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FACILITY A Device 1 Clinician On-Device AI SQLCipher DB Encrypted SMS to Patient AES-256-GCM Device 2 Nurse / CHW On-Device AI SQLCipher DB Encrypted P2P Sync FACILITY B Device 3 Clinician On-Device AI SQLCipher DB Encrypted SMS to Patient AES-256-GCM Patient Scope CLOUD SERVICES Claude API · DHIS2 · FHIR · Analytics

Device (Clinician)

On-device ASR + dictation capture + regex preview

SQLCipher DB

Encrypted local storage

SMS to Patient

AES-256-GCM encrypted health record

Capabilities by connectivity

Select a tier above to see what unlocks at each level.

Dictation Capture

Press-to-dictate short clinical snippets — vitals, medications, diagnoses — each captured via on-device Meta Omnilingual ASR (1600+ languages). Snippets accumulate into a complete encounter.

Always Available

On-Device Clinical AI

Regex extraction provides instant preview per snippet. At finalization, a single Qwen model pass processes the combined transcript with local RAG for ICD-10 and formulary matching.

Always Available

Encrypted Storage

All patient data stored in SQLCipher-encrypted database with device-derived passphrase. Bank-grade AES-256-GCM encryption at rest.

Always Available

SMS Health Records

Send patients an encrypted SMS containing their complete health history. Works on any phone network, no internet needed. V2 format includes chronic conditions and abnormal vitals.

Always Available

CDSS Alerts

Drug-allergy interactions, dosage checks, and vital sign alerts powered by local formulary data. No cloud dependency for patient safety checks.

Always Available

Battery-Aware Processing

Snippets use lightweight regex extraction for real-time preview — no model load. The LLM loads once at finalization to process the combined transcript in a single pass.

Always Available

Peer-to-Peer Sync

Sync patient records between devices via Bluetooth or WiFi Direct using Android Nearby Connections. No internet required, just physical proximity.

Occasional

Multi-Device Facility

Multiple clinicians share patient data across devices within a facility. Registration, triage, consultation, and pharmacy stations work from a shared patient queue.

Occasional

Cross-Facility Continuity

When a patient moves between facilities, continuity is supported through both the patient-held encrypted SMS record and patient-scoped cross-facility P2P sync. Clinicians select a patient, connect via Bluetooth or WiFi Direct, confirm the cross-facility transfer, and merge only that patient's records.

Scope guard: when facility IDs differ, a user-confirmation prompt ensures intentional cross-facility sharing. Only the selected patient's data is transferred.

Occasional

Full Conversation Mode

Record the entire patient-doctor consultation. Claude API analyzes the full transcript in one pass with broader medical knowledge. Falls back to on-device dictation mode when connectivity drops.

Connected

DHIS2 & FHIR Integration

Push facility data to national health information systems. FHIR R4 bundles generated on-demand for OpenMRS, DHIS2, and insurance claim submission.

Connected

Remote Analytics

District-level dashboards, disease surveillance, and facility performance metrics. Aggregate data flows to regional health authorities in real time.

Connected

AI strategy by tier

Offline uses dictation snippets with battery-efficient batch processing. Connected mode records full conversations analyzed by cloud AI.

Tier 1 · Offline No Connection
ASR Omnilingual ASR
Extraction Qwen 3.5 0.8B
Failsafe Regex Pipeline
Retrieval Local RAG (TF-IDF)
Tier 2 · Occasional BT / WiFi
ASR ONNX / Google STT
Extraction Qwen 3.5 0.8B
Data Sync P2P Nearby API
Models OTA Updates
Tier 3 · Connected Full Cloud
Full Recording Google STT
Extraction Claude API
Interop FHIR R4 / DHIS2
Analytics Cloud Dashboard