LIVE · CLINICAL WATCH ACTIVE

A second set of expert eyes — on every patient, every hour.

CareCompile reads every HL7 and FHIR message the moment it lands, reasons over it like a specialist would, and sends the on-call clinician a verified brief with the history already assembled. The patient who needs attention is seen sooner, day or night.

Six clinical stacks · one engineruns on-premises / in your cloud, or offlineworks with your EHR / no rip-and-replace
Every alert documented & auditable
Sub-second flags on inbound results
Works with your EHR, not instead of it
Designed for HIPAA safeguards
WHAT IT'S DOING RIGHT NOW
Clinical WatchLIVE
1,247 parsed · 3 flagged tonight
flags at ingest · synthetic beds via MediFlow v16 · history auto-compiled
Live · Clinical Watch active
A second set of expert eyes —
on every patient, every hour.

CareCompile reads every HL7 and FHIR message the moment it lands, reasons over it like a specialist would, and sends the on-call clinician a verified brief with the history already assembled. The patient who needs attention is seen sooner, day or night.

Six clinical stacks · one engine
runs on-premisesin your cloud, or offline
works with your EHRno rip-and-replace
  • Every alert documented & auditable
  • Sub-second flags on inbound results
  • Works with your EHR, not instead of it
  • Designed for HIPAA safeguards
Live · Clinical Watch 4 PATIENTS / 0 HUMAN CLICKS
3,166
Patients*
89,980
Labs
0
Analyses
55
Agents
* Synthetic test patients — all 3,166 patient records received by CareCompile were generated by MediFlow, our clinical simulator, across its releases. The feed replays one synthetic night; the counters are live. No real PHI.
01 — THE STACK

One engine.
A specialist stack for every department.

Not a point solution. The same intelligence engine powers six specialist stacks — expert coverage for every corner of your hospital, and de-identified force-health intelligence in the field. Deploy one. Add the rest when you're ready.

01

The command center

Whole-chart synthesis

Reads the full chart — labs, imaging, notes, FHIR — and briefs your hospitalist the way a subspecialist would. Every major specialty, analyzed in parallel, in seconds. Includes: Physician.AI.

02

The continuous watch

Always-on monitoring

Two loops, day or night: specialist reasoning the moment new data lands, and a sweep across every admitted patient for what hasn't happened — flagging deterioration early and staging workups for physician sign-off. Includes: NORA.

03

The lab's second reader

Result safety net

A safety net for thinly staffed benches and overnight cross-coverage — cross-checks results and radiology–pathology concordance before an error reaches the chart. Includes: Laboratory.AI.

04

Imaging follow-through

Follow-up discipline

Tracks RADS categories and incidental findings so "recommend follow-up in 6 months" never falls through. Structured reporting standards, enforced by software. Includes: Radiology.AI, EKG.

05

Infection surveillance

Facility-wide watch

Facility-wide surveillance of cultures, resistance patterns, and reportable conditions — antibiograms, cluster detection, and public-health reporting readiness. Includes: Sentinel.AI.

06

Force-health & the field

De-identified · offline

Turned outward for defense. The same engine runs fully offline on local hardware and produces de-identified force-health intelligence — outbreak and exposure briefs, readiness, and functional-biometric (range-of-motion & impairment) screening — for maritime, military, and forward operations where no specialist will ever answer the phone. Includes: SpineReady, Military.AI, Intrepid, MEDINT.AI.

Model-agnostic
foundation

Every stack runs on the same clinical engine and works with the AI models you choose, in the cloud or on-premises. Your patient data never trains anyone's model.

02 — PLATFORM

The platform.
Not a mock-up.

Real software. Real HL7, FHIR, and clinical reasoning. Every screen here is a shipping view from the CareCompile platform.

SYNTHETIC DATA — no real PHI, ever. Every patient shown is generated by MediFlow, our clinical simulator.
command center · split view 46 CRITICAL · HL7 12M AGO
The command center — patient chart, active flags, key labs, and the compile console.
Compile console — document templates and quick-intel views

Compile a document

Speak a command or pick a template — shift handoff, AM report, sepsis screen — and the engine drafts it from the live chart.

Active flags ranked by severity with key lab trends

Active flags, ranked

Critical labs surface to the top with trend sparklines, so the patient who needs attention is never buried.

Continuous watch — resolved flag banner and voice console

Watching, around the clock

The continuous-watch agent resolves and escalates while your team is stretched thin — every action written to the audit trail.

03 — HOW IT WORKS

From HL7 message to clinical save.

No rip-and-replace. CareCompile reads the stream your hospital already produces, reasons over it, and puts the result in front of the on-call clinician — evidence attached.

01

Ingest

HL7 v2.x and FHIR R4 stream in from your EHR, lab, and imaging — the moment data is created.

02

Normalize

Canonical coding, plausibility bounds, duplicate collapse, and reference-range checks — before any model sees a value.

03

Reason

Specialist agents run in parallel across every relevant department, grounded in the proprietary clinical knowledge architecture.

04

Verify

Findings are checked against the fused FHIR record; every step is written to a tamper-evident audit trail.

05

Deliver

A ranked, cited narrative reaches the on-call clinician and the chart — in seconds, with the evidence attached.

// Sub-second for standard labs and vitals; a few seconds for complex multi-system reasoning. Results stream in real time.

04 — ONE SAVE

Fifteen seconds, end to end.

One synthetic patient from tonight's feed — one critical lactate, and everything the engine did about it. No human clicked anything.

02:13:51
A routine lab message lands — and it isn't routine.

ORU^R01 arrives for Maria Okafor, one of thousands of messages tonight. The engine reads it in milliseconds: lactate 8.2 mmol/L — critical.

ORU^R01 · SIM-847291 · LACTATE 8.2 MMOL/L · CRITICAL
02:13:52
Specialist agents fan out in parallel.

Cardiology, nephrology, and pharmacy agents each read the full chart independently — labs, imaging, notes, FHIR history. No nurse has been paged yet; there is nothing actionable to hand them.

02:13:57
The findings converge.

Troponin 0.84 and trending up. Creatinine 3.2 — AKI stage 2 confirmed. Eight drug interactions, including a vancomycin–nephrotoxin overlap that would have made things worse.

02:14:01
Septic shock criteria met.

BP 82/54, HR 128, SOFA 10. The pieces were all in the chart — the engine put them together while the floor was busy with everyone else.

02:14:06
The on-call physician gets a verified brief — not an alarm.

A ranked clinical narrative with 13 claims checked against every FHIR source, history already assembled, evidence attached. The clinician walks in knowing exactly why.

4.2 S REASONING · 13 CLAIMS VERIFIED · AUDIT-LOGGED
05 — PROOF

Proven against the hardest test we could build.

Before CareCompile ever sees a real patient, it has already worked a career's worth of cases — synthetically.

384K+
Synthetic HL7 messages received by CareCompile

Every stack is exercised end-to-end by MediFlow v16, our clinical simulation engine — admissions, deteriorations, critical labs, pathology — at volumes no pilot could produce. Every proof number on this page comes from that engine. No real PHI, ever.

0
Real patients used to build it

Every capability is built and validated against synthetic patients with known answers, generated by MediFlow v16. A held-out evaluation harness scores each release against ground truth the engine never saw while it was being tuned. No real PHI has ever touched development, training, or validation — and physician validation is expanding.

100%
Findings audit-logged

Every alert, every agent finding, every staged order is written to a tamper-evident audit trail with 7-year retention. When someone asks "why did the system say that?" — there is always an answer.

The economics of the miss

The cost is in the miss — not the software.

Failure to rescue — a deterioration knowable from data already in the chart — is one of the most expensive events in hospital medicine: extended ICU stays, transfers, litigation exposure, reputational harm. CareCompile doesn't replace your clinicians or your specialist coverage. It makes sure the patient who needs them is seen hours earlier, with the evidence already assembled.

Why you can evaluate us in week one
  • No BAA to see it work — built and validated entirely on synthetic patients
  • No cloud-security veto — runs on-premises or fully air-gapped
  • A silent pilot risks nothing — 30 days alongside your live stream, no pages, no workflow change
  • One miss pays for the year — the software was never the expensive part

Most clinical AI can't start until month six. Why we start in week one →

How it's built

Trained to your workflow. Deployed where you run.

Your models, our clinical reasoning — running in your cloud, on-premises, or fully air-gapped. Plus NORA, the on-call agent engineered to know when to stay quiet.

See the engine
06 — STATEWIDE PROGRAMS

The same engine, at the scale of a state.

Rural health programs and health data utilities rarely fail on ambition. They fail when thirty organizations send the same lab result thirty different ways, and nobody can compute a measure anyone believes.

What we build for programs

One vocabulary underneath many organizations.

Hospitals, clinics, pharmacies and EMS agencies each speak their own dialect. We build the layer that resolves them to one patient record and one set of codes — so a care team sees a timeline instead of a pile of documents, and the program reports outcomes from coded data rather than free text.

Statewide programs

Terminology services, FHIR exchange and impact reporting for rural health programs, measured on synthetic data and documented in detail on one page.

Explore statewide programs

Building a rural health data program? Talk to us →

06.2 — For health data utilities

You run the utility. We supply the semantic core.

A health data utility does more than move records. It turns every source’s data into something public health, Medicaid and care teams can all use, and that depends on one shared vocabulary. CareCompile builds that layer. The organization that runs the utility keeps its governance, its participants and its name on the door.

83.4%of lab results resolved to one concept (75,050 of 89,980)
1,016 → 276local spellings resolved to canonical concepts
98,101LOINC 2.83 codes loaded; a code is accepted only if it exists and is active
FHIR R4CodeSystem, ValueSet and ConceptMap that any conformant server can load
Who does what
  1. OperatorSourcesParticipants send HL7 v2 and FHIR, as they do today.
  2. OperatorIntakeThe utility’s exchange receives and routes it.
  3. CareCompile coreNormalizeLocal codes resolved to one concept; uncertain ones go to a reviewer.
  4. CareCompile coreTerminologyOne vocabulary, checked against the full LOINC release.
  5. SharedData productsPublic health, Medicaid and quality feeds from coded data.
Shared terminology servicePublished as FHIR R4 terminology, so the core does not lock the utility in.
A person in the loopSoftware proposes a mapping; a person approves every uncertain match, and nothing unresolved is dropped.
Analytics-ready coded dataMeasures and reports computed from codes, not free text.
Data quality by sourceDesigned to show which participants send clean, coded data and which do not.

A working prototype runs on synthetic data and is shown in a guided demo. Figures measured on synthetic data · as of 6 Nov 2026 ET

Ask for the demo
07 — WHO WE ARE

The founders of CareCompile

CareCompile is led by two founders, one from health IT and one from public-sector health.

Mario Casamalhuapa, Founder and CTO of CareCompile

Mario Casamalhuapa

Founder and CTO

Mario has built his career in health IT, from physician portals to hospital data integration. He designed and developed the CareCompile platform and carecompile.com, and leads its engineering.

Focus
  • HL7 and FHIR
  • Interface engines
  • Physician portals
  • System conversions
  • Hospital connectivity
Works with you onYour systems: engineering, data and deployment.
Bill Sackewitz, Founder and CEO of CareCompile

Bill Sackewitz

Founder and CEO

Bill has worked in U.S. public-sector health, on the government side of health technology, data and outcomes. He leads CareCompile and its business operations.

Focus
  • Public-sector health
  • Health technology
  • Data and outcomes
  • State health systems
Works with you onYour leadership: the company, operations and institutions.
What value do we bring?

Hands-on experience with hospital data and clinical systems, plus experience on the government side of health.

MarioWorks on your systems.
BillSits with your leadership.
Core principles
  • 01
    Nothing hiddenYou work directly with the founders who build and lead, with nothing in between.
  • 02
    A person always decidesOur clinical decision support is advisory only, and the decision stays with a person.
  • 03
    Synthetic data firstWe test our products on synthetic data before any hospital system is touched.
  • 04
    Tested before it shipsChanges are built with tests, recorded versions and review before anything goes live.
Pilot Partner Program · open

Be the hospital where nothing falls through the cracks.

The Pilot Partner Program is open to hospitals and health systems of every size — community, rural, academic, and specialty — ready to put an expert watch on every patient, around the clock.

PILOT SCOPESilent · 30 days · one priority workflow
INPUTHL7 v2.x or FHIR R4
GOVERNANCEClinical lead + IT owner

We respond within one business day. No spam, ever — your submission is covered by our privacy policy.

Request received.

Thank you — we'll be in touch within one business day. For anything urgent, email hello@carecompile.com.

Clinical Decision Support Notice — CareCompile is a non-diagnostic clinical decision support tool intended to augment, not replace, physician judgment. All AI-generated analyses are advisory only; clinical decisions remain the sole responsibility of the licensed treating clinician. CareCompile is not FDA-cleared or FDA-approved as a medical device and is not intended to diagnose, treat, cure, or prevent any disease. For investigational and decision-support use only. Validation with practicing physicians is ongoing.