Inside the Healing Trajectory Agent: How WoundScribe Flags Stalled Wounds
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A deep dive into the healing trajectory agent — how it detects stalling wounds, when it fires alerts, and what changes in the clinician workflow.
Most wound EMRs record measurements. Few actually watch them. The healing trajectory agent inside WoundScribe treats the measurement stream as a signal, not a log.
What it watches
For every active wound, the agent tracks percent area reduction over rolling 2-week and 4-week windows, alongside depth change and photographic tissue composition. A wound that is on track loses roughly 20–40% of its area in the first two weeks and continues on a downward curve.
When it alerts
Three states trigger an alert:
- Stalling — less than 20% area reduction at four weeks under standard care
- Worsening — any measurable area increase across two consecutive visits
- Off-trajectory for advanced therapy — the wound is not meeting the failure-of-standard-care threshold required for skin substitute coverage
The last one matters for reimbursement. It tells the clinician whether they can defensibly move to an advanced product at the next visit.
What the clinician sees
Alerts land in the healing dashboard, grouped by patient and by urgency. The dashboard is not a separate app — it is a view over the same wound record the scribe and imaging agents write to. One record, one login.
Why a separate agent, not a threshold in the EMR
A static threshold treats every wound the same. A diabetic foot ulcer on a heel behaves differently from a venous ulcer on a shin. The trajectory agent normalizes to wound type, initial size, and patient comorbidities before deciding whether a curve is off-pattern.
Explore the underlying wound healing software.