mikekwabs/triagemate

offline-first android mobile app for Ghana's Community Health Officers (CHOs) # TriageMate **On-device clinical triage assistant for Ghana Community Health Officers (CHOs).** TriageMate is an Android app that helps CHOs at CHPS compounds rapidly assess and refer sick children under 5 and pregnant mothers — fully offline, with all clinical reasoning running on-device via Google's Gemma 4 E2B through LiteRT-LM. The app is built around an **agentic multi-tool loop**: Gemma plans which clinical tools to call (`assessSymptoms`, `requestVitalSigns`, `checkDrugInteraction`, `classifyTriage`, `generateReferralNote`) and the Kotlin layer enforces a WHO-aligned safety guardrail on top of the model's output. --- ## What's in the box - **Core capabilities** - Agentic multi-tool triage loop with vitals pause/resume - Voice input in Twi (Akan) translated on-device by Gemma's audio encoder - Multimodal photo capture for visual signs (jaundice, rashes, swelling) - Compound setup, PIN-gated supervisor dashboard, and offline sync - Hard-coded clinical safety guardrail (WHO IMCI danger signs override the model) - "Learn about this case" educator card and TTS readback of the triage outcome - **Two clinical pathways** — `CHILD_U5` (under-fives, IMCI) and `ANTENATAL` (Ghana Health Service ANC) - **Fully offline inference** — internet is only used for first-run model download and (optional) supervisor sync upload --- ## Architecture at a glance ```mermaid flowchart TB subgraph UI["Presentation — Jetpack Compose"] Home[Home / Pathway Picker] Assess[Assessment Input] Vitals[Vitals Sheet] Photo[Photo Capture] Voice[Voice Input Card] Result[Result Screen + Learn Card + TTS] Sup[Supervisor Dashboard / Case Log] Setup[Compound Setup Flow] end subgraph VM["ViewModels — StateFlow"] AssessVM[AssessmentViewModel] ResultVM[ResultViewModel] SupVM[SupervisorViewModel] SetupVM[ModelSetupViewModel] end subgraph Domain["Domain — Repositories & Safety"] InfRepo[InferenceRepository] Guard[SafetyGuardrail WHO danger-sign override] TriageRepo[TriageHistoryRepository] ModelR …