We’re building CareOS:
the Clinical Operating System for mental health.
A neuro‑symbolic AI clinical infrastructure designed to guarantee deterministic, explainable, and clinically safe decision support in a world where generative AI can hallucinate.-
Moving from static guidelines to JITAI’d™ care pathways
CareOS is the execution engine, the operating system,that transforms standard protocols
— such as the NICE NG222 guideline —
into Just-In-Time-Adaptive-Interventions (JITAI)
using natural language through Health-DSL
to support therapists and patients.-
Clinical intelligence belongs in an operating system, not in EPDs.
EPDs were built as administrative engines —essential for documentation and billing, but never designed to support the the clinical logic of comorbidity or the JITAI’ing™ of protocols:
EPDs report, they don't reason
EPDs document, they don't adapt.This is the structural bottleneck in today’s crisis: the full weight of managing comorbidity, social determinants, and fluctuating symptoms is placed on practitioners, stretching capacity far beyond what the system can sustain.The administrative bottleneck is a major reason why the GGZ in the Netherlands — and many European systems — face severe waiting lists.The system simply cannot scale clinical intelligence.-
Workarounds are not enough
Because of long‑standing EPD vendor lock‑in — where system migrations can take years and require significant budgets — many care providers have had to innovate creatively and pragmatically within the constraints of the IT architecture.In that context, custom extensions, workflow patches, and point solutions such as Transcription AI have become practical and necessary ways to reduce administrative pressure.These solutions provide real and meaningful relief but they were never designed to address the deeper structural challenge:the absence of a clinical execution layer capable of handling comorbidity, cross‑domain logic, and the Just‑In‑Time adaptivity that modern mental healthcare requires.
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The future standard of treatment is a JITAI'd™ protocol.
CareOS delivers the infrastructure to make this a reality, bridging the gap between mental, physical, and social domains
into one coherent clinical pathway.
CareOS adds the intelligence that clinical work requires:
a deterministic execution layer that actively interprets:clinical observations, contextual & social factors, process signals, digital biomarkers and phenotyping, historical response patterns. Processing these inputs CareOS guides safe, adaptive interventions in real time. CareOS actively orchestrates the care pathway, it delivers significant, measurable productivity gains. By reducing practitioner workload, preventing unnecessary escalations, and accelerating safe discharge, CareOS delivers the operational capability needed to shrink waiting lists — while unlocking substantial financial savings through shorter trajectories, fewer crisis events, and more efficient use of clinical capacity..
Division of roles between CareOS and EPDs
When clinical intelligence moves into the operating system,the EPD naturally returns to its rightful role:
the administrative record, not the clinical brain.
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Let’s start JITAI’ing and deliver a new generation of safer, adaptive, and truly clinician-friendly infrastructure for mental health care.