Create a Signal cued stream for one patient and get the first cue back synchronously. Every cue is federally-sourced, audience-safety-checked, and sequenced on the patient's prior response — so your agent never fabricates health content. Choose a template_id from the signal://catalog resource and pre-satisfy its required audience_tags + patient_context (clinical templates 422 without them). Display mode renders in your app: no PHI, no BAA. Each later cue MUST submit the prior message's feedback — the engine refuses to advance without it (the sequencing moat).
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