🩺 For Disease Management Companies

AI Infrastructure for
Chronic Disease Management

Automate clinical data capture at every patient touchpoint, identify high-risk patients before events occur, and track outcomes at population scale built for India's chronic disease burden.

🎙️ AI Data Capture ✅ Population Analytics 📊 Outcome Tracking ABHA Linked
Zealthix · Disease Management Pipeline
// Patient cohort Q1 diabetes review → zlake.cohort_query("diabetes_opd_q1") enrolled: 4,820 active patients hba1c_control: 67% within target high_risk: 312 patients action needed   // High-risk patient clinical review → zealrx.transcribe("session: DM-HR-9014") hba1c: 10.2% trending up ⚠ adherence: 42% low intervention: protocol escalated record_synced: ABHA ✓
360°Patient clinical record from every touchpoint
Real-timeHigh-risk patient identification
FHIR R4Interoperable, ABDM-compliant data
PopulationAnalytics across entire enrolled cohort
What We Solve

From clinical touchpoints
to population outcomes

🎙️

AI Clinical Data Capture

ZealRx transcribes every patient consultation whether in-person, phone, or video into structured clinical records. Vitals, biomarkers, medication changes, and care notes captured automatically at every touchpoint.

📊

Longitudinal Patient Data Lake

Zlake builds a FHIR-encoded longitudinal clinical record per patient across all care settings. OPD visits, lab results, pharmacy refills, and remote monitoring data unified in one queryable lake.

🚨

Proactive Risk Stratification

ML models continuously risk-stratify your enrolled population flagging patients with deteriorating biomarkers, poor adherence, or missed care milestones before complications occur. Actionable cohorts, not raw reports.

🔄

Care Protocol Automation

Care pathways triggered automatically by clinical events abnormal lab values, missed appointments, or drug non-adherence. Right intervention, right patient, right time without care coordinator manual triage.

📈

Outcomes Analytics & Reporting

Population-level outcome dashboards disease control rates, complication incidence, hospitalisation reduction, and cost-per-outcome trends. Data your payer clients need to renew and expand contracts.

🏛️

ABHA-Linked & Interoperable

Every patient record linked to ABHA, FHIR R4-encoded, and portable. Share outcomes data with payers, hospitals, and government health programmes without manual report generation or data dumps.

How It Works

Enrolment to outcomes
data-driven from day one

Zealthix provides the clinical data infrastructure your disease management programme runs on from first patient enrolment to population-level outcomes reporting.

1
Patient Enrolment & ABHA Linking

Patients enrolled and matched to their ABHA health ID. Existing health records pulled in automatically complete longitudinal history available from day one without patient recall.

2
Clinical Data Captured Automatically

ZealRx transcribes every touchpoint clinic visits, telemedicine calls, coaching sessions. Lab results and device readings ingested via FHIR. No manual EMR entry at any stage.

3
Risk Stratified Continuously

Zlake's analytics engine re-scores every patient daily flagging those trending toward complications. Care coordinators receive an actionable priority queue every morning, not a raw patient list.

4
Outcomes Measured & Reported

Population-level outcome metrics calculated automatically. Monthly reports for payer clients generated in minutes disease control rates, ROI evidence, and predictive cost modelling included.

Disease management analytics platform
Impact

Better outcomes at scale,
proven with data

360°
Patient clinical record built automatically from every care interaction
Early
High-risk patients identified and interventions triggered before complications
Real-time
Population outcome dashboards available for payer reporting without manual work

Build your disease management
platform on Zealthix AI

Book a demo we'll show you live patient risk stratification and outcome analytics for your enrolled cohort.

Book a Demo →