Pre-visit chart prep
A clinician pulls the salient history before the visit, citations included.
Chat-with-Records Agent
Healthcare RAG / Chat-with-Records
Ask a plain-language question and get a cited answer drawn only from that patient's chart — a FHIR-native agent surfacing the right note, lab, or medication in seconds.
Source-citedPHI-scopedFHIR R4No-hallucination guardrails
Trusted by global innovators
The chart holds the answer — finding it is the burden
A single patient carries hundreds of encounters, PDFs, summaries, and labs, so finding one fact — the last echo, whether a statin was tolerated — means minutes of scrolling mid-visit. This agent makes the chart queryable: it retrieves over FHIR R4 resources and documents, grounds every answer in its source, and states nothing the chart doesn't support.
Retrieval architecture
FHIR resources and documents are chunked, embedded, and retrieved under PHI scoping, then answered with verifiable citations.
Key Capabilities
Built for the clinical record — grounded, scoped, and auditable, not a chatbot pointed at PHI.
Grounded answers with citations
Every response links to the exact FHIR resource or document chunk — Observation, Condition, MedicationRequest — for one-click verification.
FHIR-native retrieval
Indexes FHIR R4 resources alongside notes and scanned PDFs, so 'last HbA1c trend' returns the Observation series.
No-hallucination guardrails
When retrieval finds nothing relevant, the agent says so; a grounding check rejects any unsupported claim.
Embedded in the workflow
Launches inside the chart via SMART on FHIR and reasons over the encounter timeline for longitudinal questions.
Who runs it
Where a grounded record agent earns its keep
Specialty referral review
A specialist queries the referral reason and prior workup fast.
Care coordination
Nurses confirm the latest medication list without paging the provider.
Patient-portal Q&A
A read-only version answers patients' questions about their own results.
Grounded retrieval, expected impact
Expected impact, not guarantees — depends on chart quality and index coverage.
100%
Answers carry a source citation
0
Facts stated without a retrieved passage
Per-query
PHI scoping enforced on every request
Compliance-First Healthcare App Development Services Backed by Global Standards
15-Minute Scoping Call01
HIPAA
Health Insurance Portability and Accountability Act
Protect PHI with privacy-first architecture, encrypted storage and transmission, strict access controls, and traceable audit logs.
02
GDPR
General Data Protection Regulation
Implement lawful consent flows, data minimization, retention controls, and secure processing for sensitive health data.
03
FHIR
Fast Healthcare Interoperability Resources
Enable standardized health data exchange across apps, care teams, and systems through robust FHIR-ready APIs.
04
HL7
Health Level Seven International
Support enterprise-grade interoperability with HL7-based integrations for records, events, and clinical messaging workflows.
05
HITRUST
Health Information Trust Alliance
Align security programs to healthcare-specific control and risk management practices trusted by providers and ecosystem partners.
06
HITECH
Health Information Technology for Economic and Clinical Health Act
Design with breach notification readiness, digital record safeguards, and operational controls that support regulated care programs.
07
SaMD
FDA Software as a Medical Device
Plan software quality, traceability, and documentation pathways for products that may require SaMD review and submission.
08
MDR (EU)
Medical Device Regulation (European Union)
Prepare EU market-ready processes for risk classification, evidence tracking, and lifecycle governance under MDR expectations.
09
SAMHSA
Substance Abuse and Mental Health Services Administration
Apply confidentiality controls and consent-aware sharing models for behavioral and mental health data experiences.
Standards we build against
Standards & data surfaces
HIPAASOC 2FHIRSMARTHL7
How It Works
From question to cited answer
Capture, retrieve under guardrails, answer, and log the trail — every step auditable.
1.
Capture — the question in context
The clinician asks in plain language inside the chart; patient, role, and consent scope the query.
PHI-scoped input
2.
Processing — retrieval + guardrails
Hybrid retrieval pulls the relevant FHIR resources and document chunks for that patient only, gated by a relevance threshold.
Retrieval guardrails
3.
Action — the grounded answer
The model answers from retrieved passages only, one citation per claim; unsupported statements are stripped.
No hallucinated facts
4.
System update — the audit trail
Question, retrieved resources, answer, and citations write to an immutable access log.
Audit logged
Related proof
Read Case StudyLera Health: compliant women's health platform
Related proof of compliant delivery — not this exact agent. For Lera Health we built a privacy-first data layer and AI-assisted insights over sensitive health data, the same foundations this agent depends on.
Compliance & Guardrails
Grounded by design, auditable by default
A chart-facing agent earns trust by proving where answers came from.
PHI handling
Retrieval is scoped by patient, role, and consent; PHI never leaves the boundary.
Human-in-the-loop
The agent informs, not decides; no-match or low-confidence queries defer rather than guess.
Explainability
Every claim cites its source FHIR resource or document, confirmable in one click.
Audit logging
Every query, retrieval set, and answer writes to an immutable log.
Frequently Asked Questions
Yes. It runs inside your HIPAA boundary, scopes retrieval by patient, role, and consent, and never trains models on PHI. Every query and answer is logged immutably.
Make your patient record answerable
Tell us your EHR and document sources. We'll return an architecture for a grounded, cited, PHI-scoped agent — and a plan to prove it on your data.
contact@agnotic.com
Partnerships
contact@agnotic.com