AI for clinical societies: deeper answers by tier.

Each tier adds sources, so specialists get more depth and patients get plain patient pages.

Example from the Clinical Guidance Library

Question: What is the evidence rating behind this recommendation?

Clinical Guidance Library

Leila HaddadInfection preventionist

CE subscriber

Strong match

Each source rates its evidence its own way:

Isolation, 2007: Category IA is strongly supported by well-designed studies; IB by some studies and a strong rationale citation 1
CAUTI, 2009: A modified scheme: IA is a strong recommendation backed by high to moderate quality evidence citation 2
AHRQ, 2001: Practices are grouped in general zones, not given precise scores citation 3

CDC/HICPAC 2007p.76CDC/HICPAC 2009p.10AHRQ 01-E058p.5

3 tiers searched · 3 pages citedCited

Marcus BellStaff nurse

Clinician

Strong match

CDC and HICPAC categorize each recommendation:

Isolation, 2007: Category IA is strongly supported by well-designed studies; IB by some studies and a strong rationale citation 1
Disinfection, 2008: Category IA: strongly recommended and strongly supported by well-designed experimental, clinical, or epidemiologic studies citation 2

CDC/HICPAC 2007p.76CDC/HICPAC 2008p.84

2 tiers searched · 2 pages citedCited

Joan EllisPatient or caregiver

Public

Not in your accessThe CDC clinical guidelines are Clinician content.

From the public recordThe public CDC pages in this library are patient guidance and do not carry evidence ratings.

CDC/HICPAC 2007 Clinician content · p.76

1 tier searched · 0 pages cited

Examples are built on public documents; access tiers are simulated.

One answer can’t fit every reader.

A patient, a staff nurse and an infection preventionist read at different depths. Clinical societies hold patient pages, guidelines and evidence reports, and sell access to each differently.

How Chairlift handles it

Patient pages, guidelines and evidence reports sit in separate tiers.
Higher tiers add sources to the answer, each cited to the page.
A person without access to a source is told which tier holds it.

One library. Each person searches only their part.

Every answer above was written from the documents lit for that person. Nothing locked was searched.

Each document in the Clinical Guidance Library, whether each person’s grants open it, and whether their answer cited it.
Document	LeilaCE subscriber	MarcusClinician	JoanPublic
CDC Clean Hands Count Public	Opens	Opens	Opens
CDC/HICPAC 2007 Clinician	Cited	Cited	Locked
CDC/HICPAC 2008 Clinician	Opens	Cited	Locked
CDC/HICPAC 2009 CE subscriber	Cited	Locked	Locked
AHRQ 01-E058 CE subscriber	Cited	Locked	Locked