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A clinical researcher reviews measured health information

Clinical engine

Published criteria, applied precisely.

Shiora's classification engines are deterministic: a documented rule, a citable threshold and a result a clinician can reproduce.

Standards implemented

The criterion remains visible.

Deterministic classification makes every output auditable, publishable and defensible to a regulator.

Bleeding

FIGO AUB System 1

The international classification for abnormal uterine bleeding by frequency and regularity, with thresholds banded by age.

Clinical reference: Munro et al., 2018.

Published standard
Life stage

STRAW+10

The reference criteria for staging the menopausal transition, computed from period-start dates.

Clinical reference: Harlow et al., 2012.

Published standard
Mood

PHQ-9 and GAD-7

Widely used depression and anxiety measures, scored to published thresholds and tracked against cycle phase.

Validated measures
Perinatal

EPDS

The Edinburgh Postnatal Depression Scale, an international standard for perinatal mood screening.

Validated measure
Pelvic health

Sexual and pelvic function measures

Validated measures scored to their published algorithms, in the same record as everything else.

Validated measures

Why determinism matters

A rule can be inspected, reproduced and cited.

A model must be validated, monitored for drift and explained. A deterministic rule can show exactly which date and threshold produced a classification.

That separation is deliberate. It keeps language generation away from the point of clinical classification.

Clinical integrity

The engine knows when a criterion does not apply.

Where medication, pregnancy, surgery or a condition makes a classification invalid, Shiora explains why instead of returning a result that looks confident and is wrong. Knowing when not to answer is a core engineering decision.

See it in context

A criterion is only as useful as the history behind it.

Explore the record