Every vendor reinvents the same foundation — identity, permissions, consent, audit — privately, incompatibly. That's why nothing trusts anything. CORE is that foundation built once, properly: our first product. We built nine more on top of it. Yours can be next.
A trusted foundation for every healthcare solution — identity, permissions, consent, audit — built once, properly. Every application above inherits its capabilities, whole.
Build a service once, in the foundation, and every application inherits the capability — fix it once, everything gets the fix; upgrade it once, everything gets the upgrade.
And it scales the same way: a new service lands in the foundation once, and every application can use the capability the moment it ships. Build what you need without compromising the foundation — which buys six properties no feature list can:
Every action becomes a permanent event; any record replays exactly as it stood at any moment. "What did the clinician see at 2:14 PM?" is a query, not a forensic project.
Identity, clinical, and operational data are structurally separated — a breach of any one yields data that is meaningless on its own. How anchoring works →
The record is current the moment it's written — queries, dashboards, and decisions run on what happened, not last night's batch.
Every record is captured in a form aligned with FDA real-world evidence guidance — the same provenance, immutability, and audit trail a clinical-trial submission demands. Born that way, not reconstructed after.
Consent that actually compartments — enforced by architecture, not policy, 42 CFR Part 2 included — plus credentialing, jurisdiction rules, incident reporting, attestation.
Most products spend years defending the seams. On CORE there are no seams to defend.
Run in our cloud, in-country to meet data-residency requirements, or on your own servers — the same platform, wherever your data is legally required to live.
And it lasts. While healthcare is still retiring fax machines, CORE is built on NIST's post-quantum standard — the same one Google shipped in 2025.
Records meant to last decades, protected past the horizon.
Seven stages. Every one a receipt. The model is the only part you can swap.
You're not locked into a model.
You're locked into the governance.
AI changes every month. Each capability runs the model that suits it best — swap it, upgrade it, retire it. The permissions, scopes, and receipts around it never move.
The exact model and version are recorded with every call.
Every GoldenI product inherits this pipeline on day one — only the vocabulary changes.
Every one of these steps is captured as a single unbroken record — what was asked, what data the model was allowed to see, which model answered, what it returned, and the licensed human who decided what to do with it. That record is the Compute Chain. When someone asks, a year later, how an AI-assisted decision was made and whether it was made responsibly, the Compute Chain is the answer — the compliance record every organization using AI in care should have, and almost none of them do.
Everything on CORE is encrypted — and where it lives is your call: our cloud, in-country infrastructure, or your own servers. Wherever it runs, the access model doesn't change: your patients, your clinicians, and no one you didn't choose. Not us.
Support access exists only when you open a session. Production changes require approved, tiered requests — including ours. Our operational view is aggregate-only, never clinical.
And the boundary runs in both directions. Clinical data moves to the outside world — labs, HIEs, payers — through one governed gateway: NEXUS. Our own platform utilities, messaging to telephony, connect through a separate brokered gate of their own.
Nothing reaches outside CORE without passing a checkpoint that records it. Not your data. Not even our vendors.
We run the substrate the way you'd demand a power grid be run: maintained by people with access to the machinery, never the contents.
Every change passes role-based approval and separation of duties: the author can't approve their own change. Our automated reviewers screen every release first — but they can't approve one. Only a person can. Each step is verified; every action is written to a tamper-evident log.
We built it this way so a broken update can't reach you through one engineer's mistake or one unreviewed line. It's the separation-of-duties discipline regulated industries run on — the reason you can trust what ships. There is no other path in, and no standing access. Including ours.
Every outside connection — email, messaging, voice, mapping — routes through one brokered, monitored gate, not scattered across the platform. Nothing leaves CORE without passing a checkpoint that records it. Not your data. Not even our vendors.
Between those two gates sits the console you run yourself — users, roles, configuration, the compartments that wall off your most sensitive records. You hold the keys. We don't. Support reaches your data only through a session you open, and closes when you close it.
Onboarding, support, security, uptime, your numbers, controlled fixes — the operational apps that stand behind your platform. Each runs on aggregate signals, never clinical content. None of them is a way in.
Onboarding and the commercial relationship — contract to go-live, billing, renewals. We stand behind it.
Support reaches a client's data only through a session the client themselves opens — absent one, the door stays shut.
Security monitoring with active response: credential-attack detection, impossible-travel logins, session termination, step-up verification.
Platform health and incident response — live status, alerting, incident timeline. Aggregate health only, never patient data.
Client outcomes and KPIs per account — adoption, clinical, financial, and operational health.
The only tool that can change production data, approval-gated end to end.
Here's an example of what that looks like. A patient is registered at a new clinic under her married name. The clinic doesn't know GoldenI already holds her record, under her maiden name, from a prior organization — so a second record is created. The two now need to become one.
That's a routine consolidation: it moves through a single engineer's approval. More complex changes need two and a lead; high-impact changes require the CTO. CORE validates every approved request before it executes. No direct database access exists — not even for us.
Real-world evidence usually means retrofitting: normalize, re-verify, pray the provenance survives scrutiny. Data captured on CORE doesn't take that trip — it's recorded in a form aligned with FDA real-world evidence guidance from the first write, provenance intact by construction.
If you're building anything that touches trials, registries, or regulators, ask us what that's worth. We've done the math.
CORE is open to builders. Run a different EHR on it. Build your own product on it. Bring your country, your specialty, your idea — the hardest problems in healthcare software are already solved beneath you: identity, consent, audit, permissions, AI governance, regulatory plumbing.
Spend your effort where it belongs — on better care, and on what's never been built before. CORE was our first product. We built nine more on top of it — and the next one doesn't have to be ours.
We built CORE before we built anything else — then bet nine products on it. Every one inherits everything on this page, on day one. So would yours. And open doesn't mean unguarded: every product on CORE is certified and permission-scoped — including the nine we built.
With the SDK. Access is by request while we onboard early builders — the SDK and docs ship under NDA during early access, and production access comes with a certificate. Request SDK access →
Proofs, and nothing else. Cryptographic fingerprints designed to show a record hasn't changed — never the record itself, never PHI, never anything readable. How anchoring works →
That's a deployment decision, not a fixed answer. In our cloud, keys live in managed hardware security modules with zero standing human access. On your own infrastructure, custody can sit with you entirely. In-country deployments keep keys in-jurisdiction. The constant never changes: our standing access is zero.
Coexistence first. The migration machinery is part of the substrate, built for the systems you're running today — and nobody big-bangs onto CORE. Switching to GoldenI →
Deliberately, and under governance: changes are versioned, reviewed, and policies only ever tighten down the hierarchy — never loosen. The full model is a conversation worth having.
Yes. Your record exports whole — it was always yours. We'd rather keep you with architecture than with exit costs.
Security and compliance documentation is available under NDA as part of diligence. Ask.