GNOSIS HealthIndependent record integrity

How the engine works

Read  →  Cross-check  →  Flag  →  Clinician review  →  Sealed

The ideaIt works on the record, not the room. It flags what contradicts or stays open, and seals the proof.
Read the record01
Electronic record
  • Orders and medications
  • Lab and imaging results, with status
  • Notes and problem lists
  • Referrals and acknowledgements
Context
  • Admissions, transfers, discharges
  • Who ordered, who is on shift
  • Timestamps: who / what / when
Read via HL7 / FHIR from CorCare and connected systems. No new data entry. No conversations, no audio.
Cross-check, in Canada02
IngestHL7 / FHIR
→
NormalizeLOINC · SNOMED · RxNorm
→
Match patientone timeline
→
Time-alignevent order

Handoff integrity

  • Pending result not carried
  • Certainty changed on transfer
  • Open task dropped

Charting integrity

  • Result should change plan
  • Confirmed, no study on file
  • Note vs the data beside it

Results

  • Critical, no review
  • Released before review
  • Result never returned

Referrals

  • Sent, not acknowledged
  • Routed to wrong provider
  • Never transmitted

Accountability

  • Every action stamped
  • Sealed, tamper-evident
  • Chain breaks if altered
Scored & prioritized
Every flag ranked by severity, likelihood of harm, and confidence, so only what matters reaches a person.
High · act nowMedium · soonLow · info
Deliver, in the flow03
EHR panelSMART on FHIR
Unit worklisttask queue
Sealed receiptwhy it flagged
Integrity reportby site & unit
At the bedside04
GNOSIS · in CorCare 3
HIGH · OPEN LOOP
Critical result, no review
released 14:32unreviewed
HIGH · CHARTING
Result vs plan
new resultorder unchanged
MEDIUM · REFERRAL
Not acknowledged
aging · day 12
One catch, start to finish
1Ordered

An urgent test is ordered before shift end.

→
2Resulted late

It files overnight, after the orderer has left.

→
3Cross-checked

Criticality checked against acknowledgement.

→
4Flagged

HIGH: critical result, no acknowledgement.

→
5Reached

Routed to the covering team's worklist.

→
6Reviewed

Covering physician acts on it, hours sooner.

→
7Sealed

The catch and the fix are on the record.

Security & residency

Built for AWS Canada, ca-central-1. Encrypted in transit and at rest. Role-based access. Full audit logging. Sealed, tamper-evident record.

Sits beside CorCare

Independent, never in the way. No new hardware, no new login for the everyday flow. Reads the record through standard interfaces.

Outcomes

Catch what nothing else checks. Close the open loops. Protect the clinician who did it right. Measurable integrity, by site and unit.

Right information. Right time. Right person. Every time.GNOSIS Health · St. John's and Paradise, NL · 2026