54 nations. 1.4 billion people. The opportunity to build AI-native health infrastructure without decades of legacy debt.
BulletTrain implements the OpenHIE (Open Health Information Exchange) mediator pattern — the WHO-endorsed architecture for national-scale Health Information Exchange. For countries building digital health infrastructure from the ground up, this means standards-compliant interoperability from day one. Connect hospitals, labs, insurers, and public health systems through a single orchestration layer supporting FHIR, HL7, and DICOM with full audit visibility. Deploy on sovereign infrastructure within your data boundaries.
A federated registry so health systems across Africa can discover and verify AI agents operating in clinical environments. Each country controls its own registry node. Cross-border collaboration becomes possible without patient data leakage. Facility directories, agent credentials, and capability maps — all auditable.
25 clinical agents covering triage, diagnosis, imaging, pharmacy, discharge, follow-up, and public health surveillance. The Agent-to-Agent (A2A) communication layer lets AI agents coordinate patient care across departments and facilities. Designed for the complexity of multi-facility, multi-agent clinical workflows.
See the platform in action
Patients cross borders. Diseases cross borders. Health records do not. This is the gap that costs lives.
Countries across Africa, the Caribbean, and the Pacific are implementing health information exchange frameworks aligned with the Open Health Information Exchange (OpenHIE) architecture, including Ghana, Nigeria, Sierra Leone, Senegal, Rwanda, Uganda, Tanzania, Ethiopia, Mozambique, Malawi, Burkina Faso, Cameroon, Côte d’Ivoire, Togo, Mali, South Africa, Egypt, the Democratic Republic of Congo, Zambia, and Zimbabwe — with growing adoption in the Caribbean (Jamaica, Trinidad and Tobago, Guyana, Barbados) and Pacific Island nations. BulletTrain provides the production-grade implementation that connects these national systems through federated, sovereign orchestration.
Digital health interventions across Africa and comparable markets are already demonstrating measurable improvements in cost, quality, and access.
Health systems without decades of legacy infrastructure can adopt AI-native architecture from day one — the same way mobile banking leapfrogged branch networks across Africa.
You are not replacing an existing system — you are building one. BulletTrain is designed for greenfield deployment. No migration costs. No compatibility layers. No compromises with decade-old architectures. Start with AI-native infrastructure from day one.
Health systems pursuing World Health Organization (WHO) funding must demonstrate standards compliance. BulletTrain implements the complete Open Health Information Exchange (OpenHIE) reference architecture with Integrating the Healthcare Enterprise (IHE) Patient Identifier Cross-referencing / Patient Demographics Query (PIX/PDQ), Mobile access to Health Documents (MHD), Fast Healthcare Interoperability Resources (FHIR) R4, and WHO-required terminology standards. Your procurement evaluation starts with a passing grade, not a remediation plan.
Your country's patient data stays in your country. Period. Each nation runs its own BulletTrain instance within its own data boundaries. The Global Agent Registry enables cross-border discovery and trust without centralising patient data. This is not a feature — it is the architecture.
Large-scale health information exchange deployments in advanced economies have cost billions. BulletTrain's modular architecture means you deploy only what you need today — Client Registry and Shared Health Record first, then Terminology Service, AI agents, and cross-border federation as your capacity grows. Start small. Scale nationally.
Every health system is different. We work with national health authorities, hospital groups, and digital health teams to understand your specific context and design an approach that works.