Decision support that waits for your diagnosis, not the other way around
Differentials, coding, guidelines and psychoeducation all sit behind one gate: your own confirmed diagnosis. Nothing generates before it.
What does the CDS layer actually check?
Four checks that run on every session, drawn from the transcript and the patient's own history.
Ranked differential diagnosis
Evidence-backed alternative diagnoses, ranked and generated only after you confirm the diagnosis yourself — never offered as a first guess.
Allergy checks
Every prescription is checked against the patient's recorded allergies automatically, every session.
Drug-drug interaction checks
Checked against fixed, versioned reference tables — not a language model improvising an opinion.
Emergent signal across visits
Surfaces emerging adverse-effect patterns across a patient's history, not just what was said in one session.
Will it suggest a diagnosis for me?
It surfaces ranked, evidence-backed considerations once you've entered your own diagnosis — it doesn't diagnose first and ask you to confirm. That gate is deliberate; see how diagnosis-gated coding works for the full reasoning.
Are the interaction checks an AI guess?
No. Allergy and drug-drug interaction checks run against fixed, versioned reference tables, not a language model's opinion — the same category of check as everything else in the CDS layer.
Does it also produce a mental state exam and risk assessment?
Yes, alongside the note itself — see how the MSE and risk assessment work.
How does CDS connect to the rest of the record?
Decision support, documentation and the patient chart all read from the same patient history — a signal flagged here is visible from the chart too. See the EMR underneath it.
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