ECOSYSTEM

One platform.
Every system it connects.

"Connect once. Every clinical and operational system, orchestrated."

Symphonix Health has grown well beyond its four platform pillars. BulletTrain, GHARRA, Nexus A2A and Bevan LLM now orchestrate a growing suite of clinical and operational systems — provider and citizen portals, prescribing, pharmacy, laboratory, radiology, ambulance dispatch, claims, ERP and more — each speaking healthcare standards and connected through one governed hub.

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25+
Clinical systems
8
Operational systems
4
Platform pillars
1
Governed hub
THE ECOSYSTEM

Every system the platform connects.

The platform foundation orchestrates a growing set of clinical and operational systems. Each integrates through BulletTrain using healthcare standards (FHIR R4, HL7 v2, DICOM, X12) so data and AI move safely across the whole estate.

BEFORE EHR Lab Claims AI ✗ ✗ ✗ DISCONNECTED Deploy BULLETTRAIN AFTER BT HUB EHR ✓ Lab ✓ Claims ✓ AI ✓ CONNECTED

Platform foundation

The orchestration core and the shared services every other system builds on.

BulletTrain

The integration hub and system of record — an OpenHIE-framework Health Information Exchange (FHIR R4 native) with the API gateway, registries, terminology and consent/audit.

HIEFHIR R4

GHARRA

Global Healthcare Agent Registry & Routing Authority — zero-trust discovery, verification and routing for healthcare AI agents. Never stores PHI.

Agent registry

Nexus A2A

Open agent-to-agent protocol and SDK for healthcare — JSON-RPC 2.0, JWT and streaming, with route admission and trust bundles.

ProtocolA2A

Bevan LLM

Sovereign, domain-specific clinical language model that can run locally — part of a policy-routed multi-model stack.

AI model

HelixCare

AI hospital-management system built on Nexus A2A — command centre, on-demand gateway and clinician avatar. In active development.

Hospital OS

GDHCN

Digital health certificates — issue, verify and revoke COSE-signed credentials. WHO-GDHCN-aligned and interoperable with EU DCC and ICAO VDS.

Certificates

Symphonix Bridge SDK

Protocol-translation SDK — twelve adapters around a FHIR R4 pivot, the sanctioned outbound seam for federated peers.

SDKFHIR R4

CAID

Centralised Asynchronous Isolated Delegation — the multi-agent engine that generates, documents and assures platform services.

BuildAgents

SignalBox

Browser-attested clinical signal extraction and a governed agent control plane — autonomous persona execution at runtime, plus testing and evidence capture.

AttestationPersonas

Clinical Safety Assurance

An assurance agent that enforces DCB0129 / DCB0160 controls. It supports — and does not replace — your Clinical Safety Officer.

SafetyDCB0129

Patient360 Assistant

A governed, closed-loop patient assistant that federates reads across systems through the BulletTrain gateway, deny-by-default.

Assistant

Prompt Engine

Governed prompts as managed assets — assembly, governance and optimisation for the model calls the platform makes.

PromptsGovernance

Diagnostic Access Network

HelixCare's federated diagnostics access gateway — one governed route into imaging and laboratory capacity across a network.

HelixCareGateway

ORMDET Governance Console

Regulatory, risk and audit console — policy decisions and their evidence in one place. Early in its build-out.

GovernanceEarly

Requirements Engineering Agent

REA — requirements elicitation, well-formedness checking and requirements-quality tooling feeding the CAID build pipeline.

RequirementsAgents

Design System

Design tokens, brand assets and UI kits — the shared visual language every Symphonix surface builds on, plus the Symphonix Launchpad prototype.

DesignUI kit

Clinical systems

Front-line clinical applications, each modelled on real healthcare workflows and standards.

Provider Portal

Clinician and reception workspace — worklist, clinical notes, prescription signing, lab orders, referrals and break-glass. The write-path into BulletTrain.

ProviderDCB0129

Citizen Portal (Patient Portal)

National citizen and patient portal — access your record, manage consent, nominate carers and receive break-glass notifications.

PatientFHIR R4

Electronic Prescribing (EPS)

The prescription lifecycle — repeat and eRD, clinical decision support and dispense reconciliation, modelled on NHS EPS and published with its own FHIR R4 implementation guide.

PrescribingFHIR IG

Prescription Transmission (ETPS)

Store-and-forward transport for signed prescription bundles, modelled on the NHS Spine transport layer.

Transport

Pharmacy

Community and hospital dispensing — five-rights and BCMA checks, controlled-drug register and reimbursement claims.

Pharmacy

Laboratory (LIS)

Order-to-result lab workflow — specimen tracking, analyser interfacing, quality control and critical-value paging.

LaboratoryHL7 v2

Radiology (PACS / RIS)

Modality worklist, DICOM ingest, web viewer, reporting and critical-finding paging.

RadiologyDICOM

Ambulance & EMS

Computer-aided dispatch — 999/111 intake, triage prioritisation, nearest-resource assignment, electronic patient report forms (ePRF) and A&E handover.

EMSCAD

AI Triage

Clinical-risk triage with an outcome-learning feedback loop, augmenting NHS 111/999-style symptom assessment.

TriageAI

Clinical Pathways

Turns nationally approved guidance (NICE, WHO) into individualised patient journeys with orders and referrals.

Pathways

Maternity & Neonatal

Integrated maternity record from booking to discharge — antenatal, intrapartum, postnatal and neonatal, with CTG-linked escalation and perinatal mortality review (PMRT) packages.

Maternity

Community Nursing

District and community nursing — referral triage, caseload, visit planning, wound care and device records.

Community

Perioperative & ICU

Perioperative and critical-care clinical information — theatre lists and ICU surfaces.

PeriopICU

Genomic Medicine

Variant classification (ACMG/AMP), molecular tumour-board MDT, report drafting and cascade testing.

Genomics

Cancer Pathway Tracker

Waiting-time clock management (31 and 62 day), MDT workflow, breach-risk and statutory performance returns.

Cancer

Screening & Recall

Population screening and immunisation call/recall — eligibility, invitations, reminders and failsafe queues.

Screening

Palliative Care (EPaCCS)

Shared advance-care record (ReSPECT, DNACPR) coordinated across GP, hospital, hospice and community.

Palliative

Mental Health Act

Statutory administration across the MHA 1983 lifecycle — detention workflows, section tracking, tribunal management and supervised community treatment.

Mental health

Blood Transfusion

Blood-bank workflow with transfusion safety and traceability.

Transfusion

Mortuary & Medical Examiner

Medical Examiner scrutiny and death certification (MCCD), coroner referral, mortuary chain-of-custody and donation workflows.

Mortuary

Clinical Trials (CTMS)

Trial management — recruitment, consent, visits and safety reporting, supported by a dedicated team of clinical-trials SuperPersonas.

TrialsCTMS

Nursing Station

Ward workflow — observations, tasks, care plans, medicines rounds and handover.

WardNursing

Rehabilitation

Therapy plans and recovery tracking for rehabilitation services.

Rehab

VR Therapy

Immersive therapeutic programmes, delivered and governed through the hub.

VRTherapy

Hear the Risk

Risk scores you can listen to — clinical risk rendered as audio for accessibility and comprehension.

PatientAudio

DNAsound

Genomic data rendered as sound — a reversible molecular sound codec. Research programme.

GenomicsResearch

Counterpoint

Split-identity patient data — an on-device PII vault with pseudonymised clinical data server-side. Proof of concept.

PrivacyPOC

Operational & administrative systems

The back-office and coordination systems that keep services running.

GP / Primary Care

General-practice electronic health record — consultations, prescribing, referrals, results and GP Connect-style interoperability.

Primary care

Appointments

Booking, calendar and waitlist management — FHIR Slot and Appointment, multi-tenant.

SchedulingFHIR R4

Scheduling Gateway

FHIR modality-router that routes referrals across appointments and telemedicine.

Routing

Insurance & e-Claims

Claims clearinghouse — X12 837/835, 270/271 eligibility, 278 prior-auth and denial management.

ClaimsX12

Healthcare ERP

Back-office finance and operations — general ledger, AP/AR, procurement, inventory, HR and payroll.

ERP

Supply Chain

Multi-stockroom inventory, replenishment, logistics, cold-chain breach handling and unique-device-identifier (UDI) movement tracking.

Supply chain

Analytics & BI

A warehouse and dashboards for clinical-operations, payer and executive reporting.

Analytics

HMIS

Health Management Information System — PII-free aggregate reporting, public-health indicators and surveillance.

Public health
A note on maturity. These systems sit at different stages — from production services to reference implementations and modules under active development. All are designed to integrate through BulletTrain rather than point-to-point. For the current deployment status, standards coverage or a demonstration of any specific system, book a walkthrough.

See these solutions in action

Patient Journey Demo Persona-Driven Journeys Cross-Border Orchestration Demo Agent Network Topology Demo

Want to see the ecosystem in action?

Tell us which systems matter to you. Our architects will map your requirements to the right combination of platform services and clinical applications, and show you how they connect through BulletTrain.

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