Certuma x Doc24 Integration Overview

Embeddable UI Preview (Doc24 Waiting Room)

A single embedded panel that shows the intake flow and live structured output in one screen.

Doc24 Waiting Room · Embedded Certuma Encounter: D24-UTI-1047

Stage: Intake

Triage: Low

Confidence: High

Protocol: UTI

Updated: 1m ago

Certuma: What brings you in today?

Patient: Burning when I pee, frequent urination.

Certuma: Any fever, flank pain, or pregnancy?

Patient: No.

Dysuria Frequency Urgency

Continue Intake Pause

Structured Output

Chief Complaint Dysuria, frequency x3 days

Key Negatives No fever, no flank pain

Risk Tier Low

Next Draft clinical plan

Send to Clinician Save Draft

Digital Waiting Room Flow

Step 1

Patient Intake Structured interview + symptom capture + medical history.

Step 2

Triage & Escalation Red-flag screening with non-bypassable escalation triggers.

Step 3

Draft Clinical Plan Differential + guideline-concordant recommendations with confidence.

Step 4

Decision Certificate Structured, auditable summary delivered before the clinician joins.

Waiting Room UI Concepts (Steps 1–4)

Step 1 · Patient Intake

Question: What brings you in today?

Patient: Burning when I pee, frequent urination.

Follow-up: Any fever, flank pain, or pregnancy?

Auto-captured timeline

Medication scan

Allergy check

Structured Intake Complete

Step 2 · Triage & Escalation

Red Flags: None detected

Risk Tier: Low

Action: Continue to clinical plan

Non-bypassable rule

Audit log created

Escalation Not Required

Step 3 · Draft Clinical Plan

Differential: UTI 82%, Vaginitis 10%, STI 5%

Plan: Nitrofurantoin 100mg BID x 5 days

Confidence: High (0.94)

Guideline: IDSA 2024

Contraindication check: pass

Ready for Physician Review

Step 4 · Decision Certificate

Dx: Uncomplicated UTI

Tx: Nitrofurantoin 100mg BID x 5 days

Escalation: None

Trace: Inputs + guideline mapping + edits

Audit-ready

EHR-friendly summary

Delivered Before Clinician Join

Embeddable UI vs API Outputs

Embeddable UI Clinician-Ready

Summary: Dysuria, frequency x3 days

Differential: UTI 82%, Vaginitis 10%

Plan: Nitrofurantoin 100mg BID x5d

Approve & Send Edit

API Output Structured JSON

{ "chief_complaint": "dysuria, frequency", "risk_tier": "low", "differential": [ {"dx": "UTI", "p": 0.82}, {"dx": "Vaginitis", "p": 0.10} ], "plan": { "med": "nitrofurantoin", "dose": "100mg", "freq": "BID", "duration": "5d" } }

Workflow UI (Modeled for Doc24)

Doc24 Waiting Room Patient Intake

Step 1 · Intake

Certuma: What brings you in today?

Patient: Burning when I pee, frequent urination.

Certuma: Any fever, flank pain, or pregnancy?

Patient: No.

Continue

Structured Outputs (Auto-Captured)

Chief Complaint
Burning urination, frequency

Onset
3 days

Negatives
No fever, no flank pain

PMH
No diabetes, no kidney disease

Doc24 Clinician Review Queue

Queue

María G. · LUTS · Triage: Low

Diego S. · Sore throat · Triage: Medium

Ana R. · Rash · Triage: Low

Open Case

Safety Gates

Gate	Status
Red-Flag Screen	Pass
Contraindications	Pass
Guideline Match	Concordant
Escalation Rule	Not Required

Visit Handoff Clinician Brief

Summary

Dx: Uncomplicated UTI (82%)

Plan: Nitrofurantoin 100mg BID x 5 days

Escalation: None

Join Visit

EHR-Ready Summary

Section	Excerpt
Subjective	Dysuria, frequency, urgency x3 days
Assessment	Uncomplicated UTI; differential considered
Plan	Nitrofurantoin 100mg BID x 5d
Follow-up	Return if fever, flank pain, or no improvement

During Visit Assist

As the clinician meets the patient, Certuma provides real-time support: key questions not yet asked, contraindication checks, and EHR-friendly note drafting. This remains physician-controlled at all times.

Parallel AI vs Doctor Diff

The AI listens to the consult (with consent) and produces a parallel recommendation trace. We show a structured diff between AI suggestions and the clinician’s final decisions for auditability and learning.

During Visit Assist - UI Mock

Live Assist Panel

Unasked: Recent antibiotics? Prior UTI?

Contraindication Check: None detected

Guideline Reminder: IDSA first-line: Nitrofurantoin 5 days

Physician control

Advisory only

Visit Transcript (Live)

Patient: It burns when I pee, started 3 days ago.

Doctor: Any fever or flank pain?

Patient: No fever.

Doctor: Any recent antibiotics?

Auto-Summarize

EHR Note Draft (Live)

Subjective: Dysuria, frequency x3 days

Assessment: Uncomplicated UTI

Plan: Nitrofurantoin 100mg BID x5d

SOAP-ready

Export JSON

Send to EHR

Parallel AI vs Doctor Diff - UI Mock

AI Recommendation (Draft)

Dx: Uncomplicated UTI (0.94)

Tx: Nitrofurantoin 100mg BID x 5 days

Follow-up: 7-day symptom check

Guideline matched

No escalation

Doctor Final Plan

Dx: Uncomplicated UTI

Tx: TMP-SMX 160/800mg BID x 3 days

Follow-up: 7-day symptom check

Override recorded

Reason: allergy risk

Diff Summary

Changed: Antibiotic selection

Impact: Low risk

Audit: Logged in Decision Certificate

View Full Diff

Structured Diff (Clinician View)

Field	AI Suggestion	Doctor Decision
Diagnosis	Uncomplicated UTI	Uncomplicated UTI
Medication	Nitrofurantoin 100mg BID x5d	TMP-SMX 160/800mg BID x3d
Follow-up	7-day symptom check	7-day symptom check
Escalation	None	None

Clinician View Modules (During Visit)

Pre-Visit Summary

Snapshot: Chief complaint, key negatives, differential, and plan.

Delivered before the clinician joins the visit. Clear triage state and safety checks.

Live Assist

Prompts: Unasked red-flag questions, guideline reminders.

Physician remains in control. AI suggestions are advisory only.

EHR Note Draft

SOAP Draft: Structured note from waiting room + live transcript.

Exportable to Doc24’s EHR or via API as structured JSON.

AI vs Doctor Diff

Diff Panel: Side-by-side AI plan vs clinician final decision.

Useful for QA and protocol tuning, not for physician rating.

AI vs Doctor Decision Diff (Example)

AI Recommendation
Diagnosis: Uncomplicated UTI
Treatment: Nitrofurantoin 100mg BID x 5 days
Follow-up: 7-day symptom check
Escalation: None

Doctor Final Plan
Diagnosis: Uncomplicated UTI
Treatment: Nitrofurantoin 100mg BID x 5 days
Treatment: TMP-SMX 160/800mg BID x 3 days
Follow-up: 7-day symptom check
Escalation: None

Form Factor Options

Preferred

Embeddable UI

Certuma provides the full waiting-room interaction and clinician summary in an embedded panel. This ensures consistent UX, faster iteration, and compliance with safety gating.

Alternative

API-Only

Doc24 consumes Certuma outputs and renders the UI internally. Provides maximum platform control but requires deeper engineering coordination and ongoing design alignment.

Integration Decision (Make It Easy)

Embeddable UI

Fastest to Pilot

Certuma handles UI, safety gating, and iteration speed.

We need: waiting-room entry point, patient ID, encounter ID, write-back endpoint.

API-Only

Doc24-Controlled UI

Doc24 builds the experience; Certuma delivers data + recommendations.

We need: structured fields, consent signaling, note write-back.

Hybrid

Shared Control

Certuma embeds the waiting room UI; Doc24 renders clinician panels.

We need: embed + clinician-side hooks and data sync.

Integration Checklist

Required Hooks

Waiting room entry point

Patient + encounter identifiers

Consent banner + audit trail

Clinician handoff trigger

Data Exchange

Demographics + symptoms + vitals

Allergies + meds + PMH

Structured summary write-back

EHR note draft write-back

Optional (Phase 2)

Audio stream opt-in

Real-time transcript feed

Performance analytics endpoint

Clinician override reasons

Implementation Phases

Phase 1

Sandbox access + payload samples

Consent + entry point wiring

Phase 2

Embeddable UI integration

Clinician handoff panel

Phase 3

Pilot cohort launch

Metrics dashboard + QA loop

Pilot Success Metrics

Operational

Intake completion rate

Time-to-clinician

Clinician satisfaction

Clinical Quality

Guideline concordance

Override rate + reason

Escalation appropriateness

Documentation

Note completeness

SOAP accuracy

EHR write-back success

Safety Governance

Safety Gates

Red flags → mandatory escalation

Contraindications → block plan

Physician final authority

Audit Trail

Decision Certificate stored

AI vs Doctor diff logged

Model version pinned

Data Flows (Clear Responsibilities)

Doc24 → Certuma

Patient demographics

Symptoms + history + vitals

Medications + allergies

Certuma → Doc24

Structured summary

Draft plan + confidence

EHR-ready note

Handoff Moment (Doctor View Right Before Visit)

Visit Preview

Chief complaint: Dysuria x3 days

Triage: Low risk, no red flags

Suggested plan: Nitrofurantoin 5 days

Admit Patient

Patient Context

Allergies: None

PMH: No diabetes, no kidney disease

Key negatives: No fever, no flank pain

Next step: Choose form factor, align on integration surface, and confirm pilot scope.

Preview Summary Screen