To reach a diagnosis, a medical professional must now consider not only a sea of symptoms, but also an increasing number of factors: genotypes, functional genetics, proteomics, etc.. Caretakers, insurers, governments, medical researchers and most of all patients are looking technology satisfy their disparate goals. I will describe how our team is using Clojure, Datomic and React to provide a more humane medium for real-time collaboration. The primary focus of is to propose systems that scale well with high intrinsic sociological complexity. I will give a development log of how we are attempting to enable all parties in the healthcare ecosystem to create interactions, giving agency to the machine to participate on their behalf in the moment medical encounter.