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[email protected]VERSION 2.5.0 (RELEASED AUGUST 2026)
Home/Premedice 4
04
The model

Premedice 4

Medical reasoning, with the whole record in view.

Premedice 4 finds the changes that are easy to miss, answers with sources, and keeps uncertainty visible. One model. One endpoint.

Open the API Read the API docs

Decision support, not a diagnosis. Clinical decisions need a licensed clinician and primary sources.

ResultEarlier

The change a short visit can miss.

Premedice follows the record between visits and puts the signal in front of the patient and the clinician.

Labs over time
Medicines and interactions
Symptoms and history
Sources attached
+30–50%
medical reasoning index
Against four frontier baselines.
Earlier
warning tracking
Across labs, medicines, symptoms and history.
Cited
answers
Sources attached to the answer.
Whole
record context
Labs, medicines, documents and history together.

Why Premedice

A medical answer should show its work.

Premedice 4 is built around the evidence, the uncertainty and the clinical question in front of you.

Earlier warning tracking

Follows changes across labs, medicines, symptoms and history, not just a single result.

Cited answers

Every answer arrives with sources attached, so the evidence can be checked.

Whole-record context

Labs, medicines, documents, symptoms and history are considered together.

Medication safety

Interactions, pharmacogenomic notes and cautions are surfaced with the record.

Capabilities

What it is good at.

Medical reasoning with the record, the sources and the uncertainty in view.

Clinical questions

Treatment, contraindications, monitoring and the evidence behind the answer.

Lab trends

Values, ranges and changes across reports, explained in plain language.

Medication review

Interactions, pharmacogenomic notes and cautions with the record.

Clinician summaries

A focused summary for a visit, review or second opinion.

Comparison

Premedice 4 against published MedQA scores.

Exam-style accuracy, not clinical validation.

SystemMedQABenchmarkSource
Premedice 484.6%Internal MedQA replicationPremedice internal (not peer-reviewed)
Med-Gemini91.1%MedQAGoogle Research, 2024
Med-PaLM 286.5%MedQANature, 2023
MedGemma 27B87.7%MedQAGoogle, 2025

MedQA is an exam-style benchmark. It is not a clinical validation or an outcome study. Scores are not directly comparable across different test sets. Premedice's 84.6% is an internal replication and has not been peer-reviewed.

Specifications

Model ID
Premedice/Premed-4
Built for
Medical reasoning
Context window
128K tokens
Max output
16K tokens
Streaming
OpenAI SSE
Modalities
Text in, text out

Safety boundaries

Power with a clear boundary.

Premedice 4 is decision support. Clinical decisions belong with a licensed professional who knows the patient.

  • Not a diagnosis or treatment decision
  • Not a replacement for a licensed clinician
  • Not for emergency care

One call

The whole model, in a normal OpenAI request.

curl https://api.premedice.com/v1/chat/completions \
  -H "Authorization: Bearer pm_live_YOUR_KEY" \
  -H "Content-Type: application/json" \
  -d '{
    "model": "Premedice/Premed-4",
    "messages": [
      {"role": "user", "content": "What changed in the 2025 hypertension guidelines?"}
    ]
  }'

The response includes the answer and its sources.

Read the API docs

Questions

What is Premedice 4?+

Premedice 4 is a proprietary medical reasoning model built for earlier warning tracking, cited answers and whole-record context.

What does the API return?+

One OpenAI-compatible chat completion. The response includes the answer and its sources.

Does it diagnose patients?+

No. Premedice 4 is decision support, not a diagnosis or treatment device. Clinical decisions need a licensed clinician and primary sources.

Can I use my existing OpenAI SDK?+

Yes. Point the base URL at https://api.premedice.com/v1, use your Premedice key, and set the model to Premedice/Premed-4.

Put it to work

Bring a real clinical question. See what a cited answer feels like.

Try Premedice Back to top