RURAL REACH REALTIME

2 Squirrels AI

Technology Stack

AI EngineOpenAI GPT-4
Voice APIRealtime API
Speech-to-TextWhisper
InterfaceVoice User Interface
AI Tools10 Clinical Tools
Use CaseClinical Decision Support

Architecture Note: Real-time voice-driven clinical decision support system using OpenAI's Realtime API for bidirectional audio streaming, GPT-4 for clinical reasoning, and 10 specialized AI tools for comprehensive healthcare guidance.

AI Clinical Tools (10 Specialized Functions)

🩺
Symptom Analyzer
Pattern Recognition
💊
Drug Interaction
Medication Safety
📋
Treatment Planner
Protocol Generation
🔬
Lab Interpreter
Results Analysis
📊
Risk Calculator
Predictive Scoring
📚
Clinical Guidelines
Evidence-Based Care
🏥
Referral Engine
Specialist Routing
📝
Note Generator
Documentation AI
🚨
Alert Monitor
Critical Flags
🔄
Follow-up Scheduler
Care Continuity

1. OpenAI Realtime Voice Pipeline

%%{init: {'theme': 'dark', 'themeVariables': { 'primaryColor': '#C17852', 'primaryTextColor': '#F0F6FC', 'primaryBorderColor': '#4A5E32', 'lineColor': '#E6C98F', 'secondaryColor': '#161B22', 'tertiaryColor': '#0D1117', 'background': '#0D1117', 'mainBkg': '#161B22', 'nodeBorder': '#4A5E32', 'clusterBkg': '#161B22', 'clusterBorder': '#4A5E32', 'titleColor': '#E6C98F', 'edgeLabelBackground': '#161B22'}}}%%
flowchart LR
    subgraph Input["🎤 Voice Input"]
        MIC["🎙️ Microphone"]
        AUD["🔊 Audio Stream"]
    end
    subgraph Realtime["⚡ OpenAI Realtime API"]
        WS["🔌 WebSocket Connection"]
        RT["🎙️ Realtime Session"]
        VAD["🔇 Voice Activity Detection"]
    end
    subgraph Process["🧠 GPT-4 Processing"]
        GPT["🤖 GPT-4 Turbo"]
        CTX["📋 Clinical Context"]
    end
    subgraph Output["🔊 Voice Output"]
        TTS["🗣️ Text-to-Speech"]
        SPK["🔈 Audio Response"]
    end
    MIC --> AUD
    AUD --> WS
    WS --> RT
    RT --> VAD
    VAD --> GPT
    CTX --> GPT
    GPT --> TTS
    TTS --> SPK

2. GPT-4 Clinical Tools Architecture

%%{init: {'theme': 'dark', 'themeVariables': { 'primaryColor': '#C17852', 'primaryTextColor': '#F0F6FC', 'primaryBorderColor': '#4A5E32', 'lineColor': '#E6C98F', 'secondaryColor': '#161B22', 'tertiaryColor': '#0D1117', 'background': '#0D1117', 'mainBkg': '#161B22', 'nodeBorder': '#4A5E32', 'clusterBkg': '#161B22', 'clusterBorder': '#4A5E32', 'titleColor': '#E6C98F', 'edgeLabelBackground': '#161B22'}}}%%
flowchart TB
    subgraph Query["📥 Patient Query"]
        VQ["🎤 Voice Question"]
        TQ["📝 Text Transcript"]
    end
    subgraph GPT["🤖 GPT-4 Reasoning"]
        AN["🔍 Intent Analysis"]
        TC["🛠️ Tool Selection"]
    end
    subgraph Tools["🔧 10 AI Clinical Tools"]
        T1["🩺 Symptom Analyzer"]
        T2["💊 Drug Interaction"]
        T3["📋 Treatment Planner"]
        T4["🔬 Lab Interpreter"]
        T5["📊 Risk Calculator"]
    end
    subgraph Decision["✅ Clinical Decision"]
        AG["📊 Results Aggregation"]
        REC["💡 AI Recommendation"]
        OUT["🔊 Voice Response"]
    end
    VQ --> TQ
    TQ --> AN
    AN --> TC
    TC --> T1
    TC --> T2
    TC --> T3
    TC --> T4
    TC --> T5
    T1 --> AG
    T2 --> AG
    T3 --> AG
    T4 --> AG
    T5 --> AG
    AG --> REC
    REC --> OUT

3. Voice-to-Text Pipeline (Whisper)

%%{init: {'theme': 'dark', 'themeVariables': { 'primaryColor': '#C17852', 'primaryTextColor': '#F0F6FC', 'primaryBorderColor': '#4A5E32', 'lineColor': '#E6C98F', 'secondaryColor': '#161B22', 'tertiaryColor': '#0D1117', 'background': '#0D1117', 'mainBkg': '#161B22', 'nodeBorder': '#4A5E32', 'clusterBkg': '#161B22', 'clusterBorder': '#4A5E32', 'titleColor': '#E6C98F', 'edgeLabelBackground': '#161B22'}}}%%
flowchart LR
    subgraph Capture["🎤 Audio Capture"]
        MIC["🎙️ Clinician Voice"]
        BUF["📦 Audio Buffer"]
        FMT["🔧 PCM 16-bit"]
    end
    subgraph Whisper["🤖 OpenAI Whisper"]
        STT["🔤 Speech-to-Text"]
        LANG["🌐 Language Detection"]
        MED["🏥 Medical Terminology"]
    end
    subgraph Process["⚙️ Text Processing"]
        NLP["📝 NLP Parsing"]
        ENT["🏷️ Entity Extraction"]
        INT["🎯 Intent Classification"]
    end
    subgraph Output["📤 Structured Data"]
        JSON["📄 JSON Payload"]
        CTX["📋 Clinical Context"]
    end
    MIC --> BUF
    BUF --> FMT
    FMT --> STT
    STT --> LANG
    LANG --> MED
    MED --> NLP
    NLP --> ENT
    ENT --> INT
    INT --> JSON
    JSON --> CTX

4. Clinical Decision Support Flow

%%{init: {'theme': 'dark', 'themeVariables': { 'primaryColor': '#C17852', 'primaryTextColor': '#F0F6FC', 'primaryBorderColor': '#4A5E32', 'lineColor': '#E6C98F', 'secondaryColor': '#161B22', 'tertiaryColor': '#0D1117', 'background': '#0D1117', 'mainBkg': '#161B22', 'nodeBorder': '#4A5E32', 'clusterBkg': '#161B22', 'clusterBorder': '#4A5E32', 'titleColor': '#E6C98F', 'edgeLabelBackground': '#161B22'}}}%%
flowchart TB
    subgraph Input["📥 Clinical Input"]
        SYM["🩺 Symptoms Reported"]
        HX["📋 Patient History"]
        VIT["📊 Vital Signs"]
    end
    subgraph Analysis["🤖 GPT-4 Analysis"]
        DD["🔍 Differential Diagnosis"]
        PROB["📈 Probability Ranking"]
        EV["📚 Evidence Matching"]
    end
    subgraph Guidance["💡 Treatment Guidance"]
        RX["💊 Medication Options"]
        TEST["🔬 Recommended Tests"]
        REF["🏥 Referral Criteria"]
    end
    subgraph Safety["🚨 Safety Checks"]
        ALR["⚠️ Allergy Alerts"]
        INT["💥 Drug Interactions"]
        CON["🚫 Contraindications"]
    end
    subgraph Output["📤 Clinical Output"]
        PLAN["📋 Care Plan"]
        VOICE["🔊 Voice Summary"]
    end
    SYM --> DD
    HX --> DD
    VIT --> DD
    DD --> PROB
    PROB --> EV
    EV --> RX
    EV --> TEST
    EV --> REF
    RX --> ALR
    RX --> INT
    RX --> CON
    ALR --> PLAN
    INT --> PLAN
    CON --> PLAN
    TEST --> PLAN
    REF --> PLAN
    PLAN --> VOICE

5. Multi-Tool Orchestration Engine

%%{init: {'theme': 'dark', 'themeVariables': { 'primaryColor': '#C17852', 'primaryTextColor': '#F0F6FC', 'primaryBorderColor': '#4A5E32', 'lineColor': '#E6C98F', 'secondaryColor': '#161B22', 'tertiaryColor': '#0D1117', 'background': '#0D1117', 'mainBkg': '#161B22', 'nodeBorder': '#4A5E32', 'clusterBkg': '#161B22', 'clusterBorder': '#4A5E32', 'titleColor': '#E6C98F', 'edgeLabelBackground': '#161B22'}}}%%
flowchart LR
    subgraph Intent["🎯 User Intent"]
        UT["🗣️ Voice Command"]
        CL["📝 Classification"]
    end
    subgraph Router["🔀 Tool Router"]
        GPT["🤖 GPT-4 Orchestrator"]
        SEL["🎛️ Tool Selector"]
    end
    subgraph Specialized["🔧 Specialized AI Tools"]
        SA["🩺 Symptom
Analyzer"]
        DI["💊 Drug
Interaction"]
        TP["📋 Treatment
Planner"]
        LI["🔬 Lab
Interpreter"]
        RC["📊 Risk
Calculator"]
    end
    subgraph Aggregate["📊 Response Builder"]
        MG["🔗 Result Merger"]
        FMT["📝 Format Response"]
    end
    subgraph Deliver["🔊 Voice Delivery"]
        TTS["🗣️ Text-to-Speech"]
        OUT["🔈 Audio Output"]
    end
    UT --> CL
    CL --> GPT
    GPT --> SEL
    SEL --> SA
    SEL --> DI
    SEL --> TP
    SEL --> LI
    SEL --> RC
    SA --> MG
    DI --> MG
    TP --> MG
    LI --> MG
    RC --> MG
    MG --> FMT
    FMT --> TTS
    TTS --> OUT

6. Full Realtime VUI Architecture

%%{init: {'theme': 'dark', 'themeVariables': { 'primaryColor': '#C17852', 'primaryTextColor': '#F0F6FC', 'primaryBorderColor': '#4A5E32', 'lineColor': '#E6C98F', 'secondaryColor': '#161B22', 'tertiaryColor': '#0D1117', 'background': '#0D1117', 'mainBkg': '#161B22', 'nodeBorder': '#4A5E32', 'clusterBkg': '#161B22', 'clusterBorder': '#4A5E32', 'titleColor': '#E6C98F', 'edgeLabelBackground': '#161B22'}}}%%
flowchart TB
    subgraph VUI["🎤 Voice User Interface"]
        MIC["🎙️ Microphone Input"]
        VAD["🔇 Voice Activity Detection"]
    end
    subgraph Realtime["⚡ OpenAI Realtime API"]
        WS["🔌 WebSocket"]
        SES["📡 Session Manager"]
        STR["🔄 Bidirectional Stream"]
    end
    subgraph Whisper["🤖 Whisper STT"]
        ASR["🔤 Speech Recognition"]
        MED["🏥 Medical Vocab"]
    end
    subgraph GPT4["🧠 GPT-4 Core"]
        CTX["📋 Context Manager"]
        RSN["🔍 Clinical Reasoning"]
        TC["🛠️ Tool Calls"]
    end
    subgraph Tools["🔧 10 AI Clinical Tools"]
        T1["🩺 Symptoms"]
        T2["💊 Drugs"]
        T3["📋 Treatment"]
        T4["🔬 Labs"]
        T5["📊 Risk"]
        T6["📚 Guidelines"]
        T7["🏥 Referral"]
        T8["📝 Notes"]
        T9["🚨 Alerts"]
        T10["🔄 Follow-up"]
    end
    subgraph TTS["🔊 Audio Response"]
        GEN["🗣️ Voice Synthesis"]
        SPK["🔈 Speaker Output"]
    end
    MIC --> VAD
    VAD --> WS
    WS --> SES
    SES --> STR
    STR --> ASR
    ASR --> MED
    MED --> CTX
    CTX --> RSN
    RSN --> TC
    TC --> T1
    TC --> T2
    TC --> T3
    TC --> T4
    TC --> T5
    TC --> T6
    TC --> T7
    TC --> T8
    TC --> T9
    TC --> T10
    T1 --> RSN
    T2 --> RSN
    T3 --> RSN
    T4 --> RSN
    T5 --> RSN
    T6 --> RSN
    T7 --> RSN
    T8 --> RSN
    T9 --> RSN
    T10 --> RSN
    RSN --> GEN
    GEN --> SPK
    SPK --> STR