A 10-step AI-powered clinical pipeline that takes a patient from first contact to complete documentation — fully automated, no humans required until the doctor reviews.
From SMS invitation to complete clinical documentation. Each step is designed to require minimal human input while maintaining clinical quality.
Patient receives an SMS invitation to join the medical platform via Spruce Health. The system extracts patient names and phone numbers from the clinic schedule and sends personalized invitations automatically.
Patient downloads Spruce Health and connects. A webhook fires automatically, updating the doctor's inbox in real-time. The new conversation appears instantly in the Command Center.
Patient sends a photo of their government ID or health card. AI Vision reads the document via OCR and extracts: full name, date of birth, ID number, expiry date. No manual data entry needed. Works with any country's ID format.
Patient fills out a structured clinical intake form based on the OPQRST method — the same systematic approach used by paramedics and emergency physicians worldwide.
Patient sends their pseudonym code via Spruce message. The AI auto-scans incoming messages every 800ms, detects the pseudonym pattern, looks up the intake form submission, and links the clinical data to the conversation. Zero manual matching.
AI generates a flowing natural-language HPI (History of Present Illness) confirmation summary and 10 clinically-targeted follow-up questions based on the patient's specific condition and differential diagnoses. Sent automatically to the patient.
Patient answers all 10 follow-up questions directly in the chat. The system tracks completion and automatically advances the pipeline when all questions are answered.
The AI runs a full clinical reasoning analysis generating three components: a symptom timeline, a differential diagnosis summary, and a decision tree. This is informational for the doctor — not patient-facing.
The AI generates a complete patient-facing explanation of their condition — what's likely going on, why it matters, what they should watch for — written in plain language the patient can understand. Doctor approves before sending.
The AI generates every document needed for the patient's care — all in one step, all ready for the doctor to review and approve. Nothing is sent until the physician confirms.
A clear look at where humans are needed — and where they aren't.
This entire sequence can run as a Telegram bot using DeepSeek AI. A person in a village with no doctor — no clinic within 200km — can message a bot, go through the full OPQRST intake, receive clinical reasoning, and get the same quality of guidance a physician would provide.
Legally framed as medical education, not diagnosis. Practically, it is life-saving guidance at a cost that rounds down to zero.
One third of a cent per consultation.