The runtime layer between your systems and everything that needs to use them.
Connect healthcare systems once, then build applications, agents and clinical workflows safely on top of them.
Each solved its layer. None created the runtime between them.
Connections and adapters · protocol and format handling · record access · identity infrastructure · event ingestion · unified APIs.
Terminology graphs · concept resolution · local code mapping · context reconstruction · temporal and negation logic · validation · evidence and confidence.
Policy evaluation · purpose limitation · minimization · de-identification · scoped authorization · secure model dispatch · computation-to-data execution · retention · provenance.
Triggers · routing · workflow state · thresholds and approvals · retries and exceptions · human-in-the-loop · cross-institution coordination · observability.
OS37 creates a consistent computational environment across institutions — so workflows travel, models perform better and more evenly, and every action remains governed and attributable.
Healthcare breaks workflows that should work everywhere.
One patient, duplicated and contradictory. One concept, three names, no shared meaning. One model, uneven performance from site to site. Useful data trapped behind custody.
EHRs organized the record. And locked it in. Integration engines moved the data. And rebuilt every deployment. Clinical AI produced answers. And could not act on them.
Each solved its layer. None created the runtime between them.
Everyone built upward. Nobody built the layer between.
One layer beneath every clinical workflow.
OS37 creates a consistent computational environment across institutions — so workflows travel, models perform better and more evenly, and every action remains governed and attributable.
What resolved is the artifact, not the sentence you typed: readable before it runs, diffable when it changes, attributable after.
Four ways in, one graph underneath.
A runtime that writes your clinical logic and won't show you what it wrote cannot be governed.
Every node in that graph is a primitive. No privileged layer we kept for ourselves. Every primitive reachable through chat, API, SDK, MCP or visual blocks.
We never take custody. We never own it. We never look at it.
Nothing runs anonymously. Each request declares why it exists and who is asking — before any record is touched.
A refusal means nothing was read. Permission is proven first, never assumed.
The full record is never assembled. Only the fields a purpose needs ever leave their place.
No patient, no record, no path back. Compute travels to the data through a single gate.
Re-identification happens inside, against the record the clinician already had access to.
Each access, transformation and rule applied — one signed entry, fully traceable.
Yours. Never owned by us, never copied into anything of ours.
The minimum for a declared purpose, de-identified by default.
Nothing. Not our people, not our systems.
Every access, every transformation, every rule applied.
Permissions are purpose-bound and institution-set. Yours to grant, yours to revoke.
Every deployment leaves its substrate behind. The next one inherits it and starts from what already runs — so the work moves from infrastructure to the workflow itself.
Everything included from the first tier — all primitives, all modules, all interfaces, all connectors. No charges for seats, connectors, sites or features.
One working session. Bring the systems you run and the workflow you need; leave knowing what becomes possible and what it takes.