Business Overview

The client, a US-based healthcare startup, focuses on technical support for clinicians in the gynecological sector. Recognizing the lack of attention to women’s health and growing demand for fast, data-driven decision support, they decided to develop a sophisticated AI-powered web application that integrates seamlessly with existing electronic health record (EHR) systems. The application’s core functionality was supposed to be an intelligent chatbot that provides clinicians with real-time patient data, curated medical research, and the latest clinical protocols at the point of care.

However, to bring such an inspiring idea to life, the client required additional capacity and technical expertise, so they turned to NIX United. Our proven track record in the highly regulated healthcare industry and our experience in engineering advanced AI-driven solutions made us a game-changer when the client chose us as their partner.

Challenge

Since the efficiency of an AI-driven application is directly proportional to the quality and volume of the data, we faced a critical challenge in eliminating data gaps caused by scattered data across the EHR. These data gaps threaten to degrade the model’s performance, so we need to address them efficiently and rapidly. We not only gathered all the data but also moved toward in-house HIPAA-compliant data hosting and more granular control over data processing and validation.

02@2x
03@2x

Solution

In the very beginning, the client had only conceptual research and initial ideas, which we transformed into a production-ready, HIPAA-compliant application. Developed from the ground up, the solution is a standalone application deployed on Google Cloud that integrates seamlessly with the client’s Athena EHR via secure APIs.

The core of the solution is an AI-powered layer between the clinician and the EHR system, consisting of a diverse set of AI agents, LangChain integration and Google Vertex AI (Gemini). To manage this multi-agent system and navigate the entire solution with precision and ease, we designed a comprehensive orchestration tool based on LangGraph and Neo4j graph database management that ensures patient data retrieval and analysis are both secure and grounded in factual EHR records.

Our multi-agent system within the solution consists of four distinct models:

  • Clinical chat: A dynamic interface allows clinicians to query the EHR and medical knowledge graphs (KGs) in natural language to instantly find specific patient history or research.
  • Deep analysis multi-agent system: Clinical expert agents contain prompts and tools, and analyze the patient’s profile. A final synthesizer agent then consolidates and ranks these findings to provide a holistic view of patient health.
  • Clinical guideline agent: The model navigates complex protocol graphs. By utilizing a custom tool ontology, it matches the patient’s specific profile against standardized medical guidelines to suggest optimal, evidence-based treatment paths.
  • Patient intake agent: This agent engages patients directly to gather symptoms and history. It extracts these responses in real-time into a standardized format for the clinician’s immediate review.
04@2x

We decided to implement an agentic solution using the ReAct frameworks, which support structured logic, modular expertise, and controlled tool use rather than simple text generation. As a result, agents can dive deep into patient conditions, mirror diagnostic reasoning, and maintain separation of concerns and auditability. Meanwhile, the ReAct agents reduce hallucination risks and increase factual grounding through interaction with third-party tools. The multi-agent system also goes beyond data retrieval, transforming raw patient data and reported symptoms into actionable medical intelligence.

Outcome

The client received a full-fledged application delivering a dual-layered performance model designed to bridge the gap between traditional record-keeping and advanced predictive analytics:

  1. Standardized clinical interface: A user-friendly interface with patient data in a familiar, industry-standard format. Information is organized into clear sections and categories, making it easy for clinicians to navigate complex medical histories.
  2. AI-powered inference engine: Analytical layer that proactively identifies various symptoms across the patient data and highlights them to clinicians, allowing them to prioritize the most urgent aspects of patient care.
05@2x

While the project is still in the production and refinement phase, the product has already engaged a select group of clinicians who are utilizing and testing the app in live environments. In the next iterations, our roadmap focuses on scaling the solution by integrating a broader range of diverse EHR systems and expanding the client’s footprint across a wider network of clinics.

Team:

Team:

Project Manager Python Developer AI Engineer
Tech stack:

Tech stack:

React LangChain Vertex AI LangGraph neo4j GCP Cloud Run

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