The intelligence layer

Made legible.

UltraCare turns charted values into scores, signals and estimates you can operate and check — every figure showing its inputs, its formula and its source. Manipulate the synthetic patient below and watch the instruments respond. The clinician stays in the loop.

Three claims, as instruments

Deterministic

Same inputs → same score

No model, no randomness. The severity scores are published arithmetic on charted values — reproducible every time.

Transparent

Every figure shows its inputs

Each score opens to a breakdown: variable → value → points. The working is the product, not a footnote.

In the loop

The clinician decides

The assistant drafts and the instruments inform. Orders and diagnoses stay the treating clinician's call.

§ 01 · Severity scores

The score console

One synthetic patient, four live instruments. Move a slider or pick a scenario — APACHE II, SOFA, qSOFA and NEWS2 recompute instantly, each showing exactly which variable moved the number.

Fig.01 — Score console Synthetic · ICU-04

Vitals

Labs

Support

More — APACHE chemistry, age & NEWS2 scale
0/ 71
Breakdown
Formula
Acute Physiology Score (12 vars, each 0–4) + Age points + Chronic-health points. GCS contributes 15 − GCS; creatinine doubled in ARF; oxygenation uses A-aDO₂ (FiO₂ ≥ 0.5) or PaO₂. Range 0–71.
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0/ 24
Breakdown
Formula
Six organ systems (respiration, coagulation, liver, cardiovascular, CNS, renal), each 0–4. Respiration 3–4 require support; renal takes the higher of creatinine vs urine output. Range 0–24; Sepsis-3 uses an acute rise ≥ 2.
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0/ 3
Breakdown
Formula
1 point each: RR ≥ 22 /min, altered mentation (GCS < 15), SBP ≤ 100 mmHg. ≥ 2 flags higher risk in suspected infection — a prompt, not a diagnosis.
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0/ 20
Breakdown
Formula
Seven parameters (respiration, SpO₂, air/oxygen, BP, pulse, ACVPU, temperature), each banded; +2 for supplemental O₂. Aggregate drives RCP escalation. Range 0–20.
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§ 02 · Deterioration

The trend scope

Today's deterioration signals are rule-based trend deltas — transparent thresholds on the direction and rate of change. Advance the chart or drag a value; when a rule crosses, the signal fires and tells you exactly why.

Fig.02 — Trend scope · MAP over rolling window Synthetic

Deterioration rule
Monitoring
Watching MAP for a sustained fall. Rule: MAP ↓ ≥ 10 mmHg over 2 h → signal.
Phase 2 · roadmap — not live

A validated machine-learning deterioration predictor is planned, pending pilot data and ICMR ethics approval. Today's signals are the deterministic rules above — the model is not implied to be running.

§ 03 · Outcome estimates

The outcome band

Not a prediction engine. Given the current severity (from the console), UltraCare shows the range reported by published cohorts — context for a number, never a forecast for a person.

Fig.03 — Outcome band · driven by console severity Reference ranges

Current severity:

In-hospital mortality
ICU length of stay
Ventilator-free days (28d)

Reference range from published cohorts — not a patient-specific prediction. A precise individual estimate would require a diagnosis-specific model, which UltraCare does not fabricate.

Ranges illustrative of published critical-care cohort literature; see the method & citations.

§ 04 · The clinical assistant

Drafts. Doesn't decide.

The assistant assembles a draft from the current console values — and cannot act until a clinician signs off. Hover a line to see the charted values it came from.

Fig.04 — Clinical assistant · draft → review → sign Templated · deterministic

Sign-off gate
Draft — not signed
Draft assembled
Clinician review
Signed & released
  • Always cites the charted values it used
  • Requires clinician sign-off before release
  • Will not prescribe or change orders
  • Will not diagnose or decide
  • Will not act autonomously

§ 05 · How it fits together

The signal path

Each instrument is one hop on the same loop — charted value to rule or score to readout to the clinician, who decides and charts again. It runs on every round, across the twelve-step spine.

Charted valuevitals · labs · GCS Deterministic scoreAPACHE·SOFA·qSOFA·NEWS2 Rule-based signaltrend delta thresholds Readoutscore + shown work Clinician · in the loopreviews · decides · charts clinician charts again → the loop repeats every round

UltraCare

Instruments you can operate — admission to discharge.

Inside the workspace, these run on every charted value, alongside I-PASS handovers and the FAST HUGS BID safety sweep. The clinician stays in the loop.