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Solution for Healthcare

Forty guidelines, one comparison.

Guidance is written to be complete rather than comparable. The same recommendation is a numbered bullet in one document and a paragraph in the next, and the question you have is almost always across the set. Ragextract reads them once and returns the comparison, with every answer citing the section it came from so it can be checked against the source.

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Guidance review
Four pieces of published clinical guidance compared on issuing body, publication date, key recommendations and evidence grade, each answer citing the section it was read from.
RowDocumentsConditionIssuing bodyUpdatedKey recommendationsEvidence grade
Guideline — adult hypertension.pdfHypertension in adultsNational guideline body, ref NG-11414 Mar 2025Offer lifestyle advice first; treat above stated thresholdGraded A–D; most recommendations B
Guideline — type 2 diabetes.pdfAddendum 2025.pdfType 2 diabetes, adultsSpecialist society, ref SS-2019/402 Feb 2025Structured education at diagnosis; annual review thereafterGRADE; two strong, six conditional
Pathway — suspected sepsis.pdfSuspected sepsis, all agesRegional network, ref RN-SEP-330 Sep 2024Escalate on stated trigger score; senior review within the hourNot graded — consensus pathway
Summary — anticoagulation.pdfAnticoagulation, atrial fibrillationNational guideline body, ref NG-20811 Jan 2023Assess stroke and bleeding risk before startingNot stated
Row 2’s date comes from the addendum, which is why it is bundled with the guidelineRow 4 is a summary, and the table says what it does not contain rather than inferring it

A table to check against, not a table to trust.

This is a reading aid for people who will read the guidance anyway. It is not a clinical decision tool, it does not screen, match or triage patients, and no answer in it should reach a decision without someone opening the section it cites.

What it changes is where the reading goes. Every cell carries its section and a confidence score, so a reviewer starts from the eight answers that look thin instead of from page one of forty documents. The citation is not a flourish here — it is the entire basis on which the table is usable.

How citations and confidence work

Two guidelines stating the strength of their evidence in different schemes, each citing the section it came from.
DocumentEvidence gradeScheme used
Guideline A vs Guideline BMostly B · two strong, six conditionalLetter grades A–D · GRADE
Comparable questions, incomparable schemesThe citation is what lets a reviewer decide whether they belong in one column at all

These are organisational documents.

Guidance, policies, procedures, product information, inspection reports — documents about how a service runs, not records of the people it treats.

That line is deliberate and it is ours as much as yours. Ragextract is not HIPAA compliant and we do not sign Business Associate Agreements, so patient records and other protected health information should not be uploaded. The application says the same thing on every template in this group, before you build a table rather than after.

How we handle what you do upload

Guidance includes what amended it.

The publication date is the field that moves. A guideline updated twice carries recommendations that no longer match the ones in the original document, and a table that reads the original will report guidance that was withdrawn — with a citation, which makes it more convincing rather than less.

Bundle each guideline with its addenda and update notices, most recent first, and the bundle is the row. Order carries precedence, so the current version is what “the recommendation” resolves to. A bundle holds up to fifteen documents and the first three are included in the column’s rate.

Bundles, and how precedence is decided

Where it fits.

A row is one document the organisation has to act on. Which document that is — guidance, policy, inspection report — is the decision to settle before writing a single column.

Four kinds of healthcare work, what a row represents in each, and which set of columns to start from.
The workWhat a row is
Guidance and pathway reviewA guideline, with its addenda
Payer and funding policy reviewA coverage policy
Inspection and accreditation readinessAn inspection report
Patient-facing material reviewA leaflet or consent form

The templates ship in the application and their prompts are illustrative starting points, not clinical or regulatory definitions — they are meant to be edited. Clinical guidelines works the whole thing through, including what to check before relying on any of it.

Reading is charged once.

Forty guidelines is a couple of thousand pages, and they are read once however many times the set is later interrogated. A question that occurs to a reviewer in month three costs what it would have cost in week one.

Credit rates in full

What comparing 40 clinical guidelines costs in credits at the published rates.
A 40-guideline reviewVolumeCost
40 guidelines, 40 pages each — read once1,600 pages1,600 credits
2 typed questions asked of all 4080 cells320 credits
Recommendations and referral criteria, as lists80 cells960 credits
2,880 credits · $7.20 at par, excl. VATList columns are quoted at 12, the typical list rate

Ragextract is not a clinical decision support tool and is not regulated as a medical device. It is not HIPAA compliant and we do not sign Business Associate Agreements — do not upload patient records. Nothing on this page is medical, clinical or regulatory advice, and the templates are not clinical definitions.

Start with the pile you already have.

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