AI is changing how software is built.
Governance-native · HealthRuntime™ on FHIR®
Agentic action shapes development and operations — across system and organizational boundaries.
Networked care and interoperability connect teams. In regulated spaces, traceability and defensible evidence apply — organization-wide, in law, standards, and approvals.
The next stage of evolution for regulated software
Agentic development and operating spaces — implemented accountably.
- Context
- Rules
- Accountability
- Transparency
- Provenance
- Versioning
Atoll — agentic development and operating space. HealthRuntime™ on FHIR®, from edge to cloud.
Who holds accountability
IT, product, and quality jointly steer these spaces.
IT & architecture
- Operating spaces: Policies, mandates, and approvals — logged and reviewable in operations
- Interop: FHIR®, federated, side-by-side with core systems
- Security: Zero Trust, RBAC, audit trails, and observability by design
- Operations: Edge to cloud — one runtime, consistently governable
Product & engineering
- Pace: Fast iteration with AI — within clearly bounded spaces
- Stack: FHIR®, APIs, testkit, and plugin architecture in TypeScript
- Changes: Versions, owners, and approvals tracked in the infrastructure
- Release: From PoC into regulated operations — evidence emerges with the release
QM & regulatory
- Regulation: Including EU AI Act, MDR, IVDR, GDPR, and EHDS — anchored in design and operations
- Approvals: Gates, process, and accountability — changes traceable
- Continuity: Evolution with continuous evidence
- Provenance: Origin and versioning — auditable in live operations
Modular — from edge to cloud
HealthRuntime™ combines FHIR® with a plugin architecture — extensions stay bounded and reviewable.
The same policies and evidence — on-device, edge, cluster, or cloud, side-by-side with existing systems. Agents operate within these spaces; they do not define them.
Accountability that emerges with the work.