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Capability 04 • Diagnostic Safety

Evidence-Backed Clinical Decision Support with Direct Citations

A non-intrusive second set of clinical eyes. DrGodly surfaces ranked differential diagnoses, cross-checked against the patient's genetic, pharmacological, and lab history with citations to peer-reviewed literature.

Clinical Decision Support System (CDSS)Physician Supervised • Non-Autonomous

Cognitive Diagnostic Copilot

For Attending Physician Independent Evaluation • Context-Grounded Differential Engine

Algorithm v4.8 (Trained on Peer-Reviewed Literature)

Active Patient Context

Maya K. (38F)
Chief ConcernRetro-orbital headache (Day 4)
Current VitalsBP 122/78 mmHg (HR 68 bpm)
Active MedicationLisinopril 10mg PO AM
Verified LabHbA1c 5.6% • eGFR 96

Clinical Considerations & Ranked Differentials

Click to inspect rationale
78% Match
Tension-Type Headache / Digital Asthenopia
G44.209

Bilateral non-pulsatile pain, retro-orbital distribution, late afternoon onset matching 10h screen exposure. Negative for photophobia aura and nuchal rigidity.

14% Match
Hypertensive Encephalopathy / BP Variability
I10 / G44.81

Patient has established history of essential hypertension on Lisinopril 10mg. However, home BP log demonstrates stability (122/78 mmHg today), making rebound crisis unlikely.

8% Match
Cervicogenic Headache
G44.841

Occipital muscle spasm secondary to seated ergonomic posture during desk work. Correlates with trapezius tightness without radiculopathy.

Correlated Historical Context

Zero history of migraines or aura. No family history of aneurysm. Appendectomy (2018) uncomplicated. Penicillin allergy confirmed (urticaria).

Guideline References & Citations

PubMed / AAFP
Primary Clinical Citation

ICHD-3 (International Classification of Headache Disorders, 3rd Edition) & AAFP Clinical Guidance.

View evidence summary

Potential Risks & Triage Check

Clear
No sudden “thunderclap” onset (rules out SAH consideration).
Normotensive today (rules out acute hypertensive crisis).
Negative for visual aura, nuchal rigidity, and fever.

Suggested Physician Questions

Triage Prompts
“Do you experience relief within 30 minutes of stepping away from computer screens?”
“Have you noticed any jaw tightness or morning tooth soreness suggesting night clenching?”
“Are you wearing blue-light filtering glasses or using Night Shift display modes?”
Regulatory Notice: DrGodly CDSS provides probabilistic decision support only. Clinical diagnosis and treatment orders remain the exclusive responsibility of the attending physician.FDA SaMD Guidance Aligned