Care Orchestrator

The Care Orchestrator lives in AI Services (src/care_orchestrator/,) and exposes a REST surface under /api/care-orchestrator. It coordinates voice agents, workflow agents, an event bus, and a workflow state machine.

Agents at a glance

Voice agents (4)

`agent type`	Name	Voice ID	Purpose
`INTAKE`	Intake Agent	Medera voice	Patient intake calls
`CARE_COORDINATOR`	Care Coordinator Agent	Medera voice	Ongoing care, follow-ups
`REFERRAL_SPECIALIST`	Referral Specialist Agent	Medera voice	Referral management
`PA_SPECIALIST`	PA Specialist Agent	Medera voice	Prior authorization	All voice agents use Medera STT `nova-2-medical` transcription, OpenAI `Medera reasoning` LLM (T=0.3, max 500 tokens), and Medera voice `voice synthesis` synthesis. Default call settings: 15-minute max duration, 10 s silence timeout, recording enabled.

Workflow agents (6)

agent type.PRIOR_AUTH, REFERRAL, PRESCRIPTION, LAB, CARE_PLAN, ESCALATION — these are backend agents that drive multi-step workflows without voice.

Endpoints

Method	Path	Purpose
GET	`/api/care-orchestrator/health`	Health
GET	`/api/care-orchestrator/workflows`	List workflows (filters: org, type, status, patient)
POST	`/api/care-orchestrator/workflows`	Create workflow
GET	`/api/care-orchestrator/workflows/{id}`	Get workflow
POST	`/api/care-orchestrator/workflows/{id}/transition`	Trigger state transition
POST	`/api/care-orchestrator/workflows/{id}/cancel`	Cancel
GET	`/api/care-orchestrator/agents`	List agents
GET	`/api/care-orchestrator/agents/{agent_type}`	Get agent
GET	`/api/care-orchestrator/agents/{agent_type}/stats`	Agent stats
POST	`/api/care-orchestrator/tasks/route`	Route task to agent
GET	`/api/care-orchestrator/tasks`	List tasks
GET	`/api/care-orchestrator/voice/agents`	List voice agents
POST	`/api/care-orchestrator/voice/calls`	Initiate voice call
GET	`/api/care-orchestrator/voice/calls/{call_id}`	Call status
POST	`/api/care-orchestrator/voice/calls/{call_id}/transfer`	Transfer call
POST	`/api/care-orchestrator/voice/calls/{call_id}/end`	End call
GET	`/api/care-orchestrator/voice/calls/{call_id}/transcript`	Get transcript
GET	`/api/care-orchestrator/events`	List events
POST	`/api/care-orchestrator/events`	Publish event
GET	`/api/care-orchestrator/patients/{id}/events`	Patient events
GET	`/api/care-orchestrator/patients/{id}/workflows`	Patient workflows
GET	`/api/care-orchestrator/analytics/summary`	Analytics

Event bus

Category	Sample events
Intake	`INTAKE_INITIATED`, `INTAKE_CALL_STARTED`, `INTAKE_IDENTITY_VERIFIED`, `INTAKE_RED_FLAG_DETECTED`, `INTAKE_BEHAVIORAL_HEALTH_DETECTED`, `INTAKE_COMPLETED`
PA	`PA_INITIATED`, `PA_CRITERIA_EVALUATED`, `PA_DOCUMENTS_GENERATED`, `PA_SUBMITTED`, `PA_APPROVED`, `PA_DENIED`, `PA_APPEAL_INITIATED`, `PA_P2P_SCHEDULED`, `PA_UNITS_EXPIRING`
Referral	`REFERRAL_INITIATED`, `REFERRAL_SPECIALTY_IDENTIFIED`, `REFERRAL_PA_REQUIRED`, `REFERRAL_SUBMITTED`, `REFERRAL_APPOINTMENT_SCHEDULED`, `REFERRAL_CLOSED`
Prescription	`PRESCRIPTION_INITIATED`, `PRESCRIPTION_INTERACTION_WARNING`, `PRESCRIPTION_PA_REQUIRED`, `PRESCRIPTION_APPROVED`, `PRESCRIPTION_DISPENSED`
Lab	`LAB_ORDER_INITIATED`, `LAB_SPECIMEN_COLLECTED`, `LAB_RESULTS_AVAILABLE`, `LAB_ABNORMAL_REVIEW`, `LAB_CRITICAL_ALERT`

What’s next

A2A Protocol

Agent-to-agent communication.

Context & Memory

Per-execution context + persistent memory.

Core Concepts

Building blocks of the framework.

Architecture

Runtime architecture.

Get Started

Agent Library — Clinical Operations

Agent Library — Documentation & Coding

Agent Library — Patient-Facing

Agent Library — Revenue Cycle & Ops

Agent Library — Evidence & Safety

Experts Registry

Agent Builder Canvas

Care Orchestrator

Agents at a glance

Voice agents (4)

Workflow agents (6)

Endpoints

Event bus

What’s next

A2A Protocol

Context & Memory

Core Concepts

Architecture

​Agents at a glance

​Voice agents (4)

​Workflow agents (6)

​Endpoints

​Event bus

​What’s next

A2A Protocol

Context & Memory

Core Concepts

Architecture

Agents at a glance

Voice agents (4)

Workflow agents (6)

Endpoints

Event bus

What’s next