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Documentation Index

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AdvancedClinicalRAG (ai-services/services/rag/advanced_clinical_rag.py) runs hybrid semantic + BM25 retrieval over medical ontologies, clinical guidelines, drug interactions, and payer-specific PA rules.

Components

  • Semantic: SentenceTransformer embeddings + ChromaDB
  • Keyword: Custom BM25 index
  • Query rewriting: ClinicalQueryRewriter for clinical context-aware reformulation
  • Ontology expansion: SNOMED-CT, ICD-10, RxNorm

Confidence bands

BandRange
VERY_HIGH≥ 0.95
HIGH≥ 0.85
MODERATE≥ 0.70
LOW≥ 0.50
VERY_LOW< 0.50