commvita™ is a person-first, openEHR- and FHIR-native platform that carries a single record across primary, community, mental-health, hospital and social care — with operations & flow, population health, workforce and board governance built on top, and an immutable, intelligent audit underneath. Multi-jurisdiction and multi-edition, standards-based, and self-hostable on any cloud or on-premise.
Not a single app bolted onto an EPR — one operating system for a whole health & care economy, where every representation of a person resolves to the same record and every number drills down to the people behind it.
A Whole Person Record and shared cross-org record unify GP, hospital, community, mental-health, social-care and pharmacy data — problems, meds, allergies, diagnostics, frailty and social determinants — with a persistent identity banner and safety flags that follow the person.
390+ modules span the pathway end to end — consultations, prescribing and diagnostics; referrals, RTT and elective recovery; virtual wards and community nursing; mental health and adult/children's social care; rostering, safe staffing and L&D; and whole-system operational flow.
RBAC (18 roles × 16 domains), immutable SHA-256 hash-chained audit, a versioned Jurisdiction Profile and governed, human-in-the-loop AI — over open standards: openEHR · FHIR R4 · OMOP · SNOMED CT · dm+d · HL7 v2.
Every capability sits on one spine: a single record and one immutable audit, from the citizen's first contact through to the board's assurance.
The clinical and community core that most of the platform builds on.
A patient portal and digital front door, total triage, e-RS protocol-gated referrals with pre-consultation order-comms, waiting-well and RTT patient-tracking — so demand is triaged and prioritised before it reaches a clinic. ● largely Live
Consultations with SNOMED auto-coding and CDSS alerts, prescribing with drug-interaction and QOF checks, diagnostics & order-comms, long-term-condition management, medicines optimisation and closed-loop administration (eMAR/BCMA).
Community nursing, virtual wards, remote & continuous monitoring, care-home shared records, mental-health and adult/children's social care, safeguarding, and Care Act finance — the out-of-hospital majority of care, joined up.
Whole-system operational flow (OPEL, Little's-Law flow canvas, discharge & D2A), safe staffing and rostering, and a full board suite — assurance framework, risk, register of interests and signature-backed board packs.
A representative map of the domains — each is a family of live and demonstrated modules, all on the shared record and audit.
| Domain | What it does | Example routes | Standards |
|---|---|---|---|
| Clinical core | Consultations · prescribing · diagnostics · LTC · medicines · eMAR | /consultation /prescriptions | SNOMED CT · NICE · BNF/dm+d |
| Referrals & access | Total triage · e-RS pathways · RTT PTL · waiting-well · elective experience | /referral-hub /rtt-ptl | NHS e-RS · RTT 2023 · GIRFT |
| Remote & community | Community nursing · virtual ward · RPM · care-home shared record · frailty | /community-nursing /virtual-ward | NEWS2 · NICE · PRSB |
| Mental health & social care | MH records · IAPT · safeguarding · Care Act finance · children's social care | /mental-health /safeguarding | MHA · MCA 2005 · Care Act 2014 |
| Analytics & population health | Risk stratification · phenotypes · inequalities · prescribing analytics | /population-health /deprivation-mapping | OMOP · Core20PLUS5 · IMD |
| Operations & flow | OPEL flow canvas · discharge/D2A · bed board · winter & A&E forecasting | /flow /discharge-hub | OPEL 2024–26 · NHSE D2A |
| Workforce | Rostering · safe staffing (CHPPD) · bank/agency · L&D · staff wellbeing | /rostering /safe-staffing | NQB · NICE NG94 · AfC |
| Governance & safety | IG spine · incident→risk golden thread · CAPA · duty of candour · compliance | /ig-spine /golden-thread | DSPT · DCB0129/60 · PSIRF · CQC SAF |
| Board & assurance | Board portal · BAF · register of interests · e-signature · EPRR | /board-management /esign | CQC Well-Led · eIDAS · JESIP |
| Interoperability & EPR | EPR connectors · HL7/FHIR engine · shared care records · terminology | /epr-hub /hl7-engine | FHIR R4 · HL7 v2 · IHE · openEHR |
The controls that make a whole-economy record safe to run — the same across every module.
Records model to openEHR; exchange over FHIR R4 and HL7 v2; research to a real OMOP CDM v5.4 ETL with an OHDSI node; coded in SNOMED CT · dm+d · ICD-10 · OPCS-4 · LOINC. Your data stays yours, in open formats.
RBAC across 18 roles × 16 data domains; organisation-scoped search (you can only find who you should); step-up re-auth for special-category (Article 9) data — enforced server-side, not hidden in the UI.
Access, sign-off and governance events land in append-only SHA-256 hash-chained (WORM) logs re-verified on every read, with anomaly detection and cross-setting safety-netting — the audit records the response, not just the event.
No jurisdiction-specific rule is hardcoded — identifier validation, terminology, workflow gating and legal provisions read from a versioned, source-cited, signed-off Jurisdiction Profile that fails safe, never defaulting to another jurisdiction. AI is non-SaMD, human-in-the-loop, governed to ATRS · DCB0129 · MHRA AIaMD · GDPR Art.22.
The same platform, deployed to fit the buyer and the country.
Deployed across jurisdictions with their own regulators, identifiers, currencies and legal provisions: England, Scotland, Wales, Northern Ireland, the Crown Dependencies, Gibraltar, Ireland (HSE), the United States (ACO / CMS MSSP), Kenya, Oman, Saudi Arabia, Jamaica, Antigua & Barbuda and Montserrat — each configured, not hardcoded.