Opportunity map
Before building anything, Discovery scores the candidate opportunities and picks deliberately. This page shows the map for the demo’s own case: why medication adherence was chosen, what was set aside, and - the part most decks skip - where a conversational AI is the wrong tool.
How the map is scored
Section titled “How the map is scored”Each candidate is scored on a few plain dimensions, not a black-box number:
- Impact - how much does moving it matter, clinically and financially?
- Feasibility - can a conversational agent actually do it well today?
- Risk boundary - can the unsafe cases be drawn and enforced deterministically?
- Data readiness - is there usable, licensable, privacy-safe data? (see the data-readiness scorecard)
- Value clarity - can the value be evidenced, not just asserted? (see the value model)
The weighting behind a real engagement’s scores is calibrated per client; the dimensions above are the public shape.
Why medication adherence
Section titled “Why medication adherence”Medication adherence scored highest on this map:
- Impact: non-adherence is a large, well-documented, avoidable cost driver.
- Feasibility: adherence support is conversational, educational, and motivational - squarely what an LLM does well - and it needs no diagnosis and no dosing decision.
- Risk boundary: the dangerous cases (acute symptoms, dosing changes, diagnosis) are crisp and can be refused or escalated deterministically, so the safe envelope is enforceable, not aspirational.
- Data readiness: the domain can be covered by synthetic, public-source- paraphrased content with no PHI (see the dataset card).
- Value clarity: the value turns on a measurable adherence lift.
Where AI is not the answer
Section titled “Where AI is not the answer”The honest headline most opportunity maps omit. A conversational agent is the wrong tool for:
- Acute emergencies. Chest pain, suicidal ideation, severe bleeding need an immediate deterministic escalation to a human or emergency pathway, not a generated answer. The system handles them with a rule-based floor that runs before any model call - precisely because generation is not the answer here.
- Dosing and diagnosis. “What dose should I take?” or “What do I have?” is a medical decision a wellness agent must refuse, not attempt; these are out of scope by policy and enforced by the scope classifier.
- Anything that is really a medical device. If the intended use is to diagnose, treat, or drive a clinical decision, the answer is a regulated device pathway, not a demo agent (see the regulatory posture).
- Problems a deterministic rule or a human solves better. If a lookup table, a form, or a nurse call is cheaper and safer, that is the right answer; an LLM there adds cost and risk for no gain.
Naming these is not a disclaimer - it is the selection discipline that makes the chosen opportunity credible.
What was deprioritized
Section titled “What was deprioritized”Adjacent opportunities considered and set aside, each with its reason:
| Candidate | Why deprioritized |
|---|---|
| Symptom triage / diagnosis support | Risk boundary too blurred for a wellness agent; drifts toward a medical-device intended use. |
| Dosing calculators | A clinical decision; out of scope by policy and refused by design. |
| Full EHR-integrated care management | Data-readiness and compliance load (real PHI, integrations) dwarf the demo’s purpose. |
| Open-domain medical Q&A | Unbounded scope defeats the enforceable safe envelope that makes the adherence case safe. |
Each was set aside for a stated reason, not silently dropped - which is what a real Discovery deliverable looks like.
- Data-readiness scorecard - the data dimension of the map.
- Value model - the value dimension.
- Regulatory posture - the medical-device boundary.
- Guardrails (ADR-0005) - how the safe envelope is enforced.