Patient 01
Room 712HR68
SpO₂99%
BP118/76
On request
FHIR R4
FSE 2.0
Hospital Governance, Records & Care
The whole patient journey in a single platform.
A modular platform for public and private healthcare facilities: from registry to discharge, from booking to invoicing, with FHIR R4 and FSE 2.0.
M. Rossi
Inpatient · Cardiology · Bed 12
A+
FC72
SpO₂98%
PA120/78
T36.8°
Result readyEmocromo · Δ -2%
100+domain tables
39+REST API controllers
25+FHIR R4 resources
4,4Mdrugs in the catalogue
The patient journey
From registry to invoicing, with no gaps.
A single system follows the patient through every step, and every step speaks the same language.
- Registry
- Admission & triage
- Booking
- Inpatient care
- Diagnostics
- Discharge
- Invoicing
Real time
The ward under control, second by second.
The patient monitor receives vital signs in real time via SignalR: each card changes colour when a value leaves the normal range. Here, a simulation with made-up data.
Patient 02
Room 713HR132
SpO₂87%
BP165/95
Patient 03
Room 714HR92
SpO₂98%
BP124/80
Patient 04
ICU-01HR104
SpO₂93%
BP146/88
Patient 05
ICU-02HR76
SpO₂97%
BP120/78
The patient follows you
Select the patient once. You never lose them again.
After selection, the accepted patient stays visible at the top and active in every module: cashier, booking, laboratory, radiology, inpatient care, emergency room. No repeated searches, no wrong-patient errors.
-
1
Search
By code, name, tax code, health card or reader.
-
2
Select
One double click and the patient is accepted: name and code stay in the header.
Patient: Filippo RossiCode: PAZ000053 always visible on every screen -
3
Work
At the cashier the patient's visit and services are already loaded, ready to be paid.
Modules
Everything a healthcare facility needs.
Registry
Citizens and healthcare staff aligned with FHIR R4 Patient: quick clinical data, allergies, chronic conditions, VIP and audited break-the-glass access.
Accepted patient always with youEmergency & triage
ER access, triage with re-evaluation, vital signs, injuries, clinical diary, admission proposal and printable ER chart.
Accepted patient always with youBooking & schedules
Schedules, slots, controlled overbooking, waiting list and slot conversions.
Accepted patient always with youInpatient care
Bed map, admission wizard, diagnoses, therapies, administrations, ward transfers and discharge.
Accepted patient always with youOutpatient
Episodes, outpatient queue, clinical worksheet, prescriptions and reports.
Accepted patient always with youLaboratory LIS
Orders, barcoded samples, results with delta check, critical alerts, reflex testing, analyzers and SLAs.
Accepted patient always with youRadiology RIS
DICOM worklist, studies with series and images, structured signed reports, peer review and dosimetry.
Accepted patient always with youPharmacy & stock
Catalogue with over 4 million drugs, ATC classification, active ingredients, stock, dispensing and alerts.
Accepted patient always with youCashier & invoicing
Quotes, payments, invoices and agreements, with a dedicated cashier operator.
Accepted patient always with youShifts & structure
Organizations, sites, wards and rooms; staff shifts with calendar, ward comparison and incompatibility checks.
Accepted patient always with youLive patient monitor
Real-time vital signs via SignalR, with dashboard and alerts.
Accepted patient always with youAI assistant
A chatbot built into every screen, ready to be connected to an LLM.
Accepted patient always with you
Inside the platform
A clear interface, consistent across every module.
Real HGRC screens: sample data, no real patients.
Pharmacy & warehouse
From the central warehouse to the patient's bedside.
A three-tier warehouse with per-lot traceability, stock allocated with FEFO logic and 5G verification at the time of administration.
1Central warehouse
Aggregated and per-lot stock, with expiry dates and minimum thresholds.
2Ward stock
Each ward has its own stock and already reserved quantities.
3Therapy cart
Mobile sub-warehouse per shift, with dedicated stock.
FEFO: first expiry, first out
The system assigns the lot with the nearest expiry that covers the requested quantity, and reserves it.
Dual-Layer
The physician's text stays immutable; the pharmacist reconciles it with the catalogue on a second layer.
Off-formulary
Drugs outside the catalogue handled with a dedicated flag and a pharmacist alert for procurement.
5G verification at the bedside
- 1GRight patientPatient wristband
- 2GRight drugDataMatrix: AIC, lot, expiry
- 3GRight doseQuantity from the prescription
- 4GRight timeAdministration window
- 5GRight routeFrom the prescription
Local artificial intelligence
A proprietary AI that works inside your facility.
HGRC includes a proprietary artificial intelligence system that runs locally. It does not talk to external LLMs and does not send data outside the facility: diagnostic support and the smart module features are born and stay on your own servers.
Runs on-premises
No external LLM
No data leaves the facility
The clinician decides
Registry
Spots duplicates and inconsistent data before they enter the archive.
Emergency room
Suggests the triage code from symptoms and vitals, and flags patients who are deteriorating.
Laboratory
Smart delta check, abnormal values and reflex rules proposed from the clinical picture.
Radiology
Worklist prioritisation and a structured draft report that the radiologist reviews and signs.
Pharmacy
Interactions, therapy duplications and consumption forecasts so stock never runs out.
Inpatient care
Length-of-stay estimate and best-bed suggestion by ward and clinical picture.
Booking
Fills empty slots from the waiting list and anticipates likely cancellations.
Monitor
Alerts that watch the trend, not just the threshold, to warn before a value becomes critical.
Cashier
Checks consistency of services, exemptions and agreements before payment.
The system provides decision support: suggestions and drafts do not replace the physician's judgement, who validates and signs every clinical act.
Security & privacy
Clinical data protected by design.
Consents, roles, traceability and controlled emergency access: privacy is not a separate module, it is inside every screen.
GDPR and FSE consents
Data processing and Electronic Health Record consents with date and history.
Restricted access and VIP
Restricted records and break-the-glass: emergency access is possible, but always leaves a trace.
Full audit trail
Every data change is recorded and searchable: who, what, when.
Users, roles and permissions
Each operator sees only what their ward and role require.
Medico-legal integrity
The physician's original text is never altered: Dual-Layer on every prescription.
Data stays in the facility
No clinical data is sent to external artificial intelligence services.
Integrations
Interoperable by design.
FHIR R4Over 25 resources exposed by a dedicated service
FSE 2.0 / CDADirect connection to the Electronic Health Record
Sistema TS / MEFIntegration with the Health Card system
DICOMWorklist and studies for radiology
SignalRReal-time vital signs monitoring
RabbitMQMessaging between services with broker and listener
Architecture
Modular, microservice-based, cloud-ready.
.NET AspireService orchestrator
WebBlazor + MudBlazor
ApiServiceREST · 39+ controller
FhirServiceHL7 FHIR R4
CacheServiceDistributed cache
RabbitMQBroker · GeneralListener
SQL ServerEntity Framework Core 9 · audit and history
Want to see HGRC at work?
Tell us about your facility: we'll show you the modules you actually need.