How it works

From Clinical Decision support to documentation. 90s

Six steps, every encounter. Subspecialty-routed reasoning, safety review, risk formulation, and a chart-ready note — with the clinician in the loop at every step.

No EMR integration24-hour setupHIPAA · SOC 2
The pipeline

Six steps from input to signed note.

Every encounter follows the same structured sequence — auditable, defensible, and reviewed at every step by the clinician.

Step 01
Clinician input
Describe the case in plain clinical language — presentation, current meds, labs, history. No structured forms, no EMR integration project.
Step 02
Subspecialty routing
The case is routed against 30+ psychiatric subspecialties so the reasoning that follows is anchored to the right framework — not generic AI.
Step 03
Differential & formulation
Ranked differential with disconfirming evidence surfaced, biopsychosocial formulation, and the alternatives a thoughtful clinician should hold open.
Step 04
Medication safety review
Anticholinergic burden, QTc-prolonging combinations, renally-cleared agents, and interactions flagged with monitoring thresholds.
Step 05
Risk & level of care
Structured agitation/suicide risk, capacity considerations, monitoring intensity, and admission-versus-outpatient framing.
Step 06
Chart-ready documentation
Defensible note with ICD-10 + CPT suggestions and embedded medical-necessity language. Clinician reviews, edits, signs.
The reasoning layer

What’s actually happening underneath.

Not a generic AI assistant. A reasoning layer built from 100,000 real psychiatric encounters across 30+ subspecialties, authored by a triple board-certified psychiatrist.

Source set
Anchored to clinical authority
DSM-5-TR, current FDA labeling, APA/AACAP/NICE/CANMAT guidelines, peer-reviewed psychopharmacology, and validated instruments (C-SSRS, SAFE-T, HCR-20, MoCA).
Provenance
Every output exposes its reasoning
Why-this-consideration expanders show the supporting evidence. Last-clinically-reviewed timestamps visible on every pathway.
Safety
Guardrails are first-class
Safety review runs alongside clinical reasoning — not after. Black-box warnings are triaged within 30 days of FDA publication.
Privacy
PHI never used for model training
Your clinical inputs do not improve any model without explicit written agreement. AES-256 in transit and at rest. Full audit trail.
Clinician-in-the-loop

The system supports. The clinician decides.

OnDemandPsych does not diagnose, prescribe, or treat. It surfaces structured reasoning the clinician then reviews, edits, and signs.

What the system surfaces

  • Structured differential with disconfirming evidence and held-open alternatives
  • Medication safety checks against QTc, anticholinergic burden, and interactions
  • Risk formulation using validated instruments (C-SSRS, SAFE-T, HCR-20)
  • ICD-10 + CPT suggestions with medical-necessity language drafted

What the clinician owns

  • The diagnosis — every output is a suggestion, not a determination
  • The treatment plan — prescriptions, orders, and dispositions belong to the clinician
  • The note — review and edit every section before signing
  • The patient relationship — context the system cannot see

See it on a real case.

Watch a complete synthetic case walked end to end in 90 seconds, or start the 14-day free trial.

Watch the 90-second demo →Start free trial →