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Over the past year, we’ve grown from a scrappy three-person team to a full-fledged medical group serving patients across the country. I wanted to jot down a few takeaways from building AI systems in healthcare, along with some reflections on the journey so far. Counsel's mission is to multiply the world's healthcare capacity. That means a few things: ‍ ‍ In the process of building, I’ve picked up a few technical takeaways: A core component of Counsel's platform is effective retrieval of a patient's medical records, so our physicians can provide extremely personalized medical advice. In our initial iterations of RAG, we relied primarily on semantic similarity-based techniques for search and retrieval. We quickly discovered that not only is medical data incredibly messy, but oftentimes, semantic similarity is not a good metric for clinical relevance. ‍ Measuring clinical relevance requires factoring in aspects like time decay, ontological relationships, and a host of other nuances that c

One Year: Key Milestones Building Counsel Health | Counsel Health Blog > Team insights > One year of building Counsel One year of building Counsel Team insights One year of building Counsel Written by: Justin Yu Reviewed by: Published: Mar 20, 2025 Updated on: February 13, 2026 copied Table of contents Table of Contents Have a medical question? Get an instant personalized answer now. Ask Counsel KEY TAKEAWAYs A few months ago, we passed the one-year mark of building Counsel. ‍ Over the past year, we’ve grown from a scrappy three-person team to a full-fledged medical group serving patients acro

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