AGx
Agentic Medicine · Clinical AI Ecosystem
Dr. Jamshed Moidu · jamshedmoidu.com
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Agentic Medicine · Clinical AI Ecosystem
AGx

Agents that work between the visits — not chatbots that wait for one.

AGx builds clinical agents that monitor the information around a patient, draft the next action, and bring it to the clinician. The clinician keeps every decision. The agent does the legwork.

10 live demos AGx-01 to AGx-10 Before · during · after · between visits — the full clinical workflow, live
The agent, embodied

Meet AGx.

An agent isn't a chat window — it's a presence that keeps working while you're with the patient. AGx is the face of that idea: always on, doing its rounds, ready to hand you what it found.

AGx · medic agent
drag to rotate  ·  tap AGx to wave
Why this isn't a chatbot

A chatbot answers. An agent works.

The steps a clinician needs aren't the hard part — good prompting can reason through any of them. What a chatbot can't do is start on its own, touch the systems around the patient, and keep going until the outcome is reached. That residue is the only thing that's actually agentic.

Chatbot

A straight line

You ask, it answers, the job ends. Every step needs you to prompt the next one. It reasons well — but it never acts, and it forgets the moment the reply is sent.

Agent

A loop that runs itself

It watches for a trigger, decides its own path through the work, drafts the action, and hands you the decision — then goes back to watching. The clinician didn't open a chat. The agent noticed.

01 — Initiative

It starts without being asked

A new lab lands, a prescription changes — the agent begins the work on its own. You can't prompt your way to initiative.

02 — Action

It touches the information layer

It reads records, checks databases, drafts notes, routes alerts. The output isn't a message — it's a changed state in a real system.

03 — Persistence

It owns a goal across time

Its job ends when the outcome is reached, not when it replies. It can return tomorrow, see the recheck didn't happen, and raise it again.

Grounded in the ecosystem

The agents don't start cold.

Ecosystem grounding
Open the AGx architecture stack
AGx sits on validated genomics engines and CDx reasoning, then adds the orchestration layer on top.

An AGx agent isn't a fresh model guessing at clinical questions. It sits on top of the tools already built and validated in the ecosystem — the genomics engines and the CDx decision support — and adds one new layer: the ability to run a loop, decide a path, and act. The reasoning underneath is work that already exists.

Layer 3
AGx · Agents

Orchestration & action — the new layer

Runs the loop Decides the path Drafts & escalates Human gate
calls ↓
Layer 2
CDx · Reasoning

Clinical decision support — the diagnostic engine

Diagnosis & Treatment Planner Rapid · Quick · Full workup
Layer 1
Genomics · Knowledge

The validated base — five genomics engines

PGx 102-gene pharmacogenomics NGx ECx PPx GNx
A single secure orchestrator holds the prompts and keys for every layer. The agents add orchestration on top — they don't replace the engine.
The agent loop

How an AGx agent works — step by step.

Collapsible guide
Open the AGx workflow explainer
Context enters the cockpit, AGx routes the work, selected agents draft, and every output stops at clinician review.
AGx-01 to AGx-10 · Agent Console

Routes the work. Shows the reasoning. Keeps every decision human.

The console brings clinical context, agent routing, live chain status, handoff summaries, stop control, copy/print tools, and clinician gates into one command surface across the full patient journey.

Cockpit + Human Gate
The cockpit loop — from context to clinician sign-off
1
Add clinical context clinician starts

The clinician types, dictates, attaches readable files, chooses a trigger, or runs a single agent manually. This is the entry point for the workflow, not a final instruction to act.

2
Analyze and route agent triages

AGx extracts the useful clinical facts, detects missing information, selects the relevant agents, and explains why each agent was queued. If the worker is unavailable, local fallback routing still prepares a safe draft route.

3
Open the Agentic Cockpit system shows

After context analysis, the cockpit displays detected facts, missing prompts, the agent routing board, a plain-language handoff summary, and a mission log. Internal payloads stay hidden from the user.

4
Run the selected agents agent orchestrates

Each queued agent calls the tools relevant to its task: preparation checks, medication safety, CV risk, CDx reasoning, lab follow-up, referral workup, monitoring, recall, reconciliation, or patient communication.

5
Draft and summarize agent drafts

AGx converts tool results into a structured draft. Copy-plan buttons, the chain summary, patient journey card, and print view help the clinician review what was produced without exposing technical internals.

The clinician decides human gate

Every draft stops for review. The clinician approves, edits, or rejects. AGx can organize the information work, but it never signs, sends, prescribes, orders, or acts without clinician sign-off.

6
Continue, stop, or reset system manages

Automation can continue to the next queued agent, the Stop button halts the chain after the active step, and the console refresh clears the cockpit for a new clinical context.

AGx workflow map
A clinical context becomes a routed agent workflow. The cockpit shows the reasoning, the agents do the information work, and the clinician keeps the final gate.
No action without sign-off
Input
Clinical context
Type, dictate, attach, or choose a trigger.
Triage
Agentic cockpit
Facts, gaps, route, handoff, mission log.
Work
Selected agents
AGx tools check, reason, draft, and summarize.
Gate
Clinician review
Approve, edit, reject, stop, or reset.
Loop
Next trigger
Visit, lab, discharge, recall, or message.
Workflow mode
Manual runs one agent at a time. Automation turns the page into a trigger chain while keeping each clinician gate intact.
Agent Console
Clinical context window
Type, paste, dictate, or attach clinical context. AGx analyzes the material, proposes the right workflow, then waits for clinician confirmation before running.
No files attached.

Clinical routing result

No route detected yet.

Detected issues
Awaiting context.
Suggested tools
No tools selected.
Why selected
No rationale yet.
Confirmation
Clinician confirmation required before running.
Agentic cockpit
Awaiting context
Detected clinical facts
Missing information prompts
Agent routing board
Agent handoff summary
No agent handoff prepared.
Mission log
Console summary
No AGx run yet. Choose a dashboard card in Manual mode or run a trigger chain in Automation mode.
Idle
Run history
Draft support only. Clinician review is required before any order, prescription, message, referral, or patient action.
Automation runs the information work in sequence. Each drafted output still waits for clinician review.
Patient journey
0
Ran
0
Approved
0
Edited
0
Rejected
Before the visit
Try AGx-01

Pre-visit prep in 30 seconds.

Enter a patient's demographics, problem list, and history. AGx-01 checks guideline-based screenings, vaccinations, and care gaps — then drafts the brief you read before walking in.

Patient context

Enter demographics and history. Nothing is stored.

Agent trace

Guideline lookups, gap identification, and the drafted brief.

Enter a patient and press run. The agent checks screenings, vaccinations, and care gaps.
Pre-visit brief awaiting clinician review

This is a demonstration of guideline-based pre-visit preparation. All recommendations must be verified by a licensed clinician against the actual patient record.

During the visit
Try AGx-02

Medication safety in one loop.

Enter a medication list and minimal context. AGx-02 checks interactions, PGx risk, renal dosing, and appropriateness — then drafts a medication-safety plan. You see every step in the trace, then you decide.

Patient input

Nothing is stored. The agent runs server-side; tools produce the facts.

Agent trace

Every reasoning step and tool call, in order — so you verify the agent, not trust it.

The loop hasn't run yet. Add a med list and press run.
Drafted medication plan awaiting clinician sign-off

Nothing here reaches a patient or a record until you act. The agent drafts and proposes; the clinical decision is yours. This is a demonstration tool, not a medical device, and its output must be verified by a licensed clinician.

Try AGx-03

10-year cardiovascular risk.

Enter lipids, blood pressure, and risk factors. AGx-03 runs the Pooled Cohort Equation, checks statin eligibility against ACC/AHA guidelines, assesses your BP target, and drafts the risk conversation.

CV risk profile

Enter demographics, lipids, and risk factors.

Agent trace

ASCVD calculation, statin eligibility, and BP assessment.

Enter a CV risk profile and press run.
Cardiovascular risk plan awaiting clinician review

This is a demonstration tool. The Pooled Cohort Equation and statin guidelines are implemented for educational purposes. All risk assessments must be verified by a licensed clinician.

Try AGx-04

CDx rebuilt as an agent with tools.

Enter a clinical presentation. AGx-04 rebuilds CDx as an agent with tools: validated scoring systems, diagnostic criteria, and risk stratification in one traceable loop.

Clinical presentation

Describe the case and select scoring systems.

Agent trace

Scoring calculations, criteria checks, and risk stratification.

Enter a presentation and press run.
Clinical reasoning plan awaiting clinician review

Clinical scoring is an adjunct — scores do not replace clinical judgment. All assessments must be verified by a licensed clinician.

After the visit
Try AGx-05

Abnormal lab → action plan.

Enter a flagged lab result and patient context. AGx-05 interprets the value against reference ranges, identifies probable causes from the patient's conditions and medications, and drafts the follow-up with a plain-language patient message.

Flagged lab result

Enter the abnormal result and patient context.

Agent trace

Interpretation, differentials, and the drafted follow-up plan.

Enter an abnormal lab result and press run.
Lab follow-up plan awaiting clinician review

This is a demonstration tool. All lab interpretations and recommendations must be verified by a licensed clinician against the actual patient record and clinical context.

Try AGx-06

Workup check + specialist letter.

Enter the target specialty and clinical context. AGx-06 checks the expected workup, assesses urgency against red flags, and drafts the specialist letter.

Referral request

Specify the specialty and reason.

Agent trace

Workup checklist, urgency assessment, and drafted referral.

Enter a referral request and press run.
Referral prep plan awaiting clinician review

Referral requirements vary by specialist and institution. Verify against local protocols.

Between visits
Try AGx-07

Tracks targets. Flags off-goal.

Enter chronic conditions and current values. AGx-07 tracks disease targets, flags anything off-goal, and suggests escalation for clinician review.

Disease monitoring

Enter conditions and latest values.

Agent trace

Target checks, adequacy assessments, and escalation pathways.

Enter conditions and values, then press run.
Chronic disease plan awaiting clinician review

Targets are guideline-based and must be individualised by the clinician for each patient.

Try AGx-08

Overdue rechecks, remembered.

Enter a patient's conditions and last-known dates. AGx-08 finds overdue rechecks, prioritises them, and drafts reminder messages.

Patient recall check

Enter conditions and history.

Agent trace

Overdue items, priority ranking, and drafted recall message.

Enter patient data and press run.
Recall plan awaiting clinician review

Recall intervals are guideline-based and should be verified against the patient's actual clinical history.

Supporting
Try AGx-09

Admission meds vs discharge meds.

Paste the admission and discharge medication lists. AGx-09 compares them side by side, flags every change, checks new interactions, and drafts patient instructions.

Medication reconciliation

Enter both medication lists.

Agent trace

Medication comparison, flagged changes, and interaction check.

Enter medication lists and press run.
Reconciliation plan awaiting clinician review

Medication reconciliation must be verified by the clinician against the actual discharge summary and patient record.

Try AGx-10

Plain language, translated when needed.

Paste a clinical plan or diagnosis. AGx-10 turns it into plain-language explanations, supports translation-ready patient communication, and verifies readability with Flesch-Kincaid scoring.

Clinical plan to translate

Paste the clinical plan for the patient.

Agent trace

Term simplification, plan translation, and readability check.

Enter a clinical plan and press run.
Patient communication awaiting clinician review

Patient communications must be reviewed by the clinician before delivery.

Ten agents, live

The full clinical workflow.

Each agent owns one clinical problem end-to-end. Before, during, after, and between visits — the complete loop.

The agent works the information. The clinician works the patient.

An AGx agent is a diligent digital orchestrator — it gathers, monitors, drafts, and flags, so a clinician can spend their judgment on the patient instead of the legwork. It reaches into digital systems around the patient, never the patient. Every clinical decision escalates to a human.

That separation isn't a limitation to apologize for. It's the safety architecture — and it's why the colour on this page means something.

Teal — what the agent does on its own
Amber — the single gate where it hands to you
Agentic medicine FAQ

What AGx means in practice.

Short answers for clinicians, builders, and patients trying to understand how AGx differs from ordinary medical chatbots.

What is AGx Agentic Medicine?

AGx is a physician-led agentic medicine project where clinical AI agents monitor information, call clinical tools, draft plans, and escalate decisions to a clinician.

How is AGx different from a chatbot?

A chatbot waits for a prompt. An AGx agent runs a loop around a clinical task: it watches for triggers, uses deterministic tools, drafts the next action, and hands decisions to a clinician.

What AGx demos are available?

The page includes 10 live demos spanning the full patient journey — from medication review and pre-visit prep through clinical reasoning, referral preparation, chronic disease monitoring, patient recall, discharge reconciliation, and patient communication.

Does AGx make clinical decisions?

No. AGx drafts and proposes. Every clinical decision remains human-in-the-loop and must be verified by a licensed clinician.