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Documentation Index

Fetch the complete documentation index at: https://docs.medera.info/llms.txt

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Medera is the AI infrastructure stack for behavioral and mental health, built for clinical accuracy, evidence anchoring, and enterprise compliance.

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What ships

Agent Builder Canvas

16 core node types + 8 BH-OS rails, semver versioning, sandbox-first deployment, WORM audit.

Multimodal Sensing

Vocal Acoustic Engine (Praat / Parselmouth), Facial Physiological Engine (rPPG + HRV), RDoC Construct Computer (15 named constructs).

Care Orchestrator

4 voice agents (Grace, Alex, Jordan, Taylor) + 6 workflow agents, 30+ state workflow state machine, event bus.

Medical Coding

ICD-10-CM, ICD-10-PCS, CPT, HCPCS, SNOMED CT, LOINC, RxNorm coding from clinical context.

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Two-service architecture

┌──────────────────────────────────────────────────────────────────────────┐
│                         FRONTEND (Port 5173)                             │
│   React 19 + Vite 7 + Tailwind 3 + Socket.IO + TensorFlow.js             │
└────────────────────────────────┬─────────────────────────────────────────┘
                                 │
                 ┌───────────────┴───────────────┐
                 ▼                               ▼
┌──────────────────────────────┐  ┌────────────────────────────────────────┐
│    BACKEND (Port 3001)       │  │      AI SERVICES (Port 8000)           │
│  Node.js/Express + Socket.IO │  │    Python/FastAPI + OpenAI + PyTorch   │
│  58 routes · 57 services     │  │  22 routers · multimodal engines · PA  │
│  18 middleware · RLS · BAA   │  │  Care Orchestrator · Clinical RAG      │
│  Workflow Engine + Bull queue│  │  Vapi voice orchestration              │
└──────────────┬───────────────┘  └──────────────┬─────────────────────────┘
               │                                  │
               ▼                                  ▼
┌──────────────────────────────────────────────────────────────────────────┐
│              POSTGRESQL 16 (5433) + REDIS (6380)                          │
│        RLS · AES-256-GCM PHI · Merkle audit · WORM deployment log         │
└──────────────────────────────────────────────────────────────────────────┘

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What you can build

Quickstart — Ambient Scribe

Real-time SOAP scribe using the clinical session APIs.

Quickstart — Intake (Grace)

Voice-first adaptive intake with 4 function calls.

Quickstart — Co-Therapy

Multimodal in-session analysis + RDoC profiles.

Quickstart — Prior Authorization

17-state PA workflow with payer-specific rules.