Healthcare & Life Sciences AI Playbook
Why this playbook exists
Healthcare automation fails if it's a black box. The critical questions are: What guideline supports this recommendation? What was the reasoning? Who reviewed it? This playbook answers those at the architecture level. We combine anchored retrieval from approved clinical sources, governed orchestration (HITL gates, role-based access, redaction), and a learning memory that converts clinician overrides into signals so safety, speed, and fidelity improve together.
This playbook provides clinical decision support with mandated human oversight. It does not replace clinical judgement or constitute medical advice.
What it delivers
A governed, evidence-backed assistant that accelerates triage and documentation without diluting clinical control.
Recommendations anchored to guideline clauses with visible citations. Risk/contraindication checks before any recommendation is surfaced. Human-in-the-loop approvals for patient-impacting actions, with full audit. Structured notes that reflect guideline reasoning and clinician edits feeding the learning loop.
Positioning: Not a point tool. A governed, learning workflow built on The NeuralHue Framework.
How it works
A clinician initiates a triage or guidance query from the EPR/console. The agent queries NeuralHue Knowledge Integration to retrieve anchored passages from approved guideline corpora and formularies, returning clause-level citations. The Triage Assistant proposes a risk category, rationale, and next-step options. Before display, the Safety Checker screens for contraindications and drug interactions and enforces escalation rules based on risk and uncertainty.
If an action is patient-impacting, Governance & Alignment routes it through a human-in-the-loop step. Clinician edits and accept/reject decisions are captured by the Memory & Feedback Engine. These signals improve subsequent retrieval (what evidence is prioritised) and written outputs (tone, structure), so the system steadily reuses proven patterns with transparent provenance.
Core agents & workflows
Guideline Aligner
Maps presentations to current guidance (with clause-level citations) and highlights areas of uncertainty or disagreement.
Triage Assistant
Suggests risk category and next steps with explicit rationale; exposes confidence and alternative paths.
Safety Checker
Runs contraindication and interaction screens; enforces escalation and dual-review rules when risk/uncertainty cross thresholds.
Clinical Summary Writer
Drafts structured notes (HPI/Assessment/Plan), embeds supporting citations, and tags uncertainties for follow-up.
(All agents inherit memory, governance, and orchestration policies from The NeuralHue Framework.)
Governance, risk, and assurance
Governance is embedded, not bolted on: Human-in-the-loop for all patient-impacting steps, with configurable risk tiers. Role-based access and redaction (e.g., sensitive fields, minors, special categories). Immutable audit trails: evidence retrieved, recommendations shown, reviewers, and final decisions. Bias and outcome monitors across cohorts; alerts for drift or inequity. Evidence packs exportable for quality, safety, and regulatory review.
If required, the playbook can be operated purely in "advisory mode" with no automated order entry.
Data & integrations
Systems:
EPR/EHR, PAS, lab/radiology, medications/formulary, scheduling, secure messaging.
Sources:
Approved guideline repositories, pathways, formularies, interaction databases.
Security:
SSO/RBAC, private networking/VPC, data residency controls; optional on-prem models.
Models:
OpenAI/Anthropic/Llama or local inference via Ollama selection governed by policy.
Outcomes & indicative KPIs
Triage turnaround: ≥20% faster from presentation to initial plan in pilot setting. Citation visibility: ≥90% of recommendations carry clause-level evidence links. Rework/overrides: Downward trend after 4–6 weeks of learning (target ≥15–25%). Safety: Zero critical safety events introduced by the system (monitored and reported).
(Targets are indicative; final acceptance criteria are set during pilot planning.)
90-day pilot plan
Weeks 1–2 — Foundations
Read-only EPR integration; ingest approved guidelines/formulary; configure identity, roles, escalation; baseline metrics.
Weeks 3–6 — Shadow mode
Enable Guideline Aligner + Safety Checker + Triage Assistant in advisory (no auto-actions). Capture overrides and rationales. Publish initial governance dashboards.
Weeks 7–10 — HITL deployment
Enable limited HITL use in one pathway (e.g., urgent care triage or a specialty clinic). Calibrate risk thresholds, redaction, and escalation rules.
Weeks 11–13 — Assurance & scale plan
Harden audit exports and monitoring; KPI review with clinical leads; go/no-go and rollout plan.
Deliverables: anchored guideline corpus, agent configs, governance dashboards, override taxonomy, KPI report, rollout runbook.
Architecture (where this sits)
NeuralHue as the intelligence & trust layer in your clinical agent stack.
- • Memory & Feedback (editable, versioned clinical knowledge; override capture)
- • Learning RAG (anchored clauses; outcome-ranked retrieval; citations)
- • Orchestration Policies (validation, uncertainty gates, HITL)
- • Governance & Alignment (RBAC/redaction, audit dashboards, bias monitors)
Clinician opens triage → 2) Runtime plans & queries Memory → 3) Learning RAG returns anchored guidance → 4) Model drafts recommendation & rationale → 5) Safety checks & policy validation → 6) HITL review (if required) → 7) Feedback/overrides update Memory & RAG → 8) Audit & metrics recorded.
Clinician overrides and approvals become signals that re-rank retrieval and improve subsequent recommendations closing the loop.
FAQs
Is this a medical device?
No, not by default. It's a clinical decision support system with mandated human oversight. If a regulated device classification is required, we scope and certify separately.
Can it run on-prem or air-gapped?
Yes. We support VPC/on-prem with local models via Ollama; content need not leave your environment.
What if we only want guideline retrieval, not recommendations?
We can operate in read-only retrieval mode first (citations only) and enable Triage/Summary later with the same governance controls.
Ready to see it with your pathways?
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About NeuralHue
NeuralHue AI Limited is an AI frameworks company that designs the layer that makes AI usable in the enterprise. We specialize in frameworks for memory, governance, and orchestration, helping enterprises move beyond pilots to governed AI systems that learn from feedback, explain their reasoning, and deliver measurable outcomes.
Our focus is simple: we help organisations deploy AI solutions that maintain the highest standards of security, auditability, and compliance while delivering measurable business value. Every recommendation, decision, or fix generated through our frameworks carries provenance, showing its evidence, approvals, and history. Every feedback signal strengthens the system, creating agents that improve continuously.
By embedding governance, memory, and orchestration directly into the architecture, we make AI not only powerful but also responsible, durable, and regulator ready.
Contact Information:
Company: NeuralHue AI Limited
Address: 124 City Road, London, EC1V 2NX, England
Website: https://www.neuralhue.com
Email: hello@neuralhue.com