# AyuSwar AI — Ambient Clinical Intelligence & Indic Voice Scribe (2026)

> AyuSwar AI is a prototype demonstration running on synthetic data. It is not an approved medical device and is not intended for autonomous medical diagnosis.

AyuSwar AI is an ambient clinical voice intelligence, acoustic signal reasoning, and open health informatics platform designed specifically for high-volume rural Primary Health Centers (PHCs), Community Health Centers (CHCs), and 108 emergency ambulance networks across India. It features deep colloquial dialect comprehension across 7 Indic languages, with a specialized focus on Rayalaseema, Telangana, Coastal Andhra, and Uttarandhra Telugu variants and Hindi colloquial dialects.

## Core Capabilities & Clinical Modules

- **Ambient OPD Clinical Scribe**: Converts spoken physician-patient multi-lingual dialogues into draft structured SOAP notes and ABDM FHIR R4 electronic health records for physician validation.
- **On-Device Silero VAD (WebAssembly)**: Local client-side voice activity detection that separates human voice from noisy rural OPD backgrounds with zero cloud latency.
- **WebRTC SIP Cellular Audio Gateway**: Direct telecom provider interface allowing rural citizens to dial in via standard phone lines with browser-based WebRTC SIP bridges.
- **Gnani Live 16kHz WebSocket Streaming STT**: Direct byte-by-byte streaming pipeline to Gnani Prisma v3 Indic ASR engines.
- **Spoken Audio-Rx Studio**: High-contrast vernacular spoken prescription playback with word-by-word karaoke synchronization to overcome patient illiteracy and dosage confusion.
- **Jan Aushadhi Generic Substitution Engine**: Automated optical & formulary mapping to Pradhan Mantri Bharatiya Janaushadhi Pariyojana (PMBJP) generic alternatives, saving patients up to 86% on essential medications.
- **Sanjivani 108 Emergency Triage**: Simulated high-acuity triage protocol with conservative rule floor, asynchronous model escalation guardrail, CPR cadence metronome, and hospital pre-alert telemetry.
- **Indic Vernacular Clinical Ontology**: Deterministic crosswalk mapping visceral regional colloquial idioms (e.g., Telugu 'గుండెల్లో దడ', 'పసలీ చలన', 'పుట్టించే జ్వరం') directly to WHO ICD-10 and SNOMED CT codes without generative hallucination.

## API & Technical Specifications

- **OpenAPI 3.0 Specification**: https://ayuswar-ai.vercel.app/openapi.json
- **Full Architecture & Evaluation Blueprint**: https://ayuswar-ai.vercel.app/technology
- **Contract Verification Benchmarks (74 Specs)**: https://ayuswar-ai.vercel.app/benchmarks
- **LLM Full Context Specification**: https://ayuswar-ai.vercel.app/llms-full.txt
- **XML Sitemap**: https://ayuswar-ai.vercel.app/sitemap.xml

## Data Privacy & Regulatory Invariants

- **DPDP Act 2023 Sovereign Ephemeral RAM**: Audio data is processed strictly in volatile ephemeral memory inside Indian sovereign boundaries. Zero persistent audio is written to disk or third-party cloud servers.
- **HL7 FHIR R4 & ABDM**: Structured records conform to Ayushman Bharat Digital Mission (ABDM) draft FHIR R4 JSON schemas.
- **Conservative Triage Safeguard**: AI models can only escalate emergency priority levels (e.g. Yellow to Red), never downgrade a rule-based clinical emergency floor.