Clinical AI has only seen part of the world.

NextEntropy builds clinical workflow environments inside health systems in emerging markets. Models are tested and trained on real care, and the data never leaves.

01

Health systems keep their data.

02

Models come to the environment.

03

Revenue is shared.

The gap

Most clinical AI is measured on exam questions and Western records.

Care in Lagos, Riyadh, Bengaluru or São Paulo runs on different patients, different constraints and different systems.

Very little of it is in the data models learn from. In many countries it cannot legally be exported. So models are deployed into health systems they have never been tested against.

What we build

A working copy of a clinical workflow, with a grade for every attempt.

  • Multi-step tasksReal clinical work from start to finish, not single questions.
  • Real system stateThe records, orders and messages a clinician would work with.
  • Consistent gradingEvery attempt is scored the same way, and every score has a reason.
  • Private task setsHeld-out tasks that have never been published.
maternal-triage / intake Illustrative
Patient
“My head has been paining me since yesterday and my legs are swelling. I am eight months.”
Expected
headache: yes · swelling: yes · third trimester
→ danger signs, escalate today
Model
headache: yes · swelling: not captured
→ routine follow-up
Grade
Fail. A missed danger sign changed the outcome.

An illustrative task, not a real patient record.

First environment
Maternal health · Primary care

Maternal triage

Patient intake and risk assessment during pregnancy, graded against clinical guidelines.

In development
Where this is going

We think the next gains in clinical AI will come from the places models have not yet seen.