Company
News & Insights
Architecture milestones, product launches, and technical publications from the medOS ultra engineering team.
01
News
- 2026-06-10Bot Extension Substrate ships — one automation engine for HORUS twin, PRM, marketing, insurance and intelligence botsP0 built and deployed: a twin sensor flows through propose → inbox end-to-end live, and the twin-signal cron is running in production.
- 2026-06-10OPD AI Autopilot P1 + P2 shipped: screening station with AI triage, consultation auto-assign with 3-step attending fallbackThe screening station wraps the existing ScreeningV2 with an AI triage proposal, and consultation rows auto-assign to the attending via a verified ConfigDrivenTable row-detail seam.
- 2026-06-10Labor ward TOR 3.11 gap-fill: WHO partograph with alert/action lines, ICD frequent-code helper, obstetric high-risk projectionThe labor-ward module gains a WHO partograph with alert and action lines, a frequent-code ICD helper, and a high-risk projection trigger live on Supabase.
- 2026-06-10Inventory homogenization P0–P3 shipped: live stock stream, consume-to-charge ledger, 9-kind rules engine3,892 balances / 20,237 catalog / 3,309 alerts live on PH Supabase, a consume-to-charge billable_ledger trigger, and a 9-kind inventory rules engine.
- 2026-06-10Data Activation & Integration Center: Document Intelligence, Spreadsheet Ingest, Smart Intake Inbox, connector topology mapHDAP becomes the one center for data-in and AI analysis — document intelligence, in-browser spreadsheet ingest, an AI patient-matching intake inbox, and a hub-and-spoke ReactFlow topology map.
- 2026-06-10Voice attestation AI sign-off shipped (flag-off): speaker verification with phrase-challenge anti-replayA second biometric modality for AI order sign-off — WeSpeaker/TitaNet speaker verification, phrase-challenge anti-replay, and a VoiceOrb enrollment experience.
- 2026-06-09AHP-led care pathway P0 scaffold: doctorless-clinic profile with red-flag detector and medos-vietnam market packA swappable care-setting profile for physician-absent clinics — Lane A/B/refer/blocked routing, a presentation-based red-flag detector, and a new Vietnam market pack.
- 2026-06-05HORUS Decision Twin calibrates live from hospital operational factsThe twin_metric_* RPC registry is wired so the workforce agent calibrates live FTE from real operational facts instead of hardcoded ratios.
- 2026-06-05EMR Cowork substrate P0+P1 shipped: agent identity, proposal acks, Inbox Accept/Edit/RejectHospital-wide AI coworkers get real identity (cowork_agents), a proposal/ack mechanism, and an Inbox where every action is accepted, edited, or rejected by a human.
- 2026-06-04Charge-capture billing engine fully deployed: 34,205 SKUs backfilled, financial + gateway routes liveMigrations 20260609a-g are live, edge functions v43/v2 are active, the 34,205-SKU menu is backfilled, and the financial and gateway routes are already served.
- 2026-06-03Vercel deployment pipeline optimized: build-on-release-branch only, ~$117/month savedGating Vercel builds to the release branch eliminated ~100 redundant builds per week — the ~44 daily main commits no longer each rebuild the whole app.
- 2026-05-29Auto-assign dispatcher shipped: porter → queue projection, SUGGEST panel with notify-on-assignThe existing auto-assign engine finally fires on order events — a trigger AFTER INSERT ON department_queues drives suggestions in the PorterGigBoard with notification on assignment.
02
Press Releases
- 2026-06-10medOS ultra announces Bot Extension Substrate — one automation engine extensible to PRM, marketing, insurance and intelligence without new codeA single automation engine now extends to relationship, marketing, insurance, and intelligence bots through three reusable seams — no new code per use case.
- 2026-06-01medOS ultra launches across six markets: United States, UK/Europe, Japan, China, Southeast Asia and AustraliaOne codebase, six markets — region-specific behavior ships as market packs of seed data, insurance rates, and locale configuration, not code forks.
- 2026-05-27Unified billing & RCM master contract consolidates 9 architecture docs covering NHSO, PhilHealth, Kaigo and DRGA single master contract consolidates nine billing and revenue-cycle documents into one source of truth spanning every supported payment model.
- 2026-05-15Perioperative suite launch: OR Room Status Board, Turnover, CSSD, Incident and Block Utilization in one releaseFive perioperative surfaces ship as one integrated suite — 11 migrations, cross-feature triggers, and a canonical OR-record linkage.
- 2026-05-10Universal facility-stay billing engine: one rule engine for NHSO grace rounding, PhilHealth packages, and Kaigo co-pay capsA single rule engine expresses every country's facility-stay billing as data rows — grace periods, rounding modes, day caps, package replacements, and co-pay caps.
03
In the News
- 2026-06-05Why recommender-first AI is the only safe pattern for clinical automationThe medos.propose() contract is a model for healthcare AI governance: AI drafts, humans decide, and every decision becomes a training signal.
- 2026-05-20The post-EHR era: event-driven hospital systems and the end of nightly batch processingEvent-driven architecture replaces nightly batch jobs — encounters, orders, and results propagate as events into a realtime read model.
- 2026-05-10How the device line separates defensible hospital AI from regulatory liabilityThe HORUS Decision Twin architecture draws a clear device line — keeping the model a decision-support asset rather than an unregulated actor.
- 2026-04-30Market packs vs code forks: why the best multi-country HIS implementations are data, not branchesCountry-specific behavior belongs in data rows, not divergent branches — the discipline that lets one codebase serve every market.
- 2026-04-15From HL7v2 to FHIR R4: the interoperability stack a modern hospital needsMLLP, FHIR subscriptions, DICOM MWL, and a connector store — the layers that let a modern hospital talk to everything around it.
04
Publications
- 2026-06-10Bot Extension Substrate — one engine for HORUS twin, PRM, marketing, insurance and intelligence via three seamsA 10-slide deck on turning the automation engine into a universal substrate through trigger sources, medos.* SDK namespaces, and cowork identity.
- 2026-06-05The Hospital Data Advantage (whitepaper) — turning outcome corpora and document intelligence into a decision moatA whitepaper plus a 12-slide deck and 2-page brochure on the two assets a hospital already owns — outcome histories and documents — as the moat under the decision twin.
- 2026-06-04Operational Facts & ERP/HRM Activation — feeding the decision twin without building a lite ERPHow to calibrate the twin from operational facts via connectors, a manual cost-capture form, or derivation — plus a 48-connector catalog with honest statuses.
- 2026-05-27Revenue Platform Master Plan — 15 bounded contexts, 8 payment models, multi-country three-tier architectureFourteen documents covering medical coding, payment models, VBHC, and a three-tier architecture that keeps clinical, payment-model, and regulatory concerns separate.
- 2026-05-15Universal Facility-Stay Billing Engine (technical brief) — one rule engine for every country's stay billingA technical brief on the rule engine that expresses rounding modes, grace periods, day caps, surcharges, and package replacements as per-country data rows.
- 2026-05-10RUDS: Rogue User Detection System — platform-wide behavioral threat detection across 16 servicesA behavioral threat-detection design unifying four audit-log silos, with 17 seed rules, two-tier scoring, and an AI second opinion under hard clinical constraints.
- 2026-04-20The Hospital Decision Twin: stochastic programming on real operational dataThe foundational paper on the decision twin — the atom of the model, the device line, and why the guardrail is an asset rather than a constraint.