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Documentation Index

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

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The Medera Agentic Framework is built around a canvas-based workflow engine (16 core node types + 8 BH-OS rails), a multi-agent care orchestrator, and a typed expert registry.

Three layers

Agent Builder Canvas

Drag a graph of agents, tools, and logic. Publish a semver version. Deploy to sandbox first. Promote to production with WORM audit.

Care Orchestrator

Multi-agent runtime over 4 voice agents (Grace, Alex, Jordan, Taylor) and 6 workflow agents (PRIOR_AUTH, REFERRAL, PRESCRIPTION, LAB, CARE_PLAN, ESCALATION).

Expert Registry

Typed clinical capabilities (PHQ-9, C-SSRS, ICD-10, PubMed, DrugBank, Payer Policy, …) that node runners bundle.

The 24 agents

Medera ships 24 production agents in five categories. Each has a documented configuration, execution flow, expert composition, and compliance guarantees.
CategoryAgents
Clinical OperationsPatient Intake, Triage, Visit Scribe, Co-Therapy, Prior Authorization, Care Coordinator
Documentation & CodingMedical Coding, CDI, Note Completeness, Referral Generator, Discharge Summary
Patient-FacingHealth Coach, Patient Education, Crisis Response, Outcomes Measurement
Revenue Cycle & OpsDenial Appeals, Eligibility Verification, Claims Review, Quality Reporting
Evidence & SafetyClinical Guidelines, Medication Reconciliation, Drug Interaction, Risk Stratification, Evidence Synthesis

Workflow engine

The canvas is backed by a real workflow engine:
  • WorkflowExecutor (471 lines) — traverses the graph and dispatches to node runners
  • ExecutionContext (354 lines) — variable scopes (workflow.input, state.*, nodes.*.output, runtime.context, tenant.secret)
  • WorkflowQueue (285 lines) — Bull queue on Redis DB 2, 5 concurrent workers, 3-attempt retry with 5 s exponential backoff, graceful fallback to synchronous execution if Redis is unavailable

API surface

SurfaceMount
Backend (3001)/api/agent-workflows — workflow CRUD, publish, deploy, execute
Backend (3001)/api/deployments — deployment lifecycle
Backend (3001)/api/care-orchestrator (proxy) → AI Services
AI Services (8000)/api/care-orchestrator/* — workflows, agents, voice, events
AI Services (8000)/api/vapi/webhook — Vapi inbound events
AI Services (8000)/api/onboarding/* — agent configuration per organization

What’s next

Quickstart

Execute a published workflow.

Architecture

Runtime deep dive.

Canvas Overview

Build your own workflow.

Care Orchestrator

Multi-agent coordination.