IMI Get in touch
IMI, the Clinical Context AI

IMI.ai uncovers the subclinical signals hidden in a patient's history and continuous data, and turns them into meaningful clinical insight.

ECG streams Implantables Wearables Smart rings Glucose monitors Insulin pumps Lab panels Cardiac MRI EHR history Pharmacy fills Caregiver input Patient check-ins Neuromodulation Physiological monitors
Inside a clinician's mind

Doctors can't use what never reaches them

What matters most never makes it into the EHR. A clinician holds only a handful of facts "live" at once: a recent lab, a symptom mentioned in passing, a medication changed months ago. Everything else has to be recalled at exactly the right moment to factor into a decision.

Data isn't the hardest part anymore. Finding the context is.

Clinician reviewing a patient's history (placeholder image)
Lab · 3 days ago Potassium 5.4 mmol/L
Holter · 2023 Two nocturnal pauses
Medication · May Loop diuretic dose changed

The question What tools do you have to understand relevant patient context from continuous data while care is occurring?

Understanding a patient's condition increasingly depends not only on individual observations, but on the evolving relationships among observations, treatments, interpretations, and time.
Observations Treatments Interpretations Time

Clinical Context AI helps you understand a patient's condition through these evolving relationships, while care is occurring.

Watch Keith explain the idea
One synthetic patient, fully connected: queryable, durable and pattern-rich.
Context is a clinical asset

Context reduces time. Context reduces cost.

A single, static look at an MRI, then filing it away, is a costly waste, and patients pay the price. Observation was sparse. Diagnostic procedures were expensive. Monitoring was intermittent.

Meaning lives in the relationships between observations made across different devices, modalities, conditions, and points in time, not in any one of them alone.

Devices ECG, implantables, wearables
Modalities Imaging, labs, notes
Time Years of history, live
Why Clinical Context AI

Data without context is just static numbers

Healthcare's information systems preserve patient data, observations, diagnoses, and clinical decisions. But data without context never becomes information, and it never produces knowledge.

Context is large, dynamic, and living, just like a patient. Clinical artifacts are static. Observational systems and systems of record are static. We build the layer that isn't.

What it means, right now

Context tells us what everything we currently know means for this patient, right now.

New insight into disease pathways

Relationships across observations surface how conditions actually unfold, not just how they present.

Treatment response, as it happens

An ongoing read on how a patient is responding, as part of a continuous process of interpretation rather than a one-time judgment.

Population-level patterns

Individual context, understood at scale, becomes a source of patterns across patients over time.

What it is

The context layer: a new pillar of clinical information infrastructure

Diagnostic observation generates observations. The system of record preserves decisions, actions, and conclusions. Neither was designed to hold a continuously evolving representation of patient state. Continuous observation introduces a third requirement: a home for evolving understanding.

Diagnostic observation

Generates observations

Scans, labs, and exams: discrete moments of measurement.

System of record

Preserves decisions

Diagnoses, orders, procedures: the stable clinical artifacts.

New

Context layer

Holds evolving understanding

The relationships between observations, treatments, and time, continuously updated.

See a continuously updated model of patient state, not a snapshot.

Let a scan from years earlier gain new relevance as patterns emerge in continuous observation.

Maintain the relationships among observations, treatments, interpretations, trajectories, and emerging hypotheses.

Draw on ECG streams, physiological monitors, implantables, neuromodulation platforms, and other continuously observing technologies while care is occurring.

Research

How clinical reasoning is changing

Medicine's information model was built for episodes. Continuous observation is changing what a clinical conclusion is.
Earlier

Medicine was episodic

A patient presented with a concern, measurements were taken, a conclusion was reached, a treatment selected. If it worked, the episode ended. If not, the process began again. Conclusions functioned as endpoints; their purpose was to enable action.

Now

Observation becomes ongoing

Conclusions stop being endpoints and start behaving like working models. New measurements arrive continuously. Treatments generate new observations while they're being administered. Prior observations acquire new significance as patterns emerge.

What it means

Reasoning becomes continuous

Observation, interpretation, and intervention are no longer cleanly separated. New observations shape interpretation. Updated interpretation shapes treatment. Treatment generates new observations, and a clinical conclusion changes with it.

From our clinical partners

What clinicians are telling us

Cardiology, hospital-at-home and clinical informatics leaders on what continuous data asks of them.

“We were always taught to reach a conclusion and act on it. The hard part now is holding a conclusion as something that keeps updating, without losing the ability to act.”
Portrait of Dr. Maya Raman
Dr. Maya Raman
Chief of Cardiology · Brightwater Academic Medical Center

Sample quotes with fictional names and institutions, to be replaced with your clinical partners' own words.

Who it's for

Built for the places continuous context changes the decision

Hospital-at-home care team

When one condition's plan collides with another's.

Acute patients at home rarely have one condition. Decision support that reasons about only one can suggest changes the rest of their care can't safely take.

Remote monitoring at home

When the danger sits below every threshold.

Threshold-based monitoring floods nurses with noise and stays silent on patterns that never cross a single line.

Digital health builders

When your agent reads the record but not the patient.

Clinical agents fed raw records have to rediscover judgment on every call, and get it wrong.

Health system command centre

When each vendor sees only its own slice.

Every program a patient touches judges its own data alone, missing what's happening one program over.