Patients rarely present with textbook symptoms. They have multiple conditions, overlapping symptoms, and complex histories. Medelic's AI handles this complexity with adaptive multi-condition reasoning.
AI Assessment:
High-risk presentation. Multiple differential diagnoses require consideration: CAP, PE, ACS. Recommend urgent same-day assessment.
Traditional symptom checkers follow rigid decision trees. When patients present with multiple symptoms or comorbidities, they either over-triage (sending everyone to A&E) or miss critical combinations.
Fixed pathways can't adapt when symptoms don't fit the expected pattern. Real patients don't follow textbooks.
Most systems assess one symptom at a time. They miss dangerous combinations that change clinical urgency.
Without considering medical history, age, and risk factors, generic advice may be inappropriate or dangerous.
When multiple symptoms are present, Medelic evaluates all relevant clinical pathways simultaneously, identifying which combinations require escalation.
Patient history from EMIS/SystmOne informs risk stratification. A headache in a healthy 25-year-old is different from one in a 75-year-old on anticoagulants.
Questions adapt in real-time based on responses. If a patient mentions chest pain while discussing a cough, the AI pivots to assess cardiac risk factors.
Each symptom, risk factor, and combination contributes to a composite risk score. The highest-acuity pathway determines the recommendation.
Parallel pathway activation:
→ RESPIRATORY_INFECTION ACTIVE
→ CHEST_PAIN_PLEURITIC ACTIVE
→ PULMONARY_EMBOLISM SCREENING
PE_RISK_ELEVATED
Wells Score factors: Recent travel + pleuritic chest pain
Recommendation: URGENT_SAME_DAY → Consider A&E referral
Identifies dangerous symptom combinations that individually might seem benign. Headache + neck stiffness + fever triggers meningitis pathway.
Adjusts risk assessment based on existing conditions. Diabetic patients with infections, immunocompromised patients, frail elderly.
Considers current medications when assessing symptoms. Bleeding on anticoagulants, hypoglycaemia on diabetes meds.
Paediatric, adult, and geriatric presentations assessed appropriately. Different thresholds, different red flags.
Understands symptom duration and progression. "Getting worse over 3 days" is assessed differently from "started 30 minutes ago".
SBAR summary includes all considered differentials, not just the primary. Gives GPs full clinical picture.
Multi-condition reasoning increases complexity, but never at the expense of safety. Medelic is designed to err on the side of caution.
If any pathway suggests urgency, that recommendation takes precedence.
When the AI can't confidently categorise, it escalates to human review rather than guessing.
Clinical reasoning is documented. GPs can see why the AI reached its conclusion.
Clinical outcomes are tracked. Pathways are refined based on real-world performance.
See how Medelic handles multi-condition presentations with clinical precision.