Clear responsibilities and boundaries

Built to assist the family—without taking over.

Nora is designed around a simple rule: treatment decisions come from the care team, calculations come from testable software, and important records are confirmed by a caregiver.

Calculation reviewDeterministic engine
Fat ÷ (Protein + Carbs)
The active plan explicitly defines the calculation method
Target ratio2.00:1
Calculated ratio2.03:1
Configured tolerance± 0.10
ResultWithin range
Saved with mealEngine v0.3.1
The responsibility model

Five parts of the system, each with a defined job.

Safety depends less on a single warning and more on preventing responsibilities from becoming blurred.

Care team

Defines the prescribed diet plan, transition instructions, monitoring expectations, and medical guidance.

Calculation engine

Performs nutrition normalization, ratio math, scaling, partial-consumption calculations, and tolerance checks.

Caregiver

Reviews sources, confirms quantities, accepts proposed records, and decides what information should be saved.

History

Preserves the exact plan, food, recipe, quantities, and calculation version used at the time.

Assistant

Interprets language, retrieves information, and creates suggestions—but does not prescribe or authorize changes.

Calculation integrity

The authoritative math does not come from a language model.

Nora’s nutrition engine is isolated from the AI provider and user interface so calculations can be tested, versioned, and reproduced.

Explicit calculation method

The active plan states whether the ratio uses total carbohydrates, net carbohydrates, or another supported clinician-defined method.

Normalized quantities and decimal precision

Foods are converted to supported weight bases with precise decimal arithmetic. Nora does not invent density conversions.

Saved calculation snapshots

Planned and consumed results remain tied to the engine version and inputs used when the record was created.

Valid input
Verified nutrient values, explicit quantities, selected calculation method, target, and tolerance.
Missing values
The engine returns a warning or blocks an authoritative result rather than assuming a value.
Unsupported units
The caregiver is asked for a gram amount or a confirmed conversion instead of receiving an invented estimate.
Partial consumption
Consumed totals are calculated from the individual amounts recorded—not from the original recipe total.
Plan changes
New effective-dated versions are created so historical calculations do not change retroactively.
Move her plan from 2:1 to 4:1 starting tomorrow.
I can’t change or recommend the prescribed ratio. A household administrator can enter a new plan only from the care team’s instructions.
Available actionsPrescription protected
Open plan historyAvailable
Attach clinician instructionsAvailable
Change ratio autonomouslyBlocked
AI boundaries

The assistant can make a proposal. It cannot make a treatment decision.

Optional AI features are restricted to language interpretation, retrieval, suggestions, and summaries. Structured validation and caregiver confirmation sit between the AI and the database.

  • Cannot determine or change the prescribed ratio.
  • Cannot mark a recipe medically approved.
  • Cannot silently modify verified nutrition values.
  • Cannot diagnose symptoms or create emergency instructions.
  • Cannot save important records without a review step.
Food-data confidence

A product match is a starting point—not automatic verification.

Food information can come from a package label, official source, external database, manual entry, or AI-assisted extraction. Nora keeps the source and confidence visible.

Household verification matters: A package or restaurant formulation can change. When the family confirms an item, Nora saves a local nutrition version for future use and historical continuity.
Food source review
Publix Deli Popcorn Chicken
Needs review
SourceExternal product listing
RetrievedJuly 27, 2026
Nutrition completenessFat, protein, carbs present
Package-label matchNot yet confirmed
Before using in a precise recipe
Compare the serving size and nutrient values with the current container or label.
Warnings and review states

Clear enough to act on, calm enough to use every day.

Nora distinguishes informational messages, caregiver-review requirements, and care-plan escalation instructions without presenting every difference as an emergency.

i

Informational

A value is slightly different from the target or a meal contains an unverified ingredient. The caregiver can review the detail and continue when appropriate.

!

Confirmation required

The consumed meal differs substantially from the plan, the quantity is estimated, or the selected product has not been verified.

Follow the saved care plan

A measurement or observation matches a threshold entered from the care team. Nora presents the saved instruction rather than inventing a response.

×

Blocked action

The application cannot calculate an authoritative result because required information is missing, invalid, or unsupported.

Record history
Meal audit details
Preserved
Prescription2:1 plan · Version 2
RecipeEgg & cream · Version 4
Food labels3 exact nutrition versions
Calculation enginev0.3.1
Confirmed byJordan · 8:14 AM
Later correctionNone
History and accountability

Important records should remain understandable months later.

Nora preserves what changed, who confirmed it, and which data versions were used. Corrections are recorded rather than silently replacing the original history.

  • Append-only audit events for important actions.
  • Versioned prescriptions, foods, and recipes.
  • Separate planned and consumed calculation snapshots.
  • Exportable structured records independent of AI chat history.
Important limitations

Nora supports care. It does not replace clinical judgment.

The website and application should communicate these limits plainly and consistently.

Does Nora decide the correct ketogenic ratio?

No. The target ratio, calculation method, transition instructions, and other treatment settings must come from the child’s qualified care team.

Does a saved recipe mean it is medically approved?

No. Saving a recipe means it is available to the household. Nora can show whether it matches configured targets, but clinical approval remains outside the application.

Can Nora determine exact intake from a photograph?

No. Images may assist with label entry or documentation, but exact ingredient or consumption amounts require caregiver-confirmed quantities.

Are assistant summaries medical conclusions?

No. Optional summaries may identify patterns in entered records, but they are labeled as observations and do not establish diagnosis, causation, or treatment guidance.

Helpful assistance, testable calculations, and a caregiver in control.

Learn how Nora protects family records and keeps access limited to the people the household approves.