> ## 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.

# Triage Agent

> ESI-aligned acuity and risk stratification for behavioral health.

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<Info>
  **Category:** Clinical Operations  ·  **Signals:** Chief complaint linguistics · Vocal prosody · Vital trend · Historical risk priors
</Info>

Stratify acuity and route patients with the rigor of an ED triage nurse — ESI levels, C-SSRS risk band, documented routing.

## Configuration

| Field                | Description                                           |
| :------------------- | :---------------------------------------------------- |
| `routing_matrix`     | Practice routing matrix by ESI level and service line |
| `screeners`          | Approved screener set and cut-points                  |
| `escalation_tree_id` | Crisis handoff destinations + on-call tree            |
| `acuity_thresholds`  | Telehealth vs. in-person vs. ED referral              |

## Execution

1. Ingests intake summary, chart history, and any active screener results
2. Runs C-SSRS and PHQ-9 risk logic against documented criteria
3. Applies the ESI 5-level framework adapted for behavioral health
4. Issues a routing recommendation with rationale and confidence
5. Hands off to clinician or escalates per the practice routing matrix

## Composable experts

| Expert                   | Role                                       |
| :----------------------- | :----------------------------------------- |
| **C-SSRS Risk Expert**   | Suicide-risk classification with rationale |
| **ESI Acuity Expert**    | 5-level acuity stratification for BH       |
| **Vocal Prosody Expert** | Distress + urgency markers from voice      |
| **Risk Prior Expert**    | Historical risk factors from chart         |

## Compliance guarantees

<Warning>
  * ESI level and C-SSRS risk band are documented for every routing decision

  * Crisis-language triggers immediate human-on-call handoff, no agent gating

  * Routing rules are configured by the practice, not inferred by the model
</Warning>

## Endpoints

Triage runs inside Canvas workflows via the `triage-agent` node type and the `rails/triage` rail.

Standalone REST: `POST /api/clinical/triage`.

***

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