> ## Documentation Index
> Fetch the complete documentation index at: https://docs.medera.info/llms.txt
> Use this file to discover all available pages before exploring further.

# Outcomes Measurement Agent

> Longitudinal PHQ-9, GAD-7, and outcome tracking.

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<Info>
  **Category:** Patient-Facing  ·  **Signals:** Screener cadence · Patient consent · Longitudinal scores · Clinical thresholds
</Info>

Run measurement-based care on autopilot with the clinician in control.

## Configuration

| Field          | Description                                     |
| :------------- | :---------------------------------------------- |
| `cadence`      | Practice screener cadence + thresholds          |
| `consent`      | Patient consent + reminder policy               |
| `destinations` | Reporting destinations (chart, payer, registry) |
| `alerts`       | Threshold-based clinician alerts                |

## Execution

1. Reminds patients to complete screeners on cadence
2. Administers PHQ-9, GAD-7, and outcome instruments
3. Tracks longitudinal change and significance
4. Surfaces threshold crossings to the clinician
5. Reports to chart, payer, and registry destinations

## Composable experts

| Expert                        | Role                                |
| :---------------------------- | :---------------------------------- |
| **Validated Screener Expert** | PHQ-9, GAD-7, AUDIT-C, C-SSRS       |
| **Longitudinal Trend Expert** | Significance + change detection     |
| **Threshold Alert Expert**    | Clinician-configured cut-points     |
| **Reporting Expert**          | Chart, payer, registry destinations |

## Compliance guarantees

<Warning>
  * Screener cadence is configurable per patient and per program

  * Longitudinal change is reported with significance

  * Reporting destinations are explicit and configurable
</Warning>

## Endpoints

Canvas: `rails/mbc`.

AI Services: `POST /api/cocm/score` · `POST /api/cocm/treatment-to-target`.

***

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