Clinical Pathways

Evidence-Based Clinical Pathways Library

Medical-grade decision support pathways designed for real clinical workflows. Each pathway combines clinical reasoning protocols, red-flag escalation, and evidence-based care coordination.

Select Clinical Pathway

Primary Care Intake

General Medicine

Structured clinical intake pathway for general practice consultations, transforming patient narratives into actionable clinical data.

Pathway Trigger

Patient presents with non-urgent symptoms requiring primary care assessment (e.g., cough, fatigue, minor pain, routine follow-up).

Clinical Context

Primary care serves as the first point of contact for most health concerns. This pathway ensures comprehensive symptom capture, appropriate triage, and safe disposition while identifying conditions requiring specialist referral.

Clinical Workflow

1

Initial Assessment

Structured symptom capture and medical history gathering

  • Conversational intake captures chief complaint in patient's own words
  • Adaptive questioning extracts symptom characteristics (onset, duration, severity, location)
  • Medical history review identifies relevant comorbidities and medications
  • Social determinants screening (mobility, home environment, support network)
2

Clinical Reasoning

AI-powered differential generation and risk stratification

  • Symptoms mapped to clinical ontology (SNOMED CT, ICD-10)
  • Differential diagnosis list generated based on symptom patterns
  • Red-flag screening for urgent conditions (see below)
  • Risk stratification: Low, Moderate, or High clinical priority
3

Triage Decision

Evidence-based care pathway recommendation

  • GP consultation timeline determined (same-day, 48hrs, routine)
  • Investigation recommendations (labs, imaging) if indicated
  • Self-care guidance for appropriate low-risk presentations
  • Specialist referral flagged when presentation exceeds primary care scope
4

Care Coordination

Workflow orchestration and clinician handoff

  • Appointment scheduling based on urgency and availability
  • Pre-consultation summary prepared for reviewing clinician
  • Patient receives pre-visit instructions and preparation guidance
  • Care team notified with structured clinical narrative

Red-Flag Escalation Protocols

Immediate clinician notification and action required

Chest pain with cardiac features
Immediate ED referral protocol + emergency services alert
Acute neurological deficit (stroke symptoms)
Immediate ED referral + time-sensitive pathway activation
Severe breathlessness or respiratory distress
Urgent clinical review within 1 hour or ED referral
Uncontrolled pain (>8/10) or acute abdomen
Same-day GP assessment or ED referral based on severity
Suicidal ideation or acute mental health crisis
Immediate mental health crisis team notification

Expected Outcome

Patient routed to appropriate care level with structured clinical data, timeline-appropriate appointment, and clear next steps. Clinician receives comprehensive intake summary enabling efficient, safe consultation.

Evidence Base

  • NICE Guidelines for Primary Care Assessment and Referral
  • RCGP Clinical Standards for Remote Triage
  • NHS 111 Clinical Decision Support Pathways
  • American Academy of Family Physicians Triage Protocols

Safety Protocols

  • All red-flag conditions trigger automatic clinician notification
  • Uncertainty thresholds (confidence <70%) escalate to human review
  • Clinical reasoning chain fully auditable and traceable
  • Override capability at every decision point with documentation

Medical Safety is Our Foundation

Every clinical pathway is designed with safety-first architecture, human-in-loop oversight, and regulatory compliance at the core.

Read Clinical Safety StatementView System Architecture