Applied Health-System Initiatives & Pilots

Projects built on the OpenClinAI stack

Beyond our core EHR and laboratory applications, OpenClinAI partners on applied health-system initiatives that combine our shared context engine (Med Agent Hub) and evaluation harness (Validation Harness) to solve regional clinical interoperability and decision-support problems.

Active Applied Projects

Regional & interoperability initiatives

Each project pairs open healthcare standards with repeatable deterministic and multi-model evaluation reports.

Patient-Mediated HIE · FHIR R4 & IPS

WA Health Summary (WAHS)

Patient-mediated longitudinal health summary and grounded clinical chart exploration across fragmented care sites.

Developed by UW CIRG and the Washington State Department of Health on HAPI FHIR with International Patient Summary (IPS) and SMART Health Link sharing. OpenClinAI pairs WAHS with the WAHS Explorer sandbox—condensing multi-clinic FHIR R4 bundles across 9 token budgets (256k–1k) with deterministic clinical entity graph and guideline checks.

WAHS Overview AI Strategy & Architecture Sandbox Walkthrough WAHS Explorer Sandbox 9-Model Benchmark

Computable Guidelines · FHIR R4 & CQL

WHO SMART Guidelines L2→L3 Synthesis & Verification

Translating narrative clinical decision-support tables into executable FHIR Clinical Quality Language (CQL) verified against deterministic test suites.

Explores how open-weight clinical models and RL with Verifiable Rewards (RLVR) can assist health-system implementers in authoring and auditing computable WHO SMART Guidelines (Immunizations and Antenatal Care), using cqf-ruler CQL execution against official L3 MeasureReport bundles as a zero-variance oracle.

Explore CQL Oracle & RLVR Layer 1 Deterministic Oracles

Shared Infrastructure

How applied projects build on OpenClinAI

Every applied project reuses the same core primitives so improvements in context condensation, verification encoders, or model quantization transfer across domains.

01 · Context & Privacy

Lossless FHIR R4 Condensation

Projects ingest standard FHIR R4 bundles or EHR snapshots through the shared 5-Tier Condenser, stripping administrative noise while preserving 100% of active medications, conditions, allergies, lab trajectories, and provenance UUIDs.

Condenser Architecture

02 · Clinical Rules

Pre-Generation Knowledge Routing

Domain-specific clinical rules (KDIGO renal dosing, ADA glycemic targets, CDC ACIP immunization schedules, WHO SMART tables) execute deterministically over the patient graph before any LLM prompt is constructed.

Med Agent Hub

03 · Locked Evidence

Repeatable Benchmark Packets

Every project milestone publishes a self-contained evaluation packet to reports.openclinai.org with side-by-side model transcripts, citation grounding audits, and safety-adjusted benchmark scores.

Browse All Reports