The problem. Staff need the current protocol, and the intranet search is not
good enough.
Setting
Value
Goal
Answer staff questions about internal clinical policies and protocols, citing the source document and version.
Instructions
Answer only from the attached documents. Always cite document title, version and page. Never give clinical advice, a diagnosis or a dosage recommendation. If asked for any of those, direct the user to the responsible clinician.
Knowledge base
Clinical policies, care protocols, formulary documents, infection control procedures
Guardrail
Both directions, with a template configured to block personal health information
Tools
None
Memory
Off
Use case 2: Prior authorisation drafting
Setting
Value
Goal
Draft a prior authorisation request from a clinician's summary and the payer's published criteria.
Knowledge base
Payer coverage criteria, internal templates, past approved submissions with identifiers removed
Output
Text, following a fixed template
Instructions
Produce a draft only. Mark every field you could not evidence as [NEEDS REVIEW]. Never assert a clinical fact that is not in the input.
Use case 3: Patient communication drafting
Setting
Value
Goal
Rewrite approved clinical information into plain language at a reading age of twelve.
Skills
A "Plain language rules" skill shared across every patient facing agent
Instructions
Rewrite only. Do not add, remove or soften any clinical fact. Every draft is reviewed by a clinician before it is sent.
Guardrail
Both directions
Use case 4: Coding and documentation support
Setting
Value
Goal
Suggest candidate codes for a de identified encounter summary and explain the reasoning.
Knowledge base
Coding guidelines, internal coding policy
Output
JSON: { code, description, confidence, rationale } list
Instructions
Suggestions only. A certified coder makes the final decision.
Governance for healthcare
Control
Setup
Personal data
Attach a guardrail on both input and output, configured to block or redact personal health information.
Who can read conversations
Keep trace: read_payloads with a very small group. Give clinical ops trace: read only.
Evidence for review
Traces record the exact documents used and are exportable.
Human in the loop
Instruct agents to pause and ask before any consequential step.
Access review
Filter the audit log to denials and sharing events monthly.
Right to erasure
Deleting a user removes their identity while the audit trail keeps a pseudonymous identifier.
