S4AI Powered by S4AI · BrainMAAS v2.1

AI-Powered Medical Specialty Board Simulation

36 board-certified AI specialist agents deliberate in real time across oncology, neurology, and cross-disciplinary boards. Evidence-based, patient-centered, with full governance and audit trails.

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36
Specialist Agents
5
Clinical Scenarios
3
Deliberation Rounds
8
Board Certifications
34
ICD-10 Code Ranges
Capabilities

What Medical Specialty Boards Does

A complete simulation of multi-disciplinary clinical deliberation — from intake to treatment plan.

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Multi-Agent Deliberation

36 specialist agents with distinct personas, knowledge domains, and board certifications assess each case independently, then engage in live group discussion.

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ICD-10/CPT Routing

Automatic agent activation based on ICD-10 diagnosis codes and CPT procedure codes. Visual routing hierarchy shows exactly which codes triggered which specialists.

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Patient-Centered

Patient values, goals, and preferences anchor every recommendation. Trade-off decisions are framed in the patient's own language with explicit alternatives.

Decision Governance

Tiered decision framework with formal rulings, stopping rules, and evidence-based escalation triggers. No silent reversals — every change requires justification.

Consistency Validation

Automated validator scans the full deliberation record for contradictions, reversed decisions, and guideline inconsistencies. Issues PASS/WARN/FAIL verdicts.

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Deep Research

8-phase evidence pipeline: load context, identify sources, analyze artifacts, search databases, generate questions, cross-reference, deep dive, synthesize report.

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Clinical Support Team

Clinical Librarian, Medical Ordering Clinician, and Pharmacy Informatics review every round — evidence audit, order sets, drug interaction screening.

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DOCX Export

Two professional documents: Deliberation Record (process transparency) and Clinical Report (organized by specialist domain). Both with governance rulings and citations.

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Real-Time Canvas

Animated visualization with particle effects, agent processing states, cognitive process triggers, sub-agent invocations, and council deliberation — all synced with Gemini.

Process

How a Simulation Works

From patient intake to treatment plan in three structured rounds.

1

Patient Intake

Enter patient details, upload EHR documents, imaging, and lab results. Run deep research to compile evidence.

2

Agent Assessment

Specialist agents produce independent assessments. Each sees patient values, governance rulings, and research evidence.

3

Group Deliberation

Agents converse in a live tumor board discussion. They challenge, agree, and build on each other's recommendations.

4

Synthesis & Report

Chairman synthesizes consensus, validates consistency, frames risk-benefit for the patient, and generates downloadable reports.

Architecture

Brain-Inspired Multi-Agent System

Based on the BrainMAAS v2.1 architecture — a 5-layer cognitive engine with neurochemical analogs.

Layer 5 — AI Council + Red Team (5 personas, 4-phase parliamentary protocol)
Layer 4 — Orchestrator / Tumor Board Conductor (DIME neurochemical signals)
Layer 3 — MoE Translator / ICD-10 Router (sparse routing, discipline gating)
Layer 2 — Specialist Agents (20 Oncology + 16 Neurology + 3 Support Roles)
Layer 1 — Patient Longitudinal Record (Working · Episodic · Semantic · WhiteBoard)
Clinical Instantiation — PatientX (ICD-10/CPT coding · Board certification alignment)
Specialist Agents

36 Board-Certified AI Specialists

Each agent has a distinct persona, knowledge domains, ICD-10 focus, and escalation triggers.

Oncology Council — 20 Agents

Medical Oncology (ABIM) Surgical Oncology (ABS) Radiation Oncology (ABR) Hematologic (ABIM) Thoracic (Fellow) GI (Fellow) Breast (Fellow) GU (Fellow) Gynecologic (ABOG) Head & Neck Neuro-Oncology (UCNS) Pediatric (ABP) Interventional (ABR-IR) Precision Medicine Pathology (ABPath) Genetic Counseling Palliative (ABIM) Cardio-Oncology (ACC) Clinical Trials Psycho-Oncology

Neurology Council — 16 Agents

Vascular Neurology (ABPN) Epilepsy (ABPN) Movement Disorders Neuromuscular (ABPN) Headache (UCNS) MS / Neuroimmunology Neurocritical Care Neuro-Oncology (UCNS) Behavioral Neurology Child Neurology Autonomic (UCNS) Neuroimaging (UCNS) Geriatric Neurology Neuro-Ophthalmology Pain Medicine (ABPN) Sleep Neurology

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