medRxiv PreprintsInternational3 November 2026
MERIT: Multi-agent EHR-grounded Risk Identification and Tailored Care for Early Cognitive Decline in Primary Care
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Background: Dementia is frequently underdiagnosed in primary care, with fewer than half of cases identified and only 8-20% detected at early stages. Our objective is to develop an Agentic AI-powered clinical decision support systems (CDSS) maintaining the patient's virtual cognitive status and provide physicians with ready-to-use summaries and next step suggestions. Methods: We developed MERIT (Multi-agent EHR-grounded Risk Identification and Tailored Care for Early Cognitive Decline in Primary Care) via participatory co-design with primary care provider. It maintains a virtual cognitive statu
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