SOURCE SIGNAL09:14:02
Keep the patient’s words intact.
The report is time-stamped, attributed, and stored as patient-reported—not silently promoted into a verified clinical fact.
Agent system / v4
Automation prepares the work. Clinicians decide it.
Cairava moves referral, authorization, and coordination through approved sources and rules—then makes the human decision boundary unmistakable.
Human in the loop by design Approved sources only Auditable actions
Select a layer to inspect the operating boundary
All six system layers visible.
Run a synthetic episode
Watch one signal move through the system.
Choose a realistic transition event, then step through how Cairava captures context, prepares work, applies approved rules, and brings in the accountable person.
INPUT PATIENT-REPORTED
DW
Synthetic patientDoris Whitfield
81 · Heart failure transition
“I picked up two prescriptions, but the third one costs too much.”
Patient check-in · 9:14 AM
- Open obligation
- Medication access confirmed
- Current owner
- Transition nurse
- Response state
- 18 min remaining
!
Source boundaryThis report is not a diagnosis or verified clinical fact.
PROCESS LIVE HANDOFF MAP
01 / 05
OUTPUT SHARED EPISODE
Transition · 00482
Episode activePatient-reported barrier
EVENT LEDGER 1 events
Signal capturePatient-reported barrier
One system, three kinds of authority
The boundary is part of the product.
“Agent” describes how work is prepared and coordinated. It does not erase the line between assistance, approved operating logic, and patient-specific clinical judgment.
Cairava
From signal to owner
to visible ending.
A system demonstration using synthetic patient data. Production use, PHI processing, pathway rules, and clinical integrations remain subject to hospital configuration and approval.