Standing Watch · the continuum

One patient, five rooms. The clock slows, the recipient changes, the audit trail never breaks.

Mrs. H is 74, with heart failure, diabetes and kidneys that do not like either. She is synthetic. Follow her from the ICU to the ward, through discharge, home, and past day 30. In each room the same reasoning layer reads what that room has, decides who should hear it, and carries the finding in the same mediator. Answer each finding, or let it go unanswered and watch it escalate. The trail on the right is one record from the first minute to the last.

AI MedAgent · the hospital runs the watch

Ami · on the person's phone

One audit trail

Every step in every room, in order. The hospital keeps it through day 30. Each line is a FHIR AuditEvent.

What is real here, and what is not

Real: the mediator logic (recipient, criticality, timers, respond, defer, reject, escalation, audit) and the FHIR R4 resources it emits, running in your browser. The label facts quoted are from the FDA labels named.
Written for the demonstration: Mrs. H, her chart, her pump, and the wording of each finding. On the ICU watch board you can send a chart to the live reasoning and see it write its own.
Simulated: the Health app list on the phone. Ami reads the Health app's own medication list on a real iPhone; this page shows what that looks like with an invented list.

Label sources: metformin, FDA Drug Safety Communication, 8 April 2016, revising the labels to contraindicate metformin when eGFR is below 30 mL/min/1.73 m². Ibuprofen and other NSAIDs: FDA Drug Safety Communication, 9 July 2015, strengthening the labels; the revised labeling states that NSAID use increases the risk of heart failure. Not a medical device. Not for clinical use.

Daniel Pettus spent forty years in medical device and health IT leadership at Alaris, CareFusion and BD, contributed to IHE Patient Care Device interoperability standards, and is named on two United States patents. He writes Inside the Loop at insidetheloopdp.substack.com and is the author of The Technology Was Never the Problem, at pettusbook.com.

AI MedAgent is a research demonstration of a patent-pending method. Advisory only. Not a medical device. Not for clinical use. Synthetic data only.