What we do

We advise and we build across strategy, implementation and agentic clinical coding.

What we do

Where we go deep.

We work across the digital health stack. The thread through all of it is hard problems that need both judgement and engineering.

Digital health strategy and governance

We set digital health strategy with health systems and agencies, then stand up the governance that keeps it safe. This is the assurance work public organisations cannot afford to get wrong.

Advisory

EMR, interoperability and engineering

We choose and implement EMRs, then make them talk to everything else. Interoperability is the core skill, built on FHIR and HL7 by people who ship code.

Build

Agentic clinical coding

Clinical coding is our specialty. If someone says AI has solved clinical coding, they are selling a lie. We invented agentic clinical coding to surface evidence and keep coders in control.

Flagship

Services

What we take on.

Pick the piece you need, or bring the whole problem. We work end to end.

Digital health strategy

We set the direction for digital health programs and make the business case stand up to scrutiny.

Strategy

Public health technology governance

Clinical safety and data governance for technology that public systems depend on.

Governance

EMR selection and implementation

We pick the right EMR for your service and run the rollout without the usual chaos.

EMR

Interoperability

We connect systems with FHIR and HL7 so data moves cleanly between them. SMART on FHIR included.

FHIR and HL7

Clinical coding

Deep expertise in clinical coding, from audit through to revenue integrity.

Coding

Agentic clinical coding

We build clinical coding agents around evidence and review. The goal is safer automation with coders still in control.

Flagship

Medical software development

We build production medical software that is secure by default and ready for real use.

Build

Digital health AI

Practical AI for health, scoped to a real problem and built to hold up in production.

AI

Need something not listed here?

Tell us the problem and we will tell you if we can help. Get in touch.

Agentic clinical coding

Agentic clinical coding for real work.

Clinical coding is one of the hardest problems in digital health. We do not accept the claim that AI has solved it. CoterieOS is our proof point for agentic clinical coding that drafts codes with evidence and sends uncertainty back to humans.

Specialty-trained agents

We shape coding agents around a discipline, so they read clinical context like experienced coders.

Evidence before confidence

A code suggestion is useful only when the coder can see why it appeared.

Human review stays central

Corrections improve the workflow without pretending the system is fully autonomous.

example coding review 3 matched
M79.3 Panniculitis, unspecified 94%
99213 Office visit, established patient 88%
Z79.899 Long-term use of medication 76%
R52 Pain, unspecified 41%
M54.5 Low back pain 38%

Illustrative example. Codes are not from a real patient.

The bigger picture

Good care depends on seeing the whole patient.

A patient's story usually sits in pieces that never meet. We bring those pieces together where care happens, so the people looking after someone can see what they need, when they need it.

Not sure which piece you need?

Start a conversation and we will scope it with you.

Book a consultation