Decision support. Everything on this page is structured for clinician review before it reaches the chart. ChironAI surfaces and ranks; the licensed clinician decides. ChironAI does not make a regulatory clearance claim; see Disclosures.

ChironAI CDSClinical reasoning at intake

What to ask. What’s likely. What you’re missing.

Most clinical AI waits to be asked. ChironAI™ CDS reasons at the moment of intake — for a single presenting picture it proposes the symptoms most worth screening, the prior conditions most likely in play, and the one missing data point that would most change the differential. This is the agentic intelligence inside the product, powered by Eve-Healthcare™ F5/reasoner: the system does the cognitive legwork, surfaces it ranked and explained, and the clinician keeps every decision.

Dynamic symptom intelligence

It tells you what to ask next.

From the chief complaint alone, Chiron ranks the symptoms worth screening for by diagnostic yield — naming the differentials each one separates, where it is captured, and which are time-critical red flags. The review of systems stops being a static checklist and becomes a reasoned, case-specific shortlist.

ChironAI™ CDSSymptom screening

Must review before final

Decision-support output. Clinician review and attestation required before this content is signed into the chart.

  • 01

    Orthopnea or paroxysmal nocturnal dyspnea

    Red flag — screen now

    Separates: Heart failure · COPD

    Interview
  • 02

    Exertional chest pressure or tightness

    Red flag — screen now

    Separates: Stable angina · Acute coronary syndrome · Severe aortic stenosis

    Interview
  • 03

    Melena, heavy menses, or new pallor

    Red flag — screen now

    Separates: Iron-deficiency anemia (GI vs. gynecologic source)

    Interview + exam
  • 04

    Bilateral leg swelling or unexplained weight gain

    Separates: Heart failure · Nephrotic syndrome · Venous insufficiency

    Exam
  • 05

    Cold intolerance, dry skin, or constipation

    Separates: Hypothyroidism

    Interview
  • 06

    Palpitations or an irregular pulse

    Separates: Atrial fibrillation · Anemia-driven tachycardia

    Interview + exam
  • 07

    Snoring, witnessed apnea, or daytime somnolence

    Separates: Obstructive sleep apnea contributing to fatigue

    Interview
61-year-old female. Chief complaint: three weeks of progressive fatigue and shortness of breath on exertion. No structured review of systems captured yet.Illustrative — representative of product UI. Synthetic case data; not from any real patient.
Pre-existing condition intelligence

It surfaces the prior conditions most likely in play.

Tailored to this specific patient, Chiron ranks the pre-existing conditions worth confirming — each with its clinical impact on the work-up and the exact screening questions that confirm or exclude it. The prior that would change everything stops hiding in an unread chart.

ChironAI™ CDSLikely prior conditions

Must review before final

Decision-support output. Clinician review and attestation required before this content is signed into the chart.

01

Heart failure with preserved ejection fraction

CardiovascularRed flag — screen now

Reframes the dyspnea work-up and raises the priority of an echocardiogram and a BNP.

Screening questions

  • Any prior echocardiogram or BNP on record?
  • History of hypertension or diabetes?
02

Iron-deficiency anemia

HematologicRed flag — screen now

A common, reversible driver of fatigue and exertional dyspnea — and one that mandates a source work-up.

Screening questions

  • Recent complete blood count?
  • GI symptoms or menstrual history?
03

Hypothyroidism

Endocrine

Explains the full symptom cluster and is inexpensive to confirm.

Screening questions

  • TSH measured in the last 12 months?
  • Any thyroid medication or prior thyroid disease?
04

Coronary artery disease

Cardiovascular

Raises the pre-test probability for the exertional chest-pressure pathway.

Screening questions

  • Prior stress test, catheterization, or known CAD?
  • Statin or antiplatelet on the medication list?
05

Atrial fibrillation

Cardiovascular

Would change rate, rhythm, and anticoagulation strategy if present.

Screening questions

  • Prior ECG or palpitation work-up?
Same 61-year-old patient. Chiron ranks the prior conditions most worth confirming, tailored to the presentation and the limited context on file.Illustrative — representative of product UI. Synthetic case data; not from any real patient.
Data-gap analysis

It names the one thing you’re missing.

Before recommending anything, Chiron flags what it does not yet know — and ranks the gaps by how much resolving each would move the differential. Knowing the highest-yield missing value is often worth more than another opinion on the values you already have.

ChironAI™ CDSHighest-yield data gaps

Must review before final

Decision-support output. Clinician review and attestation required before this content is signed into the chart.

  1. 01 · No complete blood count in the chart

    Anemia is a high-likelihood, reversible driver of this presentation and is currently unmeasured.

    Highest-yield pending value
  2. 02 · No BNP or recent echocardiogram

    The heart-failure pathway cannot be confirmed or excluded without it.

    Splits the cardiac vs. non-cardiac branch
  3. 03 · No TSH in the last 12 months

    Hypothyroidism is cheap to confirm and explains the whole symptom cluster.

    Low cost, moderate lift
  4. 04 · Medication list not reconciled since 2024

    A beta-blocker, statin, or thyroid medication would shift several priors.

    Context lift across conditions
Before recommending anything, Chiron flags what is unmeasured — and ranks the gaps by how much resolving each would move the differential.Illustrative — representative of product UI. Synthetic case data; not from any real patient.
Agentic, not autonomous

The system proposes. The clinician disposes.

This is what agentic clinical reasoning looks like in a regulated setting: the system takes initiative — it screens, ranks, flags, and names its own blind spots — but it never crosses into deciding. Every output here carries a must-review-before-final gate, and no recommendation enters the chart without a clinician’s signature. That is the bounded agency the architecture is built to hold.

Read: agency, not autonomy →
A note to the reader

This is the intake. See how the rest of the consultation reasons.