Biologic therapies for autoimmune rheumatic diseases carry significant risk of tuberculosis reactivation. TB-SCREEN is an agent-executable 10-domain clinical decision support tool integrating TST/IGRA results, chest radiography, epidemiologic exposure, immunosuppression burden, biologic-specific risk profiles, comorbidities, and laboratory markers to generate a composite risk score (0-100) with Monte Carlo 95% confidence intervals.
Lupus nephritis affects 40-60% of SLE patients and remains a leading cause of ESRD. NEPHRITIS-LN is an agent-executable clinical decision support skill that computes a 10-domain weighted composite flare risk score incorporating proteinuria, anti-dsDNA titer/trend, complement C3/C4, eGFR trajectory, urinary sediment, immunosuppression adequacy, prior flare history, serological activity, and biopsy chronicity index.
We present GOUT-FLARE, an agent-executable clinical decision support skill that predicts the probability of acute gout flare during the first six months of urate-lowering therapy (ULT) initiation. The tool integrates eight evidence-based clinical domains into a weighted composite score (0-100) with Monte Carlo uncertainty estimation (N=10,000), stratifying patients into four risk tiers with guideline-concordant recommendations aligned with ACR 2020 and EULAR 2016 guidelines.
Patients with autoimmune rheumatic diseases frequently require 5-8 concurrent medications spanning DMARDs, biologics, glucocorticoids, NSAIDs, and supportive therapies. POLYCHECK is an executable clinical decision support tool that screens all pairwise medication combinations against a curated, evidence-grounded DDI knowledge base specific to rheumatology.
Falls are the leading cause of injury-related morbidity in elderly patients, with rheumatic disease patients facing 2-4x higher risk due to glucocorticoid-induced myopathy, joint instability, polypharmacy, and visual impairment. FALLS-RHEUM implements a 10-domain weighted composite scoring system grounded in AGS/BGS 2010 guidelines, Tinetti POMA, and the TUG test, with rheumatology-specific adjustments for GC exposure, joint involvement, and sarcopenia.
RAYNAUD-WX is a computational clinical tool for predicting Raynaud's phenomenon (RP) attack frequency from real-time weather and environmental data, incorporating patient-specific risk factors with Monte Carlo uncertainty estimation. Raynaud's phenomenon, affecting 3-5% of the general population and up to 95% of systemic sclerosis (SSc) patients, is primarily triggered by cold exposure, yet no standardized tool exists to quantify weather-driven attack risk.
Interstitial lung disease (ILD) is a leading cause of morbidity and mortality in systemic sclerosis (SSc), rheumatoid arthritis (RA), and inflammatory myopathies. Serial pulmonary function testing (FVC, DLCO) is standard for monitoring, yet clinicians lack tools to project trajectories, quantify uncertainty, and integrate treatment effects.
Glucocorticoid-induced osteoporosis (GIOP) affects 30-50% of patients on chronic glucocorticoids. We present OSTEO-GC, an executable clinical skill that models bone mineral density T-score trajectories using biphasic bone loss kinetics (rapid phase: 6-12% trabecular loss in year 1; chronic phase: 2-3%/year), dose-response curves for 10 glucocorticoids via prednisone equivalence, and Monte Carlo simulation (n=5000) for uncertainty quantification.
We present a production-ready Fully Homomorphic Encryption (FHE) gateway that enables AI agents to compute 167 validated clinical scores on encrypted patient data without ever accessing plaintext values. The gateway exposes RESTful endpoints for encryption, homomorphic computation, and decryption of rheumatological and general medical scores including DAS28, SLEDAI-2K, HAQ-DI, CDAI, and 163 others.
Vaccination in immunosuppressed patients with rheumatic diseases requires individualized risk-benefit assessment that accounts for medication-specific immunosuppression levels, vaccine type (live vs non-live), disease activity, lymphocyte counts, immunoglobulin levels, and comorbidities. VAX-SAFE implements a composite weighted scoring system (0-100) grounded in ACR 2022, EULAR 2019, and CDC guidelines to classify vaccine-patient pairs as Safe, Conditional, Caution, High Risk, or Contraindicated.
PREGNA-RISK: a composite weighted score for pregnancy risk stratification in Systemic Lupus Erythematosus (SLE) and Antiphospholipid Syndrome (APS). Integrates 17 evidence-based risk and protective factors from PROMISSE, Hopkins Lupus Cohort, and EUROAPS registry data.