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Reviresco 47

Our main system

the middle man

A.N.C.H.O.R.

Autonomous Navigator for Clinical Healthcare Orchestration & Reliability

ANCHOR keeps track of what a hospital has promised a patient, and chases the things that slip. It runs on the computer in front of the clinician, works without an internet connection, and is still being built.

The parts

five parts

The parts, and how far along each one is

AreaPartWhat it doesHow far along
What people seeH.E.L.M.The screen a clinician works in, and the reasons behind what it suggestsBeing built
How work movesAutopilot busPasses events between parts, checking the rules each timeBeing built
The helpersSpecialist agentsEach does one narrow job, and says so when it does not knowBeing built
Working out what is urgentOLRHM + TRISThe maths that ranks what is closest to going wrongDesigned, not built
The safety coreShared kernelThe shared foundation everything else has to go throughNot built

How it works

a person decides

How a piece of information travels through it

This is the plan. Steps that need the ranking maths are marked, because that part is designed but not yet written.

  1. 01

    Take it in

    Only with permission

    Appointments, notes, device readings and workflow events arrive tagged with where they came from, who consented, how sensitive they are, and which rules apply.

  2. 02

    Write it down

    One record per promise

    Every open promise becomes its own record: who owns it, when it is due, where it has got to, what has been tried, and whether we know the full picture.

  3. 03

    Work out the pressure

    Planned - not built yet

    The ranking maths recalculates how close a patient is to something being missed, every time a promise opens, is fixed, is missed, or is cancelled.

  4. 04

    Put it in order

    Planned - and it shows its reasoning

    The to-do list is meant to put the most time-critical work first, and show which open promises pushed it up the list.

  5. 05

    A person decides

    Always

    A clinician makes the call. What was done, why, which version of the software suggested it, whether they overruled it, and what happened next are all recorded.

Where it runs

on your machine

It runs on the machine in front of you

ANCHOR is built to work where clinicians actually are, storing everything locally and encrypted. Bigger shared services can be added later, but nothing basic should depend on them.

The clinician's app

Electron, React, TypeScript, Node

Runs on Windows, Mac or Linux. Keeps working when the connection drops.

Storage

SQLite with SQLCipher

Encrypted on the machine, with no setup. Patient names must never appear in plain text in the logs.

The thinking, done locally

Ollama, Whisper, deterministic rules

Transcription and AI run on the same machine. Anything an AI produces can never be the only reason care is stopped.

Shared services

Kafka, NATS, Vault, Terraform

For running across a whole hospital later. None of this is built.

Next

live, not slides

See it working.

We show the working part live. We do not send screenshots of things that do not exist.