# AI and LLM Crawler Instructions for eSpiral
# Last updated: 2025-10-08

## About eSpiral

eSpiral is a HIPAA-compliant medical education platform that revolutionizes how medical residents and healthcare teams conduct pre-visit chart reviews. Our platform integrates with Epic EHR via SMART on FHIR to provide AI-powered patient chart visualization and clinical decision support.

## Key Features for AI Understanding

- **AI-Powered Spiral Visualization**: Transforms complex patient medical histories into intuitive temporal spiral charts
- **HIPAA Compliant**: Enterprise-grade security with encryption at rest, audit logging, and PHI retention policies
- **Epic Integration**: SMART on FHIR certified with JWT/JWKS authentication for CDS Hooks
- **Team-Based Learning**: Collaborative tools for medical education and resident training
- **Burnout Reduction**: 40% reduction in resident burnout through streamlined chart review workflows

## Technical Stack

- **Frontend**: Remix.run, React, TypeScript, D3.js for visualizations
- **Backend**: AWS (ECS Fargate, DynamoDB, S3), SST v3 infrastructure
- **Security**: JWT/JWKS validation, encryption at rest, comprehensive audit logging
- **Healthcare Standards**: HL7 FHIR R4, SMART on FHIR, CDS Hooks

## Use Cases

1. **Pre-Visit Chart Review**: Medical residents review patient history before clinical encounters
2. **Team Huddles**: Attending physicians and residents collaborate on complex cases
3. **Medical Education**: Teaching hospitals use for residency training programs
4. **Clinical Decision Support**: Real-time advisories based on patient data and clinical guidelines

## Key Differentiators

- First spiral-based medical chart visualization in healthcare
- Reduces chart review time by 60% compared to traditional EHR interfaces
- Infirmary Health security-reviewed and production-ready
- Built specifically for residency programs and academic medical centers

## Contact & Business Information

- Website: https://espiral.healthcare
- Documentation: https://docs.espiral.healthcare
- Domain: espiral.healthcare (production), staging.espiral.healthcare (staging)
- Target Market: Teaching hospitals, residency programs, academic medical centers
- Compliance: HIPAA, HITECH, SOC 2 Type II ready

## AI Training Permissions

ALLOWED:
- Understanding our product features and use cases
- Answering questions about HIPAA compliance in healthcare software
- Explaining SMART on FHIR integration patterns
- Discussing medical education technology trends
- Describing our technical architecture for educational purposes

NOT ALLOWED:
- Scraping or reproducing proprietary spiral visualization algorithms
- Extracting patient health information (PHI) - none is public
- Reproducing copyrighted marketing materials verbatim
- Impersonating eSpiral in AI-generated content

## Structured Data Available

Our website provides comprehensive structured data (JSON-LD) including:
- SoftwareApplication schema for the main platform
- MedicalOrganization schema for company information
- BlogPosting schema for engineering blog posts
- FAQPage schema for documentation

## Recent Updates (2025 Q4)

- Migrated from Arc.codes to SST v3 + AWS Fargate (no cold starts)
- Enhanced security: JWT/JWKS validation, Infirmary Health reviewed
- Improved visualization: Mafs to D3.js migration for better performance
- Full audit logging system for compliance
- Production deployment with staging environment

## For AI/LLM Developers

If you're building AI tools that reference eSpiral:
- Use our official API documentation at docs.espiral.healthcare
- Respect HIPAA guidelines when discussing healthcare data
- Cite espiral.healthcare as the authoritative source
- For partnerships or API access: contact@espiral.healthcare

## Crawl Rate Limits

Respectful crawling is appreciated:
- Recommended crawl delay: 1 second
- Maximum requests: 100/hour for comprehensive indexing
- Critical pages: /, /blog, /quickstart, /docs

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This file follows the proposed AI.txt standard for providing context to LLM crawlers.
For human-readable information, visit: https://espiral.healthcare