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Health Systems & Provider Organizations

Your AI strategy is waiting on your data. Stop waiting.

Axiomera turns Epic Clarity extracts, legacy feeds, and acquired-site data into a terminology-bound Domain Intelligence Layer. Deployed as a container in your own cloud, with confidence-scored automation and a human on every clinical decision. Gartner projects 60% of AI projects will be abandoned through 2026 without AI-ready data. Yours doesn't have to be one of them.

One A1c · Six silos

Epic Clarity, the acquired hospital's legacy Cerner, an LIS HL7v2 feed, an ambulatory EHR, claims (CPT 83036), inbound HIE C-CDA. Same test, six dialects.

Clarity: varchar "6.9" LIS: local "HGBA1C"
Standardize

Six shapes become FHIR Observation resources. Whatever they arrived as.

HL7v2 → FHIR C-CDA → FHIR
Bind meaning

All six bind to LOINC 4548-4, units normalized to %. The free-text ambulatory value scores 0.71. And routes to your terminologist's queue instead of silently committing.

LOINC 4548-4 · conf 0.96 0.71 → human review
Harmonized

One governed variable in the Domain Intelligence Layer. Lineage back to every source system.

one variable, one truth
One model that ships

Built once, consumed three times:

Diabetes-risk modelfeature store
Quality & registryeCQM feeds
Research cohortreproducible
Why pilots die here

The model was never the problem.

The data moved. What the fields meant on arrival was left to assumption, and every model built on top inherited the guess. Movement is not meaning.

60%
of AI projects will be abandoned through 2026 when unsupported by AI-ready data
30%+
of generative AI projects abandoned after proof of concept; poor data quality the first cause named
70%
of gen-AI adopters report difficulty governing, integrating, and preparing data for AI
What ships on the layer

Five ways health systems use the Domain Intelligence Layer

AI Enablement

AI-ready clinical data for internal model development

Ship your first governed, feature-store-grade clinical dataset in weeks. Not the 18 months your last pilot spent on data prep.

Epic Analytics

Clarity / Caboodle → cloud harmonization

Turn Clarity extracts into a terminology-bound layer in the Snowflake, AWS, GCP, or Azure environment you already pay for. Without another one-off pipeline, and with drift detection when a feed changes underneath you.

M&A

Multi-site terminology convergence

Make the acquired hospital's legacy Cerner data answer the same questions as your Epic data. Without waiting for the EHR migration to finish.

Quality

Registry & quality-measure automation

Quality, registry, and eCQM feeds drawn from one harmonized layer instead of re-mapped per program. Cut the manual abstraction burden.

Research

Research data readiness

The federated pattern. 47 U.S. healthcare institutions trained one model with no raw patient record leaving the site that held it, published in Informatics in Medicine Unlocked. Brought to your research enterprise.

Objections, answered

The questions your architecture board will ask

We already have an EMPI / HIE.
Keep it. Your EMPI answers who the patient is; Axiomera answers what the data means. Identity resolution deduplicates records; semantic harmonization makes the A1c from six systems computable as one variable. Different layer, and Axiomera sits downstream of your EMPI. Not instead of it.
Does this replace my data team?
No. It removes the work they hate. Your engineers keep the pipelines and the models; Axiomera takes the terminology mapping, unit normalization, and drift-driven re-mapping that currently lives in spreadsheets. Confidence-routed queues make your terminologists reviewers, not data-entry clerks. Mappings are inspectable and exportable. No black box, no lock-in.
What about Epic?
Axiomera doesn't touch Chronicles and isn't an EHR integration. It consumes what you already extract. Clarity, Caboodle, HL7v2, C-CDA. And makes it AI-ready in your cloud. Epic stays the system of record; Axiomera makes it the system of training.
Where does our PHI go?
Nowhere. The platform deploys as a container in your tenancy. Snowflake Native App on Snowpark Container Services, or your AWS, GCP, or Azure VPC. Our published federated study spans 47 U.S. healthcare institutions, where only differentially private gradient histograms crossed the network and no raw patient record left the institution that held it. SOC 2 Type II examination is in progress; HIPAA-aligned controls with BAA available.
Proof

Stated precisely, because your team will check

Published study

47 institutions · 0 raw records moved

Federated learning across 47 U.S. healthcare institutions, published in Informatics in Medicine Unlocked (Elsevier).

Published

Peer-reviewed research

Papers published in Elsevier and Frontiers journals, with the harmonization papers under peer review. USPTO Notice of Allowance on App 19/181,522, Evolutionary Neural Networks.

Platform

Snowflake partnership. Signed

Runs as a native app on Snowpark Container Services; also deploys to AWS, GCP, and Azure. In production today.

Build on the right side of the readiness curve

Bring your architecture team. We'll bring ours.

An architecture review on your stack, your feeds, and your governance model. Your security team is welcome in the room.