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。
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 / Ollama / mock)
Stack: Rust, axum 0.7, tokio, regorus (Rego), sqlx, reqwest, Next.js 15
Not trying to replace Epic — solving problems Epic architecturally can't solve with AI.
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Demo:https://screen.studio/share/VjDVsjUG<p>VERITAS github repo:https://github.com/Chesterguan/veritas