Nessesity · for value-based care

Paid for outcomes? Sharpen your decision-making.

A clinical-reasoning tool that verifies the correctness of your diagnostic reasoning by comparing it against current scientific evidence.

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Our mission · A HealthyNess system

"Help every doctor be confident in their decisions, backed by current clinical evidence."

Nessesity

What it is

Be confident in your decisions.

Reached a diagnostic conclusion? Nessesity verifies the correctness or completeness of your approach, or points you to current scientific recommendations.

01

A real-time second opinion

It assesses your clinical reasoning and flags any possible mismatch with current clinical practice.

02

Linked to the relevant citations

Guaranteed, updated medical sources and guidelines.

03

A check on the correctness of your professional approach

Automatic anonymization before the verification starts. The engine assesses only the correctness of the reasoning.

04

Education

Gently keeps doctors up to date with relevant medical practices.

Never about a specific patient. It assesses the doctor's reasoning and equips them with the information they need.

Why we built it

Where's the problem?

01

The decision is individual

Every doctor works with a differential diagnosis; which way the workup goes is purely individual. A consultation helps confirm the chosen path is correct.

02

The science keeps moving past us

Guidelines keep being refined in a fast-moving field. You need to stay informed about them in real time.

03

Publicly available search

Searching in chatbots is highly misleading. The sources aren't relevant, and they don't reason within a healthcare provider's context.

With Nessesity

Be confident in your decisions.

1

You state your position

Put your plan as a topic-level question. It's automatically anonymized before the check begins.

2

Stress-tests your reasoning

Nessesity searches the expert dataset and assesses the correctness and completeness of your approach. The engine evaluates the reasoning, not the patient.

3

You review the second opinion

Every point comes with its source and a link to current guidelines, including where your approach holds up.

4

You decide with confidence

You decide confident you've considered the other side and that your approach aligns with current evidence. The judgment stays yours.

A real-time second opinion.

Reviews your clinical reasoning and flags possible inconsistencies with current evidence, saving time.

Evidence

Graded, sourced, checkable.

Every counter-point is weighed by the strength of evidence behind it and traced to a named source, international and Czech.

Evidence tiers · ranked

I Guideline Society & national guidance, the strongest tier
II Systematic review Pooled, appraised evidence
III Randomised trial Single-trial evidence
IV Observational Lowest weight, flagged as such

The expert dataset · international & Czech

ESC — Cardiology NICE — Primary care NCCN · ESMO — Oncology AHA / ACC — Cardiology ČLS JEP — Czech societies SÚKL · SmPC — Czech drug reference

Always current

"Medicine constantly moves forward, and we continuously update our sources. When, for example, a new epidemiological or other health risk emerges, it is automatically taken into account by our system."

Pavel Hronek

It doesn't relate to a specific patient

It relates to the diagnostic–therapeutic approach you are considering at that moment. Automatic anonymisation removes the risk of a second opinion being given undue weight in any particular case. The physician decides whether the second opinion helps in reaching the diagnosis, or not.

Topic level only Nothing identifiable Outside MDR scope

Why it matters now

Built for value-based care.

"Under the leadership of director Ivan Duškov, VZP is moving toward value-based healthcare: paying for outcomes of care, not the volume of procedures."

Zdravotnický deník, 2026

Czech healthcare is moving to reward results: a bonus for the right outcome, less for complications and repeat care. That puts new weight on getting the decision right the first time, and being able to show you did. Nessesity helps you verify your findings against the best available evidence and keeps an auditable trail of every call. Let us help you earn the outcome and stand behind it.

More certainty

A second opinion raises your confidence that the diagnostic reasoning is sound.

An auditable process

Every verification leaves a trace — traceable and evidenced at any time.

Fewer needless procedures

Certainty in decisions cuts the number of check-ups, ordered tests, and ineffective prescribing.

For whom

For the doctor accountable for their decision.

Doctors in everyday practice who need to be certain their approach is correct, grounded in relevant medical practices.

Primary — the GP

The patient's first contact with the health system. Carries the greatest share of the need for diagnostic accuracy — and for the patient's onward path through the system.

ČLS JEP · point of care

Outpatient specialist

Develops and refines diagnostic and therapeutic approaches within their specialty. Here, effectiveness heads off hospitalisation.

Cardiology · Oncology · 13+

Prescription

An area often over-used when the diagnosis is uncertain. Genuine need — and demonstrated drug efficacy — is what matters.

SmPC · SÚKL

Boundaries

What Nessesity doesn't do.

For full clarity we state publicly what the product is not. The same scope applies in our terms and every partner contract.

Doesn't diagnose

It gives no diagnosis, final or preliminary, to a clinician or anyone else.

Doesn't recommend treatment

No treatment plan, dosing or therapeutic instruction. It works from evidence, not orders.

Never patient-specific

It reasons about topics and populations, never an identifiable individual or case.

Not a medical device

By design it stays outside MDR scope: a reasoning tool, not a regulated diagnostic.

Not emergency care

It is not for acute or time-critical situations. Clinical urgency is handled by clinicians.

Doesn't replace judgment

It shows you the second opinion. The assessment and the decision always stay yours.

Data security

Your data is safe. By design.

Nessesity is built so there's almost nothing sensitive to hold in the first place, and what exists is locked down to European banking-grade standards.

  • No patient data, ever

    The firewall blocks anything identifiable before the engine runs. There's no case data to leak, because none is ever accepted.

  • Encrypted end to end

    Everything is encrypted in transit and at rest, to the standards used by the banking sector.

  • EU-resident & GDPR

    All processing happens exclusively within the EU, in full compliance with GDPR and healthcare data rules.

Need the full cybersecurity detail: architecture, encryption, certifications, testing? Talk to our team →

FAQ

Questions clinicians ask.

What does Nessesity actually do?
In short, you tell Nessesity your clinical conclusion and how you arrived at it. Nessesity searches the expert dataset of guidelines, systematic reviews and drug references and assembles a second opinion grounded in current diagnostic and therapeutic recommendations — either confirming that your approach is correct, or suggesting an approach that refines the diagnosis you reached.
Does it diagnose or recommend treatment?
Responsibility for diagnostic and therapeutic decisions rests with the treating physician. Nessesity is a tool that lets them compare their conclusion against relevant, current recommendations. The final decision is always theirs.
Why not for a specific patient?
Nessesity is a general aid to diagnostic and therapeutic reasoning — a librarian that retrieves current information from dedicated medical sources. It generalises; depersonalisation is therefore essential. For that purpose it includes an anonymisation module that runs with every consultation.
And where does Nessesity look?
In the expert dataset — international and Czech professional sources: ESC, AHA/ACC, NICE, USPSTF, NCCN, ESMO, ČLS JEP, SÚKL / SmPC and more. The source of every citation is always given, along with its degree of relevance.
What stage is Nessesity at?
Nessesity is in active development and working with its first clinical partners. If you'd like to join the early-access pilot, get in touch below.

Early-access pilot

How does it work? Come and try it.

Request early access to the Nessesity pilot.

Or email us directly at info@healthyness.cz

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