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.

Run the system demo ↓Read the architecture →

Human in the loop by design Approved sources only Auditable actions

CRV / SYSTEM STACK Signal / idle

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

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

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.

01 / 05

OUTPUT SHARED EPISODE

Transition · 00482

Episode active

Patient-reported barrier

EVENT LEDGER 1 events

09:14:02Signal 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.

001 · DETERMINISTIC

Rules move the workflow.

Hospital-approved logic controls states, deadlines, allowed routes, safety gates, and closure requirements.

Routing and response windows
State transitions
Missing and stale data checks

002 · ASSISTIVE

AI makes context usable.

Models can extract, summarize, explain, translate, classify, and draft with source and review state attached.

Context assembly
Plain-language explanation
Drafts for review

003 · ACCOUNTABLE

People decide care.

Licensed clinicians and authorized staff interpret the patient, choose clinical actions, and document resolution.

Diagnosis and severity
Treatment and prescribing
Clinical resolution

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.

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