About Diagnoxal
Structured diagnostic reasoning for mental health professionals.
The Technology
Diagnoxal uses a multi-stage Reasoning System that mirrors clinical diagnostic thinking. Unlike general AI systems that produce unstructured probability lists, Diagnoxal validates every criterion before suggesting a diagnosis.
The Reasoning Pipeline
- 1. Extraction: Natural language processing identifies symptoms, timeline, severity, and functional impairment from your free-text vignette.
- 2. Hypothesis Generation: The system generates multiple diagnostic possibilities simultaneously to ensure rare presentations are not overlooked.
- 3. Structured Evaluation: Each hypothesis is tested against established diagnostic criteria with explicit evidence validation.
- 4. Evidence Verification: Diagnoses are challenged through an adversarial review; weak matches are penalized.
- 5. Hierarchical Exclusion: The system applies clinical logic to rule out disorders based on hierarchy (e.g., substance use or medical causes first).
- 6. Diagnostic Parsimony: When multiple explanations fit, the system favors the simplest diagnosis that accounts for all findings.
- 7. Comorbidity Analysis: Overlapping symptoms are analyzed to distinguish between true comorbidities versus symptom clusters.
What Makes This Different
- Structured Output: Diagnostic considerations include explicit reasoning explaining why each element fits or doesn't fit the presentation.
- Evidence Attribution: The system references specific findings from your vignette to support each consideration.
- Conservative Reasoning: Unknown information is explicitly marked as "needs verification" rather than assumed.
- Targeted Inquiry: The system generates specific questions to help you clarify ambiguous criteria during your patient interview.
Privacy Architecture
- Clinical vignettes exist only in memory during analysis (stateless processing).
- No patient data is stored or logged.
- All transmissions encrypted via HTTPS.
- Aliases recommended for complete de-identification.
How to Use Diagnoxal
1. Prepare the Clinical Vignette
Compile relevant patient information including:
- Presenting symptoms and chief complaint
- History of present illness
- Mental status examination findings
- Psychiatric history
- Medical history and current medications
- Relevant psychosocial factors
- Family psychiatric history
2. De-identify Before Submission
Replace or remove:
- Patient names → use aliases like "Patient A"
- Dates of birth → use age only
- Specific locations
- Employer or school names
- Any unique identifiers
3. Review the Analysis
You will receive:
- Primary diagnostic considerations
- Detailed evaluation with supporting evidence
- Differential diagnoses with supporting/opposing factors
- Recommendations for further evaluation
- Safety alerts if risk factors are detected