ProtocolPulse
A FHIR-native clinical operations assistant that watches live EHR data, detects when a patient has crossed a protocol trigger (critical potassium, post-op day-2 milestones, sepsis bundle criteria), drafts the correct structured order, and surfaces it for clinician sign-off instead of leaving it to memory.
Hospital quality officers, clinical informatics leads and inpatient operations managers running protocol-heavy units
- FHIR R4 listener that streams labs, vitals and orders and matches them against an editable protocol library authored by clinical SMEs
- One-click draft orders (medication, nursing order, consult) pre-filled with the exact codes that RL-trained clinical agents historically miss
- Missed-care dashboard ranking active patients by overdue protocol steps and predicted readmission risk
- Audit log showing every fired trigger, the clinician's action and the time-to-resolution for QA review
The new arXiv audit of MedAgentBench found that 10 of 20 clinical task types have 0% base AI performance and rule-based SFT beats RL by 15.9 points — hospitals need a protocol-trigger system that works today, not one waiting for a smarter agent.
MedAgentBench paper confirms clinical AI agents hit a 41.7% silent-finish ceiling on FHIR tasks, validating real demand for protocol-trigger automation, but the cited '10 of 20 task types at 0%' stat wasn't surfaced in the abstract — narrative is plausible but weaker than pitched.World Feedback for Clinical Agents: Diagnosing RL in FHIR Environments ↗MedAgentBench: A Realistic Virtual EHR Environment to Benchmark Medical LLM Agents ↗
CDS Hooks is a mature open HL7 spec already wired into Epic/Cerner workflows; Epic Best Practice Advisories and Cerner MPages cover basic protocol alerts. AI-assisted 'draft the structured order' orchestration is narrower whitespace but incumbents could ship it natively.CDS Hooks ↗Using FHIR Clinical Reasoning with CDS Hooks - HL7 Confluence ↗
Hospital AI integration runs $25K–$500K+ and CMS HAC/VBP penalties give a defensible ROI story, but procurement cycles are 12–24 months, budgets are contested by EHR vendors bundling similar features, and the buyer (quality officer) is mid-influence not budget-holder.The True Cost of Implementing AI in Healthcare (2026 Guide) ↗AI in EHR: How Ambient Documentation and Clinical AI Are Transforming ↗
FHIR is federally mandated via ONC Cures Act §170.315 and protocol-based care is durable (Joint Commission, CMS bundles), so the substrate is safe for 10+ years — but order-drafting UX may get absorbed into ambient/agentic EHR layers.Using FHIR Clinical Reasoning with CDS Hooks - HL7 Confluence ↗
FHIR R4 + CDS Hooks + SMART on FHIR are well-documented standards, but production deployment requires Epic/Cerner sandbox certification, InfoSec review, and likely FDA SaMD scoping if it drafts orders — MVP in 6 months, first hospital sale in 12–18.CDS Hooks ↗Appinventiv: AI integration in EHR systems ↗