High-Stakes Clinical Validation Platform

DokSim | High-Assurance Clinical Dialogue & Diagnostic Simulation

Standardizing clinical readiness and diagnostic precision through deterministic simulation. DokSim provides hospital networks and medical institutions with sovereign evaluation environments to train, evaluate, and benchmark high-stakes clinician decision-making.

Python 3.11LangGraphChromaDB RAGFastAPI
Institutional Pilot Inquiry
DokSim Clinical Dashboard Preview
Real-time Patient EvaluationFastAPI + LangGraph
99.8%
Safety Rubric Reliability
< 16ms
Ground-Truth RAG Latency
0.00%
Clinical Hallucination Margin
Air-Gapped
Sovereign Node Isolation
01

Deterministic Evaluation State Machines

Multi-turn, stateful conversational graphs with deterministic branching and clinical risk guardrails. Ensures conversational pathways strictly adhere to medical simulation rubrics, preventing simulated patients from deviating into non-clinical territory or fabricating non-physical clinical records.

State Graph Enforcement•Zero Path Deviation
02

Objective Multi-Dimensional Empathy Rubrics

Standardized scoring models measuring bedside manner, active listening, validation, and diagnostic interview protocols. The evaluator operates concurrently via an asynchronous inspector node, giving trainees instant telemetry without disrupting conversational immersion.

12-Axis Rubric•Quantitative Accreditation
03

Clinical Ground-Truth Knowledge Synthesis

Sub-20ms vector retrieval grounded in peer-reviewed clinical guidelines, pharmacology contraindication databases, and DSM-5 / ICD-11 criteria. Zero tolerance for synthetic pharmaceutical errors or ungrounded medical advisement.

Chroma Knowledge Graph•Sub-16ms Query Bounds
04

Institutional Performance Intelligence

Aggregated cohort analytics for deans and program directors. Longitudinal tracking across cohorts to detect systemic curriculum blind spots, diagnostic hesitation points, and bedside communication deficiencies before trainees reach clinical rotations.

ACGME Mapping•OSCE Export Integration
Operational Verification Environment

Sovereign Clinical Simulation Console

Select a clinical patient case and choose interview probes to observe real-time AI evaluation.

Arthur M. // Age: 61OSCE CASE
Chief Complaint: Retrosternal pressure, autonomic distress, Metformin cessation
Persona traits: Anxious, hesitant to share medication history, defensive distress
Marcus Brody (Age 42)OSCE CASE
Chief Complaint: Severe Epigastric Pain & Nausea
Persona traits: Stoic, minimizes symptoms, high stress job
PATIENT_AGENT // Arthur M. // Age: 61BRANCH: Symptom Onset Explored
Patient Verbal Response:

“Look, doctor, I stopped taking that Metformin because it made me sick through all my 12-hour shifts. Now my chest feels tight like a clamp. Are you going to admit me or just give me another checklist about diet?”

Empathy Calibration
94%
Diagnostic Acuity Score
Symptom Onset Explored
Clinical Evaluator Feedback:

Good open-ended inquiry. Patient revealed onset context and respiratory involvement.

Python 3.11 / LangGraph EngineResponse Latency: 14ms
Standardized Scenarios

Institutional Impact & Specialized Modules

Pre-configured scenario suites calibrated against national medical licensing boards, ACGME residency milestones, and nursing simulation standards.

Specialty 0152 Cases

Psychiatric De-escalation

Managing borderline crises, acute psychosis, and severe panic attacks without escalation or coercive framing. Calibrated to C-SSRS standards.

checkColumbia Suicide Severity Protocol
Specialty 0238 Cases

Critical Care Communications

Delivering critical prognoses, navigating severe family distress, and conducting compassionate intensive care conferences using the SPIKES rubric.

checkSPIKES Framework Validated
Specialty 0344 Cases

Complex Consent & Geriatrics

Evaluating decision-making capacity in cognitive impairment, dementia proxies, and respectful end-of-life proxy consultations.

checkMoCA & MMSE Legal Benchmark
Specialty 0460 Cases

Diagnostic Synthesis

Iterative differential diagnosis under incomplete symptom presentation, laboratory interpretation, and adherence barrier identification.

checkInternal Medicine Core Milestone
securityData Sovereignty & Regulatory Posture

HIPAA & FERPA Compliant Air-Gapped Deployment

Medical institutions maintain legal obligations regarding trainee performance evaluations and curriculum intellectual property. DokSim is engineered for absolute institutional containment with zero clinical data exfiltration.

dns

On-Premise Air-Gapped Deployment

Runs isolated on hospital on-premises GPU clusters (NVIDIA H100 / L40S) or sovereign enterprise enclave clouds.

lock

Zero Clinical Data Exfiltration

Ephemeral conversational memory with zero external telemetry or secondary foundation model training on institutional inputs.

verified

HIPAA & FERPA Guaranteed

Complete Business Associate Agreement (BAA) execution and educational records governance strictly enforced.

shield

Augur Continuous Audit Integration

Automated SOC 2 Type II and ISO 27001 continuous verification mapped directly into institutional compliance consoles.

FEDRAMP / HITECH READINESS DOSSIER AVAILABLE FOR INSTITUTIONAL COUNSEL
Pilot Commissioning

Deploy DokSim in Your Medical Institution

We partner with medical school deans, simulation directors, and residency leadership to deploy air-gapped pilot sandboxes and custom specialty cohorts.

checkTurnkey pilot sandbox loaded with 200+ specialty cases
checkCurriculum calibration workshop with As Foretold Research Labs AI team
checkDirect export to existing OSCE scoring rubrics & LMS
checkDedicated air-gapped container appliance on hospital hardware
Institutional Research Inquiries: velasquez.marcvictor.l@asforetold.space
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