DEC
Decision, Escalation & Contextual Cards. The AI clinical triage system that evaluates 8 universal red flags in real time — and escalates before a crisis becomes an emergency.
STATUS
LIVE - 1doc Clinics
AUTHOR
Dr Eugene Loke, CMO, 1docAI
What is DEC?
DEC — Decision, Escalation & Contextual Cards — is 1docAI's AI-powered clinical triage and escalation system. Operating continuously across the patient monitoring layer, DEC evaluates incoming health data against 8 universal clinical red flags and generates structured decision cards that guide health coaches, family physicians, and clinical staff through the appropriate response pathway.
DEC replaces the reactive model of care — where a patient calls when something feels wrong — with a proactive surveillance system that identifies deteriorating patterns before they reach a critical threshold.
DEC does not replace clinical judgment. It structures and accelerates it — ensuring that no red flag is missed, regardless of how busy a clinic is or what time of day it is.
How does it work?
A Contextual Card is DEC's structured output — a real-time clinical summary generated for the relevant clinician or health coach at the moment an escalation is triggered. Each card contains the patient's current vital status, the specific red flag(s) triggered, the relevant history from the Evidence Graph, and a recommended action pathway.
Contextual Cards are designed to support clinical decision-making at speed — giving the right information to the right person at the right moment, without requiring them to pull up the full Evidence Graph under pressure.
What is a Contextual Card?
DEC evaluates every patient's real-time and historical data against eight clinically validated red flag parameters:
When any red flag threshold is breached — or when a combination of sub-threshold readings suggests clinical deterioration — DEC generates an escalation card within seconds, routing to the appropriate care pathway: health coach, family physician, or emergency referral.
DEC and the 1doc Health Coach Network
Because 1docAI's health coaches manage up to 1,000 patients each — a ratio impossible in traditional ward nursing — DEC serves as the intelligent alert layer that makes this scale safe. A health coach cannot monitor 1,000 patients simultaneously; DEC does. When DEC flags an anomaly, the coach receives a Contextual Card and knows exactly what action to take.
Frequently Asked Questions
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DEC stands for Decision, Escalation & Contextual Cards. It is 1docAI's AI-powered clinical triage system that monitors patient health data in real time and generates structured decision pathways when clinical red flags are detected.
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Standard monitoring alerts trigger when a single threshold is crossed. DEC evaluates combinations of sub-threshold signals against a patient's complete health context from the Evidence Graph — so it can identify deterioration patterns before any single red flag is fully breached. It also generates actionable Contextual Cards, not just alerts.
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No. DEC supports and accelerates clinical decision-making — it does not replace the judgment of a qualified physician. All escalations generated by DEC are reviewed by a 1doc family physician or clinical staff member before any action is taken.