
Splitting an opaque triage call into symptom extraction plus a documented clinical decision tree made errors auditable and let the team skip full re- on every prompt change, a pattern reusable for any production LLM decision system.
“we decomposed triage into two steps: an LLM extracts canonical symptoms and patient context from the query using a clinician-authored vocabulary, and a deterministic rule engine captures the scenarios that indicate an emergency”
“the new system has triaged 152,421 patient queries and flagged 28,535 (18.7%) as emergencies”
“Clinicians have also added 48 new rules since deployment, evidence of the faster correction loop we set out to build”
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