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Safety First, Always

Multiple layers of protection ensure every medical decision prioritizes patient safety

Our Safety Commitment

"First, do no harm" - this ancient medical principle guides every line of code, every algorithm, and every decision in CIRISMedical. We've built the most comprehensive safety system ever created for medical AI.

Five Layers of Safety

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1. Medical Prohibition

Medical capabilities are completely blocked in public CIRISAgent. Only authorized medical deployments can access medical functions.

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2. Physician Supervision

Every deployment requires a licensed physician supervisor. High-risk decisions must be approved before implementation.

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3. Domain Routing

Medical queries only go to medical-trained AI models. Complete separation from general AI prevents contamination.

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4. Wisdom-Based Deferral

AI automatically defers uncertain or high-risk cases to humans. Never makes critical decisions autonomously.

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5. Audit & Compliance

Every decision logged for 7 years per FDA requirements. Complete transparency and accountability.

Technical Safety Architecture

The ONE Line of Custom Code

WiseBus.PROHIBITED_CAPABILITIES = set()

CIRISMedical's entire custom logic is one line that clears medical prohibition only when all safety requirements are met. Everything else is configuration.

Safety Requirements

  • NO_PUBLIC_DEPLOYMENT marker must exist
  • Medical license file verified
  • Supervisor credentials validated
  • Liability acceptance confirmed
  • Insurance coverage active

ESI Triage Protocol

CIRISMedical uses the Emergency Severity Index (ESI), the gold standard for medical triage used in emergency departments worldwide.

ESI-1
Immediate - Life-threatening condition requiring immediate intervention
AI immediately alerts all available medical personnel
ESI-2
Emergent - High risk situation, time-critical
Physician consultation required within 10 minutes
ESI-3
Urgent - Stable but requires multiple resources
Medical evaluation within 1 hour
ESI-4
Less Urgent - Stable, single resource needed
Can be safely managed by trained health workers
ESI-5
Non-Urgent - Stable, no immediate resources needed
Routine care or health education appropriate

Tier 5 Stewardship

Maximum Human Oversight

CIRISMedical operates at Tier 5 - the highest level of human stewardship in the CIRIS framework. This means:

  • All decisions reviewable by humans
  • Critical decisions require approval
  • Continuous physician monitoring
  • Automatic deferral of edge cases
  • Human veto power always active
  • Staged deployment with validation

Compliance & Standards

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FDA 21 CFR Part 820

Quality System Regulation compliance

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HIPAA Compliant

Full patient data protection

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ISO 13485

Medical device quality management

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IEC 62304

Medical device software lifecycle

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WHO Guidelines

Global health standards

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PMDC Verified

Pakistan Medical & Dental Council

What CIRISMedical Will Never Do

  • Make autonomous medical decisions

    Every decision requires human review for critical cases

  • Replace physicians

    We extend medical reach, not replace medical professionals

  • Prescribe medications independently

    All prescriptions require physician authorization

  • Operate without supervision

    Continuous physician oversight is mandatory

  • Hide or alter medical information

    Complete transparency in all recommendations

Safety Through Design

Every feature, every decision, every line of code prioritizes patient safety. This isn't just our promise - it's built into the architecture.

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