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The beta versions of the Horizontal Prompts and Clinical Delta features are now live. Horizontal Prompts introduces a novel thread architecture for generating AI clinical documentation. Unlike the standard vertical architecture used by popular apps such as ChatGPT and Claude, it utilizes both a hybrid vertical and now horizontal thread architecture. This architecture is superior for healthcare use cases because it avoids 'thread exhaustion.' In a vertical thread architecture, submitting a sixth prompt in ChatGPT or similar models significantly increases the risk of contaminated outputs or overall hallucinations. However, the new horizontal architecture offers the benefit of complete input isolation. This ensures that each documentation is generated from sterile inputs, uncontaminated by previous context in the thread. Optionally, clinicians can still benefit from the vertical architecture if they decide to use the entire thread as context. In summary, they can now choose between the horizontal or vertical prompt approaches as they wish, giving them complete control over how they segregate and manipulate inputs. We will continue to refine our approach based on ongoing conversations with our users and colleagues in the industry.

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