Cliniclaw: AI-native HIS attempt with polict-gated clinical agents

1 point

3 months ago

What it does: Runs AI agents (triage, orders, lab review, pharmacy, documentation) through a trust governance layer (VERITAS) for clinical encounters. Every agent action is policy-gated (OPA Rego), FHIR R4-persisted, and cryptographically audited.

  Key design decisions:
  - Deny by default — agents cannot act without policy approval
  - Human-in-the-loop gates enforced by policy, not UI convention
  - FHIR R4 as the native data model (no proprietary schemas)
  - Cryptographic audit chain (SHA-256, append-only)
  - Pluggable LLM backend (Claude API / Ollama / mock)

  Stack: Rust, axum 0.7, tokio, regorus (Rego), sqlx, reqwest, Next.js 15

  Not trying to replace Epic — solving problems Epic architecturally can't solve with AI.

Demo:https://screen.studio/share/VjDVsjUG

VERITAS github repo:https://github.com/Chesterguan/veritas