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AI agent for epidemiologists

Outbreak Case Definition Revision Agent

Consistent case classification across versions of the definition, with comparable counts and a list of cases needing data

Outbreak Case Definition Revision Agent: what goes in, what the agent does and what you get

What it does

During an outbreak the case definition changes as more is learned, and counts from different weeks stop being comparable. This agent applies the current definition to the line list and classifies each case as confirmed, probable, suspect or not a case. When the definition changes, it reclassifies everyone and compares counts under the old and new rules. It flags cases that cannot be classified because data is missing, such as a symptom date. After new data arrives, it reruns the classification. The lead approves the definition and what goes into a report. Edge case: a revised definition adds a new lab test, so cases with pending results are held as suspect instead of moved to confirmed.

How it works

Follow the arrows from top to bottom. The orange dashed arrow is the loop: when a check fails, the agent goes back and tries again.

Start and resultWhat it doesA check on its own workWaits for your OKGoes back and retries
Yes, continueYes, continueApprovedNoNo 1 STARTS WHEN Line list updated or definition changed 2 USES A TOOL Read the line list and the definition 3 DOES Classify each case under the current definition 4 CHECKS THE RESULT Do all cases have the data needed to classify them? If not: list missing fields and request data frominvestigators. Back to step 3. 5 DOES Reclassify under the previous definition forcomparison 6 DOES Compare counts by week under both definitions 7 CHECKS THE RESULT Are differences explained by definition changes andnot data errors? If not: trace the changed cases and correct entries.Back to step 4. 8 DOES Draft the summary table and notes 9 YOU APPROVE Lead approves the definition and the report 10 RESULT Case count report with both definitions
Read the steps as a list
  1. Line list updated or definition changed
  2. Read the line list and the definition
  3. Classify each case under the current definition
  4. Do all cases have the data needed to classify them?If not: list missing fields and request data from investigators. Back to step 3.
  5. Reclassify under the previous definition for comparison
  6. Compare counts by week under both definitions
  7. Are differences explained by definition changes and not data errors?If not: trace the changed cases and correct entries. Back to step 4.
  8. Draft the summary table and notes
  9. Lead approves the definition and the reportThe agent waits here for your OK.
  10. Case count report with both definitions

How it decides

A case moves to a higher class only when its data meets every criterion. Missing fields hold the case at its current class.

  • Hold a case in its current class when data is missing
  • Report counts under the old and the new definition for the transition period
  • Flag a case that changes class twice in a week
  • Never count a case as confirmed with a pending lab

Make it yours

Every agent is a starting point. You choose these settings for your own situation.

  • Definition versions
  • Case classes used
  • Missing data tolerance
  • Comparison weeks

What keeps you in control

It always asks you first

  • Case definition change
  • Counts released outside the team

Hard limits

  • Never publishes counts
  • Never changes data in the source system

It stops when

  • Done: all cases classified and approved
  • Stop: definition text is unclear

Set it up

We guide you through the set-up, step by step

Members get the full set-up guide for this agent. No technical skills needed: you copy, paste and upload.

10 minto set it up in your AI
5 AIsChatGPT, Claude, Copilot, Gemini, Grok
  • One set of instructions to paste into your AI, with the clicks for ChatGPT, Claude, Microsoft 365 Copilot, Gemini and Grok
  • The agent then walks you through connecting your own data, one source at a time
  • A downloadable copy with the flow chart, the rules and the full guide
Get access to this agent

An example run

What happensThe definition changed on July 8 to require a positive PCR. Under the new rule the line list of 312 cases dropped to 241 confirmed and probable. The data check failed for 19 cases with no symptom date, so the agent held them and asked investigators. Fourteen answers arrived, 6 became probable, and the lead approved the report showing both counts.

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