Healthcare Triage Assistant

A hospital network wants an AI triage assistant that helps clinicians prioritise patient cases in the ED based on symptoms, vitals and history. Must not give diagnoses — only triage priority. Must integrate with the EHR.

• 1What is the EHR system and does it expose an API?
• 2What is the triage protocol (ESI 5-level)?
• 3Who is the user — triage nurse, attending physician, both?
• 4What is the acceptable false-negative rate for high-acuity cases?
• 5Is PHI in scope? If so, what is the BAA with the model provider?
• 6What is the regulatory classification (FDA SaMD, clinical decision support)?
• 7How will clinicians override the system, and is override logged?
• 8What is the uptime requirement — is this life-critical or assistive?

• PHI in scope — BAA required with model provider
• No diagnosis — triage priority only
• EHR integration via HL7 FHIR
• Audit log of every triage decision and clinician override
• High-acuity false-negative rate < 1%
• 99.95% uptime SLA
• Latency < 3s for triage suggestion

• FHIR integration to pull patient context
• Structured triage output with priority + rationale + confidence
• Confidence threshold for escalation to attending
• Override logging with reason
• BAA-covered model provider or on-prem model
• Input guardrails (no free-text diagnoses from clinicians into prompt)
• Output guardrails (no diagnosis language)
• Online monitoring of false-negative rate