Platform overview

The complete operating system for care delivery.

careos sits between systems of record and the frontline of care. Nine pillars, fifteen functional areas and nine architectural layers — one coherent platform that runs operations, governs AI, and generates evidence by default.

9 pillars15 functional areas9 architectural layers6 experience surfacesEurope + USA deployment
Nine pillars

Everything care delivery needs, in one platform.

Each pillar is independently substantial and tightly integrated with the rest. No bolt-ons, no fragile middleware, no second system of truth.

01

Command Centre

Live operational view across referrals, episodes, inboxes, field teams and AI workers. One pane where operators see work, breach risk, and unblock care in real time.

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02

Care Graph

A canonical graph of patients, households, episodes, tasks, medications and messages. The structured substrate AI and workflows reason over — not a pile of documents.

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03

AgentOS

Governed AI workforce with five capability tiers, ten named workers, provenance by default and clear human-in-the-loop boundaries for clinically sensitive work.

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04

Evidence Ledger

Tamper-evident audit of every action, AI decision and access event. Automated evidence packs for DSAR, legal hold, access review and incident response.

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05

Studio

Low-code configuration surface for pathways, forms, inbox rules, agent policies and tenant overrides. Operators own their workflows without engineering backlog.

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06

Marketplace

Curated extensions, adapters and content packs — terminology sets, country profiles, clinical content and certified partner integrations deployable per tenant.

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07

Benchmark Network

Opt-in, de-identified cross-tenant benchmarks on operational and outcome metrics. See how your service performs against peers — with governance and consent baked in.

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08

Integrations

FHIR R4, OpenAPI 3.1, SCIM, SSO, signed webhooks and event streams. Adapters for identity, messaging, documents, telephony, devices, finance and payer workflows — behind stable interfaces.

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09

Control Plane

Operator-safe tenancy, regional data residency, metering, health dashboards, support impersonation with banner and expiry, plus backup, restore and offboarding as productised, auditable flows.

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Functional specification

Fifteen functional areas, fully scoped.

Every area is specified down to work-item level in the v4 spec. No hand-waved modules, no “coming soon” placeholders.

IAM-001-008
Identity & access

SSO, MFA, RBAC, proxies, break-glass emergency access with review items and expiry.

PAT-001-008
Patient graph

Canonical person records, merge/split, sensitive segments, households and relationships.

REF-001-008
Referral intake & CRM

Forms, APIs, CSV, eligibility, waitlists and AI-assisted extraction from inbound referrals.

SCH-001-008
Scheduling & field mobility

Appointments, capacity, mobile offline, route views and visit evidence capture.

OPS-001-008
Episodes & care plans

Work inbox, queues, pathways, SLAs, bulk operations and escalation paths.

MED-001-008
Medications

dm+d / RxNorm terminology, reconciliation, administration events and incident capture.

OBS-001-008
Observations & risk

Structured capture, thresholds, remote patient monitoring and AI triage signals.

COM-001-008
Communications

Messaging, channel orchestration, campaigns and reply triage across SMS, email, voice, app.

DOC-001-008
Documents & consent

Versioned forms, e-signatures, structured consent with legal basis tracking.

REV-001-008
Revenue operations

Coverage capture, prior-auth, coding, denial prevention and leakage dashboards.

GRC-001-008
Compliance & governance

DSAR, legal hold, audit, clinical safety case evidence and hazard log linkage.

ANL-001-008
Analytics

Operational dashboards, pathway adherence, commercial metrics and outcome views.

INT-001-008
Interoperability

FHIR R4, OpenAPI 3.1, SSO, SCIM, webhooks and domain event streams.

PLT-001-008
SaaS control plane

Tenants, metering, health, support impersonation with full audit trail.

AI-001-008
AI runtime & governance

AgentOS, model and prompt registries, evaluation harnesses, review queues and provenance by default.

Technical architecture

Nine layers, one platform.

A coherent layered architecture — experience through control plane — with clear contracts between layers and a single shared event model.

L1Experience

Web admin, patient portal, mobile apps, contact-centre console, Studio configuration surface.

L2Application core

Domain services for identity, patient graph, referrals, scheduling, episodes, medications, observations.

L3Workflow runtime

Pathways, SLAs, queues, escalations, inbox rules — deterministic orchestration with tenant overrides.

L4Async & eventing

Domain event bus, outbox pattern, retries, dead-letter queues and replay capability.

L5Operational data

Transactional stores, Care Graph projections, search indexes and analytics warehouse.

L6AI runtime

AgentOS, model registry, prompt registry, evaluation harnesses, provenance store, review queues.

L7Integration gateway

FHIR R4, HL7v2, OpenAPI, SCIM, SSO, webhooks, country adapters, marketplace connectors.

L8Control plane

Tenant provisioning, metering, health, feature flags, support impersonation and audit.

L9Observability

Structured logs, traces, metrics, tenant-aware dashboards, correlation IDs and runbook-linked alerts on every critical path.

Deployment

Two deployment profiles. One codebase.

careos ships with country-specific deployment profiles — distinct terminology, identity, compliance and regulatory packs, toggled by tenant.

United Kingdom

UK profile
  • NHS login and NHS Notify adapters
  • NHS number patterns and demographic services
  • dm+d medication terminology
  • Clinical safety workflow support (customer-side CSO required)
  • DSPT and DTAC workflow support
  • GDPR and DPA 2018 operating workflows
NHS loginNHS NotifyDTACDSPTGDPRdm+d

United States

US profile
  • US Core profile patterns and SMART on FHIR adapters
  • RxNorm, LOINC, SNOMED CT US edition
  • Designed to HIPAA Security Rule principles
  • Transparent AI review/override logging
  • Prior-authorization workflow design
  • NPI, RxNorm, NDC provider and drug identifiers
US CoreSMART on FHIRRxNormNDCNPI
Experience surfaces

Six surfaces for six user populations.

One platform, surfaced through purpose-built experiences for operators, clinicians, patients, partners and careos itself.

web-admin

Operator workspace for referrals, episodes, inboxes, scheduling, medications and analytics.

web-portal

Patient and proxy portal for bookings, messages, documents, consent and self-service.

mobile

Field and clinician mobile with offline capture, route views and visit evidence.

contact-centre console

Unified inbound and outbound console across voice, SMS, email and app channels.

SaaS control plane

Tenant, health, metering and support surfaces for careos operations and partners.

Studio

Low-code editor for pathways, forms, inbox rules, agent policies and tenant overrides.

Evaluate careos

Ready to evaluate careos?

Early-access partners get deep technical walkthroughs, a copy of the v4 specification and a scoped pilot plan for their service line.