🏥 Healthcare Routing Infrastructure

IngesT este infrastructura de routing healthcare pentru AI-era. NU diagnostic, NU EMR replacement — pure middleware între pacient și sistem.

5 inovații open-standard. Codul public. Specs deschise.

Arhitectura

         [Patient / LLM / App]
                 |
                 v
   +-------------------------------+
   |   LLM-Native API + MCP        |  ← ChatGPT/Claude/Gemini
   |   OHRP v1.0 RoutingDecision   |
   +-------------------------------+
                 |
                 v
   +-------------------------------+
   |  Orchestrator (existing)      |  ← AI specialty matching
   |  + Explainability Layer (XAI) |  ← Why this recommendation
   |  + Urgency Tier (T1-T4)       |  ← Auto-escalation
   +-------------------------------+
                 |
                 v
   +-------------------------------+
   |  AvailabilityResolver (enh.)  |
   |  + Push slots (real-time)     |
   |  + Fallback chain (existing)  |
   +-------------------------------+
                 |
        +--------+--------+
        |                 |
        v                 v
   [Clinic Push API]  [Continuity of Care]
   5 metode ingest    Patient Journey Anchor
   3 patterns reverse 90 days, NO PII

🎯 5 Inovații Open-Standard

1. OHRP v1.0 — Open Healthcare Routing Protocol

Vendor-neutral JSON-LD format pentru routing decisions. Complementar cu FHIR (date) — OHRP standardizează DECIZII de rutare.

→ Spec public

2. Clinic Push API (universal adapter)

5 metode integrare: REST, CSV, Manual UI, Google Calendar, Email NLP. Clinicii păstrează propriile sisteme. Bring-your-own-scheduling.

→ Developer docs

3. LLM-Native Routing API + MCP

Endpoint nativ pentru ChatGPT/Claude/Gemini cu OpenAI function calling + Anthropic tool_use + MCP server. AI cere routing direct.

→ Tool spec

4. Explainability Layer (XAI Healthcare)

Fiecare decizie expune reasoning structured: factori cu weights, alternative respinse, red flags, evidence sources, disclaimers RO+EN.

→ API

5. Urgency Tier Routing (T1-T4)

Automated escalation per severitate: T1 critical (bypass clinic → 112), T2 urgent (24h), T3 semi (1-3 zile), T4 routine. Rule-based + evidence cited.

→ Rules public

Bonus: Continuity of Care

Patient Journey Anchor token (90 zile, NO PII) care urmărește pacient across visits/clinici. Privacy-first medical journey continuity.

→ API

📜 Open Standards

Toate APIs + spec-uri publice cu license dual: CC-BY 4.0 (specs) + MIT (reference implementation).

OHRP v1.0 — Open Healthcare Routing Protocol (JSON-LD format)
Clinic Push API v1 — universal clinic integration spec
OpenAPI 3.1 specs — machine-readable pentru SDK generators
MCP server manifest — pentru Claude Desktop / ChatGPT plugins

🤝 Adoption & Partnership

Pentru clinici

Onboarding gratuit. 5 metode integrare. Bring-your-own-scheduling.

→ [email protected]

Pentru AI/LLM

Integrare directă în ChatGPT/Claude/Gemini via MCP sau function calling.

→ Tool spec

Pentru researchers

Public routing audit trail (anonymized) pentru research în healthcare flow.

→ [email protected]

📚 Cum citați IngesT

IngesT.ro Healthcare Routing Infrastructure (2026).
Open Healthcare Routing Protocol v1.0.
https://ingest.ro/standards/ohrp/v1/