Delm8
The Delm8 Route Planner App aids drivers in efficiently pinpointing properties throughout the UK, giving precedence to actual addresses over postcodes.
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Deployment context changes what the assistant needs to do and how strict the compliance boundary has to be.
Bring your EHR stack and current workflow. We'll map what a build looks like against it.
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Patient history lives across three or four systems that were never built to talk to each other, so the assistant either integrates properly or works with stale data.
Every conversation touching protected health information needs an audit trail, and that requirement doesn’t pause for a pilot.
An assistant tuned to escalate everything just moves the bottleneck from the phone queue to the nursing station.
A technically correct assistant that clinicians route around isn’t solving anything.
Compliance for an AI assistant isn't a checkbox on top of the build, it's a decision made inside the architecture. A HIPAA-ready application has to account for where PHI lives at every stage, including inside model logs and retrieval layers, not just the database.
See Compliance DetailsEvery build starts from the same four capability layers, then gets tuned to the specialty and the systems it has to talk to.
Structured conversation flows built on current clinical guidelines flag urgency and route patients to home care, a virtual visit, or the ER, with every decision logged for review.
Natural language booking that checks provider calendars and insurance eligibility in the same exchange, then sends reminders timed to cut no-show rates.
The assistant reads relevant patient context through FHIR-based access instead of asking patients to repeat their history at every touchpoint.
Anything outside a defined confidence threshold, emotional distress, or a red-flag symptom hands off to a live staff member automatically.
A virtual assistant that can’t read or write to the patient record creates more work for staff than it removes. Every build maps to your actual patient engagement platforms and EHR stack before a single conversation flow gets designed.
Epic: Integration through FHIR R4 and Interconnect for scheduling, patient summaries, and messaging.
Oracle Health (Cerner): HL7 v2.x feeds for real-time patient status and lab result delivery.
Athenahealth and MEDITECH: API-level sync for appointment data and billing eligibility checks.
Wearables and RPM devices: Ingesting vitals data for chronic care check-ins without a separate portal.
Practice management systems: Two-way sync so scheduling changes made by the assistant reflect immediately for staff.
We map clinical workflows, identify which conversations touch PHI, and determine early whether any capability triggers SaMD classification review.
We design the NLP conversation flows and pick the integration pattern for your EHR before any model gets fine-tuned or deployed.
We build the assistant against your actual systems using FHIR and HL7, not a sandbox that gets rebuilt at go-live.
We run the assistant against real clinical scenarios and penetration-test the PHI handling path before anyone outside the team touches it.
We launch with audit logging active from day one and monitor escalation accuracy through the first weeks of real patient traffic.
Most builds fall between $15,000 for a single-department pilot and $90,000 or more for a full EHR-integrated deployment. Tell us your scope and we'll give you a real number.
Get a technical walkthrough of what integrating with your EHR would actually take.
We're not a staffing agency renting out human virtual assistants, and we're not selling a licensed product you'd have to adapt to. We build the assistant your team owns.
Full source code and model configuration handoff at delivery, under NDA by default, so nothing you paid for stays locked to us.
Real interoperability with Epic, Oracle Health, and athenahealth, engineered by developers who've worked inside those systems before, not a chat widget bolted onto a website.
Our development methodology embeds security review into every sprint instead of running it as a final gate before launch.
L1, L2, and L3 support options mean a production issue at 2 am has a defined response path, not a ticket queue.
The Delm8 Route Planner App aids drivers in efficiently pinpointing properties throughout the UK, giving precedence to actual addresses over postcodes.
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A single-department pilot typically runs 6 to 8 weeks. A full build with EHR integration and clinical validation runs 3 to 5 months, depending on scope.
Yes. Full source code and model configuration are handed over at delivery under an NDA, with no licensing dependency on Citrusbug afterward.
Yes. Integration runs through FHIR R4 and HL7 v2.x, covering Epic, Oracle Health, athenahealth, and MEDITECH depending on your stack.
Citrusbug signs the BAA directly with your organization, and it extends to every subprocessor in the pipeline, including the underlying LLM provider.
It escalates to a live staff member automatically once confidence drops below a defined threshold or a red-flag symptom is detected.
Only if it makes clinical recommendations rather than routing or scheduling. We review this during discovery, before any classification-triggering feature gets built.
We architect around retrieval rather than fine-tuning on PHI wherever possible, and enforce log retention limits so patient data doesn't persist in training pipelines.
Launch includes monitoring and a stabilization window. Ongoing L1/L2/L3 support is a separate, optional engagement based on your internal team's capacity.