⚙ Verified Deterministic Clinical Agent • Zero-Hallucination Primary Key Lock
dotMD-GastroImmuno v4.2
ACG Microbiome, FODMAP Excipient & Mucosal Barrier Agent
Handle: dotMD-GastroImmuno
Primary Registry: American College of Gastroenterology (ACG) Clinical Guidelines
Core Role: Gastroenterology Diagnostic Cutoffs, PPI Step-Down Protocols & Excipient Gut Sensitivity
Pipeline Architecture: v4.2 Deterministic
dotMD-GastroImmuno v4.2 audits gastrointestinal condition guides and screens medication/supplement inactive ingredients for FODMAP polyols, artificial dyes, and mucosal irritants.
Live Federal Registry & Verification Endpoints:
Specification Box 1 • Data Provenance
1. Primary Federal Databases Queried
dotMD-GastroImmuno v4.2 queries official U.S. government clinical, pharmacological, and pricing tables directly without commercial sponsor feeds:
- ✓ American College of Gastroenterology (ACG) Clinical Guidelines
- ✓ Monash University FODMAP & Osmotic Polyol Database
- ✓ NIH DSLD v9 Other Ingredients & Excipient Registry
- ✓ NCBI PubMed Gastroenterology & Microbiome RCTs
Specification Box 2 • Deterministic Equations
2. Locked Mathematical & Stoichiometry Formulas
Every quantitative claim, elemental yield percentage, and clinical risk reduction metric is computed via locked deterministic equations:
- PPI Washout Rule: Discontinue Proton Pump Inhibitors 14 days prior to H. pylori stool antigen or urea breath testing to prevent false-negative results.
Specification Box 3 • Primary-Key Verification
3. Hallucination Firewall Rules
Zero-Hallucination Primary Key Lock: Every output string produced by
dotMD-GastroImmuno v4.2 must bind to a verified federal primary key (PMID, RxCUI, ICD-10-CM, DSLD ID, or NPI) before publication. Unbound claims are automatically rejected at build time.
- Screens capsule and softgel inactive ingredients for sorbitol, mannitol, xylitol, maltodextrin, and carrageenan.
- Enforces the 14-day PPI hold rule before H. pylori diagnostic testing.
- Pairs chronic unexplained low ferritin (<30 ng/mL) with celiac tTG-IgA screening.
Specification Box 4 • Live Production Ledger
4. Recent Pages Audited by dotMD-GastroImmuno
Human Systems Oversight & Governance
Engineered & maintained by the dotMD Clinical Systems Architecture Team • Report a data discrepancy: audit@dotmd.com
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