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arXiv · 2510.02463

CLARITY: Clinical Assistant for Routing, Inference, and Triage

Vladimir Shaposhnikov·Aleksandr Nesterov·Ilia Kopanichuk·Ivan Bakulin·Egor Zhelvakov·Ruslan Abramov·Ekaterina Tsapieva·Iaroslav Bespalov·Dmitry V. Dylov·Ivan Oseledets
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Abstract

We present CLARITY (Clinical Assistant for Routing, Inference and Triage), an AI-driven platform designed to facilitate patient-to-specialist routing, clinical consultations, and severity assessment of patient conditions. Its hybrid architecture combines a Finite State Machine (FSM) for structured dialogue flows with collaborative agents that employ Large Language Model (LLM) to analyze symptoms and prioritize referrals to appropriate specialists. Built on a modular microservices framework, CLARITY ensures safe, efficient, and robust performance, flexible and readily scalable to meet the demands of existing workflows and IT solutions in healthcare. We report integration of our clinical assistant into a large-scale national interhospital platform, with more than 55,000 content-rich user dialogues completed within the two months of deployment, 2,500 of which were expert-annotated for subsequent validation. The validation results show that CLARITY surpasses human-level performance in terms of the first-attempt routing precision, naturally requiring up to 3 times shorter duration of the consultation than with a human.

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Vladimir Shaposhnikov, Aleksandr Nesterov, Ilia Kopanichuk, Ivan Bakulin, Egor Zhelvakov, Ruslan Abramov, Ekaterina Tsapieva, Iaroslav Bespalov, Dmitry V. Dylov, Ivan Oseledets. 2025-10-10. CLARITY: Clinical Assistant for Routing, Inference, and Triage. https://arxiv.org/abs/2510.02463

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