For hospitals & health systems
Coordinate around your EHR. Not replace it.
careos sits as the coordination layer above the fragmented hospital stack — workflow orchestration, patient communication, AI-drafted documentation, and compliance evidence — running alongside the clinical systems you already trust.
Hospital fragmentation pains
Every system does one thing. None of them talk.
Messages in Teams and email
Clinical and operational conversations scattered across chat, email, and voicemail — never in the record, never audited.
Tasks in ticketing systems
Operational tasks in IT ticketing, clinical tasks in something else, and nothing threaded to the episode it belongs to.
Handovers on paper
Shift and discharge handovers captured on paper, whiteboards, or memory — with no structured evidence trail.
Patient comms in a different system
Appointment reminders, portal messages, and SMS all run from systems that do not talk to the EHR or each other.
Compliance reporting is manual
Every framework, every audit, every inspection triggers a fresh assembly of evidence from whatever can be found.
AI sits outside governance
Point AI tools run without provenance, review gates, or tenant-level policy — and cannot be safely introduced into clinically influential workflows.
What careos provides today
The coordination fabric above your clinical stack.
Workflow orchestration above the EHR
Pathway-driven task emission, SLA rules, escalation — running across the EHR you already have, not replacing it.
Patient communication layer
Preference-centre-aware, multi-channel, threaded to episodes in the EHR and reconciled back as events.
AI-drafted documentation
Visit notes, discharge summaries, and follow-up plans drafted for clinician review — never committed without approval.
Compliance evidence fabric
Every action committed to the Evidence Ledger with independent verifiability, aligned to the frameworks you report against.
Governed AI workforce
AgentOS with six tiers, twelve named workers, review gates and provenance — introduced into workflows without bypassing clinical safety or policy.
Command Centre
Live queue health, SLA breach prediction, capacity, outreach and multi-site comparability — running across service lines and sites, not per silo.
Integration with existing EHRs
The EHR stays the source of truth.
careos coordinates the work around your existing clinical systems. We meet the EHR where it lives — FHIR R4, HL7v2, US Core, SMART on FHIR — and reconcile events back so the record stays clean.
FHIR R4 interoperability endpoints for clinical data exchange, with resource-level mapping and versioning.
Legacy HL7v2 message ingestion and emission for ADT, ORM, ORU, SIU, and operational integrations.
US Core profile conformance for regulatory interoperability in the United States.
Launch and authenticate against EHRs with SMART on FHIR — embedded workflows where clinicians already work.
Workforce SSO via OIDC and SAML, SCIM provisioning, and device trust — integrated with existing identity providers.
Durable outbox, signed webhooks and replayable domain-event history so integrations are never best-effort.
Setting packs
Pre-built for the settings hospitals run.
Ambulatory specialty
Outpatient specialty coordination with intake, scheduling, prior auth, and follow-up — alongside the hospital EHR.
Outpatient coordination
Coordination of outpatient care, follow-up, and referrals with pathway orchestration and SLA evidence.
Pharmacy-linked
Medication coordination, adherence, and administration evidence with dm+d, RxNorm, and NDC support.
Care management
Longitudinal care management, cohort analytics, and outcome tracking across populations.
Community & home care
Mobile-first visit execution, offline capture, Home MAR and route views for hospital-at-home and community teams.
Virtual care
Scheduling, video, messaging, and asynchronous review for virtual clinics and remote monitoring programmes.
Scope today
careos is not, on day one, an acute-inpatient EPR replacement.
It is the coordination layer above your existing clinical systems. The platform's architecture supports expanding functionality over time as adoption grows — so the coordination layer you buy today can take on more of the stack as the relationship matures.
Use cases hospitals run on careos
Real workflows. Running today.
Outpatient clinic coordination
Intake, triage, scheduling, and follow-up for hospital-owned outpatient clinics, running alongside the EHR.
Discharge handovers
Structured discharge workflows with handover summaries, downstream routing, and patient communication.
Patient engagement
Multi-channel communication, preference centre, proxies, and unified inbox for patients across the system.
Prior-auth support
Assembly, submission, and tracking of prior authorisations with evidence capture and decision reconciliation.
Compliance evidence
DSPT and DTAC evidence packs assembled from ledgered events, not reconstructed. Customer-side compliance teams get the artefacts they need on demand.
Abnormal observation escalation
Thresholds, deterioration rules and composite risk logic raising structured alerts with acknowledgement and action tasks.
Governance & safety
Evidence your safety teams already expect.
Evidence objects and audit artefacts the customer's Clinical Safety Officer can use during their own clinical safety case work. CareOS Platform does not itself hold a clinical safety case.
Decision support transparency and algorithmic accountability records — full provenance for every AI-assisted output.
Designed to HIPAA Security Rule principles — administrative, physical and technical safeguards engineered into the platform from day one.
Pathway, risk and override events captured in the Evidence Ledger so the customer's safety team can assemble safety-case evidence on demand.
Model and prompt registries, evaluation harnesses, review queues and incident handling aligned to tier-based risk classification.
Every subprocessor, telephony provider, AI provider and storage partner tracked with contract, DPA/BAA and review date.
For hospitals & health systems
Coordinate around what you already have.
Bring the workflows that hurt most. We will show you how careos sits above the stack, reconciles with your EHR, and delivers evidence your safety and compliance teams can rely on.