Frequently asked questions.

Medome was created by Dr. Steven Charlap after losing his brother, a cardiologist, to a preventable misdiagnosis.

Built from that experience, Medome brings all your health information: records, test results, specialist notes, family history, together in one secure, private place.

Developed over ten years with support from Stanford, Harvard, the NIH, and the NHS, it’s used in medical practices by doctors and patients alike. Now available directly to you.

Our mission is simple: make care more accurate and appointments more productive, so nothing important is missed.

Because when complete information can spare you avoidable costs, pain and suffering, and even death, you need Medome.

SOAP Health is the parent company of Medome and a health organization with a very personal mission. It was created by Dr. Steven Charlap, a brokenhearted doctor who has been helping people for over 40 years. He started Medome in honor of his brother, also a doctor, who sadly died because of a wrong diagnosis. That heartbreaking loss changed Dr. Charlap’s life and inspired him to do something that could help others avoid the same fate. 

There are 14 HealthSigns.

HealthSigns identify how you deal with your health and health issues from a personality perspective. HealthSigns allows Medome to truly personalize and customize how it communicates with you. 

Medome identifies your top 3 HealthSigns and blends an average based on the score each received.

That's an excellent and important question that gets to the heart of how even a mission-driven group like Medome must sustainably operate.

Here are several key reasons why Medome charges after a 7-day free trial for its applications despite being mission-driven:

Sustainability and Scale

Long-term viability: Free services often struggle to maintain quality and innovation without sustainable funding. By charging, Medome can ensure we have resources to:

1. Continuously improve our AI models
2. Maintain high security and privacy standards
3. Provide reliable customer support
4. Scale to help more patients over time

Ensure Quality by Continuing Investment

"Free" often means lower quality: Developing and using sophisticated medical AI requires significant costs and investment in:

1. Expert physicians and AI engineers
2. Regulatory compliance and safety testing
3. Secure infrastructure and data protection
4. Ongoing model training and validation
   

Mission-Driven ≠ Free

Impact over charity: Our mission-driven organization charges because:

1. It ensures we can sustain our mission long-term
2. It allows reinvestment in research and development
3. It demonstrates value to both patients and healthcare systems
4. It enables us to serve more people by staying financially healthy

Value-Based Pricing

Medome structured pricing to:

1. Make services accessible to everyone, especially those who need them most
2. Offer sliding scale or assistance programs
3. Share the Health program to improve accessibility
4. Price fairly compared to alternatives (like a single doctor visit)
5. Provide significant value relative to cost

Comparison to Alternatives

Consider the cost of Medome versus:

1. A single urgent care visit for symptom evaluation
2. An emergency room visit for non-emergency
3. Time off work for unnecessary medical appointments
4. Paying out of pocket for deductibles and co-payments
5. Lack of peace of mind and preparation for medical appointments
6. No double-checking on medical appointments
7. Not being able to use your Health Savings Account (HSA) as you can to pay for Medome

The key question isn't whether we charge, but whether our pricing aligns with our mission to make primary care more accessible, affordable, and accurate.

In Summary

A successful balance is achieved when our business model, Share the Health, is a direct engine for the mission.

The revenue we generate is a feedback loop that enables us to:

1. Reinvest in our mission: We use our profits to further Research and Development, expand access to underserved communities, and improve the quality and safety of the product.
2. Ensure ethical operations: Fund the robust data security, privacy, and regulatory compliance necessary to handle sensitive patient information.
3. Create a virtuous cycle: As we grow and help more people, we will generate more revenue, which in turn will allow us to lower prices, help even more people, and create a greater positive societal impact.

Ultimately, any mission-driven company that fails to be financially sustainable risks having no mission at all.

Medome has multiple partnerships including Imperial College London, National Health Services, ABW Medical, IntelePeer, Ready Computing, and Dolby.

An IPO could be a possibility in the future. Always happy to speak with prospective investors. Right now, we are focused on helping you and saving lives. 

By doing right by our clients. By always putting their health needs above all else. 

AI cannot always get the right diagnosis. Neither can doctors. One study showed that 20 percent of patients leave the Mayo Clinic without a diagnosis. While AI is a powerful tool that's constantly getting better at helping with medical decisions, it's not a substitute for a licensed medical professional today, especially for severe or critical health problems.

Think of AI as a very smart and thoughtful medical textbook that can both share and analyze received  information, but can't examine you or take responsibility for your care.  

Although Medome is trained on some powerful and unique databases that we believe enables the highest levels of diagnostic accuracy, it is not approved as your sole source of primary care. As Dr. Steven Charlap, our Founder, likes to say, “Trust, but Verify!” 

(This section was written by AI but was reviewed by Dr. Charlap.) 

Why AI Can Be Helpful in Medicine 

AI's strengths lie in its ability to process large amounts of information, which can be a huge benefit to both patients and doctors. 

• Pattern Recognition: AI can look at thousands of medical images like X-rays and CT scans and spot patterns that humans might miss. It is especially good at finding early signs of diseases like cancer. 

• Speed and Availability: AI tools work 24/7 and can provide information instantly, which is helpful in areas where there aren't enough doctors. AI also doesn’t suffer from decision fatigue or confirmation bias. 

• Memory and Knowledge: AI never forgets medical information and can access huge amounts of research and guidelines, ensuring a consistent approach to a given set of symptoms. 

• Good for Both Simple and Complicated Questions: AI is a great resource for basic symptom checking, tracking symptoms over time, getting medication reminders, and learning about conditions. With Medome, it goes deeper. Our AI is able to identify key pieces of missing information that can help make the right diagnosis. With a specialized process developed by Medome scientists and physicians, we use a series of steps to identify additional questions that are worth asking to improve the diagnostic process. 

 Why AI Cannot Be Fully Trusted 

Despite its strengths, AI has major limitations that prevent it from being an always safe or reliable replacement for a human healthcare professional. 

• Lacks Human Touch: An AI can't physically examine you, such as listen to your heart or lungs, feel for lumps, or check your reflexes. AI models are relatively weak at problems that need hands on experience to be solved. 

• Lacks “Intuitive Experience.” This is still a strictly human capability that allows lessons learned or experience to be applied thoughtfully in solving a current puzzle. For example, a patient presents with an unusual presentation for a common disease. This exact presentation has not been seen before but the doctor remembers something similar and uses their intuition to derive the right diagnosis. 

• Training Data Problems: AI learns from medical records that often contain inaccuracies or may not fairly represent all races, ages, or genders equally. This can lead to inaccurate or biased results. 

• No Legal Authority: AI is not licensed to practice medicine and cannot legally prescribe medications.  

When You MUST See a Healthcare Professional 

You should always consult with a licensed healthcare professional for diagnosis, treatment, and prescriptions. 

• Need Prescriptions: All prescription medications, like antibiotics, insulin, or blood pressure meds, require a licensed provider’s order. 

• Need Physical Examination: Doctors need to see and examine you in person for annual check-ups, unusual lumps, skin changes, and many other physical findings. 

• For Serious Symptoms: Never rely on AI for emergencies like chest pain, trouble breathing, severe bleeding, or stroke symptoms. Call 911 (US), 999 (UK) or your local emergency services. Call 988 (US) for emergency mental health services. Persistent or worsening symptoms may also require in-person care. 

• For Specialized Care: Biopsies, surgery, other procedures, cancer diagnosis, pregnancy care, and chronic disease management still all require a trained healthcare professional. 

 How to Decide If You Need a Medical Consultation 

Use this simple decision guide to know when to get professional medical help: 

Start Here: Is this an emergency? 

• Yes: Examples: Chest pain, trouble breathing, stroke symptoms, spreading rash, or severe bleeding? Call 911 (US), 999 (UK), or your local emergency number or go to the emergency room. 

• No: Ask yourself these two questions: 

1. Do you need: 
   • A prescription, 
   • A physical exam, or 
   • Certain medical tests? 
      

If you said yes to any of these, you need to see a doctor. 

     2. Are your symptoms:

• New or getting worse,
• Lasting more than a few days, or 
• Concerning to you? 

if you said yes to any of these, trust your instincts and get a consultation. 

The Best Approach 

AI is a great tool for learning, preparing questions, tracking symptoms, or understanding medical terms. But it’s not good enough to be your final stop for medical advice. 

Use AI to learn, understand, and gain control. 

Use doctors to get final diagnosis and for prescribed treatment. 

Remember: This information is for educational purposes only and should not replace professional medical advice. Always consult with a healthcare provider for medical concerns.

No, all medical AI models are not the same. They differ in a wide range of factors, from their core purpose to how they are built, trained, fine-tuned, and regulated. Understanding these differences is crucial for appreciating the unique role of any specific model and knowing when to rely on AI versus seeking professional attention. 

How Medical AI Models Differ 

Medical AI models are not one-size-fits-all. Their differences can be broken down into several key categories: 

Purpose 

Models are built for specific tasks. Some focus on: 

• Diagnosis support - helping doctors make decisions 

• Symptom triage - deciding how urgent care needs to be 

• Imaging interpretation - reading X-rays, MRIs, CT scans 

• Documentation assistance - helping write medical notes 

• Personalized treatment suggestions - recommending specific treatments 

Training Data 

The data used to train a model is a core differentiator: 

• Some models use real patient data (structured or unstructured) 

• Others rely on synthetic or de-identified datasets to protect privacy 

• Quality and diversity of training data affects accuracy 

Clinical Scope 

• Specialist models: Focus on single areas like dermatology or radiology 

• Generalist models: Designed for broad performance across many medical conditions 

Architecture 

The technology under the hood varies significantly: 

• Simple, rule-based systems 

• Advanced large language models (LLMs) 

• Sophisticated multimodal AI that processes multiple types of data at once 

Transparency & Explainability 

• Some models offer clear, traceable reasoning for their output 

• Others function as "black boxes" where the logic is not easily understood 

Why Medome Is Different 

Medome's model is built on a foundation of clinical rigor and patient empowerment, setting it apart in several strategic ways:

Holistic Intake Engine

The Medome AI model goes beyond simple symptom-checking by collecting a comprehensive medical, risk, family, social, and lifestyle history—much deeper than a physician can elicit in a time-limited visit. It includes review of recommended preventive screenings, identifying important psychosocial factors, and three-generation family history for better diagnostic framing. 

The Medome model has an extensive risk assessment protocol (over 500 evidence-based risk assessments) that combines all your available data and does an extensive analysis of combined symptoms and risk factors such as family history, social situations, lifestyle, and personal medical history. 

Doctor-Built and Tested, Patient-Guided

The technology was rigorously designed by physicians and scientists to ensure clinical accuracy. To enhance truthfulness, data is collectible through a patented, animated, bi-directional voice-based conversational AI agent named Eve, which allows patients to more comfortably and empathetically engage with the process.

Pre-Visit and Post-Visit Empowerment

Medome is not just a symptom-checker  or so-called AI Doctor tool. It prepares patients before their appointments by guiding them to articulate their concerns, understand possible risks, and formulate questions for their doctor. Post-visit, it creates a summary and completes an analysis of the appointment to make sure everything is clearly understood and appears accurate.  

Medome provides an educational, first-pass differential diagnosis, and curated questions without ever replacing the doctor's role.

Proprietary Models Tuned for Context

In addition to repurposing the rigorously tested, best available at the time general-purpose LLM, SOAP's model includes AI trained on proprietary databases, specifically fined-tuned for advanced, structured and narrative clinical reasoning. It is aligned with the well-known SOAP note format (Subjective, Objective, Assessment, Plan) and integrates care journeys.

Privacy-First, Shareable Reports

Patients retain ownership of their reports, which can be securely and instantaneously shared with any provider. This helps to bridge fragmented care and reduce the need for patients to repeat their health history. Never fill out a medical history form again. 

Optimized for both patients and doctors

Medome enables you to hear all questions and answer all questions by voice. You can even ask your own questions by voice, whether medical or unrelated. 

100% Voice-Based Capable 

Medome enables you to hear all questions and answer all question by voice. You can even ask your own questions by voice, whether medical or unrelated. 

Unique Safety Features 

Medome is built to flag emergencies, recognize uncommon and rare conditions, or know when to refer to a doctor. It assigns probabilities to potential diagnoses and doesn’t offer a high probability diagnosis when it’s not sure. Medome’s mission is to not miss asking a single clinically relevant question. 

Dr. Steven Charlap’s Personal Phone Number 

Medome is the only group where its founder provides his personal (and only) mobile phone number, 617-319-6434, for anyone to use if something is unsatisfactory or goes awry with Medome.

He wants to save lives and make sure, as is the medical mantra, “First, do no harm.”

He invites calls that will improve Medome’s performance or related problems that need his attention. 

Clinician-Level Diagnostic Support 

The model mirrors the clinical reasoning of top primary care physicians—analyzing patterns, probabilities, and red flags—not just matching keywords. 

Built for the Exam Room But Useful Outside

Medome is designed to integrate with medical practice, enhancing, not replacing, physician decision-making, which ensures actionable, safe, and clinically relevant outputs. 

Transparent + Explainable AI

Medome doesn't just give answers, it helps users understand the why behind it, with clear explanations and context to build trustworthiness. 

Secure, Compliant, and Ethical

HIPAA-compliant, SOC 2 Type 2 audited, privacy-first, and developed with medical, legal, and ethical advisors, SOAP puts safety and trust first. 

Remember: This information is for educational purposes only and should not replace professional medical advice. Always consult with a healthcare provider for medical concerns.

At least once a week. 

Yes, absolutely. Medome remembers all your answers and uploaded medical information to personalize each encounter. 

The more you share about yourself, the better the personalized answers.

Also, HealthSigns allows Medome to customize how it communicates with you.

Not at this time, but you can choose which questions to answer. Medome does ask different follow-up questions based on how you respond. Remember, the more answers you provide, the higher the quality of your analysis. Isn’t your time worth getting the most accurate output? 

First, the good news. Do the full interview one time and you never have to do it again. Second, the first session can take upwards of 45 minutes if all questions in all sections are answered at one time. However, you shouldn't do the full consult at one time and should spread it out among multiple sessions. Remember, accuracy over speed matters.

 If you want the highest-grade results, it’s best to complete the entire intake. But the choice is yours. Once all your information is collected, subsequent intakes should take less than ten minutes. 

No worries! If you register, you can return anytime to where you left off. The application saves your info as it goes along. Without registration, we can’t assure you can return and your info will still be there. 

Your medications and supplements, known allergies, any known family medical history, and any past medical records if available. 

First, gather all your medical information in one place. Ask knowledgeable family members for help with family medical history if you are not sure. 

The credibility of any medical AI system rests on rigorous testing, clinical validation, and real-world performance. Medome has undergone extensive validation across multiple dimensions, establishing a strong foundation of evidence for its effectiveness and reliability. 

Founded on Deep Clinical Expertise 

Physician Leadership and Development 

1. Founded by a 41-year licensed physician with four decades of clinical experience 
2. Over 10 years of dedicated development time, demonstrating long-term commitment to excellence 
3. Stanford and Harvard expert collaboration, leveraging top-tier medical and technical expertise 
4. Physician-designed architecture ensuring clinical relevance and accuracy 

Why this matters: 

1. Real clinical experience informs every aspect of the system 
2. Deep understanding of diagnostic reasoning and patient care workflows 
3. Long development timeline allows for thorough testing and refinement 
4. Academic partnerships ensure cutting-edge medical science integration 

Rigorous Academic Validation 

 Stanford University

Medical School Clinical Study 

Published research findings: 

• 80% of users believed the application would improve their medical care 

• Peer-reviewed validation from one of the world's leading medical institutions 

• Independent academic assessment of feasibility and acceptability 

• Published results provide transparent, verifiable outcomes 

Harvard Hospital Testing 

• Validation at another top-tier medical institution 

• Dual academic validation increases confidence in results 

• Cross-institutional testing reduces bias and increases generalizability 

• Access to diverse patient populations and clinical scenarios 

Academic validation significance: 

• Peer review process ensures rigorous scientific standards 

• Institutional reputation stakes credibility on accurate results 

• Independent assessment removes potential bias from internal testing 

• Published methodology allows for scientific scrutiny and replication 

Diverse Real-World Testing Environments 

Inner-City Miami Testing 

Urban healthcare challenges addressed: 

• High patient volume and time constraints 

• Diverse population with multiple languages and cultures 

• Complex social determinants of health 

• Resource-limited healthcare settings 

• High rates of chronic diseases and comorbidities 

Rural Alabama Validation 

Rural healthcare challenges overcome: 

• Limited specialist access and long travel distances 

• Primary care physician shortages 

• Different disease patterns and risk factors 

• Telehealth and remote care needs 

• Unique cultural and socioeconomic factors 

United Kingdom General Practice 

International healthcare challenges overcome: 

• International applicability 

• Different disease patterns and risk factors 

• Unique cultural and socioeconomic factors 

• Primary care physician shortages 

Multi-Clinic US Deployment 

Broad clinical validation across: 

• Different healthcare systems and workflows 

• Ten thousand patient engagements 

• Varying patient demographics and conditions 

• Multiple geographic regions and practice patterns 

• Various levels of technology adoption 

• Different physician specialties and care settings 

Why diverse testing matters: 

• Population generalizability - works across different patient groups 

• Healthcare system adaptability, functions in various care settings 

• Cultural competency,  effective across diverse communities 

• Scalability proof, demonstrates broad applicability 

• Health equity validation, serves underserved populations effectively 

Comprehensive Internal Validation 

Extensive Case Study Analysis 

Several hundred real-world case studies including: 

• Complex diagnostic challenges 

• Rare disease presentations 

• Multi-system conditions 

• Pediatric and geriatric cases 

• Emergency and urgent care scenarios 

Large-Scale Patient Testing 

Thousands of patients across: 

• Multiple age groups and demographics 

• Various disease states and conditions 

• Different levels of health literacy 

• Diverse cultural and linguistic backgrounds 

• Various healthcare access levels 

Medical Literature Validation 

Testing against New England Journal of Medicine and Medscape cases: 

• Gold standard medical cases used for physician training 

• Most challenging diagnostic scenarios in medical literature 

• Expert-curated difficult cases that test diagnostic reasoning 

• Published case outcomes provide clear benchmarks for accuracy 

• Peer-reviewed medical expertise validates case selection 

Internal validation significance: 

• Real-world performance under actual clinical conditions 

• Difficult case handling proves system robustness 

• Large sample size increases statistical confidence 

• Benchmark comparison against medical education standards 

Active Clinical Implementation 

Physician Daily Practice Integration 

Currently used by practicing physicians using Athenahealth, the largest US ambulatory electronic medical record system, for: 

• Patient preparation and history taking 

• Diagnostic support and differential diagnosis 

• Clinical documentation and care planning 

• Patient education and engagement 

• Quality improvement and care coordination 

Clinical adoption benefits: 

• Real-world validation in active medical practice 

• Physician trust demonstrated through daily use 

• Patient outcome improvement in actual care settings 

• Workflow integration proven in clinical environments 

• Continuous feedback for ongoing improvement 

Clinical Performance Metrics 

 Ongoing monitoring includes: 

• Diagnostic accuracy rates 

• Patient satisfaction scores 

• Physician workflow efficiency 

• Care quality improvements 

• Patient engagement levels 

Government and International Recognition 

National Cancer Institute (US) Investment 

Early cancer detection capabilities recognized through: 

• Federal research funding and resource allocation 

• Clinical validation of cancer screening protocols 

• Partnership opportunities with national cancer research 

• Regulatory pathway support for cancer detection features 

• Public health impact recognition at national level 

NCI investment significance: 

• Rigorous scientific review required for federal funding 

• Cancer expertise validation from leading oncology institution 

• Clinical utility proof for life-saving early detection 

• Scalability potential for population health impact 

• Research collaboration with top cancer scientists 

National Health Service (UK) Partnership 

NHS resource investment demonstrates: 

• International clinical validation beyond US healthcare system 

• Partnership with Imperial College London and key Physicians and Scientists 

• Cost-effectiveness analysis for population health benefits 

• Quality standards compliance with NHS clinical requirements 

• Scalability assessment for national healthcare delivery 

• Evidence-based medicine integration with systematic healthcare 

NHS partnership significance: 

• World-class healthcare system endorsement 

• Population health impact validation 

• Cost-benefit analysis favorable outcomes 

• International generalizability across healthcare systems 

• Quality assurance meeting stringent NHS standards 

Multi-Dimensional Evidence Framework 

Clinical Evidence Hierarchy 

Level 1: Academic Research  

Stanford published study results  

Harvard Medical School validation  

Peer-reviewed methodology and outcomes 

Level 2: Real-World Clinical Performance  

Active physician daily practice use  

Multi-clinic deployment and validation  

Diverse patient population testing 

 Level 3: Challenging Case Validation  

New England Journal of Medicine and Medscape case testing  

Complex diagnostic scenario performance  

Rare disease and difficult case handling 

 Level 4: Population Health Impact  

Government agency investment and partnership  

International healthcare system adoption  

Health equity and access improvement 

 Level 5: Continuous Quality Improvement  

Ongoing performance monitoring  

Real-time clinical feedback integration  

Iterative development and enhancement 

Transparency and Accountability Measures 

Published Performance Data 

• Academic study results available for public review 

• Clinical outcome metrics regularly updated 

• User satisfaction data transparently reported. Most often reported score is a 10 out of 10. 

• Physician adoption rates documented and shared 

Independent Validation 

• Third-party academic assessment removes bias 

• Multi-institutional testing increases credibility 

• Government agency evaluation provides objective review 

• International healthcare system assessment validates global applicability 

Continuous Monitoring 

• Real-time performance tracking ensures ongoing quality 

• Clinical feedback integration drives continuous improvement 

• Safety monitoring systems protect patient welfare 

• Regular audit processes maintain high standards 

What This Evidence Means for You 

Trust Indicators 

• 41 years of physician expertise behind the system 

• 10+ years of development showing long-term commitment 

• Stanford and Harvard validation from top medical institutions 

• Multi-population testing ensuring broad applicability 

• Government investment demonstrating public health value 

Quality Assurance 

• Rigorous testing methodology ensures reliability 

• Diverse validation environments prove real-world effectiveness 

• Challenging case performance demonstrates diagnostic capability 

• Active clinical use validates practical utility 

• Continuous improvement maintains cutting-edge performance 

Competitive Advantages 

• Longer development timeline than most medical AI 

• More extensive testing across diverse populations 

• Higher validation standards with academic publication 

• Broader clinical adoption in actual practice 

• International recognition beyond single healthcare system
• More extensive intake for longer consideration 

Evidence-Based Confidence Framework 

When evaluating medical AI systems, look for: 

 Gold Standard Evidence (Medome has all): 

• Physician-founded with extensive clinical experience 
  Academic institution validation with published results  

• Multi-population testing across diverse communities  

• Real-world clinical use by practicing physicians  

• Government/institutional investment and partnership  

• Continuous performance monitoring and improvement  

• Transparent outcome reporting and accountability 

Warning Signs (Medome avoids): 

• No clinical validation studies  

• Founder without medical training  

• Testing only on limited populations  

• No active clinical use  

• No academic or government partnerships  

• Lack of performance transparency  

• No continuous quality monitoring 

The evidence demonstrates that Medome has undergone a rigorous validation process in medical practices, providing patients and physicians with confidence in its clinical utility, privacy, safety, and effectiveness. 

Evidence-based medicine requires evidence-based technology. Medome's comprehensive validation framework sets the gold standard for medical AI credibility and trustworthiness.

This is an ongoing matter of debate, but Medome believes it can get the right diagnosis more accurately than any other AI system or most primary care physicians. The reported rate for all physicians of misdiagnosis is between 5-15%. Medome consistently scores above 95%; when it doesn’t, Medome identifies the need for a specific referral to a specialist for specific specialized testing, such as referral to a hematologist (blood expert) for a bone marrow biopsy. 

Medome is trained on all categories of disease, including common diseases with atypical presentations, as well as uncommon and rare diseases. 

Longitudinal data-tracking and internal validation. Continuous post-market surveillance.

There is Medome contact information on the report shared with physicians.  

By your feedback. Medome closes the loop on every diagnosis by working with you to keep your records updated.  

We suggest first discussing it with your physician and if still not satisfied, consulting a second physician. 

Know when to get help fast. It could save your or somebody else’s life. 

What Is a Medical Emergency? 

A medical emergency is when someone is very sick or badly hurt and needs help right away to avoid serious harm or death. 

If you’re unsure, call 911. It's better to be safe than sorry. You know your body. Listen to what it is saying. 

  Call 911 Right Away If You See These Signs: 

Heart Problems 

• Chest pain: squeezing, pressure, or heaviness 

• Pain that spreads to arm, jaw, neck, or back 

• Sweating for no reason, nausea, or shortness of breath 

• Fast, slow, or fluttering heartbeat 

• Feeling lightheaded or faint 

Might be a heart attack. Call 911 immediately. 

 Stroke Symptoms (Use F.A.S.T.) 

• Face drooping 

• Arm weakness (can't lift both arms) 

• Speech slurred or confused 

• Time to call 911 right away 

Every minute matters. 

Severe Breathing Problems 

• Can’t breathe or gasping for air 

• Wheezing or high-pitched breathing 

• Lips or fingertips turning blue 

• Choking and unable to cough or speak 

• Severe asthma that doesn’t improve with meds 

Bleeding and Injuries 

• Heavy bleeding that won't stop 

• Deep cuts showing fat, muscle, or bone 

• Vomiting blood, coughing up blood 

• Blood in urine (dark red or brown) 

• Blood spurting from a wound 

 Serious Injuries 

• Head injuries with confusion, vomiting, or passing out 

• Possible broken neck or spine 

• Bone sticking through skin 

• Large or deep burns (white, black, or blistered skin) 

Severe Pain 

• Worst belly pain, especially lower right side 

• Severe back pain with fever 

• Sudden, severe headache 

• Eye pain with vision changes 

• Sudden onset of severe pain anywhere in body 

 Poisoning or Overdose 

• Took too much medication 

• Swallowed something toxic 

• Extreme drowsiness or passed out 

• Can’t wake the person up 

 High Fever & Infection 

• Fever over 103°F (39.4°C) that won’t go down 

• Stiff neck with headache 

• Rash with red or purple spots that don’t fade 

• Signs of sepsis: chills, rapid heartbeat, confusion, trouble breathing 

 Pregnancy Emergencies 

• Heavy bleeding during pregnancy 

• Severe belly pain 

• Baby not moving after 28 weeks 

• Water breaks before 37 weeks 

Mental Health Crises 

• Talking about hurting self or others 

• Acting very strangely or not making sense 

• Seeing or hearing things that aren’t there 

When to Drive to the ER (Not Call 911) 

You can go to the emergency room if: 

• You can walk and talk normally 

• Someone else can drive you safely 

• The condition is serious but not immediately life-threatening 

What to Say When You Call 911 

1. Location — Exact address and cross streets 
2. What Happened — e.g., “My mom is having trouble breathing” 
3. Breathing — Normal, slow, fast, or not at all? 
4. Consciousness — Are they awake and alert? 
5. Bleeding — Where and how much? 
6. Phone Number — In case you get disconnected 

What Not to Do 

• Don’t drive yourself if you’re having chest pain or dizziness 

• Don’t wait to “see if it gets better” 

• Don’t give aspirin during a stroke 

• Don’t move someone with a possible back or neck injury 

• Don’t give food or drink to someone who may need surgery 

 Remember 

If it feels very wrong, it probably is. Trust your instincts. 

Tell your family about this guide. Keep it somewhere easy to find, on your fridge, in your app, or printed at home. 

Remember: This information is for educational purposes only and should not replace professional medical advice. Always consult with a healthcare provider for medical concerns. 

Medome recommends calling 911, 988 (National Suicide Hotline), or seeking immediate medical attention. 

Medome applies Health Intelligence to your Personal Health Record, precisely curated by you for accuracy, and which becomes your sole source of medical truth for all future medical encounters. NEVER fill out a medical history form again!Medome is personalized primary care advice delivered anywhere anytime through a cloud-based application. It's for people who believe you reap what you sow. Medome is your security blanket for the unexpected in health care.   At Medome, our mission is simple: we want to make healthcare better, more affordable, and more accurate, for everyone. 

Medome recommends calling 911, 988 (National Suicide Hotline), or seeking immediate medical attention. 

There is a telemedicine provider available for a separate fee charged by the medical provider. However, in the case of an emergency, you are strongly encouraged to call 911 or seek immediate medical attention. For non-emergencies, there is a “support” function for technical help. 

Medome can handle all medical conditions but is limited when it comes to genetically mediated pediatric illnesses, ultra-rare diseases, and yet undiagnosed new diseases. 

Medome runs a Medication Safety Check and flags serious concerns with red and yellow flags, and lists more minor concerns without flags.

Yes, we can interpret the data and physician impressions and assessments, even read images like x-rays, CT scans, and skin images.

However, this is new frontier for Medome and these independent reads are not yet deemed fully trustworthy. Let us know how we did.

Medome can’t but our affiliated practices can, but only after a careful review of your medical history. I’m sorry, but we value accuracy over speed. Your doctor will review your needs during the video visit, if you choose to have one.

To speak with a telemedicine provider, you’ll first need to complete your Health Intake.

For safety and accuracy, the intake must be updated within the past 48 hours before your visit. This helps ensure your provider has the most current information about your symptoms, medications, and medical history.

This process is designed to support better clinical decisions and safer care.

Yes, we do.

Of course you can and we hope you do. The more accurate information we have, the better the analysis.

Medome is recommended for individuals 18 years of age and older. The platform has not been designed or trained specifically for pediatric populations and is therefore not intended for use by children or adolescents.

Medome is intended for use by adults aged 18 and above.

Medome is able to answer questions on a very wide variety of health topics. However, pregnancy related decisions should be made only in consultation with a licensed professional. There are too many variables and risks to not involve a doctor. 

We welcome elderly users and encourage them to speak clearly to engage fully with Eve, our digital human medical interviewer. Eve is also good company as she can answer questions and engage on a variety of topics.

All our fonts are large and there are accessibility features as well. Also, many intuitive images help users understand questions.

As part of its full intake, Medome asks questions related to mental health, such as about depression and anxiety, and also asks about personal and family history of mental health conditions. For concerning statements and symptoms, Medome will suggest calling the National Suicide Hotline 988, 911, or scheduling an appointment with a mental health professional. 

Yes, but you need an account for every person who uses it as it remembers prior information to personalize its analysis.  

What is SOC 2 Type 2 and Why Should You Care?

Medome has undergone and passed SOC 2 Type 2 review - one of the most rigorous security and privacy audits available. This certification demonstrates Medome's unwavering commitment to protecting your most sensitive health information with enterprise-grade security standards.

Understanding SOC 2 Type 2 Certification

What SOC 2 Means

SOC (Service Organization Control) 2 is an auditing standard developed by the American Institute of Certified Public Accountants (AICPA) specifically designed to evaluate how service companies handle customer data.

• Type 1: Tests if security controls exist (snapshot in time)
• Type 2: Tests if controls work effectively over time (6-12 months of continuous monitoring)

Medome achieved Type 2 - the highest level, proving our systems work reliably day after day, month after month.

The Five Trust Service Criteria

1. Security

What was tested:

• Data encryption at rest and in transit
• Network security and firewalls
• Access controls and authentication
• Vulnerability management
• Incident response procedures

What this means for you:

• Your health data is protected with bank-level encryption
• Only authorized personnel can access systems
• Continuous monitoring for security threats
• Rapid response to any security incidents

2. Availability

What was tested:

• System uptime and reliability
• Disaster recovery capabilities
• Backup and recovery procedures
• Performance monitoring
• Capacity planning

What this means for you:

• Medome is available when you need it (99.9%+ uptime)
• Your data is backed up and protected against loss
• Fast, reliable performance at all times
• Service continues even during emergencies

3. Processing Integrity

What was tested:

• Data accuracy and completeness
• System processing controls
• Error detection and correction
• Data validation procedures
• Quality assurance processes

What this means for you:

• Your information is processed accurately
• Medical data maintains its integrity
• Errors are caught and corrected automatically
• Reliable, consistent system performance

4. Confidentiality

What was tested:

• Data access restrictions
• Employee confidentiality training
• Information classification systems
• Secure data disposal
• Third-party agreements

What this means for you:

• Your private health information stays private
• Strict controls on who can see your data
• Employees are trained on confidentiality requirements
• Secure deletion of data when appropriate

5. Privacy

What was tested:

• Privacy policy implementation
• Consent management
• Data collection limitations
• Individual rights protections
• Privacy impact assessments

What this means for you:

• Your privacy rights are respected and protected
• Clear control over your personal information
• Transparent data practices
• Compliance with privacy regulations

Why SOC 2 Type 2 Matters for Healthcare

Industry Gold Standard

SOC 2 Type 2 is trusted by:

• Major healthcare systems and hospitals
• Electronic health record (EHR) companies
• Health insurance providers
• Government healthcare agencies
• Fortune 500 companies handling health data

Healthcare-specific importance:

• HIPAA alignment: SOC 2 controls support HIPAA compliance requirements
• Clinical workflow integration: Ensures reliable operation in medical settings
• Patient trust: Demonstrates commitment to protecting sensitive health information
• Regulatory confidence: Meets expectations of healthcare regulators

Independent Third-Party Validation

Why independent auditing matters:

• Objective assessment: External auditors with no financial interest in results
• Professional standards: Certified Public Accountants following strict guidelines
• Comprehensive testing: 6-12 months of continuous monitoring and testing
• Verifiable results: Audit reports can be independently verified
• Ongoing accountability: Annual re-certification required to maintain compliance

What the SOC 2 Type 2 Audit Process Revealed

Extensive Testing Period

• Daily security scans and vulnerability assessments
• Weekly backup and recovery testing
• Monthly access control reviews
• Quarterly disaster recovery simulations
• Ongoing employee security training verification

Security Controls Validated

• Multi-factor authentication for all system access
• End-to-end encryption for all data transmission
• Role-based access controls limiting data access
• Continuous monitoring for suspicious activity
• Automated security updates and patch management

Performance Standards Met

• 99.9%+ system uptime maintained throughout audit period
• Sub-second response times for user interactions
• Zero data breaches or security incidents
• 100% backup success rate for data protection
• Full disaster recovery capability tested and verified

Medome vs. Industry Standards

How Medome Exceeds Expectations

Many healthcare apps and platforms offer:

• No formal security certification
• Basic password protection only
• Limited backup procedures
• No independent security validation
• Unclear data handling practices

Medome with SOC 2 Type 2:

• Rigorously tested security by independent auditors
• Enterprise-grade protection used by Fortune 500 companies
• Continuous monitoring for 6-12 months
• Transparent security practices with detailed audit reports
• Proven reliability under real-world conditions

Competitive Advantage

• Less than 10% of health tech companies have SOC 2 Type 2
• Most companies only achieve Type 1 (if any certification)
• Average time to achieve Type 2: 12-18 months of preparation
• Annual audit costs: $50,000-$200,000+ (requiring serious investment)

HIPAA Compliance and Beyond

SOC 2 Supports HIPAA Requirements

• Access Control: User identification, automatic logoff, encryption

• Audit Controls: Hardware, software, and procedural mechanisms
• Integrity: Protection from alteration/destruction of ePHI
• Authentication: Verifying user identity before access
• Transmission Security: End-to-end encryption for data in transit

Enhanced Protection Beyond HIPAA Minimums

• Continuous monitoring (HIPAA requires only periodic assessment)
• Advanced threat detection (beyond HIPAA requirements)
• Comprehensive disaster recovery (more robust than HIPAA)
• Extensive employee security training
• Stricter third-party vendor management

What This Means for Your Trust in Medome

• Verified Credibility: Independent auditor validation of security claims
• Proven Trustworthiness: Zero incidents during extensive audit period
• Comprehensive Privacy Protection: Bank-level encryption, strict access control
• Healthcare-Grade Security: Enterprise-level protection aligned with HIPAA

SOC 2 Type 2 Audit Report Highlights

Key Findings

• Security effectiveness: All controls working, zero incidents, 100% compliance
• System reliability: 99.9%+ uptime, backups successful, disaster recovery verified
• Privacy protection: Data access properly restricted, policies implemented, training effective

Your Confidence in Medome is Justified

• Industry-Leading Security: Among top 10% of healthcare tech for security/privacy
• Continuous Improvement: Annual re-auditing, constant monitoring, updated training
• Investment in Your Protection: Millions invested in infrastructure, staff, and processes

Questions You Can Confidently Answer "Yes" About Medome

• Is my health data encrypted and secure? Yes
• Can I trust Medome with my private health information? Yes
• Will Medome be available when I need it? Yes
• Is Medome HIPAA compliant? Yes
• How do I know Medome's security claims are real? Yes
• Is Medome as secure as other healthcare systems I trust? Yes

The Bottom Line: Enterprise-Grade Security for Your Health

Medome's SOC 2 Type 2 certification proves that your health information receives the same level of protection as:

• Major hospital systems' patient records
• Fortune 500 companies' sensitive data
• Government agencies' classified information
• Financial institutions' customer data

This isn't just a checkbox - it's a comprehensive, ongoing commitment to earning and maintaining your trust through verified, industry-leading security practices.

Your health information deserves the highest level of protection. Medome's SOC 2 Type 2 certification ensures you receive exactly that.

Indefinitely or until we are asked to de-identify.  Under HIPAA, we are required to retain medical data for seven years.

Yes, by request. Once removed, it cannot be restored other than by reentering it on your own. Your de-identified data, combined with everyone else’s, is important to our longitudinal research to help others.  Under HIPAA, medical data must be retained for seven years.

Medome uses longitudinal data to reinforce its diagnostic capabilities and search for trends in large data sets that can improve prevention, early disease detection, and diagnostic accuracy.   

Your health information is accessible only to authorized Medome personnel with a legitimate operational need.

Access is controlled through role-based permissions, continuously logged and monitored, and governed by HIPAA-compliant security policies. All eligible staff undergo mandatory HIPAA training and annual retraining.

Currently, you can remove or edit data if you don’t want to share, but it will impact the quality of your personalized analyses.  

Please be advised, we err on the side of caution so you may get irrelevant 911 messages. The decision is ultimately yours. In case of emergency, always call 911.

If you mean to Medome, that's coming shortly. If you mean from Medome, absolutely yes. 

Well, first let’s stay positive as that would be a sad and unexpected day. To tell the truth, we can’t predict the future but your rights will be protected under any circumstances.

With the push of a button. You can print or share by protected email. 

Yes, PDF. Integration with EMRs is only possible if the physician is a client of SOAP Health, our parent group. 

Medome currently is fully integrated with only Athenahealth, which means we can both push and pull data. However, Medome is able to pull data from any certified EMR with your permission under the Cures Act, which gives patients a legal right to retrieve their data at any time.

Yes.

Not at this time. It’s on the roadmap for future releases. We don’t like to discuss future releases, but you asked.

Here are five diplomatic strategies for users to navigate this situation:

1. Frame it as helping the doctor save time "I know your time is valuable, so I brought a comprehensive medical history I've already prepared. Would it be helpful if I gave you this instead of filling out the form? It has everything organized in one place."

Why it works: Positions Medome as a gift to the doctor, not a challenge to their authority.

2. Ask permission rather than making demands "I've been using a tool that tracks my complete medical history. Would you be open to looking at that summary instead of me filling out your form? I'm happy to do whichever you prefer."

Why it works: Gives the doctor control and shows respect for their process while offering an alternative.

3. Acknowledge their expertise while presenting the information "I know you'll want to review everything yourself, but I brought a detailed history that might give you a head start. Can I share it with you?"

Why it works: Reassures the doctor you're not trying to do their job—just providing better data for them to work with.

4. Start with the form, then offer the supplement Begin filling out their form, then say: "Actually, I have all this information already compiled in detail. Would it save us both time if I just gave you this? You can let me know if there's anything else you need."

Why it works: Shows willingness to comply with their process first, making the alternative feel like efficiency rather than defiance.

5. Use it as a conversation starter, not a replacement "I've been tracking my health history carefully and brought a summary with me today. I'd love to walk through it with you—would that be helpful?"

Why it works: Positions Medome output as a tool for better collaboration, not a bureaucratic workaround. Invites dialogue.

Bonus tip for all strategies: Bring both, the Medome output AND be prepared to fill out their form if needed. This shows flexibility and reduces the doctor's fear that you're trying to circumvent their workflow entirely.

$12.50 total per month. An annual subscription is $108.

Yes, you can. Isn’t that great? 

Not at the moment, but we are working on it. 

However, you can use your HSA/FSA funds to pay for it.

Yes, after purchasing the first subscription for a total of $12.50 per month or $108 annually, you can add additional subscriptions at $9 per month or $84 annually for everyone else. We can't go lower until the price of AI comes down (we hope.)

We will 100% refund your money for the most recent month and stop billing you.

Medome does not assume liability for an incorrect diagnosis because you are cautioned to never rely upon Medome for your medical diagnosis. You should always share your output and consult with a licensed medical professional. We’ll let you know when this changes.

Currently, the US. Although it is web-based and is accessible globally. However, we can't account for local  laws outside the US so use at your own discretion.

Medome is not a licensed physician so licensing requirements do not apply. 

However, after accumulating enough data, we will approach the FDA for more extensive use.

Medome believes it does not require FDA approval and has not sought it. 

Yes, in fact, it works great on mobile devices and smart phones like iPhones, Samsung, and Google, as it has a mobile-first design. 

Standard. Eve, our medical interviewer works best with a high-level connection. 

Requires constant internet connection.

All common browsers.

Accessibility capabilities have been built into the application. 

There is a help button on every screen.

Medome doesn’t have an official number. If you are trying to reach our Chief Service Officer, Dr. Steven Charlap, you can reach him at 617-319-6434. Please do not use this number for solicitations. 

Our email address for service is service@medome.ai. If you are trying to reach our Chief Service Officer, Dr. Steven Charlap, you can reach him at stevencharlap@medome.ai. Please do not use this email for solicitations.

Medome believes it is superior for many reasons and has openly challenged WebMD, Ada, Doctronic, K Health, Symptomate, and others to a friendly competition. None have accepted. 

Free tools ask: "Do you have chest pain?" Medome asks: "Tell me about your chest discomfort, your family history of heart disease, your recent stress levels, and that shoulder pain you mentioned last month, when did it start, have you had this before, was it diagnosed, is it getting better or worse, what makes it better or worse, are there any associated symptoms, etc." 

This isn't just more questions, it's comprehensive medical thinking that mirrors how top physicians actually diagnose. 

What You're Really Paying For 

Clinical Depth: 40+ years of physician expertise built into every interaction, not algorithms trained on web searches. 

Your Safety: When free tools miss something serious, there's no accountability. Dr. Charlap gives you his personal phone number (617-319-6434) because he stakes his reputation on Medome doing the right thing. 

Preparation Power: You don't just get a list of possibilities—you get the questions to ask your doctor, the context to understand your risks, and the preparation to make your appointment count. 

Privacy That Matters: Your health data isn't sold to advertisers or used to train models for other companies. SOC 2 Type 2 certification ensures enterprise-grade protection. 

The Real Value Equation 

Medome costs less than: 

1. A single urgent care copay for peace of mind 
2. Time off work for an unnecessary doctor visit 
3. The anxiety of wondering if that symptom is serious 
4. A monthly cup of premium coffee
   

Free tools help you search. Medome helps you understand. That understanding—backed by decades of medical expertise and accountability—is what makes the difference between information and insight. 

When your health is on the line, the question isn't whether you can afford Medome. It's whether you can afford to rely on any product less reliable. 

Medome is not a licensed medical provider. It cannot prescribe. However, we are affiliated with a 24/7 medical group that can provide telehealth services and prescribe at your convenience. 

So many. We don’t like to talk about what’s coming until we build and test something we can all trust. 

Medome is always monitoring releases of AI advancements and always compares new capabilities to our current capabilities to update as necessary.

Medome can already handle all specialties from an AI perspective.  

However, specialty care often requires specialty testing. That testing can be critical to making the right diagnosis. Medome can suggest but can't facilitate that testing.

The first steps are access and affordability. That’s at the root of our mission to provide access, affordability, and accuracy to everyone and to save the lives of millions of people we will never meet.

Just go to www.Medome.ai It’s as easy as that.

Even better, you can try it for free for 7 days.

Here’s a two part answer. First, whenever you want. Second, whenever you are experiencing a recurring or new symptom, no matter how subtle. Often times, early cancers, heart diseases, and infections initially present with very subtle symptoms that can be easily ignored because they are not so bothersome. For example, a small rash, some unexpected weight loss, new onset fatigue, a low grade fever, a lump or a bump, etc. Those are good use cases for Medome.   

Lastly, update any changes in personal and family history so Medome is ready when needed.