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Clinical Knowledge · RAG Agent

Enterprise RAG Knowledge Assistant

An internal AI assistant that lets clinical and administrative staff at a regional hospital network search policies, SOPs, and internal documentation in plain language.

A regional hospital network with thousands of policy documents, SOPs, and internal clinical guidelines spread across shared drives and a legacy intranet.

Clinical RAG · Live Product
Live RAG retrieval trace citing ICU-INF-014.pdf with a 0.941 cosine similarity match, next to a clinician reviewing critical care protocols on a tablet
Zero data egress Sourced answers
1000sDocuments indexed
<3sTypical retrieval + answer time
100%Answers cite a source document
24/7Availability for on-call staff
The Challenge

The right policy existed — nobody could find it fast enough

Clinical and administrative staff needed answers to questions like "what's the current infection-control protocol for this unit?" or "what's the escalation path for a medication discrepancy?" — and the correct answer usually existed somewhere in a PDF, a wiki page, or an old intranet post.

Search across those systems was keyword-only and inconsistent. Staff either called someone who might know, or used whatever version of the document they could find first — which was sometimes outdated. On-call and night-shift staff had the least support, since the people who usually answered these questions were asleep.

  • Answers existed but were scattered across shared drives, an intranet, and PDFs with no unified search
  • No way to know if a found document was the current version
  • Time-sensitive questions (infection control, escalation paths) needed faster answers than a phone tree could give
  • Any answer had to be traceable back to its source document — staff won't act on an unsourced answer
The Solution

Ask in plain language, get an answer with its source attached

TecXra built a retrieval-augmented generation (RAG) assistant that indexes the hospital network's policy library, SOPs, and internal knowledge base into a vector database. Staff ask a question in plain language; the system retrieves the most relevant passages, reranks them for accuracy, and generates an answer grounded in — and citing — the actual source document.

Nothing is answered from the model's general knowledge alone. If the retrieval step doesn't find a confident match, the assistant says so instead of guessing, and points the user toward who to ask.

How The AI System Works

A look inside the workflow

Every document goes through the same pipeline before it's searchable, and every answer traces back through that same pipeline to its source.

01

Documents

Policies, SOPs, and guidelines ingested from shared drives and the intranet.

02

Chunking

Documents are split into retrieval-sized passages that preserve context.

03

Embeddings

Each passage is converted into a vector representation of its meaning.

04

Vector Database

Embeddings are indexed for fast semantic — not just keyword — search.

05

Retrieval

A staff question is embedded and matched against the closest passages.

06

Reranking

Candidate passages are reordered for relevance before reaching the model.

07

LLM

Generates an answer grounded strictly in the retrieved passages.

08

Answer

Returned to staff with the source document cited inline.

Main Features

What the system actually does

Semantic search, not keyword search

Finds the right passage even when staff don't use the document's exact wording.

Every answer is sourced

Responses cite the specific document and section they came from.

Versioning-aware indexing

Superseded documents are flagged so staff aren't served outdated policy.

Scoped access

Role-based access ensures staff only retrieve documents they're permitted to see.

On-call friendly

Available around the clock for staff who don't have a supervisor to ask at 3am.

Says "I don't know" on purpose

Low-confidence retrieval returns a clear "not found" instead of an unsupported guess.

Technology Stack

Built on

AI / Retrieval

RAG AgentsLLMsEmbeddingsSemantic Search

Orchestration

PythonLangChain / LangGraph

Data

PostgreSQL / pgvector

Infrastructure

AWS
Product UI Preview

What it looks like in use

Eight-stage retrieval pipeline: documents, chunking, embeddings, vector database, retrieval, reranking, LLM and grounded answer
Technology stack and architecture screen showing the deterministic grounding rate and retrieval SLA

Every passage is chunked, embedded, and indexed the same way — so every answer traces back through the same pipeline to its source.

Results / Business Impact

What changed

Illustrative Impact — representative outcomes for this class of system, not measured client figures.

Faster answers

Staff get a sourced answer in seconds instead of searching multiple systems or waiting on a callback.

Fewer outdated-document mistakes

Version-aware indexing reduces the chance of acting on a superseded policy.

On-call support improved

Night-shift and on-call staff get the same answer quality as daytime staff.

Traceable, auditable answers

Every response can be checked against its cited source document.

Implementation Highlights

How it was built

01

Document audit & ingestion

Catalogued and ingested the policy library, resolving duplicate and outdated versions.

02

Chunking & embedding pipeline

Built the pipeline that keeps the vector index current as documents change.

03

Retrieval tuning

Tuned chunking and reranking against real staff questions for retrieval accuracy.

04

Access control & rollout

Layered in role-based access and rolled out by department, starting with the highest-volume queries.

Buried in internal documentation?

If your team already has the right answers written down somewhere, let's talk about making them instantly findable.

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