Clinical Intelligence

The differential arrives with its evidence attached.

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Runs on VAS, the system underneath every V3ra product
EncounterChest pressure on exertionIllustrative Acuity PulseDifferentialCoding Sync Draft ready for the physician
The patient's account

What brought you in today?

Pressure in my chest when I climb stairs. It started a few days ago.

Does it spread anywhere, like your arm or jaw?

No, it stays in the middle.

BP 128/82HR 88SpO₂ 98%98.6°F
Findings Exertional chest pressure Onset 3 days Central, no radiation Blood pressure in range Saturation normal
Working differential

Works with the record you already run

The analysis

The whole analysis, as the physician sees it.

One screen, from the first vital sign to the treatment plan.

The V3ra Clinical Analysis screen: the analysis pipeline, the cardiac waveform, vital signs and lab values against their thresholds.
Vitals and labsThe waveform, the vital signs and every lab value against its baseline.
The V3ra Clinical Analysis screen: the ranked differential with ICD-10 codes and confidence, and acuity by body system.
Differential and acuityRanked diagnoses with their codes, and what is driving risk by system.
The V3ra Clinical Analysis screen: the triage cross-check and composite risk stratification with validated scores.
Risk and triageA composite risk score, validated scores, and a flag where triage levels disagree.
The V3ra Clinical Analysis screen: the treatment plan and the full clinical narrative.
Plan and narrativeDisposition, consultations, medications and follow-up, with the narrative behind them.
A differential, formingThe draft filling in live on an illustrative encounter, each source opening as the physician reads it.Muted and captioned, never autoplaying with sound. The real product, never stock footage.
Inside the draft

Four drafts, each one open to inspection.

Produced while the patient is still in the room, and laid out so a physician can check any line before relying on it.

Illustrative encounter
Working differential3 cited
Acute coronary syndromeMost likely62% Exertional chest pressure · Onset 3 days · Blood pressure in range PubMedAmsterdam et al. · Circulation · 2014
Stable anginaConsider21% PMCKnuuti et al. · Eur Heart J · 2020
Gastroesophageal refluxConsider9%
Can't missAortic dissection stays visible until it is excluded
From the record to the decision

One pass, and back to the same record.

  1. The recordVitals, statements and the patient's words, each labelled for what it is.
  2. RetrievalLiterature ranked against the findings, on our own infrastructure.
  3. The draftAcuity scored twice, a cited differential and the coding.
  4. The physicianAccepts, overrides or defers, and says why.
The decision

Built to be corrected.

Three actions with equal weight, no default and no nudge toward accepting. The physician with the patient knows what the note left out.

Try it: each choice is written to the record below.

Physician decisionAcute coronary syndrome · ESI 2 · ECG, troponin

Choose what the physician does with the draft.

Decision record
  1. Draft created · Clinical Intelligence · 10:41#7c1e

Physicians say it saves lives.

Designed with physicians, for the minutes a physician has least of: the encounter itself. Scored by physicians before any claim about it is made.

1,228Physician evaluations
1,122Encounters scored
0Lines shown without a source

The first two figures are from Phase 1, on a curated synthetic cohort. The third is a rule of the engine.

“If this had been around when I was practicing, I would still be practicing medicine today, not retired five years ago.”

Dr. Michael ZorchChief Medical Officer, V3ra

Standards

Built on the standards your team already works to.

Nothing new to learn. The draft uses the triage scale, the coding rules and the literature your physicians, nurses and coders already rely on.

  • ESIv4

    Acuity on the Emergency Severity Index

    The five-level scale your triage nurses already assign, scored two ways and kept apart.

  • E/MMDM

    Levels scored on medical decision making

    Problems, data and risk under the current AMA guidelines, the way a coder reads the note.

  • ICD-10CM

    Codes at the specificity the note supports

    In outpatient care an uncertain diagnosis is coded as its symptom, as the official guidelines require.

  • PubMedPMC

    Literature a physician can open

    Peer-reviewed sources, cited line by line on the differential.

Safeguards

Checks that run on every encounter.

Two acuity scores, kept apart

When the rule-based and narrative scores differ, the difference is kept for review, never averaged away.

No source, no line

A diagnosis the literature cannot support is left off the differential before a physician sees it.

Written once

Each entry carries the fingerprint of the one before it, so a change after the fact breaks the chain.

Watch an encounter become a cited draft.

A live analysis, start to finish: acuity, the ranked differential with each source opened, and the coding, on an encounter like the ones your physicians see.

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  • AcuityESI 2
  • Differential3 cited
  • CodingDraft
  • DecisionWith the physician