Sepsis bundle prompting
Surfaces Surviving Sepsis bundle steps when vitals and labs cross thresholds.
Clinical Intelligence Agent
Clinical Decision Support AI
An in-workflow agent that reads the open chart, checks it against current guidelines, and surfaces evidence-linked recommendations at the point of care.
Clinician-in-the-loopCDS HooksHIPAA-ReadyAudit Logged
Trusted by global innovators
The manual burden today
Guidelines for sepsis bundles, VTE prophylaxis, statin eligibility, and antibiotic stewardship change faster than any clinician can track, and rigid rule-based CDS only adds alert fatigue. The agent checks the live FHIR record — problems, medications, labs, vitals, allergies — against encoded guideline logic and returns a few evidence-linked recommendations through CDS Hooks, each with a citation and rationale the clinician accepts, modifies, or dismisses. Nothing is ordered autonomously.
Architecture
See how the agent connects to your EHR through CDS Hooks and FHIR R4, with the guideline knowledge base and audit trail as first-class layers.
Key Capabilities
Concrete decision support — grounded in guidelines, delivered in workflow.
Guideline-based recommendations
Encodes society guidelines (USPSTF, ACC/AHA, IDSA, Surviving Sepsis) into machine-checkable logic matched against the live chart to surface only what applies.
Delivered via CDS Hooks
Fires on patient-view, order-select, and order-sign hooks so recommendations appear as cards in the native EHR workflow.
Alert-fatigue tuning
Suppression logic, per-guideline thresholds, snooze windows, and firing analytics keep signal high and override rates low.
SMART app suggestions
Cards launch a SMART on FHIR app or write a pre-populated order the clinician confirms, from a versioned, change-logged guideline library.
Where it runs
Deployment scenarios
Antibiotic stewardship
Flags de-escalation and guideline-concordant choices to prescriber and stewardship pharmacist.
Preventive care gaps
Prompts USPSTF-grade screenings — statin eligibility, cancer screening, immunizations.
VTE prophylaxis
Checks risk-stratified prophylaxis on admission and order-sign for hospitalists.
Expected impact
Directional — actual results depend on guideline scope, firing thresholds, and baseline override rates.
Fewer
Reflex-dismiss alerts through suppression tuning
In-workflow
Recommendations delivered via native CDS Hooks cards
100%
Recommendations carry an evidence citation
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 & interoperability
CDS HooksFHIRSMARTHIPAASOC 2
How It Works
From open chart to evidence-linked card
Read FHIR context, reason against guideline logic, surface a recommendation, and log the decision.
1.
Capture — CDS Hooks context
A patient-view or order-sign hook passes FHIR context: problems, medications, labs, vitals, and allergies.
FHIR R4 context
2.
Processing — guideline reasoning + guardrails
The agent matches the record against guideline logic, grounds each rationale in the cited source, and suppresses redundant cards.
Evidence-grounded
3.
Action — clinician-in-the-loop card
A CDS Hooks card presents the recommendation with citation and rationale; the clinician accepts, modifies, or dismisses it.
Human-in-the-loop
4.
Write-back — decision + audit trail
Accepted suggestions flow into orders or the note; the decision, rationale, and guideline version are logged to an immutable audit trail.
Audit logged
Related proof
Read Case StudyLera Health: compliant women's health platform
Related proof of compliant, AI-assisted delivery — not this exact agent. For Lera Health we built the privacy-first data layer and testing-to-insights workflow that turns clinical data into personalized guidance.
Compliance & Guardrails
15-Minute Scoping CallBuilt to be trusted at the point of care
Decision support touches patient safety directly. The guardrails are the product.
PHI handling
Chart data stays inside your compliance boundary under a BAA, encrypted throughout, with no PHI used to train shared models.
Clinician-in-the-loop
The agent recommends; the clinician decides. No order or note is finalized without explicit human action.
Explainability
Every recommendation shows its guideline citation and the triggering patient data, so clinicians verify rather than trust a black box.
Audit logging
Fires, accepts, modifications, dismissals, and guideline versions are logged immutably for override analytics.
Frequently Asked Questions
Yes. The agent runs inside your compliance boundary under a signed BAA, with PHI encrypted in transit and at rest and never used to train shared models. Every action is audit-logged.
Ready to make decision support trustworthy again?
Tell us your target guidelines and EHR. We'll return an architecture review and a phased rollout plan with firing-analytics targets.
contact@agnotic.com
Partnerships
contact@agnotic.com