"Connect once. Orchestrate every clinical and AI workflow."
From triage to payment, from outbreak detection to clinical decision support. Purpose-built solutions powered by OpenHIE (Open Health Information Exchange) framework Health Information Exchange — combining AI agents, healthcare standards, and the mediator pattern for standards-compliant interoperability that transforms how your system delivers care.
Each solution area is backed by BulletTrain's OpenHIE-framework Health Information Exchange, coordinated by intelligent agents using the mediator pattern, and governed by healthcare-grade security. Select the workflow that matches your challenge.
AI agents orchestrate entire patient journeys across departments and organisations through standards-compliant interoperability using the OpenHIE mediator pattern. From triage through diagnosis, treatment, discharge, and follow-up — every handoff is tracked, every referral automated, and every care plan synchronised in real time. Bed management, resource allocation, and cross-team communication happen without manual intervention.
End-to-end claims automation from encounter to payment. X12 EDI parsing handles 837/835 transactions natively, while AI-assisted adjudication catches errors before submission. Eligibility verification runs in real time, denial management surfaces root causes automatically, and appeal generation drafts clinically-grounded responses — cutting days from your revenue cycle.
Secure video consultations with an AI clinical assistant built directly into the platform — not bolted on as an afterthought. Intelligent scheduling matches patients to available clinicians, care session persistence ensures nothing is lost between visits, and e-prescribe integration connects directly to pharmacy and lab systems for seamless follow-through.
Agents continuously monitor clinical data streams for emerging patterns that signal outbreaks or public health threats. Notifiable disease reporting is automated against jurisdiction-specific rules, syndromic surveillance detects anomalies before cases spike, and population health analytics provide actionable dashboards for health authorities at every level.
Ensemble diagnostics use a 4-strategy voting mechanism to reduce misdiagnosis risk. APEX predictive models generate 6 simultaneous risk scores per patient encounter. Evidence-based clinical pathways are personalised to individual patient profiles, and prescribing safety checks cross-reference allergies, interactions, and contraindications before any medication is issued.
Designed for countries pursuing universal health coverage. Multi-standard support spans FHIR, HL7, X12, and DICOM so your system speaks every protocol it needs to. A federated agent registry enables cross-organisational trust without centralised control, and data sovereignty enforcement ensures that patient records never leave the jurisdiction they belong to.
Every workflow above can be walked end to end by a governed persona — a GP, a pharmacist, a laboratory technologist — driving the real user interface through the real policy enforcement point. SignalBox runs the journey headed so a human can watch, switches persona mid-run to prove permissions as well as pixels, and leaves a signed, ledger-anchored evidence manifest at every leg. 203 executable journey scenarios, 111 of them persona-driven.
The patient-visit acceptance programme walks 31 care hops across 5 pathways — emergency department from walk-in chest pain to discharge, a booked outpatient visit with same-day diagnostics, screening recall through genomics-guided therapy, maternity from antenatal review to neonatal handover, and a Mental Health Act assessment. Symphonix executes 14 hops autonomously and assists on the other 17, under graduated autonomy: every action carries a tier from T0 human-reserved to T3 autonomous, and statutory decisions — sectioning, death registration — stay human-reserved in code, not in policy.
See these solutions in action
Every solution above is delivered by a growing suite of clinical and operational systems — provider and citizen portals, prescribing, pharmacy, laboratory, radiology, ambulance dispatch, claims, ERP and more — all orchestrated through BulletTrain.
Explore the ecosystemTell us about your use case. Our solutions architects will map your requirements to the right combination of BulletTrain services and clinical agents — with guaranteed delivery for clinical and AI workflows.
HIPAA compliant • GDPR enforced • HITRUST aligned • No patient data in this form