A charting system that learns, remembers, and protects.

The Living EHR is the long-term vision Open_C is building toward: a clinical record system designed from the ground up for the AI era. Built with governance, audit discipline, and clinician override designed in. Not bolted on.

Today, Open_C ships , the safety layer that works with the EHR a hospital already uses. The Living EHR is the next horizon.

Why a new EHR is needed

Legacy charting systems were built for billing. The Living EHR is built for care.

The dominant electronic health record platforms were architected decades before modern AI existed. They were designed to capture billing codes, not to govern AI decisions or to give a clinician a coherent view of a patient's actual history. The Living EHR starts from the opposite premise.

What "living" means

A record that learns continuously, surfaces relevant context automatically, and carries forward provenance for every observation, recommendation, and action. A record that updates the way a clinician's mind updates, with evidence, with attribution, and with the discipline to know what it does not know.

Planned Capabilities

Designed around six clinician-facing capabilities.

Each capability is governed by AHI. Each one issues receipts. None of them act on a patient without verification.

01 Listening Agent

Ambient capture of the visit. Transcription, normalization, and structured note drafting. The clinician reviews and signs. The AI never closes the loop alone.

02 Reasoning Copilot

Differential diagnosis and management plan support, grounded in cited evidence with confidence intervals. Always a draft. Always reviewable.

03 Knowledge Library

A continuously curated reference layer that brings the right guideline, study, or protocol to the right moment. Provenance is part of the content, not metadata.

04 Living Patient Record

A record that summarizes itself, flags what is stale, and tells you what it does not yet know. Clinicians can ask the chart questions. The chart answers with receipts.

05 Documentation Layer

Notes that write themselves alongside the visit and surface for clinician edit before signature. Drafts never auto-commit.

06 Governance Layer (Open_C)

The

control point every other capability passes through. Policy enforcement, content disarm, tamper-evident receipts. Nothing reaches the chart unverified.

Where ends and the Living EHR begins.

is the safety layer for the AI tools a hospital already uses. The Living EHR is the next-generation record those tools will eventually be designed for. Hospitals that adopt today are positioned to migrate to the Living EHR when the broader platform is ready.

No forced migration. No vendor lock-in. The receipts produced by are portable to the Living EHR. The Living EHR continues to operate alongside whatever EHR remains in place.

Start with . Migrate when you're ready.

The launch product is shipping. The platform vision follows. Pilot the safety layer today and shape what comes next.

Learn About