Clinical decision support
Diagnosis, differential, tests and treatment. Grounded in evidence. Decided by the clinician.
निदान, विभेदक निदान, परीक्षण र उपचार। प्रमाणमा आधारित। निर्णय चिकित्सकको।
B-CON CDSS pairs a knowledge base built over three years from NIH and CDC references, eHMIS data from Nepal and the Nepal Standard Treatment Protocols with the B-CON Brain model and a deterministic rulebook. It proposes a diagnosis through a seven-step differential, recommends the right tests and medicines, and checks every order for safety. It is in use in Nepal and in more than 30 clinics and hospitals in Illinois and New Jersey.
- 7
- step differential diagnosis
- 30+
- clinics and hospitals using it in the United States
- 100%
- of suggestions reviewed and signed by a clinician
- 0
- drug interactions decided by a language model
02The seven-step differential
How a diagnosis is reached.
The same discipline a good clinician applies, made explicit so it can be reviewed.
- 1
Present
Chief complaint, history and vitals captured from the encounter or the transcript.
- 2
List
Every plausible diagnosis for this presentation, age, sex and setting, from the knowledge base.
- 3
Rank
Ordered by likelihood using prevalence in Nepal and the patient's findings.
- 4
Exclude
Red flags and dangerous diagnoses surfaced first so they are ruled out, never missed.
- 5
Test
The investigations that separate the top candidates, recommended from the hospital's own catalogue.
- 6
Treat
Medicines and doses from the Nepal Standard Treatment Protocols, checked against the rulebook.
- 7
Review
The clinician accepts, edits or overrides with a reason. Follow-up and referral proposed.
03What it does
Four kinds of support, one gate
- 01
Disease diagnosis
A ranked differential with the evidence for and against each candidate, in plain Nepali or English.
- 02
Lab test recommendation
Investigations that change the decision, matched to what the hospital can actually run, with duplicates and recent results considered.
- 03
Medication recommendation
First-line treatment from the Nepal Standard Treatment Protocols, dose by weight, age and renal function, orderable from stock.
- 04
Drug-drug interactions and allergies
Checked against a curated interaction database and the patient record at prescription and dispense. Never from a model's memory.
- 05
Critical results
Lab and radiology critical findings notify the treating clinician and record acknowledgement.
- 06
Protocols and pathways
Triage, emergency routing by ICD mapping, dialysis quality, NCD and MCH programme pathways, and your hospital's own protocols.
04Evidence
Where the knowledge comes from.
- 01
NIH
Clinical references and guidelines from the United States National Institutes of Health.
- 02
CDC
Case definitions, treatment and prevention guidance from the Centers for Disease Control and Prevention.
- 03
Nepal Standard Treatment Protocols
The national protocols, so recommendations match what Nepal's facilities stock and practise.
- 04
eHMIS data from Nepal
What actually presents in Nepali facilities, from the records of more than 550 health facilities, so likelihoods reflect local disease patterns.
- 05
Your hospital
Your catalogue, formulary and protocols, encoded during implementation, so every suggestion is orderable.
- 06
Curated rulebook
Interactions, allergies, dose limits and contraindications maintained as data, versioned, reviewed, and measured against clinician decisions.
A decision support system earns trust by being right in the boring cases, every single time. That is why the rules are rules, and the clinician signs.
B-CON clinical engineering
Bring your protocols.
We encode your hospital's own pathways into the rulebook during implementation.