SISMAUS
Healthcare · Government

Government-Ready Electronic Health Record Platform

Deploy, manage, and scale hospital operations with a fully integrated, AI-assisted healthcare system designed for public institutions.

Multi-hospital architecture
AI-assisted clinical decision support
Full patient lifecycle management
Government compliance (MSPAS-ready)
The Problem

Hospitals still rely on fragmented systems and paper workflows.

  • Admission, lab, imaging, pharmacy, and surgery run on disconnected tools
  • Ministry reports are assembled manually from spreadsheets
  • Clinical data sits in siloed systems with no unified patient view
  • AI-assisted diagnostics are either absent or treated as a separate product
  • Audit and compliance are afterthoughts, not part of the architecture
The Solution

HCE centralizes clinical, administrative, and operational workflows into one platform.

  • One integrated platformadmission, triage, consultations, hospitalization, surgery, labs, imaging, pharmacy, blood bank, and records — in one system
  • End-to-end instrumentedthe full clinical workflow tracked from order to result to report
  • Real-time traceabilityevery clinical action captured with actor, context, and severity
  • AI embedded in every flownot a separate tool — second opinion, imaging analysis, and clinical discovery live inside the workflow
  • Government reporting nativeregulatory reports generated directly from operational data
Architecture

Built for scale, deployed per institution

A modular monolith with a clear separation between web, API, core services, and integrations. Each hospital gets its own deploy — isolated data, isolated governance, shared platform.

Presentation

Web application with role-aware navigation

Application Layer

Authentication · RBAC · Audit · Business logic

Core Services

Patient Service
Clinical Service
AI Gateway
Reporting Engine

Data Plane

Enterprise database
Background job processing

Integrations

Laboratory equipment
Imaging systems
Government reporting
SISMAUS platform services

Presentation

Web application with role-aware navigation

Application Layer

Authentication · RBAC · Audit · Business logic

Data Plane

Enterprise database

Patient Lifecycle

From arrival to discharge — one continuous record

Every clinical event is linked to the patient record and tracked through validated state machines.

Step 1

Registration

National ID · Demographics · Emergency contact

Step 2

Triage

Vital signs · Urgency level · Destination

Step 3

Consultation

Clinical notes · Diagnosis · AI second opinion

Step 4

Orders

Labs · Imaging · Medications

Step 5

Hospitalization

Beds · Evolution · Nursing

Step 6

Discharge

Summary · Reconciliation · Coding

Step 7

Reporting

Regulatory forms · Situational room

AI / SGMIA

AI-Assisted Clinical Support — not a separate tool

HCE's AI layer (SGMIA) is embedded in every clinical workflow. Context-aware. Audit-tracked. Privacy-first.

Context-aware patient analysis

AI steps receive structured patient data — never raw user input — eliminating prompt injection surface.

Cached medical insights

Expensive analyses are cached per patient + analysis type, so repeat reads are instant.

No PHI exposure externally

Default pipelines run on-premise; external AI providers are gated and auditable.

Integrated into clinical workflow

"Segunda Opinion SGMIA" is a button on the consultation page — not a separate app. Every AI call is audited.

hce.hospital.gt · Consultation #CN-2026-0412

Patient: María G. · 54 · F

Priority: high

Chief complaint: chest pain, shortness of breath

Labs: Troponin elevated, CK-MB 18 ng/mL

Imaging: chest X-ray — cardiomegaly

Analyzing imaging · labs · notes (parallel)
Synthesizing integrated impression
AI Impression: Clinical picture consistent with acute coronary syndrome. Recommend immediate cardiology consult, ECG, and repeat troponin in 3h.
Confidence: high · Multi-model analysis · Auditable

Multi

Analysis types

Flexible

Provider choice

Local-first

Deployment

None

PHI exposure

Modules organized by operational domain

Four categories. One unified platform.

Clinical

Patient Management

Registration with national ID, doctors, specialties

Triage

Multi-level urgency classification for emergencies

Consultations

Emergency, outpatient, and follow-up encounters

Hospitalization

Bed management, evolution notes, nursing station

Surgery

Scheduling, operating room coordination, anesthesia, operative notes

Blood Bank

Donors, donations, inventory, transfusion requests

Diagnostics

Laboratory

End-to-end workflow with automatic critical-value alerts

Imaging

Radiology worklists, in-browser DICOM viewing, AI-assisted impressions

Lab equipment integration

Standardized connection to hospital analyzers

Reference ranges

Age, sex, and pregnancy-aware ranges

Specimen handling

Structured rejection reasons and quality controls

Clinical Discovery

Semantic search across clinical notes and histories

Operations

Pharmacy

Prescriptions, dispensing, controlled substances, kardex

Inventory

Batch-level tracking with expiration management

Warehouse

Non-medicament supplies, locations, transfers

Supply requests

Unified requisition flow across all modules

Clinical archive

Digital records, scanning, and OCR

Workstation management

Session tracking per terminal

Intelligence

AI clinical support

Second opinion, imaging AI, clinical discovery — in-workflow

Predictive scoring

Optional sepsis and readmission risk modules

Government reporting

Regulatory reports from operational data

Situational room

Real-time public-health dashboards

Audit log

Every clinical action captured and classified

Institutional analytics

Occupancy, length of stay, outcomes

Compliance & Security

Designed for regulated environments

Security is architectural, not bolted on. Every request. Every field. Every byte.

Audit logs for every action

Every clinical mutation captured with actor, context, severity, and change diff.

Role-based access control

Granular per-action permissions with role inheritance. Every grant and revocation audited.

Data ownership by institution

One hospital = one deploy. No data shared across tenants. Data residency by design.

ISO 27001 / HIPAA aligned

Encryption at rest and in transit. Application-layer encryption for sensitive credentials. PHI guardrails on every AI call.

Start transforming your hospital operations today

HCE is deployed in public hospitals in Guatemala and built to scale across the region. Schedule a demo and see the full platform in action — from triage to surgery to regulatory reporting.