agent debate
    Agents query guidelines and literature, then reconcile conflicts before consensus. Takes 3–8 seconds — worth it.
  • 3
    Counterfactual reasoning
    "What if this is NOT ACS?" Forces the system to steelman alternative diagnoses and identify distinguishing tests.
  • 4
    Uncertainty quantification
    All outputs include calibrated confidence scores. Below 70%, the system escalates and explains why it's uncertain.
01
S1
Vital anomaly
MAP drops 20mmHg. Instant S1 flag fires in <200ms.
02
S1
Drug check
Concurrent S1 drug scan. No conflicts found.
03
S2
Context pull
S2 activated. Patient profile built: post-op day 2, lactate trending.
04
S2
Agent consensus
Critical care + surgical agents: anastomotic leak probability 63%.
05
S2
Recommendation
CT abdomen + sepsis protocol + surgery page — all evidence-linked.

Building a second brain for every physician.

From concept of a Personal Knowledge Management system — we've built the clinical equivalent. Every insight, pattern, and near-miss you encounter is captured automatically and returned to you at exactly the moment it becomes relevant again.

"The goal of building a second brain is not to accumulate more information — it's to offload the cognitive burden of remembering so you can focus on creating."
— Building a Second Brain (applied here to clinical cognition)
Medical Memory — Institutional -Clinical decision protocols or Clinical care protocols Shared
Active Protocols
Current institutional guidelines, formulary, and active clinical pathways. Updated in real-time from source.
ACS BundleSepsis-3VTE Prophylaxis
Refreshed every 24h from EHR + Pharmacy
Distilled Evidence Base
Landmark trials, meta-analyses, and guideline summaries pre-processed into agent-queryable knowledge.
PLATO TrialRECOVER ICUNEJM 2023 ACS
14,200 evidence chunks indexed
Historical Case Archive
De-identified past cases with outcomes. Surface similar cases when patterns match your current patient.
Anonymised · HIPAA compliant · 180-day rolling window
Clinical Memory — Your Personal- Skills Personal
Your Captured Insights
Cases where you added a note, flagged a finding, or overrode a recommendation. The system learns your clinical reasoning style.
Preferred workup sequencesDrug preferences
247 personal captures this quarter
Progressive Summaries
Each case compresses to a summary. Each specialty compresses to patterns. Reviewed at shift start, weekly, and quarterly.
Weekly briefSpecialty trendsError patterns
PARA-inspired: Projects → Areas → Resources → Archive
CME & Knowledge Gaps
The system identifies recurring topics where you sought guidance and surfaces targeted learning resources.
Passive capture · No extra effort required
Capture

Raw clinical encounters

Every case interaction, override, flag, and annotation captured automatically without adding to your workload.

Real-time
Organise

PARA clinical structure

Sorted into: Active Patients (Projects) → Specialty Domains (Areas) → Evidence Library (Resources) → Closed Cases (Archive).

Automatic
Distil

Progressive summaries

A 4-hour shift distils to a 5-point handover. A week distils to 3 pattern insights. A month surfaces as specialty-level learnings in agent reasoning.

Daily / Weekly
Express

Returned at point of care

Your personal clinical memory resurfaces when patterns match: "You've seen this before — last time the diagnosis was X, and it responded to Y."

Contextual

Clinical data structured by meaning, not storage.

A multi-layered graph where patients, conditions, medications, evidence, and outcomes are all connected nodes. Agents don't query flat tables — they traverse relationships, discovering non-obvious connections your EHR would never surface. "Heart attack," "MI," "STEMI," and the ICD code I21.09 are all the same node.

Pt
1 node per patient

Patient Graph

Each patient is a connected subgraph — conditions, meds, labs, procedures, and outcomes linked by temporal and causal edges.

DemographicsConditionsMedsLabsOutcomes
Ev
14,200 evidence nodes

Evidence Graph

Guidelines, trials, and case reports are citable nodes. Every recommendation edge is weighted by evidence class and recency. Contradictions are flagged, not hidden.

TrialsGuidelinesMeta-analysesExpert consensus
Ont
SNOMED · RxNorm · ICD-11

Ontology Graph

Medical terminologies unified into a single semantic layer. Queried consistently across all agents — no ambiguity, no missed synonyms.

SNOMED CTRxNormICD-11LOINCHL7 FHIR
Patient Knowledge Graph — M. Rodriguez, 67M
All
Conditions
Meds
Evidence
Graph live — 14 nodes · 12 edges
EHR synced 2m ago
Agents: 4 active
Patient (center)
Domain cluster
Entity
Click any node to explore · Hover for details
Live Graph Query — Natural Language to Traversal
Select a query
Anticoagulation options
Drug interaction check
ACS risk pathway
Query
"What are the safest anticoagulation options given CKD and prior PCI?"
Graph traversal
Recommendation

It thinks before you ask.

Real cases where the system identified what humans missed — not because it's better than you, but because it never blinks and it never forgets. These are the moments that matter.

Emergency Medicine
The Silent Pattern
67M admitted for "weakness" — no chest pain reported
Admission Vitals
BP142/88
HR102
SpO294%
Troponin I0.06
T+0 min — Admission
Patient presents with generalized weakness. No chest pain, no dyspnea. Working diagnosis: viral syndrome vs dehydration.
T+4 min — Pattern Detected
Dx
Diagnostic Agent
Troponin 0.06 (99th percentile: 0.04) + HR 102 + age 67 + male + diabetes. Pattern matches atypical ACS presentation in 23% of diabetic patients.
ECG
ECG Agent
T-wave inversions V2-V4 subtle but present. Compared to prior ECG (2022): new changes. Sensitivity for posterior MI: 78%.
T+6 min — System Action
Autonomous AlertHIGH RISK
Possible NSTEMI with atypical presentation. Recommend immediate cardiology consult and serial troponins.
T+45 min — Outcome
Result
Troponin peaked at 4.8. Cath revealed 95% RCA occlusion. Door-to-balloon: 62 minutes. Patient discharged 3 days later with preserved ejection fraction.
Internal Medicine
The Hidden Contraindication
54F with AFib started on new antiarrhythmic
Current Meds
Amiodarone400mg BID
Warfarin5mg daily
Simvastatin80mg
INR3.8
T+0 — Order Placed
Amiodarone 400mg BID ordered for new-onset AFib with RVR. Standard loading dose per protocol.
T+0.3 sec — Safety Scan
Rx
Pharmacy Agent
CYP3A4 inhibition detected. Amiodarone increases simvastatin levels 4-fold. Risk: rhabdomyolysis. Also: INR elevation predicted (amiodarone + warfarin).
Renal
Nephrology Agent
eGFR 52. Simvastatin 80mg already at threshold. With amiodarone interaction, myopathy risk: 12% (population avg: 0.3%).
T+1 sec — Intervention
Safety InterventionCRITICAL
Order blocked. Simvastatin dose must be reduced to 20mg max with amiodarone. Warfarin dose reduction recommended (target INR 2-3: reduce 25%).
Outcome
Result
Physician adjusted simvastatin to 10mg and warfarin to 3.75mg. Patient discharged without adverse events. INR stabilized at 2.4.
ICU
The Early Warning
Post-op patient, "stable" per nursing notes
Trend (Last 4h)
MAP78→65→58
HR88→95→112
Lactate1.2→2.8
Urine45cc/hr
02:00 — Vitals Check
Nursing assessment: "Patient sleeping comfortably. Vitals stable." Individual values within "normal" ranges per hospital protocol.
02:15 — Pattern Recognition
ICU
Critical Care Agent
Delta MAP >15mmHg in 4h + rising lactate + tachycardia + oliguria = Sepsis probability 87%. qSOFA: 2. SIRS: 2.
Surg
Surgical Agent
Post-op day 2 from bowel resection. Anastomotic leak in differential. Source control critical window: next 6 hours.
02:16 — Alert Generated
Deterioration AlertSEPSIS
Patient meets sepsis criteria with probable intra-abdominal source. Recommend: lactate recheck, blood cultures, broad-spectrum antibiotics within 1hr, CT abdomen.
05:30 — Outcome
Result
CT confirmed anastomotic leak. Taken to OR. Septic shock averted. Patient recovered without organ dysfunction. Length of stay reduced by 4 days vs typical delayed recognition.

Built for trust.

HIPAA-compliant by architecture — not by policy alone. Your data never trains our models. Your patients' privacy is non-negotiable and technically enforced, not just promised.

What this means for you

Patient data is tokenized (names and identifiers replaced with codes) before it ever enters our system. It's processed in temporary memory and deleted immediately after your response. No patient data is ever stored in our infrastructure or used to improve our models.

Defense in Depth — Security Architecture

Application
SOC 2 Type II
End-to-end encryption
Role-based access
Audit logging
Session management
Every action logged, every session encrypted, every access verified. Nothing happens without a trail.
Data
AES-256
At-rest encryption
TLS 1.3 in transit
Field-level PHI masking
Automated backup
Patient data encrypted at rest and in transit. PHI masked in logs and analytics — no identifiers ever visible in monitoring.
Infrastructure
HIPAA BAA
HITRUST CSF
Private cloud
Network isolation
DDoS protection
Isolated infrastructure with no shared resources. Business Associate Agreements with all subprocessors.
AI Model
Zero retention
No training on PHI
In-memory processing
Automatic purging
Patient data never persists in model memory. Processed in real-time, purged immediately after your response is delivered.

How Your Data Flows

01
Ingestion — Data enters tokenized
EHR data flows via HL7 FHIR. Patient names, MRNs, and identifiers are replaced with cryptographic tokens at the gateway — before entering our system. The model never sees a real name.
FHIR R4TokenizationmTLS
02
Processing — In temporary memory only
Clinical context is processed in ephemeral containers that exist only for the duration of your query. No data written to disk. Memory sanitized after each session closes.
Ephemeral computeMemory-onlySecure enclaves
03
Output — Recommendation delivered, data deleted
Recommendations are generated and immediately detokenized for display in your EHR. No clinical data is retained in our infrastructure. Audit logs store only metadata — never PHI.
DetokenizationZero retentionMetadata-only logs

Clinical Safety Principles

Human-in-the-loop — always
Every recommendation requires your approval before any action is taken on a patient. The system suggests. You decide. This is designed into the architecture — it cannot be disabled.
Uncertainty is always shown
Confidence scores displayed for every recommendation. When the system isn't sure, it says so explicitly and flags the recommendation for additional physician review.
Every recommendation traces to source evidence
Every recommendation links to the specific guideline, trial, or institutional protocol behind it. No black box decisions. You can always see exactly why the system said what it said.
Fail-safe design — silence over error
If the system fails or is uncertain, it defaults to making no recommendation — never an incorrect one. Offline mode preserves full EHR functionality.
Continuous safety monitoring
Real-time monitoring of all recommendations across the platform. Anomalous patterns trigger immediate human review and system adjustment.

Built for the stakes.

These aren't marketing numbers. They're the metrics that matter in clinical practice.

<2%

Hallucination Rate

Multi-agent consensus with evidence grounding. General-purpose LLMs: 17–45% error rate in clinical contexts.

100%

Evidence Traceability

Every recommendation links to source evidence, patient data point, and confidence calculation. Nothing is a black box.

<1s

Latency at Point of Care

Pre-computed patient profiles enable sub-second response. No loading screens when a patient needs a decision now.

65×

Efficiency vs Single Model

Multi-agent architecture handles 80 simultaneous clinical tasks at 65× less compute than single large-model systems.

05
The Infrastructure Layer

Agent Harness — The Clinical Reasoning Infrastructure.

We are not just assisting doctors — we are building the clinical reasoning infrastructure layer for healthcare. An ecosystem of autonomous agents that wake up, connect, remember, and act across your entire healthcare environment.

ORCHESTRATOR Agent Harness Dx Agent Diagnostic Rx Agent Pharmacy Doc Agent Documentation Risk Agent Stratification EHR (Epic/Cerner) Lab Systems (LIS) Imaging (PACS) Bedside Devices Clinical Memory Knowledge Graph Evidence Base Inst. Protocols
80+
Simultaneous Agents
<1s
Wake-up Latency
65×
More Efficient

How agents wake up, work, and sleep.

Agents aren't always running. They wake up when needed — triggered by clinical events, temporal patterns, or your explicit requests. Click each phase to explore it.

01 — Dormant

Passive Monitoring

Agent exists as a configuration — watching for trigger conditions. Zero compute cost. 500 agents can monitor 10,000 patients in this state.

Vital threshold Lab result Order placed Time-based
02 — Activation

Wake-up Sequence

Trigger detected → Agent instantiates in <200ms → Pulls patient context → Loads relevant memory → Begins reasoning.

Troponin ↑ 0.16 MAP ↓ 15mmHg New order: Amiodarone
03 — Execution

Active Reasoning

Agent performs its specialty task — differential generation, drug interaction check, risk calculation. Queries tools, reads memory, collaborates with other agents.

Tool calls Memory queries Agent consensus
04 — Resolution

Output & Sleep

Recommendation delivered to physician. Agent state persisted to memory. Agent returns to dormant mode. Compute resources released. Audit trail complete.

Recommendation queued Memory updated Resources freed

Three layers of persistent intelligence.

Memory isn't an afterthought — it's the foundation. Click each layer to expand live clinical examples.

Hot Memory — Active Patient Context

<1ms access ▾

Real-time patient state — vitals, labs, active orders, current medications. Pre-computed vectors enable instant pattern matching. Survives for duration of encounter.

Current troponin trend: 0.08 → 0.24
Active orders: Serial troponins q3h, ECG q30min
Pending: Cardiology consult (requested 08:14)

Warm Memory — Encounter History

<10ms access ▾

This admission's narrative — every decision, override, near-miss, and outcome. Progressive summarization compresses 72 hours into key clinical pivots. Survives 30 days.

Day 1: Atypical ACS presentation — physician overrode low-risk suggestion
Day 2: Cath revealed 95% RCA occlusion — decision validated
Pattern learned: DM + weakness + HR>100 → high ACS suspicion

Cold Memory — Institutional & Personal Knowledge

<50ms access ▾

Long-term learning — your personal clinical patterns, institutional protocols, and evidence base. Progressive summaries distilled weekly, monthly, quarterly. Survives indefinitely.

Dr. Chen's pattern: Prefers d-dimer before CT for low-risk PE (87% accuracy)
Institutional: Sepsis bundle compliance 94% — target 98%
Evidence: ATLAS ACS-2 trial — rivaroxaban + DAPT in ACS

Agents that connect to everything.

Agents don't work in isolation. They call tools — EHR queries, lab systems, imaging databases, calculation engines, communication platforms.

Data Sources

EHR (HL7 FHIR)Live
Laboratory (LIS)Live
Imaging (PACS)Live
Pharmacy (PDM)Live
Bedside DevicesLive

Calculation Engines

Risk Scores (HEART, TIMI, Wells)Ready
Renal Dosing CalculatorReady
Drug Interaction CheckerReady
ICD-10/11 CoderReady
MDM Complexity CalculatorReady

Action & Communication

Paging/Notification SystemReady
Order Entry (CPOE)Ready
Documentation TemplatesReady
Patient Portal MessagingReady
Telemedicine IntegrationStandby
Live Tool Execution — Pharmacy Agent checking drug interaction Executing...
1
Query EHR for active medications
7 medications found · 23ms
2
Check CYP450 interactions (new: Amiodarone)
3A4 inhibition detected · Simvastatin affected · 45ms
3
Query renal function for dosing
eGFR 42 · Dose adjustment required · 18ms
4
Generate recommendation with alternatives
Consulting evidence base · 89ms
5
Push alert to physician interface
Queued

Inpatient vs Outpatient — Different rhythms, same intelligence.

The Agent Harness adapts to clinical context. Inpatient agents monitor continuously. Outpatient agents think ahead and ensure nothing falls through cracks.

IP

Inpatient — Continuous Monitoring

T+0
Admission Agent
Patient admitted → Agent swarm initializes · Pulls history · Calculates baseline risk · Flags prior adverse events
Continuous
Vitals Monitor + Lab Stream
Pattern detection: MAP trending down 12mmHg over 6h + lactate 1.2→2.1 → Early sepsis alert fires
Triggered
Critical Care Agent
Troponin 0.08→0.24 detected → ACS protocol activated → Serial troponins ordered · Cardiology paged
Daily
Discharge Planning Agent
Day 3 of 5 predicted LOS → Flags home oxygen need · Arranges VNA · Generates patient instructions
On-demand
Consult Agent
Physician requests consult → Agent prepares summary · Attaches relevant ECGs · Routes to on-call
IP Character: Always-on, reactive to deterioration, proactive about transitions. 50–80 agents per patient during active phase.
OP

Outpatient — Anticipatory Intelligence

Pre-visit
Chart Prep Agent
48h before appointment → Reviews 18 months of records · Flags uncontrolled A1c · Suggests medication reconciliation
Morning-of
Triage Agent
Patient reports chest pain in portal → Risk stratification · ECG ordered · Slot opened · Physician alerted
During visit
Documentation Agent
Real-time note generation · Captures MDM complexity · Suggests coding level · Flags quality measures
Post-visit
Care Gap Agent
Orders placed: A1c in 3 months · Mammography scheduled · Patient instructions sent in Spanish
Between visits
Surveillance Agent
Home BP readings trending up → Medication adjustment suggested · Message sent · Appointment offered
OP Character: Anticipatory, preparation-focused, longitudinal. 5–15 agents per patient, waking up at key moments.

Connects to your healthcare ecosystem.

The Agent Harness isn't a standalone product — it's an infrastructure layer that integrates with everything you already use. Hover or click any node to learn more.

HL7 FHIR

Modern, standardized data exchange. Real-time bi-directional sync with any FHIR-enabled EHR.

API Integration

RESTful APIs for custom connections. Webhook support for event-driven activation.

Embedded UI

Agents surface directly in your EHR interface — no separate login, no context switching.

Voice & Mobile

IP rounds via mobile app. Bedside voice capture. Alerts via smartwatch.

For individual physicians

How DoctorAssist.AI became widely used in clinical practice
Without a sales team.

We didn't run ads. We didn't hire reps. We didn't exhibit at conferences. Doctors found this tool, used it on a patient, and told the next doctor. That's the entire go-to-market.

The complete strategy, broken down by what actually drove it. Steal every tactic — or just understand why this tool spreads the way it does.

Why it spreads — three categories no other tool can claim
01 — World's First
Workflow-
integrated
intelligence.

Not a tab you switch to. Not a chatbot you open. The only clinical intelligence engine that lives inside your workflow — surface at the exact moment a decision needs to be made. Every other tool asks you to go to it. This one comes to you.

Embedded in EHR · No context switching · Zero added steps
02 — Best in Class
Clinical
reasoning
that holds up.

Under 2% hallucination rate in clinical contexts — while general-purpose AI sits at 17–45%. Every recommendation cites its source. Every confidence score is calibrated. Built by people who understood that trust in medicine isn't earned by being impressive — it's earned by being right, consistently.

<2% error rate · 100% evidence-linked · Every output traceable
03 — Only One
Agents that
disagree with
each other.

The only system using deep specialist agents that reason from different clinical perspectives simultaneously — and only surface a recommendation when they've reached consensus. The Diagnostic agent and the Pharmacy agent don't always agree. That disagreement is where the real intelligence lives.

6 specialist agents · Multi-perspective consensus · No single point of failure

How it spread — channel breakdown

Channel 01
Hallway handoff.
43%

One physician uses it on a patient. The outcome is better than expected. They tell the attending, or the resident, or text the colleague on the next shift. No marketing required. The patient is the proof point.

43% of new users referred by a colleague who used it on a case
Channel 02
The near-miss moment.
28%

The system caught something the physician would have missed — a troponin trend at 3am, a drug interaction before the order saved, a silent NSTEMI in a diabetic with "just weakness." Those stories get shared in M&M conferences, Slack channels, group texts.

28% of signups mention a specific case that made them look it up
Channel 03
Documentation time.
18%

2 hours of documentation per day of patient care. The physician who gets that back — and still leaves notes that are better than anything they wrote manually — doesn't stop using it. And they can't not mention it when colleagues ask how their charts are so clean.

Average 1.8 hrs/day returned to verified physicians using documentation agents
Channel 04
Residency rounds.
11%

One attending brings it to morning rounds. Residents see it surface a differential that reframes the case. They sign up before the afternoon. Residency programs spread faster than any other channel — one attending, thirty residents, three years of formation.

11% from residency and fellowship program word-of-mouth
The real reason

"We didn't build a product that doctors would want to use. We built one they couldn't not use — because the alternative is practicing with less than everything available to you."

Physicians don't share tools because they're impressive. They share them when a tool genuinely changes a patient outcome — and they feel the obligation to pass that on to the next person responsible for a patient like that one.

That's why we don't need a sales team. The patients are the sales team. The near-misses are the case studies. The physicians are the distribution channel — because that's how medicine has always worked.

$0
Marketing spend
0
Sales reps hired
40%
Clinician reach
Word
Of mouth only
What makes a clinical tool go viral — every element, verified
01
Immediate value
First session. First patient. Clear outcome difference. No learning curve tax.
02
Shareable outcomes
When a near-miss becomes a save, physicians tell the story. The tool is in the story.
03
No friction to start
Free. Verified in 24h. No IT department required. No enterprise contract.
04
Trust by design
Every recommendation cites its source. Physicians verify. Then they trust. Then they share.
05
Gets better with you
Clinical memory compounds. The longer you use it, the more it thinks like you. No one wants to leave that.
You're already on the list of people who should be using this.
Verified physicians get full access at no cost. No sales call. Takes 3 minutes.
Start as a verified physician →

For individual physicians.

No enterprise sales cycles. No implementation fees. Self-serve pricing that individual doctors can expense without asking their hospital's IT department for permission.

Individual
$0/month
  • 35 clinical cases per day ~
  • Basic differential support
  • Standalone interface (no EHR required)
  • Community support
Start Free
Department
Custom
  • Department-wide deployment
  • Institutional protocol integration
  • Quality analytics dashboard
  • Custom agent training on your protocols
  • Dedicated Customer Success Manager
Contact Sales