Architecture & APIs

One API surface. One identity. One record.

HealthOS exposes a unified API surface across its four architectural layers. Every capability shares the same identity layer, the same audit trail, and the same data model — so institutional integration is with HealthOS, not with a catalog of products.

Last reviewed:

334

unified capabilities

FHIR R4

+ domain-native

REST

+ event streams

6 regions

one codebase

Architecture

HealthOS runs as one coherent system.

Every capability reads and writes against the same four-layer architecture above a shared data model and identity layer.

INTELLIGENCE · reasoning observes every layerClinical reasoning · predictive systems · safety · model governance01 · LAYERClinicalRecord · reasoning · safety · assessment02 · LAYEROperationalCommand · scheduling · quality · incidents03 · LAYERFinancialCapture · RCM · insurance · pharmacy04 · LAYERPatientLifetime record · portal · family graphOne data modelshared across every layerOne identity layergoverns clinician, system, and AI access
Surface by domain

Capabilities are organized by architectural domain.


  • Clinical

    112

    Record, encounter, orders, documentation, safety, assessment.

  • Operational

    74

    Beds, staffing, theaters, incidents, quality, consent, facilities.

  • Financial

    68

    Charge capture, revenue cycle, claims, pharmacy economics, tariffs.

  • Patient

    52

    Longitudinal record, portal, messaging, PROMs, family graph, recall.

  • Intelligence

    23

    Reasoning surfaces — risk, safety, prediction, model governance.

Endpoint specifications, request and response schemas, authentication flows, and event payloads are not published publicly. Technical detail is provided to certified integration partners under NDA.

Integration patterns

Three ways institutions integrate.


Transactional.

Request / response for clinical, operational, and financial workflows. Every call is identity-governed, audit-logged, and reasoned upon by the Clinical Reasoning Layer where clinically relevant. Idempotent writes. Typed responses. Versioned.

Streamed.

Event streams and signed webhooks surface clinical, operational, and financial events in real time to institutional data platforms, SIEM, and downstream analytics. Every model-surfaced event carries its version and review trail.

Standards-aligned.

FHIR R4 resources are served where the standard models the workflow — patient, encounter, observation, medication, procedure, condition, allergy, and adjacent. Domain-native surfaces cover operational, financial, and reasoning workflows where FHIR does not apply.

Architectural principles.


Cloud-native, multi-tenant.

Per-tenant isolation at the data, identity, and compute layers. Sovereign deployments support dedicated and air-gapped configurations.

Role-based workflow engine.

Declarative, role-governed workflows share one engine across clinical, operational, and financial domains. Role boundaries enforce institutional policy.

Identity-governed end to end.

Every request — human, system, or AI — is authenticated, authorized, and audited against the same role-based identity layer. A model cannot see what a clinician cannot.

Reasoning inline.

The Clinical Reasoning Layer observes clinical requests and surfaces safety, risk, and recommendations into the workflow. Advisory by default; clinician decides.

Event-sourced institutionally.

Clinical, operational, and financial events are durable and replayable for institutional data platforms and audit. Signed delivery. Versioned schemas.

Region-resident.

EU, UK, US, Middle East, APAC, India. No cross-region data transfer except where explicitly authorized by the institution.

Standards where they fit.

FHIR R4 where the standard models the workflow. Domain-native surfaces where it does not. No retrofit of operational and financial workflows into clinical-only standards.

Mobile-first surfaces.

Mobile-first clinical surfaces for iOS and Android. Browser-grade administration. One codebase across surfaces.

Platform capabilities.


  • Cloud-native, multi-tenant

  • Role-based workflow engine

  • Event streams for institutional data platforms

  • Signed webhook delivery

  • FHIR R4 alignment where standards apply

  • Domain-native surfaces where they do not

  • Per-tenant isolation

  • Customer-managed encryption keys

  • SAML 2.0 + OIDC single sign-on

  • Identity-governed AI access

  • Region-resident deployment

  • Air-gapped sovereign option

  • Mobile-first clinical surfaces

  • Browser-grade administration

  • ISO 27001 architecture

  • SOC 2 architecture

Technical access

Detailed technical documentation is provided under NDA.

Architecture dossiers, API specifications, event schemas, security questionnaires, and sandbox access are provided to institutional buyers and certified integration partners under standard confidentiality. Technical briefings are scheduled with the Veronara architecture team on request.

Engage Veronara.

Executive briefings are offered to hospital networks, ministries of health, and enterprise healthcare institutions.


Investor Relations

For qualified institutional investors.

Reviewed by institutional engagement.


Request Executive Briefing

For hospital networks and enterprise healthcare institutions.

Acknowledged within two business days.