BUILT FOR SCHOOL HEALTH

Better information.
Clearer decisions.
Faster care.

Clinical clarity for school health

Real-time clinical decision support designed for school nurses. CLIRA helps capture symptoms naturally, confirm what matters, and turn everyday student conversations into clear, explainable guidance.

Nurse-controlledExplainable recommendationsPrivacy-conscious architecture
● SECURE SESSION
Current student
Alex M. · Grade 6
History loaded
Listening to consultation…
“My head hurts and I felt dizzy after lunch…”
DETECTED · CONFIRM WHAT IS RELEVANT
✓ Headache✓ Dizziness+ Add symptom
● MODERATE CONCERN
Monitor and reassess
Review hydration, additional symptoms and recent history. Reassess before return to class.
◉ Human-in-the-loop design◉ Structured clinical logic◉ Configurable protocols◉ Student history integration
A simpler clinical workflow

From conversation to guidance in five clear steps.

CLIRA works alongside the nurse during the visit, turning naturally reported symptoms into structured, reviewable information without interrupting the interaction.

01

Listen

The nurse begins the assessment naturally while the system captures the live conversation.

02

Detect

Relevant symptoms and clinical phrases are identified as they appear in conversation.

03

Confirm

The nurse accepts, dismisses or manually adds findings before they influence the system.

04

Recommend

Confirmed findings are evaluated against structured clinical decision rules.

05

Document

The visit, confirmed symptoms, recommendation and nurse decision can be recorded.

Built for the realities of school nursing

Support the nurse without slowing the nurse down.

Designed for busy health offices where speed, consistency, documentation and clinical judgment all matter.

Faster assessment workflow

Surface clinically relevant information while the nurse continues speaking with the student instead of repeatedly stopping to enter data.

Reduced cognitive load

Organize symptoms as they emerge and help the nurse see clinically relevant combinations more clearly.

More consistent guidance

Structured clinical rules create a repeatable decision-support framework that can be reviewed and governed.

Nurse verification first

Speech recognition alone never determines the outcome. Findings must be confirmed by the nurse before recommendation.

Structured documentation

Confirmed findings, recommendation and the action actually taken can be captured for future review.

Adaptable clinical logic

Keyword dictionaries and recommendation rules can be maintained as configurable clinical resources rather than opaque model behavior.

Human judgment stays in control

Decision support, not autonomous diagnosis.

The technology helps organize and interpret information. The nurse validates the findings, reviews the recommendation, and decides what happens next.

Every detected symptom is reviewable

Misheard or irrelevant findings can be dismissed immediately.

Recommendations show their basis

The nurse can see which confirmed findings led to the guidance.

The nurse makes the final decision

Clinical judgment remains with the qualified professional.

Student assessmentCurrent findings
Nurse confirmed
✓ Fever✓ Vomiting
MODERATE CONCERN

Possible illness with dehydration risk

Monitor symptoms, consider hydration and reassessment, and follow the organization's escalation protocol where appropriate.

Recommendation based on nurse-confirmed findings: fever + vomiting
Across everyday student presentations

One workflow. Many school-health scenarios.

GENERAL ILLNESS

Fever + vomiting

Organize multiple findings and surface an appropriate level of concern for nurse review.

NEUROLOGICAL

Headache + dizziness

Capture reported symptoms and support structured reassessment and escalation decisions.

SKIN / ILLNESS

Rash + fever

Recognize potentially important combinations of symptoms and bring them clearly to the nurse's attention.

INJURY

Possible head injury

Identify reported concussion-related phrases and support established school protocols.

✓ Controlled data retention
✓ Auditable access
Privacy-conscious by designBuilt to minimize unnecessary exposure of student health information.
Privacy matters in every interaction

Health information deserves thoughtful architecture.

The platform is designed around a privacy-conscious approach to voice processing, data storage and access.

01

Self-hosted speech processing

The proposed architecture allows speech recognition to run on controlled infrastructure rather than requiring a third-party cloud speech service.

02

Minimized data retention

Organizations can prioritize storing confirmed findings and outcomes instead of retaining complete raw conversations.

03

Authentication and auditability

Access to student information can be tied to authenticated users and appropriate audit records.

Technology with a clear purpose

Sophisticated enough to help. Simple enough to understand.

The system uses a deliberately transparent pipeline rather than relying on unrestricted generative AI for core clinical decisions.

🎙
ConversationLive nurse-student interaction
Aa
Speech RecognitionStreaming transcription
Symptom DetectionClinical phrase matching
Nurse ReviewConfirm or dismiss
Clinical RulesStructured recommendation logic
GuidanceExplainable recommendation
React + TypeScriptFastAPIWebSocketsPostgreSQLSelf-hosted speech recognitionConfigurable clinical rules
Not a black-box chatbot.
A structured clinical assistant that shows its work.
CLIRAI detected headache and dizziness. Are these relevant to this visit?
NURSEYes — both confirmed.
CLIRABased on those confirmed findings, here is the recommended assessment pathway.
NURSEReview recommendation → make clinical decision.
See the workflow in action

Give school nurses more support at the moment decisions are made.

Explore how CLIRA brings real-time symptom capture, nurse-confirmed findings and explainable clinical guidance into the school health workflow.