Cliniclaw:一种基于人工智能的医院信息系统(HIS)尝试,结合政策导向的临床代理。

1作者: chesterguan27 天前原帖
它的功能:通过信任治理层(VERITAS)运行AI代理(分诊、订单、实验室审核、药房、文档)以支持临床接触。每个代理的操作都受到政策的限制(OPA Rego),并以FHIR R4格式持久化,同时经过加密审计。 关键设计决策: - 默认拒绝 — 代理在没有政策批准的情况下无法行动 - 人工干预的门槛由政策强制执行,而非用户界面约定 - FHIR R4作为原生数据模型(无专有架构) - 加密审计链(SHA-256,追加只读) - 可插拔的LLM后端(Claude API / Ollama / mock) 技术栈:Rust, axum 0.7, tokio, regorus (Rego), sqlx, reqwest, Next.js 15 并非试图取代Epic — 而是利用AI解决Epic在架构上无法解决的问题。 演示链接:https://screen.studio/share/VjDVsjUG VERITAS GitHub仓库:https://github.com/Chesterguan/veritas
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What it does: Runs AI agents (triage, orders, lab review, pharmacy, documentation) through a trust governance layer (VERITAS) for clinical encounters. Every agent action is policy-gated (OPA Rego), FHIR R4-persisted, and cryptographically audited.<p><pre><code> Key design decisions: - Deny by default — agents cannot act without policy approval - Human-in-the-loop gates enforced by policy, not UI convention - FHIR R4 as the native data model (no proprietary schemas) - Cryptographic audit chain (SHA-256, append-only) - Pluggable LLM backend (Claude API &#x2F; Ollama &#x2F; mock) Stack: Rust, axum 0.7, tokio, regorus (Rego), sqlx, reqwest, Next.js 15 Not trying to replace Epic — solving problems Epic architecturally can&#x27;t solve with AI. </code></pre> Demo:https:&#x2F;&#x2F;screen.studio&#x2F;share&#x2F;VjDVsjUG<p>VERITAS github repo:https:&#x2F;&#x2F;github.com&#x2F;Chesterguan&#x2F;veritas