47-question assessment completed
You answer all questions. Responses are stored as structured data — not free text. Each answer maps to one or more of the five systems (Mind-Body, Nervous System, Hormonal Axis, Gut & Estrobolome, Inflammatory State) and carries a signal weight per modality framework.
Input: 47 structured responses. Output: raw signal data per system, per modality framework. Red flag rules run automatically — any trigger escalates immediately to CGO queue.
Prior diagnostics ingested
You upload any existing blood work, hormone panels, or scan reports. AI reads and extracts relevant markers. These are added to the signal data — not as a replacement for the assessment picture, but as additional evidence that may confirm or complicate the pattern hypotheses.
If no diagnostics uploaded, the root cause map is generated from assessment alone and flagged as provisional. Gaps are noted for the intake call.
AI generates provisional root cause map
Using the signal map (question → modality framework → pattern hypothesis), the AI generates four parallel pattern hypotheses — one per modality. Each hypothesis identifies: primary system dysregulation, secondary system, likely pattern name in that framework, and contributing factors. The map also identifies the most likely cluster (A, B, or C) and suggests a default pathway.
Critically labelled: PROVISIONAL — pending intake call and practitioner review. The AI is generating hypotheses, not diagnoses. The language is explicitly probabilistic.
AI-assisted intake call
Care coordinator uses the provisional map as a structured guide. The AI surfaces the top 3–5 ambiguities or gaps from the assessment — questions where your answers were unclear, contradictory, or where more context would sharpen the pattern. The coordinator explores these specifically. The call adds context, clarifies history, and captures anything the form missed.
After the call, the coordinator adds a brief structured note — not free text — to the case record. The AI updates the provisional map with the new information. A second provisional map is generated.
Practitioners review — parallel, 48-hour target
The provisional map goes to all relevant practitioners simultaneously. Each sees: the full assessment responses, their modality's AI-generated pattern hypothesis, and the other modalities' hypotheses for context. Each practitioner reviews their column — confirming, amending, or overriding the AI hypothesis. They add their clinical reasoning in structured notes.
Lead practitioner is pre-assigned based on condition defaults and presenting cluster. They review first and can add a frame-setting note before others contribute. No practitioner can see another's edits in real time — to preserve independent judgment. Views are revealed simultaneously once all have responded.
CGO safety review (when indicated)
Required when: red flag present, new diagnostics to be ordered, named condition, current prescription medication. The CGO reviews the full map — not to override the integrative picture, but to confirm clinical safety and add the conventional medicine perspective as a fifth column. They approve, flag, or escalate.
CGO review is a safety gate, not a clinical hierarchy. If they approve without additions, the map stands. If they add a conventional medicine note, it appears as a fifth column labelled GP/Conventional — not replacing any other column.
Final root cause map generated
The AI assembles the practitioner-approved views into the final root cause map. The shared therapeutic targets are identified automatically as the overlap between the four modality hypotheses — the language the AI uses to express the shared targets is plain English, not modality-specific terminology. The map also includes: likely cluster, default pathway, suggested diagnostic gaps, and matched programme outline.
Two versions are generated: a full practitioner version (all clinical detail, modality-specific language) and a client version (plain language, pattern described as lived experience, therapeutic targets explained accessibly).
Lead practitioner walks you through it
The root cause map is the centrepiece of the lead practitioner call. You see your client version first — the lead practitioner discusses it with you, answers questions, and confirms the therapeutic targets feel right to you. The care plan and 12-week programme are then confirmed on the basis of the approved map.
You always have the option to question, push back on, or reject any part of the map. The map is a starting hypothesis — your lived experience is the final authority on whether it resonates.
The root cause map has two versions — practitioner (full clinical detail) and client (plain language). Structure is identical; language register differs.
- Primary system dysregulation
- Secondary system
- Root cause hypothesis
- Antecedents / triggers
- Mediators and perpetuators
- IFM Matrix node(s)
- Therapeutic targets
- Primary pattern (Zheng)
- Secondary pattern
- Organ system involved
- Qi / Blood / Yin / Yang picture
- Tongue and pulse hypotheses
- Treatment principle
- Therapeutic targets
- Vikriti (current imbalance)
- Dosha pattern
- Agni state
- Ama presence
- Dhatu (tissue) affected
- Srota (channel) obstruction
- Therapeutic targets
- Red flag status
- Differential to rule out
- Diagnostic gaps
- Current medication interactions
- Referral indicated?
- Conventional parallel
- Safety notes
Your pattern — as we see it
A plain-language description of your presenting pattern — written as lived experience, not clinical terminology. Describes what's happening in your body in terms you recognise. Explains the connections between your symptoms. Names the therapeutic targets in accessible language.
Followed by: what each modality sees, written in one sentence each. Not the full clinical picture — just enough for you to understand why each practitioner is involved.
Note: the client version never uses diagnostic labels. It describes patterns and tendencies, not conditions. "Your body has been running on cortisol for so long that your progesterone production has been compromised" rather than "you have HPA axis dysregulation causing secondary progesterone deficiency."
This is a working draft of the signal mapping logic. IFM and GP columns are more complete. TCM and Ayurveda columns require practitioner input and validation. This is the primary co-creation task for the practitioner onboarding sessions.
| Question | IFM / Systems signal | TCM signal | Ayurveda signal | GP signal |
|---|---|---|---|---|
| Q8 — Energy level through day | Cortisol curve inversion. HPA axis dysregulation. Possible insulin dysregulation post-meal. | Spleen Qi deficiency (post-meal crash). Kidney Yang declining (morning). Liver Qi excess (evening). | Kapha not utilised in morning. Pitta exhausted midday. Vata spike evening. Irregular Agni. | Consider fasting insulin, cortisol curve (AM/PM), thyroid panel. |
| Q13 — End of demanding day | Wired = high cortisol evening, sympathetic dominance. Depleted = adrenal insufficiency, low DHEA. | Wired = Liver Qi stagnation, Heart fire. Depleted = Kidney Yin/Yang deficiency, Spleen Qi exhausted. | Wired = Vata-Pitta aggravation, Prana Vata disturbed. Depleted = Ojas depletion, Vata dominance. | DHEA-S, evening cortisol. Mental health screen if depleted pattern severe. |
| Q35 — Sleep patterns | 1–3am = liver detox burden, blood sugar dropping. Night sweats = oestrogen fluctuation or cortisol. | 1–3am = Liver blood deficiency or Liver Qi stagnation. Night sweats = Yin deficiency, empty heat. | 1–3am = Pitta time disturbance, liver Agni. Night sweats = Pitta excess, Vata-Pitta. | Night sweats → oestrogen/progesterone panel, thyroid. 1–3am → liver function, fasting glucose. |
| Q27 — Weight (abdominal) | Cortisol-driven visceral fat. Insulin resistance. Oestrogen dominance contributing to fat storage. | Dampness and Phlegm accumulation in middle jiao. Spleen Qi deficiency failing to transform. | Kapha accumulation. Ama in channels. Impaired Agni reducing metabolic transformation. | Fasting insulin, HbA1c, DHEA-S, sex hormone panel, waist-hip ratio. |
| Q40 — Digestion | Gut dysbiosis. Increased intestinal permeability. SIBO possible. Estrobolome disruption. | Spleen-Stomach disharmony. Large Intestine Qi stagnation. Liver overacting on Spleen. | Irregular Agni (Vishama Agni). Ama accumulation. Vata in colon. | Consider stool microbiome testing, SIBO breath test, food intolerance panel. |
| Q26 — Period symptoms | Prostaglandin excess (pain). Oestrogen dominance (flooding). Progesterone deficiency. | Blood stasis (pain, clots). Blood heat (heavy flow). Liver Qi stagnation. | Apana Vata disturbed (pain). Pitta excess (heavy flow). Vata-Kapha (clots). | Red flag: severe pelvic pain → rule out endometriosis. Heavy flow → FBC, ferritin, thyroid. |
| New Q2 — Liver signals | Phase 2 liver detoxification burden. Impaired oestrogen clearance. Toxic load accumulation. | Liver Qi stagnation or Liver Blood deficiency. Liver-Gallbladder heat. | Pitta aggravation — Ranjaka Pitta. Rakta dhatu heat. Liver channel obstruction. | LFTs, GGT, oestrogen metabolite ratio if indicated. |
| Q15 — Emotional state | HPA axis — rage/anxiety = high cortisol. Flat = depleted cortisol, low dopamine. | Rage = Liver Qi stagnation, Liver fire. Anxiety = Heart-Kidney disharmony. Flat = Spleen/Heart Qi deficiency. | Rage = Pitta aggravation. Anxiety = Vata, Prana Vata disturbance. Flat = Kapha, Tamas guna. | Mental health screen (PHQ-4). If severe, consider assessment before integrative programme. |
This table needs practitioner completion. The IFM and GP columns are drafts — clinically informed but not practitioner-validated. The TCM and Ayurveda columns are directionally correct but must be reviewed, corrected, and completed by registered TCM and Ayurvedic practitioners.