Digital health startups
A triage front door that routes users into the right care and their product.
We build symptom checkers and triage apps that reason over reported symptoms and history, apply clinical safety guardrails, and route users to the right level of care — with red-flag escalation that never lets a serious case slip through.
Trusted by global innovators
























A symptom checker collects a user's symptoms, history, and context, reasons about likely explanations and urgency, and recommends a next step — self-care, a telehealth visit, urgent care, or the ER. The product risk is not the model's cleverness; it's safety. Missing a red flag or projecting false confidence is the failure mode that matters, so the design centers on conservative escalation and clear boundaries.
We build symptom checkers with retrieval-grounded reasoning, explicit clinical guardrails, and transparent uncertainty — framed as triage and guidance, not diagnosis. The same engine supports a consumer-facing variant and a provider-facing clinical-decision-support variant, which is why it's a horizontal solution rather than a single condition.
What it is
An AI symptom checker reasons over reported symptoms and history to recommend the right next step and urgency, with conservative escalation for serious presentations.
We build it grounded, guardrailed, and auditable, framed as triage and guidance, with a shared engine for consumer and provider-facing use.
A triage pipeline — symptom intake, grounded reasoning, safety guardrails, and escalation routing — with PHI handling and auditable decisions.

Safe triage, grounded reasoning, and clear escalation — the things that make a symptom checker trustworthy.
Retrieval-grounded reasoning over a curated clinical knowledge base and the user's reported history — not free-form generation — to keep guidance defensible.
Hard-coded safety rules that override the model to escalate emergency symptoms immediately, so a serious presentation is never softened by a probability.
Recommends self-care, telehealth, urgent care, or ER, and routes into booking or a virtual visit so triage connects to actual care.
Dynamic questioning that adapts to answers to reach a confident recommendation with the fewest questions, in plain, non-alarming language.
Every recommendation logs the inputs, rules fired, and reasoning path, so decisions are reviewable and the system is improvable and defensible.
One engine, two front doors — a consumer triage app and a provider-facing clinical-decision-support assistant sharing the same safety core.
Where it fits
Startups and providers giving users a safe front door to care.
A triage front door that routes users into the right care and their product.
Pre-visit triage that improves routing and clinician efficiency.
Guiding members to appropriate, cost-effective care levels.
A patient-facing triage layer that reduces avoidable ER and call-center load.
Menopause, chronic disease, or behavioral health triage on a shared safe engine.
A clinician-facing decision-support variant sharing the same reasoning core.
A symptom checker earns trust through conservative, grounded, auditable triage. We build for exactly that.
Health Insurance Portability and Accountability Act
Protect PHI with privacy-first architecture, encrypted storage and transmission, strict access controls, and traceable audit logs.
General Data Protection Regulation
Implement lawful consent flows, data minimization, retention controls, and secure processing for sensitive health data.
Fast Healthcare Interoperability Resources
Enable standardized health data exchange across apps, care teams, and systems through robust FHIR-ready APIs.
Health Level Seven International
Support enterprise-grade interoperability with HL7-based integrations for records, events, and clinical messaging workflows.
Health Information Trust Alliance
Align security programs to healthcare-specific control and risk management practices trusted by providers and ecosystem partners.
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.
FDA Software as a Medical Device
Plan software quality, traceability, and documentation pathways for products that may require SaMD review and submission.
Medical Device Regulation (European Union)
Prepare EU market-ready processes for risk classification, evidence tracking, and lifecycle governance under MDR expectations.
Substance Abuse and Mental Health Services Administration
Apply confidentiality controls and consent-aware sharing models for behavioral and mental health data experiences.
Standards and compliance
We prove safety before smarts — an unsafe recommendation is a product-ending event, not a bug.
We define scope, red-flag rules, escalation thresholds, and the diagnosis-vs-triage boundary with clinical input.
We build grounded reasoning, adaptive intake, and the hard safety rules that override the model, benchmarked on clinical vignettes.
We connect recommendations to booking, telehealth, and (for the provider variant) the EHR, with full decision logging.
Clinical validation on held-out cases and a monitored pilot measuring escalation accuracy before broader release.
We build triage that is safe, grounded, and connected to care — the parts that make it usable in the real world.
Conservative escalation and hard guardrails so the model never overrides an emergency red flag.
Retrieval grounding and uncertainty handling so guidance is defensible rather than confidently wrong.
Triage that routes into booking, telehealth, or the EHR, so a recommendation leads somewhere.
Clear framing as triage/guidance versus diagnosis, with the SaMD line understood from the start.
Triage users can trust and clinicians accept
Tell us your clinical scope and care pathways. We'll return a plan for a grounded, guardrailed symptom checker that routes users to the right care.
contact@agnotic.com
Partnerships
contact@agnotic.com