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All Solution Plays

Play 46

Healthcare Clinical AI

Very High Ready

HIPAA-compliant clinical decision support with medical coding and drug interaction checking.

HIPAA-compliant clinical decision support — medical coding (ICD-10/CPT), clinical note summarization, drug interaction checking, patient triage, with audit trails for HIPAA/HITRUST and human-in-the-loop approval. Uses Azure Health Data Services for FHIR-compliant data access and AI Search for medical knowledge retrieval. Every decision is explainable and auditable.

Architecture Pattern

RAG-powered clinical agent: FHIR data, human-in-the-loop approval, audit logging

Azure Services

Azure OpenAI (gpt-4o)Health Data ServicesAzure AI SearchContent SafetyKey VaultAzure Monitor

DevKit (.github Agentic OS)

  • agent.md — root orchestrator with builder→reviewer→tuner handoffs
  • 3 agents — Healthcare Builder (gpt-4o), Reviewer (gpt-4o-mini), Tuner (gpt-4o-mini)
  • 3 skills — deploy (238 lines), evaluate (166 lines), tune (236 lines)
  • 4 prompts — /deploy, /test, /review, /evaluate with agent routing
  • .vscode/mcp.json — FrootAI MCP with HIPAA OpenAI + FHIR inputs + envFile

TuneKit (AI Config)

  • config/openai.json — gpt-4o, temp=0.1, deterministic
  • config/clinical.json — coding rules, drug interaction DB, triage criteria
  • config/guardrails.json — HIPAA PII redaction, human approval gates
  • evaluation/eval.py — Coding accuracy >90%, Drug interaction recall >95%

Tuning Parameters

Clinical confidence thresholdPII redaction levelHuman approval thresholdCoding standard (ICD-10/CPT)Triage severity rules

Estimated Cost

Dev/Test

$150–300/mo

Production

$5K–15K/mo