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Governance-native · HealthRuntime™ on FHIR®

AI is changing how software is built.

HealthRuntime™Developer hub

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.

Atoll
  • 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 pilot 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
Agentic AI: multimodal – HL7 FHIR® context, DICOM imaging, steered via MCP

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.