space/README.md

metadata

title: CDS Agent
emoji: 🏥
colorFrom: blue
colorTo: green
sdk: docker
app_port: 7860
fullWidth: true
custom_domains:
  - demo.briansheppard.com

CDS Agent — Agentic Clinical Decision Support

An agentic pipeline that orchestrates MedGemma (HAI-DEF) across six specialized clinical reasoning steps, augmented with drug safety APIs and guideline RAG, to produce comprehensive decision support reports in real time.

Architecture

Frontend (Next.js 14) ←WebSocket→ Backend (FastAPI)
                                      │
                            Orchestrator (6-step pipeline)
                            ├── Step 1: Parse Patient Data (MedGemma)
                            ├── Step 2: Clinical Reasoning (MedGemma)
                            ├── Step 3: Drug Interaction Check (OpenFDA + RxNorm)
                            ├── Step 4: Guideline Retrieval (ChromaDB RAG)
                            ├── Step 5: Conflict Detection (MedGemma)
                            └── Step 6: Synthesis (MedGemma)

Links

• Code: github.com/bshepp/clinical-decision-support-agent
• Model: google/medgemma-27b-text-it
• Competition: MedGemma Impact Challenge