The operating system for
modern care delivery.
careos unifies workflow execution, clinical coordination, patient communications, compliance evidence, and AI-assisted productivity — for ambulatory, community, home, pharmacy-linked, and hybrid care operators. A system of action above fragmented EHRs and spreadsheets.
What is careos
A healthcare intelligence cloud. Not another EHR wrapper.
careos sits between clinical record systems and the frontline teams who execute care. In organisations with multiple source systems, it becomes the coordination layer. In lighter-weight settings, it serves as the primary system of record for care operations while integrating with prescribing, diagnostics, finance, and external records.
It is built for operators with multi-site coordination burden, measurable admin pain, and visible revenue or compliance leakage. Not a workflow tool. An operating system.
Care execution layer
Turns referrals, plans, alerts, and visits into managed work. Reduces missed handoffs, overdue work, and operational chaos.
Patient engagement layer
Runs patient, proxy, and caregiver messaging across app, SMS, email, voice, and letter. Improves adherence and attendance.
AI workforce layer
Automates intake, triage, drafting, outreach, coding suggestions, and operational routing while preserving human control.
Compliance & evidence layer
Generates audit trails, DSAR packages, access reviews, and investigation packs. Removes expensive manual compliance work.
Commercial intelligence layer
Supports prior auth, no-show recovery, utilisation insight, coding support, billing handoff, and revenue leakage detection.
Developer & marketplace layer
Exposes APIs, SDKs, event streams, configuration packs, and partner apps. Expands distribution and product stickiness.
Seven pillars, one platform
Every pillar a first-class product surface.
These are not modules bolted together. Each pillar is engineered as a primary surface with its own deployment model, data guarantees, and commercial uplift path.
Command Centre
Unified operational command surface for work, risk, capacity, patient state, and branch performance.
Care Graph
Longitudinal operational-clinical-commercial graph connecting patients, episodes, tasks, messages, and outcomes.
AgentOS
Governed AI worker runtime. Ten task-specific agents with autonomy levels, model routing, and human-review gates.
Evidence Ledger
Tamper-evident audit, evidence, policy, and review fabric across every workflow and AI decision.
Studio
Low-code tooling for pathways, forms, roles, policies, automations, prompts, and integrations.
Marketplace
App, connector, template, and pathway distribution channel. Partners amplify distribution and extensibility.
Benchmark Network
Opt-in de-identified analytics across tenants for operational, engagement, and pathway benchmarks.
Integrations
FHIR-aligned canonical model, OpenAPI 3.1 contracts, SSO, SCIM, messaging, and payer adapters.
AgentOS — governed AI workforce
Ten named AI workers.
All measured. All bounded.
Every AI worker records model, prompt version, sources, reviewer, and outcome. Clinically influential outputs require human approval. Medication plans are untouchable. Evidence is the default, not the exception.
Referral Intake Agent
Reads inbound referrals, extracts facts, flags missing items, suggests triage, creates tasks.
Patient Concierge Agent
Handles booking guidance, reminders, and low-risk administrative interactions.
Documentation Agent
Drafts notes, visit summaries, transfer summaries, and discharge packs.
Care Coordination Agent
Watches open pathways, overdue tasks, and breach risks. Proposes actions.
Medication Adherence Agent
Monitors refill gaps, missed doses, reported issues, and outreach effectiveness.
Prior-Auth Agent
Assembles documents, maps checklists, drafts rationale, tracks submission status.
Quality Auditor Agent
Reviews documentation completeness, missing evidence, policy deviations, audit gaps.
Coding & Revenue Agent
Suggests codes, completeness improvements, package mapping, leakage flags.
Inbox Triage Agent
Clusters, prioritises, and routes tasks, messages, and alerts.
Executive Analyst Agent
Generates weekly performance narratives, anomaly explanations, board commentary.
No AI autonomously prescribes, discontinues, or silently writes to the legal clinical record. Clinically influential outputs require human review. This is a hard product safety boundary, not a toggle.
Who uses careos
Built for operators with coordination burden and compliance pressure.
Community and home-care operators
High coordination burden. Medication follow-up complexity. Multi-site visibility need. Compliance pressure from CQC, DTAC, DSPT.
Private clinic groups
Growth pressure. Patient communication at scale. No-show reduction. Pathway standardisation. Private billing handoff and quote management.
Ambulatory specialty groups
Scheduling friction. Prior authorisation burden. Documentation overhead. Patient follow-up leakage. Value-based care reporting needs.
Care management organisations
Longitudinal coordination. Risk stratification. Outreach burden. ROI sensitivity. Strong fit for Care Graph and AI outreach automation.
Pharmacy-linked services
Adherence monitoring. Refill coordination. Patient communications. Task routing. Evidence and audit for dispensing workflows.
Digital-first healthtech
Operators building new models that need clinical safety governance, audit infrastructure, and multi-channel patient engagement out of the box.
Measurable journeys
Eight journeys. Each with a hard outcome metric.
careos is judged by hard metrics. Every journey traces to source events. Every source event is on the ledger. Every metric is exportable.
Referral to first contact
Intake, eligibility, triage, scheduling, reminders, handoff, escalation.
Care-plan execution
Versioned plans, task emission, reminders, observations, reviews, closure summaries.
Medication coordination
Reconciliation, refill reminders, omission capture, pharmacy follow-up, adherence interventions.
Observation escalation
Threshold checks, alert routing, acknowledgement, action tasks, closure evidence.
Visit execution
Scheduling, mobile offline checklist, capture, sync, follow-up tasks, documents.
Patient engagement loop
Templates, channel routing, reminder sequences, reply triage, proxy handling.
Prior auth & revenue prep
Evidence assembly, checklist completion, tasking, payer communication, outcome tracking.
Compliance response
DSAR, access review, incident pack, legal hold, export approval.
Deployment-ready
One core. Two country packs. Zero forks.
United Kingdom
Built for NHS-adjacent reality
NHS login and NHS Notify adapters. DTAC and DSPT workflow support. Clinical safety workflow support (requires customer-side Clinical Safety Officer engagement). dm+d medication terminology. GDPR and DPA 2018 operating workflows.
United States
Ambulatory & value-based care
Designed to HIPAA Security Rule principles. US Core and SMART on FHIR adapter patterns. Prior-authorization workflow design. NPI provider identifier support. RxNorm and NDC medication terminology.
Engineering principles
Evidence over assertion. Always.
Tamper-evident by default
Every write, decision, and AI output is committed to the Evidence Ledger. Independently reviewable, cryptographically anchored, exportable as compliance evidence on demand.
Human-in-the-loop where it matters
Clinically influential outputs require review. Medication plans are immutable without confirmation. Break-glass access creates visible review items. No silent mutations.
Configurable without forking
Tenants configure agent autonomy, review thresholds, model providers, retention, and market-specific policies through Studio. Enterprise control without engineering intervention.
Design partner programme open
Run care like an operating system.
We are onboarding design partners across Europe and the USA. Clinicians, operators, and founders welcome. Bring the hardest workflow you have — we want to see it run on careos.