Symptom Checker Agent: Medical Triage Assistant

A voice + chat assistant that collects symptoms, flags red-flags, recommends the next step (self-care, telehealth, clinic visit, or emergency), and books the patient — aligned to your clinical protocols, formularies, and jurisdiction

Let’s Build Your Solution
30 - 50%

Faster time-to-advice (TTA)

Guided conversational triage + instant recommendation

TTA ↓
Red-flag engine
24/7 triage
Multilingual
20 – 35%

Higher first-contact resolution

Self-service routing and instant booking

FCR ↑
RAG-guided answers
Instant booking
Self-service
25 – 45%

Lower front-desk workload

Deflection from calls to web / IVR + auto-booking

Call deflection
Auto-booking
Smart routing
Front-desk relief
60 – 80%

Bookings completed end-to-end

Calendar & EHR / EMR integration (FHIR / HL7)

Consent & audit
Calendar sync
Taglia
HIPAA-readyne

Ready-made Solution

Remove friction at first contact

Launch in one click, 24/7. Patients describe symptoms by voice or text, get a personalized recommendation, and book instantly

  • Natural, back-and-forth conversation with clarifying questions

  • Three-level routing: self-care → PCP/specialist → emergency

  • Calendar + EHR / EMR integration (FHIR/HL7)

  • RAG-enriched responses grounded in your knowledge base (guidelines, local protocols, payer rules)

RAG
EHR / EMR
FHIR / HL7
Remove friction <span>at first contact</span>
01

Problem

Patients bounce between websites, call centers, and rigid script bots. Results:

  • Overloaded front desk

  • Missed red-flags

  • Long TTA (time-to-advice)

  • Low satisfaction

Problem
02

Challenge

  • Understand medical terminology, slang, and noisy speech

  • Extract clinically relevant signs and red-flags in real time

  • Comply with local rules (payer restrictions, age limits, availability)

  • Integrate seamlessly with EHR / EMR, scheduling, billing, and IVR / telephony

Challenge

AI-driven development

Solution

Symptom Checker Agent guides a structured, adaptive triage: listens, asks the right follow-ups, forms differential hypotheses, checks red-flags, recommends next steps, and completes booking

Product Highlights

  • Conversational triage with dynamic branching

  • Red-Flag engine for immediate risk escalation (e.g., chest pain, dyspnea, neuro deficit)

  • RAG adaptation: retrieves the most relevant protocol excerpts from your corpus and cites them in responses

  • EHR / EMR-ready: FHIR / HL7, SNOMED / ICD-10 coding, chart notes

  • Omnichannel: web widget, mobile app, phone (SIP / IVR), messengers

  • Multilingual & accessible: captions, configurable TTS / ASR for accessibility

User Flows

  • Start Now: patient → symptom intake → clarifying Q&A → risk tier → recommendation → booking

  • Schedule: choose provider / slot → confirmation → reminders

  • Escalation: automatic handover on red-flags to a clinician / nurse line, emergency guidance, full context transfer

Experience & Scale

  • Sub-second conversational feel and resilience to poor networks

  • Robust to fast speech, accents, and code-switching

  • Lightweight SDK / widget for rapid rollout across sites and service lines

Architecture Overview

Deep Dive: Project Architecture

  • Clients: Web / mobile (React / React Native widget), telephony (SIP / IVR)

  • RTC / Media: WebRTC for low-latency voice; WebSocket fallback

  • ASR / STT: streaming recognition with partial / final hypotheses, punctuation, medical lexicons

  • NLU & Policy Engine: dialog graph (e.g., LangGraph), symptom slots, branching; rules for age, pregnancy, chronic conditions

  • RAG Pipeline: source ingestion; vector store (e.g., FAISS / Pinecone) + re-ranking for high-precision retrieval; guardrailed LLM answers only from retrieved fragments, with inline citations and jurisdictional disclaimers

  • Decisioning: differential shortlist, urgency scoring, red-flag triggers

  • Scheduling: slot booking, reminders (SMS / Push / Email)

  • Analytics: TTA, FCR (first-contact resolution), red-flag catch-rate, abandonment

Deep Dive: <span>Project Architecture</span>

Challenges

Hard Problems We Solved

Natural clinical dialogs

Natural clinical dialogs

Clarifications, reformulations, and safe handling of unstructured narratives

Terminology & edge cases

Terminology & edge cases

Medical ontologies and dynamic hints for rare conditions

Legal & safety guardrails

Legal & safety guardrails

Policy-constrained responses, uncertainty handling, and safe escalation

Network resilience

Network resilience

Packet-loss tolerance and state re-sync for voice sessions

Data Protection

Security & Privacy

Robust security with role-based access control (RBAC) and JWT authentication

Data Transport & Storage Solutions

Data Transport & Storage Solutions

Secure communication with end-to-end TLS, Web Application Firewall (WAF), and rate limiting

TLS 1.3
mTLS
WAF
MVP
Minimized Personally Identifiable Information (PII) handling

Minimized Personally Identifiable Information (PII) handling

RBAC / JWT with strict role definitions for users: patient, agent, clinician, and admin

RBAC
JWT
Least privilege
MVP
Tenant isolation with comprehensive audit capabilities.

Tenant isolation with comprehensive audit capabilities.

Data encryption at rest, detailed audit logs, and short-lived access tokens

Tenant isolation
Per-tenant keys
SIEM export
MVP

Benchmarks

Scale & Reliability

Robust Infrastructure for Peak Performance and Low-Latency Consistency

Horizontal scaling

Horizontal scaling

of ASR/NLU/TTS/policy services

Kubernetes / EKS
Autoscaling (HPA)
Stateless services
Per-tenant isolation

Per-tenant isolation

Quotas, and QoS

Quotas
QoS tiers
Rate limiting
Multi-AZ deployment

Multi-AZ deployment

Health checks, circuit breakers, self-healing

Health checks
Circuit breakers
Self-healing
Secure fan-out notifications

Secure fan-out notifications

Encrypted call recordings with retention controls

Pub / Sub
DLQ
Retention policies

Innovative Experience

Industries & Use Cases

Instant serves diverse industries with specialized use cases, delivering measurable value across different adoption patterns

Providers

Providers

Primary care networks, telehealth providers, insurers, employer health programs

Specialties

Specialties

Pediatric, dermatology, ENT, women’s health, mental health service lines

Automation

Automation

In-app assistant, website triage widget, pre-visit screening, post-op follow-up

Delivery Crew

Project Team

High-performing developers for growing companies

Renata Sarvary

Renata Sarvary

Sales Manager

Ready to triage safely at scale?

Guide every patient to the right care pathway — without bottlenecks or missed red-flags

Talk to an Expert

Gain the Edge

Key Performance Flow

End-to-end triage pipeline: join, assess, validate, route

01

Start & Share

Patient opens the web widget (or IVR) from your site, portal, or SMS link

02

Connect & Intake

Conversational symptom Q&A (voice / text) captures chief complaint and context

03

Clinical Reasoning

NLU + rules + RAG retrieve approved protocols; red-flag engine scores risk tier

04

Next Step

Book a visit, start telehealth, or escalate to nurse / ED with full context handoff

Clinical Intelligence Stack

Clinical Intelligence Stack

    • Streaming ASR (optional), medical NLU, slot-filling for symptoms/signs

    • RAG over your protocols / SOPs / payer rules with cited snippets

    • Guardrailed LLM responses (jurisdictional disclaimers, no unsupported claims)

    • Red-flag triggers and urgency scoring

Delivery & Automation

Delivery & Automation

    • Instant or scheduled appointments with reminders

    • Handover to nurse line or on-call clinician with audit trail

    • Optional storage of transcripts / notes with configurable retention

    • Admin console to manage dialogs, rules, and service lines

Throughput & Scale

Throughput & Scale

    • High-concurrency triage sessions across sites

    • Sub-second conversational feel for chat / voice paths

    • Horizontal scale of NLU / RAG / decisioning; per-tenant QoS and isolation

Fulfillment Process

Implementation Roadmap

Our strategic development phases from MVP to advanced real-time capabilities

step 1
step 2
step 3
step 4

Weeks 1 – 2

Process discovery, RAG corpus assembly, dialog design

Weeks 3 – 4

Scheduling + EHR integration, pilot web widget

Weeks 5 – 6

Telephony / IVR, terminology tuning, A/B of red-flag thresholds

Weeks 7 – 8

Scale-out, reporting, BAA paperwork & compliance hardening

Results

Real outcomes from production — speed, accuracy, and scale

↓ TTA (time-to-advice)

↓ TTA (time-to-advice)

By 30 – 50% via guided conversational triage

↑ FCR

↑ FCR

For common complaints and navigation issues

↓ Contact-center load

↓ Contact-center load

Due to self-service and auto-booking

↑ Protocol adherence

↑ Protocol adherence

Thanks to RAG-grounded, cited responses

↑ Customer satisfaction

↑ Customer satisfaction

By anticipating needs through predictive analysis

Tools We Used

Technology stack

ASR / TTS

ASR / TTS

Pluggable (first-party and cloud providers)
LLM & Orchestration

LLM & Orchestration

FAISS / Pinecone
Per-document policies
Clinic protocols
Payer rulebooks
SOP / FAQ
Infra

Infra

AWS (EC2 / EKS)
CDN
Object storage
Full observability (traces / metrics / logs)
RAG

RAG

FAISS / Pinecone
Per-document policies
Clinic protocols
Payer rulebooks
SOP / FAQ
EHR / EMR

EHR / EMR

FHIR / HL7
SNOMED / ICD-10 mapping
Telephony & Comms

Telephony & Comms

SIP / IVR
WebRTC
SMS / Email
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Frequently Asked Questions

Quick Answers

Find answers to your common concerns

Can we force answers to come only from approved sources?

Yes. The RAG chain returns cited passages, and the response policy blocks unsupported claims

How are red-flags handled?

Rule + ML triggers reshape the dialog in real time, escalate to a clinician / nurse line, and provide emergency guidance when appropriate

Do you support multiple languages?

Yes. ASR / TTS and UI are fully localizable — critical for multilingual populations

What about privacy?

Encryption, tenant isolation, and auditable access; HIPAA / GDPR alignment, BAA available

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