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Clinical Evidence Layer

Evidence Retrieval Built for Regulated Healthcare

Clinicians need evidence at the point of care — not after the patient leaves. Echo-Health retrieves and summarises published literature during the consultation, with every claim traceable to its source.

Unlike general-purpose AI that provides recommendations and dosing advice, Echo-Health's evidence layer is built for clinical governance. It retrieves. It cites. It never recommends. The clinician remains the decision-maker.

Two Ways to Access
Published Evidence

💬

Information Assistant

Ask a clinical question mid-consultation. The AI searches PubMed, retrieves relevant articles, and returns a cited summary — with PMID and DOI for every statement. Conversational, context-aware, and integrated with the patient record.

  • Reads current medications, conditions, and allergies from the session
  • PubMed literature search with abstract analysis
  • Structured citations (PMID, DOI, journal, year)
  • Suggested follow-up questions
  • Streaming progress — see searches happening in real time
📋

Evidence Summary

After (or during) a consultation, generate a structured literature summary covering every clinical topic discussed. The AI identifies topics from the transcript, searches PubMed, and returns a formatted evidence report with references.

  • Automatic topic identification from consultation transcript
  • Multi-topic literature search (1–3 targeted queries)
  • Structured output: evidence summaries, medication findings, study types
  • Downloadable PDF report with full reference list
  • Alert levels for safety-related findings in the literature

Built for Clinical Governance

Most clinical AI tools provide recommendations, dosing guidance, and evaluative language like “strongly supported” or “first-line.” In healthcare environments with clinical governance requirements, this creates risk. Echo-Health takes a fundamentally different approach.

✓ What Echo-Health does
“Study A (PMID 38291045) reported a 1.2% reduction in HbA1c over 52 weeks in patients receiving empagliflozin.”
Neutral, descriptive, traceable to a specific published source.
✗ What Echo-Health never does
“Empagliflozin is a recommended first-line agent and should be started at 10mg daily.”
Evaluative, prescriptive, untraceable. This language is prohibited by the system architecture.
🚫

Forbidden Language

“Should”, “best”, “recommended”, “first-line”, “appropriate”, “safe option”, “start with”, “dose”, “titrate”, “strongly supported”, “clinical implication” — all prohibited from evidence output.

📎

Mandatory Citations

Every clinical statement must include a PMID and DOI where available. If no evidence is found, the system says so clearly — it never infers or extrapolates.

🔒

Structured Output

All evidence responses are returned as structured JSON with separate fields for the response, references, and metadata. This enables audit trails, downstream automation, and clinical governance traceability.

🛡

Advice Rejection

If a clinician asks for advice, recommendations, or instructions, the system responds: “I can only summarise the evidence from the referenced articles. Clinical decisions must be made by a qualified health professional.”

Why this matters

Software that provides clinical recommendations or dosing advice introduces clinical risk. By constraining the system to evidence retrieval only, Echo-Health's evidence layer supports clinical governance requirements while still delivering genuine clinical value at the point of care.

From Question to
Cited Evidence

1

Patient Context Is Already Loaded

The evidence layer knows the patient's age, sex, conditions, medications, allergies, and recent pathology — read from the PMS via FHIR before the clinician asks a question. No re-entering data.

Echo-Health● Live
Justin Brown
55y · Male · Diabetes
📋 Encounter Snapshot
Patient context loaded from PMS via FHIR before evidence query
2

Clinician Asks a Question

Mid-consultation, the clinician asks a question — or the Evidence Summary runs automatically from the consultation transcript.

Echo-Health● Live
Justin Brown
55y · Male · Diabetes
📚 Evidence Summary
Evidence Overview showing literature summary with PMID citations and study types
3

Literature Retrieved and Summarised

The AI searches PubMed, retrieves articles with abstracts, and generates a cited evidence summary. Every statement traces back to a specific PMID and DOI.

Echo-Health● Live
Justin Brown
55y · Male · Diabetes
📄 Literature Report
Full Literature Evidence Summary with DOI/PMID links

Evidence Retrieval in Action

Evidence Overview table showing literature summary with PMID citations
Evidence Overview table
Full Literature Evidence Summary with DOI links
Full Literature Evidence Summary with DOI links
DOI link opening to actual Taylor and Francis journal article
Every DOI and PMID links directly to the published source. Clinicians can verify any statement with one tap.
MIMS Full PI Document viewer showing Zoloft monograph
Full Product Information monograph viewer

From Evidence to
Patient Understanding

Evidence retrieval helps the clinician. Patient resources help the patient. Echo-Health closes the loop by sending trusted, plain-language health information directly to the patient's phone via SMS — so they leave the consultation informed, not confused.

🇳🇿

Healthify He Puna Waiora

Aotearoa New Zealand's most trusted consumer health resource. Plain language health topics written by medical writers with clinical review. Endorsed by the Royal New Zealand College of General Practitioners. Zero-data status — free to access without using mobile data. Sent to patient via SMS with one tap.

🇦🇺

Consumer Medicine Information

Official CMI leaflets for prescribed medications, written by pharmaceutical companies under government guidelines. Covers usage, precautions, side effects, and interactions. Only triggered when medications are prescribed — no prescription, no CMI. Sent to patient via SMS after prescribing. Addresses the gap where CMI is no longer routinely included in packaging.

White-Label Evidence
for Your Platform

The evidence layer is available as part of Echo-Health's white-label platform. PMS vendors can embed evidence retrieval into their product under their own brand. Sources currently include PubMed-indexed literature, with clinical guidelines and additional evidence sources on the roadmap.

API-First

Evidence retrieval available via API for seamless integration into your existing platform and workflows.

🌏

Country-Aware

Evidence queries are contextualised for AU, NZ, and UK clinical environments, with country-specific terminology and guidelines on the roadmap.

📊

Audit-Ready

Full audit trail for every evidence query: search terms, article counts, model versions, timestamps, and complete reference lists.

Add Evidence Retrieval
to Your Platform

White-label clinical evidence — built for healthcare environments that demand clinical governance.

Echo-Health's evidence layer retrieves and summarises published literature only. It does not provide clinical advice, evaluation, or recommendations. All outputs require clinician review. Current sources include PubMed-indexed literature via NCBI E-utilities. Additional evidence sources including clinical guidelines are in development.