Summary: MedDossier is clinical intake as a table row: doctor dictation, lab PDF, scan image. Whisper transcribes the audio. Gemini reads the PDF and the image. A UDF (or a third Gemini call) compares the three and writes triage_level. You do not store “a list of files” and hope a pipeline joins them later. Same shape as ClaimBot — different job. pip install pixeltable.
The Product#
- Create a case with
case_id - Attach
pxt.Audio,pxt.Document,pxt.Image - Fill notes, lab summary, scan notes on insert
- Flag
routine/priority/urgentand a contradiction bit - Search similar scans (CLIP) and similar notes (MiniLM)
ClaimBot is FNOL: photo, memo, report, insurance triage. This post is the clinical analog — still one heterogeneous row, not an image array.
The Stitch You Delete#
One bucket for WAV. One for PDFs. One for DICOM exports you flattened to PNG. Three workers. A chart field you type by hand. Pixeltable is one insert. Delete the case; derived cells are not orphans in two other systems.
The Receipt#
Gemini on the image is a description column, not a shipped radiology API. CLIP on scan_image uses embedding= so a reference shot and a text query can share the index — same form as SnapCatalog. Same file on Cloud: db → schema → service.
What This Is Not#
Not a diagnostic device. Not medical advice. Not HIPAA-as-a-product — your BAA, retention, and EHR stay where they are. Not ClaimBot; that post is insurance FNOL. The multimodal row is intake evidence, not a finding.
People Also Ask#
Why not pxt.Image[]? One dictation, one lab PDF, one scan. Arrays hide the join. Many images are a child table.
Do I chunk the lab PDF? Only for passage citations. That receipt is DocuVision. Start with Gemini on lab_report.
How do I go to Cloud? Same app.py. PIXELTABLE_API_KEY, pxt://org:db, then pxt db update → pxt schema update → pxt service update.
Three Types, Clinical Job#
Declare the case. Apply the file. Insert audio, PDF, image. Read triage. Keep the intake. Delete the three-bucket stitch.
- Pixeltable on GitHub:
pip install pixeltable - ReelForge — podcast chapters
- LectureSync — slides + lecture video
- AdRadar — creative fatigue
- ClaimBot — FNOL triage on the same row shape
- Pixeltable documentation



