Core System Walkthrough

What each section of the clinical review surface means, using Patient X as the example.

Purpose Of This Page

This page is not an environment comparison. It explains what the Core System is showing, why each panel exists, and how a reviewer should interpret each section. Patient X is used only as the worked example so the team can connect the UI to real generated content.

Example MRN
XXXXXX
Example run
SignalPipe #9
Data coverage
1,744 copied clinical resources
Scores shown to reviewers
Summary 98 / Counterfactual 100

Data Behind The Patient X Example

The Core System is not displaying free text alone. It is generated from structured clinical resources. For Patient X, the example run used the copied 1,744-resource dataset below.

Encounters24Visit and admission containers that organize the patient timeline.
Conditions280Diagnoses/problem facts such as valve disease, shock, endocarditis, CAD, AKI.
Observations1,040Labs, vitals, exam findings, EF values, BNP/troponin, cultures, oxygen/ABG signals.
Procedures56TAVR/ViV TAVR, PTCA/stents, pacemaker, intubation, Swan/PICC-related procedures.
Medication Requests200Medication facts such as aspirin, ticagrelor, heparin, vancomycin, held ACE/ARB.
Diagnostic Reports128Echo/TEE, cath, CXR/CTA, culture reports, and report conclusions.
Allergies16Allergy/intolerance records, including empagliflozin intolerance.

Core System Panels And Sections

1

Side Panel Setup

This is the launch form. The API base URL tells the Core System which Aurevia backend to query. The patient MRN selects the patient. Signal Pipe ID can be left blank to load the latest completed run.

Patient X example: For Patient X, leave Signal Pipe ID blank unless you intentionally want to inspect a specific run. The latest Preprod example is SignalPipe #9.
2

Header And Current Run

The top of the clinical platform shows the current patient, active run, run date, status, and encounter count. This tells reviewers exactly which generated output they are looking at.

Patient X example: For Patient X, the header identifies MRN XXXXXX and the completed run generated after the copied 1,744-resource dataset was processed.
3

Specialty Lens

The specialty tabs change the clinical lens. PCP is the broad longitudinal primary-care view. Cardiology, Pulmonology, Endo, Oncology, and Heme are intended to focus the same patient state through specialty-specific priorities.

Patient X example: Patient X is most informative in PCP/Cardiology because the major signals are prosthetic valve endocarditis, cardiogenic shock, severe aortic regurgitation, Takotsubo physiology, respiratory failure, CAD, TAVR history, and EF decline.
4

Signal Summary Tab

This is the main review surface. It summarizes the important longitudinal patient facts and generated reasoning without requiring the reviewer to read raw FHIR resources first.

Patient X example: For Patient X, Signal Summary should surface the 2020 valve history, TAVR/stent/pacemaker history, 2025 shock/intubation episode, severe AI, EF drop, positive cultures, and care gaps.
5

Encounter Setting Chips

Acute, Inpatient, Outpatient, and Telehealth control which clinical context is emphasized. The same patient can need different summaries depending on whether the reviewer is in an ED, inpatient, clinic, or remote setting.

Patient X example: For Patient X, Acute and Inpatient should emphasize shock, respiratory failure, severe AI, BNP/troponin, high filling pressures, cultures, antimicrobials, and surgical/ID decision points. Outpatient should emphasize follow-up gaps and longitudinal surveillance.
6

Familiarity Chips

New patient, Seen before, and Know this patient control how much orientation vs reasoning the summary gives. New patient includes more retrieval context. Know this patient can focus more on what changed or what is missing.

Patient X example: For Patient X, New patient should explain the longitudinal valve and CAD background. Seen before should shorten setup and focus on the recent deterioration. Know this patient should emphasize unresolved gaps like clearance cultures, susceptibilities, and restart plans.
7

Chief Complaint Chips

Chief complaint chips route the brief toward the clinical question the reviewer is asking. They do not change the underlying patient; they change what gets prioritized.

Patient X example: Chest pain should elevate CAD, PTCA/stent history, troponin, cath/hemodynamics, and severe AI. Shortness of breath or edema should elevate pulmonary edema, respiratory failure, BNP, EF, filling pressures, and valve regurgitation.
8

Longitudinal Brief

This is the primary generated clinical summary. The brief should be concise, numbered, and clinically ordered. It should contain direct patient-specific facts first, then absence/gap reasoning when relevant.

Patient X example: Patient X examples include: 2020 pulmonary edema and valve disease; outside cultures with Granulicatella elegans; TAVR, PTCA/stents, esophagectomy, pacemaker; 2025 cardiogenic shock and intubation; severe AI with EF 25-30%; BNP 44,267 and troponin 1080; prosthetic valve endocarditis concern with positive cultures.
9

Highlighted Words And Hover Detail

Underlined/highlighted spans are evidence-backed clinical concepts. Hovering them should show the source detail, such as EHR evidence, EBM support, completion status, or why a fact was used.

Patient X example: For Patient X, highlighted terms can include pulmonary edema, aortic valve stenosis, EF 50%, TAVR procedure, cardiogenic shock, intubated, severe AI, EF 25-30%, positive blood cultures, prosthetic valve endocarditis, and Takotsubo pattern.
10

Charts / Numbers Toggle

Charts should render trends visually with points, axes, reference ranges where available, and hoverable evidence. Numbers is the compact table-style version for reviewers who want values quickly.

Patient X example: Patient X currently has an EF observed chart and disease-trajectory charts for prosthetic valve endocarditis, cardiogenic shock, severe aortic regurgitation, Takotsubo syndrome, and acute respiratory failure. EF is the most direct clinical-value chart for this patient.
11

Query Patient State Tab

This lets the reviewer ask a grounded question against the selected patient/run. It should answer from the patient state and generated evidence, not behave like a generic web search.

Patient X example: Useful Patient X questions include: why is prosthetic valve endocarditis suspected, what supports cardiogenic shock, what changed in EF, what care gaps remain, or what evidence supports severe AI.

What The Team Should Expect To See

PCP Longitudinal Brief
A compact primary-care-style summary of the most important longitudinal facts, then risks/gaps.
Specialty Lenses
Same patient, different prioritization. Cardiology should emphasize valve/CAD/HF/shock. Pulmonology should emphasize hypoxia/respiratory failure. Heme should emphasize anemia/infection/cultures when relevant.
Evidence Highlights
Colored/underlined facts should be traceable to EHR or EBM source detail on hover.
Charts
Trend plots should support interpretation, not just display raw numbers. For Patient X, EF and acute deterioration trajectories are key.
Gap Reasoning
The Core System should call out clinically meaningful missing/uncertain information, such as missing clearance cultures or unclear restart plan after AKI.

Patient X Clinical Signals Used In The Example

  1. 12020: pulmonary edema/peripheral edema, conduction abnormality, valve stenosis/regurgitation, EF around 50%, and outside cultures positive for Granulicatella elegans.
  2. 2Background: TAVR history, PTCA/stents, esophagectomy, and pacemaker; follow-up echo showed functioning bioprosthesis.
  3. 32025: cardiogenic shock, intubation/acute respiratory failure, severe acidosis/hypoxia, BNP 44,267, troponin 1080, high filling pressures, severe AI/transprosthetic regurgitation, and EF 25-30%.
  4. 4Endocarditis concern: prosthetic valve context plus positive cultures including Staphylococcus epidermidis and Cutibacterium acnes.
  5. 5Gaps: repeat clearance cultures, antimicrobial susceptibilities, CT surgery documentation, anemia workup, ACE/ARB/ARNI restart after AKI, and preventive screening documentation.

How To Explain The Core System In One Sentence

The Core System turns the selected patient run into a compact clinical review surface: choose the specialty, encounter context, familiarity level, and chief complaint, then review the generated longitudinal brief, hoverable evidence, charts, and grounded patient-state query answers.