Clinical pathway engine

How Agilance turns a conversation into a disposition

Pipeline

From symptoms to a safe next step

  1. Step 1

    Voice / text conversation

    Patient talks or types with the Agilance agent.

  2. Step 2

    Symptom + history extraction

    Structured findings (tri-state: present / absent / not asked).

  3. Step 3

    Safety / red-flag layer

    Any emergency red flag stops the interview and escalates to 911.

  4. Step 4

    Cardiovascular triage router

    Eight acute pathways scored and ranked in parallel.

  5. Step 5

    Condition-specific assessment

    Leading pathway supplies the next questions to ask.

  6. Step 6

    Disposition recommendation

    Emergency · Urgent · Prompt follow-up · Routine scheduling.

Cardiovascular triage router

All eight acute pathways are scored in parallel; the strongest becomes the leading pathway.

  • Acute coronary syndrome / ischemia

    Heart attack and unstable angina. Pressure-type chest pain, exertional trigger, radiation to arm or jaw, sweating and cardiovascular risk factors.

  • Arrhythmia

    Abnormal heart rhythms including atrial fibrillation, SVT and bradyarrhythmias. Palpitations, irregular heartbeat, dizziness or fainting.

  • Heart failure

    New or worsening heart failure. Breathlessness on exertion or lying flat, waking at night gasping, leg swelling, rapid weight gain and fatigue.

  • Hypertensive emergency / urgency

    Severely elevated blood pressure (≥180/120). An emergency when there is organ damage — headache, vision change, confusion, chest pain or breathlessness.

  • Pulmonary embolism

    Blood clot in the lung. Sudden breathlessness, sharp pain worse on breathing, fast heart rate, coughing blood, a swollen calf, or recent surgery or immobility.

  • Aortic emergency

    Aortic dissection or rupturing aneurysm. Abrupt, severe tearing or ripping pain that radiates to the back, often with very high blood pressure.

  • Pericarditis / myocarditis

    Inflammation of the heart lining or muscle, often after a viral illness. Sharp pain that is worse lying flat and eased by sitting forward, with fever.

  • Syncope / structural disease

    Fainting or near-fainting that may be cardiac in origin, including valve disease and cardiomyopathy. Exertional syncope and a family history of sudden death are the most worrying features.

Chronic pathways (run alongside)

  • Coronary artery disease risk

    Pre-test probability of obstructive coronary artery disease from age, sex, chest-pain typicality and risk factors (CAD Consortium clinical model).

  • Hypertension

    Blood-pressure staging (ACC/AHA 2017), targets and home-monitoring plan.

  • Diabetes & cardiometabolic risk

    Diabetes-driven cardiovascular risk: silent ischemia, atypical presentations and the need for tight blood-pressure, lipid and glucose control.

Disposition ladder

  • Emergency — call 911
  • Urgent — same-day care
  • See a clinician within 1–3 days
  • Routine follow-up

Any emergency red flag short-circuits to Emergency and stops the interview. Chest pain never drops below Prompt.

Try the engine

Build a presentation and see how it routes.

Symptoms

History