Agentic Operating System for Healthcare

Accelerating Healthcare Systems into the Agent-Driven era.

CognitiveMed AI unifies fragmented health systems, automates clinical and operational workflows, and layers agentic AI across the journey — moving organizations from describing what happened to prescribing what to do next.

FHIR-native
Standards-based clinical data layer
Mining · AI · Agentic
Unified analytical engine
Epic · Cerner
Environment-adaptive integration
Established Engagements

Already at work across the healthcare & life-sciences ecosystem.

4+
Pharmaceutical organizations
15+
Public & private hospitals
1+
National health research institute
Native to Healthcare

An operating system, not a point solution.

Every layer is purpose-built for clinical environments — from the data standards underneath to the AI apps your own teams build on top.

FHIR-native

Standards-based clinical data interoperability across every connected system.

Genomics-native

Variant interpretation and precision medicine intelligence.

Medical Ontology-native

Clinical NLP, semantic understanding, and auto-coding.

AI-native Plugin Apps

Modular clinical and operational applications.

Vector-based Queries

Search by meaning, context, and similarity.

Citizen Developer-native

No-code creation of healthcare AI solutions.

An AI-Powered, Data-Driven Organization

From hindsight to foresight.

Most health systems are stuck describing the past. CognitiveMed AI moves you up the analytics maturity curve — pairing data mining, process mining, and agentic AI to make operations proactive rather than reactive.

01 / DESCRIPTIVE

Descriptive

What happened?

Integrated dashboards and historical analytics give leaders a clear, evidence-based view of operations and clinical history.

02 / DIAGNOSTIC

Diagnostic

Why did it happen?

Process mining reconstructs real clinical and operational pathways from the data itself, surfacing the root causes behind outcomes.

03 / PREDICTIVE

Predictive

What is likely next?

Internally and externally developed models forecast risk, deterioration, and demand — embedded directly in the workflows that act on them.

04 / PRESCRIPTIVE

Prescriptive

What should we do?

Agentic AI and automation close the loop — recommending and executing the next best action. Proactive, not reactive.

At the Intersection

Mining. AI. Agentic.

We pioneer novel analytical methods by combining three disciplines into one engine — advanced analytics, intelligent decision-making, and autonomous process execution working as a single system.

Mining

Data mining and process mining extract patterns, pathways, and cohorts from the raw signal — turning fragmented records into structured intelligence.

AI

Predictive, survival, vector, and generative models layer over your data — embedding clinically defensible intelligence at the point of decision.

Agentic

Agentic AI lets systems talk to each other and replace manual, repetitive tasks — autonomously executing the next best action for efficiency and a durable competitive edge.

1
Virtually Centralize DataBring all fragmented data into one place to enable automation.
2
Automate WorkflowsLet software systems talk to each other and replace manual tasks.
3
Integrate Agentic AILayer agentic AI into workflows for efficiency and competitive edge.
One Platform · Open-Ended Possibilities

Built for the full range of clinical and operational use cases.

The same underlying engine powers research, care delivery, and operations — deep domain knowledge and best practices, delivered cost-effectively and at lower risk.

01

Cohort Detection

Define and discover patient cohorts across structured and unstructured data for research and care.

02

Clinical Pathways

Discover and optimize real care pathways reconstructed directly from event data.

03

Protocol Design

Design and develop study protocols grounded in real-world population evidence.

04

Novel Predictors & Detectors

Build and validate new predictive and diagnostic signals with integrated MLOps.

05

Feasibility Testing

Rapid "look-see" feasibility queries before committing to a full study or build.

06

Personalized Precision Health

Match patients to analogous cohorts using genomic, clinical, and social similarity.

07

Workflow Automation

Orchestrate clinical and administrative workflows end to end with agents and automation.

08

Environmental & IoT Alerts

Monitor sensor and environmental streams and act on them in real time.

09

Demand Forecasting

Forecast capacity, volume, and resource needs across the system.

10

Intelligent Logistics

Optimize inventory, supply chain, and resource flow with operations research and demand-driven automation.

11

Anomaly Detection

Surface temporal and stationary anomalies before they become incidents.

12

QC Trend & OOT Detection

Track quality-control parameters and detect out-of-trend behavior automatically.

The Intelligence Layer Above the EHR

A FHIR-native, federated clinical data repository.

CognitiveMed AI consolidates diverse clinical, genomic, and operational datasets into a single, standards-based foundation — automatically fetching and merging related information from wherever it lives.

  • HL7 FHIR core — RESTful APIs, JSON/XML, real-time interoperability across systems.
  • Federated construct — SQL, MongoDB, CSV, Parquet, DICOM, Salesforce, and cloud sources unified.
  • Terminology & ontology services — SNOMED CT, ICD, LOINC, RxNorm, CPT, HCPCS code mapping.
  • Vector search — encode unstructured notes for semantic, embedding-based querying.
FHIR
Data
Repository
HL7 FHIR SQL MongoDB DICOM Parquet CSV Salesforce
Intelligence In Production

Models that don't just predict — they act.

From schema-aware querying to managed model lifecycles, the platform takes intelligence from exploration to dependable, production-grade operation.

Process Mining

Reconstruct clinical pathways directly from event logs — a continuous self-improvement engine that reveals how care actually happens versus how it was designed.

Predictive & Survival Models

Run predictive diagnostic and survival analyses with both internally and externally developed models, including interactive what-if scenario controls.

Integrated MLOps

Manage the full machine-learning lifecycle in production — versioning, monitoring, and performance evaluation so models stay accurate and accountable over time.

Precision Medicine

Cluster populations by genomics, family history, and social determinants — then match patients to analogous cohorts to anticipate likely treatment outcomes.

Agents

Agents with judgment — inside workflows with accountability.

CognitiveMed AI puts agents where healthcare actually needs them: inside the governed workflows that run the enterprise, not bolted on beside them.

Use case · Cohort discovery

The data-mining agent

It turns the question a clinician actually asks into a query you can run. Most cohort tools stop at what happened — a flat list of conditions, medications, and observations. Our agent asks when and where, relative to everything else in the record.

A stroke, then a new medication one to three months later, then a follow-up within five months of that. Care episodes that began within 50 km of home. Time-to-treatment measured against the event that actually governed it — not an average of everything nearby.

Every step is a node; every edge carries a temporal or spatial window — so the same resource can appear more than once in a chain.

Runs on standard FHIR · no new data model · no migration
+1–3 mo ≤ 5 mo 1 2 3 Stroke New medication Follow-up within 50 km of home
Use case · Governed automation

Agent nodes in your workflows

Teams visualize their automation as a graph, then drop in an agent node — an AI reasoning step that decides for itself which sources to consult and returns a structured, evidence-cited proposal.

FHIR records, DICOM imaging, databases, knowledge graphs, trained predictors and detectors — even live traffic, weather, GIS, and logistics.

One reasoning engine, every system you run on — triggered on demand, on schedule, or by live events.

FHIR & DICOM Databases & warehouses Knowledge graphs Trained predictors GIS · weather · logistics AGENT Structured, evidence-cited proposal
Governed by Design

Safety is architecture, not policy.

Agents hold read-only access by construction. Every consequential action follows a propose → approve → execute path with a clinician's decision in the middle — and the graph itself refuses to be drawn any other way.

Step 01

Propose

The agent observes and drafts a recommendation.

→
Step 02

Approve

A human reviews the evidence and decides.

Clinician in the middle
→
Step 03

Execute

Only an approved action is ever carried out.

Read-only by construction

Agents can observe and propose — never act on their own.

One joined audit record

What the agent saw, what it proposed, why, and who approved.

Your model, your walls

BAA'd cloud or fully on-premises inference — PHI never leaves.

Workflow engine evaluation gate

No model reaches production without passing the workflow engine.

Applications

AI-native applications, built on the platform.

CognitiveMed extends beyond analytics with AI-native, agent-based applications built on the underlying data platform, AI services, and workflow automation. Each one continuously monitors data, reasons over changing clinical and operational conditions, coordinates workflows, surfaces recommendations, and initiates action — with human oversight where it's required.

Every application reads the same FHIR resources — no app owns its own database

Genomics

Precision Medicine

Interprets genomic information alongside clinical and phenotypic data to power variant analysis, patient stratification, biomarker discovery, and personalized treatment — advancing precision medicine and research.

Surgery

Perioperative Operations

Optimizes OR utilization through intelligent scheduling and resource coordination — coordinating personnel and equipment, anticipating scheduling conflicts, and improving surgical throughput and efficiency.

CRO

Clinical Research Operations

Streamlines study management, patient and cohort identification, recruitment, and protocol compliance — integrating clinical and research data to accelerate study execution with greater operational visibility.

CDMO

Clinical & Commercial Manufacturing

Monitors and automates clinical-trial and commercial-scale manufacturing — coordinating production workflows, tracking quality parameters, flagging out-of-trend conditions, and delivering real-time supply-chain intelligence.

RCM

Revenue Cycle Management

Automates the revenue cycle end to end — from patient access and eligibility to coding, claims, denials, and collections. Agents surface revenue leakage, prioritize exceptions, and automate follow-up to accelerate cash flow.

Real-Time by Design

Receive, monitor, and act on data as it moves.

Build, storyboard, and manage a portfolio of data-driven applications — activated however your environment demands.

INTERACTIVE

User Activation

Built-in dashboards, portals, and mobile apps put intelligence directly in users' hands.

REACTIVE

On-Demand Streams

Observe IoT, Kafka, and database streams and react the instant conditions change.

SCHEDULED

Background Activation

Run periodic, automated processing and monitoring with no human in the loop.

API

Consumer Apps

Trigger and integrate via API from EHRs and downstream consumer applications.

Let's build your data-driven organization.

See how CognitiveMed AI adapts to your environment — Epic, Cerner, or beyond — and turns your clinical data into measurable outcomes.