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Multi-agent architecture

10 specialized clinical AI agents

Each agent handles one clinical responsibility. The orchestrator runs them in parallel to deliver fast, secure, medical-grade outputs.

6

Live agents

2

Beta

2

In development

Workflow overview

Audio inputTranscriptionOrchestratorSOAPRAMQRxFormsEMR-ready outputs

Transcription Agent

Live

Deepgram Nova-3 Medical

Real-time bilingual (EN/FR) medical transcription with multi-speaker diarization and timestamping. Built for noisy clinic rooms and rapid consult turnover.

Inputs

  • Microphone audio
  • Uploaded audio/video
  • WebRTC stream

Outputs

  • Timestamped transcript
  • Speaker labels
  • Confidence scores

Clinical Documentation Agent

Live

Gemini 2.5 Flash (Vertex AI)

Builds structured SOAP notes, consultation summaries, and follow-up plans with specialty-specific formatting and explicit medical rationale fields.

Inputs

  • Diarized transcript
  • Patient context
  • Specialty profile

Outputs

  • SOAP note
  • Consult summary
  • Follow-up plan

RAMQ Billing Agent

Live

Gemini + RAMQ codebook

Extracts billable acts and suggests RAMQ + SNOMED codes with transparent justification so the physician can validate quickly before submission.

Inputs

  • SOAP note
  • Visit type
  • Procedure details

Outputs

  • RAMQ acts
  • SNOMED codes
  • Billing rationale

Prescription Agent

Live

Gemini 2.5 Flash

Creates structured prescriptions with dosage, route, frequency, duration, and practical patient instructions in clinician-ready format.

Inputs

  • Clinical note
  • Medication mentions
  • Allergies

Outputs

  • Prescription draft
  • Dose schedule
  • Patient instructions

Ask Aura Agent

Live

Gemini + medical retrieval

Contextual assistant for rapid clinical Q&A, interaction checks, and protocol reminders during visits with traceable response context.

Inputs

  • Free-text questions
  • Session context

Outputs

  • Grounded answers
  • Suggested next steps

Quebec Forms Agent

Live

Gemini + form templates

Auto-fills MADO, CNESST, SAAQ, and disability forms directly from consultation context to reduce repetitive documentation time.

Inputs

  • Clinical note
  • Form type
  • Patient demographics

Outputs

  • Pre-filled PDF
  • Field validation report

Referral Letter Agent

Beta

Gemini 2.5 Flash

Drafts specialist referral letters with indication, clinical history, current medication, and urgency classification for final clinician review.

Inputs

  • SOAP note
  • Specialist target
  • Urgency level

Outputs

  • Referral letter
  • Structured summary

Quality Review Agent

Beta

Gemini 2.5 Flash

Checks clinical completeness (SOAP coverage, missing fields, inconsistencies) and highlights risks before sign-off and EMR export.

Inputs

  • Generated note
  • Specialty checklist

Outputs

  • Quality score
  • Missing items
  • Fix suggestions

Longitudinal Summary Agent

In development

Gemini 2.5 Flash

Summarizes multiple visits into a patient timeline with chronic issues, interventions, and treatment evolution for continuity of care.

Inputs

  • Encounter history
  • Date range
  • Condition filters

Outputs

  • Timeline summary
  • Problem list
  • Medication changes

PHI Guard Agent

In development

Custom NER + Gemini

Detects and optionally redacts protected health information before exports and external sharing with an auditable review trail.

Inputs

  • Generated documents
  • Export destination

Outputs

  • PHI tags
  • Redacted version
  • Audit log

Implementation timeline

Our roadmap shows how each agent moves from beta to production. Live modules are available now and expanding with governance controls.

Now

Production foundation

Transcription, SOAP, RAMQ, prescriptions, Ask Aura, and forms are available for daily clinical use.

Q1 2025

Beta expansion

Referral and quality agents scale through controlled rollout with larger clinic groups.

H1 2025

Advanced continuity layer

Longitudinal summaries and PHI guardrails extend multi-visit analytics and safe sharing workflows.

Specialty-aware adaptation

Family Medicine

  • SOAP adapted for prevention and continuity
  • RAMQ family medicine billing profile
  • Follow-up planning focused on primary care

Cardiology

  • Risk-focused note structure for cardiac context
  • Cardiology coding and escalation hints
  • Medication checks for cardiovascular interactions

Psychiatry

  • Mental status and safety prompts in SOAP
  • Psychiatry-oriented coding framework
  • Crisis-aware guidance pathways in Ask Aura

Why this architecture works in clinic

Parallel execution

SOAP note, RAMQ suggestion, and prescription are generated at the same time for faster throughput.

Specialized expertise

Each agent has one job and one validation criterion, which improves consistency and explainability.

Security by design

Encrypted transit, access controls, and PHI checks are built into every step of the workflow.

See all agents in action

Run a real scenario in our sandbox and watch the full multi-agent pipeline complete in seconds.

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Our AI — 10-Agent Architecture for Clinical Documentation | AuraScribe