clawd/memory/inou-context.md

inou health — Context for James

Updated: 2026-02-20. Always lowercase "inou" — avoids L/I confusion.

What it is

Self-built medical advocacy platform. Born from Sophia's accident (May 2, 2022). Johan built it to fight the medical system — read MRIs, challenge diagnoses, build evidence for specialists. It's not a wellness app. It's infrastructure for people the system has failed.

Current capabilities

• DICOM viewer + analysis — brain MRIs, CT scans, radiology reports
• Genetic analysis — SNPedia integration, variant interpretation
• Lab data import — MyChart integration, manual upload
• Mobile health logging — vitals, medications, observations (API)
• Claude MCP integration — Claude can query inou data directly
• 6-language support — including Dutch
• Sophia-specific tooling — the original use case drives design decisions

Business model

• Monitor (free) — basic access
• Optimize ($12/mo) — fuller feature set
• Research ($35/mo) — deep analysis tools
• Free until July 1, 2026 — early access period, no active promotion yet

Status: building phase

Not ready to promote. Johan's directive: focus on product, not word-of-mouth. Do NOT suggest marketing, tweeting, press, or going public with suggestions.

Where the code lives

• /home/johan/dev/inou — Johan uploads portions via SMB share (inou-dev)
• "Nibble" approach — James works on what Johan shares

Known gaps / areas to explore

• Citation/reasoning transparency (Superpower does this well — show Claude's reasoning chain tied to sources)
• Better onboarding for non-technical users (doctors, patients)
• Wearable data integration (Superpower roadmap item — worth considering)
• FHIR/HL7 compatibility for importing records from other systems
• Sophia case: MRI analysis pipeline needs to stay current with new scans
• Mobile app (inou-mobile in Flutter) — thin shell + WebView, still early

Key people

• Dr. Neel Madan (Chief Neuroradiology, Tufts) — reviewing Sophia's MRI → next step: neurosurgery
• Johan — the only user who matters right now. Every feature should serve his actual workflow.

Design principles

• Evidence over opinion — everything citable
• Local-first for sensitive data (medical docs never hit external APIs)
• Built for advocacy, not wellness optimization
• Johan's night-shift constraint: usable at 2am, one-handed, while monitoring Sophia