The intelligence layer for your EHR

Your EHR,Alive.

Every agent your teams need, built on one living record, so each one makes the next smarter. On top of the EHR you already run.

The platform, in one moment

One intelligence layer. Every workflow.

One living context of the whole patient, with intelligence that reasons over it and acts before you ask.

New referral · Prompt Opinion
promptopinion.com/work/referrals/alvarez
MA

Mr. Alvarez

MRN 447190264M
OverviewDocumentsOrdersNotesTimeline

Patient Pulse

Auto-coded31 sources
31 source documents Ingested
Outside fax, 4pCT chest reportLab panel, 18Discharge summaryMed list
Finding
Code
Source
Problems
Resistant HTN
I10
Type 2 diabetes
E11.9
6mm lung nodule Flagged
R91.1CT, p4
Meds and labs
Lisinopril 40mg
RxNorm
Amlodipine 10mg
RxNorm
eGFR 58
LOINC3/14
Potassium 4.6
LOINC3/14
StandardsICD-10LOINCRxNormCPTFHIR

Awaiting signature

2
Follow-up CT chest, 6 months

Fleischner recall, patient notified

CT chest report, 3/14
Biopsy prior auth

Matched to payer criteria, 4 facts cited

From the coded record

Nothing reaches the chart until you sign.

The gap

Siloed agents. A chart that stays shut.

Every vendor ships another assistant, each fluent in one corner of the chart. None of them sees the whole patient. Not yet.

Patient chart
Locked · static
Scheduling AI
Ambient scribe
Coding bot
Triage assistant
Prior-auth

Capable agents, working in isolation, none compounding into a workflow.

The platform

Built on the record you already keep.

Prompt Opinion sits on top of the EHR you already run and brings the record to life: reading, reasoning, and writing back.

EHR · Patient Chart
Summary
Problems
Meds
Labs
Notes
Prompt Opinion

Oncology note suggests Tx failure.

↳ CT abdomen, day 5 · progression noted

AcceptDismiss
Who it is for

One record. Every team builds on it.

The same living context serves everyone who works on the patient. Each role acts on it in their own way, and nothing leaves without a human's sign-off.

  • Clinicians

    Decisions and orders, grounded and prepared, ready to sign at the point of care.

  • Care teams & operations

    Referrals routed, transitions tracked, every open loop coordinated to closure.

  • Population health & quality

    Care gaps and risk surfaced across whole panels, governed and audit-ready.

  • Researchers

    Cohorts built and trials matched straight from the coded record.

How it works

Scattered sources. One coded record.

A data engine turns scattered notes, labs, and faxes into one structured, coded, validated record every agent can build on.

Pulls signal from notes, labs, and faxes. Every source, one stream.

Quest lab · Jan 12live

A1c 8.2%

ExtractQuest labJan 12
CodeR73.09ICD-10
Validate2 results agreeflagged ↑
The compounding loop

Agents that compound.

Every agent works from one living context, kept fresh the moment anything changes. No stale copies, no blind spots. Every agent always sees the whole, current picture.

Scheduling AI
Ambient scribe
Coding bot
Triage assistant
Prior-auth
Meds
Allergies
Notes
Labs
Problems
Vitals
Wherever you are

In your inbox. On the phone. In the encounter.

A grounded answer, carrying the reason it fired, reaches you on whatever surface you are already working in.

  • WardAgent · inboxranked by urgency
    1OVERDUEnow

    Care transition unacknowledged

    discharge summary · 6 days ago

    2

    A1c 8.2%: therapy may be failing

    external lab · day 3

    3

    Imaging result filed to chart

    no action needed

  • +1 (415) 555-WARDon call
    Any critical results pending?

    Potassium 6.1: critical

    stat lab · 20 min ago

    voice
  • Encounter · chart openmid-visit
    Prompt Opinionhands-free

    Warfarin and a new NSAID: bleed risk

    active med list · updated today

The trifecta

Yours to grow forever.

Three ways agents come to life on the platform, and they all share one living record.

  • Foundational

    Out of the box

    Clinical Trial Matcher, Prior Auth, and more. Ready on day one.

    Trial MatcherPrior AuthTriageCodingCare GapsReferrals
  • Marketplace

    An open ecosystem

    Referral Router, Care Gap Finder. Install from a growing shelf.

    Referral Router
    community built
    Install
    Care Gap Finder
    community built
    Install
    and a growing shelf
  • Built by you

    Code or no-code

    Code it or describe it. Open over MCP and A2A.

    CodeNo-code
    Describe your agent...
    equipped with
    SkillsMCPA2A
Proof in production

Hundreds of teams. Real workflows.

At the Agents Assemble Challenge, 300+ teams put the living record to work, from clinical follow-up to population health and research.

Multi-agent follow-up

Coordinating follow-up across agents

Longitudinal reasoning, intelligent escalation, and agent-to-agent hand-off close the follow-up gaps that fall through the cracks in real care settings.

multi-agentFHIRclinical reasoning
Built by Rifqi Haikal
Clinical governance

Governing every open care loop

Governed, longitudinal workflows surface unresolved care loops and prevent diagnostic follow-up failures, FHIR-native end to end.

governancelongitudinalloop closure
Built by Aayush Sigdel
Coding & audit

Surfacing coding gaps from notes

Clinical NLP paired with deterministic reasoning pulls coding gaps out of unstructured notes and surfaces reimbursement insight. Every step traceable, audit-ready.

clinical NLPcodingaudit-ready
Built by Kishan Raj & Jaswanth Thundlam
Open standards

Never locked in.

Prompt Opinion rides the open rails the industry already agreed on.

MCP · A2A · FHIR · MCP · A2A · FHIR · MCP · A2A · FHIR · MCP · A2A · FHIR · MCP · A2A · FHIR · MCP · A2A · FHIR · MCP · A2A · FHIR · MCP · A2A · FHIR ·
MCP · A2A · FHIR · MCP · A2A · FHIR · MCP · A2A · FHIR · MCP · A2A · FHIR · MCP · A2A · FHIR · MCP · A2A · FHIR · MCP · A2A · FHIR · MCP · A2A · FHIR ·
Provenance & guardrails

Trust built in, not bolted on.

Every agent action traces to a source, carries a full audit trail, and waits for a clinician before it touches the chart.

ProvenanceGuardrailsStandards-first
Agent actionproposed write

A1c 8.2% write to chart

Grounded in source
Discharge summary, p.3
Traced end to end
agent · model · inputs logged
Clinician approved
Dr. Patel · signed
you
Written to the chart
committed · audit #4821
audit #4821 · immutable entryverified end to end
HITRUSTHIPAASOC 2ONC HTI-1

See your record come alive.

One platform, every agent, one living record, on the EHR you already run. Come see it on your own data.