CLINICAL AI — GOVERNED TO 255

From Bits to Bedside.™

Nine AI products for clinical medicine, genomics, real estate, law, and finance, each governed to 255 before it reaches a single user. MammoChat is the flagship: free for every patient, funded by a $2M state grant, running as a live clinical trial. Community learning from over 20,000 real encounters compounds intelligence across the entire fleet, so every question asked makes every product smarter.

🎀 MammoChat
I was just diagnosed with DCIS.
DCIS is non-invasive breast cancer confined to the milk ducts. Treatment includes surgery, radiation, and sometimes hormone therapy.
NCCN Guidelines v4.2025
What should I ask my surgeon?
Ask about lumpectomy vs. mastectomy, margins, radiation, and receptor-based hormone therapy.
I was just diagnosed with DCIS.
What should I ask my surgeon?
CLINICAL AI + COMMUNITY LEARNING

Five products for patients, clinicians, and researchers.

The clinical fleet serves breast health, oncology, genomics, preventive medicine, and Caribbean cancer navigation, with each product inheriting its constraints from Medicine. MammoChat is the flagship: free for every patient, funded by a $2M state grant, and running as a live clinical trial (NCT06604078). Every response cites its guideline. Every product is validated to 255 before deployment. Every encounter compounds the community intelligence that the rest of the fleet draws from.

COMMUNITY INTELLIGENCE

Every question makes the fleet smarter.

When a patient in Port of Spain asks where to get screened, the answer enters a governed ledger. When a clinician in San Francisco corrects a staging recommendation, the correction compounds across the fleet. This is not crowd-sourced AI; it is append-only, evidence-tagged, privacy-governed intelligence that grows with every encounter and never forgets what it has learned.

LIVE
Caribchat
132 community sessions. 21 governed patterns.
See community learning →
LIVE
Runner
67 community sessions. 11 governed patterns.
See community learning →
LIVE
Mammochat
23 community sessions. 20 governed patterns.
See community learning →
LIVE
Medchat
5 community sessions. 14 governed patterns.
See community learning →
LIVE
Omicschat
5 community sessions. 24 governed patterns.
See community learning →
LIVE
Oncochat
2 community sessions. 14 governed patterns.
See community learning →
234 total community sessions across the fleet
CONFERENCES + LAUNCHES

Where the fleet has been and where it is going.

PMWC in Santa Clara, Bamberg Health in Miami, CAOH in Port of Spain, and the Trinidad launch in July 2026. Each event is a chance to prove the platform in front of clinicians, researchers, and policymakers who will use it.

REAL ESTATE AI

Three agents for a $12.2M governed portfolio.

The same governance triad that keeps MammoChat honest also manages a real estate portfolio spanning Lake Nona and London. REALTY provides property intelligence from public records, RUNNER handles listing operations, and NONA matches buyers with realtors in real time. Different domain, identical compliance architecture.

PROFESSIONAL SERVICES AI

Law and finance under the same compliance engine.

FinChat and LawChat extend the fleet into professional services, where the compliance requirements differ but the architecture that enforces them does not. Each product inherits its industry’s constraints from the Machine fleet, so securities disclaimers and unauthorized-practice-of-law guardrails are composed the same way clinical guidelines are.

THE LIBRARY

65 essays. 12 papers. 5 books.

Everything published by Hadley Lab, organized by what you came to read. The essays chronicle the building of governed AI in real time. The papers present the clinical evidence. The books compile the theory. Start anywhere; each piece stands alone, and every claim is sourced.

NEW
AlphaGo at 10
Ten years ago, a machine proved that intuition was computable. What it forgot to prove was that computable intuition could be trusted.
Read the essay →
NEW
CaribChat at CAOH
Cancer navigation for the Caribbean, where a diagnosis in Port of Spain and a diagnosis in Tobago produce radically different outcomes because the information infrastructure is not the same.
Read the essay →
PAPER
The $255 Billion Wound
American healthcare spends $255 billion a year on governance failures it cannot prove, cannot trace, and cannot stop. This paper follows the money.
Read the paper →
ESSAY
729 Hallucinations
We asked seven commercial AI models 729 clinical questions from real MammoChat encounters. The failure rates prove that governance is not a nice-to-have.
Read the essay →
ESSAY
MammoChat Is Free
No paywall, no login, no ads. Funded by a $2M state grant and governed to 255. The decision to make clinical AI free forever, and why it matters.
Read the essay →
ESSAY
Free Forever, Governed Always
The governance commitment that underwrites every free product in the fleet: what it means, how it works, and why it will not change.
Read the essay →
65 POSTS
The CANONIC Journal
65 essays written in real time as the platform was built, covering AI, medicine, governance, real estate, and the systems that connect them.
Browse the journal →
12 PAPERS
Research Papers
12 peer-reviewed and preprint papers on clinical AI, genomics, and governance. Full citations, governed to the same standard as the products.
Browse papers →
5 BOOKS
Books
Five books that compile the theory behind governed AI: from the Canon (governors speak governance) to the Doctrine (developers speak code).
Browse books →
INTROSPECTION

What 255 means.

Every AI on this site must score 255 out of 255 before it reaches a single user. Eight governance dimensions, each scored as a binary pass or fail. The compiler validates every scope on every commit, and if any dimension drops below the threshold, the product does not deploy.

255/255

Eight dimensions. Binary pass/fail.

Declaration, Evidence, History, Community, Practice, Structure, Learning, Language. The compiler checks all eight on every commit. No exceptions, no waivers, no manual overrides.

255 MAGIC
THE PROOF FLEET

14 years. No pivot.

Hadley Lab is the first organization certified to MAGIC 255, and the proof that the platform works at production scale. A clinical research lab that governs five clinical AIs, a $12.2M real estate portfolio, and professional intelligence services under the same compliance engine. Fourteen years, 7,062 commits, 6 patent families, 65 peer-reviewed publications, and over $38M in funded research, all under one governance standard.

THE MACHINE FLEET

The spec behind the proof.

Hadley Lab is the proof; the Machine fleet is the specification that makes it possible. The Foundation certifies organizations, Industries constrain domains, and MAGIC operates the governance engine. Together they compose the compliance architecture that every product in this library inherits.