CCareOS
Clinical AI · interoperability · safety

Return time to care — without weakening trust.

CareOS explores a layer above fragmented hospital systems: source-linked clinical context for clinicians and bounded AI agents, with provenance, uncertainty and human authority kept explicit.

Synthetic / pre-hospital research only. No identifiable patient data. No production write-back.
The question

Can clinicians spend less time hunting, reconciling and re-entering information without losing provenance, uncertainty or human control?

Three ways in.

The project is deliberately layered. A clinician should not need to read the architecture. An engineer should be able to go all the way down to policy boundaries, fixtures and regression tests.

01 · CLINICIAN

See the workflow.

A synthetic Infectiology case focused on microbiology lifecycle, documented therapy, pending work, contradictions and source inspection.

Open clinician demo →
02 · AI ENGINEER

Attack the agent.

Wrong patient, prompt injection, source outage, stale results and unauthorised writes become replayable safety cases.

Open Recare work sample →
03 · SYSTEMS

Inspect the contracts.

FHIR/ISiK, provenance, clinical state, deterministic authority, hospital rollout and global portability live in the repo.

Open repository →

Connect. Don’t replace.

CareOS keeps existing systems of record authoritative. The research question is what trustworthy context and agent controls should exist above them.

KIS · LIS · FHIR · documents · ePA
                ↓
        source-linked context
 identity · provenance · time · state
 contradiction · freshness · pending work
                ↓
       deterministic policy boundary
          ↙                    ↘
     clinician UX          bounded agent
          ↘                    ↙
             human decision

Evidence before claims.

No “9.8/10 ready” badges. Each layer is labelled by what has actually been demonstrated and what still requires a hospital, vendor or clinician.

Clinical workflowDEMONSTRATED SYNTHETICALLY
Agent containmentDEMONSTRATED SYNTHETICALLY
German interoperabilityPARTIAL · REAL VENDOR NEEDED
Production PHIBLOCKED BY DESIGN
Open collaboration · Apache-2.0

Healthcare is a team sport.

Software engineers, clinicians, designers, security researchers, interoperability specialists and researchers are invited to contribute. Start with one bounded problem: one failure → one fix → one regression test.