rag-patient-folder-memory

Patient-scoped memory uses local-first RAG to maintain longitudinal context with strict per-patient isolation, preventing cross-patient data leakage. This ensures HIPAA-grade controls while retaining historical visit data securely.

Standardized forms are filled only from current-visit evidence while local-first memory retains prior visit summaries. Safe memory updates prevent historical context from overriding today's source spans, ensuring accurate form completion.

Delta detection compares current patient folder evidence against prior approvals to identify changes across visits. Automated change summaries are generated to assist clinical review of longitudinal trends and new findings.

Local-first patient memory satisfies HIPAA-grade controls including encryption at rest, audit trails, and evidence provenance to today's source spans. These features ensure regulatory compliance for PHI handling.

Scaffold a patient folder with today's transcript and OCR evidence, then compare against prior approvals to produce a folder_context_pack and delta_report. This workflow enables contextual retrieval and comprehensive clinical review.

Safe memory updates are designed to not override current-visit evidence during form filling. This prevents hallucinations by ensuring the standardized form is populated only from today's verified source spans.